bluuebunny/crossref_metadata_2025_split huggingface dataset:
GIANT DEEP LIPOMAS OF ANTERIOR NECK
Authors: Riju Jeyashanth 
Published: April 2019

BACKGROUND :
Lipomas are benign mesenchymal tumors which can arise anywhere in the body. Lipomas which are more than 10 centimeters below the platysma in the anterior aspect of neck is a rare entity.
Description :
We describe two patients who presented with giant lipoma in the anterior neck of which once was in the midline. We have explained the case, with respect to clinical presentation and relation to critical structures in neck during surgery. We also discussed pathophysiology of giant lipoma and differentiation of lipoma from its sarcomatous component.
Conclusion:
Complete excision of the tumor with an intact capsule gives an excellent aesthetic outcome and no functional debilitation. A close relation to great vessels of the neck should be kept in mind while operating on giant lipoma.
Programa de Eficiência Energética para uma Unidade de Ensino
Authors: De Souza Gabriel Chamie Alves , Filho Jose Bione De Melo 
Published: April 2019

Este artigo apresenta uma análise de eficiência energética em uma unidade de uma instituição privada do ensino fundamental na cidade do Recife. Nesse estudo de caso, foram utilizadas a metodologia prescritiva do Regulamento Técnico da Qualidade RTQ- C para o nível de Eficiência Energética de Edificações Comerciais, de Serviços e Públicos, envolvendo três parâmetros: o sistema de iluminação artificial, o sistema de climatização artificial do ar e o sistema de aquecimento de piscina. Com o principal propósito de buscar com os dados coletados a melhor eficiência energética na edificação conforme os regulamentos da RTQ-C e de diminuir os custos de energia consumida na unidade predial, encontrando assim uma melhor solução econômica. E através de simulações com o programa EVO( Dialux), dimensionaremos as iluminâncias dos ambientes e com o programa (PVsyst) dimensionaremos um sistema fotovoltaico que atendam toda a demanda de energia elétrica da escola. Serão realizadas também, uma análises financeiras de alguns cenários que gerem uma economia de energia elétrica e consequentemente uma redução nos custos operacionais da escola.
Espectro trófico de aves Turdidae en un bosque de Pinus cembroides con dos aperturas de dosel
Authors: Ugalde-Lezama Saúl , Tarango-Arámbul Luis Antonio , Cruz-Miranda Yessenia , Marcos-Rivera Uriel , Olmos-Oropeza Genaro , Martínez-Montoya Juan Felipe 
Published: April 2019

Durante enero a octubre de 2014 se registraron variables de aves insectívoras Turdidae con el objeto de determinar patrones de su espectro trófico considerando sus técnicas de alimentación y dietas en un bosque de Pinus cembroides bajo dos condiciones de perturbación aparente en su apertura de dosel: semiconservado (BPS) y perturbado (BPP) en el área natural protegida peña alta (ANPPA). Se emplearon métodos de línea de Canfield, cuadrantes con punto central y cuadros empotrados, corte y sacudida de ramas, recuento en puntos de 25 m con búsqueda intensiva, captura con redes de niebla mediante esfuerzo constante; así como índices de abundancia relativa (IAR), frecuencia de observación (Fo); Kruskal-Wallis, correspondencias múltiples (ACM); índices de Jacknife1, Shannon-Wiener, Jaccard; pruebas de c2, clúster, regresión Poisson (ARP). El IAR fue similar, Fo muestran analogía; Kruskal-Wallis no existen diferencias, ACM conformaron grupos definidos; la riqueza, diversidad y similitud promedio de los órdenes entomológicos fueron relativamente bajas; c2 la proporción de individuos registrados son diferentes, clúster gráficamente existen diversos grupos, ARP existe efecto de algunas variables vegetales sobre las abundancias de insectos y aves. Se lograron comprender algunos patrones de la amplitud trófica de este tipo de aves; encontrando que coadyuvan en el control biológico de ciertos componentes entomológicos que pudieran tornarse perjudiciales y plagas forestales de estos bosques; generando conocimiento básico sobre el papel que juega la apertura del dosel en la presencia de presas; sin embargo, parece no tenerlo sobre las abundancias avifaunísticas en esta región particular de México.
Photodermatosis and Photo protection in Metropolitan Traffic Police in Kathmandu city
Authors: Aryal Eliz , Bhattarai Sabina , Pokhrel Govind , Shrestha B. Sanju 
Published: April 2019

Background: Police officer serves a vital role in maintaining safety and serve are role model for discipline throughout the world, they are non–intentional type sun exposure(NISE).The objective of our present study was to evaluate photo protector practice, knowledge in response to Ultra violet Radiation ,Sunscreens and sun related photodermatosis.
Methodology: A cross sectional study was conducted in traffic police officer at different locations at Kathmandu. Data was collected by using self-administered questionnaires and interviewed by Dermatologist to establish their knowledge and behaviour and practice in relation to ultra violet radiation and photo-protection.
Result: Out of 265 participants, mean age was 27.1 years. Respondent with graduation and master degrees had knowledge and practice toward UVR, follow by higher secondary education. Regarding the practice for photo protection only 59.6% had knowledge about sunscreen, 39.6% knowledge about Ultraviolet Radiation and 24.9% had knowledge about Ultra Violet Index .Skin problem like melasma, premature wrinkles, and hardening of skin, polymorphic light eruption, burning foot syndrome, dermatophytes, and varicose vein.
Conclusion: Traffic police officers showed good practices in term of wearing hat, clothes that cover most of the body parts but poor practice over sunscreen, UVR, UVI. Lectures & seminar regarding the awareness and photo protection practice should be recommended.
With lack of awareness among police officers and providing sunscreen for free should be considered by Police authorities. Similarly lectures & seminar on sun protection should be provided in regularly.
Demographic and Socio-economic Factors Affecting on Health Facility Delivery in Nepal
Authors: Acharya Sunil Kumar 
Published: April 2019

In Nepal, health facility delivery has improved since the 1990s, but child health delivery facility is still low. In 2001 about 9 percent of the births was delivered at a health facility (MoH, New ERA, and ORC Macro, 2002) which increased to 35 percent in 2011 (MOHP, New ERA, and ICF International Inc, 2012) and further increased to 57 percent in 2016 (MoH, New ERA and ICF, various 2017). This is a rapid increase in health facility delivery since 1996 but still nearly one-half of delivery take place at home. Research in developing countries shows that demographic, social and economic factors influence the utilization of health facility for delivery of births. This paper examines the likelihood of health facility delivery in relation to women’s demographic, social and economic status in Nepal. The 2011 Nepal Demographic and Health Survey (NDHS) data set has been utilized by applying bivariate logistics regression analysis technique to examine the effects of these variables in health facility delivery in Nepal. The analysis findings show large variations and gaps on delivery care based on demographic, social and economic status of women. Against this finding, the study concludes that there is a need for the implementation of appropriate policy and program measures by the government and other agencies to address the existing variations and gaps in utilization of health facility for delivery of births among different sub-groups of women in Nepal. Further research studies focusing on the existing barriers in health facility delivery need to be conducted in Nepal especially among women who are disadvantaged and marginalized.
Short term outcome in severe alcoholic hepatitis patients treated with Methylprednisolone plus N acetylcysteine or Pentoxifylline plus N acetylcysteine
Authors: Regmi Kiran , Mishra Anil Kumar , KC Sudhamshu , Sharma Dilip , Shrestha Jeetendra Kaji , Prajapati Sushil , Khadka Dipendra 
Published: April 2019

Introduction: Severe Alcoholic hepatitis (AH) is an acute form of alcohol induced liver injury. Often it present as fetal diseases with very high (30-50%) short term (28 days) mortality. This study was conducted from period May 2016 to July 2017 in Liver unit, Bir hospital. The main objective was to find out 28 days mortality in patients with severe alcoholic hepatitis who had Discriminant function (DF) ≥ 32. This was a prospective, comparative, randomized interventional hospital based study.
Methodology: Hundred and ten diagnosed patients of severe alcoholic hepatitis who fulfilled the criteria were enrolled and randomized into two groups (odd number and even number). Group 1 received methylprednisolone and group 2 received pentoxifylline for 28 days. In both groups N acetylcysteine were added. Lille score was calculated in methylprednisolone group at day 7 and patients with score of ≤ 0.45 were continued methylprednisolone for total 28 days otherwise stopped. Data were recollected at day 28. They were compared in relation to survival, complications of drugs and causes of mortality.
Results: Mean age of presentation were 40.21±10.5 yrs in methylprednisolone and 42.1±12.1 yrs in pentoxifylline group. In both groups complications were nausea, vomiting, bloating, anorexia and swelling of limb. However, hyperglycemia (16.4%) and renal impairment (9.1%) were more common in methylprednisolone group. Mortality rates were 34.5% in methylprednisolone and 37.8% in pentoxifylline group within 28 days. Common causes of death in both groups were hepatic encephalopathy, hepatorenal syndrome, sepsis or the cause was undetermined.
Conclusion: Alcoholic hepatitis is common manifestation of alcoholic liver disease with high short term mortality in both the groups however adverse effects of drugs are more common in methylprednisolone groups.
Decreased fetal movement: Is it an alarm to Obstetrician and Pregnant Lady?
Authors: Dhungana Padma Raj , Adhikari Rajesh , Pageni Prem Raj , Koirala Apsara 
Published: April 2019

Introduction: Fetal activity serves as an indirect measure of the fetus central nervous system integrity and function. Regular fetal movement can be regarded as an expression of fetal wellbeing. Maternal perception of decreased fetal movement is associated with poor feto-maternal outcome. This study is to find out feto-maternal outcome in cases of decreased fetal movement, done by assessing fetal heart rate (FHR) correlating with cardiotocography (CTG) and USG (ultrasonography) findings, Apgar score and meconium in amniotic fluid.
Materials and method: This was a hospital based, prospective comparative study done in Patan Academy of Health Sciences, Lalitpur, Nepal. The sample size was 200; 100 cases of decreased fetal movement versus 100 cases of good fetal movement at same gestational age in weeks. Data processing was done in SPSS version 20.0 (SPSS, Chicago, IL, USA) and calculated by chisquare test. P value less than 0.05 was considered significant.
Results: Significant difference was found in fetal kick chart counting. In the decreased fetal movement group, 16% had oligohydraminos, 3% had polyhydraminos and 5% had non reassuring CTG and 4% had abnormal heart rate detected clinically. There was statistically significant difference observed between the two groups in labor induction, cesarean section, meconium stain liquor, cord around the neck and different neonatal morbidities.
Conclusion: Decreased fetal movement is associated with poor fetomaternal outcome. Improved vigilance, early identification, further evaluation with CTG, USG and proper management of these pregnancies have favourable pregnancy outcome.
STUDENTS OF NET GENERATION: LATERAL PROFILES AND DIGITAL SKILLS
Authors: Denisov I. V. , Koretskaya I. A. 
Published: April 2019

The aim of the research is to study the lateral organization of the brain of modern students, which we position as the Generation Y+ and determine their level of knowledge of modern computer technologies. The authors examined the following research questions: whether the Generation Y+ is different from previous generations in terms of neuropsychology; as far as Generation Y+ has developed skills in using the capabilities of the digital environment.To study the profile of the lateral organization of the brain, we used the method of E. D. Khomskaya to determine the leading arm and the leading eye (motor and sensory systems). This technique allows a person to be attributed to one of the 16 profiles of the lateral organization of the brain. We assumed that the new “digital generation” would have a more pronounced hemispheric lateral organization of the brain than in people who participated in the studies of the 1960s–1980s.The object of the study were first-year undergraduate students of two leading economic universities in Moscow and Prague, studying in different fields (psychology, information technologies, management).The study demonstrates the emerging generational changes in the lateral profile and computer skills of the younger generation, which for these reasons can be attributed to the Generation Y+. The main conclusion can be considered that the computer literacy of the younger generation is a confirmed fact, but the final transition to “digital reality” has not yet taken place, and the possible qualitative changes of the next generation require scientific confirmation based on comprehensive studies.
Uso de Sorafenibe em Carcinoma Medular da Tireoide Metastático: Relato de Caso
Authors: Lang Marielle , Willi Luciene , Neves Daniele Ferreira , Renaux Léa , Sasson Piera , Makiyama Fernando Akira , Lang Maria Teresa Granella 
Published: April 2019

Introdução: O carcinoma medular de tireoide é uma neoplasia das células parafoliculares da glândula. Responsável por 3% a 4 % das neoplasias malignas da tireoide, possui comportamento agressivo e pode ocorrer de forma esporádica ou hereditária. As opções terapêuticas na doença metastática têm caráter paliativo e são individualizadas, podendo incluir cirurgias, radioterapia e uso de quimioterápicos. Relato de caso: Paciente do sexo feminino, 39 anos, procurou o Serviço de Endocrinologia do Hospital dos Servidores do Estado do Rio de Janeiro. Diagnosticada com câncer medular de tireoide com metástases em linfonodos cervicais e comprometimento importante da região cervicotorácica. Nesse estágio avançado da doença, foi submetida à tireoidectomia, esvaziamentos cervicais e radioterapia. Em razão da impossibilidade de novas abordagens e da quimioterapia de primeira escolha, iniciou tratamento com sorafenibe, apresentando estabilidade clínica. Conclusão: Com o tratamento, a paciente apresentou sobrevida livre de progressão da doença superior ao relatado na literatura e decréscimo importante dos marcadores bioquímicos.
The death of cancer: after fifty years on the front lines of medicine, a pioneering oncologist reveals why the war on cancer is winnable – and how we can get there
Authors: Silva Ronaldo Corrêa Ferreira da 
Published: April 2019

Em 1971, um decreto do presidente dos EUA , conhecido como o Decreto Nacional de Câncer, deu início à mundialmente conhecida “Guerra contra o câncer”. Desde então, bilhões de dólares do governo federal, coordenados pelo Instituto Nacional de Câncer dos EUA (NCI), foram investidos em pesquisa e assistência ao câncer. O oncologista norte-americano Vincent T. DeVita Jr.,editor do livro, com uma trajetória de mais de 50 anos como oncologista (e paciente) é explorada no livro The Death of Cancer lançado nos EUA em 2015 e sem tradução no Brasil.
Partnerstwo strategiczne UE - Chiny: doświadczenia, nowe otwarcie
Authors: Krukowska Monika 
Published: April 2019

Challenges that the EU had to face at the beginning of the 21st century have induced revision of its foreign policy. Unprecedented economic development, as well as political opening of China have created an attractive political and economic partner, desired by European states. From the very beginning the cooperation between the EU and China has been based on the economic field. Nowadays, thanks to demographic and economic potentials of both partners bilateral trade turnover equals to a third of global trade and is worth 1 billion euro a day. On initial economic platform of cooperation partners now develop a comprehensive political and social partnership. Despite ideological and political differences, as well as sometimes contradictory economic interests, strategic partnership is very likely to be continued.
E-Inventory Information System at PT. Resik Nyaman Sejahtera
Authors: Yudi Yudi , Indriani Karlena , Ramanda Kresna 
Published: April 2019

E-Inventory Information System at PT. Resik Nyaman Sejahtera. PT. Resik Nyaman Sejahtera is a company engaged in cleaning services that serve cleaning at apartments / hotels, restaurants, hospitals, universities, schools, supermarkets, villas, factories, offices, government offices or national private and other places. Constraints faced by PT. Resik Nyaman Sejahtera in carrying out existing projects is still using the manual process in inventorying / stocking of goods in and out of the warehouse so that it is difficult to find data and control the in and out of inventory / stock of goods in warehouses for ongoing projects or those that have been finished. Because of that the author proposes a intranet web-based e-inventory application that is made to overcome and minimize the problem. Broadly speaking, the application designed or developed consists of the process of recording data of goods, goods entering and leaving the warehouse, inventory of goods, and inventory reports. The results of this study produce an e-inventory application system that provides convenience for warehouse staff and administrators to manage and control inventory in the warehouse
METODOLOGÍA PARA FAVORECER LA COMUNICACIÓN INTERCULTURAL EN INGLÉS EN ESTUDIANTES DE LA CARRERA DE HOTELERÍA DE LA UNIVERSIDAD LAICA ELOY ALFARO DE MANABÍ, ECUADOR
Authors: Macías Sera Raisa , Ramírez Berdut Isel 
Published: April 2019

La competencia intercultural se ha incorporado en los últimos años al discurso de la didáctica de las lenguas extranjeras. Es interés de los estudiosos buscar estrategias para promover el intercambio respetuoso entre los aprendices de una lengua extranjera y los nativos, y su inserción al nuevo contexto; así como establecer un clima distendido entre quienes trabajan con visitantes extranjeros y aquellos que visitan una región por interés profesional o turístico. La metodología y el conjunto de tareas comunicativas para la enseñanza de inglés que se aplica a estudiantes de 4to semestre de la carrera de Ing. en Empresas Hoteleras en la Universidad Laica Eloy Alfaro de Manabí- Bahía de Caráquez, tienen como propósito el desarrollo de la comunicación oral intercultural relacionado con la proyección profesional de los estudiantes debido a su encuentro con turistas y colegas provenientes de países anglo parlantes. La metodológica aplicada consta de tres etapas estrechamente relacionadas, Diagnóstico, Ejercitación y Evaluación apoyada en un conjunto de tareas comunicativas interculturales que favorecen la comunicación oral intercultural y el intercambio respetuoso entre los estudiantes y los colegas o turistas.
PALABRAS CLAVE: interculturalidad; tareas comunicativas; diagnóstico; turismo.
ABSTRACT
The Intercultural competence has been incorporated to didactics in recent years to address the teaching of foreign languages. It is interest of scholars to seek strategies to promote friendly exchanges between learners of a foreign language and natives, as well as their integration into the new context. It is intended for researchers, a relaxed atmosphere among those working with foreign professionals and those visiting a region. The methodology and the set of tasks for teaching English to students in 4th semester in hotel companies at Eloy Alfaro University in Bahia de Caráquez.is with the purpose to develop the intercultural oral communication related to professional projection because students need to meet with colleagues and tourists from English speaking countries. The methodology consists of three closely related stages, assessment, practice and evaluation supported by a set of intercultural communicative tasks that promote intercultural oral communication and respectful exchange between students and colleagues or tourists.
KEYWORDS: Intercultural competence; communicative tasks; tourism; assessment.
NECESIDAD DE DESARROLLAR LA HABILIDAD EXPLORACIÓN Y DETERMINACIÓN DE PROBLEMAS CIENTÍFICOS EN LOS ESTUDIANTES DE LA UNIVERSIDAD TÉCNICA DE MANABÍ, ECUADOR
Authors: Zambrano Acosta Jimmy Manuel , Estrada Molina Odiel , Toala Dueñas Ramón Alfredo , Beltrón Cedeño Carmita Cecilia 
Published: April 2019

En el trabajo se analizan las dificultades más generales y frecuentes que manifiestan los estudiantes de la Universidad Técnica de Manabí, Ecuador en cuanto a la exploración y determinación de problemas científicos y se presenta el proyecto de investigación diseñado para encontrar, por vía científica, una solución a tal situación en el proceso formativo de los profesionales de esta institución de educación superior.
PALABRAS CLAVE: desarrollo de habilidades; exploración de problemas científicos; determinación de problemas científicos; instituciones de educación superior.
ABSTRACT
The paper analyzes the most general and frequent difficulties that students of the Technical University of Manabí, Ecuador, demonstrate regarding the exploration and determination of scientific problems and presents the research project designed to find, by scientific means, a solution to this situation in the training process of the professionals of this institution of higher education.
KEYWORDS: skill development; Exploration of scientific problems; Determination of scientific problems; Institutions of higher education.
LA CULTURA DE MASAS Y LOS MEDIOS DE COMUNICACIÓN. SU INCIDENCIA EN LA SOCIEDAD
Authors: Domaccin Aros Elba Orfelia 
Published: April 2019

La cultura de masas consigue fabricar a gran escala, con técnicas y procedimientos industriales, ideas, sueños e ilusiones, estilos personales y hasta una vida privada en gran parte producto de una técnica, subordinada a una rentabilidad y a la tensión permanente entre la creatividad y la estandarización, apta para poder ser asimilada por el ciudadano de clase media. En la actualidad, los medios de comunicación constituyen una herramienta persuasiva que nos permiten mantenernos en continua comunicación con los distintos sucesos sociales, políticos y económicos tanto a escala nacional como internacional.
PALABRAS CLAVE: cultura de masas; medios de comunicación; creatividad; estandarización.
ABSTRACT
Mass culture manages to manufacture on a large scale, with industrial techniques and procedures, ideas, dreams and illusions, personal styles and even a private life largely the product of a technique, subordinated to a profitability and the permanent tension between creativity and Standardization, capable of being assimilated by the middle-class citizen. At present, the media is a persuasive tool that allows us to keep in constant communication with the different social, political and economic events, both nationally and internationally.
KEYWORDS: mass culture; media; creativity; standardization.