bluuebunny/crossref_metadata_2025 huggingface dataset:
B.1. Eugenies Einsicht. Ein griechischer Dramenschluß bei Goethe
Authors: Ingenkamp Heinz Gerd
Published: September 2019

Goethes Drama Die Natürliche Tochter endet "griechisch". Die Art, wie Eugenie zur Einsicht kommt, entspricht ebenso wie der Inhalt dieser Einsicht dem – religiösen – Lehrstoff eines Teils der überlieferten griechischen Tragödien. Wie ein Vergleich zeigt, ist der Schluß der Natürlichen Tochter einmalig in der klassischen deutschen Dramenliteratur. Zur Erläuterung dieser These wird eine Deutung einiger griechischer und Weimarer Dramenschlüsse vorgelegt. Goethe hat die griechische Tragödie nicht nachahmen wollen. Seine von der hier vorgelegten Interpretation abweichenden Intentionen lassen sich einerseits aus der von ihm angeregten und gebilligten Rezension von Ferdinand Delbrück und andererseits aus dem Umstand erkennen, daß der Schluß der Natürlichen Tochter nicht das Ende des geplanten Großdramas sein sollte. Somit ist der "griechische" Schluß der Natürlichen Tochter ein Zufall. Er ergibt sich aus der Berührung von Goethes eigener Entsagungsthematik mit einem im weiteren Sinne politischen Inhalt, der sich mit der Weltanschauung eines Teils der griechischen Tragödien berührt.
A.4. Attire in Ammianus and Gregory of Tours
Authors: Newbold Ron F.
Published: September 2019

The fourth century historian of the Roman Empire, Ammianus Marcellinus, focuses on attire and accessories that signify high rank, status and authority. In his narrative there are a number of cases where clothing and insignia feature in illegitimate or dangerous aspirations to power, and brought destruction upon the aspirants, or threatened to. An ongoing concern for Ammianus is how appropriately attired people are. He scorns the pretentious clothing of Roman nobles and bishops, took pleasure in retailing the reaction of the emperor Julian to his overdressed barber, and considered the craven Epigonius to be a philosopher only in his attire. Gallus Caesar's forced change from high to low status clothing portended his imminent execution. In his ethnographic excurses, Ammianus uses the attire of foreign peoples to define their otherness. The sixth century historian of Merovingian Gaul, Gregory of Tours, is largely oblivious to fine apparel unless it is the shining vestments of saints and angels. Humble and harsh clothing, such as skins and hair shirts denote spiritual commitment or reorientation, a change of "habit", a declaration that can be stripped away by enemies and persecutors while leaving the faith itself intact. Real ascetics eschew footwear in winter. The most striking feature of clothing in Gregory is the magical powers, to heal or punish, that it can absorb from the bodies of holy wearers. In both authors, clothes and character may be mismatched but Ammianus does not share Gregory's fondness for simple and uncomfortable attire, and certainly not his belief that a few threads from the clothing of someone long dead can work miracles.
A.3. Hippodamos de Milet: évolution ou révolution des structures spatiales urbaines?
Authors: Cursaru Gabriela
Published: September 2019

Limitation déterminée du nombre des citoyens, division tripartite du corps civique de la polis en classes sociales, division fonctionnelle du territoire de la ville en trois lots, division tripartite des lois en espèces juridiques liées aux trois genres de délits: telles sont les célèbres innovations opérées par Hippodamos à Milet et au Pirée au cours du Vème siècle grec. Le zoning fonctionnel hippodamien nous propose une autre grammaire spatiale qui rend compte à la fois de la rationalité et de la géométrie des structures civiques et des programmes idéologiques dont elles constituent l’expression. L’urbanisme ionien classique ainsi esquissé, constitue-t-il une révolution des manières d’agencement du territoire de la cité grecque ou un rayonnement des paradigmes architecturaux expérimentés dans le milieu colonial de la Sicile du VIIe s. av. J.-C. ?
A.1. Überlegungen zu den Theognideen
Authors: Gärtner Thomas
Published: September 2019

The following remarks concerning textual criticism are not intended to extrapolate from the Byzantine redactions any kind of "Ur-Theognis", i.e. to reconstruct archaic elegies, from which the transmitted verses might have arisen by being repeatedly excerpted. Rather they start from the fact that the individual pieces as presented in West's editions are on the one hand text segments of high and concise stylistic quality, while on the other they have become heavily corrupt. Corrupt pieces of text may be recognized and emended by the process of text-immanent observation. Consequently immanent textual criticism without recurrence to an "Ur-Theognis" seems to be possible.
A.1. Turia, Lepidus, and Rome's epigraphic environment
Authors: Keegan Peter
Published: September 2019

This paper discusses the episode in the laudatio 'Turiae' of an elite Roman woman's interaction with the triumuir M. Aemilius Lepidus (LT 2.13-17). Scholarship of the last century has discussed this element of the LT from a variety of standpoints. None of these treatments has approached the description of the experiences and actions of the laudata from the perspective of the ancient consumer of information and meaning within the complete epigraphic environment of the inscription. I will look at the ways in which a contemporary audience perceived and understood the details of this episode in the life-history of the laudata in relation to the wider sensorium of visual, auditory, and kinaesthetic cues comprising the funerary monumentum.
A.2. Apollo and his purpose in Sophocles' Oedipus Tyrannus
Authors: Lawrence Stuart
Published: September 2019

Apollo actively intervenes in the fulfilment of Oedipus’ destiny through oracles and immanently in the onstage action. Rather than to punish him for any offence, the god’s purpose appears to be to impress upon Oedipus his existential insignificance. In the context of an ordered but absurd universe, Sophocles emphasises the paradox of the moral greatness of a man whose ‘official’ existential value is less than zero.
A.1. Self-characterisation in Rhesus 394-424
Authors: Papadodima Efi
Published: September 2019

This short note pays close attention to the way in which the tragic Hector speaks about himself in his exchange with Rhesus (Rhesus 394–424). Hector’s appeal to his natural disposition as the agent that not only determines his particular way of relating to his fellows but also — albeit more implicitly — drives him to initiate the debate with the Thracian king, as suggested by his closing words, is a quite rare instance in tragic poetry.
A.4. On the identity of the 'Q. Fabius' of Val. Max. 2.7.3
Authors: Covino Ralph
Published: September 2019

Münzer, Broughton, and others have provided a variety of identity options for the Q. Fabius who is mentioned at Val. Max. 2.7.3. Some attribute a quaestorship to this Fabius whereas others have been more skeptical. This paper seeks to explore the issue more fully so as to better illustrate the process by which magisterial attributions are made as well as to offer an alternative account to that which is commonly accepted in the post‐Broughton era.
A.1. Aristotle On Poets: a critical evaluation of Richard Janko's edition of the fragments
Authors: Heath Malcolm
Published: September 2019

This paper provides a critical examination of Richard Janko’s edition of the fragments of Aristotle On Poets (Janko 2011). Section 1 discusses passages preserved in late ancient texts which Janko assigns to On Poets. Section 2 identifies problems in the evidence preserved in the Philodemus papyri. Section 3 assesses indi­rect evidence for Aristotle’s theory of katharsis, and considers two contested points in Aristotle’s dis­cussion of katharsis in Politics 8: the meaning of mousikē, and the nature of his response to the challenge posed by Plato in Republic 10.
Presence of the Mesopodopsis slabberi (Van Beneden, 1861) (Crustacea: Mysida) from the Mediterranean Sea coast of Turkey
Authors: Özcan Tahir , Ateş A. Suat , Acar Seçil
Published: September 2019

Mysid, Mesopodopsis slabberi (Van Beneden, 1861) was for the first time recorded in İskenderun Bay (eastern Mediterranean). A total of 10 specimens belong to M. slabberi was collected at the depths between 0 and 2 m. This paper is on the first record of M. slabberi from the Levantine coast of Turkey.
Feeding during High‐Flow Nasal Cannula for Bronchiolitis: Associations with Time to Discharge
Authors: Shadman Kristin A. , Kelly Michelle M. , Bruce Edmonson M. , Sklansky Daniel J. , Nackers Kirstin , Allen Ann , Barreda Christina B. , Thurber Anne S. , Coller Ryan J.
Published: September 2019

BACKGROUND

High‐flow nasal cannula (HFNC) is increasingly used to treat children hospitalized with bronchiolitis; however, the best practices for feeding during HFNC and the impact of feeding on time to discharge and adverse events are unknown. The study objective was to assess whether feeding exposure during HFNC was associated with time to discharge or feeding‐related adverse events.

METHODS

This retrospective cohort study included inpatients aged 1‐24 months receiving HFNC for bronchiolitis at an academic children's hospital from January 1, 2015 to March 1, 2017. Feeding exposures during HFNC were categorized as fed or not fed. Among fed children, we further evaluated mixed (oral and tube) or exclusive oral feeding. The primary outcome was time to discharge after HFNC cessation. Secondary outcomes were aspiration, intubation after HFNC, and seven‐day readmission.

RESULTS

Of 123 children treated with HFNC, 45 (37 %) were never fed. A total of 78 children (63%) we fed; 50 (41%) were exclusively orally fed and 28 (23 %) had mixed feeding. Median (interquartile range) time to discharge after HFNC was 29.5 hours (23.5‐47.9) and 39.8 hours (26.4‐61.5) hours in the fed and not fed groups, respectively. In adjusted models, time to discharge was shorter with any feeding (hazard ratio [HR] 2.17; 95% CI: 1.34‐3.50) and with exclusive oral feeding (HR 2.13; 95% CI: 1.31‐3.45) compared with no feeding. Time to discharge from HFNC initiation was shorter for exclusive oral feeding versus not feeding (propensity weighted HR 1.97 [95% CI: 1.13‐3.43]). Adverse events (one intubation, one aspiration pneumonia, one readmission) occurred in both groups.

LIMITATIONS

Assessment of feeding exposure did not account for quantity and duration.

DISCUSSION

Children fed while receiving HFNC for bronchiolitis may have shorter time to discharge than those not fed. Feeding‐related adverse events were rare regardless of the feeding method. Controlled prospective studies addressing residual confounding are needed to justify a change in the current practice. Journal of Hospital Medicine 2019;14:e43‐e48. © 2019 Society of Hospital Medicine
Open Problem—Convergence and Asymptotic Optimality of the Relative Value Iteration in Ergodic Control
Authors: Arapostathis Ari
Published: September 2019

The relative value iteration scheme (RVI) for Markov decision processes (MDP) dates back to White (1963) , a seminal work, which introduced an algorithm for solving the ergodic dynamic programming equation for the finite state, finite action case. Its ramifications have given rise to popular learning algorithms (Q-learning). More recently, this algorithm gained prominence because of its implications for model predictive control (MPC). For stochastic control problems on an infinite time horizon, especially for problems that seek to optimize the average performance (ergodic control), obtaining the optimal policy in explicit form is only possible for a few classes of well-structured models. What is often used in practice is a heuristic method called the rolling horizon, or receding horizon, or MPC. This works as follows: one solves the finite horizon problem for a given number of steps N, or for an interval [0,T] in the case of a continuous time problem. The result is a nonstationary Markov policy, which is optimal for the finite horizon problem. We fix the initial action (this is the action determined at the Nth step of the value iteration (VI) algorithm) and apply it as a stationary Markov control. We refer to this Markov control as the rolling horizon control. This of course depends on the length of the horizon N. One expects that for well-structured problems, if N is sufficiently large, then the rolling horizon control is near optimal. Of course, this is a heuristic. The rolling horizon control might not even be stable. For a good discussion on this problem, we refer the reader to Della Vecchia et al. (2012) . Obtaining such solutions is further complicated by the fact that the value of the ergodic cost required in the successive iteration scheme is not known. This is the reason for the RVI.
Assistência estudantil e acesso à educação superior: um estudo na UECE
Authors: Da Silva Flávia Gonçalves , Cavaignac Mônica Duarte , Da Costa Renata Maria Paiva
Published: September 2019

Este artigo analisa a assistência estudantil na Universidade Estadual do Ceará (UECE) como instrumento de viabilização do acesso ao ensino superior, a partir de pesquisa realizada com estudantes do Curso de Serviço Social. Fundamentada no materialismo histórico-dialético, a pesquisa utilizou estudos bibliográfico, documental e de campo, em que se realizaram entrevistas e observação da realidade dos interlocutores. Considerando que o acesso à educação superior envolve o ingresso, a permanência e a qualidade da formação, conclui-se que a assistência estudantil na UECE ainda é incipiente, contando com reduzida equipe profissional e ações que não atendem à totalidade dos estudantes e de suas demandas, como o Programa de Bolsas de Estudos e Permanência Universitária (PBEPU), embora contribuam para reduzir a evasão entre os beneficiados. Assim, faz-se necessário articular os benefícios pecuniários a outras ações de assistência estudantil, compreendendo diferentes aspectos que interferem na permanência dos estudantes até a conclusão de seus cursos. Palavras-Chave: educação superior; acesso; assistência estudantil; Serviço Social.
Juventude e educação para o trabalho: a experiência de uma geração
Authors: De Melo Carolina Morais Simões
Published: September 2019

A partir da década de 1990 ocorrem alterações significativas no mundo do trabalho e na vida social, gerando aumento da pobreza, do desemprego e, também, a reconfiguração da formação para o trabalho, orientada pelas demandas do capital. Ainda que os reflexos desse cenário atinjam todos, os jovens são os mais afetados pelas alterações na educação e no trabalho. Este artigo apresenta resultados de pesquisa que se voltou ao estudo da reconfiguração das políticas de formação e para a identificação da forma pela qual os jovens vivenciam as experiências de uma geração a partir da análise de um programa municipal de formação profissional. Palavras-Chave: juventude; educação profissional; trabalho.
O descarte do trabalhador idoso no capitalismo contemporâneo e sua reutilização: elementos que os conduzem ao mercado informal de trabalho
Authors: Alves Cláudia Núbia dos Santos
Published: September 2019

O estudo proposto nesse trabalho visa empreender uma discussão acerca do envelhecimento do trabalhador no capitalismo contemporâneo e as motivações que têm levado os trabalhadores idosos a se inserirem no mercado informal de trabalho. Palavras-Chave: envelhecimento; trabalho; informalidade.
Trabalhadoras domésticas: saberes subalternos, tensões e resistências na cozinha da patroa
Authors: Lopes Eliane Terezinha
Published: September 2019

Resenha do livro Domésticas: cotidianos na comensalidade, de Maria Luisa Jumenez-Jimenez. Belo Horizonte: Letramento, 2018. 200 p.
Lingual nerve neuropathy: more than just third molar surgery and inferior alveolar nerve blocks
Authors: Ngeow Wei Cheong , Chai Wen Lin
Published: September 2019

Neuropathy of the lingual nerve, when it occurs, often results from third molar surgery, or the provision of inferior alveolar nerve blocks. Investigators have reported that the anatomical location and the unpredictable course of the lingual nerve play important roles in it being affected by these procedures. However, there are many other causes of neuropathy with which most medical and dental practitioners are unfamiliar. This article briefly reviews the course of the lingual nerve, and summarizes the causes and reports of all uncommon aetiologies of neuropathy that can occur along the path of a lingual nerve. The clinical implication and management of lingual nerve neuropathy is discussed.

CPD/Clinical Relevance: The reader should appreciate the importance of accurately diagnosing lingual nerve neuropathy as it can manifest from many other dental procedures and non-dental causes, apart from routine mandibular third molar surgery and local anaesthetic injections.
Pharmacists' role in improving diabetes care
Authors: Winter George
Published: September 2019

The diabetes epidemic is gaining traction, Here, George Winter discusses the role that pharmacists can play in improving care for people living with type 2 diabetes
Managing lymphoedema in patients with dementia: how to address compliance
Authors: Stoney Josephine
Published: September 2019

As practitioners, our primary goal is to do our best for our patients. We give information, advice and recommendations and strive to ensure patients comprehend what we have said to them. Our desire and expectation is that they will carry out our recommended actions, in order to support their treatment and gain a positive outcome. Here, we explore some of the factors that may affect this compliance, particularly for the patient with dementia who has lymphoedema.
The use of Penthrox (methoxyflurane) in trauma patients
Authors: Sevillano-Barbero Manuel , Ruddy Claire
Published: September 2019

Penthrox (methoxyflurane) is an inhaled analgesic. It is a non-invasive, lightweight, portable handheld inhaler indicated for the emergency relief of moderate-to-severe pain in conscious adult patients with trauma. It is becoming very popular in the pre-hospital setting and in the emergency department and has been proven to reduce acute pain within 6–10 inhalations. One 3 ml bottle will provide effective analgesic relief for up to 30 minutes (continuous use) or 1 hour (intermittent use). With very few drug interactions and a short half-life, it is the ideal analgesic for conscious patients. However, it is not recommended to use regularly and should not replace a good analgesic approach.
Prescribing: an onerous responsibility?
Authors: Cooper Dan , Hutton Julie , Pierce-Hayes Ian
Published: September 2019

There is no question that becoming a prescriber is liberating and ensures autonomous practice as well as a sense of professional pride in managing complete episodes of patient care. The decision to become a prescriber can be voluntary or an expectation of developing roles and service delivery. Either way, it is an onerous undertaking. The purpose of this article is to explore the responsibility of becoming a prescriber from the perspective of three prescribers looking at the academic expectations as well as the experiences faced by new prescribers over the first 12 months of prescribing.
Feeling connected: qualitative analysis of social and digital inclusion experienced by digital champion volunteers at Newcastle City Library
Authors: Casselden Biddy , Dawson Lisa
Published: September 2019

This practice paper reports on qualitative research examining ‘digital champion’ volunteers at Newcastle City Library, focusing on their motivations for volunteering and the feelings of social and digital belonging they experience. The research identified four categories
of motivators that resulted in successful volunteering, relating to individual, people, employment and environmental factors. Suggestions for tackling challenges are identified, in addition to key recommendations for successful value-added volunteer use.
Autonomous network diagnosis from the carrier perspective [Invited]
Authors: Tanaka Takafumi , Hirano Akira , Kobayashi Shoukei , Oda Takuya , Kuwabara Seiki , Lord Andrew , Gunning Paul , González de Dios Oscar , Lopez Victor , Lopez de Lerma Arturo Mayoral , Manzalini Antonio
Published: September 2019

Network operators will require autonomous operation with the help of
artificial intelligence to reduce operational expenditures and to
create networks that are easier to manage and maintain. However, not
all operators operate in the same way. Therefore, we may have
different operator-specific use cases for such autonomous operations.
Differences may arise from the range and variety of services and
social and/or cultural difference/background. However,
we believe that there should be a common framework to achieve such an
autonomous world in network operation. We discuss such
operator-specific use cases and requirements in this paper. Then, we
propose a possible common network diagnosis framework (the CAT cycle)
and its platform to meet the requirements.
Experiencing a space: Applying experiential methods to support the learning of art and design
Authors: Kärnä-Behm Jaana
Published: September 2019

The purpose of this study is to promote the experiential learning (EL) method in the pedagogics of art and design in higher education. This article is based on a case study consisting of two pedagogical projects in interior design courses, the probing project and the multisensory space project, carried out between 2014 and 2016 with trainee teachers. Using the data from these projects I analyse using the qualitative content analysis method how and with what implications EL supports learning of art and design in higher education. The results show that EL was found to be inspiring and self-expressive, and was an unusual and motivating way to learn interior design. In a teacher education context EL gave students ideas about collaborative and EL-based methods of learning that could be applied to their own future teaching projects.
‘Why did the photographer choose only dark-skinned kids?’: Young students’ reactions to Otherness in photographs
Authors: Gil-Glazer Ya’ara
Published: September 2019

This article presents a case study of 2nd-grade Israeli students’ reactions to Otherness in photographs. The students participated in PhotoLingo, a unique intervention programme designed to promote thinking and language skills through a series of photo-based tasks. In the particular class, most of the students’ parents were Jewish immigrants from the former Soviet Union whose native language was not Hebrew, with average/below average socio-economic status. The study shows the students’ significant improvement in the use of thinking and language skills. Moreover, it highlights the ways in which the programme promoted the students’ social skills and enabled many of them to profoundly express well-considered ideas about Otherness, including reflections on their own sense of Otherness. These findings indicate the potential of employing photographs and photo-elicitation in stimulating discussions on cultural and social identities, differences and sense of belonging among children, and in enhancing their social awareness and sense of empathy.
Fernanflor y la literatura periodística: los Cuentos rápidos (1886)
Authors: Ezama Gil María Ángeles
Published: September 2019

El periodista Fernanflor fue responsable de la introducción de la literatura en las páginas de la prensa española del siglo xix, a través de sus crónicas en periódicos como El Imparcial y El Liberal y revistas como La Ilustración de Madrid y La Ilustración Ibérica. Su máxima, de acuerdo con las exigencias del medio, fue la de la rapidez en la escritura, como lo revela el título de sus Cuentos rápidos (1886), que por lo mismo presentan con frecuencia un estilo desaliñado, incorrecto incluso, el mismo de sus crónicas. Por ello, sus cuentos son también un ejemplo de literatura periodística, que a menudo se funde y se confunde con el de la crónica. Además de la rapidez y la brevedad el sello inconfundible de los cuentos de Fernanflor es el sentido del humor, expresado con una retórica tópica, folletinesca y melodramática, con la que el periodista pone en solfa muchos de los convencionalismos sociales de su siglo.
Tradicionalismo e inverosimilitud: los cuentos de Carlos Coello
Authors: Martín Rebeca
Published: September 2019

Pese a los numerosos estudios sobre el cuento español del siglo xix publicados en las últimas décadas, todavía hay un abundante corpus que espera ser rescatado de las páginas de libros, revistas y periódicos. A él pertenecen los relatos de Carlos Coello, especialmente sus Cuentos inverosímiles (1878, 1890). El presente trabajo analiza la vertiente moral, tradicionalista, satírica y fantástica de estos cuentos, así como el concepto del género narrativo y la idea de verosimilitud que subyace en ellos.
Tras las huellas de una poética del cuento en Ana María Matute
Authors: Gutiérrez Sebastián Raquel
Published: September 2019

En el artículo se realiza una revisión de los cuentos de Ana María Matute y se repasan en primer lugar los discursos en los que la autora explicó su concepción del género, para posteriormente analizar algunos de los relatos más significativos en la producción de la autora y exponer algunos de los caracteres más relevantes de la producción cuentística de la escritora barcelonesa.
La poética antiheroica de José Suárez Carreño y su relación con la censura franquista
Authors: Ripoll Sintes Blanca
Published: September 2019

Este artículo tiene como propósito principal analizar el contenido crítico de la obra literaria de José Suárez Carreño y su singular relación con la censura franquista. Debido a la escasa atención que ha merecido su poesía vamos a estudiar el carácter antiépico de sus textos, así como las relaciones culturales y literarias que atraviesan su obra narrativa. El caso de Suárez Carreño nos permitirá explicar la naturaleza múltiple y cambiante con el paso de los años de la censura franquista.
María Isabel Jiménez Morales (ed.), Salvador Rueda. Obras Completas. Cuentos y artículos de costumbres, Málaga, Publicaciones y Divulgación Científica, Universidad de Málaga, 2016 y Los relatos de Salvador Rueda (1886-1893), Sevilla, Editorial Renacimiento, 2017
Authors: Ayala Aracil María de los Ángeles
Published: September 2019

Reseña de María Isabel Jiménez Morales (ed.), Salvador Rueda. Obras Completas. Cuentos y artículos de costumbres, Málaga, Publicaciones y Divulgación Científica, Universidad de Málaga, 2016, ISBN:9788497479509 y Los relatos de Salvador Rueda (1886-1893), Sevilla, Editorial Renacimiento, 2017, ISBN: 9788416981205.
Línea Mortal (2017): Al borde entre la vida y la muerte
Authors: Novelo Pérez José Patricio , Escalante Lucero Edgar , Molina Martínez Rodolfo Pedro , Hernandez Perera Rosendo , Inurreta Díaz Martín , Méndez Domínguez Nina
Published: September 2019

Línea mortal (Enganchados a la muerte) (2017) es una película del género ciencia ficción y terror. Dirigida por Niels Arden, es una adaptación de la versión original de 1990. Con protagonistas de alta gama como Ellen Page, Kieffer Sutherland y Diego Luna. La película trata de cinco estudiantes de medicina y su intento por estudiar la actividad cerebral inmediata después de la muerte. Para esto, se someten a parar su ritmo cardiaco y así privar al cerebro de oxígeno, mientras son monitoreados mediante equipo médico sofisticado, en busca de actividad cerebral no estudiada antes. El filme toma un giro hacia el género de terror, al experimentar eventos paranormales secundarios al paro cardiaco, los cuales harán que los protagonistas, generen conciencia sobre eventos del pasado, y así evitar consecuencias fatales. Durante el filme logramos observar varios aspectos técnicos relacionados al campo médico, desde discusiones entre profesionales sobre qué método tomar para la reanimación cardio pulmonar, el cual difiere de acuerdo con las guías de reanimación descritas; así como el error médico y cómo esto puede llegar a influir en la vida diaria del médico.
Alternative Treatment of a Bleeding Rectal Varix Using an Over-the-Scope Clip
Authors: Sánchez-Luna Sergio A. , Gulati Rishabh , Rustagi Tarun
Published: September 2019

Portal hypertension with the subsequent development of portosystemic shunts such as rectal varices is a well-known complication of liver cirrhosis. We discuss the classic options for management of bleeding rectal varices. We present an alternative and not previously described use of an over-the-scope clip to manage bleeding from a rectal varix refractory to management with endoscopic banding.
OSTEOPOROSIS TREATMENT ADHERENCE: RESULTS FROM A RETROSPECTIVE COHORT STUDY
Authors: Nikitinskaya O. A. , Toroptsova N. V. , Nasonov E. L.
Published: September 2019

Treatment adherence in patients with osteoporosis (OP) is rather low throughout the world, and 50 to 75% of patients stop taking anti-osteoporotic drugs within a year after therapy prescription.Objective: to establish determinants that affect patient adherence to OP therapy.Subjects and methods. The investigation enrolled 150 women older than 50 years (mean age, 68.8±9.4 years) with OP duration of ≥3 years who had made an outpatient visit to the V.A. Nasonova Research Institute of Rheumatology. Their examination consisted of a survey using a specially designed questionnaire. Treatment adherence was evaluated, by using the data on the duration of treatment for OP within 3 years prior to the study inclusion, as well as by calculating the drug use index.Results and discussion.During 3 years, 94 (63%) female patients were adherent to OP treatment, including those who took zoledronic acid (78%), denosumab (75%), and alendronate or ibandronate (60%); therapy with antiosteoporotic drugs was changed in 53% of patients. The most common reason for missing or discontinuing treatment was poor drug tolerance (33%); and that for self-replacement of recommended drugs was their cost (75%). Age, education, marital status, income, duration of disease and length of treatment, a familial history of fractures or a hip fracture, the number of concomitant diseases, and the total number of drugs taken did not affect medication adherence. Patients who were more adherent to OP treatment were those who underwent determination of serum vitamin D levels (p=0.009), calculation of a 10-year absolute osteoporotic fracture risk according to the FRAX® algorithm (p=0.022), an annual bone densitometry examination (p=0.0158) and, more often than annually, biochemical blood tests (p=0.0043), as well as those who had visited their physician 3 times or more during the estimated period (p=0.003). There were more people adherent to OP treatment among the patients receiving the parenteral formulations of drugs than among those who took drugs as tablets (p=0.036). Educational materials, brochures, and lectures on OP and a follow-up in a specialized center did not ensure that treatment adherence could be significantly increased (p>0.05).Conclusion. Patient adherence to OP therapy is positively influenced by determination of serum vitamin D levels, calculation of a 10-year absolute osteoporotic fracture risk (FRAX®), annual therapeutic monitoring using bone densitometry and results of biochemical blood tests, regular visits to a physician  who follows up the patient for OP, as well as simplification of a dosing regimen and administration of the parenteral formulations of drugs used to treat OP.
COMPARATIVE ANALYSIS OF MAIN CLINICAL MANIFESTATIONS IN MALES AND FEMALES WITH EARLY AXIAL SPONDYLOARTHRITIS
Authors: Rumyantseva D. G. , Dubinina T. V. , Demina A. B. , Smirnov A. V. , Erdes Sh.
Published: September 2019

Currently, there have been a small number of works on differences between males and females with axial spondyloarthritis (axSpA) and there have been no studies estimating a gender difference in radiographic sacroiliitis progression in axSpA.Objective: to compare the main clinical manifestations of sacroiliitis and its radiological progression in axSpA in men and women over time during a 2-year follow-up period.Subjects and methods. The investigation was conducted using the Moscow cohort from the early SpondyloArthritis (CoRSAr) study, which currently consisted of 175 patients. The analysis included 68 patients followed up for ≥2 years. Their mean age at the time of inclusion in the cohort was 28.5±5.8 years; the mean disease duration was 24.1±15.4 months. 92.6% of patients were HLA-B27-positive.Results and discussion. Among the 68 patients followed up over 2 years, there were 33 (48.5%) men and 35 (51.5%) women. At baseline, the females were older than the males (p<0.01), while the disease duration was the same and averaged about 2 years. Among the males, there were more patients with ankylosing spondylitis (AS) than those among the females (75.5 and 42.8%, respectively; p<0.05), and the men had a higher total score of radiological sacroiliitis (tsrSI) than the women. The level of C-reactive protein (CRP) was also higher in the men than in the women (12.8 and 4.3 mg/l, respectively; p<0.05). Two years later, AS was present in 90.9% of the males and in 60.0% of the females (p<0.05).Conclusion. Women fall ill with axSpA later than men, and the latter are more frequently observed to have HLA-B27, higher tsrSI and elevated CRP levels. Progression from non-radiological axSpa to AS was more common in men.
ENDOTHELIAL DYSFUNCTION AND NEUROHUMORAL REGULATION OF BLOOD PRESSURE IN PATIENTS WITH SYSTEMIC SCLEROSIS
Authors: Shilkina N. P. , Yunonin I. E. , Stolyarova S. A. , Vinogradov A. A.
Published: September 2019

Objective: to investigate the effect of endothelial dysfunction, catecholamines, and renin on the diurnal blood pressure (BP) profile in patients with systemic sclerosis (SS).Subjects and methods. Twenty-five patients with SS underwent determination of the blood count of desquamated endotheliocytes by the method described by J. Hladovec (1978), the plasma levels of endothelin-1 (ET-1), adrenaline, norepinephrine, and renin by enzyme immunoassay. All the patients underwent 24-hour BP monitoring with calculating the time index, daily index, the magnitude and rate of a morning rise in BP, as well as its daily variability.Results and discussion. Hypertension was detected in 8 (32%) patients with SS. All the patients with SS showed signs of endothelial dysfunction, as evidenced by considerable differences in endothelial activation measures compared with the control group: the mean level of ET-1 was 5.8±2.3 and 0.48±0.21 fmol/ml (p<0.05); the number of desquamated endotheliocytes was 4.50 [3.00; 7.00] and 2.10 [1.00; 3.20] • 104/l, respectively (p<0.05). The levels of adrenaline and norepinephrine in SS were significantly higher than those in the control. There were positive correlations between endothelial dysfunction and the degree of an increase in BP. Endothelial dysfunction was found to have a negative impact on the diurnal BP profile in the presence of pathological types of night-peaker and non-dipper. Conclusion. Two mechanisms, such as endothelial dysfunction and sympathoadrenal activation, are responsible for the pathogenesis of clinical symptoms of SS, including hypertension.
RARE RHEUMATIC DISEASES. RELAPSING POLYCHONDRITIS: A CLINICAL CASE
Authors: Semizarova I. V. , Eliseeva L. N. , Davydova A. F. , Baste Z. A. , Kisian Zh. A.
Published: September 2019

The diagnosis of a disease accompanied by febrile syndrome presents special problems in clinical practice. The traditional diagnostic algorithm in this case involves the exclusion of infections, cancer, and rheumatic diseases. The causes of fever can be severe types of rheumatoid arthritis, systemic vasculitis, and diffuse connective tissue diseases, as well as rare diseases, the difficulty of diagnosis of which is due to low awareness of the disease and the absence of specific clinical, laboratory, and instrumental signs. These also include relapsing polychondritis (RPC) in particular. RPC is a rare systemic inflammatory disease of cartilage tissue, which leads to its structural changes resulting in complete destruction. Cartilages of the acoustic apparatus, nose, trachea, and joints are mainly affected. The severity of cardiovascular injury in RPC has recently been emphasized. This disease is observed with equal frequency in men and women, primarily at the age of 40–60 years, predominantly in white people, but it also occurs in other populations. The etiology of RPC is unknown. There are no pathognomonic laboratory and instrumental tests for the diagnosis of RPC. A unified approach to treating this condition has not been elaborated. The available data on the pathogenesis, various clinical manifestations and treatment options of the disease are analyzed. The authors’ own observations of RPC are depicted.
«Outdoor learning»: revisión histórica. Proyecto Learning Outside the Classroom
Authors: García-Sampedro Fernández-Canteli Marta
Published: September 2019

En este artículo hacemos un breve recorrido histórico centrado en aquellos educadores que apostaron por la educación fuera del entorno formal de aprendizaje, principalmente en Europa, para concluir con la presentación de un proyecto educativo que utiliza dichos espacios para promover la comunicación oral en lengua inglesa entre el alumnado de primaria y secundaria.
More than an Artist in the Making: Samuel Beckett’s “Assumption” Revisited
Authors: Fernández José Francisco
Published: September 2019

Samuel Beckett’s first published short story, “Assumption” (1929), is usually described as an apprentice work, “a piece of marginally interesting juvenilia” (Pattie 2000: 52), a beginner’s attempt toward a modernist short story in which the influence of James Joyce is clear. Indeed, it has been claimed that Joyce’s A Portrait of the Artist as a Young Man is the model underlying Beckett’s early foray into creative fiction. The current paper seeks to reassess the established critical appreciation of “Assumption”, that of being a parody of Joyce’s novel by a playful disciple; instead, I will argue that Beckett was in fact questioning the very principles of his master’s art. If Portrait is the epitome of the Künstlerroman, Beckett in his short piece debunked the myth of the young artist by consciously downgrading the aesthetic concerns of his protagonist and by disrupting the revered categories of modernist fiction.

This essay is part of the research project FF I 2016-76477-P, funded by the Spanish Ministerio de Ciencia, Innovación y Universidades and by AEI / FEDER. The author would also like to thank CEI Patrimonio (Universidad de Almería) for their support..
John Barth and David Foster Wallace: An Abortive Patricide
Authors: Ziegler Heide
Published: September 2019

David Foster Wallace initially saw himself as a late postmodernist; indeed, he literally wrote a text in the margins of his copy of John Barth’s Lost in the Funhouse. Later on, probably under the influence of Harold Bloom’s The Anxiety of Influence, he wanted to become one of those “strong poets” who need to commit a literary patricide so as to clear imaginative space for themselves. What has been more or less overlooked so far (or perhaps simply taken for granted, given the widespread recognition and influence of Creative Writing Seminars in the U. S.) is that Wallace used the model of teacher and student to create his own relationship between Author and Reader, turning the story into a battleground between them. This essay attempts to show that Wallace’s “homicidal” as well as “fawning” attitude towards Barth actually raises the status of the author he means to succeed.
False Generosity of the State: Parasitic Subjectivity in J. M. Coetzee’s Life and Times of Michael K
Authors: Keramatfar Hossein , Bavakhani Sara
Published: September 2019

This paper holds that J. M. Coetzee’s novel, Life and Times of Michael K, demonstrates how apartheid, in order to preserve its domination over the nonwhite population of South Africa, as with other authoritarian regimes, commonly encouraged dependency. Its various institutions and camps aimed precisely to create a culture of dependence and to fashion subjects utterly dependent on the state. A dependent subject is a powerless, exploitable, and controllable subject; this is the right kind of subject for colonizers. The black majority of South Africa, then, could only have a parasitic existence, completely dependent on their white masters. The novel narrates how dependence is created through the false generosity of the state. As Paulo Freire in Pedagogy of the Oppressed argued, false charity is a state strategy that serves to reproduce the relations of domination. Coetzee’s novel, thus, suggests that to undermine the structure of domination, the oppressed have to reject the culture of dependence and the parasitic subjectivity that arise from the false generosity of the state.
Research on elastic recoil and restoration of vessel pulsatility of Zn-Cu biodegradable coronary stents
Authors: Zhou Chao , Feng Xiangyi , Shi Zhangzhi , Song Caixia , Cui Xiaoshan , Zhang Junwei , Li Ting , Toft Egon Steen , GE Junbo , Wang Luning , Zhang Haijun
Published: September 2019

Coronary stents made of zinc (Zn)-0.8 copper (Cu) (in wt%) alloy were developed as biodegradable metal stents (Zn-Cu stents) in this study. The mechanical properties of the Zn-Cu stents and the possible gain effects were characterized by in vitro and in vivo experiments compared with 316L stainless steel stents (316L stents). Young’s modulus of the as-extruded Zn-0.8Cu alloy and properties of the stents, including their intrinsic elastic recoil, stent trackability were evaluated compared with 316L stents. In vivo study was also conducted to evaluate restoration of pulsatility of vessel segment implanted stents. Both Zn-Cu stents and 316L stents have good acute lumen gain. By comparison, the advantages of Zn-Cu stents are as follows: (I) Zn-Cu stents have less intrinsic elastic recoil than 316L stents; (II) stent trackability indicates that Zn-Cu stents have a smaller push force when passing through curved blood vessels, which may cause less mechanical stimulation to blood vessels; (III) in vivo study suggests that Zn-Cu stents implantation better facilitates the recovery of vascular pulsatility.
Modelling a production process using a Sankey diagram and Computerized Relative Allocation of Facilities Technique (CRAFT)
Authors: Rudolf Kampf , Martina Hlatká
Published: September 2019

This paper constitutes a partial output of carried out research and is focused on modelling the production process of car seat manufacturing. Given that manufacturing companies are currently struggling with a shortage of qualified workforce, it is the job of every business to keep their current employees. Companies make efforts to operate the most efficient production processes at very low cost and with labour saving. In order to produce at low cost, the work environment must be designed efficiently. There are many ways to do this. In this paper focused on optimizing production processes, Computerized Relative Allocation of Facilities Technique (CRAFT) and a Sankey diagram will be used.
Synthesis and characterization of Cu doped chromium oxide (Cr2O3) thin films
Authors: Zekaik Ahlam , Benhebal Hadj , Benrabah Bedhiaf
Published: September 2019

Cu-doped Cr2O3thin films were deposited onto glass substrate by the sol–gel dip-coating (SGDC) process using dopant values of 0, 3, 6, 9 and 12%. The Chromium (III) Nitrate Nonahydrate [Cr(NO3)3·9H2O] was used as a Cr source, whilst for the dopant, the corresponding nitrate (Cu(NO3)2) was used. The crystal structure, as well as the optical and electrical properties were examined. XRD data showed that the films with a high degree of crystallinity were rhombohedral Cr2O3phase. The crystallite size reduces with increase in Cu doping proportion. The AFM results indicate a decrease in the surface roughness of the doped Cr2O3: Cu thin films. The UV-Vis spectra of the Cu doped-Cr2O3films showed high transparency in the visible region. The optical band gap of Cr2O3thin films decreases with increasing in Cu doping rate. The Nyquist plot shows that the equivalent circuit of Cu doped-Cr2O3films is a parallel circuit RpCp. As the concentration of Cu increases, Resistance RPregresses while capacitance Cpincreases.
Developing an Accurate Heat Transfer Simulation Model of Alaska Pollock Surimi Paste by Estimating the Thermal Diffusivities at Various Moisture and Salt Contents
Authors: Park Hyeon W. , Lee Myeong G. , Park Jae W. , Yoon Won B.
Published: September 2019

Alaska pollock (AP) surimi paste was prepared (0–3% salt and 76–84% moisture). The density, specific heat, and thermal conductivity were measured and modelled in temperatures between 25 and 90 °C (R
2 > 0.92). The thermal diffusivity (α) function showed a strong dependence on the moisture content and a unique salt dependence at 84% of the moisture content and applied to the heat transfer simulation of surimi paste. The simulation model coupled with the empirical thermal properties accurately predicted the heat penetration curves during heating with RMSE values ranging from 0.43 to 1.22 °C. The salt dependence on thermal diffusivity was identified and modeled only at 84% moisture content. With a model for 84% moisture content, the RMSE value of 3% salt content decreased from 1.11 °C to 0.56 °C. This study demonstrated that an accurate prediction of the heat transfer of the surimi paste needs to be coupled with the nonlinear thermal diffusivity functions.
A review on the management of asthma in the Avicenna’s Canon of Medicine
Authors: Amini Fatemeh , Jaladat Amir Mohammad , Atarzadeh Fatemeh , Mosavat Seyed Hamdollah , Parvizi Mohammad Mahdi , Zamani Nasrindokht
Published: September 2019

Introduction

In this study, we attempted to identify medicinal plants for treating asthma by investigating Persian Medicine (PM) sources.

Methods

In the present review study, materials concerning asthma were assessed by the (most) reliable source of PM (Canon of Medicine) written by Avicenna. Recommended medicinal plants for treating asthma were extracted from this book. Likewise, the electronic databases were used for investigating the pharmacological properties of offered herbs.

Results

The signs and symptoms of “Rabv” discussed by Avicenna are very similar to the asthma in modern medicine. Avicenna dichotomized asthma causing into pulmonary and non-pulmonary ones, including asthma with the heart, liver, or stomach origin. Overall, 14 medicinal plants were mentioned for the treatment of asthma presented in Canon of Medicine, including celery, juniper, dodder, chamomile, fennel, quince seed, black caraway, lavender, hyssop, squill, anise, absinthe, asafoetida, and common polypody.

Conclusions

PM prescribes medicinal plants for treating asthma, based on each patient’s symptoms and trigger factors.
Antimalarial plants with potential male-factor antifertility properties
Authors: Adewole Kayode Ezekiel , Attah Alfred Francis
Published: September 2019

Malaria, caused mainly by Plasmodium falciparum among other Plasmodium species, is one of the main causes of death from parasitic diseases. Malaria is still a health problem mainly because of the cost of effective antimalarial drugs and the growing parasite resistance to conventional antimalarial drugs, making a great proportion of the people in malaria endemic countries dependent on plants for its treatment. Corollary, a large number of the rural populations consume antimalarial herbal preparations in large or excessive quantities despite the fact that it has been reported that some of them could cause male-factor infertility, a growing global health concern. Few studies have compiled information on the scientifically validated male-factor antifertility effects of these antimalarial plant remedies. The aim of this review therefore is to compile information on commonly used antimalarial plant remedies that have been experimentally validated as having male-factor antifertility effects. Thus, antimalarial plant remedies with experimentally confirmed male-factor antifertility potentials and compounds isolated from them are identified and discussed. The male-factor antifertility effects of these plants include reduction of sperm quality, regulation of reproductive hormone levels and induction of lipid peroxidation. Indiscriminate use of such antimalarial plants is discouraged when male contraception is not desired.