bluuebunny/crossref_metadata_2025_split huggingface dataset:
APOYO PSICOEDUCATIVO Y AFECTIVO EN ENTORNOS VIRTUALES DE APRENDIZAJE
Authors: Saneiro Silva Mª del Mar 
Published: July 2016

RESUMEN.Los estudiantes con discapacidad, eligen la modalidad de educación a distancia debido a la necesidad de disponer de contenidos y servicios accesibles, y apoyo de naturaleza psicoeducativa. Para dar respuesta a estas necesidades se ha generado un marco general de apoyo (flujo de aprendizaje, recursos y servicios) integrado en un curso facilitado a través de un entorno virtual de aprendizaje (VLE), con una arquitectura abierta, que puede ser integrada en las distintas plataformas actuales de aprendizaje para apoyar un proceso de aprendizaje inclusivo en el ámbito de la Educación Superior. A partir de los resultados de la evaluación de estos servicios en distintas universidades, se constata la necesidad de ampliar el ámbito en el que se facilita apoyo psicoeducativo, mediante la inclusión de los aspectos afectivos en el modelo de usuario. Para ello, se desarrollan nuevas aproximaciones metodológicas, enriqueciendo el proceso de adaptación y personalización, a partir de la investigación sobre detección, reconocimiento y etiquetado de estados emocionales. Esta información, será posteriormente utilizada como indicadores, para elicitar recomendaciones afectivas a lo largo del flujo de aprendizaje. Finalmente se describen los objetivos del trabajo actual que se desarrolla para mejorar la provisión de apoyo afectivo en entornos reales de aprendizaje.ABSTRACT.The students with disability are choosing either distance or blended learning are in the need of accessible learning contents and services, as well as of psycho-educational support. To cope with their needs, a support framework (learning flow, adapted resources and services) integrated into a course delivered through a virtual learning environment (VLE) through a standards-based open architecture focused on supporting inclusive learning at Higher Education has been developed. The results obtained from the evaluation of the mentioned services in different large, medium and small universities, showed the need of to extend the scope of the psychoeducational support provided through the inclusion of affective issues into the user profile. In order to achieve this objective, new methodological approaches are being developed enriching the adaptation and personalization process. This information can be used as additional indicators guiding the elicitation of affective recommendations along the learning flow. Finally, the research objectives and present on-going work towards understanding the affective support needed in real educational scenarios have been described.
LA FENILCETONURIA Y LA HIPERACTIVIDAD: RESULTADOS EN NIÑOS EXTREMEÑOS
Authors: García Aparicio Virgilio , Vicente Castro Florencio 
Published: July 2016

RESUMEN.La Fenilcetonuria (PKU) pertenece a un tipo de hiperfenilalaninemias, éstas son un grupo de errores innatos en el metabolismo del aminoácido fenilalanina, que se caracterizan normalmente por producir un retraso mental severo e incluso la muerte cuando no se tratan adecuadamente. De acuerdo con la Organización Mundial de la Salud (OMS), está catalogada como enfermedad rara. Por otro lado, el Trastorno por Déficit de Atención con Hiperactividad (TDAH) es uno de los trastornos con mayor prevalencia en niños en edad escolar. Consiste en un patrón persistente de déficit que incluye la falta de atención y/o hiperactividad e impulsividad, y se presenta con una frecuencia y una gravedad que es inconsistente y no adaptativa en relación con el nivel de desarrollo del niño (APA, 2000).Objetivo: Comprobar que los niños fenilcetonúricos obtienen resultados significativamente superiores a los niños del grupo control para los indicadores de TDAH.Metodología: la investigación contempla un carácter descriptivo y cuantitativo, se utilizaron las herramientas de entrevista y el cuestionario Conners (padres y profesores) en una muestra de ocho niños extremeños fenilcetonúricos, que representan la población total de fenilcetonúricos en el rango de edad de entre ocho a trece años después de tener en cuenta los criterios de exclusión, y ocho niños extremeños de edad similar como grupo control.ABSTRACT.Phenylketonuria (PKU) is a type of hyperphenylalaninemias, which are an inborn group of errors of the amino acid phenylalanine metabolism that are usually characterized by producing a severe mental retardation and even death if it is not treated properly.According to the World Health Organization (WHO), it is classified as rare disease. On the other hand, Attention Deficit Hyperactivity Disorder (ADHD) is one of the most prevalent disorders in schoolchildren. It consists of a persistent deficit pattern that includes lack of attention and / or hyperactivity and impulsivity, and it is present with an inconsistent and non adaptative frequency and severity with regard to the child's development stage (APA, 2000).Objective: To check that PKU children get significantly higher results than the control group of children for ADHD indicators.Methodology: the research includes a descriptive and quantitative approach. Interview tools were used as well as Conners Questionnaire (parents and teachers) in a sample of eight phenylketonuric children from Extremadura, who represents the total population of PKU children aged 8–13, taking into account the exclusion criteria, and eight children from Extremadura aged similarly as control group.
O Fracasso Escolar entre Estudantes do 6º Ano de Escolas Públicas Estaduais de Rio Grande, RS
Authors: Dos Santos Celso Ubirajara Soares , Vianna Patricia Duro , Bulhosa Fabio Andrade 
Published: July 2016

<p>A escola complementa o trabalho da família, por isto há preocupação tanto com o desempenho e a permanência dos alunos, quanto com o papel da família nesse processo. Na família, a criança começa o seu primeiro aprendizado e com ele referencia toda a educação formal. O termo “Fracasso Escolar” remete às dificuldades na leitura ou escrita, ao baixo rendimento, a múltiplas repetências, à evasão escolar ou à falta de ajuste às regras institucionais. Assim, esta pesquisa teve por objetivo verificar as causas que levaram alunos do 6º ano de duas escolas públicas da cidade de Rio Grande, sem patologias ligadas a dificuldades de aprendizagem, a fracassarem na escola. A pesquisa foi realizada por meio de um instrumento de análise quantitativa. Os resultados sugerem as dificuldades dos responsáveis na orientação às dúvidas dos alunos.</p>
Concepção de Alunos sobre as Fases da Lua e os Eclipses Lunar e Solar: Relato de Experiência
Authors: Ubinski Juliana Alves da Silva , Strieder Dulce Maria 
Published: July 2016

<p>Uma das ciências mais antigas, a Astronomia, sempre desperta um especial interesse dos alunos. Ao discutir sobre os astros e seus movimentos, realizando indagações orais aos alunos, é possível perceber que eles trazem consigo concepções sobre diversos assuntos relacionados a esta ciência. A Lua, nosso satélite natural, foi um dos destaques de um dos encontros do Grupo de Estudos de Astronomia, em um colégio estadual de Cascavel, PR. Na ocasião os alunos foram indagados sobre as fases da lua e os fenômenos dos eclipses. A participação dos alunos foi realizada oralmente e pode-se perceber a dificuldade destes em diferenciar as fases da lua e compreender a ocorrência dos eclipses solares e lunares. A diferença foi assimilada somente após a representação dos fenômenos de forma lúdica. O resultado demonstra a relevância da problematização inicial, focando nas concepções alternativas dos alunos sobre o tema, para, posteriormente, auxiliar os alunos na estruturação do conhecimento científico.</p>
Formação Pedagógica: a Percepção dos Docentes do Curso de Ciências Contábeis em uma Instituição de Ensino Catarinense
Authors: Guimarães Milla Lúcia Ferreira , Volpato Gildo 
Published: July 2016

<p>A docência no ensino superior requer conhecimentos específicos da disciplina em que atua, bem como habilidades e atitudes direcionadas ao ensino. O objetivo deste estudo foi verificar os aspectos da formação pedagógica que os docentes do Curso de Ciências Contábeis de uma<br />Instituição Comunitária de Ensino Superior Catarinense julgam necessários no processo de ensino-aprendizagem. Para tanto, foi realizado um estudo descritivo e uma entrevista estruturada com oito professores do curso. O estudo buscou evidenciar questões referentes ao planejamento de ensino e aos aspectos da formação pedagógica. Foi possível verificar que os professores julgam essencial dominar os conteúdos, diversificar as metodologias de ensino e trocar experiências com outros colegas professores no intuito de melhorar o ensino visando a aprendizagem de seus alunos. Outro fator evidenciado foi a busca permanente em atingir o perfil ideal de professor, disposto no Projeto Pedagógico do Curso.</p>
O apagamento de /d/ no morfema de gerúndio nas capitais brasileiras a partir dos dados do Atlas Linguístico do Brasil
Authors: Araújo Aluiza Alves de , Aragão Maria do Socorro Silva de 
Published: July 2016

RESUMO:
Na perspectiva da Sociolinguística Variacionista, este estudo aborda o apagamento de /d/ no morfema de gerúndio, a partir dos dados do Atlas Linguístico do Brasil (ALiB), com o objetivo de verificar a atuação de fatores sociais (sexo, faixa etária, escolaridade e localidade) sobre a regra. A amostra é constituída por 96 informantes, oriundos das capitais brasileiras das Regiões Norte, Centro-Oeste e Sul. Das três Regiões analisadas, o Centro-Oeste é a que mais usa o apagamento. A pouca escolaridade e o sexo/gênero masculino favorecem a regra no Centro-Oeste e no Norte. Para o Sul, não houve seleção de variáveis.

PALAVRAS-CHAVE:
Gerúndio. Apagamento. Sociolinguística Variacionista. ALiB.
A General Method for the Selection of an Optimum Choke-Management Strategy
Authors: Karantinos Emmanouil , Sharma Mukul M. , Ayoub Joseph A. , Parlar Mehmet , Chanpura Rajesh A. 
Published: July 2016

SummaryDifferent choke-management strategies have been adopted by operators in the field; however, no general method exists for systematically selecting an optimum choke-management strategy. In this study, we propose a general method for the selection of bean-up duration and bean-up strategy (choke management) that will maximize well productivity by minimizing formation damage, reducing sand production, and reducing the impact of multiphase-flow effects.Strategies of stepwise bottomhole-pressure (BHP) adjustments are compared by use of the principle of superposition and the analytical solution of the transient radial-diffusion equation for vertical wells operating under different choke settings. The optimum choke-management strategy is based on the anticipated formation-damage mechanisms. For example, if fines migration and sand production are a concern, then minimizing the wellbore pressure gradients is the primary criterion for the selection of the optimum choke-management strategy.Using the analytical solution and simulation results, we conclude that for relatively short bean-up durations (i.e., infinite-acting behavior), the pressure-gradient reduction at the wellbore varies logarithmically with increasing bean-up duration. Choke-management strategies appear to have similar performance as far as no more than 70% of the drawdown is applied during the initial 20% of the overall bean-up duration. For longer durations (i.e., when the presence of the no-flow boundary is felt), the optimum strategy depends on both reservoir properties and radial extent. For the case of square drainage area, a plot suggesting the optimum strategy with respect to dimensionless duration is presented. Positive skin and multiphase flow near the wellbore negatively affect the performance of bean-up strategies. For vertical wells producing from multiple layers, bean-up strategies should be selected with respect to the effective horizontal permeability, ultimately yielding the greatest pressure-gradient reduction in the low-permeability zones.The proposed method enables engineers to select the optimum choke-management strategy with respect to bean-up duration and formation properties. The duration of the bean-up process is drawdown dependent, thus further research is encouraged in determining the maximum allowable pressure gradient to curtail sand production.
Pilot Study of a New Adjustable Thermoplastic Mandibular Advancement Device for the Management of Obstructive Sleep Apnoea-Hypopnoea Syndrome: A Brief Research Letter
Authors: El Ibrahimi Mohammed , Laabouri Mounir 
Published: July 2016

Background:
Prefabricated adjustable thermoplastic mandibular advancement devices (PAT-MADs) are a practical short-term treatment for obstructive sleep apnoea-hypopnoea syndrome (OSAHS) in patients who have failed or refused continuous positive airway pressure (CPAP) therapy.

Objective:
To assess the effectiveness of a new professionally-fitted PAT-MAD in patients with OSAHS in Morocco.

Method:
Twenty-four adults with mild, moderate or severe OSAHS were fitted with the PAT-MAD (BluePro®; BlueSom, France). Respiratory parameters (apnoea-hypopnoea index (AHI), oxygen desaturation index (ODI)) and daytime sleepiness using the Epworth Sleepiness scale (ESS) were assessed before and after treatment. Adverse events were recorded.

Results:
Mean treatment duration was 106.3 ± 73.4 days. Mean AHI score decreased from 21.4 ± 7.4 to 9.3 ± 4.1 after treatment (p<0.0001) (mean reduction of 57.0 ± 12.3%). Mean ESS and ODI also decreased at EOS (from 10.4 ± 2.8 to 7.3 ± 2.3, mean reduction 30.3 ± 12.2%, p=0.0001; and 7.0 ± 6.9 to 4.7 ± 4.0, mean reduction 30.5 ± 25.0%, p=0.2, respectively). Treatment was considered to have been successful in 22 patients (91.7%) who had mild OSAHS or an AHI score of ≤5 at the end of the study. The device was well-tolerated.

Conclusion:
This new PAT-MAD appears to be effective at reducing respiratory parameters and improving daytime alertness in patients with OSAHS. Long term studies in a larger number of patients are warranted to assess the long-term efficacy, retention and side-effects of this device.
Origins in the Womb: Potential Role of the Physical Therapist in Modulating
the Deleterious Effects of Obesity on Maternal and Offspring Health Through Movement
Promotion and Prescription During Pregnancy
Authors: Tinius Rachel A. , Cahill Alison G. , Cade W. Todd 
Published: July 2016

Abstract
Maternal obesity and associated metabolic disease contribute to adverse outcomes in women and their offspring, and many of these outcomes have significant acute and chronic implications for both mother and neonate. Targeted movement (ie, physical activity or exercise training) during pregnancy has been shown to be safe and effective for improving many of these outcomes in women at a healthy weight and women who are obese. However, movement prescription and advice during pregnancy are often not addressed by health care providers; this situation creates a unique opportunity for physical therapists to use their expertise in movement with patients who are pregnant. The objective of this article is to briefly review the adverse maternal and neonatal outcomes associated with maternal obesity, the benefits of intentional maternal movement during pregnancy for women who are obese, the evidence-based guidelines for prescribing intentional movement during pregnancy for women who are obese, and the potential for physical therapists to become the driving force behind a necessary increase in movement levels in women who are pregnant. Physical therapists can play a significant role in encouraging movement in women who are healthy and women who have metabolic challenges during pregnancy and thus assist in combating the vicious cycle of obesity by improving maternal and offspring health.
Activity for Diabetic Polyneuropathy (ADAPT): Study Design and Protocol for a 2-Site Randomized Controlled Trial
Authors: Kluding Patricia M. , Singleton J. Robinson , Pasnoor Mamatha , Dimachkie Mazen M. , Barohn Richard J. , Smith A. Gordon , Marcus Robin L. 
Published: July 2016

Abstract

Background
Half of all patients with diabetes develop diabetic peripheral neuropathy (DPN), a complication leading to reduced mobility and quality of life. Although there are no proven pharmacologic approaches to reduce DPN risk or slow its progression, evidence suggests that physical activity may improve symptoms and enhance peripheral nerve regeneration.

Objective
The aim of the study will be to determine the impact of an intense lifestyle intervention on neuropathy progression and quality of life in individuals with DPN.

Design
The study will be a randomized controlled trial.

Setting
The study will be conducted at 2 academic medical centers.

Participants
The participants will be 140 individuals with type 2 diabetes and mild to moderate DPN.

Intervention
The intervention group will receive 18 months of supervised exercise training, actigraphy-based counseling to reduce sedentary behavior, and individualized dietary counseling. Control group participants will receive diet and activity counseling at baseline and at 9 months.

Measurements
The primary outcomes are neuropathy progression as measured by intraepidermal nerve fiber density in a distal thigh skin biopsy and the Norfolk Quality of Life–Diabetic Neuropathy score. Secondary outcomes include pain, gait, balance, and mobility measures.

Limitations
Due to the combined intervention approach, this protocol will not be able to determine which intervention components influence outcomes. There also may be difficulty with participant attrition during the 18-month study intervention.

Conclusions
The Activity for Diabetic Polyneuropathy (ADAPT) protocol resulted from a collaboration between physical therapists and neurologist researchers that includes as primary outcomes both a quality-of-life measure (NQOL-DN) and a physiologic biomarker (IENFD). It has the potential to demonstrate that an intensive lifestyle intervention may be a sustainable, clinically effective approach for people with DPN that improves patient outcomes and can have an immediate impact on patient care and future clinical trials.
Efficacy of primary microvascular decompression versus subsequent microvascular decompression for trigeminal neuralgia
Authors: Theodros Debebe , Rory Goodwin C. , Bender Matthew T. , Zhou Xin , Garzon-Muvdi Tomas , De la Garza-Ramos Rafael , Abu-Bonsrah Nancy , Mathios Dimitrios , Blitz Ari M. , Olivi Alessandro , Carson Benjamin , Bettegowda Chetan , Lim Michael 
Published: July 2016

OBJECTIVETrigeminal neuralgia (TN) is characterized by intermittent, paroxysmal, and lancinating pain along the distribution of the trigeminal nerve. Microvascular decompression (MVD) directly addresses compression of the trigeminal nerve. The purpose of this study was to determine whether patients undergoing MVD as their first surgical intervention experience greater pain control than patients who undergo subsequent MVD.METHODSA retrospective review of patient records from 1998 to 2015 identified a total of 942 patients with TN and 500 patients who underwent MVD. After excluding several cases, 306 patients underwent MVD as their first surgical intervention and 175 patients underwent subsequent MVD. Demographics and clinicopathological data and outcomes were obtained for analysis.RESULTSIn patients who underwent subsequent MVD, surgical intervention was performed at an older age (55.22 vs 49.98 years old, p < 0.0001) and the duration of symptoms was greater (7.22 vs 4.45 years, p < 0.0001) than for patients in whom MVD was their first surgical intervention. Patients who underwent initial MVD had improved pain relief and no improvement in pain rates compared with those who had subsequent MVD (95.8% and 4.2% vs 90.3% and 9.7%, respectively, p = 0.0041). Patients who underwent initial MVD had significantly lower rates of facial numbness in the pre- and postoperative periods compared with patients who underwent subsequent MVD (p < 0.0001). The number of complications in both groups was similar (p = 0.4572).CONCLUSIONSThe results demonstrate that patients who underwent other procedures prior to MVD had less pain relief and a higher incidence of facial numbness despite rates of complications similar to patients who underwent MVD as their first surgical intervention.
Role of resection and adjuvant therapy in long-term disease outcomes for low-grade pediatric intramedullary spinal cord tumors
Authors: Ahmed Raheel , Menezes Arnold H. , Torner James C. 
Published: July 2016

OBJECTIVE
Surgical excision is the mainstay treatment for resectable low-grade intramedullary spinal cord tumors (IMSCTs) in the pediatric age group. Chemotherapy and radiation treatments are generally reserved for progressive or recurrent disease. Given the indolent nature of low-grade tumors and the potential side effects of these approaches, their long-term treatment benefits are unclear. The aim of the study was to determine long-term disease outcomes and the therapeutic roles of surgery and adjuvant therapies in pediatric patients with low-grade IMSCTs over an extended follow-up period.

METHODS
Case records for all pediatric patients (< 21 years of age) with a histopathological diagnosis of low-grade IMSCT were selected over a period from January 1975 to January 2010. Outcome variables including McCormick functional grade, overall survival (OS), and progression-free survival (PFS) were analyzed with respect to demographic and treatment variables.

RESULTS
Case records of 37 patients with low-grade IMSCTs were identified, with a mean follow-up duration of 12.3 ± 1.4 years (range 0.5–37.2 years). Low-grade astrocytomas were the most prevalent histological subtype (n = 22, 59%). Gross-total resection (GTR) was achieved in 38% of patients (n = 14). Fusion surgery was required in 62% of patients with pre- or postoperative deformity (10 of 16). On presentation, functional improvement was observed in 87% and 46% of patients in McCormick Grades I and II, respectively, and in 100%, 100%, and 75% in Grades III, IV, and V, respectively. Kaplan-Meier PFS rates were 63% at 5 years, 57% at 10 years, and 44% at 20 years. OS rates were 92% at 5 years, 80% at 10 years, and 65% at 20 years. On multivariate analysis, shunt placement (hazard ratio [HR] 0.33, p = 0.01) correlated with disease progression. There was a trend toward improved 5-year PFS in patients who received adjuvant chemotherapy and radiation therapy (RT; 55%) compared with those who did not (36%). Patients who underwent subtotal resection (STR) were most likely to undergo adjuvant therapy (HR 7.86, p = 0.02).

CONCLUSIONS
This extended follow-up duration in patients with low-grade IMSCTs beyond the first decade indicates favorable long-term OS up to 65% at 20 years. GTR improved PFS and was well tolerated with sustained functional improvement in the majority of patients. Adjuvant chemotherapy and RT improved PFS in patients who underwent STR. These results emphasize the role of resection as the primary treatment approach, with adjuvant therapy reserved for patients at risk for disease progression and those with residual tumor burden.