bluuebunny/crossref_metadata_2025 huggingface dataset:
Usefulness and Relevance of an eHealth Tool in Supporting the Self-Management of Chronic Obstructive Pulmonary Disease: Explorative Qualitative Study of a Cocreative Process (Preprint)
Authors: Tistad Malin , Lundell Sara , Wiklund Maria , Nyberg André , Holmner Åsa , Wadell Karin
Published: April 2018

BACKGROUND

New strategies are urgently needed to support self-management for people with chronic obstructive pulmonary disease (COPD) in primary care. The use of electronic health (eHealth) solutions is promising. However, there is a lack of knowledge about how such eHealth tools should be designed in order to be perceived as relevant and useful and meet the needs and expectations of the health professionals as well as people with COPD and their relatives.

OBJECTIVE

The objective of this study was to explore the aspects of an eHealth tool design and content that make it relevant and useful for supporting COPD-related self-management strategies from the perspective of health care professionals, people with COPD and their relatives, and external researchers.

METHODS

Data were collected during the development of an eHealth tool. A cocreation process was carried out with participants from two primary care units in northern Sweden and external researchers. Individual interviews were performed with health care professionals (n=13) as well as people with COPD (n=6) and their relatives (n=2), and focus group discussions (n=9) were held with all groups of participants. Data were analyzed using qualitative content analysis.

RESULTS

The overarching theme, reinforcing existing support structures, reflects participant views that the eHealth tool needs to be directly applicable and create a sense of commitment in users. Moreover, participants felt that the tool needs to fit with existing routines and contexts and preferably should not challenge existing hierarchies between health care professionals and people with COPD. Important content for health care professionals and people with COPD included knowledge about self-management strategies. Videos were regarded as the most effective method for communicating such knowledge.

CONCLUSIONS

The cocreation in the development process enables participant perspectives and priorities to be built into the eHealth tool. This is assumed to contribute to a tool that is useful and relevant and, therefore, adopted into clinical practice and everyday life. Findings from this study can inform the development of eHealth tools for people with COPD in other contexts, as well as the development of eHealth tools for self-management support of other chronic diseases.
Continuous Versus Intermittent Vital Signs Monitoring Using a Wearable, Wireless Patch in Patients Admitted to Surgical Wards: Pilot Cluster Randomized Controlled Trial (Preprint)
Authors: Downey Candice , Randell Rebecca , Brown Julia , Jayne David G
Published: April 2018

BACKGROUND

Vital signs monitoring is a universal tool for the detection of postoperative complications; however, unwell patients can be missed between traditional observation rounds. New remote monitoring technologies promise to convey the benefits of continuous monitoring to patients in general wards.

OBJECTIVE

The aim of this pilot study was to evaluate whether continuous remote vital signs monitoring is a practical and acceptable way of monitoring surgical patients and to optimize the delivery of a definitive trial.

METHODS

We performed a prospective, cluster-randomized, parallel-group, unblinded, controlled pilot study. Patients admitted to 2 surgical wards at a large tertiary hospital received either continuous and intermittent vital signs monitoring or intermittent monitoring alone using an early warning score system. Continuous monitoring was provided by a wireless patch, worn on the patient’s chest, with data transmitted wirelessly every 2 minutes to a central monitoring station or a mobile device carried by the patient’s nurse. The primary outcome measure was time to administration of antibiotics in sepsis. The secondary outcome measures included the length of hospital stay, 30-day readmission rate, mortality, and patient acceptability.

RESULTS

Overall, 226 patients were randomized between January and June 2017. Of 226 patients, 140 were randomized to continuous remote monitoring and 86 to intermittent monitoring alone. On average, patients receiving continuous monitoring were administered antibiotics faster after evidence of sepsis (626 minutes, n=22, 95% CI 431.7-820.3 minutes vs 1012.8 minutes, n=12, 95% CI 425.0-1600.6 minutes), had a shorter average length of hospital stay (13.3 days, 95% CI 11.3-15.3 days vs 14.6 days, 95% CI 11.5-17.7 days), and were less likely to require readmission within 30 days of discharge (11.4%, 95% CI 6.16-16.7 vs 20.9%, 95% CI 12.3-29.5). Wide CIs suggest these differences are not statistically significant. Patients found the monitoring device to be acceptable in terms of comfort and perceived an enhanced sense of safety, despite 24% discontinuing the intervention early.

CONCLUSIONS

Remote continuous vital signs monitoring on surgical wards is practical and acceptable to patients. Large, well-controlled studies in high-risk populations are required to determine whether the observed trends translate into a significant benefit for continuous over intermittent monitoring.

CLINICALTRIAL

International Standard Randomised Controlled Trial Number ISRCTN60999823; http://www.isrctn.com /ISRCTN60999823 (Archived by WebCite at http://www.webcitation.org/73ikP6OQz)
Using an mHealth App to Transition Care of Type 1 Diabetes from Parents to Teens: Protocol for a Pilot Study (Preprint)
Authors: Holtz Bree E , Mitchell Katharine M , Hershey Denise D , Cotten Shelia R , Holmstrom Amanda J , Richman Joshua , Dunneback Julie K , Wood Michael A
Published: April 2018

BACKGROUND

Type 1 diabetes mellitus (T1DM) afflicts approximately 154,000 people under the age of 20 in the United States. Most people with T1DM are diagnosed at a young age, and parents have to take on the responsibility of T1DM management. Eventually, the child must begin to transition to self-management. Adolescents often struggle to take on responsibility for all the necessary tasks to successfully self-manage their T1DM. In fact, approximately three-quarters of adolescents are not achieving American Diabetes Association–recommended glycated hemoglobin (HbA1c) targets. This lack of adherence can lead to negative health outcomes.

OBJECTIVE

The goals of this interdisciplinary proposal are as follows: (1) to develop a unique and theory-driven technology using a mobile phone app to promote self-management behaviors for adolescents aged 10-15 years with T1DM and their parents and (2) to explore the feasibility and impact of the self-management mobile app.

METHODS

This study has two phases: app development and pilot testing. In the app development phase, the app will be conceptualized and a prototype will be tested. In Phase 2, the mobile app will undergo pilot testing to determine its feasibility and impact on diabetes self-management.

RESULTS

The pilot test was launched in September 2017. Data collection for the final pilot test is underway, and results are forthcoming.

CONCLUSIONS

Adolescents with T1DM and their parents can have a difficult time managing the transition of diabetes care. It is hoped that this app can help. The focus groups and prototype testing have indicated promising outcomes of app use.

CLINICALTRIAL

ClinicalTrials.gov NCT03436628; https://clinicaltrials.gov/ct2/show/NCT03436628 (Archived by WebCite at http://www.webcitation.org/72tHXTE2Z)

INTERNATIONAL REGISTERED REPOR

RR1-10.2196/10803
Assessing the Usability of an Automated Continuous Temperature Monitoring Device (iThermonitor) in Pediatric Patients: Non-Randomized Pilot Study (Preprint)
Authors: Kakarmath Sujay S , de Redon Emily , Centi Amanda Jayne , Palacholla Ramya , Kvedar Joseph , Jethwani Kamal , Agboola Stephen
Published: April 2018

BACKGROUND

Fever is an important vital sign and often the first one to be assessed in a sick child. In acutely ill children, caregivers are expected to monitor a child’s body temperature at home after an initial medical consult. Fever literacy of many caregivers is known to be poor, leading to fever phobia. In children with a serious illness, the responsibility of periodically monitoring temperature can add substantially to the already stressful experience of caring for a sick child.

OBJECTIVE

The objective of this pilot study was to assess the feasibility of using the iThermonitor, an automated temperature measurement device, for continuous temperature monitoring in postoperative and postchemotherapy pediatric patients.

METHODS

We recruited 25 patient-caregiver dyads from the Pediatric Surgery Department at the Massachusetts General Hospital (MGH) and the Pediatric Cancer Centers at the MGH and the Dana Farber Cancer Institute. Enrolled dyads were asked to use the iThermonitor device for continuous temperature monitoring over a 2-week period. Surveys were administered to caregivers at enrollment and at study closeout. Caregivers were also asked to complete a daily event-monitoring log. The Generalized Anxiety Disorder-7 item questionnaire was also used to assess caregiver anxiety at enrollment and closeout.

RESULTS

Overall, 19 participant dyads completed the study. All 19 caregivers reported to have viewed temperature data on the study-provided iPad tablet at least once per day, and more than a third caregivers did so six or more times per day. Of all participants, 74% (14/19) reported experiencing an out-of-range temperature alert at least once during the study. Majority of caregivers reported that it was easy to learn how to use the device and that they felt confident about monitoring their child’s temperature with it. Only 21% (4/9) of caregivers reported concurrently using a device other than the iThermonitor to monitor their child’s temperature during the study. Continuous temperature monitoring was not associated with an increase in caregiver anxiety.

CONCLUSIONS

The study results reveal that the iThermonitor is a highly feasible and easy-to-use device for continuous temperature monitoring in pediatric oncology and surgery patients.

CLINICALTRIAL

ClinicalTrials.gov NCT02410252; https://clinicaltrials.gov/ct2/show/NCT02410252 (Archived by WebCite at http://www.webcitation.org/73LnO7hel)
Patient Perspectives on the Challenges and Responsibilities of Living With Chronic Inflammatory Diseases: Qualitative Study (Preprint)
Authors: Macdonald Graham George , Koehn Cheryl , Attara Gail , Stordy Allan , Allerdings Marilee , Leese Jenny , Li Linda C , Backman Catherine L
Published: April 2018

BACKGROUND

Collectively, chronic inflammatory diseases take a great toll on individuals and society in terms of participation restrictions, quality of life, and economic costs. Although prior qualitative studies have reported patients’ experiences and challenges living with specific diseases, few have compared the consequences of disease management in daily life across different types of inflammatory diseases in studies led by patient partners.

OBJECTIVE

The aim of this study was to identify the significant consequences of inflammatory arthritis, psoriasis, and inflammatory bowel diseases on daily life and explore commonalities across diseases.

METHODS

A cross-sectional Web-based survey was designed by patient research partners and distributed by patient awareness organizations via their social media channels and by sharing a link in a newspaper story. One open-ended item asked about burdens and responsibilities experienced in daily life. Informed by narrative traditions in qualitative health research, we applied a thematic content analysis to participants’ written accounts in response to this item. This is an example of a study conceived, conducted, and interpreted with patients as research partners.

RESULTS

A total of 636 Canadians, with a median age band of 55-64 years, submitted surveys, and 80% of the respondents were women. Moreover, 540 participants provided written substantive responses to the open-ended item. Overall, 4 main narratives were generated: (1) daily life disrupted; (2) socioeconomic vulnerabilities; (3) stresses around visible, invisible, and hiding disabilities; and (4) actions aimed at staying positive. Ways in which participants experienced social stigma, pain and fatigue, balancing responsibilities, and worries about the future appeared throughout all 4 narratives.

CONCLUSIONS

People living with chronic inflammatory diseases affecting joints, skin, and the digestive tract report important gaps between health, social, and economic support systems that create barriers to finding the services they need to sustain their health. Regardless of diagnosis, they report similar experiences navigating the consequences of lifelong conditions, which have implications for policy makers. There is a need for outcome measures in research and service delivery to address patient priorities and for programs to fill gaps created by the artificial administrative separation of health services, social services, and income assistance.
Midnight Express as a Product of Hollywood Orientalism
Authors: Akkan Goksu Gigi
Published: April 2018

The concept of Orientalism has been a forthcoming issue in film studies, be it the (mis)representation of minority groups in Hollywood, or white-washing people of color characters in remakes of films from “the Orient”, or through a complete omission of representation of these characters. Ideology is a great aspect in shaping the views of the masses, and as they become more embedded in cultural devices such as films, the more soft power they deploy and the more problematic they become. In Foucauldian terms, knowledge about the Orient is produced through films made by the Occident, and thanks to their infinite capital and wide distribution networks, the West, particularly America, is far more successful in retaining a cross-cultural dominance through this power/knowledge structure.
This paper aims to deconstruct the motives behind Oliver Stone & Alan Parker’s 1978 film Midnight Express, in terms of putting Turkey and Turkish people in the Oriental position and putting Western and White characters in the Occidental epistemological positions. Some questions this paper tackles include “How does Orientalism work in the context of Film Studies? Does the Gaze grant a monolithic and unidirectional look at the Orient instead of the Occident?”
CIENCIA POLÍTICA Y REFORMA POLÍTICA DE ALMA EN ALMA
Authors: P. Huntington Samuel
Published: April 2018

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ELEMENTOS NO FORMALES DE LA VIDA DEMOCRÁTICA
Authors: Roqueñí  Ibarguengoitia Ma. Carmen
Published: April 2018

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Los intentos de industrialización en México: 1821-1877 Bibliografía comentada
Authors: Rosas Sánchez Javier
Published: April 2018

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LA MOVILIDAD POLÍTICA SEXENAL: LOS SECRETARIOS DE ESTADO Y EL PRESIDENTE DE LA REPÚBLICA. 1958-1975.
Authors: A. Sirvent G. Carlos
Published: April 2018

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CATÁLOGO DE SENADORES Y DIPUTADOS (1940-1973).
Authors: Rodríguez Araujo Octavio
Published: April 2018

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La concepción marxista de la democracia
Authors: Puga Cristina
Published: April 2018

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ALGUNOS PROBLEMAS TEÓRICO-METODOLÓGICOS.
Authors: Acosta Mariclaire
Published: April 2018

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EL DILEMA DE LOS INTELECTUALES.
Authors: Suárez-Iñiguez Enrique
Published: April 2018

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La Universidad Nacional Autónoma de México: ¿comunidad o sociedad?
Authors: F. Aguilar Luis
Published: April 2018

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La reforma política
Authors: Bokser de Liwerant Judith
Published: April 2018

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Sobre los relaciones entre el Estado mexicano y el Grupo Monterrey
Authors: Zavala Echavarría Iván
Published: April 2018

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Los dias de la contrarreforma
Authors: Rodríguez Díaz Erwin
Published: April 2018

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Unidad y sacrificio, ¿para quién?
Authors: Camhaji Samra Alfredo
Published: April 2018

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PRESENTACIÓN.
Authors: Fernández Christlieb Fátima
Published: April 2018

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La lucha por Cananea: historia de vida
Authors: Figueroa Quirarte Manuel , Sánchez Soler Marta
Published: April 2018

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EL ESTADO DE BIENESTAR: UN PROBLEMA TEÓRICO Y POLÍTICO
Authors: Luhmann Niklas
Published: April 2018

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Presentación
Authors: Estudios Políticos Revista
Published: April 2018

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CACIQUES Y CAUDILLOS EN EL ORIENTE MEXICANO, 1919-1920: EL CASO DE VERACRUZ Y TABASCO
Authors: Rosas Javier
Published: April 2018

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RESEÑAS
Authors: De la Garza Luis Alberto
Published: April 2018

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BREVE HOJEADA A LA HISTORIA BANCARIA DE MÉXICO.
Authors: Solórzano María Del Carmen
Published: April 2018

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Uruguay: Las sorpresas de la transición
Authors: Varela Gonzalo
Published: April 2018

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LA LIBERACIÓN POLÍTICA EN UN RÉGIMEN AUTORITARIO.
Authors: Xelhuantzi López María
Published: April 2018

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EL FUTURO DE LA DEMOCRACIA.
Authors: Bobbio Norberto
Published: April 2018

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INTRANSIGENCIA IDEOLÓGICA Y COLABORACIÓN DE CLASES. EL SINDICALISMO CATÓLICO.
Authors: Tamayo Jaime
Published: April 2018

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La Tercera Revolución Científíco-Tecnológica de la Humanidad
Authors: Guadarrama Sistos Roberto
Published: April 2018

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Bases de la Nueva Biotecnología
Authors: Blanco Alejandra
Published: April 2018

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Estados Unidos: Contrastes y dimensiones
Authors: Ruiz Garcia Enrique
Published: April 2018

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Posibles tendencias en las relaciones México - Estados Unidos
Authors: Verea Campos Mónica
Published: April 2018

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HAMILTON, MADISON Y BURKE
Authors: Cervantes Jauregui Luis
Published: April 2018

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El papel de los intelectuales
Authors: Puga Cristina
Published: April 2018

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EL PACTO DE LA POSGUERRA Y EL ESTADO DEL BIENESTAR EN GRAN BRETAÑA
Authors: Farfán Guillermo
Published: April 2018

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LA MODERNIZACIÓN DEL CONGRESO DE LA UNIÓN
Authors: Béjar A. Luisa
Published: April 2018

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EL HISTORIADOR, LOS HECHOS Y LA INFORMACIÓN
Authors: De la Garza Luis Alberto
Published: April 2018

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LA EXPULSIÓN DE TROTSKI DE LA INTERNACIONAL COMUNISTA
Authors: Rodríguez Araujo Octavio
Published: April 2018

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PROSTITUCIÓN EN LA CIUDAD DE MÉXICO
Authors: Limones Ceniceros Georgina
Published: April 2018

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¿A dónde va la carrera de Ciencia Política de la facultad de Ciencias PolítiCas y Sociales de la UNAM?
Authors: De la Garza Luis Alberto
Published: April 2018

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Estudio y análisis de la Revolución Mexicana, a partir de los proyectos políticas, 1906-19I7.
Authors: Trejo Pablo
Published: April 2018

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Las opciones de la transformación política mexicana
Authors: Reveles Vázquez Francisco
Published: April 2018

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LECCIONES DE POLÍTICA
Authors: Valencia Laura
Published: April 2018

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DE LA LIBERTAD CIUDADANA AL CONTROL GUBERNAMENTAL. HISTORIA LEGAL DE LOS CANDIDATOS COMUNES Y LAS COALICIONES ELECTORALES (1946-1990)
Authors: Fernández Paulina
Published: April 2018

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NOVEDADES BIBLIOGRÁFICAS
Authors: Valencia Escamilla Laura , Muñoz Pilar
Published: April 2018

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LOS LIMITES DE UNA EXPRESIÓN INDEPENDIENTE EN EL PARTIDO DE ESTADO
Authors: Bolívar Meza Rosendo
Published: April 2018

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LÓGICA DEL DISCURSO POLÍTICO, VERDAD Y RAZONAMIENTO
Authors: Martino Antonio A.
Published: April 2018

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TRANSFORMACIÓN ECONÓMICA
Authors: García León Margarita
Published: April 2018

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NOVEDADES BIBLIOGRÁFICAS
Authors: Rubalcava Blanca
Published: April 2018

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El empobrecimiento de la política y las dificultades para la construcción del orden democrático
Authors: Gutiérrez Rohán Daniel Carlos
Published: April 2018

En el presente artículo se busca reflexionar sobre las implicaciones y significación de la abstención política dentro del proceso de construcción de un orden democrático en México. Se toman como referencia los dos últimos procesos electorales para indicar cómo la abstención ha avanzado frente a la pérdida de credibilidad y confianza tanto en los políticos como en los procesos en los que participan. Se discute sobre las dificultades que esto implica tanto en lo relativo a los procesos electorales como a la construcción de una normalidad democrática. La reflexión se articula a partir de los conceptos de política, democracia, campo y sujetos políticos y cultura política, puestos en situación de análisis concreto, de acuerdo a los resultados electorales de los procesos 2000 y 2003 tanto a nivel federal como en Sonora.
Los fines de la democracia en el Distrito Federal: reflexiones en torno a la participación electoral efectiva
Authors: Calderón Hernández Yazmín
Published: April 2018

México, como otros países en el mundo, se encuentra construyendo su sistema democrático. Siendo una práctica reciente tanto a nivel federal como local, la democracia no ha logrado consolidarse plenamente. Existe todavía mucha desconfianza en el sistema político-electoral que se agravó con la cerrada contienda electoral de julio de 2006. Los habitantes del Distrito Federal padecen de esta misma desconfianza, la cual aumenta debido a los múltiples problemas económicos y sociales que la capital posee. Ante este panorama, el presente ensayo tiene la finalidad de reflexionar acerca de la viabilidad de que los ciudadanos capitalinos ejerzan con éxito una democracia de tipo participativa, o por el contrario, se debería buscar una "democracia de fines" económicos y sociales.
Reformas estructurales, reforma del Estado y democratización en México (1982-2009)
Authors: Zamitiz Gamboa Héctor
Published: April 2018

El artículo explica el ciclo de reformas económicas y políticas impulsadas los últimos treinta años en México, en el que destacan las dificultades de la modernización del país, el desfase de dichas reformas y sus implicaciones en los ámbitos económico y político. A pesar de que las transformaciones representaron un cambio político sin precedentes, no ha sido posible la descentralización del poder político. Por ello, analiza las características de la transición mexicana que se considera incompleta, con una alternancia en el poder presidencial que evidenció las debilidades constitucionales en la estructura política.
El entierro de una pata y otras historias santannistas
Authors: De la Garza Becerra Luis Alberto
Published: April 2018

El artículo trata de un momento de la primera mitad del siglo XIX de la historia mexicana, cuando Antonio López de Santa Anna intentó establecer una dictadura para regenerar al país. El trabajo aborda cuatro eventos para observar esta relación: el entierro de la pierna del dictador en el cementerio de Santa Paula; la planeación de la primera columna en honor a la independencia que nunca se terminó, pero que dio nombre al zócalo capitalino, la construcción del mercado del Volador con la estatua del dictador y por último la edificación del teatro Santa Anna, origen del palacio de las Bellas Artes.
Legislaturas subnacionales y partido único en México.El Congreso del estado de México (1929-1975)
Authors: Puente Khemvirg , Villagómez Jacob
Published: April 2018

Este trabajo propone describir cuál fue el papel del Congreso del Estado de México en laactividad legislativa y su relación con el Poder Ejecutivo. Con base en la información disponible para el período entre 1929 y 1975, se evidenció la fragilidad institucional del Poder Legislativo y la escasa capacidad de influencia en los procesos decisorios.
Partido Nacional Revolucionario (PNR). Método y práctica en la selección de candidatos a puestos de elección popular (1929-1938)
Authors: Zuñiga Aguilar Manuel
Published: April 2018

En este artículo, el autor analiza las reglas establecidas y las prácticas utilizadas por el otrora partido hegemónico (PRI) durante su primera etapa, es decir, como Partido Nacional Revolucionario (PNR), para la selección de sus candidatos a puestos de elección popular. Aspecto que tiene que ver con su estructura interna y dentro de un periodo que comprende desde su fundación en 1929 hasta su transformación en un gran partido de masas en 1938 (PRM).
Teoría de la democracia. Una propuesta integradora.
Authors: Suárez-Íñiguez Enrique
Published: April 2018

La “democracia exige mecanismos de control del ciudadano sobre el gobernante. Ante todo, requiere justicia. La verdadera democracia es el conjunto relacionado (no perfecto) de todas estas características”. El autor ofrece una reflexión sobre los elementos que a su juicio deben ser considerados para la formación de un gobierno representativo de la voluntad ciudadana de una nación; de este modo, es a través de la formación de criterios éticos, jurídicos, sociales y políticos que conjuguen los anhelos de justicia, libertad e igualdad, que la sociedad podrá alcanzar sus objetivos y su trascendencia en la historia.
Los orígenes de la democracia cristiana en el Partido Acción Nacional (1952-1964)
Authors: Gómez Peralta Héctor
Published: April 2018

Este trabajo explica los orígenes de las relaciones entre el Partido Acción Nacional y la Organización Demócrata Cristiana de América. Se hace una exposición de la situación electoral en que se encontraba ese partido político entre 1952 y 1964. Posteriormente se muestra cómo fueron los primeros intentos por hacer de Acción Nacional un partido Demócrata Cristiano.
Democracia interna en partidos políticos: el jardín secreto del PRI
Authors: Contreras Romero Valente Alberto
Published: April 2018

El texto analiza los intentos de democratización interna que realizó el PRI en los procesos deselección de candidatos a presidentes municipales en 1965 y 1984; para tal efecto se utilizaráuna propuesta metodológica basada en los trabajos de Hazan y Rahat. Pretende demostrarlas causas por las que estos intentos de democratización interna fracasaron y la convenienciade recurrir a estos métodos de selección más democráticos en partidos políticos hegemónicos.
La lectura entre sociología y massmediología
Authors: Ranfa Elena
Published: April 2018

La complejidad de la lectura y de los muchos pasos que han caracterizado la historia de la lectura ha estimulado, desde el siglo pasado, una serie de reflexiones bajo diferentes perspectivas. En el artículo trataremos de centrar la atención en una de estas contribuciones, es decir, el resultado de dos disciplinas fuertemente conectadas, como la sociología y la massmediología. En particular, se considerarán los argumentos y las obras de los académicos pertenecientes a la denominada Escuela de Toronto, un grupo heterogéneo de intelectuales que en la segunda mitad del siglo pasado empezó con el estudio de la relación entre la evolución de las tecnologías del habla y los cambios cognitivos y socioculturales. Los puntos iniciales de estos autores se pueden resumir en una aproximación al estudio de los medios interdisciplinarios, pero especialmente en una clara tendencia a considerar la tecnología, sobre todo la tecnología de las comunicaciones, como una variable independiente en el estudio de los procesos de cambios sociales.
Recurrent wheezing in children: a tertiary care hospital data
Authors: ENGİN Muhammet Mesut Nezir , TEMİZKAN Ramazan Cahit , KİLİCASLAN Onder , ASLANTAS Merve , CANGUR Sengul , KOCABAY Kenan
Published: April 2018

Introduction: Repetitive wheezing in children today is an important problem. It is
important to identify preventable risk factors in children with recurrent
wheezing complaints. Asking for risk factors and making suggestions can prevent
both recurrent admission and persistent bronchial damage. The present research was conducted to evaluate the
risk factors of recurrent wheezing in children. Methods: This
cross-sectional study was performed with 50 children with recurrent wheezing.
Previous medical history and sociodemographic features of children were
searched.Results: The
60%(n=30) of participants were male , %40 (n=20) were female. The mean age and
birth weight of children were calculated 49.1 ± 48 months and 3227.2 ± 680.6 gr
respectively. Children with recurrent wheezing had significantly diverse ratios
in terms of the type of delivery (p=0,007),
breast feding (p<0.001),
vaccinations (p<0.001),
atopic dermatitis (p<0.001),
child care (p=0.003),
natal and postnatal maternal smoking (p<0.001, p=0.007), asthma history of the parents and siblings
(p<0.001), rural-urban
settlement (p=0.021), and
moisture and warming shape of family house (p=0.002).

Conclusion: Recurrent
wheezing is an important health problem in childhood.  Sociodemographic, environmental preventive
approaches must be considered in the treatment modalities of patients.
Eleições 2016 nas fanpages dos jornais regionais: o Facebook como espaço de distribuição e visibilidade das notícias sobre a campanha eleitoral
Authors: Goulart Massuchin Michele
Published: April 2018

Este artigo discute como as redes sociais digitais contribuem com o debate político-eleitoral. A pesquisa envolve duas vertentes teóricas, sendo uma relacionada à centralidade da cobertura eleitoral e a outra tratando das redes sociais como um espaço de distribuição e circulação de conteúdos jornalísticos. A partir disso, analisa-se o conteúdo publicado nas páginas do Facebook de nove jornais do Nordeste - O Estado do maranhão (MA), Meio Norte (PI), O Povo (CE), Tribuna do Norte (RN), A Tarde (BA), Jornal da Paraíba (PB), Diário de Pernambuco (PE), Gazeta de Alagoas (AL) e Jornal da Cidade (SE) – durante o período eleitoral de 2016. Com este recorte, o objetivo é identificar a visibilidade dada ao tema político-eleitoral, aos candidatos e aos subtemas de campanha. No total, foram categorizadas 9.993 postagens.
A TRAVESSIA CULTURAL DE MACABÉA
Authors: Nolasco Edgar Cézar
Published: April 2018

O texto procura acompanhar a travessia da heroína da novela, Macabéa, visando estabelecer uma relação com a própria trajetória da escritora Clarice Lispector. Sobressai na comparação biográfica uma questão de fundo cultural cara à escritora, bem como à sua literatura, qual seja senão a da “judeidade”. Na discussão aqui proposta, entende-se que tal aproximação só pode se dar de modo metafórico, uma vez que a escritora não tratou do assunto de forma aberta em seu projeto intelectual, ou seja, não assumindo publicamente sua condição de judia. Todavia, entende-se que tal condição se inscreveu à revelia da intelectual por todo seu projeto literário.
PRÁTICAS PEDAGÓGICAS CONTEXTUALIZADAS
Authors: Campos Lucas , Cruz Alessandra
Published: April 2018

.
Comparison of the content of lean meat in pigs on farm and slaughter line
Authors: Tomic Zdravko , Stojanac Nenad , Cincovic Marko , Stevancevic Ognjen , Urosevic Miroslav , Novakov Nikolina , Kovacevic Zorana
Published: April 2018

Measurement of lean meat on slaughter line and formation of price on the
basis significantly contribute to the overall improvement of the quality and
profitability of production and distribution of pork. The content of lean
meat on live pigs was measured on farm using ultrasound device PIGLOG 105.
While in slaughterhouse, the content of lean meat measured using Fat-O-Meater
(FOM), two-point method (TP) and partial dissection. 59.30% of lean meat in
vivo was estimated by the apparatus PIGLOG-105 one day before slaughter. It
is 0.91% more then partial dissection and when compared to FOM and TP it is
more 4.86% and 4.02%. Great deviation between PIGLOG-105 on one side and FOM
and TP on other side indicated some error, and then partial dissection solved
this mystery. After this study, slaughterhouse constructed new formulas for
FOM in pig carcass classification. Regarding that, slaughterhouses which used
FOM or similar equipment for measuring percentage of lean meat, should
control results of the equipment described in this study, minimum twice a
year.
Phenotype correlations of linear assessment scores of type and production traits of Simmental cows
Authors: Pantelic Vlada , Niksic Dragan , Maksimovic Nevena , Ostojic-Andric Dusica , Lazarevic Marina , Marinkovic Milos , Micic Nenad
Published: April 2018

Determining the degree of correlation between two or more traits depends to a
large extent on their manifestation. The knowledge of genetic and phenotypic
correlations between body characteristics of the animal and product
characteristics can help define the breeding goal, but also to define and
harmonize the assessment criteria. Although the phenotypic and genetic
correlations between the traits of body development and type and the milk
yield show different degrees of variation, they should be taken into account
in the final assessment of the breeding value of the animal so that the
selection programs are more comprehesively defined. The examination of
phenotypic correlations of linear assessment scores of the type, milk and
fertility traits was performed on a total of 303 cows of the Simental breed
in the first three lactations. The examination of phenotypic correlations
included the following milk performance properties in the first three
standard lactations: milk yield, milk fat content, milk fat yield, yield of
4% corrected milk; also fertility traits: age at current calving and service
period in each lactation; while the linear type scoring included a group of
traits: type or frame, muscularity, fundament, udder.
Effect of supplementation with inorganic and organic selenium on sperm quality and quantity in north-east Bulgarian merino rams
Authors: Stefanov Rossen , Chervenkov Mihail , Anev Georgi , Maksimovic Nevena , Andreeva Madlena , Ivanova Teodora , Milovanovic Aleksandar
Published: April 2018

Selenium is a trace element, which stimulates antioxidant defenses and
improves reproductive functions in human and animals, under the form of
selenoproteins. The objective of the study was to evaluate the effect of
selenium, supplemeted as inorganic or organic form in the diet of stud rams,
on some of their semen parameters. The experiment was performed with 15
clinically healthy rams from North East Bulgarian merino breed. The animals
were divided in three groups (5 per group). The rams from first experimental
group (G1) received a diet with supplementation of 4,0mg sodium selenite
(NapH of the ejaculates and motility, concentration and in vitro
survivability of the spermatozoa at 39?? for 360 min. 2SeO3) per animal per
day, while the animals of the second experimental group (G2) obtained diet
with 1.83g L-selenomethionine (Sel-Plex, Alltech, USA) per animal per day.
Eventually, each animal from the G1 and G2 received 1.83g selenium per day.
The control group (GC) received a diet without supplementation of selenium.
The principal composition of the diet in each group was the same. The
ejaculates were obtained via artificial vagina. The evaluated parameters were
volume and It was found that the supplementation of ram studs diet either
with inorganic and organic selenium led to increase in the volume of the
ejaculates, motility and survivability of the spermatozoa. The pH of the
freshly obtained semen was not affected by selenium treatment.
Hemoglobin A1c Accurately Predicts Continuous Glucose Monitoring–Derived Average Glucose in Youth and Young Adults With Cystic Fibrosis
Authors: Chan Christine L. , Hope Emma , Thurston Jessica , Vigers Timothy , Pyle Laura , Zeitler Philip S. , Nadeau Kristen J.
Published: April 2018

OBJECTIVE

In cystic fibrosis (CF), hemoglobin A1c (HbA1c) is thought to underestimate glycemia. However, few studies have directly assessed the relationship between HbA1c and average glucose in CF. We determined the relationships among glycemic markers—HbA1c, fructosamine (FA), glycated albumin (%GA), and 1,5-anhydroglucitol (1,5-AG)—and continuous glucose monitoring (CGM) in CF, hypothesizing that alternate markers would better predict average sensor glucose (ASG) than HbA1c.

RESEARCH DESIGN AND METHODS

CF participants and a group of healthy control subjects (HCs), ages 6–25 years, wore CGM for up to 7 days. Pearson correlations assessed the relationships between CGM variables and HbA1c, FA, %GA, and 1,5-AG. The regression line between HbA1c and ASG was compared in CF versus HC. Linear regressions determined whether alternate markers predicted ASG after adjustment for HbA1c.

RESULTS

CF (n = 93) and HC (n = 29) groups wore CGM for 5.2 ± 1 days. CF participants were 14 ± 3 years of age and 47% were male, with a BMI z score −0.1 ± 0.8 and no different from HCs in age, sex, or BMI. Mean HbA1c in CF was 5.7 ± 0.8% (39 ± 9 mmol/mol) vs. HC 5.1 ± 0.2% (32 ± 2 mmol/mol) (P < 0.0001). All glycemic markers correlated with ASG (P ≤ 0.01): HbA1c (r = 0.86), FA (r = 0.69), %GA (r = 0.83), and 1,5-AG (r = −0.26). The regression line between ASG and HbA1c did not differ in CF versus HC (P = 0.44). After adjustment for HbA1c, %GA continued to predict ASG (P = 0.0009) in CF.

CONCLUSIONS

HbA1c does not underestimate ASG in CF as previously assumed. No alternate glycemic marker correlated more strongly with ASG than HbA1c. %GA shows strong correlation with ASG and added to the prediction of ASG beyond HbA1c. However, we are not advocating use of HbA1c for diabetes screening in CF based on these results. Further study will determine whether glycemic measures other than ASG differ among different types of diabetes for a given HbA1c.
Estrategias de los líderes de organizaciones sociales en la construcción de capital social / Strategies of leaders of social organizations in the construction of social capital
Authors: Rodríguez Hernández Rogelio , Quintero Novoa Raúl
Published: April 2018

El presente documento muestra un estudio cualitativo elaborado en Ciudad Juárez, México. El objetivo fue conocer las estrategias usadas por los líderes de las organizaciones sociales locales para construir capital social. Para ello, se llevaron a cabo entrevistas semiestructuradas con diez responsables de organizaciones de la sociedad civil. Los resultados demostraron que los líderes empleaban estrategias para la creación de capital social en función de los actores con quienes se vinculaban. En el caso del interior de las organizaciones, las principales estrategias se dieron en los procesos de toma de decisiones y manejo de conflictos internos. Por otra parte, la construcción de puentes con otras organizaciones se hizo por medio del intercambio de información y la formación de redes de interés. Además, en las comunidades donde ofrecían sus servicios, el establecimiento de confianza se hizo a través de sistemas de voluntariados, capacitación de la población diana y difusión de información relacionada con la organización. Con el Gobierno local, los vínculos establecidos se caracterizaron por una desconfianza mutua y por estar subordinados a intereses políticos, en particular en aquellas organizaciones dirigidas a fomentar la organización vecinal. Los resultados se analizaron en virtud de su relevancia para estudios futuros sobre el tema y sus implicaciones prácticas.
Where is the contre-coup? Atypical localization of occipital brain contusion
Authors: Cucu A.I. , Costea Claudia Florida , Sascau R.A. , Dobrovat B. , Poeata I. , Serban Turliuc , Turliuc Dana Mihaela
Published: April 2018

Most traumatic brain injuries with occipital impact cause frontal and temporal contre-coup lesions, while patients with coagulopathies are more susceptible to such lesions. We present the case of a chronic ethylic patient with thrombocytopenia, who was treated for ethanol withdrawal syndrome at a psychiatric service. The head CT scan revealed an occipital contusion with atypical localization and the absence of fronto-temporal contre-coup lesions. In conclusion, it is recommended a head CT scan to chronic alcoholic patients with psychiatric manifestations, especially in the context of systemic coagulopathies related to excessive alcohol consumption. In the case of chronic ethylic patients that frequently display systemic coagulation disorders, the head CT scan is necessary at the first psychiatric manifestations.
Hyperbaric oxygen therapy in the treatment of brain abscess: about a case
Authors: Mandour Cherkaoui , Gazzaz Miloudi , El Mostarchid Brahim
Published: April 2018

The management of brain abscess remains a challenging topic usually involving a multimodal concept. The efficiency of hyperbaric oxygen therapy is currently being used in many areas, and has been proven in infections with deep and superficial location. We report our experience with hyperbaric oxygen therapy combined with antibiotics in the treatment of this disease in a children case. The evolution was very favourable; we believe that the hyperbaric oxygen therapy is a reliable adjuvant therapy for brain abscess.
The Organisational Justice as a Human Resources Management Practice and its Impact on Employee Engagement: The case of the Prefecture of Attica (Greece)
Authors: Lamprakis Athanasios , Alamani Kalliopi , Malliari Athina , Grivas Ilias
Published: April 2018

Organisational justice is a key component in the practice of human resources management in any work environment. The aim of this research survey is to highlight the meaning and importance of organisational justice and its impact on employee engagement. To achieve this aim, except for the literature review, the survey examines the extent to which the distributive, procedural and interactional justice impact on work and organisational engagement, through a research in a certain Greek public organisation. As regards the statistical analysis of the research hypotheses, we used methods of the SPSS 17.00 statistical package. The results showed that the distributive justice significantly impacts on both types of engagement, while no effect was detected between procedural justice and the two types of engagement. The interactional justice was found to determine, partly, only the organisational engagement. The findings overwhelmingly verified the existing bibliographical references, resulting in a noteworthy empirical precedent which could contribute to the field concerning the impact that organisational justice exerts on certain aspects of organisational behaviour.
Penguatan Modal Sosial Menuju Kemandirian Perempuan Perdesaan Pelaku Industri Rumahan Emping Melinjo di Provinsi Banten
Authors: Saleh Khaerul , Sumardjo Sumardjo , Hubeis Aida Vitayala S , Puspitawati Herien
Published: April 2018

Industri rumahan selama ini kurang memiliki kemampuan untuk bersaing di pasar, disebabkan karena rendahnya tingkat pengetahuan, keterampilan, dan kapabilitas terhadap penguasaan  tekonologi serta akses permodalan, padahal keberadaannya memiliki posisi penting dalam perekonomian nasional. Penelitian ini bertujuan mengetahui peran modal sosial mikro dan meso serta permasalahannya terhadap kemandirian perempuan perdesaan pelaku industri rumahan emping melinjo.  Penelitian dilakukan di Provinsi Banten,  dengan sampel sebanyak 453 orang,  terdiri dari; 154 orang di zona industri, 147 orang di zona pertanian dan 152 orang di zona pariwisata dari 6.857 orang perempuan perdesaan pelaku industri rumahan emping melinjo.  Analisis data menggunakan statistik deskriptif, one way anova, dan Struktural Equation Modeling (SEM).  Hasil analisis menunjukkan bahwa tingkat kemandirian, tingkat kapasitas, modal sosial meso dan modal sosial mikro perempuan persdesaan berada pada kategori sedang.  Model hibryd menunjukkan bahwa kemandirian perempuan perdesaan 43,0 % dipengaruhi secara langsung maupun oleh modal sosial meso, dan tingkat kapasitas, sedangkan modal sosial mikro berpengaruh melalui bekerjanya tingkat kapasitas. Tingkat kemandirian perempuan perdesaan ditentukan melalaui aspek  pengambilan keputusan, kerjasama, kedinamisan usaha dan akses permodalan.  Strategi peningkatan kemandirian dilakukan melalui penguatan modal sosial meso, terutama dukungan infrastruktur dan materi penyuluhan, yang memiliki pengaruh tidak langsung  pada penguatan modal sosial mikro dan  tingkat kapasitas perempuan perdesaan.

Kata kunci :  Industri rumahan emping melinjo, Modal sosial mikro, Modal sosial meso, tingkat kapasitas dan tingkat kemandirian perempuan perdesaan
En las Costas del Neoliberalismo. Naturaleza, Urbanización y Producción inmobiliaria
Authors: Raposo Moyano Alfonso
Published: April 2018

No disponible
Physical Activity and Exercise Therapy Benefit More Than Just Symptoms and Impairments in People With Hip and Knee Osteoarthritis
Authors: Skou Søren T. , Pedersen Bente Klarlund , Abbott J. Haxby , Patterson Brooke , Barton Christian
Published: April 2018

Synopsis

Osteoarthritis (OA) of the hip and knee is among the leading causes of global disability, highlighting the need for early, targeted, and effective treatment. The benefits of exercise therapy in people with hip and knee OA are substantial and supported by high-quality evidence, underlining that it should be part of first-line treatment in clinical practice. Furthermore, unlike other treatments for OA, such as analgesia and surgery, exercise therapy is not associated with risk of serious harm. Helping people with OA become more physically active, along with structured exercise therapy targeting symptoms and impairments, is crucial, considering that the majority of people with hip and knee OA do not meet physical activity recommendations. Osteoarthritis is associated with a range of chronic comorbidities, including type 2 diabetes, cardiovascular disease, and dementia, all of which are associated with chronic low-grade inflammation. Physical activity and exercise therapy not only improve symptoms and impairments of OA, but are also effective in preventing at least 35 chronic conditions and treating at least 26 chronic conditions, with one of the potential working mechanisms being exercise-induced anti-inflammatory effects. Patient education may be crucial to ensure long-term adherence and sustained positive effects on symptoms, impairments, physical activity levels, and comorbidities. J Orthop Sports Phys Ther 2018;48(6):439–447. Epub 18 Apr 2018. doi:10.2519/jospt.2018.7877
Boosting the Performance of Iron-Phthalocyanine as Cathode Electrocatalyst for Alkaline Polymer Fuel Cells Through Edge-Closed Conjugation
Authors: Zhang Heyou , Zhang Shiming , Wang Ying , Si Jiaojiao , Chen Yingting , Zhuang Lin , Chen Shengli
Published: April 2018

One-pot microwave conjugation results in a polymerized iron-phthalocyanine (pFePc) which exhibits extremely high ORR performance,, showing activity much better than that of the FePc monomer and 20 wt % Pt/C, and similar to that of the 60 wt % Pt/C under the same catalyst loading. Furthermore, we proposed an edge-closing strategy to significantly enhance the stability of the pFePc catalyst in alkaline media by eliminating the edge anhydride groups. Using the edge-closed pFePc as cathode catalyst in APFC, a power density as high as 452 mW∙cm-2 is achieved, which is among the best performance of non-noble metal catalyst-based APFCs so far reported.
Revisiting the Thermodynamic Stability of Indomethacin Polymorphs with Low-Frequency Vibrational Spectroscopy and Quantum Mechanical Simulations
Authors: Ruggiero Michael , Sutton Joshua J. , Fraser-Miller Sara J. , Zaczek Adam J. , Korter Timothy M. , Gordon Keith , Zeitler J. Axel
Published: April 2018

The two major polymorphs of the active pharmaceutical ingredient indomethacin were studied using a combination of experimental low-frequency vibrational spectroscopies, theoretical solid-state density functional theory and \textit{ab initio} molecular dynamics calculations. The results enable a complete spectral assignment of the low-frequency IR and Raman spectra, and yield new insight into the energetic and dynamical factors present within the solids to be understood. Ultimately, these results are used to rationalize the thermodynamic properties of the two crystals, which result in a contradiction to the long-held belief that the $\gamma$-form is the more stable polymorph at ambient conditions due to its predominant abundance. Overall, the study highlights the combined role that molecular conformation, bulk packing arrangement, and intermolecular forces have on the ultimate properties of pharmaceutical crystals, and the need for detailed analyses into all of these effects in order to predict the properties of materials.
Ruthenium(II)-Catalyzed Intermolecular Cyclo(co)trimerization of 3-Halopropiolamides with Internal Alkynes
Authors: Silvestri Anthony P. , Oakdale James S.
Published: April 2018

A highly chemo- and regioselective cyclo(co)trimerization between 3-halopropiolamides and symmetrical internal alkynes is reported. The reaction is catalyzed by Ru(II)-complexes and proceeds at ambient temperature in ethanol to deliver fully substituted dihalogenated isophthalamides. 1,4-Butynediol was found to undergo spontaneous lactonization with halopropiolamides after trimerization to provide 5,7-dihalo-phthalide products.