bluuebunny/crossref_metadata_2025 huggingface dataset:
Orthodontically induced root resorption: An updated review
Authors: Karkazi Frantzeska , Lysy Juraj , Bitsanis Elias , Tsolakis Apostolis
Published: March 2020

Background/Aim: Root resorption is one of the most common consequences of orthodontic treatment. However, its mechanism, etiology factors, diagnostic methods and the possibility of root repair remain controversial topics. The aim of this paper is to provide an updated review of the current literature concerning the orthodontically induced root resorption. Material and Methods: A literature search was performed using Google Scholar, PubMed and Scopus search engines covering the period January 1930 until June 2019 corresponding to articles investigating the mechanism, etiology, methods of interpretation of root resorption and the stages of root repair. Results: The mechanism of orthodontically induced root resorption involves an interaction between several molecular signaling pathways, which result in the resorption of both cementum and dentin by odontoclasts/cementoclasts. Root resorption can be the result of both treatment and patient-related factors. The main risk factors include prolonged orthodontic treatments, heavy forces, specific tooth movements, method of force application, systemic/genetic factors and aberrant root morphology. Nevertheless, root resorption is repaired to some extend by cellular cementum. Conclusions: Orthodontically root resorption is an unavoidable complication mainly due to its multifactorial etiology. However, its severity can be minimized with careful planning and radiographic monitoring.
From Effect to Cause: Deductive Reasoning
Authors: da Silva Ricardo Tavares
Published: March 2020

According to the traditional view, the following incompatibility holds true: in reasoning, either there is warrant (certainty) or there is novelty. If there is warrant, there is not novelty: that would be the case of deductive reasoning. If there is novelty, there is not warrant: that would be the case of inductive reasoning. Causal reasoning would belong to the second group because there is novelty and, therefore, there is not warrant in it. I argue that this is false: reasoning may have novelty and, nevertheless, be a deductive one. That is precisely what happens in (some) causal reasoning. And I will develop the following line of argumentation: one thing is to warrant that some state of affairs exists and other thing is to warrant that warrant. So we may have correct deductive reasoning without having certainty of that correction, like in some cases of causal reasoning.
Epistemology of Research on Radiation and Matter: a Structural View
Authors: Serra Isabel , Maia Elisa
Published: March 2020

The modern understanding of radiation got its start in 1895 with X-rays discovered by Wilhelm Röntgen, followed in 1896 by Henri Becquerel’s discovery of radioactivity. The development of the study of radiation opened a vast field of research concerning various disciplines: chemistry, physics, biology, geology, sociology, ethics, etc. Additionally, new branches of knowledge were created, such as atomic and nuclear physics that enabled an in-depth knowledge of the matter. Moreover, during the historical evolution of this body of knowledge a wide variety of new technologies was emerging. This article seeks to analyze the characteristics of experimental research in radioactivity and microphysics, in particular the relationship experience-theory. It will also be emphasized that for more than two decades, since the discovery of radioactivity, experiments took place without the theory being able to follow experimental dynamics. Some aspects identified as structural features of scientific research in the area of radiation and matter will be addressed through historical examples. The inventiveness of experiments in parallel with the emergence of quantum mechanics, the formation of teams and their relationship with technology developed from the experiments, as well as the evolution of microphysics in the sense of “Big Science” will be the main structural characteristics here focused. The case study of research in radioactivity in Portugal that assumes a certain importance and has structural characteristics similar to those of Europe will be presented.
“Why Are Our Women-Composers So Little Known?”
Authors: Lindstedt Iwona
Published: March 2020

Polish women-composers of the interwar period (1918–1939) have not been the subject of adequate research so far. We only have some contributory publications and general surveys dedicated to their output. This paper presents the initial results of a study that aims at creating a more multi-sided, in-depth picture of women-composers’ work, including their participation in local and international music life as well as their achievements in the field of composition, the styles and genres practised by selected representatives of this milieu. The paper also discusses the reception of these phenomena in the press of the period. My research leads me to the conclusion that, despite functioning in a kind of ‘parallel world’ in relation to the virtually all-male domain of music composition ‘proper’, the Polish women-composers did penetrate into that world, contributing to its dominant trends and tendencies, from Romantic inspirations to musical modernism, as well as popular music. Their contributions need to be taken into account if we wish fully to reconstruct and appreciate the Polish music created in that period.
Investigation on Soccer Referees: A Narrative Review
Authors: Cipriano Paulo , Martins Paulo , Duarte Ricardo , Preto Luis , Peixoto César , Moreira Miguel
Published: March 2020

Introduction.
The heightened physical exertion stemming from greater physical loads in football matches has elicited greater development of physical conditioning in both players and referees.

Material and methods.
The current study consisted of a meta-analysis geared towards identifying the scientific data currently available on the training of referees.

Results.
With respect to the characterization of the training of football referees, the results of this study showed that there is a diversity of both its methods and contents. As a result of this and based on the support offered by the meta-analysis, a proposal for categorizing the contents of this training is presented. Testing-wise, the results also showed that the FIFA test fails to identify the varying intensities that occur within a match setting and to characterize the distribution of referees’ varying exertions throughout match settings. Lastly, the results of this study also indicated that the training of referees ought to include periodization guidelines over the course of a season, since doing so allows for the optimization and monitoring of referees’ performance.
PENGARUH STRES KERJA DAN KEPUASAN KERJA TERHADAP TURNOVER INTENTION KARYAWAN PT. FASTRATA BUANA DENPASAR
Authors: Margaretta Heslie , Riana I Gede
Published: March 2020

The purpose of this study was to determine the effect of work stress and job satisfaction on turnover intention. The sample in this study were 86 employees who were determined using the saturation sampling method. The analysis technique used is descriptive analysis and Smart PLS. The results show that work stress has  positive significant effect on turnover intention. Job satisfaction has a negative and significant effect on turnover intention.  If job satisfaction is high then the employee job stress is certain to be getting lower and thus the employee's desire to leave the company is lower. Llow level of job satisfaction and high employee stress, so this also results in an increased level of turnover intention.

Keywords : Job Stress, Job Satisfaction, Employee Turnover Intention
Modifikasi Algoritma Fisher Yates Shuffle Menggunakan Linear Congruent Method Untuk Pembangkitan Bilangan Acak
Authors: Nasution Surya Darma , Suginam Suginam
Published: March 2020

Pembangkit bilangan acak digunakan untuk menghasilkan urutan-urutan dari angka-angka sebagai hasil dari suatu perhitungan dengan komputer yang diketahui distribusinya sehingga angka-angka yang dihasilkan akan muncul secara acak. Masalah yang ada pada suatu algoritma pembangkit bilangan acak adalah apakah algoritma tersebut dapat menghasilkan angka-angka yang acak. Linear congruent method memiliki kekurangan yaitu hasil bilangan acak yang dihasilkan berpola dan algoritma fisher yates shuffle memiliki kekurangan yaitu untuk menghasilkan bilangan acak membutuhkan algoritma pembangkit bilangan acak lainnya. Dengan memodifikasi algoritma fisher yates shuffle menggunakan linear congruent method diharapkan dapat menghasilkan menghasilkan bilangan acak.
Thymic output changes in children with clinical findings signaling a probable primary immunodeficiency
Authors: Karaca Neslihan , Azarsız Elif , Akarcan Sanem Eren , Aksu Güzide , Kütükçüler Necil
Published: March 2020

Thymic maturation evaluation is inevitable for patients with clinical and laboratory findings for a primary immunodeficiency, as the T cellimmunodeficiencies are the most severe type. In this study, we aimed to show the usage of T cell surface molecule `CD31` for the evaluation of thymic output in patients (n: 66) with a large spectrum of findings signing a probable primary immunodeficiency. Besides the classical clinical and laboratory approach for these patients, T cell subpopulations as naive, memory, recent thymic emigrant cells were also investigated. The humoral immunodeficiency (34.8%), combined immunodeficiency (34.8%) and cardiopathy (7.6%) were the most frequent diagnosis groups. CD4+CD45RA+ naive T-cells percentages (p: 0.011) and absolute counts (p: 0.004) and absolute CD4+CD45RA+CD31+ RTE (recent thymic emigrant) cell counts (p: 0.007) were significantly lower in combined immunodeficiency group. Naive T-cells (p: 0.037) and RTE cells (p: 0.032) were also lower in patients who had cardiac surgery in the past. In conclusion, flow cytometric CD31+thymic naive RTE cell evaluation may provide rapid clinical information especially on T-cell immune dysfunction and CD4+CD45RA+CD31+ RTE cells may be used as an alternative to TRECs in the diagnosis of combined immunodeficiencies.
A novel mutation in SLC2A1 gene causing GLUT-1 deficiency syndrome in a young adult patient
Authors: Üstyol Ala , Takahashi Satoru , Hatipoğlu Halil Uğur , Duman Mehmet Ali , Elevli Murat , Selçuk-Duru Hatice Nilgün
Published: March 2020

GLUT-1 deficiency syndrome is a rare, frequently unrecognized metabolic encephalopathy that is probably underdiagnosed. Although developmental delay, acquired microcephaly, spasticity, and impaired coordination were initially described as the classic findings, mild cases with no pronounced neuromotor compromise have since been included in the broad clinical spectrum with new mutations being identified more recently. We report a case of myoclonic seizures not responding to anti-epileptics since the age of one year in a 17-year-old patient with a normal phenotype and neuromotor development. Previously unreported p.Phe389Leu mutation was determined in the SLC2A1 gene in our patient. This case will be useful in clarifying the phenotype of GLUT-1 deficiency and reveals a new pathogenic mutation.
A pediatric case of Ortner`s syndrome caused by heritable pulmonary arterial hypertension and review of the literature
Authors: Kaya Özkan , Yoldaş Tamer , Karademir Selmin , Örün Utku Arman , Sarı Eyüp
Published: March 2020

An 11-year-old male, who complained of hoarseness and fatigue on effort presented to our institution for evaluation. Left vocal cord paralysis and severe pulmonary hypertension was diagnosed. The patient had an enlarged pulmonary artery due to pulmonary hypertension which was responsible for compression to left vocal cord paralysis causing hoarseness. Ortner`s syndrome or cardiovocal syndrome is known as hoarseness due to left vocal cord paralysis secondary to cardiac pathologies. Although hoarseness of voice is frequently encountered in the otorhinolaryngology clinics, pulmonary hypertension related hoarseness is an unusual presentation in childhood.
Multifocal mesenchymal hamartoma of the chest wall in a newborn
Authors: Yavuz Özlem Özkale , Özcan H Nursun , Çınar Hasibe Gökçe , Oğuz Berna , Haliloğlu Mithat
Published: March 2020

Mesenchymal hamartoma of the chest wall is an extremely rare, benign chondro-osseous chest wall tumor which originates from one or more ribs, in newborns or infants. It usually appears as a solitary lesion but more rarely can be multifocal and bilateral. Sometimes it may mimic chest wall malignant tumors because of its destructive radiological nature. Herein, we aim to present the imaging characteristics of a 4-day-old boy with multifocal mesenchymal hamartoma of the chest wall.
Spontaneously resolved uterine prolapse in a neonate with spina bifida
Authors: Yıldızdaş Hacer Yapıcıoğlu , Ece Ümit , Yurdakul Gülseren Bilen , Kolağasıgil Eda
Published: March 2020

Neonatal uterine prolapse is rare and mostly due to spina bifida. It is probably due to abnormal innervation of levator ani and subsequent atrophy of the muscle in patients with spina bifida. Here we report a newborn patient with uterine prolapse after meningomyelocele operation. Foley catheter was used to manage uterine prolapse, however rectal prolapse occurred and catheter was pulled out. She was followed in an outpatient clinic without any management. She is now seven months old and had no uterine prolapse since the age of two months.
Gambaran Klinis dan Histolopatologis Pasien Karsinoma Kavum Nasal dan Sinus Paranasal di Bagian THT-KL RSUP Dr. M. Djamil Padang Tahun 2016 – 2018
Authors: Husna Melita , Rahman Sukri , Rustam Erlina
Published: March 2020

Karsinoma kavum nasal dan sinus paranasal merupakan keganasan yang jarang terjadi namun bersifat agresif. Kelangkaan kasus keganasan ini menyebabkan sebagian besar pasien datang pada stadium lanjut. Penelitian ini bertujuan untuk mengetahui gambaran klinis dan histopatologis karsinoma kavum nasal dan sinus paranasal di Bagian THT-KL RSUP Dr. M. Djamil Padang. Penelitian ini merupakan penelitian deskriptif retrospektif menggunakan data rekam medis dengan teknik total sampling. Sampel penelitian sebanyak 51 pasien yang didiagnosis karsinoma kavum nasal dan sinus paranasal di Bagian THT-KL RSUP Dr. M. Djamil Padang tahun 2016 – 2018. Hasil penelitian menunjukkan sebagian besar pasien adalah pria (60,78%), kelompok usia 41 – 50 tahun (35,29%), dan bekerja sebagai petani (37,25%). Keluhan utama dan gejala klinis terbanyak adalah hidung tersumbat yaitu sebanyak (45,09%) dan (86,27%). Lokasi tersering ditemukan pada kavum nasal (62,74%). Pasien datang pada stadium III dan IV, dengan tipe histopatologi terbanyak adalah squamous cell carcinoma (58,82%). Kesimpulan penelitian ini bahwa pasien paling banyak ditemukan jenis kelamin laki-laki dengan keluhan utama dan gejala klinis terbanyak yang dialami adalah hidung tersumbat berlokasi di kavum nasal datang pada stadium III dan IV dengan tipe histopatologi squamous cell carcinoma.
Gambaran Hematologi Pasien Myelodysplastic Syndrome di RSUP Dr. M. Djamil Padang
Authors: Agustin Bestri Neli , Maani Hanifah , Desywar Desywar
Published: March 2020

Myelodysplastic syndrome (MDS) merupakan gangguan klonal sel stem hematopoietik berupa sitopenia, displasia, dan cenderung bertransformasi menjadi leukemia mieloid akut. Diagnosis MDS ditegakkan berdasarkan pemeriksaan hematologi, morfologi sel darah tepi, sumsum tulang, pemeriksaan lanjutan sitogenetika dan imunofenotiping, namun dua pemeriksaan terakhir ini tidak tersedia di semua rumah sakit di Indonesia sehingga diagnosis MDS terbatas pada pemeriksaan morfologi sel darah tepi dan sumsum tulang. Tujuan penelitian ini adalah mengetahui gambaran hematologi pasien MDS di RSUP Dr. M. Djamil Padang, merupakan penelitian deskriptif di laboratorium sentral RSUP Dr. M. Djamil Padang dari bulan November 2016 sampai dengan Oktober 2017. Populasi adalah semua pasien yang melakukan pemeriksaan sumsum tulang. Sampel penelitian adalah semua pasien yang telah didiagnosis MDS dari hasil pemeriksaan hematologi, sediaan hapus darah tepi dan sumsum tulang. Didapatkan 19 penderita MDS yang terdiri dari laki-laki 52,6% dan perempuan 47,4%, dengan perbandingan 1,1 : 1; rata-rata usia 40,6 tahun. Hasil pemeriksaan fisik: anemia 68,4%, anemia+organomegali 31,6%. Pemeriksaan hematologi: anemia+leukopenia+trombositopenia 57,8%, anemia+leukopenia 21,1%, anemia+trombositopenia 21,1%. Pemeriksaan sediaan hapus darah tepi: gambaran eritosit, ukuran: anisopoikilositosis 73,6%, normositik 26,4%; warna: polikrom 57,8%, normokrom 42,2%, ditemukan blast pada 42,1% penderita. Pemeriksaan sediaan hapus sumsum tulang, selularitas: hiposelular 73,6%, hiperselular 21,1%, normoselular 5,3%. Displasia seri eritropoietik+granulopoietik+trombopoietik 47,4%; seri eritropoietik+granulopoietik 31,5%; seri eritropoietik+trombopoietik 15,8%; seri eritropoietik saja 5,3%. Gambaran hematologi pasien MDS terbanyak pada penelitian ini adalah anemia, anisopoikilositosis, polikrom, selularitas hiposelular, dan ditemukannya displasia seri eritropoietik, granulopoietik dan trombopoietik.
Analyzing School Budget And National Achievement Test (NAT)
Authors: Gain Ma. Germie F. , Ancho Inero V.
Published: March 2020

This study analyzes how the allocation and utilization of school budget of selected schools in a City Schools Division in the Philippines relates with student achievement in the National Achievement Test (NAT). Data were obtained from the participating schools for school years 2012-2013 to 2014-2015 and were analyzed using Pearson correlation coefficients to determine if a relationship existed between specific school financial categories of the Annual Implementation Plan (AIP) and financial reports and the Mean Percentage Score (MPS) in NAT. Data were also analyzed through coefficients of variance to quantify the percent of the related sample that may be explained by the correlation of the variables. Findings include that training and seminar expenses, general services, repair and maintenance expenses and supplies and materials expenses were found to have a significant relationship with the MPS in NAT. Moreover, the positive relationship between financial expenditures and student performance is strongest in Mathematics, and the manner of spending financial resources only affects student performance in many subject areas but not the overall performance in NAT. These findings suggest policy recommendations that aim to guide school heads in the utilization of school budget which would most likely improve student performance in NAT.
SUSTENTABILIDADE COMO VALOR CONSTITUCIONAL: RACIONALIZAÇÃO DO MERCADO
Authors: Mansano Josyane , Ferreira Jussara Suzi Assis Borges Nasser
Published: March 2020

O presente trabalho avalia o estudo da sustentabilidade constitucional econômica face a uma necessidade de eficiência direta na gestão estatal. Pretende demonstrar a eficiência desta gestão sob a ótica inclusiva, durável, equânime e ambientalmente limpa. Apresenta-se um panorama sobre o esgotamento do mercado insustentável como está face aos meios de produção e consumo inconscientes existentes. Defende-se que sustentabilidade como valor constitucional para uma racionalização do mercado precisa pensar em crescimento apto a suprir as necessidades humanas, sem agredir o meio ambiente e socializar uma economia colaborativa na ânsia de sua sustentação, devendo prevalecer à interpretação de sacrificar o mínimo para preservar o máximo dos princípios e direitos fundamentais, vedadas ações e omissões causadores de danos a presentes e futuras gerações com objetivo de uma interpretação constitucional sustentável que promova harmoniosamente o desenvolvimento ético, social, jurídico-politico, econômico e ambiental. Os métodos utilizados no desenvolvimento foram o dedutivo e monográfico e pesquisa bibliográfica. O desafio está relacionado à dicotomia entre desenvolvimento econômico sustentado e o mercado. O objetivo específico está em ter no Estado uma eficiência direta em sua gestão para se tornar socialmente inclusivo, inovador, ético e eficiente e diacronicamente sustentável.
Renewable Energy and Sustainable Development
Authors: Ramos Pires Manso José , Bashiri Behmiri Niaz
Published: March 2020

This article develops the renewable energy and sustainable development theme, a topic that is much and much important since the problems that face the fossil fuels related to reserves exhaustions, the high price of new explorations and exploitations, the pollution levels and their impact on climate change (consequence of GHG emissions). Among the aims and objectives of this paper we discuss the renewal energies’ adoption or investments and their implications on sustainable development.
Las energías renovables en España
Authors: Sevilla Jiménez Martín , Golf Laville Emilio , Driha Oana M.
Published: March 2020

Las energías renovables se han convertido durante los últimos años en un sector de gran dinamismo en España. A la necesidad de aplicar las Directivas europeas para hacer frente a la problemática del cambio climático, se le han unido las exigencias de mejorar la eficiencia energética así como la de disminuir la dependencia del exterior.En este artículo se analizan las claves de este proceso, poniendo en evidencia tanto los factores que han posibilitado el rápido crecimiento de algunas tecnologías (eólica y solar preferentemente), como las limitaciones impuestas tanto por los procesos de consolidación presupuestaria como por el crecimiento acelerado de algunas de ellas.
Digital queer: identitas komunikasi genderqueer selebgram Mimi Peri
Authors: Pradhuka Briant Nor , Utari Prahastiwi , Sudarmo Sudarmo
Published: March 2020

Ahmad Jaelani, an Instagram influencer who adopted Mimi Peri as their new identity, plays a significant role in the emergence of digital queer phenomena in Indonesian cyber society. Ahmad Jaelani triggered the digital queer phenomena when he came out as gender queer. Jaelani’s brave act to adopt Mimi Peri identity resulted from various identity struggle. Before conforming to his new identity, he went through several stages, such as identity confusion, identity comparison, identity tolerance, identity acceptance, identity pride, and finally identity synthesis. He conveys his new identity through innovation and creativity, which are presented in several layers, such as personal layers, enactment layers, relational layers, and communal layers.
Framing of propaganda and negative content in Indonesian media
Authors: Roosinda Fitria Widiyani , Suryandaru Yayan Sakti
Published: March 2020

The robust development of information has enabled communities to continue to use the internet in various aspects of life. An essential element of information source is social media, which has become an inseparable part of our daily activities. It can be used for various things, one of which is propaganda in politics. Such propaganda impacts the dissemination of misleading information that does not necessarily conform with the core function of mass media. Nevertheless, conflicts of interest caused by media authorities continue to confuse the public regarding information released based on facts or made only for hoax distribution. The purpose of this study was to analyse framing in online news related to propaganda problems and harmful content using the Entman framing method. The practice of hoaxes in cyberspace became a sensational topic after the expose of sites that provided paid hoax news and hate speech in Indonesia during the Indonesian presidential election in 2014. The neutrality of mass media is necessary in order to provide accurate references for the public and to filter out misleading hoaxes. The role of the media institution influences the neutrality of the media. Active participation from the community is also essential in media supervising. Furthermore, the community perceive comfortable in delivering their political participation.
СОЦІАЛЬНІ МЕРЕЖІ ЯК ЗАСІБ ПІДВИЩЕННЯ ЕФЕКТИВНОСТІ СОЦІАЛЬНОГО ІНСТРУМЕНТАРІЮ УПРАВЛІННЯ ПЕРСОНАЛОМ НА ПІДПРИЄМСТВІ
Authors: Serniak Iryna
Published: March 2020

У статті розглянуто переваги використання соціальних мереж для пошуку та відбору персоналу підприємства. Враховуючи принципово нові акценти в сучасних методах і засобах управління персоналом, коли на передній план виходить створення умов для найбільш повного включення працівників у систему організації, зростання та розкриття їхнього потенціалу, запропоновано використовувати соціальні мережі для удосконалення соціального інструментарію управління персоналом. Розглянуто можливості застосування соціальних мереж для зростання ефективності соціальних інструментів навчання та розвитку персоналу, «управління талантами» працівника, консультування та коучингу, управління ефективністю, планування та розвитку кар’єри працівника, розвитку інформаційної системи людських ресурсів.
PENGEMBANGAN PROTOTIPE BUKU PENDIDIKAN EKOLOGIS MELALUI SENI DRAMA UNTUK KELAS V SD (BUKU GURU)
Authors: Sumarah Ignatia Esti
Published: March 2020

Since 1996 Directorate General of Ministry of Elementary and Secondary Education has been emphasizing the importance of giving ecological education so that pupils will have concern for caring and keeping the integrity of creation. This is in line with the teaching of the Catholic Church, which is strengthened by Pope Francis in his encyclical letter, Laudato Si’, published on May 24, 2015. From answers to questionnaires distributed to five Catholic teachers teaching at urban schools can be concluded that (1) ecological spirituality should become foundation of ecological education, (2) themes on ecological education found in elementary school thematic lessons should be understood as efforts to build ecological morality, and (3) the need for providing an example of a drama script which can be used by teachers as a method of teaching materials on ecological education. This research aimed at developing a book prototype entitled Caring for the Earth as Our “Common Home”: A Reflection on Encyclical Letter Laudato Si’ (for Elementary School Teachers). This book prototype has articles on ecological spirituality and ecological education as well as a drama script which can be used by teachers of fifth grade to teach third theme “Healthy Food,” second sub-theme “The Importance of healthy food for human body.” The development of this book prototype utilizes five of ten steps of Research and Development according to Borg & Gall: (1) analyzing the needs of developing a book prototype of ecological education, (2) studies on ecological education found in thematic lessons at elementary school, (3) developing a book prototype, (4) validation of the book prototype, and (5) revision of the book prototype. Findings of the research showed that the book prototype could be published. This was shown by evaluation given by a lecturer of biology with a mean score of 3.5 and evaluation given by a five grade teacher with a mean score 3.75. These mean scores are very high.
Нить на запястье: тувинский опыт здоровья (по материалам интервью со студентами тувинской диаспоры Томска)
Authors: Кириленко Елена Ивановна
Published: March 2020

Разнообразие современных медицинских систем, практик, методов в условиях современного поликультурного мира порождает проблему их совместимости. На основе исследования тувинского опыта здоровья  эта проблема конкретизируется следующим образом: выявляется и сохраняется ли специфика представлений о  здоровье у современных молодых тувинцев как части их жизненного мира в условиях сосуществования с альтернативными вариантами  неконвенциональных практик врачевания  и конвенциональной медицины?Эмпирической базой исследования явились 10 полуформализованных интервью с тувинцами—студентами из Тувы (Республики Тыва), обучающимися в томском филиале Российского государственного университета правосудия (2019 г.). Цель исследования — описание опыта и практик поддержания здоровья, его вариативности в среде тувинских студентов. Методологические принципы предпринятого исследования сформулированы в парадигме социальной феноменологии А. Шютца и ориентированы на «получение качественных описаний жизненного мира собеседника» (С. Квале).Исследование выявило следующие тематизации в культурном багаже информантов: «природность» жизненного мира; его сакральный характер; переживание магической природы оздоровительных практик;  причастность к традиции родовой жизни; ритуальную организацию жизни; отношение к здоровью как целостности, сочетающей религиозно-метафизическое, эстетическое, практическое  начала. Особый интерес представляет плетение нитей на запястье, которое отмечено у многих информантов, — символ защиты, здоровья, благополучия.В опыте поддержания здоровья отмечена ситуация «медицинского синкретизма»: лечение в государственном медицинском учреждении, по мнению информантов, может сочетаться с использованием средств неконвенциональной медицины. Подчеркивается возможный приоритет народных и традиционных методов лечения. В отношении к здоровью у тувинских студентов проявляются две тенденции: «фундаменталистская» (приверженность традициям культуры) и «модернистская» (отход от традиций культуры).
Curso de dissecação inguinal em cadáveres – um relato de experiência
Authors: Puerro Matheus Albert de Souza , Franco Aysha Nayane Lisboa , Leal Diego Teles Borges , Custodio Gabriela de Arruda , Silva Guilherme Alves da , Benício Juliana Miranda , Nascimento Larisse Lima da Silva , Teixeira Renan Kleber Costa , Nascimento Franklin Coelho
Published: March 2020

Objetivo: Este estudo tem como objetivo descrever a experiência de alunos graduandos de Medicina, discentes do Centro Universitário Metropolitano da Amazônia, exemplificando como a dissecação contribui para a formação de habilidades manuais e intelectuais destes estudantes e assim cumprindo as competências instituídas pelas Diretrizes Curriculares Nacionais do Curso de Medicina. Relato de experiência: Trata-se de um estudo descritivo, do tipo relato de experiência, a partir de um evento, que teve duração de cinco dias. O curso foi iniciado com uma atividade teórica, na qual os alunos puderam aprender mais sobre os instrumentais cirúrgicos, que seriam utilizados durante a dissecação. Além disso, foi ministrada uma aula de revisão, a respeito da anatomia da região inguinal. Seguiu-se um treinamento prático, sendo realizado em simuladores antes da dissecação no cadáver, com a finalidade de aprimorar as habilidades manuais dos discentes. Considerações finais: O curso de dissecção proporcionou a possibilidade de vivenciar as bases do eixo morfofuncional em sua plenitude, percebendo a importância das relações anatômica-patológica.
妇产科护理中存在的安全隐患和临床护理措施
Authors: 李 梅蓉
Published: March 2020

目的： 观察妇产科护理中存在的安全隐患和临床护理措施疗效。 方法： 随机选取我院妇产科 2016 年 3 月至 -2016 年 12 月收治的 15 例患者为本次研究对象，按照是否实施安全隐患预见性临床护理措施将参与本次研究的患者分对照组（ 7 例：未行安全隐患预见性护理）与实验组（ 8 例：行安全隐患预见性护理），比较两组患者护理干预效果。 结果： 实验组患者住院期间不良事件发生率（ 0.00%）低于对照，数据差异有统计学意义（P<0.05）。实验组患者对临床护理服务满意度（ 100.00%）明显高于对照组，数据差异有统计学意义（P<0.05）。结论 : 妇产科分析安全隐患发生原因，安全隐患预见性护理干预效果明显优于常规护理。
5G技术与远程医疗
Authors: 叶 玮
Published: March 2020

5G 技术在医疗行业有着巨大的应用空间，尤其是在远程医疗层面。本文通过在 5G 行业调查后，结合当今医疗行业的情况，将从 5G 技术的特点、 5G 技术在远程医疗中的应用、存在的问题进行分析，并对于 5G 技术与远程医疗结合后对社会经济的影响作出评价。
桂枝汤临证新用验案3则
Authors: 刘 挹潞 , 彭 莉莉
Published: March 2020

现代药理研究表明，桂枝汤对肠道蠕动、汗腺分泌、免疫功能均有双向调节作用，外可解肌发表，调和营卫，内科调和阴阳、气血，在临床上广泛运用。但目前临床治疗中将桂枝汤及类方运用于外感病偏多，对于内科杂病及外科病运用相对少。桂枝汤除了可治疗外感病，还可治疗许多内科杂病及外科病，本文献通过总结彭莉莉教授在临床上运用桂枝汤的临证经验来探讨桂枝汤的临床新用。
呼吸监护室护理交接班中沟通模式的疗效分析
Authors: 陈 国秀 , 孟 晓丽 , 王 明慧
Published: March 2020

目的： 观察和分析呼吸监护室护理交接班中沟通模式的疗效。 方法： 研究选择在 2017 年 2 月 ~2018 年 12 月期间在我院呼吸监护室接受护理治疗的患者 36 例作为对照组，在这期间未采用 SBAR 沟通模式；另外选择 2018 年 12 月 ~2019 年 10 月期间来我院呼吸监护室进行治疗和护理的患者 37 例作为研究组，在这期间已经采用了 SBRA 的沟通模式，制定并建立呼吸科监护室交班表，将两组的漏项率、不良事件发生率以及护士对其病情掌握的程度进行分析和比较。 结果： 研究组患者的漏项率、不良事件发生率相比于对照组，均明显较低，P ＜ 0.05；护士对研究组患者病情掌握的情况明显优于对照组，P ＜ 0.05。 结论：呼吸监护室护理交接班中采用 SBRA 沟通模式的临床疗效较好，能够避免在制定交班表的过程中出现漏项的情况，也能有效避免不良事件的发生，护士能够更加了解患者的病情，在临床上具有较高的应用价值。
品管圈在降低社区不合理处方率方面的应用
Authors: 刘 丽艳
Published: March 2020

随着医疗改革的深入，社区就医患者剧增，在此过程中，处方药被大量使用，从而造成不合理处方率大大增加。因此，为了保障患者的用药安全，降低不合理处方率，本文将遵循品管圈活动的一般步骤，对不合理处方数据进行统计，并分析处方合格率低的主要原因，同时进行对策探讨、效果确认以及总结改进！
Propaganda image of the social world in Polish children’s songs
Authors: Pilecka Małgorzata
Published: March 2020

The aim of this paper is to present results of critical analyses of Polish children’s songs. Having analysed the lyrics of more than eighty Polish children’s songs, the author couched main categories construing the image of the social world presented in them. The qualitative research revealed propaganda role of the language used in children’s songs: the features of social world (i.e. people, places, relationships, behaviours and values) that are presented in these songs often transmit strongly stereotypical and oversimplified vision of the social reality. In this sense, social education is based on manipulation in which lyrics are the main tool of symbolic violence.
Seksualizacja dzieciństwa. Wybrane aspekty
Authors: Dobosz Dagmara
Published: March 2020

This paper presents an overview of issues related to the problem of child sexualisation in the context of exposing children to sexualised images of teenagers and adults, especially in the context of promoting feminine beauty ideals as well as styling young girls as adults and giving them an erotic character. As a framework the definition of sexualisation developed by the APA was used. Possible consequences of sexualisation were discussed based on a review of previously published studies.
Dyskursywność klapsa w świetle rodzicielskich narracji
Authors: Kisa-Bogorodź Iga
Published: March 2020

In Poland there has been a ban on the use of corporal punishment of children since 2010. However, the results of the research presented in 2018 by The Ombudsman for Children of that time show that more than half of Polish parents use spanking in upbringing. In this paper I would like to find the reason why parents beat children, how they justify including corporal punishment or eliminating it from upbringing and how they perceive the child in mutual relations. A small part of the research presented by me is the result of the research process during which I conducted semi-structured interviews with parents. The material collected as the result of them was subjected to a phenomenographic analysis with the use of elements of the grounded theory and, as a result, three concepts of spanking which will be shown in the text appeared. The results of the research presented indicate that a spank is a discursive phenomenon which is perceived by some people as violence, harm and an unacceptable method in the educational process, and by others it is considered as a valuable, positive and needed element of mutual relations with the child. In the text I do not make an attempt to evaluate parental conceptions of spanking, but only to show the multiplicity of understanding it.
CONSTRUCCIÓN Y VALIDACIÓN POR JUICIO DE EXPERTOS DE UN INSTRUMENTO PARA MEDIR ATRIBUCIONES CAUSALES DE LAS COMPLICACIONES CRÓNICAS DE LA DIABETES MELLITUS
Authors: Zarco Villavicencio Alejandro , Cardoso Gómez Marco Antonio , Sánchez Ruíz José Gabriel , Arellano Cobián José Fernando
Published: March 2020

Introducción: La transición epidemiológica y demográfica, así como la modificación del estilo de vida han contribuido a incrementar la prevalencia de la diabetes mellitus (DM) y otras enfermedades crónicas. La DM provoca complicaciones que trastornan la calidad de vida y llevan a una muerte prematura, además de generar costos elevados para su atención. Los enfermos con DM realizan atribuciones causales acerca de su enfermedad, y conocerlas ayuda a explicar y entender lo que le pasa al enfermo y permite llevar a cabo acciones preventivas. Objetivo: Diseñar y validar un instrumento que permita conocer las atribuciones causales que los enfermos con DM realizan en relación a sus complicaciones crónicas. Métodos: Se desarrolló una escala tipo Likert de 36 ítems y se sometió a validación de contenido por 10 jueces de varias disciplinas del área de la salud. Resultados: Los ítems que fueron calificados con un porcentaje superior o igual a 80 en las categorías de suficiencia, claridad, coherencia y relevancia fueron incluidos en la escala. 4 ítems presentaron deficiencia en alguna categoría. Conclusiones: Los resultados indican una adecuada validez de la escala, por lo que asumimos que tiene un potencial considerable para identificar los factores a los cuales los enfermos con DM atribuyen sus complicaciones crónicas y así contribuir en la prevención y control de las mismas.ABSTRACTIntroduction: Epidemiologic and demographic transitions, as well as modifications in life-style have contributed to the increase in prevalence of diabetes mellitus (DM) and other chronic diseases. DM causes complications that transform the living standard and lead to premature death, along with generating additional costs for its medical treatment. Patients with DM provide causal attributions to their disease and this knowledge helps to understand and explain their symptoms, and enables to take preventive measures. Objective: Designing and validation of an instrument that allows the determination of causal attributions that patients with DM make regarding their chronic complications. Methods: A Likert-type scale with 36 items was built and validated by 10 judges from different health-care disciplines. Results: Items with a qualification greater or equal than 80% in sufficiency, clarity, coherence and relevance were included in the scale. 4 items had deficiency in certain category. Discussion: Results indicate an appropriate validity in the scale, so it is assumed that it has a significant potential for the identification of factors of their chronic complications attributed by the patients with DM, in order to contribute to the prevention and control of the same.Palabras Clave: Juicio de expertos, validez de contenido, atribuciones causales, diabetes mellitus,Expert judgement, content validity, causal attributions, diabetes mellitus.
Estudio del comportamiento alimentario infantil a través de la técnica de “dibujar y escribir” en escolares mexicanos
Authors: Castro Sánchez Ana Elisa , Hernández Ruiz Karina Janett , Ramos Peña Esteban Gilberto , Ávila Ortiz María Natividad
Published: March 2020

Introducción: México presenta una de las prevalencias más altas en obesidad infantil a nivel mundial. Sin embargo poco se sabe sobre el estilo de vida relacionado con la alimentación de los niños y niñas mexicanos. Objetivo: estudiar el comportamiento alimentario en niños y niñas mexicanos a través de la técnica cualitativa de “dibujar y escribir”. Metodología: investigación cuantitativa-cualitativa; participaron 186 estudiantes. Las respuestas se registraron como texto; se agruparon en categorías y se cuantificaron; se elaboraron tablas de frecuencia; se realizaron pruebas estadísticas. Resultados: se obtuvo un total de 2,727 dibujos con su descripción; todos los grados presentaron diferencias significativas (p<0.001). Conclusiones: La prueba manifiesta mayor eficiencia en los grados escolares de cuarto y quinto de primaria; en secundaria ya no es eficiente. Los resultados indican pistas útiles para ser utilizadas en las estrategias de orientación alimentaria y en los programas de atención y control de la obesidad infantil.AbstractIntroduction: Mexicans are among the first in the world to address a high prevalence of overweight and obesity coupled with malnutrition in their population. However, little is known about the lifestyle of Mexican children with respect to food. Objectives: The study objective was to investigate the eating behaviour of Mexican children using the qualitative technique of “Drawing and Writing.” Methods: mixed (quantitative-qualitative) study. The trial was conducted with 186 students from pre-school to the first year of secondary school. Responses were recorded as text; they were grouped into categories and quantified; frequency tables were developed; statistical analyzes were performed. Results: A total of 2,727 drawings with descriptions were collected, and the data showed significant differences (p<0.001) in general. Conclusions: The technique used in the trial had the greatest effectiveness in the fourth and fifth grades of primary school, whilst in secondary school, it was no longer effective. Palabras Clave: técnica “dibujar y escribir”; escolares mexicanos; comportamiento alimentario, Mexican students; “Drawing and Writing” technique; eating behaviour
Detección precoz del cáncer en la mujer, enorme desafío de salud en México. Algunas reflexiones
Authors: Dórame-López Norma Alicia , Tejada-Tayabas Luz María , Galarza-Tejada Dulce María , Moreno-González María Mercedes
Published: March 2020

Introducción:El incremento acelerado en la prevalencia del cáncer de mama (CaMa) y cáncer cervicouterino (CaCu) así como su elevada mortalidad en México, representan un gran desafío para el sistema de salud mexicano. A pesar de los esfuerzos y las acciones emprendidas para reducir las cifras, el impacto no ha sido el esperado. La evidencia establece que si el cáncer se detecta en estadíos iniciales es curable, tiene un mejor pronóstico, mayores tasas de supervivencia, los tratamientos son más asequibles y pueden administrarse con menos recursos y costos. Por ello la importancia de la prevención y detección temprana de la enfermedad y su tratamiento oportuno, lo cual requiere de una educación para generar conciencia y no solo proporcionar información a las mujeres, así como de garantízar el fácil acceso a servicios de salud de calidad en atención primaria. Objetivo: Presentar una reflexión critica sobre algunas de las razones por las que la detección precoz del cáncer en la mujer se mantiene como uno de los principales desafíos de salud en México. Para ello se plantean algunas ideas reflexivas sobre: el soporte de las políticas públicas a las acciones de atención primaria, la relevancia del nivel de conocimientos en las mujeres respecto a la prevención y detección oportuna de CaMa y CaCu. AbstractIntroduction: The rapid increased the prevalence of breast cancer (BC) and cervical cancer (CC) and its high mortality in Mexico, represent a major challenge for the Mexican health system. Despite the efforts and actions taken to reduce the numbers, the impact has not been as expected. The evidence establishes that if the cancer is detected in early stages is curable, has a better prognosis, higher survival rates, and the treatments are more affordable and can be managed with fewer resources and costs. Hence it´s important the prevention and early detection of disease and timely treatment, which requires education to develope awareness not only provide information to women, and it is important to ensure easy access to health services quality primary care. The aim of this paper is to present a critical reflection about some of the reasons why early detection of cancer in women is mainteined as one of the major health challenges in Mexico. To this end, some reflective ideas are put forward about: the support of public policies for primary care actions, the relevance of the level of knowledge in women regarding the prevention and timely detection of CaMa and CaCu.Palabras clave:Promoción de la salud, detección precoz de cáncer, neoplasia de la mama, neoplasia de cuello del útero,  Health promotion, early detection of cancer, breast Cancer, neck of the uterus neoplasm
CONOCIMIENTO, ACTITUDES Y PRÁCTICAS ALIMENTARIAS DE MADRES CON NIÑOS DE 6 A 24 MESES EN CUBA
Authors: Ajete Careaga Susan Belkis
Published: March 2020

Introducción: Los cuidados de nutrición durante los primeros años de vida son fundamentales para el óptimo crecimiento y desarrollo del niño. Objetivo: Evaluar los conocimientos, actitudes y prácticas alimentarias de las madres con niños de 6 a 24 meses de edad en San Cristóbal, Artemisa, 2015. Material y Métodos: Se realizó un estudio descriptivo transversal con 95 madres de niños entre 6 y 24 meses de edad, pertenecientes a las 13 áreas de salud de la localidad de San Cristóbal. Se aplicó el cuestionario diseñado y validado por el Instituto Nacional de Nutrición e Higiene de los Alimentos para el Estudio Nacional sobre Hábitos y Prácticas Alimentarias de los niños menores de dos años. Resultados: Se encontró desconocimiento del valor nutritivo de las grasas (53,7%), y de los riesgos del consumo de gelatina (88,4%). El 80% de las madres utilizaba el biberón para alimentar a sus hijos, y el 71,6% ofrecía los alimentos mezclados. Conclusiones: No todas las madres tenían conocimientos adecuados sobre los alimentos que debían dar al niño a partir del primer año de vida. La mayoría mantuvo actitudes favorables y buenas prácticas durante la alimentación de sus hijos, con excepción del uso de biberón.Palabras Clave: Conocimientos, actitudes, prácticas alimentarias ABSTRACTIntroduction: The cares of nutrition during the first years of life are critical for optimal growth and development of the child. Objective: To evaluate the knowledge, attitudes and practices of mothers with children from 6 to 23 months of age in San Cristobal, Artemisa, 2015. Methods: A descriptive and transversal investigation was done with 95 mothers of children between 6 and 24 months of age, belonging to the 13 health areas of the town of San Cristobal. Questionnaire was designed and validated by the National Institute of Nutrition and Food Hygiene to the National Survey on Dietary Habits and Practices of children under the age of two years. Results There was a lack of knowledge of the nutritional value of fats (53.7%) and of the risks of gelatin consumption (88.4%). 80% of mothers used the bottle to feed their children, and 71.6% offered mixed foods. Conclusions: Not all mothers had adequate knowledge about foods that should give the child from the first year of life. The majority maintained favorable attitudes and good practices during the feeding of their children, except for the use of bottle.Key Words: Knowledge, attitudes, feeding practices