bluuebunny/crossref_metadata_2025 huggingface dataset:
Histopathological analysis of ovarian cancer in Benghazi medical center (BMC) in Benghazi - Libya from the years 2020-2021
Authors: Abeer Hussein Amer  , Lobna Abdalla Elfrgani  , Asma Saad Alwerfaly  , Amira Salem Hussein  , Zainab Abdel Aziz Almaghrbi  , Mabrouka Hussein Ali  , Wedad Azmi Saadi
Published: April 2023

Ovarian cancer is a growth of cells that forms in the ovaries. The cells multiply quickly and can invade and destroy healthy body tissue. Tumors of the ovary are remarkably varied as they may arise from any of the three cell types in the normal ovary. A retrospective study was conducted on 48 cases of ovarian specimens diagnosed as ovarian tumors in the Oncology department at Benghazi Medical Center from January 2020 to December 2021. The files were conducted by the staff members of the Oncology department, and the students divided themselves into groups to obtain the data from the department, the data were age, type of ovarian cancer, histological and cytological reports (microscopic description) and diagnosis. Twelve patients were in the age range 51-60 years old as the highest number followed by the age range 61-70 years of age at 11 patients. Most of the ovarian tumors were seen in patient in postmenopausal age more than 45 years of age with a percentage of 78.7%. Surface epithelial tumors were the most found at followed by metastatic tumors while germ cell tumors were not found in our sample. The most common subtype of ovarian tumors observed in this study was serous cystadenocarcinoma low grade and endometrioid adenocarcinoma, while the least common tumor seen was papillary mucinous cystadenocarcinoma. Concerning the occurrence of bilateral versus unilateral tumors, most of the cases were bilateral. The aim of our research was to study the histological types of ovarian cancer in Benghazi Medical Center in Benghazi - Libya from the years 2020-2021.
初任教師兼任行政職務工作壓力與其因應策略之研究：以新北市公立小型國民小學為例
Authors: 陳經綸 陳經綸 , 陳建志 陳建志
Published: April 2023

本研究旨在探討公立小型國民小學初任教師兼任行政職務工作壓力情況並探究其壓力因應策略，藉由半結構式訪談的方式對初任教師兼行政職務者的工作壓力及因應策略進行探討，並以新北市教師為研究對象。本研究由研究者擬定訪談大綱，並以訪談大綱為主軸，訪問過程採用開放式回答，依據研究參與者之回答並搭配當時情境加以延伸。研究結果如下：一、新北市公立小型國民小學初任教師兼任行政職務有其不同壓力來源與種類。二、新北市公立小型國民小學初任教師兼任行政職務之壓力因應策略主要可以分為：理性解決、尋求支持、自我調適、延宕逃避，其中以尋求支持最常使用。最後，則根據研究結果，對初任教師兼任行政職務者、師資培育單位及現職相關單位提出建議。

 

The purpose of this study is to explore the job stress and coping strategies of beginning teachers with administrative positions in public small elementary schools in New Taipei City. As the basis of this research, this study used a literature review to explore the job stress and coping strategies of beginning teachers with administrative positions. It employed semi-structural interviews to interview beginning teachers with administrative positions in public small elementary schools in New Taipei City. Then the researcher drew up the interview outline and took it as the main axis. The interview process adopted open-ended answers, and the interviews were extended according to the answers of the research participants and the current situation. The research results are as follows: (1) There were different sources and types of pressure for beginning teachers with administrative positions in public small elementary schools in New Taipei City. (2) The stress coping strategies of beginning teachers with administrative positions in public small elementary schools in New Taipei City could be mainly divided into: rational solutions, seeking support, self-adjustment, delay, and avoidance. According to the research results, seeking support was the most adopted coping strategy. Finally, suggestions to teachers with administrative positions, centers for teacher education, and related units were offered based on the research findings.

 
The Imperatives of Critical Thinking in Intercultural Philosophy
Authors: Chimakonam Jonathan O. , Oluwagbemi-Jacob Dorothy N.
Published: April 2023

In this research, an attempt is made to interrogate the practice of intercultural philosophy with a view to showing that the critical thinking mindset is imperative for a balanced, progressive, and respectful intercultural engagement. A world in which cultures relate to one another on the basis of equality, mutual respect, and recognition of one another’s identity and rights has remained elusive. The need for such a world and the dynamics of such transcultural relations form the central themes of intercultural philosophy. Specifically, this article argues that there can be no genuine intercultural discourse without the core values of critical thinking, such as open-mindedness, fair-mindedness, intellectual empathy, intellectual humility, intellectual perseverance, intellectual integrity, and intellectual courage. This article’s claim is that genuine intercultural engagement devoid of ego politics and the geopolitics of marginalization and superiorization must transcend the barriers of egocentrism and sociocentrism. Using an example of the conversational method, the authors interrogate critical thinking as an integral component of a viable intercultural discourse.
Evolução de grávidas com COVID-19 nos estados da Região Norte do Brasil, no período de março de 2020 a março de 2022
Authors: Araújo Beatriz Regina Bento da Silva , Migliorin Livia Coutinho , Cardoso Sigrid Maria Loureiro de Queiroz
Published: April 2023

Introdução: O novo coronavírus, SARS-CoV-2, agente etiológico da COVID-19, propaga-se mundialmente de maneira rápida, vulnerabilizando, entre outros grupos, as gestantes. Em virtude do risco elevado de morbimortalidade, a Organização Mundial da Saúde classificou as gestantes como grupo de risco para COVID-19. Objetivos: Caracterizar a evolução das grávidas com COVID-19 de 2020 a março de 2022 nos estados da Região Norte do Brasil. Materiais e métodos: Pesquisa de análise documental, de caráter descritivo, com abordagem quantitativa. Resultados: Os resultados apontam que foram 2.505 casos de gestantes acometidas por COVID-19. Entre eles, os que evoluíram para a cura durante os três anos do estudo foram 1.890, sendo 775 em 2020, 952 em 2021 e 163 em 2022; proporcionalmente, os estados com melhores índices anuais, respectivamente, foram: Amapá (89,4%), Amazonas (84%) e Pará (81%), conforme Observatório Obstétrico Brasileiro COVID-19 (OOBr COVID-19). Em contrapartida, as gestantes acometidas pela COVID-19 que evoluíram para óbitos na mesma região totalizam 285 casos, sendo 73 no ano de 2020, 204 em 2021 e oito em 2022. Analisando os três anos de pesquisa, com relação aos maiores índices de óbitos anuais, destacam-se respectivamente: Roraima (43,2%), Acre (24,2%) e Rondônia (12,9%). Conclusão: Observou-se que, com base nos dados expostos pelo OOBr COVID-19 no período de março de 2020 a março de 2022, o estado de Roraima sobressaiu-se em evoluções para óbito, enquanto os do Amapá e Amazonas obtiveram melhores evoluções para a cura. Assim, pode-se afirmar que a COVID -19 atinge populações dos estados da Região Norte em graus diferentes, conforme suas individualidades.
Hemorragia pós-parto em gestações de fetos com malformações congênitas em centro de referência de alto risco fetal no Rio de Janeiro
Authors: Izzo Aline Silva , Silva Fernanda Cristina Vasconcellos , Jesus Guilherme Ribeiro Ramires de , Peixoto Filho Fernando Maia , Terra Maria Eduarda , Teixeira Eduardo
Published: April 2023

Introdução: A mortalidade materna é um importante indicador de assistência em saúde e indicador social de um país. A principal causa de morbimortalidade materna no mundo ainda é a hemorragia pós-parto. Gestações de fetos com malformações podem se apresentar como fator de risco para hemorragia e, portanto, associaram-se a maior morbidade materna. Objetivo: Avaliar o risco de hemorragia pós-parto em gestações de fetos com anomalias congênitas em comparação com gestações de fetos sem malformações, em um centro de referência de alto risco fetal no Rio de Janeiro. Materiais e métodos: Estudo de coorte retrospectivo, em que foram selecionadas 173 gestantes com suspeita ou confirmação de malformação fetal e 346 gestantes sem malformações fetais, que tiveram parto vaginal ou cesariana no período de julho de 2015 a abril de 2016, em um hospital centro de referência em alto risco fetal no Rio de Janeiro. Resultados e conclusão: No período entre julho de 2015 a abril de 2016, foram analisadas 396 pacientes, das quais 170 do grupo de casos e 326 do grupo controle. A hemorragia pós-parto foi mais prevalente no grupo de casos, com 8,23%, contra 6,75% no grupo controle, com maior necessidade de hemotransfusão no primeiro grupo (21 vs. 9%). O estudo demonstrou que gestações com malformação fetal estão associadas a maior prevalência de hemorragia pós-parto, necessidade de hemotransfusão e histerectomia puerperal. No entanto, a força dessas associações foi comprometida pela amostra limitada, sendo necessários estudos com populações maiores que avaliem gestações de fetos com malformações fetais que tenham tido desfechos maternos adversos.
Pengaruh Model Pembelajaran STEM-PJBL terhadap Kemampuan Berpikir Kreatif Siswa SMP Negeri 1 Slogohimo Wonogiri di Era Pandemi pada Materi Hidrosfer
Authors: Karlina Cici Meisi , Susilowati Endang , Fakhrudin Isma Aziz
Published: April 2023

Tujuan dari penelitian ini untuk mengetahui pengaruh penggunaan model pembelajaran STEM-PJBL terhadap kemampuan berpikir kreatif siswa SMP Negeri 1 Slogohimo Wonogiri di era pandemi pada materi hidrosfer. Penelitian ini merupakan penelitian kuantitatif quasi experiment dengan Nonequivalent Control Group Design. Populasi yang digunakan siswa kelas VII di SMP Negeri 1 Slogohimo Wonogiri pada tahun pelajaran 2021/ 2022. Sampel yang digunakan yaitu kelas VII E sebagai kelas eksperimen dan kelas VII C sebagai kelas kontrol. Instrumen penelitian menggunakan pretest dan posttest uraian tentang hidrosfer. Teknik analisis data menggunakan uji prasyarat dan uji hipotesis menggunakan uji-t. Hasil penelitian menggunakan uji-t dengan bantuan software SPSS 23 didapatkan hasil nilai thitung > ttabel sebesar 15,224 > 2,045 dan nilai signifikansi sebesar 0,000 < 0,05 sehingga H0 ditolak dan Ha diterima. Kemampuan berpikir kreatif siswa yang sering muncul sebelum diberikan perlakukan berada pada aspek flexibility (keluwesan) sebesar 57% dan setelah perlakukan berada pada aspek originality (berpikir rasional) sebesar 73%. Simpulan yang didapatkan bahwa terdapat pengaruh penggunaan model pembelajaran STEM-PJBL terhadap kemampuan berpikir kreatif siswa SMP Negeri 1 Slogohimo Wonogiri di era pandemi pada materi hidrosfer.
Kemampuan Berpikir Kreatif Matematis Pada Soal Terbuka Materi Bangun Ruang Sisi Datar
Authors: Syafira Bella Hani , Nursangaji Asep , Suratman Dede
Published: April 2023

Penelitian ini mengumpulkan dan menganalisis data untuk mendeskripsikan kemampuan pemecahan masalah analitis dan berpikir kreatif matematis siswa pada pelajaran matematika. Penelitian ini menggunakan metodologi deskriptif kualitatif. Studi ini melibatkan 25% siswa kelas delapan SMP Negeri 4 Sungai Raya Pontianak. Survei ini menunjukkan bahwa empat siswa memiliki pemikiran kreatif sangat baik (22%), empat belas siswa cukup baik (61%), dan lima siswa sangat buruk (22%). Siswa kelas VIII SMP Negeri 4 Sungai Raya Pontianak hanya memenuhi dua indikator berpikir kreatif yaitu kelancaran dan kemampuan beradaptasi. Berdasarkan survei yang dilakukan mereka bisa menjawab persoalan dengan baik dan fasih dari berbagai sudut pandang, tapi tidak bisa memberikan ide atau metode yang segar. Akibatnya siswa cenderung menghafal sesuai dengan yang dicontohkan oleh  guru. Hal ini diduga bahwa kemampuan berpikir kreatif matematis siswa masih kurang, solusi untuk  guru supaya  dapat menerapkan dan mengarah kepada siswa agar tidak terpaku kepada rumus yang diberikan dan dapat mengembangkan ide-ide kreatifnya.
Desmoid fibromatosis of the breast: A case report
Authors: Rania Nejjar  , Rim Laaboudi  , Maria Hijji  , Pr Mounia El Yousfi
Published: April 2023

Desmoid fibromatosis of the breast is a rare benign condition of the breast (0.2% of breast tumors) that clinically and sonographically mimics breast cancer. The diagnosis is confirmed by histology, allowing the elimination of the main differential diagnosis of this entity which is metaplastic spindle cell carcinoma. Breast fibromatosis is characterized by a local evolution and a tendency to recurrence, hence the interest of surgical excision with healthy margins. Radiation therapy should be discussed in such cases. Through our case and the review of the literature, we will try to focus on the diagnosis of this rare entity and its management because it influences the prognosis.
Myome Praevia: A case report
Authors: Rania Nejjar  , Maria Hijji  , Rim Laaboudi  , Mounia Yousfi
Published: April 2023

Uterine fibroids are quite common, affecting 20% of women of childbearing age. Their association with pregnancy ranges from 0.5% to 4%, making it a high-risk pregnancy. They can interfere with the process of pregnancy, labor, delivery and even the postpartum period. Monitoring of the pregnancy should be cautious but not aggressive. Monitoring will be based on clinical examination and ultrasound. A fibroid praevia observed on ultrasound is an indication for cesarean section. We report a case of myoma previa, followed in our training since 14 WA.'
Design of automated reader for blind person
Authors: V.D Alagdeve  , Shubham Khandare  , Pratik Wankhede  , Gulshan Pathode  , Mayuri Nimje  , Shruti Counder
Published: April 2023

This work introduces smart reader by using Raspberry Pi. The system consists of a camera interfaced with computer which receives the printed or hand written text. This work proposes the novel implementation of smart book reader with raspberry pi controller. The system consists of a webcam interfaced with raspberry pi which accepts a page of printed text. The experimental results are done with the help of raspberry pi controller. Controller coding for the Raspberry pi is done through PYTHON language. The audio output is obtained after the captured image is converted to text. The image captured by the camera is converted to text and displayed in the form window and then the text is obtained as audio output. Raspberry pi has the audio port where the output can be heard through the headphone or the speaker. Once the image is converted to text raspberry pi takes few milliseconds to convert it as a voice output. This system is validated with both simulation and experimental verification it achieves the text document is converted with speech for the use of visually impaired people.
Rezension von: Schulze, Ursula (Hrsg.), Juden in der deutschen Literatur des Mittelalters
Authors: Schönhagen Benigna , Schulze Ursula
Published: April 2023

Ursula Schulze (Hrsg.): Juden in der deutschen Literatur des Mittelalters. Religiöse Konzepte - Feindbilder - Rechtfertigungen. Max Niemeyer Verlag Tübingen 2002. 290 Seiten mit 21 Abbildungen. Gebunden € 56,-. ISBN 3-484-10846-0
Rezension von: Schwäbischer Heimatkalender 2004
Authors: Wrobbel Sibylle
Published: April 2023

Schwäbischer Heimatkalender 2004. Herausgegeben von Karl Napf in Zusammenarbeit mit dem Schwäbischen Albverein und dem Schwäbischen Heimatbund. 115. Jahrgang. W. Kohlhammer Verlag Stuttgart 2003. 128 Seiten mit zahlreichen, meist farbigen Abbildungen. Broschiert € 8,40. ISBN 3-017-017874-1
Rezension von: Reuchlin, Johannes, Briefwechsel 1506-1513
Authors: Setzler Wilfried , Reuchlin Johannes
Published: April 2023

Johannes Reuchlin. Briefwechsel, Band II. 1506-1513. Bearbeitet von Matthias DallAsta und Gerald Dörner. frommann-holzboog Verlag Stuttgart 2003. LXV, 727 Seiten. Leinen € 128,-. ISBN 3-7728-1984-2
Rezension von: Wolf, Reinhard (Hrsg.), Die Naturschutzgebiete im Regierungsbezirk Stuttgart
Authors: Waibel Astrid , Wolf Reinhard
Published: April 2023

Reinhard Wolf (Hrsg.): Naturschutzgebiete im Regierungsbezirk Stuttgart. Jan Thorbecke Verlag Stuttgart 2002. 717 Seiten,farbige Abbildungen. € 26,-. ISBN 3-7995-5173-5
Serie guías clínicas: manejo de la preeclampsia (actualización)
Authors: Sepúlveda-Martínez Álvaro , Guíñez G. Rodolfo , Silva G. Carolina , Salinas P. Hugo , Valdés R. Enrique , Muñoz S. Hernán , Parra-Cordero Mauro
Published: April 2023

1. Identificar el perfil de riesgo de una paciente de padecer preeclampsia.

2. Conocer las formas de preeclampsia y sus complicaciones.

3. Identificar precozmente las formas de presentación graves.

4. Establecer un manejo adecuado en cada paciente con preeclampsia.

5. Determinar adecuadamente el momento del parto según el grado de severidad de preeclampsia.

6. Conocer la importancia y protocolos de predicción y prevención.
Abstracts presentados en congresos internacionales 2018
Authors: Universidad de Chile Revista Hospital Clínico
Published: April 2023

El siguiente material ha sido recogido del registro perteneciente a la Dirección Académica de nuestro Hospital Clínico y por disposición del Comité Editorial de la Revista se publican solamente los trabajos presentados de congresos internacionales, europeos y americanos
Uso de telepsiquiatría para apoyar la atención primaria de salud mental en el tratamiento de niños, niñas y adolescentes con vulneración de derechos: resultados preliminares
Authors: Irarrázaval D. Matías , Mundt Adrian , Martínez D. Pablo , Fernández G. Olga , Rojas C. Graciela
Published: April 2023

The aim of this study was to present preliminary results of a video-based consultation-liaison psychiatry service (telepsychiatry) to enhance the delivery of mental health services in primary health care (PHC) for institutionalized children and adolescents (ICA). A mixed-methods study was carried out at two PHC clinics in Quilpué, Chile, to assess the feasibility of a telepsychiatry service (TPS). TPS consisted of bimonthly, remotely conducted video-conference sessions between PHC teams and child and adolescent consultant psychiatrists located at the Psychiatric University Hospital in Santiago, to discuss mental health problems of ICA. During July to December 2018 thirteen TPS sessions were carried out, and a total of 15 ICA were discussed to elaborate diagnostic and/or therapeutic recommendations. The intervention was useful and acceptable to PHC providers. Participants perceived that better coordination between substitute care facilities and PHC clinics would be useful, and that training opportunities to address the mental health needs of ICA were required. A TPS to enhance the delivery of mental health services in PHC for ICA was feasible, further studies are needed to determine benefits for ICA.
Factores pronósticos de morbimortalidad cardiovascular en pacientes egresados con infarto agudo al miocardio seguidos por un año
Authors: Ugalde P. Héctor , Cifuentes R. Ignacio , Romero A. Pablo , Castro L. Ariel
Published: April 2023

Acute myocardial infarction is one of the main causes of death in the world, this occurs in the in-hospital period as well as in the follow-up. It has been much studied what occurs in the in-hospital period, but much less what occurs in the follow-up of patients with this pathology. The objective of this study was to follow patients discharged after myocardial infarction for 1 year and analyze predictors of cardiovascular events. 1174 patients were followed for 1 year, of which 17% presented some serious cardiovascular event, associated with the presence of male sex, older age, arterial hypertension, previous history of angina, hospital treatment only pharmacological, inclusion of positive inotropes in the initial treatment and use of calcium channel blockers, factors already shown by international literature but less analyzed in our country, and furthermore, the demonstration that invasive management with coronary angioplasty or bypass surgery are protective factors of the occurrence of events in this period, which reinforces the idea of a more intensive and invasive management in patients with this pathology.
Prevención no farmacológica de las exacerbaciones en la EPOC: efecto antiinflamatorio de la actividad física
Authors: Mendoza I. Laura , Guerrero P. Julia
Published: April 2023

The chronic obstructive pulmonary disease (COPD) is the chronic respiratory condition most prevalent in adults, caused mainly by smoking. Its burden is progressively increasing and, according to the World Health Organization, is one of the main causes of mortality and disability around the world. Patients with COPD present acute worsening of the disease, defined as acute exacerbations, which are the main cause of hospitalizations and deaths. Therefore, it is crucial to identify effective interventions focused in their prevention. Patients with COPD present dyspnoea and intolerance to exercise responsible for a progressive reduction in the level of physical activity, which is an independent risk factor for future exacerbations and mortality. On the other hand, it has been demonstrated that COPD patients with low level of physical activity present higher marker levels of systemic inflammation. Interventions able to increase the level of physical activity in COPD patients have demonstrated positive effects in quality of life and a few clinical trials suggest that improving physical activity is able to prevent exacerbations. We hypothesize that these effects could be explained by changes in systemic inflammation secondary to an increase of physical activity.
El corazón de la mujer
Authors: Arocha R. J. Ildefonzo
Published: April 2023

In the vast majority of cardiovascular diseases (CVDs), there are well-described differences

between women and men in epidemiology, pathophysiology, clinical manifestations, effects of

therapy, and outcomes. These differences arise on one hand from biological differences among

women and men, which are called sex differences, due to differences in gene expression from

the sex chromosomes and subsequent differences in sexual hormones leading to differences

in gene expression and function in the CV system, In contrast, gender differences are unique

to the human. They arise from sociocultural processes, such as different behaviours of women

and men; exposure to specific influences of the environment; different forms of nutrition,

lifestyle, or stress; or attitudes towards treatments and prevention. The scientific societies

are at the forefront of implementing the knowledge in research and healthcare strategies with

more proactive attitude for a feminine centered approaches may lead to a more specific and

effective use of resources in CVD prevention and therapy in women.
Indicaciones de estudio urodinámico
Authors: Valdevenito S. Juan Pablo , Kobus G. Cristóbal , Muñoz H. Sebastián , Bull C. Leonardo
Published: April 2023

The basic objective of urodynamics is to reproduce the patient’s symptoms while evaluating

the lower urinary tract directly, with objective quantification of parameters, correlating the

symptoms with the findings of the test. Traditionally, it is used: a) to diagnose lower urinary

tract dysfunction, quantify its severity and determine the most significant abnormality, b) to

predict the consequences of lower urinary tract dysfunction on the upper urinary tract, c) to

predict the results of therapeutic interventions and possible complications and d) to investigate

the causes of treatment failures. In this article we will refer to the indications of urodynamics

taking into account the recommendations of the main international urological societies: 1) in

women with urinary incontinence, with emphasis on those who have stress urinary incontinence

and who will undergo surgery, 2) in men with non-neurogenic lower urinary tract symptoms

suggestive of benign prostatic hyperplasia, and 3) in patients with neurologic involvement of

the lower urinary tract (“neurogenic bladder”), considering the classification of neurological

disorders according to the risk over the upper urinary tract.
Tabaquismo y cáncer de piel no melanoma
Authors: Zemelman D. Viviana
Published: April 2023

The incidence of non melanoma skin cancer, squamous cell carcinoma (SCC) y basal cell carcinoma (BCC) is constantly rising all over the world. Ultraviolet (UV) radiation exposure is an established environment risk for SCC and BCC, others risk factors such as skin type, age, chemical exposure and the presence of premalignant lesions within others risk factors have been well studied. The association of tobacco smoking with non melanoma skin cancer has been controversial and inconsistent. The objective of this article was to perform a systematic review of the published finding on the association between tobacco smoking and the presence of SCC and BCC. For this purpose, all reviews and meta-analysis studies, as well as some selected individual scientific research on the subject were analyzed. The individual scientific research included in this review were selected according scientific criteria parameters such as the number of patients studied. According to the results of this review, there is a strong association between tobacco smoking and SCC; however, this association is not that clear in BCC. We need to understand further the mechanisms behind the tobacco smoking and the development of SCC. In the future, more scientific research is needed in the subject.
Discurso de despedida
Authors: Sepúlveda Juan Enrique
Published: April 2023

El presente texto corresponde al que fue leído por el psiquiatra Dr. Juan Enrique Sepúlveda

en la ceremonia de egreso de especialistas en Psiquiatría de la promoción 2019, ceremonia

realizada en marzo de este año en la Clínica Psiquiátrica Universitaria.
Primera Jornada de Investigación Multidisciplinaria Hospital Clínico Universidad de Chile 2018
Authors: Hospital Clínico Universidad de Chile Revista
Published: April 2023

Dentro de la misión de nuestro hospital universitario está la generación de nuevos conocimientos en áreas

múltiples. Es por ello que en diciembre recién pasado se desarrolló la Primera Jornada de Investigación

Multidisciplinaria del Hospital Clínico Universidad de Chile, espacio que reunió exitosamente a

investigadores de diversas disciplinas y facultades, resultando esta instancia un espacio para generar lazos,

pensar y abordar los innumerables problemas no resueltos, así como los terrenos inexplorados que podrían ser

susceptibles de innovación y mejoramiento. De esta manera comprobamos que los avances sanitarios no solo se

gestan dentro de los centros hospitalarios, sino que también a través de la asociación de miradas y métodos de

cada disciplina, permitiéndonos ampliar el contexto y la mirada. A continuación presentamos los abstracts que corresponden a una parte de las presentaciones orales y posters presentados en la Jornada
Recomendaciones de prevención y tratamiento de tromboembolismo venoso en infección por SARS-CoV-2
Authors: Samaniego E Francisco , Conte L. Guillermo
Published: April 2023

Coronavirus disease (Covid-19) is characterized by an intense inflammatory response and coagulopathy that is associated to a high incidence of thrombotic events with in situ thrombosis of the microcirculation of the lungs and other organs, which is the key event in the pathogenesis of the respiratory and multi-organ failure. These observations have led to to the use of heparin, which has anticoagulant, antiinflammatory and anti-viral properties, as the best agent to treat these patients. Clinical guidelines recommend the use of heparin thromboprophilaxis in these patients, although there is no agreement in the indication, dose and duration of thromboprophylaxis due to lack of randomized studies.
Indicación de estimulación cerebral profunda en casos complejos de enfermedad de Parkinson. Experiencia en el Hospital Clínico Universidad de Chile
Authors: Guevara O. Carlos , Villa U. Eduardo , Baabor A. Marcos
Published: April 2023

Introduction: Deep brain stimulation (DBS) is a standard surgical procedure for the treatment of advanced Parkinson Disease (PD) with motor complications that cannot be adequately managed by medical treatment. Currently available literature can guide physicians on basic aspects of patients’ selection and indications for DBS. However, there is a range of real-world clinical settings where the indications of DBS for Parkinson disease are debatable. Objective: to present the experience on PD patients with complex clinical manifestations treated with DBS in our hospital. Method: Report of four PD cases treated with DBS. Case 1: 63-year old woman with advanced PD and severe motor complications; Case 2: 60-year old man with 5 years of disease duration and mild motor complications; Case 3: 67-year old man with severe ventriculomegaly that may have precluded direct electrode passage to the surgical target; Case 4: 67- year-old woman with putative severe axial disability. Results: After one year of follow-up, all patients showed improvement on motor symptoms as well as quality of life. Discussion: We provide a brief rationale for the patient selection in each case to support the decision-making in the management of PD patients with complex clinical cases.
Herpes zóster diseminado: caso clínico y revisión bibliográfica
Authors: Moya G. Nicolás , Neves J. Emilia
Published: April 2023

Herpes zoster classical clinical presentation is the acute onset of multiple vesicles over an erythematous base, disposed over one or two dermatomes with up to 20 vesicles located outside the main dermatome. Disseminated herpes zoster is an atypical and rare form of presentation of herpes zoster, which manifests with lesions beyond the described territory. It occurs mainly in patients with some type of cellular immunosuppression. The diagnosis is made with the medical history and physical examination, however, it should be confirmed with laboratory tests. Treatment must be initiated early to avoid serious complications, such as bacterial infection of the lesions, post-herpetic neuralgia, or even central nervous system involvement. The drug of choice is intravenous acyclovir that must be maintained until the cessation of the appearance of new lesions, and then switch to its oral presentation for another 5-7 days. Disseminated herpes zoster mortality rounds 5-15%. There are varicella-zoster virus vaccines, that have been shown to reduce the incidence of herpes zoster relapses, however its utility to disseminated herpes zoster is uncertain and further studies are required. We present the case of a male patient with a history of rheumatoid arthritis who consults with multiple vesicles distributed throughout his body.
Clasificación molecular del cáncer colorrectal, su impacto pronóstico y terapéutico: un paso crucial hacia la medicina personalizada
Authors: González M. Jaime , Valenzuela T. Guillermo , Ahumada O. Mónica , Barajas B. Olga , Marcelain C. Katherine
Published: April 2023

Colorectal cancer (CRC) has a high incidence and mortality and is the second leading cause of cancer death worldwide. A total of 25% of patients debut in metastatic stages, and 50% of patients with resectable disease subsequently have disseminated disease, thus their systemic therapy constitutes an important challenge. Although there are advances in their treatment, patients have a variable and unpredictable response due to their molecular heterogeneity, making it necessary to identify the specific mutations that leads oncogenesis in each patient. The CRC classification into 4 molecular subtypes or consensus molecular subtypes (CMS) has had wide clinical acceptance. CMS1 (immune), affects young patients, is rapidly progressive and refractory to conventional therapies, and could benefit from aggressive therapy and immunotherapy. CMS2 (canonical) is characterized by mutation in specific pathways linked to cellular metabolism. The CMS3 (metabolic), where its specific mutation is KRAS. Finally, CMS4 (mesenchymal) is associated with metastasis, worse prognosis and mutation in pathways of fibrogenesis and epithelial-mesenchymal transition. Specific treatments have been proposed for each of these types with the purpose of reaching a personalized medicine. The identification and better understanding of molecular subtypes will lead us to improve the prognostic and therapeutic prediction in this disease.
Uso de cerclaje en Obstetricia (actualización)
Authors: Sepúlveda-Martínez Álvaro , Guíñez G. Rodolfo , Silva G. María Carolina , Tobar A. Hermógenes , Parra-Cordero Mauro
Published: April 2023

1. Conocer la definición de incompetencia e insuficiencia cervical.

2. Conocer las indicaciones de cerclaje durante el embarazo.

3. Analizar la utilidad del cerclaje durante el segundo trimestre en pacientes con cuello corto

a la ecografía de segundo trimestre.

4. Comparar el uso de cerclaje contra progesterona en pacientes con cuello corto en el

segundo trimestre de embarazo.

5. Determinar la utilidad del cerclaje en embarazos gemelares.

6. Analizar la utilidad del cerclaje en el primer trimestre en pacientes con historia de parto

prematuro.

7. Comparar el rendimiento de técnicas de Shirodkar y Mc Donald en el cerclaje vía vaginal.

8. Analizar la utilidad de mantener el cerclaje en pacientes que evolucionan con rotura

prematura de membranas.

9. Aplicar las técnicas de seguimiento posterior a un cerclaje
Retrato microbiológico SARS-CoV-2
Authors: Silva O. Francisco , Cifuentes D. Marcela
Published: April 2023

SARS-CoV-2 es un βeta-coronavirus perteneciente a la familia Coronaviridae. Es un virus envuelto, cuyo material genético corresponde a ARN polaridad positiva, no segmentado y cuya envoltura le confiere gran susceptibilidad a los detergentes.
Guía y protocolos clínicos sobre atención de embarazadas y recién nacidos en crisis sanitaria coronavirus (junio 2020)
Authors: Aleuanlli A. Cristina , Araneda V. Silvia , Asfora A. Constanza , Burgos S. Nelson , Campanella Claudia , Cerda C. Sonia , González I. Luis , Gutiérrez C. Diane , Jankelevich S. Alejandro , Luna Daniela , Moya V. Stephanie , Parra C. Mauro , Sepúlveda M. Alvaro , Silva O. Francisco , Vera Helga , Vilca B. Marcela
Published: April 2023

Este documento tiene como propósito aportar tanto al aislamiento físico en el combate preventivo por la infección por coronavirus, como a la mantención de la atención médica que asegure los cuidados de nuestras embarazadas.

Esta guía clínica abordará una serie de aspectos relacionados con la sospecha, diagnóstico y manejo de la infección viral en el curso del embarazo, parto, puerperio, neonato y anestesia del parto. También entregará una propuesta que racionaliza el número de controles y ecografías en el embarazo, y los cuidados de desinfección de las salas de ecografías.
Caracterización clínica y angiográfica según sexo de pacientes con síndrome coronario agudo sin supradesnivel del segmento ST
Authors: Ugalde P. Héctor , Romero A. Pablo , Cifuentes R. Ignacio
Published: April 2023

Ischemic Heart Disease is the leading cause of death and of potential years of life lost in Chile. The most frequent acute presentation of this group of pathologies is the Acute Coronary Syndrome (ACS) without ST segment elevation. According to the literature, there is a proportion of patients with non-ST elevated ACS in which coronary angiography reveals a mild coronary lesion or even shows no detectable lesion at all. This scenario is more common in women than in men. Compared with men, women with non-ST elevated ACS are older than men and more frequently have hypertension. Furthermore, women are less likely to have previous cardiac diseases, and are less common to present serum troponin rise at admission. In Chile, there are no previous studies about the differences between sexes in this disease. The objective of this study is to determine if there are major differences between sexes in aspects like clinical and angiographic findings in patients with non-ST elevated ACS. The study used a database of 1900 consecutive patients who were submitted for coronary angiography and had been previously diagnosticated with non-ST elevated ACS, between the years 2001-2017. Clinical assessment, laboratory and angiographic results were collected and analyzed to establish major differences considering p
Abstracts de publicaciones ISI 2019
Authors: Hospital Clínico Universidad de Chile Revista
Published: April 2023

El material que se presenta a continuación es el resultado de búsquedas realizadas por nuestra Revista
Micropropagation of Catasetum rooseveltianum Hoehne (Orchidaceae) in a temporary immersion bioreactor
Authors: Muniz Jeremias Gomes Damaceno , Rezende Rodrigo Kelson Silva , Esposito Bruno Harthcopf , Jesus Maílson Vieira
Published: April 2023

Catasetum rooseveltianum é uma espécie de orquídea que possui características ornamentais próprias como flores robustas, além de ser utilizada para fins alimentícios e farmacológicos. A produção em larga escala com rapidez e qualidade fitossanitária somente é possível com a micropropagação, que se realizada com biorreator de imersão temporária, possibilita ainda mais qualidade devido à melhor nutrição e oxigenação das plantas. Sendo assim, o objetivo deste trabalho foi estabelecer um protocolo de micropropagação de orquídea C. rooseveltianum em biorreator de imersão temporária (imersão de 15 minutos a cada 2 horas), comparando dois tratamentos em meio MS padrão, sem e com reguladores vegetais (1,0 e 0,5 mg L-1 de ácido naftaleno acético – ANA e benzilaminopurina – BAP, respectivamente). As plantas de C. rooseveltianum cultivadas no meio contendo os reguladores apresentam maior número de folhas, diâmetro do pseudobulbo, altura de plântula, comprimento de folha, número de raízes, comprimento de raiz, massa fresca total e massa seca total.
KRAS-mutation status and its association with clinicopathological features in Vietnamese patients with non-polyp colon cancer
Authors: Minh Cuong Hoang , Hương Huong Bui Thi Thu , Thuan Loi Nguyen , Hong Thang Vu
Published: April 2023

Background: Mutations of KRAS gene are common in cancers; they are detected at a very high rate in colon cancer (CC) and considered the negative factor of the disease. CC is among deadliest cancers in Vietnam, and KRAS status for non-polyp colon cancer (NPCC) was rarely reported from the country. We, in this study, aim to determine KRAS mutations and associations of mutation status with clinicopathological features in Vietnamese NPCC patients. Methods: Patients with NPCC (stages II or III) and without historical or current polyp appearance were included. Genomic DNA samples were prepared from dissected tumors and specific sequences of KRAS gene were amplified by PCR. The mutations at codons 12, 13, 59, 60, 61, 117 and 146 of the gene were determined by using a commercial kit. Possible associations of the KRAS mutation with clinicopathological properties were analyzed by using SPSS and GraphPad Prism. Key findings: KRAS mutation rate was 47.9% in NPCC patients; mutations in exon 2 accounted for 91.4% of all detected mutations. Moreover, the KRAS mutation rate was higher in females (57.1%) than in males (39.8%).
Dalla prospettiva lineare a Google Maps. La poesia italiana riscrive il Rinascimento
Authors: Fioravanti Samuele
Published: April 2023

Gli studi postumanistici suggeriscono una revisione dell’Umanesimo mediata dall’immaginario figurativo rinascimentale e raffrontata al cosiddetto Rinascimento digitale. Nel verificare i modi in cui la poesia italiana si è fatta interprete del dibattito, mi concentrerò su tre generazioni: i poeti nati negli anni Quaranta/Cinquanta, quelli nati negli anni Sessanta/Settanta e i nati dopo il 1980. Stabilita una definizione operativa del Rinascimento come valorizzazione della prospettiva individuale, ipotizzerò che le dinamiche alla base dell’interazione fra poeti contemporanei e immagini prospettiche siano simili alle interazioni con schermo e altri supporti informatici
Genere e specie: poetry, poem, short e long poems
Authors: Esposito Edoardo
Published: April 2023

Fra le diverse forme della poesia moderna, quello che le differenti tradizioni culturali chiamano poema extenso, long poem, poemetto, langes Gedicht occupa un posto privilegiato. È noto come Edgar Allan Poe biasimasse le forme poetiche troppo estese, ma nonostante il prevalere della lirica e delle forme brevi nella poesia contemporanea molti autori hanno continuato ad articolare il loro discorso in modi molto differenti, sia di tipo narrativo sia drammatico, in strutture anche notevolmente complesse. Si tenta qui un approccio comparativo al problema, mostrando come si sia cercato di uscire dalla ‘gabbia’ lirica.
Post-poetiche del Duemila: installazioni, dispositivi e allegoria metacognitiva in alcune scritture recenti
Authors: Ciaco Marilina
Published: April 2023

Il presente contributo intende approfondire la cornice teorica nonché la fenomenologia estetica della poesia di ricerca italiana del Duemila illustrando tre funzioni interpretative che potrebbero far luce sulla proverbiale ‘opacità’ di tali scritture: l’installazione, il dispositivo, l’allegoria metacognitiva, tutte basate su un’integrazione metodologica fra gli strumenti di analisi storico-letterari e, rispettivamente, quelli provenienti dall’ambito dei visual studies, dell’estetica filosofica e della poetica cognitiva.
Lo sguardo dello scriba. Dialogismo e teatralizzazione in "Nel magma" di Mario Luzi
Authors: Ghidinelli Stefano
Published: April 2023

Il saggio riflette sull’anomalo, sfuggente assetto di genere di Nel magma di Mario Luzi, cogliendovi un potente dispositivo di sceneggiatura delle ambiguità che segnano il rapporto del soggetto con il suo tempo. All’interno dei testi, il peculiare uso dell’auto-diegesi lirica pone in tensione l’azione dell’io personaggio e quella dell’io voce, teatralizzando i limiti di indisponibilità del soggetto a implicarsi davvero in un rapporto con l’Altro. A ciò corrisponde, sul piano macrotestuale, la tensione attivata fra la condotta «volutamente non entusiasmante» (Verdino) del Mario personaggio e la muta prospettiva del Luzi regista, latrice di una estrema, obliqua possibilità di relativizzazione dialogica di quel Sé lirico teatralizzato e obiettivato.
Negli anni Ottanta: luoghi e modi della giovane poesia contemporanea
Authors: Stroppa Sabrina
Published: April 2023

Sintetica ricognizione su nomi, opere, collocazione editoriale e geografica dei poeti che esordirono negli anni Ottanta del Novecento, a partire dagli studi riuniti nella serie di volumi collettivi sulla Poesia italiana degli anni Ottanta.
Forme di immaginario sociale e rappresentazioni del pubblico della poesia nei testi poetici recenti
Authors: Martini Giulia
Published: April 2023

L’articolo, di taglio tematico-comparativo e con un focus cronologico incentrato sulla produzione di autori nati negli anni Ottanta e Novanta, si propone di indagare le forme entro cui i testi poetici recenti rappresentano l’immaginario sociale, in particolar modo le posture del soggetto-poeta di fronte al suo pubblico e la funzione dello stesso rispetto al messaggio poetico. La seconda parte si concentra invece sul singolo caso di Ophelia Borghesan, un progetto di Luca Rizzatello e Angela Grasso.
Il linguaggio come materialità combinatoria nello spazio poetico: dall’Oulipo all’Ubuweb
Authors: Massafra Sara
Published: April 2023

Questo contributo individua le prime anticipazioni di alcune pratiche di scrittura che si manifesteranno pienamente nel contesto culturale della digitalizzazione. L’Ubuweb, progetto fondato nel 1996, verrà considerato come risultato sperimentale della robopoetica, in dialogo con le precedenti esperienze dell’Oulipo e della poesia concreta. In quel contesto si osserveranno cambiamenti nell’ideazione delle composizioni poetiche caratterizzate dalla materialità combinatoria del linguaggio
Poesia, società, immaginario nel sistema della cultura e della produzione
Authors: Borio Maria , Giovannuzzi Stefano
Published: April 2023

L’introduzione riassume le principali questioni affrontate nella seconda edizione del Seminario annuale di poesia contemporanea (2020): il nesso poesia, storia, società, sistema della cultura; il rapporto fra la poesia e l’immaginario sociale culturale, in termini non di ricezione passiva ma di interazione; le dinamiche della produzione e della ricezione della poesia, in un orizzonte non più mediato dal libro ma sempre più dalla rete.
GESTIÓN DIGITAL EN COLOMBIA… GRANDES RETOS
Authors: Guevara Feria María Edith
Published: April 2023

Las revistas científicas han jugado un papel importante en el registro histórico y la difusión de la investigación en América Latina. Este hecho consiste en un movimiento mundial que requiere un importante crecimiento en la cantidad y calidad de las revistas científicas.
EDUCACIÓN CONTABLE EN COLOMBIA FRENTE A LA PANDEMIA DEL COVID-19
Authors: Quintero Rivera Juan José , Rodríguez Díaz Leidy Daniela , Sánchez-Quiñones Alejandro
Published: April 2023

La crisis económica y social generada por el covid-19 se ha visto reflejada en todos los sectores del país; al igual que un aumento en el uso de las tecnologías de la información y las comunicaciones (TIC) en la mayoría de los aspectos cotidianos. En este contexto, la educación no es ajena a la situación actual y por ello, producto de los cambios que trajo la pandemia se documentaron los efectos que el covid-19 ha traído a la educación contable en Colombia encontrando que el cambio de las aulas a la virtualidad fue un gran reto para estudiantes y docentes; y desde la educación contable se encontraron hallazgos como los planes de mejora en la comunidad educativa respecto a la adaptación, adecuación e implementación para el desarrollo de forma eficiente del  prendizaje virtual.
CALIDAD EN EL SERVICIO A PARTIR DEL LIDERAZGO DOCENTE DESDE LA PERSPECTIVA DE LOS ESTUDIANTES DE POSGRADO EN UNA IES
Authors: Castrejón Reyes Victorina , Peña Estrada Claudia Cintya , Rode Villa Carlos Alberto , Palma Cardoso Elizabeth
Published: April 2023

Medir la calidad de los servicios que se prestan en una empresa es una forma de mantener la competitividad en las organizaciones, es una forma también, de posicionarse en el mercado y nos permite observar el grado de satisfacción percibida por los clientes. La calidad es un atributo buscado por el consumidor, creando lealtad para el desarrollo de una relación a largo plazo. El objetivo de la presente investigación es evidenciar el liderazgo docente en relación con la percepción que tienen los doctorantes en 15 programas educativos de Universidad Autónoma de Querétaro con la finalidad de identificar las mejores prácticas. Es un estudio cuantitativo, transversal y se aplicó un instrumento a 118 estudiantes. El estudio se justifica a partir del supuesto de que medir la percepción de la calidad a partir del liderazgo docente como el último elemento de la cadena de servicio, permite obtener información del desempeño del programa y accede a diseñar estrategias de mejora en la calidad educativa que pueden servir como modelo para otras universidades.
MARKET REACTION TO EARNINGS MANAGEMENT AND THE ROLE OF AUDIT QUALITY: EVIDENCE FROM INDONESIA
Authors: Ratnaningrum Ratnaningrum , Supheni Indrian , Nurhapsari Risma
Published: April 2023

This study aims to determine whether the earnings management influences market reaction and whether audit quality moderates the relationship between earnings management and market reactions. The research sample has 115 manufacturing companies that go public in Indonesia Stock Exchange listed in 2013 – 2015 so that the number of samples (n) = 345 observations. Discretionary accruals are used to gauge the earnings management.. This study uses boostrap test to examine the hypothesis. The result shows that earnings management affects the market reaction positively. So it indicates if the market still gives a positive reaction to the report that generates earnings even though it contains earnings management. The interaction between book value equity and audit quality has a significant positive effect on the relationship between earnings management and market reaction.