This study offers a comprehensive analysis of how governance capacities in developing countries respond to the challenges that COVID-19 posed. We established a theoretical framework to delve into the multifaceted nature of governance capacities, exploring two distinct aspects of governance: the Weberian one, which focuses on material and organizational capacities, and the Tocquevillian one, which focuses on coordination and associational capacities. We examined these four governance dimensions to illustrate how these distinct skills influence the effectiveness of governance. Our analysis quantifies the impact of the COVID-19 pandemic using such metrics as confirmed cases and deaths. We employ standard and dynamic panel data methodologies to mitigate potential omitted variable bias. Our research findings indicate that countries with robust governance capacities, as assessed by the Bertelsmann Stiftung's Transformation Governance Index, are better equipped to respond effectively to pandemic crises. By applying several models and rigorous robustness tests, we demonstrate efficient resource utilization, the ability to guide and prioritize decision-making within the government, and commitment to cooperation and coordination with other nations and international organizations are the primary drivers of improved outcomes. Our findings remain robust even when controlling for relevant variables and employing estimation techniques that account for potential biases arising from unobservable confounding factors. COVID19 COVID 19 COVID-1 posed one deaths bias Stiftungs Stiftung s Index crises tests utilization decisionmaking decision making government outcomes factors COVID1 1 COVID-

ABSTRACT Purpose: Myopia, or nearsightedness, is one of the most common eye conditions worldwide. However, a comparison of the effectiveness of different laser-assisted interventions is lacking. Thus, we aimed to compare the efficacy and safety of LASIK and IntraLASIK in addressing myopia. Methods: The study was conducted in two ophthalmology clinics in Beijing, China, in 2022. A total of 84 patients (152 eyes) with different degrees of myopia were examined and underwent LASIK (n=46, 80 eyes) or IntraLASIK (n=38, 72 eyes). Keratometry, corneal topography, pachymetry, visual acuity evaluation, and corneal biomechanical analysis were performed before and after the intervention. Results: IntraLASIK produced more precise flaps than LASIK, with deviations of <8 mm and 0.1 mm from the intended thickness and diameter, respectively. LASIK resulted in nonuniform flaps, with thickness deviations of 5-86 mm. IntraLASIK demonstrated a superior efficacy for patients with severe myopia and thin corneas, with a mean spherical equivalent of 0.9 D at 6 months compared to the 1.4 D for LASIK. Approximately 91% and 83% of the patients with mild to moderate and severe myopia, respectively, achieved results within ± 0.49 D from the refractive target with IntraLASIK. Conclusions: Corneal hysteresis and corneal resistance factor decreased with an increase in laser intensity, and they decreased faster with thinner corneas. Thus, IntraLASIK is more useful than LASIK in patients with thin corneas and severe myopia. Purpose Myopia nearsightedness worldwide However laserassisted assisted lacking Thus Methods Beijing China 2022 8 152 (15 eyes n=46, n46 n 46 (n=46 n=38, n38 38 (n=38 7 eyes. . Keratometry topography pachymetry evaluation intervention Results < 01 0 1 0. diameter respectively 586 5 86 5-8 09 9 14 4 1. 91 83 049 49 0.4 Conclusions intensity 202 15 (1 n=46 n4 (n=4 n=38 n3 3 (n=3 58 5- 04 20 ( n=4 (n= n=3 2 n= (n

RESUMO A introdução da soja tolerante a 2,4-D (ENLIST®) oferece um novo potencial para a aplicação de herbicidas. Dessa forma, o presente trabalho teve como objetivo: (a) avaliar o efeito das combinações de herbicidas pós-emergentes no controle de Conyza spp., e (b) a seletividade da associação de herbicidas pós-emergentes em soja, garantindo uma aplicação eficaz sem comprometer a saúde da cultura. Um experimento de campo com soja tolerante ao 2,4-D utilizou um delineamento experimental de blocos casualizados, com 14 tratamentos em quatro repetições. Os tratamentos incluíram várias combinações de 2,4-D com glifosato, chlorimuron, cloransulam, imazethapyr, bentazona e imazamox. Estes foram aplicados como um único tratamento ou sequencialmente 15 dias após o tratamento (DAT) usando glufosinato de amônio, juntamente com dois controles sem aplicação de herbicida. Os resultados mostraram menos de 15% de fitotoxicidade em todos os tratamentos. Aos 21 DAT, apenas os tratamentos aplicados sequencialmente mostraram controle significativo, com eficácia superior a 80% contra Conyza spp. Em contraste, as aplicações únicas das combinações de herbicidas com 2,4-D foram ineficazes para o controle pós-emergência de Conyza spp. 2,4D 24D D 2,4 2 4 ENLIST® ENLIST (ENLIST® forma objetivo (a pósemergentes pós emergentes spp b (b cultura casualizados 1 repetições glifosato chlorimuron cloransulam imazethapyr imazamox DAT (DAT amônio herbicida significativo 80 contraste pósemergência emergência 4D 24 2, (ENLIST 8

ABSTRACT The introduction of 2,4-D-tolerant soybeans (ENLIST®) offers a new potential for herbicide application. Therefore, the present study aimed to (a) evaluate the effect of combinations of post-emergent herbicides on the control of Conyza spp. and (b) assess the selectivity of the post-emergent herbicide association in soybeans, ensuring effective application without compromising the health of the crop. A field experiment with 2,4-D-tolerant soybeans utilized a randomized complete block design with 14 treatments across four replications. Treatments included various combinations of 2,4-D with glyphosate, chlorimuron-ethyl, cloransulam-methyl, imazethapyr, bentazon, and imazamox. These were applied either as a single treatment or sequentially 15 days after treatment (DAT) using glufosinate-ammonium alongside two controls without herbicide application. The results showed less than 15% control across all treatments. At 21 DAT, only the treatments applied sequentially showed significant control, with effectiveness exceeding 80% against Conyza spp. In contrast, the single applications of the herbicide combinations with 2,4-D were ineffective for post-emergence control of Conyza spp. 2,4Dtolerant 24Dtolerant Dtolerant 2,4 D tolerant 2 4 ENLIST® ENLIST (ENLIST® Therefore (a postemergent post emergent spp b (b crop 1 replications 2,4D 24D glyphosate chlorimuronethyl, chlorimuronethyl chlorimuron ethyl, ethyl chlorimuron-ethyl cloransulammethyl, cloransulammethyl cloransulam methyl, methyl cloransulam-methyl imazethapyr bentazon imazamox DAT (DAT glufosinateammonium glufosinate ammonium 80 contrast postemergence emergence 4Dtolerant 24 2, (ENLIST 4D 8

ABSTRACT Purpose: This study aimed to compare the safety and effectiveness of intraocular pressure reduction between micropulse transscleral cyclophotocoagulation and “slow cook” transscleral cyclophotocoagulation in patients with refractory primary open-angle glaucoma. Methods: We included patients with primary open angle glaucoma with at least 12 months of follow-up. We collected and analyzed data on the preoperative characteristics and postoperative outcomes. The primary outcomes were a reduction of ≥20% of the baseline value (criterion A) and/or intraocular pressure between 6 and 21 mmHg (criterion B). Results: We included 128 eyes with primary open-angle glaucoma. The preoperative mean intraocular pressure was 25.53 ± 6.40 and 35.02 ± 12.57 mmHg in the micropulse- and “slow cook” transscleral cyclophotocoagulation groups, respectively (p<0.001). The mean intraocular pressure was reduced significantly to 14.33 ± 3.40 and 15.37 ± 5.85 mmHg in the micropulse- and “slow cook” transscleral cyclophotocoagulation groups at the last follow-up, respectively (p=0.110). The mean intraocular pressure reduction at 12 months was 11.20 ± 11.46 and 19.65 ± 13.22 mmHg in the micropulse- and “slow cook” transscleral cyclophotocoagulation groups, respectively (p<0.001). The median preoperative logMAR visual acuity was 0.52 ± 0.69 and 1.75 ± 1.04 in the micropulse- and “slow cook” transscleral cyclophotocoagulation groups, respectively (p<0.001). The mean visual acuity variation was −0.10 ± 0.35 and −0.074 ± 0.16 in the micropulse- and “slow cook” transscleral cyclophotocoagulation, respectively (p=0.510). Preoperatively, the mean eye drops were 3.44 ± 1.38 and 2.89 ± 0.68 drugs in the micropulse- and “slow cook” transscleral cyclophotocoagulation groups, respectively (p=0.017), but those were 2.06 ± 1.42 and 1.02 ± 1.46 at the end of the study in the “slow cook” and micropulse transscleral cyclophotocoagulation groups, respectively (p<0.001). The success of criterion A was not significant between both groups. Compared with 11 eyes (17.74%) in the “slow cook” transscleral cyclophotocoagulation group, 19 eyes (28.78%) in the micropulse transscleral cyclophotocoagulation group showed complete success (p=0.171). For criterion B, 28 (42.42%) and 2 eyes (3.22%) showed complete success after micropulse- and “slow cook” transscleral cyclophotocoagulation, respectively (p<0.001). Conclusion: Both techniques reduced intraocular pressure effectively. Purpose slow cook openangle Methods 1 followup. followup follow up. up follow-up 20 ≥20 andor or B. B . B) Results 2553 25 53 25.5 640 40 6.4 3502 35 02 35.0 1257 57 12.5 p<0.001. p0001 p p<0.001 0 001 (p<0.001) 1433 14 33 14.3 340 3 3.4 1537 15 37 15.3 585 5 85 5.8 followup, up, p=0.110. p0110 p=0.110 110 (p=0.110) 1120 11.2 1146 46 11.4 1965 65 19.6 1322 13 22 13.2 052 52 0.5 069 69 0.6 175 75 1.7 104 04 1.0 010 10 −0.1 035 0.3 0074 074 −0.07 016 16 0.1 p=0.510. p0510 p=0.510 510 (p=0.510) Preoperatively 344 44 138 38 1.3 289 89 2.8 068 68 p=0.017, p0017 p=0.017 , 017 (p=0.017) 206 06 2.0 142 42 1.4 102 146 17.74% 1774 17 74 (17.74% 28.78% 2878 78 (28.78% p=0.171. p0171 p=0.171 171 (p=0.171) 42.42% 4242 (42.42% 3.22% 322 (3.22% Conclusion effectively ≥2 255 25. 64 4 6. 350 35. 125 12. p000 p<0.00 00 (p<0.001 143 14. 34 3. 153 15. 58 8 5. p011 p=0.11 (p=0.110 112 11. 114 196 19. 132 13. 05 0. 7 1. 01 −0. 03 007 07 −0.0 p051 p=0.51 51 (p=0.510 2. p001 p=0.01 (p=0.017 17.74 177 (17.74 28.78 287 (28.78 p017 p=0.17 (p=0.171 42.42 424 (42.42 3.22 32 (3.22 ≥ p00 p<0.0 (p<0.00 p01 p=0.1 (p=0.11 −0 p05 p=0.5 (p=0.51 p=0.0 (p=0.01 17.7 (17.7 28.7 (28.7 (p=0.17 42.4 (42.4 3.2 (3.2 p0 p<0. (p<0.0 p=0. (p=0.1 − (p=0.5 (p=0.0 17. (17. 28. (28. 42. (42. (3. p<0 (p<0. p=0 (p=0. (17 (28 (42 (3 p< (p<0 p= (p=0 (1 (2 (4 ( (p< (p= (p

The coronavirus disease (COVID-19) pandemic, caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has had a profound impact on global health and socio-economic conditions. To date, various vaccines have been administered worldwide in an effort to curb the spread of the virus. Despite vaccination efforts, there have been complications. Existing antiviral drugs have shown limited effectiveness, prompting the use of computational methods to understand the dynamics of the virus and develop suitable treatments. The current study focuses on using biocompatible para-sulfonato-calix[4]arenes to dock against two key proteins of SARS-CoV-2, namely ribonucleic acid (RNA)-dependent RNA polymerase, and helicase. Docking results indicate a strong binding affinity of these compounds to the target proteins, with higher scores compared to commonly used medications. Molecular dynamics (MD) simulation validates the docking results, showing stable protein-ligand complexes over time. The compounds are also screened for absorption, distribution, metabolism, and excretion properties and toxicity, suggesting their potential as lead candidates for inhibiting the virus’s key proteins. However, further in vivo and in vitro studies are recommended to confirm these findings. COVID19 COVID 19 (COVID-19 pandemic SARSCoV2, SARSCoV2 SARSCoV SARS CoV , (SARS-CoV-2) socioeconomic socio economic conditions date efforts complications effectiveness treatments parasulfonatocalix4arenes parasulfonatocalixarenes para sulfonato calix 4 arenes 2, SARS-CoV-2 RNAdependent dependent polymerase helicase medications MD (MD proteinligand protein ligand time absorption distribution metabolism toxicity viruss s However findings COVID1 1 (COVID-1 (SARS-CoV-2 parasulfonatocalix SARS-CoV- (COVID- (SARS-CoV- SARS-CoV (COVID (SARS-CoV

RESUMO Embora os separadores espirais estáticos sejam eficientes na remoção de partículas de formas e densidades variadas, eles frequentemente descartam sementes de alta qualidade fisiológica. Isso levou ao surgimento de dispositivos que possibilitam a rotação, permitindo assim um controle mais preciso sobre a separação das frações de sementes. O objetivo deste trabalho foi avaliar a qualidade física e fisiológica de sementes de soja separadas em frações qualificadas e descartadas por um separador espiral rotativo. O equipamento utilizado para os testes operou em diferentes velocidades de rotação, processando até 1,2 Mg h-1. Foram utilizados 27 sacos de 30 kg de sementes. Os tratamentos foram constituídos por dois fatores: velocidades de rotação (nula, 5 e 10 rpm) e fluxos de alimentação (0,3, 0,6 e 1,2 Mg h-1), com três repetições. Foram utilizadas sementes de soja da cultivar CZ 37B51 IPRO (safra 2022-2023) com 13% de umidade. A velocidade nula resultou nos maiores descartes de sementes (até 40%), especialmente na maior taxa de fluxo de alimentação. Uma velocidade de 5 rpm também resultou em grandes decartes. Uma velocidade de 10 rpm com fluxos de alimentação de 0,3 e 0,6 Mg h-1 resultou num melhor desempenho, reduzindo o descarte e melhorando a fração de sementes qualificadas, embora possa comprometer a qualidade destas sementes. A velocidade de 10 rpm reduziu o descarte de sementes de alta qualidade, e o fluxo de 1,2 Mg h-1 foi menos eficiente, resultando em maior descarte de sementes de alta qualidade em comparação com fluxos menores. variadas rotativo 12 1 2 1, h1. h1 h 1. 3 fatores nula, (nula 0,3, 03 0 (0,3 06 6 0, h1, , h-1) repetições B 37B5 safra 20222023 2022 2023 2022-2023 13 umidade 40%, 40 40% 40%) decartes h- desempenho eficiente menores (0, 37B 2022202 202 2022-202 4 (0 202220 20 2022-20 ( 20222 2022-2 2022-

ABSTRACT Although static spiral separators are efficient in removing particles of varying shapes and densities, they often discard seeds of high physiological quality. This has led to the emergence of devices that enables rotation, thus allowing more precise control over separation of seed fractions. The objective of this work was to assess the physical and physiological quality of soybean seeds separated into qualified and discarded fractions by a rotary spiral separator. The device used for the tests operated at different rotation speeds, processing up to 1.2 Mg h-1. Twenty-seven 30 kg seed bags were used. Treatments consisted of two factors: rotation speeds (null, 5, and 10 rpm) and feed flow rates (0.3, 0.6, and 1.2 Mg h-1), with three replicates. Soybean seeds of the CZ 37B51 IPRO cultivar (2022-2023 crop season) with 13% moisture content were used. The null speed resulted in the highest seed discards (up to 40%), especially at the highest feed flow rate. A speed of 5 rpm also resulted in high discards. A speed of 10 rpm with feed flows of 0.3 and 0.6 Mg h-1 resulted in better performance, reducing discard and improving the fraction of qualified seeds, although it may compromise the quality of these seeds. A speed of 10 rpm reduced the discard of high-quality seeds, and a flow of 1.2 Mg h-1 was less efficient, resulting in a higher discard of high-quality seeds compared to lower flows. densities separator 12 1 2 1. h1. h1 h Twentyseven Twenty seven 3 factors null, (null 0.3, 03 0 (0.3 06 6 h1, , h-1) replicates B 37B5 20222023 2022 2023 (2022-202 season 13 40%, 40 40% 40%) rate 0. h- performance highquality (0. 37B 2022202 202 (2022-20 4 (0 202220 20 (2022-2 ( 20222 (2022- (2022 (202 (20 (2

Résumé Il existe un consensus croissant sur la pertinence de la participation des acteurs non étatiques à la gouvernance climatique. Cependant, de multiples obstacles aux niveaux national et mondial entravent encore l’efficacité de cet engagement. Sur la base d’une recherche ethnographique, cet article analyse comment les acteurs non étatiques de deux organisations Ecos et le Collectif autochtone chilien sur le changement climatique perçoivent leur participation à la gouvernance climatique nationale. Nous avons mené trente-six entretiens semi-structurés avec des participants de deux groupes engagés dans l’action climatique, l’un dirigé par des organisations de la société civile et l’autre convoqué par l’État et composé de dirigeants des peuples autochtones, en observant également les participants. Bien que leurs motivations soient diverses, ils partagent toutes l’objectif commun d’aborder les inégalités socio-écologiques à travers des réponses qui émergent de leurs territoires. Cependant, ces groupes montrent que la politique nationale sur le changement climatique et le scénario de gouvernance climatique internationale continuent de considérer la participation des acteurs non étatiques comme marginale, symbolique et instrumentale. Cependant lefficacité l efficacité engagement dune d une ethnographique trentesix trente six semistructurés semi structurés laction action lun lautre autre lÉtat État autochtones diverses lobjectif objectif daborder aborder socioécologiques socio écologiques territoires marginale instrumentale

Resumo Há um consenso cada vez maior sobre a relevância da participação de atores não-estatais na governança climática. No entanto, múltiplas barreiras, tanto nacionais quanto mundiais ainda atrapalham a eficácia deste envolvimento. De acordo com uma pesquisa etnográfica, este artigo analisa como atores não-estatais de duas organizações − Ecos e a Coletivo Indígena Chileno sobre a Mudança Climática – percebem a participação deles na governança climática nacional. Nós realizamos 36 entrevistas semiestruturadas com participantes de dois grupos comprometidos com ação climática, sendo um deles liderado por organizações da sociedade civil e o outro convocado pelo Estado e composto por líderes dos povos indígenas, também envolvidas na observação de participantes. Apesar de terem motivações diferentes, todos compartilham a meta comum de abordarem desigualdades sociais e ecológicas através de respostas que surgem dos seus territórios. No entanto, estes grupos mostram que tanto a política nacional de mudança climática quanto o cenário internacional de governança climática continuam a considerar a participação de atores não-estatais como marginal, simbólica e instrumental. nãoestatais não estatais entanto barreiras envolvimento etnográfica 3 indígenas diferentes territórios marginal instrumental

Resumen Existe un consenso cada vez mayor sobre la relevancia de la participación de los actores no estatales en la gobernanza climática. Sin embargo, aún existen múltiples barreras a nivel nacional y global para que este compromiso sea efectivo. Basándose en una investigación etnográfica, este artículo analiza la participación de actores no estatales de dos organizaciones - ECOS y Colectivo Indígena Chileno sobre Cambio Climático - en la gobernanza climática del Estado chileno. Realizamos treinta y seis entrevistas semi-estructuradas y observación participante entre los participantes de dos grupos comprometidos con la acción climática, uno liderado por organizaciones de la sociedad civil y el otro convocado por el Estado y compuesto por líderes de Pueblos Indígenas. Aunque sus motivaciones son diversas, todos comparten el objetivo común de hacer frente a las desigualdades socioecológicas mediante respuestas que surjan de sus territorios. Pero, estos grupos evidencian que tanto la política nacional de cambio climático, como la arena internacional de gobernanza climática, aun considera la participación de actores no estatales como marginal, simbólica e instrumental. embargo efectivo etnográfica chileno semiestructuradas semi estructuradas Indígenas diversas territorios Pero climático marginal instrumental

Abstract There is a growing consensus about the relevance of the participation of non-state actors in climate governance. However, multiple barriers at the national and global levels still hinder the effectiveness of this engagement. Based on ethnographic research, this article analyses how non-state actors from two organisations −Ecos and the Chilean Indigenous Collective on Climate Change− perceive their participation in national climate governance. We conducted thirty-six semi-structured interviews with participants of two groups committed to climate action, one led by civil society organisations and the other convened by the state and composed of Indigenous Peoples leaders, and also engaged in participant observation. Although their motivations are diverse, all share the common goal of addressing socio-ecological inequalities through responses that emerge from their territories. However, these groups show that both national climate change policy and the international climate governance scenario continue to consider the participation of non-state actors as marginal, symbolic, and instrumental. nonstate non However engagement research Ecos Change thirtysix thirty six semistructured semi structured action leaders observation diverse socioecological socio ecological territories marginal symbolic instrumental

RESUMO: O presente estudo avaliou a eficácia do uso de máscaras descartáveis na mitigação da propagação de Staphylococcus aureus durante o processo de corte de frango em um grande abatedouro de aves. Foi realizada a identificação de portadores de S. aureus e influência do tempo de uso de máscaras descartáveis. A contaminação em utensílios e equipamentos por S. aureus e produtos por aeróbios mesófilos foi determinada, com e sem uso de máscaras. A eficiência de diferentes máscaras comerciais foi avaliada contra S. aureus em condições simuladas. Os resultados revelaram que 36% dos trabalhadores das linhas de processamento no frigorífico eram portadores de S. aureus. Foi observado aumento na contagem de S. aureus em máscaras usadas pelos funcionários até 3 horas. A transferência de carga microbiana para utensílios foi potencializada na ausência da máscara e com o passar do tempo. Os filés de peito avaliados não apresentaram diferença na contagem de bactérias mesófilas com e sem o uso de máscaras pelos funcionários, por outro lado, os cortes de coxa e sobrecoxa, filé de coxa e sobrecoxa e asas apresentaram diferença significativa com contagens médias inferiores a 2,96 Log de UFC/g. Testes de condições simuladas demonstraram a eficácia das máscaras comerciais na retenção de microrganismos. A máscara teste utilizada pelo frigorífico mostrou-se ineficiente, permitindo a passagem de pulverizações contendo S. aureus, a 6, 15 e 25 cm, com 2,53, 1,74 e 0,66 Log UFC/placa, respectivamente. Essa máscara saturava, criando um efeito barreira que aumentava a contaminação na área de trabalho dos funcionários. RESUMO aves S determinada 36 horas lado 296 2 96 2,9 UFCg UFC g UFC/g microrganismos mostrouse mostrou se ineficiente 6 1 cm 253 53 2,53 174 74 1,7 066 0 66 0,6 UFCplaca placa UFC/placa respectivamente saturava 29 9 2, 5 2,5 17 7 1, 06 0,

ABSTRACT: The present study evaluated the effectiveness of using disposable masks in mitigating the spread of Staphylococcus aureus during the chicken cutting process in a large poultry abattoir. The identification of carriers of S. aureus and the influence of the time of use of disposable masks was carried out. Contamination of utensils and equipment by S. aureus and products by mesophilic aerobes was determined, with and without the use of masks. The efficiency of different commercial masks was evaluated against S. aureus under simulated conditions. The results revealed that 36% of workers on processing lines at the abattoirs carried S. aureus. An increase in S. aureus counts was observed in masks worn by employees for up to 3 h. The transfer of microbial load to utensils was enhanced in the absence of the mask and over time. The breast fillets evaluated showed no difference in the count of mesophilic bacteria with and without the use of masks by employees, conversely, the cuts of thigh and drumstick, thigh fillet and drumstick and wings showed a significant difference with average counts lower than 2 .96 Log CFU/g. Tests under simulated conditions demonstrated the effectiveness of commercial masks in retaining microorganisms. The test mask used by the abattoirs proved to be inefficient, allowing the passage of sprays containing S. aureus, at 6, 15 and 25 cm, with 2.53, 1.74 and 0.66 Log CFU/plate, respectively. This mask saturated, creating a barrier effect that increased contamination in the employees’ work area. ABSTRACT abattoir S out determined 36 h conversely 96 .9 CFUg CFU g CFU/g microorganisms inefficient 6 1 cm 253 53 2.53 174 74 1.7 066 0 66 0.6 CFUplate plate CFU/plate respectively saturated area 9 . 5 2.5 17 7 1. 06 0. 2.

Resumen Marco contextual: La hospitalización y la intervención quirúrgica son percibidas por el niño como acontecimientos amenazantes que repercuten en su comportamiento, concretamente en la ansiedad y el miedo. Objetivo: Evaluar la eficacia de una película preparatoria para los procedimientos que deben realizarse antes de la cirugía ambulatoria con el fin de reducir la ansiedad y el miedo. Metodología: Estudio aleatorizado y controlado en el que participaron 60 niños (de 6 a 14 años) sometidos a cirugía ambulatoria. El grupo de intervención vio una película en el periodo preoperatorio y el grupo de control recibió los cuidados habituales. La eficacia de la película se midió con la escala Children’s Anxiety Meter-State y el miedo con la Children’s Fear Scale. Resultados: No hubo diferencias significativas (p > 0,05) entre el grupo de intervención que vio la película y el grupo de control que siguió los cuidados preoperatorios habituales. Conclusión: Es importante evaluar con precisión si los costes de esta intervención compensan los beneficios. Se sugiere seguir investigando en este ámbito, ajustando otros programas que resulten más eficaces en este contexto.

Resumo Enquadramento: A hospitalização e a cirurgia são consideradas pela criança como eventos ameaçadores e com repercussões no seu comportamento, nomeadamente ansiedade e medo. Objetivo: Avaliar a efetividade de um filme preparatório para procedimentos a realizar antes de uma cirurgia de ambulatório visando a redução da ansiedade e medo. Metodologia: Estudo randomizado, controlado, envolvendo 60 crianças (6-14 anos), submetidas a cirurgia de ambulatório. O grupo de intervenção visualizou um filme no período pré-operatório e o grupo de controlo recebeu os cuidados habituais. A efetividade do filme foi medida através da escala de ansiedade Children’s Anxiety Meter-State e o medo pela escala Children’s Fear Scale. Resultados: Não se observaram diferenças significativas (p > 0,05) entre o grupo de intervenção que visualizou o filme e o grupo de controlo que seguiu os cuidados pré-operatórios habituais. Conclusão: Importa avaliar de forma precisa se os custos envolvidos nesta intervenção compensam os benefícios. Sugere-se mais investigação nesta área, ajustando outros programas que se revelem mais efetivos neste contexto.

Abstract Background: Children often perceive hospitalization and surgery as threatening events that can lead to feelings of anxiety and fear. These feelings may affect their behaviors. Objective: To evaluate the effectiveness of an educational video in reducing anxiety and fear before outpatient surgery. Methodology: A randomized controlled study was conducted with 60 children (6 - 14 years old) undergoing outpatient surgery. The intervention group watched an educational video during the preoperative period, while the control group received standard preoperative care. The effectiveness of the video was measured using the Children’s Anxiety Meter-State scale, and fear was measured using the Children’s Fear Scale. Results: No significant differences (p > 0.05) were found between the intervention group that watched the video and the control group that received standard preoperative care. Conclusion: An accurate assessment of whether the costs of this intervention outweigh the benefits is essential. Further research is recommended, particularly in adapting other programs that have proven more effective in this context.

Resumen Marco contextual: El contexto de la enseñanza clínica y la experiencia de la pandemia de COVID-19 son factores potencialmente estresantes y/o ansiógenos para los estudiantes de enfermería. Objetivo: Evaluar la eficacia del programa “Aprender a Relajarse” para reducir el estrés y la ansiedad en estudiantes de enfermería. Metodología: Estudio longitudinal preexperimental con una muestra de siete estudiantes a los que se les hizo un seguimiento en la clínica de ansiedad. Diseño y aplicación del programa “Aprender a Relajarse”, basado en técnicas de respiración diafragmática y relajación muscular progresiva, con ocho sesiones a lo largo de cinco semanas. Evaluación inicial, final y de seguimiento mediante la Escala de Percepción del Estrés y el Cuestionario de Autoevaluación de la Ansiedad de Zung. Resultados: Reducción de los niveles de estrés entre la evaluación inicial y la final (p = 0,069) y disminución significativa entre la evaluación inicial y el follow-up (p = 0,033). Disminución significativa de la ansiedad entre la evaluación inicial y la final (p = 0,033) y entre la evaluación inicial y el follow-up (p = 0,006). Conclusión: Programa mostró un efecto positivo sobre la gestión del estrés, el autocontrol de la ansiedad y los síntomas asociados, lo que lo convierte en un recurso terapéutico útil para la intervención con estudiantes de enfermería.

Resumo Enquadramento: O contexto de ensino clínico e a vivência da pandemia COVID-19 são potencialmente stressores e/ou ansiogénicos em estudantes de enfermagem. Objetivo: Avaliar a eficácia do programa “Aprender a Relaxar” na redução do stresse e ansiedade em estudantes de enfermagem. Metodologia: Estudo pré-experimental, longitudinal, com amostra de sete estudantes seguidos na consulta de ansiedade. Concebido e implementado Programa “Aprender a Relaxar” baseado nas técnicas de respiração diafragmática e relaxamento muscular progressivo, com oito sessões, em cinco semanas. Avaliação inicial, final e follow-up utilizada Escala de Perceção de Stresse e Questionário de Autoavaliação de Ansiedade de Zung. Resultados: Redução dos níveis de stresse entre avaliação inicial e avaliação final (p = 0,069) e diminuição significativa entre avaliação inicial e follow-up (p = 0,033). Diminuição significativa da ansiedade entre avaliação inicial e avaliação final (p = 0,033) e entre avaliação inicial e follow-up (p = 0,006). Conclusão: Programa demonstrou efeito positivo na gestão do stresse, autocontrolo da ansiedade e sintomatologia associada, sendo um recurso terapêutico útil na intervenção com estudantes de enfermagem.

Abstract Background: Clinical placements and the COVID-19 pandemic are experiences that cause stress and anxiety in nursing students. Objective: To assess the effectiveness of the ‘‘Learning to Relax’’ (Aprender a relaxar) program in reducing stress and anxiety in nursing students. Methodology: A pre-experimental, longitudinal study was conducted with seven students who sought an anxiety consultation. The ‘‘Learning to Relax’’ program was designed based on diaphragmatic breathing and progressive muscle relaxation techniques and implemented in eight sessions during five weeks. The evaluation was conducted at baseline, endline, and follow-up using the Perceived Stress Scale and the Zung Self-Rating Anxiety Scale. Results: Stress levels were lower between baseline and endline (p = 0.069) and significantly lower between baseline and follow-up (p = 0.033). There was a significant decrease in anxiety between baseline and endline (p = 0.033) and between baseline and follow-up (p = 0.006). Conclusion: Program had a positive impact on managing stress, anxiety, and associated symptoms. It is therefore a therapeutic resource for interventions with nursing students.

ABSTRACT Introduction/framework/objectives: There have always been employers, managers and/or co-workers with less correct and disruptive behaviors, with possible consequences in terms of physical and emotional health, in addition to direct intervention in work parameters (such as performance, satisfaction, productivity and profit). Within this dimension there is a very wide variation between more subtle and possibly less serious situations, to the opposite. The aim of this review is to address the softer part of this spectrum and, possibly, more discreet and frequent, in order to provide Occupational Health and Safety Professionals with more weapons, to better guide the situation. Methodology: This is a Bibliographic Review, initiated through a search carried out in April 2023 in the databases “CINALH plus with full text, Medline with full text, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection: comprehensive, MedicLatina and RCAAP”. Content: Civility can be defined as tolerance, respect and concern for others; with the possibility of sharing and disagreeing in a polite and cooperative way, based on treating with dignity; which can mitigate the effects of workload on employees’ mental health. Incivility occurs when an individual violates respect for others by being rude and/or condescending, leading to disrespect, conflict and anxiety. In other words, it is a deviant behavior that is not very intense, violating the rules of good work conduct. This review also mentions data relating to possible classifications of Incivility, elements that can commit it, factors that increase or mitigate the risk of being a target of this phenomenon, professional areas most affected, some international statistics; as well as personal and work consequences and ways to mitigate the problem. Discussion and Conclusions: Addressing and drawing attention to Workplace Incivility will certainly make everyone involved more aware and capable of mitigating or eliminating it, contributing to the construction of healthier cultures and work environments (physically and emotionally); creating more competitive and profitable institutions. It would be interesting to see if, at a national level, there are employers who have already studied the topic inside (or intend to do so in the future), summarizing the respective incidences/prevalence of the different subtypes of uncivilized behavior, socio-demographic-professional characteristics of the aggressors and attacked workers, measures taken and their effectiveness, publishing this in a specialized magazine.

RESUMO Introdução/enquadramento/objetivos: Desde sempre que existiram empregadores, chefias e/ou colegas de trabalho com comportamentos menos corretos e perturbadores, com eventuais consequências a nível da saúde física e emocional, para além da interação com parâmetros laborais (como desempenho, satisfação, produtividade e lucro). Dentro desta dimensão existe uma variação muito ampla entre situações mais subtis e eventualmente menos graves, até o oposto. Pretende-se com esta revisão abordar a parte mais suave deste espetro e, eventualmente, mais discreta e frequente, de forma a dotar os Profissionais da Saúde e Segurança Ocupacionais de mais armas, para melhor orientarem a situação. Metodologia: Trata-se de uma Revisão Bibliográfica, iniciada através de uma pesquisa realizada em abril de 2023 nas bases de dados “CINALH plus with full text, Medline with full text, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection: comprehensive, MedicLatina e RCAAP”. Conteúdo: Civilidade pode ser definida como tolerância, respeito e preocupação pelos outros; com possibilidade de partilhar e discordar de uma forma educada, cooperando, baseada no trato com dignidade; podendo atenuar os efeitos da carga de trabalho na saúde mental dos funcionários. Incivilidade ocorre quando um indivíduo viola o respeito por terceiros, sendo rude e/ou condescendente, levando a um ambiente de conflito e ansiedade. Ou seja, é um comportamento desviante não muito intenso, mas violando as normas/condutas de trabalho. Nesta revisão são ainda mencionados dados relativos a eventuais classificações de Incivilidade, elementos que a podem cometer, fatores que potenciam ou atenuam o risco de ser alvo deste fenómeno, áreas profissionais mais atingidas e algumas estatísticas internacionais, consequências pessoais e laborais e forma de atenuar o problema. Discussão e Conclusões: Abordar e chamar a atenção para a Incivilidade Laboral certamente conseguirá que todos os envolvidos ficam mais atentos e capazes de a atenuar ou eliminar, contribuindo para a construção de culturas e ambientes de trabalho mais saudáveis (física e emocionalmente); criando instituições mais competitivas e lucrativas. Seria curioso perceber se a nível nacional existem empregadores que já tenham estudado o tema dentro de suas portas (ou pretendam fazê-lo futuramente), resumindo as respetivas incidências/prevalências dos diversos subtipos de comportamentos incivilizados, caraterísticas socio-demográfico-profissionais dos agressores e agredidos, medidas tomadas e eficácia das mesmas, divulgando tal em revista especializada.

Abstract Introduction: The initial treatment of stenosing tenosynovitis is usually conservative. When there is no good response, it must be resolved by surgically releasing the A1 pulley, traditionally with open release (OR). However, there is the alternative of ultrasound-guided percutaneous A1 pulley release (UPAR), which has shown similar results. Objective: To evaluate the effectiveness and costs of UPAR compared to OR at our center. Method: A retrospective study was carried out in patients undergoing UPAR. Information on pain scale, mechanical symptoms (Quinnell grades), and disability (QuickDASH) was obtained before and after the procedure. The costs of UPAR and OR alternatives were evaluated. Results: A statistically significant improvement in pain, mechanical symptoms and disability was observed after the procedure. No complications were reported. UPAR was found to be 63% less expensive than the most economical OR alternative. Conclusion: UPAR is a safe and effective alternative to treat “trigger finger or thumb”, with low costs and a shorter recovery period compared to OR. UPAR should be considered as the initial treatment when other options have not been successful.

Resumen Introducción: El tratamiento inicial de la tenosinovitis estenosante suele ser conservador. Cuando no hay buena respuesta debe resolverse liberando quirúrgicamente la polea A1, tradicionalmente con liberación abierta (LA), sin embargo, existe la alternativa de la liberación percutánea de la polea A1 guiada por ultrasonido (LPAUS), que ha mostrado similares resultados. Objetivo: Evaluar la eficacia y costos de LPAUS en comparación con la LA en nuestro centro. Método: Se llevó a cabo un estudio retrospectivo en pacientes sometidos a LPAUS. Se obtuvo información sobre escala del dolor, síntomas mecánicos (grados de Quinnell) y discapacidad (QuickDASH) antes y después del procedimiento. Se evaluaron los costos de este y las alternativas de LA. Resultados: Se observó una mejora estadísticamente significativa en dolor, síntomas mecánicos y discapacidad después del procedimiento. No se informaron complicaciones. La LPAUS resultó ser un 63% menos costosa que la alternativa de LA más económica. Conclusión: La LPAUS es una alternativa segura y efectiva para tratar el «dedo o pulgar en gatillo», con bajos costos y un periodo de recuperación más corto en comparación con la LA. La LPAUS se debe considerar como tratamiento inicial cuando otras opciones no han tenido éxito.

ABSTRACT Introduction: this study links ethical premises and foundations to analyze the dimensions involved in the design of public health policies and health reforms from a social, clinical and public health perspective. Methodology: technological resources and search platforms, applications of inclusion and exclusion criteria were used to select relevant original articles, through a systematic review of the literature, in Medline, Ibecs, Pubmed, Scielo, BVS, Scopus, Web of Science databases, in English and Spanish, about ethics from the clinical, social and public health perspective, organizing the information in scientific tables. Results: the decent living conditions of individuals from any social stratum are related to the guarantees of health care and preservation of living conditions that directly impact health and well-being, and must be supported by institutions and society. Conclusion: regulatory frameworks, connected to human rights, must guarantee equitable access to health care, without discrimination, within the framework of community participation, privacy and social dialogue, influencing policy formulation, accountability, prevention of conflicts of interest and continuous evaluation of effectiveness, leading to the highest impact of health interventions.

RESUMEN Introducción: este estudio vincula premisas y fundamentaciones éticas, para el análisis de dimensiones involucradas en el diseño de políticas públicas de salud y reformas de salud, desde la perspectiva social, del ámbito clínico y de salud pública. Metodología: se utilizaron recursos tecnológicos y plataformas de búsqueda, aplica criterios de inclusión y exclusión para seleccionar artículos originales relevantes, a través de revisión sistematizada de la literatura, en bases de datos Medline, Ibecs, Pubmed, Scielo, BVS, Scopus, Web of Science, en inglés y español, acerca de la ética desde la perspectiva clínica, social y de la salud pública, organizando la información en tablas científicas. Resultados: las condiciones de vida digna de individuos de cualquier estrato social, se relacionan a las garantías de atención sanitaria y preservación de condiciones de vida que impactan directamente en la salud y el bienestar, debiendo ser respaldados por las instituciones y la sociedad. Conclusión: los marcos regulatorios, conectados a los derechos humanos, deben garantizar el acceso equitativo a la atención a la salud, sin discriminación, en el marco de la participación comunitaria, la privacidad y el dialogo social, influyendo en la formulación de políticas, la rendición de cuentas, la prevención de conflictos de interés y la evaluación continua de la efectividad, conducentes al más alto impacto de las intervenciones en salud.

ABSTRACT Introduction: the COVID-19 pandemic presented challenges worldwide. The acceptance of vaccines in the population is essential as a preventive measure. It is undeniable that there are factors that increase rejection or questioning in this regard, which may be related to culture, politics, trust, convenience, experience in health services, and also the opinion of the environment. Objective: to determine the percentage of students and teachers vaccinated, and the number of doses applied against COVID-19 in Facultad de Odontología at the Universidad Nacional de Asunción, in the year 2022. Methodology: cross-sectional descriptive observational study, applying a digital survey with 23 questions about knowledge, application and self-perception of the vaccine; in addition to demographic data. Results: 168 respondents were included, 128 students and 40 teachers. 80.0 % were women. 97.6 % have been vaccinated against COVID-19, the majority (85.4 %) received three doses of the vaccine. 34.1 % received the Covaxin vaccine, 32.9 % Sputnik V, 15.9 % AstraZeneca and 17.1 % others (Pfizer, Sinopharm and Moderna). 35.1 % had doubts about the effectiveness but most of them were applied anyway. 94.1 % considered the vaccine necessary and 88.7 % safe. 78.5 % responded that coverage is high to prevent the symptoms of the disease. 35.1% mentioned feeling fully protected with the vaccine. 78.6% know that some adverse reaction may occur after application. Conclusion: almost all of the respondents were vaccinated and had received all three doses of the COVID-19 vaccine at the time of the survey.

RESUMEN Introducción: la pandemia por COVID-19 presentó desafíos a nivel mundial. La aceptación de las vacunas en la población es indispensable como medida preventiva. Es innegable que existen factores que elevan el rechazo o cuestionamiento al respecto, que pueden estar relacionados con la cultura, política, confianza, conveniencia, experiencia en servicios sanitarios, también la opinión del entorno. Objetivo: determinar el porcentaje de estudiantes y docentes vacunados, y el número de dosis aplicadas contra el COVID-19 de la Facultad de Odontología de la Universidad Nacional de Asunción, en el año 2022. Metodología: estudio observacional descriptivo de corte transversal, aplicando una encuesta en digital con 23 preguntas acerca del conocimiento, aplicación y autopercepción de la vacuna; además de datos demográficos. Resultados: fueron incluidos 168 encuestados, 128 estudiantes y 40 docentes. 80,0 % fueron mujeres. 97,6 % se ha vacunado contra COVID-19, la mayoría (85,4 %) se aplicó tres dosis de la vacuna. 34,1 % se aplicó la vacuna Covaxin, 32,9 % Sputnik V, 15,9 % AstraZeneca y 17,1 % otras (Pfizer, Sinopharm y Moderna). El 35,1 % tuvo dudas acerca de la eficacia pero que en su mayoría se aplicaron igualmente. El 94,1 % consideró necesaria y el 88,7 % segura la vacuna. El 78,5 % respondió que la cobertura es elevada para prevenir los síntomas de la enfermedad. El 35,1 % mencionó sentirse protegido en su totalidad con la vacuna. El 78,6 % sabe que puede presentarse luego de la aplicación alguna reacción adversa. Conclusión: casi la totalidad de los encuestados se encontraban vacunados y se aplicaron las tres dosis de la vacuna COVID-19 al momento de la encuesta.

ABSTRACT Agonoscena pistaciae (Hemiptera: Psyllidae) is a significant pest in pistachio (Pistacia vera L.) orchards in Türkiye. This study aimed to evaluate the effectiveness of yellow sticky traps as an alternative method for controlling A. pistaciae populations in pistachio orchards. Conducted in late September and early October of 2021 and 2022, during peak pest activity, the experiment was carried out in Siirt, with three replicates following a randomized block design. Five traps were hung on all sides of each tree for sampling. Repeated measures ANOVA (repeated measures; general linear model) was used to observe changes over time. The results indicated that yellow sticky traps were highly effective in mass trapping adults, capturing an average maximum of 12 332.67 adults per trap. A significant decrease in the number of nymphs and eggs on the leaves was observed in the yellow sticky trap-treated trees compared to the control plots by mid-October (P < 0.05). Specifically, the average number of nymphs per composite leaf dropped from 24.95 to 11.23 in 2021, and from 145.18 to 27.29 in 2022. Similarly, the average number of eggs per composite leaf decreased from 61.18 to 2.29 in 2021, and from 73.56 to 3.64 in 2022. These findings suggest that yellow sticky traps can significantly reduce psyllid populations in pistachio orchards over the long term and can be an effective control method when used early in the vegetative period for low- to medium-sized psyllid populations.