bluuebunny/crossref_metadata_2025 huggingface dataset:
Increased Risk of Rehospitalization for Acute Diabetes Complications and Suicide Attempts in Patients With Type 1 Diabetes and Comorbid Schizophrenia
Authors: Goueslard Karine , Petit Jean-Michel , Cottenet Jonathan , Chauvet-Gelinier Jean-Christophe , Jollant Fabrice , Quantin Catherine
Published: August 2018

OBJECTIVE

The aim of this large retrospective cohort study was to estimate the supplementary morbidity and mortality risks conferred by the co-occurrence of schizophrenia among young people with type 1 diabetes.

RESEARCH DESIGN AND METHODS

This nationwide population-based study included individuals aged 15–35 years hospitalized in France for type 1 diabetes from 2009 to 2012 with or without schizophrenia. For assessment of the occurrence of rehospitalization for acute diabetes complications, suicide attempts, and hospital mortality, multivariate logistic regressions and survival analysis adjusted for age, sex, and Charlson comorbidity index scores were performed. The association between hospitalization for suicide attempts and acute diabetes complications was further explored in a survival analysis, with the exposure of acute diabetes complications as a time-dependent covariate.

RESULTS

Among 45,655 individuals aged 15–35 years who were hospitalized for type 1 diabetes, 341 (0.75%) had a previous or contemporary hospitalization for schizophrenia. Within 3 years of follow-up, schizophrenia was associated with increased risks of rehospitalization for hypoglycemia (adjusted odds ratio 3.21 [95% CI 1.99–5.20]), hyperglycemia (7.01 [3.53–13.90]), ketoacidosis (2.01 [1.49–2.70]), and coma (3.17 [1.90–5.27]); hospitalization for suicide attempts (12.15 [8.49–17.38]); and hospital mortality (2.83 [1.50–5.36]). Hospitalization for a suicide attempt was associated with an increased risk of hospitalization for acute diabetes complications independently from schizophrenia (hazard ratio 3.46 [95% CI 2.74–4.38]).

CONCLUSIONS

Patients suffering from the combination of type 1 diabetes and schizophrenia are at increased risk of hospitalization for acute diabetes complications as well as suicide and hospital mortality. These individuals may require specific care programs and close monitoring of mental, somatic, and social health.
Influence of Ambient Temperature and Light-curing Moment on Polymerization Shrinkage and Strength of Resin Composite Cements
Authors: Rohr N , Müller JA , Fischer J
Published: August 2018

Objective:

The purpose of this study was to establish a clinically appropriate light-curing moment for resin composite cements while achieving the highest indirect tensile strength and lowest polymerization shrinkage.

Methods and Materials:

Polymerization shrinkage of seven resin composite cements (Multilink Automix, Multilink Speed Cem, RelyX Ultimate, RelyX Unicem 2 Automix, Panavia V5, Panavia SA plus, VITA Adiva F-Cem) was measured at ambient temperatures of 23°C and 37°C. Testing was done for autopolymerized and light-cured specimens after light application at either 1, 5, or 10 minutes after mixing. Indirect tensile strength of all cements was measured after 24 hours of storage at temperatures of 23°C and 37°C, for autopolymerized and light-cured specimens after light application 1, 5, or 10 minutes after mixing. To illustrate filler size and microstructures, SEM images of all cements were captured. Statistical analysis was performed with one-way ANOVA followed by post hoc Fisher LSD test (α=0.05).

Results:

Final polymerization shrinkage of the resin composite cements ranged from 3.2% to 7.0%. An increase in temperature from 23°C to 37°C as well as the light-curing moment resulted in material dependent effects on the polymerization shrinkage and indirect tensile strength of the cements. Polymerization shrinkage of the cements did not correlate with the indirect tensile strength of the cement in the respective groups. Highest indirect tensile strengths were observed for the materials containing a homogeneous distribution of fillers with a size of about 1 μm (Multilink Automix, Panavia V5, VITA Adiva F-Cem).

Conclusion:

The magnitude of the effect of light-curing moment and temperature increase on polymerization shrinkage and indirect tensile strength of resin composite cements is material dependent and cannot be generalized.
Influence of Shrinkage and Viscosity of Flowable Composite Liners on Cervical Microleakage of Class II Restorations: A Micro-CT Analysis
Authors: Nie J , Yap AU , Wang XY
Published: August 2018

This study determined the influence of shrinkage and viscosity of flowable composite liners on the cervical microleakage of Class II restorations using micro-CT. Seven composites of varying viscosities were selected and included five giomers (Shofu Beautifil II [BF], Flow Plus F00 and F03 [F00 and F03], Flow F02 and F10 [F02 and F10]) and 2 nano-filled composites (3M-ESPE Filtek Z350 [Z350] and Filtek Z350 Flowable [Z350F]). Polymerization shrinkage (n=7) was assessed with the Acuvol volumetric shrinkage analyzer while complex viscosity was determined with the advanced rheometric expansion system at 25°C. Standardized Class II restorations incorporating 1-mm horizontal layers of different flowable liners and 3-mm oblique layers of BF or Z350 were subjected to a silver nitrate test for 24 hours and examined using micro-CT. Microleakage was determined at 0.1-mm intervals from the buccal to lingual surfaces providing 30 sites per specimen and scored accordingly. Statistical analysis was performed with the one-way ANOVA, Kruskal-Wallis test, and Spearman's rho correlation at a significance level of p<0.05. Mean volumetric shrinkage ranged from 5.33±0.17% to 2.35±0.02% for F02 to Z350, respectively. The flowable materials had significantly higher shrinkage than did their sculptable counterparts (BF and Z350). Complex viscosities ranged from 9.65 to 4.20 (Z350 and F10, respectively) at a frequency of 10 rad/s and from 8.16 to 3.28 (Z350 and F03, respectively) for 100 rad/s. Giomer restorations had significantly less leakage than did those restored with nano-filled composites. No microleakage was observed with restorations lined with F02 or F10. The use of flowable liners reduced cervical microleakage of Class II restorations. Interfacial integrity of Class II restorations was significantly correlated with liner viscosity, filler volume, and shrinkage.
A Survey: Attribute Based Encryption for Secure Cloud
Authors: Priya Aayushi , Tiwari Rajeev
Published: August 2018

Cloud computing is an enormous area which shares huge amount of data over cloud services and it has been increasing with its on-demand technology. Since, with these versatile cloud services, when the delicate data stored within the cloud storage servers, there are some difficulties which has to be managed like its Security Issues, Data Privacy, Data Confidentiality, Data Sharing and its integrity over the cloud servers dynamically. Also, the authenticity and data access control should be maintained in this wide environment. Thus, Attribute based Encryption (ABE) is a significant version of cryptographic technique in the cloud computing environment. Public Key Encryption acts as the basic technique for ABE where it provides one to many encryptions, here, the private key of users & the cipher-text both rely on attributes such that, when the set of the attributes of users key matches set of attributes of cipher-text with its corresponding access policy, only then decryption is possible. Thus, an opponent could grant access to the sensitive information that holds multiple keys, if it has at least one individual key for accession. The techniques based on ABE consist of two types: KP-ABE (Key- Policy ABE) where the user’s private key is linked to an access structure (or access policy) over attributes and cipher-text is connected to the set of attributes, and CP-ABE (cipher-text policy ABE) is vice versa. Hence, in this, Review we discuss about the various security techniques and relations based on Attributes Based Encryption, especially, the type KP-ABE over data attributes which explains secured methods & its schemes related to time specifications.
STUDY OF POWER FILTER TOPOLOGIES AND CONTROL MECHANISM
Authors: Prabha Mr. Divya , Jain Prof. Lalit
Published: August 2018

Power system comprises of threenatural / physical characteristics namely voltage,current and frequency. Deviation in these physicalcharacteristics are termed as power quality issues inpower system. Presence of nonlinear current ornonlinear/unbalanced voltages and frequencies aretermed as power quality issue. These (current, voltageand frequencies) deviations result in failure/damageof equipment in power system. Power electronicconverters associated with their nonlinear switchingcharacteristics and high frequency operation are themajor cause for power quality issues. In order toreduce harmonics and improve power quality, HybridActive Power Filter (HAPF) or shunt HAPF can beemployed. The power improvement can be done usingvarious algorithm like RLS algorithm, DC link voltagecontroller, fuzzy logic based hybrid filter.
Global Solar Radiation Analysis of the Modified Savin-Angström Method by using Pyranometers CMP 6 and CMP 11
Authors: Čimo Ján , Novotná Beáta
Published: August 2018

Solar energy is one of the most available energy sources and the most ecological one. Currently, the firm Kipp & Zonen belongs to prominent producer of sensors for measuring global radiation. These sensors are the most used ones in our country and also in network of meteorological measurements of WMO. Therefore, the two types of measuring sensors for global radiation (pyranometer PMP 11, CMP 6) in comparison with the calculation method Savin-Angstrom are analysed. By processing the experimental measurements of global radiation in locality Nitra, there can be observed differences between standard CMP 11 and CMP 6. The measured values by CMP 6 pyranometer in comparison with secondary standard CMP 11 are lower by about 21% to what corresponds to the accuracy level (First Class) of sensor CMP 6. Differences may have been caused by higher aberrance of non-linearity, aberrance at sunrise and sunset i.e. directional errors and also by the fact that sensor CMP 6 is not equipped with integrated temperature compensation. The similar situation was also in the comparison of global radiation, which was calculated according to the modified Savin-Angstrom method and CMP 11. Notional differences were 7% compared with the measured values of CMP 11 standard.
Communication and Information Technology as an “integrator” in the Creation of Environmental Friendly Space
Authors: Hendarti Religiana
Published: August 2018

In general, Information and Communication Technology (ICT) is a technology that is associated with the process and management of information and the
relationships between information and data (communication). This technology has become a media that can help the process of architectural design, ranging from drawing software to the connector between software. This paper explores ICT in the process of architectural design emphasizing on the process of space-creations which are environmentally friendly, and focusing on the eco-friendly of roof element area. This study explains the "inter-relationship" between a software and a design. The case study is used in order to explaininter-connection design of green and solar panel roof of the building. The result of this study is explained in the form of a diagrammatic explanation of the inter-connection between the software and the design that is diffused in a simulation process. Analysis of 'heat transfer' is presented as a series of the inter-connection.
Keywords: Heat transfer, Inter-connection, ICT, Eco-friendly space, Simulation.
Creating Better Space by Virtual Modelling: Using Software Creatively and Intuitively for Exploration and Analysis of Urban Quarters and Estates
Authors: Zahnd Markus
Published: August 2018

Creating urban space is mainly done by shaping buildings, streets and places (squares and courtyards). Its products are results of the outcome of ongoing processes that involve many actors in various ways and different purposes. Some shaping space actors produce it for their own use, but most shaping actions are done for other parties or public usage.
It is hoped that this new applications and even more applications to come will use this powerful and fast modular [indosity] framework. Using the same frame and IT-language (Java/3DJava, that makes it easy for programmers to integrate and standardize urban data). Together they will offer strong support for creating, evaluating and presenting various urban aspects and impacts towards better usage for developing urban quarters and spaces.
Many more case studies within various context and purposes will be needed. Therefore spreading these applications to stakeholders and experts/scholars in the field of urban development will be crucial and partnerships with more institutions for achieving this task are welcomed. It is hoped that these case studies and researches will show, how these applications can be used even more effectively within urban settings and many projects in the future. May it be a great support for its users as they have to deal with complex and interrelated issues of developing urban space for better life for many urban habitants and
communities in time to come.
Generating Sustainable Green Open Space Development in Urban Residential Areas through Community Participation Approach
Authors: Thahir Ady Rizalsyah
Published: August 2018

The increase of urban population is closely interconnected to the demand for living spaces that accommodate various urban activities. When the balance between the need for, and the availability of, such spaces is disturbed, unlivable spaces are generated which would eventually downgrade the quality of urban environment. Bearing in mind the increasing clamor over global warming during the last two decades, Urban Planners should carefully anticipate the issue and put their focus on, and even provoke the creation of Sustainable Green Space Development, including the creation of open green urban spaces. Accommodating the aspirations and participation of citizens, through the application of the development principle based on “from, by and for them”, becomes a most important part of the strategy to achieve sustainable development patterns. The worsening environmental deterioration due to the stakeholders becoming unheedful about the issue should be taken into serious consideration. In the study, observations have been conducted in a descriptive manner by using a non randomized experimental design using control at three neighborhoods in West Jakarta, with one of them being the controller. It was showing that after the first 6 months, the application of green environment approach in the neighborhoods was maintained through self-help and communal actions. Community organizations that have been established on the spirit of mutual co-operation becomes determinative for the success of such sustainable pattern; the sustanability would in phases also improve the people’s economy and their social interaction. The involvement of local governments, the private sector and the community would also greatly influence the creation of Sustainable Green Development Pattern, and should continuously be evaluated and improved for replications in other locations in an ever perfect process.
Keywords: sustainable, green open space, participation, partnership.
Symbolic Meaning of Lamoholot’s Traditional Architecture in Ile Ape, Lembata Island, East Nusa Tenggara
Authors: Kumhan Dionisius Kumhan
Published: August 2018

Besides climate, economic, politic, social and cultural factors, belief/religion factor has an influence on the shape and meaning of traditional house. Lamaholot tribe’s traditional house in Ile Ape, Lembata Island is rich of architectural symbolism. The relation between the shape and the physical symbolic meaning willbe described in this articles. Through qualitative approach, it isfound that the space structure of Lamohot’s traditional house is the manifestation of social stratifications status and community’s belief system, both horizontally and vertically.

Keywords: Shapes, meaning, architecture elements of traditional house, Lamaholot tribe. 
LOCAL WISDOM OF STRUCTURE AND BUILDING SYSTEM TRADITIONAL ARCHITECTURE IN RESPONDING TO NATURE
Authors: Manurung Parmonangan
Published: August 2018

Traditional architecture was built on a tradition inherited from one generation to the next. As a country which has hundreds of tribes, Indonesia has hundreds of traditional architecture designed by the ancestors to fulfill the function as well as responding to natural context. The aim of this research is to find out how the structural and building system traditional architecture in this country respond its natural conditions as the context. The method used is qualitative descriptive with the analysis of some traditional architecture which have been visited and conducted a theory review. The results showed that the traditional architecture in Indonesia had been designed to respond to nature as context. From the discussion, it can be concluded that traditional architecture in each region has an approach in aligning themselves with nature as context.

Keywords: Local wisdom, traditional architecture, earthquake, climate, context. 
PROBLEMATIC ASPECTS OF THE USE OF URBAN UNDERGROUND SPACE IN INDONESIA
Authors: Wiranegara H. W.
Published: August 2018

Recently, the government is taking advantage of underground space for city’s infrastructure development needs. In fact, it is identified that the constraints are still remained in fulfilling the government mission. The aim of this paper is to reveal the problematic aspects in terms of the use of underground space by conducting qualitative data in term of interviewing experts and official staff of five local governments’ i.e.: Jakarta, Bandung, Surabaya, Makassar, and Medan. It is concluded that the problematic aspects are: the resources, land ownership, legal aspect; underground spatial planning, as well as technical and technological aspects.

Keywords: underground space, utilization, problematic aspects 
SUSTAINABILITY CONCEPT: CULTURAL BASED METHOD IN BUILDING GURUSINA SAO IN FLORES-NUSA TENGGARA TIMUR
Authors: Lahji Khotijah , Lakawa Agustin Rebecca
Published: August 2018

Traditional house (Sao) in Gurusina Flores is a building designed based on local wisdom by considering the concept of cultural sustainability, the balance of ecosystem (human and nature), and the concept of green building. One of the aspects that becomes the basic concept of environmentally friendly architecture and affects sustainability of a building is the concept of building a traditional house. This study aims to find the concept of sustainability applied by the Gurusina community as they build their traditional houses through cultural aspects that are believed to be inherited through the concept of inner space hierarchy, the space form, and the construction system. The research method is conducted through field observation, measurement, and interview. The results of this study reveal that traditional community of Gurusina has implemented the concept of sustainability in the form of cultural sustainability which has been applied in the phases of building Sao from planning, development and design, as well as construction. Nevertheless, sustainability aspects of the balance in ecosystem, the health and comfort and the waste reduction should also be taken into account in order to achieve the concept of total sustainability.

Keywords: Sustainability, Vernacular, Traditional house, Gurusina Sao 
ROOM ARRANGEMENT CONCEPT: THE SACRED-PROFANE OF HEIRLOOM HOUSES IN HUTAGODANG VILLAGE, MANDAILING
Authors: Nuraini Cut
Published: August 2018

Traditional societies have always retained unique experiences and understanding about their houses. The experiences and understanding tend to be subjective, yet there is a real manifestation. This study aims to explain the concept of sacred-profane on room arrangement of heirloom houses at Mandailing society. This rationalistic study has been conducted in a descriptive-explorative way of using sacred-profane theory. The result shows that the room arrangement on heirloom houses of Mandailing society retain one space that is persistently existed, although the house is continued to grow, i.e., “Pantar Tonga” (middle room as living room). The room has become a universal pillar or axis mundi as well as sacred object. The sacred value of pantar tonga has reinforced the existence of the heirloom house until now without any significant change.

Keywords: Heirloom House, Sacred- Profane, Axis-Mundi, Pantar Tonga 
MYTH AND SOCIAL IMAGINATION: TRADITIONAL VILLAGE PRESERVATION CONCEPT (CASE STUDY: KAMPUNG ADAT KUTA, CIAMIS, WEST JAVA)
Authors: Sardiyarso Enny S. , Puspitasari Popi
Published: August 2018

Generally, the reality of empirical experience is used as a reference in the settlement spatial arrangement. In this study, however, the form of myth and imagination affects spatial arrangement and environmental conservation. Spatial arrangement of settlements in Kampung Kuta, Ciamis, West Java is based on historical imaginative mythical thoughts of the past about the Idea of Keraton Wurung. The thought has positively impacted on the sustainability of environmental preservation in the present. The study was conducted based on qualitative-explorative approach by interviewing some key informants of local population. In terms of verification, the findings are being compared among the concept of spatial layout of current Kampung Adat Kuta and the general settlement theory as well as the concept of kampung in Priangan of the myth- imaginative-based spatial concept. The findings of the study suggest that conservation measures are based on the respect of the sacred imaginative of the palace and the ancepan that are considered as the important components of the palace and need to be maintained its sustainability. The control of human behavior in conservation efforts refers to: prohibitions and obligations to maintain harmony by considering the arrangements of ancient, balance, and management of natural resources that ensure the sustainability of life.

Keywords: imaginary-myth, Kampung Adat Kuta, environmental preservation.
Analysis of the prevalence and incidence of the dermatosis in workers of the Altay region, of the West-Siberian Railways
Authors: Karpova O. A.
Published: August 2018

In article presents the results a comparative analysis of the prevalence and incidence of the skin and subcutaneous tissue diseases in the railway transport workers of the Altay region, of the West-Siberian Railways, of JSC Russian Railways and the local population of the Siberian Federal district, and the Russian Federation.
Prevalence of chronic infection foci in patients with dermatoses
Authors: Patrushev A. V. , Samtsov A. V. , Ivanov A. M. , Sukharev A. V. , Asfendiarov D. D.
Published: August 2018

This paper presents the results of a retrospective epidemiological study carried out to detect chronic infection foci (CIF) in patients affected by T-cell mediated dermatoses. The values obtained for the CIF prevalence are compared with those in the general population, as well as in the control group. The latter comprised generally healthy people according to the results of in-depth medical examination. It is found that patients with psoriasis demonstrate a higher prevalence of chronic tonsillitis compared to the values both in the general population and in the control group (p = 0.001). Patients with eczema are characterized by an increased prevalence of chronic granulomatous periodontitis, but only in comparison with generally healthy individuals (p = 0.046). The results obtained for patients with atopic dermatitis, lichen planus and alopecia areata are found to be statistically significant for chronic tonsillitis, which occurs therein more frequently than in the general population and in the group of generally healthy people (p = 0.001).
A favorable pregnancy outcome in women with secondary syphilis
Authors: Evseeva A. L. , Koshkin S. V. , Ryabova V. V. , Bazhina I. I. , Kovrova O. S.
Published: August 2018

A clinical case of secondary fresh syphilis in a pregnant woman at 36 weeks is presented. A ttention deserves infection of a woman in the second half of pregnancy, which was resolved by the birth of a healthy child.
Martorell’s ulcers
Authors: Fistal’ E. Ya. , Vatutin N. Т. , Taradin G. G. , Goncharuk M. S. , Grischenko I. S. , Vasilenko I. V.
Published: August 2018

There is description in the article of a case of hypertensive ulcer pathology of legs or Martorell’s ulcers diagnostics, which are complications of long-standing and poor-controlled essential hypertension. The patient 42 years old male presented with complaints of long-standing, non-healing and painful ulcer on the left leg, sustained blood pressure elevation (up to 230/120 mm Hg). History disease revealed blood pressure elevations since 16 years old age, but the patient sought medical advice extremely seldom and did not take antihypertensive treatment in fact. He noted when was 35 years old a painful ulcer located on anterolateral surface of the leg. Concerning it he treated by himself unsuccessfully and then — in differ ent health care centers. The condition deteriorated in 2016, when ulcer defect become larger and more painful. On admission at examination the ulcer of oval shape (size 7 × 4 cm and depth 0.6 cm) on anterolateral surface of the lower third of left leg is present. In clinical and biochemistry analyses no pathology was found. There were signs of left ventricle hypertrophy on the data of electroand echocardiographic inves tigations. No alterations during complex ultrasound examination of vessels of both lower extremities were revealed. Examination of angiosurgeon: no pathology. With the purpose to diagnosis specification path omorphologic study of tissue fragments of injured zone was performed. The results of this study showed that revealed changes are relevant for hypertensive ulcers of legs or Martorell’s ulcers. The presented case illustrates the necessity of more broad informing medical community about possibility of incidence of Martorell’s ulcers that in turn assumes application of adequate measures of local treat ment, including dermatoplasty, and effective antihypertensive therapy.
Eczema: tactics of choice external therapy
Authors: Zaslavsky D. V. , Tulenkova Е. S. , Monakhov K. N. , Kholodilova N. A. , Kondratieva Yu. S. , Tamrazova O. B. , Nemchaninova O. В. , Guliev M. O. , Shlivko I. L. , Torshina I. Е.
Published: August 2018

The therapeutic effects of synthetic tannins are based on their binding action, as well as on their anti-pruritic, antimicrobial and anti-inflammatory effects. Materials and methods. A clinical study of Neotanin spray, Neotanin lotion (suspension) and Neotanin cream was carried out in 8 clinical centres during the period from June, 2017 to January, 2018. The study had an open and non-comparative character. The study included 68 patients of both sex es aged from 1 month to 80 years suffering from eczema dermatosis in the acute weeping phase, including cases with complications after secondary infections (including eczema elements localized on the face). Before the study, information on the clinical history, demographic data, co-morbidities, physical examination data of the patients was collected. The treatment regimen included 2 stages: 1) Neotanin in the spray or lotion (suspension) form 3–4 times per day during 1–5 days, up to the full drying of eczema elements; 2) Neotanin in the cream form 3 times per day, up to the disappearance of the clinical manifestations of skin dermatosis. The duration of the study ranged from 5 to 14 days: the study was completed when a patient had achieved remission. The criteria for assessing the drug efficacy were as follows: dynamics of subjective complaints, objective assessment of the patient's condition (the presence and severity of clinical symptoms), dynamics of the Dermatology Life Quality Index (DLQI). Results. Neotanin preparations showed a high efficacy in the acute and subacute stages of the inflammatory process as an antipruritic agent. Itching stopped within 5 minutes after the drug application, with the antipruritic effect lasting for an average of 3–4 hours. In 85 % of the patients, marked excoriations were absent on the 3rd day of treatment. Neotanin demonstrated a pronounced anti-inflammatory effect. In 92 % of the patients, the symptoms of erythema and edema were significantly reduced one week after the beginning of treatment, with the manifestations of inflammatory exudation being conclusively decreased. One week following the beginning of treatment, 100 % of the patients demonstrated no oozing lesions. The absence of serious undesirable effects in the patients during the study evidences to the good tolerability and safety of this drug.
Management of pregnant patient with Sjögren syndrome. Case report and literature review
Authors: Arsene Luciana , Munteanu Octavian , Voicu Diana , Bodean Oana , Berceanu Costin , Cîrstoiu Monica Mihaela
Published: August 2018

Sjögren’s syndrome, a chronic disease which affects particularly the female gender, represents one of the most common autoimmune diseases and does not affect women of childbearing age, but is especially prevalent during perimenopause. It may be primary when only exocrine glandular dysfunctin occurs (xerophthalmia, xerostomia) or it may be secondary, when is most often associated with rheumatoid arthritis or systemic lupus erythematosus and affects the whole body. Pregnancy cases in the context of this disease are relatively rare, precisely by their incidence in women for whom fertility is not a priority anymore, at the age of 40 or 50 years old, but observing the trend of the last decades, through the implications offered by the modern society, with the increasing age when the first baby is conceived, the number of cases and associated outcome increase. The pregnancy outcome in the context of this disease is insufficiently known comparing to the one appearing in women affected by other autoimmune disorders. The most fearfull complication is represented by the fetal risk of congenital heart block. We report the case of a 29-year-old patient diagnosed with primary Sjögren’s syndrome, consistent with AECG criteria (American-European Consensus Group, 2002) prior to pregnancy, which required a multidisciplinary approach and a close cooperation between the obstetrician, rheumatologist, ophthalmologist and internal medicine physicians. During the 36th week of pregnancy she delivered by caesarean section. Both the patient and the newborn postoperative evolutions were favorable, with no evidence of fetal heart complications. Taking into account the potential maternal and fetal complications, the management of pregnant women diagnosed with Sjögren’s syndrome represents a real challenge for the obstetrician and requires an interdisciplinary approach in order to decrease the morbidity and mortality, both of the mother, as well as the fetus.
21-week pregnancy with trisomy 18 (Edwards syndrome) − bone malformations highlighted
Authors: Botezatu Bogdan , Mitran Mihai
Published: August 2018

Edwards syndrome, also known as Trisomy 18 (T18) or Trisomy E, is a genetic disorder caused by the presence of all or part of an extra 18th chromosome. Some physical malformations associated with Edwards syndrome include small head (microcephaly) accompanied by a prominent back portion of the head (occiput); low-set, malformed ears; abnormally small jaw (micrognathia); cleft lip/cleft palate; upturned nose; narrow eyelid folds (palpebral fissures); widely spaced eyes (ocular hypertelorism); drooping of the upper eyelids (ptosis); a short breast bone; clenched hands; choroid plexus cysts; underdeveloped thumbs and or nails, absent radius, webbing of the second and third toes; clubfoot; and in males, undescended testicles. The diagnosis of Trisomy 18 is  by ultrasound and amniocentesis, the fetal DNA being examined for genetic abnormalities. Therapeutic abortion can be done.
Epinephrine-induced Takotsubo cardiomyopathy during laparoscopic myomectomy
Authors: Rusu Nicolae , Rusu Maia , Brătilă Elvira
Published: August 2018

Takotsubo cardiomyopathy consists in transient left-ventricle dysfunction and ST abnormalities, mimicking acute myocardial infarction in the absence of coronary artery disease. Takotsubo cardiomyopathy is more prevalent in women than in men and has been linked ta supraphysiological levels of plasma catecholamine. Laparoscopic myomectomy, a minimally invasive procedure performed for the management of uterine leiomyomas, involves a challenging aspect: excessive local bleeding. Epinephrine solutions used to improve surgical hemostasis have been previously associated with Takotsubo cardiomyopathy, thus highlighting the importance of patient safety measures in the perioperative period.
The current status and indications of robotic surgery in the setting of benign and malignant gynaecological conditions
Authors: Brătilă Elvira , Coroleucă Cătălin Bogdan
Published: August 2018

Objective . Robotic surgery has gained ground in recent years in benign and malignant gynecological interventions. The purpose of this article is to present the main indications of robotic surgery, to identify the advantages and disad­van­tages of this surgical technique and to present our ex­pe­rience in this field.
Materials and method. An analysis of ar­ti­cles published in literature to observe the in­di­ca­tions of robotic surgery in gynecology, both for be­nign and ma­lig­nant interventions. Comparison of li­te­rature data with the main surgical indications found in the pa­tient group selected by us who received robotic sur­ge­ry.
Results . The integration of robotic technology is a significant advance in the minimal invasive treatment techniques of the gynecological pathology used to treat both benign and malignant conditions. The advantages of robotic surgery are: 3D view of the operator field, superior dexterity, seven degrees of freedom for the movement of the brushes, superior capability of stitches and knots, superior ergonomics, elimination of the effect of the rebound, movement of the movements and reduction of tremor. The disadvantages of surgery are: the high cost of surgery, the lack of tactile feedback and the increased size of the device.
Conclusions . Robotic surgery is an effective, safe and feasible method for the treatment of benign and malignant gynecological disorders. The optimal knowledge of trocars (adapted to the body mass index of each patient) is important in order to benefit from all the advantages of robotic surgery. Regarding the robotic surgical treatment group in which the feasibility of this procedure was observed, there are: oncological interventions, endometriosis, in reproductive medicine and in obese patients.
Re-Designing Hazardous Chemicals with Target-Specific Toxicities by Learning from Structure-Based Drug Design
Authors: Kostal Jakub , Vargas Vanessa , Clymer Traci , Corcoran Eric , Kleinberg Robin
Published: August 2018

Chemicals are the basis of our society and economy, yet many existing chemicals are known to have unintended adverse effects on human and environmental health. Testing all existing and new chemicals on animals is both economically and ethically unfeasible. In this paper, a new in silico framework is presented that affords redesign of existing hazardous chemicals in commerce based on specific molecular initiating events in their adverse outcomes pathways. Our approach is based on a successful methodology implemented in computational drug discovery, and promises to dramatically lower costs associated with new chemical development by synergistically addressing chemical function and safety at the design stage.
Contemporary bioethical perspectives regarding the family
Authors: ŞTEFAN Florea
Published: August 2018

This article presents the problem of the family from the Contemporary bioethical perspectives. The family represents the optimal environment in which man can fulfil himself, the natural path of human becoming. But the familial itinerary is subjected to numerous challenges and temptations, because the contemporary social context is one that minimizes the religious values and choices. Family represents a value and an institution that is necessary to our world and that cannot be replaced by anything else, and from our perspective the most viable familial reality is the traditional one.
New Pretext to Attack Church – Alleged Discrimination Of Women
Authors: GAGU Cristian
Published: August 2018

The present study aims to answer in terms of teaching the Christian Orthodox faith of the often accusations of discrimination made by the Orthodox Church representatives of various media associations promoting feminist movement. In formulating the response were considered linguistic arguments, namely the original meaning of the term "discrimination" in Latin and its semantic evolution in different foreign languages, scriptural arguments, due to was shown who is the authority of the legislature in the Church and which is its legitimacy, which is the basis of the laws issued by it and their purpose in life of the Church and arguments of the folk tradition.
Emmanuel Levinas on hospitality: Ethical and Political aspects
Authors: MAKRIS Spiros
Published: August 2018

The current refugee crisis poses the crucial question of hospitality [or hos(ti)pitality in Derridean terms] as the complex ethico-political question of welcoming the stranger in a globalized world. For Emmanuel Levinas, hospitality means ethical and by extension political responsibility for the absolute Other. Without doubt, this is the quintessence of the Levinasian ethical and political thought. It is noteworthy that this sui generis metaphysical ethics does not concern conventional moralism or charity either in the case of personal ethics or in the case of political ethics. In both cases, it chiefly concerns the foundation of world as a refugium, i.e. a threshold of unconditional justice. In a nutshell, this article try in the final analysis to indicate the critical fact, according to Emmanuel Levinas’s ethical argumentation, that a public policy on refugee question should mainly be determined by the ethics of hospitality in the sense of the pure welcoming of the absolute Other. Undoubtedly, this form of ethico-political justice is worthy of the name
El derecho de la comunicación con identidad. Aportes de los debates indígenas en Argentina para pensar la noción de derechos a la comunicación
Authors: Doyle Magdalena
Published: August 2018

Desde la década de 1990, pero sobre todo en los últimos diez años, muchas organizaciones, comunidades y pueblos indígenas de distintas regiones de América Latina han organizado y participado en eventos y espacios locales, nacionales e internacionales cuyo objetivo ha sido definir y visibilizar los derechos a la comunicación. Este artículo propone abordar la densidad política y cultural de la categoría de derecho a la comunicación con identidad, deteniéndose en los sentidos y fundamentos que estuvieron en su origen. La propuesta analítica se construye desde la asunción de que aquella noción aporta elementos centrales al proceso (nunca clausurado) de configuración al carácter plural de los principios en que debería fundamentarse toda definición jurídico-normativa de los derechos a la comunicación entendidos en tanto derechos humanos.
Sociedad de la información y cultura mediática contemporánea: la contribución de Vilém Flusser
Authors: Hanke Michael
Published: August 2018

En 1965 el filósofo y teórico de la comunicación Vilém Flusser se vinculó a la nueva ciencia de lo que él denominará comunicología. Posteriormente abrió el curso de estudios de la comunicación de la Universidad FAAP en São Paulo, cuyos primeros estudiantes entraron en 1967 y salieron en 1971. Fue una reacción ante los retos de la entonces inmenente sociedad de la información y de la nueva cultura mediática, producto de la revolución y el impacto de las imágenes técnicas, de las cuales Flusser sería pionero en Brasil. Sin embargo, el ambiente intelectual durante la dictadura militar no era propicio para la actividad académica, y Flusser decidió dejar el país. A partir de 1971, y una vez en Francia, Flusser siguió enfocando  sus esfuerzos en la teoría de la imagen.
Desafíos y nuevas comprensiones en el campo de la comunicación, educación y tecnología en Abya Yala
Authors: Muñoz González Germán
Published: August 2018

El campo de la comunicación educativa ha sufrido el impacto de las transformaciones socioculturales ocurridas en la última década del siglo XX y las primeras del siglo XXI. Esta reflexión señala dos elementos al respecto. Por un lado, la creciente conciencia histórica acerca de la urgencia de un pensamiento de la decolonialidad que fundamente la lectura del ámbito sociocultural en América Latina (yo digo Abya Yala), dicho pensamiento atraviesa necesariamente el campo de la comunicación-educación. Y, por otro lado, la emergencia de repertorios tecnológicos contemporáneos que reconfiguran los mundos de la comunicación, la educación, la cibercultura y la informática comunitaria, importantes en la construcción de ciberciudadanías.
Yagua
Authors: Fayad Sanz David
Published: August 2018

Este ensayo fotográfico hace un recorrido por la cotidianidad de los yagua -grupo indígena amazónico con habitantes en Colombia, Perú y Brasil- que deja en evidencia la hibidrez constitutiva de su presente, que ya no puede catalogarse como definitivamente tradicional ni como irrevocablemente moderno.
INCIDENTE DE RESOLUÇÃO DE DEMANDAS REPETITIVAS E TURMAS DE UNIFORMIZAÇÃO DOS JUIZADOS ESPECIAIS
Authors: Carboni Fernando Machado
Published: August 2018

Com o Código de Processo Civil de 2015, ocorreu grande controvérsia sobre o órgão competente para julgamento do IRDR em processos do Juizado Especial. Por isso, objetiva-se definir quem possui esta competência: o Tribunal de segunda instância ou a Turma de Uniformização do Juizado Especial. Para tanto, com o uso do método dedutivo, procede-se à análise da legislação, doutrina e jurisprudência. Após esta pesquisa, conclui-se que o incidente será sempre julgado pelo Tribunal de segunda instância, mesmo nos processos de competência exclusiva do Juizado Especial.
A ABORDAGEM DAS CAPABILITIES DE SEN E DE NUSSBAUM: UM ESTUDO COMPARATIVO
Authors: Santos Tiago Mendonça dos
Published: August 2018

Este artigo tem por objetivo elaborar uma análise comparativa das vertentes da abordagem das capabilities de Sen e de Nussbaum. Para tanto, empreende-se uma revisão da obra de ambos os autores. No artigo são ressaltados os aspectos comuns à perspectiva de Sen e de Nussbaum, assim como são apresentadas, a forma como Sen constrói a abordagem das capabilities, para então apresentar as principais diferenças entre suas propostas em relação a Nussbaum. Destaca-se, no final do texto, que a questão da definição das capabilities relevantes e dos conceitos de direitos para ambos autores podem orientar pesquisas futuras.
A ATUAÇÃO DO TERCEIRO SETOR COMO GRUPO DE PRESSÃO
Authors: Torres Vivian Almeida Gregori
Published: August 2018

O estudo tem por foco a atuação do terceiro setor como grupo de pressão e a consequência desta ação, enquanto meio de correção do mal funcionamento do Estado e atenuação da crise da representatividade. Neste sentido, a análise sinaliza a passagem da democracia representativa para a participativa, sendo a sociedade civil organizada, utilizada como instrumento. Para tanto, num primeiro momento será estudada a função da sociedade civil organizada, em seguida será analisada a influência do terceiro setor no Estado e, por final, a atuação deste como grupo de pressão, a partir, primordialmente da revisão de literatura sobre o assunto.
ESPAÇOS DE AMPLIAÇÃO DA JUSTIÇA RESTAURATIVA BRASILEIRA: O MINISTÉRIO PÚBLICO E O PRINCÍPIO DA OBRIGATORIEDADE
Authors: Ferreira Lucas César Costa , Tavares Neto José Querino
Published: August 2018

A partir de um exercício de revisão bibliográfica e mediante pesquisa teórica, este trabalho científico tem por objetivo, a par da feição judicial da justiça restaurativa brasileira, avaliar novos espaços de estruturação e desenvolvimento desse emergente paradigma. Nesse cenário, tendo em vista os obstáculos dogmáticos e estruturais encontrados em território nacional, em especial o anacrônico princípio da obrigatoriedade da ação penal, identifica-se o Ministério Público como palco para desenvolvimento de potencialidades da justiça restaurativa.
SOBRE JUSTIÇA RESTAURATIVA E FRATERNIDADE: QUALIFICANDO O ACESSO À JUSTIÇA
Authors: Macário Camila De Cerqueira Silva , Rebouças Gabriela Maia
Published: August 2018

O estigmatizante modo de solucionar demandas não ressignificam os conflitos vivenciados, dificultando pacificação social. Nesse sentido, a efetivação da justiça depende da modificação nas maneiras tradicionais de pensar e de fazer justiça. Este artigo tem o objetivo de discutir e apresentar, a partir de levantamento bibliográfico, uma análise-argumentativa acerca da pertinência da relação entre justiça restaurativa, fraternidade, acesso à justiça e direito ao desenvolvimento.
O QUE FALTA DE LEGISLAÇÃO? DESAFIOS DO MUNICÍPIO DE LONDRINA/PR PARA EFETIVAÇÃO DO DIREITO À CIDADE
Authors: Sanches Jussara Romero , De Araújo Júnior Miguel Etinger
Published: August 2018

Como a efetivação do Direito a Cidade é um desafio do município, questiona-se como o processo de elaboração do Plano Diretor e leis complementares pode obstruir a efetivação desse direito. Analisando a legislação urbanística de Londrina, concluiu-se que, apesar da lei geral estar em processo de revisão, as leis complementares são fragmentadas e espaçadas no tempo, constituindo como um obstáculo na efetivação do Direito à Cidade, conforme foi possível observar pela não aprovação do PEUC – parcelamento, edificação e utilização compulsórios e o IPTU – imposto predial e territorial urbano progressivo no tempo, ainda não foram aprovados.
AS IMPLICAÇÕES JURÍDICAS SOBRE A PROIBIÇÃO DE RELACIONAMENTOS AFETIVOS ENTRE EMPREGADOS NO AMBIENTE DE TRABALHO
Authors: Teixeira Érica Silva
Published: August 2018

O presente trabalho visa debater acerca da ocorrência de relacionamentos afetivos entre empregados no ambiente de trabalho e a correspondente (im) possibilidade das empresas de adotar condutas proibitivas para impedir a formação do laço afetivo. Nesse contexto, mister se faz avaliar tal prática está em conformidade com a extensão do poder diretivo do empregador ou, ao revés, simboliza a extrapolação do poder patronal, implicando em ofensa aos direitos fundamentais à intimidade e à vida privada do empregado, cabendo, em qualquer dos casos, a resolução do conflito instaurado através de métodos de ponderação de interesses.
O BALANCING TEST COMO TÉCNICA DE PONDERAÇÃO NAS QUESTÕES DE LIMITAÇÃO DA LIBERDADE DE EXPRESSÃO DO PENSAMENTO DO TRABALHADOR
Authors: Piccoli Anna Leticia , Carneiro Rosane Machado
Published: August 2018

O tema deste artigo é a liberdade de expressão do pensamento, com recorte na limitação deste direito na esfera trabalhista e a validade dessa limitação a partir da técnica do balancing test. O problema consiste em estabelecer parâmetros a partir da análise de casos concretos pela técnica do balancing test, verificando a validade ou não da limitação, decorrente da relação de trabalho, do direito à liberdade de expressão do pensamento. A pesquisa será estruturada em três capítulos por meio de aprofundamento investigativo, através de pesquisa descritivo-explicativa do tipo documental-bibliográfica, em doutrinas e apelo em jurisprudências, com viés indutivo.
A DISPENSA COLETIVA TRABALHISTA À LUZ DOS DEVERES DE SOCIALIDADE E ETICIDADE DO CONTRATOS
Authors: Branco Mauricio De Melo Teixeira
Published: August 2018

O presente artigo analisa a nova redação conferida ao texto da CLT, em seu artigo 477-A, para discutir a aplicação dos princípios de eticidade e socialidade ao encerramento dos contratos de trabalho. Defende que o encerramento unilateral do contrato de trabalho pelo empregador corresponde a rediscussão do contrato de trabalho. Conclui que não se pode, no ordenamento brasileiro, permitir que a dispensa coletiva ocorra sem a intervenção dos sindicatos.