bluuebunny/crossref_metadata_2025 huggingface dataset:
Impact of Electronic Versus Paper Vital Sign Observations on Length of Stay in Trauma Patients: Stepped-Wedge, Cluster Randomized Controlled Trial (Preprint)
Authors: Wong David CW , Knight Julia , Birks Jacqueline , Tarassenko Lionel , Watkinson Peter J
Published: February 2018

BACKGROUND

Electronic recording of vital sign observations (e-Obs) has become increasingly prevalent in hospital care. The evidence of clinical impact for these systems is mixed.

OBJECTIVE

The objective of our study was to assess the effect of e-Obs versus paper documentation (paper) on length of stay (time between trauma unit admission and “fit to discharge”) for trauma patients.

METHODS

A single-center, randomized stepped-wedge study of e-Obs against paper was conducted in two 26-bed trauma wards at a medium-sized UK teaching hospital. Randomization of the phased intervention order to 12 study areas was computer generated. The primary outcome was length of stay.

RESULTS

A total of 1232 patient episodes were randomized (paper: 628, e-Obs: 604). There were 37 deaths in hospital: 21 in the paper arm and 16 in the e-Obs arm. For discharged patients, the median length of stay was 5.4 (range: 0.2-79.0) days on the paper arm and 5.6 (range: 0.1-236.7) days on the e-Obs arm. Competing risks regression analysis for time to discharge showed no difference between the treatment arms (subhazard ratio: 1.05; 95% CI 0.82-1.35; P=.68). A greater proportion of patient episodes contained an Early Warning Score (EWS) ≥3 using the e-Obs system than using paper (subhazard ratio: 1.63; 95% CI 1.28-2.09; P<.001). However, there was no difference in the time to the subsequent observation, “escalation time” (hazard ratio 1.05; 95% CI 0.80-1.38; P=.70).

CONCLUSIONS

The phased introduction of an e-Obs documentation system was not associated with a change in length of stay. A greater proportion of patient episodes contained an EWS≥3 using the e-Obs system, but this was not associated with a change in “escalation time.”

CLINICALTRIAL

ISRCTN Registry ISRCTN91040762; http://www.isrctn.com/ISRCTN91040762 (Archived by WebCite at http://www.webcitation.org/72prakGTU)
Othering and Selfing: Reading Gender Hierarchies and Social Categories in Michel Houellebecq's Novel Soumission
Authors: Udasmoro Wening
Published: February 2018

In literature, questions of the self and the other are frequently presented. The identity politics that gained prominence after the attack on the World Trade Center in New York on 11 September 2001 has occupied considerable space in this debate throughout the globe, including in France. One example of a novel dealing with the self and other is Michel Houellebecq’s Soumission (2015). This article attempts to explore the processes of selfing and othering in this work. The politics of identity that seems to present Muslims and Islam as the other and French as the self is also extended to other identities and aspects involved in the novel. This article attempts to show, first, how the French author Houellebecq positions the self and other in Soumission; second, the type of self and other the novel focuses on; and third, how its selfing and othering processes reveal the gender hierarchy and social categorization of French society. It finds that the novel presents a hierarchy in its narrative through which characters are positioned based on their gender and sexual orientation, as well as their age and ethnic heritage.
Vanishing Frontiers: A Javanese Plantation Emplacement, 1870s – 2000s
Authors: Hargo Yuwono Pujo Semedi
Published: February 2018

The introduction of the Agrarian Law of 1870 led hundreds of would-be Dutch planters to try their luck in the plantation business. Soon, dots of settlements where coolies from lowlands were housed emerged on the island map. Plantation emplacements were different from ordinary villages, as they were established mainly to keep the labor force ready to work. They were regimented villages. Using data collected from Jolotigo tea plantation in Central Java, this paper discusses how a plantation emplacement was established, reached its heyday, and eventually dissolved in the course of history. I will use this discussion to question the old thesis of the domination of workers by capitalistic enterprises. Is a capitalistic plantation company really powerful enough to control workers in order to guarantee its business interests?
THE ROLE OF CORPORATE GOVERNANCE IN THE EFFECT EARNINGS MANAGEMENT HAS ON FIRM VALUE
Authors: . Surifah
Published: February 2018

Previous researchers found that managers have conducted opportunistic earnings management (Abdolmohammadi et al., 2010; Crocker and Slemrod, 2007;Cornett et al., 2009; Jaggi et al., 2009). Corporate Governance (CG) is one of the instruments to overcome, or at least to minimize, earnings management. This research aims to provide empirical evidence about the effect of CG and earnings management on firm value, and the role of CG in the effect earnings management has on firm value. This research is needed, to explain the effectiveness of CG’s implementation by influencing earnings management, in order to lead to more efficient earnings management.This study uses national commercial banks’ data listed on the Indonesian Stock Exchange for the period 2006-2013. The research sample consists of 29 banks over an 8 year period, with a total of232 observations. The research variable consists of the value of the firm, measured by Tobin’s Q as the dependent variable, real activity-based earnings management and accrual-based earnings management as the independent variables and corporate governance, measured by the CG index, as a moderating variable.The results show that the CG index has a robust relationship with performance, controlled by both the ownership concentration’s level and the size of the bank. Corporate governance has positive effects on firm value. The bigger the corporate governance disclosure score is, the higher the market value of the bank becomes. These results indicate that markets respond to the corporate governance’s disclosure, so the company’s market price increases. The results show that the CG index reinforces the positive influence of Accrual-based Earnings Management (AEM) and Real Earnings Management (REM) on the performance. These results indicate that corporate governance practices are able to steer earnings management away from the opportunistic and into the efficiency spectrum.
THE EFFECT OF KNOWLEDGE SOURCES ON INNOVATION CAPABILITIES AMONG RESTAURANTS AND CAFÉ BUSINESSES IN INDONESIA
Authors: Utami Tri Lestari Wahyuning , Indarti Nurul , Sitalaksmi Sari , Makodian Nuraksa
Published: February 2018

To conduct innovation, firms absorb and utilise internal and external knowledge. This study examines the effect of internal and external knowledge, in terms of the breadth and depth of knowledge sources, on a firm’s innovation. The breadth of knowledge sources refers to the amount of knowledge sources used within the firm. The depth of knowledge sources is the amount of knowledge sources intensively used by the firm. This study is aimed at answering the following questions. a) What knowledge sources are mainly used? b) What type of innovation is frequently conducted? c) What are the effects of the breadth and the depth of knowledge sources on the innovation capabilities among Indonesian restaurants and cafés? The resource-based view and resource dependency theory are used to understand the role of internal and external knowledge on innovation within a firm.We distributed a semi-structured questionnaire to 101 owners/managers, using a purposive, in several cities in Indonesia, such as Bandung, Denpasar Bogor, Malang, Yogyakarta and other cities in East Java. The results show that the Indonesian restaurants and cafés utilised external knowledge sources more often than internal ones. The firms produce more incremental product innovations than radical ones. The depth of the internal knowledge sources has a positive significant impact on the firms’ innovation capabilities, which supports the previous studies. Meanwhile, the breadth of the internal knowledge sources is found not to have a significant effect on innovation. Additionally, the effects of the breadth and depth of the external knowledge sources on the innovation capabilities are also insignificant.
European Policies and the Space Industry Value Chain (Note 1)
Authors: Zervos Vasilis
Published: February 2018

The economics of contracting have received rather limited attention insofar as the implications for efficiency from the selection of types of contracts employed in the aerospace and defence sector are involved. The paper analyzes the challenges confronting the cost-plus/cost-reimbursement type of contracts of European Commission and intergovernmental organizations like the European Space Agency (ESA), who are involved in security and defence projects with significant multiplier effects within defence and security networks. The analysis indicates how institutional limitations result in contractual choice inefficiencies and anti-competitive practices that may affect the whole of the aerospace industrial base, including subcontractors. The paper concludes with policy implications and further research recommendation.
The New Development Trend about Passive Buildings
Authors: Rong Ziren
Published: February 2018

In this paper, the possibility that is to develop large-scale passive buildings is analyzed under the background of world energy crisis. The related building concept is distinguished. The development process of the passive buildings is reviewed. And some cases of passive buildings in China are introduced. At last, the conclusion is that the future of passive buildings in China is highly thought of.
WCSJ2017: a bridge to the developing world
Authors: Leighton Paula
Published: February 2018

The 10th World Conference of Science Journalists (San Francisco, U.S.A., 26–30 October 2017) was the most successful to date in terms of participants and probably the one with the largest presence of journalists from the developing world among its attendees and speakers. In agreement with the times, its themes were marked by ethical dilemmas in the communication of science, fake news and climate change, among others.
Virtual Reality as a Support Tool for the Treatment of People with Intellectual and Multiple Disabilities: A Systematic Literature Review
Authors: Cunha Rian Dutra da , Neiva Frâncila Weidt , Silva Rodrigo Luis de Souza da
Published: February 2018

Since the emergence of virtual reality (VR) technologies, many researchers have argued on the benefits of their use for people with intellectual and multiple disabilities. However, up to this date there is not a single study that presents a detailed overview of the state of the art in virtual reality as a support tool for the treatment of people with intellectual and multiple disabilities, as well as Autism and Down Syndrome. The aim of this study is to provide a detailed overview of the state of the art in the virtual reality area focusing on people with multiple disabilities, that encompasses intellectual and physical disabilities. There is still no consensus on the effectiveness of VR-based treatments. Virtual reality can offer rich environment and features, but most of the researches focuses only in the experience to be inside a virtual place without taking advantage of what benefits VR provide us. Furthermore, most of our selected studies used non-immersive VR and AR. Thus, immersive VR is an open field with many opportunities to be explored. We believe VR has great potential to be effective in the treatment of people with intellectual and multiple disabilities.
Reprocessing of the old flotation tailings deposited on the RTB Bor tailings pond - a case study
Authors: Stankovic Velizar , Milosevic Vladan , Milicevic Darko , Gorgievski Milan , Bogdanovic Grozdanka
Published: February 2018

Flotation waste, which was produced through seventy years of copper ore processing in RTB Bor, Serbia, is deposited in a flotation tailings pond. In total, almost 26.4 Mt could be considered as available for eventual reprocessing and reuse. Chemical analysis has shown that an average concentration of targeted metals in the tailings is: 0.183% Cu, 0.35 g/t Au and 2.17 g/t Ag. The tailings contain 60 to 70% of SiO2, 10 to 17% of Al2O3 and pyrite 5 to 8%. Flotation tailings reprocessing consisted of acid leaching followed by re-flotation of the leach residue. Leaching of the tailings resulted in leach liquors containing Cu2+ ions from 50 to 580 ppm. The average copper removal degree in the leaching stage was 70%. After re-flotation, the total copper removal degree reached 83 to 85%. Sulphur removal degree reached 77%. Sulphur concentration in the treated tailings was reduced almost 5 times compared to the inlet concentration. An equivalent amount of iron was also reduced through the flotation process. Concentration of total copper was reduced 3 times.
Abstencionismo y derechos humanos en el estado de Hidalgo, variables con una correlación negativa innegable / Abstention and human rights in the state of Hidalgo, variables with an undeniable negative correlation
Authors: Ortiz Lazcano Asael
Published: February 2018

El objetivo de esta investigación fue conocer y reflexionar en torno a la participación política electoral de los hidalguenses y entender su implicación en las urnas, así como el abstencionismo. Para ello, hubo que discutir algunos conceptos y conocer el comportamiento histórico reciente en la entidad en estudio, así como algunas características socioeconómicas generales que permitieron entender el objeto de estudio. Las fuentes de datos utilizadas en este trabajo fueron los archivos históricos recientes del Instituto Estatal Electoral de Hidalgo (IEEH) y del Instituto Nacional Electoral (INE), aunque la materia prima más importante de la presente investigación fue una encuesta representativa a nivel estatal titulada “Percepciones políticas en el estado de Hidalgo, 2016”. Esta encuesta es representativa para toda la entidad, al tener un grado de confianza de 95%, con un error de estimación de 5% y una no respuesta de 25%. La muestra de población seleccionada fue representativa estadísticamente para cada submuestra, lo mismo que las tres muestras en conjunto permitieron un resultado global para todo el estado de Hidalgo. Se tomaron en cuenta criterios sobre alfabetización, estado civil, derechohabiencia, empleo, sexo, entre otras variables. Un hallazgo importante sugirió que la participación política, en específico la emisión del sufragio en el estado de Hidalgo, tiene una relación estrecha e inversa con el goce de los derechos humanos; además de que es muy acorde a la hipótesis que guió este proyecto y que plantea que los residentes de las zonas urbanas del estado de Hidalgo presentan un alejamiento hacia la esfera política. Por otro lado, los residentes de las zonas rurales, aunque también tienen un rechazo de la esfera política, presentaron una mayor participación y mayor votación en los procesos electorales. Esto demostró que los municipios de mayor actividad electoral, contradictoriamente a lo que se pudiera pensar, se encuentran en las zonas de mayor marginación del estado de Hidalgo. Por ende, presentan los niveles más bajos en educación, en ingresos, en bienestar, además de tener indicadores altos de necesidades alimentarias no cubiertas e, incluso, un índice de desarrollo humano bajo. Por ello, es importante analizar el abstencionismo, así como la participación política, ambos fenómenos complementarios ypertenecientes a lo que algunos estudiosos han referido como la cultura política
The relevant issues of compliance with social rights of children living on the outskirts and northern territories of the Russian Federation in the prosecutor’s supervisory activities
Authors:   Academy of the Prosecutor General’s Office of  the Russian Federation, Moscow, Voevodina Tatyana Gennadyevna
Published: February 2018

The research analyzes violations of social rights of children living on the outskirts (in rural areas) and northern territories of the Russian Federation in the priority areas of their life which are revealed during the prosecutor’s inspections. The prosecutor’s re-sponse measures aimed at protecting the social rights of this category of children are identified as well. The author concludes that it is necessary to improve legislation to provide guaranteed benefits for residents of these territories, renew the federal target program Children of the North, enhance pros-ecutorial activities management, primarily in the field of lawmaking. The research substantiates the need to define the terms ‘outskirts’ and ‘northern territory’ at the legislative level, determine a list of such territories, identify an executive body of the Russian Federation authorized to implement state policy in the above-mentioned territories, in particular register such territories and statutory benefits for their residents.
Proposal for a regulation on the access of third-country goods and services to the European Union’s internal market in public procurement: prospects and consequences for Russia
Authors: Puchkova Aleksandra Pavlovna ,   Audit and Offense Prevention of  the Ministry of Education and Science of  the Russian Federation
Published: February 2018

The study examines the amendments to the current legal regulation of public procurement in the EU, particularly the proposal to create a legal instrument regulating the access of third-country companies to the European Union’s market. The research focuses on the draft of a Regulation of the European Parlia-ment and of the Council on the access of third-country goods and services to the Union’s internal market in public procurement and procedures sup-porting negotiations on access of Union goods and services to the public procurement markets of third countries. The author highlights the necessity to elaborate on the countries’ markets, which are the parties to the system of public procurement, and the present barriers as well as to negotiate with foreign entities for resolving disputes. The relevance of the topic is due to the amendments not only to the legal regulation of public procurement in the EU but also to the influence on market and legal relations in dif-ferent countries, including the Russian Federation, while implementing this instrument.
Legislative regulation problems when applying criminal punishment in the form of correctional labor
Authors:   Department, Kuban State University, Lopotenko Yury Yuryevich
Published: February 2018

The successful implementation of the state concept for the penal system development performs strongly. Despite this fact, the problems resulting from establishing a new state criminal and penitentiary system require prompt and timely solutions in the application of punishments not related to isolation from society, including penalties in the form of correctional labor. In this regard, the research describes the characteristics of modern criminal and penal enforcement policies when applying punishments not related to the isolation of convicts from society. The author reviews the urgent issues of punishment executed in the form of correctional labor and their solutions. The paper examines the difficulties in replacing for correctional labor in case of willful eva-sion of punishment and discusses a new legislative regulation of the replacement of such punishment. The international practices of solving urgent issues in the field of correctional labor are studied. In addi-tion, it is proposed to create probation services in Penal Enforcement Departments.
Qualitative Circulation Space Application at the ‘Tunjungan Plaza’ Shopping Mall in Surabaya
Authors: Sari Sriti Mayang
Published: February 2018

Public circulation space is an interior element that organizes and connects the different parts of a shopping mall together. As such the circulation space is partly defined by the different accommodation of shops, anchor stores, catering and leisure facilities. In considering the organizational framework to be established by the public circulation space the objectives can be separately identified into functional and qualitative requirements. The functional requirements are essential primary planning considerations and the qualitative requirements are recommended secondary planning and more detailed design considerations. The goal of this research is to identify the qualitative circulation requirements at Tunjungan Plaza, Surabaya, as one of the biggest shopping mall in East Java. As a result of the field identification will create some recommendations for the qualitative circulation requirement that suitable for the shopping mall visitor.
Relative Nature of Thai Traditional Music through its Tuning System
Authors: Wisuttipat Nattapol
Published: February 2018

Thai traditional music exhibits number of relative characteristics, though many of them are not expressed explicitly but only demonstrated orally. Its tuning system, despite having been put through many scientific studies for decades, cannot be given the absolute pitch frequencies. It is therefore possible that the tuning system does not have any absolute pitch frequencies but possesses relative nature. This papers aims to present the historic background, characteristics, past, current practices of Thai traditional music’s tuning system and to put forward the theoretical idea of non-existence of absolute tuning frequency and that of relative nature of Thai traditional music’s tuning system. The data was collected from previous researches on Thai traditional music’s tuning system and from sample instruments. The latter was then compared to each other and analyzed with respect to the former. The preliminary results were that tuning system of Thai traditional music was in the form of seven-tone equal temperament without any sharps or flats. But practically, it was not exactly equal as musicians still prefer the traditionalbiased tunings which is believed to be more tuneful. Regarding the tuning practices, the tuning of Fine Arts Department are most dominating among several others. Even though, the tuning of Fine Arts Department measure from various sources are slightly different in terms of frequencies and intervals. It can be concluded that the tuning system of Thai traditional music does not rely on specific pitch frequency, but is relative to intervals and personal preferences and its absolute pitch frequency is yet to be established.
Pita Maha Social-Institutional Capital (A Social Practice on Balinese Painters in 1930s)
Authors: Adnyana I Wayan
Published: February 2018

Research Topic: Pita Maha Social-Institutional Capital (A Social Practice on Balinese Painters in 1930s) aims at describing creative waves of Balinese village youth in designing new paintings. The artwork is considered to be the latest development of classical paintings of Kamasan puppet. The pattern of development is not just on artistic technique, but also on aesthetic paradigm. Yet, the invention and development of painting concept, which were previously adopted from stylistic pattern of puppet Kamasan has successfully disseminated paintings as a medium of personal expression. The artist and patron consolidated art practice in the art function, which was well ordered and professional. Agents including palaces, Balinese and foreign painters as well as collectors and dealers were united in arts social movement, named Pita Maha. Despite the fact that Pita Maha also encompassed the sculpture, this research focuses more on the path of paintings. Socio-historical method is applied to explore the characteristics and models of social capital-institutional ideology that brought forth and commercialized paintings on Pita Maha generation. This topic is also an important part of the writer’s dissertation entitled Pita Maha: Social Movement on Balinese Paintings in 1930s. The discussion on socialinstitutional capital enables expansion and exploration of a more complete socio-historical construction on Pita Maha existence. The study on social capital aspects, which embodies the initiation of Pita Maha, has constructed a tremendous growth of Balinese paintings, both in terms of aesthetic “ideology”, and institutional competence of the painters.
Sound And Celebration of Death: Gong Ensembles in The Secondary Mortuary Rituals of the Jarai (Central Vietnam) Compared with Those of the Dayak Benuaq (East Kalimantan, Indonesia). Do They Originate from the Dong Son Culture?
Authors: Rata Della
Published: February 2018

The Jarai people are an Austronesian language speaking group living in Central Vietnam. They reached mainland Southeast Asia from Northern Borneo, or possibly from the Malay Peninsula, around the 5th century B.C. as part of the more general migratory movement that took the Austronesian people from Formosa to Madagascar, westwards, and to Easter Island, eastwards. The Pa thi ritual is one of the most remarkable of the many ceremonies celebrated by the Jarai, in terms of its magnificence and the complexity of the elements involved. Pa thi (the “tomb abandonment”) is a secondary mortuary ritual that allows the spirits of the dead to reach their final destination. When the ritual is held, the tomb, carefully decorated with symbolic elements, becomes the centre of a sumptuous feast, lasting three days, which includes gong music, dances and buffalo sacrifices. The aim of this paper is to analyse some features of the Pa thi ceremony and to compare them with some of the scenes depicted on the Dong Son bronze drums (Heger I type). In fact, as many scholars such as Goloubew (1929) and Bemet Kempers (1988) have pointed out, there is a connection between the people of Dong Son and “men who might be the more direct ancestors of the Indonesians we know from the archipelago”. As evidence of this connection, these scholars explicitly mentioned the culture of the Dayak people of Borneo and the mountain populations living in Central Vietnam. In addition to my analysis of the Jarai ritual, I will give a few comments on the Kwangkai, the secondary mortuary ritual of the Dayak Benuaq people (East Kalimantan, Indonesia). Rather than attempting to provide a definite analysis of the bronze drums, this paper intends to open some new perspectives for a better understanding of the scenes depicted on the bronze drums as well as giving an interpretation based on the comparison with living rituals.
Alternative Conceptions of Modernity in the History of Iban Popular Music
Authors: Nie Connie Lim Keh
Published: February 2018

This paper examines how modernity has historically shaped developments in the industry of Iban popular music. The Iban make up one third of the Sarawakian population and are the largest indigenous ethnic group in Sarawak, Malaysia. As with other ethnicities in the nationstate, modernity has presented challenges for socio-cultural development and lifestyle of Iban people. Historically, the Iban are a cultural group located geographically and politically on the periphery of the multi-cultural nation of Malaysia. Throughout much of the 20th century, the music industry has experienced a rapid embrace of modernity through the nation to the detriment of traditional practices in culture in order to adapt themselves in the era of modernization. Iban society had gone through a state of flux where people have gone through the process of readapting themselves in meeting the demanding challenges of Malaysian nationalism. Drawing upon Barendregt’s (2014) ‘alternative conceptions of modernity’ this paper examines how the Iban reference both a national as well as a local music industry particularly through their use of language as an expression of Iban. First the paper will examine changes in Iban society through political and economic modernization. Then I look at differential transformation within Iban music industry because of relative exposure to agents of change such as the influence through Christian missionary and education. This reflects how the Iban react and reflect in adaptation of modern demands of change as a result of the effects of historical processes on the social, cultural and physical environments.
Aprendizaje significativo de algunos conceptos geológicos a través de resolución de problemas en estudiantes de quinto de primaria de la institución educativa departamental sede el lago
Authors: Rivera Parra Omar Leonardo
Published: February 2018

El actual informe es de tipo cuantitativo, donde se plantea la aplicación de la alternativa didáctica de resolución de problemas contextual izados en la unidad temática de "la Tierra"; el cual es abordado en el área de Ciencias Naturales correspondiente al grado quinto de primaria de la Institución Educativa Departamental sede El Lago de Neiva, Colombia.La investigación inicia con el análisis de los preconceptos que sobre el tema "la Tierra", tenía en su estructura cognitiva, un grupo de 35 estudiantes matriculados durante el año lectivo de 2007, quienes efectuaron el análisis del tema objeto de estudio en el cuarto periodo académico en la asignatura de ciencias naturales y educación ambiental. Una vez realizado este paso, se formaron siete grupos de trabajo y cada uno recibió un problema inherente al asunto de estudio; para resolverlo debían trabajar sistemáticamente; mostrando alternativas de solución, para posteriormente escoger la que mejor se adapte a los requisitos conceptuales que demanda la situación problémica. Resueltos los problemas se caracterizó la estructura cognoscitiva final, cuyos resultados se contrastaron estadísticamente con los iniciales, para determinar la efectividad de la estrategia didáctica seleccionada.Los resultados revelan que el grupo de estudio posee un 59.29% de los conocimientos elementales propios del tema "la Tierra" y que debido a la aplicación didáctica de la resolución de problemas se alcanza un 87.71 % de manejo conceptual, es decir, se genera un avance del 28.42% en el manejo de los conceptos previos de estudio que se tenían sobre: características, capas, rocas, suelos y horizontes, volcanes, movimientos sísmicos, conservación y futuro de la Tierra. Ésta manifestación permite proponer esta estrategia para facilitar el aprendizaje de los diferentes conocimientos.
Evaluación de la intensidad del dolor y calidad de vida del paciente con diagnóstico de osteoporosis y tratamiento con teriparatida
Authors: Pinzón Tovar Alejandro , Díaz Eduard Mauricio , Castro Marcela
Published: February 2018

Estudio descriptivo-retrospectivo para determinar si el tratamiento con hormona paratiroidea recombinante (teriparatida) reduce el dolor de los pacientes con osteoporosis, en el servicio de endocrinología del Hospital Militar de Colombia durante el año 2008. Objetivos: Describir aspectos demográficos de los pacientes que presentan osteoporosis y son manejados con teriparatida. 2) Determinar la frecuencia de los pacientes que requirieron terapia analgésica adyuvante para el manejo del dolor asociado a osteoporosis. 3) Determinar si el uso del teriparatida reduce el dolor de los pacientes con osteoporosis. Materiales y métodos: De veinte pacientes con osteoporosis que recibían teriparatida, se incluyeron 12 para el estudio en un periodo de enero a diciembre del 2008. Para evaluar la calidad de vida y la intensidad del dolor, se usó el cuestionario SF36 y la escala visual análoga de dolor, respectivamente. Todos los datos proveniente de las encuestas y el formulario SF36, fueron almacenados en bases de datos usando el programa Excel 2011. Se realizó análisis estadístico descriptivo, usando la representación de frecuencias en forma de porcentaje. Para determinar diferencias en la frecuencia de la presentación de un evento, se usó la prueba de Chi2. Se tomó como significativo una P < 0.05. Resultados: El tratamiento con teriparatida disminuyó significativamente la frecuencia de terapia analgésica adyuvante con aines y opiáceos a los 6 meses de seguimiento (P= 0,04, Chi2). Conclusiones: Los resultados aquí presentados sugieren un efecto benéfico de reducción del dolor y calidad de vida con el tratamiento para osteoporosis con teriparatida.
Estrategias de gestión en cuidadores de menores de 14 años en diálisis
Authors: Ramírez Perdomo Claudia Andrea , Vargas Acosta Karol Lucía , Ñañez Vargas Laura Catalina , Duque Ramírez Lina María
Published: February 2018

Objetivo: Determinar las estrategias de gestión en el proceso de duelo de los cuidadores de menores de 14 años en diálisis en la unidad renal del Hospital Universitario Hernando Moncaleano Perdomo (HUHMP) de Neiva. Materiales y métodos: Estudio de enfoque cualitativo, tipo fenomenológico; se empleó una entrevista semiestructurada. Los medios utilizados por las cuidadoras para sobrellevar el proceso de duelo según la teoría del Duelo Disfuncional de Gaskill y colaboradores, fueron estrategias de gestión internas eficaces: espiritualidad, motivación y resignación; estrategias de gestión internas ineficaces: culpa y sobreprotección; estrategias de gestión externas eficaces: apoyo brindado por la pareja, familia, personal de salud y apoyo social; estrategias de gestión externas ineficaces: apoyo ineficaz de pareja, familia, entorno social y del personal de salud. Encontrándose marcada la impotencia. Conclusiones: Las cuidadoras no aceptan su realidad, la resignación ayuda a sobrellevarla, por el contrario la impotencia lo impide. La resignación, que contribuye a disminuir los sentimientos de impotencia, se alcanza mediante las estrategias de gestión eficaces e ineficaces, aunque éstas últimas producen disconfort y desencadenan sentimientos de impotencia, limitando la realización de estrategias de gestión eficaces. Estos hallazgos amplían la visión del equipo de salud, especialmente en enfermería permitiendo reconocer que hay un cuidador que necesita ser cuidado.
Feto papiráceo - presentación de casos
Authors: Rivas-Perdomo Edgar E. , Sánchez Reina José
Published: February 2018

El embarazo gemelar con un feto papiráceo es una entidad rara. Se presentan dos casos de embarazo gemelar con la muerte de uno de los fetos y su posterior transformación a lo conocido como feto papiráceo. El primero de los casos se detectó el óbito de uno de los gemelos a las 29 semanas y nacieron a las 35; el sobreviviente no presentó complicaciones. El segundo caso se detectó a las 21 semanas y nacieron a las 34 semanas. En ambos casos bicorial biamniótico, la causa de muerte: hipoxia fetal extrínseca por insuficiencia feto-placentaria.
Caracterización clínica del síndrome nefrótico en infantes de Neiva
Authors: León Diana C , Agudelo Ana M , Ramos Jorge , Ibarra Milton D
Published: February 2018

El Síndrome Nefrótico es la enfermedad glomerular crónica más prevalente en pediatría, en los Estados Unidos presenta una incidencia anual de 2,0 a 2,7 casos por 100.000 niños, y una prevalencia acumulada de 16 por 100.000 (1). El departamento del Huila, carece de información actualizada que permita establecer y unificar objetivos claros en el diagnóstico y tratamiento de esta patología en la población pediátrica. Materiales y Métodos: Se realizó un estudio descriptivo tipo corte transversal de las características clínicas y epidemiológicas del Síndrome Nefrótico en niños atendidos en el Hospital Universitario de Neiva, entre marzo de 2011 y diciembre de 2013; la información se recolectó mediante revisión de historias clínicas. Se incluyeron 67 pacientes con diagnóstico confirmado. Resultados: la edad promedio de debut fue 46 meses (0-175 meses), en su mayoría de género masculino (53,7%). El 19% presentaron corticoresistencia, la patología más frecuente fue la glomeruloesclerosis focal y segmentaria (GEFS) (60%). La presencia de hipertensión arterial al debut o durante el seguimiento, hematuria, hipocomplementemia y dislipidemia persistente se asoció con cortico-resistencia (P < 0,01). Se observó cambios en las medidas antropométricas de talla y peso en los pacientes al inicio y final del seguimiento (P < 0,01). Conclusión: El Síndrome Nefrótico en esta región es una patología prevalente, con presencia de cortico-resistencia y progresión a enfermedad renal crónica y muerte, por lo tanto es imperativo su diagnóstico temprano, tratamiento y seguimiento oportuno para evitar complicaciones a futuro.
Conocimientos, actitudes y prácticas del paciente hipertenso
Authors: Gómez Cuéllar César Giovanni , Orozco Coneo Beatriz Magola , Suárez Camargo Manuel Alejandro , Rivera Cuellar Alexander , Castro Betancourth Dolly
Published: February 2018

Objetivo: Describir los conocimientos, actitudes y prácticas adoptadas por los pacientes hipertensos, frente a su enfermedad y al régimen terapéutico, en la Ciudad de Florencia. Método: Estudio descriptivo transversal cuantitativo. La muestra fue de 250 pacientes con hipertensión arterial, seleccionados mediante muestreo probabilístico sistemático. Resultados: El 80% de los pacientes correspondieron al sexo femenino con una razón de 4 mujeres por cada hombre encuestado. La edad mediana fue de 64 años. El 71,86% tenían conocimiento de la enfermedad y el régimen terapéutico; el 69,64% de los pacientes hipertensos presentaron una actitud positiva y 60,95% presentaron prácticas positivas en el manejo de la hipertensión arterial y el régimen terapéutico. Conclusiones: Un alto porcentaje de los pacientes hipertensos tuvieron conocimiento de la enfermedad y del régimen terapéutico, principalmente en lo relacionado con la dieta, complicaciones y el régimen farmacológico. Los pacientes presentaron una actitud positiva frente a la enfermedad y al régimen terapéutico, reconociendo la enfermedad como amenazante para la salud y a la atención brindada por el personal de salud, como positiva para la misma. En cuanto a las prácticas se encontró que presentan prácticas positivas principalmente en el cumplimiento en las citas de control, identificación de signos de alarma y consideran que la información que reciben del personal de salud es suficiente para comprender el tratamiento. Los pacientes presentan prácticas hacia la utilización de remedios caseros para el manejo de la hipertensión arterial.
Incidência de tromboembolismo venoso em pacientes de um hospital especializado em Cardiopneumologia de alta complexidade
Authors: Santos Eduesley Santana , Santos Luciana Soares Costa , Pereira Eldma De Jesus Fonseca , Matunaga Ingrid Isabel , Lopes Juliana De Lima , Silva Rita De Cássia Gengo e , Ferreira Fatima Gil
Published: February 2018

O tromboembolismo venoso (TEV) em seu espectro patoló- gico inclui trombose venosa profunda, trombose associada ao uso de cateteres venosos e o tromboembolismo pulmonar (TEP), a forma mais grave. Pode ser assintomático e apresentar alto índice de mortalidade. Objetivo: avaliar a incidência de tromboembolismo venoso nos pacientes clínicos internados em um hospital especializado em Cardiopneumologia. Trata-se de um estudo transversal e retrospectivo, em que foram avaliadas informações dos pacientes a partir de um banco de dados existente derivadas de um coorte, realizado em um hospital escola especializado em Cardiopneumologia, de alta complexidade, na cidade de São Paulo, com pacientes adultos, internados em Unidades de Terapia Intensiva (UTI) e Unidades de Internação (UI). Foram selecionados 120 pacientes, divididos em dois grupos: pacientes que não desenvolveram tromboembolismo venoso (grupo não TEV) e pacientes que desenvolveram tromboembolismo venoso (grupo TEV). A incidência de TEV foi de 5,8%; a maioria, em ambos os grupos, apresentava algum fator de risco para tromboembolismo venoso (94,2% no grupo não TEV e 100% no grupo TEV), entretanto, o fator de risco de maior significância foi atribuído aos pacientes que necessitavam de terapia renal substitutiva (TRS) (p=0,027). Não houve diferença entre os grupos com relação ao tipo de unidade onde os pacientes foram avaliados, na UI (60 vs. 71,4%), na UTI clínica (17,5 vs. 14,3%), na UCO (15,8 vs. 14,3%) e UTI cirúrgica (1,7 vs. 0) p=0,964. A mortalidade foi 4,1% contra 33,3%, respectivamente nos grupos sem TEV e com TEV (p=1,000). A mortalidade foi pequena nos dois grupos estudados, no período de internação. O estudo conclui que os pacientes submetidos à cirurgia cardiopulmonar apresentaram baixa incidência de TEV provavelmente devido ao emprego indireto da tromboprofilaxia, farmacológica e/ ou mecânica, todavia há necessidade de novos estudos para avaliar os critérios e métodos diagnósticos, bem como a profilaxia utilizada. Descritores: Tromboembolia venosa, Incidência, Pacientes internados, Hospitalização, Fatores de Risco.
Ruptura simultânea do tendão quadricipital e do tendão patelar contralateral em uma paciente com insuficiência renal crônica
Authors: Netto Alfredo Dos Santos , Aihara Leandro Jun , Yamada Yuri , Salgado Pedro Sire , Camargo Osmar Pedro Arbix de , Cury Ricardo De Paula Leite
Published: February 2018

A ruptura simultânea do tendão quadricipital e do tendão patelar contralateral representa uma associação extremamente rara, e poucos casos foram reportados na literatura. Doenças sistêmicas predispõe a ruptura tendinosa espontâ- nea, como insuficiência renal crônica, hiperparatireoidismo, artrite reumatoide, gota e lúpus eritematoso sistêmico. Nós reportamos o caso de uma mulher de 40 anos, com insuficiência renal crônica dialítica e hiperparatireoidismo secundário, que sofreu uma ruptura espontânea e simultânea do tendão patelar de um joelho e do tendão quadricipital do outro. O reparo da lesão dos tendões patelar e quadricipital foi realizado através de sutura não absorvível com pontos transósseos, e o reparo do tendão patelar foi complementado com a confecção de um dispositivo de proteção dinâmica. Boa recuperação funcional foi obtida em ambos os joelhos. Este caso enfatiza a importância do hiperparatireoidismo secundário na etiologia das rupturas tendinosas, em pacientes com insuficiência renal crônica.
A (IN) CONSTITUCIONALIDADE DA QUEBRA DO SIGILO BANCÁRIO PELA ADMINISTRAÇÃO TRIBUTÁRIA
Authors: De Andrade Nogueira Castilho Ana Flavia , Pinha Alonso Ricardo
Published: February 2018

O presente trabalho tem por objeto a constitucionalidade do artigo 6º da Lei Complementar nº 105/2001. Fez-se um estudo da fundamentação jurídica e legal do plenário do Supremo Tribunal Federal que levaram à constitucionalidade do referido dispositivo. Deu-se plena valorização aos direitos fundamentais à privacidade e à intimidade do indivíduo, portanto, com ênfase na legitimidade da Administração Tributária em exercer o que dispõe o artigo 6º da LC 105/01, sob o respaldo de não configurar quebra de sigilo bancário, mas transferência de dados e de sigilo entre a instituição bancária e a Receita Federal do Brasil. A justificativa para o tema, aborda a atual discussão sobre a (in) constitucionalidade do dispositivo 6º da Lei nº 105/2001 e as fundamentações para sua constitucionalidade votada pelos ministros do STF. Neste contexto, questionou-se, se a constitucionalidade do dispositivo em questão fere direitos fundamentais do indivíduo. Por fim, por meio da presente pesquisa, considerou ser constitucional o artigo 6º da Lei 105/2001, dada a interpretação de não se tratar de quebra de sigilo bancário, mas de transferência de dados entre os Bancos e a Administração Tributária, órgão legítimo para exercer a fiscalização tributária.  O trabalho se realizou com abordagem qualitativa, pelo método hipotético-dedutivo, com objetivos exploratórios textuais.
UMA VISÃO SOBRE OS PRECEDENTES JUDICIAIS E SUA EFICÁCIA NO SISTEMA BRASILEIRO ATUAL
Authors: MOLINA DE CARVALHO STANÇA FERNANDA , Silva Nelson Finotti
Published: February 2018

O objetivo do presente artigo é investigar a importância da força vinculante dos precedentes judiciais no direito brasileiro, pois com as modificações trazidas com a vigência do Novo Código de Processo Civil (Lei nº 13.105/2015), em vigor desde o dia 18 de março de 2016, inegavelmente trouxe reflexos e irradiará em todos os outros ramos do Direito, sendo que especialmente no tocante ao tema dos precedentes judiciais, será necessário fazer uma releitura, pois o que já podemos perceber é a ampliação do caráter vinculante dos precedentes judiciais, aperfeiçoando sua previsão e o dever de motivação das decisões judiciais, visando combater arbitrariedades e contribuir para se alcançar a uniformidade e a estabilidade da jurisprudência. Discorre-se inicialmente sobre o funcionamento deste sistema de precedente judicial, seus conceitos e aplicações. Tem-se, ainda, como ponto de partida o princípio da força normativa da Constituição Federal, procura-se demonstrar que a análise desse trabalho também versa sobre o reconhecimento da vinculação das razões de decidir fixadas pelos Tribunais Superiores. Por fim, será descrito alguns argumentos favoráveis e outros contrários ao reconhecimento dessa vinculação, tendo em vista a expansão da jurisdição constitucional e a valorização dos direitos fundamentais.
A NÃO REGULAMENTAÇÃO DO IGF E OS ENTRAVES QUE O RODEIAM: Um estudo sobre o porquê da não normatização desta espécie tributária.
Authors: Lopes Yara Almeida , Coutinho Eloi Pilar De Souza e Paula
Published: February 2018

Este trabalho busca analisar de forma crítica os motivos que norteiam a não regulamentação do Imposto Sobre Grandes Fortunas. Um imposto que desde sempre ensejou debates fervorosos. O que se vê são interesses pessoais conflitando com interesses coletivos, e interferindo em uma economia inteira. Uma das principais vantagens na instituição do Imposto Sobre Grandes Fortunas é a diminuição do desnivelamento social encontrado atualmente no Brasil, onde, por culpa de uma política tributária recessiva os mais pobres arcam com a maior parcela de tributos, ocasionados pela demasiada tributação incidente sobre o consumo e em contrapartida uma menor tributação incidente sobre a renda e o patrimônio. É preciso definir, baseado em alicerces de uma tributação justa quem de fato devem ser os contribuintes, qual seria o fato gerador, as alíquotas e a bases de cálculo do referido imposto. E com base nas experiências internacionais analisar as dificuldades encontradas no exterior e se elas nos serviriam como parâmetro para adotar a ideia de que realmente precisamos regulamentar o Imposto Sobre Grandes Fortunas, ou abandoná-lo de vez.
Mapeamento de Problemas de Qualidade no Linked Data
Authors: De Souza Jessica Oliveira , Santarem Segundo Jose Eduardo
Published: February 2018

Since the Semantic Web was created in order to improve the current web user experience, the Linked Data is the primary means in which semantic web application is theoretically full, respecting appropriate criteria and requirements. Therefore, the quality of data and information stored on the linked data sets is essential to meet the basic semantic web objectives. Hence, this article aims to describe and present specific dimensions and their related quality issues.
A Systematic Study for Big Data Stream Processing Frameworks
Authors: Yazici Ali , Karakaya Ziya , Alayyoub Mohammed
Published: February 2018

The choice of the most effective stream processing framework (SPF) for Big Data has been an important issue among the researchers and practioners. Each of the SPFs has different cutting edge technologies in their steps of processing the data in motion that gives them a better advantage over the others. Even though, these technologies used in each SPF might better them, it is still difficult to conclude which framework berforms better under different scenarios and conditions. In this paper, we aim to show trends and differences about several SPFs for Big Data by using the so called Systematic Mapping (SM) approach using the related research outcomes. To achieve this objective, nine research questions (RQs) were raised, in which 91 studies that were conducted between 2010 and 2015 were evaluated. We present the trends by classifying the research on SPFs with respect to the proposed RQs which can direct researchers in getting an state-of-art overview of the field.