Résumé Cet article propose em indicateur qui décrit, pour chaque municipalité brésilienne, son niveau et ses inégalités d’apprentissage. Cet indicateur est nécessaire car les inégalités d’apprentissage augmentent et ne sont pourtant pas observées par l’indicateur éducatif principal du pays, l’Indice de Développement de l’Éducation de Base (IDEB). L’étude onstatelize initialement la justice em éducation et se situe dans le débat sur les théories de la justice distributive. Ensuite, on onstate les aspects méthodologiques de l’indicateur et les résultats obtenus. La principale constatation est que les matières et les séries scolaires où l’on a onstat le plus grand nombre de municipalités augmentant leur niveau d’apprentissage sont également celles où l’on a onstate une forte augmentation des inégalités. décrit brésilienne dapprentissage. dapprentissage d apprentissage. apprentissage lindicateur l pays lIndice Indice lÉducation Éducation IDEB. IDEB . (IDEB) Létude L étude distributive Ensuite obtenus lon (IDEB

Resumen Este artículo propone un indicador que describe, para cada municipio brasilero, el nivel y las desigualdades de aprendizaje y sus diferencias. Ese indicador es necesario porque las desigualdades de aprendizaje son crecientes y, no obstante, no son observadas por el principal indicador educativo del país, el Índice de Desarrollo de la Educación Básica (IDEB). El estudio inicialmente conceptualiza la justicia en educación, situándose en el debate sobre teorías de justicia distributiva. Después, presenta los aspectos metodológicos del indicador y los resultados obtenidos. La principal constatación es que las disciplinas y grados escolares en que se verificó un mayor número de municipios con aumento de su nivel de aprendizaje son también en los que se verificó un fuerte aumento de las desigualdades. describe brasilero diferencias obstante país IDEB. IDEB . (IDEB) educación distributiva Después obtenidos (IDEB

Abstract This article proposes an indicator that describes each Brazilian municipality’s learning level of its elementary school students, as well as learning inequalities among groups of students defined by socioeconomic status, race, and sex. This indicator is necessary because learning inequalities are growing and are not observed by the country’s main educational indicator, the Basic Education Development Index (IDEB). This study initially conceptualizes justice in education, positioning itself in the debate on theories of justice. Then, it presents the methodological aspects of the indicator and the results obtained. The main finding is that the subjects and school grades in which the highest number of municipalities increased their learning levels are also those in which there was a strong increase in inequalities. municipalitys municipality s status race sex countrys country IDEB. IDEB . (IDEB) education Then obtained (IDEB

Resumo Este artigo propõe um indicador que descreve, para cada município brasileiro, o nível de aprendizagem de seus estudantes do ensino fundamental e as desigualdades de aprendizagem entre grupos de estudantes definidos por nível socioeconômico, raça e sexo. Esse indicador é necessário porque as desigualdades de aprendizagem são crescentes e, contudo, não são observadas pelo principal indicador educacional do país, o Índice de Desenvolvimento da Educação Básica (IDEB). O estudo inicialmente conceitualiza justiça em educação, situando-se no debate sobre teorias de justiça distributiva. Em seguida, apresenta os aspectos metodológicos do indicador e os resultados obtidos. A principal constatação é que as disciplinas e séries escolares nas quais se verificou o maior número de municípios aumentando o seu nível de aprendizagem são também aquelas em que se verificou forte aumento das desigualdades. descreve brasileiro socioeconômico sexo contudo país IDEB. IDEB . (IDEB) educação situandose situando distributiva seguida obtidos (IDEB

Abstract The competitiveness of enterprises in the electromechanical systems engineering sector plays a crucial role in driving economic growth and innovation. This study aims to design a comprehensive index for evaluating enterprise competitiveness, focusing on operational efficiency, strategic positioning, and the international environment. Employing an exploratory factor analysis, data was collected through a questionnaire administered to 280 enterprises in Moscow, Russia. The proposed index allows for a dynamic assessment of competitiveness, enabling the analysis of key indicators over time and predicting changes in competitiveness. The findings reveal critical factors contributing to competitiveness in the sector, enabling decision-makers to formulate strategies for improving their competitive position. This research provides valuable insights for policymakers, industry practitioners, and academic researchers in enhancing the competitiveness of electromechanical systems engineering enterprises and fostering sustainable economic development. The study's contributions to the literature and its practical relevance make it a valuable resource for academic and industry audiences alike. innovation efficiency positioning environment 28 Moscow Russia decisionmakers decision makers position policymakers practitioners development studys s alike 2

Resumo A competitividade das empresas do setor de sistemas eletromecânicos de engenharia desempenha um papel fundamental na promoção do crescimento econômico e da inovação. O objetivo deste estudo é desenvolver um índice abrangente para avaliar a competitividade das empresas, com foco na eficiência operacional, posicionamento estratégico e o ambiente internacional. Empregando uma análise fatorial exploratória, os dados foram coletados por meio de um questionário aplicado a 280 empresas em Moscou, Rússia. O índice proposto permite uma avaliação dinâmica da competitividade, permitindo a análise de indicadores-chave ao longo do tempo e prevendo mudanças na competitividade. As conclusões revelam fatores críticos que contribuem para a competitividade no sector, permitindo aos decisores formular estratégias para melhorar a sua posição competitiva. Esta pesquisa fornece informações valiosas para formuladores de políticas, profissionais da indústria e pesquisadores acadêmicos no aumento da competitividade das empresas de sistemas eletromecânicos de engenharia e na promoção do desenvolvimento econômico sustentável. As contribuições do estudo para a literatura e sua relevância prática o tornam um recurso valioso para o público acadêmico e do setor. inovação operacional internacional exploratória 28 Moscou Rússia indicadoreschave indicadores chave sector competitiva políticas sustentável 2

Abstract Choosing a university degree in Mexico is an important decision, especially if, upon completing high school, you wish to enter a Higher Education Institution. Indeed, private universities have assumed the responsibility of being competitive by offering professional training that allows effective job placement. That is why the present study was carried out in the City of Puebla Mexico, since it is one of the entities with the largest number of universities. A qualitative research was carried out, supported by an exploratory methodology, content analysis and digital positioning, including a search in different academic databases such as Scopus, Ebsco, Web of Science, among others. Among the results, it stands out that there are activities that favor brand positioning in private universities in Puebla through educational marketing; likewise, it was found that the actions that the different private higher education institutions have are numerous and seek to capture the attention of applicants and, finally, it was determined which of these actions represented favorable results in terms of improving perception and achieve improvement in their enrollment in an institution.

Resumen La elección de una carrera universitaria en México es una decisión importante sobre todo si al concluir los estudios de bachillerato se desea ingresar a una Institución de Educación Superior. En efecto, las universidades privadas han asumido la responsabilidad de ser competitivas al ofrecer una formación profesional que permita una inserción laboral efectiva. Es por ello que, el presente estudio se realizó en la Ciudad de Puebla México, ya que es una de las entidades con un mayor número de universidades. Se realizó una investigación de tipo cualitativa, sustentada bajo una metodología exploratoria, el análisis de contenido y posicionamiento digital incluyendo una búsqueda en diferentes bases de datos académicas tales como Scopus, Ebsco, Web of Science, entre otros. Entre los resultados se destaca que existen actividades que favorecen el posicionamiento de marca en universidades privadas de Puebla a través del marketing educativo; asimismo, se encontró que las acciones que tienen las diferentes instituciones de educación superior de carácter privado en son numerosas y buscan captar la atención de los aspirantes y, finalmente, se determinó cuáles de esas acciones representaron resultados favorables en cuestión de mejoramiento de la percepción y alcance la mejora en la inscripción del mismo en una institución.

ABSTRACT Introduction: Endoscopic Combined Intrarenal Surgery (ECIRS) has emerged as a promising technique for the management of large and complex kidney stones, potentially offering advantages over traditional Percutaneous Nephrolithotomy (PCNL). This study aims to evaluate best practices, outcomes, and future perspectives associated with ECIRS. Materials and Methods: A comprehensive PubMed search was conducted from 2008 to 2024, using MESH terms and the following key words: "ECIRS" and "Endoscopic Combined Intrarenal Surgery" The search yielded 157 articles, including retrospective cohort studies, two randomized controlled trials (RCTs), and four meta-analyses comparing ECIRS with PCNL. Most important findings were summarized regarding indications, patient positioning, kidney access, tract size, surgical outcomes, and complications. Results: ECIRS demonstrated higher stone-free rate, lower complication rate, and a reduced need for multiple procedures compared to traditional PCNL. Additionally, ECIRS has the potential to integrate new technologies to further enhance outcomes. Conclusion: ECIRS demonstrates significant advantages in the management of large kidney stones. Future research should focus on well-designed RCTs to provide robust evidence of its efficacy, safety, and cost-effectiveness, potentially establishing ECIRS as the first option treatment for complex kidney stones. Introduction (ECIRS stones PCNL . (PCNL) practices outcomes Methods 200 2024 words "ECIRS 15 articles studies RCTs, , (RCTs) metaanalyses meta analyses indications positioning access size complications Results stonefree stone free rate Additionally Conclusion welldesigned well designed efficacy safety costeffectiveness, costeffectiveness cost effectiveness, effectiveness cost-effectiveness (PCNL 20 202 1 (RCTs 2

ABSTRACT Introduction: The introduction of Single-Port (SP) platform opened the field to new surgical options, allowing to perform major urological robot-assisted procedures extraperitoneally and with a supine patient positioning (1–3). Nevertheless, a comprehensive description of different supine access options is still lacking (4–6). In this light, we provided a step-by-step guide of SP extraperitoneal supine access options also exploring preliminary surgical outcomes. Materials and methods: Transvesical access was performed by a transversal incision 3cm above the pubic bone, after the anterior abdominal sheet incision, the bladder was insufflated with a flexible cystoscope and the detrusor muscle was incised at the level of the bladder dome. Similarly, the extraperitoneal access was carried out with a 4cm incision above the pubic bone, once visualized the preperitoneal space the prevesical fat was gently spread. The Low Anterior Access was performed with a 3cm incision at the McBurney point, the abdominal muscles were then spread. A gentle dissection was used laterally to develop the retroperitoneal space. Results: Overall, sixteen different procedures were performed with supine extraperitoneal access on 623 consecutive patients. No intraoperative conversions occurred. The median access time was 16 (IQR 12-21), 11 (IQR 7-14) and 14 (IQR 10-18) minutes in case of transvesical, extraperitoneal and low anterior access, respectively. Notably, 81.5 % of patients were discharged on the same day with a postoperative opioid free rate of 73%. Conclusion: The Atlas provides a comprehensive step-by-step guide to successfully perform all major urological SP procedures extraperitoneally and with supine patient positioning. Introduction SinglePort Single Port (SP robotassisted robot assisted 1–3. 13 1–3 . 1 3 (1–3) Nevertheless 4–6. 46 4–6 4 6 (4–6) light stepbystep step outcomes methods cm bone dome Similarly spread point Results Overall 62 occurred IQR 1221, 1221 12 21 , 12-21) 714 7 7-14 1018 10 18 10-18 transvesical respectively Notably 815 81 5 81. 73 73% Conclusion 1– (1–3 4– (4–6 122 2 12-21 71 7-1 101 10-1 8 (1– (4– 12-2 7- 10- (1 (4 12- (

Abstract: This essay examines how the narrative of historical progress is used in contemporary feminisms. It argues that this narrative is used with a specific political aim: to characterise disagreements between feminists as confrontations between the modern and the retrograde. It observes that this positioning often employs patriarchal rhetoric which prefers personal criticism to a discussion of ideas. To illustrate this hypothesis, the article analyses the use of the progress narrative in the present debate about the sex trade within a wide historical context. Undertaking the history of women’s ideas in this way reveals how some arguments in this debate have been disfigured and misunderstood in order to serve the needs of the progress narrative.

Resumen: En este ensayo se examina la narrativa histórica del progreso en los feminismos contemporáneos. Se argumenta que se usa con un propósito político específico: presentar los desacuerdos entre feministas como una confrontación entre lo moderno y lo retrogrado. Se observa que este posicionamiento suele emplear una retórica patriarcal que prefiere la crítica personal a la discusión de ideas. Para ilustrar la hipótesis, se analiza el uso de la narrativa del progreso en el debate actual feminista en torno al comercio sexual dentro de su contexto histórico amplio. El ejercicio de historiar las ideas de las mujeres de esta manera revela cómo ciertos argumentos del debate han sido desfigurados y malentendidos para servir a los fines del relato del progreso.

Abstract Through their public presentation, many religious groups, from different religious traditions, including Catholicism, have provided speeches that are presented as good, necessary and as a warning against any positioning that carries the ‘gender’ genitive. Many of these are associated with fundamentalist churches that have a world view opposed to the position of state institutions and their openness to human rights. The following essay approaches, from a critical gender perspective, a series of discourses considered as a simulation, which I call ‘disguise’, that is, it is not about identity discourses, but about alignment to political positions in order to remain in the public space. This reflection is based on stripping, a position taken from critical theologies, which is associated with deconstruction in the religious field, from this tool will be presented to love, care, science and democracy as disguises that cover up hatred, control, religion and theocracy.

Resumen A través de su presentación pública, muchos grupos religiosos, de distintas tradiciones religiosas, incluyendo la católica, han aparecido brindando discursos que se presentan como buenos, necesarios y alertando contra todo posicionamiento que lleve el genitivo ‘de género’. Muchos de estos están asociados a iglesias de corte fundamentalista que poseen una mirada del mundo que no coincide con las instituciones estatales y su apertura a los derechos humanos. El siguiente ensayo aborda desde una mirada crítica de género, una serie de discursos que considera simulación, las que nombro ‘disfraz’, es decir, no se trata de discursos identitarios, sino de alineación con posturas políticas para mantenerse en el espacio público. Esta reflexión parte del desnudamiento, postura tomada de teologías críticas, que se encuentra asociada a la deconstrucción en el campo religioso, a partir de esta herramienta se presentará al amor, al cuidado, a la ciencia y a la democracia como disfraces que encubren odio, control, religión y teocracia.

Abstract By the year of two thousand and nineteen, the private medical service industry growth was concentrated in the border cities of the Sonora state due to the large number of foreign patients and around six hundred thousand Sonora residents or descendants living in the state of Arizona (López, 2019). Hermosillo stands out among the border municipalities, thanks to its internationally certified private hospital infrastructure. However, the absence of post-operative-care as well as external services promoters in Mexico and internationally, combined with a fragmented value chain, have slowed down the growth of the medical industry in the capital (López, 2019). Our society is still in the first stages of digitalization therefore a universally accepted concept of digital economy has yet to be established. There's a gap between the available tools and the implementation in order to optimize the value chain and the customer experience. The current document contextualizes the private medical service industry in Hermosillo, Sonora within the digital economy through documentary research on digital resources, in the matters of politics, economics, social and technological context. In addition, the health crisis forced the digitalization of the commercialization processes in order to accomplish established objectives, thereby positioning the medical service industry as a participant in the digital economy.

Resumen Para el año dos mil diecinueve el crecimiento de la industria médica privada se daba más en las ciudades fronterizas del estado de sonora debido a la afluencia de pacientes extranjeros y unos seiscientos mil sonorenses o descendientes radicados en el estado de Arizona (López, 2019). Hermosillo destaca de los municipios fronterizos, gracias a la infraestructura privada hospitalaria certificada internacionalmente. Sin embargo, la ausencia de servicio postoperatorio al igual que agentes externos promotores de los servicios en el extranjero como en la república mexicana y una desconexión en la cadena de valor, han frenado el crecimiento de la industria médica en la capital (López, 2019). El concepto de economía digital no cuenta con una definición ampliamente aceptada, debido a que la sociedad se encuentra en las primeras etapas de digitalización. Existe una brecha entre las herramientas y su instrumentación para eficientar la cadena de valor y la experiencia del cliente. El presente documento contextualiza la industria privada de servicios médicos de Hermosillo, Sonora en la economía digital mediante una investigación documental de recursos digitales, esto en materia política, económica, social y tecnológica. Aunado a lo anterior la crisis sanitaria forzó a la digitalización de los procesos comerciales para lograr los objetivos planteados, por lo que la industria médica se convirtió en un actor de la economía digital.

Neste trabalho, apresento algumas partes da minha dissertação defendida em 2023, onde analiso depoimentos produzidos e compartilhados durante as dinâmicas efetivadas no campo de pesquisa. Realizei observação participante no programa “Território Hip-Hop” da prefeitura de São Paulo – uma iniciativa de política pública conquistada pela militância da cultura Hip-Hop na cidade. Essa imersão permitiu compreender os desenvolvimentos e interações de jovens negros/as e periféricos/as participantes das atividades do programa. Utilizei trechos de rap de artistas como Baco Exu do Blues, Cristal e Djonga para a produção de dados. As músicas foram usadas como provocações, permitindo levantar questões e reflexões, mais do que apenas fornecer respostas definitivas. Organizei um experimento com dois grupos focais e realizei entrevistas semiestruturadas com alguns/as desses/as adolescentes, captando suas perspectivas e conhecimentos situados. Essa abordagem metodológica permitiu uma análise das experiências, das construções de identidades e posicionamentos dos/as jovens, contextualizando suas vivências no cotidiano. Durante a produção e análise dos dados, investiguei as vozes e conhecimentos desses jovens identificados com a cultura Hip-Hop. Busquei compreender os efeitos subjetivos das mensagens de negritude presentes no rap, que descrevem as realidades raciais no Brasil. Desse modo, analisei como essas mensagens influenciam trajetórias e perspectivas de vida, moldando identidades e identificações. As entrevistas e discussões revelaram o rap como uma poderosa ferramenta transformadora que estimula reflexões profundas e transcende a luta contra opressões, sendo um saber realizado pelo corpo e pela voz, representando múltiplas vivências.

In this paper, I present some parts of my dissertation defended in 2023, where I analyze testimonies produced and shared during the dynamics carried out in the research field. I carried out participant observation in the “Território Hip-Hop” program of the city of São Paulo – a public policy initiative achieved by the activism of Hip-Hop culture in the city. This immersion allowed me to understand the dynamics and interactions of young black people and people from the outskirts of the city who participated in the program’s activities. I used rap excerpts from artists such as Baco Exu do Blues, Cristal and Djonga to produce data. The songs were used as provocations, allowing questions and reflections to be raised, rather than just providing definitive answers. I organized an experiment with two focus groups and conducted semi-structured interviews with some of these adolescents, capturing their perspectives and situated knowledge. This methodological approach allowed an analysis of the experiences, identity constructions and positioning of the young people, contextualizing their experiences in everyday life. During the production and analysis of the data, I investigated the voices and knowledge of these young people who identify with Hip-Hop culture. I sought to understand the subjective effects of the messages of blackness present in rap, which describe racial realities in Brazil. In this way, I analyzed how these messages influence life trajectories and perspectives, shaping identities and identifications. The interviews and discussions revealed rap as a powerful transformative tool that stimulates deep reflections and transcends the fight against oppression, being a knowledge carried out by the body and voice, representing multiple experiences.

Resumen: En el escenario competitivo del sector bancario, las actividades de marketing y branding se han convertido en un elemento crucial para el éxito a largo plazo de las instituciones financieras. Desde la gestión del brand equity, la confianza y la lealtad son esenciales, no solo en los procesos operativos con los usuarios, sino en la consolidación de la marca como un activo estratégico. El objetivo de esta investigación fue analizar la multidimensionalidad del brand equity para el sector bancario desde la perspectiva de la generación Z. Se desarrolla un estudio de tipo cuantitativo, analítico y de corte transversal, utilizando el análisis factorial exploratorio y confirmatorio a partir de un instrumento aplicado de forma on line a personas pertenecientes a este segmento generacional. Los hallazgos infieren que el brand equity en el sector bancario dirigido a la generación Z está conformado por las siguientes dimensiones: fidelidad e importancia de la marca (FIM), calidad percibida (CP), asociación de marca (AM), rendimiento de la marca (RM) y conciencia de la marca (CM). Se concluye que el sector bancario debe seguir consolidando su brand equity como actividad estratégica a partir de dichas dimensiones, fortaleciendo el posicionamiento de sus marcas, su participación y su orientación al mercado, garantizando el entendimiento de las necesidades, deseos y comportamientos de la generación Z.

Abstract: In the competitive scenario of the banking sector, marketing and branding activities have become a crucial element for the long-term success of financial institutions. From the perspective of brand equity management, trust and loyalty are essential, not only in the operational processes with users, but also in the consolidation of the brand as a strategic asset. The aim of this research was to analyse the multidimensionality of brand equity for the banking sector from the perspective of Generation Z. A quantitative, analytical, and cross-sectional study was carried out, using exploratory and confirmatory factor analysis based on an instrument applied online to people belonging to this generational segment. The findings infer that brand equity in the banking sector aimed at Generation Z is made up of the following dimensions: brand loyalty and importance (BLI), perceived quality (PQ), brand association (BA), brand performance (BP) and brand awareness (BA). It is concluded that the banking sector must continue to consolidate its brand equity as a strategic activity based on these dimensions, strengthening its brand positioning, market share and market orientation, ensuring an understanding of the needs, desires, and behaviours of Generation Z.

Abstract This investigation uses the method of decision analysis to analyze the positioning of the Sergipe Court of Justice, between 2020 and 2022, about the refusal of companies that offer transportation service via app to effect or cancel to remain in their registry with drivers who respond to criminal proceedings without final and unappealable decisions. The analysis of the decisions is based on some strategic theoretical frameworks, as based on the concepts of sacrificial citizenship and the economization of law, neoliberalism as a rationality and a deep process, and capitalism as surveillance. As a result, it was identified that the TJSE prioritized the contractual autonomy, the freedom to guide objective safety criteria, the misalignment of drivers with the Term and Conditions for use over the principles of the presumption of innocence and the social function of the contract. To problematize this scenario, the article also questions about the (un)protection of workers' personal data by app, the lack of transparency in the use of new technologies to collect data regarding ongoing criminal cases as a way to reiterate old social or labor exclusions. Finally, it concludes on the approximation of the grounds handled by the Sergipe Court of Justice with the new economic demands of neoliberal management, such as the reduction of the constitutional pact in favor of corporate autonomy, both on the disposability of subjects and on the irregular capture of their personal data. 202 2022 frameworks law process surveillance result autonomy criteria contract scenario unprotection un protection workers exclusions Finally management 20 2

Resumo Esta investigação utiliza o método de análises de decisões para examinar o posicionamento do Tribunal de Justiça de Sergipe, entre 2020 e 2022, sobre a recusa das empresas que oferecem o serviço de transporte via aplicativo de efetivar ou de permanecer em seu cadastro com motoristas que respondem a processos criminais sem decisões transitadas em julgado. A análise das decisões parte de alguns marcos teóricos estratégicos, como o conceito de cidadania sacrificial e da economicização do direito, do neoliberalismo enquanto uma racionalidade e um processo profundo, do capitalismo como vigilância. Como resultado, identificou-se que o TJSE priorizou a autonomia contratual, a liberdade para pautar critérios objetivos de segurança, o desalinhamento dos motoristas com o Termo e as Condições para uso em detrimento dos princípios da presunção de inocência e da função social do contrato. Para problematizar este cenário o artigo ainda questiona sobre a (des)proteção dos dados pessoais dos trabalhadores por aplicativo, a falta de transparência na utilização de novas tecnologias para coletar dados referentes a processos criminais em andamento como forma de reiterar velhas exclusões sociais ou laborais. Por fim, conclui-se sobre a aproximação dos fundamentos manejados pelo Tribunal de Justiça de Sergipe com as novas exigências econômicas da gestão neoliberal, tal como a redução do pacto constitucional em benefício da autonomia empresarial, tanto sobre a descartabilidade dos sujeitos, como sobre a captação irregular de seus dados pessoais. 202 2022 julgado estratégicos direito profundo vigilância resultado identificouse identificou se contratual segurança contrato desproteção des proteção laborais fim concluise conclui neoliberal empresarial sujeitos 20 2

RESUMO A doença renal crônica (DRC) representa um dos principais problemas de saúde pública da atualidade. A dosagem da creatinina sérica e a estimativa da taxa de filtração glomerular (TFG) são as principais ferramentas para avaliação da função renal. Para a estimativa da TFG, existem diversas equações, sendo a mais recomendada a CKD-EPI (Chronic Kidney Disease – Epidemiology). Existem ainda algumas controvérsias com relação à dosagem da creatinina sérica e da estimativa da TFG, uma vez que vários fatores podem interferir nesse processo. Uma importante mudança recente foi a retirada da correção por raça das equações para estimativa da TFG, que superestimavam a função renal, e consequentemente retardavam a implementação de tratamentos como diálise e transplante renal. Neste documento de consenso da Sociedade Brasileira de Nefrologia e Sociedade Brasileira de Patologia Clínica e Medicina Laboratorial são revisados os principais conceitos relacionados à avaliação da função renal, possíveis controvérsias existentes e recomendações para a estimativa da TFG na prática clínica. DRC (DRC atualidade (TFG CKDEPI CKD EPI Chronic Epidemiology. Epidemiology . Epidemiology) processo clínica

ABSTRACT Chronic kidney disease (CKD) represents one of today’s main public health problems. Serum creatinine measurement and estimation of the glomerular filtration rate (GFR) are the main tools for evaluating renal function. There are several equations to estimate GFR, and CKD-EPI equation (Chronic Kidney Disease – Epidemiology) is the most recommended one. There are still some controversies regarding serum creatinine measurement and GFR estimation, since several factors can interfere in this process. An important recent change was the removal of the correction for race from the equations for estimating GFR, which overestimated kidney function, and consequently delayed the implementation of treatments such as dialysis and kidney transplantation. In this consensus document from the Brazilian Societies of Nephrology and Clinical Pathology and Laboratory Medicine, the main concepts related to the assessment of renal function are reviewed, as well as possible existing controversies and recommendations for estimating GFR in clinical practice. CKD (CKD todays today s problems (GFR CKDEPI EPI Epidemiology process transplantation Medicine reviewed practice

ABSTRACT This study focuses on evaluating the numerous secondary effects, such as mass wasting and soil liquefaction, caused by the Mw 6.5 earthquake that occurred on January 18, 2021, in the province of San Juan, Argentina. The epicenter was located on the eastern flank of the Las Osamentas range. Although it caused significant damage to buildings and cultivated areas, there were no fatalities. The aim is to identify and describe these secondary effects and determine the seismic intensity of the event using the INQUA's (International Union for Quaternary Research) 2007 ESI (Environmental Seismic Intensity) scale. Field assessments were conducted shortly after the earthquake, documenting liquefaction and mass wasting structures through direct observations, digital photographs, GPS (Global Positioning System) localization, and data inventory, among other methods. This procedure validates a protocol for future applications in estimating seismic intensities for sparsely populated areas. Additionally, the study seeks to confirm the scientific and cultural importance of these ephemeral structures as assets that could be protected, therefore contributing to regional development.

RESUMEN Este estudio presenta una evaluación de los numerosos efectos secundarios, como la remoción en masa y la licuación de suelos, producidos por el terremoto de Mw 6,5 que tuvo lugar el 18 de enero de 2021 en la provincia de San Juan, Argentina. El epicentro se ubicó en el flanco oriental del cordón de Las Osamentas. Aunque el evento causó daños significativos en edificios y áreas cultivadas, no hubo víctimas fatales. El objetivo es identificar y describir estos efectos secundarios, así como determinar la intensidad sísmica utilizando la escala ESI (Environmental Seismic Intensity) 2007 del INQUA (International Union for Quaternary Research). Las evaluaciones de campo se realizaron poco después del sismo, y se documentaron las estructuras de licuación y remoción en masa a través de observaciones directas, fotografías digitales, localización con GPS (Global Positioning System) y confección de un inventario, entre otros métodos. Este procedimiento permite validar un protocolo para futuras aplicaciones en la estimación de intensidades sísmicas para áreas escasamente pobladas. Adicionalmente, se busca confirmar la importancia científica y cultural de estas efímeras estructuras como activos que podrían protegerse y así contribuir al desarrollo regional.

ABSTRACT The present study aims to analyze pottery as a cultural manifestation of the Huancas community. For this purpose, data were collected in situ on the characteristics of Huancas pottery: forms, techniques and ornamental motifs, highlighting the tradition and cultural identity they express. This is basic descriptive research, which used a questionnaire as an instrument to collect information from a sample of 35 people linked to the pottery activity in the community of Huancas. This study aims to analyze pottery as a cultural manifestation within the community of Huancas. The results revealed that pottery in this community constitutes a fundamental element of women's cultural heritage, transmitted from generation to generation. Notably, 59% of the craftswomen acquire their knowledge from their mothers, while 13% inherit it from their grandmothers, highlighting the relevant contribution of the female gender to the continuity of this craft tradition. The ceramic objects produced are mostly utilitarian, including pots, flowerpots and vases, as well as the so-called "chochos", large vessels for storing water or guarapo. Beyond its role in affirming cultural identity, Huancas pottery also acts as a driver of tourism, fostering local economic development and the preservation of cultural heritage. This study underlines the need for an integral management to guarantee the preservation and sustainable promotion of the pottery activity in Huancas, positioning it as an attractive tourist destination for the benefit of the community.

RESUMEN Este estudio tiene como objetivo analizar la alfarería como manifestación cultural de la comunidad de Huancas. Se recogieron datos in situ sobre las características de la cerámica Huancas: formas, técnicas y motivos ornamentales, destacando la tradición y la identidad cultural que expresan. Se trata de una investigación básica de tipo descriptivo, que empleó el cuestionario como instrumento de recolección de información a una muestra de 35 personas vinculadas a la actividad alfarera en la comunidad de Huancas. Los resultados revelaron que la alfarería en esta comunidad constituye un elemento fundamental del patrimonio cultural femenino, transmitido de generación en generación. Notablemente, el 59% de las artesanas adquieren sus conocimientos de sus progenitoras, mientras que un 13% los heredan de sus abuelas, destacando la relevante contribución del género femenino a la continuidad de esta tradición artesanal. Los objetos cerámicos producidos son mayormente utilitarios, incluyendo ollas, macetas y floreros, así como los denominados "chochos", grandes vasijas para almacenar agua o guarapo. Más allá de su función en la afirmación de la identidad cultural, la alfarería de Huancas también actúa como un impulsor del turismo, fomentando el desarrollo económico local y la preservación del patrimonio cultural. Este estudio subraya la necesidad de una gestión integral para garantizar la preservación y promoción sostenible de la actividad alfarera en Huancas, posicionándola como un atractivo destino turístico en beneficio de la comunidad.

Abstract This article investigates the processes of reconfiguration and perception of childhood vaccination against COVID-19 in Brazil and childcare in the post-pandemic context. Through ethnography in digital environments, we analyze the arguments used to question the vaccine across four platforms (Telegram, Twitter, YouTube, and Instagram). Thus, we seek to understand individuals’ perceptions of the safety and risks of the vaccine, how the reconfiguration of childhood vaccination culture occurs in Brazil, and how this resonates in other instances of social life. We observe that arguments used to reject the vaccine have been employed in previous health emergencies (such as HPV and H1N1), emphasizing a strong appeal for freedom, the preservation of individual rights, and positioning the child as the family’s responsibility, excluding the State from this role. COVID19 COVID 19 COVID-1 postpandemic post pandemic context environments Telegram, Telegram (Telegram Twitter YouTube Instagram. Instagram . Instagram) Thus individuals life such H1N1, H1N1 HN , H N H1N1) freedom rights familys family s responsibility role COVID1 1 COVID- H1N

Resumo Este artigo investiga os processos de reconfiguração e percepção da vacinação infantil contra Covid-19 no Brasil e o cuidado da criança no pós-pandemia. Por meio da etnografia em ambientes digitais, analisamos os argumentos utilizados para questionar a vacina a partir de quatro campos (Telegram, Twitter, YouTube e Instagram). Com isso, buscamos compreender qual é a percepção dos indivíduos em relação à segurança e os riscos do imunizante, como se dá a reconfiguração da cultura da vacinação infantil no Brasil e como isso acaba reverberando em outras instâncias da vida social. Observamos que os argumentos apresentados pelos indivíduos para negar a vacina já foram utilizados em emergências sanitárias anteriores (como o HPV e a H1N1) e possuem um forte apelo por liberdade e pela manutenção dos direitos individuais, além de colocar a criança como responsabilidade da família, não cabendo esse papel ao Estado. Covid19 Covid 19 Covid-1 póspandemia. póspandemia pós pandemia. pandemia pós-pandemia digitais Telegram, Telegram (Telegram Twitter Instagram. Instagram . Instagram) imunizante social H1N1 HN H N individuais família Estado Covid1 1 Covid- H1N