bluuebunny/crossref_metadata_2025 huggingface dataset:
High tropospheric ozone in Lhasa within the Asian summer monsoon anticyclone 2013: influence of convective transport and stratospheric intrusions
Authors: Li Dan , Vogel Bärbel , Müller Rolf , Bian Jianchun , Günther Gebhard , Li Qian , Zhang Jinqiang , Bai Zhixuan , Vömel Holger , Riese Martin
Published: August 2018

Abstract. Balloon-borne measurements of ozone in Lhasa (29.66° N, 91.14° E, 3650 m above sea level) in August 2013 are investigated using backward trajectory calculations performed with the Chemical Lagrangian Model of the Stratosphere (CLaMS). Measurements show three time periods characterized by high ozone mixing ratios in the troposphere on 8, 11, and 18–20 August 2013 during the Asian summer monsoon season. Here, we could verify two different sources for the enhanced ozone values in the troposphere. First, transport of polluted air from the boundary layer, and second transport from the stratosphere by stratospheric intrusions. Air pollution from South Asia through convective and long-range transport plays a key role in enhancing middle/upper tropospheric ozone mixing ratios up to 90 % on 8 August and up to 125 % on 11 August 2013. Stratospheric air intruded from the northern high-latitude to the southeastern flank of the Asian summer monsoon (ASM) anticyclone to the troposphere and is identified as source of enhanced ozone according to backward trajectory calculation and satellite measurements by the Ozone Monitoring Instrument (OMI) and the Atmospheric Infrared Sounder (AIRS). Air parcels with high ozone moved from the high latitude lower stratosphere to the middle/upper troposphere and are then transported to Lhasa over a long-distance and enhanced upper middle/tropospheric ozone in Lhasa during 18–20 August 2013. Our findings demonstrate that the strong variability of ozone within the ASM anticyclone in the free troposphere is caused by transport from different regions of the atmosphere.
Quantitative mapping and predictive modelling of Mn-nodules' distribution from
hydroacoustic and optical AUV data linked by Random Forests machine learning
Authors: Gazis Iason-Zois , Schoening Timm , Alevizos Evangelos , Greinert Jens
Published: August 2018

Abstract. In this study, high-resolution bathymetric multibeam and optical image data, both obtained within the Belgian manganese (Mn) nodule mining license area by the autonomous underwater vehicle (AUV) Abyss, were combined in order to create a predictive Random Forests (RF) machine learning model. AUV bathymetry reveals small-scale terrain variations, allowing slope estimations and calculation of bathymetric derivatives such as slope, curvature, and ruggedness. Optical AUV imagery provides quantitative information regarding the distribution (number and median size) of Mn-nodules. Within the area considered in this study, Mn-nodules show a heterogeneous and spatially clustered pattern and their number per square meter is negatively correlated with their median size. A prediction of the number of Mn-nodules was achieved by combining information derived from the acoustic and optical data using a RF model. This model was tuned by examining the influence of the training set size, the number of growing trees (ntree) and the number of predictor variables to be randomly selected at each RF node (mtry) on the RF prediction accuracy. The use of larger training data sets with higher ntree and mtry values increases the accuracy. To estimate the Mn-nodule abundance, these predictions were linked to ground truth data acquired by box coring. Linking optical and hydro-acoustic data revealed a non-linear relationship between the Mn-nodule distribution and topographic characteristics. This highlights the importance of a detailed terrain reconstruction for a predictive modelling of Mn-nodule abundance. In addition, this study underlines the necessity of a sufficient spatial distribution of the optical data to provide reliable modelling input for the RF.
Case Studies in Physical Therapy: Transitioning a "Hands-On" Approach into a Virtual Platform
Authors: Turner Aideen
Published: August 2018

Technology is expanding at an unprecedented rate. Because patients value the speed and convenience of the internet, there is an increasing demand for telemedicine.  Practitioners must therefore adapt their clinical skills to evolving online technologies. This paper presents a series of three case studies in which a physical therapist first assessed and treated musculoskeletal disorders via a live, secure video. The basis of the mechanical assessment was observation of movement rather than palpation. In each case, the virtual mechanical assessment identified a specific sub-classification with a directional preference.  All patients reported improvements in symptoms and function in less than four visits and all maintained a reduction in symptoms after three months. Given the “hands-off” role of the evaluator, this approach can become an effective tool in the evolving healthcare platform of telerehabilitation.
Fotografia e exploração geográfica: diálogos com Gênesis, de Sebastião Salgado
Authors: D' Assunção dos Santos Lara
Published: August 2018

Resumo
O presente artigo desenvolve-se em torno da relevância das imagens fotográficas na construção de geografias imaginativas e na produção de um forte sentimento de alteridade e nacionalidade. Inicialmente, dissertarei sobre os primeiros registros de espaços inóspitos e como tais imagens faziam parte da cultura da exploração que objetivava deter o conhecimento do mundo. A segunda parte explora brevemente a fotografia do século XX, onde há um imenso potencial de divulgação viabilizado pela imprensa. Na terceira parte, utilizarei o livro Gênesis, de Sebastião Salgado, como referência para pensar a importância de registrar e testemunhar culturas, paisagens e identidades ainda presentes no mundo.
Palavras-chave: Imagem; Fotografia; Sebastião Salgado; Exploração Geográfica
 
Abstract
This article develops around the relevance of photographic images in imaginative geographies in the construction and production of a strong feeling of otherness and nationality. Initially, I will discuss about first records of inhospitable spaces and as such images were part of the culture of exploration that aimed to prevent the knowledge of the world. The second part briefly explores the twentieth century photography, where there is a huge potential for disclosure made possible by the press. In the third part, I will use Genesis book, Sebastiao Salgado, as a reference to think the importance of recording and witness the cultures, landscapes and still presents identities in the world.
Keywords: Image; Photography; Sebastião Salgado; Geographical Exploration
 
Resumen
Este artículo se desarrolla en torno a la relevancia de las imágenes en la construcción de geografías imaginativas y producción de un fuerte sentido de la alteridad y la nacionalidad. Primero hablaré sobre los primeros registros de espacios inhóspitos y cómo estas imágenes eran parte de la cultura de la exploración que tenía como objetivo detener el conocimiento del mundo. La segunda parte explora brevemente la imagen del siglo XX, donde hay un enorme potencial para la divulgación hecha posible por la prensa. En la tercera parte utilizará el libro de Génesis, Sebastiao Salgado, como una referencia a pensar la importancia de la grabación y el testimonio de las culturas y paisajes todavía presentes identidades en el mundo.
Palabras clave: Imagen; Fotografía; Sebastião Salgado; Exploración Geográfica
Hortas escolares em Vancouver, Canadá como parte da “segunda geração” da soberania alimentar
Authors: Leopoldo de Freitas Coca Estevan , Barbosa Jr Ricardo
Published: August 2018

Resumo
Num processo mais visível no Hemisfério Norte, porém, também presente no Hemisfério Sul, nos últimos anos tem emergido uma série de ações com o intuito de fazer dos espaços urbanos protagonistas dos sistemas alimentares locais, fato que demarca a “segunda geração” da proposta alternativa de soberania alimentar. São exemplos disso, conselhos de políticas alimentares, mercados de produtos locais, hortas e pomares urbanos e outros. Com base em tal referência, nesse texto é feita uma análise da implementação de hortas escolares em Vancouver, no Canadá, utilizando o método qualitativo. Destaca-se que, apesar de serem efetivadas em escolas públicas, os maiores responsáveis por tais inciativas são Organizações Não-governamentais (ONGs) que desenvolvem projetos de promoção da agricultura local e de educação alimentar.
Palavras-chave: Soberania alimentar; Vancouver School Board; Farm to School BC; Agricultura urbana; Hortas escolares.
 
Abstract
In recent years a series of actions in order to turn urban spaces into protagonists of local food systems has emerged, as part of a process that is more visible in the Northern Hemisphere – but also present in the Southern Hemisphere – a fact that marks the "second generation" of the alternative proposal of food sovereignty. Examples include food policy councils, farm markets, urban gardens, orchards and others. Based on these references, this paper offers an analysis of the implementation of school gardens in Vancouver, Canada, by using the qualitative method. It is noteworthy that, despite taking place in public schools, those most responsible for such initiatives are Non-Governmental Organizations (NGOs) that develop projects promoting local agriculture and food literacy.
Keywords: Food sovereignty; Vancouver School Board; Farm to School BC; Urban agriculture; School gardens
 
Resumen
Un proceso más visible en el hemisferio norte, pero también presentes en el hemisferio sur en los últimos años, es el surgimiento de una serie de acciones con el fin de hacer los espacios urbanos, los sistemas alimentarios locales, un hecho que marca la "segunda generación" de la propuesta alternativa de la soberanía alimentaria. Los ejemplos incluyen el asesoramiento a las políticas de alimentos, mercados de productos locales, jardines y huertas urbanas y otros. Con base en estas referencias, este texto presenta un análisis de la implementación de jardines en las escuelas en Vancouver, Canadá, utilizando el método cualitativo. Es de destacar que, a pesar de ser efectuado en las escuelas públicas, el más responsable de este tipo de iniciativas son las Organizaciones No Gubernamentales (ONG) que desarrollan proyectos de promoción de la agricultura local y educación alimentaria.
Palabras clave: La soberanía alimentaria; Vancouver School Board; Farm to School BC; La agricultura urbana; Las huertas escolares
UM OLHAR SOBRE O IMPEACHMENT DE DILMA ROUSSEFF
Authors: Lemos Daniel De Souza
Published: August 2018

Resenha do livro do cientista político e jornalista Rodrigo Almeida, então Secretário Imprensa da Presidência da República, nos meses finais do segundo mandato de Dilma Rousseff antes de seu impedimento. À sombra do poder: bastidores da crise que derrubou Dilma Rousseff, narra os fatos que constituíram o pano de fundo da crise que pôs fim prematuramente ao segundo mandato da primeira presidenta do Brasil.
GASTON FÉBUS OU LA CONSTRUCTION D’UNE LÉGENDE BÉARNAISE
Authors: Béague Nadine
Published: August 2018

A região turística do Sul da França, o Béarn, é privilegiada por um rico passado histórico representado pela pessoa de Gaston Fébus (1331-1391). A reabilitação, em 2015, do castelo de Morlanne, propriedade do Département des Pyrénées-Atlantiques, representa uma ótima oportunidade para os arqueólogos pesquisar esta região rica em sítios de castelos e localizada na fronteira entre os reinos da França e da Inglaterra. A presente reflexão também tratará do porvir destes sítios como da implicação dos residentes.
DISCUSSION - ARCHAEOLOGICAL HERITAGE AND LOCAL COMMUNITIES: A FORCE OF CHANGE IN THE CONTEMPORARY WORLD
Authors: Warrick Gary
Published: August 2018

A Conferência da Associação de Estudos Críticos de Patrimônio de 2016, ocorrida em Montreal, Canadá, colocou uma questão “O que o patrimônio muda?”. A sessão organizada por Allison Bain e Réginald Auger teve como objetivo analisar os aspectos arqueológicos sob o título “O que o patrimônio muda? Estudos de caso na Arqueologia.” Os artigos apresentados, de escopo internacional, passam uma mensagem comum: arqueologia contemporânea serve melhor a humanidade quando os governos protegem sítios arqueológicos com legislação, financiamento e gestão; quando a propriedade patrimonial é reconhecida; pesquisa comunitária é realizada; e quando arqueólogos estabelecem parcerias de longa duração com a comunidade local. Arqueologia pode se tornar um instrumento de mudança no mundo contemporâneo, em especial para o bem-estar das comunidades locais.
“Air” on the side of caution: The importance of early recognition and intervention in Ludwig’s angina
Authors: Long Sallie M. , Demirci Talha , Kruse Stacy R.
Published: August 2018

Ludwig’s angina is a deep neck infection of the supramylohyoid and inframylohyoid spaces. Without prompt recognition and intervention, it can progress to airway compromise with significant morbidity and mortality. Although otolaryngologists and oral surgeons are well-versed in this condition, it is vital that physicians across all specialties are knowledgeable about the presentation and basic treatment of this potentially fatal condition. Here we report a case of Ludwig’s angina in a 29-year-old male that was successfully managed with both medical and surgical intervention. We also aim to describe the presentation and treatment of Ludwig’s angina in order to increase awareness in non-surgical fields.
Factors Supporting and Preventing Academics from Becoming Lifelong Learners
Authors: Ayvaz-Tuncel Zeynep
Published: August 2018

In present circumstances, it has become inevitable for individuals to continue obtaining new information and skills throughout their lives. Having learned to learn and information literate individuals are able to meet their learning needs both in career and personal terms by themselves. The important aspect is the individual feels the need to learn and knows how and where to meet these needs. Feeling those can be considered as the basic requirement to make efforts in order to meet them. However, the surrounding circumstances may support or prevent meeting these needs. Therefore, the main questions to be answered in this study are as follows: (1) what are the factors supporting academics, holding office in the faculty of education, to become lifelong learners? and (2) what are the factors preventing academics, holding office in the faculty of education, from becoming lifelong learners? Since the situation of being a lifelong learner will be examined by being based on the present working conditions, the study is designed as embedded multiple case study. It is endeavored to ensure maximum variety in the study group by taking into account the various academic titles, gender and fields of study. The interview form is developed based on the literature and revised according to the opinions of specialists. The data has been collected by having individual interviews with academics and a content analysis has been performed. In conclusion of the analysis performed, such themes as the need to become lifelong learners, the factors supporting to become lifelong learners and the factors preventing from becoming lifelong learners have been reached.
Applied methods of power supply and galvanic isolation of gate drivers of power transistors in bridging end stages of Class D amplifiers and inverters
Authors: Jasielski Jacek , Kuta Stanisław
Published: August 2018

Various methods used for a floating high-side gate drive power supply and galvanic isolation of the Class-D amplifiers and different DC-AC or DC-DC converters have been reviewed and evaluated in the paper. On the basis of the literature, the bootstrap floating supply and self-boost charge pump topology for a gate drive high-side power supply, as well as control signal isolated systems with optically-isolated signals or with capacitive signal isolation have been described and compared. New topologies of the Class-BD amplifiers with Common-Mode (CM) free outputs using PSC PWM - Phase Shifted Carrier Pulse Width presented in the paper, shows that almost all gate drivers of the output stage transistors require floating power supply and galvanic isolation of the control signals. In the case of such circuits with multi-level PWM output, the most reliable and robust method for the floating gate drive power supply and galvanic isolation is self-boost charge pump topology with capacitive control signal isolation. Correct operation of the output stage of the proposed Class-BD amplifiers as well as the PWM modulator and self-boost charge pump topologies with capacitive control signal isolation have been verified using intensive Pspice simulation.
Assessment of poultry eggs freshness using FTIR spectroscopy combined with HCA and PCA methods
Authors: Michalczyk Ewelina , Kurczab Rafał
Published: August 2018

The main aim of this study was to investigate the use of Attenuated Total Reflection Fourier Transform Infrared Spectroscopy (ATR FTIR) and selected chemometric methods to classify eggs in terms of the laying hen farming method, as well as to identify changes in the individual egg compositions during storage. In total, 50 eggs were used for the study; 10 eggs per classes: 0, 1, 2, 3 and rural. Eggs were stored by 29 days period, which was divided on the 10 measuring days in which one egg from each class was tested by recording two FTIR spectra for the shell, albumen and egg yolk. The chemometric analysis, including Hierarchical Cluster Analysis (HCA) and the Principal Component Analysis (PCA), was performed based on the recorded FTIR spectra. Changes in chemical composition during the experiment in individual egg elements were analyzed. Furthermore, by analyzing the graphs (HCA and PCA) obtained by the chemometric analysis, it was noted that the largest changes in the chemical composition of eggs occurred in the shell and yolk, while in the albumen it was less insignificant. The chemometric analysis of the recorded spectra also showed that combination of chemometric methods and FTIR spectroscopy can potentially be used to develop a non-destructive method for classifying eggs in terms of the hen culture method and to monitor of their freshness.
Zielony depozyt na czarną godzinę. Banki nasion jako miejsca przyszłości
Authors: Chymkowski Roman , Koprowicz Agata
Published: August 2018

The main aim of the article is presentation and operationalization of the concept of the places of the future in the context of seed banks. The future is understood here as a category of collective imagination, which means that the predicted future is an essential element of the present. The anticipated futures act reciprocally upon the social practices, both at the individual and the institution levels. Although, due to social, natural, civilizational and other reasons, the future is not fully predictable, it is semi-open, not-completely closed, it is recognized in the form of systemic thinking, which can be defined as closed. The analysis of the case of seed banks allowed revealing the inevitable gap between the future and systematic anticipation practices. The seed banks established in the face of the anticipated threat of global hunger are a tool for negotiating a possibly beneficial to people scenario for the future, conducted with non-human actors, whose actions are of probabilistic nature.
„Listy na liściach”. Medialność roślin w projekcie Grün | Zielony Karoliny Grzywnowicz
Authors: Wandzel Anna
Published: August 2018

In the article, I discuss the role of plants in Karolina Grzywnowicz’s Grün | Zielony [Green] project and point to their media nature as well as their inseparable connection with the local cultural history and bottom-up practices of memory of the residents of Breslau/ Wrocław. I look at the cultural biography of Wrocław plants from the perspective of cultural and environmental anthropology and analyse the various ways in which they co-create and sustain – due to their material belonging to a specific space and cyclic, heterotemporal rhythms of growing and dying back – the transcultural identity of the city, entering into the relationship both with the everyday experiences of the residents of Wrocław and with the historically changing, social relations of power. In this context, I also discuss the concept of “personal natural monuments” introduced by the artist and I reflect on its accuracy.
Tactics of Carrying out Forensic-Procedural Activities at The Scene of Road Accident
Authors: Żołna Małgorzata Maria
Published: August 2018

This year marks the 20th anniversary of the publication of the work of the late Prof. Stanisław Pikulski titled The Basic Problems of the Criminalistic Tactics. Already in the introduction to this
textbook, which belongs to the canon of required reading for each criminalistic, the Author has rightly attributed to the forensic tactics a vital role in combating crime, especially in the direct
identification of offenders and he has rightly described the knowledge of its rules as necessary to perform criminalistic activities in daily tasks undertaken by the policeman, prosecutor and judge1. It seems that following this deliberation one could take one step further and state that also court appointed experts should have the expertise in application of the rules of the criminalistic tactics to correctly fulfill their role of an assistant in legal proceedings. In order to successfully carry out their task, be it a participation in the legal criminalistic proceedings or preparing an expert opinion, the court appointed expert should closely cooperate in this matter with judicial authorities carrying out the proceedings and vice versa. Training of a policeman, prosecutor and judge to consider and determine the case of traffic offence should comprise the knowledge of methods, which would also lead to an identification of circumstances of vehicles collision, knocking down of a pedestrian. Each stage of proceedings, starting from the first action, which usually is the inspection of the accident scene, followed by the interrogation of witnesses and a suspect (suspects), defining the tasks assigned to the court appointed experts and then their assessment, conducting experiments and lastly determining the type of committed infringement, demands that the judicial authorities not only have the knowledge of the binding provisions of law, but also the know-how to use information about revealed and secured traces.
The Criminal and Civil Law Concept of A Document
Authors: Zgajewska-Rytelewska Ewelina
Published: August 2018

According to objective literature, in each of the foregoing areas of law, the term “document” has a different precision in the content used to perform a particular function, in order to obtain a certain probative and legislative power. Despite the extensive scope of the concept of civil and legal “document”, the legislature does not limit its semantic domain. The legal status
created by the legislator allows for the adaptation of the term “document”, to the new terms used by the legislature in the definition of legal and regu- latory acts.The theoretical and broad interpretation of the term “document” in criminal law and civil law causes a significant increase in its mission and values. With the increase in meaning, there is also an increase in the func- tion of the document. This is the result of continuous technical and techno- logical development, which results in increasingly new forms of documents and their protection against counterfeiting, rewriting and unlawful use.
Policja Czasów Stanisława Augusta Poniatowskiego na Przykładzie Władz Miasta Krakowa. Teoria, Organizacja, Działalność.
Authors: Mielnik Marcin
Published: August 2018

Organizacja i funkcjonowanie Policji w Krakowie czasów stanisławowskich stanowi podstawowe zagadnienie artykułu. Na początku scharakteryzowano naukowe traktaty dotyczące tej instytucji. Teoretyczna wiedza została wsparta krótką charakterystyką prawa, organizacji i działalności władzy policyjnej w Rzeczypospolitej XVIII w. W głównej części pracy przedstawiono ustrój miasta oraz najważniejsze na jego obszarze kierunki działań Policji. Zaliczyć do nich należy ochronę zdrowia, kontrolę zjawiska żebractwa, bezpieczeństwo publiczne, a także zagadnienia gospodarcze. Analizę wspomnianych problemów autor oparł na źródłach drukowanych Volumina Legum oraz źródłach archiwalnych Archiwum Państwowego w Krakowie. Postawiona w artykule teza o wypełnianiu przez władze po- licyjne teoretycznych założeń potwierdzono licznymi przykładami działań policji w zakresie walki z żebrakami, z przestępstwami dotyczącymi miar i wag czy jakości wykonywanych usług.
Legal and Economic Aspects of Property Taxation (selected issues)
Authors: Wołowiec Tomasz
Published: August 2018

The notion of property constitutes one of the most ambiguous categories, differently defined and interpreted depending on a given field of science. Analyzing legal provisions of the EU countries which regulate the issues of tax accounting and tax law, we may determine the general properties of elements of property
Treatment with Melatonin Improves Cognitive Behavior and Motor Skills in a Rat Model of Liver Fibrosis
Authors: Bouchet Antoine , Ossandón Carolina , Haeger Paola , Bresky Gustavo
Published: August 2018

Introduction and aim: Patients with Liver Cirrhosis (LC) and Minimal Hepatic Encephalopaty have a higher accident rate. LC impairs the normal sleep-awake cycle and produces disturbances in behavior, cognition and motor skills. Abnormal melatonin (MT) levels have also been identified in LC. Administration of MT may regulate circadian rhythms and prevent the oxidative damage. We studied the effects of MT on spatial memory acquisition (SMA) and motor skills in a liver fibrosis model (LF)s. Materials and Methods: 45 rats, divided into 4 groups. (G1: LF; G2: LF+MT;G3:MT; G4:Healthy control (HC)). LF was induced by carbon tetrachloride intraperitoneal injection (0.2 ml/Kg) for 5 months. MT was administered during 5 weeks (0.4mg/Kg/day). SMA was evaluated by using the Morris Water Maze protocol where the escape latency (EL) and mean speed were measured. Data were registered by SMART®. Results: The EL measurement analyzed by two way ANOVA: cirrhosis presented a higher EL than controls or those treated with MT suggesting impaired memory acquisition which is rescued by MT treatment. The mean speed analysis revealed that LF presented higher speed than LF+MT or HC, suggesting that LF affects motor skills, which are improved by MT. To discard whether EL is affected by altered motor skills in LF treated with MT, we compared the average EL and speed between days 2 and 6 of the training protocol. Speed was not improved during the trials unlike EL, suggesting that memory acquisition is independent of motor skills. Conclusion: These findings suggest that MT improves cognition and motor skills in the LF model.
Infection and Predictors of Outcome of Cirrhotic Patients after Emergency Care Hospital Admission
Authors: Safi Wajima , Elnegouly Mayada , Schellnegger Raphael , Umgelter Katrin , Geisler Fabian , Reindl Wolfgang , Saugel Bernd , Hapfelmeier Alexander , Umgelter Andreas
Published: August 2018

Introduction and aims: We aimed to explore the impact of infection diagnosed upon admission and of other clinical baseline parameters on mortality of cirrhotic patients with emergency admissions. Material and Methods: We performed a prospective observational monocentric study in a tertiary care center. The association of clinical parameters and established scoring systems with short-term mortality up to 90 days was assessed by univariate and multivariable Cox regression analysis. Akaike’s Information Criterion (AIC) was used for automated variable selection. Statistical interaction effects with infection were also taken into account. Results: 218 patients were included. 71.2% were male, mean age was 61.1 ± 10.5 years. Mean MELD score was 16.2 ± 6.5, CLIF-consortium Acute on Chronic Liver Failure-score was 34 ± 11. At 28, 90 and 365 days, 9.6%, 26,0% and 40.6% of patients had died, respectively. In multivariable analysis, respiratory organ failure (Hazard Ratio (HR) = 0.15), albumin substitution (HR = 2.48), non-HCC-malignancy (HR = 4.93), CLIF-C-ACLF (HR = 1.10), HCC (HR = 3.70) and first episode of ascites (HR = 0.11) were significantly associated with 90-day mortality. Patients with infection had a significantly higher 90-day mortality (36.3% vs 20.1%, p = 0.007). Cultures were positive in 32 patients with resistance to cephalosporins or quinolones in 10, to ampicillin/sulbactam in 14 and carbapenems in 6 patients. Conclusion: Infection is common in cirrhotic ED admissions and increases mortality. The proportion of resistant microorganisms is high. The predictive capacity of established scoring systems in this setting was low to moderate.
Biliary Paracoccidioidomycosis: An Unusual Infection Simulating Malignant Neoplasm
Authors: Steinbrück Klaus , Fernandes Reinaldo
Published: August 2018

Paracoccidioidomycosis is a systemic granulomatous disease caused by the dimorphic fungus Paracoccidioides brasiliensis and is restricted to Latin America. It normally affects lungs, skin and lymph nodes. Abdominal organs are usually not involved. In rare cases paracoccidioidomycosis may simulate neoplasm. Herein we describe our experience with four cases of paracoccidioidomycosis mimicking cholangiocarcinoma. To the best of our knowledge, this is the largest case series on this subject produced in English. Paracoccidioidomycosis must be considered as a differential diagnosis of cholangiocarcinoma, especially in individuals who come from endemic areas.
Drug-Drug Interactions in Hepatitis Patients: Do these Interactions Matter in Clinical Perspectives?
Authors: Noor Sidra , Ismail Mohammad , Haider Iqbal , Khadim Faiza
Published: August 2018

Introduction and aim. Hepatitis patients usually present with comorbidities and polypharmacy which increases risk of potential drug-drug interactions (pDDIs). We explored frequency, levels, predictors, and clinical relevance of pDDIs in hospitalized hepatitis patients. Methods. Retrospective cohort study was used. Clinical profiles of 413 hepatitis patients were reviewed for pDDIs using Micromedex-DrugReax. Frequency, levels and clinical relevance of pDDIs were reported. Logistic regression analysis was used to calculate odds-ratios for predictors. Results. Of total 413 patients, pDDIs were reported in 55.2%. Major-pDDIs were found in 35% patients. Total 660 pDDIs were identified, of which, 304 (46%) were of major-severity and 299 (45%) of moderate-severity. Patient’s profiles of top-10 major-pDDIs were presented with signs/symptoms such as fever, hepatomegaly, anorexia, jaundice, hypertension, tachycardia, bradycardia, & pedal edema; and abnormalities in labs such as electrolytes-level, alanine aminotransferase, blood urea nitrogen, bilirubin-level, & serum creatinine. Significant association was observed for the presence of pDDIs with >9 prescribed medicines (p < 0.001), hospitalization of >5 days (p = 0.03), and stroke as comorbidity (p = 0.05). Moreover, odds of exposure to major-pDDIs were significantly higher in patients taking >9 prescribed medicines (p < 0.001), hospitalization of >5 days (p = 0.002), and stroke as comorbidity (p = 0.002). Conclusion. We observed hepatitis patients present with a considerable number of clinically relevant pDDIs. Attention should be given to widespread major-pDDIs and their potential adverse outcomes. Clinically relevant parameters, such as labs and signs/symptoms should be monitored particularly in high risk patients having polypharmacy, prolong hospitalization, and stroke as comorbidity.
Laparoscopic Partial ALPPS: Much Better Than ALPPS!
Authors: Truant Stéphanie , El Amrani Mehdi , Baillet Clio , Ploquin Anne , Lecolle Katia , Ernst Olivier , Hebbar Mohamed , Huglo Damien , Pruvot François-René
Published: August 2018

Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy (ALPPS) has emerged as an alternative for patients with bilobar colorectal liver metastasis deemed unresectable due to inadequate future remnant liver (FRL). Nevertheless, high morbidity and mortality rates have been reported. In this setting, including hepatobiliary scintigraphy in the clinical and surgical management of patients offered ALPPS has been advocated to both assess eligibility for ALPPS stage1 and suitable time for ALPPS stage2. Recently, it was stated that partial ALPPS with a liver split restricted to 50% of the transection line (or up to the middle hepatic vein in case of right extended hepatectomy) and a shortened stage1 allows improving the postoperative course without precluding the inter-stages FRL hypertrophy. We describe a case series of p-ALPPS with stage1 performed laparoscopically, including sequential assessments of the FRL volumes and functions via pre-stage1 and pre-stage2 computed tomography volumetry and HIDA SPECT-scintigraphy. In five patients, laparoscopic p-ALPPS was associated with rapid and significant gain of remnant functional volume - much better than previously observed for ALPPS - facilitating early stage2 without inflammatory adherences. In conclusion, laparoscopic p-ALPPS is feasible and seems less aggressive than the original ALPPS technique with total transection. It may be an interesting alternative to the classical portal vein embolization (PVE) and two-stage hepatectomy strategy.
Implications of Manganese in Chronic acquired hepatocerebral degeneration
Authors: Rajoriya Neil , Brahmania Mayur , Feld Jordan J
Published: August 2018

Neurological symptoms can be one of the over-riding symptoms in patients with liver cirrhosis. Patients can present with subtle changes in mood or neurological function due to hepatic encephalopathy (HE), to more severe presentations including stupor and coma. While HE, in its severe form, can be clinically easy to diagnose, more subtle forms may be more difficult to recognize. Other neurological diseases may indeed be overlooked in the context of cirrhosis or confuse the physician regarding the diagnosis. Chronic acquired hepatocerebral degeneration (CAHD) is an uncommon problem occurring in patients with cirrhosis characterised by a Parkinsonian-like neurological presentation with damage to the brain secondary to manganese (Mn) deposition. Here we describe a case of a patient with a neurological presentation of liver disease with a review of the current CAHD literature. In conclusion, CAHD is a rare condition occurring in liver cirrhosis that should always be considered in patients with neurological manifestations of chronic liver disease.
CONDITIONS FOR INTRODUCING A BANKING TAX IN POLAND
Authors: Prokopowicz Dariusz
Published: August 2018

This article describes the main determining factors of the implementation of a bank tax in commercial banks that run their activities in Poland. It also considers the importance of legal regulations of the rules for collecting this tax. The global financial crisis of 2008 was an important factor that has stimulated the processes of improving legal regulations concerning banks. Weakening economic situation and higher risk caused the need to improve procedures and banking legal regulations of the financial transactions safety in Poland. Improvement of banking system financial procedures is correlated with gradually progressing globalization but also with anti-crisis socio-economic policy in Poland. Therefore, the level of adaptation of legal procedures and norms regarding commercial banks in Poland to the European Union standards and guidelines of the Basel Committee is continuously improving. One of the specific aspects of these adjustment processes was the introduction of a bank tax, which operates in most European Union countries. The introduction of this tax could be one of the factors determining the sale of subsidiary companies, i.e. banks that are controlled in Poland by foreign financial institutions. Therefore this can be an important factor, which would accelerate the process of repolonization of the banking sector in Poland. The economically effective introduction of a bank tax depends among other things on efficient legislative process.
THE PROCEEDINGS BEFORE THE CONSTITUTIONAL TRIBUNAL ON THE UNCONSTITUTIONALITY OF SUBSTATUTORY ACTS IN THE YEARS 1986-1997
Authors: Brzęk Wacław
Published: August 2018

The Constitutional Court of Poland has been functioning for over thirty years now. The Constitutional Tribunal was established as a result of the act on 26th March 1982 on the amendments of the Constitution of the Polish People’s Republic. It was supposed to judge the accordance of the passed acts by the Sejm and other normative acts issued by the main or central state authorities with the Constitution. The legislator adopted that the Constitutional Tribunal judgements on the accordance with the Constitution shall be recognized by the Sejm. The regulations of the Constitution that was in force at the time did not regulate appropriateness, system or ways of proceedings of the Constitutional Tribunal. The act was supposed to regulate all those areas. It was passed no sooner that on 29th April 1985. The article presents the Constitutional Tribunal judgement heritage in the years 1986-1997 in relation to the substatutory acts. Those included first of all normative acts issued by the main and central institutions of public administration as well as those acts issued by other main and central public authorities. The procedures used by the Constitutional Tribunal concerning the accordance of the substatutory acts with the Constitution and statutory acts were discussed as well. The article also presents an issue of proceedings in case of legal enquiries . A matter of signaling decisions made by the Constitutional Tribunal about the possible misconduct s were alsodiscussed . The term a quo is indicated by the date of the first judgement of the Constitutional Tribunal. It occurred on 26th May 1986. However, the term ad quem means the date of passing a new act on the Constitutional Tribunal. It was adopted on 1st August 1997 on the basis of the regulations of the Constitution from 2nd April 1997.
INTERNATIONAL LAW ON THE MULTIMODAL CARRIAGE OF GOODS:
RECENT TRENDS AND PERSPECTIVES
Authors: Derkach Ella , Pavliuk Sergei
Published: August 2018

Multimodal transport is a systematic combination of different modes of transport such as railway, road and water transport, aviation, and other traditional transport modes that can take advantages of each individual modes and achieve higher efficiency. This paper presents an overview of legal issues concerning the multimodal carriage of goods. The authors focus on the evolution of the international law regulations of the freight transportation with particular reference to the issues connected to multimodal transport. The critical review of existing international conventions and their provisions pertaining to multimodal transportation and the “maritime plus” regime of the Rotterdam Rules is provided. In addition, the problems generated by the lack of uniform multimodal carriage law are highlighted by the authors and the perspectives recommendations concerning multimodal transportation of goods are proposed. These problems will be addressed by means of an analysis of the current legal framework in relation to multimodal carriage and an assessment of how within this framework the law applicable to a multimodal contract may be uncovered.
LEADERSHIP AND MANAGEMENT OF THE STATE SECRETARY OF THE MINISTRY IN UKRAINE
Authors: Suray Inna
Published: August 2018

The article highlights the essential features of leadership and management of the state secretary of the Ministry in Ukraine. The state secretary of the ministry as head of the civil service in a state institution holds a leading position. At the same time, under the current legislation, its main functions by position are management functions. The requirements for professional competence on this position are the same as the requirements for the top manager. There is a need for a clearer delineation of professional competence of the state secretary of the Ministry, including leadership skills. The development of leadership in top management, just as the state secretary of the ministry, does not deny the need for knowledge and management skills (due to the specifics of that position), but reinforces them, transforms into leadership skills in an evolutionary way.
CHANGES PROCESSES IN LOGISTICS
PROJECTS ACCORDING TO THE NEW SILK ROAD INITIATIVE IN UKRAINE IN THE CONTEXT OF INTEGRATION TO THE LEGAL ASPECTS OF EUROPEAN UNION
Authors: Fyshchuk Iryna
Published: August 2018

Modern routes of Eurasian Trans-tailor corridors do not have a conventional basis and these routes do not have an international legal status. This article opens perspectives of Ukraine`s presence in the New Silk Road initiative according to legal aspects and logistics projects. The article investigates the change management processes in logistics projects of Chinese-Ukrainian economic corridor in the framework of reconstruction project of the New Silk Road in the XXI century. Particular attention paid to the national interests of the participating countries and areas of cooperation of Ukraine and China. Considering the trading measures that will help to analyzethe change management processes in logistics according to the New Silk Road project as cooperation with neighboring countries in the committees, organization bilateral meetings on harmonization of procedures. The author reveals that Ukraine could be a core logistics connecting point between Europe and Asia through creation of a one window logistic system. Importance of the factors in the success of the simplification of logistics procedures were proposed in the paper. Transportation of containers through Ukraine of Viking and ZUBR trains were illustrated as future logistics developing projects under the New Silk Road process in the change management context.
Chwasty i ruiny. O związkach krajobrazu i pamięci w projekcie Chwasty Karoliny Grzywnowicz
Authors: Gańko Anna , Wandzel Anna
Published: August 2018

The article describes Karolina Grzywnowicz’s Chwasty (Weeds) project. In order to provoke the recipients to reflect on the life of the resettled people, the artist cut out a piece of the Bieszczady meadow and transferred it to Warsaw, where the installation was accidentally mowed. Attempting to answer the question why Weeds were destroyed, we examine how accurate the artist’s recognition is that the Bieszczady landscape is a carrier of memory of the resettled people, and then we prove that the part of the meadow, which in the Bieszczady co-created the keenly practiced landscape, is alienated and transformed into a commodity, and thus it loses its culture-forming functions. The project and the concept of landscape closely related to it are analysed from two complementary perspectives: field experience and anthropology of art.
Józefa Wittlina zapomniana historia roślinna
Authors: Osiński Jakub
Published: August 2018

The article is devoted to Józef Wittlin’s text “Ogródek” i historia [“The Garden” and History] (1938), which has not been discussed so far and which was intended as a review of the translation of Walafrid Strabus’s poem Hortulus. In the analysis of this text, the author not only indicates the features characteristic of Wittlin’s works, but also puts his considerations into the broad context of philosophical and botanical findings concerning the life of plants, their functioning in relation to man and historical significance. Thus, the article is an attempt to reconstruct Wittlin’s plant history, which is a precursor to the latest research in biology, as well as ecocritical and posthumanist movements in philosophy and literary studies.
Perfil clínico-epidemiológico de internamentos na unidade pediátrica de um hospital público cearense
Authors: Olímpio Anny Caroline Santos , Oliveira Brena Shellem Bessa , Costa João Breno Cavalcante , Joventino Emanuella Silva
Published: August 2018

Objetivo: trazar el perfil clínico y epidemiológico de las internaciones en la unidad pediátrica de un hospital público del estado de Ceará. Método: Estudio documental retrospectivo con enfoque cuantitativo realizado con 283 prontuarios de niños internados en un hospital público del interior de Ceará. Para la recogida de datos se utilizó un formulario con cuestiones sobre datos sociodemográficos, además de información sobre la procedencia, clasificación de Manchester, diagnóstico por el Código Internacional de Enfermedades, tiempo de internación, tipo de tratamiento, uso de antibióticos y motivo de la salida . Resultados: se verificó que la mayoría de los niños internados era del sexo masculino (N = 48; 52,3%); de uno a tres años (N = 73; 25,8%); procedía de Sobral-CE (N = 197; 69,6%); fue internada por neumonía (N = 78,3%) y gastroenteritis (14,8%); se clasificó como amarilla de acuerdo con el protocolo de Manchester (N = 137; 48,4%); permaneció en el hospital por un período inferior a siete días (N = 133, 49,8%) y que el principal motivo de salida de la unidad hospitalaria fue el alta médica (N = 270, 95,4%). Conclusión: conocer el perfil clínico y epidemiológico de las internaciones consiste en una importante herramienta para el enfermero, pues permite planificar los cuidados de manera individualizada e integral, facilita la definición de la cantidad de recursos humanos y materiales necesarios para la promoción de los cuidados del niño, ayuda en la identificación de problemas relacionados con la atención pediátrica y colabora para su resolución.
Quality of life in colorectal cancer outpatients
Authors: de Oliveira Cristiano Pereira , Heberle Felipe Aguzzoli , de Moraes Marcela Alves , Rocha Mateus Andrade , Rudnicki Tânia , Oliveira Margareth Silva
Published: August 2018

Aim

This study aimed to longitudinally analyze Quality of Life and its association with physical and psychosocial factors of patients with colorectal cancer.

Method

Fifty-one outpatients undergoing treatment for colorectal cancer were elected for convenience and were evaluated twice during their treatment. Evaluations were performed for Quality of Life, as well as socio-demographic, diagnostic and therapeutic variables. Afterwards, descriptive and inferential statistical analysis were performed, establishing the appropriate comparisons.

Results

The results identified a characteristic profile with a relatively homogeneous distribution: 51% were men with an average age of 60.1 years old (SD = 9.3 years) at the baseline. In general, concerning psychosocial aspects, there was a higher Quality of Life than other studies with the same population, in addition to a significant improvement over time in all subscales of performance and symptoms. Furthermore, it was evidenced that the physical aspects considerably influenced the self-report of the Quality of Life.

Conclusion

The recognition of the interferences that physical aspects pose to Quality of Life, should permeate the practices of teams involved in the care of these patients.
Community mental health services in Pakistan: Review study from Muslim world 2000-2015
Authors: Ali Tahir Mahmood , Gul Sana
Published: August 2018

Aim

This study attempted to analyse the potential of two primary sources of mental health service delivery at a grassroots level, religious/faith healers and community/lady health workers, and how they can be effectively used to deliver mental health services in a resource-scarce country like Pakistan.

Method

A literature review was carried out for relevant studies conducted in Muslim countries between 2000 to 2015 reporting empirical results. Using the inclusion criteria, thirteen studies were selected for the review.

Results

The presented studies suggest that the main proportion of mental health patients in countries with major Muslim population including Pakistan, visit religious/faith healers first for treatment, however all studies are silent about the outcomes through these healers. The only potential visible outcome of contacting religious/faith healers is the identification of mental health cases. However, community/lady health workers with minimal training appeared to be a beneficial source of mental health service delivery in communities.

Conclusion

In a resource scarce country like Pakistan, networking with religious/faith healers can be established for effective identification and referral of mental health cases whereas strong and already existing community/lady health workers system can be used as a first level to deliver mental health service at the doorstep.