bluuebunny/crossref_metadata_2025 huggingface dataset:
Relación entre el vocabulario comprensivo y la competencia matemática temprana en niños de 5 y 6 años
Authors: Yaringaño Limache Juan José
Published: February 2021

El presente estudio tiene como objetivo determinar la relación entre el vocabulario comprensivo y la competencia matemática temprana. Se empleó un tipo de investigación descriptivo correlacional, siendo la muestra de sujetos constituida por 45 niños de una institución educativa estatal. Los resultados indican que existe una correlación significativa entre vocabulario comprensivo y competencia matemática temprana (Rho=.617), además al se observó relación significativa entre vocabulario comprensivo y el componente de capacidad relacional (Rho=.661) y componente numérico (Rho=.441) estos resultados permiten concluir que el vocabulario comprensivo asociado a conceptos espaciales, cuantitativos, temporales, cualitativos, de tamaño y forma, se relacionan con la competencia matemática del número.
Trabajo colaborativo: una experiencia desde el aula de pre grado
Authors: Vásquez Paulini Luis Oswaldo
Published: February 2021

En este artículo se reporta las experiencias desde las aulas de pregrado modalidades A y B de los últimos ocho años, con el objetivo de mostrar la eficacia del trabajo colaborativo como estrategia didáctica grupal propiciadora del aprendizaje y desarrollo de destrezas. Las experiencias se desarrollaron y siguen aplicándose en las diferentes asignaturas tenidas a cargo en las aulas de pregrado en la Facultad de Educación y Psicología de la Universidad Marcelino Champagnat de Surco-Lima Perú. Nuestro relato de las mismas es sólo uno más de los múltiples relatos posibles en el camino de construir actividades didácticas, que nos permitan desarrollar destrezas, interdependencia positiva y a la vez el aprendizaje de los contenidos. Concluimos con el deseo deque otros docentes de la universidad compartan sus experiencias de investigación y docencia en el aula, que nos permitan construir nuestro recorrido teórico-metodológico particular en las aulas de pre grado.
Importancia de la poesía infantil en el plan lector
Authors: Tejo Gómez Heriberto
Published: February 2021

Empezaré diciendo que la poesía, a diferencia de otros géneros, no solo se lee, sino que también se escucha, se recita y se canta. Si el encuentro con la poesía para niños se produce en buenas circunstancias y con excelente disposición, nuestros niños se podrán dar cuenta de que la poesía es una fuente de sentimientos y emociones, de nuevas ideas y de vivencias insospechadas.

La poesía infantil, es bueno aclarar, no es esa poesía hecha de diminutivos ni esa poesía ñoña y superficial carente de armonía y de capacidad de emocionar o conmover. La poesía infantil, como señala Pedro Cerrillo, es sencillamente la poesía escrita para niños, es decir, para esos lectores que todavía están en la etapa de desarrollo y formación aunque también puedan acceder a otros poemas que sean de su agrado o interés y no hayan sido escritos expresamente para ellos.
Presentación
Authors: Aguirre Chávez Felipe
Published: February 2021

La revista EDUCA-UMCH Nº 10 sale a luz, aunándose a la celebración del bicentenario de la creación de la Congregación de los Hermanos Maristas en La Valla. Este homenaje académico queda plasmado a través de las reflexiones teóricas sobre la educación y sus aspectos específicos, así como los aportes de los campos de la Psicología y la Administración.

La celebración del bicentenario marista constituye una motivación para intensificar el estudio y la difusión de la producción intelectual de los docentes de la universidad, actividad intelectual que se extiende al sector estudiantil, como una manifestación de sus reflexiones y ensayos en diversos campos de la ciencia y las humanidades, cultivadas en el ejercicio de sus aprendizajes.

EDUCA-UMCH actualiza su compromiso de seguir convocando a docentes y estudiantes de la universidad al trabajo intelectual como razón de ser de la vida universitaria y, con este N° 10, reitera el homenaje a la Congregación marista en el bicentenario de su fundación y a su fundador, Marcelino Champagnat.

Diciembre, 2017
Las interacciones de la niñez y adolescencia trabajadora en las calles de Xalapa, Veracruz, México: análisis de los mecanismos de control y estrategias de resistencia
Authors: Narváez Aguilera Arturo
Published: February 2021

Para analizar las interacciones de las niñas, niños y adolescentes trabajadores en las calles de Xalapa, Veracruz, México, desde un enfoque sociológico, se abordan las categorías de mecanismos de control y la producción de estrategias de resistencia, como fundamentos conceptuales para explicar la tensión permanente entre la acción infantil trabajadora y la existencia de un régimen de control y regulación del trabajo infantil. Primero, se expone la operación de dispositivos y aparatos de control a diversas escalas, que transitan desde el umbral de una visión normativa y hegemónica en clave neoliberal del espacio público, hasta los tutelares-proteccionistas propios de la concepción moderna de la infancia. Segundo, se establece una conceptualización de las resistencias observadas en el sistema de interacción de la niñez y adolescencia trabajadora. Tercero, se describen los significados que tiene para los sujetos sociales la calle y su actividad económica. Finalmente, se explican las prácticas colectivas de resistencia, desde la noción de actores sociales por la sobrevivencia.
Felicidad versus happycracia
Authors: Latorre Ariño Marino
Published: February 2021

En este artículo realiza una reflexión sobre el concepto de felicidad a través de la historia y su relación con los tres referentes de la filosofía clásica: la verdad, el bien y la belleza. Se discute sobre si las tecnologías digitales pueden conducirnos o apartarnos de la felicidad. El artículo intenta dar una respuesta a preguntas como: ¿se puede educar para desarrollar una biografía feliz? ¿Cuánto influye la educación para lograr la felicidad? ¿El esfuerzo y el trabajo bien hecho pueden ser fuente de felicidad? También se aborda con sentido crítico el concepto de happycracia su significado en relación con la psicología positiva, así como con la ideología y los intereses de todo tipo que subyacen en muchas propuestas actuales para conseguir una vida feliz.
Conhecimento de gestantes do papel do aleitamento materno no sistema estomatognático
Authors: Marchiori de Araujo Silvana , Aparecida Paim da Silva Duarte Viviane , Garcia da Silveira Eliane , Mercês Aquino Gouveia Farias Maria , Eger Schmitt Beatriz Helena
Published: February 2021

Objetivo: avaliar o conhecimento de um grupo de gestantes em relação à importância do aleitamento materno sob o aspecto odontológico. Material e método: a população-alvo foi composta por gestantes em atendimento de pré-natal na Unidade de Saúde Clínica Materno Infantil Dra Maria da Graça, no Município de Caçador-SC. A amostra foi do tipo não probabilística obtida por conveniência. O instrumento para coleta de dados foi um questionário constituído por duas partes: na primeira foram coletadas informações para caracterização das participantes; na segunda foi investigado o conhecimento das gestantes sobre a importância do aleitamento materno sob o aspecto odontológico com questões dicotômicas que abordaram o aleitamento materno e sua relação com o desenvolvimento do sistema estomatognático. Para a determinação do conhecimento da população, foram definidos três níveis, a saber: Baixo: para um total de acertos entre 1 e 3 questões; Médio: para um total de acertos entre 4 e 7 questões; Bom: para um total de acertos entre 8 e 11 questões. O tratamento estatístico foi do tipo descritivo, mediante cálculo da frequência relativa. Para analisar a relação entre o conhecimento das gestantes com a escolaridade e renda familiar, foi aplicado o teste Qui-Quadrado. Resultados: observou-se que 60% das gestantes apresentaram nível bom de conhecimento, 36% nível médio e 4% das participantes com nível baixo de conhecimento. Conclusão: a maioria das gestantes apresentou nível de conhecimento bom em relação à importância do aleitamento materno sob o aspecto odontológico; o conhecimento das gestantes não apresentou relação estatisticamente significante com o nível de escolaridade e a renda familiar.
A Resilient and Hierarchical IoT-based Solution for Stress Monitoring in Everyday Settings
Authors: Jiang Shiyi , Firouzi Farshad , Chakrabarty Krishnendu , Elbogen Eric
Published: February 2021

Long-term stress is a global health concern because it impacts our physical and mental health. The emergence of Internet of Things (IoT) and Artificial Intelligence (AI) makes stress monitoring and treatment more accessible compared to today’s physician-centered healthcare system. However, existing solutions either fail to incorporate IoT technology or are not cost-effective. We propose a resilient, hierarchical IoT-based solution for stress monitoring to tackle the above problems. Multimodal data was collected from wearable sensors and underwent preprocessing, feature extraction, and multiple imputation. We applied three feature-selection methods prior to lightweight SVM classification at the edge layer, and utilized a CNN and a matching network model in the cloud layer. We obtained an accuracy of 86.7347% and an F1 score of 0.8725 at the edge using only 10 features selected based on the Fisher score. An accuracy of 98.9247% and an F1 score of 0.9876 was achieved by a matching network model based on electrocardiogram (ECG) data. The trade-off between the communication cost from the edge to the cloud and the overall accuracy was evaluated. Our hierarchical-IoT solution for stress-level evaluation provides insights into the potentiality of IoT and AI technology-based eHealth solutions.
Efficient Online Scheduling of Electric Vehicle Charging Using a Service-Price Menu
Authors: Mathioudaki Angeliki , Tsaousoglou Georgios , varvarigos Emmanouel , Fotakis Dimitris
Published: February 2021

Along with high penetration of Electric Vehicles (EVs), charging stations are required to service a large amount of charging requests while accounting for constraints on the station's peak electricity consumption. To this end, a charging station needs to make online charging scheduling decisions often under limited future information. An important challenge relates to the prioritization of EVs that have unknown valuations for different levels of charging services. In this paper, we take into consideration the inability of EV users to express these valuations in closed-form utility functions. We consider a paradigm where a menu of possible charging schedules and corresponding prices is generated online. By letting the EV users pick their most preferable menu option, the proposed algorithm commits on each EV's charging completion time upon its arrival, achieves a near optimal total weighted charging completion time, and prevents the users from strategically misreporting their preferences, while offering a practical and implementable solution to the problem of EVs - charging station interaction.
О СЕНСОРНОМ ПОТЕНЦИАЛЕ ПИЩЕВЫХ ПРОДУКТОВ И ЕГО ВЛИЯНИИ НА ИХ ПОТРЕБЛЕНИЕ
Authors: Ким И.Н. , Бредихин С.А. , Новикова А.В. , Фенина А.В.
Published: February 2021

Известно, что образование в вузе - это закрытая, инертная и консервативная система, которая с большим трудом поддается изменениям, но при этом должна соответствовать времени и действительности. Основная задача образования - готовить и воспитывать специалистов, которые будут способны ответить на вызовы современного мира. Поэтому системе высшего образования требуется механизм, обладающий адекватной реакцией на эти изменения, однако ее консерватизм не позволяет во время реагировать на внешние изменения и вносить свои коррективы. Например, в последнее десятилетие, судя по зарубежной печати и переведенной на русский язык литературе, широко обсуждается проблема вкуса пищевых продуктов и даже начинает формироваться отдельная наука о питании - гастрофизика [1, 2, 6-12]. Однако многочисленные пищевые вузы Минобразования и практически все вузы Министерства сельского хозяйства, включая вузы, ведущие подготовку технологов различных направлений уровня бакалавриата и магистратуры, практически не готовят специалистов по сенсорике, т.е. мы опять становимся свидетелями того, что российские вузы не способны идти в русле времени и не готовят нужных для пищевой и перерабатывающей промышленности специалистов, а значит, технологическая революция в этой области проходит без нашего участия. С такой постановкой дела, в скором времени мы вынуждены будем обучать своих специалистов за рубежом, как это уже происходит в парфюмерной промышленности, т.е. система высшего образования не выполняет свои прямые функции и до сих пор наблюдается некоторая оторванность профильного образования от нужд ведомств. На этом фоне издательства лучше понимают тенденцию развития данного направления, поскольку охотно идут на риск и переводят иностранную литературу по данному профилю. Расхожая фраза, что рынок подготовит нужные кадры, к системе высшего образования не имеет никакого отношения, поскольку, повторимся, что сегодня наблюдается сильная оторванность профильного образования от практики. Скорее всего, специалистов по органолептическому анализу начнут готовить корпоративные университеты, но они нацелены на краткосрочные курсы.
Pronouns: The Importance of Our Everyday Language
Authors: Greene Amy
Published: February 2021

We use language to create and maintain relationships. So, it is only natural that language can offer clues to our connection to the people around us and social status. Pronouns more than other words can be used to explain relationships. During the Middle English period, English used the pronouns “you” and “thou” when addressing people of different social position. “You” was used by members of the upper class when talking to each other and used by members of the lower class when addressing a superior. “Thou” was used by members of the lower class when addressing each other, by close family members, and addressing God in prayer. These distinctions continue into the Early Modern English period and we see them used in Shakespeare. I investigated pronouns “you” and “thou” in Shakespeare’s Othello by looking at every occurrence of these pronouns used by Othello, Desdemona, Iago, and Emilia. It became evident that Shakespeare uses pronouns conventionally until moments of extreme anger and at the end of the play. Modern English has lost the pronoun “thou”, but we still use pronouns to indicate social status. According to James W. Pennebaker, people of a low social status tend to overuse the pronoun “I”. People of higher social status rely more on pronouns “we” and “you”. I explore this usage of pronouns in Susan Glaspell’s play Trifles. I draw conclusions about correlation between pronouns and social status in Early Modern English and Modern English by comparing pronouns in Othello and Trifles. My research shows that even though language changes, human relationships remain the same and looking at pronouns helps us understand these relationships better when doing literary analysis.
Bilobalide Ameliorates Sepsis Induced Acute Lung Injury by Inactivating Toll-Like Receptor 4/Myeloid Differentiation Factor 88/Nuclear Factor-Kappa B Pathway
Authors: Liu Tian , Jiang Siyi , Jia Shengwei , Fan Fuxiang
Published: February 2021

Acute lung injury refers to the injury of alveolar epithelial cells and pulmonary capillary endothelial cells caused by noncardiac factors. To better combat the disease, there is an urgent need to develop more effective drugs. Sepsis is a syndrome of systemic inflammation caused by infection, and the molecular mechanism by which sepsis induces acute lung injury has not been clearly determined. Bilobalide is a unique component of Ginkgo biloba. Although it has multiple biological functions, its role in sepsis induced acute lung injury needs further study. In this study, we found that bilobalide alleviated cecal ligation and puncture induced acute lung injury. Additionally, bilobalide regulated cecal ligation and puncture induced lung injury through toll-like receptor 4/myeloid differentiation factor 88/nuclear factor-kappa B pathway. We therefore conclude that bilobalide may be a potential drug for the treatment of sepsis induced acute lung injury.
Abscisic Acid Promotes γ-Aminobutyric Acid Accumulation in Soybean Germinating Under Hypoxia-NaCl Stress
Authors: Guo Yuan-Xin , Wang Dong-Xu , Ye Hua , Gu Zhen-Xin , Yang Run-Qiang
Published: February 2021

γ-aminobutyric acid is a nonprotein amino acid that accumulates in plants under stress. Abscisic acid is important for stress regulation via modulation of γ-aminobutyric acid function. Our results show that the expression of glutamate decarboxylase but not diamine oxidase gene is upregulated in germinating soybean treating treated with exogenous abscisic acid. There was a concomitant increase in glutamate decarboxylase and diamine oxidase activities and putrescine and spermine contents with a decrease in glutamate. These changes were abrogated by fluridone, an inhibitor of abscisic acid synthesis. In conclusion, abscisic acid treatment increases γ-aminobutyric acid accumulation by upregulating diamine oxidase gene expression and activation of glutamate decarboxylase and diamine oxidase activity in germinating soybean under hypoxia-salt stress.
Colorado--The Changing Landscape of Land Use Law and Regulations Impacting the Colorado Oil and Gas Industry: From the Colorado Oil and Gas Conservation Act of 1951 to Senate Bill 181 of 2019
Authors: Cantafio Ralph A.
Published: February 2021

When Colorado Democratic Governor Jared Polis approved Senate Bill 181, this new law significantly redirected the historical focus of Colorado oil and gas regulation. This provided a significant delegation of land use related authority to local government for the first time since the passage of this Act in 1951. This new law moved away from the traditional notion of statewide regulation based upon exclusive jurisdiction by the Colorado Oil and Gas Conservation Commission (“COGCC”). While this change of legislative focus is significant, this latest direction is probably a natural continuation of a general trend that has been emerging in Colorado since certain Supreme Court Opinions were announced in 1992, as explained later in this Article. As the State of Colorado has, among other things, grown in population, residential housing now significantly finds itself competing with oil and gas development in the same geographical areas, especially the suburbs of the “Front Range.” Simultaneously, the political sentiment of Colorado has trended into a more significantly Democratic direction from a historically Republican majority. The law as to the governance of the oil and gas industry has now changed as a result of the passing of SB 181—from fostering the development of oil and gas industry to a new paradigm requiring the weighing of interests, including environmental concerns. This Article provides a historic explanation to allow the reader to better understand how this transition has come about. That which is observed in Colorado might also be seen as a potential harbinger of future change that could be noted in other oil and gas states.
Kansas
Authors: Pike Jeff M.
Published: February 2021

2019 provided no shortage of excitement, as there were more oil and gas opinions issued by the Kansas Supreme Court than in a usual year. These cases will be the main focus of this Survey, as there are no major legislative developments to report for this year. The first case decided whether the common-law rule against perpetuities should be applied to exceptions of defeasible term mineral interests. The second case is “yet another round in [a] high-dollar subsurface prize fight” about who has the right to gas that has escaped from an under- ground natural gas storage facility. The third case analyzes whether the misappropriation of royalty payments gives rise to a claim of adverse possession. Additionally, the Kansas Court of Appeals released an oil and gas opinion, which will be briefly discussed.
Michigan Oil and Gas Update
Authors: Beard Joshua D.
Published: February 2021

The Michigan Department of Environment, Great Lakes, and Energy (“EGLE”), formerly the Michigan Department of Environmental Quality, is in the process of seeking primary enforcement responsibility from the United States Environmental Protection Agency (“EPA”) for its Underground Injection Control (“UIC”) program for Class II wells pursuant to Part C of the Safe Drinking Water Act (“SDWA”).
Changes in Oral Mucosa during Pregnancy
Authors: Nivedha Srinivasan, Arvina Rajasekar
Published: February 2021

The main aim of this review is to understand the changes in oral mucosa during pregnancy. This review

highlights the major oral complication during pregnancy. Changes in the gingiva and physiological

structure of the tooth take place in addition to hormonal, immunologic, dietary and behavioural changes.

Characteristics of pregnancy gingivitis are that it gets swollen, smooth and tends to bleed easily. Enlargement

of gingiva may occur but it tends to resolves within few months after delivery. Due to the increase in salivary

microorganisms, there may be a decrease in salivary pH and impairment of buffer effect. This may also lead

to dental caries or erosion during lactation period.

The dental management of pregnant patients requires special attention. Dentists, for example, may delay

certain elective procedures so that they coincide with the periods of pregnancy which are devoted to

maturation versus organogenesis. At other times, the dental care professionals need to alter their normal

pharmacological armamentarium to address the patients’ needs versus the foetal demands. Applying the

basics of preventive dentistry at the primary level will broaden the scope of the prenatal care. Dentists

should encourage all the patients of the childbearing ages to seek oral health counselling and examinations

as soon as they learn that they are pregnant
Periods, Perceptions and Practice- A Study of Menstrual Awareness among Adolescent Girls in a Tribal District of Odisha, India
Authors: Pallavi Mishra
Published: February 2021

Menstruation is a normal biological phenomenon. Still it is associated with misperceptions, malpractices

and challenges especially among female adolescents of low socioeconomic settings. The present study was

conducted to investigate the knowledge about menstruation, determinants of menstrual hygiene management

and the consequences of menstruation on college absenteeism in a tribal dominated backward district of

Odisha, India. A college based cross-sectional questionnaire-based study was undertaken among randomly

selected 740 female students who were attending 12th grade and undergraduate courses. About 64 % of

girls had inappropriate knowledge about menstruation and MHM. Only 38 % girls used disposable sanitary

napkins during menstruation. Almost 59 % of the respondents reported remaining absent from college during

periods. High educational status of mother was found to be strong predictor of appropriate knowledge about

menstruation among the adolescents. Economic constraint was found to be the major factor for not using

disposable sanitary napkins which in turn is one of the major causes of college absenteeism. Girls also

reported inability to change menstrual absorbents in college due to absence of proper disposal system.
SOCIAL SIGNIFICANCE OF UZBEK ANTHROPONYMS
Authors:   Candidate of Philological Sciences, Associate Professor, Faculty of Foreign Philology, National University of Uzbekistan named after Mirzo Ulugbek, Djuraeva Iroda Ahmedovna
Published: February 2021

Мазкур мақола ўзбек антропонимларининг ижтимоий аҳамиятига бағишланган бўлиб, мақолада шунингдек, антропонимларни ўрганишда ва ифодалашда тез-тез қўлланиладиган тушунча ва атамалар таҳлили келтирилган. Маълумки, тилшуносликда ўзгаришлар рўй бериб, парадигмадан (бир томонлама фикр юритишдан) воз кечилди, «ички, чегараланган» ва системага солинган лингвистикадан когнитив-дискурсив лингвистикага ўтиш даври, яъни тилни ўрганишда янгича қарашлар билан мулоҳаза юритиш, кенг илмий-изланишлар олиб бориш даври бошланди. Антропонимик материалга нафақат лисоний жиҳатдан, балки этнолингвистик, этномаданий, руҳшунослик, социолингвистик, эстетик, тарихий-диний нуқтаи назардан ҳам ёндашиш мумкин.
Imperativ Reintegracije: Djeca Povratnici na Zapadni Balkan
Authors: Shtuni Adrian
Published: February 2021

Od 2012. godine 1.070 državljana zemalja Zapadnog Balkana putovalo je kako bi živjelo i borilo se na teritorijima pod kontrolom terorističkih organizacija u Siriji i Iraku. Među njima je bilo otprilike 200 maloljetnih osoba u trenutku odlaska. Tokom godina, državljani zemalja Zapadnog Balkana dobili su još mnogo više djece u područjima zahvaćenim sukobima u Siriji i Iraku. Do kraja 2019. godine otprilike 485 osoba vratilo se svojim kućama, što Zapadni Balkan čini regijom s najvećom koncentracijom povratnika iz Sirije i Iraka u Europi. Još stotine osoba, uglavnom maloljetnika, i dalje su zatočene u neizvjesnim uslovima u Siriji, s neizvjesnim izgledima za repatrijaciju. Brojne zemlje se bore s tim što učiniti s državljanima koji su otputovali kako bi živjeli i borili se u takozvanom „kalifatu“ Islamske države (IS). Međutim, iskustvo i razumijevanje onoga što olakšava djelotvorno angažiranje u radu s povratnicima iz Sirije, posebno s djecom povratnicima, u početnoj je fazi. U ovoj bilješci o politici daju se preporuke o načinima pristupa rehabilitaciji i reintegraciji (RiR) djece povratnika na Zapadnom Balkanu uz kombiniranje nove dobre prakse s vodećim načelima konvencija, međunarodnih ugovora i protokola koji se fokusiraju na prava djece.
Nužnost Reintegracije: Djeca Povratnici u Zapadnom Balkanu
Authors: Shtuni Adrian
Published: February 2021

Od 2012. godine 1070 državljana zemalja zapadnog Balkana o šlo je živje i bori se na teritorijima pod kontrolom teroris čkih organizacija u Siriji i Iraku. Od h državljana, otprilike 200 njih bili su maloljetnici u trenutku odlaska. Tijekom godina na području sukoba u Siriji i Iraku državljanima zapadnog Balkana rodilo se još mnogo više djece. Do kraja 2019. godine oko 485 osoba vra lo se domovima, zbog čega regija zapadnog Balkana ima najveću koncentraciju povratnika iz Sirije i Iraka u Europi. Još su sto ne ljudi, uglavnom maloljetnika, ostale zarobljene u nesigurnim uvje ma u Siriji s neizvjesnim izgledima za povratak. Mnoge zemlje nisu sigurne što učini s državljanima koji su otputovali da bi živjeli i borili se u „kalifatu” Islamske države. Među m, iskustvo i razumijevanje u pogledu onoga što olakšava učinkovitu uključenost povratnika iz Sirije, osobito djece povratnika, još je uvijek u početcima. Ovom se studijom o poli ci pružaju preporuke o načinima pristupa rehabilitaciji i reintegraciji djece povratnika na zapadnom Balkanu kombiniranjem novih dobrih praksi s vodećim načelima konvencija, ugovora i protokola usredotočenih na prava djece.
Imaging Findings of Intracranial Hypotension Presented with Pseudo-Subarachnoidal Hemorrhage
Authors: CİNDEMİR Ergul , GOCGUN Nurdan , ATASOY Bahar , YILMAZ Behice Kaniye , TURKAY Rüştü , İKİZCELİ Türkan
Published: February 2021

Spontaneous intracranial hypotension (SIH) is a condition in which the fluid pressure inside the skull is lower than normal. It is secondary to cerebrospinal fluid (CSF) leak at the level of the spine and the resulting loss of CSF volume. Pseudo-subarachnoidal hemorrhage is a rare condition that can occur in patients with spontaneous intracranial hypotension. The diagnosis is very important because it can be confused with true subarachnoidal hemorrhage. True subarachnoidal hemorrhage is one of the complications that may occur in SIH patients. The differentiation of these two conditions as well as computed tomography (CT) and magnetic resonance imaging (MRI) findings and the response of the blood-patch treatment applied by interventional radiology is also very valuable.
Irisin in Adolescent Type 1 Diabetic Patients and its Relation to Diabetes Control and Atherosclerosis
Authors: El Dayem Soha M. , Battah Ahmed A. , El Bohy Abo El Magd , Yousef Rasha Nazih , Mohamed Mai Magdy Abd El Wahed
Published: February 2021

AIM: The objective of this was to determine the role of irisin in adolescent type 1 diabetes (T1D) patients.
METHODS: This study was conducted on 65 patients with T1D and 50 healthy individuals as control group. Serum irisin, glycosylated hemoglobin (HbA1c), lipid profile, oxidized low-density lipoprotein (OxLDL), urinary albumin/creatinine ratio; carotid intimal medial thickness (cIMT), and aortic intimal medial thickness (aIMT) were evaluated for all participant.
RESULTS: HbA1c, lipid profile, albumin/creatinine ratio, OxLDL, irisin, aIMT and cIMT were significantly higher in diabetic patients. Irisin had a positive correlation with age of diabetic patients, onset of diabetes, mid arm circumference, waist/height ratio, body mass index, HbA1c, and cIMT.
CONCLUSION: Irisin is a marker for detection of diabetes control and early detection of subclinical atherosclerosis. Irisin had a relation with obesity.
Comparison of 3 Medicine Groups Used to Control Glycemic and Glycated Hemoglobin Levels in Newly Diagnosed Type 2 Diabetes Patients
Authors: Nguyen Ngoc Chau , Pham Hoai Thuong , Pham Diep Thao , Hoang Thi Minh , Dam Thi Phuong Lan , Ho Thi Hang , Dang Duy Quy , Do Nhu Binh , Huynh Quang Thuan
Published: February 2021

AIM: This research aims to compare the effectiveness of three medicines groups in controlling glycemic and glycated hemoglobin (HbA1c) levels in the newly diagnosed diabetes mellitus type 2.
METHODS: One hundred fifty newly diagnosed patients with type 2 diabetes were treated by mono therapy and divided into three groups. Each group of 50 patients was treated by one medicine: Group 1 using Diamicron MR 30 mg (Sulfonylurea) – three capsules per day, Group 2 using metformin 500 mg – 1–3 capsules per day, and Group 3 using Januvia (sitagliptin, dipeptidyl peptidase-4 inhibitor) 100 mg – 1 capsule per day. The evaluation of glucose control was based on fasting plasma glucose and HbA1c concentration and divided into three levels: Excellent, good, and poor. The assessment was carried out after every 3 months of treatment, at 3rd month, 6th month, and 12th month (WHO, 2002).
RESULTS: After treatment 3, 6, and 12 months, glucose level was decreased when compared to before treatment in all three groups (pall < 0.001). At the month 6th, the groups treated by sulfonylurea and sitagliptin had lower glucose level than metformin (with p values were 0.04 and 0.01, respectively), and maintained the low glucose level from the month 6th to month 12th (with p values were 0.71 and 0.77, respectively) while glucose level of the metformin group increased (p = 0.005). HbA1c has decreased dramatically in all three groups after treatment (p values of sulfonylurea group at the month 3rd, 6th, and 12th vs. before treatment were 0.006, 0.021, and 0.001, respectively; all p values of metformin group at the month 3rd, 6th, and 12th vs. before treatment were below 0.001; all p values of sitagliptin group at the month 3rd, 6th, and 12th vs. before treatment were below 0.001). The group treated by sitagliptin got the highest ratio of excellent HbA1c control (82% after 12 months of treatment).
CONCLUSION: Significant improvement of glucose and HbA1c levels was observed in all three groups. Glucose control level of group treated with sulfonylurea was markedly improved and the group treated with sitagliptin achieved optimal control of HbA1c.
Perioperative Evaluation of Heart Echinococcus Cyst in a 14-Year-Old Child
Authors: Kuci Saimir , Ibrahimi Alfred , Memeti Shaban , Llazo Stavri , Bejko Ervin , Krakulli Klodian , Prifti Edvin
Published: February 2021

BACKGROUND: Echinococcosis of the heart has a rate 0.02–2% of all hydatid diseases. Clinical presentation is depending of the location of hydatid cyst in the heart. Patients can be an asymptomatic case or lethal stroke, arrhythmias, valvular dysfunction, pulmonary edema, cardiac tamponade, cardiac failure, shock, and even death.
CASE REPORT: We present a case report, a 14-year-old child with 2 weeks of sore throat, whooping cough, subfebrile condition, sweating, fatigue and physical weakness, nausea, abdominal pain, and decreased appetite. He came to emergency room with cardiogenic shock and pulmonary edema. He was diagnosed with intramyocardial hydatid cyst.
CONCLUSION: Echinococcus cyst lesion in the LV in lateral wall, not communicating with the LV cavity, has been removed successfully with on-pump technique in a 14-year-oldchild. Median sternotomy was preferred and cardiopulmonary bypass has been considered the safest method. Supplemental medical therapy with albendazole is recommended to reduce the risk of recurrence.
Determinants of Acute Respiratory Infections Incidence in Children Under Five in the Working Area of the Siak Hulu II Community Health Center in Kampar Regency
Authors: Alamsyahi Agus , Kurniya Tri , Ikhtiaruddin Ikhtiaruddin , Rasyid Zulmeliza
Published: February 2021

BACKGROUND: The incidence of acute respiratory infections (ARIs) is high among under-five children, especially in developing countries. ARIs are a leading cause of morbidity and mortality in under-five children worldwide. ARIs in children take a heavy toll on life. ARI disease ranks first in the spread of illness in the Siak Hulu II Public Health.
AIM: This study aims to determine the incidence of non-pneumonia ARI in children under five in the working area of the UPTD Siak Hulu II.
METHODS: This research uses quantitative methods with a cross-sectional approach. The sample in this study was 74 children under five aged 12–59 months using the consecutive sampling technique. Data analysis used Chi-square, univariate and bivariate statistical tests.
RESULTS: The results showed that there was a relationship between birth weight p = 0.017 and OR = 4.844, cigarette smoke exposure p = 0.012, indiscriminate snacking p = 0.013, maternal knowledge p = 0.016, and exclusive breastfeeding p = 0.038, with the incidence of non-pneumonia ARI in toddlers aged 12–59 months in the working area of the Siak Hulu II Health Center, Siak Hulu District, Kampar Regency. Respondents who have low birth weight have a 4.8 times greater risk of suffering from ARI.
CONCLUSION: There is a relationship between birth weight, exposure to cigarette smoke, casual snacks, knowledge of mothers, and exclusive breastfeeding with the incidence of ARI in children under five in the work area of the UPTD Siak Hulu II Community Health Center, Siak Hulu District, Kampar Regency.
Interleukin-4 Cytokine as an Indicator of the Severity of Tuberculous Lymphadenitis
Authors: Lubis Humairah Medina Liza , Lubis Mohd Nadjib Dahlan , Delyuzar Delyuzar
Published: February 2021

BACKGROUND: Interleukin-4 (IL-4) is a cytokine of Th2 response and plays a role as a reducer or silencer of Th1 work. It is more related to allergic processes, with consequent loss of control of the disease (i.e., tuberculosis). Interferon gamma (IFN-γ) is a Type II interferon that inhibits Th2 immune response and inducts Th1 immune response to inhibit tuberculous and viral replication, and any immunostimulatory and immunomodulatory effects. Dark specks (DS) are in the background of eosinophilic granular material seen in aspirations of tuberculous lymphadenitis stained with May–Grunwald Giemsa (MGG). A lesion with DS festers and the disease worsens.
AIM: This study determines whether the expression of IL-4 is associated with disease severity and compares incidences of expression of IL-4 and IFN-γ in DS lesions.
MATERIALS AND METHODS: This study includes 100 diagnostic cases of tuberculous lymphadenitis, which were not successfully treated with common antibiotics, but responded to anti-tuberculous drugs (ex juvantibus diagnosis). Out of the 100 cases, 59 cases were with DS and 41 cases were without DS. Out of the 59 cases with DS, 49 cases were IL-4 positive (+) and 10 cases IL-4 negative (–). Of the 41 cases without DS, 10 cases were IL-4 (+) and 31 cases were IL-4 (–). Out of the 59 cases of DS, there were 31 cases with expressions of IL-4 (+) and IFN-γ (–); zero case with IL-4 (–) and IFN-γ (+); 18 cases with IL-4 (+) and IFN-γ (+); and 10 cases with IL-4 (–) and IFN-γ (–). Antigen expressions were determined using rabbit polyclonal to IL-4 (IL-4, ab9622) and rabbit polyclonal to IFN-γ (IFN-γ, ab9657), Abcam. Statistical evaluations were performed using the Chi-square test and Fisher’s exact test. Any p < 0.05 was statistically significant.
RESULTS: Expression of IL-4 significantly associated with disease severity, compared to IFN-γ expression (p < 0.05). In lesions with DS, IL-4 is more frequently expressed compared with IFN-γ.
CONCLUSION: IL-4 can be a beneficial indicator of the severity of tuberculous lymphadenitis.
Single Level Lumbar Disk Herniation: Conventional Discectomy versus Interbody Fusion with Bilateral Pedicular Fixation
Authors: Abdelaziz Ahmed K. , Haleem Ehab Abdel , Ali Ahmed M. , El Falaky Omar , Haleem Helmy Abdel
Published: February 2021

OBJECTIVE: The objective of the study was to compare between the conventional discectomy and the interbody fusion with bilateral pedicular screw fixation in the management of single level lumbar disk herniation.
METHODS: This is a prospective study done on 50 patients (25 in each group) at Cairo University Hospitals in the period between October 2018 and June 2019 fulfilling the inclusion criteria. Diagnosis was made clinically with history (low back pain and sciatica),examination (motor power assessment, straight leg raising test), and radiological findings (MRI, CT and X-ray lumbar spine). The pain status (VAS) was pre and postoperatively evaluated and followed up every 3 months for 1 year.
RESULTS: The study included 50 patients (25 in each group) (mean age 40.4 years old) with slight female predominance. The most common clinical findings presented at diagnosis were low back pain followed by lower limb pain in the form of claudication and sciatica. L5-S1 disk prolapse was the most common level affected in both groups followed by L4-5 level. Regarding the clinical outcome, there was statistical significance in the VAS of low back pain at 9 months and 1-year follow-up favoring the fusion group with mean VAS 0.40 and 1.32 (p < 0.05).
CONCLUSION: Clinical outcome was excellent in both groups. However, the reduction in low back pain after surgery was greater in the fusion group (p < 0.05). The rate of recurrent disk herniation at the surgical level in the nonfusion group was higher, but intraoperative blood loss, operation time, length of hospital stay, and total cost of procedure were all less in the patients undergoing discectomy alone. Although there is still controversy regarding the pros and cons of fusion in association with disk excision without instability, fusion results were highly favorable.
Patterns of medical care utilization according to environmental factors in asthma and chronic obstructive pulmonary disease patients
Authors: Jo Eun-Jung , Choi Min-Hyeok , Kim Chang-Hoon , Won Kyung-Mi , Kim Yoo-Keun , Jeong Ju-Hee , An Hye Yeon , Hwang Mi-Kyoung , Park Hye-Kyung
Published: February 2021

Background/Aims: Weather and air pollution are associated with the exacerbation of respiratory diseases. We investigated patterns of medical care use according to meteorological factors and air pollution in patients with asthma or chronic obstructive pulmonary disease (COPD).Methods: We analyzed the medical care utilization patterns of patients with asthma or COPD registered in the Korea Health Insurance Review and Assessment database for the period 2007 to 2013. The patterns were divided into hospitalization and emergency department (ED) use.Results: The medical care use of patients with asthma or COPD increased when the mean temperature and relative humidity were lower, and the temperature difference and atmospheric pressure were greater. Medical care use increased with the concentrations of particulate matter and ozone. Among age groups, sensitivity to pollutants was greatest in patients aged ≥ 65 years. The effect of being elderly was greater for asthma than for COPD, with a higher hospitalization rate. ED utilization affected by environmental factors was significantly greater for females and hospitalization was significantly more common for males.Conclusions: Meteorological factors and air pollutants were shown to contribute to increased medical care utilization by patients with asthma and COPD, particularly elderly patients. The overall effect was greater for COPD, but the effect in elderly patients was greater for asthma. In addition, the patterns of change in medical care use due to environmental factors differed according to sex.
La communication : un apprentissage pour la personne en situation de polyhandicap
Authors: Crunelle Dominique
Published: February 2021

Tout être humain communique, mais l’accès à la communication verbale se construit dans les premières années de vie, dans une interaction permanente entre les capacités intrinsèques de l’enfant (sensorielles, motrices, cognitives…) et l’apport environnemental. Les difficultés inhérentes au polyhandicap perturbent les démarches de communication et l’accès à une communication verbale. Pour autant, la personne en situation de polyhandicap communique. Ses démarches doivent être reconnues, facilitées et renforcées pour lui permettre d’exprimer au mieux ses potentialités de communication. Faciliter la communication d’une personne polyhandicapée, c’est à la fois : 1. identifier ses capacités et ses démarches de communication : ce qu’elle comprend, ce qu’elle exprime ; 2. prendre en compte ses compétences et ses émergences et l’aider à les préciser ; 3. créer des outils qui donnent des bases de communication, pour faciliter les échanges avec tout interlocuteur ; 4. inscrire la personne polyhandicapée dans son histoire : cahier de vie ; 5. faciliter, penser et parler le quotidien : outils fonctionnels ; 6. veiller à l’accessibilité permanente des outils de communication. Nous présenterons ici un dispositif, le CHESSEP (Communication handicap complexe : évaluer, situer, s’adapter, élaborer un projet individualisé) qui réunit les démarches utiles à l’atteinte de ces objectifs.
Personne ressource pour l’éducation inclusive : des discours et des actions révélateurs d’enjeux de formation et de recherche
Authors: Leroyer Laurence , Midelet Julia
Published: February 2021

La rénovation de la Certification professionnelle des enseignants spécialisés (Cappei), en 2017, conduit désormais les candidats à présenter notamment une épreuve relative à la fonction de personne ressource pour l’éducation inclusive, fonction inscrite dans le référentiel des compétences caractéristiques des enseignants spécialisés. Dans le cadre de la préparation à cette certification et plus spécifiquement de cette nouvelle épreuve, les acteurs de la formation ont alors conçu des dispositifs de formation. Nous proposons une réflexion sur la professionnalisation des enseignants spécialisés comme personne ressource. L’analyse croisée, à une échelle académique, des supports de présentation des candidats et du discours des formateurs sur la préparation à cette épreuve, nous conduit à identifier quatre enjeux de formation.
The Physiological Effects, Including Risks and Potential Benefits, of Cannabis for Patients Undergoing Elective Orthopedic Procedures
Authors: Talley-Bruns Rachel C. , Shatkin Michael S. , Dhar Yasmin , Zelicof Steven B.
Published: February 2021

Given the evolving regulations regarding and availability of cannabis in the United States, physicians should understand the risks and benefits associated with its use. Patients are interested in learning about the use of cannabis for the management of orthopedic pain and any potential risks associated with it when undergoing elective surgery. Edible and topical cannabis products appear to have fewer side effects than inhaled cannabis products. A review of the literature was performed regarding different modes of administration and their related risks and potential benefits specifically regarding perioperative concerns for elective orthopedic procedures. Larger studies are necessary to further determine the efficacy, safety, and side effect profile of cannabis. [
Orthopedics
. 2021;44(3):e314–e319.]
Recurrent Synovial Chondromatosis of the Finger
Authors: Fajardo Marc
Published: February 2021

Synovial chondromatosis of the finger is a rare metaplasia affecting either the finger joint or the tendon sheath. It is a benign extraosseus cartilage tumor that often occurs in numbers and is not solitary in nature. This accumulation of masses within the finger can lead the patient to seek medical care. Symptoms are often painful and functionally disabling. Although rare, synovial chondromatosis must be considered in the differential diagnosis for patients with multiple lesions or masses within the hand and finger. Patient workup involves advanced imaging, including magnetic resonance imaging, ultrasonography, and computerized tomography. However, the results of these studies may be inconclusive. Conservative management can be discussed with the patient but has proven to be ineffective. Surgical excision is the recommended first-line treatment. Whether the surgery is arthroscopic or open, with or without synovectomy, is at the surgeon's discretion. Mass recurrence after surgery is an unfortunate complication, and subsequent treatment strategies are undefined. Recurrence may not occur at the same anatomical site. This condition can be intra-articular (within the figure joint) or extra-articular (within the tendon sheath or bursa). Revision surgery in the form of open excision with synovectomy is the mainstay of treatment. There have been only a few case reports of synovial chondromatosis involving the finger. This case series and up-to-date review of the literature presents a discussion of current surgical care. [
Orthopedics
. 2021;44(3):e454–e457.]
Limit cycles and global dynamic of planar cubic semi-quasi-homogeneous systems
Authors: He Zecen , Liang Haihua , Zhang Xiang
Published: February 2021

Denote by CH, CSH, CQH, and CSQH the planar cubic homogeneous, cubic semi-homogeneous, cubic quasi-homogeneous and cubic semi-quasi-homogeneous differential systems, respectively. The problems on limit cycles and global dynamics of these systems have been solved for CH, and partially for CSH. This paper studies the same problems for CQH and CSQH. We prove that CQH have no limit cycles and CSQH can have at most one limit cycle with the limit cycle realizable. Moreover, we classify all the global phase portraits of CSQH.
Existence of global weak solutions of $ p $-Navier-Stokes equations
Authors: Liu Jian-Guo , Zhang Zhaoyun
Published: February 2021

This paper investigates the global existence of weak solutions for the incompressible \begin{document}$ p $\end{document}-Navier-Stokes equations in \begin{document}$ \mathbb{R}^d $\end{document} \begin{document}$ (2\leq d\leq p) $\end{document}. The \begin{document}$ p $\end{document}-Navier-Stokes equations are obtained by adding viscosity term to the \begin{document}$ p $\end{document}-Euler equations. The diffusion added is represented by the \begin{document}$ p $\end{document}-Laplacian of velocity and the \begin{document}$ p $\end{document}-Euler equations are derived as the Euler-Lagrange equations for the action represented by the Benamou-Brenier characterization of Wasserstein-\begin{document}$ p $\end{document} distances with constraint density to be characteristic functions.