bluuebunny/crossref_metadata_2025 huggingface dataset:
Persistent postural-perceptual dizziness: current approaches to diagnosis and treatment
Authors: Antonenko L. M. , Zastenskaya E. N.
Published: December 2019

The cause of persistent postural-perceptual dizziness (PPPD) is considered to be chronic dysfunction of the regulatory system for maintaining equilibrium in general and that of the vestibular system in particular, which causes a persistent sensation of dizziness and/or unsteadiness. The pathogenetic mechanisms of PPPD are associated with impaired adaptation to an acute vertigo or unsteadiness episode due to various causes (vestibular, lipothymic, or emotional). Patients severely experience PPPD, which often leads to avoidant behavior and even disability. The timely diagnosis of this disorder and the use of right treatment, including vestibular rehabilitation, antidepressants, and cognitive behavioral therapy, are of great importance. Currently developed new treatments for PPPD are highly therapeutically effective. Among the medicines, Ginkgo biloba extract has been shown to be effective in improving vestibular compensation.
Refractory status epilepticus syndrome FIRES (febrile infection-related epilepsy syndrome) + NORSE (new-onset refractory status epilepticus): description of a rare clinical case
Authors: Akhmadeeva L. R. , Vashkevich A. G. , Bulygin K. V. , Teregulova D. R.
Published: December 2019

The paper describes a clinical case of the rare status epilepticus syndrome FIRES (febrile infection responsive encephalopathy) + NORSE (new-onset refractory status epilepticus). The difficulty of diagnosing this condition is due to the fact that it occurs extremely rarely and the laboratory and instrumental findings are nonspecific. The disease is characterized by acute onset, fever, and subsequent development of status epilepticus, cognitive impairment, and pharmacotherapy-resistant epilepsy. The paper describes a 19-year-old male patient who was observed to have a favorable course of FIRES + NORSE syndrome without pharmacotherapy-resistant epilepsy, motor deficiency, and with the preservation of self-care skills.
Mathematical modeling of ischemic stroke
Authors: Ershov V. I. , Chirkov A. N. , Gonchar-Zaykin A. P. , Lyashchenko S. N. , Lozinskaya T. Yu. , Gumalatova N. V. , Kuznetsov G. E. , Tenchurina L. R.
Published: December 2019

Objective: to determine the prognostic value of the indicators of fluid and electrolyte balance in the acutest period of severe ischemic stroke (IS). Patients and methods. A total of 150 patients with severe IS of various locations and pathogenetic subtypes were examined. The impact of plasma osmolarity or sodium levels on the course and prognosis of IS was studied on day 1 of the disease. Results and discussion. It has been established that in patients with severe IS, the most common type of fluid and electrolyte imbalance is hyperosmolar hypernatremic syndrome that develops at the onset of severe IS, serves as a factor for poor outcome, and is accompanied by high mortality. The rate of fatal outcomes in hypoosmolar syndromes is higher than that in normal plasma osmolarity, but significantly lower than that in hyperosmolar syndromes. Cerebral salt wasting (CSW) is associated with a higher mortality rate than syndrome of inappropriate antidiuretic hormone secretion (SIADH), which confirms a worse prognostic value in hypovolemia than in normo- and hypervolemia. The development of diabetes insipidus at the onset of IS reflects the degree of brainstem structural destruction and, accordingly, is associated with the highest rate of fatal outcomes. The cardioembolic pathogenetic subtype of IS is characterized by a more severe course and a higher probable mortality rate in both hypoosmolar and normosmolar conditions.

Conclusion. Impaired fluid and electrolyte homeostasis is of significant prognostic value for the outcome of IS. In this case, the leading role is played by the hyperosmolar hypernatremic syndrome, in which the probability of a fatal outcome is highest and there is a need for continuous patient health monitoring and high-speed decision-making aimed to correct this condition. Therapeutic policy for diabetes insipidus depends on the duration of IS. The risk for fatal outcome in the cardioembolic pathogenetic subtype of IS is higher than that in atherothrombotic stroke, at any plasma osmolarity and sodium levels.
CASE-METHOD AS AN INSTRUMENT FOR REFLECTION DEVELOPMENT
Authors: Sizikova T E , Durachenko O A
Published: December 2019

The publication reveals and experimentally confirms key opportunities of using a case method for developing reflection, which include: organization of personal experience awareness and learning new subject identifications, identities, and positions. It is shown that the process of developing reflection is unfolding through the organization of decentration, reconstruction, subjectivation, objectification and approbation of new experience. Two versions of reflection development (toward self-development (reflection of the reflection) and toward system informa tion processing) received experimental confirmation. It was determined that due to organized work with the case, a reflection tendency toward distortions, characteristic of youthful age, was significantly changed toward the subject's true representation of his reflection. The diagnostic, developmental and control characteristics of the matrix reflexive form, which represents the modal-intentional model of reflection, were indicated.
ON SOME METHODOLOGICAL ASPECTS OF THE STUDY OF HUMAN INDIVIDUALITY
Authors: Kalugin A Yu
Published: December 2019

Human individuality, presented on different levels (from biological to social ones), is of a high interest in Russian psychology, and the method of correlation design is widely used among researches, because it allows revealing relationships between multi-level properties of individuality. The present article examines several methodical aspects of the correlation analysis implementation, discussing problems and possible solutions. In particular, it considers the issue of nonlinear dependencies (parabolic, hyperbolic etc.), which are impossible to reveal by common correlation methods, but which can be uncovered by using nonlinear correlations, such as correlation index, correlation ratio, maximal information coefficient, distance correlation, maximal correlation, “partial moments” method. Furthermore, it considers the necessity of visualizing variables correlation (scatterplots) that enables to reveal hidden data structures, for example, subgroups. Special attention is paid to correlations corrections for restriction of range and related difficulties that are well-known, but scarcely researched in Russian psychology. In process of investigating plentiful pairwise correlations between individuality properties on different levels it is important to consider anissue of multiple comparisons, which, however, is rarely taken into the account by researches, leading to false results in many occasions. Moreover, the article examines robust statistical methods, particularly permutation tests and bootstrap. These methods combine robustness and high power. Finally, the study observes such issues as the completeness of results presentation and current debates about significance level, effect size and confidence intervals, reproducibility of psychological researches, and meta-analysis approach. Significance level has often been criticized; interval estimates and effect size were supposed to replace it. However, the problem of Null Hypothesis Significance Testing (NHST) has not been completely solved yet. A possible solution is presentation of complete data on research results including precise significance level, confidence intervals, effect size and etc. These estimations can be then applied in meta-analysis, which allows moving on to a new level of scientific generalizations.
Poverty and Women Status among the Fishers Community in Contemporary Era
Authors: Wardojo Waskito Widi
Published: December 2019

There is a significant change in how people see fishers these days, as previously this particular profession was tightly related to poverty, and had the tendency to be subsistence. This includes the role of female fishers. Now they do not necessarily have to stay at home waiting for the return of their husband from fishing, but actually, participate in the act of fishing on the sea along with their husband. Today, women already acknowledged by the government. There is even a success story of female fishers in Juwana, Pati, Central Java. In the eighties, fishers in that area lived in poverty. Now they thrive and leading life in prosperity. Does this mean poverty is not so tightly related to the fishers anymore? How fishers of Juwana answer the question? How is the fate of female fishers now that their status is already acknowledged as a legit profession?
Effect of Match Play on Shoulder Strength in Amateur Rugby Union Players
Authors: Zelinski Samuel , Manvell Joshua J. , Manvell Nicole , Callister Robin , Snodgrass Suzanne J.
Published: December 2019

Zelinski, S, Manvell, JJ, Manvell, N, Callister, R, and Snodgrass, SJ. Effect of match play on shoulder strength in amateur rugby union players. J Strength Cond Res 35(9): 2584–2590, 2019—The purpose of this study was to determine the effect of match play on shoulder internal rotation (IR) and external rotation (ER) strength in amateur Australian rugby union players. Maximal isometric shoulder IR and ER strength was measured in 18 male players using hand-held dynamometry before match, at half-time, after match, and 1, 3, and 7 days after match. Match stress was measured intrinsically (rating of perceived exertion) and extrinsically (number of shoulder events). Linear mixed regression modeling determined differences in strength measures while exploring possible confounders, including history of pain, pain on testing, player position, exposure, height, body mass, and body mass index. From the models, IR strength decreased from before match to after match (adjusted mean difference 1.96 kg; 95% confidence interval [CI]: 0.63–3.29, p = 0.004), 1 day after match (2.47; 1.14–3.80, p < 0.001), and 3 days after match (1.75; 0.42–3.09, p = 0.010). External rotation strength decreased from before match to half-time (adjusted mean difference 1.54 kg, 95% CI: 0.65–2.42, p = 0.001), but no other time points demonstrated significant changes in ER strength compared with before match. None of the possible confounding variables significantly affected strength changes over time. Rugby union match play is associated with reduced shoulder strength, particularly IR. Future research is required to establish whether strength changes are associated with shoulder pain and injury.
Stigma and Mobile App Use Among Young Black Men Who Have Sex With Men
Authors: Rosengren A. Lina , Menza Timothy W. , LeGrand Sara , Muessig Kathryn E. , Bauermeister Jose A. , Hightow-Weidman Lisa B.
Published: December 2019

Young black men who have sex with men (YBMSM) are disproportionately affected by HIV. Intersectional stigmas are associated with increased HIV vulnerability, and worse outcomes for YBMSM with HIV. YBMSM find sex partners through sexual networking apps, but stigma on apps has been poorly studied. We conducted cross-sectional analysis of 324 YBMSM seeking sex partners through apps to assess stigma experiences in eight dimensions compared to non-users (N = 150). We conducted detailed stratified analyses to identify granular stigma data. App users had higher median scores than non-users in perceived HIV discrimination, perceived HIV stigma, experienced sexual minority stigma, racial discrimination, and perceived homophobia. We demonstrate higher levels of intersectional stigmas among app users than non-users, but did not find an overall increase in stigma with increasing app use. Considering the prominent role of apps in YBMSM sexual networking, interventions that reduce stigma on apps are needed.
Barriers and Enablers to HIV Care AmongWaria(Transgender Women) in Indonesia: A Qualitative Study
Authors: Mitchell Elke , Lazuardi Elan , Rowe Emily , Anintya Irma , Wirawan Dewa N. , Wisaksana Rudi , Subronto Yanri W. , Prameswari Hellen Dewi , Kaldor John , Bell Stephen
Published: December 2019

Transgender women (waria) in Indonesia have high rates of HIV and experience barriers accessing HIV services. This qualitative research explored barriers and facilitators to HIV care among waria in Indonesia. Between 2015 and 2016, 42 participants were involved in focus group discussions and in-depth interviews across three urban sites in Indonesia to examine participants' experiences and views on HIV prevention, testing, treatment initiation, and treatment adherence. Data were analyzed thematically. Barriers to accessing HIV care services included perceptions of health and HIV treatment, confidentiality and stigma concerns, and poor access to health insurance. Facilitators to HIV care included recognition of health and perceived susceptibility, perceptions of treatment benefits and consequences of non-adherence, access to social support, and patient-friendly services. Research findings highlight the importance of improving HIV treatment literacy, safeguarding community responses to addressing HIV vulnerability, addressing confidentiality and stigma issues, ensuring services are transgender-friendly, and increasing health insurance coverage.
Complementary Roles for Ventral Pallidum Cell Types and Their Projections in Relapse
Authors: Prasad Asheeta A. , Xie Caroline , Chaichim Chanchanok , Nguyen Jennifer H. , McClusky Hannah E. , Killcross Simon , Power John M. , McNally Gavan P.
Published: December 2019

The ventral pallidum (VP) is a key node in the neural circuits controlling relapse to drug seeking. How this role relates to different VP cell types and their projections is poorly understood. Using male rats, we show how different forms of relapse to alcohol-seeking are assembled from VP cell types and their projections to lateral hypothalamus (LH) and ventral tegmental area (VTA). Using RNAScopein situhybridization to characterize activity of different VP cell types during relapse to alcohol-seeking provoked by renewal (context-induced reinstatement), we found that VP Gad1 and parvalbumin (PV), but not vGlut2, neurons show relapse-associated changes in c-Fos expression. Next, we used retrograde tracing, chemogenetic, and electrophysiological approaches to study the roles of VPGad1and VPPVneurons in relapse. We show that VPGad1neurons contribute to contextual control over relapse (renewal), but not to relapse during reacquisition, via projections to LH, where they converge with ventral striatal inputs onto LHGad1neurons. This convergence of striatopallidal inputs at the level of individual LHGad1neurons may be critical to balancing propensity for relapse versus abstinence. In contrast, VPPVneurons contribute to relapse during both renewal and reacquisition via projections to VTA. These findings identify a double dissociation in the roles for different VP cell types and their projections in relapse. VPGad1neurons control relapse during renewal via projections to LH. VPPVneurons control relapse during both renewal and reacquisition via projections to VTA. Targeting these different pathways may provide tailored interventions for different forms of relapse.

SIGNIFICANCE STATEMENTRelapse to drug or reward seeking after a period of extinction or abstinence remains a key impediment to successful treatment. The ventral pallidum, located in the ventral basal ganglia, has long been recognized as an obligatory node in a 'final common pathway' for relapse. Yet how this role relates to the considerable VP cellular and circuit heterogeneity is not well understood. We studied the cellular and circuit architecture for VP in relapse control. We show that different forms of relapse have complementary VP cellular and circuit architectures, raising the possibility that targeting these different neural architectures may provide tailored interventions for different forms of relapse.
Attention Networks in the Parietooccipital Cortex Modulate Activity of the Human Vestibular Cortex during Attentive Visual Processing
Authors: Frank Sebastian M. , Pawellek Maja , Forster Lisa , Langguth Berthold , Schecklmann Martin , Greenlee Mark W.
Published: December 2019

Previous studies in human subjects reported that the parieto-insular vestibular cortex (PIVC), a core area of the vestibular cortex, is inhibited when visual processing is prioritized. However, it has remained unclear which networks in the brain modulate this inhibition of PIVC. Based on previous results showing that the inhibition of PIVC is strongly influenced by visual attention, we here examined whether attention networks in the parietooccipital cortex modulate the inhibition of PIVC. Using diffusion-weighted and resting-state fMRI in a group of female and male subjects, we found structural and functional connections between PIVC and the posterior parietal cortex (PPC), a major brain region of the cortical attention network. We then temporarily inhibited PPC by repetitive transcranial magnetic stimulation (rTMS) and hypothesized that the modulatory influence of PPC over PIVC would be reduced; and, as a result, PIVC would be less inhibited. Subjects performed a visual attentional tracking task immediately after rTMS, and the inhibition of PIVC during attentive tracking was measured with fMRI. The results showed that the inhibition of PIVC during attentive tracking was less pronounced compared with sham rTMS. We also examined the effects of inhibitory rTMS over the occipital cortex and found that the visual-vestibular posterior insular cortex area was less activated during attentive tracking compared with sham rTMS or rTMS over PPC. Together, these results suggest that attention networks in the parietooccipital cortex modulate activity in core areas of the vestibular cortex during attentive visual processing.

SIGNIFICANCE STATEMENTAlthough multisensory integration is generally considered beneficial, it can become detrimental when cues from different senses are in conflict. The occurrence of such multisensory conflicts can be minimized by inhibiting core cortical areas of the subordinate sensory system (e.g., vestibular), thus reducing potential conflict with ongoing processing of the prevailing sensory (e.g., visual) cues. However, it has remained unclear which networks in the brain modulate the magnitude of inhibition of the subordinate sensory system. Here, by investigating the inhibition of the vestibular sensory system when visual processing is prioritized, we show that attention networks in the parietooccipital cortex modulate the magnitude of inhibition of the vestibular cortex.
La naturaleza ante el doctor Fausto. ¿Apropiación o conservación de la biodiversidad?
Authors: Gudyanas Eduardo
Published: December 2019

No disponible/Not available
Determinación de carbono utilizando la calorimetría (Nota técnica)
Authors: Eduarte Eduardo , Segura Milena
Published: December 2019

No disponible/Not available
Áreas proteginas: Un pasado excelente pero un futuro incierto
Authors: Phillips Adrián
Published: December 2019

No disponible/Not available
Las áreas protegidas de Centroamérica
Authors: McCarthy Ronald , Salas Alberto
Published: December 2019

No disponible/Not available
Certificación para la sostenibilidad turística
Authors: Lizano Rodolfo
Published: December 2019

No disponible/Not available
Pago de servicios ambientales para reconstrucción ecosistémica, fortalecimiento de organizaciones locales y desarrollo rural
Authors: Baltodano Javier
Published: December 2019

No disponible/Not available
Sistemas de ecogestión normalizados para instalaciones náuticas de recreo
Authors: Peris Eduardo
Published: December 2019

No disponible/Not available
Descentralización y comanejo de recursos en el Caribe Tico
Authors: Valverde Jaime
Published: December 2019

No disponible/Not available
Faktor Internal, Makroekonomi dan Pembiayaan Bermasalah Bank Syariah di Indonesia
Authors: Ardana Yudhistira
Published: December 2019

Non Performing Financing is the most important issue for banks to survive. This study aims to analyze the determination of internal and external factors on Non Performing FInancing on Sharia Banking in Indonesia. This study uses Error Correction Model analysis techniques. The results show that in the short term the variables that have a significant effect on Non Performing Financing on Sharia Banking in Indonesia are inflation variables, while the Exchange Rate, Bank Indonesia Certificate of Wadi’ah, Industrial Production Index, Financing Deposite Ratio, and Capital Adequacy Ratio variables have no significant effect. In the long run the variables that are influential are Exchange Rate, Bank Indonesia Certificate of Wadi’ah, Financing Deposite Ratio, and Capital Adequacy Ratio, while Inflation and Industrial Production Index have no significant effect.
Pengaruh Implementasi Sistem Manajemen Mutu ISO 9001:2015 Terhadap Kepuasan Peserta (Pelanggan) Dengan Mediasi Kualitas Layanan
Authors: Ma'sumah Erna Nur , Layaman Layaman
Published: December 2019

This study aims to analyze the effect of the Implementation of Quality Management Systems and Service Quality on the Satisfaction of Participants (Customers), as well as the Implementation of Quality Management Systems on Service Quality. Data collection through the distribution of questionnaires to participants of PT. Taspen. Regression analysis is used to prove the hypothesis. The results showed that the implementation of the Quality Management System and Service Quality affected the Participant Satisfaction and the Implementation of the Quality Management System affected the Service Quality. Implementation of the Quality Management System has a weak effect on Participant Satisfaction. This study also shows that the Implementation of Quality Management Systems to Participant Satisfaction is mediated by Service Quality. This result has several managerial implications.
Distinct Populations of Sudden Unexpected Infant Death Based on Age
Authors: Lavista Ferres Juan M. , Anderson Tatiana M. , Johnston Richard , Ramirez Jan-Marino , Mitchell Edwin A.
Published: December 2019

OBJECTIVES:

In most recent studies, authors combine all cases of sudden infant death syndrome, other deaths from ill-defined or unknown causes, and accidental suffocation and strangulation in bed as a single population to analyze sudden unexpected infant death (SUID). Our aim with this study is to determine if there are statistically different subcategories of SUID that are based on the age of death of an infant.

METHODS:

In this retrospective, cross-sectional analysis, we analyzed the Centers for Disease Control and Prevention Birth Cohort Linked Birth/Infant Death Data Set (2003–2013: 41 125 233 births and 37 624 SUIDs). Logistic regression models were developed to identify subpopulations of SUID cases by age of death, and we subsequently analyzed the effects of a set of covariates on each group.

RESULTS:

Two groups were identified: sudden unexpected early neonatal deaths (SUENDs; days 0–6) and postperinatal SUIDs (days 7–364). These groups significantly differed in the distributions of assigned International Classification of Diseases, 10th Revision code, live birth order, marital status, age of mother, birth weight, and gestational length compared to postperinatal SUIDs (days 7–364). Maternal smoking during pregnancy was not a significant risk factor for deaths that occurred in the first 48 hours.

CONCLUSIONS:

SUEND should be considered as a discrete entity from postperinatal SUID in future studies. These data could help improve the epidemiological understanding of SUEND and SUID and provide clues to a mechanistic understanding underlying the causes of death.
Dos historias de un viaje: El camino de Ishtar Yasin y La jaula de oro de Diego Quemada-Diez
Authors: Longan Phillips Shirley , Soto Arguedas Abileny
Published: December 2019

: El camino (Ishtar Yasin, 2008) y La jaula de oro (Diego Quemada-Diez, 2013) son historias de viajes: uno hacia el norte y otro hacia el sur. En la primera, dos hermanos pequeños salen de Nicaragua rumbo a Costa Rica en busca de su madre. En la segunda, dos muchachos y una chica salen de Guatemala para lograr el sueño americano. Ambas historias tienen en común una esperanza, la búsqueda de superación. Lamentablemente, ninguno de los viajes alcanza su objetivo. Este artículo compara las historias de viaje en ambos filmes como expresiones del fenómeno de la migración centroamericana y producciones estéticas hechas en la región.
El espacio urbano como palestra para el pensamiento crítico
Authors: Otárola Guevara Marcela
Published: December 2019

Este ensayo presenta una reflexión sobre el uso, cada vez más frecuente, del espacio urbano como mecanismo para fortalecer y perpetuar el neoliberalismo en la cosmovisión del individuo. Se alude al Dr. Franz Hinkelammert como principal referente teórico del pensamiento crítico, quien, de forma aguda, ha desentrañado y expuesto a la doctrina neoliberal al estudiar sus múltiples manifestaciones. De ella se destacan los principales aspectos que dirimen el ordenamiento territorial costarricense, se identifican sus autores y correspondientes afanes y prácticas. Finalmente, se elucida la necesidad de incorporar la arquitectura dentro de la visión humanista, como disciplina emancipatoria que contribuya con la recuperación del ser humano sojuzgado por el mercado, deidad liberal del siglo presente.
Growing consumption of antibiotics and epidemiology of Clostridioides difficile infections in Poland: A need to develop new solutions
Authors: Jachowicz Estera , Pobiega Monika , Różańska Anna , Wójkowska-Mach Jadwiga
Published: December 2019

Clostridioides (formerly Clostridium) difficile infections (CDIs) are becoming more common and more serious. C. difficile is the etiologic agent of antibiotic-associated diarrhea, pseudomembranous enterocolitis, and toxic megacolon while CDIs recur in 7.9% of patients. About 42.9 CDI cases/10,000 patient-days are diagnosed each day in Europe, whereas in Poland 5.6 CDI cases/10,000 patient-days are reported; however, the median for European countries is 2.9 CDI cases/10,000 patient-days. Epidemiology of CDIs has changed in recent years and risk of developing the disease has doubled in the past decade that is largely determined by use of antibiotics. Studies show that rate of antibiotic consumption in the non-hospital sector in Poland is much higher than the European average (27 vs. 21.8 DDD/1,000 patient-days), and this value has increased in recent years. Antibiotic consumption has also increased in the hospital sector, especially in the intensive care units – 1,520 DDD/1,000 patient-days (ranging from 620 to 3,960 DDD/1,000 patient-days) – and was significantly higher than in Germany 1,305 (ranging from 463 to 2,216 DDD/1,000 patient-days) or in Sweden 1,147 (ranging from 605 to 2,134 DDD/1,000 patient-days). The recent rise in CDI incidence has prompted a search for alternative treatments. Great hope is placed in probiotics, bacteriocins, monoclonal antibodies, bacteriophages, and developing new vaccines.
Prevalence of carbapenem-hydrolyzing OXA-type β-lactamases among Acinetobacter baumannii in patients with severe urinary tract infection
Authors: Girija Smiline As , Priyadharsini Jayaseelan Vijayashree , Paramasivam Arumugam
Published: December 2019

Acinetobacter baumannii produces carbapenemase-hydrolyzing class D β-lactamases (CHDLs) as one of the major drug resistance mechanisms. This investigation is thus aimed to assess the prevalence and to characterize the CHDL-producing strains of A. baumannii by both phenotypic assays and genotypic characterization. A total of 73 isolates of A. baumannii were phenotypically and genotypically characterized from patients (N = 1,000) with severe urinary tract infection. Tested strains were subjected to double disk synergy testing by Kirby–Bauer disk diffusion method with modified Hodge test (MHT) for carbapenemase production. Plasmid DNA was molecularly screened for CHDL-encoding blaoxa-51, blaoxa-23, and blaoxa-143 genes by polymerase chain reaction. Carbapenem-resistant profile showed 100%, 61.64%, and 67.12% resistance by Kirby–Bauer disk diffusion method that correlated with MHT positivity for 100% (n = 73), 80% (n = 36), and 78% (n = 38) of the isolates against imipenem, doripenem, and meropenem, respectively. The blaoxa-51 and blaoxa-23 were observed in 41.09% (n = 30) and 35.61% (n = 26) with co-occurrence in 4.10% (n = 3) of the isolates. MHT-positive isolates showed 100%, 91.66%, and 71.4% for blaoxa-51 and 91.78%, 51.11%, and 34.69% for blaoxa-23 with imipenem, doripenem, and meropenem resistance, respectively. None of the strains yielded blaoxa-143 gene. The findings of this study showed prevalence of carbapenem resistance and high frequency of blaoxa-51 and blaoxa-23 among A. baumannii.
Architecture competition proposals in the body of work of the KKK Group (1931–1939) in the Kingdom of Yugoslavia
Authors: Matan Cela
Published: December 2019

Jovan Korka, Đorđe Krekić and Georg Kiverov are important protagonists of modern Croatian architecture. The three architects worked together in the KKK Group (name derived from their last names) between 1931 and 1939 in Zagreb. During this period, “the group” produced an impressive mass of work including the realisation of public and residential buildings in Croatia and the region; participated in competitions in the Kingdom of Yugoslavia with brilliant design solutions; held exhibitions and published several professional papers. Famous from the beginning of their professional work in Croatia's capital, in the second half of the 1920s, they were forgotten after WWII. Their names emerged in almost every compilation or architectural guide of modern Croatian architecture due to the built edifices that were the outcome of the member's efforts in competitions, and yet for a long time, very little was known about the authors and especially about the KKK Group. Only recently is their body of work being studied systematically.

This article deals with competition projects, the unexplored body of work of the Group, and a crucial part in their success. In twenty instances of participation in competitions currently known, in only eight years of collaboration, the group was awarded 14 times (individually and jointly), often with one of the first three awards. A chronological overview of competition participation and a more detailed analysis of five available joint competition entries was carried out as a contribution to the valorisation of the body of work of these important and yet forgotten protagonists of modern architecture in the Kingdom of Yugoslavia and especially in Croatia.
Controle, medo e despreparo: esperar o que de uma escola estranha às práticas da liberdade?
Authors: Carneiro Kleber Tuxen , Bronzatto Maurício , Assis Eliasaf Rodrigues de
Published: December 2019

Este ensaio tem como objetivo refletir sobre os principais efeitos dos projetos de lei nº 867/2015 e 193/2016, do “Programa Escola sem Partido”, no trabalho cotidiano do professor e na formação do aluno, e realizar algumas análises que patenteiam o equívoco dessa proposição. Alguns motivos presentes no longa-metragem A Vila, de M. Night Shyamalan, em especial a manipulação e o controle de corpos e consciências pela instauração do medo, além do obscurantismo e o despreparo, são utilizados como elementos alegóricos para discutir os perigos de uma escola estranha às práticas da liberdade. Apresenta-se uma revisão da literatura sobre os ideais do programa, com a seguinte organização: os aspectos constitucionais dos projetos de lei, suas implicações para o sistema político e, por fim, os impactos ao desenvolvimento do trabalho docente e à formação discente. Procura-se, ainda, desvelar, analisar e desconstruir o entendimento sobre ideologia, aluno, docente e processo formativo presente no texto dos projetos. Conclui-se com a retomada do filme “A Vila” e a discussão dos seguintes aspectos relacionados à tentativa de implantação da “Escola Sem Partido”: a negação dos conflitos e dos desejos; a implantação do medo e a manutenção da ignorância como recursos educativos e de controle; o apagamento das diferenças e a manutenção do status quo; e o perigo de uma coletividade que tolhe a manifestação das individualidades.
Economic damage of risk factors associated with morbidity and mortality from major chronic non-communicable diseases in Russia in 2016
Authors: Kontsevaya A. V. , Mukaneeva D. K. , Myrzamatova A. O. , Balanova Yu. A. , Khudyakov M. B. , Drapkina O. M.
Published: December 2019

Aim.To assess the socioeconomic damage of risk factors associated with morbidity and mortality from major chronic non-communicable diseases (CNCDs) in the Russian population in 2016.

Material and methods.The following RF were included in the analysis: smoking, alcohol abuse, high salt intake, insufficient consumption of vegetables and fruits, consumption of processed red meat, low physical activity, obesity, hypertension (HTN), which have a significant causal relationship with the major CNCDs: cardiovascular diseases (CVDs), type 2 diabetes, chronic obstructive pulmonary disease (COPD), cancer of 10 locations (lung, breast, cervix, ovary, prostate, kidney, stomach, liver, pancreas, colon). Based on the data on the RF prevalence in the Russian population by ESSE-RF study and relative risks by large studies, the population attributable risk for each CNCD was estimated. We used the data of the Federal State Statistics Service, annual forms of Federal Statistical Observation, as well as the results of the Government Guarantee Program for free medical care and the corresponding diagnosis-related groups for 2016. The direct costs of the healthcare system and economic losses due to morbidity and mortality from the major CNCDs associated with the considered RF are determined. The calculations were performed in Microsoft Excel 10.0.

Results.Indirect losses due to premature mortality prevail over direct costs of medical care and disability benefits in the economic damage structure of each RF. The largest damage of four major CNCDs was associated with HTN — 869,9 billion rubles, which is equivalent to 1,01% of gross domestic product (GDP). The next places were taken by obesity — 605,8 billion rubles (0,7% of GDP), smoking — 421,4 billion rubles (0,49% of GDP) and low physical activity — 273,0 billion rubles. (0,32% of GDP). The contribution of improper feeding (high salt intake, insufficient consumption of vegetables and fruits, consumption of processed red meat) amounted to 0,17% of GDP (145,3 billion rubles), 0,19% of GDP (160,9 billion rubles) and 0,10% of GDP (83,4 billion rubles), respectively. Alcohol abuse made the smallest contribution to CNCD-related damage — 82,5 billion rubles (0.1% of GDP). This is due to the low prevalence of alcohol abuse in the Russian population according to ESSE-RF study.

Conclusion.Assessment of the economic damage of CNCD RF allows determining the priority areas in healthcare and substantiating the effectiveness of CNCD preventive measures aimed at reducing the RF impact, and, consequently, the burden on the healthcare system and the national economy.
PRIMARY SPHINCTEROPLASTY COMPARING TWO DIFFERENT STITCHES IN ANAL FISTULA TREATMENT: EXPERIMENTAL STUDY IN RATS
Authors: TANUS Otávio Augusto Vendas , SANTOS Carlos Henrique Marques dos , DOURADO Doroty Mesquita , CONDE Andrea Lima , GIUNCANSE Fernanda , SOUZA Isadora Ferreira de , COSTA Izabela Oliveira , COSTA Rochelle Leite
Published: December 2019

ABSTRACT Background: Anal fistula is by definition the communication between the rectum or anal canal with the perineal region, which may be epithelialized and has cryptoglandular origin in 90% of cases. There are a large number of techniques for successfully treating trans-sphincteric fistulas of 20-50%, including primary sphincteroplasty, but it is not clear whether the material used would influence the outcome. Aim: To analyze the efficacy of polydioxanone and polypropylene wire in primary post-fistulotomy sphincteroplasty in the treatment of trans-sphincteric fistulas in rats. Methods: Thirty Wistar rats had transfixation of the anal sphincter with steel wire, which remained for 30 days for the development of the anal fistula. After this period, it was removed and four groups were formed: A (control) without treatment; B (fistulotomy) submitted to such procedure and curettage only; C (polidioxanone) in which sphincteroplasty was performed after fistulotomy with polydioxanone wire; D (polypropylene) submitted to the same treatment as group C, but with polypropylene wire. After 30 days, euthanasia and removal of the specimens were performed for qualitative histopathological analysis, measurement of the area between the muscular cables edges and evaluation of the degree of local fibrosis. Results: There was persistence of the anal fistula in all animals of group A. There were no significant differences between groups B, C and D regarding the distance of the muscular cables (p=0.078) and the degree of fibrosis caused by the different treatments (p=0.373). Conclusions: There was no difference between polydioxanone and polypropylene wires in post-fistulotomy primary sphincteroplasty, and this technique was not superior to simple fistulotomy in relation to the distance of the muscular cables nor did it present differences in relation to the degree of local fibrosis.
A crise cultural da atenção: repetição maquinal e choque de imagem
Authors: Verissimo Danilo Saretta
Published: December 2019

Resumo Elaboramos reflexões acerca do regime de atenção contemporâneo e alguns dos seus principais condicionantes sociais. O foco específico de discussão é a atenção nos sistemas da repetição maquinal e do choque de imagem, que podem ser destacados como eixos básicos para o estudo da experiência sensível sob influência da técnica. Ressaltamos, primeiramente, no contexto dos desdobramentos históricos da revolução industrial, a influência do desenvolvimento da maquinaria e da racionalização do trabalho sobre a atividade perceptiva do trabalhador. Examinamos, em seguida, a estrutura da percepção no contexto do desenvolvimento das máquinas de imagem e dos seus produtos. Circunscrevemos, sob este panorama, a repetição acelerada e a distração como duas modalidades de comportamento social legíveis a partir dos problemas relativos à atenção.
Universidade e produção de conhecimento na formação inicial: uma estratégia didática para o ensino da escrita acadêmica
Authors: Fonseca Janaína Zaidan Bicalho
Published: December 2019

Resumo Este trabalho objetiva problematizar o ensino e a aprendizagem da escrita na universidade, apresentando uma experiência investigativa com acadêmicos do 2º período do curso de Matemática, na disciplina de Leitura e Produção de Textos, durante o segundo semestre de 2017. A execução da pesquisa considerou a aplicação de uma estratégia didática para apropriação do gênero acadêmico resumo/abstract, qual seja, a de retextualização, em que o estudante deveria ler um artigo científico da área com o propósito de escrever o resumo correspondente, colocando-se na posição de autor do artigo lido, cujo resumo circularia no portal de periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) para consulta de pesquisadores e demais acadêmicos. Dessa forma, esperava-se que a mobilização de recursos linguísticos e enunciativos mantivesse o tom assumido pelo artigo científico em questão, porém a partir da organização arquitetônica do gênero dada pelo acadêmico. A pergunta de pesquisa girou em torno da seguinte questão: Quais são os limites entre a palavra do outro e a do acadêmico, considerando um processo de retextualização que tensiona os lugares destinados aos enunciadores e coloca em xeque o processo de autoria? Com tal estratégia, compreendeu-se, ainda que panoramicamente, como a universidade e os seus sujeitos regulam o universo discursivo do outro e garantem a manutenção dialógica da escrita. Para chegar a essa conclusão, adotou-se um quadro teórico que se fundamentou na perspectiva bakhtiniana e foucaultiana de linguagem (BAKHTIN, 2009; FOUCAULT, 1996) e nos estudos do letramento acadêmico (RINCK, BOCH, ASSIS, 2015), seguindo uma metodologia de abordagem qualitativa, com finalidade aplicada.
A ESCRITA GAMIFICADA DE FANFICTIONS COM O APOIO DE TECNOLOGIAS DIGITAIS EM UM CLUBE DE INGLÊS
Authors: Fischer Adriana , Grimes Camila , Vicentini Mariana Aparecida
Published: December 2019

RESUMO Este estudo tem por objetivo compreender relações entre práticas de letramento escolar e a escrita gamificada de fanfictions com o apoio das Tecnologias Digitais (TD). As fanfictions podem ser definidas como ficções escritas por fãs com base em um produto original e têm se popularizado com a disseminação da internet, especialmente entre adolescentes em idade escolar. A justificativa para o desenvolvimento de práticas de leitura e escrita com o gênero fanfiction, neste estudo, ampara-se em uma perspectiva sociocultural dos estudos dos letramentos, em que o foco na aprendizagem de um gênero não está na assimilação de sua estrutura unicamente, mas nos modos como a aprendizagem de um gênero oportuniza conhecimentos de formas particulares. As mediações em torno das atividades com fanfictions aconteceram no contexto de um Clube de Inglês, com cinco sujeitos. Os dados foram gerados com base em enunciados desses sujeitos na plataforma de gamificação Classcraft, a partir da fanfiction escrita durante as aulas do Clube e de um grupo focal realizado com esses sujeitos. Para proceder com as análises, construímos uma linha do tempo apresentando a relação dos sujeitos com as fanfictions antes das atividades feitas no Clube, as aproximações, interações e posicionamentos durante o percurso de escrita e suas percepções sobre como foi o trabalho com o gênero a partir de diferentes abordagens metodológicas, posteriormente à prática de escrita da fanfiction. Os resultados apontam, principalmente, para a inserção desses sujeitos, na condição de insiders, em diferentes práticas de letramentos que envolvem a leitura e a escrita do gênero fanfiction, mediadas pelos usos de TD. Ainda, há indícios de que a gamificação permitiu aos sujeitos evidenciarem formas singulares de se posicionar em relação à leitura, à escrita e diferentes formas de ser, agir e elaborar sentidos no contexto escolar.
PRÁTICAS DE LINGUAGEM NO CONTEXTO DE INTERNACIONALIZAÇÃO EM UM INSTITUTO FEDERAL: PLACAS DE SINALIZAÇÃO E SEUS EFEITOS GLOTOPOLÍTICOS
Authors: Souza Carlos Fabiano de
Published: December 2019

RESUMO A partir do suporte teórico-metodológico da sociologia do discurso do Círculo de Bakhtin (BAKHTIN, 2016; VOLÓCHINOV, 2017), no que toca especialmente à questão da expressividade, em diálogo com a abordagem glotopolítica (GUESPIN, MARCELLESI, 1986), este texto busca tecer algumas reflexões em torno do objeto de estudo práticas de linguagem em placas de sinalização em espaços físicos escolar. Toma-se por base o contexto de internacionalização em um instituto federal tecnológico, com o intuito de compreender, por meio de uma lente discursivo-dialógica, quais os efeitos glotopolíticos implicados em práticas dessa natureza. Assume-se que essas práticas atuam como uma forma de intervenção política na paisagem linguística escolar (SPOLSKY, 2004), sendo fruto, portanto, de escolhas nada aleatórias, decisões tomadas aprioristicamente que, no caso do material analisado, dá a ver a opção por quais línguas privilegiar nas placas de sinalização nos ambientes dessa instituição, bem como a ordem de prioridade em que elas tendem a se inscrever nas placas em análise.
Um Letramento (no) Singular: a retomada da agenda revolucionária em tempos de educação ultraliberal
Authors: Zaidan Junia Claudia Santana de Mattos
Published: December 2019

Resumo Este trabalho discute o conceito de letramento crítico no contexto educacional brasileiro recente, que é parte de uma crise política mais ampla, em que emergem uma agenda ultraliberal, a despolitização da educação e a resultante escalada da violência em múltiplas formas, em todos os níveis da vida social. Recorrendo à historiografia do termo ‘letramento’ e a outras expressões que marcaram mudanças epistemológicas na área ao longo do tempo (novos letramentos, multiletramentos, etc.), argumentamos que é apenas através da retomada de uma agenda revolucionária nos estudos de letramento que o letramento crítico pode ser promovido neste estágio avançado do modo de produção capitalista.
El sentido del lugar de uno en mujeres trans adultas de la Ciudad de México: riesgos corporales e identitarios
Authors: Elizalde Andres Alvarez
Published: December 2019

Resumen El objetivo de este artículo es reflexionar sobre las modificaciones corporales que realizan las mujeres trans en la presentación de su persona en la Ciudad de México. El análisis se focaliza en mujeres trans adultas y hace un acercamiento a lo que modifican en el cuerpo para su reconocimiento social. Se entrevistaron a diez mujeres trans de 2014 a 2018 y se realizó observación etnográfica en distintos eventos sobre personas trans en la ciudad. La hipótesis es que las mujeres trans en su búsqueda del sentido del lugar de uno toman decisiones, algunas simples o radicales, en sus cuerpos que tienen impacto tanto en la interacción cotidiana como en su vida social en general. Por lo que se describen las situaciones en las que se dan estos cambios y su configuración del riesgo tanto para el cuerpo como para su identidad.
El amor filial como acción colectiva y confianza
Authors: Scribano Adrián
Published: December 2019

Resumen Vivimos en sociedades normalizadas en el disfrute inmediato a través del consumo, que configuran una economía política de la moral atravesada por la banalización del bien, la lógica del desecho y la política de la perversión. Esta estructura es desmentida cotidianamente por prácticas intersticiales, entre las cuales el amor filial es una las más relevantes. El artículo pretende sintetizar los resultados de una etnografía digital realizada en México, Guatemala, Brasil, Uruguay, Chile y Argentina, con relación a las articulaciones entre el amor filial como acción colectiva y los lazos de confianza que dichas prácticas generan. El amor filial en tanto práctica intersticial produce interacciones de reciprocidad y confianza entre a) los actores y personas que participan, b) otras prácticas colectivas y c) “espacios institucionales”. Desde las prácticas de amor filial aparece la confianza y esto produce un conjunto de prácticas del sentir que se mueven en una dialéctica entre dolor y encuentro que cualifica las inversiones emocionales que las personas vivencian. El presente trabajo apunta a mostrar cómo el amor filial en tanto acción colectiva desmiente el régimen de verdad de la actual economía política de la moral, enfatizando el lugar de la confianza en dichas prácticas colectivas. Para lograr dicho objetivo, se ha elaborado la siguiente estrategia expositiva: a) se sintetiza lo que se entiende por prácticas intersticiales y amor filial, b) se presentan las seis experiencias seleccionadas y c) se consigna una breve conclusión.