bluuebunny/crossref_metadata_2025 huggingface dataset:
Factores asociados a la automedicación en el centro poblado de Llícua, Huánuco
Authors: Montero Berrospi José Manuel , Huamán Morales Denis Gabriel
Published: July 2019

Introducción: El objetivo del presente estudio fue determinar si el nivel de educación, ingreso económico mensual y autopercepción de la severidad del malestar son factores asociados a la automedicación en los pobladores del centro poblado de Llícua de junio-agosto 2014. Métodos: Tipo encuesta de carácter cuantitativo observacional, analítico y transversal. Resultados: Se automedicaron un total de 320 personas, con respecto al nivel de educación 11 (84.6%) corresponde a analfabeto, primaria 43 (75.4%), secundaria 133 (83.1%), técnico/superior 129 (78.2%), post-grado 4 (80%) (p=0.693), con respecto al ingreso económico mensual 209 (81.6%) correspondieron a un ingreso económico inferior a la media, la cual fue S/ 902, y 11 (77.1%) correspondieron superior a la media (p=0.274), por último respecto a la autopercepción de la severidad del malestar 253 (84.3%) dijeron que su malestar fue de leve-moderada y 67 (67%) fue severo (p=0) Conclusiones: El 80 % de la población estudiada hace uso de la automedicación. No se encontró asociación entre el ingreso mensual y la automedicación. La autopercepción de severidad del malestar de leve a moderada se halló asociado a la automedicación con un valor de p = 0.000 y un OR = 2.651 y también se encontró asociación entre la disponibilidad de tiempo y automedicación.
Betalactamasas: la evolución del problema
Authors: Astocondor-Salazar Lilian
Published: July 2019

El problema de la resistencia antimicrobiana es tan antiguo como la creación de los primeros antimicrobianos, su uso irracional e indiscriminado, ha puesto en competencia a la misma bacteria quien tratando de sobrevivir genera mecanismos para evadir estos antimicrobianos que el ser humano crea con la finalidad de con mayor espectro, generando un círculo vicioso e interminable. Entre sus mecanismos más exitosos esta la creación de enzimas llamadas betalactamasas las cuales hidrolizan a los betalactámicos, familia de antimicrobianos más usados en nuestros tiempos. Generando reales problemas de salud pública en países donde se evidencia presencia de los mismos por encima del 50% repercutiendo dramáticamente en la morbilidad, mortalidad y costos. Por lo expuesto anteriormente creemos necesario entender el problema desde sus inicios, evaluando su evolución en diferentes realidades y las alternativas terapeúticas que tenemos frente a ellos
Mortalidad de pacientes con enfermedad renal crónica terminal en un hospital de Huánuco, 2012-2016
Authors: Magariño-Ávalos Betzabeth L. , Pinedo-Paredes Agatha
Published: July 2019

Introducción. La enfermedad renal crónica (ERC) es considerada un problema de salud pública mundial y constituye una pérdida progresiva de la función renal. En el estadio 5, conocido como enfermedad renal crónica terminal, el paciente requiere terapia de reemplazo renal (TRR). Este trabajo se busca plasmar si el tipo de diálisis, el tipo de acceso y el tiempo total de TRR tienen relación con la mortalidad de pacientes con ERC en estadio cinco del hospital II-EsSalud de Huánuco. Métodos. Diseño Observacional, analítico, retrospectivo de casos y controles. Se identificaron 50 casos y 50 controles. Se realizaron análisis estadísticos a través de la prueba de Chi-2, Odds ratio con un nivel de confianza al 95%. Resultados. Se halló la asociación entre la mortalidad y los factores de riesgo estudiados como: el tipo de diálisis [P= 0,012; OR= 3,85 (IC 95%: 1,27 – 11,63)], el tipo de accesos [P= 0,017; OR= 4,04 (IC 95%:1,21- 13,43)] y el tiempo total de TRR [P= 0,037; OR=3,16 (IC 95%:1,03 – 9,68)], y el 67,7% de pacientes fue de sexo masculino. Se observó que se asociaban con mortalidad: la edad del paciente > 75 años, el género masculino, la frecuencia de más de 3 diálisis por semana y el lugar de procedencia. Conclusiones. Existe asociación entre el tipo de diálisis, el tipo de acceso y el tiempo total de TRR con la mortalidad de pacientes con ERC terminal.
Updated taxonomy of Lactifluus section Luteoli: L. russulisporus from Australia and L. caliendrifer from Thailand
Authors: Dierickx Glen , Froyen Marie , Halling Roy , Wisitrassameewong Komsit , Delgat Lynn , De Crop Eske , Verbeken Annemieke
Published: July 2019

Lactifluusrussulisporus Dierickx & De Crop and Lactifluuscaliendrifer Froyen & De Crop are described from eucalypt forests in Queensland, Australia and different forest types in Thailand, respectively. Both species have recently been published on Index Fungorum and fit morphologically and molecularly in L.sect.Luteoli, a section within L.subg.Gymnocarpi that encompasses species with alboochraceous basidiomes, white latex that stains brown and typical capitate elements in the pileipellis and/or marginal cells.
Liopropoma incandescens sp. nov. (﻿Epinephelidae, Liopropominae), a new species of basslet from mesophotic coral ecosystems of Pohnpei, Micronesia
Authors: Pinheiro Hudson T. , Shepherd Bart , Greene Brian D. , Rocha Luiz A.
Published: July 2019

A new species of the genus Liopropoma Gill found on the lower mesophotic coral ecosystem of Pohnpei, Micronesia, is herein described. Liopropomaincandescenssp. nov. differs from its congeners in coloration, number of lateral-line scales, number of pectoral fin rays, body depth, and snout length. Liopropomaincandescenssp. nov. is the 31st species in the genus. It was collected from a small rocky crevice in a steep slope at 130 m depth. Water temperature was 20 °C and benthic habitat was dominated by gorgonians, sponges and tunicates.
Understanding social and cultural aspects of teachers’ digital competencies
Authors: Engen Bård Ketil
Published: July 2019

Many European governments, including Norway, have ambitious educational policies regarding digitalisation. Many businesses and policymakers pay great attention to the use of digital technologies in education in order to meet the future demands for a competent and qualified workforce. Among researchers and policymakers, there is a general consensus that the professional teacher is a key figure for the successful implementation of digital technologies in schools. Many expectations have been placed upon professional teachers regarding the implementation and use of digital technologies. The professional teacher is, to a certain degree, supposed to independently decide how digital technologies should be used in the classroom. This paper discusses what the concept of a ‘professional digitally competent teacher’ may mean in the context of schools. It also argues the need for a greater understanding of professional digital competence, one which takes into consideration various social and cultural aspects with regard to technology, schools and the teaching profession. In unpacking the social and cultural conditions for implementing technology in a professional teaching context, I will draw on concepts from the constructivist understanding of technology, namely, the ‘domestication of technology’.

Muchos gobiernos europeos, incluido el de Noruega, tienen políticas educativas ambiciosas en materia de digitalización. Muchas empresas y responsables políticos prestan gran atención al uso de las tecnologías digitales en la educación para satisfacer la futura demanda de una mano de obra competente y cualificada. Entre los investigadores y los legisladores, existe un consenso general al considerar a los docentes profesionales como una figura clave para la aplicación con éxito de las TIC en la escuela, en lo referente a su implementación y su uso, y se han depositado muchas expectativas en ellos. Se supone que el docente profesional debe, hasta cierto punto, decidir de manera autónoma cómo se han de utilizar estas tecnologías digitales en el aula. Este artículo analiza lo que puede significar el concepto de «docente profesional digitalmente competente» en el contexto de la escuela. También argumenta sobre la necesidad de una mejor interpretación de la competencia digital profesional, que tenga en cuenta diversos aspectos sociales y culturales en relación con la tecnología, las escuelas y la profesión docente. Al analizar las condiciones sociales y culturales para implementar la tecnología en un contexto de enseñanza profesional, nos basaremos en el enfoque constructivista de la tecnología, en concreto, la «domesticación de la tecnología».
L’argent et la corruption des valeurs
Authors: Dupuy Jean-Pierre
Published: July 2019

La croissance, notre idole, est sans objet et sans fin. Et l’argent ne peut acheter certains biens sans les corrompre. Contre l’obscénité qui consiste à expliquer toutes les conduites par l’économie, il faut rappeler le rôle de l’échange symbolique.
Les trois crises de 1989 en Chine
Authors: Veg Sebastian
Published: July 2019

Le mouvement de 1989 est né de trois crises : les revendications des intellectuels sur leur place dans l’élite, les luttes de factions au sommet du pouvoir et la mobilisation de la société civile. Elles continuent de travailler la société chinoise aujourd’hui.
La difficile introspection de la France au Rwanda
Authors: Hubrecht Joël
Published: July 2019

L’engagement de la France au Rwanda ne relève peut-être pas de la complicité de génocide, mais dépasse certainement le simple dysfonctionnement. L’accès aux archives permettra-t-il de crever l’abcès ?
Demande d’asile des femmes étrangères : la femme est-elle l’égal des hommes ?
Authors: Mestre Claire
Published: July 2019

Les consultations transculturelles accueillent de plus en plus de femmes fuyant les multiples violences dont elles ont été les victimes dans leur pays : elles subissent notamment des violences sexuelles accumulées dans le cadre de leur vie familiale, ou bien comme représailles de la part d’agents d’Etats dictatoriaux. L’approche psychothérapeutique permet de leur redonner la parole afin qu’elles puissent se reconstruire. Cependant, ces violences sont mal reconnues par la convention de Genève. Le concept de Françoise Héritier : « la valence différentielle des sexes » permet de comprendre comment les violences faites aux femmes est une question profondément politique. Le concept de « butoir de la pensée » permet d’enclencher la réflexion du comment cette différence homme/femme est brandie et utilisée. Néanmoins, malgré les luttes féministes permettant d’améliorer la protection internationale qui devrait être universelle, il n’en demeure pas moins que des inégalités demeurent dans l’appréhension de l’injustice faite aux femmes devant les violences sexuelles ; l’incompréhension perdure face à la lutte contre l’oppression que constitue l’acte de migrer.
Soixante ans après le traité de Rome : regards sur la liberté de circulation en Europe
Authors: Wihtol de Wenden Catherine , Dravigny Josselin
Published: July 2019

Cet article introductif au dossier revient sur les différentes étapes ayant transformé, au cours de la construction européenne, la liberté de circulation et d’installation des travailleurs communautaires en une véritable liberté de circulation des citoyens européens, tout en entraînant la libre circulation des ressortissants extra-communautaires avec Schengen. Indissociable du projet européen, la libre circulation, qui recouvre un certain nombre de réalités différentes, se heurte toutefois à des obstacles qui mettent en péril ce que la majorité des citoyens de l’Union considèrent comme étant le résultat le plus positif de l’intégration européenne.
Migrations de retour
Authors: Laffort Bruno
Published: July 2019

Il s’agit dans cette contribution d’aborder les migrations de retour et d’enrichir la littérature francophone sur ce sujet. Dans la Vieille Europe, le développement de ces dernières depuis la crise économique de 2008 (en Espagne notamment) justifie de nouveaux regards et de nouvelles études sur un phénomène qui ne peut plus être qualifié de marginal. Nous tenterons de comprendre, dans un premier temps, pourquoi la sociologie française s’est peu attachée à l’analyse de ce phénomène. Après une critique de certaines notions en vogue dans l’étude des migrations actuelles valorisant de façon excessive la mobilité des migrants, nous donnerons corps à ces migrations de retour avec l’exemple des Péruviens ayant émigré en Espagne, à partir d’une enquête de terrain réalisée entre 2014 et 2017. Nous montrerons que l’acte de rentrer s’inscrit aux carrefours de décisions (plus que de choix) individuelles qui restent néanmoins enchâssées dans des déterminations structurelles.
La neuronisation de la psychiatrie
Authors: Grenouilloux Armelle
Published: July 2019

La crise structurelle de la psychiatrie questionne aujourd’hui le modèle médical dans son ensemble. Premier poste de dépense de l’assurance maladie, les techniques de soins psychiatriques, soins de la subjectivité malade, sont-elles destinées à être numérisées ? L’influence étasunienne, vecteur d’un retour de la neuropsychiatrie, tend à le laisser croire. À partir des constats observés au fil de l’histoire de la psychiatrie française, nous interrogerons cette tendance, ses fantasmes et réalités, pour préciser les conditions d’une appropriation des technologies qui améliore le service médico-psychiatrique individuel et collectif.
Renaissance de l’examen clinique
Authors: Elezi Arben
Published: July 2019

La clinique est ce rapport singulier d’un malade qui se plaint et d’un médecin qui l’écoute, pour le soulager, le guérir. Mais elle traverse une période de crise. On annonce même sa mort prochaine ! Étrangement, des progrès technologiques viennent aujourd’hui à son aide, l’incitant à rebondir. Deux cents ans après le stéthoscope, la vision médiate par échographie portable devient réalité et entre en scène pour sonder le corps malade « à son chevet ». Ce visible virtuel émanant de l’examen clinique se fait ainsi visible pour le clinicien, les médecins et malades en général, parce que les images peuvent se partager. C’est pour le clinicien prendre possession d’un espace jusque-là imperméable : la vision ne connaît plus d’interdit, mais n’affirme sa puissance que si elle pénétrée par une belle clinique.
L’impact environnemental et social des politiques publiques de développement sur les communautés autochtones
Authors: Giunta Federica , Collin Michèle
Published: July 2019

Les réformes économiques néolibérales, suite à la crise financière de 1991, ont provoqué des mutations dans l’économie indienne, son développement industriel et agricole. Celles-ci ont touché l’ensemble de la population mais particulièrement, les groupes sociaux classés comme les plus vulnérables, telles que les communautés autochtones adivasi . Du point de vue des politiques publiques, ce qui caractérise les Adivasis , c’est leur désavantage économique et social. Ils font donc partie d’une catégorie sociale ciblée par différents programmes nationaux de développement et de réduction de la pauvreté, notamment par l’intermédiaire du Dongria Kondh Development Agency (DKDA pour son acronyme anglais), département gouvernemental de médiation entre le gouvernement central indien et le groupe autochtone Dongria Kondh. C’est sur ce groupe que porte notre enquête anthropologique. Le présent article, dont les résultats s’appuient sur neuf mois de travail sur le terrain entre 2011 et 2015, vise à mettre en évidence la manière dont les politiques publiques nationales visant les communautés de dongria ont des impacts environnementaux et sociaux significatifs.
Homogames un jour, homogames toujours ? Rencontre pendant les études et proximité de diplôme et de carrière au sein des couples en France
Authors: Bouchet-Valat Milan , Grobon Sébastien
Published: July 2019

Cet article analyse, à partir de l’enquête Étude des parcours individuels et conjugaux (Épic, Ined-Insee, 2013-2014) réalisée en France, le lien entre le cadre de rencontre des conjoints, leurs diplômes et leurs carrières professionnelles. Il remet en cause la thèse selon laquelle l’allongement des études renforcerait leur proximité éducative et socio-économique, aggravant ainsi les inégalités entre couples dans l’ensemble de la population. Au fil des cohortes, la proportion de premières rencontres survenues dans le cadre des études ou pendant ces dernières s’est accrue, mais les séparations et remises en couple atténuent fortement les conséquences de cette évolution pour les relations en cours au moment de l’enquête. Les couples formés dans le cadre des études se caractérisent, comme on pouvait l’attendre, par une plus forte similarité des diplômes des conjoints. Cette homogamie éducative favorise une homogamie de statut professionnel, au début de la relation, comme à la date de l’enquête, mais ce lien est assez faible. Et le fait de s’être rencontrés dans le cadre des études ne joue que de façon très limitée sur la proximité des positions professionnelles des conjoints. Les inégalités genrées (hypergamie) apparaissent finalement plus fortes que l’homogamie : ce n’est pas lorsqu’ils ont le même diplôme, mais lorsque la femme est la plus diplômée, que l’écart professionnel en faveur de l’homme est le plus faible.
Réponse à des critiques du jugement majoritaire
Authors: Balinski Michel
Published: July 2019

L’article de Laslier [2017] présente une étrange description du nouveau mode de scrutin appelé le « jugement majoritaire », de ses propriétés, de ses supposés paradoxes et antécédents. Cette réponse apporte des clarifications. Classification JEL : D71, D72.
Tarifs discriminants et monopoles de l’eau potable : une analyse de la réaction des consommateurs face aux distorsions du signal-prix
Authors: Mayol Alexandre , Porcher Simon
Published: July 2019

L’approche des tarifs de l’eau potable en France a changé depuis 2010, puisque les collectivités peuvent recourir à des tarifs progressifs croissants par blocs. Ces tarifs, bien qu’initialement conçus comme des solutions de second rang aux pertes sèches du monopole, se révèlent complexes à mettre en œuvre pour satisfaire d’autres objectifs. La réaction sous-optimale des consommateurs au signal-prix et les problématiques de redistribution questionnent l’efficacité du mécanisme. Cette contribution analyse théoriquement les propriétés d’un tarif progressif, puis évalue empiriquement la réaction des consommateurs au signal-prix à partir d’une expérience naturelle menée à Dunkerque. Les résultats indiquent une bonne réaction au prix marginal des consommateurs situés dans les tranches extrêmes, tout en questionnant l’équité d’un mécanisme fortement distorsif. Classification JEL  : D04, D42, D63, D22.
Mériter son salut : enjeux des œuvres dans les enseignements du Séminaire français de Lausanne (XVIIIe siècle)
Authors: Lecoq Amélie
Published: July 2019

Durant le XVIIIe siècle, le calvinisme se transforma et s’adoucit pour mettre en valeur la liberté humaine. Les enseignants du Séminaire de Lausanne (1726-1812) sont soupçonnés d’avoir favorisé la diffusion de théories sociniennes et arminiennes auprès de leurs élèves français et d’avoir propagé ces idées au Désert et dans les Églises. Peut-on dire que les leçons évoluèrent comme le protestantisme réformé en Europe ?À l’aide de notes de cours d’étudiants et de l’ouvrage de Samuel Secretan (La Théologie chrétienne, 1774) qui leur était fourni, on peut définir le mot « œuvre » en tant qu’un acte mais aussi une pensée, une appartenance à une communauté de chrétiens obéissant à la loi divine. Toutefois, le mot perd quelque peu de son sens religieux en tant qu’acte de la conscience plutôt qu’acte inspiré par la figure divine. Cela signifie-t-il que les œuvres confèrent à l’homme le salut ? Le professeur répond en protestant : les hommes ne méritent pas leur salut par les œuvres. Mais ils doivent accomplir des œuvres pour leur salut. Ainsi la doctrine enseignée au Séminaire, bien que simplifiée, se rapproche des autres courants calvinistes en Europe qui formulent une nouvelle orthodoxie, un protestantisme raisonné.
« De la foi et des bonnes œuvres » dans la principauté d’Orange (XVIe-XVIIe siècles)
Authors: Moreil Françoise
Published: July 2019

Dans les archives protestantes de l’ancienne principauté d’Orange, deux séries de comptes subsistent qui concernent les recettes et dépenses en faveur des pauvres pour les années 1607-1610 et l’année 1685. Les trésoriers ont inscrit le nombre de pauvres, avec, parfois, quelques renseignements (âge, sexe, professions...) et le montant des aumônes distribuées. La catégorie la plus nombreuse (plus de 200 personnes) est formée d’hommes seuls qui reçoivent, au minimum, un sol chacun. La deuxième est constituée des pauvres de la ville (soit une dizaine de personnes qui touchent 66 livres environ au total). On trouve aussi des femmes, des soldats, des maîtres d’école...En 1685, la caisse sert surtout à régler les dettes de l’Église ; l’argent distribué pour quarante pauvres. Les recettes viennent des quêtes et des legs des testaments. La charité prend une place importante dans la vie de la communauté par le montant des sommes, la gestion et le temps consacré aux indigents pour le pasteur, les diacres et les anciens.
Œuvres et pratique du jeûne dans les Églises réformées de France (1650-1750) : principes, contestations et évolutions
Authors: Boisson Didier
Published: July 2019

Le jeûne, rite collectif au cours duquel les membres de l’Église passent leur journée à prier, à chanter des psaumes, à écouter des sermons et à s’abstenir de boire et manger, apparaît comme un secours spirituel dans une communauté. En effet, qu’il soit ordonné par un synode national, un synode provincial ou un consistoire, il permet de maintenir le lien social entre les membres des Églises réformées et de discipliner les fidèles en particulier face aux persécutions qu’ils subissent. Cependant, le jeûne apparaît également comme un élément de controverse entre catholiques et protestants, le pasteur de Poitiers Saumuel Cottiby prenant par exemple prétexte du jeûne célébré en 1660 à la demande du synode national de Loudun pour annoncer sa conversion au catholicisme. Enfin, après 1715, les Églises du Désert célèbrent des jeûnes d’une façon beaucoup plus régulière, le jeûne étant un élément essentiel à la fois de cohésion de la communauté et de leur reconstruction pendant cette période de clandestinité.
Diminishing the Gap Between IT Governance Maturity Theory and Practice
Authors: Smits Daniël , van Hillegersberg Jos
Published: July 2019

IT governance research suggests the existence of a gap between theoretical frameworks and practice. Although current ITG research is largely focused on hard governance (structure, processes), soft governance (behavior, collaboration) is equally important and might be crucial to close the gap. The goal of this study is to determine what IT governance maturity models are available and if there remains a mismatch. The authors conducted a systematic literature review to create an overview of available IT governance maturity models. The study shows five new IT governance maturity models were introduced. Only one of the new IT governance maturity models covers hard and soft IT governance in detail. This model and corresponding instrument was used to illustrate its usability in practice. The authors demonstrate that combining the instrument with structured interviews results in a usable instrument to determine an organization's current maturity level of hard and soft IT governance.
How to Improve Board Accountability in ISO/IEC 38500 Based on IT Governance Implementations
Authors: Juiz Carlos , Gómez Beatriz , Colomo-Palacios Ricardo
Published: July 2019

With the standardization of Information Technology (IT) governance through ISO/IEC 38500 in the last decade, a good number of organizations have implemented IT governance (ITG) frameworks. Although it is not a fully extended practice. Given the fact that the use of balanced score cards (BSC) on ITG is not an unknown practice, the application of BSC in the implementation of ISO/IEC 38500 has been given less importance, since it normally appears as just examples of good practices. This work not only explains why the BSC's applicability to align IT with business in ISO/IEC 38500 implementations is not included in the standard, but also justifies the importance of BSC to report to the board or senior executive team in a clear way, without the details of the particular implementation framework of the standard. Thus, a framework that allows implementing IT BSCs within the context of IT governance is proposed, cascading objectives included in the strategic map through the tactical and operational level and backwards on the construction of the KPIs to better monitor IT.
Inter-Organizational IT Governance Research
Authors: Helin Ari
Published: July 2019

The current operational environment for organizations is changing, which has effects on IT functions and IT activities. Various forms of networks, collaborations, and alliances are operational models, which organizations are using to an increasing extent. This reality has brought with it a need for improved IT governance (ITG). ITG research for inter-organizational arrangements will be needed. In the research, the target is to identify the current state of the inter-organizational ITG research among the information systems (IS) domain. The literature review covers academic articles and conference proceedings during this millennium. The findings of the current literature review reveal that interest towards ITG research is still quite limited. The future view of inter-organizational ITG research is quite clear: more research will be needed in the inter-organizational area, which is the current playground for several organizations today.
Polymeric Electrolyte Thin Film for Dye Sensitized Solar Cells Application
Authors: Szindler Magdalena M.
Published: July 2019

In this paper, the possibility of replacing liquid electrolyte in a dye sensitized solar cells with a thin film of conductive polymer material was investigated. Liquid electrolyte in the construction of dye sensitized solar cells leaks and evaporates and leads to corrosion of the electrode, which lowers the conversion efficiency of solar radiation to electricity. The research focuses on the appropriate doping of the PVDF-HFP polymer by potassium iodide to improve its electrical conductivity and the development of thin film deposition technology for use in solar cells. Changes in PVDF-HFP surface morphology were researched through increasing of the potassium iodide content measured by scanning electron microscope. The increased content of potassium iodide also led to increased electrical conductivity measured by the Keithley meter. In order to test the suitability of developed materials for application in the construction of photovoltaic cells, a series of dye-sensitized solar cells ITO/TiO2/dye/active layer/Al were prepared. The active layer is made from pure PVDF-HFP and doped with potassium iodide. As a reference solar cell, a standard dye sensitized solar cell with a liquid electrolyte and a counter electrode was also made. Keywords PVDF-HFP; Polyelectrolyte; Dye-sensitized solar cells
Pulmonary multiple cystic lesions in a patient with Behçet’s syndrome
Authors: Tezcan M.E. , Isci B.
Published: July 2019

Pulmonary involvement, mainly originating from vasculitis, is one of the features of Behçet’s syndrome (BS). We describe, for the first time in literature, computerised tomography images of a male BS patient with multiple pulmonary cystic lesions possibly originated from vasculitis or bronchiolar stenosis.
A new MEFV gene mutation in an Iranian patient with familial Mediterranean fever
Authors: Farjadian S. , Bonatti F. , Soriano A. , Reina M. , Adorni A. , Graziano C. , Moghtaderi M. , Percesepe A. , Romeo G. , Martorana D.
Published: July 2019

Familial mediterranean fever (FMF) is an inherited autoinflammatory disorder characterized by recurrent episodes of fever and painful inflammation involving the intra-abdominal organs, the lungs and the joints, which is highly prevalent in specific ethnic groups including the Iranians. We report a 12-year-old boy from Iran, with a clinical history of recurrent fever. Based on the suggestive clinical data, mutational analysis revealed the presence of the novel c.1945C>T heterozygous variant in exon 10, which leads to a leucine to phenylalanine change at position 649 of the protein. The mutation was inherited from the mother. This novel mutation lies in exon 10 of the MEFV gene, which encodes for a domain called B30.2-SPRY, located in the C-terminal region of the pyrin protein and contains the most frequent mutations associated with FMF. The present report expands the spectrum of MEFV gene mutations associated with FMF. The uniqueness of this study, compared with other published case reports, consists in the new mutation found in the MEFV gene. In fact, new mutations in this gene are of high interest, in order to better understand the role of this gene in autoinflammation.
Health-related quality of life burden in scleroderma patients treated with two different intravenous iloprost regimens
Authors: Schioppo T. , Scalone L. , Cozzolino P. , Mantovani L. , Cesana G. , De Lucia O. , Murgo A. , Ingegnoli F.
Published: July 2019

Systemic sclerosis (SSc)-related Raynaud’s phenomenon (RP) and digital ulcers (DU) can impair health-related quality of life (HRQoL). The aim of our study was to estimate HRQoL in SSc patients treated with two different intravenous (IV) iloprost (ILO) regimens and in patients not treated with IV ILO. 96 consecutive SSc patients were enrolled in a pragmatic, prospective and non-randomized study, and divided into 3 groups: not requiring therapy with IV ILO (N=52), IV ILO once monthly (N=24) or IV ILO for 5 consecutive days every 3 months (N=20). Patients were followed up for three months. We assessed HRQoL using the generic preference-based questionnaire EQ-5D-5L. We conducted multiple regression analyses to estimate, in each treatment group, the mean general health (GH) and the mean utility index of the EQ-5D-5L, adjusting for possible confounders. The mean adjusted utility index and GH score, after three months’ follow-up, were not different in the three groups: IV ILO was able to make patients requiring IV ILO similar to those not requiring it. Moreover, there was no difference in this model between the two ILO regimens (1 day monthly vs 5 consecutive days every 3 months). The two different IV ILO regimens (the most appropriate regimen was decided according to patients’ characteristics and needs) were able to stabilize HRQoL in RP secondary to SSc non-adequately controlled by oral therapy.
Vitamin D: no efficacy without deficiency. What’s new?
Authors: Fassio A. , Rossini M. , Gatti D.
Published: July 2019

Not available
An investigation into student and qualified physiotherapists description of lung sounds
Authors: Mayne Russell , Gossip Amanda , Rodseth Chris
Published: July 2019

The ability to accurately describe lung sounds were tested on 146 subjects (qualified physiotherapists from a tertiary care hospital and third, and fourth year students from three universities). The effect of increased clinical time as well as the nomenclature used was also investigated. The subjects had to recognise six tape recorded lung sounds on a multiple-choice answer sheet. It was found that in total the subjects were minimally accurate with a median score of three out of six. The relationship between increasing clinical time and increasing accuracy in determining lung sounds were not significant. Significance was set at p < 0.05. Comparing third and forth years a p value of 0.0639 was found, while a p value 0.3592 was found when comparing forth years and qualified physiotherapists. Mean scores did however seem to indicate a trend, as they increased with increasing clinical time. The “Forgacs” nomenclature was used by the majority of subjects tested.
Pediatric chylous ascites treatment with combined ultrasound and fluoroscopy-guided intranodal lymphangiography
Authors: Vora Zainab A , Kandasamy Devasenathipathy , Naranje Priyanka , Malik Rohan
Published: July 2019

Chylous ascites is a form of ascites resulting from the leakage of lymph into the peritoneal cavity, which is particularly rare in children, most common etiology being an iatrogenic injury to lymphatics during surgery. Initial conservative management options include medium-chain triglycerides-based diet, somatostatin analogs, and total parenteral nutrition. If these fail, then interventions such as paracentesis with sclerotherapy, surgical ligation, or peritoneal shunts have been described. This study reports a case of a 7-year-old child with refractory chylous ascites to demonstrate a minimally invasive technique of intranodal lymphangiography with lipiodol as a viable treatment option for chylous ascites in children, particularly in cases of minor and undetectable leaks.
Feasibility of Training Clinical Officers in Point-of-Care Ultrasound for Pediatric Respiratory Diseases in Aweil, South Sudan
Authors: Nadimpalli Adi , Tsung James W. , Sanchez Ramon , Shah Sachita , Zelikova Evgenia , Umphrey Lisa , Hurtado Northan , Gonzalez Alan , Teicher Carrie
Published: July 2019

Lower respiratory tract infections (LRTIs) are the leading cause of deaths in children < 5 years old worldwide, particularly affecting low-resource settings such as Aweil, South Sudan. In these settings, diagnosis can be difficult because of either lack of access to radiography or clinical algorithms that overtreat children with antibiotics who only have viral LRTIs. Point-of-care ultrasound (POCUS) has been applied to LRTIs, but not by nonphysician clinicians, and with limited data from low-resource settings. Our goal was to examine the feasibility of training the mid-level provider cadre clinical officers (COs) in a Médecins Sans Frontières project in South Sudan to perform a POCUS algorithm to differentiate among causes of LRTI. Six COs underwent POCUS training, and each subsequently performed 60 lung POCUS studies on hospitalized pediatric patients < 5 years old with criteria for pneumonia. Two blinded experts, with a tiebreaker expert adjudicating discordant results, served as a reference standard to calculate test performance characteristics, assessed image quality and CO interpretation. The COs performed 360 studies. Reviewers rated 99.1% of the images acceptable and 86.0% CO interpretations appropriate. The inter-rater agreement (κ) between COs and experts for lung consolidation with air bronchograms was 0.73 (0.63–0.82) and for viral LRTI/bronchiolitis was 0.81 (0.74–0.87). It is feasible to train COs in South Sudan to use a POCUS algorithm to diagnose pneumonia and other pulmonary diseases in children < 5 years old.
Persistent Hotspots in Schistosomiasis Consortium for Operational Research and Evaluation Studies for Gaining and Sustaining Control of Schistosomiasis after Four Years of Mass Drug Administration of Praziquantel
Authors: Kittur Nupur , King Charles H. , Campbell Carl H. , Kinung’hi Safari , Mwinzi Pauline N. M. , Karanja Diana M. S. , N’Goran Eliezer K. , Phillips Anna E. , Gazzinelli-Guimaraes Pedro H. , Olsen Annette , Magnussen Pascal , Secor W. Evan , Montgomery Susan P. , Utzinger Juerg , Walker Joseph W. , Binder Sue , Colley Daniel G.
Published: July 2019

Control of schistosomiasis presently relies largely on preventive chemotherapy with praziquantel through mass drug administration (MDA) programs. The Schistosomiasis Consortium for Operational Research and Evaluation has concluded five studies in four countries (Côte d’Ivoire, Kenya, Mozambique, and Tanzania) to evaluate alternative approaches to MDA. Studies involved four intervention years, with final evaluation in the fifth year. Mass drug administration given annually or twice over 4 years reduced average prevalence and intensity of schistosome infections, but not all villages that were treated in the same way responded similarly. There are multiple ways by which responsiveness to MDA, or the lack thereof, could be measured. In the analyses presented here, we defined persistent hotspots (PHS) as villages that achieved less than 35% reduction in prevalence and/or less than 50% reduction in infection intensity after 4 years of either school-based or community-wide MDA, either annually or twice in 4 years. By this definition, at least 30% of villages in each of the five studies were PHSs. We found no consistent relationship between PHSs and the type or frequency of intervention, adequacy of reported MDA coverage, and prevalence or intensity of infection at baseline. New research is warranted to identify PHSs after just one or a few rounds of MDA, and new adaptive strategies need to be advanced and validated for turning PHSs into responder villages.
Online Flooding and Dehydration Diagnosis for PEM Fuel Cell Stacks via Generalized Residual Multiple Model Adaptive Estimation-Based Methodology
Authors: Zhou Su , Zhou Shangwei , Jin Jie , Wen Zejun
Published: July 2019

For proton exchange membrane fuel cell (PEMFC) stack, critical issues such as flooding and dehydration, are caused by improper water management. With respect to the water management failure, PEMFC stack outputs power and efficiency decreased. Therefore, proper water management with diagnosis contributes to the reliability and durability. Existing researches establish Electrochemical Impedance Spectroscopy (EIS) measurement to detect and identify different faults, whereas the sophistication, overwhelmed computational consumption of EIS and unaffordable dedicated instrumentation make it’s unsuitable for commercial application. Therefore, EIS is not considered to be a viable solution to online and real-time diagnostic scheme. In this paper, an innovative method based on EIS, is further developed to identify some critical PEMFC fault conditions online, wherein generalized residual multiple model adaptive estimation (GRMMAE) methodology is applied. The diagnosis process consists of multiple equivalent circuit models that represent signature faults separately, such as flooding and dehydration, causing significant variation of model parameters. Applying a small sinusoidal alternating current (AC) as a perturbation signal to various parallel models and measuring the potential response, whilst the noise from perturbation signal and measurement result in utilizing standard Kalman filters (KF) to generate residual signals. The residual signals are used in the GRMMAE methodology to evaluate probabilities in real-time that determine the type of fault. Simulation result shows that the fault conditions can be detected and identified accurately, hence the effectiveness of the proposed method would be indicated.
Oral Submucous Fibrosis: An Overview
Authors: Narang Ramandeep S
Published: July 2019

Oral submucous fibrosis (OSMF) is a chronic and potentially malignant condition of the oral cavity. It occurs predominantly in India and Southeast Asia. The pathogenesis of OSMF is not well established, but it is believed to be multifactorial. Chewing of betel quid (containing areca nut, tobacco, and slaked lime) has been recognized as one of the most important risk factors. It is characterized by a juxtaepithelial inflammatory reaction followed by fibroelastic changes in the lamina propria and associated epithelial atrophy. The disease affects most parts of the oral cavity as well as the upper third of the esophagus. The abnormal fibrosis causes blanching and stiffness of the mouth, with eventual immobility of the lips, cheeks, tongue, soft palate, and uvula. Treatment of OSMF is difficult; a combination drug treatment is administered. In patients with severe disease, physical therapy and/or surgery is added to drug therapy.

How to cite this article

Narang RS, Arora A. Oral Submucous Fibrosis: An Overview. Curr Trends Diagn Treat 2017;1(1):22-26.
Surrogacy: The Need, Usage, Misuse, and the much Needed Rectification Step – The Proposed Surrogacy Bill 2016
Authors: Kaur Simranpreet
Published: July 2019

How to cite this article

Kaur S. Surrogacy: The Need, Usage, Misuse, and the much Needed Rectification Step – The Proposed Surrogacy Bill 2016. Curr Trends Diagn Treat 2017;1(1):46-49.
Apreciações culturais e políticas na crítica de mídia
Authors: Da Silva Gislene , De Lima Soares Rosana
Published: July 2019

Apresentação do dossiê sobre Jornalismo e Crítica de Mídia da edição vol. 16, n.01, primeiro semestre de 2019.
Crítica da cobertura jornalística de homicídios do Diário Catarinense a partir das disposições de classe social
Authors: Silveira Anderson Dias
Published: July 2019

Esta pesquisa, resultado de uma dissertação de mestrado, tem como objeto de estudo o tratamento jornalístico dos homicídios noticiados pelo Diário Catarinense, jornal do estado de Santa Catarina, Brasil. O objetivo é identificar, descrever e criticar as disposições de classe social presentes na cobertura jornalística de homicídios do periódico catarinense, com base no conceito de classe social de Jessé Souza (2003, 2009 e 2010). O período de investigação compreende as mortes violentas intencionais divulgadas pelo jornal no primeiro semestre de 2017 em Florianópolis/SC, observando as diferenças de tratamento de cada homicídio noticiado que evidenciam atravessamentos oriundos de nossa estrutura social. A hipótese é que as disposições de classe influenciam o tratamento jornalístico de homicídios e reforçam o desprezo da classe popular.
“O problema não é o que vira notícia, mas o que deixa de ser”: a falta de lugar da pobreza e a atenção às celebridades no jornalismo na campanha crítica da ONG Teto
Authors: Pilz Jonas , Medeiros Fernanda De Faria
Published: July 2019

Neste artigo, propõe-se uma perspectiva dos estudos de jornalismo, critérios de noticiabilidade, celebridades e acontecimento para a problematização da campanha da ONG Teto, em 2015, sobre a invisibilidade da pobreza diante da atenção midiática ao cotidiano de artistas brasileiros. Aponta-se aqui para como as construções desse campo da comunicação viabilizam a constante elucidação de um e apagamento do outro. Como tal campanha de crítica midiática foi espalhada através de conversações em rede, neste artigo também contempla-se a esfera de produção de sentidos da controvérsia no Facebook, em que aponta-se para a cristalização de discursos que vinculam essa práxis não só os meios de comunicação, mas à esfera política e à sociedade civil.
C.W. Anderson: Todo pesquisador deve ter uma grande pergunta que vai levar décadas para ser respondida
Authors: Vieira Lívia De Souza
Published: July 2019

Pesquisadores em jornalismo certamente vão se lembrar desse nome. O professor C.W. Anderson é muito conhecido no país pelo Relatório do Jornalismo Pós-Industrial, escrito em 2012 com Emily Bell e Clay Shirky, da Universidade de Columbia. Mas Anderson tem outros trabalhos igualmente importantes, incluindo o mais recente: “Apostles of Certainty: Data Journalism and the Politics of Doubt” (2018), livro no qual ele analisa como a ideia de jornalismo de dados mudou ao longo do tempo. "Descobri que certos aspectos do jornalismo de dados são mais parecidos com o que eram há cem anos do que há 50", afirma. Nesta entrevista, falamos sobre diversos assuntos como cultura do clique nas redações, etnografia (Anderson se descreve como um etnógrafo que estuda as notícias), política, crise no jornalismo e ensino. Para os pesquisadores em início de carreira, Anderson dá um conselho: “Se você tem uma grande pergunta, então torna-se menos importante se você publica muito ou pouco, porque será tudo voltado para respondê-la. O que acontece é que, na maioria das vezes, os acadêmicos nem sempre têm uma grande pergunta. Eles não são treinados para isso. Eles são treinados para ter perguntas pequenas”. Anderson é norte-americano e vive no Reino Unido há um ano e meio, ocupando a cadeira de professor da Universidade de Leeds. Nossa conversa aconteceu em fevereiro em seu escritório, durante uma tarde muito fria do inverno europeu.
Criticando a TV: considerações sobre o papel da crítica na construção dos gêneros televisivos
Authors: Silva Fernanda Maurício
Published: July 2019

O presente artigo tem como objetivo discutir a produtividade da crítica especializada para a construção dos gêneros televisivos e sua historicidade tomando como principal referência as contribuições dos estudos culturais para análise da televisão. Tendo como objeto empírico o programa Fantástico: show da vida (TV Globo), o artigo analisa as críticas publicadas em jornais e revistas nacionais ao longo de suas três primeiras décadas buscando mostrar as práticas discursivas de definição, interpretação e avaliação do programa, bem como as especificidades da crítica desse programa.
Um olhar feminista interseccional para subverter invisibilidades históricas
Authors: Gustafson Jessica
Published: July 2019

A luta de grupos sociais por representatividade emerge na discussão sobre a mídia enquanto um aparato moderno de produção simbólica e a sua influencia na construção de representações sobre o mundo. Gabrielle Bittelbrun, no livro Cores e Contornos – Gênero e Raça em revistas femininas do século 21, analisa como gênero e raça se articulam e refletem em visibilidades e apagamentos na construção do que é ser mulher nos discursos e imagens contemporâneos. Frente aos estereótipos, a perspectiva feminista tem oferecido possibilidades de romper com um modelo excludente ainda reproduzido em produções jornalísticas.
A crítica que constrói a música: o curioso caso da MPB
Authors: Vicente Eduardo
Published: July 2019

A intenção desse artigo é refletir sobre o papel da crítica musical no estabelecimento da MPB como uma “instituição” (NAPOLITANO, 2010). Nesse texto, essa produção crítica, que envolveu intelectuais e artistas de diferentes áreas, é vista como fundamental para a consagração da música popular brasileira enquanto espaço privilegiado de debate político e social. Além disso, ela também legitimou a sua sofisticação estética e a incorporação de elementos da música internacional, sem que isso colocasse em questão seu caráter de música “popular” e “brasileira”. Nesse percurso, o artigo busca retomar a trajetória dessa crítica desde a década de 1940, apontando para algumas de suas características mais significativas.
A crítica e o ombudsman: algumas interrogações sobre enunciação e discurso
Authors: Gomes Mayra Rodrigues
Published: July 2019

Diante das inúmeras realizações de crítica de mídia, pretendemos examinar, aqui, a modalidade de crítica que se realiza nas intervenções de um ombudsman. Supomos, de um ponto de vista de análise do discurso, que tal intervenção fala sobre os modos de ser da prática jornalística em relação ao campo como um todo e em relação à política editorial do veículo. Ao mesmo tempo, supomos que as manifestações de um ombudsman também falam, ainda que como pressuposto, subentendido ou alusão, dos discursos que circulam em uma cultura. Para captar posicionamentos, exercícios de crítica e discursos, adotamos a observação das colunas de Paula Cesarino Costa, ombudsman da Folha de S. Paulo, jornal pioneiro ao inaugurar a função em 1989. Nosso foco será suas observações na semana anterior, concomitante e posterior à greve dos caminhoneiros, em maio de 2018, fato escolhido em virtude de seu alcance.
Oficinas para crianças em situação de rua: cartografia das pesquisas em psicologia social
Authors: Lages Sônia Regina Correa , Carvalho Marco Aurélio Saraiva
Published: July 2019

A Convenção sobre os Direitos da Criança propôs um novo paradigma que considera as crianças como sujeitos de direitos. No entanto, no Brasil, a efetivação desses direitos ainda parece distante, o que demonstram os indicadores sociais. Com este foco, apresentaremos parte de uma pesquisa que objetivou investigar a produção científica sobre violações dos direitos humanos na infância. Serão apresentadas as publicações que investigaram as atividades desenvolvidas em entidades voltadas para a infância em situação de rua. Utilizando o método estado da arte, a pesquisa incidiu sobre as revistas de psicologia indexadas no portal da Qualis CAPES com a classificação de A1 até C, sendo encontrados dois artigos. Os resultados demonstram a fragilidade das pesquisas da psicologia social na análise das metodologias utilizadas no referido campo de pesquisa, o que dificulta sua colaboração na construção de indicadores para avaliação dos serviços voltados para o atendimento às crianças em situação de rua.