Resumen La carretera Puyo-Tena es propensa a deslizamientos de tierra debido a la geodinámica, geomorfología y materiales geológicos de la zona (afloramientos y estratos inestables). En los últimos años, este problema ha provocado de forma persistente la inutilización parcial o total de la carretera en numerosas ocasiones. El objetivo de la investigación fue generar un modelo cartográfico de susceptibilidad a deslizamientos a partir de variables como la pendiente, las formaciones geológicas, la cobertura y uso de la tierra, así como las distancias a fallas, carretera y ríos. El grado de incidencia de deslizamientos se estimó como la combinación lineal de las variables ponderadas mediante el proceso de jerarquía analítica. La importancia de este método semicuantitativo radica en su capacidad para desagregar un problema de decisión complejo en un modelo de decisión más simple y coherente. El modelo cartográfico resultante se reclasificó en cinco categorías de susceptibilidad: muy baja, baja, moderada, alta y muy alta. Los resultados mostraron que 17 km de los 80 km de la carretera Puyo-Tena tienen una alta probabilidad a deslizamientos, lo que equivale a 21,25% de la carretera. Además, dentro de este porcentaje, se determinó que existen quince regiones con alta probabilidad de deslizamientos debido a su ubicación en zonas con fuertes pendientes, litología porosa y permeable, gran cantidad de ríos y suelos agrícolas. Para la verificación del modelo se utilizó el área bajo la curva (en inglés AUC) de la característica operativa del receptor (en inglés ROC). Los resultados de la verificación mostraron que el modelo cartográfico para el área de estudio tiene un valor de precisión de 83,7%. El modelo cartográfico de susceptibilidad a deslizamientos permitirá tomar las decisiones pertinentes para mitigar eventos potenciales que puedan poner en peligro a transportistas, bienes materiales y residentes de la zona.

Abstract The Puyo-Tena roadway is prone to landslides due to the geodynamics, geomorphology, and geological materials of the area (unstable outcrops and strata). In recent years, this problem has persistently caused the road to be partially or completely disabled on numerous occasions. The objective of the research was to generate a cartographic model of landslides susceptibility based on variables such as slope, geological formations, land cover and land use, as well as distances to faults, road, and rivers. The degree of landslides incidence was estimated as the linear combination of the weighted variables using the analytic hierarchy process. The importance of this semi-quantitative method lies in its ability to break down a complex decision problem into a simpler and more coherent decision model. The resulting cartographic model was classified into five susceptibility categories: very low, low, moderate, high, and very high. The results showed that 17 km out of the 80 km of the Puyo-Tena roadway have a high probability of landslides, which is equivalent to 21.25% of the road. Furthermore, within this percentage, it was determined that there are fifteen regions with a high probability of landslides due to their location in areas with steep slopes, porous and permeable lithology, a large number of rivers, and agricultural soils. The area under the curve (AUC) of the receiver operating characteristic (ROC) was used for model verification. The verification results showed that the cartographic model for the study area has an accuracy value of 83.7%. The cartographic model of landslide susceptibility will enable relevant decisions to be made to mitigate potential hazards that may endanger transporters, material goods, and residents of the area.

Resumen La eficiencia técnica es una herramienta económica utilizada para determinar el uso de los recursos empresariales para mejorar su capacidad productiva. El objetivo fue establecer la relación existente entre los factores de la producción y la eficiencia técnica. La metodología para el análisis de la información obtenida se utilizó el análisis envolvente de datos (DEA) apoyado en los indicies de localización y de urbanización. Como resultados se evidenció que el rendimiento constante (CRS) más alto se ubica en el año 2016 y llega a 0,77046 y, el rendimiento variable (VRS) más representativo se presenta en el año 2018 con 0,97901. El índice de localización promedio es de 27,8402. En última instancia a través de un modelo econométrico se obtiene la relación directa entre las variables, para obtener un soporte más concreto en los resultados de la investigación. En conclusión, todas las empresas se ubican en la provincia de Pichicha exclusivamente y la eficiencia técnica tiene una relación directa con el capital incurrido (Ci) y la materia prima (Mp) además de los índices de localización y urbanización.

Abstract Technical efficiency is an economic tool used to determine the use of business resources to improve their productive capacity. The objective was to establish the relationship between production factors and technical efficiency. The methodology for the analysis of the information obtained was the data envelopment analysis (DEA) supported by the location and urbanization indexes. As results, it was evidenced that the highest constant return (CRS) is in the year 2016 and reaches 0.77046 and, the most representative variable return (VRS) is presented in the year 2018 with 0.97901. The average location index is 27.8402. Ultimately, through an econometric model, the direct relationship between the variables is obtained, to obtain a more concrete support in the results of the investigation. In conclusion, all the companies are in the province of Pichincha exclusively and technical efficiency has a direct relationship with the capital incurred (Ci) and the raw material (Mp) in addition to the location and urbanization indices.

Abstract: “House in Guápulo”, a representative project of Guadalupe Ibarra, the first woman architect in Ecuador, is the result of a pragmatic process, without allegations about locality or identity, but which, due to its consistency in execution, allows establishing a discursive and critical structure. The work is observed, as a starting point, from a dialogue between geography, landscape and typology. Once the macro context of its implementation is understood, an approach is made to the spatial and material cultures, an issue that also allows to understand the logic of insertion in the place, and that due to its own location and design mechanisms turns the house into an element of transition between different topographies, landscapes and urban areas. Finally, on a smaller scale, a brief analysis of the actors in the process is addressed: inhabitant, author and other collaborators. As conclusions, what was previously stated is integrated, a reflection on the architectural strategies for the Andean landscape, recognizing Ibarra for the weight of his contributions, without demagoguery or do-goodism, where contextual, spatial, compositional, and constructive issues of the project are analyzed, allowing value it as an object where the parts and the whole establish synergistic relationships.

Resumen: “Casa en Guápulo”, proyecto representativo de Guadalupe Ibarra, primera mujer arquitecta en Ecuador, es el resultado de un proceso pragmático, sin alegaciones sobre lo local o la identidad, pero que por su consistencia en la ejecución permite establecer una estructura discursiva y crítica. Se observa la obra, como punto de partida, desde un diálogo entre geografía, paisaje y tipología. Una vez comprendido el contexto macro de su implantación, se realiza una aproximación a las culturas espacial y material, cuestión que permite también entender las lógicas de inserción en el lugar, y que por su propia ubicación y mecanismos proyectuales convierte a la casa en un elemento de transición entre distintas topografías, paisajes y zonas urbanas. Finalmente, en una menor escala, se aborda un breve análisis de los actores del proceso: habitante, autora y otros colaboradores. Como conclusiones se integra lo previamente expuesto, una reflexión sobre las estrategias arquitectónicas para el paisaje andino, reconociendo a Ibarra por el peso de sus aportes, sin demagogias ni buenismos, donde se analizan cuestiones contextuales, espaciales, compositivas, y constructivas del proyecto, permitiendo valorarlo como un objeto donde las partes y el todo establecen relaciones sinérgicas.

RESUMEN La definición de los árboles fuera del bosque (AFB) contempla a los productos forestales no madereros y constituyen un conjunto de bienes y servicios que tributan a la producción de alimentos en diferentes formas agrícolas. La investigación se realizó en la finca familiar Maripa, municipio de Cumanayagua, provincia Cienfuegos, Cuba, con el objetivo de analizar la evolución en el tiempo de los AFB en el área de ubicación de la finca. Se abordó un análisis diacrónico a través del método de los cortes sincrónicos, con un diseño de investigación transversal y enfoque descriptivo, donde se midieron aspectos cualitativos y cuantitativos sin manipular variables. El eje temporal elegido se concretó en tres cortes sucesivos, 1935-1965, 1966-1996 y 1997-2023, con una reconstrucción aproximada de las condiciones de aquellos elementos más significativos del paisaje. Se calcularon indicadores ecológicos, ajustados a los AFB presentes en la finca en el tercer corte. Resultó en el tiempo una dinámica de cambio del paisaje hacia un agroecosistema, con un 21,95 % de especies no presentes en la finca al cierre del primer semestre del año 2023 en relación con el período 1935-1965. En la actualidad se cuantificaron 64 especies pertenecientes a 33 familias botánicas, con mayor representación de: Fabaceae, Annonaceae, Anacardeaceae y Sapotaceae. Los índices ecológicos mostraron una alta diversidad y riqueza de especies, con baja dominancia.

ABSTRACT The definition of trees outside the forest (TOF) contemplates non-timber forest products and constitutes a set of goods and services that contribute to the production of food in different agricultural forms. The study was carried out on the Maripa family farm, municipality of Cumanayagua, Cienfuegos province, Cuba, with the objective of analyzing the evolution over time of the TOF in the farm's location area. A diachronic analysis was approached through the method of synchronic cuts, with a cross-sectional research design and descriptive approach, where qualitative and quantitative aspects were measured without manipulating variables. The chosen temporal axis was specified in three successive sections, 1935-1965, 1966-1996 and 1997-2023, with an approximate reconstruction of the conditions of those most significant elements of the landscape. Ecological indicators were calculated, adjusted to the TOF present on the farm in the third cut. Over time, a dynamic change of the landscape towards an agroecosystem resulted, with 21.95% of species not present on the farm at the end of the first half of the year 2023 in relation to the period 1935-1965. Currently, 64 species belonging to 33 botanical families were quantified, with the greatest representation of: Fabaceae, Annonaceae, Anacardeaceae and Sapotaceae. The ecological indices showed a high diversity and richness of species, with low dominance.

RESUMO A definição de árvores fora da floresta (AFB) inclui produtos florestais não madeireiros e constitui um conjunto de bens e serviços que contribuem para a produção de alimentos em diferentes formas agrícolas. A pesquisa foi realizada na fazenda da família Maripa, no município de Cumanayagua, província de Cienfuegos, Cuba, com o objetivo de analisar a evolução ao longo do tempo da AFB na área onde a fazenda está localizada. Foi realizada uma análise diacrônica usando o método de cortes sincrônicos, com um desenho de pesquisa transversal e abordagem descritiva, em que foram medidos aspectos qualitativos e quantitativos sem manipulação de variáveis. O eixo temporal escolhido consistiu em três seções sucessivas, 1935-1965, 1966-1996 e 1997-2023, com uma reconstrução aproximada das condições dos elementos mais significativos da paisagem. Foram calculados indicadores ecológicos, ajustados à AFB presente na fazenda na terceira seção. O resultado foi uma mudança dinâmica da paisagem ao longo do tempo em direção a um agroecossistema, com 21,95% das espécies não presentes na fazenda no final da primeira metade do ano de 2023 em relação ao período de 1935-1965. Atualmente, foram quantificadas 64 espécies pertencentes a 33 famílias botânicas, com maior representação de: Fabaceae, Annonaceae, Anacardeaceae e Sapotaceae. Os índices ecológicos mostraram uma alta diversidade e riqueza de espécies, com baixa dominância.

RESUMEN: Hoy en día es común recibir pacientes en la clínica odontológica relatando dolor uni o bilateral en la zona lateral de la cara, más específicamente en la zona de las ramas mandibulares. Este dolor puede ser muchas veces de origen dental, muscular masticatorio, de las articulaciones temporomandibulares, o incluso tonsilar. Debido a que las anteriores son patologías más frecuentes, muchas veces el clínico no considera que la causa de estos dolores podría estar asociada al síndrome de Eagle. Esta investigación se fundamentó en la necesidad de utilizar las radiografías panorámicas como herramienta para asociar dolores que no remiten a tratamientos convencionales a calcificaciones del complejo estilohioideo, muchas veces hallazgos radiográficos que no son comúnmente tomados en consideración por el clínico. El objetivo del estudio fue eterminar la asociación entre calcificaciones del complejo estilohioideo en radiografías panorámicas y sintomatología clínica dolorosa en pacientes del centro de salud de la Universidad San Sebastián, sede Santiago, Chile. Se realizó un estudio correlacional, analítico y retrospectivo en el Centro de Salud de la Universidad San Sebastián. Se tomó una muestra aleatoria de 815 radiografías y fichas clínicas asociadas, en las cuáles se analizó la presencia, tipo y ubicación de calcificaciones del complejo estilohioideo, así como, si los pacientes relataron sintomatología dolorosa asociable al Síndrome de Eagle. Posteriormente se realizó un análisis descriptivo, exploratorio e inferencial de asociación entre variables. El porcentaje de pacientes que presentó calcificaciones del complejo estilohioideo alcanzó un 85,4%, siendo la mayoría de tipo elongado (70,98%), seguida del tipo segmentado (26,72%) y muy por debajo el tipo pseudoarticulado (2,3%). Con respecto a la prevalencia de sintomatología la gran mayoría de los pacientes no presentó (96,32%), sin verse diferencias según sexo o edad. Por último, al realizar el análisis de asociación el valor de X 2 calculado fue de 3,171, menor al valor de X2 crítico tabulado de 3,841. Al obtener un X2 calculado menor a un X2 crítico tabulado se demostró que no existe una asociación entre la presencia de calcificaciones del complejo estilohioideo y sintomatología clínica asociada. Además, las prevalencias de calcificaciones y sus tipos no variaron según la edad o género, lo que no nos permitió establecer una relación causal entre las variables.

ABSTRACT: Nowadays it is very common to receive patients in the dental clinic reporting unilateral or bilateral pain in the lateral area of the face, more specifically in the mandibular rami area. The origin of this pain can often be dental, muscular, from the temporomandibular joint or even tonsillar. Because the named pathologies are more frequent, many times the clinician does not consider that the cause of this pain could be associated with Eagle syndrome. This research was based on the need to use panoramic radiographs as a tool to associate pain that does not refer to conventional treatments with calcifications of the stylohyoid complex, many times radiographic findings that are not commonly considered by the clinician. This correlational cross analytical study was carried out at San Sebastián University Health Center. A random sample of 815 radiographs and associated clinical records was taken, in which the presence, type and location of calcifications of the stylohyoid complex were analyzed, as well as whether the patients reported painful symptoms associated with Eagle syndrome. Subsequently, a descriptive, exploratory, and inferential analysis of association between variables was conducted. The percentage of patients who presented calcifications of the stylohyoid complex reached 85.4%, being the majority the elongated type (70.98%), followed by the segmented type (26.72%) and far below the pseudoarticulated type (2.3%). Regarding the prevalence of symptoms, the vast majority of patients did not present (96.32%), without seeing differences according to gender or age. Finally, when performing the association analysis, the calculated X2 value was 3.171, lower than the critical tabulated X2 value of 3.841. Obtaining a calculated X2 lower than a critical tabulated X2 showed that there is no association between the presence of calcifications of the stylohyoid complex and associated clinical symptoms. In addition, the prevalence of calcifications and their types did not vary according to age or gender, which did not allow us to establish a causal relationship between the variables.

Em um contexto local de estudos estritamente tipológicos e com a ausência manuais para o estudo da cerâmica relacionada a cultura arqueológica Puruhá, Serra Central do Equador, verificamos a possibilidade associar a questão teórica e metodológica à prática arqueológica, resultando na localização da produção ceramista como um subsistema intrínseco a compreensão dos sistemas socioculturais que definem uma cultural. Com esta premissa, este manuscrito apresenta uma proposta de classificação em arqueologia com fulcro na análise da cultura material cerâmica contextualizada ou não contextualizada por intermédio da aplicação dos conceitos de antropologia das técnicas e das cadeias operatórias associada às análises tecnotipológicas com o estudo de caso da produção ceramista Puruhá. Tendo como marco metodológico o método empírico indutivo, com enfoque qualitativo que mescla a revisão de literatura, inserção conceitual, técnica e análises, de alcance exploratório e não experimental enquanto desenho de investigação. A proposta de classificação em arqueologia possibilitou verificar a factibilidade e potencial de sua utilização em um contexto Puruhá, assim como sua correlação entre outros sítios, resultando em uma leitura que permite realizar inferências sobre continuidades e mudanças culturais.

En un contexto local de estudios estrictamente tipológicos y con ausencia de manuales para el estudio de la cerámica relacionada con la cultura arqueológica Puruhá, Sierra Central del Ecuador, verificamos la posibilidad de asociar la cuestión teórica y metodológica con la práctica arqueológica, resultando en la ubicación de la producción cerámica como un subsistema intrínseco a la comprensión de los sistemas socioculturales que definen una cultura. Con esta premisa, este manuscrito presenta una propuesta de clasificación en arqueología basada en el análisis de la cultura material cerámica contextualizada o no contextualizada mediante la aplicación de los conceptos de antropología de técnicas y cadenas operativas asociadas a los análisis tecnotipológicos con el estudio de caso de la producción alfarera Puruhá. Teniendo como marco metodológico el método empírico inductivo, con un enfoque cualitativo que mezcla revisión de la literatura, inserción conceptual, técnica y análisis, con un alcance exploratorio y no experimental como diseño de investigación. La propuesta de clasificación en arqueología permitió verificar la factibilidad y potencial de su uso en un contexto Puruhá, así como su correlación con otros sitios, resultando en una lectura que permite hacer inferencias sobre continuidades y cambios culturales.

In a local context of strictly typological studies and with the absence of manuals for the study of ceramics related to the Puruhá archaeological culture, Sierra Central do Ecuador, we verified the possibility of associating the theoretical and methodological issue with archaeological practice, resulting in the location of ceramic production as an intrinsic subsystem understanding the sociocultural systems that define a cultural. With this premise, this manuscript presents a proposal for classification in archeology based on the analysis of contextualized or non-contextualized ceramic material culture through the application of the concepts of anthropology of techniques and operational chains associated with techno-typological analyzes with the case study of production Puruhá potter. Having as a methodological framework the inductive empirical method, with a qualitative approach that mixes literature review, conceptual insertion, technique and analysis, with an exploratory and non-experimental scope as a research design. The proposed archeological classification allowed us to check the feasibility and potential of its usage in a Puruhá setting, as well as its linkage with other sites, yielding a reading that allows us to draw conclusions regarding cultural continuities and changes.

BACKGROUND: In South Africa (SA), injuries are the second leading cause of years of healthy life lost, and interpersonal violence dominates the SA injury profile. Half of all injury-related deaths in SA are intentional, and firearms contribute to a quarter of these deaths. Injury surveillance systems are essential to develop, implement and monitor strategies that reduce preventable trauma OBJECTIVES: To describe the burden of patients with firearm injuries and their outcomes at district-level emergency centres in the Western Cape METHODS: This study was a retrospective analysis of a prospectively collected database. All patients who presented to two district-level emergency centres with a firearm injury over a 12-month period (1 January 2019 - 31 December 2019) were eligible for inclusion RESULTS: Firearm injuries represented 5.7% of the trauma burden at the two district emergency centres. Of the 776 patients with firearm injuries who were included, the median age was 27 years, and 91% were male. A total of 520 (67%) patients self-presented, and there were 18 (2.3%) deaths in the emergency centre and a further 23 (3%) as inpatients. Of the total where wound location was determined (n=595), 30.4% sustained more than one firearm injury, and 112 out of the 167 admitted to Mitchells Plain Hospital required at least one visit to theatre. This accounted for 413 theatre hours and 1 376 inpatient bed days at Mitchells Plain Hospital. A significant proportion of patients (n=219, 29%) were transferred from the emergency centres to a tertiary service for further care CONCLUSION: Firearm injuries represent a substantial proportion of the trauma burden at district emergency centres in the Western Cape Province. Managing patients with firearm injuries is resource intensive, as evident by their high acuity, the need for operative care, the long length of stay, the high burden on emergency medical services with interfacility transfers and the high demand for tertiary care. Data from this study aid our understanding of the prevalence and burden of firearm injuries at district level emergency centres, and multisectoral action, supported by evidence-based primary and secondary preventive strategies, is required to reduce the burden of firearm injuries, and mitigate their effects

RESUMEN El proyecto liderado por la Editorial Universo Sur de la Universidad de Cienfuegos busca establecer una Red de Editoriales y sus revistas correspondientes en el Ministerio de Educación Superior. El objetivo es que, de manera colaborativa a nivel nacional e internacional, enfrenten los desafíos clave para una gestión eficiente de sus procesos editoriales. Esto incluye la creación de una estrategia de alfabetización informacional y producción científica que fomente estrategias transversales e interdisciplinares, permitiendo la localización, comparación, evaluación, comunicación, difusión, síntesis y producción de información al nivel de los estándares internacionales de las universidades. Se promoverán y generalizarán las buenas prácticas que garanticen calidad, sostenibilidad, profesionalismo, acceso abierto, universalidad y responsabilidad en estas editoriales. Se identificarán las debilidades, fortalezas, amenazas y oportunidades, y a partir de este análisis se propondrá y llevará a cabo un plan de mejoras en todos estos procesos, con su respectiva valoración multicriterio y nivel de preferencia.

ABSTRACT The project led by Editorial Universo Sur of the University of Cienfuegos seeks to establish a Network of Publishing Houses and their corresponding journals in the Ministry of Higher Education. The objective is that, in a collaborative manner at national and international level, they face the key challenges for an efficient management of their editorial processes. This includes the creation of an information literacy and scientific production strategy that promotes cross-cutting and interdisciplinary strategies, allowing the location, comparison, evaluation, communication, dissemination, synthesis and production of information at the level of international university standards. Good practices that guarantee quality, sustainability, professionalism, open access, universality and responsibility in these publishing houses will be promoted and generalized. Weaknesses, strengths, threats and opportunities will be identified, and based on this analysis, an improvement plan will be proposed and implemented for all these processes, with their respective multi-criteria assessment and level of preference.

ABSTRACT Blue eggshells have become economically valuable due to their higher popularity among consumers when compared with eggs of other colors, particularly in East Asia. However, eggshell colors vary widely and gradually become lighter with the increase of age. Therefore, to determine the association between DNA methylation and gene expression on the molecular mechanism of eggshell color variation in Xuefeng Black-bone chickens, we collected the shell glands from chickens that produced dark blue eggshells and light blue eggshells, respectively, and performed whole genome bisulfite sequencing (WGBS) and RNA sequencing (RNA-Seq) on them. The results showed that in the context of CG, DNA methylation levels were the highest compared to CHG and CHH contexts, and were negatively correlated with gene expression levels in three different gene regions in all samples, while there was no significant correlation in the contexts of CHG and CHH. Furthermore, when disregarding the location of coding genes, a total of 55 genes will show differences not only in expression levels but also in DNA methylation levels, and among the majority of differential expression genes (n=50), the DNA methylation levels in the gene body region were the highest. GO analysis and KEGG pathway analysis were performed in these genes and the results showed that the genes NR1H4 and HEPHL1, ABCA4 and ABCA12, and the pathways, cell adhesion molecular, ABC transporters, ECM-receptor interaction, and neuroactive ligand-receptor interaction, may affect the color variation of the blue eggshell of Xuefeng Black-bone chickens.

■ ABSTRACT Introduction: The aesthetic procedure market is growing exponentially in Brazil. This growth has aroused the interest of several professional categories. The decision to practice in the sector must consider the market opportunities in the location in which you intend to operate. However, the area lacks comparative analyses documenting probable regional differences in the country. The objective of the study is to describe market differences in aesthetic procedures between Brazilian states and regions. An index of potential cosmetic consumption (IPCC) is calculated for such a comparative analysis. Method: Cross-sectional study involving providers of nonsurgical aesthetic procedures in Brazil. Searches on Google Maps® were conducted using key terms, and telephone interviews were conducted to obtain information on professional categories, types of providers, and services offered. Positive predictive values were obtained for all search strategies and used to estimate the total number of providers. Population size and per capita income were considered to calculate the IPCCs for Brazilian states. Results: São Paulo, Minas Gerais, and Rio de Janeiro presented the highest IPCCs, being 524, 210, and 180, respectively. Roraima had an IPCC of 14, the lowest in the country. The Southeast Region presented, on average, the highest IPCC (242) among all Brazilian regions. Conclusion: Considering population size and income, the Southeast Region presents the greatest market opportunities for nonsurgical aesthetic procedures in Brazil. Our findings may be of interest to healthcare professionals and investors who work or intend to work in the sector.

■ RESUMO Introdução: O mercado de procedimento estéticos cresce exponencialmente no Brasil. Tal crescimento tem despertado o interesse de várias categorias profissionais. A decisão de praticar no setor deve considerar as oportunidades de mercado da localidade na qual se pretende atuar. Entretanto, a área carece de análises comparativas documentando prováveis diferenças regionais no país. O objetivo do estudo é descrever as diferenças de mercado em procedimentos estéticos entre os estados e regiões brasileiras. Um índice de potencial consumo de cosmiatria (IPCC) é calculado para tal análise comparativa. Método: Estudo transversal envolvendo prestadores de procedimentos estéticos não cirúrgicos no Brasil. Buscas no Google®-Google Maps® foram conduzidas usando termos-chave e entrevistas telefônicas realizadas para obter informações sobre categorias profissionais, tipo de provedores e serviços oferecidos. Valores preditivos positivos foram obtidos para todas as estratégias de busca e usados para estimar o número total de provedores. O tamanho da população e a renda per capita foram considerados para o cálculo dos IPCCs para os estados brasileiros. Resultados: São Paulo, Minas Gerais e Rio de Janeiro apresentaram os maiores IPCCs, sendo 524, 210 e 180, respectivamente. Roraima teve um IPCC de 14, o mais baixo do país. A Região Sudeste apresentou, em média, o maior IPCC (242) entre todas as regiões brasileiras. Conclusão: Considerando o tamanho da população e a renda, a Região Sudeste apresenta as maiores oportunidades de mercado em procedimentos estéticos não cirúrgicos no Brasil. Nossos achados podem ser de interesse para profissionais de saúde e investidores que atuam ou pretendem atuar no setor.

Abstract In recent years, there has been a growing interest in integrating distributed generation (DG) technologies into the distribution network (DN) to improve system efficiency, reduce carbon emissions, and increase the power system's reliability. However, the optimal placement of DG systems within the DN is a difficult task, since it is dependent on several variables, including load demand, renewable energy sources, and energy storage systems (ESS). In this context, demand response (DR) programs can play a vital role in enhancing the efficiency of DG systems, since they allow consumers to lower their energy usage during peak hours and move their demand to off-peak hours. DR and solar photovoltaic (SPV) systems are two prominent technologies that can play a substantial role in the power DN. In this paper, a bi-level particle swarm optimization (PSO) method is employed to determine the best allocation of DG in the coordination of DR. In the suggested methodology, the first level of optimization determines the optimal size and location of DG, and the second level of optimization determines the optimal power dispatch in the coordination of DR. The proposed method is implemented on the IEEE 33 bus system, and the results demonstrate that the power quality parameters have significantly improved.

Abstract Brazilian agribusiness is continuously seeking new technologies and arable areas for expansion. Often, the expansion often occurs without proper planning and integration with logistic system actors, especially in agricultural frontier regions like the MATOPIBA region. To improve investment decision-making, it is essential to plan the location of new bulk warehouses. This planning can facilitate a virtuous process that incorporates intermodality and environmental preservation aspects. The objective of this article is to evaluate whether a combination of locational criteria that consider environmental and intermodality aspects can identify the most suitable regions for the installation of subterminal warehouses. The methodology combines Analytic Hierarchy Process (AHP) and geoprocessing techniques. The application of the method allowed ranking the candidate regions for the installation of warehouses. The results indicated three large areas suitable for the grain storage that together represent 12% of the study area. The conclusion of the research was that, in addition to economic aspects, the inclusion of environmental and logistics factors in the spatial location analysis promotes a more sustainable storage network, with well-positioned warehouses and less competition.

Resumo O agronegócio brasileiro avança em busca de tecnologias e novas áreas agricultáveis. Muitas vezes, a expansão das áreas agrícolas ocorre sem planejamento integrado com os atores do sistema logístico, especialmente em regiões de fronteira agrícola, como a região do MATOPIBA. O planejamento da localização de novos armazéns graneleiros contribui para a melhoria do processo de tomada de decisão para investimentos. Além disso, possibilita um processo virtuoso que permite a incorporação de aspectos para fomentar a intermodalidade e a preservação ambiental. Assim, o objetivo deste artigo é avaliar se uma combinação de critérios locacionais que considerem aspectos ambientais e de intermodalidade pode identificar regiões mais adequadas para a instalação de armazéns graneleiros do tipo subterminal. A metodologia utilizada agrega a Análise Hierárquica de Processos (AHP) e técnicas de geoprocessamento. A aplicação dos métodos permitiu classificar as regiões candidatas para a instalação de armazéns. Os resultados indicaram três grandes áreas adequadas para a armazenagem de grãos, que juntas representam 12% da área de estudo. A conclusão da pesquisa foi que, além de aspectos econômicos, a inclusão de fatores ambientais e de infraestrutura logística na análise espacial da localização promove uma rede de armazenagem mais sustentável, com armazéns bem posicionados e com menor competição.

BACKGROUND: Osteosarcoma is a malignant tumour that typically originates in long bones. We present a case of a subject afflicted by osteosarcoma in the left shoulder, an extremely uncommon location. CASE REPORT: The subject, a 14-year-old adolescent, presented with a manifestation of osteosarcoma in an atypical location, namely the left shoulder. Radiographic analysis, including scapula plain radiograph, identified a radiodense lesion. Subsequent computed tomography disclosed compromised cortical integrity without medullary tissue involvement. Histological verification confirmed osteosarcoma. The absence of a commercially available suitably sized endoprosthesis for this unique anatomical location prompted the innovative use of a 3D-printed version based on the dimensions of the unaffected right shoulder. Post scapulectomy, a hernia mesh was employed for glenoid capsule reconstruction, ensuring subluxation prevention and yielding excellent postoperative outcomes. DISCUSSION: This case underscores the complexities and innovations in osteosarcoma treatment when occurring in unconventional anatomical sites, exemplified by its manifestation in the scapula. The integration of 3D-printing technology emerges as a promising avenue for tailoring solutions in orthopaedic oncology, particularly addressing the constraints posed by the absence of commercially available devices for rare anatomical locations. CONCLUSION: Managing scapular osteosarcoma necessitates innovative approaches. The incorporation of 3D-printing technology and the unconventional use of hernia mesh exemplify a viable strategy for achieving successful outcomes in challenging cases, emphasising the importance of adapting techniques to unique clinical scenarios. Level of evidence: Level 4

Resumo: Entre as barreiras sociais enfrentadas pelas pessoas com deficiência estão os preconceitos, definidos como atitudes de aversão e hostilidade por pertencer a um grupo, sob as quais são atribuídas condições indesejáveis. A percepção do preconceito das pessoas com deficiência pode ser determinada por fatores ligados a variáveis sociodemográficas como idade, gênero, nível socioeconômico, tamanho da localidade e Índice de Desenvolvimento Humano (IDH), porém, poucos estudos têm focado em diferenciar as experiências de pessoas com deficiência, especialmente no contexto mexicano. Esta pesquisa analisa as opiniões de 5,145 pessoas com deficiência, por meio da Encuesta Nacional de Discriminación (ENADIS) 2017, usando análise de variância. A análise fatorial confirmatória produz uma estrutura com dois fatores: um endógeno e outro exógeno. Os resultados indicam que idosos, pessoas que vivem em estratos sociodemográficos baixos e que vivem em localidades com baixo IDH enfrentam maior preconceito. Discute-se o impacto do envelhecimento e da disponibilidade de recursos sociais na percepção do preconceito das pessoas com deficiência.

Abstract: People with disabilities face numerous social barriers, including prejudices, defined as hostile and aversive attitudes towards members of a stigmatized group. The prejudice's perception among people with disabilities may be a function of sociodemographic variables, however, only a few studies have deepened such differences in the experience of people with disabilities, especially in the Mexican context. The present study examines the opinions of 5145 people with disabilities through the Encuesta Nacional de Discriminación (ENADIS) 2017 (National Survey about Discrimination) by age, sex, socioeconomic level, location size and the Human Development Index (HDI). The confirmatory factor analysis shows two factors: in-group and out-group prejudices. Results in the comparisons reveal that the elderly, people with low sociodemographic status, and those living in locations with low HDI face higher means of prejudice on the total and in-group scales. The impact of aging and the availability of social services on the perception of prejudice by people with disabilities is discussed.

Resumen: Entre las barreras sociales que enfrentan las personas con discapacidad se encuentran los prejuicios, definidos como actitudes de aversión y hostilidad por la pertenencia a un grupo al que se le adjudican características indeseables. La percepción de prejuicios puede estar determinada por factores vinculados a variables sociodemográficas; sin embargo, pocos estudios se han enfocado en diferenciar las experiencias de las personas con discapacidad, en especial en el contexto mexicano. Se examinaron las opiniones de 5145 personas con discapacidad, a través de la Encuesta Nacional de Discriminación 2017, comparando la percepción de prejuicios de las personas con discapacidad a través de la edad, el género, el nivel socioeconómico, el tamaño de la localidad y el índice de desarrollo humano (IDH). El análisis factorial confirmatorio arroja una estructura con dos factores: prejuicios endogrupales y exogrupales. Los resultados indican que los adultos mayores, las personas que pertenecen a estratos sociodemográficos bajos y quienes habitan en localidades con un IDH bajo enfrentan mayores prejuicios en la escala total y en prejuicios endogrupales. Se discute el impacto del envejecimiento y la disponibilidad de recursos sociales en la percepción de prejuicios de las personas con discapacidad.

ABSTRACT In April 2022, the Ministry of Health published the Ordinance No 715, aiming to establish the new Maternal and Infant Health Care Network (RAMI). Having in mind the pre-existence of an organized network to protect and promote maternal and infant health (Rede Cegonha), we aimed to analyze the models of care intrinsic to each of them. For this purpose, we used the research with discursive practices as a theoretical-methodological framework, identifying repertoires regarding three predefined categories: subjects, places, and agents of care. In our analysis, we could observe paradigmatic differences between the two health care networks. From such distinctions, we conclude that the ‘Rede Cegonha’ is based on a conception of pregnancy and childbirth as normal events of sexual and reproductive life, whereas ‘RAMI’ is structured through an emphasis on risk, which results in a model of care centered on the doctor and the hospital as a privileged location for childbirth.

RESUMO Em abril de 2022, o Ministério da Saúde publicou a Portaria GM/MS nº 715, que altera a Portaria de Consolidação GM/MS nº 3, de 28 de setembro de 2017, com o objetivo de instituir a Rede de Atenção à Saúde Materna e Infantil (Rami). Tendo em vista a preexistência da Rede Cegonha, também voltada a essa parcela da população, objetivou-se analisar os modelos de atenção ao ciclo gravídico-puerperal intrínsecos a cada um dos métodos de estruturação organizacional adotados. Para tanto, utilizou-se, como referencial teórico-metodológico, a pesquisa com práticas discursivas, o que possibilitou identificar os repertórios relativos a três categorias predefinidas: os sujeitos, os locais e os agentes da assistência. Na análise, puderam-se observar diferenças paradigmáticas entre as duas redes de atenção. A partir de tais distinções, concluiu-se que a Rede Cegonha está fundamentada em uma concepção de gestação e parto como eventos normais da vida sexual e reprodutiva, enquanto a Rami se estrutura por meio da ênfase no risco, propondo um modelo centrado no hospital e na figura do médico.