bluuebunny/crossref_metadata_2025 huggingface dataset:
Latarjet procedure for failed arthroscopic Bankart repair: a case report
Authors: Aryana I. G. N. Wien , Zainuraditya Rizki
Published: April 2020

Arthroscopic Bankart Repair (ABR) provides acceptable results for recurrent anterior shoulder dislocation. However, recent studies have shown recurrent rates of 4-19% or even up to 35-40% in patients aged <25 years, and the results tend to get worse after long-term follow-up. The Latarjet procedure can improve anterior stability by multiple mechanisms, not only can the Bankart lesion be repaired and provide stability, but the transfer of the coracoid process extends the bony articular arc of the glenoid, and the addition of the conjoint tendon may provide dynamic stability as well. The Latarjet procedure for correcting recurrent anterior shoulder dislocation led to good and excellent results in 82.7% of the cases. The Latarjet procedure had the lowest re-dislocation rate, which was significantly lower than the arthroscopic Bankart repair. Latarjet procedure is effective in terms of restoring anteroinferior glenohumeral stability and good option for failed arthroscopic Bankart repair. Recurrence rates of instability are acceptable and re-operation rates were low.
HbA1c as a prognostic indicator in prediabetics with acute coronary syndrome
Authors: Gadwalkar Arathi S. , K. Prabhakar , A. Raveesha , Ghungroo Shaama
Published: April 2020

Background: The role of HbA1C in predicting the outcomes of acute coronary syndrome remains controversial. Lesser is known about it in non-diabetic patients. Therefore authors conducted a study to seek association between the HbA1C levels and the clinical outcome in non-diabetic patients who presented with acute coronary syndrome. Objective of the study was to estimate HbA1C levels in population of prediabetics and non-diabetics and to document and correlate major adverse cardiac events in prediabetic and non-diabetics.Method: This case control study included consecutive patients (n=68) without known diabetes mellitus admitted with acute coronary syndrome (STEMI, NSTEMI, UA) at our hospital. HbA1c was measured on admission. The patients were divided into 2 groups according to their HbA1c level (group 1 HbA1c<5.7%, group 2 HbA1c>5.7%). The main outcome was MACE (major adverse cardiac events including cardiogenic shock, arrhythmia, heart failure).Results: There was no significant difference between baseline characteristics of both groups but complications were seen in higher number cases with HbA1c >5.7%. No significant difference in mortality was found. On analysis HbA1c >5.7% was found to be an independent predictor of MACE.Conclusion: HbA1C is a predictor of major adverse cardiac events. Measurement of HbA1C levels may improve risk assessment in such patients presenting with ACS.
Plasma lactate levels and lactate clearance as predictors of outcome in patients with sepsis and septic shock
Authors: Patil Rashmi , S. Chikkanarasareddy P. , K. Mallesh
Published: April 2020

Background: Severe sepsis and septic shock are the major causes of admission and deaths in the ICU, killing one in four (and often more) and increasing in incidence. In order to improve the clinical outcomes in these patients, it is crucial to obtain early recognition of patients who are at risk of death and to optimize the clinical decision making in a timely manner. In order to monitor the metabolic consequences of shock and hemodynamic management, plasma lactate levels can be used in critical illness. Objective of the study is to estimate plasma lactate and lactate clearance in sepsis and septic shock patients and to correlate plasma lactate and lactate clearance as predictors of mortality.Methods: This study is a prospective observational study conducted over 18months. Children with age of 1 month to 18 years admitted to the Paediatric intensive care unit with sepsis and septic shock were enrolled in the study. ABG at admission to document plasma lactate and lactate repeated at 6 and 24 hrs. Lactate clearance calculated at 6 and 24 hrs. The final outcome in terms of survival or death will be recorded.Results: Majority of the children fall in the class between 1-6 months 51(48.11%). Male comprises 69(65.09%). Among these, Sepsis 36(33.96%); followed by Pneumonia 34(32.07%). Survivors group were 35(33.02%) and non-survivor was 71(66.98%). The Non survivor group was observed to have lower mean values of lactate clearance and found to be statistically significant. Specificity of Lactate clearance was 63.52% and Sensitivity 76.02% respectively. The results were positively associated with lactate level at 24 hours found to be significant effect of survivability when compared to non-survivor.Conclusions: Lactate clearance is vital and markable sign for screening of septic shock at early stage for therapeutic option. Further, 24-hours lactate estimation (cut off values) clearance appears superior to 6 h lactate clearance in predicting mortality in such patients.
Pattern of skin disorders among pediatric age group cases attending a tertiary health care center
Authors: G. Shahul Hameed , S. Karthik Raja
Published: April 2020

Background: Skin diseases among the pediatric age group people are more common and it contributes to significant burden to health sectors. Also, the pattern of skin diseases changes consistently with reference to place and time. Hence the present study was conducted to assess the pattern of skin diseases in pediatric age group patients attending a tertiary care hospital.

Methods: The cross-sectional study was conducted by the department of Dermatology, Venereology and Leprosy at Sri Muthukumaran Medical College Hospital and Research Institute, among the pediatric age group patients attending the outpatient department, during the month of October to December 2019. A total of 412 pediatric age group patients with skin disorder were included in the study. The study was conducted using a proforma with the clinical history and diagnosis of the participants. Data was entered in Microsoft excel and data analysis was done using SPSS version 17.

Results: The common skin disorders reported in this study includes infections (34.7%) followed by dermatitis (32.3%), infestations (11.4%), miliaria (8.3%), popular urticaria (7.5%) and urticaria (6.1%). Among the infections fungal, bacterial and viral pathogens contributes to 16.3%, 10.9% and 7.5% of cases, respectively. Also 11.2% of cases were found to be infested with scabies (9.2%) and pediculosis (2.2%).

Conclusions: Skin disorders in the pediatric age group are common and showing increasing trend. Hence health education of the parents and the school children about good nutrition, hygiene practices, and proper hydration of skin can be promoting in order to reduce the burden of skin disorders.
Unveiling the dermatological manifestations of nCOVID-19
Authors: M. Dheemant , E. S. Sushmitha , Jeyaraman Madhan , S. S. Ajay , Jain Rashmi
Published: April 2020

Coronaviruses are RNA viruses that have become a major public health concern since the severe acute respiratory syndrome CoV (SARS-CoV-2) outbreak in 2002. The continuous evolution of coronaviruses was further highlighted with the emergence of the middle east respiratory syndrome CoV (MERS-CoV) outbreak in 2012. The spike glycoprotein of SARS-CoV-2 plays a pivotal role in the entry of virus into the cell and it further interacts with ACE-II receptors which are widely distributed on the human cell surface especially on alveolar type II cells (AT-2) and endothelium. Currently, the world is concerned about the 2019 novel CoV (SARS-CoV-2) that was initially identified in the city of Wuhan, China in December 2019. Patients presented with severe viral pneumonia and respiratory illness. Despite the virus not being dermatotropic, several skin conditions have emerged mainly as a result of prolonged contact with personal protective equipment and excessive personal hygiene. In this review, we discuss structure, genome organisation, entry of CoVs into target cells, probable cutaneous manifestation that dermatologists may be aware of skin complications and the preventive measures, outcome of the disease and the management.
Francia para los franceses: Populismo europeo
Authors: Alcívar Jhonny Paúl
Published: April 2020

Ante la inacción de la clase política y la impopularidad de la Unión Europea, sumida en crisis, los partidos populistas en Europa han aumentado en votos y aceptación popular al recoger las demandas de la población mediante un discurso anti-sistema, nacionalista y anti-globalización. El Frente Nacional (FN), movimiento político francés de extrema derecha liderado por Marine Le Pen, es un visible ejemplo del populismo europeo que se encuentra en su mejor momento, aún superando a los partidos tradicionales en apoyo popular. El Frente Nacional y su fortalecimiento sumado a la abstención refleja la inconformidad de los franceses y europeos hacia el modelo de Bruselas, minando la integración.
Las mujeres van a la guerra
Authors: Mejía Cristian , Revelo David , Yánez Valeska
Published: April 2020

Este artículo explora el debate académico que existe en torno al rol que cumple el género en los conflictos armados. Históricamente se ha creído que las mujeres tienen un papel secundario en la práctica de la violencia en conflictos internos, centrándolas como víctimas y no como victimarías. Se ha pretendido sustentar estas afirmaciones con estudios psicológicos y prejuicios de género. Por este motivo, el enfoque que este artículo propone hace referencia también a estudios psicológicos pero además toma estudios acerca de conflictos armados internos en los que las mujeres han tenido protagonismo. Pretende sustentar que las mujeres son igual de violentas que los hombres. Este argumento se apoya en la ya demostrada participación activa de las mujeres como efectivos militares en enfrentamientos bélicos acaecidos en conflictos post Guerra Fría y en los diferentes tipos de violencia que ellas perpetran. Como estudio de caso se tomará al conflicto en Siria.
El Gavilán a Distancia
Authors: Quintana Leandro
Published: April 2020

Ecuador se une a una nueva generación de innovación tecnológica gracias a la introducción de un avión no tripulado, el llamado UAV-2 “Gavilán”. Los vehículos aéreos no tripulados UAV (por las siglas en ingles de Unmanned Aerial Vehicle) se han convertido en un accesorio de moda en los arsenales militares de un sinnúmero países alrededor del mundo. Adicionalmente, estos artefactos nos dan una mirada del futuro de la aviación comercial y militar. Con el UAV ecuatoriano bautizado como “Gavilán”, la Fuerza Aérea Ecuatoriana (FAE) da la bienvenida a un producto autóctono con esperanzas de implementar su producción y futura exportación. La creación de “Gavilán” no solo marca un hito en la historia de la aviación ecuatoriana, si no que a su vez suma a la nación andina a la vanguardia de las tendencias aeronáuticas en la región. La novedad presentada por estos vehículos surge debido a su capacidad ser piloteados remotamente, a su amplio rango de acción, y a sus variadas capacidades operativas. Frente a esta nueva creación surge una pregunta fundamental: ¿Es posible que el Ecuador utilice de forma inapropiada o ilegalmente estas nuevas tecnologías como lo han hecho otras naciones? La respuesta a esta interrogante puede desprenderse de un análisis al récord histórico de actividades de la Fuerza Aérea Ecuatoriana y a la situación de la región latinoamericana en general.
El órgano Legislativo: ¿un verdadero espacio de representación nacional?
Authors: Carpio María Bernarda
Published: April 2020

La democracia se presenta como el régimen de representación popular por excelencia, constituyéndose de este modo el órgano Legislativo como un mecanismo idóneo para plasmar la voluntad popular; de suerte que la Asamblea Nacional logre perfilarse como un espacio de debate y discusión, en el cual diversos intereses sociales se encuentren plasmados. Sin embargo, para alcanzar dicha representación total, resulta indispensable que en este órgano se vean reflejados los intereses de los distintos grupos sociales, ya sean estos mayoritarios o no. No obstante, ante la presencia de una mayoría calificada en el Legislativo, la posibilidad de debate se ve reducida y aquello genera la imposibilidad de que las minorías parlamentarias sean efectivamente representadas. Es indudable que en la realidad nacional el asunto de la efectiva representatividad en el Legislativo se configura como un inconveniente de suprema importancia. Por lo tanto, conviene cuestionarnos, ¿hasta qué punto el poder Legislativo cumple su primordial función de órgano de representación popular ante la existencia de una mayoría absoluta en la Asamblea Nacional? Para responder a aquella interrogante, se analizará en primer lugar la naturaleza de la función legislativa dentro de un sistema democrático; posteriormente se examinará si es plausible atribuir a la instauración del método D’Hondt responsabilidad por los resultados obtenidos en la atribución de escaños en la última elección legislativa nacional, para finalmente estudiar las consecuencias de la presencia de una mayoría absoluta dentro de la representatividad del poder Legislativo.
¿De la Primavera al Verano Arabe?
Authors: Carrera Flavio
Published: April 2020

Este artículo explora los factores políticos (participación ciudadana), sociales (capital social), educativos (alfabetismo) y económicos (infraestructura e inversión) que se considera han permitido la consolidación de la democracia en Túnez y una parcial de la misma en Egipto. Para sustentar estas afirmaciones se han empleados índices como el Democratic Index, Doing Business o Global Competitiveness, mismos que han sido de apoyo para los factores antes mencionados. Los argumentos de que la consolidación democrática de Túnez, y la parcial de Egipto, resultan del capital social, alfabetismo, infraestructura o participación ciudadana, están basadas principalmente en procesos similares iniciados en distintas latitudes, demostrando la validez de los mismos.
Naringin induces endoplasmic reticulum stress-mediated apoptosis, inhibits β-catenin pathway and arrests cell cycle in cervical cancer cells
Authors: Chen Shaorong , Lin Ruyin , Hu Xinxin , Shi Qiyang , Chen Huiqing
Published: April 2020

Naringin is a promising anticancer bioflavonoid phytochemical, mainly extracted from citrus fruits. This study evaluates the antiproliferative effect and the cell death mechanism induced by naringin on cervical cancer (CC) cells. Our results demonstrated that naringin exerts significant inhibition in cell viability and exhibits IC50 value 745, 764, 793 µM against C33A, SiHa, and HeLa cells respectively. Annexin V FITC and immunoblotting analysis reveal significant apoptosis induction in cells exposed to higher doses naringin. Mechanistically, naringin induces endoplasmic reticulum (ER) stress-associated cell killing in CC cells. Naringin increases the protein expression of ER stress sensors, phosphorylates eIF2α by and activates apoptosis-associated protein CHOP and other associated proapoptotic proteins (PARP1 and caspase-3). Intriguingly, pre-treatment with of ER stress inhibitor (salubrinal), reverses the apoptotic effect exerted by naringin. Additionally, the naringin abrogates the β-catenin pathway by decreasing the protein expression as well as phosphorylation of β-catenin (Ser576) and GSK-3β (Ser9) and simultaneously triggers cell cycle arrest at a G0/G1 phase by increasing the expression of cell cycle checkpoint proteins p21/cip and p27/kip. Naringin induces ER stress-mediated apoptosis and simultaneously abrogates Wnt/β-catenin signaling which eventually triggers the arrest of the cell cycle at a G0/G1 phase in CC cells.
Buckling Analysis of Symmetrically Laminated Rectangular Thin Plates under Biaxial Compression
Authors: ALTUNSARAY Erkin , BAYER İsmail
Published: April 2020

In this parametric study, the buckling analysis of symmetrically laminated rectangular thin plates assumed to be subjected to biaxial compression was presented. The simply supported boundary condition was considered at the edges of the symmetrically laminated quasi-isotropic, cross-ply and angle-ply plates. The Rayleigh-Ritz Method was used to specify the critical buckling load of the plates based on the Classical Laminated Plate Theory (CLPT). A convergence study was achieved by increasing the number of parameters of assumed shape function. Validation of isotropic case was verified. The effects of the lamination types, plate aspect ratios (a/b, b/a) and thickness on the critical buckling load of the laminated plates under bi-axial compression were then investigated. The results were compared with Finite Element Method (FEM) solutions performed by ANSYS software package and fairly good agreement was obtained. Non-dimensional results were tabulated and presented for practical use for designers.
The Impact of Nimodipine Administration through Feeding Tube on Outcomes in Patients with Aneurysmal Subarachnoid Hemorrhage
Authors: Isse Fadumo Ahmed , Abdallah Yasmeen El Hajj , Mahmoud Sherif Hanafy
Published: April 2020

PURPOSE: Delayed cerebral ischemia (DCI) and vasospasm are the main challenges contributing to unfavorable outcomes following aneurysmal subarachnoid hemorrhage. Nimodipine has been shown to decrease the incidence of delayed cerebral ischemia and improve outcomes. In patients who are unable to swallow, nimodipine tablets are crushed and administered through enteral feeding tubes. However, it is not clear whether this may result in reduced clinical effectiveness. The aims of the study were to investigate the impact of nimodipine administration through enteral feeding tubes, in the first 7 days and over the 21-days period on patient outcomes. METHODS: A retrospective chart review of subarachnoid hemorrhage patients admitted at the University of Alberta Hospital, Edmonton, Alberta, Canada was carried out. Logistic regression modelling was utilized to identify predictors of vasospasm and delayed cerebral ischemia. Main outcome measures were angiographic evidence of moderate to severe vasospasm, development of delayed cerebral ischemia and hospital mortality. RESULTS: 85 patients were included. Following adjustment for disease severity, nimodipine administration technique was associated with vasospasm in the first 7 days of patient admission where patients receiving nimodipine via enteral feeding tubes had increased odds of vasospasm compared to those administered it as whole tablets (OR 8.9, 95% CI 1.1-73.1, p value 0.042). When analyzed over the 21-day period, nimodipine administration by feeding tube was associated with increased odds of DCI compared to whole tablets (OR 38.1, 95% CI 1.4-1067.9, p value 0.032). CONCLUSIONS: Our findings suggest that nimodipine administration via enteral feeding tubes may be associated with vasospasm and DCI in subarachnoid hemorrhage patients secondary to reduced exposure. Prospective studies are needed to confirm such association and alternate methods of administration should be explored to ensure patients are getting the benefits of nimodipine.
SAMSUN’DA ÖĞRENCİLEŞTİRME SORUSU VE TOPLUMSAL ETKİLERİ
Authors: KIRMIZI Meriç , GÜROL Neval , YILDIZ Havvanur
Published: April 2020

Bu çalışmada “öğrencileştirme” kavramıyla Samsun Atakum’daki Körfez Mahallesi’nin değişimi

incelenmiştir. Kentin üniversite bölgesi olan Körfez Mahallesi’nde Ekim 2018-Mayıs 2019 arasında,

küçük dairelerde kalan dokuz öğrenci, üç emlakçı, iki esnaf ve bir muhtarı kapsayan, toplam 15 kişiyle

görüşülmüştür. Mahalle buradaki tütün tarlalarının el değiştirip, yapılaşmaya açılması ve bu tarlalarda

çalışanların yerinden edilmesiyle değişmeye başlamıştır. Bu kentleşmenin sonucunda mahalle nüfusu

öğrenciler, genç profesyoneller, sayıca az da olsa, aileler ve kırsal kökenli, eski yaşayanlar olarak

ayrışmıştır. Körfez Mahallesi’nde eski ve yeni yerleşim yeri olarak ikili bir yapılaşma görülmektedir;

deniz kıyısına yakın, yeni yerleşimler öğrencilere yönelik konut alanlarıdır. Mahallede üretilen konut

türleri öğrenci beklentilerine göre zamanla değişmiş ve küçülmüştür. Üretilen konutların değerlenmesi

burada bir “rant farkı”nın oluştuğunu göstermektedir. Konut alanındaki gelişme “yeni yapı yoluyla

soylulaştırma”yla ilişkilendirilebilirken, mahalledeki ticari olanaklar aynı hızda gelişmemiştir. Çalışma

Körfez Mahallesi’nin bugünkü fiziksel ve toplumsal yapısını öğrencilerin etkisiyle yaşanan değişim

bağlamında çözümlemesi nedeniyle önemlidir.
THE EFFECTIVENESS OF GAME-BASED LEARNING MODEL IN THE JAVANESE LANGUAGE CLASS
Authors: Sukoyo Joko , Nurhayati Endang , Dwijonagoro Suwarna
Published: April 2020

Purpose of the study: the objective of this study was twofold. Firstly, it aimed to examine the effectiveness of game-based learning in the Javanese language class for junior high school students. Secondly, it was intended to investigate the responses of the students upon completing the class that incorporated the game-based learning.

Methodology: This experimental research employed the post-test only control design. The data were collected from documentation, questionnaires, and evaluation tests. Further, the data were examined using a t-test.

Main Findings: The game-based model is effective for the Javanese language class. The average score test of the students taught by game-based learning reached 72.6. On the other hand, those participated in a class with different treatment scored 64.5 on average. Such a difference was significant, given the output of the independent sample T-test, which was from the result of analysis using the SPSS software.

Applications of this study: This study was beneficial to change the paradigm of the old-fashioned, boring Javanese teaching and learning. It promoted the idea of fun teaching and learning. On top of that, the implementation of the learning model was effective to enhance students’ The Javanese language skills, specifically in Central Java, East Java, and the Special Region of Yogyakarta.

Novelty/Originality of this study: Learning models for local content subjects, such as the Javanese language, were still limited since the topic did not attract the attention of many researchers. Testing the game-based learning was among the alternatives of interesting learning methods to stimulate students to learn their local language, and thus, preserve the language in society.
Global Maximum Power Point Tracking of PV Array Under Non-Uniform Irradiation Condition Using Adaptive Velocity Particle Swarm Optimization
Authors: Tjahjono Anang , Rofiq Ainur , Faiz Moh Hisyam , Anggriawan Dimas Okky
Published: April 2020

Non-uniform irradiation condition (NUIC) is a condition of differences irradiation level received by each Photovoltaic (PV) on PV array. NUIC of PV array causes the emergence of several power peaks (consisting of several local peaks and one global peak) in the power-voltage (P-V) characteristic curve. This condition can cause several algorithms (hill-climbing / P&O, IC) that are unable to reach the global peak as they are trapped at a local peak. This paper proposes an Adaptive Velocity Particle Swarm Optimization (AVPSO) algorithm to search the global peaks/Global Maximum Power Point (GMPP) of PV arrays under NUIC. The proposed algorithm is a modification of the PSO algorithm. AVPSO algorithm able to adjust its own weight factor values and cognitive acceleration coefficients depend on the distance of the particle's position now with the global best position during the tracking process. Adaptive weight factors can reduce the level of power or voltage oscillation during the tracking process until convergent, while the cognitive acceleration coefficient can prevent particles trapped at the local peak. Thus, the proposed AVPSO algorithm can reach GMPP with faster tracking time and low oscillation rates. In addition, this paper proposed an algorithm that can work both in static and dynamic NUIC patterns; thus, the proposed algorithm can track again when there is a change in global peak value in the PV array.
Distribution of Altay-Sayan Mountain Region Shrub Tundra Phytomass Reserves in Connection With Slope Exposure
Authors: Sambyla Choygan N.
Published: April 2020

Shrub tundra is an integral component of the high mountains of the Altai-Sayan mountain region (ASMR). Phyto-mass reserves were identified in 42 shrub communities located in 24 mountain systems and 3 bioclimatic sectors of the ASMR. Accounting of AGP communities was carried out by the method of mowing in 10-fold repetition, UGP - by the monoliths method in 5-fold repetition on sites with an area 0.25 m2. In the studied tundra, the AGP reserves vary from 874 to 6815 g/m2 on the slopes and from 1419 to 2352 g/m2 on the tops of the ranges. A region of aboveground mass high index is traced on the Southern slopes in the humid and semiarid sectors (2768-6815 g/m2) and it becomes dis-placed to the Northern slopes in the arid sector (2338 g/m2). In the structure of the AGP, the live mass of communities on the slopes is at the level of 197-1727 g/m2, and in the aligned areas - 358-1037 g/m2. It has been established that on the Northern slopes the shrubs prevail in the live weight of the communities (421-899 g/m2, 53-77 %). During the transition to the Southern slopes in the botanical composition of the communities, the mass of shrubs remains high in the humid highland communities (660 g/m2), while in the semiarid and arid highlands they are replaced by lichens (367-461 g/m2) and sedges, respectively (33-53 g/m2). UGP of shrub tundra on different elements of the mesorelief is within the range of 2181-10 829 g/m2. On the slopes and aligned areas of mountain systems of ASMR various biocli-matic sectors, significant relationships were found between the aboveground and underground phytomass reserves (r = -0.93-0.97; n = 6).
Ecological and Geochemical Features of the River Sediments of East Donbass
Authors: Gibkov Eugeny V. , Zakrutkin Vladimir E. , Reshetnyak Viktor N. , Reshetnyak Olga S.
Published: April 2020

The article presents the results of research of bottom sediments of rivers of two main river basins of East Donbass - Seversky Donets and Tuzlov. In the rivers Seversky Donets basin, the distribution of trace elements (Fe, Mn, Pb, Cu, Ni, Cr, Zn, V, Sr) was found to be characterized by large variations, largely due to the more heterogeneous granulometric composition of river alluvium. As a result of the analysis of heavy metals, distribution in heavy, sandy-aleurite and pelite fractions, the value of the latter as the main carrier of trace elements in bottom sediments was revealed. The calculation of the total level of bottom sediments contamination of gross samples and the pelite fraction showed that, in general, the rivers of the region have a weak level of pollution. It has been established that it is the pelite fraction gives the most objective information about the aquatic environment.
Analysis of the Cadastral Assessment of Lands, Taking into Account Zoning of Lands at a Prestige in Krasnoyarsk
Authors: Romanov Ruslan V. , Varaksin Gennady S.
Published: April 2020

The analysis of the state cadastral assessment of land based on the data of zoning of lands according to their prestige in the city of Krasnoyarsk. The need for assessing the prestige of territories of settlements is stated. On the territory of Krasnoyarsk, 3 zones were conditionally allocated in different districts of the city, where plots intended for the construction of individual residential buildings are located. The main parameters of the cadastral assessment of the lands of such territories are considered. A list of parameters is outlined by which the prestige of individual housing construction lands is estimated. The prestige of each zone is determined. Four indicators are identified that form the prestige of the zones in the cadastral assessment of land. The parameters that determine the level of land value depending on their prestige are identified. A tendency has been established to determine the prestige of zones as a result of the classification of the population of these zones by income level and the desire to live on this territory of people of equal social status. The territory of urban space must be divided into zones, according to the criteria of prestige. A comparison is made between the market and cadastral value of land plots. The comparative analysis method revealed that in the most prestigious areas of urban space, the market value of individual housing construction sites exceeds the cadastral value several times. Conclusions are drawn about the dependence of the price of land for individual housing construction on the level of prestige of the territory of urban space and location.
Man and His Life Path in Ancient Philosophy
Authors: Rukin Alexander V.
Published: April 2020

Man and his life path are the most complex objects of research not only in philosophy but also in science in general. In modern science, a unified and consistent theory of man and his individual way of life has not been developed. Existing models and approaches to human nature create reduced images that reflect only certain aspects of the human person and his unique personal life path. In order to explain the nature of man, the author turns to the works of ancient thinkers who laid the philosophical and anthropological tradition.
Status of Women in the Lower Don Farms in the 1960-Mid-1980s
Authors: Kravchenko Natalia N.
Published: April 2020

The article examines the status of women in the farm and villages of the Lower Don during the blossoming of the Soviet Union in the 1960-mid-1980s. This region is the historical place of inhabitancy of the Don Cossacks. This study considers the part of the adult female working-age population. The role and status of the Cos-sack woman in retrospect, as well as the specifics of her position due to the historical development of the Cossacks are shown. It is noted that the Cossack family was the patriarchal type. The article analyzes the change in the position and attitude to the female population in the Soviet period. Henceforth, the way of life of women was a new set of roles and functions prescribed by the state and society in accordance with the Communist ideology. The importance of women's involvement in the production sector and their participation in public and state activities is identified. Nevertheless, after examining the daily life of the farm female population of the Lower Don, it was found that the prescribed expectations were not supported by the state and party authorities of the district and the region. Attention is drawn to women's commitment to traditional forms of activity and their non-participation in socialist construction and social activities. It describes everyday practices in the daily routine and household, in which a large share was occupied by manual work. The article shows the role of women in the family, their functions for raising children and participation in providing the family budget, due to fishery. Women also take on an important role in preserving and transfer of traditional culture. All this, in many ways, contributed to the preservation of the traditional way of life, at least until the mid-1980s, despite the rooting in this period of time, a different way of life that corresponded to the system of social ideas of the Soviet state.
The Institutionalisation of Sami Interest in Municipal Comprehensive Planning: A Comparison Between Norway and Sweden
Authors: Bjärstig Therese , Nygaard Vigdis , Riseth Jan Åge , Sandström Camilla
Published: April 2020

The Sami are recognized as an Indigenous people and a national minority in both Norway and Sweden, and their involvement in any planning concerning their traditional territories is required. The aim of this article is to examine how Sami interests are secured and institutionalized in municipal comprehensive planning (MCP). We use two case study areas: Sortland municipality in Norway and Vilhelmina municipality in Sweden. Analysis of various qualitative materials indicates that, despite contextual and institutional differences, the planning processes in the case study areas have similar outcomes. We conclude that formal rights of the Sami are not always acknowledged by the politicians who make the final decision. Rather, the Sami depend on the politicians’ willingness to consider their needs.
Definición y causas de la infertilidad
Authors: Brugo-Olmedo Santiago , Chillik Claudio , Kopelman Susana
Published: April 2020

La infertilidad es un problema común que afecta a una de cada seis parejas. Puede ser definida como la incapacidad de completar un embarazo luego de un tiempo azonable de relaciones sexuales sin tomar medidas anticonceptivas. Las causas del incremento en la prevalencia de la infertilidad son difíciles de establecer. Este aumento podría deberse por lo menos a cuatro factores: postergación del momento en que se decide tener hijos, alteraciones en la calidad del semen debido a hábitos como el tabaquismo y el alcohol, cambios en la conducta sexual y eliminación de la mayoría de los tabúes.El estudio de la pareja infértil siempre se ha enfocado considerando diferentes factores: el ovulatorio (presente en alrededor de 20% de las parejas), el útero-tubárico-peritoneal (se observa en ~30% de las parejas), el de migración del semen (10% de los casos) y el masculino (30% de las parejas). Cerca de 40% de todas las parejas infértiles presentan una combinación de factores y aproximadamente el 15% no evidencia ninguna alteración objetiva que lleve a un diagnóstico definido. Durante las últimas dos décadas se registraron tres cambios importantes en el enfoque de la infertilidad. En primer lugar, la introducción de las tecnologías de reproducción asistida ha brindado una oportunidad de estudiar los procesos reproductivos básicos. En segundo lugar, han ocurrido cambios en la sociedad tales como un aumento en la proporción de mujeres mayores de 35 años que buscan el embarazo; este hecho obedece a que la gente se casa a edades más tardías y posterga el embarazo. En tercer lugar, el desarrollo de la biología molecular y de la genética se han hecho muy importantes para el estudio, diagnóstico y evaluación de las parejas, muchas de ellas consideradas hasta ahora como "parejas infértiles sin explicación".
Edema masivo del ovario en la adolescencia
Authors: Gómez Fajardo Carlos Alberto , Echeverri Jaramillo Carolina
Published: April 2020

Se presenta el caso de una paciente de 15 años de edad, remitida al Hospital Pablo Tobón Uribe, en Medellín, Colombia. Su cuadro clínico consistió en dolor y masa pélvica unilateral palpable, con características preoperatorias propias de tumor ovárico (teratoma). Se practicó salpingo-ooforectomía del lado comprometido. El informe definitivo de anatomía patológica fue edema masivo del ovario. La evolución postoperatoria de la paciente transcurrió sin complicaciones. Se hacen consideraciones sobre esta condición, de baja frecuencia de presentación.
La Amniocistostomía
Authors: Sánchez Torres Fernando
Published: April 2020

PREÁMBULOEl ejercicio de la medicina, en su forma más auténtica, vale decir, el acto médico, es fundamentalmente científico y humano. El proceso encaminado a curar o a aliviar al paciente, pone a prueba la preparación del médico, como también su capacidad recursiva, imaginativa, y su sentido de solidaridad.Comienza con una hipótesis diagnóstica basada en los sentidos del examinador -fase clínica-, que se comprueba a través de la tecnología disponible -etapa probatoria-. Viene después la prescripción, que está sustentada en las anteriores y tiene como finalidad mejorar al enfermo y de paso, producir satisfacción en el curador. La fase de prescripción requiere de un programa o plan previo: agentes terapéuticos, dosis, vías de administración y tiempo de tratamiento. Cuando son necesarias intervenciones quirúrgicas, habrá que planear la técnica correspondiente, sujeta a cambios e improvisaciones durante el mismo acto operatorio.Algunas veces los recursos con que cuenta el médico son insuficientes para darle solución al problema de su paciente. En tal situación se aconseja apelar al ingenio, si hay lugar a él, o al consuelo, actitud válida por ser humanitaria y paternalista, es cierto, pero que tiene sabor a derrota.Confío en que este corto preámbulo al relato de una de las experiencias vividas a lo largo de mi ejercicio profesional -inolvidable por lo atrevida y humana- sirva de explicación y justificación a lo ocurrido.
Medicina de pronostico reservado
Authors: Lomanto Morán Antonio , Gaitán Duarte Hernando
Published: April 2020

Destacados columnistas de todas las categorías ideológicas, sostienen con argumentos todos válidos, su angustia por la situación actual del ejercicio de la medicina en Colombia.Denuncian los peligros para la sociedad colombiana de una medicina deshumanizada o implantada dictatorialmente. Ya se comienza a ver las lacras que la sustentan y corroen. No cabe la menor duda que nuestra profesión médica atraviesa por la más grave crisis de su historia.La proliferación de las facultades de medicina como resultado de la Ley General de Educación genera indefectiblemente una mano de obra barata y obviamente mal calificada, que encuentra como válido un salario de hambre; salario que no admiten ni las llamadas carreras intermedias.Se respaldan en un ejercicio profesional deficiente, pues lo que importa es el volumen de consultas y procedimientos, no la calidad de la atención.La crisis por la que atraviesa la Medicina puede ser atribuible a múltiples factores, pero el que más incide es el individualismo médico, factor derivado del llamado Médico Hipocrático que hasta los años 60 era el profesional respetado por todos y pilar fundamental en la sociedad, provenía en general de un estrato social aceptable y nivel económico importante y que de pronto se vio abocado a la plena socialización de su profesión y como respuesta, su individualidad se hipertrofió de su yo como médico.En un país como el nuestro en donde el presupuesto de salud sufre recortes año tras año, sin que a nadie importe el don más preciado del ser humano, la seguridad social, y por ende la salud, en realidad no solo es la profesión médica, si no la salud del pueblo colombiano que se vislumbra en lo que podríamos calificar de pronóstico reservado.
Las células madre
Authors: Giraldo Juan Pablo , Madero José Ignacio , Ávila Mabel , Cuneo Silvio , López Claudia , Escobar Magally , Aparicio Arturo , Ruiz Jesús A.
Published: April 2020

La historia de las células madre comenzó ya hace dos décadas durante las cuales se ha producido un cambio radical en el horizonte de la medicina. El reconocimiento de la existencia de varios tipos de linajes celulares provenientes del blastocito y de la sangre periférica del adulto, junto con su capacidad de producir nuevos tejidos, inclusive de capas embrionarias diferentes, ha permitido diseñar nuevos tratamientos antes considerados imposibles.
Embarazo y metabolismo de los carbohidratos
Authors: Osorio O. José Henry
Published: April 2020

La producción y regulación de la glucosa, así como el balance neto entre los requerimientos de cada sistema orgánico determinan las vías metabólicas requeridas en la producción de energía. Durante el embarazo normal, la glucosa y los combustibles metabólicos son suministrados al feto de una manera bien regulada. La diabetes durante el embarazo es una de las principales causas de alteración en el metabolismo materno afectando la glucorregulación y el desarrollo fetal. La presente revisión hace enfásis en el metabolismo de los carbohidratos, y los principales procesos para la producción de energía mediante el uso de estas biomoléculas durante el período gestacional.
El enfoque multidisciplinario: un desafío pedagógico en la Enseñanza de la Moda y el Diseño
Authors: Veneziani Marcia
Published: April 2020

Los estudios de la moda requieren continuamente un abordaje a partir de reflexiones y enfoques multidisciplinarios. Los textos de los académicos argentinos que seincluyen en este Cuaderno, evidencian la necesidad de profundizar cada vez más en disciplinas que rebasan y al mismo tiempo conciernen al ámbito específico de la moda y eldiseño. En una profesión altamente competitiva y de gran visibilidad, como lo es el diseñoen todas sus formas, se torna más que necesaria la inclinación por los estudios del arte,la historia, la psicología, la fotografía, la sociología, la antropología, la comunicación, lafilosofía, la economía y la ecología entre otras, más allá de las tendencias ocasionales y pasajeras. La moda y todas aquellas disciplinas imbricadas en el mundo del diseño en general,se encuentran atravesadas por un sinfín de entramados que buscan encontrar respuestas acomportamientos y a la lógica comercial allende a lo puramente pasajero. Por lo tanto, lainvestigación se torna central a la hora de pensar la moda, y al mismo tiempo, la inserciónen el mundo laboral requiere del estudio de casos y de estrategias que respondan al contexto y a los desafíos que los tiempos actuales presentan.
Los caminos de la innovación en Argentina
Authors: Mon Laureano
Published: April 2020

A través del análisis de la producción de diseño de las regiones del norte de Argentina, se vislumbrarán los caminos de la innovación a la vez que sus formas de comunicaciónen los mercados. Los lenguajes creativos son explorados enfatizando los diálogos entabladospor diseñadores contemporáneos con materiales, texturas, formas e imaginarios regionales.
Veils and velocities
Authors: Kirkbride Robert
Published: April 2020

Los lazos de la moda y el entorno son profundos, tectónica y culturalmente.En la meditación espiritual medieval, la mente era construida en la imagen de una ciudadamurallada, cuyos edificios estaban “vestidos” de comprensión moral; en la Florenciadel Renacimiento, el filósofo Marsilio Ficino recomendaba que los colores planetarios seaplicaran a la vestimenta y como adorno arquitectónico para ayudar a la contemplacióny al buen juicio. Enlazado etimológicamente, nuestros hábitos (abitudine), ropa (abito) yedificios (abitazione) son los adornos reveladores de nuestra mente y nos preparan parala vida cotidiana. El conjunto de artefactos y accesorios que van desde la indumentariahasta la vivienda nutren la imaginación con los ingredientes para la memoria personal ycompartida y la identidad. En este artículo se tendrá en cuenta varios ejemplos históricosy contemporáneos.
POTENCIAL TURÍSTICO DA COMUNIDADE DIOGO LOPES EM RESERVA DE DESENVOLVIMENTO SUSTENTÁVEL ESTADUAL PONTA DO TUBARÃO - RDSEPT/RN
Authors: Da Silva Fernanda Martins , Gomes-Ferreira Ana Beatriz , Cesar Pedro Henrique , Moreira Sueli Aparecida
Published: April 2020

O Turismo de base comunitária é uma alternativa no contexto do turismo sustentável que vem crescendo muito. Esse segmento de turismo tem um papel importante para a comunidade local, ao ajudar na conservação, no desenvolvimento regional, ao movimentar a economia da comunidade. A comunidade de Diogo Lopes, distrito de Macau, está inserida dentro da Reserva de Desenvolvimento Sustentável Estadual Ponta do Tubarão. A RDSEPT está localizada no litoral norte do Rio Grande do Norte, passou a ser reserva com a criação da lei estadual 8.349 de 17 de julho de 2003. O objetivo da pesquisa foi verificar a percepção dos moradores sobre a sustentabilidade na RDS. Portanto, realizou-se um estudo de natureza qualitativa, cuja abordagem se deu através da proposta de estudo da comunidade, utilizando-se um roteiro de entrevista com atores chaves da Reserva. Quanto aos resultados constatou-se, que a atividade turística na reserva é insipiente, mas o turismo é uma atividade viável para a RDS. Os pescadores apontaram deficiência na infraestrutura local e falta de apoio de lideranças políticas e do conselho gestor na reinvindicação de melhorias para a comunidade.
IDENTIFICAÇÃO DE PRODUTOS SECUNDÁRIOS DA VINIFICAÇÃO: UM ESTUDO DE CASO
Authors: Santos Pedro Vieira Souza , Leite Ângelo Antônio Macedo
Published: April 2020

A vitivinicultura é uma das mais antigas culturas do mundo. Atualmente apresenta tendência de crescimento e contínuo desenvolvimento devido ao alto índice de produção e consumo de vinho. Entretanto, apesar da forte representação econômica em diversos países inerente à atividade, esta apresenta-se como potencial poluidora, através de seus subprodutos gerados ao longo do processo industrial. Nesse contexto, o objetivo deste trabalho foi identificar os principais subprodutos gerados em uma vinícola na região do Vale do São Francisco obtidos através do processo de industrialização do vinho. Para tanto, utilizou-se da metodologia de estudo de caso. Pôde-se concluir que o aproveitamento do resíduo gerado no processamento de vinho pode contribuir para a diminuição dos prejuízos tanto econômicos como sociais e/ou ambientais, podendo gerar novos produtos e lucratividade num subproduto normalmente desperdiçado ou utilizado como adubo e ração animal.
Süt sığırcılığı işletmelerinde üretim planlaması: İzmir ve Manisa örneği
Authors: GÜLER Duran , SANER Gamze
Published: April 2020

Amaç: Bu çalışmada İzmir ve Manisa illerindeki süt sığırcılığı işletmelerinde üretimin planlanması ve çalışmanın sonucunda planlamanın işletmelerin brüt kârına olan etkisinin ölçülmesi amaçlanmıştır. Materyal ve Yöntem: Araştırma kapsamında İzmir ilinin Ödemiş ilçesinde 117 üretici ve Manisa ilinin Salihli İlçesinde 30 üreticiyle yüz yüze anket yapılmıştır. Üretim planlamasında doğrusal programlama yöntemi kullanılmıştır. Verilerin analizinde işletmeler inek sayılarına göre 5-15 baş, 16-25 baş, 26-40 baş ile 41 baş ve üzeri olmak üzere dört gruba ayrılmıştır. Araştırma Bulguları: Planlama sonucunda her grup için mevcut arazide yetiştirilmesi gereken yem bitkileri üretim deseni, satın alınması gereken yem miktarı, kısıtların (aile işgücü, toplam arazi, ahır kapasitesi ve sermaye) planlamadaki durumu ile elde edilen brüt kâr ortaya konulmuştur. Buna göre planlama sonucunda, işletme başına brüt kârda 1. grup işletmelerden 4. gruba doğru sırasıyla %63.87, %40.56, %13.82 ve %0.37 oranlarında artış olduğu saptanmıştır. Sonuç: Araştırma sonuçları planlamanın süt sığırcılığı işletmelerinin brüt kârını önemli ölçüde arttırabileceğini ve bu nedenle süt sığırcılığı işletmeleri için planlamanın gerekliliğini ortaya koymuştur. Planlama konusu karmaşık bir yapıya sahip olup, modern teknolojilerle desteklenmesi gerekmektedir. Bu nedenle planlamaya yönelik yazılımların geliştirilmesi amacıyla Ar-Ge yatırımları teşvik edilmeli ve desteklenmelidir.
Sosialisasi dampak pernikahan dini terhadap kesehatan reproduksi Desa Sembung Kecamatan narmada Kabupaten Lombok Barat
Authors: Astuti Alfira Mulya
Published: April 2020

[Bahasa]: Pernikahan dini memiliki dampak yang cukup berbahaya bagi yang melakukannya baik pria ataupun bagi wanita, dan dalam berbagai aspek seperti kesehatan, psikologi, dan mental. Walaupun pernikahan usia dini ini memiliki dampak positif, namun dibandingkan dengan faktor negatifnya tentu sangat tidak seimbang. Tersebut merupakan alasan sehingga dilakukannya pengabdian masyarakat di desa Sembung. Adapun fokus pengabdian ini adalah Sosialisasi mengenai dampak pernikahan dini di Desa Sembung Kecamatan Narmada Kabupaten Lombok Barat dengan menghadirkan narasumber dari Pihak Badan Koordinasi Keluarga Berencana Nasional Kota Mataram. Diawali dengan Sosialisasi mengenai dampak dari pernikahan dini dengan menghadirkan narasumber dari Pusat Studi Gender dan Anak, Bidan yang ditugaskan di Desa  Sembung serta salah satu narasumber dari Badan Koordinasi Keluarga Berencana (BKKBN) Kota Mataram. Melakukan pembinaan bagi kaum wanita yang memiliki keterbatasan perekonomian untuk  menciptakan suatu yang bermanfaat. Kesimpulan dari kegiatan ini adalah; pernikahan dini hukumnya sunah bagi yang dapat mengendalikan diri, dan akan menjadi wajib jika antara keduanya sudah tidak dapat mengendalikan dini, menikah dini dalam dua keadaan tersebut bisa mensyaratkan adanya kesiapan ilmu, harta (nafkah) dan fisik, disamping mensyaratkan tetap adanya kemampuan melaksanakan kewajiban menuntut ilmu, islam telah menetapkan hukum – hukum preventif agar para pemuda dan pemudi terhindar dari rangsangan dan godaan untuk berbuat maksiyat seperti zina, Keempat, bahwasanya pernikahan dini itu memiliki dampak positif dan negatif bagi yang melaksanakan, baik ditinjau dari fisik maupun psikisnya.

Kata Kunci: sosialisasi, dampak menikah dini, kesehatan reproduksi