bluuebunny/crossref_metadata_2025 huggingface dataset:
The Role of Mental Imagery in Osteopathic Palpation: a qualitative study
Authors: Kraml Mario M. , Besse Jean-Pierre
Published: December 2019

Background:
Palpation constitutes a central element of osteopathic diagnosis and therapy. It is a complex tactile performance and as such also depends on cognitive factors. References by experienced osteopaths (EOs) suggest that the ability to visualise anatomical structures is essential during palpation. Scientific studies in this field can hardly be found. This study aimed to systematically determine what role mental imagery (MI) plays for osteopaths and especially what the benefits are when it is used spontaneously and deliberately.

Material and Methods:
The present study is a qualitative study. Nine interviews with EOs were carried out with the help of an interview guideline and analysed using a qualitative analysis of content using the software MAXQDA.

Results:
All EOs regarded MI as a tool as well as an interfering factor for palpation. Its supporting role was associated with the identification, recognition and comparing of anatomical conditions, with directing attention, with navigation and orientation. The limiting character showed up in distraction and deception by mental images. The results also revealed the situational use of MI as well as different mental images and influencing factors (e.g. visualisation training).

Discussion:
The study provides an insight into the application knowledge of EOs and shows some aspects of palpation, which have been subject to little research so far. Being aware of and understanding the role of MI as a top-down process in tactile-haptic perception should change the focus in palpation. The findings can be incorporated in daily practice as well as in the training system. To regard MI as a possible bias can lead to reassessment and realignment of reliability studies. This study offers a basis for other studies to work from to explore the nature of MI in the tactile-haptic perception of osteopaths.

Keywords: mental imagery, palpation, osteopathy

DOI: https://doi.org/10.35740/EJOR.2019.1.1.3
Linha do tempo interativa no ensino de história
Authors: Tavares Luis Antonio , Maldonado Lucas Lopes , Almeida Luciane , Pereira Tiago Morais , Amaral Sérgio
Published: December 2019

Resumo: Este artigo apresenta uma proposta de objeto de aprendizagem para a área de conhecimento de história, consistindo em uma linha do tempo interativa na qual o usuário pode navegar por eventos através de sua relação temporal e, inclusive, criar suas próprias linhas do tempo. A proposta tem como contribuição uma aproximação entre as práticas escolares e a realidade tecnológica do cotidiano do estudante, através de uma ferramenta pedagógica interativa. Também é uma solução que busca sanar uma grande dificuldade da era digital: lidar com grandes volumes de dados, possibilitando uma visualização gráfica mais dinâmica e intuitiva. Seu grande diferencial é ser a primeira ferramenta gratuita disponível na internet para criação e estudo usando linhas do tempo interativas.
Palavras-chave: Linha do tempo. Aplicações interativas. Tecnologia na educação. Objetos de aprendizagem. Ensino de história.
Competências digitais de docentes da educação básica
Authors: Perin Eloni Dos Santos , Freitas Maria do Carmo Duarte , Cebrián-Robles Violeta
Published: December 2019

Resumo: À medida que as tecnologias digitais de informação e comunicação, conectadas em rede, se expandem, a formação profissional docente precisa se adaptar à realidade educacional. Perguntamos: quais as competências digitais são necessárias para o intercâmbio de práticas e recursos educacionais entre professores? O foco da pesquisa foi nos professores de Educação Básica no município de Ponta Grossa, Paraná. A pesquisa analisou a autoavaliação de 339 professores e a investigação ocorreu com entrevista não estruturada, observação participante e análise de material bibliográfico. Os dados mais relevantes encontrados mostram que as competências em informação, comunicação e tecnológicas estão parcialmente desenvolvidas e as pedagógicas ainda necessitam serem desenvolvidas em professores. Estes mostram habilidades para compartilhar ideias, experiências e atitudes para se comunicar; porém falta adequar as tecnologias à prática pedagógica e desenvolver liderança em rede.
Palavras-chave: Competências digitais. Competências docentes. Educação básica. Recursos educacionais. Práticas educativas.
Diabetes mellitus, factor de riesgo de severidad de enfermedad isquémica crítica aterosclerótica y de viabilidad de miembros inferiores
Authors: Martínez Betancur Octavio , Castrillón Víctor Alfonso
Published: December 2019

Objetivo: caracterizar la diabetes mellitus como factor de riesgo independiente para el grado de severidad de isquemia crítica de miembros inferiores y para la viabilidad de extremidades afectadas.

Contexto y tipo de estudio: censo de base hospitalaria sobre el registro de pacientes sometidos a revascularización o amputación primaria mayor de miembros inferiores por isquemia crítica aterosclerótica, a partir del primero de enero de 2005 hasta el 30 de junio de 2009. Las unidades de análisis fueron los registros clínicos de todos los pacientes intervenidos que cumplieran con los criterios de ingreso al estudio.

Material y métodos: descripciones univariada y bivariada dependiendo del tipo y distribución de las variables. Detección de variables confundidoras y con efectos de modificación de las medidas de asociación entre diabetes y severidad de isquemia crítica, y diabetes y tipo de intervención, mediante estratificación en el análisis.

Resultados: ajustada la relación para el efecto confundidor positivo de la hipertensión arterial, la posibilidad de diabetes mellitus en los pacientes Fontaine IV fue 8.23 veces la de los pacientes Fontaine III (X2MH 1gl 13.18; valor p = 0.0003). Controlado el efecto confundidor positivo de la insuficiencia renal crónica, la posibilidad de diabetes mellitus en los pacientes Fontaine IV fue 7.99 veces la de los pacientes Fontaine III (X2MH 1gl 12.00; valor p = 0.0005). Al controlar por la severidad de la isquemia crítica de miembros inferiores, los pacientes con diabetes mellitus conllevan una posibilidad de amputación primaria mayor de 6.32 en relación con los pacientes no diabéticos (X2MH 1gl 8.455; valor p = 0.0036).

Conclusión: la diabetes mellitus se señala como un factor de riesgo independiente para el desarrollo del estado más severo de isquemia crítica de miembros inferiores, Fontaine IV, tras ajustar para hipertensión arterial e insuficiencia renal crónica. Igualmente, la diabetes se constituyó en factor de riesgo independiente para la viabilidad de la extremidad con isquemia crítica
Experiencia en acromegalia en el Hospital de San José
Authors: Tovar Henry , Rojas William
Published: November 2019

Introducción: la acromegalia es una enfermedad causada por la producción anormal de hormona del crecimiento en momentos en que los huesos ya han tenido su cierre epifisiario. En un 98% de los casos, la fuente de la hipersecreción de hormona del crecimiento es un adenoma somatotropo hipofisiario.

Objetivo: el objetivo de este trabajo fue caracterizar una serie de casos de acromegalia, en el hospital de San José de Bogotá.

Material y métodos: se revisaron de manera retrospectiva los registros de consulta diaria del servicio de endocrinología del Hospital de San José de Bogotá, durante 1990-2007 encontrándose 24 registros de pacientes con diagnóstico confirmado de acromegalia, a los cuales se les aplicó un instrumento de recolección de datos, que permitió describir las principales características demográficas, clínicas, paraclínicas y de tratamiento, mediante un análisis univariado y bivariado, realizado en el software estadístico Epi-Info.

Resultados: se observó una mayor frecuencia en el sexo femenino y en el rango de edad de 20 a 45 años para ambos géneros. El tiempo promedio de evolución de los síntomas fue de 8,3 años previos al diagnóstico. Los signos y síntomas más frecuentes que motivaron la consulta fueron cambios en la apariencia física, prognatismo y cefalea. El diagnóstico imagenológico se realizó en un 96% con resonancia nuclear magnética contrastada, encontrándose en su mayoría macroadenomas. Al 92% de los pacientes se les realizó cirugía siendo el abordaje más usual el transesfenoidal. En cuanto al tratamiento farmacológico el más común fue con análogos de somatostatina (octreótide) y recibieron radioterapia complementaria al tratamiento médico 50% de los pacientes.

Conclusiones: la acromegalia continúa diagnosticándose cuando ya se han presentado importantes alteraciones sistémicas. La experiencia ha sido mayor con los casos de macroadenomas hipofisiarios, es decir, como aún lo sigue reportando la literatura mundial es una enfermedad insidiosa cuyo diagnóstico tardío empeora su pronóstico. Los hallazgos en esta serie en cuanto a manifestaciones clínicas y comorbilidades son coherentes con los observados por otros autores
Hipocalcemia por dependencia tipo I de vitamina D en un paciente con nefrolitiasis por ácido úrico
Authors: Restrepo César A. , Benjumea Angela María
Published: November 2019

Se discute el caso de un paciente hombre de 37 años con hiperuricemia, nefrolitiasis múltiple bilateral, y trastorno metabólico mineral caracterizado por hipocalcemia, hipofosfatemia, hipocalciuria y normofosfaturia de 10 años de evolución, con pobre respuesta al manejo médico instaurado y sin diagnóstico preciso. Tras análisis clínicos y apoyo en exámenes de laboratorio se evidencia dependencia tipo I a la vitamina D
Rompiendo un mito en el control de la hemoglobina/hematocrito postransfusión
Authors: Pardo Juan Mauricio , Panqueva Martínez Uriel , Espinosa Ángela Fernanda
Published: November 2019

Habitualmente se ha solicitado la hemoglobina/hematocrito después de las seis horas como parámetro para evaluar el resultado terapéutico de la transfusión sin que exista evidencia clara para hacerlo.

Objetivo: determinar la concordancia de los niveles de hemoglobina/hematocrito en los primeros 15 minutos de terminada la transfusión comparado con la toma de éstos a las seis horas en pacientes con anemia crónica sin sangrado activo, hemólisis o hiperesplenismo.

Materiales y métodos: se realizó un estudio, observacional, analítico de concordancia que analizó la consistencia entre dos mediciones de hemoglobina/hematocrito tomada dentro de los primeros 15 minutos de terminada la transfusión y seis horas después en 41 pacientes con anemia de origen médico, sin sangrado activo.

Resultados: se encontró concordancia significativa alta entre la hemoglobina a los 15 minutos y seis horas después de la transfusión (p
Uso de tromboprofilaxis en el paciente hospitalizado en la Clínica del Country
Authors: Velásquez Juan Carlos , Herrán Santiago , Mera Ivonne
Published: November 2019

El tromboembolismo venoso (TEV) es una enfermedad frecuente en el ámbito hospitalario, potencialmente mortal, causante de morbilidad significativa en los sobrevivientes y ampliamente prevenible. A pesar de ello, la profilaxis antitrombótica con frecuencia es subutilizada.

Objetivo: establecer el grado de adherencia de los médicos de la clínica del Country (Bogotá, Colombia) a su Guía para la Prevención del Tromboembolismo Venoso en el Paciente Hospitalizado.

Resultados: se analizaron 262 historias clínicas de pacientes hospitalizados entre julio 1 y 31 de 2008 y se excluyeron 22. De los 240 pacientes incluidos, 158 (65.8%) requerían profilaxis antitrombótica de acuerdo con la guía institucional. De ellos, solamente 83 (52.5%) recibió la intervención. El porcentaje de prescripción fue mayor en los pacientes de medicina interna (60%) que en los de cirugía general y especialidades (41.3%). Esta prescripción fue totalmente adecuada en cuanto a tipo de intervención, tiempo de uso y dosificación solamente en 34.5% de los pacientes. En un grupo de sujetos con riesgo tromboembólico significativo y con ausencia de la prescripción o error en la formulación de la profilaxis, las razones más importantes para ello fueron: olvido (35%), error en dosificación o tiempo de uso (27%) y subestimación del riesgo (13%).

Conclusiones: la tasa de utilización de profilaxis antitrombótica en nuestra institución es similar a la reportada para el país y para el mundo, pero dista mucho de ser la deseada. Es necesario implementar medidas que modifiquen de forma eficaz la conducta médica para mejorar la prevención del TEV en los pacientes hospitalizados
Neuromielitis óptica (enfermedad de Devic)
Authors: Pinzón Alfredo , Echeverry Tatiana , Rodríguez Aida Bibiana
Published: November 2019

Presentamos el caso de una mujer joven inicialmente tratada por esclerosis múltiple, quien presentó recurrencia con compromiso ocular severo. La enfermedad de Devic es un desorden desmielinizante que se presenta como una mielitis transversa asociada con neuritis óptica, típicamente bilateral. El principal diagnóstico diferencial es justamente la esclerosis múltiple
Combinación de carcinomas de riñón y próstata, con metástasis del primero a parótida y pulmón
Authors: Mejía Gonzalo
Published: November 2019

Se presenta el caso de un paciente con carcinoma renal izquierdo a quien se le realizó nefrectomía radical e hizo metástasis tardías primero a parótida derecha (a los cuatro años), manejada con parotidectomía y vaciamiento radical del cuello, y un año más tarde a pulmón derecho, por la cual se le practicó lobectomía superior. Un año después de la nefrectomía había tenido adenocarcinoma de próstata tratado con prostatectomía radical. Se discuten tanto el caso, como la información actual acerca de la combinación de estas neoplasias en un paciente
Criptococosis diseminada con compromiso esplénico y meníngeo en una paciente con sida
Authors: Lizarazo Jairo , Parra Edgar , Parada Oscar , Castro Noé , Chaves Oscar , Peña Yeni
Published: November 2019

Se presenta el caso de una mujer de 37 años de edad, con diagnóstico reciente de infección por VIH, que consultó por cefalea, diarrea, vómito y fiebre de dos semanas de evolución. Se encontraba caquéctica con una gran esplenomegalia. El estudio del líquido cefalorraquídeo demostró una meningitis por Cryptococcus neoformans. Las imágenes diagnósticas evidenciaron una gran esplenomegalia con lesiones focales. La biopsia percutánea con aguja cortante N°18 de una de las lesiones focales confirmó la criptococosis esplénica. La paciente recibió tratamiento secuencial con anfotericina B y fluconazol con una evolución satisfactoria. Las lesiones esplénicas se resolvieron completamente y la paciente se encuentra actualmente asintomática y recibe profilaxis secundaria con fluconazol y terapia antirretroviral
Encondromatosis múltiple (Enfermedad de Ollier)
Authors: Silva Luis Manuel
Published: November 2019

Paciente de 36 años con antecedente conocido de encondromatosis múltiple quien consulta por cuadro de tres días de evolución de dolor en la pierna derecha posterior a trauma. Se realizan radiografías de rodillas comparativas y pierna derecha en las que se observan múltiples encondromas que comprometen la diáfisis distal del fémur (Panel A) y las metáfisis y diáfisis proximal; y distal de la tibia y el peroné (Panel B). Existe importante deformidad y acortamiento de esta extremidad
CLINICO EPIDEMIOLOGICAL STUDY OF HANSENS DISEASE (LEPROSY) IN PATIENTS ATTENDING GOVERNMENT GENERAL HOSPITAL, KADAPA
Authors: Sirisha Nare Lakshmi
Published: December 2019

Background: Leprosy (also known as Hansen's disease) is a chronic granulomatous infection caused by Mycobacterium
Leprae(M.leprae). Incubation period varies from few months to several years (3 months to 10 years). Mode of
transmission is via droplets. The disease mainly affects the skin, peripheral nerves, mucosa of upper respiratory tract.
Aims and Objectives: To study clinical and epidemiological characteristics of the leprosy patients attending Government General Hospital,
Kadapa, Andhra Pradesh, India.
Materials andMethods:Thisis a hospital based prospective study carried out over a period of 1 year,fromMay 2018 toApril 2019. consecutive 167
leprosy patients attended the outpatient department of DVL, Government General Hospital, Kadapa, Andhra Pradesh, India were enrolled in this
study.The study populationwas divided into 7 groups.Thisinclude age group oflessthan 10 years:11 to 20 years;21 to 30 years:31 to 40 years:41 to 50
years;51to60years;more than60years.Datawas analyzedtostudyclinical andepidemiological characteristics ofleprosydisease.
Results: There were 106 males and 61 females in a total of 167 study population. Atotal of 46(27.55%) were aged between 31 to 40 years. Among
167 patients ,145(86.82%) patients has multibacillary form of leprosy. Pure neuritic leprosy was seen 7(4.19%) patients; histoid leprosy seen in
4(2.39%) patients.
Conclusion:Leprosy may be down but is not yet out. Continuous efforts are required to prevent this disease from making a resurgence
STUDY OF ECG CHANGES IN PRIMARY HYPOTHYROIDISM
Authors: Shah Pushkar Pradip
Published: December 2019

AIMS AND OBJECTIVE: To study ECG changes in cases of Primary hypothyroidism.
MATERIAL AND METHODS: This is a retrospective observational study conducted at SKN Medical College and
General Hospital, Pune. Both, overt and subclinical hypothyroid cases were selected after taking into account the inclusion and exclusion criteria.
ECG and TSH levels were analysed.
CONCLUSION: Both overt and subclinical hypothyroidism are associated with signicant changes in ECG; sinus bradycardia being the
commonest one.
The Internet and World Wide Web: Uses for Study Abroad
Authors: Rhodes Gary M.
Published: December 2019

In the field of international student exchange, administrators and faculty are continually faced with the challenge of operating a college or university program in another part of the world. Administrative offices are operating with decreased budgets, limited staff, and a growing need for additional resources. The Internet provides a resource to support the programmatic needs of administrators, with a limited cost in both financial and manpower resources.
Reflections on the Meaning of Study Abroad
Authors: Shannon Elizabeth
Published: December 2019

Study abroad begins long before students leave their own shores. The moment that children enter daycare, nursery school, or kindergarten for the first time, they are in foreign territory, and all their antennae are out, testing, absorbing, learning. They begin to develop the first of their many multiple identities. They are no longer "Johnny" or "Sarah" whom everyone knows and loves at home, but Johnny or Sarah whom no one knows nor initially cares about, and they have to figure out what kind of a new identity they will develop so the danger zone becomes as safe as home. 

Leaving familiar surroundings- the sounds, smells, safety, and food of home- and realizing, quite abruptly, that they must learn to adapt to the demands and needs of strangers, is the first and the most challenging "trip abroad" they will ever take. They will use the same set of skills, more mature, more polished (we hope) when they arrive on a foreign campus and move in with a host family or into an international dormitory. 

Learning to make the journey with ease, whether it is on the first day of school or the day a plane drops one in a foreign field, is a necessary accomplishment. We have to make friends out of our peers; we have to gain the respect of our teachers; we have to develop curiosity and concern about the people around us. The stranger they seem, the more there is to learn. To fear diversity is to fear life itself. As the world becomes smaller and more integrated, the more crucial this accomplishment grows.
Discovering the Other: Study Abroad as Fieldwork
Authors: Stimpfl Joseph R.
Published: December 2019

The literature annotated here is from a subset of literature in cultural anthropology that deals with ethnographic fieldwork: the basic research exercise of cultural immersion. This bibliography is meant to offer a representative sample of literature in anthropology that deals with the fieldwork experiences of researchers. Cultural anthropology is devoted to the concept of “discovering the other.” Its method of inquiry is often referred to as participant/observation: the researcher lives the culture while observing it. Since so much of the fieldwork experience deals with personal adjustments to living in different cultures, the literature is charged with the problems of adjustment and understanding so common to study abroad experiences. This literature is particularly relevant to those interested in cross-cultural learning and issues in cultural adjustment.
A case of Sheehan Syndrome with chronic diffuse muscle pain and weakness
Authors: Önalan Erhan , Ataş Şüheda , Oral Kübra
Published: November 2019

Objective: Sheehan’s syndrome is pituitary deficiency induced by intrapartum and postpartum hemorrhage and hypovolemia. It is still frequent in underdeveloped and developing countries. Sheehan’s syndrome is one of the reason of empty sella. The symptoms of the syndrome can be seen months to years later depend on the degree of pituitary damage. History of postpartum hemorrhage, failure to lactate and cessation of menses are important  clues to the diagnosis. Early diagnosis and appropriate treatment are very important to reduce morbidity  and mortality of the patients.

Case: In this study sheehan’s syndrome which led to auto pan-hypopituitarism and developed gradually in a patient with sheehan‘s syndrome  which in this case, delivered a baby at home 27 years ago and had severe postpartum hemorrhage will be presented. And this 63-year-old female patient was diagnosed as Sjogren’s syndrome and sheehan syndrome by clinical and laboratory findings for the purpose of further investigation and treatment because of symptoms of fever and anemia
The Investigation of EGFR mutation and ALK gene rearrangement rates in lung adenocarcinoma patients in Mardin
Authors: Aytekin Aydın
Published: November 2019

Objective: Non-Small Cell Lung Cancer (NSCLC) is a heterogeneous group of tumors comprising different histologic subtypes and genetic mutations. Important mutations are EGFR (Epidermal Growth Factor Receptor), ALK (Anaplastic Lymphoma Kinase) rearrangement and ROS 1 rearrangement. This study aimed to determine the mutation rates of lung adenocarcinoma patients admitted to Mardin State Hospital Oncology clinic and to review the literature on the term mutually exclusivity.

Materials and Methods: The records of patients admitted to Mardin State Hospital Medical Oncology Clinic between 2014-2018 were retrospectively analyzed. The descriptive statistics for continuous variables mean/median; for categorical variables, frequency (n) and percentage (%) were shown.

Results: There were 39 lung adenocarcinoma patients (30.2%) among 130 lung cancer patients. The median age of female patients was 49.31 (27-74), while the median age of male patients was 58.87 (43-78). There were 6 EGFR mutant (15.4%) patients and 2 (5.1%) patients with ALK rearrangement. There were no ROS-1 positive patients.

Conclusion: This study indicates that EGFR mutation rates may be very low in Turkey compared to the literature and ALK rates may be close to the literature. To determine the actual mutation rates and factors affecting genetic alterations in Turkey, there are needed to further studies.
Genetics of male infertility and related genes within Y chromosome
Authors: Aygün Tutku Melis
Published: November 2019

Objective:  The infertility is a reproductive health problem that affects nearly 7% of all couples in the human population. It has been estimated that nearly 50% of infertility cases are due to genetic defects. Male infertility may be contributory to 30 - 40 % of infertile couples. Male infertility focuses on genetic factors impairing spermatogenesis and structural abnormalities such as Y chromosome microdeletions. The Y chromosome microdeletions are the most frequent genetic cause of male infertility. In this review article, we will focus on the structural abnormality and related gene functions on infertility.
Relationship between learning styles of faculty members and orthodontic and dentofacial orthopedic residents: an analytical cross-sectional study in an accredited dental school in Latin America
Authors: Ardila Carlos Matin , Alvarez Cordoba Jorge Andres , Gómez Restrepo Angela María
Published: November 2019

Objective:  Information regarding the correlation between the learning styles of faculty members and orthodontic and dentofacial orthopedic residents is scant. The objective of this study was to evaluate the relationship between the learning styles of faculty members and orthodontic and dentofacial orthopedic residents.

Material and Methods: In this analytical cross-sectional study, faculty members and orthodontic and dentofacial orthopedic residents of the School of Dentistry at the Universidad de Antioquia, Medellín, Colombia completed a structured questionnaire to identify their learning styles.

Results: A total of 24 residents (100%) and 36 (100%) faculty members responded to the questionnaire. Residents and faculty members presented preference for the theorist and reflector styles; however, the faculty members had a higher value in the theorist style. Statistical significant Pearson correlations were identified among men residents with theorist style (r=0,36; p=0.24), and among men faculty members with active (r=0,37; p=0.026) and pragmatist styles (r=0,5; p<0.0001). Consequently, an association was observed among men residents with the theorist style, which persisted after adjusting for age and semester enrolled (OR=1.5; p=0.03). On the other hand, associations were detected among men faculty members with the active (OR=1.3; p=0.02) and the pragmatist styles (OR=1.4; p=0.005), which also remained after adjusting for age in the multivariate models.

Conclusion: Residents and faculty members showed a preference for the theorist and reflector styles. Besides, this paper found associations between gender and some specific learning styles: men residents were associated with the theorist style, and men faculty members were associated with the active and pragmatist styles.
Effect of Bacterial Vaginozis and cervikal length on preterm delivery in second trimester
Authors: Şahin Hacı Öztürk , Gülkılık Ahmet
Published: November 2019

Objective: Preterm birth is one of the major cause of perinatal morbidity and mortality. Clinical studies have pointed out the association between preterm birth and bacterial vaginosis (BV) infection. Our aim is to discover the incidence of BV and search for the mean cervical length and parameters for the prediction of preterm delivery.

Materials and Methods: 130 pregnant woman between the 16th and 24th gestational week were included in our study. A detailed medical history was obtained from all of the women, and patients with a history of preterm delivery and the Vaginal Ph values and cervical length measurement were evaluated. Vaginal samples were analyzed, gram staining was performed, and a bacterial vaginosis diagnosis was made with Nugent’s criteria.

Results:  Of 130 woman that we included in our study,  only 19 had bacterial vaginosis (14.6 %), and the mean cervical length was measured as 41.79 mm. Preterm birth occurred in nine of the pregnant women (6.9%), and no statistically significant difference was found between BV and shortened cervical length or preterm labor. When we excluded the known preterm birth risk factors from our study, we could not find a significant difference between preterm labor and BV.

Conclusion:  We concluded that BV by itself is not a preterm risk factor. The frequency of BV in the pregnant women in our study group according to the preterm delivery rate and the mean cervical length were similar to those in international studies in which the relationship between cervical length and preterm delivery has been established. We did not come to a significant conclusion in our research; nevertheless, we can relate this result to the preterm delivery rate that is found to be lower than expected.
The comparison of antioxidant enzyme activities in Quince Fruit (Cydonia Oblonga) grown in Van, Ankara and İzmir
Authors: Demir Halit , Demir Canan
Published: November 2019

Objective: In this study, it was aimed to determine the activity of some antioxidant enzymes in the quince fruit (Cydonia Oblonga) which grown in different regions of Turkey.

Materials and Methods: For this study, firstly, quince fruit grown in different provinces such as Van, Ankara and İzmir was obtained for this study. Then, extracts of quince fruit were prepared and antioxidant enzyme activities were determined by spectrophotometric method. The findings were analyzed using statistical methods and the results were interpreted.

Results: The difference between the means in terms of Superoxide Dismutase, Catalase and Glutathione Reductase (SOD, CAT and GR) enzyme levels was found to be statistically significant for quince fruit grown in Van, Ankara and İzmir (p <0.05). Accordingly, CAT, SOD and GR levels in quince fruit grown in İzmir were significantly higher than other regions.

Conclusion: As a result, the antioxidant property of quince fruit seems to be very important. The consumption of quince fruit especially in winter can be protective against some diseases, especially winter diseases. Further research on quince fruit should be done.
INTRODUÇÕES E CONSIDERAÇÕES FINAIS DO GÊNERO MONOGRAFIA: UMA ANÁLISE DAS ESTRATÉGIAS DE REFERÊNCIAÇÃO E PROCESSOS DE RETOMADA À LUZ DA LINGUÍSTICA TEXTUAL
Authors: Gonçalves Gilvan Santos , Queiroz Nayara da Silva
Published: December 2019

Este artigo faz uma abordagem a respeito das principais estratégias de referenciação, progressão e cadeias referenciais utilizadas em introduções e consideraçõesfinais do gênero monografia. O objetivo é mostrar a organização e os processos de retomada textual desses componentes à luz da Linguística Textual, para isso utilizou-se uma abordagem teórico-metodológica da análise de gênero, baseada na nova retórica de Miller (1984, 2012), Bazerman (2005), Koch (2006, 2009). No processo de dados, o corpus a ser investigado constituir-se-á de monografias produzidas nos anos letivos de 2012 e 2013, no curso de Letras Licenciatura da Universidade Estadual do Maranhão (UEMA). A caracterização dessas estratégias de referenciação evidenciou as escolhas linguísticas e mostrou as dificuldades encontradas pelos alunos na construção argumentativa de suas introduções e considerações finais, mostrando o desconhecimento de estratégias de retomadas nesses subgêneros textuais, tanto no que se refere à temática ou problemática levantada na introdução, que deveria ser explorada nas considerações finais, quanto ao uso de termos que poderiam evitar a repetição do termo utilizado para o objeto-do-discurso.
QOS AND DEFENSE ENHANCEMENT USING BLOCK CHAIN FOR FLY WIRELESS NETWORKS
Authors: N Bhalaji
Published: November 2019

The autonomous mobile nodes framing an instantaneous network, utilizing the nearby available device that volunteer in establishing network is coined as the fly wire network. These adhoc type of network framed simultaneously are prone to various vulnerabilities, developing alterations in the information’s or hacking of information’s or the blocking of services. These security threats causing losses in the information transmitted, makes it necessary for the trust evaluation of the nodes to identify the selfish nodes. So the paper proposes the block chain trust management of nodes to avoid the vulnerabilities in the transmission path, enhancing the performance of the network. The performance of the proposed method is validated in the network simulator –II to ensure its capability in terms of the quality of service and the security (defense).
SURVEY OF DATA MINING ALGORITHM’S FOR INTELLIGENT COMPUTING SYSTEM
Authors: S Iwin Thanakumar Joseph
Published: November 2019

The Intelligent computing system, described to be a collection of the connected device working in mutual understanding to attain a particular purpose, is an incorporation of artificial intelligence and the computational intelligence, and are employed in variety of applications. The paper presents the survey on the data mining algorithms and the techniques that could be employed with the intelligent computing system, presenting a basic conception of the data mining along with the prominent algorithms of the data mining and the classification of its techniques, further the survey concludes with the challenges included in the overview of the survey done along with the future enhancement in the research that analyses the data mining techniques in the intelligent computing applications.
PERFORMANCE EVALUATION OF ROUTING ALGORITHM FOR MANET BASED ON THE MACHINE LEARNING TECHNIQUES
Authors: M Duraipandian
Published: November 2019

The rapid advances in wireless communication technology has led to an extraordinary progress in the adhoc type of networking. The mobile adhoc networks being a subtype of the adhoc network almost poses the same characteristics of the adhoc network, presenting multiple challenges in framing a route for the transmission of the information from the source to the destination. So the paper proposes a routing method developed based on the reinforcement learning, exploiting the node information’s to establish a route that is short and stable. The proposed method scopes to minimize the energy consumption, transmission delay, and improve the delivery ratio of the packets, enhancing the throughput. The efficiency of the proposed method is determined by validating its performance in the network simulator-II, in terms of the energy consumption, delay in the transmission and the packet delivery ratio.
PERFORMANCE ENHANCEMENT AND SECURITY ASSISTANCE FOR VANET USING CLOUD COMPUTING
Authors: R Neelaveni
Published: November 2019

The vehicular-adhocnetwork (adhocNet) termed to be prominent way of information transfer using vehicles plays a significant role in the development of the intelligent and safe transportation, to avoid the unwanted causalities. They provide a more comfortable way of driving and travelling; by providing the complete details entailed for the travel, utilizing the nearby vehicles and the roadside unit. But due to certain security issues arising in the information transmission by the conventional methods of the vehicular- adhocNet, the conventional method of vehicular- adhocNet seems to be inefficient. So the paper proposes a modified vehicular- adhocNet that replaces the cloud computing in the place of the road side unit to provide a enhance security in the information transmission, thus improving the performance of the vehicular- adhocNet as a whole. The performance evaluation of the proposed method using the NS-2 on terms of the improve security, delay and the throughput proves its significance.
DELAY DIMINISHED EFFICIENT TASK SCHEDULING AND ALLOCATION FOR
HETEROGENEOUS CLOUD ENVIRONMENT
Authors: N Bhalaji
Published: November 2019

Cloud computing being a promising paradigm has become very prominent among a wide range of applications due to their timely service rendering capability. Attracted to the type of servicing and the way of servicing lots and lots of users, adapt to the cloud computing. This makes the time servicing of the cloud computing a tedious job. So in order to effectively handle the tasks the scheduling approach is entailed in the cloud computing. The paper proposes an efficient task scheduling for the heterogeneous cloud to render service at a minimized delay utilizing the genetic algorithm. The proposed method is validated through the, cloud simulator to understand the efficiency of the same in terms of delay and the quality of service.
ENHANCED EDGE MODEL FOR BIG DATA IN THE INTERNET OF THINGS BASED APPLICATIONS
Authors: A Pasumpon Pandian
Published: November 2019

The edge computing that is an efficient alternative of the cloud computing, for handling of the tasks that are time sensitive, has become has become very popular among a vast range of IOT based application especially in the industrial sides. The huge amount of information flow and the services requisition from the IOT has made the traditional cloud computing incompatible on the time of big data flow. So the paper proposes an enhanced edge model for the by incorporating the artificial intelligence along with the integration of caching to the edge for handling of the big data flow in the applications of the internet of things. The performance evaluation of the same in the network simulator 2 for enormous flow of task that are time sensitive , evinces that the proposed method has a minimized delay compared the traditional cloud computing models.
THEORETICAL ASPECTS OF REVEALING OF COMPETITIVE FORMS OF INDUSTRIAL ENGINEERING AND SYNERGETIC EFFECT AT ECONOMIC GROWTH IN AMERICAN SCIENTIFIC SCHOOL
Authors: Armanshina G.R.
Published: December 2019

Disproportions in regional development are explained by the propositions of the theories and concepts of spacial economic growth and development. The scientists of American school synthesized economic and economic-geographical knowledge on the basis of the research of territorial concentration of production and spacial effects for revealing of competitive forms of industrial en-gineering and synegetic effect at economic growth and development of the countries and regions.
ECONOMIC EFFICIENCY OF RESOURCE-SAVING TECHNOLOGIES AND COTTON YIELD OF ANDIJАN-36 VARIETY
Authors: Atabayeva Mamura Sadirdin kizi , Juraev Mukimjon Yakubjonovich , Nosirov Ikboljon Kobiljon ugli
Published: November 2019

With the use of resource-saving agro-technology and processing with a new combination aggregate in autumn, cotton yield of 37.9-40.4 c/ha was obtained from the variants where the 50% annual rate of 200 kg/ha norm of nitrogen was applied in the form of liquid ammonia under the ridges and the remaining 50% of liquid ammonia was used during the growing period of cotton plant in the form of ammonium salt petre by stratification. In these variants cotton seeds were sown in single-row and double-row methods. They produced additional yield of 4.1-5.9 c/ha compared to the control variants and the highest economic efficacy was achieved. Net profit from these variants constituted 2079,1-2793.7 thousand sums, profitability rate was 52.3-68.4%, in comparison with control variants, the net profit was 1127,7-1569,3 thousand sums more while the profitability rate was 29,1%. - 38.8% higher.
KEYWORDS: Soil, cotton plant, single-row and double-row, cotton productivity, new combination technology, Andijan-36 variety, liquid ammonia, net profit.
Teoría específica sobre las conductas familiares de las personas con diabetes tipo 2
Authors: López-González Juan Alberto , Bañuelos-Barrera Yolanda , Ruíz-Paloalto Laura , Álvarez-Aguirre Alicia
Published: December 2019

Introducción: Los profesionales de enfermería desarrollan Teorías sobre situaciones específicas para tener una mejor explicación de la práctica y poder brindar un cuidado de calidad a la persona, la familia y la comunidad. Objetivo: Describir la Teoría específica sobre las Conductas familiares en la Autogestión y el Control glucémico de las personas con Diabetes tipo 2. Metodología: El método utilizado para el desarrollo de está teoría fue a través del Proceso integrador. Resultados: se logró identificar cuatro conceptos principales: Conductas familiares, Autogestión de la persona con Diabetes tipo 2, Control glucémico y Agentes condicionantes individuales. Conclusiones: la Teoría específica desarrollada, nos permite tener un marco teórico para entender la interacción del familiar y la persona con Diabetes tipo 2 para el logró de la Autogestión y el Control glucémico de estás.
Una aproximación a la medición de la percepción de prácticas de crianza para adolescentes
Authors: Flores Galaz Mirta Margarita , Cortés Ayala María de Lourdes , Oudhof Van Barneveld Johannes , González Tovar José , Frías Armenta Martha , García Meraz Melissa , Lozano Lazo Georgina , Zavala Rayas Javier
Published: December 2019

El presente estudio tuvo como objetivo construir y validar una escala para medir la percepción de la crianza paterna en adolescentes mexicanos. Participaron en él 432 adolescentes, seleccionados mediante un muestreo no probabilístico; ellos provenían de seis estados de la República Mexicana (180 de Sonora, Toluca e Hidalgo, 60 eran cada uno; 100 de Zacatecas; 103 de Yucatán; y 49 de Coahuila). Del total de la muestra, 187 eran mujeres y 185 eran hombres (60 personas no dieron esta información). La edad promedio fue 14.15 (DE = 1.28). La Escala de Percepción de Prácticas de Crianza para Adolescentes, elaborada y administrada, consta de 63 afirmaciones tipo Likert con cinco opciones de respuesta (1 = Nunca a 5 = Siempre), que evalúan la frecuencia (de Siempre a Nunca) de diversas conductas que los padres y madres realizan cotidianamente para educar a sus hijos. Los resultados obtenidos a través del análisis factorial exploratorio mostraron que para la subescala de Mamá se conformaron cuatro factores: Cuidado y calidez (alfa = 0.93), Transmisión de valores (alfa = 0.83), Apoyo y orientación escolar (alfa = 0.73), así como Control conductual (alfa = 0.57); mientras que para la subescala de Papá se encontraron siete factores, aunque cinco presentan congruencia conceptual: Cuidado y calidez (alfa 0.95), Transmisión de valores (alfa = 0.73), Disciplina inductiva (alfa = 0.70), Apoyo y orientación escolar (alfa = 0.72), y además de Control conductual (alfa = 0.57). Asimismo, fueron analizadas las propiedades psicométricas del instrumento y se presentaron las diferencias encontradas por las variables criterio (sexo, zona geográfica).
Predicción del riesgo de reincidencia en una muestra de menores infractores españoles. Evidencias de validez del SAVRY
Authors: García-García Juan , Ortega Campos Elena , Zaldívar Basurto Flor , Gil-Fenoy María José
Published: December 2019

El uso de instrumentos de predicción del riesgo de reincidencia en menores infractores está cada vez más extendido entre profesionales e investigadores, a tal grado que ha provocado el aumento del número de instrumentos desarrollados específicamente para menores infractores. Entre los instrumen- tos de predicción del riesgo de reincidencia creados para jóvenes destaca el Structured Assessment of Violence Risk in Youth (SAVRY. Borum, Bartel, & Forth, 2002, 2006). En este trabajo se presenta una aproximación a la capacidad predictiva del instrumento SAVRY en su aplicación a menores infractores españoles. La muestra está formada por un total de 594 menores con causa judicial en el Juzgado de Menores de Almería (España), de edades comprendidas entre 14 y 18 años, por lo menos al momento de la comisión de la conducta antisocial penada. El 85.4% de los menores era de sexo masculino y 79% de nacionalidad española. Los resultados muestran que el instrumento SAVRY presenta una adecuada capacidad predictiva.
Lenguaje y silencio como materiales de la memoria colectiva y el olvido social
Authors: Mendoza García Jorge
Published: December 2019

En el presente artículo se hacen varias cosas: i) se argumenta la perspectiva de la memoria colectiva y el lenguaje como uno de sus principales materiales; ii) se plantea la visión del olvido social y del silencio como uno de sus principales materiales; iii) en el caso de la relación memoria-olvido, se da cuenta de su importancia en la configuración del presente en términos de recordar y olvidar; iv) se recurre a materiales de autores de otras disciplinas, dada la discusión que ahí se ha sostenido, así como en la literatura; a pesar de implementar una visión transdisciplinar, se privilegia la visión psicosocial, esto es, la memoria colectiva y el olvido social como procesos que se van construyendo en las relaciones sociales. Dos puntos anversos de una versión de la sociedad en torno al pasado que reivindica; v) al final, se argumenta la relevancia de la memoria en una sociedad y los riesgos de la instalación del olvido como fórmula de legitimación de un grupo en el poder.
Habilidades sociales en adolescentes institucionalizados: Una intervención con juego grupal
Authors: Estrada Rodríguez Rosa Cindy , Escoffié Aguilar Elia María , García Ricardo
Published: December 2019

Las habilidades sociales están involucradas en muchas áreas de la vida de una persona, favorecen aspectos como la adaptación al medio en el que se vive y la protección de salud, tanto física como mental. El incremento de estas habilidades en adolescentes institucionalizados puede resultar especialmente beneficioso, debido a las situaciones de riesgo de las cuales suelen venir y que pueden ser causantes de otros problemas en los jóvenes. El presente trabajo es un estudio de caso, que tuvo como objetivo fomentar el uso de habilidades sociales en esta población por medio de un taller grupal de carácter lúdico. Los resultados muestran que este tipo de intervención pudiera estar relacionado con el aumento de habilidades sociales, ya que se observó un incremento en las habilidades de siete de los ocho integrantes.
Resiliencia en estudiantes de secundaria oaxaqueños
Authors: Becerra Martín David Israel , Cuitún Coronado José Ignacio , Mézquita Hoyos Yanko Norberto
Published: December 2019

El objetivo principal de este trabajo fue comparar la validación de la escala de resiliencia, utilizada por Villegas y Zamudio (2006), con un nuevo formato de respuestas y una nueva muestra de estudiantes. El instrumento mencionado fue una escala de 34 items con 10 rangos de respuesta en forma de porcentajes, con un Alfa de Cronbach de 0.83, administrado a 294 estudiantes (147 mujeres y 149 hombres) de una secundaria del estado de Yucatán. De esta manera, se obtuvieron los factores de Autoestima, Moralidad, Apoyo Social, Independencia, Relacionarse, Apoyo Familiar y Optimismo. Para fines de la comparación propuesta, se aplicó un diseño cuantitativo y transeccional a una muestra de 250 estudiantes del sistema de telesencundaria del stado de Oaxaca, (111 mujeres y 139 hombres). El instrumento utilizado fue la misma escala de resiliencia, de 34 ítems de Villegas y Zamudio (2006), pero se modificó el rango de respuestas hacia un formato tipo Likert con cinco rangos de respuestas que fueron: 1: Nada parecido a mí, 2: Poco parecido a mí, 3: Algo parecido a mí 4: Bastante parecido a mí, y 5: Muy parecido a mí. Al analizar los datos de la nueva muestra, se observó que la consistencia interna de la escala de resiliencia puntuó con un alfa de Cronbach de 0.87 y al realizar el análisis factorial se obtuvieron los factores: Autoestima, Moralidad, Apoyo Social, Autopercepción e Independencia. Con base a lo anterior, se concluyó que existe semejanza entre las dimensiones obtenidas en este estudio, con respecto a las que reportaron los autores mencionados.
El tatuaje y su relación con características personales y sociales
Authors: Aragonés Juan I. , Castro Alejandro D.
Published: December 2019

Tatuarse es una práctica cada vez más frecuente en sociedades occidentales. Este trabajo analiza la relación existente entre el tatuaje y distintas variables de carácter personal y social. La muestra formada por 189 personas, de las cuales 65 eran hombres, cumplimentó un cuestionario compuesto, por un lado, por escalas correspondientes a los “cinco grandes”: la necesidad de unicidad, la búsqueda de sensaciones, la autoestima, las actitudes hacia el tatuaje, y, por otro lado, por variables sociodemográ- ficas y relativas al tatuaje. Los resultados muestran que las mujeres se tatúan más que los varones, que la realización de un tatuaje es más probable cuanto mayor es la presencia de otras personas tatuadas en el ámbito cotidiano, y que se tatúan más aquellos a quienes se atribuye una ideología más de izquierda. Además, los católicos se hacen un número significativamente menor de tatuajes que los ateos o agnósticos y hay una menor presencia de tatuados en el ámbito cotidiano cuanto más elevado es el nivel de estudios. Además, existe una relación significativa de la posesión de un tatuaje con mayores niveles en apertura a la experiencia, necesidad de unicidad, autoestima y actitudes hacia el tatuaje.