bluuebunny/crossref_metadata_2025 huggingface dataset:
Hospital-Based Quality Measures for Pediatric Mental Health Care
Authors: Bardach Naomi S. , Burkhart Q , Richardson Laura P. , Roth Carol P. , Murphy J. Michael , Parast Layla , Gidengil Courtney A. , Marmet Jordan , Britto Maria T. , Mangione-Smith Rita
Published: May 2018

BACKGROUND AND OBJECTIVES:

Patients with a primary mental health condition account for nearly 10% of pediatric hospitalizations nationally, but little is known about the quality of care provided for them in hospital settings. Our objective was to develop and test medical record–based measures used to assess quality of pediatric mental health care in the emergency department (ED) and inpatient settings.

METHODS:

We drafted an evidence-based set of pediatric mental health care quality measures for the ED and inpatient settings. We used the modified Delphi method to prioritize measures; 2 ED and 6 inpatient measures were operationalized and field-tested in 2 community and 3 children’s hospitals. Eligible patients were 5 to 19 years old and diagnosed with psychosis, suicidality, or substance use from January 2012 to December 2013. We used bivariate and multivariate models to examine measure performance by patient characteristics and by hospital.

RESULTS:

Eight hundred and seventeen records were abstracted with primary diagnoses of suicidality (n = 446), psychosis (n = 321), and substance use (n = 50). Performance varied across measures. Among patients with suicidality, male patients (adjusted odds ratio: 0.27, P < .001) and African American patients (adjusted odds ratio: 0.31, P = .02) were less likely to have documentation of caregiver counseling on lethal means restriction. Among admitted suicidal patients, 27% had documentation of communication with an outside provider, with variation across hospitals (0%–38%; P < .001). There was low overall performance on screening for comorbid substance abuse in ED patients with psychosis (mean: 30.3).

CONCLUSIONS:

These new pediatric mental health care quality measures were used to identify sex and race disparities and substantial hospital variation. These measures may be useful for assessing and improving hospital-based pediatric mental health care quality.
El bienestar subjetivo, psicológico y social como predictores de la salud mental en ecuatorianos
Authors: Moreta-Herrera Rodrigo , López-Calle Claudio , Gordón-Villalba Paulina , Ortíz-Ochoa William , Gaibor-González Ismael
Published: May 2018

Se indaga sobre la predictibilidad de la Satisfacción con la vida y el Bienestar Psicológico y Social en la Salud Mental en una muestra de estudiantes universitarios del Ecuador a través de un análisis descriptivo de predicción, comparativo por sexo y universidad. Es un estudio de corte transversal en el que participaron 982 estudiantes de tres universidades de Cuenca y Ambato, en Ecuador. Se encontró que el bienestar subjetivo, psicológico y social predicen el 55.1% de explicación de la varianza de Salud Mental. Además, existen diferencias por género en la Satisfacción con la vida (t = -1.98; p < .05) y el Bienestar Social (t = -2.34; p < .05), en este último las mujeres puntúan más que los hombres. También hay diferencias por el tipo de universidad en la Satisfacción con la vida (t = -3.11; p < .01), el Bienestar Psicológico (t = -3.21; p < .01) y la Salud Mental (t = -2.22; p < .05) con mejores puntajes en la universidad cofinanciada. Con estos elementos, se concluye que los distintos indicadores del bienestar individual predicen considerablemente la salud mental.
Urbano Orad y Gajías (1849-1935): Médico, héroe de guerra y masón
Authors: De Paz Sánchez Manuel Antonio
Published: May 2018

Este apunte biográfico pretende reflexionar sobre algunos de los aspectos principales de la vida del médico militar y coronel del cuerpo de Inválidos, don Urbano Orad y Gajías. Se trata de un personaje relevante en la historia del cuerpo de Sanidad Militar, que participó activamente en los conflictos que jalonaron la historia de España en la transición del siglo XIX al XX (Cuba y el Norte de África), y que mereció la máxima recompensa militar. También se ha estudiado su vinculación con la masonería, su ideario reformista y su activa participación en importantes eventos socio-culturales como el Segundo Congreso Africanista (Zaragoza, 1908). Se ha comparado brevemente su semblanza con la de otros destacados personajes del periodo, que supieron conjugar su reformismo y su crítica social e institucional con un elevado sentido del patriotismo español en un contexto regeneracionista.
Masonas y republicanas. La historia de 5 mujeres comprometidas con los valores republicanos y la masonería  de Natividad Ortiz Albear
Authors: Hottinger Craig Sylvia
Published: May 2018

Reseña del libro Masonas y republicanas. La historia de 5 mujeres comprometidas con los valores republicanos y la masonería de Natividad Ortiz Albear. Oviedo: EntreAcacias, 2017. 227 páginas. ISBN: 978-94-1-3.
Hermano moro: masonería y colonialismo en el Protectorado español de Marruecos (1931-1936)
Authors: Aguiar Bobet Valeria
Published: May 2018

Para los masones españoles, el “hermano moro”, título que enmarca el artículo, no es solo un hermano masón más, es un hermano excepcional, construido desde el canon colonial y el pasado común compartido en una época medieval distorsionada, un hermano histórico pero infantilizado, necesario para legitimar la actuación masónica en el Norte de África. En este sentido, el texto aborda la construcción de la imagen del “otro musulmán” mediante el análisis del discurso colonial de la masonería hispana implantada en el protectorado marroquí desde finales del siglo XIX. Con tal fin, se analizará la construcción del “indígena” y la propia evolución de dicha construcción desde los discursos y las prácticas masónicas. Sin olvidar, por último, las consecuencias y particularidades que los límites discursivos de ambas variables (el constructo y su recepción) supondrán para la consecución del ideal masónico colonial proyectado por las logias norteafricanas.
La franc-maçonnerie à l’île Maurice de 1778 à 1915 : entre influences françaises et britanniques, la construction d’une identité mauricienne
Authors: Venkaya Reichert Sandra Danielle Brinda
Published: May 2018

Entrevista sobre su tesis doctoral: La franc-maçonnerie à l’île Maurice de 1778 à 1915 : entre influences françaises et britanniques, la construction d’une identité mauricienne.
Freemasonry: A Very Short Introduction de Andreas Önnerfors
Authors: Romeu Jorge Luis
Published: May 2018

Reseña del libro de Freemasonry: A Very Short Introduction de Andreas Önnerfors. Oxford: Oxford University Press, 2017. 160 páginas. ISBN: 978-0198-79-6-275.
Masonería y cosmopolitismo en el Uruguay del siglo XIX
Authors: Cano Roa Efrain
Published: May 2018

Esta investigación inédita sobre las relaciones socio-ocupacionales y orígenes de los masones uruguayos del siglo XIX tiene como objetivo dar a conocer las bases sociales de la masonería nacional. Las principales fuentes documentales utilizadas fueron extraídas de los principales archivos del país junto con documentos internos de la masonería. La estructura del trabajo gira en torno al estudio de tres periodos, analizando la nacionalidad, ocupaciones, distribución geográfica de logias y predominio de ciertos grupos en los talleres masónicos con el fin de intentar responder la siguiente pregunta ¿quiénes integraban realmente la masonería en el siglo XIX?
Masonerías, colonialismos e imperialismos
Authors: Aguiar Bobet Valeria
Published: May 2018

Introducción al número de revista dedicado a las relaciones entre masonerías, colonialismos e imperialismos.
Magyarországi C-vírus-hepatitises betegek vírustípus- és szubtípusmegoszlásának elemzése
Authors: Gervain Judit
Published: May 2018

Introduction: Hepatitis C virus (HCV) shows great structural variability. Based on genome sequencing and phylogenetical analysis, 7 types and 67 subtypes can be differentiated with varying geographical distribution. It is very important to determine the HCV type/subtype prior to starting direct antiviral therapy (DAA), which has been available since 2014, because the type, dose and optimal length of medication depends on these. Aim: In Hungary, the treatment of chronic HCV patients started in 1992 with the relevant special diagnostic tests being carried out in our Molecular Diagnostic Laboratory. Determination of the nucleotide sequence of the Hungarian HCV1b NS5A/PKR-BR region and the type and subtype distribution of Hungarian patients have already been carried out. The current summary discusses the results of 6092 chronic HCV patients (175 serotypes, 5917 genotypes) based on age, gender, regions and genotype distribution changes over the period between 1996 and 2017. Method: Serotyping (1996–1999). Genotyping: hybridization (2000–2016), real-time PCR (2016–; Cobas 4800 HCV GT). Results: Genotype distribution: GT1a: 5.6%; GT1b: 84.6%; GT1a + 1b: 5.1%; GT2: 0.1%; GT3: 1.8%; GT4: 0.1%; mixed: 1.6%; GT1 (non-differentiated subtype): 1,1%. Women/men ratio: 52%/48%. The most common age category is 50–60 years (37% of all cases). There was no genotype asymmetry among the four Hungarian regions and Budapest. Over time, the prevalence of genotype 3 increased from 1.6% to 2.8% and the number of patients under the age of 40 doubled. Conclusion: There have been no substantial changes in the HCV type/subtype distribution in Hungary over the past 20 years, 1b remaining the most common. The introduction of real-time PCR method for genotyping has resulted in a major quality improvement including only a few mixed subtype results leading to more efficient drug selection. Orv Hetil. 2018; 159(Suppl 2): 2–8.
Analisis Total Plate Count (TPC) Mikroba pada Ikan Asin Kakap di Kota Sorong Papua Barat
Authors: Sukmawati Sukmawati , Hardianti Fatimah
Published: May 2018

Ikan Asin kering merupakan salah satu produk perikanan yang banyak diminati oleh masyarakat khususnya di kota Sorong, ditandai dengan tingginya permintaan konsumen. Tingginya permintaan konsumen tidak menjamin kualitas ikan tersebut aman dari cemaran, baik cemaran zat kimia, fisika, dan cemaran mikrobiologi. Produk ikan asin kering harus terjaga dari cemaran agar dapat dikonsumsi dengan aman.  Produk pangan yang aman ialah produk yang  bebas dari bahan pengawet atau bahan kimia yang tidak dianjurkan seperti formalin. Selain itu, jumlah mikroba pada produk tersebut tidak boleh melewati batas standar maksimum nasional Indonesia. Tujuan penelitian ialah untuk menganalisis total plate count mikroba pada ikan asin kakap batu di kota Sorong. Metode yang digunakan adalah metode deskriptif. Hasil analisis data total plate count mikroba pada ikan asin kakap batu (Lutjanus vivanus) secara berturut-turut sebagai berikut; pada faktor pengenceran 10-4- 10-5  mulai dari sampel LG memiliki jumlah koloni 2.36 x 107 – 5 x 107 cfu/g, sampel KB 1.84 x 107 – 5.9 x107, dan sampel KS memiliki jumlah koloni 2.06 x 107- 6.7 x 107. Sehingga dapat disimpulkan bahwa ikan asin kakap batu tersebut tidak layak untuk dikonsumsi, sebab jumlah angka lempeng total (ALT) melewati batas maksimum standar nasional Indonesia.
Antioxidant and Ace Inhibitor Potential of Stripe Trevally Fish (Selaroides leptolepis) Hydrolysate
Authors: Putalan Reinal , Munifah Ifah , Nurhayati Tati , Chasanah Ekowati
Published: May 2018

This study aimed to investigate the potency of fish protein hydrolysates (FPH) of stripe trevally fish (Selaroides leptolepis) as antioxidant and ACE inhibitor. The FPH was produced through enzymatically hydrolysis using protease produced by Bacillus licheniformis, a collection of Research and Development Center for Marine and Fisheries Product Processing and Biotechnology (RDCMFPPB). The FPH was fractionated using ultrafiltration membranes with molecular weight cut off (MWCO) of 10, 5 and 3 kDa. The hydrolysis degree, protein content, peptide content, antioxidant activity and Angiotensin-converting enzyme (ACE) inhibitor were observed. The result showed that FPH had maximum hydrolysis degree of 63.91% reached after 6 hours hydrolysis with protein content of 27.43 mg/mL and peptide content of 223.32 mg/mL. That FPH showed antioxidant activity (IC50) of 1941.06 ppm and ACE inhibitor of 87.82% at test concentration of 10 mg/mL. In the ultrafiltration step, the higher molecular cut off used, the higher protein content and peptide content. The lower molecular weight of the hydrolysate, the better antioxidant  and ACE inhibitor activity. The best fractionation that produce potential product to be used as anti-hypertension was in mixture peptides between 3-5 kDa. The IC50 antioxidant activity was 1336.96 ppm and percentage of ACE inhibitor was 97.15% % (with a concentration of 10 mg/mL). From the results, protein hydrolysate of stripe trevally fish produced by enzymatic hydrolysis using local protease was potential as a functional ingredient, particularly as antihypertensive agent.
Støttetenester for forskingsdatahandtering på UiT Noregs arktiske universitet – erfaringar og forslag til beste praksis
Authors: Conzett Philipp , Østvand Lene
Published: May 2018

This article describes how support services for research data management have been developed and are run at UiT The Arctic University of Norway (UiT). We go through several areas of interest: technical solutions, researcher involvement, division of labour between different units at our institution as well as co-operation with national and international stakeholders, data curation, skills development, training and curriculum development, dissemination, and policy making. Each section concludes with a set of best practice recommendations.
Diagnosis and Management of Hepatitis in Patients on Checkpoint Blockade
Authors: Reynolds Kerry , Thomas Molly , Dougan Michael
Published: May 2018

Many human tumors are recognized by the adaptive immune system, but these spontaneous antitumor responses are typically inadequate to mediate regression. Blockade of immune regulatory “checkpoint” receptors such as cytotoxic T-lymphocyte-associated antigen 4 and programmed cell death 1 can unleash antitumor immunity, resulting in tumor responses that can be durable. Alongside the enormous promise of immunotherapy for cancer, the immune dysregulation of checkpoint blockade has led to a plethora of new autoimmune adverse events. Hepatic toxicity occurs in 1%–17% of patients on immune checkpoint inhibitors, with the precise incidence dependent on both the drug used and the underlying malignancy. Hepatitis is most commonly a low-grade toxicity, but grade 3 and 4 hepatotoxicity does occur. Here we will answer frequently asked questions regarding immune-related hepatitis to assist in the recognition and management of this important condition.

Key Points

Immune related hepatitis is a potentially serious complication of checkpoint blockade. The differential for elevated liver function tests in patients on checkpoint blockade is broad. Diagnostic testing such as viral serologies, liver ultrasound, cross sectional imaging, and liver biopsy may help in the diagnosis of immune related hepatitis in select patients. Patients with underlying cirrhosis are an at risk population for whom current grading criteria may underestimate the severity of liver inflammation. Severe immune related hepatitis is best managed by a multi-disciplinary team that includes a hepatologist. Most patients with immune related hepatitis respond to corticosteroids, but a substantial fraction require treatment with a secondary immunosuppressive agent.
E4206: AMG 706 and Octreotide in Patients with Low-Grade Neuroendocrine Tumors
Authors: Lubner Sam , Feng Yang , Mulcahy Mary , O'Dwyer Peter , Giang Guang-Yu , Hinshaw J. Louis , Deming Dustin , Klein Leonard , Teitelbaum Ursina , Payne Jennifer , Engstrom Paul , Stella Philip , Meropol Neal , Benson Al
Published: May 2018

Lessons Learned

Rate of progression-free survival at a particular point in time, i.e., a landmark analysis, is a difficult endpoint for a heterogenous malignancy such as neuroendocrine cancer. Landmark analyses can also be complicated by evolution in the standard of care during the conduct of a clinical trial. Improvements in biomarker development would be useful in developing future clinical trials in NET to better tailor individualized therapies and assess for possible efficacy endpoints.

Background

Neuroendocrine tumors (NETs) are rare malignancies of the gastrointestinal (GI) tract that are highly vascularized and overexpress vascular-endothelial growth factor (VEGF). Sunitinib has demonstrated efficacy in the pancreatic subset of NET. This study explored the activity of another oral VEGF inhibitor, AMG 706 or motesanib, a multikinase inhibitor that targets receptor tyrosine kinases, including VEGFR1, VEGFR2, VEGFR3, KIT, RET, and PDGFR (IC50s = 2, 3, 6, 8, 59, and 84 nM, respectively).

Methods

This was a single-arm, first-line, phase II study run through the Eastern Cooperative Oncology Group. Patients with low-grade NET (as defined by central confirmation of Ki-67 of 0%–2%) were administered a flat dose of 125 mg per day orally combined with octreotide long acting-repeatable (LAR) for patients who had been on a stable dose. The primary objective was to determine the 4-month progression-free survival (PFS).

Results

Forty-four patients were evaluated per protocol. The 4-month PFS was 78.5%. The partial response rate was 13.6% (6/44), stable disease was 54.5% (24/44), 9.1% (4/44) had progressive disease, and 10/44 were not evaluable for response. Common toxicities included fatigue, hypertension, nausea, and headache, and most were grade 1–2. Median PFS was 8.7 months, and overall survival was 27.5 months.

Conclusion

Motesanib (AMG 706) demonstrated a 4-month PFS that met the per-protocol definition of efficacy. Fatigue and hypertension were the most common toxicities, and few grade 3–4 toxicities were encountered. The progression-free survival of 8.7 months in all NETs merits further study.
How to Co-Teach Like Dance Partners
Authors: Alegre Rebecca , Kapusta-Pofahl David
Published: May 2018

This article gives a brief overview of an Intensive English Program (IEP) elective class called “Connecting with Your Community,” which the authors developed together as way to teach new international students the basics of interacting with American college students, finding organizations and activities to join on an American university campus, and locating opportunities to get involved in the local city community. As the authors developed the course curriculum, they decided that co-teaching the class would offer the students more one-on-one attention as well has provide more authentic opportunities for discussion about American culture. Co-teaching, at first glance, can seem like a simple strategy; however, there are actually many factors to consider when entering a co-teaching relationship. Both instructors must be aware of the potential benefits and pitfalls of assuming equal responsibility over a group of students and be committed to the success of the course. It is imperative that instructors have a positive working relationship, establish their roles and responsibilities, arrange for co-planning time, and maintain the support of the administration (Friend 2008). This article offers tips about how to effectively and gracefully navigate any challenges that could arise while co-teaching in order to give everyone—both instructors and students—a positive and rewarding experience.
Konya il merkezinde gastroözofageal reflü hastalığı prevalansı
Authors: ÖZER ÇAKIR Özlem , ÇİZMECİOĞLU Ahmet , BIYIK Murat , ÇİFÇİ Sami , ATASEVEN Hüseyin , POLAT Hakkı , DEMİR Ali
Published: May 2018

Giriş ve Amaç: Gastroözofageal reflü hastalığı üst gastrointestinal kanalın sık rastlanılan bir hastalığıdır. Anatomik lokalizasyonu nedeniyle özofagusa komşuluğu olan organların hastalıklarını taklit edebildiği gibi; asıl hastalığın şikayetini maskeleyebilmekte hatta oluşan komplikasyonları da başka organların fonksiyonlarını bozabilmektedir. Dünyada batı tipi yaşantısı olan toplumlarda daha sık görülmektedir. Türkiye’de hastalık epidemiyolojisi ile sınırlı veri vardır. Gereç ve Yöntem: Yaşadığımız çevrenin prevalansını belirleyebilmek amaçlı yapılan çalışmada Konya İli Merkez İlçelerinde önceden belirlenmiş rastgele adreslerdeki 2000 kişi ile anket görüşmesi yapılmıştır. Bulgular: 1188 kişi ile anket tamamlanabilmiş, (%59 geri dönüş oranı), katılımcıların 581’i kadın (%48.9), 607’si erkek (%51.1), yaş ortalaması 41.34±12.8 olarak hesaplanmıştır. Aylık semptomlar göz önüne alındığında aylık %10,9 prevalans bulunmuştur. Cinsiyet, medeni hal, eğitim düzeyi, meslek ve gelir durumu reflü ile ilişkili bulunmazken yaş ve vücut kitle indeksi ile korelasyon saptanmıştır (p<0.05). Sonuç: Bulunan sonuç itibariyle Konya İli merkez ilçelerinde her üç kişiden birinin kilolu ya da obez olduğu saptanmış, reflü prevalansının batı ülkelerine yakın olduğu görülmüştür.
Alerjik rinitli bir olguda eozinofilik özofajit
Authors: DÜŞÜNÜR GÜNSEN Fatma , BOR Serhat , SEZAK Murat , SİN Aytül Zerrin
Published: May 2018

Eozinofilik özofajit; özofagus mukozasında eozinofilik infiltrasyon ile karakterize kronik, immün aracılı bir tablodur. Erişkinlerde özofageal disfonksiyon semptomları olan disfaji, gıda takılma hissi, regürjitasyon, kusma ve göğüs ağrısı en sık görülen yakınmalardır. Tanı hastanın semptomları eşliğinde endoskopik ve histolojik bulgular ile konur. Bu olguda alerjik riniti ve eozinofilik özofajiti olan bir hasta tanımlanmaktadır
Barriers to Cross-state Movement for Disabled People and Their Families: A Social Problem
Authors: Grossman Brian R.
Published: May 2018

Research on geographic mobility in the US has neglected disabled people, missing their experiences of abridged citizenship as their desires to move across states are frustrated by social policy barriers. To illustrate how meso- and macro-level factors impact individual lives, I review three publicly-reported stories of Medicaid home and community-based services (HCBS) users. To advance research in this area, I analyzed these three stories and developed an original conceptual model, Moves in Context. The model attends to the individual cross-state move trajectories of disabled people, and HCBS users, in particular. Moves in Context focuses on the individual journey (i.e., impetus, ability, and success of move; and the influence of the move story) in relation to both social position/personal resources and social structure/ideology. Through the model, I introduce and explain intrastate confinement, a term to describe the geographic immobility resulting from policy variations across states. I conclude with a discussion of the broader implications of both the Moves in Context model and intrastate confinement for further research on disabled people and interrogating other social problems.
R-E-S-P-E-C-T: The Relationship Between Being Respected and Quality of Life of Disabled People
Authors: Friedman Carli
Published: May 2018

The United Nations exclaims "all human beings have the right to be treated with dignity and respect" (Annan, 2005, p. 34). Yet, disabled people have long been denied respect in the United States and have been subjected to disability oppression and ableism. For these reasons, the aim of this study was to explore the relationship between respect and disability, particularly respect's impact on the quality of life of disabled people. We had two research questions: (1.) what factors predict disabled people being respected? and, (2.) how does being respected impact the quality of life of disabled people? To explore these questions, we used secondary Personal Outcome Measures® data from approximately 1,500 disabled people; we analyzed this data to examine relationships between disabled people's interpretations of feeling and being respected, and their quality of life. Our findings revealed being respected had a significant impact on every area of ones' quality of life. Problematically, this also included areas which should be considered non-negotiable fundamental human and civil rights, that should not depend on if, and how, people respect disabled people. While the attitudes underlying the disrespect of disabled people are harmful and problematic, human and civil rights should be inalienable – ones' access to exercise their rights, to safety, to health, and to many other domains should not depend on others' attitudes about, and treatment toward, you.
Review of Beasts of Burden: Animal and Disability Liberation
Authors: Koch-Rein Anson
Published: May 2018

No abstract available.
Evaluation of tubal patency in infertile patients with saline infusion sonosalpingogram
Authors: Shanmugham Deepa , Vidhyalakshmi Ramadoss Kabilan , Varghese Jessy
Published: May 2018

Background: The incidence of tubal disease in infertility in India is as high as 40%. The aim of our study is to evaluate the diagnostic accuracy of Saline Infusion Sonosalpingogram (SSG) in the assessment of tubal patency in infertile patients with laparoscopy as the gold standard.Methods: This is a prospective study conducted in the department of obstetrics and gynaecology on 50 consecutive infertile patients. Patients with acute pelvic inflammatory disease were excluded from the study. After complete examination and basic infertility work up, the tubal patency testing by Saline Infusion Sonosalpingogram was performed on day 8 of the cycle, followed by diagnostic laparoscopy with chromopertubation to confirm the tubal patency.Results: Out of 50 enrolled patients, 3 were excluded during the course of study. Thus, the study population comprised of 47 infertile women. During our study, 42 patients had tubes patent on SSG, out of which 41 patients had patent tubes on laparoscopy. 2 patients with blocked tubes on SSG had patent tubes on laparoscopy. 3 patients had blocked tubes on both SSG and laparoscopy. On statistical analysis, the sensitivity of SSG in diagnosing tubal patency is 95.34%, specificity 75%, positive predictive value 97.65% and negative predictive value 60%.Conclusions: Saline Infusion Sonosalpingogram is a simple, safe, convenient procedure for assessment of tubal patency in infertile women. It can be included in basic infertility work up. Hence, laparoscopy can be reserved for patients with tubal block, suspected pelvic pathology and unexplained infertility.
Study on semen analysis in the evaluation of male infertility in coastal Karnataka, India
Authors: Ganiga Pradeep , Pujeri Shivakumar
Published: May 2018

Background: According to current recommendation a couple has to be evaluated if they fail to achieve pregnancy within one year of unprotected regular intercourse. The current incidence of infertility is around 15% which is increasing because of various factors including delay in attaining first pregnancy. The male partner evaluation includes detailed history and examination including the sexual history and semen analysis. Observational study performed on patients with primary and secondary infertility. The detailed semen analysis evaluation done in addition to notifying brief sexual history and chronic medical ailments like diabetes.Method: After proper counselling, and obtaining consent, the patients were made to collect the semen sample in a room attached to the andrology lab. Detailed evaluation of each sample was done. Prior to this procedure, relevant information like occupation, age of the patient, duration of abstinence, coitus frequency and presence of chronic medical ailments like, diabetes mellitus and chronic hypertension were noted.Results: The study, done in a tertiary care centre in coastal Karnataka, revealed that a majority of the patients were in the age group of 25-30 years with a larger group of patients having liquefaction time of <20minutes and 25% were in the oligospermia group.Conclusions: Semen analysis is an indispensable diagnostic tool in the evaluation of the male partner of infertile couples in addition to brief sexual history and occupational history.
Los espacios tecnológicos: un acercamiento al malestar cultural de los medios de comunicación en McLuhan
Authors: Villota Maribel , Villota Dora Alexandra , Bámaca Efraín , Galindez Pedro
Published: May 2018

El presente artículo tiene como objetivo acercarse al pensamiento sensitivo de los medios de comunicación desde Marshall McLuhan. En términos generales, este acercamiento pretende relacionar, desde la consolidación tecnológica de la información, el cuestionamiento de los espacios tecnológicos a través de la extensión humana, y desde ahí descubrir si el panorama tecnológico trastoca aún hoy la extensión de nuestra corporeidad, en lo que McLuhan denominó “el nacimiento de una nueva nostalgia”. La reconfiguración de un nuevo escenario en el que los aportes tecnológicos y científicos desempeñan hoy un papel determinante hace importante el diálogo entre la tecnología y la sociedad de manera más dinámica e integral, en la medida en que el conocimiento científico y el tecnológico son productos sociales (Bazzo).
Representar e intervenir el comportamiento humano en la era de la tecnobiología: un aporte desde la filosofía de la biología
Authors: Pallitto Nahuel
Published: May 2018

En la era de la tecnobiología, los saberes de la biología frecuentemente se presentan al público general como una vía segura y eficiente para modificar comportamientos humanos patológicos o indeseables mediante medios tecnológicos. Esta concepción se expresa con especial intensidad en el ámbito de la biomedicina y en el marco del human enhancement. Pero los modos en que las intervenciones tecnológicas allí propuestas se combinan con las representaciones de la biología del comportamiento no ha sido cuidadosamente abordado hasta el momento. En este contexto, en el presente trabajo se explicitan los presupuestos de las intervenciones tecnológicas propuestas en la biomedicina y el human enhancement y se los analiza en el marco de las representaciones de diversos programas de investigación de la biología del comportamiento. La hipótesis general es que las intervenciones sugeridas implican sesgos, omisiones, simplificaciones y equívocos cuando son contrastadas con el conocimiento de la biología del comportamiento. Mientras la mayoría de los estudios filosóficos en tecnociencia se centran en aspectos praxiológicos y axiológicos, aquí se ofrece un abordaje ontológico y epistemológico, diferente pero complementario.
Altruismo y egoísmo en la selecc ión natural: análisis desde una perspectiva ontológicamente pluralista
Authors: Iturbide Paula , Vaccaro Daniel
Published: May 2018

Uno de los problemas científicos más importantes e intrigantes del siglo xxi es el surgimiento del comportamiento biológico altruista. Muchas ciencias intentan comprender este comportamiento desde diferentes puntos de vista. A su vez, la cuestión del altruismo se vincula estrechamente con el problema de la identificación del nivel en el que opera la selección natural, esto es, si lo hace en el nivel de los individuos o en el nivel de los grupos. En este trabajo abordaremos el problema del altruismo biológico en el marco de la selección natural de Darwin, desde las perspectivas biológica y matemática, comparando y analizando distintas posiciones sobre el tema. Mencionaremos el tema de la cooperación humana, relacionándolo con el altruismo biológico. Expondremos nuestros argumentos para enfrentar estas cuestiones utilizando como herramienta una perspectiva filosófica ontológicamente pluralista.
Análisis argumentativo en perspectiva pragmadialéctica del argumento de los casos marginales
Authors: Pineda Repizo Fabrizio
Published: May 2018

Con base en la perspectiva pragmadialéctica de la argumentación, se realiza un análisis del argumento animalista denominado argumento de los casos marginales. La identificación de su estructura argumentativa y sus maniobras retóricas permite mostrar la debilidad de su estrategia argumentativa. Siguiendo la metodología del análisis pragmadialectico, en este artículo se expone la estructura argumentativa y se externalizan los elementos implícitos, se evalúa la aceptabilidad de los enunciados y la solidez de los esquemas utilizados y se señala la maniobra estratégica implementada. Este análisis argumentativo invita a reconocer la importancia de adoptar un punto de vista crítico objetivo frente a los compromisos teóricos o ideológicos del argumento de los casos marginales a partir de la identificación de sus elementos discursivos.
Teoría de las cantidades conservadas: una tensión interna
Authors: Herrera Aros Manuel Jesús
Published: May 2018

En su intento de responder a la pregunta acerca de qué es una relación causal, la Teoría de las cantidades conservadas de Phil Dowe define ‘proceso causal’ como ‘línea de mundo de un objeto que posee una cantidad conservada’. Sin embargo, cuando Dowe se enfrenta a críticas plausibles, lo que originalmente se presentaba como una definición adquiere el estatuto de verdad contingente. En el presente trabajo se argumentará que esta tensión puede resolverse en dos direcciones diferentes, según que la identificación entre ‘proceso causal’ y ‘línea de mundo de un objeto que posee una cantidad conservada’ se interprete como una definición o como una mera caracterización, conduciendo a diferentes versiones de la teoría de la causación de Dowe.
Medical Educators’ conceptions about Generic Competences in Argentina: Contributions for consensus building
Authors: Ladenheim Roberta Inés , Hernández Cecilia Inés
Published: May 2018

Healthcare professionals’ education is evolving to meet people’s needs towards a more comprehensive, collaborative and interdisciplinary training. In medical education in Argentina, in the context of international discussions around competence-based education (CBE), competence frameworks are being developed for undergraduate and postgraduate education, constituting agreed criteria that lead to the design of training programs and work as key tools to ensure educational quality. The Tuning Project and other international frameworks account for this process towards a common definition of standards beyond geographic and disciplinary boundaries. Generic competences (GCs) have acquired increased relevance in CBE discussions, whereas in medical education they involve key skills for patient safety – yet clarity in their implementation still has to be accomplished. In competence-based medical education (CBME), some changes are being hindered by the absence of a common language as well as diverging ideologies and theories. The purpose of this work was to explore conceptions and the terms used when referring to GCs by people in charge of educational planning and design of Human Resources (HR) training policies in Argentina. A qualitative informants from different levels and fields in medical education. Interviews were conducted by one interviewer and analysed by two independent researchers. Results showed that medical educational planners have different conceptions regarding GCs and fail to share a common language to enunciate them. They acknowledge their relevance for patient safety and agree with the notion that, at this time of educational transformation, it would be useful to enunciate them separately from specific competences, although they realise that this involves potential risks in curricular design. From all terms used in this regard, “generic competence” was identified as a contradiction in itself. Consensus on denomination, meaning and visibility in curricula is mandatory.Received: 26 April 2018Accepted: 18 May 2018Published online: 31 May 2018
Treatment of Toe-to-toe Defect with Arterial Skin Flap
Authors: Zhu Jingbin , Shen Lei , Xia Ying , Guo Zhengui
Published: May 2018

Objective: To study the repairing effect of arterial skin flap on the toe defect. Methods: Six patients with hallux defect were treated in our hospital from February 2014 to February 2016. The skin flap of the thumb was used to repair the defect. Results: After the operation, the skin flap had symptom of venous crisis. One patient survived after the dressing and partial removal of the pedicle of the flap. The other 5 cases survived and the wounds were healed. The skin grafts in the donor site survived and the incision reached grade I healing. The average follow-up period was 10 months. The flap elasticity and texture were good. Patients’ foot felt with burden, with normal walking, without obvious discomfort and without ulceration. Conclusion: The toe-to-toe defect is repaired with the arterial skin flap. The skin flap does not cause damage to the blood vessels, and the clinical result is ideal.
Evaluation of Cardiac Coronary Artery in Children with Kawasaki Disease by Echocardiography
Authors: Zhu Lin
Published: May 2018

Kawasaki disease is an acute, unknown etiology of vascular inflammatory response syndrome, heart coronary artery changes as one of the main clinical manifestations of Kawasaki disease. How to determine the effective changes of coronary heart disease in children has become a lot of research scholars concern. With the continuous development of medical technology in recent years, echocardiography is widely used in the clinical diagnosis of various diseases and for the effective development of clinical treatment had a positive impact. A large number of research scholars found that by echocardiography, it can effectively achieve the diagnosis of coronary heart disease in children with Kawasaki disease, in order to lay a good foundation for the development of clinical treatment.
Clinical Observation of Coronary Artery Bypass Grafting with Heart Valve Replacement for Coronary Heart Disease with Heart Valvular Disease
Authors: Zhou Xiaoyu , Guo Jiong , Shu Liliang , Xu Jing
Published: May 2018

Objective: To analyze and explore the clinical observation of coronary artery disease with coronary heart disease and coronary heart disease (CHD) undergoing coronary artery bypass grafting. Methods: From December 2015 to December 2016, 80 patients with coronary heart disease and heart valve were randomly divided into two groups: observation group and control group (40 cases). The observation group was treated with coronary artery bypass grafting combined with simultaneous heart valve replacement. The control group was treated with coronary stent implantation and non-synchronous valve replacement. The improvement of postoperative cardiac function, postoperative hospitalization, adverse events and bridge patency were compared between the two groups. Results: The improvement of cardiac function and the incidence of adverse events were significantly better in the observation group than in the control group (P <0.05). The time of hospitalization and the time of ventilator were significantly shorter than those of the control group (P <0.05). The patency rate of the bridge was significantly higher than that of the control group (P <0.05). Conclusion: Coronary artery bypass grafting combined with heart valve replacement in patients with coronary heart disease complicated with valvular heart disease can achieve significant curative effect, which is more ideal and safer than coronary artery bypass surgery combined with non-synchronous valve replacement.
Design and Analysis of Balloon-expandable Stainless Steel Coronary Stent
Authors: Pan Xiaolin , Shi Gengqiang , Li Yuan , Wu Shanshan , Chen Long
Published: May 2018

This thesis uses “Volume Control” ballon-stent model, and according to results of deformation of a stent and vascular during implantation, we obtain the stress contours of the stent during implantation. The results conclude by ANSYS simulation show that during the implantation process, expansion of balloon body will make the narrow part of the blood wall fragment tough. After placement of the stent, due to blood flow in vessel makes that the inner wall of blood vessels has uneven distribution of shear stress; And, in the vicinity of the stent structure, it has a lower [7] shear stress to vessel wall. During the expansion of the stent, the maximum principal stress concentrate on the connection between coronary stent itself and stiffeners.
Observation on Clinical Efficacy and Safety of Amiodarone in the Treatment of Malignant Arrhythmia after Acute Myocardial Infarction (AMI)
Authors: Lu Jiazhong
Published: May 2018

To investigate the clinical efficacy and safety of ethylamine iodine in the treatment of malignant arrhythmia after acute myocardial infarction. Method: 35 patients with malignant arrhythmia after acute myocardial infarction were enrolled in our hospital from May 2013 to August 2014. The patients were treated with ethidium iodide load of 75-150 mg/times. The patients were treated with intravenous infusion of 0.5-1.0 mg/min micro pump at 15-20 min. The clinical curative effect and the heart rate were analyzed at 15 min, 1, 2 and 24 h after treatment respectively, mean arterial pressure changes and adverse reactions and so on. Results: The total effective rate was 91.43% in the clinical treatment. The heart rate, mean arterial pressure and the difference before treatment were significant (P <0.05) at 15 min, 1, 2, and 24 h after treatment and the drug dose was adjusted in 3 patients after bradycardia after return to the normal range. Conclusion: Ethylamine iodine can be used in the clinical treatment of acute myocardial infarction and malignant arrhythmia. It can achieve significant clinical curative effect, high safety and mild adverse reaction. It is worthy to be popularized and applied.
An Assessment of Risk Management Practices of SME Taxpayers in Malawi and their Impact on Tax Compliance
Authors: Binauli Nanthuru Stella , Pingfeng Liu , Guihua Nie , Lucas Mkonya Victoria
Published: May 2018

This study assesses understanding of Risk, and extent of risk management practices in Small and Medium Enterprise (SME) taxpayers in Malawi, subsequently, investigates their relationship with financial performance and tax compliance. The study focuses on unlimited business sectors of SME taxpayers which drew a representation of our sample of 324 SMEs, using Partial Least Square-Structural Equation Modeling (PLS-SEM) to analyze and test hypotheses. Results indicate that half of the SME taxpayers are aware of risks, but only 23% of respondents underwent any training on risk management. 90% of respondents revealed that tax rates are the most significant business constraint; value-added tax (VAT) being the most challenging tax to file. Most respondents identified risks through experience, with risk management practices centering on Chief Executive Officers. Empirical evidence on Path analysis and bootstrapping results established a significant relationship between understanding risks, risk management practices, financial performance and Tax compliance, which is positive, signaling a roadmap for risk mitigation if tax administration is to widen its SME tax net.
FDI Scenario in Uzbekistan: Current Reforms and Future Prospects
Authors: Nasritdinova Gulchehra
Published: May 2018

Foreign Direct Investment is considered as one of the most common types of capital flows especially in the case of developing countries. FDI has a significant impact on the economic growth of host country and stability of its macroeconomic indicators. The main aim of this paper is to analyze the FDI inflows in Uzbekistan, one of the developing countries of Central Asia, which is stated to receive a limited amount of FDI compared to other CIS countries. The paper describes the general environment in Uzbekistan after achieving its independence. Moreover, current reforms under the new government of Uzbekistan is taken into consideration in discussion part which is aimed to stimulate foreign direct investment. Since there is a limited number of studies undertaken to study FDI in Uzbekistan, the current paper derived most of its content from the research by Theodore Metaxas and Polyxeni Kechagia (2016) which shed light into the attraction of FDI in Uzbekistan. Additionally, this paper provides up-to-date information on new reforms being undertaken in Uzbekistan to attract Foreign Direct Investments.
Pintar las fuerzas: Deleuze y Nietzsche en la pintura de Francis Bacon
Authors: Rivera Zambrano Jennifer
Published: May 2018

El artículo propone una relación entre los análisis que del concepto de ‘fuerzas’ realiza Gilles Deleuze en sus textos Lógica de la sensación y Nietzsche y la filosofía, con ello se busca esclarecer el sentido y el estatuto filosófico del papel de las fuerzas en la pintura, en particular, respecto del análisis de la obra de Francis Bacon.
SIMULASI ANALISIS KORESPONDENSI UNTUK DATA TRACER STUDI DI TINGKAT SEKOLAH MENENGAH [SIMULATION OF A CORRESPONDENCE ANALYSIS FOR A TRACER STUDY WITH HIGH SCHOOL ALUMNI]
Authors: Yohansa Meicheil
Published: May 2018

A Tracer Study is research or a study of alumni tracking. Graduates or alumni are considered to have the most appropriate capacity to provide feedback as far as an evaluation of the institution is concerned. That is why the implementation of a Tracer Study is often attributed to the efforts of evaluation and improvement of the education system of an institution. Through the implementation of a Tracer Study, institutions can obtain information about possible deficiencies in the educational and learning process. In Indonesia, a Tracer Study is generally implemented to track alumni of a university and their associations in the working world. By seeing the usefulness of a Tracer Study at the university level, this study conducted an implementation of a Tracer Study at the high school level. The implementation itself focused on the determination of the respondent and the preparation of the questionnaire as a research instrument by accounting for the differences in the characteristics of high school and university graduates. The Tracer Study results were analyzed using correspondence analysis with Eigenvalue Decomposition (EVD). Data analysis was carried out on a case study about the relationship between non-academic activities and communication capabilities.

BAHASA INDONESIA ABSTRAK: Tracer Study dikenal sebagai suatu penelitian atau studi mengenai pelacakan alumni. Sedangkan alumni itu sendiri dianggap memiliki kapasitas yang paling tepat dalam memberikan umpan balik sebagai evaluasi terhadap institusi yang bersangkutan. Sehingga pada pelaksanaannya Tracer Study kerap kali dikaitkan dengan upaya evaluasi serta perbaikan sistem pendidikan dari suatu institusi. Melalui pelaksanaan Tracer Study, lembaga penyelenggara pendidikan memungkinkan untuk memperoleh informasi kemungkinan kekurangan dalam proses pendidikan dan pembelajaran. Di Indonesia, Tracer Study umumnya dilaksanakan untuk melacak alumni dari suatu perguruan tinggi dengan asosiasi terhadap dunia industri kerja. Melihat gambaran kebermanfaatan Tracer Study di beberapa perguruan tinggi, maka pada penelitian ini dilakukan adaptasi Tracer Study untuk dilaksanakan pada tingkat satuan pendidikan sekolah menengah atas (SMA). Adaptasi pelaksanaan Tracer Study di SMA menitikberatkan pada penentuan responden dan penyusunan kuesioner sebagai instrumen penelitian. Hal ini sebagai akibat dari perbedaan karakteristik lulusan SMA dan perguruan tinggi. Hasil Tracer Study dianalisis menggunakan Analisis Korespondensi dengan dekomposisi nilai eigen. Analisis data dilakukan terhadap studi kasus mengenai hubungan antara kegiatan non akademik dengan kemampuan komunikasi.