bluuebunny/crossref_metadata_2025 huggingface dataset:
Integración de los principios de la economía social y solidaria en el diseño sostenible de bienes de consumo
Authors: Galán Serrano Julia , Forés Tomás Carmela , Felip Miralles Francisco
Published: November 2018

Desde un enfoque sostenible del diseño es inevitable el cuestionamiento del actual sistema económico, así como de la propia práctica de la disciplina enfocada a la producción de objetos de consumo. En los últimos años, son muchos los sectores sociales que apuntan a la emergencia de un cambio en los modelos productivos y de consumo, y también a la necesidad de desarrollar nuevos modelos económicos que prioricen la supervivencia del ser humano. Este artículo establece un marco de reflexión sobre la integración de los principios de la economía social y solidaria en los procesos de diseño como portadores de una cultura de la solidaridad y de la sostenibilidad, con el fin de promover la generación de bienes de consumo destinados al mercado social. La estructura del artículo responde a una orientación teórica puesto que tratamos de definir en primer lugar el concepto de economía social y solidaria para después vincular este modelo transformador al concepto de diseño para el desarrollo humano sostenible. El principal objetivo es asentar unas bases conceptuales que nos permitan continuar con el estudio de herramientas y estrategias que promocionen el diseño como factor de culturización sostenible, de innovación y de bienestar social
Catheter Ablation for Atrial Fibrillation in Systolic Heart Failure Patients: Stone by Stone, a CASTLE
Authors: Vrachatis Dimitrios , Deftereos Spyridon , Kekeris Vasileios , Tsoukala Styliani , Giannopoulos Georgios ,   Department of Cardiology, ‘G Gennimatas’ General Hospital of Athens, Greece,   Section of Cardiovascular Medicine, Yale University School of Medicine, CT, USA,   Second Department of Cardiology, Medical School, Attikon Hospital, National and Kapodistrian University of Athens, Greece,   Department of Cardiology, ‘G Gennimatas’ General Hospital of Athens, Greece,   Department of Cardiology, ‘G Gennimatas’ General Hospital of Athens, Greece,   Department of Cardiology, ‘G Gennimatas’ General Hospital of Athens, Greece,   Section of Cardiovascular Medicine, Yale University School of Medicine, CT, USA
Published: November 2018

Heart failure (HF) and AF frequently coexist and are involved in a vicious cycle of adverse pathophysiologic interactions. Applying treatment algorithms that have been validated in the general AF population to patients with AF and HF may be fraught with risks and lack effectiveness. While firm recommendations on using catheter ablation for AF do exist, the subset of patients also suffering from HF needs to be further evaluated. Observational data indicate that a significant number of ablation procedures are performed in patients with coexistent HF. Initial randomised data on outcomes are encouraging. Apart from sinus rhythm maintenance, benefits have been observed in terms of other significant endpoints, including left ventricular ejection fraction, quality of life, exercise capacity and hospital readmissions for HF. Limited existing data on survival are also promising. In the present article, observational and randomised studies along with current practice guidelines are summarised.
Perfil antropométrico e imagen corporal de escolares rugbistas de sexo femenino de la Región de la Araucanía, Chile.
Authors: Lagos-Hernández Roberto Iván , Bruneau-Chávez José Gastón , Adriazola-Ojeda Claudio Pablo , Bustos-San Martín Milton Blass , Leiva-Peña Claudio Andrés , Macías-Urra Ignacio Arturo
Published: November 2018

Objetivo: Determinar perfil antropométrico y su relación con el IMC e imagen corporal (IC) del total de escolares de sexo femenino de la Región de la Araucanía, Chile, que practican regular y competitivamente Rugby Seven. Participantes: Se evaluó a 25 niñas que reunían los criterios de inclusión cuyas edades fluctuaron entre los 10 y 19 años (Media=16.39±2.81). Metodología: Se llevó a cabo una evaluación Antropométrica bajo los protocolos de la Internacional Society for the Avancement in Kineanthropometric (ISAK, 2017) y se hizo una apreciación de la percepción de la IC a través de la observación de una serie de imágenes corporales siguiendo el protocolo de Montero, Morales, & Carbajal (2004). Resultados: Se logró establecer que las escolares evaluadas, presentan una composición corporal  (CC)  alta en tejido adiposo con un 33.9% y un porcentaje muscular de 39%. En relación a la clasificación antropomética, se puede señalar que manifiestan características endo-mesomorficas, además se pudo constatar que las escolares presentaron una percepción de la IC según IMC percibido, diferente de los niveles reales de IMC presentados, no apreciándose relacion estadísticamente significativa entre la CC, el somatotipo y la imagen percibida.
A Neutrosophic Approach Based on TOPSIS Method to Image Segmentation
Authors: Xu Guojing , Wang Shiyu , Yang Tian , Jiang Wen
Published: November 2018

Neutrosophic set (NS) is a formal framework proposed recently. NS can not only describe the incomplete information in the decision-making system but also depict the uncertainty and inconsistency, so it has applied successfully in several fields such as risk assessment, fuzzy decision and image segmentation. In this paper, a new neutrosophic approach based on TOPSIS method, which can make full use of NS information, is proposed to separate the graphics. Firstly, the image is transformed into the NS domain. Then, two operations, a modified alpha-mean and the beta-enhancement operations are used to enhance image edges and to reduce uncertainty. At last, the segmentation is achieved by the TOPSIS method and the modified fuzzy c-means (FCM). Simulated images and real images are illustrated that the proposed method is more effective and accurate in image segmentation.
The higher education in nursing in Rio Grande do Norte: revisiting the history
Authors: Carlos Djailson José Delgado , Padilha Maria Itayra , Maliska Isabel Cristina Alves , Santos Mauro Leonardo Salvador Caldeira dos
Published: November 2018

Abstract Objective: To analyze the institutionalization of the higher education in Nursing in Rio Grande do Norte in the 1970s. Method: This is a qualitative research, with a historical-social approach, arising from consultations with documentary sources and interviews with characters that experienced this history. Data were analyzed in the light of Thematic Analysis. Results: The following categories appeared: The higher education in Nursing in Rio Grande do Norte; and The Nursing Department of Natal, at the Federal University of Rio Grande do Norte. Conclusion: The operation of the higher education in Nursing in the state - in Mossoró (1971) and in Natal (1974) - stems from the effects of the University Reform, which is responsible for increasing the number of vacancies in higher education, opening new Nursing Schools in the country, as well as for raising the need for professional qualification related to the national developmental policy entailed by the Economic Miracle and to the implementation of the development plan of the Northeast Region.
Functional responses of recently emerged seedlings of an endemic Mexican oak ( Quercus eduardii ) under climate change conditions
Authors: Badano Ernesto I. , Guerra-Coss Francisco A. , Gelviz-Gelvez Sandra M. , Flores Joel , Delgado-Sánchez Pablo
Published: November 2018

Background: Climate change will increase temperature and reduce rainfall across temperate forests of Mexico. This can alter tree establishment dynamics within forest and in neighbouring man-made clearings.Hypotheses: Climate change will reduce emergence and survival of tree seedlings, and surviving plants will display functional responses matching with these changes. These effects should be more noticeable in clearings due to the lack of canopy cover.Studied species: Quercus eduardii (Fagaceae, section Lobatae ) an oak species endemic to Mexico.Study site and years of study: Tree growing season 2015-2016 (rainy season) in a mature oak forest and a neighbouring clearing in Sierra de Álvarez, state of San Luis Potosí.Methods: In both habitats, we established control plots (under current climatic conditions) and climate change simulation plots (increased temperature and reduced rainfall). At the beginning of the growing season, we sowed acorns of Q. eduardii in these plots and monitored the emergence, survival and growth of seedlings. At the end of the growing season, we assessed functional responses on surviving seedlings.Results: Seedling emergence and survival were lower in climate change plots from both habitats. However, differences in survival between climate treatments were larger within the forest. Seedlings from climate change plots displayed functional responses indicating higher levels of thermal and water stress.Conclusions: This study indicates that climate change will constrain tree recruitment in Mexican oak forests. However, contrary to our expectations, it seems that these effects will be higher within forests than in man-made clearings.
Variación anatómica del tallo y ultraestructura de la membrana de la punteadura en los elementos traqueales de Selaginella pallescens (Selaginellaceae)
Authors: Grego-Valencia Dalia , Terrazas Teresa , Tejero-Díez J. Daniel , Lara-Martínez Reyna , Jiménez-García Luis Felipe , Aguilar-Rodríguez Silvia
Published: November 2018

Antecedentes: La posible variación anatómica intraespecífica en traqueofitas inferiores no se registra. En este trabajo se describe la anatomía de tallos aéreos de Selaginella pallescens de diferentes hábitats, así como la membrana de la punteadura del xilema.Hipótesis: Existe variación significativa estructural del tallo aéreo y de la MP en una especie con relación a su forma de crecimiento y hábitat.Especie de estudio: Selaginella pallescens (C. Presl) Spring.Sitio de estudio: Cinco localidades, Estado de México, septiembre de 2016.Métodos: Se utilizaron técnicas de microscopía de luz, electrónica de barrido y de transmisión, para describir la anatomía caulinar y la ultraestructura de la MP de S. pallescens . Se buscaron diferencias significativas de los atributos anatómicos por medio de análisis de varianza del modelo general lineal, seguido de análisis de comparación de medias asociados a la forma de crecimiento, sustrato y tipo de vegetación de los sitios de colecta.Resultados: Selaginella pallescens presenta forma de crecimiento arrosetada y erecta. Anatómicamente, el córtex varía en la proporción de esclerénquima. El xilema presenta traqueidas y elementos de vaso. Las MPs en metaxilema y protoxilema muestran diferencias ultraestructurales. Existen diferencias en cinco variables anatómicas relacionadas con el sustrato, la forma de crecimiento y el tipo de vegetación.Conclusiones: Selaginella pallescens tiene plasticidad en su forma de crecimiento, también en el córtex y tejido vascular como posible respuesta al ambiente. La ultraestructura de las células cribosas muestra características que apoyan la separación taxonómica entre licopodios y helechos. Las diferencias en las MPs se interpretan en términos de seguridad en la conducción hidráulica de esta especie.
Reviewer ackowledgements 2018
Authors: Arias Salvador
Published: November 2018

Reviewer ackowledgements 2018
RNA Isolation Protocol in Bixa orellana v1
Authors: Carballo-Uicab Victor , Cárdenas-Conejo Yair , Vallejo-Cardona Alba , Aguilar-Espinosa Margarita , Rodríguez-Campos Jacobo , Serrano Posada Hugo , Alberto Narváez Zapata José , Rivera-Madrid Renata
Published: November 2018

A reliable protocol is described for isolation of large full-length cDNA from Bixa orellana mature tissues containing large quantities of pigments, phenols, and polysaccharides. This protocol involves the optimization of a commercial RNA extraction protocol in combination with a long distance reverse transcript PCR protocol.
Stranded Transcript Count Table Generation from Long Reads v2
Authors: A Eccles David
Published: November 2018

This protocol is for comparing two different samples at the transcript level, using long reads that are mapped to transcripts. Input(s): stranded fastq files (see steps 1-8 of Stranded Mapping from Long Reads), transcript reference fasta file, annotation file Output(s): transcript table, sorted by differential coverage, annotated with gene name / description / location
In situ RT-PCR in Bixa orellana v1
Authors: Carballo-Uicab Victor , Cárdenas-Conejo Yair , Vallejo-Cardona Alba , Aguilar-Espinosa Margarita , Rodríguez-Campos Jacobo , Serrano Posada Hugo , Alberto Narváez Zapata José , Rivera-Madrid Renata
Published: November 2018

An in situ RT-PCR assay was carried out in the tissues where apocarotenoid production was observed, with the aim of identifying the location of the BoCCD mRNA.
Analysis of expression in Bixa orellana v1
Authors: Carballo-Uicab Victor , Cárdenas-Conejo Yair , Vallejo-Cardona Alba , Aguilar-Espinosa Margarita , Serrano Posada Hugo , Alberto Narváez Zapata José , Rivera-Madrid Renata
Published: November 2018

Platinum® SYBR® Green qPCR SuperMix-UDG is a ready-to-use cocktail containing all components, except primers, for the amplification and detection of DNA in real-time quantitative PCR (qPCR).
MATERIAL PARADIDÁTICO SOBRE PREVENÇÃO DE ACIDENTES EM ESCOLARES: LEVANTAMENTO DE SUBSÍDIOS E ELABORAÇÃO
Authors: Vilas Bôas Bruna , Gimeniz-Paschoal Sandra Regina
Published: November 2018

Acidentes infantis são preveníveis, sendo relevante o conhecimento do contexto escolar e a produção de materiais educativos. O objetivo foi investigar opiniões de profissionais da educação, caracterizar os aspectos de risco e de segurança, identificar as ocorrências acidentais e elaborar livro paradidático para prevenção de acidentes infantis. O estudo foi realizado com a vice-diretora e uma professora do ensino fundamental de uma cidade do interior paulista. Foi feita aplicação de questionários, análise documental, filmagem do ambiente escolar, análise de livros sobre a temática e elaboração de um livro paradidático. Verificou-se que as quedas foram o acidente mais frequente na escola. Concluiu-se que falta formação ou atuação sistemática relativa à temática. A ocorrência de acidentes na escola é uma realidade e forneceu subsídios para elaboração do livro paradidático, que é indicado para ser utilizado em ações educativas na escola.
ELEMENTOS DO CENÁRIO SÓCIO-POLITICO E A IMPLEMENTAÇÃO DAS LICENCIATURAS INTERDISCIPLINARES
Authors: Luz Aline Souza da , C. S. Medeiros Gonçalves Pinto Maria das Graças
Published: November 2018

O presente artigo apresenta uma reflexão teórica sobre os cursos de formação de inicial de professores em nível superior que tem despontado no cenário nacional, as Licenciaturas Interdisciplinares.  O objetivo é apontar algumas condições que produziram a formulação e a implementação das Licenciaturas Interdisciplinares no cenário nacional, explicando esses processos. Não é intenção discutir o conceito de interdisciplinaridade ou mesmo a concepção de formação apresentada por esse curso. No presente trabalho interessa saber: Por que foram propostas as Licenciaturas Interdisciplinares? Para que surgem? Quais os fundamentos que sustentam sua implementação? Conclui-se neste estudo que a implementação das Licenciaturas Interdisciplinares pauta-se por determinantes econômicos e político-sociais.
MODELAGEM MATEMÁTICA NA PÓS-MODERNIDADE: UMA PROPOSTA DE FORMAÇÃO CONTINUADA DE PROFESSORES
Authors: Zontini Laynara dos Reis Santos , Burak Dionísio
Published: November 2018

Nesse artigo apresentamos uma reflexão sobre a Modelagem Matemática na perspectiva de Burak (2004), pensando em uma proposta de formação continuada de professores pautada na discussão sobre a pós-modernidade na visão de Santos (2010) e da mudança de estilo de pensamento tratada por Fleck (2010). Para isso, além de uma reflexão teórica apresentamos resultados iniciais de uma pesquisa qualitativa fenomenológica orientada pela pergunta: como os professores compreendem o ensino da matemática? Tal pesquisa foi realizada com objetivo de compreender o coletivo de pensamento dos professores que ensinam matemática em Irati para assim dialogar com os pressupostos teóricos e pensar em uma formação continuada que possibilite a mudança de estilo de pensamento necessária para que a Modelagem Matemática chegue efetivamente a sala de aula.
AS OPINIÕES DOS AGRICULTORES SOBRE AS MUDANÇAS DO CÓDIGO FLORESTAL: UM NOVO SUBSÍDIO PARA OS PROCESSOS DE EDUCAÇÃO AMBIENTAL
Authors: Ribeiro Filho Geraldo Valentim , Casaril Kérley Braga Pereira Bento , Carniatto Irene , Silva Nardel Luiz Soares da
Published: November 2018

Esta pesquisa teve como objetivo identificar as percepções dos agricultores sobre as mudanças do Código Florestal, como forma de subsidiar os processos de Educação Ambiental. O presente estudo foi realizado por meio de pesquisa bibliográfica e de campo. A pesquisa de campo foi realizada no período de fevereiro a março de 2016. Foram entrevistados dois gestores ambientais- e aplicou-se um questionário a 43 proprietários rurais que compõem a microbacia Sanga Mandaguari, no município de Ouro Verde do Oeste – PR. Os dados coletados foram analisados e interpretados com auxílio do Programa Statistical Package For Social Sciences – SPSS. Os resultados apontaram que 97% das propriedades se enquadram como agricultura familiar. A maioria sente-se prejudicada por ter recuperado a mata ciliar antes das mudanças da legislação, embora considere que as novas faixas de mata ciliar poderiam ser maiores. Além disso, discordada largura da faixa de preservação da mata ciliar ser em função do tamanho da propriedade. A maior parte não acredita que essas novas faixas continuarão preservando os recursos hídricos e o ecossistema, mesmo assim, considera que o “Novo Código Florestal” seja mais importante por permitir uma área maior para produção.
3.100KM ENTRE PRÁTICAS DE EDUCAÇÃO AMBIENTAL DESCOLONIALIZANTES: EXPERIÊNCIAS DIDÁTICAS NA FORMAÇÃO INICIAL DE PROFESSORES
Authors: Fortunato Ivan , Feitosa Raphael Alves
Published: November 2018

Este artigo é constituído pela análise de dois relatos de experiência com educação ambiental descolonializante, sendo um desenvolvido no curso de licenciatura em física no Instituto Federal, câmpus de Itapetininga, interior de São Paulo, e o outro no curso de licenciatura em biologia, da Universidade Federal do Ceará. Separados geograficamente por cerca de 3100 quilômetros, o objetivo é o de colocar nossas práticas ambientalmente educativas em evidência e no mesmo plano de equivalência para que, na reflexão interdisciplinar, possamos cooperativamente aprender e ensinar formas mais longevas de educação ambiental.
PORQUE SÃO IMPORTANTES AS PESQUISAS EM EDUCAÇÃO AMBIENTAL
Authors: Fortunato Ivan
Published: November 2018

Este texto expõe os principais motivos que levaram à organização de um dossiê, cujo objetivo é reunir resultados de pesquisas concluídas ou em andamento sobre Educação ambiental, a partir de uma perspectiva interdisciplinar.
OS SABERES DA PRÁTICA ALFABETIZADORA CONSTRUÍDOS E MOBILIZADOS NO COTIDIANO DE PROFESSORAS INICIANTES
Authors: Morais Joelson de Sousa , Nascimento Franc-Lane Sousa Carvalho do
Published: November 2018

O presente trabalho é fruto de um relato de experiência realizada numa pesquisa com três professoras iniciantes, que atuam nos anos iniciais do Ensino Fundamental numa escola do sistema público municipal de Caxias-MA. Primamos como métodos de investigação as conversas e observações que foram registradas num diário de pesquisa e aparelho de áudio. Tem como objetivo compreender como são mobilizados os saberes da prática alfabetizadora no cotidiano das professoras iniciantes. A perspectiva teórico-epistemológica adotada foram os Estudos do Cotidiano, e para compreender as narrativas das pesquisadas escolhemos a Epistemologia da Complexidade, tendo em vista que os saberes aprendidos por elas se dão em múltiplos contextos e se materializam em suas práticas pedagógicas cotidianas viabilizando o processo de ensino e aprendizagem. Os resultados mostraram que as professoras iniciantes, buscam inúmeras táticas e estratégias como forma de contribuir para o processo de alfabetização das crianças, entrelaçando o que sabem com outros saberes provenientes de várias dimensões e contextos de aprendizagem, utilizando da sua criatividade na criação de instrumentos didáticos e pedagógicos, aulas passeio, gênero epistolar, interpelação aos alunos nas atividades propostas, entre outras práticas, que acabam explorando suas habilidades de leitura, escrita e interpretação, as quais se mostram potencialmente significativas e relevantes para a escolarização dos sujeitos aprendentes.
Winners and losers of landscape changes over the last sixty years in one of the oldest and southernmost national parks of the European Alpine region: Ordesa and Monte Perdido
Authors: García M.B. , Errea P. , Gómez D. , Pizarro M.
Published: November 2018

Traditional land-use decline in Mediterranean mountains is translating into extensive forest recovery and the loose of “cultural landscapes”. In this context, the management of semi-natural ecosystems plays a fundamental role for the future preservation of species and processes, particularly in protected areas, and managers need rigorous information for an integrative interpretation of the long-term and complex effects of land cover replacement. Here we analyze changes in the land cover structure of the Ordesa and Monte Perdido National Park and its peripheral protection zone, by comparing 7 types of patches from aerial photographs taken in 1956 and 2015. Then, we discuss how this process affected landscape diversity and two kinds of potential vulnerable plants. We found higher changes in the unprotected than protected areas, concentrated below the treeline in both cases, as a result of forest densification and strong reduction of anthropic and unvegetated areas. Total edge of patches decreased, as well as the number of patches, whereas mean patch size increased, indicating that patches merged and ecotones reduced. Shannon diversity index of the landscape decreased too, confirming a simplification of the system. Most Pyrenean endemic plants and threatened ones occur either on stable grasslands over the treeline, “winner” forests, or as rocky specialists irrespective of the land cover class. Therefore, past landscape changes do not seem to have affected them negatively, and forest expansion could also benefit several plants and tree-dominated communities at the south limit of distribution (Abies alba, Fagus sylvatica, Pinus uncinata). Landscape simplification, however, translates into plant diversity reduction too, which could be slowed down by creating or keeping small open patches inside matrices of forest. Maximization of plant diversity would require in this case some human perturbation, but at lower intensity than in the far past, in order to preserve large stands of old forests too.
Bitki Çaylarında Mikrobiyal Kalite ve Mikotoksin Varlığı
Authors: CAN Nuray , DURAKLI VELİOĞLU Serap
Published: November 2018

Bitki çayları, Camellia sinensis dışındaki bitkisel materyalden elde edilmekte
olup hem hoşa giden tatları nedeniyle hem de sağlığı korumak ve çeşitli
rahatsızlıkları gidermek gibi amaçlarla eski zamanlardan beri kullanılmaktadır.
Bununla birlikte, bu ürünlerin hasat öncesinde ve hasat sonrası üretim
aşamalarında kontaminasyona uğrayabildiği bilinmektedir. Bu kontaminantlar
arasında patojen bakteriler ve mikotoksijenik küfler önemli bir yer
tutmaktadır. Bitki çaylarında uygun şartlarda gelişen mikotoksijenik küfler,
insan sağlığı üzerinde olumsuz etkileri bulunan mikotoksinleri
oluşturabilmektedir. Bu derlemede çay yapımında kullanılan bitkisel
materyallerin mikrobiyal kalitesi ve bu ürünlerdeki mikotoksinlerin varlığı
üzerine yapılmış çalışmalara yer verilmiştir.
Shocking the brain to regain motor function : a non-invasive therapy for stroke patients
Authors: Leung Michael Min Wah
Published: November 2018

Invasive treatments and its associated risks are important factors of concern when the conditions are affecting the nervous system. Transcranial direct current stimulation (tDCS) is a non-invasive technique that stimulates brain areas through the scalp and has excitatory or inhibitory neuromodulatory effects. In the context of stroke patients, recovery is often impaired from the increased inhibition of the damaged area from the unaffected hemisphere. Fujimoto et al. uses dual-hemisphere transcranial direct current stimulation to address this interhemispheric inhibition and demonstrates that stroke patients were able to periodically restore sensory deficits.
Taking the hydro out of hydrofracturing: Application of ultra-light weight proppants to cryogenic liquid nitrogen as a fracturing fluid
Authors: Ahmed Amna , Zhu Teresa , Majeed Amna
Published: November 2018

In the last decade, hydraulic fracturing has rapidly gained popularity worldwide, emerging as the leading method of natural gas extraction in the United States. However, the practice remains controversial due to its contribution to greenhouse gas emissions and the contamination of freshwater used in fracturing fluids. Although waterless fracturing fluids have been developed, including those using N2, CO2, oil, and alcohol, their application has been limited largely due to reduced fracturing power. Recent research has demonstrated that cryogenic nitrogen may prove a viable alternative, if this issue is properly addressed. Addition of durable, lightweight proppants is one way to increase fracturing power. This study aims to investigate the effect of proppant addition on the fracturing capabilities of cryogenic nitrogen. Three ultra-lightweight proppants will be combined with liquid nitrogen and fracturing power will be measured using triaxial stress tests. This novel approach has not yet been explored and will open more avenues of research into sustainable and efficient fracturing using  cryogenic nitrogen.
Tubal recanalisation-microsurgical tubal reversal anastomosis
Authors: Rajendran M. K.
Published: November 2018

Background: Nowadays, in India, to control population, we are strictly following permanent methods of sterilization after one or two children. Because of some unfortunate things like RTA or some natural calamities, some parents have lost one or both the children in that situation. To study the outcome of the procedure patency of the tube, complications, pregnancy if happens during the study period.Methods: Totally 65 female patients were included in the study. Authors have the patients for past 18 years including post tubectomy patients with is variable age and duration after sterilization and all methods of sterilization except fimbriectomy. For all cases, we have done all basic investigation, USG, and HSG.Results: Totally 65 patients are followed regularly from 2008. The success rate (pregnancy rate) is >90%. In these patients, pregnancy outcome was in form of intrauterine pregnancy (90%) ectopic pregnancy (2%), term viable pregnancy (3%) and spontaneous abortion (less than 1%).Conclusions: In the past, in most of the studies, the success rate (pregnancy rate) is more in the age group of <30 years. But in present study even in >30 years age and any long duration of the post-sterilization period, the success rate is more, because the two-layer technique 8-0 prolene under loupe magnification is the leading factor for the success rate (pregnancy rate).
Fine needle aspiration cytology comparison of diagnosed thyroid nodules diagnosis with postoperative histopathology
Authors: Turan Gülay , Kocaöz Servet
Published: November 2018

Background: Around 2.5% of male cancer in Turkey, 12% of female cancers include cancers of the thyroid. Early diagnosis and correct treatment of thyroid cancers is therefore important. However, in addition to preventing the complications, patients not to be subjected to unnecessary thyroid procedure depend on the pre-detection of that whether the nodules are benign or malign. The objectives of the study were to investigate whether fine needle aspiration (FNA) cytology of thyroid nodules is sufficient for diagnosis. Thyroid FNA result is based on the standardized Bethesda System for Reporting Thyroid Cytopathology (TBSRTC).Methods: FNA cytology reports of 1808 patients for the period between January 2011 and December 2017 in Atatürk City Hospital, which is located in Balıkesir province, in the western part of Turkey, were retrospectively analyzed. Cytology results were reported as follows: non-diagnostic, benign, atypia (AUS) or follicular lesion (FLUS) of undetermined significance, follicular neoplasm or suspected follicular neoplasm (FN), suspected malignity and malign. They were compared with postoperative histopathology result.Results: According to the thyroid FNA cytology, 409 patients were operated on, and the obtained specimens were histopathologically analyzed. The histopathological malignity rates of patients were detected to be as follows: 0.0%, 2.0%, 3.0%, 12.1%, 31.3% and 51.5%. It was detected that malign thyroid cancer was detected to be seen more in women and the age group of 31-60. The sensitivity value of the research was detected to be 92%, which was a significantly high ratio. Positive and negative predictive values were detected to be 97% and 92%, respectively.Conclusions: Where FNA cytology result is insufficient, FNA procedure should be repeated. FNA must be repeated with USG for cases with suspected AUS, FLUS and follicular neoplasm.
Reconstructive strategies for lower one-third leg soft tissue defects
Authors: S. G. Mahesh , Ramji Ashwath Narayan , R. Balaji , S. M. Mali Chetan
Published: November 2018

Background: Despite recent technical advances, reconstruction of lower third of leg wounds with soft tissue defects remains a challenge to the Plastic Surgeon. This is due to the inherent anatomical and structural configuration, including the limited vascularity of the skin of the lower third of the leg. Maintaining maximal function without compromising the aesthetic appearance of the leg is the goal of reconstruction.Methods: This was a retrospective study conducted in the Department of Plastic Surgery, KIMS Hospital, Bangalore, from January 2016 to January 2018. Patients with soft tissue defects involving lower third of leg requiring flap cover were included in the study. Orthopedic intervention was done as required. All patients underwent loco-regional or free flap cover as clinically indicated. Outcomes were studied.Results: Total of 20 patients were included in the study. Most common presentation was due to road traffic accidents (RTA). Right leg was involved in 12 cases and left in 8 cases. Fracture was present in 7 cases, exposed bone without fracture in 11 cases, exposed tendons alone in 1 case and exposed implants in 1 case. 3 Patients required orthopaedic intervention along with the flap procedure, and 4 had already undergone orthopaedic stabilisation. Most commonly performed procedure was muscle flap (45%), followed by perforator-based fascio-cutaneous flap (25%). No major complications were observed in the post-operative period.Conclusions: Lower third of leg reconstruction is a challenge, but a wide variety of options ranging from loco-regional to free flaps can be employed, depending on the situation. In present study, various types of flap cover were adopted to cover the lower-third of leg defects, depending on the nature of the wound. Present study delineated that muscle flaps - particularly the reverse hemi-soleus flap, are an ideal flap for lower third of leg defects with fracture site exposed and wound infected. Local muscle flaps have the advantage of being single-staged, faster to perform and technically easier, compared to free flaps, which have long been considered the gold standard.
Estudio retrospectivo que evalúa la carga de la varicela en México en menores de 1-14 años tratados en 10 sitios
Authors: Vázquez Rivera Mirella , Pérez Bolde Villarreal Carlos , Monsanto Homero , Rampakakis Emmanouil , Altland Alexandra , Wolfson Lara
Published: November 2018

OBJETIVO: Evaluar la carga clínica y económica de la varicela en pacientes mexicanos de 1-14 años.MÉTODOS: Estudio retrospectivo, multicéntrico, de expedientes clínicos de pacientes de 1-14 años con diagnóstico de varicela primaria atendidos del 2011 al 2016 en 10 sitios. Los costos directos e indirectos individuales (dólares americanos al tipo de cambio promedio de 2017) se calcularon a partir del uso de recursos de atención médica, los gastos pagados por los padres o tutores del paciente y la pérdida de trabajo de los cuidadores. Los costos sociales anuales se estimaron para un escenario base multiplicando los costos por paciente por la incidencia promedio de la varicela según el Sistema Único de Información para la Vigilancia Epidemiológica (SUIVE).RESULTADOS: Se incluyeron los expedientes clínicos de 152 pacientes con varicela: 75 ambulatorios y 77 hospitalizados. Estos últimos reportaron tasas de complicaciones más altas (84.4 vs 6.7%), requirieron más medicamentos recetados y de venta libre (94.8 vs 80.0%; 71.4 vs 80.0%, respectivamente), análisis y procedimientos (87.0 vs 5.3%). Los costos directos e indirectos se calcularon en 198.3 y 42.3 dólares por paciente ambulatorio, y en 5611 y 175.2 dólares por paciente hospitalizado, respectivamente.CONCLUSIÓN: Existe una carga clínica y económica considerable entre los menores de edad con varicela primaria en México. Estos resultados destacan la necesidad de implementar un programa de vacunación infantil contra la varicela.PALABRAS CLAVE: Niño; varicela; vacunación; México; carga económica de la enfermedad; uso de recursos de atención médica
Diagnóstico y tratamiento de los trastornos gastrointestinales del eje cerebro-intestino en niños menores de 2 años
Authors: Ignorosa Arellano Karen Rubí , Toro-Monjaraz Erick Manuel , Montijo Barrios Ericka , Zárate Mondragón Flora Elva , Cadena León José Francisco , Cervantes Bustamente Roberto , Michel-Penichet Fernando , González Camid María de los Ángeles Estrella , Leal Quiroga Ulises , Oyervides García Carlos Iván , Méndez Nieto Carlos Mario , Romero Alcaraz Marcela , Santos Jasso Karla Alejandra , Gaitán Morán José Luis , Serrano Sierra Alejandro , Vázquez Ortiz Salvador , González Rubio Román , Mendoza Gómez Octavio Jesús , Ramírez Mayans Jaime Alfonso
Published: November 2018

Los trastornos gastrointestinales funcionales son la principal causa de consulta en el primer año de vida, tanto para el pediatra como para el médico general que atiende niños.Su naturaleza de origen, sin daño anatómico estructural o bioquímico aparente2 y, sobre todo, la edad de presentación en menores de un año, específicamente en los primeros seis meses de vida, así como su manifestación clínica, generan gran angustia en los padres y el pediatra.3En algunos de estos niños se practican procedimientos diagnósticos: radiografías de abdomen, serie esófago gastroduodenal, pH-metría, endoscopia y, sobre todo, cambios frecuentes de la fórmula láctea.1,3-5 Para evitar complicaciones a largo plazo, el médico debe establecer de manera oportuna un diagnóstico y tratamiento adecuado, y reafirmarle a los padres que con el tratamiento adecuado su hijo tendrá una evolución favorable.
Ruralidad y desarrollo del equilibrio estáticodinámico: ¿existen diferencias?
Authors: Raez- Arriola Sharon , Tafur-Estrella Piero , Bravo Cucci Sergio
Published: November 2018

A nivel mundial se aprecia una disminución de la tasa de crecimiento de la población rural, aun así, se estima que en el mundo existen 3,396 millones de personas en las diferentes etapas de la vida que viven en entornos rurales.1 Respecto de los niños, en Perú, a nivel rural, se estima que existen cerca de 1.6 millones de menores de 10 años.
Using Online Short Stories to Improve the Reading Comprehension Ability
Authors: Syafii Muhammad Lukman
Published: November 2018

Abstract Reading materials can be obtained from many sources, like storybooks, magazines, and the Internet. Online Short Stories is one of the Internet resources with images and sound and quizzes. This study was aimed at benefiting these readily used materials to improve the eighth graders’ reading comprehension of narrative texts. The Online Short Stories are combined with five worksheets that consist of guiding questions on comprehension, namely: Self Monitoring Card, Key Concept, Story Map, Reading Journal, and Reading Log which are used for intensive and extensive reading activity. This study implemented classroom action research design and had taken 34 eighth graders of MTs Al-Islam Joresan Mlarak Ponorogo as the subjects 2017/2018 academic year. Based on the results of the students’ tests as well as their on-going assessments, it is found out that the students’ reading comprehension was gradually improving. It means that there was a positive effect of using Online Short Stories towards the students’ reading ability. The result shows that the combination of materials and worksheets that were implemented in both cooperative and individual learning had facilitated the students in improving their reading comprehension ability, as well as their social skills. Therefore, it is very important to implement this strategy to order to improve the students’ reading comprehension. Keywords: Online Short Stories, Improvement, Reading Comprehension Ability
Типология трудового поведения лиц третьего возраста (на примере Республики Карелия)
Authors: Каргинова-Губинова Валентина Владимировна , Ромашкина Юлия Валерьевна , Прокопьев Егор Александрович
Published: November 2018

В статье поднимаются вопросы о включённости в рынок труда Республики Карелия представителей третьего возраста, потребность использования которых повышается вследствие интенсификации процессов старения населения. Эмпирическую базу исследования составили результаты анкетирования 527 респондентов, проживающих в г. Петрозаводске, Медвежьегорском и Сортавальском муниципальных районах. Установлено, что резервы роста уровня занятости исследуемой категории граждан в Республике Карелия составляют 18,5 п.п. Определено, что возраст, количество членов семьи, уровень доходов и образования, характеристики здоровья являются значимыми факторами, влияющими на продолжение трудовой деятельности в пенсионном возрасте. На основе дискриминантного анализа разработана типология трудовых стратегий населения третьего возраста, которая описывает поведение 78,9% исследуемой группы. Предложенная типология может быть использована для совершенствования государственной политики по увеличению занятости в регионе.
Особенности формирования потока в бережливом производстве в условиях неопределенности
Authors: Жариков Анатолий Васильевич , Ширяева Юлия Сергеевна , Ильичева Нина Михайловна
Published: November 2018

В статье рассматриваются концептуальные вопросы организации бережливого производства и формирования потока создания необходимой ценности для потребителя. Описаны основные стадии создания бережливого производства и виды напрасных затрат, на ликвидацию которых направлено бережливое производство. Раскрыты особенности принципа «выталкивающего» производства, наиболее ориентированного на удовлетворение требований потребителя. Приведены и систематизированы особенности производства изделий электронной техники, характеризующиеся высокой степенью неопределенности и влияющие на организацию потока в бережливом производстве. Выделены пять основных видов операций изделий электронной техники в зависимости от типа передачи потока предметов труда, в том числе детерменированные операции и операции с высокой степенью неопределенности конечного результата, на которых планируют неизбежные технологические потери и требующие создание страховых и оборотных заделов для поддержания заданного такта производства.
Концептуальные и практические аспекты инфляционного таргетирования
Authors: Бурлачков Владимир Константинович , Паушева Татьяна Евгеньевна
Published: November 2018

Эффективное противодействие повышательной ценовой динамики в национальной экономике является обязательным условием обеспечения устойчивого экономического роста и повышения благосостояния домашних хозяйств. В современных условиях наиболее распространенной формой денежно-кредитной политики, направленной на регулирование ценовой динамики, является инфляционное таргетирование. Главный инструмент этой политики - краткосрочная процентная ставка центрального банка. Но сдерживание ценовой динамики путем увеличения процентной ставки приводит к падению кредитной активности в экономике и предопределяет снижение темпов экономического роста.
Цель статьи состоит в разработке инструментария денежно-кредитной политики, обеспечивающего снижение ценовой динамики в национальной экономике, но не оказывающего негативного влияния на темпы экономического развития.
Научной новизной статьи является вывод о том, что повышение краткосрочной процентной ставки центрального банка в целях сдерживания инфляции приводит к замедлению экономического развития. Поэтому снижение ценовой динамики должно основываться на формировании рациональных ожиданий хозяйствующих субъектов относительно ценовой динамики на основе их информирования о полном комплексе мер, которые могут быть применены центральным банком в складывающихся макроэкономических условиях для сдерживания роста цен.
Анализ концептуальных и практических аспекты инфляционного таргети- рования представляет интерес для разработчиков макроэкономической политики, финансовых аналитиков, частных и институциональных инвесторов.
Global learning: A catalyst for curriculum change
Authors: Scoffham Stephen
Published: November 2018

This article considers some of the key challenges and opportunities for global learning. It is argued that global learning is a confused terrain that is emotionally 'hot' because it impacts on deep-rooted notions of nationality and personal identity. The difficulty of engaging with
controversial issues such as power relations, social injustice, migration and global poverty are explored, along with the legacy of colonialism. Recognizing that global learning aims to develop new ways of thinking suggests that progression and assessment may need to be reframed around overarching
concepts and the formation of values, rather than measurable outcomes. Intriguingly, this also offers an opportunity to realign the curriculum to better address twenty-first-century needs, particularly with respect to sustainability and the environment.
A Pilot Investigation of Occupational Therapy Students’ Perceptions of Their Impact on Services to Older Adults
Authors:   University of Sydney, Australia, Dongni Li Dongni Li , Srivalli Nagarajan Srivalli Nagarajan ,   University of Sydney, Australia, Sanetta du Toit Sanetta du Toit ,   University of Sydney, Australia
Published: November 2018

Practice education is an integral component of occupational therapy curricula to ensure graduates are competent in delivering effective and efficient services to their clients. This study aimed to understand occupational therapy students’ perceptions of the impact of student-delivered services for clients aged over 65 years. A case study design directed at in-depth exploration of undergraduate occupational therapy student experiences of working with older adults was employed. Semi-structured interviews were conducted with eight final-year students at an Australian university during 2015. Data were analysed using thematic analysis. The key finding was that students generally believed they contributed positively to aspects of client-services during placements. Students reported on the development of competence during placement and the positive impact they had on services for older adults. The study highlighted the unique intergenerational relationship students had with older adults during their therapeutic encounters. However, very few participants recognised the importance and complexity of providing holistic services to older adults. Conclusion: There is potential to improve services for older adults by offering a greater number of placement opportunities involving students in direct client services. If occupational therapy students are better prepared, supported, and informed of the complexities associated with working with older adults, direct client-services rendered by students could potentially be enhanced. This will require ongoing collaboration between occupational therapy workforce, placement sites, and universities to align occupational therapy curricula with healthcare needs.
Developing Measures of Placement Quality in Allied Health, Dentistry, Medicine, and Pharmacy
Authors:   The University of Sydney, Australia, McAllister Lindy , Nagarajan Srivalli ,   The University of Sydney, Australia, Scott Linda ,   Formerly of The University of Sydney, Australia, Smith Lorraine ,   The University of Sydney, Australia, Thomson Kate ,   The University of Sydney, Australia
Published: November 2018

As placement numbers expand, there is a concern that the quality of student experience and learning may diminish. Furthermore, there is a paucity of evidence for evaluation and quality improvement in clinical health placements and there have been few studies undertaken to assess quality. Valid and reliable measures of placement quality are needed to provide an evidence-base to guide decisions about the most efficient and effective placement models in health. A two-phase mixed methods design, using a modified Delphi process, focus groups, and surveys, developed and tested items to measure placement quality. Thematic analysis, descriptive statistics, and exploratory factor analysis (EFA) were used to analyse the data. Twenty-three participants took part in the Phase 1 stakeholder focus groups, and 150 useable surveys were returned by 161 who took part in Phase 2 to test validity and reliability of the student survey items. Results show broad agreement on the features of a quality clinical placement across allied health dentistry, medicine, and pharmacy professions. The student survey was found to be a valid and reliable measure of placement quality, with the EFA showing one component accounting for 58.5% of the variance in the survey data. The findings offer a framework and approach that others can adopt to measure placement quality in their setting. The measures may be adaptable to contexts outside health.
El principio de culpabilidad en el derecho administrativo sancionador, con especial mirada al caso peruano
Authors: Baca Oneto Víctor Sebastian
Published: November 2018

En este trabajo se analiza el alcance del principio de culpabilidad como uno de los pilares del derecho administrativo sancionador. Se abordan los supuestos en que la aplicación de este principio puede resultar más controvertida, como es el caso de la responsabilidad de las personas jurídicas y las infracciones de mero desconocimiento. De acuerdo con la investigación realizada, no es posible prescindir de la aplicación de este principio, más allá de que existan peculiaridades en su aplicación, entre las cuales se destaca la inversión de la carga de la prueba.