bluuebunny/crossref_metadata_2025 huggingface dataset:
Hábitos relacionados à saúde entre agentes comunitários de saúde de Montes Claros, Minas Gerais: estudo transversal, 2018
Authors: Magalhães Nathália Paranhos , Sousa Paloma da Silva , Pereira Gustavo Veloso , Silveira Marise Fagundes , Brito Maria Fernanda Santos Figueiredo , Rocha Josiane Santos Brant , Barbosa Luiza Augusta Rosa Rossi , Caldeira Antônio Prates , Pinho Lucinéia de
Published: February 2021

Resumo Objetivo: Analisar os hábitos relacionados à saúde dos agentes comunitários de saúde (ACS). Métodos: Estudo transversal realizado em Montes Claros, Minas Gerais, Brasil, em 2018. Foram avaliadas as características antropométricas, sociodemográficas, laborais e de estilo de vida. Regressão de Poisson foi aplicada para calcular a razão de prevalência (RP) e intervalo de confiança de 95% (IC95%) dos hábitos não saudáveis pelas variáveis independentes. Resultados: Participaram 675 ACS. No perfil de saúde, 60,8% estavam com excesso de peso, 83,0% referiram baixo consumo de frutas e 58,1% declararam baixo consumo de verduras e legumes. A inatividade física foi relatada por 26,2%. Declararam-se fumantes 7,1% e 37,6% ingeriam bebidas alcóolicas. O hábito inadequado de saúde foi maior no sexo masculino (RP=1,24 - IC95% 1,05;1,45), nos mais jovens (RP=1,19 - IC95% 1,01;1,40) e naqueles sem religião (RP=1,23 - IC95% 1,04;1,45). Conclusão: Houve prevalência relevante de hábitos inadequados de saúde entre os profissionais, associados aos fatores sociodemográficos.
Dental health status and Oral Health-Related Quality of Life in older people of Puerto Montt, Chile
Authors:   Facultad de Odontología, Universidad de Concepción, Concepción, Chile., Piticar Evelyn , Mirtala Orellana Lorena ,   Departamento de Prevención y Salud Pública Odontológica, Facultad de Odontología, Universidad de Concepción, Concepción, Chile.
Published: February 2021

Abstract: Introduction: Older people tend to have poor oral health, which can affect their quality of life. This study aimed to explore the relationship of the Oral Health-Related Quality of Life (OHRQoL) with sociodemographic variables and the dental health status of older people who belong to Elderly Clubs in the district of Puerto Montt, Chile. Material and methods: A cross-sectional study was carried out in 140 elderly people from Elderly Clubs in the district of Puerto Montt, Chile. Sociodemographic and dental variables were studied using a questionnaire and clinical examination. The GOHAI instrument validated in Chile was applied to measure the OHRQoL. Results: The mean of the total GOHAI was 50.8±8.6 points, and the median was 53. Of the 140 elderly people, 87.9% were females, the means of age and years of education were 73.2±6.2 and 7.5±4.4 years, respectively. 30% were edentulous, the number of remaining teeth was 7.8±8.1, the OHI-S was 1.3±1.0. 85.7% wore dentures, and the time of denture wearing was 8.8±9.4 years. Significant associations were found between the total GOHAI and non-belonging to an indigenous people (p=0.024), being edentulous (p=0.006), and the presence of healthy teeth (p=0.039). Conclusion: The GOHAI showed a significant relationship with not-belonging to an indigenous ethnicity, being edentulous, and the number of healthy teeth. The OHRQoL was higher in males, with formal education, edentulous, dentated without teeth mobility, with complete dentures, and moderate denture hygiene.
Evaluación del Riesgo Ambiental de los insecticidas Fipronil e Imidacloprid en el Camarón de río (Cryphiops caementarius)
Authors: Cáceres-Del Carpio Fiorella Alexandra , Iannacone Jose
Published: February 2021

En la actualidad, el fipronil y el imidacloprid representan aproximadamente un tercio del mercado mundial de insecticidas. En el presente estudio se evaluó el riesgo ambiental (ERA) del fipronil e imidacloprid en las postlarvas del camarón de río (Cryphiops caementarius, Molina 1782). Se realizaron bioensayos de toxicidad de corta duración en base a la CL50 (Concentración letal media) (mortalidad) y CE50 (Concentración efectiva media) (hipoactividad natatoria). Se calculó la PNEC (Concentración prevista sin efecto conocido) y los estándares ambientales disponibles para la PEC (Concentración ambiental esperada) para el fipronil y el imidacloprid para determinar los cocientes de riesgo (CR). El imidacloprid resultó con mayor riesgo para el ambiente acuático que el fipronil para la respuesta letal (mortalidad) y subletal (hipoactividad natatoria). La diferencia del riesgo observada entre ambos insecticidas pudiera deberse a sus diferentes modos de acción. C. caementarius debería ser considerado como una especie sensible al momento de definir un estándar de calidad ambiental para la conservación del ambiente acuático. Por ende, es recomendable continuar elmonitoreo para observar la presencia de estos insecticidas en los ecosistemas dulceacuícolas costeros, y reducir el uso del fipronil y del imidacloprid en los cultivos agrícolas que los emplean.
Autonomous solar thermal system design for indirect dehydration of Aguaymanto (Physalis Peruviana L.), Junín
Authors: Camayo Bécquer , Quispe Miguel , Massipe Juan Raúl , Galarza José , Mucha Enrique
Published: February 2021

This paper aimed to design an autonomous indirect solar dryer, which can dehydrate the aguaymanto in a costeffective manner, yielding a quality product suitable for export from the central part highland of Peru. To complete this task, it was proposed to design a prototype of autonomous solar dryer of 100 kg per batch of aguaymanto, equipped with flat reflectors and forced air feed, and powered with photovoltaic energy. This system allows to dry aguaymanto fruit at the requirements needed for its exportation. The fryer has the following dimensions: inner dimensions of the drying chamber: bottom 0.60 m, width 1.40 m, and height 1.10 m, with additional 0.05 m for insulation. Hence, the outer measures are bottom 0.70 m, width 1.50 m, and height 1.20 m. Two solar collectors are proposed with the dimensions of each: 1.50 m wide, 2.40 m long, and 0.15 m height; 2 flat mirror reflectors are required. A 80 Wp photovoltaic panel was selected for the forced air system and process control. This solar dryer is expected to cope with the problem of post-harvest deterioration. Also, it will facilitate the export by improving product quality and providing a cost-effective technology.
Epistolary poetry in Joseph Brodsky’s English verses: “For Sara Jangfeldt on her 13th Birthday” in the context of poetical bilingualism
Authors:   Tomsk State University (Tomsk, Russian Federation), Kuzub A. V. , Sukhanov V. A. ,   Tomsk State University (Tomsk, Russian Federation)
Published: February 2021

The paper focuses on Joseph Brodsky’s original English verse “For Sara Jangfeldt, on her 13th Birthday” (1989). The analysis reveals different aspects of Brodsky’s poetical thinking. Although Brodsky’s English poetry is a huge part of his literary legacy, it has not yet been studied enough and needs to be analyzed in order to clarify his aesthetic principles. The paper addresses the semantics of epistolary poetry, considering the verse “For Sara…” as one of the most revealing texts of the genre. A detailed analysis of the poem (object of portrayal, nature of poetical introspection, lyric character’s horizons and viewpoint, addressee’s distinctive features as a part of communicative interaction, system of characters, linguistic tools of representation, modality, spacious organization) allows determining the frontier status of Brodsky’s English poetry, reflected in the combination of English and Russian linguistic tools and poetical systems and also in harmonic co-existence of English and Russian epistolary genre elements of different time periods in Brodsky’s English poetical epistles. The paper examines Brodsky’s poetical language as the author’s idiolect combining features of both English and Russian poetical languages.
“Of peaceful leisure quiet occupations...” The concept of LEISURE in the Russian literature of the 19th century
Authors:   The Kosygin State University of Russia (Moscow, Russian Federation), Stroganova E. N.
Published: February 2021

In recent years, the question of peculiarities of the concept of LEISURE has become actual in Russian philological studies. However, little has been said about its use in nineteenthcentury literature. The semantic base of the concept of LEISURE, as well as that of rest, idleness, or entertainment, is free time. However, they are marked by considerable dissimilarities. In Russian literature of the nineteenth century, the true aim of leisure was thought to be the benefit that could be derived from free time. This idea is best testified by prosaic texts. The poetry of the early nineteenth century manifested in various forms the idea of leisure as indispensable for private life, compared to state service. The sphere of leisure included private occupations: reading, self-education, spiritual work (meditation, reverie, self-knowing), communication with friends, private correspondence. Leisure was also a prerequisite for literary work. However, those occupations were peculiar to the privileged class. In the middle of the nineteenth century, one of the discussion aspects of the social inequality problem was putting forward the peasant (a working man) as a potential beneficiary of leisure. Popular leisure was thought to consist mainly of intellectual occupations, i.e., education and mental development. Towards the end of the nineteenth century, due to growing political struggle, providing workers with leisure time was perceived as one of its incentives.
Assessing African Energy Transitions: Renewable Energy Policies, Energy Justice, and SDG 7
Authors: Müller Franziska , Neumann Manuel , Elsner Carsten , Claar Simone
Published: February 2021

Renewable energy has made significant inroads in addressing growing energy demands on the African continent. However, progress towards SDG 7 is still limited and difficult to trace. Furthermore, the results-oriented rationale of the SDGs means that both policy change and the dimension of environmental justice are not covered properly. We argue that the energy justice concept may provide a powerful tool to offset looming trade-offs and enhance the co-benefits of SDG 7 within broader transition endeavours. In doing so, we assess African energy transition processes based on a comparative mapping of African renewable energy policies in 34 countries. We investigate the scope of policy frameworks in order to analyse their contribution to greater energy justice along different justice dimensions. We then identify four transition scenarios, which reflect the challenges of integrating the justice dimension into renewable energy policies. In comparing these scenarios, we argue that SDG 7 tracking needs to consider the justice dimension to arrive at a more holistic implementation that is in line with socio-ecological justice and takes account of people’s energy needs.
Scientific Knowledge Integration and the Implementation of the SDGs: Comparing Strategies of Sustainability Networks
Authors: Zeigermann Ulrike
Published: February 2021

Although there is a broad agreement on the importance of scientific knowledge for the implementation of the Sustainable Development Goals, high levels of uncertainty and debate about what counts as knowledge challenge the use of research for political decision-making. Hence, the question arises, which strategies of scientific knowledge integration are adopted by science-based actor-networks that seek to enhance evidence in sustainability governance. In this article, I study the Sustainable Development Solution Network (SDSN) engaged in different institutional settings and policy fields. With a qualitative document analysis, I compare the overall structure, objectives, thematic focus, formal knowledge processes, and outputs of 22 national sub-networks of the global SDSN in order to elucidate how these initiatives integrate contested sustainability knowledge underpinning the implementation of the 2030 Agenda. My findings suggest that most SDSNs adopt solution-oriented knowledge integration strategies but also that networks in countries with better overall SDG performance tend to adopt assessment-oriented and learning-oriented strategies. In reflecting on these results in the context of the current literature on knowledge integration in sustainability governance, I argue that science–policy interfaces are shaped by the intentional and dynamic interactions of actors within their institutional setting and policy environment, and propose pathways for further research.
The UN 2030 Agenda and the Quest for Policy Integration: A Literature Review
Authors: Bornemann Basil , Weiland Sabine
Published: February 2021

The adoption of the UN 2030 Agenda and the Sustainable Development Goals (SDGs) represents a milestone in international sustainability politics. The broad and ambitious agenda calls for a reconsideration of established principles and practices of sustainability governance. This article examines how the 2030 Agenda changes the notion of policy integration, which represents a fundamental principle of sustainability governance. In general, policy integration denotes forms of cross-cutting policymaking to address the complexity of real-world problems. In the context of the sustainability discourse, the concept has long been interpreted as environmental policy integration, referring to the integration of environmental concerns into other sectoral policies. Based on a review of the current SDG literature, we examine whether and how this interpretation has changed. In so doing, the reasons (why?), objects (what?) and modes (how?) of policy integration in the context of the 2030 Agenda are specified. The analysis reveals that the 2030 Agenda promotes a comprehensive, reciprocal, and complex form of goal integration which differs markedly from environmental policy integration. This novel understanding of policy integration for sustainable development calls for future research on its impact and relevance in political practice.
Transformation through ‘Meaningful’ Partnership? SDG 17 as Metagovernance Norm and Its Global Health Implementation
Authors: Sondermann Elena , Ulbert Cornelia
Published: February 2021

SDG 17 calls for the international community to “strengthen the means of implementation and revitalize the global partnership for sustainable development,” emphasizing the role of multi-stakeholder partnerships for achieving the SDGs. Policy documents are replete with statements on the necessity of ‘meaningful’ engagement, especially with civil society—without clarifying what ‘meaningful’ stands for. In this article, we develop an analytical approach to partnership as a form and norm of metagovernance. Partnership as a metanorm is about the roles and relations of different sets of actors. We suggest operationalizing the concept of partnership according to different levels of accountability and participation, allowing for a gradual enhancement of the quality of partnership in terms of ‘meaningfulness.’ We apply our analytical model to the Global Action Plan for Healthy Lives and Well‐Being for All (GAP), a fairly new initiative by health and development agencies to accelerate progress towards the health-related targets of the 2030 Agenda. By investigating the development and the early phase of implementing the GAP, we empirically assess if and how the notion of partnership envisioned in the GAP qualifies as ‘meaningful’ with respect to civil society engagement. From our empirical example, we infer lessons for attaining normative standards of ‘meaningfulness’ and highlight implications for future research on partnerships.
The 2030 Agenda for Sustainable Development: Transformative Change through the Sustainable Development Goals?
Authors: Weiland Sabine , Hickmann Thomas , Lederer Markus , Marquardt Jens , Schwindenhammer Sandra
Published: February 2021

The 2030 Agenda of the United Nations comprises 17 Sustainable Development Goals (SDGs) and 169 sub-targets which serve as a global reference point for the transition to sustainability. The agenda acknowledges that different issues such as poverty, hunger, health, education, gender equality, environmental degradation, among others, are intertwined and can therefore only be addressed together. Implementing the SDGs as an ‘indivisible whole’ represents the actual litmus test for the success of the 2030 Agenda. The main challenge is accomplishing a more integrated approach to sustainable development that encompasses new governance frameworks for enabling and managing systemic transformations. This thematic issue addresses the question whether and how the SDGs set off processes of societal transformation, for which cooperation between state and non-state actors at all political levels (global, regional, national, sub-national), in different societal spheres (politics, society, and economy), and across various sectors (energy, transportation, food, etc.) are indispensable. In this editorial, we first introduce the 2030 Agenda and the SDGs by providing an overview of the architecture of the agenda and the key challenges of the current implementation phase. In a second step, we present the eleven contributions that make up the thematic issue clustering them around three themes: integration, governance challenges, and implementation.
EL ÁMBITO DE APLICACIÓN DE LOS DERECHOS DE LAS POBLACIONES VULNERABLES Y EL PODER ESTATAL COLOMBIANO
Authors: Cubides-Cárdenas Jaime , Pérez Vallejo Alejandro , Ortiz-Torres Diana
Published: February 2021

Con el paso de los años, la humanidad ha ocasionado grandes desastres en el medio ambiente del planeta Tierra, debido a la gran industrialización, la sobrepoblación y el excesivo uso de los hidrocarburos, los cuales afectan directamente la atmosfera del planeta. Ahora, el mundo se encuentra enfrentando la pandemia producida por el virus SARS COVID 19, el cual ha afectado a la gran mayoría de las naciones, tanto en la salud de su población como en su economía. Por lo tanto, debido a que los Estados, deben proporcionar las mínimas garantías de protección de los derechos de su población, ha sido necesario que estos aporten mayores recursos a la estabilización de los sistemas de salud, de educación, de alimentación y de economía, con lo cual se busca mantener la protección de los derechos fundamentales, económicos, sociales y culturales de su población. Por lo tanto, ha sido necesario que los Estados trabajen armónicamente con las organizaciones internacionales, para que, de esa manera, se pueda llegar a un consenso tanto regional como universal sobre las medidas más eficaces para proteger los derechos de la población respectiva.
Thyroid dysfunction in Human immunodeficiency virus infected patients and their correlation with CD4 count
Authors: Porwal Vipin , Deshpande Rajesh , Jain Aadish Kumar
Published: February 2021

Background: The aim of this study was to evaluate the prevalence of thyroid abnormalities in a subset of human immunodeficiency virus positive patients.Methods: This was a cross-sectional prevalence study conducted on adult HIV positive patients. The patients presenting with hypertension, diabetes mellitus, coronary artery disease or thyroid disorder were excluded from the study. An exhaustive medical history and investigation using biochemical, microbiological and radiological tests were performed to confirm the diagnosis. Additionally, tests were done to determine the free T3, T4, thyroid stimulating hormone and CD4 cell count in all the patients.Results: The prevalence of thyroid dysfunction in our study was 45.7%. Various types of thyroid dysfunctions obtained were euthyroid sick syndrome in 18.6%, subclinical hypothyroidism in 11.4%, secondary hypothyroidism in 10% and primary hypothyroidism and hyperthyroidism each in 2.9% cases. As the stage of HIV advanced, there is alteration in the level of thyroid stimulating hormone, FT3 and FT4. A direct correlation was found between FT3 and CD4 counts but no correlation was found between thyroid stimulating hormone and FT4 levels and CD4 counts.Conclusions: A higher prevalence of thyroid dysfunction that was largely asymptomatic was observed in HIV infected patients with significant change in the hormonal levels in patients with low CD4 count. A direct correlation was observed between FT3 hormone level and CD4 count.
An open randomized study to compare effect of metformin versus acarbose monotherapy on glycemic control and lipid profile in newly diagnosed type 2 diabetes mellitus patients
Authors: Manda Ram A. , Verma Veena , Biswas Krishna
Published: February 2021

Background: Type 2 DM is one global health problem and a main cause of morbidity and mortality. It is epidemic in many industrialized and developing areas and is considered to be one of the most challenging health problems of the 21st century. Metformin and acarbose both are used as monotherapy and in combination with other anti-diabetes drugs for treatment of type 2 DM. There are very sparse evidences regarding comparative efficacy and safety of metformin versus acarbose, especially in Asian region. In addition to glycemic control, improvement in lipid profile, weight loss and post-prandial sugar level are important therapeutic objectives for better management of type 2 DM patients.Methods: In this study, 60 newly diagnosed type 2 DM were randomly assigned (1:1) to oral acarbose (titrated doses upto 300 mg daily) or oral metformin (titrated doses up to 2500 mg daily) monotherapy and were followed-up for 12 weeks for effects on glycaemic control [serum HbA1C, fasting blood sugar and post prandial sugar and serum LDL, HDL, triglycerides and total cholesterol.Results: Reduction in FBS, HbA1C and body weight was found significantly greater with metformin while acarbose yielded greater improvement in PPS, total cholesterol and triglyceride levels. Both metformin and acarbose yielded significant improvement in FBS, PPS, HbA1C, lipid profile and body weight after 12 weeks of therapy and yielded similar improvement in LDL and HDL levels.Conclusions: Acarbose can be considered as an alternative initial therapy in newly diagnosed type 2 diabetes patients, particularly those with isolated post-prandial hyperglycemia and those who are intolerant to metformin therapy.
Aerobic bacteriological analysis of bronchoalveolar lavage fluid in patients with pulmonary infection: a tertiary care hospital study
Authors: Akhtar Shahida , Nazir Asifa , Bashir Humaira
Published: February 2021

Background: Respiratory tract infection are an important cause of mortality and morbidity worldwide. The prevalent bacterial agents and their antimicrobial resistance patterns differs, both geographically and over time. Bronchoalveolar lavage has improved sensitivity and specificity of diagnostic techniques in diagnosis of pulmonary infections. The present study aimed to determine the current aerobic bacterial isolates and their sensitivity pattern obtained from the bronchoalveolar lavage (BAL) fluid of patients with pulmonary infection.Methods: BAL samples received from the patients of suspected respiratory tract infections over a period of one year, from June 2018 to May 2019 were processed by standard methods for isolation and identification. The antimicrobial susceptibility was done by the Kirby-Bauer disc diffusion method as per the CLSI guidelines.Results: Out of 322 BAL samples, 84 (26.08%) were found to be culture positive for bacterial isolates. Of those, 44 samples (52.38%) from among males and 40 samples (47.61%) from among females were culture positive .The predominant organism isolated was Pseudomonas aeruginosa 46 (54.76%) followed by Acinetobacter baumanii 13 (15.47%), Escherichia coli 10 (11.90%), Klebsiella pnuemoniae 6 (7.14%) Enterobacter sp 3 (3.57%), Staphylococcus aureus 3 (3.57%), Enterococcus sp 2 (2.38%) and Sphingomonas sp 1 (1.19%). The Gram-negative organisms showed maximum sensitivity to colistin (100%) while as vancomycin and linezolid were the most effective drugs against Gram positive organisms.Conclusions: Bronchoalveolar lavage has improved sensitivity and specificity in diagnosis of pulmonary infections. It is important to have an updated local antibiogram for each hospital and regular surveillance and monitoring of antibiotic resistance and the changing patterns of the bacterial pathogens is a must for better patient management.
Right funicular hydrocele accompanied by in adverted lateral inguinal hernia finding in geriatric male patient during operation: a case report
Authors: Sudiatmika Dewa Gede , Jayaningrum I. Gusti Ayu Agung Bella
Published: February 2021

Lateral hernia is caused by patent or reopening of processus vaginalis that lead herniation of abdominal content into scrotal sac. These defects can cause atypical presentation of indirect inguinal hernia along with hydrocele. We present a case of a male 78-year-old with chief complain of painless swelling on right scrotum that gradually getting bigger since a year ago. During the examination we found trans-illuminable mass in the right scrotum along with protrusion of bowel contents at the inguinal region. Patient underwent herniotomy with mesh installation to fix the lateral inguinal hernia and then followed by hydrocele removal with Jaboulay’s technique. Prognosis of this patient is believed to be good. We have presented a case of a geriatric patient with right lateral inguinal hernias with encysted hydrocele which is a presentation that could be happen due to anatomy of the inguinal ring. This patient underwent herniotomy with mesh installation to fix the lateral inguinal hernia and this procedure maintains the principle of tension-free posterior wall, hence preventing recurrence. Then followed by hydrocele removal with Jaboulay’s technique to prevent any complications such as testicular atrophy, haematocele and pyelocele. Prognosis of this patient is believed to be good.
Demographic profiles, etiology and management of patients presenting with acute pancreatitis in AIMS, B. G. Nagara: a prospective study
Authors: H. S. Akshatha , M. B. Sachin , Vaggara Hanumantha Basappa
Published: February 2021

Background: Acute pancreatitis remains a common disorder with devastating consequences. Although most episodes are mild and self-limiting, upto a fifth of patients develop a severe attack that can be fatal. Inspite of technical advances in medical and surgical fields acute pancreatitis remains a major cause of morbidity and mortality. So, we have studied the clinical profile and management of acute pancreatitis. Aims and objectives were to study the clinical presentation, complications and treatment modalities of acute pancreatitis that can be offered in our institution and the outcome.Methods: This prospective study was conducted between November 2018 to October 2020 on patients admitted to Department of Surgery, Adichunchanagiri Institute of Medical Sciences, B. G. Nagara, Mandya. 50 patients with acute pancreatitis were enrolled for the study.Results: Study included 50 patients with acute pancreatitis, 40 males and 10 females. The peak incidence was in the fourth decade with the median age of 35 years. The commonest etiology was alcohol consumption accounted for 72% of cases followed by gall stones (12%), idiopathic (8%) and others (8%).Conclusions: Acute pancreatitis was found to be in a younger age group. Serum amylase and lipase should be used for diagnosis wherever possible. Scoring systems help to identify patients who are more likely to have a severe attack and they should be referred to higher centers if adequate facilities are not available. Severe cases should be managed in well-equipped ICU. Timely intervention by endoscopist and surgeons are crucial to reduce morbidity and mortality.
A comparative study of mesh fixation with polypropylene sutures (prolene) versus polyglactin sutures (vicryl) sutures in assessing inguinodynia in open inguinal hernia repair
Authors: Koujalagi Ramesh S. , Karagi Vinod , Gogate Abhijit S. , M. Nikhil
Published: February 2021

Background: Inguinal hernia, the most frequently occurring type of hernia globally, Chronic groin pain could be related to nerve mangling while operating. Mesh repair can lead to an inflammatory reaction over a period of time, though it still needs ground work to find out exact cause of pain. So this study aims to compare the effectiveness of polyglactin versus prolene sutures in reducing the post-operative pain in inguinal hernia repair.Methods: A one year hospital prospective study in KLE hospital. A total of 60 adult patients were divided into two groups of 30 each. Mesh fixation with polyglactin sutures was group A (30) and mesh fixation with polypropylene sutures was group B (30) and then post-operative pain, was assessed. Follow-up was for 3 months. Collected data was analyzed using chi–square tests, Mann-Whitney U tests.Results: Our analysis showed that the incidence of postoperative groin pain with mean severity scores of 1.37±0.49 versus 1.43±0.50; 1.40±0.50 versus 1.57±0.73; 1.03±0.61 versus 1.50±0.057; 0.77±0.63 versus 1.30±0.79; at post-operative day 1, 3 in both groups were similar and statistically not significant whereas the 1 week and 3 months follow up in group A and B respectively, were significant (p<0.05).Conclusions: The post-op chronic groin pain is significantly low, hence routine usage of polyglactin sutures to fix a mesh is a safe and effective alternative to polypropylene sutures in Lichtenstein hernia repair.
Evaluating outcomes in patients of jejunal stoma
Authors: Chejara Rajkumar , Chaudhary Rohit , Sharma Ashok , Kalwaniya Dheer Singh , Garg Ankur , M. Monish Raj , M. Vignesh
Published: February 2021

Background: In managing patients with intraabdominal emergency such as perforation of bowel due to trauma, intestinal tuberculosis or in patients with mechanical obstruction with strangulation, we are sometimes left with no other option but to constitute a jejunostomy as the patients general condition is very critical or there is intra-abdominal sepsis with high chances of anastomotic leak and eventual mortality. In this article we have evaluated outcomes of jejunal stoma in terms of morbidity and mortality.Methods: Study conducted in the Department of Surgery, VMMC and Safdarjung Hospital, New Delhi. 25 patients were evaluated in study for a period of 18 months between October 2018 and April 2020. Patient demographics, preoperative diagnosis, treatment strategies, surgical procedures, and the post-operative course were evaluated.Results: It was observed that the most common pathologies for formation of jejunostomy were trauma and tuberculosis. patients were readmitted, most commonly due to cause being dehydration and dyselectrolytaemia.80% patient had clavien dindo grade 1 pre-operative complications. Mean time for stoma closure was 5.4 weeks. Most common complication after closure of stoma was Surgical site infection i.e.,9 patients (36%). Overall mortality was 2 (8%).Conclusions: It is concluded from our study that if jejunostomy has to be made due to unavoidable circumstances then the patient requires regular clinical assessment of nutritional parameters and aggressive corrections of any abnormalities and an early closure of stoma. This shows that knowledge of clinical course of patient with jejunostomy can help us to better manage these patients.
Therapeutic efficacy and safety of mesenchymal stem cells transplantation for patients with liver failure: a systematic review and meta-analysis
Authors: Qi Feng , Jiang Zongze , Gong Jianping , Feng Yi
Published: February 2021

The aim was to pool the present clinical studies to assess the therapeutic efficacy and safety of mesenchymal stem cell transplantation (MSCT) compared with traditional supportive treatment (TST) for patients with liver failure. Publications were searched to identify relevant clinical trials in which LF patients accepted mesenchymal stem cell transplantation from the online databases of PUBMED, EMBASE, and Cochrane Library up to June 2020. Then, the short-term outcomes of 6 months, including models of end-stage liver disease (MELD) score, total bilirubin (TBIL), albumin (ALB), prothrombin activity (PTA), alanine aminotransferase (ALT), prothrombin time (PT) and cumulative survival rate were enrolled in a meta-analysis. In total, 446 patients, reported on 2 randomized controlled trials (RCTs) and 4 non-randomized trials, were included. Compared with TST, MSCT was associated with a faster decline of MELD score at 2-, 4-, 12- and 24-week, greater improvement of ALT levels at1-, 4-, 24-week, significant increase of ALB levels at 4-,12-week and remarkable raise of PTA levels at 12-, 24-week, while PT levels changed greatly at 4-week and TBIL levels observably decreased at 4-week. The cumulative survival rate of MSCT was shown significant difference at 12-week. There were no serious complications and HCC occurred after MSCT. This study suggests MSCT may be a more effective and safe strategy than TST to improve liver function parameters and alleviate liver damage in LF patients during the short-term duration of 6 months. However, more multi-center, large-scale RCTs are needed.
Primary cutaneous mucinous carcinoma of axilla: a case report with review of literature
Authors: Kamat Sanjivi , Malawad Manohar , Patil Rajesh
Published: February 2021

Primary cutaneous mucinous carcinoma is a low grade tumour of the sweat gland rarely occurring in middle aged men, more commonly in the sixth decade. When seen in a younger age group, the tumour tends to be more aggressive with potential for metastasis. Clinical presentation is usually a hard nodular well defined painless lesion confined to skin and subcutaneous tissue, commonly seen in head and neck region. Histopathological examination of the specimen shows cells with myxoid and mucinous material, confirmed by immunohistochemistry showing positive for estrogens and progesterone receptor and cytokeratin 7, is diagnostic. Surgery is the treatment of choice, wide local excision with margin of 1 cm as this tumor is resistant to radiotherapy and chemotherapy. Its tendency for late recurrences and rare metastasis, adds to the good prognosis. With rare chances of distant metastasis, prognosis remains good but local recurrences are not uncommon after excision.
Intramesenteric internal hernia with midgut volvulus: a rare case causing small bowel gangrene in an adult
Authors: Pravindhira S. N. , Kannan R. , Prabhakar P.
Published: February 2021

Intramesenteric internal hernia is a rare type of small bowel mesentery related internal hernia which usually occur in pediatric population. It is characterized by herniation of small bowel loops through a congenital or acquired defect in one layer of the mesentery producing a mesenteric pouch type hernia. The defect usually occurs near the ileocaecal valve or ligament of treitz and the herniated bowel loops are prone to strangulation or volvulus, presenting as small bowel obstruction that warrants early recognition and emergency laparotomy to confirm the diagnosis and prevent bowel gangrene and its complication. We present a case of 59 year old male presenting with features of an acute intestinal obstruction since morning and a vague firm mass in the right upper quadrant which was confirmed by CT scan to be an internal hernia and patient was taken up for emergency laparotomy. Intraoperative findings revealed a sac of small bowel loops herniating into the mesentery through a defect near the terminal ileum. Upon reducing the contents a volvulus was evident and resulted in the gangrene of the small bowel loops. The gangrenous bowel was resected and a single layered end to end ileo-ileal anastamosis was done. The diagnosis of internal hernia in a adult with no previous history of abdominal surgery or trauma is a very rare entity and requires a high degree of suspicion and close monitoring of the patient to ensure early surgical intervention and optimal outcome.
Oligometastatic recurrence in radically treated stage II lower thoracic ca oesophagus at two drain sites: a treatment challenge?
Authors: Sharma Jyoti , Chandrakant Lalit
Published: February 2021

Ca oesophagus is a dreaded malignancy with less than 15 % cure rate and majority of the patients presenting with advanced unresectable disease. Prognosis remains poor despite advances in combined modality treatments. Most common sites of loco-regional recurrence after surgery remains the mediastinal lymph node clearance area while other common sites are lung liver and bone. Unexpected sites of metastasis have been reported like skin, muscle, eyes etc. We report a case of 66-year-old male patient diagnosed with stage II poorly differentiated squamous cell carcinoma lower oesophagus radically treated with neoadjuvant chemotherapy, trans hiatal esophagectomy followed by adjuvant chemotherapy, who subsequently developed oligometastatic recurrences at two drain sites. Patient was treated with surgical excision followed by radiotherapy and chemotherapy.
A rare presentation of rectal endometriosis
Authors: Mohanty Arnab , Chatterjee Debarghya
Published: February 2021

Endometriosis is the ectopic growth of viable endometrium outside the uterus, affecting approximately 7% women. It can occur in the absence of visible pelvic disease. Most common sites are gastrointestinal and urinary tract. Common sites of involvement are rectosigmoid (51%), appendix (15%), small bowel (14%), rectum (14%), cecum and colon (5%). Cyclical hematochezia is a definitive, but rare association of intestinal endometriosis. The diagnosis of colonic endometriosis is also difficult owing to the poor diagnostic yield of colonoscopy.
A ÉTICA NA PERSPECTIVA DA TEORIA DAS REPRESENTAÇÕES SOCIAIS E A FILOSOFIA DA LIBERTAÇÃO
Authors: Costa Robinson Francino
Published: February 2021

Os problemas sociais na América Latina, sobretudo, no Brasil instigaram esta pesquisa, que fazendo uso dos instrumentos teóricos por meio de abordagem exploratória e descritiva analisou a correlação entre a ética, a teoria das representações sociais, e a filosofia da libertação frente aos problemas sociais no Brasil. Fundamentada em pensadores como Dussel na filosofia da libertação e Moscovici nas representações sociais a pesquisa apontou a ética como um ponto de convergência em relação ao problema da pobreza e das lutas encampadas pelas minorias sociais. E que essa minoria absorveu a condição depreciativa como uma circunstância natural de sua vida, incorporando-a como um estigma necessário para sobrevivência no mundo capitalista. E como é predominante o capitalismo não assume a ética como base de suas ações, mas a consubstancia num elemento de conveniência e de escolhas circunstanciais, assim, torna-se uma ética de mercado mesmo que em detrimento da condição humana.
RITUAL E PERFORMANCE: REFLEXIVIDADE E EXPRESSÃO NA RELIGIOSIDADE POPULAR
Authors: Andrade Fagner José de , Sousa Silva Francisco Mário de , Reesink Mísia Lins
Published: February 2021

A pesquisa objetivou entender as interfaces existentes entre “ritual e performance”, elementos que, assumem papel fundamental para formulação de reflexões sobre religiosidade popular. Para essa compreensão, utilizaram-se dois fenômenos etnográficos, e estabeleceram-se análises por meio de conceitos antropológicos, à luz de observações participantes realizadas em 2017. Constatou-se que, no campo religioso, diversos mecanismos são alocados para o ritual, afim de que tanto os discursos, como a prática ritual tenham fundamentos necessários para serem elucidados, configurados e reconfigurados pelos indivíduos participantes. Por fim, salienta-se que, a discussão acerca de “ritual e performance” é multidisciplinar, adentrando em diversificadas vertentes do conhecimento científico.
JUVENTUDE E RESISTÊNCIA: OCUPAÇÕES CULTURAIS EM SERGIPE
Authors: Vieira Juliana Santos Monteiro , Feldens Dinamara Garcia , Fusaro Luana Garcia Feldens
Published: February 2021

Intenciona-se discutir acerca da ocupação dos espaços urbanos no município de Aracaju/SE pela juventude local, considerando o término, durante os anos, de várias programações culturais voltadas para esse público que eram existentes no Estado. Buscamos pensar a violência enquanto uma força exercida, que relaciona-se com as escassas oportunidades e também com o não acesso a cultura e aos espaços urbanos. Buscou-se fomentar a discussão acerca do conceito de resistência, descrito pelo filósofo francês Gilles Deleuze, junto ao entendimento sobre a arte e estética do filósofo alemão Friedrich Nietzsche, exemplificando para isso, alguns movimentos de ocupação urbana promovidos pela juventude sergipana, que expressam e expõem a arte e a cultura produzida por esses sujeitos. A repressão policial, os discursos morais, a visão deturpada de significativa parte da população sobre esses movimentos, acabam prejudicando e incentivando ainda mais a inércia estatal que assola a cultura do Brasil e, consequentemente, de Sergipe.
UM ESTUDO SOBRE O JOVEM CATOPÊ DO TERNO DE NOSSA SENHORA DO ROSÁRIO EM MONTES CLAROS-MG NA CONTEMPORANEIDADE
Authors: Brandão Viviane Bernadeth Gandra , Alves Vânia de Fátima Noronha
Published: February 2021

Este estudo consiste em apresentar e analisar quem é o jovem catopê do terno de Nossa Senhora do Rosário em Montes Claros - MG. Os catopês, em sua maioria são homens negros adultos, jovens e crianças, os quais formam um grupo denominado de terno que fazem parte do congado norte mineiro. Ele se destaca por ser o que possui o maior número de jovens que expressam em suas ações uma mistura de ritos africanos e católicos. Este trabalho fundamenta-se no Estatuto da Juventude (2013), Brandão (2002) e Alves (2008). Trata-se de uma pesquisa qualitativa de caráter exploratória com abordagem etnográfica, por meio da observação participante e entrevistas, conduzidas por um grupo focal. Os resultados contribuem, para uma reflexão sobre o jovem, no sentido de uma tradição duradoura que perpassa a dinâmica da cultura e da educação na contemporaneidade.
POLÍTICAS PÚBLICAS E DESAFIOS PARA JOVENS COM NECESSIDADES EDUCACIONAIS ESPECIAIS NO ÂMBITO DO ENSINO SUPERIOR
Authors: Silva Elaine Morais da , Da Silva Rodrigues Divino De Jesus , Silva Alessandro Pereira da
Published: February 2021

Este trabalho investigou as políticas públicas e os desafios que enfrentam os jovens com necessidades educacionais especiais referentes à permanência no âmbito universitário. Quer contribuir desta maneira, com as reflexões sobre as políticas de inclusão no ensino superior no país. É um estudo de caráter qualitativo, alicerçou-se na pesquisa bibliográfica como procedimento metodológico e no método do materialista histórico dialético, que foram suportes às discussões acerca da temática proposta. Os resultados apontam que apesar de politicas públicas existentes de acesso e permanência, muitos ainda são os desafios a serem superados, principalmente, em relação às políticas de permanência, entre os quais, a potencialização dos núcleos de acessibilidade como órgão articulador e implementador de ações voltadas a acessibilidade e politicas institucionais de formação continuada aos docentes acerca das demandas de inclusão, para de fato, concretizar a garantia de direito à educação para todos e todas no âmbito universitário.
ENFRENTAMENTOS DOS (AS) JOVENS DO VESTIBULAR SOCIAL DA PONTIFÍCIA UNIVERSIDADE CATÓLICA DE GOIÁS: ESTRATÉGIAS DE ACESSO E PERMANÊNCIA
Authors: Melo Gilza Carla Temoteo , Cavalcante Claudia Valente
Published: February 2021

Este artigo, resultado de uma pesquisa de mestrado em Educação. tem como objetivo discutir os processos de permanência de jovens beneficiários do Programa Vestibular Social da Pontifícia Universidade Católica de Goiás, que foi implementado em 2010 para diminuir a evasão dos cursos de licenciatura e possibilitar a inserção de jovens de camadas populares no ensino superior. Baseada na Teoria e Método Praxilológico de Bourdieu (2007), utilizou-se como procedimento metodológico pesquisa bibliográfica, documental e de campo com a análise da trajetória de vida de 8 jovens das oito escolas da PUC Goiás, por meio de entrevista aprofundada. O objetivo foi compreender como so jovens constroem estratégias de acesso e permanência no curso e na instituição. Como resultado, as principais dificuldades de permanecerem no curso foram a financeira, de aprendizagem e conciliação trabalho e estudo.
VOZES EXCLUÍDAS: JUVENTUDES E DIREITOS HUMANOS ENTRE JOVENS EM MEDIDA SOCIOEDUCATIVA
Authors: Lucena Stefanny Karulayne Figueiredo de , Catão Fátima Fernandes
Published: February 2021

Este estudo tem por objetivo analisar os significados de juventudes e direitos humanos entre jovens em cumprimento de medida socioeducativa de privação de liberdade em um Centro Educacional do Jovem (CEJ). Participaram da pesquisa 20 jovens do sexo masculino, entre 18 e 21 anos de idade. Foram aplicados questionários sociodemográficos e entrevista semiestruturada. Utilizou-se a análise de conteúdo categorial temática com o auxílio do software ALCESTE de análise de dados textuais à luz da perspectiva da Psicologia Sócio-Histórica. Foram configurados quatro eixos temáticos: Presença/ausência dos direitos humanos na vida dos jovens, com 61% das UCEs (Unidades de Contexto Elementares); Juventude e criminalidade, com 10% das UCEs; Motivos que levaram à reclusão, com 14% das UCEs; e, Insatisfação com a vida e perspectiva de mudança, com 15% das UCEs. A pesquisa evidenciou significados e reflexões acerca de juventudes, direitos humanos e possibilidades de mudanças na vida dos jovens em medida socioeducativa.
AS RELAÇÕES FAMILIARES NAS TRAJETÓRIAS DE VIDAS DE JOVENS EM CONTEXTOS DE VULNERABILIDADE SOCIAL
Authors: Arpini Dorian Mônica , Missio Joana , Kostulski Camila Almeida , Toniolo Luiza Camponogara , Schreiner Natália Ferreira
Published: February 2021

Este estudo tem como objetivo analisar as experiências familiares nas trajetórias de vidas de jovens no contexto de vulnerabilidade social. Trata-se de uma pesquisa qualitativa e de caráter longitudinal, pois aborda dois momentos distintos: o primeiro, quando alguns jovens da presente pesquisa participaram de um documentário, produzido a partir de um Projeto de Extensão na Escola; e o segundo, quando foram novamente contatados para compartilharem suas trajetórias através de entrevistas. A análise realizada propõe pensar os atravessamentos trazidos pelos jovens sobre suas famílias como relacionados à vulnerabilidade em que se encontram, atentando para o fato de que provavelmente essas famílias estariam atravessadas pela pobreza e pela desigualdade. Assim, compreende-se certas dificuldades referidas pelos adolescentes com relação ao estabelecimento de relações afetivas na família. Salientamos a Escola e as políticas públicas como suporte para os jovens e suas famílias.
TOLERÂNCIA E INTOLERÂNCIA NOS DIREITOS HUMANOS
Authors: Ecco Clóvis , Pinheiro Ana , Martins Carmem Da Silva , Rosa Cleudes Maria Tavares , Fleury Curado Eliana Borges , Valverde Oliveira João Batista
Published: February 2021

Tolerância/Intolerância eis a questão: é um dos fenômenos mais desafiadores da sociedade. As diferentes faces da violência são perceptíveis nas relações de poder retratadas pela negação do outro, retratadas nas mais variadas formas de supressão dos direitos garantidores da dignidade humana. Neste artigo, de natureza teórica, tratamos particularmente da intolerância como instrumento de controle e/ou negação do outro, ou seja, do seu emprego contra os direitos humanos, e da tolerância como elemento de efetivação desses direitos. Neste contexto o artigo em tese busca entender o processo de legitimação da desumanização promovido pela coisificação do outro através da supressão dos direitos humanos e consequentemente da sua dignidade. Busca-se contribuir para uma compreensão melhor desse fenômeno e auxiliar no encontro de instrumentos daqueles que se preocupam com o bem-estar e com a qualidade devida da sociedade e cuja reflexão poderá contribuir para atenuar os fatores geradores de violência através de políticas públicas e dos processos educacionais. De inicio busca-se conceituar tolerância e intolerância e, numa segunda parte contextualizar as práticas de tolerância e intolerância no campo da violência e na efetivação dos direitos humanos.