bluuebunny/crossref_metadata_2025 huggingface dataset:
A Hospital-Based Initiative to Reduce Postdischarge Sudden Unexpected Infant Deaths
Authors: Krugman Scott D. , Cumpsty-Fowler Carolyn J.
Published: August 2018

BACKGROUND AND OBJECTIVES:

Sudden unexpected infant deaths (SUID) most often occur because infants are placed in unsafe sleep environments. Although authors of previous literature have demonstrated that parents who receive comprehensive safe sleep education increase knowledge and intention to place children in safe sleep environments, no studies have demonstrated improved outcomes. We describe the development of a hospital-based newborn SUID risk reduction quality improvement project and its effectiveness in reducing subsequent SUIDs in a community using linked outcome data from local Child Fatality Review Teams.

METHODS:

Qualitative and quantitative evaluation of a long-term iterative performance improvement intervention for a nursery-based comprehensive safe sleep program in a community teaching hospital. Key themes and exemplary comments were noted. The rate of infant deaths per 1000 births was the primary quantitative outcome. The rate is calculated quarterly and monitored with control charts by using Child Fatality Review data about infant sleep deaths.

RESULTS:

The average death rate fell from 1.08 infants per 1000 births preintervention to 0.48 infants per 1000 births after complete intervention, and the average number of deaths between deliveries increased from 1 in every 584 deliveries (upper control limit: 3371) to 1 in every 1420 deliveries (upper control limit: 8198). Qualitative observation of nursery providers revealed 3 themes, including routine inclusion of sleep safety information, dissemination of safety information by all staff, and personal commitment to success.

CONCLUSIONS:

A comprehensive sleep safety culture change can be effectively integrated into a nursery setting over time by using feedback from Child Fatality Review and performance improvement methodology. Repeated messaging and education by the entire nursery staff has the potential to play a role in reducing sleep-related deaths in infants born at their hospital.
The Prevalence of Bacterial Meningitis in Febrile Infants 29–60 Days With Positive Urinalysis
Authors: Young Beverly R. , Nguyen Tran H.P. , Alabaster Amy , Greenhow Tara L.
Published: August 2018

OBJECTIVES:

This study evaluates whether bacterial meningitis prevalence differs by urinalysis result and whether antibiotic treatment of presumed urinary tract infection without cerebrospinal fluid (CSF) culture produces adverse sequelae in febrile infants 29 to 60 days old.

METHODS:

This retrospective cohort study identified febrile infants 29 to 60 days old presenting to Kaiser Permanente Northern California sites from 2007 to 2015 who underwent urinalysis and blood, urine, and CSF cultures, comparing the prevalence of meningitis among infants with positive versus negative urinalysis results using a two 1-sided test for equivalence. Additionally, febrile infants treated with antibiotics for positive urinalysis results without CSF culture were identified and their charts were reviewed for adverse sequelae.

RESULTS:

Full evaluation was performed in 833 febrile infants (835 episodes). Three of 337 infants with positive urinalysis (0.9%; 95% confidence interval [CI]: 0.0%–1.9%) and 5 of 498 infants with negative urinalysis (1%; 95% CI: 0.1%–1.9%) had meningitis. These proportions were statistically equivalent within 1%, using two 1-sided test with a P value of .04. There were 341 febrile infants (345 episodes) with positive urinalysis treated with antibiotics without lumbar puncture. Zero cases of missed bacterial meningitis were identified (95% CI: 0%–1.1%). Zero cases of severe sequelae (sepsis, seizure, neurologic deficit, intubation, PICU admission, death) were identified (95% CI: 0%–1.1%).

CONCLUSIONS:

The prevalence of bacterial meningitis does not differ by urinalysis in febrile infants 29 to 60 days old. Antibiotic treatment of infants with positive results for urinalysis without lumbar puncture may be safe in selected cases.
Neonatal Hydrocephalus
Authors: Flanders Tracy M. , Billinghurst Lori , Flibotte John , Heuer Gregory G.
Published: August 2018

Hydrocephalus is one of the most common congenital abnormalities affecting the nervous system, occurring in 0.3 to 2.5 per 1,000 live births. It results from obstruction of cerebrospinal fluid (CSF) pathways by a diverse range of developmental, genetic, and acquired abnormalities and can have negative consequences on the neurodevelopmental outcome of affected neonates. Historically, hydrocephalus was diagnosed after birth and managed with a shunt procedure; however, with the advent of advanced antenatal imaging techniques, it may now be detected and treated before delivery in some individuals. Moreover, surgical options for the treatment of hydrocephalus have increased over the past few decades, and temporary CSF diversion may prevent the need for permanent shunt placement. Posthemorrhagic hydrocephalus is the most common cause of hydrocephalus in the preterm newborn, but the timing of surgical intervention for this condition remains controversial. Recent evidence suggests that earlier, rather than later, intervention may have some benefits, but more data are needed to adequately inform clinical practice. Regardless of etiology or timing of diagnosis, a thorough understanding of the natural history of hydrocephalus and the range of treatment options available is needed for parental counseling, prognostication, and appropriate surgical management.
Pediatric Esophageal Disorders: Diagnosis and Treatment of Reflux and Eosinophilic Esophagitis
Authors: Adamiak Tonya , Plati Karen Francolla
Published: August 2018

Gastroesophageal reflux (GER) occurs frequently in infants, generally at its worst at 4 months of age, with approximately two-thirds of infants spitting up daily. GER typically improves after 7 months of age, with only ∼5% of infants continuing to have reflux at 1 year of age. The diagnosis can often be made based on clinical symptoms. Upper GI (UGI) study has low sensitivity and specificity and should not be ordered as a diagnostic test for reflux. UGI study is best for evaluating other anatomic causes of vomiting. GER becomes problematic gastroesophageal reflux disease (GERD) when complications are present, including feeding difficulties and poor weight gain. Conservative treatment and thickened formula can be helpful for treating GERD. Proton pump inhibitors (PPIs) are frequently prescribed for treating reflux. However, studies do not show a definite benefit in infants, and there are potential side effects. Older children with GERD may present with regurgitation, heartburn, chest discomfort, dysphagia, abdominal pain, vomiting, poor appetite, or poor weight gain. Upper endoscopy is considered for children with concerning symptoms, persistent symptoms despite treatment, and relapse of symptoms after treatment. Other esophageal disorders can have a similar clinical presentation as GERD, notably eosinophilic esophagitis (EoE). EoE is a chronic immune-mediated disorder of the esophagus, which may present as dysphagia, food impaction, heartburn, vomiting, abdominal pain, feeding difficulties, or failure to thrive. Diagnosis is made histologically by the presence of esophageal eosinophilia on endoscopic biopsies in the correct clinical setting.
JUAN RIVANO: FILÓSOFO LATINOAMERICANO DEL RIESGO
Authors: Ibarra Peña Alex
Published: August 2018

La pretensión central de este artículo es instalar algunos de los planteamientos del filósofo chileno Juan Rivano dentro de las filosofías de la liberación latinoamericanas. Una cuestión relevante para debatir será la afirmación de que la filosofía que se hace en Chile suele estar situada en el contexto latinoamericano, lo cual favorecerá la discusión académica, ya que muchos piensan que esto no es así.
LA FILOSOFÍA DE LA NATURALEZA EN LA OBRA DE MANUEL ATRIA RAMÍREZ
Authors: Serani Alejandro , Carreño Juan Eduardo
Published: August 2018

Manuel Atria Ramírez, filósofo chileno, elaboró durante décadas una propuesta epistemológica y filosófico natural consistente, en la que la físico-matemática y la cosmovisión científica moderna fueron objeto de especial atención. En su obra, el universo sensible es sometido a un análisis riguroso, en el que se emplean y proyectan con originalidad las categorías propias de la tradición aristotélico-tomista.
LA LITERATURA DE ERNESTO SÁBATO COMO ACCESO VIVENCIAL AL PENSAMIENTO KIERKEGAARDIANO
Authors: Alegría Morán José
Published: August 2018

El pensamiento filosófico de Sõren Kierkegaard se construye desde problemáticas existenciales del sujeto, como la angustia, la desesperación y el ensimismamiento. La literatura de Ernesto Sábato se desenvuelve entre aquellas problemáticas. El presente artículo propone la lectura del Informe sobre Ciegos como una forma de acceder, desde una perspectiva vivencial, a la complejidad del pensamiento existencial kierkegaardiano.
EL DIÁLOGO PLATÓNICO ENTRE LA LITERATURA Y LA FILOSOFÍA
Authors: Díaz López Lucas
Published: August 2018

En el presente artículo se intenta mostrar la situación liminar de la obra platónica respecto a la distinción entre literatura y filosofía. Para ello, a partir de un pasaje del Fedón en el que es nombrado el autor del diálogo, se analiza la complejidad de niveles y dimensiones que presenta el formato literario de los diálogos y la necesidad hermenéutica que le acompaña.
CIENCIA ANORMAL. EL ESCENARIO COSMOLÓGICO CON MATERIA OSCURA
Authors: Heiblum Robles Alan
Published: August 2018

¿Qué debemos pensar del sonado escenario cosmológico con materia oscura? ¿Se trata de un escenario revolucionario, en crisis, o el resultado de la ciencia normal? En el presente trabajo se argumenta que para describir al escenario favorito de la cosmología actual hace falta un concepto de una ciencia erigida sobre sus propias anomalías.
LÓGICA DEL DESCUBRIMIENTO Y LÓGICA DE LA JUSTIFICACIÓN: ¿OPOSICIÓN O COMPLEMENTARIEDAD?
Authors: Kasahara B. Javier
Published: August 2018

En este artículo se aborda la distinción contemporánea en filosofía de la ciencia entre una lógica del descubrimiento y una lógica de la investigación. Tal distinción opone el descubrimiento como acción creadora a la actividad científica. A partir de la distinción entre lógica y razonamiento, se sugiere que es plausible recuperar el descubrimiento como parte de la actividad científica, contrario a planteamientos como los de Popper.
UN PROBLEMA EN LA LÓGICA MODAL DE KRIPKE
Authors: Rosenberg G. Martín
Published: August 2018

El presente artículo tiene por objeto exponer cómo la lógica modal de Saúl Kripke, abordada principalmente en su libro Naming and Necessity, trata el concepto de propiedad esencial y las falencias o inconsistencias que esto acarrea.
The nurse training in research in the undergraduate education: teaching perceptions
Authors: Moraes Aluana , Guariente Maria Helena Dantas de Menezes , Garanhani Mara Lúcia , Carvalho Brígida Gimenez de
Published: August 2018

ABSTRACT Objective: To analyze how the approach of the theme “scientific investigation” can contribute to the development of the scientific competence of the Nursing student. Method: A descriptive-exploratory, case-study, qualitative study was carried out with professors from a public university in the South of Brazil. Data were collected through a semi-structured individual interview and a group interview, called the conversation circle. Results: Data analysis consisted of three categories: “Research as a structuring theme and scientific principle in undergraduate student training in Nursing”; “Research as a structuring theme and scientific principle in undergraduate student training in Nursing”; “Sap research and educational principle in the integrated curriculum”. Conclusion: Research training can occur at all undergraduate academic moments, providing the student with the knowledge of scientific research as a formative content and as an investigative attitude, in order to enable the development of scientific competence in professional practice.
Recidiva Oncológica: Olhares dos Profissionais Hospitalares sobre as Dificuldades do Paciente Pediátrico
Authors: Caires Susana , Machado Marta , Antunes Maria Conceição , Melo Ana Sofia Marques
Published: August 2018

Resumo Em pediatria oncológica, a taxa de sobrevivência tem sofrido um aumento acentuado, sendo considerável a probabilidade de cura. Não obstante, o processo de confronto com a doença pode sofrer alguns contratempos, nomeadamente uma recidiva. Esta última é responsável por elevado sofrimento, o qual poderá ser ainda maior que o confronto com o diagnóstico. Procurando conhecer as perceções dos profissionais de oncologia, relativamente às principais dificuldades experienciadas pelas crianças e adolescentes cuja doença recidivou, as autoras desenvolveram um estudo investigando o olhar desses profissionais. Entrevistaram-se 17 profissionais, de dois hospitais portugueses, exercendo funções hospitalares na área da saúde, serviço social, psicologia e educação. Suas reflexões apontaram como principais dificuldades a aceitação de ter que passar novamente por um processo fisica e psicologicamente penoso sendo que, entre os adolescentes - mais conscientes da gravidade da doença e suas implicações - acrescem as dificuldades em ter esperança na cura. Para os mais pequenos, os profissionais apontaram como mais comum a dificuldade em compreender os motivos de nova submissão a tratamentos dolorosos e do afastamento dos seus contextos de vida. Dando a conhecer uma etapa particularmente desafiante da doença oncológica, o presente estudo traz um olhar multifocal de um grupo de profissionais que acompanham de perto essas crianças/adolescentes (e respectivas famílas). A sua longa e diversa experiência - em termos de tipologias de câncer, evolução do quadro clínico, idade ou temperamento dos pacientes (e dos próprios pais) - fazem desses profissionais informantes-chave no mapeamento das dificuldades associadas ao processo de recidiva oncológica em pediatria, bem como no desenho e implementação de respostas mais ajustadas à fenomenologia destes processos.
História da Eletricidade e do Magnetismo: da Antiguidade à Idade Média
Authors: Tonidandel Danny Augusto Vieira , Araújo Antônio Emílio Angueth de , Boaventura Wallace do Couto
Published: August 2018

Resumo Os conceitos de eletricidade e magnetismo, muito antes de figurarem como aspectos basilares da ciência e tecnologia contemporânea, tiveram suas virtudes cantadas em prosa e verso, analisadas em perquirições filosóficas, enaltecidas em tratados morais, aplicadas na medicina e até na literatura mitológica. A história de sua descoberta, que acreditamos ainda não ter sido concluída, se confunde com a própria história do conhecimento humano, desde épocas remotas. Considerando sua importância, buscar-se-á, portanto, tecer alguns fatos e narrativas a respeito da formação dos conceitos de eletricidade e magnetismo ao longo da história antiga até a Idade Média, visando contribuir com os estudos relativos a este recorte temporal no contexto da física.
Yield and technological quality of sugarcane cultivars under infestation of Diatraea saccharalis (Fabr., 1794)
Authors: Ferreira Carlos Alberto da Silva , Santana Marcus Vinícius , Santos Jardel Barbosa dos , Santos Tássia Tuane Moreira dos , Lôbo Lucas Morais , Fernandes Paulo Marçal
Published: August 2018

ABSTRACT: The sugarcane borer, Diatraea saccharalis (Fabr., 1794) (Lepidoptera: Crambidae), is one of the main pests of sugarcane. This pest can reduce the quality and yield of the crop. Information on the quality and yield of cultivars in relation to the attack of sugarcane borer are necessary, since they guide the choice of the best materials for use in joint with other management tactics. Two field experiments were conducted in 2011 and 2012 to compare the quality and yield of 16 commercial sugarcane cultivars (IACSP93-3046, IACSP94-2094, IACSP94-2101, IAC91-1099, IACSP95-5000, IAC87-3396, RB92579, RB867515, RB966928, CTC2, CTC4, CTC9, CTC11, CTC15, CTC18 and SP86-0042) relative to the natural infestation of D. saccharalis. The experimental design was a randomized complete block with four replications. There was no difference between treatments for infestation index, with averages of 1.2 to 8.7% of bored internodes. Higher percentages of internodes with red rot were observed for CTC9, CTC2 and RB966928. The cultivars CTC4 and RB92579 infested with D. saccharalis resulted in lower technological quality, due the reduction in the contents of brix, apparent sucrose content (POL) and purity; and increase of the reducing sugars and, consequently, lower theoretically recoverable sugar (TRS). On the other hand, the lowest yields (t of cane ha-1) were observed for CTC18, IACSP94-2094, IACSP94-2101 and RB966928. Therefore, according to the hierarchical cluster analysis (UPGMA), the cultivars RB867515, CTC11, IAC91-1099, CTC15, SP86-0042, CTC2 and IACSP94-3046 were resistant to D. saccharalis.
Attractiveness of light-emitting diodes (LEDs) of different wavelengths to the South American rice water weevil
Authors: Hickel Eduardo Rodrigues , Knabben Gustavo Carlos , Zotto Débora Dal , Carvalho Maicon William Machado , Bertoldi Bruno , Novaes Yales Rômulo
Published: August 2018

ABSTRACT: The South American rice water weevil Oryzophagus oryzae (Costa Lima) (Coleoptera: Curculionidae) is a key pest of irrigated rice in Brazil. Light traps could be used as an integrated pest management (IPM) strategy since these weevils have strong phototropism. Thus, the aim of this study was to search the attractiveness of LEDs of different wavelengths to O. oryzae to define the best light-emitting diodes (LED) arrangement to build the lamp of photovoltaic light traps. LEDs of different wavelengths were tested in a dark room with a hexagonal arena with exits to light sources. Groups of 200 insects were released in the center of the arena and captured at the end of exposure time in plastic bags placed in the exits. The LEDs in the short-wave band of the light spectrum (365 and 460 nm) and white LEDs, as well as the light mix of 365 with 460 nm or white LEDs, were attractive to O. oryzae. Beyond the LEDs with ultraviolet (UV) spectrum, the LEDs above 380 nm were the most attractive and, this way, might be used to build LED lamps of photovoltaic light traps.
Vivência de mulheres na gestação em idade tardia
Authors: Aldrighi Juliane Dias , Wall Marilene Loewen , Souza Silvana Regina Rossi Kissula
Published: August 2018

Resumo OBJETIVO Descrever a vivência de mulheres na gestação em idade avançada. MÉTODO Estudo descritivo e qualitativo, realizado com 21 gestantes de 35 anos ou mais em acompanhamento pré-natal de alto risco, no período de dezembro de 2015 a abril de 2016. Os dados foram coletados por meio de entrevista semiestruturada. A análise temática dos dados seguiu os seis passos propostos por Creswell. RESULTADOS Emergiram seis categorias temáticas: Ambivalência: do medo à felicidade; O (não) planejamento e o divino; (Re)organização familiar: do apoio à não aceitação; Maturidade como uma facilidade para a maternidade; A idade avançada e a percepção do risco; A idade biológica do corpo dificultando a gestação. CONCLUSÃO O estudo descreve a vivência da mulher gestante em idade avançada e apresenta diversos aspectos experienciados que podem ser utilizados como subsídios para o cuidado de enfermagem às mulheres que gestam nessa idade.
Os cavalos também caem: Tratado das inconsistências do IDEB
Authors: Figueiredo Dalson , Carmo Erinaldo , Maia Romero , Silva Lucas
Published: August 2018

Resumo Este artigo apresenta algumas incoerências identificadas na análise dos resultados do IDEB 2015, referentes ao ensino público. Metodologicamente, o desenho de pesquisa combina estatística descritiva e multivariada. As conclusões indicam que: 1) a alta taxa de aprovação interna infla artificialmente a magnitude do IDEB; 2) não existe correlação, em determinados estados, entre o desempenho do IDEB nas diferentes etapas da educação básica; 3) em alguns estados, não há correspondência entre o IDEB do ensino médio e o ENEM. Em conjunto, essas limitações comprometem a validade da inferência do Índice sobre a educação básica do país e justificam a imposição de dúvidas plausíveis sobre o próprio modelo de avaliação adotado pelo INEP.
Avaliação dos níveis de metais pesados no pantanal dos Marimbus, Bahia, Brasil
Authors: Lima Adriano Cosme Pereira , França Flavio , Jesus Taíse Bomfim de
Published: August 2018

RESUMO A concentração de metais pesados zinco (Zn), chumbo (Pb), cromo (Cr), níquel (Ni), cobre (Cu) e cádmio (Cd) tem aumentado nos últimos anos nos compartimentos aquáticos em função do uso indiscriminado de fertilizantes na agricultura, da falta de saneamento e do descarte de resíduos industriais não tratados. O objetivo deste trabalho foi investigar a disponibilidade dos metais pesados nas águas e em Salvinia auriculata Aubl. das áreas alagadas dos Marimbus, Bahia. As amostras foram submetidas à digestão ácida (HNO3; HClO4) e as análises dos metais pesados utilizaram um aparelho de absorção atômica de chama ar-acetileno. Nas águas, foram detectados teores de chumbo e zinco com valores dentro dos limites permissíveis para águas de classe 1, conforme Resolução CONAMA nº 357/2005 (BRASIL, 2005). Em S. auriculata, observou-se acumulação de concentração de metais na seguinte ordem Zn>Cr>Pb>Ni>Cu. Conclui-se que a presença da S. auriculata nos corpos hídricos funciona como importante removedor de metais pesados e sua presença nos ambientes aquáticos é extremamente relevante para permitir os diversos usos que esse espaço proporciona.
Premature Clinical Trial Discontinuation in the Era of Immune Checkpoint Inhibitors
Authors: Khunger Monica , Rakshit Sagar , Hernandez Adrian V. , Pasupuleti Vinay , Glass Kate , Galsky Matthew D. , Grivas Petros
Published: August 2018

Background

Clinical trial completion is critical for new cancer therapies. Premature trial termination or withdrawal is common and impairs progress. We assessed factors of early terminated/withdrawn oncology trials focusing on trials with immune checkpoint inhibitors (ICI), hypothesizing that the latter may be associated with lower rates of premature discontinuation.

Materials and Methods

We reviewed all adult, intervention, oncology trials registered in ClinicalTrials.gov (November 16, 2011, to April 16, 2015) to identify all terminated/withdrawn trials and reasons for termination. Logistics regression model was used to identify factors associated with early termination/withdrawal. Discontinuation rate was compared in trials with and without ICI.

Results

We identified 12,875 trials (35% industry funded, 12% federal funded), of which 8.5% were prematurely terminated (5%) or withdrawn (3.5%); the main reasons were poor accrual (33%) and logistical (24%). ICI trials (n = 350) had a nonsignificant lower rate of termination or withdrawal compared with all other oncology trials (5.4% vs. 8.5%; p = .9) and were less likely to discontinue due to poor accrual (nonsignificant difference: 21% vs. 33%; p = .4). ICI trials were also less likely to discontinue compared with all other oncology drug trials (e.g., chemotherapy, targeted inhibitors, antiangiogenesis, biologics; 5.4% vs. 7.9%, respectively, nonsignificant difference). The 4-year cumulative incidence of failing to complete for reasons unrelated to toxicity or efficacy was 18% (95% confidence interval 16%–20%). There was no association between annual incidence across different tumor types or accrual goal and rate of trial termination.

Conclusion

Poor accrual represents the main cause of early cancer trial termination. Premature termination/withdrawal rate was not significantly lower in ICI compared with other trials. Clinical trial completion remains a high priority and can be influenced by provider and patient factors.

Implications for Practice

Clinical trial completion is critical for new cancer therapies. Premature trial termination or withdrawal is common and impairs progress. This study assessed factors of early terminated/withdrawn oncology trials, focusing on trials with immune checkpoint inhibitors (ICI), and found that poor accrual represents the main cause of early cancer trial termination. Premature termination/withdrawal rate was not significantly lower in immune checkpoint inhibitor trials compared to other trials. The discussion herein is focused on measures taken by the National Cancer Institute and other institutions to improve clinical trial accrual and prevent premature clinical trial discontinuation.
Facial antibioma formation: A Case Report
Authors:   Faculty of Dentistry, SEGi University, Malaysia., Mahdey Haydar , Muzaffar Danish ,   Faculty of Dentistry, SEGi University, Malaysia., Zafar Muhammad Sohail ,   Department of Restorative Dentistry, College of Dentistry, Taibah University, Al Madinah Al Munawwarah, Saudi Arabia.,   Department of Dental Materials, Islamic International Dental College, Riphah International University, Islamabad, Pakistan, Malik Muhammad Safwan ,   Faculty of Dentistry, Karachi Medical and Dental college, Karachi, Pakistan.
Published: August 2018

Odontogenic infections are associated with a variety of microorganisms. Antibiotics are commonly used for the management of various dental infections and have a proven role in decreasing morbidity and mortality caused by infectious diseases. The frequent and over usage of antibiotics has been associated with a number of consequences such as the selection of drug resistant strains, and the formation of antibiomas. Antibiomas are characterized by the formation of a localized pathology surrounded by thick fibrous tissues in response to long term antibiotics use. An established antibioma is characterized by a tough fibrous swelling accompanied by painful or painless swelling, intermittent fever and constitutional symptoms. In this article, we are reporting the case of a facial antibioma formed due to prolonged use of antibiotics prescribed for a residual periapical infection following endodontic treatment. In addition, the association of using antibiotics in this context is discussed.
Patient satisfaction and quality of emergency dental care in Chilean public health services
Authors:   Department of Psychology, Faculty of Health Sciences, Universidad Católica del Maule, Chile., Contreras-Ramírez Roberto , Davis-Toledo Giselle ,   Department of Public Health, School of Health Sciences, Universidad de Talca, Chile., Nuñez-Franz Loreto ,   Department of Public Health, School of Health Sciences, Universidad de Talca, Chile.
Published: August 2018

The provision of dental care services, related to the quality requirements of health policies and patient satisfaction rates, increasingly requires the creation of qualitative indicators, instruments and criteria based on specific objectives, to validate the quality of the services provided. objective: The aim of this study is to determine the main dimensions of the dentist-patient relationship associated with patient satisfaction in a clinical context, with emphasis on the needs and expectations of patients themselves. method: A sample of 88 adults who attend primary care units at public emergency services in the central area of Chile were studied using a qualitative approach based on the Social Psychology of Health and on Grounded Theory. From these, categories emerged that identify processes, attitudes and behaviors that define the assessment of care providers based on their practices. results: In an interactional context characterized by the patient’s expectation regarding the provision of care and anxiety due to potential pain, two already recognized main axes emerged, namely: the capacity to generate trust through interpersonal and communicative good treatment strategies, and the capacity or technical skills of the professional care provider. conclusion: This study proposes a protocol of good care practices, which takes into account the needs and expectations of patients regarding the role of the dentist.
Cause Related Marketing and Customer Value: The Role of Service Quality
and Perceived Risk as Mediators
Authors: Gupta Shelleka , Sharma Alka , Parrey Aubid Hussain
Published: August 2018

The present research paper is an attempt to understand the role of mediating variables
in the relationship of cause related marketing and customer Value. Based on the
literature review, the role of service quality and perceived risk as mediators has been
analysed in depth. The data for the study has been collected from mobile subscribers of
the select telecom companies that were running cause campaigns. The results of the
research showed higher total effect than direct effect, which signalled the role of
mediators in the relationship of cause related marketing and customer value.
Furthermore it is evident from the analysis that service quality has a direct and
significant impact on the relationship of Cause related marketing and customer value, as
compared to the perceived risk. This research study emphasizes the role of Cause
Related Marketing in enhancing customer value via service quality.
Pivotal Facets of Distribution Channels in Travel Insurance: A Qualitative Reportage
Authors: S Marry Jeniffer. , Chandran Anu , S Das Antoni Arokianathan.
Published: August 2018

Travel insurance as an ancillary service emerged few decades ago. In the present day, it has been bolstered up as a core function owing to the tremendous surge experienced by the global travel and tourism industry coupled with the unforeseen mishaps and untoward incidents faced by travellers’ world over. In this paper, segmentation of distribution channels like agents, banks, brokers, work site marketing, online sales are dealt with. This paper examines the ways and means of processing resorted to by distribution channels engaged in the insurance sector mainly laying focus on (i) companies – employees - customers and (ii) array of mediators to end users and the work also analyses the major influencing factors of time (convenience), price (rationale), advancements (technology) and service (feasibility) involved while selling travel insurance. A qualitative technique has been employed for this study. The data was collected from the travel insurance companies’ staff, intermediaries, tourists (customers), travel agents and industry practitioners by way of interviews and observations. Thematic Content analysis and Empirical Data analysis shall be employed to process the data and derive inferences.
Testing the Performance of Black and Scholes Pricing Model in the Indian Options Market
Authors: Sharma Sonal
Published: August 2018

Since its introduction in 2001, option markets have been growing at a phenomenal rate in India. One of the most basic and popular model used by traders to price an option contract is the Black and Scholes (BS) option pricing model. The model has been tested for its empirical performance by numerous authors throughout the world except India. The results in these studies have shown contradictory biases in the model. The present study is a step towards reducing this gap in the literature, and aims to test the BS model’s performance by employing time series data on NIFTY Index option contracts. In implementing the BS model, volatility of the underlying NIFTY Index is measured through the Random Walk model and the Historical Mean model. Many of the results found are contradictory to the systematic biases found in previous literature. These results are crucial for the traders while valuing the option contracts and creating portfolio diversification in the Indian markets.
Financial Soundness and Shareholder Value of Private Banks in India
Authors: Abirami K.
Published: August 2018

The objective of this study was to develop solid dispersions of Nifedipine which has low aqueous solubility and bioavailability. Preliminary solubility studies were carried out using various hydrophilic polymers. The formulations were then optimized and evaluated by in-vitro dissolution studies, X-ray diffraction, FTIR and SEM. Formulation with 1:4:2 ratios of Nifedipine, Labrosol and SLS was found to be the best as it possessed better drug release properties compared to pure drug and other physical mixtures. The optimized formulation SD12 was found to have better drug release of 98.74±5.19% in 90 minutes. From FTIR studies no interaction was takes place between drug and polymers. XRD peaks indicate the successful transformation of drug from crystalline to amorphous form. The final results indicate that the solid dispersion of Nifedipine remained stable over 90 days.
Schadenfreude is higher in real-life situations compared to hypothetical scenarios v1
Authors: Luz Gonzalez-Gadea Maria
Published: August 2018

Schadenfreude (i.e., the pleasure derived from another’s misfortune) has been widely studied by having participants imagine how they would feel in hypothetical scenarios describing another person’s pain or misfortune. However, research on affective forecasting shows that self-judgments of emotions are inaccurate in hypothetical situations. Here we show a study in which we first presented a hypothetical schadenfreude situation and few months later, due to an exceptional circumstance, the situation turned out to happen in reality. This fortuitous circumstance allowed us to compare people’s imagined emotional reactions with their actual feelings. Results showed that schadenfreude was higher in the real situation than in the hypothetical one. More importantly, participants used different proxies to predict their emotional reaction: while out-group dislike served as a proxy of schadenfreude in both types of scenario, the degree of in-group identification also increased schadenfreude in those who had experienced the real event, arguably a mechanism to promote positive self-evaluation. These results highlight the importance of assessing schadenfreude in the heat of the moment.
Mud Crab DNA barcoding v1
Authors: Segura-Garcia Iris
Published: August 2018

DNA barcodingis a well-established method for species identification that uses standard fragments of the mitochondrial DNA cytochrome oxidase subunit I gene (mtDNA COI) to detect differences among species.
Assessing the Writing Task: Do Pictures Change What Students Write?
Authors: Xu Dan , Liang Pengcheng
Published: August 2018

This article reports an empirical study which compared the effects of different writing tasks on the writing products of EFL students. This study recruited 50 students from two natural classes in a Chinese university. In the pre-test, they were given the same writing task with only textual instruction and no difference was found in their writing quality. In the test, one class was given graphic novel with textual information, while the other class was given the same graphic novel without textual information. It finds that the group given graphic novel performed better than the other group in terms of content richness, plot development, organization, and language accuracy. It concludes that graphic novel is a better way to scaffold EFL student’s narrative writing and visual information should be included in EFL literacy curricula.
Cultivation of Critical Thinking Abilities in English Writing Teaching
Authors: Liu Jie
Published: August 2018

Critical thinking is one of the key skills for English majors, while the “critical thinking deficiency” is a commonplace among English majors in our country. The reasons for the “Critical Thinking Deficiency” of English major students lie in the ambiguous learning objects, the misleading guidance of teaching methods and the narrow knowledge, etc. It is effective to combine the development of critical thinking in the English writing process to improve the “critical thinking deficiency” among English major students. The paper aims to explore the development of the critical thinking ability in the English writing course by setting the real writing task, adopting the multi-draft writing, and establishing the students’ writing portfolio, and in these ways the analyzing abilities, critical thinking abilities and the abilities to solve problems can be fostered , thus the students’ writing abilities can be improved.
Translation Standards and Strategies for Trademark Names of Cosmetics
Authors: Zhao Hongxin , Yu Gaofeng
Published: August 2018

With the development of the society and the improvement of the people's living standard, people have gradually realized the importance of the external image while paying attention to the "inner beauty", so the cosmetics are becoming more and more popular. Proper brand name translation can not only bring consumers the feeling of beauty, but also enhance the brand level and promote products in the invisible way. This paper discusses the translation criteria and Strategies of cosmetic brand names, hoping to contribute to the development of this field.
The Landscape Representation of the Anglo-Irish Cultural Estrangements in Bowen’s The Last September
Authors: Wang Yena
Published: August 2018

The isolation of the Anglo-Irish landscape is the geographical representation of the colonizer community’s cultural estrangements since their settlement in Ireland till the 1920s. The depressing Irish landscape presented in the novel is a best expression of the existing state of the Anglo-Irish community: threatened, isolated, estranged and set in dilemma. The constituents and arrangements of the Anglo-Irish landscape: the Big House, its garden and the surroundings are actors who can tell the story about the living condition, social relationships and beliefs of the Anglo-Irish Ascendancy in the last days in Ireland.
Self-regulation and Locus of Control Predicting EFL Learners’ Willingness to Communicate
Authors: Arkavazi Shirin , Nosratinia Mania
Published: August 2018

The purpose of this descriptive quantitative research was to systematically investigate the association among EFL learners' Self-Regulation (SR), Locus of Control (LC), and their Willingness to Communicate (WTC). To fulfill this purpose, 222 male and female EFL learners, within the age range of 20 to 32 (Mage = 26) were selected based on the convenience sampling strategy. These participants were asked to fill in three questionnaires, namely the English versions of the Motivated Strategies for Learning Questionnaire (Pintrich, Smith, Garcia, & McKeachie, 1991), the Internal Control Index (Duttweiler, 1984), and the WTC Scale (McCroskey, 1992). Since the assumptions of normality of distribution were partially violated, the research questions were answered using parametric and non-parametric tests. The obtained results led the researchers to conclude that significant and positive correlations exist between SR and WTC, SR and LC, and LC and WTC. Furthermore, considering WTC the predicted variable, a regression analysis revealed that LC is a better predictor of WTC than SR. The study finally presents a discussion on the results and provides some implications for those engaged in EFL learning and instruction.
Modernización económica, ecología y medioambiente en Colombia (1920-1950): una mirada a dos de los ‘poemas de juventud’ de Aurelio Arturo
Authors: Villegas Restrepo Juan Esteban
Published: August 2018

En este artículo se pretende mostrar cómo dos de los llamados ‘poemas de juventud’ del poeta colombiano Aurelio Arturo (1906-1974), al ser vistos dentro del marco de los procesos de modernización económica adoptados por el país a comienzos de siglo XX, atisban a una concepción de los animales, páramos, ríos, valles, trochas y sembrados ya no como simples concesiones miméticas de cuño pastoril, sino como signos poéticos más que útiles para pensar las problemáticas tanto ecológicas como ambientales que acaecen durante dicho periodo.
La “literatura antioqueña” en El Montañés (1897-1899) leída desde la historia conceptual de Koselleck
Authors: Ángel Madrid Catalina
Published: August 2018

En este artículo se propone una aproximación al estudio del concepto “literatura antioqueña” en el primer año de la revista El Montañés (1897-1899), a partir de los supuestos teóricos de Reinhart Koselleck en el marco de la historia conceptual. Para ello se analiza la manera en que la crítica literaria publicada en la revista construye un concepto en torno a las manifestaciones artísticas que concibe como “literatura antioqueña”. Asimismo, se prioriza el estudio en una perspectiva sincrónica con el propósito de interpretar los hechos como hechos lingüísticos en su momento.
Ficción y referencia: estudio de las novelas metaficcionales historiográficas
Authors: Ardila de Robledo Alba Clemencia
Published: August 2018

Este artículo presenta las diferentes estrategias mediante las cuales, en la novela histórica, y en particular en la novela metaficcional historiográfica, los autores y la literatura se incluyen y se reflexionan a sí mismos como parte de la realidad y de la propia ficción, transformando una y otra en una misma acción en la que los lectores desempeñan un papel participativo que igualmente lo reescribe. Este propósito se logra por medio de los recursos de la trama y la referencialidad, y en esta, los de autoconciencia, autorreferencialidad y autorreflexividad juegan un papel decisivo.
Juan José Hoyos. La pasión por el periodismo y por la literatura
Authors: Vergara Aguirre Andrés
Published: August 2018

Juan José Hoyos es escritor, periodista y profesor jubilado de la Universidad de Antioquia, donde durante muchos años contribuyó con la formación de varias generaciones de periodistas. Una de sus cátedras más importantes fue el seminario de periodismo y literatura, que después quedaría sintetizado en su libro Escribiendo historias. El arte y el oficio de narrar en el periodismo (2004); durante sus últimos años como profesor de la Universidad creó el Club de Lectura John Reed, una especie de aula extramural donde pudo compartir con sus discípulos la pasión por el periodismo narrativo. Además de sus dos novelas, Tuyo es mi corazón (1984) y El cielo que perdimos (1990), en las que retrata la cotidianidad de una Medellín que pasó del ambiente apacible de los sesenta a la nueva urbe de los ritmos violentos que le imprimió el narcotráfico, también se destacan varios de sus libros con sus relatos periodísticos, entre los que sobresale El oro y la sangre (1994), con el que obtuvo el premio nacional de periodismo Germán Arciniegas, otorgado por la editorial Planeta. En su producción también se distingue La pasión de contar. El periodismo narrativo en Colombia, 1638-2000 (2009), que comprende un estudio y una selección de relatos periodísticos que abarca desde la época colonial hasta el año 2000. Precisamente por su larga trayectoria y por su interés casi obsesivo en el tema del periodismo narrativo, a propósito del protagonismo que ha recuperado la crónica en los últimos años, sostuvimos con él este diálogo.
Régiók és regionalizáció
Authors: Illés Iván
Published: August 2018

A szerző tanulmányában a régiók kialakulását, a regionalizáció folyamatát elemzi az Európai Unióban és Magyarországon. Bemutatja a decentralizációs törekvések összefüggését a demokratikus döntési mechanizmussal.
Városi funkciójú központok és elméleti vonzáskörzeteik az Alföldön
Authors: Kiss János Péter , Bajmócy Péter
Published: August 2018

Az Alföld területére az empirikus vonzáskörzet vizsgálatok mellett létjogosultsága van az elméleti úton lehatárolt vonzáskörzet vizsgálatoknak, így a gravitációs modelleknek is. A sajátos települési adottságok a mindennapi térkapcsolatokban és a kistérségi szintű vonzásviszonyok esetében egyaránt speciális problémákat okoznak. A valós vonzáskörzetek – ezt empirikus kutatások sora igazolja – igen összetettek, s ehhez hozzájárulnak az elérhetőségi viszonyokat jelentősen befolyásoló nagyobb folyók és közlekedéshálózati adottságok is. A modellek eredményeként sikerült lehatárolni az alföldi városaink elméleti vonzáskörzeteit, de emellett e lehatárolás számos következtetés levonására is lehetőséget nyújtott (vonzáskörzettel nem, vagy alig rendelkező városok, valamint valódi vonzáscentrumok körének meghatározása, statisztikai kistérségek és városi vonzáskörzetek összehasonlítása, centrumtérségek és perifériák meghatározása).
A társadalmi kirekesztés és a lakótelepek
Authors: Egedy Tamás
Published: August 2018

A rendszerváltozás után az egyes lakótelepi generációk lakásai eltérő eséllyel indultak a lakáspiacon és léptek be a privatizációs folyamatba. A lakásárak szabályozó hatására a lakótelepek különböző generációinak népességében megindult egyfajta „letisztulási” folyamat, amelynek követeztében ezen generációknál – több kísérőjelenséggel együtt – egyre inkább felismerhető az egységes lakásosztályokká történő átalakulás folyamata.
Területi egyenlőtlenségek a Közép-Dunántúlon
Authors: Baráth Gabriella , Molnár Balázs , Szépvölgyi Ákos
Published: August 2018

Az 1990-es évek Magyarországán végbement gyors társadalmi-gazdasági változások következtében a területi egyenlőtlenségek jelentősen átstrukturálódtak. A folyamat különböző területeket más és más mértékben érintett. Az átalakulás egészét tekintve az átlagosnál kedvezőbb változásokat mondhat magáénak a Közép-dunántúli régió. Az összességében kedvező összetételű tényezők mellett azonban kisebb térségekben, belső és külső perifériákon a területi egyenlőtlenségek hosszabb távú stabilizálódása, bizonyos területeken pedig felerősödése várható. A régió dinamizmusának megtartása érdekében polarizáltabb fejlődés, a kialakult területi egyenlőtlenségek kezelése szükséges, egyrészt a versenyképesség egyes területeken történő javításával, másrészt az elmaradt területek további felzárkóztatásával.
A decentralizált területfejlesztési támogatások felhasználásának tapasztalatai a Nyugat-dunántúli régióban
Authors: Grosz András
Published: August 2018

A területfejlesztési és területrendezési törvény elfogadásával 1996-ban megkezdődött a területfejlesztési támogatások megyei szintre történő decentralizációja. A megyék társadalmi-gazdasági fejlettségi szintjében megmutatkozó különbségek viszonylag jól visszatükröződnek a támogatások megyék közötti elosztásában, azonban rendkívül alacsony összegüknél fogva alkalmatlanok hosszú távú stratégiai célok megvalósítására. Mindazonáltal a támogatások elősegítették a megyék dinamikus fejlődéséhez szükséges feltételek megteremtését, és jelentős mértékben hozzájárultak a magyar területfejlesztés EU kompatibilis intézmény- és eszközrendszerének kialakításához.
A térségi fejlődés társadalmi kihívásai (egy új kutatócsoport feladatai)
Authors: Szirmai Viktória
Published: August 2018

Ebben a tanulmányban a térségi fejlődésnek azokat a társadalmi kihívásait, illetve kutatási problémáit foglaljuk össze, amelyek az első év helyzetfeltáró munkája eredményeként fogalmazódtak meg, amelyek komplex tudományos igényű vizsgálata Fejér megye és Székesfehérvár megyei jogú város számára is fontosak, és amelyekkel kapcsolatban feltártak konkrét segítséget adhatnak a térségi fejlődés akadályainak elhárításában, a kezelés eszközeinek a kidolgozásában, és amelyek esetében a konkrét kutatás is megindult.
A stratégiai földrajzi hely fogalma a transznacionális vállalatok nemzetközi üzletpolitikájában
Authors: Bernek Ágnes
Published: August 2018

Az utóbbi években a stratégiai földrajzi hely a globális szinten szerveződő transznacionális vállalatok egyik fontos fogalmává vált. E tanulmány kiemelten a stratégiai jelentőségű nemzetgazdaságokkal és az üzleti központokkal foglalkozik. Ez utóbbi külön figyelmet érdemel, hiszen Budapest 2000-ben Európa harmadik legjobb üzleti központjának minősült. A stratégiai földrajzi hely fogalma a virtuális térben is értelmezhető, s az „e-business" terén egyre jelentősebbé válik. Az „e-business" jövőjét valószínűleg a virtuális tér lehetőségei és valós tér adottságai közötti kölcsönös összefüggés illetve ellentmondás szabja meg.
Szeletek a tervezés mélyrétegeiből
Authors: Faragó László
Published: August 2018

Jelen tanulmány a tervezéselmélet princípiumainak és dilemmáinak mélyrétegeiből ragad ki néhány szeletet, melyekkel a szerző a tervezéselmélet hazai megalapozásához szeretne hozzájárulni. Az alapkérdések tisztázását néhány episztemológiai és etikai megjegyzés vezeti be, majd a tervezés lényegét („szubsztanciáját”) és maximáit vázolja fel a szerző.