bluuebunny/crossref_metadata_2025 huggingface dataset:
Association of rs17095355 Polymorphism and Extrahepatic Biliary Atresia among Filipinos
Authors: Climacosa Fresthel Monica M. , Gregorio Germana Emerita V. , Silao Catherine Lynn T.
Published: January 2021

Background. Extrahepatic biliary atresia (EHBA) causes a rare obstructive cholestasis in infants. Kasai portoenterostomy if done before the third month of life may relieve obstruction. Genetic predisposition has been implicated in EHBA etiopathogenesis with rs17095355 polymorphism having the strongest association. We determined the association between rs17095355 and EHBA susceptibility of Filipino children, and described the outcome in each genotype among timely operated patients. Methods. Thirty-four histologically diagnosed EHBA patients and thirty-three age- and sex-matched controls were recruited. Genomic DNA was extracted from peripheral blood and subjected to PCR and direct sequencing. Success of surgery among patients operated before 90 days of life was assessed by jaundice clearance six months post-surgery and native liver survival two and five years post-surgery. Results. There was no significant difference among individuals carrying T and C alleles in developing EHBA (OR:1.36; 95%CI:0.65–2.86). Jaundice persisted post-operatively in 75%, 33% and 27% of Kasai-operated homozygous T (T/T), homozygous C (C/C) and heterozygous (C/T) patients, respectively. Fifty percent of Kasai-operated C/C and C/T patients retained their native liver whereas all Kasai-operated T/T patients required liver transplantation two years post-surgery. Conclusion. There is insufficient evidence to associate rs17095355 in EHBA development among Filipinos. Further investigation is warranted to elucidate genetic mechanisms in EHBA etiopathogenesis.
The Prevalence of CYP2D6 Gene Polymorphisms among Filipinos and their use as Biomarkers for Lung Cancer Risk
Authors: Cutiongco-de la Paz Eva Maria , Ngelangel Corazon A. , David-Wang Aileen , Nevado Jr. Jose B. , Silao Catherine Lynn T. , Hernandez-Sebastian Rosalyn , Ceniza Richmond B. , Simpao Leander Linus Philip P. , Beratio Lakan U. , Dominguez Eleanor A. , Albay Jr. Albert B. , Desales Rey A. , Tan-Liu Nelia , Sy-Naval Sullian , Montevirgen Roberto M. , Gonda-Dimayacyac Catalina de Siena , Tagayuna Pedrito Y. , Nuqui Elizabeth A. , Fernandez Arnold Joseph M. , Dimacali Andrew D. , Obrerro-Carrillo Maria Constancia , Banez Virgilio P. , Florendo Oliver G. , Sison Ma. Cecilia M. , Roxas Francisco T. , Roxas Alberto B. , Bisquera Jr. Orlino C. , Ramos Luminardo M. , Coloma John A. , Mappala Higinio T. , Tapia Alex C. , Montana Jr. Emmanuel F. , Asprer Jonathan M. , Joson Reynaldo O. , Paguio Sergio P. , Cajucom Conrado C. , Tia Richard C. , Chipongian Tristan , David Joselito F. , Doble Florentino C. , Pato Maria Noemi G. , Ferraris Hans Francis D. , Bionat Jr. Benito B. , Guancia Adonis A. , Layda Eriberto R. , Rocamora Frances Maureen C. , Bueno Roemel Jeusep , Padilla Carmencita D.
Published: January 2021

Objectives. The highly polymorphic nature of the CYP2D6 gene and its central role in the metabolism of commonly used drugs make it an ideal candidate for pharmacogenetic screening. This study aims to determine the prevalence of CYP2D6 polymorphisms among Filipinos and their association to lung cancer. Method. Forty seven single nucleotide polymorphisms (SNPs) of the CYP2D6 gene were genotyped from DNA samples of 115 cases with lung cancer and age- and sex-matched 115 controls. Results. Results show that 18 out of 47 polymorphisms have significant genotypic variability (>1% for at least 2 genotypes). No variant is associated with lung cancer. However, rs1135840, rs16947 and rs28360521, were found to be highly variable among Filipinos. Conclusion. This study demonstrated that CYP2D6 polymorphisms are present among Filipinos, which, although not found to be associated with lung cancer, can be useful biomarkers for future pharmacogenetic studies. The SNP rs16947 is found to be associated with cancer and timolol-induced bradycardia; the SNP rs1135840, on the other hand, is only shown to be linked with cancer. The genetic variant rs28360521 is known to be associated with low-dose aspirin-induced lower gastrointestinal bleeding.
Cholelithiasis in a Filipino Child with Chronic Neuronopathic Gaucher Disease: A Case Report
Authors: Abacan Mary Ann R. , Chiong Mary Anne D.
Published: January 2021

Gaucher disease is the most common of the lysosomal storage diseases caused by a defect in the lysosomal enzyme βglucocererbrosidase resulting in multi-organ involvement. The presence of cholelithiasis has been rarely observed among patients with non-neuronopathic type of Gaucher disease and the exact pathophysiology is still unknown. We report a Filipino child with chronic neuronopathic Gaucher Disease noted to have cholelithiasis on routine whole abdominal ultrasonography as part of the regular monitoring of the disease.
Intensive Task-oriented Training for Mobility and Balance in a Patient with Multiple Strokes: a Case Report
Authors: Gelisanga Maribeth Anne P. , Gorgon Edward James R.
Published: January 2021

Patients with multiple strokes are often excluded from studies due to poor outcomes. This case report described change in mobility and balance in a 54-year-old male with four strokes following intensive physical therapy (PT) based on the Taskoriented Approach. Outcome assessment demonstrated clinically meaningful change in balance and mobility, and no adverse events. Intensive task-oriented PT is safe and feasible, and may contribute toward positive outcomes in severe disability related to multiple strokes.
Harlequin Baby: the Challenge of Pain Management in the Neonatal Period
Authors: Yu Mark David S. , Catalan Grace G.
Published: January 2021

This case is about a 35-week neonate diagnosed with harlequin ichthyosis. The neonate was managed by a multidisciplinary team composed of specialists from neonatology, genetics, dermatology, plastic surgery, ophthalmology, rehabilitation medicine, and anesthesiology. Harlequin ichthyosis is characterized by defective keratinization and desquamation of the epidermis which is very painful. Pain management in the neonate entails a proper balance between pain relief and avoidance of serious adverse effects which is a major challenge for caregivers.
Prevalence of nonsuicidal Self-injury and Suicide Attempt among Young Adult university Students
Authors: Galicia Jhun Robbie U. , Bautista Tomas D.
Published: January 2021

Objective. To determine the prevalence and possible risk factors associated with nonsuicidal self-injury (NSSI) and suicide attempt among young adult university students.

Methods. A cross-sectional study involving six colleges from a university in Manila, from which randomization through a computer-generated random number was done. Data were obtained through self-administered questionnaires. Descriptive analysis and logistic regression were done to evaluate the data.

Results. A total of 225 students participated in the study (mean age of 20.33 years). Majority were females (60.44%). Ideations of self-harm were reported in 49.33%. NSSI and suicide attempts were reported at 26.22% and 14.67%, respectively. In general, self-harm (NSSI and/or suicidal attempt) was reported at 33.78%, while 7.11% of the respondents reported both NSSI and suicidal attempt in the past. Furthermore, 2-3 out of 10 students who engaged in NSSI would have a suicide attempt. Associated factors of NSSI and suicide attempt were age, female gender, gender orientation, parental civil status, employment, economic standing, and psychopathology which support the findings cited in literature.

Conclusion. The high prevalence of self-harm NSSI and/or suicidal attempt (33.78%) and the finding that NSSI was a gateway for suicidal attempt and that 2-3 out of ten who engaged in NSSI would have a suicide attempt underscores the need to develop an early intervention upon detecting self-harming behaviors and a preventive program for the progression of NSSI to suicide attempts.
A Systematic Approach to Stillbirth Examination in a tertiary Hospital
Authors: Igualada Arby Jane R. , Domingo Efren J. , Avila Jose Maria C.
Published: January 2021

Background. Stillbirth has a complex pathophysiology, hence the difficulty in arriving at a specific cause.

Objectives. The study aimed to identify the probable causes of stillbirth in a tertiary hospital based on gross examination of the placenta and the fetus, as well as, to identify the demographic profile of the stillbirths.

Methods. A cross-sectional descriptive study was conducted among 29 stillbirths delivered in a tertiary hospital from March 2016 to September 2016. The probable causes of stillbirth were categorized as obstetrics complications, placental abnormalities, umbilical cord abnormalities, fetal malformations, infections, hypertensive disorders, medical complications, and undetermined causes.

Results. 86% of stillbirths in this study had a probable cause of death. Umbilical and placental abnormalities were the most probable causes (62% and 41%, respectively). The two most common identified cord abnormalities were short cord length (34%) and marginal insertion (23%), while small placenta (27%) was the most common for placental abnormalities.

Conclusion. To be able to come up with the probable cause of stillbirth, the delivering physician or health personnel should always account the gross findings of the fetus and placenta after delivery.
Epidemiology of Injuries in the Philippines: An Analysis of Secondary Data
Authors: Rivera Adovich S. , Lam Hilton Y. , Macalino Joel U.
Published: January 2021

Background. Injury surveillance is viewed as an important component of injury prevention. Several data systems in the Philippines exist but have not been analyzed together. Analyzing these readily available data can guide policy making.

Objective. This report aimed to describe the epidemiology of injuries in the Philippines using secondary datasets.

Method. Death data of 2013 from the Philippines Statistics Authority and injury surveillance data of 2014 from the Department of Health were obtained and recoded. Summary statistics were generated.

Results. Injured persons mainly come from the young age group. There were a higher number of males compared to females. Provincial variations in death rates for specific injury types existed. There did not seem to be an obvious pattern in injury occurrence according to month and time of day. High numbers of injuries were reported during daytime but admission and death rates peak at night. Injuries were shown to be an anatomically heterogeneous group with dominance in superficial injuries, head trauma, and hand fractures.

Conclusion. Analysis of secondary datasets revealed the epidemiology of injuries in the Philippines. Results have implications in health policy and injury prevention.
Variations in the Clinical Management of Multibacillary Leprosy Patients in Selected Hospitals in Metro Manila
Authors: Pepito Veincent Christian F. , Amit Arianna Maever L. , Samontina Rae Erica D. , Abdon Sarah Jane A. , Fuentes David Norman L. , Saniel Ofelia P.
Published: January 2021

Introduction. This paper documents the variations in the diagnosis and management of multibacillary leprosy patients in three of the biggest case-holding hospitals in Metro Manila. Furthermore, we aimed to discuss the implications of these variations on the country’s leprosy control and elimination program.

Methods. Focus group discussions (FGD) were conducted with 23 health professionals composed of doctors and nurses with at least a year of experience in managing leprosy patients. The topics included procedures on patient diagnosis and management such as treatment duration, patient follow-up and definitions of treatment completion and default. The FGD participants provided suggestions to improve treatment compliance of patients. Their responses were compared with World Health Organization (WHO) standards and/or the 2002 DOH Manual of Operating Procedures (MOP) for leprosy. Transcripts of the recordings of the FGDs were prepared and thematic analysis was then performed.

Results. There were variations in the hospitals’ procedures to diagnose leprosy, in treatment duration, and in patient follow-up. Definitions for treatment completion and default differed not just between hospitals but also with the WHO guidelines and the 2002 MOP. Hospitals extended treatment up to 24 or even 36 months, despite the 12 months stipulated in the MOP. Two hospitals required slit skin smear and skin biopsy in diagnosis, despite the MOP and WHO provisions that these were not mandatory. One hospital defined default as three consecutive months without treatment, which was different from the MOP and WHO standards and from the other hospitals.

Conclusion. Given the variations in patient management, we recommended that effectiveness of the standard treatment relative to other regimens being practiced by specialists be evaluated.
Lessons Learned from Government-Academe-Civil Society Partnership to Improve the Assessment and Management of Drug Dependence in the Philippines
Authors: Antonio Carl Abelardo T. , Guevarra Jonathan P. , Cavinta Lolita L. , Gloriani Nina G. , Peralta Jasmin T. , Reyes-Sare Ma. Lourdes , Galera Francis Emmanuel A. , Vista Salvador Benjamin D. , Panopio Manuel C.
Published: January 2021

Objective. This paper presents the experiences of, and lessons learnt from, a seven-year government-academecivil society collaboration in the development, implementation, and evaluation of a training program for Filipino physicians and rehabilitation practitioners on the management of drug dependence.

Methods. Review of memoranda, records, and reports relevant to the initiation and implementation of the training activity. Where relevant, we also perused internal notes and minutes of meetings written by the authors, who are also members of the training team.

Results. A tripartite collaboration between government, academe, and professional organizations developed a training program on the management of drug dependence for physicians and rehabilitation practitioners. Learnercentered approaches to education were adopted in the delivery of training content. Participation in the training is a prerequisite for government accreditation as rehabilitation professionals. A ladderized approach to the training was adapted, with participants first obtaining a broad introduction to the program, followed by in-depth focus on the assessment and management of drug dependency. This was done as a response to the perception that a single, twoweek training program is insufficient to fully capacitate physicians and rehabilitation practitioners with the requisite knowledge and skills necessary to manage persons with drug dependence. Future plans include an executive course for established practitioners, and a course on community-based management of drug dependency.

Conclusion. The current perspective on drug use and dependence is transitioning from a politico-legal issue to a public health concern. Attaining the sustainable development goals in 2030 will necessitate the development of a cadre of professionals who are, among others, capable of assessing and treating persons who suffer from drug dependence. The Philippine experience may serve as a model for other countries struggling with the drug menace.
Establishing a Blueprint for nature-based Products Development and Conservation for the Philippines
Authors: Lam Hilton Y. , Enriquez Maria Luisa D. , Heralde III Francisco M. , Loquias Monet M. , Montaño Marco Nemesio E. , Agapito Josephine D. , Arriola Andrew K. , Cruz Lourdes J. , Sia Isidro C. , Cheng Kent Jason G. , Enriquez Carissa May D. , Marohomsalic Hanaih N. , Yap Jean Ramon D.
Published: January 2021

Background. Many of the leading causes of mortality and morbidity in the Philippines are controllable with naturebased products, either as agents of intervention, or prevention, as nutritional supplements, or for the control of side-effects of medications. The different R&D programs on nature-based products in the Philippines are usually conducted in isolation, or through silos. These often lead to products that are shortsighted, duplicate products, or products with minimal innovation, not readily applicable to population and environmental sustainability.

Objective. The study aimed to draft an internationally benchmarked and integrated blueprint for a population health- and environmental health-led nature-based product development and conservation for the Philippines.

Methods. The methodology consisted of review of literature; regional educational visits; and a series of consultative meetings with stakeholders.

Results. The study resulted in a stakeholder-validated blueprint which assigns the Philippine Institute of Traditional and Alternative Health Care (PITAHC) to lead the way for Filipinos to produce more nature-based products that are of international quality and attuned with local health needs. The blueprint has identified “9 Optimizations” in the realization of this aspiration, including an expanded role for PITAHC, a national database, an ethical researchers list, and to produce at least five commercial products and 20 intellectual property rights within 5 years with an estimated total investment of approximately PhP 816 M.
Catalyzing development of Best Practice Guidelines for Community-managed health Programs: Case study of a Community-Academic Partnership
Authors: Lopez Jaifred Christian F. , Caragay Ruben N. , Sia Isidro C. , Madamba Jennifer S. , Velasco Dulce Corazon , Lam Hilton Y. , Estacio Leonardo R. , Co Edna Estifania A.
Published: January 2021

Background. There is a need to standardize community health practices, while still adhering to principles of community involvement, to ensure social acceptability and equitable access to health services. A set of Best practice guidelines (BPGs) were thus developed through a community-academic partnership (CAP) between the Integrative Medicine for Alternative Healthcare Systems Philippines, Inc. and its affiliated community-managed health programs (CMHPs), the University of the Philippines, and Bicol University.

Objective. This study aimed to report the process and insights gained from the crafting of the BPGs.

Methods. The BPGs were developed using a community-based participatory research approach and focused on top ten (10) diseases based on local prevalence and experiences of its CMHPs.

Results. BPGs were developed for eight (8) communicable diseases (common cold/cough, influenza, measles, pulmonary tuberculosis, acute gastroenteritis, amebiasis, scabies, and intestinal parasitism); and two (2) noncommunicable diseases (diabetes and hypertension), which also provided information on signs and symptoms, initial referral criteria, management, and, where appropriate, specific use of medicinal plants, acupressure, and traditional massage. Emerging issues from this project include how community involvement led to the development of BPGs, the need to update its content, its potential application as a model for costing public health interventions, its anticipated benefits to health workers, the state of local health service delivery, and how the project epitomizes the ideal concept of community-academic partnerships.

Conclusion. As a CAP project, this process holds promise as a catalyst for stakeholder engagement and health service delivery improvement. Further studies are necessary to map out other potential challenges and success factors, especially the socio-cultural, political, and health impact of CAPs.
Prevalence of and Associations for Complementary and Alternative Medicine Use among Apparently Healthy Individuals in the Philippine LIFECARE Cohort
Authors: Ladia Mary Ann J. , Sison Olivia T. , Castillo-Carandang Nina T. , Sy Rody G. , Llanes Elmer Jasper B. , Reganit Paul Ferdinand M. , Punzalan Felix Eduardo R. , Gumatay Wilbert Allan G. , Velandria Felicidad V.
Published: January 2021

Objectives. The study determined the prevalence of complementary and alternative medicine (CAM) use and its association with socio-demographic and clinical characteristics among adult Filipinos aged 20-50 years.

Methods. Data from the Philippine cohort of the Life Course Study in Cardiovascular Disease Epidemiology (LIFECARE) in Luzon were analyzed. Multiple logistic regression determined the factors associated with the use of CAM.

Results. A total of 3,072 participants were included: average age of 36 years, more females, mostly married, living in the rural areas, and employed. The prevalence of CAM use in this population was 43%. The commonly sought traditional medicine practitioners were manghihilot (bone setter or partera) and albularyo (herbalist), and participants used herbal medicines and supplements. Use of CAM was more likely among older participants, females, living in rural areas, had medical consultation in the last six months, experienced moderate to extreme pain, and with poor perception of general health.

Conclusion. The use of CAM is prevalent among apparently healthy individuals aged 20-50 years. Further studies should uncover reasons for CAM use.
University of the Philippines Manila Position Statement on the Department of Health’s Proposed Condom Access Program in Public High Schools
Authors: Lam Hilton Y. , Estacio Jr. Leonardo R. , Silva Ma. Esmeralda C. , Miguel Red Thaddeus DP. , Padilla Carmencita D.
Published: January 2021

...
Review of Regulatory Policies on and Benefits of Herbal Medicine in the Philippines
Authors: Zarsuelo Ma-Ann M. , Zordilla Zenith D. , Anacio Danesto B.
Published: January 2021

Herbal products are the mainstay treatment among patients with limited access to conventional medicines and those seeking holistic modalities for health and wellness. Usage continues to increase globally with the growing engagement of science and technology in the scientific and sound development of herbal products. In the Philippines, legislative controls on herbal medicine were established through the creation of the Philippine Institute of Traditional and Alternative Health Care (PITAHC) which aims to include herbal medicine use in the national health care system. This paper aims to review the current regulatory policies on production, registration, promotion, and use of herbal medicines in the country. Current policies provide measures in regulating, implementing, and monitoring of herbal medicines from production to consumption stages. However, improvements based on provisions from international standards can be adopted to guarantee efficacy and safety for public use. Policies are still lacking regarding implications of long-term effects; efficacy on specific populations (i.e. children, elderly, pregnant women); and on potential interactions with other food and drugs. There is also a need to strengthen studies on the environmental determinants influencing the effectiveness of herbal products. Paucity on studies on cost-effectiveness of herbal medicines is further noted.
A Descriptive Study Identifying Gaps in the Effective Implementation of Mercury-containing Device Phase-out in Selected DOH-retained Hospitals
Authors: Zordilla Zenith DLT
Published: January 2021

Background and Objective. After the 2008 phase-out of mercury-containing medical devices, the implementation status was evaluated by this study to know the program effectiveness in removing mercury exposure risks in health facilities.

Methods. A cross-sectional survey was done to determine the amount of mercury stored in ten selected Department of Health (DOH)-retained hospitals. Key informant interviews were also performed with Pollution Control Officers to determine their program implementation status, strengths, and areas for improvement.

Results and Discussion. All hospitals initiated the mercury minimization program but none has fully implemented it. The total amount recorded is 213.5 kg for mercury-containing materials. A discrepancy of 31.4% exists compared to the initial 2008 inventory of 312.7 kg. The main strength identified by the key informants was the one-time collection of mercury devices in hospitals. Hospitals need administrative and logistic support to properly implement mercury phase-out, particularly on monitoring of temporary storage. Disposal protocols should also be created to fully eliminate mercury exposure in the hospitals.
Energy Density and Satiety of Meals Based on the Healthy Food Plate Model for Filipino Adults
Authors: Golloso-Gubat Maria Julia , Magtibay Edward Vincent J. , Nacis Jacus S. , Tan Robby Carlo A. , Tajan Merlyn G. , Bautista Ermelita N.
Published: January 2021

Objective. This study aimed to determine the energy density and satiety of meals based on the healthy food plate model for Filipino adults.

Methods. Thirteen healthy adult volunteers consumed breakfast test meals consisting of 1 cup go food, ½ cup grow food and 1 ½ cups glow food, following the recommended proportions in the plate model. Energy density (kcal/g) of the test meals was calculated. Feelings of hunger and fullness were assessed with 100-mm visual analogue scales (VAS) at pre-prandial (0 minute) and at 30, 60, 90, 120, 150, 180, and 240 minutes postprandial. Ghrelin levels at 0, 30, 60, 120, 180, and 240 minutes were determined by radioimmunoassay (RIA).

Results. The test meals had an average energy density of 0.83 kcal/g. Hunger and fullness scores gradually changed with time but hunger remained significantly lower and fullness significantly higher than the pre-prandial levels at 180 minutes postprandial. Ghrelin declined after intake of the test meals and stayed significantly lower than the pre-prandial level at 240 minutes postprandial (30.21 ± 4.58 pmol/L).

Conclusion. Meals following the recommendations in the healthy food plate model for Filipino adults have low energy density and its consumption sustained short-term satiety.
Total Hip Arthroplasty in Octogenarians: A Local Retrospective Case Series
Authors: Bernardo Peter B. , Guitarte Clint P.
Published: January 2021

With improving healthcare, the number of Filipino octogenarians is increasing. Projected population of octogenarians as reported by the Philippine National Statistics Office will increase by 28% to 3,227,253 by year 2040 (from 2015: 912,817). This is a multicenter retrospective case series involving 24 patients (1 patient with surgery on 2 hips), with an average age at the time of surgery of 82 years old (range: 80-88 years old) who underwent total hip arthroplasty during the period 2007-2016. Indications for total hip arthroplasty included 12 cases of degenerative osteoarthritis, 8 cases of displaced femoral neck fractures, 4 cases of untreated femoral neck fractures, and 1 case of subtrochanteric fracture with hip arthritis. Of the 24 patients, 21 were females and 3 were males. Of the 25 hips, 19 were treated with cemented total hip, 5 with hybrid implants, and 1 with calcar replacing cemented femoral stem. Average follow-up was 36 months (range: 6-87 months). All patients were able to ambulate and return to premorbid function. There were no intraoperative or postoperative complications encountered. Revision rate was zero percent as of last follow-up. Clinical/functional results were assessed using the Harris Hip Scoring system. The results of this study affirm that primary total hip arthroplasty is a viable treatment option for active octogenarians with end-stage arthritis and hip fractures.
Diagnosis and Management of Pigmented Villonodular Synovitis: A Case Report
Authors: Cañal Johanna Patricia A. , Meriales Norberto A.
Published: January 2021

We present a case of pathologically confirmed, relatively rare Pigmented Villonodular Synovitis (PVNS). The patient presented with knee and thigh swelling. While initially misdiagnosed, he eventually underwent an MRI and a biopsy. The MRI was helpful but not definitive. The biopsy confirmed PVNS. The patient underwent synovectomy and was subsequently referred for radiotherapy and physical therapy. Post-treatment MRI showed no evidence of disease.
ARENIZATION: INTERPRETATIVE SKETCH
Authors: DIRCE MARIA ANTUNES SUERTEGARAY
Published: January 2021

Este artigo constitui, na sua origem, um capítulo do livro Arenização natureza socializada, de 2012, adaptado para o formato de artigo, expressando uma leitura sobre a gênese e sobre os processos morfogenéticos, compreendidos como desencadeadores da arenização, que origina os areais, constituindo uma sistematização da pesquisa elaborada sobre o tema há mais de 30 anos e, sobretudo, um ensaio de interpretação sobre as dinâmicas de arenização e de formação de areais. A região de ocorrênciadominante destes processos é o sudoeste do Rio Grande do Sul, Brasil. Cabe esclarecer que, ao tratar de arenização, foi necessário, inicialmente, distinguir desertificação de arenização, uma vez que, na origem dos estudos, relativos a tais feições (areais), estas foram vinculadas ao conceito de deserto e o processo, ao de desertificação (SOUTO, 1985), os quais as pesquisas posteriores (SUERTEGARAY, 1987) revelaram  inadequados, tratando-se de feições em ambientes subtropicais
Non-infectious endocarditis in Behçet's disease. A case report
Authors:   Service de Chirurgie Cardiaque, EHS Dr Djaghri Mokhtar, Constantine – Algérie., Bendjaballah Soumaia , Lakehal Redha , Khacha Khaled
Published: January 2021

Introduction. Les endocardites non infectieuses regroupent des pathologies rares, souvent sévères de diagnostic et de prise en charge difficiles. Le but de cet exposé est de rapporter le cas d’un patient présentant une endocardite non infectieuse survenant dans le cadre d’une maladie de Behçet. Observation. Monsieur Y.A âgé de 45 ans, opéré en novembre 2016 de sa valvulopathie aortique bénéficiant d’un remplacement valvulaire aortique par une prothèse mécanique. Le patient a été réopéré neuf mois après, suite à une désinsertion de sa prothèse sur une endocardite infectieuse probable ; repris dix mois après pour re-désinsersion de cette prothèse avec dilatation anévrismale du culot aortique bénéficiant d’une intervention de Bentall modifiée. Les suites opératoires étaient simples, le patient a été mis sous triple antibiothérapie. Devant la culture négative de la prothèse explantée, la recherche d’une endocardite à germes intracellulaires a été lancée revenant toujours négative. Le diagnostic de maladie de Behçet a été évoqué devant les hémocultures négatives, la notion d’aphtose bipolaire, la désinsertion prothétique dans un contexte aseptique et la dilatation anévrismale de l’aorte dans les suites opératoires. Le patient a été transféré en médecine interne pour complément d’investigations et prise en charge thérapeutique à base d’immunosupresseurs. Conclusion. L’endocardite non infectieuse est une situation clinique de diagnostic difficile en dépit de l’amélioration de techniques d’imagerie et de prise en charge chirurgicale. Le médecin interniste joue un rôle primordial pour guider les investigations. Le pronostic demeure réservé en raison du risque élevé de récurrence des lésions.
The formal aspects of the medical prescription in the Batna region in 2019
Authors:   Faculté de Médecine, Université de Batna 2 – Algérie, Oudjehih Messaouda , Menani Yousri , Messaoudene Ilyes
Published: January 2021

Contexte. L’ordonnance médicale est un document médico-légal qui engage la responsabilité civile et pénale des prescripteurs ainsi que celle des dispensateurs et dont la rédaction doit suivre la règlementation en vigueur. Objectif. Évaluer la qualité formelle de l’ordonnance médicale au niveau des officines de la région de Batna. Matériel et Méthode. Une étude descriptive transversale réalisée au niveau de dix pharmacies portant sur la qualité rédactionnelle de 500 ordonnances médicales quel que soit la qualité du prescripteur et son grade. Résultats. Sur un total de 500 ordonnances analysées, le taux de conformité des ordonnances était de 53%, 12 % des ordonnances étaient illisibles et seules 24.2% des prescriptions étaient informatisées. Discussion. Le respect des critères de conformité des ordonnances médicales reste encore insatisfaisant posant ainsi des problèmes liés au risque d’erreurs lors de la délivrance du traitement. Les aspects formels doivent être respectés et développés notamment à travers la formation des prescripteurs et l’informatisation de l’ordonnance.
Estado del conocimiento sobre resignificación de políticas en materia de autonomía de gestión escolar en el marco de los Consejos Técnicos Escolares
Authors: Luna Guzmán Alejandra
Published: January 2021

El presente estado del conocimiento se propone revisar la literatura relacionada con la resignificación de políticas en materia de autonomía de gestión escolar, orientada, en específico, al contexto de los Consejos Técnicos Escolares. Se revela que, si bien los primeros estudios provienen de experiencias internacionales, su punto más alto se da en 2017, con investigaciones mexicanas realizadas tras el lanzamiento de los documentos relativos a la Reforma Educativa 2013. Aunque los dos principales campos de indagación detectados son la política y la gestión educativas, ninguna de las investigaciones revisadas plantea la relación patente que existe entre ambas, incluso si, en la práctica, los sistemas educativos nacionales esperan que éstas se articulen entre sí. Del mismo modo, tampoco se analizan las interacciones propias de la micropolítica de la escuela y sus efectos en la gestión educativa, en especial en lo referente a la autonomía de gestión y a la organización escolar. Estos vacíos son de interés para investigaciones futuras sobre el entendimiento de dichas interacciones y para visibilizar el papel fundamental que desempeñan los Consejos Técnicos Escolares en la puesta en acto de reformas y políticas educativas.
Avances y retos para desarrollar investigaciones comprometidas con la justicia educativa
Authors: Moreno Medrano Luz María Stella
Published: January 2021

El documento examina los progresos que los investigadores educativos han realizado en la década reciente, partiendo de las recomendaciones que el Dr. Pablo Latapí hiciera en la memorable conferencia de 2007, en el IX Congreso Nacional de Investigación Educativa. Se reconoce la ampliación de los objetos y métodos de estudio, lo que ha favorecido el entendimiento del sistema educativo y sus problemas; la formación de redes que propician la discusión y la investigación con diferentes perspectivas; el surgimiento de temas como la educación intercultural, la evaluación educativa y la educación rural, entre otros logros. Asimismo, se identifican como dificultades la inserción de jóvenes investigadores debido a las limitadas condiciones de trabajo y la inclinación productivista que busca obtener recursos a toda costa. Finalmente, establece como retos significativos la necesidad de asumir una mirada crítica y decolonizadora, promover investigaciones referentes a los graves problemas sociales que padecen los sectores más desfavorecidos y diseñar metodologías colaborativas e innovadoras que favorezcan la creación de conocimiento en forma más horizontal y en diálogo con las comunidades.
Trayectorias de la Ruta Integral de Atención a situaciones de presunto Racismo en Bogotá
Authors: Alayon Torres Catherine
Published: January 2021

Este artículo expone la experiencia del proceso de implementación de la Ruta Integral de Prevención, Atención y Seguimiento a situaciones de presunto Racismo y Discriminación étnico-racial, de la Secretaria de Educación del Distrito de Bogotá (Colombia), cuyo objetivo es promover canales efectivos de atención y seguimiento a casos asociados a violencias, hostigamientos y conductas discriminatorias hacia estudiantes pertenecientes a pueblos étnicos colombianos que se presentan en instituciones educativas públicas y privadas. Los resultados provienen de 2018 y 2019, a partir de las gestiones de articulación y planes de trabajo realizados con las dependencias internas de la Secretaria de Educación, con entidades distritales y nacionales para la promoción y el fortalecimiento de la ruta. La experiencia permite ver algunas de estas tensiones, los avances positivos alcanzados y los desafíos que enfrenta la ruta a manera de proyecciones. Se destaca la importancia de recoger esta experiencia, ya que es una apuesta de los pueblos étnicos en contextos urbanos (principalmente de la comunidad afrocolombiana), y es una práctica pionera en el sistema educativo colombiano, que anima a ser revisada y replicada de manera contextual en los diferentes territorios del país.
La educación superior en tiempos de pandemia: una visión desde dentro del proceso formativo
Authors: Miguel Román José Antonio
Published: January 2021

El artículo busca mostrar el sentir y las voces de los actores de la educación superior desde dentro del proceso formativo, contrastándolos con las disposiciones y sugerencias de organismos internacionales y acuerdos nacionales. Para ello, en un primer momento se señala el impacto económico que se ha desencadenado a causa de la pandemia Covid-19; en segundo término las consecuencias en educación, esto es, que el contexto sanitario tenga una mayor repercusión en la economía, mientras que en educación sólo se muestra lo evidente con respecto a las afectaciones. El objetivo fundamental es evidenciar el sentir, los obstáculos, las competencias desarrolladas y los retos reales que ha producido el ajuste de clases presenciales a virtuales desde la voz de estudiantes, docentes y administrativos, con el fin de ser referente para propuestas, programas o plan en educación superior en contextos de pandemia. La metodología utilizada fue el análisis de contenido con diseño mixto, ya que, al categorizar los datos obtenidos del cuestionario aplicado a los actores de la educación superior, se sistematizaron en MAXQDA2020 para graficar. Por último, se presenta un contraste entre lo real y lo expresado sobre educación superior por organismos internacionales.
El arte urbano como patrimonio inmaterial. Posibilidades para su protección y difusión
Authors: Luque Rodrigo Laura , Moral Ruiz Carmen
Published: January 2021

El graffiti, surge y se desarrolla como una expresión artística en los muros y el patrimonio mueble de las ciudades, de manera espontánea y por tanto ilegal. Desde entonces, su evolución ha conllevado modificaciones tanto en su consideración social, académica e institucional, como técnica. En la actualidad, no sólo contamos con el graffiti como expresión artística en la calle, sino con todo lo que se ha venido a llamar arte urbano, además del arte público, cuya diferencia fundamental es el carácter de legal o encargado. No obstante, no existe consenso ni en la nomenclatura ni en su génesis. En cualquier caso, ninguna de estas manifestaciones cuentan con una figura de protección. Es cierto que es un arte con carácter efímero, pero la realidad es que nos encontramos ante obras que la propia sociedad pide preservar. Por ello, se reflexionará sobre las posibles fórmulas de catalogación y protección aplicables al arte urbano y el arte público, atendiendo incluso a si debe haber diferencias entre ellos, podrían evitarse así hechos como arranques sin permiso de los autores. Se usará para ello además el método de la encuesta.
La localidad de Daimiel (Ciudad Real): una apuesta por el patrimonio a través de la investigación, conservación y difusión
Authors: Torres Mas Miguel
Published: January 2021

La localidad de Daimiel (Castilla-La Mancha/España) cuenta con un patrimonio excepcional representado en espacios naturales como Las Tablas de Daimiel o Navaseca, o desde una perspectiva cultural contando con enclaves como la Motilla del Azuer, Venta de Borondo, las Caleras o Puente Viejo. Los trabajos en torno al estudio, conservación y difusión de estos bienes proporciona amplias posibilidades desde el punto de vista económico, social y cultural. Por esta razón, el Ayuntamiento de Daimiel, dentro de la misión de tutela que debe implicar a una institución pública, ha impulsado una línea estratégica para la gestión de estos recursos. Asimismo, debido a las características y particularidades de estos vestigios, la experiencia generada necesita del planteamiento de una experiencia que sea sostenible, viable y eficaz. A través de estas páginas presentamos los proyectos que se han efectuado en los últimos años en una serie de conjuntos arqueológicos de esta localidad. Las labores emprendidas están significando un activo provechoso para la dinamización y el desarrollo de este territorio, así como para el aprovechamiento y promoción de este patrimonio.
La cal en Tenerife. Especificidades. El horno de El Bueno-Arico y la producción de cal a partir del agua de galería
Authors: Sánchez Bonilla Mª Isabel , Oropesa Hernández Tomás
Published: January 2021

La isla de Tenerife, de origen volcánico, no cuenta con canteras de cal activas. A nivel histórico se tienen noticias desde el siglo XVI y a lo largo de los cuatro siguientes, sobre la escasez de cal, su búsqueda en Taganana y Tejina y la existencia de cantera en Los Realejos. Lo habitual era la importación de la piedra cruda desde las Islas Orientales, o su llegada desde puertos españoles o europeos. Se menciona también (s. XVIII) la fabricación de cal a partir de “confites” (esqueletos de algas de la familia Corallinaceae). Otra experiencia singular es la obtención de cal (años 40 del siglo XX) a partir de sedimento depositado por aguas subterráneas carbonatadas. Se hace análisis de los datos históricos disponibles, acompañado de trabajos de campo para validarlos, centrando finalmente el interés en el horno y decantador de “Mister Villa”, ubicado en El Bueno-Arico, como experiencia que interesa tomar en consideración de cara a las investigaciones que actualmente viene desarrollando el G.I. Arte y entorno, creación, conservación, comunicación de la ULL, sobre posibilidades de aprovechamiento de las tobas y travertinos que depositan las aguas de múltiples galerías tinerfeñas, materiales que actualmente se consideran como residuos sin utilidad alguna.
El pabellón español de los Hexágonos o el sueño de una noche de verano
Authors: Cejador Ambroj María Ángeles
Published: January 2021

Concluida la Segunda Guerra Mundial volvieron a celebrarse Exposiciones Internacionales, eventos que fueron clave para cambiar la imagen de los países que en ellas participaban. España comenzaba a resurgir y se encontraba ansiosa por conseguir aproximarse a las naciones democráticas, por lo que la participación en la Exposición Universal de Bruselas de 1958 supuso la oportunidad de dejar a un lado, a través de la arquitectura, su polémico pasado ante el resto del mundo. Para conseguir ese objetivo eligió el pabellón proyectado por los arquitectos José Antonio Corrales y Ramón Vázquez Molezún. Fue considerado un hito histórico, pero ¿qué sucedió tras finalizar la Exposición Universal? Terminado el evento, el pabellón se trasladó al Recinto de la Casa de Campo en Madrid en 1959 y permaneció abierto hasta 1975. En varias ocasiones estuvo a punto de cambiar su destino y mientras, la maleza junto con la desidia, se fueron apropiando de esta construcción. Su historia es el símbolo del desafortunado sino al que se han visto sometidos algunos singulares ejemplos españoles de la arquitectura del siglo XX. El análisis de la fortuna historiográfica y social de este pabellón puede servir para reflexionar cómo conservar mejor la arquitectura contemporánea.
Jean de Montaigu y el Castillo de Marcoussis: Un señorío en construcción en torno al año 1400
Authors: Laorga Fernandez Nuria
Published: January 2021

La locura del rey Charles VI; el reino de Francia prometido al rey de Inglaterra por medio del tratado de Troyes; la trágica muerte en la hoguera de Juana de Arco; la aparición del personaje de la muerte en el arte… Varios hechos que nos muestran hasta qué punto los siglos XIV y XV forman parte de una época crucial y problemática. Época en la que no era nada fácil conservar un estatus social, generalmente alcanzado gracias a las ayudas de los príncipes y a los enormes gastos en la construcción de imponentes edificios que aseguraban la grandeza de estos personajes. Jean de Montagu fue más allá de las guerras externas e internas y luchó para lograr sus objetivos, aunque esto le costó la vida. Al sur de Paris edificó su señorío en el que incluyó la iglesia parroquial, un convento y su magnífico castillo.
Google Arts & Culture y los museos virtuales: nuevas herramientas de difusión del patrimonio cultural
Authors: Reigosa Lombao Clara
Published: January 2021

A medida que la sociedad evoluciona la interpretación de los museos, monumentos o los sitios del patrimonio natural y cultural, se ha transformado a favor de una mayor y mejor comunicación con los diferentes públicos. Alejadas en el tiempo se encuentran las corrientes de pensamiento que obstaculizan la comprensión y disfrute de estos espacios por parte de una élite cultural. La llegada de las nuevas tecnologías y la implantación de estas en museos ha supuesto un gran avance en el campo de la difusión patrimonial.Entre la multitud de opciones que encontramos en la web, y tras muchos años de trabajo, mejora y optimización, Google Arts & Culture se presenta como una de las grandes herramientas para el conocimiento online del patrimonio cultural español. Esta iniciativa, nacida en España en el año 2009, fusiona las tecnologías marca Google con el interés de los museos y sitios patrimoniales por estar en la red; es decir, por tener un hueco en el mundo.
La dinámica espacio-temporal del Patrimonio Mundial en Peligro
Authors: Rojas Pavón María , Foronda Robles Concepción
Published: January 2021

Los lugares Patrimonio de la Humanidad están sufriendo cambios, bien por el cambio climático y sus efectos como por el papel que desempeña el ser humano, responsable de la situación de emergencia que vive el planeta.El objetivo del trabajo es analizar desde una perspectiva espacio-temporal (1979-2018) diversos aspectos concretos de la Lista Negra del Patrimonio Mundial. El análisis se hará a través de variables que van desde la composición de la lista y su distribución continental, el desarrollo de los países y la posesión de esta figura, el periodo de permanencia en la Lista y las asistencias económicas que la UNESCO ofrece a los mismos. Para este estudio, se han empleado State of Conservation Reports de la UNESCO, documentos de inscripción y diferentes informes generados de convenciones para la protección del patrimonio.Los resultados demuestran el aumento del peligro en los últimos años para los Patrimonios Mundiales y las diferencias en la gestión de los mismos en función del desarrollo del país en el que se encuentran así como la propensión a localizarse en África y Oriente Medio y a pasar largos periodos de permanencia en esta Lista Negra.
El patrimonio histórico como recurso didáctico en el Parque Nacional del Teide
Authors: Ruiz González Hacomar , Marrero Salas Efrain , García Ávila Juan Carlos , Abreu Hernández Ithaisa , Arnay de la Rosa Matilde
Published: January 2021

El Parque Nacional del Teide es un espacio geográfico que destaca por sus características geológicas y naturales únicas, las cuales le valieron su declaración como patrimonio mundial en 2017. No obstante se trata también de un territorio humanizado desde la etapa prehispánica, cuyas actividades dejaron su huella en el territorio, dando a la arqueología numerosas pautas  para conocer cómo se articuló la ocupación guanche de la alta montaña de Tenerife. En la actualidad el profesorado de enseñanza secundaria parte de un inconveniente destacable que es la falta de yacimientos arqueológicos visitables en la Isla de Tenerife, espacios en los que el alumnado pueda consolidar su conocimiento relativo a las culturas aborígenes canarias. Por ello con nuestro trabajo se pretende  hacer un análisis del potencial didáctico para las Ciencias Sociales, y específicamente para la materia de Historia, de un espacio geográfico como es el Parque Nacional del Teide, presentando una propuesta que integre a Las Cañadas del Teide en la enseñanza de la etapa prehispánica de las Islas, teniendo  en cuenta aspectos relacionados con el uso de objetos arqueológicos, visitas guiadas o actividades relacionadas con la disciplina arqueológica.