bluuebunny/crossref_metadata_2025 huggingface dataset:
Experiencias en la formación de médicos familiares en la modalidad a distancia y virtual: una posibilidad para el sistema de salud colombiano
Authors: Guatibonza Rodríguez Carolina , Aldana Carlos , Argüello Crhistian , Pinilla Daniel Eduardo , Ballesteros Juan Sebastián
Published: August 2018

Introducción. Mediante la Resolución 429 de 2016, Colombia adoptó el modelo de Atención Primaria en Salud como una política de atención integral en salud. Los médicos familiares son un elemento fundamental para su desarrollo. Para 2014, se estimó que en Colombia había poco más de 1,2 médicos familiares por 100.000 habitantes y solo siete programas de formación de posgrado presencial en todo el país, concentrados en las ciudades más desarrolladas. Por este motivo, el Ministerio de Educación y el Ministerio de Salud y Protección Social buscan incrementar la formación de especialistas en Medicina Familiar. Brasil, India, México, Paraguay y Sudan, entre otros países, exploraron la educación virtual y a distancia como una opción de formación médica para esta especialidad. Por lo anterior, los investigadores se preguntaron si las características que permitieron el desarrollo de estas experiencias en otros países podrían servir para orien­tar la creación de un programa similar en Colombia.

Objetivo. Hacer una descripción detallada de las características que permi­tieron el desarrollo de experiencias de formación a distancia y virtual para médicos familiares en el mundo y, a partir de su análisis, encontrar bases que puedan servir para el desarrollo de un programa similar en Colombia.

Metodología. Se trata de un estudio cualitativo, hermenéutico, basado en la recopilación y el análisis documentales. La búsqueda se hizo en Pubmed, ProQuest, Embase, Lilacs, Bireme, Springer Link, PlosOne y World Library of Science, utilizando los términos “distance learning”, “family practice”, “e-learning”, “education B-learning”, “ICT learning”, “computer-assisted instruction”, “educación a distancia”, “educación virtual”, y “me­dicina familiar y comunitaria

Resultados. Se seleccionaron 71 artículos de 23 países. Se se­ñalaron las características comunes en los programas de edu­cación virtual y a distancia, mediante una matriz de fortalezas, oportunidades, debilidades y amenazas, y se reseñaron los rasgos políticos, económicos, sociales, y tecnológicos del contex­to colombiano que pudieren favorecer o no el desarrollo de un programa similar.

Conclusiones. La educación de posgrado a distancia para médi­cos familiares ha sido posible en diferentes países. En Colombia, deben desarrollarse ajustes políticos, económicos, tecnológicos y legales para que un programa de estas características tenga un impacto significativo en el desarrollo de la especialidad.
Trombólisis
Authors: González Acosta Francisco Eduardo , Sáenz Oscar Alberto , Bonilla Paola , Russi Jorge , Rojas Angélica , Hurtado Diana
Published: August 2018

En la homeostasis de un individuo sano se desarrollan coágulos para prevenir la pérdida de sangre, pero las fallas del equilibrio hemostático pueden ocasionar obstrucción aguda de una arteria como fenómeno fisio­patológico principal, que puede beneficiarse del tratamiento trombolítico que consiste en la administración, por vía endovenosa o en ocasiones intraarterial, de medicamentos capaces de destruir los coágulos de fibrina y permitir que se restaure el flujo sanguíneo en el vaso sanguíneo. Esto se hace para evitar complicaciones como infarto cerebral, embolia pulmonar, trombosis venosa profunda e infarto agudo del miocardio.

El siguiente documento es una revisión bibliográfica de la terapia fibrino­litica y su uso en estas entidades, teniendo en cuenta las recomendaciones de la Agency for Healthcare Research and Quality (AHRQ), usando PubMed como base datos de búsqueda principal. Se obtuvieron artículos sobre trombólisis en infarto agudo del miocardio, trombembolismo pulmonar y accidente cerebrovascular y según la pertinencia se procedió a su análisis para generar una recomendación.
Purification of Gas Emissions from Sulfur Dioxide in Industrial Plants
Authors: Nosyrev M.A. , Komlyashev R.B. , Ilyina S.I. , Kabanov O.V.
Published: August 2018

The possibility of spreading technology for capturing carbon dioxide from the flue gases of industrial enterprises as well as the utilization of sulfur dioxide is considered. A comparison is made between the physicochemical properties of these gases. Based on the experimental data obtained from the capture of sulfur dioxide, it is concluded that this technology can be successfully applied for the utilization of sulfur dioxide from gas emissions from industrial enterprises.
Environmental Monitoring of the Waste Disposal Sites with the Use of Unmanned Aerial Vehicle
Authors: Sliusar N.N. , Batrakova G.M.
Published: August 2018

The possibilities of using unmanned aerial vehicles for visual inspection of waste disposal facilities, including closed objects, are considered. Examples of the results of processing aerial photographs for assessing the achievement of design elevation marks of disposal sites, the state of the reclaimed surface of objects, and the identification of negative impacts on adjacent territories are presented. The experience of applying aerial survey results to assess the state of waste disposal facilities during the aftercare period, to obtain objective and evident information about changes in the components of the environment in the adjacent territories.
As “duas faces” da crise hídrica:
Authors: Quintslr Suyá
Published: August 2018

Este artigo problematiza o discurso sobre a crise hídrica nos anos 2014-2015, discutindo as estratégias de legitimação e seu papel na exclusão da questão da desigualdade no acesso à água dos espaços decisórios. Duas perspectivas teóricas são mobilizadas. A primeira compreende que a construção dos problemas ambientais envolvem as dimensões material e simbólica. A segunda perspectiva baseia-se na “face invisível do poder”, i.e., na capacidade de elites mobilizarem valores sociais e o viés do sistema político para manter certos temas fora da agenda política. A investigação concentra-se na cobertura da mídia e na CPI da Crise Hídrica da Alerj, mobilizando análise documental e observação direta. Os resultados apontam que a consolidação de um discurso centrado na noção de crise favorece a perspectiva do abastecimento como problema quantitativo, em detrimento dos aspectos distributivos, e legitima a implantação de grandes obras de aumento de produção de água.
Sustentabilidade na última milha do transporte urbano de carga:
Authors: Goes George Vasconcelos , Schmitz Daniel Neves , Bandeira Renata Albergaria de Mello , Oliveira Cíntia Machado de , D'Agosto Márcio de Almeida
Published: August 2018

O advento de novas tecnologias nas entregas de última milha está prestes a causar uma ruptura no modelo tradicional de negócios do transporte urbano de carga. Busca-se obter retornos econômicos, não somente por via da otimização de operações tradicionais, mas também com base no tripé da sustentabilidade. Este trabalho tem como objetivo identificar, por meio de uma revisão bibliográfica sistemática, as alternativas propostas pela literatura no âmbito do veículo de carga como meio para melhorar a eficiência energética, transformando a operação de entregas em uma alternativa sustentável. Os resultados indicam uma tendência para a implementação de veículos menores e mais leves para entregas de última milha em áreas urbanas: 95% dos estudos sugerem, entre alternativas, o uso de bicicletas/triciclos e comerciais leves. Outra tendência observada nesse tipo de distribuição, indicada em 77,3% dos estudos, é a mudança de combustíveis convencionais (combustíveis fósseis) para fontes alternativas de energia (eletricidade).
Água e floresta na Reserva de Desenvolvimento Sustentável do Uatumã
Authors: Laques Anne-Elisabeth , Cabral Ana Isabel Rosa , Silva Suzy Cristina Pedroza da , Pereira Henrique dos Santos , Saito Carlos Hiroo
Published: August 2018

Trata-se de artigo exploratório-descritivo da expedição científica realizada na Reserva de Desen-volvimento Sustentável do Uatumã (RDS do Uatumã) em agosto de 2017 pela equipe de pesquisa do projeto conjunto entre Brasil-França denominado por SINBIOSE “Système d’INdicateurs de BIOdiversité à l’uSage des actEurs: Biodiversité terrestre et aquatique (Amazone & Oyapock)” ou “Sistema de INdicadores da BIOdiversidade para o uSo dos atorEs: biodiversidade terrestre e aquá-tica (rio Amazonas e Oiapoque)”, aprovado no Programa Internacional de Cooperação GuyAmazon - Edital n.022/2014 da FAPEAM - Fundação de Amparo à Pesquisa do Estado do Amazonas. O ar-tigo descreve os aprendizados adquiridos no chão das comunidades da RDS, trazendo questões ini-ciais para aprofundamento pela pesquisa sobre temas como: a efetividade do Programa Bolsa Flo-resta, as técnicas de monitoramento de sua implementação, possibilidades de conflitos socioambien-tais entre práticas tradicionais na conservação da biodiversidade e novas práticas econômicas como o turismo de pesca esportiva, possíveis descaracterizações do sentido comunitário a partir do surgi-mento de pousadas particulares, o nível de incorporação do conhecimento dos locais na imple-mentação de políticas públicas e também se os Sistemas Agroflorestais poderiam estar, em certas situações, promovendo no curto prazo um aumento do desmatamento para no médio prazo contri-buir com a proteção florestal.
Uma mirada latino-americana desde as margens
Authors: Souza-Lima José Edmilson de
Published: August 2018

FLORIANI, Dimas; HEVIA, Antonio Elizalde (Orgs.). América Latina: sociedade e meio ambiente: teorias, retóricas e conflitos em desenvolvimento. Curitiba: Ed. UFPR, 2016. 348p. ISBN: 9788584800278.
Inclusão de crianças com hidrocefalia em práticas de letramento: abordagem neurolinguística
Authors: Monte-Serrat Dionéia Motta
Published: August 2018

Os fundamentos teórico-metodológicos da Neurolinguística Discursiva (Coudry, [1986] 1988) e do Letramento (Tfouni, 2005) articulam-se, neste artigo, com o intuito de estudar marcas de subjetividade nas produções orais e escritas de crianças com lesão cerebral para promover a inclusão social destas. Dentre as lesões cerebrais, escolheu-se a hidrocefalia, afecção que decorre da quebra do equilíbrio do líquido cefalorraquidiano. Entre as sequelas apresentadas pela criança após o tratamento, a que mais preocupa é o retardo neuropsicomotor, uma vez que essa condição a coloca num quadro de marginalização social que é necessário mudar. Correlacionamos, neste artigo, teoria e conceitos com práticas metodológicas, a fim de observar o modo como as crianças hidrocéfalas dão corpo ao exercício discursivo da linguagem que a constitui como sujeito. Nosso objetivo central é o de desenvolver estratégias de avaliação adaptadas às dificuldades de funcionamento da linguagem nas crianças com essa afecção, estratégias essas que não sejam baseadas no desempenho de um sujeito idealizado, pois crianças com hidrocefalia não apresentam determinados recursos de produção e de interpretação de sentidos. Desse modo, pretendemos estabelecer um perfil teórico a respeito do uso da linguagem e seu efeito na constituição de sujeitos com lesão cerebral dando-lhes qualidade de vida.
Diário de Narciso e Neurolinguística Discursiva: 30 anos depois
Authors: Coudry Maria Irma Hadler
Published: August 2018

Este ensaio apresenta um apanhado dos principais movimentos do projeto Neurolinguística Discursiva: afasia e infância, apoiado pelo CNPq, com foco na relação entre escrita na afasia e escrita infantil, por meio de dados que revelam um curso comum entre a criança e o afásico, em tempos diversos da vida. A criança entrando no sistema de escrita e o afásico tendo perdido relações que sustentam esse sistema. Destaca-se, também, a articulação teórica – novos e velhos autores –, realizada para dar continuidade à despatologização de crianças normais e à correlação entre afasia e infância. Ressalta-se, ainda, o investimento nas parcerias previstas no Projeto, com Fernanda Freire e Sonia Sellin Bordin. Com Freire demos continuidade aos temas da avaliação discursiva/prática discursiva, ao banco de dados de neurolinguística (BDN), bem como à visibilidade das cenas enunciativas que este último confere aos dados, condição fundamental para a análise e a escrita de caso. A questão do ritmo da fala e da escrita foi focalizada nos dados de afásicos e iniciantes de escrita. Com Bordin, continuamos analisando dados que ampliam e refinam a relação entre afasia e infância, investimos na análise da relação com as famílias e escolas, destacando como incluir crianças que estão barradas no aprendizado da leitura/escrita. Também refinamos a descrição dos dois ambientes discursivos que são a fonte de dados do BDN: o CCA e o CCazinho. A metodologia, tema presente nas diversas produções da área, é retomada neste texto.
"Longe da pátria, mas se a esquecer": Print and non-print collections at the Oliveira Lima Library
Authors: Leal Maria Angela
Published: August 2018

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The rare book collection at the Oliveira Lima library. An Overview
Authors: Ebeling-Koning Blanche
Published: August 2018

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Apresentação
Authors: Amoroso Maria Betânia
Published: August 2018

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Sciascia e Pirandello
Authors: Onofri Massimo
Published: August 2018

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Uma arte medieval para a invenção e para a memória: a importância do lugar
Authors: Carruthers Mary
Published: August 2018

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Em busca da memória de Al-Andalus: Política e história literária
Authors: Menocal Maria Rosa
Published: August 2018

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Minimum Clinically Important Difference: Current Trends in the Orthopaedic Literature, Part I: Upper Extremity
Authors: Copay Anne G. , Chung Andrew S. , Eyberg Blake , Olmscheid Neil , Chutkan Norman , Spangehl Mark J.
Published: August 2018

Background:

The minimum clinically important difference (MCID) attempts to define the patient’s experience of treatment outcomes. Efforts at calculating the MCID have yielded multiple and inconsistent MCID values. The purposes of this review were to describe the usage of the MCID in the most recent orthopaedic literature, to explain the limitations of its current uses, and to clarify the underpinnings of MCID calculation. Subsequently, we hope that the information presented here will help practitioners to better understand the MCID and to serve as a guide for future efforts to calculate the MCID. The first part of this review focuses on the upper-extremity orthopaedic literature. Part II will focus on the lower-extremity orthopaedic literature.

Methods:

A review was conducted of the 2014 to 2016 publications in The Journal of Arthroplasty, The Journal of Bone & Joint Surgery, The American Journal of Sports Medicine, Foot & Ankle International, Journal of Orthopaedic Trauma, Journal of Pediatric Orthopaedics, and Journal of Shoulder and Elbow Surgery. Only clinical science articles utilizing patient-reported outcome measure (PROM) scores were included in the analysis. A keyword search was then performed to identify articles that calculated or referenced the MCID. Articles were then further categorized into upper-extremity and lower-extremity publications. MCID utilization in the selected articles was subsequently characterized and recorded.

Results:

The MCID was referenced in 129 (7.5%) of 1,709 clinical science articles that utilized PROMs: 52 (40.3%) of 129 were related to the upper extremity, 5 (9.6%) of 52 independently calculated MCID values, and 47 (90.4%) of 52 used previously published MCID values as a gauge of their own results. MCID values were considered or calculated for 16 PROMs; 12 of these were specific to the upper extremity. Six different methods were used to calculate the MCID. Calculated MCIDs had a wide range of values for the same PROM (e.g., 8 to 36 points for Constant-Murley scores and 6.4 to 17 points for American Shoulder and Elbow Surgeons [ASES] scores).

Conclusions:

Determining useful MCID values remains elusive and is compounded by the proliferation of PROMs in the field of orthopaedics. The fundamentals of MCID calculation methods should be critically evaluated. If necessary, these methods should be corrected or abandoned. Furthermore, the type of change intended to be measured should be clarified: beneficial, detrimental, or small or large changes. There should also be assurance that the calculation method actually measures the intended change. Finally, the measurement error should consistently be reported.

Clinical Relevance:

The MCID is increasingly used as a measure of patients’ improvement. However, the MCID does not yet adequately capture the clinical importance of patients’ improvement.
Herbage Responses to Dogfennel Cover and Limited Nitrogen Fertilization in Bahiagrass Pastures
Authors: Dias José Luiz C.S. , Sellers Brent A. , Ferrell Jason A. , Silveira Maria L. , Vendramini João M.B.
Published: August 2018

Core Ideas

Dogfennel ground cover negatively impacted bahiagrass herbage responses.

Bahiagrass provided satisfactory herbage mass in areas with low dogfennel cover in May and June.

Limited N fertilization did not change the herbage dynamics of bahiagrass stands competing with varying percentages of dogfennel cover.

Further research should be conducted with additional bahiagrass cultivars, soil types, and N fertilizer rates.

Nitrogen fertilization is an important management practice in bahiagrass (Paspalum notatum Fluegg) pastures; however, the use of N has been limited in forage‐based livestock systems in Florida. Dogfennel [Eupatorium capillifolium (Lam.) Small] is currently the most common broadleaf weed in bahiagrass pastures. We hypothesize that limited N fertilization might exacerbate dogfennel competition leading to greater declines of bahiagrass herbage responses. Field experiments were conducted in 2007 and 2008 to quantify the effects of dogfennel‐free, low, medium, and high dogfennel cover (0, 1 to ≤25, 26 to 74, and ≥75%) and limited N fertilization (56 kg N ha−1 yr−1) on bahiagrass herbage mass (HM), dogfennel biomass, bahiagrass herbage accumulation (HA) reduction, and bahiagrass crude protein (CP) concentration. Dogfennel biomass was greater for N‐fertilized plots vs. non‐fertilized plots at all monthly evaluations. Bahiagrass HM was satisfactory when dogfennel cover was low early in growing season; however, bahiagrass HM was 29 to 60% and 43 to 71% less in medium and high cover plots, respectively than dogfennel‐free plots. Conversely, bahiagrass CP was negatively affected by dogfennel only when harvested in June and July. Bahiagrass HA reduction increased as dogfennel cover increased in both years. Results from these field trials suggested that dogfennel cover negatively impacted bahiagrass herbage responses, except for low dogfennel cover early in the growing season. Additionally, limited N fertilization did not change the herbage dynamics of bahiagrass stands competing with varying percentages of dogfennel cover. Further research should evaluate additional bahiagrass cultivars, soil types, and N fertilizer rates.
PERANAN OBAT GOLONGAN STATIN TERHADAP LUARAN STATUS FUNGSIONAL PASIEN STROKE ISKEMIK BERULANG DI RUMAH SAKIT BETHESDA YOGYAKARTA
Authors: Alexxander Alexxander , Nugroho Agung Endro , Pinzon Rizaldi Taslim
Published: August 2018

Proporsi pasien yang menggunakan statin ketika pertama kali masuk rumah sakit dengan stroke iskemik berulang sangat meningkat dengan cepat. Tetapi masih menjadi kontroversi. Hal tersebut yang melatarbelakangi penelitian ini dilakukan untuk mengetahui peranan terapi statin dengan luaran status fungsional pada pasien stroke iskemik berulang di rumah sakit Bethesda Yogyakarta. Penelitian ini adalah penelitian analisis dengan metode retrospective cohort menggunakan data data rekam medis pasien. Sebagai sampel dipilih kelompok pasien stroke iskemik berulang, baik yang mendapat pengobatan dengan statin ataupun yang tidak mendapatkan pengobatan statin. Kemudian secara retrospektif diamati pengaruh penggunaan statin terhadap luaran status fungsional pasien. Jumlah subyek untuk masing masing kelompok adalah 77 pasien. Luaran baik ditandai dengan nilai mRS 0-3, sedangkan luaran buruk ditandai dengan 4-6. Lokasi penelitian adalah di rumah sakit Bethesda Yogyakarta. Penggunaan statin pada pasien stroke iskemik berulang dapat memberikan luaran status fungsional yang baik di RS Bethesda Yogyakarta (p = 0,022; RR=1,56; IK 95% = 1,056 – 2,305). Selain itu penelitian ini juga memberikan luaran sekunder yaitu variabel usia, GCS, dan kelemahan otot gerak memiliki hubungan bermakna terhadap luaran status fungsional pasien stroke iskemik berulang. Faktor prediktor untuk mendapatkan luaran status fungsional yang baik pada penelitian ini adalah pasien tanpa penggunaan antibiotik, GCS 13-15, penggunaan anti koagulan, pasien tanpa analgetik antipiretik, dan pasien dengan penggunaan anti platelet.Penggunaan statin pada pasien stroke iskemik berulang dapat memberikan luaran status fungsional yang baik di RS Bethesda Yogyakarta
Prediction of Acetylation and Succinylation in Proteins Based on Multilabel Learning RankSVM
Authors: Xu Yan , Yang Yingxi , Wang Zu , Shao Yuanhai
Published: August 2018

In vivo, one of the most efficient biological mechanisms for expanding the genetic code and regulating cellular physiology is protein post-translational modification (PTM). Because PTM can provide very useful information for both basic research and drug development, identification of PTM sites in proteins has become a very important topic in bioinformatics. Lysine residue in protein can be subjected to many types of PTMs, such as acetylation, succinylation, methylation and propionylation and so on. In order to deal with the huge protein sequences, the present study is devoted to developing computational techniques that can be used to predict the multiple K-type modifications of any uncharacterized protein timely and effectively. In this work, we proposed a method which could deal with the acetylation and succinylation prediction in a multilabel learning. Three feature constructions including sequences and physicochemical properties have been applied. The multilabel learning algorithm RankSVM has been first used in PTMs. In 10-fold cross-validation the predictor with physicochemical properties encoding got accuracy 73.86%, abslute-true 64.70%, respectively. They were better than the other feature constructions. We compared with other multilabel algorithms and the existing predictor iPTM-Lys. The results of our predictor were better than other methods. Meanwhile we also analyzed the acetylation and succinylation peptides which could illustrate the results.
The Use of D Index in the Estimation of Aromaticity: The Case of Cycloparaphenylene
Authors: D'Auria Maurizio
Published: August 2018

Cycloparaphenylenes are important compounds for their photophysical and electronic properties. The curved structure of these compounds induces an alteration of the aromatic character of these compounds. D values have been used to describe the aromatic character of compounds from [5]- to [10]cycloparaphenylene. D values are compared with HOMED and with the strain energy are obtained by using an homodesmotic reaction.
Immobilization of Cholesterol Oxidase: An Overview
Authors: Ghosh Shubhrima , Ahmad Razi , Khare Sunil Kumar
Published: August 2018

Background:

Cholesterol oxidases are bacterial oxidases widely used commercially for their application in the detection of cholesterol in blood serum, clinical or food samples. Additionally, these enzymes find potential applications as an insecticide, synthesis of anti-fungal antibiotics and a biocatalyst to transform a number of sterol and non-sterol compounds. However, the soluble form of cholesterol oxidases are found to be less stable when applied at higher temperatures, broader pH range, and incur higher costs. These disadvantages can be overcome by immobilization on carrier matrices.

Methods:

This review focuses on the immobilization of cholesterol oxidases on various macro/micro matrices as well as nanoparticles and their potential applications. Selection of appropriate support matrix in enzyme immobilization is of extreme importance. Recently, nanomaterials have been used as a matrix for immobilization of enzyme due to their large surface area and small size. The bio-compatible length scales and surface chemistry of nanoparticles provide reusability, stability and enhanced performance characteristics for the enzyme-nanoconjugates.

Conclusion:

In this review, immobilization of cholesterol oxidase on nanomaterials and other matrices are discussed. Immobilization on nanomatrices has been observed to increase the stability and activity of enzymes. This enhances the applicability of cholesterol oxidases for various industrial and clinical applications such as in biosensors.
Critical Thinking in Dental Students and Experienced Practitioners Assessed by the Health Sciences Reasoning Test
Authors: Hanlon John P. , Prihoda Thomas J. , Verrett Ronald G. , Jones John D. , Haney Stephan J. , Hendricson William D.
Published: August 2018

To date, there has been a lack of published studies examining the validity of the Health Sciences Reasoning Test (HSRT) to assess critical thinking among dental students. The aim of this study was to examine the construct validity of the HSRT using a novice‐expert model consisting of first‐year dental students as novices and experienced general dentists as experts. Novice cohort subjects were recruited from all 105 students in the first‐year dental school class at the University of Texas Health Science Center at San Antonio during a regularly scheduled course in August 2015. A total of 83 students participated, for a 79% response rate. Thirty individuals personally recruited from the same school's faculty and from private practitioners made up the expert cohort. The results showed that the adjusted mean overall score for the expert cohort (25.31) was significantly higher than that of the novice cohort (22.64) (p=0.04). The expert cohort achieved higher adjusted mean scores in all scales (Induction, Deduction, Analysis, Inference, and Evaluation), with the difference in the Analysis scale being significant (p=0.02). In this study, experienced general dentists achieved significantly better overall scores on the HSRT as compared to first‐year dental students, suggesting the instrument was able to measure differences between novice and expert. Further efforts to validate the instrument in a dental education setting and to understand its correlation with strategies and practices aimed at developing critical thinking in dental students are warranted.
Aprendizagem expansiva e ecossocioeconomias na prática artesanal da Feira de Arte e Artesanato do Largo da Ordem em Curitiba-Pr
Authors: Zdepski Fabiola Bevervanço , Grimm Isabel Jurema , Procopiuck Mario
Published: August 2018

O avanço em perspectivas teóricas e metodológicas para inovar as bases de desenvolvimento sustentável lança desafios ao associar estratégias de aprendizagem, capacidade de agência para incorporar valor em processos criativos e princípios de ecodesenvolvimento. O objetivo do presente artigo é avaliar mudanças em práticas na tomada de consciência individual associada a questões socioambientais em experiências ecossocioeconômicas em atividades de artesanato em um arranjo socioprodutivo representado por uma feira urbana curitibana. A investigação tem natureza qualitativa e utiliza narrativas para levantamento de dados e informações empíricas. Os resultados indicam que é possível ampliar a base teórico-conceitual da ecossocioeconomia ao associá-la com aprendizagem expansiva; o artesanato contribui para o comprometimento do sujeito-artesão com o contexto socioambiental em que está implexo; e que as feiras urbanas são lócus privilegiado para a emergência de ciclos de aprendizagem expansiva e para elevar o potencial artístico e o valor do artesanato.
Tradisi Ziarah Kubro Masyarakat Kota Palembang dalam Perspektif Hierarki Nilai Max Scheler
Authors: Amri Prima , Maharani Septiana Dwiputri
Published: August 2018

The background of this article is the local wisdom of people of Palembang city, in the form of a tradition called Ziarah Kubro (The Great Pilgrimage) which actually contains philosophical values but in practice it is still understood as merely a ritual. This article aims to analyze the Ziarah Kubro tradition employing perspective of Max Scheler’s hierarchy of values. This article provides indepth analysis regarding the values contained in the tradition of Ziarah Kubro using descriptive analytics as a form of literature review. Results of the study suggest that Ziarah Kubro tradition contains philosophical values, namely the value of pleasure, vitality, spirituality, and religius. Based on Max Scheler hierarchical perspective, religius values are the highest values upheld by the people of Palembang City. These values can be sensed through preferences influenced by the feelings of love and hate. This preference has implications towards the attitudes of the Palembang people who always carry out and preserve this tradition to the next generation in the hope of attaining blessings and increasing religious life in society.
The Accuracy of Risanto's Formula and Ultrasound Measurement in Estimating Fetal Weight
Authors: Pietersz Elsina Krisnawati , Rachman Irwan Taufiqur , Siswosudarmo Risanto
Published: August 2018

Background: Accurate estimated fetal weight (EFW) is crucial in determining delivery management. Several methods to estimate fetal weight were used such as abdominal palpation, measurement of symphisis fundal height (SFH), and ultrasound examination. Risanto’s formula based on Indonesian population had been already proven to be more accurate than Johnson’s formula. The formula was as follows: Y = 125 X - 880 where Y was EFW in grams, X was SFH in cm, and 125 was the constanta.Objective: To compare the accuracy of Risanto’s formula and ultrasound examination in estimating fetal weight.Method: A cross sectional study was carried out in Sardjito hospital, Faculty of Medicine Universitas Gadjah Mada, from March 2013 to March 2014. A total of 400 pregnant women meeting the inclusion criteria at 37 – 42 weeks of gestation were recruited. The estimated fetal weight using Risanto’s formula (R_EFW) was compared to the estimated fetal weight using ultrasound measurement (U_EFW). The U_EFW was done by obstetricians on duty or senior residents using Hadlock’s formula. Actual birth weight (ABW) was measured using the same calibrated baby scale. Accuracy was determined by comparing the mean difference between the R_EFW minus ABW (ΔR_EFW) and the U_EFW minus ABW (ΔU_EFW). Paired t-test was used for statistical analysis.Result and Discussion: The mean ABW was 3025.3 ± 414.6 gram and the mean R_EFW was 2972.7 ± 365.4 grams, while the mean U_EFW was 3058.7 ± 423.2 grams. The mean ΔR_EFW was lower than the mean ΔU_EFW (178.2 ± 147.6 grams vs 197.5 ± 155.4 grams; 95% CI 1.24 – 36.68; p = 0.04).Conclusion: Risanto’s formula was more accurate than ultrasound measurement in estimating fetal weight.Keywords: Estimated fetal weight, Risanto’s formula, Ultrasonography, Fundal height
Hubungan Response Time Seksio Sesarea Emergensi Kategori 1 dengan Luaran Perinatal di RSUP Dr.Sardjito
Authors: Gunawan Tri , Attamimi Ahsanudin , Pradjatmo Heru
Published: August 2018

Background: Caesarean section is often applied as a preventif efoort against the continued effects of perinatal asphyxia. The cesarean section (SC) in pregnant woman can be performed in a planned manner with various indications or performed by emergency (emergency) on maternal or fetal indications and or both.Objective: To study the association of response time in category I emergency caesarean section with perinatal outcomes in Dr. Sardjito hospital and the average response time of category 1 emergency cesarean section in Dr. Sardjito hospital.Method: This study uses retrospective cohort. Category 1 CS with an indication of fetal accordance with the inclusion criteria was recorded from 1st January 2012 until 31th July 2016, then we find the response time mean as the cut off point of this study to compare with their perinatal outcomes.Result and Discussion: There were 155 cases out of 386 of emergency CS category 1 met the inclusion criteria during the period 1st January 2012 to 31th July 2016. From the data obtained, the average response time of category 1 emergency CS was 115±52 minutes (35 - 360 minutes). We found no significant differences in perinatal outcomes in the group’s response time ≥115 minutes with a value of p>0.05 on the Apgar score, CPAP, infant mortality, ventilator, NICU care, MAS and HIE than those category 1 emergency CS with a response time <115 minutes. From multivariate analysis, general anaesthesia was statistically significant against perinatal outcomes Apgar score <7 at 5 minutes with (p=0.044). Prematurity in the multivariate analysis was statistically significant against perinatal outcomes Apgar score ≤3 at 1 minute with (p=0.040), Apgar score <7 at 5 minutes with (p=0.025) and the use of CPAP with (p=0.009).Conclusions: Response time category 1 emergency cesarean section in this study did not affect perinatal outcomes. General anesthesia effect on perinatal outcomes Apgar score <7 at 5 minutes, whereas the prematurity effect on perinatal outcomes Apgar score ≤3 at 1 minute, Apgar score <7 at 5 minutes and the use of CPAP.Keywords: category 1 emergency caesarean section, response time, fetal distress
Biocompatible Solutions and Long-Term Changes in Peritoneal Solute Transport
Authors: Elphick Emma H. , Teece Lucy , Chess James A. , Do Jun-Young , Kim Yong-Lim , Lee H. Bahl , Davison Sara N. , Topley Nicholas , Davies Simon J. , Lambie Mark
Published: August 2018

Background and objectives

The inflammation-driven increase in peritoneal solute transport rate that occurs during long-term peritoneal dialysis is associated with higher mortality, hospitalization, and encapsulating peritoneal sclerosis. Because biocompatible solutions were developed to mitigate these effects, we examined the association with their use and longitudinal peritoneal solute transport rate.

Design, setting, participants, & measurements

We analyzed subjects from the multinational prospective Global Fluid Study with three or more peritoneal solute transport rate measurements >2 months from the start of peritoneal dialysis. Follow-up was for 7.5 years (median, 2.3 years; interquartile range, 1.8–3.6) in biocompatible solutions and 12.8 years (median, 3.2 years; interquartile range, 1.9–4.3) for standard solutions. Using a random intercept/slopes multilevel model, we examined the association of patients using biocompatible solutions and peritoneal solute transport rate over time, adjusting for center effects, dialysate dextrose concentration, baseline dialysate IL-6 concentration, icodextrin use, residual kidney function, and peritonitis.

Results

Of 366 patients, the 71 receiving biocompatible solutions throughout their time on peritoneal dialysis had a mean adjusted dialysate-to-plasma creatinine ratio of 0.67 compared with 0.72 for standard solutions (P=0.02). With duration of treatment, there was a continuous increase in peritoneal solute transport rate in patients using standard solutions (range, 2 months to 4 years). In contrast, patients using biocompatible solutions had peritoneal solute transport rates that plateaued after 2 years of therapy. These changes in peritoneal solute transport rate were independent of baseline inflammation and time-varying predictors of faster peritoneal solute transport rate. In patients suffering episodes of peritonitis while using standard solutions, there was an associated increase in peritoneal solute transport rate of 0.020 (95% confidence interval, 0.01 to 0.03) per episode, whereas in patients using biocompatible solutions, there was no change in this parameter (−0.014; 95% confidence interval, −0.03 to <0.01).

Conclusions

These data suggest that a different temporal pattern in changes in peritoneal solute transport rate occurs during the course of peritoneal dialysis according to solution type and that patients using biocompatible solutions may avoid the increase in solute transport associated with peritonitis.
Relative effectiveness of sunitinib versus everolimus in advanced pancreatic neuroendocrine tumors: an updated matching-adjusted indirect comparison
Authors: Ishak K Jack , Rael Michael , Hicks Meagen , Mittal Sangeeta , Eatock Martin , Valle Juan W
Published: August 2018

Aim:
A matching-adjusted indirect comparison (MAIC) of sunitinib and everolimus has been previously reported based on the RADIANT-3 everolimus trial. We performed an analysis using updated overall survival (OS) data based on sunitinib's trial (A6181111).
Methods:
The MAIC matched on all baseline characteristics available from both studies. An anchored MAIC was performed for progression-free survival (PFS); an unanchored analysis was deemed more appropriate for OS due to crossover in both trials. A hazard ratio for sunitinib versus everolimus was derived from adjusted (weighted) sunitinib effects compared with the observed results for everolimus.
Results:
The adjusted hazard ratio for sunitinib versus everolimus was 0.85 (0.39–1.89) for PFS and 0.82 (0.53–1.27) for OS.
Conclusion:
Findings indicate comparable PFS and OS with sunitinib and everolimus.
PEMANFAATAN ARANG TEMPURUNG KEMIRI (Aleurites moluccana (L.) Willd.) SEBAGAI ADSORBEN PADA PEMURNIAN MINYAK KELAPA SAWIT MENTAH/CRUDE PALM OIL (CPO)
Authors: Nuryanto Eka , Askasari Dwi Ratih
Published: August 2018

Minyak kelapa sawit mentah atau Crude Palm Oil (CPO) adalah produk utama hasil pengolahan buah kelapa sawit. Minyak goreng kelapa sawit dapat dibuat dari CPO dengan melalui proses pemurnian dan pemisahan. Telah dilakukan penelitian pemanfaatan arang tempurung kemiri sebagai adsorben untuk pemurnian CPO. Variabel yang digunakan dalam penelitian ini adalah massa adsorben (5,10, 15,20, dan 25 g), variasi suhu (100, 110, 120, 130 dan 1400C) dan variasi waktu pengadukan (0,5, 1, 2, 2,5, dan 3 jam). Parameter yang dianalisis adalah analisis kadar asam lemak bebas, warna dan karoten. Hasil penelitian menunjukkan bahwa kandungan Asam Lemak Bebas (ALB) terendah diperoleh pada perlakuan suhu 120 oC, massa arang tempurung kemiri 25 g (12,5 % terhadap CPO), dan lama pengadukan 1 jam.  Sedangkan untuk parameter warna terendah diperoleh pada perlakuan suhu 130 oC, massa arang tempurung kemiri 15 g (7,5 % terhadap CPO), dan lama pengadukan 1 jam. Arang tempurung kemiri dapat digunakan sebagai adsorben pada pemurnian CPO.
KOMPOSISI ASAM LEMAK DAN KAROTEN KELAPA SAWIT ELAEIS OLEIFERA, INTERSPESIFIK HIBRIDA, DAN PSEUDO-BACKCROSS PERTAMA DI SUMATRA UTARA, INDONESIA
Authors: Siregar Heri Adriwan , Rahmadi Hernawan Yuli , Wening Sri , Suprianto Edy
Published: August 2018

Tiga ratus sembilan puluh limasampel pohon terdiri dari populasi liar Elaeis oleifera origin Brazil dan Suriname, turunan hibridanya dengan Elaeis guineensis, dan silang balik semu pertama berhasil diamati untuk karakter asam lemak dan total karoten menggunakan gaschromatographydan UV spectrophotometry. Pengamatan dilakukan terhadap lebih dari 648 buah tandan dalam selang waktu 17 bulan. Karakter komposisi asam lemak dan total karoten memiliki keragaman yang lebih luas dibanding varietas komersial di Indonesia saat ini. Populasi pseudo-backcrosspertama baik dari E. oleifera originBrazil maupun Suriname lebih berpotensi diintrogresikan ke dalam program pemuliaan saat ini dibanding populasi liar dan hibridanya disebabkan pertumbuhan batang yang sudah mewarisi sifat E. guineensis.  Berhasil ditemukan pada populasi pseudo-backcrosspertama beberapa individu dengan kandungan asam lemak tak jenuh oleat dengan nilai >50% dan kandungan karoten ³2000 ppm.  Analisis korelasi antar asam lemak juga dipaparkan dalam tulisan ini yang menunjukkan hubungan yang sedikit berbeda antara populasi hibrida dan pseudo-backcrosspertama, dan bila dibandingkan dengan populasi E. guineensis. Diperlukan penelitian lebih lanjut seperti teknik kultur jaringan dan association studies untuk percepatan penggunaan material turunan E. oleifera.
Direct somatic embryogenesis and plant regeneration in tea by temporary liquid immersion Embriogenesis somatik langsung dan regenerasi tanaman teh melalui perendaman sesaat
Authors: TAHARDI J S , RAISAWATI Tatik , RIYADI Imron , DODD W A
Published: August 2018

Ringkasan Perbanyakan tanaman teh [Camellia sinen­sis (L.) O. Kuntze] melalui stek tunas berdaun tunggal hanya dapat menghasilkan klon unggul dalam jumlah terbatas. Oleh sebab itu diperlukan metode alternatif dengan teknik kultur sel dan jaringan untuk perbanyakan klonal secara cepat. Dalam penelitian ini dikembangkan metode yang lebih efektif untuk regenerasi tanaman teh melalui embriogenesis somatik langsung. Massa pro­embriogenik dari eksplan kotiledon dihasilkan dengan frekuensi 56,7% dalam media MS padat setengah konsentrasi yang mengandung BAP 2 mg1L. Proliferasi, perkembangan, pendewasaan dan perkecambahan embrio somatik diperoleh dengan sistem perendaman sesaat (SPS) yang menggunakan media MS cair setengah konsen­trasi, yang diperkaya dengan zat pengatur tumbuh dengan berbagai konsentrasi. Proliferasi embrio meningkat 4,3 kali dalam media yang diberi BAP 2 mglL; perkembangan dan pendewasaannya meningkat dengan penambahan kinetin dan ABA masing-masing pada konsentrasi 0,1 mg1L yang 30% diantaranya berkecambah dan membentuk planlet tanpa penambahan zat pengatur tumbuh. Protokol SPS tersebut merupakan sistem in vitro yang berpotensi bagi proliferasi dan perkembang­an embrio somatik tanaman teh yang cepat dan sinkron dari kultur kotiledon, serta regenerasinya menjadi planlet tanpa melalui fase kalus.Summary Tea propagation by single-leaf bud cuttings has limited applications for rapid dissemination of planting materials from new elite clones. An alternative method for rapid cloning by cell and tissue culture technique is necessary. In this study we have established an improved method for tea [Camellia sinensis (L.) O. Kuntze] plant regenera­tion via direct somatic embryogenesis. Clumps of proembryogenic masses were initiated at a fre­quency of 56.7% from cotyledonary slices cul­tured on a half-strength MS agar-gelled medium supplemented with 2 mg/L BAP. Proliferation, development, maturation and germination of so­matic embryos were achieved using the temporary immersion system (TIS) provided with half­strength MS liquid media supplemented with varying concentrations of growth regulators. Em­bryo proliferation increased by 4.3-fold in me­dium provided with 2 mg/L BAP; their develop­ment and maturation were enhanced by the presence of both kinetin and ABA at 0.1 mg/L each. Germination and plant recovery were achieved at a frequency of about 30% without the use of growth regulators. The TIS protocol des­cribed above represents an in vitro system poten­tial for rapid proliferation and synchronized development of tea somatic embryos from cotyledon cultures, and their regeneration into plantlets without an intervening callus phase.
Determinación del área de influencia del Nodo de Servicios (NS) de la Circunscripción III, Tercera Franja Residencial (TFR) de Río Gallegos
Authors: González Cristhian , Cáceres Alicia Pompeya
Published: August 2018

El siguiente trabajo tiene como finalidad relevar, localizar y georreferenciar los servicios que componen el nodo de servicio (NS) de la Circunscripción III, Tercera Franja Residencial (TFR) de la ciudad de Río Gallegos, Provincia de Santa Cruz, Argentina. Además, establecer el área de influencia del nodo de servicio a través de un modelo con la técnica buffer, con el uso de un Sistema de Información Geográfica (SIG).Para este trabajo, se han identificado los diferentes nodos de servicios presentes en el área de estudio, y se relevaron los diferentes usos del suelo.
Estudio de los partidos de izquierda en Santa Cruz (1983-2015)
Authors: Mayer Daniela , Vilaboa Juan Ramón , Hudson Mirna
Published: August 2018

El objetivo del trabajo es analizar las formaciones partidarias de izquierda en la provincia de Santa Cruz como espacios de discusión en el entramado político, teniendo en cuenta su estructuración como partido, la forma de organización y su accionar partidario en los diferentes escenarios. El trabajo se basa en una búsqueda en diferentes diarios provinciales, recopilación de resultados electorales y realización de entrevistas a los protagonistas. Con ello se pretende llegar a conocer la dinámica de organización interna y el entramado de relaciones que tejieron estos partidos, para luego mantenerse como minoría activas en el escenario político santacruceño.
Usando Personas para Mejorar la Experiencia de Usuario de una Aplicación Móvil de Carpooling
Authors: Vargas Fernando , Gaetan Gabriela , Saldaño Viviana
Published: August 2018

Para evaluar la Experiencia de Usuario, las revisiones de diseño y los recorridos cognitivos generalmente se realizan a través de los ojos del usuario, aunque muchas veces el usuario no está presente. La técnica Personas permite crear usuarios específicos para hacer una revisión experta o un recorrido cognitivo.

El objetivo principal de nuestro trabajo fue identificar aspectos que permitieran mejorar la Experiencia de Usuario de una aplicación móvil. Con el propósito de investigar y evaluar la contribución de la técnica Personas, planteamos: 1) desarrollar una aplicación móvil en base a un proceso iterativo de Diseño Centrado en el Usuario, 2) crear un conjunto de Personas que caracterice a los usuarios de la aplicación móvil, 3) evaluar la aplicación desarrollada realizando una evaluación heurística basada en Personas.

Los resultados de esta evaluación nos permitieron identificar once problemas que afectan negativamente a la Experiencia de usuario con la aplicación UNPAMóvil. Se espera que estos resultados sean insumo para una nueva versión de esta aplicación como también para otras aplicaciones similares.
Caso emblemático, Corregimiento Arboleda – Caldas. Año 2000
Authors: Gallego Betancourth Martha Lucía , Burgos Claros Otoniel
Published: August 2018

El presente estudio denominado “Caso emblemático Arboleda – Caldas”, se enmarca en el área Social y la línea de investigación en conflicto y convivencia. El estudio fue de tipo cualitativo, teniendo como punto de partida la experiencia vivida por los actores sujetos de investigación, tales como habitantes del corregimiento, integrantes de la Policía y sus familias, víctimas del conflicto armado. Entre los principales resultados se resalta: La reconstrucción de la toma guerrillera al corregimiento de la Arboleda – Caldas, siendo una de las más sangrientas, crueles e inhumanas que se hubiese realizado en contra de la población civil. Así las cosas, el contexto y capacidad institucional existente para la época en la zona, era insuficiente, teniendo en cuenta los antecedentes que en materia de tomas guerrilleras se habían realizado en la región, previamente a la incursión subversiva, sin desconocer la difícil situación de orden público que se vivía en todo el territorio nacional en ese entonces. La afectación a las víctimas se ve reflejada en aspectos relacionados con la parte física, emocional, psicológica, mental, económica y social, experimentado básicamente por parte de las esposas, hijos (as) de los policiales asesinados y de los sobrevivientes; situación que dejó secuelas, incluso de por vida para muchos de ellos(as).