bluuebunny/crossref_metadata_2025 huggingface dataset:
A orillas del Ems, de María Victoria Atencia: una biografía propia con imágenes ajenas
Authors: Ema Llorente María
Published: May 2020

En la poesía española contemporánea resulta cada vez más frecuente la relación de la poesía con otras disciplinas artísticas y, en especial, con las artes visuales. El poemario “A orillas del Ems”, de María Victoria Atencia, que combina lo fotográfico y lo poético, puede verse como un ejemplo de este tipo de interrelación. Tomando como punto de partida el libro de fotografías “Telgte in Erinnerung”, de Renate Kruchen, la autora realiza una recreación poética, sirviéndose del mecanismo compositivo de la “écfrasis”. En esta recreación, se mezclan o se combinan lo ajeno con lo propio y lo objetivo con lo subjetivo. A las imágenes de los otros se va superponiendo o entrelazando la voz, las experiencias y los recuerdos personales de su autora, en la construcción de un discurso en el que, aunque de forma velada, pueden encontrarse elementos personales, subjetivos y autobiográficos. A lo largo del texto se estudiarán algunas de las formas en las que estos elementos se introducen en el poemario, entre las que se encuentran la selección y ordenación del material fotográfico y poético; las superposiciones o coincidencias entre los dos discursos, el visual y el verbal; la relación entre lo presente y lo ausente; y la interacción de la hablante con los personajes de las fotografías y las relaciones ficticias de parentesco que establece con ellos.
La radio y el desarrollo de competencias para la convivencia social: una propuesta didáctica
Authors: Cobo Beltrán John Kendry
Published: May 2020

La utilización de la radio de manera planificada e intencionada en el proceso educativo contribuye a que los jóvenes adquieran una amplia gama de conocimientos referidos a diversos temas académicos, científicos y humanísticos, de una manera interactiva y vivencial. Partiendo de esta premisa es posible inferir que la radio constituye un recurso útil y valioso para consolidar competencias para la convivencia social en los estudiantes de educación media. Es por ello que el objetivo de este estudio es proponer el uso de la radio como un recurso tecnológico pertinente para la asimilación de competencias para la convivencia social. Para alcanzar el objetivo propuesto el trabajo se enmarca en una investigación de tipo documental. Los resultados del estudio evidencian que la incorporación de la radio a la dinámica de trabajo pedagógico es potencialmente útil en la estimulación de competencias para la convivencia social, fortaleciendo significativamente aptitudes afectivas y morales como la igualdad, el respeto, el trabajo colaborativo y en equipo, la solidaridad, entre otros, además de propiciar en el estudiante el mejoramiento de sus habilidades para la expresión oral y escrita.
Entre eBook, educación y lectura: el desarrollo tecnológico del entorno educativo
Authors: Bocciolesi Enrico
Published: May 2020

Desde más de diez años se habla de libro electrónico, e-text, eBook y de competencias digitales como sean las mismas cosas, en contenidos, usos, aplicaciones. A partir de Prensky en el 2001 ha empezado el nuevo “miedo”, como ya había explicado McLuhan en los años Setenta, así de este año los educadores, profesores, editoriales y escritores piensan que las maquinas ganaran sus competencias y profesionalidad. La investigación sobre este tema, ya se ha cerrado con unos primeros resultados con jóvenes estudiantes de educación primaria. Se ha realizado un cuestionario único en su genero, y eficaz para evaluar los nativos digitales del siglo XXI. El tema explorado es lo del uso y conocimiento de los eBooks en un entorno educativo, valorando la aplicación efectiva de los media electrónicos, y del interés que capturan en los nuevos lectores digitales. A partir de la metodología propia de la teoría de Bloom (1956), el cuestionario, y la entera investigación gravitan en el área de la educación y del aprender a ser (Rosati, 2004) para evaluar los nuevos medios electrónicos. Se ha logrado averiguar cuanto esta difundido, y sobre todo entendido el uso de las nuevas herramientas para leer, y el posible desarrollo de nuevas formas de lecturas y escrituras (Martos-Núñez y Campos Fernández-Fígares, 2013) en área pedagógica y educativa. Los resultados obtenidos permiten leer la realidad de los nativos con una mirada critica, razonable, y competente a nivel tecnológico. La investigación permite desarrollar nuevas ideas educativas, y modelos de aprendizaje a través de la tecnología electrónica, que sigue modificando las costumbres de los varios actores de la realidad educativa, y logrando un cambio del complejo tejido narrativo-textual.
Ciudad como imagen: Xanenetla, Puebla, México, la “Ciudad Mural”
Authors: Kurjenoja Anne Kristiina , Ismael Simental María Emilia
Published: May 2020

Para construir una imagen y un discurso urbano diferente y duradero, y regenerar una identidad colectiva en el barrio patrimonial de Xanenetla, Puebla, un grupo de voluntarios de “Colectivo Tomate” propuso en 2010 llevar a cabo un Proyecto de muralismo urbano para detonar procesos de empoderamiento del espacio público a través de colaboración entre artistas y habitantes locales. En 2011, después de haber alcanzado visibilidad en los medios y en las redes sociales en México y en el extranjero, el Plan de Desarrollo Urbano de Puebla 2011-2014 incluyó a la “Ciudad Mural” de Xanenetla en el recorrido turístico del centro histórico como un atractivo de patrimonio cultural con potencial de fortalecer el desarrollo económico de la zona histórica. Las estadísticas y los análisis urbanos revelan que el impulso municipal a la industria turística a través de “gentrificación” urbana ha puesto en riesgo la cultura popular de Xanenetla y su modo de vida barrial.  Nuestra investigación explora el potencial de la cultura barrial de Xanenetla como un recurso alternativo para encaminar un desarrollo urbano socio culturalmente sustentable y sensible fundamentado en la identidad local y tomando como puntos de partida la experiencia colaborativa del Colectivo Tomate y su proyecto de muralismo urbano.
ПРО ДІЯЛЬНІСТЬ ВІДДІЛУ ПСИХОЛОГІЇ ІНСТИТУТУ ПЕДАГОГІЧНОЇ ОСВІТИ І ОСВІТИ ДОРОСЛИХ ІМЕНІ ІВАНА ЗЯЗЮНА НАПН УКРАЇНИ В УМОВАХ ЕПІДЕМІЧНОЇ ЗАГРОЗИ
Authors: Ihnatovych Olena
Published: May 2020

Представлено результати діяльності відділу психології праці Інституту педагогічної освіти і освіти дорослих імені Івана Зязюна Національної академії педагогічних наук України в умовах епідемічної загрози. Подано інформацію про роботу вчених відділу в дистанційному форматі, зокрема про методичний посібник «Психологічна профілактика і гігієна особистості у протидії пандемії COVID-19», проведення семінару-практикуму «Психопрофілактика тривожних станів: практики, що підтримують внутрішні ресурси», та діяльність Психологічного консультативно-тренінгового центру тощо.
Evaluation of the Association of Bacteraemia with the Severity of Neutropenia
Authors: Hasan Md. Kamrul , Kabir Amin Lutful , Masud Adnan Hasan , Rahman Md. Mahbubur
Published: May 2020

Background: Blood culture is a part of management algorithm in febrile neutropenia. However, the incidence of positive result of blood culture is decreasing and the spectrum of the causative microbial is changing over time. Objective: The objective of this study was to see the incidence of bacteraemia and its association with the severity of neutropenia. Methodology: Based on naturally occurring blood stream infection, we evaluated 47 febrile neutropenic patients using blood culture to see the incidence of bacteraemia during the period between October 2009 and October 2010. Results: The overall rate of blood culture positivity was 17% (8/47). It was found to be significantly higher in 32% (8/25) (p = 0.014) of patients with very severe neutropenia, 26.9% (7/26) (p = 0.044) positivity was found when blood culture was done on the first day of febrile episode and 41.7% (5/12) (P = 0.008) in the absence of prophylactic antibiotic. Conclusion: Blood culture was found to be a valuable tool for the evaluation of bacteraemia and should be used in all cases of febrile neutropenia.
Haematological Disease Pattern at Specialized HOPD - A study in Bangabandhu Sheikh Mujib Medical University
Authors: Khan Md. Rafiquzzaman , Rahman Arifur , Islam Khaza Amirul , Haque AQM Ashraful , Begum Masuda
Published: May 2020

The aim of this retrospective observational study was to observe the pattern and frequency of haematological disorders among the patients attending in the specialized Haematology outpatient Department (HOPD) in Bangabandhu Sheikh Mujib Medical University. Consecutive 201 patients over the period of one year were enrolled. Their age ranged from 01 to 72 years with a mean age of 36.76 years. Most of the patients (34.3%) were in between the ages of 31 to 45 years followed by 16 to 30 years (27.9%). Male to female ratio was 0.65. Iron deficiency anaemia is the most common (24.9%) followed by chronic myeloid leukaemia (11.9%), Hb E beta thalassaemia (9.5%), idiopathic thrombocytopenic purpura (9.5%), beta thalassaemia trait (7.0%), Hb E trait (5.5 %), aplastic anaemia (5.0%), multiple myeloma (3.5%), acute lymphoblastic leukaemia (3.0%). Acute myeloid leukaemia, autoimmune haemolytic anaemia, chronic lymphocytic leukaemia, anaemia of chronic disease, non-Hodgkin lymphoma, polycythaemia, beta thalassemia major and alpha thalassemia was 2.5%, 2.5%, 2.0%, 1.5%, 1.5%, 1.5%, 1.0% and 1.0%, respectively. In the present study, we observed that iron deficiency anaemia the most common non-malignant disease and chronic myeloid leukaemia is the common haematological malignancy.
A Case Report on Glanzmann’s Thrombasthenia: A Rare Platelet Function Disorder
Authors: Yasmin Farida , Karim Md. Anwarul , Jamal Chowdhury Yakub , Begum Mamtaz , Begum Ferdousi
Published: May 2020

Epistaxis in children is one of the important presenting symptoms for attending emergency department in paediatric patients. Recurrent epistaxis is common in children. Although epistaxis in children usually occurred due to different benign conditions, it may be one of the important presenting symptoms of some inherited bleeding disorder. Whereas most bleeding disorders can be diagnosed through different standard hematologic assessments, diagnosing rare platelet function disorders may be challenging. In this article we describe one case report of platelet function disorders on Glanzmann’s thrombasthenia (GT). Our patient was a 10-year old girl who presented to us with history of recurrent severe epistaxis. She had a bruise on her abdomen and many scattered petechiae in different parts of the body. Her previous investigations revealed no demonstrable haemostatic anomalies. After performing platelet aggregation test, she was diagnosed as GT.
Microbial Infection with Their Antibiotic Sensitivity Pattern in Febrile Neutropenic Patients Treated in Haematology and BMT Unit in DMCH
Authors: Chowdhury Md. Ashraful Haque , Biswas Akhil Ranjan , Afrose Salma , Akhter Mafruha , Ara Tasneem , Islam Md. Manirul , Wasim Mohammad
Published: May 2020

Background: Because of great concerns about mortality and morbidity due to infection in febrile neutropenic patients, the appropriate empirical antibiotic should be started immediately. Although there are established guidelines for the use of empirical therapy in febrile neutropenia, local microbiological pattern and antibiotic susceptibility should be considered for better outcome. There is paucity of data regarding the organism isolated and sensitivity in febrile neutropenic patients in Dhaka Medical College Hospital (DMCH). Objectives: The current study aimed to find out causative organisms for febrile neutropenia and to observe their antimicrobial sensitivity pattern. Materials and method:  This was a prospective observational study carried out in department of haematology and BMT of Dhaka Medical college hospital during the period of October, 2014 to July, 2015. Total 104 patients experienced febrile neutropenia and both febrile blood and urine samples were collected and sent for culture. Results: Out of 104 patients male were 65 and female were 39 (M:F ratio 1.6:1) with a mean age of patients were 31.3 (±15.43) years. Majority (86.5%) of febrile neutropenic patients were post-chemotherapy of acute leukaemia. Out of 104 case 29 were positive growth in both blood and urine samples. Out of 25 blood culture positive patients’ organisms isolated were predominantly gram negative (78.6%) whereas 21.4% were gram negative.  However, in urine culture equal number of organisms (4 vs 4) from both gram positive and gram negative were isolated. Gram negative microorganisms were resistance to antibiotic such as amoxicillin, ceftazidime, ceftriaxone, cefixime, cotrimoxazole and gentamicin and sensitive to antibiotic like meropenem, amikacin, ciprofloxacin and colistin. Gram positive microorganisms were almost resistance to azithromycin, cefixime, ciprofloxacin, cotrimoxazole, gentamicin and moxifloxacin but were sensitive to chloramphenicol, clindamycin and linezolid. Conclusions: Gram negative organisms were the predominant organisms in febrile neutropenic patients at our institute. They are resistant to a good number of commonly used antibiotics and sensitive to only a few antibiotics.
Bone Marrow Involvement in Non-Hodgkin Lymphoma at Diagnosis
Authors: Haque Salina , Chowdhury Zulfia Zinat , Islam AKM Mynul , Ali Mohammed , Ferdouse Jannatul , Kabir Amin Lutful , Rahman Md. Mahbubur , Rahman Mohammad Jalilur
Published: May 2020

Background: In lymphoma, bone marrow infiltration of lymphocytes is a vital information of staging can be done primarily by observer dependent bone marrow study or trephine biopsy. Objective: Aim of this study is to observe the frequency of bone marrow involvement in Non-Hodgkin lymphoma at the time of diagnosis by trephine biopsy and to determine importance of bone marrow trephine biopsy over bone marrow aspiration for staging of Non-Hodgkin lymphoma. Methodology: This was a prospective observational study conducted between January 2014 to July 2014 in department of Haematology, Bangabandhu Shaikh Mujib Medical University (BSMMU) including 30 newly diagnosed patients of Non-Hodgkin’s Lymphoma (NHL) between 15 to 75 years of both sex in non-probability purposive sampling manner confirmed by histopathology of biopsy of lymph node or extra nodal mass. Any secondary disease associated NHL and if there were history of prior chemotherapy was excluded from this study. Detailed clinical history, physical examinations & relevant investigations were recorded in data sheet. After taking written informed consent, these patient’s bone marrow by aspiration and trephine biopsy and peripheral blood sample were sent for study. Results: Comparing bone marrow aspirates (BMA) with bone marrow biopsy (BMB) report revealed that 17 cases were BMB positive among them 12 (70.5%) cases were BMA positive and 5 (29.5%) cases were BMA negative. 13 cases were BMB negative among them 1 (7.7%) case was BMA positive and 12 (92.3%) cases were BMA negative. Statistical analysis revealed significant value (<0.001) that is, there is significant difference observed between two methods to see bone marrow lymphoid infiltration. But in agreement between these two methods we found Kappa (k) value 0.61 indicates a Good agreement between these two tests; that is, we can perform any of these tests to see bone marrow lymphocytes infiltration. Conclusion: Bone marrow study and trephine biopsy can be employed to see lymphoid infiltration in lymphomas with a good agreement; though trephine biopsy has its superiority.
Frequency of Discrepancy between Bone Marrow Morphology and Immunophenotype in Acute Leukaemia
Authors: Hossain Md. Golzar , Islam Mohammad Nazmul , Islam Kazi Mohammad Kamrul , Md. Jakiyamani  , Chowdhury Md. Ashraful Haque , Khan Md. Rafiquzzaman , Begum Masuda
Published: May 2020

Background: Acute leukaemia (AL) are a heterogenous group of haematological malignancy characterized by uncontrolled clonal proliferation of haematopoietic progenitor cells. Objectives: The study was conducted to have a detailed understanding of immunophenotyping profile, the frequency of discrepancy between bone marrow morphology and immunophenotyping and importance of immunophenotyping in diagnosis of acute leukaemia. Methods: This prospective type of observational study was carried out with an aim to correlate the immunophenotype with bone

marrow morphology and to see the discrepancy between this two in acute leukaemia. A total of 38 untreated acute leukemia patients attending in the Department of Haematology, Bangabandhu Sheikh Mujib Medical University, Dhaka, during the period from October 2016 to September 2017were included in this study. At first the morphological diagnosis was done. Then the immunophenotypic profile was compared. Result: Around eighty-two cases of acute leukaemia did find similarity with immunophenotyping and remaining 18.4% shows discrepancy. Diagnosis in this 18.4% changes after immunophenotyping. Aberrant phenotypes were detected in 20 (52.6%) samples among them 13 (34.21%) cases were AML, 3 (7.8%) cases were B-ALL and 4 (10.52%) cases were T-ALL. Significant relation was not found between aberrant marker and FAB subtypes. Conclusion: In acute leukaemia morphological appearance of bone marrow does not always match with immunophenotyping. It is therefore imperative and absolutely essential to ascertain the lineage of leukaemia by immunophenotyping before starting treatment.
Cardiac Complications in Non-Transfusion Dependent Thalassaemia
Authors: Kabir Amin Lutful , Irshadullah Naseeb Muhammad , Rahman Mujahida
Published: May 2020

Among the haemoglobinopathies non-transfusion dependent thalassaemia (NTDT) are more common than the major patients. Bangladesh is located within the thalassaemia belt, moreover, Hb-E is prevalent here. So, the burden of non-transfusion dependent haemoglobinopathies is pretty massive. Due to less severe presentation and unawareness of general people, most patients with NTDT present with complications. On the other hand, cardiac complications are the major causes of death in these patients, and, negligence in early treatment increases the death. This review discusses haemoglobinopathies in general, followed by pathogenesis, clinical features and management of cardiac complications.
Isolation of Pathogenic Bacteria and Their Antibiotic Sensitivity Profiles in Hospitalized Febrile Neutropenic Children with Acute Lymphoblastic Leukaemia
Authors: Yeamin Md. Bani , Khatun Mst. Nazma , Mollah Lutfor Rahman , Rahman Rezanur , Ahamed Mohammad Tanvir , Mir I U M A Kawsar , Siddique Rasel , Akter Mehnaz , Yasmin Farida , Begum Ferdousi , Jamal Chowdhury Yakub
Published: May 2020

Background: Acute lymphoblastic leukemia (ALL) is the commonest malignancies in childhood. Common obstacle in the treatment of ALL is febrile neutropenia and its complications. Objectives: To identify bacteria causing infection, their isolation rate and antibacterial sensitivity pattern in hospitalized febrile neutropenic children with ALL in different cycle of chemotherapy. Methodology: This observational study conducted in 2014 - 2015 in the department of paediatric haematology and oncology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka Bangladesh. Sixty febrile neutropenic episodes from 52 diagnosed cases of ALL aged 0 to18 years were included. Complete blood count, blood culture, urine microscopy and culture, serum alanine aminotransferase, serum creatinine were done in every patient. X-ray chest, stool microscopy and culture, pus, wound, throat and aural swab for culture & sensitivity were done in selective patient. Results: Bacterial infection was confirmed by culture in 15 (25%) episodes from 60 febrile neutropenic episodes. Fifteen (25%) organisms were isolated from the study subjects from sample of blood (60%), pus (13.3%), aural swab (13.3%), wound swab (6.7%) and throat swab (6.7%) respectively. All isolates were gram negative. The organism isolated were Klebsiella spp. 5 (33.31%), E. coli 4 (26.7%), Acinetobacter 3 (20%), Pseudomonas 2 (13.3%) and only one (6.7%) Enterobacter species. All the isolates of the Klebsiella spp., E. coli and Acinetobacter spp. were resistant to amoxicillin. All isolated E. coli were resistant to cotrimoxazole, ceftazidime, ceftriaxone, cefotaxime and ciprofloxacin, Acinetobacter spp. Isolated were 100% sensitive to imipenem, colistin sulphate & piperacillin-tazobactam and resistant to cotrimoxazole and cephradine. All Pseudomonas spp. showed 100% sensitivity to imipenem, amikacin, ciprofloxacin & colistin and resistances to ceftazidime. Conclusion: The species of Klebsiella were the predominant causative bacterial agent followed by Escherichia coli, Acinetobacter spp, pseudomonas spp. and Enterobacter spp. They showed resistance to commonly prescribed antibiotics ceftazidime, gentamicin, ceftriaxone & ciprofloxacin and sensitive to imipenem, colistin-sulphate & piperacillin-tazobactam.
Optimizing Allocation of Course Resources in the Colleges of Science and Engineering: a Case Study on the Course Enrollment Database of a University in Beijing
Authors: Che Xiaoqi , Xiao Yang , Su Long , Bao Lei
Published: May 2020

A course selection (CS) model is constructed based on the course enrollment database from a Chinese university in this research. By using big-data analysis on the database, we study the factors that may determine the students’ CS and we investigate how to optimize allocation of course resources. Our results reveal that the allocation of course resources (type of courses) and the recent revision of academic programs will significantly influence students’ CS. Courses on natural science and engineering (type-b courses), as well as on literature and art (type-d courses), are becoming most popular in course enrollment, which are followed by practical employment-related courses (type-c courses) such as law and management. The core courses of the major (type-a courses) are least selected. Since the new academic program was implemented, type-b courses have been becoming more popular but type-c and type-d courses are less enrolled than before. Our findings can be referenced by policy makers to improve the allocation of course resources in universities, which will benefit the students’ CS and satisfy the demands from society. Our results will also serve as important information for improving education efficiency.
Recent changes to the Indigenous population geography of Australia: evidence from the 2016 Census
Authors: Markham Francis , Biddle Nicholas
Published: May 2020

Background  The Indigenous population of Australia has grown very rapidly since the first tabulation of census statistics about Indigenous people in the 1971 ABS Census of Population and Housing (Census). Understanding the size and location of the Indigenous Australians is important to the State for service delivery and policy, and for Indigenous peoples themselves. Aims  This paper summarises changes to population geography of Indigenous Australians between 2011 and 2016. It describes the growth in the estimated population, and its changing geographic distribution. The paper derives a measure of ‘unexpected population change’: the spatial mismatch between demographic projections from the 2011 and 2016 Census counts. Data and methods  Census data and population projections are tabulated and mapped. Results  Indigenous people now comprise 3.3 per cent of the total Australian population, or 798,381 persons. This population grew by 3.5 per cent each year between 2011 and 2016, a rate of growth 34 per cent faster than that explained by natural increase alone. Both aspects of growth were concentrated in more urban parts of the country, especially coastal New South Wales and southeast Queensland. For the first time, fewer than 20 per cent of Indigenous people were recorded as living in remote areas. Conclusions  Indigenous population growth continues to be remarkably rapid. Future research is required to understand the correlates and causes of population growth beyond that explained by natural increase.
Fifty years of plummeting cardiovascular death rates and implications for the individual
Authors: Trauer James , Freak-Poli Rosanne , Kippen Rebecca , McNeil John
Published: May 2020

No abstract
Visualising the internal migration of the mainland China-born population between Australian capital cities over time
Authors: Wang Siqin , Corcoran Jonathan , Liu Yan , Sigler Thomas
Published: May 2020

No abstract
SKETSA GLOCAL THEOLOGY
Authors: Gulo Manase
Published: May 2020

Local theology is a model of theology that existed in postmodernism that emphasized the theology of the local cultural context. It means emphasize the efforts to meet church traditions and Christian themes with the reality of the life of the people around them. Simple theology always understands local sources which consist of local rituals, everyday language, folk songs, proverbs and art buildings. By using these elements means a theologian theologically contextually. The theologian was present and lived with people and listened to their voices. In this case, the simple theology seeks to respect and use the wisdom that is in the local culture, so that local people can easily interpret that wisdom in the light of the Gospel. Therefore this article will contribute a thought on how to build a sketch of Glocal theology.
STUDI EKSEGETIS 1KORINTUS 10: 1-5 DAN KONTRIBUSINYA DALAM MEMAHAMI PRINSIP BAPTISAN ANAK
Authors: Suleni Suleni
Published: May 2020

Infant Baptism is a sacrament in the Chruch. But at this time many rejected the practice of infant baptism. The rejection comes from several Christian group. Many arguments have been given to assert the validity of Biblical infant baptism. However, these arguments have not yet been accepted by opponents of infant baptism. Through this article the author tries to contribute by 1Corinthians 10:1-5 as a basis for understanding infant baptism. This verse has not been widely exposed by Theologians to defend the argument about the validity of infant baptism. Thus, the reader can understand the true principle of infant baptism.
MENGKAJI HAKEKAT MISI INKLUSIF YESUS BERDASARKAN INJIL LUKAS DAN APLIKASINYA BAGI MISI MASA KINI
Authors: Talan Yesri
Published: May 2020

Luke introduces Jesus' inclusive ministry to preach the gospel, fellowship and serve the excluded. In this context, people who are paralyzed, blind, deaf, poor, tax collectors who are considered sinful, they are the center of His attention. By observing the current mission which is oriented to the church planting mission, it is necessary to transform. The intended transformation is to change the motive of the church planting mission to a mission that is not an anthropocentric mission but a mission to glorify God. The method used in writing this scientific paper is a qualitative method. Literature study and the Bible as the main source in explaining. Aside from literature and Bible study sources, the sources obtained are based on facts from field observations.
NIVELES DE ACCIDENTABILIDAD EN OPERADORES DE VACUUMS Y RIESGOS LABORALES
Authors: Miño Cascante Gloria Elizabeth , Esparza Paz Franqui Fernando , Esparza Córdova Luis Alberto
Published: May 2020

El presente estudio tuvo por objetivo identificar los niveles de accidentabilidad y riesgos laborales del personal que opera con equipos vacuums, que constituyen camiones de vací­o para succión, transporte y evacuación de fluidos, en la empresa de servicios petroleros Conexpet Cí­a. Ltda. El estudio de caso es descriptivo, con investigación de campo efectuada a 89 operadores, apoyado en revisión bibliográfica-documental, indagando especificar propiedades y caracterí­sticas de las personas en su desempeño laboral. La evaluación dio como resultado un déficit en la selección, capacitación y entrenamiento del talento humano, permitiendo luego de la valoración, implementar competencias asociadas a riesgos laborales. Se concluye que existe una relación directa entre el nivel de accidentabilidad y los riesgos laborales, debido a que un 85% de los accidentes laborales presentados en la empresa, son producidos por acciones subestándar. Las estrategias y competencias propuestas pueden replicarse, obteniendo entre otras ventajas: reducción de tiempo perdido, menor costo de mano de obra para reemplazos, baja rotación de personal, mayor productividad y competitividad.Palabras clave: Riesgos laborales, Vacuums, Accidentabilidad, Talento Humano, Competencias Laborales.
 
AbstractThe objective of this study was to identify the levels of accidents and occupational risks of personnel working with vacuum equipment, which constitute vacuum trucks for suction, transport and fluid evacuation, at the oil services company Conexpet Cí­a. Ltda. The case study is descriptive, with field research carried out on 89 operators, supported by bibliographic-documental review, asking to specify properties and characteristics of people in their work performance. The evaluation resulted in a deficit in the selection, training and training of human talent, allowing after assessment, implement skills associated with occupational risks. It is concluded that there is a direct relationship between the level of accident rate and occupational risks, because 85% of work accidents presented in the company are produced by substandard actions. The proposed strategies and competences can be replicated, obtaining among other advantages: reduction of lost time, lower cost of labor for replacements, low turnover of personnel, greater productivity and competitiveness.
Key words: Occupational Risks, Vacuums, Accident, Human Talent, Labor Competencies.
LA CREATIVIDAD RECURSO ECONÓMICO: COMO ESTRATEGIA DE CRECIMIENTO
Authors: Saucedo Estrada Hael Karina
Published: May 2020

Hoy en dí­a la Creatividad aún permanece poco visible en nuestro paí­s y para los economistas, donde la creatividad desempeña un papel importante en el desarrollo de estrategias regional en los últimos años, mostrando una evidencia de datos. El presente artí­culo tiene como objetivo mostrar el valor dinámico a partir de la teorí­a económica de las clases creativas de Florida (2002), manifestándose a través de una revisión bibliométrica y cuatro modelos que muestran la relación entre las industrias creativas y la economí­a en su conjunto y descubriendo una base metodológica de este hallazgo donde los modelos 3 y 4 son los más apropiados para una polí­tica económica creativa y cultural.Palabras Claves: Creatividad, Clase Creativa, Economí­a Creativa, Crecimiento Económico
Abstract:Today, Creativity still remains poorly visible in our country and for economists, where creativity plays an important role in the development of regional strategies in recent years, showing evidence of data. This article aims to show the dynamic value from the economic theory of the creative classes of Florida (2002), manifesting itself through a bibliometric review and four models that show the relationship between the creative industries and the economy as a whole and discovering a methodological basis for this finding where models 3 and 4 are the most appropriate for a creative and cultural economic policy.Keywords: Creativity, Creative Class, Creative Economy, Economic Growth Model
SUBSIDIOS Y CONSUMO DENTRO LA ECONOMíA BOLIVIANA
Authors: Olivera-Villarroel Sazcha Marcelo , Calderón Calderón Maira
Published: May 2020

El estudio analiza los efectos de la aplicación de polí­ticas y programas de dotación de subsidios en Bolivia. Teniéndose como objetivo central distinguir el impacto de estas polí­ticas en el aumento de la demanda agregada de la economí­a y el incremento del consumo y/o inversión. Partiendo del cálculo aproximado de la propensión marginal a consumir - PMC- de la economí­a por tipo de consumidor y así­ obtener el multiplicador de la demanda.La implementación de estas polí­ticas ha generado un incremento en los ingresos mensuales de las poblaciones beneficiarias correspondiente a los quintiles inferiores de ingreso. Si bien mejora sus condiciones de vida, modifica su consumo al corto y mediano plazo; por lo que el efecto dinámico del multiplicador es menor sobre la demanda agregada del paí­s y en consecuencia en el PIB nacional. En tanto un subsidio no monetario, podrí­a generar un movimiento económico regional.Palabras clave: Bienestar económico, Economí­a Moral, multiplicador de la demanda, propensión a consumir, subsidios.
AbstractThe study analyzes the effects of the application of subsidy policies and programs in Bolivia. Having as a central objective to distinguish the impact of these policies in the increase of the aggregate demand of the economy and the increase of consumption and / or investment. Starting from the approximate calculation of the marginal propensity to consume - PMC- of the economy by type of consumer and thus obtain the demand multiplier.The implementation of these policies has generated an increase in the monthly income of the beneficiary populations corresponding to the lower income quintiles. Although it improves their living conditions, it modifies its consumption in the short and medium term; so the dynamic effect of the multiplier is less on the aggregate demand of the country and consequently on the national PIB. As a non-monetary subsidy, it could generate a regional economic movement.Key words: Economic welfare, Moral Economy, demand multiplier, propensity to consume, subsidies.
Does Concurrent Existence of Asthma or COPD Affect Susceptibility & Outcomes to Novel Coronavirus Infections?
Authors: Srinivasan Akash , Chakravorty Indranil , Srinivasan Koottalai
Published: May 2020

The SARS-CoV-2 virus causing COVID-19 pandemic across the world has highlighted the risk of human-to-human transmission, the speed of spread in a globally mobile population and the need for health services to be flexible in their responses to hitherto unknown challenges. One of the hallmarks of COVID-19 is severe acute respiratory syndrome presenting with widespread viral pneumonitis and respiratory failure. It is therefore not unusual for patients with chronic lung diseases such as asthma, COPD, and bronchiectasis to be concerned regarding their particular vulnerability. As healthcare professionals responsible for the care of such patients, it is important to understand how the SARS-CoV-2 virus impacts the respiratory system and the outcomes for patients with chronic lung disease. This review examines the evidence and offers sensible guidance until more is known.
The INDIAN HEALTHCARE SECTOR –
Authors: Pandya Buddhdev
Published: May 2020

In good healthcare should be available to all, regardless of wealth. When the National Health Service (NHS) was launched on July 5th, 1948 by it has three core principles embodied in the shaping culture of the population in the context of creating of services; it meets the needs of everyone, it is uniformity in the health care sector across the nation. available free at the point of delivery and based on These practices are not optional and form an integral clinical need – from cradle to grave, not the ability to pay. part of the healthcare landscape that exists in India.
The BAPIO SW Leadership Initiatives
Authors: Gordon Uma , Basude Dharam , Mundasad Mangla
Published: May 2020

BAPIO South West and 'Our NHS Our Concern' is leading the way under the leadership of Prof Parag Singhal in bringing the leaders together from today and tomorrow in a unique way in driving the agenda for change. BAPIO South West has so far brought together both clinical and non-clinical leaders from at least 6 different Trusts within the region.
Children with Acquired Brain Injury (ABI)
Authors: Fernandez Daphin Nazareth
Published: May 2020

Traumatic brain injuries following road traffic accidents, stroke, brain tumour, and its treatment constitute a large proportion of children with acquired brain injury (ABI). There are at least 35,000 children being admitted due to traumatic acquired brain injury (ABI) annually in the UK (1).
Beyond BAWA-GARBA
Authors: Singhal Parag , Pandya Buddhdev
Published: May 2020

The medical profession is in crisis and working in a climate of ‘toxic fear, according to the chair of the gross negligence manslaughter review commissioned by GMC following the Bawa-Garba case. Dr. Leslie Hamilton, who replaced Dame Clare Marx as chair of the independent review in July, warned that health leaders had a lot of work to do to regain doctor’s trust.
Efficacy of Minocycline in Neural Stem Cells Proliferation after Traumatic Brain Injury
Authors: Indharty R. R. Suzy , Japardi Iskandar , Siahaan Andre M. P. , Tandean Steven , Loe Michael Lumintang
Published: May 2020

BACKGROUND: Neuroinflammation is an important secondary injury mechanism that contributes to neurological impairments after traumatic brain injury (TBI). There is a robust evidence that neuroinflammation will diminish neurogenesis after TBI. Therefore, strategies to attenuate the inflammatory responses are potential to increase neurogenesis following TBI. Minocycline, a second-generation tetracycline antibiotic derivate, has potent anti-inflammatory effect by reducing microglial activation and suppressing some pro-inflammatory cytokines.
AIM: The aim of this study is to investigate if minocycline could enhance neurogenesis after TBI.
METHODS: Thirty Sprague Dawley rats were randomized into three treatments group, i.e., sham-operated controls, closed head injury (CHI), and CHI with minocycline. We used the modified Feeney’s weight-drop model for making CHI. For the treatment group, we gave minocycline per oral (50 mg/kg) twice daily for the first 2 days followed by 25 mg/kg once daily for 3 consecutive days. Animals were sacrificed on day 5. To assess the proliferation capacity of neural stem cells (NSC), we performed immunohistochemistry staining with SOX2, brain-derived neurotropic factor (BDNF), and NFR. Cell counts were carried out using light microscope with 1000 times magnification in 20 high-power fields.
RESULTS: SOX2, NF-E2-related factor 2 (NRF-2), and BDNF were upregulated in the CHI group compared to the sham-operated group (p < 0.05). NRF-2, BDNF, and SOX2 were upregulated also significantly in the CHI+ minocycline group compared to the sham-operated group and the CHI group (p < 0.05).
CONCLUSION: Minocycline increased the proliferation capacity of NSC.
Acute and Subchronic Toxicity Study of the Ethanol Extracts from Ficus deltoidea Leaves in Male Mice
Authors: Nugroho Rudy Agung , Aryani Retno , Manurung Hetty , Rudianto Rudianto , Prahastika Widha , Juwita Amelia , Alfarisi Abdul Khafizh , Pusparini Nur Ainun Oktavia , Lalong Agnesia
Published: May 2020

BACKGROUND: Ficus deltoidea Jack. leaves have a great potential as traditional medicine, but the safety level of its use is still unknown.
AIM: This study aimed to determine the phytochemical contents of the ethanol extract of F. deltoidea leaves and evaluate the level of safety and toxicity through acute and subchronic toxicity tests in mice (Mus musculus).
METHODS: The ethanol extract of F. deltoidea leaves was determined for phytochemical contents such as alkaloids, phenolics, flavonoids, coumarin, steroids, saponins, carotenoids, and tannins. In the acute toxicity test, 10 male mice were divided into a control group and the extract treatment group with 2000 mg/kg body weight (BW) dose for 14 days to identify signs of toxicity and mortality. Meanwhile, in the subchronic toxicity test, 25 male mice were divided into control and four treatment groups with various doses (125, 250, 500, and 1000 mg/kg BW), respectively, for 28 days. The toxicological effect was evaluated by observing behavior, signs of toxicity, and changes in BW. At the end of the treatment, hematological and biochemical evaluations were also measured.
RESULTS: The results showed that the ethanol extract of F. deltoidea Jack leaves qualitatively contains alkaloids, phenolic, flavonoids, coumarin, and steroids, whereas quantitatively total phenolics, flavonoids, and IC50 were 107.6583211 μg GA/mg, 175.9103641 μg CE/mg, and 103.7484 μg/mL. Moreover, 2000 mg/kg BW dose resulted in no symptoms of toxicity and mortality, indicating that the 50% lethal dose (LD50) was above 2000 mg/kg BW. Meanwhile, there were no behavioral changes, significant differences in weight changes, hematological parameters, and serum biochemistry of mice in subchronic toxicity tests.
CONCLUSION: The present study shows that acute and subchronic oral administration of the ethanol extract of F. deltoidea leaves for male mice does not induce clinical symptoms of toxicity or mortality. The LD50 of the ethanol extract of F. deltoidea leaves for mice >2000 mg/kg is considered as practically non-toxic.
The Consolation of Profit
Authors: Symons Michael , Maddox Marion
Published: May 2020

Incessant marketing generates a concomitant reassurance: nothing is asked but purchasing. The desperation of sales might be reasonably expected to protect consumers from further complications. This consolation of profit helps explain a wide range of otherwise surprising preferences
– for commercially bottled over tap water, for example. As a case study, this paper investigates the success of formulaic, fast food over riskier and possibly more rewarding restaurants. Predictable food – 'Do you want fries with that?' – and stilted interactions –
'Have a nice day' – congeal into a multimodal text announcing that profit is pursued, to the exclusion of any other demands. In another example, the extraordinary growth of so-called megachurches, as other forms of organised Christianity decline, attests the power of deliberately appropriating
marketing culture. The self-styled pastorpreneurs' constant appeal for funds reassures newcomers that, only payment being wanted, these churches uniquely present no unanticipated challenge. Finally, marketing's surreal hammering of capitalism's simple demand helps explain how an obsessive
artist of 'the deal' might have been welcomed as US president.
Evaluation of Changes in Skin and Joint Outcomes and Associated Treatment Changes in Psoriatic Arthritis (PsA): Experience From the Corrona PsA/SpA Registry
Authors: Mease Philip J. , Etzel Carol J. , Huster William J. , Armstrong April W. , Muram Talia M. , Lisse Jeffrey , Rebello Sabrina , Dodge Rhiannon , Murage Mwangi J. , Greenberg Jeffrey D. , Malatestinic William N.
Published: May 2020

Objective.

To characterize skin severity and joint activity outcomes and associated treatment changes in patients with psoriatic arthritis (PsA) through 12 months of follow-up after enrollment in the Corrona Psoriatic Arthritis/Spondyloarthritis (PsA/SpA) Registry.

Methods.

Patients ≥ 18 years of age with a diagnosis of PsA and a history of psoriasis between March 21, 2013, and September 30, 2016, were enrolled (n = 647). Demographics, clinical features, and treatment characteristics were collected and stratified by skin severity and joint activity. Change in joint and skin from enrollment to the 12-month visit was classified by change in category of Clinical Disease Activity Index (CDAI) or body surface area (BSA). Tests of association evaluated the relationship between changes in therapy and changes in skin severity and joint activity.

Results.

Patients with improvement in both joint activity and skin severity saw the largest median reduction in both CDAI and BSA, while those who worsened in both had the greatest median increase in both CDAI and BSA. The majority of PsA patients (> 50%) had no change in skin severity regardless if they had reduced therapy (50%), no therapy changes (54%), or increased therapy (56%;P= 0.5875). However, there was a significant association between changes in therapy and changes in joint activity (P< 0.001). Patients who increased therapy were more likely to have improvement in joint activity (32%) compared to patients who reduced therapy (22%) or had no therapy changes (11%).

Conclusion.

The clinical implication for our findings suggests the assessment and incorporation of both skin and joint components may be advisable.
Incidence and Prevalence of Juvenile Systemic Lupus Erythematosus in Korea: Data From the 2017 National Health Claims Database
Authors: Kwak Sang Gyu , Park Sung-Hoon , Kim Ji Yoon
Published: May 2020

Objective.

The purpose of the present study was to investigate the prevalence and incidence of juvenile systemic lupus erythematosus (JSLE) in Korea.

Methods.

The data were collected from the National Health Insurance Claims Database of Korea. JSLE was identified using the diagnostic code M32 from the Korean Standard Classification of Diseases. Patients between 5 and 18 years old, who had at least 1 claim for JSLE from January 1, 2016, to December 31, 2017, as final diagnosis, were analyzed in the study. For prevalent cases, patients who used, at least 1 time, any type of medical services with a diagnostic code of M32 were selected. For incident cases, patients who did not use medical services with the M32 code 1 year prior and who were newly registered in 2017 were defined. Change-point analysis was used to find the age at which changes in prevalence and incidence occurred.

Results.

The prevalence of JSLE was 6.92 per 100,000 persons and the incidence of JSLE was 2.76 per 100,000 person-years in patients between 5 and 18 years old. The prevalence and incidence of JSLE were higher in females than in males. According to the change-point analysis, we found that the incidence and prevalence of female patients increased rapidly at the ages of 14 and 15 years, respectively.

Conclusion.

This Korean population-based epidemiological study of JSLE showed similar epidemiologic profiles to Asian population in other studies. The distribution of age, ethnicity, and pubertal status are important factors that influence population estimates of JSLE incidence and prevalence.
Clinique projective et temporalité psychique à l’épreuve de la diversité des cultures : l’exemple de l’ Indien des Plaines de Georges Devereux
Authors: Pheulpin Marie-Christine , Azoulay Catherine
Published: May 2020

En 1951, paraissait aux États-Unis la première édition de l’ouvrage de G. Devereux, Psychothérapie d’un Indien des plaines , qui fut traduite en français en 1982 (Fayard). Il décrit la prise en charge psychanalytique de Jimmy P., un indien wolf souffrant de symptômes névrotiques. G. Devereux a appliqué la méthode psychanalytique classique à la cure d’un sujet dont l’origine culturelle était très différente de la sienne. Pour autant, la cure fut un succès. Par ailleurs, le patient a passé une importante batterie de tests dont le Wechsler-Bellevue, le Rorschach (test-retest) et le tat , administrés, cotés et interprétés de façon très rigoureuse par R. Holt. Après avoir évoqué certaines des questions qui se posent dans les liens entre cultures et épreuves projectives, nous nous centrerons sur la traduction de la temporalité psychique aux épreuves projectives puis, en appui sur les indices déjà mis en évidence dans nos travaux antérieurs, nous nous proposons de revisiter les deux Rorschach et le tat de Jimmy P. à la lumière de l’interprétation de l’École de Paris. L’objectif est de mettre ces indices à l’épreuve de la culture afin d’en saisir les convergences et divergences.
Devastation: the destruction of populations and human landscapes and the Roman imperial project
Authors: Lavan Myles
Published: May 2020

This paper explores how the violence that Roman forces deployed against enemy and rebel populations was represented in Roman culture. Although the imperial elite did not think that they engaged in mass destruction widely or indiscriminately, they regarded the capacity to destroy human populations and their landscapes as an essential aspect of Roman power. Long after the period of rapid expansion in the late Republic, a language of erasure (verbs such as deleo, excido, tollo and uasto) remained an essential part of the lexicon of aristocratic achievement and good government, its connotations of ameliorative action euphemising the violence it described. In the visual sphere, images of Roman soldiers torching enemy settlements and barbarian families atomised through slaughter and enslavement were elevated into symbols of the enduring triumph of the imperial order against the enemies that threatened it. The paper traces the connections between the iconography of devastation on the columns of Trajan and Marcus Aurelius, the language of erasure in Roman public discourse and the idea of annihilating whole peoples. The goal is to elucidate the verbal and visual tropes that elevated mass destruction by representing it as part of a larger imperial project.