bluuebunny/crossref_metadata_2025 huggingface dataset:
Narrativas institucionais e juvenis a partir da JMJ: emergências de afeto e cultura midiática no catolicismo
Authors: Alves Fernandes Sílvia Regina
Published: September 2017

Este trabalho objetiva analisar as interações discursivas entre o papa Francisco e o segmento juvenil no Brasil durante a Jornada Mundial da Juventude em 2013. Serão colocadas em pauta as manifestações juvenis provenientes de sites católicos e redes sociais; as narrativas na mídia e os discursos oficiais do Papa quando remetidos à Juventude. Argumenta-se que a linguagem pastoral tem forte impacto sobre os jovens, bem como a dimensão afetiva que o papa Francisco explora em seu discurso. Analisa-se ainda que, em tempos de declínio quantitativo do catolicismo na América Latina, o segmento juvenil assume um lugar central nas narrativas institucionais da Igreja Católica especialmente a partir desse evento voltado para os jovens.
Feminismo, Gênero e Religião - Os desafios de um encontro possível
Authors: Rosado Nunes Maria José Fontelas
Published: September 2017

Estudiosas/os da temática “gênero e religião” apontam para o difícil encontro destes estudos com aqueles realizados na área da Ciência da Religião. Sublinham que estados da arte sobre a produção brasileira relativa às religiões não mencionam a temática de gênero ou feminismo enquanto, de modo similar, os balanços na área de estudos de gênero deixam de contemplar a produção acadêmica no campo da Ciência da Religião. O artigo trabalha resultados de pesquisa sobre essa dupla invisibilidade, analisando os programas de pós-graduação, grupos de pesquisa e periódicos brasileiros das duas áreas. Os principais achados sinalizam que o distanciamento entre os dois campos – Ciência da Religião e Gênero – pode decorrer da escassez de interação entre acadêmicas/os, o que se revela nos assuntos escolhidos para pesquisa, na avaliação institucional pelos pares que se processa em diferentes sub-comissões e no vínculo que estabelecem com Instituições de Ensino Superior (IES) de caráter confessional ou leigo.
The Contemporary Hidden Curriculum in Medical Education
Authors: Rajput Vijay , Mookerjee Anuradha Lele , Cagande Consuelo
Published: September 2017

This article was migrated. The article was not marked as recommended. There is a renewed interest in teaching and cultivating compassionate patient-centered care among trainees and faculty. Much of the erosion in medical professionalism can be attributed to what has been labeled the "Hidden Curriculum." We have identified eight archetypal areas where the Hidden Curriculum exerts influence on trainees and faculty. These include: Lack of Accountability to Patients, The Influence of Legal Phobia, Physician and Nursing Overload (how documentation and busy work detracts from patient-centered care), Negative Attitudes and Apathy from Teachers, The Influence of the Electronic Health Record (EHR) in Patient Depersonalization, The Negative Effect of "Work-Life" Balance, The Concept of the "Difficult Patient," and the Negative impact of Evidence-Based Medicine on a Patient-Centered Approach. We believe that we need to focus and assess the residents and faculty's knowledge and attitudes towards the Hidden Curriculum. We believe that reflective learning can enhance professionalism, humanism and compassionate patient-centered care. Reflective learning with specific focus on hidden curriculum can also contribute to the continuous improvement of care in our complex health care environment. In addition interprofessional seminars debating impact of Hidden Curriculum can increase awareness among health professionals on the hidden curriculum in daily practice and education.
KANDUNGAN 226Ra, 210Pb, 210Po DAN 40K PADA BEBERAPA TEMBAKAU ROKOK DI INDONESIA
Authors: Sukmabuana Putu
Published: September 2017

Kandungan 226Ra, 210Pb, 210Po dan 40K pada beberapa tembakau rokok di Indonesia.  Pada penelitian ini telah dilakukan pengukuran radionuklida alam 226Ra, 210Pb, 210Po dan 40K yang terkandung didalam tembakau rokok, tujuannya untuk memperkirakan dosis efektif yang diterima oleh orang yang menghisap asap rokok.  Sampel tembakau yang telah diukur meliputi 14 merek rokok yang umum dijual dan dikonsumsi di Indonesia.  Konsentrasi 226Ra, 210Pb dan 40K diukur menggunakan spektrometri sinar γ, didapat konsentrasi 226Ra bervariasi dari 2,86 hingga 6,04 Bq/kg, rata-rata 4,18 ± 0.67 Bq/kg, untuk 210Pb bervariasi dari 3,04 hingga 6,76 Bq/kg rata-rata 4,71 ± 0.82 Bq/kg, sedangkan konsentrasi 40K bervariasi dari 23,57 hingga 32,69 Bq/kg rata-rata 26,50 ± 2,08 Bq/kg.  210Po dihitung berdasarkan kesetimbangan radioaktif, hasilnya bervariasi dari 2,65 hingga 5,88 Bq/kg rata-rata 4,09 ± 0,71 Bq/kg.  Dengan menggunakan koefisen dosis efektif yang diberikan oleh ICRP, dapat dilakukan estimasi dosis efektif tahunan yang diterima oleh perokok.  Rata-rata dosis efektif tahunan untuk 226Ra adalah 80,46 ± 12,93 µSv/tahun, untuk 210Pb rata-rata 28,47 ± 4,96 µSv/tahun, dan 210Po rata-rata 74,31 ± 12,96 µSv/tahun.  Dengan menjumlahkan dosis rata-rata dari 226Ra, 210Pb dan 210Po, didapat total estimasi dosis efektif rata-rata pertahun 183,24 µSv/tahun atau sekitar 14,5% dari batas dosis paparan radiasi secara inhalasi di dunia 1260 µSv/tahun.  Estimasi dosis efektif radionuklida 40K tidak dapat dilakukan karena koefisien dosis untuk 40K tidak tersedia di ICRP 71.
Prevalence of co-existence genes and clonal spread of ESBL-producing isolates causing hospital and community-acquired infections in Zenica-Doboj Canton, Bosnia and Herzegovina
Authors: Ibrahimagić Amir , Uzunović Selma , Bedenić Branka
Published: September 2017

Introduction: Co-existence type of ESBL-producing isolates are serious problem in the public health world.

Methods Antibiotic susceptibility was determined by disc diffusion and broth microdilution according to CLSI guidelines. Double-disk synergy test was performed in order to screen for ESBLs/pAmpC beta-lactamases. PCR was used to detect blaESBL/blaampC/blacarb genes. Genetic relatedness of the strains was determined by pulsed-field-gel-electrophoresis (PFGE).

Results In this study 88 of the inpatient isolates (n=126; 10.0%) and 62 of the outpatient (n=184; 6.4%) Beta-lactamase-producing isolates were taken for the study. They included 50.0/29.0% K. pneumoniae, 12.5/30.6% E. coli, 11.4/4.8% A. baumannii, 8.0/14.5% K. oxytoca, 8.0/4.8% E. cloacae, 5.7/8.1% Proteus spp., and less than 3.5% of other isolates. Co-existence of more than two type of beta-lactamases was detected in 77.3% of inpatient and 45.2% of outpatient isolates. Among inpatient isolates, Klebsiella spp. and E. coli were the most frequent isolates which produce more than two type of genes; in ≈ 65% and ≈12% cases. Separately, combination of four: TEM+SHV+CTX-M+OXA-1 beta-lactamases in inpatient K. pneumoniae isolates were detected in 63.6% cases respectively. Differents in antimicrobial resistance were higher to cephalosporins agents in Klebsiella spp., and E. coli at inpatient and outpatient isolates which produce more than two types of beta-lactamases than in isolates which produce one type of beta-lactamases.

Conclusion: This work demonstrates a progressively increasing prevalence of co-existence type of beta-lactamases expecially in inpatient isolates. Continous monitoring and surveillance and proper infection control and prevention practice will limit the further spread of these isolates.
Инновационная деятельность в условиях магистратуры в образовательной среде вуза
Authors: Фортунатов Артем Александрович
Published: September 2017

В данной статье раскрываются понятия инновация и инновационная деятельность. Рассматривается такой аспект учебно-познавательной деятельности обучающихся, как работа с электронным образовательным курсом, созданным на платформе Moodle. Презентована программа дисциплины «Инновационная деятельность в современном образовании», направленная на формирование у обучающихся общепрофессиональных компетенций, методологическую подготовку магистрантов к внедрению инновационной деятельности в образовательную среду вуза.
Transición hacia la paz y zonas marrones urbanas
Authors: Uribe López Mauricio
Published: September 2017

La transición de la guerra a la paz puede conllevar un cambio en el centro de gravedad de la violencia hacia micro-espacios deprimidos de las ciudades que constituyen lo que se puede denominar, adaptando el concepto de Guillermo O’Donnell, zonas marrones urbanas. Las situaciones de postconflicto altamente violento y las de alta violencia societal que corresponden al tipo de casos que se pueden caracterizar como casos de paz violenta, requieren un enfoque de seguridad ciudadana urbana que vaya en sintonía con el giro local que se ha dado en las aproximaciones críticas de la construcción de paz.
Adherence to antiretroviral therapy and factors affecting adherence among paediatric HIV patients
Authors: Govind Kendre , Yashwant Gabhale , Nikita Shah , Vishal Jadhav , Kunal Nath , Mamta Manglani
Published: September 2017

Background: Adherence to antiretroviral therapy (ART) is the strongest indicator of successful treatment of Human Immunodeficiency Virus (HIV) among children. The main aim of the present study was to know the prevalence of adherence at our centre and various factors affecting the adherence in children.Methods: It was an observational study done in children less than 15 years of age, affected with HIV.  78 children attending Paediatric Centre of Excellence (PCOE) for HIV L.T.M.G. Hospital, Sion, Mumbai were included in study, Study period was 18 months from January 2012 to June 2013. Complete history of the patients was noted in a pre-designed proforma. Baseline investigations related to HIV were done in all children. Fixed dose combination ART was started in children who fulfilled clinical and/or immunological criteria as per the NACO guidelines. Adherence was estimated using Pill count method..All the data were analysed by using 10.0 version of statistical software SPSS.Results: In this study, male children (57.7%) out numbered the females (42.3%). Majority of study subjects were more than 10 years of age. Overall adherence among subjects was 82.1% at the end of one year and non-adherence was 17.9%. There was no significant association of age and gender of the patients with adherence (p>0.05). Education, employment and knowledge towards medication of care takers was significantly associated with adherence of ART (p<0.05). Adherence of study cases had not showed any significant association with ART treatment regimen (p=0.99). At the end of one year, the mean CD4 count was significantly more as compared to baseline among adherence group and the mean CD4 count was significantly less as compared to baseline among non-adherence group. The most common reason for missed dosage was forgot to take medicine in 29 subjects (37.1 %)..Conclusion: Adherence level in this study was good. Forgot to take the medicine was the main reason given by the patients for non-adherence. Education, employment and knowledge towards medication of care takers was significantly associated with adherence of ART .But further studies are needed to explore various other factors related to adherence in children.
To study the epidemiology of various sexually transmitted diseases in tribal area of Valsad
Authors: Shah Bhuvnesh Girish , Sheth Keya Jayesh
Published: September 2017

Background: Sexually transmitted diseases have been considered as a major health problem, in developing countries. With up springing of HIV and AIDS, the attention and importance of STDs have again come into limelight. Epidemiological study is needed to understand the pattern of various STDs prevalent in tribal place of Valsad.

Methods: The epidemiological pattern of around 1012 patients have been studied. Patients were followed up at regular interval.

Results: 33.3% were males and 66.6% were females. Out of these major percentage of patients had reported vaginal discharge (27.7%), followed by genital warts (23.6%). Females were reluctant to consult the doctor for their problem. (72%) were married and (27.7%) were unmarried. No contraceptive measures were taken in 50% cases. 20 cases of pregnancy with STDs were studied.

Conclusions: A epidemiology study was taken up to understand the nature, type and extend of sexually transmitted diseases in the tribal population. Also to know the understanding amongst the masses about the STDs especially in teenagers and young people.
La revolución de los colores y la limitación de los derechos políticos a los colombianos durante la temprana república
Authors: Blanco Blanco Jacqueline
Published: September 2017

Este artículo trata de los derechos otorgados a los colombianos durante los primeros años de republicanismo. El tema refiere una lucha política en el interior del conglomerado social, escenario donde el republicanismo le colocó en la condición de ciudadanos y sujetos de derechos, y de esta manera se reservaba el acceso a la participación política en razón a la raza. La pregunta que se formula es: ¿por qué la República de Colombia en su temprano constitucionalismo no contempló el acceso a los derechos políticos de manera general a todos los gobernados? Al final, se mostrará que el tránsito de colonia a república, de vasallos a ciudadanos, dejó en evidencia una serie de temores políticos que impidieron la democratización del poder para favorecer su monopolio en manos de los criollos, afirmación que se hace posible por la aplicación del estructuralismo como método de trabajo.
Riesgos laborales psicosociales. Perspectiva organizacional, jurídica y social
Authors: Camacho Ramírez Adriana , Mayorga Daniela Rocío
Published: September 2017

Dadas las consecuencias negativas en la productividad, clima organizacional, salud, y relaciones interpersonales entre los trabajadores, las empresas están cada vez más interesadas en identificar las causas, prevenirlas y controlarlas. Se pretende establecer las consecuencias de los conflictos laborales, como riesgos psicosociales, en los trabajadores, así como en las empresas y terceros, para lo cual se realiza una aproximación a las definiciones y clasificaciones básicas, mayormente influenciadas desde la psicología; para después analizar el impacto en grupos que históricamente se encuentran discriminados laboralmente, finalizando con algunas recomendaciones.
Biosimilars: State of Clinical and Regulatory Science
Authors: Klein Agnes Victoria , Wang Jian , Feagan Brian G. , Omoto Mark
Published: September 2017

On May 12, 2017, various issues and challenges associated with biologics were discussed during a session of the annual joint conference of Canadian Society for Pharmaceutical Sciences and Canadian Chapter of Controlled Release Society at Hyatt Regency Hotel, Montréal, QC, Canada.  An update on the Canadian regulatory guidelines for biosimilars was given, followed by viewpoints expressed by regulatory, academic and industry scientists.  Topics of discussion included: reference biologic drug, clinical considerations, immunogenicity, extrapolation and clarification of terminology, product monograph, international collaboration, switching and interchangeability, naming conventions, clinical and non-clinical evaluation, authorization of indications, statistical equivalence, the nor-switch study and biologics marketplace.
VISUAL COMMUNICATION OF THE TRADITIONAL HOUSE IN NEGERI SEMBILAN
Authors: Hashim Mohd Haizra , Ahmad Abdul Mu’ati Zamri , Abdul Latif Muhammad Pauzi , Mohd Yunos Mohd Yazid
Published: September 2017

Visual communication in architecture is a genuine aspiration in realizing the relationship between the Malays and other communities. The composition of the models in this communication is very well organized and will remain relevant to be developed from time to time. It is an observation on the symbols, types of motifs and design aspects of the carvings, also the structural elements in the Malay architecture of Negeri Sembilan.This also comprises the study of the chronology of the early history of the Malay architecture of Negeri Sembilan which has its linkages with the Islamic art. Emphasis is given to the diversity in the carving characteristics as a comparison regarding historical, cultural and environmental backgrounds. The delicacy of the craftsmanship among Malay carvers in Negeri Sembilan is reflected in their maturity and ability to fuse traditional elements and Islam. Symbols that have motifs in the carvings result from the carvers' observation and experience.The selection of these motifs is carefully made to ensure that they are the Islamic teachings and not deviating with the Islamic law. Carvings in the Malay architecture of Negeri Sembilan are also crafted with an aim to beautify a piece of architecture made of various motifs. Those carved parts are always assured to maintain the balance with the surrounding space. Floral motifs are often combined with cosmic or geometrical motifs. In many cases, plant-based motifs are also prevalence translated into carvings. This is a tribute from the Malay carvers to beauty, perfection, and harmony of nature.
AS MARCAS DOCENTES NO INÍCIO DA CARREIRA DE PROFESSORES DE EDUCAÇÃO FÍSICA NA EDUCAÇÃO BÁSICA
Authors: Krug Hugo Norberto , Krug Rodrigo De Rosso , Krug Marilia De Rosso , Telles Cassiano , Flores Patric Paludett
Published: September 2017

O estudo objetivou analisar as percepções de professores de Educação Física (EF) no início da carreira na Educação Básica de uma rede de ensino pública de uma cidade do interior do Estado do Rio Grande do Sul (Brasil) sobre suas marcas docentes positivas e negativas. Caracterizamos a pesquisa como qualitativa descritiva do tipo estudo de caso. O instrumento de pesquisa foi um questionário. A interpretação das informações coletadas foi por meio da análise de conteúdo. Participaram cinco professores de EF iniciantes. Concluímos que o início da carreira foi gerador de marcas docentes positivas e negativas e que essas perpassaram pelos seus melhores e/ou piores momentos na docência.PALAVRAS-CHAVE: Educação Física. Início da carreira. Marcas docentes.
Combination of bone graft and resorbable membrane for alveolar ridge preservation: A systematic review, meta‐analysis, and trial sequential analysis
Authors: Troiano Giuseppe , Zhurakivska Khrystyna , Lo Muzio Lorenzo , Laino Luigi , Cicciù Marco , Lo Russo Lucio
Published: September 2017

Introduction

Alveolar ridge preservation (ARP) techniques aim to reduce resorption after tooth extraction. The combination of a graft material covered with a resorbable membrane represents one of the most common strategies performed in the clinical practice. The aim of this systematic review is to analyze evidence regarding potential benefits of ARP procedures performed with allogenic/xenogenic grafts in combination with a resorbable membrane coverage in comparison with spontaneous healing.

Methods

Electronic databases were screened independently to select studies suitable for inclusion in this review. Horizontal ridge width reduction (HRWR) and vertical ridge height reduction (VRHR) were investigated as primary outcomes and volume changes (VC) as a secondary outcome. Meta‐analysis was performed using the inverse of variance test with a random effect model. Adjustment for Type I and II errors and analysis of the power of evidence was performed with trial sequential analysis (TSA).

Results

Seven studies met the inclusion criteria and were included in the quantitative synthesis. Meta‐analysis revealed that the combination therapy resulted in a lower rate of resorption for both HRWR (−2.19 mm, 95% confidence interval [CI]: −2.67 to −1.71 mm) and VRHR (−1.72 mm, 95% CI: −2.14 to −1.30 mm). For VC no meta‐analysis was performed due to insufficient data. Analysis of the power of the evidence performed with TSA showed that the number of both studies and sockets analyzed is sufficient to validate such findings, despite the high rate of heterogeneity.

Conclusions

Use of bone graft covered by a resorbable membrane can decrease the rate of alveolar ridge horizontal and vertical resorption after tooth extraction. The power and reliability of the evidence is strong enough to confirm the above‐mentioned findings, despite the high rate of heterogeneity of included studies.
As metas académicas como operacionalização da motivação do aluno
Authors: Miranda Lúcia , Almeida Leandro
Published: September 2017

A capacidade cognitiva e a motivação são entendidas como variáveis psicológicas determinantes da aprendizagem e do rendimento académico. Dentro do paradigma cognitivista ou sócio-cognitivista, os modelos teóricos procuram enfatizar os processos psicológicos internos na explicação da conduta académica motivada. As metas de realização surgem, neste enquadramento teórico, como um dos factores mais valorizados na explicação do rendimento académico dos alunos. Neste trabalho procuramos reflectir sobre a tipologia das metas e o seu papel na predição do sucesso académico, alertando para o papel decisivo dos contextos familiar e escolar. Analisando alguns estudos nacionais e internacionais, importa que a conceptualização e a avaliação das metas académicas tomem mais em consideração os contextos de ensino e aprendizagem, assim como os vários agentes educativos que intervêm nesses contextos.
Herança arquitetônica da Belém Pombalina (século XVIII)
Authors: Reis Yara Felicidade de Souza
Published: September 2017

O presente trabalho examina alguns feitos da produção arquitetônica e urbanistica realizada na segunda metade do século XUII, na cidade de Belém, período que corresponde à faze administrativa do Marquês de Pombal. A intenção é salientar a importância de referências urbanas remanescentes de uma tradição urbanística portuguesa, que fazem parte da herança cultural da cidade e que podem ser enquadradas em ações políticas de preservação.
Red Algae Bloom Detection in Occhito Lake Combining MERIS and MODIS Data
Authors: Matarrese Raffaella , Guyennon Nicolas , Copetti Diego
Published: September 2017

In winter 2008-2009, Lake Occhito, a strategic multiple-uses reservoir in South Italy, was affected by an extraordinary Planktothrix rubescens bloom. P. rubescens is a filamentous potentially toxic cyanobacterium which has recently colonized many environments in Europe. A number of studies is currently available on the use of remote sensing techniques to monitor different fresh water cyanobacteria species. By contrast no specific applications are available on the remote sensing monitoring of P. rubescens. In this paper we present a specific algorithm, based on Water Leaving Reflectances (WLR) from MERIS data, atmospherically corrected using the Aerosol Optical Thickness (AOT) retrieved by MODIS data, to detect P. rubescens blooms. The high accuracy in AOT data, provided by MOD09 surface reflectance product, at 1km spatial resolution, allowed obtaining a good correlation between the WLR and the P. rubescens chlorophyll-a concentrations measured in the field, through multiple stations fluorometric profiles. A modified Normalized Difference Chlorophyll index (NDCI) algorithm is presented. The performance of the proposed algorithm has been successfully compared with other specific algorithms for turbid productive waters. We demonstrated how important is to verify the spectral behaviour of bio-optical parameters in order to develop an ad hoc algorithm that better performs with respect to standard algorithms.
An Econometric Analysis of ETF and ETF Futures in Financial and Energy Markets Using Generated Regressors
Authors: Chang Chia-Lin , McAleer Michael , Wang Chien-Hsun
Published: September 2017

It is well known that that there is an intrinsic link between the financial and energy sectors, which can be analyzed through their spillover effects, which are measures of how the shocks to returns in different assets affect each other’s subsequent volatility in both spot and futures markets. Financial derivatives, which are not only highly representative of the underlying indices, but can also be traded on both the spot and futures markets, include Exchange Traded Funds (ETFs), a tradable spot index whose aim is to replicate the return of an underlying benchmark index. When ETF futures are not available to examine spillover effects, “generated regressors” are useful for constructing both Financial ETF futures and Energy ETF futures. The purpose of the paper is to investigate the co-volatility spillovers within and across the US energy and financial sectors in both spot and futures markets, by using “generated regressors” and a multivariate conditional volatility model, namely Diagonal BEKK. The daily data used are from 1998/12/23 to 2016/4/22. The data set is analyzed in its entirety, and are also subdivided into three distinct subsets. The empirical results show there is a significant relationship between the Financial ETF and Energy ETF in the spot and futures markets. Therefore, financial and energy ETFs are suitable for constructing a financial portfolio from an optimal risk management perspective, and also for dynamic hedging purposes.
Novel Semi-parametric Algorithm for Interference-immune Tunable Absorption Spectroscopy Gas Sensing
Authors: Michelucci Umberto , Venturini Francesca
Published: September 2017

One of the most common limits to gas sensor performance is the presence of unwanted interference fringes or etalons arising, for example, from multiple reflections between surfaces in the optical path. Additionally, since the amplitude and the frequency of these interference depend on the distance and alignment of the optical elements, they are affected by temperature changes and mechanical disturbances, giving rise to a drift of the signal. In this work, we present a novel semi-parametric algorithm which allows the extraction of a signal, like the spectroscopic absorption line of a gas molecule, from a background containing arbitrary disturbances, without having to make any assumption on the functional form of these disturbances. The algorithm is applied first to simulated data and then to oxygen absorption measurements in presence of strong fringes.To the best of the authors' knowledge, the algorithm enables an unprecedented accuracy particularly if the fringes have a free spectral range and amplitude comparable to those of the signal to be detected. The described method presents the advantage of being based purely on post processing, and to be of extremely straightforward implementation if the functional form of the Fourier transform of the signal is known. Therefore it has the potential to enable interference-immune absorption spectroscopy. Finally, its relevance goes beyond absorption spectroscopy for gas sensing since it can be applied to any kind of spectroscopic data.
Estado de la 25-hidroxivitamina D sérica en niños sanos menores de 10 años del área metropolitana de Barranquilla
Authors: Acosta-Bendek Belle Marie , Sánchez-Majana Lucia Patricia , Fonseca-Galé Jennifer , Posada-Valencia Rocío , Rodríguez-Leyton Mylene , Sarmiento-Rubiano Luz Adriana
Published: September 2017

Objetivo. Evaluar los niveles séricos de 25-hidroxivitamina  D (25-OH-D) en niños sanos menores de 10 años del área metropolitana de Barranquilla (AMB). Material y métodos. Estudio descriptivo de corte transversal, que evaluó los niveles séricos de 25-OH-D en 360 niños del AMB en los años 2014-2015. Resultados. El valor promedio de 25-OH-D en la población estudiada fue 32.23±8.56 ng/mL; 46.38% de los niños tenía niveles de vitamina D considerados insuficientes (<30 ng/mL) y 3.05% mostro deficiencia (<20 ng/mL). Soledad y Puerto Colombia fueron los municipios con mayor población en esta condición. Conclusiones. Es necesario generar programas de  suplementación nutricional y fomentar estilos de vida que permitan, de forma segura, mejorar los niveles de vitamina D en la población.
Novel insights into the coagulation process for pharmaceutical wastewater treatment with fluorescence EEMs-PARAFAC
Authors: Gou Xiying , Zhang Panyue , Song Yonghui , Qian Feng , Yu Huibing , Zeng Guangming
Published: September 2017

In this study, coagulation process was applied to treat the effluent of pharmaceutical wastewater using polymeric ferric sulfate as a coagulant. Three-dimensional excitation-emission matrix fluorescence spectroscopy coupled with parallel factor analysis (EEMs-PARAFAC) was applied to investigate the fluorescent characteristics of dissolved organic matter (DOM) from pharmaceutical wastewater and the reduction of contaminant and fluorescent variations in the coagulation process. It shows that coagulation was effective to remove contaminants in the effluent of pharmaceutical wastewater, and the optimum coagulate dosage was 0.5 g/L, where the removal efficiency of total organic matter (TOC), UV254, turbidity and NH4+-N were achieved 44.2%, 43.3%, 87.0% and 10.27%, respectively. Five fluorescence components were identified by EEMs-PARAFAC, including one fulvic-like component (C1), one xenobiotic-like component (C2), two humic-like components (C3 and C5) and one protein-like component (C4); DOM of pharmaceutical wastewater was dominated by C3, C4 and C2. Under the optimum coagulation condition, the decreasing order of removal efficiencies was C5 (49.92%), C3 (40.95%), C4 (10.58%), C2 (9.68%) and C1 (5.05%). Principal component analysis (PCA) showed C3, C5 had remarkable correlations with TOC and UV254, suggesting that C3 and C5 may be a good indicator for the reduction of TOC and UV254. PCA indicated that the EEM-PARAFAC could be successfully applied to the evaluation of the coagulation efficiency for pharmaceutical wastewater treatment.
DO MULTICULTURALISMO AO INTERCULTURALISMO. UM NOVO MODO DE INCORPORAÇÃO DA DIVERSIDADE CULTURAL?
Authors: Oliveira Nuno
Published: September 2017

Neste texto pretendemos discutir o interculturalismo como novo modelo de acomodação da diversidade cultural. Defendemos que este é um paradigma concorrente ao multiculturalismo e que a discussão não deve ficar apenas pelos aspectos teóricos e normativos, mas antes integrar criticamente as formas práticas com que o interculturalismo organiza a diferença social. Argumentamos que tais formas configuram um modelo delineado segundo três vetores. Primeiro, a europeização, ou seja, a disseminação dos mesmos scripts pelas instituições imprimindo modos de fazer idênticos e uniformizadores. Segundo, o redimensionamento da escala do espaço de integração dos imigrantes do nacional para o local. Terceiro, o seu ajustamento às novas lógicas de governança urbana. Tais transformações produzem novas formas de visibilização para aquilo que surge como uma aceitação generalizada da pluralidade das pertenças no seio de um imaginário social presidido pela ideia de diversidade. Este é construído segundo um figurino específico que procuramos caracterizar neste texto, onde ressaltam as novas lógicas de desenvolvimento urbano, do papel da cultura e da centralidade do espaço local.
OBSERVANDO O LADO FEMININO DA MIGRAÇÃO: MULHERES BOLIVIANAS NA CIDADE DE SÃO PAULO
Authors: Santos Miriam Olivera , Mesquita Jacqueline Lobo
Published: September 2017

O presente artigo tem como objeto as imigrantes bolivianas na cidade de São Paulo, tomando como recorte temporal o período compreendido entre a segunda metade do século XX e os dias atuais, período esse em que a imigração boliviana para o Brasil se intensificou. O objetivo é refletir sobre as especificidades da migração feminina, analisando suas estratégias, tanto migratórias quanto de inserção e sobrevivência e suas necessidades específicas, utilizando as imigrantes bolivianas como referencial empírico. O trabalho justifica-se porque ainda hoje, os artigos sobre migração referem-se a um migrante genérico, presumivelmente homem, tornando as mulheres seres invisíveis que tem suas demandas de gênero subestimadas ou ignoradas. A metodologia utilizada neste trabalho foi a pesquisa etnográfica, com observação participante, utilizando também entrevistas aprofundadas, buscando perceber os detalhes, especificidades e anseios da trajetória migratória dessas mulheres, as entrevistadas foram contatadas através da técnica da “bola de neve” e para esse texto escolhemos alguns trechos das entrevistas mais significativas, mantendo-se o anonimato através de nomes fictícios. O trabalho de campo foi realizado na cidade de São Paulo de junho de 2014 até julho de 2015. O mapeamento realizado nos permitiu concluir que ao escutar essas mulheres pudemos perceber estratégias de inserção e sobrevivência que são específicas do gênero feminino, mas também necessidades e obstáculos que os homens não compartilham, comparando assim experiências migratórias minoritárias e hegemônicas, possibilitando demarcar com mais precisão a heterogeneidade das experiências migratórias e a percepção dos impactos que são causados pelas diferenças de gênero, geração, etnia, classe social etc.
Comparison of Composition and Anticaries Effect of Galla Chinensis Extracts with Different Isolation Methods
Authors: Huang Xuelian , Deng Meng , Liu Mingdong , Cheng Lei , Exterkate R.A.M. , Li Jiyao , Zhou Xuedong , Ten Cate Jacob. M.
Published: September 2017

Objectives:

Galla chinensiswater extract (GCE) has been demonstrated to inhibit dental caries by favorably shifting the demineralization/remineralization balance of enamel and inhibiting the biomass and acid formation of dental biofilm. The present study focused on the comparison of composition and anticaries effect ofGalla chinensisextracts with different isolation methods, aiming to improve the efficacy of caries prevention.

Methods:

The composition of water extract (GCE), ethanol extract (eGCE) and commercial tannic acid was compared. High performance liquid chromatography coupled to electrospray ionization-time of flight-mass spectrometry (HPLC-ESI-TOF-MS) analysis was used to analyze the main ingredients.In vitropH-cycling regime and polymicrobial biofilms model were used to assess the ability of differentGalla chinensisextracts to inhibit enamel demineralization, acid formation and biofilm formation.

Results:

All the GCE, eGCE and tannic acid contained a high level of total phenolics. HPLC-ESI-TOF-MS analysis showed that the main ingredients of GCE were gallic acid (GA), while eGCE mainly contained 4-7 galloylglucopyranoses (GGs) and tannic acid mainly contained 5-10 GGs. Furthermore, eGCE and tannic acid showed a better effect on inhibiting enamel demineralization, acid formation and biofilm formation compared to GCE.

Conclusions:

Galla chinensisextracts with higher tannin content were suggested to have higher potential to prevent dental caries.
Multidirectional Instability: Natural History and Evaluation
Authors: Navlet Miguel García , Asenjo-Gismero Cristina Victoria
Published: September 2017

Background:

Multidirectional instability (MDI) represents a great challenge to the orthopedic surgeon. When treating these patients we must be aware that instability refers to a symptomatic situation, thus multidirectional instability is defined as symptomatic involuntary instability in two or more directions, and should be clearly differentiated from asymptomatic hyperlaxity.

It may be associated with hyperlaxity, either congenital or acquired following repetitive stress, but also may be present without hyperlaxity, which is rare.

Methods:

We searched in the online data bases and reviewed the relevant published literature available.

Results:

Many differences can be seen in the current literature when identifying these patients, unclear definitions and criteria to be included in this patient group are common.

Conclusion:

Understanding the complex shoulder biomechanics as well as being aware of the typical clinical features and the key examination signs, which we review in this article, is of paramount importance in order to identify and classify these patients, allowing the best treatment option to be offered to each patient.
Controversies in the Surgical Management of Shoulder Instability: Open vs Arthroscopic Procedures
Authors: Huerta Alejandro , Rincón Gustavo , Peidro Lluis , Combalia Andreu , Sastre Sergi
Published: September 2017

Background:

Traumatic anterior instability of the shoulder is a common condition associated with a high recurrence rate in young adults. Operative treatment reduces the risk of recurrence. Several studies have compared arthroscopic and open shoulder instability repair. The purpose of this paper is to perform a review of the literature where both techniques are compared in the repair of the anterior shoulder instability without bone loss.

Methods:

Prior to arthroscopy, recurrent dislocations were managed by open repair. There have been many studies documenting low recurrence rates after open Bankart stabilization.

Initially, arthroscopic fixation reported high failure rates.

Results:

In the last 20 years, the development of arthroscopic stabilization for recurrent anterior instability has improved failure rates. In comparison with open techniques, arthroscopic procedures have the advantages of decreased morbidity rate, early functional rehabilitation and improved range of motion.

Conclusion:

The available evidence does not show a statistically significant difference in outcome measures between arthroscopic and open repair for the treatment of recurrent anterior shoulder instability. Given the similar results between the 2 groups, differences in length of hospital stay and cost to the patient and society point to arthroscopic repair as the more judicious treatment approach.
Arthroscopic Soft Tissue Procedures for Anterior Shoulder Instability
Authors: Brown Mathew , Wallace Andrew , Lachlan Andrew , Alexander Susan
Published: September 2017

Background:

Arthroscopy has rapidly transformed the treatment of anterior shoulder instability over the past 30 years. Development of arthroscopic equipment has permitted the investigation and diagnosis of the unstable shoulder, and fixation methods have evolved to promote arthroscopy from an experimental procedure to one of first-line mainstream treatment.

Methods:

Key research papers were reviewed to identify the fundamental principles in patient diagnosis and appropriate selection for arthroscopic treatment. The evolution of arthroscopy is described in this article to facilitate the understanding of current treatment.

Results:

Accurate diagnosis of the shoulder instability subtype is essential prior to selection for surgery. Different surgical techniques are described to address different pathology within the glenohumeral joint related to instability and the appropriate method should be selected accordingly to optimise outcome.

Conclusion:

Anterior shoulder instability can be treated successfully using arthroscopic surgery, but the surgeon must treat each patient as an individual case and recognise the different subtypes of instability, the associated pathological lesions and the limitations of arthroscopy. The article concludes with a suggested algorithm for the treatment of anterior shoulder instability.
Controversies in the Management of the First Time Shoulder Dislocation
Authors: Avila Lafuente José Luis , Moros Marco Santos , García Pequerul José Manuel
Published: September 2017

Background:

Traditionally, initial management of first anterior shoulder dislocations consists of reduction of the glenohumeral joint followed by a period of immobilization and subsequent physical therapy to recover shoulder range of motion and strength. This traditional approach in management is now controversial due to the high rate of recurrence. The aim of this paper is to review and discuss the literature about the global management of patients presenting with first-time traumatic anterior glenohumeral dislocation, analyzing the factors that affect shoulder instability after the first episode of dislocation.

Methods:

Scientific publications about the management of first-time shoulder dislocations are reviewed. Pubmed is used for that and no limit in the year of publication are stablished. These papers and their conclusions are discussed.

Results:

Younger patients, patient´s activities and the kind of injury are the most important factors related to the shoulder instability after a first time traumatic dislocation. Authors that recommend surgical treatment after the first episode of dislocation argue that the possibilities of recurrence are high and therefore surgery should be performed before its occurrence. Other authors, however, argue that surgical treatment is demanding, and keep in mind that complications, such as recurrence, stiffness and pain after surgery, are still present.

Conclusion:

Currently, there is still no consensus in the literature with regard to the management of first episode of shoulder dislocation. It is necessary to analyze carefully every individual case to manage them more or less aggressive to obtain the best result in our practice.
Medial Patellofemoral Ligament Reconstruction Using the Hamstring Tendon for Patellofemoral Joint Instability in an 81-Year-Old Female
Authors: Takahashi Tsuneari , Takeshita Katsushi
Published: September 2017

Introduction:

Chronic patellofemoral instability occurs mainly in adolescent females and can also be induced by medial patellofemoral ligament (MPFL) injury. There are no case reports of MPFL reconstruction for chronic patellofemoral instability due to MPFL injury in aged populations.

Case Presentation:

81-year-old female presented with left knee pain, giving way, and patellar instability while climbing stairs, which continued for 18 months. Patellar apprehension test was positive, and roentgenogram showed lateral patellar subluxation. Conservative therapy was not successful; hence, we performed a lateral release and MPFL reconstruction surgery.

Operative Procedure:

After arthroscopic lateral release, the hamstring tendon was harvested, and a graft composite made of doubled hamstring tendon and polyester tape with a suspensory fixation device was prepared. Then, a femoral bone tunnel was constructed in a socket shape at the anatomical footprint of the MPFL. The graft was passed through the femoral tunnel, and free ends of the graft composite were sutured to the periosteum of the patella, using two suture anchors at 60° of knee flexion with patellar reduction. Physiotherapy was gradually started using a patella-stabilizing orthosis on the first postoperative day. Her Kujala score improved from 66 to 97 points, and Barthel index score improved from 70 to 100 points at 1 year after surgery. She neither developed patellofemoral joint OA nor had any recurrence of symptoms at the 5-year postoperative follow up.

Conclusion

MPFL reconstruction using the hamstring tendon is an effective procedure for patients with chronic patellofemoral instability even after the age of 80 years.
The Contribution of Stress Management and Good Employee Performance Towards the Success of a Company
Authors: Soegoto Eddy Soeryanto , Narimawati Umi
Published: September 2017

Introduction:

Today, factors which drive a company’s success are basically workers’ personality and one of the factors affecting work is self-management, which includes stress management. It is this factor which can later influence the performance of a worker within a company.

Aims:

In this case, the present study aimed to examine the contribution of personal stress management to an employee’s performance and how such influence may affect a company’s success. The main focus of this study was to evaluate stress management and its effect on employees’ performance. This study took place in Bandung at organization X and we applied a descriptive survey method as the most appropriate means of the study. The participants were purposively selected comprising 34 employees.

Conclusion:

The results revealed that there are many stress factors employees endure though they don’t significantly affect performance, but still influence most of their decisions to leave the company due to continuous dissatisfaction. It is therefore recommended that such a company should establish a most appropriate strategy to prevent stress within its employees.
Comparison of Polypropylene Sling with Combined Transconjunctival Retractor Plication and Lateral Tarsal Strip for Correction of Involutional Lower Eye Lid Ectropion
Authors: Goel Ruchi , Sanoria Abhilasha , Kumar Sushil , Arya Deepanjali , Nagpal Smriti , Rathie Neha
Published: September 2017

Purpose:

The study aims to compare the effectiveness and complications of transconjunctival retractor plication (TRP) with lateral tarsal strip (LTS) and the polypropylene sling (PS) surgery for treatment of involutional lower lid ectropion.

Method:

A prospective randomised pilot study was conducted on 30 eyes of 30 patients suffering from epiphora having horizontal eyelid laxity >6mm and age >50 years at a tertiary care centre from December 2014 to March 2015. They were randomly divided into two equal groups for TRP with LTS (group A) and PS (group B). Success was defined as relief in epiphora and lid laxity ≤4mm at 12 months post operatively.

Result:

There were 19 male and 11 female patients with age ranging from 55-80 years. The mean grade of ectropion was 2.80±1.32 in group A and 2.87±1.60 in group B. The preoperative horizontal laxity increased with the grade of ectropion (p <0.001) while medial canthal laxity was variable. The average surgical time per procedure in group A was 66 minutes and in group B was 24 minutes. Group A had a success rate of 93.33%, while group B had a success rate of 87%. Post-operative complications occurred in 2 eyes in group B only.

Conclusion:

Both LTS with TRP and PS are effective in the management of involutional ectropion. LTS with TRP though more invasive has higher success rates and a lower incidence of complications as compared to PS. However, PS is an easy to perform out- patient procedure that is faster and better tolerated in old patients.
Norwegian Football Academy Players – Player´S Self-Assessed Skills, Stress and Coach-Athlete Relationship
Authors: Sæther Stig Arve , Aspvik Nils Petter , Høigaard Rune
Published: September 2017

Background:

Being part of a football academy environment is associated with many advantages. Even so, academy players will also encounter a range of personal and interpersonal challenges that might affect their development, including stress and the coach-athlete relationship.

Objective:

This study’s purpose was to investigate how football academy players assessed their own skills compared to their teammates, and how this is associated with perceived stressors and their perceived relationship with their coach.

Method:

Participants (N= 122) represented 3 football academies (12-19 years old). Instruments used were CART-Q and a modified version of the Adolescent Stress Questionnaire.

Results:

The results showed that the players with high-perceived skill reported a higher amount of self-organized training, more playing time, and a lower level of performance stress compared to the low perceived skill players. The results also indicate that the players perceived they had a close coach-athlete relationship and a low level of stress.

Conclusion:

The results suggest that low perceived skill players should receive equitable focus from coaches, especially related to their performance stress.
Comparison between the Material Improvement of the Megarok and San José Quarries, Applying the AASTHO Standards
Authors: Zambrano María Isabel , Véliz Edwin Alexander Rodríguez , Ormaza Gema Flores , Laz Gabriel Linzan
Published: September 2017

Comparative analyzes were carried out between the materials of the Magarok and San José quarries, taking into account AASTHO standards with the objective of being used as a base / sub-base in the pavement structure. The asphalt emulsion material was stabilized to increase the strength and give the material sub-base and / or base characteristics, with a suitable mixing design, obtaining results with suitable characteristics to be used in the pavement structure composed of a 65 % Asphalt AC 20; 34.30% water and 0.70% ASFIER 121 emulsions, with good resistance to the stability of the materials.