bluuebunny/crossref_metadata_2025 huggingface dataset:
Response selection modulates crowding: a cautionary tale for invoking top-down explanations
Authors: Reuther Josephine , Chakravarthi Ramakrishna
Published: December 2019

Object recognition in the periphery is limited by clutter. This phenomenon of visual crowding is ameliorated when the objects are dissimilar. This effect of inter-object similarity has been extensively studied for low-level features and is thought to reflect bottom-up processes. Recently, crowding was also found to be reduced when objects belonged to explicitly distinct groups; that is, crowding was weak when they had low group membership similarity. It has been claimed that top-down knowledge is necessary to explain this effect of group membership, implying that the effect of similarity on crowding cannot be a purely bottom-up process. We tested the claim that the effect of group membership relies on knowledge in two experiments and found that neither explicit knowledge about differences in group membership nor the possibility of acquiring knowledge about target identities is necessary to produce the effects. These results suggest that top-down processes need not be invoked to explain the effect of group membership. Instead, we suggest that differences in flanker reportability that emerge from the differences in group membership are the source of the effect. That is, when targets and flankers are sampled from distinct groups, flankers cannot be inadvertently reported, leading to fewer errors and hence weaker crowding. Further, we argue that this effect arises at the stage of response selection. This conclusion is well supported by an analytical model based on these principles. We conclude that previously observed effects in crowding attributed to top-down or higher level processes might instead be due to post-perceptual response selection strategies.
Palladium-catalyzed Sonogashira coupling reactions in γ-valerolactone-based ionic liquids
Authors: Orha László , Tukacs József M , Kollár László , Mika László T
Published: December 2019

It was demonstrated that the γ-valerolactone-based ionic liquid, tetrabutylphosphonium 4-ethoxyvalerate as a partially bio-based solvent can be utilized as alternative reaction medium for copper- and auxiliary base-free Pd-catalyzed Sonogashira coupling reactions of aryl iodides and functionalized acetylenes under mild conditions. Twenty-two cross-coupling products were isolated with good to excellent yields (72–99%) and purity (>98%). These results represent an example which proves that biomass-derived safer solvents can be utilized efficiently in common, industrially important transformations exhibiting higher chemical and environmental efficiency.
Investigation of influenza and respiratory viruses in hospitalised patients with influenza-like illness in an emergency room
Authors: Aysert-Yildiz Pinar , Aktas Firdevs
Published: December 2019

Introduction: Influenza-like illness (ILI) surveillance is usually performed using outpatient data, and information on the surveillance of patients hospitalised for ILI, which is critical for the complete assessment of the influenza burden, is lacking.

Methodology: In this prospective active surveillance study, patients with community-acquired ILI hospitalised for at least 24 hours in the Emergency Room (ER) of Gazi University Hospital were identified according to the ICD-10 codes at hospital admission through active surveillance of the 2013–2014 and 2014–2015 influenza seasons. The presence of influenza and other respiratory viruses was analysed in the nasopharyngeal or pharyngeal specimens by real-time polymerase chain reaction.

Results: 351 patients admitted to emergency room with certain ICD-10 codes were assessed, and 111 patients with ILI were included in the study. We detected 15 influenza and 23 other respiratory viruses in 33 of the 111 patients. More than one virus was detected in 5 patients. No virus was detected in a majority of the patients with ILI. The sensitivity of hospital admission/discharge ICD-10 codes used in the study to detect real influenza cases was low. Patients with influenza were admitted to the hospital more frequently with high fever symptoms compared with patients with influenza virus-negative and other respiratory virus-positive (p < 0.05).

Conclusions: This study revealed that non-influenza respiratory viruses were a major contributor to ILI. Patients admitted with fever during the influenza seasons should be evaluated for influenza virus infection, and the use of diagnostic codes in surveillance studies can lead to incorrect results.
Phytochemical analyses and antibacterial activities of Erodium, Euphorbia, Logoecia and Tamarix species
Authors: Al-Hadid Khaldoun J , Al-Karablieh Nehaya , Sharab Ahmad , Mutlak Ihsan
Published: December 2019

Introduction: Resistance against commonly used antibacterial agents has become a globally recognized threat to human health. Therefore, the development of new and effective antibacterial agents is necessary to treat infections caused by resistant bacterial strains; plants are a promising source of new agents to be tested.

Methodology: The minimum inhibitory concentrations (MIC) of ethanolic extracts of Erodium gruinum, Euphorbia hierosolymitana, Logoecia cuminoides, and Tamarix tetragyna against 10 Gram-negative and 5 Gram-positive bacteria were determined using agar well diffusion and microtiter plate dilution methods, respectively. The phytochemical composition of the crude extracts of the plants was determined using HPLC.

Results: Pseudomonas aeruginosa ATCC 27853, Klebsiella pneumoniae, Proteus mirabilis, and Acinetobacter baumannii were sensitive to E. gruinum and E. hierosolymitana extracts. P. aeruginosa ATCC 27853 and M. catarrhalis were sensitive to L. cuminoides extract. P. aeruginosa ATCC 27853, P. mirabilis, and K. pneumoniae were sensitive to T. tetragyna extracts. For Gram-positive bacteria, Staphylococcus aureus ATCC 33591 and ATCC 43300 were sensitive to E. gruinum and E. hierosolymitana extracts. S. aureus ATCC 43300 and ATCC 33591 and Group D Streptococcus were sensitive to T. tetragyna extract. All Gram-positive bacteria were completely resistant to the extract of L. cuminoides. The major phytochemical components of the plant extracts belonged to flavonoids, tannins, terpenes, quinones, phytosterols, phytoestrogens, carbohydrates, fatty acids, and coumarin.

Conclusion: The study showed the potential of the development of antibacterial agents from these plants. Phytochemical analysis revealed compounds that are candidates for new antibacterial drugs.
Ecoepidemiological approach in an urban community: environmental factors associated with injuries in humans caused by bats
Authors: Santos Norlan Jesus , Carneiro Ianei , Borges Aroldo , Paz Elen , Lustosa Ricardo , Franke Carlos
Published: December 2019

Introduction: The intense urbanization process has resulted in the reduction of forested areas, which poses an additional risk to public health. The aim of this study was to identify environmental variables in an urban community associated with the chances of injuries (bites/scratches) in humans caused by bats.

Methodology: The study community was the Historic Center District of Salvador, Bahia, Brazil. The cases were the official records of households that reported injuries in humans caused by bats along the historical series from 2012 to 2015. Controls were selected from households near the cases without records of injuries involving bats. Univariate analysis was performed for the data using the chi-square and Fisher's exact test. Significant variables (p < 0.05) were included in the logistic regression models.

Results: The variable for bats having access to households via defective/broken windows showed an association with the cases in the final model (OR = 45.14, CI = 6.08-335.10). The variables presence of domiciled dogs (OR = 6.04, CI = 1.44-25.92) and exposed fruit (OR = 4.41, CI 95% = 1.15-16.9) were significant factors.

Conclusion: The results shows that access to the residence and supply of food that can be used by bats are factors that increase the chances of injuries in humans caused by these animals possibly increasing the risk of infectious diseases.
Description of the karyotype of Sphyracephala detrahens (Diptera, Diopsidae)
Authors: Kudo Ayumi
Published: December 2019

The eye stalks in Diopsidae (Bilberg, 1820) have been widely examined, but the evolutionary origin of this unique trait remains unclear. Thus, further studies ofSphiracephala(Say, 1828), the extant genus forming a basal branch of Diopsinae, are needed. The present study aimed to identify the karyotype ofSphyracephala detrahens(Walker, 1860) with conventional Giemsa staining. Cytogenetic analysis revealed a diploid number of 2n = 10 including two pairs of metacentric chromosomes, a pair of telocentric chromosomes, a pair of dot-like chromosomes, and a pair of sex chromosomes inS. detrahens. The congenerSphyracephala brevicornis(Say, 1817) has been reported to have the same diploid number, 2n = 10, but different chromosome formula. These results demonstrate that chromosome rearrangements often occur in the genusSphyracephala.
Variation in the number of testicular follicles and ovarioles among 18 lacewing species of the families Myrmeleontidae, Ascalaphidae, and Nemopteridae (Insecta, Neuroptera, Myrmeleontiformia)
Authors: Kuznetsova Valentina G. , Maryańska-Nadachowska Anna , Khabiev Gadzhimurad N. , Karagyan Gayane , Krivokhatsky Victor A. Krivokhatsky
Published: December 2019

The representatives of the lacewing families Myrmeleontidae, Ascalaphidae, and Nemopteridae (the suborder Myrmeleontiformia) were studied with reference to the number of testicular follicles in males and the number of ovarioles in females. We have found that the number of follicles is highly variable, at least in the first two families. In the comparatively more fully explored family Myrmeleontidae, the species studied have three to several hundred follicles per testis, the dominant values being six and five. In Ascalaphidae, two main patterns were revealed: testes with a low number of follicles (six and twelve per testis) and testes with multiple follicles (several dozens). Moreover, differences in the follicle number were often observed both between males of the same species and different testes of a male. In Nemopteridae, considered a sister group to the [Myrmeleontidae + Ascalaphidae] clade, the testes in males were found to consist of six or five follicles each. This implies that a low number of follicles, most likely six, is an ancestral trait in Myrmeleontiformia. All other numbers are thus the derived traits and are probably due to a simple oligomerization or a simple polymerization, the latter process having been very intensive in the evolution of the suborder. Conversely, females were found to have ten ovarioles per ovary in each of the three families studied.
Expression de l’agressivité des individus présentant un trouble de la personnalité ou provenant de la population générale
Authors: Vignola-Lévesque Carolanne , Todd-Rail Kevin , Léveillée Suzanne
Published: December 2019

Les individus qui présentent un trouble de la personnalité limite (TPL) ou antisociale (TPA) sont enclins à commettre des passages à l’acte en raison d’une difficulté à contrôler leurs pulsions (Bateman, Fonagy, 2016). L’objectif de la présente étude est de comparer l’élaboration psychique de l’agressivité de 16 hommes présentant un TPL, 17 hommes présentant un TPA et 13 hommes de la population générale. L’agressivité est évaluée à partir des indices d’agressivité présents dans les protocoles de Rorschach. Selon nos résultats, les participants TPA et TPL présentent un besoin de maîtrise de l’autre et une identification à l’agresseur. Les participants TPA présentent une agressivité retournée contre soi et un besoin de dominer l’objet de manière agressive. Ces résultats permettent une meilleure compréhension de la gestion de l’agressivité de ces personnes.
L’Allemagne et l’OTAN : « What else ? »
Authors: Mongrenier Jean-Sylvestre
Published: December 2019

En France, l’Allemagne a longtemps été vue comme une puissance « atlantiste ». D’un point de vue gaullien, le qualificatif était péjoratif. Pourtant, le Brexit, la victoire électorale de Donald Trump la même année et les propos critiques de ce dernier à l’encontre des alliés des États-Unis ont ébranlé la confiance des dirigeants allemands dans l’Otan. Cela ne signifie pas le ralliement de Berlin à l’idée d’une « armée européenne », fondée sur un noyau franco-allemand. En l’état actuel des choses, le système politique allemand ne le permet pas. De surcroît, la remise en cause de l’Otan pourrait de nouveau poser la « question allemande » et les désaccords au sein de l’Europe. Le maintien des équilibres entre l’Allemagne et ses principaux voisins impose l’échelon euroatlantique, les États-Unis tenant le rôle de « stabilisateur hégémonique ». A contrario , l’hypothétique déréliction de l’Otan pourrait faire réémerger des problèmes géopolitiques fort éloignés du débat sur une improbable « armée européenne ».
Entretien avec Wolfgang Thierse, ancien président du Bundestag
Authors: Thierse Wolfgang , Grésillon Boris , Vannier Sébastien
Published: December 2019

Wolfgang Thierse, originaire de l’ex-RDA, est l’un des principaux acteurs politiques des décennies 1990 et 2000. Entré au SPD en janvier 1990, il en devient vice-président quelques mois plus tard et conservera ce poste pendant 15 ans. Élu au Bundestag dès 1990, plusieurs fois réélu, il prend une part active aux débats sur la réunification et aux grandes décisions législatives visant à arrimer les Länder de l’ex-RDA à l’Allemagne de l’Ouest. Il atteint l’apogée de sa carrière politique lorsqu’il devient président du Bundestag en 1998. Il le restera jusqu’à la chute du gouvernement de Gerhard Schröder en 2005. Wolfgang Thierse est l’un des principaux témoins de la chute du Mur, de l’avant et de l’après-1989 ainsi que des trois décennies qui ont suivi ; Allemand de l’Est ayant réalisé toute sa carrière politique après la chute du Mur et au sein d’un parti essentiellement ouest-allemand (le SPD), le regard qu’il porte sur les transformations profondes de l’Allemagne et de Berlin est plus complexe, moins binaire et peut-être plus lucide que celui de la plupart de ses contemporains, qu’ils soient originaires de l’Est ou de l’Ouest.
Une Allemagne désunie ? Les traces géopolitiques de la partition Est/Ouest
Authors: von Hirschhausen Béatrice , Grésillon Boris
Published: December 2019

Cet article tente de dresser un bilan de la réunification des deux Allemagnes, trente ans après la chute du Mur de Berlin, à travers le comportement électoral des Allemands. Par-delà la convergence progressive des niveaux de vie, des habitudes de consommation et des modes de vie entre ex-Allemands de l’Ouest et ex-Allemands de l’Est, il existe des différences, moins visibles mais bien réelles, entre la partie occidentale et la partie orientale de l’Allemagne. Cartes à l’appui, la géographie électorale, à l’échelle fédérale comme à l’échelle du Land de Berlin, fait apparaître sur toute la période un clivage est/ouest très fort. Comme si l’ancienne partition rejouait. Toujours constatée avec étonnement mais rarement interprétée avec discernement, ce rejeu de frontières géopolitiques fantômes est à mettre en relation avec des tendances démographiques, économiques et sociales profondes que trente ans de réunification n’ont pas effacées et que nous analyserons.
Le numérique industriel, enjeu géopolitique : le cas de l’Allemagne
Authors: Kohler Dorothée , Weisz Jean-Daniel
Published: December 2019

Depuis les années 1990, la politique industrielle allemande était focalisée sur le maintien de la compétitivité coût du territoire ( Standort Deutschland ). Dès 2010, une nouvelle politique intitulée Industrie 4.0 lui a succédé soulignant l’enjeu de marier les industries traditionnelles et les technologies de l’information et de la communication. Cette politique impulsée par le Gouvernement fédéral, l’industrie et le monde de la recherche prend le contrepied d’une organisation fordiste de la production dédiée à la fabrication de grandes séries permettant des gains de productivité croissants. L’Industrie 4.0 fait éclater la traditionnelle chaîne de production linéaire, remplacée par une multitude d’équipements modulaires permettant la fabrication de petites séries personnalisées à proximité des agglomérations urbaines. Cette révolution industrielle est rendue possible par l’introduction des technologies numériques dans les opérations de fabrication et un nouveau maillage des flux logistiques où les produits, les hommes et les équipements communiquent et s’ajustent en temps réel aux aléas de la production. Cette transformation numérique fait passer l’informatique industrielle au premier plan et modifie considérablement l’équilibre du pouvoir entre les acteurs au sein des filières. Les éditeurs de logiciels qui fournissent ces nouveaux outils numériques voient leur influence s’accroître fortement. Les géants du cloud, tels Amazon Web Services ou Microsoft Azure, dominent désormais l’infrastructure de traitement et de stockage des données industrielles, avec à la clé des enjeux considérables de propriété et de sécurité des données à l’échelle européenne.
Une expertise de marché : anticipations marchandes et construction des méthodes toxicologiques dans la réglementation des produits chimiques aux États-Unis
Authors: Demortain David , Boullier Henri
Published: December 2019

L'évaluation des risques des produits est souvent un préalable à leur mise sur le marché. Cette évaluation s'appuie sur une expertise scientifique, fréquemment accusée de privilégier les intérêts des industries assujetties, du fait de l'emprise de ces dernières sur l'économie politique de la science. À partir de l'histoire d'une méthode d'évaluation des produits chimiques promue par l'Environmental Protection Agency (EPA) dès les années 1980, la modélisation des relations structure-activité, cet article examine le rôle respectif des industries et des administrations dans la conception, l'utilisation et la standardisation de l'expertise scientifique des produits. La structuration progressive du travail d'évaluation de l'EPA autour des relations structure-activité, une approche jusque-là plutôt mobilisée par l'industrie pour le développement de nouvelles molécules, montre que cette expertise est le fruit d'une série d'anticipations croisées des industriels et de l'administration en charge de sa réglementation, concernant le marché en train de se former et la somme des biens, incertains, qui le constitue. Plutôt qu'une capture des agences par les industries, le cas étudié ici montre comment les interactions entre une administration, des scientifiques et des entreprises ont participé au développement d'une expertise de marché.
L’art de ne pas gouverner les conduites
Authors: Boubal Camille
Published: December 2019

Cet article porte sur l'étude de la conception d'un instrument d'information et d'éducation, les campagnes de communication en nutrition. Au nom de la santé publique, l'Institut national de prévention et d'éducation pour la santé (INPES) diffuse, depuis 2001 en France, des messages sanitaires qui incitent le grand public à respecter des principes de l'équilibre alimentaire (manger 5 fruits et légumes, réduire le sucre, le gras et le sel) et pratiquer une activité physique régulière. Les opérations par lesquelles les conduites alimentaires sont rendues gouvernables ne se font pourtant pas sans mal. Nous montrerons que les concepteurs de cet instrument doivent en effet concilier des logiques plurielles, voire contradictoires : être en accord avec les repères nutritionnels tout en évitant un affrontement direct avec le secteur privé, concilier l'expertise publicitaire avec des contraintes institutionnelles et des principes d'éducation pour la santé. Régler ces systèmes de compatibilité éclipse progressivement l'enjeu d'efficacité auprès de la population générale.
L’art de converser avec une machine : quand le designer devient dialoguiste
Authors: Aegerter Zoé , Foissac Guillaume
Published: December 2019

L’arrivée des interfaces conversationnelles dans la société civile, à travers les chatbots et les assistants personnels, s’est accompagnée d’une multiplication des sollicitations de projet en direction des designers. En effet, leur conception demande de nombreuses expertises tant en informatique et en linguistique qu’au niveau de l’expérience utilisateur, domaine privilégié du designer. Pour autant ces interfaces semblent rompre avec la continuité des autres projets d’interfaces, et ce à plusieurs égards. Caractérisées par des interactions sous forme de brefs dialogues, elles promettent à leurs utilisateurs des interactions plus naturelles ( NUI ) car pensées à partir du langage humain. Nous irons comprendre en quoi l’espace de projet alloué au designer est peut-être révélateur d’une humanisation partiellement réussie. D’autre part, cette forme dialogique des interactions à concevoir, amène le designer à se rapprocher du métier de dialoguiste. Nous explorerons en quoi cette proximité entre design d’interface conversationnelle et écriture dramaturgique peut se révéler féconde pour mieux répondre à la question centrale de cet article. À savoir, en quoi les interfaces conversationnelles constituent un nouvel objet pour le designer, non seulement du point de vue des compétences demandées, mais aussi du point de vue des relations concepteur-interface-utilisateur qui y sont à l’œuvre.
Le design de l’action publique : vers une hybridation entre culture design et culture de l’évaluation
Authors: Delahais Thomas , Gouache Christophe , Vincent Stéphane
Published: December 2019

Le design appliqué à l’action publique a le vent en poupe et apparaît aujourd’hui comme une discipline de choix pour favoriser l’innovation, tout en mettant les usagers au cœur des démarches de conception. Mais quelles sont ses conséquences réelles pour l’action publique, en quoi sont-elles désirables et pour qui ? Une évaluation du design pourrait apporter des éléments en ce sens, mais à condition d’aller au-delà des produits du design pour englober également la valeur ajoutée des processus qu’il engage et les conséquences du design au-delà du projet. Surtout, c’est aujourd’hui aux designers de s’emparer de l’évaluation, pour aller vers une hybridation des pratiques bénéfique au design comme à l’évaluation.
Doctor of Nursing Practice Project Advisement: A Roadmap for Faculty and Student Success
Authors: Milner Kerry , Zonsius Mary , Alexander Catherine , Zellefrow Cindy
Published: December 2019

Background:

Robust enrollment in Doctor of Nursing Practice (DNP) programs has created a need for faculty teaching in other nursing programs to be project advisers. Faculty may lack the knowledge and skills needed to advise projects that are evidence-based practice (EBP) or quality improvement (QI) initiatives. A project roadmap with tools and resources was needed.

Method:

Practice-based evidence from members of the Quality and Safety Education for Nurses (QSEN) DNP Leadership Taskforce was used to inform the process for DNP project advisement. This evidence was integrated with the American Association of Colleges of Nursing Taskforce 2015 recommendations and literature on DNP project criteria to develop a roadmap.

Results:

Twenty-two students and six faculty have piloted the DNP Project Roadmap and provided positive feedback. Eight peer-reviewed presentations and three manuscript submissions with one acceptance have resulted from using the roadmap.

Conclusion:

Data support that the project roadmap phases and associated tools and resources facilitate faculty project advisement and offer students clear project guidelines and a foundation for future practice scholarship.

[
J Nurs Educ
. 2019;58(12):728–732.]
Multiple flexor tendon pulley ruptures in a division 1 collegiate football player
Authors: Scott Kelly , Dulle Donald , Garcia Genaro , Flug Jonathan A. , Chhabra Anikar
Published: December 2019

Injuries to the hand and digits are common in football players. To our knowledge, there have been no reports on multiple flexor pulley ruptures in football players treated non-operatively through splinting and taping techniques. A 22-year old collegiate defensive lineman sustained an injury resulting in complete disruption of the annular 2, 3, 4, and cruciate 1 and 2 pulleys. The patient was successfully treated with serial custom splints for 12 weeks. Our splinting and taping techniques and timing of these have not been previously described. This case illustrates a successful treatment option in football players with multiple flexor pulley ruptures.
’n Huldiging: Tjaart van der Walt
Authors: De Klerk Ben J.
Published: December 2019

No abstract available.
Evaluation of Antimicrobial Utilization and Concordance with National Guidelines at a Tertiary Hospital in the Southern Highlands Zone of Tanzania
Authors: Haldeman Matthew S. , Kishimbo Peter , Seddon Megan , Sangare Anthony , Mwasomola Davance , Hall Jeff , Shaffer Mark , Leclair Rachel , Caulder Celeste , Bookstaver Paul Brandon , Nsojo Anthony
Published: December 2019

Antimicrobial resistance is a growing concern in sub-Saharan Africa, and antimicrobial stewardship (AMS) programs have not been widely implemented in this region. We evaluated antibiotic prescribing patterns and concordance with national guidelines at Mbeya Zonal Referral Hospital (MZRH) in Tanzania. Adult inpatient medical records were chronologically reviewed from January 1, 2018 until 100 records documenting antibiotic therapy were evaluated. The primary endpoint was concordance with national guidelines for indication-based antibiotic selection and duration. Data were summarized using descriptive statistics. Overall, 155 records with sufficient data were reviewed. The 100 records which involved antibiotic therapy represented 171 unique antibiotic courses. The most common indication for antibiotics was bacterial pneumonia. Ceftriaxone and metronidazole, the most commonly used antibiotics, were administered in 40% and 24% of courses, respectively. Indication-based antibiotic selection was concordant with national guidelines in 63% of courses, but this fell to 15% when course duration was taken into account. Antibiotic courses were completed as prescribed 28% of the time among evaluable courses. A microbiologic culture of any kind was obtained in 17% of patients. In conclusion, antibiotic therapy was often incomplete, was generally guideline discordant, exhibited limited diversity of selection, and frequently lacked diagnostic confirmation. These data, combined with local susceptibility patterns, may be used to foster AMS efforts for improved compliance with guidelines at MZRH in the future.
Clinical Outcome of Febrile Tanzanian Children with Severe Malnutrition Using Anthropometry in Comparison to Clinical Signs
Authors: Tan Rainer , Kagoro Frank , Levine Gillian A. , Masimba John , Samaka Josephine , Sangu Willy , Genton Blaise , D’Acremont Valérie , Keitel Kristina
Published: December 2019

Children with malnutrition compared with those without are at higher risk of infection, with more severe outcomes. How clinicians assess nutritional risk factors in febrile children in primary care varies. We conducted a post hoc subgroup analysis of febrile children with severe malnutrition enrolled in a randomized, controlled trial in primary care centers in Tanzania. The clinical outcome of children with severe malnutrition defined by anthropometric measures and clinical signs was compared between two electronic clinical diagnostic algorithms: ePOCT, which uses weight-for-age and mid-upper arm circumference to identify and manage severe malnutrition, and ALMANACH, which uses the clinical signs of edema of both feet and visible severe wasting. Those identified as having severe malnutrition by the algorithms in each arm were prescribed antibiotics and referred to the hospital. From December 2014 to February 2016, 106 febrile children were enrolled and randomized in the parent study, and met the criteria to be included in the present analysis. ePOCT identified 56/57 children with severe malnutrition using anthropometric measures, whereas ALMANACH identified 2/49 children with severe malnutrition using clinical signs. The proportion of clinical failure, defined as the development of severe symptoms by day 7 or persisting symptoms at day 7 (per-protocol), was 1.8% (1/56) in the ePOCT arm versus 16.7% (8/48) in the Algorithm for the MANagement of Childhood illnesses arm (risk difference −14.9%, 95% CI −26.0%, −3.8%; risk ratio 0.11, 95% CI 0.01, 0.83). Using anthropometric measures to identify and manage febrile children with severe malnutrition may have resulted in better clinical outcomes than by using clinical signs alone.
Is better economic integration in the EU possible?
Authors: Podkaminer Leon
Published: December 2019

In this paper it is argued that European integration has not fulfilled its chief economic promises. Output growth has been increasingly weak and unstable. Productivity growth has been following a decreasing trend. This sorry state of affairs is likely to continue. However, this outcome is not unavoidable. Moreover, the negative consequences implicit in the current architecture of the common currency could be neutralised. For this to happen, the basic paradigms of the economic policies to be followed in the European Union would have to be radically changed. First, the unconditional fiscal consolidation provisions still in force would have to be repelled. Second, ‘beggar-thy-neighbour’ (or mercantilist) wage policies would have to be ‘outlawed’.
Forty years of real-estate bubbles in the US and the macroeconomy: a Keynesian perspective*
Authors: Walther Herbert
Published: December 2019

This paper presents a dynamic, non-linear, stock–flow consistent aggregate Keynesian model with a banking sector, a household sector, a government sector, and a real-estate sector, to study the interactions between booms and busts in the real-estate sector and the macroeconomy. Using this model we try to simulate some ‘stylized facts’ about the US economy observable during the last four decades. It is argued that for various reasons house-price volatility in the US has increased since the 1980s: house prices seem to have followed a ‘cobweb’ pattern of accelerating instability, leading to the climax of the financial crises in 2007/2008. A new run-up of house prices has already started, pointing towards a looming bubble ahead. The US economy seems to have become addicted to asset-price bubbles as the driving force of the business cycle. It is argued that various institutional changes, which can be linked to the dominant economic ideology, are responsible for these developments.
Comparison of Ex-PRESS P-200 mini-shunt implantation and standard trabeculectomy for open-angle glaucoma: four-year follow-up
Authors: Nicula Cristina , Nicula Dorin , Rednik Anca , Bulboacă Adriana , Bolboacă Sorana
Published: December 2019

Introduction

The study aimed to evaluate the efficacy and safety in 4-year follow-up of Ex-PRESS P-200 mini-shunt implantation versus standard trabeculectomy.

Material and methods

A single-center retrospective study on patients diagnosed with open-angle glaucoma with failed medical treatment and who underwent Ex-PRESS device implantation or standard trabeculectomy was conducted. Seventy-three eyes were included in the analysis, 33 with Ex-PRESS P-200 implantation and 40 with standard trabeculectomy.

Results

Significant decreases in the intraocular pressure (IOP) were observed after surgery and at all follow-ups in both groups (p < 0.001) with no significant difference between the two groups (p > 0.40). No significant differences with regard to post-operative medications were observed (p > 0.10). Excepting the 3-year follow-up, when just a borderline significant difference regarding the visual acuity between the Ex-PRESS and standard trabeculectomy group was observed (p = 0.0504), the Ex-PRESS groups showed significantly better visual acuity at 6 weeks (p = 0.0324), 1 year (p = 0.0168), 2 years (p = 0.0162), and 4 years (p = 0.0111). Hypotony occurred more frequently among the Ex-PRESS group, while cataract occurred more frequently among those with standard trabeculectomy, without significant differences between groups (p > 0.09). No difference in hazard of failure was observed between interventions (HR = 0.72, p = 0.523).

Conclusions

Both procedures provided good control of IOP and decreased the number of postoperative medications. The advantage of the Ex-PRESS shunt is the better visual acuity, but its main limitation is the cost.
Familial pneumothoraces – Birt-Hogg-Dubé syndrome. Differentiation with other cystic lung diseases
Authors: Opoka Lucyna , Wakulinski Jacek , Winek Jolanta , Bestry Iwona , Błasinska Katarzyna , Radzikowska Elżbieta
Published: December 2019

Birt-Hogg-Dubé syndrome (BHDS) is a rare, genetic, autosomal dominant disease caused by mutation in a folliculin gene. This syndrome is characterised by three main symptoms: benign lesions originating from hair follicles, variously shaped cysts in the lungs, and various types of benign and malignant kidney neoplasms. In our article we are going to present cases of two sisters with BHDS. In the case of the first sister skin lesions were accompanied by lung abnormalities. The second sister, however, presented with recurrent pneumothoraces associated with variously shaped lung cysts located mainly below the tracheal carina. In both instance diagnosis was confirmed by genetic test.
As competências comunicacionais e os profissionais da comunicação
Authors: Granato Mariany Schievano , Andrelo Roseane , Brumatti Vitor , Almeida Fernanda
Published: December 2019

A vivência em uma sociedade informatizada com relações interpessoais desenvolvidas, cada vez mais, por meio das tecnologias de comunicação e informação são o cenário para o desenvolvimento deste artigo, cujo objetivo é compreender como profissionais e estudantes de comunicação lidam com questões contemporâneas relacionadas diretamente a competências comunicacionais. Para tanto, utilizou-se de dois caminhos metodológicos: pesquisa bibliográfica sobre tecnologias digitais de comunicação, nova ecologia dos meios e competências em comunicação, e aplicação de questionário com profissionais e estudantes de comunicação. Como resultado, verificou-se a presença de competências que envolvem o diálogo e o relacionamento interpessoal, que não necessariamente serão praticadas por meio das tecnologias digitais de comunicação.
Um médico no sertão
Authors: Oliveira Maria de Fátima , Freitas Lena Castello Branco Ferreira de
Published: December 2019

Este artigo busca refletir sobre a vida e a obra de Francisco Ayres da Silva (1872- 1957) que atuou nas áreas da medicina, política e jornalismo. A principal fonte utilizada é um diário deixado por ele com anotações sobre duas viagens que empreendeu. A primeira, pelo rio Tocantins (1920), partindo da cidade de Porto Nacional (situada na região norte de Goiás, hoje no estado do Tocantins) à cidade de Belém (PA); e a outra, por terra, do Rio de Janeiro a Porto Nacional, levando um automóvel e um caminhão, quando não havia estradas na região. A leitura desse diário deixa entrever ora o pensamento do médico, ora o do político, ora o do jornalista, o que evidencia aspectos relevantes da vida e do cotidiano dos moradores de uma região ainda pouco privilegiada pela historiografia, mas de suma importância para se compreender a História do Brasil.
The civilizing process and the decline of the viola in Rio de Janeiro
Authors: Varoni de Castro Renato Moreira
Published: December 2019

This paper shows that violas faded in popularity in Rio de Janeiro due to a civilising process that transformed the city and with it the lives and musical tastes of its inhabitants. The civilising process started with the transfer of the entire Portuguese royal court to Rio de Janeiro in 1808 changing the Brazilian capital politically, socially and culturally in the first half of the nineteenth century. Intending to Europeanise and modernise the city, the new establishment created administrative and cultural institutions, opened the country to international trade and implemented a new social order that fixed the parameters of behaviour and etiquette that significantly influenced the inhabitants of the city.
Interculturalidad en la cotidianidad de las comunidades originarias de región norte selva de Chiapas.
Authors: Lopéz Manuel Lopéz
Published: December 2019

Este artículo parte de la discusión sobre el discurso de las políticas interculturales en el estado mexicano, así como las condiciones que enfrentan las familias originarias de la region norte selva del estado de Chiapas, con el fin de comprender y explicar los mecanismos y procesos de educación intercultural que emplea la familia originaria para garantizar su hacer en la cotidianidad. Al hablar de educación familiar necesariamente se hace hincapié en los procesos de enculturación, endoculturación y socialización ya que son éstos los que posibilitan la permanencia o el cambio de los patrones propios de la cultura. Las comunidades de la región se constituye como una unidad en la que todos contribuyen en la medida de sus posibilidades; por lo que, la aspiración de un mejoramiento en sus condiciones de vida permite los cambios en su estructura y organización familiar al buscar nuevas formas y fuentes de subsistencia que sean más beneficiosas y menos sufridas que el campo.
Múltiplos olhares sobre os Guarani de Mato Grosso do Sul: história, organização social, arte e cosmologia
Authors: Ortiz Rosalvo Ivarra
Published: December 2019

O presente artigo traz indagações sobre a Aldeia Jaguapirú e Aldeia Bororó, ambas localizadas no município de Dourados, Estado do Mato Grosso do Sul (Centro-Oeste do Brasil). A investigação foi desenvolvida entre os anos de 2017, 2018 e 2019. Desta forma, perpassamos por questões que envolvem história, organização social, política, econômica, até adentrar nas produções de artes, artefatos e objetos sagrados e ritualísticos Guarani. Portanto, o nosso objetivo é realizar uma análise, descrição e posterior interpretação das múltiplas nuances, conceitos ou categorias que envolvem esse coletivo que, na atualidade contemporânea, encontra-se em uma situação extremamente emblemática, sobretudo a envolver o Yvy (terra).
BIBLIKE: IMPLANTAÇÃO DO BIBLIVRE EM ESCOLAS ESTADUAIS NA REGIÃO CENTRO SUL DO CEARÁ
Authors: Barbosa Pedro Luis Saraiva , Pereira Lucas Fontineles , Mota Anderson Silva , Santos Lucas Bezerra dos
Published: December 2019

Os antigos controles manuais internos das bibliotecas acabaram - eles foram na grande maioria dos casos substituído por sistemas computacionais automatizados tanto dentro quanto fora das bibliotecas. Entretanto, algumas bibliotecas das escolas de ensino básico estaduais do Ceará não conseguiram implantar tal automatização em suas bibliotecas,  tendo como um principal fator de não implantação o custo financeiro dessa sistematização que na maioria dos caso é bem alto, tendo assim como consequência perda de livros, mal gerenciamento, demora para confeccionar relatórios, desperdício de tempo com buscas manuais, dificuldades de catalogação e o mais importante não permitindo assim uma interação aluno, professor e bibliotecário. Uma alternativa bastante relevante para solução do problema seria o uso de um software open source. Este trabalho tem por objetivo relatar a experiência de um docente e três bolsistas do Programa de Apoio a Projetos de Extensão (PAPEX) na implantação do software open source BibLivre em sua versão 5.0 em três bibliotecas de escolas da rede estadual de ensino do Ceará. A metodologias está dividida em duas fases. A primeira fase é composta de: definição da equipe, firmar parcerias com as escolas, estudar sobre o estado da arte, estudar sobre o BibLivre. A segunda fase é composta por: implantação do BibLivre no servidor, planejar o treinamento dos usuários, realizar o treinamento e implantar o BibLivre nas bibliotecas. O projeto foi submetido no Edital do PAPEX número 001/2019 durante o mês de abril de 2019 e aprovado no mês de junho de 2019. A equipe do projeto é formado por 01 docente e 03 discentes do curso de Bacharelado em Sistemas de Informação. Os discente foram contemplados com 06 meses de bolsa. As atividades do projeto iniciaram no primeiro dia do mês de agosto se 2019. A implantação do software nas bibliotecas resolveu os problemas internos de gerenciamento destas bibliotecas como: perda de livro, mal gerência, perca de tempo com catalogação manual, isso tudo de forma totalmente gratuita e com bastante eficiência.
Educação para a Paz: integrando a Extensão e a Pesquisa no Ensino Superior
Authors: Salles Filho Nei Alberto , Ostroski Salles Virgínia
Published: December 2019

Resumo: Este artigo resume a trajetória de construção do Núcleo de Educação para a Paz da Universidade Estadual de Ponta Grossa, Paraná (NEP/UEPG). O objetivo central é perceber a processo que efetivou o NEP/UEPG ao longo dos últimos quinze anos, bem como sua consolidação como projeto de extensão institucional, com repercussão regional na formação continua de profissionais da educação, saúde e assistência social. O NEP/UEPG atua nas questões da prevenção de violências e qualificação das convivências humanas a partir dos campos integrados dos valores humanos, direitos humanos, mediação de conflitos, ecoformação e atividades vivenciais. Como metodologia será realizado um relato de experiência, devidamente fundamentado em pesquisa bibliográfica, com as referências centrais que embasam a própria concepção do NEP/UEPG. Como resultados e conclusões são apresentadas algumas características das ações desenvolvidas pelo projeto, tanto em sua dimensão na extensão universitária, como nas relações com a pesquisa e a produção do conhecimento, além do papel relevante na discussão das políticas públicas relacionadas à Cultura de Paz.

Palavras-chave: Educação. Direitos Humanos. Cultura de Paz. Educação para a Paz.
Contribuições da educação permanente na atenção primária à saude: uma revisão integrativa
Authors: Santos Ezilaine Albino Monteiro Santos Monteiro , Cavalcante Jacqueline Rodrigues Do Carmo , Amaral Mônica Santos
Published: December 2019

A Educação Permanente em Saúde é uma estratégia essencial no processo de trabalho para qualificação da educação e gestão em saúde, com atuação compromissada, reflexiva e competente fortalecendo o sistema público de saúde brasileiro. Assim, a formação profissional passou a ser reconhecida como componente fundamental para o processo de consolidação do Sistema Único de Saúde. Este estudo teve como objetivo analisar a produção científica sobre a Educação Permanente em Saúde no contexto da Atenção Primária à Saúde e suas contribuições. Trata-se de um estudo de revisão integrativa da literatura realizado em bibliotecas convencionais e virtuais, nas quais foram selecionados de forma criteriosa 07 artigos. Os resultados revelaram que a maioria dos estudos analisados utilizaram  metodologias ativas como estratégia para a melhoria do processo de trabalho em saúde. Os dados também apontaram que a educação permanente foi importante para trasformações e resoluções dos problemas enfrentados no cotidiano do serviço contribuindo para a melhoria das relações interpessoais entre membros de equipe da atenção primária e usuários do sistema de saúde. A pesquisa mostrou a importância da realização da Educação Permanente em Saúde na esfera da atenção primária. Os estudos analisados evidenciaram as contribuições e os benefícios da educação permanente quando implantada no processo de trabalho confirmando a melhoria da qualidade do atendimento ao usuário e o direcionamento das práticas dos profissionais que atuam de forma multidisciplinar.
Perfil dos pacientes atendidos no programa melhor em casa em um município da região sudoeste de goiás
Authors: De Araújo Reila Campos Guimarães , Pinheiro Raul Henrique Oliveira , Pelazza Bruno Bordin , Borges Sena Daiane da Silva , Silva Gleydson Alves , De Paula Cácia Régia , Maia Ludmila Grego
Published: December 2019

Os Serviços de Atenção Domiciliar permitem ações de promoção, prevenção, tratamento das patologias e recuperação do indivíduo no âmbito de seu lar, além de proporcionar conforto e aproximação dos vínculos afetivos com seus familiares estabelecida pela equipe responsável pelo paciente. Esta pesquisa teve como objetivo conhecer o perfil sociodemográfico e patológico dos pacientes atendidos no Programa Melhor em Casa, pela equipe do Serviço de Atenção Domiciliar de um município da Região Sudoeste de Goiás. Trata-se de um estudo descritivo e exploratório com análise estatística simples para os dados quantitativos referentes as variáveis faixa etária e sexo e para as patologias tratadas pelo Serviço de Atenção Domiciliar. Utilizou-se questionário estruturado aos pacientes e/ou familiares atendidos pelo programa no mês de março de 2017. O maior número de pacientes atendidos pela equipe compreende a faixa etária de pessoas com mais de 64 anos (57,4%), 43% do sexo feminino e 57% do sexo masculino. A pesquisa apontou que a principal causa de internação domiciliar foi por DPOC- Doença Pulmonar Obstrutiva Crônica (33,33%), seguida de (14,58%) de neoplasias. Conclusão: O presente estudo reforça a importância de programas e ações da atenção básica de forma articulada e multidisciplinar, para o tratamento de pacientes que necessitam de atendimento humanizado e qualificado em tempo hábil no âmbito domiciliar.
Enfrentando medos antigos: a utilização de oficinas terapêuticas no ambiente universitário
Authors: Leite Giulena Rosa , Sthall Hellen Csitina , Carneiro Jardel Guimarães
Published: December 2019

Resumo: Este estudo tem por objetivo demonstrar a promoção da saúde mental da comunidade universitária no sudoeste de Goiás, a partir da realização de oficinas com abordagem psicodramática e de recursos lúdicos. Trata-se de um estudo de natureza descritiva, do tipo relato de experiência, caracterizado como descritivo por apresentar uma reflexão sobre uma ação, ou um conjunto que aborda uma situação vivenciada no âmbito profissional. Os resultados demonstraram que durante as oficinas, emergiram problemas pessoais e dificuldades dos participantes através de conversas, compartilhamento de experiências e sentimentos, resultado gradual dos vínculos estabelecidos. A atividade propiciou que os participantes reconhecessem os sentimentos e descrevessem comportamentos e eventos importantes do cotidiano que vivenciavam. A experiência vivenciada promoveu a amplitude do conhecimento acerca das ações e promoção da qualidade de vida dos participantes.
Palavras-chave: Qualidade de vida. Saúde mental. Universidade pública.
Terapias alternativas na atenção básica como estratégias para o enfermeiro no cuidado holístico dos pacientes
Authors: De Sousa Matheus Gomes , De Carvalho Mara Villas Boas
Published: December 2019

Este trabalho apresenta uma análise das práticas alternativas e complementares em saúde (PICS) p. ex.:  Reiki; Acupuntura; Cromoterapia; Homeopatia, Fitoterapia, Yoga etc. Estas constam como métodos terapêuticos que transcendem as técnicas adquiridas e padronizadas até então, englobando o ser humano seu campo biopsicossocioespiritual (visão holística). Atuam nos campos da prevenção, promoção, manutenção e recuperação da saúde, coincidindo com a proposta das unidades de atenção primária em saúde onde, a Integralidade é uma das diretrizes norteadoras para a ação do cuidado. Assim, foi realizado levantamentos bibliográficos, de caráter qualitativo, em estudos, pesquisas, artigos e ensaios, para demonstrar a efetividades dessas terapias, além de sua resolutividade como uma forma de ferramenta valiosa nessa arte do cuidar. Por ser os enfermeiros, os principais gestores desta unidade de saúde, possuem um papel fundamental na hora de decidir qual programa implementar para que ampliam os cuidados para a sociedade. Com esta publicação espera-se que os profissionais Enfermeiros compreendam a importâncias dessas práticas na atenção básica, e ainda entendam o porquê de conhecê-las e de aplicá-las como métodos alternativos a alopatia.