bluuebunny/crossref_metadata_2025 huggingface dataset:
PERBEDAAN KADAR KOLESTEROL TOTAL ANTARA PENDERITA STROKE ISKEMIK DAN STROKE HEMORAGIK
Authors: Aini Athiefah Qurrotul , Pujarini Listyo Asist , Nirlawati Dona Dewi
Published: May 2017

Stroke merupakan penyebab kematian ketiga di dunia, setelah penyakit jantung dan kanker. Kadar lipid merupakan salah satu faktor yang berpengaruh pada morbiditas jangka pendek akibat stroke, sehingga evaluasi perbedaan kadar lipid pada subtipe stroke sangat penting dilakukan. Tujuan penelitian adalah untuk mengetahui apakah terdapat perbedaan kadar kolesterol total antara penderita stroke iskemik dan stroke hemoragik.Penelitian ini menggunakan desain penelitian observasional analitik dengan pendekatan cross sectional. Data diambil dari rekam medik pasien rawat inap di RS X Surakarta tahun 2014-2015. Sampel terdiri atas 30 penderita stroke iskemik dan 30 penderita stroke hemoragik. Analisa data dengan Uji T Tidak Berpasangan menunjukkan hasil p=0,005. Kadar kolesterol total pada penderita stroke iskemik memiliki rerata 202±33,9 mg/dL, lebih tinggi daripada penderita stroke hemoragik yang memiliki rerata 167,87±53,6 mg/dL. Kesimpulan dari penelitian adalah kadar kolesterol total pada penderita stroke iskemik lebih tinggi daripada penderita stroke hemoragik. Kata Kunci: Kadar Kolesterol Total, Kolesterol, Stroke Iskemik, Stroke Hemoragik
HUBUNGAN PENGETAHUAN IBU TENTANG IMUNISASI DASAR DENGAN KELENGKAPAN IMUNISASI DASAR BAYI DI WILAYAH KERJA PUSKESMAS BENDO KABUPATEN MAGETAN
Authors: Sari Dewi Nur Intan , Basuki Sri Wahyu , Triastuti N. Juni
Published: May 2017

Imunisasi merupakan suatu strategi yang efektif dan efisien dalam meningkatkan derajat kesehatan nasional. Alasan bayi tidak mendapatkan imunisasi lengkap karena faktor informasi, mengakibatkan pengetahuan ibu tentang imunisasi kurang. Tujuan dari penelitian ini adalah untuk mengetahui hubungan pengetahuan ibu dengan kelengkapan imunisasi dasar bayi di wilayah kerja Puskesmas Bendo Kabupaten Magetan. Desain penelitian adalah penelitian observasional analitik dengan pendekatan cross sectional. Sampel penelitian adalah ibu yang datang ke posyandu dengan anaknya berumur 9-12 bulan di wilayah kerja Puskesmas Bendo Kabupaten Magetan dengan teknik pengambilan sampel Cluster sampling.Besar sampel sebanyak 65 responden. Data selanjutnya dianalisis dengan uji Chi-square. Hasil penelitian menunjukkan terdapat hubungan signifikan (p<0,001) antara pengetahuan ibu dengan kelengkapan imunisasi dasar bayi di wilayah kerja Puskesmas Bendo Kabupaten Magetan Kata Kunci: Pengetahuan Ibu, Kelengkapan Imunisasi’
HUBUNGAN GAYA HIDUP DAN POLA MAKAN DENGAN KEJADIAN HIPERTENSI PADA LANSIA DI KELURAHAN SAWANGAN BARU KOTA DEPOK TAHUN 2015
Authors: Mahmudah Solehatul , Maryusman Taufik , Arini Firlia Ayu , Malkan Ibnu
Published: May 2017

Beberapa faktor resiko diduga memiliki peran dalam terjadinya hipertensi seperti gaya hidup, pola makan dan usia. Hipertensi merupakan salah satu faktor resiko penyebab terjadinya penyakit kardiovaskuler. Penelitian ini bertujuan untuk mengetahui hubungan gaya hidup dan pola makan dengan kejadian hipertensi pada lansia. Penelitian cross sectional ini diikuti oleh 74 responden dengan cara purposive sampling. Hasil penelitian in mendapatkan proporsi lansia yang mengalami hipertensi sebesar 26,4%. Analisis bivariat menggunakan uji chisquare dan analisis multivariat dengan regresi logistik ganda. Hasil analisis bivariat menunjukkan ada hubungan antara aktivitas fisik (p=0,024 OR=3,596), asupan lemak (p=0,008 OR=4,364), dan asupan natrium (p=0,001OR=6,103) dengan kejadian hipertensi. Analisis multivariat menunjukkan asupan natrium (OR Exp(B)=4,627)sebagai faktor resiko yang paling berhubungan dengan kejadian hipertensi. Kata Kunci: Hipertensi, Gaya Hidup, Pola Makan
PERBEDAAN TINGKAT DEFISIT NEUROLOGIS PADA STROKE ISKEMIK LESI HEMISFER KIRI DAN KANAN
Authors: Prayoga Muhamad , Fibriani Ani Rusnani , Lestari Nining
Published: May 2017

Stroke merupakan penyebab kematian terbanyak kedua di negara maju dan ketiga terbanyak di Negara berkembang. Stroke akan menyebabkan defisit neurologis yang berbeda-beda tergantung kepada daerah otak yang terganggu.Terdapat perbedaan anatomi dan fisiologi dari hemisfer kiri dan kanan sehingga apabila terjadi kerusakan maka akan terjadi perbedaan outcome pada masing-masing hemisfer. Penelitian ini bersifat analitik observasional dengan pendekatan cross sectional. Penelitian dilaksanakan di Bagian Rekam Medik RS X Surakarta pada bulan November-Desember 2015. Pengambilan sampel dilakukan dengan teknik purposive sampling dengan menggunakan 58 sampel penderita stroke iskemik, terdiri atas 29 sampel lesi hemisfer kiri dan 29 sampel lesi hemisfer kanan. Pada penelitian ini diperoleh rerata NIHSS Stroke iskemik lesi hemisfer kiri sebesar 11,9655 dengan simpang baku (± 3.417) dan stroke iskemik lesi hemisfer kanan sebesar 7,9655 dengan simpang baku (± 2,211). Hasil uji statistik uji Mann Whitney nilai signifikansi p = 0,001 (p<0,05). Berdasarkan penelitian ini, dapat disimpulkan bahwa terdapat perbedaan tingkat defisit neurologis pada stroke iskemik lesi hemisfer kiri dan kanan. Tingkat defisit neurologis lesi hemisfer kiri lebih tinggi dari pada lesi hemisfer kanan. Kata kunci : stroke iskemiklesi hemisfer kiri dan kanan, NIHSS, defisit neurologis.
Electric vehicles and their effects in low-voltage grids
Authors: J. Teuscher  , A. Götz  , W. Schufft
Published: May 2017

Currently the requirements to be met by the lowvoltage grid are increasing. In addition to the growth of the distributed power supply the starting e-mobility is the main cause for this change. This paper contains the simulation of different low-voltage grids with a high number of connected electric vehicles. One of the results is that the utilization of the distribution transformer is the limiting criterion for a high number of electric vehicles in urban low-voltage grids. The comparison between a urban and a rural grid shows that the voltage drop is the limiting criterion in rural low-voltage grids. A solution to charge a high number of electric vehicles is a controlled charging system which makes it possible to charge all vehicles at night.
Geared Linkage driven by Linear Actuator used for PV Platform Azimuth Orientation
Authors: N.C. Creanga  , I. Visa  , D.V. Diaconescu  , I.S. Hermenean  , B.R. Butuc
Published: May 2017

. To gain more solar energy the photovoltaic converter must be tracked relatively to the sun movement. The majority of the tracking systems use complicated and costly rotating mechanisms to build large angular strokes. This paper presents a new type of geared linkage composed of a triangular linkage fitted with a planetary gear pair able to reach high angular strokes. This linkage is used as basic mechanism for the azimuth tracking of a photovoltaic platform. The kinematic synthesis of the linkage shows that the azimuth angular stroke increases with the planetary gear internal ratio |i0|. The linkage is further implemented for an azimuth mono-axial tracked PV module located in a mountain location (case study - Brasov, Romania). Through numerical simulations, the amount of direct solar radiation on the PV module and the tracking efficiency are evaluated.
Relationship between interstitial oxygen,substitutional carbon, resistivity and minority carrier lifetime in metallurgical multicrystalline silicon
Authors: Virginie Mong-The Yen  , Olivier Palais  , Marcel Pasquinelli  , Damien Barakel  , Isabelle Périchaud
Published: May 2017

. In this study we try to indentify relation between carrier lifetime, resistivity and two mains impurities concentration in a p-type upgrade metallurgical multicrystalline (UMG) silicon ingot. Thanks to this relation, we could prevent the Light Induced Degradation (LID) phenomenon and the SiC particles formation which are, respectively, at the origin of Voc losses and shunts in solar cells. So these 2 parameters are important for photovoltaic panels’ efficiency. Lifetime measurements are achieved by means of the Microwave Photoconductivity Decay “μw-PCD” technique, and concentration measurements are determined by FTIR. We demonstrate that resistivity variations depend on oxygen’s concentration but carbon analyses must be continued.
Energy valuing of forest biomass residues in Bizkaia
Authors: E. Mateos  , J. M. González  , J. M. Eguzkitza
Published: May 2017

The aim of this research work is the development of a methodology to quantify and yield cartography of the prospective energy production of residual biomass from the most representative forest species of Bizkaia, using a Geographic Information System (GIS) computer tool. A model of indirect estimation has been used in order to estimate the evolution of forest masses throughout in any area of Bizkaia. Arboreal species have timber-yielding utility, and this is the reason why the remains obtained after the forest treatments carried out for the preservation and improvement of arboreal masses, are those quantified in this work as energy production biomass (EPB). After analyzing statistically the results obtained, 52,214 metric tons of residual forest biomass per year are estimated. This means a potential energy supply of 32,011 toe per year. The estimation of biomass quantities that may generate forest activity will allow us to accomplish its planned exploitation, taking into account both economic and environmental aspects, with the aim of determining which the optimum location for setting up an energy production plant is.
Integrated Interdisciplinary Design. The Environment as Part of Architectural Education
Authors: M.C. Phocas  , A. Michael  , P. Fokaides
Published: May 2017

Interdisciplinary architectural design plays a significant role in education and research at the Department of Architecture at the University of Cyprus. Interdisciplinary design with emphasis in technology is applied in the main studio of the final semester of the first three years core studies, whereas the design of the building requires a holistic, integrated development, in respect to the functions, form, structure, construction and energy efficiency. The final fifth year of studies requires a research based design development. Theoretical investigations and a state of the art documentation on specific subjects of interest form the basis for a parallel or subsequent, in any case rather nonlinear development of the design thesis. The analysis of the two main directions of interdisciplinary design, the holistic integrative design and the research based design, applied at different program levels at the Department of Architecture at the University of Cyprus, reveals in terms of the environmental aspects of the design specific similarities and different technological potentialities achieved herewith.
Determination losses and estimate life of distribution transformers with three computational, measurement and simulation methods, despite harmonic loads
Authors: M.H. Amrollahi  , S. Hassani
Published: May 2017

Transformers are the basic and valuable equipment of electricity network. Transformers correct function has important role in reliability of network .distribution transformers are designed for work at nominal frequency and full sinus current. Application of nonlinear loads in recent decades, such as power electronic loads, caused higher levels of harmonic. This kind of load can lead to creating heat, losses and therefore cause wear of insulation and aging of transformers. To prevent these problems, nominal capacity of transformers that will feed the nonlinear load, should be reduced. In this paper the parameters affecting the loss of a single phase 15 KVA transformers with harmonic loading measurement and will be calculated with standards then The transformers with harmonic loads are simulated in MATLAB software for calculating losses Finally, the obtained results are compared. The reduction of nominal power (Derating) and transformer life and flow rate limits and losses are calculated.
Numerical study of performance optimization in a proton exchange membrane fuel cell
Authors: Chang-Ming Ling  , Chun-Hua Min  , Xiao-Long Ruan  , Zhang-Jing Zheng
Published: May 2017

Some parameters such as ia,ref, cH,ref, ic,ref, cO,ref, αa and αc that affect the PEMFC performance are numerically studied in the present work. To reveal the effects of the above parameters on the cell performance, several parameter groups have been presented. The results show that different parameter values may result in a wholly identical polarization curve when the parameters agree with a given function. The function indicates the effects of several parameters and can be used to direct the optimization of PEMFC performance.
Evaluation of Reactive Power Capability by Optimal Control of Wind-Vanadium Redox Battery Stations in Electricity Market
Authors: A. Gabash  , P. Li
Published: May 2017

Battery energy storage systems (BESSs) integrated with  renewable  energy  resources  are  considered  as  necessary solutions  for  economical,  technical  and  quality  aspects.  A  BESS  requires  a  power  conditioning  system  (PCS)  which  permits  both active and reactive power to be generated. In this paper, a wind-vanadium  redox  battery  (W-VRB)  station  is  considered  as  an  independent  power  producer.  The  profit  of  this  producer  is  maximized   by   solving   a   constrained   dynamic   optimization   problem in a day-ahead electricity market depending on real-time electricity   prices.   Then, the   reactive   power   compensation   capability   of   this   station   for   fulfilling   the   recent   technical   guidelines  is  estimated.  A  numerical  case  study  is  presented  to  illustrate  the  proposed  method.  It  can  be  concluded  that  a  large  amount   of   reactive   power   can   be   achieved   by   an   optimal   operating strategy for the W-VRB station.
Gamma rays, EMS and DES induced changes on cytology of bhendi [Abelmoschus esculentus (L.) Moench]
Authors: P. Pavadai R. Elangovan and
Published: May 2017

Mutation breeding in crop plants such as bhendi (Abelmoschus esculentus (L). Moench) is a successful approach in change of product having narrow genetic base. In the present study to the determine the effect of physical mutagen such as gamma rays and chemical mutagens such as Ethyl methane sulphonate (EMS) and Diethyl sulphate (DES) were used. The seeds were treating with different doses/concentration of Gamma irradiation (10KR, 20KR, 30KR, 40KR, 50KR and 60KR), EMS and DES (0.1, 0.2, 0.3, 0.4, 0.5, and 0.6%) for six hours were applied to 200 seed sample of each concentration and one respective control on bhendi. plants of four generations viz., M1, M2, M3 and M4. The cytological analysis, for example, chromosomal number was watched and recorded for images. The maximum changes of chromosome were observed in 50 KR of gamma rays and 0.4 % of EMS treatments than the other physical and chemical mutagens. The length and shape of chromosome for varied in treated plants than the untreated plants.
Surveillance the occurrence of black stem rust disease Ug 99 on different wheat cultivars (Triticum aestivum.L) and evaluation of their growth characteristics in the fields of Diyala province, Iraq
Authors: Salim Hussein Ali , Faydh Abid Hameed , Salman Mahmood Matrood , Abdulrahman Abbas Lateef
Published: May 2017

Abstract

Five wheat cultivars (8/172, 8/70, Tammuz/4, Guard and 124) were planted in the field at the Baladrooz district, Diyala province, Iraq during winter season 2011 to monitor the emergence of Ug 99 on different wheat cultivars and evaluate their performance under similar conditions in the field. The experimental unit consisted of 15 plots in area 25 m2 for each plot according to randomized complete block design. Results showed all cultivars of wheat were not exposure to infection by the black stem rust disease (Ug 99), cultivar of 8/172 gave the highest number of spikes /m2, weight of grains /m2 (g) and weight of grains /25 m2 (g) from another treatments which recorded (401.0, 601.5g and 15037.5 g) respectively. Wheat cultivars of Tammuz/4 and 124 gave the highest total weight of 50 plants which recorded (140 g), whereas Tammuz/4 surpassed other treatments in plant height (79 cm) and 124 cultivar was superior from other treatments in weight of 1000 grains (36.3 g).
Effect of salinity stress on carbohydrate, lipid peroxidation and proline contents of two horse gram [Macrotyloma uniflorum (Lam.) Verdc] varieties
Authors: C. Sathish G. Kanagaraj
Published: May 2017

This study was conducted to investigate the effects of different concentrations (0, 40, 80 and 120mM) of salinity on horse gram [Macrotyloma uniflorum (Lam.) Verdc] plants grown in pots. The two horse gram varieties PAIYUR-2 and CO-1 were used for the study. Sampling was done on 15th Days After Treatment (DAT) and 30th DAT from control and salinity treated plants. The response of the horse gram plants to salinity stress was analysed by estimating the levels of carbohydrates, starch, lipid peroxidation, proline and glycine betaine. Higher salinity markedly reduced sugar concentration in both horsegram varieties, while starch content showed reverse trend. Lipid peroxidation (estimated by MDA content) significantly increased under salinity in both varieties but the rate of increment was higher in CO-1. The concentration of proline and glycine betaine were also altered under salinity. From the results of this investigation, it may be concluded that plants of variety PAIYUR-2 have high adaptive potential under salinity when compared to variety CO-1.
Transtornos relacionados ao uso de álcool e as mulheres: impacto nos circuitos integrativos e de neurorregulação do estresse
Authors: Ribeiro Jerônimo de A. Mendes , Rennó Junior Joel , Ribeiro Hewdy Lobo , Cantilino Amaury , Valadares Gislene , Rocha Renan , Silva Antônio Geraldo da
Published: May 2017

Disfunções na resposta ao estresse podem exercer um importante papel em alguns transtornos mentais. Uma gama cada vez maior de estudos demonstra que existem diferenças entre os sexos na prevalência de transtornos relacionados ao estresse e que mulheres com transtornos por uso de álcool têm diferentes desfechos negativos no funcionamento cerebral e em mecanismos de neuroadaptação quando comparadas aos homens. O consumo de álcool tem sido associado a alterações sutis e em longo prazo no eixo hipotálamohipófise-adrenal, que afetam a resposta adaptativa nos circuitos de neurorregulação do estresse. Pesquisas futuras nesse campo podem impactar positivamente o desenvolvimento de estratégias terapêuticas que levem em consideração abordagens gênero-específicas.
Noninvasive Screening of Neonatal Jaundice
Authors: Yasmeen BH Nazma
Published: May 2017

Abstract not availableNorthern International Medical College Journal Vol.8(2) January 2017: 203-204
Etiology and Antimicrobial Susceptibility Patterns of Urinary Tract Infection at Dhaka Shishu (children) Hospital
Authors: Islam Md Atiqul , Ahmed Jesmin , Yasmeen BH Nazma , Islam Mirza Md Ziaul , Nahar Nurun
Published: May 2017

Background : Urinary tract infection (UTI) is a common bacterial disease in infant and childhood period that can present as symptomatic or asymptomatic way.Antibiotic resistance of urinary tract pathogens has been known to increase worldwide, especially to commonly used antimicrobials. Knowledge of pathogens causing UTI and their antimicrobial resistance patterns in a specific geographical location may help clinicians in choosing the appropriate antimicrobial agent.Objective : The objective of this study was to find out the pathogens in pediatric UTI and their antimicrobial susceptibility pattern.Methods : A cross sectional study was done at Dhaka shishu Hospital during the period of Feb 2016 to Aug 2016. A total of 147 culture positive UTI patient were taken for analysis. Colony counts of these samples, were identified, and the profile of antibiotic susceptibility was identified. Here, samples with a colony count of 105 CFU/mL bacteria were considered positive.Twelve (12) antimicrobial agent were used for antimicrobial susceptibility testing.Result : Among 147 culture positive UTI patients Escherichia coli (E-coli) was found as the most prevalent 103(70%) followed by Klebsiella spp. 13.6%, Enterobacterspp 3.40%, Pseudomonas 5.44%, Staphylococcus Aureus 3.40%, Enterococcus 1.36% and Proteus 2.72%. The most effective drugs found against urinary isolates was Imepenum (97.27%), followed by Colistin (94.55%), Meropenum (93.87%) and Amikacin (91.83%). E.coli was moderately sensitive to Ceftraxone, Ceftazidime, Nitrofurantoin and Ciprofloxacin.Conclusion : In this study, Imipenum, Meropenum, Amikacin and Colistin shown to be the most sensitive antibiotics for the UTI pathogen. Antimicrobial drug resistance is increasing among urinary pathogens. Therefore, empirical antibiotic selection should be based on knowledge of the local prevalence of bacterial organism and their antibiotic susceptibility in a specific area rather than on universal or even national guidelines.Northern International Medical College Journal Vol.8(2) January 2017: 220-223
Neonatal outcome with 0ral versus Vaginal Misoprostol for Labour Induction
Authors: Sultana Nadira , Saha Dipa , Begum Marium , Yeasmin Sabiha , Alam Khairul , Akhter Arifa , Hasin Wahida
Published: May 2017

Background : Misoprostol is being used widely through different routes for induction of labour. Neonatal outcome may be different with using different routes.Objective : To see the neonatal outcome for induction of labour by misoprostol in oral versus vaginal route.Materials and Methods : This prospective and comparative study was carried out in the dept. of Obstetrics and Gynecology of Jalalabad Ragib- Rabeya Medical College and Hospital, Sylhetfrom July 2008 to June 2009.A total 200 pregnant women completed 28 weeks pregnancy upto 42 weeks were selected for the study.Out of which 100 pregnant women were includedin oral misoprostol group and 100 in vaginal misoprostol groupby simple randomization. Inclusion criteria were single live fetus with cephalic presentation, normal fetal heart rate, adequate pelvis and Bishop score <5. Exclusion criteria were previous uterine scar, estimated fetal weight >4 kg, parity more than 3 and history of hypersensitivity to misoprostol. Neonatal outcome in terms of Apgar Score, passage of meconium, perinatal depression and admission to Neonatal Intensive Care Unit (NICU) compared between two groups.Results : Most of the neonate in vaginal group had low Apgar score. Two percent neonate had Apgar score 2 and 86% had 4-6 in 1 minute in vaginal group whereas in oral group it was 4-6 in 88%.Perinatal depression more in vaginal group 18(18%) than oral group 8(8%). More neonate need admission to Neonatal Intensive Care Unit (NICU) in vaginal group 4(4%) than oral group 2(2%). Only 1% neonate passed meconium in vaginal group.Conclusion : This study concluded that neonatal outcome was better and safe with oral misoprostol than vaginal route.Northern International Medical College Journal Vol.8(2) January 2017: 228-230
A liana from the lower Miocene of Panama and the fossil record of Connaraceae
Authors: Jud Nathan A. , Nelson Chris W.
Published: May 2017

PREMISE OF THE STUDY:

Permineralized wood is common in the Miocene beds exposed during the expansion of the Panama Canal. We describe a stem with the distinctive anatomy of a liana and evaluate the evolutionary, biogeographic, and ecological significance of this discovery.

METHODS:

The object of the study was obtained from a collection of fossil woods and fruits from a locality in the lower Miocene Cucaracha Formation, where the formation is exposed by the Culebra Cut of the Panama Canal. Thin sections were prepared using the cellulose acetate peel technique and examined using transmitted light microscopy. We described the anatomy and compared it with that of extant and fossil species. We also reviewed and evaluated published reports of fossils attributed to Connaraceae.

KEY RESULTS:

The anatomy of this fossil wood matches the genus Rourea (Connaraceae). The stem is only 1 cm in diameter, but vessels >200 μm in diameter also occur, indicating the perennial climbing habit. We evaluated 12 other pre‐Quaternary occurrences attributed to Connaraceae. Four are accepted, three are rejected, and we consider five unknown or uncertain.

CONCLUSIONS:

The discovery of this Rourea stem confirms the presence of Connaraceae in the Neotropics by the early Miocene, provides the oldest evidence of the climbing habit in the family, and contributes to our understanding of the flora of Panama 19 mya. Although the fossil record of Connaraceae is sparse, reliable occurrences span three continents and indicate that the family originated as early as the Late Cretaceous‐Paleocene and was widespread by the early Miocene.
Possibilities and limits of multiprofessional attention in the care of psychiatric emergencies: analytical study
Authors: Paula Fernanda Lima de , Calheiros Priscila Ferreira Fragoso , Souza Bruna Beatriz Barbosa de , Souza Maruska Maria Barbosa de , Olegário Walnizia Kessia Batista , Interaminense Vanessa Pacheco , Santos Ruanny Maria Albuquerque dos , Silva Bruna da Paixão Pereira da , Barbosa Ariany Rodrigues , Santos Jeane Da Silva Rocha , Barbosa Lucas Cunha Pimenta , Avelino Jéssica Priscilla Pereira de Souza , Leite Natalia Pedrosa , Omena Izaura Maria , Caxias de Souza Maurício , Holmes Ericka Silva
Published: May 2017

Goal: to analyze the possibilities and limits of multiprofessional care in the attention to psychiatric emergencies.

Method: it is an analytical study of the type integrative review of the comprehensive literature. Searches were conducted in the Latin American and Caribbean Literature (LILACS) and Nursing Database (BDENF) databases and in the ScieLo Virtual Library, with the use of Descriptors in Health Sciences (DECs): “Emergency Services, Psychiatric”, “Forensic Psychiatry”, “Psychiatric Rehabilitation”, in the period from 2007 to 2017.

Results: after data analysis, two thematic categories emerged: “Possibilities and limits in multiprofessional care for patients in crisis” and “The continuity of care to the patient in crisis by the multiprofessional team”. The studies point out fragility in the management of the multiprofessional team of care to the patients in psychiatric crisis. Therefore, in the substitutive services to the psychiatric hospital, it is necessary to strengthen the care and bonding tools for continuity of treatment after the cases of psychiatric emergency of these patients.

Conclusion: this research provided a deepening of the knowledge regarding the challenges of the multiprofessional team in the care of analytical psychiatric emergencies and in relation to the patient in crisis, considering the main multiprofessional actions, understanding how this approach is done and patient follow-up.

Descriptors: Emergency Services, Psychiatric. Forensic Psychiatry. Psychiatric Rehabilitation.
The Team Of The Family Health Strategy And The Doctrinal Principles Of The Unified Health System: Perceptions And Applicability
Authors: Pinheiro Woneska Rodrigues , Da Silva Thais De Lima Felix , Araújo Isaac De Sousa , Figueiredo Kátia Monaisa de Sousa , Bernardo Lorena Pereira , Batista Hermes Melo Teixeira , De Menezes Daisy Teixeira , De Alencar Rayane Moreira , Akerman Marco
Published: May 2017

Introduction: The SUS, which was guaranteed by the Brazilian Constitution of 1988 and regulated by organic laws of health, offers a system governed of doctrinal principles (universality, fairness and completeness) concerning the philosophy of the system and extend the concept of health and the right to it. On the promotion of these principles, the municipalization of health is referred to as a policy of decentralization which incorporates basic health attention, permeated by the principles of the SUS, where inserts in this context the basic health units (UBS) that are entrance doors of the population to the system. When considering that the proposals brought by the family health strategy (FHS) are great potential to restructure the welfare model and the Organization of health services, and these proposals based on the principles governing the SUS, becomes essential, inter alia, that the worker member of this team have involvement and knowledge of the project, as well as on its goals and principles governing it.

Objective: Check the knowledge and promotion of doctrinal principles of the SUS by active team of FHS in the town of Juazeiro do Norte in the State of Ceará (CE), Brazil. 

Method: This work deals with a transversal nature study exploratory, qualitative approach. The survey was conducted in the family health strategy of the city of Juazeiro do Norte-CE, with top level professionals (physician, nurses and dentists) who work on units during the collection period. The collection was performed through a semi structured interview and the data analyzed by means of the collective subject discourse. This study was submitted to the Ethics Committee of the College Lion Sa, having the opinion of approved (nº: 1.067.638). 

Results: the results showed that the professionals have demonstrated no knowledge of, nor promote some doctrinal principles of the SUS coherently. The knowledge that they have are fragmented and incipient, and Praxis (theory combined with practice) is still far from being achieved. 

Conclusion: The findings of this research show gaps as the promotion of the principles of the SUS by professionals who act. The ineffective knowledge on how SUS is organized and on what basis rests, leads to improper practices, making deployment and consolidation process.

 

Keywords: Doctrinal Principles of the SUS. Unified health system. The family health strategy.
First determination of mineral composition of the leaf Chicory (Cichorium intybus L.) used in human nourishment in the Midwest of Brazil and comparasion with dietary reference intakes for children and adults
Authors: Rosa Rafaela Henriques , Lopes Andre Henrique de Oliveira , Nascimento Valter Aragão do , Arruda Ana Lucia Alves de , Souza Igor Domingos de , Silva Anderson Fernandes da , Ferreira Júnior Marcos Antonio
Published: May 2017

Introduction: Radicchio (Cichorium intybus L.) is a leaf chicory and is grown as a leaf vegetable which usually has white-veined red or purple leaves and it belongs to the Asteraceae family. In several countries is consumed mainly as salad, but no studies on their elemental composition  has been done, principally in Brazil.

Objective: The aim of present work was to measure the macroelements (Na, K, Ca, Mg and P) and microelements (Cr, Cu, Fe, Mn, Mo, Zn, Al, Cd, Ni, Co and Si) in the leaf Chicory used as human nourishment in the Campo Grande, State of Mato Grosso do Sul, Brazil.

Method: Chemical digests of samples were prepared using HNO3 and H2O2 and then placed in the microwave digestion system. After digestion, the concentrations of the elements in Leaf Chicory were determined by the technique of Inductively Coupled Plasma - Optical Emission Spectrometer (ICP–OES, Thermo Scientific - iCAP 6000 Series). Results obtained of the concentrations of leaf chicory were compared with the dietary reference intakes.

Results: Detected concentration of macroelements in leaf Chicory decreases in the order: K > P > Ca > Mg > Na. As well as the concentration of microelements decreases in the order: Fe > Al > Si > Mn > Zn > Cu > Cr > Ni > Cd > Mo > Co. Leaf Chicory is excellent source of K, Ca, Mg, P, Cr, Cu, Fe, Mn, Mo and Zn for children and adults. On the other hand, leaf chicory is not considered a source of sodium for children and adults. Concentration of K, Cr, Fe, and Al are above the limit recommended limit by FAO/WHO (1984) and others countries.

Conclusions: Leaf Chicory has macro and microelements in ample amount; it can be used as an important part of people's diets. Since it not exceed allowable limits set by WHO and FAO, RDA/AI and UL. Competent organs have not evaluated concentrations of elements as Al, Cd, Ni, Co and Si in order to establish a tolerable upper intake level or RDA/AI for human. The lack of studies of adverse effects following excess intake of a nutrient does not mean that adverse effects do not occur.

Keywords: Leaf Chicory; Radicchio; Inductively Coupled Plasma Mass Spectrometry (ICP-OES).
Nursing Interventions For The Prevention Of Foot Ulcers In Patients With Diabetes: An Integrative Review
Authors: Marques Antonio Dean Barbosa , Texeira Anne Kayline Soares , Moreira Thereza Maria Magalhães , Carvalho Rhanna Emanuela Fontenele Lima de , Fialho Ana Virgínia de Melo , Chaves Edna Maria Camelo
Published: May 2017

Objective:  to verify the available evidence on nurses’ interventions to prevent ulcers in patients with diabetic foot.

Method: integrative review held in the databases BDENF, LILACS, IBECS, CINAHL, PubMed and in the virtual library SCIELO without time restriction.

Results: the authors identified 15 articles that met the study criteria. Nursing interventions for the prevention of diabetic foot were performed both individually and on collective basis, or in combination. The vast majority of interventions were within institutional programs aimed at health promotion.

Conclusion: the evidence points to health education as a tool in the prevention of diabetic foot and consequent amputation of the lower extremities, promoting awareness for development and adoption of skills for self-care and improved lifestyle.
Evidences About The Skills Of Nursing Professionals Regarding The Protocol In Basic Life Support
Authors: Da Cruz Rebeca Chaves , Almeida Raymari Dias , Morais Soares Francisco Mayron , Pequeno Carlos Lucas Damasceno , Alencar Maria Flaviana , Penaforte Kiarelle Lourenço , Cavalcante Andrade Ítalo Rigoberto , Mota Maria Lurdemiler Saboia , Freitas Julyana Gomes
Published: May 2017

Objective: To analyze the available scientific evidence about the skills of nursing professionals regarding the protocols of care in Basic Life Support.

Method: An integrative review performed in the databases LILACS, PUBMED, COCHRANE LIBRARY and other sources of literature, in March and April 2016, using the controlled descriptors "Emergency Nursing", "Knowledge", "Cardiac Arrest", "Cardiopulmonary Resuscitation". There were selected 27 articles based on the inclusion criteria.

Results: The main researches identified about the main challenges and knowledge experienced by nursing in the urgency and the emergency services facing cardiorespiratory arrest. It was noticed that the years 2010, 2012 and 2013 corresponded to the period with the greatest number of scientific articles published about the subject researched, being 2012 as the major year in publications.

Conclusion: Nursing qualification programs for care are a way to approach their practical reality, standardizing care.
Hodgkin’s Lymphoma: Impacts And Changes In Life Of Carriers Undergoing Treatment
Authors: Silva Cristiane Nobre , Sales Diane Sousa , De Sousa Carla Suellen Pires , Marques Antonio Dean Barbosa , De Araújo Priscila França , Barbosa Isadora Marques , Nogueira Francisca Neuma Almeida , Silva Sanrrangers Sales , Brito Maria Da Conceição Coelho , Fialho Ana Virginia De Melo
Published: May 2017

Diagnosis and treatment of Hodgkin’s lymphoma introduce a new routine, and the habitual life of the young adult is interrupted because the treatment imposes on patients withdrawing from their environment, their productive activities, their relatives and their daily life. The aim of the present is study is to understand the reality of the young adult carrier of Hodgkin’s lymphoma in the face of treatment. This is a qualitative study; subjects were patients diagnosed with Hodgkin’s lymphoma at a reference hospital in northeastern Brazil. Inclusion criteria were being undergoing treatment or follow-up of Hodgkin’s lymphoma, and aged 18 to 35 years. The information was collected through an interview at the home of each subject in the period from August and September 2015. The interviews were recorded, transcribed in full and analyzed through thematic analysis. The study was approved by the Research Ethics Committee. The subjects went through a rather individual pathway to discover the disease. After reading the interviews, the following category emerged: Impact and changes in life with cancer. They feel the impact of cancer and of the process of illness and treatment that promote physical and social changes. They reveal the coping of the disease with liveliness, and present strategies for this process, such as the support of family and friends. They recognize the existence of difficult moments and face situations of death, but they show intention to return to their daily activities and have perspectives for cure.
Low Irisin Levels in Patients with Type 2 Diabetes Mellitus without Current Treatment: A Systematic Review
Authors: De Alencar Jaqueline Pinheiro , Luna Francisco Matheus Prado , Coelho Matheus Barbosa , De Morais Raissa Maria Rolim Bem , Neto José Antonio De Lima , Filho Messias Silvano Da Silva , Rodrigues Ivana Rios , Moreira Marcial Moreno , Gregório David De Sousa , Neto Modesto Leite Rolim
Published: May 2017

Background: The Irisin is a myokine associated with the improvement on insulin resistance caused by diet and increased physical energy expenditure. Recent studies have shown that patients with Type 2 Diabetes Mellitus (T2DM) have reduced levels of irisin, showing it as a potential marker for various endocrine and cardiovascular diseases. This study aimed to verify if T2DM patients never treated or without ongoing treatment have reduced levels of irisin when compared to individuals with other metabolic profiles.

Methods and Findings: Systematic review of the literature, considering the primary studies published in 2012 to 2016, with the outcome Irisin levels in patients never treated or without current treatment in the ambience of Type 2 Diabetes Mellitus. The search was conducted through the electronic database Scopus (Elsevier), using the key words: "Irisin", "Human" and "Diabetes Mellitus". From the 91 studies found, 8 met the eligibility criteria. Significant differences were found on levels of irisin in patients with T2DM compared to normoglycemic individuals, obese and/or pre-diabetic. On average, there was a reduction of 15 pg/ml in plasma levels of irisin in diabetics. However, a minority of studies says that this relationship does not exist.

Conclusion: Irisin reduced levels were found in patients with T2DM and is also related to lipid profile, with the risk of developing endocrine diseases, such as diabetes and obesity, and high risk for cardiovascular diseases because of its relationship with endothelial dysfunction. This generates the need for research in order to explore the isolation and clinical use of irisin for treatment of disorders related to imbalance in energy demand, obesity and diabetes.

Descriptors: Irisin, Human, Diabetes Mellitus.
Du cri à la patrouille : l’ordre public dans les communes italiennes (1250-1350)
Authors: Grillo Paolo
Published: May 2017

Dans les villes de l’Italie communale, jusqu’au milieu du xiii e  siècle, l’ordre public a été assuré par les communautés de voisins, qui devaient courir en entendant les cris des victimes et capturer les criminels. Cette pratique, nommée accorruomo , pouvait pourtant engendrer des rixes ou des émeutes. À la fin du Duecento , les gouvernements urbains ont accompli un effort considérable pour mettre en place un appareil de sûreté efficace au service des magistrats, en soldant des dizaines ou des centaines de « policiers » professionnels qui pouvaient patrouiller dans les rues. Ce fut la source d’importants changements, mais aucune commune n’eut jamais les ressources suffisantes pour créer une force capable de contrôler la totalité de la ville et de ses campagnes. L’autorité des hommes du podestat finit donc par se superposer à la pratique de l’ accorruomo , compliquant encore un cadre déjà structuré.
Entre science et philanthropie : une histoire sociale de l’ African Association et de ses voyageurs (1788-1831)
Authors: Teixeira Luis
Published: May 2017

Cet article entend combler une lacune en proposant la première étude publiée en français consacrée spécifiquement à l’histoire de l’ African Association . Fondée à Londres en 1788 par un petit groupe de gentlemen anglais désireux de promouvoir l’exploration géographique de l’Afrique, l’ African Association intéresse depuis longtemps les historiens anglophones qui lui ont déjà consacré de nombreux travaux. Cet article présente et discute les acquis de cette historiographie au regard des archives laissées par l’Association et des récits de voyages publiés sous sa direction. Trois grandes questions sont abordées : le choix de la « forme associative » pour soutenir l’exploration de l’Afrique, l’influence du discours abolitionniste sur le programme scientifique de l’Association et les rapports entre ses membres et ses voyageurs. Pour répondre à ces questions, l’auteur a privilégié une analyse micro-historique attentive aux positions occupées par les acteurs dans l’espace social de leur temps. Rompant avec un récit positiviste qui fait la part belle aux explications macro-historiques abstraites, cet article cherche à cerner la nouveauté d’un projet qui a marqué l’histoire des relations euro-africaines à l’époque contemporaine et donne à voir l’intérêt de poursuivre une histoire sociale des voyageurs et des voyages d’exploration au  xix e  siècle.
La Préhistoire sur les bancs ou au ban de l’école ? Les temps premiers dans les programmes scolaires de la France des années 1940 à 2010
Authors: Semonsut Pascal
Published: May 2017

La Préhistoire est une époque connue et reconnue par la science depuis les années 1850. Quelle place l’école lui donne-t-elle en France depuis le milieu du xx e  siècle ? Des années 1940 à 1960, si le manuel est la principale source de connaissance sur la Préhistoire, la place qu’il lui accorde est bien mince. À partir des années 1970, la mémoire scolaire de la Préhistoire est en voie d’effacement. Après la disparition du Paléolithique des programmes du collège en 1995, c’est au tour du Néolithique en 2008. Désormais, la Préhistoire n’existe plus dans le secondaire. Cette disparition, pourtant, n’est pas définitive puisqu’on assiste, en 2015, au retour de Cro-Magnon en classe de 6 e , retour porté par l’air du temps. L’école ne s’est donc guère intéressée à la Préhistoire alors que tout concourt, au contraire, à lui faire une place. Pourquoi ce désintérêt ? La raison essentielle tient, nous semble-t-il, à la nature même des auteurs des programmes et des manuels : historiens, et donc spécialistes de l’écriture, ils sont très mal à l’aise avec des civilisations l’ignorant et donc ne s’acquittent que de mauvaise grâce du passage obligé qu’est la leçon sur la Préhistoire, tant dans sa conception que son exposé.
Alternative Start Sites Downstream of Non-Sense Mutations Drive Antigen Presentation and Tolerance Induction to C-Terminal Epitopes
Authors: Ashley Scott N. , Somanathan Suryanarayan , Hinderer Christian , Arias Maxwell , McMenamin Deirdre , Draper Christine , Wilson James M.
Published: May 2017

CTL responses to the transgene product remain an active area of concern for the gene therapy field. A patient’s underlying genetic mutation may influence the qualitative nature of these potentially destructive T cell responses. Individuals with a mutation that introduces a premature termination codon (PTC) that prevents synthesis of the full-length peptide are considered more likely to mount a transgene-specific T cell response because of a lack of immune tolerance to C-terminal epitopes as a consequence of absent endogenous Ag presentation. In this article, we demonstrate that a human ornithine transcarbamylase gene containing various PTC-inducing non-sense mutations is able to generate and present epitopes downstream of the termination codon. Generation of these epitopes occurs primarily from alternative translation start sites downstream of the stop codon. Furthermore, we show that expression of these genes from adeno-associated virus vectors in C57BL/6 mice is able to induce peripheral tolerance to epitopes downstream of the PTC. These results suggest that, despite the lack of full-length endogenous protein, patients with PTC-inducing non-sense mutations may still present T cell epitopes downstream of the premature termination site that may render the subject tolerant to wild-type transgene products.
Stat5 Is Required for CD103+ Dendritic Cell and Alveolar Macrophage Development and Protection from Lung Injury
Authors: Eddy William E. , Gong Ke-Qin , Bell Bryan , Parks William C. , Ziegler Steven F. , Manicone Anne M.
Published: May 2017

We tested the role of Stat5 in dendritic cell and alveolar macrophage (AM) homeostasis in the lung using CD11c-cre mediated deletion (Cre+5f/f). We show that Stat5 is required for CD103+ dendritic cell and AM development. We found that fetal monocyte maturation into AMs was impaired in Cre+5f/f mice, and we also confirmed impaired AM development of progenitor cells using mixed chimera experiments. In the absence of Stat5 signaling in AMs, mice developed alveolar proteinosis with altered lipid homeostasis. In addition, loss of Stat5 in CD11c+ cells was associated with exaggerated LPS-induced inflammatory responses and vascular leak. In Cre+5f/f mice, there was loss of immune-dampening effects on epithelial cells, a key source of CCL2 that serves to recruit monocytes and macrophages. These findings demonstrate the critical importance of Stat5 signaling in maintaining lung homeostasis, and underscore the importance of resident macrophages in moderating tissue damage and excess inflammation.
Oral Myiasis—A Pauper's Affection: Case Reports and a Review of 62 Cases
Authors: Mistry Yusuf A , Mistry Taher , Kokal Shailesh
Published: May 2017

Oral myiasis is a rare disease caused by infestation of larvae of certain dipteran flies. It is reported mostly in developing, tropical countries. The warm and humid climate along with local factors, such as poor oral hygiene and neglect forms a conducive environment for larvae and predisposes toward the disease. This disease often manifests in patients with low socioeconomic backgrounds, debilitating condition, and poor living conditions. Herein, we describe a series of three cases of different presentations of oral and facial myiasis and also discuss the predisposing factors and challenges in the treatment by reviewing a list of 62 cases in recent literature.

Through this review and reports, we hope to spread awareness regarding the not so uncommon, but easily preventable disease of oral myiasis and initiate proper research in this neglected section of disease.

How to cite this article

Natarajan S, Mistry YA, Mistry T, Kokal S. Oral Myiasis—A Pauper's Affection: Case Reports and a Review of 62 Cases. J Contemp Dent 2017;7(1):62-70.
The Influence of Strategic Leadership on Building Employees’ Entrepreneurial Orientation: A Field Study at the Jordanian Public Sector
Authors: Abu Bakir Sahar Mohammad
Published: May 2017

The public sector in Jordan is confronting many problems; reports show that citizens are not contented with the number and quality of current services. Consequently; persistent initiatives to uphold the sector performance took place at all levels, relying on the inventive employees and leadership to achieve the intended improvement. So this study seeks to test the impact of strategic leadership (charismatic, visionary, change agent and servant) on building entrepreneurial orientation (proactiveness, innovativeness and risk taking) in Jordanian public sector employees.A random sample was selected of 500 employees working at health, education, agriculture and other service governmental organizations. To obtain the required results multiple regression was calculated using (21) SPSS version.It was found that the charismatic, change agent, servant styles positively influence employees proaciveness, with no influence on the other two entrepreneurship dimensions. While visionary style has no significant influence on all entrepreneurship dimensions. However the public sector reform is achievable, through comprehensive strategies, successful implementation, and effective continuous control. Innovative departments need to be established and financed away from bureaucratic environments.