bluuebunny/crossref_metadata_2025 huggingface dataset:
Entre os enunciados políticos e os corredores de liberdade nas práticas curriculares dos professores
Authors: Figueiredo Carla , Leite Carlinda , Fernandes Preciosa
Published: May 2019

Resumo A concretização do princípio de uma educação democrática fundada na igualdade de oportunidades de sucesso para todos tem justificado discursos políticos que, referindo-se à autonomia das escolas e dos professores, reconhecem a importância do seu papel na construção de práticas curriculares adequadas aos diferentes contextos e características dos alunos. No caso dos professores, essa autonomia está associada ao conceito de agência e remete a seu papel ativo, em contexto escolar, na definição e condução dos processos curriculares. Tendo essa perspectiva por referência, este artigo analisa possibilidades e dificuldades que se apresentam aos professores que, diariamente, procuram percorrer os corredores de liberdade curricular e pedagógica. Para isso, foi realizado um estudo que recolheu e analisou discursos de professores de escolas bem colocadas no ranking nacional português sobre as suas práticas curriculares quotidianas, particularmente no que os motiva para o recurso a práticas de contextualização e a factores que influenciam ou impedem o seu desenvolvimento. Conclui-se que a autonomia docente, apesar de presente em orientações políticas, concorre com outras imposições externas que deixam pouco espaço aos professores para desenvolverem práticas curriculares que adequem o currículo prescrito a nível nacional aos contextos escolares reais. Conclui-se igualmente que, apesar das circunstâncias e condicionantes existentes, os professores ouvidos neste estudo procuram espaços e momentos para percorrer os, por vezes estreitos, corredores de liberdade.
Dimensioning of nursing staff in outpatient chemotherapy: application of the Workload Indicators of Staffing Need
Authors: Santos Daniela Vivas dos , Gaidzinski Raquel Rapone
Published: May 2019

ABSTRACT Objective: To apply the method developed by the World Health Organization, called Workload Indicators of Staffing Need for dimensioning the nursing staff for the care of cancer patients in a Chemotherapy outpatient clinic. Method: This is a quantitative, observational, documentary field study with an intentional sample. Prospective data were collected through the work sampling method. Results: Seventeen nurses and 12 nursing technicians participated in the study. A total of 3,727 observations were performed and were obtained the mean times and the relative working time of 23 nurses’ interventions and 18 nursing technicians’ interventions. The interventions corresponded to 88.5% of the relative working time of nurses and 83.9% of nursing technicians. Personal activities accounted for 8.2% of the relative working time of nurses and 7.9% of nursing technicians. The reliability test resulted in 86.3% concordance. Conclusion: The similarity between the staff required according to the method studied and the current staff showed that the Workload Indicators of Staffing Need has great potential and applicability for dimensioning nursing professionals safely.
Hypertension is the underlying cause of death assessed at the autopsy of individuals
Authors: Coelho Juliana Chaves , Ferretti-Rebustini Renata Eloah de Lucena , Suemoto Claudia Kimie , Leite Renata Elaine Paraizo , Jacob-Filho Wilson , Pierin Angela Maria Geraldo
Published: May 2019

ABSTRACT Objective: To analyze hypertension and its relationship with the causes of death identified by the autopsy. Method: Cross-sectional study analyzed 356 participants belonging to the Brazilian Aging Brain Study Group, over 50 years of age, autopsied at the Sao Paulo Autopsy Service between 2004 to 2014. A clinical interview was conducted with the informant of the deceased. Hypertension was defined by reporting the disease and/or use of antihypertensive medication, by the informant of the deceased. Descriptive analyzes and bivariate and multivariable associations were performed. Results: The prevalence of hypertension was 66.2% and it was the second leading cause of death (25.6%) identified by autopsy, preceded by atherosclerosis (37.8%). The variables associated with hypertension were: female gender (OR=2.30 (1.34-3.90)); living with partner [OR=0.55 (0.32-0.92)]; Body Mass Index [OR=1.14 (1.08-1.22)] and history of diabetes [OR=2.39 (1.34-4.27)]. Conclusion: The prevalence of hypertension was high, and it was the second most common underlying cause of death. The gold standard for the definition of cause of death, the autopsy, shows important results, which confirmed the relevance of hypertension as a public health problem.
Catheter-associated urinary tract infection: why do not we control this adverse event?
Authors: Mota Écila Campos , Oliveira Adriana Cristina
Published: May 2019

ABSTRACT Objective: To identify factors related to the occurrence of urinary tract infection associated with urinary catheter use. Method: A longitudinal, retrospective cohort study carried out by analyzing the electronic medical records of patients admitted to an intensive care unit of a high-complexity hospital from July 2016 to June 2017. Demographic and clinical data were analyzed by descriptive and analytical analysis. Results: The incidence density of urinary tract infection related to urinary catheter use was 4.8 per 1000 catheters/day, the majority (80.6%) with no indication for catheter use, and there was no prescription for insertion and/or maintenance in 86.7%. The mean time between catheter insertion and infection diagnosis was 11.3 ± 6.3 days (6 to 28 days). Statistically significant factors (p < 0.001) related to urinary infection linked to catheter use were hospitalization time in the unit (16.7 ± 9 days), catheter permanence time (12.7 ± 6.9 days), and the use of antimicrobials in the intensive care unit (8.6 ± 6.3 days). Conclusion: The association of indication absence and the record of the need for maintenance possibly potentiated the occurrence of urinary tract infection associated to catheter use.
Social determinants of a Quilombola Community and its interface with Health Promotion
Authors: Durand Michelle Kuntz , Heideman Ivonete Teresinha Schülter Buss
Published: May 2019

ABSTRACT Objective: Understanding the relationship of social determinants in the Health Promotion of quilombola women. Method: This was a participatory study developed through the Research Itinerary of Paulo Freire, which comprises three stages: thematic investigation, codification and decoding, and critical unveiling. These stages were developed in Culture Circles from April to June 2016. Twenty themes were investigated, coded and decoded into eight themes, revealing the theme of women and their relationship with the Social Determinants. Results: Ten women from a quilombola community in Santa Catarina participated. The Health Promotion of this population and its interface with Social Determinants were understood. Health, religiosity, racial issues, social and community networks emerged as potentializing community empowerment and solidification. Conclusion: An accentuated correlation of racial issues and fragility combined with health care, education and information, and above all the distancing of vulnerable communities from comprehensive and equitable health was observed, highlighting the imminent need to strengthen Health Promotion strategies.
Specialized nursing terminology for the care of people with spinal cord injury
Authors: Clares Jorge Wilker Bezerra , Fernandes Bruna Karen Cavalcante , Guedes Maria Vilaní Cavalcante , Freitas Maria Célia de
Published: May 2019

ABSTRACT Objective: To develop a bank of terms of specialized nursing language based on the International Classification for Nursing Practice (ICNP®) for the care of the person with spinal cord injury. Method: Descriptive, quantitative study guided by the guidelines of terminological studies. Terms were extracted from an official document of the Ministry of Health through use of a computer tool, and were standardized and mapped with the ICNP® Version 2015. Results: We identified 446 relevant terms, of which 265 were equal, 68 were similar, 23 were more comprehensive, 66 were more restricted, and 24 were not in concordance with terms of the ICNP®. Terms classified as equal and similar were considered as constant. Thus, the bank of terms consisted of 333 constant terms and 113 not contained in the classification. Terms included in the Focus, Action, Means and Location axes predominated. Conclusion: The bank of terms will contribute to the construction of the ICNP® terminology subset for the care of people with spinal cord injury.
Book review
Authors: Lee Seungjae
Published: May 2019

Pedestrian facilities: geometric design for safety and mobility – second edition
AISI 316L tipi paslanmaz çeliklerin frezelemesinde MQL şartlarının takım ömrüne etkisi
Authors: TUNÇ Lütfi Taner
Published: May 2019

.Nükleer,

havacılık ve enerji sektörlerindeki büyük ölçekteki parçaların üretiminde ve

bakımında kullanılan talaşlı imalat süreçlerinin toplam maliyetini düşürmek

amacıyla robotik frezeleme, taşınabilir imalat yaklaşımı açısından, önemli

fırsatlar sunmaktadır. Ancak robotik frezeleme sistemleri etrafında su geçirmez

kabin bulunmaması, CNC işleme merkezlerinde kullanılan yüksek akışlı soğutma

tekniklerinin kullanımına izin vermemektedir. Böyle durumlarda, özellikle

metalik malzemelerin frezelemesinde en az miktarda yağlama (MQL) tekniği öne

çıkmaktadır. Ancak, MQL sistemlerinde kullanılan, hava basıncı, yağ akış oranı,

yağ tipi ve yağlama sıklığı gibi parametrelerin frezelemede takım ömrüne etkisi

konusunda çok fazla çalışma yapılmamıştır ve bu konuda araştırılması gereken

yönler vardır. Bu makalede, AISI 316L gibi nükleer imalat sektöründe çokça

kullanılan paslanmaz çeliklerin frezelemesinde MQL teknolojisinin takım ömrüne

etkilerinin anlaşılması için deneysel sonuçlar sunulmuş ve tartışılmıştır.

Kesme testleri, robotik frezeleme hücresinde yapılmış ve takım ömrü de optik

mikroskopi yöntemleriyle takım üzerindeki aşınma alanı ölçülerek değerlendirilmiştir.

Elde edilen sonuçlara göre MQL şartlarının takım aşınmasına ve yüzey

bütünlüğüne önemli etkisi olduğu belirlenmiştir. Bununla birlikte, MQL

yağlarının tipi de takım aşınması ve ömrünü önemli derecede etkilemektedir.

AISI 316L tipi çeliğin MQL ile frezelemesinde en uzun takım ömrü, doğada

çözünebilen bitkisel tabanlı yağ ile elde edilmiştir. Bazı MQL yağlarının, kuru

kesmeye çok yakın takım ömrü sağladığı da gözlemlenmiştir.
Makine öğrenmesi teknikleri ile ikili yürütülebilir dosyalarda arabellek taşması zayıflığı analizi için yeni bir yaklaşım
Authors: DURMUŞ Gürsoy , SOĞUKPINAR İbrahim
Published: May 2019

Bu çalışmada, ikili yürütülebilir dosya formatlı

yazılımların arabellek taşması güvenlik zayıflığı analizinde kullanılmak üzere

makine öğrenmesi teknikleri kullanılarak geliştirilen yeni bir yöntem ve

başarımı sunulmuştur Bir

yazılım öğesinin güvenlik zayıflığı içerip içermediğinin analizi yazılımın

güvenli olup olamadığına karar vermede belirleyici bir unsurdur. Geleneksel

yöntemler ile bir yazılımın güvenli olup olmadığı değerlendirilirken; yazılıma

ait güvenlik gereksinimlerinin incelenmesi, kaynak kod analizi ve yazılım

güvenlik test faaliyetleri icra edilebilir. Bu faaliyetler sırası ile yazılım

ile ilgili gereksinimlerin belgelendirilmiş olması, yazılım kaynak kodlarının

mevcut olması ve yazılım güvenliği konusunda uzman test ekiplerine olan

bağımlılıkları nedeni ile çoğu zaman son kullanıcı tarafından tekrarlanamayan

faaliyetlerdir. Söz konusu yazılım ikili yürütülebilir dosya formatında

olduğunda, son kullanıcı tarafında güvenlik analizlerinin yapılabilmesi için

sadece ikili yürütülebilir dosyanın girdi olarak kullanılabileceği sistemlere

ihtiyaç duyulmaktadır.
Chinese to English Lexical Transfer Errors in the Writing of Rural Senior High School Students
Authors: Ye Zhenyan
Published: May 2019

The influence of first language (L1) has been widely recognized as a crucial factor in Second Language Acquisition (SLA). Language transfer is a typical phenomenon originating from this impact of L1. Many studies have tried to explore the influence of learners’ L1 on their SLA. This paper reports a study conducted at a rural senior high school in eastern China. Based on the lexical transfer taxonomy proposed by Dodigovic et al (2015), this research attempted to at first identify examples of lexical transfer from Chinese to English caused by (1) Chinese polysemes, (2) Chinese collocations, and (3) multiword units (MWUs) yielded from learners writing. Subsequently, the patterns of and underlying reasons for lexical transfer were traced. 115 pieces of students writing were examined for error collection, and some typical examples from which were further analyzed to show how negative lexical transfer occurs. The results suggest that a great proportion of errors were caused by Chinese polysemes. The significant difference between the lexical specificity of Chinese and English as well as the word-for-word semantic equivalent assumption of L2 learners were found to be important reasons for negative lexical transfer. Pedagogical implications such adopting a wider range of semantization strategies and preventing learners from taking word-for-word relation between L1 and L2 for granted were drawn from the discussion.
On Children’s Literature Translation from the Perspective of Manipulation Theory—A Case Study of the Ren Rongrong’s Chinese Translation of Charlotte’s Web
Authors: Zhou Wenjia , Li Yuying
Published: May 2019

With the cultural turn in translation studies in 1970s, the focus of translation studies was gradually changed from traditional linguistics to culture. André Lefevere put forward to Manipulation Theory that has further broadened the field of translation studies. It holds that translation is not to realize the meaning equivalence between source text and target text, but to realize the compromise between the source cultural system and the target cultural system, in which the translation will be manipulated by some factors. Because Children’s Literature is classified specially, it may be influenced by different cultural system. Therefore, this paper chooses Chinese translation of Charlotte’s Web as a case study from the perspective of Manipulation Theory, which draws a conclusion that ideology, poetics and patronage have impacts on translation strategies of children’s literature, in order to facilitate new theoretical researches and improve Chinese translations of Children’s Literature.
The Research on Cooperative Learning in English Reading Teaching in College
Authors: Yu Yayan
Published: May 2019

There are four basic skills in English learning, namely, listening, speaking, reading and writing, while reading is the most fundamental and important skill. It is also the main and effective way to learn English, so improving the quality of reading teaching is the key to improve the quality of foreign language teaching. However, in traditional teacher-centered teaching method, students gain knowledge passively and cannot effectively show their personality and abilities.Cooperative learning is a new strategy in English teaching, which can make improvement by the application of interactive teaching dynamic factors, so cooperative learning is an effective way to solve the problems in education. Data analysis points out that cooperative learning strongly promotes the efficiency and has good prospects for development. The study also finds out the problems in the application of cooperative learning in English reading practice.
Felicity Conditions of the Speech Acts in Banyumasan Daily Conversation
Authors: Hadiati Chusni
Published: May 2019

A truth conditional sentence requires a sentence to fit into the world; however, it cannot be applied pragmatically in a daily conversation, consequently, non-truth conditional sentence is applied. In pragmatics filed, an utterance needs to be felicitous, thus it has to meet the felicity condition. Felicity condition underlies that in order to be felicitous an utterance must meet the felicity condition that includes preparatory condition, propositional content, sincerity condition, and essential condition. By using felicity condition, speakers can mean what they say and say what they mean. Searle has only postulated the felicity condition for directive and commisives, thus this article attempts to complete the felicity conditions of another three speech acts. The utterances are taken from Banyumas dialect or Banyumasan; it is a dialect of standard Javanese spoken along Serayu River. It has unique characteristic due to its phonological and lexical items compared to Standard Javanese spoken in Yogyakarta and Surakarta. This article describes the felicity condition of the speech acts found in Banyumasan daily conversation which is conducted by using descriptive analysis. The finding of this research shows that felicity conditions of Banyumasan are realized into representative, directives, commisives, expressive, and declarations.
Orofarenks Kanserlerinde Boyun Metastazlarına Yaklaşım
Authors: ORHAN İsrafil , BİLAL Nagihan
Published: May 2019

Orofarenks
kanserlerinde prognozu belirleyen en önemli parametrelerden biri boyun
metastazlarıdır. Orofaringeal tümörlerin çoğunda okült metastaz olasılığının %
20’nin üzerinde olması nedeni ile genellikle boynun elektif olarak tedavisi
önerilmektedir. Tedavi seçenekleri cerrahi veya radyoterapi olabilir. İleri
evre orofaringeal karsinomlarda ise tedavi seçenekleri boyun diseksiyonu ve
adjuvan onkolojik tedavilerle birlikte transoral cerrahi ve kemoradyoterapiyi
içermektedir. Bu makalede orofarengeal karsinomların boyun metastaz oranlarını
ve bu metastazlara yaklaşımı gözden geçirmeyi amaçladık.
EVALUACION CLINICA Y RADIOGRAFICA DE IMPLANTES REHABILITADOS CON SOBREDENTADURAS MANDIBULARES Y SOMETIDOS A CARGA INMEDIATA. 36 MESES DE OBSERVACION
Authors: Aristizabal Hoyos Juan Alberto , Zuñiga Diaz Diego Fernando , Chacón Arboleda Paula Tatiana
Published: May 2019

Introducción : El objetivo de este estudio fue evaluar clínica y radiográficamente después de 36 meses de función, 54 implantes colocados en el maxilar inferior y rehabilitados con sobredentaduras  bajo el protocolo de carga inmediata, utilizando sistema de retención tipo bola. Métodos: 27 pacientes totalmente edéntulos quienes atendieron el llamado de control después de 36 meses de haber recibido cada uno dos implantes marca  BioHorizons de conexión interna, instalados en la región inter foraminal del maxilar inferior. Los 54 implantes fueron evaluados en términos de supervivencia, cantidad de pérdida ósea peri-implantar, estado de los tejidos peri-implantares, el comportamiento de la prótesis y el grado de satisfacción de los pacientes. Resultados: La tasa de supervivencia a los 36 meses fue de 98.14%, el promedio de perdida ósea radiográfica  fue de 0,74 ±0,5, el  60,1% de los implantes presentaron nivel de placa grado 0, el 33,2% evidenció placa únicamente cuando se instrumentó con la sonda alrededor del implante, el promedio de profundidad al sondaje fue de  1,75 ±0,75 mm. Se encontró que el  57% de las prótesis tenían retención activa , El 43% no presentó retención o su retención estaba dada por uno solo de sus elementos,  el 53,8% de las sobredentaduras se encontraron estables en el momento de la evaluación , el 100% de los pacientes manifestaron satisfacción total. Conclusión: a 36 meses de observación una sobre dentadura mandibular retenida por pilares en bola colocada sobre  dos implantes no ferulizados y cargados inmediatamente parece ser un tratamiento predecible para pacientes con desdentación total inferior con una alta tasa de supervivencia de los implantes, con unos niveles de pérdida ósea peri implantar dentro de los estándares reportados por la literatura y con un alto grado de satisfacción de los pacientes.
RELACIÓN ENTRE DETERMINANTES SOCIALES DEL ÁMBITO FAMILIAR Y CARIES DENTAL EN NIÑOS PREESCOLARES DE ANAPOIMA, CUNDINAMARCA
Authors: Restrepo Perez Luis Fernando , Usuga-Vacca Margarita Viviana , Cortes Andrea , Rodríguez Gómez Julián Camilo , Ortega Mora Juan Felipe , Roa López Catherine Andrea , Rico Mendoza Jeibar Emanuel , Martignon Stefania
Published: May 2019

Introducción: el objetivo fue identificar determinantes sociales de salud, en el ámbito familiar, en preescolares de Anapoima, Cundinamarca, y su relación con la prevalencia de experiencia de caries. Métodos: en el marco de la Alianza por un Futuro Libre de Caries-Capítulo Colombia (AFLC-CC), se valoró la prevalencia de experiencia de caries en niños preescolares de Anapoima, Cundinamarca, usando el Sistema Internacional de Detección y Valoración de Caries (ICDAS) y el índice ceod (cariados, extraídos y obturados, por diente), y se caracterizaron sus familias y viviendas. Se hizo análisis descriptivo y usando chi2 se exploraron asociaciones entre ceod e ICDAS y condiciones socioeconómicas, de infraestructura y prácticas de salud en las familias. Resultados: se valoraron 120 niños de jardines infantiles del municipio de Anapoima y se visitaron sus hogares. La prevalencia de experiencia de caries (ceod) fue de 33,3% (promedio: 1,3 ± 2,5); al incluir lesiones iniciales, fue de 46,7% (4,3 ± 7,0). Se encontró relación entre presencia de caries y tipo de problemas de salud bucal referidos por los padres, relación filial con el cuidador, asistencia al servicio de salud bucal y disponibilidad de un espacio para el cepillo (p < 0,05). Conclusiones: los niños valorados presentaron baja experiencia de caries, en comparación con referentes nacionales, lo cual se explica por los determinantes intermedios identificados en su ámbito familiar, en los que se evidencian condiciones económicas, de infraestructura y de conformación familiar favorables para las prácticas de salud. Es necesario profundizar en la comprensión de la relación entre determinantes sociales y salud bucal desde la esfera estructural y fortalecer las estrategias en salud, con miras a lograr poblaciones libres de caries.
PATRÓN DE DESGASTE OCLUSAL DURANTE EL SUEÑO EN ADOLESCENTES DE 12 A 17 AÑOS SEGÚN CLASIFICACIÓN DE ANGLE
Authors: Noy Baquero Nicolás Esteban , Puentes Riveros Michel Andrés , Tanaka Lozano Eliana Midori
Published: May 2019

Introducción: el objetivo del presente estudio consistió en describir el patrón de desgaste oclusal asociado al bruxismo del sueño en adolescentes de 12 a 17 años con dentición permanente completa, según la clasificación molar de Angle (CMA). Métodos: estudio descriptivo de corte transversal. Previo consentimiento informado, se evaluaron 45 adolescentes agrupados según clasificación molar de Angle I, II y III. Se realizó el formato clínico y se tomó la impresión del arco superior en alginato, obteniendo modelos en yeso tipo III (Orthoprofessional Dental, Colombia) para realizar termomoldeado de dos placas de bruxchecker® (Biostar, Scheu Dental Technology, Germany) y dando instrucciones de uso al paciente. Por medio de inspección visual, el experto determinó el patrón oclusal de acuerdo a los desgastes dentales generados durante la dinámica mandibular en sueño, teniendo en cuenta la localización y la extensión de las marcaciones por sustracción de tinta roja en el bruxchecker®. Resultados: la distribución total de la muestra (n = 45) reportó una mayor frecuencia de dos patrones oclusales: función de grupo con puntos de contacto en balance (FG + PCB: 35,6%) y función de grupo con áreas de contacto en balance (FG + ACB: 24,4%). Conclusiones: la distribución de patrones de desgaste oclusal para CMA I mostró predominancia de guía canina con áreas de contacto en balance (GC + ACB) y guía canina con puntos de contacto en balance (GC + PCB) en un 53,3%. En CMA II, el patrón predominante (con 80%) fue función de grupo con áreas (FG + ACB) y función de grupo con puntos de contacto en balance (FG + PCB). En CMA III, el patrón predominante (con 60%) fue función de grupo con áreas (FG + ACB) y función de grupo con puntos de contacto en balance (FG + PCB).
Estudo Bibliométrico da Produção Acadêmica sobre a Remuneração do Magistério da Educação Básica Pública no Brasil (2005-2015)
Authors: Freire Luiza
Published: May 2019

O artigo apresenta um estudo bibliométrico, extraído do capítulo metodológico da tese intitulada O discurso sobre a remuneração do magistério da educação básica pública no Brasil (2005-2015). Para este propósito, foi realizado um levantamento a respeito da produção acadêmica sobre a remuneração do magistério da educação básica pública no Brasil, por meio de uma análise bibliométrica, entre os anos de 2005 a 2015. Sendo assim, os textos elencados são parte de um ramo de pesquisa em formação no campo do financiamento da educação e, no seu processo de construção, são por vezes polissêmicos, polifônicos, dispersos, descontínuos, intertextuais, devido à pluralidade na oferta de temas e entradas na análise do fenômeno remunerativo.
Carreira e Remuneração do Magistério Público de Santa Catarina: legislação estadual e seus impactos
Authors: Bollmann Maria da Graça Nóbrega , Souza Débora De
Published: May 2019

O presente artigo tem por objetivo socializar mudanças nas gratificações que compõem a remuneração dos professores da educação básica pública de Santa Catarina no período de 1992 a 2015, com interesse na observação dos desdobramentos ocorridos em 2011, ano da implantação do Piso Salarial Profissional (PSPN) no estado. O ponto de partida para essa análise foi a Lei nº 1.139, de 29 de outubro de 1992, que dispunha sobre o quadro de pessoal do magistério público catarinense estabelecendo vencimentos e instituindo gratificações. Vigorou por 23 anos, quando foi praticamente substituída pela Lei nº 668, de 28 de dezembro de 2015, que consolidou o atual plano de carreira do magistério da educação básica de Santa Catarina. Os dados demonstram que a luta pela valorização dos profissionais do magistério púbico catarinense continua sendo um grande desafio, uma vez que o PSPN ainda não proporcionou a valorização profissional tão almejada pela categoria.
ENVIRONMENTAL TOURISM. FRAGMENTS OF THE WHOLE HISTORICAL DEVELOPMENT AS AN OBJECT OF TOURIST ATTRACTION
Authors: ORLOV Dmitry N. , ORLOVA Natalia A. , MOLCHANOVA Valeria V.
Published: May 2019

In the course of this work, the following tasks were identifi ed: 1) the formulation of the defi nition of “environmental tourism”; 2) identifi cation of opportunities and prospects for the development of environmental tourism with the help of additional eff orts (saturation of infrastructure, scenery, changing architectural and landscape organization, entertainment programs, etc.); 3) identifi cation of areas of valuable development; 4) identifi cation of areas that most clearly form the image of the city; 5) identifi cation of tourist routes; 6) development of principles and techniques of cultural and entertainment organization of zones. In this work, we set as our goal the fi xation of sections of urban fabric that have survived to our time with a stable morphotype of building up. We give a brief justifying description of this morphotype and show the general approach to environmental tourism as a complex event. Issues of detailed routing, economic calculations and legal justifi cation are beyond the scope of this work. The proposed approach can potentially both increase the tourist att ractiveness of the city for nonresident and foreign tourists, and will contribute to the preservation of the historical heritage in its most vulnerable component - a valuable background building. Such activity can stimulate the development of business and investment attractiveness of the historic city.
ATRIUM SPACES: REALIZATION OF FRACTAL MODELS OF LOCAL AND URBAN STRUCTURES
Authors: MEDVEDEVA Natalia Y. , DENISOV Denis V. , PARSHIN Alexey N.
Published: May 2019

The paper refers to the functional purpose of the atrium in architecture and town planning. The authors interpret atrium spaces in the context of a fractal-cluster model of environment formation. The study includes theoretical and conceptual development of the formation of space as a multilayer structure, based on key elements (clusters). The authors investigate the elements of space that are formed by means of atria taking into account fractal concepts. The hypothesis of sustainable development of urban spaces is stated by introducing atriums as transit and unifying elements of the urban environment.
Análisis factorial de las actitudes de niños de 6 a 16 años con dispositivos auditivos hacia la educación inclusiva
Authors: Alegre de la Rosa Olga María , Villar Angulo Luis Miguel
Published: May 2019

Introducción. Este estudio plantea el problema: ¿qué validez tiene el Cuestionario Incluye para Niños y Adolescentes (CINA) para medir las actitudes de niños y adolescentes con dificultades auditivas hacia su inclusión educativa en centros educativos públicos de las provincias de Gran Canaria y Tenerife? Método. La muestra se compuso de 297 estudiantes de Gran Canaria y 137 alumnos de Tenerife con una media de edad de 11 años. Un análisis factorial exploratorio determinó la confiabilidad y relevancia del CINA. Resultados. Se hallaron cuatro factores: “Implicación familiar y opinión del uso de la tecnología”, “Inclusión en el Centro”, “Comunicación con especialistas médicos” y “Valoraciones de la tecnología de apoyo”. Conclusiones. Existieron diferencias significativas entre estudiantes con implante coclear y audífono en “Inclusión en el Centro” y “Valoraciones de la tecnología de apoyo”. La media final de actitudes de estudiantes hacia la inclusión fue alta. El factor “Inclusión en el Centro” tuvo la media más elevada. La media de actitudes de los estudiantes con implante coclear en “Comunicación con especialistas médicos” fue baja.
Ciudadanía y participación en redes sociales: Un estudio en adolescentes chilenos
Authors: Redon Pantoja Silvia María
Published: May 2019

Este artículo expone los primeros hallazgos de la investigación titulada: el sentido de lo común, de las redes sociales a las redes virtuales en educación. El objetivo de este proyecto es comprender la relación entre el uso de las redes sociales virtuales (OLSN) en adolescentes entre los 12 y los 16 años, como espacio de ciudadanía. Este objetivo requiere. por una parte, discutir las líneas teóricas del concepto de ciudadanía y lo común, concebidos desde el compromiso y la reciprocidad entre sujetos que comparten un espacio común. Pero también por la otra, resulta necesario situar la dinámica explosiva de conectividad que impacta en los adolescentes y su uso en las redes sociales virtuales.
Anamnestic and microbiological predictors of miscarriage
Authors: Sinyakova Anna A. , Shipitsyna Elena V. , Budilovskaya Olga V. , Bolotskikh Vyacheslav M. , Savicheva Alevtina M.
Published: May 2019

Hypothesis/aims of study. Miscarriage is a significant medical and social problem. The etiology of pregnancy losses is diverse and depends on many factors. It is believed that dysbiotic disorders of the vagina are one of the main causes of this pathology. While the etiopathogenesis of miscarriage is actively studied, many questions still remain open. The aim of the study was to investigate anamnestic and microbiological predictor factors of miscarriage.

Study design, materials, and methods. In a prospective cohort study, 159 pregnant women were examined in the first trimester of pregnancy: the anamnesis, course of pregnancy, vaginal microflora, and present pregnancy outcome were studied. The vaginal microflora was analyzed using microscopic, bacteriological and quantitative real-time PCR methods. Depending on the present pregnancy outcome, the patients were divided into two groups: those delivered at term and women with early and late miscarriage. The analysis of predictors of miscarriage of the ongoing pregnancy was performed depending on the period of delivery.

Results. The rate of miscarriage in women was 13%. The independent predictors of early miscarriage were chronic endometritis (OR 10.54; 95% CI 2.54 to 43.64), the dominance of Lactobacillus iners in the vaginal microflora (OR 8.52; 95% CI 2.07 to 35.05), and the prevalence of non-Lactobacillus species in microscopy of vaginal preparations (OR 4.50; 95% CI 1.02 to 19.69). The dominance of Lactobacillus crispatus was a significant protective factor of late miscarriage (OR 0.20; 95% CI 0.04 to 0.99).

Conclusion. The undertaken analysis revealed significant associations of a number of anamnestic and microbiological predictor factors with miscarriage, which will enable to substantiate approaches for predicting pregnancy outcomes at different gestational age and to develop methods of pre-conception care and treatment in women with different risk of miscarriage.
Perceived Barriers to Meditation Among College Students: The Role of Personality Traits
Authors: Whitford Samantha , Warren Keith
Published: May 2019

Background: Meditation is likely to be a useful intervention for anxiety and depression, and is increasingly common as a clinical intervention and informal practice among university students.  However, meditation dropout rates are high, and it is likely that perceived barriers to meditation play a role.  While neuroticism is known to predict dropout, there has been no study relating personality traits to these barriers.Aim: To better understand the barriers to meditation practice that university students experience.Methods: We used online survey data to analyze the relationship between personality traits, whether students practice meditation, time spent on academic and other work, and university students’ perception of barriers to meditation.Results: We found a nonlinear relationship between neuroticism and perceived barriers; the number of perceived barriers increased with increased neuroticism but eventually flattened out.  Participants who meditate perceive more barriers than those who do not.  We found no relationship between time spent in other activities and perception of barriers.Conclusions: Those students who would benefit most from meditation may have the most trouble continuing. Clinicians applying meditation as an intervention in a university setting should be ready to work with students on barriers to practice.
President's Message
Authors: Amaya Megan
Published: May 2019

No abstract available.
Clinical profile and lipid abnormalities in subclinical and overt primary hypothyroidism
Authors: Hiregoudar Mrutyunjay B. , Mohanty Pradeep Kumar , Tripaty Sagnika , Kerketta Amita , Soren Uttam Kumar , Sukla Sunil Kumar
Published: May 2019

Background: Overt and subclinical hypothyroidism, affects metabolism of lipids particularly that of cholesterol, low density lipoprotein and triglyceride. Hypercholesterolemia predisposes to atherosclerosis and thereby increases cardiovascular risks.Methods: Hundred patients of primary  hypothyroidism of age more than 15 yrs were included. Five milliliters of venous blood was drawn in fasting state and serum obtained; thyroid function test (TFT) and fasting lipid profile were performed. Based on the TFT, patients were categorized as sub clinical or overt hypothyroidism. Clinical data, thyroid and lipid profiles obtained were analyzed and compared using statistical methods.Results: Seventy patients were females and thirty were males in the ratio of 2.3:1. Most common age group was 51-60years followed by 41-50years. Most common symptom was generalised weakness followed by weight gain, cold intolerance, constipation, hair loss, paraesthesia’s. Most common signs were myxoedema, delayed ankle reflex relaxation, dry and  coarse skin, bradycardia, non-pitting peripheral edema, madarosis, pallor, goiter. Patients with Overt hypothyroidism had significantly higher serum levels of total cholesterol(249.1±31.7 mg/dl), Triglycerides (191.5±68.5 mg/dl) and LDL cholesterol(167.7±31 mg/dl) than the Subclinical hypothyroidism with total cholesterol(202±19.8),triglycerides(155.6±35) and LDL cholesterol(129±21.1) but HDL cholesterol  level remains normal in both overt  (44.0±4.7) and subclinical  (43.1±4.4)hypothyroidism respectively.Conclusions: Patients with Overt hypothyroidism had significantly higher levels of Total cholesterol, Triglycerides (TG) and LDL cholesterol than the Subclinical hypothyroidism but HDL cholesterol level remains normal in both. So, concomitant estimation of lipid profile in hypothyroidism patients is needed for early intervention and prevention of cardiovascular morbidity and mortality.
The analysis of continence after posterosagital anorectoplasty in anorectal malformation patients in Wahidin Sudirohusodo hospital of Makassar
Authors: Lawile Alwi , Mantu Farid Nur , Mariana Nita , Seweng Arifin
Published: May 2019

Background: The management of anorectal malformations universally uses posterior sagittal anorectoplasty (PSARP) as standard surgery. The aim of this research was to determine continence in patients with anorectal malformation after PSARP action.Methods: This study was a descriptive analytical categorical research with cross sectional design. The data were obtained from patients’ medical records and questionnaire given to patients underwent PSARP in Wahidin Sudirohusodo Hospital and network hospitals from June 1 to December 1, 2018. The analysis was done to 60 children ranging from 5 to 8 years old. Most of them were male (56.7%) ranging from 5 to 6 years old (53.3%).Results: The results of the research indicated that based on malformation subtype, most of them suffered from rectourethra fistula (40.0%) with continence problem (61.7%). There was no significant correlation between sex and continence problem (p >0.05). However, it was seen that the percentage of continence subjects was higher in female (65.4%) than in male (58.8%), while the percentage of soiling and constipated subjects was higher in male than in female. Rectourethra fistula was found more frequently in male than in female (70.6%), while vestibuler fistula was found more frequently in female (69.2%). There was no significant correlation between age and defecation problem (p >0.05). However, the percentage of continence and soiling subjects was higher in 5-6 years children then the one for 7-8 year children, while the percentage of constipated subjects was higher in 7-8 year children (21.4%) than 5-8 year children (18.8%).Conclusions: Gender differences in the outcome of children with anorectal malformations must be considered. Men with perineal fistula were likely to experience continence and constipation than women with perineal fistulas. Women with perineal fistulas and vestibular fistulas had almost similar outcome.
Effect of antiretroviral therapy on progression of endothelial dysfunction in acquired immune deficiency syndrome patients
Authors: Varte Zorinsangi , P. Naveen , Ralte Wendy L.
Published: May 2019

Background: Though the natural history of Human Immunodeficiency Virus (HIV) infection in many patients has been dramatically altered through the use of antiretroviral therapy, this treatment paradigm of chronic chemotherapy may not be sustainable given the short and long-term toxicities of these medications. Currently, there is lack of data in the Indian literature regarding study of endothelial dysfunction in HIV patients. The purpose of our research was to study the effect of anti-retroviral therapy on the progression of endothelial dysfunction in HIV/AIDS patients.Methods: The study comprises a total number of 30 adult HIV positive patients of both sex with confirmed HIV seropositivity and CD 4+T cell count < 200/µl. None of these patients had ever received anti retroviral therapy (ART). These patients were subjected to detailed clinical examination and markers of endothelial dysfunction - Flow mediated vasodilatation (FMD) of brachial artery, S. Nitrite and C-reactive protein (CRP) were performed before starting ART. Study group patients were started on ART, they received triple drug ART (Lamivudine 150 mg BD, Stavudine 30 mg BD, Nevirapine 200 mg BD). In patients on ART after a period of 6 months, markers of endothelial dysfunction - FMD, S. Nitrite and CRP tests were reassessed.Results: FMD (4.08±3.58) and S. Nitrite (20.83±13.75) were also depressed after six months of anti retroviral therapy. Also, patients showed more CRP positivity and higher titres after ART. CD 4+T cell count before ART (124.16±84.46) and after ART (186.63±70.96). This rise in count was statistically significant.Conclusions: HIV patients who are receiving ART demonstrate a number of metabolic abnormalities with more severe depression in markers of endothelial function.
Role of robotic arm assistance in computed tomography guided bone biopsy
Authors: Mehta Natasha N. , Mehta Nikit , Gorde Nitin
Published: May 2019

Background: Use of robotic assistance technique has significant benefits over conventional techniques. The present study looks at the recent technological developments in image guidance for bone biopsy procedures.Methods: Patients who were referred to the department of radiodiagnosis, Bharti Hospital and Dot3d scanning center, Sangli, Maharashtra, India from July 2017 till December 2018 with suspected bone lesions were included in the study. These patients underwent robotic arm CT guided bone biopsy of their lesions.Results: In the present study, 47 patients were included. Authors observed that 93.6% had a positive diagnosis based on CT guided bone biopsy. Metastatic lesions were diagnosed in 8 cases. Inflammatory lesions and tuberculosis were other commonly observed diagnosis.Conclusions: Further growth and development of medical imaging devices have allowed more interventional procedures to be performed and more patients to benefit from them. Radiologists needs to develop a thorough understanding of the anatomical structure involved and need to acquire both solid grounding in technology and the practical skills to visualize a nerve structure.
Posterior segment manifestations in human immunodeficiency virus/acquired immunodeficiency syndrome patients in rural population of central india
Authors: Agrawal Gaurav , Babber Meenu , Sami Ifsa , Sharma Reena , Ranjan Ravi
Published: May 2019

Background: Ocular manifestations of HIV infections are common in the developing countries with lacking data in rural areas. The aim of study was to assess the prevalence of ophthalmic manifestations among HIV infected individuals in rural population and to find the relationship between CD4 count and ocular manifestations among these individuals.Methods: Authors have included 400 HIV patients of age more than 15 years that were registered in ART center of our institute. Ocular examination was done with slit lamp biomicroscope and indirect ophthalmoscope. Blood sample was sent for CD4 count analysis.Results: The mean age of patients ware 31.9±9.3 years, the ocular manifestations were more commonly found in the age group 25-35 years. 51 % were males and 49% were females. Most common mode of transmission was heterosexual contact (51%).55 % patients had CD4 count >150 cell/cumm. Cotton wool spots (36%) and intra-retinal haemorrhages (32%) was most common posterior segment findings followed by ocular toxoplasmosis (13%), CMV retinitis (10%), acute retinal necrosis (3 %).Conclusions: The prevalence of ocular manifestations in HIV patients is high and is a burden for our society, authors recommend screening of all the HIV patients to detect any vision threatening ocular lesions at the earliest.
Evaluation of shoulder kinesthesia in patients with unilateral frozen shoulder
Authors: Bhale Akansha A. , Wani Surendra K.
Published: May 2019

Background: Intact sensory-motor system provides kinesthesia for maintaining joint stability. Joint proprioception or joint kinesthetic sensation is often used alternately to describe a deep sensation of joint motion and joint position sense. Mechanoreceptors located in superficial layer of joint capsule, muscle spindle, golgi tendon organ complex and ligaments around joint provides joint kinesthetic sensation. Frozen shoulder or adhesive capsulitis is one of the common musculoskeletal disorders encountered in Indian population with a prevalence of almost 50% older patients with diabetes and 2-10% in non-diabetic patients. This study assessed joint kinesthetic sensation during shoulder movements in people with frozen shoulder and healthy controls which may be affected due to presence of disease process or pain. Authors hypothesized that pain and alterations in non-contractile tissues (mainly capsule) around shoulder joint due to frozen shoulder may interfere with the joint kinesthetic sensation.Methods: Case group consisted of 41 participants with frozen shoulder and 41 healthy participants without shoulder pathology. Joint kinesthesia was assessed in frozen shoulders and dominant shoulders using angle reproduction test by actively reproducing the target angle placed passively by the therapist during flexion, abduction, medial and lateral rotation movements. The angle reproduced was measured using universal goniometer by the same therapist and 3 readings were recorded.Results: Results indicate significant differences between the mean difference of angle reproduction test during shoulder movements in cases of frozen shoulder and healthy group (p value <0.05).Conclusions: Significant shoulder kinesthetic deficits were observed in patients with unilateral frozen shoulder. Therefore, clinicians should consider rehabilitation of kinesthesia in treatment of patients with frozen shoulder.
The effect of hyperglycemia and troponin I levels on the prognosis of acute ischemic stroke in non-diabetic and diabetic patients
Authors: Hidayati Lubis B. Ag. , Anwar Yuneldi , Arina Cut Aria
Published: May 2019

Background: Acute hyperglycaemia may predict a higher risk of hospitalization mortality after ischemic stroke in non-diabetic patients and a higher risk of poor functional improvement in non-diabetic stroke patients. It is thought that insula involvement in right cerebral hemispheres has a role in autonomic control of the heart. Troponin is a sensitive marker that is widely used in the diagnosis and risk stratification of acute coronary syndrome. High troponin I is found in acute stroke patients and is associated with a poorer prognosis.Methods: The study was cross-sectional, 30 patients diagnosed with acute ischemic stroke at Haji Adam Malik General Hospital Medan from June 16, 2017 to March 31, 2018. All participants were taken blood to measure blood glucose levels at the time of admission >140 mg/dL with a history of previous or not diabetes. Troponin I levels was checked when acute ischemic stroke patients had entered the inpatient room. The patient's prognosis is determined by National Institute of Health Stroke Scale (NIHSS) and Modified Rankin Scale (MRS). The calculation of NIHSS and MRS scores was performed on the first day of admission and the fourteenth day after being admitted to the hospital. Statistical test using Fisher exact test.Results: Of the 30 samples consisted of 19 men and 11 women. The significant effect between hyperglycaemia in acute ischemic stroke patients with diabetes and non-diabetes on the fourteenth day NIHSS (PR 2.8; 95% CI, 1.184-6,622; p=0.045).Conclusions: There was an effect between hyperglycaemia in non-diabetic and diabetic on the poor prognosis of acute ischemic stroke patients.