bluuebunny/crossref_metadata_2025 huggingface dataset:
Glorious History of Maria Dablemont
Authors: Hebert Kirsten , Brandes Lynn M.
Published: April 2019

Maria Dablemont (1919-1992), co-founder of the Optometric Historical Society (OHS) and head librarian for the American Optometric Association (AOA) from 1964 to 1988, had a profound impact on the profession of optometry in the United States. At a crucial moment for the AOA, Dablemont helped to pioneer a new, forward-looking professional identity for the American optometrist, and articulate an origin story that mapped the future the association was plotting for the profession to its past. In part one of this biography, we havedrawn a sketch of Dablemont’s life before joining the AOA (1919-1964) and explore how her life experience made her the perfect agent to help the AOA to craft a new ideal of what it could mean to be an optometrist. In part two, we will trace Dablemont’s personal and professional development through the lens of the history of the International Library, Archives & Museum and the OHS from 1964 until her retirement in 1988.
Utrata Władimira Makanina – ku hermeneutycznemu radykalizmowi
Authors: Tyczko Krzysztof
Published: April 2019

This article deals with radical hermeneutics in Vladimir Makanin’s micro-novel The Loss. The article presents the position that John D. Caputo’s flow is fundamental to Makanin’s hermeneutics. The author refers to Vladimir Ivancov’s research and debates with Anna Skotnicka and Anna Stankevich
Die Kündigung durch einen Vertreter ohne Vertretungsmacht
Authors: Tonikidis Stelios
Published: April 2019

Der folgende Beitrag setzt sich mit der noch wenig beleuchteten Frage auseinander, ob die durch einen vollmachtlosen Vertreter erklärte Kündigung durch den Vertretenen genehmigt werden kann. Dabei soll auch geklärt werden, ob eine solche Genehmigung auf den Zeitpunkt der Vornahme der Kündigung zurückwirken kann.
How “deep” is Dynamism? Revisiting the evaluation of Moroccan-flavored Netherlandic Dutch
Authors: Grondelaers Stefan , van Gent Paul
Published: April 2019

In this paper we report a new speaker evaluation experiment to follow up on an earlier study, which found that the Moroccan accent of Netherlandic Standard Dutch was generally downgraded. As in the previous study, both traditional Superiority evaluations and modern Dynamism considerations (pertaining to media cool) were extracted, albeit with greater methodological care: we included a three-level accent strength variable in the stimuli, and measured Dynamism-evaluations on independently validated scales. While mildly accented Moroccan-Dutch speech was deemed less inferior than its strongly accented counterpart (though not as superior as any indigenous speech), Moroccan-flavoured speech was found to be the most dynamic in general. It is argued that the new data account for the increasing vitality of Moroccan-accented speech much better than previous findings, but also, and contrary to previous claims, that the Dynamism evaluations which power this vitality are not implicit or subconscious.
Accurate 3-axis measurement of inhomogeneous magnetic fields
Authors: Popovic Renella Dragana , Spasic Sasa , Ughini Remo , Popovic Radivoje S.
Published: April 2019

Hall effect based Teslameters/Gaussmeters measure DC and AC magnetic flux densities in the range from a few µT to about 30 T. For accurate measurement a 3-axis Hall probe is applied with small magnetic field sensitive volume (MFSV) of 100 µm × 10 µm × 100 µm, with vertical and horizontal Hall elements integrated on a single chip. The planar Hall effect, that produces additional measurement errors is suppressed by the spinning current technique. The orthogonality error of the 3-axis Hall probe is reduced to smaller than 0.1° by the described calibration procedure. This paper explains why the above features are crucial for some applications in industry and modern science for accurate measurement of inhomogeneous magnetic fields and how to achieve them. The future technology trends in magnetic metrology are introduced and the newly developed Nanomapper that incorporates a 3-axis Hall probe with a MFSV of smaller than 10×10×10 micrometer is presented.
Synchronicity: The Role of Midbrain Dopamine in Whole-Brain Coordination
Authors: Beeler Jeff A. , Kisbye Dreyer Jakob
Published: April 2019

Midbrain dopamine seems to play an outsized role in motivated behavior and learning. Widely associated with mediating reward-related behavior, decision making, and learning, dopamine continues to generate controversies in the field. While many studies and theories focus on what dopamine cells encode, the question of how the midbrain derives the information it encodes is poorly understood and comparatively less addressed. Recent anatomical studies suggest greater diversity and complexity of afferent inputs than previously appreciated, requiring rethinking of prior models. Here, we elaborate a hypothesis that construes midbrain dopamine as implementing a Bayesian selector in which individual dopamine cells sample afferent activity across distributed brain substrates, comprising evidence to be evaluated on the extent to which stimuli in the on-going sensorimotor stream organizes distributed, parallel processing, reflecting implicit value. To effectively generate a temporally resolved phasic signal, a population of dopamine cells must exhibit synchronous activity. We argue that synchronous activity across a population of dopamine cells signals consensus across distributed afferent substrates, invigorating responding to recognized opportunities and facilitating further learning. In framing our hypothesis, we shift from the question of how value is computed to the broader question of how the brain achieves coordination across distributed, parallel processing. We posit the midbrain is part of an “axis of agency” in which the prefrontal cortex (PFC), basal ganglia (BGS), and midbrain form an axis mediating control, coordination, and consensus, respectively.
Fairy Tales and Hard Truths in Tacitus's Histories 4.6–10
Authors: Spielberg Lydia
Published: April 2019

In a new reading of Tacitus's account of the quarrel between Helvidius Priscus and Eprius Marcellus at Hist. 4.6.3–4.10.1, I show that the historian stages a confrontation between panegyrical and Realpolitik rhetoric about the Principate. Helvidius uses the consensus-rhetoric of panegyric to propose that the senate claim the freedom they theoretically possess in the regime of a civilis princeps. Eprius describes the autocratic “reality” of the Principate in terms of contingency, necessity, and power. Helvidius's panegyrical fantasy runs up against practical limits, but Eprius's hardheaded truisms prove equally problematic for senatorial oratory. The failures of both speeches comment on the necessity of a consciously fictive “public transcript” such as Pliny's Panegyric while pointing to historiography as the proper place for Realpolitik truths. The debate sheds new light on Tacitus's praise of Trajan and Nerva at the beginning of the Histories as a locus for collective senatorial self-fashioning.
Opening Pandora’s Box - Presumed ST Segment Elevation Myocardial Infarction with Symptomatic Ventricular Tachycardia is Cured by Resection of a Huge Left Ventricular Aneurysm
Authors: Chen Shaojie , Chun K. R. Julian , Walther Thomas , Holubec Tomas , Schmidt Boris
Published: April 2019

A 76-year-old male patient with history of hypertension, type 2 diabetes, and smoking was admitted to the emergency department with chest pain. The patient reported severe and sudden chest pain accompanied by cold sweating, dizziness, and palpitations.
Whole Genome Sequencing and Re-sequencing of the Sable Antelope (Hippotragus niger): A Resource for Monitoring Diversity inex Situandin SituPopulations
Authors: Koepfli Klaus-Peter , Tamazian Gaik , Wildt David , Dobrynin Pavel , Kim Changhoon , Frandsen Paul B , Godinho Raquel , Yurchenko Andrey A , Komissarov Aleksey , Krasheninnikova Ksenia , Kliver Sergei , Kolchanova Sofia , Gonçalves Margarida , Carneiro Miguel , Pinto Pedro Vaz , Ferrand Nuno , Maldonado Jesús E , Ferrie Gina M , Chemnick Leona , Ryder Oliver A , Johnson Warren E , Comizzoli Pierre , O’Brien Stephen J , Pukazhenthi Budhan S
Published: April 2019

Genome-wide assessment of genetic diversity has the potential to increase the ability to understand admixture, inbreeding, kinship and erosion of genetic diversity affecting both captive (ex situ) and wild (in situ) populations of threatened species. The sable antelope (Hippotragus niger), native to the savannah woodlands of sub-Saharan Africa, is a species that is being managed ex situ in both public (zoo) and private (ranch) collections in the United States. Our objective was to develop whole genome sequence resources that will serve as a foundation for characterizing the genetic status of ex situ populations of sable antelope relative to populations in the wild. Here we report the draft genome assembly of a male sable antelope, a member of the subfamily Hippotraginae (Bovidae, Cetartiodactyla, Mammalia). The 2.596 Gb draft genome consists of 136,528 contigs with an N50 of 45.5 Kbp and 16,927 scaffolds with an N50 of 4.59 Mbp. De novo annotation identified 18,828 protein-coding genes and repetitive sequences encompassing 46.97% of the genome. The discovery of single nucleotide variants (SNVs) was assisted by the re-sequencing of seven additional captive and wild individuals, representing two different subspecies, leading to the identification of 1,987,710 bi-allelic SNVs. Assembly of the mitochondrial genomes revealed that each individual was defined by a unique haplotype and these data were used to infer the mitochondrial gene tree relative to other hippotragine species. The sable antelope genome constitutes a valuable resource for assessing genome-wide diversity and evolutionary potential, thereby facilitating long-term conservation of this charismatic species.
The Operationalization of Integrated Internal Action Frameworks for Classroom Identity Development and Self-regulating Learners
Authors: Watson Kevin Michael
Published: April 2019

In the current 21st century landscape, Higher Education (HE) faculty are challenged to concomitantly create, plan, implement, and evaluate curricula that promote and develop self-regulating lifelong learning skillsets within student populations. This means developing learners who have the knowledge, skills, attitudes, and values to identify, acquire, process, synthesize, analyse, interpret, and operationalize information. This is compounded as global societies challenge each citizen to negotiate ever-changing contexts, differing paces of information flow, and increasing levels of technological sophistication. Despite these challenges, meeting the lifelong learning needs of current HE learners is possible through classroom operationalization of competency-based learning frameworks that focus on holistic self-regulating learning cycles. The concept of Integrated Internal Action Frameworks (IIAF) is one such framework model. IIAF allow students to maximize their learning potential by actively integrating frames of mind and should serve as a launching pad to cognitive and meta-cognitive mobility as a learner. Operationalized from this vantage point through mentorship will allow learning to take shape in an organic way with outcome-supported curriculum learning cycles. The IIAF conflate four main building blocks in the classroom through mentorship and release cycles: (1) “I” Orientation Learner Development (IOLD), (2) Time Released Micro-cycles of Learning (TRML) (3) Integration, Continuity, and Engagement (ICE), and (4) Integrated Student Response (ISR). This article draws together these theoretical underpinnings for effective classroom learning, introduces an IIAF-based curriculum, and shows the implementation curriculum models structure and the initial learning cycle that has been streamed over a 15-week semester of senior Japanese university students within their capstone Advanced Seminar course. This study presents only the first phase of a three-phase curriculum structure.
Anotações sobre o princípio da separação de poderes e o direito fundamental ao meio ambiente ecologicamente equilibrado
Authors: Matheus Ana Carolina Couto
Published: April 2019

O propósito do presente trabalho é analisar a colisão entre o princípio constitucional da separação de poderes e o direito fundamental ao meio ambiente ecologicamente equilibrado. A pesquisa requer um esquema conceitual que lhe confira um instrumental teórico suficientemente articulado para a sua problemática. O objeto da pesquisa é estudar a proibição do retrocesso ecológico na colisão entre o direito fundamental ao meio ambiente ecologicamente equilibrado e o princípio constitucional da separação de poderes. Parte-se da hipótese da existência de iguais pretensões sobre determinada relação jurídica, em virtude da qual pode surgir o litígio. O objetivo geral é destacar que a incidência do princípio da proibição do retrocesso ecológico, por implicar uma exceção à regra, deve ser adotada no âmbito da colisão de direitos fundamentais, na tentativa de harmonização seguida de proporcionalidade, e não de maneira irrestrita, sob pena de incidir em inconstitucionalidade por afronta ao princípio da separação de poderes e inviabilizar a atividade legislativa. Será utilizado o método de abordagem indutivo, a fonte de pesquisa bibliográfica, legal e jurisprudencial, as técnicas do referente, da categoria, do conceito operacional e do fichamento.
A responsabilidade civil e as lições aprendidas no desastre do rompimento da barragem de Miraí-MG.
Authors: Rodrigues Marcos Vinicius
Published: April 2019

Este estudo analisa aspectos da responsabilidade civil no caso do dano ambiental com o rompimento da barragem de uma empresa de mineração em Miraí-MG, no ano de 2007. Far-se-á uma análise do desastre ambiental e as implicações sobre o prisma da responsabilidade civil e, em que medida tal aprendizado pode ser estendido ao desastre recentemente ocorrido em Mariana-MG. Utilizando-se do método dedutivo, foi feito um estudo, consultando a análise doutrinária, artigos e sítios eletrônicos. Por fim, conclui-se que com base no princípio da responsabilidade, a efetivação das decisões judiciais prolatadas pelo Poder Judiciário, relativas à apuração da responsabilidade civil da empresa envolvida no acidente em Miraí foi um importante instrumento, contudo, passou desapercebida como aprendizado na orientação de novos empreendimentos, e os devidos cuidados e responsabilidade com a construção e manutenção de barragens.
A greve como direito fundamental: conteúdo essencial e a (im)possibilidade de sua limitação infraconstitucional
Authors: Markman Debora , Calil Mário Lúcio Garcez
Published: April 2019

O objetivo do presente trabalho foi estudar a natureza jurídica do direito de greve, bem como as possibilidades de sua limitação, por meio de pesquisa bibliográfica e documental, voltada a determinar as possibilidades de restrição ao direito de greve, por meio das teorias relacionadas à ponderação, ao conteúdo essencial e ao suporte fático dos direitos fundamentais. Justifica-se o presente trabalho, em decorrência da importância do direito de greve para as reivindicações dos trabalhadores e para o exercício efetivo da democracia.
Indicative Forward-Looking SOFR Term Rates
Authors: Heitfield Erik , Park Yang-Ho
Published: April 2019

This note presents indicative forward-looking term rates derived from end-of-day SOFR futures prices. The accompanying data file also includes compound averages of daily SOFR rates.
The Marginal Effect of Government Mortgage Guarantees on Homeownership
Authors: Grundl Serafin , Kim You Suk
Published: April 2019

The U.S. government guarantees a majority of residential mortgages, which is often justified as a means to promote homeownership. In this paper we use property-level data to estimate the effect of government mortgage guarantees on homeownership, by exploiting variation of the conforming loan limits (CLLs) along county borders. We find substantial effects on government guarantees, but find no robust effect on homeownership. This finding suggests that government guarantees could be considerably reduced with modest effects on homeownership, which is relevant for housing finance reform plans that propose to reduce the government’s involvement in the mortgage market by reducing the CLLs.
Valuing health
Authors: Moyer Eileen , Nguyen Vinh-Kim
Published: April 2019

n/a
Türkiye’de Engelli Bireyler ve Seçimlere Katılım
Authors: AKYOL Betül , AKYOL Ender
Published: April 2019

Bu çalışmanın amacı, engelli bireylerin seçimlere katılım sürecinde ve oy kullanma sırasında karşılaştıkları sorunları tespit etmek, bu sorunları gidermek için çeşitli ülkelerdeki alternatif uygulamaları ortaya koymak ve ülkemizde uygulanmaya yeni başlayan engelli bireylere dönük uygulamaları değerlendirmektir. Bu amaç doğrultusunda ilk olarak Türkiye’de seçimlerin yasal ve kurumsal çerçevesi engelli bireyler açısından incelenmiş, Yüksek Seçim Kurulu (YSK) tarafından ön görülen oy kullanma yöntemleri gözden geçirilmiştir. Çalışmada ikinci olarak Malatya’da yaşayan seçme ve seçilme haklarına sahip, kısıtlı olmayan, yalnızca bedensel ve görme engelli bireylerin seçimlerde oy kullanma süreçleri ve deneyimlerini belirleyebilmek amacıyla yüz yüze derinlemesine görüşme gerçekleştirilmiştir. Görüşmelerden elde edilen veriler Birleşmiş Milletler Engellilerin Haklarına İlişkin Sözleşmede dikkat çekilen “tesisler”, “seçim materyalleri” ve “seçim usulleri”nden oluşan üç eksen üzerine oturtularak analiz edilmiştir.
Electrochemical Gradients Assessment Device (EGAD) v1
Authors: Cerchiara Jack , Kim Kerry , Meir Eli , Pat Wenderoth Mary , H. Doherty Jennifer
Published: April 2019

The basis for understanding neurophysiology is understanding ion movement across cell membranes. Students in introductory courses recognize ion concentration gradients as a driving force for ion movement but struggle to simultaneously account for electrical charge gradients. We developed and validated a 17-multiple-choice item assessment of students’ understanding of electrochemical gradients and resistance in neurophysiology, the Electrochemical Gradients Assessment Device (EGAD). We investigated the internal validity of the assessment by analyzing item characteristic curves of score probability and student ability for each question, as well as a Wright Map of student scores and ability. We used linear mixed-effect regression to test student performance and ability as well as learning gains. Our assessment discriminated students with average ability (WLE -2 to 1.5 Θ), however, was not as effective at discriminating students at the highest ability (WLE > 2 Θ). We determined the assessment could capture changes in both assessment scores (model r2 = 0.51, p<0.001, n=444) and ability estimates (model r2= 0.47, p<0.001, n=444) after a simulation-based lab and course instruction for 222 students. Our Differential Item Function analysis determined that each item on the assessment performed equitably for all students regardless of gender, race/ethnicity or economic status. Overall, we found that males scored higher (r2 = 0.51, p=0.014, n=444) and had higher ability scores (p=0.003) on the EGAD assessment. Caucasian students of both genders were positively correlated with score (r2 = 0.51, p<0.001, n=444) and ability (r2= 0.47, p<0.001, n=444). Based on the evidence gathered through our analyses, the scores obtained from the EGAD can validly and reliably distinguish between levels of content knowledge on introductory neurophysiology principles for students in introductory plant and physiology courses.
Preparing Reads for Stranded Mapping v1
Authors: A Eccles David
Published: April 2019

This protocol is for preparing long reads for stranded mapping, as an intermediate step for additional protocols: Aligning strand-oriented sequences to a transcriptome for transcript / gene counting Aligning strand-oriented sequences to a genome for confirmatory QC Input(s): demultiplexed fastq files (see protocol Demultiplexing Nanopore reads with LAST), adapter file (containing strand-sensitive adapter sequences) Output(s): oriented read files, as gzipped fastq files
Signaling TLR/RLR-mechanisms of immunomodulating action of ingavirin and thymogen preparations
Authors: Sokolova T. M. , Poloskov V. V. , Shuvalov A. N. , Burova O. S. , Sokolova Z. A.
Published: April 2019

Objective: to study drugs ingavirin and thymogen as activators of signal TLR and RLR reactions in a sensitive cell model of THP-1 monocytes and blood cells of donors.Materials and methods . Investigated drugs ingavirin (imidazolylethanamide pentanedioic acid – 6-[2-(1H-imidazol-4-yl)ethylami- no]-5-oxohexanoic acid; Valenta Pharmaceutics, Russia) and thymogen (alpha-glutamyl-tryptophan; Cytomed, Russia), registered in Russia as medicines. The expression of TLR/RLR receptor genes was determined under the action of ingavirin 50–300 μg/ml and thymogen 0.1–5 μg/ml (24 h, 37 °C) using quantitative RT-PCR. The level of fluid cytokines was determined using ELISA kits (Vec- tor-Best, Russia) in the culture fluid. Transfection of small inhibitory RNA (siRNA) MAVS was performed using the reagent Lipofect- amine 2000 (Invitrogen). The immunophenotype of the THP-1 cell line was determined by flow cytometry with labeled monoclonal antibodies FITC CD14 and PE CD34 (BD Biosciences) on a FACSCanto II instrument (Becton Dickinson).Results . For the first time, it has been shown that ingavirin (imidazolylethanamide) and thymogen (dipeptide Glu-Trp) preparations are activators of the immune TLR/RLR receptors and their signaling factors genes in the cultures of monocytic leukemia THP-1 and blood of healthy donors. In these cellular systems, ingavirin and thymogen preparations elicited similar immune responses and stimulated the expression of genes: endosomal TLR3/7/8/9 receptors, RIG1/MDA5 cytoplasmic sensors and NFκB1 and MAVS signaling factors. Induced cells secrete inflammatory cytokines of TNF-α and IL1-β. Ingavirin in THP-1 cell culture monocytes caused a decrease in CD34+ blast cells. Activation the genes of MAVS and co-receptor B2M of the main histocompatibility complex (MHCII) by ingavirin were interrelated. Transfection of siRNA MAVS reduced the level of homologous mRNA MAVS and heterologous mRNA B2M. Conclusion . The results obtained suggest that the antiviral and immunomodulating properties of the drugs ingavirin and thymogen are associated with the activation of a group of TLR/RLR signaling pathways of the innate and adaptive immunity and the differentiation of hematopoietic cell precursors.
Could be a socalist US President: Bernie Sanders case
Authors: Latysh Jurij
Published: April 2019

The article deals with the campaign of Senator B. Sanders for the nomination for the post of President of the United States Democratic Party, analyzes the causes of the rapid growth in popularity of socialist ideas among young people and Democrats, highlights the challenges faced by the only senator-socialist. With the departure of the past stereotypes of the Cold War in the United States there has been a change of attitude towards socialism. Among young people aged 18-29 support socialism than capitalism support. The basis of his election program Sanders put the request “political revolution” in the US. It offers a choice between his progressive economic program that creates jobs, increases wages, protects the environment and provides medical care for all, and the conversion to US economic and political oligarchy. Despite a significant increase Sanders rating so far inferior to Clinton, who enjoys the support of the party establishment, party donors and “superdelegates”. However, in competition with Trump Sanders has a much better chance through an excellent reputation. Despite high ratings, the majority of voters do not believe Clinton Trump reliable and honest candidates. Sanders – one of the candidates who most respondents think good person.
Personal Anxiety and Emotion Regulation in the Context of Study of Post-Traumatic Stress
Authors: Bykhovets J.V. , Padun M.A.
Published: April 2019

The study presents data of the relationship of personal anxiety with signs of posttraumatic stress. To explain the revealed features of the relationship of these variables, the methods of emotion regulation are used as a complex of mental processes that enhance or constrain emotional experiences of traumatic events of high intensity. The study was carried out in two stages: at the first stage, the specificity of the connection between the personal anxiety and the signs of posttraumatic stress symptoms was studied (486 respondents from Moscow, the Chechen Republic and Transbaikalia), at the second stage, the strategies of emotion regulation in persons with different levels of personal anxiety were studied (70 Moscow students were interviewed). Methods: the Mississippi Scale for Assessment of Posttraumatic Reactions (civil version) (MS), the Questionnaire of Diagnostics of Self-Assessment Charles D. Spielberger and Y. L. Hanina, Life Experience Questionnaire(LEQ), Questionnaire of Cognitive Regulation of Emotion N. Garnefski, the Questionnaire of Emotion Regulation J. Gross's. It is shown that personal anxiety has a positive relationship with the severity of posttraumatic stress. However, 9.6% of respondents with high personal anxiety have low rates of posttraumatic stress. Individuals with high personal anxiety tend to use emotion-management strategies such as self-blame, acceptance, rumination, catastrophization, blaming others and individuals with low personal anxiety use cognitive reassessment strategies associated with cognitive efforts to change attitudes toward a problem situation.
Values and Fears: Value Priorities and Fear of Health Impairments
Authors: Iosifyan M.A. , Arina G.A. , Nikolaeva V.V.
Published: April 2019

The evaluation of health states is involved in a patient’s medical decision making. This evaluation includes cognitive and affective components. The affective component of this evaluation may include the emotion of fear. For instance, some health states are more frightening than others. However, it is not yet known why. The present study investigates the link between the fear of health impairments and individual value priorities. Participants evaluated 14 health impairments from most to least frightening and selected three valued goals which could be lost in the event of those previously evaluated health states. Participants also answered the Schwarz’s Values Survey. The results confirm that value preferences are related to the fear of different health states. From one side, this link is related to personal importance of value priorities: the most frightening health states are associated with the loss of preferred value goals. From another side, this link is related to value types: the more a health state is associated with a loss of security and self-direction, the more frightening it is; the more a health state is associated with a loss of hedonism and universalism, the less frightening it is. Overall, the study showed that affective evaluation of negative health states, particularly, fear of negative health states, is related to value preferences.
Vicissitudes e triunfos do Habeas Corpus Coletivo 143.641/SP: protagonismos e ativismo judicial?
Authors: Wermuth Maiquel Ângelo Dezordi , Marcht Laura Mallmann
Published: April 2019

Observa-se, na contemporaneidade, uma crise profunda na homogeneidade das decisões judiciais no Brasil. Essa conjuntura provém das tensões entre teses internacionais e, muitas vezes, de interpretações errôneas de teorias externas. Diante deste contexto, o artigo visa a analisar o habeas corpus coletivo nº 143.641/SP com o objetivo de individualizar essas tensões, identificando a natureza jurídica do julgado. Essa análise comportará os fundamentos pautados pela Defensoria Pública da União enquanto impetrante, o Parecer da Procuradoria Geral da União e os critérios do voto do relator ministro Ricardo Lewandowski. Ainda, compreenderá o exame de conceitos como “judicialização da política”, “ativismo judicial” e “hermenêutica”. O método de abordagem utilizado foi o hermenêutico-fenomenológico.
Políticas públicas para o Grupo LGBTIQ: um estudo sobre os governos brasileiros de 1995-2010
Authors: Silva Bruna Lopes , Kopstein Marcos Antunes , Goerch Alberto Barreto
Published: April 2019

Este trabalho apresenta um panorama histórico a respeito dos direitos humanos e da inclusão da pauta LGBTIQ no contexto das políticas públicas brasileiras, analisando-se os âmbitos legislativo, executivo e judiciário, no período compreendido entre os governos dos presidentes Fernando Henrique Cardoso e Luiz Inácio Lula da Silva. A pesquisa parte de uma ideia geral de dinâmica do contexto internacional na inclusão de pautas protetivas à comunidade LGBTIQ. Após, estuda-se a composição das políticas públicas no cenário brasileiro com base nos projetos legislativos, em pareceres jurídicos e nas políticas aplicadas pelo poder executivo para o grupo LGBTIQ. O trabalho tem como eixo temático a discussão das políticas públicas voltadas ao grupo LGBTIQ. O problema central busca responder se neste quadro há adaptação das reivindicações do grupo às políticas aplicadas pelo governo e às pautas propostas no legislativo e no judiciário. Conclui-se que entre os períodos estudados, o período que compreendeu o governo do presidente Lula foi o único que implantou políticas públicas para o grupo em questão. Para a análise, utilizam-se como procedimentos básicos, os métodos comparativo e estatístico, investigação histórica, além de uma abordagem de caráter dedutiva.
Methods of efferent therapy in prolongation of pregnancy in the isthmic-cervical insufficiency (two clinical observations)
Authors: Vetrov Vladimir V. , Ivanov Dmitry O. , Reznik Vitaly A. , Romanova Larisa A. , Ryazanov Vladimir V. , Nikolaev Alexey V. , Sadykova Gulnaz K.
Published: April 2019

The report presents two clinical observations of pregnancy outcome in patients with isthmic-cervical insufficiency of functional (first observation) and functional-organic (second observation) origin. In both cases, previously treated cervical erosion by laser (in the second observation – carried out excision of the cervix). In secundiparous women in the present pregnancy were noted recurrent urogenital (first observation) and genital (second observation) infection with a threatened miscarriage and the need for re-hospitalizations. Complex therapy with the introduction of obstetric discharge pessarium was not effective enough, there were manifestations of the inflammatory response of the body, isthmic-cervical insufficiency progressed, up to prolapse of the fetal bladder into the cervical canal (first observation). When entering the perinatal center, the treatment of pregnant women included methods of low-volume membrane plasmapheresis and photomodification of blood with ultraviolet and laser rays (alternated). In both cases, it was possible to stop the manifestations of inflammatory response, to improve the condition of the cervical canal, to prolong pregnancy to the term of normal childbirth. In the first observation, the birth occurred naturally, in the second case cesarean section was performed due to organic changes in the cervix. Childbirth, the postpartum period in women proceeded normally. Children were born healthy, full-term, develop normally, receive breastfeeding.
Medical staff’ practical skills enhancement in urgent hospital aid to children
Authors: Piskunova Svetlana G. , Prometnoy Dmitry V. , Besedina Elena A. , Prikhodko Natalya N.
Published: April 2019

Strategic task of healthcare system is decreasing of lethality among children. High level of skills of emergency care to children is improve of treatment outcomes. Supporting of high level of skills is actually. The skills can high level support by regular simulation education of pediatricians in condition of low quantity of patients in low level hospitals. System of control of the skills’ level is imperfect and requires of optimizing.

Purpose. To estimate of the skills’ level of emergency care to children among in-hospital pediatricians by anonym questioning.

Methods. It was prepared anonym questioning on in-hospital emergency care to children of 103 in-hospital pediatricians from 10 Rostov-on-Don and Rostov region hospitals. It was suggested to answer on 1 of 3 variants of tests, which consists of 50 questions: 30 of them (60%) – were the first level questions (one correct answer), 12 (24%) – the second level (some correct answers), 8 (16%) – the third level (need formulating of correct answer). One of 15 situation tasks was included in test-sheet. The solution of the problem involves to make a diagnose, to plan of paraclinic diagnostics and to formulate of results, to provide emergency care, to make a plan of patient’s treatment. Testing was prepared after 6 months from finishing of training.

Results. More of incorrect answer had questions dedicated to issues of infusion 40% (150 of 375 asked questions), acute respiratory insufficiency – 39.7% (282 of 711), cardio-pulmonary resuscitation – 38.1% (121 of 318). More incorrect answers had tasks dedicated to emergency care – 17.2% (from 103 tasks), diagnostics – 14.6%, objective examination – 10.3% and treatment – 7.7%.

Conclusion. Low level of skills on separate directions of emergency care require additional monothematical trainings. Exam on practical skills in attestation of pediatricians is need.
The Clinical use of Stress Echocardiography in Ischemic Heart Disease Cardiovascular Ultrasound (2017)15:7. Translation authors: Arystan A.Zh., Fettser D.V.
Authors: Sicari R. , Cortigiani L. , Arystan A. Zh. , Fettser D. V.
Published: April 2019

Stress echocardiography is an established technique for the assessment of extent and severity of coronary artery disease. The combination of echocardiography with a physical, pharmacological or electrical stress allows detecting myocardial ischemia with an excellent accuracy. A transient worsening of regional function during stress is the hallmark of inducible ischemia. Stress echocardiography provides similar diagnostic and prognostic accuracy as radionuclide stress perfusion imaging or magnetic resonance, but at a substantially lower cost, without environmental impact, and with no biohazards for the patient and the physician. The evidence on its clinical impact has been collected over 35 years, based on solid experimental, pathophysiological, technological and clinical foundations. There is the need to implement the combination of wall motion and coronary flow reserve, assessed in the left anterior descending artery, into a single test. The improvement of technology and in imaging quality will make this approach more and more feasible. The future issues in stress echo will be the possibility of obtaining quantitative information translating the current qualitative assessment of regional wall motion into a number. The next challenge for stress echocardiography is to overcome its main weaknesses: dependence on operator expertise, the lack of outcome data (a widespread problem in clinical imaging) to document the improvement of patient outcomes. This paper summarizes the main indications for the clinical applications of stress echocardiography to ischemic heart disease.
Intracardiac and Pulmonary Cement Embolism after Percutaneous Vertebroplasty
Authors: Alekhin M. N. , Ter-Akopian A. V. , Abramov A. S. , Skripnikova A. V.
Published: April 2019

The article presents a clinical case of embolism with bone cement of the right ventricle of the heart and pulmonary artery after percutaneous vertebroplasty in a patient aged 63 years. According to the results of a comprehensive examination using ultrasound and x-ray methods, three foreign bodies were found: in the right ventricle cavity, in the trunk of the pulmonary artery, in the branches of the left pulmonary artery. Considering the stable condition, normal blood oxygen saturation, the lack of influence of formations on intracardiac hemodynamics, it was decided to refrain from surgery, since the risk of intervention exceeded the possible benefit. Conservative treatment tactics and dynamic observation were chosen. The literature data on the frequency of such events and tactics of management of these patients are presented.
Study of percutaneous K wire fixation in supracondylar fracture of humerus in children
Authors: Gopinath Putappa , Singh Sabneet , Ravoof Abdul
Published: April 2019

Background: Closed reduction is difficult not only to achieve but also to maintain because of the thinness of bone of the distal humerus between the coronoid and olecranon where most supracondylar fractures occurs. For this reason percutaneous pinning techniques have become the treatment of choice for most supracondylar fractures. By this procedure even the displaced and rotated fracture can be treated successfully with minimal incidence of complications. The purpose of this study is to determine the efficacy of management of displaced supracondylar fractures using closed reduction with percutaneous K-wire pinning and to analyze the results, loss of carrying angle, and loss of motion with incidence of complications.

Methods: 20 cases of displaced supracondylar fractures in children aged between 5 and 12 years were treated by closed reduction and percutaneous pinning and were studied prospectively for functional outcome. 8 cases were treated with crossed pinning. 11 cases were treated with 3K wire fixation and 1 with lateral pinning.

Results: 85% of the patients observed excellent results. 15% of the patients observed fair results. Of the cases treated by 3K wire fixation 55% had excellent results and cases with crossed pinning 40% had good results and 5% had poor results. All the patients treated with lateral pinning had excellent results.

Conclusions: The results obtained in this study shows that anatomical reduction by closed method and stabilization with K-wire fixation is the first treatment of choice for displaced supracondylar fractures.
Flipping of Extraction Forceps: A Unique Method of Extraction of Lingually Erupted Mandibular Incisor Teeth: A Prospective Study
Authors: Joshi Ajit
Published: April 2019

The objective of the study is to check the utility of an alternative forceps to overcome difficulties during extraction of lingually erupted mandibular incisors with conventional mandibular incisor forceps. Twenty-five patients indicated for extraction were subjected for the study with the informed consent. All the participants were followed up for first and seventh post-operative days. All the patients were treated uneventfully. No complications or difficulties were observed during intra-operative or post-operative period. The success rate was found to be 92%, as follow up was lost with two patients at the end of the study. To conclude, the maxillary premolar extraction forceps can be used easily and successfully as an alternative for the extraction of lingually erupted mandibular incisors.
Hematology Profile of Elderly in Guguak Kabupaten 50 Kota, West Sumatera, Indonesia
Authors: D Anggraini , F Sjaaf
Published: April 2019

Hematological examination can give an idea of the presence or absence of anemia, nutritional status and immunology of the elderly so that it can help in monitoring the progression of the disease. This research is a descriptive research and the population included elderly people aged 60 years and over in Guguak Kabupaten 50 Kota, West Sumatera Indonesia. The tests included hemoglobin, index hemoglobin, erythrocytes, leukocytes and platelets by using automatic analyzer. In this study, most of the elderly had hematological features in normal level.
Predicting operative difficulties during laparoscopic cholecystectomy using clinical and imaging criteria.
Authors: Dubey Dr. Shashank N. , Akhtar Dr. Murtaza A. , Shah Dr. Yunus
Published: April 2019

Introduction: Laparoscopic cholecystectomy has become the procedure of choice for the management of symptomatic gallstone disease. Difficulty in laparoscopic cholecystectomy is often encountered by surgeons and is associated with complications and a higher conversion rate. This study aims at identifying difficult laparoscopic cholecystectomies by clinical and imaging assessment and determining the utility of a pre-operative difficulty scoring system based on intra-operative findings. 

PATIENTS and METHODS: A hospital based observational study was conducted including all patients above age 18 years undergoing laparoscopic cholecystectomy. Randhawa’s preoperative score was calculated for every patient based on history, clinical and imaging parameters and the degree of operative difficulty was predicted. Another scoring was done using Sugrue’s scoring system based on intra-operative findings. The outcome factors studied were degree of operative difficulty or need for conversion and intra-operative and post-operative complications. The statistical analysis was done by using EPI INFO software version 7.

RESULTS: A total 84 patients with mean age 42.96 +14.34 years with 58 females and 26 males were enrolled. Of them 28 (33.33%) had difficult   laparoscopic cholecystectomies. The conversion rate to open cholecystectomy was 9.52%. Age above 50 years, prior history of acute cholecystitis, thickened gall bladder wall and stone impaction of Hartmann’s pouch were statistically significant pre-operative risk factors. The sensitivity of the preoperative score in identifying difficult cases was 85.7% with the specificity of 96.43%; positive predictive value of 92.31% and the negative predictive value of 93.10% and the accuracy was 92.86%. 

CONCLUSION: Pre-operative score and intra-operative findings are helpful in identifying difficult laparoscopic cholecystectomy.
Emotional Labor an Antecedent of Employees Turnover: A Study of Flight Attendants
Authors: Kanwal Arooj , Ajaz2 Tehseen
Published: April 2019

This study was aimed at exploring the relationship of emotional labor with respect to emotional exhaustion on employees’ turnover. The sample of 127 responses of flight attendants collected through questionnaires has revealed that the more the employees perform, the more emotionally exhaust he/she feel and his/her intensions to leave the job increases. The results have proved a strong correlation among three factors.
Quality of Life and its Relation to Creative Thinking among a Sample of Female Adolescents in Jeddah
Authors: Khalifa Huda Assem Mohammed
Published: April 2019

The study of subjective well-being in adolescence has had recent and dynamic growth, however, there are still few qualitative studies that contribute to getting to know about and discussing the sociocultural diversity of well-being, in particular ones that consider the socioeconomic status of the studied groups.

The purpose of this study is to prove that Quality of Life plays a large role in an individual’s Creative Thinking abilities.

Two hundred sixty-four female middle-school students (first, second and third grades) in Saudi Arabia, aged 12-15 were chosen randomly for participation in this study. The students were then subjected to Quality of Life Scale (QOL) and The Torrance Tests of Verbal Creative Thinking.

The results showed quite a few differences regarding the group’s Quality of Life and Creative Thinking Scores. There was a positive statistically significant correlation of 0.01 between the “family and social life”, “general health”, the total degree of Quality of Life perceived and Creative Thinking. On the other hand, there was no statistically significant correlation between “Time management” and the total and subscales of the Creative Thinking Scale. The results also showed that there is a statistically positive effect at 0.05 level of Quality of Life on Creative Thinking, where the value of the beta coefficient is 0.36 proving that Creative Thinking can be predicted by Quality of Life.

The findings suggest that the Quality of Life represented in home and school environments, and health in general does influence creative thinking in adolescents. These points raise important issues in relation to Creative Thinking by implying that fostering creative thinking of adolescents requires a suitable environment.
Carreras profesionales de clase mundial
Authors: Vasquez -Alva Jorge
Published: April 2019

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Caries dental y sus consecuencias clínicas relacionadas al impacto en la calidad de vida de preescolares de una escuela estatal
Authors: Morales Miranda Liz , Gómez Gonzáles Walter
Published: April 2019

Objetivo: Determinar la presencia de caries dental y sus consecuencias clínicas relacionadas al impacto en la calidad de vida de preescolares de la institución educativa N° 2051 “El Progreso” en el 2018. Materiales y méto- dos: Estudio transversal y observacional. Se realizó una exploración clínica a 95 niños de 3-5 años, registrando la caries dental mediante los índices ceo-d y pufa. Se aplicó el ECOHIS dirigido a los responsables, para evaluar el impacto en la calidad de vida de los niños y sus familias. Las pruebas estadísticas utilizadas fueron t-Student, Kruskal-Wallis y U Mann-Whitney, con significancia 0,05; y Coeficiente de Spearman 0,01. Resultados: La frecuencia de caries dental 98,84%, con índice ceo-d 9,58±3,45 correspondiente al nivel de severidad muy alto; y las consecuencias clínicas de caries dental no tratada 83,16%, índice pufa 7,65±4,97 y radio pufa 83,18%. El ECOHIS mostró un promedio 23,41±11,82, siendo las dimensiones más afectadas limitación funcional y aspec- tos psicológicos, reflejando un impacto negativo en la calidad de vida relacionada a su salud bucal. Según el coeficiente de Spearman, la relación entre la presencia de caries dental (r=0,630) y sus consecuencias clínicas (r=0,649), con el impacto en la calidad de vida, muestran una correlación directa positiva moderada significativa (p=0,000). Los índices del sexo masculino fueron ceo-d 24,46±12,11 y pufa 28,88±7,03; y del grupo de 5 años fueron ceo-d 29,71±6,30 y pufa 29,71±6,30. Conclusiones: La caries dental y sus consecuencias clínicas están relacionadas al impacto negativo en la calidad de vida a nivel bucal de los preescolares, interfiriendo en sus ac- tividades diarias.
Validación y aplicación de un instrumento para medir el conocimiento sobre radioprotección en alumnos de posgrado
Authors: Kusch Anne Marie , Ruiz García Vilma
Published: April 2019

Objetivo: Medir el conocimiento general sobre las medidas de protección radiológica, beneficios y riesgos de los exámenes auxiliares en los alumnos de posgrado. Material y Métodos: Se confeccionó un cuestionario que constó de 20 preguntas, el que posteriormente fue validado por un juicio de expertos que fue evaluado a través V de Aiken (0,89). Se realizó una prueba “test y retest” en 25 alumnos de postgrado, obteniendo un coeficiente de Pearson de 0,89 y la fiabilidad del instrumento fue evaluada a través de alfa de Cronbach con un valor de 0,79. Se aplicaron 194 encuestas a los alumnos de postgrado de las 12 especialidades impartidas por la FE-UPCH, en base al sistema vigesimal establecido por el Ministerio de Educación de Perú, se consideraron aprobados a quie- nes obtuvieron una calificación final mayor o igual a 11. Resultados: Se observó una mayor tendencia de cono- cimiento en el sexo femenino, en la modalidad de ingreso vía vacante ordinaria semi-presencial y en la segunda especialidad de Radiología Bucal y Máxilofacial Semi-presencial. Conclusiones: El conocimiento general de los alumnos de postgrado de la FE-UPCH con respecto a medidas de protección radiológica, beneficios y riesgos de los exámenes auxiliares es bueno, más de la mitad de ellos aprobaron el cuestionario aplicado.