bluuebunny/crossref_metadata_2025 huggingface dataset:
Epidemiology of injuries among U18, U19, U21 and senior elite netball players
Authors: Sinclair Colleen , Coetzee Frederik , Schall Robert
Published: May 2020

Background: Despite a substantial body of literature on injuries among elite netball players in South Africa, no study reports on the timing and type of injuries and the reason for injuries.

Objective: To determine the epidemiology of injuries in U18, U19, U21 and senior netball players in the Free State (FS), South Africa, over two consecutive netball seasons (2017/2018).

Methods: An injury questionnaire was used to collect data on 96 eligible players.

Results: A total of 48 injuries were reported. The profile of injuries revealed that 58% (n=28) of the injuries occurred during matches, 29% (n=14) during practice and 13% (n=6) during preseason training. Acute injuries accounted for 54% (n=26) of the total, while 46% (n=22) were overuse injuries. A third of all the injuries were re-injuries. The centre (C) position had the highest incidence of injuries in players (n=14; 29%). The ankle was the most frequently injured body part (n=18; 36%), followed by the lower leg and Achilles tendon (n=6; 13%) thus largely the ligaments and muscles. The overall incidence rate of injuries during match play was 33.9 injuries per 1 000 hours of match play.

Conclusion: Preventative strategies should consist of ankle and lower leg strengthening and neuromuscular balance techniques. The focus should be on correct landing techniques, results of abrupt change of direction movements and short bursts of speed.
Treinamento muscular ventilatório em pacientes tetraplégicos pós lesão medular traumática: revisão integrativa
Authors: Souza de Matos Bruno , Santana Montino de Melo Andressa , Alves Conceição Tatiana Maita
Published: May 2020

INTRODUÇÃO: O Trauma Raquimedular é uma condição clínica incapacitante que pode desencadear a tetraplegia, descrita como paralisia parcial ou completa do tronco, músculos respiratórios e membros, favorecendo o surgimento de complicações, principalmente de caráter respiratório. Diante disso, o Fisioterapeuta pode fazer utilizar treinamento muscular ventilatório(TMV) objetivando aumentar a força e resistência à fadiga dos músculos ventilatórios, além de prevenir complicações respiratórias. OBJETIVO: Descrever quais os dispositivos, protocolos e técnicas mais utilizadas para treinamento muscular ventilatório e os efeitos associados em indivíduos tetraplégicos pós trauma raquimedular. METODOLOGIA: Foi realizado levantamento bibliográfico entre novembro de 2019 e fevereiro de 2020, nas bases de dados Medline, LILACS e SciELO utilizando as palavras-chave: Breathing Exercises, Spinal Cord Injuries, Quadriplegia e os sinônimos utilizando os operadores booleanos  “AND” e “OR”. RESULTADOS: Após consulta nas bases de dados, foram encontrados 3334 artigos, 36 foram selecionados para leitura de resumo, sucedendo que 23 foram excluídos por não atender aos critérios de seleção, restando 13 artigos para a leitura integral, resultando na seleção final de 13 artigos. CONCLUSÃO: Fica evidenciado que protocolos para TMV através de resistores lineares são os mais utilizados tetraplégicos. Além disso, execução de protocolos com resistores lineares a inspiração, empregando intensidade em torno de 30-60% da PImax, apresentou efeitos significativos em PImax. No entanto, percebeu-se que há muitas discordâncias quanto as variáveis de treinamento, principalmente intensidade e número de séries propostos. Contudo, é notório que a utilização do TMV em tetraplégicos apresenta certas divergências, principalmente relacionado a escolha das técnicas e/ou dispositivos adequados.
Traditional Chinese Medicine as add-on treatment of triple/quadruple therapy for Helicobacter pylori infection: an overview of systematic reviews and meta-analyses (Protocol) v1
Authors: Si Xiaobei , Wang Shuai , Lai Chun-Lian , Bi De-Ying , Lan Yu
Published: May 2020

Background:In recent years, many studies reported the anti-Hp effects of Traditional Chinese Medicine. Based on these studies, there had been many relevant systemic reviews and meta analyses with variable results Aim: This overview aims to investigate the general characteristics and assess the methodological quality of these systemic reviews/meta ana lyses (SR/MAs). Method: In this overview, we intend to includ systemic reviews/meta analyses with comparison of Chinese medicine and western medicine on helicobacter pylori infection by searching databases of Medline, Embase, Web of Science, China National Knowledge Infrastructure Database (CNKI), Chinese VIP Information (VIP), Chinese Medical Databases (CMB) and Wan-Fang Database until December 16th, 2018. AMSTAR and GRADE tools will be adopted to assess the methodological quality and evidence quality characteristics. Conclusion:The methodological quality of these SR/MAs will be assessed as clinical evidence and our result may help further use of them.
Assessment of semantic similarity in entities under monitoring: A systematic literature mapping
Authors: Sánchez Reynoso María Laura , Diván Mario José
Published: May 2020

The detection and evaluation of semantically similar entities in measurement projects is a key asset for real-time decision making because it allows reusing their knowledge and previous experiences. In this way, the objective of this work is to map the thematic area of data stream processing to identify the topics that have been investigated in the detection of semantically similar entities. From the methodological point of view, a systematic mapping study was conducted obtaining 2,122 articles. Thus, 111 were kept refining the search strategy, and 25 were considered once the filters were applied jointly with the inclusion/exclusion criteria. After reading the 25 documents, just 6 were pertinent and allowed answering the research questions aligned with the research objective. The semantic similarity applied to entities under monitoring in the measurement and evaluation projects is a challenge. Real-time decision making depends on the obtained measures, the monitored entity, and the context in which it is immersed.
A kinetic study of the photoinduced oxo-transfer using a Mo complex anchored to TiO2
Authors: Sánchez-Velandia Julián E. , Páez-Mozo Edgar A. , Martínez-Ortega Fernando
Published: May 2020

Kinetic study of the photo-assisted oxygen atom transfer reaction (OAT) using a dioxo-Mo complex anchored on TiO2, stimulated by light, was performed at ambient conditions using triphenylphosphine (PPh3) as a model molecule. The kinetic of the OAT reaction was studied with three catalytic systems: 4,4’-dicarboxylate-2,2’-bipyridine-dioxochloromolybdenum (MoO2L/TiO2), H2MoO4 (H2MoO4/TiO2) and molybdenum oxide (MoO3/ TiO2) anchored to TiO2. The MoO2L/TiO2 gives conversion higher than 90% and selectivity (to phosphine oxide) close to 100%. MoO3/TiO2 did not allow the oxo-transference, suggesting the importance of the bipyridine ligand as an electronic connector between MoO2L unit and TiO2. With the MoO2L/TiO2 system was observed that when the photonic flux increases, the quantum yield, and the OAT reaction rate increases.
Passengers’ comfort in horizontal curves on mountain roads: a field study using lateral accelerations
Authors: García-Ramírez Yasmany D. , Aguilar-Cárdenas Diego
Published: May 2020

The comfort of passengers is one of the most significant advances in modern passenger transport. Despite its subjectivity, it could be related to the lateral accelerations on horizontal curves. This study aimed to analyze the relationship between passengers' comfort and lateral acceleration in two-lane rural mountain roads. Real-vehicle experiments were performed with 58 passengers on one road in the Ecuadorian Andes. They explored the influence of age, sex, level of stress, level of physical pain, speed, and lateral acceleration on passenger comfort. Two instruments were employed to collect data:  a survey conducted to the passengers and a precise GPS device. In the survey, the passengers selected their comfort or discomfort within the curve. The GPS collected the vehicle speed, lateral accelerations and, its trajectory. As a result, it calibrated two models using Structural Equation Modeling (SEM) with the factors: comfort values, stress level and lateral acceleration. Besides, it calibrated six models using linear regression with several thresholds of speed. Differences were found between right and left curves, which had not been detected by previous researchers. The research suggests thresholds of lateral acceleration in mountain roads in a Latin American country that would improve their design for better performance and safety.
Determination of photovoltaic power by modeling solar radiation with Gamma distribution in the CEDER microgrid
Authors: López-Meraz Raúl Alberto , Hernández-Callejo Luis , Jamed-Boza Luis Omar , Alonso-Gómez Víctor
Published: May 2020

The article proposes a methodology applicable to any photovoltaic (PV) plant to obtain an approximation of the monthly production of solar array power. The analysis was carried out in seven systems, of different technologies and capacities, connected to the microgrid of the Center for the Development of Renewable Energies (CEDER) belonging to the Center for Energy, Environmental and Technological Research (CIEMAT) in Soria, Spain. The proposal simulates radiation by combining and crossing two Gamma probability distributions, representing the days with the best and worst solar resources, respectively. As a result, a matrix was created with 12 variables that define the monthly behavior of the radiation. On the other hand, the granularity of the PV generation was homogenized to know it at any moment through polynomial functions. Once both characterizations were known, it was possible to predict the monthly power of each PV array. The methodology has been validated with the measurement approximation index, developed in the text, and with specialized software. The results presented will help in the dimensioning of a backup model and will collaborate in the adequate management of energy.
Outcomes of West syndrome: literature review and own data
Authors: Prygunova T. M.
Published: May 2020

The article is devoted to the treatment and prediction of outcomes of West syndrome. The analysis of literary and own data was carried out. Was estimated the effectiveness of treatment and predicted the outcomes of the disease by data of anamnesis, seizures and the possibilities of therapy. The article presents a stepwise scheme for the treatment of West syndrome and evaluates the results of the application of various drugs, including valproic acid, vigabatrin*, levetiracetam, phenobarbital, clonazepam and topiramate. Special attention is paid to the role of hormone therapy, demonstrated its high efficiency. The most significant prognostic criteria for the outcome of this disease are identified. These criteria are based on literature and our own data. Predictors of an adverse outcome of West syndrome include: symptomatic forms of disease (structural, genetic, infectious), impaired neuropsychological development before onset of epileptic spasms, age of spasms onset more than 8 months, the presence of other seizures types in addition to epileptic spasms, the need for polytherapy of antiepileptic drugs. The pathology of pregnancy, the period of adaptation, neonatal seizures, starting therapy and the response to it are not always important in predicting remission.
Idiopathic toe-walking in childhood
Authors: Malmberg S. A.
Published: May 2020

Background. Idiopathic toe walking (ITW) in childhood is a benign age-dependent disorder of the normal walking formula.

Objective: neurological, catamnestic and electromyographic analysis of patients with ITW.

Materials and methods. The study group consisted of 59 patients aged 1 year 4 months to 15 years (mean age is 6.10 ± 3.54 years) with a predominance of males (76 %) and the onset of violations in the age of 4 years in 83 % of cases, a normal history and the absence of signs of organic neurological deficiency.

Results and conclusions. As a result of differential diagnosis cerebral palsy, spastic paraplegia, peripheral neuropathy, myopathy and other diseases as possible causes of ITW were excluded. A high proportion of comorbid disorders of the neurotic spectrum in patients with ITW was determined, so tranquilizing and anxiolytic therapy was indicated in half of the patients. Electromyography doesn’t revealed pathology of peripheral neuromotor apparatus. Follow-up monitoring for 2–6 years, showed complete spontaneous regression of violations of the pattern of the walk at 84.8 % of the patients of 7–8 years of life. The formation of contractures of the ankle joint in 5 patients required operative correction. The issues of therapeutic tactics (gypsuming, orthosis of feet, botulinum toxin therapy, physiotherapy) were discussed. The absence of evidence-based effect of therapeutic measures is confirmed.
The Model of the Constitution of Proportionate Development
Authors: Likhter P. L.
Published: May 2020

The values of the consumer society have an impact on all fields of social relations. Currently, significant changes are taking place in trade, financial and credit, information, social, environmental and other fields.

The purpose of the study is to analyze the current transformations from the point of view of interaction with constitutional and legal institutions, and to identify promising directions of their further formation. Particular attention is paid to the concept of sustainable development initiated at the end of the last century — a set of measures aimed at rational consumption of environmental resources, coordinated overcoming of social and economic crises for the benefit of not only present generation but also future generations. Methodologically, the paper is based on the methods of legal modeling and intersectoral analysis, formal-legal and system-structural methods. The formal-logical analysis of the current legislation and international instruments, as well as the method of monitoring enforcement allow us to assume legal approaches that significantly hinder sustainable progress in the environmental, economic and social fields.

Following the results of the study, the author raises the question of the development of a model of the constitution of proportional development as a tool for counteracting the risks of the consumerist society. Taking into account the specifics of state and public institutions of Russia, the presented model provides economic, ecological, social, ethical and aesthetic components. Key issues of mutual influence of these subsystems concern new approaches to the catalog of constitutional and legal values, goals and principles.
Socially Dangerous Consequences in the Norms on Economic Crimes: Problems of Recognition in the Law
Authors: Kameneva A. N.
Published: May 2020

The paper investigates the normative regulation of socially dangerous consequences of economic crimes set forth in Chapter 22 of the Criminal Code of the Russian Federation. A legislative structure of economic crimes is rather heterogeneous. Some of them are determined as formal (registration of illegal transactions with real estate — Art. 170; illegal organization and conduct of gambling — Art. 171.2, etc.); others are defined as economic (illegal obtaining of credit — Art. 176; abuse of securities issue — 185, etc.); and the third are defined as formal economic (illegal entrepreneurship — Art. 171; restriction of competition — Art. 178 et al.).

The paper analyzes the negative aspects of including the criteria characterizing socially dangerous consequences in the norms-notes to Chapter 22 of the Criminal Code of the Russian Federation, determines the significance of criminological peculiarities of economic crimes in determining the extent of damage caused by economic crimes of different types; the influence of the nature and amount of damage established in the law on the exemption from criminal liability for the commission of economic crimes.

It is concluded that a law-maker needs a more uniform approach to determining the types and sizes of consequences caused by economic crimes (types should be, as a rule,” economic”, and the size should be the same for all the crimes) and to the placement of quantitative indicators of consequences (in the note to Article 1 where sequences are specified); to achieving compliance with the rules of differentiation of responsibility in the construction of basic and qualified crimes (large and especially large scale of consequences should be indicate only for the latter); to imposing "unfavorable” sanctions from the point of view of the legal consequences of economic crimes, and, on the contrary, to giving a “favorable” character to the exemption from criminal responsibility under Art. 76.1 of the Criminal Code of the Russian Federation in comparison with the specified sanctions.
Development of Statehood in Central Asia during the Achaemenid Period (6th — 4th centuries BC )
Authors: Aminov I. I.
Published: May 2020

The paper examines the progressive significance of the entry of Parthia, Margiana, Khorezm and other regions of Central Asia into the structure of the Achaemenid State, the political regime of which had no obvious features of the occupation order based on the brutal exploitation of the conquered peoples, but rather flexible and adapted to the specificities of each area. The unification of the Central Asian peoples under the authority of the Achaemenid dynasty was also facilitated by their national, linguistic and mental similarities, since the Persians, on the one hand, the Saks, the Dahs, the Parthian, the Caspian, Khorezmians — on the other, were in previous epochs related to peoples and, most likely showed a tendency to political consolidation.

On this basis it is concluded that the power of the Persian kings among the peoples of Central Asia, despite separatist tendencies and a number of anti-government speeches, was legitimate. Mutual cooperation and strong ties between the center and the provinces led to stability, peace, the creation of favorable conditions for the development of economic and trade relations, the establishment of regular monetary treatment, respect for the cultural, religious and linguistic identity of peoples and the balance of interests of social communities. The Achaemenid rule introduced in the history of legal thought the idea of fighting between the good and the evil, the proportionality of personal and State interests, the codification of the laws of the conquering peoples, their legal customs and religious norms in accordance with the general imperial law.

This historical and legal experience was not only creatively perceived and applied by geopolitical successors of the Achaemenid state — Alexander the Great, Seleucids, Arshakid and Sassanid, but also in the context of modern national and state interests may be relevant for the Russian Federation, Iran, Kazakhstan, Uzbekistan — leaders of the modern integration, defining the foreign policy and geopolitical orientations of the Central Asian region.
Defects in the Activity of Transport Justice Bodies in the 1940s and 1950s
Authors: Shkarevskiy D. N.
Published: May 2020

In the paper, the author analyzes the activities of the judicial authorities in transport on the basis of previously unpublished archival sources. In his opinion, there are several groups of shortcomings in their activities. Among them: deviation from the set tasks and "liberal" punitive policy; errors in the application of the norms of substantive and procedural law, shortcomings of organizational work, legal proceedings, and secret proceedings. According to the author, the main reasons for these defects are the lack of a high-quality training system for these bodies, as well as insufficient funding for their activities. The main results of such mistakes were reduced to unfounded criminal proceedings and unfounded conviction.

The author came to the conclusion about the unstable competence of these bodies. It widened and narrowed. In the event of an emergency, it tends to expand and the punitive function of these bodies comes to the fore. As a result, there was a systematic abuse of the powers, as well as mass violations of substantive and procedural law. During periods of stabilization, these bodies were supposed to perform broader functions of educating transport workers and promoting the decisions of the party and the government. Such a policy, according to the country’s leadership, was supposed to help prevent crimes.

The system of these bodies was a clumsy mechanism. They were not able to a quick reorganization if necessary. It was possible that errors identified during audits were not eliminated. During the great Patriotic war, the leadership was forced to put up with these shortcomings. After the end of the war, these bodies began to meet higher requirements. However, even in the 1950s, there were manifestations of the main defects identified by the author in the activities of transport justice bodies.
Certain Problems of Citizens’ Rights Protection when Using Genomic Technologies
Authors: Bogdanova E. E. , Maleina M. N. , Ksenofontova D. S.
Published: May 2020

In the context of the rapid development of new medical technologies, the problem of protecting the rights of citizens and ensuring respect for human dignity is becoming increasingly urgent. The authors come to the conclusion that the protection of the patient’s rights when using genomic technologies can be carried out in the order of claim proceedings. Typical methods of protection are recovery of damages in the event of injury to health, compensation for moral damage in connection with the violation of such non-material benefits as life, health, physical integrity, privacy. Particular attention is given to the problem of children’s rights protection when using genomic technologies, including the right to natural biological origin, the right to know their biological parents and family (genetic) history, since the use of advances in genetics and biomedicine by one generation of people can be a serious challenge to the existence of fundamental freedoms and equality of future generations.At the moment, states should define the limits of possible intervention in the sphere of private (parental) arbitrariness in order to prevent future harm to children born with the help of modern technologies. Consideration of individual problems of the rights of citizens protection when using genomic technologies indicates objective difficulties in finding solutions due to bioethical principles, the need to ensure a fair balance between the interests of the parties to the relevant relationship and third parties, and the need to minimize potential risks. The breakthrough achievements of medical and biological science pose an important task for the state to develop an effective system of legal guarantees aimed at ensuring respect for human dignity, protecting the rights and interests of an individual, preventing the biotechnological construction of a person for the purposes of eugenic practice, etc.
Nonstationary Background Seismicity Rate and Evolution of Stress Changes in the Changning Salt Mining and Shale-Gas Hydraulic Fracturing Region, Sichuan Basin, China
Authors: Jia Ke , Zhou Shiyong , Zhuang Jiancang , Jiang Changsheng , Guo Yicun , Gao Zhaohui , Gao Shesheng , Ogata Yosihiko , Song Xiaodong
Published: May 2020

The Ms 6.0 earthquake in Changning, Sichuan, China, on 17 June 2019 was the largest recorded earthquake in the stable Sichuan basin. It occurred in a complicated region with salt mining and shale gas production. Whether this earthquake is induced raises concerns among the public and the scientific community. Furthermore, the relation between this earthquake and nearby industrial activities has also been of great interest. To address these questions, we estimated the nonstationary background seismicity rate and inverted for spatiotemporal stress changes. The results show that the background rate dramatically increased after hydraulic fracturing (HF) and remained at a high level until the present. Starting in 2005, the study region experienced an accelerating stress increase, and the rates of cumulative modified Coulomb stress changes were approximately 0.11  MPa/yr from January 2005 to January 2015 and 0.24  MPa/yr from January 2015 to December 2018. The 2019 Changning earthquake produced a stress step of 0.32 MPa. A clear difference between seismicity induced by salt mine injection and by HF is documented. Our results suggest that the Changning sequence might have been induced by long-term injection for salt production. Furthermore, the seismicity-stress inversion method provides a tool for using seismicity rate changes as a stress meter to monitor human-induced seismicity.
Pensar en salud: desde la concepción mágica y religiosa hasta el nuevo paradigma de la complejidad
Authors: Quintero Erika Marcela
Published: May 2020

A través de la historia hemos hablado de enfermedad. Recientemente hemos cambiado el término y hablamos de un proceso denominado salud-enfermedad, el cual tiene su objeto de atención en el diagnóstico de las enfermedades y el restablecimiento de la salud del individuo. Desde Hipócrates se sabe que las causas de la enfermedad están directamente relacionadas con el sujeto y los entornos sociales en los cuales se desenvuelve; sin embargo, la forma en que estos fenómenos son abordados es sesgada, e impide una intervención eficiente y eficaz.
O PROCESSO DE DESINDUSTRIALIZAÇÃO NAS REGIÕES BRASILEIRAS (2000-2016)
Authors: Bacik Rita De Cássia , Schneider Mirian Beatriz , Santoyo Alain Hernández
Published: May 2020

O estudo tem como objetivo analisar como a desindustrialização se caracteriza nas diferentes regiões brasileiras durante o período de 2000 a2016. Buscando evidências acerca de uma possível ocorrência deste processo, com o auxílio do referencial teórico, assume-se que em função da grandiosidade espacial e diversidade regional do país, o processo de desindustrialização se caracteriza por diferentes padrões de comportamento nas regiões brasileiras. Busca-se verificar se existem diferenças na desindustrialização das distintas regiões brasileiras a partir dos anos 2000. Aanálise inferencial foi realizada a partir da utilização do teste não paramétrico de Kruskal-Wallis. A fundamentação teórica do estudo e os testes efetuados comprovam a ocorrência deste fenômeno no Brasil, no período analisado, uma vez que os indicadores: participação do emprego industrial no emprego total e participação do valor adicionado da indústria (extrativa e transformação) no PIB foram significativas na explicação. Além disso, verifica-se que a desindustrialização se comporta de maneira distinta nas regiões do país e os indicadores analisados apresentam impactos diferenciados.
TEORÍA Y PRÁCTICA DEL CAPITAL SOCIAL EN EL ECUADOR La inversión social privada en “cajas de ahorro” indígena
Authors: Vásquez von Schoettler Werner , Rezende Alessandro
Published: May 2020

El presente artículo compara distintas concepciones sobre el capital social, su produción y reproducción, sus modos de articulación en los grupos sociales, sus configuraciones de clase y su articulación con el Estado. Se contraponen autores claves en la literatura sobre el capital social. En un segundo momento se hace uso de esas categorías para analizar la construcción de redes de actores, a través de un entramado de organizaciones no gubernamentales, fundaciones y grupos empresariales que bajo el principio de “inversión social privada” realizan proyectos con el objetivo de mejoras las condiciones de vida de grupos vulnerables, principalmente indígenas en zonas de la Sierra ecuatoriana. Metodológicamente se ha realizado un análisis de redes sociales desde una perspectiva “bourdiana”, aplicado al proyecto “Implementación de cajas solidarias para las comunidades de “Larcaloma” en la provincia de Chimborazo. Finalmente se evidencia que, a pesar de los ingentes recursos económicos aplicados, las condiciones materiales no mejoran, pero lográndose afectaciones de tipo ideológico y político en función de intereses corporativos.
Early Diagnosis of Autism in the United Arab Emirates: Autism Knowledge and Attitudes Among Primary Healthcare Providers in Ras Al Khaimah
Authors: Wentz Agata
Published: May 2020

Autism is a lifelong neurodevelopmental disorder that is characterized by impaired social interactions, verbal and nonverbal communication, and stereotyped, repetitive behaviors. While the Autism prevalence in the United Arab Emirates (UAE) is comparable to that observed in other countries, children in the UAE are being diagnosed later as their conditions are not being detected by the available pediatric healthcare oversight protocols or being reported by parents. Pediatricians and parents are at the best vantage point to spot the earliest warning signs of autism. If the disorder is detected in its infancy, early intervention programs can help ameliorate the symptoms significantly. This study provides insight into the important issues impacting autism’s early detection in the UAE, using the emirate of Ras Al Khaimah as a case study to better understand and mitigate local phenomena that might be delaying diagnosis, negatively impacting the future of autistic children and their families.
parcerias público-privadas: reflexões sobre o conceito de hegemonia no contexto das políticas educacionais municipais
Authors: Sakata Kelly Letícia da Silva , Lima Michelle Fernandes
Published: May 2020

O presente texto objetiva refletir sobre a categoria hegemonia em Antônio Gramsci (1891-1937) no que concerne às parcerias público-privadas estabelecidas entre a esfera administrativa educacional municipal e as Fundações privadas e Associações sem fins lucrativos (Fasfil). Para tanto, analisa, a partir de uma perspectiva histórica, a emergência das parcerias público-privadas na esfera administrativa municipal, principalmente a partir de 1990. Ainda, com base nos dados disponíveis no Catálogo de Teses e Dissertações da CAPES (2018), indica as pesquisas que discorrem sobre as parcerias público-privadas no contexto municipal e, por fim, problematiza a atuação da classe subalterna no fomento de outra hegemonia.
Nuestras investigaciones sobre la fisiología de la eyección láctea en la mujer
Authors: Cobo Edgard
Published: May 2020

El propósito de este artículo es rendir un doble homenaje: el primero a la conmemoración de los primeros 40 años de publicación ininterrumpida de: la Revista Colombiana de Obstetricia y Ginecología y el segundo a la Universidad del Valle, en cuya Facultad de Medicina, un grupo de pioneros supo crear las bases de un modelo educativo que estimuló la práctica de la investigación científica en un medio ambiente, por diversas razones, adverso.
Factores de riesgo para endometriosis
Authors: Cuartas Calle Adriana María
Published: May 2020

Se realizó un estudio prospectivo de casos y controles en Profamilia de Medellin. Se exploraron factores de riesgo para endometriosis en 70 casos diagnosticados por visión laparoscópica. Se compararon las diferentes variables entre los casos y los controles. Por cada caso se identificaron tres controles: un grupo de las pacientes sometidas a laparoscopia sin endometriosis, otro de la consulta de citología y un tercer grupo del vecindario del caso.Los resultados demuestran que existe mayor riesgo para endometriosis en presencia de las variables: no embarazos, ciclo menor de 27 días, menarquia temprana, no uso de anticonceptivos orales, instrucción mayor de 5 años y mayor de 10 años, y en el grupo profesional y administrador. También se detectó un significativo más bajo riesgo para endometriosis asociado al uso de dispositivo intrauterino.
La ruptura prematura de membranas
Authors: López A. Luis Vicente , Rojas R. Laura , Rodríguez M. Víctor , Sánchez A. Jacinto
Published: May 2020

Durante el período del 1o. de agosto de 1983 al 31 de julio de 1984, se practicó seguimiento a las pacientes con Ruptura Prematura de Membranas y se estableció su frecuencia, la morbimortalidad materno fetal y neonatal, relacionando el tiempo de latencia con el síndrome de dificultad respiratoria y la sepsis en el embarazo pretérmino.Se presentó una frecuencia de Ruptura Prematura de Membranas de 5% con embarazo pretérmino de 0.67%.La mayor frecuencia de Ruptura Prematura de Membranas se presentó en el embarazo a término 87.5% y un 12.5% en pretérmino. No se observó diferencia en cuanto a paridad, siendo igual en multíparas que en nulíparas, en el embarazo a término pero en el embarazo pretérmino fue más frecuente en las multíparas 3: 2.El índice de cesárea se ve aumentado por la Ruptura Prematura de Membranas 30% comparado con el establecido para el mismo período que fue de 16%.Las mayores complicaciones de la Ruptura Prematura de Membranas fueron la infección, tanto materna como fetal y el síndrome de dificultad respiratoria del neonato pretérmino.La corioamnionitis se manisfestó en el 5% de las pacientes.La morbilidad postparto materna en el embarazo a término fue de 14% en la cesárea y de 3% en el parto vaginal. En el embarazo pretérmino 14% para la cesárea y no hubo morbilidad en el parto vaginal. El grupo de estudio al cual se dejó mayor tiempo de latencia en procura de madurez pulmonar no presentó morbilidad materna postparto.La morbilidad del recién nacido fue del 50% para el síndrome de dificultad respiratoria y del 10% para la infección, en los neonatos pretérmino. El grupo de estudio se redujo a 33% el SDR con relación al grupo control. La infección no se vió aumentada en el grupo de estudio.La morbilidad neonatal fue de 4.4 para la Ruptura Prematura de Membranas. La mortalidad neonatal en el grupo de estudio disminuyó 3 veces en relación con el grupo control (P = 0.49).Se concluye que en el embarazo pretérmino con Ruptura Prematura de Membranas se debe procurar la madurez pulmonar antes de desembarazar la paciente disponiendo de un tiempo de latencia no menor de 48 horas, ya que durante éste no se vió aumentado el riesgo de infección.
Adolescentes y embarazo
Authors: Moreno Rojas Alberto
Published: May 2020

Se revisaron las historias clínicas de 596 pacientes adolescentes embarazadas que fueron atendidas en el Hospital General de Neiva y que constituyeron el 24.5% de la población de maternas, en el período de un año, comprendido entre el lo. de junio de 1987 y el 31 de mayo de 1988.Encontramos que los factores sicológicos y sociales son los más importantes en la generación de los problemas que afectan a las adolescentes en su estado gestacional.Se afirma que la relación bajo peso — edad materna y prematurez no tiene la importancia que se le ha pretendido dar con respecto al embarazo de las adolescentes.Se hacen recomendaciones y se toman como puntos a considerar: Educación, Prevención y Control de los adolescentes, para de ésta manera lograr un mejor resultado con nuestras pacientes.
Responsabilidad profesional frente al aborto
Authors: Villareal Jorge
Published: May 2020

La mortalidad materna por aborto continúa siendo muy elevada en Colombia y el subregistro, que es del 50% para la mortalidad materna general, debe ser aún mayor en el caso del aborto.Tal como se ha demostrado en los países donde el aborto ha sido despenalizado, las muertes ocasionadas por complicaciones secundarias al aborto son casi totalmente evitables.En Colombia donde la despenalización del aborto es muy poco probable en el futuro previsible, la mortalidad materna por aborto continuará siendo muy elevada debido a la alta prevalencia del embarazo indeseado, el lento progreso en la tecnología anticonceptiva y las múltiples barreras que limitan la efectividad de los programas de planificación familiar.Los obstetras ginecólogos deben contribuir a la solución de este grave problema no sólo denunciando su existencia sino con acciones concretas en su práctica profesional, en la docencia y estimulando cambios en las leyes existentes.
Enfoque y manejo de la embarazada diabética
Authors: Restrepo Ochoa Orlando
Published: May 2020

Con el fin de proveer bases para un mejor entendimiento y manejo de la paciente diabética embarazada, se hace una revisión que incluye el mecanismo de secreción de la insulina, la etiopatogenia y fisiopatología de la diabetes mellitus, el metabolismo en la emba razada diabética; igualmente se hace énfasis en los distintos criterios de clasificación (clínicos o bioquímicos), recalcando el papel que juega al test de O'Sullivan como prueba tamiz en la detección de la D.Mellitus y/o intolerancia de los CHO durante la gestación.Se analiza la respuesta fetal a la D.M. y se hace hincapié en la dieta, insulina y ejercicio como pilares del tratamiento.
Mama supernumeraria vs. liposarcoma Presentación de un caso
Authors: Zeo Galiano Aristides Di , Saumeth Alberto , Acosta Osio Guillermo
Published: May 2020

El día 14-VI -91 consulta al Departamento de Ginecología y  Obtetricia del Hospital Universitario Metropolitano, paciente femenina de 23 años de edad, natural, residente y procedente de Soledad (Atlántico), casada, ama ·de casa, quien refiere tener el seno izquierdo inflamado.
Discurso pronunciado por el doctor Fernando Cardona Arango en el homenaje a los expresidentes nacionales, con motivo de los 25 años de la fundación de la Federación Colombiana de Sociedades de Obstetricia y Ginecología.
Authors: De Obstetricia y Ginecologia Federación Colombiana
Published: May 2020

En este acto académico que esta noche nos congrega, realmente es oportuno repasar las generaciones mayores y aprender los jóvenes médicos, la evolución histórica de la obstetricia y la ginecología en nuestra muy querida Colombia
Comentarios Histórico- Médicos a propósito de una retención de placenta
Authors: Sánchez Torres Fernando
Published: May 2020

Como es bien sabido, el general Francisco de Paula Santander fue acusado de haber participado en la conspiración dirigida contra el Libertador Bolívar la noche del 25 de septiembre de 1828.
Caso Clínico
Authors: De Obstetricia y Ginecologia Federación Colombiana
Published: May 2020

Paciente de 57 años de edad quien consultó por sangrado genital de 20 días de evolución luego de 16 años de menopausia.
Breve reseña histórica del Departamento de Ginecología y Obstetricia del Hospital de San José de Bogotá
Authors: Jaramillo U Roberto
Published: May 2020

Los planos fueron proyectados en principio por el ingeniero Diego Santos, pero en definitiva los llevó a cabo Diestro Cantini siguiendo un modelo del Hospital Policlínico Universitario de Roma; este arquitecto Cantini dirigió y terminó la obra y nunca cobró un centavo por ello.
Miembros Emeritos de la Sociedad Colombiana de Obstetricia y Ginecología
Authors: Uriza Germán
Published: May 2020

La Junta Directiva de la SOCIEDAD COLOMBIANA DE OBSTETRICIA Y GINECOLOGIA, presidida por el Dr. Jaime Ferro, organizó una sesión solemne con ocasión de la entrega de diplomas como miembros eméritos a los socios que cumplieron 30 o más años como miembros activos.
Editorial
Authors: Fernandez Miguel A.
Published: May 2020

Agradeciendo la amable invitación de las directivas de SCOG para participar en esta importante reunión de compañeros, me ha parecido interesante rememorar episodios desconocidos por la mayoría de los actuales miembros de esta benemérita Sociedad, recordando tales hechos en mi carácter de testigo presencial.
Estudio de morbilidad y mortalidad por aborto en 36 instituciones de Bolivia, Colombia, Perú y Venezuela
Authors: Pardo Francisco , Uriza Germán
Published: May 2020

"Estudio de morbilidad y mortalidad por aborto en 36 Instituciones de Bolivia, Colombia, Perú y Venezuela". Objetivo de la Investigación: identificar la participación del Aborto como causa de Morbilidad y Mortalidad Materna en las mujeres de la región.Metodología: estudio colaborativo multinacional, prospectivo. descriptivo. Se recolectaron 08.871 casos utilizando un formulario de 36 variables para su procesamiento y análisis. El promedio de edad fue de 27 años, con un porcentaje de analfabetismo bajo (4%) y en la mitad de las pacientes el embarazo era indeseado y tampoco deseaban ningún tipo adicional al que tenía: el 79% tenían unión estable y el 70% no utilizaba ningún método anticonceptivo.La mitad de los casos cursaban embarazos de 11 semanas ó más, las complicaciones más frecuentes fueron la Sepsis y la hemorragia.La tasa de mortalidad fue muy alta: (406/100.000) que es el doble de la tasa de mortalidad de la región (270/100.000). La Sepsis fue la complicación más relacionada con la muerte. El manejo de las complicaciones representa un alto que agrava la situación deficitaria de las Instituciones de Salud en los países de vías de desarrollo.
Diagnóstico y manejo de mujeres con osteoporosis post-menopáusicas
Authors: Alba Mendoza Oscar Manuel , Ardila Ardila Enrique , Onatra Herrera William , De Alayón Reina
Published: May 2020

Se analizan 64 pacientes postmenopáusicas de la Clínica de Climaterio del Hospital Materno Infantil y del Hospital San Juan de Dios de Bogotá con el fin de evaluar el grado de Osteoporosis y la respuesta al tratamiento. Para cumplir el primer objetivo se conformaron 5 grupos:Grupo O o control con 20 pacientes menores de 20 añosGrupo 1: 5 pacientes 20 y 30 años.Grupo 2: 6 pacientes entre 31 y 40 años.Grupo 3: 21 pacientes entre 41 y 50 años.Grupo 4: 23 pacientes entre 51 y 60 años.Grupo 5: 8 pacientes mayores de 60 años.Para el diagnóstico de Osteoporosis se dispone de marcadores plasmáticos como la PTH, Orteocalcina, Fosfatasa Alcalina, además, de los estudios radiológicos, radiografía de columna (TAC Densitometria de doble fotón). En este estudio aplicando la· "T DE STUDENT" mostró diferencias significativas en los grupos 2 y 5 frente a los controles (P< 0.0.1) para la FSH, TSH, E2, PTH, Osteocalcina, Fosfatasa Alcalina y Fósforo Sérico. Valores de (P<OOl) en el calcio sérico y proteínas totales. No hubo diferencia significativa en el sérico y proteínas totales. No hubo diferencia significativa en 'el Fósforo Urinario. El índice de· deformidad para radiografía de columna mostró una clara tendencia de lesión a nivel de T7 y L1Para el objetivo No. 2 se conformaron 4 grupos terapéuticos:Grupo 1: Fluoruro de Sodio + Calcio (N=12)Grupo 2: Terapia Secuencial Hormonal (N=11)Grupo 3: Calcio [N=4)Grupo 4: Placebo (N=8)Un corte a los 6 meses muestra en el grupo 1 cambios significativos en la Fosfatasa Alcalina y Osteocalcina (P< 0.01), Grupo 2: disminución del Calcio Sérico (P<O.O1) y aumento de la Fosfatasa Alcalina (P< 0.001). En el grupo 3 no hubo variación. Con esta información el tratamiento con Fluoruro de Sodio + el Calcio se presenta como una alternativa a la terapia hormonal de sustitución en pacientes postmenopáusicas. .
Criptococosis y embarazo Presentación de un caso
Authors: Acosta Osio Guillermo , Acosta Osio Juan José , Falquez Ana , Escorcia Juanita
Published: May 2020

La Criptococosis (Torulosis, Blastomicosis Europea), es una infección causada por una levadura conocida con el nombre de CRYPTOCOCCUS NEOFORMANS o Torula histolytica.
Mortalidad perinatal y materna
Authors: Moreno Rojas Alberto
Published: May 2020

En el presente estudio se analizan los datos maternos y neonatales de 2.445 partos atendidos en la sección obstétrica del Departamento de Obstetricia y Ginecología del Hospital General de Neiva, durante el período comprendido entre el 1 de junio de 1987 al 31 de mayo de 1988. Se revisan las posibles causas de mortalidad perinatal y materna.En el trabajo se incluyen todos los embarazos si tener encuentra la vía de terminación del parto.Se tomaron todos los R. N. con peso de 500 g o más; pero para fines estadísticos, según lo ordenado por el CLAP, sólo se tomaron los que pesaron 1.000 g o más. Se excluyeron los abortos y los embarazos ectópicos.Se atendieron 2.445 partos resultado de 2.437 embarazos, con 6 pares de gemelos y un caso de trillizos. La tasa de mortalidad perinatal encontrada fue de 49.48 x 1.000 nacidos vivos. Durante el mismo período murieron 10 madres de causa obstétrica directa.Se revisan las causas de muerte materna y fetal y se hacen recomendaciones para disminuir en forma notoria las tasas de· mortalidad tanto materna como fetal.
Diabetes y embarazo
Authors: Gómez Tabarez Gustavo
Published: May 2020

El enfoque del problema se orienta hacia:
Ligadura de hipogástricas en manejo de hemorragias ginecobstétricas
Authors: Gómez Sánchez Pío Iván , Gaitán Duarte Hernando
Published: May 2020

Presentamos 17 casos de pacientes ginecobstétricas en las cuales se practicó ligadura de hipogástricas de urgencia o electiva, desde 1985 hasta 1988 en 2 instituciones, el Instituto Materno Infantil y Hospital Regional San Rafael de Facatativá. Se hace una revisión de la anatomía pélvica retroperitoneal, los mecanismos hemodinámicos resultantes de la ligadura que influirán sobre el control de la hemorragia. Se revisan sus complicaciones y la literatura sobre el tema.Nueve casos fueron obstétricos y ocho ginecológicos; ocupando el primer lugar de los obstétricos la atonía uterina, y de los ginecológicos el uso intraoperatorio profiláctico seguido del uso en sangrado de cúpula vaginal posthisterectomía.Se demostró efectividad para cohibir hemorragia en el 88% de los casos y las complicaciones intraoperatorias desaparecieron a medida que aumentó la experiencia de los cirujanos. Las complicaciones postoperatorias fueron transitorias y no aumentaron la estancia de las pacientes.
Evaluación tecnológica del parto de bajo riesgo en diferentes modelos de atención
Authors: Pazmiño de Osorio Sonia , Osorio Torres Carlos , Franky de Borrero Melba , Bernal Aljure Raúl , Jiménez Velasco Vicente
Published: May 2020

Se presentan los resultados maternos hasta el mes post-parto de la evaluación tecnológica de tres modelos de atención del parto, con diferente nivel de complejidad, en 2.313 gestantes de bajo riesgo obstétrico y similar nivel socio-económico, en Cali Colombia.Son estos resultados en conjunto con los del niño, objeto de otra publicación, los que determinan la escogencia del mejor modelo.Se hace énfasis en que las conclusiones comprende a modelos de atención en una población urbana y a muy corta distancia (5 - 10 minutos) del hospital de referencia.
Evaluación tecnológica del parto de bajo riesgo en diferentes modelos de atención
Authors: Pazmiño de Osorio Sonia , Osorio Torres Carlos , Franky de Borrero Melba , Bernal Aljure Raul , Jiménez Velasco Vicente
Published: May 2020

Se presentan los resultados en el niño, hasta el primer mes de nacidos, y los costos, de la evaluación tecnológica de tres modelos de Atención del Parto, con diferente nivel de complejidad, en 2.313 gestantes de bajo riesgo obstétrico y similar nivel socioeconómico, en Cali, Colombia. Son estos resultados, en conjunto con los de la madre, objeto de otra publicación, los que determinan la escogencia del mejor modelo. Se hace énfasis en que las conclusiones comprenden a modelos de atención en una población urbana y a muy corta distancia (5-10 minutos) del hospital de referencia.
Sexualidad en la adolescencia
Authors: De Obstetricia y Ginecologia Federación Colombiana
Published: May 2020

En muchos países los adolescentes comienzan a tener relaciones sexuales por su propia cuenta mucho antes del matrimonio. Aún existiendo servicios de Planificación Familiar en sus comunidades, la posibilidad de no recibir educación sexual de esos servicios, es muy elevada.