bluuebunny/crossref_metadata_2025 huggingface dataset:
A translanguaging view of the linguistic system of bilinguals
Authors: Otheguy Ricardo , García Ofelia , Reid Wallis
Published: March 2018

Two conceptions of the linguistic system of bilinguals are in contention. Thetranslanguagingapproach supports what we call aunitaryview, arguing that bilingualism and multilingualism, despite their importance as sociocultural concepts, have no correspondence in a dual or multiple linguistic system. In our view, the myriad lexical and structural features mastered by bilinguals occupy a cognitive terrain that is not fenced off into anything like the two areas suggested by the two socially named languages. But a strong critique of this view by Jeff MacSwan adopts the familiar position that, while allowing for some overlap, the competence of bilinguals involves language specific internal differentiation. According to this view, which we have called thedual correspondence theory, bilinguals possess two separate linguistic systems whose boundaries coincide with those of the two named languages. Several interdisciplinary considerations point to the lack of initial plausibility of the dual correspondence theory. And the main argument offered by MacSwan in defense of the theory, namely restrictions on code switching, lacks descriptive adequacy and theoretical coherence. The dual correspondence theory has had pernicious effects in educational practices. A much healthier educational climate is created by teachers who adopt the unitary view sponsored by translanguaging.
Presence and absence of προαίρεσις in Christ and saints according to Maximus the Confessor and parallels in Neoplatonism
Authors: Benevich Grigory
Published: March 2018

The article shows that prior to the debate with the Monothelites, Maximus the Confessor followed the Christian tradition going back to Gregory of Nyssa in recognizing the presence of προαίρεσις in Christ and the saints. Later during the debate, Maximus declined to apply προαίρεσις to Christ and started to speak about the deactivation of προαίρεσις in the saints in the state of deification. Maximus was the first Orthodox author who distinguished deliberate choice (προαίρεσις) and natural will (θέλημα), and defended the presence of natural will in Christ according to His humanity. At the same time, the opposition of desire (βούλησις) and deliberate choice (προαίρεσις) can be found in some Neoplatonists, such as Iamblichus, Proclus, and Philoponus. Iamblichus and Proclus rejected the presence of προαίρεσις in the gods and god-like humans, admitting only the presence of βούλησις - the desire for the Good. Thus, the evolution of the doctrine of Maximus the Confessor, regarding the application of προαίρε- σις to Christ and the saints, finds a parallel doctrine (and even possibly a source) in Neoplatonism.
Enhanced broadband absorption in nanowire arrays with integrated Bragg reflectors
Authors: Aghaeipour Mahtab , Pettersson Håkan
Published: March 2018

A near-unity unselective absorption spectrum is desirable for high-performance photovoltaics. Nanowire (NW) arrays are promising candidates for efficient solar cells due to nanophotonic absorption resonances in the solar spectrum. The absorption spectra, however, display undesired dips between the resonance peaks. To achieve improved unselective broadband absorption, we propose to enclose distributed Bragg reflectors (DBRs) in the bottom and top parts of indium phosphide (InP) NWs, respectively. We theoretically show that by enclosing only two periods of In0.56Ga0.44As/InP DBRs, an unselective 78% absorption efficiency (72% for NWs without DBRs) is obtained at normal incidence in the spectral range from 300 nm to 920 nm. Under oblique light incidence, the absorption efficiency is enhanced up to about 85% at an incidence angle of 50°. By increasing the number of DBR periods from two to five, the absorption efficiency is further enhanced up to 95% at normal incidence. In this work, we calculated optical spectra for InP NWs, but the results are expected to be valid for other direct band gap III–V semiconductor materials. We believe that our proposed idea of integrating DBRs in NWs offers great potential for high-performance photovoltaic applications.
Geschichtspolitik und die deutsche Unternehmensgeschichte
Authors: Roelevink Eva-Maria , Hesse Jan-Otmar
Published: March 2018

Politics of Past in Business History German business history currently experiences a boom of commissioned company histories that comes close to a similar high in the 1990s, when German companies started to address their Nazi-past more critically. However, the current interest goes far beyond the period between 1933 and 1945. Apparently, the companies discovered history as an instrument for marketing purposes. By placing «Politics of the Past in Business History» at the center of attention, we aim to bring together contributions of a field that has been filled mainly by an exterior perspective, esp. by journalists. The special issue of ZUG is dedicated to the question, how corporations tried to control their public history. Whether companies organized their history for political purposes beside the anniversaries and how this was conducted is widely neglected by business history so far and is addressed with the special issue.
Calling for a Unified Redefinition of “Borderlineness”: Commentary on Gunderson et al.
Authors: Sharp Carla
Published: March 2018

This commentary critically evaluates the usefulness of the standards employed by Gunderson et al. (2018) for theory evaluation and comparison and calls into question their adequacy, based both on the lack of scientific evidence supporting the assertions these standards imply and on the availability of alternative standard for theory evaluation and comparison. In so doing, the commentary calls for a redefinition of “borderlineness” as well as the use of standard criteria for theory evaluation and comparison.
Meningkatkan Pemahaman dan Mengembangkan Karakter Mahasiswa Melalui Pembelajaran Kolaboratif Berbasis Proyek
Authors: Hendikawati Putriaji , Sunarmi Sunarmi , Mubarok David
Published: March 2018

Tujuan penelitian ini adalah meningkatkan pemahaman serta mengembangkan karakter mahasiswa melalui pembelajaran berbasis proyek. Penelitian ini merupakan penelitian tindakan kelas yang dilaksanakan dalam 2 siklus pada mahasiswa Program Studi Matematika peserta perkuliahan Analisis Runtun Waktu di Jurusan Matematika FMIPA Universitas Negeri Semarang tahun akademik 2014/2015 sejumlah 43 mahasiswa. Prosedur penelitian tindakan mencakup 4 tahap, yaitu (1) perencanaan, (2) pelaksanaan tindakan, (3) observasi, dan (4) evaluasi-refleksi. Instrumen penilaian berupa tes, lembar observasi serta kuesioner. Hasil penelitian menunjukkan terjadi peningkatan pemahaman mahasiswa yang ditunjukkan dengan peningkatan nilai rata-rata hasil belajar baik pada hasil proyek kelompok yaitu 72,2 pada siklus I dan meningkat menjadi 86,09 pada siklus II, maupun rata-rata hasil tes individu, yaitu 78,77 pada siklus I menjadi 83,56 pada siklus II. Serta peningkatan presentase jumlah mahasiswa yang memperoleh hasil belajar lebih dari 80 yaitu terdapat 20 mahasiswa (46,5%) pada siklus I menjadi 37 mahasiswa (86%) pada siklus II. Disamping itu, penelitian ini menumbuhkan karakter disiplin, rasa ingin tahu, kerjasama (toleran dan demokratis), tanggung jawab, jujur, peduli, serta cinta tanah air pada mahasiswa.The purpose of this study is to improve and developed the students abillity and character through project-based learning. This research was an action research performed in 2 cycles on 43 students in Analisis Runtun Waktu subject in Mathematics Department, Semarang State University. Action research procedure includes four stages: (1) planning, (2) implementation of the action, (3) observation, and (4) evaluation-reflection. Instrument used are tests, observation sheet and questionnaire. The results showed there are increase in student understanding shown by the increase in the average value of learning outcomes either on the results of the project groups: 72,2 in the first cycle and increased to 86,09 in the second cycle, and the average results of the individual tests, that is 78,77 in the first cycle to 83,56 in the second cycle. And increasing the percentage of the number of students who gained more than 80 learning outcomes which there are 20 students (46,5%) in the first cycle to 37 students (86%) in the second cycle. In addition, this study raise the character of discipline, curiosity, cooperation (tolerant and democratic), responsibility, honesty, caring, and love of the homeland to the student.
Lygios moterų ir vyrų galimybės pasaulyje, Europos Sąjungoje ir Lietuvoje
Authors: Kublickienė Lilija
Published: March 2018

This article discusses the issue of gender equality as being an integral part of human rights and the fundamental basis of democracy. It is argued that the existence of legal guarantors is not a sufficient factor for the implementation of de facto gender equality. It is considered that the implementation of gender equality is a basic criterion of the quality of democrcy and reflects a certain change of values within a society. This article deals with the concepts of gender and gender equality, emphasizing their dynamism depending on the historical, political, cultural and social context, stressing that gender equality is still not implemented in many areas, although it is widely recognized that gender parity is important – not only in moral but also in social and economic terms.On the basis of report data from the Global Gender Gap, this article analyzes the indicators that disclose the differences of women and men statuses across four key areas: health, education, economy and politics. It investigates the current situation of gender equality on a global scale, the European Union and Lithuania, observing the changes that have taken place over the last decade (2006–2016).

Keywords: human rights, gender, gender equality, gender gap, social integration, social exclusion
Worse than communism? Discursive anti-gender mobilizations in Lithuania
Authors: Buschmann Dovainė
Published: March 2018

Without doubt, anti-gender struggles in Lithuania are an essential part of a broader transnational tendency to promote tradition and religion over equality, to discredit the European Union as a place of moral decline, to criticize gender studies as an academic discipline etc. However, some aspects of anti-gender mobilization in this state are locally embedded and historically determined. The aim of this article is to analyze patterns of argumentation and implicit assumptions on the term gender as a conceptual analogy of Communism. Hence, the the focus of this paper is on the following questions: how is the analogy between genderism and Communism constructed in the public discourse in Lithuania? Why is this comparison a successful strategy of anti-gender mobilization? The analysis is based on an intensive reading and an interpretation of selected texts that explicitly tackle the analogy between gender equality policies and Communism.

Keywords: gender, anti-genderism, communism, discourse
Smurtas prieš moteris kaip diskriminacijos dėl lyties forma ir lyčių stereotipų pasekmė
Authors: Michailovič Ilona
Published: March 2018

There is a reoccurring relationship between the functioning and dissemination of gender stereotypes, violence against women and discrimination against women. Negative stereotypes of women still do exist and are still firmly established. In this article, we demonstrate the consequences of the existence of such stereotypes, and we analyze the decisions of the United Nations Committee on the Elimination of Discrimination against Women regarding sexual violence against women.The article addresses a range of issues that expressly substantiate a need for effective measures in respect of violence against women. The process of positive change of social views on the traditional role of women and men is certainly a long process, and it cannot be done without the inspiration and activity of both the individual states and international organizations. The contributions of numerous international institutions in this area have been demonstrating increasingly clearly that any state is fundamentally obliged to confront violence both in the public domain and private environments, and that it must ensure the safety, protection and assistance for victims of violence.
Late Neolithic Tisza sites in the Serbian part of Banat
Authors: Mirković-Marić Neda , Marić Miroslav
Published: March 2018

The paper reviews the current state of research and our knowledge of the Late Neolithic Tisza tradition sites in the Serbian Banat. The first sites were discovered almost one and a half centuries ago, while the first archaeological excavations were undertaken in the late 19th century. The overview of the known sites in the first part of the study is followed by data on fresh research that was resumed in the first decade of the 21st century.
Kísérlet néhány magyarországi ötvösjegy feloldására XVII
Authors: Grotte András
Published: March 2018

Continuing with his earlier publications (Művészettörténeti Értesítő) the author presents new goldsmith’s marks and mark variants found in private collections and the art trade and makes an attempt to decode them. For already published marks he relies on Elemér Kőszeghy’s book (Elemér Kőszeghy: Hungarian goldsmith’s marks from the Middle Ages to 1867. Budapest 1936) and for the Pest-Buda marks on Ilona P. Brestyánszky’s work (History of goldsmith’s art in Pest-Buda. Budapest 1977), referring to the running numbers in these works. He presents new data about the goldsmiths of Pest, Brassó (Braşov, Kronstadt, Romania), Debrecen, Eperjes (Prešov, Preschau, Slovakia), Lőcse (Levoča, Leutschau, Slovakia), Nagyvárad (Oradea, Großwardein, Romania), Rimaszombat (Rimavská Sobota, Gross-Steffelsdorf, Slovakia), Szabadka (Subotica, Serbia) and Szatmárnémeti (Satu Mare, Romania).
Enumeratio és ékesség Árkay Bertalan 1945 utáni (usque) 12 temploma
Authors: Lantos Edit
Published: March 2018

The paper presents Bertalan Árkay’s post-1945 smaller churches and through them the architect’s formal solutions and working method on the basis of plans in the estate, archival sources and his own list of works. After a source critical collation of the listed sources, the author takes stock of the elements of the oeuvre and identifying the buildings attributed to Árkay she clarifies the size of the oeuvre. She has found that between 1945 and 1953 he planned three churches (Cegléd, Gerjen, Kömpöc) but the construction of the Cegléd church was interrupted by the historical circumstances. Between 1957 and ’60 he made plans for nine churches (Győr-Kisbácsa, Szalkszentmárton, Vecsés Andrássy-telep, Hernád, Inárcs, Móricgát, Tiszalök, Újtikos, Vecsés-Óplébánia) seven of which were constructed on his plans. In 1961–65 he planned and built the churches of Pátroha, Parádsasvár and Tiszaeszlár. After the identification of restoration work and the contributions of other architects, it could be concluded that in addition to the churches of Hort and Taksony Bertalan Árkay saw 12 of his planned churches built up.

The examination of the buildings and the plan drawings confirmed that Árkay had some favourite formal solutions that he was wont to resort to. Regarding the façade design, three versions can be differentiated: one with a façade tower, one with a gable wall, and one with a pediment. As for window types, he had a penchant for windows with circular head, windows/French windows designed upon the arms of the cross and rosettes subdivided with a cross. Comparing them to the material in the estate one finds that Árkay often reused his motifs designed 20–25 years earlier. Behind the repeated forms of details (portals, choir) collaboration with the same craftsmen can be discerned.

By correcting some facts of the biography the author clarifies that apart from his work in state planning offices, Bertalan Árkay accepted several ecclesiastical commissions. It also came to light that in addition to planning new buildings he often undertook the restoration of buildings and the designing of objects of furnishing in any style.

The final conclusion is that after 1945 Bertalan Árkay was not able to repeat the architecture historical bravura he achieved with the Városmajor church, the prelude to modern Hungarian church architecture, designed with his father Aladár Árkay. In aesthetic terms his smaller churches satisfy the standards of ecclesiastic art and the expectations of the users, but their historicizing elements remove them from the contemporary trends of architecture, and their repetition shows routine rather than architectural invention.
AZ EMLÉKEZET TÉRBELI SZÉPSÉGE Körülírás a gyakorlat felől
Authors: Szabó Levente
Published: March 2018

Cikkemben az építőművészet tudományágban készített habilitációs tézisfüzetem bevezetőjének és egyik fejezetének szerkesztett változatát közlöm. Tézisemmel és az azokat kísérő esettanulmányokkal azt a kohéziót szerettem volna értelmezni, amely munkáimat szorosan fűzi össze. A történelmi városmag körüli köztér (Sopron, a Várkerület revitalizációja), a klasszikus műemléki rekonstrukció (a régi budai Városháza rekonstrukciója), a modern műemlék megújítása (a Móricz Zsigmond körtéri „Gomba” megújítása) és a világháborús egyetemi emlékmű (az ELTE Trefort-kerti emlékhelye), majd egy monográfia (Bán Ferenc építészete) létrehozása között feszült az elmúlt évek szélesnek mondható műfaji skálája. Munkáimat, amelyekben az elmúlt évek során részt vettem – az alkotással, annak folyamatával kapcsolatos jól ismert emlékezetfogalom rokonságán túl – az épített, térbeli, történeti és kulturális, időben és térben gazdag – 700, avagy csak 70 éves – hagyomány is rokonítja, amelyen e folyamatok során gyakran párhuzamosan és hosszú évekig dolgozhattam. A munkák folyamata és eredménye a hagyományokra reflektált, azon dolgozott, ráadásul szigorúan építészeti eszközökkel: terekkel, anyagokkal és szerkezetekkel, vagy – kivételt erősítő szabályként – azok textuális rekonstrukciójával. Mind az öt tézis az emlékezet fogalmával szembesített, mely fogalom a terek, épületek időben elhúzódó jelenlétének, spontán és tervezett átalakulásának okán evidensen az építés és az építészet sajátja. A tézisek és azok kifejtése közvetlenül az építészeti gyakorlatomat, valamint az ahhoz szorosan kötődő elméleti eredményeimet igyekezett bemutatni. Terjedelmi okokból e cikkben az öt tézis közül egyet, a budapesti Móricz Zsigmond körtéri „Gomba” épületének megújításához kötődő, Az épület metamorfózisa című tézisemet és az ahhoz kapcsolódó szöveget közlöm csak. A tézis azonban reprezentatív, amennyiben a tézisfüzetben bemutatott munkáim – reményeim szerint – átfogó, építészettörténeti, esztétikai, műszaki kérdéseket integráltan szemlélő jellegét és az emlékezetfogalommal való összetett elméleti és gyakorlati kapcsolatrendszerét híven tükrözi.
REKAYASA LED IKAN MELALUI PENGATURAN LUMENSI CAHAYA BERBASIS PERANGKAT LUNAK VERSI BETHA
Authors: Cahyadi Agus , Xing You Wong
Published: March 2018

Beberapa jenis ikan mempunyai fototaksis positif terhadap cahaya berkorelasi terhadap kemampuan histologi ikan untuk mengenal karakteristik spektral. Karakteristik spektral dipengaruhi oleh faktor warna, gelap-terang dan faktor lainnya. Light emitting diode atau LED adalah sirkuit semikonduktor mampu memancarkan cahaya saat dialiri listrik. LED memancarkan cahaya lewat aliran listrik yang relatif tidak menghasilkan banyak panas. Lampu LED terasa dingin dipakai karena tidak menambah panas ruangan seperti lampu pijar berbahan logam halida. Rekayasa LED untuk menarik  sekumpulan ikan dirancang sirkuit elektronik dengan menggunakan kombinasi LED  dengan variasi panjang gelombang yaitu  LED putih (600 nm), biru (465-500 nm), hijau (500-520 nm) dan amber (595-605 nm). Melalui pengaturan lumensi LED dengan perangkat lunak menghasilkan pola tertentu untuk mengumpulkan ikan pada malam hari. Pola zig-zag dengan variasi pengulangan mampu menarik perhatian ikan teri jenis Stolephorus sp. untuk mendekati batas lumensi LED ikan selama 3 jam berenang di sekitar alat tersebut.
INDIKASI KEBERADAAN GAS HIDRAT PADA CEKUNGAN BUSUR MUKA SIMEULUE DAN POTENSINYA SEBAGAI SUMBER ENERGI MASA DEPAN
Authors: Triarso Eko , Arief Troa Rainer
Published: March 2018

Gas hidrat merupakan gas metana (CH4) yang bersenyawa dengan air membentuk padatan kristal es pada temperatur dan tekanan tertentu sehingga pada kristal es ini mengandung molekul CH4 di dalam rongga molekul air (H2O). Keberadaan gas hidrat diharapkan dapat menjadi sumber energi baru masa depan. Cekungan Busur Muka (Cekungan) Simeulue memiliki kondisi tektonik dengan akumulasi sedimen laut dalam yang tebal sertadiindikasikan memiliki temperatur dan tekanan yang memungkinkan bagi terbentuknya zona stabilitas gas hidrat (Gas Hydrate Stability Zone-GHSZ).Tujuan penelitian adalah melakukan identifikasi keberadaan gas hidrat melalui interpretasi pada penampang seismik Cekungan Simeulue. Metodologi yang digunakan adalah melakukan pengolahan data seismik (seismic data processing) untuk menghasilkan penampang bawah permukaan dasar laut yang dapat memberikan gambaran struktur geologi dan perlapisan sedimen dengan cukup detail dan akurat. Karakteristik bottom simulating reflector(BSR) pada penampang seismik merupakan indikasi utama keberadaan gashidrat di dalam lapisan sedimen dasar laut. Data primer yang digunakan adalah hasil survei akuisisi seismik multichannel 2-Dpada 3 lintasan di Cekungan Simeulue. Survei seismik ini merupakan hasil kerjasama riset kelautan Indonesia-Jerman SEACAUSE II pada tahun 2006 di perairan barat Sumatera yang berhasil mendapatkan data pada 43 lintasan seismik. Berdasarkan hasil penelitian ini, BSR sebagai indikasi keberadaaan gas hidrat ditemukan pada 3 lintasan seismik pada Cekungan Simeulue yaitu lintasan BGR06-136, BGR06-137, dan BGR06-139 dengan karakteristik membentuk lensa, sejajar ataupun memotong horison perlapisan sedimen.
Medicine Pharmacy Interprofessional Exercise Pilot: Lessons Learned
Authors: Miller Samuel , Wood Elena A. , Fulford Michael , Fagan Susan , Wallach Paul
Published: March 2018

This article was migrated. The article was marked as recommended. The Association of American Medical Colleges and the American Association of Colleges of Pharmacy with leaders of other health professions formed the Interprofessional Education Collaborative (IPEC) in 2009. Interprofessional education (IPE) is now a component of accreditation standards for academic programs in both medicine and pharmacy. While geographically separated, the Medical College of Georgia (Augusta University) and the College of Pharmacy (University of Georgia) have over 40 year history of collaboration but never intentionally added joint curricular offerings.To address IPE competencies, we developed and evaluated a medicine pharmacy collaborative exercise. Specifically, to compare the attitudes and perception toward interprofessional education and practice of students from two disciplines. An observational cross sectional study with 208 third year medical (M3) students and 108 third year pharmacy (P3) students was conducted in two consecutive academic years. Groups consisted of 6-8 M3 and 3-4 P3 students from all campuses across the state. The M3 student was to choose a patient they had seen who was taking at least 3 prescription medications. Objectives for students were to discuss the case (medications, side effects, cost, pharmacogenetics, drug-drug interactions, and cost effectiveness). A report of M3-P3 findings was to be submitted for grading by the Pharmacy faculty. Once the exercises were completed surveys were distributed and the de-identified data was analyzed in relation to IPEC competencies . The study was conducted in one academic year and 316 responses were obtained. Within medical students 48.2 % agreed and 21.2 % strongly agreed to consult with Pharm D in the future. Perception of leadership in the groups was shifted more toward pharmacy students (56.5% vs. 27.4%, p<0.0001). Students confidence in working with other professionals was improved more for pharmacy students than medical students (50.0% in P3 and 30.2% in M3 p =0.0014). Communication skills improved more in P3 than M3 (48.2% in P3 and 28.3% in M3, p=0.0043). More research is needed on equal adoption of IPE by medical and pharmacy students. Emphasis should be made on equal state of training (theory vs. clinical) on both sides with focus on working as a team and value of each team member. More direct involvement in patient care is needed with both M3 and P3 having face to face contact with patients and each other.
Is excellence inclusive? The benefits of fostering Black female college athlete's sense of belonging
Authors: Francique Akilah
Published: March 2018

The purpose of this research note is to urge intercollegiate athletic departments and their administrators to foster a sense of belonging amongst Black female college athletes to aid in their felt membership as a college athlete and support their development as viable employment candidates in college sport. Black female college athletes’ graduation rates are on the rise; however, these being hired at dismal rates in college sport. By fostering a sense of belonging, Black female college athletes as a historically marginalized group are able to feel a sense of connectedness in the athletics and greater university environment; athletic departments commit to major organizational change that values diversity and inclusion; and through its commitment, a culture of inclusive excellence is felt by all students, faculty, staff and athletic administrators and coaches. Keywords: Black female college athletes, college sport, intercollegiate athletics, sense of belonging, diversity and inclusion, inclusive excellence
Review: Disknowledge by Katherine Eggert
Authors: Myklebost Svenn-Arve
Published: March 2018

Review of Disknowledge: Literature, Alchemy, and the End of Humanism in Renaissance England, by Katherine Eggert. U Penn Press, 2016.
INDICADORES ANTROPOMÉTRICOS COMO PREDITORES DA SÍNDROME METABÓLICA EM ADOLESCENTES
Authors: Nobre Roseanne de Sousa , Guimarães Mayla Rosa , Batista Ana Míria Oliveira , Sousa Artemízia Francisca de , Lima Luisa Helena de Oliveira , Silva Ana Roberta Vilarouca da
Published: March 2018

RESUMO Objetivo: predizer a síndrome metabólica em adolescentes a partir de indicadores antropométricos por análise de sensibilidade e especificidade dos pontos de corte. Método: estudo transversal e descritivo em uma amostra estratificada de 716 adolescentes de 10 a 19 anos selecionados por amostragem aleatória simples em 30 escolas públicas municipais e estaduais localizadas em Picos, Piauí, na Região Nordeste do Brasil, a coleta de dados ocorreu no período de agosto a dezembro de 2014 e março de 2015. Investigaram-se os fatores índice de massa corporal e índice de conicidade. A síndrome metabólica foi identificada a partir dos critérios adaptados para a idade. Resultados: observou-se a prevalência de estudantes do sexo feminino 61,3%, a prevalência de síndrome metabólica foi de 3,2%. A área sobre a curva de Características de Operação do Receptor mostrou que o índice de massa corporal e o índice de conicidade se mostraram eficientes para a predição de síndrome metabólica tanto na amostra total, quanto na estratificação por sexo. Conclusão: os indicadores antropométricos índice de massa corporal e índice de conicidade foram bons preditores da síndrome metabólica nessa população.
Cervical Cancer in Ethiopia: The Effect of Adherence to Radiotherapy on Survival
Authors: Moelle Ulrike , Mathewos Assefa , Aynalem Abreha , Wondemagegnehu Tigeneh , Yonas Bekuretsion , Begoihn Matthias , Addissie Adamu , Unverzagt Susanne , Jemal Ahmedin , Thomssen Christoph , Vordermark Dirk , Kantelhardt Eva J.
Published: March 2018

Background

Discontinuation of radiotherapy (RT) for cervical cancer (CC) in sub-Saharan Africa is common because of patient- and health service-related reasons. This analysis describes toxicities and the effect of adherence on survival.

Materials and Methods

A total of 788 patients with CC (2008–2012) who received RT at Addis Ababa University Hospital were included. External beam RT without brachytherapy was performed according to local guidelines. We previously described survival and prognostic factors. Now we analyzed adherence and survival according to total doses received. Adjustment via multivariate cox regression analysis was done.

Results

One-year overall survival (OS) after radical RT (n = 180) for International Federation of Gynecology and Obstetrics (FIGO) stages IIA–IIIA was 89% for discontinuation (<72 Gy) and 96% for adherence (≥72 Gy; hazard ratio [HR], 1.3; 95% confidence interval [CI], 0.5–3.3). One-year OS after nonradical RT (n = 389) for FIGO stages IIIB–IVA was 71% for discontinuation (<40 Gy) and 87% for adherence (44–50 Gy; HR, 3.1; 95% CI, 1.4–6.9). One-year OS for FIGO stages IIIB–IVB (n = 219) after one compared with two or more palliative single fractions of 10 Gy were 14% and 73% respectively (HR, 7.3; 95% CI, 3.3–16). Reasons for discontinuation were toxicities, economic background, and RT machine breakdown. Grade 1–2 late toxicities were common (e.g., 30% proctitis, 22% incontinence). Grade 3 early and late toxicities were seen in 5% and 10% respectively; no grade 4 toxicities occurred.

Conclusion

Patients who adhered to guideline-conforming RT had optimum survival. Better supportive care, brachytherapy to reduce toxicities, socioeconomic support, and additional radiation capacities could contribute to better adherence and survival.

Implications for Practice

This study presents the effect of adherence on survival of 788 patients with cervical cancer receiving external beam radiotherapy without brachytherapy in Ethiopia. Discontinuation of planned radiotherapy according to local guidelines considerably reduced survival for all International Federation of Gynecology and Obstetrics (FIGO) stages treated (hazard ratios were 1.3, 3.1, and 7.3 for FIGO stages IIA–IIIA and IIIB–IVA and the palliative approach, respectively). Early toxicity (5% grade 3) should be treated to improve adherence. Economic difficulties and machine breakdown should also be addressed to reduce discontinuation and improve survival.
Costs of Cancer Care Across the Disease Continuum
Authors: Kaye Deborah R. , Min Hye Sung , Herrel Lindsey A. , Dupree James M. , Ellimoottil Chad , Miller David C.
Published: March 2018

Purpose

The aim of this study was to estimate Medicare payments for cancer care during the initial, continuing, and end-of-life phases of care for 10 malignancies and to examine variation in expenditures according to patient characteristics and cancer severity.

Materials and Methods

We used linked Surveillance, Epidemiology and End Results-Medicare data to identify patients aged 66–99 years who were diagnosed with one of the following 10 cancers: prostate, bladder, esophageal, pancreatic, lung, liver, kidney, colorectal, breast, or ovarian, from 2007 through 2012. We attributed payments for each patient to a phase of care (i.e., initial, continuing, or end of life), based on time from diagnosis until death or end of study interval. We summed payments for all claims attributable to the primary cancer diagnosis and analyzed the overall and phase-based costs and then by differing demographics, cancer stage, geographic region, and year of diagnosis.

Results

We identified 428,300 patients diagnosed with one of the 10 malignancies. Annual payments were generally highest during the initial phase. Mean expenditures across cancers were $14,381 during the initial phase, $2,471 for continuing, and $13,458 at end of life. Payments decreased with increasing age. Black patients had higher payments for four of five cancers with statistically significant differences. Stage III cancers posed the greatest annual cost burden for four cancer types. Overall payments were stable across geographic region and year.

Conclusion

Considerable differences exist in expenditures across phases of cancer care. By understanding the drivers of such payment variations across patient and tumor characteristics, we can inform efforts to decrease payments and increase quality, thereby reducing the burden of cancer care.

Implications for Practice

Considerable differences exist in expenditures across phases of cancer care. There are further differences by varying patient characteristics. Understanding the drivers of such payment variations across patient and tumor characteristics can inform efforts to decrease costs and increase quality, thereby reducing the burden of cancer care.
Treatment and Survival of Patients with Colon Cancer Aged 80 Years and Older: A EURECCA International Comparison
Authors: Vermeer Nina C.A. , Claassen Yvette H.M. , Derks Marloes G.M. , Iversen Lene H. , van Eycken Elizabeth , Guren Marianne G. , Mroczkowski Pawel , Martling Anna , Johansson Robert , Vandendael Tamara , Wibe Arne , Moller Bjorn , Lippert Hans , Portielje Johanneke E.A. , Liefers Gerrit Jan , Peeters Koen C.M.J. , van de Velde Cornelis J.H. , Bastiaannet Esther
Published: March 2018

Background

Colon cancer in older patients represents a major public health issue. As older patients are hardly included in clinical trials, the optimal treatment of these patients remains unclear. The present international EURECCA comparison explores possible associations between treatment and survival outcomes in elderly colon cancer patients.

Subjects, Materials, and Methods

National data from Belgium, Denmark, The Netherlands, Norway, and Sweden were obtained, as well as a multicenter surgery cohort from Germany. Patients aged 80 years and older, diagnosed with colon cancer between 2001 and 2010, were included. The study interval was divided into two periods: 2001–2006 and 2007–2010. The proportion of surgical treatment and chemotherapy within a country and its relation to relative survival were calculated for each time frame.

Results

Overall, 50,761 patients were included. At least 94% of patients with stage II and III colon cancer underwent surgical removal of the tumor. For stage II–IV, the proportion of chemotherapy after surgery was highest in Belgium and lowest in The Netherlands and Norway. For stage III, it varied from 24.8% in Belgium and 3.9% in Norway. For stage III, a better adjusted relative survival between 2007 and 2010 was observed in Sweden (adjusted relative excess risk [RER] 0.64, 95% confidence interval [CI]: 0.54–0.76) and Norway (adjusted RER 0.81, 95% CI: 0.69–0.96) compared with Belgium.

Conclusion

There is substantial variation in the rate of treatment and survival between countries for patients with colon cancer aged 80 years or older. Despite higher prescription of adjuvant chemotherapy, poorer survival outcomes were observed in Belgium. No clear linear pattern between the proportion of chemotherapy and better adjusted relative survival was observed.

Implications for Practice

With the increasing growth of the older population, clinicians will be treating an increasing number of older patients diagnosed with colon cancer. No clear linear pattern between adjuvant chemotherapy and better adjusted relative survival was observed. Future studies should also include data on surgical quality.
Oven dying kinetics and status of cement-based porous materials for in-lab microstructure investigation
Authors: Zhang Qi , Zeng Qiang , Zheng Da Chuang , Wang Jiyang , Xu Shi Lang
Published: March 2018

Oven drying is one of the most commonly used methods to remove water confined in cement-based porous materials (CBPMs) for microstructural investigations. Water removal from porous solids can be governed by moisture diffusion, capillary flow and sorption-based mechanisms, which generate various drying models. Taking into account material types and water to cement ratios, the water removal kinetics and status of hardened cement pastes and mortars were investigated by oven drying at 60°C. Diffusion- and sorption-based drying kinetic models were revisited and employed to capture the drying profiles of CBPMs. The characteristics of drying profiles, model parameters and their relations to the pore structures of CBPMs were analysed. The results show that pore structure is a primary factor impacting drying kinetics and status. For dense porous solids, a long enough drying time is required to obtain a sufficiently dried status and for predicting the equilibrium moisture content by the models. Oven drying at moderate temperature can be an efficient drying method for removing water from a dense porous solid.
An Investigation of Inhibition Effects of Honey, Pollen, Propolis and Royal Jelly Extracts on Thioredoxin Reductase Enzyme Activity
Authors: AKKEMİK Ebru , AKBULUT Gamze
Published: March 2018

The thioredoxin reductase
enzyme is an enzyme that prevents the mechanism of apoptosis from working and
thus triggers the formation of cancer. Therefore, the inhibition of the
thioredoxin reductase enzyme is thought to prevent or inhibit cancer. In this
study, the effects of extracts of plateau honey, pine honey, chestnut honey,
mad or wild honey, pollen, propolis and royal jelly on thioredoxin reductase
enzyme activity were investigated. Enzyme activities were measured at constant
substrate and different inhibitor concentrations to calculate IC50
values. Over five different inhibitor concentrations were used for measuring
the inhibition constant. Total antioxidant activity were investigated in order
to compare the extracts used in the inhibition study. The strongest inhibitory
effect was seen in the pollen methanol extract (IC50 = 2.44μg /mL)
BIOL 354W - Research Methods in Advance Microbiology v14
Authors: Leon Rosa
Published: March 2018

This protocol series will guide students through the experience of analyzing metagenomic data.
Chromosomal DNA Measurement - IMAGE CYTOMETRYA v1
Authors: Ronildo Clarindo Wellington , Roberto Carvalho Carlos
Published: March 2018

The DNA amount can be measured for each chromosome of the karyotype by image cytometry. Image cytometry (ICM) associates microscopy, digital image and software technologies and has been particularly useful in spatial and densitometric cytological analyses. ICM integrates the methodologies of microscopy optical calibration, standard density filters, digital CCD camera and image analysis softwares for quantitative applications. Besides of all system calibration and setup, cytological protocols must perform good slide preparations for efficient and reliable ICM analysis.
THE MODERN VIEW ON THE COMPLEX TREATMENT OF PATIENTS WITH UTERINE FIBROIDS
Authors: Levakov S A , Kedrova A G , Kojurina K V , Vanke N S
Published: March 2018

Uterine fibroids are the most common solid tumours in the female pelvis. The purpose was to examine the long term results of treatment uterine myoma through combined therapy in 54 patients. To assess the reproductive health of patients with uterine fibroids after treatment included to use ana logues of gonadotropinreleasing hormone (GnRH) with or without embolization of uterine artery(UAE) and myomectomies. . The introduction of gonadotrophinreleasing hormone agonists (GnRHa) has been found to be useful in the management of patients of reproductive age with uterine fibroids for minimization of risk of relapse.
CLINICAL AND MOLECULAR ASPECTS OF MUCINOUS OVARIAN TUMORS: ETIOPATHOGENESIS, INDIVIDUALIZATION OF TREATMENT
Authors: Kedrova A G , Levakov S A , Shablovskiy O R , Vanke N S , Nechaeva O V , Maksimenko T A
Published: March 2018

To determine the prognosis and prognostic factors in series of mucinous tumors of the ovary (MTO) we included 34 patients in our retrospective review. Criteria were defined: 1.centralized histological review by our expert pathologist; 2. high risk of peritoneal pseudomyxoma or any synchronous malignant tumor in the abdominal cavity; 3. available data on the management and outcomes of patients. We found specific markers overexpression in mucinous ovarian tumors compared to their normal ovary tissues and serous type ovarian tumors by analysis of serum CA 19,9, CEA and immunohistochemistry. These results suggest that mucinous tumors of the ovary have distinctive cancergenesis and may attribute to the progression of the mucinous ovarian cancer.
LUNG FUNCTION DISORDERS IN SCREENING-DIAGNOSTICS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Authors: Makarkin A S , Novozhilov V K , Shestovitsky V A , Samarina S A , Lutsenko E V , Osipova T M , Makarevich E V
Published: March 2018

Screening spirometry of river transport workers was performed. From 1536 tests, the obstructive disorders corresponding functional diagnosis of COPD are revealed in 219 cases. From them of 66,2% it was necessary on patients with FEV1≥ 80%, FEV1/FVC ≤70%. Results of research prove, that spirometry as routine inspections allows to reveal COPD patients at early stages of disease before development of clinical complaints.
APPLICATION OF LARYNGEAL MASK IN PATIENTS WITH ANKYLOSING SPONDILYTIS
Authors: Machno U E , Kutsevolova N V
Published: March 2018

The use of laryngeal mask (LM) instead of nasotracheal intubation is justified in patients with injuries and congenital abnormalities of the cervical spine, diseases with limited mobility of the cervical spine, such as ankylosing spondylitis (Bechterew's disease). Intubation in this group of patients is usually carried out using fibrobronchoscopy. Application of laryngeal mask in these patients requires not only haemodynamics monitoring , but also permanent monitoring of gas exchange parameters (SpO 2, ЕТCO 2) and the tightness of breathing circuit. In a clinical case of a 47old patient suffering from ankylosing spondylitis for 10 years LM with muscle relaxants and mechanical ventilation was used successfully during routine general anesthesia in his knee arthroplasty.
ENDOTHELIAL FUNCTION AND MORPHOFUNCTIONAL STATE OF BLOOD CELLS IN THE BASINS OF THE ISCHEMIC LIMBS IN THE DIFFERENT TYPES OF SURGICAL TREATMENT OF ATHEROSCLEROSIS OBLITERANS
Authors: Katelnitsky I I , Pleskachev S A , Burikov M A , Matsionis A S , Povilaytite P E
Published: March 2018

The aim of the investigation was to study the morphological condition of blood cells in the basins of the ischemic limbs and their dynamics as a result of various types of surgical treatment. Implementation of combined surgical treatment has a more normalizing effect in comparison with isolated reconstructive surgical treatment. The use of lumbar sympathectomy in patients with occlusive lesions of arteries of lower limbs and varying degrees of ischemia reduces endothelial dysfunction and normalizes a number of parameters describing the morphology and functioning of red blood cells and platelets. There was detected the deformation of red blood cells indicating that the restoration of the plasticity of red blood cell membranes significally reduced the degree of agglutination of red blood cells. According to obtained data the influence of sympathectomy depends on the severity of the disease in general the highest efficiency is observed at the II and III degree of ischemia.
SOME ASPECTS OF CT ASSESSMENT OF SUPRAVESICAL URINARY TRACT IN PATIENTS AFTER CYSTILEOPLASTICS
Authors: Sukhanova O P , Borondzhiyan T S , Minasyan E V
Published: March 2018

The purpose of the research was to determine morphological and urodynamic changes of supravesical urinary tract in patients after cystileoplastics. Methods. CT studies in the late postoperative period in 19 patients after radical cystectomy, combined with vesiculoprostatectomy and cystoileoplastics and malignant lesions of the bladder were performed. Results. None of cases revealed signs of continued growth. In 57% of the cases it was evidence of lymphadenopathy in the absence of negative dynamics of the underlying disease. No dependence of the state of anastomoses of the volume formed by the reservoir and the degree of shortening of the ureter was found. In assessing the state of supravesical urinary tract 11 from 19 (57,8%) patients were registered varying degrees of severity gidroureteronephrosis, and in 4 patients, pelvic ureteric reflux. All patients with urodynamic disorders identified "new bladder" had less volume than patients who did not have these disorders. Conclusion. CT study is the method of choice in the evaluation of supravesical urinary tract after cystoileoplastics for timely prevention of complications of an inflammatory process. It was revealed that the degree of changes in the urinary tract depending of the volume of the reservoir formed, requires further analysis.
METHOD OF SURGICAL GENTLE TREATMENT OF PATIENTS WITH CHRONIC HYPERTROPHIC RHINITIS
Authors: Selyutina E A , Beysova W R , Yuriev S I , Radchenko E J
Published: March 2018

The technique of intramucosal vacuumresection of the inferior nasal concha in patients with chronic hypertrophic rhinitis. Provides evidence of the efficacy of obtaining histologic material data by the method, the functional parameters, evidenced a feasibility of the successful treatment of the discussed technology.
CASE OF THE CARCINOID TUMOUR OF THE RECTUM
Authors: Morozova M A , Malkov P G , Zorina J V , Grinevich V N , Himina I N
Published: March 2018

Description of a clinical case of rectum carcinoid in 71 years women, confirmed hystologycally and at immunophenotyping.
ANEURISMS OF ABDOMINAL AORTA VISCERAL BRANCHES AS DIAGNOSTIC FINDINGS DURING ABDOMINAL CT
Authors: Kemez Yu V , Eremeicheva A Yu
Published: March 2018

The article is dedicated to CTdiagnostics of aneurisms of unpaired visceral branches of abdominal aorta. All cases, described in the article, are accidental findings, as a result of their asymptomatic course and extremely rare occasions. The most frequent aneurisms of spleen artery are registered (60% ), hepatic artery (1640%). In the most cases, aneurisms of visceral branches do not reveal themselves. However, one of the most dangerous complication of abdominal aorta visceral branches aneurisms is spontaneous intraperitoneal bleeding.
THE INFLUENCE OF HIGHLY TECHNOLOGICAL TREATMENT METHODS ON THE LEVEL OF PRIMARY DISABILITY IN THE ALTAY REGION POPULATION CAUSED BY MUSCULOSKELETAL SYSTEM AND TRAUMA CONSEQUENCES
Authors: Goncharenko A G , Maletin S I , Shuvalov A Yu , Kolyado A V , Tyulupa V G
Published: March 2018

The analysis of dynamics and structure of primary disability of the Altay region population caused by diseases and consequences of lower extremities trauma was provided. The influence of highly technological treatment methods on the level of primary disability was assessed.
BIOELECTRIC IMPEDANCEMETRY AS A METHOD OF ASSESSMENT OF THE MYOCARDIUM DURING OPEN-HEART SURGERY
Authors: Bubnov V A , Puzenko D V
Published: March 2018

The article analyses the possibility of using direct bioelectric impedancemetry of the right ven- tricle (RV) as an intra-operation method for evaluation of myocardial protection effectiveness in open-heart surgery. The results of intra-operation monitoring of bioelectric impedancemetry indi- cators of RV in 40 patients underwent surgical treatment with the use of cardioplegia were ana- lyzed. Bioelectrical impedance of myocardium has been studied during the whole period of artificial blood circulation. The analysis of the results showed that the bioelectric myocardium impedancemetry allows to assess the level of the interstitial space filling during the infusion of cardioplegia solution, providing an opportunity to assess the perfusion adequacy and also the level of reperfusion cells damage and myocardium swelling degree at the stage of coronary blood flow restoration. Using the method of myocardium bioelectric impedancemetry we found that blood cardioplegia with the "thermal induction" more reliably protects the myocardium in the period of anoxia in comparison with the cold cardioplegia.
ISSUES OF ANTICOAGULANT TREATMENT MANAGEMENT
Authors: Zateyshchikov D A , Isaeva M Yu
Published: March 2018

The review provides information about various aspects of anticoagulant treatment organization. The recommendations concerning the organization of a specialized anticoagulant service are discussed. The rules of patient education, the choice of anticoagulant dosage control are described. Authors provide data of the cost-effectiveness of anticoagulants.