bluuebunny/crossref_metadata_2025 huggingface dataset:
JIGSAW II: An Effective Strategy to Develop Reading Comprehension Among School Children
Authors: Thamban Sindhu
Published: December 2020

The Jigsaw II, one form of Cooperative learning techniques is an efficient strategy to use in a language classroom. The basic activities include 1) Reading with team members 2) Expert group discussion 3) Team members report 4) Test 5) Team recognition. The jigsaw II strategy is easyto implement and works well with a wide range of students.Previous researches related to Jigsaw II shows that it is more powerful and effective and appropriate in situations where learning is from text based materials. Reviews related to the strategy shows that no researches have been carried out to develop the reading comprehension of the high school students, particularly in the Indian context. Hence through this paper an attempt has been made by the researcher to check the effectiveness of Jigsaw II in developing the reading comprehension of High school students.The study statistically revealed that there is significant difference in the reading comprehension achievement of the students who were taught by using the traditional method and to those taught by using the Jigsaw II strategy. In accordance with the qualitative and quantitative findings attained it was found that Jigsaw II was found to be more effective than the traditional teaching method in developing the reading comprehension of high school students.
Peace Education in India: Possibilities and Challenges
Authors: Chandran Anu , Nagaraj P
Published: December 2020

Peace education is an emerging field of study that has attained full acceptance in many countries, and is on its way towards development in many other parts of the world. The world is becoming more of an unsafe place to live in. There are threats in many forms against survival. Peace has become devoid in the day to day lives of people in all spheres of society, culture, politics and economics. Therefore it is essential to impart knowledge about peace and reconciliation post conflict, as that would help build a nonviolent approach towards conflict, and encourage to develop skills and values promoting reconciliation, and nonviolence. Once the right knowledge, skills and values are transmitted, transformation begins as people understand the root cause of conflicts and explore ways to address the challenges. Peace education is both educating on the peace content as well as educating for peace. The paper discusses the objectives of peace education and how it can be implemented as an effectualacademic discourse either by integrating it within the curriculum or through extramural activities. It also looks into the challenges and possibilities of a higher learning that shapes the mind and spirit of the learners as much as their intellect.
Child Sexual Abuse as a Serious Issue in Reference with a Novel, Living Dead Girl by Elizabeth Scott
Authors: Greeni Emima A , Vinothkumar G
Published: December 2020

Living Dead Girl story follows a prepubescent girl named Alice, who has been kidnapped by a pedophile named Ray. The novel takes place 5 years after Alice’s abduction when she was 15 years old. They pose as father and daughter, though they have no connections to anyone in the outside world. During the time they were inside home, he deprived her of food in order to retain her body as a child itself and he dresses her like a child and then he will rape her everyday. Alice refers to herself as a Living Dead Girl she is numb on the inside and is looking forward to the day when Ray will finally kill her, like before, Ray lived with the first Alice until she reach the age fifteen and her body had begun to mature, so he killed her, but he had never been suspected. As there are many types of sexual abuse, most dreadful abuse is child sexual abuse, where it is recognized as a serious violation of human well-being. CSA is unacceptable international problem that can affect children of both the gender.
Hubungan Kebiasaan Merokok di dalam Rumah dengan Kejadian Pneumonia pada Anak Usia 1-4 Tahun
Authors: Wahyuni Nuniek Tri , Aeni Heni Fa'riatul , Azizudin Muhammad
Published: December 2020

ABSTRAK Pneumonia merupakan penyebab dari 15% kematian pada balita. Keberadaan anggota keluarga yang merokok di dalam rumah merupakan salah satu faktor penyebab terjadinya masalah kesehatan pada sistem pernafasan khususnya Pneumonia pada anak. Tujuan penelitian ini adalah untuk mengetahui hubungan kebiasaan merokok di dalam rumah dengan kejadian Pneumonia pada anak usia 1-4 tahun. Jenis penelitian ini adalah penelitian analitik dengan pendekatan cross sectional. Populasi penelitian ini adalah anggota keluarga yang memiliki anak usia 1-4 tahun yang terkena Pneumonia sebanyak 110 dengan jumlah sampel 86 responden menggunakan accidental sampling. Pengumpulan data diperoleh dengan menggunakan kuesioner dan dianalisis secara statistik menggunakan uji Chi Square. Berdasarkan hasil uji statistik dari 86 responden yang memiliki keberadaan orang yang merokok di dalam rumah sebanyak 52 orang (60,47%) sedangkan keberadaan orang yang tidak merokok di dalam rumah sebanyak 34 (39,53%).  Responden dengan kategori mengalami Pneumonia sebanyak 75 orang (87,21%), yang mengalami Pneumonia berat sebanyak 7 orang  (8,14%) dan yang mengalami Pneumonia sangat berat sebanyak 4 orang (4,63 %) dengan  P value = 0,016 (< 0,05). Terdapat hubungan kebiasaan merokok  dengan kejadian Pneumonia pada anak usia 1-4 tahun.    Kata kunci  : kebiasaan merokok; pneumonia; anak  CORRELATION BETWEEN SMOKING HABITS AT HOME AND THE INCIDENT OF PNEUMONIA AMONG CHILDREN AGED 1-4 YEARS  ABSTRACT Pneumonia is the cause of 15% of deaths in children under five. The presence of family members who smoke in the house is one of the causal factors of health problems in the respiratory system, especially pneumonia among children. This study was aimed to determine the correlation between smoking habits at home and the incidence of pneumonia among children aged 1-4 years. This was an analytic study with cross sectional approach. The population of this study were family members who had children aged 1-4 years with pneumonia as many as 110 people. The number of samples was taken through the Slovin sample size formula totally 86 respondents and the determination of the samples used Accidental Sampling. Data were collected using a questionnaire and analyzed statistically using the Chis Square test. Based on the results of statistical tests, it was revealed that of 86 respondents, 52 people (60.47%) had the presence of people who smoked in the house while 34 (39.53%) did not have had the presence of people who smoked in the house.  75 respondents (87.21%) had pneumonia, 7 people experienced severe pneumonia (8.14%) and 4 people experienced very severe pneumonia (4.63%). Chi Square test results obtained a P value=0.016 (<0.05), which meant that there is a relationship between smoking habit at home and the incidence of pneumonia among children aged 1-4 years. Keywords: Smoking habit; pneumonia; children
Luftverkehrsrecht im Zeitalter von Corona
Authors: Giemulla Elmar M.
Published: December 2020

Rechtsvorschriften sind üblicherweise auf den erwartbaren Normalfall zugeschnitten. Dies gilt auch für den Luftverkehr. Das Hauptziel des Luftverkehrsrechts, die Abläufe in der Luftfahrt sicher zu gestalten und die Anforderungen an Mensch und Technik auf einem akzeptablen Sicherheitsniveau zu halten, bringt bereits im Normalfall erhebliche Belastungen organisatorischer und finanzieller Art für die Beteiligten mit sich. Aber da diese Belastungen alle Be- teiligten gleichermaßen treffen, müssen sie auch alle hier- mit gleichermaßen fertig werden. Können sie es nicht, haben sie aus dem Markt auszuscheiden - auch das kann ein durchaus nicht unwillkommener Sicherheitseffekt sein.
Pengaruh Faktor-Faktor Produksi Terhadap Produktivitas Usaha Tani Padi Sawah di Kelurahan Ngkari-Ngkari Kecamatan Bungi Kota Baubau
Authors: Zarliani Waode Al
Published: December 2020

Tujuan penelitian ini (1)  untuk mengetahui  pengaruh luas lahan, bibit, tenaga kerja, pupuk, dan pestisida secara simultan terhadap produktivitas usaha tani padi sawah; dan (2) untuk mengetahui  pengaruh luas lahan, bibit, tenaga kerja, pupuk, pestisida dan terhadap produktivitas usaha tani padi sawah. Populasi dalam penelitian ini adalah keseluruhan petani yang mengusahakan tanaman padi sawah yang berjumlah 470 orang. Penentuan sampel dilakukan  dengan metode simple random sampling dengan mengambil 10% dari populasi, sehingga diperoleh jumlah sampel 47 responden. Selanjutnya data ditabulasi dan dianalisis dengan teknik analisis  regresi linear berganda. Hasil penelitian diperoleh bahwa terdapat pengaruh Faktor-faktor produksi secara simultan  terhadap produktifitas pada usahatani padi sawah  dengan pengaruh sebesar  75,9% dan selebihnya 24,1%% dipengaruhi oleh faktor lain. Nilai signifikansi lahan (X1) = 0,009, bibit (X2)=0,040, Jumlah tenaga kerja (X3) =0,981, Pupuk (X4)=0,013, pestisida X5= 0.000. dari hasil tersebut,  tenaga kerja tidak berpengaruh signifikan  sedangkan luas lahan, bibit,pupuk dan pestisida berpengaruh signifikan terhadap produktivitas usaha tani padi sawah dengan persamaan Regresi  Y= 1370,989 -802,119 X1 + 11,107 X2  -101 X3 + 1.010 X4 + 519,958 X5 + e.
Problematika Fungsi Hakim Pengawas dan Pengamat Dalam Sistem Peradilan Pidana Indonesia: Tinjauan Studi Socio-Legal
Authors: Pahlawan MP H Muhamad Rezky , Purnomo Chessa Ario Jani
Published: December 2020

In this study, the author considers 3 (three) reasons that are considered important such as philosophical aspects, aspects of criminal law theory, and political aspects of national criminal procedural law after describing 5 (five) previous legal scientific studies related to the implementation of supervisory judges and observers in the criminal justice system. This study aims to reflect on the legal principles of the kimwasmat institution and build models and patterns of implementing the kimwasmat institution. This research intends to answer 2 (two) legal issues: firstly, what are the legal principles contained in Article 280 of the KUHAP. Secondly, what is the model and pattern of implementation of the supervisory and observer judge institutions based on Article 280 of the KUHAP. This legal research uses the socio-legal research method, the materials of which are the results of interviews of judges in deliberate district courts, study of court official documents, relevant laws and regulations to legal issues, legal theory and social science theories. This study found, firstly, the function of kimsmat based on the principle of legal certainty and the principle of benefit which seeks to be married into the principle of certainty which is useful based on Pancasila. Finally, the classical bureaucratic model and the institutional model as well as the aspects of state administration to explain the management and control functions of the authority of the kimwasmat become the basis for the court to carry out criminal objectives.
A Comparative Study on the Performance of Classification Algorithms for Effective Diagnosis of Liver Diseases
Authors: DAŞ Bihter
Published: December 2020

In recent years, different approaches and methods have been proposed to diagnose various diseases accurately. Since there are a variety of liver diseases, till late-stage liver disease and liver failure occur the symptoms tend to be specific for that illness. Therefore, early diagnosis can play a key role in preventing deaths from liver diseases. In this study, we compare the accuracy of different classification methods supported by the SAS software suite, such as Neural Network, Auto Neural, High Performance (HP) SVM, HP Forest, HP Tree (Decision Tree), and HP Neural for the diagnosis of liver diseases. In this study, the Indian Liver Patient Dataset (ILPD) provided by the University of California, Irvine (UCI) repository is used. Experimental results show that based on the metrics of our study, in the training phase while HP Forest achieves the highest accuracy rate, HP SVM and HP Tree do the lowest accuracy rates. However, in the validation phase, Neural Network achieves the highest accuracy rate and HP Forest does the lowest accuracy rate. Our experimental results may be useful for both researchers and practitioners working in related fields.
Effect of Downstream Expansion of a Long-Throated Flume on Flow Properties
Authors: HATİPOĞLU Murat , GÖĞÜS Mustafa , UÇAR Muhammed
Published: December 2020

Long throated flumes are widely used flow measurement devices that not requiring site-specific level to flow curves and therefore laboratory experiments. In this study, downstream expansion effect of the long throated flumes with rectangular cross section were analysed for the dimensionless parameters derived from Buckingham’s pi theorem and some other known hydraulic quantities such as discharge coefficient, approach velocity coefficient, submergence ratio of the flow etc. Therefore, five downstream transitions with different expansion angles were tested. In each test, the critical depth yc, the flow head at the depth measurement section h1, minimum required energy dissipater length Lt and the head after hydraulic jump y2 were measured for both modular and free flow conditions. The relation of hydraulic quantities of calculated dimensionless parameters with relevant parameters; modular limits, approach velocity coefficients and discharge coefficients etc. were graphed to represent the design relationships for long throated flumes.Long throated flumes are widely used flow measurement devices that not requiring site-specific level to flow curves and therefore laboratory experiments. In this study, downstream expansion effect of the long throated flumes with rectangular cross section were analysed for the dimensionless parameters derived from Buckingham’s pi theorem and some other known hydraulic quantities such as discharge coefficient, approach velocity coefficient, submergence ratio of the flow etc. Therefore, five downstream transitions with different expansion angles were tested. In each test, the critical depth yc, the flow head at the depth measurement section h1, minimum required energy dissipater length Lt and the head after hydraulic jump y2 were measured for both modular and free flow conditions. The relation of hydraulic quantities of calculated dimensionless parameters with relevant parameters; modular limits, approach velocity coefficients and discharge coefficients etc. were graphed to represent the design relationships for long throated flumes.
Az USA gazdaságpolitikai bizonytalanságának hatása a geopolitikai kockázatra. A BRIC-gazdaságok által alátámasztott bizonyítékok
Authors: Arif Imtiaz , Rawat Amna Sohail , Shahbaz Muhammad
Published: December 2020

Ez a cikk az USA gazdaságpolitikai bizonytalansága és a BRIC-országok geopolitikai kockázatának kapcsolatát becsüli meg. Az amerikai gazdaságpolitikai bizonytalanság és a BRIC-országok geopolitikai kockázata közötti nemlineáris és aszimmetrikus összefüggés feltételezése miatt nemparaméteres becslési technikát alkalmazva az empirikus elemzéshez a Quantile on Quantile megközelítést alkalmaztuk. Az empirikus eredményekből kiderült, hogy az Egyesült Államok gazdaságpolitikai bizonytalansága és a BRIC-gazdaságok geopolitikai kockázata közötti kapcsolat heterogén jellegű. Megjegyezzük, hogy az USA gazdaságpolitikai bizonytalansága negatívan kapcsolódik a kínai és az orosz gazdaság geopolitikai kockázatához. Az indiai és a brazil gazdaság számára azonban az USA gazdaságpolitikai bizonytalansága pozitív kapcsolatban áll a geopolitikai kockázattal. A tanulmány eredményei hasznosak lehetnek a befektetők és a pénzügyi piac szereplői számára a befektetési döntések meghozatalában. Ez a törvényalkotóknak és a döntéshozóknak is hasznos lesz olyan politikák kidolgozásában, amelyek gazdaságukat elszigetelhetik külpolitikai kockázatoktól.
Minsky pénzügyi törékenységre vonatkozó hipotézisének alkalmazása Törökország államháztartására
Authors: Can Cansin Kemal , Canöz Ismail
Published: December 2020

E tanulmány Minsky hipotézise alapján vizsgálja Törökország fiskális sebezhetőségének mértékét. Minsky pénzügyi törékenységre vonatkozó hipotézise röviden azt állítja, hogy a stabilitás helyreállítása érdekében a kormány legalább időszakos jelleggel alkalmazzon fedezeti finanszírozást és anticiklikus politikát. Minsky hipotézise alapján két fiskális törékenységi mutatót számítottunk ki a törökországi államháztartást jellemző közelmúltbeli trendek vizsgálatához. Megállapításaink szerint a török költségvetési egyensúly romlik, (ultra) Ponzi-finanszírozás irányába halad, amit a fiskális törékenységi index értékeinek jelentős csökkenése támaszt alá. Az eredmények arra utalnak, hogy jelenleg Törökország fiskális teljesítménye fokozatosan romlik, és a jelenlegi fiskális pozíció nem éri el a korábbi években mért szintet. A rosszabbodó költségvetési egyensúly potenciális fiskális válság jele és nyilvánvaló, hogy ezt a trendet haladéktalanul meg kell fordítani megfelelő eszközök segítségével. A kormány rendelkezésére álló lehetséges politikai eszközök: a prociklikus fiskális politika alkalmazásának megszüntetése, a közbizalom erősítése az elsődleges egyenleg növelése révén, átfogó adóreform megvalósítása, a függő kötelezettségek átcsoportosítása, kiadások megfelelő vizsgálata, a pazarlás csökkentése. A nagy számú alternatív fiskális politika ellenére a jelenlegi COVID-19-világjárvány nem kis mértékben akadályozza a költségvetési stabilitással kapcsolatos célzott eredmények elérését.
Egyszerűsítési lehetőségek a visegrádi országok személyijövedelemadó-rendszereiben
Authors: Szabóné Bonifert Éva
Published: December 2020

Az adórendszer és az újraelosztás hatását befolyásoló számos tényező miatt nincs egyetlen helyes válasz arra a kérdésre, hogy a gazdaságpolitikai eszközök mely összetételét szükséges alkalmazni egy kívánt újraelosztási hatás eléréséhez. A dolgozat általános célja a jövedelemadó-rendszerek számszerűsíthető paraméterei kapcsán annak vizsgálata, hogy a méltányosság és igazságosság szempontjainak szem előtt tartása nem gyakorol-e túlzottan negatív hatást az adórendszerek egyszerűségére. A tanulmány néhány kelet-közép-európai ország személyijövedelemadó-rendszerének összetételére vonatkozó egyszerűsítési lehetőségeket vizsgálja, a rendszer adóterhelési görbéi lehetőség szerinti változatlansága mellett. Ehhez elméleti, egyszerűsített adómodellt állít fel, amelynek paramétereit számítógépes program segít meghatározni úgy, hogy a valós adórendszer görbéihez leginkább illeszkedő adóterhelési függvényt kapjunk. Az elemzés alapján megállapíthatjuk, hogy az elméleti rendszer - bizonyos esetekben megszorításokkal - jó közelítést ad a vizsgált országok adóterhelési görbéire. A választott rendkívül egyszerű modell azonban olyan valós rendszert tud jól közelíteni, melynek adóterhelési görbéiben nem mutatkoznak nagyobb töréspontok, illetve nem alkalmaznak a rendszert alapjaiban módosító adóztatási módszert (például a házastársak jövedelmének összevonásával történő adóztatást, vagyis splittinget). A gyakorlati példák segítenek annak megértésében, hogy egy adott ország bonyolultan felépített személyijövedelemadó-rendszere nem feltétlenül az egyetlen lehetséges megoldás az adott adóterhelési görbe eléréséhez, az adóterhelési függvény jó közelítéssel esetleg egyszerűbb alapelemekből felépítve is reprodukálható.
¿Acompañar o dirigir? El papel de actores católicos en la conformación de un movimiento campesino en Argentina
Authors: Jara Cristian Emanuel
Published: December 2020

El artículo examinó el papel de actores católicos en la génesis del Movimiento Campesino de Santiago del Estero (MOCASE) entre 1980 y 1990, en el noroeste de Argentina. El trabajo se inscribió en la tradición cualitativa y se utilizaron fuentes documentales y entrevistas a informantes clave. Los resultados de la investigación demostraron que si bien el MOCASE se constituyó como un actor no confesional, el papel de sectores de la Iglesia católica fue central en los momentos de su gestación. Esto se expresó en tres dimensiones: a) las sinergias y conflictos que entabló el movimiento campesino con otros actores sociales; b) la re-significación del derecho a la tierra, y c) la construcción de un particular repertorio de la acción colectiva. Se concluye que el factor religioso jugó un papel clave en las luchas campesinas, tanto en la (re) producción de un orden como en la posibilidad de cuestionamiento y de alteración del mismo.
CAMPANHA NACIONAL DE ALERTA AO ZUMBIDO:
RELATO DE EXPERIÊNCIA NA ATENÇÃO PRIMÁRIA À
SAÚDE
Authors: Gabrielly Antas Lunguinho Dantas Paôlla , Júlia Galindo Soares Maria , Nunes Azevedo de Melo Mariana , von Söhsten Trigueiro Janaína
Published: December 2020

OBJETIVO: Com o propósito de fortalecer a Campanha Nacional de Alerta ao Zumbido, objetivou-se sensibilizar a comunidade acerca da ocorrência do zumbido, com a finalidade de viabilizar o diagnóstico precoce e demonstrar a importância do fonoaudiólogo no cuidado a esse sintoma. MÉTODO: Este estudo é um relato de experiência de uma ação educativa apoiadora da Campanha Nacional de Alerta ao Zumbido realizada na sala de espera de uma Unidade de Saúde da Família (USF) do município de João Pessoa-PB durante o Estágio Supervisionado em Saúde Coletiva. RESULTADOS: A ação desenvolvida possibilitou um contato direto com a comunidade, além de funcionários e demais estagiários. Houve grande atenção por parte de todos acerca do tema, por ser sobre um sintoma bastante frequente na rotina dos ouvintes e pouco abordado no cotidiano. A sala de espera subsidia ações baseadas nos pilares do SUS e da Política de Saúde vigente e se mostra como um espaço potente para a educação em saúde, com isso, os profissionais da área devem explorar mais esse locus para promoção e favorecimento do letramento em saúde. CONCLUSÃO: Foi criada uma atmosfera propícia para a horizontalização do aprendizado vivo, em constante movimento. A manutenção de ações na sala de espera se faz pertinente, por ser um método simples, resolutivo e acessível, trazendo mais conforto e proximidade dos profissionais com os pacientes. Acresce-se ainda, ser um espaço que pode se moldar a cada atividade, abrangendo uma gama de temáticas a serem disseminadas, no caso aqui o zumbido.

Palavras chave: Atenção Primária à Saúde. Educação em Saúde. Fonoaudiologia. Zumbido.
DETERMINANT FACTORS OF COMMUNITY INVOLVEMENT IN CHALET DEVELOPMENT AT THE COASTAL OF MARANG DISTRICT, TERENGGANU
Authors: Ramli Ruzanna Syamimi , Mapjabil Jabil
Published: December 2020

Coastal zone and island resorts are one of the main focuses of the tourism industry especially in the accommodation facilities sector such as beach resorts, chalets, and homestays. With the development of chalets or tourist resorts in line with the passage of time, the number of these resorts increases with the occurrence of high holiday demand from tourists. The objective of the study was to identify the determinant factors of community involvement in chalet enterprises on the coast of Marang district. This study used purposeful sampling techniques which is an interview method for chalet entrepreneurs who are local communities. In addition to it, the observation method of location was also done in this study. The results of the study found that each chalet operator has its own determining factor in getting involved in the chalet industry in Marang. The most dominant factor is a family heritage. The development of this coastal chalet has an impact and brings about changes to the socioeconomic as well as the living standards of the local community. Thus, active and dynamic community involvement is not only as entrepreneurs, but they also play a role in encouraging the involvement of other residents to participate in advancing the development of coastal chalets in this district.
Sexo virtual ou virtuaLidade do sexo?
Authors: Gonçalves Ana Cristina Canosa
Published: December 2020

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Quem dita as regras? Aquestão do pequeno poder das mulheres
Authors: Cristina Pereira Carvalho Fagundes Tereza
Published: December 2020

Trata-se de um artigo no qual se discute as relações de poder histori­camente construídas, numa perspectiva de gênero. Configura a Educação como espaço, extensão do lar, onde a mulher tem vivenciado o seu (peque­ no) poder, mas, principalmente, como a única possibilidade de mudança social e política capaz de assegurar-lhe um questionamento de sua própria condição feminina e de exercício pleno da cidadania.
A Análise do discurso e lugares do dizer – topoi e tropismos em tempos de resistência política: o caso Georg Floyd Discourse Analyses and spech´s place – topies and tropisms in time of politic resistence: the case Georg Floyd
Authors: Carreira Rosangela , Chaves Ramon
Published: December 2020

RESUMO

Este artigo tem por objetivo analisar os lugares do dizer na sociedade, partindo das concepções topológico-discursivas trazidas por Maingueneau (2006, 2008 e 2010) e ampliadas estudos sobre discurso da negritude e identidade negra. Davis (2015) no que concerne à relação resistência e classe; Buttler (2017) e Goffman (2012) no que fiz respeito a concepções relativas aos corpos dos sujeitos e Courtine (2014) e Foucault (1984 e 2000) aos aspectos relacionados ao discurso político e enfrentamentos para compreensão de tropismos discursivos. Trata-se de uma pesquisa de ordem interpretativa orientada pela Análise do Discurso (AD). Para isso, apresenta uma análise sobre lugares do dizer e condições sócio-históricas de produção, tendo como norte e objeto de análise o caso Georg Floyd cujas cenas de enunciação apresentam elementos (para)tópicos, atópicos e tropismos em movimentos discursivos que consolidam ações de resistência política.

 

Palavras-chave: Paratopia. Corpo. Negro. Resistência. Discurso
PREVALÊNCIA DA DEPRESSÃO EM IDOSOS QUE FREQUENTAM UM CENTRO DE CONVIVÊNCIA NO MUNICÍPIO DE CASCAVEL-PR
Authors: Fukuyama Ana Carolina Wakimoto , Hubie Ana Paula Sakr
Published: December 2020

A depressão é um problema de saúde mental comum na terceira idade, tendo impactos significativos em todos os aspectos da vida. Dessa maneira, o ato de interagir socialmente em centros de convivência revela ser benéfico na grande maioria das vezes, não só pela questão de inclusão social, mas também pelo resgate da autonomia desses idosos. Esse trabalho contempla a incidência da depressão em idosos que frequentam um centro de convivência. Em relação a perspectiva metodológica da pesquisa, este estudo tem caráter transversal descritivo: foi aplicada a Escala de Depressão Geriátrica Yesavage (1983), com 15 perguntas, num período de 4 meses, em indivíduos acima de 60 anos de ambos os sexos, proveniente de um centro de convivência de Cascavel-PR. A amostra foi composta por 67 idosos, sendo estes, 91,04% mulheres e 8,96% homens. Dentre os idosos estudados, a prevalência de sintomas depressivos graves foi de 1,49%, depressivos Leves/Moderados 13,43%, e sem sintomas 85,07%. A partir desse levantamento, foi possível constatar a baixa incidência de casos depressivos àqueles que frequentam o centro de convivência, comprovando a sua capacidade em ressignificar a vida do idoso, ofertando a eles envelhecimento autônomo, saudável e ativo.
EFEITOS DA CIRURGIA BARIÁTRICA NA INCONTINÊNCIA URINÁRIA
Authors: Rocha Mayra Jaqueline , Dias Rafael Luiz , Vieira Lizyana
Published: December 2020

Introdução: A obesidade é considerada pela Organização Mundial da Saúde (OMS) como uma epidemia mundial em países desenvolvidos e em desenvolvimento. A incontinência urinária (IU) é uma das desordens do assoalho pélvico comum na população obesa, sendo considerada um problema de saúde mundial. Objetivo: Avaliar através de uma revisão sistemática, a relação dos efeitos da cirurgia bariátrica na incontinência urinária em população obesa. Materiais e Métodos: O presente artigo trata-se de uma revisão sistemática de estudo de coorte observacional e perspectiva, buscados nas fontes Medline, Lilacs, Bireme e Scielo. Resultados: Um total de 84 artigos foram encontrados nos registros identificados através das buscas nas bases de dados eletrônicas. Destes, 23 artigos foram selecionados por elegibilidade para análise do resumo e metodologia. Foram excluídos 12 artigos por não cumprirem os pré-requisitos. Após a análise na escala PEDro 8 artigos foram selecionados para compor este estudo. Conclusão: Esta revisão nos permitiu identificar que a perda de peso induzida por cirurgia bariátrica influencia positivamente nos distúrbios do assoalho pélvico, especialmente na redução ou resolução dos sintomas de incontinência urinária, o que consequentemente melhora a qualidade de vida.
TCF7L2, FATOR GENÉTICO DE RISCO PARA DIABETES MELITTUS TIPO 2 E INDICAÇÃO DIETOTERÁPICA
Authors: Camargo Nathan Iori , Bernardi Daniela Miotto , Lordani Claudia Regina Felicetti
Published: December 2020

O presente artigo é uma revisão integrativa que tem como alvo explorar a relação entre o polimorfismo genético TCF7L2 e a diabetes Mellitus tipo 2 com foco em estudos recentes sobre nutrigenética para assim indicar melhor profilaxia nutricional. Para a realização deste trabalho, utilizou-se a base de dados MedLine utilizando as seguintes palavras-chave: Nutrigenomics, Nutrigenetics, Single Nucleotide Polymorphis, TCF7L2, Mediterranean Diet, Diabetes Mellitus Type 2 e rs7903146. As pesquisas demonstram que essa variação genética estará presente em um indivíduo quando houver uma substituição do aminoácido citosina pela timina, no cromossomo 10, posição 114,748 e 339. Esta variação genética exerce influência sobre as funções fisiológicas do pâncreas ocasionando uma superprodução de insulina com menor secreção, o que futuramente fadigará o órgão levando, como consequência, ao desencadeamento da diabetes Mellitus tipo 2. Neste caso, nutrigenética se torna essencial ao profissional nutricionista que, com base nestes conhecimentos, pode modular os efeitos causados por este polimorfismo ao indicar uma dieta do mediterrâneo capaz de reduzir a glicemia e lipídios no plasma reduzindo a sobrecarga pancreática devido a presença de nutrientes chaves envolvidos nestes processos metabólicos.
EDUCAÇÃO PERMANENTE EM SAÚDE ALIADA AO USO DE TECNOLOGIAS DIGITAIS PARA O ENFRENTAMENTO DA COVID-19 EM CASCAVEL/PR
Authors: Da Silva Gilson Fernandes , Figurski Clarice Aparecida , Bertochi Jocemara Salete , Bruning Maria Cecília Ribeiro
Published: December 2020

As ações de Educação Permanente em Saúde (EPS), em tempos de COVID-19, buscam articular a integração entre ensino, serviço e comunidade, ou seja, devem envolver os profissionais de saúde e a comunidade em seus direcionamentos. Diante disso, os recursos tecnológicos figuram-se como protagonistas aliados da Saúde nas ações de enfrentamento ao Coronavírus. A utilização de recursos tecnológicos, tais como o uso de aplicativos móveis e plataformas, tem permitido oferecer um processo de formação mais ágil e de qualidade à profissionais de saúde e à população. O objetivo deste estudo é relatar a experiência da Escola de Saúde Pública Municipal (ESPM) de Cascavel/Paraná na execução das atividades de EPS, durante o enfrentamento à COVID-19, aliadas ao uso das Tecnologias de Informação e Comunicação (TIC). Trata-se de um estudo descritivo, de abordagem qualitativa, do tipo relato de experiência. Dentre as estratégias adotadas pela ESPM, para a continuidade dos processos de formação dos servidores, nesse período de pandemia, destaca-se a oferta de cursos na modalidade Educação a Distância (Ead), por meio de ferramentas tecnológicas institucionalizadas. Assim, o uso das tecnologias digitais, adaptando-se às necessidades em saúde de cada território, proporciona soluções inovadoras à prestação de serviços de saúde e propicia grandes oportunidades para o seu uso, no caso das epidemias, como a da COVID-19.
Neural network technology adaptation to the small-size objects identification in satellite images of insufficient resolution within the graphic reference images database
Authors: Stankevich Sergey , Maslenko Oleh , Andronov Vitalii
Published: December 2020

A novel flowchart for small-size objects identification in satellite images of insufficient resolution within the graphic reference images database using neural network technology based on compromise contradiction, i.e. simultaneously the resolution enhancement of the object segment of input image and the resolution reduction of the reference image to joint resolution through the simulation of the imaging system has been proposed. This is necessary due to a significant discrepancy between the resolutions of the input image and the graphic reference images used for identification. The required level of resolution enhancement for satellite images, as a rule, is unattainable, and a significant coarsening of reference images is undesirable because of identification errors. Therefore, a certain intermediate spatial resolution is used for identification, which, on the one hand, can be obtained, and on the other the loss of information contained in the reference image is still acceptable. The intermediate resolution is determined by simulating the process of image acquisition with satellite imaging system. To facilitate such simulation, it is advisable to perform it in the frequency domain, where the advanced Fourier analysis is available and, as a rule, all the necessary transfer properties of the links of image formation chain are known. Three main functional elements are engaged for identification: an artificial neural network for the resolution enhancement of input images, a module of frequency-domain simulating of the graphical reference satellite imaging and an artificial neural network for comparing the enhanced object segment with the reference model images. The feasibility of the described approach is demonstrated by the example of successful identification of the sea vessel image in the SPOT-7 satellite image. Currently, the works are under way to compare the performance of a neural network platforms variety for small-size objects identification in satellite images aa well as to assess achievable accuracy.
Experiencias educativas y pandemia, una reflexión desde la Cibercultur@
Authors: González Morales Laura , López López Guilebaldo Fermín Fermín
Published: December 2020

En este artículo se propone un ejercicio de análisis sobre los procesos de organización que se han generado en el ámbito educativo en regiones de América Latina que se caracterizan por una alta marginación, a partir de la experiencia de emergencia sanitaria por la pandemia de COVID-19, provocada por el virus SARS-CoV-2, desde algunos planteamientos contemporáneos de la comunicación para el desarrollo como la comunicación para el cambio social, la cibercultur@, la ingeniería social de la comunicación y la cultura de participación. El artículo está organizado en tres partes, la primera presenta de manera general el perfil de la propuesta latinoamericana de la comunicación para el desarrollo que comienza en la década de los años setenta del siglo xx. En la segunda, se mencionan algunas características de las sociedades urbanas que han ido configurando su sistema de información a partir de la relación que establecen con los medios de comunicación tradicionales y nuevos medios, y en la parte final se esboza el trazo de una propuesta de análisis que permitió identificar los modos de actuación en el ámbito educativo en situaciones materiales poco favorables.
EVALUATION OF ESTROGEN AND PROGESTERONE RECEPTORS (ER, PR) IN ENDOMETRIAL HYPERPLASIAAND CARCINOMA- AN IMMUNOHISTOCHEMICAL STUDY
Authors: Ahmed Waziha , Gogoi Geetanjali , Devi Sabari
Published: December 2020

The endometrium which lines the uterine cavity is one of the most dynamic tissues in the human body. Proliferation and differentiation of the endometrial glands and stroma are regulated by steroid hormones mainly estrogen and progesterone. Endometrial hyperplasia is a heterogeneous set of pathologic lesions that range from mild, reversible glandular proliferations to direct cancer precursors. Endometrial carcinoma is one of the most common gynecologic malignancies in industrialized and developing countries and is generally accepted to be an endocrine related neoplasm. Understanding the biochemical basis of endometrial responsiveness to hormones in such patients is fundamental to designing a successful medical therapy. The estrogen receptor (ER) and progesterone receptor (PR) are measured by biochemical and immunohistochemical methods . Immunohistochemistry (IHC) is a semiquantitative method for determination of protein expression. The technique is inexpensive and relatively quick to perform.
Immunohistochemistry was done in this study to evaluate the expression of ER, PR in cases of Endometrial hyperplasia and Endometrial Carcinoma. A total of 42 cases were evaluated immunohistochemically which included 32 cases of Non atypical hyperplasia, 7 cases of Atypical hyperplasia and 3 cases of Endometrial carcinoma. The expression of ER/PR was maximal for cases of Non atypical hyperplasia, followed by atypical hyperplasia and least for endometrial carcinoma. Those can be benefited from hormonal therapy, especially atypical hyperplasia cases, whose progression can be halted by hormonal therapy.
A RETROSPECTIVE ANALYSIS OF HISTOPATHOLOGICAL SPECTRUM OF LESIONS IN NEPHRECTOMY SPECIMENS IN A TERTIARY CARE CENTRE
Authors: Sitharamaiah K. , Anusha K. , Sekhar G.Raja , Bhagavan A. , Baleswari G.
Published: December 2020

Background: Kidneys can be involved in various pathological processes. Nephrectomy is a common procedure in urological practice. Indications for nephrectomy can display geographical differences in different countries around the world with different urological causes. The aim of the study was to analyse the various lesions in nephrectomy specimens in a tertiary care hospital in Kurnool, Andhra Pradesh, South India and also to know the frequency of lesions according to the age, gender and histology.
Materials and Methods: It is a retrospective study, done over a period of 13 years from June 2007 to March 2020 which included 132 nephrectomy cases. Patient information such as age, gender, clinical diagnosis, radiological data such as USG and CT results, gross morphology and microscopic data were recorded from the available data.
Results: Of 132 nephrectomy specimens, 55 (41.66%) were males and 77 (58.34%) were females. The mean age was 40.46 years. 99 (75%) nephrectomy specimens showed ‑ non‑neoplastic lesions and 33 (25%) showed neoplastic lesions. The most common non‑neoplastic lesions were chronic pyelonephritis in 62 (46.96%) patients, followed by tuberculous pyelonephritis in 20 (15.15%) patients. RCC (n = 27) was the most common neoplastic lesion.
Conclusion: Chronic pyelonephritis remains the most common non-neoplastic cause of nephrectomy. RCC is the most common neoplastic cause of nephrectomy. Tuberculosis has a high incidence in developing countries. Awareness of renal TB is required for the physicians, to suspect this disease in patients with unexplained urinary tract abnormalities, particularly in those with any immunosuppression and those coming from TB-endemic areas.
ASSESSMENT OF FUNCTIONAL STATUS OF ELDERLY RESIDING AT OLD AGE HOMES OF PUDUCHERRY
Authors: Gomathy R. , Karunagari D.Karaline
Published: December 2020

Aging is a natural process, which produces a decline in organ function. Functional limitations put the elderly at risk for falls, reduced access to medical services, poor quality of life, declining functional abilities, and negative health outcomes. The present study is aimed to assess the functional status of the elderly residing in old age homes of Puducherry. The descriptive study was conducted among 70 participants aged 60-75 years. The basic demographic data were collected from the study participants followed by physical assessments was done. The functional status of the elderly was assessed using the modified Katz index scale. The results revealed that 30 % of the participants were found moderate impairment in their activities of daily living (ADL). Among the basic ADL activities, the highest percentage of dependence was observed in transferring (32.86%), followed by bladder continence (27.14%), using the toilet (17.14%), dressing (15.71%), getting a bath (7.14%), bowel continence (5.71%) and feeding (4.29%). Age, hearing, range of motion, and self-reported difficulty in walking were significantly associated with ADL dependency. The study concluded that functional dependence was high among old age home residents requires suitable interventions at the community level.
AUSTIN MOORE PROSTHESIS IN THE MANAGEMENT OF FRACTURE NECK OF FEMUR IN AN ELDERLY POPULATION.
Authors: Kumar Ravi , Kumar Chandan
Published: December 2020

Introduction: Intracapsular fractures of the proximal femur form a major share of fractures in the 77 elderly. Hip replacement arthroplasty (partial or total) is emerging as a most viable treatment option, and in that, hemiarthroplasty with the Austin Moore Prosthesis is among the most commonly employed. In our study, we have made an attempt to assess the functional status at long term follow up after hemiarthroplasty with the AMP, used in the treatment of fracture neck of femur in the elderly population, and to substantiate the use of the prosthesis in modern day orthopaedic practice. Materials and : A retrospective study was carried out in patients above the age of 60 years, who had been diagnosed with non-pathological fracture neck of femur, treated operatively with hemiarthroplasty using the Austin Moore prosthesis in a tertiary care centre. A minimum follow up period of two years was considered. All the patients were evaluated clinically, and wherever possible, radiologically. Functional outcome was assessed based on the Harris Hip scoring system, and the results were analysed. Radiologically, an attempt was made to assess, among others, the amount of protrusio acetabuli at follow up, and femoral offset changes following hemiarthroplasty with the AMP. Results: In our study, we observed a positive functional outcome (excellent or good) in 9(45%) patients, with fair result in 6(30%) and poor in 5(25%). However, when pain alone was taken as criteria for assessment, upto 14(75%) patients had none to slight pain at follow up, and only 1(5%) patient had marked pain. Walking distance was significantly reduced in 6(30%) patients, who were either confined indoors or bedridden, but in only 1(5%) of them, the cause for the decreased ambulatory status was implant or procedure related (pain). Among the complications, 1 patient had a post-operative periprosthetic fracture that healed subsequently, 2 patients had marked osteolysis around the stem of the prosthesis, and only 1 patient had a radiological evidence of protrusio acetabuli. Discussion: Hemiarthroplasty with Austin Moore Prosthesis for fracture neck of femur remains a fairly good treatment option in elderly patients.
ADVANTAGE OF SUBFASCIAL ENDOSCOPIC PERFORATOR SURGERY [SEPS] OVER OPEN PERFORATOR LIGATION [OSPL] IN TREATMENT OF GREAT SAPHENOUS VARICOSE VEINS-A COMPARITIVE STUDY
Authors: Murugesan N. , Amudhan Amudhan , Madhusudhan Napa , Viswanathan M.S. , Muthuraj Muthuraj , Gajendran Gajendran , Giridharan Bhanumathy , Kumbhar Uday , P.N Shunmugasundara m
Published: December 2020

This comparative study was conducted at ESIC MEDICAL COLLEGE & PGIMSR, K.K.NAGAR,CHENNAI -78 for a total of 50 patients who were diagnosed with Great saphenous varicose veins with perforator incompetence for a period of 18 months from April 2018. Patients underwent open subfascial perforator ligation or subfascial endoscopic perforator ligation in a 1: 1 ratio by alternate allocation method. Odd numbered patients were treated by subfascial endoscopic perforator surgery and even numbered patients were treated by open subfascial perforator ligation . The observation and inference is noted in this presentation.
EVALUATION OF ORAL HYGIENE KNOWLEDGE, ATTITUDE AND BEHAVIOUR AMONG LOCALAUTO-RICKSHAW DRIVERS IN SODEPUR, KOLKATA, INDIA.
Authors: Dey Anirban , Roy Santanu Sen , Jana Debarshi
Published: December 2020

The aim of the short study is to evaluate self-reported oral health knowledge attitudes and behaviour among local auto-rickshaw drivers inSodepur, Kolkata, India.
Materials and Method: A cross-sectional study was conducted on 50 auto-rickshaw drivers and was carried out with the help of 10 questions. Age, gender and level of education data was recorded. Statistical analysis was performed with the help of Epi Info ™ 7.2.2.2 EPI INFO is a trademark of the Centres for Disease Control and Prevention (CDC) using the Chi-Square test (x2).
Results: The (mean ± S.D.) age of the respondents was (38.62±14.03) with range 19 – 70 years and the median age was 35.5 years. Most of the participants (56.0%) were with age between 20 - 39 years. About 76.0% of the participants was with the level of education up to middle standard (up to 9th standard). The variation of scores of knowledge and attitude, also showed highly significant with level of education and behaviour being non-significant. While the study in age group among the auto drivers, showed significant on knowledge & behaviour and attitude as non-significant. (Chi Square-test, P > 0.01).
Conclusion: Among auto-rickshaw drivers oral health knowledge, attitude and behaviour showed improved results in relation to level of education and age, although there were deficits in behaviour in relation to level of education and attitude in age wise co-relation. For better future of population, it can be improved with awareness programmes.
ANTHROPOMETRIC STUDY OF VARIOUS ACETABULAR DIAMETERS IN THE HIP BONES OF NORTH INDIAN ORIGIN
Authors: Gupta Sanjay , Dwivedi Pratibha , Ghalawat Neeru
Published: December 2020

Anatomy of hip bone is morphologically different in two ways due to different reproductive functions which are influenced by sex hormones. Therefore, shapes of hip bones are different in males and females that makes it interesting anthropologically and in surgical approaches. Though non-metric methods such as visual examination of bone morphologically for sex determination is entirely dependent on experience and expertise. But anthropometry plays a role in creating data which can be useful for sex determination in forensic sciences and in clinical application like in orthopedic implant size determination. Study material consisted of hip bone (female = 32, males = 68). The material was retrieved from the bone store of department of Anatomy, PGIMS Rohtak. Diameter of acetabulam was measured on these hip bones on both the sides and statistical analysis was done. The mean diameter of acetabulam in male was 41.29±3.06(R),41.22±3.09(L)mm and female was 37.15±3.88(R),36.75±3.75(L)mm. The mean diameter of acetabulam on right was significantly greater in male than females.