bluuebunny/crossref_metadata_2025 huggingface dataset:
Формирование режима ударного давления в форме бегущей волны в нематических твистовых ячейках
Authors: Захаров А.В. , Пасечник С.В.
Published: January 2020

Abstract The paper presents a numerical study, within a nonlinear generalization of the classical Ericksen–Leslie theory, of a new nonlinear mechanism for the formation of the regime of shock pressure on the boun-ding walls of a microsized twisted nematic cell (TNC), realized in the form of the kinklike traveling wave $$\mathcal{P}$$ ( z – $${v}t$$ ) under the effect of the externally applied electric field and induced by a strong local distribance of the director field in the form of a Gaussian (normal) distribution. The mechanisms responsible for the formation of the traveling wave of shock pressure propagating in the TNC from one of its boundaries to another are studied, and it is shown how the magnitude of the electric field and the shape of the localized initial perturbation of the director field affect the similarity of the traveling wave to the kinklike wave. Studies of the dynamic relaxation of the director field in TNCs also showed that, at temperatures exceeding the temperature for the nematic–smectic A (NA) T _NA phase transition by several dozen mK, fluctuations in the order parameter of the emerging smectic phase suppress the effect of the electric field and favor the singular behavior of the azimuthal anchoring energy density as T → T _NA.
Влияние магнитных частиц Co-CoO на свойства электропереноса в однослойном графене
Authors: Федотова Ю.А. , Харченко А.А. , Федотов А.К. , Чичков М.В. , Малинкович М.Д. , Конаков А.О. , Воробьева С.А. , Касюк Ю.В. , Гуменник В.Э. , Kula M. , Mitura-Nowak M. , Максименко А.А. , Przewoznik J. , Kapusta Cz.
Published: January 2020

Electrochemical deposition of cobalt onto the single-layer CVD graphene draw to the formation of Co-CoO/graphene composites with increased electrical resistance and magnetoresistance. It is shown that magnetoresistance is governed with two competing mechanisms – negative (NMR) and positive (PMR). NMR at low magnetic fields could be well described with localized quantum corrections to the Drude conductivity in graphene. The enhancement of PMR at high magnetic fields could be associated with the influence of Lorentz mechanism in Co-CoO particles.
О связи неэрмитова гамильтониана со стохастическим дифференциальным уравнением в теории открытых систем
Authors: Башаров А.М.
Published: January 2020

Показано, что ряд задач о распаде частиц, которые описывается неэрмитовым гамильтонианом (соответственно говорят о неунитарной динамике), могут быть корректно и последовательно переформулированы в терминах стохастических дифференциальных уравнений при применении алгебраической теории возмущений. В такой формулировке кинетические уравнения получаются в стандартной схеме теории открытых квантовых систем. Параметры кинетического уравнения совпадают с аналогичными параметрами, описывающими распад частицы при его рассмотрении на основе неэрмитова гамильтониана. Ключевые слова: распад частиц, неэрмитов гамильтониан, кинетическое уравнение, теория возмущений.
Diabetes Management Experience and the State of Hypoglycemia: National Online Survey Study (Preprint)
Authors: Zahed Karim , Sasangohar Farzan , Mehta Ranjana , Erraguntla Madhav , Qaraqe Khalid
Published: January 2020

BACKGROUND

Hypoglycemia, or low blood sugar levels, in people with diabetes can be a serious life-threatening condition, and serious outcomes can be avoided if low levels of blood sugar are proactively detected. Although technologies exist to detect the onset of hypoglycemia, they are invasive or costly or exhibit a high incidence of false alarms. Tremors are commonly reported symptoms of hypoglycemia and may be used to detect hypoglycemic events, yet their onset is not well researched or understood.

OBJECTIVE

This study aimed to understand diabetic patients’ perceptions of hypoglycemic tremors, as well as their user experiences with technology to manage diabetes, and expectations from a self-management tool to ultimately inform the design of a noninvasive and cost-effective technology that detects tremors associated with hypoglycemia.

METHODS

A cross-sectional internet panel survey was administered to adult patients with type 1 diabetes using the Qualtrics platform in May 2019. The questions focused on 3 main constructs: (1) perceived experiences of hypoglycemia, (2) experiences and expectations about a diabetes management device and mobile app, and (3) beliefs and attitudes regarding intention to use a diabetes management device. The analysis in this paper focuses on the first two constructs. Nonparametric tests were used to analyze the Likert scale data, with a Mann-Whitney U test, Kruskal-Wallis test, and Games-Howell post hoc test as applicable, for subgroup comparisons to highlight differences in perceived frequency, severity, and noticeability of hypoglycemic tremors across age, gender, years living with diabetes, and physical activity.

RESULTS

Data from 212 respondents (129 [60.8%] females) revealed statistically significant differences in perceived noticeability of tremors by gender, whereby males noticed their tremors more (P<.001), and age, with the older population reporting lower noticeability than the young and middle age groups (P<.001). Individuals living longer with diabetes noticed their tremors significantly less than those with diabetes for ≤1 year but not in terms of frequency or severity. Additionally, the majority of our participants (150/212, 70.7%) reported experience with diabetes-monitoring devices.

CONCLUSIONS

Our findings support the need for cost-efficient and noninvasive continuous monitoring technologies. Although hypoglycemic tremors were perceived to occur frequently, such tremors were not found to be severe compared with other symptoms such as sweating, which was the highest rated symptom in our study. Using a combination of tremor and galvanic skin response sensors may show promise in detecting the onset of hypoglycemic events.
Hubungan Antara Kesesuaian Pemberian Antibiotik Berdasarkan Guideline Terhadap Clinical Outcome pada Pasien Dewasa Dengan Infeksi Mrsa (Methicillin Resistant Staphylococcus Aureus) di Rawat Inap RSUP Dr. Sardjito Yogyakarta
Authors: Pangestuti Titi Ira , Wahyono Djoko , Nuryastuti Titik
Published: January 2020

Antibiotik merupakan obat yang harus dapat pengawasan lebih dari tenaga kesehatan dan masyarakat. Banyak pasien yang sudah resisten terhadap golongan antibiotik dengan afinitas tinggi, sehingga menyebabkan terjadinya infeksi nosokomial, salah satunya adalah infeksi MRSA (Methicillin Resistant Staphylococcus aureus). Penelitian ini bertujuan untuk mengevaluasi antibiotik definitif yang digunakan pada pasien MRSA, serta melihat hubungan kesesuaian pemberian antibiotik berdasarkan guideline terhadap clinical outcome pada pasien dewasa dengan infeksi MRSA di rawat inap RSUP Dr. Sardjito Yogyakarta.Rancangan penelitian yang digunakan yaitu observasional deskriptif-analitik, dengan desain cohort retrospektif untuk melihat hubungan kesesuaian penggunaan antibiotik berdasarkan Guideline Keputusan Kementrian Kesehatan Republik Indonesia (Kemenkes RI), Infection Diseases Society of America (IDSA), dan John Hopkin terhadap dengan clinical outcome pasien. Subjek penelitian adalah pasien dewasa dengan infeksi MRSA di rawat inap RSUP Dr Sardjito Yogyakarta periode 1 Januari 2018-31 Mei 2019. Hasil akan dianalisa dengan uji nonparametric test untuk melihat hubungan kesesuaian antibiotik definitif terhadap clinical outcome.Pada penelitian ini didapatkan jumlah sampel yang masuk kriteria inklusi berjumlah 68 pasien. Karakteristik pasien diperoleh rata-rata berumur 47 tahun, pasien terbanyak berjenis kelamin laki-laki yaitu 39 pasien (57,3%) dan perempuan 29 (42,7%). Dari 68 pasien, terdapat 74 kasus penyesuaian antibiotik. Jumlah kasus yang sesuai berdasarkan Guideline sebanyak 6 kasus dan ketidaksesuaian sebanyak 68 kasus. Kesimpulan yang didapatkan bahwa tidak terdapat hubungan antara kesesuaian pemberian antibiotik definitif dengan clinical outcome pasien, ditunjukkan dengan penghitungan berdasarkan nonparametric test (p>0,05).
Pengaruh pH Terhadap Stabilitas Alpha Arbutin dalam Gel Niosom
Authors: Pertiwi Dea , Desnita Rise , Luliana Sri
Published: January 2020

Alpha arbutin merupakan salah satu agen pencerah kulit yang terdegradasi dalam sediaan larutan pada pH kurang dari 3,0 dan pH lebih dari 6,5. Sistem penghantaran niosom dapat meningkatkan stabilitas alpha arbutin dalam sediaan gel. Penelitian ini bertujuan untuk mengetahui pengaruh pH terhadap stabilitas gel niosom alpha arbutin. Uji stabilitas dilakukan menggunakan formulasi gel alpha arbutin dan gel niosom alpha arbutin yang dibuat dalam pH sediaan 6, 7 dan 8 selama 28 hari. Pengukuran kadar alpha arbutin menggunakan spektrofotometer UV-Vis. Hasil penelitian menunjukkan waktu kadaluarsa gel alpha arbutin dengan sistem niosom lebih lama dibandingkan tanpa sistem niosom pada setiap pH. Sediaan gel niosom alpha arbutin dan gel alpha arbutin pada pH 7 memiliki kestabilan lebih baik daripada sediaan gel pH 6 dan 8. Gel niosom alpha arbutin dan gel alpha arbutin pada pH 7 tidak mengalami perubahan organoleptis selama penyimpanan 28 hari. Hasil uji analisis Independent-Sampel T Test dengan nilai p<0,05 menunjukkan pada pH 7 berbeda signifikan antara formula gel alpha arbutin dan gel niosom alpha arbutin. Waktu kadaluarsa sediaan gel alpha arbutin pH 7 dengan sistem niosom dan tanpa sistem niosom masing-masing selama 24 hari dan 14 hari. Kesimpulannya adalah sistem niosom dapat meningkatkan stabilitas alpha arbutin pada rentang pH yang diteliti.
Annotating Narrative Levels: Review of Guideline No. 8
Authors: McEnaney Tom
Published: January 2020

“Let me tell you a story.” The proposed guidelines suggest that this phrase serve

as the heuristic that readers supply at the beginning of any possible embedded

narrative to identify a shift in narrative frames or levels. (The difference between

“frame” and “level,” although perhaps confusing in the history of narratology,

does not seem like an important distinction at this stage of the project.) This

simple phrase, the author suggests, can replace a field of narrative theory they

feel would “simply confuse my student annotators.” However simple the phrase

might seem, however, it, in fact, conceals a number of key narratological issues:

focalization, temporal indices, diction / register, person, fictional paratexts, duration,

and, no doubt, others. The question for the guidelines is whether one

can leapfrog the particularity of these issues if students use the above phrase to

annotate texts with XML tags and produce operational scripts that identify the

nested narratives. As it currently stands, students seem capable of learning the

basic idea of nested narratives and tagging changes in narrative frames, but there

are no real results to confirm the project’s success, as the author reports they are

not yet able to confirm any inter-annotation agreement.
Cost–effectiveness analysis of ocriplasmin versus watchful waiting for treatment of symptomatic vitreomacular adhesion in the US
Authors: Khanani Arshad M , Dugel Pravin U , Haller Julia A , Wagner Alan L , Lescrauwaet Benedicte , Schmidt Ralph , Bennison Craig
Published: January 2020

Aim:
Evaluate the cost–effectiveness of ocriplasmin in symptomatic vitreomacular adhesion (VMA) with or without full-thickness macular hole ≤400 μm versus standard of care.
Methods:
A state-transition model simulated a cohort through disease health states; assignment of utilities to health states reflected the distribution of visual acuity. Efficacy of ocriplasmin was derived from logistic regression models using Ocriplasmin for Treatment for Symptomatic Vitreomacular Adhesion Including Macular Hole trial data. Model inputs were extracted from Phase III trials and published literature. The analysis was conducted from a US Medicare perspective.
Results:
Lifetime incremental cost–effectiveness ratio was US$4887 per quality-adjusted life year gained in the total population, US$4255 and US$10,167 in VMA subgroups without and with full-thickness macular hole, respectively.
Conclusion:
Ocriplasmin was cost effective compared with standard of care in symptomatic VMA.
Why Don’t Gender Theorists Talk More about Gender Equality?
Authors: Phillips Anne
Published: January 2020

Why Don’t Gender Theorists Talk More about Gender Equality?
¿Negociación patriarcal? El impasse por la despenalización del aborto por violación en Ecuador
Authors: Mancero Acosta Mónica Patricia
Published: January 2020

Este artículo pretende dilucidar los significados de las actuaciones de las asambleístas del movimiento político Alianza País, actualmente en el gobierno de Ecuador. Para ello, examinaré un suceso que llevó al límite las tensiones entre el feminismo y las posiciones conservadoras al interior del propio movimiento político en el poder. Este impasse fue el debate parlamentario acerca de la despenalización del aborto por violación, en el marco de la promulgación de un nuevo Código Penal. No está claro si las asambleístas feministas del movimiento realizaron una negociación patriarcal o simplemente se sometieron a las órdenes del presidente Rafael Correa. Intento mostrar una paradoja: las mujeres han accedido a la representación política, pero no han logrado imponer sus argumentos dentro de este espacio legislativo
Family Time Gone Awry: Vogue Houses and Queer Repro-Generationality at the Intersection(s) of Race and Sexuality
Authors: Klitgård Mathias
Published: January 2020

The paper at hand interrogates the queer temporal politics of “houses” in the ballroom and voguing scene. Houses constitute the axiomatic unit of this community marked by racial and sexual marginalisation and as such create alternative familial relations between members in response to rejections from the biological family and society in general. Mirroring the traditional family institution, vogue houses not only become a source of protection, care, trust and knowledge; their very structure, I argue, induces a queer repro-generational time. Countering the sequential heteronormative time of lifetime milestones and age-fitting achievements, the queer time of voguing is a temporal disidentification that jumbles around and constructively misappropriates generational and reproductive imperatives. In doing this, the politics of voguing opens the horizon of possible futures: it is a spark of embodied resistance with a queer utopian imaginary.
Reseña de Acoso ¿Denuncia legítima o victimización?
Authors: Vélez Fabio
Published: January 2020

Reseña de Acoso ¿Denuncia legítima o victimización?
On the solution of optimization problems. An interactive graphical approach
Authors: Palacios Max Antonio González , Hernández Juan Emmanuel Ayala , Cortés Luz Antonio Aguilera
Published: January 2020

This paper introduces and describes a novel software tool to analyze and solve optimization problems. This tool allows the plotting of several functions simultaneously, navigates through them, and finds the critical points with several numerical methods. Depending on the problem the user can choose a context in two or three dimensions and can also select the more convenient method to solve a specific problem. Moreover, the parameters modification in a particular method is transparent and clear; the goal of this software is to simplify the work of students, engineers and researchers, working on a graphical and interactive environment, on a completely intuitive user interface.
Influence of incorporating a small amount of silica on the catalytic performance of a MoO3/Al2O3 catalyst in ethanol oxidative dehydrogenation
Authors: Villarreal Aline , Garbarino Gabriella , Riani Paola , Alejandre Aida Gutiérrez , Ramírez Jorge , Busca Guido
Published: January 2020

The influence of incorporating a small amount of silica on the catalytic performance of MoO3/Al2O3 catalyst was studied. Molybdenum supported on pure alumina and 5% SiO2-Al2O3 supports were synthesized. The catalysts were characterized by XRD, Raman, UV-Vis and IR spectroscopies, FE-SEM microscopy, and their activity was evaluated in the oxidative dehydrogenation of ethanol to acetaldehyde. Molybdenum supported on pure alumina gives a 74% yield to acetaldehyde (at 573 K) due to the generation of oxy-dehydrogenation active sites by molybdenum and to the decrement of the alumina dehydration sites. For the molybdenum catalyst supported on silica-containing alumina, the molybdenum species were displaced from the strongest alumina’s acid-base couples, located on nanoparticles edges, corners and defects, to weaker ones located on plane faces causing the rise of weakly bonded species with less active redox behavior.
New acid dyes and their metal complexes: dyeing, thermal and antifungal behavior
Authors: Ayaz Muhammad , Ali Farman , Shabir Ghulam , Saeed Aamer , Ali Niaz , Abbas Nasir , Hussain Ghulam , Channar Pervaiz Ali , Ayaz Muhammad
Published: January 2020

The present investigation is concerned with the synthesis of acid azo dye based on 1-Amino-2-naphthol-6-nitronaphthalene-4-sulphonic acid and its chromium, iron, cobalt, nickel and copper complexces. The structure of these complexes were analyzed by UV-Visible, FTIR, NMR and elemental analysis. The synthesized dyes were applied on leather to assess its fastness properties. The thermal stability have been analyzed by thermal gravimetric analysis where the dyes were stable up to 250 ̊C. The antifungal activities of the azo ligands and its metal chelates were studied against Candida albicans.
Matrix and reinforcement materials for low-cost building isolators: an overview of results from experimental tests and numerical simulations
Authors: Sierra Ingrid E. Madera , Casas Johannio Marulanda , Thomson Peter
Published: January 2020

During the last years several options to replace the conventional steel-reinforced isolators have been investigated using different materials for the matrix and reinforcement to implement isolation system in buildings. As alternatives to natural rubber, recycled elastomers derived from tires and industrial leftover, scrap tire rubber pads and nanocomposite rubber, have been proposed. Furthermore, with the goal of replacing the inflexible, thick steel plates, a wide variety of fabric reinforcements, such as nylon, carbon, polyester, polyamide, glass and thin flexible steel plates, have been investigated. The manufacturing process and connections between the devices and the structure (bonded, unbonded and partially bonded) have also been studied. This paper presents an overview of the results from investigations where the mechanical properties of prototypes were determined through horizontal shear and vertical compression tests and, in certain cases, through finite element analysis with hyperelastic models. In order to facilitate the visualization and comparison between investigations, the results are tabulated and plotted. The organization and presentation of the results allows to identify important aspects implemented in different experimental programs and analytical models developed for low-cost isolators.
Economic production quantity model with backorders and items with imperfect/perfect quality options
Authors: Nadjafi Behrouz Afshar , Pourbakhsh Hamed , Mirhabibi Mohammad , Khodaei Hasan , Ghodami Babak , Sadighi Fahimeh , Azizi Soheil
Published: January 2020

In this paper, an economic production quantity (EPQ) model with backorders considering two options for replenishing of items is proposed; with partially imperfect and perfect quality items. First option assumes a produced shipment contains a fraction of imperfect quality items and supplier does not conduct a full inspection. Therefore, these items are detected by a fully perfect screening process by buyer and are sold as a single batch at a discounted price. While the second one assumes that all items that are produced are fully inspected by supplier and all delivered items are perfect; of course with higher unit production price. Ordering size and backordering level are used as decision variables to derive the closed-form optimal solution. The proposed model is ilustrated and discussed by a numerical example. Finally, a sensitivity analysis is done for identifying the impact of crucial parameters on the optimal solution.
Factores que limitan el riego en zonas cañeras: estudio de caso del distrito de riego 035, La Antigua, Veracruz
Authors: Santillán Fernández Alberto , Santoyo Cortés Vinicio Horacio , García Chávez L. Ramiro , Covarrubias Gutiérrez Ignacio , Merino García Agustín
Published: January 2020

En este trabajo se analizan los factores que limitan el uso del riego para el cultivo de caña de azúcar (Saccharum spp.) en el Distrito de Riego 035, La Antigua, Veracruz, México. En esta zona el riego se presenta como una alternativa viable para mejorar la productividad cañera en la zona de estudio; no obstante, la mayoría de los productores cañeros no riegan o lo hacen de manera insuficiente. Las causas principales son la pequeña escala de las parcelas y la amplia dispersión de los frentes de cosecha, pero sobre todo la ineficaz gobernanza de las unidades de riego, que hacen cara e infructuosa la gestión del agua de riego y no permiten el mantenimiento adecuado a la infraestructura.
Comercio justo y empoderamiento de pequeños cafeticultores del centro de Veracruz
Authors: Ramírez García Sandra , Nava Tablada Martha E.
Published: January 2020

México es uno de los principales exportadores de café (Coffea arabica L.). No obstante, los pequeños cafeticultores no reciben, desde hace varias décadas, los beneficios económicos del cultivo, debido en gran parte a la enorme diferencia que existe entre lo que paga el consumidor final y el precio que obtienen por su cosecha. En este contexto, la certificación de Comercio Justo representa una oportunidad para que los pequeños productores logren un mejor precio por su café y fomenten el desarrollo local, dado que existe una expectativa positiva sobre la relación Comercio Justo y empoderamiento. Sin embargo, son pocos los trabajos que han examinado específicamente esta relación, por ello, en la presente investigación se analiza el impacto del Comercio Justo en el empoderamiento individual de los miembros de dos cooperativas cafetaleras del centro de Veracruz, a fin de conocer las posibilidades y limitantes de dicha certificación en la promoción del desarrollo local. La metodología tuvo un enfoque mixto; se aplicaron entrevistas a los dos presidentes de las asociaciones estudiadas y una encuesta a los productores. Se concluye que el Comercio Justo puede considerarse un recurso externo que tendrá éxito en la promoción del empoderamiento si aumenta el conocimiento general de los productores sobre el mercado y sobre el propio esquema, y si permite la inclusión y participación de la mayoría de los socios.
Introduction to the Special Issue. Connecting sociological research with social problems and public policies: implications for Southern European Societies
Authors: Venegas Medina Mar , Martín-Lago María Dolores , Romão Ana , Baptista Luis
Published: January 2020

Europe is facing new and radical challenges that demand extraordinary resilience from EU members, especially southern European societies, because of their outlying position and specific social problems in comparison with their EU neighbours. The difficulties of building a united Europe in the wake of the economic, financial and political crisis have exposed divergences in EU governance. In this context, sociology is an important tool to inform public policies and to provide the general public with an understanding of current challenges. The uses of sociology have social, political and practical implications in fields that are especially significant for southern European societies, such as welfare, work and employment, education, migration, social cohesion and political participation.

However, the usual tensions in the organization of scientific research are now particularly intense in terms of how the sociological knowledge utility is understood and communicated. The trend toward internationalization in current research systems forces research communities to compete in a global market of scientific production, where English is the dominant language, and to publish results for an academic audience. Simultaneously there is a pressing need to make sociological knowledge relevant and applicable to regional and local problems.
Метод исторической реконструкции в исследовании эволюции градостроительной структуры поселения. Часть 1
Authors: Kudryavtseva Наталия , Kubetskaya Lyubov
Published: January 2020

В статье приводится анализ градостроительной структуры в планировочном и композиционном аспектах в последовательном сравнении эволюционных этапов развития пространственной системы и территории, изменения границ и возникновения новых частей. Анализ местоположений церквей на фоне формирующихся во времени планировочных образований обнаруживает своеобразные принципы расстановки храмовых ансамблей в структуре и неразрывную взаимосвязь с посадами, слободами, торгами, монастырями; метод реализуется на основе сопоставления разновременных планов, а также посредством графического воспроизведения архивных сведений и описаний писцовых книг и др. источников. На этой основе проводится изучение градостроительной эволюции и генезиса, которые позволяют описать модель структуры поселения, состоящей из разновременных частей, возникших с древнейших времён до настоящего времени. Исследование обнаружило разнообразие генетических моделей, что связано с географическими фактора­ми, административной, культурной, религиозной ролью города; изучение процесса эволюции даёт знание о закономерностях формирования градостроительной структуры, на основе кото­рой должно проводиться восстановление как первоначальных качеств и параметров ансамблей, так и границ генетических частей, даже утраченных, составляющих подлинную целостную историко-генетическую модель поселения как объекта охраны. Метод исторической реконструкции должен стать основой зони­рования по генетическому признаку при разработке правил пла­нировки и застройки и прогнозирования будущих форм развития.
ACEHNESE UNDERGRADUATE STUDENTS’ STRATEGIES IN PREPARING FOR TOEFL PREDICTION: A PRELIMINARY STUDY
Authors: Netta Ayuna , Trisnawati Ika Kana
Published: January 2020

This study focused on the strategies of undergraduate students in preparing for the TOEFL Prediction. The study distributed questionnaires to the students of Universitas Muhammadiyah Aceh, gathering a sample of 15 students of different majors. The findings revealed that the students’ most used strategy was self-study, involving learning with various English materials. This study suggests that future research focus on the reasons influencing test-takers’ decision in test preparation strategies.
Embarazo y enfermedad inflamatoria intestinal una combinación especial: a propósito de un caso y revisión de la literatura
Authors: Parra Izquierdo Viviana , Pavez Ovalle Carolina , Ovalle Hernández Alan Felipe , Espinoza Carlos , Costa Barney Valeria Atenea , Puentes Gerardo Andrés , Hani de Ardila Albis Cecilia
Published: January 2020

La enfermedad inflamatoria intestinal (EII) comprende un espectro de enfermedades crónicas inmunomediadas que afectan el tracto gastrointestinal, con inicio típico durante el comienzo de la edad adulta. Esta enfermedad ha tenido un incremento de su incidencia a nivel mundial, teniendo en Norteamérica una mayor incidencia. En relación con la enfermedad de Crohn (EC) (20,2 por cada 100 000 personas/año) y en Europa una incidencia de colitis ulcerativa (CU) (24,3 por 100 000 personas/año), considerando que no es una enfermedad curable, la remisión de la misma es el principal objetivo del manejo. Muchas mujeres se encuentran afectadas por EII durante distintos estadios de su vida, incluido durante la vida reproductiva, el embarazo y la menopausia. Es por lo anterior que la forma en la que se maneje la enfermedad en mujeres en edad reproductiva puede afectar el curso de la EII. Son muy relevantes las estrategias de tratamiento y mantenimiento de la salud, para las pacientes con deseo de paridad, la remisión de la enfermedad es muy importante en el momento de la concepción y durante todo el embarazo, para asegurar adecuados resultados tanto para la madre como para el feto. Es bien conocido que la enfermedad activa durante el momento de la concepción y el embarazo se asocia con desenlaces adversos. Además, la enfermedad perianal activa es indicación de parto por cesárea, lo que resulta en un mayor riesgo de cirugía intestinal y complicaciones en el posoperatorio. A continuación, presentamos un caso.
Técnica híbrida (TH) versus estándar(TS) en la punción con aguja fina guiada por ecoendoscopia para lesiones sólidas del páncreas
Authors: Gómez Zuleta Martín Alonso , Ruíz Morales Oscar Fernando , Lúquez Minndiola Adán José
Published: January 2020

La ultrasonografía endoscópica (USE) se usa ampliamente para evaluar enfermedades pancreatobiliares, especialmente masas pancreáticas. La USE tiene una buena capacidad para detectar masas pancreáticas, pero no es suficiente para el diagnóstico diferencial de varios tipos de lesiones. La aspiración endoscópica con aguja fina guiada por ultrasonido (USE-PAF) es el método de diagnóstico de elección para masas pancreáticas y su precisión se afecta por diversos métodos de punción.

Materiales y métodos: nuestro objetivo fue evaluar el rendimiento diagnóstico de la técnica de succión estándar (TS) versus la técnica húmeda híbrida (TH) en el estudio de lesiones sólidas en páncreas, utilizando un diseño prospectivo, con ocultación única, aleatorizado y controlado, que incluye a pacientes con diagnóstico de lesión sólida en páncreas a los que se realizó USE-PAF desde mayo de 2014 a junio de 2016.

Resultados: en total incluimos 65 pacientes, 34 (52,3%) se asignaron a USE-PAF con TH y 31 (47,7%) pacientes a USE-PAF con TS. Se encontró que la frecuencia relativa porcentual respecto a la técnica de punción en la USE-PAF en lesiones sólidas de páncreas, que permite obtener la cantidad de tejido adecuado para el diagnóstico citológico, fue de 85,2% para la TH y 71% para la TS, con un OR de 2,35 (IC 95%; 1,2-4,7) a favor de la TH.

Conclusión: este estudio sugiere que la TH es superior a la TS en el diagnóstico de las lesiones sólidas del páncreas, por lo cual, dado que la implementación de esta técnica no aumenta costos y es muy sencilla, sugerimos que sea la técnica de elección cuando se necesita puncionar una lesión sólida.
A importância do farmacêutico clínico na geriátria com foco em hipertensão arterial
Authors: Pereira Soares da Silva Portácio Sylas Rhuan , Alves da Silva Ana Priscila , De Queiroz Francisca Janaina , Caldas Rodrigues Cicera Jamille , Cunha Santos Pinheiro Dyana Mirelle , Campos Luz Maria Natalia , Damasceno Maia Flavio
Published: January 2020

Introdução: De acordo com a IV Diretrizes Brasileiras de Hipertensão, dentre os problemas de saúde de grande prevalência no Brasil, a hipertensão arterial ocupa papel especial, responsável pelo maior número de óbitos em indivíduos idosos, tornando-se foco de atenção especial, considerando-se a usual necessidade de farmacoterapia associada a mudança no estilo de vida dos pacientes (SBH, 2002). O acompanhamento e a avaliação da farmacoterapia tem como propósito assegurar o uso racional de medicamentos (ANDRADE; SILVA; FEITAS, 2009; OLIVEIRA, ASSIS; BARBONI, 2010). Desse modo, o objetivo desse estudo é avaliar a importância Dos cuidados farmacêutica ao idoso hipertenso, bem como identificar as principais dificuldades encontradas no tratamento medicamentoso do hipertenso, verificar a relevância do farmacêutico na adesão e eficácia do tratamento e, ainda, analisar o atendimento do farmacêutico ao idoso hipertenso. Metodologia: Para a elaboração do presente trabalho foi feita uma revisão integrativa. Para a seleção dos artigos foram utilizadas três bases de dados, a saber: LILACS (Literatura Latino Americana e do Caribe em Ciências da Saúde); SCIELO (Scientific Eletronic Library Online) e Google Acadêmico. Dessa forma, procurou-se ampliar o âmbito da pesquisa, minimizando possíveis vieses nessa etapa do processo de elaboração da revisão integrativa. Resultados: A Atenção Farmacêutica deve se fundamentar em ações compartilhadas, e não apenas definidas pelo farmacêutico como forma de se alcançar os objetivos de saúde. A corresponsabilidade pela terapêutica e pela saúde elimina o dissenso entre pesquisadores e profissionais. O paradoxo entre teoria e prática nos serviços farmacêuticos deve ser considerado sobre a ótica de que uma boa metodologia pode produzir melhores teorias organizadas para a prática. Desse modo, o método deve focalizar o relacionamento e não apenas as etapas da atenção farmacêutica. Conclusão: Foi possível observar que os cuidados farmacêuticos estão voltados tanto para a assistência farmacêutica como para a atenção farmacêutica, exercendo um papel de grande importância para o uso racional de medicamentos, a adesão ao tratamento anti-hipertensivo por pacientes idosos e para a eficácia do mesmo, visto que o farmacêutico por ser detentor de todos os conhecimentos sobre os medicamentos pode aconselhar e esclarecer dúvidas sobre o tratamento, possíveis reações adversas e interações medicamentosas.
Invertebrates and microbiota associated with aquatic macrophyte degradation in a shallow lake in southern Brazil
Authors: Albertoni Edelti Faria , De Moraes Andréa Luiza De Mattos , Guimarães Pablo Santos , Palma-Silva Cleber
Published: January 2020

Aquatic macrophytes are the main producers of organic matter in shallow aquatic ecosystems. They are also food sources for many herbivores. When macrophytes die, they enter the debris chain, are conditioned by microbial action and colonized by benthic invertebrates which remobilize nutrients from their biomass. In subtropical aquatic systems, the participation of shredder invertebrates has been questioned, highlighting the participation of fungi and bacteria in the degradation of organic matter. This study evaluated the degradation of two submerged aquatic macrophytes, Mayaca fluviatilis and Stuckenia pectinata, determining the quality of debris and microbiota and invertebrate trophic group density throughout the degradation process. Our results indicated that plants with lower polyphenol concentrations had higher degradation speeds. The shredders invertebrates had reduced abundance in both macrophytes, emphasizing the importance of bacteria and fungi in the nutrient cycling process in subtropical shallow lakes.
Saber-sheath trachea as a challenge for safe surgery: A case report
Authors: Nikolic Jelena , Bozic Teodora , Ikonic Nada , Marinkovic Marija , Dolinaj Vladimir
Published: January 2020

Introduction. Saber-sheath trachea is a rare malformation of the trachea
marked with coronal narrowing with concomitant widening of sagittal
diameter, with a sagittal-to-coronal diameter ratio exceeding 2:1. As
tracheal rings are stiff and do not collapse around the tube, the intubation
is difficult. Case Report. A 53-year-old female was referred to our hospital
due to failed intubation at the local hospital during a planned surgery of
skin melanoma. The patient was scheduled for surgery in our hospital, her
case was presented to a panel of anesthesiologists and she was prepared for
surgery. The intubation failed again, even though a video-assisted
laryngoscope and endotracheal tube with 5 mm internal diameter was used. The
anesthesiologist noticed that the endotracheal tube entered the trachea only
2 cm due to strong resistance, so further intubation was not an option in
order to avoid damaging the trachea. The surgery was performed in local
anesthesia with analgosedation. Later on, computed tomography was done,
because of suspected pathological process compressing trachea, but the
radiologist described the anomaly as saber-sheath trachea. One year later,
the patient presented with axillary lymph node metastases and needed another
surgery. This time the anesthesiologist knew about the trachea malformation,
anticipated difficult intubation and used i-gelTM for airway management.
Conclusion. Despite the fact that numerous methods have been developed for
the purpose of identifying patients at risk of difficult intubation, there
are many unexpected airway pathologies that can lead to failed intubation.
Adequate preoperative assessment, knowledge of Guidelines for Difficult
Intubation Management, availability of supraglottic airway devices, and
cooperation between the surgeon and anesthesiologist, are crucial to
successful patient management.
Integration of digital maxillary dental casts with 3D facial images in orthodontic patients:
Authors: Xiao Zhuoxing , Liu Zijin , Gu Yan
Published: January 2020

Objective

To evaluate three-dimensional (3D) accuracy and reliability of nonradiographic dentofacial images integrated with a two-step method.

Methods

3D facial images, cone-beam computed tomography (CBCT) images and digital maxillary dental casts were obtained from 20 pre-orthodontic subjects. Digital dental casts were integrated into 3D facial images using a two-step method based on the anterior tooth area. 3D coordinate values of five dental landmarks were identified in both dentofacial images and CBCT images. The accuracy of the integration method was assessed with paired t-tests between dentofacial images and CBCT-based reference standards. Intraclass correlation coefficients (ICCs) were assessed for the reliability of dentofacial images and CBCT-based images. Analysis of variance and Kruskal-Wallis tests evaluated the accuracy of the method in different dimensions.

Results

There was no statistical difference between dentofacial images and CBCT reference standards in both translational and rotational dimensions (P > .05). Translational mean absolute errors for full dentitions were within 0.42 mm and ICCs were over 0.998 in x, y, and z directions. Rotational mean absolute errors for full dentitions were within 0.92° and ICCs over 0.734 in pitch, yaw, and roll orientations. Integration errors were significantly greater in the first molar, z-translation, and pitch rotation (P < .05).

Conclusions

Integrating 3D dentofacial images with the two-step method is precise and acceptable for clinical diagnostics and scientific purposes. Errors were greater in the molar region, z-translation, and pitch rotation.
A PRESENÇA EVANGÉLICA NA POLÍTICA ATUAL E O ESTADO LAICO NO BRASIL
Authors: Silva Franc Casagrande
Published: January 2020

Objetivo desse artigo é analisar a agenda política sugerida pelos evangélicos na última eleição presidencial no Brasil. Concomitantemente agenda religiosa aceita pelos candidatos ao pleito federal, sublinha-se aqui a organização entre as diferentes instituições evangélicas brasileiras.   Ao sublinharmos a organização dessas diferentes denominações evangélicas brasileiras, analisa-se a uniformidade do discurso entre as instituições de fé evangélica, sejam históricas ou pentecostais. Sobre esse aspecto surge outro objetivo do artigo, mostrar a eficiência da militância pentecostal frente as demandas morais de suas agendas. Para sustentar os argumentos levantados no artigo, foram consultados textos basilares sobre o tema: ascensão da bancada evangélica na política brasileira, bem como artigos publicados, de áreas de conhecimento afins, a saber, jornalismo, Ciências Sociais e política.  Na análise final do artigo aponta-se para a secularização tardia, e essa, sistematicamente negada pelos evangélicos, sobretudo pelos pentecostais. Com isso as igrejas pentecostais perpassam pelo processo de contextualização social, ou seja, as instituições pentecostais estão olhando com atenção para política e simultaneamente para suas igrejas procurando alguém que possa lhe representar na esfera política.  Para próximas pesquisas, seja considerado uma análise dos discursos e da linguagem evangélica, usada nessa última eleição, pois, em 2020 teremos eleições municipais. É possível que a evangelização política seja ainda mais eficaz.
Editorial
Authors: Ferreira Leslie P. , Trenche Maria Cecilia Bonini
Published: January 2020

Discurso de abertura do X Congresso Internacional de Fonoaudiologia, XVII Congresso Brasileiro de Fonoaudiologia e III Encontro Mineiro de Fonoaudiologia
Laserterapia de baixa potência e paralisia facial periférica: revisão integrativa da literatura. Terapia a laser e Paralisia de Bell
Authors: Vanderlei Thales , Bandeira Rafael Nóbrega , Canuto Marisa Siqueira Brandão , Alves Giorvan Anderson dos Santos
Published: January 2020

Introdução: A paralisia facial periférica é um distúrbio da motricidade orofacial responsável por trazer impactos negativos em diversos âmbitos na vida dos indivíduos. Entre os profissionais envolvidos no tratamento, o fonoaudiólogo é responsável pelo importante papel de promover a reabilitação das funções orofaciais do indivíduo. Dentre os diversos recursos que este pode utilizar, está o laser de baixa intensidade, ainda pouco investigado na literatura científica. Objetivo: realizar uma revisão integrativa da literatura acerca da utilização e o efeito do laser de baixa intensidade como método terapêutico das paralisias faciais periféricas. Métodos: (1) formulação da pergunta norteadora do estudo “Qual a evidência científica da eficácia, descrita na literatura científica, do uso do laser de baixa intensidade no tratamento da paralisia facial periférica?”; (2) Definição dos descritores, pelo DeCS e MeSH, combinados através do operador booleano AND: Terapia com luz de baixa intensidade; Terapia a laser; Paralisia facial e Paralisia de Bell; (3) Bases de dados PubMed e BIREME; (4) Delimitação dos critérios elegibilidade e (5) coleta e triagem dos artigos. Critérios de Seleção: Utilizar laser como recurso terapêutico e pacientes com paralisia facial em sua metodologia. Resultados: participaram desta revisão 10 artigos que encontraram efeitos positivos da laserterapia utilizando dosagens entre 4 e 105 J/cm2 e comprimentos de onda entre 670 e 1064 nm em um período entre 4 e 20 sessões. Conclusão: os efeitos do laser de baixa potência são benéficos em pacientes acometidos por paralisia facial periférica e potencializam-se quando associados a outros recursos terapêuticos da Fonoaudiologia.
Atuação fonoaudiológica na pré-escola: uma ação de promoção à saúde da criança
Authors: Back Anicy Bainha , Blasi Helena Ferro , Haas Patrícia , Paiva Karina Mary
Published: January 2020

Introdução: A atuação fonoaudiológica no acompanhamento pré-escolar constitui-se também em uma ação de promoção de saúde. O desenvolvimento e evolução da criança no aprendizado estão atrelados também à consciência e situações fundamentais para o progresso da comunicação e da linguagem. Objetivos: verificar o desenvolvimento das habilidades da linguagem oral, tais como o aumento de vocabulário, memória verbal e consciência fonológica em crianças pré-escolares. Métodos: Estudo experimental com realização de um programa de intervenção de linguagem oral e uso de grupo controle. Foram realizadas avaliações da linguagem oral antes e após a intervenção em todos os grupos, por meio da aplicação do Protocolo de Observação Comportamental – PROC. O PROC gera um escore total de 200 pontos distribuídos entre as habilidades de comunicação, compreensão e desenvolvimento cognitivo. Para a estimulação, realizaram-se atividades lúdicas para a ampliação do vocabulário e para estimulação do desenvolvimento da consciência fonológica. A intervenção aconteceu em grupo no período de nove semanas. Resultados: Observou-se um aumento estatisticamente significativo da pontuação no segundo período de aplicação do PROC, em relação à primeira aplicação (p<0,001), o que representa uma importante ferramenta de promoção da saúde da criança, pois a maior pontuação não se explica apenas pelo aumento da idade, o que nos leva a inferir sobre a importância da intervenção realizada. Conclusão: A inserção de práticas de estimulação de linguagem oral no âmbito escolar se configura em uma ação de promoção da saúde e deve ser incentivada no planejamento pedagógico do pré-escolar.
Deliberações clínicas na atuação em pacientes com câncer de cabeça e pescoço: atualidades e desafios na disfagia
Authors: Zica Guilherme Maia , Freitas Andressa Silva de
Published: January 2020

Starmer H, Edwards J. Clinical Decision Making with Head and Neck Cancer Patients with Dysphagia. Semin Speech Lang. 2019 Jun;40(3):213-226.
Sumário
Authors: Marques Deividi Marcio , Rodrigues Isilda Teixeira , Azevedo Jorge Manuel Teixeira de , Beltran Maria Helena Roxo
Published: January 2020

sumário
Ensino das Ciências Imerso em Ambientes Virtuais Multiusuários
Authors: Agrello Marisa Pascarelli , Impagliazzo Marianina , Escola Joaquim José
Published: January 2020

ResumoNo presente artigo apresentamos a experiência realizada com o uso dos softwares de realidade aumentada (RA) e a realidade virtual (RV) em cenários para o Ensino das Ciências objetivando atender a Era da Educação 4 por meio de manipulação de objetos virtuais.Com aplicações distintas, as duas tecnologias são complementares e se configuram como ferramentas adicionais aos docentes com a proposta de elevar a qualidade das aulas e a geração de uma aprendizagem significativa representando uma ponte entre a educação e a tecnologia. Como objetos virtuais de aprendizagem (OVA), deverão ser usados em sala de aula como forma de enriquecimento das experiências práticas por meio da representação virtual de temas e contextos tornando mais ativa, contextualizada e efetiva o processo de apreensão do mundo. Palavras-chave: realidade virtual, realidade aumentada, ensino das ciências, tecnologias educacionais. Abstract In the present article we present the experience with the use of software of augmented reality (RA) and virtual reality (VR) in scenarios for the Teaching of Sciences in order to attend the Age 4 of Education through manipulation of virtual objects, the two technologies are complementary and are configured as additional tools for teachers with the proposal of raising the quality of lessons and generating meaningful learning as a bridge between education and technology. As virtuais learning objects, they should be used in the classroom as a way to enrich practical experiences through virtual representation of themes and contexts, making the process of apprehension of the world more active, contextualized and effective. Keywords: virtual reality, augmented reality, science teaching, educational technologies.
Formação em Saúde Mental: trajetórias do curso de Psicologia em diálogo e compromisso com a Reforma Psiquiátrica Antimanicomial
Authors: Rosa Elisa Zaneratto , Vicentin Maria Cristina Gonçalves , Sereno Deborah , Concilio Isabela Leite , Cohen Marina Chansky , Vieira Maria Claudia Tedeschi
Published: January 2020

A Reforma Psiquiátrica Antimanicomial representou uma transformação radical de paradigmas em saúde mental. Implementada como política pública de saúde mental, anunciou a necessidade de profissionais capazes de sustentar na prática a perspectiva antimanicomial. Esse artigo reflete sobre processos de formação na relação com a Reforma em Saúde Mental, apresentando os esforços do curso de Psicologia da PUC-SP nessa direção. Enfatiza a proposta de um núcleo de formação profissional, que apostou na inserção na rede, nos espaços de elaboração dessa experiência e no diálogo com saberes diversos como estratégias para uma transformação radical da abordagem teórico-técnica da loucura. Percorre, posteriormente, os caminhos de uma experiência extensionista articulada a esse núcleo, destacando seu compromisso com a presença da loucura na cidade e nas relações comunitárias. Identifica-se como os processos de implementação da política de saúde mental na cidade de São Paulo refletiram e impulsionaram mudanças no âmbito da formação, num compromisso com o enfrentamento dos impasses da política no município. O artigo finalmente apresenta, pela perspectiva de profissionais formadas pela PUC-SP, impactos desse processo de formação para a atuação profissional em saúde mental no Sistema Único de Saúde, sendo o compromisso com o mesmo e com a luta antimanicomial um de seus principais efeitos.