RESUMO: O objetivo deste relato é descrever o auxílio da elastografia por impulso de força de radiação acústica (ARFI) no diagnóstico de dois casos de tumores malignos da bainha dos nervos periféricos em canídeos. Ambos os pacientes apresentavam claudicação em membro torácico e já haviam sido tratados clinicamente por outros profissionais, sem resposta ao tratamento ou histórico de trauma. Ao exame físico, foi observada atrofia muscular em apenas um dos membros torácicos, nos dois casos. Foi realizado exame ultrassonográfico axilar. Na avaliação modo B, foi observada a presença de estrutura nodular, predominantemente hipoecogênica, heterogênea, irregular, não encapsulada e com reatividade adjacente, medindo aproximadamente 20.1 mm x 15.4 mm no primeiro caso e 18.3 mm x 10.7 mm no segundo caso. Foi realizada elastografia ARFI, demonstrando a presença de áreas de maior rigidez, com velocidade de ondas de cisalhamento média de 4.12 m/s (caso 1) e 4.35 m/s (caso 2), sugerindo malignidade. Em ambos os casos, foi realizada amputação do membro afetado e os nódulos removidos foram encaminhados para análise histopatológica, na qual se obteve o diagnóstico de tumor maligno da bainha de nervo periférico. Os métodos ultrassonográficos realizados nesses casos foram essenciais para o diagnóstico e conduta terapêutica. RESUMO ARFI (ARFI canídeos profissionais trauma físico torácicos axilar B nodular hipoecogênica heterogênea irregular adjacente 201 20 1 20. 154 15 4 15. 183 18 3 18. 107 10 7 10. rigidez 412 12 4.1 ms m s 435 35 4.3 2, 2 , 2) malignidade histopatológica periférico terapêutica 41 4. 43

ABSTRACT: This report described the use of acoustic radiation force impulse (ARFI) elastography in the diagnosis of two cases of canine malignant peripheral nerve sheath tumors. Both patients presented with lameness in the thoracic limb and no response to previous clinical treatment or trauma history. Physical examination revealed muscular atrophy in one of the thoracic limbs, in both dogs. B-mode axillary ultrasound showed the presence of a predominantly hypoechogenic, heterogeneous, irregular, nonencapsulated nodule with adjacent reactivity, measuring approximately 20.1 mm x 15.4 mm in the first case and 18.3 mm x 10.7 mm in the second. ARFI elastography was performed, showing areas of significant stiffness, with an average shear wave velocity of 4.12 m/s (case 1) and 4.35 m/s (case 2), suggesting malignancy. In both cases, the affected limb was amputated, and the tumors sent for histopathological analysis, which were; subsequently, diagnosed as malignant tumors of the peripheral nerve sheath. The ultrasonographic methods used were essential in the diagnosis and therapeutic conduct. ABSTRACT (ARFI history limbs dogs Bmode B mode hypoechogenic heterogeneous irregular reactivity 201 20 1 20. 154 15 4 15. 183 18 3 18. 107 10 7 10. second performed stiffness 412 12 4.1 ms m s 435 35 4.3 2, 2 , 2) malignancy amputated analysis subsequently conduct 41 4. 43

Abstract In recent years, the analysis of development conditions during the operation phase has gained attention, specially using Building Information Modeling (BIM). In this context, this research aims to delineate the frontiers of knowledge and identify future research directions with regard to the uses of BIM for the management, operation and maintenance of facilities. A mixed review method was employed, which combined scientometric analysis and a systematic literature review. To conduct the review, 4050 publications were initially retrieved from the Scopus database, which were filtered using the PRISMA protocol and resulted in 1004 publications to be analyzed. The frequency of sources and citations and the networks of co-occurrence of keywords, co-authorship of authors and countries composed the first analysis. Then, the systematic analysis of the data set was carried out, grouping the surveys into eight different categories. As a result, it was possible to identify that the field “BIM for management, operation and maintenance of facilities” is growing and that the purposes of application in this area have been expanded, in addition to there being a promising association of emerging technologies with BIM for this purpose. years attention BIM. . (BIM) context management facilities employed 405 database 100 analyzed cooccurrence co occurrence keywords coauthorship authorship Then out categories result expanded purpose (BIM 40 10 4 1

Resumo Nos últimos anos a análise das condições de empreendimentos durante a fase de operação tem ganhado atenção, inclusive com o uso do Building Information Modeling (BIM). Neste âmbito, esta pesquisa tem por objetivo delinear as fronteiras do conhecimento e identificar direções de pesquisa futuras no que diz respeito aos usos do BIM para fins de gestão, operação e manutenção de instalações. Foi empregado um método misto de revisão que associou a análise cientométrica e revisão sistemática da literatura. Para condução da revisão inicialmente foram identificadas 4050 publicações da base de dados Scopus, que foram filtrados por meio do protocolo PRISMA e resultaram em 1004 publicações a serem analisadas. A frequência de fontes e citações e as redes de coocorrência de palavras-chave, de coautoria e de países compuseram a primeira análise. Em seguida, a análise sistemática do conjunto de dados foi realizada com o agrupamento das pesquisas em oito categorias diferentes. Como resultado, foi possível identificar que o campo “BIM para gestão, operação e manutenção das instalações” está em crescimento e que as finalidades de aplicação neste âmbito têm sido ampliadas, além de haver uma associação promissora das tecnologias emergentes com o BIM para este fim. atenção BIM. . (BIM) gestão instalações literatura 405 Scopus 100 analisadas palavraschave, palavraschave palavras chave, chave palavras-chave seguida diferentes resultado ampliadas fim (BIM 40 10 4 1

Resumen La investigación sobre el acceso a la protección social de los inmigrantes ecuatorianos es escasa. Aún no es claro qué tipo de protección social reciben y si esto está asociado con su perfil sociodemográfico. El presente estudio utilizó las encuestas LAMP-ECU4, con representatividad en cuatro comunidades del sur de Ecuador, para realizar un análisis cuantitativo del acceso de los inmigrantes ecuatorianos a la protección social en Estados Unidos y en España en las categorías de empleo, vivienda y préstamos de dinero, y la relación entre dicho acceso y sus perfiles sociodemográficos. Los resultados evidencian que los migrantes ecuatorianos de las cuatro comunidades tenían altos niveles de acceso a la protección social en las tres categorías. La principal fuente de apoyo fueron los vínculos individuales y se encontró relación entre la protección social y el perfil sociodemográfico de los migrantes. Este estudio proporciona contribuciones útiles para el diseño de políticas públicas.

ABSTRACT Research on access to social protection for Ecuadorian immigrants is scarce. It remains unclear what social protection they receive and whether this is associated with their sociodemographic profile. This study used the LAMP-ECU4 surveys, with representatives from four communities in southern Ecuador, to conduct a quantitative analysis of the access to social protection of Ecuadorian immigrants in the United States, and Spain in the categories of employment, housing, and money lending, and the relationship between the latter and their sociodemographic profiles. The results showed that Ecuadorian migrants from the four communities had high levels of access to social protection in all three categories. The main source of support was individual ties, and a relationship was found between social protection and the sociodemographic profiles of immigrants. This study provides input for public policy design.

Resumo: Introdução : A anemia é um distúrbio altamente prevalente. A anemia pré-operatória está associada a maior mortalidade, mais complicações, tempo prolongado de internação e maiores custos de saúde. A transfusão de glóbulos vermelhos (TGV) não melhora esses resultados. A Organização Mundial da Saúde recomenda a implementação de medidas de Gerenciamento de Sangue do Paciente (GSP), pois permitem melhorar esses resultados clínicos, reduzir TGV desnecessárias e economizar custos. Apesar da evidência contundente, a implementação dessas medidas ainda está aquém de ser efetivada. O objetivo deste trabalho é realizar uma análise da situação para conscientizar sobre o problema e incentivar a implementação dessas medidas. Metodologia: Foi realizado um estudo observacional, longitudinal, retrospectivo de coorte histórica, unicêntrico. Foram incluídos todos os pacientes submetidos a cirurgias de coordenação de 01/01/2022 a 01/04/2022 no Hospital de Clínicas. Critérios de exclusão: ausência de hemograma nos três meses anteriores à cirurgia e recusa em participar do estudo. Resultados: Foram analisadas um total de 329 cirurgias. 52 a cada 100 procedimentos foram realizados em pacientes com anemia. Foi encontrada uma associação estatisticamente significativa entre a anemia pré-operatória e a recepção de TGR durante a internação. OR 11,746 (4,518 - 30,540). A anemia e as TGR prolongaram significativamente a internação hospitalar. Dias de internação em função da condição do paciente: Sem anemia: 10,1 ± 1,1 dias, com anemia: 27,2 ± 2,3 dias. Valor p < 0,001. Não transfundidos: 14,5 ± 1,3 dias, transfundidos: 41,8 ± 4,4 dias. Valor p < 0,001. Apenas 49 (28,6%) dos 171 pacientes com anemia tinham metabolismo do ferro antes da cirurgia. Dos 140 pacientes com Hb < 12 mg/dL submetidos a cirurgias com sangramento não insignificante, 4 receberam tratamento específico para otimizar a Hb. Foram administradas um total de 185 unidades de glóbulos vermelhos (UGV) durante a internação. 49 em pacientes instáveis (intraoperatório ou hemorragia aguda) e 136 em pacientes estáveis. Da análise desses últimos, 42,5% dos pacientes receberam 3 ou mais UGV. A hemoglobina pré-transfusional média foi de 7,0 ± 0,1. Foi encontrada uma associação estatisticamente significativa entre receber UGV e falecer durante a internação. OR 17,182 (3,360 - 87,872). Conclusões: Foi realizado uma análise da situação na qual foi observada uma elevada prevalência de anemia pré-operatória, um estudo e tratamento escasso da anemia antes das cirurgias e uma quantidade excessiva de UGV recebidas por alguns pacientes. Este trabalho estabelece a necessidade de implementar programas de Gerenciamento de Sangue do Paciente para reduzir a prevalência de anemia pré-operatória e melhorar nossas práticas transfusionais. Além disso, estabelece um quadro comparativo para avaliar o progresso dessas medidas e aponta possíveis indicadores para avaliar os benefícios de sua implementação.

Abstract: Introduction: Anemia is a highly prevalent disorder. Preoperative anemia is associated with higher mortality, more complications, longer hospital stays, and higher healthcare costs. Red blood cell transfusion (RBC) does not improve these outcomes. The World Health Organization recommends implementing Patient Blood Management (PBM) programmes, as they can improve these clinical outcomes, reduce unnecessary RBC transfusions, and save costs. Despite compelling evidence, the implementation of these measures has yet to be effectively achieved. The objective of this study is to conduct a situational analysis to raise awareness about this issue and encourage the implementation of these measures. Methodology: An observational, longitudinal, retrospective cohort study was conducted at a single center. All patients undergoing elective surgery from 01/01/2022 to 01/04/2022 at the Hospital de Clínicas were included. Exclusion criteria: absence of a complete blood count in the three months prior to surgery and refusal to participate in the study. Results: A total of 329 surgeries were analyzed. 52 out of 100 procedures were performed on patients with anemia. A statistically significant association was found between preoperative anemia and receiving RBC transfusion during hospitalization. OR 11.746 (4.518 - 30.540). Anemia and RBC transfusions significantly prolonged hospital stay. Length of hospitalization based on patient condition: No anemia: 10.1 ± 1.1 days, with anemia: 27.2 ± 2.3 days. Value of p < 0.001. Non-transfused: 14.5 ± 1.3 days, transfused: 41.8 ± 4.4 days. Value of p < 0.001. Only 49 (28.6%) of the 171 patients with anemia had iron metabolism assessed before surgery. Among the 140 patients with Hb < 12 g/dL undergoing surgeries with non-insignificant bleeding, only 4 received specific treatment to optimize Hb. A total of 185 units of red blood cells (RBC) were administered during hospitalization. 49 to unstable patients (intraoperative or acute hemorrhage) and 136 to stable patients. From the analysis of the latter group, 42.5% of the patients received 3 or more RBC units. The average pre-transfusion hemoglobin was 7.0 ± 0.1. A statistically significant association was found between receiving RBC units and dying during hospitalization. OR 17.182 (3.360 - 87.872). Conclusiones: A situational analysis was conducted, revealing a high prevalence of preoperative anemia, scarce study and treatment of anemia before surgeries, and an excessive amount of blood transfusions received by some patients. This work establishes the need to implement Patient Blood Management programs to reduce the prevalence of preoperative anemia and improve our transfusion practices. It also sets a comparative framework to evaluate the progress of these measures and indicates possible indicators to assess the benefits of their implementation.

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ABSTRACT Sentence 1364-17-EP/23 of Constitutional Court and article 233 of the CRE regarding embezzlement seems to be closed. It is stated that both public servants and the ones who do not hold this condition can be authors regardless of their conduct. The resolution is not acceptable as it did not confront whether the content of the constitutional precept was sufficient to comply with the determination required to classify a conduct. The debate cannot be closed without reaching these levels of analysis. The aim of this article is to challenge this decision with arguments that were not considered and can be used to question the conclusions reached. From the explanation of what an intraneus and an extraneus are, other ways of interpreting article 233 are proposed. Among the alternatives, the selected is the one that is believed to be in harmony with the entire system of regulations. Article 233 establishes the need to sanction to non-public and private servants as perpetrators of embezzlement. However, it is not enough to be applied directly. It is the principle of legality that fulfills the mandate of determination. Finally, it is highlighted that the criminal law does contemplate cases where people without the status of public servants may intervene as perpetrators, cases in which there is certainty about the prohibited conduct.

RESUMEN La Sentencia 1364-17-EP/23 de la Corte Constitucional aparentemente cerró la discusión sobre el alcance del art. 233 de la CRE en lo que respecta al peculado. Se afirma serían autores tanto servidores públicos como sujetos que no ostenten esta condición, independientemente de sus conductas. La resolución es insatisfactoria. En la misma no se confrontó si el contenido del precepto constitucional era suficiente para cumplir con la determinación que requiere la tipificación de una conducta. El debate no puede cerrarse sin alcanzar estos niveles de análisis. El objetivo de este artículo es desafiar esta decisión, presentando argumentos que no fueron considerados, y a través de estos, cuestionar las conclusiones alcanzadas. Desde la explicación de lo que es un intraneus y un extraneus, se plantea otras formas de interpretar el art. 233. Entre las alternativas, se selecciona la que se cree que guarda armonía con todo el sistema de normas. El art. 233 fija la necesidad de que en el peculado se sancione como autores a no servidores públicos y a privados, pero no es suficiente para ser aplicado directamente. Es el principio de legalidad el que cumple con el mandato de determinación. Finalmente, se resalta que la norma penal sí contempla supuestos donde pueden intervenir como autores personas sin la calidad de servidores públicos, casos en los que existe certeza sobre la conducta prohibida.

A eficácia escolar é uma temática consolidada no contexto internacional. No Brasil, contudo, o tema recebeu interesse apenas a partir da década de 1990. Assim, esta pesquisa objetiva realizou uma revisão sistemática da literatura recente produzida no país sobre os fatores que influenciam a eficácia escolar, no período de 2014 a 2023. Para tanto , buscaram artigos no Portal de Periódicos da CAPES e na Scientific Electronic Library Online (SciELO), utilizando os descritores “(eficácia) e (escola*)”. Após os processos de triagem, elencaram-se 15 artigos para análise, nos quais se identificaram cinco fatores que influenciam a eficácia escolar: liderança do gestor escolar, eficácia docente, características sociodemográficas dos alunos, clima escolar e gestão democrática. Entre os fatores de influência comuns a todos os estudos estavam: desigualdades de condições de escolarização e desempenho dos alunos, associadas às suas características sociodemográficas; liderança do gestor escolar; eficácia docente; e clima escolar. Como diferenciais deste estudo, revelaram-se a importância da gestão democrática, da eficácia coletiva docente e da associação entre clima escolar e percepções de violência dos alunos, ausentes nos estudos anteriores. Sugere-se uma agenda de estudos futuros para ampliar a compreensão sobre a temática.

School effectiveness is a consolidated theme in the international context. In Brazil, however, the topic has only received interest since the 1990s. This research therefore aims to conduct a systematic review of recent literature produced in the country on the factors that affect school effectiveness from 2014 to 2023. To this end, articles were searched for on the Portal de Periódicos da CAPES and the Scientific Electronic Library Online (SciELO), using the descriptors "(eficácia) and (escola*)". After screening, 15 articles were selected for analysis, in which five factors that influence school effectiveness were identified: leadership of the school manager, teacher effectiveness, sociodemographic characteristics of the students, school climate, and democratic management. Among the influencing factors common to all the studies were: inequalities in schooling conditions and student performance, associated with their sociodemographic characteristics; leadership of the school manager; teacher effectiveness; and school climate. The importance of democratic management, collective teacher efficacy, and the association between school climate and students' perceptions of violence, which were absent in previous studies, were revealed as differential factors in this study. An agenda of future studies is suggested to broaden understanding of the subject.

Abstract To establish the prevalence of oral mucosal lesions and normal variations in a population of older adults. This observational study was conducted from 2015 to 2016 and involved 156 participants from Los Guido (San José, Costa Rica). The participants’ sociodemographic information, risk factors, comorbidity, and clinical examination were evaluated and analyzed descriptively and qualitatively. Findings in oral mucosa were found to preferentially affect women (n=111; 71%) and individuals between the ages of 60 and 69 years (n=65; 42%), having smoking as a risk factor (n=67; 43%), and suffering from arterial hypertension (n=101; 65%). Intraoral findings were mainly presented together with variations from normal and pathology (n=71; 46%), predominantly one variation from normal (n=67; 33%) and one pathology (n=51; 43%). The most prevalent normal variations were the saburral tongue, lingual varicose veins, and cryptic tonsils. Infectious diseases (n=33; 21%), potentially malignant disorders (n=30; 19%), and physical and chemical injuries (n=18; 12%) were the most prevalent groups. The four most predominant lesions were prosthetic stomatitis, actinic cheilitis, frictional keratosis, and atrophic glossitis. The differences in pathological groups were not statistically significant (p=0.392) when comparing the frequency ratio by sex. Variations of the normal anatomy are the predominant ones, the saburral tongue being the most prevalent individually; among the pathologies, the most remarkable group was the infectious diseases, and prosthetic stomatitis was the most frequent. The information about this subject in Costa Rica is limited. So it is important to conduct more studies that contribute to the oral health of the elderly population in this area.

Resumen Establecer la prevalencia de lesiones de la mucosa oral y variaciones de lo normal en una población de adultos mayores. Estudio observacional en 156 participantes de Los Guido (San José, Costa Rica) del 2015 a 2016. Se evaluaron y analizaron de forma descriptiva y cualitativa información sociodemográfica, factores de riesgo, comorbilidad y exploración clínica. Los hallazgos en mucosa oral afectaron preferentemente a las mujeres (n=111; 71%), el rango de edad entre 60 y 69 años (n=65; 42%) y con el tabaco como factor de riesgo (n=67; 43%) e hipertensión arterial (n=101; 65%). Los hallazgos intraorales se presentaron preferentemente de forma conjunta variaciones de lo normal y patologías (n=71; 46%), predominantemente una variación de lo normal (n=67; 33%) y una patología (n=51; 43%). Las variaciones de lo normal más prevalentes fueron lengua saburral, várices linguales y amígdalas criptodónticas. Las enfermedades infecciosas (n=33; 21%), los desórdenes potencialmente malignos (n=30; 19 %) e injurias físicas y químicas (n=18; 12%) fueron los grupos más prevalentes. Las cuatro lesiones más predominantes fueron estomatitis protésica, queilitis actínica, queratosis friccional y glositis atrófica. No hubo diferencia estadísticamente significativa (p=0.392) al comparar la proporción de frecuencia por sexo. Las variaciones de la anatomía normal predominaron; siendo en forma individual la lengua saburral la más frecuente; de las patologías destacaron las enfermedades infecciosas principalmente la estomatitis protésica. Existe poca información en esta área en Costa Rica, es importante generar más estudios que permitan contribuir con la salud oral de la población adulta mayor.

RESUMEN Introducción: los niños y adolescentes con enfermedad renal crónica suelen enfrentar desafíos únicos que afectan significativamente su bienestar mental. Objetivo: este estudio tuvo como objetivo evaluar el estado de salud mental de niños y adolescentes con enfermedad renal crónica que reciben atención en el Departamento de Nefrología Pediátrica de la Facultad de Ciencias Médicas de la Universidad Nacional de Asunción. Metodología: este fue un estudio observacional descriptivo, prospectivo y transversal. Clasificamos a los participantes según factores sociodemográficos (edad, sexo, lugar de residencia, estado civil y educación de los padres, y ocupación parental) y variables clínicas (edad al diagnóstico de enfermedad renal crónica, patología subyacente, tipo de tratamiento). Las evaluaciones de salud mental utilizaron el Cuestionario Breve para el Cribado y Diagnóstico, adaptado de la Escala Infantil de Rutter. Los diagnósticos se clasificaron como no casos, casos probables sin complicaciones o casos definitivos complicados según la severidad de los síntomas. Resultados: nuestro estudio analizó a 28 jóvenes, predominantemente masculinos (57.1 %), con edades entre 2 y 17 años y una edad media de 12.3 años. Aproximadamente el 42.9 % provenía del campo, y la mitad tenía padres divorciados o separados. Clínicamente, el 42.9 % tenía enfermedad renal crónica en etapas I a III, el 17.9 % estaba en etapa IV, y el 39.3 % había recibido trasplantes de riñón. Las evaluaciones de salud mental mediante Cuestionario Breve para el Cribado y Diagnóstico revelaron que el 39.3 % no mostraba trastornos mentales probables, el 32.1 % eran casos probables sin complicaciones y el 28.6 % eran casos probables con complicaciones. La ansiedad con inhibición y los trastornos de conducta fueron los trastornos predominantes, afectando cada uno al 39.3% de los participantes. Conclusión: nuestra investigación subraya la significativa carga de trastornos de salud mental en un grupo de niños y adolescentes paraguayos con enfermedad renal crónica y la urgente necesidad de servicios de salud mental completos e integrados que estén específicamente diseñados para satisfacer las necesidades de esta población vulnerable.

ABSTRACT Introduction: children and adolescents with chronic kidney disease often face unique challenges that significantly affect their mental well-being. Objective: this study aimed to assess the mental health status of children and adolescents with chronic kidney disease receiving care at the Departamento de Nefrología Pediátrica of the Facultad de Ciencias Médicas of the Universidad Nacional de Asunción. Methodology: this was a descriptive, prospective, cross-sectional observational study. We categorized participants based on sociodemographic factors (age, sex, residence, parents' marital status and education, and parental occupation) and clinical variables (age at chronic kidney disease diagnosis, underlying pathology, treatment type). Mental health assessments utilized the Brief Questionnaire for Screening and Diagnosis, adapted from Rutter's Child Scale. Diagnoses were classified as non-cases, probable uncomplicated cases, or definite complicated cases based on symptom severity. Results: our study analyzed 28 young individuals, predominantly male (57.1 %), aged between 2 and 17 years with a mean age of 12.3 years. Approximately 42.9 % hailed from the countryside, and half had parents who were divorced or separated. Clinically, 42.9 % had chronic kidney disease stages I to III, 17.9 % were at stage IV, and 39.3 % had received kidney transplants. Mental health assessments via Brief Questionnaire for Screening and Diagnosis revealed that 39.3 % did not show probable mental disorders, 32.1 % were probable cases without complications, and 28.6 % were probable cases with complications. Anxiety with inhibition and conduct disorders were the predominant disorders, each impacting 39.3 % of participants. Conclusion: our research underlines the significant burden of mental health disorders in a group of Paraguayan children and adolescents with chronic kidney disease and the pressing need for comprehensive, integrated mental health services that are specifically designed to meet the requirements of this vulnerable population.

Abstract Violence against women is a serious public health problem, with a marked social and economic impact. The objective of this article is to synthesize the theories that explain violence against women, contributing, from a theoretical perspective, to the understanding of risk factors. The research is basic and descriptive; the analytical-synthetic method was used to establish the essential elements of the information collected and formalize conclusions in this regard. The search for bibliographic sources was carried out in the Google Scholar database. Theories such as the cycle of violence, traumatic union, paradoxical punishment, battered women, among others, are presented. In addition, the importance of factors such as poverty, victimization, dysfunctional families, ineffective educational and judicial systems is recognized. Risk factors for gender violence were identified according to the different theoretical positions analyzed. The conclusions recognize the conduct of a significant amount of research on violence against women in the context of the pandemic. The proposal of theoretical foundations for each of the risk factors was made, which contributes to future research, especially in the Latin American space. It is considered that theories must be understood within the very dynamics that this phenomenon presents, focused on the variety of criteria, elements, variables, causes, consequences, conditions, etc.

Resumen La violencia contra la mujer constituye un grave problema de salud pública, con un marcado impacto social y económico. El objetivo de este artículo es sintetizar las teorías que explican la violencia contra la mujer, contribuyendo desde una perspectiva teórica a la comprensión los factores de riesgo. La investigación es básica y descriptiva; el método analítico-sintético se utilizó para establecer los elementos esenciales de la información recopilada y formalizar conclusiones al respecto. Se efectuó la búsqueda de fuentes bibliográficas en la base de datos Google Scholar. Se presentan teorías como el ciclo de la violencia, la unión traumática, el castigo paradójico, la mujer maltratada, entre otras. Además, se reconoce la importancia de factores como la pobreza, la victimización, familias disfuncionales, sistemas educativos y judiciales poco efectivos. Se identificaron los factores de riesgo para la violencia de género según las distintas posiciones teóricas analizadas. Las conclusiones reconocen la realización de una cantidad importante de investigaciones sobre violencia contra la mujer en el contexto de la pandemia. Se realizó la propuesta de fundamentos teóricos para cada uno de los factores de riesgo, lo que contribuye para futuras investigaciones, sobre todo en el espacio latinoamericano. Se considera que las teorías deben comprenderse dentro de la propia dinámica que presenta este fenómeno, centrados en la variedad de criterios, elementos, variables, causas, consecuencias, condiciones, etc.

Abstract This work seeks to contribute to the development of pedagogical strategies for dialogue with university students, in a national context marked by increasing levels of social violence, stemming from the “war on drugs” in Mexico. By revisiting concepts such as psychosocial trauma and education in emergency contexts, it highlights the need to open curricular spaces in university classrooms to reflect on the personal and collective impact arising from exposure to violence in its various manifestations. The pedagogical proposal is rooted in critical pedagogy for peace and incorporates elements of collective narrative practices, restorative circles, and mediation. Pedagogical tools are offered to enable faculty to conduct dialogue sessions with their students in a respectful and secure educational environment, aimed at strengthening social bonds and reflecting on the spaces and actions that, in their own lives, offer hope as well as possible resources for individual and/ or collective action. Listening, narrating, and acting are the three intertwined phases of this proposal. The outlined methodologies represent an effort from the educational space to advance the reconstruction of the social fabric in societies affected by widespread phenomena of violence.

Resumen Este trabajo busca contribuir al desarrollo de estrategias pedagógicas para el diálogo con estudiantes universitarios, en un contexto nacional marcado por crecientes niveles de violencia social derivados de la “guerra contra el narcotráfico” en México. Al retomar conceptos como trauma psicosocial y educación en contextos de emergencia, destaca la necesidad de abrir espacios curriculares para reflexionar sobre el impacto personal y colectivo de la violencia. La propuesta se inscribe en la pedagogía crítica para la paz e integra prácticas narrativas, círculos restaurativos y mediación. Herramientas pedagógicas permiten al profesorado conducir sesiones de diálogo en un entorno seguro, orientadas a fortalecer vínculos sociales y explorar recursos para la acción individual y colectiva. Escuchar, narrar y actuar son las fases de esta aproximación, que representa un esfuerzo desde la educación para reconstruir el tejido social en sociedades afectadas por violencia generalizada.

Abstract Background Refractory cardiogenic shock (CS) is associated with high mortality rates, and the use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) as a therapeutic option has generated discussions. Therefore, its cost-effectiveness, especially in low- and middle-income countries like Brazil, remains uncertain.Objectives: To conduct a cost-utility analysis from the Brazilian Unified Health System perspective to assess the cost-effectiveness of VA-ECMO combined with standard care compared to standard care alone in adult refractory CS patients. Methods We followed a cohort of refractory CS patients treated with VA-ECMO in tertiary care centers located in Southern Brazilian. We collected data on hospital outcomes and costs. We conducted a systematic review to supplement our data and utilized a Markov model to estimate incremental cost-effectiveness ratios (ICERs) per quality-adjusted life year (QALY) and per life-year gained. Results In the base-case analysis, VA-ECMO yielded an ICER of Int$ 37,491 per QALY. Sensitivity analyses identified hospitalization cost, relative risk of survival, and VA-ECMO group survival as key drivers of results. Probabilistic sensitivity analysis favored VA-ECMO, with a 78% probability of cost-effectiveness at the recommended willingness-to-pay threshold. Conclusions Our study suggests that, within the Brazilian Health System framework, VA-ECMO may be a cost-effective therapy for refractory CS. However, limited efficacy data and recent trials questioning its benefit in specific patient subsets highlight the need for further research. Rigorous clinical trials, encompassing diverse patient profiles, are essential to confirm cost-effectiveness and ensure equitable access to advanced medical interventions within healthcare systems, particularly in socio-economically diverse countries like Brazil. (CS rates VAECMO VA ECMO (VA-ECMO discussions Therefore costeffectiveness, costeffectiveness cost effectiveness, effectiveness low middleincome middle income Brazil uncertain.Objectives uncertainObjectives uncertain Objectives costutility utility costs ICERs (ICERs qualityadjusted quality adjusted QALY (QALY lifeyear gained basecase base case Int 37491 37 491 37,49 results VAECMO, ECMO, 78 willingnesstopay willingness pay threshold that framework costeffective effective However research profiles systems socioeconomically socio economically 3749 3 49 37,4 7 374 4 37,

Resumo Fundamento O choque cardiogênico (CC) refratário está associado com altas taxas de mortalidade, e o uso de oxigenação por membrana extracorpórea venoarterial (VA-ECMO, do inglês venoarterial extracorporeal membrane oxygenation) como uma opção terapêutica tem gerado discussões. Nesse sentido, sua custo-efetividade, principalmente em países de baixa e média renda como o Brasil, continua incerto.Objetivos: Conduzir uma análise de custo-efetividade na perspectiva do Sistema Único de Saúde (SUS) para avaliar a custo-efetividade de VA-ECMO combinado com o tratamento padrão em comparação ao tratamento padrão isolado em pacientes adultos com CC refratário. Métodos Acompanhamos uma coorte de pacientes com CC refratário tratados com VA-ECMO em centros de assistência terciária do sul brasileiro. Coletamos dados de desfechos e custos hospitalares. Realizamos uma revisão sistemática para complementar nossos dados e usamos o modelo de Markov para estimar a razão de custo-efetividade incremental (RCEI) por ano de vida ajustado pela qualidade (QALY) e por ano de vida ganho. Resultados Na análise do caso-base, a VA-ECMO gerou uma RCEI de Int$ 37 491 por QALY. Análises de sensibilidade identificaram o custo de internação, o risco relativo de sobrevida, e a sobrevida do grupo submetido à VA-ECMO como principais variáveis influenciando os resultados. A análise de sensibilidade probabilística mostrou um benefício do uso de VA-ECMO, com uma probabilidade de 78% de custo-efetividade no limiar recomendado de disposição a pagar. Conclusões Nosso estudo sugere que, dentro do SUS, VA-ECMO pode ser uma terapia custo-efetiva para o CC refratário. Contudo, a escassez de dados sobre a eficácia e de ensaios clínicos recentes que abordem seus benefícios em subgrupos específicos de pacientes destaca a necessidade de mais pesquisas. Ensaios clínicos rigorosos, incluindo perfis diversos de pacientes, são essenciais para confirmar a custo-efetividade com uso de VA-ECMO e assegurar acesso igualitário a intervenções médicas avançadas dentro dos sistemas de saúde, especialmente em países com desigualdades socioeconômicas como o Brasil. (CC mortalidade VAECMO, VAECMO VA ECMO, ECMO (VA-ECMO oxygenation discussões sentido custoefetividade, custoefetividade efetividade, efetividade Brasil incerto.Objetivos incertoObjetivos incerto Objetivos SUS (SUS brasileiro hospitalares (RCEI QALY (QALY ganho casobase, casobase caso base, base caso-base Int 3 49 internação resultados 78 pagar custoefetiva efetiva Contudo pesquisas rigorosos saúde 4 7

In the context of South Africa's water scarcity, desalination has emerged as a possible solution for coastal areas. However, the quality of the intake water for desalination is often problematic, prompting the need for pre-treatment. The aim of this study was to conduct a comparative environmental life cycle assessment (LCA) on 4 seawater filtration systems intended for the pre-treatment of a reverse osmosis desalination project. These systems were implemented in a pilot trial and are based on modern water treatment technologies, namely, granular filtration (pressure driven and gravity driven), dissolved air flotation (DAF), and ultrafiltration (UF). For all 4 systems, data were collected for both the construction and operation phases, and LCAs were performed, resulting in environmental scores that allow for comparison based on the pre-treatment of 1 kL of seawater of the same quality. The SimaPro LCA tool and the ReCiPe midpoint method were used and environmental scores were calculated for 18 impact categories, including climate change, acidification, toxicity, eutrophication, resource depletion, etc. This methodology also allowed the identification of the highest environmental burdens/scores within each system. The most significant finding is that local electricity consumption is responsible for the greatest proportion of environmental impacts. Thus, the systems consuming more energy for operating equipment such as blowers, pumps, and mixers were found to have the highest environmental burdens. Hence, the DAF system has the highest environmental scores for most impacts, followed by the single-phase gravity filtration system, then the two-phase partial pressure filtration system and finally the UF system. Therefore, focus should shift towards energy optimisation of process units, especially the rotary ones, as well as energy mitigation and recovery strategies. The use of renewable energy for pre-treatment should also be considered locally.

ABSTRACT This study aims to conduct a bibliometric research on the evolution of scientific production in the field of corporate social responsibility (CSR) with a time frame from 2000 to 2023 in the Scopus database, identifying the main publications, authors, and relevance of the topic, thus contributing to the theoretical development of CSR in Brazil and Latin America. The bibliometric review used an of the quantitative approach with a descriptive scope by analyzing and mapping the scientific production on CSR through a descriptive analysis of the main publications on the topic. The research universe comprised all publications indexed in the Scopus database in the period from 2000 to 2023, which constituted the amount of 19,171 articles. This research contributes to expanding the studies on CSR, which is still in the process of development in Latin America and Brazil, where further studies on CSR are needed. The analysis results show an increase from 68 articles in 2000 to 2,432 articles in 2023.

RESUMEN Este estudio tiene como objetivo realizar una investigación bibliométrica sobre la evolución de la producción científica en el campo de la responsabilidad social empresarial (RSE) en la base de datos Scopus entre los años 2000 y 2023, identificando las principales publicaciones, autores y relevancia de temas que contribuyen al desarrollo teórico de la RSE en Brasil y América Latina. La investigación bibliométrica utilizó un enfoque cuantitativo con alcance descriptivo, analizando y mapeando la producción científica sobre RSE a través de un análisis descriptivo de las principales publicaciones sobre el tema. El universo de artículos para análisis, estuvo constituido por todas las publicaciones indexadas en la base de datos Scopus en el período de 2000 a 2023, lo que constituyó la cantidad de 19.172 artículos. Esta investigación contribuye a ampliar los estudios sobre RSE, que aún está en proceso de desarrollo en América Latina y Brasil, donde se necesitan más estudios sobre RSE. Los resultados del análisis muestran un incremento, de 68 artículos en el año 2000 a 2.432 artículos en 2023.

ABSTRACT Organizational culture encompasses the characteristics, beliefs and behaviors embedded within an organization. Organizational commitment, particularly in the university context, plays an essential role for educational institutions by promoting collaboration, strengthening values, policies and philosophies which affect organizational performance. This study aims to conduct a systematic review of research related to culture and organizational commitment in the field of higher education. The PRISMA methodology was adopted and 15 articles that met the inclusion criteria were carefully selected. These articles were extracted from the Scopus and SciELO databases within the period from 2017 to 2023. In the analysis of the literature, four fundamental categories were identified: social commitment, pedagogical theories and methods, educational practices, culture of respect and interculturality. It was concluded that although there is progress in understanding the relationship between culture and organizational commitment in the educational environment, the need to consolidate these conceptions within university academic programs as an integral part of their educational culture persists.

RESUMEN La cultura organizacional abarca las características, creencias y comportamientos arraigados en el seno de una organización. Por otro lado, el compromiso organizacional, particularmente en el contexto universitario, desempeña un papel esencial para las instituciones educativas al impulsar la colaboración, fortalecer valores, políticas y filosofías que inciden en el rendimiento organizativo. Este estudio tiene como objetivo la realización de una revisión sistemática de investigaciones relacionadas con la cultura y el compromiso organizacional en el ámbito de la educación superior. Para llevar a cabo esta revisión sistemática, se adoptó la metodología PRISMA y se seleccionaron cuidadosamente 15 artículos que cumplían con los criterios de inclusión. Estos artículos se extrajeron de las bases de datos Scopus y SciELO y abarcaron el período desde 2017 hasta 2023. En el análisis de la literatura, se identificaron cuatro categorías fundamentales: compromiso social, teorías y métodos pedagógicos, prácticas educativas, cultura de respeto e interculturalidad. Se concluyó que, aunque se observa un avance en la comprensión de la relación entre cultura y compromiso organizacional en el entorno educativo, persiste la necesidad de consolidar estas concepciones dentro de los programas académicos universitarios como parte integral de su cultura educativa.

Abstract Paulo Freire considered Popular Education (PE) as an emancipatory process, through debate and critical action, as a dimension of human existence. This text aims to conduct a narrative literature review on the articulations of Paulo Freire’s ideas with Popular Health Surveillance (PHS) actions based on his contributions to Education and Health. The text presents how the contributions of Paulo Freire and Popular Health Education inspired the construction of Popular Health Surveillance, which seeks to promote the transformation of local reality in the face of rights violations and advocate for life. Thus, experiences from vulnerable territories and populations often use Popular Education pedagogical strategies to establish PHS practices. Popular Health Education becomes crucial in the territory to stimulate the transformation of individual perception and discuss their reality. Promoting a praxis about the “critical situation” in the daily lives of social stakeholders allows diagnosing reality based on scientific information in dialogue with culture and popular organization as a possibility of building the “viable unprecedented”. PE (PE process action existence Freires s (PHS life Thus practices situation viable unprecedented. unprecedented . unprecedented”

Resumo Paulo Freire pensava a Educação Popular (EP) como um processo emancipatório, por meio da problematização e agir crítico como dimensões da existência humana. A partir de suas contribuições aos campos da Educação e da Saúde, este texto tem como objetivo realizar uma revisão narrativa de literatura sobre as articulações das ideias de Paulo Freire com as ações de Vigilância Popular em Saúde (VPS). O texto apresenta como a contribuição de Paulo Freire e da Educação Popular em Saúde inspirou a construção de uma Vigilância Popular em Saúde, que busca promover a transformação da realidade local frente às situações de violações de direitos e na defesa da vida. Dessa maneira, experiências dos territórios e das populações em situação de vulnerabilidade, na maioria das vezes, lançam mão de estratégias pedagógicas da Educação Popular para se constituírem como práticas de VPS. É no território que a Educação Popular em Saúde se torna fundamental para o estímulo à transformação da percepção dos indivíduos, problematizando sua realidade. A promoção de uma práxis acerca da “situação limite” no cotidiano dos atores sociais permite um diagnóstico da realidade, baseado na informação científica em diálogo com a cultura e a organização popular, como possibilidade de construção de “inéditos viáveis”. EP (EP emancipatório humana VPS . (VPS) vida maneira vulnerabilidade vezes indivíduos limite popular inéditos viáveis. viáveis viáveis” (VPS