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FOCUS ON MANPOWER - Managing Our Civilian Marine Workforce
In: Marine corps gazette: the Marine Corps Association newsletter, Band 87, Heft 2, S. 30
ISSN: 0025-3170
Portuguese-Spanish interfaces: diachrony, synchrony, and contact
In: Issues in Hispanic and Lusophone linguistics 1
Catalyzing coastal management in Kenya and Zanzibar: Building capacity and commitment
Metadata only record ; Site-based projects were initiated in Chawka Bay-Paje, Zanzibar, and Nyali-Bamburi-Shanzu, Kenya, to demonstrate the benefits of an integrated coastal management (ICM) approach for addressing coastal issues such as tourism development and enhancement of resource-dependent village economies in eastern Africa. A two-year, multidonor project used three primary strategies to make rapid, but sustainable, progress toward ICM. These included using interagency government teams for ICM planning, adopting an internationally recognized framework for ICM as a project "road map," and explicitly incorporating capacity-building strategies into all aspects of the project. Within two years, integrated ICM action strategies, prepared through participatory processes, were being implemented at both sites, and both teams were working to expand the scale and scope of ICM in their nation. More importantly, the project helped create committed, capable, interagency groups that continue to work together to address urgent ICM issues.
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Effects of landfill age, climate, and size on leachate from urban waste landfills in Portugal: A statistics and machine learning analysis
In: Waste management: international journal of integrated waste management, science and technology, Band 172, S. 192-207
ISSN: 1879-2456
Inibição do Desejo Sexual: Estudo Descritivo da Ocorrência e Implicação na Disfunção Erétil
In: Revista Brasileira de Sexualidade Humana, Band 3, Heft 1
ISSN: 2675-1194
A inibição do desejo sexual (IDS) implica na diminuição ou extinção do interesse e capacidade de engajamento em atividades sexuais, inclusive com o afastamento de comportamentos sexuais e não aceitação de propostas sexuais. A IDS pode ocorrer junto à disfunção erétil (DE). Objetivando estudar a ocorrência e implicações da IDS do desempenho sexual, analisaram-se retrospectivamente 495 pacientes com queixas de DE. Encontraram-se 21% dos pacientes com IDS. A IDS secundária à DE equi- vale a 90% dos pacientes estudados e era concomitante à ejaculação prematura em 41%. Uma única parceira sexual existia em 95% dos pacientes. A masturbação estava presente em 58%, com freqüência "rara" para 38%; a atividade sexual era nula para 19%, chegando à média de 1,2 relacionamentos sexuais semanais. Estes pacientes tiveram diagnóstico exclusivo psicológico para a DE em 44%, de orgânico em 32% e misto em 24%. A indicação de psicoterapia ocorreu em 70%, com aceitação de 51%, e de prótese peniana (para a DE) em 24%, com aceitação de 14% se não houvesse outra indicação de tratamento concomitante. Aparentemente a IDS encontra-se relacionada com a baixa aceitação da prótese peniana. A IDS deve ser considerada para a melhor prescrição do tratamento da DE, com indicação de psicoterapia breve intensiva para o retomo e desenvolvimento do desejo sexual.
The spatial features of recent crises in a developing country: analysing regional economic resilience for the Brazilian case
In: Regional studies: official journal of the Regional Studies Association, Band 55, Heft 4, S. 693-706
ISSN: 1360-0591
O processo orçamentário e a apuração de custos de produtos e serviços no setor público do Brasil
In: Revista do Serviço Público, Band 59, Heft 3, S. 309-331
ISSN: 2357-8017
O presente artigo aborda a questão da apuração de custos de serviços públicos a partir da perspectiva do processo orçamentário no setor público. Nesse sentido, o objetivo principal do trabalho consiste em explicitar uma sistemática de análise e apuração de custos de serviços públicos que seja adaptada ao processo orçamentário do setor público brasileiro e, assim, contribuir para a obtenção da eficiência alocativa e eficiência operacional. A sistemática de apuração de custos aqui proposta é totalmente compatível com os sistemas gerenciais de informação utilizados pelo Governo e tem baixo custo de operacionalização porque não implica mudanças apreciáveis nos sistemas de informação em uso e na forma de registro das informações na contabilidade pública. Por fim, a sistemática de apuração de custos de serviços públicos proposta atende à Lei de Responsabilidade Fiscal e a complementa quanto à apuração de custos de serviços e produtos do setor público.Palavras-Chave: Processo Orçamentário, Apuração de Custos, Serviços Públicos.
Uncertainty of weight measuring systems applied to weighing lysimeters
In: Computers and Electronics in Agriculture, Band 145, S. 208-216
Effect of COVID-19 pandemic lockdowns on planned cancer surgery for 15 tumour types in 61 countries: an international, prospective, cohort study
Background: Surgery is the main modality of cure for solid cancers and was prioritised to continue during COVID-19 outbreaks. This study aimed to identify immediate areas for system strengthening by comparing the delivery of elective cancer surgery during the COVID-19 pandemic in periods of lockdown versus light restriction. Methods: This international, prospective, cohort study enrolled 20 006 adult (≥18 years) patients from 466 hospitals in 61 countries with 15 cancer types, who had a decision for curative surgery during the COVID-19 pandemic and were followed up until the point of surgery or cessation of follow-up (Aug 31, 2020). Average national Oxford COVID-19 Stringency Index scores were calculated to define the government response to COVID-19 for each patient for the period they awaited surgery, and classified into light restrictions (index 60). The primary outcome was the non-operation rate (defined as the proportion of patients who did not undergo planned surgery). Cox proportional-hazards regression models were used to explore the associations between lockdowns and non-operation. Intervals from diagnosis to surgery were compared across COVID-19 government response index groups. This study was registered at ClinicalTrials.gov, NCT04384926. Findings: Of eligible patients awaiting surgery, 2003 (10·0%) of 20 006 did not receive surgery after a median follow-up of 23 weeks (IQR 16-30), all of whom had a COVID-19-related reason given for non-operation. Light restrictions were associated with a 0·6% non-operation rate (26 of 4521), moderate lockdowns with a 5·5% rate (201 of 3646; adjusted hazard ratio [HR] 0·81, 95% CI 0·77-0·84; p<0·0001), and full lockdowns with a 15·0% rate (1775 of 11 827; HR 0·51, 0·50-0·53; p<0·0001). In sensitivity analyses, including adjustment for SARS-CoV-2 case notification rates, moderate lockdowns (HR 0·84, 95% CI 0·80-0·88; p<0·001), and full lockdowns (0·57, 0·54-0·60; p<0·001), remained independently associated with non-operation. Surgery beyond 12 weeks from diagnosis in patients without neoadjuvant therapy increased during lockdowns (374 [9·1%] of 4521 in light restrictions, 317 [10·4%] of 3646 in moderate lockdowns, 2001 [23·8%] of 11 827 in full lockdowns), although there were no differences in resectability rates observed with longer delays. Interpretation: Cancer surgery systems worldwide were fragile to lockdowns, with one in seven patients who were in regions with full lockdowns not undergoing planned surgery and experiencing longer preoperative delays. Although short-term oncological outcomes were not compromised in those selected for surgery, delays and non-operations might lead to long-term reductions in survival. During current and future periods of societal restriction, the resilience of elective surgery systems requires strengthening, which might include protected elective surgical pathways and long-term investment in surge capacity for acute care during public health emergencies to protect elective staff and services.
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