bluuebunny/crossref_metadata_2025 huggingface dataset:
L’autonomie décisionnelle d’infirmières de soins intensifs lors du sevrage de la ventilation mécanique : une analyse de concept
Authors: Paquette Lysane , Kilpatrick Kelley
Published: January 2021

Introduction : les infirmières ont un rôle de premier plan dans le sevrage de la ventilation mécanique (SVM) étant donné leur présence et leur surveillance continue. Pour favoriser un déroulement adéquat du SVM, elles doivent faire preuve d’autonomie et participer aux décisions. Pourtant, dans certains contextes de soin, elles sont peu impliquées. Objectif : le but de cet article est d’établir les caractéristiques du concept de l’autonomie décisionnelle appliquées à la discipline infirmière lors du SVM. Méthode : une analyse de ce concept a été réalisée selon la méthode évolutionniste de Rodgers. Résultats : l’identification des attributs, antécédents et conséquences a permis de constater une ambiguïté quant à la définition de ce concept par les infirmières. Ils nomment l’autonomie décisionnelle l’exécution de tâches attribuées d’office et le fait de décider selon un algorithme décisionnel préalablement prescrit. Les fondements de l’autonomie décisionnelle d’infirmières en soins intensifs lors du SVM ont émergé de cette analyse : le champ d’exercice, la connaissance approfondie du patient et l’engagement envers la réussite du SVM. La participation aux décisions prises en interdépendance permet aux infirmières d’apporter la perspective du patient dans les décisions. Discussion : des pistes de réflexion ont également émergé, dont l’utilisation de résultats probants pour offrir de nouvelles pistes de décisions autonomes.
Vêtements et motricité de bébé de A à Z
Authors: Lavergne Sylvie
Published: January 2021

Pour faire le lien entre les vêtements de bébé et sa motricité, rien de plus pratique que d’utiliser l’ordre alphabétique pour aller à la rencontre de tel habit approprié ou de telle activité corporelle de bébé. Le point de départ du propos nous ramène à l’Antiquité où bébé était emmailloté aussi bien pour protéger son corps du froid et des prédateurs que pour éviter les malformations. La suite se lit à votre guise, au gré des termes traités… Bonne balade !
L’habit ne fait pas le moine… mais le costume fait-il le loup ?
Authors: Séguret Chloé
Published: January 2021

Dans la littérature enfantine comme dans la vie, les vêtements ont des fonctions contradictoires. Derrière un masque ou déguisé, on peut se laisser aller à ses pulsions ou à son impertinence. Mais les vêtements sont aussi parfois un carcan, un marqueur social, dont il est difficile de se défaire. Sans compter les chaussettes qui grattent et autres tee-shirts au col trop étroit, qui donnent bien du tracas aux jeunes enfants. Et si la solution était de s’en débarrasser et de se promener  tous à poil  ? C’est tentant, mais ce n’est pas au goût de tout le monde.
Rêverie autour de vêtements laissés à la maternité
Authors: Vamos Julianna
Published: January 2021

Dans une maternité, le flux des vêtements de bébé entre les parents qui donnent et les parents qui reçoivent. Une halte dans le bureau où la psychologue les range et se pose des questions sur ce phénomène et ce que cela lui évoque.
Le contenu du trousseau du bébé en exil
Authors: Gioan Estelle
Published: January 2021

Être mère en situation d’exil n’est pas une mince affaire. Porter une grossesse et accueillir un bébé, souvent dans une situation de dénuement, est une épreuve de vulnérabilité pour les femmes migrantes. Cet article aborde la question de la préparation du trousseau. Qu’est-ce qui peut le constituer ? À travers l’évolution de notre société et l’analyse d’autres aires géographiques, nous pouvons affirmer que le trousseau de naissance est un objet culturel. Qu’en est-il pour ces femmes qui cumulent des précarités de toutes natures (culturelle, psychique, linguistique, administrative, sociale…) ? De quoi le bébé a-t-il vraiment besoin ? Nous poserons aussi la question primordiale : de quoi les parents ont-ils besoin pour accueillir au mieux leur nouveau-né ? La place des professionnels des institutions (maternité, pmi ) et des bénévoles des associations sera essentielle pour accompagner ces mères, parfois en grand désarroi, et garantir une sécurité (interne et externe) pour le bébé.
Le Rôle de mandataire donné aux architectes dans la consultation de 2008 sur le Grand Paris : quels effets sur les collaborations interprofessionnelles ?
Authors: Duranel Guillaume
Published: January 2021

Issu d’un travail de thèse soutenu en 2019, cet article explore les modes de collaboration qui ont caractérisé la consultation de 2008 sur le Grand Paris et à l’Atelier international du Grand Paris (AIGP). La place donnée aux architectes qui étaient mandataires des groupements donne lieu à une investigation spécifique sur la manière dont cette position dominante impose des formes de travail à un groupe élargi de professionnels. Il s’agit, par l’examen des relations qui se déploient entre l’architecte mandataire et ses différents partenaires, d’identifier des schémas conventionnels intégrés aux organisations des agences et qui se transposent à l’occasion d’autres types de collaborations.
La Section urbanisme du département d’architectes du London County Council dans l’après-guerre. Élaboration, codification et transmission des savoir-faire au sein d’une grande structure publique d’architecture
Authors: Portnoï Anne
Published: January 2021

Cet article s’attache à analyser les processus d’élaboration et de transmission de savoir-faire urbanistiques dans l’après-guerre au sein de la division d’urbanisme du département d’architecture du London County Council. Les nombreux documents de travail conservés dans les archives du Percy Johnson-Marshall témoignent de l'organisation interne du service. La lecture de ces documents rend aussi compte d’une claire volonté de ses cadres de codifier et de définir de nouvelles pratiques urbanistiques afin de pouvoir les transmettre en interne et les promouvoir.
Sport Specialization in Middle School and High School Long-Distance Runners
Authors: Garcia Micah C. , Taylor-Haas Jeffery A. , Rauh Mitchell J. , Toland Michael D. , Bazett-Jones David M.
Published: January 2021

Context

Previous reports suggested that highly specialized adolescent athletes may be at a higher risk of injury, worse sleep quality, and less sport enjoyment than low-level specialized athletes. To date, the sport specialization literature has primarily addressed adolescent athletes in a variety of sports. However, whether the findings on sport specialization in predominantly nonrunning athletes are generalizable to adolescent long-distance runners is unknown.

Objective

To compare injury history, running volume, quality of life, sleep habits, and running enjoyment among male and female middle school and high school long-distance runners at different sport specialization levels.

Design

Cross-sectional study.

Setting

Online survey.

Patients or Other Participants

A total of 102 male (age = 15.8 ± 0.9 years) and 156 female (age = 15.6 ± 1.4 years) uninjured middle school and high school athletes who participated in long-distance running activities (completion rate = 50.7%).

Main Outcome Measure(s)

Participants were stratified by sex and sport specialization level (low, moderate, or high). Group differences were assessed in self-reported running-related injuries, running habits, EQ-5D-Y quality of life, Pittsburgh Sleep Quality Index sleep quality, sleep duration, and running enjoyment.

Results

Highly specialized male and female middle school and high school long-distance runners reported more months of competition per year (P < .001), higher weekly run distance (P < .001), more runs per week (P < .001), higher average distance per run (P < .001), and greater running enjoyment (P < .001) than low-level specialized runners. Adolescent boys reported a higher average weekly run distance (P = .01), higher average distance per run (P = .01), and better sleep quality (P = .01) than adolescent girls. No differences among sport specialization levels were found for running-related injuries (P = .25), quality of life (P = .07), sleep quality (P = .19), or sleep duration (P = .11) among male or female middle school and high school runners.

Conclusions

Highly specialized male and female middle school and high school long-distance runners reported higher running volumes and running enjoyment than low-level specialized runners. However, high-level specialized runners did not describe a greater number of running-related injuries, lower quality of life, or lower sleep quality or duration as expected.
Psychological impact of COVID-19 on radiology: Emotional wellbeing versus psychological burnout
Authors: Mahajan Abhishek , Sharma Prerit
Published: January 2021

While the COVID-19 pandemics seem to be crippling the global health care system, it has caused enormous uncertainty and panic in the lives of the health care professionals with a significant impact on their productivity. A significant proportion of these affected health care individuals comprise of the working staff belonging to the Radiology department. Although the main focus of all health care individuals has constantly been to reduce the number of new cases by minimal transmission, save lives of the infected patients by findings effective cure and carry out meticulous research to develop preventive vaccine, we have been unknowingly giving very little consideration to critical issues relating to the psychological well-being of the front liners. It is of utmost necessity that the psychological impact of this pandemic needs to be recognized and dealt with, in a timely fashion. While planning interventions to fight the pandemic, mental health issues must not be sidelined instead considered pragmatically. The radiology departments must come up with a mitigation plan to combat the subsequent short-term and long-term adverse effects of COVID-19 on mental well-being of their staff members. This article discusses the psychological impact of COVID-19 on the radiology department.
The utility of HRCT in the initial diagnosis of COVID-19 pneumonia—An Indian perspective
Authors: Kashyape Rohan , Jain Richa
Published: January 2021

A total of 1,499 patients who underwent High Resolution Computed tomography (HRCT) chest in the duration of 2 months for suspected COVID-19 pneumonia were included. Subjects included were those who had tested positive for the virus on RT-PCR, those with symptoms suspicious for COVID-19 infection awaiting results for the RT-PCR test or with negative result but strong clinical suspicion as well as those with exposure to proven patients based on contact tracing. Thus, both symptomatic as well as asymptomatic patients were included. The positive predictive value of HRCT was 85%, sensitivity was 73% for all patients. Overall, accuracy was 68%. There was no significant difference in these values for symptomatic and asymptomatic individuals. These results were also independent of the time of scan from the onset of symptoms or contact. Thus, we propose that HRCT is an excellent adjunct for initial diagnosis of COVID-19 pneumonia in both symptomatic and asymptomatic individuals in addition to the role of prognostic indicator for COVID-19 pneumonia.
Considerações Acerca de Alguns Aspectos Teóricos e Conceitos-chave Presentes na Obra de Michel Foucault
Authors: Souza Daniel Maurício Viana de , Souza Daniel Maurício Viana de
Published: January 2021

Trata acerca de pressupostos teóricos e conceitos fundamentais que permeiam a obra de Michel Foucault. Para tanto, num primeiro momento, traça linhas gerais acerca dos fundamentos estruturais do trabalho deste autor, enfatizando os marcos arqueológico e genealógico. Em seguida discorre sobre algumas categorias específicas, tais como, ‘história’, ‘descontinuidade’, ‘documento’, ‘discurso’ e ‘enunciado’, que atravessam de maneira visceral a produção intelectual de Foucault. Analisa posteriormente, a relação poder-verdade, tendo como pano de fundo a formulação foucaultiana sobre os mecanismos disciplinares. Por último, reflete, com base no conceito de ‘biopoder’, sobre a passagem – sugerida por Deleuze – de uma ‘sociedade disciplinar’ para a ‘sociedade de controle’.
Labor Domi, Relaciones económicas y sociojurídicas en la familia romana
Authors: Rodríguez González Ana María
Published: January 2021

El artículo ofrece una visión panorámica del trabajo doméstico de la época romana en el contexto social, económico y jurídico del trabajo en la Antigüedad. Un último punto describirá también el modo en que las fuentes aluden a un caso paradigmático del trabajo femenino en el hogar: el caso de las nutrices o nodrizas.
La conciliación en la encrucijada: vida laboral y familiar de empleadas y empleadoras de hogar
Authors: Díaz Gorfinkiel Magdalena
Published: January 2021

La cuestión de la conciliación constituye un eje vertebrador fundamental del análisis social. Los cambios sociales acaecidos en las últimas décadas han colocado esta cuestión como un elemento fundamental del funcionamiento social. En España, al igual que en otras partes del mundo, el empleo del hogar se ha venido desarrollado como una solución a las necesidades de conciliación de la población nativa, favoreciendo una organización de los cuidados que no pone en entredicho la organización social y de género imperantes. El papel de las empleadas de hogar, como facilitadoras de la conciliación, trae consigo el cuestionamiento de sus propias posibilidades de ejercer su derecho a conciliar. En este artículo, por ende, se pretende analizar el proceso de la conciliación a través del empleo del hogar y en este propio sector de actividad.
Del Régimen Especial de empleados de hogar al sistema especial de empleados de hogar. Protección social
Authors: Muñoz Molina Julia
Published: January 2021

El trabajo  que se presenta reproduce el texto de la ponencia que se presenta en el I Seminario de Trabajo Doméstico, celebrado el 11 de mayo de 2018 en la Universidad Carlos III de Madrid
Sanz Saez, C. Génesis y evolución del servicio doméstico. Comares, 2018. Colección Trabajo y Seguridad
Authors: García Vélez Vanesa
Published: January 2021

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Luis E. Delgado del Rincón. El derecho a la asistencia sanitaria de los extranjeros: limitaciones y problemas competenciales. Tirant lo Blanch, 2019.
Authors: Jimena Quesada Luis
Published: January 2021

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ESTIMACIÓN DE UN MODELO ECONOMÉTRICO QUE RELACIONA EL DELITO DE CONTRABANDO CON LA DEVALUACIÓN DEL PESO COLOMBIANO Y SOL PERUANO
Authors: Abril-Donoso Mauricio , Chariguamán-Maurisaca Nancy
Published: January 2021

El objetivo del estudio es poder explicar el comportamiento del delito de contrabando, en función de las devaluaciones de las monedas de Colombia y Perú. La información se recopiló de las denun- cias de contrabando de la base de delitos de la Fiscalía General del Estado de Ecuador (FGE), se recabó también las cotizaciones mensuales en promedio alcanzadas por el Peso colombiano de la Superintendencia Financiera de Colombia (www.superfinanciera.gov.co) y por el sol peruano de la página web investing.com (https://es.investing.com/currencies/usd-pen-historical-data). Los resul- tados muestran la correcta estimación del modelo econométrico para el contrabando, además de como las variables explicativas generan el cometimiento del delito de contrabando, esto permitirá que las autoridades gubernamentales puedan tomar medidas económicas para proteger el mercado interno y externo del País.
The Countervailing Effect of Language Proficiency and Cultural Adaptation on the Frequency of Cognitive-Metacognitive Strategies among EFL Readers
Authors:   MA in TEFL, Shahid Beheshti University, Motlagh Ebrahim Daryaee
Published: January 2021

This article is an attempt to investigate how advanced and high-intermediate learners of English receiving culturally familiar or nativized contents may differ in terms of both their performance in reading comprehension and the use of cognitive and metacognitive strategies. To this end, a total of 73 advanced and high-intermediate students of English were selected and assigned to two groups in order to acquire relevant data across different levels of language proficiency. Subsequently, the participants received culturally adapted texts with sociologically, semantically and pragmatically nativized contents in the form of narrative and expository texts. Following this step, the participants were given reading comprehension tests and cognitive-metacognitive questionnaires. While culturally familiar texts are generally believed to have facilitating impacts on the overall reading comprehension for all language groups, the findings of the present study suggest that the advanced learners of English may use these strategies more frequently compared to high-intermediate learners of English. These results may raise strong implications concerning the suitability and effectiveness of nativized or culturally adapted materials for learners at varying levels of language proficiency.
Promoting the Development of Creative Management in Uzbekistan
Authors:   Associate Professor, Department of ", Yuldasheva M.B. ,   Organization and management of institutions of culture and art",   , Tashkent, Uzbekistan
Published: January 2021

This article argues that the creative department should be fully focused on the full disclosure of the creative potential of the people of the Republic of Uzbekistan. The goal of creative management is to generate new ideas and find new solutions for the success of the country, company and organization in various fields.
Structural Directions of National Development Models of Uzbekistan and Russia
Authors:   DSc, Professor, Department of Civil Society and Law, National University of Uzbekistan, Tashkent, Uzbekistan, Ravshanov Fazliddin
Published: January 2021

Each country’s national development model is unique and covers its current and future goals and interests. Both in Uzbekistan and in Russia, one can see that the concepts of national development are expressed in terms of decisions, decrees, instructions, programs, regulations, plans, strategies, as mentioned above. The article provides a comparative analysis of the structural aspects of these concepts, processes and events taking place on their basis.
AKTIVITAS ANTIOKSIDAN EKSTRAK AIR DAUN JAMBU MAWAR (Syzygium Jambos Alston) METODE PERENDAMAN RADIKAL BEBAS DENGAN DPPH
Authors:   Sekolah Tinggi Teknologi Industri dan Farmasi Bogor, Cahaya Himawan Herson , Inawati Inawati , Lubis Anisah
Published: January 2021

Penuaan dan penyakit degeneratif seperti kanker , katarak, penurunan sistem kekebalan tubuh, dan disfungsi otak terjadi kaerna adanya kerusakan sel yang disebabkan oleh radikal bebas. Radikal bebas merupakan molekul atau atom tidak stabil. Antioksidan adalah zat yang dapat melindungi sel dari kerusakan yang disebabkan oleh radikal bebas. Tanainan merupakan salah satu sumber antioksidan alami, salah satu turnbuhan yang memiliki aktivitas antioksidan yaitu Daun jambu mawar ( Syzygium Jambos Alton ). Daun jambu mawar merupakan tanaman yang memiliki aktivitas antioksidan dan dapat digunakan sebagai alternatif dalam pengobatan. Tujuan dari penelitian ini adalah untuk menentukan aktivitas antioksidan daun jambu mawar menggunakan metode peredaman radikal bebas dengan DPPH. Ekstrak air daun jambu mawar dibuat deret konsentrasi 20, 40, 60, 80 dan 100 ppm, dilarutkan dengan metanol dan DPPH, kernudian diukur absorbansinya menggunakan Spektrofotorneter UV- vi.s pada panjang gelombang 515,5 nm. Ekstrak air daun jambu mawar mempunyai nilai IC50 sebesar 85,514 ppm. Kesimpulan penelitian ini bahwa aktivitas antioksidan ekstrak air daun jambu mawar memiliki aktivitas antioksidan dan termasuk kategori kuat.
Amiodarone Toxicity Screening: What are the Clinicians Supposed to Tell Patients
Authors:   Department of Medicine PRISMA Tuomey Hospital Sumter, USA, Rozich John D
Published: January 2021

The use of amiodarone in clinical practice continues to be widespread in the setting of nonvalvular atrial fibrillation (NVAF). Use of amiodarone continues especially in the elderly where the drug’s favorable characteristics and outcomes in the setting of chronic kidney disease coupled to its low inherent proarrhythmic profile has ensured its continued use. The present work focuses on the information that clinicians should tell their patients regarding requisite toxicity screening during daily treatment with amiodarone when it is maintained at a low dose of 200 mgs per day or less. Several questions need be answered in pursuit of the fundamental query as to whether routine testing for toxicity should still be advised. Most importantly, has ongoing screening shown to be of any proven value?
A Comparison of Two Clinical Cases of Quantitative Lifestyles Medicine Using GH-Method: Math-Physical Medicine (No. 302)
Authors:   eclaireMD Foundation, USA, C. Hsu Gerald
Published: January 2021

This article is a comparison of clinical cases of quantitative lifestyles medicine which is based on the data of two type 2 diabetes (T2D) patients during a period of 149 days from 3/1/2020 to 7/27/2020. The research methodology utilizes the author developed GH-Method: math-physical medicine (MPM) which has been applied for the past decade. This study contains a comparison and interpretation of the following two T2D patients. Case A: male, 47-years-old, 5 years of T2D history, with no signs of diabetes complications, BMI 40, and not taking any diabetes medication. Case B (author): male, 73-years-old, 25 years of T2D history, with many diabetes complications except stroke, BMI 25, and not taking any diabetes medication for the past 5 years
The Burden of Care of Heart Failure in Patients with Diabetes Mellitus: The Peculiarities of Sub-Saharan Africa
Authors:   Endocrinology, Metabolism and Diabetes Unit, Department of Medicine, University College Hospital, Ibadan, Nigeria, T A Azeez
Published: January 2021

Non-communicable diseases are rapidly becoming the commonest cause of mortality in sub-Saharan Africa. Africa has one of the largest prevalence of diabetes mellitus in the world. However, the medical, economic, social and emotional barriers against optimal care of patients with diabetes are very prominent in sub-Saharan Africa. Therefore, poor glycemic control and suboptimal control of other risk factors are not uncommon. These increase the risk of developing cardiovascular complications of diabetes, the endpoint of which is often heart failure. The care for heart failure patients in sub-saharan Africa has been documented to be significantly low when compared with Asia or Southern America. The direct and indirect costs are unbearable and access to care is often compromised. So, when a patient with diabetes develops heart failure in sub-Saharan Africa, the burden is further magnified out of proportion to other developing regions in the world. This review article aims to highlight the peculiarities of the burden of care for heart failure patients with diabetes so that concerted efforts can be directed at addressing the challenges. This will lead to improved care of patients with diabetes and prevent them from developing cardiovascular complications like heart failure or to optimally manage these complications if they arise.
The Role of Ambient Temperature and Plasma Osmolarity on Clinical Outcomes of Acute Myocardial Infarction Patients during Hajj
Authors:   King Abdullah Medical City, Makkah, Aboul-Enein Fatma , Turkistani Yosra ,   King Abdullah Medical City, Makkah, Barnawi Osama ,   Umm Qurah University Makkah, Saudi Arabia
Published: January 2021

Background: Performance of Hajj is physically very demanding, especially if performed during the summer season. The aim of this study is to evaluate the importance of ambient temperature and dehydration, indicated by plasma osmolarity on the clinical outcomes of cardiac patients during Hajj season in 2017. Methods: We included all patients referred to tertiary center with acute coronary syndrome during Hajj period of 2017. Plasma osmolarity was calculated using concentrations of sodium, plasma glucose, and blood urea nitrogen at admission. Patients were stratified by groups (G) of admission osmolarity, clinical outcome was compared. The primary endpoints were in-hospital mortality, length of stay, Cardiac complications (heart failure, re-infarction, arrhythmia, shock and thrombus formation), left ventricular function and readmission rate. Result: Total of 300 patients were identified with mean age 56.2 ±12.1, 84% males and 97(32%) were pilgrims. They were exposed to average heat index 61.9 ±10.6° C. Significantly longer admissions were found in the group of higher osmolarity (G2) (≥295 mos/L) as compared to patients with normal osmolarity in G1 [6.7 ±14.9 VS 4.0 ±4.5, P=0.045]. Total in-hospital death rate was 4.3% (13). Using Binary regression analysis; osmolarity Group [p=0.009], Pilrgrim [P=0.005], Heat index [ P=0.005], were independent predictor of inhospital mortality, while Heat index is the only independent predictor for MACE [P=0.001]. Conclusion: Plasma osmolarity and heat index significantly affect cardiac patient’s outcome. These finding underscore the importance of health awareness of protection from dehydration for pilgrims during summer season.
Detection of Cervical Cytological Abnormalities by Pap smears Method among Women Attending the Screening Clinic of Nsambya Hospital
Authors:   Department of Cytology, Alzahra Specialty Hospital, Mogadishu, Somalia, Boaz Mwesigwa , Livex Okwi Andrew ,   Department of Pathology, School of biomedical sciences, College of Health Sciences, Makerere University, Uganda
Published: January 2021

Background: Cervical cancer is an important public health problem. In Uganda, it ranks the most frequent cause of cancer among women aged between 15 to 44 years of age. Early detection and eradication of cervical cancer and its precursor lesions is the mainstay for control of this disease. The Pap smear method is the most cost-effective means of screening cervical pre-malignant, malignant processes and non-neoplastic lesions. Aim: To describe the cervical cytological abnormalities as detected byPap smear method and to determine the prevalence of such abnormalities. Methodology: This was a prospective study, in which a total of 175 women were recruited from May to June, 2016. Cervical samples were collected from these women and stained according to the papanicolaou staining protocol. Results were reported using the 2014 Bethesda reporting system. Results: Out of 175 cases, 163 (93.1%) were reported as negative for intraepithelial lesion or malignancy [NILM]. Cervical intraepithelial lesions were reported in 12 (6.9%) cases which included atypical squamous cells of undetermined significance [ASCUS] in 4(2.3%) cases, atypical squamous cells cannot exclude high grade squamous intraepithelial lesions [ASCH] in 1(0.6%) case, low-grade squamous intraepithelial lesion [LSIL] in 5 (2.9%) cases, high-grade squamous intraepithelial lesion [HSIL] in 1(0.6%) case and atypical glandular cells [AGC] in 1(0.6%) case. Conclusion: Cervical cytology by Pap smear method should be used to screen women routinely because it is an effective method in detecting pre-malignant and malignant lesions of the cervix.
A New Challenge: Présence of ICAM1 Gene in Echinodermata (Invertebrates)
Authors:   University of Orleans ,Sandillon, France, leclerc Michel
Published: January 2021

ICAM1 Gene we met usually in human, was discovered, for the first time, in invertebrates, in echinodermata. Its parameters, its sequence in 5’-3’ was clearly demonstrated in ophiocomina nigra (ophuirids).it is in correlation to nuclear factor b we discovered also in echinodermata. The interaction nfkappab -icam1 gene in human is well-known
Existence and Significance of Non-Autonomous Cancer Replication for Clinical Management of Cancer: Observations and Hints from Ovarian Cancer Cases
Authors:   Research Institute for Clinical Management of Cancer, Beijing, China, Tsung Kangla , Xu Zhang ,   Research Institute for Clinical Management of Cancer, Beijing, China, Hui Zhang ,   Research Institute for Clinical Management of Cancer, Beijing, China
Published: January 2021

Cancer cells progress through replication. What has been puzzling to cancer surgeons and oncologists is not why cancer cells continue to grow, but why some of them do not grow steadily as expected and this behavior varies between cases and even between lesions in the same case. Our previous reports have addressed the issue of tight control of tumor progression by targeting only a minority part of cells in a tumor by targeted drugs such TK inhibitors in lung cancer. The reconciliation of this situation brought out the concepts of autonomous and non-autonomous tumor replication that divide the mode of cancer cell replication into two categories based on the source of molecular signals that drive tumor replication. This establishment of the mode of tumor replication is very useful for clinical management of cancer, especially critical for risk evaluation of post-surgery cancer recurrence in almost every case. In this report, we apply this concept in the analyses and management of two ovarian cancer cases to show that the mode of tumor replication is a new dimension in cancer staging on top of the current TNM staging system and aids individualized case assessment and management.
M Pneumoniae Infection Induced Hemolytic Anemia
Authors:   Dayananda Sagar college of Engineering (Visvesvaraya Technological University), Kumarswamy layout, Bangalore India, 560078, Kapil Menka , Sareen Rateesh ,   Dayananda Sagar college of Engineering (Visvesvaraya Technological University), Kumarswamy layout, Bangalore India, 560078
Published: January 2021

M Pneumoniae infection commonly presents with respiratory involvement. Extra pulmonary involvement is uncommon presentation. The case describes M Pneumoniae infection presenting as hemolytic anemia which on work up turned out to be cold agglutinin disease. The rare presentation of M Pneumoniae infection without pulmonary involvement makes the case report interesting .It is therefore prudent to rule out M Pneumoniae infection in patients with unexplained hemolytic anemia or having cold agglutinin disease.
PERANCANGAN APLIKASI SISTEM INFORMASI PUSKESMAS SEBAGAI SARANA PENDATAAN IBU DAN ANAK BERBASIS MOBILE
Authors: Bunyamin Muhammad , Pratama Rezki
Published: January 2021

In the current era of globalization, technological developments are developing very rapidly along with the needs of the wider community. Information system application is one form of technological and information development. Mother and child data processing at Puskesmas Pedamaran, Pedamaran District, Ogan Komering Ilir Regency does not have an information system application, data collection and data processing of mothers and children still use the writing method or manually using mother and child health books, the method used today is still at risk of experiencing data loss or buildup. Then the authors will conduct research with the aim to build and develop information systems data collection of mothers and children, which can help convey information in a mobile and easier to use in its use, using the waterfall method. The results obtained from this study are in the form of an application of information systems for data collection of mothers and children that makes it easier to provide information on maternal and child health and helps the processing of mother and child data at the Puskesmas. With the application of information systems for data collection of mothers and children, it is certainly expected to further facilitate the processing of mother and child data in the Puskesmas Pedamaran.

Pada era globalisasi saat ini perkembangan teknologi berkembang sangat pesat seiring dengan kebutuhan masyarakat luas. Aplikasi sistem informasi merupakan salah satu wujud dari perkembangan teknologi dan informasi. Pengolahan data ibu dan anak di Puskesmas Pedamaran Kecamatan Pedamaran Kabupaten Ogan Komering Ilir belum memiliki aplikasi sistem informasi, pendataan dan pengolahan data ibu dan anak masih menggunakan metode penulisan atau secara manual dengan menggunakan buku kesehatan ibu dan anak, metode yang digunakan saat ini masih beresiko mengalami kehilangan atau penumpukan data. Maka penulis akan melakukan penelitian dengan tujuan untuk membangun dan mengembangkan  aplikasi sistem informasi pendataan ibu dan anak, yang dapat membantu menyampaikan informasi secara mobile dan lebih mudah digunakan dalam penggunaannya,  dengan menggunakan metode waterfall. Hasil yang diperoleh dari penelitian ini adalah berupa aplikasi sistem informasi pendataan ibu dan anak yang mempermudah dalam memberikan informasi kesehatan ibu dan anak serta membantu proses pengolahan data ibu dan anak pada Puskesmas tersebut. Dengan adanya aplikasi sistem informasi pendataan ibu dan anak ini, tentunya diharapkan lebih mempermudah proses pengolahan data ibu dan anak di Puskesmas Pedamaran.
Effect of Working Capital Management Practices on Liquidity Risk of Insurance Firms Listed at the Nairobi Securities Exchange (Nse), Kenya
Authors: Alang’o Omwono Dr. Gedion , Atieno Aloo Everlyne
Published: January 2021

This study investigated the liquidity risk of firms listed in the (NSE), Kenya. This study established the existing relationship between two or more non manipulated variables using two groups’ i.e. listed insurance firms and non-listed insurance firms. The population was made up of 12 firms and it included all the 6 NSE listed insurance firms and 6 non listed and this was over a period of 5 years. The 6 non listed insurance firms were selected using simple random sampling technique. The data was collected from secondary sources which was audited and published financial statements. Descriptive statistics was used. Statistical inferences were drawn using testing of hypotheses. The correlation matrix showed a negative correlation coefficient with the dependent variable (Liquidity). Regression analysis revealed that the total variability in the dependent variable (Liquidity) could be and Cash Conversion Cycle (CCC)), at R Square = 48.4%, 22.2% and 30.1% respectively and this was statistically significant. From the findings, the researcher concluded that all the independent variables had a positive statistically significant impact on the liquidity risk of listed Insurance firms.
The fiscal cost of the provision of basic public services, subsidies for expenditure on food and basic citizen income per household during the COVID-19 pandemic: An expenditure analysis
Authors: Galindo Luis Miguel , Filgueira Fernando , Blofield Marike , Francisco Cruz Carlos Alberto
Published: January 2021

The objective of this article is to estimate the fiscal costs, using income and expenditure surveys, of the provision of basic public services (electricity, water, telephone and internet) for the 40% of the population with the lowest incomes, the provision of a subsidy of 50% of actual food expenditure for the 40% of the population with the lowest incomes and the provision of a basic income per household equivalent to the value of the poverty line for households under the poverty line in Costa Rica, Guatemala and El Salvador during the COVID-19 pandemic. These fiscal options are a fundamental component of any public health strategy against the COVID-19 considering they give economic viability to the population during the isolation and mobility restrictions period and financial support during the economic and social emergency. The results show that the fiscal costs of the provision of basic public services to 40% of the population with the lowest incomes or other fiscal measures considering less ambitious targets are heterogeneous between these Central American countries because of previous conditions and public policies but are reasonable and possible to cover under the actual circumstances.
ACTIVITIES OF SCHOLARS OF ISLAMIC LAW (FUQAHA) FROM SHASH OASIS IN SCIENTIFIC CENTERS OF THE REGION
Authors: Mukhamedov Nematullo
Published: January 2021

For centuries, Islamic traditions have
contributed to the formation of unique Muslim culture in
Central Asia, interwoven with the rich cultural heritage
of the peoples of this region. In turn, this affected the
spiritual life of society and left a significant mark on the
development of various sciences. Uzbekistan and its cities
Bukhara, Samarkand, Nasaf (Karshi), Termez, Khiva, Shash
(Tashkent), and others, which became famous in the whole
Muslim world as leading scientific and cultural centers,
occupied a special place in these historical processes.
IX-XII centuries in Central Asia is famous for the
development of science and culture, especially the Islamic
sciences. Consequently, such ancient cities as Bukhara,
Samarkand, Nasaf (Karshi), Termez, Khiva, Shash
(Tashkent) are known as centers of science and culture in
the Islamic world. In particular, in the medieval sources,
Tashkent is called as Shash, where many prominent scholars
of Islamic sciences such as hadith and jurisprudence came
from. IX century is known as the “Golden Age of Fiqh
Science (Islamic law)” thanks to the works of the region’s
faqih scholars.
The article analyzes the activities of medieval (IX-XII)
scholars of Shash in the scientific centers of the region. It
also explores scientific cooperation between scholars of
madrasahs in various scientific cities of the region, such as
Samarkand, Bukhara, Nasaf, Termez, Merv, and Baghdad.
Comparación de diversos métodos de estimación de edad dental aplicados por residentes de Postgrado de Odontopediatría
Authors: González Carfora Andrea Virginia , Teixeira González Vanessa Halley , Medina Díaz Aida Carolina
Published: January 2021

La estimación de la edad dental en los pacientes pediátricos que recibirán tratamiento odontológico es de gran importancia ya que permite evaluar su estado de maduración. Objetivo: Determinar la precisión en la estimación de la edad dental a través de la utilización del método de Nolla, Demirjian y Willems, aplicado por residentes del Postgrado de Odontopediatría en un grupo de niños venezolanos del Distrito Capital. Materiales y métodos: Se seleccionó a conveniencia una muestra estratificada por edad y género incluyendo 71 radiografías panorámicas de alta calidad de niños aparentemente sanos con edades comprendidas entre los 4 y 11 años, evaluando la edad dental según los métodos de Nolla, Demirjian y Willems. Cada radiografía fue evaluada por mínimo dos observadores de forma aleatoria. Resultados: Se obtuvo mayor correlación entre la edad dental y cronológica para los métodos de Demirjian y Willems. Hubo diferencia estadísticamente significativa entre la edad cronológica y la edad dental calculada con Nolla (-0,30 p=0,001) y Demirjian (0,272 p<0,001), no siendo estadísticamente significativa la diferencia para Willems (0,02 p=0,74). Se obtuvieron diferencias en el cálculo de la edad dental entre los tres métodos, siendo el más sensible al efecto del observador el de Nolla. Conclusión: La estimación de la edad dental en pacientes pediátricos puede ser realizada por observadores entrenados. La edad dental siempre dependerá de la variabilidad de cada paciente, de la aplicabilidad del método de estimación para una población determinada y del grado de experiencia del observador.
Acción antimicrobiana de dos pastas Guedes-Pinto modificadas - estudio in vitro
Authors: Vilas Bôas Silvana Leal , Furtado Leite Mariana Carvalho , Barros Lavor Martins Samya Karolyne , Netto Muniz Camila Costa , Kerber Tedesco Tamara , Pettorossi Imparato José Carlos
Published: January 2021

Objetivos: Evaluar in vitro la acción antimicrobiana de las pastas GuedesPinto modificadas con Diprogenta® y con Otosporin®, comparándolas con la pasta Guedes-Pinto convencional. Materiales y métodos: Se evaluó la acción antimicrobiana de las pastas Guedes Pinto contra cepas aisladas de los siguientes microbios: Streptococcus mutans ATCC 25175 Staphylococcus aureus ATCC 25923, Enterococcus faecalis - ATCC 29212, Pseudomonas aeruginosa - ATCC 4116, Candida albicans ATCC 10231. Se empleó la técnica de difusión en agar por el método de pocillo y en triplicado, utilizando el digluconato de clorexidina al 0,12% como control positivo y solución salina como control negativo. Se transfirió 2 mL del inóculo producido de cada microbio a 100mL de agar fundido a 45ºC, dispensando la mezcla en 30 placas de petri. Las placas fueron mantenidas a temperatura ambiente por dos horas y luego incubadas a 35ºC por 24 y 48 horas. La lectura de los resultados fue sometida al Análisis de varianza de un factor y Test de Tukey para comparaciones múltiples. Resultados: La pasta Guedes-Pinto Convencional formó los mayores halos de inhibición para la mayoría de los microbios, con excepción de Candida albicans, donde ninguna de las sustancias produjo efecto y de la Pseudomonas aeruginosa, para la cual la pasta modificada con Diprogenta® obtuvo mejores resultados, sin diferencia estadística entre ellas. La pasta Diprogenta® presentó mejores resultados que la pasta Otosporin® para todos los demás microorganismos y esto ultimo no formó halo de inhibición para Enterococcus faecalis. Conclusión: La utilización de sustitutos de Rifocort® parece tener un potencial antimicrobiano efectivo contra los principales microbios encontrados en los canales radiculares.
El uso de fluoruros en niños menores de 5 años. Evidencia. Revisión bibliográfica
Authors: Acosta de Camargo María Gabriela , Palencia Lelimar , Santaella Josnelly , Suárez Liliana
Published: January 2021

Objetivo: El propósito de esta revisión bibliográfica fue evaluar la evidencia disponible con respecto al beneficio del uso de pastas fluoradas en la prevención de la Caries de la Infancia Temprana en niños menores de 5 años. Métodos: Se realizó una revisión de literatura en varias bases de datos electrónicas como PubMed, MEDLINE, EBSCO, LILACS, CO-CHRANE; desde el año 1997 hasta el 2019. Resultados: Un total de 50 artículos cumplieron con los criterios de inclusión y en su mayoría concluyeron que el uso de fluoruros debe incorporarse en los niños debido a la cantidad de beneficios que proporciona. Conclusiones: La caries de la infancia temprana representa un inconveniente sobre todo en países en vías de desarrollo y disminuye considerablemente la calidad de vida del niño y de su familia. Utilizar pastas dentales altas en flúor puede implementarse como medida preventiva para hacer que la prevalencia de esta enfermedad disminuya en niños menores de 5 años.
Editorial
Authors: Zacarías Ana Cristina , Medina A. Carolina , Rezende Karla Mayra , Hernández Francisco , Lipari María Alejandra , Redua Paulo , Hermida Laura , Raggio Ana
Published: January 2021

Dentro del marco del XIX Congreso Latinoamericano de la Asociación Latinoamericana de Odontopediatría ALOP y I Congreso de la Asociación Uruguaya de Odontopediatría SUOP en Montevideo, Uruguay octubre 2018 se discutieron varios temas de mucho interés para el Odontopediatra, abordando, entre otros, los derechos del niño y el uso del consentimiento/asentimiento informado en la consulta odontopediátrica.
Impacto del tamaño de la cavidad en la resistencia de unión de sellantes resinosos. Estudio in vitro
Authors: Neivas Camargo Thaysa , Cecílio Timóteo Ana Flávia , Araújo Viol Fernanda , Gerhard Dayana , Freitas Pinto Juliana Elaine , Kerber Tedesco Tamara , Pettorossi Imparato José Carlos
Published: January 2021

Objetivo: Evaluar la resistencia de unión al desalojo de sellantes resinosos en cavidades en dentina de diámetros diferentes. Material y métodos: Se realizó un estudio S. mutans aleatorio, doble ciego, con 60 incisivos bovinos (n = 10 cuerpos de prueba por grupo) que recibieron un corte en sentido longitudinal, utilizando disco de corte diamantado de alta concentración doble cara, para obtención de una lámina de esmalte / dentina de 1 mm de espesor. A continuación, fueron confeccionadas restauraciones con dos diferentes sellantes resinosos - Fluroshield® (padrón oro) e Ionoseal® - en cavidades con diámetros de 3, 4 y 5 mm. Después de 2 meses de almacenamiento en Originalagua, los especímenes fueron sometidos a la prueba de resistencia de desalojo Resultados: Los sellantes evaluados presentaron valores de resistencia de unión similares (p = 0,357). De la misma forma, el diámetro de las cavidades no interfirió en los valores de resistencia de unión de los sellantes resinosos evaluados (p = 0,068). Conclusión: Podemos sugerir que es posible sellar lesiones cavitadas en la mitad externa de dentina con diámetros de 3, 4 y 5 mm con diferentes sellantes resinosos, ya que estos materiales presentaron resistencias similares cuando se aplican a la prueba desalojo.
Técnica de revascularización en odontopediatría paso a paso. A propósito de un caso
Authors: Blázquez Molina Patricia , Riolobos González María Fe
Published: January 2021

Introducción: La revascularización es un procedimiento actual para dientes necróticos con ápice inmaduro; supone una opción de manejo clínico más conservador con respecto a los tratamientos tradicionales de apicoformación, en el cual, por medio de la inducción de las células madre de la papila dental periapical, se crea un sangrado dentro del conducto radicular, el cual se convierte en un coágulo estable que permite la maduración fisiológica radicular, a la vez que el engrosamiento de las paredes del conducto. El objetivo de este tratamiento es permitir un cierre completo del ápice. Caso clínico: Se presenta el caso de un niño de 7 años de edad con abceso apical en el diente 21, se realiza un tratamiento de revascularización siguiendo la técnica descrita por Hoshino (1996) de apósitos intraconducto con alguna modificación. Siguiendo la teoría descrita por Iwaya en 2001, y Banchs y Trope en 2004, el canal casose desinfecta con abundante irrigación y se rellena con una combinación de pasta bi-antibiótica. Una vez que se completa el protocolo de desinfección, el ápice se irrita mecánicamente para iniciar el sangrado en el canal y producir un coágulo sanguíneo hasta el nivel de la unión cemento-esmalte, colocando Agregado Trióxido Mineral como barrera entre el coágulo y la restauración final. En este caso, la combinación de un canal desinfectado, una matriz en la que podría crecer tejido nuevo y un sello coronal efectivo parece producir el ambiente necesario para una revascularización exitosa. Conclusiones: Bajo las circunstancias de este caso, se puede concluir que el protocolo del tratamiento seguido (regeneración apical y tapón de MTA) es un tratamiento de éxito clínico para conseguir el cierre apical en dientes inmaduros. Este éxito también dependerá de variables como el material de desinfección radicular: el Cloruro Sódico seguido de una solución salina es capaz de desinfectar los conductos sin tener que instrumentar las débiles paredes dentinarias. El uso de pasta bi-antibiótica intracanal utilizada en el caso clínico previene de la pigmentación dental que provocan las tetraciclinas cuando se utilizan en la pasta tri-antibiótica. Se necesitan revisiones de control radiográfico cada 3 meses el primer año y anualmente hasta los 4 años de realizada la revascularización, para comprobar el éxito del tratamiento. Actualmente la regeneración tisular está enfocada hacia el desarrollo de sistemas de cultivo que permitan reproducir células embrionarias hacia tejidos dentales perdidos.
Caracterización de valores que se manifiestan en la interacción docente-alumnos en el programa de administración de empresas de la Universidad de Sucre (Colombia)
Authors:   Universidad de Sucre. Colombia, ROJAS Claudia P. , HERNANDEZ Hugo G. ,   Universidad de Sucre. Colombia, NIEBLES William A.
Published: January 2021

La investigación busca caracterizar los valores que se manifiestan en la interacción docente-alumnos, la metodología es descriptiva, no experimental, transversal, de campo. La población estuvo conformada por veinte estudiantes de administración de empresas, se aplicó un cuestionario con 21 ítems. La confiabilidad fue de 0.80, Los resultados se presentan calculando los puntajes de tendencia central y desviación estándar. Se concluye que existe una interacción coordinada en el aula de clase, visualizando una participación activa para promover los valores.