bluuebunny/crossref_metadata_2025_split huggingface dataset:
Uma imagem vale mais que mil palavras: as abordagens de leitura e suas implicações para o letramento visual
Authors: Nunes Tiago Alves , Baptista Lí­via Márcia Tiba Rádis 
Published: April 2019

A imagem, como parte constitutiva de diversos gêneros textuais, integra os vastos domí­nios discursivos presentes na esfera social da comunicação e interação humanas. Nesse contexto, objetivamos diagnosticar as abordagens de leitura presentes no ensino de lí­ngua portuguesa no contexto educacional, com ênfase na análise de possí­veis implicações para o incremento do letramento visual na sala de aula. Para tanto, investigamos a prática de uma professora dessa lí­ngua, realizada em uma escola pública, descrevendo e interpretando como se configurava a relação professor-material e, ainda, como o material usado possibilitaria ou não o fomento do letramento visual. Este trabalho, portanto, consiste em um recorte da pesquisa desenvolvida por Nunes (2016), cujo ponto de vista metodológico seguido foi qualitativo-interpretativista, de base diagnóstica e, ainda, constituindo-se em um estudo de campo. Como fundamentação teórica, ancorou-se no que diz respeito ao letramento visual (ELKINS, 2009), nos pressupostos teórico-analí­ticos da Gramática do Design Visual (KRESS, VAN LEEUWEN, 2006) e na Semântica visual (BAMFORD, 2003); no que concerne í s abordagens de leitura, nos estudos de Cassany (2006), bem como nos estudos sobre letramento crí­tico (BAPTISTA, 2010, 2012, 2014). Concluí­da a análise, pode-se afirmar que as concepções de leitura instauradas em sala são, primordialmente, a psicolinguí­stica e a linguí­stica. Ademais, o trato dado à imagem, em geral, foi de natureza secundária na composição do texto multimodal. Portanto, o fomento do letramento visual mostrou-se incipiente no ensino de lí­ngua portuguesa no contexto investigado.
Produção textual escrita: teorias e práticas
Authors: Almeida Carla Ane Nascimento de Oliveira , Barros Lúcia Fernanda Pinheiro 
Published: April 2019

Este artigo, parte integrante do segundo capí­tulo da dissertação de Mestrado, teve como objetivo analisar o trabalho com a produção textual escrita na coleção didática de Lí­ngua Portuguesa – Novas Palavras – aprovada nas quatro edições (2006, 2009, 2012 e 2015) do Programa Nacional do Livro Didático para o Ensino Médio (PNLD-EM). A análise consiste em investigar como as propostas de produção de textos dessa coleção evoluem para atender í s abordagens metodológicas para o ensino de produção escrita. Para melhor compreensão do nosso objetivo, apoiamo-nos nos pressupostos teóricos e metodológicos do ensino de produção de textos, de acordo com í s posições defendidas por pesquisadores como Travaglia (1998), Guedes (2009), Bonini (2002), Barros (2012). Nosso estudo traçou uma análise na perspectiva comparativo-diacrônica, apresentando um breve histórico das metodologias de ensino de produção textual escrita em contraponto com as propostas do Manual Didático, a fim de identificar se essas acompanham as mudanças e evoluções daquelas. Ao final, concluí­mos, por vários aspectos, que o eixo da produção escrita na coleção Novas Palavras não está de acordo com os pressupostos teóricos mais atuais.
O letramento multimodal na escola: estabelecendo uma relação entre o eu e a sociedade
Authors: Schmitt Briane , Ribas Gabriel da Silva , Freitas Ernani Cesar 
Published: April 2019

Esta pesquisa aborda a questão do letramento multimodal e os movimentos de interpretação necessários para a leitura de textos multimodais. Este trabalho justifica-se à medida que, compreendendo a multimodalidade como um processo inerente í s nossas experiências comunicativas, torna-se necessário o estudo das práticas de ensino de letramento multimodal. O principal objetivo desta pesquisa é analisar o movimento de leitura necessário para a compreensão de textos multimodais, tendo em vista o viés pedagógico da leitura desses textos. O estudo tem como pressupostos teóricos as noções sobre gêneros do discurso defendidas por Mikhail Bakhtin (2003), Fiorin (2008) e Marcuschi (2008), além das contribuições teóricas de Lemke (2010), Kress e Van Leeuwen (2001) e Rojo (2015). O corpus define-se a partir de um texto do gênero infográfico sobre as melhores escolas do Brasil, que foi publicado em agosto de 2014 na Revista Mundo Estranho. A pesquisa é do tipo exploratório quanto aos objetivos, uma vez que procura estabelecer hipóteses sobre como se desenvolvem os movimentos de leitura necessários, no caso da leitura multimodal, e sua análise é qualitativa, já que busca a compreensão do processo de leitura multimodal e de suas possí­veis abordagens em práticas pedagógicas. A principal constatação neste trabalho é de que o letramento multimodal ainda é um desafio no âmbito do processo de leitura e compreensão textual, e cada vez mais torna-se necessário o estudo dos processos pedagógicos desses textos multimodais e as relações estabelecidas ou não com as práticas multimodais, bem como as práticas sociais a elas impreterivelmente conectadas.
A formação do leitor literário enquanto intérprete incômodo de seu tempo: um projeto não por acaso negligenciado de letramento ideológico
Authors: Pereira Diego 
Published: April 2019

Busca-se, neste artigo, reunir diferentes reflexões sobre o lugar do texto literário na vida humana, agrupando-lhes em duas vertentes opostas, uma de caráter estético, outra de caráter estético e ético, para o reconhecimento da formação do leitor literário enquanto produto de um projeto discursivo que, a despeito da natural variação de suas bases teórico-metodológicas, revela-se ideologicamente marcado, admitindo quaisquer eventos e práticas de letramento, em virtude dos quais deve, pois, ser problematizado – especialmente em uma era na qual perspectivas como a dos novos e multiletramentos surgem em resposta a um modelo de educação dito ultrapassado. Para tanto, a literatura é aqui concebida pelo valor que lhe atribuem Bakhtin (2011 [1978]), Eagleton (2006 [1983]), Candido (2011 [1988]), Eco (2003 [2000]) e Bloom (2011 [2000]), na tensão entre as diferentes ideologias í s quais pode servir, conforme permitem constatar Eagleton (2006 [1983]) e Moita Lopes (2013); ao passo em que se reconhece, na sua escolarização, um conjunto de eventos e práticas de letramento (HEATH, 2004 [1980]; STREET, 2014 [1995], notadamente literário (COSSON, 2016 [2006]), inscrito em um projeto discursivo maior que pode / deve ser ampliado pela perspectiva dos novos e multiletramentos (COPE; KALANTZIS, 2009; KNOBEL; LANKSHEAR, 2012).
Ensino de lí­ngua portuguesa e produção de textos argumentativos: o SMS em foco
Authors: Cabral Ana Lúcia Tinoco 
Published: April 2019

O trabalho busca refletir sobre os desafios para a escrita argumentativa e as contribuições que as mí­dias digitais podem oferecer para a prática de escrita, e propõe algumas estratégias para a produção textual focalizando a escrita de caráter argumentativo e a utilização de mensagens de SMS como elemento motivador para a escrita. Para tanto, o artigo apresenta algumas considerações sobre a escrita por meio de aplicativos para mensagens em celular, abordando a escrita compartilhada do SMS, seus desafios e contribuições (CARON; CARONIA, 2005; ANIS, 2002); expõe o conceito de sequência argumentativa (ADAM, 2011); aborda os desafios para a prática de escrita encarada com uma atividade que põe a linguagem em uso (COIRIER, GAONAC"™H; PASSERAULT, 1996) e apela para uma variedade de estratégias (FAYOL, FOULIN, MAGGIO; LÉTÉ, 2012), incluindo a escrita argumentativa; analisa, a tí­tulo de exemplificação, uma troca de mensagens via SMS entre adolescentes; e apresenta uma proposta de utilização desse recurso para estimular a escrita argumentativa na escola.
Produção de textos argumentativos em livros didáticos de história
Authors: Seal Ana Gabriela de Souza , Leal Telma Ferraz 
Published: April 2019

Analisamos atividades referentes a uma coleção de livros didáticos de História dos anos iniciais do Ensino Fundamental. Debruçamo-nos sobre as propostas de atividades de produção de textos escritos presentes com enfoque nas possibilidades de uso de estratégias argumentativas. Optamos por uma abordagem de pesquisa qualitativa. Produzimos um mapeamento dos comandos das atividades de produção textual presentes nas obras, de forma a identificar a explicitação de gêneros, interlocutores ou finalidades de escrita, sobretudo os espaços para o uso da argumentação. Os resultados mostraram que as propostas de produções de textos escritos indicavam, mais frequentemente, a escrita de redações, listas e descrições. Os gêneros não eram explorados quanto í s finalidades, mas sim quanto í s temáticas a anunciar. Essas temáticas giravam, em geral, em torno do politicamente correto. Além dessas, algumas ocorrências de produção de textos da ordem do argumentar puderam ser encontradas; algumas baseadas em temas polêmicos. A pesquisa aponta para a necessidade de ampliação de oportunidades de produção dos gêneros discursivos da ordem do argumentar que colaborem para o ensino da História.
Acute Appendicitis: Clinical Laboratory, Laparoscopic, Pathomorphological Parallels
Authors: Timerbulatov Sh. V. , Timerbulatov V. M. , Sagitov R V. , Mekhdiev D. I. , Sakhautdinov R. M. 
Published: April 2019

Introduction.Acute appendicitis takes the first place in incidence among acute surgical disorders of the abdominal cavity organs. While many issues of the diagnosis and treatment strategy of this disease have been studied in detail, the diagnosis of acute appendicitis remains primarily a matter of clinical presentation. National guidelines on acute appendicitis also recommend additional methods for a number of stipulated situations; these methods include the Alvarado score. The key goal of this study is to analyse the results of using the Alvarado score in the diagnosis of acute appendicitis and juxtaposing these results with the laparoscopic and pathomorphological data.Materials and methods.This non-randomised prospective study presents the analysis of examination and treatment of 4,941 patients with acute appendicitis from the two periods — from 2006 to 2010 and from 2011 to 2015 — which is before and after the Alvarado score was introduced into the examination protocol. The likelihood of acute appendicitis according to the Alvarado score is evaluated as follows. A score of one to four is interpreted as appendicitis is unlikely; a score of five or six — acute appendicitis is possible, further dynamic observation is required; a score of seven to ten indicates a most probable acute appendicitis.Results and discussion.The total sensitivity of the scoring system exceeded 90%; however, it did not result in a reduction of the number of diagnostic laparoscopies.Conclusion. The authors see as the upsides of the use of the Alvarado score the improvement of the diagnostic precision and the reduced incidence of catarrhal appendicitis (down to 0.1%) and gangrenous forms of appendicitis (from 14.6% to 8.9%) due to a shorter observation period. The authors explain the failure to achieve the result planned by the healthcare funding costs and the drive to obtain a more precise diagnosis.
Surgical Treatment of Inguinal Canal Hernias in Boys: an Analysis of Five Years’ Experience
Authors: Blandinskii V. F. , Nesterov V. V. , Sokolov S. V. , Kotova Z N. , Anfinogenov A. L. 
Published: April 2019

Introduction.Currently the surgical treatment of inguinal hernias in children is usually a high ligation of the hernia sac without the separation of its distal portion or plastic reconstruction of the inguinal canal. This technique is considered the treatment of choice as it has brought down the incidence of post-operative hernias and testicular atrophy. However, the issues of approach to the selection of a conservative treatment strategy and the role played by instrumental examination methods used to determine indications for surgical treatment remain controversial.Materials and methods.This paper presents a retrospective analysis of 684 clinical cases followed up at the Yaroslavl Regional Children’s Teaching Hospital. The study included boys aged one month to 17 years who were treated for inguinal and inguinoscrotal hernias in 2011-2015.Results and discussion.89 patients (10.3%) were hospitalised with incarcerated inguinal and inguinoscrotal hernias in the period under review. Of these, in 86 patients, when the incarceration lasted under 12 hours, conservative treatment attempts were undertaken. Hernia reduction was achieved without any direct manipulation on the hernia sac in 10 boys (11.6%). Attempts of manual hernia reduction were undertaken in the remaining 56 children (65.1%); these resulted in successful outcomes in 47 patients (83.9%). Emergency surgical repair of incarcerated hernias was performed in 23 cases (3.1%). No patients with incarcerated hernias were older than seven years. 45 out of 183 boys (29.5%) had scrotal oedemas and haematomas in the early post-operative period following planned hernia repair surgeries.Conclusion. In the majority of patients hospitalised early the conservative hernia reduction approach was effective and resulted in fewer emergency hernia repair surgeries. Ultrasound examination of inguinal canal may be considered as a method of screening for asymptomatic hernias.
The Role of Hydrocolonic Sonography in Diagnostics of the Intussusceptions due to Neoplastic Process in Children
Authors: Yanitskaya M Yu. , Turabov I. A. 
Published: April 2019

Introduction. A nonsurgical reduction is the treatment of choice for intestinal intussusception. A neoplasm-associated intussusception always requires surgery. In case of a tumour it is very important to have the diagnosis determined prior to surgical treatment. The hydrocolonic sonography technique makes it possible to assess the tissue structure and to visualize the lumen of the intestine.Materials and methods. The study presents a retrospective comparative analysis of clinical manifestations and diagnosis methods in all the patients with intussusception (n = 380) treated at the Arkhangelsk Children’sClinicalHospital in 1981–2018. This included all the neoplasm-associated intussusception cases (tumours and polyps). The data was compared to clinical manifestations of intussusception associated with other causes (idiopathic, mesenteric node hyperplasia, diverticulum).Results. Neoplasm-associated intussusception is a rare occurrence (2.3%). If the cause of the intussusception is a tumour the typical recorded manifestations include the combination of the signs of gastrointestinal diseases and loss of weight (8–12%), and a chronic course of development (over one to three months). Polyp-associated small intestinal and ileocolic intussusception, a casuistically rare situation, first manifested as an acute intestinal obstruction with protracted abdominal pain syndrome in anamnesis, or recurrent intussusceptions. Traditional and hydrocolonic sonography made it possible to make the diagnosis of intussusception and to identify a tumour. Non-tumour-associated intussusception presented with an acute course of the disease in every case. It manifested with the typical triad of symptoms (abdominal colic pain, rectal haemorrhage, palpable intussusceptum mass) in every third case. The manifestation of the disease as the dyad of symptoms (vomiting and abdominal colic pain) was significantly more frequent (p = 0.001).Conclusions. Clinical presentation of neoplasm-associated intussusception has certain unique qualities. The ultrasound of abdominal cavity and hydrocolonic sonography make it possible to find the intussusception and to identify the tumour or polyp in the structure of the intussusceptum in 100 % of cases at primary examination. The data obtained is used for the optimisation of the surgical treatment strategy.
Acute Small Intestinal Obstruction Caused by Ectopic Pancreas. A Clinical Case Report
Authors: Khasanov A. G. , Sufiyarov I. F. , Bakirov E. R. , Nurtdinov M. A. , Ibraev A. V. , Evdokimov E. V. 
Published: April 2019

Introduction. An ectopic pancreas is an abnormality in which pancreatic tissue has grown outside its normal location with its own blood supply and ducts while having no anatomical, vascular or innervation connections with the pancreas situated normally. The accessory pancreas is the most frequent congenital disorder of this gland. The pancreatic tissue can be found in the walls of stomach, intestine, gallbladder, Meckel’s diverticulum, the liver, spleen and, seldom, in other organs having no contact with the pancreas. Currently the ectopic pancreas incidence is on the rise and amounts up to 0.2% on average in abdominal surgeries and is reported in 0.5–13% of autopsy cases. Most frequently the aberrant pancreas is located in the gastroduodenal zone (63–70% of all the heterotopic pancreas cases); most often it is found in the pylorus and antrum (85–95% of all the gastric ectopic pancreas cases).Materials and methods. This paper presents a case of a successful treatment of a 39 year old male with an acute small intestinal obstruction caused by ectopic pancreatic tissue in the intestinal wall. The patient received a diagnostic laparoscopy and a mid-midline laparotomy with the wedge resection of the small intestine.Results.The postoperative period was recorded as uneventful; the patient was discharged home on day nine following the surgery after removal of cutaneous sutures. The pathology of the small intestinal fragment with the polyp-like neoplasm identified heterotypic pancreatic foci (with acini and ducts) located between muscular bands, with extensive areas of haemorrhaging and necrosis.Conclusion.The diagnosis of the ectopic pancreas tissue in intestinal wall is an extremely complex issue in abdominal surgery; this diagnosis is normally made only when complications occur. Pathomorphological verification is of paramount importance to make the final diagnosis of this disease, making it possible to identify correctly the cause and mechanism of the development of an acute surgical disorder.
The BIOFLOW-III Italian Satellite Registry: 18-month results of the Orsiro stent in an all-comer high-risk population
Authors: Bartorelli Antonio Luca , Versaci Francesco , Briguori Carlo , Tomai Fabrizio , Aprigliano Gianfranco , Poli Arnaldo , Vigna Carlo , Marinucci Lucia , My Luigi , Masi Filippo , Turturo Maurizio 
Published: April 2019

Aims
We aimed to corroborate clinical evidence on the safety and efficacy of the ultrathin-strut biodegradable-polymer sirolimus-eluting Orsiro stent in an all-comer population including high-risk subgroups.

Methods
The nationwide, prospective, all-comer BIOFLOW-III Satellite Registry was conducted at 18 Italian sites. High-risk subgroups [diabetes, small vessels (≤2.75 mm), acute myocardial infarction (AMI), and chronic total occlusions (CTOs)] were prespecified. The primary endpoint was target lesion failure (TLF) at 12 months, a composite of cardiac death, target vessel myocardial infarction (MI), emergent coronary artery bypass graft, and clinically driven target lesion revascularization (TLR).

Results
In all, 601 patients were enrolled (31.9% diabetes, 34.6% AMIs) with 736 lesions (37.2% small vessels, 5.7% CTOs, and 15.5% bifurcation lesions). Cumulative TLF rate at 12 months was 4.6% [95% confidence interval (CI) 3.2–6.6]: 6.9% (95% CI 4.1–11.6) in the diabetic patients, 5.0% (95% CI 2.7–9.1) in acute MI subgroup, 4.2% (95% CI 2.3–7.7) in small vessels, and 5.3% (95% CI 1.4–19.7) in CTOs. At 18-month follow-up, TLF, target vessel revascularization, and clinically driven TLR rates in the overall population were 5.2% (95% CI 3.7–7.4), 1.8% (95% CI 1.0–3.3), and 1.6% (95% CI 0.8–3.1), respectively. Probable stent thrombosis rate was 0.5% (95% CI 0.1–1.4), whereas no definite stent thrombosis was observed.

Conclusions
The study results confirmed the excellent clinical performance of the Orsiro drug-eluting stents at 18 months in the whole all-comer population and in the prespecified high-risk subgroups.
Differences in the extent of fibrosis in obstructive and nonobstructive hypertrophic cardiomyopathy
Authors: Avegliano Gustavo , Politi María T. , Costabel Juan P. , Kuschnir Paola , Trivi Marcelo , Ronderos Ricardo 
Published: April 2019

Aims
Left ventricular outflow tract (LVOT) obstruction is a key feature of hypertrophic cardiomyopathy (HCM) that identifies patients at increased risk of adverse outcomes. Previous studies have hypothesized that LVOT obstruction enhances myocardial fibrosis and increases left ventricular (LV) filling pressures, producing greater clinical deterioration. However, this hypothesis has not been demonstrated in a clinical cohort comparing obstructive and nonobstructive patients.

Methods
Patients with HCM in whom Doppler echocardiography was performed within 30 days of cardiac MRI were enrolled, using the E/e′ ratio to assess LV diastolic function and late gadolinium enhancement to evaluate the extent of fibrosis. Data were assorted according to LVOT obstruction status at rest.

Results
The current study enrolled 67 patients who were mostly middle-aged (56.8 ± 13.2 years old) men (75%) with preserved ejection fraction. Obstructive HCM presented a significant association with a high fibrosis extent [odds ratio (OR) 3.33; P = 0.034] which was maintained after adjusting for sex and age (OR 4.37; P = 0.016) but not for maximum LV wall thickness (OR 2.13; P = 0.225). Obstructive HCM was also associated with a clinically significant E/e′ ratio more than 14 (OR 7.8; P = 0.001) which decreased slightly after adjusting for age, sex and maximum LV thickness (OR 6.54; P = 0.014). There was a significant association between an E/e′ ratio more than 14 and the extent of fibrosis (OR 1.29; P < 0.001) which was maintained after adjusting for age, sex and maximum LV wall thickness (OR 1.36; P = 0.001).

Conclusion
LVOT obstruction may play a role in the extent of fibrosis in HCM, possibly conditioning greater diastolic dysfunction.
Basic principles for assessing the safety of fish products from the ponds exposed to the influence of nuclear fuel cycle enterprises
Authors: Trapeznikov A. V. , Trapeznikova V. N. , Korzhavin A. V. , Nikolkin V. N. , Plataev A. P. 
Published: April 2019

Relevance. In connection with the development of nuclear energy, many aquatic ecosystems have been exposed to radioactive substances. Fish, as an element of biota, is capable to accumulate radionuclides. However, fish is a traditional food. The control of the technogenic radionuclides accumulation level in the ichthyofauna is an important link in ensuring human security.Intention. To analyze the long-term data on the content of long-lived technogenic radionuclides 90Sr and 137Cs in the ichthyofauna of the Ob-Irtysh river system for the period from 2004 to 2016 and Beloyarsky pond for the period from 1977 to 2018.Methodology. Fish as a food product was assessed according to two criteria: a) permissible levels of specific activity of radionuclides (SanPiN 2.3.2.1078-01); b) using the indicator of conformity B and the uncertainty of its definition В (GOST 32161-2013 and GOST 32163-2013).Results and Discussion. Fish of all species that live in the river Tetcha, is not suitable for food use according to the criteria of SanPiN 2.3.2.1078-01, GOST 32161-2013 and GOST 32163-2013. The fish of the Ob-Irtysh river system, the habitat of which is located outside the Tetcha, meets the requirements for fish products. In the period from 1977 to 1989 in the Beloyarsk pond the accumulations of technogenic radionuclides in fish in quantities exceeding sanitary and hygienic standards were possible. Currently, the fish of the Beloyarsky pond fully complies with the sanitary and hygienic requirements for the radiation factor and is safe for human consumption.Conclusion. In the ponds exposed to the atomic energy enterprises, it is necessary to continuously monitor the content of long-lived technogenic radionuclides in fish and assess their amount in accordance with the requirements of SanPiN 2.3.2.1078-01 and using the conformity indicator В and the uncertainty of its determination В.