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The efficient recognition of symptoms in viral infections holds promise for swift and precise diagnosis, thus mitigating health implications and the potential recurrence of infections. COVID-19 presents unique challenges due to various factors influencing diagnosis, especially regarding disease symptoms that closely resemble those of other viral diseases, including other strains of SARS, thus impacting the identification of useful and meaningful symptom patterns as they emerge in infections. Therefore, this study proposes an association rule mining approach, utilising the Apriori algorithm to analyse the similarities between individuals with confirmed SARS-CoV-2 diagnosis and those with unspecified SARS diagnosis. The objective is to investigate, through symptom rules, the presence of COVID-19 patterns among individuals initially not diagnosed with the disease. Experiments were conducted using cases from Brazilian SARS datasets for São Paulo State. Initially, reporting percentage similarities of symptoms in both groups were analysed. Subsequently, the top ten rules from each group were compared. Finally, a search for the top five most frequently occurring positive rules among the unspecified ones, and vice versa, was conducted to identify identical rules, with a particular focus on the presence of positive rules among the rules of individuals initially diagnosed with unspecified SARS.

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BACKGROUND: There has been debate over whether the existing World Health Organization (WHO) criteria accurately represent the severity of maternal near misses. OBJECTIVE: This study assessed the diagnostic accuracy of two WHO clinical and laboratory organ dysfunction markers for determining the best cutoff values in a Latin American setting. METHODS: A prospective multicenter cohort study was conducted in five Latin American countries. Patients with severe maternal complications were followed up from admission to discharge. Organ dysfunction was determined using clinical and laboratory data, and participants were classified according to severe maternal outcomes. This study compares the diagnostic criteria of Latin American Centre for Perinatology, Network for Adverse Maternal Outcomes (CLAP/NAMO) to WHO standards. RESULTS: Of the 698 women studied, 15.2% had severe maternal outcomes. Most measured variables showed significant differences between individuals with and without severe outcomes (all P-values <0.05). Alternative cutoff values suggested by CLAP/NAMOs include pH ≤7.40, lactate ≥2.3 mmol/L, respiratory rate ≥ 24 bpm, oxygen saturation ≤ 96%, PaO2/FiO2 ≤ 342 mmHg, platelet count ≤189 × 109 × mm3, serum creatinine ≥0.8 mg/dL, and total bilirubin ≥0.67 mg/dL. No significant differences were found when comparing the diagnostic performance of the CLAP/NAMO criteria to that of the WHO standards. CONCLUSION: The CLAP/NAMO values were comparable to the WHO maternal near-miss criteria, indicating that the WHO standards might not be superior in this population. These findings suggest that maternal near-miss thresholds can be adapted regionally, improving the identification and management of severe maternal complications in Latin America.

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Costa Rica emerged from the seas as a new geological territory during the Miocene as an insular archipelago. It later became part of a continental area once it became a segment of Central America. Two dung beetle genera that colonized this new territory from South and North America, Canthidium and Onthophagus (Coleoptera: Scarabaeidae: Scarabaeinae), are here studied, in the first analysis of a volcanic paleo-archipelago, colonized from its emergence, and then later becoming terra firma. To assess their biodiversity distribution patterns, we analyzed the effect of biogeography, ecosystem origins, and body size on their altitudinal distribution patterns in three geographic basins of Costa Rica. Based on 32 years of collecting representing more than 158,000 specimens from 1017 localities, we undertook Generalized Linear Models of the two dung beetle genera to assess the effects of biodiversity and biogeographical distribution patterns. Canthidium and Onthophagus species ranged from 0 to 3000 m a.s.l., with an abrupt diversity decline at altitudes above 1500 m. Endemic species tended to show a higher altitudinal mean with a narrow altitudinal band distribution than non-endemic dung beetle species. Although there was a trend of decreasing species body size with the increase in altitude, such a trend depended on the distribution pattern of the species group. This possible insular-mediated endemicity mechanism has generated baffling biodiversity levels, considered the highest worldwide per unit area. Costa Rica is an expanse represented by a geographic overlap of two or more temporally disjunct areas and is not part of a natural transition zone. The effect of the insular Miocene origin of Costa Rica still pervades today, reflected by different insular syndromes shown by the dung beetle fauna. The importance of geological origins in generating biodiversity seems to have been an underrated criterion for conservation biology practices and should be considered ex officio.

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Bergmann's and Allen's rules are two classic ecogeographic rules concerning the physiological mechanisms employed by endotherm vertebrates for heat conservation in cold environments, which correlate with adaptive morphological changes. Thus, larger body sizes (Bergmann's rule) and shorter appendages and limbs (Allen's rule) are expected in mammals inhabiting cold environments (higher latitudes). Both rules may also apply to elevational gradients, due to the decrease in external temperature as elevation increases. In this study, we evaluated whether these patterns were true in two coexisting sigmodontine rodents across an elevational gradient in central Chile. We analyzed whether the size of the skull, body, and appendages of Abrothrix olivacea (n = 70) and Phyllotis darwini (n = 58) correlated with elevation, as predicted by these rules in a range between 154 and 2560 m. Our data revealed weak support for the Bergmann and Allen predictions. Moreover, we observed opposite patterns when expectations of Bergmann's rules were evaluated, whereas Allen's rule just fitted for ear size in both rodent species. Our results suggest that morphological changes (cranial, body, and appendage sizes) may play a minor role in the thermoregulation of these two species at high elevations, although behavioral strategies could be more critical. Other ecological and environmental variables could explain the morphological trends observed in our study. These hypotheses should be assessed in future studies to consider the relative contribution of morphology, behavior, and physiological mechanisms to the thermal adaptation of these two rodent species at high elevations.

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The converse Bergmann's rule is a pattern of body size variation observed in many ectothermic organisms that contradicts the classic Bergmann's rule and suggests that individuals inhabiting warmer climates tend to exhibit larger body sizes compared to those inhabiting colder environments. Due to the thermoregulatory nature of Bergmann's rule, its application among ectotherms might prove to be more complicated, given that these organisms obtain heat by absorbing it from their habitat. The existence of this inverse pattern therefore challenges the prevailing notion that larger body size is universally advantageous in colder climates. Ceroglossus chilensis is a native Chilean beetle that has the largest latitudinal range of any species in the genus, from 34.3° S to 47.8° S. Within Chile, it continuously inhabits regions extending from Maule to Aysen, thriving on both native and non-native forest species. Beyond their remarkable color variation, populations of C. chilensis show minimal morphological disparity, noticeable only through advanced morphological techniques (geometric morphometrics). Based on both (1) the "temperature-size rule", which suggests that body size decreases with increasing temperature, and (2) the reduced resource availability in high-latitude environments that may lead to smaller body sizes, we predict that C. chilensis populations will follow the converse Bergmann's rule. Our results show a clear converse pattern to the normal Bergmann rule, where smaller centroid sizes were found to be measured in the specimens inhabiting the southern areas of Chile. Understanding the prevalence of the converse Bergmann's rule for ectotherm animals and how often this rule is broken is of utmost importance to understand the underlying mechanisms allowing organisms to adapt to different environments and the selective pressures they face.

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Introducción: una nueva metodología para el empleo del análisis estadístico implicativo contextualizado a las investigaciones médicas de causalidad brinda reglas y meta-reglas que deben corresponderse con la práctica médica, lo cual se desconoce. Objetivo: evaluar la calidad de las reglas derivadas de la aplicación del análisis estadístico implicativo en las investigaciones médicas de causalidad. Métodos: se realizó un estudio observacional con la aplicación de técnicas cualitativas de tipo criterio de expertos. Los 33 expertos de mayor puntuación emitieron su juicio, mediante una escala Likert de cinco puntos, acerca de la frecuencia con que se cumplen en la práctica médica 23 reglas derivadas de la aplicación del análisis estadístico implicativo en tres estudios para la identificación de factores pronósticos en cáncer de mama. Las opiniones se procesaron mediante el método Delphi en dos rondas y se trianguló con la validez racional de estas reglas. Resultados: los expertos consideraron que cerca del 74 % de las reglas se cumplen en la práctica médica siempre o frecuentemente y sólo una regla resultó absurda. En la segunda ronda se trataron las tres reglas en las que no existió un acuerdo perfecto, en la cual se ratificó una regla como absurda y aumentó el nivel de acuerdo. La triangulación permitió encontrar contradicciones literatura-experto que facilitaron la identificación de problemas en la redacción de la interpretación de las reglas. Conclusiones: las reglas evaluadas reflejan, en general, lo que ocurre en la práctica médica y aquellas que resultan absurdas alertan al investigador sobre un posible sesgo de confusión.

Introduction: A new methodology for the use of contextualized statistical implicative analysis in causality medical research provides rules and meta-rules that must correspond to medical practice, which is unknown. Objective: To evaluate the quality of the rules derived from the application of the statistical implicative analysis in causality medical research. Methods: An observational study was carried out applying qualitative techniques based on expert judgement. Using a five-point Likert scale, the 33 experts with the highest score expressed their judgment about the frequency of the fulfilment of the 23 rules derived from the application of the statistical implicative analysis in three studies in order to identify prognostic factors for breast cancer. Opinions were processed using the two-round Delphi method, and the rational validity of these rules was triangulated. Results: The experts considered that about 74% of the rules are always or frequently followed in medical practice; only one rule was absurd. In the second round, the three rules in which there was no perfect agreement were discussed; one rule was ratified as absurd and there was an increase in the level of agreement. The triangulation allowed us to find contradictions between literature and experts, which facilitated the identification of problems in the drafting of the interpretation of the rules. Conclusions: The rules evaluated generally reflect what happens in medical practice and those that are absurd warn the researcher about the possibility of a confusion bias.

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OBJECTIVE: We describe awareness about the modified "public charge" rule among Oregon's Mexican-origin Latino/a population and whether concerns about the rule influenced disenrollment from state-funded programs, which do not fall under the public charge. METHODS: We conducted a cross-sectional survey of adults (ages 18-59) recruited at the Mexican consulate and living in the state of Oregon. Our outcomes were awareness (of the public charge, source of knowledge, and confidence in knowledge of the public charge) and disenrolling self or family members from state-funded public healthcare programs due to concerns about the rule. We described outcomes and used logistic regression and calculated adjusted probabilities to identify factors associated with awareness of the public charge. RESULTS: Of 498 Latino/a respondents, 48% reported awareness of the public charge. Among those who knew about the public charge, 14.6% had disenrolled themselves or family members from public healthcare programs and 12.1% were hesitant to seek care due to concerns about the public charge. Younger respondents had a lower adjusted probability of awareness of the public charge (18-24 years: 15.6% (95% CI 3.1-28.2); 30-39 years 54.9% (95% CI 47.7-62.0). Higher education was associated with a higher adjusted probability of awareness of the public charge; ability to speak English was not associated with awareness of the public charge. CONCLUSION: Our study reveals limited awareness about the public charge among Mexican-origin Oregon Latino/as. Outreach and advocacy are essential to ensure Latino/as know their rights to access available state-funded healthcare programs.

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We study the Galam majority rule dynamics with contrarian behavior and an oscillating external propaganda in a population of agents that can adopt one of two possible opinions. In an iteration step, a random agent interacts with three other random agents and takes the majority opinion among the agents with probability p(t) (majority behavior) or the opposite opinion with probability 1-p(t) (contrarian behavior). The probability of following the majority rule p(t) varies with the temperature T and is coupled to a time-dependent oscillating field that mimics a mass media propaganda, in a way that agents are more likely to adopt the majority opinion when it is aligned with the sign of the field. We investigate the dynamics of this model on a complete graph and find various regimes as T is varied. A transition temperature Tc separates a bimodal oscillatory regime for TTc in which m oscillates around zero. These regimes are characterized by the distribution of residence times that exhibit a unique peak for a resonance temperature T*, where the response of the system is maximum. An insight into these results is given by a mean-field approach, which also shows that T* and Tc are closely related.

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This study examines how two popular drug-likeness concepts used in early development, Lipinski Rule of Five (Ro5) and Veber's Rules, possibly affected drug profiles of FDA approved drugs since 1997. Our findings suggest that when all criteria are applied, relevant compounds may be excluded, addressing the harmfulness of blindly employing these rules. Of all oral drugs in the period used for this analysis, around 66 % conform to the RO5 and 85 % to Veber's Rules. Molecular Weight and calculated LogP showed low consistent values over time, apart from being the two least followed rules, challenging their relevance. On the other hand, hydrogen bond related rules and the number of rotatable bonds are amongst the most followed criteria and show exceptional consistency over time. Furthermore, our analysis indicates that topological polar surface area and total count of hydrogen bonds cannot be used as interchangeable parameters, contrary to the original proposal. This research enhances the comprehension of drug profiles that were FDA approved in the post-Lipinski period. Medicinal chemists could utilize these heuristics as a limited guide to direct their exploration of the oral bioavailability chemical space, but they must also steer the wheel to break these rules and explore different regions when necessary.

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Bergmann's rule relates the trend of increasing body size with higher latitudes, where colder climates are found. In the Mexican Pacific, three marine ecoregions are distinguishable across a latitudinal gradient. Stenoplax limaciformis is an abundant chiton species that is distributed on rocky shores in these ecoregions. Geometric morphometric analyses were performed to describe the shape and size variation of S. limaciformis between marine ecoregions that vary in sea surface temperature with latitude, thus testing Bergmann's rule. Individuals' body shape ranged from elongated to wide bodies. Although there was variation in chitons' body shape and size, the was no evidence of allometry among localities. The Gulf of California is the northernmost ecoregion evaluated in this work, where larger chitons were observed and lower sea surface temperature values were registered. The results suggest that S. limaciformis follows a trend to Bergmann's rule, such as endotherms. These mollusks do not need heat dissipation, but they do need to retain moisture. In addition, larger chitons were observed in zones with high primary productivity, suggesting that chitons do not delay their maturation due to food shortage.

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En Cuba, el acceso a los servicios farmacéuticos por parte de la población se ve afectado por la no disponibilidad de medicamentos y la lejanía de las farmacias. La falta de información acerca de la existencia de los medicamentos y la cantidad de estos en la red de farmacias cercanas a una ubicación geográfica, aparejados al poco suministro de medicamentos y la calidad de la prestación del servicio, genera descontento e inconformidad en la población. En la presente investigación se realiza un diseño para mejorar la problemática planteada a partir de un sistema basado en reglas como ayuda a la toma de decisiones para la obtención de los medicamentos por parte de la población. Se aplica un estudio de caso mediante el cual es posible sugerir al usuario las 5 farmacias más cercanas donde el paciente puede adquirir los medicamentos sobre las decisiones asumidas.

In Cuba, access to pharmaceutical services by the population is affected by the non-availability of medicines and the remoteness of pharmacies. The lack of information about the existence of medicines and the quantity of these in the network of pharmacies close to a geographical location, coupled with the low supply of medicines and the quality of service provision, generates discontent and nonconformity in the population. In the present investigation, a design is carried out to improve the problem raised from a system based on rules as an aid to decision-making to obtain medicines by the population. A case study is applied through which it is possible to suggest to the user the 5 closest pharmacies where the patient can acquire the medicines on the decisions made.

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Reducir, reutilizar y reciclar, "regla de las tres R", son estrategias que promueven una actitud responsable hacia el medioambiente y contribuyen al desarrollo sostenible. El objetivo de esta revisión fue analizar las publicaciones científicas generadas en Chile en el área de las pérdidas y desperdicios de alimentos (PDA), con enfoque en su cuantificación y basadas en "la regla de las tres R". Se realizó una búsqueda de literatura en tres bases de datos: Web of Science, Pubmed y Scopus. Los artículos originales seleccionados se clasificaron según tipo de acción, etapa de la cadena de suministro de alimentos, grupo de alimentos, cuantificación de PDA y tipo de estrategia (reducción, reutilización o reciclaje). Se encontraron 5 artículos de revisión y 31 artículos originales. La revalorización de subproductos agroindustriales fue la principal acción involucrada en los estudios de PDA (n= 22). El tipo de subproducto también fue analizado, y se encontró que los compuestos fenólicos provenientes de frutales son los más estudiados. Solo el 32% (12/31) de los artículos reportaron información sobre cuantificación de PDA. La revalorización de subproductos sumada a la recuperación de alimentos para producción de energía (n= 4) y de compostaje (n= 2) hacen que el reciclaje sea la estrategia más investigada. Estos antecedentes evidencian la necesidad de complementar la investigación nacional a nivel de acciones que apunten más hacia la reducción y reutilización de PDA y su cuantificación. Este conocimiento permitirá establecer líneas base y planes de monitoreo que contribuyan al cumplimiento de los Objetivos de Desarrollo Sostenible en Chile.

Reduce, reuse, and recycle "the 3Rs rule" are strategies that promote a responsible attitude towards the environment and contribute to sustainable development. The objective of this review was to analyze the scientific publications generated in Chile in the area of food loss and waste (FLW), with a focus on its quantification and based on "the 3Rs rule". A literature search was carried out in three databases: Web of Science, Pubmed, and Scopus. The selected original articles were classified according to the type of action, stage of the food supply chain, food group, FLW quantification, and type of strategy (reduction, reuse, or recycling). Five review articles and 31 original articles were found. The revalorization of agro-industrial by-products was the main initiative involved in the FLW studies (n= 22). The type of by-product was also analyzed, and it was found that the phenolic compounds from fruits are the most studied. Only 32% (12/31) of the articles reported information on FLW quantification. The revalorization of by-products added to food recovery for energy production (n= 4) and composting (n= 2) make recycling the most researched strategy. These antecedents show the need to complement the national research at the level of actions that point more towards reducing and reusing of FLW and its quantification. This knowledge will allow the establishment of baselines and monitoring plans that contribute to the fulfillment of the Sustainable Development Goals in Chile.

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Studying relating of relational networks is a complex and challenging task. The main objective of the present study was to demonstrate relating within and across relational networks based on same/opposite and bigger/smaller contextual cues and establish antecedent control. After nonarbitrary pretraining of the contextual cues, two nonsense stimulus classes were established based on comparative relations. Participants were trained to select stimuli from an array of options based on a symbolic rule that established a relation between two stimuli: one of Network 1 and one of Network 2. Training involved relating Network 1 to Network 2, and testing assessed relating Network 2 to Network 1. Seven of eight participants reached the mastery criterion in training and responded accordingly in test. In a final stage, reinforcing and punishing consequences were varied systematically in the presence of two novel stimuli and antecedent control was observed for all 7 participants. Experiment 2 replicated the results of Experiment 1 but using contextual cues taken from natural language, and Experiment 3 sought to understand the effects of pretraining relational responding using natural language. The mastery criteria were reached by four of seven participants in Experiment 2 and by all eight participants in Experiment 3. Future studies could develop and refine the methods employed here in analyzing the relating of relational networks, thus allowing for an increasingly sophisticated behavior-analytic account of human language and cognition.

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Introduction: After the years of lead, as known, the military dictatorship that took part in the country, declaredly contrary to the democratic rule of law that existed in Brazil until then, and that took over power through the use of force between the years 1964 and 1985 , in 1988 the Citizen Constitution was promulgated, the Constitution of the Federative Republic of Brazil of 1988 (CRFB/1988), not without a struggle but as a possible, but not perfect, combination of the democratic and social need that was curbed by conservatism and the roots lying down from dictatorialism and the right-wing vision of the instituted powers of the elite, and that made amnesty possible for coup leaders and dictators, as well as those who fought for the democratic rule of law and for social justice through the widespread use of violence at the time, which became begins with the cowardly coup of 1964. The 1988 Constitution brought to society, on its side, important mechanisms for the protection of individuals and society against the will of the State and of society itself, declared and instituted fundamental rights and created legal instruments for the protection and guarantee of fundamental rights, such as, among many, we can highlight public civil actions, the collective writ of mandamus and popular action. However, social reality depends on the implementation of fundamental rights through the effective action of the State and society, and through the appreciation of democratic institutions, such as the CRFB/1988. On the other hand, the coup and the lack of appreciation for democracy and the democratic rule of law, however, live in the shadows and underworld of violence and fake news more recently, and during the more than thirty years of promulgation of the celebrated Constitution Federal of 1988, the institutions and the constitutionally established democratic regime have been questioned by the coup, of which the dantesque event of the attacks on democracy perpetrated by vandals, possible terrorists and financiers of chaos, and purely coupists, on January 8, 2023, at the headquarters of the three branches of government in Brasília, DF. fundamental rights, occurs with great emphasis in the scope of the realization of these same fundamental rights and affects more seriously, above all, the vulnerable, marginalized population, and the black majority, with a cowardly mechanism of structural racism sedimented over the nation in Brazil and which adds to the lack of appreciation for democracy on the part of the population, and which affects, notably, and with greater gravity the economically needy people who live in poverty.Objective: As a general objective, this manuscript aims to describe important mechanisms achieved for the defense and implementation of fundamental rights based on the Constitution of the Federative Republic of Brazil of 1988.Methods: The present work was developed through bibliographical research, on the conquest of rights inserted in the context of the constitutionality and normative force of the Constitution of the Federative Republic of Brazil of 1988, representative of the sedimentation of democracy in Brazil. The research approach method is deductive.Results: This research describes the evolution of generations of fundamental rights enshrined in the 1988 Constitution of the Federative Republic of Brazil, , among which the current stage of new fundamental rights, resulting from bioethics and technological advances.Conclusion: It is concluded that fundamental rights had a great evolution in a short period of time, notably driven by the barbarism created by the warlike, coup-mongering and dictatorial movements that rested from the 20th century onwards, and notably by the incidence of technological evolution resulting from the advance of science in the same historical period, and which underlie the conquest of rights and the need to implement goals to avoid the social, economic and existential collapse of humanity, with the aim of perpetuating good social coexistence and guaranteeing and promoting the quality of life of people and societies, permeated by rights that are partly individual and partly collective.

Introdução: Após os anos de chumbo, assim conhecida a ditadura militar que tomou parte no país, declaradamente contrária ao Estado de direito democrático que havia no Brasil até então, e que tomou conta do poder pelo uso da força entre os anos de 1964 e 1985, em 1988 foi promulgada a Constituição Cidadã, a Constituição da República Federativa do Brasil de 1988 (CRFB/1988), não sem luta mas como uma conjugação possível, mas não perfeita, da necessidade democrática e social que foi freada pelo conservadorismo e pelas raízes deitadas do ditatorialismo e da visão de direita dos poderes da elite instituídos, e que viabilizaram a anistia aos golpistas e ditadores, bem como aos que lutavam pelo Estado democrático de direito e pela justiça social através do uso disseminado à época da violência, o que se inicia com o golpe covarde de 1964. A Constituição de 1988 trouxe para a sociedade, de seu lado, importantes mecanismos de proteção dos indivíduos e da sociedade contra os arbítrios do Estado e da própria sociedade, declarou e instituiu direitos fundamentais e criou instrumentos legais de proteção e garantia de direitos fundamentais, tais como, dentre vários, podemos destacar as ações civis públicas, o mandado de segurança coletivo e a ação popular. Contudo, a realidade social depende de implementação dos direitos fundamentais pela atuação efetiva do Estado e da sociedade, e através da valorização das instituições democráticas, tal qual o é a CRFB/1988. De outra sorte, o golpismo e a falta de apreço à democracia e ao Estado democrático de direito, no entanto, vive nas sombras e no submundo da violência e das fake news mais recentemente, e durante os mais de trinta anos de promulgação da celebrada e Constituição Federal de 1988, as instituições e o regime democrático constitucionalmente estabelecido vêm sendo questionados pelo golpismo, de que é um ápice o evento dantesco dos atentados à democracia perpetrados por vândalos, possíveis terroristas e financiadores do caos, e puramente golpistas, em 8 de janeiro de 2023, na sede dos três poderes em Brasília, DF. O descumprimento da Lei Maior, seja em eventos pontuais de golpismo, seja na prática cotidiana da vida constitucional em uma sociedade doente e que não se reconhece como parte do sistema democrático e detentora de direitos fundamentais, ocorre com grande destaque no âmbito da efetivação destes mesmos direitos fundamentais e afeta com maior gravidade, sobretudo, a população vulnerável, marginalizada, e de maioria negra, havendo-se no Brasil um mecanismo covarde de racismo estrutural sedimentado sobre a nação e que se soma à falta de apreço pela democracia de parte da população, e que afeta, notadamente, e com maior gravidade as pessoas economicamente necessitadas que vivem em situação de pobreza.Objetivo: Como objetivo geral o presente manuscrito visa descrever importantes mecanismos conquistados para a defesa e implementação de direitos fundamentais sediados na Constituição da República Federativa do Brasil de 1988. Método: Desenvolveu-se o presente trabalho através da pesquisa bibliográfica, sobre a conquista de direitos inseridos no contexto da constitucionalidade e da força normativa da Constituição da República Federativa do Brasil de 1988, representativas da sedimentação da democracia no Brasil. O método de abordagem de pesquisa é o dedutivo.Resultados: Obteve-se nesta pesquisa a descrição da evolução das gerações de direitos fundamentais consagrados na Constituição da República Federativa do Brasil de 1988, dentre os quais destaca-se o estágio atual dos novos direitos fundamentais, decorrentes da bioética e dos avanços tecnológicos e digitais.Conclusão: Conclui-se que os direitos fundamentais tiveram uma grande evolução num curto espaço de tempo, notadamente impulsionados pela barbárie criada pelos movimentos bélicos, golpistas e ditatoriais que refestelam a partir do século XX, e notadamente pela incidência da evolução tecnológica decorrente do avanço da ciência no mesmo período histórico, e que fundamentam a conquista de direitos e a necessidade de implementação de balizas para evitar o colapso social, econômico e existencial da humanidade, com a finalidade de perpetuar o bom convívio social e a garantia e promoção da qualidade de vida das pessoas e das sociedades, permeadas por direitos que são em parte individuais e em parte coletivos.

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Focus group discussions (FGDs) and individual interviews (IIs) with community members are common methods used in evaluations of all kinds of projects, including those in international development. As resources are often limited, evaluators must carefully choose methods that yield the best information for their particular program. A concern with FGDs and IIs is how well they elicit information on potentially sensitive topics; very little is known about differences in disclosure by methodology in the domain of justice. Using FGDs (n = 16) and IIs (n = 46) from a USAID project in Haiti, we systematically coded responses based on a shared elicitation guide around access to and engagement with the formal and informal justice systems and performed thematic and statistical comparisons across the two methods. We introduce the continuous thought as the novel standard unit for statistical comparison. Participants in IIs were statistically more likely to provide themes relevant to genderbased violence. Importantly, sensitive themes extracted in IIs (e.g., related to sexual violence, economic dimensions, and restorative justice) did not emerge in FGDs. Given these results and other limitations to the FGD, prioritizing interviews over focus group modalities may be appropriate to guide targeted, effective programming on justice or other socially sensitive topics.

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Resumen La deuda pública en Colombia entre el periodo de 1990 a 2020 se ha convertido en un eje estructurante de la economía política del país y bajo su manutención se ha generado un sin número de Leyes, Decretos y Normas que han determina do en gran parte las dinámicas de inversión y gasto social. Así mismo, se han su bordinado los derechos de la población colombiana a la estabilidad macroeco- nómica establecida bajo la teoría neoclásica. Si bien la deuda pública tiene una gran relevancia en la configuración del Estado en Colombia, los análisis sobre la problemática de la deuda pública y el servicio de esta es vago y no estructura la crisis fiscal del Estado con la del endeudamiento público, por lo cual en este artí culo se pretende evidenciar la configuración de la deuda pública en los últimos 30 años y su relación con la crisis fiscal del Estado.

Abstract The public debt in Colombia between 1990 and 2020 has become a structuring axis of the country's political economy and under its maintenance has generated a number of laws, decrees, and norms, which have largely determined the dyna mics of investment and social spending. Likewise, the rights of the Colombian population have been subordinated to the macroeconomic stability established under neoclassical theory. Although the public debt has a great relevance in the configuration of the State in Colombia, the analysis of the problem of public debt and its service is vague, and it does not structure the fiscal crisis of the Sta te with that of public indebtedness. Thus, this article aims to show the configu ration of the public debt in the last 30 years and its relationship with the fiscal crisis of the State.

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During the 2021 mass protests in Colombia, and while international calls for the Colombian government to respect human rights were intensifying, Canada's position remained somewhat ambiguous. Part of Canada's ambiguity can be explained by a simplistic characterization of Colombia as a "weak state." This article assesses Canada's bilateral relationship by historizing the development of Colombia's governance in the key overlapping sectors of security, human rights, and natural resources. From extensive fieldwork, we distinguish two competing rationalities based on the articulation of the notions of "conflict" and "dissent" with the notion of the "rule of law." We believe that Canada's bilateral relation with Colombia in the last decades has overlooked the contradictions that exist between democratizing rationalities and antipolitical rationalities. As a result, Canada's foreign policy has been based on an overly simplistic conception of the relationship between development, security, and the rule of law.

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This study aimed to compare the physiological demand between three vs. three small-sided games (SSGs) with (3vs.3WITH) and without (3vs.3WITHOUT) the offside rule, as well as the within- and between-session reliability of this demand. Twenty-four U-17 soccer athletes performed various three vs. three (plus goalkeepers) SSGs with and without the offside rule. The data collection was performed within an eight-week period. Athletes' heart rate was monitored during the SSG. The variables analyzed were the percentage mean heart rate (HRMEAN%) and the percentage peak heart rate (HRPEAK%). For the analysis of within-session reliability, the mean value of the first two and last two SSG bouts performed within one day were used. The between-session reliability was calculated using the mean value of the four SSG bouts of each SSG type performed on two different days. In both SSGs, the values for reliability were significant and were classified as moderate to excellent. There were no significant differences in the physiological demand among SSG types. We concluded that the offside rule does not influence the physiological demand in a three vs. three SSG and the HRMEAN% and HRPEAK% present moderate to excellent reliability in a three vs. three SSG with and without the offside rule.

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Understanding the causes of morphological variation of organisms along climatic gradients has been a central challenge in ecological research. We studied the variation of community weighted mean (CWM) and two functional diversity metrics (Rao-Q and functional richness) computed for five morphological traits of wild bees (Hymenoptera: Apoidea) related to thermal performance (namely body size, relative appendage length and hairiness), at community and interspecific levels, along an elevation gradient in a Mexical-type scrubland. At the community level we found a decreasing CWM of body size pattern with increasing elevation which is consistent with the species-energy theory (and contrary to Bergmann's rule). We also found an increase in the CWM of relative tibia length, which is contrary to Allen's rule. Additionally, we found an increase in the CWM of relative hair length towards high levels of elevation, which would be consistent with the hypothesis that hairiness plays an important role as thermal insulation. We found that functional diversity was larger at low elevations with respect to high elevation for body size and hair length, which could imply that highland communities were more sensitive towards environmental changes than lowland communities. Overall, at intraspecific level, most of species showed no pattern for any of the traits along the elevation gradient. Future research should provide further evidence on the possible behavioral or physiological mechanisms behind it.

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BACKGROUND: Febrile neutropenia (FN) is an early indicator of infection in oncology patients post-chemotherapy. We aimed to determine clinical predictors of septic shock and/or bacteremia in pediatric cancer patients experiencing FN and to create a model that classifies patients as low-risk for these outcomes. METHODS: This is a retrospective analysis with clinical data of a cohort of pediatric oncology patients admitted during July 2015 to September 2017 with FN. One FN episode per patient was randomly selected. Statistical analyses include distribution analysis, hypothesis testing, and multivariate logistic regression to determine clinical feature association with outcomes. RESULTS: A total of 865 episodes of FN occurred in 429 subjects. In the 404 sampled episodes that were analyzed, 20.8% experienced outcomes of septic shock and/or bacteremia. Gram-negative bacteria count for 70% of bacteremias. Features with statistically significant influence in predicting these outcomes were hematological malignancy (P < .001), cancer relapse (P = .011), platelet count (P = .004), and age (P = .023). The multivariate logistic regression model achieves AUROC = 0.66 (95% CI 0.56-0.76). The optimal classification threshold achieves sensitivity = 0.96, specificity = 0.33, PPV = 0.40, and NPV = 0.95. CONCLUSIONS: This model, based on simple clinical variables, can be used to identify patients at low-risk of septic shock and/or bacteremia. The model's NPV of 95% satisfies the priority to avoid discharging patients at high-risk for adverse infection outcomes. The model will require further validation on a prospective population.

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