bluuebunny/crossref_metadata_2025 huggingface dataset:
Anconeus Muscle-Pedicle Bone Graft With Periosteal Coverage for Osteochondritis Dissecans of the Humeral Capitellum
Authors: Shimada Kozo , Temporin Ko , Oura Keiichiro , Tanaka Hiroyuki , Noguchi Ryosuke
Published: September 2017

Background:

Treatment of advanced osteochondritis dissecans (OCD) of the capitellum is controversial, especially in moderate-sized lesions.

Purpose:

To establish a treatment algorithm for capitellum OCD, we tried to determine the utility of and problems associated with anconeus muscle-pedicle bone graft with periosteal coverage (ABGP) for the treatment of moderate-sized articular OCD defects of the capitellum.

Study Design:

Case series; Level of evidence, 4.

Methods:

According to our protocol for elbow OCD, 16 patients (15 males, 1 female; age range, 12-17 years; mean age, 14.4 years) with a moderate-sized OCD lesion of the humeral capitellum were treated with ABGP. All patients had a full-thickness, unstable OCD lesion that was 10 to 15 mm in diameter. Clinical results and postoperative images, including radiographs and magnetic resonance imaging (MRI), were evaluated at a mean follow-up of 31 months (range, 24-66 months).

Results:

All but 1 patient had functional improvement after the procedure and returned to previous sporting activities within 6 months. One female patient needed 1 year for functional recovery due to development of postoperative chronic regional pain syndrome (CRPS). Two patients required additional surgery, including shaving of the protruding cartilage, and they returned to their previous level of activity. Mean arc of range of flexion-extension motion was 117° preoperatively and 129° at follow-up ( P = .031). Mean elbow function as assessed with the clinical rating system of Timmerman and Andrews was 136 preoperatively and 186 at follow-up ( P = .00012). Bony union of the graft as demonstrated by trabecular bone bridging on radiography was obtained within 3 months in all patients. Postoperative MRI was examined for 14 patients at 6 to 12 months after the procedure; the MRIs showed near-normal articular surface integrity in 9 of the 14 patients (64%) and underlying bony structure in 10 of the 14 patients (71%).

Conclusion:

Improvement after ABGP was obtained within 6 months in all except 1 patient, who developed CRPS. Postoperative radiography and MRI revealed near-normal articular surface integrity or underlying bony structure. This procedure is useful as a surgical option for a moderate-sized articular OCD lesion in the elbow.
Significance of the Bucegi Conglomerate olistoliths in the Albian source-to-sink system from the Carpathian Bend basin in Romania
Authors: Jipa Dan C. , Olariu Cornel
Published: September 2017

The presence of exotic blocks (or olistoliths) in sedimentary deposits is usually regarded as an indication of a deepwater slope environment. We evaluate olistoliths accumulated in shallow water at the upper edge of a slope setting using outcrop data. The study area is in the Bucegi Mountains in the southeast “bend” of the Carpathian Mountains in Romania. The studied deposits belong to the Bucegi Formation, a dominantly conglomerate succession of Albian age. The Lower Bucegi member has been accumulated as a large conglomerate submarine fan. The Upper Member forms a shelf-to-trench sedimentary system with deposits dominated by sandstones and conglomerates. The olistoliths are embedded in debris flow conglomerates, most of them from the Bucegi Upper Member, and a lower number from the Bucegi Lower Member. The olistoliths are all located in a small ([Formula: see text]) zone, close to the Dambovicioara source area. The olistoliths have been transported into the basin for up to 10 km on relative gentle gradients. The blocks’ deposition is restricted to the shallow-water environment on a narrow low-gradient shelf and in some instances on the upper continental slope. Within the Albian source-to-sink system, the olistoliths occurrence marks the entry zone of the land-derived detrital material into the basin and points to the main sediment transport fairways into deeper parts of the basin.
Optical coherence tomography angiography in glaucoma: a mini-review
Authors: Wan Kelvin H. , Leung Christopher K.
Published: September 2017

The advent of optical coherence tomography angiography (OCT-A) provides a new opportunity to visualize the retinal vasculature in a non-invasive and dye-free manner which may help identify vascular abnormalities in glaucoma. While a reduction in retinal and optic nerve head vessel densities and blood flow indexes measured by OCT-A has been demonstrated in patients with glaucoma in many studies, it is unclear whether OCT-A provides additional information for the detection and monitoring of glaucoma compared with OCT measurements such as retinal nerve fiber layer thickness, neuroretinal rim width, and ganglion cell inner plexiform layer thickness. Longitudinal studies are needed to elucidate whether vascular abnormalities detected by OCT-A are a cause or a consequence of optic nerve damage in glaucoma.
Professional medical writing support and the reporting quality of randomized controlled trial abstracts among high-impact general medical journals
Authors: Mills Ira , Sheard Catherine , Hays Meredith , Douglas Kevin , Winchester Christopher C. , Gattrell William T.
Published: September 2017

Background: In articles reporting randomized controlled trials, professional medical writing support is associated with increased adherence to Consolidated Standards of Reporting Trials (CONSORT). We set out to determine whether professional medical writing support was also associated with improved adherence to CONSORT for Abstracts.

Methods: Using data from a previously published cross-sectional study of 463 articles reporting randomized controlled trials published between 2011 and 2014 in five top medical journals, we determined the association between professional medical writing support and CONSORT for Abstracts items using a Wilcoxon rank-sum test.

Results: The mean proportion of adherence to CONSORT for Abstracts items reported was similar with and without professional medical writing support (64.3% vs 66.5%, respectively; p=0.30). Professional medical writing support was associated with lower adherence to reporting study setting (relative risk [RR]; 0.40; 95% confidence interval [CI], 0.23–0.70), and higher adherence to disclosing harms/side effects (RR 2.04; 95% CI, 1.37–3.03) and funding source (RR 1.75; 95% CI, 1.18–2.60).

Conclusions: Although professional medical writing support was not associated with increased overall adherence to CONSORT for Abstracts, important aspects were improved with professional medical writing support, including reporting of adverse events and funding source. This study identifies areas to consider for improvement.
Testing for failure of passive transfer: are all tests made equal?
Authors: Cuttance EL , Mason WA , Laven RA
Published: September 2017

Testing for failure of passive transfer (FPT) is common practice, yet there is still confusion around the best tests to use. Worldwide, the most common tests used are IgG concentration, total protein (TP) concentration (measured in a laboratory or on a refractometer) and gamma glutamyl transferase (GGT) activity. Of these, IgG concentration is the gold standard but is expensive to test. In a recently published study we compared IgG results with laboratory TP, BRIX refractometer results and laboratory GGT, and concluded that of the three test laboratory TP concentration was the best predictor of IgG uptake and GGT the worst. Using a BRIX refractometer was marginally less accurate than laboratory TP testing but its cost and speed advantages meant that it would still be of significant value when evaluating potential FPT problems on farm. This paper describes the process used to come to these conclusions.
ECO-EFFICIENCY ANALYSIS USING ANALYTIC HIERARCHY PROCESS APPROACH
Authors: Köne Aylin Çiğdem , Büke Tayfun
Published: September 2017

The environmental efficiencies of 31 member countries of the European Environment Agency between 1990 and 2011 were evaluated using the gross domestic product using purchasing power parity. Categories of imparting pressure on the environment, including global warming, acidification, tropospheric ozone formation and particle formation potentials were considered for each country. These environmental pressure categories were weighted using the Analytical Hierarchy Process methodology. Calculations of the results indicated the Netherlands, Germany, the United Kingdom, Hungary and Ireland ranked 10th, 15th, 17th, 21st and 22nd respectively in 1990, and their ranking changed to 4th, 8th, 3rd, 17th and 11th respectively in 2011. These results point out a marked shift in the trend of economic and environmental efficiency. On the contrary, Portugal, Malta, Croatia and Turkey were ranked 7th, 9th, 13th and 14th respectively in 1990, and at the end of the period, they dropped to 14th, 15th, 22nd and 28th respectively. There seems to be a positive linear relationship that exists between calculated eco-efficiency scores and income, but a high value for gross domestic product using the purchasing power parity does not automatically imply good environmental performance or vice versa.https://doi.org/10.13033/ijahp.v9i2.477
A 13-Steroid Serum Panel Based on LC-MS/MS: Use in Detection of Adrenocortical Carcinoma
Authors: Taylor David R , Ghataore Lea , Couchman Lewis , Vincent Royce P , Whitelaw Ben , Lewis Dylan , Diaz-Cano Salvador , Galata Gabriele , Schulte Klaus-Martin , Aylwin Simon , Taylor Norman F
Published: September 2017

BACKGROUND

Adrenocortical carcinoma (ACC) is a rare malignancy, with an annual incidence of 1 or 2 cases per million. Biochemical diagnosis is challenging because up to two-thirds of the carcinomas are biochemically silent, resulting from de facto enzyme deficiencies in steroid hormone biosynthesis. Urine steroid profiling by GC-MS is an effective diagnostic test for ACC because of its capacity to detect and quantify the increased metabolites of steroid pathway synthetic intermediates. Corresponding serum assays for most steroid pathway intermediates are usually unavailable because of low demand or lack of immunoassay specificity. Serum steroid analysis by LC-MS/MS is increasingly replacing immunoassay, in particular for steroids most subject to cross-reaction.

METHODS

We developed an LC-MS/MS method for the measurement of serum androstenedione, corticosterone, cortisol, cortisone, 11-deoxycorticosterone, 11-deoxycortisol, 21-deoxycortisol, dehydroepiandrosterone sulfate, pregnenolone, 17-hydroxypregnenolone, progesterone, 17-hydroxyprogesterone, and testosterone. Assay value in discriminating ACC from other adrenal lesions (phaeochromocytoma/paraganglioma, cortisol-producing adenoma, and lesions demonstrating no hormonal excess) was then investigated.

RESULTS

In ACC cases, between 4 and 7 steroids were increased (median = 6), and in the non-ACC groups, up to 2 steroids were increased. 11-Deoxycortisol was markedly increased in all cases of ACC. All steroids except testosterone in males and corticosterone and cortisone in both sexes were of use in discriminating ACC from non-ACC adrenal lesions.

CONCLUSIONS

Serum steroid paneling by LC-MS/MS is useful for diagnosing ACC by combining the measurement of steroid hormones and their precursors in a single analysis.
«Manuel Reina», texto esencial del joven Rubén Darío
Authors: Auladell Pérez Miguel Ángel
Published: September 2017

Con el título de «Manuel Reina», el joven Rubén Darío escribe un poema que puede ser considerado como uno de los textos esenciales de la primera etapa de su trayectoria. Supone un homenaje y un reconocimiento al poeta cordobés, uno de los primeros modernistas españoles. El valor del poema, más que en su calidad compositiva, su intensidad lírica o su perfección estilística, reside en representar una prueba de la atención que el nicaragüense muestra por alguien al que toma como referente y siente como maestro y modelo, para llevar a cabo una revolución en la lírica, como la que emprendería tras algunos otros parecidos ejercicios dotadores de oficio. Asimismo, el poema «Manuel Reina» acumula el carácter de texto con valor histórico-literario, propio de la que sería una de las facetas más cultivadas por Darío, no solo en su producción periodística y como crítico, sino también en sus versos.
HOSTEL, UMA CASA SEM PAREDES: em busca de uma matriz classificatória de áreas físicas
Authors: Bahls Álvaro A. Dealcides Silveira Moutinho , Pereira Raquel Maria Fontes do Amaral
Published: September 2017

Os hostels são únicos em sua filosofia, características físicas e serviços. Internacionalmente, são regulados por leis em alguns países, principalmente no continente europeu. No Brasil, entretanto, não há legislação sobre os mesmos e os estudos científicos estão em estágio embrionário. Dentro desse contexto, o objetivo dessa pesquisa é propor uma matriz classificatória de áreas físicas para hostels. Para tanto, contemplou-se três hostels internacionais, tidos como essenciais ao entendimento desse meio de hospedagem. Os resultados mostram que as áreas essenciais são: área social externa; banheiro para cada dormitório; cozinha comunitária; dormitório; guarda-volumes; lavanderia; e sala de estar. Levantou-se, também, o perfil dos hostels de Florianópolis-SC em uma pesquisa de campo com 15 empreendimentos (53,57% do universo hosteleiro Florianopolitano) e verificou-se a sua adequação à matriz. Conclui-se que, alguns empreendimentos não se adequam às características essenciais internacionais deste meio de hospedagem, devido à sua formação socioespacial e conceitos de hospitalidade diferenciados.
Public Presentation of Non-European Cultures At the Turn of the 19th and 20th Centuries. Part 1: An Analysis of the Collection of Vráz’S Glass Slides in the Photographic Collections of the Náprstek Museum
Authors: Todorovová Jiřina
Published: September 2017

The way in which the Czech public in the late 19th and early 20th centuries learned about exotic lands was primarily dependent on travellers’ abilities to present their findings in literature or to mediate their experiences directly, by means of lectures. From the 1890s onwards, lectures were accompanied by slideshows. The Náprstek Museum contains an extensive collection of glass slides from the estate of Enrique Stanko Vráz (1860-1932), and an analysis of this collection forms the basis of this contribution. The slides with which Vráz accompanied his lectures can be divided into three types: slides produced from Vráz’s own negatives, slides created from other sources and slides from educational series, manufactured and sold by professional companies.
Skeletal Material from Deir El-Medina in the Egyptological Collection of the Hrdlička Museum of Man in Prague
Authors: Tomsová Julie , Schierová Zuzana
Published: September 2017

The Egyptological collection of the Hrdlička Museum of Man, part of the Faculty of Science, Charles University in Prague, contains next to some ancient Egyptian artefacts mainly anthropological material, namely skeletal and mummified human remains. The article focuses on the skeletal material from the archeological site of Deir el-Medina. The paper discusses the genesis of the collection, its documentation and anthropological examinations in the 1930s and 1970s and most recently since 2012 to the present days. The paper also presents a complete catalogue of the skeletal material from Deir el-Medina in the Egyptological collection of the Hrdlička Museum of Man and provides a comprehensive bibliography on the topic.
Associations between body weight status, psychological well-being and disordered eating with intuitive eating among Malaysian undergraduate university students
Authors: Gan Wan Ying , Yeoh Wei Ching
Published: September 2017

Intuitive eating, which can be defined as reliance on physiological hunger and satiety cues to guide eating, has been proposed as a healthy weight management strategy. To date, there has not been a published study on intuitive eating in the context of Malaysia. Therefore, this cross-sectional study aims to determine associations between body weight status, psychological well-being and disordered eating behaviors with intuitive eating among undergraduate university students. A total of 333 undergraduate respondents (21.3% males and 78.7% females) from three randomly selected faculties in a public university in Malaysia participated in this study. Respondents completed a self-administered questionnaire which featured socio-demographic characteristics, intuitive eating, self-esteem, body appreciation, general unconditional acceptance, body acceptance by others, body function and disordered eating. Body weight, height, body fat percentage and waist circumference were measured. The results from this study revealed that there was no difference (t = 0.067, p = 0.947) in intuitive eating scores between males (75.69 ± 7.16) and females (75.62 ± 7.90). Multiple linear regression results have shown that body appreciation (β = 0.385, p < 0.001) and disordered eating (β = −0.168, p = 0.001) were significant predictors of intuitive eating, which accounted for 19.6% of the variance in intuitive eating. Health promotion programs should highlight the importance of enhancing body appreciation and preventing disordered eating behaviors among university students in order to promote intuitive eating as one of the healthy weight management approaches.
Helping Working Children through Consumocratic LawA Global South Perspective
Authors: Dumas P. Martin
Published: September 2017

On the basis of an in-depth case study of a transnational governance scheme driven by consumers and designed to fight child labour in Southern Asia – RugMark (now GoodWeave), co-founded by Peace Nobel Prize recipient Kailash Satyarthi – we identify and describe a number of characteristics peculiar to the consumocratic system of regulation, before examining the impact of information transparency within it. A number of theoretical scenarios emerge from the identification of four critical factors in the regulation of the societal information shared with consumocrats: (1) the degree of subjective veracity and comprehensiveness of available information; (2) the more or less comforting nature of this information; (3) the culminating outcomes to which it refers; and (4) its degree of objective veracity. All societal information is not theoretically bound to convey comforting messages to consumers inclined to consider the well-being of others. This message, while accurately reflecting the results achieved by local consumocratic organisations, may as well reflect the more or less controversial choices made in the pursuit of desirable goals, such as improving the fate of working children. It could also shed light on the flaws (e. g., ethical, technical, managerial) of this system of regulation by exposing its own limits to a better informed public. By opting for the transmission of messages subject to public controversy or worth a mea-culpa, the local regulators of this information would inevitably confront some risks (e. g., judicial, economic, socio-organisational). Under which conditions could these risks be reasonably taken? Quid of their likely impact on altruistic dispositions? From a pragmatic and Global South perspective, a non-paternalist analysis of transparency as a regulatory tool, it is shown, leads to recognising the utility of repositioning consumocratic activity on original, constitutional foundations, before envisaging the development of increasingly transparent and efficient tools in this regard.
On the relation between (verbal and kinesic) downtoning and illocution type
Authors: Schoonjans Steven
Published: September 2017

“Downtoning” can be understood as the nuancing of an utterance in view of the interlocutor’s reaction. Typical downtoners in German include the so-called modal particles, although downtoning can also be expressed in other ways, including at the non-verbal level by means of gestures. Given their meanings, downtoning elements are typically restricted to particular illocution types. The goal of this paper is to investigate how this link between downtoning and illocution type is reflected in the use of these downtoners. This is done for both verbal and gestural downtoners in German and for downtoning patterns in German Sign Language (DGS). The question is addressed from two points of view, looking first at the topology of the downtoners in German and DGS, then at the kind of gestural markers co-occurring with verbal downtoners in German.
Neurodevelopment of HIV-Exposed and HIV-Unexposed Uninfected Children at 24 Months
Authors: Chaudhury Sumona , Williams Paige L. , Mayondi Gloria K. , Leidner Jean , Holding Penny , Tepper Vicki , Nichols Sharon , Magetse Jane , Sakoi Maureen , Moabi Kebaiphe , Makhema Joseph , Mdluli Charlotte , Jibril Haruna , Seage George R. , Kammerer Betsy , Lockman Shahin
Published: September 2017

BACKGROUND:

We sought to determine if HIV-exposed uninfected (HEU) children had worse neurodevelopmental outcomes at 24 months compared with HIV-unexposed uninfected (HUU) children in Botswana.

METHODS:

HIV-infected and uninfected mothers enrolled in a prospective observational study (“Tshipidi”) in Botswana from May 2010 to July 2012. Child neurodevelopment was assessed at 24 months with the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III: cognitive, gross motor, fine motor, expressive language, and receptive language domains) and the Development Milestones Checklist (DMC), a caregiver-completed questionnaire (locomotor, fine motor, language and personal-social domains). We used linear regression models to estimate the association of in-utero HIV exposure with neurodevelopment, adjusting for socioeconomic and maternal health characteristics.

RESULTS:

We evaluated 670 children (313 HEU, 357 HUU) with ≥1 valid Bayley-III domain assessed and 723 children (337 HEU, 386 HUU) with a DMC. Among the 337 HEU children with either assessment, 122 (36%) were exposed in utero to maternal 3-drug antiretroviral treatment and 214 (64%) to zidovudine. Almost all HUU children (99.5%) breastfed, compared with only 9% of HEU children. No domain score was significantly lower among HEU children in adjusted analyses. Bayley-III cognitive and DMC personal-social domain scores were significantly higher in HEU children than in HUU children, but differences were small.

CONCLUSIONS:

HEU children performed equally well on neurodevelopmental assessments at 24 months of age compared with HUU children. Given the global expansion of the HEU population, results suggesting no adverse impact of in-utero HIV and antiretroviral exposure on early neurodevelopment are reassuring.
Standarization of a Protocol of Immunohistochemistry for the Detection of Brain Microglia in Wistar Rats
Authors: Ramírez Chan DDS, MSc, PhD Karol , Jaime Fornaguera-Trías PhD Jaime
Published: September 2017

Objective: Standardize a protocol of immunohistochemistry that has been widely used in C57BL/6J mice to identify microglia of the central nervous system in Wistar rats.  Materials and Methods: This research activity was carried out in two parts. In the first part, a protocol of immunohistochemistry was implemented to identify microglia in the central nervous system of 6 Wistar rats. A primary antibody with reactivity to rat and a specific secondary antibody to the primary were used. Once the protocol was established in rats' brains, an immunological challenge was produced with the intraperitoneal application of lipopolysaccharide in 2 Wistar rats, in order to evidence the changes in microglia morphology.  Results and Discussion: We demonstrate that without making major modifications to the original protocol, it can also be used to identify microglia in adult Wistar rats. In the near future, this immunostaining protocol will be applied to elucidate the bidirectional interaction between the brain and the immune system, under homeostatic conditions and different physiological and pathological stimuli.
Factores que afectan la incubabilidad de huevo fértil en aves de corral
Authors: Rodríguez-Moya Jimena , Cruz-Bermúdez Ana Isabel
Published: September 2017

La avicultura es una de las áreas de la zootecnia que se encuentra más especializada en el sector agropecuario de Costa Rica. En la actualidad, los modelos de las granjas reproductoras, en producción de huevos fértiles, no utilizan la incubación natural, en cambio optaron por sistemas de incubación artificial que propician un medio ambiente muy similar al de la naturaleza, pero de manera más eficiente.El éxito de la incubación artificial de los huevos inicia desde el manejo de la granja de reproductores, donde se debe tener control de la nutrición, manejo sanitario, reproducción, ganancias de peso, etc. Posteriormente el manejo del huevo fértil es fundamental, el traslado de la granja hacia la planta de incubación debe ser cuidadoso y seguir buenas prácticas para asegurar un adecuado porcentaje de incubabilidad, el almacenamiento e incubación de los huevos están basados en los fundamentos básicos cómo son: temperatura, humedad, ventilación y movimiento. Es por esta razón que es elemental investigar sobre los agentes que afectan la incubabilidad en aves, pero en específico con gallinas ponedoras y pollos de engorde, ya que son las explotaciones avícolas más comunes y de mayor impacto económico en el país.
Factores mal evaluados en encuestas de satisfacción aplicadas a usuarios de atención primaria en Latinoamérica
Authors: Reynaldos-Grandón Katiuska Lidice , González-Pinilla Génesis María , Guerra-Díaz Ximena Paulina , Gutiérrez-Fuenzalida Francisca Macarena , Santibáñez-Muñoz Loreto Alejandra
Published: September 2017

O objetivo do manuscrito é identificar que foram fatores mal avaliado em pesquisas de satisfação do usuário aplicadas a populações atendidas em centros de cuidados primários na América Latina. A metodologia consistiu em uma revisão da literatura. A pesquisa bibliográfica foi realizada nas bases de dados Lilacs, Scielo, RedALyC, CUIDEN, REDIB, DialNet, Publindex e EBSCO. Inicialmente, 21 estudos foram obtidos, dos quais foram selecionados oito de acordo com critérios de inclusão. O principal resultado é que o acesso aos cuidados, a oportunidade de tratamentos, tempos de espera, atraso nos procedimentos de pré-atendimento, adequação do pessoal, fornecimento de medicamentos gratuitos, a entrega dos direitos e deveres de informação, a resolução do problema de saúde, o ajuste da programação para o necessidades dos usuários, infra-estrutura, ambientes e conforto e, finalmente, as indicações claras da prescrição. Conclui-se que a importância de medir a satisfação do usuário, mais em cuidados de saúde primários, é indiscutível Porque o gateway é o contexto da saúde. Que os fatores de Identificação são mal avaliado através de inquéritos, para ser guiado intervenções Permite sobre o que é desejado para ser melhorada, bem como para satisfazer as expectativas do paciente e melhorar a qualidade do atendimento.
Evaluación clínica objetiva y estructurada (ECOE) en la maestría de Enfermería Ginecobstétrica y Perinatal: una sistematización de la experiencia
Authors: López Quirós Laura
Published: September 2017

En busca de la excelencia profesional, la maestría en Enfermería Ginecológica, Obstétrica y Perinatal de la Universidad de Costa Rica, se mantiene a la vanguardia respecto de los procesos de enseñanza y aprendizaje. La inclusión de la simulación clínica forma parte de estas innovaciones educativas desde el año 2012; sin embargo esta es la primera vez que se incluye los procesos evaluativos de tipo ECOES los cuales, en experiencias internacionales, han demostrado pertinencia en el cumplimiento de los objetivos de enseñanza. Esta experiencia se sistematiza, según los cinco tiempos que Óscar Jara  establece en su libro Para sistematizar experiencias, con el objetivo de definir la pertinencia del ECOE en cuanto a cumplir los objetivos de aprendizaje del curso.  La profesora del curso y la autora recopilaron la experiencia en un diario de registro que incluye la elaboración de los escenarios, y la creación de las rubricas de evaluación.  Además las estaciones fueron grabadas.  La evaluación se llevó a cabo con la totalidad de estudiantes matriculados, en el curso de Enfermería Ginecoobstétrica y Perinatal I. Se estableció tres estaciones que permitirían evaluar  aspectos teóricos, habilidades técnicas y sociales en la atención de las personas. Además, se creó rúbricas de evaluación, basadas en guías clínicas procedimentales y en protocolos de atención de la seguridad social costarricense.  Se concluye que la experiencia demuestra clara pertinencia de los ECOEs, para evaluar la aplicación de conocimientos teóricos y habilidades psicomotoras, sociales y de comunicación en estudiantes que cursan la maestría y evidencia su preparación para continuar con los niveles más complejos de la carrera.
Identity and naming practices in British marriage and civil partnerships
Authors: Jones Lucy , Mills Sara , Paterson Laura L. , Turner Georgina , Coffey-Glover Laura
Published: September 2017

This article demonstrates the continued prevalence of traditional, heteronormative practices regarding marriage and naming practices, and also considers the complex choices made by same-sex couples who marry in relation to whether there are any benefits in changing their surname. The study draws on data from an online survey of 1,000 respondents, and reveals that it continues to be viewed as more ‘normal’ for a woman to take her husband’s surname in a heterosexual union than for her to make any other choice. Whilst other options (such as the woman retaining the surname given to her by her parents, for instance) are often considered in relation to heterosexual marriage, these continue to be seen as a deviation from the norm. We find that the role of tradition is critical to heterosexual women’s decisions over what to do with their surname, whether they follow the culturally expected route or consciously deviate from it. Same-sex couples are broadly perceived to have comparably more freedom than heterosexuals regarding their names, and here we analyse whether this is the case. Through qualitative critical analysis of the discursive responses of those completing our survey, and some quantitative discussion of the data, we demonstrate that heteronormative assumptions about a woman’s role in a heterosexual relationship have continued salience and that this leads to a conscious and often difficult negotiation of her own identity as both an individual and a wife.
Differentiations and intersections
Authors: Jaworska Sylvia , Hunt Sally
Published: September 2017

This study examines the impact of a global sports event on gender representations in media reporting. Whereas previous research on gender, sport and media has been mainly concerned with sports events in the North American or Australian context, this study investigates the British media reporting before, during and after the London Olympics 2012. Our study follows the approach of Corpus-Assisted Discourse Studies (CADS) and uses both quantitative and qualitative research procedures. The results reveal more balanced gender representations during the London Olympics in that the ‘regular’ biased associations were supressed in favour of positive references to female achievements. However, little carry-though of the ‘gains’ was noted. Also, this study shows that the positive associations intersected with national sentiments and were used to celebrate the nation-state. At the same time, some subtle resistance was observed to accepting as ‘truly’ British the non-white athletes and those not born in Britain.
Zyanose bei einem Kalb mit einem Double Outlet Right Ventricle
Authors: Hildebrandt Nicolai , Henrich Manfred , Henrich Estelle , Schneider Matthias , Wiedemann Nicola
Published: September 2017

Ein 4 Tage altes, weibliches Holstein-Friesian-Kalb wurde zur Abklärung von Zyanose und Dyspnoe vorgestellt. Auskultatorisch bestanden ein deutlich verschärftes bronchovesikuläres Atemgeräusch und ein Herzgeräusch Grad IV/VI über der Trikuspidalklappe. Bei der Echokardiographie zeigte sich eine Dextroposition der Aorta im Sinne eines Double Outlet Right Ventricle (> 50% entspringen aus dem rechten Ventrikel). Es lagen zwei große ventrikuläre Septumdefekte und ein Aneurysma-ähnlicher Atriumseptumdefekt vor. Der erste Ventrikelseptumdefekt befand sich im perimembranösen, subpulmonalen Anteil und führte zu einem Übertritt von sauerstoffarmem Blut in die Aorta. Der andere lag entfernt im muskulären Anteil des Septums. Zudem konnte ein großer persistierender Ductus arteriosus dargestellt werden. Die Pulmonalarterie war hochgradig erweitert ohne Vorliegen einer Stenose. Die Befunde ließen sich mittels Angiographie verifizieren. Hierbei fiel zusätzlich auf, dass die Aorta ascendens bis zum Abgang des persistierenden Ductus arteriosus diffus hypoplastisch war. In der anschließenden pathologischen Untersuchung konnten die Befunde bestätigt werden.
Riscos de infecção em serviços de saúde fora do contexto hospitalar: revisão integrativa
Authors: Oppermann Carla Maria , Caregnato Rita Catalina Aquino , Azambuja Marcelo Schenk de
Published: September 2017

RESUMO
Justificativa e Objetivos: As infecções relacionadas à assistência à saúde (IRAS) são eventos adversos comuns também nos serviços de saúde fora do contexto hospitalar e geram um aumento dos custos e sofrimento dos indivíduos que as adquirem. Considerando a diversidade e volume de serviços ambulatoriais e o grande número de usuários, este estudo tem como objetivo revisar na literatura os riscos de IRAS nesses estabelecimentos. Conteúdo: O presente estudo é uma revisão integrativa de artigos publicados entre 2011 e 2016 nas bases LILACS, MEDLINE/PubMed, SciELO. A amostra foi constituída de 13 artigos. Evidenciou-se os riscos de infecções em surtos de transmissão respiratória, na presença dos germes multirresistentes, nas práticas inseguras de injeção e em falhas nos processos de limpeza e esterilização de equipamentos médicos em clínicas cirúrgicas, oncológicas e de diálise. Os pacientes com maior risco são os idosos, oncológicos e neurológicos, os incontinentes e com lesões de pele e os que utilizam sondas e drenos. Conclusão: Existe a necessidade de legislação específica para todos os tipos de serviços de saúde e aumentar a fiscalização e regramento para implantação de programas de controle de infecção que incluam indicadores e educação em serviço.
Descritores: Infecção hospitalar, Assistência ambulatorial, Instituições de assistência ambulatorial.
Correction of small bowel function as a new direction for treating patients with metabolic syndrome
Authors: Vakhrushev Ya M , Lyapina M V
Published: September 2017

Aim. To provide a rationale for and to evaluate the therapeutic efficiency of the combined use of pancreatic enzymes and actovegin in the combination therapy of patients with metabolic syndrome (MS) on the basis of comprehensive clinical and functional studies of the small bowel (SB). Subjects and methods. In the course of treatment, 120 patients with MS (verified using the diagnostic criteria elaborated by the All-Russian Research Society of Cardiology (2009)) underwent a comprehensive study of SB function: an isolated study of resorptive processes; evaluation of parietal and cavitary digestion, motor-evacuation function. The peripheral blood levels of gastrin, insulin, cortisol, thyroxine and thyrotropin were determined. Results. The combined use of pancreatic enzymes and actovegin has a positive impact on the clinical and functional state of SB, which was manifested as restoration of its hydrolysis and absorption, as well as motor-evacuation function in the patients with MS. The treatment resulted in reductions in the levels of triglycerides from 2.85±0.34 to 1.53±0.18 mmol/l (p
Oxidative stress in women with insomnia in different stages of menopause
Authors: Kolesnikova L I , Semenova N V , Solodova E I , Madaeva I M
Published: September 2017

Aim. To investigate of a lipid peroxidation (LPO) process and the antioxidant defense system (ADS) in peri- and postmenopausal women with insomnia. Subjects and methods. 47 perimenopausal women and 71 postmenopausal ones were examined. Each group was divided into 2 subgroups: 1) individuals with insomnia and 2) controls. LPO-ADS spectrophotometric studies were used in the investigation. Results. There was an increase in the serum levels of ketodienes and conjugated trienes and a decrease in those of α-tocopherol and retinol in postmenopause versus in perimenopause. In insomnia, there was a rise in the level of ketodienes and conjugated trienes in perimenopause; LPO substrates with conjugated double bonds, diene conjugates, and thiobarbituric acid-active products in postmenopause. The indicators of ADS do not differ from those in the controls. The integral indicator of oxidative stress assessment suggests that there is a LPO-ADS imbalance in the menopausal women with insomnia, which is most pronounced in postmenopause. Conclusion. The findings suggest that the patients with insomnia develop oxidative stress that is more marked in postmenopause.
Uromodulin gene polymorphisms in patients with cast nephropathy in multiple myeloma
Authors: Rekhtina I G , Mendeleeva L P , Biderman B V , Solovyev M V , Sudarikov A B
Published: September 2017

Aim. To investigate the nature of mutations in exons 4 and 5 of the uromodulin (UM) gene, including in the area encoding the domain of 8 cysteines (D8C), in patients with multiple myeloma (MM) with the secretion of monoclonal light chains (LC) in cast nephropathy (CN) and without kidney injury. Subjects and methods. The investigation enrolled 24 patients in MM remission, who were observed to have monoclonal LC secretion at onset. Group 1 included 14 patients with CN; Group 2 consisted of 10 patients with normal renal function (a comparison group). The compared groups did not differ in the number of serum and urinary monoclonal LCs. Genomic DNA was extracted from the peripheral blood samples of patients. The nucleotide sequence of exons 4 and 5 of the UM gene was determined by the Sanger method. Results. No differences were found in the frequency of polymorphisms depending on the severity of kidney injury. The missense mutation p.142R>R/Q in the UM gene, which had not been previously described, was discovered. Conclusion. The patients with MM were not found to have statistically significant differences in the frequency and nature of polymorphisms of exons 4 and 5 in the UM gene, including in the area encoding D8C, in CN without kidney injury.
Die laaste projek van die "Hollandse taalbeweging in Suid-Afrika": Die Vereenvoudigde Hollandse Spelling
Authors: Steyn J
Published: September 2017

Die Vereenvoudigde Hollandse spelling (VHS) waarna AWS1 in sy voorwoord verwys, was die laaste groot projek van die "Hollandse taalbeweging in Suid-Afrika". Die aanhangers van dié beweging wou onder meer Hollands vereenvoudig om dit makliker lees- en skryfbaar vir Afrikaanssprekendes te maak. Hierdie strewe het gekom van die Zuid-Afrikaansche Taalbond in die Kaapkolonie, asook onderwysers en joernaliste in Transvaal en die Vrystaat, waar Hollands die amptelike taal was. Twee van die belangrikste figure in die Taalbond was die teoloog P.J.G. de Vos en die taalkundige, W.J. Viljoen, professor in moderne tale en geskiedenis op Stellenbosch. Ná 'n kongres in 1897 in Kaapstad is Suid-Afrikaanse voorstelle vir 'n vereenvoudigde Hollands aan 'n kongres in Nederland voorgelê, maar dit is verwerp. In 1903 is Viljoen na Nederland en hierdie keer het sowat twintig taalkundiges en die "Commissie voor Taal en Letteren bij de Maatschappij der Nederlandsche Letterkunde te Leiden" hul steun aan die Suid-Afrikaanse voorstelle toegesê. Hierdie voorstelle het volgens die aanhangers 'n "nieuwe taalbeweging" laat begin wat "een machtige stroom" geword het. Ná die aanvaarding van Afrikaans as onderwystaal het die VHS sy nut verloor, maar by die opstel van Afrikaanse spelreëls is daarmee rekening gehou.
Die aard, doel en omvang van die Afrikaanse Woordelys en Spelreëls. Deel 1
Authors: Van Huyssteen G
Published: September 2017

Toe die eerste Afrikaanse woordelys en spelreëls (AWS) meer as honderd jaar gelede gekonsipieer is, was dit nog nie standaard praktyk om die aard, doel en omvang van woordeboeke duidelik, omvattend en sistematies uit te spel in ŉ woordeboekkonseptualiseringsplan nie. In 2006 het die TK begin om twee dokumente saam te stel, naamlik ŉ stylgids (waarin kwessies soos die volgorde van etikette, alfabetisering, volgorde van los-, vas- en koppeltekenskryfvorme, inkortings, tipografie, en so meer aangeraak word) en riglyne vir die TK (waarin opname- en elimineringskriteria vir lemmas in die woordelysgedeelte van die AWS bespreek word). Geen van beide is tot op datum van publikasie van hierdie artikel formeel deur die TK goedgekeur of in die openbare domein beskikbaar nie. Die doel van hierdie artikel is om van daardie inligting te organiseer, daarop uit te brei en as ŉ operasionaliseringsraamwerk te formuleer. Met betrekking tot die aard van die AWS word die AWS binne ŉ groter woordeboektipologie gekarakteriseer as ŉ beperkte, eentalige, sinchroniese, linguisties-ensiklopediese naslaanbron. Die belangrikste doel van die AWS is om norme daar te stel vir die gebruik van hedendaagse, geskrewe, formele Standaardafrikaans. Met betrekking tot die omvang van die woordelysgedeelte in die AWS word daarop gewys dat lemmas in die AWS ŉ dubbele rol as woordeboekinskrywings vervul, naamlik as makro- én mikrostruktuurelemente. Verskeie opname- en elimineringskriteria wat die omvang van die AWS bepaal, word bespreek en aan die hand van verskeie voorbeelde toegelig.
Die invloed van geslag, ras en sosio-ekonomiese status op visueel-motoriese integrasie van nege- tot 10-jarige leerders: Die NW-CHILD studie
Authors: Van Wyk Y , Coetzee D , Pienaar A
Published: September 2017

Visueel-motoriese integrasie, visuele persepsie en motoriese koördinasievaardighede toon ŉ sterk verwantskap met akademiese prestasie en sukses. Dié verwantskap lyk of dit leerders met ŉ lae sosio-ekonomiese status (SES), negatief beïnvloed. Die doel van dié studie was om die invloed van geslag, ras en sosio-ekonomiese status op visueel-motoriese integrasie van nege- tot 10-jarige leerders, woonagtig in die Noordwes Provinsie van Suid-Afrika, te bepaal. Leerders in Graad 3 en 4 (n=865; 457 seuns en 408 meisies, 9.9 jaar, sa=0.42), is as deel van die NW-CHILD longitudinale studie met die "The Developmental Tests of Visual-Motor Integration, Fourth Edition (VMI-4)" geëvalueer. Resultate is geanaliseer met "Statistica for Windows" (2014). Onafhanklike t-toetsing het die visueel-motoriese integrasie status vir die groep bepaal, asook per geslags-, ras en SES afsonderlik. Tweerigting frekwensietabelle het leerders in verskillende vaardigheidskategorieë vir visueel-motoriese integrasie, visuele persepsie en motoriese koördinasie geplaas. Resultate van dié studie toon dat leerders (onafhanklik van geslag, ras of SES) hoofsaaklik in die gemiddelde prestasie kategorie vir al drie vaardighede presteer het. Seuns het betekenisvol beter gevaar tydens visueel-motoriese integrasie (p≤0.001; d=0.22) met geen verdere betekenisvolle geslagsverskille nie. Ras het ŉ invloed gehad op visuele persepsie en motoriese koördinasie prestasie (p≤0.001; d=0.29 en p≤0.001; d=0.39), waar die wit leerders betekenisvol beter gevaar het. Lae SES het verder ook ŉ statistiese (p≤0.001) en klein prakties (d≥0.3) betekenisvol negatiewe invloed op al die vaardighede gehad. Die studie het bevind dat ras en lae SES die grootste negatiewe invloed op leerders se visueel-motoriese integrasie status uitgeoefen het.
"Die ruim buitelugsitkamer van die stad": 'n Oorsigartikel oor die denke en doelstellings van stedelike parkontwikkeling in die laat 19de en vroeg 20ste eeu in Europa en die Verenigde State van Amerika
Authors: Grundlingh L
Published: September 2017

Die stedelike park het 'n toevlugsoord geword vir stedelinge wat met armoede en oorbevolking geworstel het. Geskiedskrywing hieroor is al goed gedek, maar vandag is daar nuwe belangstelling, aangemoedig deur stedelike omgewingshistorici. Die artikel ondersoek die sieninge van veral die middelklas oor die moeilike omstandighede van die armes en werkersklasstedelinge en hoe hulle parke gesien het as een oplossing hiervoor. Voorts lê die artikel klem op hulle idees oor die natuur, gesondheid en moraliteit, sosiale beheer en middelklasfatsoenlikheid en die rol wat die stedelike park hierin gespeel het. Weliswaar het die middelklas die parke gebruik, maar dit moes ook vir die werkersklas as voorbeeld van behoorlike gedrag dien. Aandag word geskenk aan die wyse waarop landskapargitekte in hul ontwerp van die parke konkrete gestalte aan hierdie idees gegee het. Die oprigting in parke van wetenskaplike en kulturele sentrums soos glashuise, museums, kunsgalerye en ornamentele beelde het nie alleen parke verder verfraai nie, maar was ook manifestasies van burgerlike trots. Nietemin, terwyl parke bygedra het om die lewensomstandighede van stedelinge te verbeter, was dit deurgaans in kompetisie met die realiteit dat die stad se lewensaar vervaardiging en handel was en het dit nie noodwendig met die idee van 'n groot openbare ruimte daarbinne geklop nie.
Development of a Visual Interface of Glucose Metabolism Based on Compartment Mathematical Models
Authors:   , Olay-Blanco A. A.
Published: September 2017

La diabetes es una pandemia mundial cuya incidencia ha aumentado en las últimas décadas. Por tal motivo, es prioritario proponer estrategias para su diagnóstico, tratamiento y seguimiento. Uno de los enfoques recientes en el tratamiento de la diabetes es el monitoreo continuo, el cual permite tener suficiente información sobre el estado metabólico del paciente a lo largo del día. Esta información puede servir para simular pacientes virtuales que sean herramientas para proponer estrategias de tratamiento. Por tanto, el objetivo de esta investigación es proponer una interfaz visual que simule pacientes virtuales, a partir de un conjunto de modelos matemáticos compartimentales que permiten ingresar parámetros del metabolismo y modificaciones en el tratamiento. El desarrollo de la interfaz se realizó en MATLAB® y simula tres tipos de pacientes (sano, diabético tipo I y diabético tipo II). Los resultados muestran una interfaz que presenta de manera ilustrativa el funcionamiento de los modelos matemáticos y permite una visualización del estado metabólico del paciente; así como el manejo de medicamentos e ingesta. Una limitante de esta investigación es la validación de la interfaz con datos experimentales de los tres tipos de pacientes. Una vez validada, esta herramienta aportaría en el desarrollo de tecnología in silico para la generación de pacientes virtuales.
Groundwater sampling from bores ~5 cm wide and < 60 m sampled depth v1
Authors: Lloyd Strack Michael
Published: September 2017

This protocol describes a method of sampling groundwater from bore-holes. The method was used in my PhD research on aquifer microbial ecology over two weeks at the Wellington Research Station in New South Wales, Australia. With a little practise, the method can probably be carried out solo by most people, although additional assistance would certainly speed things up. I managed to consistently sample and process groundwater from eight bores a day using this method; your mileage may vary depending on number of workers, distance between bores, and so on. The sampling protocol describes the use of an inertia pump for bores with an internal diameter of approximately 5 cm and a sampled depth of less than 60 m. It includes the measurement of bore information - such as depth and water table - as well as the use of water meters to measure the pH, dissolved oxygen, temperature and conductivity of groundwater, and of course the collection of the groundwater sample itself. Separete protocols will be provided for sampling narrow-diameter bores, sampling stygofauna, sampling surface soils, conducting colorimetric analysis of ferrous and sulphide anion concentrations, and further post-processing and analyses of the groundwater samples collected in this protocol.