bluuebunny/crossref_metadata_2025 huggingface dataset:
Optimasi Distribusi Lubang Pada Balok Baja Kastela
Authors: Partono Windu , Sukamta Sukamta , Hardiyati Siti , Budi Listiyono
Published: September 2018

Balok baja kastela adalah profil baja yang dikembangkan dari profil I yang dipotong bagian badan dan disambung lagi sedemikian rupa sehingga membentuk lubang pada bagian badan.  Bentuk lubang profil balok  baja  kastela  pada  umumnya  adalah  persegi  enam  (heksagonal).  Pembuatan  balok  baja  kastela perlu  memperhatikan  jarak  antar  lubang  agar  balok  mempunyai  kemampuan  menahan  beban  tertinggi. Tulisan ini menyajikan hasil penelitian untuk menentukan jarak antar lubang yang optimum pada balok baja  kastela  dengan  mempertimbangkan  distribusi  tegangan,  deformasi,  dan  kelelehan  pada  balok tersebut.  Penelitian  diawali  dengan  perhitungan  menggunakan  metode  Elemen  Elemen  Hingga  (Finite Element  Method  /FEM)  kemudian  dilanjut  dengan  pengujian  di  laboratorium.  FEM  dilakukan  untuk menentukan  ukuran  dan  jarak  antar  lubang  optimum  pada  balok  kastela.  Variasi  sudut  bukaan  lubang dilakukan antara 45o sampai 70o. Hasil analisa FEM kemudian diujikan di laboratorium dengan ukuran dan jarak antar lubang optimum untuk mengevaluasi perbedaan hasilnya. Hasil penelitian menunjukkan lubang  profil  dengan  kemiringan  antara  45o  sampai  70o  sebaiknya  dibuat  dengan  jarak  antar  lubang antara 0.1 sampai 0.25 dari tinggi profil balok kastela dengan distribusi lubang terbaik adalah antara 5 sampai 7 lubang per meter.
Xanthogranuloma of the sellar region accompanied by growth hormone deficiency: case report and literature review
Authors: Kobayashi Mami , Yagasaki Hideaki , Kobayashi Koji , Ogiwara Masakazu , Kinouchi Hiroyuki , Sugita Kanji
Published: September 2018

Background

Xanthogranuloma of the sellar region is a rare entity. Its pathology is controversial and it is difficult to strictly differentiate it from craniopharyngioma or Rathke’s cyst.

Case presentation

We report a case of xanthogranuloma accompanied by growth hormone deficiency in an 11-year-old girl. She did not show any other pituitary hormone deficiency or neurological symptoms before operation. The preoperative diagnosis was craniopharyngioma, but histological findings showed small areas of epithelium. Thus, the final diagnosis was xanthogranuloma. Xanthogranuloma is an important cause of growth delay. We reviewed 16 cases reported after 2000, and included our case, of xanthogranuloma in children.

Conclusions

Endocrinological symptoms are often regarded as one of the few apparent symptoms in xanthogranuloma compared with craniopharyngioma. Therefore, we should follow up carefully and accumulate cases.
„Ich find’ das sowas von fies von Euch“ – Konversationsanalyse eines schulischen Konflikts
Authors: Alder Marie-Luise , Buchholz Michael B.
Published: September 2018

The video recording of a pedagogically awkward situation in a school class becomes the occasion of a conversation analysis (CA). At first, the conceptual instruments of CA appearing to be appropriate for the study of potentially violent situations are introduced. Then, the transcript is shown and four observations are discussed in detail. They focus the failure of a ceremony of demotion, the role of bodily stagings, the teacher’s doubtful authority and the difficulty of influencing not only behavior but also attitudes of pupils. It is suggested that CA should far more face such situations which constitute a great part of everyday life in school.
Momente der Begegnung werden zu Momenten der „Störung“ – Eine Einzelfallstudie des szenischen Erinnerns der Shoah anhand eines videografierten Zeitzeugengesprächs
Authors: Bleimling Jasmin
Published: September 2018

This article provides insight into the mixed-method-analysis of a testimony of a survivor of the Shoah. The aim of the study was to compare the clinical-hermeneutical understanding of the unconsciously re-enacted scenic memory of the Shoah with the results of objective methods. Relevant moments throughout the videographed conversation that indicated the scenic re-enaction of the traumatic experiences in the Shoah were understood as “Now Moments” or “Moments of Meeting” (Stern 2004). Those moments were assessed both by the clinically working Interviewer of the survivor Ms. K. herself as well as by independently applied empirical methods. A computerized Text Analysis System (CM, Mergenthaler 1997) identified Emotion-Abstraction Patterns and Narrative Styles in the transcript of the video, a computerized Motion Energy Analysis (MEA, Ramseyer 2010) measured and quantified movements in terms of synchronicity of the interacting dyad. An external validation was conducted by carrying out group hermeneutical discussions as additional clinical assessments of relevant moments in the video-testimony.
Vom Geschlechterkampf des 17. Kapitels in Pina Bauschs Kontakthof
Authors: Heller Veronika
Published: September 2018

This essay is about a short sequence of Pina Bausch’s Kontakthof with ladies and gentlemen over 65. It discusses the hypothetical question as to “how to dance tango without dancing a tango?” I argue that the principle movement topics and practices of the Argentine Tango such as leading and following or the cruz are transformed by choreographic modes. In this way they constitute the structure of the Pina Bausch stage sequence.
The collinear equilibrium points in the restricted three body problem with triaxial primaries
Authors: Alamri Sultan Z. , Abd El-Bar Sobhy E. , Seadawy Aly R.
Published: September 2018

The perturbed restricted three body problem has been reviewed. The mass of the primaries are assumed as triaxial. The locations of the collinear points have been computed. Series forms of these locations are obtained as new analytical results. In order to introduce a semi-analytical view, a Mathematica program has been constructed to graph the locations of collinear points versus the whole range of the mass ratio μ taking into account the triaxiality. The resultant figures have been analyzed
(Safer-)Sexting und Cybermobbing.Scham als religionspädagogische Herausforderung für das medienethische Lernen
Authors: Rosenstock Roland
Published: September 2018

Digitales Lernen in religiösen Bildungsprozessen befasst sich besonders mit medienethischen Fragestellungen. Sexting und Cybermobbing werden als riskantes Mediennutzungsverhalten von Jugendlichen bewertet. Im Rahmen der schulischen Präventionsarbeit wird daher vor allem die Schuldfrage thematisiert. Die besondere Herausforderung für die Religionspädagogik besteht in der Wahrnehmung der Schamerfahrungen für die Identitätsentwicklung von Mädchen und Jungen in den erweiterten sozialen Räumen der digitalen Kommunikationsmittel. In Anlehnung an die Schamethik von Klaas Huizing und der medienweltorientierten Religionsdidaktik von Manfred Pirner verfolgt eine evangelische Mediennutzungsethik der Schamsensibilisierung (Kristian Fechtner) das Ziel der Kompetenzentwicklung von Mitgefühl und Widerstandsfähigkeit.
Da ist nichts! Oder doch? – Die empirische Wahrnehmung von Religiosität und Kirchlichkeit Jugendlicher im Spiegel kirchentheoretischer Überlegungen
Authors: Kretzschmar Gerald
Published: September 2018

Der Beitrag analysiert fünf empirische Studien, die gegenwärtig in der kirchlichen Arbeit mit Jugendlichen diskutiert werden, und erkundet, ob und wie die Befunde der Studien für die kirchlich-religionspädagogische Arbeit mit Jugendlichen genutzt werden können. Die leitende Hypothese lautet: Je nachdem wie eine Studie die Kirche und das Verhältnis Jugendlicher zur Kirche wahrnimmt, sind die Befunde für die kirchliche Arbeit mit Jugendlichen nutzbar oder nicht. Auf dieser Grundlage werden schließlich die Studien benannt, die für die kirchliche Arbeit mit Jugendlichen fruchtbar gemacht werden können, und handlungsorientierende Impulse für die kirchliche Arbeit mit Jugendlichen formuliert.
Tumor characteristics and surgical outcome in incidentally discovered pheochromocytomas and paragangliomas
Authors: Chen Xinlei , Hu Liru , Liu Caojie , Ni Guangcheng , Zhang Yuwei
Published: September 2018

Objective

The proportion of incidentally discovered pheochromocytomas and paragangliomas (PPGL) has increased over time. However, our knowledge of them is quite limited. The purpose of this retrospective study is to generalize the commonalities in incidentally discovered PPGL, offer evidence for clinical diagnosis and management.

Methods

Five hundred twenty-six patients were included in our study after filtration from the database of West China Hospital of Sichuan University between May, 2007 and December, 2016. Among the patients, 148 of them were incidental findings and 378 of them were suspected findings. All patients’ demography and tumor characteristics were recorded in detail, especially hemodynamic records and hormonal assays. The reasons for taking radiography were also collected. Most patients received preoperative medical preparation. Intraoperative and postoperative courses as well as surgical outcomes were also analyzed to identify differences between incidental findings and suspected findings.

Results

Incidentally discovered PPGL took up 28.1% of the study population. Suspected PPGLs had a higher prevalence of hypertension, lower proportion of non-functioning PPGL, higher prevalence of MEN2 and better post-surgical blood pressure recovery than incidental finding group. However, patients in the incidental finding group showed no significant difference in preoperative blood pressure and hormonal assays with suspected findings in metaphrine and normetaphrine in plasma and urine (P > 0.05).

Conclusions

Due to the development of technology, more PPGLs are discovered incidentally. Considering the tumor characteristics and surgical outcome, surgical decisions should be made more cautiously.
The determinants of early breast cancer detection via breast self-examination (BSE) in Denpasar, Bali
Authors: Febriyanti Ni Made Ari , Lubis Dinar , Wirawan Dewa Nyoman , Suariyani Ni Luh Putu , Karmaya Mangku
Published: September 2018

AbstractBackground and purpose: Breast cancerÂ isÂ theÂ leading cause of death in females, followed by colorectalÂ cancer.Â Early detection of breast cancer canÂ be done through breast self-examination (BSE).Â BSE behaviour is influenced by an individualâ€™s level ofÂ knowledge and perceptions of the procedure.Â This study examines the determinants of BSE behaviour inÂ marriedÂ womenÂ agedÂ 15-49Â inÂ six villagesÂ in the working area of Puskesmas (public health centre) II in West Denpasar, Bali, Indonesia.Methods: A cross-sectionalÂ surveyÂ was employed with 180 respondents selected byÂ multistage randomÂ sampling.Â Data were collected using standardised questionnaire carried outÂ from November-DecemberÂ 2016.Â Multiple poisson regression was used to identify the determinants of the BSE behaviours.Results: TheÂ proportion ofÂ respondents whoÂ performed BSEÂ in the three months prior to interviewÂ isÂ 55.6%, and, of these, 50.0%Â reported performing BSEÂ regularly.Â Multivariate analysis shows theÂ significant determinants ofÂ BSE are: high-schoolÂ and aboveÂ (APR=Â 2.03;Â 95%CI:1.41 toÂ 2.92);Â having a good knowledge of BSE (APR=1.41; 95%CI:1.09 to 1.82);Â perceived benefits Â (APR=2, 24;Â 95%CI:1.53-3.29); perceived lowÂ barrierÂ (APR=1.63;Â 95%CI:1.16-2.29); and high self-efficacy (APR=1.50;95%CI:1.16-1.95).Conclusions: Level of education, good knowledge of BSE, perceived benefits, perceived lowÂ barriers, and high level of self-efficacyÂ are the significant determinants of BSEÂ practice. These findings suggest that education on BSE should be enhanced, particularly for women with lower levels of education.
The Mahabharata of Vyasa: Book XII The Complete Shanti Parva. Part 2: Moksha-Dharma. Translated from Sanskrit by Pradip Bhattacharya
Authors: Chaitanya Satya
Published: September 2018

The Mahabharata of Vyasa: Book XII The Complete Shanti Parva. Part 2: Moksha-Dharma. Translated from Sanskrit by Pradip Bhattacharya. Kolkata: Writers Workshop, 2015. 1112 pp., Rs. 2000. ISBN 978-9-350-45122-9.
Consolidation behaviour of double-porosity clay using flexible wall permeameter
Authors: Juneja Ashish , Chafale Anurag Shantaram
Published: September 2018

Restoration of a site that has previously been prepared using dredged clay is a serious geotechnical challenge. Much of these clays exists as lumps suspended in slurry. These double-porosity soils consolidate due to the expulsion of water from the voids within each lump and the voids between the lumps. Due to this complex nature, the conventional theory of consolidation is not applicable to them. This study discusses the laboratory consolidation test results of double porosity samples. The tests were conducted on 10–30 mm clay lumps. The size, initial packing and the stiffness of the lumps were the variables. At low confining pressure the 30 mm lumpy samples experienced a significantly higher deformation than the 10 mm lumpy samples. In all the tests, the lumps and slurry merged to close the inter-lump voids as confining pressure neared or reached the pre-consolidation lump pressure. This paper also discusses the use of a simple constitutive relationship to model the behaviour of double-porosity fill. It uses the structured clay framework to describe the volumetric strain in the double-porosity samples by using two parameters, in addition to those required in the critical state soil mechanics. A parametric study demonstrated the capabilities of this model.
Acrolein + PFA perfusion for immunocytochemistry v1
Authors: V Helena Cleyde
Published: September 2018

Appropriatetissue fixation is essential for a good quality immunocytochemistry (ICC). There are several fixation methods, but "whole body" or "target" perfusion of the animal is one of the most efficient methods. Most perfusing protocols include only paraformaldehyde, but acrolein penetrates tissue more rapidly, improving final fixation of the tissue.
Exploring the Association between Religious Values and Communication about Pain Coping Strategies: A Case Study with Vietnamese Female Cancer Patients
Authors: Nguyen Thuy Ho Hoang
Published: September 2018

This study explores the association between the values of dominant religions in Vietnam and the communication about pain coping strategies employed by Vietnamese women who have cancer. Data was collected by means of in-depth interviews with twenty-six Vietnamese female cancer patients. Content analysis was then utilised to describe and interpret the women’s pain talks. Participants proposed six religion-related pain coping strategies, including accepting pain, bearing pain on one’s own, trying to change karma, being positive about pain, managing to forget pain and sharing pain when it becomes unbearable. The findings reflected that the religious values of Confucianism and Buddhism are associated with the patients’ communication about the strategies they employed to cope with their pain. Moreover, the language of communicating pain coping could be mapped onto the categories of passive language and active language, within the religion framework. The research has thus also confirmed the role of language in the communication about pain experience.
On the Content of the Pre-service Teachers’ Teaching Reflection in the Practicum
Authors: Wang Ling
Published: September 2018

Reflection plays an effective role in promoting teachers’ professional growth and improving teachers’ overall quality. As for Pre-service teachers, teaching practice is an indispensable period for their professional development. Therefore, reflective consciousness and ability should be trained in their practicum. This paper fully elaborates the importance of reflective consciousness for middle school pre-service teachers in the practicum from the contents of the pre-service teachers’ teaching reflection: classroom teaching, student study, teacher-student interaction, teachers’ development and education environment. From the research ,we find pre-service teacher often reflect on classroom teaching, student study and teacher-student interaction. The other two parts are usually neglected.
The Effects of Kindness in Saadi's Bustan
Authors: Mozaffari Nasrin , Siyanat Faranak , Khubanian Mina , Khansir Ali Akbar
Published: September 2018

This study intends to highlight the effects of kindness in one of the best literature and poetry books called "Bustan" in the world. Every poetry is a model of culture and civilization to the human world.  Persian literature is one of the richest literatures over the world. Persian poetry is one of the most fruitful branches of the world literature in the area of aphorism. One of the main topics of aphorism is about kindness which is typified in its greatest mood in Saadi's Bustan. Kindness and love are good ethos which has been recommended to man in all of the moral Scriptures. Understanding the effects of kindness is the least thing a man can do to foster a spirit of love in him and others. Therefore, choosing this book, ''Bustan'', which is full of the effects of kindness, is one of the best choices. The main aim of this article is to investigate the effects of kindness from Saadi's viewpoint in "Bustan,".
The Role of Intercultural Communication Competence in Iranian EFL Learners' Demotivation: An Examination of the Predicting Causes
Authors: Kurosh Shabnam , Kuhi Davud
Published: September 2018

Preparing effective language learners who are ready to engage with speakers from different linguistic and cultural backgrounds and to become internationally competent is a significant and challenging task. It is expected that language teaching programs need to provide the opportunity for learners to develop intercultural competency and learner beliefs through raising awareness about intercultural differences. Therefore, the instructional experience is prerequisite in preparing learners to become aware and supporter of the cross-cultural issues that can either facilitate or hinder learners’ achievement. This study intends to explore the relationship between intercultural competence of the learners and their experienced degree of demotivation as expressed by them at the university level. Intercultural competence was operationalized as a multidimensional notion comprising the communication effectiveness, adaptation, social integration, knowledge of the target culture, and language competence. Findings of regression analysis highlighted that only the social integration and adaptation components could predict the degree of demotivation. Additionally, the correlation results revealed a strong relationship between the language competence and communication effectiveness components of intercultural competence. According to the obtained findings, the possible clarifications for the contribution of intercultural competence components to the demotivation of learners were elaborated.
On the Chinese Complex in My Several Worlds: A Personal Record
Authors: Peng Ruihong
Published: September 2018

Pearl S. Buck’ description on the Republic of China in the 1930s based on her own life experiences in Anhui province and Jiangsu province has created for it a complex but unique image which has been controversial since its birth. Her inclusive and understanding attitude toward cultural exchange between China and the west is very worthy of advocating. Pearl S. Buck was always inclined to her “second motherland”, and took Chinese and Western folk cultural exchanges as her noble mission. She had a quite strong attachment to China in her whole life, while the West misunderstood and excluded Chinese culture, and there were major obstacles to cultural exchanges. Therefore, Pearl Buck and her works were misunderstood and criticized by Chinese readers in a quite long historical period, sharply contrasting her lifelong love for China and her tremendous contributions to the Chinese people. In the global context, we have studied Pearl Buck again, with a view to cherishing her friendship with Chinese people and emphasizing her unique cultural value and practical significance to China.
Does an Absent Left Main Lead to a Main Event?
Authors: MacDonnell Sheila , Papazian Lisa M.
Published: September 2018

This is a case report of a 29-year-old, male applicant for life insurance who was discovered to have an absence of the left main coronary artery (LMCA), with the left anterior descending coronary artery (LAD) and left circumflex coronary artery (LCX) each arising directly from the left sinus of Valsalva. A brief review of several types of coronary artery anatomic variants will be presented.
LA TERCERA VÍA
Authors: VILLA VILLA SANDRA IRINA
Published: September 2018

En el espacio funcional de la democracia liberal ha venido primando con mucho vigor la praxis del “capitalismo salvaje”, una tesis económico-política que pugna por consolidar a toda costa el incremento de los valores bursátiles vinculados a los inversionistas más poderosos; sin parar mientes acerca de la ruina de los pequeños empresarios y la pauperización creciente de las mayorías poblacionales. Es de esta forma que la macroeconomía de ciertos países emergentes “crece” formalmente en los guarismos estadísticos, al tiempo que, en patético contraste, se ahonda la desigualdad real entre los pocos que tienen mucho y los muchos que no tienen nada.
Una aproximación cognoscitiva sobre la medición y valoración del medio ambiente bajo el paradigma contemporaneo
Authors: Carbal Herrera Adolfo
Published: September 2018

This article contains the early reflections of the author on environment and accounting’s relationship under the contemporary paradigm. It presents a reflection on the traditional conception of the measurement and valuation in accounting which exposes the insufficiency of the orthodox accounting tools for the nature approach: such situation requires a rethinking of such rationality and therefore in the last paragraphs of the book, bold arguments are put forward and they can be a basis for the development of structures or accounting methodologies (for measuring and valuation) more suitable to the environmental reality.
El marketing social una respuesta del mundo mercantil al desarrollo sostenible
Authors: Bustillo Castillejo María Cristina
Published: September 2018

This article brings about a reflection around the new practices of the marketing argument sciences generating values, creating a world of relationships and seeking a social benefit. It will start by describing the concept of sustainable development and its first expressions and debates that emerged around it worldwide; then it will analyze the corporate social responsibility as a methodology currently implemented by the companies to contribute to the sustainable development from their commercial and manufacturing activities and since one of the players affected by that activity, the consumer, is every time more knowledgeable and critical, he demands transparent and ethical marketing practices to which the companies and institutions have been obliged to respond by means of the application of social and causal marketing.
Relación entre energía, medio ambiente y desarrollo económico a partir del análisis jurídico de las energías renovables en Colombia
Authors: Pereira Blanco Miltón José
Published: September 2018

The present paper pretends to articulate the concepts of energy, environment and economic growth from a triple and indissoluble relation, which implies a necessary connection between the energetic market and clean energies in order to talk about the existence of an energetic law. This stems form the following problem: what has been the level of development and promotion of the renewable energies in the energetic policy of Colombia? In this paper our thesis is aimed to address the indissoluble relation between energy, environment and development and, therefore it is considered that energetic law must incorporate structural elements of the environmental law. Likewise, our thesis sustains the indispensable role of the energetic regulation as a mechanism to solve the energetic problems. Finally, we conclude that the level of development and promotion of the renewable energies has been very low and at times deficient since it has barely tackled the activities of promotion. In like manner, there is no evidence of a normative treatment articulated between the environment, energy and development, despite the fact that the Law 99 in 1993 indicates the environmental goals, nevertheless, it is not mentioned what the energetic and environmental articulation looks like in their normative guidelines.
Análisis del precedente judicial y sentencia de unificación jurisprudencial en la ley 1437 de 2011: del precedente constitucional al precedente contencioso administrativo
Authors: Bechara Llanos Abraham Zamir
Published: September 2018

This article aims to make an analytic approximation of the implementation in the jurisdiction of the contentious administrative, of the technique of the judicial precedent. It is worth noting that this theoretical proposal will be mainly addressed from the technique of the jurisprudential precedent, which comes from our constitutional tribunal or Constitutional Court in Colombia. Since the juridical precedent tool has preeminence in our juridical system as a right that is strongly produced by the iuspretorium or right of jurisprudential production. In order to do this we will tackle the argumentative construction from two main topics such as: (i) the binding nature of the judicial precedent in the contentious administrative matter: developments in constitutional matter and its relation with the contentious jurisdiction. (ii) Analysis of the judicial precedent and jurisprudential unification sentence in the law 1437 in 2011: with the purpose to preserve the principle of juridical security.
¿Es el derecho ciencia?
Authors: Mercado Pérez David
Published: September 2018

In Colombia law studies are made with the certainty that law is a science and that that status is incontrovertible. Long time ago, the Cartesian concept of science was debunked and therefore that of juridical science based on the method of Descartes since the “principle of uncertainty” of Heisenberg deduced from the quantic theory and the relativity of the ontological truth, consequence of the theory of relativity of Einstein, tells us that it is the subject the one who previously determines how he wants and what he wants to know of the phenomenological universe and that the “truth” as an absolute given just once and forever does not exist, for it is the result of the measurements that the subjects makes within and from the space-time coordinates that it occupies. There is not a universal definition of what science is, that is impossible, since it is from the concepts of uncertainty and relativity that we need to broach the phenomena, this implies accepting that never will we know everything, so, How should we set a unique concept on this mutating world and knowledge? To know if law is a science depends on locating the range of phenomena that we call “juridical” in this new coordinates of human thought.
Impacto de los egresados de los programas técnicos laborales. Una panorámica nacional e internacional del estado del arte.
Authors: Manning Bula Liliana
Published: September 2018

This work belongs to a research titled “ The labour technical formation in Colombia, sector of systems and telecommunications: Impact of its graduates. The case of Montería, Cordoba (1996-2012). For this case we present the current state of the art of research on studies of evaluation of the impact of the labour technical programmes on a general level and especially of its graduates in order to know which are the main research tendencies on this problem as well as its results. In this way, we take a tour through the different studies made in Europe, Latin America and Colombia. We conclude that research tends to evaluate problems such as the articulation between the educative and the production sector, the quality of the formation and its pertinence, as well as its labor insertion and access to the education of the most vulnerable populations of society.
Estado actual de la contabilidad verde en Colombia
Authors: Chamorro González Candy Lorena
Published: September 2018

This paper is the result of a research project currently under development, titled “Green Accounting in Colombia”. Its objective is to address the current status of “Green Accounting” in Colombia. This research involves studying the legal framework, challenges and progress, as well as implementation and execution in Colombian companies. This work surfaces from the disturbing global environmental situation. Accountants cannot remain aloof to this problem and their daily work should generate ways to contribute to environmental conservation. This type of research is descriptive based on documentary analysis. Partial results obtained show that many of the economic entities in Colombia have environmental policies, and some others have had environmental accounts. Previous investigations show that the progress in this area is significant because the companies have decided to be aware of the situation seeing that Green Accounting constitutes a valuable management tool for decision-making
determinación de bacteriocinas en muestras de consorcios microbianos nativos de ecosistemas de manglar en el departamento del atlántico, como fuente potencial de nuevos tratamientos biomédicos
Authors: Galván Carbonó Vanessa , García Cuan Aracely
Published: September 2018

Los manglares son ecosistemas con gran diversidad microbiana; la presión de las condiciones físicas de este, se ha relacionado con la producción de metabolitos con estructuras moleculares únicas para los microorganismos. Dado el desarrollo de resistencia bacteriana a antimicrobianos a nivel mundial, se hace necesaria la búsqueda de nuevas soluciones que nos permitan contrarrestar los efectos de dichos patógenos.

En este estudio, se buscó aislar, identificar y evaluar la actividad antimicrobiana de bacteriocinas producidas por microorganismos nativos del ecosistema de Manglar de la Ciénaga de Mallorquín, frente a microorganismos patógenos de interés clínico.

Se comprobó actividad antimicrobiana leve del extracto CN11, CN 8, P4C3, frente a S. Aureus ATCC 25923, actividad antimicrobiana leve del extracto de P4C3 frente a E. coli BLEE, actividad antimicrobiana leve frente a Klebsiella Pneumoniae ATCC 700603 de los extractos P4C3 y CN9; y actividad antimicrobiana moderada para el caso del extracto proteico de la cepa CN9 frente a E.coli ATCC 25922
Screening tiroideo universal: beneficio potencial o costo innecesario
Authors: Reales Nájera Francisco Javier , Barceló Lara Walter Antonio
Published: September 2018

La enfermedad tiroidea representa un riesgo de morbilidad obstétrica durante la gestación; afecta el desarrollo fetal y los resultados en la vida postnatal. Sin embargo las distintas guías de manejo no recomiendan el tamizaje tiroideo. En este artículo se presenta una revisión de la literatura disponible en los últimos 5 años con respecto a la patología tiroidea y su asociación con los resultados perinatales y obstétricos adversos. Los hallazgos muestran que el hipertiroidismo no representa actualmente un objeto de discusión en cuanto al diagnóstico y al manejo. Por otra parte, el hipotiroidismo afecta aproximadamente el 3-5% de los embarazos y el tipo subclínico corresponde al 80% de ellos, siendo hoy el elemento principal de la controversia, debido a la posibilidad  de que existan un grupo de pacientes subclínicas que se comportarían como hipotiroideas clínicas y para las cuales se hace necesario ajustar los parámetros diagnósticos y de manejo.
Fenómeno de raynaud. Reporte de caso
Authors: Guerrero García Augusto
Published: September 2018

Se presenta el caso de una paciente femenina de 41 años de edad, con antecedentes de artritis reumatoide, lupus discoide, anemia ferropénica, en tratamiento con cloroquina 150 mg día, prednisolona 40 mg día, ácido fólico 1 mg día ; quien ingresa por cianosis distal de 3 y 4 falange mano derecha posterior a exposición a frio. Paraclínicos evidencian leucocitosis con neutrofilia, anemia microcítica hipocrómica, trombocitos, proteína c reactiva, anticuerpo anticitruilina positivos, complemento, anti DNA, anticuerpos anti cardiolipinas, anticuerpos anti fosfolípidos negativos, radiografía de manos con osteopenia peri articular, Se inicia hidratación, corticoides, ciclo de ciclofosfamida, presentando posterior mejoría clínica y se procedió a dar la alta médica para realizar segundo ciclo al mes.
Hernia diafragmática congénita de presentación tardía
Authors: De la Hoz Mendoza Ingrid , Santana Fontalvo Milena , Escamilla Gil María , Miguel Escamilla José , Segovia Fuentes Javier , Tirado Pérez Irina
Published: September 2018

La hernia diafragmática congénita de presentación tardía (HDCT) es una entidad infrecuente, representa del 5 a 20 % de todos los casos de hernia diafragmática congénita. La presentación clínica, diagnóstico y tratamiento difiere de la hernia de presentación neonatal, dada la ausencia de hipoplasia e hipertensión pulmonar.  El amplio espectro clínico de la presentación tardía o su hallazgo radiológico incidental, pueden plantear un desafío diagnóstico; la demora en su detección y abordaje aumentan la morbimortalidad y ensombrecen el pronóstico.

Presentamos el caso de una escolar de 8 años de edad a quien se le diagnostica una hernia diafragmática congénita izquierda y se hace revisión del diagnóstico, tratamiento y pronóstico de la enfermedad.
Machine learning algorithms for inter-cell interference coordination
Authors: Trejo Narváez Omar Albeiro , Miramá Pérez Víctor Fabián
Published: September 2018

The current LTE and LTE-A deployments require larger efforts to achieve the radio resource management. This, due to the increase of users and the constantly growing demand of services. For this reason, the automatic optimization is a key point to avoid issues such as the inter-cell interference. This paper presents several proposals of machine-learning algorithms focused on this automatic optimization problem. The research works seek that the cellular systems achieve their self-optimization, a key concept within the self-organized networks, where the main objective is to achieve that the networks to be capable to automatically respond to the particular needs in the dynamic network traffic scenarios.
Guidance scheme for paths without temporary restrictions using the Krick Felix model boat under the influence of sea currents
Authors: Miranda Jiménez Leidys , Yunier Valeriano-Medina Yunier , Camero Álvarez Ángel
Published: September 2018

The autonomous surface vehicles are composed of a guidance, navigation, and control systems where the first one plays an important role in missions without human intervention. This article presents the design of a guidance system made of an I-LOS controller, where its purpose is to achieve the convergence and the precise following of straight paths, regardless of the sea currents presence. The controller gains adjustment is performed according to the vehicle features and the geometry of the path to follow. The proposed guidance algorithm is assessed through simulation, obtaining favorable results.
LIES: Learning Immersive Experiences Significative
Authors: Madriñán Rodríguez Patricia
Published: September 2018

Virtual education is progressively replacing the classrooms, then having a face-to-face class is becoming a luxury. This paper proposes a way to take advantage of this opportunity for direct human exchange with technological support, but focusing the pedagogical activity on a living experience where the apprentice is the protagonist. Although pedagogical mediation requires a lot of preparatory work, has advantages: make simple its implementation and facilitate its replica by almost any individual who had received enough training. High-level educational experiences in many scenarios are enabled, joining the virtues of both: tangible and intangible worlds. A particular case, where a methodological structure based on the breathing –with its expansions and its contractions– as pedagogical process is proposed, and its educational components are explained
Analytical study of cause and risk factors of severe anemia in third trimester of pregnancy at tertiary care center
Authors: Agarwal Juhi , Meravi Archana , Badkur Poorva
Published: September 2018

Background: Anemia during pregnancy is a global public health challenge facing the world today. Among the South Asian countries, WHO estimate that India has the highest prevalence of anemia in pregnancy. Prevalence of anemia in pregnant Indian women is 49.7%, against the global prevalence of 41.8% (WHO 2008). In India, the prevalence of anemia is high because of ignorance, poverty, fewer intakes of iron, folic acid and food sources and gender bias significantly contribute to this high prevalence. Hence, this study aims to identify the risk factors and red cell morphological pattern that contribute to the presence and severity of anemia among pregnant women at the Sultania Zanana hospital, Gandhi Medical College Bhopal.Methods: The present study was conducted in Department of Obstetrics and Gynaecology, Sultania Zanana Hospital, Gandhi Medical College, Bhopal, Madhya Pradesh, India. The study included all pregnant women at third trimester who was admitted at Sultania Zanana hospital, Bhopal from January 2016 to December 2016 having haemoglobin level < 7 gm /dl. This is a Hospital- based Observational study. The sample size was calculated to be 500.Results: The following conclusion were drawn from this study. Poverty, early marriage, multiparity, poor nutrition, parasitic infections and lack of antenatal visits and antenatal care due to illiteracy and ignorance are probably the most important features responsible for severity of anemia. Maximum patients of anemia were in the age group of 21-35 Years. The majority of patients (62.8%) were rural. Majority of cases (65.4) belongs to low-socioeconomic class followed by (29.8%) belongs to middle socio-economic category. Most of the patients were multigravida (68.6%) most of them came from poor and illiterate class of society (74.2%) followed by women less than 20-year-old (18.8%). Majority of patients had education level (43.0%) below 10th standard.Conclusions: This study was undertaken to find out the various risk factors that contribute to the severity of anemia.
Anesthetic complications in cesarean section
Authors: Borkar Patil Vijaya P. , Upadhye Jayshree J.
Published: September 2018

Background: Obstetric anesthetists need to face with the unique situation of providing anesthesia for caesarean sections, where they have to provide care for both the mother and the unborn baby. This study was performed in 100 women who underwent cesarean section, either elective or emergency to evaluate type of anesthesia, anesthetic complications and neonatal outcome.Methods: A retrospective study was conducted in 100 women with singleton pregnancy undergoing cesarean section in the department of Anesthesiology in collaboration with department of Obstetrics and gynecology at Dr PDMMC and Hospital, Amravati from January 2017 to March 2018. Detailed information regarding medical and obstetric history, intrapartum course, postpartum complications diagnosed before hospital discharge, and infant outcome were collected directly from maternal and infant charts. Other details like age of the patient, parity, type of cesarean section and type of anesthesia was noted. American Society of Anesthesiologists (ASA) scores and type of anesthesia was noted.Results: In our study, spinal anesthesia was given in 62 (62%) patients, epidural anesthesia was given in 20 (20%) patients, combined spinal-epidural anesthesia was given in 10 (10%) patients while general anesthesia was given in 8 (8%) patients. Anesthetic complications were less. About 10 (10%) patients had spinal headache, 4 (4%) patients had failed regional anesthesia, 2 (2%) patients had failed intubation while 2 (2%) patients had high spinal anesthesia. Babies of 96 (96%) patients had Apgar score at 5 minutes of more than 7 and babies of 4 (4%) patients had Apgar score at 5 minutes of less than 7. Only babies of 2 (2%) patients required intubation for resuscitation.Conclusions: This study provides strong evidence that the guidelines recommending regional block over GA for most cesarean section. It is beneficial for neonates as well as for mothers.
Entre o contratual e o polêmico: valor e representatividade nas narrativas mercadológicas
Authors: Martyniuk Valdenise Leziér , Silva Simone Bueno
Published: September 2018

Na configuração midiática contemporânea em rede, discursos antes consolidados por vozes autorizadas que eram construídas a partir de relações unidirecionais são alterados para uma dimensão horizontal, em meio à proliferação de sujeitos que passam a se posicionar na disputa de narrativas.  Indivíduos comuns e grupos sociais organizados, que costumavam desfrutar de baixa visibilidade, têm sua competência de enunciação estendida. Aumenta, assim, a incidência de discursos opostos. Diante desse risco, importantes marcas retomam sua posição de autoridade na publicidade, adotando a estratégia de assumir valores polêmicos em suas narrativas, como modo de atingir a visibilidade. Exemplares desses fenômenos da dinâmica do poder são analisados sob a perspectiva da sociossemiótica, ancorada na teoria semiótica de Greimas.
E elxs viverão felizes para sempre? (in)visibilidades de personagens LGBTs em produções da Disney como força propulsora de ciberacontecimentos
Authors: Viero Kolinski Machado Felipe , Gonzatti Christian , Esmitiz Francielle
Published: September 2018

A partir dos sentidos que emergiram no Twitter em torno da possibilidade da rainha Elsa, da animação Frozen (2013), ser lésbica, dos beijos entre personagens do mesmo gênero no desenho Star contra as Forças do Mal (2015) e da inserção de uma personagem gay no filme A Bela e a Fera (2017), tensiona-se o que a visibilidade dessas questões em produções da Disney aponta em relação às articulações entre cultura pop, ciberacontecimentos e questões de gênero e de sexualidade. A metodologia empreendida é a de análise de construção de sentidos em redes digitais (HENN, 2014) e, ao final dela, foi possível constatar, em linhas gerais, que a inserção dessas personagens produziu intensa reverberação, entre usuários e portais noticiosos e, ainda, movimentos de apoio e de ojeriza à iniciativa.
Usos da “fé inteligente”: a hermenêutica empreendedora da IURD
Authors: Salgado Julia , De Paula Santos Leandro
Published: September 2018

O artigo discute a exaltação da subjetividade empreendedora entre o público neopentecostal, tendo como referência empírica interpretações de histórias bíblicas feitas pela Igreja Universal do Reino de Deus. Tematizamos a noção do “empreendedor”, sua transformação histórica e sua massiva popularização hoje, argumentando que uma das tarefas primordiais da racionalidade neoliberal consiste na substituição da ideia do sujeito-trabalhador pela do sujeito-empresa. Esse ideário parece dialogar com dinâmicas atuais da Teologia da Prosperidade no Brasil, analisadas a partir da construção da subjetividade empreendedora sob inspiração bíblica.
Editorial
Authors: Cogo Denise , Casaqui Vander
Published: September 2018

Editorial
Hubungan Indeks Massa Tubuh dengan Lemak Tubuh dan Distribusi Tekanan Plantar saat berdiri dan berjalan pada anak usia 8-10 Tahun
Authors: Sumali Stefanus Satria , Kusumaningtyas Sasanty , Tamin Tirza Z
Published: September 2018

Indeks massa tubuh (IMT) merupakan parameter seorang anak kurus, normal, gemuk ataupun obese. Kegiatan anak mempengaruhi kadar lemak tubuh karena konsumsi karbohidrat yang berlebihan tanpa disertai aktivitas yang seimbang menyebabkan penumpukan lemak sebaliknya bila energi tersebut tidak dapat memenuhi kebutuhan maka lemak akan digunakan untuk memenuhi kebutuhan tersebut yang mengakibatkan berkurangnya kadar lemak tubuh. Demikian juga dengan distribusi tekanan plantar karena anak obese dengan aktivitas rendah, tekanan plantar lebih tinggi dibandingkan anak obese dengan aktivitas tinggi sehingga aktivitas subyek penelitian harus dihomogenisasi untuk memperoleh hasil yang akurat. Penelitian ini bertujuan untuk mengetahui hubungan IMT (kurus, normal, gemuk dan obese) dengan lemak tubuh dan distribusi tekanan plantar saat berdiri dan berjalan pada anak usia 8-10 tahun. Metode : desain penelitian adalah observasional cross sectional / potong lintang dengan jumlah 33 anak sebagai subyek penelitian dengan lifestyle sedentary. Penelitian dilakukan dengan mengukur kadar lemak tubuh menggunakan timbangan Tanita dan puncak tekanan (peak pressure) dengan menggunakan alat Matscan. Tekanan plantar diukur saat berdiri dan berjalan. Anak dengan IMT gemuk mempunyai korelasi yang kuat dengan lemak tubuh (r=0,6333) dan anak dengan IMT obese  mempunyai korelasi yang sangat kuat  terhadap lemak tubuh (r=0,8) sedangkan anak dengan IMT kurus juga mempunyai korelasi terhadap lemak tubuh tetapi korelasinya lemah (r=0,2582). IMT juga berhubungan dengan distribusi tekanan plantar saat berdiri dan berjalan terutama daerah midfoot sedangkan untuk anak kurus ditemukan adanya peningkatan tekanan pada daerah hindfoot sewaktu heelstrike. IMT berhubungan dengan kadar lemak tubuh dan distribusi tekanan plantar terutama pada anak dengan IMT gemuk dan obese. 
ANTIBIOTIC SUSCEPTIBILITY IN UROPATHOGEN FROM INTENSIVE CARE PATIENTS WITH URINE CATHETER
Authors: Wibowo Angeline Nifiani M , Cucunawangsih Cucunawangsih
Published: September 2018

Background: Multi-Drug Resistance Organisms (MDROs) are defined as organisms that acquired non-susceptibility to more than one antimicrobial agent. Intensive care patients are immune-compromised patients, using catheter and are given broad-spectrum antibiotics. Hence, the chance to develop microbial resistance is high. The aim of this study is to see the etiology and the microbial susceptibility pattern of catheter-associated urinary tract infection patients treated in intensive care.

Materials and Methods: The urine samples were taken from catheterized patients admitted to intensive care in Siloam Lippo Village, Tangerang, Indonesia in a one year period from July 2013 until June 2014. We confirmed species identification with Vitex-2 Compact® from Biomérieux, France. The susceptibility of antibiotics is according to Clinical and Laboratory Standard Institute (CLSI).

Results: We managed to get 113 urine culture results with mean of age 57.03 ± 18.505 (years). There were 67 males (59.3%) and 46 females (40.70%) that were acquired in the sample. The result of species identification showed that Escherichia coli was the dominant isolate from the urine culture (40.63%), followed by Klebsiella pneumoniae (12.5%). The percentage of MDRO was found to be 71.9%. The antibiotics susceptibility of Escherichia coli for Amoxicilin, Ampicillin/Sulbactam, Ciprofloxacin and Levofloxacin are 50%, 58%, 76% and 75% respectively. Meanwhile the susceptibility against Amikacin and Meropenem are 100% for Escherichia coli and Klebsiella pneumoniae.

Conclusion: The proportion of Escherichia coli was the highest among with susceptibility of Meropenem was still high susceptibility for both gram negative and gram positive bacteria.
 