bluuebunny/crossref_metadata_2025 huggingface dataset:
Critical view of safety and Rouviere's sulcus
Authors: Elwan Ayman M
Published: October 2019

Introduction

Bile duct injury is a serious complication of cholecystectomy. To fulfill the criteria for a critical view of safety requires Calot's triangle to be cleared free of fat and fibrous tissue. Rouviere's sulcus is a 2–5-cm sulcus running to the right of the liver hilum anterior to the caudate lobe.

Aim

Our aim is to study critical view of safety and Rouviere's sulcus as extrahepatic landmarks and their benefits in avoiding common bile duct injury.

Patients and methods

From January 2015 to December 2018 (35 months), in New Damietta University Hospital, 300 patients with calculous cholecystitis undergoing laparoscopic cholecystectomy were included in this study.

Results

Rouviere's sulcus was present in 293 (97.7%) patients: open type was found in 175 (58.3%) patients, whereas closed type was found in 118 (39.3%) of patients. The sulcus was not present in seven (2.3%) of patients. A critical view of safety was inspected in all patients (100%). There was conversion to open cholecystectomy in two (0.7%) patients owing to severe adhesions which cannot be dissected laparoscopically. No mortality was recorded in the follow-up period.

Conclusion

Rouviere's sulcus and critical view of safety technique are very helpful extrahepatic landmarks to avoid common bile duct injury and perform safe laparoscopic cholecystectomy.
Educação Física no ensino médio: reflexões e desafios sobre a tematização das ginásticas
Authors: Maldonado Daniel Teixeira , Soares Daniela Bento , Schiavon Laurita Marconi
Published: October 2019

O presente artigo expõe um relato de experiência pedagógica com a Ginástica durante as aulas de Educação Física escolar. As ações didáticas foram organizadas em duas escolas públicas de Ensino Médio, localizadas na cidade de São Paulo. Iniciamos as aulas mostrando vídeos de coreografias de diferentes práticas gímnicas (Rítmica, Artística, Acrobática e Ginástica para Todos). Construímos então com os/as estudantes, adaptações dos aparelhos da Ginástica Rítmica e vivenciamos fundamentos das Ginásticas Artística e Acrobática. Depois desse processo, solicitamos aos/às alunos/as que criassem uma coreografia de Ginástica para Todos contendo elementos de todas as ginásticas desenvolvidas em aula e utilizando um tema relevante para a sociedade, que culminou por meio de um processo de construção coletiva em uma apresentação de Ginástica para Todos. Esse relato buscou alinhar as discussões acadêmicas com a realidade da escola, assim como mostrar aos(às) professores(as) de Educação Física exemplos do desenvolvimento de propostas teóricas.
Caracterização episódica sobre o tema da saúde nos currículos de formação em Educação Física em uma universidade federal pública
Authors: Oliveira Victor José Machado de , Gomes Ivan Marcelo
Published: October 2019

Investiga como se dão as caracterizações episódicas do tema da saúde nos currículos do Centro de Educação Física e Desportos da Universidade Federal do Espírito Santo. Trata-se de uma investigação qualitativa na qual se acessaram documentos curriculares e se entrevistaram sete professores dos cursos de licenciatura e bacharelado. A chave de análise dos dados é enfocada na teoria da estruturação de Anthony Giddens, sobretudo, na noção de episódio. Os dados apontam para três episódios: I) sobre a ruptura com o currículo mínimo e a presença exógena do tema da saúde; II) sobre relação ao redirecionamento para a formação de professores e a saída do Centro Biomédico; III) sobre o nascimento de um novo curso e seus paradoxos. Essa caracterização episódica nos possibilita problematizar como o tema da saúde vem sendo abordado nos currículos de formação em EF – inclusive sobre a pouca presença no curso de licenciatura e a majoritária biologização no curso de bacharelado.
Crise do capitalismo, política ultraliberal e a extinção do ministério do esporte
Authors: Frizzo Giovanni
Published: October 2019

Estamos diante de um cenário distinto das últimas décadas, pois o aprofundamento da crise do capital nos últimos quatro anos impacta no Brasil e na América Latina com força destruidora dos direitos e das soberanias nacionais de forma mais abrupta. O objetivo deste ensaio teórico é analisar os impactos das políticas ultra-liberais para o Esporte no Brasil. Especialmente no que diz respeito à diminuição do orçamento da União para políticas públicas de Esporte e, como consequência, o fim do Ministério do Esporte. Através de uma perspectiva de análise do orçamento público para políticas do Esporte e de estudos da área que se dedicaram ao tema, pretende-se inferir os principais desdobramentos para as políticas de Esporte como direito social e público.
Hitchcock and the Spy Film
Authors: Chapman James
Published: October 2019

Film historian James Chapman has mined Hitchcock's own papers to investigate fully for the first time the spy thrillers of the world's most famous filmmaker. Hitchcock made his name as director of the spy movie. He returned repeatedly to the genre from the British classics of the 1930s, including The 39 Steps and The Lady Vanishes, through wartime Hollywood films Foreign Correspondent and Saboteur to the Cold War tracts North by Northwest, Torn Curtain and his unmade film The Short Night. Chapman's close reading of these films demonstrates the development of Hitchcock's own style as well as how the spy genre as a whole responded to changing political and cultural contexts from the threat of Nazism in the 1930s and 40s to the atom spies and double agents of the post-war world.
Wendy Carlos's Switched-On Bach
Authors: Kheshti Roshanak
Published: October 2019

So much, popular and scholarly, has been written about the synthesizer, Bob Moog and his brand-name instrument, and even Wendy Carlos, the musician who made this instrument famous. No one, however, has examined the importance of spy technology, the Cold War and Carlos's gender to this critically important innovation.

Through a postcolonial lens of feminist science and technology studies, Roshanak Kheshti engages in a reading of Carlos's music within this gendered context. By focusing on Switched-On Bach (the highest selling classical music recording of all time), this book explores the significance of gender to the album's—and, as a result, the Moog synthesizer's—phenomenal success
Recent trends in climate variability at the local scale using 40 years of observations: the case of the Paris region of France
Authors: Ringard Justine , Chiriaco Marjolaine , Bastin Sophie , Habets Florence
Published: October 2019

Abstract. For several years, global warming has been unequivocal,
leading to climate change at global, regional and local scales. A good
understanding of climate characteristics and local variability is important
for adaptation and response. Indeed, the contribution of local processes and
their understanding in the context of warming are still very little studied
and poorly represented in climate models. Improving the knowledge of
surface–atmosphere feedback effects at local scales is therefore important
for future projections. Using observed data in the Paris region from 1979 to 2017,
this study characterizes the changes observed over the last 40 years
for six climatic parameters (e.g. mean, maximum and minimum air temperature
at 2 m, 2 m relative and specific humidities and precipitation) at
the annual and seasonal scales and in summer, regardless of large-scale
circulation, with an attribution of which part of the change is linked to
large-scale circulation or thermodynamic. The results show that some trends
differ from the ones observed at the regional or global scale. Indeed, in
the Paris region, the maximum temperature increases faster than does the
minimum temperature. The most significant trends are observed in spring and
in summer, with a strong increase in temperature and a very strong decrease
in relative humidity, while specific humidity and precipitation show no
significant trends. The summer trends can be explained more precisely using
large-scale circulation, especially regarding the evolution of the
precipitation and specific humidity. The analysis indicates the important
role of surface–atmosphere feedback in local variability and that this
feedback is amplified or inhibited in a context of global warming,
especially in an urban environment.
Development of a balloon-borne instrument for CO2 vertical profile observations in the troposphere
Authors: Ouchi Mai , Matsumi Yutaka , Nakayama Tomoki , Shimizu Kensaku , Sawada Takehiko , Machida Toshinobu , Matsueda Hidekazu , Sawa Yousuke , Morino Isamu , Uchino Osamu , Tanaka Tomoaki , Imasu Ryoichi
Published: October 2019

Abstract. A novel, practical observation system for measuring tropospheric carbon
dioxide (CO2) concentrations using a non-dispersive infrared analyzer
carried by a small helium-filled balloon (CO2 sonde) has been
developed for the first time. Vertical profiles of atmospheric CO2 can
be measured with a 240–400 m altitude resolution through regular onboard
calibrations using two different CO2 standard gases. The standard
deviations (1σ) of the measured mole fractions in the laboratory
experiments using a vacuum chamber at a temperature of 298 K were
approximately 0.6 ppm at 1010 hPa and 1.2 ppm at 250 hPa. Two CO2
vertical profile data obtained using the CO2 sondes, which were
launched on 31 January and 3 February 2011 at Moriya, were compared
with the chartered aircraft data on the same days and the commercial
aircraft data obtained by the Comprehensive Observation Network for TRace
gases by Airliner (COTRAIL) program on the same day (31 January) and 1 d before (2 February). The difference between the CO2 sonde data
and these four sets of in situ aircraft data (over the range of each balloon
altitude ±100 m) up to the altitude of 7 km was 0.6±1.2 ppm
(average ±1σ). In field experiments, the CO2 sonde
detected an increase in CO2 concentration in an urban area and a
decrease in a forested area near the surface. The CO2 sonde was shown
to be a useful instrument for observing and monitoring the vertical profiles
of CO2 concentration in the troposphere.
Electron pairing in mirror modes: surpassing the quasi-linear limit
Authors: Treumann Rudolf A. , Baumjohann Wolfgang
Published: October 2019

Abstract. The mirror mode evolving in collisionless magnetised high-temperature thermally anisotropic plasmas is shown to develop an interesting macro-state. Starting as a classical zero-frequency ion fluid instability it saturates quasi-linearly at very low magnetic level, while forming elongated magnetic bubbles which trap the electron component to perform an adiabatic bounce motion along the magnetic field. Further evolution of the mirror mode towards a stationary state is determined by the bouncing trapped electrons which interact with the thermal level of ion sound waves and generate attractive wake potentials which give rise to the formation of electron pairs in the lowest-energy singlet state of two combined electrons. Pairing preferentially takes place near the bounce-mirror points where the pairs become spatially locked with all their energy in the gyration. The resulting large anisotropy of pairs enters the mirror growth rate in the quasi-linearly stable mirror mode. It breaks the quasi-linear stability and causes further growth. Pressure balance is either restored by dissipation of the pairs and their anisotropy or inflow of plasma from the environment. In the first case new pairs will continuously form until equilibrium is reached. In the final state the fraction of pairs can be estimated. This process is open to experimental verification. To our knowledge it is the only process in which high-temperature plasma pairing may occur and has an important observable macroscopic effect: breaking the quasi-linear limit and, via pressure balance, generation of localised diamagnetism.
Evolution of structures and hydrothermal alteration in a Palaeoproterozoic metasupracrustal belt: Constraining paired deformation-fluid flow events in a Fe and Cu-Au prospective terrain in northern Sweden
Authors: Andersson Joel B. H. , Bauer Tobias E. , Lynch Edward P.
Published: October 2019

Abstract. In this field-based study, a ~ 90 km long Palaeoproterozoic metasupracrustal belt in the northwestern part of the Norrbotten ore province (northernmost Sweden) has been investigated in order to characterize its various structural components and thus constrain its structural evolution. In addition, hydrothermal mineral associations are described and linked to identified deformation phases. New geological mapping of five key areas (Eustiljåkk, Ekströmsberg, Tjårrojåkka, Kaitum West and Fjällåsen-Allavaara) indicates two major compressional events (D1, D2) that affected the belt whereas each deformation event can be related to specific alteration styles typical for iron oxide-apatite and iron oxide Cu-Au systems. D1 generated a regionally distributed penetrative S1 foliation and oblique reverse shear zones with southwest block up sense-of-shears in response to NE–SW crustal shortening. D1 is associated with regional scapolite ± albite alteration formed coeval with regional magnetite ± amphibole alteration and calcite under epidote-amphibolite metamorphism. During D2, folding of S1 generated steeply south-plunging F2-folds in low strain areas whereas most strain was partitioned into pre-existing shear zones resulting in reverse dip-slip reactivation of steep NNW-oriented D1 shear zones and strike-slip dominated movements along steep E–W-trending shear zones under brittle-ductile conditions. The hydrothermal alteration linked to the D2 deformation phase is more potassic in character and dominated by K-feldspar ± epidote ± quartz ± biotite ± magnetite ± sericite ± sulphides, and calcite. Our results underline the importance of paired structural-alteration approaches at the regional- to belt-scale to understand the temporal-spatial relationship between mineralized systems. Based on the mapping results and microstructural investigations, as well as a review of earlier tectonic models presented for adjacent areas, we suggest a new structural model for this part of the northern Fennoscandian Shield. Our new structural model harmonizes with earlier petrological/geochemical tectonic models of the northern Norrbotten area and emphasizes the importance of reactivation of early formed structures.
Comparação dos ementários das disciplinas de natação nos cursos de licenciatura e bacharelado em educação física no Brasil e suas consequências.
Authors: Exquibel Malvina , Matheus Pereira Suzana , Ruschel Caroline , Soares Pereira Gustavo
Published: October 2019

Comparou-se as ementas e/ou conteúdos das disciplinas de Natação/Atividades Aquáticas pertencentes às fases de adaptação e ensino dos nados dos cursos de Licenciatura e Bacharel em Educação Física de 42 universidades públicas brasileiras que oferecem os dois cursos concomitantemente, para conhecer as diferenças e similitudes entre as duas modalidades da graduação. Verificou-se que 74% das universidades apresentaram conteúdos e créditos idênticos ou similares, inferindo que uma quantidade significativa de graduados em EF nas instituições públicas no Brasil tem similares bases teóricas e subsídios curriculares necessários para intervir nos campos de trabalho da adaptação e ensino dos nados em qualquer âmbito, seja este formal ou não formal.
LEARNING ECOLOGICAL CONCEPTS BEFORE-AFTER TRACKING IN ENVIRONMENTAL TRAIL
Authors: Silva de Medeiros Paulo Ivo , Carvalho Roos Natália , Gondim D'Oliveira Rosângela , Rosa Carvalho Adriana , Da Costa Penha Jéssica Adrielly
Published: October 2019

Environmental-science education has aimed to educate about environmental aspects with theoretical and practical science-based activities involving both trails and laboratoryactivities. Here we assessed the effectiveness of using environmental trail in an Atlantic Forest fragment to improve ecological and biological concepts learning. The hypotheses tested were that there is biological and ecological concepts acquisition following the visit to the trail and that the activity increases the comprehension about the multiple functions of species and ecosystem processes. Eight groups of undergraduates and teachers from public schools (N = 161 people) participated of a three-step activity by: i) answering a questionnaire (pre-test); ii) discussing ecological subjects and observe scientific experiments while walking by trail; and iii) answering the questionnaire after the visit (post-test). Results showed significant difference between the pre-test and the post-test for all groups (p = 0.000), indicating that the use of trails increased the understanding of ecological and biological concepts. Furthermore, scores in multiple choices questions were always higher in the post-test showing that participants understood the multiple functions of ecosystem’s elements, enhancing their view and comprehension of ecosystem as a whole. The use of ecological restoration experiments seemed to be a new valuable approach to achieve these outcomes.
Dieter Grimm, Constitutionalism. Past, Present and Future, New York, Oxford University Press, 2016, 383 pp.
Authors: González Isaac de Paz
Published: October 2019

Reseña sobre la obra del profesor Dieter Grimm que explica la sistematización del constitucionalismo europeo bajo una optica actual sobre los problemas del viejo continente y en especial bajo la internacionalización de las constituciones. La obra parte desde los elementos de la constitución en el Estado moderno hasta las bases politicas y de los derechos en el siglo XXI.
Asuntos tributarios en la jurisprudencia de la Corte Interamericana de Derechos Humanos
Authors: Ramos Fuentes Gloria , Masbernat Patricio
Published: October 2019

El objetivo del presente trabajo es mostrar cómo la jurisprudencia de la Corte Interamericana de Derechos Humanos ha tratado temas sobre tributación con diversos propósitos y en distintas circunstancias. La Carta Interamericana de Derechos Humanos no aborda de modo directo los derechos del contribuyente, y solo efectúa una mención específica a asuntos fiscales en materia procesal. Pese a ello, la experiencia del Tribunal Europeo de Derechos Humanos da cuenta de la posibilidad de que un tribunal como la Corte Interamericana de Derechos Humanos pueda abordar de modo más amplio esta clase de asuntos a través del reclamo por otros derechos que incidan en asuntos tributarios. No obstante lo anterior, existen consecuencias tributarias de las decisiones de la Corte y, generalmente, se ha pronunciado en relación con dichas cuestiones. A juicio de los autores, esta clase de asuntos deberían ser abordados por la doctrina de un modo más habitual a fin de lograr un mayor desarrollo dogmático al servicio de la solución de esta clase de problemas.
The Full Outline of UnResponsiveness score is more efficient than the Glasgow Coma Scale in the prognosis of stroke
Authors: VAHDATI Samad Shams , FARHOUDI Mehdi , CICEK Mustafa , SALEHI Mohsen , JALILIAN Respina , HOJJATPANAH Hamed
Published: October 2019

Objectives: After being a solid method of measuring consciousness for decades,the Glasgow Coma Scale (GCS) was offered to bereplaced with a better option: The Full Outline of Unresponsiveness (FOUR) score, which several studies later confirmed to besuperior due to its independence from verbal response and ability to consider brain stem reflexes. In this study, we decided to comparethe two scales in the prognosis of stroke, which has never been conducted before.Patients and Methods: We conducted both methods on 150 stroke patients during admission to the emergency service and assessedthem during a 3-month follow-up after discharge.Results: The type of stroke was 80% ischemic and 20% hemorrhagic. 55.3% survived after a 3-month follow-up. The FOUR score hada significant converse relation with hospitalization, a relation with the GCS lacked. The FOUR score also had a stronger correlationwith the outcome of stroke than the GCS. Additionally, the receiver operating characteristic (ROC) curve showed greater sensitivityand specificity in the FOUR score in the prognoses of stroke patients.Conclusion: We recommend using the FOUR score as the first priority.
Diagnostic accuracy of noncompacted-to-compacted wall ratio criteria on CMRI for the diagnosis of left ventricular noncompaction
Authors: ALIS Deniz , SAHIN Ahmet Anil , GULER Arda , ASMAKUTLU Ozan
Published: October 2019

Objectives: To investigate the diagnostic accuracy of the current criterion, noncompacted-to-compacted (NC/C) wall ratio > 2.3 oncardiac magnetic resonance imaging (CMRI) for the diagnosis of left ventricular noncompaction (LVNC).Materials and Methods: We retrospectively enrolled 37 patients as an LVNC group and a total of 97 participants with ischemic,hypertrophic, and dilated cardiomyopathy and healthy controls as a control group. The NC/C ratio was measured perpendicularlyon short-axis cine images for segments 1-16 and four-chamber cine images for the apex during the end-diastole. The sensitivity,specificity, and diagnostic accuracy of NC/C ratio > 2.3 for the diagnosis of LVNC were calculated.Results: LVNC patients comprised 24 males (64.8%) and 13 females (35.2%) with the mean age of 29.24 ± 11.79 years. The NC/C ratio> 2.3 detected in all but one of the LVNC patients (97.3%). On the other hand, the specificity of NC/C ratio > 2.3 was 79.4% for thediagnosis of the LVNC patients. Using NC/C ratio > 2.66 and > 2.8 yielded 91.9% sensitivity and 97% specificity, and 81% sensitivityand 100% specificity, respectively.Conclusion: NC/C ratio > 2.3 might lead to overdiagnosis of LVNC. We suggest using higher NC/C cut-off value in individualswithout high clinical suspicion of LVNC.
Zeolite as a Bone Bio-Modifier Carrier: An In-Vitro Study
Authors: Mousavi Mobina , Nejad Azadeh Esmaeil , Shamsoddin Erfan , Golabgiran Mohammad Mehdi , Houshmand Behzad
Published: October 2019

Background: Zeolite is a microporous aluminosilicate compound which has been successfully used in tissue engineering. The effects of Zeolite on the morphology and functions of pre-osteoblastic MG-63 cells as new bone enhancer material is still unclear.

Methods: In this vitro experimental study, MTT and Alizarin red staining test were performed on six groups of MG-63 cells which differed in Zeolite (Z) concentration and the presence or absence of Alloplast extract (A). Group A: 0.1μg/mL Z+A, Group B: 0.1μg/mL Z without A, Group C: 0.2μg/mL Z+A, Group D: 0.2μg/mL Z without A, Group E: 0.3μg/mL Z+A, Group F: 0.3μg/mL Z without A. There were also three control groups as positive control, negative control, and Alloplast control based on each related test. The data were analyzed by SPSS 20 via one-way ANOVA and Welch test. (P<0.05).

Results: At 24 hours, results showed that solutions with 0.1μg/mL, 0.2μg/mL, and 0.3μg/mL Zeolite with or without Alloplast had significantly higher proliferation rates than positive control (distilled water) groups without Alloplast (p<0.001). At 72hours time point, the results showed significantly higher proliferation rates in the solutions with 0.1μg/mL, 0.2μg/mL, and 0.3μg/mL Zeolite with or without Alloplast compared to the positive control group without Alloplast (p<0.001).

Conclusions: Zeolite can increase proliferation of MG-63 cells without presence of Alloplast; It seems that combination of Zeolite with Alloplast maybe enhancing proliferation and function of MG-63 cells.
2019/26 List of discrimination criteria (PL)
Authors: Wujczyk Marcin
Published: October 2019

2019/30 List of discrimination criteria (PL)

The Polish Supreme Court has held that a criterion of discrimination may also be a relationship of a social or familial nature that exists in the workplace and whose existence or absence on the part of the employee results in different treatment by the employer.
2019/27 No additional public holiday pay for working on Good Friday – Discrimination based on religion? (AT)
Authors: Eichmeyer Jana , Andréewitch Karolin
Published: October 2019

2019/27 No additional public holiday pay for working on Good Friday – Discrimination based on religion? (AT)

Under a former Austrian law effective until February 2019, Good Friday was a public holiday only for a minority belonging to certain Christian Evangelical churches. In the case at hand, Austrian courts had to assess if this regulation and its legal consequences were valid under European Union law, or if they constituted discrimination.
2019/36 Are professional foster parents excluded from the right to request payment in lieu of untaken annual leave? (RO)
Authors: Suciu Andreea , Ion Gabriela
Published: October 2019

2019/36 Are professional foster parents excluded from the right to request payment in lieu of untaken annual leave? (RO)

The decision pronounced by the first instance court related to the right of professional foster parents to request payment in lieu of untaken annual leave based on ECJ case law has been overruled by the Court of Appeal by making reference to a different ECJ ruling.
Propriedade intelectual e políticas públicas: uma abordagem da implementação dos instrumentos de estímulo criativo e desenvolvimento socioeconômico no Brasil
Authors: Lima Joyce Melo Carvalho de , Assis Ana Elisa Spaolonzi Queiroz , Filho Elias Kallás
Published: October 2019

A propriedade intelectual é elemento relevante para o desenvolvimento socioeconômico, sendo essencial que haja mecanismos eficientes que permitam o desenvolvimento criativo. Surgem, assim, a gestão de políticas públicas e as leis de proteção à propriedade intelectual, visando o crescimento socioeconômico do país. Entretanto, evidencia-se no Brasil, há mais de dez anos, certa deficiência na implementação destas políticas. Este estudo visa identificar os impasses na implementação de políticas públicas de propriedade intelectual no Brasil e seus reflexos socioeconômicos. Para tanto, adota-se o método qualitativo, realizando uma pesquisa bibliográfica exploratória, pela qual se apresenta os principais mecanismos de proteção e fomento à atividade inventiva no Brasil e o ciclo de políticas públicas - em que se enfatiza a fase de implementação com fulcro no modelo proposto por Mazmanian e Sabatier - permitindo verificar que os processos políticos-administrativos de fomento à produção intelectual têm obstado a implementação de políticas públicas, lesando o desenvolvimento criativo e socioeconômico, bem como gerando prejuízos latentes a diversos setores correlatos, ratificando a necessidade de aprimorar o cumprimento das condições adotadas, visando efetivar a implementação destas políticas, a fim de alavancar o desenvolvimento criativo e socioeconômico do país.
Ponderações entre o capitalismo humanista e a lógica de mercado globalizado: A fraternidade como agente econômico
Authors: Silva Isis Almeida , Benacchio Marcelo
Published: October 2019

O presente artigo tem como objetivo ponderar sobre os reflexos socioeconômicos da globalização e da atual lógica de mercado sob a perspectiva do que vem sendo defendido pela teoria do capitalismo humanista. Utilizando o método dedutivo para analisar doutrinas, notícias e seus reflexos no atual contexto social ao qual se insere a globalização, passaremos a fazer um breve histórico evolutivo da globalização no Brasil para, em seguida, verificar como a mesma tem se apresentado no mundo. Ao final, analisaremos a lógica de mercado isoladamente e apontaremos um possível elo difundido pela teoria do capitalismo humanista como possível agente transformador dessa lógica, sob os marcos teóricos de Sayeg, Balera e a conexão entre o desenvolvimento integral explicado por Machado bem como Amartya Sen com o estudo do direito ao desenvolvimento.
Characteristics of swallowing disorders in patients with dysphonia
Authors: Krasnodębska Paulina , Szkiełkowska Agata , Jarzyńska-Bućko Agnieszka , Włodarczyk Elżbieta , Miaśkiewicz Beata
Published: October 2019

Introduction
Coexistence of dysphagia with voice disorders is a topic rarely raised in the literature. Particular attention is paid to the aspect of muscle dysfunction of the throat and larynx.
Aim
The aim of the study was to analyze the cases of patients with dysphonia in terms of coexistence of swallowing dysfunction.
Material and method
The material of the study included 515 patients hospitalized due to dysphonia in 2018. Patients whose interview indicated swallowing problems were subjected to additional diagnosis for dysphagia (FEES, extended speech therapist examination, SEMG).
Results
11.8% of people requiring treatment for voice disorders reported coexistence of swallowing problems. Dysphagia was diagnosed in 9.3%. The percentage of people diagnosed with swallowing dysfunction differed depending on the type of underlying disease and was the highest in the group with neurological disorders. Analysis of the correlation between the severity of dysphagia (according to the assessed grade, DHI, EAT-10 results) and the severity of the VHI showed a weak correlation between VHI and EAT-10 (p = 0.1), statistically significant correlations (p<0,05) between the value of VHI and RSI in people with diagnosed neurological disease, between the value of VHI and DHI in people with hyperfunctional dysphonia and the value of VHI and BMI and EAT- 10 in people with chronic laryngitis. Moreover, statistically significant correlations were found between the severity of dysphagia and EAT-10 and DHI (p <0.05). Speech therapist examination indicated the co-existing problem of non-normative swallowing pattern. The electromyographic study showed the largest asymmetries in recording the average and maximum amplitude from masseters.
Conclusions
Treatment of patients with voice disorders requires interdisciplinary care. A history of dysphagia in these patients should complement the medical history of voice disorders. The characteristics of swallowing disorders vary depending on the cause of the voice disorder and their co-occurrence affects on average 9.3% of patients. In cases of suspected dysphagia, it is necessary to order an accurate speech therapist examination and then to include diagnostic tests to determine further therapy.
Chirurgia robotowa (system da Vinci Xi) w nowotworach złośliwych głowy i szyi – doświadczenia własne
Authors: Majchrzak Ewa , Pieńkowski Piotr , Golusiński Wojciech
Published: October 2019

Wprowadzenie: Chorzy przed 50. rokiem życia z rakiem gardła środkowego HPV dodatnim rokują znacznie lepiej w kontekście przeżycia niż chorzy HPV negatywni. Następstwa leczenia onkologicznego wpływają bezpośrednio na fizjologiczną funkcję narządów górnego odcinka drogi oddechowo-pokarmowej i jakość życia tych osób. Z tego powodu tak istotny jest wybór odpowiedniej terapii.
Chirurgia minimalnie inwazyjna zapewnia radykalność leczenia onkologicznego z równoczesnym zachowaniem jakości życia. Główną metodą leczenia chirurgicznego jest dojście przezustne z wykorzystaniem TLM, metod elektrochirurgicznych oraz TORS. Radiochemioterapia jako leczenie pierwotne w pierwszym i drugim stopniu zaawansowania klinicznego jest równie skuteczna. Jednakże późne powikłania w postaci zaburzeń połykania, oddychania, smaku i węchu powodują, że w ostatnich latach nastąpił zwrot w kierunku chirurgii minimalnie inwazyjnej, szczególnie przezustnej chirurgii robotowej, która od ponad 20 lat jest szeroko stosowana w chirurgii głowy i szyi w: Stanach Zjednoczonych Ameryki Pn., Azji i krajach Europy Zachodniej. Polska po wielu latach dołączyła do grona krajów, w których wykonuje się zabiegi w obrębie głowy i szyi przy użyciu chirurgii robotowej da Vinci.
Cel: Celem pracy jest przedstawienie doświadczeń własnych w pracy z TORS w Klinice Chirurgii Głowy, Szyi i Onkologii Laryngologicznej Uniwersytetu Medycznego w Poznaniu oraz analiza najnowszych doniesień literaturowych dotyczących wykorzystania TORS w leczeniu raka płaskonabłonkowego części ustnej gardła.
Factors determining best surgical exposure and safe clip positioning in anterior communicating artery (AComA) aneurysms surgery – particular significance of AComA complex rotation in axial plane
Authors: Świątnicki Wojciech , Radomiak-Załuska Anna , Heleniak Mariusz , Komuński Piotr
Published: October 2019

Introduction. The aim of this study was to evaluate whether Anterior Communicating Artery (AComA) complex rotation in axial plane may influence the ease of surgical exploration in this region and safety of clip positioning when left vs right-sided approach is compared.

Materials and methods. This is a retrospective study based on analysis of patients operated due to AComA aneurysm, both ruptured and unruptured. AComA complex position in relation to coronal plane was evaluated using 3D-CTA VR reconstructions. Next, comparison between surgical approach from the side where A1-A2 junction (angle) was located anterior and posterior to coronal plane was performed in relation to surgical difficulties and intra- and postoperative complications.

Results. Subgroup statistical analysis revealed that there is a strong and statistically significant correlation between AComA complex rotation and surgical difficulties expressed by the need of repeated temporary clip application and brain transgression. When anterior vs posterior angle side approach was compared in relation to surgical difficulties and complications, there was a statistically significant difference with strong correlation (p <0,05) in favour of posterior angle side approach. Interestingly, in 72,7% and 45,5% of patients that were operated from the side where A1-A2 junction was located posterior to coronal plane, the approach was performed form the side of a non-dominant A1 and aneurysm dome projection side, respectively.

Conclusions. Despite its limitations, our results suggest that microsurgical clipping strategy of AComA aneurysms should at least include AComA complex rotation in axial plane, besides well acknowledged factors, when deciding from which side these lesions will be approached.
Ileal pouch anal anastomosis leak after restorative proctocolectomy without protective stoma successfully treated with endoscopic vacuum therapy
Authors: Borejsza-Wysocki Maciej , Bobkiewicz Adam , Kościński Tomasz , Banasiewicz Tomasz , Krokowicz Łukasz
Published: October 2019

Aim
An ileal pouch anal anastomosis (IPAA) leak is one of the most severe complication after restorative proctocoletomy (RPC). We present a rare case of a successful management of IPAA leak after RPC without defunctionig stoma with the utility of endoscopic vacuum therapy.
Methods
A 57-year-old male with a ileal pouch anal anastomosis leak after RPC due to ulcerative colitis with presacral abscess was qualified for endoscopic vacuum therapy (EVT). The abscess of the left buttock was drained and secured with suction drain (redon drain). Due to the lack of defunctioning stoma, a system for contain and divert fecal matter was placed within afferent limb of the J-pouch and EVT was placed directly within IPAA dehiscence. EVT was changed every third day.
Results
The patient underwent a total of five EVT sessions. Improvement of patient’s general condition characterized with lack of pelvic pain, fever and reduction of inflammatory markers was achieved. Locally, anastomosis dehiscence was healed with prominent reduction in the defect’s dimension, contraction and revascularization. Based on imaging studies no chronic presacral sinus or any other perianal disturbances were revealed at the time of five months follow up.
Conclusions
EVT is a promising method for management of IPAA leak. Although, it remains extremely difficult, EVT may serve as a method of choice in early pouch-related septic complications after RPC performed without defunctioning stoma
TRIBOLOGICAL PROPERTIES OF Ti-6Al-7Nb ALLOY AFTER
ISOTHERMAL OXIDATION
Authors: ANIOŁEK Krzysztof , BARYLSKI Adrian , OSIOR Denis
Published: October 2019

The paper presents the characterization of tribological properties of the Ti-6Al-7Nb alloy before and after
isothermal oxidation in different friction couples. Microscopic observations have shown that uniform oxide
layers were obtained, which evenly covered the entire surface of the investigated samples. It was found that
oxide layers deposited on the Ti-6Al-7Nb alloy substrate contribute to a considerable improvement of the
tribological properties. The best resistance to sliding wear was shown by the layer obtained at a temperature
of 600°C. It was also shown that presence of oxide layers on the surface of the Ti-6Al-7Nb alloy leads
to an increase in the friction coefficient. The highest increase in the value of the friction coefficient was
observed for a surface oxidized at 650°C during interaction with an Al2O3 ball. SEM observations of traces
of the tribological interaction showed the presence of numerous scratches and fine wear products on the
friction surface. For the non-oxidized condition, after interaction with a ball made of bearing steel 100Cr6, the
presence was found of alternating, morphologically varied areas which had formed as a result of corrugation
wear. Tests have shown that isothermal oxidation eliminates this disadvantageous phenomenon.
TRIBOLOGICAL TESTS OF THE CERAMIC CUTTING TOOLS
AFTER YTTRIUM (Y+) AND RHENIUM (Re+) ION IMPLANTATION
Authors: MOROZOW Dmitrij , RUCKI Mirosław , SIEMIĄTKOWSKI Zbigniew , GUTSALENKO Yuriy
Published: October 2019

The paper presents the results of investigations on the tribological properties of cutting tools after ion
implantation. The research focused on the inserts made out of nitride ceramics IS9 (Si3N4 with additives) and
combined ceramics IN22 (Al2O3 + TiCN) available on the market. The inserts rake surfaces were covered
with yttrium and rhenium coatings by means of ion implantation with different dozes. Both unimplanted and
coated surfaces underwent tribological tests of the block-on ring type. The experiments demonstrated that, in
general, ion implantation with rhenium (Re+) and yttrium (Y+) provided a decrease in surface friction forces.
In the case of IN22 ceramics, both rhenium and yttrium ions improved wear resistance of cutting inserts. On
the other hand, Re+ implantation provided the best wear resistance of the IS9 ceramics.
ASSESSMENT OF TRIBOLOGICAL PROPERTIES OF Ti13Nb13Zr
TITANIUM ALLOY USED IN MEDICINE
Authors: PIOTROWSKA Katarzyna , MADEJ Monika , OZIMINA Dariusz
Published: October 2019

The aim of this study was to evaluate the wear and tear of titanium biomaterials used for hip endoprosthesis.
The test materials were samples of titanium and its alloys: Ti grade 4, Ti6Al7Nb and Ti13Nb13Zr. Model
tribological tests were carried out in reciprocal motion under conditions of technically dry friction, friction
with lubrication provided by an artificial blood solution and Ringer's solution. A 6 mm in diameter Al2O3 ball
was used as a counter-sample in the friction pairs. After tribological tests, traces of wear were inspected using
scanning electron microscopy. A confocal microscope with interferometric mode was used to evaluate the
wear of the surface of samples and counter-samples. The lowest friction coefficients among all the material
associations were obtained for the Ti13Nb13Zr-Al2O3 alloy. SEM analysis has shown that as a result of the
wear process, numerous scratches and grooves were generated. They were created as a result of loose products
of wear moving around in the friction area. For all tested materials, a pile-up of the wear edges was observed,
which indicates an abrasive wear mechanism. During the friction tests of the tested material associations, the
titanium disc proved to be the most wearing material. For Ti6Al7Nb and Ti13Nb13Zr alloys, comparable
wear was recorded regardless of the test conditions (TDF, AB, RS). The analysis of the obtained tribological
results showed that the material association for which the lowest wear of friction pair (sample and countersample)
recorded was Ti6Al7Nb-Al2O3.
An Intelligent Clinical Decision Support System for Assessing the Needs of a Long-Term Care Plan
Authors: Kai Yuet Siu Paul , Tang Valerie , Lun Choy King , Yan Lam Hoi , To Sum Ho George
Published: October 2019

With the global aging population, providing effective long-term care has been promoted and emphasized for reducing the hospitalizations of the elderly and the care burden to hospitals and governments. Under the scheme of Long-term Care Project 2.0 (LTCP 2.0), initiated in Taiwan, two types of long-term care services, i.e., institutional care and home care, are provided for the elderly with chronic diseases and disabilities, according to their personality, living environment and health situation. Due to the increasing emphasis on the quality of life in recent years, the elderly expect long-term care service providers (LCSP) to provide the best quality of care (QoC). Such healthcare must be safe, effective, timely, efficiently, diversified and up-to-date. Instead of supporting basic activities in daily living, LCSPs have changed their goals to formulate elderly-centered care plans in an accurate, time-efficient and cost-effective manner. In order to ensure the quality of the care services, an intelligent clinical decision support system (ICDSS) is proposed for care managers to improve their efficiency and effectiveness in assessing the long-term care needs of the elderly. In the ICDSS, artificial intelligence (AI) techniques are adopted to distinguish and formulate personalized long-term care plans by retrieving relevant knowledge from past similar records.
Three new species and two new records of the genus Cotesia Cameron (Hymenoptera: Braconidae) from Iran
Authors: Zargar Mohammad , Gupta Ankita , Talebi Ali Asghar , Farahani Samira
Published: October 2019

The present study is based on the genus Cotesia Cameron,1891 collected from Khuzestan Province in the Southwestern part of Iran during 2016–2017. Nine species (+200 specimens) of the genus Cotesia were collected and identified. We recognised three new species, which we describe and illustrate here: Cotesia elongata Zargar & Gupta sp. nov., C. khuzestanesis Zargar & Gupta sp. nov. and C. zagrosensis Zargar & Gupta sp. nov. Two species are recorded for the first time from Iran: Cotesia cynthiae (Nixon, 1974) and C. glabrata (Telenga, 1955). A faunistic list with species distribution in Iran, a modified key to include the new species and brief diagnoses for the new records from Iran are provided.
Corpo e expressividade como marcas constitutivas da diferença ou do ethos surdo
Authors: Pagni Pedro Angelo , Martins Vanessa Regina de Oliveira
Published: October 2019

O artigo objetiva apresentar a experiência de vida surda como acontecimento ético e estético. O ethos surdo se constitui pelas diferenças e é efeito das marcas de uma expressividade que se estende aos corpos. Os estudos numa perspectiva cultural da surdez, da qual somos parceiros, agenciam-na por seus marcadores linguísticos e culturais. Nossa mirada abrange as particularidades linguísticas, de uma língua de modalidade gesto-visual, mas amplia a perspectiva ao dar ênfase aos restos-acontecimentos que são efeitos das sensações surdas, das performances corporais, dos gestos e da expressividade do pensamento surdo que se produz nesse acontecimento único que funda a experiência do ser surdo. Para tais argumentações pautamo-nos da perspectiva ontológica, de uma ontologia da deficiência como espaço da falta, de uma plasticidade destrutiva, que constitui os corpos surdos e os fazem singulares pelo acidente. São de experiências únicas de corpos produzidos nesta expressividade enigmática e única que traçamos nossas problematizações de modo a afirmar a surdez em sua potencialidade afirmativa de um acontecimento singular que se materializa em corpos vivos, em línguas/corpos.
Associação de Surdos de São Paulo e a defesa pelos direitos linguísticos dos surdos
Authors: Frazão Natalia Francisca , Lodi Ana Claudia Balieiro
Published: October 2019

Este artigo tem como objetivo apresentar o processo histórico das ações coletivas dos surdos da Associação de Surdos de São Paulo (ASSP) com vistas ao reconhecimento dos direitos linguísticos dos surdos brasileiros em todas as esferas de atividade humana. Para a construção desta pesquisa documental, foram utilizadas as seguintes fontes: documentos institucionais, artigos científicos, dissertações de mestrado, teses de doutorado e vídeos sobre ações coletivas de surdos. Observou-se que, desde sua fundação, a ASSP em interação contínua com outros atores sociais, contribuiu, de forma significativa, para a luta pelo reconhecimento linguístico dos surdos: propiciou o fortalecimento de uma identidade coletiva e a formação política de muitos surdos; apoiou outras ações coletivas, como a criação de novas associações de surdos e a fundação da Confederação Brasileira de Desportos de Surdos e da Federação Nacional de Educação e Integração dos Surdos; bem como participou, como uma das protagonistas, dos movimentos surdos em prol do reconhecimento da língua brasileira de sinais e da defesa pela educação bilíngue para surdos.
Materiais do Ministério de Educação do Brasil: das concepções de linguagem às políticas linguísticas para o ensino de surdos
Authors: Bentes José Anchieta de Oliveira , Bentes Rita De Nazareth Souza
Published: October 2019

Neste artigo, analisa-se a política linguística do governo federal por meio dos materiais didático-pedagógicos direcionados à formação de professores do ensino de língua para surdos. A questão problema é: qual concepção de ensino de língua predomina como política oficial nesses materiais? O objetivo é descrever, contextualizar e analisar a política linguística proposta nesses materiais, indicando as mudanças que ocorreram, conforme os discursos constitutivos. Trata-se de uma pesquisa centrada na perspectiva dialógica da linguagem de Bakhtin e do Círculo, em especial, na concepção de linguagem de Bakhtin (2016) e Volóchinov (2017), no que tange a discussão de política linguística de formação dos professores da educação de surdos entre 1979 e 2010. Os resultados indicam que a primeira política linguística a concepção de língua na educação especial, adotada, entre 1979 e 1995, é baseada na reabilitação da fala e da escrita; a segunda, entre 1997 e 2002, é baseada na gramática de Língua Portuguesa e da Língua Brasileira de Sinais-Libras por meio de sinais, frases e diálogos em contextos; a terceira, entre 2003 e 2010, é baseada na leitura e produção de textos em Língua Portuguesa como L2, tendo a Libras como L1; a Língua Portuguesa escrita e a Língua de Sinais estão correlacionadas no espaço de Atendimento Educacional Especializado (AEE), como política de inclusão nas redes públicas de ensino.
Panorama global da distribuição e uso de água doce
Authors: Silva Jefferson Fernandes do Amaral , Pereira Roberto Guimarães
Published: October 2019

Esta pesquisa refere-se a um estudo sobre o panorama global da distribuição e uso de água doce. A água é vital para os seres humanos. Projeções sobre o futuro indicam que o atual cenário de escassez de recursos hídricos pode se agravar e provocar consequências dramáticas para a própria sobrevivência da humanidade. Esta pesquisa refere-se a um estudo sobre o panorama global da distribuição e uso de água doce. Foram analisados os principais documentos publicados pela Organização das Nações Unidas e realizada revisão bibliográfica para identificar a localização e o volume das principais fontes renováveis de água doce no mundo, além de identificar quais atividades são responsáveis pela retirada e consumo de água doce. As atividades desenvolvidas em prol da agricultura, a indústria e a municipalidade são as que mais retiram e consomem água. Há ainda atividades como a produção de energia e os serviços prestados pelos ecossistemas que utilizam água, mas que em geral ou são computados pela indústria, no caso específico de produção e distribuição de energia, ou reciclam a própria água, como é o no caso dos ecossistemas. Existe outro fator de preocupação e que tem influenciado a distribuição das fontes renováveis de água doce no planeta que são as mudanças climáticas, que exercem grande influência no ciclo hidrológico ao não assegurar que as tendências hidrológicas passadas sejam referências para prever a disponibilidade futura de água. Os resultados apontam para a urgente necessidade de adotar ações sustentáveis no uso da água e a busca urgente e contínua de soluções para tornar seu uso eficiente com tecnologias que reduzam o seu consumo e consequentemente da retirada de água.