bluuebunny/crossref_metadata_2025_split huggingface dataset:
Influence of Consequences Frame on the Perception of Obesity among Middle-aged Women in Nairobi County, Kenya
Authors: Kahiga Naomi , Mberia Hellen , Ngula Kyalo Wa 
Published: December 2020

Purpose: To establish the influence of consequences frame on the perception of obesity among middle-aged women in Nairobi County, Kenya.
Methodology: This study applied the one-group pretest-posttest experimental design. In the one-group pretest-posttest experimental design all study participants provided with the same treatment and assessment. The researcher therefore, collected data using the pre-and posttest questionnaires. The treatment administered was a television program titled Slimpossible, which showcased middle-aged Kenyan women suffering from the stigma of obesity who were participating in a competition to lose their weight. The multi-stage cluster sampling technique was applied in this study. Out of the target population of 1848 participants, the study sample was 317 academic female staff found in three public universities in Nairobi County, Kenya. The data was analyzed using the Statistical Package for Social Sciences (SPSS) version 23.0. The analysis applied descriptive statistics and the inferential analysis tools such as the Factor analysis (The Keiser-Meyer –Olkin (KMO) test), Pearson’s correlation coefficient and regression analysis (logical regression).
Findings: The study sought to establish the influence of consequences frame on the perception of obesity among middle-aged women in Nairobi County, Kenya. Therefore, the study found that the physical consequences, psychological consequences and social consequences significantly influenced the perception of obesity, except for economic consequences, which had no relationship with the dependent variable.
Unique contribution to theory, practice and policy: In terms of contribution to theory, this study emanated from the media framing theory, where it provided consequences frame as one among five frames, mentioned by an American political scientist known as Robert Entman in 1993. Its contribution to practice, this study recommends media involvement in developing well-research journalistic stories, documentaries and the use of educative programming to highlight on the consequences of obesity.
Prostatectomía radical, radioterapia y vigilancia activa sin diferencias estadísticamente significativas en los resultados de mortalidad de pacientes con cáncer de próstata localizado
Authors: Orozco Martínez Abraham 
Published: December 2020

El cáncer de próstata es uno de los principales problemas de salud pública en la población adulta y la neoplasia más frecuente en hombres mayores de 40 años de edad. La Agencia Internacional de Investigación del Cáncer (GLOBOCAN) señala que la incidencia más alta se registra en Austria y América del Norte (111.6 y 97.2 casos por cada 100,000 hombres, respec tivamente) y la más baja en los países asiáticos (4.5 a 10.5 casos por 100,000 hombres). En África del Sur y el Caribe las tasas de mortalidad son más altas en poblaciones afrodescendientes (19 a 24 muertes por cada 100,000 hombres).
ROLE OF OBSTETRIC TRIAGE IN IMPROVING PATIENT HEALTH CARE AT CMH KHARIAN-A COMPARITIVE STUDY
Authors: Ansari Asma , Akram Umbreen , Khalil Hafsa , Imran Ayesha 
Published: December 2020

Objective: To evaluate the up gradation of obstetric patient care by using obstetrics-specific triage acuity tool.
Study design: Comparative prospective study
Place and duration of study: This study was conducted at obstetrics unit of combined military hospital Kharian from June 2018 to Dec 2018.
Methodology: Pregnant patients were triaged and prioritized according to Maternal fetal triage index (MFTI) into five levels. Primary outcome was time to triage and management plan documentation. Patient and health care provider satisfaction was evaluated using Likert’s scale before and after implementation of MFTI. Data was collected and expressed in frequencies and percentage. Chi square test was applied for association between before and after triage intervention variables, and a P value of 0.05 was considered significant.
Results: A total of 1000 pregnant patients referred to OPD were enrolled, 500 patients before and 500 after implementation of MFTI. Patients were prioritized using MFTI system,10(2%) patients category 1 while category 2,3,4,and 5 were 28(5.6%),68(13.6%),150(30%) and 244(48.8%) respectively. There was significant reduction in waiting time from 35.4±8.2 minutes to18.2±6.5 p=<0.002. Hospital complaints reduced significantly from 25(5%) in before group to 4(0.8%) P=<0.001 after application of obstetric triage.
Conclusion: Obstetric triage by MFTI focuses on the urgency and symptoms at presentation to decide further disposal. The usage of a systematic and properly developed triage system produces improvement in patient care. The results of study not only highlight the importance of usage of a triage system but also explore its usefulness and improvement in outcomes in a developing country like Pakistan.
COMPARISON OF PAIN PERCEIVED BY PATIENTS UNDERGOING INTRA ORAL LOCAL ANESTHESIA USING DIFFERENT NEEDLE GAUGES
Authors: Hussain NoorUlSabah , Younus Shoaib , Akhtar Uzair Bin , Sajjad Malik Ali Hassan , Chishty Muhammad Salman , Iqbal Saud 
Published: December 2020

Objective: To compare the difference in pain perceived by patients undergoing intra-oral local anesthesia withdifferent gauge needles.
Study Design: Qausi experimental study.
Place and Duration of Study: Oral and Maxillofacial surgery department of Institute of Dentistry, CombinedMilitary Hospital, Lahore Medical College, Lahore, from July 2019 to August 2019.
Methodology: One hundred patients were selected by consecutive sampling from the oral surgery OPD clinic.They were divided into two groups A and B randomly. Twenty three gauge needle on a 3cc disposable syringewas used for inferior alveolar nerve block and buccal nerve block for group A and 27 gauge needle on a metaldental syringe was used for the same in group B. Patients gave a verbal pain score, from 0-10 for each injection.
Results: One Hundred participants were included in study, 37 (37%) males and 63 (63%) females. Mean painscore for group A for the inferior alveolar nerve block was 4.50 ± 2.1 and group B was 3.86 ± 2. The mean painscore for the buccal nerve block in group A was 4.02 ± 1.7, while that of group B was 3.94 ± 1.8. There was nosignificant difference (p=0.167 & 0.855) in pain perceived by patients undergoing intra oral local anesthesia using needles of different gauges.
Conclusion: There is no difference in pain perceived by patients undergoing intra oral local anesthesia usingneedles of different gauges.
ALGUNOS RETOS DE LA ANTROPOLOGÍA MÉDICA EN AMÉRICA LATINA
Authors: Menéndez Spina Eduardo Luis 
Published: December 2020

En este texto presentaré primero algunos aspectos básicos, posiblemente conocidos por todos los presentes, sobre la trayectoria de la Antropología Médica, para luego señalar algunas serias limitaciones metodológicas en los usos de esta disciplina, y concluir analizando algunos aportes.
IMAGINARIO INFANTIL EN EL MUNDO ANDINO
Authors: Sánchez Garrafa Rodolfo 
Published: December 2020

El artículo expone una aproximación antropológica al imaginario infantil andino. A partir de una visión general sobre el desarrollo gradual de la inteligencia y de la capacidad de pensar en los siete primeros años de la niñez, examina las posiciones educativas actuales que considera más relevantes respecto al imaginario infantil, para pasar luego a proporcionar información sobre las interacciones de los niños en comunidades andinas y, consiguientemente, sobre los procesos de socialización y enculturación que éstos experimentan a lo largo de su desarrollo.
INVESTIGACIÓN FORMATIVA
Authors: Sovero Molero Guillermo , Dueñas Peña Elizabeth , Vidal Castillo Leslie Hervé , Zavaleta Gibaja Teresa Luzmila 
Published: December 2020

Entre los meses de septiembre y noviembre 2014, se desarrolló una primera experiencia en investigación formativa con los estudiantes de la facultad de ingeniería civil de la Universidad Nacional de San Antonio Abad del Cusco matriculados en la asignatura de seminario de tesis. Consistió en un seminario-taller piloto en investigación, con una duración de 8 sesiones, una por semana de tres horas cada una. Se aplicó una metodología activa, centrada en el auto e interaprendizaje de los participantes, con trabajos de taller dentro y fuera de clase. Las exposiciones de nuestro equipo de investigación se redujeron a un mínimo para fortalecer los aprendizajes de los estudiantes. El fortalecimiento de las capacidades de investigación de los participantes fue evaluado con: Aptitud demostrada en los trabajos de taller y en las tareas de casa; originalidad, relevancia y consistencia en la generación de nuevas ideas de investigación, diferencias entre las calificaciones de las pruebas de salida y de entrada, resultados de la encuesta aplicada y las apreciaciones particulares de nuestro equipo de investigación. En general, los participantes demostraron muy buenas aptitudes para pensar bien y fueron capaces de generar nuevas ideas de investigación, originales, consistentes y relevantes en el campo de la ingeniería civil.
Ellos llegaron a generar un total de 10 nuevas ideas grupales de investigación, formulando satisfactoriamente los problemas, objetivos y justificaciones correspondientes. En síntesis, la experiencia fue evaluada como muy exitosa y digna de difundirse y aplicarse en las diferentes facultades de nuestra universidad.
El CLIMA ORGANIZACIONAL Y LA GESTIÓN INSTITUCIONAL
Authors: Olivares Torres Lucila , Rodríguez Álvarez Moises , Vildoso Villegas Jesahel 
Published: December 2020

El propósito del trabajo de investigación fue determinar la relación existente entre el clima organizacional y la gestión institucional en la Facultad de Educación Sede Canas de la Universidad Nacional de San Antonio Abad del Cusco en el año 2011. El estudio fue de tipo descriptivo correlacional no causal, diseño no experimental, que permitieron determinar la relación existente entre las variables de estudio. La Hipótesis principal enunciaba la existencia de la relación directa entre el clima organizacional y la gestión institucional. Los resultados determinaron una relación directa, muy alta de r=0.94 en docentes-administrativos y r=0.95 en estudiantes, que afirmaron la relación entre las variables de estudio y consecuentemente aceptar la hipótesis planteada al inicio del estudio.
ENCUADRE DE VEROSIMILITUD DE UN PERIÓDICO DE CIRCULACIÓN NACIONAL
Authors: Cruz García, Lirios , Carreon Guillen, Javier , Hernández Valdez, Jorge 
Published: December 2020

Grosso modo, el establecimiento de una agenda pública supone la difusión sistemática de temas en los medios de comunicación con la finalidad de formar una opinión pública respecto a sus gobernantes. En materia de seguridad, los medios impresos desarrollan un encuadre o sesgo de difusión en contra o a favor de un sistema de administraci ón pública, siguiendo dos lógicas: verosimilitud y verificabilidad, siendo determinantes de representaciones, opiniones, disposiciones, intenciones y acciones que se pueden observar en una contienda electoral y los comicios subsecuentes. En ese sentido es que el objetivo del presente trabajo consiste en el diagnóstico del encuadre de un periódico de circulación nacional en relación con el periodo que va de julio de 2011 a julio de 2012. Se realizó una investigación no experimental, documental, exploratoria y retrospectiva con una selección muestral no probabilística de 100 notas informativas. Los resultados muestran un encuadre o sesgo moderado con una lógica de verosimilitud antes de las elecciones y con una lógica de verificabilidad posterior a los comicios que no parecen haber influido en las preferencias, intenciones y sufragios de la elección presidencial de 2012. Se advierten líneas de investigación comparativas a sistemas, periodos y diarios.
RECURSOS NATURALES, DERECHO Y CONFLICTOS SOCIALES
Authors: Valer Bellota Pável Humberto 
Published: December 2020

Para este número la Revista de la Facultad de Derecho ha propuesto el tema monográfico Recursos Naturales, Derecho y Conflictos Sociales, con la intención de reunir trabajos académicos que aborden esta relación desde distintos enfoques, tanto teóricos como pragmáticos, analizando los fenómenos conflictivos recurrentes en Perú y América Latina. Este dossier busca estudiar y proponer salidas factibles a dichas discordancias sociales desde el Derecho y la Política. En esta relación se encuentra una visión adecuada del campo legal porque el Derecho se forma en unas condiciones sociales específicas, y las condiciones normales de cualquier sociedad son de discordancia entre diversos grupos. El Derecho expresa los intereses y las posiciones de los grupos confrontados, en base a sus lecturas sobre la situación, y es además una herramienta para la gestión de las relaciones conflictivas.
LA (IN)VALIDEZ DE LOS CONTRATOS CELEBRADOS POR MENORES DE EDAD EN EL CÓDIGO CIVIL PERUANO
Authors: CHIPANA CATALÁN JHOEL 
Published: December 2020

En este artículo se analiza la modificación del artículo 1359 del Código Civil, así como los cambios de las reglas sobre nulidad del acto jurídico, realizadas por la entrada en vigencia del Decreto Legislativo N.° 1384. El autor concluye que dicho cambio normativo ha sido perjudicial para el sistema jurídico peruano.
This article analyzes the modification of article 1359 of the Civil Code, as well as the changes to the rules about nullity in the legal act, made by the entry into force of Legislative Decree N.º 1384. The author concludes that this regulatory change has been harmful to the Peruvian legal system.
REFLEXIÓN Y ANÁLISIS DEL DELITO DE CONCUSIÓN EN EL CÓDIGO PENAL PERUANO
Authors: GONZALES CIEZA MARIE MELISA , TORRES PACHAS DAVID RICARDO 
Published: December 2020

En el presente artículo los autores se encargan de desarrollar los elementos del delito de concusión en el Código Penal peruano. Se explica el origen histórico, los principales aspectos problemáticos en relación con los elementos objetivos, subjetivos, así como la situación de la víctima en el referido delito.
In this article the authors develop the elements of the crime of concussion in the Peruvian Penal Code. They explain the historical origin, the problematic aspects in relation to the objective and subjective elements and the situation of the victim in the mentioned crime.
TEORÍA ARTÍSTICA DEL DERECHO
Authors: NARVÁEZ HERNÁNDEZ JOSÉ RAMÓN 
Published: December 2020

Este trabajo ofrece una alternativa para la interpretación del derecho a partir de sus presupuestos artísticos. A partir de la relación de la teoría del arte y de la teoría del derecho se realiza una propuesta hermenéutica que sirva para humanizar la práctica jurídica a través de la incorporación de elementos de la inteligencia emocional. Se hace un recorrido breve por el concepto de cultura jurídica como un elemento importante para el análisis del derecho.
This work offers an alternative for the interpretation of law based on its artistic presuppositions. Based on the relationship between art theory and the theory of law, a hermeneutical proposal is made that serves to humanize legal practice through the incorporation of elements of emotional intelligence. A brief tour of the concept of legal culture is made as an important element for the analysis of law.
Assessment of Knowledge and Practice of Primary Health Care Physicians Regarding Bronchial Asthma in Qatar
Authors: Flamerzi S. , Abdulmajeed A. , Abdulmalek M. , Al Marri S. 
Published: December 2020

Introduction: Previous studies from other countries that have investigated the level of knowledge of bronchial asthma and competence of primary care physicians in management issues concluded that there is a substantial variation among general practitioners in both their knowledge and management practices. There is no such study conducted in Qatar; therefore, we have conducted assessment for PHC physicians for further educational interventions that improve their quality of care for asthmatic patients.
Subjects and Methods: It is a cross sectional observational study. Our target population was the PHC physicians working in PHC centers affiliated to Hamad Medical Corporation in Qatar. Of the 21 centers present in Qatar; we selected 3 urban and 3 rural centers randomly. The total number of physicians who attended the evaluation setting was 55 (30 urban and 25 rural physicians). The evaluation format was of three groups of questions to collect data for evaluation of knowledge and practice. Previously validated 30 MCQ questions were used to evaluate knowledge and 2 written problems were used to evaluate the practice. 50% and 60% were the cut of point to pass the evaluation for knowledge and practice respectively. Epi-Info statistical package was usedfor data entry and statistical analysis.
Results: the percentage of physicians who passed the knowledge evaluation was 44% of the total number ofphysicians while 37% only of them passed the practice assessment. Age (p = 0.04), nationality (p = 0.003), specialty (p = 0.00), last certificate (p = 0.00), and No of years since graduation (p = 0.00) were significant variables in passing the knowledge test while age (p = 0.018), specialty (p = 0.00), and last certificate (p = 0.00) were significant variables in passing practice test. Regarding source of information about asthma, 96.7% of urban physicians reported that their main source is conferences and meetings while 84% of rural physicians using textbooks as their main source of information (p = 0.02). 80% of urban physicians versus 48% of rural doctors felt that they need more knowledge and training in asthma diagnosis and management (p = 0.00) while 73.3% of urban physicians recommended more CME seminars to improve their asthma practice and 64% of rural physicians recommended standard guidelines (p = 0.04).
Conclusion: this study addresses areas of weakness that might be a stimulus to design a tailored educational interventions in order to improve the PHC physician's knowledge and practice of asthma.
A "Stubbornly Persistent Illusion"?:
Authors: Allen Aaron S. 
Published: December 2020

The climate crisis impacts the northern polar regions in disproportionate ways, and ecomusicology is an academic discourse. In bringing these two seemingly unrelated pairs together, I argue for academic discourse in ecomusicology that makes connections with the climate crisis in music and sound studies. What can ecomusicology offer humanity as we face climate catastrophe? While not a panacea, ecomusicology can serve to further collapse the unfortunate nature-culture dichotomy that is at the root of so many social and environmental problems. Academic discourse always should have a place for titillation, but we must not avoid the climate crisis in music scholarship, for that only enables climate change denialism. I elaborate on an ecomusicology that is both new and not new, providing examples of climate connections in ecomusicological discourse. Ultimately, we must make such connections and do something about the problems we face as a civilization.
Metodologia hierárquico-fuzzy para avaliação de atratividade de projetos: casos de infraestrutura rodoviária
Authors: Fernandes Marion Gomes de Moraes , Bandeira Renata Albergaria de Mello , Vieira Alvaro 
Published: December 2020

A atratividade de um projeto é verificada por meio da compatibilidade das demandas do projeto às capacidades organizacionais da instituição responsável pela sua execução. Deste modo, a análise da atratividade de um projeto é essencial para a gestão de portfólio, aumentando as chances de sucesso do empreendimento. Entretanto, poucas pesquisas analisam a atratividade de projetos sob uma ótica ampla, além da atratividade financeira, como verificado nos resultados da revisão sistemática de literatura conduzida nesta pesquisa. Assim, este trabalho propõe uma metodologia para avaliação da atratividade de projetos baseada no método hierárquico-fuzzy, considerando a atratividade sob os aspectos técnico-econômico, socioambiental e estratégico. O método é utilizado para compilar notas atribuídas a indicadores referentes a tais critérios, considerando diferentes pesos e incertezas inerentes a projetos. A metodologia foi aplicada a 13 projetos de infraestrutura rodoviária executados no Brasil, estimando-se seus índices de atratividade. Os resultados são comparados a avaliações gerais realizadas após a execução destas obras. Deste modo, foi possível identificar o valor do índice de atratividade a partir do qual as obras apresentaram resultados negativos, possibilitando a sugestão de um Índice de Atratividade mínimo. Enfim, a metodologia proposta é simples, flexível e pode ser amplamente empregada em diversos setores devido a sua praticidade de aplicação. O índice de atratividade proposto pode ser uma ferramenta versátil para auxiliar os gestores de projeto e de portfólio na tomada de decisão quanto a avaliação de execução de projetos.
Epstein-Barr Virus in Myasthenia Gravis: Key Contributing Factor Linking Innate Immunity with B-Cell-Mediated Autoimmunity
Authors: Bortone Federica , Scandiffio Letizia , Cavalcante Paola , Mantegazza Renato , Bernasconi Pia 
Published: December 2020

Epstein-Barr virus (EBV), a common human herpes virus latently infecting most of the world’s population with periodic reactivations, is the main environmental factor suspected to trigger and/or sustain autoimmunity by its ability to disrupt B-cell tolerance checkpoints. Myasthenia gravis (MG) is a prototypic autoimmune disorder, mostly caused by autoantibodies to acetylcholine receptor (AChR) of the neuromuscular junction, which cause muscle weakness and fatigability. Most patients display hyperplastic thymus, characterized by ectopic germinal center formation, chronic inflammation, exacerbated Toll-like receptor activation, and abnormal B-cell activation. After an overview on MG clinical features and intra-thymic pathogenesis, in the present chapter, we describe our main findings on EBV presence in MG thymuses, including hyperplastic and thymoma thymuses, in relationship with innate immunity activation and data from other autoimmune conditions. Our overall data strongly indicate a critical contribution of EBV to innate immune dysregulation and sustained B-cell-mediated autoimmune response in the pathological thymus of MG patients.
The Effect of Respiratory and Physical Intervention on Selected Parameters of Heart Rate Variability in Hematooncological Patients after Treatment
Authors: Šperková Martina , Kapounková Kateřina , Hrnčiříková Iva , Svobodová Zora , Malá Alexandra , Janíková Andrea , Hadrabová Markéta 
Published: December 2020

The aim of this research was determined the effect of respiratory intervention for twelve weeks and physical intervention for twelve weeks on selected parameters of heart rate variability in hematooncological patients after treatment. Spectral analysis of heart rate variability was measured by DiANS PF8 machine with Medical DiANS PC software. Evaluated were complex indices – Total score and Sympathovagal balance (S-V balance). The intervention programme was composed of three months of respiratory training and then three months of physical training. The experimental group, which absolved this combination of respiratory and physical intervention, was assessed at free time points: firstly, before the respiratory intervention, secondly between the respiratory and the physical intervention and thirdly after the physical intervention. The control group (without intervention) was measured twice between six months. 30 hematooncological patients (16 women and 14 men) were participated in this research, ranging in age 53,74±14,76 years from Internal Hematology and Oncology Clinic of The University Hospital Brno. Results of selected parameters of heart rate variability showed improvements, but without statistically significant effect of intervention programme.