bluuebunny/crossref_metadata_2025 huggingface dataset:
Case Report of Both Bone Forearm Refracture in an 8-year-old Girl
Authors: Daccache Elio Chahid , Bassil Georges Fayez , Badra Mohamad Ibrahim , Moucharafieh Ramzi Sharif
Published: January 2023

Introduction: Pediatric both bone forearm fracture is a common injury in children. A multitude of current treatments are available, with Titanium Elastic Intramedullary Nail system becoming very popular. The advantages of this treatment are many; however, refracture of these nails in situ is a reported uncommon complication, and there is a paucity in the literature on the appropriate management in these cases. Case Report: An 8-year-old girl suffered from a left both bone forearm fracture after a fall from height, for which she was treated with the use of Titanium Elastic Intramedullary Nail system. Despite callus formation and fracture healing on X-rays, the nails were not removed at the intended time of 6 months due to the economic status of the country and the viral outbreak of COVID-19. Therefore, after 11 months of fixation, the patient presented again after a fall from height with the left both bone forearm refracture with the Titanium Elastic Intramedullary Nail system in situ. Intraoperative closed reduction was achieved with removal of the previous bent nails and refixation with new elastic nails. Follow-up of the patient 3 weeks later revealed satisfactory reduction with callus formation. Conclusion: Pediatric both bone forearm refracture with Titanium Elastic Intramedullary Nail system in situ can be treated by gentle closed reduction and exchange nailing. This is not the first case to be managed with exchange nailing; however, it is one of the very few to have been treated as such and therefore these cases must be reported for further comparison with the different methods described in the literature to attain the optimal modality of treatment. Keywords: Both bone forearm refracture, titanium elastic intramedullary nail system in situ, exchange nailing.
Strategies in the Management of Osteoporotic Kummell’s Disease
Authors: Kuppan Naveenkumar , Muthu Sathish , Parthasarathy Sathyanarayanan , Mohanen Pragash
Published: January 2023

Introduction: Kummell disease is a condition characterized by severe pain, progressing kyphosis with or without neurological deficit following a trivial trauma in the old age osteoporotic population. It is an osteoporotic vertebral fracture due to avascular necrosis of the vertebra, having an asymptomatic period initially followed by progressive pain, kyphosis, and neurologic deficit. Although various management options are available for Kummell’s disease, a dilemma occurs in selecting an optimal modality in each case. Case Report: A 65-year-old female presented with complaints of low back pain for 4 weeks. She developed progressive weakness and bowel bladder disturbance. Radiographs showed a D12 vertebral compression fracture with an intravertebral vacuum cleft sign. Magnetic resonance imaging showed intravertebral fluid and significant compression of the cord. We performed posterior decompression, stabilization, and transpedicular bone grafting at the D12 level. Histopathology confirmed Kummell’s disease. The patient recovered with restored power and bladder control and resumed independent ambulation. Conclusion: Osteoporotic compression fractures are more prone to pseudoarthrosis due to poor vascular and mechanical support, they need adequate immobilization and bracing. Transpedicular bone grafting for kummels disease seems to be a good surgical option due to its short operating time, less bleeding, less invasive approach, and early recovery. However, a treatment-oriented classification is needed to treat this clinical entity on a case-by-case basis. Keywords: Kummell’s disease, osteoporosis, kyphoplasty, transpedicular bone grafting, spine.
Pubic Symphysis Osteomyelitis after Bilateral Laproscopic Hernia Repair: A Case Report and Review of Literature
Authors: Sinha Siddhartha , Qureshi Owais A , Kumar Arvind , Thakral Ajay K , Mohsin Mohammed , Kumar Sandeep
Published: January 2023

Introduction: Pubic symphysis osteomyelitis is a rare complication of hernia repair, it is easily mistaken for osteitis pubis (OP) which can lead to a significant delay in diagnosis and prolonged pain for the patient. Case Report: We present the case of a 41-year-old male who presented with complaints of diffuse low back pain, perineal pain for 8 weeks after bilateral laparoscopic hernia repair. The patient was initially considered to have OP and managed however pain did not relieve with treatment. There was tenderness in the ischial tuberosity only. At the time of presentation, X-ray revealed areas of erosion and sclerosis in the pubis with increased inflammatory markers. Magnetic resonance imaging showed an altered marrow signal in the pubic symphysis, edema in the gluteus maximus on the right side, and collection in the peri-vesical space. The patient was started on oral antibiotics for 6 weeks and clinicoradiological improvement was noted. Conclusion: Pubic osteomyelitis and OP show similar clinical presentations with contrasting treatments. Early identification and initiation of appropriate treatment can decrease morbidity and improve outcomes. Keywords: Pubic osteomyelitis, osteitis pubis, osteomyelitis after hernia repair
A Rare Presentation of Myositis Ossificans in a Diabetic Individual
Authors: Jogiya Prabodhinee Dhiren , Hind Jamie , Sidhu Gur Aziz Singh , Suryawanshi Suraj , Amara Veda Vani , Ashwood Neil
Published: January 2023

Introduction: Myositis ossificans (MO) is a disease with self-limiting, benign ossifying lesions. MO traumatica is most common cause and occurs after blunt trauma to muscle tissue and the most common site of occurrence is the anterior thigh often developing after an intramuscular hematoma. The pathophysiology of MO is not well understood. The association of myositis and diabetes is quite rare. Case Report: A 57-year-old male presented with a discharging ulcer on the right lateral lower leg. A radiograph was carried out to ascertain the degree of bone involvement. However, the X-ray showed calcifications. Ultrasound, magnetic resonance imaging (MRI) and X-ray imaging were used to exclude malignant disorders such as osteomyelitis or osteosarcoma. The diagnosis of myositis ossificans was confirmed with MRI. As the patient had a background of diabetes, this could have led to MO as a result of the macrovascular complication of a discharging ulcer; hence, diabetes could be considered a risk factor for the disease. Conclusion:The reader may appreciate that diabetic patients may present with MO and that repeated discharging ulcers may imitate the effects of physical trauma on calcifications. The specific take home message is that regardless of the apparent rarity of a disease and subversion to typical clinical presentation, it should still be considered. Furthermore, the exclusion of severe and malignant diseases which benign diseases may mimic is of utmost importance to correctly manage patients. Keywords: Myositis ossificans, diabetes.
Symptomatic Coracoclavicular Joint – A Case Report of an Important but Lesser known Differential Diagnosis of Shoulder Pain
Authors: Bansal Nitish , Aggarwal Saurabh , Tiwari Punit , Kaur Harmeet
Published: January 2023

Introduction: Actual coracoclavicular (CC) joint is a rare finding and usually incidental. It is mostly asymptomatic, but few cases have been reported in which there was associated shoulder pain and even brachial plexus neuralgia. It is not to be confused with CC ligament which is a well-known anatomical entity. Case Report: Here, we present a case of symptomatic CC joint treated at our hospital. A 50-year-old man presented to the outdoor patient department of our hospital with a history of acute on chronic pain in the left shoulder. The pain used to be dull/aching, occurring after some activity and usually relieved on rest. On local examination, mild tenderness was present around the coracoid process. The pain was aggravated on flexion and external rotation of the shoulder. X-ray of the shoulder revealed the presence of a CC joint. It was confirmed by non-contrast computed tomography of the shoulder. Ultrasound-guided injection of local anesthetic and steroid was given in the CC joint, providing instant pain relief to the patient. At 1-year follow-up, the patient is asymptomatic and continuing his daily routine activities. Conclusion: Although CC Joint is a rare entity, its role in causing symptoms is unrefutable. Conservative treatment should be tried before surgical excision. More awareness regarding this joint and its pathology is required for identification and diagnosis. Keywords: Coracoclavicular joint, shoulder pain, coracoclavicular ligament.
A Simulation of Optimal Model on Fractional Aircraft Ownership (FAO) Management
Authors: Sumarti Novriana , Brahmandita Ida B.P. , Aqsha Muhammad A.
Published: January 2023

Compared to owning a private jet, Fractional Aircraft Ownership (FAO) concept is a cheaper alternative for very mobile business persons who want to travel in comfort. The aircraft is owned by a number of customers (referred to as “owners”) and the flight hours of its operation are shared based on each owner’s portion. In this research, we do the simulation of an FAO company with very large demands with 27 cities of destination, which are commonly visited by business people in Indonesia. We derive flight demands stochastically from the owners and create optimal flying schedules based on the demands. Using the calculation of fixed and variable costs, we can determine the optimal flight pairings that minimized the operational cost. Eventually, we can determine the number of aircraft needed to be owned by FAO so the business will profit.
Approximate Solution for Barrier Option Pricing Using Adaptive Differential Evolution With Learning Parameter
Authors: Febrianti Werry , Sidarto Kuntjoro Adji , Sumarti Novriana
Published: January 2023

Black-Scholes (BS) equations, which are in the form of stochastic partial differential equations, are fundamental equations in mathematical finance, especially in option pricing. Even though there exists an analytical solution to the standard form, the equations are not straightforward to be solved numerically. The effective and efficient numerical method will be useful to solve advanced and non-standard forms of BS equations in the future. In this paper, we propose a method to solve BS equations using an approach of optimization problems, where a metaheuristic optimization algorithm is utilized to find the best-approximated solutions of the equations. Here we use the Adaptive Differential Evolution with Learning Parameter (ADELP) algorithm. The BS equations being solved are meant to find values of European option pricing that is equipped with Barrier option pricing. The result of our approximation method fits well to the analytical approximation solutions.
Mathematical Methods for 3D Reconstruction of Cell Structures
Authors: Martišek Dalibor
Published: January 2023

The study of the complicated architecture of cell space structures is an important problem in biology and medical research. Optical cuts of cells produced by confocal microscopes contain a lot of information, however, most of this is unsubstantial for human vision. Therefore, it is necessary to use mathematical algorithms for the visualization of such images. Present software tools such as OpenGL or DirectX run quickly in a graphic station with special graphic cards, run very unsatisfactory on PC without these cards and outputs are usually poor for real data. These tools are black boxes for a common user and make it impossible to correct and improve them. With the method proposed, more parameters of the environment can be set. The quality of the output is incomparable to the earlier described methods and is worth increasing the computing time. We would like to offer mathematical methods of 3D scalar data visualization describing new algorithms that run on standard PCs very well.
Can we go on? Child protection in a broken place
Authors: Featherstone Brid
Published: January 2023

In this article, I discuss the development of a child protection system that too often seems to harm rather than help those who are most marginalised, despite countless attempts at reform and reimagining over the decades on the part of so many progressives including feminists. While the focus is mainly on England, many of the developments there are by no means unique, as I will highlight. I focus, especially, on the issues that have emerged in the arena of domestic abuse where those who are often the most harmed are not able to tell not just of the harm, but of what they consider they can do to mitigate it. It can often appear, therefore, that a system has been constructed where abused women are collateral damage in a project that ‘saves’ their children! In this article, I discuss the need for perspectives informed by intersectionality, transformative justice and restorative processes so that we might widen circles of support, voice and accountability.
Alcibiades and the Distorting Mirror of Celebrity
Authors: Pellerin Daniel
Published: January 2023

This article takes its cue from Plutarch’s observation that Alcibiades was undone by his exaggerated reputation as surely as he had been raised to such giddy heights by it before. To understand better a figure too often reduced to caricature, in ancient times as in ours, it is vital to remember, as one surveys the many notorious episodes in his life, the intensity with which the eye of the public was forever fixed upon him, and the distorting consequences that such boundless celebrity must have for how someone’s actions are perceived, reported, and often enough misconstrued. Bearing the ubiquity of such tendentious influences in mind, the article will show how many of the notorious anecdotes allow for more charitable and less sensationalist interpretation than they have commonly been given—this not by way of lionizing a mischief-maker or contriving apologetics for a scoundrel, but in order to do a little more justice, in a Plutarchian spirit, to a complex life.
A Foretold Tragic Fate. Plutarch’s Literary Resources in the Presentation of the scene about the Death of Cleitus by Alexander (Plu., Alex. 50.1-6)
Authors: Pérez-Jiménez Aurelio
Published: January 2023

Despite his Platonic distrust of the didactic value of poetry, including the theater, Plutarch, as an accomplished biographer of characters whose life was full of dramatic situations, applies to their stories a deep-rooted knowledge of the literary strategies of Greek drama. No exception is the anecdote about the death of Cleitus by Alexander. Its plot begins with the king’s friendship with his general, a moment plagued with the ingredients that ancient Greek tragedy reserves for its heroes: Fortune and the fulfillment of destiny, inescapable for them, despite their knowledge of the future, as well as the pride of the hero, confident in the strength of his ideals; and, finally, the tragic irony with which the playwright seems to offer a happy ending, which makes the outcome harder. Plutarch always intervenes with great creative capacity in the presentation of these situations, sometimes transmitted by other sources. And he does it also when he introduces the episode that now concerns me, putting into play all the resources of his style. He thus designs a perfect scenario for the facts, now the discussion between Cleitus and Alejander and the death of the first by the second, adorned with religious references (omens, fortune tellers, unconsummated sacrifices, dreams, etc.) and whose main power is the destiny that, as in a tragedy, will be inescapable for the protagonist (Alexander) and for his antagonist and friend (Cleitus).
Plutarch’s Lively Dinner Tables
Authors: Titchener Frances
Published: January 2023

This paper will look at banquets in the context of non-food related events like assassinations, making an impression, and true character reveals, heavily illustrated by citations from twenty-three different Parallel Lives, with a final section on food-related events focusing on Spartan black broth (μέλας ζωμός) as a characterizing device.
Cleopatra: 2050 years after death: woman queen lover enemy
Authors: Volpe Paola
Published: January 2023

The subject of this paper is the representation of Cleopatra in Plutarch. Linked to the most important politicians of her age, Caesar and Antonius, she seduces her lovers with her charm, with her beauty, with her culture, with the ambiguity of her character and her actions. Egyptian and, therefore, far from the behaviour of Roman women, she made θαῦμα the weapon of her seduction, accompanied by all-female cunning, not without elegance and seduction. In the Life of Antonius Plutarch, alongside the merciless description of Antonius, naive in relationships with others (he easily fell into the hands of flatterers) and “slow in perception”, introduces a ‘cameo’ that portrays Cleopatra as a woman not beautiful, but of great charm thanks to the seduction of the voice that modulated words as if they were musical notes. Even her death was shrouded by that sense of mystery that had characterized her life: it was the asp that caused it, but no trace of the reptile was found.
In- como operador escalar y su comportamiento adjetival
Authors: Fábregas Antonio
Published: January 2023

En la bibliografía se ha señalado repetidamente la asociación del prefijo in-, habitualmente clasificado como ‘negativo’, y la categoría de los adjetivos. Son frecuentes los casos citados en la bibliografía en los que el prefijo facilita que una voz de categoría verbal deba ser interpretada como adjetivo (opinado ~ inopinado), así como algunos casos en que el prefijo convierte un sustantivo en adjetivo (color ~ incoloro). Sin embargo, estos casos se enfrentan al hecho de que el prefijo in- rara vez se combina con bases sustantivas o verbales, y mayoritariamente toma adjetivos calificativos como sus bases de formación. Si el prefijo negativo fuera un elemento con la capacidad de convertir una base en adjetivo, se esperaría que pudiera combinarse de forma más amplia con bases verbales o nominales, a las que impondría una lectura adjetival. Por tanto, debe encontrarse una forma en que el prefijo facilite pero no imponga una lectura adjetival. De la misma manera, el prefijo negativo in-, de tratarse como un cuantificador, debería inicialmente bloquear la presencia de los cuantificadores que operen sobre la misma variable, pero este prefijo —frente a no— nunca bloquea la cuantificación de grado. En este trabajo argumento que esta asociación entre el prefijo y la lectura adjetival se debe a que in- ha de entenderse como un prefijo cuya función es invertir la direccionalidad de una escala de valores, causando que el grado seleccione el intervalo complementario al que haría en una versión positiva; su asociación casi total con los adjetivos se sigue de que son los adjetivos precisamente los que proporcionan estas escalas necesarias para la semántica del prefijo. Precisamente por invertir la escala es por lo que este prefijo no bloquea la lectura de grado en combinación con otros cuantificadores. Este análisis se posiciona en contra de las propuestas en que in- cambia por sí solo la categoría de la base o es un cuantificador de grado que selecciona los valores inferiores de la escala: al contrario, in- define el conjunto complementario de valores que selecciona el cuantificador de grado.
La atenuación entre hablantes de instrucción alta en el corpus oral PRESEEA-Sevilla: usos contrastivos en sexo y edad
Authors: Repede Doina
Published: January 2023

En este trabajo nos centramos en el fenómeno de la atenuación lingüística registrado en 24 entrevistas semidirigidas de hablantes sevillanos correspondientes al sociolecto alto, realizadas dentro del marco PRESEEA (Proyecto para el Estudio Sociolingüístico del español de España y de América). Los sujetos encuestados se distribuyen proporcionalmente según dos factores extralingüísticos, a saber, sexo ‒hombres y mujeres‒ y grupo etario, esto es, primera ‒20-34 años‒, segunda ‒35-54 años‒ y tercera generación ‒55 años en adelante‒. Además, con el fin de llevar a cabo este estudio, nos basamos en los trabajos de Cestero y Albelda (2012) y Albelda et alii (2014) para el análisis de la atenuación. Tras identificar los distintos mecanismos lingüísticos atenuadores a los que recurren los informantes entrevistados para mitigar sus discursos, aportamos datos cuantitativos con el fin de reflejar cómo se distribuyen socialmente en este grado de instrucción. Los resultados generales indican una frecuencia de uso de la atenuación bastante alta: 22% de los turnos de habla del corpus están mitigados, en los que se utilizan 1280 recursos de atenuación, que inciden, sobre todo, directamente en el modus. El mecanismo más empleado en la muestra es la impersonalización del sujeto, seguida de muy de cerca de las fórmulas fático-apelativas. Por criterios sociales, se trata de un fenómeno lingüístico que se manifiesta de manera distinta entre los hombres y las mujeres entrevistadas, así como entre los tres grupos de edad. Las principales diferencias localizadas en los usos según el sexo se dan en el empleo de marcadores del discurso correctores, recurso predominante femenino, y el empleo de fórmulas de control de contacto, mecanismo mayoritariamente masculino. La primera y tercera generación priorizan la impersonalización del sujeto, mientras que la generación adulta atenúa, sobre todo, para implicar al interlocutor en lo dicho por el hablante, esto es, mediante las fórmulas fáticas.
Book review: Paul Baker (ed.), 2012, Contemporary Corpus Linguistics
Authors: Herteg Maria-Crina
Published: January 2023

Book review: Contemporary Corpus Linguistics, Paul Baker (Editor), Continuum, 2012, Print ISBN 9781441181336, 368 pp.
Estructuras sin verbo en español oral: diferencias en contextos dialógicos y monológicos
Authors: García Marchena Óscar Daniel
Published: January 2023

En los corpus orales encontramos multitud de enunciados que no podemos clasificar fácilmente bajo el concepto tradicional de oración, en su mayoría a causa de la ausencia de un verbo que permita reconstruir su estructura gramatical. El objetivo de este artículo es, por un lado, proponer una tipología de las estructuras sin verbo que encontramos en un corpus de español oral, a partir de sus propiedades sintácticas; y por otro, observar las frecuencias de aparición de cada tipo en cada uno de los géneros del corpus, que dividimos en dos bloques: monológicos y dialógicos, según el tipo de interacciones que contenga. Para ello, distinguimos dos tipos principales: las frases averbales y los fragmentos. Por un lado, las frases averbales expresan con su sintaxis todo su contenido semántico, y por el otro, los fragmentos recuperan una parte de su contenido de un enunciado precedente, ya sea por elipsis o por anáfora, y distinguimos subtipos de ambos. Una vez establecida la tipología, extraemos los ejemplos de estructuras sin verbo del corpus, anotando el género al que pertenecen, el tipo al que corresponde, y si se encuentra en una proposición principal o subordinada. El resultado es una base de datos de las frecuencias de cada tipo de estructura sin verbo en cada uno de los géneros del corpus. El análisis de estos datos ha permitido extraer interesantes conclusiones sobre las propiedades de estas unidades, señalando algunas restricciones sintácticas, como sus diferencias en la capacidad de aparecer en subordinadas. Además de las conclusiones sintácticas, varias conclusiones originales se desprenden del análisis de frecuencias en los géneros del corpus, como cuáles son las estructuras que se emplean con mayor y menor frecuencia en español oral y en qué tipo de contextos. Cabe destacar también la gran diferencia en las frecuencias de uso de estas unidades en ambos géneros: la proporción es variablemente baja en los monológicos y alta o muy alta en los dialógicos, lo que permite caracterizar ambos tipos a partir de las frecuencias de estructuras averbales.
La llegada de los Hermanos de las Escuelas Cristianas a Ecuador (1863-1910): gramáticas, canon y series textuales
Authors: Montoro del Arco Esteban T.
Published: January 2023

Los Hermanos de las Escuelas Cristianas se instalaron en Ecuador en torno al año 1863 para hacerse cargo de la enseñanza primaria, merced a las iniciativas del gobierno del presidente Gabriel García Moreno, quien confió la educación a distintas órdenes religiosas a falta de un cuerpo de maestros formados que pudieran emprender la necesaria reforma educativa. Estas realizaron una enorme tarea de diseño y ordenamiento curricular y, al mismo tiempo, generaron una vastísima producción intelectual y manualística que se proyectó sobre prácticamente todas las materias escolares, entre ellas la gramática. En concreto, Ortología y Analogía. Compendio del tratado teórico-práctico de la lengua castellana (París, 1887); Gramatiquilla infantil teórico-práctica de la lengua castellana (París, 1888); Gramática de la lengua castellana: curso medio teórico-práctico, sintaxis, prosodia y ortografía, libro del alumno (París, 1890-1010); Sección práctica del compendio del tratado teórico-práctico de gramática de lengua castellana: segundo libro del alumno (Quito, 1890). La producción gramatical de los Hermanos corre a cargo de Francisco Febres Cordero (1854-1910), el “Hermano Miguel”, gramático prácticamente desconocido en el ámbito de la historiografía lingüística hispánica. En este trabajo, por un lado, se contextualiza la serie de textos gramaticales que publicó, atendiendo tanto al ideario de la institución lasaliana que los inspira como a las coordenadas políticas y educativas ecuatorianas en que se gestaron; por otro lado, utilizando los instrumentos metodológicos de la teoría del canon y de la investigación con series textuales, se analiza la recepción y adaptación en este contexto del ideario gramatical de sus modelos y fuentes europeas, tanto francesas como españolas. Entre los principales resultados, puede comprobarse el peso inicial de la tradición racionalista francesa en Ecuador frente al de la tradición académica, predominante en el ámbito hispánico de aquella época; destaca asimismo la temprana introducción del análisis lógico en el país, frente al retraso secular de las gramáticas canónicas hispánicas (como las de la Academia o Bello) en lo que respecta a la sintaxis.
El papel de la aclaración en los intercambios dialógicos
Authors: Alfano Iolanda
Published: January 2023

El estudio de la aclaración en habla dialógica se ha abordado desde la perspectiva que examina la petición de aclaración, en función de su prerrogativa de resolver dificultades de comunicación, aunque este acto puede no ser explícitamente solicitado. En el marco de los estudios sobre la reformulación, considerada como una categoría compleja en la que se incluyen distintos valores, se ha examinado también la aclaración. Sin embargo, no todo fenómeno de reformulación es necesariamente aclaratorio, ni toda aclaración requiere una reformulación propiamente dicha. No nos consta, por lo tanto, que este acto en sí —que puede ser “autoiniciado” si el hablante lo formula por iniciativa propia y que no necesariamente es un segmento reformulado— haya recibido mucha atención. Este trabajo se plantea examinar cualitativa y cuantitativamente las funciones que desempeña la aclaración en la conversación. Para su identificación, se ha empleado un esquema de anotación pragmática que permite identificar el movimiento aclaratorio (denominado clarify) como una enunciación mediante la cual el hablante amplía o simplemente refuerza un movimiento precedente (una respuesta o una señal de asentimiento) o proporciona más información aclarando un aspecto mencionado en otro(s) turno(s) de habla, suyo(s) o de su interlocutor. El análisis se centra en un corpus constituido por diálogos de habla semiespontánea en que dos participantes tienen que colaborar para llegar a un objetivo común. En este tipo de diálogo, el umbral de tolerancia de incomprensiones es muy bajo, ya que la comprensión mutua resulta decisiva para alcanzar la meta. Los resultados muestran que este acto desempeña un papel crucial en el entendimiento mutuo no solamente en la transmisión del contenido proposicional, sino también en el desarrollo de la estructura conversacional, en los ejes epistémico y evidencial-inferencial, en la dimensión metalingüística y en la de la interacción entre los interlocutores, ya que su aporte puede consistir exclusivamente en poner de manifiesto la disposición a cooperar, mostrando apoyo al interlocutor, ratificando su punto de vista y sellando el acuerdo y el entendimiento mutuo.
Pensar las mujeres rurales
Authors: Cabana Iglesia Ana , Díaz-Geada Alba , Otero-González Uxía
Published: January 2023

El género ofrece una atalaya para pensar y repensar el rol de las mujeres rurales durante la dictadura franquista. En esa convicción, el presente texto busca acercarse a las construcciones ideales sobre los sujetos femeninos que habitaban el medio rural que el poder puso en liza tras la guerra civil. Nuestra meta es aprehender los distintos modelos de mujer rural que se convirtieron en normativos en un periodo histórico definido por la imposición de una dictadura que marcó mudanzas en los modelos de mujer imperantes. Pretendemos acercarnos a su análisis y demostrar que se construyeron en consonancia con los distintos modelos de desarrollo económico que definieron la agricultura española durante la dictadura. Con este objetivo emplearemos fuentes de variadas naturalezas, incluida la prensa y las disposiciones legislativas, que emanaban de aquellas instituciones que fueron creadas para «moldear» a las mujeres rurales a imagen y semejanza del ideal construido. Prestaremos especial atención a la labor desarrollada por Sección Femenina, a través de la figura de las divulgadoras rurales y las Cátedras Ambulantes, así como por el Servicio de Extensión Agraria a partir de las figuras de las agentes de economía doméstica.
¿Una fórmula para la «unidad nacional»? La prensa política Argentina y la frustrada candidatura Perón-Balbín en 1973
Authors: Borrelli Marcelo , Saborido Jorge
Published: January 2023

El 20 de junio de 1973 el expresidente Juan Domingo Perón regresaba de forma definitiva a la Argentina luego de casi dieciocho años de proscripción. En la presidencia se encontraba en ese momento su delegado Héctor J. Cámpora, quien poco tiempo después se vio obligado a renunciar ante la desconfianza del líder por su predilección hacia la izquierda de su movimiento. En los preparativos para una nueva elección presidencial a realizarse en septiembre de 1973 crecieron los rumores sobre una candidatura de «unión nacional» entre Perón y el líder de la principal fuerza opositora, el radical Ricardo Balbín, enfrentados duramente en la época del «primer peronismo». De haberse concretado, habría venido a consolidar la esperanza de una estabilidad política y económica a largo plazo con la que Perón había regresado al país. En este trabajo analizaremos en particular las posiciones editoriales de las principales revistas políticas argentinas del momento ante la eventualidad de que una candidatura «histórica» de este tipo se concretase, dando cuenta del abanico de opiniones que fueron desde el apoyo entusiasta hasta un franco escepticismo.
Fusion of SAR and optical images using pixel-based CNN
Authors: Bandi Sudheer Reddy , Anbarasan M. , Sheela D.
Published: January 2023

Sensors of different wavelengths in remote sensing field capture data. Each and every sensor has its own capabilities and limitations. Synthetic aperture radar (SAR) collects data that has a high spatial and radiometric resolution. The optical remote sensors capture images with good spectral information. Fused images from these sensors will have high information when implemented with a better algorithm resulting in the proper collection of data to predict weather forecasting, soil exploration, and crop classification. This work encompasses a fusion of optical and radar data of Sentinel series satellites using a deep learning-based convolutional neural network (CNN). The three-fold work of the image fusion approach is performed in CNN as layered architecture covering the image transform in the convolutional layer, followed by the activity level measurement in the max pooling layer. Finally, the decision-making is performed in the fully connected layer. The objective of the work is to show that the proposed deep learning-based CNN fusion approach overcomes some of the difficulties in the traditional image fusion approaches. To show the performance of the CNN-based image fusion, a good number of image quality assessment metrics are analyzed. The consequences demonstrate that the integration of spatial and spectral information is numerically evident in the output image and has high robustness. Finally, the objective assessment results outperform the state-of-the-art fusion methodologies.
Hipoacusia laboral en ejecutantes de la Orquesta Sinfónica de Cuenca, 2019
Authors: Cajamarca Cárdena Wilson Bolívar , Álvarez Pesántez Karola del Rocío , Ochoa Urgilés Gabriela Nataly , Abad Vicuña Guido Esteban , Montaño Loja Erika Priscila
Published: January 2023

BACKGROUND: Noise-induced hearing loss (NHL) is the second leading cause of hearing loss, after presbycusis. It is considered an occupational disease and a public health problem. The aim of this study was to establish the prevalence of occupational noise-induced hearing loss and its association with other sociodemographic and occupational variables in performers of Cuenca’s Symphonic Orchestra in 2019. METHODS: This is an observational, analytical, cross-sectional study, whose universe was conformed by the professional musicians of Cuenca’s Symphonic Orchestra in 2019. We aimed to establish the risk of noise-induced hearing loss in association with variables such as age, sex, hours of daily practice, material of the instrument played, and years of exercise as a musician, throught Odds Ratio statistical test. The 45 musicians were surveyed and audiometric tests were performed. RESULTS: The universe consisted of 45 musicians: 38 males and 7 females. The average age was 40 years. 46.7% played a musical instrument profesionaly for more than ten years and 53.3% for up to ten years. 60% practiced more than 10 hours a day. 53.3% played string instruments, 20% woodwind instruments, 17.8% brass instruments and 8.9% percussion instruments. The prevalence of hearing loss was 17.8%: 13.3% bilateral and 4.4% unilateral. The prevalence of mild hearing loss was 8.9%; moderate in 6.7% and acoustic trauma occurred in 2.2%. Age (>30 years) and working time (>10 years) represented risks for hearing loss development. CONCLUSION: The prevalence of noise-induced hearing loss was 17.8%, mostly mild and bilateral. All those who were affected were male. The prevalence was higher among musicians who played wind-metal instruments; however, no statistically significant association was found. Being older than 30, and having played professionally for more than years are risk factors for noise-induce hearing loss.
Estudio Descriptivo: Caracterización de la anestesia subaracnoidea con levobupivacaína en pacientes intervenidos por cirugía abdominal baja y miembro inferior. Hospitales José Carrasco Arteaga y Vicente Corral Moscoso. Cuenca – Ecuador, 2020-2021.
Authors: Reinoso Herrera Jessica Maribel , Bernal Asmal Angélica Patricia
Published: January 2023

BACKGROUND: Levobupivacaine is currently the anesthetic of choice in subarachnoid anesthesia; reducing the risk of cardiotoxicity, it provides a shorter time of motor and sensory block compared to bupivacaine, allowing faster recovery of motility. The aim of this study was to characterize subarachnoid anesthesia with levobupivacaine, in a study of patients aged 18 to 65 years, undergoing lower abdominal and lower limb surgery, at the Hospital Vicente Corral Moscoso and Hospital de Especialidades José Carrasco Arteaga in Cuenca, Ecuador. METHODS: Observational, descriptive study. 276 patients who met the inclusion criteria were included. The anesthesiologist monitored the latency time, duration, level of block, and side effects of levobupivacaine. For qualitative variables, we presented frequencies and percentages, for quantitative variables we applied mean and standard deviation. Statistical associations between the variables were sought with Chi-square test, accepting statistical significance with a p value < 0.05. RESULTS: Most of patients were male, between 30 and 39 years old. The majority of patients were overweight, most classified as ASA II, and underwent emergency surgery. Sensory block latency time was 1 to 5 minutes in 57.2% of the sample. Regarding motor block, 8 out of 10 patients had the anesthetic effect in the range of 11 to 15 minutes. In more than half of the patients the duration of the sensitive block was > 200 minutes; most of participants reached a sensory block at T6. The duration of motor block varied between 81 and 160 minutes for 80.4% of the sample. One out of 10 patients had side effects. CONCLUSION: The average sensory latency time is 5.89 minutes and the average motor latency time is 12.69 minutes. The duration of sensory block is greater than 200 minutes in most patients. The higher the dose of levobupivacaine, the longer the sensory block lasted. Motor block duration was 131 ± 31.31 minutes on average. The differences in the sensitive latency time in relation to the use of fentanyl are not significant; on the contrary, there is a significant association between the duration of sensory block and fentanyl administration.
Caso Clínico: Síndrome nefrótico como presentación de amiloidosis AL, una asociación poco frecuente en nuestro medio
Authors: Herrera Ordoñez Jorge Oswaldo , León Cabrera Oswaldo Mauricio , Coronel Montero Jorge Sebastián , Puertas Azanza Soraya
Published: January 2023

BACKGROUND: Amyloidosis is a heterogeneous group of diseases with multi-organ involvement and different clinical manifestations; one of them is nephrotic syndrome. Amyloidosis results from the extracellular deposit of fibrillar proteins that form the amyloid substance; amyloidogenic proteins resistant to proteolysis infiltrate tissues extracellularly and are capable of severely altering their structure and function. Amyloid deposits in the renal parenchyma can be observed in the mesangium, capillary wall, interstitium, and arterial vessels. Its diagnosis requires a biopsy of the comprised organs. CASE REPORT: 53-year-old male patient, presented with the incidental finding of microalbuminuria. The only clinical manifestations were mild lower limbs edema and foamy urine. Laboratory tests showed: hypoalbuminemia, hypercholesterolemia, hypertriglyceridemia and nephrotic- range proteinuria. With pure nephrotic syndrome diagnosis a renal biopsy was performed, leading to the histopathological diagnosis of amyloidosis. EVOLUTION: Nephroprotective measures were instituted and the extent of systemic involvement was studied, we diagnosed congestive heart failure and amyloid deposition in the digestive system. The patient initially received treatment based on Cyclophosphamide, Bortezomib and dexamethasone, with no renal or haematological response after four cycles of treatment, so treatment was changed to Bortezomib and Bendamustine. CONCLUSION: It is vitally important to have a high index of suspicion and to make an early diagnosis of the disease through a biopsy with Congo red staining. The treatment depends on the type of amyloidosis, its opportune start allows to increase survival rate, as well as, to avoid the deposit of amyloid in other organs.
Caso Clínico: Bentall De Bono, técnica de elección para paciente con aneurisma de aorta y síndrome de Marfan
Authors: Novo Pinos Karen Michelle , López Rodríguez Javier Arturo , Rodríguez Rodríguez Luis Alfredo , Flores Siguenza Juan Bernardo , Cajamarca Taza Andrés Fernando
Published: January 2023

BACKGROUND: Patients with Marfan syndrome have a higher risk of aortic degeneration than the rest of the population, presenting with aneurysms, ruptures and dissections. Although the Bentall procedure has been considered the gold standard in the surgical treatment of combined diseases of the aortic valve and ascending aorta; traditionally, aortic manifestations in patients with Marfan syndrome are repaired with open surgical techniques, since endovascular repair in this patients is still controversial. CASE REPORT: We describe the case of a patient with a history of Marfan syndrome and a diagnosis of severe aortic stenosis and aortic aneurysm, in need of an advanced and high expertise surgical procedure for its resolution and considering the difficulty given by his comorbidity. EVOLUTION: Bentall/De Bono surgery with mechanical aortic valve replacement was successfully performed; however, there was a trans-surgical bleeding of 3 600 ml. The patient required pacemaker support, vasopressor support, and administration of blood products. During his hospitalization in the ICU, he presented with pulmonary sepsis, treated with broad-spectrum antibiotics, with complete resolution of the condition after 62 days of hospitalization. After being discharged, he remained in follow-up, with no new complications related to his underlying disease to date. CONCLUSION: Surgical repair of aortic aneurysms in patients with Marfan syndrome has evolved thanks to scientific advances, as evidenced in this case, achieving a decrease in surgical mortality rate and improving the quality and life expectancy of patients with this underlying pathology.
Editorial
Authors: Ortiz Calle Juan Carlos
Published: January 2023

La Real Academia de la Lengua define como hospital al “Establecimiento destinado al diagnóstico y tratamiento de enfermos, donde a menudo se practican la investigación y la docencia”; es decir la asistencia, la educación y la investigación, tres atributos que se interrelacionan como un sistema propio. En nuestro país, han coincidido para debilitar esta estructura; la falta de inversión adecuada en ciencia y tecnología, entre otras la pandemia, que afectó varios procesos de educación médica recortes presupuestarios a las Instituciones de Educación Superior y a las unidades asistenciales docentes; además de nuevos reglamentos y normas que pretenden regularizar los procesos de investigación. Esta nueva ley propuesta constituye un verdadero reto para las UAD y las IES. Nuestra respuesta como hospital de tercer nivel es enfocarnos en los procesos de comunicación con una participación más activa del paciente en toma de decisiones con respecto a su bienestar y potenciar nuestros sistemas de información médica de registro para que permitan cumplir con lo solicitado por el reglamento, ley y CEISH previamente citados. Para las universidades de igual forma es una oportunidad para poner su mirada en otros tipos de estudio de investigación cuantitativa como, Metaanálisis, Revisiones bibliográficas, etc. Incluso una oportunidad para que la investigación cualitativa tenga un papel protagónico dentro de los estudios a realizarse. Indiscutiblemente nuestro hospital fue, es y será fuente de conocimientos, lugar de aprendizaje y de cobijo, abatido por cambios sustanciales que deben ser acciones transformadoras para encontrar un bien común.
Effectiveness of an Educational Program Regarding Vasoactive Drugs at the Level of Knowledge and Practices among Nurses Working in Critical Care Units
Authors:   Jordan University of Science and Technology, Al-Zaru Ibtisam , Mohammad Anas , Almutlaq Anas
Published: January 2023

Background: Critical care-unit nurses have the responsibility of medication preparation and administration. Vasoactive drugs are lifesaving drugs that are commonly used in critical-care units. However, the inappropriate administration of vasoactive drugs may lead to poor patient outcomes and complications. Purpose: The present study aimed to evaluate the effectiveness of an educational program of vasoactive-drug administration in critical care-unit nurses' knowledge and practice. Methods: A one-group pre-test-post-test design was used for this study. A convenience sample of 102 registered nurses working at different critical-care units at a university-affiliated hospital was recruited. The researchers provided the study participants with a valid educational program on knowledge and practices related to the administration of vasoactive drugs. Three tools were used to collect data; a demographics form, a vasoactive-drug knowledge questionnaire and a vasoactive-drug observational checklist. Results: There were significant differences in the nurses’ vasoactive-drug knowledge and the total vasoactive-drug observational checklist scores before and after the implementation of the educational program with p  0.001. Experiences in the current critical-care unit and course-related vasoactive drugs were significant predictors of the pre-knowledge test scores. Experience in the current critical-care unit was a significant predictor of the pre-practice test scores. Conclusion: The implemented educational program significantly improved critical care-unit nurses’ knowledge and practice related to the administration of vasoactive drugs. Implications for Nursing: The educational program increased nurses’ knowledge, competence and confidence regarding vasoactive-drug administration. Keywords: Nurses’ knowledge, Nurses’ practice, Vasoactive medication, Educational program.
CIRCULAR ECONOMY AND ECO-BALANCED CONSTRUCTION METHODS IN MANAGING OF A REGION’S SUSTAINABLE DEVELOPMENT
Authors: Lyaskovskaya Elena , Khalilova Gulnaz
Published: January 2023

Sustainable development management in regions of the Russian Federation is associated with the need to create new sustainable methods and models of production and consumption aimed at ensuring economic growth, social development, and eliminating environmental threats at the stage of their inception. Ecobalanced construction methods play a big role among them. Sustainable development of a region is determined by the parameters of its environmental safety, which is based on the quality of the environment and the potential of natural resources. A decrease in the natural resources potential negatively affects the economy, and environmental degradation can lead to a decrease in the quality of life of the population. The main source of pollution is the growth of production waste, including construction waste. Reducing construction waste through recycling and reclamation is an effective tool to ensure the sustainable development of a region. The paper authors consider the role and prove the importance of an eco-balanced circular economy in managing the sustainable development of a region, using the example of the construction industry of the Chelyabinsk Region. The regulatory and legal documents of waste management in the Russian Federation and approaches to the concept of “circular economy” in the works of Russian and foreign authors are analyzed. The methods of processing secondary resources (recycling, downcycling, and upcycling) within the construction industry are considered. The “circular” use of building materials (asphalt concrete) in the framework of the implementation of national projects is analyzed. A methodology for the impact of ecobalanced methods in construction on the implementation of road projects and the reduction of their budget has been developed and tested. Recommendations are given on the optimization and efficient use of budgetary funds when introducing a recycling system in the construction and repair of road networks.