With the increase in life expectancy and the significant incidence of lesions of the musculoskeletal system, both the public and private sectors seek improvements in their products and processes in order to contribute to the health of the population. Every year tons of chicken eggshell (CES) from domestic consumption are released in environment and the present work aims the production of a synthetic ceramic bone substitute using the eggshell as a source of calcium ions. According to the methodology, 5, 10, 15 and 20 mol% of iron ions were used and the characterization assays demonstrated the formation of a double calcium iron phosphate - Ca9Fe(PO4)7. MG63 cells were cultured on test specimens to cell viability assay and to each doped group analyzed, verifying cell compatibility with the studied compounds, as well as a good adhesion profile. Scanning electron microscopy (SEM) of the cells showed that material surface favored cell adhesion and the results demonstrated that the production of the compounds were viable to Ca9Fe(PO4)7 phase. So, in the future, it will be possible to have a final comprehensive biological compatibility of the prototype for further in vitro and in vivo assays. system population CES (CES methodology 5 10 1 2 mol Ca9FePO47. Ca9FePO47 CaFePO Ca9Fe PO4 7. 7 Ca Fe PO MG MG6 analyzed profile SEM (SEM Ca9Fe(PO4) phase So future FePO Ca9FePO4 CaFe Ca9Fe(PO4 Ca9FePO Ca9Fe(PO

RESUMO Este estudo foca no desempenho de vacas para produção de carne, criadas nos pântanos do Paraguai, examinando cinco genótipos bovinos; Brahman, Brangus, Nelore, bem como duas raças locais em risco de extinção. O principal objetivo é identificar e classificar variáveis fenotípicas que incluem variáveis sanguíneas, clínicas, de pelagem e saúde, demonstrando ligação causal com o peso vivo das vacas analisadas. Inicialmente, foram identificadas correlações elevadas entre diferentes variáveis incluídas neste estudo, e, então, utilizando técnicas avançadas de aprendizado de máquina e a aplicação de explicações aditivas de Shapley (SHAP), foi proporcionado um entendimento mais profundo dos fatores fortemente associados à adaptabilidade nestes ambientes, e, portanto, o respectivo desempenho zootécnico. A associação entre o componente genotípico bovino ligado à estação do ano mostrou ser o fator influente mais predominante sobre o peso vivo bovino. Variáveis como comprimento do pelo, hematócrito, fosfatase, fósforo, creatina phosphokinase, creatinina, proteína, cortisol, cálcio e a presença de endoparasitas foram destacadas, demonstrando sua importância hierárquica para a seleção animal. Os modelos de ML são ferramentas eficazes para estabelecer hierarquias de relevância em multivariáveis fenotípicas complexas, o que é crucial em programas de melhoramento genético em diferentes espécies zootécnicas, bem como em ambientes especiais e específicos, como os pântanos. carne Paraguai bovinos Brahman Brangus Nelore extinção sanguíneas clínicas saúde analisadas Inicialmente então SHAP, SHAP , (SHAP) portanto zootécnico pelo hematócrito fosfatase fósforo phosphokinase creatinina proteína cortisol destacadas animal complexas zootécnicas específicos (SHAP

ABSTRACT This study focuses on the performance of cows for meat production raised in the wetlands of Paraguay, examining five cattle genotypes: Brahman, Brangus, and Nelore, as well as two local breeds at risk of extinction. The main objective is to identify and rank phenotypic variables, including blood, clinical, hair, and health variables, demonstrating causal linkage with the live weight of the cows analyzed. Initially, high correlations were identified between different variables included in this study; then, using advanced Machine learning (ML) techniques and the application of Shapley additive explanations (SHAP), a deeper understanding was provided of the factors strongly associated with adaptability in these environments, and, therefore, the respective zootechnical performance. The association between cattle genotypic components linked with the season of the year proved to be the most influential factor on cattle live weight. Variables such as hair length, hematocrit, phosphatase, phosphorus, creatine phosphokinase, creatinine, protein, cortisol, calcium, and the presence of endoparasites were highlighted, demonstrating their hierarchical importance for animal selection. ML models are effective tools for establishing hierarchies of relevance in complex phenotypic multivariable, which is crucial in breeding programs for different zootechnical species and in special and specific environments like wetlands. Paraguay genotypes Brahman Brangus Nelore extinction blood clinical analyzed Initially then (ML SHAP, SHAP , (SHAP) therefore length hematocrit phosphatase phosphorus phosphokinase creatinine protein cortisol calcium highlighted selection multivariable (SHAP

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

ABSTRACT This article examines the configuration of the female subject in the literary discourse of Wayuu writers Vicenta Siosi Pino and Estercilia Simanca Pushaina, exploring the connections between memories and events that shape the cultural memory of their community. From this point of view, an analysis is proposed on the relevance of the past when revealing traces of historical events that set a precedent within the oral tradition of the ethnic group. In this regard, the main finding is that, through the fictional content of their narrated testimonies, a link is established between culture, the contemporary world, and the world-view of women as a proposal for continuity or rupture with the implications of fulfilling this role within the community. This role emerges as a result of socio-historical evolution, serving as a metaphor for the past and for the social practices established by the Wayuu people.

RESUMEN El presente artículo de reflexión estudia la configuración del sujeto femenino a través del discurso literario de las escritoras wayuu Vicenta Siosi Pino y Estercilia Simanca Pushaina a partir de los vínculos entre los recuerdos y los hechos, que constituyen la memoria cultural de su comunidad. Desde este punto de vista, se propone un análisis sobre la relevancia del pasado al momento de develar huellas de acontecimientos históricos que marcan precedentes dentro de la tradición oral de la etnia. En este sentido, el principal hallazgo radica en que, desde el contenido ficcional de sus testimonios narrados, se establece un vínculo entre la cultura, el testimonio vivo y los imaginarios relacionados con la figura de la mujer. Se revisa la relación de los textos con una dinámica de continuidad o ruptura con las implicaciones que posee ejercer este rol dentro de la colectividad, resultado del acontecer sociohistórico como metáfora del pasado y de las prácticas sociales establecidas por el pueblo wayuu.

RESUMO Este artigo de reflexão estuda a configuração do sujeito feminino por meio do discurso literário das escritoras wayuu Vicenta Siosi Pino e Estercilia Simanca Pushaina, a partir dos vínculos entre memórias e acontecimentos que constituem a memória cultural de sua comunidade. Desse ponto de vista, propõe-se uma análise da relevância do passado ao revelar vestígios de eventos históricos que estabelecem precedentes na tradição oral da etnia. Nesse sentido, a principal constatação reside no fato de que, a partir do conteúdo ficcional de seus depoimentos narrados, estabelece-se um vínculo entre cultura, testemunho vivo e imaginários relacionados à figura da mulher. Revisa-se a relação dos textos com uma dinâmica de continuidade ou ruptura com as implicações que podem exercer esse papel dentro da coletividade, resultado de eventos sócio-históricos como metáfora do passado e das práticas sociais estabelecidas pelo povo Wayuu.

Abstract Background: Tillandsia recurvata collected in San Luis Potosí does not have studies focused on its use as an adjuvant in treating diabetes mellitus. Questions and / or Hypotheses: Will Tillandsia recurvata L. (Bromeliaceae) have antidiabetic activity in vitro and in vivo? Studied species: Tillandsia recurvata L. (Bromeliaceae) Study site and dates: T. recurvata was collected in Guadalcázar municipality, San Luis Potosí, Mexico, in December 2021. Methods: The antidiabetic potential of Tillandsia recurvata methanol extract (TRM) was evaluated using in vitro and in vivo models, and its secondary metabolite content was analyzed using Gas chromatography-mass spectrometry. Results: Results demonstrate that extract reduces blood glucose, triglyceride, and cholesterol levels in vivo. In addition, in vitro tests showed that extract diminished the formation of advanced glycation end products, methylglyoxal concentrations, and glycosylated hemoglobin levels. Gas chromatography-mass spectrometry analysis identified several compounds in the extract, including 2-methylbenzaldehyde, 4-hydroxy-2-methylacetophenone, 3',5' dimethoxyacetophenone, pentanoic acid, palmitic acid, linoleic acid, phytol, margaric acid, oleamide, cis-11-eicosenamide, stearic acid, 13-docosenamide, (Z), campesterol, and β-sitosterol. Conclusions: These results highlight the potential of T. recurvata collected in San Luis Potosi as an adjuvant in treatment of diabetes mellitus.

Resumen Antecedentes: Tillandsia recurvata colectada en San Luis Potosí, no cuenta con estudios enfocados a su uso como coadyuvante en el tratamiento de la diabetes mellitus. Preguntas y / o Hipótesis: ¿Tillandsia recurvata L. (Bromeliaceae), tendrá actividad antidiabética in vitro e in vivo? Especies de estudio: Tillandsia recurvata L. (Bromeliaceae) Sitio y años de estudio: T. recurvata fue colectada en el municipio de Guadalcazar, San Luis Potosí, México, en diciembre 2021. Métodos: Se evaluó el potencial antidiabético del extracto de metanol de Tillandsia recurvata (TRM) en modelos in vitro e in vivo y se realizó un perfilamiento de los metabolitos secundarios presentes mediante cromatografía de gases acoplada a espectrometría de masas. Resultados: Los resultados demuestran que el extracto reduce eficazmente los niveles de glucosa, triglicéridos y colesterol en sangre in vivo. Además, las pruebas in vitro indican que el extracto reduce la formación de productos finales de glicación avanzada, así como la concentración de metilglioxal y los niveles de hemoglobina glicosilada. El análisis por cromatografía de gases acoplada a espectrometría de masas identificó varios compuestos presentes en el extracto, incluidos: 2-metilbenzaldehído, 4-hidroxi-2-metilacetofenona, 3',5'-dimetoxiacetofenona, ácido pentanóico, ácido palmítico, ácido linoleico, fitol, ácido margárico, oleamida, cis- 11-Eicosenamida, ácido esteárico, 13-Docosenamida, (Z), campesterol y β-sitosterol. Conclusiones: Los resultados obtenidos resaltan el potencial de T. recurvata recolectada en San Luis Potosí como coadyuvante en el tratamiento de la diabetes mellitus, debido a sus propiedades antidiabéticas.

Abstract Background: As a result of botanical explorations carried out for the project Bromeliaceae of Mexico, we collected plants of the genus Hechtia within the Sierra de Huautla Biosphere Reserve, in Xochipala, municipality of Tlaquiltenango, Morelos, Mexico. However, this plant does not resemble any known species. Question: Do the Hechtia populations in Xochipala correspond to an undescribed taxon? Studied species: Species of Hechtia previously reported from Morelos and all the taxa with greater morphological similarity to the new proposed taxon. Study site and date: Xochipala, municipality of Tlaquiltenango, Morelos, Mexico, 2023. Methods: Our research involved field work, review of herbarium specimens, protologues, and type material of all the species of Hechtia distributed in Morelos, in the neighboring states of Puebla and Guerrero, and of the most morphologically similar taxa. Results: After a careful and detailed review of the living material and herbarium specimens, we conclude that those plants belong to an undescribed taxon that we propose here. A morphological description, images, and a distribution map of Hechtia cerrostlatilpae are included, as well as an identification key and a list of examined specimens of all Hechtia species known from the state of Morelos. Conclusions: The discovery of a new species of Hechtia in Xochipala, Morelos, Mexico increases the plant diversity of Morelos, particularly at the Sierra de Huautla Biosphere Reserve. Hechtia cerrostlatilpae presents unique vegetative and floral characters that allow its recognition as a new species within the genus.

Resumen Antecedentes: Como resultado de exploraciones botánicas realizadas para el proyecto Bromeliaceae de México, se recolectaron plantas del género Hechtia dentro de los límites de la reserva de biosfera Sierra de Huautla en Xochipala, municipio de Tlaquiltenango, Morelos, México. Sin embargo, esta planta no se parece a ninguna especie conocida. Pregunta: ¿Las poblaciones de Hechtia en Xochipala corresponden a un taxón no descrito? Especies de estudio: Especies de Hechtia reportadas para Morelos y todos los taxa morfológicamente más similares al nuevo taxón propuesto. Sitio y año de estudio: Xochipala, municipio de Tlaquiltenango, Morelos, México, 2023. Métodos: Nuestra investigación implicó trabajo de campo, revisión de especímenes de herbario, protólogos y material tipo de todas las especies de Hechtia distribuidas en Morelos, en los estados vecinos de Puebla y Guerrero y también, de los taxones más similares morfológicamente. Resultados: Tras una cuidadosa y detallada revisión de material vivo y de ejemplares de herbario, concluimos que estas plantas son un taxón no descrito que aquí proponemos. Se incluye una descripción morfológica, imágenes y un mapa de distribución de Hechtia cerrostlatilpae, así como una clave de identificación y una lista de especímenes examinados de todas las especies de Hechtia conocidas en el estado de Morelos. Conclusiones: El descubrimiento de una nueva especie de Hechtia en Xochipala, Morelos, México, aumenta la diversidad de plantas en Morelos, particularmente en la reserva de la biosfera Sierra de Huautla. Hechtia cerrostlatilpae presenta caracteres vegetativos y florales únicos que permiten su reconocimiento como una nueva especie del género.

We investigated the timely initiation of antenatal care among Brazilian adolescents to support the national discussion on the gestational age limit for legal abortion. Using data from the Live Births Information System (SINASC) from 2020 to 2022, we correlated timely prenatal care (in the first trimester of pregnancy) with the adolescent's age, region, race/color, and education level. Considering the estimated age at conception, we estimate that 11,607 annual births result from vulnerable rape. Timely initiation increased with age, being 70.2% for all adolescents (<20 years), but only 55.6% for those under 13; 14.1% of adolescents started antenatal care at 22 weeks or more of gestation (28.3% among those <13 years). Timely initiation was lower in the North Region, among Indigenous girls, and among those with low educational attainment. The results challenge the recent legislative proposal to limit legal abortion for victims of vulnerable rape to up to 22 weeks of gestational age. Delays in recognizing pregnancy and communicating with the family contribute to the late initiation of antenatal care and the decision to abort. The proposed deadline for legal abortions will primarily affect the most socioeconomically and racially vulnerable adolescents.

Investigamos o início oportuno do pré-natal em adolescentes brasileiras para subsidiar a discussão nacional sobre o limite de idade gestacional para o aborto legal. Com dados do Sistema de Informação sobre Nascidos Vivos (SINASC) 2020-2022 correlacionamos o início oportuno do pré-natal (primeiro trimestre da gestação) com a idade da adolescente, região, raça/cor e escolaridade. Considerando a idade estimada na concepção, estimamos que 11.607 partos anuais resultam de estupro de vulnerável. O início oportuno aumentou com a idade, sendo de 70,2% para todas as adolescentes (<20 anos), mas de apenas 55,6% para aquelas abaixo de 13 anos; 14,1% das adolescentes iniciaram o pré-natal com 22 semanas ou mais de gestação (28,3% entre <13 anos). O início oportuno foi menor na Região Norte, entre meninas indígenas e entre aquelas com baixa escolaridade. Os resultados questionam o recente projeto de lei de limitar o aborto legal para vítimas de estupro de vulnerável até 22 de semanas de idade gestacional. Demoras no reconhecimento da gestação e na comunicação para a família contribuem para o início tardio do pré-natal e para a decisão de abortar. A proposta de limite do prazo para abortos legais irá atingir principalmente as adolescentes mais vulneráveis em termos socioeconômicos e raciais.

Abstract: The purpose of this research study is to describe the factors that influence consumers' purchasing decisions in live shopping broadcasts. The proposed research methodology is based on the qualitative paradigm with an interpretative approach. A semi-structured questionnaire is applied to interview 25 people who had participated in live shopping transmissions at least once. The results show eight families codes: (1) motivation, (2) participation, (3) trust, (4) influence of social networks, (5) time pressure, (6) customer satisfaction, (7) distrust and problems, and (8) quality of service. The aesthetic aspect of the seller and the endorsement of a celebrity have no valorization. In conclusion, the purchase decision variables of live shopping broadcasts do not differ significantly with respect to what has been found in previous literature.

Resumen: El propósito de esta investigación es describir los factores que influyen en la decisión de compra de los consumidores en transmisiones de compras en vivo. La metodología está fundamentada en el paradigma cualitativo con enfoque interpretativo. Se ocupa un cuestionario semi-estructurado para realizar entrevistas a 25 personas que han participado en las transmisiones de compra en vivo al menos una vez. El análisis de los datos se realiza mediante la teoría fundamentada de Glaser y Strauss. Los resultados muestran ocho familias de códigos: (1) motivación, (2) participación, (3) confianza, (4) influencia redes sociales, (5) presión por tiempo, (6) satisfacción del cliente, (7) desconfianza y problemas, y (8) calidad del servicio. El aspecto estético del vendedor y la determinación de una celebridad no son valorizables. En conclusión, las variables de decisión de compra de las transmisiones de compra en vivo, en general, no difieren respecto con lo encontrado en la literatura previa.

Abstract Introduction: Ectopic pregnancy presents in 2% of all pregnancies worldwide, of which approximately 1.3% occur abdominally. This article presents a case of advanced abdominal pregnancy diagnosed at week 18, which progressed adequately until week 33, obtaining a live birth. Case presentation: A search of the literature was carried out in two databases, both in English. Results: Sixty-five articles were found related to the topic review, including 30 cases of advanced abdominal pregnancy reports in the last 10 years. Conclusions: An analysis of the diagnosis, management, and possible complications of cases such as the one reports in this article is carried out.

Resumen Introducción: El embarazo ectópico se desarrolla en el 2% de todas las gestaciones a nivel mundial, de las cuales aproximadamente el 1,3% ocurre de forma abdominal. El presente artículo expone un caso de embarazo abdominal avanzado diagnosticado en la semana 18, el cual progresó de forma adecuada hasta su finalización en semana 33, obteniéndose un nacido vivo. Presentación de caso: Se realizó una búsqueda de la literatura en dos bases de datos diferentes, ambas en inglés. Resultados: Se obtuvieron 65 artículos relacionados con la revisión de tema, encontrándose 30 casos de embarazo abdominal avanzado reportados en los últimos 10 años. Conclusiones: Se realiza un análisis del diagnóstico, manejo y posibles complicaciones de casos como el reportado en este artículo.

Abstract Introduction: Living donor kidney transplantation is considered the ideal renal replacement therapy because it has a lower complication rate and allows an efficient response to the high demand for grafts in the healthcare system. Careful selection and adequate monitoring of donors is a key element in transplantation. Individuals at greater risk of developing kidney dysfunction after nephrectomy must be identified. Objective: To identify risk factors associated with a renal compensation rate (CR) below 70% 12 months after nephrectomy. Methods: This observational retrospective longitudinal study included living kidney donors followed up at the Lower Amazon Regional Hospital between 2016 and 2022. Data related to sociodemographic variables, comorbid conditions and kidney function parameters were collected. Results: The study enrolled 32 patients. Fourteen (43.75%) had a CR < 70% 12 months after kidney donation. Logistic regression found obesity (Odds Ratio [95%CI]: 10.6 [1.7–65.2]), albuminuria (Odds Ratio [95%CI]: 2.41 [1.2–4.84]) and proteinuria (Odds Ratio [95%CI]: 1.14 [1.03–1.25]) as risk factors. Glomerular filtration rate was a protective factor (Odds Ratio [95% CI]: 0.92 [0.85–0.99]). Conclusion: Obesity, albuminuria and proteinuria adversely affected short-term renal compensation rate. Further studies are needed to uncover the prognostic implications tied to these risk factors. Our findings also supported the need for careful individualized assessment of potential donors and closer monitoring of individuals at higher risk. Introduction system identified Objective (CR 70 1 Methods 201 2022 variables collected Results 3 patients 43.75% 4375 43 75 (43.75% donation Odds 95%CI 95CI CI 95 [95%CI] 106 10 6 10. 1.7–65.2, 17652 1.7–65.2 , 7 65 2 [1.7–65.2]) 241 41 2.4 1.2–4.84 12484 4 84 [1.2–4.84] 114 14 1.1 1.03–1.25 103125 03 25 [1.03–1.25] 95% [95 CI] 092 0 92 0.9 0.85–0.99. 085099 0.85–0.99 . 85 99 [0.85–0.99]) Conclusion Obesity shortterm short term 20 202 43.75 437 (43.75 9 [95%CI 1765 1.7–65. [1.7–65.2] 24 2. 1.2–4.8 1248 8 [1.2–4.84 11 1. 1.03–1.2 10312 [1.03–1.25 [9 09 0. 08509 0.85–0.9 [0.85–0.99] 43.7 (43.7 176 1.7–65 [1.7–65.2 1.2–4. 124 [1.2–4.8 1.03–1. 1031 [1.03–1.2 [ 0850 0.85–0. [0.85–0.99 43. (43. 17 1.7–6 [1.7–65. 1.2–4 [1.2–4. 1.03–1 103 [1.03–1. 085 0.85–0 [0.85–0.9 (43 1.7– [1.7–65 1.2– [1.2–4 1.03– [1.03–1 08 0.85– [0.85–0. (4 1.7 [1.7–6 1.2 [1.2– 1.03 [1.03– 0.85 [0.85–0 ( [1.7– [1.2 1.0 [1.03 0.8 [0.85– [1.7 [1. [1.0 [0.85 [1 [0.8 [0. [0

Resumo Introdução: O transplante de rim de doador vivo é considerado a terapia renal substitutiva ideal por oferecer menor taxa de complicações e possibilitar uma resposta eficiente à grande demanda por enxertos no sistema de saúde. A seleção criteriosa e o acompanhamento adequado dos doadores constituem um pilar fundamental dessa modalidade terapêutica, sendo essencial a identificação dos indivíduos em maior risco de disfunção renal pós-nefrectomia. Objetivo: Identificar fatores de risco para uma Taxa de Compensação (TC) da função renal inferior a 70% 12 meses após a nefrectomia. Métodos: Estudo observacional, retrospectivo e longitudinal conduzido com doadores de rim vivo acompanhados no Hospital Regional do Baixo Amazonas entre 2016 e 2022. Foram coletados dados correspondentes a variáveis sociodemográficas, comorbidades e parâmetros de função renal. Resultados: Foram incluídos 32 pacientes na amostra final. Destes, 14 (43,75%) obtiveram TC < 70% 12 meses após a doação. A regressão logística identificou a obesidade (Odds Ratio [IC95%]: 10.6 [1.7–65.2]), albuminúria (Odds Ratio [IC95%]: 2.41 [1.2–4.84]) e proteinúria (Odds Ratio [IC95%]: 1.14 [1.03–1.25]) como fatores de risco. A taxa de filtração glomerular atuou como fator de proteção (Odds Ratio [IC95%]: 0.92 [0.85–0.99]). Conclusão: Obesidade, albuminúria e proteinúria demonstraram impacto negativo na taxa de compensação renal em curto prazo, o que reitera a necessidade de estudos acerca das implicações prognósticas desses fatores. Além disso, reforça-se a necessidade de avaliação cuidadosa e individualizada dos possíveis doadores, com acompanhamento rigoroso, especialmente para indivíduos de maior risco. Introdução saúde terapêutica pósnefrectomia. pósnefrectomia pós nefrectomia pós-nefrectomia Objetivo (TC 70 1 Métodos observacional 201 2022 sociodemográficas Resultados 3 final Destes 43,75% 4375 43 75 (43,75% doação Odds IC95% IC95 IC [IC95%] 106 10 6 10. 1.7–65.2, 17652 1.7–65.2 , 7 65 2 [1.7–65.2]) 241 41 2.4 1.2–4.84 12484 4 84 [1.2–4.84] 114 1.1 1.03–1.25 103125 03 25 [1.03–1.25] 092 0 92 0.9 0.85–0.99. 085099 0.85–0.99 . 85 99 [0.85–0.99]) Conclusão Obesidade prazo disso reforçase reforça se rigoroso 20 202 43,75 437 (43,75 IC9 [IC95% 1765 1.7–65. [1.7–65.2] 24 2. 1.2–4.8 1248 8 [1.2–4.84 11 1. 1.03–1.2 10312 [1.03–1.25 09 9 0. 08509 0.85–0.9 [0.85–0.99] 43,7 (43,7 [IC95 176 1.7–65 [1.7–65.2 1.2–4. 124 [1.2–4.8 1.03–1. 1031 [1.03–1.2 0850 0.85–0. [0.85–0.99 43, (43, [IC9 17 1.7–6 [1.7–65. 1.2–4 [1.2–4. 1.03–1 103 [1.03–1. 085 0.85–0 [0.85–0.9 (43 [IC 1.7– [1.7–65 1.2– [1.2–4 1.03– [1.03–1 08 0.85– [0.85–0. (4 1.7 [1.7–6 1.2 [1.2– 1.03 [1.03– 0.85 [0.85–0 ( [1.7– [1.2 1.0 [1.03 0.8 [0.85– [1.7 [1. [1.0 [0.85 [1 [0.8 [ [0. [0

Abstract The present text is inscribed as a reconstruction of an ethnographic process related to the self-understanding perspective and a socio-educational epistemology. The research contributes to understanding the singularity school called Escuela Albergue. The article considers the world as a constant interpretation, which is presented in the corpus as a narrative inflection, of an evocative nature consistent with the meaning of the epistemological proposal. Focuses on autobiography as a condition for an ethnographic narrative that suggests analogical hermeneutics and its intertwined components as language toward essayistic gestures. It presents some social dimensions of the construct Escuela Albergue as an ethnographic research process in an interpretative key in dialogue with epistemologies of the psychology of affectivity. The narration thus conceived, is presented as an aesthetic experience articulated to the web of possibilities of ethnographic research. The gaze is located in a biographical condition, interpretable as an understanding of the world and its questions as a fusion of horizons, writing as a question of reading, and ethnography as a narrative character. It ends by reflecting on ethnographic work as a living archive.

Resumen El presente texto se inscribe como una reconstrucción de un proceso etnográfico en clave de autocomprensión que, respondiendo a una epistemología socioeducativa, sitúa la investigación como un aporte a una singularidad escolar denominada Escuela Albergue. El artículo esboza algunas interrogantes al objeto que fue construido, considerando al mundo como una constante interpretación, que es presentada en el corpus como una inflexión narrativa, de carácter evocativo coherente con el sentido de la propuesta epistemológica. Focaliza en la autobiografía como condición para una narrativa etnográfica que sugiere a la hermenéutica analógica y sus componentes entramados como lenguaje hacia una gestualidad ensayística. Presenta algunas dimensiones sociales del constructo Escuela Albergue como proceso de investigación etnográfica en clave interpretativa en diálogo con epistemologías de la psicología de la afectividad. La narración así concebida se muestra como una experiencia estética articulada a la trama de posibilidades de la investigación etnográfica. Condición biográfica desde donde la mirada se sitúa, interpretable como comprensión del mundo y sus interrogantes en tanto fusión de horizontes; la escritura como interpelación de la lectura y la etnografía como carácter narrativo. Termina reflexionando respecto al trabajo etnográfico como archivo vivo.

Abstract Introduction: Living donor kidney transplantation is considered the ideal renal replacement therapy because it has a lower complication rate and allows an efficient response to the high demand for grafts in the healthcare system. Careful selection and adequate monitoring of donors is a key element in transplantation. Individuals at greater risk of developing kidney dysfunction after nephrectomy must be identified. Objective: To identify risk factors associated with a renal compensation rate (CR) below 70% 12 months after nephrectomy. Methods: This observational retrospective longitudinal study included living kidney donors followed up at the Lower Amazon Regional Hospital between 2016 and 2022. Data related to sociodemographic variables, comorbid conditions and kidney function parameters were collected. Results: The study enrolled 32 patients. Fourteen (43.75%) had a CR < 70% 12 months after kidney donation. Logistic regression found obesity (Odds Ratio [95%CI]: 10.6 [1.7–65.2]), albuminuria (Odds Ratio [95%CI]: 2.41 [1.2–4.84]) and proteinuria (Odds Ratio [95%CI]: 1.14 [1.03–1.25]) as risk factors. Glomerular filtration rate was a protective factor (Odds Ratio [95% CI]: 0.92 [0.85–0.99]). Conclusion: Obesity, albuminuria and proteinuria adversely affected short-term renal compensation rate. Further studies are needed to uncover the prognostic implications tied to these risk factors. Our findings also supported the need for careful individualized assessment of potential donors and closer monitoring of individuals at higher risk. Introduction system identified Objective (CR 70 1 Methods 201 2022 variables collected Results 3 patients 43.75% 4375 43 75 (43.75% donation Odds 95%CI 95CI CI 95 [95%CI] 106 10 6 10. 1.7–65.2, 17652 1.7–65.2 , 7 65 2 [1.7–65.2]) 241 41 2.4 1.2–4.84 12484 4 84 [1.2–4.84] 114 14 1.1 1.03–1.25 103125 03 25 [1.03–1.25] 95% [95 CI] 092 0 92 0.9 0.85–0.99. 085099 0.85–0.99 . 85 99 [0.85–0.99]) Conclusion Obesity shortterm short term 20 202 43.75 437 (43.75 9 [95%CI 1765 1.7–65. [1.7–65.2] 24 2. 1.2–4.8 1248 8 [1.2–4.84 11 1. 1.03–1.2 10312 [1.03–1.25 [9 09 0. 08509 0.85–0.9 [0.85–0.99] 43.7 (43.7 176 1.7–65 [1.7–65.2 1.2–4. 124 [1.2–4.8 1.03–1. 1031 [1.03–1.2 [ 0850 0.85–0. [0.85–0.99 43. (43. 17 1.7–6 [1.7–65. 1.2–4 [1.2–4. 1.03–1 103 [1.03–1. 085 0.85–0 [0.85–0.9 (43 1.7– [1.7–65 1.2– [1.2–4 1.03– [1.03–1 08 0.85– [0.85–0. (4 1.7 [1.7–6 1.2 [1.2– 1.03 [1.03– 0.85 [0.85–0 ( [1.7– [1.2 1.0 [1.03 0.8 [0.85– [1.7 [1. [1.0 [0.85 [1 [0.8 [0. [0

Resumo Introdução: O transplante de rim de doador vivo é considerado a terapia renal substitutiva ideal por oferecer menor taxa de complicações e possibilitar uma resposta eficiente à grande demanda por enxertos no sistema de saúde. A seleção criteriosa e o acompanhamento adequado dos doadores constituem um pilar fundamental dessa modalidade terapêutica, sendo essencial a identificação dos indivíduos em maior risco de disfunção renal pós-nefrectomia. Objetivo: Identificar fatores de risco para uma Taxa de Compensação (TC) da função renal inferior a 70% 12 meses após a nefrectomia. Métodos: Estudo observacional, retrospectivo e longitudinal conduzido com doadores de rim vivo acompanhados no Hospital Regional do Baixo Amazonas entre 2016 e 2022. Foram coletados dados correspondentes a variáveis sociodemográficas, comorbidades e parâmetros de função renal. Resultados: Foram incluídos 32 pacientes na amostra final. Destes, 14 (43,75%) obtiveram TC < 70% 12 meses após a doação. A regressão logística identificou a obesidade (Odds Ratio [IC95%]: 10.6 [1.7–65.2]), albuminúria (Odds Ratio [IC95%]: 2.41 [1.2–4.84]) e proteinúria (Odds Ratio [IC95%]: 1.14 [1.03–1.25]) como fatores de risco. A taxa de filtração glomerular atuou como fator de proteção (Odds Ratio [IC95%]: 0.92 [0.85–0.99]). Conclusão: Obesidade, albuminúria e proteinúria demonstraram impacto negativo na taxa de compensação renal em curto prazo, o que reitera a necessidade de estudos acerca das implicações prognósticas desses fatores. Além disso, reforça-se a necessidade de avaliação cuidadosa e individualizada dos possíveis doadores, com acompanhamento rigoroso, especialmente para indivíduos de maior risco. Introdução saúde terapêutica pósnefrectomia. pósnefrectomia pós nefrectomia pós-nefrectomia Objetivo (TC 70 1 Métodos observacional 201 2022 sociodemográficas Resultados 3 final Destes 43,75% 4375 43 75 (43,75% doação Odds IC95% IC95 IC [IC95%] 106 10 6 10. 1.7–65.2, 17652 1.7–65.2 , 7 65 2 [1.7–65.2]) 241 41 2.4 1.2–4.84 12484 4 84 [1.2–4.84] 114 1.1 1.03–1.25 103125 03 25 [1.03–1.25] 092 0 92 0.9 0.85–0.99. 085099 0.85–0.99 . 85 99 [0.85–0.99]) Conclusão Obesidade prazo disso reforçase reforça se rigoroso 20 202 43,75 437 (43,75 IC9 [IC95% 1765 1.7–65. [1.7–65.2] 24 2. 1.2–4.8 1248 8 [1.2–4.84 11 1. 1.03–1.2 10312 [1.03–1.25 09 9 0. 08509 0.85–0.9 [0.85–0.99] 43,7 (43,7 [IC95 176 1.7–65 [1.7–65.2 1.2–4. 124 [1.2–4.8 1.03–1. 1031 [1.03–1.2 0850 0.85–0. [0.85–0.99 43, (43, [IC9 17 1.7–6 [1.7–65. 1.2–4 [1.2–4. 1.03–1 103 [1.03–1. 085 0.85–0 [0.85–0.9 (43 [IC 1.7– [1.7–65 1.2– [1.2–4 1.03– [1.03–1 08 0.85– [0.85–0. (4 1.7 [1.7–6 1.2 [1.2– 1.03 [1.03– 0.85 [0.85–0 ( [1.7– [1.2 1.0 [1.03 0.8 [0.85– [1.7 [1. [1.0 [0.85 [1 [0.8 [ [0. [0

Abstract Introduction. The flow of migrants between different countries is a reality in Portugal, Spain and Belgium. As a consequence, one of the main concerns is the care of migrants in health services. This healthcare is not systematised in the good practice manuals that are available. There is no training in this area, neither in educational curricula nor in the continuous training of health professionals. Objectives. To find out migrants' perceptions of the health care they receive in the three countries. Method(s). Cross-sectional descriptive study in which we adopted a qualitative approach based on Grounded Theory carried out through focus groups and semi-structured telephone interviews. For the analysis process, the main dimensions around which the discourse is articulated were identified, differentiating the most relevant aspects of each topic, grouping the data around the categories related to the objective of the study. The software Atlas-ti 8 and N-Vivo were used for the analysis. Results. The main difficulties faced by migrants in health care are: poor access to the health care system; barriers to healthcare, mainly communication barriers; frequent discriminatory behaviours; poor structural cultural competence, especially due to the lack of translation and intercultural mediation resources; poor health system flexibility and biomedical orientation; and insufficient professional cultural competence. Conclusions. Difficulties of access to the health system are evident: lack of language skills, ignorance of the care itinerary and the perception of discriminatory treatment by health professionals. In addition, the improvement of the competence and cultural sensitivity of health professionals and system improvement strategies, such as translation and intercultural mediation, are proposed.

Resúmen Introducción. El flujo de migrantes entre los diferentes países es una realidad en Portugal, España y Bélgica. Como consecuencia, una de las principales preocupaciones es la atención a personas migrantes en los servicios de salud. Esta atención no está sistematizada en los manuales de buenas prácticas que se encuentran disponibles. No se dispone de formación en esta área, ni en los currículos educativos ni en la formación continua de profesionales de la salud. Objetivos. Conocer la percepción de las personas migrantes sobre la atención sanitaria que reciben en los tres países. Método/s. Estudio descriptivo transversal en el que adoptamos un enfoque cualitativo basado en la Teoría Fundamentada realizado mediante grupos focales y entrevistas telefónicas semiestructuradas. Para el proceso de análisis se identificaron las dimensiones principales en torno a las cuales se articula el discurso, diferenciándose los aspectos más relevantes de cada tema, agrupando los datos en torno a las categorías relacionadas con el objetivo del estudio. Para el análisis se utilizaron los programas informáticos Atlas-ti 8 y N-Vivo Resultado/s. Las principales dificultades a las que se enfrentan las personas migrantes en la atención sanitaria son: déficit de acceso al sistema sanitario; las barreras en la atención, sobre todo la de la comunicación; el frecuente trato discriminatorio: la escasa competencia cultural estructural, sobre todo con la carencia de recursos de traducción y mediación intercultural, la escasa flexibilidad del sistema y su orientación biomédica y la insuficiente competencia cultural profesional. Conclusiones. Se evidencian dificultades de acceso al sistema sanitario: no manejo del idioma, desconocimiento del itinerario asistencial y percepción de un trato discriminatorio por parte de profesionales de la salud. Además, las personas migrantes proponen la mejora de la competencia y la sensibilidad cultural de profesionales de la salud y estrategias de mejora del sistema, como la traducción y la mediación intercultural.

Abstract: In this article, we aim to analyze the implications of the concept of wonder for plant thinking. To do so, we will begin by examining how this concept is articulated with a critique of the scientistic notion that plants should be seen as mere secondary, passive, and decorative beings. On the contrary, the idea of wonder calls for a new perspective on the plant world, acknowledging the organic richness of plants in their relationship with the world, their own modes of existence, and their marvelous life initiatives, which testify - as proposed by the German philosopher Hans Jonas - to their inner life. It is this criterion that will lead to the recognition of the plant as a "paradigm of the living." Ultimately, the acknowledgment of plant wonder materializes as an ethical effort within philosophical thought to allow plant beings to thrive (far from mere objectification).

Resumen: En este artículo, pretendemos analizar las implicaciones del concepto de maravilla en el pensamiento vegetal. Para ello, comenzaremos analizando cómo este concepto se articula con una crítica a la noción cientificista, según la cual las plantas deberían ser vistas como simples seres secundarios, pasivos y decorativos. Por el contrario, la idea de la maravilla invita a una nueva mirada al mundo vegetal, que reconoce la riqueza orgánica de las plantas en su relación con el mundo, sus modos propios de existencia y sus maravillosas iniciativas vitales, las cuales testimonian, como propuso el filósofo alemán Hans Jonas, su vida interior. Este criterio llevará al reconocimiento de la planta como “paradigma del ser vivo”. Finalmente, el reconocimiento de la maravilla vegetal se materializa como un esfuerzo ético del propio pensamiento filosófico para permitir que los seres vegetales prosperen (lejos de la mera objetificación).