bluuebunny/crossref_metadata_2025 huggingface dataset:
Processes of desfocalization/desactivation of referents and introduction of new referents in the textual production activity
Authors: Maia Moura Heliud Luis
Published: November 2018

The objective of this work is to study processes of desfocalization/desactivation of referents and introduction of new referents in amazonian narratives. I take as a theoretical reference the postulations of Goffman (1988), Koch (1999, 2002, 2004, 2008), Marcuschi (2005, 2007), Mondada (2005) Moura (2013) and Schwarz (2000), for which the references introduced in a given text are products of different referral strategies. The delocalization/inactivation occurs when a new speech-object is introduced, but temporarily withdrawn from focus. The corpus studied consists of seventeen narratives, produced by Walcyr Monteiro. The narratives theme about the characters Boto, Cobra, Matintaperera and Curupira. The analyses countersign to the fact that the desfocalization/desactivation of referents is linked to socio-cognitive processes, linked to the contexts in which such productions are constructed.
O destinatário inscrito na exposição Biomas, do Catavento Cultural
Authors: Higashi Arlete Machado Fernandes
Published: November 2018

O objetivo deste artigo é apresentar, do ponto de vista linguístico-discursivo, a análise dos enunciados verbo-visuais que compõem a exposição Biomas, do Catavento Cultural e Educacional, com vistas a verificar a quem os enunciados expositivos são endereçados. Para tanto, fundamentar-nos-emos no conceito de destinatário proposto por Bakhtin e seu Círculo. Os resultados preliminares apontam que a construção dos enunciados verbo-visuais da exposição Biomas leva em conta um destinatário escolarizado e afeito aos assuntos tratados e expressa ainda uma entonação enaltecedora do território brasileiro.
A queda da máscara pelo não dito no discurso linguístico: Pacheco, segundo o ato perlocutivo de Fradique Mendes
Authors: Salzedas Nelyse Apparecida Melro , Paccola Rivaldo Alfredo
Published: November 2018

A estrutura de um texto direciona a sua leitura, pois ele é uma trama cujos fios se laçam e vão formando um desenho. A carta Ao Sr. E. Mollinet, na Correspondência de Fradique Mendes, de Eça de Queiroz (s/d), instiga o leitor a procurar teóricos e teorias. A nossa escolha recaiu em Austin (1962) e Searle (1969). Suas obras How to do things with words e Speech acts, respectivamente, foram os olhares e a teoria direcionados para a leitura da referida carta, que nos permitiu desmascará-la pelo não dito do discurso linguístico, segundo a Teoria dos Atos de Fala. O texto de Austin consta de doze leituras que enfatizam os verbos performativos e constatativos; os atos locucionários e perlocucionários presentes na linguagem ordinária, fundamentados na filosofia britânica analítica. Parece-nos ser a ideia de que a linguagem deve ser tratada essencialmente como fonte de ação e não representação da realidade. “Eu casualmente conheci Pacheco”, é o texto gerador da carta de Fradique Mendes, resposta ao Sr. E. Mollinet. Aí começam os primeiros traços da máscara de Pacheco, tão bem estruturada pelos atos performativos. Segundo Searle (1969, p. 16), “tomar o texto como uma mensagem, é tomá-lo como um texto produzido ou emitido.”.
Autobiografia (não) autorizada: eu lírico e autoria em poemas de Mia Couto
Authors: Micheletti Everton Fernando
Published: November 2018

Este artigo visa a analisar alguns poemas do escritor moçambicano Mia Couto, com ênfase na relação entre o eu lírico e o autor empírico, de modo a verificar as co-incidências autobiográficas. Em alguns poemas, o eu lírico se apresenta coincidente com o autor real, como nos textos dedicados ao pai e à esposa. Em outros, há pontos em comum, mas que não são assumidos, deixando aberturas à interpretação. Desse modo, o que se busca não é determinar os sentidos dos poemas e delimitar a interpretação pela via autobiográfica simplesmente, mas verificar como funcionam as várias instâncias da voz nos poemas e, a partir daí, levantar algumas características da produção poética de Mia Couto.
Sentido, educação e memória: a Educação de Jovens e Adultos em Pouso Alegre-MG
Authors: Laraia Marilda Castro
Published: November 2018

Neste artigo, propõe-se analisar o processo de construção da Educação de Jovens e Adultos (EJA) e suas diferentes Formações Discursivas (FD) em sua prática pedagógica na cidade de Pouso Alegre-MG. Para isso, observa-se a memória e o sentido que essas FD’S possuem na construção do processo de identificação dos educadores. O corpus de análise foi composto de documentos oficiais (leis) e entrevistas orais. No que diz respeito à discussão teórica e metodológica, ela está filiada à área de língua e ensino dentro da Análise de Discurso. Assim, a linguagem é pensada neste trabalho sempre articulada às práticas sociais e históricas, produzindo sentidos que possam oportunizar uma maior compreensão da EJA e dos sujeitos envolvidos neste processo de ensino aprendizagem.
Práticas de escrita: diálogos entre ciências da linguagem e ensino/aprendizagem de língua
Authors: Mendonça Marina Célia
Published: November 2018

Este artigo apresenta, inicialmente, o conceito de gêneros do discurso na obra de autores do Círculo de Bakhtin, em relação às noções de diálogo, esfera de atividade e sujeito, destacando seu caráter de heterogeneidade. A seguir, discute a atualização desse conceito na escola, especialmente em práticas de escrita, e defende a necessidade de se buscar a presença do sujeito no texto quando da abordagem dos gêneros do discurso na produção de textos na escola.
Acute cerebral infarction in a patient with an epidural catheter after left upper lobe resection: A case report
Authors: Kitajima Asuka , Otsuka Yuji , Sanui MD Masamitsu , Lefor MD/MPH Alan Kawarai
Published: November 2018

Background
There are several recent reports that left upper lobe lung resection is a risk factor for the development of postoperative thromboembolism. Although administering epidural analgesia is common in thoracic surgery, anesthesiologists should be alert when administering epidural analgesia to a patient undergoing left upper lobe resection, considering the increased risk of postoperative thromboembolism and the potential need for anticoagulation or fibrinolytic therapy in the immediate postoperative period.
Case presentation
A seventy-one-year-old female with a metastatic lung lesion developed a cerebral infarction approximately 30 hours after video-assisted thoracoscopic left upper lobectomy. Cerebral intravascular therapy was indicated and the epidural catheter was removed immediately to avoid formation of an epidural hematoma. Approximately four hours after onset, reperfusion was successfully established by aspiration of endovascular thrombi. She recovered with mild residual paralysis of the left upper extremity and was transferred to a rehabilitation facility.
Conclusions
We present a patient with a cerebral infarction after left upper lobe resection. Left upper lobe resection is associated with an increased risk of postoperative thromboembolism. Although the exact mechanism of thrombosis after left upper lobe resection is unclear, a judicious decision should be made regarding epidural catheter placement for postoperative analgesia.
Efficacy of rituximab in neuromyelitis optica: A meta-analysis
Authors: Gao Fulin , Chai Bingyan , Gu Cheng , Wu Ruipeng , Dong Tong , Yao Yuping , Zhang Yi
Published: November 2018

Background: Neuromyelitis optica (NMO) is a severe autoimmune disorder of inflammatory central nervous system, which often resulting in paralysis or blindness. Rituximab (RTX) is a mouse-human chimeric monoclonal antibody specific for the CD20 antigen on B lymphocytes used to treat many autoimmune diseases. This review performed a meta-analysis of the efficacy of rituximab use in NMO.
Methods: We searched through the databases of PubMed, Embase, and Cochrane Library. We compiled 28 studies in this meta-analysis: 19 used annualized relapse rate (ARR) ratio, 24 used Expanded Disability Status Scale (EDSS) score. Differences in the ARR ratio and EDSS score before and after rituximab therapy were the main efficacy measures. After a consistency test, the publication bias was evaluated and a sensitivity analysis was performed with mean difference (MD) of the efficacy of rituximab.
Results: A meta-analysis of 28 studies with 613 participants total was conducted. NMO patients have antibodies against aquaporin 4 autoantibody (AQP4-Ab) were recorded in 440 of 613 (71.78%). The mean difference of ARR ratio after rituximab therapy was 1.59 (95% CI, 1.33 to 1.85), and a mean difference 1.14 (95%CI, 0.95 to 1.33) reduction in the mean EDSS score. 345 of 563 patients (61.28%) reached a relapse-free state. 94 of 613 (15.33%) patients had adverse reactions.
Conclusions: RTX has acceptable tolerance, reduces the frequency of relapse, and improves disability in most patients. However, the potential impact of early diagnosis of NMO and treatment with RTX in reducing health-care costs and improving functional outcome should be carefully addressed in future studies.
Seattle-PAP trial: A Study to Evaluate the Efficacy of Seattle-PAP for the Respiratory Support of Premature Neonates
Authors: Backes Carl H. , Notestine RNC-NIC BSN Jennifer L. , Lamp RN-BC MS Jane M. , Balough IBCLC FACCE RN MSN Jeanne C. , Notestine Allison M. , Alfred RRT MS Crystal M. , Kern Juli M. , Stenger Michael R. , Rivera MS Brian K. , Moallem Mohannad , Miller Randy R. , Naik Apurwa , Cooper Jennifer N. , Howard MBA Christopher R. , Welty Stephen E. , Hillman Noah H. , Zupancic John A. F. , Stanberry Larissa I. , Hansen Thomas N. , Smith Charles V.
Published: November 2018

Background: At birth, the majority of neonates born at <30 weeks of gestation require respiratory support to facilitate transition and ensure adequate gas exchange. Although the optimal approach to the initial respiratory management is uncertain, the American Academy of Pediatrics endorses noninvasive respiratory support with nasal continuous positive airway pressure (nCPAP) for premature neonates with respiratory insufficiency. Despite evidence for its use, nCPAP failure, requiring intubation and mechanical ventilation is common. Recently, investigators have described a novel method to deliver bubble nCPAP, termed Seattle-PAP. While preclinical and pilot studies are encouraging with regard to the potential value of Seattle-PAP, a large trial is needed to compare Seattle-PAP directly with the current standard of care for bubble nCPAP (Fisher Paykel-CPAP; FP-CPAP).
Methods: We designed a multicenter, non-blinded, randomized controlled trial that will enroll 230 premature infants (220/7 to 296/7 weeks of gestation). Infants will be randomized to receive Seattle-PAP or FP-CPAP. The primary outcome is respiratory failure requiring intubation and mechanical ventilation. Secondary outcomes include measures of short and long-term respiratory morbidity and cost effectiveness.
Discussion: This trial will assess whether Seattle-PAP is more efficacious and cost effective than FP-CPAP in real-world practice among premature neonates.
Alterações no perfil da microbiota bucal durante permanência na UTI: colonização por patógenos respiratórios potenciais
Authors: Tulio Karoline de Souza Chinasso , Stramandinoli-Zanicotti Roberta Targa , Dirschnabel Acir Jose , Schussel Juliana Lucena , Wasilewski José Henrique Schettini , Krelling Andrea , Beltrame Olair  Carlos , Martins Carla Regina Worliczeck , Sassi Laurindo Moacir
Published: November 2018

Introdução: Pacientes hospitalizados em Unidade de Terapia Intensiva (UTI) geralmente mostram má higiene bucal, o que contribui significativamente para o agravamento da contaminação local, com a presença de patógenos respiratórios potenciais. Objetivo: Caracterizar qualitativamente o perfil da microbiota bucal durante permanência na UTI, além da identificação de alterações bucais e salivares. Materiais e métodos: Foi realizado um estudo prospectivo em pacientes internados na UTI de um hospital oncológico, os quais foram avaliados clínica e microbiologicamente após 24 (T1), 72 (T2) e 120 (T3) horas consecutivas à admissão na UTI. Foram identificados os principais patógenos em cada momento e o perfil da microbiota oral foi comparado. Resultados: A amostra final foi de 30 pacientes, 23 homens e 7 mulheres, com idade média de 61 anos. Em T1, 96,67% dos pacientes apresentaram crescimento de microorganismos patogênicos, sendo identificados 14 tipos diferentes. Em T2 18 tipos de patógenos diferentes e em T3, 21 tipos, dos quais os mais prevalentes nas três coletas foram Staphylococcus não produtor de coagulase  e Candida albicans. Clinicamente foram observados presença e progressão do biofilme visível (61%), cálculo (36,89%), condição periodontal deficiente (33,11%). Em relação à condição salivar verificou-se saburra lingual (92,11%), ressecamento labial (86,67%), hipossalivação (36,67%), assialia (52%) e escoamento salivar (8,89%). Conclusão: O biofilme do dorso de língua de pacientes em UTI pode representar um nicho considerável de patógenos respiratórios potenciais, uma vez que microorganismos etiológicos relacionados à pneumonia nosocomial foram isolados já no primeiro dia de internação, com a colonização subsequente por uma variedade de microorganismos predominantemente gram-negativos.Descritores: Pneumonia Aspirativa; Biofilmes; Infecção Hospitalar; Unidade de Terapia Intensiva.
Is self-perceived oral health status related to non-carious cervical lesions in Brazilian working adults?
Authors: Bomfim Rafael Aiello , Crosato Edgard
Published: November 2018

This study evaluates the association of Non Carious Cervical Lesions (NCCLs), Oral Health-Related Quality of Life (OHRQoL) and Work Ability Index (WAI) in a Brazilian population of Workers. One hundred workers were evaluated in a CEREST (Worker´s Health Reference Center). Participants were examined for oral disease following WHO recommendations, and the Oral Health Impact Profile (OHIP) and Work Ability Index assessment was used to determine OHRQoL and capacity to work, respectively. Assessment of tobacco use and alcohol consumption was made by Fagestron tolerance and Audit test. Statistical analyses were performed using STATA version 13.0. Dimensions with highest OHIP scores were physical pain and psychological discomfort. In bivariate analyses, NCCLs was significant associated with OHIP-14 severity PR 3.8 (CI95%1.26-11.89) and with self-related of oral pain PR 2.16 (CI95% 1.06-4.40). In the multivariate logistic regression analyses, years of smoking habits OR 1.73 (CI95% 1.03-2.9) was significant associated with OHIP-14 severity, independent of other variables.  OHIP14 was significant associated to WAI (p=0,02). Strategies for Monitoring oral health Brazilian workers and reduce tobacco use should be done by Brazilian Companies to support Work ability. For future investigations on OHRQoL, analyses of NCCLs should be included.Descriptors: Quality of Life; Oral Health; Occupational Dentistry; Occupational Health; Tooth Erosion.
Experiência de cárie e fatores associados entre escolares das zonas urbana e rural: um estudo piloto
Authors: Silva Diego Romário , Ferreira Sabrina Avelar de Macêdo , Oliveira Pierre Andrade Pereira , Silva Andréa Cristina Barbosa
Published: November 2018

Introdução: A cárie uma doença infecciosa, localizada, de caráter multifatorial, dependente da dieta, microbiota bucal e resposta do hospedeiro, resultando na desmineralização localizada dos tecidos dentários duros. Objetivo: Avaliar a experiência de cárie e fatores associados em escolares residentes em zonas rurais e urbanas de Araruna, PB. Material e método: Um levantamento epidemiológico de prevalência de cárie dentária e alterações gengivais foi realizado. Os dados foram anotados em fichas odontológicas apropriadas, visando identificar diferenciais entre estes indicadores das duas áreas estudadas. Além disto, o fluxo salivar dos participantes foi determinado. Resultado: Os resultados indicaram diferenças brandas entre os indicadores de saúde bucal nas duas zonas. Apesar da tendência destes indicadores, como o CPOD, ISG e IHOS terem sido mais baixos na zona rural, há alguns anos atrás, do que os observados na zona urbana, no presente trabalho não foram identificadas diferenças significativas entre estes índices. Conclusão: A população rural vem obtendo acesso aos serviços encontrados na cidade, facilitando a inclusão na dieta de alimentos mais cariogênicos e, consequentemente, igualando os índices de saúde bucal aos encontrados na população urbana. Desta forma, o risco de cárie nestas populações, atualmente, é similar.Descritores: Cárie Dentária; Epidemiologia; Zona Rural; Área Urbana.
Incapacidade gerada pela dor osteomuscular em aluno de Odontologia
Authors: Santos Renata Reis dos , Garbin Cléa Adas Saliba , Saliba Tânia Adas , Gatto Renata Colturato Joaquim , Garbin Artênio José Ísper
Published: November 2018

Introdução: A sintomatologia dolorosa no sistema músculo-esquelético é uma grande preocupação entre os cirurgiões-dentistas. Objetivo: Avaliar a incapacidade gerada pela dor e o nível de intensidade da dor, verificando se existe uma correlação entre essas. Metodologia: Foi realizado um estudo transversal com alunos de Odontologia que cursaram ao menos uma disciplina clínica (n=303). Os estudantes foram investigados sobre a presença de dor, utilizando o Questionário Nórdico. Aos alunos sintomáticos foi aplicado também o Pain Disability Questionnaire(PDQ) e a Escala Numérica da Dor. A análise dos resultados foi realizada por meio do teste de correlação de Spearman. Resultados: Consentiu participar da pesquisa, um total de 241 alunos e destes, 199 (82,6%) apresentaram sintomatologia da dor. A incapacidade gerada pela dor foi classificada como moderada em 76,9% dos alunos. Em relação a escala de dor, a média encontrada nos alunos foi de 2,19. A intensidade da dor foi classificada com moderada em 11,5%, mínima em 55,8% dos alunos, e nula em 32,7%. Foi encontrada uma correlação positiva e estatisticamente significante entre a maioria das questões do PDQ e a Escala de dor. A correlação entre os domínios do PDQ (CF, CP e Total) e a Escala de dor se mostrou moderada, positiva e estatisticamente significante (ρ=0.433 e p≤0,01; ρ=0.307 e p≤0,01; ρ=0,456 e p≤0,01). Conclusão: Conclui-se que existe uma correlação positiva entre a incapacidade gerada pela dor e a intensidade da dor, e estas são classificadas como: moderada e mínima, respectivamente, na maioria dos alunos.Descritores: Dor Musculoesquelética; Estudantes de Odontologia; Odontologia do Trabalho; Saúde do Trabalhador; Riscos Ocupacionais.
University Students’ Perceptions of the Effects of Teacher Self-Disclosure in the English Language Classroom
Authors: Jebbour Mohsine
Published: November 2018

The purpose of this study was to elicit university students’ views about the potential effects that teacher self-disclosure may have in the English language classroom. Teacher self-disclosure—defined as the use of personal information to explain the course content to students in the classroom—was implemented in the ‘spoken English’ course in three sessions. The research method for data collection was interviewing 15 first year students attending the course. Thematic analysis was employed to develop common themes from the respondents’ answers. Results suggest that teacher self-disclosure might be used as an effective instructional practice to increase student motivation, develop a positive teacher-student relationship, enhance cognitive learning, and seek students’ attention in the learning process.
Gelişimsel Yetersizliği Olan Çocuklarda Uyku Sorunları Ve Davranışsal Müdahale Yöntemleri
Authors: Toper Özlem
Published: November 2018

Yeterli uyku uyuyamama kişilerin gündelik hayatını son derece
olumsuz bir şekilde etkilediği gibi, çeşitli sağlık sorunlarını da beraberinde
getirebilmektedir. Normal gelişim gösteren çocuklarla karşılaştırıldığında,
otizm spektrum bozukluğu ve zihinsel yetersizlik gibi gelişimsel yetersizliği olan
çocuklarda uyku sorunları daha fazla gözlenmektedir. Bu durum uyku sorunu
yaşayan bireylerin gündelik aktivitelerini olumsuz yönde etkilediği gibi,
bakımlarından sorumlu olan diğer aile üyelerini de olumsuz yönde etkilemekte ve
stres düzeylerini arttırmaktadır. Bu nedenle uyku sorunlarının giderilmesine
yönelik uygun müdahalelerin gerçekleştirilmesi önemlidir. Uluslararası alan
yazında gelişimsel yetersizliği olan çocukların uyku sorunlarının incelenmesine
ve davranışsal müdahale yöntemlerinin etkililiğine yönelik çeşitli araştırmalar
bulunmakla birlikte, ülkemizde özellikle özel eğitim alanında uyku sorunlarının
çözümüne yönelik davranışsal müdahale araştırmalarına rastlanmamaktadır. Bu
gereksinimden yola çıkarak bu çalışmada, gelişimsel yetersizliği olan
bireylerde gözlenen davranışsal uyku sorunlarının neler olduğuna ve davranışsal
müdahale yöntem ve stratejilerine ilişkin bilgilere yer verilmesi
amaçlanmıştır. Bu amaçla, uyku sorunlarının çözülmesinde kullanılan davranışsal
müdahale yöntemleri ile uyku eğitimi programlarının içeriğine yönelik alanyazın
taraması gerçekleştirilerek, elde edilen bilgiler derlenmiştir. Çalışmada yer
verilen bilgilerin özellikle gelişimsel yetersizliği olup uyku sorunu yaşayan
çocuk sahibi ailelere ve özel eğitim alanında çalışan eğitimcilere rehberlik
etmesi, aynı zamanda ileriye yönelik planlanacak olan araştırma ve uygulamalara
katkı sağlayacağı düşünülmektedir.
Dynamic stability of lateral vibration of a tubing string in flowing production
Authors: Tang Song , Liang Zheng , Zhao Guang Hui
Published: November 2018

Tubing string is one of the most important tools in flowing production. In the state of lateral vibration instability of the tubing string, severe collisions between the string and casing may lead to tubing string failure and borehole wall sloughing. Stability of the tubing string is a potential safety hazard in the process of oil and gas production and discussed in this paper. Considering interaction among the gravity, internal fluid hydrodynamic force, reservoir pressure and liquid cushion in the annular, a mechanical model of lateral vibration of the tubing string, which is simplified as a uniform pipe conveying fluid upwards in vertical well, is developed, and the stability of the system is analyzed by the finite element method. The influences of the flow velocity, the bottom hole pressure and the height and density of liquid cushion on the stabilities of tubing string are discussed. It is found that the increase of either the flow velocity or the bottom hole pressure can cause the buckling of tubing string, however, increasing the height or density of liquid cushion is helpful to improve the stability of tubing string.
Stiffness improvement methods and its application on design and optimization of large lens hood for space camera
Authors: Gong Xiaoxue , Zhang Lei , Wei Lei , Jia Xuezhi , Xuan Ming
Published: November 2018

As an essential part of optical system, lens hoods consisting of shells and plates are designed mainly to protect optical system from unexpected light. Except for such basic function, the hood proposed in this paper has to load several subassemblies and will be applied in high-resolution and wild field-of-view space camera with strict mass limitation, which makes effective mechanical reinforcement and lightweight of hood quite necessary. To meet such requirements, stiffness improvement methods is promoted in this paper to help improve the constraint fundamental frequency and decide the areas where subassemblies can be placed. Subsequently, optimization on key sizes of the hood proceeds to achieve a higher fundamental frequency and a lower weight. Finally, a prototype is fabricated based on the optimal design and a sweep test is held to verify the analytical fundamental frequency. The prototype has large external dimensions (1960×1640×2055 mm) but weighs only 33.5 kg when loading several subassemblies which totally weight 15.95 kg. Sweep test indicates that experimental constraint fundamental frequency is 36.82 Hz. All the parameters coincide with that of theoretical design well. The whole work of this paper provides a worthwhile method to the design of lens hood with large external dimensions and high specific stiffness in space camera. Since the lens hood is a typical plate and shell structure, the method, design and optimization process in this paper may also be helpful to the plate and shell structure in which stiffness and lightweight are highly required.
Stability of multi-hydro-turbine governing time-delay systems with sharing tailrace surge tank
Authors: Han Junying , Chen Diyi , Zhang Hao
Published: November 2018

In this paper, we focus on the stability of the hydropower plant with sharing tailrace surge tank. Considering the interaction between hydro-turbines and time-delay of hydraulic servo system, a nolinear dynamic model of multi-hydro-turbine governing time-delay systems with sharing tailrace surge tank is first established. The model can predict the transient characteristic of the hydro-turbine governing system, promoting the development of transient analysis, and safe operation of the governing system. Then, bifurcation characteristics of the system with different governor parameters and time-delays are studied. Moreover, the effect of time-delay on the stability intervals of governor parameters are investigated and its optimal value with different time-delays are obtained. All of the above analytical results can provide theoretical guidance for the actual operation of a hydropower plant with sharing tailrace surge tank.
Vibration characteristics analysis of mistuned bladed disk system based on mobile interface prestressed CMS super-element method
Authors: Zhang Liang , He Yuan , Yuan Huiqun , Li Xin
Published: November 2018

A new mobile interface prestressed component mode synthesis (CMS) super-element method is proposed with the mobile interface prestressed and free interface super-element approach. Analysis accuracy of this method is verified by the cyclic symmetry analysis method and the direct method. The mistuning parameter of real blades is identified by modal testing and finite element method, and the vibration characteristics of the real mistuned bladed disk system are analyzed based on the mobile interface CMS method. The results showed that the maximum relative error of the dynamic frequency of tuned and mistuned examples are 0.0043 % and 0.1466 %, respectively, which can be to meet the requirement of analytical precision. Compared with the cyclic symmetry analysis method, direct method and fixed interface prestressed CMS super-element method, this method is more suitable for analyzing the vibration characteristics of arbitrary mistuned bladed disk system.
Assessment of noise and vibration hazards generated by hybrid PEM-FC personal power supply
Authors: Kłaczyński Maciej , Grzeczka Grzegorz
Published: November 2018

The paper presents a part of ongoing research into the use of a proton exchange membrane fuel cell (PEM-FC) to power military installations and personal power supply of soldier or rescuer. Construction of this type device use elements, which generate vibration, noise and heat. Emitting these types of pollution worsens the detection of military installations as well as operator’s safety. The presented research includes the assessment of noise and vibration hazards generated by 20 Watt PEM-FC personal power supply which was created by Polish Naval Academy in consortium with Central Laboratory of Batteries and Cells in Poznan and Impact Clean Power Technology S.A. in Warsaw. Measurements of noise and vibration levels were performed in an anechoic chamber at AGH University of Science and Technology during nominal operation of the device. The vibration parameters transferred to external cover as well sound power level and the insulation effectiveness of device cover were determined.
Sentidos de la práctica pedagógica en la formación docente. Caso Facultad de Educación - Universidad del Atlántico
Authors: Esquea-Gamero Osmeris
Published: November 2018

Este artículo presenta los avances de la tesis doctoral Sentidos de la práctica pedagógica en la formación docente para el desarrollo social. La investigación centra su objeto de estudio en develar los sentidos de la práctica pedagógica que atribuyen los docentes en formación, asumida como proceso reflexivo y transformador, referenciando fundamentos epistemológicos, teóricos y conceptuales, principalmente de la pedagogía crítica de Paulo Freire. El diseño metodológico se caracteriza por la reflexión a partir de la interpretación y comprensión del objeto investigado (hermenéutico – reflexivo), centrado en los sujetos: en sus relaciones e interacciones en el contexto de la formación docente. Producto de la pesquisa desarrollada, se presentan postulados para la trasformación de la práctica pedagógica.
El amor en la filosofía. Una perspectiva ético – estética
Authors: Zúñiga-Rodríguez Wilfrido , Álvarez-Tabares Omar Julián
Published: November 2018

El mundo implica y exige comprender, desde las dimensiones ética y estética, la experiencia y la percepción de la vida con base en los presupuestos de la filosofía: como posibilidad de habitar y hacer de la estadía en el mundo una obra de arte en perspectivas del amor. Se pretende que el amor se constituya como acontecimiento para el hombre y que este (el hombre) hoy vuelva a encontrar el espíritu conciliador de lo divino en todas las cosas, en los hechos y fenómenos que acontecen en la vida propia, para alcanzar en lo posible una respuesta a la pregunta “¿Quién soy?”. Desde la filosofía se ha intentado responder a esta pregunta a partir de las categorías filosóficas y existenciales de “belleza”, “bondad” y “verdad”, con base en algunos criterios filosóficos y teológicos.
Carta al Editor
Authors: Pacheco Ricaurte Jose
Published: November 2018

Educar con el propósito de formar buenos seres humanos debe ser la primera preocupación en todos los niveles de cualquier sistema educativo, esta condición exige reflexionar constantemente sobre abordajes pedagógicos que tiendan a configurar escenarios para desarrollar la intención de promover el respeto por la vida, propiciar el reconocimiento de la importancia de crear y recrear ambientes de convivencia pacífica, fundamentados en el respeto, la tolerancia y la solidaridad entre los seres humanos y de estos, con los entornos naturales amenazados por factores como la sobrevaloración de la riqueza material cuya consecuencia es la sobre explotación del hombre y la naturaleza bajo la prevalencia de creencias extremas que justifican conductas sociales excluyentes, intolerantes y guerreristas.
Flora fanerogâmica da região sudoeste do estado do Paraná, Brasil: uso e conservação
Authors: Bechara Fernando Campanhã , Topanotti Larissa Regina , Schwade Guilherme Moacir , Silva Valeria Mariano da , Estevan Daniela Aparecida
Published: November 2018

O sudoeste paranaense ainda carece de estudos sobre sua composição florística. Visando contribuir com o conhecimento sobre a flora da região, foi realizada uma compilação de trabalhos científicos publicados referentes à vegetação nativa dessa parte do Brasil, integrando-os com dados de diferentes herbários, o que gerou uma lista de espécies que configura a flora fanerogâmica da região sudoeste do Paraná. Verificou-se, para cada uma das espécies, o uso potencial, considerado medicinal, comestível ou madeireiro. Consultaram-se quatro listas de espécies ameaçadas para verificar o estado de conservação das referidas espécies botânicas. A flora fanerogâmica incluiu 665 táxons de 117 famílias, e os municípios sudoestinos registraram em média 29,16 táxons, sendo os maiores registros em São Jorge d’Oeste (299), Dois Vizinhos (186), Quedas do Iguaçu (118) e Marmeleiro (101). Quantoao uso, encontraram-se informações para 45,26% das espécies (301); a utilização medicinal foi observada em 264 táxons, o uso da madeira em 96 e o uso comestível em 50. Foram verificadas 122 espécies ameaçadas, das quais 55 apresentam algum uso potencial. O esforço amostral na região ainda é inexpressivo diante de sua rica biodiversidade.
QUALIDADE PERCEBIDA NO USO DAS CORES EM UMA CLÍNICA DE PSICOLOGIA VOLTADA PARA ADULTOS
Authors: Mello Fernandes Manuela , Maria de Lima Araújo Kátia
Published: November 2018

Este estudo buscou averiguar a qualidade percebida no uso das cores a fim de entender e aplicar suas propriedades no design de interiores de estabelecimentos assistenciais de saúde. Ele procurou na história o uso da cor como elemento terapêutico, exemplificando experimentos realizados por teóricos, designers e psicólogos nos dias atuais, verificando a qualidade cromática percebida, por meio do significado e das sensações que cada cor transmite aos usuários do ambiente em que a cor foi trabalhada. Com base na compreensão da influência desse elemento, este trabalho apresenta uma proposta de uso de cores no design de interiores de uma clínica de psicologia voltada para adultos.
Implantes dentários em pacientes usuários de bifosfonatos: o risco de osteonecrose e perda dos implantes é real? Relato de três casos clínicos Dental implants in patients under bisphosphonate therapy: is the risk of osteonecrosis of the jaw and implant loss real? Report of three clinical cases
Authors: Stramandinoli-Zanicotti Roberta Targa , Deliberador Tatiana Miranda , Candido Bruno , Hurczulack Marcio Vinícius , Schussel Juliana Lucena , Torres-Pereira Cassius , Sassi Laurindo Moacir
Published: November 2018

Introdução: A osteonecrose induzida por medicamentos (ONIM) é uma grave complicação da terapia com drogas antirreabsortivas, como os bifosfonatos (BFs). Embora ocorra com mais frequência em pacientes oncológicos, os quais utilizam BFs endovenosos, pacientes usuários de BFs orais para tratamento de osteoporose também se encontram no grupo de risco, principalmente quando procedimentos odontológicos cirúrgicos como exodontias e implantes dentários são realizados. Objetivo: Relatar três casos de pacientes que fizeram usode BFs no passado ou ainda utilizavam a medicação durante cirurgia para instalação de implantes dentários, abordando os principais fatores de risco para o desenvolvimento da ONIM. Conclusão: O conhecimento prévio pelo implantodontista dos efeitos adversos da terapia com drogas antirreabsortivas em pacientes que necessitam de reabilitação dentária é de extrema importância no manejo desses pacientes, uma vez que elas podem prejudicar a longevidade das reabilitações com implantes e induzir à osteonecrose dos maxilares,comprometendo não somente a saúde bucal como também interferindo negativamente na qualidade de vida dos pacientes.Introduction: Bisphosphonate-related osteonecrosis of the jaw (BRONJ) is a serious complication of therapies with anti-resorptive drugs, such as bisphosphonates (BFs). Although it occurs more often in oncology patients who use intravenous BFs, patients who use oral BFs for osteoporosis are also in the risk group, especially when surgical dental procedures such as dental extraction or dental implants are performed. Objective: To report three cases of patients who were submitted to BF therapy in the past or were still using the medication during dental implants surgery and developed BRONJ and lost the implants. Conclusion: It is extremely important that the dentists are aware of the adverse effects of BF therapy in patients that require dental rehabilitation for the management thereof, since they can reduce the longevity of dental implants and induce osteonecrosis of the jaw, compromising not only their oral health but also these patients’ quality of life.
Alpha1-Antitrypsin Deficiency: Transition of Care for the Child With AAT Deficiency into Adulthood
Authors: Lin Henry C. , Kasi Nagraj , Quiros J. Antonio
Published: November 2018

Importance:

Alpha1-antitrypsin (AAT) deficiency is a common, but an underdiagnosed
genetic condition, affecting 1 in 1500 individuals. It can present insidiously with liver disease in
children. Although clinical practice guidelines exist for the management of AAT deficiency, especially
with regards to pulmonary involvement, there are no published recommendations that specifically
relate to the management of the liver disease and monitoring for lung disease associated
with this condition, particularly in children.

Objective:

To review the literature on the management of AAT deficiency-associated liver disease in adults and children.

Evidence Review:

A systematic search for articles indexed in PubMed and published was undertaken.
Some earlier selected landmark references were included in the review. Search terms included:
"alpha1-antitrypsin deficiency"; "liver disease"; "end-stage liver disease"; "liver transplantation"
and "preventative management". Recommendations for the management of children with suspected or confirmed AAT deficiency were made according to the Strength of Recommendation Taxonomy scale.

Findings:

Liver complications arising from AAT deficiency result from the accumulation of mutated
AAT protein within hepatocytes. Liver disease occurs in 10% of children, manifested by cholestasis,
pruritus, poor feeding, hepatomegaly, and splenomegaly, but the presentation is highly
variable. A diagnostic test for AAT deficiency is recommended for these children. Baseline liver
function tests should be obtained to assess for liver involvement; however, the only curative treatment
for AAT deficiency-associated liver disease is organ transplantation.

Conclusion and Relevance:

There should be a greater vigilance for AAT deficiency testing among
pediatricians. Diagnosis should prompt assessment of liver involvement. Children with AATdeficiency-
associated liver disease should be referred to a liver specialist and monitored throughout
their lifetimes for the symptoms of AAT-deficiency-related pulmonary involvement.
The Unlicensed and Off-label Prescription of Medications in General Paediatric Ward: An Observational Study
Authors: Dornelles Alícia Dorneles , Calegari Lisiane Hoff , de Souza Lucian , Ebone Patrícia , Tonelli Tiago Silva , Carvalho Clarissa Gutierrez
Published: November 2018

Background:

Unlicensed (UL) and Off-label (OL) prescription of medications is common
in paediatrics and does not constitute negligent practice since there is often no approved alternative
according to FDA bulary.

Aim:

The study aimed to determine the current frequency of UL and OL prescriptions in children
from one month to 12 years of age in a Paediatric Inpatient Unit (PIU).

Methods:

This is an observational, prospective study, reviewing the prescriptions of all patients
admitted to the PIU in a university hospital in a single week in August 2014 and a single week in
January 2015.

Results:

We included 157 patients of median age 18 months and median length of stay 24 days.
There were 1,328 prescription items (average of 8.4 items/patient) and only two patients without
UL/OL use. During the winter season (August), 27% of prescriptions were classified as UL and
44.6% as OL, and during summer (January), 29.6% as UL and 45.1% as OL. We identified 188
medications, of which the most prescribed were paracetamol (11%) and dipyrone (9.5%). The most
frequent OL classification was regarding drug formulation (15.8%). In the winter week, the most
frequent reasons for admission were respiratory (44%), followed by other clinical causes (CC)
(17.3%), while in the summer week, they were CC (26.3%), followed by surgical and gastrohepatic
(23.7%).

Conclusion:

The OL prescription of medicines for children in Brazil is in accordance with the international
literature. The higher prevalence of OL due to formulation found in this study is related
to the use of formulations other than those used by the FDA.
Helicobacter Pylori Infection in Sjögren’s Syndrome: Co-incidence or Causality?
Authors: Saghafi Massoud , Abdolahi Nafiseh , Orang Reza , Hatef Mohammad Reza , Molseghi Mohammad Hadi
Published: November 2018

Background and Aim:

Lymphoid cell infiltration and destruction of exocrine glands,
specifically lacrimal and salivary glands are characteristics of Sjogren’s syndrome (SS). An etiological
role has been proposed for Helicobacter pylori (H. pylori), interacting in the clinical course
and complications of SS (including gastric cancer and lymphoma). The aim of this study was to
identify the probable correlation between H. pylori infection and Sjogren’s syndrome (SS).

Methods:

In this case-control study, ELISA method was used to determine serum level of IgA and
IgM anti H. pylori antibody in 43 subjects with SS according to the international criteria and 95
healthy subjects as control. SPSS-17 was used to analyze data with t-test. P value <.05 were considered
significant.

Results:

Serum level of IgM (34.9% vs. 10.5%, p-value= 0.001) and IgA (67.4% vs. 46.3% p
value= 0.021) anti H. pylori antibody were significantly higher in SS patients compared to the control
group. There was a positive correlation between age and H. pylori infection (r=0.2, Pvalue=
0.05).

Conclusion:

Patients with SS had a higher prevalence of H. pylori infection compared to the normal
population. Eradication of H. pylori is recommended particularly in older patients with SS.
Study to evaluate the effect of Naradiya Laxmivilas Rasa and Goghruta Nasya in Vertigo (Bhrama)
Authors: D. M Dr. Padavi , S. Dr. Sawant , B. N Makhijani
Published: November 2018

Vertigo is a disturbance of sense of equilibrium and movements, where person feels that either his surroundings are going around him, or he himself is rotating. It varies from mild imbalance to severe vertigo accompanied by nausea and vomiting. In Ayurveda it can be compared to Bhrama which manifests as consequence of aggravation of Vata and Pitta Doshas along with Raja Guna resulting in spinning of head. An open randomized clinical trial was conducted to evaluate the effect of Naradiya Laxmi Vilas Rasa and Goghruta Nasya in vertigo w.s.r to Bhrama for duration of 2 months. 100 patients were selected and clinical evaluation was done by subjective and objective parameters. It was noted that there was significant relief in symptoms of Vertigo. So, it can be concluded that Naradiya Laxmi Vilas Rasa and Goghruta Nasya has significant effect on Vertigo (Bhrama).
Phytochemical study of Hydroalcoholic extract of Mansoa alliacea (Lam.) Leaf
Authors: Markam Dr. Jyoti , Singh Dr. R. K. , Joshi Dr. P. K. , Soni Dr. Neha , Lalchand Dr.
Published: November 2018

Today’s era of science in which everyone is busy to get luxurious life style, here the people of India have not much knowledge about actual effect of this plant. Today normally Mansoa alliacea (Lam.) used in many part of the world, but this plant is also found in Chattishgarh in India. Lahsun Bel or Jangali Lahsun are a very important folk medicine in India. Mansoa alliacea (Lam.) is an important drug is not namely mentioned in the traditional medicinal texts. It is a very efficacious plant remedy for the pain and inflammatory conditions like arthritis and rheumatism as well as it also can be used in cold, flu and fever. Generally leaves are used in form of infusion or decoction. Roots are used in the preparation of cold maceration and tincture andgenerally taken as a whole body tonic. The plant has antibacterial,anti-cholesterolemic, antifungal, anti-inflammatory, antioxidant, anti-rheumatic, antispasmodic, antitussive and antiviral used traditionally. Whole part of Jangali Lahsun or Lahsun Bel are used for medicinal purpose. Pharmacognostic study or phytochemical investigation of these leaves has not been performed yet. The present work deals with the qualitative phytochemical evaluation of the leaf of Mansoa alliacea (Lam.) and establishment of its quality parameters.
Ocular injuries - A Review Article
Authors: MN Dr. Apoorva , V. Dr. Hamsaveni
Published: November 2018

Eye being a delicate structure, sometimes even a small trauma may have devastating effects. Due to industrialization, unprotective measures in daily activity the incidence of injuries is increasing, like any other part of the body, eyes are also not exempted from these injuries. A successful patient outcome in the setting of ocular emergencies depends on correct diagnosis, treatment, and disposition of patients with all types of ocular trauma, including pain management and referral. Injuries range from mild, non-sight-threatening to extremely serious with potentially blinding consequences. WHO programmed for the Prevention of Blindness have estimated that some 55 million eye injuries restricting activities more than one day occur each year, World wide, there are approximately 1.6 million people blind from eye injuries, 2.3 million with bilateral visual impairment and 19 million with unilateral vision loss. A significant burden of ocular trauma in the community requires that its prevention and early management be a public health priority. In Ayurvedic classics, Nayanabhighata Pratishedha Adhyaya completely deals with ocular injuries which imply the importance of the immediate measures and management to be undertaken for the injured eye.
A Review of Senile Cataract (Timira) and its Management
Authors: M. D Dr. Visakh , Shekar Dr. Veena , K. Dr. Sujathamma
Published: November 2018

Age related cataract is the commonest type of acquired cataract affecting equally persons of either sex usually above the age of 50 years. Senile cataract is almost universal in varying degrees in persons over 70 years of age and is the major cause of global blindness. Special attention should be taken to maintain healthy vision, since the loss of vision partial or complete, disables the person. Importance of vision has been emphasized in our classics by stating Drishtihi Pradhanatamatvat. Timira is one among the Drishtigata Rogas mentioned by Ayurveda Acharyas and it is derived as Timi Kledane Aardri Bhavaha Iti Yavataha, which means increased moisture in the visual apparatus. Acharya Vagbhata quotes that, Timira when neglected becomes Kacha and Kacha leads to Andhya if not treated, Timira being dreadful among the diseases of the eye and hence early management is required. Since hydration is a prominent feature involved in the process of cataract formation and the clinical features of cataract like gradual painless loss of vision, polyopia etc. are similar to those of Timira and also the surgical management of cataract is similar to Kaphaja Linganasha Shastra Chikitsa, the disease Timira can be correlated to senile cataract. This article mainly concentrates on Timira (senile cataract) and compares the similarities between Ayurvedic and modern management
Physio-Pathological understanding of Aartavavaha Srotas
Authors: IH Dr. Ashwini , Kulkarni Dr. Pratibha
Published: November 2018

In Ayurveda, the concept of Srotas has been propagated very specifically. Srotas have a significant role in maintenance of equilibrium of body elements. Among types of Srotas, Aartavavaha Srotas is given prime importance which is only present in females. Aartavavaha Srotas are the channels which carry Aartava. Aartava can be considered as Bijarupia Aartava and Drusta Aartava i.e. ovum and menstrual blood respectively. The root of Artavavaha Srotas are Garbhashaya (Uterus) and Artavavaha Dhamani (vessels carrying Artava). Garbhashaya can be compare with uterus, that help for development of fetus. Dhamani can be compared with arteries i.e. ovarian arteries responsible for formation of Aartava (ovum) and Uterine arteries responsible for flow of Aartava (menstrual blood). Pathological changes occurs in the body due to Sroto Dushti, Sroto Sanga etc. so if any Viddha (injury) occurs to Aartava Vaha Srotas that leads to Viddha Lakshana i.e. Vandhyatwa, Maithunaasahishnutaa, Aartava Naasha.