bluuebunny/crossref_metadata_2025 huggingface dataset:
4. El software Ortografía Divertida: una contribución a la construcción del aprendizaje significativo
Authors: Mosquera Alexander , Riveros Victor
Published: August 2021

El software educativo es una valiosa herramienta de apoyo a los procesos de enseñanza y aprendizaje, sean estos últimos de manera presencial o virtual. Esta investigación de naturaleza documental tiene como objetivo central, abordar desde una perspectiva crítica  cómo el software educativo “Ortografía divertida” ayuda al alumno a construir un aprendizaje significativo. Se parte de los planteamientos de Ausubel desde la perspectiva que el sujeto no es un simple receptor pasivo de información, sino que participa para transformarla y le da una nueva estructura, al ponerla en interacción con sus esquemas de conocimiento previo y sus mismas características personales. Se reconoce en el analisis realizado que el sofware promueve un diálogo cultural, emocional y cognitivo entre el docente, el creador del programa multimedia y el discente, a través de un conjunto de actividades situadas (contextualizadas) en las que interactúan el conocimiento previo (experiencias individuales) y la información nueva que se proporciona, para lograr así el cambio cognitivo en el alumno (como síntesis del proceso), manifestado a manera de asimilación, acomodación o transformación del mencionado conocimiento previo.
6. La red de internet como mediación para el aprendizaje de la filosofía
Authors: Rojas T. Esequiel L.
Published: August 2021

El presente artículo refiere una revisión documental que pretende reflexionar sobre la posibilidad de que la red de Internet, a través del hipertexto, los grupos de discusión y el correo electrónico, funcionen como un espacio mediador para el proceso de enseñanza – aprendizaje de la Filosofía. Para esto se revisa el pensamiento filosófico de Martin Heidegger según el cual la tecnología es ontológicamente una mediación entre el hombre y el ser del mundo. Posteriormente se analizan los aspectos teóricos que subyacen a las tecnologías mencionadas en su capacidad  para favorecer el aprendizaje de la Filosofía. Se concluye que, efectivamente este instrumento tecnológico induce al hombre a la comprensión del mundo, de sí mismo y de su lugar dentro del mundo, por lo que está contribuyendo en la realización existencial propia del hombre. Si la tecnología facilita esta reflexión, entonces estará cumpliendo su papel de mediadora entre nosotros y la esencia de nuestro quehacer técnico y será un puente que renueve el lazo entre el hombre y el Ser.
An Introduction to Telemedicine and Email Consultations
Authors: Struber Janet
Published: August 2021

E-health, telehealth and telemedicine all describe the use of telecommunication and electronic information technology for the provision of health care at a distance. Interest in telemedicine has been heightened recently due to technological advances making equipment more effective and accessible, and increasing healthcare costs and client expectations creating pressures to find alternative modes of healthcare delivery. Although telemedicine suffers from a lack of conclusive evidence regarding its clinical effectiveness, primarily because it has not been adequately evaluated, its popularity and acceptance, particularly amongst lay persons, continues to increase. With the rapid increase in internet use, email, an electronic communication medium, has the potential to radically alter the culture of health-care. Despite a number of logistical issues related to its use, there is high consumer demand for email consultations, yet only 2% of clinicians currently offer them. As issues surrounding security, workflow, liability and workflow are resolved, email will impact increasingly of clinical service delivery.
Development of a Generic Critical Appraisal Tool by Consensus: Presentation of First Round Delphi Survey Results
Authors: Burnett Jeannie , Grimmer Karen , Kumar Saravana
Published: August 2021

The growing importance of evidence based practice is necessitating academics and clinicians to be able to make judgments about the quality of the body of research evidence pertaining to clinical questions. There are numerous critical appraisal tools to assist this process. These are mostly designed for specific research designs, and tend not to reflect the particular concerns of allied health professionals, such as accuracy of diagnosis, adequate description of intervention, and sensitivity and utility of outcome measures. This paper reports the findings of a study which sought expert opinion on the essential criteria for critical appraisal, and whether a generic critical appraisal tool could be developed for allied health use. A modified Delphi technique was used to identify experts, and determine key criteria. Fifteen Australian allied health professionals participated, and identified key criteria as clinical relevance, methodological robustness, statistical robustness, aims that are clearly stated and conclusions that are reasonable considering the results. In terms of the development of a generic critical appraisal tool for all research designs, the opinion was that to adequately deal with critical appraisal of qualitative and quantitative research designs within a generic tool would be challenging.
Terapia antirretroviral em gestantes portadoras do HIV
Authors: Duarte Sebastião Junior Henrique
Published: August 2021

Este estudo de revisão integrativa da literatura teve como objetivo revisar as evidências descritas em protocolos assistenciais às gestantes com HIV quanto ao tratamento com antirretroviral. Teve-se por questão norteadora: como são usadas as terapias antirretrovirais em gestantes? Os dados foram obtidos por meio de busca nas bases de dados LILACS e SCIELO, abrangendo o período de 2010 até 2016, nos idiomas português, inglês e espanhol. Identificou-se 17 artigos, dos quais seis atenderam aos critérios de inclusão adotados. Os resultados foram organizados em quadro. A caracterização revelou que a maioria dos autores são formados em medicina, realizaram estudo retrospectivo em bases de dados e 66,6% das publicações ocorreram no Brasil. Os resultados revelaram que o correto uso da terapia antirretrovital descrita em protocolo atualizado reduz o potencial de transmissão vertical e possibilita o nascimento de recém-nascidos sem o vírus da imunodeficiência adquirida.

 

ABSTRACT

This integrative literature review study aimed to review the evidence described in care protocols for pregnant women with HIV regarding antiretroviral treatment. The guiding question was: How are antiretroviral therapies used in pregnant women? The data were obtained by searching the LILACS and SCIELO databases, covering the period from 2010 to 2016, in Portuguese, English and Spanish. Seventeen articles were identified, six of which met the inclusion criteria adopted. The results were organized in a table. The characterization revealed that most authors are medical graduates, conducted retrospective study in databases and 66.6% of publications occurred in Brazil. The results revealed that the correct use of antiretroviral therapy described in an updated protocol reduces the potential for vertical transmission and enables the birth of newborns without acquired immunodeficiency virus.
VIBRATIONS OF PIEZOELECTRIC LAYER of CLASS 6mm WITH RIGIDLY CLAMPED AND FREE EDGES UNDER INITIAL CONDITIONСS
Authors: Belubekyan Mels V. , Papyan Ararat A.
Published: August 2021

The paper considers the problem of vibration of a piezoelectric layer of the class $6~mm$ with initial conditions in the form of impact of an external electric field or displacement, when one edge is rigidly grounded and the other is free. The layer displacement and internal electric field are determined.
ON $n$-NODE LINES IN $GC_n$ SETS
Authors: Vardanyan Gagik K.
Published: August 2021

An $n$-poised node set $\mathcal X$ in the plane is called $GC_n$ set, if the fundamental polynomial of each node is a product of linear factors. A line is called $k$-node line, if it passes through exactly $k$-nodes of $\mathcal X.$ At most $n+1$ nodes can be collinear in $\Xset$ and an $(n+1)$-node line is called maximal line. The well-known conjecture of M. Gasca and J.I. Maeztu states that every $GC_n$ set has a maximal line. Until now the conjecture has been proved only for the cases $n \le 5.$ In this paper we prove some results concerning $n$-node lines, assuming that the Gasca--Maeztu conjecture is true.
ASESSMENT OF ECOLOGICAL AND AGRICULTURAL RISKS OF HEAVY METAL POLLUTION OF SOILS IN THE VICINITY OF KAPAN CITY, ARMENIA
Authors: Gevorgyan G.A. , Ghazaryan K.A. , Movsesyan H.S.
Published: August 2021

Ecological and agricultural risks of heavy metal pollution of soils in risky areas around Kapan City (RA) were investigated. Soil samples were collected in June 2013 and analyzed for Cr, Mn, Ni, Cu, Zn, As, Mo, Cd, Pb, Co, Hg by the mass spectrometric method. The investigations showed that the soils around Kapan copper-molybdenum combine and Geghanush tailing dump were significantly polluted with heavy metals, which may have posed serious risks not only to soil biological health, but also to agricultural production.
Insurgent Being After Langston Hughes
Authors: Coleman MiLisa
Published: August 2021

The poem illustrates a call to divorce the self from double consciousness in order to imagine a reality beyond colonial oppression.
Tongues as Casting Net
Authors: Matam Pages
Published: August 2021

This piece is a memory washing ashore. Utilizing the life cycle of shrimp - which is what my country of Cameroon is named after - it is a retracing of the complicated history of language and war, and how they tear a country and its people apart. As an immigrant from a country currently steeped in a civil war over colonizers' languages, who now lives in a country steeped in the same war waged differently, this poem is both of home and of legacy. The mission is to examine the unwilling inheritance that can come in three ways for Black people across the diaspora: by water, by blood, or by name.
Transformation Invariant Real-time Recognition of Indian Sign Language using Feature Fusion
Authors: Patel Pradip Ramanbhai , Patel Narendra
Published: August 2021

Sign Language Recognition (SLR) is immerging as current area of research in the field of machine learning. SLR system recognizes gestures of sign language and converts them into text/voice thus making the communication possible between deaf and ordinary people. Acceptable performance of such system demands invariance of the output with respect to certain transformations of the input. In this paper, we introduce the real time hand gesture recognition system for Indian Sign Language (ISL). In order to obtain very high recognition accuracy, we propose a hybrid feature vector by combining shape oriented features like Fourier Descriptors and region oriented features like Hu Moments & Zernike Moments. Support Vector Machine (SVM) classifier is trained using feature vectors of images of training dataset. During experiment it is found that the proposed hybrid feature vector enhanced the performance of the system by compactly representing the fundamentals of invariance with respect transformation like scaling, translation and rotation. Being invariant with respect to transformation, system is easy to use and

achieved a recognition rate of 95.79%.
Application of IoT in Different Aspects of Child Care: Literature Review and Classification
Authors: Boruah Kuntala , Pathak Manash Kapil
Published: August 2021

Child care is one of the most responsible and rewarding jobs of all, but due to several other obligations of parents it is becoming increasingly stressful to ensure their wellbeing and safety throughout the day. Recently adoption of IoT in different folds of child care has been welcomed with open arms. Some of the most addressed areas of applications in child care involve monitoring infants, tracking a school going child, tracking nutrition intake, constant supervision of their health, providing an interactive play mate to the child in the form of toys equipped with Internet of Toys (IoToys) technology etc. Despite all the glorious advantages, there is a tremendous risk factor involved as children are the most vulnerable section of society. In this paper a systematic literature review is conducted and an attempt is made to critically analyse the dual effect of IoT in complementing the traditional process of child care. However IoT healthcare applications for children have not been explored in this paper as a substantial amount of survey literature already exists. The contribution of this paper is to provide an overall insight to the potential researchers about the issues that needed immediate attention and also intended to benefit the decision making of IoT consumers.
Anti-Tumor and Anti-Oxidant Activity of Ethanolic Extract of Epipremnum Aureum Linn. Leaves against DAL Induced Tumor in Swiss Albino Mice
Authors:   Assistant Professor, Department of Pharmacology, Devaki Amma Memorial College of Pharmacy, Chelembra, Malappuram, Kerala, India, S. Venkatesh
Published: August 2021

Neoplasia literally means the process of “new growth,” and a new growth is called a neoplasm. The term tumor was originally applied to the swelling caused by inflammation. Neoplasms also may induce swellings, but by long precedent, the non-euplastic usage of tumor has passed into limbo; thus, the term is now equated with neoplasm. Oncology (Greek oncos = tumor) is the study of tumors or neoplasm’s. Cancer is the common term for all malignant tumors. The present study was designed to investigate the anti-tumor activity of ethanolic leaves extract of Epipremnum aureum Linn. and evaluated by in-vitro and in-vivo experimental models. To achieve objectives, EEEA was subjected to phytochemical screening and tested for oral toxicity test. The in-vitro study was carried out by means of MTT assay and Trypan blue dye exclusion assay using DAL cell lines. The in-vivo anti-tumor activity was evaluated against DAL tumour bearing mice by liquid tumour models. Preliminary phytochemical screening was confirmed the presence of flavonoids, glycosides, tannins, phenolic, steroids, and triterpeniods etc. EEEA showed good cytotoxic effect on DAL cell line in MTT assay and Trypan blue dye exclusion assay. Oral administration of EEEA in tumour bearing mice for 14 days, showed significant reduction in the percent increase in body weight, tumour volume, tumour weight, viable cell count when compared to the untreated mice of the DAL control group. The restoration of the haematological parameters towards the normal control was also observed. The results suggested that the EEEA exhibits significant anti-tumor activity towards both methods. The DAL-bearing mice orally administered leaves of Epipremnum aureum Linn., at 200 and 400 mg/kg body weight showed significant change in the average life span compared to animals of the tumor control group. The percentage increase in body weight, tumor cell volume, and number of viable tumor cells were found to be significantly less than the tumor control animals, indicating the anti-tumor nature of the extract.
Pregnancy Associated Osteoporosis: Knowledge Attitude and Practice of Exercise among Pregnant Women in a Selected Nigerian Community
Authors:   Department of Medical Rehabilitation, College of Medicine, University of Nigeria, Enugu Campus, Nneka Ikele Chioma
Published: August 2021

Pregnancy induced decrease in bone mineral density (BMD) often occurs at the femoral necks, lumbar spine and other sites during the second or third trimester of pregnancy leading to pain in the hips, pelvis, low back etc and sometimes fractures even with mild trauma/falls. Exercising during pregnancy has been known to offer several benefits including improving bone health. However, there is paucity of studies investigating the knowledge, attitude and practice of pregnant women towards exercising to minimize the risk for osteoporosis. The aim of this study was to investigate the knowledge, attitude and practice (KAP) of exercise for the prevention of pregnancy associated osteoporosis among urban and rural dwelling pregnant women in a selected Nigerian community. A total of 258 (168 urban dwelling and 90 rural dwelling) pregnant women were recruited and subjected to interview using a pre-validated questionnaire on KAP of exercise in the prevention of Pregnancy associated osteoporosis. The urban and rural dwelling women had moderate and poor knowledge of exercising for osteoporosis prevention respectively. Both groups of women had moderately positive attitude towards exercising for osteoporosis prevention. Also both groups of women had poor practice towards exercising for osteoporosis prevention. A significant association was only found between having another source of income in the family and the women’s attitude towards exercise.
Feasibility of a Qualitative Study Exploring the Experience of Deaf Individuals from Malaysia Studying Abroad: A Preliminary Study
Authors: A. Aftar NurFarhana
Published: August 2021

This is a feasibility qualitative study involving a triangulation data collection method. The aim of the study is to develop a qualitative research to explore the lived experience of deaf individuals in attempt to view and understand their experience from their perspectives. This preliminary study involved a semi-structured interview with one deaf participant, observations of short video clips, and document review of relevant blog entries by a deaf individual from Malaysia. Thematic analysis was completed, and six emerging themes found were access, communication/interaction, gaining perspectives, interpreters, optimistic, and social support. As this was a feasibility study, modifications were made throughout the study. Limitations of this study was documented and taken into consideration in designing further studies.
The relationship of menstrual irregularity with AMH, ghrelin and leptin levels in athletes
Authors: Şenışık Seçkin , Bilgi Ahmet , Köyağasıoğlu Ogün , Bilgi Pınar , Kozguş Güldü Özge , Yılmaz Bülent , Coşan Terek Mustafa
Published: August 2021

Objective: To explore menstrual irregularity rates in female professional basketball and volleyball players and investigate the relationship with Anti-Müllerian Hormone (AMH), ghrelin, leptin levels and biochemical parameters.

Material and Methods: Forty-one professional female athletes and forty-one non-athlete controls aged 18-35 years participated in the study. Questioning of menstrual function has been performed and whole blood counts, AMH, leptin, ghrelin and other endocrine and metabolic parameters were evaluated.

Results: 41% of female athletes and in 24% of non-athlete controls revealed menstrual irregularities. AMH, ghrelin, leptin levels were similar in athletes and control group (p>0.05). While athletes with menstrual irregularities tend to have lower ghrelin and leptin levels and higher AMH than athletes without irregularities, the difference was not statistically significant (p>0.05). No significant difference was found between the groups in terms of endocrine and other metabolic parameters (p>0.05). There was a significant negative correlation between ghrelin and menstrual irregularity (r=-0.240, p=0.031) and a statistically significant positive correlation between AMH and testosterone levels (r=-0.247, p=0.025). There was no significant relationship between other parameters (p>0.05).

Conclusions: Although it was not significant, athletes were found to have more menstrual irregularities. The leading factors and preventive measures should be investigated in detail.
Strategy for Prevention and Quality Improvement of Urban Slumps Based on Community Empowerment
Authors: Moita Sulsalman , Darmin Tuwu  , Allan Darmawan
Published: August 2021

The purpose of this study was to examine the characteristics of slum areas and to analyze strategies for preventing and improving the quality of community empowerment-based slum settlements in Langara City, Konawe Islands Regency. This research method is descriptive qualitative with a case study approach, while the research informants are individuals and groups who are involved in the slum prevention and quality improvement program. The data were collected using in-depth interviews, observation, and document studies, while the data analysis techniques were carried out qualitatively. The results show that the indicators of a slum in Langara City are: the condition and quality of houses are generally less regular, dense, with minimal air and light circulation, environmental sanitation is not supported by wastewater disposal, access to settlements is relatively good, the garbage disposal system is not supported by landfills. Finally, limited distribution of net water, and the unavailability of fire protection. Furthermore, the strategy for preventing and improving the quality of slum based on community empowerment shows 1) slum prevention strategies with indicators: the high rate of community participation in attending counseling on the importance of maintaining environmental health and the high involvement of residents in preventing slums through cooperation, community service, and helping out; 2) slum quality improvement strategy with indicators: high capacity and community involvement in the renovation and restoration of slum shelters; and the low level of public awareness of joining the relocation program in slum pockets.
The Paradox of Peasants Resistance in Wonogoro Malang South, East Java Indonesia
Authors: Prasetyo Adi Angga , Soetarto Endriatmo , Sihaloho Martua
Published: August 2021

The resistance of the peasants is inseparable from the social class that is intertwined in it so that this resistance is only a tool of the interests of the actors to secure land. The resistance of Wonogoro farmers in opposing social forestry was due to the redistribution of 2 hectares of land. This study uses a theoretical analysis of class dynamics and agrarian change in rural areas. Seeing the social class of farmers who can mobilize farmers to oppose social forestry based on control over land tenure. This research uses a critical paradigm. The research location is in the Wonogoro area, Malang Regency, East Java, Indonesia. This study used purposive sampling with 20 respondents. The results of the research are the mystification of peasant resistance as shown by the mobilization of proletarian farmers by capital farmers. The mystification of peasants 'resistance shows the disparity of the peasants' social class with land management. Unbalanced land management is due to massive privatization. Unequal land tenure forms the social class of farmers. The capital peasant class by controlling the land can control the proletarian peasants as agricultural laborers. The resistance of farmers against social forestry shows that there is the mobilization of resistance by capital farmers to secure land with a 2-hectare land redistribution scheme.
PRÁTICAS DE HIGIENE ALIMENTAR E FATORES ASSOCIADOS ENTRE MANIPULADORES DE ALIMENTOS EM UNIDADES DE ALIMENTAÇÃO E NUTRIÇÃO
Authors: Pereira da Silva e Silva Byanka , Santos do Nascimento Érica dos , Islânia da Silva Sousa  , Silva Neto Jerônimo Gregório da , Santana Oliveira Michelle , Jesus Oliveira Teresinha de , Alves de Oliveira Lucas Eduardo , Ferreira dos Santos Amanda Cristine
Published: August 2021

As Unidades de Alimentação e Nutrição (UANs) são locais pertencentes ao setor de alimentação fora do domicílio, independentemente de estarem ligados a locais comerciais ou não. Com a maior frequência do consumo de alimentos fora de casa existe uma preocupação sobre a saúde dos consumidores, pois os alimentos são considerados vetores de doenças e podem ser contaminados em diferentes etapas. O objetivo dessa pesquisa foi identificar o nível de conhecimento das práticas de higiene alimentar dos manipuladores e os seus fatores associados entre a manipulação de alimentos em UANs. Trata-se de uma revisão integrativa. As bases eletrônicas usadas foram: Pubmed, Scielo e Lilacs, em abril de 2021. Utilizaram-se os descritores com combinações em português e inglês: Segurança alimentar; higiene alimentar; manipuladores de alimentos. Os critérios de elegibilidade adotados foram artigos publicados nos últimos seis anos, em português e inglês, referentes à temática. Foram encontrados 66 artigos e após a aplicação dos critérios de inclusão restaram 10 artigos. Percebeu-se que grande parte dos manipuladores estão desempenhando seu papel de forma inadequada. Os autores associaram que essa prática negativa vai além do déficit de conhecimento dos manipuladores, como também às condições higiênico sanitárias dos locais. Esses problemas são maiores em países subdesenvolvidos, pois apresentam indicadores sociais baixos. Esses indicadores levam em consideração saúde, educação e nutrição. Os resultados demonstram que é fundamental que as UANs ofereçam formação adequada aos manipuladores com medidas de segurança na produção dos alimentos e adotem o uso correto das boas práticas de higiene no local de trabalho.
PROCEDIMENTOS ESTÉTICOS FACIAIS E CONSEQUENCIAS OCULARES - BOTOX, ÁCIDO HIALURÔNICO, IMPLANTE DE CÍLIOS E A VISÃO
Authors: Sonoda Rodrigo Trentin , Da Silva Francisca Kelly
Published: August 2021

O reposicionamento socioeconômico de grande parte da população após 2003 no Brasil, associado a novos padrões de beleza e estética, tornaram os procedimentos de rejuvenescimento um mercado explorado de forma intensa por grupos de biomédicos, odontólogos, esteticistas e terapeutas. Objetiva-se pelo presente estudo através de revisões bibliográficas, demonstrar as possíveis alterações e efeitos adversos causadas por procedimentos estéticos faciais para o sistema ocular. Os efeitos adversos e riscos de execução de procedimentos como extensão e enxerto de cílios e aplicação de substâncias para a harmonização facial serão levantados neste estudo através do ponto de vista anátomo fisiológico ocular.
La Sociedad de Gastroenterología del Perú inicia un nuevo camino
Authors: Otoya Guillermo
Published: August 2021

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Epidemiology and associated factors of irritable bowel syndrome in an Andean community from Peru
Authors: Alvizuri Gómez Claudia Mariella , Bellido Caparó Álvaro , Samalvides Cuba Frine , Pinto Valdivia José Luis
Published: August 2021

Introduction: Irritable bowel syndrome (IBS) is a chronic functional bowel condition with an average world prevalence of 11.2%. Is associated with multiple factors as female sex, young age, stress, anxiety and depression which can have a negative impact on quality of life. IBS in Peru is not investigated at all specially in the Andean region. The objective of this study is to determine the prevalence and associated factors of IBS in an Andean community from Peru using the Rome IV criteria. Materials and methods: Cross-sectional study in a rural community dedicated to livestock and agriculture in Peru at 3,235 meters above sea level. Questionnaires provided by the Rome Foundation as the Rome IV – Diagnostic questionnaire for adults, Irritable Bowel Syndrome - Symptom Severity Scale and Bristol stool scale were used. Results: 130 residents met the inclusion criteria. 46.9% were males with an average age of 54 years old. 11.54% presented red flags and were not included in the analysis. 13.1% were diagnosed with IBS and 52.9% presented constipation as predominant bowel pattern. 52.9% presented a mild course of the disease. In the chi-square analysis, factors as depression, anxiety, female sex, younger age, liquefied petroleum gas exposure for cooking and education achievement were statistically significant associated to IBS. In the logistic regression analysis, anxiety was the unique independent predictor factor with an OR of 9.6 (95% IC: 1.78-51.82). Conclusion: IBS is a prevalent condition in the Andean region and should be managed as a public health issue to improve quality of life.
Utilidad de la escala PANC 3 como predictor de severidad en pacientes con pancreatitis aguda
Authors: Abanto Lou Patricia , Vásquez Tirado Gustavo A.
Published: August 2021

Objetivo: Demostrar que la escala PANC 3 es útil como predictor de severidad en pacientes con pancreatitis aguda. Materiales y métodos: Estudio retrospectivo, observacional de tipo prueba diagnóstica, realizado en el servicio de Gastroenterología, del Hospital Regional Docente de Trujillo que incluyó un total de 160 pacientes con diagnóstico de pancreatitis aguda. Se calculó la sensibilidad, especificidad, VPP y VPN de la escala PANC 3. Resultados: La escala PANC 3 presentó una sensibilidad del 73,08%, una especificidad del 100%, un valor predictivo positivo del 100% y un valor predictivo negativo del 95,04%. El derrame pleural demostró ser el mejor parámetro que predice severidad en pacientes con pancreatitis aguda, con una del 89,55%. El sexo masculino se asocia a pancreatitis aguda severa. Conclusiones: escala PANC 3 tiene utilidad como predictor de severidad en pacientes con pancreatitis aguda.
Peroral endoscopic myotomy in a pediatric patient with refractory achalasia: a case report and review of the literature
Authors: Calixto-Aguilar Lesly , Gonzales-Carazas Evelyn F. , Marin Calderón Luis , Vásquez Quiroga Jorge , Alva Alva Edgar , Bardalez Cruz Paulo , Palacios Salas Fernando
Published: August 2021

A 15-year-old male patient presented with dysphagia, regurgitation, weight loss and retrosternal pain. The diagnosis of achalasia was made 4 years before. The esophagogram revealed severe esophagus dilatation and the classic “bird-beak” termination. A Heller myotomy plus fundoplication and endoscopic balloon dilatation were conducted four months previously. Nevertheless, the symptoms persisted and the last high-resolution manometry study still showed achalasia type II. The patient underwent a peroral endoscopic esophageal myotomy (POEM). POEM is a feasible and safe procedure for experienced and properly- equipped health care delivery centers and could be used as a rescue treatment in refr e present the youngest patient with achalasia in our region who had a successful response to rescue POEM.
Laparoscopic splenectomy and proximal splenorenal shunt for portal hypertension due to portal vein thrombosis in a patient with protein S deficiency
Authors: Alvizuri Gómez Claudia , Romaní Pozo Diego , Herrera Chávez Guillermo , Laso Suárez Carla , Carrasco Mascaro Félix , Moreno Gonzáles Manuel , Poggi Machuca Luis
Published: August 2021

Portal vein thrombosis (PVT) is a rare condition in the general population that develops serious complications if left untreated for long time. We present a case of a 29-year-old woman who developed PVT due to protein S deficiency versus neonatal funiculitis. Over time, the patient developed upper gastrointestinal bleeding due to esophageal varices and hypersplenism with splenic sequestration that caused minor bleeding episodes. Laparoscopic splenectomy and proximal splenorenal shunt with distal pancreatectomy due to aneurysmal dilatations of the splenic artery were successfully performed to avoid mayor progression of portal hypertension. Patient was discharged with indefinite anticoagulation and after surgery platelets raised 3 3 ectomy and proximal splenorenal shunt for portal hypertension due to portal vein ombosis is an adequate surgery procedure which should be applied in these medical cases.
Compreendendo a "Lei nas entrelinhas"
Authors: Novaes Roberta Brandão
Published: August 2021

Esta resenha tem como objetivo explicitar os principais aspectos do trabalho etnográfico produzido por Beatriz Lins a partir de duas Delegacias de Defesa da Mulher (DDM) na capital paulistana, entre os anos de 2012 e 2013. Transformado em livro, o referido trabalho foi, inicialmente, a dissertação de mestrado da autora. Lins analisou a operacionalização da Lei Maria da Penha e o trabalho policial cotidiano, com dados produzidos através da observação participante, de conversas e entrevistas com policiais e mulheres em situação de violência que recorreram às delegacias. Os resultados da pesquisa mostram que o atendimento jurídico-policial às mulheres naquela situação é atravessado por percepções de gênero, moralidades e limitações de recursos materiais e humanos.
La Escala Modificada de Alexitimia de Toronto, Validación en Pacientes Mexicanas con Trastorno de la Conducta Alimentaria
Authors: Unikel Santoncini Claudia , Caballero Romo Alejandro
Published: August 2021

Resumen.
La Construcción de la Intimidad en las Relaciones de Pareja: El Caso del Valle de Chalco
Authors: Mancillas Bazán Celia
Published: August 2021

El objetivo de esta investigación fue estudiar la intimidad en relación con los roles relacionales de género y la identidad personal en el contexto interaccional de la pareja. Se realizó una investigación cualitativa y exploratoria. Se utilizaron relatos de vida como recurso para obtener información sobre las experiencias y significados de las parejas participantes. El tamaño de la muestra fue de 35 personas en relación de pareja de una zona de la periferia de la ciudad de México. Los resultados indicaron que la intimidad en la pareja se construye en la interacción de cinco dimensiones: emocional, comunicacional, cognoscitiva, interaccional y sexual, reflejando diferentes combinaciones de aproximación y de distancia a lo largo de la trayectoria de la pareja.
Análisis Procesual del Impacto del VIH/SIDA y su Representación en Personas Seropositivas
Authors: Delgadillo Martínez Ruth
Published: August 2021

El contexto de los estados emocionales y mecanismos de afrontamiento que experimentan las personas portadoras del VIH y quienes han desarrollado la enfermedad, requiere de un análisis procesual de su propio discurso, lo que se conoce desde el paradigma de las representaciones sociales como el conocimiento de sentido común, que constituye una plataforma subjetiva coherente con las prácticas de afrontamiento de la enfermedad. Se analizaron el proceso y desarrollo de la representación social del VIH/SIDA a partir de la propia experiencia de seis varones seropositivos, mediante una entrevista semiestructurada en cinco áreas. El análisis fue textual y categórico; los resultados priorizan tres categorías: Impacto psicológico, Afrontamiento y Redes de apoyo. Las conclusiones evidencian que las personas con VIH/SIDA viven un antes y un después de que existiera la enfermedad, influyendo en su estructura psíquica y emocional, situándolas como población vulnerable emocionalmente en riesgo.
Resiliencia en Niños
Authors: González Arratia Lopez Fuentes Norma Ivonne , Valdez Medina José Luis
Published: August 2021

Con el objetivo de acercarse al constructo teórico de resiliencia, y desde la propuesta de Grotberg (1995a) y Melillo (2003), del modelo donde es posible caracterizar a un niño resiliente a través de la posesión de condiciones que en el lenguaje se expresan diciendo: “Yo tengo”, “Yo soy”, “Yo estoy”, “Yo puedo”, es que se procedió a hacer la aplicación de la técnica de Redes Semánticas Naturales a 400 niños de ambos sexos, de 6° año de primaria de escuelas públicas y privadas de la ciudad de Toluca. En general las niñas indican más características resilientes que los hombres, identifi cando redes de apoyo social, escolar y familiar indispensables en la resiliencia (Melillo, 2003). Todas las palabras se agruparon en dimensiones denominadas: factores protectores internos, creatividad, humor, autonomía/independencia, intelectual, inhibidores de la resiliencia y agresión (Henderson y Milstein, 2003). Se considera indispensable continuar con el estudio que permita obtener evidencia empírica.
La relación entre la percepción de estrés y satisfacción con la vida de morbilidad
Authors: Victorio Estrada Amparo
Published: August 2021

Se estudió la relación entre la percepción de estrés, bienestar subjetivo y morbilidad en una muestra de 404 estudiantes y profesores universitarios mediante cuestionarios que miden estrés, satisfacción con la vida (SWLS), síntomas psicosomáticos y el autoreporte de enfermedad y consulta médica. Se presentan datos de validación de dos escalas creadas ad hoc. Mediante modelamiento con ecuaciones estructurales se confirmó la relación positiva entre la percepción de estrés y síntomas psicosomáticos y su relación negativa con la satisfacción con la vida. Sin embargo, sólo los síntomas psicosomáticos, predicen enfermedad y sólo enfermedad en combinación con la escolaridad predicen la tendencia a asistir a la consulta médica. Mientras que el género afecta el nivel de estrés reportado; la satisfacción y la edad inciden en los síntomas psicosomáticos.
Estructura factorial de una escala para evaluar ansiedad en una muestra de adolescentes
Authors: Bonilla Muñoz Martha Patricia , Balcázar Nava Patricia , Gurrola Peña Gloria Margarita Gurrola Peña , Zanatta Colín Martha Elizabeth , Méndez Arizmendi Telma , Vírseda Heras José Antonio
Published: August 2021

El presente trabajo describe el proceso de análisis de las propiedades psicométricas del cuestionario de Autoevaluación de la Ansiedad (Ostrosky-Solís, 2001), con los datos procedentes de una muestra de 860 adolescentes. La versión analizada del Cuestionario se integró por 16 reactivos, que se distribuyeron en tres factores: Factor 1; Manifestaciones físicas; factor 2: Manifestaciones cognoscitivas y factor 3: Quejas somáticas, que explican 48.31% de la varianza total. Los coefi cientes de consistencia interna Alpha de Cronbach oscilaron entre 0.648 y 0.77, demostrándose propiedades psicométricas adecuadas del instrumento en esta muestra de jóvenes mexicanos.
Análisis del impacto del VIH/SIDA en la familia: Una aproximación a su representación social
Authors: Flores Palacios Fátima , Almanza Avendaño Manuel Almanza Avendaño , Gómez San Luis Anel
Published: August 2021

Desde la perspectiva teórica de las representaciones sociales, se ha estudiado cómo los diversos grupos sociales construyen significados sobre el VIH/SIDA, los cuales varían con el tipo de experiencia que tengan con la enfermedad en sí. En el presente estudio se exploró el impacto del VIH/SIDA en la experiencia de seis familias, a través de entrevistas semi-estructuradas. Los resultados muestran que en un primer momento se genera un impacto en la familia por el diagnóstico, y posteriormente, al vivir con la enfermedad en su contexto social, se desarrollan procesos de adaptación, como el silencio, estrategia de protección ante la estigmatización y la normalización de la enfermedad.
El compromiso y la estabilidad en la pareja: Definición y dimensiones dentro de la población mexicana
Authors: Torres González Tamara , Ojeda García Angélica
Published: August 2021

El estudio del compromiso recibe desde hace años, una atención especial. En este artículo, después de algunas definiciones fundamentales sobre el compromiso y el planteamiento de varias determinantes importantes para la estabilidad en la relación de pareja, se revisan varios modelos teóricos, como el modelo atracción-barrera de Lewin (1951). El objetivo de la presente investigación fue estudiar el compromiso en el campo de las relaciones interpersonales en la cultura mexicana. Se llevó a cabo un estudio mediante la traducción y adaptación del Commitment Inventory (CI) de Johnson (1978) con el propósito de detectar los diferentes factores del compromiso en la población mexicana. La muestra no probabilística total quedó conformada por 298 participantes en actual relación de pareja, de los cuales 46.6% corresponde a hombres y 53.4% a mujeres con un rango de edad de entre 18 a 85 años, cuya Media es de 36.6 años y una desviación standard de S= 3. Los resultados permitieron observar los tres rubros en los que la población que actualmente tiene una pareja define compromiso y sus diferencias por tipo de pareja y tiempo en la relación.
Actitudes hacia el matrimonio y el divorcio: Diferencias por sexo, residencia y estatus de pareja
Authors: García Meraz Melissa , Reyes Lagunes Isabel
Published: August 2021

En la actualidad, nuestro mundo se caracteriza por una serie de cambios que han impactado tanto la vida pública como la privada. Las opiniones acerca del matrimonio y el divorcio, así como los aspectos de las interacciones sociales han sufrido una transformación radical. En medio de estos cambios la visión tradicional acerca del matrimonio como la mejor manera de vivir en pareja también se ha transformado. Con el objetivo de descubrir las actitudes modernas y tradicionales acerca del matrimonio y el divorcio, se aplicó un instrumento multidimensional a 1 440 participantes de diferentes puntos de la República mexicana. Los resultados muestran que aquellos que residen en el Distrito Federal quienes viven en unión libre tienen actitudes menos tradicionales hacia el matrimonio y el divorcio.
Percepciones de docentes con respecto a la disciplina en la escuela
Authors: Valdés Cuervo Ángel Alberto , Martínez Cebreros Marisol , Vales García Javier
Published: August 2021

Se realizó un estudio fenomenológico de corte cualitativo con el propósito de describir las percepciones de docentes de secundaria acerca de las causas de los problemas de disciplina de los alumnos, las estrategias que utilizan para su manejo y sus necesidades de capacitación al respecto. Para tal fin se utilizó un muestreo de casos típicos, seleccionándose a 22 docentes para participar en el estudio. La recolección de información se llevó a cabo con entrevistas a profundidad y un grupo de enfoque. Los resultados evidenciaron que los docentes poseen una visión amplia aunque poco profunda de las causas de los problemas de disciplina de los estudiantes, que incluyen su gestión entre los factores que afectan la disciplina en el aula y que utilizan estrategias convencionales tales como el castigo y la negociación para el manejo de ella.
Influencia de la deseabilidad social (DS) en reportes de capacitación
Authors: Enríquez Jiménez Francisco Javier , Del Carmen Domínguez Espinosa Alejandra
Published: August 2021

El propósito del presente estudio fue obtener evidencia del efecto de las instrucciones Socialmente Deseables en los resultados de los Cuestionarios que evalúan la Capacitación (CEC). El CEC mostró un índice adecuado de consistencia interna (α =.92), una validez de factorial de 71.08%. Como medición de DS se utilizó la escala de Marlowe y Crowne (MCSDS) con un α =.778, en sus dimensiones de atribución y negación. Se consideraron instrucciones mediante la inducción de respuestas socialmente deseables vs. estándar e instructores internos vs. externos. Las dos escalas mostraron asociaciones bajas pero significativas (r = .187, p < .01). La correlación mayor se encontró en la interacción entre la instrucción estándar y el instructor interno, principalmente en la dimensión de atribución. A pesar de tratarse de una evaluación de un tercero, hay evidencia de que las personas puedan estar sesgadas en sus juicios y presentar distorsiones en las respuestas atribuibles a la DS.
Trastornos de la conducta alimentaria antes del siglo XX
Authors: Baile Ayensa José I. , González Calderón María J.
Published: August 2021

Los trastornos de la conducta alimentaria (TCAs), como la anorexia nerviosa y la bulimia nerviosa, han sido un problema de salud de gran prevalencia a finales del siglo XX y comienzos del XXI. Dichos comportamientos atípicos fueron inicialmente descritos como tales en el siglo XIX, si bien adquirieron entidad psicopatológica a partir de la década de los sesenta, considerándose trastornos “modernos” asociados a un excesivo culto al cuerpo y deificación de la delgadez, características de nuestra sociedad actual. No obstante, dichos problemas de salud podrían estar ocurriendo desde hace siglos. Este artículo revisa algunos de los casos más famosos, valorando las limitaciones de la sesgada información disponible, analizando similitudes y diferencias entre los supuestos casos históricos, y las manifestaciones actuales. El análisis histórico, en el que se constata la presencia de comportamientos alterados a lo largo de los últimos siglos, permite avanzar en los conocimientos actuales de los TCAs tanto desde el punto de vista definitorio como terapéutico.
Características psicosociales asociadas al consumo de alcohol, tabaco y drogas en adolescentes de Chiapas
Authors: Palacios Delgado Jorge Raúl , Cañas Martínez José Luis
Published: August 2021

El objetivo de este estudio fue determinar el nivel de predicción de características psicosociales (búsqueda de sensaciones, bienestar subjetivo, permisividad y la orientación escolar) sobre el consumo de alcohol, tabaco y drogas en adolescentes. La muestra se conformó con 1000 jóvenes, entre 12 y 20 años, estudiantes de escuelas públicas de la ciudad de Tuxtla Gutiérrez, Chiapas. Para medir las características psicosociales se utilizaron diversos factores para contabilizar estos constructos. Además se preguntó sobre el consumo de alcohol, tabaco y drogas. Se realizaron análisis de regresión por pasos con los factores psicosociales y con el consumo de alcohol, tabaco y drogas por separado. Los resultados mostraron que la permisividad es el primer factor que influye el consumo de alcohol, tabaco y drogas, seguido de la búsqueda de sensaciones. El bienestar subjetivo influye en el consumo de alcohol y tabaco, la orientación escolar predice el consumo excesivo de alcohol y drogas.
Las redes de trabajo: Una estrategia para fortalecer la productividad en tiempos modernos
Authors: Ojeda García Angélica
Published: August 2021

Resumen.
Bullying entre pares y el escalamiento de agresión en la relación profesor-alumno
Authors: Mendoza González Brenda
Published: August 2021

El trabajo explora la relación entre el bullying entre pares, y entre alumnado y profesorado, ambos medidos desde la percepción del alumnado. Participaron 757 estudiantes de secundaria de escuelas públicas de Madrid. Se describen los tipos de adolescentes que participan en episodios de bullying entre pares (bullies, víctimas y no involucrados), y bullying entre profesorado (desafección, acoso, neutro). La relación identificada demuestra otra cara de la violencia y el bullying, demostrándose que el 51% de los estudiantes relacionados con escalamiento agresivo con el profesorado, también se involucra en situaciones de bullying en la relación con sus compañeros; detectándose que los estudiantes perciben un proceso de reciprocidad entre maltrato que reciben y ejercen hacia los profesores, proceso que facilita la escalamiento de agresión entre éstos y los alumnos.
Locus de control y tradicionalismo en el Estado de Guanajuato, México
Authors: García-Campos Tonatiuh , García-y-Barragán Luis Felipe
Published: August 2021

Las atribuciones que podamos realizar sobre las causas de los eventos que nos suceden cotidianamente, nos llevan a definir si tenemos algún control sobre ellas o no. Considerando que las normas, creencias, valores y actitudes, reflejan la cultura subjetiva del grupo de pertenencia (Matsumoto, 1996), las atribuciones de control que puedan hacer las personas, estarán mediadas por el entorno sociocultural al que pertenecen, así como por la interiorización de las normas, valores y creencias del mismo (Díaz-Guerrero, 2003; García 2003). En esta investigación participaron 848 personas de cinco municipios del estado de Guanajuato, con una media de 28.58 años, siendo el 47.2% de ellos hombres. Los resultados muestran que la interiorización de la cultura tradicional afecta en el proceso de atribución del control; proceso que está asociado con la baja autoestima, motivación al logro, adherencias a tratamientos, entre otras.
Validación de la Escala Mexicana de Homofobia EHF-6
Authors: Moral de la Rubia José , Valle de la O Adrián
Published: August 2021

Este artículo tiene como objetivos contrastar la estructura unidimensional con seis indicadores de la escala de homofobia (EHF), propuesta por Moral y Martínez (2010), calcular la consistencia interna de la escala, describir su distribución y estimar su validez convergente. Se levantó una muestra incidental de 356 estudiantes. La escala reducida a seis ítems tuvo una consistencia interna adecuada (α = .69). La estructura unidimensional mostró buen ajuste a los datos e invarianza entre hombres y mujeres por Máxima Verosimilitud. Su distribución fue asimétrica positiva. Su correlación con la Escala de Actitudes hacia Lesbianas y Hombres homosexuales (ATLG; Herek, 1984) fue .76. Se recomienda su uso en México.