bluuebunny/crossref_metadata_2025 huggingface dataset:
Carcinoma Ex Pleomorphic Adenoma: Case Report and Options for Systemic Therapy
Authors: Chooback N. , Shen Y. , Jones M. , Kasaian K. , Martin M. , Ng T. , Thomson T. , Marra M. , Laskin J. , Ho Cheryl
Published: June 2017

The most common benign salivary tumour is a pleomorphic adenoma. Transformation to malignancy, carcinoma ex pleomorphic adenoma (CXPA), occurs in 6% of cases. Management focuses on surgical resection and radiotherapy; however, rare cases require systemic management. We present the case of a 60-year-old woman with a CXPA of the left parotid gland who required systemic therapy for locally recurrent disease. Treatment options were guided by the literature concerning malignant salivary gland tumour and by whole-genome and transcriptome sequencing of the tumour. The patient received multiple systemic agents during the course of her disease, with cyclophosphamide–doxorubicin–cisplatin providing the best control (partial response). Genomeand transcriptome-directed therapy, including sorafenib and vismodegib, were utilized with limited clinical benefit. Malignant transformation in CXPA is a complex process, and therapy directed at a single tumour pathway might not be sufficient to control disease.
Choosing Wisely in Cancer Control across Canada—A Set of Baseline Indicators
Authors: Tran Kim , Rahal R. , Fung S. , Lockwood G. , Louzado C. , Xu J. , Bryant H.
Published: June 2017

Value-based care, which balances high-quality care with the most efficient use of resources, has been considered the next frontier in cancer care and a means to maintain health system sustainability. Created to promote value-based care, Choosing Wisely Canada—modelled after Choosing Wisely in the United States—is a national clinician-driven campaign to identify unnecessary or harmful services that are frequently used in Canada. As part of the campaign, national medical societies have developed recommendations for tests and treatments that clinicians and patients should question. Here, we present baseline indicator findings about current practice patterns associated with 7 cancer-related recommendations from Choosing Wisely Canada and about the effects of those practices on patients and the health care system. Indicator findings point to substantial variations in cancer system performance between Canadian jurisdictions, most notably for breast cancer screening practices, treatment practices for men with low-risk localized prostate cancer, and radiation therapy practices for early-stage breast cancer and bone metastases. Extrapolating indicator findings to the entire country, it was estimated that 740,000 breast and cervical cancer screening tests were performed outside of the recommended age ranges, and within 1 year of diagnosis, 17,000 patients received treatments that could be low-value. A 15% reduction in the use of the 7 screening and treatment practices examined could lead to multiple benefits for patients and the health care system: 9000 false-positive results and 3000 treatments and related side effects could be avoided, and 4500 h of linear accelerator capacity could be freed up each year. Interjurisdictional performance variations suggest potential differences in clinical practice patterns in the planning and delivery of cancer control services, and in some cases, in disease management outcomes. Although the cancer screening and treatment practices described might be unnecessary for some patients, it is important to realize that they could, in fact, be necessary for other patients. Further research into appropriate rates of use could help to determine how much cancer care represents overuse of practices that are not supported by evidence or underuse of practices that are supported by evidence.
Remettre son corps
Authors: Bozon Michel , Baille Rémi , Chalier Jonathan
Published: June 2017

Le sociologue de la sexualité montre qu’avec le déclin des institutions traditionnelles et dans un contexte de prolifération des discours, de nouvelles exigences de réflexivité, de responsabilité et d’égalité se mettent en place. À défaut d’être libérée, la sexualité se met à jouer un rôle central dans la formation et la vie des couples.
La parenthèse désenchantée
Authors: Baille Rémi , Desbarats Carole , Garapon Antoine , Girard Gabriel , Gourarier Mélanie , Jakšić Milena , Mugnier Hélène , Plenel Ève , Vibert Patrice , Chalier Jonathan
Published: June 2017

Cette enquête interroge les politiques contemporaines de la sexualité autour de l’épidémie du Vih , les représentations populaires, artistiques ou pornographiques, l’offensive masculiniste, le droit à l’indifférence des homosexuels, la loi contre le système prostitutionnel et les violences sexuelles en temps de guerre.
La pathologisation de l’activisme radical
Authors: Codaccioni Vanessa
Published: June 2017

L’article, qui s’appuie sur le dépouillement d’archives d’une juridiction d’exception, la Cour de sûreté de l’État, vise à comprendre la systématisation du recours à l’expertise psychiatrique dans le cadre de la répression des « ennemis publics ». Il essaie dès lors d’en dégager les conditions de possibilité, en insistant sur le bouleversement des logiques répressives induit par la création d’un nouveau tribunal spécialisé dans le jugement des crimes et des délits politiques. Ce faisant, il éclaire aussi les modalités de résistance à cette pratique, inédite par sa banalisation, et la manière dont elle peut être détournée par les militants. Il s’agit surtout de montrer en quoi l’expertise psychiatrique participe d’une pathologisation du militantisme radical, par des procédés complémentaires d’anormalisation/normalisation des illégalismes commis ; et, plus généralement, comment elle favorise le long processus de dépolitisation des crimes et des délits.
Une fête pour l’avortement libre
Authors: Ruault Lucile
Published: June 2017

À partir d’un travail d’ethnographie historique, il s’agit de s’arrêter sur une mobilisation originale de la fin des années 1970, en soutien aux militantes du MLAC d’Aix, jugées pour pratique d’avortement et exercice illégal de la médecine. Deux ans après le vote de la loi sur l’IVG de 1975, l’enjeu de cette mobilisation est de dénoncer ses carences, mais aussi de continuer à défendre la pratique des avortements militants non médicalisés, entre femmes profanes. Ce groupe d’Aix cherche à compenser sa maigre légitimité politique par le recours au détournement festif du procès. L’article s’attache à appréhender la créativité politique des minoritaires, qui s’élabore dans le souci d’énoncer des revendications illégitimes.
Le financement public international du développement. Un rôle indispensable sur le chemin des ODD
Authors: de Milly Hubert
Published: June 2017

En 2014, le financement public international du développement a représenté 245 milliards de dollars, à peine plus d’1% de l’investissement mondial, qui se compte en trillions de dollars. Marginalisation inéluctable des acteurs publics ? Bien au contraire. Les chiffres globaux révèlent l’essentiel : le rôle irremplaçable des financeurs publics du développement dès lors que ceux-ci savent ajuster leurs politiques, leurs pratiques et leurs instruments.
City Plaza, ce que peut encore dire l’hospitalité
Authors: Louis Camille
Published: June 2017

Alors que partout en Europe les populations réfugiées sont parquées, mises à l’écart ou rendues invisibles, y compris en Grèce où elles croupissent dans des prisons à ciel ouvert, à Athènes, une expérience de vivre ensemble perdure. L’occupation de l’Hôtel City Plaza par des réfugié·e·s et des bénévoles prouve que des solutions alternatives sont possibles et redonne tout son sens à l’hospitalité.
Palliative and End-of-Life Care Education Needs of Nurses Across Inpatient Care Settings
Authors: Price Deborah M. , Strodtman Linda , Montagnini Marcos , Smith Heather M. , Miller Jillian , Zybert Jennifer , Oldfield Justin , Policht Tyler , Ghosh Bidisha
Published: June 2017

Background:

Educating nurses about palliative and end-of-life (EOL) care is a high priority in health care settings. The purpose of this study was to assess nurses' perceived competency regarding the provision of palliative and EOL care to hospitalized patients.

Method:

This study surveyed nurses from 25 pediatric and adult acute and intensive care units (ICU;
N
= 583) Quantitative data analysis was descriptive and correlational. Qualitative data analysis identified themes of participant concerns.

Results:

Data analysis revealed that perceived competency in palliative and EOL care is significantly higher in the ICU nurses (
p
<.0001). Mean scores were significantly higher when nurses had more than 10 years of experience (
p
<.0001). Open-ended responses indicated concerns regarding improved communication behaviors, decision making, and facilitation of continuity of care.

Conclusion:

The results provide guidance for development of palliative and EOL care nursing education programs tailored to address specific unit needs according to staff characteristics, patient population focus of care, and acuity level of care.

J Contin Educ Nurs.
2017;48(7):329–336.
Mechanical Stability and Deformation-Induced Transformation of Retained Austenite in TRIP Steels at Low Temperatures
Authors: Yamashita Takayuki , Koga Norimitsu , Umezawa Osamu
Published: June 2017

The tensile properties and the stability of retained austenite in TRIP steels with different volume fraction of retained austenite have been studied at low temperature. The steels showed a good valance of strength and ductility at 193 K. Their work-hardening rates were decreased linearly and kept a high value in the high strain regime at 193 K. The retained austenite was mostly transformed into martensite less than 10% strain at 193 K.
Dynamic Tensile Testing of High Strength Armor Steel Plates
Authors: Tomášek Radek , Mareš Vratislav
Published: June 2017

In this paper was studied dynamic behavior of the armor steels Armox 500T and Secure 500 by testing specimens in quasi-static tensile test with strain rate 1∙10-3 s-1 and high-speed tensile test within range of intermediate strain rates from 100 s-1 to 400s-1 at the room temperature. Hardness test and quasi-static tensile test confirmed material properties specified by the manufacturer. Stress-strain diagrams showed very low strain-rate hardening effect at investigated strain rates. Total elongation at fracture was larger in case of Armox 500T for the whole strain rate range. Deformation energy density was calculated from the stress-strain curve and temperature rise due to adiabatic heating was estimated. Because of higher total elongation, Armox 500T was able to withstand higher deformation energy.
Breastfeeding promotion: evidence and problems
Authors: Bellù Roberto , Condò Manuela
Published: June 2017

Although breastfeeding is associated with many health benefits in children and mothers, and World Health Organization (WHO) recommends exclusive breastfeeding until 6 months of age and continued breastfeeding until 2 years of age, overall breastfeeding rates remain low. Italian rates of exclusive breastfeeding do not differ from international data. The aim of this review is to evaluate evidence of breastfeeding promotion interventions and the remaining problems to achieve them. We found that breastfeeding support is a complex system of interventions, including individual, structural and environmental factors. Many systematic reviews report evidence that breastfeeding support offered to women increases duration and exclusivity of breastfeeding, both in full term healthy newborns and in preterm infants. Political and economic efforts should be made to ensure breastfeeding support to all women in the different settings, assuming it as a collective target.
Leveraging effects of triple bottom lines business model on the building and construction small and medium-sized enterprises’ market performance
Authors: Okanga Boniface , Groenewald Darelle
Published: June 2017

Orientation: Embracement of triple bottom line reporting as a driver of a firm’s sustainability is a paradox puzzling most contemporary business executives.Research purpose: The purpose of this research is to examine how effective alignment of the triple bottom line business model with building and construction operational activities leverages effective market performance of the small and medium-sized enterprises (SMEs) in the building and construction industry, so as to identify major paradoxes and the remedial business model that can be suggested.Research design, approach and method: The study uses interpretivist research paradigm and exploratory qualitative research method to explore the opinions and perceptions of 30 judgementally drawn participants comprising managers and supervisors from 30 building and construction SMEs in Gauteng and KwaZulu-Natal provinces. Thematic analysis was used in the evaluation and interpretation of the interview data collected using a semi-structured interview guide.Main findings: A seemingly greater preponderance to pursue profitability at the expense of people and planet bottom lines was found to be common among most of the SMEs during the initial stages of their establishments and growth because of the need to attain the usually essential initial financial sustainability. Even though on attaining financial sustainability, some of the SMEs strive to achieve all the three bottom lines, most of the undertaken initiatives are often only aimed at improving compliance with relevant building and construction legislations.Managerial implications: The study suggests a modified triple bottom line business model that the SMEs in the building and construction industry can replicate to effectively apply triple bottom line reporting as an edifier for effective market performance.Contributions: The study offers a new theory for measuring the leveraging effects of the triple bottom line business model on the building and construction SMEs’ effective market performance.
Junior medical students’ knowledge about and attitudes towards electroconvulsive therapy in a South African setting
Authors: Mausling Matthew B. , Macharia Muiruri , Jordaan Gerhard P.
Published: June 2017

Background: Although electroconvulsive therapy (ECT) is a safe and effective treatment modality with a long history of use in psychiatry, it remains controversial owing to misconceptions and negative attitudes among the public and medical profession. The aim of this study was to explore the state of knowledge and attitudes towards ECT among a sample of South African medical students.Method: Prior to their theoretical psychiatry module, 131 second-year medical students responded to an anonymous online survey designed to assess the source and extent of their ECT knowledge as well as their attitude towards ECT and psychiatry in general.Results: The Internet (46.6%) and TV and/or movies (30.5%) were the principal sources of knowledge of ECT while ‘professional publication’ was the least common (0%). The students’ attitudes towards psychiatry were generally positive and nearly one-third (29.8%) would consider specialising in the field. Overall, perception towards ECT was mixed, with many respondents approving of its use albeit only as a last resort. Notably, low ECT knowledge scores were associated with more negative attitudes towards this treatment modality and a lower perception of psychiatry as a medical speciality.Conclusion: The findings indicate that for these students, media is the main source of ECT knowledge. While they are generally knowledgeable about ECT, they still harbour some misconceptions and negative attitudes about the treatment. Knowledge appears able to amend these attitudes, thus underlining the importance of integrating accurate information about ECT into the preclinical medical curriculum rather than leaving it to mass media to forge warped perceptions and attitudes for these future clinicians.
Регуляризованные асимптотические решения начальной задачи для системы интегродифференциальных уравнений в частных производных
Authors: Bobodzhanov Abdukhafiz Abdurasulovich , Safonov Valerii Fedorovich
Published: June 2017

Mетод регуляризации Ломова [1] обобщается на
интегродифференциальные уравнения в частных производных.
Выясняется, что процедура регуляризации существенно зависит
от типа интегрального оператора. Наиболее трудным является
случай, когда верхний предел интеграла не является
переменной дифференцирования. В данной работе он не
рассматривается. Исследуется случай, когда верхний предел
интегрального оператора совпадает с переменной
дифференцирования. Для таких задач развивается алгоритм
построения регуляризованной асимптотики.
Библиография: 4 названия.
Формальная группа Бухштабера и эллиптические функции малых уровней
Authors: Ustinov Alexey Vladimirovich
Published: June 2017

В настоящей работе предлагается метод для нахождения соотношений
на ряды, задающие формальную группу Бухштабера. Этот метод
применяется в случаях, когда экспонентой группы является
эллиптическая функция уровня $n=2,3$ и $4$. Доказывается также
алгебраическое соотношение на ряды определяющие универсальную
формальную группу Бухштабера.
Библиография: 12 названий.
Борелевские подгруппы групп Кремоны
Authors: Popov Vladimir Leonidovich
Published: June 2017

Мы доказываем, что аффинно-треугольные подгруппы являются
борелевскими подгруппами групп Кремоны.
Библиография: 17 названий.
Estimating the size of a methane emission point source at different scales: from local to landscape
Authors: Riddick Stuart N. , Connors Sarah , Robinson Andrew D. , Manning Alistair J. , Jones Pippa S. D. , Lowry David , Nisbet Euan , Skelton Robert L. , Allen Grant , Pitt Joseph , Harris Neil R. P.
Published: June 2017

Abstract. High methane (CH4) mixing ratios (up to 4 ppm) have occurred sporadically at our measurement site in Haddenham, Cambridgeshire, since July 2012. Isotopic measurements and back trajectories show that the source is the Waterbeach Waste Management Park 7 km SE of Haddenham. To investigate this further, measurements were made on 30 June and 1 July 2015 at other locations nearer to the source. Landfill emissions have been estimated using three different approaches at different scales; near source using the WindTrax inversion dispersion model, middle distance using a Gaussian plume (GP) model and at the landscape scale using the Numerical Atmospheric Modelling Environment (NAME) Inversion Technique for Emission Modelling (InTEM) inversion. The emission estimates derived using the WindTrax and Gaussian plume (GP) approaches agree well for the period of intense observations. Applying the Gaussian plume approach to all periods of elevated measurements seen at Haddenham produces year-round and monthly landfill emission estimates with an estimated annual emission of 11.6 Gg CH4 yr−1. The monthly emission estimates are highest in winter (2160 kg h−1 in February) and lowest in summer (620 kg h−1 in July). These data identify the effects of environmental conditions on landfill CH4 production and highlight the importance of year-round measurements to capture seasonal variability in CH4 emission.
Remote sensing of multiple cloud layer heights using multi-angular measurements
Authors: Sinclair Kenneth , van Diedenhoven Bastiaan , Cairns Brian , Yorks John , Wasilewski Andrzej , McGill Matthew
Published: June 2017

Abstract. Cloud top height (CTH) affects the radiative properties of clouds. Improved CTH observations will allow for improved parameterizations in large-scale models and accurate information on CTH is also important when studying variations in freezing point and cloud microphysics. NASA's airborne Research Scanning Polarimeter (RSP) is able to measure cloud top height using a novel multi-angular contrast approach. For the determination of CTH, a set of consecutive nadir reflectances is selected and the cross correlations between this set and collocated sets at other viewing angles are calculated for a range of assumed cloud top heights, yielding a correlation profile. Under the assumption that cloud reflectances are isotropic, local peaks in the correlation profile indicate cloud layers. This technique can be applied to every RSP footprint and we demonstrate that detection of multiple peaks in the correlation profile allows retrieval of heights of multiple cloud layers within single RSP footprints. This paper provides an in-depth description of the architecture and performance of the RSP's CTH retrieval technique using data obtained during the Studies of Emissions and Atmospheric Composition, Clouds and Climate Coupling by Regional Surveys (SEAC4RS) campaign. RSP-retrieved cloud heights are evaluated using collocated data from the Cloud Physics Lidar (CPL). The method's accuracy associated with the magnitude of correlation, optical thickness, cloud thickness and cloud height are explored. The technique is applied to measurements at a wavelength of 670 and 1880 nm and their combination. The 1880 nm band is virtually insensitive to the lower troposphere due to strong water vapor absorption. It is found that each band is well suitable for retrieving heights of cloud layers with optical thicknesses above about 0.1 and that RSP cloud layer height retrievals more accurately correspond to CPL cloud middle than cloud top. It is also found that the 1880 nm band yields the most accurate results for clouds at middle and high altitudes (4.0 to 17 km), while the 670 nm band is most accurate at low and middle altitudes (1.0–13.0 km). The dual band performs best over the broadest range and is suitable for accurately retrieving cloud layer heights between 1.0 and 16.0 km. Generally, the accuracy of the retrieved cloud top heights increases with increasing correlation value. Improved accuracy is achieved by using customized filtering techniques for each band with the most significant improvements occurring in the primary layer retrievals. RSP is able to measure a primary layer CTH with a median error of about 0.5 km when compared to CPL. For multilayered scenes, the second and third layer heights are determined median errors of about 1.5 and 2.0–2.5 km, respectively.
Monitoring soil moisture from middle to high elevation in Switzerland: set-up and first results from the SOMOMOUNT network
Authors: Pellet Cécile , Hauck Christian
Published: June 2017

Abstract. Besides its important role in the energy and water balance at the soil–atmosphere interface, soil moisture can be a particular important factor in mountain environments since it influences the amount of freezing and thawing in the subsurface and can affect the stability of slopes. In spite of its importance, the technical challenges and its strong spatial variability usually prevents soil moisture from being measured operationally at high and/or middle altitudes. This study describes the new Swiss soil moisture monitoring network SOMOMOUNT (soil moisture in mountainous terrain) launched in 2013. It consists of six entirely automated soil moisture stations distributed along an altitudinal gradient between the Jura Mountains and the Swiss Alps, ranging from 1205 to 3410 m a.s.l. in elevation. In addition to the standard instrumentation comprising frequency domain sensor and time domain reflectometry (TDR) sensors along vertical profiles, soil probes and meteorological data are available at each station. In this contribution we present a detailed description of the SOMOMOUNT instrumentation and calibration procedures. Additionally, the liquid soil moisture (LSM) data collected during the first 3 years of the project are discussed with regard to their soil type and climate dependency as well as their altitudinal distribution. The observed elevation dependency of LSM is found to be non-linear, with an increase of the mean annual values up to  ∼  2000 m a.s.l. followed by a decreasing trend towards higher elevations. This altitude threshold marks the change between precipitation-/evaporation-controlled and frost-affected LSM regimes. The former is characterized by high LSM throughout the year and minimum values in summer, whereas the latter typically exhibits long-lasting winter minimum LSM values and high variability during the summer.
Actitudes hacia la diversidad sexual en estudiantes de Trabajo Social mexicanos: el contexto regiomontano.
Authors: Rodríguez Otero Luis Manuel
Published: June 2017

La homofobia y la lesbofobia hacen referencia a actitudes de hostilidad dirigidas hacia las personas que disciernes del modelo heteronormativo. Las cuales pueden manifestarse de diversas formas y producen diversos efectos en la calidad de vida de las víctimas, afectando a las dimensiones: psicosocial, cultural y económica de los/as homosexuales (Herek, 2004;  Barrientos y Cárdenas, 2013). A través de la aplicación de las escalas de Raja y Stokes (1998) de homofobia hacia gays (MHS-G) y homofobia hacia lesbianas (MHS-L) a 150 alumnos/as de Trabajo Social de la UANL se plantea analizar en nivel de homo/lesbofobia y que variables son determinantes. Los resultados evidencian un nivel de rechazo medio-bajo mayor respecto a lesbianas que hacia gays. Especialmente es estudiantes con ideologías conservadoras, mujeres y que no profesan religión. Así mismo se constata que el nivel de instrucción no resulta ser determinante. En base a estos resultados se considera necesario realizar una revisión de los planes docentes de la titulación e incluir contenidos referentes a la diversidad sexual y los posibles efectos negativos en las intervenciones profesionales en las que actitudes homo/lesbofóbicas tienes lugar.
Bolsas para estudantes universitários: ideologias, quadros conceituais e finalidades em Portugal e no Brasil
Authors: Santos Cláudia Priscila C. dos , Ferreira Jorge
Published: June 2017

Este estudo de caso comparativo entre duas universidades públicas do Brasil e de Portugal, objetiva analisar as políticas de bolsas de estudos para estudantes universitários, destacando o Serviço Social nos processos decisórios. A atribuição de bolsas de estudos é um dos mecanismos de resposta social dos sistemas de assistência estudantil que garante a permanência dos estudantes de grupos sociais vulneráveis e a democratização do acesso ao ensino superior (Menezes, 2012). Através dos procedimentos metodológicos de pesquisa documental, as análises sugerem que entre os legados políticos estão alguns indicadores do regime corporativista do welfare e que a finalidade das bolsas está condicionada pelos diferentes modelos de financiamento das políticas de educação e demais políticas públicas. Verificou-se ainda que o Serviço Social brasileiro detém maior autonomia na definição dos indicadores sociais na análise dos processos de atribuição de bolsas, mas com sérias controvérsias.
El dominio narrativo. Notas para un análisis crítico de la codificación institucional de los dominados
Authors: Parajuá Navarrete Daniel
Published: June 2017

El análisis crítico de las tareas no explícitas en la agenda del Trabajo Social, sobre todo aquellas que tienen que ver con los operativos de control y contención de las poblaciones relegadas, requiere de un acercamiento a los procesos más inmediatos de trabajo. En este texto nos detenemos primero en el estudio de los dispositivos de codificación de los usuarios de los servicios sociales, por medio de las construcciones narrativas específicas de la intervención social, para después avanzar algunas sugerencias en relación a los espacios cotidianos de intercambio de información, que conforman los procesos de intervención social. Desde esta perspectiva, por último, es posible dar cuenta de la construcción institucional y profesional de los sujetos objeto de esa intervención, así como de algunas condiciones socio-históricas de producción de un tipo específico de asistencia social.
Scientific communication networks. Analysis of journals and International Bibliographic Indexes
Authors: Hernández Socha Yuirubán , Márquez Valderrama Jorge
Published: June 2017

International Bibliographic Indexes (IBIs) like Science Citation Index and Scopus have played an important role in the field of science. However, IBIs increased use has been controversial and has raised positive and negative standpoints regarding their use as objective tools to represent and track the state of science. This has led to the emergence of deep tensions between both sides, expressed in oppositions like: IBIs are/are not objective, scientific, and universal. However, it is paradoxical that both sides are presented as mutually exclusive when all their complaints consider aspects that coexist in the communication process. We present evidences of this coexistence. In our approach, research papers are conceived as a techno-scientific object in the context of actor-network theory and metaphor tracking: optical, industrial, and associative, to analyze scientific communication networks. The aim of this study is twofold: first, we propose three networks to track scientific communication: manifest, underlying, and associative, to reconsider both positive and negative allegations about IBIs. Secondly, we encourage to rethink the opposition, starting from a more relational approach rather than an essentialist one to the process of scientific communication.
Hábitos de saúde bucal em crianças internadas no Hospital da Criança do município de Chapecó, Santa Catarina, Brasil
Authors: Ballestreri Ricardo , Wisoski Dal Santo Glaziella , Freddo Silvia Leticia , Lucietto Deison Alencar
Published: June 2017

Manter a saúde bucal em pacientes pediátricos hospitalizados mostra-se de grande importância para a condição sistêmica desses, devido à mútua relação entre doenças bucais e infecções sistêmicas. Objetivo: este estudo descritivo transversal com abordagem quantitativa teve como objetivo avaliar os hábitos de saúde bucal de crianças e as percepções de saúde bucal dos cuidadores, a fim de compreender a importância da higiene bucal durante o período de internação hospitalar, diferenciando-o de outras características, como o convívio com a família e a escola. Sujeitos e método: a pesquisa teve como participantes crianças, representadas por seus cuidadores, admitidas no setor de internação do Hospital da Criança de Chapecó, SC, de maio a dezembro de 2014. Foi utilizado um questionário autoaplicável aos pais ou responsáveis, sobre variáveis socioeconômicas, de saúde bucal e saúde geral. Os dados coletados foram analisados no programa SPSS versão 19.0. Resultados: os resultados demostram que a principal causa de internação foi o diagnóstico de pneumonia (37,6%). As mães constituíram o grupo mais frequente no acompanhamento hospitalar
(78,5%). Em torno de 30% das crianças hospitalizadas já haviam passado por episódios de internação anterior e 59,4% relataram que ninguém explicou o que a doença pela qual a criança estava hospitalizada causa em seu corpo. Apenas 8% foram orientados pelo cirurgião-dentista da relação da doença e a condição bucal.
Exploring the Lives of Vulnerable Young People in Relation to Their Food Choices and Practices
Authors: Gombert Karolina , Douglas Flora , McArdle Karen , Carlisle Sandra
Published: June 2017

The interdisciplinary Foodways and Futures project (2013-2016) is based on a pilot study which found noimprovement in the nutritional state of formerly homeless young people (16-25), now in supported accommodationat a charitable youth organization. Because a healthy food intake during adolescence is important, and because youngpeople with socioeconomic lower backgrounds face difficulties in maintaining a healthy diet (Beasley at al., 2005), Iinvestigated how the young people themselves experience their relationship to food. In this paper I explore linksbetween the lived experience before and during their stay with the organization of this vulnerable group, and theirfood choices and practices. The study illustrates the ways in which those choices and practices may appearnutritionally undesirable, but are nevertheless linked to the young people’s search for ontological security and socialconnectedness, in their new living environment. In this, I draw on and extend Schlossberg’s (1981) transition theoryin order to better understand the rationales underlying an individual’s subjective food choices.
Genetic diversity of a natural population of Mezilaurus itauba (Meisn.) Taub. ex Mez. in the southern Amazon, Brazil
Authors: Ebert Alexandre , Tardin Aisy Botega Baldoni , Skowronski Leandro , Oliveira Michel Ângelo Constantino de , Barros João Henrique de Souza , Costa Reginaldo Brito da
Published: June 2017

Genetic diversity studies in natural forest species populations have consistently expanded in recent years. Considering that biodiversity is directly related to genetic variation among and within populations, its study has become essential to the knowledge of genetic patterns. The study assessed genetic diversity of a Mezilaurus itauba population, detecting similarity and dissimilarity evaluating distribution intensity of adult and juvenile trees in remnant rain forest fragments in southern Amazon, Brazil. Leaf and cambium samples were randomly collected from 36 reproductive individuals. Eleven RAPD (random-amplified polymorphic DNA) primers were tested for genetic similarity analyses. The obtained data demonstrated that the species presented 79.77% polymorphism among the loci observed, with genetic diversity occurring between juvenile and adult trees. The population studied presented genetic diversity, forming three well-distinguished groups.
The Stages of Student Mathematical Imagination in Solving Mathematical Problems
Authors: Wibowo Teguh , Sutawidjaja Akbar , As’ari Abdur Rahman , Sulandra I Made
Published: June 2017

This research is a qualitative study that aimed to describe the stages of students mathematical imagination in solving mathematical problems. There are three kinds of mathematical imagination in solving mathematical problems, namely sensory mathematical imagination, creative mathematical imagination and recreative mathematical imagination. Students can produce one kind of mathematical imagination or other kinds of mathematical imagination. Problem sheet is used as a supporting instrument to find out the stages of students mathematical imagination in solving problems. Three students are used as research subjects in whom students were able to produce their mathematical imagination in solving mathematical problems. The results showed that there are three stages of students mathematical imagination in solving mathematical problems, the first stage is sensory mathematical imagination, the second stage is creative mathematical imagination, and the last stage is recreative mathematical imagination.
Implementation of Dual Training Programmes through the Development of Boundary Objects: A Case Study
Authors: Gessler Michael , Peters Susanne
Published: June 2017

A dual training system or programme tries to balance education (in a school) and training (in a company) in an equal manner to qualify, educate and socialise the next generation. Besides these effects (qualification, education and socialisation), it seems that this dual structure enables a country to achieve economic targets (e.g. economic growth) and social objectives (e.g. the integration of young people into the employment market), which is why attempts are being made in various countries to develop or to preserve dual training structures. This study focuses on emerging dual training programmes in the United States of America. Our questions are: How do German companies establish dual structures in the United States of America? How do they shape the cooperation between companies and schools? As the cooperation aspect will be the focus of the article, we will concentrate on the interface between the schools and the companies. Our theoretical reference is the concept of boundary objects; a concept within the tradition of cultural-historical activity theory. Using this concept, we show how and in which way dual training structures and an innovative workplace learning partnership have being established in a German transplant in the USA.
Electrocoagulation of textile wastewater containing a mixture of organic dyes by iron electrode
Authors: Malinović Borislav N. , Pavlović Miomir G. , Djuričić Tijana
Published: June 2017

This study focused on testing the efficacy of iron (Fe) electrode in an electrochemical treatment (electrocoagulation) of wastewater containing a mixture of organic dyes. The mixture consists of the following azo dyes: Acid Black 194, Acid Black 107 and Acid Yellow 116. The present organic dyes are toxic, cause skin and eye irritation and are extremely dangerous to aquatic organisms. The study was conducted on a synthetic wastewater prepared in a laboratory electrochemical reactor. During the research, the impact of the current density, various concentrations of dye and supporting electrolyte, electrolysis duration and pulsed current regime were tracked. The results are shown through color removal efficiency, chemical oxygen demand (COD) removal efficiency, current efficiency, and specific energy consumption. At the initial concentration of dye (γ=200 mg/L) and concentration of supporting electrolyte (γNaCl=1 g/L) the color removal efficiency of 80.64% was achieved for 420 seconds of treatment (ј=10 mA/cm2). At the initial concentration of dye (γ=50 mg/L) and γNaCl= 8 g/L, the color removal efficiency of 96.01% was attained for 300 seconds of treatment (ј=10 mA/cm2)
Voltammetric growth of tin oxides in borate solution of pH 8.7
Authors: Costa Tiago Brandão , Nogueira Tania Maria Cavalcanti , Da Silva Ladário
Published: June 2017

Voltammetry has been employed to study the growth of tin oxides in buffer solution of 0.3 mol L-1 H3BO3 + 0.15 mol L-1 Na2B4O7·10H2O (pH 8.7). Voltammetric data were compared with the results of tin in a phosphate solution of pH 8.7, presented in the previous work, in order to study the influence of these anions on the growth of tin oxides. The thicknesses of grown oxides were determined using ex-situ ellipsometric technique and the volume per charge unity of the film, Vf, was calculated for different charge densities of the film. The results showed that less dense films were obtained at higher sweep rates. Tin oxide films grown in phosphate solution at 2 mV s-1 were denser than those grown in borate solution at the same sweep rate. The kinetic parameters, determined applying the ohmic model, showed that there are no significant differences between the kinetics at the metal/film interface of tin in borate and tin in phosphate solutions. Despite these facts, the ionic specific resistivity for oxide film growth in borate solution were significantly higher than in phosphate solution. This result indicates that incorporation of anions occurs during the growth of the films.
Testing knowledge of eye donation: a survey of intensive care nurses
Authors: Prous M. , Ponto M.
Published: June 2017

Introduction: Corneal transplantation is a sight restoring procedure that enhances the recipient’s quality of life. Most deceased patients in Intensive Care Units (ICU) are potential eye donors, but the number of referrals from this group remains low. Understanding how nurses view eye donation and identifying their educational needs is vital in order to increase donation rates while offering choice to patients and families. Purpose: To assess nurses’ knowledge about the identification and referral of potential eye donors. Materials and methods: An online, 18-item, questionnaire survey assessing the knowledge, training and views towards eye donation was emailed to 100 ICU nurses working in a tertiary NHS Trust. Fifty-eight percent (n=58/100) of nurses completed the questionnaire. Results: The majority of nurses (n=50/58) could not identify the medical contraindications to eye donation, just one was aware of the referral process and only two reported that they received previous training on eye donation. Overall, participants were in agreement that corneal transplants improve the recipients’ quality of life (n= 50/58) and that offering eye donation should be considered as part of end-oflife care (n=43/58). However, only seven felt confident raising the subject with relatives. Conclusion: ICU nurses play a pivotal role identifying and discussing the potential for donation. However, the results of this survey showed that the majority of responding nurses lacked knowledge, training and confidence to effectively undertake this role. Therefore there is a need for educational programmes that focus on eye donation and communication skills to be able to offer the choice to patients and families. There is also a scope for research to evaluate the efficacy of educational programmes and their impact on donation rates
Side effects from the use of azathioprine in Crohn's disease: A systematic review
Authors: Loutas Th. , Moutou A. , Theodosopoulou E.
Published: June 2017

Introduction: Crohn's disease is a chronic, relapsing and inflammatory condition. Azathioprine (AZA) is an immunosuppressive drug used for maintenance of the disease remission. However, the side effects this drug causes to patients, makes it questionable, as to its safety, for health. Purpose: To determine the type and severity of side effects caused by AZA treatment in Crohn's disease. Materials and methods: Through systematic review of literature, 85 studies were found, 10 of which were selected. The selection criteria were: a) articles, which were primary studies, reviews or meta-analyzes, b) available in full text, c) written in English and d) finally articles, referring to humans. Results: Studies show that AZA, is drug of choice, for treating Crohn's disease. However, side effects from its use are numerous and increasing in severity. According to the survey results, people who used this drug, developed at some point in their treatment, side effects such as hepatotoxicity, myelotoxicity, acute pancreatitis (p<0.001), gastrointestinal intolerance, general hardship, blood disorders, fever wave, itching and arthralgia. Conclusions: Recommendations from these studies show that side effects immerge from almost all systems in the patient's body, but it is not proven if all of them have to do exclusively with the drug or the disease’s nature. As AZA holds a prominent role in disease’s treatment, the use of more thorough controls is recommended for simultaneous treatment of side effects.
Helicobacter pylori in the population of the developmental age
Authors: Maciorkowska E. , Gładka A. , Roszko-Kirpsza I.
Published: June 2017

Helicobacter pylori – Gram-negative rod, discovered more than 30 years ago, has a proven influence on inflammation of gastric and duodenal mucosa. The worldwide prevalence of H. pylori infection in the human population is estimated at 50% and is considered to be one of the most frequent bacterial infections in people. Many studies suggest that infection takes place in the early childhood within the family. The gastric mucosa is its natural habitat. In last time more and more findings about existence of this bacteria in another places of gastrointestinal tract and correlation with many diseases, especially an inflammation of oral cavity. The percentage of H. pylori detectability in the oral cavity ranges from 0 to 100%. Thus, more studies aimed at final determination of the bacterium reservoir in the oral cavity seem to be necessary.
Student mobility. Between theory and practice?
Authors: Nowakowska H. , Skrzypek-Czerko M.
Published: June 2017

Introduction: The Bologna Process has initiated
the “culture of reforms” in higher education,
conditioning the economic and social development
of Europe. Erasmus Plus is an EU programme of
education in 2014-2020. Despite the numerous
benefits it offers to students, their mobility within
the Erasmus Plus Programme proves to be low (not
satisfactory).
Purpose: Review the theoretical and practical
aspects of student mobility, with particular
emphasis on the Erasmus Plus Programme.
Materials and methods: We searched for extant
networks through peer-reviewed literature and the
world-wide web. Additionally, we used a data
analysis on the mobility of students of medicine and
health sciences in 2005-2015 within the Erasmus
Plus Programme, at selected university in Poland.
Results: According to the educational standards in
the European Union, students of medical faculties
are obliged to complete 12 semesters of studies
comprising 5,500 hours under teachers’
supervision. In Poland there are 5,700 hours – these
additional hours account for mandatory physical
education and foreign language classes which are
not taught in other countries. Data from the last
decade indicate that student mobility in Poland is an
overestimated phenomenon as it concerns a narrow
circle of students.
Conclusions: A student who benefits from a
scholarship under the Erasmus Plus Programme
enhances their self-esteem and development
opportunities. Participation in an international
programme seems to bring benefits alone. In
practice, however, there prove to be numerous
barriers related to student mobility, such as
financial problems, language barriers and issues
related to the recognition (crediting) of a period of
study completed at a partner university.
“Se estava tudo bem, porque é que eu havia de ir a uma obstetra?”: identidade, risco e consumo de tecnologia médica no parto domiciliar em Portugal
Authors: Santos Mário J. D. S. , Augusto Amélia
Published: June 2017

Contemporary home births are rare and quite invisible phenomena, and quite unexplored as an empirical field. From interviewing women and couples who experienced a planned home birth, this article aims to give an initial sociological portrait of this phenomenon in Portugal. It is shown to be not a return of the traditional or a search for a mystical experience, but rather a physical and concrete happening, strongly shaped by scientific and medical knowledge, within a search for identity coherence. Several social and medical risk perceptions emerged, as well as a reflexive consumption of medical technologies framed by these same perceptions. Despite the fact that home birth detracts the relevance of medicine during pregnancy and birth, it is not possible to frame it as a phenomenon of demedicalisation.
Voluntariado em Portugal: do trabalho invisível à validação de competências
Authors: Rego Raquel , Zózimo Joana , Correia Maria João
Published: June 2017

This article stems from a study commissioned by an NGO to a research center. The study was based on a survey of more than 300 organizations that promote volunteering and 18 interviews with regular volunteers from five areas of activity. The collected data confirmed the acquisition of soft skills through volunteering and show that there is a widespread interest in the institutional recognition of informal learning from the volunteer experience. The article concludes that the sociological analysis cannot continue to neglect volunteering as a phenomenon that booster employability.
Cortex-dependent recovery of unassisted hindlimb locomotion after complete spinal cord injury in adult rats
Authors: Manohar Anitha , Foffani Guglielmo , Ganzer Patrick D , Bethea John R , Moxon Karen A
Published: June 2017

After paralyzing spinal cord injury the adult nervous system has little ability to ‘heal’ spinal connections, and it is assumed to be unable to develop extra-spinal recovery strategies to bypass the lesion. We challenge this assumption, showing that completely spinalized adult rats can recover unassisted hindlimb weight support and locomotion without explicit spinal transmission of motor commands through the lesion. This is achieved with combinations of pharmacological and physical therapies that maximize cortical reorganization, inducing an expansion of trunk motor cortex and forepaw sensory cortex into the deafferented hindlimb cortex, associated with sprouting of corticospinal axons. Lesioning the reorganized cortex reverses the recovery. Adult rats can thus develop a novel cortical sensorimotor circuit that bypasses the lesion, probably through biomechanical coupling, to partly recover unassisted hindlimb locomotion after complete spinal cord injury.