bluuebunny/crossref_metadata_2025 huggingface dataset:
Pictorial and spatial metaphor in the drawings of a culturally diverse group of women with fertility problems
Authors: Refaie Elisabeth EL , Payson Alida , Bliesemann de Guevara Berit , Gameiro Sofia
Published: July 2018

Metaphor has been shown to be pervasive in the way people talk and write about a whole range of diseases, including infertility. Indeed, some of the most conventional of these metaphorical expressions have become so entrenched in particular discourse communities that they are used unconsciously and automatically, even by people who do not, in fact, agree with their underlying ideological implications. As the authors argue in this article, eliciting visual metaphors in the form of drawings may reveal the meaning-making processes of individuals in a way that more richly reflects their unique experiences, including those that challenge or disrupt dominant cultural models. Based on an analysis of drawings created by a group of women in Wales from diverse ethnic and religious backgrounds, the authors show the importance of taking into account both explicit pictorial metaphors and any metaphorical meanings suggested by spatial composition, as well as the specific socio-cultural context in which they were created.
“Trying to square the circle”: Research ethics and Canadian higher education
Authors: Taylor Alison , Taylor-Neu Robyn , Butterwick Shauna
Published: July 2018

At the European Conference on Educational Research (ECER) in 2016, a panel presented the findings from a survey initiated by the European Educational Research Association Council to examine educational researchers’ experiences with the research ethics review process at their universities. Some researchers appeared to be looking to North America for models to govern and regulate university research ethics. In response, our inquiry began from the question: what can European researchers learn from the way ethical review structures and processes have developed in Canada? But as we approached this question, we encountered a more immediate question: to what extent is it possible to address a diversity of research–ethical concerns via a single, bureaucratic policy? Then, how do standardized ethics regimes fail to account for non-standard research—and thereby fail researchers, participants, and communities?; and what is the alternative? In this paper, we explore the history of the development of an ethics regime for Canadian universities, and changes over time. Based on this review, as well as our personal experiences with community-based research, we argue that efforts to regulate the diversity of social sciences research via a uniform policy almost inevitably miss the mark: one ends up trying to “square the circle”.
Transdiagnostic Approach to Food Avoidance After Bariatric Surgery: A Case Study
Authors: Rigby Andrea
Published: July 2018

This study describes treatment of an adult woman, referred to as “Carla,” who was referred for psychological intervention following bariatric surgery due to recurrent nausea and vomiting along with food avoidance. Carla evinced symptoms including dietary range restriction, failure to progress to recommended caloric intake, fear of vomiting, and body dissatisfaction. She was diagnosed with generalized anxiety disorder, along with comorbidities including dysthymia, body dysmorphia, and subsyndromal specific phobia of vomiting (SPOV). Treatment included 20 weekly sessions utilizing a transdiagnostic approach to treatment, which has been shown to be efficacious in management of multiple comorbidities. The limited body of research and results of this case suggest expansion of the criteria for avoidant restrictive food intake disorder (ARFID) to allow for inclusion of this constellation of symptoms within bariatric patients.
On finite-time consensus objectives in time-varying interconnected discrete linear dynamic systems under internal and external delays
Authors: De la Sen Manuel , Alonso-Quesada Santiago
Published: July 2018

This article formulates the properties of achievable consensus of linear interconnected discrete systems with multiple internal and external point delays. The formulation is stated in an algebraic generic context as the ability of achievement of (a non-necessarily zero) finite-time common error between the various subsystems. The consensus signals are generically defined so that they can be, in general, distinct of the output or state components. However, the consensus signals of all the interconnected subsystems have the same dimension for coherency reasons. A particular attention is paid to the case of weak interconnection couplings in both the open-loop case and the closed-loop one under, in general, linear output feedback. Some further extensions are given related to consensus over intervals and related to consensus of positive interconnected systems.
Patient participation in primary care: Why is it important?
Authors: Wilkie Patricia
Published: July 2018

This paper clarifies the importance to GPs of involving patients in the wider aspects of the organisation of health care, as well as in their personal care, and demonstrates why GPs need to work with the patients in their practice in order to fulfil aspects of the GP curriculum and revalidation. The article explains how successful collaborative working between patients, GPs and the practices can be achieved for the considerable benefit of all.
The impact of supportive supervision of infection prevention and control practices on Ebola outbreak in Liberia
Authors: Ephraim Ogbaini-Emovon , Cyrus Sneh , Myer Pajibo , Steve Abah
Published: July 2018

Background:

Supportive supervision of infection prevention and control (IPC) practices was one of a range of interventions employed at the county level in the control of the world’s most deadly Ebola virus disease outbreak that affected Liberia during 2013–2016.

Methods:

Datasets generated from four consecutive assessment visits to 25 health facilities in Maryland County, in Liberia, were analysed. Information on IPC practices was obtained by interview, direct observation and completion of a standardised assessment tool. For each of the IPC fields assessed, a score < 50% was graded poor, 50–75% as fair, while > 75% was rated as good.

Results:

Before the intervention, the first assessment (baseline) indicated that the majority of the health facilities scored low in terms of isolation facilities, IPC administration, supply and equipment, personnel and staffing, triage and waste management. Following the application of supportive supervision and monitoring, all the facilities recorded moderate to good performance in all the fields during the fourth round of assessment, except for isolation facilities, which scored low.

Conclusion:

Supportive supervision and monitoring of healthcare facilities appeared to have contributed to the improvement in IPC standards and compliance during the Ebola outbreak as demonstrated in this small-scale study and should be sustained as a core component of IPC programs, particularly in prolonged outbreak situations.
The therapeutic role of ivabradine in heart failure
Authors: Badu-Boateng Charles , Jennings Robert , Hammersley Daniel
Published: July 2018

Heart failure represents a major global cause of morbidity and mortality. Ivabradine is a selective funny current (If) inhibitor, which acts on the sinoatrial node, resulting in a reduction in heart rate. Ivabradine is currently licensed for use in patients with symptomatic heart failure with reduced ejection fraction and a heart rate persistently at least 70 beats per minute in spite of otherwise optimal prognostic heart failure pharmacotherapy. In this review article, we examine the mechanism of action of ivabradine, evaluate the clinical trials underpinning its application in heart failure and discuss its current recommended clinical use in this capacity.
The association of physical function and physical activity with all-cause mortality and adverse clinical outcomes in nondialysis chronic kidney disease: a systematic review
Authors: MacKinnon Heather J. , Wilkinson Thomas J. , Clarke Amy L. , Gould Douglas W. , O’Sullivan Thomas F. , Xenophontos Soteris , Watson Emma L. , Singh Sally J. , Smith Alice C.
Published: July 2018

Objective:

People with nondialysis-dependent chronic kidney disease (CKD) and renal transplant recipients (RTRs) have compromised physical function and reduced physical activity (PA) levels. Whilst established in healthy older adults and other chronic diseases, this association remains underexplored in CKD. We aimed to review the existing research investigating poor physical function and PA with clinical outcome in nondialysis CKD.

Data sources:

Electronic databases (PubMed, MEDLINE, EMBASE, Web of Science, Cochrane Central Register of Controlled Trials) were searched until December 2017 for cohort studies reporting objective or subjective measures of PA and physical function and the associations with adverse clinical outcomes and all-cause mortality in patients with nondialysis CKD stages 1–5 and RTRs. The protocol was registered on the International Prospective Register of Systematic Reviews (PROSPERO) (CRD42016039060).

Review methods:

Study quality was assessed using the Newcastle-Ottawa Scale and the Agency for Healthcare and Research Quality (AHRQ) standards.

Results:

A total of 29 studies were included; 12 reporting on physical function and 17 on PA. Only eight studies were conducted with RTRs. The majority were classified as ‘good’ according to the AHRQ standards. Although not appropriate for meta-analysis due to variance in the outcome measures reported, a coherent pattern was seen with higher mortality rates or prevalence of adverse clinical events associated with lower PA and physical function levels, irrespective of the measurement tool used. Sources of bias included incomplete description of participant flow through the study and over reliance on self-report measures.

Conclusions:

In nondialysis CKD, survival rates correlate with greater PA and physical function levels. Further trials are required to investigate causality and the effectiveness of physical function and PA interventions in improving outcomes. Future work should identify standard assessment protocols for PA and physical function.
Uridine triacetate for severe 5-fluorouracil toxicity in a patient with thymidylate synthase gene variation: Potential pharmacogenomic implications
Authors: Baldeo Candice , Vishnu Prakash , Mody Kabir , Kasi Pashtoon Murtaza
Published: July 2018

Adverse drug reactions can be unpredictable. However, pharmacogenomic testing can help identify patients who may be more susceptible to the toxic effects of certain drugs. Genetic variations in the dihydropyrimidine dehydrogenase and thymidylate synthase genes have been shown to increase the risk of 5-fluorouracil toxicity. 5-Fluorouracil toxicity can be life threatening. Fortunately, there is treatment available for 5-fluorouracil toxicity, called uridine triacetate. Although, the indications for its use limit its administration to within 96 h of receiving 5-fluorouracil, we report a case of effective therapy in a patient started on uridine triacetate beyond the recommended 96 h, who was found to carry a thymidylate synthase gene variation but no dihydropyrimidine dehydrogenase mutations. This provides important implications for pharmacogenomic testing.
Ten years of EMS Fall Calls in a Community: An Opportunity for Injury Prevention Strategies
Authors: Quatman Carmen E. , Mondor Michael , Halweg Jodi , Switzer Julie A.
Published: July 2018

Objective:

To determine whether fall calls, lift assists, and need for transport to the hospital over the past 10 years in one emergency medical services (EMS) system have altered coincident with demographic changes and to estimate health-care cost for lift assists.

Methods:

We conducted a retrospective chart review of EMS fall-related care. The HealthEMS database for a suburban community surveyed was queried from March 1, 2007, to March 1, 2017. Fall-related calls in patients 60 years or older were identified and determined to be either lift assists (calls that do not result in transport) or fall calls that resulted in transport to the hospital.

Results:

Of the 38 237 EMS care responses in patients 60 years or older, 11.5% were related to falls. Fall calls increased by 268% over the past 10 years ( P = .0006), yet the number of transports to the hospital significantly decreased over time ( P = .02). Lift assists increased significantly ( P = .0003), nearly doubling over the decade. At the same time, fall calls that did not result in transport to the hospital cost the community an estimated US$1.5 million over a 10-year period.

Discussion:

There has been a dramatic shift in fall-related calls to EMS in older individuals with more frequent calls for lesser acuity needs. Utilization of EMS for lift assists has substantial financial consequences and diverts care from calls that need immediate triage and transport to care.

Conclusion:

Future work to reduce the frequency and increase the impact of EMS lift assists could have a significant cost benefit and provide opportunity for enrollment in appropriate community services and fall prevention programs.
Middlebackite, a new Cu oxalate mineral from Iron Monarch, South Australia: Description and crystal structure
Authors: Elliott Peter
Published: July 2018

Middlebackite is a new supergene mineral formed in the upper levels of the Iron Monarch quarry, South Australia. It occurs as aggregates of blue, prismatic crystals up to 0.3 mm across comprising individual crystals up to 0.05 mm in length associated with atacamite and mottramite. Crystals are translucent with a vitreous lustre and have a pale blue streak. Middlebackite is brittle with one perfect cleavage and uneven fracture. Mohs hardness is ~2. The calculated density is 3.64 g cm–3. Crystals are biaxial (+) with α = 1.663(4), β = 1.748(4) and γ = 1.861(4) (measured in white light). The calculated 2V is 86.7°. Pleochroism isX= colourless,Y= very pale blue andZ= dark sky blue;Z>Y>X. The empirical formula unit, based on six oxygen atoms per formula unit is Cu2.00(C2O4)Cl0.02(OH)1.98. Middlebackite is monoclinic, space groupP21/c witha= 7.2597(15),b= 5.7145(11),c= 5.6624(11) Å, β = 104.20(3)°,V= 227.73(8) Å3andZ= 2. The five strongest lines in the powder X-ray diffraction pattern are [d(Å), (I), (hkl)]: 7.070 (16) (100), 3.739 (100) (11$\bar{1}$), 2.860 (18) (020), 2.481 (12) (12$\bar{1}$) and 2.350 (9) (300). The crystal structure was refined from synchrotron single-crystal X-ray diffraction data toR1= 0.0341 for 596 observed reflections withF0> 4σ(F0). The structure is based on sheets of edge- and corner-sharing octahedra parallel to thebcplane. Sheets link in theadirection via oxalate anions.
Multidisciplinary recommendations for diagnosis and treatment of foot problems in people with rheumatoid arthritis
Authors: Tenten‐Diepenmaat Marloes , van der Leeden Marike , Vliet Vlieland Thea P. M. , Dekker Joost ,   RA Foot Expert Group
Published: July 2018

Background

Foot problems in people with rheumatoid arthritis (RA) are highly prevalent and have a substantial impact on quality of life. Healthcare professionals from various professions can be involved in the management of these foot problems. There is currently no consensus on optimal management. Therefore, the aim of the present study was to develop multidisciplinary recommendations for the management of foot problems in people with RA in the Netherlands.

Methods

The recommendations were based on research evidence and consensus among experts, following published strategies for the development of practice recommendations. The expert group was composed of 2 patients and 22 experienced professionals (rheumatologists, rehabilitation physicians, orthopaedic surgeons, specialized nurses, podiatrists, orthopaedic shoe technicians, pedicurists, and researchers) in the Netherlands. For each developed recommendation i) the level of evidence was determined, and ii) the level of agreement (among the expert group) was set by an anonymous voting procedure using a numeric rating scale. The mean and range of the level of agreement for each recommendation was calculated. A recommendation was approved when ≥70% of the expert group voted an NRS‐agreement ≥7.

Results

In total, 41 recommendations were developed. Two recommendations concerned a framework for diagnosis and treatment. Thirty‐nine recommendations on foot care were developed: seven on diagnosis (including check‐ups of feet and shoes and diagnostic imaging), 27 on treatment (including corticosteroid injections, foot surgery, therapeutic shoes, foot orthoses, exercise therapy, toe‐orthoses and toenail‐braces, treatment of toenails and skin), four on communication, and one on organisation of RA‐related footcare. All recommendations were approved by the expert group. The percentage score of NRS‐agreement ≥7 ranged from 80 to 100%.

Conclusions

These are the first published multidisciplinary recommendations specific to the management of foot problems in people with RA. Multidisciplinary recommendations can provide guidance in timely referrals and access to adequate footcare. More research is needed to strengthen the evidence on diagnosis and treatment of RA‐related foot problems. These national recommendations may be a first step towards developing international multidisciplinary recommendations for the management of foot problems in RA.
A retrospective comparative study of endoscopic and microscopic Tympanoplasty
Authors: Hsu Ying-Chieh , Kuo Chin-Lung , Huang Tzu-Chin
Published: July 2018

Background

This study compares endoscopic and microscopic tympanoplasty for the treatment of chronic otitis media (COM) without cholesteatoma.

Methods

This retrospective study included 153 ears (139 patients) treated surgically (endoscopic or microscopic tympanoplasty) for COM in the absence of cholesteatoma at our hospital between January 2008 and October 2015. The adoption of transcanal endoscopic ear surgery (TEES) or microscopic ear surgery (MES) was divided temporally (before and since 2014). Comparisons between these groups focused on the following: (I) surgical outcomes, including successful tympanic membrane healing and post-operative complications; (II) restoration of hearing; and (III) consumption of medical resources, including the duration of surgery and anesthesia. All patients had a follow-up period of at least 3 months after surgery.

Results

No statistically significant differences were observed between the two groups regarding surgical outcome or hearing restoration. TEES resulted in the successful healing of 96.2% of ear drums, whereas MES led to successful healing in 92% ( p = 0.2826) of cases. The average hearing gains following surgery were 10.27 ± 6.4 and 12.43 ± 7.46 dB in TEES and MES, respectively. The consumption of medical resources in the TEES group was lower than that of the MES group (TEES versus MES) regarding the average operating time (87.8 ± 19.01 min (mins) versus 110.2 ± 17.0 (mins) ( p <  0.0001)) and the mean duration of anesthesia ((for general anesthesia patients) (122.1 ± 21.25 mins versus 145.8 ± 16.88 mins) ( p ≤  0.0001)).

Conclusions

The results indicate that TEES can achieve surgical outcomes and hearing restoration comparable to those of MES. In addition, TEES appears to be associated with shorter surgical and anesthesia time, which makes it an ideal alternative for the management of COM without cholesteatoma.

Trial registration

This study was approved by the Institutional Review Board of the Cathay General Hospital. (CGHIRB No: CGH-P105012 ).
Use of Hydroxocobalamin (Vitamin B12a) in Patients With Vasopressor Refractory Hypotension After Cardiopulmonary Bypass: A Case Series
Authors: Armour Sarah , Armour Trygve K. , Joppa William R. , Maltais Simon , Nelson James A. , Wittwer Erica
Published: July 2018

Hydroxocobalamin (vitamin B12a) is an emerging treatment for vasoplegic syndrome (VS) associated with cardiopulmonary bypass (CPB). Given its cost and scarcity, an institutional guideline for its use as a rescue treatment in cases of suspected VS was developed. Hemodynamic variables and vasopressor requirements were reviewed for a series of 24 post-CPB patients who received B12a. Favorable changes in hemodynamic parameters and vasopressor requirements were seen after B12a administration although guideline criteria for VS were inconsistently met. These findings support the continued study of B12a in patients with CPB-associated VS.
Hypoxia-inducible transcription factors in fish: expression, function and interconnection with the circadian clock
Authors: Pelster Bernd , Egg Margit
Published: July 2018

The hypoxia-inducible transcription factors are key regulators for the physiological response to low oxygen availability. In vertebrates, typically three Hif-α isoforms, Hif-1α, Hif-2α and Hif-3α, are expressed, each of which, together with Hif-1β, may form a functional heterodimer under hypoxic conditions, controlling expression of hundreds of genes. A teleost-specific whole-genome duplication complicates the analysis of isoform-specific functions in fish, but recent studies suggest that the existence of paralogues of a specific isoform opens up the possibility for a subfunctionalization. In contrast to during development inside the uterus, fish eggs are freely accessible and studies analyzing Hif expression in fish embryos during development have revealed that Hif proteins are not only controlling the hypoxic response, but are also crucial for proper development and organ differentiation. Significant advances have been made in our knowledge about tissue-specific functions of Hif proteins, especially with respect to gill or gonadal tissue. The hypoxia signalling pathway is known to be tightly and mutually intertwined with the circadian clock in zebrafish and mammals. Recently, a mechanistic explanation for the hypoxia-induced dampening of the transcriptional clock was detected in zebrafish, including also metabolically induced alterations of cellular redox signalling. In turn, MAP kinase-mediated H2O2 signalling modulates the temporal expression of Hif-1α protein, similar to the redox regulation of the circadian clock itself. Once again, the zebrafish has emerged as an excellent model organism with which to explore these specific functional aspects of basic eukaryotic cell biology.
Exposure to traumatic experiences among people addicted to alcohol
Authors: Skotnicka Justyna
Published: July 2018

Cel pracy

Celem podjętych badań była próba odpowiedzi na pytanie o występowanie różnic w doświadczaniu zdarzeń traumatycznych wśród osób uzależnionych od alkoholu oraz wśród osób nieuzależnionych..

Metoda

W badaniu wzięło udział 240 osób, z czego 120 osób było uzależnionych od alkoholu (grupa kliniczna) – w tym 60 kobiet i 60 mężczyzn, oraz 120 osób nieuzależnionych od alkoholu (grupa kontrolna)- w tym 60 kobiet i 60 mężczyzn. Wszystkie osoby z grupy badanej zostały poproszone o wypełnienie:
TAA-SR- kwestionariusz oceny wydarzeń traumatycznych, Wywiad ustrukturyzowany sprawdzający obecność doświadczenia traumy i nasilenie symptomów potraumatycznych (PTSD) według DSM IV, ankieta osobowa.

Wyniki

Osoby uzależnione od alkoholu doświadczyły większej liczby traum niż osoby bez uzależnień. Liczba traum będących udziałem uzależnionych kobiet była istotnie mniejsza w porównaniu do odnotowanej w przypadku uzależnionych mężczyzn. Osoby uzależnione od alkoholu relacjonowały doświadczenie pierwszej traumy znacznie szybciej niż osoby bez uzależnień. Zdecydowana większość osób z grupy klinicznej (osoby uzależnione) wskazała, iż objawy uzależnienia pojawiły się po doświadczeniu pierwszej traumy.

Wnioski

Przeprowadzone badania wskazują na wysokie, wynoszące ok. 70 % , występowanie przynajmniej jednego zdarzenia traumatycznego na przestrzeni życia wśród osób uzależnionych od alkoholu.
Maternity is a part of the whole safety system
Authors: Silverton Louise
Published: July 2018

Training to ensure safety in maternity care is an important consideration for every health professional. But why, asks Louise Silverton, is there so much variation across services?
Repealed the Eighth
Authors: O'Connell Maeve
Published: July 2018

As an Irish midwife who has experienced both sides of the abortion debate, Maeve O'Connell has a unique insight into recent events in Ireland. She explains what the referendum result meant to her
Moxibustion: An alternative option for breech presentation
Authors: Morris Sara , Geraghty Sadie , Sundin Deborah
Published: July 2018

In many countries, including the UK, Australia, China, and the USA, more than 80% of breech-presenting fetuses are born by caesarean section. However, it is important for midwives to note the options that are available to women desiring a vaginal birth. This article will investigate cephalic version methods available to women with a breech-presenting baby, including external cephalic version, moxibustion and acupuncture. The literature emphasises the need for further research into alternative methods of cephalic version, for clinicians to up-skill on vaginal breech birth techniques and, if not recommend, then advise women of alternative methods available if mainstream interventions are unacceptable or contraindicated.
Maternal attitude towards breastfeeding: A concept analysis
Authors: Hamze Layal , Carrick-Sen Debbie , Zhang Zeyu , Liu Yijuan , Mao Jing
Published: July 2018

Background

Mother and infant benefits of breastfeeding have been confirmed globally. Maternal attitude is a significant predictor for intention, initiation and continuation of breastfeeding, and is a multi-faceted and frequently-used concept.

Aims

To undertake a literature review and concept analysis of maternal attitude related to breastfeeding.

Methods

Walker and Avant's eight-step framework was used.

Findings

Attitude is a multi-faceted, frequently-used concept. Four critical attributes were identified: making a judgment based on beliefs, experience, knowledge and/or principles; feelings and thoughts towards a specific topic; a decision to agree, disagree or remain neutral; and consideration of behaviour and/or action change (or a decision not to take action). The review suggests that health professionals could apply the assessment of patient attitude to achieve desired behaviour.

Conclusion

Maternal attitude was related to intention, initiation and continuation of breastfeeding.
Gastrointestinal disorders and diet
Authors: Chandler Marge
Published: July 2018

The gastrointestinal tract is affected directly and indirectly by nutrition, as the diet supplies energy to the intestinal cells and affects the gut microbiome, motility, cell renewal, metabolite production and immune system. Nutritional management is critical for the treatment of many gastrointestinal disorders. There is a wide variety of diet types for different disorders, including diets that are highly digestible, low in fat, contain novel proteins uncommon in most pet foods, those with hydrolysed proteins, and diets high in fibre sources. Specific nutrients and supplements may also be used in gastrointestinal disorders, including cobalamin and other vitamins, omega-3 fatty acids, glutamine, and pre- and probiotics. This paper will discuss the nutritional management of acute vomiting and diarrhoea; chronic enteropathy including inflammatory bowel disease; protein losing enteropathy; and feline constipation.
The diagnostic approach to coughing in dogs and cats
Authors: Reeve Jenny
Published: July 2018

Coughing is a common presenting sign in dogs, less so in cats, and may be a manifestation of a wide range of disorders, from acute self-limiting disease that does not require specific diagnosis and treatment, through to acute and chronic diseases of varying severity that require appropriate investigation to guide optimal management and outcome. This article reviews the diagnostic approach to coughing.
Stepping up to the SLT: Part 3
Authors: Denton Phil
Published: July 2018

In the final article of his three-part series on making the step up to a senior leadership post, school leader Phil Denton discusses how to succeed when interviewing for an SLT post
ALTERIDAD Y SUJETO. EDUCAR DESDE UNA REALIDAD ROTA
Authors: Santos Gómez Marcos
Published: July 2018

INTRODUCCIÓN. Perseguimos especialmente demostrar la conexión entre la ética de la liberación de Enrique Dussel, desarrollada en su obra Ética de la liberación y la educación liberadora de Paulo Freire. Intentamos mostrar cómo ambas abordan el papel de la memoria y de la alteridad. Se aborda además el conflicto generado por una cierta versión de la modernidad que ha podido propiciar el sinsentido vivido en Auschwitz más la emergencia de nuevos valores positivos. MÉTODO. Se ha realizado una extensa revisión bibliográfica en las principales bases de datos (ERIC, Philosopher’s Index, DIALNET, SSCI, SCOPUS) para perfilar razones y argumentos a favor de la tesis planteada en la introducción. Se ha recogido dicha bibliografía, se ha ordenado, interpretado e incluido lo detectado en la revisión, en las consideraciones finales de este trabajo. Se ha abordado un texto teórico reflexivo para sugerir la posibilidad de una nueva educación desde una nueva modernidad. RESULTADOS. Se comprueba el paralelismo, interacción y afinidad entre Dussel y Freire, en sus análisis y respuestas. Esto significa un valioso apoyo filosófico a la reconocida pedagogía liberadora de Paulo Freire, que además incide en una nueva interpretación de los trabajos de este último. Recordemos la importancia de abordar fundamentaciones teóricas para una práctica que sin ellas adolecería de una cierta miopía. Desde Dussel y Freire hemos, pues, propuesto un modo en que la práctica pedagógica aspire a ser auténtica y globalmente inclusiva. DISCUSIÓN. Se abre una vía para repensar tanto la pedagogía como la modernidad, en los autores considerados y en otros que responden a similar problemática. Esto es una tarea necesaria y fundamental, con importantes implicaciones teóricas y prácticas
Immunological Activity of Vegetable Soup Made by Extruded Radish
Authors: Kim Yi-Eun , Cho Eun-Ji , Jun Hyeong-Kwang , Ryu Gi-Hyung , Sung Nak-Yun , Byun Eui-Hong
Published: July 2018

This study was to demonstrate the comparison of immunological activity between vegetable soup made by fresh and extruded radish in in-vitro (bone marrow-derived macrophages and dendritic cells, and mouse splenocytes) and invivo models. In cell survival tests, extruded radish added to vegetable soup (EVS) and non-extruded radish added to vegetable soup powder (NEVS) were treated with bone-marrow derived macrophages, dendritic cells, and mouse splenocytes, and showed no cytotoxic effect at a dose below 1000 μg/mL. EVS treated cells had greater cell proliferation and cytokine [tumor necrosis factor (TNF)-α, interleukin (IL)-6, IL-1β, IL-2, interferon (INF)-γ] production when compared to the NEVS treated group. Cell surface marker (CD 80/86, MHC class I/II) expression in bone marrow-derived macrophages and dendritic cells was evenly increased in the EVS treated group. In in-vivo study, administration of EVS increased for the CD4 and CD8 T cell population in splenocyte and cytokine production (IL-2, IFN-γ, TNF-α) but not Th2 type cytokines (IL-4). Therefore, adding the extruded radish is a more effective method for vegetable soup to increase immunological activity against immune cells.
Characterization of Raw and Roasted Fully Washed Specialty Bourbon Cultivar of Coffea Arabica from Major Coffee Growing Areas in Rwanda
Authors: Flambeau Kayihura Joseph , Yoon Jungro
Published: July 2018

This study evaluated the physicochemical qualities of washed specialty Bourbon Arabica from major producing areas of Rwanda in comparison with two world renowned Arabica coffees: natural/dry Bourbon from Brazil and washed Typica from Ethiopia. Significant differences in most physicochemical properties were observed between coffee growing areas within Rwanda as well as among the three countries. Washed Bourbon from Rwanda and washed Typica from Ethiopia were denser than the natural Bourbon from Brazil. Natural Bourbon from Brazil was found to be 20% more caffeinated whereas roasted washed Typica from Ethiopia contained about 21% higher caffeoylquinic acid (CQA) than the washed Bourbon from Rwandan. Generally, roasted washed Bourbon coffees from Rwanda showed higher acidity properties than Brazilian and Ethiopian coffees. This study indicated that coffee quality may vary even within the same variety from different origins which is due to conditions applied in different coffee growing areas.
Surface Structural Analysis of the Layered Perovskite Ca1.9Sr0.1RuO4 by Low Energy Electron Diffraction I-V
Authors: Ismail Ismail , Jin Rongying , Mandrus David , Plummer Earl Ward
Published: July 2018

Abstract – The atomic structure at surface of the layered perovskite Ca1.9Sr0.1RuO4 has been studied by Low Energy Electron Diffraction (LEED) I-V. The perovskite Ca1.9Sr0.1RuO4 of single crystal was cleaved in ultra high vacuum chamber (the pressure in the chamber was about 1x10-10 Torr). The experiments were conducted at room temperature (T=300 K). The sharp LEED pattern was observed which indicates that the surface of Ca1.9Sr0.1RuO4 is flat and it is a well ordered crystal. LEED I-V data, nine equivalent beams of the layered perovskite Ca1.9Sr0.1RuO4 were recorded at room temperature. LEED I-V calculation was performed to fit experimental data to obtain the surface atomic structure. The LEED I-V analysis reveals that in the surface of the layered perovskite Ca1.9Sr0.1RuO4 the RuO6 octahedra are rotated (in-plane rotation) alternating clockwise and counterclockwise. The in-plane rotation at the surface is 11 degree which is smaller than that in the bulk (13 degree). The Ru – O(1) bond-length at the surface is found to be 1.936 Å which is about the same as in the bulk (1.939 Å). The Ru – O(2) bond length at the surface is 1.863 Å which is much shorter than that in the bulk (2.040 Å). The volume of octahedral Ru-O6 at the surface is reduced by 9% with respect to the bulk. This finding shows that the atomic structure at surface of the layered perovskite Ca1.9Sr0.1RuO4is significantly different than that in the bulk. These lattice distortions strongly influence its electronic properties.   Key words: Transition Metal Oxide; Perovskite; Surface Atomic Structure; LEED I-V
Characteristics and Mineral Content of Sediment at Muara Pulau Kayu (MPK) of Southwest Aceh District
Authors: Purnawan Syahrul , Jalil Zulkarnain , Akmal Chairul , Ilhamsyah Yopi
Published: July 2018

Study on sediment characteristics and mineral content at Muara Pulau Kayu (MPK) of Southwest Aceh District was conducted to find a general description of grain size and mineral content regarding to hydro-oceanographic process. Sampling was collected at MPK, Southwest Aceh District during March 2016. Purposive sampling method was used to determine 4 sampling sites covering estuary and beach area. Grain size and mineral content were analyzed with a set of sieves and X-Ray Fluorescence (XRF with standard reference mineral). Observation on the grain roundness and sphericity showed that sediment grains are generally more rounded at beach area. Mineral content at MPK are dominated by Si, Fe, K, Ca and Ti that are categorized into volcanic mineral which conclude that sediment at MPK originated from Mount Leuser which was an active volcano in the past.
Optimization of Multiple Response Using Taguchi-WPCA In ST 60 Tool Steel Turning Process With Minimum Quantity Cooling Lubrication (MQCL) Method
Authors: Pamuji Dian Ridlo , Wahid Muhammad Abdul , Rohman Abdul , Sonief Achmad As’ad , Choiron Moch Agus
Published: July 2018

A research was conducted for the optimization of the turning process st 60 tool steel with multiple performance characteristics based on the orthogonal array with Taguchi-WPCA method. Minimum Quantity Cooling Lubrication (MQCL) metode was applied as a coolant. The experimental studies were conducted under varying the cutting speed, feeding, depth of cut and type of coolant. The optimized multiple performance characteristics were surface roughness, and material removal rate. An orthogonal array, signal-to-noise ratio, grey relational analysis, weighted pricipal component analysis and analysis of variance were employed to study the multiple performance characteristics. Experimental results show that cutting speed gives the highest contribution for minimize of surface roughness and maximize of material removal rate, followed by feeding speed, type of coolant and depth of cut. The minimum of surface roughness and maximize of material removal rat could be obtained by using the values of cutting speed, feeding speed,  depth of cut and type of coolant of 172.95 m/minute, 0.053 mm/rev, 0.25 mm, and vegetable oil as a coolant respectively.
Compositions Optimization of Antang Corundum for Developing Advanced Ceramic
Authors: Sanusi Olawale Monsur , Dauda M , Sumaila Malachy , Ahmed Abdulkarim S , Isa M T , Oyelaran O A , Martins O O
Published: July 2018

The research aims to study and optimize the formulation of materials required for advanced ceramic production using response surface methodology (RSM). In this research effort, the five (5) process independent variables studied with their corresponding levels are: Antang corundum powder, A (92.2 – 100 %W); polyvinyl alcohol, B (0 – 5 %W); CaO, C (0 – 2.3 %W); MgO, D (0 – 0.5 %W); and the sintering temperature, E (1200 – 1500 °C). The mechanical property responses determined were density, ρ, compressive strength, C/S, flexural strength, F/S; which are key characteristics of ceramics for armour applications. The optimized density, compressive strength and flexural strength of the sintered Antang corundum are 3.45 g/cm3 g, 1982 MPa and 295 MPa respectively; while the respective RSM prediction values are 3.45 g/cm3 g, 1982 MPa and 295 MPa. On comparing the determined optimum mechanical responses of the sintered Antang ceramic with the maximum RSM prediction values, there is high level of assurance in using RSM for the formulation process in ceramic armour development.
Representações sociais e educação ambiental: surdos no filme A gangue
Social representations and environmental education: deaf on the film The tribe
Authors: Santos Saionara Figueiredo , Bubniak Fabiana Paula , Velloso Bruno Panerai
Published: July 2018

Este artigo é reflexo do aprofundamento do estudo apresentado no VII Encontro e Diálogos com a Educação Ambiental. Neste pretendemos destrinchar as representações sociais de sujeitos surdos, presentes no filme A Gangue (2014).. A partir do projeto de extensão intitulado “Cineclube Surdo”, executado junto aos servidores e alunos do Instituto Federal de Santa Catarina, campus Palhoça Bilíngue (o qual atende surdos em sua prioridade), tínhamos como objetivo principal apresentar à comunidade produções cinematográficas realizadas por sujeitos surdos ou que representem a cultura dessa minoria linguística. No caso do filme A Gangue, este estava entre estas produções o filme escolhido para ser objeto de análise deste estudo. Assistiram este filme alunos surdos e ouvintes e servidores do campus, além de membros das associações de surdos catarinense. Após assistirem o filme, foi realizado um debate orientado por questões acerca da representação dada ao surdo, a estética dada a esta temática e a linguagem utilizada. A discussão foi estimulada, focada na representação surdo como criador no campo da arte e da importância do ensino de técnicas audiovisuais que podem dar voz a esse público na cultura popular. Neste estudo, buscamos articular as falas coletadas destas discussões com as abordagens teóricas da Educação Ambiental, evidenciando novas perspectivas de articulação e o seu caráter transcendental.

This article reflects the deepening of the study presented at the VII Meeting and Dialogues with Environmental Education. In this we intend to unravel the social representations of deaf subjects, present in the film The gang. From the extension project "Cineclube Surdo", executed with the servers and students of the Federal Institute of Santa Catarina, campus Palhoça Bilingual (which attends deaf in its priority), we had as main objective to present to the community cinematographic productions made by subjects deaf or representing the culture of this linguistic minority. In the case of the film The gang, this was between these productions the film chosen to be object of analysis of this study. This film was watched by deaf students and listeners and servers of the campus, as well as members of associations of the deaf from Santa Catarina. After watching the film, a debate was conducted, guided by questions about the representation given to the deaf, the aesthetics given to this theme and the language used. The discussion was stimulated, focused on deaf representation as a creator in the field of art and the importance of teaching audiovisual techniques that can give voice to this public in popular culture. In this study, we sought to articulate the statements collected from these discussions with the theoretical approaches of Environmental Education, evidencing new perspectives of articulation and its transcendental character.
A formação docente para a educação ambiental: investigando conhecimentos e práticas
Teacher training for the environmental education: investigating knowledge and practices
La formación docente para la educación ambiental: investigando conocimientos y prácticas
Authors: Branco Alessandra Batista de Godoi , Royer Marcia Regina , Nagashima Lucila Akiko
Published: July 2018

A Educação Ambiental (EA), em seu caráter político, econômico, social e cultural, é indispensável para a educação e cidadania, por sua natureza de direito inerente a todos os indivíduos. Na política nacional, são importantes padrões: a Lei nº 9.795/99, que dispõe sobre a EA, e o Decreto nº 4.281/02, que a regulamenta. Com base nestes marcos legais, foi investigado se a formação docente está adequada para o ensino da EA de forma transdisciplinar. Para tanto, buscou-se dados de formação, práticas e concepções que pudessem mostrar se a prática condiz com o estabelecido e, se sim, em que condições. Por meio de questionário online, numa pesquisa qualitativa, os resultados serviram para caracterizar o grupo e indicaram informações que não afiançam sua viabilização e desígnios. Quando ocorre, em sua maioria, limita-se ao meio ambiente e a sustentabilidade.

Environmental Education (EE), in its political, economic, social and cultural character, is indispensable for education and citizenship, due to its inherent right to all individuals. In national policy, there are important standards: Law n. 9,795/99, which provides for EE, and Decree n. 4.281/02, which regulates it. Based on these legal frameworks, it was investigated whether teacher education is adequate for the teaching of EE in a transdisciplinary way. Thus, it was researched data, practices and concepts that could show if the practice is consistent with what is established and, if so, under what conditions. Through an online questionnaire, in a qualitative research, the results served to characterize the group and indicated information that does not assure its viability and purpose. When it occurs, most are limited to the environment and sustainability.

La Educación Ambiental (EA), en su carácter político, económico, social y cultural, es indispensable para la educación y ciudadanía, por su naturaleza de derecho inherente a todos los individuos. En la política nacional, son importantes normas: la Ley nº 9.795/99, que dispone sobre la EA, y el Decreto nº 4.281/02, que la reglamenta. Con base en estos marcos legales, fue investigado si la formación docente está adecuada para la enseñanza de la EA de forma transdisciplinaria. Para eso, se buscó datos de formación, prácticas y concepciones que pudieran demostrar si la práctica concuerda con lo establecido y, si sí, en qué condiciones. Por medio de un cuestionario online, en una encuesta cualitativa, los resultados sirvieron para caracterizar al grupo e indicaron informaciones que no aseguran su viabilización y designios. Cuando ocurre, en su mayoría, se limita al medio ambiente y la sostenibilidad.
Histórico e pespectivas para o Sistema Único de Saúde brasileiro
Authors: LIMA RENATO RODRIGUES
Published: July 2018

Esta resenha apresentada informações relacionadas à situação do Sistema Único de Saúde desde sua criação até a atualidade.
A EFICÁCIA DO TRATAMENTO DA OBESIDADE ATRAVÉS DO TRANSPLANTE DA MICROBIOTA FECAL DE INDIVÍDUOS MAGROS
Authors: Penteado Júlia Oliveira , Salgado Rúbia Gabriela Fernandes , Barlem Edson
Published: July 2018

Há um crescente interesse na compreensão do papel da microbiota intestinal para elucidar o seu potencial terapêutico. Uma das possíveis aplicações do transplante da microbiota fecal é no tratamento da obesidade, também denominado bacterioterapia fecal. Dessa forma, o objetivo do trabalho foi compreender o efeito terapêutico da microbiota intestinal na saúde do indivíduo. Assim como, conhecer a aplicação do transplante da microbiota fecal de indivíduos magros em indivíduos obesos. Tratou-se de uma revisão integrativa da literatura. A busca dos artigos foi realizada em abril de 2016, no Portal Regional da Biblioteca Virtual da Saúde (BVS), no período 2006-2016. Foram utilizados como critérios de inclusão: artigos disponíveis na íntegra de acesso livre; que abordaram a temática do estudo; apresentação de resumo; em língua portuguesa, inglesa ou espanhola. Dentre os descritores de ciências da saúde (DECS), utilizou-se gastrointestinal microbiome, fecal microbiota transplantation e obesity. Os artigos apresentaram como principal resultado mais encontrado que o transplante da microbiota fecal do indivíduo magro para o indivíduo obeso pode ser usado no tratamento de várias doenças tais como infecções intestinais ou em Diabetes Melitus. Portanto, faz-se necessário a divulgação do tema em um âmbito multiprofissional facilitando o aumento de pesquisas em todas as áreas e um maior conhecimento sobre o assunto. Evidências atuais em humanos corroboram estudos em modelos animais para o tratamento da obesidade através desta técnica. Porém, os estudos ainda são escassos, dificultando a formulação de recomendações para a prática profissional.
CANABINOIDES E EPILEPSIA: POTENCIAL TERAPÊUTICO DO CANABIDIOL
Authors: De Carvalho Cristiane Ribeiro , Franco Pedro Leite Costa , Eidt Ingrid , Hoeller Alexandre Ademar , Walz Roger
Published: July 2018

Existem diversas evidências a respeito dos potencial terapêutico dos dois compostos majoritários presentes nas plantas do gênero Cannabis – canabidiol e Δ-9-tetraidrocanabinol – especialmente em relação à sua relevância clínica no tratamento da epilepsia. Anedoticamente, extratos padronizados com alto teor de canabidiol tem se mostrado eficaz na redução da frequência e a severidade das convulsões, particularmente em crianças com tipos raros de epilepsia que são refratárias aos fármacos convencionais. Essas evidências têm motivado a regulamentação do uso clínico de extratos padronizados contendo canabidiol para tratamento de casos graves de epilepsia no Brasil. A presente revisão traz um apanhado geral sobre a farmacologia do sistema endocanabinoide, os medicamentos baseados da Cannabis disponíveis para uso clínico, bem como do uso do canabidiol no tratamento da epilepsia em humanos. No entanto, apesar dos resultados promissores, ainda existem poucos de estudos clínicos bem delineados que garantam a eficácia, segurança e tolerabilidade do CBD no tratamento de pacientes com epilepsia intratável, tais como nas síndromes Dravet e de Lennox-Gastaut.