bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluate the role of endoscopy and ultrasonography in patients of portal hypertension
Authors: Das Ghanshyam , Gautam Shweta , Pal Vijay
Published: October 2019

Background: Aim of the study was to evaluate the role of endoscopy and ultrasonography in pediatric patients suffering from portal hypertension .subjects: children under 12 years of age hospitalized with any symptom or sign suggestive of portal hypertension.Methods: The study was conducted in 30 children with portal hypertension. They were divided into two groups on the basis of site of lesion: extrahepatic (extra hepatic portal vein obstruction) and intrahepatic (chronic liver diseases).Results: Mean age of children with EHPVO (extra hepatic portal vein obstruction) was 4 years and 4 months while that of children with CLD (chronic liver diseases) mean age was 8 years and 4 months. Endoscopic findings in patients with EHPVO have severe grade of varices as compared to those with CLD. In patients with EHPVO, the most common USG finding was nonvisualisation of the main portal vein or either branch (75-85%). Portal vein cavernoma was seen in 75% of these patients. Portosystemic collaterals were visualized in 23 patients  in which the left gastric collateral (60%) was the most common followed by short gastric collaterals in 11 children (55%).Conclusions: Endoscopy and ultrasonography are new and better modalities to assess the diagnosis and severity of portal hypertension. Extra hepatic portal vein obstruction is the commonest cause followed by intrahepatic obstruction (Chronic liver diseases).
Evaluation of factors responsible for lactation failure-hospital based study
Authors: Sreekantham Sravya Sree , Pratima Piduru , Ramisetty Uma Mahesh , Belavadi Gangadhar
Published: October 2019

Background: Exclusive breastfeeding is an essential part of early infant feeding. Promotion of EBF is the most effective way to reduce the infant mortality rate. This study was carried out to identify factors affecting EBF among mothers attending Narayana medical college hospital Nellore. Aim and objectives of the study was to know the incidence of lactation failure and to evaluate the factors responsible for lactation failure.Methods: Hospital-based cross-sectional study conducted from July 2018 to September 2018 involving a total of 100 mothers with the help of a proforma containing predesigned questionnaire. Demographic data of mother, obstetric details, mode of delivery, birth weight, details of antenatal advice about breastfeeding and practices, pre-lacteal feeds, current feeding practice, problems encountered during breastfeeding, anatomical problems were noted. The data collected were tabulated and statistically analyzed.Results: At the end of the study, among 100 mothers, 24 mothers are reported to have lactation failure and feeding babies with formula feeds. Among the variables taken into consideration pre-lacteal feeds, problems encountered during breastfeeding, breast diseases showed a statistically significant association with lactation failure. Mean weight gain in breastfeeding mothers and mothers with lactation failure is 11.3 kgs and 10.04 kgs respectively. Mean hemoglobin in breastfeeding mothers and mothers with lactation failure is 10.43 g/dl and 9.91 g/dl respectively.Conclusions: The results provide information about the relation between breastfeeding failure and its association with factors that contribute to it.
Hemolytic disease of newborn caused by multiple Rh antibodies
Authors: Routray Suman Sudha , Behera Rachita , Sahoo Jagdish Prasad , Acharya Devi Prasad , Pati Bibudhendu
Published: October 2019

Hemolytic disease of Fetus and Newborn (HDFN) usually results due to natural occurring antibodies or alloimmunization in mother but the presence of multiple red cell antibodies increases the risk of development of significant HDFN. Here author reported a case of hemolytic disease of fetus and newborn in a preterm baby caused by multiple maternal antibodies. Direct Antiglobulin Test (DAT) on neonate blood sample was positive (3+) with monospecific DAT showed IgG type which was confirmed by heat elution. Antibody identification of eluate was done using commercial 11-cell panel by gel method showing specificity to anti-D and anti-C antibody which was differentiated from anti-G by sequential adsorption and elution studies. Neonate was treated with double volume exchange transfusion (DVET) using leucoreduced, irradiated O Rh D and C negative PRBC suspended in AB plasma and discharged 6th day in a stable condition. So, all pregnant women should be at least advised for ICT irrespective of Rh D negative status. If ICT is positive, they should be referred to higher center for proper Immunohematological work up, so that proper blood unit for DVET could be identified.
A case of primary immunodeficiency: hyper IgM syndrome
Authors: Fadnis Madhura P. , Shamkuwar Pratibha B.
Published: October 2019

Hyper IgM syndrome are group to disorders characterized by elevated serum level of IgM and low or absent serum levels of IgG, IgA and IgE the mechanism of HIGM is immunoglobulin Class-Switch Recombination (CSR) failure and Somatic Hyper Mutation (SHM). This diagnosis should be considered in any patient presenting with hypogammaglobulinemia, with low or absent IgG and IgA and normal or elevated IgM level. In the present case report, this was a 6-year-old male child who had history of recurrent respiratory tract infections who presented with otitis media and persistent fever spikes. Immunoglobulin studies revealed a pattern consistent with hyper IgM.
A case of twenty nail dystrophy affecting a 12 year old boy
Authors: Shanmuganathan Harshitha , Kumar Radha
Published: October 2019

Nail diseases in children may be congenital or acquired and occurs in 3 to 11% of pediatric population. Twenty nail dystrophy is a nail disorder with a classical presentation, often affecting all twenty nails. It is an idiopathic disorder in childhood but can be associated with other diseases such as lichen planus, alopecia areata, psoriasis, eczema, IgA deficiency, atopic dermatitis, ichthyosis vulgaris and vitiligo. Twenty nail dystrophy is otherwise called trachyonychia. Typically, the condition is bilateral and symmetrical affecting all the nails of hands and feet. It is cosmetically disfiguring and can be source of anxiety for children and parents, which can impact further the quality of life. Twenty nail dystrophy is of two types, based on the clinical presentation namely opaque or shiny trachyonychia. Since this nail disorder is associated with a number of dermatologic diseases, children require long term follow up. We report a case of a 12-year-old boy with a three-year history of twenty nail dystrophy with no relevant family history of skin or nail diseases. The child had isolated nail manifestation without any other dermatologic condition. Twenty nail dystrophy is a self-limiting disease, which is treated conservatively. The aim of this report is to highlight importance of a thorough physical examination to diagnose nail disorders in early stages, which will be helpful to clinicians to distinguish the different nail conditions and associated illness and decide on the correct management. It is important to counsel the family about the benign nature of the disease and good prognosis.
A rare and interesting case of Scarabiasis
Authors: Varghese Sangeetha Merrin , J. Austoria A. , Koshy Manju , Abraham Jithin Mathew
Published: October 2019

Scarabiasis or Canthariasis or Beetle disease is an ectoparasitic infection of the gastrointestinal tract, in which the beetles temporarily infest the digestive tract and rarely the urinary tract. Dung beetle belongs to Scarabiaediae family.  It is mostly seen in children aged between 2 to 5 years, who play outdoor for prolonged hours without undergarments. It is a temporary infestation in which early stages of development of beetle takes place in the anus and the adult beetle flies, out of the anus while defecation. A boy aged 3 years and four months presented to the pediatric OPD with complaints of peri umbilical abdominal pain, vomiting, nausea, mucus in stool along with “black insects” in his stool. The clinical examination revealed that the pulse rate, blood pressure and temperature were normal. Per rectal examination and ultrasound of the abdomen was normal. Routine examination of stool and urine was also found to be normal. The beetle was identified by the medical entomologist as dung beetle belonging to family Scarabidae. This report implies that the boy had an infestation with the larvae of dung beetle in the gastro intestine. The family belonged to the high range area of Mundakayam. Agriculture is the main source of income for people and main plantation being Rubber. Natives breed cattle for their livelihood and agriculture. During contact with mud or while playing outdoors naked, he would have come into contact with the eggs or the beetle, which hatched into larvae and caused canthariasis.
The resurgence of Measles in 2019
Authors: P. V. Chaitanya Varma , Rajkumar Samitha
Published: October 2019

Measles, a highly contagious infection caused by a single stranded RNA Paromyovirus is transmitted through aerosol droplets and contact with nasopharyngeal secretions of the infected patient.  The incubation period lasts between 10 and 14 days. The Prodromal phase presents with high grade fever, cough, coryza and conjunctivitis. Punctate blue-white spots on the buccal mucosa called Koplik spots are pathognomic of measles. The typical maculopapular rash appears 3-5 days after the onset of fever. It starts from the neck and spreads down to the lower limbs; it decreases in the same pattern lasting for 5-6 days. The patients are considered contagious 4 days prior to 4 days after the appearance of rash.
Assessment of physical and dissolution characteristics of various itraconazole capsule formulations: a comparative analysis
Authors: Verma Rajan , Hodge Shrikant , Gargote Chandrashekhar , Modi Prakash , Upreti Naresh , Yadav Lokesh , Pillai Raviraj
Published: October 2019

Background: This in vitro study compared physical parameters and the dissolution profile of innovator itraconazole capsule formulation, i-Tyza, and 5 other generic capsule formulations available in the Indian market.

Methods: The number of pellets and size distribution were determined using naked eye examination and sieving method, respectively. Dissolution profile of formulations was done at 15, 30, 45, and 60 minutes, using a United States Pharmacopeia type II Paddle apparatus in simulated gastric fluid (SGF, pH 1.2) without enzymes, acetate buffer (pH 4.5) with 0.5% sodium lauryl sulfate (SLS), and phosphate buffer (pH 6.8) with 0.5% SLS.

Results: All formulations had capsule size 0. Capsule fill weight (~335 to ~510 mg) and total pellet number (127 to 810) varied across formulation, with the innovator brand having the highest number of pellets. Innovator product and i-Tyza had similar fill weight (~460 mg). Pellet size distribution of the innovator product, brand 2, brand 3, and i-Tyza was relatively narrow. In SGF, except brand 1 (84% dissolved) and brand 5 (80% dissolved), all the formulations had near-complete (>85% drug dissolved) or complete dissolution (>90% drug dissolved) at 60 minutes. In acetate buffer, pH 4.5 with 0.5% SLS and phosphate buffer, pH 6.8 with 0.5% SLS, only the innovator product and i-Tyza demonstrated near-complete to complete dissolution at 60 minutes (96% and 90% dissolved).

Conclusions: Across all the itraconazole generic formulations evaluated, i-Tyza had comparable physical characteristics and dissolution profile to the innovator product. The in vitro dissolution profile of i-Tyza may indicate adequate in vivo performance.
A study on cutaneous adverse drug reactions in a tertiary care center in Rajnandgaon, Chattisgarh
Authors: Pandey Pooja , Pandey Prabhat , Manore Sharad , Sandesara Darshan
Published: October 2019

Background: Cutaneous reactions are one of the most common types of adverse drug reactions which may vary from mildly discomforting to those that are life-threatening.

Methods: This prospective, observational study was done in the department of dermatology. Patients with suspected drug rash, of either sex or all age groups were included in the study.

Results: A total of 114 patients were enrolled in the study. The most common presenting symptoms of cutaneous adverse drug reactions (CADRs) were itching, burning sensation and pigmentation with 61.31%, 13.87% and 10.22% respectively. A total of 21 different CADRs were observed. The common causative agents were of anti-microbial, nervous system and musculoskeletal class in both outdoor and indoor patients with 51 (37.22%), 21 (15.32%) and 25 (18.24%) respectively.

Conclusions: The most common CADR observed in the study was antimicrobials and NSAIDs were the most common causative drugs.

 
Topical steroid addiction among paramedical staff: a cross sectional study in a tertiary health care centre
Authors: Panda Maitreyee , Debata Ipsita , Behera Debasmita , Raj Chinmoy , Jena Ajaya
Published: October 2019

Background: Topical corticosteroid misuse is one of the major causes of concern for dermatologist now-a-days. It is not only prevalent in general population but also among individuals associated with medical profession like paramedical staffs. The aim of the present study was to understand the various causes and demographic profile of paramedical staffs using steroids alone or in combination as fairness creams.

Methods: All paramedical staffs using topical steroids as fairness creams were screened for the exclusion criteria and included in our study.

Results: Females staffs (82.24%) predominated our study group. Betamethasone valerate (46.16%) was found to be the most common topical corticosteroid being misused and the source of recommendation was mostly from pharmacy (37.06%) without any prescriptions.

Conclusions: With increasing misuse of topical corticosteroids it is the need of the hour to evaluate the intensity of the problem, contributing factors and the associated morbidity leading to impaired quality of life, not only in the general population but also among the health care provider.
Treatment outcome of acne vulgaris with topical application of clindamycin gel and benzoyl peroxide gel as supplementary files
Authors: Parmar Devendra , Salvi Dhairya
Published: October 2019

Background: Acne vulgaris is one of the commonest inflammatory skin disorders. It also has a psychosocial impact on patients, specially known in adolescents and hence needs effective treatment. The objectives of the study was to find out and ascertain different clinical presentations of acne vulgaris in both sexes of various age groups and to find out the outcome of treatment with various topical modalities in various clinical types.

Methods: A total of 150 patients with acne vulgaris were studied with age group >10 years. Detailed history, thorough physical examination and relevant investigations were done. Patients were divided into 2 groups of 75 each and each group received different treatment and were followed up at 4th, 8th and 12th week.

Results: At the end of 12 weeks there was significant improvement in grade-II patients treated with cindamycin 1% gel.

Conclusions: The results of the study show that different grades of acne vulgaris respond with different regimens. 
Role of dual energy X-ray absorptiometry scan for assessing bone mineral density in patients with chronic plaque psoriasis: a cross-sectional study
Authors: N. Revathi T. , Sajjanshetty Maheshwari
Published: October 2019

Background: Psoriasis is a T cell mediated chronic inflammatory disorder of skin, joints and immune system. Data regarding possible association between psoriasis and reduced bone mineral density are limited and hence association is not fully conclusive. Systemic inflammatory cytokines in the psoriasis have been identified in the pathogenesis of reduced bone mineral density. Among various available methods, Dual X-ray absorptiometry (DXA), found to be gold standard for assessing bone mineral density.

Methods: An observation study of 30 patients with chronic plaque psoriasis aged between 18 years to 50 years fulfilling the criteria were enrolled and studied. Dual energy X-ray absorptiometry scan (DEXA) of left forearm radius (non-dominant hand) was done. T score was calculated and bone mineral density assessed based on WHO criteria. Using software SPSS version 24, Pearson’s correlation and linear regression analysis applied.

Results: Out of 30 patients, there were 18 males and 12 females. Mean age of patients 37.93 years. Majority of the psoriatic patient showed osteopenia on DEXA scan and significant positive correlation was found between duration of psoriasis disease (r=0.34, p=0.03), body surface area percentage (r=0.36, p=0.04) and body mass index (r=0.32, p=0.02).

Conclusions: Early identification of reduced bone mineral density in patients with psoriasis particularly in those with longer duration of the disease, involving large body surface area (more than 10) and with higher body mass index by DEXA scan helps to reduce osteoporotic fracture and other associated comorbidities.
Bleomycin-induced flagellate pigmentation: a case report from North-East India
Authors: Thokchom Nandakishore , Bhattacharjee Nandita , Kongbam Linda
Published: October 2019

Bleomycin is an antitumour antibiotic commonly used in the management of Hodgkin’s lymphoma and germ cell tumours. Flagellate pigmentation is a very specific and rare cutaneous adverse effect of bleomycin. It is characterised by linear, painless, pruritic, hyperpigmented lesions simulating marks of whiplashes over trunk and extremities. With the advent of targeted therapies resulting in the infrequent use of bleomycin, this unique side effect is also uncommonly encountered nowadays. Here, we report a case of bleomycin-induced flagellate pigmentation in a 35-year-old Indian female with ovarian teratoma. The characteristic patterned hyperpigmented patches developed following 2nd cycle of chemotherapy with bleomycin, etoposide and cisplatin.

 
Case report of primary cutaneous anaplastic large cell lymphoma of adult female patient visiting dermatology clinic of King Abdul-Aziz Medical City, National Guard Health Affairs, Jeddah, Saudi Arabia, 2018
Authors: Al-Mugti Hani Saad , Samman Ola Yaseen
Published: October 2019

Primary cutaneous anaplastic large cell lymphoma (PCALCL) is a rare T-cell cutaneous lymphoma consisting of CD30 positive typically anaplastic-appearing cells. PCALCL had been distinguished from systemic anaplastic large cell lymphoma (ALCL) and lymphomatous papulosis by World Health Organization classification of lymphoid neoplasms. Previous studies have shown PCALCL has an excellent overall survival with few patients dying from disease. This is a case report study design with detailed history, examination of 54-years-old female patient with a painful nodular lesion in the left thigh, which is misdiagnosed as Pyoderma Gangrenosum.
Scar sarcoidosis: additional involvement of de novo sites and update on immunopathogenesis
Authors: Belgaumkar Vasudha A. , Chavan Ravindranath B. , Suryataley Prernaa R. , Patil Pallavi P. , Raut Vijay V.
Published: October 2019

Cutaneous sarcoidosis is an immune-mediated multisystem granulomatous inflammatory disease of unknown etiology. Noncaseating granuloma in pre-existing scars is an uncommon but specific cutaneous manifestation of sarcoidosis. This great imitator may be an under-diagnosed disease in developing countries like India probably because of the diverse range of clinical presentations. Herein we present a 45-year old female with cutaneous sarcoidosis involving scars in addition to de-novo sites.
A not so common cause for fever with rashes
Authors: Narasimhan Murali , Sathar Saju A. , Ramakrishnan Ramachandran
Published: October 2019

Skin rashes that appear during febrile illnesses can be due to various infectious diseases and non-infectious conditions that can range from mild self-limiting diseases to potentially life threatening conditions. Hence a comprehensive knowledge of these diseases is required. A comprehensive history must be taken, including intake of any medications, contact with animals, recent travel, and trekking in various natural environments. Complete and thorough physical examination can provide clues to early diagnosis. Here we report a case which presented with high grade fever, generalized blanching maculopapular rashes, and headache. Close examination revealed a scrotal ulcer leading to the diagnosis of scrub typhus which was confirmed by ELISA and treated successfully with doxycycline.

 
Cutaneous sarcoidosis: a case report from North-East India
Authors: Thokchom Nandakishore , Kongbam Linda , Bhattacharjee Nandita
Published: October 2019

Sarcoidosis is a multisystem granulomatous disease of unknown aetiology. Cutaneous sarcoidosis is seen in up to one-third of patients and may be the first or the only clinical sign of the disease. We report a case of cutaneous sarcoidosis with lungs and renal involvement in a 28-year-old housewife. She presented with itchy reddish-brown indurated plaques on left cheek and back for 2 years. Skin biopsy revealed non-caseating epithelioid granulomas. Contrast enhanced computed tomography thorax showed focal consolidation and multiple enlarged mediastinal lymph nodes and serum angiotensin-converting enzyme level was raised. Since cutaneous manifestations of sarcoidosis are extremely variable, its early recognition can provide a clue to the diagnosis and its systemic involvement. 
DENEYSEL İSKEMİ REPERFÜZYON MODELİNDE GEÇ TROMBOLİTİK TEDAVİ ÖNCESİ MAGNEZYUM SÜLFATIN ETKİNLİĞİ
Authors: Eren Fettah , Öztürk Şerefnur , Barışkaner Hülagu , Ünlü Ali , Uğurluoğlu Ceyhan
Published: October 2019

AMAÇ: İskemik inmenin primer tedavisi oklüde
vasküler yapıların rekanalizasyonudur. Bunun için kullanılan medikal tedavi
doku plazminojen aktivatörü (tPA)’dür. Endikasyon süresi intravenöz ilk 4,5
saat ile sınırlı olduğundan, hastaların büyük kısmı bu tedaviye ulaşamamaktadır.
Bu yüzden geç trombolitik tedavi öncesi magnezyum sülfat (MgSO4)’ın etkinliğinin
değerlendirildiği deneysel bir çalışma planlanmıştır.

GEREÇ VE YÖNTEM: 52 sıçan rastgele altı gruba ayrıldı. 1. grup, kontrol grubuydu ve herhangi
bir işlem yapılmadı. 2. grup, sham grubuydu ve paratrakeal kas diseksiyonu ile
karotis artere ulaşıldı. 3. gruba, karotis klemp oklüzyou sonrası 345. dakikada
tPA (10mg/kg) başlandı. 4. gruba, oklüzyon sonrası 345. dakikada tPA, 120.
dakikada MgSO4 (90 mg/kg) başlandı. 5. gruba, 300. dakikada MgSO4,
345. dakikada tPA başlandı. 6. gruba, 120. ve 300. dakikalarda MgSO4,
345. dakikada tPA başlandı. Tüm gruplarda 360. dakikada reperfüzyon sağlandı.
24 saat sonra tüm sıçanların nörolojik muayeneleri yapıldı. Kan ve beyin dokusu
örnekleri alındı. Kandan nöron spesifik enolaz (NSE) ve iskemi modifiye albümin
(IMA) çalışıldı. Beyin dokusu Hematoksilen Eozin ve krezil viyole ile boyandı.
Dejenere piramidal nöronlar değerlendirildi.

BULGULAR: Grup 3’de mortalite oranı %40, grup
4’de %22,2, grup 5’de %30 ve grup 6’da %11,11 idi. Grup 4’te %17,8, grup 5’te
%10 ve grup 6’da %28,9 oranında mortalitede azalma vardı. Grup 6’nın
fonksiyonel dizabilitesi ve dejenere nöronal yüzdesi en azdı (p=0,04; p=0,005).
NSE seviyesi düşüklüğü fonksiyonel iyilik durumu ve tedavi etkinliği ile
ilişkiliydi (r=0,54; p=0,005). IMA seviyesi arttıkça fonksiyonel dizabilite
artmaktaydı (p=0,003; r=0,47). Ancak MgSO4 verilen gruplar arasında
IMA seviyelerinde farklılık yoktu (p=0,06).

SONUÇ: Geç trombolitik tedavi öncesi, MgSO4’ın erken
başlanması ve doz tekrarı ile daha iyi fonksiyonel ve histopatolojik sonuçlar
elde edilmektedir. NSE ise tedavi etkinliği ve özürlülük durumu ile ilişkili
bir biyobelirteçtir.
Lotman de visita ao “Alto Douro Vinhateiro”, património da humanidade: analisando a mais antiga região vinícola do mundo à luz da teoria semiótico-cultural
Authors: Costa Paulo Teixeira
Published: October 2019

A Região Demarcada do Douro (Portugal), a mais antiga, maior e mais heterogénea região vinícola do mundo, foi criada em 1756. Desde aí tem vivido um contínuo processo de evolução, sendo de destacar os efeitos positivos da entrada de Portugal na União Europeia e, sobretudo, a mais recente classificação do Alto Douro Vinhateiro como Património Mundial pela UNESCO. Mas como vive a região o seu dia a dia, como se organiza, que relações são estabelecidas dentro dela e fora dela, como se concretizam, como e quem detém o poder, que momentos na sua história causaram mudanças, quais os seus efeitos, como influenciaram o seu desenvolvimento? O objetivo base deste trabalho é analisar e interpretar a Região Demarcada do Douro, e assim responder a estas questões, recorrendo à teoria semiótico-cultural de Iuri Lotman, numa abordagem inovadora, incidindo em especial sobre conceitos essenciais como semiosfera, fronteira, centro e periferia, explosões e tradução. Foi possível identificar na sua estrutura, organização e vivência, nas relações que se estabelecem dentro dela e fora dela, as principais características do pensamento de Lotman, nomeadamente ao nível das fronteiras, do centro e da periferia, das explosões e da tradução. São ainda apontados caminhos a seguir pela Região no futuro, à luz dos princípios da semiosfera lotmaniana.
A museologia pós-crítica segundo os Tate Encounters
Authors: Honorato Cayo
Published: October 2019

Neste artigo, discutimos o conceito e o posicionamento da museologia pós-crítica, tal como elaborados pelo projeto de pesquisa e programa público Tate Encounters: Britishness and Visual Culture (2007-2010), em relação à museologia crítica. Para tanto, analisamos os argumentos registrados na principal publicação resultante do projeto, intitulada Post-critical Museology: Theory and Practice in the Art Museum (2013), assim como alguns títulos dos museum studies, assinados por Tony Bennett (1995), Carol Duncan (1995) e Eilean Hooper-Greenhill (1992). O resultado é um quadro comparativo mais nuançado, a partir do qual se pode notar remissões e intersecções, mais do que rupturas definitivas entre essas diferentes perspectivas. Por certo, adotamos essa estratégia na expectativa de melhor registrarmos a especificidade do pós-crítico. Nossa compreensão de que o pós-crítico propõe uma reformulação da crítica, mais do que seu abandono ou superação, levou-nos a destacá-lo como um empreendimento metodológico. Todavia, trata-se de um método que não pode se autoproclamar como tal.
The Effectiveneness Of Using Piaget, Vygotsky, And Brunner Theories In Teaching English For Young Learners At Sdn Kebun Bunga 6 Banjarmasin
Authors: Muthmainnah Inna , Izzatil Nor , Nor Hidayah
Published: October 2019

To address three theories in teaching English for young learners (Piaget, Vygotsky, and Brunner), the researchers believe that an effective teaching teachniques that pay attention not only to the needs of the young learners but also to their interests are very important. This research reported our pre-experimental study on the effectiveness of using Piaget, Vygotsky, and Brunner theories in teaching English for young learners at SDN Kebun Bunga 6 Banjarmasin. There were 26 students of the fourth grade, study English at SDN Kebun Bunga 6 Banjarmasin, participated in this research. The data collected by conducting three times treatment in one class of the fourth grade, and written tests (pre-test and post-test). Findings revealed that the students got better score after the implementation of those three theories (Piaget, Vygotsky, and Brunner) in the classroom; they were very enthusiastic learned English in the classroom by interacting with the teachers and the peers. Their responses toward this activity were also positive. This research is expected to be beneficial for teachers who are interested in applying those three theories in English classroom, especially for young learners’ classroom.
La intermedialidad en el centro de las propuestas escénicas de Diego Casado Rubio
Authors: Lozano Ezequiel
Published: October 2019

Entendiendo la intermedialidad como la integración de los conceptos estéticosprovenientes de medios de comunicación diferentes en un contexto novedoso –en estecaso una puesta en escena–, la pretensión de este escrito es pensar las propuestas artísticasdel director Diego Casado Rubio desde dicha noción. Este multifacético madrileño, queademás de director cinematográfico y teatral se dedica al diseño gráfico para teatro, al desarrollo de proyectos de video y a la escritura, se radicó en Buenos Aires en 2005 desarrollando una vasta producción teatral en diferentes roles. Haciendo referencia a sus demáslabores este artículo se centrará en el análisis de las dos obras teatrales escritas y dirigidaspor Casado Rubio: Es inevitable y Se alquila, con una condición.
Mediatización y diferencia. La búsqueda de la forma para una puesta en escena de Acreedores de Strindberg
Authors: Velázquez Marcelo
Published: October 2019

Strindberg escribió Acreedores en 1888. No escribió para su tiempo sino paralos venideros. El gran problema de Acreedores es discursivo. Adolfo, Tekla y Gustavo, emprenden una “guerra de cerebros”, una lucha psicológica y a puro lenguaje. Arrojados almundo y en la imposibilidad de decir la realidad quedan atrapados en esa “cárcel dellenguaje”, que también es la nuestra. Esta nueva puesta en escena de Acreedores pretende un corrimiento de los cánones tradicionales del realismo y del naturalismo estéticosen los que se ha categorizado al autor y a parte de su obra. Si en Acreedores se planteala pregunta acerca de la forma del arte, esta pregunta aún nos guía: ¿Cuál es la formacontemporánea para esta obra de 1888? ¿Cuál es la forma que le corresponde al arte denuestro tiempo? Aventuramos en los signos de la puesta en escena algunas respuestas: lainclusión. Si Strindberg produce inmerso en una gran crisis finisecular de la representación, la propuesta es desmontar la obra para desligarla de lo representativo y hacer visibley no ocultar los hilos que construyen la representación. Así leemos Acreedores, despuésde más de un siglo de su escritura, y es nuestro modo de acercarnos a su modernidad.
El rol del productor en el teatro independiente. La producción es ejecutiva y algo más…
Authors: Hanna Andrea
Published: October 2019

El rol del productor en el teatro independiente se ha ido imponiendo con elcorrer de los años. Hoy no se concibe un proyecto teatral sin un productor ejecutivo quelo vehiculice. Pareciera que la producción aparece con el rol por lo que surge preguntarsecuáles son las tareas específicas que realiza un productor ejecutivo y si estas tareas han variado en relación con los años (¿se producía de igual modo en 2000 que en 2011?) ¿Cómose define al productor ejecutivo y qué es la producción? ¿Existe formación académica paraejercer el rol de productor? ¿Qué es más importante o más usual, que un productor tengaformación académica, que se haya formado a partir de la praxis, o ambas? Nadie podríadudar que el teatro en sí es un arte, que toda puesta en escena requiere de artistas para suejecución pero, ¿qué lugar ocupa dentro del arte la producción ejecutiva, es consideradaarte? ¿Por qué? La producción está de moda, quien más, quien menos utiliza la palabra“producción” con frecuencia por lo que pareciera interesante tomarse el tiempo de reflexionar sobre el término y sus alcances.Desde la formación y la experiencia que 12 años de ejercicio de la profesión me ha dado,intentaré responder a estas preguntas acercando algunas reflexiones que estimo podránser de interés.
Diseño sonoro y producción de sentido: la significación de los sonidos en los lenguajes audiovisuales
Authors: Chalkho Rosa Judith
Published: October 2019

La tesis investiga la construcción de sentido por parte del sonido en los discursos audiovisuales y en particular en el cine. El sonido es estudiado en su faceta portadora de sentido a través categorías semióticas: primero como unidades aisladas, luego en su articulación con las imágenes en movimiento y por último, avanzando en la construcción de sentido de la música en el contexto de diseño de la banda sonora.Este trabajo intenta desnaturalizar el fenómeno sonoro, considerado en muchos casos como inmanente al objeto, en tanto que se aspira demostrar su funcionamiento como signo arbitrario. En este contexto la banda sonora no funciona como un simple agregado sino que afecta de manera sustancial a la totalidad del filme constituyendo signos audio-visuales.
Desarrollo y análisis de la respuesta de una pinza de manipulación, para brazos robóticos
Authors: Mainetti Carlos Adrián , Romero Andrés , Piovan Marcelo , Blanch Guillermo
Published: October 2019

En este artículo se presenta el desarrollo constructivo general y los estudios de la respuesta mecánica de una pinza de manipulación de dos mordazas para ser montada en un brazo robótico. El objetivo de este trabajo es tener una pinza, muy barata y de fácil construcción, para manipulación de cargas peligrosas ante el muy posible evento de su destrucción total. La pinza ha sido construida casi en su totalidad conpoli- ácido láctico (PLA) mediante una impresora 3D. La pinza como sistema mecánico consta de dos mordazas de presión que son actuadas por un mecanismo de movimiento paralelo accionado por un conjunto tornillo sinfín-doble corona. Siendo la entrada de potencia motora conectada al sin-fin. En los extremos de las mordazas se han montado sensores de presión vinculados a adquisidores de señales y a microcontroladores de tecnología Arduino. Se muestrancomparaciones de la capacidad de carga, capacidad de apriete y grado de sensibilidad en la punta de la pinza. Se evalúa la rapidez de cierre y apriete de las mordazas en función de las variables seleccionadas mediante el seteo de parámetros en el microcontrolador. A su vez se efectúa un estudio de la capacidad resistente y rigidez del PLA para estimar las máximas tensiones y deformaciones en la pinza, empleandoel método de elementos finitos.
Un modelo matemático en el proceso de corte unidimensional de materiales.
Authors: De León Rodríguez Narciso Rubén , Medina Mendieta Juan Felipe , Fuentes Garí Ernesto Roberto
Published: October 2019

La investigación fue realizada con el objetivo de utilizar métodos matemáticos asociados a las técnicas de computación para establecer los planes de corte unidimensionales de materiales en industrias que, de una forma u otra, se ven involucradas en esta actividad durante el desarrollo del proceso productivo.El modelo matemático establecido tiene presente la minimización de los desperdicios, la disponibilidad de materia prima y la cantidad de unidades a cortar por tipo de pieza. Un sistema informático habilitado a tales efectos permite de forma automática, a partir de datos primarios ofrecidos por el usuario, modelar la situación en estudio, procesar el modelo matemático correspondiente e interpretar la solución del mismo (o sea, presentar el plan de corte unidimensional de materiales).  Lo expresado en el párrafo anterior ha sido puesto en práctica para distintas entidades productivas con resultados favorables en todos los sentidos, lo que permite afirmar que los planes de corte unidimensionales de materiales pueden ser elaborados vinculando la modelación matemática con la utilización de paquetes de programas computacionales.El informe de resultados, artículo científico correspondiente, puede convertirse en un documento de consulta que ofrece una forma no muy usual en la dirección de los procesos de corte unidimensional de materiales en la industria. El interesado, al consultarlo, podrá apreciar cómo se puede influir significativamente en el ahorro de materia prima con un nivel superior en la organización y control del trabajo de la entidad productiva, e incluso, conocer una forma de modelar matemáticamente un problema de este tipo, con información sobre el soporte computacional y la interpretación de los resultados para preparar el plan de producción.
THE STATE OF MORBIDITY AND THE PROVISION OF SPECIALIZED MEDICAL CARE FOR PATIENTS WITH PSORIASIS
Authors: Alikbaev Timur Z. , Raznatovskiy K. I. , Vasilyeva N. V. , Avdeeva M. V. , Filatov V. N.
Published: October 2019

Introduction. Improving organizational approaches to the provision of specialized, including high-tech medical care to patients with psoriasis remains one of the main problems of dermatology. Purpose of research. To research the trends in the dynamics of general and primary incidence of psoriasis and to assess the need of the adult population of St. Petersburg in specialized, including high-tech, medical care. Material and methods. The indicators of primary and total morbidity of diseases of the skin and subcutaneous tissue of children and adults in St. Petersburg for 5 years (2013-2017) were researched. The analysis of statistical indicators of the activity of the dermatological department of the Kashkin Research Institute of Medical Mycology (2013-2017) was carried. Results. Over the past 5 years, the total morbility level of diseases of the skin and subcutaneous tissue has increased by 15.1%, and the primary morbility level - by 13.5%. Herewith the total morbility level of psoriasis increased by 9.4%, and that of primary level increased by 31.6%. The highest growth rates of total (by 12.7%) and primary incidence (by 35.5%) were observed in the group of persons over 18 years of age. In the structure of hospitalization in the dermatology department Kashkin Research Institute of Medical Mycology, the proportion of patients with psoriasis was 55.4%. Of these, 35.1% received high-tech medical care. The majority of patients who received high-tech medical care were residents of St. Petersburg (77.0%). Discussion. Indicators of General and primary incidence of psoriasis for 2013-2017 show an unfavorable forecast towards its growth in St. Petersburg over the next years. In the structure of hospitalizations in the dermatological Department, the proportion of patients with psoriasis was 55.4%. Of all those hospitalized for psoriasis, 35.1% received high-tech medical care. They were mostly residents of St. Petersburg (77.0%). Conclusion. The study revealed unfavorable trends in the dynamics of the general and primary incidence of psoriasis in the adult population of St. Petersburg.
ECOLOGICAL AND HYGIENIC FACTORS AND PREVALENCE OF THE DISEASES OF THE CIRCULATORY SYSTEM
Authors: Kiku Paul F. , Beniova S. N. , Moreva V. G. , Gorborukova T. V. , Izmaylova O. A. , Sukhova A. V. , Sabirova K. M. , Bogdanova V. D.
Published: October 2019

The most important medical and social problem of modern health care are diseases of the circulatory system, the high incidence of which is due to the interaction of a number of factors, among which a certain place is occupied by the living environment. The purpose and objectives of the study - to lead ecological and hygienic assessment of the prevalence of diseases of the circulatory system in the population of Primorsky Krai. Material and methods. Ecological and hygienic assessment of the prevalence of diseases of the circulatory system in the population of Primorsky Krai was carried out for the period 2000-2017, depending on the bioclimatic zone, environmental situation and habitat factors. Characteristics of the habitat were carried out according to 8 sanitary-hygienic and 7 natural-climatic modular factors, based on a 10-point system in accordance with the developed assessment scale. The dependences between environmental factors and the level of circulatory diseases were assessed by regression analysis, and the statistical significance was assessed by Chi - square (Pearson) criterion. Results. During the period 2000-2017 in Primorsky Krai there was an increase in the incidence of diseases of the circulatory system by 38%, and since 2006 they have come to the first place in the structure of morbidity and amounted to 43-49%. Among the diseases of the circulatory system is dominated by hypertension, coronary heart disease, cerebrovascular disease. It is established that the prevalence of diseases of the circulatory system in the population is influenced by the following sanitary and hygienic parameters: the level of air pollution, the characteristic of chemical pollution, adverse physical factors, transport loads. The prevalence of diseases of the circulatory system has a strong relationship with a number of climatic parameters: the number of days with the biological activity of solar radiation, latitude, air speed. Discussion. Climatic and ecological factors of the region, social and demographic features can cause deviations of the health status of the population from the all-Russian trends. Conclusion. The dependence of the prevalence of diseases of the circulatory system on the bioclimatic zone, the degree of stress of the environmental situation in the Primorsky territory, as well as environmental factors.
HYGIENIC SIGNIFICANCE OF THE DETERMINATION OF PESTICIDES IN SEDIMENTATION TESTS
Authors: Bereznyak Irina V. , Fedorova N. E. , Mikheeva E. N.
Published: October 2019

Introduction. The use of pesticides creates the danger of contamination of the soil as a result of demolition outside the treatment area, which is assessed by comparing the actual pesticide content in the soil (mg/kg) with the maximum allowable / estimated allowable concentration (MAC/APC). Methods for the quantitative determination of pesticides in soil are labor-intensive; an alternative method for them may be an indirect method - determining the amount of drift to the soil using sedimentation samples (sedimentation - subsidence). The purpose of the study is a hygienic estimate of the amount of propiconazole deposited on the soil outside the cultivated area. The research objectives are to determine the content of propiconazole in the atmospheric air and on the soil outside the treatment area; to give a hygienic assessment of the amount of substance detected. Material and methods. Air samples were taken on aerosol paper filters, soil contamination was assessed using sedimentation samples by measuring the amount of substance deposited on the filters (about 40 cm2) in Petri dishes placed on the leeward side of the processing area. Results. Propiconazole was found in sedimentation samples at a level of 0.012-0.484 mg/m2 and was not identified in atmospheric air. Discussion. An algorithm is proposed for recalculating the results of measurements in filters for filters (mg/m2) for soil concentration (mg/kg), taking into account information on the mobility of the substance and the bulk density of the soil. It has been established: when using the drug in the form of an emulsion concentrate on field crops, the amount of propiconazole in demolitions on the soil can exceed the APC up to 10 times; the drug in the form of a nanoemulsion concentrate on garden crops ODC exceeded 17 times. The increased content of the substance in the soil is the reason for prohibiting the use of the drug using this technology. Conclusions. Sedimentation tests, being cumulative, confirm or refute the results of analytical control of atmospheric air, increasing the reliability of hygienic studies, further guaranteeing the safety of pesticide use for the population.
Raíces clásicas del existencialismo literario
Authors: Mariner Bigorra Sebastián
Published: October 2019

Es difícil que a ningún observador de las corrientes artísticas contemporáneas -aun al menos atento- pueda pasarle por alto la presencia de una literatura existencialista: tanta es su abundancia y tan clara su filiación, no ya sólo confesada, sino incluso aireada y presumida por muchos de sus cultivadores. Y tampoco se necesita rebasar ampliamente un grado superficial de contemplación del panorama de las letras para que una tal observación parezca sorprendente: casar hoy una tendencia filosófica con unas manifestaciones artísticas puede antojarse muy inconexo. Cierto que no tanto desde el ángulo literario como desde el de la filosofía. De parte de la literatura, en efecto, la inconexión podía parecer mucho mayor un siglo atrás, cuando se pretendía para ella una independencia total y se abogaba por esto mismo respecto a las manifestaciones artísticas en general, bajo el lema "el arte por el arte". En cambio, en la actualidad -muy "de vuelta" de aquellas pretensiones- el hecho evidente de las distintas literaturas "comprometidas" contribuye a que se admita como uno de tantos el "compromiso" con una escuela filosófica determinada.
Arte gramatical para una lengua iletrada: la ARS TZELDAICA de fray Domingo de Ara
Authors: Acuña René
Published: October 2019

El manuscrito del cual se extrajo la Ars tzeldaica de fray Domingode Ara se conserva en la Biblioteca Bancroft, Universidad de California, Berkeley, bajo la referencia HHB [M-M 478). Se intitula Bocabulario de lengua tzeldal según el orden de Copanabastla. Es copia, a juzgar por lo que se lee en el folio 128v: ''Año de 1616 años se trasladó este bocabulario." El copista no consignó el nombre del autor, y tampoco dejó constancia del suyo. La razón aparente por la que varios bibliografos han atribuido la paternidad del Bocabulario a Domingo de Ara es que la Ars tzeldaica, cuya copia aparece en los folios 129r-132r del manuscrito, es, evidentemente obra suya. También han podido influir las palabras de Remesal: "Supo el padre fray Domingo la lengua de aquella provincia con eminencia, y por no la deprender ni trabajar sólo para sí, hizo arte y vocabulario della para los venideros.''
Cristóbal Cabrera en Nueva España y sus Meditatiunculae ad principem Philippum"
Authors: Alcina Rovira Juan F.
Published: October 2019

Cristóbal Cabrera nació en Santa Olalla de Bureba, provincia de Burgos, en 1513. Muy joven, "pene puer", llega a Nueva Espana. Si le damos a "puer" el sentido clásico de niño hasta diecisiete anos, podemos conjeturar que llega hacia 1531, mejor que hacia 1533, como sugiere Burrus. Además, el mismo Cabrera nos dice que Zumárraga lo acogió en su cas a "statim ex Hispania ingressum".
La influencia de Platón y Aristóteles en la axiomática euclideana
Authors: Eggers Lan Conrado
Published: October 2019

1 (p. 29) Kapp y Kurt von Fritz: la prioridad de las premisas. Características de los principios. La elección de axiomas. 2 (p. 33) La axiomática euclidea. Definiciones incorrectas o infecundas. Diferencias entre postulados y axiomas. Evolución del término axioma. 3 (p. 39) Tesis de Szabo: el axioma como demanda sólo aceptable con reservas. Zenón y la aporía del estadio. 4 (p. 42) El concepto de "dialéctica" en Platón y en Aristóteles: similitudes y diferencias. 5 (p. 45) El problema terminológico y la relación entre dialéctica y matemática. 6 (p. 51) La noción platónica de igualdad y los axiomas de Euclides, 7 (p. 52) La alegoría de la Línea: relación entre las hypotheseis y la arche anypóthetos. El ascenso dialéctico. 8 (p. 60) La presunta crítica de Aristóteles a Platón sobre los principios, Protagoras. El platonismo de Aristóteles9 (p. 66) Comparación entre el aporte de Platón y el de Aristóteles a la axiomática euclidea.
Marcial, divinizador casi irónico de los Césares
Authors: Herrera Zapién Tarsicio
Published: October 2019

A medida que variaba la temperatura emotiva de Marcial en el libro De spectaculis, su primer cuaderno de epigramas, el epigramista iba adjudicando al emperador Tito diversos niveles sobrehumanos, y pronto hasta divinos.Pero casi siempre aparece en la producción epigramática de Marcial su peculiar humorismo. Este humorismo fue el que acabó por salvarlo de la abyección en los muchos epigramas en que, partiendo del halago zalamero, se remontó hasta la divinización del emperadoren turno, ya fuera Tito en ellibro citado (que no lleva numero), ya Domiciano en los libros I al IX.
Los antiguos tracios en el testimonio de Heródoto
Authors: Ramírez Trejo Arturo E.
Published: October 2019

En el rudo vaiven de la historia, pocos pueblos han sido zarandeados tanto como el actual pueblo búlgaro. El cual desde antiguo, como pueblo tracio, fue azotado par la ambición extranjera, herido por las tiranías y destrozado en su libertad. Y apenas ayer, este mismo pueblo búlgaro ha sufrido invasiones, imperios, represiones, tratados, armisticios, dictaduras y quién sabe cuántas más vicisitudes históricas. Mucho antes de fundirse en el pueblo búlgaro, sus gentes ya habían sufrido provincias, gubernaturas, satrapías, colonizaciones; y nada arrasó jamás a tan valeroso pueblo.