bluuebunny/crossref_metadata_2025 huggingface dataset:
Shape and parameter reconstruction for the Robin transmission inverse problem
Authors: Laurain Antoine , Meftahi Houcine
Published: May 2016

In this paper we consider the inverse problem of simultaneously reconstructing the interface where the jump of the conductivity occurs
and the Robin parameter for a transmission problem with piecewise constant conductivity and Robin-type transmission conditions on the interface.
We propose a reconstruction method based on a shape optimization approach and compare the results obtained using two different types of shape functionals.
The reformulation of the shape optimization problem as a suitable saddle point problem allows us to obtain the optimality conditions by using differentiability properties of the min-sup combined with a function space parameterization technique.
The reconstruction is then performed by means of an iterative algorithm based on a conjugate shape gradient method combined with a level set approach. To conclude we give and discuss several numerical examples.
Compound heterozygous mutations (p.T561M and c.2422delT) in the TPO gene associated with congenital hypothyroidism
Authors: Ma Shao-Gang , Zheng Xiao , Qiu Ya-Li , Guo Man-Li , Shao Xiao-Juan
Published: May 2016

The objective of the study was to determine the genetic basis of goitrous congenital hypothyroidism (GCH) in Chinese siblings.

The proband and her younger brother with GCH were enrolled for molecular analysis of the dual oxidase 2 (

Analysis of the

The inactivating mutations (c.2422delT and p.T561M) in the
Crystal structure of (E)-1-(3,4-dimethoxyphenyl)-3-(dimethylamino)prop-2-en-1-one, C13H17NO3
Authors: Ghorab Mostafa M. , Alsaid Mansour S. , Ghabbour Hazem A. , Fun Hoong-Kun
Published: May 2016

C13H17NO3, monoclinic, P21/c, a = 7.7486(4) Å, b = 8.5148(3) Å, c = 19.9822(9) Å, β = 100.341(2)°, V = 1296.97(10) Å3, Z = 4, R
gt
(F) = 0.0620, wR
ref
(F
2
) = 0.1814, T = 296 K.
Crystal structure of diethylammonium 5-((4-fluorophenyl)(6-hydroxy-1,3-dimethyl-2,4-dioxo-1,2,3,4-tetrahydropyrimidin-5-yl)methyl)-1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropyrimidin-4-olate, C23H30FN5O6
Authors: Barakat Assem , Ghabbour Hazem A. , Al-Majid Abdullah Mohammed , El Ashry El Sayed H. , Warad Ismail , Fun Hoong-Kun
Published: May 2016

C23H30FN5O6, monoclinic, P21/n (no. 14), a = 9.5772(3) Å, b = 15.9466(5) Å, c = 15.8380(5) Å, β = 103.951(1)°, V = 2347.49(13) Å3, Z = 4, R
gt
(F) = 0.0423, wR(F
2
) = 0.192, T = 150 K.
Crystal structure of 2-amino-4-(3,5-difluoro-phenyl)-5-oxo-5,6,7,8-tetrahydro-4H-chromene-3-carbonitrile, C16H12F2N2O2
Authors: Li Jiang-Tao
Published: May 2016

C16H12F2N2O2, triclinic, P1̅ (no. 2), a = 8.7770(8) Å, b = 8.8227(8) Å, c = 10.1940(9) Å, α = 75.080(8)°, β = 73.618(8)°, γ = 74.829(8)°, V = 716.43(12) Å3, R
gt(F) = 0.0479, wR
ref(F
2) = 0.1387, T = 293 K.
Crystal structure of 6-oxo-4-propyl-2-(propylthio)-1,6-dihydropyrimidine-5-carbonitrile, C11H15N3OS
Authors: Al-Tamimi Abdul-Malek S. , Ghabbour Hazem A. , El-Emam Ali A.
Published: May 2016

C11H15N3OS, triclinic, P1̅ (no. 2), a = 4.6579(2) Å, b = 9.6316(5) Å, c = 13.6654(7) Å, α = 87.982(2)°, β = 87.330(2)°, γ = 78.403(2)°, V = 599.69(5) Å3, Z = 2, R
gt
(F) = 0.0450, wR
ref
(F
2
) = 0.128, T = 100 K.
Crystal structure of prop-2-en-1-yl 2-oxo-2H-1-benzopyran-3-carboxylate, C13H10O4
Authors: Škoch Karel , Císařová Ivana , Štěpnička Petr
Published: May 2016

C13H10O4, monoclinic, P21/n (no. 14), a = 9.3751(2) Å, b = 17.3340(3) Å, c = 13.3828(2) Å, β = 98.460(1)°, V = 2151.15(7) Å3, Z = 8, R
gt
(F) = 0.0381, wR
ref
(F
2
) = 0.1065, T = 150(2) K.
When bank stocks are hobbled by worries: A metaphor study of emotions in the financial news reports
Authors: Ho Janet
Published: May 2016

This study is a corpus-based examination of metaphors in the media coverage of the global financial crisis of 2008. Based on conceptual metaphor theory, it discusses how and why metaphors of living thing were used in the news reports, with a particular focus on the two negative emotions of fear and anxiety. The research started with the compilation of a 1-million-word corpus of news articles. With the use of the software suites Wmatrix 2.0 and WordSmith 5.0, metaphors directly conceptualizing the emotions of fear and anxiety were identified. The findings showed that these metaphors described various stages and intensities of negative emotions, and that they were tailored to increase the negative feelings of the readers, which in turn increased the news value of the articles for the newspaper. Various theoretical and lexicogrammatical implications have also arisen from the study.
Communication and power in the job interview: Using a ventriloqual approach to analyze moral accounts
Authors: Hudson Nancie
Published: May 2016

This discourse analysis examines the job interview as a site of moral accounting for applicants. Twenty job interviews were audio-recorded in an employment agency in a major city in the United States. Using ventriloquism as a theoretical framework, I analyze communication between the applicants and the interviewers and show how moral accounting takes place in this institutional encounter. Applicants in this study used moral accounts to reframe their identity, which was problematic due to the social stigma of unemployment. Moral accounts gave applicants the discursive power to avoid accountability for problems that threatened their moral identity as workers: a history of unemployment, a current state of poverty, and failure to pass a skills test. Despite these problems, applicants constructed a desirable image of self, using moral accounts that staged figures of legitimacy in the talk. Speaking in the name of figures – previous employers, situations, values, and ideology – gave applicants the power to neutralize these problems and frame their identity as morally good. Accounting is therefore an act of ventriloquism, and it is intertwined with moral identity. This study extends Cooren’s (2010) theory of ventriloquism by identifying constraining and empowering figures that decrease or increase one’s discursive power in interaction and contributes to job interview literature by analyzing the moral aspect of this institutional talk.
Changes in management actions after the Hospital Accreditation
Authors: Siman Andréia Guerra , Cunha Simone Graziele Silva , Brito Maria José Menezes
Published: May 2016

Objective: to understand the changes in the management actions after the Hospital Accreditation. Methods: a case study. The study included 12 managers of a hospital accredited with excellence. Data collection was carried out with interviews with semi-structured and subjected to content analysis. Results: about changes in management actions were recorded significantly three categories: Work organization with quality tools; management actions before and after the accreditation; and challenges faced by modifying the management actions. Conclusion: accreditation mobilized changes in management actions with quality instruments of adoption used to organize the work and accountability of those involved in the process. However, there were challenges to be overcome to achieve accreditation by managers.
The Role of Social and Cultural Values in Public Education in Remote Island: a Case Study in Karimunjawa Islands, Indonesia
Authors: Rochwulaningsih Yety
Published: May 2016

This paper aims to analyze education problems in remote islands especially in Parang island of Karimunjawa Islands, Indonesia. Specifically, this paper aims to identify socio-cultural values and its role in education both formal and nonformal. The research was conducted in the Parang Island one of thousand  remote islands in Indonesia. The result shows that education in Parang island encounter strategic issues including the teacher attendance who mostly comes from outside of the island. Their mobility of certain matters force the teachers to go out from the island but sometime because of geographical condition their return to the island is unable to be ensured. This natural constraints precisely construct typical socio-cultural values especially in local education. The values which include multiculturalism, mutual cooperation, and togetherness has integrated into some subjects such as, Citizenship Education, Indonesian Language, Islamic Education, and some local contents such as Marine Education. It has been internalized into empirical experiences of the students as part of marine community that is typically open and egalitarian in character. Meanwhile, Islamic tend to be patterned in syncretism which promote balance and harmony of life. These values have been practices transmitted in religious education such as madrasah and some of informal Islamic institutions. The multiculturalism live, in harmony is effectively socialized through education, family life and community.Artikel ini mengkaji permasalahan bagaimana kondisi pendidikan di Pulau Parang sebagai pulau terpencil berlangsung dan bagaimana peranan nilai-nilai sosial budaya di dalamnya. Hasil penelitian menunjukkan bahwa pendidikan di Pulau Parang menghadapi berbagai persoalan strategis antara lain eksistensi guru tetap yang hampir semuanya berasal dari luar pulau dengan mobilitas yang tinggi harus sering ke luar pulau dan karena gelombang laut yang besar sering tidak dapat dipastikan waktu kembalinya ke Pulau Parang. Kendala alamiah ini justru mengkonstruksi nilai-nilai sosial budaya khas Pulau Parang yang berperan penting dalam beragam pendidikan. Nilai multikulturalisme, sambatan, tolong menolong, dan kebersamaan diinternalisasikan secara intensif melalui mata pelajaran IPS, PKN, BI dan PAI yang dintegrasikan dalam pengalaman empirik murid yang multietnik sebagai etnik maritime dengan karakter terbuka dan egaliter. Nilai-nilai religiusitas keIslaman yang cenderung bercorak sinkritisme mengedepankan keseimbangan dan keselarasan hidup ditransmisikan dalam pendidikan Madrasah Diniyah Mathali’ul dan beberapa ‘pondok’ perseorangan. Nilai-nilai multikulturalisme disosialisasikan secara efektif melalui pendidikan, keluarga dan masyarakat.
Deconstructing Gender Stereotypes in Leak
Authors: Atmadja Nengah Bawa , Sendratari Luh Putu , Rai I Wayan
Published: May 2016

The belief of Balinese people towards leak still survive. Leak is a magic based on durgaism that can transform a person from human to another form, such as apes, pigs, etc. People tend to regard leak as evil. In general, the evilness is constructed in gender stereotypes, so it is identified that leak are always women. This idea is a power game based on the ideology of patriarchy that provides legitimacy for men to dominate women with a plea for social harmony. As a result, women are marginalized in the Balinese society. Women should be aware of so it would provide encouragement for them to make emancipatory changes dialogically. Kepercayaan orang Bali terhadap leak tetap bertahan sampai saat ini. Leak adalah sihir yang berbasiskan durgaisme yang dapat mengakibatkan seseorang bisa merubah bentuk dari manusia ke wujud yang lain, misalnya kera, babi, dll. Leak termasuk magi hitam sehingga dinilai bersifat jelek. Pada umumnya perempuan diidentikkan dengan leak sehingga melahirkan asumsi yang bermuatan steriotip gender bahwa leak = perempuan. Gagasan ini merupakan permainan kekuasaan berbasis ideologi patriarkhi dan sekaligus memberikan legitimasi bagi laki-laki untuk menguasai perempuan dengan dalih demi keharmonisan sosial. Akibatnya, perempuan menjadi termarginalisasi pada masyarakat Bali.  Perempuan harus menyadarinya sehingga memberikan dorongan bagi mereka untuk melakukan perubahan secara dialogis emansipatoris.
Empowerment of Waria Ludruk Artists in AIDS/HIV Prevention Program
Authors: Maimunah Maimunah , Aribowo Aribowo
Published: May 2016

Waria or transgender is one of the key population which has a significant role in the success of HIV/AIDS prevention program in East Java. It is estimated that the biggest waria community is in East Java, particularly in Surabaya. The main objective of this research is improving capacity building of ludruk artist waria through HIV/AIDS prevention program. The study has two objectives; firstly to find the effective strategies in improving waria’s feminine skills such as knitting, hair dressing. Secondly to find the effective programs both on-stage and off-stage to improve the quality of ludruk performance such as revitalizing their marketing management, using social media to promote their schedule to the young generation. Some inportant points can be conluded from this study. Firstly, integrated coordinating system between ludruk artist waria and waria communities such as Perwakos and Iwama should be improved. HIV/AIDS prevention programs become uneffective without coordination. In this point, ludruk artist waria need to know that HIV/AIDS prevention programs such as VCT, HIV testing is free of charge. Secondly, in terms of management internal system, ludruk needs to revitalize the content of the story in their performance to be more compatible with the younger audience. To do so, the cooperation is needed among all the stakeholeders to make ludruk survive in the capitalist industrial show business in Indonesia.Salah satu populasi kunci yang memberi kontribusi tingginya prevalensi HIV dan AIDS di JATIM adalah komunitas waria karena di propinsi ini estimasi jumlah waria terbesar di Indonesia. Penelitian ini akan membahas bagaimana waria seniman ludruk dilibatkan dalam pencegahan HIV/AIDS. Program yang telah dilakukan adalah revitalisasi baik on-stage (diatas panggung) dan off-stage (di luar panggung). On-stage memfokuskan pada upaya revitalisasi pertunjukan ludruk dengan sistem dan manajemen pertunjukan yang lebih modern, menarik penonton generasi muda dan memanfaatkan tekhnologi internet dalam pemasarannya. Sedangkan Off-stage melalui penguatan keterampilan feminine (feminine skills) seperti menjahit, salon, wirausaha dll sehingga mereka mandiri secara ekonomi. Hasil penelitian menyimpulkan ada faktor internal yaitu kurangnya koordinasi pimpinan ludruk dengan organisasi induk waria dalam mensosialisasikan program penanggulangan HIV/AIDS. Disamping itu, mobilitas waria yang tinggi antar kota menjadi kendala tersendiri untuk mengumpulkan mereka ketika ada pemeriksaan VCT dan tes HIV. Faktor internal ludruk adalah perlunya revitalisasi dan inovasi managemen pemasaran yang modern berbasis tekhnologi serta inovasi cerita ludruk agar lebih menjangkau anak muda. Dibutuhkan kerjasama dengan semua stakeholders agar ludruk tetap bertahan dalam gempuran industri hiburan di Indonesia.
Javanese Cultural Socialization in Family and Ethnic Identity Formation of Javanese Adolescent Migrant at Lampung Province
Authors: Aryanti Nina Yudha
Published: May 2016

Javanese adolescent migrants interactions in family across generations at multicultural society in Lampung stimulates a dynamic atmosphere  for adolescent ethnic identity formation. Through socialization, the adolescent acquires Javanese cultural information as a foundation to develop their ethnic identity. This research aims are to know, find and analyze the cultural socialization aspects in family that support ethnic identity formation of Javanese adolescent migrants in Lampung. Throughout qualitative research, this research showed that socialization and ethnic identity formation in family is based on six themes : (1) family migration history; (2) adopted and referred family culture; (3) family identity development; (4) parenting style and  amount of time spend for interaction in family and parent’s type of job ; (5) language used within the family; and (6) situations that support and obstruct of expression of ethnic identity.
Padepokan Karakter: Model of Character Development
Authors: Rachman Maman , Munandar Aris , Suhardiyanto Andi
Published: May 2016

This study was aimed at describing the portraits of the factual management model of character reinforcement applied nowadays, developing the hypothetical management model of character reinforcement in Padepokan Karakter or a character hermitage. This research was conducted under research and development approaches. The subjects of this research were the informants (students, lecturers, teachers, school principals), documents, and events. The data were collected through interviews, observations, documentations, considerations of specialists and practitioners, focused group discussions, and questionnaires. The results indicated that the factual model of character reinforcement was done by integrating characters on subjects described in the functions of planning, implementation, and evaluation. The development of management models of character reinforcement recommended in this research was managed through the function of planning, organizing, implementing and controlling the characters in the character hermitage. The device of character reinforcement available in the character hermitage was effective and influential to reinforce the students ‘ character.
The Involvement of Women in the Production of Emping Melinjo (Melinjo Chips) to Improve the Economy of Rural Farmer Household
Authors: Arsal Thriwaty
Published: May 2016

Women’s involvement in the production of melinjo chips were related to the low educational level and less skill. They only had skill in producing melinjo chips that they inherited from their parents. Women who worked to produce melinjo chips were only to help their husband to improve their household economy. In addition, collector companies only recognized man as workers; therefore, only man who got the salary. Qualitative research was used as the research method with 10 informants consisted of men and women. Research result indicated that the involvement of women in the production of melinjo chips was marginalized where salary was not calculated despite their involvement in the whole production process. Moreover, there was no recognition for women’s work and they had no health insurance and social protection from the collector companies.
Livelihood Strategy of Coastal Community: A Case Study in Tanjung Saleh Islands, Kubu Raya District, Indonesia
Authors: Sudrajat Jajat
Published: May 2016

This study is intended to identify the characteristic of livelihood strategy and to formulate the exit strategy from poverty trap in a coastal community. This study was done in Tanjung Saleh islands, one from 39 islands at Kubu Raya District, West Kalimantan Province, Indonesia. Data were collected by depth interviews, group interviews, observation, and literature study. The results of this study show that the livelihood strategies at Tanjung Saleh islands can be identified into five types: (a) the strategy that relied on the natural resources extraction, (b) traditional agriculture cultivation strategy, (c) household worker utilization strategy, (d) migration strategy, and (e) institutional strategy. The institutional strategy is categorized as exit strategy from poverty trap meanwhile the other strategies are categorized as survival strategy. Fact in the field shows that institutional strategy and the role of women are important factor to support the fishermen household livelihood system. There are two institutions often utilized in fishermen community, “arisan” (rotational saving and credit association) custom and patron client relationships between fishermen and village traders. Through the utilizing of social capital on both institutions, the fishermen household can access financial capital effectively. Therefore, the nurturing of social capital and the role of women must be considered in arrangement of sustainable livelihood strategies in fishermen community.
Developing Environmental Education Model Based on Local Wisdom
Authors: Jahja Rusfadia Saktiyanti
Published: May 2016

This article discusses the development of environmental education model based on local wisdom. The study is motivated by the existing conditions in secondary schools, where environmental education merely focuses on students’ cognitive level and does not touch affective and psychomotor aspects. Students only understand the concept of climate changes, but they do not change their daily behavior in solving it. This study was conducted using mixed approach to analyze the need. It was continued with the development of educational models. This model tried to integrate the environmental education with the existing subjects at school. Therefore, the result can be applied in accordance with the local content. Several experts have reviewed the model and it is further tested in schools to be the pilot project.
The Existence of Gampong in the Middle of Changing Community
Authors: Mahmuddin Mahmuddin , Kolopaking Laura M , Kinseng Rilus A , Wasistiono Sadu , Saharuddin Saharuddin
Published: May 2016

The passage of Act No. 18, 2001 on regional autonomy and followed up with the issuance of Qanun No. 4, 2003 on mukim, and Qanun No. 5, 2003 on gampong and reinforced by UUPA No. 11, 2006 on Acehnese government is a history of social identity of Acehnese society, which has been neglected during the conflict. The regional government has made some breakthroughs and one of the breakthroughs was gampong revitalization through a program called “back to gampong”. The study aims to answer the dynamic of revitalization of gampong institution in the middle of special autonomy implementation and the implementation of Qanun gampong in the administration of gampong institution. The study shows that the implementation of program “back to gampong” encourages the strengthening process of gampong institution as well as weakens the institution itself. The development of gampong that focuses on physical aspect has created coordination gap among officials of gampong institution in planning system and financial management.  The tug in the mechanism of financial development and management at gampong has created a space for the involvement and influence from gampong elite in gampong governance. Non-uniform honorary allocation for gampong governmental apparatus is one of indicators of weak role and function of gampong cultural institution because the previous inherent communal values have been calculated economically.
Brebes Buroq: The Art Expression of Coastal Javanese Moslem Society
Authors: Triyanto Triyanto , Rokhmat Nur , Mujiyono Mujiyono , Sugiarto Eko
Published: May 2016

The art of Buraq is a procession of puppet which has beautiful female face with winged-horse body and dance to the music of Genjring and tambourine. This traditional art is one of the dominant arts that becomes one cultural identity of the people in Brebes District, located in the west of the northern coast of Java island, Central Java Province. This study aims to study the aesthetic form, function and symbolic values of Buroq, as well as the system of relationship patterns among actors, Buroq puppets, and the audience. The result of the research shows that the rise of Buroq art stems from the Isra’-Mi’raj ‘ trip of Prophet Muhammad by using the vehicle named Buroq. It is narrated that Buraq is like a winged-horse with a beautiful woman face who can move with lightning speed as a vehicle in the Isra’-Mi’raj journey of the Prophet Muhammad. This story is the primary source of inspiration for local artists to express aesthetic-symbolic in accordance with the imagination they possess in the form of acculturation that combines elements of Javanese, Chinese, and Islamic cultural symbols. As Islamic-based traditional arts of community, Buroq with all the uniqueness of its physical form not only has functions and values in the grandeur of Islam which awakens and strengthens the cultural awareness among residents to act and behave in accordance with the teaching of Islam in coastal Javanese Islamic culture but also has the functionality and entertainment value for the multicultural community.
Breastfeeding Continuation Among Late Preterm Infants: Barriers, Facilitators, and Any Association With NICU Admission?
Authors: Kair Laura R. , Colaizy Tarah T.
Published: May 2016

BACKGROUND AND OBJECTIVES:

Late preterm birth (at 34–36 6/7 weeks’ gestation) is a risk factor for early breastfeeding cessation. The objective of this study was to determine barriers to and facilitators of breastfeeding continuation among late preterm infants (LPI) and to compare the barriers faced by LPI admitted to the well nursery versus the NICU.

METHODS:

The SAS Complex Survey was used to perform multivariable logistic regression analysis by using data from the Centers for Disease Control and Prevention’s Pregnancy Risk Assessment Monitoring System. Data from 3 states (Illinois, Maine, and Vermont) for the years 2004 to 2008 were used.

RESULTS:

A total of 2530 mothers of LPI were surveyed. Odds of breastfeeding initiation were similar among LPI admitted to the NICU versus the well nursery (adjusted odds ratio, 1.24 [95% confidence interval, 0.88–1.73]; P = .209). Odds of breastfeeding for ≥10 weeks were no different between LPI admitted to the NICU versus those admitted to the well-nursery (adjusted odds ratio, 1.02 [95% confidence interval, 0.73–1.43]; P = .904). Factors associated with increased odds of breastfeeding for ≥10 weeks among LPI were higher maternal education, mother being married, and normal maternal BMI. Regardless of NICU admission, the top reasons cited by mothers of LPI for early breastfeeding discontinuation were perceived inadequate milk supply and nursing difficulties.

CONCLUSIONS:

Among LPIs, NICU admission was not associated with early breastfeeding cessation. Mothers of LPIs with lower odds of sustaining breastfeeding for at least 10 weeks were single mothers, those with a high school education only, and those who were obese. Breastfeeding support should be enhanced for LPIs and should address perceived maternal milk supply concerns and nursing difficulties.
Evaluating Educational Needs of Parents at Newborn Discharge: A Pilot Study
Authors: Staiman Alanna , Crawford Brendan D. , McLain Kyle K. , Gattari Theresa B. , Mychaliska Kerry P.
Published: May 2016

OBJECTIVE:

The delivery of anticipatory guidance regarding newborn care is a standard practice for pediatricians. The purpose of this prospective study was to analyze the preexisting knowledge of routine newborn care in postpartum mothers.

METHODS:

Inclusion criteria included all postpartum mothers of live-born infants at least two hours following delivery that had not yet received formal instruction in newborn care. Each eligible mother that agreed to the voluntary survey was asked four multiple-choice questions which evaluated her knowledge of newborn care. The four questions addressed knowledge of safe sleep, car seat position, feeding behavior, and neonatal fever. A standardized template was used to ensure validity. Results were recorded in Microsoft Excel.

RESULTS:

Of the study population, 42% (55/131) of surveyed mothers were first-time mothers. Overall, results of the survey demonstrated that postpartum mothers answered the surveyed questions correctly 88% of the time previous to receiving anticipatory guidance.

CONCLUSIONS:

Postpartum mothers appear to have a high preexisting knowledge of routine newborn care in this study. Further studies are needed to determine if postpartum mothers’ knowledge base increases with inpatient education.
Drug-Drug Interactions Among Hospitalized Children Receiving Chronic Antiepileptic Drug Therapy
Authors: Lebowitz Mollie Blazar , Olson Karen L. , Burns Michele , Harper Marvin B. , Bourgeois Florence
Published: May 2016

OBJECTIVES:

Children treated with chronic medications are at risk of drug-drug interactions (DDIs) when hospitalized with an acute illness and prescribed new medications. We aimed to measure the prevalence of potential DDIs (pDDIs) among hospitalized children treated with antiepileptic drugs (AEDs) and to evaluate the impact of computerized physician order entry (CPOE) on pDDIs.

METHODS:

We analyzed a national sample of pediatric hospitalizations from 2005 to 2012 associated with administration of an AED and identified those prescribed a second medication with risk of a DDI. The prevalence of hospitalizations associated with a pDDI was calculated for each AED. We identified the drugs most commonly implicated in pDDIs and factors associated with pDDIs. Rates of pDDIs were measured in pre- and post-CPOE implementation periods.

RESULTS:

A pDDI was identified in 181 380 (41.7%) hospitalizations associated with the use of an AED, with 117 880 (27.1%) classified as severe pDDIs. AEDs most often implicated with a pDDI were phenobarbital, valproic acid, and phenytoin. Hospitalizations with pDDIs were associated with increased length of stay and a greater number of medications, ICU admissions, and operating room procedures. The implementation of CPOE did not result in a change in the rate of pDDIs (42.7% before versus 40.8% after; P = .48).

CONCLUSIONS:

Children treated with AEDs are at risk of pDDIs while hospitalized. The use of CPOE has not been associated with a significant decrease in the rate of pDDIs. Additional investigation to better define the impact of pDDIs and to advance development of clinical decision support within CPOE systems is warranted.
Teoria do autocuidado na assistência às mulheres que vivem com AIDS: utilidade da teoria
Authors: Gomes de Freitas Julyana , Moura Lopes Emeline , Oliveira Lopes Marcos Venicius , Gimeniz Galvão Marli Teresinha
Published: May 2016

Objetivo: Objetivou-se analisar a utilidade da Teoria do autocuidado para a assistência de enfermagem as mulheres com AIDS, sob o modelo de Meleis. Metodologia: Estudo de revisão integrativa, com busca nas bases de dados LILACS, MEDLINE, ELO, CINAHL ochrane e ed. Após verificação dos critérios de inclusão, foram identificados três artigos referentes à temática. Na análise dos estudos, focou-se o componente utilidade da teoria de Meleis. Resultados: A análise dos estudos, segundo a utilidade, evidenciou que a Teoria do autocuidado foi fundamental para analisar a capacidade e os déficits de mulheres com HIV, AIDS quanto ao autocuidado. Com a análise crítica de Meleis, foi possível verificar a utilidade da Teoria do autocuidado para a assistência de enfermagem a mulheres com infecção pelo HIV, AIDS. Evidenciaram-se, ainda, diversos cenários e abordagens de aplicação da teoria, identificado sua utilização voltada a vários objetivos do autocuidado de mulheres com HIV.
Experiencia de estar hospitalizado en una unidad de cuidado intensivo coronario de Barranquilla
Authors: Santiago de Castro Ernestina
Published: May 2016

La experiencia de estar hospitalizado en una unidad de cuidado intensivo genera ansiedad, angustia y estrés en la persona. Los pacientes con enfermedad coronaria requieren de cuidados especiales en este tipo de unidades, por lo que las percepciones, sentimientos y vivencias del paciente durante su estancia en la unidad se constituyen en elementos significativos de su experiencia. Objetivos: Conocer el significado de las experiencias vividas en una unidad de cuidado intensivo coronario de una clínica de Barranquilla. Metodología: Estudio cualitativo, descriptivo, con enfoque fenomenológico, en el que se entrevistaron nueve pacientes entre 59 y 74 años que estuvieron hospitalizados en una unidad de cuidado intensivo coronario con diagnóstico de infarto agudo de miocardio. Como estrategia de investigación, se utilizó el método de Colaizzi, siguiendo cada uno de los pasos sugeridos y guardando el rigor ético correspondiente. Resultados: Se identificaron cuatro categorías que reflejan de forma exhaustiva el fenómeno estudiado: 1) El primer contacto con la unidad 2) Lo malo de estar hospitalizado en la unidad 3) Confianza en Dios y 4) Pérdida de la percepción del tiempo. Conclusiones: Las vivencias expresadas por los participantes corroboran lo hallado en estudios similares, los cuales convergen al afirmar que el ingreso a la unidad de cuidado intensivo genera una serie de sentimientos negativos en la persona, que marcan de manera significativa su experiencia de vida. Pero también influyen aspectos positivos derivados de la atención humanizada del personal de enfermería.
95 años recorridos hacia el centenario
Authors: González Consuegra Renata Virginia
Published: May 2016

El éxito de las instituciones está en comprender la importancia del cambio permanente en busca de transformarse y responder a los nuevos y diversos desafíos. Así lo han entendido quienes por espacio de 95 años han integrado el cuerpo directivo y de profesores de la Facultad de Enfermería de la Universidad Nacional de Colombia. Han pasado nueve décadas y un lustro desde cuando el Diario Oficial del Congreso de Colombia promulgara la Ley 39 del 22 de octubre de 1 920, firmada por el Presidente de la República de Colombia Marco Fidel Suárez, estableciendo la enseñanza de Comadronas y Enfermeras, para cuyos gastos se asignó la suma de hasta $3 000 anuales. De esta manera, se hace realidad su ejecución desde el 14 de abril de 1 925 en el Hospital San Juan de Dios. Luego, la enseñanza se traslada al Hospital San José de Bogotá, en virtud de reorganizar la Escuela Superior de Enfermeras decretada en 1937 por el Consejo Directivo de la Universidad Nacional de Colombia mediante Acuerdo 004. Con esto se obtienen mayores espacios para impartir conocimientos teóricos complementados con actividades académicas prácticas, bajo la dependencia directa de la Universidad Nacional de Colombia, cuyo plan de estudio consistía en tres años, una tesis y un examen de grado.
Optimization of land use at Mt. Yuelu scenic area: an analysis using the ecological green equivalent
Authors: Chen Xi , Wang Ke-lin , Zhou Wei-jun , Li Hong-bin , Ashraf Muhammad
Published: May 2016

This study applies the ecological green equivalent approach to evaluating the land use structure of Mt. Yuelu scenic area in Hunan Province, China. A mathematical model is established based on land use and land cover data, and then ArcGIS used to extract the spatial extent of the ecological green equivalent within each of the relevant elements. Results show that the area has a relatively reasonable land use structure even though the forest coverage rate is slight below the optimum. The overall green equivalent (1.13) was higher than the optimum forest coverage ecological green equivalent (1.00). The distribution of forest was uneven, with most of the forest within the site; the area’s land use structure could thus be improved by extending the green area outside of Mt. Yuelu. We conclude by reiterating that landscape and infrastructure development should consider ecological system conditions.
New Progress in the Study of Intergranular Suction and Shear Strength of Unsaturated Soil
Authors: Tang Liansheng , Sang Haitao , Jiang Liqun , Sun Yinlei , Ashraf Muhammad
Published: May 2016

The suction between soil particles is the basis and core problem in the study of unsaturated soil. However, is the suction between soil particles just the matrix suction, which has been widely used since the discipline of unsaturated soil mechanics was established. In fact, the concept of matrix suction is from soil science and reflects the water- absorbing capacity of the soil. Matrix suction characterizes the interaction between soil particles and pore water rather than the interactions between soil particles, which are not in conformity with the principle of the effective stress of soils. The suction of unsaturated soil, in essence, is the intergranular suction composed of absorbed suction and structural suction. In this paper, first, the basic concepts of absorbed suction and structural suction were briefly introduced. Then, with soil mechanics, powder science, crystal chemistry, granular material mechanics and other related disciplines of knowledge for reference, the quantitative calculation formulas were theoretically deduced for the absorbed suction for equal-sized and unequal-sized unsaturated soil particles with arbitrary packing and the variable structural suction for equal-sized unsaturated soil particles with arbitrary packing and unequal-sized unsaturated soil particles with close tetrahedral packing. The factors that influence these equations were discussed. Then, the shear strength theory of unsaturated soil was established based on the theory of intergranular suction through the analysis of the effective stress principle of unsaturated soil. This study demonstrates that the shear strength of unsaturated soil consists of three parts: the effective, cohesive force, the additional strength caused by external loads and the strength caused by intergranular suction. The contribution of the three parts to the shear strength of unsaturated soil depends on the following influence factors: soil type, confining pressure, water content and density. Therefore, these factors must be comprehensively considered when determining the strength of unsaturated soil.
Rb-Sr Isotopic Geochronology and Geological Implications of Dongfeng Gold Deposit in Jiaodong Area
Authors: Zongyong Wang , Xin Han , Guxian LV , Xunyu Zhang , Yingchun Zhang , Xiao Fan , Qinglong Huo , Yaqing Xu
Published: May 2016

The superlarge Dongfeng gold deposit is located in the Potouqing faults-alteration belt of the eastern part of the ‘Zhao-Lai-gold ore belt’, which belongs to the northwestern part of the Jiaodong area. Tectonically, ore bodies are controlled by faults and gold mainly occurs in the pyrite and polymetallic sulfide-bearing quartz vein. In this paper, Rb–Sr isotopic analysis is carried out with the beresite, which formed by hydrothermal metasomatism, and the Rb–Sr isochron age is 125.5±6.7Ma, indicating this deposit set up in the early Cretaceous of the late Yanshanian. Based on the relationship between the Dongfeng gold deposit and the Mesozoic granite, it is suggested that the formation of the gold deposit is a complex geological process of gradual enrichment and precipitation of the ore-forming elements. The initial 87Sr/86Sr ratio of the beresite is 0.711502±0.000069, which indicates the ore-forming materials mainly come from the crust. Combined with the complex mineralization process of the Dongfeng gold deposit and the reported H-O isotopic data, it is suggested that the ore-forming materials are mainly derived from the crust with some mantle materials, while the ore-forming fluids are originated primarily from magmatic hydrothermal and mantle with some precipitate water.
Taquicardias supraventriculares. Estado del arte
Authors: Gándara Ricardo Jairo Alfonso , Santander Bohórquez David , Mora Pabón Guillermo , Amaris Peña Óscar
Published: May 2016

Las taquicardias supraventriculares son un grupo de entidades clínicas prevalentes en la población general, pero que afectan con mayor frecuencia a la población adulta; son ritmos rápidos y generalmente regulares en los cuales se encuentra implicada alguna estructura por encima de la bifurcación del haz de His para formación o perpetuación. El diagnóstico de estas entidades requiere un abordaje clínico sistemático, siendo el electrocardiograma de superficie la principal herramienta para su adecuada clasificación. El tratamiento de las taquicardias supraventriculares dependerá del estado hemodinámico del paciente, el cual definirá el requerimiento de terapia eléctrica o tratamiento médico. Se debe hacer una selección adecuada de los pacientes que requieren estudio electrofisiológico y ablación.
Absceso del psoas en pediatría: reporte de caso
Authors: Aragón Joya Yefry A , Bastidas Jacanamijoy Alexandra , Cáceres Solano Pedro A , Lozano Triana Carlos Javier , Landínez Millán Guillermo
Published: May 2016

El absceso del músculo psoas es una piomiositis infrecuente en la población pediátrica, convirtiéndose en un gran reto diagnóstico. Esta condición debe sospecharse en todo niño con fiebre, malestar general o dolor abdominal, lumbar o de cadera con evolución mayor a una semana. Suele confundirse con artritis séptica u otras enfermedades osteomusculares, por lo que se requiere de la realización de imágenes diagnósticas; el desconocimiento de esta patología retrasa el inicio del tratamiento y genera gran morbimortalidad. Se presenta un caso atendido en un centro hospitalario pediátrico de tercer nivel de Bogotá, D.C. y se hace una revisión de la literatura enfatizando sus claves diagnósticas y el manejo terapéutico.
Neurología de la anticipación y sus implicaciones en el deporte
Authors: Correa Mesa Juan Felipe , Álvarez Peña Paula Andrea
Published: May 2016

El movimiento es una acción que involucra interconexiones complejas, por lo cual se requiere profundizar en los procesos de adaptación, predicción y anticipación que permiten entender la importancia de estos aspectos desde sus bases filogenéticas y ontogenéticas hasta su implicación en movimientos complejos. Parte de la optimización de los procesos descritos se haya en la calidad de información aferente, la cual permite la relación con el entorno —especialmente la entrada visual— que reconoce un flujo de imágenes y una proyección al contexto en el que se está inmerso. Las estructuras e interconexiones implicadas en la anticipación y predicción de movimientos son descritas de modo que se evidencia la congruencia y continuidad del flujo de información que caracteriza esta especialidad neuromecánica de movimiento. Por otro lado, se aborda la integración de centros puntuales del sistema nervioso central y redes neuronales que permiten el entramado de procesos de aprendizaje por observación, además de proveer equilibrio y eficiencia al sistema en la recepción de estímulos y su relación con la generación de eferencias motoras que cumplan con objetivos específicos. En el ámbito deportivo estos procesos favorecen la eficiencia del gesto optimizando el movimiento.
Recomendaciones internacionales para el tratamiento médico de la hemorragia posparto
Authors: Camacho Castro Felipe Alberto , Rubio Romero Jorge Andrés
Published: May 2016

La hemorragia posparto es la principal causa de mortalidad y morbilidad obstétrica extrema a nivel mundial; de una oportuna identificación y un manejo adecuado depende la disminución de eventos adversos derivados de esta patología. Esta revisión expone las medidas de manejo médico no quirúrgico indicadas por distintas organizaciones internacionales y nacionales basadas en evidencia. Se realizó una búsqueda en tres bases de datos de literatura científica —Pubmed, Lilacs y Embase— y se seleccionaron artículos correspondientes con guías de práctica clínica basadas en evidencia, revisiones sistemáticas y artículos que compararan las recomendaciones de distintas guías. Como resultado se seleccionaron siete guías de práctica clínica, una revisión sistemática y dos ensayos clínicos. Las recomendaciones para el tratamiento médico presentadas están basadas en estos artículos.
Daniel Alcides Carrión: la teoría unicista
Authors: Salinas David
Published: May 2016

La enfermedad de Carrión presenta clásicamente dos fases clínicas: la fiebre de la Oroya y la verruga peruana. La teoría unicista reconoce que ambas formas clínicas pertenecen a la misma enfermedad, la obtención de este conocimiento representó un duro desafío para la ciencia peruana y mundial. A través de un histórico experimento en 1885, Daniel Alcides Carrión obtuvo la evidencia clínica-experimental que sentó las bases de la teoría unicista; el científico diseñó esta teoría solo hasta las horas finales de su experimento, por lo cual su hallazgo es considerado un acto de serendipia. La demostración bacteriológica de la teoría la realizaría Hideyo Noguchi en 1926; Carrión brindó además evidencia de la transmisibilidad de esta infección y debido a este aporte científico se convirtió en el símbolo de la medicina peruana.
Evolución electrofisiológica en pacientes con síndrome del túnel del carpo tratados con cirugía
Authors: Vergara Amador Enrique , Viveros Carreño Juan Manuel , Ahumada Graubard Fernando
Published: May 2016

Antecedentes. En la liberación del síndrome de túnel del carpo (STC) los estudios electrodiagnósticos pueden cuantificar la gravedad de la enfermedad. Hasta la fecha, los reportes de estudios que evalúan la evolución electrofisiológica como resultado objetivo de la cirugía de descompresión son controvertidos, de hecho la correlación entre estas pruebas y la percepción clínica de mejoría ha sido descrita como modesta. Objetivos. Evaluar el comportamiento de los parámetros electrofisiológicos en una serie de pacientes operados del síndrome de túnel del carpo y determinar las variables electrofisiológicas de mejor rendimiento. Materiales y métodos. Estudio observacional analítico retrospectivo de pacientes operados ambulatoriamente por síndrome de túnel del carpo y evaluados con estudios electrodiagnósticos antes y después de la cirugía. Resultados. Se analizaron 48 pacientes con edad promedio de 48 años. El 52% de pacientes mejoraron según la escala de Padua. Las latencias distales motoras y sensitivas y el delta sensitivo del nervio mediano mejoraron después de cirugía con resultados estadísticamente significativos. Las latencias del nervio cubital no variaron. Conclusiones. La mejoría de los parámetros electrofisiológicos después de una liberación de síndrome de túnel del carpo es controversial: algunos reportes muestran mejoría desde el primer mes, especialmente en la velocidad de conducción sensitiva. Otros estudios muestran mejoría significativa entre las semanas 18 y 42 postoperatorias, siendo la recuperación motora más rápida que la sensitiva. En el presente estudio el 52% de los pacientes mejoraron en las escalas por disminución del grado de severidad. Las latencias distales motoras y sensitivas y el delta sensitivo del nervio mediano evidenciaron una mejoría. Estos resultados sugieren que los estudios electrodiagnóstico son efectivos en la evaluación objetiva de pacientes con síndrome de túnel del carpo y es el único examen que puede demostrar mejoría luego de una liberación del STC.
Estudio epidemiológico del cáncer bucal en Colombia 1989-2008
Authors: Bernal Baláez Ángel Emilio
Published: May 2016

Antecedentes. El incremento del tabaquismo, considerado como un factor de riesgo en la carcinogénesis bucal, ha impedido la disminución de la incidencia del cáncer y precáncer bucal en las últimas décadas. Objetivo. Estudiar la incidencia del cáncer bucal por demanda de atención en Colombia entre los años 1989 y 2008. Materiales y métodos. Estudio descriptivo-retrospectivo que compila los datos de incidencia por demanda de atención en el registro epidemiológico del Instituto Nacional de Cancerología. Se categorizó la información referente a cáncer bucal de acuerdo al género. Resultados. En el año 1999 hubo un notable incremento de cáncer bucal, alcanzando 3.05% en ambos sexos. El sexo masculino resultó el más afectado. Conclusión. Se requiere un mayor compromiso de los odontólogos en el diagnóstico precoz de lesiones a través de un minucioso examen físico.
Declaración sobre la Crisis Migratoria Mundial
Authors: Villaseñor Bayardo Sergio Javier , Alarcón Renato , Rohlof Hans
Published: May 2016

En este artículo se presenta una versión resumida de la Declaración sobre la Crisis Migratoria Mundial (1), suscrita por la Asociación Mundial de Psiquiatría Cultural en el marco del Congreso Desafíos globales y psiquiatría cultural: Desastres naturales, conflictos, inseguridad, migración y espiritualidad —sostenido en Puerto Vallarta, Jalisco, México, del 29 de octubre al 2 de noviembre de 2015—. El tema principal abordado por la declaración es la actual crisis migratoria mundial, causada, entre otras, por el aumento del conflicto armado y de hechos violentos en Medio Oriente y África como generador de desplazamientos forzados masivos hacia Europa, sumado a la dramática realidad migratoria de largo plazo de la región de Latinoamérica a la de Norteamérica. En esta versión corta de la declaración se discutirán varios factores de la situación migratoria actual en Europa, América, Asia y África con el fin de identificar factores comunes y distintivos y empezar a realizar acciones de frente a esta situación.