bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluation of the effectiveness of screening and monitoring program for early prevention of orthopedic complications in children with cerebral palsy
Authors: Zmanovskaya V. A. , Kashuba E. V. , Valeev R. I. , Ezhov O. Yu.
Published: January 2020

Hip instability and following hip luxation and subluxations remain common and serious problem among children with cerebral palsy (CP). The hip luxation and subluxations can be avoided using timely monitoring and early preventive treatment. However, standard scheme for patients’ management in children with CP is not adopted so far in Russian Federation. In 2014 on the territory of Tyumen region the Europe surveillance program for children with CP (CPUP) was introduced.

Research purpose. To analyze the effectiveness of the early orthopedic complications prevention program in children with CP. Material and methods. The study included children with CP of the «Child psychoneurological medical-rehabilitation center «Nadezhda» register born in 2010 and earlier (n=176), undergoing surveillance under the European Program (main group); the comparison group consisted of children with CP which were treated before the adoption of the program (n=642). Group comparability was achieved by selecting children with one level of motor impairment according to the GMFCS classification. The presence of expressed orthopedic complications was exposed at the value of Reimers Index (RI) above 40%, and the effectiveness of the program was determined by a reduction in the frequency of such RI.

Results. It was found that overall incidence of hip dislocation in control group decreased by 70%: in children with GMFCS II by 100%, GMFCS III – by 78%, GMFCS IV – by 62% and GMFCS V – by 74%.

Conclusion. Due to the introduction of the Europe surveillance program on the territory of Tyumen region there is a significant decrease in orthopedic complications incidence in children with CP.
Acute focal bacterial nephritis
Authors: Kirillov V. I. , Bogdanova N. A. , Nikitina S. Yu. , Zhukovskaya A. V. , Nikitin M. A.
Published: January 2020

A description of 13 clinical cases of acute focal bacterial nephritis in children aged from 1 year to 4 years and 8 months (2.6±1.1 years), made up 1,61% from hospitalized for acute urinary tract infections in accordance with existing ideas about this pathology, is presented.

Acute focal bacterial nephritis is a rare variant of acute pyelonephritis that can transform into a purulent process, accompanied by nonspecific signs of acute urinary infection with persistent fever and signs of a systemic inflammatory response, which is recognized by visualization technologies. Ultrasound investigation in the case of acute focal bacterial nephritis usually reveals focuses of hyper-echogenicity of one of the kidneys and/ or signs of nephromegaly. The reserve method for diagnosing pathology is the computerized tomography. Adequate treatment of acute focal bacterial nephritis must include mandatory intravenous administration of antibiotics for at least 3 weeks , which allows for a favorable outcome of the disease.
Distribution of pathologic smear results and histopathologic agreement in precancerous cervical lesions
Authors: Colak Eser , Coskunoglu Esra Zeynep
Published: January 2020

OBJECTIVES: The accuracy of the Papanicolau smear test is very important in cervical cancer which is preventable cancer. In this study, we aimed to investigate the distribution of smear results and cyto-histopathological correlation and agreement in biopsies.STUDY DESIGN: A retrospective study was performed at the gynecology obstetrics and pathology department of Baskent University Konya Application and Research Hospital, over a 5-year period. The histopathology results of 89 patients who underwent colposcopic biopsy from 273 patients with pathologic Pap smear results were examined. The histopathologic results and pathologic Pap smear results were compared and the compatibility between them was examined.RESULTS: Data records were collected for 11,191 women. Overall, the prevalence of cytologic abnormalities was 2.43%. The cytohistopathologic correlation in epithelial lesions was 56% and was statistically significant. In glandular lesions, normal biopsy results were reported in 93% of AGC-NOS cytology results, whereas there was a 100% malignancy correlation with AGC-FN cytology results. In terms of detecting low and high-grade lesions, the false-negative rate was 12% and the false-positive rate was 17%.CONCLUSION: In conclusion, Pap smears can be less cost-effective and easily accessible method. While conservative treatment is appropriate in young patients because of possible regression even in high-grade lesions; in older patients, it should not be hesitated to get biopsy when a suspicious clinic is present.
Evaluating the effects of climate change on precipitation and temperature for Iran using RCP scenarios
Authors: Doulabian Shahab , Golian Saeed , Toosi Amirhossein Shadmehri , Murphy Conor
Published: January 2020

Climate change has caused many changes in hydrologic processes and climatic conditions globally, while extreme events are likely to occur more frequently at a global scale with continued warming. Given the importance of general circulation models (GCMs) as an essential tool for climate studies at global/regional scales, together with the wide range of GCMs available, selecting appropriate models is of great importance. In this study, six synoptic weather stations were selected as representative of different climatic zones over Iran. Utilizing monthly data for 20 years (1981–2000), the outputs of 25 GCMs for surface air temperature (SAT) and precipitation were evaluated for the historical period. The root-mean-square error and skill score were chosen to evaluate the performance of GCMs in capturing observed seasonal climate. Finally, the outputs of selected GCMs for the three Representative Concentration Pathways emission scenarios (RCPs), namely RCP2.6, RCP4.5, and RCP8.5, were downscaled using the change factor method for each station for the period 2046–2065. Results indicate that SAT in all months is likely to increase for each region, while for precipitation, large uncertainties emerge, despite the selection of climate models that best capture the observed seasonal cycle. These results highlight the importance of selecting a representative ensemble of GCMs for assessing future hydro-climatic changes for Iran.
Isolation and molecular identification of free-living amoebae (Naegleria spp., Acanthamoeba spp. and Vermamoeba spp.) from mineral springs in Guilan Province, northern Iran
Authors: Feiz Haddad Mohammad Hossein , Habibpour Habib , Mahmoudi Mohammad Reza
Published: January 2020

Free-living amoebae (FLA) include many genera which cause serious diseases such as sight-threatening keratitis, cutaneous ulcers and fatal encephalitis. This study was conducted due to the lack of research regarding genotypes Acanthamoeba, Naegleria and Vermamoeba in mineral springs of Guilan Province in northern Iran. Twenty-five water samples were collected from mineral springs in Guilan Province. After filtration through nitrocellulose membrane, samples were cultured on non-nutrient agar plates. The morphological key of Page was used to identify free-living amoebae (FLA) using an inverted microscope. Positive cultures were analyzed by polymerase chain reaction (PCR) and genotypes based on the NCBI database. Eleven (44%) samples were positive for Acanthamoeba, Naegleria and Vermamoeba. By sequencing the positive isolates, the strains were shown to belong to Acanthamoeba castellanii (three case isolates belonged to T4 genotype), three cases of Vermamoeba vermiformis, and two cases of N. australiensis, two cases of N. pagei and one case of N. gruberi. According to our research the occurrence of Acanthamoeba, Naegleria spp. and Vermamoeba spp. in mineral springs could be hazardous for high risk persons. Regular monitoring and posting warning signs of these waters by health planners could prevent free-living amoebae mediated diseases.
Lead and cadmium removal by adsorption process using hydroxyapatite porous materials
Authors: Ramdani Amina , Kadeche Abdelkader , Adjdir Mehdi , Taleb Zoubida , Ikhou Djamila , Taleb Safia , Deratani André
Published: January 2020

This contribution is a comparison study between synthetic hydroxyapatite (Sy-HAP) and commercial hydroxyapatite (C-HAP) for the removal of Pb2+ and Cd2+ ions present in wastewater from industrial effluents. The obtained results show that the equilibrium time required for complete adsorption of Pb2+ and Cd2+ ions on C-HAP and Sy-HAP is 15 min for both. The obtained removal efficiencies for Sy-HAP are 95.52% and 90.91% for Pb2+ and Cd2+ ions, respectively. Whereas, C-Hap presents lower removal efficiencies of 86.53% and 81.43% for Pb2+ and Cd2+ ions, respectively. Maximum adsorption was observed at pH 5; at lower pH levels adsorption was less. The experimental kinetic data fitted with the second order kinetic model. Thermodynamically, the adsorption process was endothermic and spontaneous in nature. Isotherm adsorption studies indicated that Langmuir, Freundlich and Temkin are the most valid models to describe and evaluate the adsorption process. The EDX results also confirmed the presence of lead and cadmium in adsorbents after adsorption. Finally, the HAP porous materials possess great potential for the removal of Pb2+ and Cd2+ ions from aqueous solutions and wastewater from industrial effluents.
User Retention and Engagement With a Mobile App Intervention to Support Self-Management in Australians With Type 1 or Type 2 Diabetes (My Care Hub): Mixed Methods Study (Preprint)
Authors: Adu Mary D , Malabu Usman H , Malau-Aduli Aduli EO , Drovandi Aaron , Malau-Aduli Bunmi S
Published: January 2020

BACKGROUND

Mobile health apps are commonly used to support diabetes self-management (DSM). However, there is limited research assessing whether such apps are able to meet the basic requirements of retaining and engaging users.

OBJECTIVE

This study aimed to evaluate participants’ retention and engagement with My Care Hub, a mobile app for DSM.

METHODS

The study employed an explanatory mixed methods design. Participants were people with type 1 or type 2 diabetes who used the health app intervention for 3 weeks. Retention was measured by completion of the postintervention survey. Engagement was measured using system log indices and interviews. Retention and system log indices were presented using descriptive statistics. Transcripts were analyzed using content analysis to develop themes interpreted according to the behavioral intervention technology theory.

RESULTS

Of the 50 individuals enrolled, 42 (84%) adhered to the study protocol. System usage data showed multiple and frequent interactions with the app by most of the enrolled participants (42/50, 84%). Two-thirds of participants who inputted data during the first week returned to use the app after week 1 (36/42, 85%) and week 2 (30/42, 71%) of installation. Most daily used features were tracking of blood glucose (BG; 28/42, 68%) and accessing educational information (6/42, 13%). The interview results revealed the app’s potential as a behavior change intervention tool, particularly because it eased participants’ self-care efforts and improved their engagement with DSM activities such as BG monitoring, physical exercise, and healthy eating. Participants suggested additional functionalities such as extended access to historical analytic data, automated data transmission from the BG meter, and periodic update of meals and corresponding nutrients to further enhance engagement with the app.

CONCLUSIONS

The findings of this short-term intervention study suggested acceptable levels of participant retention and engagement with My Care Hub, indicating that it may be a promising tool for extending DSM support and education beyond the confines of a physical clinic.
La democracia civilizatoria
Authors: Aguilar Villanueva Luis F.
Published: January 2020

La democracia civilizatoria
El amor es pasión, la democracia ocupación
Authors: Cordera Rolando
Published: January 2020

El amor es pasión, la democracia ocupación
Mentes en la orilla: presente y futuro de la inteligencia artificial
Authors: Morales Gamboa Rafael
Published: January 2020

En este texto se hace una revisión del libro Possible Minds: Twenty-Five Ways of Looking at ai, editado por John Brockman y publicado en 2019, en celebración de los cincuenta años de la publicación de Cybernetics: Or Control and Communication in the Animal and the Machine, con el cual Robert Wiener fundó la cibernética en 1948. Si bien la inteligencia artificial (ia) y la cibernética han caminado senderos distintos y con pocos cruces, hoy en día éstos parecen coincidir en el potencial de su desarrollo para transformar de manera radical las condiciones de vida y naturaleza de la especie humana.
Memoria del movimiento (ensaio visual)
Authors: Calel Edgar , Dávila Sebastián Eduardo
Published: January 2020

Edgar Calel (1987) é um artista Maya kaqchikel da Guatemala. Sua prática artística, pautada pela mobilidade e pelo movimento, lida com temas ligados à migração, ao deslocamento e ao retorno. Originário de Comalapa, Calel saiu de sua cidade natal para estudar arte, fazendo de sua vida uma jornada. Neste ensaio visual são apresentados registros de algumas séries como Yo vivo en ti, Tú vives en mi; B ́atz – tejido constelación de saberes; Ixim (Maíz); e Laberinto de los Pájaros. O ensaio se encerra com o texto Memoria del movimiento, de Sebastián Eduardo [Dávila].
Risks of Climate Change at Coastal Tourism in Bangladesh: A Study on Cox’s Bazar
Authors: Sohel Ahmed, S. M
Published: January 2020

This study is on ‘Risk of climate change at coastal tourism in Bangladesh. The main aim of thisresearch is to describe the risks associated with climate change that has an impact on tourism. The study usesprimary data collected from the respondents (Domestic, Local and International Tourists) by using variousmethods like; observation, survey and questionnaire. This research mainly adopts with close-endedquestionnaire. This study uses Five Point Likert scale to measure the intensity of risk. This research identifiesvarious types of risk like Rise of sea level, Rise of temperature, Acidic Sea, Damage Property, Damageinfrastructure, Damage Livelihood, Damage environmental resources, Inundation during Storm, Risky Road,Heat Waves, Coastal Floods, Droughts, Pollution, Leads Powerful Hurricanes, and Allergy. This study alsoexplores some other risks including Rainstorm, Disrupt Food Supply, Mangrove Deforestation, SalineIntrusion, Scarcity of Fresh Water, Population Displacement, Water Intrusion, Undermining of LocalCommunities, Coastline Erosion, Fish Stocks Inundate, Rough weather, Hot Sunshine with their intensity.
Human Capital Development and Economic Growth in BRICS Countries: Controlling for Country Differences
Authors: Awolusi D. Olawumi
Published: January 2020

This paper investigates the effect of human capital development on economic growth, as well as controlling for country differences, in the BRICS economies – from 1990 to 2017. Ordinary Least Square (OLS) and Generalized Method of Moments (GMM) were used as the estimation techniques. We use one-way ANOVA and Scheffe pairwise comparison tests to understand how human capital development differed between each pair of countries. Findings suggest that the effect of human capital development on economic growth, though significant, was limited in these countries. A comparative analysis of results showed that China, Brazil and Russia were able to utilise their human capital to enhance economic growth more efficiently than South Africa and India. Consequently, this study observed that a 1% increase in government expenditure on education would result in a 0.13% increase in GDP for China, a 0.06% increase in Russia, a 0.07% increase in Brazil, a 0.04% increase in South Africa, and a 0.01% increase in GDP in India. In addition, the study concluded that human capital development practices differ in all the countries. Although this result was previously implied in the literature, comparison of a comprehensive list of human capital development practices among countries was lacking. Overall, the paper argues that the classical theory of economic growth, in combination with the new theory, and also the theory of market value, will not only help sustain a strategy tripod, but also shed significant light on the most fundamental questions confronting human capital development and economic growth in many developing economies.
Prevailing Perceptions and the Growth of Private Label Brands in Africa and Europe: An Overview
Authors: Sbonelo Ndlovu
Published: January 2020

This paper reviewed the existing literature in different parts of the continents, focusing specificallyin Africa and Europe, critically reviewing past and recent literature of studies on customers’ perceptionstowards private label brands. Such review article enabled the writer to understand the prevailing state ofprivate label brands across different continents; in the process enabling grocery retailers, marketingpractitioners and academics a clear view of the state of customers’ perceptions around the globe. The resultsfound that the international state of private label brands has somehow improved in some parts of the globe,especially in Europe and Americas, where private label brands have enormously improved customersperceptions of their private label brands and in the process actively competing with national brands for themarket share. Opposing such success, In Africa there seems to be somehow lack of improvement in the earlyperceptions of private label brands in the process not fully challenging national brands. Noticeably, in Africathere seems customers still perceive private label brands as alternatives of national brands in tougheconomic conditions. Hence, grocery retailers need to extensively invest on their private label brands in orderto competitively challenge and change existing customer perceptions. Key investments should be in branding,promoting and educating customers about private label brands.
Socioeconomic Implications of Examination Fraud and Assessment Irregularities in South Africa’s Higher Education Sector: A Futuristic View
Authors: Chux Gervase Iwu
Published: January 2020

This paper, based on scholarly as well as documentary evidence, intends to highlight thesocioeconomic implications of fraud and assessment irregularities in South Africa’s higher education. Highereducation institutions serve nation building purposes and as such it is expected that what they produceshould be of high standard in order to further this purpose. Lately, owing to the rise in assessmentmalpractices across South African institutions of higher learning, calls have been made by business andsociety for ways to deal with this. This paper asks a few questions related to what constitutes fraud andassessment irregularities and the sources of these. The paper also points out what these portend for highereducation in South Africa while at the same suggesting some recommendations. This paper contributes to theliterature on the growing concerns of educators and researchers regarding high levels of examinationmalpractice and assessment irregularities within higher education sector globally, but in particular SouthAfrica.
Caracterização de eventos adversos em uma unidade de terapia intensiva neonatal
Authors: Spironello Ricardo Alexandre , Nakamura Cuman Roberto Kenji
Published: January 2020

Existem problemas nas unidades hospitalares relacionados a erros de prescrição, medicamentos, procedimentos, eventos adversos (EAs) e medicamentos. Trata-se de um estudo-piloto descritivo realizado na unidade neonatal de um hospital de Maringá, caracterizando as internações de pacientes na UTIN e a ocorrência de EA registrados em prontuários em um hospital privado em Maringá de junho 2016 a março 2017. Foram avaliados indicadores: taxas de mortalidade, ocupação, taxas de permanência e ocorrência de EA. Os dados foram obtidos dos registros de enfermagem nos prontuários de pacientes hospitalizados no setor. Observou-se 607 eventos adversos, sendo 326(53,70%) procedimentos relacionados ao acesso venoso central; 87 (14,33%) cateter central de inserção periférica (PICC); 87 (14,33%) à intubação; 45 (7,41%) para atraso na colocação do cateter vesical; e, 32 (5,27%) para cateter umbilical, dentre outros. Um Melhor acompanhamento do setor deve ser incentivado para evitar a ocorrência de EAs em procedimentos hospitalares, farmacoterapia e interações medicamentosas.
Musicoterapia para pacientes oncológicos e/ou em cuidados paliativos: revisão integrativa da literatura
Authors: Leite de Lima Caroline , Carvalho Mariane de Jesus , Reda da Silva Elaine
Published: January 2020

Este estudo teve como objetivo apresentar e analisar a produção científica nacional e internacional envolvendo a aplicação da musicoterapia em pacientes portadores de câncer e/ou em cuidados paliativos. Realizou-se uma revisão integrativa na base de dados Scientific Eletronic Library Online (SciELO) e Biblioteca Virtual em Saúde (BVS). Dos 18 artigos selecionados, 12 abordaram os benefícios da utilização da musicoterapia; 4 às percepções de familiares e 2 outras abordagens (um avaliou a qualidade de evidências científicas sobre intervenções musicais e outro assuntos e necessidades apresentados durante a musicoterapia). Conclui-se que a musicoterapia contribui para o controle de sinais e sintomas, promove a comunicação, as expressões de sentimentos, emoções, bem-estar e conforto aos clientes e seus familiares. Porém, verifica-se a necessidade de mais pesquisas para determinar a melhor metodologia de intervenção, além de facilitar os contextos de implementação.
Caracterização dos óbitos decorrentes de sepse em um pronto socorro do Estado de São Paulo
Authors: Malderran Rosangela , Kirdeikas Rodrigues Camila , Novo Yara Juliano
Published: January 2020

O objetivo foi identificar os tipos de focos de sepse mais frequentes em pacientes que foram á óbito, e a doença base no momento de sua internação. O estudo analisou retrospectivamente o tipo de foco de sepse descrito na declaração de óbito e comparou com a doença de entrada dos pacientes, a amostra foi composta por prontuários e declarações de óbito do período de janeiro a março de 2018. Evidenciou-se que a maioria dos pacientes era do sexo masculino com idade superior a 60 anos, o foco mais encontrado foi o pulmonar, a intubação orotraqueal foi o procedimento invasivo mais utilizado. As doenças pulmonares foram as que mais apareceram como diagnostico de internação, seguidas pelos quadros de sepse já estabelecidos, o que pode ser justificado por pacientes com histórico de reinternação.  Através da identificação da doença base e do tipo de sepse é possível apontar a necessidade da caracterização precoce dos mesmos.
Stable carbon isotope analyses offer insights into net carbon degradation of maize silages in anaerobic batch fermentations
Authors: Einfalt Daniel , Werth Martin , Schropp Daniel , Kazda Marian
Published: January 2020

Carbon degradation indicates the efficiency of anaerobic digestion processes. Common carbon degradation determination methods define gross carbon degradation (C deggross) of substrate and inoculum inseparably. The aim of this study was to test an isotope-based method defining solely substrate-based net carbon degradation (C degnet) on maize silage. As the natural abundance of stable isotopes in agricultural substrates vary, the method’s applicability was tested on (i) different maize silages sampled from agricultural farms, (ii) maize silage in fresh (MSfresh) and impaired storage (MSimpaired) conditions.Experiments included six maize silages digested in a total of 19 lab-scale batch reactors, analyzed for digestion parameters, stable isotopes, gross and net carbon degradation. MSimpaired showed significantly different stable carbon isotope composition at the start of the experiments, compared to MSfresh. Both methods indicated quality losses in MSimpaired. Results showed significantly higher C degnet values, ranging from 58.4% to 86.5%, compared to deggross values, ranging from 23.1% to 48.7%. This indicated the applicability of an isotope-based method C degnet to assess net carbon degradation of maize silages more detailed by excluding the masking effect of the inoculum. The isotope-based net carbon degradation method was found applicable on maize silages from (i) different farms and (ii) in different storage qualities.
Development of trade and economic cooperation between China and Russia in new geopolitical conditions
Authors: Brizitskaya A.V.
Published: January 2020

The article analyzes the trade relations between Russia and China in the modern period characterized by changes in the situation on the world stage and in the domestic political life of countries. The dynamics and commodity structure of bilateral trade of Russia and China have been studied, the Index of trade com-plementarity has been calculated, which showed that Chinese exports are more complementary to the structure of Russian imports than vice versa. Emphasis is placed on traditional trade in goods, excluding services and cross-border e-Commerce. The paper identifies two main directions which the development of Russian exports to China can take in the conditions of the "trade war" of China and the United States. The short-sighted policy of increasing only fuel and energy exports is justified. The reasons hindering the development of non-resource exports of Russia, primarily agricultural products and food, to China have been identified.
Öffnung oder Auflösung des Mediensystems?
Authors: Beck Klaus
Published: January 2020

Vor dem Hintergrund der „Digitalisierung“ wird die Frage verfolgt, wie zeitgemäß und hilfreich eingeführte Konzepte von Mediensystemen für die Analyse des gegenwärtigen Wandels sind. Im Rahmen einer kritischen Bestandsaufnahme verschiedener Mediensystem-Verständnisse plädiert der Beitrag für das handlungstheoretische Konzept eines offenen und dynamischen Handlungs- und Akteurssystems der Medien. Medien werden dabei mehrdimensional als technisch basierte Zeichensysteme, Organisationen und Institutionen zum Zweck der Kommunikation verstanden. Medienkommunikation wird als spezifische Form sozialer Vermittlung, nämlich als vermittelte Mitteilung, begriffen. Der aktuelle Wandel des Mediensystems lässt sich nicht hinreichend als eine technisch verursachte Disruption („Digitale Revolution“) interpretieren, sondern als Veränderung der Vermittlungsverhältnisse. Medienkommunikation und andere Vermittlungsprozesse treten in zum Teil neuartige Wechselverhältnisse, neue Akteure (Plattformen) mit anderen Handlungslogiken (Plattform- und Überwachungskapitalismus) tragen zu einer Öffnung des Mediensystems bei, ohne es auf- oder abzulösen.Die theoretische Öffnung des Mediensystem-Begriffs und die Aufhebung der Engführung auf politische Publizistik werden, so das hier entwickelte Argument, nicht nur dem gegenwärtigen Wandel besser gerecht, sondern erweisen sich auch retrospektiv als hilfreich für ein weniger stark auf den politischen Journalismus oder eine eng gefasste Publizistik zentrierte Analyse vermittelter Mitteilung.
Differenzierung und Institutionalisierung des Medien- und Kommunikationssystems
Authors: Donges Patrick , Jarren Otfried
Published: January 2020

Der Beitrag diskutiert die vielfältigen Formen der Differenzierung und Spezialisierung der publizistischen Medien sowie der Institutionalisierung von Intermediären wie Social-Media-Plattformen für das Konzept Mediensystem. Dabei wird zunächst auf die Probleme des Konzepts Mediensystem eingegangen (Abschnitt 1). Auf der Basis institutionentheoretischer Überlegungen wird sowohl der Ausdifferenzierungsprozess des publizistischen Mediensystems (Mehr-Ebenen-Medien-System) wie dessen Transformation zu einem Kommunikations- und Mediensystem dargestellt und diskutiert. Der Beitrag setzt am Medienbegriff von Ulrich Saxer (1999, S. 6) an, der diese als „komplexe institutionalisierte Systeme um organisierte Kommunikationskanäle von spezifischem Leistungsvermögen“ definiert. Die Ausdifferenzierung der publizistischen Medien, so das in Abschnitt 2 entfaltete Argument, ist ein fortlaufender Prozess, der nicht mit der Entstehung eines abgrenzbaren – zumal nationalstaatlichen – Mediensystems endet. Permanent entstehen neue „organisierte Kommunikationskanäle“, wie etwa Online-Intermediäre oder Plattformen, die immer spezifischere kommunikative Leistungen erbringen oder ermöglichen und neu in das komplexe System institutionalisiert werden müssen. Es entsteht, so die Schlussfolgerung in Abschnitt 3, ein differenziertes und spezialisiertes, sowohl de- als auch neu-institutionalisiertes Mehr-Ebenen-System. Auch wenn sich der Begriff des Mediensystems so stark eingebürgert hat, dass wir ihn vermutlich nie loswerden, wäre es, so unser Fazit in Abschnitt 4, analytisch plausibler, von einem globalen und netzbasiertem Kommunikations- und Mediensystem zu sprechen.
LA PARODIA RADICAL DE RODRIGO LIRA
Authors: Canales Natalia
Published: January 2020

Proyecto de Obras Completas, es uno de los experimentos más radicales de la poesía nacional. En su composición estructural, Rodrigo Lira mezcla elementos visuales y estéticos, además de incluir constantes referencias a otros autores (como Lihn, Parra y Huidobro) a modo de intertextualidad. De esta forma va extremando los recursos liricos y lingüísticos hasta lograr una visión frenética del mundo que lo rodea. La radicalización de la parodia es la forma en que encuentra salida a sus sentimientos más recónditos de desamparo e inconformismo. Aquí se encuentra el pilar sobre el cual postulo alejar su poesía del pastiche: la profundidad que encierran los versos de Lira. Baso mi análisis en Proyecto de obras completas texto publicado en 1983 cuya segunda edición fue lanzada en el año 2003.
LA CIUDADANÍA Y EL PARADIGMA DE DERECHOS COMO VÍAS DE EMANCIPACIÓN: UNA DEMANDA FEMINISTA CHILENA PARA UNA MAYOR REPRESENTACIÓN POLÍTICA
Authors: Valenzuela Mariana
Published: January 2020

La demanda feminista por una mayor presencia de mujeres en cargos de decisión política se ha sustentado en un paradigma de derechos al abogar por estrategias institucionales y jurídicas. Este artículo analiza la postura institucional que ha tomado el feminismo chileno desde el paradigma de derechos para comprender cómo opera en la actualidad y reflexionar sobre sus problemáticas. Para ello se enfoca en la reapropiación crítica que el feminismo ha elaborado sobre la ciudadanía como vía para la emancipación de las mujeres al reconocer su estatus de sujeto de derechos, para luego analizar los alcances del paradigma de derechos utilizando como ejemplo la campaña feminista chilena “Más mujeres al poder”. Se argumenta que una de las principales limitantes es la posición hegemónica que se le otorga a la vía jurídica estatal en la concreción de sus demandas, disminuyendo la apertura hacia otros espacios de diálogo.
La danza desde la esencia humana de habitar
Authors: Villaseca Gutiérrez Camila Paz
Published: January 2020

Investigación que se desarrolla a partir de la interrogante: ¿De qué manera laacción de habitar el movimiento dancístico por parte del intérprete en danza se transforma enel código que facilita la comunicación con el espectador?, desglosándose en dos ejestemáticos los cuales permitieron conocer, definir y describir los conceptos claves queconforman la pregunta de investigación: “El habitar y su accionar en el movimientodancístico” es el primer eje abordado desde los estudios de filosofía, geografía y física, paraluego desarrollar el segundo eje, “El intérprete y su relación con espectador” desde lafilosofía, la danza y el teatro. La investigación se realizó bajo un enfoque cualitativo y desdeun estudio fenomenológico del tema, desde entrevistas semiestructuradas se analizaron losdatos obtenidos desarrollándose así dos grandes temas: “Construir la danza” y “La relaciónentre intérprete y espectador”. Los cuales respondieron a los objetivos específicos de estainvestigación: indagar sobre el concepto de habitar el movimiento dancístico, comprendersobre la relación comunicativa entre intérprete y espectador, relacionar el concepto de habitarel movimiento dancístico con la comunicación entre intérprete y espectador.
Música en la vida de los adolescentes
Authors: Álamos José Eduardo
Published: January 2020

Las preferencias musicales de los jóvenes repercuten en mayor o menor medida en sus formas de vida, así es como éstas preferencias y los factores que las condicionan, han sido un importante foco de investigación para la psicología de la música y la educación musical durante los últimos treinta años. En el presente artículo se realiza una revisión literaria en torno a los aspectos que influyen en el gusto y preferencias musicales, enfatizando en la importancia que tiene la música para el desarrollo afectivo/emocional, la vinculación social entre pares y la construcción de la propia identidad entre los jóvenes. Los hallazgos presentados serán relacionados con alcances pedagógicos que posee el mundo musical juvenil para el aula de música, especialmente para el desarrollo de actitudes y adquisición de aprendizajes vinculados con el respeto a la diversidad musical, expresados en las bases curriculares y programas de estudio para la asignatura de Música elaborados por el MINEDUC, en los niveles Séptimo a Segundo Año de Enseñanza Media en Chile. Hacia el futuro, resulta necesario continuar avanzando en investigación y trabajos pedagógicos que atiendan al uso didáctico de los géneros o estilos de música preferidos por los adolescentes, tanto para el desarrollo de actitudes y valores, como para la potenciación de habilidades musicales específicas.
El placer de moverse sin ver
Authors: Carvajal García Ana
Published: January 2020

El presente artículo intenta descifrar la perspectiva creativa de háptico, mi última obra de danza contemporánea. Háptico es una apuesta escénica en la que, por un lado, el sentido del tacto es el fundamento del movimiento, y por otro, la autoconciencia corporal lograda a través del Método Feldenkrais, ofrece un lenguaje íntimo, en un ritmo interior. Esta obra se enmarca en la línea artística que he seguido a través de mi proyecto por defecto danza, que busca poner en valor una danza democratizante, en la que los cuerpos que le dan vida no tengan que ser necesariamente virtuosos o canónicos. En háptico esto se expresa metafóricamente, pues los performers están privados del sentido de la vista. De tal modo la obra transcurre en el riesgo de no ver y no ser visto, para que emerja el sentido del tacto en escena y en el público que empatiza con los performers.
Aporte del ejercicio de la meta observación y el enfoque de la performatividad a la formación teatral
Authors: Ramirez Betancour Ana Karina
Published: January 2020

Esta investigación busca aportar a la innovación en la práctica de la enseñanza profesional del teatro a partir de la observación del ejercicio docente, cabe mencionar que todo enunciado expuesto tiene directa relación con la experiencia y criterio de la investigadora, realizando una invitación a cuestionar nuestros "personajes docentes"
Geochemistry of Paleoproterozoic saprolite developed in diabase intruding the Hotazel Formation in the Avontuur deposit of the Kalahari Manganese Field, South Africa
Authors: De Kock M.O. , Monareng B.F. , Blignaut L. , Smith A.J.B. , Beukes N.J.
Published: January 2020

A diabase sill intersected in drill core GHEX-59 from the Avontuur deposit of the Kalahari Manganese Field of South Africa displays an 8 m thick paleosaprolitic weathering profile developed below the regional unconformity at the base of the ~2.0 Ga red-bed succession of the Gamagara Formation of the Elim Group (Keis Supergroup). Tracking element mobility in the weathered diabase relative to unaltered parent material assists the reconstruction of surface conditions and the nature of pore waters associated with weathering in the Paleoproterozoic. The upper part of the regolith profile (i.e., “E/A and upper B horizon” equivalents of a modern soil profile) was removed in core GHEX-59 by erosion before deposition of the Gamagara Formation. The preserved red upper paleosaprolite (probably corresponding to the “B horizon” of a modern soil profile) grades into a veined light grey-green and eventually a minimally veined dark green paleosaprolite (“C horizon”) with depth, and into little-altered diabase (“R horizon”) deeper still. The weathering is characterized by minimal loss of Si, suggesting limited mass loss and compaction, and large decreases in alkali and alkali earth elements such as Mg, Ca, and Na due to the breakdown of plagioclase and primary mafic minerals. K increases dramatically upwards in the weathering profile towards the unconformity. Various indices of weathering attest to high degrees of chemical weathering, which, combined with paleogeographic constraints, support weathering in humid sub-tropical conditions with mean annual precipitation possibly in excess of 1100 mm/yr. The behavior of Fe (FeT, Fe(II) and Fe(III)), Mn, V, Ce and Cu suggest that the weathering occurred under the influence of oxygenated ground waters below an oxygenated atmosphere. The likely presence of a well-developed terrestrial biosphere during weathering is reflected by the behavior of Cu and P in the paleosaprolite, which is in support of earlier studies that have suggested the widespread bacterial colonization of land in the Paleoproterozoic.
The Recovery Transition Program: An innovative recovery-oriented, peer-based mentoring program in addiction services
Authors: Gill Kathryn
Published: January 2020

The Recovery Transition Program (RTP): Rationale, design, and delivery of an innovative recovery-oriented, peer-based mentoring program into addiction and mental health services The RTP is an award-winning complementary approach to standard care implemented by patients and staff in the Mental Health Mission at the McGill University Health Centre (MUHC). The RTP was designed to reduce relapses, improve recovery and patient experiences of care. In the RTP trained patient volunteers – called Peer Mentors – provide one-on-one peer mentoring, create workshops, facilitate group discussions, run family/caregiver meetings, and participate in creative activities. Collectively the RTP provides a supportive, learning and skill-building environment designed to help Peer Mentors, patients and families in their recovery. This workshop will outline the rationale/design of the program, its mission and mandate, as well as practical issues related to ethics, supervision of Peer Mentors, governance, financing, policies (e.g. code of conduct) and procedures (e.g. forms, referral methods). Discussion will include the design and delivery of the 30-hour Peer Mentor Training Program that covers topics related to roles, confidentiality, communication and listening skills, boundaries and self-disclosure, dealing with crisis, and self-care. Results of the formal RTP program evaluation will be presented. This includes both quantitative (surveys) and qualitative (interviews) methods aimed at exploring core aspects of the mentoring experience, as well as perceptions of care and satisfaction with RTP services among patients, staff and Peer Mentors. Workshop participants will receive information and materials that would enable them to consider setting up an RTP program in their own mental health settings.
Beyond Psychiatric Symptoms
Authors: Said Tewfik , Almadani Ahmad
Published: January 2020

Psychic pain goes far beyond the set of psychiatric symptoms that afflict our patients. Actually, there is much debate in our field as to what gives rise to the other; is psychic pain a by-product of psychiatric symptoms, such as depression and anxiety, or are symptoms a manifestation of psychic pain, namely that we develop symptoms by virtue that the psychic pain is unbearable. Although many of our therapeutic interventions tend to target symptom removal, or at least their alleviation, fewer efforts are placed on understanding the patients’ psychic pain. During this workshop "Beyond Psychiatric Symptoms", the presenters will give a brief outline of what we know about psychic pain and the challenge that is faced in reaching it. With extensive use of audiovisually recorded clinical interviews, we will expand on these concepts. A special emphasis will be placed on the training of health professionals to be able to identify, tolerate, and work with such pain on a daily basis. As this workshop will present vignettes of actual clinical interviews with patients, any form of recording or taking pictures throughout the presentation is absolutely forbidden to preserve patients’ confidentiality.
Mindfulness-Based Reduction Stress Reduction for Patients with Rheumatoid Arthritis and Depressive Symptoms: a Pilot Trial
Authors: Gaboury Isabelle , Dobkin Patricia , Roberge Pasquale , Beaulieu Marie-Claude , Dagenais Pierre , Gervais France , Roux Sophie , Boire Gilles
Published: January 2020

Background : Despite their efficacy at controlling joint inflammation, current treatments of rheumatoid arthritis (RA) leave up to 40% of patients into non-remission. Non-remission, frequently due to persistently negative self-reported impact of RA, was found to be associated with significant persistent depressive symptoms 6-7 months after initiation of arthritis treatment. Mindfulness-Based Stress Reduction (MBSR) is proposed to improve depressive symptoms and RA-related clinical outcomes. To pave the way for an eventual randomized controlled trial, a feasibility and acceptability study of MBSR has been realized. Methods: A standardized 8-week MBSR program was offered to groups of patients with controlled inflammatory disease but high levels of depressive symptoms.Qualitative interviews based on a theoretical framework of acceptability were conducted. Change in depressive symptoms (CES-D tool), fatigue and pain (SF-36), anxiety (GAD-7), pain, disease activity (PtVAS and SDAI scores) was measured over a 6-month period. Results: 27 patients have been recruited (3 distinct MBSR groups). Factors leading to a higher rate of success in recruitment were identified. Despite the small sample, the intervention was found to have a clear impact on depressive symptoms (p=0.004), anxiety (p=0.005), and social functioning (from the SF-36; p=0.04). Patients reported that MBSR gave them the opportunity to control their reactions in face of stressful situations.Perceptions were almost uniformly positive towards MBSR, and most appear to have integrated some part of the intervention in their daily life. Conclusions: Although recruitment was challenging, a MBSR trial on depressed patients with controlled inflammatory disease was found acceptable and feasible within this population. Preliminary clinical results showed positive impacts of such intervention.
The Evelina Resolution Project: the story of a UK children's hospital's programme to resolve conflicts with families
Authors: Barclay Sarah , Menson Esse
Published: January 2020

When a consultant paediatrician at the Evelina London Children's Hospital made a phone call to a mediator one Friday afternoon in 2012 asking for help to manage an escalating conflict between a family and the health professionals treating their daughter, neither knew that their meeting would lead to the development of the first conflict resolution and mediation training programme in a National Health Service children's hospital.  The Evelina Resolution Project has gained international recognition for training health professionals to recognise and manage conflicts between families and health professionals.  In this presentation, the doctor and the mediator describe how one case led to a programme of change which is now being trialled in 4 specialist UK children's hospitals with the aim of supporting families and health professionals to have conversations without conflict.
The Gift of Pain with Transformative Possibilities
Authors: Hovey Richard
Published: January 2020

This personal narrative explores the experiences of pain metaphorically as a gift. The intention of this presentation is to offer alternative ways to reflect on chronic pain, life and taking risks to move from health literacy toward health agency with help. I will describe my approach to decision making using the hermeneutic wager which provides a means to imagine possibilities while mindfully assessing risk. Learning to manage pain and learning to live well with pain through self-empathy and self-compassion as a gift that we are not always aware is within our grasp. This approach was only essential for my own healing process but helped many others who have participated in our community project called HOMEBASE funded by the Movember Foundation to reduce social isolation for men living with chronic pain.
"I wish I’d laid my hand on her shoulder". Fostering compassion in first-year medical students
Authors: Schei Edvin , Whelan Beth , Hutchinson Tom
Published: January 2020

In order to care for sick people as whole persons, health personnel need awareness of how sickness afflicts human beings, and how health professionals affect patients’ ability to deal with disease and suffering. In medical education there is a well-documented dearth of teaching and learning about emotions and relational healing mechanisms. Medical students are not systematically educated in the “existential anatomy” of persons, and how to deal productively with uncertainty, embarrassment and helplessness.In this highly participatory workshop, a concrete teaching method for first-year medical students, developed in Norway, will be shared. The method, called PASKON (“patient contact”) is anchored within a theoretical framework related to Whole Person Care, which is currently taught at McGill.Central to PASKON is the encounter between novice medical students and very sick volunteers, both in the patients’ homes and in the classroom. Having to enter the intimacy sphere of a stranger, and be acknowledged as a health professional without feeling like one, is an orchestrated rite of passage that generates strong emotions and a wealth of material for reflection. More experienced students coach the first-years and assess their reflective essays.The workshop will highlight the rationale for working with relationships, emotion and awareness in medical students. Participants will then be given roles as patients or students, and guided through a simulated session of PASKON, and reflections on the method and its potential applications.
A Call for Compassion and Culture Change for Addicted Doctors
Authors: Dobkin Patricia
Published: January 2020

There is a code of silence regarding addicted doctors in medicine. While the doctor is minimizing or denying the problem, often her or his co-workers look the other way. Colleagues may be concerned but hold back from “denouncing” one of their own. Yet, ethical and legal issues are real. Patient care may be compromised. This presentation will engage listeners by asking several reflective questions. The 4 C’s of addiction will be reviewed. Signs of addiction will be enumerated. Why doctors become entangled in substances will be examined. Is addiction different from burnout? If so, how? The adverse consequences of addiction will be reviewed. How can compassion be offered for a problem that triggers blame and shame?Impaired doctors are usually referred to Physician Health Programs. What do they offer? Can the Buddhist view of addiction contribute to Western therapies? Addiction recovery will be examined through a mindfulness lens.This, however, still puts the onus on the individual who struggles with addiction. What about the medical culture may contribute to the problem? Can this be changed? If so, how? Addicted doctors are not alone, and the problem is more than personal. Rather than simply review the literature, this presentation will engage the audience so that the taboo of addiction can be tackled. It is intended to break the silence such that upon return to work, participants may notice a colleague who shows signs of addiction and then open their hearts to offer support.