bluuebunny/crossref_metadata_2025_split huggingface dataset:
ERRATA - Educação por Escrito - v. 9, n. 2 (2018)
Authors: Educação Por Escrito Equipe Editorial Da revista 
Published: April 2019

A Equipe Editorial da revista Educação Por Escrito torna publica as seguintes correções, na edição v. 09, n. 2 (2018), DOI: http://dx.doi.org/10.15448/2179-8435.2018.2Alteração de paginação de todos artigos da seção - Docência Universitária e o Envolvimento Estudantil.
Formantes vocálicos en el Ngäbere de Costa Rica
Authors: Khron Haakon 
Published: April 2019

En este artículo se presentan los resultados de un análisis acústico de la pronunciación cuidada de los ocho fonemas vocálicos orales del ngäbere de Costa Rica. Con base en las frecuencias promedios de los primeros dos formantes, se discuten las propiedades fonéticas de las vocales y sus implicaciones para la clasificación de los fonemas. Estos hallazgos se parangonan con descripciones del sistema vocálico publicadas anteriormente.
Palabras clave: Lengua ngäbere, fonética acústica, formantes vocálicos, fonología, fonemas vocálicos.
Accuracy and Prognostic Significance of Oncologists’ Estimates and Scenarios for Survival Time in Advanced Gastric Cancer
Authors: Vasista Anuradha , Stockler Martin , Martin Andrew , Pavlakis Nick , Sjoquist Katrin , Goldstein David , Gill Sanjeev , Jain Vikram , Liu Geoffrey , Kannourakis George , Kim Yeul Hong , Nott Louise , Snow Stephanie , Burge Matthew , Harris Dean , Jonker Derek , Chua Yu Jo , Epstein Richard , Bonaventura Antony , Kiely Belinda 
Published: April 2019

Abstract

Background
Worst-case, typical, and best-case scenarios for survival, based on simple multiples of an individual's expected survival time (EST), estimated by their oncologist, are a useful way of formulating and explaining prognosis. We aimed to determine the accuracy and prognostic significance of oncologists’ estimates of EST, and the accuracy of the resulting scenarios for survival time, in advanced gastric cancer.

Materials and Methods
Sixty-six oncologists estimated the EST at baseline for each of the 152 participants they enrolled in the INTEGRATE trial. We hypothesized that oncologists’ estimates of EST would be unbiased (∼50% would be longer or shorter than the observed survival time [OST]); imprecise (&lt;33% within 0.67–1.33 times the OST); independently predictive of overall survival (OS); and accurate at deriving scenarios for survival time with approximately 10% of patients dying within a quarter of their EST (worst-case scenario), 50% living within half to double their EST (typical scenario), and 10% living three or more times their EST (best-case scenario).

Results
Oncologists’ estimates of EST were unbiased (45% were shorter than the OST, 55% were longer); imprecise (29% were within 0.67–1.33 times observed); moderately discriminative (Harrell's C-statistic 0.62, p = .001); and an independently significant predictor of OS (hazard ratio, 0.89; 95% confidence interval, 0.83–0.95; p = .001) in a Cox model including performance status, number of metastatic sites, neutrophil-to-lymphocyte ratio ≥3, treatment group, age, and health-related quality of life (EORTC-QLQC30 physical function score). Scenarios for survival time derived from oncologists’ estimates were remarkably accurate: 9% of patients died within a quarter of their EST, 57% lived within half to double their EST, and 12% lived three times their EST or longer.

Conclusion
Oncologists’ estimates of EST were unbiased, imprecise, moderately discriminative, and independently significant predictors of OS. Simple multiples of the EST accurately estimated worst-case, typical, and best-case scenarios for survival time in advanced gastric cancer.

Implications for Practice
Results of this study demonstrate that oncologists’ estimates of expected survival time for their patients with advanced gastric cancer were unbiased, imprecise, moderately discriminative, and independently significant predictors of overall survival. Simple multiples of the expected survival time accurately estimated worst-case, typical, and best-case scenarios for survival time in advanced gastric cancer.
The Impact of Cisplatin- or Non-Cisplatin-Containing Chemotherapy on Long-Term and Conditional Survival of Patients with Advanced Urinary Tract Cancer
Authors: Bamias Aristotelis , Tzannis Kimon , Bamia Christina , Harshman Lauren C. , Crabb Simon , Plimack Elizabeth R. , Pal Sumanta , De Giorgi Ugo , Ladoire Sylvain , Theodore Christine , Agarwal Neeraj , Yu Evan Y. , Niegisch Guenter , Sternberg Cora N. , Srinivas Sandy , Vaishampayan Ulka , Necchi Andrea , Liontos Michalis , Rosenberg Jonathan E. , Powles Thomas , Bellmunt Joaquim , Galsky Matthew D. 
Published: April 2019

Abstract

Background
The impact of cisplatin use on long-term survival of unselected patients with advanced urinary tract cancer (aUTC) has not been adequately investigated. We used a multinational database to study long-term survival and the impact of treatment type in unselected patients with aUTC.

Materials and Methods
A total of 1,333 patients with aUTC (cT4bN0M0, cTanyN+M0, cTanyNanyM+), transitional-cell, squamous, or adenocarcinoma histology who received systemic chemotherapy and had available survival data were selected. Long-term survival was defined as alive at 3 years following initiation of first-line chemotherapy. Conditional overall survival (COS) analysis was employed to study change in prognosis given time survived from initiation of first-line chemotherapy.

Results
Median follow-up was 31.7 months. The combination of cisplatin use and cisplatin eligibility accurately predicted long-term survival. Eligible patients treated with cisplatin conferred a 31.6% probability of 3-year survival (95% confidence interval [CI]: 25.1–38.3), and 2-year COS for patients surviving 3 years after initiation of cisplatin-based chemotherapy was 83% (95% CI: 59.7–93.5). The respective probabilities for patients who were ineligible for cisplatin or not treated with cisplatin despite eligibility were 14% (95% CI: 10.8–17.6) and 49.3% (95% CI: 28.2–67.4). Two-year COS remained significantly different between these two groups up to 3 years after chemotherapy initiation.

Conclusion
Cisplatin-based therapy was associated with the highest likelihood of long-term survival in patients with aUTC and should be used in patients who fulfill the established eligibility criteria. Novel therapies are necessary to increase long-term survival in cisplatin-ineligible patients.

Implications for Practice
Long-term, disease-free survival is possible in one in four eligible-for-cisplatin patients with advanced urinary tract cancer (aUTC) treated with cisplatin-based combination chemotherapy. Therefore, deviations from eligibility criteria should be avoided. Consolidation surgery should be considered in responders. These data provide benchmarks for the study of novel therapies in aUTC.
Dinâmica familiar e esquemas formados em adolescente vítima de violência sexual: um estudo de caso
Authors: Boaventura Lima Amanda 
Published: April 2019

A violência sexual é caracterizada por uma relação heterossexual ou homossexual, que parte de um agente em estágio de desenvolvimento mais adiantado e/ou de mais poder e tem por finalidade a estimulação sexual ou a utilização do outro para obtenção de prazer sexual. Os esquemas se desenvolvem como resultado de experiências nocivas de infância, por exemplo, situações de abuso. Considerando a terapia focada em esquemas e a literatura sobre violência sexual em crianças e adolescentes, objetivou-se avaliar uma adolescente de 14 anos vítima de violência sexual durante a infância nos seguintes aspectos: 1. identificar os esquemas iniciais socialmente desadaptados decorrente do abuso sexual. 2. Identificar os esquemas mal adaptativos provenientes da dinâmica familiar; 3. Verificar os comportamentos e as formas de enfrentamento atuais estabelecendo uma relação com a violação de direitos e sua estrutura familiar. Realizou-se uma entrevista semiestruturada e foram aplicados o Questionário de Esquemas de Young e Questionário de estilos parentais. Constataram-se na participante os esquemas de abandono/instabilidade, desconfiança/abuso e dependência/ incompetência com predomínio de estratégias de enfrentamento resignação e “hipercompensação”. Como consequência observou-se retração das relações sociais e distanciamento afetivo da mãe. Os resultados auxiliam na compreensão de sua dinâmica familiar, do ajustamento psicológico e investigação da prevalência dos EIDs em crianças abusadas sexualmente e das consequências para a vítima.
As Competências Informacional e Midiática no Ensino Superior
Authors: Deus Fernando Célio , Cardoso Ana Maria Pereira 
Published: April 2019

Os avanços dos recursos tecnológicos colocam grandes desafios para as Instituições de Ensino Superior que necessitam incorporar as tecnologias de informação e comunicação em suas atividades pedagógicas. A metodologia da Sala de Aula Invertida - SAI corresponde ao método de ensino com aulas presenciais e o suporte de conteúdos em ambientes virtuais. O artigo apresenta um modelo de avaliação das competências informacional e midiática de alunos do Ensino Superior para utilização da metodologia SAI em sua potencialidade. O modelo foi baseado em revisão de literatura e testado em uma instituição, que adota a SAI como metodologia de ensino. Os resultados demonstraram um desempenho satisfatório dos alunos nas dimensões relacionadas ao acesso e exploração hipertextual dos recursos disponíveis na plataforma, no entanto identificou-se um gap referente às habilidades relacionadas com os aspectos éticos, que devem balizar a produção de textos acadêmicos e científicos. Palavras-chave:Competência Informacional e Midiática. Uso de Tecnologias no Ensino. AbstractAdvances in technological resources pose great challenges for higher education institutions that need to incorporate information and communication technologies into their pedagogical activities.The methodology of the Flipped Classroom corresponds to the method of teaching with face-to-face classes and with the contents support in virtual environments. This paper presents a model for the evaluation of the informational and mediatic competences of higher education students to use the SAI methodology in its potentiality. The model was based on literature review and tested in an institution that adopts SAI as a teaching methodology. The results showed a satisfactory performance of the students in the dimensions related to access and hypertextual exploitation of the resources available in the platform, nevertheless a gap was identified regarding the skills related to the ethical aspects that should be used to produce the academic and scientific texts. Keywords: Informational and Mediatic Competences;Technology and Teaching.
Sostenibilidad de los servicios hoteleros en su entorno sociocultural. Bahía de Caraquez, Ecuador 2017
Authors: Lemoine Quintero Frank Angel , Reyes Mero Inés Alexandra , Figueroa Wilfredo Valls 
Published: April 2019

El presente estudio sobre la sostenibilidad de los servicios hoteleros en su entorno sociocultural tiene como finalidad realizar un análisis del nivel ocupacional de la planta hotelera, partiendo de instrumentos de medición, que permitan medir el porcentaje de ocupación en estas empresas en temporada alta. A partir del método deductivo se obtuvo un estudio de la infraestructura hotelera a nivel de categorías donde las pensiones representaron el 23% de las empresas existentes y en cuanto a mayor capacidad hotelera con un 22% se establecieron los hostales residenciales. Se determinó que el porcentaje de ocupación hotelera en el hotel Buena Vista Place represento un 2.3% de habitaciones disponibles, observando un buen nivel de ocupación de planta. La encuesta aplicada para medir la variedad de las ofertas turísticas, seguridad en los servicios y satisfacción, arrojaron resultados favorables donde la fiabilidad del instrumento fue de 0.877 para un número de 11 elementos estratificados. Se concluye que los servicios que ofrecen las diferentes empresas hoteleras del cantón, a pesar del terremoto ocurrido el 16 de abril del 2016, no ha sido un atenuante a la asistencia y demanda de turistas a la zona objeto estudio.
Hubungan lama mengemudi dan tingkat stres pada supir bus antar kota
Authors: Hidayat Juliand , Istriana Erita 
Published: April 2019

LATAR BELAKANGKepadatan penduduk di Indonesia berdampak pada masalah kesehatan, pekerjaan dan transportasi. Salah satu masalah transportasi yang sering dihadapi adalah masalah lalu lintas, ketika jumlah kendaraan tidak sebanding dengan panjang jalanan yang ada, berdampak pula pada lamanya mengemudi yang dapat menyebabkan stres pada pengemudi. Stres tersebut dapat menjadi penyebab terjadinya peningkatan kecelakaan lalu lintas. Data menunjukkan bahwa kelemahan manusia merupakan penyebab utama terjadinya kecelakaan lalu lintas yang menyebabkan korban jiwa. Penelitian ini dilakukan dengan tujuan untuk mengetahui adanya hubungan antara lama mengemudi dan tingkat stres pada supir bus antarkota, untuk dapat mencegah dan menekan angka kecelakaan lalu lintas.
METODEPenelitian menggunakan studi observasional dengan pendekatan cross sectional atau potong silang yang mengikutsertakan 113 supir bus antarkota di Terminal Bus Bekasi Timur. Data dikumpulkan dengan cara wawancara menggunakan kuesioner Depression Anxiety Stress Scale 45 (DASS45). Variabel yang diteliti adalah usia, masa kerja, shift kerja, lama mengemudi, pendapatan serta tingkat stres. Analisis data dilakukan secara univariat dan bivariat menggunakan uji Chi-Square dan diolah dengan program SPSS for Windows versi 21.0 dengan tingkat kemaknaan yang digunakan besarnya 0.05.
HASILSebanyak 68 (60.2%) subjek yang mengemudi lebih dari 12 jam memiliki tingkat stres berat, sedangkan subjek yang mengemudi kurang dari 12 jam hanya 4 (3.5%) yang memiliki tingkat stres berat. Chi-Square test menunjukkan terdapat hubungan yang bermakna antara lama mengemudi dan tingkat stres pada supir bus antarkota (p = 0.001).
KESIMPULANPenelitian ini menunjukkan adanya hubungan antara lama mengemudi dan tingkat stres pada supir bus antarkota.
Role of stroboscopy in diagnosis of laryngeal disorder
Authors: Nimkar Nimisha , Soni Hiren 
Published: April 2019

<p class="abstract"><strong>Background:</strong> Laryngeal disorders are the main culprit for change of voice. Patient presenting with change of voice needs to be assessed for laryngeal disorder. Larynx being part of hypopharynx in the deeper part of cavity has been difficult organ to examine since long, but with technological evolution from artificial light to flexible scopes to stroboscope has made life easier for a laryngologist to evaluate laryngeal disorder thoroughly.</p><p class="abstract"><strong>Methods:</strong> In this study we have included all cases of change of voice coming to department of ENT and head and neck surgery at GMERS Medical College and Hospital, Gotri in last one year with change of voice for more than one month including vocal cord malignancy. A detailed history and thorough examination of ENT and in particular larynx done. Further work up and management was done according to case base need. </p><p class="abstract"><strong>Results:</strong> Out of 50 patients enrolled in the study we found 48% males and 42% females. Most of the patients were adults. Only 4% were in geriatric age group. Most common diagnosis was vocal cord nodules 26% followed by hypertrophy of vocal cords16%. Malignancy of the vocal cords was found to be 14% followed by10% of vocal cord polyp and vocal cord palsy 10%. Other conditions were found to be 6%.</p><p class="abstract"><strong>Conclusions:</strong> Stroboscopy is a great tool for evaluation of vocal cord pathology in particular subtle diseases of vocal cords. Along with diagnosis we can have proper documentation of dynamic movement of vocal folds with help of stroboscopy.</p>
A study of etiopathological factors affecting oral malignancy
Authors: Mahajan Ritesh , Saeed Saleem , Nagaraj T. M. 
Published: April 2019

<p class="abstract"><strong>Background:</strong> Malignancies of oral cavity are quite common in India and other developing countries. Oral cancer is one of the ten most common cancers and oral cavity is the second most common site of primary tumors involving head and neck. In this study, we studied etiopathological factors affecting oral malignancy with a view to determine a correlation between the host and environment and additional stress put on oral tissue by social and nutritional factors of population.</p><p class="abstract"><strong>Methods:</strong> A prospective study was conducted and data for the study was collected from patients presenting with oral malignancy/dysplasia. An informed written consent was taken from patient, and cases meeting the selection criteria were included in the study. A detailed history and a thorough clinical examination were done in about 50 patients. </p><p class="abstract"><strong>Results:</strong> A total of 50 cases were studied over a period of 18 months. Among study subjects 64% were in the age group ≥50 years. Commonest site involved was buccal mucosa with a preponderance over right side. Chewing was a commonest addictive habits among study subjects. Histopathologically 98% of cases turned out to be “squamous cell carcinoma” of varying differentiation.</p><p class="abstract"><strong>Conclusions:</strong> Because of different life styles, habits and customs, poor oral hygiene among illiterates compared to literate’s oral malignancies are still a major health problem in developing countries like India. Timely surveys and registry programmes will give changing trends in such a grievous health issue.</p>
The Disability Community Ain’t What It Used to Be: Implications of Emerging Disabilities for Rehabilitation Research, Policy, and Education
Authors: Rumrill Phillip D. , Koch Lynn C. , Bishop Malachy L. 
Published: April 2019

BackgroundThis article introduces the concept of emerging disabilities as it applies to rehabilitation counseling practice, research, policy, and education.DefinitionEmerging disabilities are those that are either new to medical science or becoming more prevalent in specified subpopulations of people. A case study of a person with an emerging disability (diabetes mellitus) is presented.ImplicationsImplications of emerging disabilities for the field of rehabilitation counseling are discussed.
Needle and Syringe Programs in Rural Areas: Addressing the Intravenous Drug Use Epidemic
Authors: Kim Byung Jin , Harley Debra A. 
Published: April 2019

BackgroundOpioid use has reached epidemic proportions in rural communities in the United States and injection of drugs is commonly used. As a result of shared or reusing needles and syringes, the risk for contracting blood-borne diseases is significantly increased. Rural areas face many social and attitudinal barriers regarding syringe exchange programs (SEPs).ObjectiveThis article describes national trends for drug injection problems in rural areas and discusses effectiveness of needle and SEPs as a harm reduction healthcare policy. Ethical and practical considerations in the implementation of SEPs are also presented.MethodThe rehabilitation literature was reviewed on trends in substance abuse and intravenous (IV) drug use in rural areas to identify the status and need for SEPs to address risk factors of infectious diseases resulting from needle sharing and reusing of needles.FindingsIV drug use in rural communities has reached epidemic proportions with resulting dramatic increases in hepatitis C and B and incidence of HIV. Yet, many rural communities continue to object to the implementation of SEPs due to fears that such programs will increase drug use and crime in the community.ConclusionIV drug use is a critical public health issue for users and non-IV users in rural communities, and is increasingly becoming an issue about which rural rehabilitation counselors will need to be informed. For the sake of public health, SEPs should be recognized as an economical, ethical, and effective factor in the larger response to the epidemic of IV drug use in rural America.
DIVERSIDADE MORFOLÓGICA DAS DUNAS FRONTAIS NO LITORAL NORTE DO RIO GRANDE DO SUL, BRASIL
Authors: Vianna Humberto Dias , Calliari Lauro Julio 
Published: April 2019

A formação do sistema praia-duna está relacionada a morfodinâmica praial, sedimentologia e orientação do vento predominante em relação à linha de costa. Esse trabalho teve o objetivo de identificar as variáveis morfológicas e sedimentológicas responsáveis pela diversidade do sistema praia-duna frontal no litoral norte do Rio Grande do Sul (RS) e descrever a morfologia das dunas frontais. Variáveis morfológicas como a altura das dunas frontais, azimute da linha de costa, largura e declividade da praia subaérea foram obtidas das referências. O percentual de cobertura vegetal das dunas frontais foi obtido com o uso de modelos digitais de superfície, produzidos com laser scanning (LIDAR), e imagens de satélite de alta resolução, classificadas pela técnica de máxima verossimilhança. Coletas de sedimentos superficiais foram efetuadas nas dunas frontais e praia subaérea para determinar os percentuais de areias médias. As variáveis morfológicas e sedimentológicas foram analisadas pelas técnicas estatísticas clustering e componentes principais. O percentual de cobertura vegetal médio das dunas frontais é de 65,2%. Nos balneários da região há predominância de areias finas quartzosas bem a muito bem classificadas. O percentual de areia média é de 6,9% (dunas frontais) e 7,1% (praia subaérea). Três grupos de balneários foram gerados nas análises estatísticas. O grupo 1 possui o menor percentual de areia média na praia subaérea (4,3%), dunas frontais de menor altura (3,5 m), menor percentual de cobertura vegetal (52,2%) e maior azimute médio da linha de costa (32,8°). As dunas frontais são de estágios erosivos avançados, possuem pequena altura e baixa cobertura vegetal. O grupo 2 apresenta o maior percentual de areia média nas dunas (8,3%), menor largura média da praia subaérea (48,0 m) e dunas frontais de 4,1 m de altura média. O grupo 3 detém o mais elevado percentual de areia média da praia subaérea (7,6%), maior percentual de cobertura vegetal das dunas frontais (73,4%), mais extensa praia subaérea e dunas frontais com 3,9m de altura média. O mesmo grupo apresenta o menor percentual de areia média nas dunas (5,6%) e menor azimute médio da linha de costa (25,1°). As dunas frontais dos grupos 2 e 3 estão em estágios erosivos moderados, a topografia hummocky é frequente, devido a ação de blowouts e sangradouros que seccionam as dunas frontais. A análise de componentes principais demonstrou que não há correlação entre as variáveis morfológicas e sedimentológicas. As únicas variáveis correlacionadas negativamente são altura das dunas frontais e azimute de linha de costa. Na região estudada, a orientação da linha de costa favorece o transporte sedimentar, pois permite que o vento predominante incida em um ângulo próximo a 45° na costa. Alguns trechos estudados não se agruparam, pois possuem características únicas como: dunas frontais de maior altura e mais bem vegetadas, azimute da linha de costa próximo a 40°, e altos percentuais de areias médias nos ambientes estudados.