bluuebunny/crossref_metadata_2025 huggingface dataset:
Effectiveness of first-aid training in school among high school students in Kulon Progo, Indonesia
Authors: . Sutono , Achmad Bayu F.
Published: February 2020

Background: The cardiovascular disease was the main cause of death throughout the world. The first aid that should be taken by the first responder or witness was an important part in the chain of survival out of the hospital that could improve the prognosis and avoid the rest of the symptoms. Hence, it is important for common people to know and possess the skill, especially the cardiopulmonary resuscitation, to handle the emergency situation. Schools became the appropriate place to organize the first-aid training because the students were more conditioned in emotional, social and cultural terms.Methods: This study utilized the quasi-experiment method. The total number of subjects was 124 students who studied in Kalibawang 1st State Senior High School, and in Samigaluh 1st State Senior High School, both of them school is located in Kulon Progo district, Indonesia. The subjects were divided into three groups using three different methods, namely lecturing-discussion, poster demonstration, and audio-visual media.Results: The pre-test and post-test results showed that there was a knowledge improvement after the training using the lecturing (p=0.000), poster (p=0.000) and audio-visual methods (p=0.000). The cardiopulmonary resuscitation skills in the lecturing (p=0.000), poster (p=0.000) and audio-visual methods (p=0.000) groups showed the improvement after the first-aid training in school.Conclusions: This study proved that the first-aid training in the school gave effect on the improvement of the knowledge and skill in handling the emergency situation, particularly the cardiac arrest through cardiopulmonary resuscitation.
Clinicohematological profile of patients of sepsis admitted in intensive care unit in a tertiary care hospital in Western India
Authors: Patel Vipul , Shah Amit , Muley Arti
Published: February 2020

Background: Sepsis is a life-threatening medical condition triggered due to body's response to an infection. If empirical treatment for sepsis and bacteraemia is held up it will increase chances of mortality as well as duration of stay and cost. Hence, there is a need for risk stratification. So, we planned to study the clinicohematological profile of patients of sepsis admitted to this hospital in ICU.Methods: This was an observational study. A total of 50 patients of sepsis were included. All included participants were subject to CBC, RFT, LFT, RBS, Urine RM, ESR, chest X-ray, USG Abdomen.  Laboratory evaluations were performed in the institutional pathology and biochemistry labs. Data was analysed to assess the clinicohematological profile of the patients of sepsis to identify common factors which if taken care of in time can reduce development to sepsis and the morbidity and mortality related to it.Results: Most common presenting complaint was fever (72%), followed by altered sensorium (58%), vomiting (30%), jaundice (30%) and breathlessness (20%). Most noticed signs were pallor (36%), icterus (36%), edema (6%), reduced air entry (34%) and crepitations (26%). Most common source of the infection were abdomen (28%), urinary tract infection (26%) and community acquired pneumonia (24%).Conclusions: Most common presenting complaints were fever, breathlessness, altered sensorium. Most common source of sepsis were urinary tract infection, lung, and abdomen which if adequately treated in time would aid in reducing the number of sepsis patients and thus will control the morbidity, mortality and cost associated with sepsis.
Outcomes of surgical management of liver trauma at LUMHS Jamshoro
Authors: Laghari Hamid R. , Laghari Zameer H. , Munir Ambreen , Memon Shahid N. , Laghari Qambar A. , Bhurt Amjad A. , N. Kalhoro
Published: February 2020

Background: Mortality from liver trauma remains high despite surgical advancements. The objective of this study was to determine the outcomes of surgical management of liver trauma at LUMHS Jamshoro.Methods: A cross-sectional observational study using non-probability convenient sampling technique was done at department of surgery LUMHS Jamshoro for 18 months. Patients between 14 to 50 years with blunt hepatic trauma presenting to the E.R. within 04 hours of incident were included and hepatic trauma patients managed conservatively, having multiple trauma and hemo-dynamically stable were excluded. SPSS version 20 was used for data analysis with mean and SD reported for qualitative and frequency and percentages for quantitative variables. Chi-square test was applied keeping p-value of < 0.05 as statistically significant.Results: From 136 patients with mean age of 32.33±1.23 years, 120 (88%) were male. 122 (89.7%) were admitted due to blunt trauma and 14 (10.3%) due to penetrating trauma. Peri-hepatic packing was performed in 116 (85.2%) and suture hepatorrhaphy in 20 (14.8%). Intra-abdominal sepsis was seen in 41 (30%) of patients followed by recurrent hemorrhage in 33 (24%) while 30 (22%) of patients died. Substantial differences (p < 0.001) were observed in terms of surgical technique and each of the complication i.e. sepsis, bile leak and recurrent hemorrhage among alive patientsConclusions: The most common post-operative complication was intra-abdominal sepsis followed by recurrent haemorrhage and bile leak. Significant mortality was observed in between type of complication as well as surgical technique.
Modified Rood’s approach and ability of independent selfcare in haemorrhagic stroke patients of Assam, India
Authors: Bordoloi Kuki , Deka Rup Sekhar
Published: February 2020

Background: Stroke is the third leading cause of death and the primary cause of serious, long-term disability which can be regarded as weakness, generalized fatigue, loss of voluntary motor control or limitation in mobility, spasticity, sensory and cognitive dysfunction. In this research, a comparative study on the ability of independent self-care was conducted between two groups of patients during a 3 months follow-up period viz. Group A - patients who were given Home Exercise Programme (HEP) with conventional physiotherapy; and Group B - patients who were given HEP with conventional physiotherapy along with neuro-facilitation via Rood’s approach.Methods: In this study 236 haemorrhagic stroke patients were recruited and randomly divided to two groups.  Both the groups were given a HEP consisting of regular physiotherapy. Additionally, one group out of the two was also taught exercises based on Rood’s approach consisting of facilitation and inhibition with the help of sensory stimulation, purposeful activity based exercises, with additional emphasis on repetition. The output was evaluated in terms of disability using the Barthel Index after 3 months of treatment.Results: After 3 months, it was found that patients who received HEP with both conventional physiotherapy and Rood’s approach had significantly greater improvement in Barthel Index scores compared to patients who received HEP only through conventional physiotherapy.Conclusions: This suggests that HEP consisting of conventional physiotherapy along with Rood’s approach is more effective in improving the ability of independent self-care in case of post intra-cerebral haemorrhagic patients when compared to conventional physiotherapy alone.
A rare case of recurrent hypoglycaemia
Authors: Goswami Sourabh , Meena Priyanka , Keswani Prakash , Sharma Ramji
Published: February 2020

Very often clinicians are confronted with unconscious patients; the cause being hypoglycaemia. In addition to correction of hypoglycaemia promptly, a search for the cause of hypoglycaemia must be attempted at the earliest with a stepwise approach. Here, the authors present a rare case of recurrent hypoglycaemia where a stepwise approach ultimately led to a diagnosis, but there were various reports which were misleading. The diagnosis was insulinoma which was apparent from the history and presenting features. But, the initial investigations, even though having high sensitivity, were normal, thus leading to a more invasive approach. The patient was ultimately cured by enucleation.
Reconstruction with interference screw of ruptured distal biceps brachii tendon at level of insertion into radial tuberosity: a case report
Authors: Stanu Gusti Ngurah Putra , Wien Aryana I. Gusti Ngurah , Purvance Ivander , Dewi Astawa Ni Made Puspa
Published: February 2020

Distal biceps tendon rupture is a relatively rare injury. The incidence of distal biceps rupture is 1.2 cases per 100,000 patients per year, with the average age is 47 years old and the majority is male patient with dominant extremity. A 43 years old male presented with pain of the left elbow and weakness to flex and supinate the forearm following gymnastic activity. He heard pop sound on his left elbow during lifting dumbbell and followed by a sudden pain on his arm and weakness to flex and supinate the elbow. The USG examination were performed and confirmed there was a rupture on the distal biceps tendon at the level of insertion. Durante operation confirmed a complete rupture of distal biceps tendon. A Henry approach incision is performed to expose radial tuberosity, and the ruptured tendon was reconstructed by anchored into the tuberosity of radius with bioabsorbable screw. After closing the incision, patient is immobilized by cast in 60 to 90o elbow flexion and neutral pronosupination. Distal biceps tendon rupture can be successfully repaired by single anterior approach using anatomical anchor on radial tuberosity, so that can avoid posterior approach and associated proximal radioulnar synostosis risk while conserving interosseous membrane.
Comparison between the results of bipolar hemiarthroplasty with lateral approach and posterior approach in Sanglah General Hospital in 2018: a case series
Authors: Subawa I. Wayan , Krisna Yudha Gede Agung , Mahardika Putra I. Gede
Published: February 2020

The purpose of this study was to compare the preoperative, intraoperative and postoperative parameters of Bipolar Hemiarthroplasty procedure using lateral approach and posterior approach in Sanglah General Hospital in 2018. Thirty-five patients diagnosed with femoral neck fracture or intertrochanter fracture underwent Bipolar Hemiarthroplasty using either lateral approach or posterior approach at our institution between January 2018 and December 2018. The primary outcome measures were postoperative complication and hip function. The secondary outcome measures were surgical time, transfusion rate, length of hospital stay, intraoperative blood loss and postoperative haemoglobin. There were 14 patients in Lateral Approach group and 21 patients Posterior Approach group included for analysis. There were no significant differences between the two groups regarding to the Harris Hip Score at 6 months follow up. Significant differences were found between Bipolar Hemiarthroplasty with Lateral Approach and Bipolar Hemiarthroplasty with Posterior Approach group in comparison of intraoperative blood loss (p<0.05) and length of stay (p<0.05). The present study concluded that both lateral and posterior approaches are comparable in terms of functional outcomes and complications. However, there is a tendency of longer hospital of length of stay and more of intraoperative blood loss using posterior approach which should be kept in mind when orthopaedic surgeon is performing a bipolar hemiarthroplasty.
Knowledge and attitude of Indian expatriate working at Gondar, Ethiopia regarding yellow fever vaccination: a survey
Authors: Ambikar Digambar B. , Joshi Kavyashri B. , Bhosale Ashok M.
Published: February 2020

Background: Ethiopia is one of the yellow fever endemic country, located in north east Africa. A large number of Indian expatriates are working in Gondar, a city located in Amhara region of country. Though yellow fever vaccination is mandatory to travel to Ethiopia but less information is available about knowledge and attitude of Indian expatriate regarding yellow fever vaccination. This study was, therefore undertaken to determine the knowledge and attitude regarding yellow fever vaccination amongst Indian expatriate working at Gondar, Ethiopia.Methods: A cross-sectional questionnaire-based study was carried out by dispensing the questionnaire to individual expatriates. 157 responses were collected from expatriate by a pre-designed standardized self-administered questionnaire.Results: The average age of expatriates was 46.62±1.28 years. Most of the expatriate (61%) were not aware of yellow fever before being advised for the vaccination. Many of them have taken the vaccine, because it was mandatory for visa process. 62 % of expatriates are aware about the duration of protection from yellow fever vaccine. Moreover 84 % of the expatriates did not know about the etiology of yellow fever.  Many of them (69%) believed that yellow fever vaccine was effective in providing protection, while the remaining didn’t have adequate knowledge about its efficacy.Conclusions: So majority of expatriate didn’t have enough knowledge about yellow fever infection and the vaccination. There is need of creating awareness regarding yellow fever among expatriate.
Not covered enough: inadequate age appropriate immunisation in urban slums of Delhi: a community based cross sectional survey
Authors: Randhawa Sonali , Ray Shomik
Published: February 2020

Background: The urban average of childhood immunization coverage rates are partial against children living in slums and mask the disparity within the urban poor. The objective of study was to measure the age appropriate immunization as per India’s Universal Immunization Program (UIP) schedule, explore determinants of coverage and reasons for incomplete immunization in urban slums of New Delhi.Methods: A cross sectional survey was carried out in selected urban slums of West and South East districts of New Delhi. WHO’s coverage cluster survey sampling methodology was used. Three hundred mothers of under five children were selected. Age appropriate immunization status of the children was recorded on physical examination of the vaccination card.Results: Fifty eight percent (56% West; 60% South East district) of sample population was age appropriately immunized. The odds of age appropriate immunization were higher for institutional delivery (OR 10.5, 95% CI 4.27-23.6) and among third born children (OR: 1.8, 95% CI: 1.04-3.30). The odds were equal for people from Delhi or migrated from different state (OR: 1.015, 95% CI: 0.62-1.64). Most common reason for incomplete immunization were obstacles (72.8%) and lack of information (23.2%).Conclusions: There was a consistent drop in coverage among vaccines with more than one dose and by the subsequent dose of vaccine. The difference in coverage estimates among studies emphasise the need for identifying the key reasons of incomplete immunization and finding area specific solutions to improve coverage.
Injury pattern and outcome of road traffic accidents victims attending major referral institutions of the Kashmir valley
Authors: Bhat Manzoor Ahmad , Iqbal Qazi Mohammad
Published: February 2020

Background: Road traffic accidents (RTAs) have emerged as a major global public health problem of this century. WHO global burden of disease study, shows it as the 10th leading cause of death in South-East Asia. In India, according to WHO, road traffic accident is the 6th leading cause of death. The present study aims to assess the magnitude and injury pattern of RTA victims attending three major referral institution of the Kashmir valley.Methods: This prospective observational study was conducted for a period of one year in three major referral institutions of Kashmir valley. Burden of RTA victims was studied from hospital records. For studying detailed injury patterns, the accident victims fulfilling the inclusion criteria and admitted in the wards of these hospitals formed the main study group.Results: RTAs constituted 3% of the total admissions. Most (82.7%) of the studied victims were males. Most (40.3%) of the RTA victims were pedestrians. Head on collision was the most common type of accident (62.9%). 97.6% victims were grievously hurt and head (59.9%) was the most affected part of the body. 88.3% of RTA victims survived while 11.7% died.Conclusions: Young males are the predominant victims of RTAs and head on collision (63%) remains the commonest type of accident. Almost all (97.6%) RTA victims were grievously hurt with 60% having head injuries followed by lower limbs 59.4% and upper limbs 26.8% injuries and 47% victims had multiple injuries.
Proportion and determinants of delay in diagnosis of pulmonary tuberculosis in a tertiary care centre of Gadag, Karnataka
Authors: Prabhunatti Shivanand , Karinagannanavar Aravind , Gaddeppanavar Jagadish
Published: February 2020

Background: In 1993, the World Health Organization (WHO) declared a state of global emergency for tuberculosis (TB), due to the steady increase of the disease worldwide. India is the highest TB burden country accounting for one fifth (21%) of the global incidence. Objectives were to study: 1) average delay in diagnosis of newly diagnosed pulmonary tuberculosis cases, 2) reasons for the delayed diagnosis of pulmonary tuberculosis patients and 3) extra cost incurred by the newly diagnosed pulmonary tuberculosis patients.Methods: An observational study was conducted from April 2017 to October 2017 using a non-probability purposive sampling. Delayed diagnosis is defined as the time interval between the onset of symptoms to the initiation of treatment after 16 days. The data was collected using a pretested semi-structured questionnaire. The performa included socio demographic profile of the study subjects, duration of delay in diagnosis, reasons for delay in diagnosis, direct and indirect cost incurred by the study subjects.Results: In present study we found that out of 66 patients majority of them found that for the first visit most of the patients preferred private hospitals (34.8%) followed by PHC (22.7%), district hospital (21.2%) CHC (13.6%) and the least was pharmacy (7.6%). Out of 66 patients, majority of the patients (63.6%) were diagnosed of pulmonary tuberculosis after their second visit. The main reasons were lack of awareness and lack of facilities in the peripheral health system.Conclusions: The mean patient delay was 13.13 days and the mean health care system delay was 25.3 days in diagnosing pulmonary tuberculosis.
A cross sectional study on knowledge, attitude and practice of family planning method usage among urban women of Dr. B. R. Ambedkar Medical College field practice area
Authors: Devaru Jagadish S. , Jabeen Bushra , Mayanna Puttaswamy
Published: February 2020

Background: India is currently facing “population explosion” which is directly perpetuating development of country. Family planning is the only safest and cost-effective strategies to have impact on health of women.Methods: Community based cross sectional study, conducted by face to face interview with women included for study after systematic random sampling. The collected information was analysed using appropriate statistical tools.Results: Total of 88.7% of women were aware that family planning is for limitation of births but, 292 (70.2%) women had ever used contraceptive, and 30 (24.2%) of them have faced minor complications, which has either self-resolved or on medication. The most common reason for not using contraceptive was being uncomfortable (76.6%) to use them.Conclusions: Women had good knowledge regarding contraceptives, but most of the women followed methods suggested by their elders. Advertisement regarding newer methods has to be strengthened.
Safe drinking water and sanitary facilities utilization in households of Belagavi urban slums, Karnataka, India
Authors: Vasanthakumar Jambulingam , Gajula Bhuvana , Ganta Shilpa Reddy
Published: February 2020

Background: Safe water and adequate sanitation are basic to the health of every person, yet many people throughout the world do not have access to these needs. Access to these basic services is not only a fundamental right, but also a steppingstone to sustainable development of the country. Objective of this study was conducted to measure the proportion of slum households using improved drinking water and sanitation facilities.Methods: Study was conducted among 620 slum households in Belagavi from by interviewing one member from each household using WHO/UNICEF joint monitoring program core questions on drinking water and sanitation for household surveys.Results: All the slum households (100%) used improved drinking water source; piped water in yard or plot (68.22%) being the primary source. 94.35% of households used improved water source for cooking and/or hand washing purpose. 49.03% of households used improved sanitation facilities and 55.97% used unimproved sanitation facilities. Proportion of households with no latrine facilities and practicing open defecation were 13.06%. About 27.69% households had reported diarrheal events in children in the previous month. Type of latrine used by households was found significantly associated with the diarrheal events in children.Conclusions: Utilization of safe drinking water in Belagavi slums has increased when compared to global and national levels but households with piped water supply are still low. Access to improved sanitation facilities is still lacking in many households. Increasing access to basic sanitation at the household level and behavior change awareness programs could help in achieving universal sanitation coverage.
Patient profile and treatment outcome in a tuberculosis unit in Kolkata, West Bengal
Authors: Sardar Jadab Chandra , Karmakar Prasanta Ray , Biswas Subrata
Published: February 2020

Background: Tuberculosis is caused by bacteria (Mycobacterium tuberculosis) that most often affect the lungs. Tuberculosis is curable and preventable. It is estimated that 1/3rd of current global population is infected asymptomatically with tuberculosis, of which 5-10% will develop clinical disease during life time.Methods: This descriptive observational study was conducted in Tuberculosis Unit, Bagbazar, Kolkata. Initially demographic data and initial clinical data were collected. Then follow up data were collected until the end of treatment. Data were compiled and analysed. Frequency and percentages were calculated.Results: Male patients were more (69.12%). Majority (61.76%) of the patients were in the age group of 19-50 years of age, followed by 50-60 years (17.64%). Common presenting complaints were cough (61.76%), fever (63.24%), loss of appetite (54.41%), respiratory distress (11.76%), haemoptysis (10.29%), loss of weight (10.29%), swelling of gland (5.88%). Success rate (treatment completed and cured) was about 90%.Conclusions: Tuberculosis was found more in male and in active age group. Treatment of tuberculosis had a very high success rate.
Working condition and work-life balance of working women in a tertiary care hospital in a metropolitan city of Tamil Nadu: a cross sectional study
Authors: T. K. Sushil Shankar , B. Nisha , R. Harsha Vardhini , Jain Timsi
Published: February 2020

Background: Quality of work life and work life balance needs to be assessed as there is decline in labor force of married working women. The current study attempted to assess working conditions and work life balance of married working women in tertiary care hospital.Methods: A cross sectional section was conducted in tertiary health care hospital for six months period. A total of 254 married working women of various professions such as doctors, nurses, human resource, hospital administrators, secretaries, attenders and housekeeping were selected using universal sampling method. The data collection was done using the instrument “work environment survey 2011 (we are finding patterns in employee attitudes)” for assessing working condition and “work life conflict scale” to assess the work life balance of these women. Results were expressed in frequency, mean and chi square with p<0.5 was significant.Results: About half of the study population women 152 (59.84%) are involved in health care sector and 53.94% of them earn per capita income of above 20,000. The mean of total working conditions score in the study population is 13.82 with a standard deviation of 4.64. Increase workload and nature of spouse are associated with poor working condition.Conclusions: Majority of married women working in tertiary care hospital were moderately satisfied with the working conditions. Quality of work life can be promoted by recognition of the work done, providing autonomy of work, sufficient staffing with better working environment.
Assessment of oral hygiene practices among medical students
Authors: Gupta Vineeta
Published: February 2020

Background: Oral health is an important aspect of general health and wellbeing. As per available researches the high prevalence of oral diseases is a major public health problem. Oral hygiene is further compromised by unhealthy habits like tobacco use and lack of dental specialist care. Undergraduate medical and nursing students should be aware of oral health and dental hygiene as they are the future healthcare provider on whom the health of nation will depend.Methods: The present cross-sectional study was conducted at Raipur Institute of Medical Sciences, Raipur, Chhattisgarh, India during study period July 2019 to September 2019. Purposive sampling method was used to select M.B.B.S. and B.Sc. nursing students as study subjects. Only those students present in the college on the days of the data collection and those willing to participate were included in the study. Data (background information, awareness and practice regarding oral hygiene) was collected using a predesigned pretested questionnaire.Results: 52.7% of the study subjects were female and 47.3% were male. 7.9% students were confident of their healthy teeth and expressed as good and very good condition. All the students were brushing teeth daily and few students even brushed twice a day (30.7%). Frequency of changing toothbrush, method of tooth brushing, use of inter-dental aid, use of tobacco, use of alcohol and causes of bad breath were significantly associated with gender variable.Conclusions: Awareness with respect to oral health (using fluoridated toothpaste) among students was adequate. However, awareness of usage of toothbrushes and non-practicing tobacco and alcohol habit show the oral health knowledge in these students. The correct knowledge about maintaining good oral health needs to be given to the individuals in an effective manner at earliest so that it becomes a part of their life style.
The importance of establishing supportive supervision feedback audit system in Gurage Zone health department
Authors: Mergia Habtamu , Dumga Kassahun Trueha
Published: February 2020

Supportive supervision is one of the most important tasks in health systems management. A baseline assessment conducted by the primary health care transformation initiative had shown that the Gurage Zone health department had been conducting regular supportive supervision every quarter for the last five years in Gurage Zone. The study proposed establishing a feedback auditing system as an intervention to routinely assess the progress of previous visit actions included in the written feedback. The finding showed the culture of working on previous supportive supervision action items by woreda (district) health offices were significantly improved.
Perspectivas para o desenvolvimento de Turismo Religioso em Armação dos Búzios – RJ
Authors: Costa Simone , Ferreira Helena
Published: February 2020

O termo Turismo Religioso tem sido utilizado muitas vezes de forma indiscriminada por gestores públicos e empresários do setor turístico, confundindo-se com outros deslocamentos, como romarias e peregrinações místicas. Seria possível afirmar que qualquer deslocamento de visitantes a santuários, templos, ou festas religiosas são práticas de turismo religioso? Quais são os agentes envolvidos e qual a participação da comunidade local na concepção e beneficiamento deste tipo de turismo? Consta do Plano Diretor do município fluminense de Armação dos Búzios (2006) uma indicação para o desenvolvimento de Turismo Religioso baseada no fluxo de visitantes à Capela de Nossa Senhora Desatadora de Nós, notadamente a partir do ano de 2001. Este artigo busca aproximações e distanciamentos entre as práticas atuais de turismo observadas no contexto da religião católica tendo como referência a Canção Nova - Hierópolis Carismática de Cachoeira Paulista/SP (OLIVEIRA, 2015) e da religiosidade do self (ou Nova Era) observado nos Caminhos de Santiago do Brasil (STEIL, CARNEIRO, 2011). Esta análise foi preliminar para a pesquisa sobre os limites e potencialidades do turismo religioso em um destino consolidado pelo Turismo de Lazer do tipo Sol e Praia, intitulada “Desatando Nós entre o Sagrado e o Profano: Perspectivas para o turismo religioso católico em Armação dos Búzios/RJ”. A metodologia de pesquisa é qualitativa, de base etnográfica, a partir de observação direta e entrevistas em profundidade com atores/agentes locais.
Acessibilidade do Parque Natural Municipal Victório Siquierolli (Uberlândia/MG) para visitação de pessoas com deficiências física, auditiva e visual
Authors: De Lima Ana Beatriz Leça , De Melo Ismail Barra Nova , Gimenes-Minasse Maria Henriqueta Sperandio Garcia
Published: February 2020

A acessibilidade de pessoas com deficiência em parques ainda é pouco abordada e, quando trabalhada, as deficiências são tratadas de forma isolada, sendo que os espaços e serviços públicos deveriam prever todas as demais categorias de deficiência simultaneamente. Decorrente disso, esse trabalho tem como objetivo principal analisar a acessibilidade para três tipos de deficiência: física, auditiva e visual nas dependências e atividades oferecidas pelo Parque Natural Municipal Victório Siquierolli, localizado em Uberlândia/MG. A metodologia foi dividida em pesquisa bibliográfica e documental e pesquisa de campo. A pesquisa de campo incluiu a observação direta utilizando como instrumento de coleta um protocolo elaborado a partir da Norma Brasileira (NBR) 9050/2015. Com os resultados obtidos, percebe-se que o parque não apresenta todas as estruturas para acessibilidade que a norma NBR 9050 exige e as estruturas existentes não estão totalmente adequadas, tendo em vista auxiliarem apenas as pessoas com deficiência física, especificadamente os cadeirantes. Logo, se fazem necessárias adaptações que possam beneficiar as demais categorias de deficiência abordadas nesse estudo, de forma a melhorar a estrutura do parque e consequentemente aumentar e diversificar a visitação.
IN SILICO ELUCIDATION OF SOME QUINOLINE DERIVATIVES WITH POTENT ANTI-BREAST CANCER ACTIVITIES.
Authors: Ovaku Momohjimoh Idris , Abech Stephen Eyije , Shallangwa Gideon Adamu , Uzairu Adamu
Published: February 2020

Abstract: The toxicity and high resistance to the commercially sold breast-cancer drugs have become more alarming and the demand to produce new and less toxic breast-cancer drugs arises. In silico studies was carried out on some quinoline derivatives to investigate their reported activities against breast cancer and thereby generate a model with a better activity against breast cancer. The chemical structures of the compounds were optimized using Spartan software at Density Functional Theory (DFT) level, utilizing the B3LYP/ 6-31G* basis set. Four QSAR models were generated using Multi-Linear Regression (MLR) and Genetic Function Approximation (GFA) method. Equation one was chosen as the best model based on the validation parameters. The validation parameters was found to be statistically signiﬁcant with square correlation coefficient (R2) of 0.9853, adjusted square correlation coefﬁcient ( ) of 0.9816, cross validation coefficient ( ) of 0.9727 and an external correlation coefficient square ( ) of 0.6649 was used to validate the model. The built model was a good and robust one for it passed the minimum requirement for generating a QSAR model.
GESTÃO DE ENERGIA E A ISO 50001: AÇÕES ENTRE DUAS ORGANIZAÇÕES DE SETORES DIFERENCIADOS
Authors: Nunes Daiane Aguiar , Barbosa Gabriela Assunção , Ratzinger Pedro Henrique , Moraes Jorge André Ribas , André Luiz Emmel Silva
Published: February 2020

O objetivo deste artigo é analisar as principais dificuldades na implementação da ISO 50001, abordando as vantagens e as possíveis desvantagens de aderir à norma e também incentivar às empresas que não possuem a certificação se atualizar sobre o assunto. Como instrumento de coleta de dados aplicou-se dois questionários distintos em duas organizações localizadas na região central do estado do Rio Grande do Sul, Brasil. Quanto aos resultados apresentados destaca-se que as indústrias de grande porte estão mais preocupadas e engajadas em conciliar a lucratividade com a preservação do meio ambiente através de buscas constantes em melhorias de acordo com as NBR’s. Porém, empresas de porte menor, as quais possuem uma maior dificuldade em relação a aplicação de investimento, estão em busca de maneiras de praticar o consumo consciente com aplicações de métodos básicos.
CARACTERIZAÇÃO QUÍMICA DO BAGAÇO DE MALTE E AVALIAÇÃO DO SEU POTENCIAL PARA OBTENÇÃO DE PRODUTOS DE VALOR AGREGADO
Authors: Massardi Matheus Moreira , Massini Rodrigo Manhães Motta , Silva Deusanilde de Jesus
Published: February 2020

O bagaço de malte é o principal resíduo da indústria cervejeira. Frente a isso, surge a necessidade de avaliar diferentes formas de reaproveitamento deste material. O presente estudo teve como objetivos principais caracterizar a biomassa e avaliar as possibilidades para seu reaproveitamento como matéria-prima para produtos de valor agregado. Foram obtidos teores de 29,92% de hemiceluloses, 21,16% de proteínas, 20,80% de lignina total, 15,99% de celulose, 8,33% de extrativos e 3,76% de cinzas no material. A composição química encontrada possibilita diversas aplicações deste resíduo como matéria-prima para obtenção de produtos de maior valor agregado. Estas aplicações estão relacionadas aos altos teores de fibras lignocelulósicas e de proteínas, sendo as principais: produção de etanol de segunda geração, de carvão hidrotérmico, de ácido lático, de HMF e de produtos para nutrição humana.
TRAJETÓRIAS E EXPERIÊNCIAS ESCOLARES DE ESTUDANTES COTISTAS NEGROS/AS DA UNILAB: IDENTIDADES, CURRÍCULO E PRÁTICAS PEDAGÓGICAS
Authors: De Oliveira Francisco Érick
Published: February 2020

Os objetos de estudo deste trabalho estão situados entre um debate mais amplo e sempreurgente, com ênfase no contexto brasileiro, entre classe, raça e/ou etnia. A problematização construída é umrecorte de questões da minha pesquisa de mestrado que se debruçou sobre o sucesso escolar de seisestudantes negros/as, cotistas, das camadas populares e de cursos de graduação da UNILAB, no Ceará,através de uma metodologia disposicionalista. Por meio de trajetórias e narrativas (auto)biográficas, busqueireconstruir cenários de socialização de disposições de longevidade escolar a fim de compreender como seconstituíram possibilidades de acesso ao ensino superior em condições socioeconômicas e culturaissociologicamente desfavoráveis. A questão étnico-racial é central em função do debate sobre a Política deCotas e das identidades negras apresentadas pelo universo. Nesta oportunidade, porém, tomo-a por outrocaminho, a fim de tencionar os limites de uma interpretação centrada apenas na camada social, quanto àscondições objetivas de existência, considerando a importância dos marcadores étnico-raciais nasexperiências escolares, especificamente, e no desenvolvimento de capitais, disposições e identidades. Noscenários de socialização de disposições de longevidade encontrei configurações familiares comracionalização da vida em torno do campo escolar, alinhados com atividades extraescolares queintensificaram a formação de habitus coerentes; e envolvimentos em programas, projetos e políticaspúblicas.
DISCUSSÕES ACERCA DO DISCURSO MIDIÁTICO CONTEMPORÂNEO: A FABRICAÇÃO DO CORPO MAGRO NA REVISTA ANAMARIA
Authors: Moraes Suélem do Sacramento Costa de , Garré Bárbara Hees
Published: February 2020

Esse trabalho situa-se em problematizar  algumas discursividades que circulam na mídia contemporânea e que fabricam o que parece ser o modelo estético vigente na atualidade, onde os corpos “devem” ser magros. Compreende-se que os corpos dos sujeitos são produzidos pelas e nas relações de poder em que estão engendrados. Toma-se como corpus empírico as reportagens da seção “Dieta” de alguns exemplares das edições semanais da revista AnaMaria, que é uma mídia impressa que operacionaliza um processo de subjetivação que funciona de um modo sutil e convidativo. Compreende-se a mídia como uma pedagogia cultural, que educa e fabrica sujeitos para além da escola. O referencial teórico e metodológico da pesquisa são alguns conceitos do filósofo Michel Foucault utilizados como ferramentas de análise.
OS DESAFIOS DAS AÇÕES SUSTENTÁVEIS NA INDÚSTRIA MADEIREIRA: O CASO DA SPS TECNOLOGIA AMBIENTAL LTDA
Authors: Cieslak Marcos , Mikuska Rosiane , Dal Santos Alisson Sidney , Gonzaga Carlos Alberto Marçal
Published: February 2020

O presente artigo é o resultado de um levantamento bibliográfico sobre o desenvolvimento sustentável, objetivando também comprovar a prática de boas intenções relacionadas com a sustentabilidade do setor madeireiro, aliando experiência, demanda local e conhecimento técnico para desenvolver novos produtos a partir da reutilização de resíduos industriais reativados, proporcionando resultados satisfatórios no que tange a aspectos ambientais e também econômicos. A presente pesquisa caracteriza-se como exploratória e estudo de caso, com entrevistas estruturadas com os principais atores. Entre as conclusões, aponta-se que o pré-conceito, o imediatismo e as falhas nas políticas ambientais são os principais desafios enfrentados por uma organização, a qual vem criando em paralelo uma nova linha de produtos na intenção de aproveitar sua atual estrutura.
Probabilistic Traveling Salesman Problem and Harmony Search Algorithms in Pharmacy Supply Optimization
Authors: Twaróg Sebastian , Szołtysek Jacek , Szwarc Krzysztof , Boryczka Urszula
Published: February 2020

This paper demonstrates the utilitarian significance of the Probabilistic Traveling Salesman Problem (PTSP) in planning travel routes by companies which provide distribution services for pharmacies, with a particular consideration of variable customer demand. The optimization problem was solved using the Harmony Search (HS) algorithm, thus verifying its utility based on one real instance of PTSP (representing the problem of pharmacy supply reliability) and three tasks from the public TSPLIB library (adjusted to PTSP). As a result of the conducted research, significant utility of the hybrid approach was identified, assuming the combination of HS with popular 2‑opt method, which enabled achievement of good results within acceptable period (in practical applications).
FUNDAMENTAL AND APPLIED ASPECTS OF THE CHEMISTRY OF ACETYLENYLQUINONES
Authors: Vasilevsky S.F. , Stepanov A.A.
Published: February 2020

In addition to the reported synthetic routes for the acetylene derivatives of quinones, a detailed analysis of the fundamental chemical, physicochemical, and biological properties of this class of compounds is presented herein. The advantages of Pd- and Cu-catalyzed cross-coupling of terminal alkynes with iodarenes via the Sonogashira reaction to produce new acetylenylquinones with predetermined properties are examined. Here, combining quinoid and acetylene residues into one molecule gives the resulting compounds chemical specificity, as demonstrated by several reported examples of non-trivial transformations. In particular, the presence of the quinoid cycle significantly increases the electrophilicity of the triple bond and determines the range of transformation possibilities. Moreover, acetylenylquinones have heightened sensitivity to both external (such as the reaction temperature and the nature of the solvent) and internal (e.g., the structure of substituents in the nucleus and the acetylene fragment) factors. For example, regioselective cleavage of a strong triple bond under the action of amines is possible in the absence of a metal catalyst. Peri-substituted acetylenyl-9,10-anthraquinones are most suited for the synthetic route because of the proximity of the acetylene and carbonyl groups. Mechanisms of reactions of selective alkynylquinones are described.
МЕТЕОРОЛОГИЧЕСКИЕ УСЛОВИЯ ФОРМИРОВАНИЯ ПОВЕРХНОСТНОГО СТОКА НАНОСОВ В ПЕРИОД ВЕСЕННЕГО СНЕГОТАЯНИЯ В ГОРОДСКОЙ СРЕДЕ
Authors: Селезнев Андриан Анатольевич , Тетерин Александр Федорович , Ярмошенко Илья Владимирович
Published: February 2020

Актуальность исследования обусловлена необходимостью изучения процессов осадкообразования на урбанизированной территории, которые снижают качество городской среды и оказывают негативное влияние на экологическую ситуацию. Цель: проанализировать метеорологические условия формирования поверхностного стока наносов в крупном городе в период интенсивного весеннего снеготаяния. Объект: урбанизированная территория города Екатеринбурга. Методы: изучение метеорологических условий за холодные периоды 2015–2016 и 2016–2017 гг., а также в весенние сезоны 2016 и 2017 гг.; оценка особенностей и различий метеорологических параметров и процессов, оказавших основное влияние на сток наносов весной 2016 и 2017 гг. Результаты. Ретроспективно восстановлены метеорологические условия холодных периодов 2015–2016 и 2016–2017 гг. и в весенние сезоны 2016 и 2017 гг. Были проанализированы метеорологические величины и процессы, оказавшие существенное влияние на поверхностный сток воды на урбанизированной территории: термический режим приземного воздуха, атмосферные осадки, снежный покров, снеготаяние, промерзание и оттаивание почвогрунтов. Установлено, что метеорологические условия весен 2016 и 2017 гг. существенно отличались друг от друга, что отразилось на формировании более интенсивного грязевого осадка в 2016 г. Весной в городской среде следующие погодные факторы являются определяющими при формировании поверхностного стока: запас воды, накопленный в снежном покрове за холодный период года; особенности термического режима в период снеготаяния (дружность весны, возвраты холодов); атмосферные осадки и интенсивность оттаивания грунта в период снеготаяния. Полученные результаты могут быть использованы при планировании мероприятий для улучшения экологической ситуации на урбанизированной территории.
МИНЕРАЛОГО-ГЕОХИМИЧЕСКАЯ СПЕЦИФИКА БУРОВЫХ ШЛАМОВ НЕФТЯНЫХ МЕСТОРОЖДЕНИЙ НА ПРИМЕРЕ ОБЪЕКТОВ ТОМСКОЙ ОБЛАСТИ
Authors: Климова Алена Андреевна , Язиков Егор Григорьевич , Шайхиев Ильдар Рафаилович
Published: February 2020

Актуальность исследования обусловлена слабой изученностью минералогического, элементного состава и токсичности буровых шламов, образованных в процессе строительства скважин на нефтяных месторождениях. Цель: выявить минералогическую и геохимическую специфику буровых шламов, определить наличие токсичности данного вида отхода с использованием современных методов исследований. Методы: рентгеновская порошковая дифрактометрия; масс-спектрометрия с индуктивно-связанной плазмой; сканирующая электронная микроскопия; биотестирование. Результаты. В пробах бурового шлама исследуемых нефтяных месторождений Томской области определены общие минералы – кварц, альбит, мусковит и кальцит, что указывает на схожий состав исходных вмещающих пород. В буровых шламах выделяется следующая геохимическая специализация, выраженная в повышенном концентрировании таких химических элементов, как Pb, Zn, Cu. Главным образом, элементы относятся к тяжелым металлам I, II и III класса опасности. Величина суммарного показателя загрязнения показывает, что большинство проб шлама относится к низкой степени загрязнения. Однако для образцов с действующих шламовых амбаров характерна средняя степень загрязнения. Выявленные минеральные фазы представлены оксидами железа, свинца, цинка, сульфидом железа, сульфатом бария. Были обнаружены частицы железа и свинца сферической формы. В целом пробы бурового шлама не оказывают токсического действия на тест-объекты: Daphia magna, Scenedesmus quadricauda, Drosophila melanogaster. В то же время пробы с эксплуатируемых амбаров оказывают влияние на тест-организм Daphia magna. Таким образом, исследуемые пробы бурового шлама относятся к малоопасным, практически неопасным отходам и не являются потенциально токсичными.
PATHOLOGICAL DISLOCATION OF THE HIP IN CHILDREN WHO HAVE SUFFERED EPIPHYSEAL OSTEOMYELITIS
Authors: Shihabudinova Patimat A. , Izrailov M. I. , Yahyaev Y. M. , Mahachev B. M. , Meilanova F. V. , Aliskandiev A. M.
Published: February 2020

Pathological hip dislocation (PHD) is an orthopedic complication of acute hematogenous osteomyelitis in infants. The authors analyzed the results of the diagnosis and treatment of 14 girls and 9 boys aged from 1 month to 1 year, who suffered from acute epiphyseal hematogenous osteomyelitis of the proximal femur, complicated by pathological dislocation of the thigh. PHD was located on the right side in 12 patients, on the left - in 6 cases. Surgery was found to be preferable to be performed at the age of 2.5-3 years while secondary deformations of the osteoarticular system have not yet formed. A favorable outcome of surgical treatment is guaranteed by the exact centering of the head and neck of the thigh or its proximal end; the early use of restorative means after surgery and late loading of the operated limb. Combined surgical correction is indicated mainly for patients with pathological dislocation of the thigh of type III or IV.
NEONATOLOGISTS AT THE OBSTETRIC ORGANIZATIONS OF MEGAPOLIS: OCCUPATIONAL ACTIVITY AND ATTITUDE TO THE OCCUPATION
Authors: Moiseeva Karina E.
Published: February 2020

Materials and methods. An anonymous survey of 146 neonatologists working in obstetric organizations in the city St. Petersburg was conducted. Mathematical data processing was carried out using spreadsheets “MS Office Excel 2010” and the statistical software package PASW STATISTICS. Results. 36.4% of neonatologists working in obstetric organizations believe the occupational standard “Neonatologist” fails to fully reflect all their duties. Neonatologists call the functions associated with the implementation of medical work to be the most important labor functions included in the Occupational Standard, sanitary and educational work and activities related to the maintenance of accounting and medical records are believed to be the least important. 29.1% of neonatologists of obstetric care organizations work for more than one rate, 28.6% of doctors do not work on schedule, 58.4% have a feeling of overwork. Conclusions. Despite the fact that most neonatologists have chosen their occupation by vocation and because of love for children, more than half of the doctors are partially or completely disappointed with their work, most often due to unsatisfactory working conditions and its financial support. High workload and labor intensity, observed by almost 30% of neonatologists, can lead to an increase in the risk of medical error and a decrease in the quality of medical care. 51.7% of doctors are partially or completely unsatisfied with their work. The main reasons for the dissatisfaction of neonatologists are significant physical and psychological stress (36.6%) and low wages (34.4%). Neonatologists working in maternity hospitals (departments) are 26.8% less likely than doctors at neonatologists at perinatal centers to work at the same rate and 57.1% less often than during working hours but have a higher labor intensity during the working day. Neonatologist working in perinatal centers, to a greater extent than doctors in maternity hospitals (departments), are not satisfied with the conditions and financial support of their activities and are 24.1% more likely to perform occupational duties that are not part of the professional standard “Neonatologist”. Most neonatologists working in obstetric organizations have chosen their profession by calling (58.5%) and because of their love for children (62.8%), they fully feel responsible for the quality of their work (99.3%), they do not want to change their medical specialty (93.5%) and are satisfied with the choice of occupation (93.3%).