bluuebunny/crossref_metadata_2025 huggingface dataset:
Diagnosis: a critical social reflection in the genomic era
Authors: Jutel Annemarie
Published: September 2019

Abstract Diagnosis is a pivotal tool for the work of medicine as they categorise and classify individual ailments via a generalised schema. However diagnosis is also a profoundly social act, which reflects society, its values and how it makes sense of illness and disease. Considering diagnosis critically, as well as practically, is an important job of the sociologist. This paper reviews how a social model can provide a critical tool for viewing diagnosis in the genomic era. It explores how the formulation of diagnosis, be it via genetic explanations or microbiological ones, are the product of social discovery, negotiation, and consensus.
Stock assessment of the peacock bass Cichla temensis (Humboldt, 1821), an important fishing resource from the middle Negro river, Amazonas, Brazil
Authors: Campos C. P. , Catarino M. F. , Freitas C. E. C.
Published: September 2019

Abstract Peacock bass Cichla temensis is an important species at the Amazon basin, since commercial, subsistence and recreational fisheries simultaneously exploit it. Cichla temensis is the preferred species by recreational fishers and it has been strongly exploited, mainly at the Negro river, the second largest tributary of the Amazon River. It was used data from experimental fisheries, collected at the middle stretch of Negro river, which were coupled with previously published data on its population dynamics, to run a yield per recruit model and build scenarios of sustainable fisheries. The results showed that the age of the first catch is a key variable to successful management of the peacock bass stocks at this region.
EDGE EFFECT ON CHEMICAL ATTRIBUTES OF SOIL IN A SEASONAL FOREST
Authors: Barreto-Garcia Patrícia Anjos Bittencourt , Scoriza Rafael Nogueira , Paula Alessandro de
Published: September 2019

ABSTRACT The magnitude of changes in soil attributes can be used to identify the effects of natural or anthropogenic interference on forest fragments. The objective of this work was to evaluate the chemical attributes of the soil as indicators of the edge effect at a Seasonal Semi-deciduous Forest fragment in the Southwest of Bahia, Brazil. Four sampling ranges were defined in the forest fragment (Range 1: 0-10m; Range 2: 40-50 m; Range 3: 80-90 m; and Range 4: 400-410 m from the edge). A degraded native pasture area was used as the reference. Soil samples were collected at depths of 0-5, 5-10 and 10-20 cm. The samples were analyzed for pH and organic matter, P, K, Ca, Mg and Al. The superficial layer of the soil was sensitive to the changes imposed by the fragmentation, reflecting modifications in some of its chemical attributes up to a distance of 90 m from the edge towards the interior of the fragment, with more severe effects in the first 10 meters. Soil organic matter, potential acidity, CEC and pH were the most affected attributes, evidencing a gradient of variation in the edge-interior direction.
THERMAL MODIFICATION OF SUGARCANE WASTE AND BAMBOO PARTICLES FOR THE MANUFACTURE OF PARTICLEBOARDS
Authors: Brito Flávia Maria Silva , Bortoletto Júnior Geraldo
Published: September 2019

ABSTRACT The thermal modification of particles of the paticleboards constituted of agroforest and industrial waste can improves the dimensional stability (thickness variation) and reduces the use of chemicals that can raise the costs of the process or be hazardous to humans and the environment. This study evaluated the effect of the thermal modification on the physical-mechanical properties and density profile of particleboards manufactured from sugarcane bagasse and bamboo (Dendrocalamus asper) (Schult f.) Backer ex Heyne). A mixture of 75% bamboo particles and 25% sugarcane bagasse was subjected to 220 °C temperature for 201 min. Urea-formaldehyde (UF)-based adhesive with three solids contents (10, 12 and 14%) based on the dry mass of the particles was used for the aggregation of the materials. Both temperature and increases in the adhesive content improved their dimensional stability, however, the thermal treatment reduced the mechanical properties. The particleboards composed of treated particles did not meet the minimum specifications established by the Brazilian norm utilized. The densitometric profiles were negatively influenced by the thermal modification and improved by the increase in adhesive content.
La práctica artística como lugar de visibilización de las mujeres transgénero de Pereira (Colombia)
Authors: Silva-Cañaveral Sandra Johana
Published: September 2019

Resumen: La práctica artística ha privilegiado la experiencia de lo ‘vivido’ por las mujeres y por otros sujetos, porque ella en sí misma es un saber de la experiencia humana. Esta abertura sensible a lo ‘vivido’ permite abarcar en el ejercicio de la creación a todos los seres humanos, así como a todas las esferas en las que experimentan su subjetividad. El propósito de este artículo consiste en mostrar los resultados de la investigación-creación llevada a cabo con cinco mujeres transgénero y una comunidad de creadores y creadoras en la ciudad de Pereira, Colombia, cuyos registros estéticos y artísticos produjeron nuevas operaciones simbólicas y cognitivas al convertir la experiencia de lo ‘vivido’ en una urdimbre de visibilización, interlocución y reivindicación de las subjetividades y de sus identificaciones cognitivas, sociales, políticas, sexuales y de género.
A DESCONSTRUÇÃO DO DISCURSO SOBRE TRAUMA EM DOIS FILMES DE EASTWOOD: UMA CONTRIBUIÇÃO DAS INTERVENÇÕES PSICANALÍTICAS CLÍNICO-POLÍTICAS
Authors: IMBRIZI JAQUELINA MARIA , ROSA MIRIAM DEBIEUX
Published: September 2019

RESUMO: Como algumas produções cinematográficas contribuem ao debate sobre noções de trauma em psicanálise? Analisamos dois filmes dirigidos por Clint Eastwood, “Sobre meninos e lobos” e “Sniper americano” retomando, como método de trabalho, os conceitos de narcisismo das pequenas diferenças, trauma, fala como acontecimento, acontecimento e acontecimento-ruptura, de modo a colocar em questão os pensamentos por oposição binária e ego-referenciados, que podem reforçar estereótipos e preconceitos e que obturam a mobilidade e a transformação do acontecimento traumático em propulsão para a vida. Nossa intenção é desconstruir alguns discursos que pautam a cultura contemporânea e contribuir para intervenções psicanalíticas clínico-políticas.
A FORACLUSÃO DO NOME-DO-PAI: LÓGICA DO SIGNIFICANTE E TOPOLOGIA DOS NÓS
Authors: MARTINS VIVIANE TINOCO
Published: September 2019

RESUMO: O artigo objetiva estabelecer uma discussão acerca do conceito de foraclusão extraído por Lacan da obra freudiana. O percurso teórico acompanha o ensino de Lacan desde a formulação do conceito de foraclusão, definido a partir da lógica da exclusão do significante do Nome-do-Pai. O desenvolvimento da topologia borromeana faz do Nome-do-Pai um sinthome que amarra os três registros - simbólico, imaginário e real. No final de seu ensino, Lacan concede novo relevo teórico ao conceito de foraclusão, compreendido como sinal da desamarração do nó borromeano.
PERCALÇOS NO PROCESSO DE SUBJETIVAÇÃO DO BEBÊ: SINAIS DE RISCO DE AUTISMO OU DEPRESSÃO DO BEBÊ
Authors: SABOIA CAMILA
Published: September 2019

RESUMO: A clínica da intervenção precoce nos leva a questionar as nuances sintomatológicas entre os sinais de risco de autismo e os da depressão no bebê. Partindo-se do conceito freudiano que associa a depressão à perda do objeto, como se poderia pensar sobre o quadro depressivo no caso dos bebês que estão em processo de construção de sua relação objetal? Em ambos os casos, trata-se de um desencontro no arranjo pulsional do laço mãe-bebê, embora com características distintas, vivenciadas, sobretudo, por meio da relação contratransferencial com o analista. A partir da exposição de dois casos clínicos, discute-se em quais aspectos o retraimento relacional autístico e o depressivo do bebê convergem e se diferenciam.
MOURNING IN THE DEAD MOTHER COMPLEX
Authors: GUAJARDO EDITH G. POMPA , ANCHONDO MARÍA A. CAMPERO , CANTÚ WALTER D. GARCÍA
Published: September 2019

ABSTRACT: We review the concept of mourning, first as conceived by Freud and Klein, and how it relates with the contemporary “clinic of the void” as described by André Green. The clinic of the void is part of a series of modern manifestation of psychic malaise called “new symptoms”. To illustrate, we present the case of Roxana, a Mexican woman whose psyche reflected the dynamic of the dead mother complex. Through an analysis of her interpersonal relationships and past experiences, and comparing with psychoanalytic literature, we conclude that the dead mother complex might become a common condition in our society.
A NEUROSE OBSESSIVA: DA TEORIA À CLÍNICA
Authors: FILIPPI ANDREA SENNA DI , SADALA MARIA DA GLÓRIA SCHWAB , LOURES JOSÉ MAURÍCIO TEIXEIRA
Published: September 2019

RESUMO: Este artigo aborda a neurose obsessiva a partir dos fundamentos teórico-clínicos de Freud e Lacan. A clínica psicanalítica nos permite formular questões pertinentes ao estudo desenvolvido, possibilitando, assim, a articulação entre teoria e prática clínica. Este estudo convoca o leitor ao debate sobre os impasses da clínica e a direção do tratamento, e desvela que a clínica da neurose obsessiva muito pode ensinar sobre os fundamentos da psicanálise, sobre o complexo de Édipo, sobre como o sujeito se posiciona diante do desejo e suas estratégias de gozo.
Characteristics of hormone use by travestis and transgender women of the Brazilian Federal District
Authors: Krüger Alícia , Sperandei Sandro , Bermudez Ximena Pamela Claudia Diaz , Merchán-Hamann Edgar
Published: September 2019

ABSTRACT Introduction: Travestis and transgender women resort to the use of hormones for body modification. Due to restrictions in the access to health services, self-medication is frequent. The aim of this study was to describe the self-reported prevalence of hormones used by travestis and transgender women in the Federal District. Method: This is a cross-sectional study with Respondent Driven Sampling (RDS) and Knowledge, Attitudes and Practices questionnaire (KAP) along with travestis and transgender women over 18 years in the FD. Prevalence was calculated using the RDS-II estimator. Logistic models were used to investigate the associated factors. A total of 201 volunteers participated. Results: There was a young sample (median age of 24 years). The overall prevalence of continuous use of hormones was 64.5%. The most used formulation was the combination of estrogen and progesterone (86.2%) by injectable (75.1%) and oral (66%) administration. Most participants (84%) got the hormones without a prescription. Guidance on the use of these hormones came from their peers in 41% of the cases. We observed that the continuous use of hormones is associated with race, income and age, as well as the search for guidance of healthcare professionals, which is also associated with schooling. Discussion: The reality of the process of hormone use by these people in the quest for femininity is reflected in high rates of self-medication. Conclusion: This study contributes to the visibility of the need to improve the access conditions of these people to health services.
Exploratory spatial analysis of HBV cases in Brazil between 2005 and 2017
Authors: Vivaldini Simone Monzani , Pinto Flavia Kelli Alvarenga , Kohiyama Igor Massaki , Almeida Elton Carlos de , Mendes-Correa Maria Cássia , Santos Alexandre Fonseca , Ribeiro Rachel Abrahão , Pereira Gerson Fernando Mendes , Araújo Wildo Navegantes de
Published: September 2019

ABSTRACT Objective: To analyze the pattern of spatial distribution of hepatitis B virus (HBV) cases and the mortality attributed to this disease throughout the Brazilian territory, in 2005, 2016 and 2017. Methods: This is an ecological study of spatial analysis, using data from the Information System for Notifiable Diseases and the Brazilian Mortality Information System. HBV detection and mortality rates were analyzed. The spatial analysis from 2005 to 2017 was held through the Global Moran’s Index (I) for global data and the Local Indicators of Spatial Association (LISA) for the 5,564 municipalities of the country. Results: The North region stands out with the highest HBV detection and mortality rates in the country. The Global Moran’s I showed a spatial correlation of HBV cases in Brazil, and the LISA Map evidenced the presence of hotspots or spatial clusters (high-high type), mainly in the North region and also in some municipalities of Santa Catarina, Paraná, Rio Grande do Sul, Espírito Santo, São Paulo and Rio de Janeiro. Conclusion: The spatial analysis of the HBV distribution pattern in Brazil shows areas with a large concentration of cases, particularly in the North of the country and in other points distributed throughout the national territory. These data reinforce the urgency of intervention actions related to prevention, diagnosis and treatment of hepatitis B.
Systematic review on health care professionals’ competencies in the care of LGBT+ individuals
Authors: DULLIUS Willian Roger , MARTINS Lara Barros , CESNIK Vanessa Monteiro
Published: September 2019

Abstract This review encompasses both national and international literature about training needs analyses for health care professionals working with the LGBT+ population. The descriptors “health professionals”, “health providers”, “LGBT”,“training needs analysis” were searched in the following databases: Academic OneFile, Academic Search Complete, Medical Literature Analysis and Retrieval System Online, Virtual Health Library, Cumulative Index to Nursing and AlliedHealth Literature, Complementary Index, Business Source Complete, Education Source, Gender Studies, National Center for Biotechnology Information, Scientifi c Electronic Library Online, SportDiscus, and PsycINFO. Inclusion criteria were:empirical articles, published from 2007 to 2017, in indexed and peer-reviewed journals, available in full text, in Portuguese or English versions. Of the 17 included articles, most were published in North American countries. There is a need for training and formal protocols within institutions. Training had positive results. No instruments about the competencies for health care professionals working with the LGBT+ population were identifi ed. Further studies should be conducted in the fi eld of health care professionals training to provide satisfactory health care services to this public.
Bone meal as a source of phosphorus for forage sugarcane1
Authors: Silva Wesley Mendes da , Carvalho Marco Antonio Camillo de , Yamashita Oscar Mitsuo , Tavanti Tauan Rimoldi , Tavanti Renan Francisco Rimoldi
Published: September 2019

ABSTRACT Phosphate fertilizers of organic origin may represent a viable alternative for the replacement of mineral fertilizers in the nutrition of crops such as forage sugarcane. This study aimed to investigate the effects of phosphate fertilization with bone meal and single superphosphate on the concentration of phosphorus (P) in the plant tissue, total soluble solids and yield aspects of forage sugarcane. A complete randomized block design was used, in a 2 × 5 factorial scheme, with four replicates. The treatments consisted of combining two phosphorus sources (single superphosphate and bone meal) and five P2O5 doses (0 kg ha-1, 50 kg ha-1, 100 kg ha-1, 150 kg ha-1 and 200 kg ha-1). Sugarcane plants fertilized with the addition of bone meal showed an increase in height and number of nodes (13 % and 15 %, respectively), when compared to the mineral fertilization with single superphosphate. The sugarcane attributes, in response to the P2O5 doses, were described by quadratic functions. The dose of 95.80 kg ha-1 of P2O5 in the bone meal led to the highest concentration of P in the plant tissue (3.60 g kg-1). The comparison between the sources of P at the doses of 100 kg ha-1 and 150 kg ha-1 of P2O5 showed that the total soluble solids content was 8.62 % and 13.84 % higher, respectively, in plants fertilized with bone meal.
STORMY WEATHER ON HIGHER EDUCATION: GLOBALIZATION AND CHANGE
Authors: Paradeise Catherine
Published: September 2019

ABSTRACTS The paper tackles the issue of the changes in universities, induced by the internationalization of higher education at the turn of the Millennium and the ensuing national reforms that have spread all over the world. Using a meso-approach of the organization, governance and performance of universities, it suggests a typology based on the tensions they experiment between two regimes of worth – the traditional one that favors “reputation” as a social evaluation vs the new one, build around a metrics-based “excellence” assessment. It finally questions the most sensitive issues and challenges they face and how they behave depending on their strategic capacity to face their resources and constraints.
Water management from the environmental certification perspective: a new proposal of criteria and weight rates for application in Brazilian regions
Authors: Bastos Celso Silva , Calmon João Luiz , Gonçalves Ricardo Franci
Published: September 2019

ABSTRACT Several countries have developed tools with criteria and evaluations to grant, through the environmental certification, a more sustainable undertaking, with quality and productivity for its users. The tools were developed for different needs and objectives, which makes it difficult to make a direct comparison, in addition to having specific demands for each region. This study aims to make a comparative analysis between some tools of greater international knowledge and to propose new parameters for the water use and management category, taking into account the design and operational phase, the water distribution, and the demands for 2025. Consequently, this study proposed the creation of an exclusive environmental tool for the management and water use, providing a seal that may be applied to any project and adopted by water work systems as an incentive to reduce the consumption of drinking water, to use alternative sources, and to decrease liquid effluents.
Programas de avaliação externa na educação superior brasileira, repercussões até o SINAES e consequências no contexto UFRGS
Authors: Magalhães Nara Maria Emanuelli , Rodrigues Cláudia Medianeira Cruz
Published: September 2019

Neste artigo, aborda-se o contexto da avaliação nacional, iniciando pela grande expansão de instituições de ensino superior brasileiro, o que demandou uma ampliação e aperfeiçoamento dos processos de avaliação. A seguir, resgata-se os diversos e sucessivos programas de avaliação propostos pelas agências reguladoras da educação superior, e o intenso processo de debate que geraram, com diferentes atores sociais envolvidos, até culminar na proposição da Lei do Sistema Nacional de Avaliação da Educação Superior (SINAES). Como resultado do processo, aborda-se o caso da UFRGS, para demonstrar as adaptações necessárias em uma Universidade, na qual a avaliação passou por diversas fases, da resistência inicial, até a adesão e a consolidação. Analisa-se as consequências geradas pelas exigências da avaliação externa e o contexto da avaliação interna à UFRGS, verificando as repercussões e características próprias que assumiu a avaliação institucional nesta Universidade.
Avaliação da Gestão das Instituições Federais de Educação Superior: categorias analíticas de inserção das mulheres
Authors: Witt Ania Tamilis da Silva , Schlickmann Raphael
Published: September 2019

Este artigo tem como objetivo apresentar uma proposta de avaliação de práticas instituicionais, por meio de categorias de avaliação de gestão das Instituições Federais de Educação Superior (IFES), no que se refere a inserção de mulheres. Essa avaliação poderá permitir a elaboração de um diagnóstico situacional, visando incentivar as organizações a se sensibilizarem sobre o tema, com vistas a contribuir para superação de desigualdades de gênero.
O momento da tragédia: o papel da educação e da saúde na perspectiva da justiça social
Authors: Mano Maria Amélia Medeiros , Ramos Nara Vieira , Trevisan Amarildo Luiz
Published: September 2019

O artigo aborda um tema ainda pouco debatido no campo da Educação e da Saúde, apesar de todos os avanços das tecnologias da informação e comunicação (TICs), que nos põem em contato com acontecimentos trágicos e catastróficos que ocorrem no mundo a toda hora. O texto parte da análise do “momento da tragédia”, questionando o antes e o depois, bem como alguns conceitos em contraste que são caros a essa discussão, como é o caso de natural e humano. A seguir, é feita uma descrição e análise de uma experiência vivenciada, que serve para tensionar alguns conceitos da área de Educação e Saúde. O objetivo é repensar as políticas públicas de Educação e direitos sociais para a formação de uma cultura contra os desastres e para uma percepção dos eventos como construções sociais e humanas. Mais especificamente, defende a ideia de que a redução dos fatores fundamentais de risco deve ser associada à diminuição das desigualdades, cerne das questões de justiça social.
Cardinal temperatures and thermal requirements for the initial development of two Brazilian native species
Authors: Ferreira Mábele de Cássia , Martins Fabrina Bolzan , Florêncio Gabriel Wilson Lorena , Silva João Pedro Guimarães Cândido , Pasin Liliana Auxiliadora Avelar Pereira
Published: September 2019

Abstract: The objective of this work was to estimate the cardinal temperatures and to quantify the thermal requirements for the initial development of seedlings of the native tree species Citharexylum myrianthum and Bixa orellana. A field experiment was carried out in a completely randomized design, in a 2?12 factorial arrangement (2 tree species and 12 sowing dates), with five replicates. The base, optimum, and maximum temperatures for the development of C. myrianthum were 11.4, 18.1, and 36.6°C, and, for B. orellana, 12.0, 18.4, and 46.4°C. The thermal requirements for the development of C. myrianthum was 66.7°C day per leaf, and, for B. orellana, 82.5°C day per leaf. In the initial development, B. orellana shows a large thermal amplitude and is tolerant to extreme temperatures, while C. myrianthum shows a large thermal amplitude, but a lower thermal requirement and a more rapid development than B. orellana.
Supplementation with arginine in the diet of Nile tilapia reared in net cages
Authors: Fujimoto Rodrigo Yudi , Santos Rudã Fernandes Brandão , Pala Gabriela , Gallani Sílvia Umeda , Valladão Gustavo Moraes Ramos , Morais Gisele Cavalcante , Lee James Tony , Sousa Natalino da Costa , Cunha Fernanda dos Santos , Maria Alexandre Nizio , Carneiro Paulo César Falanghe , Pilarski Fabiana
Published: September 2019

Abstract: The objective of this work was to evaluate the effect of dietary arginine concentrations on the health status of Nile tilapia (Oreochromis niloticus) cultivated in cages. The experiment was carried out in a completely randomized design with four treatments (2.3, 2.9, 3.5, and 4.1% arginine in dry matter) and three replicates, in 12 net cages of 8 m3, containing 4,000 sexually reverted tilapia (63±20 g, at 500 fish m-3). Fish productive performance and health were evaluated. Biochemical, hematological, and immunological parameters, as well as the morphological aspects of gills and liver, were evaluated. Arginine inclusion did not cause significant differences in fish growth performance. However, arginine supplementation at 3.5% concentration improved the biochemical parameters and leucocyte counts, consequently improving the immune system. The arginine concentration of 4.1% caused lipid degeneration, shown by the increase of alanine aminotransferase and the decrease of albumin, urea, lactate, and glucose. Arginine supplementation above 2.3% and below 3.5%, in the diets of tilapia reared in cages, improves fish immune system, without adverse morphological and physiological effects.
A hybrid methodology to map informal settlements in Durban, South Africa
Authors: Loggia Claudia , Govender Viloshin
Published: September 2019

Currently, given the rapid growth and implementation of inadequate planning policies in African cities, the gap between formal and informal urbanisation is becoming increasingly evident. Spontaneous and unplanned settlements are home to more than half the urban population in Africa, where lost and forgotten spaces within cities are claimed by the urban poor as their ‘right to the city’. This study proposes an innovative research methodology of spatial mapping to analyse informal settlements, thus giving them a new ‘lived’ identity. The research has two key objectives: understanding how lived space can be effectively captured and interpreted and using spatial mapping as a key methodological approach to reinterpreting and adapting spontaneous settlements to existing challenges, hazards and risks. The proposed hybrid methodology, which combines drone photography and qualitative research methods (e.g. interviews, collaborative mapping), was tested in two pilot studies in the Durban metropolitan area, South Africa, to reveal the real attributes and vulnerabilities of such human settlements and to understand how they can be reorganised and adapted. The outcomes of this study allow for a more accurate (lived four-dimensional) mapping of scenarios affecting cities today.
Tracking the Labor Market with "Big Data"
Authors: Cajner Tomaz , Crane Leland , Decker Ryan , Hamins-Puertolas Adrian , Kurz Christopher
Published: September 2019

In our research, we explore the information content of the ADP microdata alone by producing an estimate of employment changes independent from the BLS payroll series as well as from other data sources.
Collateralized Loan Obligations in the Financial Accounts of the United States
Authors: Yook Youngsuk , Guse Matthew , Park Woojung , Saravay Zack
Published: September 2019

This note describes how the Federal Reserve’s Financial Accounts of the United States account for Collateralized Loan Obligations (CLOs) and discusses two new data series on CLOs that are introduced in the September 2019 publication of the Financial Accounts.
State Regulation Mechanisms in Sustainable Development of Fuel and Energy Complex of the Russian Federation
Authors:   Udmurt State University, Votkinsk branch, Sergeev Nikolay N. , Zhvakin Alexander S. ,   Perm National Research Polytechnic University
Published: September 2019

Introduction. Issues of sustainable development of the national economy have always been regarded of great importance in the scientific community. A large number of works have been devoted to the issues of state regulation in sustainable development of the fuel and energy complex. However, under modern economic conditions, when the fuel and energy complex acquires elements of geopolitical influence instruments, the issue becomes particularly relevant. The development of the national economy is impossible without the quality and systematic development of the fuel and energy complex and its individual sectors, and therefore there is a need to study theoretical aspects that can lay down the basis for the formation of the state policy in a sustainable development of the fuel and energy complex. Aims. Investigation of state regulation features in a sustainable development of fuel and energy complex functioning in unstable geopolitical situation The following methods were used: theoretical research, system analysis. Results. The basic mechanisms of state regulation of sustainable development have been defined. The main structural elements of the state regulation mechanism in the fuel and energy complex have been revealed. Direct and indirect regulation methods of sustainable development of the fuel and energy complex have been developed. The role of investment and innovation policy of the state in ensuring the conditions for a sustainable development of the fuel and energy sector have been outlined. Conclusion. Ensuring conditions for sustainable development of the fuel and energy complex is only possible with an active participation of the state. The state possesses all the necessary levers of influence for the sustainable development of the fuel and energy complex. Implementation of the sustainable development mechanism in the fuel and energy sector is possible through the creation of a multi-functional state development program.
Tax Risks of the State and Taxpayer Organizations: Development of Theoretical Regulations in the Republic of Belarus
Authors:   Polesski State University, Prokurat Hanna S.
Published: September 2019

Introduction. The article outlines the topical issues regarding the level of the study of tax risks in the Republic of Belarus, arising in the process of functioning of the state and taxpayers organizations. Aims. The aim of this article is the development of a number of theoretical provisions describing the nature, content and specific features of tax risks necessary to conduct further theoretical and practical studies of the organization of the tax risk management processes of the state and taxpayer organizations in the Republic of Belarus. Methods. The methodological toolkit was formed on the basis of existing foreign practices analysis and the search for analogies, the application of which would correspond to the current realities of the financial and tax administration in the Republic of Belarus. Results. The introduction of developed proposals will give an undistorted and clear picture of tax risks, which will allow all subjects of tax legal relations to perform more efficient analysis and effective management of these risks. Conclusion. The discussion in this article of the necessity and importance of development in the Republic of Belarus of a theoretical basis for management and regulating tax risks inherent in the functioning of the state and taxpayer organizations, as well as formulating a number of theoretical provisions to describe tax risks will facilitate the organization of methods and algorithms for managing tax risks in the Republic of Belarus both at the state level within the framework of the existing tax legislation, and at the level of taxpayers organizations, taking into account the reduction of financial, time and labor costs for both sides.
Benchmarking territorial del sector industrial en la provincia de Loja. Territorial benchmarking of the industrial sector in the province of Loja
Authors: Ortega Vivanco Mayra J. , Quintana Romero Luis
Published: September 2019

The following paper analyzes the manufacturing branch and identifies spaces with great exporting potential for the province of Loja, from a “benchmarking approach of selected sectors”. The sector filters methodology was used in the establishment of targeted sectors, to determine productivity activity where international benchmarking was done. The study was applied to the manufacturing industry branch, with a level of disaggregation of six digits under the International Standard Industrial Classification of All Economic Activities, 4.0 version. The data comes from the National Economic Census elaborated by the National Institute of Statistics and Census (INEC).
La economía popular y solidaria. Una práctica más que un concepto*. Community, solidarity-based economy. A practice more than a concept
Authors: Herrán Gómez P. Javier
Published: September 2019

Community, solidarity-based economy is seen as a concept, about which no solid criteria has been made. It is put into practice through new ways of production that wager on new ways of cooperation, that reintegrate those who have been excluded from production and consumption. It is characterized for guaranteeing the use of workforce, available resources, and basic needs satisfaction, both material and immaterial. Those who become involved in these processes, make the road towards the transformation of a new society, solidarity-based, egalitarian, and with increased citizen participation.
Seguridad energética y diversificación en América Latina: el caso de la hidroenergía. Energectic security and diversification in Latin America: the case of hydroelectricity
Authors: Vallejo María Cristina
Published: September 2019

The purpose of this analysis is to evaluate the viability of diverse scenarios for Latin America, with the aim of identifying conditions that allow guaranteeing the regional energetic security in a framework of sustainability. The central argument that is being analyzed is that in a framework of unequal distribution of energetic resources, an isolated strategy of diversification of LatinAmerican countries, it is not enough to guarantee the energetic security of the region. The results confirm that a dynamic process of diversification favored better conditions, even if energetic security that cannot consolidate themselves. It will be necessary to explore the options of viable cooperation in the geopolitical dimensions for an energetic transition in a framework of regional integration.
Equilibrios múltiples, modelización macroeconómica y subdesarrollo. Multiple equilibrium, macroeconomic modeling and underdevelopment
Authors: Pérez Oviedo Wilson
Published: September 2019

In this paper we present an analysis of the concept of general equilibrium, its limitations, potential and misinterpretations. We clarify the difference between structural equilibrium and dynamical equilibrium, reflecting on the social and ethical connotations of these two concepts. It is argued that the idea of multiple equilibria is very useful for modeling the macro economy of a developing country and to reflect on the relevance and scope of the policies needed to get out of poverty and underdevelopment traps. We analyze the criticism made to General Equilibrium Models, classifying them into valid and invalid in order to clarify the methodological elements that can be rescued in search of a more realistic macroeconomic modeling.
Aproximación a la identificación de oportunidades para el acercamiento comercial entre las ciudades de Medellín - Colombia y Cuenca - Ecuador, desde la perspectiva del turismo de negocios
Authors: Muñoz Sánchez Omar , Calle Calle Marcelo
Published: September 2019

El presente trabajo tiene por objetivo hacer un análisis de las fortalezas que presentan las ciudades de Medellín (Colombia) y Cuenca (Ecuador), desde la perspectiva del turismo de negocios. Se analizan las posibilidades de un acercamiento comercial entre estas dos ciudades que han presentado crecimientos importantes no solo en cuanto a cifras de visitantes, sino también en acuerdos comerciales. Por otra parte, destaca los aspectos más relevantes de las dos ciudades que pueden ser tomados en cuenta para futuras estrategias de negocios por parte de las empresas de ambos países ya que estas dos ciudades se presentan como una oportunidad para invertir, más cuando los respectivos gobiernos locales tienen estrategias de desarrollo claramente identificadas y que desde hace pocos años han mostrado resultados interesantes en el incremento de turistas.
Marchantia cryopreservation of gemmae v1
Authors: Rebmann Marius , Tomaselli Marta , Silvestri Linda , Sauret-Gueto Susana
Published: September 2019

Simplified cryopreservation protocol for Marchantia polymorpha gemmae, based on (Tanaka et al. 2016, Plant and Cell Physiology). Enables long term storage of gemmae at -80°C.
A study on drug utilization pattern of antihypertensive drugs in hypertensive diabetic patients
Authors: Verma Vikash , Kumar Mukesh , Gupta Arvind , Dhar Kavita , Sharma Jyotshana
Published: September 2019

Background: Hypertension management is of paramount importance in diabetic patients for reduction of cardiovascular and other complications. The objective of the present study was to assess prescribing pattern of antihypertensive drugs in hypertensive type 2 diabetic patients and evaluate them by comparing with Eighth Joint National Committee (JNC-8) hypertension treatment guidelines.Methods: A prospective observational study was carried out on 110 hypertensive type 2 diabetic patients of age 41-80 years visiting outpatient department of Medicine at G.S. Medical College and Hospital, UP, India for 4 months. JNC-8 hypertension management guideline was considered while evaluating the prescribed drugs. All the relevant data was collected from the prescription card of the patient on a preformed performa and analyzed using descriptive statistics.Results: Total of 176 drugs was prescribed to the study patients among which two drug combination therapy (55.45%) was mostly used. The most common group prescribed was angiotensin receptor blocker (ARB) (29.45%) and ARB+CCB (calcium channel blockers) (34.92%) were the commonest fixed drug combination. Overall, it was amlodipine (21.47%) that was most frequently prescribed among all antihypertensive drugs.Conclusions: ARB was the most commonest class, ARB+CCB was the most frequent fixed drug combination prescribed to the study patient while amlodipine was the highly utilized individual antihypertensive drug in the study. Prescriptions evaluation revealed that 94.88% prescription were rational and were in accordance with the JNC-8 hypertension treatment guidelines except the use of beta blockers (5.12%).
Pharmacoeconomics of allergic rhinitis drugs treatment in tertiary care hospital
Authors: Thandu Sanjeeva Kumar Goud , Kumar A. N. Vijay , Kunkulol Rahul Rajendra
Published: September 2019

Background: Allergic rhinitis also called hay fever; it is a very common in India. Harmless exposing substances cause an allergic reaction. Allergic rhinitis is of the two types, one is the seasonal occurred with the change of seasons, second is the perennial means any time during the year.Methods: This was a cross-sectional study to determine the cost analysis allergic rhinitis drugs used in treatment of ENT OPD in a tertiary care teaching hospital, Kamothe, Navi Mumbai. The patients were interviewed; prescriptions were analyzed number of medicines prescribed.Results: Incidence of polypharmacy two drugs per prescriptions were prescribed 140 and three drugs per prescriptions 60. In the total number of 200 prescriptions, the cost of 43 prescriptions were in between 251-300 Indian rupees and 18 prescriptions were 301-350 Indian rupees. Patient knowledge about the drug use in this study, out of 200 pts 37% of allergic rhinitis patients knew the correct dosage of the prescribed drugs while 63% were not aware.Conclusions: Majority of the participants drugs were prescribed two to three drugs, per prescription cost was high because all the drugs prescribed by brand name and no drugs were prescribed by generic name. Improvement in knowledge about generic medicines is important factor to prefer generic medicine. Reduction in cost of drug will improve compliance.
Fingertip reconstruction: study of functional and cosmetic results of various local flaps and grafting techniques in patients attending a tertiary care center in North India
Authors: Khan Shameem A. , Kumar Vivek , Srivastava Neeraj
Published: September 2019

Background: Finger injuries are becoming more common with the increasing use of mechanical, industrial, and household appliances. There are six main types of repair for this injury. The replacement of skin loss in digital injuries, particularly on the volar aspects, is an important part of hand-injury management. It would be of value to know the best type of cover, especially for sensory reinnervation as well as for subjective evaluation, cosmetic appearance and freedom from complications. The objective of this study was to measure incidence of age, sex, site, pattern of injury as well as to evaluate and compare the functional and cosmetic results of the various local flap and grafting techniques in finger reconstruction distal to metacarpophalangeal joint.Methods: In a prospective study between May 2014 to October 2018 consisting of 50 patients (43 males, 7 females), aged between 2 years and 54 years, with soft tissue loss distal to metacarpophalangeal joint were treated with either free split-thickness skin grafts, palmar flaps, cross-finger flap or pedicle flaps from the abdomen. The follow-up period ranged from 10 days to 15 months from the date of surgery. Subjective and objective evaluation was done and graded as excellent, good, fair and poor.Results: In this series there were 2 good and 6 fair results for split skin grafting; 9 good and 6 fair results for v-y plasty; 5 excellent, 12 good and 4 fair results for cross finger flap; 1 good and 1 fair result for radial artery based flap; 1 excellent and 1 good for first metacarpal artery based flap and 2 good results for abdominal flap. Overall 6(12%) had excellent, 27(54%) had good and 17(34%) had fair results. None of them had poor results.Conclusions: The group of patients with cross-finger flaps had less subjective complaints and more normal objective testing results than the other groups. When an extensive tactile pad avulsion exists, the cross-finger pedicle flap offers the best long-term result with fewer secondary problems. The exclusive use of any one method cannot be advocated since each serves an useful purpose under proper conditions.
Ocular morbidity among diabetics attending the preventive ophthalmic clinic of a tertiary care institute with special reference to diabetic retinopathy
Authors: Fazili Anjum B. , Shah Rohul J. , Mir Mohd D. , Jasmine Asif , Wani Feroz A. , Mushtaq Beenish , Iqbal Qazi M.
Published: September 2019

Background: Non communicable diseases have taken over previously life threatening infections in the demographic transition. As the burden of NCDs including diabetes is increasing at an alarming rate the complications related to these diseases are also increasing leading to huge morbidity. Likewise, blindness/ visual impairment due to diabetic retinopathy is now slowly and steadily replacing refractive errors and cataracts as a cause of morbidity.Methods: This cross sectional study was carried over a period of one year in an ophthalmic unit of a tertiary health care institute in which known diabetic patients were screened for diabetic retinopathy besides various modifiable and non-modifiable risk factors.Results: Overall prevalence of diabetic retinopathy in our study population was found to be 29.0%. Among various risk factors duration of diabetes, hypertension, HbA1C >6.5% and serum creatinine >1.1 mg/dl were found to be significantly associated with diabetic retinopathy.Conclusion: Regular screening for diabetic retinopathy besides prevention and strict control of risk factors is key to prevention and progression of blindness/ visual impairment due to diabetic retinopathy.
A comparative study of pregnancy outcome among women with preeclampsia and normotensive at the Alex Ekwueme Federal University Teaching Hospital Abakaliki, Nigeria
Authors: Obi Chuka N. , Obi Vitus O. , Nwafor Johnbosco I. , Onwe Blessing I. , Onuchukwu Victor U. , Ugoji Darlinghton-Peter C. , Ibo Chukwunenye C.
Published: September 2019

Background: Preeclampsia is a pregnancy specific multisystem disease and it is associated with increased maternal and perinatal morbidity and mortality. Any factor(s) which could reliably predict the likelihood of serious complications would be very valuable in predicting the associated adverse outcome. Objective of this study compare maternal and fetal outcomes of preeclamptic patients with normotensive control in Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria.Method: This was a 4-year retrospective case-control study of the pregnancy outcomes among preeclamptic and normotensive women managed in our facility between 1st January 2012 and 31st December 2015. Data analysis was done using Epi Info software 7.2.1.Results: During the study period there were 6,585 deliveries among which 92 of the patients were managed for preeclampsia. This gives a prevalence of 1.4% or 14 per 1000 deliveries. There was no difference in the age and parity of the control. Most of the preeclamptic patients managed over the study period were unbooked for antenatal care in the facility (p value <0.0001). Preeclamptic patients were more likely to be delivered preterm (p value was <0.0001), and by caesarean section compared to the control. They were also more likely to have babies with low birth weights and poorer fetal outcomes. There was no difference in maternal mortality between both groups.Conclusion: Preeclampsia is associated with the unbooked status and poorer perinatal outcome compared with normotensive women. There is need to encourage women to book for antenatal care for prompt identification and management of these women.
Cornerstone of healthcare: awareness and compliance of patient safety measures in a large tertiary care hospital
Authors: Shamdasani Sonali , Kaur Gurpreet , Ganjoo R. K.
Published: September 2019

Background: The study was done to assess the awareness and compliance of patient safety measures among healthcare providers and patients in a tertiary care hospital in India, ascertain the gap in both the aspects, if any and recommend the measures to improve the same.Methods: Cross sectional study in which patient safety survey was administered to random sample of 400 healthcare providers and 200 inpatients. The awareness was assessed through predefined questionnaires and compliance was assessed by observation, demonstration of processes, audit of patient files and interview of patients. Descriptive statistics analyzed with SPSS. Data was analyzed using frequencies, percentages and using Chi-square test.Results: The level of awareness was acceptable among healthcare providers, but the compliance was not satisfactory. Thus, gap was significant for certain parameters. The range of awareness among the patients was wide as study included patients of varying demographic and educational level. The range of compliance was also wide but was low. Thus, the gap was significant.Conclusions: As a result of continuous training of the healthcare providers, the awareness was satisfactory but on the other hand, they were not complying which may be due to workload, forgetfulness, lack of resources etc. On the other hand, the level of awareness was found to be low among patients and compliance was further lower down the ladder which may be due to difference in education, socioeconomic status, hesitation to enquire etc.
Van der Knaap disease
Authors: Mahata Manoj Kumar , Ghosh Saikat , Ghosh K. C. , Bhattacharya R. , Mondal G. P.
Published: September 2019

Van der Knaap disease is a rare form of leukodystrophy, phenotypically characterized by megalencephaly, early-onset ataxia, pyramidal features, cognitive impairment, with an autosomal recessive inheritence. MRI Brain shows T1 and FLAIR hypointense subcortical cysts in mostly temporal lobes and in fronto-parietal subcortical areas. Authors report a 20 yr. girl with typical features.
Erdheim-Chester disease with multisystemic involvement: a diagnostic challenge
Authors: Nishal Arpita , Patel Komal , Bhagat Vasudha , Patel Siddhi , Gandhi Nency , Patwari Sneha
Published: September 2019

Erdheim–Chester disease (ECD) is a rare, non-inherited, non- Langerhans form of histiocytosis of unknown origin, first described in 1930. This entity is defined by a mononuclear infiltrate consisting of lipid laden, foamy histiocytes that stain positively for CD68. Individuals affected by this disease are typically adults between their 4th and 6th decades of life. The multi systemic form of ECD is associated with significant morbidity, which may arise due to histiocytic infiltration of critical organ systems. Among the more common sites of involvement are the skeleton, central nervous system, cardiovascular system, lungs, kidneys (retroperitoneum) and skin. The most common presenting symptom of ECD is bone pain. Bilateral symmetric increased tracer uptake on 99mTc bone scintigraphy affecting the periarticular regions of the long bones is highly suggestive of ECD. However, definite diagnosis of ECD is established only once CD68(+), CD1a(−) histiocytes are identified within a biopsy specimen with aid of clinical and radiological data. Here we present a rare case of Erdheim-Chester disease in a 46 year male patient based on clinical data, radiological data, histopathological and immunohistochemistry findings.