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MARX E ECOLOGIA: UMA CRITÍCA AO CAPITALISMO VERDE
No full textO presente trabalho analisa o capitalismo verde, ou seja, a face ecológica do capital, que é a tentativa de conciliar o desenvolvimento sustentável com a obtenção de lucro. Ademais, constata-se a impossibilidade do capitalismo de cessar as crises ambientais, não obstante a criação de projetos sustentáveis. Para tanto, a partir do método dedutivo, investiga-se na literatura pertinente a relação do pensamento marxista com a ecologia e, também, a (in)coerência do capitalismo verde com as crises ambientais. Desse modo, mediante uma abordagem marxista sobre a exploração da natureza, o estudo evidencia que a perpetuação dos interesses da burguesia, por meio da alienação, mascara os problemas ambientais, inerentes à lógica do acúmulo de capital, numa tentativa de coadunar princípios de livre mercado com uma exploração sustentável da natureza. Diante disso, chega-se à conclusão de que o capitalismo verde não é capaz de solucionar as crises ambientais, pois resta clara a contradição entre exploração sustentável e sistema capitalista
PREDICTORS OF SUBSTANCE USE AMONG ADOLESCENTS AND YOUNG POPULATION IN SAUDI ARABIA: A SYSTEMATIC REVIEW
No full textSubstance use remains a significant public health concern among adolescents and young people in Saudi Arabia. This systematic review synthesizes available evidence on the prevalence and predictors of substance use in this population. It critically appraises study quality to identify gaps and future research needs. Following PRISMA guidelines, a systematic search of PubMed, ScienceDirect, and Google Scholar was conducted for English- and Arabic-language articles published between 2015 and 2025. Eligible studies were independently reviewed and analyzed. Qualitative synthesis generated thematic findings, while meta-analysis estimated pooled prevalence and odds ratios. Study quality was assessed using the Newcastle–Ottawa Scale. A total of 24 studies were included, encompassing psychiatric patients or individuals with Substance Use Disorders (SUDs), students, and population-based samples. The pooled prevalence of substance use was 26.0% (95% CI: 14.5–42.4%) among psychiatric patients and 18.9% (95% CI: 9.2–31.0%) among students. Amphetamines, cannabis, alcohol, and heroin were most common among patients, whereas alcohol, tobacco, hallucinogens, and inhalants predominated among students. Predictors of substance use spanned six domains: demographic factors, comorbidities and psychopathology, smoking behavior, family factors, peer influence, and attitudes toward substance use. Peer influence, smoking, family conflict, and comorbidities consistently increased risk, while parental support was protective. Methodological limitations included a lack of longitudinal designs and theoretical frameworks. These findings inform targeted prevention and policy initiatives addressing youth substance use in Saudi Arabia
ENHANCİNG PERSON-ORGANİZATİON FİT THROUGH WORKPLACE SPİRİTUALİTY
No full textWorkplace spirituality is a concept that expresses spiritual needs and values of employees at work. On the other hand, person-organization fit refers to the harmony between the employee\u27s individual values and the organizational culture and goals. In this study, the relationship between workplace spirituality and person-organization fit was examined. When creating the research model of this study, it is thought that employees\u27 giving importance to moral values at work contributes to their greater commitment to the organization and their motivation for their work. Therefore, it is suggested that there can be a positive relationship between workplace spirituality, person-organization fit and job security. Hence, in this study we will discuss both of these concepts; workplace spirituality and person-organization fit and we will reveal the findings of our field study regarding our research model. Findings of the research showed that practices related to spiritual values in the workplace can increase person-organization fit and job securit
NIVEL DE CONOCIMIENTOS DE SIGNOS DE ALARMA Y PREVENCIÓN DEL DENGUE EN POBLACIÓN URBANA
No full textIntroducción: el dengue es una enfermedad que afecta a diversos grupos etarios, con un comportamiento predecible con amplitud sintomatológica. Objetivo: determinar el nivel de conocimientos de signos de alarma y prevención del dengue en población urbana. Métodos: estudio observacional, cuantitativo, descriptivo y transversal, en 2,930 viviendas, con muestreo no probabilístico por conveniencia en una muestra de 389 viviendas, y confianza del 95%. Se aplicó el instrumento nivel de conocimientos en pobladores sobre dengue, signos de alarma y prevención en un distrito de reciente brote de dengue, apegado a diversos principios éticos. El análisis de datos se realizó con el programa SPSS v27.0, empleando una estadística descriptiva, pruebas de normalidad (Kolmogórov-Smirnov) y correlación (Rho Spearman). Resultados: a partir del análisis estadístico se identificó que la mayoría de la población (52,4 %) presentan un nivel de conocimientos generales de signos de alarma y prevención del dengue bajos. Conclusión: se determinó que el nivel de conocimientos de signos de alarma y prevención del dengue en población urbana de la colonia El Espinal en Orizaba, Veracruz, México, es bajo. Se evidencia la necesidad de implementar estrategias de educación en salud eficaces, accesibles y dirigidas especialmente a los sectores con menor información sobre el dengue
IMPACTO DO DELIRIUM PÓS-OPERATÓRIO NO TEMPO DE INTERNAÇÃO E MORTALIDADE HOSPITALAR
No full textO delirium pós-operatório representa uma das complicações neuropsiquiátricas mais graves em ambientes cirúrgicos, associando-se a desfechos clínicos desfavoráveis. O presente estudo investigou, via revisão integrativa, a correlação entre a falência cerebral aguda e indicadores de eficiência hospitalar. As evidências demonstram que a ocorrência de episódios confusionais agudos triplica o risco de mortalidade hospitalar e amplia a permanência no leito em até sete dias. Fatores como a neuroinflamação e a sedação excessiva emergem como gatilhos modificáveis. A análise crítica revela que o ônus econômico e a perda de autonomia funcional pós-alta são consequências diretas da falta de protocolos profiláticos estruturados. Conclui-se que o diagnóstico precoce e a intervenção multidisciplinar são determinantes para mitigar o impacto do delirium na sobrevida e na sustentabilidade dos sistemas de saúde
PATTERNS OF COOPERATION BETWEEN THE GOVERNMENT AND BUSINESS ENTITIES AT THE REGENCY/CITY LEVEL: A LEGAL AND POLICY STUDY IN INDONESIA
No full textInfrastructure development at the district/city levels faces challenges due to fiscal constraints and increasing demand for public services. The Government-Business Cooperation Scheme (KPBU) has emerged as an innovative financing alternative that enables risk-sharing, mobilises private capital, and increases project management efficiency. This article examines the pattern of cooperation between the government and business entities from a legal and policy perspective in Indonesia, by reviewing the evolution of regulations, from the national framework, such as Presidential Regulation No. 38 of 2015, to local government regulations under Law No. 23 of 2014. The analysis highlights aspects of value for money, risk allocation, the certainty of return on investment, and the government\u27s position as a legal subject in public-private contracts. In addition, theoretical implications are discussed through classical and contemporary contract law approaches and a utilitarian perspective in assessing the policy\u27s benefits. The findings show that the success of PPPs in the regions is largely determined by legal certainty, institutional capacity, procurement transparency, and harmonisation of regional development planning. With accountable governance oriented towards the public interest, PPPs have the potential to become a strategic instrument for accelerating sustainable infrastructure development and improving community welfare
AVALIAÇÃO DA QUALIDADE, EFETIVIDADE E IMPACTO DO PRONTUÁRIO ELETRÔNICO DO CIDADÃO (PEC/E-SUS APS) NA PRODUÇÃO DE INDICADORES EPIDEMIOLÓGICOS E NA TOMADA DE DECISÃO EM SAÚDE PÚBLICA NO SUS
No full textA informatização da Atenção Primária à Saúde tem se consolidado como estratégia fundamental para o fortalecimento do Sistema Único de Saúde, especialmente no que se refere à qualificação da informação e ao aprimoramento dos processos decisórios. O presente estudo tem como objetivo analisar a qualidade, a efetividade e os impactos do Prontuário Eletrônico do Cidadão na produção de indicadores e na tomada de decisão em saúde pública. Trata-se de uma pesquisa de abordagem qualitativa, com delineamento descritivo, desenvolvida por meio de revisão bibliográfica fundamentada em artigos científicos, documentos institucionais e normativas ministeriais relacionadas à informatização da Atenção Primária. A análise evidenciou que o uso do prontuário eletrônico favorece a padronização dos dados, amplia a confiabilidade das informações e fortalece a capacidade analítica dos gestores, contribuindo para o planejamento das ações e para a organização do cuidado. Observou-se, contudo, que a efetividade do sistema permanece condicionada à existência de infraestrutura tecnológica adequada, capacitação profissional e governança informacional. Conclui-se que o Prontuário Eletrônico do Cidadão ocupa posição estratégica na consolidação de práticas sanitárias orientadas por evidências, contribuindo para uma gestão mais integrada e responsiva às necessidades da população
GENDER AND DEVELOPMENT FACTORS INFLUENCING THE PERFORMANCE OF POLICEWOMEN IN THE PHILIPPINE NATIONAL POLICE
No full textThis study was initiated to conduct so to determine the gender and development (GAD)-related environmental factors influencing the Philippine National Police (PNP) policewomen\u27s performance with a focus on the Pangasinan Police Provincial Office (PPPO). The study was conceptualized into descriptive-correlational research, and purposive sampling of policewomen of varying ranks equaled 78. Data were gathered through a validated structured survey questionnaire, of which the psychological part of the policewomen answered questions regarding their motivation, value orientation, and aspirations, while their immediate supervisors assessed their subordinates\u27 performances based on six points. Data\u27s statistical treatment involved the utilization of Descriptive statistics, Spearman\u27s rank correlation, and One-way ANOVA. The findings indicated that policewomen were highly ambitious, value-driven, and highly motivated, and among these, aspirations were the strongest. The workers\u27 behavioral aspect came out to be very satisfactory from the supervisors\u27 perspective overall across all concern areas, and specifically relationships within the workplace, personality of the individual, and area of work were referred to. The relationship came out to confirm the hypothesis that four factors, namely, motivation, values, aspirations, and performance, interconnect. The strongest correlation is determined by aspirations (r = 0.45, p < 0.01). But by ANOVA outcomes, no difference between different groups by the rank with regards to GAD factors and performance was found. Moreover, the results heed the importance of the resourceful and motivational dimensions as key drivers that stimulate women\u27s performance in the workforce while, at the same time, recognizing that systemic obstacles hinder the aspirations of being opportunities of leadership. It proposes institutional transformation that will be having gender-responsive systems of evaluation and promotion among its focus areas, thereby empowering policewomen to achieve their full potential. The outcomes of the study contribute significantly to evidence-based policy-making, including gender mainstreaming into law enforcement
METHODOLOGY FOR MANAGING THE COMPETITIVENESS OF THE REGIONAL AGRICULTURAL SECTOR UNDER CONDITIONS OF SYSTEMIC TRANSFORMATIONS
No full textThe purpose of the study is to develop and test a methodology for assessing the competitiveness of the regional agricultural sector and rural areas, taking into account the digitalization factor under conditions of systemic economic transformations. The study employs comparative analysis, an index-based approach, and the method of normalized coefficients. An algorithm for comprehensive competitiveness assessment has been developed, including the calculation of partial, composite, and integral indices based on a set of economic, production, socio-demographic, and digital indicators. The methodology was tested using the example of five leading regions of the Russian Federation in terms of agricultural output. It has been established that the competitiveness of the regional agro-industrial complex is determined not only by financial and economic performance and resource productivity, but also by the level of digital development of the territory. Differentiation of regions according to the integral competitiveness index was identified, which made it possible to determine their strengths and weaknesses across key development factors. It is demonstrated that digitalization acts as a system-forming factor in enhancing the efficiency of agricultural production. The proposed methodology expands existing approaches to assessing the competitiveness of regional agriculture by incorporating digital development indicators. The findings may be used in the formulation of regional strategies for the development of the agro-industrial complex and for ensuring food security
COUNSELOR COMPETENCY IN MANAGING SUICIDE ATTEMPT CASES IN MALAYSIA
No full textThis qualitative case study investigated the competency of 14 Malaysian registered counselors in managing clients with histories of suicide attempts. Participants were selected through snowball sampling based on two criteria: (i) registration with the Board of Counsellors Malaysia with a valid practicing certificate, and (ii) experience conducting at least seven counselling sessions with clients who had previously attempted suicide. Data were collected through in-depth interviews and analysed using ATLAS.ti 9, with thematic analysis applied to interview transcripts to generate themes aligned with the research objectives. The findings identified four main themes and 10 sub-themes related to counsellors’ knowledge and understanding in managing suicidal ideation and suicide attempts. The first theme, knowledge, comprised four sub-themes: counselling ethics, abnormal psychology, contributing factors to suicide attempts, and professional networking. The second theme focused on basic counselling skills and their application. The third theme, experience, included personal experience and the experiences of others. The fourth theme highlighted counsellor attitudes, specifically responsibility and inquisitiveness. These findings offer stakeholders critical insights for improving suicide intervention and counseling effectiveness. Future research should build on this by exploring the lived perspectives of clients with suicidal ideation and prior attempts