bluuebunny/crossref_metadata_2025_split huggingface dataset:
Metaevaluación del proceso de evaluación global institucional del Ecuador con el Modelo V
Authors: Peña María Verónica 
Published: July 2017

<p>Este artículo presenta los resultados de una investigación evaluativa de corte cualitativo empleando la estrategia metodológica del Modelo “V” de análisis estructural integrativo de organizaciones universitarias; un metamodelo de evaluación que permite conocer de manera integral y desde diferentes puntos de vista la problemática que se está analizando para formular propuestas de mejora. El objetivo general consistió en evaluar el modelo utilizado para realizar el proceso de evaluación global institucional del Ecuador en relación con su cumplimiento a las normas de calidad que han sido establecidas dentro de la Ley Orgánica de Educación Superior. Utilizando las herramientas de análisis y síntesis del Modelo “V”, se logró obtener un incremento de significado en torno a la intencionalidad del estudio. Los principales hallazgos determinan la necesidad de incorporar indicadores para evaluar artículos de la Ley que no han sido contemplados dentro del modelo, ampliar información en las guías de evaluación, introducir técnicas cualitativas para la recolección de datos, precisar la fundamentación teórica e información para el procedimiento metodológico de verificación de información, y fortalecer el proceso de formación de pares evaluadores externos. Los planteamientos mencionados permiten estructurar un plan de mejora al modelo de evaluación institucional del Ecuador.</p>
Las TICs: ni demonio, ni angel: reflexiones pedagógicas para el uso del TICs en las ciencias sociales
Authors: Herrera Luis 
Published: July 2017

<div id="cke_pastebin" style="text-align: justify;"><span style="font-size: 12px;">Gente vinculada a los negocios y a la in-geniería de sistemas, </span><span style="font-size: 12px; line-height: 1.25;">han encontrado en las nuevas tecnologías una especie de </span><span style="font-size: 12px; line-height: 1.25;">Olimpo, por la variedad de oportunidades y escenarios </span><span style="font-size: 12px; line-height: 1.25;">para el desarrollo de sus acti-vidades y por las cuantiosas </span><span style="font-size: 12px; line-height: 1.25;">perspectivas de crecimiento económico y profesional. Esta </span><span style="font-size: 12px; line-height: 1.25;">consideración es notablemente diferente en el campo de </span><span style="font-size: 12px; line-height: 1.25;">reflexión y acción social; en este caso, la mayoría de argumentos </span><span style="font-size: 12px; line-height: 1.25;">son condenatorios, pues las TICs son identificadas </span><span style="font-size: 12px; line-height: 1.25;">muy rígidamente como parte de las estrategias de dominación </span><span style="font-size: 12px; line-height: 1.25;">y acrecentamiento de la inequidad socioeconómica.</span></div><div id="cke_pastebin" style="text-align: justify;"><span style="font-size: 12px;">La intención del presente trabajo radica en rebasar el lindero </span><span style="font-size: 12px; line-height: 1.25;">muy cerrado que proporcionan este tipo de criterios. Las </span><span style="font-size: 12px; line-height: 1.25;">muy bendecidas o demonizadas TICs. ¿Sirven o no a los </span><span style="font-size: 12px; line-height: 1.25;">procesos, sistemas y niveles educativos en materia de ciencias sociales? Interrogante </span><span style="font-size: 12px; line-height: 1.25;">central del presente trabajo, que obviamente no se proyecta a ofertar recetarios o el </span><span style="font-size: 12px; line-height: 1.25;">gran plan para la superación de los problemas educativos del mundo actual.</span></div>
Modeling of Teaching University Students to Serve a Direct Volleyball Overhand
Authors: Chernenko S. , Malakhova Zn. , Timoshenko V. , Budyak L. 
Published: July 2017

The objective is to determine the peculiarities of developing motor skills in the first-third-year students.Materials & methods: the participants in the study were male students of the first year (n = 32), second year (n = 32), and third year (n = 32) of training. To achieve the tasks set, the study relied on the following research methods: analysis of scientific literature, pedagogical testing, pedagogical observation and experiment. The study used the methods of mathematical planning of a complete factorial experiment to obtain a mathematical model of training modes.Results: the increase in the number of sets to twelve times, the number of repetitions in each set – to three times, and the rest interval – to 60 seconds positively impact the effectiveness of the first-third-year students’ training. The choice of training modes depends on the number of repetitions in a set for the first-year students; reduction in the rest interval to 60 seconds for the second-year students; the relation between the number of sets and the number of repetitions in a set for the third-year students.Conclusions: The 23-type experiment made it possible to study the multi-factorial structure of training modes of teaching technical elements to the first-third-year students; to specify the optimal relation between the number of sets, the number of repetitions in a set and rest intervals at the stage of teaching to serve a direct volleyball overhand.
Le viol, une variable du mal dans quelques romans camerounais / Rape, a Variable of Evil in Some Cameroonian Novels
Authors: Eyenga Onana Pierre Suzanne 
Published: July 2017

Résumé: Dans l’imaginaire féministe contemporain présent dans les œuvres de Francis Bebey, Evelyne Mpoudi Ngolle et Angéline Solange Bonono, violer la femme revient à néantiser son droit à l’existence, en remettant en cause son statut d’être humain nanti des droits inaliénables tels que fixés par un code social de bonne conduite. Dès lors, il devient intéressant de cerner les contours de l’acte de violer comme déclinaison du mal. Pourquoi contraindre une femme à entretenir avec vous un acte intime alors qu’elle n’y consent pas ? N’est-il pas opérant d’inférer que le viol traduit l’assujettissement de la femme dans une société phallocratique où sévit le mal puisque celle-ci n’est jamais sujette de son corps au point d’en disposer à sa guise ? Autrement dit, l’acte de violer ne témoigne-t-il pas que les biais androcentriques restent de mise dans un monde contemporain englué dans des batailles sexistes incessantes et qu’il convient de poursuivre le combat féministe aux fins de les exorciser ? Pour répondre à ces questions, la lecture de l’explicite et de l’implicite inspirée de la sociocritique de Pierre Barbéris nous sera d’un grand apport dans l’analyse des œuvres de ces trois auteurs africains.Mots-clés : imaginaire féministe ; Francis Bebey ; Evelyne Mpoudi Ngolle ; Angéline Solange Bonono ; viol ; sociocritique.Abstract: In the contemporary feminist imagination present in the works of Francis Bebey, Evelyne Mpoudi Ngolle and Angéline Solange Bonono, violating the woman is tantamount to denying her right to exist by questioning her status as a human being with rights Inalienable as set out in a social code of good conduct. From then on, it becomes interesting to define the contours of the act of violating as the declination of the evil. Why force a woman to maintain an intimate act with you when she does not consent? Is it not an operation to infer that rape reflects the subjugation of woman in a phallocratic society where evil is rampant because it is never subject to its body to the point of disposing of it as it pleases ? In other words, does the act of rape not testify that the androcentric biases remain in a contemporary world engulfed in endless sexist battles and that it is appropriate to continue the feminist struggle to exorcise them? To answer these questions, reading the explicit and implicit inspired by the sociocritic of Pierre Barbéris will be of great help in the analysis of the works of these three African authors.Keywords: feminist imagination; Francis Bebey; Evelyne Mpoudi Ngolle; Angéline Solange Bonono; rape; sociocriticism.
Thyroid profile in women with menstrual disorders
Authors: Digra Madhu , Kumar Ravinder , Kumar Dinesh 
Published: July 2017

Background: Thyroid dysfunction influences both menstrual flow and fertility, likely through changes in sex hormone levels, gonadotrophin release and possibly ovarian function. Objectives of this work were to study thyroid related complaints and thyroid function tests in patients with menstrual irregularities like menorrhagia, oligomenorrhoea, amenorrhoea, hypomenorrhoea and ploymenorrhoea, to study menstrual patterns in women with diagnosed thyroid disease-hypothyroidism/hyperthyroidism and to study changes in menstrual patterns, if any in these patients during the course of treatment of thyroid disease, who receive correct treatmentMethods: This study was conducted in the Department of Obstetrics and Gynecology in Government L.D. Hospital, Government Medical College, Srinagar during the period from 2006 to 2007. There were two groups under which the study was conducted. Group A: Seventy-five patients of DUB from Department of Gynecology in reproductive age group (15-45 years) presenting with menstrual irregularities like menorrhagia, oligomenorrhoea, amenorrhoea, hypomenorrhoea and ploymenorrhoea were studied for thyroid profile. Group B comprised of 25 patients including already diagnosed 17 hypothyroid and 8 hyperthyroid patients. The study protocol included thorough history taking, general physical examination, meticulous per speculum and pelvic examination and routine investigations like Hb, BT, CT, TLC, DLC, Platelet count and ABO-Rh in all patients, Serum T3, T4, TSH estimation.Results: Most of the patients were in 35-45 years age group. Prevalence of infertility was more in hypothyroid group. 22.66% patients with DUB were detected as hypothyroid where as 13.33% patients were detected as hyperthyroid.Conclusions: Thyroid function tests, many of which are sensitive radioimmunoassay, radiometric assays and even new chemiluminescence method, which can detect minute changes in hormone levels must be done in women presenting with menstrual disorders.
Postoperative analgesia following elective abdominal surgery: a prospective observational study
Authors: G. Balasubramanian , C. Vijayakumar , SC Sistla , A. S. Badhe , VS Karthikeyan , N Raj Kumar , S Sudharsanan 
Published: July 2017

Background: Laparotomy forms an important subset of general surgical operations. This study aimed at collecting the baseline information on postoperative analgesia, to detect deficiencies in current management of postoperative pain and to aid as a reference for future endeavours aimed at improving pain management following abdominal surgeries.Methods: It was conducted as a prospective descriptive study in patients undergoing elective laparotomies in the Department of General Surgery of a tertiary care institute, for two years. The patterns of prescription and administration of analgesic drugs for postoperative pain after abdominal surgery, incidence and severity of postoperative pain, adverse effects of drugs and patient satisfaction were assessed.Results: A total of 289 elective laparotomies were performed. Combinations of Non-steroidal anti-inflammatory drugs (NSAID) with opioids, epidural analgesia (EA) with supplemental intramuscular ketorolac and PCEA (Patient controlled EA) provided effective pain relief with high satisfaction score (3/4) and were associated with low sedation (1/3) and the least side effects. Patients receiving NSAIDs had higher pain score with lesser satisfaction score and lower sedation score. IV-PCA with morphine provided effective pain relief with high satisfaction score (3/4), with least side effects, but patients had high sedation score (2/3). Around 55 (55/289; 19.03%) patients experienced postoperative nausea and vomiting, which responded to antiemetic treatment.Conclusions: A combination of NSAIDs with opioids provided effective pain relief, high satisfaction with less sedation and least side effects. Epidural analgesia with supplemental intramuscular ketorolac and PCEA also provided effective pain relief with high satisfaction and less sedation with least side effects.
A clinical study of normothermic open heart surgery
Authors: Mir Ishtiak Ahmed , Kumar Ravinder , Digra Madhu , Kumar Dinesh 
Published: July 2017

Background: Normothermic open heart surgery is a new approach which is envisaged for better myocardial protection during cardiac surgery based on the concept that chemically arrested heart is perfused continuously with blood and maintained at 37ºC.Methods: This study was conducted in 50 patients at Super Specialty Hospital, Jammu in the Department of CTVS for a period of one year from 2015 to 2016. The patients of all age groups and both sexes were taken up for surgery which included patients of congenital and acquired heart diseases. All patients were undergone thorough history taking, investigations like cardiac enzymes estimation, LFT, RFT, echocardiography, ECG. Cardioplegia used during surgery consisted of warm oxygenated blood, KCL, sodium bicarbonate, hydrocortisone, Mannitol.Results: Majority of patients were in age group of 11-20 years which comprised 30% of all patients. the male and female patients were equal and ratio was 1:1. Per-operative diagnosis was same as pre-operative echocardiographic diagnosis except that one (2%) patient had ASD with partial anomalous pulmonary veins opening into right atrium. One patient (2%) had single ventricle with pulmonary stenosis. Maximum number of patients underwent mitral valve replacement followed by ASD repair. Mean aortic cross-clamp time was 62 patients and mean total CPB was 71.5 minutes. Mean value of volume of blood cardioplegia used was 1100 ml and for priming solution it was 1500 ml. Cardiac enzyme level showed peak rise above normal after 24 hours after surgery in majority of patients.Conclusions: Normothermic open heart surgery can be used in any diverse surgical procedure safely and effectively.
Raised IL-6 and C-reactive protein in neonatal sepsis in Eastern India
Authors: Chatterjee Kripasindhu , Mandal Pradyut Kumar , Rahaman Sk. Rafikul , Malathi Ravela , Ray Swapan Kumar , Dutta Amit , Gupta Chandra Narayan 
Published: July 2017

Background: Neonatal sepsis (NS) has significant morbidity and mortality rates and it is still difficult to diagnose on presentation. Early diagnosis and treatment decreases the mortality and morbidity of neonatal sepsis (NS). The study’s aim was to detect the levels of IL-6, CRP and hs-CRP in clinically suspected cases of neonatal sepsis and establish its association with the pathogenesis of the disease.Methods: The case control study consists of 70 neonates of whom 36 were clinically suspected case of sepsis admitted in NICU of paediatric department and were taken as cases and 34 were normal healthy neonates taken as control subjects. The cases as well as controls were within 28 days of age. Preterm and term neonates (<28 days of age) of both sexes showing signs of both early and late onset sepsis and also blood culture positive were included in the study. About 4 ml of venous blood was taken for measurement of hs CRP and IL 6. Serum hs-CRP levels was determined with a high-sensitivity nephelometric method while the serum level of IL 6 was measured by immunoassay Kits (Raybiotech, USA).Results: Serum IL 6 levels were increased in sepsis cases as compared to controls and were statistically significant (68.94±36.32 versus 8.26±3.82 pg/ml; P <0.0001). However, a high positive correlation was observed between ESR with serum IL 6 level (r=0.825; P = <0.001) among neonatal sepsis subjects while no correlation was seen in controls (r=0.279; P=0.098).Conclusions:It was observed that a significant rise in IL-6 or hs-CRP which may be suggested as specific marker for the identification of neonatal sepsis. The combination of IL-6 or CRP or hs-CRP could therefore be vital for the diagnosis and would be better predictors of neonatal sepsis and may be crucial in the pathogenesis of the disease.
Treatment and evaluation of talus neck fracture
Authors: Tadvi Niranjan D. 
Published: July 2017

<p><strong>Background:</strong> Talus fractures rank second in frequency of all tarsal bone injuries and talar neck fractures account for approximately 50% of these. The purpose of this study was to evaluate clinical and radiological outcomes with a long follow-up of displaced and operatively treated talar fractures.</p><p><strong>Methods: </strong>The study was a prospective study of ten cases of closed talar neck fracture evaluated and treated at the Department of orthopaedics, Sir.T.Hospital, Bhavnagar from 19 May 2011 to 17 March 2013. Out of ten patients, nine turned up for follow up, one was lost.</p><p><strong>Results: </strong>Reduction was anatomical in five cases (50%), nearly anatomical in 3 cases (30%) and poor in two cases (20%). One patient (10%) developed an early superficial infection and required surgical irrigation and debridement and appropriate antibiotic treatment. Using the AOFAS ankle–hindfoot scale, the average functional score was 74.2 points. There was excellent result in one patient, good result in three cases, fair in six and no poor result fond.</p><p><strong>Conclusions:</strong> Talar neck fractures (Hawkins type 2 and 3) treated with anatomical reduction and near anatomical reduction having satisfactory clinical and functional outcome, where as (Hawkins type 4) having fair to poor outcome with complication like AVN, arthritis and malunion due to poor initial reduction.</p><p><strong>Keywords:</strong> Talus neck fractures, Avascular necrosis, AOFAS ankle–hindfoot scale, Hawkins type offracture</p>
Amlodipino y choque vasodilatado en una unidad de cuidados intensivos de un hospital general. Reporte de caso
Authors: Zegarra Jaime , Meza Mónica , Cornejo Carla , Porras Willy , Díaz Alfredo , Heredia Omar , Rojas Wilson , Granados Luis , Campos Eva , Cosme Samuel , Mayma Pedro , Delgado Marco , Canchos Ivan , Castillo José , Matzunaga Denny , Fernández Diana , Callo Diana , Hernández Antonio 
Published: July 2017

Los calcio antagonistas son fármacos usados para diferentes patologías médicas; sin embargo la intoxicación puede ser grave. Presentamos el caso de una mujer joven intoxicada por amlodipino quien cursó con choque vasodilatado y disfunción multiorgánica, en quien se usó vasopresores múltiples a dosis por encima de las habituales para estabilizarla.
Fiebre amarilla y disfunción multiorgánica. Reporte de tres casos
Authors: Zegarra Jaime , Meza Mónica , Cornejo Carla , Porras Willy , Díaz Alfredo , Heredia Omar , Rojas Wilson , Granados Luis , Campos Eva , Cosme Samuel , Mayma Pedro , Delgado Marco , Canchos Ivan , Castillo José , Matzunaga Denny , Umezawa Luis , Chiquinta Greta , Fernández Diana , Callo Diana , Rojas Erika , Beramendi Yesenia , Sotelo María Isabel , Saavedra Vanessa , Bejarano Gabriela , Ramírez Víctor , Hernández Antonio 
Published: July 2017

Fiebre amarilla es una enfermedad viral aguda causada por un virus de la familia Flaviviridae transmitida por vectores, caracterizada por síndrome ictérico febril hemorrágica y que puede cursar con disfunción multiorgánica,con alta mortalidad. Se reportan tres casos de pacientes que viajaron a La Merced, Chanchamayo, que cursaron con síndrome ictérico febril hemorrágico con disfunción multiorgánica, con diagnóstico serológico de fiebre amarilla; uno sobrevivió y dos fallecieron.
Tetraploidia em Rhamdia quelen (Quoy e Gaimard, 1824) por choque térmico duplo (quente e frio)
Authors: GARCIA Silvano , AMARAL JÚNIOR Hilton , YASUY George Shigueki , LIEBL Fernanda , SOUTO Luís Ivan Martinhão , ZANIBONI-FILHO Evoy 
Published: July 2017

Avaliou-se a eficiência do choque térmico duplo para induzir tetraploidia em jundiá Rhamdia quelen em diferentes tempos pós-fertilização. Vinte mililitros de ovos (10, 15, 20, 25, 30 e 35 mpf í minutos pós-fertilização) foram tratados com choque térmico quente (39 Â± 0,2Â°C) durante 3 min, seguido de choque térmico frio (1,0 Â± 0,1Â°C) durante 30 min. Um grupo controle foi utilizado. As taxas de fertilização e de eclosão foram medidas 12 hpf (horas pós-fertilização) e 30 hpf respectivamente. Decorridas 60 hpf, 25 larvas de cada unidade experimental foram fixadas para verificação da ploidia, por citometria de fluxo. A taxas de fertilização foram de 87,83% para o controle e de 23,4%; 28,5%; 30,4%; 20,0%; 30,3% e 36,7%, para os grupos tratados com choque térmico aos 10, 15, 20, 25, 30 e 35 mpf respectivamente. Encontraram-se tetraploides apenas nos grupos de ovos tratados aos 15 mpf e 20 mpf. Este é o primeiro trabalho de indução de tetraploidia em jundiá por choques térmicos quente e frio, o qual possibilitou o aperfeiçoamento dessa técnica.
Risk Factors for and Clinical Outcomes of Dysphagia After Anterior Cervical Surgery for Degenerative Cervical Myelopathy
Authors: Nagoshi Narihito , Tetreault Lindsay , Nakashima Hiroaki , Arnold Paul M. , Barbagallo Giuseppe , Kopjar Branko , Fehlings Michael G. 
Published: July 2017

Background:
Although dysphagia is a common complication after anterior cervical decompression and fusion, important risk factors have not been rigorously evaluated. Furthermore, the impact of dysphagia on neurological and quality-of-life outcomes is not fully understood. The aim of this study was to determine the prevalence of and risk factors for dysphagia, and the impact of this complication on short and long-term clinical outcomes, in patients treated with anterior cervical decompression and fusion.

Methods:
Four hundred and seventy patients undergoing a 1-stage anterior or 2-stage anteroposterior cervical decompression and fusion were enrolled in the prospective AOSpine CSM (Cervical Spondylotic Myelopathy) North America or International study at 26 global sites. Logistic regression analyses were conducted to determine important clinical and surgical predictors of perioperative dysphagia. Preoperatively and at each follow-up visit, patients were evaluated using the modified Japanese Orthopaedic Association scale (mJOA), Nurick score, Neck Disability Index (NDI), and Short Form-36 Health Survey (SF-36). A 2-way repeated-measures analysis of covariance was used to evaluate differences in outcomes at 6 and 24 months between patients with and those without dysphagia, while controlling for relevant baseline characteristics and surgical factors.

Results:
The overall prevalence of dysphagia was 6.2%. Bivariate analysis showed the major risk factors for perioperative dysphagia to be a higher comorbidity score, older age, a cardiovascular or endocrine disorder, a lower SF-36 Physical Component Summary score, 2-stage surgery, and a greater number of decompressed levels. Multivariable analysis showed patients to be at an increased risk of perioperative dysphagia if they had an endocrine disorder, a greater number of decompressed segments, or 2-stage surgery. Both short and long-term improvements in functional, disability, and quality-of-life scores were comparable between patients with and those without dysphagia.

Conclusions:
The most important predictors of dysphagia are an endocrine disorder, a greater number of decompressed levels, and 2-stage surgery. At the time of both short and long-term follow-up, patients with perioperative dysphagia exhibited improvements in functional, disability, and quality-of life scores that were similar to those of patients without dysphagia.

Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.