bluuebunny/crossref_metadata_2025 huggingface dataset:
Gestos de utopía queer: La estética queer de la diáspora japonesa brasileña en Ainda ontem (2017) de Taís Koshino
Authors: Aramburu  Villavisencio Andrea
Published: January 2023

El presente artículo analiza Ainda ontem (2017), un cómic de la artista japonesa brasileña Taís Koshino. El cómic nos introduce al universo de una pareja de personajes que habita un mundo queer y distópico donde se nace en pares, sin genitales ni género. La pareja se ve enfrentada a elegir cada unx un color que les permitirá ingresar a la dimensión de la familia nuclear heteronormativa. En este contexto, unx de lxs personajes se niega a tomar una decisión. Al partir su pareja a la otra dimensión, este queda atrapadx en sus memorias, viviendo el mismo día una y otra vez. El universo ficcional queer dibujado por Koshino se superpone a una propuesta formal experimental que juega con el concepto de la diáspora. Como superficie, Koshino utiliza fotografías recortadas de un periódico japonés brasileño que solía llegar a casa de sus abuelos, quienes migraron desde Japón a Brasil a inicios del siglo XX. Sobre la base de esta interacción entre contenido y forma, sostengo que el cómic expresa un gesto interseccional que piensa lo queer desde una perspectiva de género y de raza, y que sienta las bases para un futuro atado de manera doble y entrelazada al pasado: por un lado, a nivel de contenido, a los recuerdos queer vividos por la pareja; por otro, a nivel formal, al pasado de la diáspora japonesa brasileña.
MISCOMMUNICATING PLAGIARISM IN SWEDISH SCHOOLS
Authors: Kokkola Lydia
Published: January 2023

Although plagiarism has a much longer history, many teachers of English have noticed that the amount of copying has increased alongside the use of the Internet. The paper begins with a review of the literature demonstrates that although much attention has been paid to undergraduates in academic environments, little attention has been paid to plagiarism in schools. Other studies indicate that plagiarism is more common when people are writing in their L2, and when working with online sources. Combined, the review suggests that studies of L2 plagiarism in schools are needed, particularly studies where pupils are working with English language online sources.The paper reports on a study in which pupils aged 14-17 in Swedish secondary schools were interviewed about the use of source texts in an English lesson. Their teachers and High School teachers were also interviewed. A phenomenological analysis of the interviews revealed a mismatch between the teachers’ instructions, the pupils’ understanding of the instructions and the teachers’ interpretation of copying behaviour. The pupils’ opinions were mostly based on the pedagogical reasons given by their teachers to explain why they should not copy other people’s work, rather than on ideas related to the ownership of ideas. The teachers primarily understood the activities in terms of cheating and laziness.
LEARNING THROUGH MOVEMENT IN THE TEACHING OF GERMAN AS A FOREIGN LANGUAGE IN SECONDARY SCHOOLS. A PRACTICAL SCHOOL CASE STUDY
Authors: Remane Susanne
Published: January 2023

Learning through movement is a teaching method in which physical movement is considered a central teaching and learning tool. It is intended to support the learning process and lead to better information processing and retention in learners of all ages. Despite this, however, physical activity is primarily used at the preschool and primary levels. At the secondary level, where concentrated learning and grades are usually the primary focus, movement activities often lose importance. This article presents findings from a school-based case study aimed at investigating whether the use of learning through movement can lead to measurable performance gains in adolescents.
APROXIMACIÓN AL USO DE FACEBOOK PARA MEJORAR LA ESCRITURA ACADÉMICA EN INGLÉS Y ADQUIRIR COMPETENCIAS SOCIALES CON ALUMNADO UNIVERSITARIO
Authors: Martínez Lirola María
Published: January 2023

Este artículo ofrece una propuesta para integrar la red social Facebook en una asignatura de inglés como lengua extranjera (EFL) en la enseñanza universitaria. Este trabajo tiene como objetivos: 1) desarrollar la expresión escrita y mejorar las competencias gramaticales y sociales del alumnado del grado en Estudios Ingleses de una universidad española a través del uso de Facebook y 2) conocer la opinión del alumnado universitario sobre el uso de Facebook en el proceso de enseñanza-aprendizaje y las principales competencias adquiridas. La metodología es cualitativa-descriptiva con carácteru exploratorio, aunque también se ofrecen algunos datos cuantitativos sobre los principales errores gramaticales del alumnado. Los datos se recogieron a través de la observación de los comentarios realizados por el alumnado en los debates de Facebook y con un cuestionario. Los resultados del cuestionario anónimo indican que el alumnado valora positivamente practicar la escritura en Facebook y es consciente de que además de aprender inglés adquiere competencias sociales que le serán de utilidad para el mercado laboral.
Inovasi Pemberdayaan BUMDes Sebagai Simpul Penggerak Ekonomi Masyarakat Desa
Authors: Karyana Yana
Published: January 2023

Badan Usaha Milik Desa (BUMDes) merupakan lembaga pemberdayaan masyarakat yang digunakan untuk mendukung pemberdayaan dan pengembangan kemandirian masyarakat desa. Penelitian ini memiliki tujuan untuk memberikan gambaran peran BUMDes yang dikembangkan oleh Desa Panggungharjo dalam melakukan proses pemberdayaan. Dengan penelitian ini akan bisa digambarkan strategi inovasi pemberdayaan yang dilakukan oleh BUMDes sehingga memberikan manfaat bagi masyarakat. Penelitian ini menggunakan pendekatan kualitatif. Temuan dari penelitian ini antara lain, pertama, proses pemberdayaan yang dilakukan antara lain tahap pengkapasitasan, bimbingan dan pelatihan, serta peningkatan kerjasama. Kedua, BUMDes melakukan identifikasi dan revitalisasi potensi yaitu kearifan lokal, ketiga, melibatkan seluruh komponen masyarakat sebagai sasaran pemberdayaan, dan keempat, peran dan fungsi BUMDes Panggung Lestari dalam pemberdayaan adalah sebagai actor, inisiator, mediator, dan fasilitator berbasis local community participation (partisipasi masyarakat lokal).
Higher-Order Thinking Skill-Based Learning In Islamic Religious Education Subject
Authors: Ramang Ramang
Published: January 2023

The Indonesian curriculum is made so that students are able to compete at an international level. However, according to data from several survey institutions, Indonesian education is far behind compared to other countries. It is because the learning pattern is still carried out using the lower thinking skill (LOTS) model. There needs to be a change in the LOTS learning model to become learning based on high-order thinking skills (HOTS). Because of this, this study aims to examine the learning of Islam based on higher-order thinking in senior high schools in the city of Palu. This study uses a qualitative method. Data was collected through direct observation, in-depth interviews, and analysis of written documents in the form of student report cards. Interviews were conducted with school principals, Islamic religious education teachers, and several students. The results of the study show that HOTS-based learning plans in the subject of Islamic Religious Education are prepared based on basic competencies. Indicators of achieving student competence include learning objectives, learning steps based on learning models, and students' cognitive and affective changes. The core learning activities are carried out with a scientific approach, character strengthening, and reflection activities both individually and in groups. Then the implementation of HOTS-based learning also consists of preliminary activities, core activities which include Creativity, Critical Thinking, Communication, and Collaboration), and closing activities. Meanwhile, HOTS-based learning evaluation is carried out with the criteria of measuring students' high-level thinking skills based on contextual problems.
Correlation of Students’ Vocabulary Range to their Listening and Speaking Performance
Authors: Quines Zaldy Maglay
Published: January 2023

This study aimed to identify the correlation of vocabulary range to performance in listening and speaking. The study used the descriptive correlation research design to establish the relationship of the students’ vocabulary size to their Listening and Speaking Skills. Pearson's correlation coefficient (r) was used to measure the strength of relationship between the two variables- vocabulary size and Listening and Speaking Skills. Vocabulary Level Test, adapted from Nation (1990) [1], was used to measure vocabulary range, and the listening and speaking skills final mark was used for students’ performance in listening and speaking. Based on the findings, vocabulary range has no significant relationship to listening and speaking skills of students. The result shows that students who have average vocabulary range can still achieve high performance grade in speaking and listening courses.
Envisioning Global Security for Sustainable National Development in Nigeria: The Role of Science and Technology Education
Authors: Adah Stephen Akomaye
Published: January 2023

Security is an imperative for every nation of the world. This is even more vital for a developing nation like Nigeria. Existing studies revealed that scientific and technological advancements in many developing nations have in no small measure help in reshaping their security capabilities which inturn has tremendously mitigated the impact of security threats. Drawing from this background this paper therefore x-rays some security threats in Nigeria that reveal that the country as a nation requires transformation in science and technology education to tackle the increasing insecurity level that has hitherto destroyed the corporate existence of the nation. The meanings of science and technology as well as the concept of global security are explained. The interactions of these are explored and the implications to the Nigeria science and technology education are drawn. The paper concludes with some suggestions among which is that Nigeria Government should invest not only in science and technology education but should also use the right policy framework to develop appropriate labour force through science and technology education.
Application of Umbilical Cord Tissue Allografts in Reduction Mammoplasty Wound: A Case Study
Authors: Meglin Allen , Shou John , Welch Kevin , Vinke Eric , Lambert Naomi , Barrett Tyler
Published: January 2023

Nearly 15 million patients undergo cosmetic surgery in the United States each year, with breast augmentations such as implants, lifts, or reductions being some of the most common procedures. The most common complications of these procedures are scarring and infection at the incision site, which often necessitates expensive corrective surgery. After significant weight loss, the patient in this study underwent an elective lower body lift in conjunction with a breast reduction and nipple-areolar transplant. The patient experienced postoperative wound dehiscence, creating a large open wound, warranting rapid wound closure to avoid further pain and infection. The patient was treated for eight weeks with conservative measures. After eight weeks of failed attempts to close her wound, she was referred for specialist care. Upon initial examination, the donor site wound measured 3.5 cm x 3.5 cm x 1.25 cm deep with no sign of epithelialization. The patient received a single dose of Wharton’s jelly flowable perinatal tissue allograft and twelve hyperbaric oxygen therapy treatments over seven weeks. Upon inspection at the final examination, the wound was closed entirely with 100% epithelialization. This case study demonstrates a precedent for the application of Wharton’s jelly flowable allografts in complicated cosmetic post-surgical wounds. Future efforts will be directed at applying Wharton’s jelly allografts on a preventative basis. Preventative applications could be in stage 2 pressure sores, in the region of recurrent chronic venous insufficiency ulcers between stages of tenuous healing, prior to joint replacement in patients with immune compromised states, or prior to surgical intervention in patients with a known history of postoperative infections. The obvious goal is to prevent needless patient suffering and reduce unnecessary healthcare costs.
Poor Children and Air Pollution Exposure Time for Action
Authors: Deguen Severine , Kihal-Talantikite Wahida
Published: January 2023

Despite considerable improvements in terms of prevention, management, and regulation, air pollution remains a major public health issue worldwide. In 2019, the World Health Organization (WHO) estimated that about 99% of people breathe polluted air and/or live in places where air quality levels exceed the WHO recommended limits [1].
Characteristics of the Gut Microbiota in Rheumatic Diseases and Promising Therapeutic Strategies
Authors: Zhang Shangui , Yang Xuyan
Published: January 2023

Over the past twenty years, the link between gut microbes and human autoimmune diseases has attracted extensive attention. Available studies have shown that alterations in gut microbiota are closely related to the development of autoimmune diseases. A variety of factors may influence gut microecology and lead to gut dysbiosis, which may influence systemic inflammatory or autoimmune responses through mechanisms such as aberrant microbial translocation, molecular mimicry, and regulatory T cells/ T helper 17 cells imbalance, then lead to autoimmune diseases. Rheumatic diseases are a group of chronic diseases involving bones and joints, their surrounding soft tissues, and other related tissues and organs. The etiology is varied and the pathogenesis is unclear, but most of them are closely related to autoimmune reactions. This review introduces the alterations of gut microbiota in several common rheumatic diseases and focuses on the promise of antibiotics, probiotics, and fecal microbiota transplantation in rheumatic diseases.
The Environmental Circumstances of Cardiovascular Disasters in Saint Petersburg, Summer 2002
Authors: Stupishina Olga , Golovina Elena , Noskov Sergei , Eremin Gennady , Gorbanev Sergei
Published: January 2023

The work proposed the results of the investigation of helio-geo-physical and meteorological factors variations those were matching the different cardio-events. Those events were recorded by 6 medical institutes (state establishments) of Saint Petersburg. The findings show the importance of the solar radiobursts impact, the daily spread of the geomagnetic field variations, the changing of the atmosphere pressure systems for the creation of the dangerous situation for the people with the cardiac disasters. Also alternative safe for such people environmental situation is shown.
Comparative Efficacy of Open-Chain Kinematics and Closed-Chain Kinematics on Walking Proficiency and Societal Integration in Post-Stroke Individuals
Authors: OC Nwaedozie , IK Oti , CA Gbiri
Published: January 2023

Background: Post-stroke hemiplegic gait is a mixture of deviations and compensatory motion dictated by residual function. To improve stroke survivors' walking ability, it is necessary to evaluate different rehabilitation approaches and identify those that have a greater effect on locomotor recovery of stroke patient. This will improve their general wellbeing by promoting better health and greater community participation, for faster societal integration. Aim: This study compared the effect of open-chain kinematics (bicycle ergometry) and closed-chain kinematics (treadmill) on walking proficiency in post-stroke individuals and their societal integration. Methods: This was a pretest-posttest experimental study involving 35 ambulatory hemiplegic stroke survivors (18 males and 17 females) with a mean age of (53.77 ± 10.95) undergoing rehabilitation at Lagos University Teaching Hospital, Idi Araba and Lagos State University Teaching Hospital, Ikeja. Patients went through 10-week rehabilitation and were randomly assigned to two intervention groups (treadmill and bicycle ergometry groups). Spatio-temporal gait parameters were measured by the six-metre walkway and community integrated questionnaire was used to examine home integration, social integration and productive activities. Data were subjected to inferential and descriptive statistics. Paired t-test was used to analyse the outcomes within the two groups and independent t-test was used to analyse the data between the groups. The level of significance was set at p ≤ 0.05. Results: Results showed significant difference between baseline and post intervention scores for all the gait parameters; stride length (p = 0.001), step length (p = 0.00), natural gait speed (p = 0.00), maximum gait speed (p = 0.01), cadence (p = 0.00) and community integration (p = 0.00) for the participants in the treadmill group; step length (p = 0.001), natural gait speed (p = 0.01), maximum gait (p = 0.02), cadence (p = 0.03) and community integration (p = 0.00) for the participants in the bicycle ergometer group except for stride length which showed no significance difference (p = 0.078). There was also a significant difference in the mean change in cadence between the treadmill and bicycle ergometer group (p = 0.04). Conclusion: Both open-chain and closed-chain kinematics are effective, but closed- chain is most effective in re-educating ambulation and re-gaining spatio-temporal gait parameters after stroke and should be structured into the patients’ treatment regimen to effectively improve functional capability in post-stroke individuals.
An analytical insight into the structure of the Brechtian theatre based on the plays ‘Mother Courage and Her Children’ and‘ The Caucasian Chalk Circle’
Authors: Amarasooriya D. N. P.
Published: January 2023

Bertolt Brecht developed the form of the ‘epic theatre’ which can be defined
as the foundation of the logical diversion of the direction of the conventional
theatre. Brecht through this route of the epic theatre utilizes the theatre as a
social and innovative logical instrument with the motive of initiating a social
change which will have an impact on the existing social texture and the mentality
of the social beings. The research focuses on analyzing how Brecht pursued a
rationalistic route deviating from the core of the conventional theatrical structure,
in instituting the form of the ‘epic theatre’ which can be defined as the foundation
of the logical diversion of the direction of the conventional theatre. The foremost
Brechtian plays, ‘Mother Courage and Her Children and ‘The Caucasian Chalk
Circle’ were analyzed to examine to which extent Brecht portrays the inner
conflicts which social beings undergo in identifying their survival in relation
to the discipline of emotion and reason. The data collecting procedure was
conducted by utilizing secondary data collection methods. Accordingly, content
analysis (conceptual analysis, relational analysis), discourse analysis and
structural analysis were used in collecting and analyzing the relevant data. The
study focused on analyzing the two plays Mother Courage and Her Children and
‘The Caucasian Chalk Circle’ based on the Marxist ideological perspectives.
The plays, ‘Mother Courage and Her Children, and ‘The Caucasian Chalk
Circle, induce the spectator to contemplate and reflect on the Brechtian thematic
perspectives such as ‘Victimization of the human being through the insatiable
desire for material comfort, human incapability to confront the social evils, the
dichotomy between emotion and reason etc. Thus, approaching the irrational
social symptoms from a communist political point of view, Brecht within his
plays portrays the inner conflicts which social beings undergo in identifying
their survival in relation to the discipline of emotion and reason. ‘Grusha’ in ‘The
Caucasian Chalk Circle and ‘Kattrin’ in ‘Mother Courage and Her Children’
pursue the route of the universal principle of humanity which functions as
the instinctive element in contrast to the rationally moulded sphere of reason.
Brecht can be identified as a rebel whose intention is to move the social structure
towards a new sphere in persuading the people to perceive through the obscured
social veil. Along with the ideologies such as Marxism and the influence of the
political theatre of Erwin Piscator, Brecht made an effort to transform the theatre
into a source of social revival, thought inspiration and a foundation for social
discourse.
Comparison of In Vitro Anticoagulant Activity of Raw, Boiled, and Honey Fermented Allium sativum (GARLIC)
Authors: Zam Hareera M. N. F. , Gunasena M. D. C. L. , Wijesekara G. U. S. , Bandara E. M. S. , Wanniarachchi D
Published: January 2023

Garlic (Allium sativum) is one of the medically beneficial spices consumed
by Sri Lankan people in different ways. The study aimed to determine the
bioactive compounds and in vitro anticoagulant activity of aqueous and
methanolic extract of raw, boiled, and honey fermented preparations of garlic.
Different concentrations of aqueous and methanolic extract of raw, boiled,
and honey fermented garlic were prepared by grinding different weights of
garlic (2.5×10-3 kg for 500 mgmL-1, 1.25×10-3 kg for 250 mgmL-1, 0.25×10-3
kg for 50 mgmL-1 and 0.05×10-3 kg for 10 mgmL-1). For aqueous extract, the
crude extract had been collected whereas for methanolic extract preparation,
maceration had been done. In vitro anticoagulant activity was analysed using
prothrombin time (PT) of pooled plasma diluted with different concentrations
of garlic extract. Bioactive compounds in garlic extracts were analysed
by Gas Chromatography-Mass Spectrometry. Methanolic extract of all 3
preparations and aqueous extract of honey fermented garlic had significantly
prolonged PT at all concentrations compared to the control (p<0.05). Aqueous
extract of raw and boiled garlic showed significant prolongation in PT only
at high concentrations compared to the control (p=0.008). Prolongation in
PT was increased with increasing concentration of garlic extract. Honey
fermented garlic had the highest prolongation in PT compared to the other
two preparations. Moreover, methanolic garlic extract exhibited the a
higher prolongation in PT compared to aqueous garlic extract. The content
of Dodecanoic acid methyl ester and Methyl tetradecanoate in boiled garlic
extract was much higher than in raw garlic extract. Diallyl disulphide, Methyl
thiourea and S-Methyl methanethiosulfinate were only found in aqueous raw
garlic extract. Beta sitosterol was only detected in methanolic raw garlic
extract. All three consumption methods of garlic have an inhibitory effect on
blood coagulation. Honey fermented garlic is the most effective preparation
for anticoagulant activity.
Knowledge and Attitude Towards the use of Contraceptive Methods Among Undergraduates of a Selected Higher Education Institute in Sri Lanka
Authors: Aadel U. S. M. , Perera G. A. G. , Dilshani B. M. , Fernando W. L. L. , Kumari M. S. S. , Perera N. M. , Kulatunga K. M. H. H.
Published: January 2023

Unintended pregnancies and sexually transmitted diseases are some of
the major reproductive health issues commonly encountered globally.
As a developing country in South Asia, Sri Lanka has a prevalence rate
of 23-46% of unplanned pregnancies. Two percent (2%) of government
clinic attendees are detected with sexually transmitted diseases (STDs)
and it is continually increasing among the young population. Poor
knowledge, awareness and undesirable attitude towards contraception
usage are some of the major factors associated with unintended
pregnancies and transmission of STDs. Undergraduates are a vulnerable
population to unintended pregnancies and sexually transmitted
diseases. Therefore, this study was conducted with the objective of
assessing the knowledge and attitudes towards the use of contraceptive
methods among undergraduates of KIU. A descriptive cross-sectional
study was conducted enrolling 304 undergraduates of 18 to 30 years
of age using the simple random sampling method. Data were collected
using a pre-tested self-administered questionnaire consisting of sociodemographic
details and questions to assess participants’ knowledge
and attitudes. The knowledge section of the questionnaire was marked
out of 34 points, ones who obtained 0-12 marks were considered to
have poor knowledge 13-24 as average knowledge and above 25
as good knowledge. The likert scale was used to assess the attitude
section of the questionnaire. The results of the study revealed that the
majority were females 62.5% (n=190) and 76.32% (n=232) of the study
participants were from the age category of 23-27 years. Eighty-four
percent (84%, n=255) of the study sample possessed a satisfactory level
of knowledge in contraceptive methods and females showed a higher
level of knowledge than males (p=0.002). Health science students had a
higher level of knowledge than non-health science students (p=0.001).
In conclusion, though the study population displays an overall positive
attitude towards family planning methods, knowledge in this regard is
average.
Síndrome de Insensibilidad Androgénica: presentación de un caso de discordancia entre ecografía pre y postnatal y estudios genéticos moleculares
Authors: Chung Mirna , Herrera Indira , Mendez-Rios Jorge D , Orobio Allissan , Manzano Miguel , Herrera Tania T
Published: January 2023

Introducción: El síndrome de insensibilidad androgénica es un desorden genético y un tipo de trastorno del desarrollo sexual. Es la feminización de los genitales externos evaluados al nacimiento cuando el genotipo es 46, XY.
Objetivo: Presentar la clínica, estudios moleculares, ultrasonidos durante el embarazo y del recién nacido con trastorno de diferenciación sexual.
Caso Clínico: Femenina de 35 años con tercer embarazo, feto único, con resultado de cribado genético prenatal no invasivo ampliado de aneuploidías cromosómicas y determinación del sexo fetal a la semana 11 de gestación con sexo genético masculino, ultrasonido con ángulo del tubérculo genital de menos de 30° indicativo de sexo fenotípico femenino y ecografía postnatal con sexo gonadal masculino. Panel molecular genético con una variante patogénica para el Gen AR, en hemicigosis, asociado a Síndrome de Insensibilidad Androgénica.
Conclusión: La discordancia sexual fenotipo-genotipo puede indicar una condición genética, cromosómica o bioquímica subyacente. El manejo conjunto interdisciplinario y el consejo genético permite el diagnóstico molecular neonatal temprano de la condición.
Hipoacusia como primera manifestación de granulomatosis con poliangeítis
Authors: Salehji Abdullah , Moreno Ricardo , Arcia Diego , Milrod Rolando
Published: January 2023

Introducción: Las vasculitis asociadas a anticuerpos anti citoplasma de neutrófilos (ANCA) son entidades clínicas poco frecuentes con manifestaciones amplias que se asocian a retos diagnósticos. El tratamiento oportuno se asocia a mejoría pronóstica significativa.
Caso clínico: Femenina de 45 años que acude con síntomas constitucionales de 2 meses de evolución, asociado en las últimas 2 semanas a hipoacusia progresiva. Se evidencia lesión renal aguda asociada a datos de sedimento urinario activo. El perfil inmune solicitado resultó positivo para ANCA PR-3, y la biopsia renal confirma el diagnóstico de Granulomatosis con Poliangeitis. Se inicia tratamiento inmunosupresor con ciclofosfamida, con poca mejoría de la función renal y requerimiento de hemodiálisis crónica.  La amplia variedad de manifestaciones clínicas asociadas a las vasculitis ANCA conducen a la incapacidad de diagnosticarlas tempranamente y la hipoacusia, aunque descrita, es una manifestación inicial poco frecuente. Conclusión: Las VAA son entidades clínicas poco frecuentes y cuando se presentan con manifestaciones atípicas, suelen ser un reto diagnóstico. Resulta imperativo considerarla en casos de síntomas constitucionales, asociados a manifestaciones renales, otorrinolaringológicas y pulmonares.
Malrotación intestinal diagnosticada en la edad adulta. Reporte de un casO
Authors: Moreno Marissa , Reyna Rolando
Published: January 2023

Paciente masculino de 19 años, sin antecedentes personales patológicos ni quirúrgicos previos conocidos, con historia de episodios intermitentes de dispepsia, dolor abdominal y vómitos incoercibles desde el periodo neonatal. Fue manejado hasta la actualidad, como un paciente con reflujo gastroesofágico severo. El paciente había sido previamente abordado con estudios sonográficos abdominales por sospecha de urolitiasis, en los cuales se evidencia ascitis. Se le realiza tomografía abdominopélvica contrastada por cuadro de dolor en flanco izquierdo de larga data, evidenciando múltiples rotaciones de intestino delgado y ascendente, comprometiendo además algunas estructuras vasculares. Es llevado al salón de operaciones, donde se le realiza procedimiento de Ladd.
Características clínicas, epidemiológicas y terapéuticas de pacientes con tumores malignos de células germinales en ovario. Instituto Oncológico Nacional
Authors: De Jongh Alexandra , Lasso de la Vega Jorge
Published: January 2023

Objetivo: Determinar la características clínicas, epidemiológicas y terapéuticas de los tumores malignos de células germinales en ovario. Materiales y Métodos: Estudio descriptivo observacional transversal retrospectivo donde se evaluaron mediante expediente electrónico las características de 67 pacientes con diagnóstico de tumores malignos de células germinales de ovario atendidas en el Instituto Oncológico Nacional de enero 2012 a diciembre 2021.
Resultados: La prevalencia de tumores malignos de células germinales de ovario en la población de estudio es de un 8.6%. El grupo etario predominante fue en la segunda y tercera década de la vida en un 80.59%. Casi un 40% de las pacientes son de grupo étnico originario. El tipo histológico más frecuente es el disgerminoma seguido de teratoma inmaduro, tumor mixto y tumor de seno endodérmico. 52% eran nuligestas. 96% de las pacientes presentaron algún síntoma al diagnóstico y el síntoma principal fue el dolor abdominal. No hubo asociación entre un marcador tumoral específico y tipo histológico. 95% recibió tratamiento quirúrgico. El 95.52% pudieron ser intervenidas quirúrgicamente, de esas un 89% se preservó la fertilidad. 60% ameritó quimioterapia y el esquema más usado fue Bleomicina, Etopósido y Platino. 6% recurrieron, 13% fallecieron, se obtuvo una supervivencia global de 86%.  Conclusión: Los tumores germinales malignos en nuestra población tienen una prevalencia de un 8.6%, predominan en la tercera década de la vida y en pacientes mestizas y originarias. Se desconoce la causa de la alta prevalencia en el grupo étnico originario. El tipo histológico más frecuente es el disgerminoma. No se evidenció correlación específica entre tipo histológico y marcador tumoral asociado. 6% de las pacientes con tumores malignos de células germinales recurren, 13% mueren, obteniendo una supervivencia global de 87%.
Síndrome de Fahr secundario a hipoparatiroidismo iatrogénico por extirpación de bocio. Reporte de Caso
Authors: Loo Betzaida , Lasso Elaine , Cornejo Luis
Published: January 2023

El hipoparatiroidismo es una enfermedad rara, siendo su causa más común la posquirúrgica. También puede deberse a causas autoinmunes, genéticas o funcionales manifestándose con gran variedad de síntomas como neuropsiquiátricos, irritación neuromuscular e inclusive con síntomas en órganos diana dependiendo de las alteraciones bioquímicas y su tiempo de evolución. Una de las complicaciones del hipoparatiroidismo crónico es la presencia de calcificaciones en los ganglios basales conocido como el Síndrome de Fahr, el cual es secundario a alteraciones metabólicas por disminución de los niveles de calcio. Reportamos un caso de Síndrome de Fahr con hipocalcemia secundario a un hipoparatiroidismo iatrogénico por tiroidectomía y paratiroidectomía, el cual se presenta con convulsiones; un caso poco común. Adicionalmente se realiza una revisión de la literatura sobre la etiología, cuadro clínico, diagnóstico y tratamiento
Síndrome de Rapunzel: hallazgos y sus complicaciones
Authors: Delgado Debbie , Abrego S. Agustin E.
Published: January 2023

Se reporta el caso de una niña de 10 años que acude al cuarto de urgencias con historia de tricofagia de 3 años de evolución, dolor abdominal y datos de abdomen agudo al examen físico. En la radiografía de abdomen se reconoce la cámara gástrica distendida con un patrón de gas moteado intragástrico, delineado por gas y en la tomografía de abdomen y pelvis, se visualiza masa intragástrica bien circunscrita heterogénea en patrón de gas moteado y datos de pancreatitis necrotizante.
Se requirió manejo quirúrgico encontrándose tricobezoar que se extendía hasta la segunda porción del duodeno.
ANALYSIS OF PERI-URBAN LANDSCAPE COMPOSITION AND ITS SPATIO-TEMPORAL TRANSFORMATIONS: THE CASE OF THE METROPOLITAN DISTRICT OF QUITO
Authors: Ortiz-Báez Paola , Freire Maria José , Bogaert Jan
Published: January 2023

Latin American contemporary cities are facing a rapidly urban dispersion which is mainly occurring in periurban zones. Since these transitional spaces remain geographically and conceptually unclear, having a greater understanding of its landscape composition has become a key issue for territorial planning purposes. In this article, the Metropolitan District of Quito urban-rural gradient landscape composition and its spatiotemporal transformations are analysed. Using satellite images of very high resolution of two periods, five Land Use-Land Covers (LULC) were identified in sixty-four sample polygons. Based on that, a transition matrix and a stability index were developed to analyse landscape composition change intensity. Results demonstrate that peri-urban areas show the highest landscape instability, although through a great diversity of land occupation typologies. The four dominant typologies are analysed. Parsing LULCs independently, vegetation showed the greatest instability, which significantly alters ecosystems and their services. On the other hand, mega-road infrastructure appears to be one of the most dramatic drivers of peri-urban transformation, since samples crossed by new highways experienced the greatest landscape transformation on average. Finally, this methodology and insights could be extrapolated to other Latin American cities, where micro-scale policymaking should be a priority in scenarios of complex and highly heterogeneous peri-urbanization.
Searches for Extremely Metal-poor Galaxies Using Arecibo Legacy Fast ALFA–Selected Dwarf Galaxies
*
Authors: Miller John H. , Salzer John J. , Janowiecki Steven , Haynes Martha P. , Hirschauer Alec S.
Published: January 2023

We present a study of nearby dwarf galaxies selected from the Arecibo Legacy Fast ALFA (ALFALFA) blind H i survey. A primary goal of the project was to utilize a nonstandard selection method with the hope of detecting previously unrecognized extremely metal-poor (XMP) galaxies. The study was motivated by the recent discovery of two XMP galaxies, Leo P and Leoncino, which were both originally found via the ALFALFA survey. We have obtained narrowband Hα images for 42 dwarf systems, many of which are located in the Local Void in front of the Pisces–Perseus Supercluster. Spectra for 11 of the best candidates resulted in the determination of metal abundances for 10 of the systems. None were found to be extremely metal-poor, although one system (AGC 123350) was found to have an oxygen abundance of log(O/H)+12 = 7.46, or ∼6% solar. One of the galaxies in our sample exhibits a high oxygen abundance for its luminosity, suggesting the possibility that it may have a tidal origin.
Evidence for Population-dependent Vertical Motions and the Long-lived Nonsteady Lopsided Milky Way Warp
Authors: Li Xiang , Wang Hai-Feng , Luo Yang-Ping , López-Corredoira Martín , Ting Yuan-Sen , Chrobáková Žofia
Published: January 2023

We present a Galactic disk vertical velocity analysis using OB type stars (OB stars), red clump (RC) stars, and main-sequence turnoff (MSTO) stars with different average age populations crossmatched with LAMOST DR5 and Gaia DR3. We show that the vertical velocities of the three populations clearly vary with the Galactocentric distance (R) and the younger stellar population has a stronger increasing trend in general. The bending and breathing modes indicated by the vertical motions are dependent on the populations and vary with spatial locations. These vertical motions may be due to the Galactic warp, or minor mergers, or nonequilibrium of the disk. Assuming the warp is the dominant component, we find that the amplitude of the warp (γ, Z

ω
) of OB stars (younger population) is larger than that of RC stars (medium population) and the latter is also larger than that for MSTO stars (older population), which is in agreement with other independent analyses of stellar density distribution, and supports that the warp is a long-lived, nonsteady structure and is time evolving. This conclusion is robust whether the line of nodes ϕ

w
is fixed or is a free parameter (with ϕ

w
being around 3°−8.°5 as the best fit). Furthermore, we find that the warp is lopsided with asymmetries along the azimuthal angle (ϕ).
Using Games to Promote Healthy Behavior in Children: A Narrative Review
Authors: Lagu Abdul Majid H. R. , Thaha Ridwan Mochtar , Syafar Muhammad , Hadju Veni , Kurniati Yessy
Published: January 2023

BACKGROUND: Games are a fairly effective method to overcome public health problems, especially in children.
AIM: This study aims to review the use of games to promote healthy behavior in children.
METHODS: The method used is to search for literature published in PubMed in 2017–2021. Search using the keywords: Games, intervention, children, health, and behavior. Based on the search, 452 articles were found. Then, the articles are selected based on inclusion criteria, which are open-access articles, original research, and addressing behavioral problems related to public health.
RESULTS: Based on the inclusion criteria, 18 articles were selected to be analyzed. The 18 articles discussed the use of games to overcome health behavior problems in children. In detail, there are three articles on mental health, eight articles on nutritional behavior, four articles on physical and sedentary activity, one article on dental health, and two articles on hand washing practices.
CONCLUSION: The game method is mostly used to shape nutritional behavior. There are still few articles that discuss clean living behaviors, such as waste management. So that research is needed that looks at the effectiveness of the game method to shape waste management behavior in children.
A Maturity Model for Digital Business Ecosystems from an IT Perspective
Authors: Ehrensperger Robert , Sauerwein Clemens , Breu Ruth
Published: January 2023

Digital transformation impacts longstanding business models and enables enterprises to create new ones. This transformation leads to increased competition that forces enterprises to compete, not only between companies but also between the entire supply chain and business networks. The emerging concept of digital business ecosystems (DBE) allows enterprises to concentrate on network co-creation and co-evolution of bundled services and products across enterprise boundaries. This exploratory study introduces a maturity model derived from existing DBEs. Based on employing a design science methodology, we reviewed 22 scientific publications, interviewed 28 senior experts from practice and derived a maturity model from the results. We applied the maturity model through an online survey to 29 DBEs from different industry sectors and compared it with 22 maturity assessment approaches from other domains. The maturity model enables researchers to compare and assess existing DBEs and helps practitioners to identify areas for improvement in the collaboration within DBEs.
A review of environmental and anthropogenic variables used to model jaguar occurrence
Authors: Montalvo Víctor H. , Sáenz-Bolaños Carolina , Carrillo Eduardo , Fuller Todd K.
Published: January 2023

Jaguars (Panthera onca) are a landscape species of conservation importance and our understanding of environmental and anthropogenic drivers of jaguar occurrence is necessary to improve conservation strategies. We reviewed available literature to simply describe environmental and anthropogenic variables used and found to be significant in occurrence modeling. We reviewed 95 documents published from 1980 to 2021 that focused on jaguar occurrence and that used 39 variable types (21 anthropogenic, 18 environmental) among different techniques, scales, and approaches. In general, these variables included both anthropogenic (roads, land use, human activities, and population) and environmental (climate, vegetation, ecological interactions, topographic, water, and others) factors. Twelve variables were identified as affecting jaguar occurrence overall, eleven at local scale and seven at broad scales (regional and continental). Focusing more specifically on the variables that correlate with occurrence should help researchers to make better predictions in areas without quantitative jaguar data.
Un pouvoir domestique masculin
Authors: Clément Garance , Del Puppo Fiona
Published: January 2023

À partir d’une enquête par entretien et observation menée auprès d’habitant·es du canton de Genève, en Suisse, cet article étudie le rôle de la musique dans la constitution d’un « pouvoir domestique masculin » et la manière dont ce pouvoir est modulé par la classe et la configuration conjugale. Une première partie révèle les modalités de la domestication de la musique selon le genre et la classe, et dégage trois logiques principales à travers lesquelles les hommes assoient la légitimité de leur pratique d’écoute et sa primauté sur celle de leur conjointe : la défense d’une « passion » pour la musique, la forte intensité de l’écoute (volume, fréquence, attention) et la mise en avant de compétences techniques. Une deuxième partie analyse ensuite la façon dont l’écoute musicale masculine contribue à l’exercice d’un contrôle sur l’organisation spatiale et sonore de la sphère domestique. L’article montre que l’appropriation masculine de l’espace domestique par la musique est plus marquée chez les classes supérieures et dans les couples hétérosexuels caractérisés par une forte distance sociale entre conjoints au profit des hommes.
Norberto Bobbio et la crise du positivisme juridique dans l’Italie d’après-guerre
Authors: Le Bohec Jean-Baptiste
Published: January 2023

Après la Seconde Guerre mondiale, en Italie, le jusnaturalisme renaissant a engagé le procès du positivisme juridique, accusé d’avoir permis, ou pire, favorisé l’avènement du fascisme. D’autres critiques venant des écoles sociologique et réaliste ont également mis en cause le positivisme, sur un plan toutefois plus épistémologique que moral. Au cœur de ce débat, le juriste et philosophe Norberto Bobbio a produit une contribution originale. Choisissant de réformer le positivisme plutôt que de le défendre dogmatiquement, il s’est efforcé d’intégrer certains arguments pertinents tout en dévoilant les motifs idéologiques sous-tendus par d’autres. Cet article propose de revenir sur cette crise traversée par le positivisme juridique et l’apport de Bobbio, tout en discutant l’insertion de cette doctrine dans un « destin historique » plus large.
Regards croisés sur le crime d’écocide : des tentatives de concrétisation du concept, entre société civile et institutions (inter)nationales
Authors: Montavon Camille , Desaules Marie
Published: January 2023

Cette contribution revient sur les premières tentatives de concrétisation de l’écocide en droit international à la fin du xx e  siècle, pour ensuite observer la mobilisation croissante de ce concept par la société civile. Parmi les stratégies d’action de cette dernière pour la reconnaissance de l’écocide, le tribunal international Monsanto est présenté comme un intermédiaire entre la société civile et les institutions officielles. Son impact sur les États et la communauté internationale est évalué aux côtés de celui d’autres initiatives de la société civile. L’étude se resserre sur les postures de la Belgique, la France et la Suisse concernant la question de l’incrimination de l’écocide, à travers l’analyse de leur soutien à l’inclusion de ce crime dans le Statut de Rome et dans leur propre ordre juridique.
La RSE chez L’Oréal : une transformation qui n’a rien de cosmétique !
Authors: Tronchon Joël
Published: January 2023

Fondée sur la science, la politique RSE de L’Oréal est centrée sur des réalisations concrètes, des progrès incrémentaux et une vraie transformation de l’entreprise en profondeur. Elle repense ses produits, ses formules, ses packagings et ses usines – qui seront, par exemple, neutres en carbone dès 2025. Ce travail s’étend également à tout l’écosystème L’Oréal et embarque des acteurs aussi différents que ses fournisseurs, ses consommateurs et ses clients (grande distribution, chaînes de parfumerie, pharmacies, salons de coiffure).
Transformer les entreprises en les amenant à se réinventer
Authors: Rességuier Michel
Published: January 2023

Prospheres prend, à la demande de l’actionnaire, la responsabilité temporaire d’une activité afin d’améliorer son modèle économique. Aux côtés ou à la place du dirigeant, Prospheres enclenche un processus exigeant pour accroître fortement le pouvoir des salariés et la subsidiarité des prises de décision. Les salariés se réunissent pour analyser les sources de création et de destruction de valeur, et mettre ainsi au jour des réalités masquées par des croyances ou des ressentis. Un projet de transformation émerge alors.
De l’insensibilité à l’anesthésie : indifférence, indolence et « défaut de sentiment » au XVIII e siècle
Authors: Pahl Kerstin Maria , Bury Laurent
Published: January 2023

Dans la philosophie morale du xviii e siècle britannique, le sentiment de sympathie, soit notre capacité à sentir avec et pour quelqu’un d’autre, avait une place tout à fait centrale. Or, cette sympathie avait aussi son « autre » : l’indifférence, la stupidité, l’apathie, et toutes sortes d’insensibilités. Ces différentes formes de « manque de sentiment » n’avaient pas toutes la même teneur morale. Cet article montre, entre autres, comment des formes physiques d’insensibilités jugées dangereuses pour la cohésion du corps social furent mises à bon usage pour rendre des interventions chirurgicales indolores.
(In)sensibilité soufie et habitus émotionnels
Authors: Philippon Alix
Published: January 2023

L’ascétisme, son impératif d’insensibilité et de détachement du monde, apparaît comme une dimension importante du soufisme, la tradition mystique de l’islam. Il a cependant suscité des piques acérées de la part d’auteurs réformistes et modernistes, qui y ont vu une attitude quiétiste responsable du déclin du monde musulman. Comment, dès lors, l’ascétisme s’accorde-t-il avec une modernité religieuse tournée vers l’ici-bas, le bien-être et l’accomplissement de soi ? Fondé sur une ethnographie au long cours, menée au Pakistan dans des cercles soufis féminins issus de grands centres urbains, cet article s’attache à décrypter le système de sens qui procède de la valorisation d’une riche économie émotionnelle, allant jusqu’à réhabiliter le corps comme réceptacle du divin.
« Rien de ce qui est humain ne m’est étranger ». Être pompier, entre altruisme et insensibilité
Authors: Pudal Romain
Published: January 2023

La devise du métier de pompier se résume par trois mots – altruisme, efficience, discrétion – qui relèvent de qualités techniques mais aussi humaines. L’empathie avec les victimes que l’on doit apprendre à contrôler pour conserver une efficacité dans ce métier de l’urgence, peut se muer en une insensibilité apparente aux situations de détresses. L’ethnographie montre aussi comment les années de terrain peuvent épuiser les pompiers et conduire à des formes d’insensibilités beaucoup plus problématiques relevant du burn-out.