bluuebunny/crossref_metadata_2025_split huggingface dataset:
DMT Gland
Authors: St.John Graham 
Published: February 2017

With clinical psychiatrist Rick Strassman's DMT: The Spirit Molecule as a vehicle, the pineal gland has become a popularly enigmatic organ that quite literally excretes mystery. Strassman’s top selling book documented ground-breaking clinical trials with the powerful mind altering compound DMT (N,N-dimethyltryptamine) conducted at the University of New Mexico in the early 1990s. Inflected with Buddhist metaphysics, the book proposed that DMT secreted from the pineal gland enables transit of the life-force into this life, and from this life to the next. Since that study, the hunt has been on to verify the organ’s status as the “lightening rod of the soul” and that DMT is the “brain's own psychedelic.” While the burden of proof hangs over speculations that the humans produce endogenous DMT in psychedelic quantities, knowledge claims have left the clinic to forge a career of their own. Exploring this development, the article addresses how speculation on the DMT-producing “spirit gland”—the “intermediary between the physical and the spiritual”—are animate in film, literature, music and other popular cultural artefacts. Navigating the legacy of the DMT gland (and DMT) in diverse esoteric currents, it illustrates how Strassman’s “spirit molecule” propositions have been adopted by populists of polar positions on the human condition: i.e. the cosmic re-evolutionism consistent with Modern Theosophy and the gothic hopelessness of H. P. Lovecraft. This exploration of the extraordinary career of the “spirit molecule” enhances awareness of the influence of drugs, and specifically “entheogens,” in diverse “popular occultural” narratives, a development that remains under-researched in a field that otherwise recognises that oc/cult fandom—science fiction, fantasy and horror—is a vehicle for religious ideas and mystical practices.
Development of Entrepreneurial skills for innovation in of autonomous public universities/Desarrollo de competencias emprendedoras en docentes de universidades públicas autónomas
Authors: Viloria Hender Alexander 
Published: February 2017

En el presente artículo se analiza el desarrollo de competencias emprendedoras en docentes universidades públicas autónomas del estado Zulia, basado en las teorías de Auletta y Puente (2010), Mas Torelló (2011) e Hisrich, (2005) La investigación fue de tipo descriptiva, no experimental y de campo. Se aplicó un cuestionario tipo Likert a una muestra de 44 docentes-investigadores de universidades públicas autónomas del estado Zulia. Se obtuvo como resultados previos que hay un moderado nivel de actitud y atributos para el emprendimiento y un alto rango de competencias tecnológicas para transformar la realidad con conocimientos innovadores, pero con bajo nivel de financiamiento así como recursos escasos. Por lo que se propone cultivar a través de un modelo, el desarrollo competencias emprendedoras para la innovación en los docentes de centros de investigación, con el fin de transformar las universidades públicas autónomas en instituciones que produzcan resultados tangibles para el desarrollo socio-productivo de la nación.
Early Palliative Care Reduces End-of-Life Intensive Care Unit (ICU) Use but Not ICU Course in Patients with Advanced Cancer
Authors: Romano Andrew M. , Gade Kristine E. , Nielsen Gradon , Havard Robert , Harrison James H. , Barclay Josh , Stukenborg George J. , Read Paul W. , Blackhall Leslie J. , Dillon Patrick M. 
Published: February 2017

Abstract

Background
Early palliative care for advanced cancer patients improves quality of life and survival, but less is known about its effect on intensive care unit (ICU) use at the end of life. This analysis assessed the effect of a comprehensive early palliative care program on ICU use and other outcomes among patients with advanced cancer.

Patients and Methods
A retrospective cohort of patients with advanced cancer enrolled in an early palliative care program (n = 275) was compared with a concurrent control group of patients receiving standard care (n = 195) during the same time period by using multivariable logistic regression analysis. The multidisciplinary outpatient palliative care program used early end-of-life care planning, weekly interdisciplinary meetings to discuss patient status, and patient-reported outcomes assessment integrated within the electronic health record.

Results
Patients in the control group had statistically significantly higher likelihood of ICU admission at the end of life (odds ratios [ORs]: last 6 months, 3.07; last month, 3.59; terminal admission, 4.69), higher likelihood of death in the hospital (OR, 4.14) or ICU (OR, 5.57), and lower likelihood of hospice enrollment (OR, 0.13). Use of chemotherapy or radiation did not significantly differ between groups, nor did length of ICU stay, code status, ICU procedures (other than cardiopulmonary resuscitation), disposition location, and outcomes after ICU admission.

Conclusion
Early palliative care significantly reduced ICU use at the end of life but did not change ICU events. This study supports early initiation of palliative care for advanced cancer patients before hospitalizations and intensive care.
PROFILAXIA PARA TROMBOSE VENOSA PROFUNDA EM PACIENTES COM FRATURAS DE MEMBRO INFERIOR INTERNADOS EM UM HOSPITAL REFERÊNCIA DE GOIÂNIA
Authors: Santos Lays Rodrigues , Casa Junior Adroaldo José , Gardenghi Giulliano 
Published: February 2017

Introdução: A trombose venosa profunda (TVP) é caracterizada pela formação de trombos nas veias profundas. É a principal causa de embolia pulmonar (EP), sendo de extrema importância que se realize a profilaxia da TVP. Objetivos: Verificar se a profilaxia para TVP em pacientes com fraturas de membro inferior em um hospital público voltado para atendimento de urgências está sendo eficiente, identificar as categorias de risco para TVP de acordo com a Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV) e verificar o número de atendimentos de fisioterapia realizados nessa população durante internação hospitalar. Metodologia: Estudo transversal quantitativo e analítico de 79 pacientes internados com uma ou múltiplas fraturas em membro inferior, entre abril e junho de 2016. Os dados foram coletados nos prontuários, sendo aplicado o protocolo de estratificação de risco para TVP da SBACV. Resultados: Homens corresponderam 75,9% da amostra. A idade foi de 38,6 ± 18,2 anos. 1,3 % da amostra foram estratificados em baixo risco, 74,7% em médio risco e 24,1% em alto risco para TVP. 3,8% da amostra não receberam profilaxia medicamentosa. Os incluídos no estudo receberam atendimento fisioterapêutico a cada 2,6 dias durante período de internação e 2,5% da amostra apresentaram complicações, sendo um óbito e uma TVP com evolução para TEP. Conclusões: A profilaxia medicamentosa para TVP associado às manobras fisioterapêuticas foram eficazes na maioria dos pacientes estudados. A maior parte dos pacientes foi classificada como em médio risco para desenvolvimento de TVP. O número de sessões de fisioterapia durante o período de internação prestado foi considerado baixo, pela falta de pessoal associada ao serviço público em questão.
FISIOPATOLOGIA DA HIPOTENSÃO POSTURAL E INTOLERÂNCIA ORTOSTÁTICA
Authors: Gardenghi Giulliano , Balestra Luciana Fernandes 
Published: February 2017

Introdução: Fenômenos de hipotensão postural e intolerância ortostática resultam de situações que envolvem hipofluxo cerebral transitório, sendo normalmente relacionadas a uma condição benigna e passível de tratamento, seja ele farmacológico ou não. Objetivo: Discorrer sobre os aspectos fisiopatológicos envolvidos nos episódios de perda de consciência relacionados ao sistema cardiovascular. Metodologia: Foi desenvolvida uma revisão de literatura contendo artigos em língua inglesa e portuguesa e capítulos de livros que abordassem aspectos fisiopatológicos na hipotensão postural ou na intolerância ortostática. Resultados/Discussão: Nota-se que os casos benignos de síncope associados ao sistema cardiovascular, principalmente os recorrentes, possuem fisiopatologia complexa, sendo necessária a compreensão dos mecanismos envolvidos nos episódios de perda de consciência para que assim desenvolvam-se melhores maneiras, farmacológicas ou não, de se abordar os doentes envolvidos. Situações com desregulação autonômica estão invariavelmente presentes na gênese dos episódios sincopais. Considerações finais: A fisiopatologia relacionada nos episódios de perda de consciência associados ao sistema cardiovascular envolve fatores como doenças preexistentes, uso de fármacos, envelhecimento, intensidade do exercício e outros, que devem ser considerados pelo profissional de saúde envolvido no processo de assistência a essa população.
Contrastes entre a crítica literária especializada e amadora: os booktubers e os discursos sobre o livro e a leitura / Contrasts between the specialized and unprofessional literature critics: the booktubers and the discourses about the book and the reading
Authors: Vizibeli Danilo 
Published: February 2017

RESUMO: Este trabalho tem por objetivo descrever, pautado na Análise do Discurso francesa e na História Cultural, as práticas discursivas da representação contemporânea do leitor por meio de algumas reflexões sobre a crítica especializada e a amadora. Utiliza-se como recorte do corpus uma notícia veiculada no portal de entretenimento do UOL, intitulada “Mercado literário: Os booktubers vão substituir os críticos especializados?”, assinada por Rodrigo Casarin. Procura-se elencar e compreender as formações discursivas sobre o leitor comum e o leitor profissional, este entendido como a crítica literária profissional que se serve de uma leitura institucionalizada. Questiona-se: por que a crítica literária formal se reveste de prestígio, mas quando se quer vender as obras e movimentar o mercado editorial é preciso, na atualidade, promover o comentário amador? Quais os limites entre o leitor comum e o crítico especializado? Por que postar um vídeo na internet gera capital social para aquele que se denomina leitor voraz e aproxima leitores e escritores? Em termos de linguagem, o que se diz sobre a leitura na época da cibercultura? Para dar conta dessas indagações são utilizadas as reflexões teóricas encontradas nas obras de Orlandi (2012), Foucault (2010) e Chartier (1998, 2010).PALAVRAS-CHAVE: discurso; leitura; livros; crítica. ABSTRACT: This paper aims at describing, based on the French Discourse Analysis and Cultural History, the discursive practices of contemporary representation of the reader through some reflections on the specialized and amateur critics. It is used as corpus cut one piece of news published on the entertainment portal UOL, under the title "Literary Market: will the booktubers replace the specialized critics?", signed by Rodrigo Casarin. It seeks to list and understand the discursive formations of the general reader and the professional player, this understood as the professional literary criticism that serves as an institutionalized reading. It wonders: why is the formal literary criticism of prestige, but when you want to sell the works and move the publishing market, it is necessary, at present, to promote the amateur comment? What are the limits between the general reader and the expert critical? Why does posting a video on the Internet give social capital to the one that is called a voracious reader and bring together readers and writers? In terms of language, what is said about reading at the time of cyberculture? To account for these reflections, theoretical reflections found in the works of Orlandi (2012), Foucault (2010) and Chartier (1998, 2010) are used.KEYWORDS: discourse; reading; books; critics.
Movimento Booktubers: práticas emergentes de mediação de leitura / Booktubers movement: emerging practices of reading mediation
Authors: Teixeira Claudia Souza , Costa Andressa Abraão 
Published: February 2017

RESUMO: Este trabalho objetiva investigar as práticas de mediação de leitura desenvolvidas por booktubers, jovens que utilizam o YouTube para compartilhar informações sobre livros e interagir com outros leitores. Parte-se de conceitos relativos à leitura e à sua mediação, para, em seguida, tratar de aspectos relacionados ao ciberespaço, à formação de comunidades virtuais e ao fenômeno Booktubers. Por fim, como resultado de uma análise documental de 100 vídeos postados por booktubers, são mostradas características das práticas de mediação desses sujeitos e os tipos de livros mais comentados por eles. Conclui-se que as práticas convencionais de mediação de leitura funcionam como base para a atuação dos booktubers, mas são adaptadas às novas maneiras de elaboração, criação e organização possibilitadas pela Internet.PALAVRAS-CHAVE: booktubers; vlogs literários; mediação de leitura; comunidades virtuais. ABSTRACT: This paper intents to investigate reading mediation practices develop by the booktubers, young people that use the YouTube in order to share information about books and to interact with other readers. We begin presenting some concepts related to reading and mediation activities, and then, talk about some aspects of cyberspace, the formation of virtual communities and the Booktubers phenomena. At last, as a result of a documental analysis of 100 videos posted by booktubers, we show the characteristics of these emerging mediation reading practices and the types of books that are more commented by them. We conclude that the conventional practices of reading mediation are the bases for the booktubers’ actuation, but they are adapted to the new kinds of elaboration, creation and organization enabled by the Internet.KEYWORDS: booktubers; literature vlogs; reading mediation; virtual communities.
Software livre e de código aberto no ensino de Programas de Apoio à Tradução: OmegaT, uma alternativa viável / Free open source and software in the teaching of cat tools: OmegaT, a viable alternative
Authors: Villela Adauto Lúcio Caetano 
Published: February 2017

RESUMO:o ensino de Programas de Apoio à Tradução (PAT) é essencial a todos os cursos que visem preparar os alunos para o efetivo exercício da profissão, em especial aqueles que atuarão em áreas técnicas, principalmente a de localização. Como alternativa aos softwares comerciais pagos que dominam a indústria da tradução (como o SDL Trados Studio, o Wordfast Pro e o MemoQ), contamos com softwares proprietários de uso gratuito (como o Wordfast Anywhere e o Google Translator Toolkit) e, ainda, softwares livres e de código aberto (como o OmegaT e o Anaphraseus). Partindo da descrição dos tipos de PAT e de seus principais recursos, o objetivo deste artigo é apontar, por meio de uma análise avaliativo-comparativa baseada em uma pesquisa e no cotejo entre o OmegaT, softwares proprietários gratuitos e outrossoftwares livres, por que e para quais situações constitui aquele uma alternativa viável para o ensino de PAT em cursos superiores.PALAVRAS-CHAVE: Programas de Apoio à Tradução; ensino da tradução; competência do tradutor; empregabilidade; OmegaT. ABSTRACT:The teaching of Computer Aided Translation (CAT) tools is essential to all courses aimed at preparing students for the effective exercise of this profession, in particular those students who will translate technical texts, especially in the field of localization. As an alternative to the paid commercial software which dominate the translation industry (such as SDL Trados Studio, Wordfast Pro and MemoQ), there are free proprietary softwares (such as Wordfast Anywhere and Google Translator Toolkit), and free open source ones (such as OmegaT and Anaphraseus). Starting from a description of CAT types and main functions, the purpose of this article is to point out, through an evaluative-comparative analysis based on a research and on a comparison between OmegaT, free proprietary softwares and others open source softwares, why and for which situations OmegaT is a viable alternative for the teaching of CAT tools in higher education.KEYWORDS: Computer Aided Tanslation tools; translator education; translator competence; marketability; OmegaT.
Vocabulário, complexidade textual e compreensão de leitura em ambientes digitais de ensino: uma investigação inicial com alunos do Ensino Médio / Vocabulary, textual complexity and reading comprehension in digital learning environments: an initial investigation with high school students
Authors: Finatto Maria José Bocorny , Stefani Monica , Evers Aline , Franco Pasqualini Bianca 
Published: February 2017

RESUMO:Neste artigo, relata-se uma investigação inicial que pretendeu qualificar a elaboração e a facilidade de uso de recursos didáticos para Educação a Distância (EAD) na área de Letras/Língua Portuguesa e Leitura. Apresentam-se o planejamento do recurso, a seleção de materiais e as noções teóricas envolvidas e o desenho inicial da atividade, que consistiu em ler e avaliar a complexidade de um conjunto de textos curtos. A experiência revelou sucesso apenas para um pequeno grupo controlado de alunos e insucesso em grande grupo, sem controle. Para a melhoria do recurso criado e da sua implementação didática, indica-se a necessidade de realização de atividades prévias presenciais de estudo com os grupos envolvidos e de avaliação de resultados com os alunos respondentes após a tarefa realizada.PALAVRAS-CHAVE: ambientes digitais; complexidade textual; recursos de EAD; vocabulário. ABSTRACT: In this paper, we describe an initial investigation that intended to qualify the elaboration and usability of didactic resources for Distance Learning (DL) in the field of Languages/Portuguese Language and Reading. We present the planning of the resource, the selection of materials and the theoretical notions involved, and the initial design of the activity, which consisted in reading and evaluating the complexity of a set of short texts. The experience was successful only for a small controlled group of students and unsuccessful for the large uncontrolled group. In order to improve the devised resource and implement it didactically, there is the need to perform previous presential learning activities with the involved groups and proceed with the student’s evaluation of the results after the task is accomplished.KEYWORDS: digital environments; textual complexity; distance learning resources; vocabulary.
The clinical and etiological profile of atrial fibrillation after echocardiography in a tertiary care centre from North India - a cross sectional observational study
Authors: Singh Ranvijay , Kashyap Rajesh , Bhardwaj Rajeev , Marwaha Rajeev , Thakur Manish , Singh Thakur Prashant , Kalawar Ritesh , Kumar Soni 
Published: February 2017

Background: Atrial fibrillation (AF) is the most common sustained arrhythmia in clinical practice. In western countries, rheumatic heart disease (RHD) is a rare cause of atrial fibrillation but in developing countries like India it is one of the commonest cause of atrial fibrillation. We studied etiology, left atrial size and the incidence of left atrial appendage clot in patients with atrial fibrillation at our institution so that guidelines could be formulated to manage the patients of AF in the hours of emergency.Methods: 110 consecutive patients of atrial fibrillation coming to emergency, cardiology and medicine outpatient department over a period of one year were enrolled for the study. Ethical committee clearance was taken. Detailed history were taken, clinical presentation reviewed and examination were carried out. All patients were subjected to transthoracic echocardiography and for transesophageal echocardiography if required.Results: The mean age of patients in the study was 58.42±14.27 years (range 22-90 years). Maximum numbers of patients were in the age group of 61-70 years (26.37%). Out of 110 patients with atrial fibrillation, 72 patients (65.46%) were females and 38 patients (34.54%) were males. Majority of patients presented with more than one symptom. Out of 110, 66 patients (60%) had RHD. Among RHD patients, 50 patients (45.55%) were females and 16 patients (14.55%) were males. Next common causes were hypertensive heart disease and degenerative valvular heart disease.Conclusions: In our study RHD was the most common cause of atrial fibrillation, followed by hypertensive heart disease and degenerative valvular heart disease. Mitral valve involvement was seen in all patients of RHD. Left atrial enlargement was seen in majority of patients, so left atrial enlargement could be a predictor of atrial fibrillation. Patients of left atrial enlargement are more prone to develop left atrial appendage clot.
Clinical study of acute subdural haematoma – a level I trauma care centre experience
Authors: Prahaladu P. , Prasad K. Satyavara , Rajasekhar B. , Reddy K. Satyanarayana 
Published: February 2017

Background: Acute subdural hematoma is the most common type of traumatic intra cranial hematoma accounting for 24% cases of severe head injuries and caries highest mortality. The aim of this study is to analyse the clinical spectrum, and to evaluate the postoperative outcome.Methods: This is a prospective observational Study which included 150 patients admitted in King George hospital, Andhra Medical College, Visakhapatnam, India over the past two years (01st August 2013 to 30th August 2015) with head injury, diagnosed to have Traumatic subdural Hemorrhage. A detailed clinical history, physical examination, CT scan was performed in all patients. Patients who were subjected to surgery, post-operative out-come were compared.Results: The maximum patients suffering from SDH are in the age group of 20-40 years (63%) with male predominance (73%). The most common mode of injury is RTA (73.33%). 40% of cases presented to hospital with gcs <8. Pupillary reaction, hypotension, CT scan findings i.e. thickness of hematoma >10mm and midline shift of >5mm, Basal cisterns obliteration, post traumatic seizure and delay in interval between the surgery had greatly affected on outcome of patients. Out of 150 cases, surgical approach was considered in 120 patients while remaining 30 patients were managed conservatively.Conclusions: Interval between injury to surgery with interval <4 hours having favourable outcome. Basal cistern obliteration, which is an indicator of increased intra cranial pressure is the single most important factor for unfavourable outcome. Hypotension and post traumatic seizures influence high mortality.
A comparative study of 4-hour versus 2-hour action line on who modified partograph
Authors: Sinha Divya , Shrivastava Sourabh , Shrivastava Swati 
Published: February 2017

Background: World health organization has promoted modified partograph with action line, 4 hour to left of alert line. While others have used various action line 2, 3, or 4 hours to initiate and guide ‘‘active management’’ decisions. Objectives of the study were to evaluate outcome of labour in terms of caesarean section rate, augmentation of labour and fetal outcome in whom labour has been managed with 4-hour vs 2-hour action line on WHO modified partograph.Methods: This was a randomized, prospective, comparative study. Primigravida, 19-28 years, with single live foetus in vertex presentation without any medical and obstetrical complications, at term pregnancy have been included in the study. Results were compared between Group A, with 100 cases, in whom labour has been managed with WHO modified Partograph with 4-hour action line and Group B, with 100 cases, in whom labour has been managed with that of 2-hour action line.Results: The present study shows that more women in 2-hour arm crossed the action line, compared with the 4-hour arm, and therefore received more interventions to augment labour. Rate of caesarean section is more in group B (11%) than in group A (9%) which is statistically nonsignificant.Conclusions: Neonatal outcome measured with APGAR score at 5 minute, has shown no significant difference in both groups. Therefore, partograph with 2-hour action line doesn’t show any superiority over that of 4-hour action line but to be associated with higher incidence of intervention. Further research is required in this field of active management.