bluuebunny/crossref_metadata_2025 huggingface dataset:
La educación pública en Bogotá setenta años hace
Authors: Álvarez Gallego Alejandro
Published: September 2021

A partir del texto La educación pública en Bogotá, en este artículo se realiza un análisis de lo que significó hace setenta años, con el ascenso del partido liberal al poder, un cambio en los modelos educativos que por décadas había impulsado el partido conservador y la Iglesia en Colombia. Asimismo, muestra un panorama de modificación de costumbres que se inició con la instauración de la República liberal de Alfonso López Pumarejo, y que dio un paso decisivo en la modernización del país a través de una reforma de fondo a la educación, así como en el respeto por la labor del docente y del respeto por el educando. Destaca la importancia de que el Estado defina y ponga en marcha hoy políticas educativas y sociales de gran envergadura para llenar los vacíos que en estas materias dejaron administraciones retardatarias.
Notas acerca de la noción de experiencia educativa
Authors: Velásquez Jorge Ramírez
Published: September 2021

El artículo presenta una reflexión sobre el concepto de experiencia educativa en el marco de los procesos de cambio educativo. Para ello evidencia el significado que asume de acuerdo a los sentidos que se le otorgan al cambio educativo desde la perspectiva de la modernización educativa o desde la intención transformativa. Desde este lugar se establece y problematiza una relación con los conceptosde práctica educativa, saber pedagógico y conocimiento pedagógico. Por último, enuncia algunos retos contemporáneos que afronta la experiencia educativa y que le otorgan su carácter transformativo.
Cali:Razones de una escritura
Authors: Alape Arturo
Published: September 2021

Se presenta el documento leido en el acto de entrega del Doctorado honoris causa en literatura a  Arturo Alape ,en donde se presentan refelexiones sobre la experiencia educativa
El ideal (real) de la educación ciudadana
Authors: Viviescas M. Fernando
Published: September 2021

La apuesta por la construcción de una ciudad donde la cultura ciudadana dote a cada habitante de los elementos con los cuales pueda aportar al interés colectivo su creatividad, su ingenio y su voluntad consciente para construir una urbe donde la vida sea digna, tiene que sonar irrealizable en el marco de nuestros parámetros de consideración social tradicional, pero es la única manera responsable de abordar la escala que han tomado todas nuestras problemáticas urbanas por efecto de cientos de años de administrarlos en pequeño y atendiendo a los rendimientos inmediatos.
Educación y cultura ciudadana
Authors: Espinel Vallejo Manuel
Published: September 2021

Aprender a usar la ciudad y a convivir en ella implica necesariamente establecer nuevos criterios de apropiación de los diferentes contextos urbanos, un nuevo sentido a la utilización del tiempo y sus ritmos en contexto y procedimientos diferentes para ejercer nuestros deberes y derechos en presencia de desconocidos y frente a la misma administración de la ciudad. Los programas y proyectos de Cultura Ciudadana parten de la premisa de considerar la ciudad como si fuera un aula inmensa donde todos aprendemos a ser ciudadanos.
La configuración teórica de la pedagogía de las disciplinas
Authors: Vasco Carlos Eduardo
Published: September 2021

Lección inaugural para el Programa Conjunto de Doctorado en Educación de la Universidad del Valle, la Universidad de Antioquia, la Universidad Pedagógica Nacional, la Universidad Nacional de Colombia y la Universidad Industrial de Santander.
Información, maestro y Nación
Authors: Quiceno Castrillón Humberto
Published: September 2021

Uno de los grandes méritos, entre otros, de la obra pedagógica de Agustín Nieto Caballero es haber señalado el papel de la escuela en la formación ciudadana, la cual se resume en su celebre expresión: formar al maestro es formar la Nación. Por Nación entiende la sociedad civil, la vida ciudadana, el progreso material, el desarrollo de los pueblos-, la identidad nacional. Su idea de maestro es la de un constructor de Nación y ciudadanía. El maestro es aquél que ha de seguir y hacer seguir la línea de lo público en todas sus dimensiones: que la escuela deje de ser cerrada y se abra a lo público. Una mirada histórica que ofrece motivos de reflexión sobre el papel de la escuela y los maestros como formadores de una cultura urbana y ciudadana.
El busero bogotano
Authors: Buenaventura Alder Nicolás
Published: September 2021

La condición ciudadana no es sólo un hecho jurídico (mayoría de edad) o político (derecho a elegir y ser elegido), es sobretodo una vivencia cultural, es vivir y sufrir la ciudad, leer sus códigos, comprender su orden y desorden, reconocerse y orientarse en sus trazados y símbolos. Nicolás Buenaventura nos ofrece una manera de ver la ciudad desde un lugar: el bus urbano, y a través de un personaje: el "busero". Relato rico en descripciones y enseñanzas que nos coloca frente a múltiples realidades : nuestro caótico tráfico , el microcosmos de los buses y busetas, lo humano y trágico de quienes montan en bus, la diferencia entre ser peatón y conductor, cómo se ve la ciudad desde el bus y desde el carro particular, las múltiples funciones y las muchas manos que tienen los buseros, a quienes no vacila en calificar en auténticos creadores.
Cuerpo de elefante, cabeza de ratón Educación, sociología y sociedad
Authors: Restrepo Gabriel
Published: September 2021

La educación cumple a cabalidad con la metáfora que titula el presente artículo: gigante y vital desde su base, gracias a la autonomía que se ha concedido a la escuela y al municipio, carece aún de un cerebro correspondiente a su cuerpo, de directrices estratégicas y de instrumentos de realimentación desde el centro, que siempre serán necesarios para un balance exitoso entre la iniciativa local y coordinación nacional. La inveterada y secular inoperancia del Ministerio no es asunto que pueda resolverse en un día o en un año. Ni la investigación, asunto que se improvise. Desafortunadamente su solución excede el ámbito propio de la sociología de la educación o el espacio propio de los equcadores. Corresponge al campo de la voluntad política. Simple cuestión de democracia, maestro.
El ingreso de niños y niñas en la ciudad: El papel del maestro en la escuela
Authors: García Beatriz
Published: September 2021

¿Por qué no pensamos en construir una ciudad donde el deseo tenga cabida, donde sea posible el envolvimiento corporal para su aprehensión, donde el maestro transmita su propoa experiencia, sus entusiasmos y temores, donde ambos, mestro y niño, se lance a recorrerla, a descubrirla, aprendiento uno del otro? Esto exigirá una manera diferente de abordar su diseño y construcción, pues tendrá que hacer las veces de aula y de patio de recreo, tendría que tener espacios para permitir el desplazamiento cómodo de estos pequeños habitantes.
Apocalípticos e integrados
Authors: Vargas Guillén Germán
Published: September 2021

El texto presenta una refexión sobre la informática en el mundo de la pedagogía y de la educación.
De lo biológico a lo social. Saber pedagógico y educación pública en Colombia: 1903-1946
Authors: Sáenz Obregón Javier
Published: September 2021

El período comprendido entre 1903 y 1946 se constituye en uno de los de mayor actividad reformista, tanto en los reordenamientos globales de la educación pública como en las transformaciones del saber pedagógico. Se pueden señalar como hitos de este proceso: la reforma general de la instrucción pública de 1903-1904 o Ley Uribe; las reformas de las instituciones de formación del maestro entre 1925 y 1946; y las transformaciones de la escuela primaria entre 1933 y 1946. El proceso de reformas se fundamentó en la apropiación selectiva y gradual de los discursos y conceptos de la pedagogía activa, tanto en su vertiente experiencia! como experimental.
Los grandes cambios cualitativos en la educación colombiana durante la década del noventa
Authors: Villaveces Cardoso José Luis
Published: September 2021

Estre artículo busca contribuir al análisis de las grandes transformaciones de la educación en la década de los años 90 desde el plano estrictamente cualitativo, es decir, de los cambios en la naturaleza misma del modo de concebir la educación, como se reflejan en la nueva legislación y como comienzan a funcionar en la práctica, con especial referencia al caso de Bogotá.
Reseña sobre la televisión
Authors: Londoño Pinzón Jorge Enrique
Published: September 2021

Pierre Bourdieu, analiza cómo la televisión ponen en muy serio peligro las diferentes esferas de la producción cultural: arte, literatura, ciencia, filosofía, derecho, e incluso pone en peligro, no menor, advierte, la vida política y la democracia. Hace estos planteamientos con la esperanza de contribuir a todos aquellos que uchan para que "lo que hubiera podido convertirse en un extraordinario instrumento de democracia directa no acabe siéndolo de opresión simbólica".
Ciudad y singularidad juvenil
Authors: López C. Martha
Published: September 2021

Hoy por hoy el sistema educativo vigente es cuestionado por los mismos jóvenes, no sólo respecto de los contenidos científicos poco exhaustivos en nuestro medio, sino también respecto de las prácticas pedagógicas todavía cifradas en manejos autoritarios y en la imposición de verdades ya relevadas por los propios saberes.La pregunta por lo juvenil ha cobrado fuerza actualmente porque pone en cuestión lo propiamente institucional y de centro para congraciarse con categorías más cercanas de la frontera
Ciudad y escritura: Bogotá, la ciudad de los ciudadanos
Authors: Silva Armando
Published: September 2021

Este texto presenta tres partes sobre la construcción ciudadana de Bogotá. La primera de ellas habla sobre su geografía física, sus colores, sus sitios, sus paisajes. La segunsa, sobre percepción ciudadana en población, estética, hábitos y vida cotidiana. La última de ellas deja ver cómo es percibida Bogotá por los ciudadanos de otras ciudades. Este enfoque se sitúa en el ciudadano como constructor de sus percepciones con las cuales ve el mundo y lo hace mientras lo percibe.
Rumbo a una ciudad educadora: la educación y la construcción de una política de combate contra la exclusión
Authors: Aparecida Pérez María
Published: September 2021

“Analizar la exclusión es, antes que nada, diseñar el sueño de la inclusión”. Comienza planteando el texto de María Aparecida Pérez, que desde un recuento de las realizaciones de la Alcaldía de Sao Paulo partiendo del Movimiento de Alfabetización de Adultos iniciado por el pedagogo Paulo Freire en 1988, señala los logros alcanzados hasta la fecha por una política de educación dirigida a desarrollar la construcción de Cultura Ciudadana. Resulta indudable que una importante destinación de recursos ofi ciales para el fomento de planes educativos es un ejemplo a seguir por otras administraciones citadinas latinoamericanas, en donde la ciudad y la educación deben ser entendidas integralmente como una práctica que conduce a la formación de mejores ciudadanos, más solidarios y comprometidos con su comunidad. El Centro Educativo Unifi cado constituye el modelo diseñado por la municipalidad de Sao Paulo para llevar a la práctica un proyecto de educación ciudadana que aporta a la construcción de identidad sin alejarse de los retos que plantea una sociedad que de alguna manera resulta agresiva y no incluyente.
Ciudad Educadora entre la realidad y la utopía
Authors: Bryon Patricia , Gaona Gustavo
Published: September 2021

El presente artículo hace algunas consideraciones sobre Ciudad Educadora entendida como un proyecto político, que debe tenercomo propósito central el mejoramiento de las condiciones de sus ciudadanos, permitiendo que lleven una vida digna. Dados los parámetros, se centra en la realidad de la localidad de Ciudad Bolívar y el trabajo que vienen desarrollando los docentes en ésta.
Derecho e indicadores una perspectiva
Authors: Pérez Murcia Luis eduardo
Published: September 2021

El artículo expone la necesidad de fortalecer los vínculos entre el diseño de indicadores educativos y el contenido del derecho a la educación, al tiempo que presenta un modelo de indicadores para monitorear y evaluar el nivel de disfrute de este derecho. Tomando como base el sistema de la 4A propuesto por K. Tomasevski, se propone un sistema de indicadores que permita dar cuenta del nivel de cumplimiento del Estado frente a las principales obligaciones en materia de sequibilidad, accesibilidad, aceptabilidad y adaptabilidad de la educación.
Restriction by Object: A Restriction Based Purely on Experience or also on Effects?
Authors: Lindén Joar
Published: September 2021

This article claims that restriction by object is a concept purely based on experience and for which the effects of a disputed agreement are not relevant. While an examination of an agreement’s effects requires a counterfactual assessment, a restriction by object does not. Decisive for a restriction by object is whether a disputed agreement may be subordinated under a by object type of collusion, considering the agreement’s content, objectives, and context, albeit not effects. By object types of collusion can be described as general rules which are inductively based on the experience that agreements with certain content, objectives, and context are sufficiently likely sufficiently harmful to competition.
A Study on Safety and Health Good Practices at Construction Sector in Jordan
Authors: AL-Smadi Sharaf Al-Deen Waleed , Supeni Eris Elianddy , Voon Wong Shaw
Published: September 2021

Safety and security are major factors that need to be prioritised by any party in the building and construction industry. Various regulations are required to be maintained by the authority regarding safety. The topic of study was the causes of the safety and security accidents in the construction sector in Jordan. Dependent and independent variables aimed to understand the causes and factors responsible for accidents in the construction sector in Jordan. This research study is based on a quantitative research method where questionnaires were used to collect data from the respondents. Demographic questions are made to categorise the respondents accordingly. The data was analysed using the SPSS tool. The research results helped to understand the study topic regarding safety accidents and good practices in the construction sector in Jordan
Role Model Choice Habits of Primary School and University Students in An International Perspective
Authors: Hideg Gabriella
Published: September 2021

By the XXI century, we are always online thanks to the available modern telecommunication tools, so certain concepts, results, and value systems are therefore revalued. This change, which involves loss of value as well, is present in all areas of life and has an impact on the morality and value perception of the growing generation. The purpose of the study is on the one hand to present and analyse the changes in values of today's society. On the other hand, its purpose is to give a picture of the role model choices of today's young people. As a test method, we used a questionnaire survey method besides exploring the domestic and international literature. A total of 687 people participated in the survey. The study was conducted with the participation of six countries, including four in Europe - Hungary, Ukraine, Romania, and Serbia - and two outside Europe - Malaysia and Kenya. Our hypotheses were: H1: It is assumed that most of the young people have an athlete role model; H2: It is assumed that in Kenya and Malaysia there is a significantly higher proportion of those who choose athlete role models and they are chosen along with positive values; H3: It is assumed that, due to social, economic, and cultural disparities, I can show significant differences in the choice of role models for young people surveyed in Central and Eastern European and non-European countries. As a result, the habits of athlete role model choice among the interviewed young people of six countries become comparable. We get a clearer picture of the values along which young people choose an orientation person
COMPUTER PROGRAM FOR SELF-SELECTION OF EQUIPMENT FOR RESCUE FROM HEIGHT
Authors: Вищекин Максим Вадимович , Дымов Сергей Михайлович , Русанов Дмитрий Юрьевич , Васильев Никита Александрович
Published: September 2021

В статье рассмотрена программа для ЭВМ, созданная в помощь сотрудникам МЧС, проектировщикам, лицам, ответственным за обеспечение безопасности зданий и сооружений, и простым гражданам, решившим выбрать и установить на объекте защиты средства спасения с высоты.

The article considers the computer program created to help EMERCOM of Russia employees, designers, persons who are responsible for safety of buildings and structures as well as ordinary citizens who decided to choose and install the equipment for rescue from height at the facility.
FIRE AND RESCUE ROBOTICS OF EMERCOM OF RUSSIA AND PROSPECTS OF ITS DEVELOPMENT
Authors: Нестеров Иван Вячеславович , Павлов Евгений Владимирович , Козлов Владимир Иванович , Коренкова Ольга Александровна , Чирко Оксана Владимировна
Published: September 2021

В статье рассмотрено становление робототехники в МЧС России и использование робототехнических средств (комплексов) в ликвидации последствий чрезвычайных ситуаций природного и техногенного характера при тушении крупных и сложных пожаров. Представлен анализ работы, проведенной научными учреждениями за последние 15 лет в области разработки нормативно-правовых документов, а также создания робототехнических средств (комплексов) различных классов для реагирующих подразделений МЧС России.

The article discusses the formation of robotics in EMERCOM of Russia as well as the use of robotic facilities (complexes) for elimination of the consequences of natural and anthropogenic emergencies during extinguishing large and complex fires. The authors present an analysis of scientific institutions’ activities over the past 15 years in the field of development of regulatory documents, as well as construction of robotic facilities (complexes) of various classes for responding units of EMERCOM of Russia.
FIRE SAFETY OF HEAT-TRANSFER AGENTS FOR HEAT GENERATORS
Authors: Земский Геннадий Тимофеевич , Вогман Леонид Петрович , Кондратюк Наталья Валентиновна
Published: September 2021

Рассмотрены свойства двух групп теплоносителей, используемых для понижения рабочей температуры и для повышения рабочей температуры. В первую группу теплоносителей включены: этиленгликоль, диэтиленгликоль, триэтиленгликоль, пропиленгликоль, глицерин. Вторую группу теплоносителей составляют: дифенильная смесь, масло АМТ-300, масло ТЛВ-330, мобильтерм-600, дикумилметан, дитолилметан, тетрахлордифенил, тетракрезилсиликат, нафталин, тройная нафталиновая смесь, нитрит-нитратная смесь. Приводятся физико-химические и пожароопасные свойства названных теплоносителей, а также перечень профилактических противопожарных мероприятий и средств пожаротушения.

There are considered the properties of two groups of heat-transfer agents used to reduce the operating temperature and to increase the operating temperature. The following substances are included in the first group of heat-transfer agents: ethylene glycol, diethylene glycol, triethylene glycol, propylene glycol, glycerin. The following substances are included in the second group of heat-transfer agents: diphenyl mixture, AMT-300 oil, TLV-330 oil, mobileterm-600, dicumylmethane, ditolylmethane, tetrachlorodiphenyl, tetracresyl silicate, naphthalene, triple naphthalene mixture, nitrite-nitrate mixture. There are cited the physicochemical and fire hazardous properties of the mentioned heat-transfer agents, as well as the list of preventive fire-fighting measures and fire-extinguishing facilities.
ANALYSIS OF CHANGES IN REGULATORY AND NORMATIVE LICENSING IN THE FIELD OF FIRE SAFETY
Authors: Сорокин Владимир Александрович , Зенкова Ирина Федоровна , Виноградова Ирина Олеговна , Федулкин Олег Иванович
Published: September 2021

В статье рассмотрены изменения, внесенные в основополагающие законодательные акты Российской Федерации, регламентирующие осуществление деятельности в области пожарной безопасности - Федеральный закон «О пожарной безопасности» и Федеральный закон «О лицензировании отдельных видов деятельности» (далее - НПА). Проведен анализ влияния качества работ и услуг, составляющих лицензируемые виды деятельности, на снижение причиняемого в результате пожара вреда жизни и здоровью граждан, а также материального ущерба. Обоснован вывод о снижении административной нагрузки на хозяйствующие субъекты в результате введения в действие принятых изменений. Кроме того, актуализированные положения НПА позволили сформировать более совершенный механизм осуществления контроля за соблюдением лицензиатами лицензионных требований, позволяющий усилить эффективность регуляторных функций лицензирующего органа.

The article considers the amendments to the fundamental legislative acts of the Russian Federation regulating the activities in the field of fire safety - the Federal Law "On Fire Safety" and the Federal Law "On Licensing of Certain Activities" (hereinafter - the NAP). There is conducted the analysis of impact of the quality of work and services constituting licensed activities on reducing the damage to life and health of citizens caused by fire, as well as material damage. There is drawn the conclusion on the reduction of administrative burden on business entities as a result of the implementation of adopted changes. In addition, the updated provisions of NAP enable to create better mechanism for monitoring the compliance of licensees with license requirements. This mechanism allows strengthening the effectiveness of the regulatory functions of the licensing authority.
VECTOR OF DEVELOPMENT OF CONTROL AND SUPERVISORY ACTIVITIES OF EMERCOM OF RUSSIA IN MODERN CONDITIONS
Authors: Перегудова Наталья Васильевна , Филатова Екатерина Александровна , Черныш Дмитрий Анатольевич
Published: September 2021

В статье анализируются изменения нормативных правовых актов, непосредственно связанные с осуществлением деятельности федерального государственного пожарного надзора. Приводится разъяснение по реформе контрольно-надзорной деятельности, регулирующей гарантии защиты прав граждан и организаций, а также изменения, вносимые в проведение профилактической работы. Рассматривается введение перечня индикаторов риска нарушения обязательных требований.

The article analyzes the changes in regulatory legal acts directly related with implementation of activities of federal state fire supervision. There is implemented the explanation concerning reform of control and supervisory activities regulating guarantees for protection of the rights of citizens and organizations. There are also listed the changes for implementation of preventive work. The introduction of indicators list of risk of violation of mandatory requirements is considered.
Legal connotations on health and safety in labour. Dynamics of occupational diseases in Arad county during 2010-2013
Authors:   Universitatea de Vest „Vasile Goldiş“, Arad, MLADIN Narcisa Carmen , MICOARĂ Adolf Aladar ,   Universitatea de Vest „Vasile Goldiş“, Arad, PUŞCHIŢĂ Maria ,   Universitatea de Vest „Vasile Goldiş“, Arad
Published: September 2021

This research was conducted for the purpose of analyzing the progression of occupational diseases and evaluating the phenomenon of occupational morbidity in Arad County during the 2010-2013 timeframe. The records of D.S.P. Arad were processed for the timeframe of reference by comparing them to those existing at the national level, and the results were shown in tables and charts to establish the dynamic of occupational diseases and their incidence for ‰ workers. In conclusion, there is an evident need to streamline medical and organizational measures in the detailed knowledge of the causes that generate the occurrence and development of occupational diseases, as well as to prevent the occurrence of new cases of occupational disease.
Relapse as hypogranular morphologic subtype in classic acute promyelocytic leukemia
Authors:   Departamentul Hematologie, Spitalul Universitar de Urgenţă, Bucureşti, ENACHE Tatiana Cristina , VLĂDĂREANU Ana-Maria ,   Departamentul Hematologie, Spitalul Universitar de Urgenţă, Bucureşti, BEGU Mădălina ,   Departamentul Hematologie, Spitalul Universitar de Urgenţă, Bucureşti, BUMBEA Horia ,   Departamentul Hematologie, Spitalul Universitar de Urgenţă, Bucureşti
Published: September 2021

We present the case of patient who had morphologically different cells (atypical promyelocytic) when disease relapse, which led to the establishment of two diagnoses. The final diagnosis was of acute promyelocytic leukemia – hipogranular form.
Colorectal neuroendocrine tumors
Authors:   “Profesor Dr. Agripa Ionescu” Clinical Emergency Hospital, Bucharest, Romania, LINTOIU Beatrice , BALESCU Irina ,   “Ponderas” Hospital, Bucharest, Romania, BACALBASA Nicolae ,   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Published: September 2021

Gastrointestinal neuroendocrine tumors originate from amine precursor uptake and decarboxylation cells in the digestive tract and have the ability to undergo multiple differentiation and secrete various active hormones, leading to significant differences in biological behaviors and prognosis. Previous studies have indicated a low incidence rate, but recently epidemiological investigations in the USA showed that the incidence rate was significantly higher. Gastrointestinal neuroendocrine tumors have received much attention in recent years with regard to their diagnosis, classification, prognosis and treatment.
Chronic hepatitis C virus infection and atherosclerosis risk
Authors:   Centrul de Diagnostic şi Tratament „Dr. Victor Babeş“, Bucureşti, ACATRINEI Eliza ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, CALISTRU Petre ,   Centrul de Diagnostic şi Tratament „Dr. Victor Babeş“, Bucureşti,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti
Published: September 2021

Chronic hepatitis C virus infection (HCV) and cardiovascular disease (CVD) are both diseases with significant global impact through increased prevalence in the general population, and the increased mortality rates. Accumulating evidence suggests the role of HCV infection as an independent risk factor for cardiovascular disease and especially for atherosclerosis, being described multiple pathogenic mechanisms that correlates the two affections. Based on these observations we consider essential the screening for atherosclerosis and cardiovascular risk assessment in patients chronically infected HCV.
The role of chest ultrasound in diagnosing invasive fungal infections in acute leukemia patients
Authors:   Clinica de Hematologie, Spitalul Universitar de Urgenţă, Bucureşti, NEAGU Ana-Maria , VLĂDĂREANU Ana-Maria ,   Clinica de Hematologie, Spitalul Universitar de Urgenţă, Bucureşti, BUMBEA Horia ,   Clinica de Hematologie, Spitalul Universitar de Urgenţă, Bucureşti, CÎŞLEANU Diana ,   Clinica de Hematologie, Spitalul Universitar de Urgenţă, Bucureşti, CIUFU Cristina ,   Clinica de Hematologie, Spitalul Universitar de Urgenţă, Bucureşti, MARINESCU Cristina ,   Clinica de Hematologie, Spitalul Universitar de Urgenţă, Bucureşti, ONISÂI Minodora ,   Clinica de Hematologie, Spitalul Universitar de Urgenţă, Bucureşti, GĂMAN Mihaela ,   Clinica de Hematologie, Spitalul Universitar de Urgenţă, Bucureşti
Published: September 2021

Acute leukemia patients are the category of highest risk to develop invasive fungal infections, have high morbidity and mortality rates related to these complications. The diagnosis of these infections must be accurate and early. That is the main reason for searching non-invasive, fast, available and low cost diagnostic methods. Imagistic diagnosis is essential, computer tomography is the gold standard. Chest ultrasound has most of these characteristics, offers valuable informations and they are accurate when compared to the chest tomography results. The decision to initiate antifungal therapy is significantly better than the empirical therapy, having lower mortality rate among these patients.
Positive diagnosis in the small bowel tumor
Authors:   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, CADAR Ramona , MATEI Dumitru ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti
Published: September 2021

The small bowel tumor diagnosis is often late, in the course of this affection, which is explained by the low number of tumors and crude symptomatology (abdominal pain, wight loss, queasiness, vomit, ocult bleeding of gastro-intestinal tract). There is no unique investigation method of the small bowel for patient suspect of SMT. Choices are either X-ray (CT-scan, enteroclysis etc.) or endoscopic (upper endoscopy, wireless video endoscopy etc.). It has not been decided upon the best strategy or the series of investigations. The patient usually requires full imagistic explorations; laparotomy being sometimes useful in the selection of a positive diagnosis.
Serotonin: beyond menopause
Authors:   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Carsote Mara ,   “C.I. Parhon” National Institute of Endocrinology, Bucharest, Petrova Eugenia Nedeltcheva ,   “C.I. Parhon” National Institute of Endocrinology, Bucharest, Radu Otilia ,   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Goldstein Andrei ,   “C.I. Parhon” National Institute of Endocrinology, Bucharest, Ghemigian Adina ,   “Carol Davila” University of Medicine and Pharmacy, Bucharest,   “C.I. Parhon” National Institute of Endocrinology, Bucharest, Valea Ana ,   “Iuliu Hatieganu” University of Medicine and Pharmacy, Clinical County Hospital, Cluj-Napoca
Published: September 2021

Serotonin is a brain neurotransmitter, a local gut-produced pro-kinetic agent and a platelets-released monoamine with haemostasis role. We focus on revealing the serotonin interferences with menopause mainly related to climacteric syndrome and bone health. This is a short commentary type of manuscript, centred on English language PubMed research. Serotonin is connected to the hypothalamic thresholds for temperature regulation in vasomotor symptoms that is why drugs that elevate the serotonin synaptic plaque exposure like SSRI (serotonin selective reuptake inhibitors) are indicated. Serotonin is also linked to bone field but its testing into the blood has not been unanimously found to be correlated with bone mineral density or menopausal bone remodelling markers. Conditions with age-related onset as carcinoid tumours bring a serotonin excess but not necessary a bone loss. From climacteric syndrome to bone regulation and to pathological domain of neuroendocrine neoplasia, serotonin plays a complex role on menopause’s field.
Management of rheumatoid arthritis in primary care(I)
Authors:   Universitatea de Medicină și Farmacie „Carol Davila“, București, Balta Mihaela Daniela , Ghilencea Liviu Nicolae ,   Universitatea de Medicină și Farmacie „Carol Davila“, București, Bejan Cristi Gabriel ,   Universitatea de Medicină și Farmacie „Carol Davila“, București, Dumitru Matei ,   Universitatea de Medicină și Farmacie „Carol Davila“, București,   Institutul de Ocrotire a Mamei și Copilului „Alfred Rusescu“, București
Published: September 2021

The Family Doctor’s role in diagnosis and monitoring of patients having rheumatoid arthritis (RA) is not very well established in Romania. RA, a chronic, inflammatory disease, with a progressive evolution, systemic symptoms and severe disfunctions, leads to affections of the quality of life, early retiring and the decrease of life hope with 5 to 10 years. Establishing PRE-RA (Personalized Risk Estimator for Rheumatoid Arthritis)for first degree relatives of the RA affected patients, according to age, gender, family history and risk behavior, allows the preventing of the delay of the disease occurring. Some preventing measures are the following: giving up smoking, Mediterranean diet, weigh control, statins therapy in order to decrease the cardiovascular risk, the oral hygiene. RA begin with a prolonged asymptomatic period, characterized by the presence of asymptomatic small airway disease, certain infections and inflammatory disease (gut, periodontium, genitourinary tract) or dysbiosis. We can find increased circulating disease specific autoantibodies or increased in levels of cytokines and chemokines. A good knowledge of the first symptoms is very important for the family doctor and could help to recommend to the rheumatologist to start the treatment immediately after the disease occurring. The family doctor could have a very important role together with the rheumatologist and the hole team in the surveying of the disease evolution, and also of the associated comorbidities, complications and possible opposite reactions to the treatment. The family doctor is also involved in the patients’ and their families’ counselling, as the best communicates with the patients and his presence in the multidisciplinary teams increases the adherence, compliance and persistence to the therapy.
Syncronous medullar thyroid cancer and primary hyperparathyroidism on a female within the sixth decade of life with positive family history for type 2A MEN syndrome
Authors:   Clinical County Hospital, “I. Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, VALEA Ana , RADU Otilia ,   “Carol Davila” University of Medicine and Pharmacy, Bucharest, MORAR Andra ,   Clinical Hospital of Infectious Diseases, Cluj-Napoca, GHEMIGIAN Adina ,   “Carol Davila” University of Medicine and Pharmacy, Bucharest,   “C.I. Parhon” National Institute of Endocrinology, Bucharest, CARSOTE Mara ,   “Carol Davila” University of Medicine and Pharmacy, Bucharest,   “C.I. Parhon” National Institute of Endocrinology, Bucharest
Published: September 2021

Medullar thyroid cancer (MTC) may be sporadic or familial, either linked with pheocromocytoma (PHEO) and primary hyperparathyrodism (PHP), as seen in type 2A MEN (Multiple Endocrine Neoplasia) syndrome, either isolated. This is a 56-year old female known with mild arterial hypertension controlled under therapy, having a daughter with type 2A MEN syndrome (PHEO, MTC, PHP). Mild hypercalcemia and high parathormone were consistent for PHP, while calcitonin was 20 times above the upper normal limit for MTC. The PHEO tests were negative. Anterior cervical ultrasound confirmed a 2.7 cm thyroid nodule, local lymph nodes, and enlargement of inferior and superior left prarathyroids. After total thyroidectomy with bilateral neck dissection and excision of the left inferior and superior parathyroid glands, MTC and parathyroid hyperplasia was confirmed. Calcitonin decreased to 5 times above the normal level. Further close follow-up and therapy of residual MTC is needed. MEN 2A Syndrome may embrace various clinical presentations with more or less aggressive tumours, sometimes allowing a long time survival without neoplasia confirmation or incomplete phenotype until advanced age.
The diagnosis and treatment of the acute pulmonary edema – up to date
Authors:   Institutul de Urgenţă pentru Boli Cardiovasculare „Prof. Dr. C.C. Iliescu“, Bucureşti, MILITARU Cristian , DELIU Ruxandra ,   Spitalul Clinic Judeţean de Urgenţă, Craiova, DONOIU Ionuţ ,   Disciplina Cardiologie, Universitatea de Medicină şi Farmacie, Craiova
Published: September 2021

Acute pulmonary edema is an often encountered medical emergency characterized by sever shortness of breath, orthopnea and pulmonary overload caused by left ventricular failure. The specific pharmacological and nonpharmacological therapies should be administered rapidly and their objective is to correct the hypoxemia and reduce the left ventricular afterload. Although the symptoms often regress quickly, the in-hospital and short-term mortality remain high. To improve the prognosis of these patients, long-term management is as important as the one in the acute setting, and includes the patient education, the correct and complete medical treatment of the subjacent heart disease and the prevention of risk factors.
The antibiotic therapy in pregnancy
Authors:   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, NANU Constantin Dimitrie , STĂNICĂ Cătălina Diana ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, NEACȘU Adrian ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, ONEAGA Gabriela ,   Maternitatea Polizu, Bucureşti
Published: September 2021

A number of drugs can cross the placenta, having a teratogenic and embryotoxic effect on the fetus. For more than half of the drugs currently used, we do not have appropriate studies in order to reveal their effects on the mother or fetus. However, 45-95% of pregnant women are taking medications during pregnancy, 7% of them are continuing a treatment for a disease diagnosed before pregnancy. 17% of pregnant women receive antibiotics. Antibiotic prophylaxis has created a dangerous “false security”, to circumvent then the aseptic and antiseptic traditional gestures. In obstetrics, antibiotic therapy should take into account the particular field of the host and the existence of the first development stages of the fetus until the end of pregnancy. Antibiotic therapy has an undeniable and important contribution in modern obstetrics, but their prophylactic administration does not cover technical, aseptic and antiseptic errors, producing also an antibiotic resistance. The use of antibiotic therapy is required in cases with higher risk: long labor, ruptured membranes, obstetrical maneuvers, dragged patients or with underlying conditions.
Prognostic factors after surgical treatment for locally recurrent distal rectal cancer
Authors:   Department of General Surgery, “Coltea” Clinical Hospital, Bucharest, ASLAN Denis ,   “Carol Davila” University of Medicine, Bucharest, BORDEA Adrian ,   Department of General Surgery, “Coltea” Clinical Hospital, Bucharest,   “Carol Davila” University of Medicine, Bucharest, SCAUNASU Razvan ,   Department of General Surgery, “Coltea” Clinical Hospital, Bucharest,   “Carol Davila” University of Medicine, Bucharest, POPA Ileana ,   Department of Pathology, “Coltea” Clinical Hospital, Bucharest, BALALAU Cristian ,   “Carol Davila” University of Medicine, Bucharest,   Department of General Surgery, “St. Pantelimon” Hospital, Bucharest, BURCOS Traean ,   Department of General Surgery, “Coltea” Clinical Hospital, Bucharest,   “Carol Davila” University of Medicine, Bucharest
Published: September 2021

Objectives. Local recurrence after distal rectal cancer surgery is a major complication with an increased morbidity and mortality. The therapeutic strategy consists in a complex association of radiochemotherapy with surgical approach that may improve prognosis and quality of life. It is necessary to identify the risk factors for local recurrence and to have a highly-selected patients for oncological radical treatment. Materials and methods. The study included the analysis of 79 patients with middle and lower rectal cancer who were diagnosed and operated at Coltea Clinic Surgical Clinic Hospital, Bucharest, for a period of 4 years. Male patients were more frequent (64.4%). The average age was 65 years old. The surgical strategy included 33 patients (41.8%) who underwent abdominoperineal resection, 36 patients (45.6%) who underwent low anterior resection with stapled colorectal anastomosis and 10 patients (12.75) who underwent ultralow anterior resection. Results. Local recurrence rate was 12.7%. The mean time from surgery until the time of discovery of local recurrence was 14.5 months. Local recurrence was associated with advanced tumor stages T3 (10.1%) and T4 (2.5%). It was also associated with histopathological features related to serous infiltration (100%) and tumor invasion of the radial margins (3.8%). The surgical treatment strategy consisted of abdominoperineal resection, permanent colostoma and R2 resections. Discussion. The radical surgical resection is the most significant prognostic factor. There are a number of other patient-related factors and tumor-related factors that can significantly influence the evolution and overlall survival. Periodic clinical, imaging scans and colonoscopy follow-ups are able to early detect the tumor recurrence and to allow a curative cancer treatment. Conclusions. Local recurrence after mid and lower rectal cancer surgery is a major complication with direct impact on morbidity, mortality, prognosis and quality of life of these patients. The treatment strategy must be established by a multidisciplinary team in order to identify carefully-selected patients to undergo the optimal oncological therapy.
TRANSVERSE MYELITIS IN A MYASTHENIA GRAVIS PATIENT. A CASE PRESENTATION
Authors:   “Victor Babes” University of Medicine and Pharmacy, Timisoara, Chirileanu Ruxanda Dana ,   Department of Neurology, Emergency County Hospital of Timisoara, Simu Mihaela ,   “Victor Babes” University of Medicine and Pharmacy, Timisoara,   Department of Neurology, Emergency County Hospital of Timisoara, Rosca Cecilia ,   “Victor Babes” University of Medicine and Pharmacy, Timisoara,   Department of Neurology, Emergency County Hospital of Timisoara, Tudor Raluca ,   “Victor Babes” University of Medicine and Pharmacy, Timisoara,   Department of Neurology, Emergency County Hospital of Timisoara, Jurca Patricia ,   Department of Neurology, Emergency County Hospital of Timisoara
Published: September 2021

Myasthenia gravis (MG) is an autoimmune disease caused by the presence of immunoglobulin G (IgG)1 and IgG3 complement activating antibodies against the nicotinic acetylcholine receptor, which affects the neuromuscular junction leading to fluctuating muscle weakness due to impaired neuromuscular transmission. The association of MG and demyelinating diseases is rare, but it has been described before and it could be part of an unspecific immune activation, due to genetic susceptibility or it could just happen randomly. Demyelinating diseases (DD) in MG patients can occur as monophasic events (myelitis, optic neuritis, acute disseminated encephalomyelitis) or recurrent diseases (multiple sclerosis, recurrent transverse myelitis) and since the incidence of DD is higher in MG patients than in general population this association could be part of an autoimmune syndrome or genetically induced. We present the case of a 30 year old woman who presented with an unspecific onset of MG and after 5 months was readmitted to our unit with transverse myelitis (with negative aquaporin 4 antibodies) which regressed after 5 days of combined intravenous corticotherapy and immunoglobulin treatment.
DYKE-DAVIDOFF-MASSON SYNDROME PRESENTING WITH RECURRENT SEIZURES
Authors:   Department of Neurology, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India, Rajaguru M. , Reddy V. Umamaheswara ,   Department of Radiology, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India, Agrawal Amit ,   Department of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India, Ganesh V. ,   Department of Neurology, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India, Tadikonda Anil ,   Department of Neurology, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India
Published: September 2021

Dyke-Davidoff-Masson syndrome (DDMS) is cerebral hemiatrophy occurring following brain insult resulting from infarct, trauma or infection in utero or soon after birth. Clinical features of this syndrome include variable degree of contralateral hemiparesis, facial asymmetry, seizures and mental retardation. Recurrent seizures is the most debilitating and poor prognostic indicator of this disease. Neuroimaging plays pivotal role in establishing the diagnosis of DDMS syndrome. CT/MR imaging shows unilateral cerebral parenchymal atrophy, prominent sulcal spaces, ipsilateral ventriculomegaly, cerebellar atrophy, falcine and superior Sagittal sinus shift to affected side. Bone windowing in CT scan shows decreased skull volume on affected side calvarial thickening, elevation of sphenoid wing and petrous temporal bone, expanded sinuses and mastoids. Here we describe 34 years old female who had hemiparesis, seizures and facial asymmetry since childhood and imaging evaluation established diagnosis of congenital type of DDMS.
Hypochondria as a Poetic Disease : Medicine and Ethics in the Case of an Early Nineteenth-Century Hungarian Poet
Authors: Vaderna Gábor
Published: September 2021

Medical knowledge reached a wider range of social strata in the eighteenth and early nineteenth centuries. Popular medical books described diseases and how to cure them, and the press regularly addressed the topic of having a healthy body. Meanwhile, representations of the perfect body became an increasingly important problem for neoclassical art. This case study investigates how Dániel Berzsenyi (1776–1836), one of the important Hungarian poets of the early nineteenth century, thought about the human body. For him, the representation of the body was, on the one hand, an artistic problem which raised questions concerning manners of imitation and, on the other hand, an artistic problem which was associated with the display of human virtues and thus with ethical discourse. Berzsenyi gave an account of his illnesses, which can be traced back to hypochondria, in a private letter. His self-analysis has three layers. First, his private letter could be read as part of a sensible epistolary novel. I argue that Berzsenyi introduced himself as a sensible hero, who was ill because of his own uncontrollable emotions. Second, hypochondria has a medical context. Considering the continued influence, in Berzsenyi’s time, of the ancient doctrine of bodily fluids, I demonstrate that this disease may have become a mental illness associated with poets. The reason for this is that the emotions entertained by the sensible man led to the emergence of physical symptoms which were associated with the hardly definable concept of hypochondria. Third, one’s relationship to one’s body could be a moral issue. Berzsenyi attempted to assert his own moral superiority by describing his own illness. Thus, his letter also fit into a moral context of the contemporary theoretical debates in which he was involved. My paper shows how aesthetics, ethics, and medicine were interconnected and how different forms of knowledge circulated between the forums of the arts and other social forums.
Effect of Ice Massage to Head and Spine on Blood Pressure and Heart Rate Variability in Patients with Hypertension: a Pilot Study
Authors: MD Mooventhan A, , Bharati, BNYS Sneha , L, PhD Nivethitha , NK, PhD Manjunath
Published: September 2021

Background: Ice massage is one of the common hydrotherapeutic procedures. The current study is first of its kind, conducted to evaluate the effect of ice massage to head and spine on blood pressure and heart rate variability in patients with hypertension.

Materials and Methods: Fifteen hypertensive subjects with the mean ± standard deviation (SD) age of 48.87 ± 11.17 yrs were recruited and underwent only one session of ice massage to head and spine for 20 min. Blood pressure and heart rate variability were assessed before and immediately after the intervention.

Results: Results of this study showed a significant reduction in systolic blood pressure (p = <.001), diastolic blood pressure (p < .001) and heart rate (p = .012), and a significant increase in R-R Interval (the intervals between adjacent R waves in the electro cardiogram) (p = .001) in the posttest assessments compared to its respective pre-test assessments.

Conclusion: Results suggest that 20 min of ice massage to head and spine may reduce blood pressure and heart rate in patients with hypertension. However, there is no evidence that this provides any significant clinical impact for the patient.