bluuebunny/crossref_metadata_2025 huggingface dataset:
Prospective Evaluation of the Relationship Between Mechanical Stability and Response to Palliative Radiotherapy for Symptomatic Spinal Metastases
Authors: van der Velden Joanne M. , Versteeg Anne L. , Verkooijen Helena M. , Fisher Charles G. , Chow Edward , Oner F. Cumhur , van Vulpen Marco , Weir Lorna , Verlaan Jorrit-Jan
Published: May 2017

Background

A substantial number of patients with spinal metastases experience no treatment effect from palliative radiotherapy. Mechanical spinal instability, due to metastatic disease, could be associated with failed pain control following radiotherapy. This study investigates the relationship between the degree of spinal instability, as defined by the Spinal Instability Neoplastic Score (SINS), and response to radiotherapy in patients with symptomatic spinal metastases in a multi-institutional cohort.

Methods and Materials

The SINS of 155 patients with painful thoracic, lumbar, or lumbosacral metastases from two tertiary hospitals was calculated using images from radiotherapy planning CT scans. Patient-reported pain response, available for 124 patients, was prospectively assessed. Pain response was categorized, according to international guidelines, as complete, partial, indeterminate, or progression of pain. The association between SINS and pain response was estimated by multivariable logistic regression analysis, correcting for predetermined clinical variables.

Results

Of the 124 patients, 16 patients experienced a complete response and 65 patients experienced a partial response. Spinal Instability Neoplastic Score was associated with a complete pain response (adjusted odds-radio [ORadj] 0.78; 95% confidence interval [CI] 0.62–0.98), but not with an overall pain response (ORadj 0.94; 95% CI 0.81–1.10).

Conclusions

A lower SINS, indicating spinal stability, is associated with a complete pain response to radiotherapy. This supports the hypothesis that pain resulting from mechanical spinal instability responds less well to radiotherapy compared with pain from local tumor activity. No association could be determined between SINS and an overall pain response, which might indicate that this referral tool is not yet optimal for prediction of treatment outcome.
Payment for Ecosystem Services
Authors: Benjamin Antonio Herman
Published: May 2017

This address focuses on the legislative design for payment or ecosystem services (PES) since most countries do not have specific legislation that addresses the subject. Brazil is in the process of drafting national legislation on ecosystem services and there are several important issues that can be learnt from this experience.
Oratio: Address to Commemorate the 2013 Martin Luther King Day at the Law Faculty, University of Michigan
Authors: Govender Karthy
Published: May 2017

The paper commences by considering the similarity between Dr King, MK Gandhi and Nelson Mandela and argues that they are high mimetic figures who inspire us to be better. Their legacy and memory operate as a yardstick by which we can evaluate the conduct of those exercising public and private power over us. Each remains dominant in his respective society decades after passing on or leaving public life, and the paper suggests that very little societal value is had by deconstructing their lives and judging facets of their lives through the prism of latter day morality. We gain more by leaving their high mimetic status undisturbed. 

 

There is a clear link between their various struggles with King being heavily influenced by the writings and thinking of Gandhi, who commenced his career as a liberation activist in South Africa. King was instrumental in commencing the discourse on economic sanctions to force the Apartheid government to change and the Indian government had a long and committed relationship with the ANC.

 

The second half of the paper turns to an analysis of how Dr King's legacy impacted directly and indirectly on developments in South Africa.  One of the key objectives of the Civil Rights movement in the USA was to attain substantive equality and to improve the quality of life of all. The paper then turns to assessing the extent to which democratic South Africa has achieved these objectives and concludes that the picture is mixed. Important pioneering changes such as enabling gays and lesbians to marry have taught important lessons about taking rights seriously. However, despite important advancements, neither poverty nor inequality has been appreciably reduced. One of the major failures has been the inability to provide appropriate, effective and relevant education to African children in public schools. Effectively educating previously disadvantaged persons represents one of the few means at our disposal of reducing inequality and breaking the cycle of poverty.  Fortunately, there is a general awareness in the country that something needs to be done about this crisis urgently. The paper notes comments by President Zuma that the level of wealth in white households is six times that of black households. The critique is that comments of this nature do not demonstrate an acknowledgment by the ANC that, after 19 years in power, they must also accept responsibility for statistics such as this.
The Impact of the National Credit Act 34 of 2005 on the Enforcement of a Mortgage Bond: Sebola v Standard Bank of South Africa Ltd 2012 5 SA 142 (CC)
Authors: Fuchs Michelle MM
Published: May 2017

When a mortgagor is in default and the mortgagee wants to enforce the debt the National Credit Act (hereafter the NCA) may apply. A credit agreement may be enforced in court by a credit provider against a defaulting debtor only once the requirements of sections 129 and 130 of the NCA have been adhered to. If a mortgagor (who is a protected consumer in terms of the NCA) is in default, the mortgagee must deliver a section 129(1) notice to the consumer, thereby drawing the default to the attention of the consumer. For a number of years there has been uncertainty about the interpretation of section 129(1) and how it affects the execution procedure in the case of a mortgage bond over immovable property. The recent Constitutional Court judgment of Sebola v Standard Bank 2012 5 SA 142 (CC) overturns, to my mind, the more reasonable approach to such notices in Rossouw v Firstrand Bank Ltd (2010 6 SA 439 (SCA)). It was held in Sebola that before instituting action against a defaulting consumer, a credit provider must provide proof to the court that a section 129(1) notice of default (i) has been despatched to the consumer's chosen address and (ii) that the notice reached the appropriate post office for delivery to the consumer, thereby coming to the attention of the consumer.  In practical terms the credit provider must obtain a post-dispatch "track and trace" print-out from the website of the South African Post Office. There is now a much heavier burden on a bank to ensure that proper proof is provided that the notice was sent and delivered to the correct address. Consequently it places another hurdle in the path of a mortgagee who wishes to foreclose.
Editorial
Authors: Rautenbach Christa
Published: May 2017

The third issue of 2013 contains 12 contributions ranging from two orationes, nine articles and one note. The first oratio is an address delivered by Karthy Govender at the Law Faculty, University of Michigan, to commemorate the 2013 Martin Luther King Day at the Law Faculty, University of Michigan. He draws parallels between King, Ghandhi and Mandela and discusses the influence they all had in the development of South Africa into a democratic state. In the second oratio Mike van Graan airs his views on the Revised White Paper on Arts, Culture and Heritage of 2013, published by the Department of Arts and Culture. His main concern is the haste in which the white paper is being taken through the process, and he cautions against the adoption of a far-reaching policy which has not been thoroughly considered
Farmacoterapéutica de la anticoagulación. Revisión de la literatura
Authors: Posada-López Andrés Felipe , García C., Julio César , Pacheco P. Tatiana , Arias V. Sara
Published: May 2017

La terapia anticoagulante tiene múltiples indicaciones en diversos contextos; va más allá de la prevención de la formación de trombos o su propagación y tiene como objetivo final mejorar la calidad de vida de los pacientes. En efecto, la anticoagulación se hace relevante en diversas situaciones clínicas que abarcan desde enfermedades crónicas hasta patologías quirúrgicas y situaciones especiales (obesidad, enfermedad renal crónica, trauma, cáncer) para evitar desenlaces adversos, tales como el tromboembolismo venoso, los estados hipercoagulables, el síndrome coronario agudo, la fibrilación y el aleteo (flutter) auricular, entre otros. En este sentido, la comprensión adecuada y la formulación de dosis óptimas de anticoagulantes recobran especial importancia. El objetivo de este trabajo fue revisar la evidencia proveniente de estudios clínicos sobre el papel de los principales anticoagulantes orales y parenterales en el contexto de los pacientes con indicación de anticoagulación por antecedentes patológicos, quirúrgicos y en situaciones especiales como las mencionadas. Existen diversos conceptos y recomendaciones sobre la profilaxis y el tratamiento anticoagulante en indicaciones habituales; sin embargo, se debe establecer un consenso de anticoagulación en situaciones especiales que se presentan en la práctica clínica diaria.

 
Dimensionamiento de embalses para fincas en Colombia usando como herramienta los modelos de elevación digital
Authors: Forero Buitrago Gonzalo Alberto
Published: May 2017

Los modelos de elevación digital o DEM (Digital elevation model), contienen información de elevación de terreno, que puede usarse para
visualizar el flujo del agua para diferentes usos en la ingeniería, el presente texto se basa en su uso para sistemas agropecuarios, con el fin de adaptar las condiciones de la tierra, a la necesidad del proyecto en cuanto a disponibilidad de agua, controlando el exceso o escasez mediante obras hidráulicas con técnicas sostenibles.

El correcto análisis y dimensionamiento de estructuras hidráulicas, con técnicas de uso racional de agua lluvia como el (diseño en línea clave), da como resultado canales, embalses y subdrenes, que adaptan sosteniblemente la tierra, para las necesidades de un determinado proyecto.

El uso del almacenamiento adecuado de agua lluvia se optimiza para la producción alimentaria si se establecen sistemas integrados de producción agropecuaria, sistemas que ordenan el funcionamiento de los organismos naturales a fin de maximizar la producción por unidad de área sin el uso de agroquímicos, llamados (VAC) systems o “Vuon, ao, chuong” en el idioma de Vietnam, que significa jardín, estanque, aves de corral integrados en un solo sistema productivo sostenible.
A Salon for Facilitators of Re-Igniting the Spirit of Caring
Authors: Van Dyke Cheyanne , Grohosky Donal , Tayarani Melissa , Pak Theresa
Published: May 2017

Four nurses from University of California Davis Medical Center, facilitators of the Re-Igniting the Spirit of Caring curriculum that engages, grounds, renews, and unifies staff from all disciplines within health care organizations, traveled to Minnesota for recertification, and attended a Nursing Salon at “the home of the master,” Marie Manthey. They experienced the progress from superficial chat to deeper, heartfelt conversations— being present with each other and collectively held by peers.
Bridging the Policy/Clinical Practice Divide: A Conversation with Parmeeth M. S. Atwal, JD, MSN, RN, MPH, FNP
Authors: Manthey Marie
Published: May 2017

Marie Manthey, founder of Creative Health Care Management, interviews Parmeeth “Par” Atwal, whose first career included representing the National Association of Community Health Centers as an attorney, editor of a major health policy journal, and a senior position in the Office of the National Coordinator for Health Information Technology at the U.S. Department of Health and Human Services. He then became an active participant in the health care system, earning a bachelor of science in nursing, working in cardiac critical care, and now becoming a family nurse practitioner. He shares his perspective on the divide between health care policy and regulation, and the delivery of direct patient care.
Intensive EMDR to Treat Patients With Complex Posttraumatic Stress Disorder: A Case Series
Authors: Bongaerts Hannelies , Van Minnen Agnes , de Jongh Ad
Published: May 2017

There is mounting evidence suggesting that by increasing the frequency of treatment sessions, posttraumatic stress disorder (PTSD) treatment outcomes significantly improve. As part of an ongoing research project, this study examined the safety and effectiveness of intensive eye movement desensitization and reprocessing (EMDR) therapy in a group of seven (four female) patients suffering from complex PTSD and multiple comorbidities resulting from childhood sexual abuse, physical abuse, and/or work and combat-related trauma. Treatment was not preceded by a preparation phase and consisted of 2 × 4 consecutive days of EMDR therapy administered in morning and afternoon sessions of 90 minutes each, interspersed with intensive physical activity and psychoeducation. Outcome measures were the Clinician-Administered PTSD Scale (CAPS) and the PTSD Symptom Scale Self-report questionnaire (PSS-SR). During treatment, neither personal adverse events nor dropout occurred. CAPS scores decreased significantly from pre- to posttreatment, and four of the seven patients lost their PTSD diagnosis as established with the CAPS. The results were maintained at 3-month follow-up. Effect sizes (Cohen’s d) on the CAPS and PSS-SR were large: 3.2, 1.7 (prepost) and 2.3, 2.1 (prefollow-up), respectively. The results of this case series suggest that an intensive program using EMDR therapy is a potentially safe and effective treatment alternative for complex PTSD. The application of massed, consecutive days of treatments using EMDR therapy for patients suffering from PTSD, particularly those with multiple comorbidities, merits more clinical and research attention.
Effects of Hedging Foreign Exchange Risk on Financial Performance of Non-Banking Companies Listed at the Nairobi Securities Exchange
Authors: Nzioka Onesmus Mutunga , Maseki Faith M.
Published: May 2017

The general objective of this study was to establish the effects ofhedging foreign exchange risk on financial performance of non-bankingcompanies listed at the Nairobi securities exchange. A descriptive researchdesign was adopted on the target population of 49 non-banking firms listed atthe NSE. Primary data collected using a questionnaire was used containingboth open and close ended questions. Data was analyzed using SPSS togenerate descriptive statistics such as percentages, frequency distribution,measures of central tendencies (mean) and the data was presented in tables.The study conducted multiple regression analysis to establish the extent towhich the hedging techniques affected firm’s performance. The resultsshowed that, taking all factors into account (internal hedging techniques,external hedging technique, inflation and interest rates) performance of nonfinancialfirms would be 0.564. The findings presented further indicated thatinternal hedging had the greatest effect on the firm performance (β = 0.551),Inflation (β = 0.322), External hedging (β = 0.133 while interest rate (β =0.024) had the least effect to the firms performance. However, all thevariables were significant (p<0.05). Hedging techniques affected firm’sperformance i.e. profitability, sales revenue and the cash flow and liquidityposition of the firm. The internal techniques were more effective on theperformance than the external techniques. The four independent variablesstudied accounted for 75.5% of the variations in non-banking firms’performance as represented by the adjusted R2. This therefore means the fourvariables contribute to 75.5% of performance, while other factors not studiedin this research contributes 24.5%. The study recommends that, firmsdevelop a robust foreign exchange risk management framework whichclearly shows its currency risk assessment procedure and implementation of currency risk management strategies. It also recommends that the variousaspects of firm’s financial performance be taken into consideration beforeadopting a particular technique to hedge to protect cash flow, liquidity,profitability and sales revenue.
Prévalence de Stephanurus dentatus chez le cochon féral (Sus scrofa) en Nouvelle-Calédonie
Authors: Cauquil L. , Barrière P. , Hüe T.
Published: May 2017

La stéphanurose du porc est une infestation des reins et de la région périrénale par un ver parasite, Stephanurus dentatus. Une enquête sur des cochons féraux (Sus scrofa) abattus au cours d’opérations de régulation ou de chasse entre mars 2012 et décembre 2013 en Nouvelle-Calédonie a permis d’estimer la prévalence de cette parasitose. En considérant l’ensemble des animaux chez lesquels ce parasite a été observé soit dans le foie, soit dans le rein, soit dans la graisse périrénale, sur les 70 cochons sauvages abattus, 45 (soit 64,3 p. 100) étaient infestés par S. dentatus. Aucune différence significative n’a été observée entre le portage des mâles et des femelles, ni entre les animaux de moins d’un an et ceux de plus d’un an. En revanche, chez les plus jeunes, les parasites se trouvaient préférentiellement dans le foie alors que chez les animaux plus âgés, ils étaient surtout présents dans la sphère rénale. Aucune variation saisonnière de la prévalence d’infestation n’a été observée et cette parasitose a été présente sur la majeure partie du territoire étudié.
Traitements à base de progestagènes ou de mélatonine combinés à l’effet bélier chez la brebis Ouled-Djellal au printemps
Authors: Moumene A. , Khammar F. , Miroud K. , Seboussi R. , Guedaoura S. , Bister J. L.
Published: May 2017

Pour comparer l’effet de traitements hormonaux à base de mélatonine à ceux à base de progestatifs et d’hormone chorionique gonadotrope équine (eCG) sur l’amélioration des performances reproductives de la race ovine Ouled- Djellal, 829 brebis réparties sur quatre exploitations (A, B, C et D ; respectivement n = 248, 351, 100 et 80) ont été suivies de mars à octobre 2008. Dans l’exploitation B, les progestagènes ont eu un effet améliorateur, avec une fertilité de 92,3 p. 100 pour le traitement avec les éponges vaginales à l’acétate de médroxyprogestérone (MAP) + eCG 400 UI, et de 84,1 p. 100 pour le traitement avec les éponges vaginales à l’acétate de fluorogestone (FGA) + eCG 500 UI, au lieu de 23,2 p. 100 chez les témoins. Les taux de fertilité obtenus dans les exploitations A et C avec les implants de mélatonine après la première saillie ont été significativement moins importants que ceux des lots traités avec les progestagènes et eCG (A : 40,9 vs 79,9 p. 100 ; C : 24 vs 70 p. 100). Le taux de fertilité obtenu avec les implants de mélatonine dans l’exploitation A après la première saillie a été plus élevé (40,9 p. 100) que celui obtenu dans les exploitations C (24 p. 100) et D (17,5 p. 100). Dans l’exploitation D les implants de mélatonine ont amélioré la fertilité totale par rapport au lot témoin (55,0 vs 17,5 p. 100). La prolificité à la première saillie a été améliorée par le traitement MAP + eCG 400 UI dans les exploitations A (1,30) et B (1,70), alors que les traitements FGA + eCG 500 UI et avec implant de mélatonine n’ont pas eu d’effet sur la prolificité. La mélatonine associée à l’effet bélier et utilisée précocement a donné de bons résultats, de l’ordre de ceux obtenus avec les progestagènes.
Pathology and colonization of internal organs after experimental infection of broiler chickens with Salmonella Gallinarum through oral or intraperitoneal routes
Authors: Nazir S. , Kamil S. A. , Riyaz A. , Mir M. S. , Darzi M. M. , Yasine A. , Goudar K. S.
Published: May 2017

This paper describes pathological changes and the frequency of isolation of Salmonella enterica subsp. enterica serovar Gallinarum (O: 9, 12) from internal organs in broiler chicks experimentally infected through oral or intraperitoneal routes. The experiment was conducted on 110 one-week-old chicks divided into three groups: the CR group (30 chicks) was kept uninfected and served as control, the OR group (40 chicks) was inoculated orally with Salmonella Gallinarum (109 organisms/ml), and the IP group (40 chicks) was infected intraperitoneally with Salmonella Gallinarum (109 organisms/ml). Three birds from each group (dead or sacrificed) were observed at 3, 5, 7, 14, 21, 28, 35, and 42 days postinfection for evaluation of gross and histopathological changes in visceral organs, and for frequency of isolation of Salmonella Gallinarum from internal organs. Gross and histopathological changes were compared between infected groups by measuring mean lesion scores. The gross and histopathological changes in visceral organs, although similar in both infected groups, were more severe and observed at earlier stages of infection and in more birds in the IP group. There was however no significantdifference between the two infected groups in the frequency of isolation of Salmonella Gallinarum from internal organs, even in fecal sheddings. It was therefore concluded that the intraperitoneal route should be primarily considered for inducing Salmonella Gallinarum infection in experimental trials.
Sécurisation des flux d’approvisionnement en matières premières et de mise en marché des produits dans le secteur avicole : cas de la filière œufs au Bénin
Authors: Batonon-Alavo Dolores I. , Bastianelli Denis , Chrysostome Christophe A.A.M. , Duteurtre Guillaume , Lescoat Philippe
Published: May 2017

Dans un contexte d’augmentation mondiale de la demande en produits avicoles et de fluctuation des prix de matières premières, il est intéressant de comprendre les dynamiques de structuration d’une filière avicole tropicale et les stratégies mises en place par les acteurs pour sécuriser leurs approvisionnements et leurs marchés. Cette étude présente le cas de la filière oeufs béninoise. Des entretiens semi-dirigés ont été réalisés auprès d’éleveurs de poules pondeuses et d’acteurs de l’amont, de l’aval et des structures d’appui et de régulation de la filière. Ces entretiens ont permis de mieux comprendre son organisation et son fonction­nement. Les résultats ont montré qu’en amont la production d’oeufs au Bénin est dépendante des fluctuations de prix et de la faible disponibilité des matières premières sur les marchés domestiques pour l’alimentation des animaux. En aval, les éleveurs et commerçants sont confrontés à une irrégularité des besoins des consommateurs déconnectée des cycles de production. Plusieurs stratégies ont été adoptées par les différents acteurs en termes d’approvisionnement en animaux vivants et d’écoulement des oeufs via des circuits parallèles ou infor­mels. Toutefois l’amélioration de la productivité ne peut être garantie que si les débouchés sont maîtrisés. La création d’une centrale d’achat et de distribution des oeufs pourrait favoriser un approvisionnement continu et équilibré des mar­chés, mais les mécanismes sous-jacents sont à déterminer. Les résultats de cette étude soulignent l’intérêt des systèmes d’alimentation alternatifs offrant plus de souplesse dans les types d’exploitations identifiés.
L'élevage intégré dans le développement local: perspective fonctionnelle pour diminuer la vulnérabilité dans les communautés rurales
Authors: Tourrand Jean-François , Waquil Paulo D. , Sraïri Mohamed Taher , Hubert Bernard
Published: May 2017

Voir le texte de l'éditorial en anglais
Extensive livestock farming in Morocco: From marginal territories to major social and environmental roles
Authors: Sraïri Mohamed Taher
Published: May 2017

Recent developments in the supply of animal products in Morocco revealed a sharp decline of the contribution of extensive livestock farming systems. In a con­text of marked demographic expansion (from 15.3 to 32.9 million inhabitants from 1956 to 2013) associated to rapid urbanization (almost 60% of the pop­ulation lives in urban centers), consumption habits have changed. There has been a shift from a patriarchal structure of the society, which meant that meals were consumed at home, to more individualistic behaviors. As a consequence, the nature of animal products consumed by large sections of the population has notably changed. Dairy and poultry products appear to be most suited to these changes, as they can easily be used in fast-food preparations. On another hand, the consumption of beef and mutton from extensive systems has been stagnating. Extensive livestock systems, however, still use many fibrous feeds, from rangeland resources to cereal by-products. Traditionally, this has enabled them to ensure strategic functions such as the regional development of marginal areas, natural resource management, efficient water productivity through livestock products in a country experiencing acute water scarcity, and the creation of wealth and job opportunities. The shift of interest from these systems to more intensive ones raises many questions. It puts tremendous pressure on natural resources in areas of intensive production. In addition, the supply of animal products has become highly fragile as it depends on imported inputs, from animal genes to feeds (e.g. soya and maize for poultry). These changes mean that more attention should be given to extensive livestock production systems, as they promote a greener way of production and enhance large rural areas. These systems will hold a strategic position in the near future, when the time comes to face issues such as sustaina­bility of the animal protein supply and natural resource preservation, and to bal­ance the development of the various regions of the country.
Rethinking the role of sheep in the local development of Patagonia, Argentina
Authors: Coronato Fernando , Fasioli Enzo , Schweitzer Alejandro , Tourrand Jean-François
Published: May 2017

Patagonia has the world’s southernmost rangelands, which are among the last to be dedicated to farming. Commercial sheep herding in the area only started 100–120 years ago and thrived until the 1930 world crisis, triggering the rapid colonization of grasslands of diverse productivity. Besides this agronomic diver­sity, natural hazards such as droughts or heavy snowfalls associated with the vagaries of economic policies have always made sheep farming in Patagonia a very uncertain activity. Consequently, sheep gradually lost ground as the lead­ing socio-economic activity to oil and gas production, fishing, and lately tour­ism. Things worsened during the last quarter of the 20th century to the point where the contribution of agriculture to the regional gross domestic product is today less than 5%. However, sheep farming is the only activity that ensures the occupation, even sparse, of the region and, owing to its pioneer character, it still plays a major part in Patagonian identity. Thus, we believe that mutton and wool production still have a role to play in the future of the region, although we argue that this issue would take the form of one of three scenarios that we termed “laissez-faire”, “park” and “sheep” according to the intensity of the deci­sion involved and the funding required. The three scenarios could eventually coexist but long-term sustainability would have the last word.
Bisalbuminémia: Uma Variante Rara da Albumina
Authors: Garcez Carla , Carvalho Susana
Published: May 2017

Introdução: A bisalbuminémia é uma alteração qualitativa da albumina e define-se pela coexistência no mesmo indivíduo de dois tipos de albumina sérica com mobilidade eletroforética diferente. Existem duas formas: hereditária e permanente ou adquirida e transitória.Caso Clínico: Adolescente, sexo feminino, 17 anos, referenciada à consulta hospitalar por achado incidental de bisalbuminémia detetada na eletroforese de proteínas plasmáticas, realizada em contexto de noção de diminuição da força dos membros inferiores. O exame objetivo não apresentava alterações. Foi excluída causa secundária de bisalbuminémia. Posteriormente, confirmou-se a mesma alteração em eletroforese de proteínas plasmáticas realizada ao irmão de 14 anos e à mãe.Discussão: Descrevemos um caso raro de bisalbuminémia hereditária numa família portuguesa. Em geral não apresenta significado patológico, no entanto tem interesse para o clínico o conhecimento desta alteração analítica para melhor orientar e esclarecer os seus doentes.
Intragastric Penetration of the Connecting Tube After Laparoscopic Adjustable Gastric Banding
Authors: Costa Samuel , Machado Artur , Gonçalves Bruno , Maia da Costa José , Gonçalves Raquel
Published: May 2017

N/a.
A Crise Económica em Médicos do Serviço Nacional de Saúde: Estudo Descritivo das Suas Perceções e Reações em Unidades de Saúde na Região da Grande Lisboa
Authors: Rego Inês , Russo Giuliano , Gonçalves Luzia , Perelman Julian , Pita Barros Pedro
Published: May 2017

Introdução: Na Europa, a evidência sobre o impacto da crise económica nos médicos ainda é escassa. Este estudo explora perceções, opiniões e estratégias de adaptação à crise económica por parte de médicos do setor público na área da Grande Lisboa em Portugal.Material e Métodos: Um inquérito foi aplicado a 484 médicos, selecionados aleatoriamente, no Hospital de São José de Lisboa (n = 302) e nos agrupamentos de centros de saúde primários de Cascais (n = 96) e Amadora (n = 86). Este trabalho baseia-se na análise estatística descritiva das respostas dadas pelos médicos inquiridos sobre as suas perceções do impacto da crise económica no mercado de serviços médicos (n = 484), das mudanças introduzidas no seu trabalho nos setores público (n = 346) e privado (n = 187), e nas suas intenções de migrar (n = 482).Resultados: Os médicos inquiridos percepcionaram um aumento da procura dos serviços, mas também uma redução de serviços oferecidos no público, relacionando estas situações com a crise e com um aumento da oferta no setor privado. Os médicos reportaram uma diminuição de salário no setor público (- 30,5%), e um ligeiro aumento no número de horas de trabalho semanal neste setor (+ 2 horas). As respostas indicaram que a mediana das horas de trabalho e rendimentos no privado mantiveram-se constantes entre 2010 e 2015 (16 horas e €2000 mensais). O ajustamento no estilo de vida foi reportado como a principal consequência da crise. O gosto pela profissão médica, a independência e a flexibilidade do trabalho foram os fatores de alívio mais mencionados. Uma percentagem de 15% dos médicos inquiridos declarou considerar a emigração como uma opção para o futuro.Discussão: Segundo os médicos inquiridos, a crise trouxe mudanças importantes nas suas condições de trabalho e no mercado dos serviços médicos.Conclusão: À redução salarial e às piores condições de trabalho, correspondeu uma resposta baseada na motivação intrínseca da profissão.
Licenciados no Curso de Medicina: Motivações, Socialização e Reconhecimento Académico
Authors: Magalhães-Alves Cristina , Barbosa Joselina , Ribeiro Laura , Ferreira Maria Amélia
Published: May 2017

Introdução: Os estudantes com uma licenciatura prévia têm experiências pessoais e profissionais que contribuem para um percurso académico diferente no curso de medicina. Este estudo tem como objetivos: 1) avaliar a satisfação e o impacto do reconhecimento académico; 2) investigar se a motivações e expetativas de ingresso se mantêm ao longo do curso; 3) avaliar a socialização no regresso ao ensino superior.Material e Métodos: Para o primeiro objetivo foi administrado um questionário a 82 estudantes que ingressaram na Faculdade de Medicina da Universidade do Porto nos anos letivos de 2011/2012 a 2013/2014. Para o segundo e terceiro objetivos foi usado um focus group (três grupos de cinco estudantes cada, representativos dos três anos letivos).Resultados e Discussão: Os estudantes sentiram-se satisfeitos com o reconhecimento, sendo que 50% afirmaram que as creditações substituem o conhecimento que iriam adquirir ao realizar as unidades curriculares e 47% preferiram obter creditação. O sucesso académico associou-se negativamente com a satisfação do reconhecimento e positivamente com a idade, formação anterior e ciclo de inscrição. A socialização destes estudantes é distinta dos mais jovens, as suas motivações de ingresso são intrínsecas e mantêm-se ao longo do curso contrariamente às suas expectativas.Conclusão: Os estudantes preferem o reconhecimento à realização de unidades curriculares. Os mais satisfeitos com o reconhecimento realizam menos créditos e os mais jovens, da área da saúde e inscritos no ciclo clínico, realizam mais. Ao longo do curso, as motivações tornam-se mais sólidas, as expectativas mudam e a socialização é realizada com maior responsabilidade.
Carta ao Editor. Urticária em Serviço de Urgência: Recomendações para Abordagem Diagnóstica e Terapêutica
Authors: Costa Célia , Gonçalo Margarida , GPEU – Grupo Português de Estudos de Urticária Em nome do
Published: May 2017

N/a.
Estudo Genético nas Distonias Primárias: Recomendações do Grupo de Neurogenética do Centro Hospitalar São João
Authors: Monteiro Ana , Massano João , Leão Miguel , Garrett Carolina , Grupo de Neurogenética do Centro Hospitalar São João Em nome do
Published: May 2017

As distonias primárias são um grupo particular de distonias, de etiologia presumivelmente genética e com sintomas que podem surgir em diversas idades e progredir durante um período variável de tempo. O seu diagnóstico constitui, por isso, um desafio, colocando-se frequentemente na prática clínica a questão da realização do estudo genético. Nos últimos anos foram identificadas várias mutações genéticas causadoras de distonia primária. A escolha do teste molecular é complexa, quer pela especificidade clínica e baixa frequência, quer pelo custo associado ao estudo genético. Esta escolha deve ser feita mediante observação especializada por médicos com elevada diferenciação nesta área, apoiada num plano racional de investigação. O Grupo de Neurogenética do Centro Hospitalar São João (grupo multidisciplinar de Neurologistas e Geneticistas com interesse especial na área das doenças neurogenéticas) delineou recomendações de consenso para a investigação da etiologia genética das distonias primárias, tendo por base documentos de consenso internacionais e a evidência científica entretanto publicada. Este documento adota o novo sistema de nomenclatura para as formas genéticas de doenças do movimento, permitindo a sua utilização padronizada e sistemática na prática clínica.
O Serviço de Telemedicina de Coimbra Melhora o Acesso à Especialidade de Cardiologia Pediátrica em Cabo Verde
Authors: Castela Eduardo
Published: May 2017

N/A.
Traços, comportamentos e contextos: desenvolvimento de líderes em ONG, a “experiência SIFE” no Centro Universitário do Pará
Authors: Cardoso Paulo André , Amorim Maria Cristina
Published: May 2017

O tema da liderança é objeto de atenção e ação em diversos tipos de organizações, entre essas, as não governamentais voltadas para universitários. O objetivo do artigo é avaliar o desenvolvimento de lideranças promovido pela Students in Free Enterprise – SIFE, ONG voltada para alunos do ensino superior em todo mundo. Avaliamos a “experiência SIFE” no Centro Universitário de Pará, em Belém – CESUPA -, no período 2009/2010. A metodologia consistiu de revisão bibliográfica da literatura sobre liderança e da realização de entrevistas com os coordenadores do time CESUPA na SIFE Brasil. As entrevistas apontaram para o uso complementar das diferentes teorias da liderança na “experiência SIFE” e para o sucesso da mesma na formação dos líderes, na opinião dos entrevistados.
A Percepção dos Profissionais de Recursos Humanos sobre a Comunicação Interna em Processos de Combinação de Empresas
Authors: Xavier João Magalhães , Camacho Alberto Belomi , Ferreira Marcos Aurélio Araujo
Published: May 2017

As combinações empresariais constituem fenômenos de mudança de larga escala, representando processos amplos e profundos que transformam a cultura e a realidade das organizações envolvidas. O termo combinação, adotado neste trabalho, foi inicialmente utilizado por Rhinow (2006) para descrever de maneira sintética as diversas alternativas de configuração organizacional que podem levar à efetivação das estratégias de crescimento das empresas, tais como fusões, aquisições, alianças ou joint-ventures. Neste contexto de mudança, observa-se que a comunicação interna é reconhecida como uma das ferramentas capazes de facilitar e promover o entendimento, a cooperação e o comprometimento das pessoas com os valores da nova organização, resultante do processo de combinação (Tavares, 2008). Galpin e Herndon (2000) reforçam a integração, pós-combinação, como o momento mais crítico do processo, recomendando que as organizações concentrem seus esforços neste processo de transição. Dessa forma, como objetivo geral, este trabalho buscou analisar a percepção dos profissionais da área de Recursos Humanos quanto à comunicação interna utilizada pela organização nos primeiros seis meses após o anúncio da combinação ao mercado. A pesquisa foi desenvolvida através de um estudo de caso, onde se avaliou a percepção dos profissionais da área de Recursos Humanos quanto à comunicação interna utilizada na combinação de duas instituições financeiras de capital estrangeiro. Com o intuito de triangulação e fundamentação do estudo de caso utilizou-se a aplicação de um survey, composto por perguntas fechadas e um campo final para comentários; análise documental da organização pré e pós combinação; assim como da observação participante de um dos pesquisadores. Dos 250 potenciais respondentes, 236 receberam a mensagem, dos quais 183 responderam ao questionário, tendo sido consideradas apenas as pesquisas completas, compostas por 172 destes, que representam 73% da população considerada.
EMPODERAMENTO FEMININO NA CARREIRA DE MULHERES DOCENTES: ESTUDO EM UMA UNIVERSIDADE FEDERAL DO INTERIOR DO RIO GRANDE DO SUL
Authors: Cezar Bibiana Giudice da Silva , SCherer Laura Alves , Corso Kathiane Benedetti
Published: May 2017

Com o objetivo de analisar a influência do empoderamento feminino na carreira de mulheres docentes, realizou-se um estudo de caso, qualitativo, descritivo-exploratório, fazendo uso de entrevistas semiestruturadas com sete professoras de uma universidade pública do interior do Rio Grande do Sul. Seis dimensões do empoderamento feminino foram definidas como categorias a priori e analisadas pela técnica de análise de conteúdo: Econômica, Sociocultural, Familiar, Legal, Política e Psicológica. As entrevistadas apresentaram diversos traços de empoderamento, ao resistirem à cultura patriarcal característica da região, buscando poder e autonomia sobre suas próprias vidas, tornaram-se economicamente ativas, independentes e satisfeitas ao gerir sua carreira.
METAS ORGANIZACIONAIS E GESTÃO ESTRATÉGICA DE PESSOAS: ESTUDO DE CASO EM UMA INSTITUIÇÃO FINANCEIRA
Authors: Ribeiro Alexis Renan Silva , Martins Pablo Luiz , Neta Maria do Carmo Santos
Published: May 2017

Este trabalho discute a avaliação de desempenho à luz de referenciais teóricos atinentes à gestão estratégica de pessoas. O objetivo do estudo consiste em examinar a relevância do regime de metas como critério de avaliação de desempenho, tomando-se como objeto de estudo uma agência do Itaú Unibanco, situada em Belo Horizonte, Minas Gerais. O trabalho apresenta que as metas são relevantes porque incidem diretamente sobre a motivação e, por conseguinte, contribuem para a otimização do desempenho dos funcionários. No entanto, essa ferramenta pode prejudicar outros aspectos relevantes para as organizações, como a motivação e a ética profissional. Na empresa estudada, o regime de metas tem sido implementado de forma relativamente correta.
Ameliorative Potential of Standardized Extract of Condalia buxifolia Reissek in Attenuating the Postoperative Pain: Evidence for the Inhibition of AMPA and Kainate in the Spinal Cord
Authors: Róli Rodrigues Simões  , Igor dos Santos Coelho  , Adriana Zambenedetti  , Marisa Jádna Silva Frederico  , Fátima Regina Mena Barreto Silva  , Ademir Farias Morel  , Eliane Maria Zanchet  , Adair Roberto Soares Santos
Published: May 2017

Acute pain post-surgery is one of the major problems of public health, and its treatment is still a challenge. In this study, it was investigated the analgesic effect of a standardized methanolic extract of Condalia buxifolia (MECb) (30 and 100 mg/kg, i.g.) in a plantar incision surgery (PIS) model in mice, and the possible mechanism that underlying its effect. The effect of MECb was evaluated on the hyperalgesia (mechanical, cold and heat stimuli), and in this same model, it was analyzed the effect of MECb (100 mg/kg, i.g.) on the concentration of cytokines (TNF-α, IL-1β, IL-10) and nerve growth factor (NGF) in the paw and spinal cord. Further we investigated the effects of MECb (100 mg/kg, i.g.) on the nocifensive behaviour (spontaneous pain and hyperalgesia) induced by AMPA and kainate. Moreover, the safety profile of prolonged treatment with MECb (100 and 300 mg/kg, i.g.) and involvement of C fibers sensitive to capsaicin in its effect (100 mg/kg, i.g.) was evaluated. MECb showed a marked reduction on mechanical and heat hyperalgesia, and reduced the concentrations of TNF-α, IL-1β, and NGF. The treatment with MECb prevented the nocifensive behaviour and central sensitization caused by AMPA and kainate. Moreover, the analgesic effect of MECb was not affected by the ablation of the central afferent C fibers, and it showed reduced toxicity, indicating good safety and efficacy. The current data showed, for the first time, the analgesic and anti-inflammatory effect of MECb in an animal model of postoperative pain. The results support and suggest the use of MECb as an alternative treatment and a possible source of analgesics substances to postoperative pain.
Designing an effective organizational employee motivation system based on ABCD model for hotel establishments
Authors: Çakır Onur , Akoğlan Kozak Meryem
Published: May 2017

Purpose – The objective of the study is to create an organizational motivation system that could provide solutions for low employee motivation problem, which became an organizational pathology for hotel establishments. Methodology –Within a quantitative approach, data were gathered by surveying hotel employees working in Istanbul and Antalya. 356 from Istanbul and 449 from Antalya, a total of 805 valid questionnaires were collected via face-to-face surveys. Factor analyses and importance-satisfaction analysis were utilized to interpret data. Findings – CFA results demonstrated that ABCD model performed well in explaining employee motivation phenomenon in hotel establishments. With the help of the importance-satisfaction analysis findings, we were able to determine which motivation tools were utilized best by the managers in practice, in which tools were used in excess, which tools were less important in providing motivation, and which motivation tools the managers should focus at. Originality of the research – In the study, ABCD model which is a new drive-based motivation model that includes current information obtained from different disciplines, was tested for the first time in tourism context. ABCD model performed well in explaining employee motivation phenomenon in hotel establishments. Based on the findings of EFA, CFA and importance-satisfaction analysis, recommendations for an effective organizational employee motivation system based on ABCD model for hotel establishments were discussed.
THE SHIFT OF KARO ADAT INHERITANCE LAW ON DAUGHTER AND WIDOW’S PORTION
Authors: Rosnidar . , Afrita . , Zulkifli .
Published: May 2017

Supreme Court Verdict No. 179 K/Sip/ 1961 states that son and daughter have equal portion of inheritance. Then, the Supreme Court Verdict No. 100 K/Sip/1967 stated that  a widow is the recipient of her deceased husband’s legacy. The research formulates the following questions; What is the status of a daughter and widow in relation to the inheritance of her parent/ husband legacy in Karo communities after the Supreme Court Verdict No. 179 K/Sip/ 1961 and Supreme Court Verdict No. 100 K/Sip/ 1967 that have been implemented? How does the inheritance law develop recently? These questions will be addressed empirically by a descriptive analytical method. The shift of adat inheritance law occurs post Supreme Court Verdict No. 179 K/Sip/ 1961 which puts the equal right for both son and daughter. Besides, the post Supreme Court Verdict No. 100 K/Sip/ 1967 states the widow is the recipient of her deceased husband’s legacy.Keywords  : Karo adat inheritance law, daughter/widow, Supreme Court Verdict
LOCAL WISDOM FUNCTIONALIZATION FOR REGIONAL LAW ENFORCEMENT IN FISHERIES MANAGEMENT
Authors: Monteiro Josef M , Pello Jimmy
Published: May 2017

Law enforcement for fisheries management violations in East Flores, East Nusa Tenggara province has not been effectively implemented. It is proven in recent years, violation’s cases of fisheries management is significantly high. This study examines how local wisdom values of indigenous society overcome the ineffective law enforcement for fisheries management violations. This paper employs normative juridical approach and was carried out by identifying and collecting customary law principles which govern fishermen’s attitude. The results show that law enforcement has not been effectively implemented to solve fisheries management violations in terms of the structure, substance and culture of law. To overcome this, it requires functionalization of local wisdom values that have been proven to alleviate marine resources damage by fishermen. Functionalization of local wisdom values is conducted by establishing a partnership between law enforcement and traditional authorities to institutionalize and integrate values system, cultural traditions, and customary penalty to have formal mechanisms of law enforcement.Keywords: local wisdom, law enforcement, fisheries
Educação em valores: possibilidades e responsabilidades na percepção de docentes que atuam na educação pública do estado do Paraná
Authors: Pereira Ana Lucia , Clock Lizie Mendes , Lucas Lucken Bueno , Passos Marinez Meneghello
Published: May 2017

Este artigo apresenta percepções de professores da rede pública de Ponta Grossa, Paraná, em relação à educação em valores. A pesquisa é de natureza qualitativa, com dados coletados por meio de questionários e entrevistas. Com auxílio da análise de conteúdo, foram identificadas categorias nas respostas dos entrevistados relacionadas ao papel da escola, à função do professor, à definição de valores, sua presença na escola e relevância na sociedade, com finalidade de identificar a responsabilização ou não dos professores frente à educação em valores. Os resultados permitiram inferir que os professores desenvolvem uma atitude passiva frente à educação em valores, de não responsabilização, mas consideram a escola um espaço privilegiado para esse empreendimento. No entanto, apontam que a instituição educativa está desempenhando essa função pelo fato de muitas famílias terem declinado dessa responsabilidade que, segundo eles, deve ser compartilhada com os diversos segmentos sociais.
Shelley's Ode to the West Wind: Analysis of three Spanish translation
Authors: LÓPEZ PÉREZ Magdalena
Published: May 2017

El artículo trata de las traducciones de tres autores españoles que han analizado e interpretado la oda de Shelley, Ode to the West Wind. Para ello, me he centrado en los rasgos más relevantes de los aspectos estróficos, prosódicos y otros que considero de gran importancia para este análisis. Finalmente, ofrezco una versión de la oda que afronta los problemas de traducción que he diseccionado en este trabajo y que están presentes en las distintas versiones.
"Un no sé qué que quedan balbuciendo" o los límites de la traducción
Authors: MIALDEA BAENA Antonio J.
Published: May 2017

La mejor traducción de un verso no necesariamente es la que más se acerca por lengua o cultura al original. En las páginas que siguen proponemos cuatro traducciones de un verso de San Juan de la Cruz perteneciente al Cántico Espiritual y comprobaremos que la traducción alemana respeta tanto el sentido del poeta como los efectos comunicativos que el verso provoca en el lector.