bluuebunny/crossref_metadata_2025 huggingface dataset:
A Religiosidade no Enfrentamento do Surto Epidêmico de Zika Vírus no Nordeste Brasileiro
Authors: Lemos Fernanda , Campos Zuleica Dantas Pereira
Published: June 2019

Esse artigo analisa a influência da religiosidade no enfrentamento da epidemia por Zika Vírus no nordeste brasileiro, que culminou no surto de microcefalia entre famílias que já se encontravam em situação de vulnerabilidade social. Para análise desta realidade social, apreendeu-se por meio de entrevistas, a história de vida dos sujeitos. Estes por sua vez, tiveram suas realidades sociais radicalmente transformadas, diante da desordem social provocada pela epidemia, e consequentemente pelo surto de microcefalia. Nesse caso, especificamente, a religiosidade apresentou-se como um elemento significativo para o enfrentamento dessa realidade, ajustando a desordem social trazida pela epidemia e pela inacessibilidade às políticas públicas. Portanto, objetiva-se compreender as implicações sociais da epidemia, bem como a influência da religiosidade no enfrentamento dos desajustes provocados por este evento.
Da sedução à morte: uma análise da novela judaica Judite sob a perspectiva de gênero
Authors: Monteiro de Matos Sue'Hellen
Published: June 2019

Resumo: As novelas bíblicas veterotestamentárias são lidas, relidas e recepcionadas ao longo dos tempos, além de nos possibilitar diversas óticas de leituras. Neste artigo analisaremos o livro de Judite considerando seus aspectos redacionais, literários e contexto histórico no qual ele fora escrito, além de propor um ensaio de uma leitura sob a perspectiva de gênero desta novela, tendo em vista as relações de poder que perpassam toda a narrativa.Palavra
Beleza e conflito: a espiritualidade existencial na poesia de Florbela Espanca em diálogo com Eclesiastes
Authors: Santos Antonio Carlos Soares
Published: June 2019

A poesia de Florbela Espanca é a essência literária da própria existência humana. Há o conflito entre as expressões de religiosidade e as dúvidas e rejeição do mundo religioso. Florbela Espanca expressa na beleza de suas poesias os conflitos originários de uma alma carregada pela angústia, tristeza e dor. Ao lermos Espanca, temos a sensação de adentrarmos no interior da sentimentalidade humana e enxergarmos os cantos obscuros do ser que poucas vezes é exposta. Sem se entregar a um discurso puramente teológico, Espanca vagueia em meios às palavras de cunho religioso e revela a face de um existencialismo que aflora dentro de uma perspectiva quase confessional de alguém que ama a vida, mas que constantemente flertava com a morte. Este trabalho monográfico tenta traçar um diálogo entre a poesia de Florbela Espanca e as nuances do pensamento de uma espiritualidade existencialista.
O legado dos estudos críticos modernos em Jeremias
Authors: Yan Anderson
Published: June 2019

Esse ensaio argumenta que o estudo crítico em Jeremias não é algo que teve origem na modernidade apesar de que ela impulsionou essa empreitada trazendo consciência para a complexidade do longo processo composicional desse livro profético. Mesmo que grande parte dos seus pressupostos necessitam constante revisão, é inegável que o seu legado tenha proporcionado uma variedade de ferramentas e métodos robustos para a análise desse livro que permanece até os dias de hoje.
Aproximações e distanciamentos entre fundamentalismo e pré-milenarismo: por uma tipologia do protestantismo a incluir John Gresham Machen
Authors: Campos Breno Martins , Da Rocha Aretha Beatriz Brito
Published: June 2019

Como resultado de pesquisa bibliográfica de caráter exploratório, este artigo representa uma contribuição a mais para a inesgotável tarefa de tipologizar o protestantismo. Metodologicamente, consideramos que afinidades eletivas entre as condições materiais e mentais dos EUA no início do século XX permitem-nos compreender por que o movimento fundamentalista original e seus desdobramentos no mundo todo, ao longo do século passado, abraçaram o literalismo na interpretação da Bíblia e o dispensacionalismo pré-milenarista de Darby e Scofield. Hoje, a maioria dos fundamentalistas é dispensacionalista, pré-milenarista e pré-tribulacionista, mas nem sempre foi assim. Nosso objetivo é demonstrar que a adoção do dogma da inerrância bíblica e a crítica ao liberalismo teológico, adversário interno do protestantismo conservador desde o século XIX, não incluem como resultado necessário o dispensacionalismo. A produção teológica de Machen, na condição de estudo de caso que desconcerta as classificações previsíveis dentro do campo protestante, permite-nos afirmar que o fundamentalismo não é uma exclusividade dos pré-milenaristas.
Expondo os desafios do mundo à igreja: a linguagem visual vanguarda da revista Cruz de Malta de 1962
Authors: Renders Helmut
Published: June 2019

Este artigo descreve e analisa as mudanças da linguagem visual religiosa da revista Cruz de Malta Marcha no ano 1962 que surgem junto com um novo lema da revista, “Juventude em luta para um mundo melhor”. Como base se comparou capas dos anos 1960, 1961, 1962, 1963 e 1964 e alguns exemplos do uso do desenho gráfico nas edições da revista de 1962. Percebe-se como a tentativa de estender as fronteiras da atuação da igreja incluindo um diálogo sobre os problemas mais urgentes globais e nacionais da época rompe com padrões da cultura visual que antecipam os anos 70 e 80 por um breve momento. O rápido desaparecimento dessa linguagem religiosa visual vanguarda depois um ano parece hoje como antecipação ou pré-anúncio dos eventos que acabam preparando a ditatura militar brasileira de 1964.
Tetragrama, teônimos e nomina sacra: os nomes de Deus na Bíblia. Breve apresentação e descrição
Authors: Francisco Edson De Faria
Published: June 2019

Breve apresentação e descrição da obra Tetragrama, Teônimos e Nomina Sacra: Os Nomes de Deus na Bíblia, de Edson de Faria Francisco, publicado pela editora Kapenke.
Resenha do título alemão “A arte – aproximada à linguagem” de Andreas Beyer (2017).
Authors: Renders Helmut
Published: June 2019

Resenha do livro de Andreas Beyer. Die Kunst – zur Sprache gebracht. Berlin: Verlag Klaus Wagenbach, 2017. 204 p. ISBN 978-3-8031-2784-6 [tradução do título: “A arte – aproximada à linguagem” ou “Articulando a arte”]
Os pobres no livro de Jó: da teologia da retribuição para a economia de retribuição
Authors: Lage Jovanir
Published: June 2019

O livro de Jó é um texto que propõe um conjunto de discussão para além de Israel e de seu povo. É um texto sempre atual e pujante, que questiona as doutrinas estabelecidas, colocando em destaque o tema da justiça, do sofrimento e da religião. Neste sentido, sua leitura deve ser inspiradora para uma teologia que pretende ir além da lógica e dos princípios estabelecidos. O presente estudo, exalta, portanto, uma teologia que se desenvolve na prática do sofrimento e tenta ressignificar a dor, sem o peso dos sacrifícios que mantém vivos os esquemas de retribuição em troca do silêncio e da conformação. O Jó que apresentamos aqui, se redescobre na relação com Deus e não nas relações de troca.
Postoperatif Hasta Kontrollü Analjezi Uygulaması: Tek Merkez Deneyimi
Authors: ŞENAYLI Yeşim , SALMAN Alper , ŞAHİN Altan
Published: June 2019

ÖzAmaç: Bu retrospektif çalışmada postoperatif hasta kontrollü analjezi (HKA) uygulanan hastaların demografik özelliklerinin, ağrı durumlarının, kullanılan analjezik ajanların ve yan etkilerin incelenmesi amaçlanmıştır.Gereç ve Yöntem: Hastanemizde yaklaşık 20 aylık periyotta HKA ile postoperatif analjezi tedavisi uygulanan hastalar retrospektif olarak değerlendirildi. Hastaların demografik bilgileri, klinik özellikleri, intravenöz veya epidural uygulama protokolleri kullanılarak servis şartlarında yaklaşık sekiz saat aralıklarla yapılan takip değerlendirme bulguları (ağrı, sedasyon, uykusuzluk, bulantı, kusma, kaşıntı) kaydedildi.Bulgular: Çalışmaya alınan 810 hastanın %57,9’u kadın olup çoğu (%55,8) ortopedik cerrahi uygulanmış olan hastalardı. HKA, 730 (%90,4) hastada intravenöz, 80 (%9,6) hastada epidural yol ile uygulanmıştı. İntravenöz HKA kadınlarda, epidural HKA ise erkeklerde daha fazla tercih edilen bir uygulama idi. En sık tercih edilen analjezik ajan intravenöz uygulamada petidin iken, epidural uygulamada fentanil + bupivakain olarak saptandı. Hastalarda en sık görülen yan etkiler sedasyon/uyku hali, bulantı, kusma ve idrar retansiyonu idi.Sonuç: Hastanemizde HKA uygulamasında intravenöz uygulamanın daha çok tercih edildiği, en sık tercih edilen analjezik ajanın intravenöz uygulamada petidin, epidural uygulamada fentanil + bupivakain olduğu görülmüştür. HKA ile ağrı tedavisi düşük yan etki düzeyleri ile iyi tolere edilmektedir.
Algunas notas sobre el léxico del mestizaje en la Guatemala del siglo XVIII (1690-1810)
Authors: Ramírez Luengo José Luis
Published: June 2019

Dentro de los procesos de creación léxica que caracterizan al español de América, no cabe duda de que el del vocabulario relacionado con el mestizaje constituye, por su abundancia y por su originalidad, uno de los más destacados (Rosenblat, 1954; Moreno Navarro, 1969; Alvar, 1987). En esta línea, el presente estudio tiene como objetivo el estudio del léxico de esta temática que se recoge en una colección de documentos notariales de la Guatemala dieciochesca, con el propósito de señalar las posibles especificidades diatópicas y cronológicas que se descubren en los textos y, tras poner en relación estos datos con la información ya disponible, aportar nuevas líneas de investigación sobre la cuestión.
Historia de un fragmento textual sobre la exploración de la China. Notas léxicas
Authors: Sartor Elisa
Published: June 2019

Este ensayo se propone estudiar, a través de comprobaciones lexicográficas y en corpus,la historia de algunos términos procedentes de un mismo fragmento textual contenido en dos obras que desempeñaron un papel fundamental en la formación del imaginario chino y oriental en España a finales del siglo XVI. Se trata de Discurso de la navegacion que los Portugueses hazen à los Reinos y Provincias del Oriente, y de la noticia que se tiene de las grandezas del Reino de la China (1577) de Bernardino de Escalante y de Historia de las cosas mas notables, ritos y costumbres, del gran Reyno de la China (1585) de Juan González de Mendoza, y de las respectivas traducciones al inglés.El objetivo de este estudio es el de ofrecer una reconstrucción contrastiva de la historia de los términos menjui, palo del águila ycayolaque, contenidos en una frase que aparece tanto en el texto de Bernardino de Escalante como en el de Juan González de Mendoza, ambos derivando su origen del tratado portugués de fray Gaspar da Cruz. Se realizará una comparación con las propuestas traductivas respectivamente de John Frampton y R. Parke. Además, se proporcionará un ensayo de representación visual de las relaciones entre los tratados y sus fuentes a través de recursos digitales.
Las unidades pluriléxicas con echar en la lexicografía mexicana contemporánea: un acercamiento descriptivo
Authors: Palacios Niktelol , Franco Erik
Published: June 2019

En este artículo se presenta un análisis descriptivo de la forma en la que seis diccionarios del español mexicano, publicados entre 1977 y 2012, lematizan las unidades pluriléxicas construidas con el verbo echar. Nuestro objetivo es dar cuenta del tratamiento lexicográfico de estas unidades tanto en diccionarios elaborados con un método claramente definido y explicitado en sus introducciones, como en diccionarios cuya claridad lexicográfica es menor, pero que gozan de gran éxito comercial.El trabajo se divide en cuatro apartados. En el primero, señalamos el público al que se dirige cada diccionario y el tipo de vocabulario que en ellos se incluye; en el segundo, presentamos las decisiones para la conformación de nuestra muestra de análisis. En el tercero, enlistamos las unidades pluriléxicas que se repiten tomando como base el número de diccionarios en el que aparecen y, por último, exponemos nuestras reflexiones finales en vías de la elaboración del Diccionario fraseológico del español de México.El estudio se hace a partir de una muestra de 341 unidades pluriléxicas que nos ha permitido dar cuenta de la variación de criterios sintácticos y semánticos para la delimitación de su fijación formal, su lematización e institucionalización.            Consideramos que el aporte central de este acercamiento descriptivo es que a pesar de los avances de la teoría fraseológica en la práctica lexicográfica moderna, los autores se enfrentan a problemas que no han sido resueltos de manera definitiva. Los datos indican que según se privilegie un análisis sintáctico, semántico o pragmático, la identificación de las unidades y su ordenamiento dentro del diccionario serán distintas.
CAUCASUS: HIGHLANDERS, COSSACKS AND NATIONAL MINORITIES (SECOND HALF OF 1930s – 1945)
Authors: BUGAI Nikolai F.
Published: June 2019

Introduction.Forced relocation in the life of states is a mechanism for implementing state measures, but not its policy. The concept of “repressive policy” is also a failed brand of the time of the 1990s. in the context of heightened feelings in society. No state can call its policy “repressive”. Therefore, when using such a statement, it would be appropriate to consider the possibility of combining verbal generalization with reality. The purpose of the article is to summarize the transformations that the mountain population and the Russian Cossacks underwent, living together for centuries in the North Caucasus.

Methods.The region is distinguished by its specificity: multinationality, multi-confessional, rich event series, the difficulties of the conditions of social development, the historical process. In this connection, consideration of the presented problem from different angles is valuable: time limits related to the pre-war and wartime situations, existing assessments of the actual state of affairs under the Stalinist regime, which resorted to the use of such a principle as managing the development of society internationalism. He suggested the use of measures of compulsory order, the strict subordination of peoples and groups of the population. All this necessitated the involvement of a wider range of research methods: historicism, chronological, juxtaposition, balance, and others. This is confirmed by the outlined illustrative material.

Results.In the proposed article, on the example of the regions of the Caucasus of Russia and partially of the Transcaucasus, the results and consequences of such punitive measures as forced relocation of citizens and peoples, deportation of population groups are traced. It is based on the principle of resettlement on the eve and during the war of 1941-1945 in the USSR, identifying the reasons for the use of these inhuman, immoral inherently methods of manipulation and punitive actions in relation to the individual. Among them is the formation of a bifurcation state, the attitude of the population towards the state and the authorities. The statistical data that caused the death of the population for this reason are given.

Conclusions.The solution of the problem is possible only under the condition of a generalized presentation of the material of the noted processes, both in relation to a group of peoples, and to the Cossacks in the chronological framework of the study. This is the possibility of identifying a certain inconsistency in the assessments of the true situation in the region in the 1940s., and the need to conduct various kinds of sweeps. However, this contradicted measures to consolidate society, contributed to the emergence of a deep divide between power and nations, regardless of their nationality, aggravating the social position of ethnic communities without it in the prewar and wartime conditions of the 1940s. It is definitely necessary to equip the community of nations in such a way that such measures never find application in practice.
Some difficulties of differential diagnosis of clonorchiasis
Authors: Figurnov V A , Dolgikh T A , Grigorenko A A , Dubyaga E V , Roshchin S N , Nitsievskaya L S , Trynov N N
Published: June 2019

Clonorchiasis is a disease caused by the parasites of the Chinese fluke (Clonorchis sinensis) characterized by damage of the liver and/or pancreas. The basis of the diagnosis of clonorchiasis is detection of parasite eggs in the feces. Despite this, it may be difficult to confirm this helminthiasis. It should be noted that in case of low-intensity invasions or in the acute period of clonorchiasis, it is not always possible to detect eggs in the feces. The article describes a case of a 38-year-old man admitted to the hospital with a preliminary diagnosis of liver tumor. The diagnosis of clonorchiasis was made after the liver biopsy and identifying of Clonorchis eggs in the duodenal contents. No eggs were found in the feces. The therapy with praziquantel (biltricide) was effective and the patient was discharged in a satisfactory condition.
Pro-adrenomedullin level in chronic forms of coronary heart disease: relationship with systolic function of the left ventricle
Authors: Myasoedova E I , Polunina O S. , Voronina L P , Mukhambetova G A
Published: June 2019

Aim. To assess the level of pro-adrenomedullin in patients with chronic forms of coronary heart disease and to identify possible relationship with the indicators of left ventricular systolic function.

Methods. 110 patients with ischemic heart disease and myocardial infarction with preserved left ventricular ejection fraction [average age 54.9 (42; 64) years] and 130 patients with ischemic cardiomyopathy [average age 55.2 (42; 64) years] were observed. All patients underwent transthoracic echocardiography by a standard technique and pulsed-wave tissue Doppler, left ventricular ejection fraction and myocardial performance index (Tei index) were calculated, maximum systolic velocity of the lateral part of the fibrous ring of the mitral valve was estimated. Pro-adrenomedullin level was measured in serum.

Results. In both groups the level of pro-adrenomedullin was statistically significantly higher than the control va­lues — 0.49 (0.18; 0.58] nmol/L (p <0.017 and p <0.001, respectively). At the same time, in the group of patients with ischemic cardiomyopathy, the level of pro-adrenomedullin was statistically significantly higher than in the group of patients with ischemic heart disease and myocardial infarction with preserved left ventricular ejection fraction [1.72 (1.56; 1.98) nmol/l and 0.89 (0.51; 1.35) nmol/l, p <0.001]. Correlation analysis in both groups revealed statistically significant associations of the pro-adrenomedullin level with the left ventricular ejection fraction (r=–0.45, p=0.039, r=–0.51, p=0.034), maximum longitudinal velocity of the left ventricle (r=0.50, p=0.027, r=0.59, p=0.019), Tei-index (r=0.50, p=0.027, r=0.59, p=0.019).

Conclusion. The data obtained demonstrate the potential of determining the level of pro-adrenomedullin as a biochemical marker of left ventricular dysfunction.
Organ preservation surgery in patients with locally advanced laryngeal cancer
Authors: Svetitskiy P V , Volkova V L , Aedinova I V
Published: June 2019

Aim. To improve the results of treatment of patients with locally advanced laryngeal cancer by developing organ preservation surgery combined with radiation therapy.

Methods. 20 patients with locally advanced laryngeal cancer stage III (T3N0-1M0) were examined. A surgery was developed that involves lateral resection of the larynx in conjunction with the underlying thyroid cartilage, preserving its upper 1/3-1/4 portion as a horizontal plate not affected by a tumor. On the affected side of the neck, a skin flap is preliminarily harvested, by 1.5-1.0 cm longer and wider than the resulting laryngeal defect. It is put over the fragment of thyroid cartilage left after resection and sutured to the healthy mucosa of the preserved part of the larynx. Laryngostomy and tracheostomy are formed. Tracheostomy tube is inserted. Formed laryngostomy is freely tamponed with two to three tampons with an antiseptic solution for up to 7 days. Naso-esophageal probe is inserted. Patients who did not receive radiation treatment before surgery, receive postoperative gamma-therapy after 14-20 days with cumulative dose up to 40 Gy. Plastic surgery of laryngostomy and tracheostomy is performed after 4-5 months after the intervention.

Results. The developed method of surgery for patients with stage 3 of one half of the larynx allowed a radical removal of the tumor with the restoration of breathing, swallowing and speech. The event-free 5-year survival rate was 80±4.5%, and the total 3-year survival was 100%. Сonclusion. The developed technique of organ-preserving surgery in patients with locally advanced laryngeal cancer stage 3 involving its one half can provide oncological radical technique with the rehabilitation of the functions of the larynx.
İlk Okuma Yazma Öğretiminde Oyunla Öğretim Yöntemi Uygulamaları
Authors: BABAYİĞİT Özgür , GÜLTEKİN Mehmet
Published: June 2019

İlkokula başlama yaşının 7 yaştan 6 yaşa

düşürülmesi ile birlikte, ilk okuma yazma öğretimi süreci sınıf öğretmenleri

için daha önemli hale gelmiştir. Bu araştırmanın amacı, ilk okuma yazma

öğretiminde oyunla öğretim yönteminin etkililiğini belirlemektir. 2015-2016

eğitim-öğretim yılında, Eskişehir ili Tepebaşı ilçesinde bir Devlet ilkokulunda

gerçekleştirilen araştırmada karma araştırma deseni kullanılmıştır.

Araştırmada, basit seçkisiz örnekleme ile deney ve kontrol grubu belirlenmiş;

deney grubu 20, kontrol grubu 22 öğrenciden oluşmuştur. Deney grubunda ilk

okuma yazma öğretimi sürecinde oyunla öğretim yöntemi gerçekleştirilmiştir.

Araştırma verileri okuduğunu anlama testi, sesli okuma hızı formu, yazma hızı

formu, gözlem ve görüşme ile toplanmıştır. Araştırmada nicel veriler; betimsel

istatistiksel yöntemler, Mann Whitney U testi kullanılarak çözümlenmiştir.

Nitel veriler ise içerik analizi kullanılarak çözümlenmiştir. Araştırma

bulgularının analizi sonucunda oyunla öğretim yöntemi ile gerçekleştirilen

oyunlar, öğrencilerin ilgisini çekmiştir. Öğrenciler oyunlar sırasında zevk

almışlar ve mutlu olmuşlardır. İlk okuma yazma öğretiminde oyunla öğretim

yönteminin uygulandığı deney grubu ile oyunla öğretim yönteminin uygulanmadığı

kontrol grubundaki öğrencilerin sesli okuma hızları, yazma hızları, okuduğunu

anlama becerileri arasında istatistiksel bakımdan anlamlı bir fark

bulunmamıştır. Sınıf öğretmeni ilk okuma yazma öğretiminde oyunla öğretim

yöntemine ilişkin olumlu görüşlere sahiptir. Sınıf öğretmenine göre ilk okuma

yazma öğretimi sürecinde oyunla öğretim yöntemi etkili ve verimli olmaktadır.

İlk okuma yazma öğretimi sürecinde oyunlardan yararlanılması önerilmektedir. 
Organizaciones sindicales
Authors: Goyes Moreno Isabel , Hidalgo Oviedo Mónica
Published: June 2019

Este artículo condensa algunas de las teorías que justifican o denigran sobre la existencia del sindicalismo en los Estados constitucionales. Dichas tendencias se agrupan en libertarios e igualitarios, aunque revelan, independientemente consideradas, la insuficiencia para afrontar la complejidad del hecho sindical. La viabilidad de armonizar las discrepancias surge con los principios del Derecho Laboral Colectivo, que permite modular intereses extremos para realizar la justicia material.
poder
Authors: Díaz Flórez Daniel José
Published: June 2019

Una constante histórica dentro de la Ciencia Política ha sido la pregunta por el poder. ¿Qué es?, ¿qué lo legitima?, ¿por qué unos tienen el derecho de mandar y otros el deber de obedecer?, ¿son consentidas las relaciones de poder?, ¿qué papel desempeña la fuerza o la violencia en estas relaciones? Todas estas han sido preguntas que nunca han perdido vigencia en el escenario político, de tal suerte que están en constante revisión y debate. Max Weber y Guglielmo Ferrero no fueron ajenos a esta preocupación y desarrollaron teorías en torno al fenómeno del poder. El presente artículo hace una exposición esquemática de sus teorías y precisa sus posiciones frente al papel que juegan la legitimidad, el consenso y la violencia dentro de las relaciones de poder.
Percepción de dos miradas con igual enfoque y diferentes perspectivas, desde alexy y zagrebelsky
Authors: Garrido Ochoa Yucelis , Ferrera Araújo Nina , Moadie Ortega Vanina
Published: June 2019

Se pretende en el presente artículo, una aproximación a la teoría de los principios desde la revisión de dos grandes exponentes del Neoconstitucionalismo, los profesores Robert Alexy y Gustavo Zagrebelsky, específicamente haciendo un abordaje de las similitudes y diferencias planteadas, en sus respectivos planteamientos teóricos. Es necesario reconocer desde el inicio, que los autores antes citados han sido considerados por varios autores como exponentes del Neoconstitucionalismo, lo cual se configura en la primera coincidencia, y en el principal objetivo de este artículo, como lo es, el evidenciar al lector las similitudes y diferencias entre sus teorías de tal manera que a medida que avancemos en esta comparación se aprecie la solidez de las construcciones teóricas de cada uno de ellos, para que en concepto del lector se juzgue anticipadamente cuál de los dos autores será posiblemente escogido por la historia como el máximo representante de esta corriente.
La relation de voyage. Itinéraire d’une pratique
Authors: Motsch Andreas
Published: June 2019

La question des genres dans la littérature viatique est aussi problématique qu’instructive en raison notamment de son hybridité. Cet article aborde la question par un détour substituant à l’analyse des procédés littéraires une approche pragmatique. En resituant la pratique littéraire dans le contexte général des activités humaines, l’article retrace l’itinéraire de la relation de voyage entre les XVIe et XVIIIe siècles. Le double parcours, historique et méthodologique, permet de déterminer les possibilités de la relation de voyage, son développement discursif et littéraire ainsi que la production de savoirs dans laquelle elle est engagée. L’accent mis sur la période de formation de notre épistémè moderne met au jour nos propres méthodes et outils analytiques et permet éventuellement de repenser  les intérêts et les limites d’une approche générique.
Le journalisme au miroir de la littérature (à moins que ça ne soit l’inverse)
Authors: Labasse Bertrand
Published: June 2019

Un nombre croissant de travaux franchissent le fossé qui s'est creusé au XIXe siècle entre le journalisme et la littérature. Mais s'ils offrent de nouvelles visions des champs qui s'étendent de l'un et l'autre côté de cette délimitation passablement floue, ils soulèvent aussi des difficultés, qu'un ouvrage récent consacré à « Cocteau journaliste » rappelle opportunément. Saisissant cette occasion, le présent article se propose, à partir du cas d'école que constitue le « journalisme » de Cocteau, d'examiner plus généralement certaines des questions définitionnelles et des perspectives stimulantes que recèle encore l'approche littéraire des textes journalistiques.
Sortir de la Prostitution de Rue au Canada: L’approche Transdisciplinaire du Modèle Intégré en Santé des Populations
Authors: Lessard Émilie
Published: June 2019

Cet article examine l’influence des déterminants sociaux de la santé sur les trajectoires d’entrée, de maintien et de sortie de la prostitution de rue au Canada. La complexité de la problématique de la prostitution de rue chez les jeunes femmes entraîne de multiples défis quant à la mise en place d’un modèle théorique permettant de cerner les enjeux relatifs à la santé des femmes prostituées. La prostitution de rue étant fortement liée à la toxicomanie et à l’itinérance, entrainant une augmentation des risques de problèmes de santé associés à l’abus de substance, aux infections transmissibles sexuellement et par le sang, à des problèmes de santé mentale, une exposition accrue à la violence physique, émotionnelle et sexuelle et à un taux de mortalité élevé. Il est impératif d’établir un modèle théorique transdisciplinaire permettant de saisir les mécanismes d’entrée, de maintien et de sortie de la prostitution, afin de mieux cibler les interventions en matière de prévention et pour mieux soutenir les femmes désirant quitter la prostitution de rue. De plus, l’approche transdisciplinaire vise à fournir des pistes d’interventions pour promouvoir la sortie du système prostitutionnel et pour guider les recherches futures.
O Estágio Supervisionado em Cursos a Distância: Uma Análise da Percepção dos Estagiários do Curso de Administração Pública da Universidade Federal dos Vales do Jequitinhonha e Mucuri - UFVJM
Authors: Vieira Naldeir dos Santos , Higuchi Agnaldo Keiti , Campos Daniela Cristina da Silveira , Santos Sá Adriana Aparecida da Conceição , Teles Maiara Pereira
Published: June 2019

Apesar da relevância do estágio curricular supervisionado para a formação e a inserção de alunos de cursos de graduação no mercado de trabalho, poucos são os estudos que analisam essa prática, principalmente no contexto dos cursos a distância. Em decorrência, este artigo tem como objetivo analisar a satisfação de alunos do curso de Administração Pública da Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), ofertado na modalidade a distância, em relação ao estágio e suas atitudes em relação a: (i) apoio oferecido pela organização; (ii) teoria-prática; (iii) remuneração; (iv) plano de carreira; (v) acesso a oportunidades de estágio; e (vi) supervisão. Como procedimentos metodológicos, foram aplicados questionários aos alunos do curso matriculados nas disciplinas Estágio Curricular Supervisionado I, II, III, IV no primeiro semestre do ano de 2018 que efetivamente estavam estagiando em organizações públicas. A análise foi realizada por meio de modelos de regressão múltipla. Cabe destacar que os alunos se mostraram satisfeitos com o estágio que estavam desenvolvendo, à exceção dos questionamentos sobre a oportunidade de se envolver em projetos, de serem inseridos no quadro permanente de funcionários e sobre a política de apoio financeiro aos estagiários da concedente.
Palavras-chave: Ensino a distância. Estágio supervisionado. Curso de administração pública.
Immediate dilation of a tight or stenotic cervix by intra-procedural administration of hyoscine butylbromide: A clinical trial
Authors: Hadadianpour Shiva , Tavana Shahrzad , Tavana Anahita , Fallahian Masoumeh
Published: June 2019

Background: Cervical dilation is indicated prior to performing various gynecological procedures. However, gynecologists are at times confronted with a stenotic or tight cervix, resistant to dilation. This can be problematic particularly when cervical ripening has not been attempted hours before the start of the procedure.
Objective: The objective of this study is to investigate the efficacy of administration of hyoscine butylbromide for cervical dilation for immediate dilation of the tight or stenotic cervix.
Materials and Methods: In this clinical trial study, a population of 40 women, aged 20-70 yr with stenotic cervix, evidenced by resistance to pass dilator #2 through their cervical canal were compared. Cervical patency was assessed 10 min following intracervical canal instillation of hyoscine butylbromide.
Results: Cervical width of 57.5% of patients became wider, as evidenced by passage of the number 4 Hegar dilator through the cervical canal without resistance. Independent T-tests did not reveal any statistically significant difference between the two groups based on their age. Fisher Exact test revealed a statistically significant difference between the two groups based on the prior route of delivery, with a more statistically significant response in patients who had vaginal deliveries.
Conclusion: Intra-cervical canal instillation of hyoscine butylbromide is effective in immediate dilation of the tight or stenotic cervix during intra-uterine procedures.
Can brain natriuretic peptide predict cardiovascular complications in severe preeclampsia? A case-control study
Authors: Ghomian Nayereh , Vakilian Farveh , Shahri Bahram , Rostaminejad Vesam , Khadem-Rezaiyan Majid
Published: June 2019

Background: Preeclampsia is one of the most common pregnancy complications, which is one of the major causes of fetal and maternal mortality.
Objective: To compare the serum Brain Natriuretic Peptide (BNP) level in patients with severe preeclampsia and normal pregnancy and investigate associated cardiovascular complications.
Materials and Methods: This case-control study was performed on 94 women with a singleton pregnancy (severe preeclampsia and normal pregnancy) at Imam Reza Hospital in Mashhad, Iran. The venous blood samples were collected to evaluate the serum BNP level. All patients were subjected to echocardiography performed by a single cardiologist.
Results: The mean pro-BNP levels were 480.36 ± 754.52 and 67.46 ± 106.24 pg/dL in the severe preeclampsia and normal pregnancy patients, respectively (p < 0.001). However, adjusted BNP for maternal and gestational age was not different in the two groups (ANCOVA, p = 0.69). Furthermore, the two study groups showed no significant difference in terms of the cardiac parameters, including ejection fraction (EF), left ventricle end-diastolic and -systolic diameters (LVEDD and LVESD, respectively), tricuspid annular plane systolic excursion (TAPSE), and ratio of the early transmitral flow velocity to the early diastolic tissue velocity (E/Em). However, the serum BNP level showed a significant correlation with EF (r = -0.39, p = 0.008), TAPSE (r = -0.47, p = 0.001), and E/Em ratio (r = 0.48, p = 0.001) in patients with severe preeclampsia.
Conclusion: It seems that BNP can be used as a predictor for some of the main cardiac functional indices (i.e., E/Em, EF, and TAPSE) in severe preeclampsia patients.
Key words: Brain natriuretic peptide, Echocardiography, Stroke volume, Preeclampsia, Pregnancy.
Effects of different doses of tamoxifen on the sperm parameters and chromatin quality in mice: An experimental model
Authors: Sadeghi Sepideh , Reza Talebi Ali , Shahedi Abbas , Reza Moein Mohammad , Abbasi-sarcheshmeh Abolghasem
Published: June 2019

Background: Tamoxifen (TX) is widely used for the treatment of male factor and idiopathic infertility. It has been shown that TX induces sperm production and so improves male fertility.
Objective: This study evaluated the effects of different doses of TX on the sperm parameters and chromatin quality in mice.
Materials and Methods: In this research, 24 male NMRI mice were divided into three groups including group A: control animal receiving vehicle; group B: the group receiving basal diet and TX 0.4 mg/kg/day; and group C: the group receiving basal diet and TX 0.6 mg/kg/day for 35 days. Thereafter, epididymal spermatozoa were analyzed for standard parameters and nuclear chromatin quality using Aniline Blue (AB) and Toluidine Blue (TB) staining.
Results: The results indicated that although the TX did not affect the sperm count, motility, and viability parameters, it could elevate the percentage of sperm cells with abnormal morphology and abnormal chromatin at both doses. In addition, in comparison with the control mice, a significant elevation was observed in spermatozoa with residual histones (assessed by AB staining) at high doses of TX.
Conclusion: Our experimental data in mice suggested that the use of TX for treating male infertility might increase the rates of spermatozoa with abnormal chromatin in a dose-dependent manner.
A potencialidade energética da biomassa no Brasil
Authors: De Miranda Ronaldo Leão , Martins Eliane Maria , Lopes Kamila
Published: June 2019

A utilização de fontes renováveis de energia na matriz energética mundial, que sejam além de ambientalmente favoráveis, economicamente viáveis, é um dos maiores desafios da sociedade atual. No Brasil, esta preocupação torna-se evidente diante à predominante utilização de fontes não renováveis, nocivas ao meio ambiente, como o petróleo e seus derivados, na matriz nacional. A análise do potencial energético que a biomassa, como fonte renovável e amplamente disponível no país, é o objetivo deste estudo. Para tanto, foram consideradas as vantagens e desvantagens que a mesma possui diante às principais fontes renováveis já utilizadas no país. Para tanto, será feita uma análise da atual matriz energética nacional, elucidando a importância de renovação e complementariedade da mesma. A metodologia utilizada consiste na análise da matriz energética brasileira, com o intuito de comprovar a potencialidade de utilização de uma fonte específica de energia, a biomassa. Neste sentido, como resultado, apesar do elevado potencial energético que o Brasil apresenta, devido à falta de políticas públicas claras, o potencial registrado ainda é modesto perante as possibilidades que a biomassa apresenta.
Achieving Health Equity through Science, Policy, and Partnerships
Authors: Webb Hooper Monica
Published: June 2019

Ethn Dis. 2019;29(Suppl 2):317-320; doi:10.18865/ed.29.S2.317.
Improving Behavioral Health Equity through Cultural Competence Training of Health Care Providers
Authors: McGregor Brian , Belton Allyson , Henry Tracey L. , Wrenn Glenda , Holden Kisha B.
Published: June 2019

Racial/ethnic disparities have long persisted in the United States despite concerted health system efforts to improve access and quality of care among African Americans and Latinos. Cultural competence in the health care setting has been recognized as an important feature of high-quality health care delivery for decades and will continue to be paramount as the society in which we live becomes increasingly culturally diverse. Unfortunately, there is limited empirical evidence of patient health benefits of a culturally competent health care workforce in integrated care, its feasibility of imple­mentation, and sustainability strategies. This article reviews the status of cultural competence education in health care, the merits of continued commitment to training health care providers in integrated care settings, and policy and practice strategies to ensure emerging health care professionals and those already in the field are prepared to meet the health care needs of racially and ethnically diverse populations. Ethn Dis. 2019;29(Supp 2):359-364. doi:10.18865/ed.29.S2.359
Advancing Health Equity through Organizational Mentoring Policies at Minority-Serving Institutions
Authors: Johnson Hemming Japera , Baez Adriana , Hall Meldra , Thompson Winston , Stiles Jonathan , Ofili Elizabeth
Published: June 2019

Objective: Morehouse School of Medicine, a collaborative partner in the National Research Mentoring Network, established the Mentoring Academy Institutional Plan­ning Forum (MA Forum) to help minority-serving institutions (MSI) optimize research mentoring. In this commentary, we describe the policy workshop and review survey data from six MSIs to assess the current state of organizational policies and activities that advance research mentoring.Participants: Twenty-eight institutional leaders, representing six MSIs, participated in an MA Forum between May 20, 2016 and May 11, 2017.Methods: After describing the MA Forum’s background, design and recruitment strat­egy, we present a synthesis of institutional summaries built from responses to a 45-item survey that explored existing mentoring infrastructure, policies, and activities at each institution.Results: There is a heavy reliance on extra­mural funds to facilitate research mentoring initiatives. Mentoring policies and activities were most often governed by individual programs rather than the institution. Thus, the research mentoring expertise was concentrated at the local level, which may prevent opportunities for future scalability and optimization.Conclusions: Given these findings, we offer recommendations to help MSIs establish a mentoring culture backed by institutional policy. Ethn Dis. 2019;29(Suppl 2): 371- 376; doi:10.18865/ed.29.S2.371.
Health Policy Engagement Strategy for the Health Information Technology Policy Project of the Transdisciplinary Collaborative Center for Health Disparities Research
Authors: Zellner Lawrence Tiffany , Douglas Megan D. , Rollins Latrice , Josiah Willock Robina , Cooper Dexter L. , Gooden Richard A. , Francis Sherilyn , Mack Dominic H.
Published: June 2019

Rulemaking is one of the most important ways the federal government makes public policy. It frequently has significant impact on individuals, communities, and organizations. Yet, few of those directly affected are familiar with the rulemaking process, and even fewer understand how it works. This article describes a case study of the Transdisciplinary Collaborative Center for Health Disparities Research Health Information Technology (TCC HIT) Policy Project’s approach to health-policy engagement using: 1) social media; and 2) a webinar to educate stakeholders on the rulemaking process and increase their level of meaningful engagement with the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) proposed rule public comment submission. The webinar “Paying for Quality: What Is the Impact on Health Equity” was promoted through Twitter and held in June 2016. In total, we posted 19 tweets using two distinct hashtags (#MACRA4Equity, #MACRA2Equity) to raise awareness of the upcoming MACRA proposed rule and its possible effects on health equity. Overall, 252 individuals registered for the webinar, and more than half participated (n=133). Most (67%) registrants reported that health policy was not the primary focus of their current position. Based on information provided in the webinar, 95% agreed that their understanding of the topic improved. By the end of the webinar, 44% of participants indicated that they planned to submit public comments for MACRA, a 12% increase compared with those who planned to submit at the time of registration. The TCC health-policy engagement strategy demonstrates the feasibility of engaging a diverse audience around health policy issues, particularly those who are not typically engaged in policy work. Ethn Dis. 2019;29(Suppl 2): 377-384. doi:10.18865/ed.29.S2.377
Curriculum Mapping and Needs Assessment to Inform the Training of Health Policy Leaders
Authors: Bayer Carey Roth , Respress Ebony , Joshiah Willock Robina , Heiman Harry J.
Published: June 2019

Purpose: To identify synergies and gaps in knowledge, skills, and attributes identi­fied by health policy leaders and create a summary measure of congruence with the Health Policy Leadership Fellowship Program curriculum.Methods: We mapped the Health Policy Leadership Fellowship Program curriculum to the most highly ranked knowledge, skills, and attributes identified through the Health Policy Leaders’ Training Needs Assessment survey.Results: Overall, the Health Policy cur­ricular elements had the highest percentage of congruence with the needs assessment Knowledge elements (>60%). The lowest levels of congruence (<30%) occurred most frequently within the Attribute elements.Conclusions: Mapping an existing pro­gram’s content and elements to needs perceptions from professionals practicing in the field may help to both inform and evaluate an existing program’s ability to at­tract and meet the needs of target learners. While needs assessments have traditionally been used to help develop programs, this study also demonstrates their application as a process evaluation tool when mapped to existing programs’ curricular elements.Ethn Dis.2019;29(Suppl 2):413-420. doi:10.18865/ed.29.S2.413
Analyzing Factors of Breast Cancer Screening Adherence among Korean American Women Using Andersen’s Behavioral Model of Healthcare Services Utilization
Authors: Jin Seok Won , Lee Hee Yun , Lee Jongwook
Published: June 2019

Objectives: Regular uptake of mammogra­phy screening reduces the risk of advanced stage diagnosis of breast cancer (BC). How­ever, BC screening rates remain suboptimal among Korean American (KA) women. Using the Andersen’s Behavioral Model of Healthcare Services Utilization, this study examined factors associated with mammog­raphy screening among KA women aged 50 to 80 years in the state of Georgia, USA.Methods: We used purposive sampling to recruit study participants in the Atlanta met­ropolitan area from May 2015 to February 2016. A total of 303 KA women completed a cross-sectional, self-report survey about their sociodemographics, health care access information, knowledge, self-efficacy, deci­sional balance, and mammography history.Results: Descriptive analyses confirmed low rates of mammography screening in the participants. Multiple logistic regression analyses showed that having a mammogram within the past year was associated with greater BC knowledge, higher scores of decisional balance and fewer annual health check-ups among KA women without any cancer history.Conclusions: The findings offer implica­tions for health policy aimed at increas­ing BC screening by leveraging enabling factors among medically underserved KA women at both structural and cultural levels.Ethn Dis.2019;29(Suppl 2):427-434; doi:10.18865/ed.29.S2.427
Employment Rates Among Severely Physically Disabled and Nondisabled College Graduates and Dropouts
Authors: Lonnquist Daniel E.
Published: June 2019

This study was based on a follow-up survey of handicapped students and a control sample of non-handicapped students. Dropouts and graduates from both samples were compared on the basis of employment rate. The handicapped students surveyed were 223 severely disabled former students who attended the University of Missouri-Columbia (UM-C) between 1960 and 1977. Non-disabled former students at UM-C were matched with the disabled respondents on sex, age, and educational variables. The finding that the unemployment rate for disabled graduates was significantly lower than the rate for disabled dropouts suggests that higher educational attainment is a definite advantage for severely impaired individuals in securing employment. The significantly higher unemployment rate of disabled respondents than the unemployment rate for respondents in the control sample was attributed to the physical impairment of the respondents in the handicapped sample.
Rehabilitation Counseling Competencies
Authors: Harrison Don K. , Lee Chia Chih
Published: June 2019

Ninety competencies for rehabilitation counselors were identified and assigned to eleven categories to form a competency based Master's degree Rehabilitation Counselor Education Program. Forty eight experienced rehabilitation counselors (28 State VR; 15 private rehabilitation agencies and facilities; and 5 school/university) rated whether the competencies were a job requirement, using the Rehabilitation Counselor Competency (Task) Inventory. Data analyses suggested that more than two-thirds (63 out of 90) of the competencies are required by rehabilitation counselors. Implications for rehabilitation counselors are discussed in terms of skills development and preparation for positions of leadership.
Recent Rehabilitation Counselor Role Changes and Role Strain – A Pilot Investigation
Authors: Rubin Stanford E. , Emener William G.
Published: June 2019

After a review of VR counselor role and function studies prior to and since 1973, the authors hypothesized that compared to the 1960's rehabilitation counselors are currently devoting: (a) less time to counseling and guidance activities; (b) more time to paperwork, (c) more time to arranging for services; and (d) about the same amount of time to placement activities. It was also hypothesized that VR counselors currently prefer to devote more time to counseling and guidance, and less time to paperwork. Analyses of the data collected from a sample of 31 rehabilitation counselors, 17 administrators and supervisors and 9 rehabilitation educators attending a 1978 NRCA Conference Program, suggested that VR counselors are currently devoting: (a) less time to counseling and guidance activities; (b) more time to paperwork, (c) more time to arranging for services, and (d) about the same amount of time to placement activities. Significant differences between estimated and preferred percentages of time, suggested that VR counselors are experiencing role strain. Discussions relevant to legislative mandates role strain, and future research are also included.