bluuebunny/crossref_metadata_2025 huggingface dataset:
Perfis temáticos dos trabalhos de conclusão de curso de graduação em Biomedicina da Bahiana, Brasil
Authors: Caldas Lara São Pedro , Santos Ysis Gabrielle Domingos , Dias-Lima Artur Gomes , Brito Vanessa Silva , Ferraro Geraldo Argolo , Queiroz Gabriel Andrade Nonato
Published: October 2019

INTRODUÇÃO: O curso de Biomedicina da Escola Bahiana de Medicina e Saúde Pública (EBMSP) foi autorizado pelo Ministério da Educação e Cultura (MEC) em 26 de dezembro de 2002 e reconhecido em 23 de janeiro de 2007, todo o funcionamento é integral, sendo as 4.158 horas de carga horária total do curso divididas entre 8 semestres. O trabalho de conclusão de curso (TCC) é obrigatório para que haja a colação de grau. OBJETIVO: Avaliar os perfis temáticos dos TCCs realizados por estudantes do curso de Biomedicina da EBMSP. MATERIAIS E MÉTODOS: Os TCCs de 2006 a 2018 foram analisados através dos resumos dos TCCs e em seguida foram classificados de acordo com o tipo de estudo (revisão ou experimental), ao modelo (artigo ou monografia), em relação as disciplinas da grade curricular, em relação a áreas da CAPES e em relação a habilitação do biomédico. A tabulação dos dados foi realizada pelo Excel e gráficos foram feitos no Graphpad prism. Foram encontrados um maior número de revisões e monografias. RESULTADOS: A disciplina do curso de Biomedicina mais contemplada nos TCCs foi a microbiologia com 55 trabalhos, (14,21%), seguida de Parasitologia com 35 (9,04%) e Imunologia com 33 (8,53%). Quanto a grande área, Ciências Biológicas foi a habilitação mais frequente e área de atuação a mais contemplada também foi microbiologia. Além disso, o número de TCCs recuperados foi representativo, a maior parte deles foi no formato de revisão de literatura e em estilo de monografia. CONCLUSÃO: Percebeu-se que o armazenamento adequado dos trabalhos é de extrema importância para diversas análises, como atualizações na grade curricular, percepções das disciplinas em relação ao mercado de trabalho, novas habilitações contemporâneas e áreas de pesquisa.
Being a Father: A Broken Masculinity or a Better One? An Autoethnography from a First-time Father Perspective
Authors: González-Calvo Gustavo
Published: October 2019

The current neoliberal society is built upon a patriarchal system in which new types of masculinities have a difficult time thriving. In this paper, I draw upon my own experiences as a Spanish neophyte father and how it shifts away from models of hegemonic masculinity. In doing so, I am forming a new model of masculinity to explore neoliberal discourses and how these determine my emotions, feelings and personal identity. Methodologically, I make use of a critical lens and an autoethnographic approach, interlinking personal and social aspects. In the results, I reflect upon a normal day in my life as a father and my relationship with my son, and the way in which it is affected by the hegemonic masculinity. The text is presented as an opportunity to rethink the importance of changing patriarchal prejudices and to deepen the knowledge of the role that masculinity plays in the paternal experience.
Masculinities in Transit: The Voices of Motorcyclists
Authors: Burbano-Valente Johanna , Gafaro-Barrera Martin Emilio , Torres-Quintero Angelica Paola , Dominguez-Torres María Teresa
Published: October 2019

This paper reports on the construction of masculinities in the narratives of 11 motorcyclists in Valledupar – Colombia. The aim was to establish the ways masculinities are expressed and recreated by motorcycle riders and the importance of motorcycles in these expressions. To do this, semistructured interviews were conducted to search for the evolution of their personal stories as men and on their relationship with motorcycles. We found that their masculinities are currently “in transit”: they vary from hegemonic manifestations to peripheral masculine ways of expression. Evidence of these transits can be grouped around four emerging categories: risk behavior, amusement settings, sexual expression and roles in public and private settings. Results show that, in some of these categories, the hegemonic patriarchal masculine logic prevails, especially through risky behaviors and motorcycle riding. However, other disruptive ways of expressing masculinities were found, motivated by the social transformations in equality policies, changes in interpersonal relationships and the participants’ own experiences. Supporting the transition process of masculinities is a large responsibility in social interventions seeking for a more equitable and fair society.
“To be a Man is not Easy”: Everyday Economic Marginality and Configurations of Masculinity among Rural Ghanaian Youth
Authors: Dery Isaac
Published: October 2019

How might an African based knowledge critically cast doubt upon globally hegemonic notions and traditions in understanding and theorizing men and masculinities? This essay examines this question through a critical reading of what it may mean to be ‘an emerging adult man’. The essay privileged a critical understanding of how poverty, poor crop yields, and climate volatility shape constructions of ‘emergent adulthood’. Drawing on interviews with men from northwestern Ghana, findings suggest that emerging adult men are committed to their cultural obligations as heteronormative breadwinners, yet ‘emergent adulthood’ is complicated by status insecurity, vulnerabilities, and powerlessness. To negotiate emergent adulthood, informants combine migrating to Techiman and joining ‘boys boys’ to achieve social respect and recognition. To understand the meanings of emergent adulthood, I argue for analytical sophistication on multiple issues and daily struggles that encapsulate rural life.
Diagnóstico sobre a arborização urbana do município de Maribondo – AL.
Authors: Santos Maria Isabel Gomes dos , Lira Thaynnara Paula dos Santos , Brito Dacio Rocha , Messias Edna Belarmino de Melo , Santos Iara Karlla dos
Published: October 2019

A qualidade de vida nas cidades relaciona-se, também, com a arborização, que pode proporcionar ambiente saudável, beleza, dentre outras vantagens. A arborização urbana inadequada é um problema especialmente em urbanização acelerada e desordenada, na ausência do poder público e na falta de planejamento. Verifica-se em vários municípios possíveis problemas na arborização, fato observado em Maribondo, Alagoas, com clima tropical e estação seca anual. Sendo necessário conhecer para urbanizar, e assim, fazer um bom planejamento, que venham afetar o ambiente e a população. De janeiro a março de 2015, fez-se um diagnóstico na arborização de Maribondo, com 0,02 árvores por pessoa na zona urbana, objetivando diagnosticar, quantificar e qualificar as plantas, incluindo verificar suas influências em calçadas e rede elétrica. Encontrou-se 254 espécimes, 184 arbóreas e 70 arbustivas, em 17 espécies. Encontrou-se duas espécies de Araceae e Fabaceae, as demais apenas com uma espécie cada, porém a maior quantidade de espécimes foi da família Moraceae. 29,41% de espécies são nativas e 70,59% exóticas. Os moradores estão insatisfeitos, devido à escassez de árvores e aos danos causados as calçadas e a rede elétrica. Os poucos espécimes, a pouca diversidade e a escolha errada das plantas, tornou o ambiente monótono e desconfortável.
O ensino da Geografia urbana: desafios e práticas para os professores de Geografia
Authors: Silva Reynaldo Daivyd Lopes da
Published: October 2019

RESUMO: O presente artigo aborda as problemáticas que permeiam ensino da geografia urbana sendo esta fundamental para o desenvolvimento cognitivo dos alunos em relação ao espaço urbano onde a variável distinta de cada ponto da cidade requer um estudo que reflete a realidade local e global considerando o atual período.  O objetivo desta obra visa compreender os desafios associados ao ensino da geografia urbana e propor práticas que auxilie os professores de geografia. A metodologia utilizada é de caráter qualiquantitava, está fundamentada incialmente pelo estudo de obras que envolve a temática. Para coleta de dados foram necessários aplicação de questionários e entrevistas informais com o intuído de esclarecer as particularidades do objeto estudado. Foi necessário, a utilização de fichamentos para facilitar o embasamento teórico e evitar releituras. Os resultando apontam existência de desafios relacionado as práticas de ensino na geografia urbana que comprometem o desenvolvimento dos alunos nas aulas. Esses problemas estão relacionados inicialmente a dificuldade dos professores com o tema somado a falta de recurso pedagógico apropriado. Observando as atuais condições estruturais das escolas se faz necessário aprimoramentos estruturais, tecnológicos e considerar a criação de laboratórios de geografia. Conclui-se que a geografia urbana nas aulas de geografia pode criar devesas possibilidades para trabalha a realidade e o cotidiano dos instigando a refletir sobre a formação do ambiente urbano. Porém, são diversos desafios a serem superados e requer investimento e planejamento para atender as demandas.   
 
PALAVRAS-CHAVE: Ensino, geografia, espaço urbano, desafios.
Compatibilidade do fungo entomopatogênico Metarhizium anisopliae e herbicidas utilizados na cultura da cana-de-açúcar
Authors: Duarte Rogério Teixeira , Bulhões Luís Eugênio Lessa , Espinosa David Jossue López , Menezes Karen Oliveira de , Silva Aleska Batista da , Zarate David Javier Matuz
Published: October 2019

O objetivo do trabalho foi analisar, em condições laboratoriais, a influência de princípios ativos de herbicidas utilizados na cultura da cana-de-açúcar sobre o desenvolvimento vegetativo e reprodutivo do fungo entomopatogênico Metarhizium anisopliae. Os ingredientes ativos utilizados foram diurom + sulfentrazona (5L * 100L-1) (Boral Duo® - FMC Química do Brasil Ltda.), clomazona (2L * 150L-1) (Gamit® - FMC Química do Brasil Ltda.) e tebutiurom (2,4L * 300L-1) (Combine® - Dow Agrosciences Industrial Ltda.). O efeito tóxico dos herbicidas sobre o entomopatógeno foi determinado em condição laboratorial, através da adição dos produtos químicos em meio de cultura BDA. Após solidificação do meio, foram inoculadas as estruturas reprodutivas do entomopatógeno, na concentração de 107 conídios/mL, totalizando oito repetições por tratamento. Após 24 h do início experimental foi analisada a viabilidade dos conídios, e após sete dias foi mensurada a área de crescimento da colônia (cm2), e contabilizado o número de conídios para cada tratamento, sendo as médias comparadas pelo teste de Tukey (P < 0,05), e padronizadas pela classificação de compatibilidade. O ingrediente ativo clomazona inibiu o crescimento vegetativo e a conidiogênese de M. anisopliae, enquanto que diurom + sulfentrazona e tebutiurom possibilitaram certo desenvolvimento do entomopatógeno. A maior viabilidade foi observada no tratamento com tebutiurom, representado por 92,6 ± 1,12% de conídios viáveis, enquanto que diurom + sulfentrazona e clomazona foram prejudiciais. Os ingredientes ativos diurom + sulfentrazona e clomazona foram tóxicos à M. anisopliae enquanto que tebutiurom foi classificado como moderadamente tóxico.
Estágio supervisionado em Geografia: reflexões a formação docente
Authors: Sá Quitéria da Silva de , Almeida Ricardo Santos de
Published: October 2019

Buscamos com este relato de experiência problematizarmos as experiências didático-pedagógicas desenvolvidas não longo do estágio supervisionado em duas escolas públicas (uma municipal e uma estadual) no município Pariconha/AL entre os anos de 2018 a 2019. Para tal, debruçamo-nos pela compreensão da importância do planejamento didático-pedagógico estabelecendo-se nele a valorização pela aprendizagem que viabilizarão na relação ensino-aprendizagem a socialização de conhecimentos didático-geográfico consubstanciados nos documentos normativos da educação brasileira como a Lei de Diretrizes e Bases da Educação Nacional, e também a partir das discussões de Freire (1996), Kaercher (2002), Lima e Pimenta (2005/2006), Callai (2011), Oliveira (2015), Rodrigues (2015) refletiremos a relação de construção e reafirmação da identidade docente tendo por base estratégias operacionais para além do conhecimento do espaço escolar e da sala de aula, mas também de socializar alguns conteúdos, conceitos e temas reafirmando a importância da educação geográfica.

 

Palavras chaves: Estagio Supervisionado, Ensino aprendizagem, Formação Docente.
POLÍTICA NACIONAL DE SAÚDE INTEGRAL LGBT: O QUE OCORRE NA PRÁTICA SOB O PRISMA DE USUÁRIOS (AS) E PROFISSIONAIS DE SAÚDE
Authors: Nogueira Francisco Jander de Sousa , Aragão Thalia Ariadne Peña
Published: October 2019

Com o intuito de reparar a desassistência, promover saúde integral, equidade e atender à população LGBT de forma efetiva, a Política Nacional de Saúde Integral de Lésbicas, Gays, Bissexuais, Travestis e Transexuais (PNSILGBT) foi sancionada em 2011. Apesar de sua existência, o acesso desse público à saúde ainda hoje é restrito. Logo, o presente estudo se caracteriza como uma pesquisa qualitativa que tem por objetivo analisar os desafios atuais no tocante ao atendimento e acesso da população LGBT aos serviços de saúde. Os dados foram coletados a partir de entrevistas semiestruturadas com profissionais de saúde de uma instituição hospitalar da cidade de Parnaíba-PI e travestis/transexuais usuárias que buscaram esse e outros dispositivos de saúde. Para análise do material coletado, foi utilizada a Análise de Discurso. Pretende-se, a partir da identificação e compreensão das restrições da PNSILGBT neste contexto, auxiliar na busca de práticas alternativas para a ampliação do acesso dessa população à saúde.
CLINICAL AND LABORATORIAL CHARACTERISTICS OF THE LIVER IN AGED AND NON-AGED ALCOHOLICS
Authors: Borini Paulo , Guimarães Romeu Cardoso , Calamita Zamir
Published: October 2019

The medical bibliography is deficient in research involving structural and laboratory abnormalities of the liver in asymptomatic and oligosymptomatic male alcoholics. The present study describes the alterations in tests that evaluate liver aggression, lesion and dysfunction, also correlating these with the changes in the consistency and sensitivity of the liver in aged and non-aged alcoholics. Cross-sectional study involving 100 alcoholic men, 50 aged and 50 non-aged. Of the aged and non-aged, respectively, the liver was palpable in 68% and 80%, the spleen was percutable in 72% and 74% and palpable in 12% and 22%, non-painful soft hepatomegaly was observed in 14% and 8%, painful hepatomegaly in 0% and 2%, firm hepatomegaly (painful and non-painful) in 54% and 70%, hepatomegaly and splenomegaly (percutable and palpable spleen) in 84% and 84%, and portal hypertension in 10 % and 14%. Elevated levels of aspartate aminotransferase were observed in 66% and 84%, alanine aminotransferase in 24% and 60%, gamma glutamyl transferase in 46% and 82% and alkaline phosphatase in 0% and 16% of the aged and non-aged, respectively. Elevation of aspartate aminotransferase greater than twice the reference value and the ratio aspartate aminotransferase to alanine aminotransferase greater than 2 were observed in 18% and 42% and 18% and 10% of the aged and non-aged, respectively. Hypoalbuminemia and hyperbilirubinemia were observed in 70% and 24% of the aged and 40% and 44% of the non-aged, respectively. The clinical and laboratory alterations observed are compatible with acute liver disease in 18% and 42%; chronic liver disease in 54% and 70%; portal hypertension in 10% and 14% of aged and non-aged patients, respectively.
EXPECTATIVA E EXPERIÊNCIA DO PROCESSO PARTURITIVO EM MULHERES ATENDIDAS EM UNIDADE BÁSICA DE SAÚDE
Authors: Carvalho Eliete dos Reis , Nogueira Roney Alan , Marques Andréa Grano , Marcon Sônia Silva , Milani Rute Grossi
Published: October 2019

O objetivo deste estudo foi analisar a expectativa da gestante em relação ao parto no final da gestação e a vivência parturitiva. A amostra foi composta por 16 mulheres que se encontravam no terceiro trimestre de gestação, primíparas e que realizaram o pré-natal em Unidade Básica de Saúde. Foram realizadas entrevistas semiestruturadas no terceiro trimestre de gestação e após o parto. Utilizou-se a análise de conteúdo para o tratamento e discussão dos dados. O estudo identificou que o parto vaginal foi a via preferida pelas gestantes, entretanto a cesárea eletiva foi a principal via de parto realizada pelos obstetras, mesmo em mulheres cuja preferência era a via de parto vaginal. Concluiu-se que é preciso investir no esclarecimento da população médica, das gestantes e dos seus familiares de que a cesárea eletiva expõe desnecessariamente os recém-nascidos a riscos e complicações neonatais, por meio de programas e de ações de promoção à saúde do grupo materno-infantil.
CONTRIBUIÇÕES DA PSICOLOGIA AMBIENTAL PARA PROMOÇÃO DE SAÚDE DE PESSOAS EM SITUAÇÃO DE RUA
Authors: Silvestrin Denise , Kuhnen Ariane , Tribéss Bianca
Published: October 2019

Este artigo tem por objetivo apresentar as possibilidades de contribuição da psicologia ambiental para promoção de saúde de pessoas em situação de rua, a partir do conceito ampliado de saúde e de território. Foi elaborado após a experiência de campo, que contou com a participação de 13 pessoas em situação de rua. A pesquisa teve abordagem qualitativa e suas etapas envolveram aplicação de questionário sociodemográfico, caminhadas pelo espaço urbano e entrevistas com participantes. A análise foi conduzida a partir da teoria fundamentada nos dados. A discussão dos resultados demonstra a capacidade que a psicologia ambiental tem para dar consistência e aprofundar soluções para as fragilidades da relação entre pessoas em situação de rua e o ambiente da cidade.
AS MUDANÇAS FUNCIONAIS NO PROCESSO DE PROTETIZAÇÃO PARA AMPUTAÇÃO DE PUNHO COM PRÓTESE PERSONALIZADA EM IMPRESSORA 3D
Authors: Lima Raissa Rodrigues Pereira , Felix Gabriela Trindade , Oliveira Wellington Pinheiro de
Published: October 2019

Avaliar as mudanças funcionais do membro superior em paciente amputado de punho utilizando prótese personalizada em impressora 3D. Trata-se de um estudo de caso referente ao atendimento fisioterapêutico de um paciente com amputação de punho do tipo infecciosa e avaliação da função de apertar, segurar, pinça e movimento grosseiro do membro superior afetado antes e após um tratamento protético de dez sessões. Após o treinamento protético foi feita a reavaliação, sendo possível observar que a funcionalidade do membro superior do participante melhorou com o uso da prótese nos seguintes testes: apertar (2 pontos); segurar (1,5 ponto); e movimento grosseiro (3 pontos). No entanto, pelo fato de a prótese fazer apenas o movimento de preensão grossa, não foi possível ganhar funcionalidade no teste de pinça (0 ponto). As mudanças funcionais avaliadas demonstraram melhora significativa na funcionalidade, referente aos movimentos de apertar, segurar e movimento grosseiro.
Temporal and Spatial Patterns of Seismic Activity Associated with the Dead Sea Transform (DST) during the Past 3000 Yr
Authors: Zohar Motti
Published: October 2019

Historical reports of earthquakes occurring before the twentieth century along the Dead Sea Transform (DST) are available for the past 3000 yr. Most of them are organized in various catalogs, reappraisals, and lists. Using a comprehensive and consistent compilation of these reports, the historical seismicity associated with the DST as a complete tectonic unit was examined. The compilation, supported by paleoseismic and archeoseismic evidence, resulted in 174 reliable historical earthquakes and 112 doubtful ones. The reliable earthquakes, along with 42 post‐nineteenth century instrumental earthquakes, are an up‐to‐date evaluation of the DST seismicity starting from the mid‐eighth century B.C.E. until 2015 C.E. Additionally, the scenario of historical earthquakes such as the 363 C.E. and 1033 C.E. events was resolved. The characterization of temporal and spatial patterns of DST seismicity, classifying them into four geographical zones, raised that most of the northern destructive earthquakes are clustered while clustering at the central and southern zones is less abundant.
Bir Yönetişim Reformu Olarak Devletin Gülen Yüzü: “Açık Kapı” Uygulaması
Authors: GÜLER Tahsin , YILMAZ Abdullah
Published: October 2019

Türkiye’de, 2000’li yıllardan itibaren kamu yönetimi ve kamu hizmetlerinin değişim ve dönüşümünde bilgi iletişim teknolojilerinin önemli payı bulunmaktadır. Kamu yönetimlerinin, piyasa ve birey odaklı bir yapıya evrildiği bu süreçte bir fenomen haline gelmiş olan yönetişim temelli anlayışın altyapısını oluşturdukları için birey ve sivil toplumun güçlendirilmesine öncelik verilmiştir. Bu bağlamda bir yandan kamu hizmetlerinin çeşitliliği, ulaşılabilirliği ve etkinliği artırılırken diğer yandan bireylerin yönetime talep, istek, öneri ve şikayetlerini iletme ihtiyacını karşılayacak iletişim/hak arama mekanizmalarının oluşturulmasına önem verilmiştir. Bu alandaki uygulamalardan en yaygın ve bilinen halkla ilişkiler uygulamaları olarak BİMER ve CİMER dikkat çekerken, zincirin son halkasını İçişleri Bakanlığı’nın yürütmekte olduğu “Açık Kapı” uygulaması oluşturmuştur.     Valilik ve kaymakamlıklara yapılan başvurulara ilişkin iş ve işlemlerin hızlı ve etkin bir şekilde sonuçlandırılmasını temin ederek sunulan hizmetlerde vatandaş memnuniyetini arttırmak amacını güden “Açık Kapı” uygulaması, teknoloji temelli olmakla birlikte yüz yüze/interaktif görüşme ve danışma imkanı sağlaması bakımından dikkat çekici bir uygulamadır. Çalışmada, yeni bir uygulama olan “Açık Kapı”nın ortaya çıkmasında önemli etkisi bulunan bilgi teknolojileri temelli yönetişim reformlarına değinilerek, “Açık Kapı” uygulamasının işleyişi, BİMER ve CİMER uygulamalarından farkı, pilot illerden olan Balıkesir ilinde uygulamanın değerlendirmesi ile güçlü ve geliştirilmesi gereken yönleri ortaya konulmaya çalışılmıştır.  
Effectiveness of chitosan mouthwash on plaque formation and levels of salivary Streptococcus and Lactobacillus count: an in vivo study
Authors: Indu S. R. Aparna , Sargod Sharan S. , Bhat Sham S. , Manikkoth Shamjith , Ramakrishnan N.
Published: October 2019

Background: The objectives of the present study were to clinically evaluate the effectiveness of chitosan mouthwash on Plaque formation and to evaluate the antimicrobial activity against salivary Streptococcus mutans (SM) and Lactobacillus (LB).Methods: A total of 20 participants with decay-missing-filled index ≥4 and simplified oral hygiene index score >1.3 were recruited for the study after taking informed consent. All the participants were provided a bottle of chitosan mouthwash in addition to their usual oral hygiene procedure. Baseline salivary SM and LB levels were determined, using chair-side CRT® bacteria test prior giving chitosan mouthwash and after 14 days, during which children are advised to use 10 ml of mouthwash for 60 seconds two times daily. Plaque index score recorded using Silness and Loe plaque index. Paired t-test (or corresponding non-parametric) and percentage comparison method using cross tables were used for statistical analysis.Results: The baseline plaque index score of 0.758 and after 14 days of mouthwash use, it reduced to 0.434. The mean difference in the plaque index showed significant reduction in the plaque score (i.e., with the difference of 0.324). The results showed the antiplaque effects with a short duration of 14 days use of chitosan (CH) mouthwash. The antibacterial activity demonstrated a range of inhibitory effect on salivary SM and LB.Conclusions: CH showed an evident strong effect against salivary SM and LB levels and controlling the plaque biofilm formation. So water soluble CH can be used in new formulations for oral applications not only as antimicrobial agent but also for plaque biofilm control.
Assessment of levetiracetam and valproic acid as monotherapy for quality of life in partial epilepsy patients
Authors: Verma Sanjay Kumar , Bala Suman , Singh Yashpal
Published: October 2019

Background: Quality of life (QOL) is important in patients of epilepsy as it is affected both by disease as well as therapy. QOL is the most overlooked component of antiepileptic treatment.Methods: An observational analytical study was conducted in the Department of Pharmacology in collaboration with Department of Neurology of Himalayan Institute of Medical Science, Dehradun over 12 months. 80 patients satisfying inclusion criteria were enrolled and divided into two groups based on physician discretion and followed up for 12 weeks. Patients were evaluated at 0 and 12 weeks for quality of life using QOLIE-10 self-administered questionnaire, they were also assessed for seizure control and drug related adverse effects.Results: 60 patients were enrolled and divided into two treatment groups as per physician discretion, levetiracetam (30) and valproic acid (30) groups. Study groups showed significant improvement in QOL (mean change in QOL17.95±2.527 for LEV and 11.56±3.540 for VPA). Levetiracetam (LEV) group showed significant improvement over valproic acid (VPA) group (p=0.05) at 12 weeks. Patients who achieved total seizure control at 6 weeks were 93.33% patients in levetiracetam and 90% in valproic acid group, reason being non adherence which was 6.67% and 10% respectively. Adverse event recorded with levetiracetam (03), most common being drowsiness and with valproic acid (08), with most common being anorexia.Conclusions: Levetiracetam therapy has led to better quality of life and has the same seizure control as valproic acid, and has shown to have lower incidence of adverse effect.
Assessment of knowledge, attitudes and practice among interns about over the counter drugs in a tertiary care hospital in India
Authors: Chatterjee Sudipto , Vijendra R. , Girish K. , Koroth Mahesh Kumar Manjeri
Published: October 2019

Background: Drugs that are dispensed against a valid prescription issued to a patient by a registered medical practitioner are known as “prescription-only drugs”. In India, they have been regulated under schedule H, H1, G, and X of the Drugs and Rules (1945). The drugs which are not included in the list of “prescription-only drugs” are considered to be over-the-counter drugs (OTC). There is no provision for an OTC drug schedule in the Drugs and Cosmetics Rules 1945, and these drugs have higher chances of misuse or abuse. This study was undertaken to assess the knowledge, attitudes and practice among medical interns about OTC drugs in a tertiary care hospital in India.Methods: This was a cross-sectional study, which was conducted at Kempegowda Institute of Medical Sciences and Research Center, Bangalore, Karnataka, India, from March 2018 to September 2018. A pre-validated questionnaire consisting of 24 questions to assess the knowledge, attitude, and practice was administered to 80 medical interns chosen by simple randomization, out of which 14 questions were related to knowledge, 6 related to attitude and 4 related to the practice. The participants were provided 30 minutes to complete the questionnaire. The data recorded were analyzed using Microsoft Excel.Results: There were some gaps in the knowledge, attitude and practice among the medical interns about OTC medications.Conclusions: There is a need for special emphasis on the MBBS curriculum about the use of OTC drugs.
Application of Arabic hearing in noise test on subjects with sensorineural hearing loss
Authors: Essawy Wessam Mostafa
Published: October 2019

Background: HINT sentence test is one of adaptive speech in noise tests. It has been used in many clinical applications such as recording of speech perception threshold using sentences material in quiet and in noise and verifying the benefit from hearing-aid amplification and cochlear implants, especially in noise. This study was designed to apply HINT to subjects with SNHL to get a normative data for this group.

Methods: This study included 50 subjects with bilateral mild to moderate sensorineural hearing loss.  

Results: In SNHL subjects, the mean of sSRT in quiet was 49.46 dB (A)±0.68 dB. The mean of S/N ratio at threshold was 7.69 S/N ratio ±0.68, -8.18±0.33 and -8.18±0.35 in the noise conditions 0°, 90° and 270° respectively.

Conclusions: The statistical reliability and efficiency of the test suit it to practical applications especially in SNHL subjects. 
Efficacy, safety and tolerability of autologous platelet rich plasma injection in the treatment of lateral epicondylitis
Authors: Bhan Kavyansh , Kenjle Randhir
Published: October 2019

Background: To evaluate the effects of platelet-rich plasma (PRP) infiltration in patients with lateral epicondylitis of the elbow.

Methods: A randomized, prospective study on 60 patients with lateral epicondylitis of the elbow was conducted at Ruby Hall Clinic, Pune. The patients were randomized and evaluated after receiving infiltration of three milliliters of PRP, or methyl prednisolone. The base-line evaluation was done using visual analog score (VAS) and modified Mayo performance index for elbow (MAYO). Re-evaluation was after 1 and 6 months of the procedure. Statistical analysis was done using independent t-test.

Results: After 6 months of treatment with PRP, patients with lateral epicondylitis had a statistically significant improvement in their VAS (p<0.05) in contrast to steroid. However, no statistical difference in modified Mayo performance index was found between the two groups at 1 and 6 months after intervention.

Conclusions: Treatment of patients with lateral epicondylitis with PRP reduces pain and is better tolerated than steroid therapy. Thus, the novel PRP therapy can be considered as a primary approach to treat patients of lateral epicondylitis conservatively. 
Outcome of the patients who underwent minimally invasive screw fixation for calcaneal fracture: an institutional study
Authors: Patel Vivek Amritbhai , Vala Pathik
Published: October 2019

Background: Calcaneal fractures account for 2% of all fractures with approximately 65-75% intra-articular. The aim of the present study is to determine the outcome of the patients who underwent minimally invasive screw fixation for calcaneal fracture in our institute.

Methods: The present study was performed in 31 patients who underwent closed reduction and fixations with screw in this institute for the duration of 2 years were included in this study. Present study was conducted to determine the functional outcome of patients with calcaneal fractures treated with minimally invasive fixation of fractures with cancellous screws after indirect reduction with JESS or manual reduction or with Steinmen pin.

Results: The average age of the patients was 44.14 years, ranging from 16 to 74 years, 28 patients were males and 3 were female. The AOFAS score at last follow up was 78.05 this improvement was also significant statistically (p<0.05). The mean Bohler angle at the last radiographic evaluation was 32.87°. The complications noted were proud implant with superficial wound infection in one, deep infection in 2 patients and delay in wound healing in 2 patients, persistent pedal edema in 2 patients.

Conclusions: ORIF of calcaneal fractures is associated with high skin complications and comorbidities. Percutaneous screw fixation has fewer skin complications and can have satisfactory functional outcome. JESS or similar external fixator can be used intraoperatively for achieving reduction through ligamentotaxis.
A prospective study to assess the efficacy of tranexamic acid in reducing blood loss during total hip arthroplasty
Authors: Lochab Vikas Kumar , Agarwal Saumya , Prakash Shivank , Sanikop Somnath T.
Published: October 2019

Background: Tranexamic acid has been reported to reduce bleeding, risk of thromboembolic events and the need for allogenic blood transfusion in total hip replacement patients. The present study was conducted to assess the efficacy of tranexamic acid in reducing blood loss during total hip replacement surgery.

Methods: Total hip arthroplasty patients (n=60) were divided into control and test groups with 30 patients each. Test group was administered with tranexamic acid (15 mg/kg) for 15 min before and after the surgery. Patients were administered cefuroxime (1.5 g), 30 min prior to the surgery and deep vein thrombosis prophylaxis; enoxaparin (40 mg), 48 hours after surgery. Demographic details along with levels of hemoglobin and blood loss before, during and after the surgery were recorded.

Results: Tranexamic acid reduced the early post-surgical blood loss (292±132.38 vs. 155.8±86.56 ml; p<0.0001), total blood loss (989.6±340.98 vs. 580.4±131.88 ml; p<0.0001), and the blood loss during surgery (723.5±277.73 vs. 434.3±131.83 ml; p<0.05). Test group required fewer transfusions (6.7%) than control group (26%) and had no increased incidence of deep-vein thrombosis. Postsurgical hemoglobin in the control group had significantly reduced as compared to test group.

Conclusions: Administration of intravenous tranexamic acid before and after the surgery was effective in reducing the blood loss and transfusion requirements and its related complications.
Dermo traction as a solution to major skin defects: a prospective study in a tertiary care hospital of South Odisha
Authors: Sahu Anil K. , Panda Chandan K.
Published: October 2019

Background: Soft tissue loss with exposure of underlying tissue is a challenge to all Orthopedics surgeons. The present prospective study described dermo-traction technique using infant feeding tube or prolene suture as an alternative method for the wound closure.

Methods: This prospective study described 30 cases where dermo-traction technique was used for the closure of the wound using infant feeding tube or prolene suture. Study was conducted in Orthopaedics Department of MKCG Medical College, Berhampur from June 2016 to May 2018. Patients requiring skin grafting for their major soft tissue defects or in whom skin grafting or fasciocutaneous flap could not be done were included in study.

Results: Out of 30 patients, 2 were lost to follow-up. Average age of study participants was 39.1 years. Male constituted 67.8%. 78.5% of patients had wound in leg, 14.3% in thigh region, rest had on ankle. 82.1% had an open fracture wound, 10.7% had post-operative wound dehiscence and 7.1% soft tissue injury. Average wound healing time was 15.3days with average 5 tightening session of suture. Wounds healed eventually in 26 patients and 2 patients had an infection. Among 26 patients 9 patients had delayed primary and 17 had secondary closure of wound.

Conclusions: It can be concluded that gradual closure of the wounds with soft tissue defects can be achieved by applying dermo-traction technique using prolene suture or infant feeding tube with average 15 days of time. So dermo-traction using infant feeding tube or prolene suture is a simple, inexpensive, effective and technically sound alternate solution for closure of wound.

 
Study of femoral neck fractures in elderly patients of Malayalam population
Authors: Rajasekharan Jayakrishnan
Published: October 2019

Background: 53 elderly patients aged between 51 to 80 were operated for fracture of neck of Femur to compare the two methods for early healing.

Methods: All patients selected for bipolar hemiarthopalsty. Out of them 25 were cemented, and 28 were un-cemented. Every patients was operated through posterior (Southern- Moore) approach. Harris Hip score was studied to assess the duration of improvement.

Results: History of the patients was 12 (22.6%) were diabetic mellitus, 14 (26.4%) were Hypertensive 9 (16.9%) were alcoholic, 18 (33.9%) were normal (NAD) in the comparison of Harris Hip score at different age-in 51-60 years mean value was 92.8, (SD±0.3), in 61-70 years mean value was 85.1 (SD±0.26), in 71-80 years mean value was 81.9 (SD±0.26), On total sum of score was 729.6, DF was 51, MSS was 363, 0.07, F=ratio was 5019, p value was highly significant (p<0.01). In the comparative study of Harris Hip score degrees in both methods were quite functional, chi-square test was 3.90 DF=3, and p>0.05.

Conclusions: This study of bipolar hemiartho pasty with cement or without cement will be quite effective to treat the neck fracture in old patients due to its dual fixation because calcar femorale present in the neck of the femur become function less with advancement of age moreover neck of the femur is devoid of periosteum Hence healing of neck fracture of the femur is medical challenge.

 
Investigating the Mutashābihat of the phrase "فأنساه الشّيطان ذكر ربّه"
Authors: Hoseinipour Seyyed Mohammad , Movahedian Mohammad
Published: October 2019

In examining the phrase "فأنساه الشّیطان ذکر ربّه " as one of the Mutashābihat (i.e. allegorical phrases) of the Holy Qur'an, there are two views that one related the oblivion to the remembrance of God and attributed it to the Prophet Yūsuf (pbuh) and knows its reason as Satan's influence on the Prophet; and another, attributes oblivion to the king's butler who forgot the Yūsuf completely. After examining the Muḥkamat (i.e. decisive), which indicates that Satan had no way to have an influence on him. On the other hand, the evidences in the Muḥkamat of the Prophet Yūsuf (pbuh) also showed that he was one of the sincere and benefactor Prophets (pbuh), and possessed a divine commandment and knowledge that caused his infallibility. In the end it was proved that the reason for the prolongation of the prison of the Prophet Yūsuf that has come in the style of the verse was not his sin or error, but it was a divine tradition for testing the people.
Mediation as an Alternative Dispute Resolution in Religious Court Systems in Indonesia
Authors: Siswajanthy Farahdinny , Rohaedi Edi , Abid H.
Published: October 2019

Mediation is one of the most flexible alternatives of dispute resolution since mediating a dispute can be conducted through non-litigation means. In other words, it can be carried out by involving a complete absence of lawsuit in a court of law, or through litigation after the dispute is submitted to the court of law. The legal basis for mediation in the Supreme Court is regulated in the Supreme Court Regulations (Perma) Number 1 Year 2016 on The Procedure of Mediation in the Supreme Court as part of the revision process from the Supreme Court Regulations Number 1 Year 2008. In this case, the Supreme Court Regulations Number 1 Year 2016 has regulated various aspects of mediation, in which mediation is regarded as an obligation that must be carried out by litigators (civil dispute) in a court. If it is not implemented, the court’s decision will be null and void.
Comparison of a novel adhesive system and plate and screw for facial fracture osteosynthesis
Authors: Sharifi Reza , Atai Mohammad , Mohajeri Mahsa , Bahrami Naghmeh
Published: October 2019

Background: in oral and maxillofacial fractures, plates and screws routinely fix fragments until the completion of healing process, which has its own complications in some critical fractures. To overcome this drawbacks bone adhesives are developed for the immobilization of fractured bones.
Objective: In this in-vitro study we compared the bond strength obtained by immobilization of the bone fragments using plates and screw and new adhesive containing BTDMA monomer.
Materials and methods: In this experimental in-vitro trial, bone fractures were simulated in bovine’s mandibular bone using an electrical saw. The bone fragments were randomly allocated in different groups and were immobilized with either plate and screws and adhesive containing 0,10, 15% BTDMA. After 24 hours tensile bond strength was calculated using universal testing machine. One-way ANOVA and Tukey post hoe test were used for statistical analysis.
Results: Mean (± standard deviation) of tensile bond strength of bone fixation using adhesive containing 15% (W/W) BTDMA monomer were 176.0 (±18.89) N. These values were 149.1 (±23.88) N for adhesive containing 10% BTDMA; 102(±17.99) N for the base adhesive and 278.9 (±24.12) N for the screw and plate technique.
Significant differences were found regarding bond strength of bone fixation in 4 groups using bone adhesives or plate technique (P<0.001). The highest bond strength was recorded for the plate group and the least was related to the base adhesive. Significant differences existed between all bone adhesives as declared by paired comparison (p<0.05).
Conclusion: Despite the lower bond strength in adhesive groups in comparison with screw and plate, with regards to possible complications of screw and plate technique, it seems bone adhesives containing BTDMA monomer can be used for bone fragment fixation. However, bond strength is just one of the numerous properties that an adhesive should have and more studies must be done on these kinds of adhesives.
Levofloxacin Induced Stomatitis: A Case Report
Authors: Hakamifard Atousa , Mousavi Sarah , Gholipur-Shahraki Tahereh , Mohaghegh Fatemeh
Published: October 2019

Fluoroquinolones have many adverse effects include the gastrointestinal tract and the central nervous system, phototoxicity, and dermal toxicity. Levofloxacin has favorable adverse reaction profiles compared to other fluoroquinolones. Among the reported dermal toxicity there are few reports of toxic epidermal necrosis (TEN) in association with levofloxacin usage. However, there is no published study on levofloxacin induced stomatitis. Stomatitis is characterized by pain, inflammation, and ulceration in the oral cavity. A 36-year-old man was referred to the hospital for ‘painful oral swelling and ulceration’. Before the admission due to fever and productive cough, 750 mg levofloxacin were prescribed for him. After 2 days of consumption, the patient experiences painful ulcerative and erythema lesions in the oral cavity that consistent with stomatitis. Due to the possibility of a drug reaction, levofloxacin was discontinued and no other antibiotic was used. Oral lesions were managed with a mouthwash and after 5 days, lesions recovered. To the best of our knowledge, this is the first case who developed stomatitis after two dose of levofloxacin and recovered just with topical therapy and without any systemic treatment. Caution is advised while administering these drugs.
INTRODUCING NEW EMPLOYEE EMPOWERMENT APPROACH: A SYSTEMATIC LITERATURE REVIEW
Authors: Badjie Gibriel , Thoyib Armanu , Hadiwidjojo Djumilah , Rofiq Ainur
Published: October 2019

Purpose of the study: The aim of the paper is to introduce newly developed constructs of employee empowerment as alternatives to the existing measures serving both the organization and employees. Centered on employees as the focus of the argument regarding how genuinely employee empowerment is realistically practiced in organizations today.

Methodology: The study applied systematic literature review (SLR) or systematic research synthesis (SRS) as the method to gather, analyze and respond to the research query. The study method embraces the definition of SLR by Rousseau et al., (2008). The conditions for the literature search electronically were done through multiple journal sites. The gathered academic published materials were dated between 1954-2017.

Main Findings: The findings revealed that there is a misconception surrounding the true picture of employee empowerment in organizations. Different organizations have different interpretations of employee empowerment as deem fitting to serve their needs. Most findings propagate employee empowerment on the conditions of internal factors of the organization.

Applications of this study: This new approach to employee empowerment will give employees a new lease of life that extends beyond the immediate influence of the organization. It incorporates external factors as both define and shape the attitude and behaviors of employees. Both micro and macro factors relating to work roles and non-work roles of employees matter in empowerment.

Novelty/Originality of this study: This study takes a holistic approach to employee empowerment by taking both inside-out and outside-in approach to factors that have strong influence on the attitude and behavior of employees thus relates to performance. It introduces new measures for employee empowerment.
A Low Cost and Non-Complicated Circumcision; When, How, Where, Who Should Be Made by?
Authors: KAYA Murat , OZKAN Aybars , KABAKLİOGLU Murat
Published: October 2019

Objective: Circumcision, in Turkey as a Muslim
country is one of the most commonly performed operation. Although it seems to
be a simple procedure, circumcision has many complications. The aim of this
study is to retrospectively evaluated circumcision datas and discuss about 'a
low cost and non-complicated circumcision; when, how, where, who should be made
by'.

Methods: In this study, 4059 patients
who were circumcised between 2011-2018 were included in the study.

Results: The mean age of 4059 patients
was 4.1(± 3.29). The number of patients who had circumcised <2year was 1315
(32.40%), aged 2-6 who no recommended by child psychiatrists was 1154(28.43%)
and >6 year was 1590(39.17%). 422(10.40%)
of patients who underwent circumcision had additional surgical pathology. The
most common additional surgical pathologies were inguinal hernia (n=212, 50.24%),
undescended testes (n=100, 23.70%) and hydrocele (n=32, 7.58%).

Conclusion: Since the circulation of
complicated surgical operations is intense, especially in the 3rd level public
university hospitals it is more appropriate to perform circumcision in patients
who require additional operation to reduce the cost and hospitalization. If additional operation is not required, circumcision
should be performed by private health institutions or certified 1st level
family physicians. In terms of childhood
psychology, it is important to take measures to increase the level of knowledge
of families on this issue, since a significant number of families still circumcised
their children aged 2-6 years.
Hemodiyaliz Hastalarının Beslenme Bilgi Düzeylerinin Beslenme Durumlarına Etkisi
Authors: YAKAR Burkay , DEMİR Mustafa , CANBOLAT Ömer
Published: October 2019

Amaç: Hemodiyaliz hastalarındaki beslenme bozuklukları mortalite ve morbitidenin enönemli belirleyicilerindendir. Hemodiyaliz hastalarının diyetlerine uyumunusağlamanın ve onları beslenme bozukluğundan korumanın en etkili yollarından birisininhastaların beslenme hakkında ki bilgi düzeylerinin arttırılması olduğu bilinmektedir.Araştırmamızda beslenme bilgi düzeyinin hemodiyaliz hastalarında ki beslenmebozukluğu durumuna etkisinin araştırılması amaçlanmıştır.Gereç ve Yöntem: Kesitsel tipteki ki araştırmamızın evrenini bir üniversitehastanesinin hemodiyaliz ünitesinde takip edilen hastalar oluşturmuştur.Araştırmamızda ki veriler Mini nutrisyonel değerlendirme anketi, beslenme bilgi düzeyianketi ve sosyodemografik anket formu ile elde edilmiştir. Kategorik verilerinistatistiksel analizinde Ki-kare testi kullanılmıştır. Normal dağılım gösteren süreklideğişkenlerin analizinde Student-t testi kullanılmıştır. Verilerin değerlendirilmesi %95güven aralığında ve p <0.05 istatistiksel olarak anlamlı kabul edilmiştir.Bulgular: Araştırmamıza katılan 109 kişinin yaş ortalaması 52,76±14,14 idi.Katılımcıların %20,2’sinde malnutrisyon, %32,1’inde malnutrisyon riski, %47,7’si isemalnutrisyon riski taşımayan grupta idi. Eğitim düzeyi (p=0.01) ve beslenme bilgipuanı arttıkça (p<0.001) katılımcıların beslenme bozukluğu azalırken, Hemodiyalizsüresi uzadıkça beslenme bozukluğunun arttığı görüldü (p= 0.03).Sonuç: Katılımcıların beslenme bozukluğunun eğitim durumu ve beslenme bilgidüzeyleri ile ilişkili olması hemodiyaliz hastalarının bilgi düzeylerinin arttırılması ilebeslenme bozukluklarının azaltılabileceğini düşündürmüştür.