416 research outputs found

    DECOMPOSIÇÃO DOS FATORES DE CRESCIMENTO PRÓ-POBRE: EVIDÊNCIAS PARA A ZONA RURAL BRASILEIRA

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    O crescimento econômico de longo prazo é condição sine qua non para uma população garantir seu bem-estar e o de suas gerações futuras. Porém, muitas vezes o fluxo de renda em uma economia específica é insuficiente para proporcionar uma vida digna de modo que todos estejam inclusos na sociedade do consumo. Outras vezes há renda suficiente, mas nem toda sociedade se beneficia dos frutos gerados por esta. Este trabalho busca diagnosticar os fatores de crescimento através da decomposição dos índices de pobreza, identificando os fatores que influenciaram o crescimento econômico e a desigualdade de renda no Brasil entre 1995 e 2005. O modelo utilizado permite identificar se o crescimento econômico foi pró-pobre ou não. A análise foi realizada em âmbito nacional, regional e estadual, abrangendo vinte estados e excluindo o Distrito Federal e os estados da região Norte, exceto Tocantins. Os resultados indicam a ocorrência de crescimento pró-pobre na zona rural brasileira para grande maioria dos estados. O Nordeste é a região mais atingida com o fenômeno da pobreza rural, juntamente com a região Norte, a que menos reduziu a sua proporção de pobres, sugerindo a formação de clubes de convergência. Os estados das regiões Sul e Centro-Oeste lideram o ranking de redução de pobreza rural para todos os índices observados. -----------------------------------------------The long-term economic growth is sine qua non condition for ensure population well-being and of their future generations. But often the flow of income in an economy is specific enough to provide a decent life so that everyone is included in the society of consumption. Sometimes there is sufficient income, but not all of society benefits generated by this fruit. This paper seeks diagnosing the factors of growth through decomposition rates of poverty by identifying the factors that influence economic growth in income inequality in Brazil between 1995 and 2005. The model used allows identify whether economic growth was pro-poor or not. The analysis was conducted at the national, regional and state, covering twenty states and excluding the Federal District and the states of the north, except Tocantins. The results indicate the occurrence of pro-poor growth in the rural area to Brazilian great majority of states. The Northeast is the region most affected with the phenomenon of rural poverty, along with the northern region, the least that reduced its proportion of poor, suggesting the formation of clubs for convergence. The states of the South and Central West lead the ranking of reducing rural poverty for all indices observed.Pobreza rural, crescimento pró-pobre, Brasil, Rural poverty, pro-poor growth, Brazil, Community/Rural/Urban Development, Food Security and Poverty,

    Qualidade dos meios de hospedagem cearenses: um estudo baseado nas avaliações do consumidor evidenciadas no site TripAdvisor

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    The general objective of this study was to analyze the influence of two attributes of quality of service evidenced by the TripAdvisor website, for general consumer satisfaction. Sample and composed of 43 places in Ceará that participated in the ranking of the most sought after destinations by tourists, and not in Ceará, constituting a total of 2,293 establishments, whose evaluations were captured by a tracker and later extracted with the use of an analyzer, both executed in Python language. The results generated through quantitative methods. The results suggest that investments in the structure of two rooms, the lack of cleaning service, can increase the satisfaction of two customers, considering that these attributes are, respectively, that they are more likely to influence a customer to give top marks to the establishment. Other experts have shown that the majority of the two establishments with the highest marks are located mainly abroad, with emphasis on Jericoacoara, located in the largest and most populous municipalities, least likely to be recognized with the highest overall satisfaction scores, which guests tend to subscribe to more stringent ones such as spending or time, increasing to assign lower overall satisfaction scores.El objetivo general de este estudio fue analizar la influencia de dos atributos de calidad de servicio evidenciados por el sitio web de TripAdvisor, para la satisfacción general del consumidor. Muestra compuesta por 43 localidades en Ceará que participaron en la clasificación de los destinos más buscados por los turistas, y no en Ceará, lo que constituye un total de 2,293 establecimientos, cuyas evaluaciones fueron capturadas por un rastreador y luego extraídas con el uso de un analizador, ambos ejecutados en lenguaje Python. Los resultados generados a través de métodos cuantitativos. Los resultados sugieren que las inversiones en la estructura de dos habitaciones, la falta de servicio de limpieza, puede aumentar la satisfacción de dos clientes, considerando que estos atributos son, respectivamente, que tienen más probabilidades de influir en un cliente para que otorgue las mejores calificaciones al establecimiento. Otros expertos han demostrado que la mayoría de los dos establecimientos con las calificaciones más altas se encuentran principalmente en el extranjero, con énfasis en Jericoacoara, ubicado en los municipios más grandes y poblados, con menos probabilidades de ser reconocido con los puntajes de satisfacción general más altos, que los huéspedes tienden a suscribir a otros más estrictos, como pasar tiempo o tiempo, aumentando para asignar puntajes de satisfacción general más bajos.O objetivo geral do presente estudo é analisar a influência dos atributos da qualidade do serviço evidenciadas pelo site TripAdvisor, na satisfação geral do consumidor. A amostra é composta por 43 localidades cearenses que participam do ranking de destinos mais procurados pelos turistas no Ceará, constituindo um total de 2.293 estabelecimentos, cujas avaliações foram capturadas por um crawler e, em seguida, extraídas com uso de um parser, ambos executados em linguagem Python. Os resultados gerados por meio de métodos quantitativos. Os resultados sugerem que investimentos na estrutura dos quartos, no atendimento e na limpeza poderiam aumentar a satisfação dos clientes, tendo em vista que são esses atributos, respectivamente, que têm a maior probabilidade de influenciar um cliente a atribuir nota máxima ao estabelecimento. Outros achados mostram que a maioria dos estabelecimentos avaliados com nota máxima estão localizados principalmente no litoral, com destaque para os de Jericoacoara, que hospedagens situadas em municípios mais extensos e populosos têm, em média, menos chances de serem avaliadas com notas máximas de satisfação geral, que os hóspedes tendem a ficar mais rigorosos com o passar o tempo, levando a atribuir notas menores de satisfação geral

    A INFLUÊNCIA DE FATORES INSTITUCIONAIS SOBRE A DIVULGAÇÃO DE INFORMAÇÕES SOCIOAMBIENTAIS NA AMÉRICA LATINA

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    A despeito do crescente volume de pesquisas sobre o desempenho socioambiental corporativo e sua evidenciação, poucos estudos se dedicaram a comparar países latino-americanos, considerando fatores institucionais relativos ao contexto do país e às empresas que neles atuam. Neste contexto, o estudo teve como principal objetivo investigar os determinantes institucionais da divulgação de informações socioambientais de companhias das seis maiores economias da América Latina, a saber, Brasil, México, Argentina, Colômbia, Chile e Peru. Os pressupostos da abordagem do Sistema Nacional de Negócios (SNN) foram tomados de suporte teórico para propor as hipóteses de pesquisa. Os resultados, obtidos junto a uma amostra de 587 empresas presentes no relatório Reports List 2015 da Global Reporting Initiative, evidenciaram (i) a existência de níveis mais elevados de divulgação pelas empresas que atuam no Peru, no Chile e na Argentina, (ii) a influência negativa dos níveis de liberdade econômica, desenvolvimento humano e rigor na aplicação de regulação ambiental, e (iii) a influência positiva do ambiente de governança, do nível de corrupção e da listagem em índices de sustentabilidade sobre a divulgação socioambiental. O estudo contribui para suplantar uma lacuna na literatura empírica ao relacionar fatores institucionais no nível de país e no nível da firma com foco na América Latina. Discutem-se ainda algumas limitações do estudo e oportunidades de futuras pesquisas no campo

    Multidifferential study of identified charged hadron distributions in ZZ-tagged jets in proton-proton collisions at s=\sqrt{s}=13 TeV

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    Jet fragmentation functions are measured for the first time in proton-proton collisions for charged pions, kaons, and protons within jets recoiling against a ZZ boson. The charged-hadron distributions are studied longitudinally and transversely to the jet direction for jets with transverse momentum 20 <pT<100< p_{\textrm{T}} < 100 GeV and in the pseudorapidity range 2.5<η<42.5 < \eta < 4. The data sample was collected with the LHCb experiment at a center-of-mass energy of 13 TeV, corresponding to an integrated luminosity of 1.64 fb1^{-1}. Triple differential distributions as a function of the hadron longitudinal momentum fraction, hadron transverse momentum, and jet transverse momentum are also measured for the first time. This helps constrain transverse-momentum-dependent fragmentation functions. Differences in the shapes and magnitudes of the measured distributions for the different hadron species provide insights into the hadronization process for jets predominantly initiated by light quarks.Comment: All figures and tables, along with machine-readable versions and any supplementary material and additional information, are available at https://cern.ch/lhcbproject/Publications/p/LHCb-PAPER-2022-013.html (LHCb public pages

    Study of the BΛc+ΛˉcKB^{-} \to \Lambda_{c}^{+} \bar{\Lambda}_{c}^{-} K^{-} decay

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    The decay BΛc+ΛˉcKB^{-} \to \Lambda_{c}^{+} \bar{\Lambda}_{c}^{-} K^{-} is studied in proton-proton collisions at a center-of-mass energy of s=13\sqrt{s}=13 TeV using data corresponding to an integrated luminosity of 5 fb1\mathrm{fb}^{-1} collected by the LHCb experiment. In the Λc+K\Lambda_{c}^+ K^{-} system, the Ξc(2930)0\Xi_{c}(2930)^{0} state observed at the BaBar and Belle experiments is resolved into two narrower states, Ξc(2923)0\Xi_{c}(2923)^{0} and Ξc(2939)0\Xi_{c}(2939)^{0}, whose masses and widths are measured to be m(Ξc(2923)0)=2924.5±0.4±1.1MeV,m(Ξc(2939)0)=2938.5±0.9±2.3MeV,Γ(Ξc(2923)0)=0004.8±0.9±1.5MeV,Γ(Ξc(2939)0)=0011.0±1.9±7.5MeV, m(\Xi_{c}(2923)^{0}) = 2924.5 \pm 0.4 \pm 1.1 \,\mathrm{MeV}, \\ m(\Xi_{c}(2939)^{0}) = 2938.5 \pm 0.9 \pm 2.3 \,\mathrm{MeV}, \\ \Gamma(\Xi_{c}(2923)^{0}) = \phantom{000}4.8 \pm 0.9 \pm 1.5 \,\mathrm{MeV},\\ \Gamma(\Xi_{c}(2939)^{0}) = \phantom{00}11.0 \pm 1.9 \pm 7.5 \,\mathrm{MeV}, where the first uncertainties are statistical and the second systematic. The results are consistent with a previous LHCb measurement using a prompt Λc+K\Lambda_{c}^{+} K^{-} sample. Evidence of a new Ξc(2880)0\Xi_{c}(2880)^{0} state is found with a local significance of 3.8σ3.8\,\sigma, whose mass and width are measured to be 2881.8±3.1±8.5MeV2881.8 \pm 3.1 \pm 8.5\,\mathrm{MeV} and 12.4±5.3±5.8MeV12.4 \pm 5.3 \pm 5.8 \,\mathrm{MeV}, respectively. In addition, evidence of a new decay mode Ξc(2790)0Λc+K\Xi_{c}(2790)^{0} \to \Lambda_{c}^{+} K^{-} is found with a significance of 3.7σ3.7\,\sigma. The relative branching fraction of BΛc+ΛˉcKB^{-} \to \Lambda_{c}^{+} \bar{\Lambda}_{c}^{-} K^{-} with respect to the BD+DKB^{-} \to D^{+} D^{-} K^{-} decay is measured to be 2.36±0.11±0.22±0.252.36 \pm 0.11 \pm 0.22 \pm 0.25, where the first uncertainty is statistical, the second systematic and the third originates from the branching fractions of charm hadron decays.Comment: All figures and tables, along with any supplementary material and additional information, are available at https://cern.ch/lhcbproject/Publications/p/LHCb-PAPER-2022-028.html (LHCb public pages

    Measurement of the ratios of branching fractions R(D)\mathcal{R}(D^{*}) and R(D0)\mathcal{R}(D^{0})

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    The ratios of branching fractions R(D)B(BˉDτνˉτ)/B(BˉDμνˉμ)\mathcal{R}(D^{*})\equiv\mathcal{B}(\bar{B}\to D^{*}\tau^{-}\bar{\nu}_{\tau})/\mathcal{B}(\bar{B}\to D^{*}\mu^{-}\bar{\nu}_{\mu}) and R(D0)B(BD0τνˉτ)/B(BD0μνˉμ)\mathcal{R}(D^{0})\equiv\mathcal{B}(B^{-}\to D^{0}\tau^{-}\bar{\nu}_{\tau})/\mathcal{B}(B^{-}\to D^{0}\mu^{-}\bar{\nu}_{\mu}) are measured, assuming isospin symmetry, using a sample of proton-proton collision data corresponding to 3.0 fb1{ }^{-1} of integrated luminosity recorded by the LHCb experiment during 2011 and 2012. The tau lepton is identified in the decay mode τμντνˉμ\tau^{-}\to\mu^{-}\nu_{\tau}\bar{\nu}_{\mu}. The measured values are R(D)=0.281±0.018±0.024\mathcal{R}(D^{*})=0.281\pm0.018\pm0.024 and R(D0)=0.441±0.060±0.066\mathcal{R}(D^{0})=0.441\pm0.060\pm0.066, where the first uncertainty is statistical and the second is systematic. The correlation between these measurements is ρ=0.43\rho=-0.43. Results are consistent with the current average of these quantities and are at a combined 1.9 standard deviations from the predictions based on lepton flavor universality in the Standard Model.Comment: All figures and tables, along with any supplementary material and additional information, are available at https://cern.ch/lhcbproject/Publications/p/LHCb-PAPER-2022-039.html (LHCb public pages

    Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

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    Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10&nbsp;years; 78.2% included were male with a median age of 37&nbsp;years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020

    Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019

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    Background: In an era of shifting global agendas and expanded emphasis on non-communicable diseases and injuries along with communicable diseases, sound evidence on trends by cause at the national level is essential. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) provides a systematic scientific assessment of published, publicly available, and contributed data on incidence, prevalence, and mortality for a mutually exclusive and collectively exhaustive list of diseases and injuries. Methods: GBD estimates incidence, prevalence, mortality, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs) due to 369 diseases and injuries, for two sexes, and for 204 countries and territories. Input data were extracted from censuses, household surveys, civil registration and vital statistics, disease registries, health service use, air pollution monitors, satellite imaging, disease notifications, and other sources. Cause-specific death rates and cause fractions were calculated using the Cause of Death Ensemble model and spatiotemporal Gaussian process regression. Cause-specific deaths were adjusted to match the total all-cause deaths calculated as part of the GBD population, fertility, and mortality estimates. Deaths were multiplied by standard life expectancy at each age to calculate YLLs. A Bayesian meta-regression modelling tool, DisMod-MR 2.1, was used to ensure consistency between incidence, prevalence, remission, excess mortality, and cause-specific mortality for most causes. Prevalence estimates were multiplied by disability weights for mutually exclusive sequelae of diseases and injuries to calculate YLDs. We considered results in the context of the Socio-demographic Index (SDI), a composite indicator of income per capita, years of schooling, and fertility rate in females younger than 25 years. Uncertainty intervals (UIs) were generated for every metric using the 25th and 975th ordered 1000 draw values of the posterior distribution. Findings: Global health has steadily improved over the past 30 years as measured by age-standardised DALY rates. After taking into account population growth and ageing, the absolute number of DALYs has remained stable. Since 2010, the pace of decline in global age-standardised DALY rates has accelerated in age groups younger than 50 years compared with the 1990–2010 time period, with the greatest annualised rate of decline occurring in the 0–9-year age group. Six infectious diseases were among the top ten causes of DALYs in children younger than 10 years in 2019: lower respiratory infections (ranked second), diarrhoeal diseases (third), malaria (fifth), meningitis (sixth), whooping cough (ninth), and sexually transmitted infections (which, in this age group, is fully accounted for by congenital syphilis; ranked tenth). In adolescents aged 10–24 years, three injury causes were among the top causes of DALYs: road injuries (ranked first), self-harm (third), and interpersonal violence (fifth). Five of the causes that were in the top ten for ages 10–24 years were also in the top ten in the 25–49-year age group: road injuries (ranked first), HIV/AIDS (second), low back pain (fourth), headache disorders (fifth), and depressive disorders (sixth). In 2019, ischaemic heart disease and stroke were the top-ranked causes of DALYs in both the 50–74-year and 75-years-and-older age groups. Since 1990, there has been a marked shift towards a greater proportion of burden due to YLDs from non-communicable diseases and injuries. In 2019, there were 11 countries where non-communicable disease and injury YLDs constituted more than half of all disease burden. Decreases in age-standardised DALY rates have accelerated over the past decade in countries at the lower end of the SDI range, while improvements have started to stagnate or even reverse in countries with higher SDI. Interpretation: As disability becomes an increasingly large component of disease burden and a larger component of health expenditure, greater research and developm nt investment is needed to identify new, more effective intervention strategies. With a rapidly ageing global population, the demands on health services to deal with disabling outcomes, which increase with age, will require policy makers to anticipate these changes. The mix of universal and more geographically specific influences on health reinforces the need for regular reporting on population health in detail and by underlying cause to help decision makers to identify success stories of disease control to emulate, as well as opportunities to improve. Funding: Bill & Melinda Gates Foundation. © 2020 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licens

    Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations: A systematic analysis from the Global Burden of Disease Study 2016

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    Background: A key component of achieving universal health coverage is ensuring that all populations have access to quality health care. Examining where gains have occurred or progress has faltered across and within countries is crucial to guiding decisions and strategies for future improvement. We used the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) to assess personal health-care access and quality with the Healthcare Access and Quality (HAQ) Index for 195 countries and territories, as well as subnational locations in seven countries, from 1990 to 2016. Methods Drawing from established methods and updated estimates from GBD 2016, we used 32 causes from which death should not occur in the presence of effective care to approximate personal health-care access and quality by location and over time. To better isolate potential effects of personal health-care access and quality from underlying risk factor patterns, we risk-standardised cause-specific deaths due to non-cancers by location-year, replacing the local joint exposure of environmental and behavioural risks with the global level of exposure. Supported by the expansion of cancer registry data in GBD 2016, we used mortality-to-incidence ratios for cancers instead of risk-standardised death rates to provide a stronger signal of the effects of personal health care and access on cancer survival. We transformed each cause to a scale of 0-100, with 0 as the first percentile (worst) observed between 1990 and 2016, and 100 as the 99th percentile (best); we set these thresholds at the country level, and then applied them to subnational locations. We applied a principal components analysis to construct the HAQ Index using all scaled cause values, providing an overall score of 0-100 of personal health-care access and quality by location over time. We then compared HAQ Index levels and trends by quintiles on the Socio-demographic Index (SDI), a summary measure of overall development. As derived from the broader GBD study and other data sources, we examined relationships between national HAQ Index scores and potential correlates of performance, such as total health spending per capita. Findings In 2016, HAQ Index performance spanned from a high of 97\ub71 (95% UI 95\ub78-98\ub71) in Iceland, followed by 96\ub76 (94\ub79-97\ub79) in Norway and 96\ub71 (94\ub75-97\ub73) in the Netherlands, to values as low as 18\ub76 (13\ub71-24\ub74) in the Central African Republic, 19\ub70 (14\ub73-23\ub77) in Somalia, and 23\ub74 (20\ub72-26\ub78) in Guinea-Bissau. The pace of progress achieved between 1990 and 2016 varied, with markedly faster improvements occurring between 2000 and 2016 for many countries in sub-Saharan Africa and southeast Asia, whereas several countries in Latin America and elsewhere saw progress stagnate after experiencing considerable advances in the HAQ Index between 1990 and 2000. Striking subnational disparities emerged in personal health-care access and quality, with China and India having particularly large gaps between locations with the highest and lowest scores in 2016. In China, performance ranged from 91\ub75 (89\ub71-93\ub76) in Beijing to 48\ub70 (43\ub74-53\ub72) in Tibet (a 43\ub75-point difference), while India saw a 30\ub78-point disparity, from 64\ub78 (59\ub76-68\ub78) in Goa to 34\ub70 (30\ub73-38\ub71) in Assam. Japan recorded the smallest range in subnational HAQ performance in 2016 (a 4\ub78-point difference), whereas differences between subnational locations with the highest and lowest HAQ Index values were more than two times as high for the USA and three times as high for England. State-level gaps in the HAQ Index in Mexico somewhat narrowed from 1990 to 2016 (from a 20\ub79-point to 17\ub70-point difference), whereas in Brazil, disparities slightly increased across states during this time (a 17\ub72-point to 20\ub74-point difference). Performance on the HAQ Index showed strong linkages to overall development, with high and high-middle SDI countries generally having higher scores and faster gains for non-communicable diseases. Nonetheless, countries across the development spectrum saw substantial gains in some key health service areas from 2000 to 2016, most notably vaccine-preventable diseases. Overall, national performance on the HAQ Index was positively associated with higher levels of total health spending per capita, as well as health systems inputs, but these relationships were quite heterogeneous, particularly among low-to-middle SDI countries. Interpretation GBD 2016 provides a more detailed understanding of past success and current challenges in improving personal health-care access and quality worldwide. Despite substantial gains since 2000, many low-SDI and middle- SDI countries face considerable challenges unless heightened policy action and investments focus on advancing access to and quality of health care across key health services, especially non-communicable diseases. Stagnating or minimal improvements experienced by several low-middle to high-middle SDI countries could reflect the complexities of re-orienting both primary and secondary health-care services beyond the more limited foci of the Millennium Development Goals. Alongside initiatives to strengthen public health programmes, the pursuit of universal health coverage hinges upon improving both access and quality worldwide, and thus requires adopting a more comprehensive view-and subsequent provision-of quality health care for all populations
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