bluuebunny/crossref_metadata_2025 huggingface dataset:
Removal of lead(II) ions by an adsorption process with the use of an advanced SiO2/lignin biosorbent
Authors: Klapiszewski Łukasz , Bartczak Przemysław , Szatkowski Tomasz , Jesionowski Teofil
Published: February 2017

We demonstrate here that lignin can be successfully combined with silica to create a multifunctional material with considerable sorption capabilities. Experiments were carried out in which a silica/lignin hybrid was used for the removal of lead(II) ions from water solutions. Adsorption kinetics were also determined and preliminary regeneration tests were performed. The effectiveness of the adsorption process depends on the following parameters: contact time of adsorbent and adsorbate (equilibrium times: 5 min for concentration 25 mg/L, 10 min for 50 and 75 mg/L, 60 min for 100 mg/L), pH (optimal pH = 5) and adsorbent mass. The kinetics of the adsorption of lead(II) ions on the SiO2/lignin biosorbent are best described by a pseudo-second-order model. Adsorption isotherms of lead(II) ions were also determined. The experimental data were found to be in agreement with the Langmuir model, and the maximal sorption capacity of the adsorbent with respect to lead(II) was 89.02 mg/g.
Figurative Language Processing: Irony. Introduction to the Issue
Authors: Bokus Barbara , Kałowski Piotr
Published: February 2017

Processing of figurative (nonliteral) language is the focus of this special issue of Psychology of Language and Communication. The main theme is irony, which has been called “the ethos of our times” (Wampole, 2012). The texts presented here consider irony from many different angles, thus expanding the psycholinguistic perspective to include problems of key importance for understanding the phenomenon. All of these texts open up new questions on irony comprehension and production. The next special issue (to be published in 2017) will discuss research on a different type of nonliteral language: metaphors.
The “ASEAN Way”. A decolonial path beyond “Asian values”?
Authors: Visone Tommaso
Published: February 2017

The difference between ASEAN and EU in the political and economic realm has an interesting parallel in the system of values and “rights” that are sustained by the two organisations. In effect if we look to ASEAN Human Rights Declaration (2012) or general political principles adopted inside ASEAN we will find several value-oriented peculiarities that distinguish it from EU political and juridical fundamental principles. At the same time such a system of values does not fit with the “Asian Values approach”. Thus the ASEAN Sonderweg results as an original hybrid of western and local values that goes beyond the “Orientalist” mask of Asia, defining an identity that assumes a singular inclination that could be defined as a difficult and problematic effort towards a “decolonial” option.
Teaching the pronunciation of sentence final and word boundary stops to French learners of English: distracted imitation versus audio-visual explanations
Authors: Amand Maelle , Touhami Zakaria
Published: February 2017

Studies on stop unrelease in second language acquisition have hitherto focused on the productions of Slavic learners of English (Šimačkova & Podlipsky, 2015) and experiments on Polish learners of English; the latter show the tendency to release stops on a more regular basis depending on the type of stop combinations (Rojczyk et al. 2013). In the present study, we aim to test the efficiency of audio-visual explanations as opposed to distracted imitation in pronunciation teaching amongst French learners of English. While unreleased stops are rather frequent in French and English - especially in plosives clusters (Byrd, 1993; Davidson, 2010), unreleased plosives in final positions are less common in French (Van Dommelen, 1983). During phase 1 of the experiment, three groups of 12 native French learners of English (level A1/A2, B1/B2 and C1/C2) were asked to read idiomatic expressions containing both homogeneous and heterogeneous sequences of voiceless stops straddled between words, namely, in sequences like “that cat” [dat˺ kat˺], and stops at the end of sentences like “I told him to speak” [tə spiːk˺]. In the second phase of the experiment, one half in each group was given a different task. The first group heard recorded versions of phase 1 sentences and before reading them out loud, counted up to five in their L1. Stimuli for imitation contained no release in the contexts under scrutiny. The other half had to watch a video explaining the phenomenon of unreleased stops with a production of phase-two expressions propped up by hand gestures. They were then asked to re-read the sentences given in phase 1. Based on these results the current study makes recommendations about what working environment should be prioritized in pronunciation teaching both in class and online (Kroger et al. 2010), and suggests ways to assess students and visually keep track of their progress.
Typing after syntax. An argument from quotation and ellipsis
Authors: Wiślicki Jan
Published: February 2017

The paper, assuming the general framework of Chomsky’s (2013a, 2015b) current version of the Minimalist syntax, investigates the syntax of quotation in light of ellipsis. I show that certain unexpected effects arising for quotational ellipsis are problematic for the standard feature valuation system and, especially, for the theory of phases. I discuss some effects of two possible interpretations of such ellipsis, as well as a constraint following from deviant antecedents, to show that the standard view on the internal syntax of quotational expressions should be reconsidered. The paper offers a new view on feature valuation, as well as the connection between the Narrow Syntax and the C-I interface, defined in terms of recursive typing taking place at the interface.
Plimpton 322: A Universal Cuneiform Table for Old Babylonian Mathematicians, Builders, Surveyors and Teachers
Authors: Hajossy Rudolf
Published: February 2017

This article deals with the damaged and incomplete Old Babylonian tabletPlimpton 322which contains 4 columns and 15 rows of a cuneiform mathematical text. It has been shown that the presumed original table with its 7 columns and 39 rows represented: a table of square roots of numbers from 0 to 2 for mathematicians; an earliest rudiments of a trigonometric table for builders and surveyors where angles are not measured as an arc in a unit circle but as a side of a unit right-angled triangle; a list of the 39 exercises on reciprocal pairs, unit and integer-side right triangles (rectangles), factorization and square numbers for teachers.

The article provides new arguments in favor of old disputes (squares of diagonals or widths; mistakes in previous analysis of errors inP322). Contradictory ideas aboutP322are discussed: Is it the table of triangle sides or factorization terms? Was it compiled by a parallel or independent factorization of the sides or of their squares? Are sides of an initial unit triangle enlarged or reduced by such a factorization? Does it contain two or four arithmetical errors?

Time and dimensional requirements for calculation and writing of the complete tablet have been also estimated.
Development Potentials and Strategic Objectives of Intelligent Transport Systems Improving Road Safety
Authors: Pauer Gábor
Published: February 2017

Reducing the number of road accident victims is a declared purpose of the European Union. Intelligent Transport Systems (ITS) are able to contribute to this by warning and supporting the drivers, therefore improving road safety. The aim of our research was to analyze the safety aspects of ITS systems, structuring the solutions, analyzing and exploring the opportunities for development. Strategic objectives have been evaluated and relevant processes for achieving them have been summarized. The research efficiently contributes to the utilization of development potentials of ITS systems.
Road Traffic Congestion Management Based on a Search-Allocation Approach
Authors: Raiyn Jamal
Published: February 2017

This paper introduces a new scheme for road traffic management in smart cities, aimed at reducing road traffic congestion. The scheme is based on a combination of searching, updating, and allocation techniques (SUA). An SUA approach is proposed to reduce the processing time for forecasting the conditions of all road sections in real-time, which is typically considerable and complex. It searches for the shortest route based on historical observations, then computes travel time forecasts based on vehicular location in real-time. Using updated information, which includes travel time forecasts and accident forecasts, the vehicle is allocated the appropriate section. The novelty of the SUA scheme lies in its updating of vehicles in every time to reduce traffic congestion. Furthermore, the SUA approach supports autonomy and management by self-regulation, which recommends its use in smart cities that support internet of things (IoT) technologies.
Car Ownership Models in Iran: A Review of Methods and Determinants
Authors: Shaygan Maryam , Mamdoohi Amirreza , Masoumi Houshmand E.
Published: February 2017

The achievement of sustainable transportation and the desire to reduce car ownership are important aspects of urban planning, especially in developing countries. This paper presents an overview of researches and studies conducted on car ownership to find the knowledge gap and neglected modelling methods that should be employed in the further researches in Iran as one of the Middle East countries. It is found that car ownership models have under gone modification and improvement from regression models towards discrete choice models, although more improvement is necessary and underway. Lack of reliable aggregate and disaggregate data regarding public transport, land use, behavioural and socioeconomic variables particularly for small cities is prominent. To fill the gap, more descriptive and analytical researches and more complex modelling methods and variables need be delved.
Evaluation of Stock Management Strategies Reliability at Dependent Demand
Authors: Lukinskiy Valery , Lukinskiy Vladislav
Published: February 2017

For efficiently increasing the logistic systems, the core specialists’ attention has to be directed to reducing costs and increasing supply chains reliability. A decent attention to costs reduction has already been paid, so it can be stated that in this way there is a significant progress. But the problem of reliability evaluation is still insufficiently explored, particularly, in such an important sphere as inventory management at the dependent demand.

In the article there is a suggested methodical approach that allows calculating the safety stock quantity at the dependent demand in view of supply chains reliability requirements; the variants for different inventory management strategies at the dependent demand are examined; optimal strategy choice algorithm and results of total costs calculation in view of the reliability are given.
3-oji tarptautinė mokslinė konferencija „Švietimo politika ir kultūra: nuoseklios ir radikalios transformacijos“
Authors: Garbauskaitė-Jakimovska Justina
Published: February 2017

...
ANDRÉ MALRAUX, THÉORICIEN DE L’ART
Authors: Laurent Thierry
Published: February 2017

Les livres sur l’art d’A. Malraux, longtemps dédaignés ou jugés peu sérieux, révèlent pourtant une pensée originale qui propose une réflexion philosophique sur le sens de la création artistique et vise à faire dialoguer des oeuvres extrêmement hétérogènes. L’écrivain, dans un style flamboyant, entreprend de démontrer que l’art unit les hommes d’époques différentes, qu’il permet de défier la réalité et le destin et que c’est la métamorphose de notre regard sur les chefs-d’oeuvre du passé qui contribue à les immortaliser dans notre musée imaginaire. Les textes sont accompagnés d’une très riche iconographie ; quoi qu’on puisse penser de leur rigueur ou de leur justesse, ils doivent être appréciés – et analysés – ne serait-ce que sur le plan strictement littéraire.André Malraux (1901-1976), lauréat du prix Goncourt en 1933 pour son roman La Condition humaine, autodidacte, aventurier, homme d’action, engagé à gauche dans sa jeunesse, ministre de la Culture du général de Gaulle dans les années soixante, est un personnage singulier, génie pour les uns, imposteur ou esprit brouillon pour les autres. Il demeure en tout cas une figure majeure de la vie intellectuelle française au vingtième siècle de par son prestige parmi les écrivains et ses liens avec des acteurs importants de la politique nationale et internationale.
NETEISĖTO PRATURTĖJIMO NUSIKALTIMO KONSTITUCINĖ PROBLEMATIKA
Authors: Namavičius Justas
Published: February 2017

Straipsnyje nagrinėjama neteisėto praturtėjimo sudėties (Lietuvos baudžiamojo kodekso 1891 str.) atitiktis Lietuvos Respublikos Konstitucijai. Sudėtinga požymių struktūra ir galiojimo laiko atžvilgiu taisyklė kelia kritinių klausimų teisėtumo principo atžvilgiu. Asmens pajamų šaltinio požymio neapibrėžtumas verčia abejoti, ar nuostata atitinka proporcingumo principą. Taip pat nemažai dėmesio skiriama galimam nekaltumo prezumpcijos taisyklės pažeidimui. Pabaigoje aptariama, ar Baudžiamajame kodekse verta ieškoti alternatyvos dabartinei nuostatai.
INVESTAVIMO REKOMENDACIJŲ IR PORTFELIO VALDYMO CIVILINIS TEISINIS KVALIFIKAVIMAS
Authors: Didžiulis Laurynas
Published: February 2017

Šiame straipsnyje analizuojama investavimo patarėjų teikiamų klasikinių investicinių paslaugų – investavimo rekomendacijų ir portfelio valdymo civilinė teisinė prigimtis bei atliekamas jų priskyrimas tam tikriems Lietuvos privatinės teisės institutams.
GRETIMŲ TERITORIJŲ VALDYTOJŲ SUTIKIMAI STATANT STATINIUS GRETA BENDROS ŽEMĖS SKLYPO RIBOS
Authors: Gaudėšius Rimvydas
Published: February 2017

Straipsnyje yra analizuojamos asmenų teisės, kurios gali būti pažeidžiamos statant statinius greta žemės sklypo ribos, ir teisės aktai, reglamentuojantys atstumus nuo statinių iki žemės sklypo ribos, todėl straipsnis yra naudingas ne tik teoriniu, bet ir praktiniu požiūriu. Pateikta teorinė apžvalga ir pasiūlymai dėl teisės aktų tikslinimo gali būti panaudoti ir tolesnei tarptautinei analizei.
ABSOLIUTAUS IMUNITETO TAIKYMO ARBITRAMS PRIELAIDOS IR PERSPEKTYVOS
Authors: Varapnickas Tadas
Published: February 2017

Straipsnyje analizuojamas absoliutus arbitro imunitetas nuo žalos atlyginimo ir jo taikymo prielaidos bei pagrįstumas. Taip pat aptariama absoliutaus imuniteto taikymo arbitrams kilmė, paaiškinami tokio imuniteto pranašumai ir trūkumai, analizuojama, ar Lietuvoje yra sąlygų arbitrą visiškai atleisti nuo atsakomybės.
Sexual and Romantic Experiences of Transgender Youth Before Gender-Affirmative Treatment
Authors: Bungener Sara L. , Steensma Thomas D. , Cohen-Kettenis Peggy T. , de Vries Annelou L.C.
Published: February 2017

OBJECTIVE:

In various Western countries early medical gender-affirmative treatment has become increasingly available for transgender adolescents. Research conducted before the start of medical gender-affirming treatment has focused on psychological and social functioning, and knowledge about the sexual health of this specific young group is lacking.

METHODS:

Gender identity clinics referred 137 adolescents: 60 transgirls (birth-assigned boys, mean age 14.11 years, SD 2.21) and 77 transboys (birth assigned girls, mean age 15.14 years, SD 2.09; P = .05). A questionnaire on sexual experiences (kissing, petting while undressed, sexual intercourse), romantic experiences (falling in love, romantic relationships), sexual orientation, negative sexual experiences, and sexual satisfaction was administered. Experiences of the transgender adolescents were compared with data for same-aged youth of a Dutch general population study (N = 8520).

RESULTS:

Of the transgender adolescents, 77% had fallen in love, 50% had had a romantic relationship, 26% had experienced petting while undressed, and 5% had had sexual intercourse. Transboys had more sexual experience than transgirls. In comparison with the general population, transgender adolescents were both sexually and romantically less experienced.

CONCLUSIONS:

Despite challenges, transgender adolescent are sexually active, although to a lesser extent than their peers from the general population.
Counseling Parents and Teens About Marijuana Use in the Era of Legalization of Marijuana
Authors: Ryan Sheryl A. , Ammerman Seth D. ,   COMMITTEE ON SUBSTANCE USE AND PREVENTION, Gonzalez Pamela K. , Patrick Stephen W. , Quigley Joanna , Walker Leslie R.
Published: February 2017

This Clinical Report was reaffirmed January 2024.

Many states have recently made significant changes to their legislation making recreational and/or medical marijuana use by adults legal. Although these laws, for the most part, have not targeted the adolescent population, they have created an environment in which marijuana increasingly is seen as acceptable, safe, and therapeutic. This clinical report offers guidance to the practicing pediatrician based on existing evidence and expert opinion/consensus of the American Academy of Pediatrics regarding anticipatory guidance and counseling to teenagers and their parents about marijuana and its use. The recently published technical report provides the detailed evidence and references regarding the research on which the information in this clinical report is based.
Care of the Adolescent After an Acute Sexual Assault
Authors: Crawford-Jakubiak James E. , Alderman Elizabeth M. , Leventhal John M. ,   COMMITTEE ON CHILD ABUSE AND NEGLECT,   COMMITTEE ON ADOLESCENCE, Flaherty Emalee G. , Idzerda Sheila , Legano Lori , Leventhal John M. , Lukefahr James L. , Sege Robert D. , Braverman Paula K. , Adelman William P. , Alderman Elizabeth M. , Breuner Cora C. , Levine David A. , Marcell Arik V. , O’Brien Rebecca F.
Published: February 2017

Sexual violence is a broad term that encompasses a wide range of sexual victimizations. Since the American Academy of Pediatrics published its last policy statement on sexual assault in 2008, additional information and data have emerged about sexual violence affecting adolescents and the treatment and management of the adolescent who has been a victim of sexual assault. This report provides new information to update physicians and focuses on the acute assessment and care of adolescent victims who have experienced a recent sexual assault. Follow-up of the acute assault, as well as prevention of sexual assault, are also discussed.
POTENSI LAHAN BUDI DAYA TAMBAK DAN LAUT DIKABUPATEN MINAHASA, SULAWESI UTARA
Authors: Pizan A. Marsambuana , Utojo Utojo , Atmomarsono Muharijadi , Tjaronge Muh. , Tangko Abdul Malik , Hasnawi Hasnawi
Published: February 2017

Penelitian dilakukan di kawasan pesisir Likupang, Kabupaten Minahasa, Sulawesi Utara bertujuan menelaah karakteristik lahan tambak dan laut untuk budi daya. pengambilan contoh tanah, air, plankton, dan makrobentos di tambak dengan acak berlapis sederhana yang mewakili lokasi tambak dekat sawah/kebun, tambak di antara sawah/kebun dan bakau/pantai serta tambakdekai bakau/pantai.
KARAKTERISTIK GENETIK INDUK RAJUNGAN. Portunus pelagicus DARI BEBERAPA PERAIRAN MELALUI ANALISIS RFLP MT.DNA
Authors: Moria Sari Budi , Haryanti Haryanti , Permana Gusti Ngurah , Susanto Bambang
Published: February 2017

Karakteristik genetik induk rajungan yang disampling dari beberapa perairan Cilacap (Jawa Tengah), Situbondo (Jawa Timur), Jembrana (Bali), dan P Saugi (Sulawesi Selatan) telah diteliti dengan menggunakan metode RFLP (Restriction Fragment Length Polymorphism) mitochondria- DNA (mt-DNA).
PENGARUH SUBSTITUSI MINYAK IKAN DENGAN MINYAK KEDELEI DALAM LEMAK PAKAN TERHADAP PERTUMBUHAN BENIH KERAPU LUMPUR, Epinephelus coioides
Authors: Suwirya Ketut , Marzuqi Muhammad , Prijono Agus , Giri Nyoman Adiasmara
Published: February 2017

Lemak adalah komponen pakan yang dapat berfungsi sebagai sumber energi dan asam lemak esensial. Kebutuhan lemak dan jenis asam lemak esensial pada ikan berbeda menurut jenis ikan. Percobaan ini dilaksanakan untuk mengevaluasi pengaruh substitusi minyak ikan dengan minyak kedelei dalam lemak pakan lerhadap pertumbuhan kerapu lumpu- Epinephelus coioides.
PENGGUNAAN IMMUNOSTIMULAN UNTUK MENINGKATKAN KEKEBALAN NON-SPESIFIK BENIH IKAN KERAPU LUMPUR; Epinephelus coioides TERHADAP INFEKSI VIRUS IRIADO
Authors: Johnny Fris , Roza Des , Mahardika Ketut , Zafran Zafran , Prijono Agus
Published: February 2017

Suatu percobaan dengan tujuan meningkatkan kekebalan non spesifik benih ikan kerapu lumpur terhadap infeksi varus irido dengan imunostimulan telah dilakukan di Balai Besar Riset Perikanan Budidaya Laut, Gondol-Bali.
I Am Big, It’s the Pictures That Got Small
Authors: Wissner Reba
Published: February 2017

Franz Waxman composed over 150 film scores, the most famous of which is Billy Wilder’s film noir Sunset Boulevard (1950). The film plot bears a striking resemblance to Rod Serling’s teleplay for The Twilight Zone, “The Sixteen-Millimeter Shrine” (1959). Waxman, composer of the film, was approached to compose a score for a television episode that was what many term a shortened version of Wilder’s film for the small screen, but with supernatural elements. This article serves to remedy the dearth of literature on this topic and to form an examination of the ways that Waxman conceived of music to accompany films with similar themes but on different screens. Through this comparison of the two scores, a clearer picture of Waxman’s approaches to composing music for moving images will be presented.
A methodology for longitudinal research on EFL written production
Authors: Gené-Gil Maria , Juan-Garau Maria , Salazar-Noguera Joana
Published: February 2017

This article critically examines the most challenging aspects of the methodology used in a broader research endeavour aimed at measuring the longitudinal impact of Content Language Integrated Learning (CLIL) on the compositions in English as a Foreign Language (EFL) produced by secondary education learners. A pretest/posttest design with repeated measures was used, which appears to be the only way to control for differences in task complexity (Larsen-Freeman 2006) despite claims of carry-over effects (Abbuhl et al. 2014). The major methodological concern was to describe writing in all its complexity and multidimensionality (Alanen et al. 2010). The decisions regarding the communicative written tasks administered, the building of the corpus, and especially the mixed methods for evaluating the written production obtained were made accordingly. All things considered, a combination of quantitative and qualitative methods to measure and characterize EFL writing is advocated in order to capture all its richness.
Selection and validation of a measurement instrument for readability calculations in patient information leaflets for oncological patients in Spain
Authors: Martí Ferriol José Luis
Published: February 2017

This article presents some findings which deal with text readability, obtained in a research project sponsored by the Spanish Ministerio de Economía y Competitividad . The main objective of the project was to improve the quality of written texts used to convey information to oncological patients in hospitals in Spain. Among other measurement instruments, it was proposed to use some readability index which allowed to detect the quality of the original texts considered (written in Spanish), and which additionally enabled the evaluation of the improvement in readability achieved as a consequence of the research. Literature review on readability indices, for the case of Spanish language, indicated three possible candidates. Statistical analysis guided the selection and validation processes carried out for the indices in the case of patient information leaflets addressed to oncological patients in two Spanish hospitals
Static and seismic stability assessments of reservoir walls
Authors: Neves Manuel , Holt Chris , Lindsay Fraser
Published: February 2017

Dams and reservoirs are an important part of the UK infrastructure, providing a vital role in storing the country's water. However, these assets need to be monitored to prevent causing major damage and/or loss of life. As part of the Reservoirs Act 1975, all large UK reservoirs require inspection by a qualified civil engineer at least every 10 years. The importance of these inspections has increased in recent years following failures of masonry spillway walls during floods in the UK. This is exacerbated by the critical nature of these types of walls in the stability of the downstream face of earth and rockfill dams. The paper will discuss the methodology and assumptions adopted by Jacobs in the stability and seismic assessments of the Burncrooks and Munnoch Reservoirs’ masonry walls and the recommended strengthening measures designed to address the stability issues identified.
Composite slim floor beams with innovative shear connections
Authors: Chen Shiming , Limazie Toi
Published: February 2017

An innovative form of slim floor beams is proposed in which the shear connection is formed by combining the concrete passing through the web openings with a steel tie-bar element. A numerical study was conducted to evaluate the flexural behaviour of these composite shallow cellular beams. The force transferring mechanism, load-bearing capacity and failure patterns of the shear connections were also evaluated. Two different configurations of shear connection were designed and a parametric study was carried out to determine the parameters likely to influence their performance. The findings were incorporated with bending and push-out test results to develop design methods for this form of shear connection. A tentative design procedure for the composite shallow cellular beams is proposed.
Psychological Analysis of the Phenomenon of Religious Experience Distortion
Authors: Filonik M.S.
Published: February 2017

The article addresses the problem of distortions of the spiritual experience, with which psychotherapist encounters while working with religious clients. In the focus are the phenomena of substitution, which are understood as distortions of the spiritual experience. The person himself sees them as normal, spiritually right, healthy and as being signs of spiritual development etc. Along the line of conceptualizing the practice of working with believers the article introduces the analysis of such psychological dis- turbances as: being unable to recognize own feelings, deficiency of valuing own self. The ways in which such phenomena occur are discussed, especially their peculiarities among religious people. Negative consequences of such psychological problems for spiritual life of Christians are analyzed. Main reasons behind these phenomena and some recommendations in addressing them during psychotherapy are pointed out. The associations between the problems of self-esteem and self-value are given.
Some Axiological Background of Person-centered Approach
Authors: Grositskaya M.K.
Published: February 2017

The article studies the axiological presuppositions of Person-centered approach in the context of philosophy of dialogism, Christian thought and the tradition of existential and humanistic psychotherapy. Axiology of the core concepts of the approach (the theory of the organism, self-actualization, three main core conditions for therapeutic change) is studied based on the concept of development (formation), and the concept of relationship. The place of the spiritual dimension in the therapeutic relationship as a dialogical practice is defined.
Analytical study of adolescent pregnancies at a tertiary care centre
Authors: Srivastava Shubha , Chandra Madhuri , Singh Umesh Kumar
Published: February 2017

Background: According to World Health Organization, about 16 million girls aged 15 to 19 and some 1 million girls under the age of 15 give birth every year. Teenage pregnancies have shown association with higher risks of prematurity, low birth weight, preeclampsia and anaemia as compared to adult pregnancies. The present study was analytical study of pregnant adolescent girls and feto-maternal outcome at a tertiary care centre.Methods: Girls between 10 to19 years, who attended the antenatal clinic and/or who were admitted in the hospital while pregnant or during labour were included in the study. A questionnaire along with detailed history and examination were done. Adolescents who were admitted for confinement, details of labour and mode of delivery were noted. The newborn was assessed in context of prematurity, IUGR or any other complications and referral to NICU.Results: Of the 1870 adolescent girls attending the OPD, 1234 (65.98%) were pregnant. There were 429 (4.02%) teenage deliveries in the institute during the study period. The girls were mostly married, older teenagers and primigravidas. The use of contraception was poor and awareness regarding antenatal care was lacking. The most common risk factor was anemia. The other risk factors included HDP, preterm labor, PROM, IUGR, hemorrhage and previous LSCS.Conclusions: Early childbearing increases the risks for both mothers and their newborns.  A delay in marriage givesadolescents opportunities for higher education, thus empowers them. Sex education should be a part of the school curriculum. Good antenatal care may reduce complications of teenage pregnancy.
The ethical issues in the clinical application of stem cells
Authors: Huang Fa-guang , Hu Jian , Liu Jia-fu , Gong Jian Ping , Liu Yong
Published: February 2017

The current scientific research directing at the stem cells is being a new research hotspot of life science in the 21st century due to its advantages in clinical treatment. While the clinical application of stem cells brings new hope to the patients, it also brings a lot of medical ethics issues. Therefore, it is necessary that making reasonable efforts on the clinical application of stem cells to meet the requirement of normalization and standardization. This paper covers the clinical application of stem cells and the its ethical problems.
A retrospective study of colorectal carcinoma in central India
Authors: H. Suresh Clement , Babu S. Madhu , Ahmad Samir , M. Harsha Omkar
Published: February 2017

Background: Inner lining of lobules or ducts of milk of breast tissue is the origin of the breast cancer. Among females, it constitutes 10.4% of cancer cases incidence all over the world. It thus is the fifth leading cause of mortality all over the world. As known, it is more common in females than males. The objective of this study was to study the clinical and epidemiological profile of breast cancer patients.Methods: A hospital based cross sectional study was carried out for a period of two and half years at M. G. M. Hospital, Warangal. Both males and females of 30 years and above were included in the study. Total number of carcinoma cases admitted during 2005 to 2007 for a period of two and half years were 1,428. Total number of carcinoma breast cases admitted during 2005 to 2007 for a period of two and half years were 242.Results: Maximum cases i.e. 44.6% belonged to stage III of breast cancer. Maximum cases were seen among Hindus i.e. 76.4%. As expected, only one case was reported by males which constituted only 0.42%. Highest number of cases i.e. 99 (40.9%) were reported during the age group of 40-50 years. Multi para women constituted more number of cases in 78.8%. Maximum number of cases of breast cancer i.e. 41.6% occurred among menstruating women. Most commonly affected quadrant was upper outer in 55.1% of cases. The most common type was Schirrous carcinoma in 39.6% of cases.Conclusions: Upper outer quadrant was most commonly affected. This indicates that the women in the reproductive age group should be directed to examine their breast daily with specific attention to upper outer quadrant.
A study of clinical profile and management of perforation peritonitis in a tertiary health centre located in Central India
Authors: Jain Neeraj Kumar , Jain Manjari Goel , Maini Sunil , Khobragade Vicky
Published: February 2017

Background: Perforation peritonitis is the most common surgical emergency in India. The spectrum of etiology of perforation in tropical countries continues to be different from its Western counterpart. The objective of the study was to highlight the spectrum of perforation peritonitis as encountered by us at RKDF medical college and research centre, Bhopal, Madhya Pradesh, India.Methods: Our prospective observational study was conducted at Department of General Surgery, R.K.D.F. Medical College and Research Centre, Bhopal, Madhya Pradesh, India during period of August 2013 to August 2015. Total 110 cases of perforation peritonitis were included. Patient detailed history, symptoms, sign, blood investigation finding, cause of perforation, site of perforation, type of surgery, post-operative complications and mortality were assessed and result were compared with other studies.Results: The most common cause of perforation in our series was perforated peptic ulcer (52 cases) followed by typhoid fever perforation (21 cases), appendicular (16 cases) and tuberculosis (11 cases). Despite delay in seeking medical treatment, the overall mortality (16.36%) was comparable with other published series though the overall morbidity (63%) was unusually high.Conclusions: In contrast to western literature, where lower gastrointestinal tract perforations predominate, upper gastrointestinal tract perforations constitute the majority of cases in Central India.
A case series of metastatic lateral cervical lymphadenopathy
Authors: Pothare Amit Narayan , Ilamkar Karuna
Published: February 2017

Background: Metastasis is a common cause of lymphadenopathy, seen mainly in patients above 40 years of age. Regional nodes entrap the tumor cells and setup complex immunological reactions within the nodes. The histological appearance of the nodes often suggests the primary tumor. The head and neck cancers spread to regional nodes via embolism and permeation. Primary site is evident most of times. The nodes are initially mobile but later may becomes fixed. The aim was to study the lateral cervical metastasis secondary to either lymphatic spread from distant primary or occult metastasis, their signs and symptoms, diagnostic procedure and treatment modalities.Methods: The study was conducted from July 2012 to June 2015. All patients having cervical lymphadenopathy secondary to metastasis diagnosed by FNAC, are included in study. Patients are evaluated as a whole, starting with clinical history and examinations as per proforma. In cases of lympahdenopathy where the diagnosis was not established with FNAC, biopsy was performed and efficacy of FNAC has been calculated. Results: Total 37 patients are studied. Most cases occurred in 5th decade of life, followed by 4th decade. More common in male 83.70% as compared to female 16.30% due to tobacco and smoking addiction more common in males. Change in voice is most common presentation in 46% of cases, followed by dysphagia in 35.13% of patients. Primary tumor was evident in 83.78% of cases and occult in 16.22%. Fixed nodes present in 54.05%, reduced mobility in 21.62% and mobile in 24.32%. FNAC was done in all the cases and positive results obtained in 91.8% with sensitivity of 90% and specificity of 98%. In patients treated by neoadjuvant chemotherapy followed by modified neck dissection, no recurrence occurred. Out of 10 patients treated by radical neck dissection only 2 patients had recurrence in follow up period and managed by radiotherapy. In 15 patients treated by radical radiotherapy, 5 patients had local recurrence and required selective neck dissection in follow up.Conclusions: Cervical lymph node metastasis was major presentation of malignancies of head and neck region and also from distant site. Whenever presents, it should raise suspicion of metastatic origin. Early diagnosis of primary tumor followed by aggressive treatment via multimodal approach prolongs survival.
Sinonasal mucosal melanomas in Quito, Ecuador
Authors: Pacheco-Ojeda Luis
Published: February 2017

Background: Head and neck mucosal melanoma account for 2 to 8% of head and neck melanomas, the majority of which arises in the nasal cavity or paranasal sinuses. The aim of this report was to review our experience on sinonasal malignant melanomas (SNMM) treated over a long period of time at a tertiary referral hospital.Methods: Clinical records of all of the patients operated on for SNMM at the Social Security Hospital and private clinics in Quito, Ecuador, were reviewed. Nineteen patients had histologically proven diagnosis. Eleven patients were men and mean age was 64. The most common presenting symptoms were nasal obstruction and epistaxis. Most tumors were located at the nasal fossa. Extranasal extension was present in 11 patients. Twelve had stage III- IV tumors. All patients were treated by surgery.  Postoperative radiotherapy was given to 7.Results: Local recurrence (11 events) occurred in 9 cases. These 11 events were treated with surgery in 8, eventually associated to radiation therapy (RT) and chemotherapy (CT). Eight out of these 9 patients died. Five overall survival was 46%. Death was related to local disease and distant metastases. All stage I tumor patients are alive.Conclusions: Most sinunasal melanomas have a poor prognosis, mainly attributed to initial advanced local disease, local recurrence and distant metastasis. Surgery is the mainstay treatment, followed by radiotherapy, according to the T category.
Clinical research of primary liver cancer mimicking liver abscess
Authors: Jun Kong , Tongmin Leng , Jianping Gong , Maoming Tang
Published: February 2017

Background: Aiming at diagnosing at an early stage, minimizing the misdiagnosis rate and improving the prognosis, the author has investigated the clinical characteristics, diagnosis and treatment of primary liver cancer mimicking liver abscess with a summary and discussion.Methods: All of the 11 cases of primary liver cancer mimicking liver abscess, diagnosed during January 2009 to December 2015, were retrospectively viewed in terms of clinical manifestations, laboratory tests, radiological feature, diagnosis and treatment. And statistic analysis was made in all aspects mentioned above with that of pyogenic liver abscess and other types of liver cancer diagnosed in the corresponding period.  Results: The clinical manifestations of the 11 cases were mostly characterized by fever, abdominal pain and weight loss. There was no significantly statistic difference between the study group and any of the three matched groups in underlying disease and lab results. All of the 11 patients were treated with enhanced antibiotics as basic therapy. Furthermore, eight cases accepted surgical operation, among them, one object underwent puncture and drainage of the liver abscess by ultrasound (PDLA) twice pre-operation, one object underwent PDLA and hepatic arteriography pre-operation and death in hospital post-operation, one object suffered myocardial infarction post-operation. In addition, three cases received conservative treatment only, in which, one object died in hospital.Conclusions: It is difficult to distinguish primary liver cancer mimicking liver abscess from pyogenic liver abscess as there are no specific clinical manifestations and laboratory findings which is prone to leading to misdiagnosis. What’s worse, the prognosis is so poor that high alert and close follow-up are required as well as early diagnosis and treatment.
A comparative study between benign and malignant conditions of upper gastrointestinal tract of helicobacter pylori using upper gastrointestinal scopy in a tertiary care hospital, Kanchipuram, Tamil Nadu, India
Authors: K. Dhinesh Babu , Bhaskar M.
Published: February 2017

Background: Acid peptic disease comprises of a wide spectrum of diseases, which cause considerable morbidity. The objective of this study was to study the prevalence of Helicobacter pylori in patients with dyspepsia and symptomatic patients undergoing upper gastrointestinal endoscopy (UGIE) in Karpaga Vinayaga Medical College and Hospital, Kanchipuram, Tamilnadu, India and to study the association of Helicobacter pylori   with acid peptic diseases and malignant conditions of upper Gastro intestinal tract.Methods: 389 cases of dyspepsia, studied clinically, were subjected to UGIE, during which 4 biopsies, two each from the antrum and the pathological areas were taken. One of the antral area and the other of the pathological finding were immediately subjected to Rapid urease test. Positive test for Helicobacter pylori was indicated by change in colour of the medium from yellow to pink or red. The other two biopsy specimens were sent for routine histopathology and special staining with Giemsa stain. The case was taken as Helicobacter pylori positive when the rapid urease test and/or histopathological examination was positive.Results: Out of 468 patients, with mean age of 41.8 years, 171 patients were diagnosed to have been infected with Helicobacter pylori (44.21%). Out of 49 patients with gastric and duodenal ulcers, 37 patients were infected with Helicobacter pylori (75.51%). In which 22 out of 25 patients (88%) with duodenal ulcers and 10 out of 14 patients (71.4%) with gastric ulcers were positive for H. pylori while only 8 out of 10 patients (80%) with gastric cancer were positive for H. pylori.Conclusions: In this study, we found that Helicobacter pylori were consistently associated with peptic ulcer disease and malignant conditions of upper GI tract, which is in broad agreement with the studies done earlier. Thus, we conclude that, Helicobacter pylori infection may have a major role in the etiopathogenesis of peptic ulcer disease and malignant conditions of upper GI tract appear to be no significant association between Helicobacter pylori  infection and unexplained dyspepsia.
Collision tumour of cerebellopontine angle in a patient with no neurofibromatosis criteria: a rare, peculiarand interesting case
Authors: Hoogar M. B. , Sheikh Adnan , Jain Atul , Dhar Reeta , Kumar Ashok , Mahore Kalyani , Naik Vaidehee
Published: February 2017

The co-existence or concurrent occurrence of brain tumours having different histomorphological features, in the absence of neurofibromatosis central (NF2) or history of irradiation is very rare. Such co-existence of brain tumours with different histology are referred to as collision tumours, concomitant tumours or contiguous tumours. The patient had no history of Von Recklinghausen’s disease nor had any personal or family history of phacomatoses, but, however, he had history of undergoing near total resection of left-sided vestibular schwannoma one year backThe simultaneous occurrence of meningioma and schwannoma is highly uncommon in cerebellopontine angle with only few published cases of co-existing meningioma and schwannoma in patients with no history of neurofibromatosis or other such phacomatoses, albeit this phenomeno of co-existence of these tumours is associated with neurofibromatosis 2 or other phacomatoses. It is also proposed that reactive meningothelial hyperplasia adjacent to the main tumour could be responsible for the presence of meningothelial component within schwannoma
Primary cutaneous mucinous carcinoma of the penis
Authors: Chavan Shahaji , Kshirsagar Vinayak , Ambre Sagar Ramesh , Male Prashant
Published: February 2017

Primary cutaneous mucinous carcinoma (PCMC) is rare neoplasm. It is malignant neoplasm arising from sweat glands. Study present a first case from our institute reported case of PCMC involving penis. Worldwide incidence is 0.07% at present.
Type VI choledochal cyst: a rare entity case report and review of literature
Authors: Sharma Digvijoy , Bheerappa Nagari , Thumma Venu Madhav , G. Suryaram Varma , Navakishore Kunduru
Published: February 2017

Choledochal cysts (CDC) are cystic dilatations of the biliary system, which are usually found in children and uncommon in adults, and type VI choledochal cyst which is isolated cystic dilatation of the cystic duct is a very rare occurrence and only single case reports are documented in the literature. We have reported a case of a young girl who was diagnosed as having Type VI CDC on pre-operative MRCP and found to have the same intraoperatively. She was treated with a simple cholecystectomy with cyst excision.
Inflammatory pseudotumor of the skin mimicking non-melanoma skin cancer
Authors: Nautiyal Hemant Kumar , Pathak Priyank , Shirazi Nadia , Nautiyal Ruchira , Sachan Praveendra Kumar
Published: February 2017

Inflammatory pseudo tumor (IPT) also known as inflammatory myofibroblastic tumor (IMT) or plasma cell granuloma (PCG) is mostly reported in viscera, with very rare primary cutaneous involvement. Its clinical presentation mimics non-melanoma skin cancers. This neoplasm, though considered benign, actually has intermediate biologic potential. We report a case of 52-year-old female who presented with a nodular lesion with central scab on face and hard sub mental lymph node. As patient refused for biopsy, FNAC was done, which showed highly atypical cells suggestive of squamous cell carcinoma from nodular lesion and reactive hyperplasia from lymph node. Patient underwent excision biopsy and supra-omohyoid lymph node dissection. Biopsy report showed it as inflammatory pseudo tumor of the skin and cervical lymph nodes showed non-caseating granuloma. We present review of this entity.
Malignant peripheral nerve sheath tumor with lymph node metastasis: an uncommon presentation
Authors: Shreshtha Suruchi
Published: February 2017

MPNST is a rare soft tissue neoplasm that accounts for less than 10 % of all soft tissue sarcomas. These tumors often affect males between 20 to 50 years, often with NF1, These with predilection for buttocks, thigh, brachial plexus, upper arm and paraspinal region. MPNST spread perineurally or hematogenously to lungs. Lymph node metastasis is seen in less than 5% cases of all sarcomas. This is a case of 46 year old male with NF-1 with MPNST posterior abdominal wall. The patient had metastatic pleural effusion in the absence of lung metastasis, along with widespread axillary, retroperitoneal and inguinal lymph node metastasis. Thus, although lymph node metastasis from MPNST is rare, this case expands our knowledge of the clinical behavior of MPNST.
Hepatico-jejunostomy: risk factors
Authors: Manenti Antonio , Zizzo Maurizio , Farinetti Alberto , Roncati Luca
Published: February 2017

A scientific debate has been recently opened about the incidence of stricture after Roux-en-Y hepatico-jejunostomy (HJ). We consider this complication often related to previous inflammatory or vascular sufferings, which cause, at first, a biliary leak.
Psychological counseling versus psychotherapy
Authors: Czabała Jan Czesław
Published: February 2017

Psychotherapy and psychological counseling are two distinct forms of psychological assistance. Psychotherapy is a method of treating mental health disorders and psychological counseling is a method of helping people experiencing various kinds of developmental crises – a method supporting individuals, families, and groups in development and the maintenance of mental health. The article will present the definitions and distinct aims of these methods. The stages of the psychological counseling process, the types of desirable changes, and the ways of achieving them will be described.
Well-being in cities and regions: measurement, analysis and policy practices
Authors: Veneri Paolo , Edzes Arjen J E
Published: February 2017

This note introduces the special issue on Well-being in cities and regions: measurement, analysis and policy practices. After highlighting the importance of well-being research, this contribution provides a rationale for focusing on the local level rather than looking at country averages for both analytical and policy purposes. While introducing the papers in this Special Issue, we highlight the need to focus on the regional and local factors that improve people’s well-being and the need to understand the link between objective and subjective measures of well-being so that better use is made of them in policy making.