bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparative study of acylated ghrelin levels in obese diabetes mellitus type 2 and lean diabetes mellitus type 2 female aged 30-45.
Authors: Sheikh Zaheer Iqbal , Tariq Amna Rashid , Shoaib Amer , Mahmood Saeed
Published: November 2020

Objectives: To critically analyze the concentration of Acylated ghrelin and its comparative level between lean and obese type two Diabetes Mellitus female patients aged Thrity-fourty five. Study Design: Cohort study design. Setting: Department of Endocrinology, Lahore General Hospital, Lahore and Sheikh Zayad Hospital Lahore. Period: 1st March 2019 to 31st August 2019 (6 months). Material & Methods: Blood sample of fifty female individuals were taken after twelve hours of fasting which were divided into two groups obese type two diabetes mellitus patients having BMI> twenty eight and lean type two diabetes mellitus patients. For measurement of ghrelin concentrations, blood samples collected in specialized EDTA–aprotinin chilled test tubes were immediately centrifuged at two hundreds rpm and their acidification with 1 mol/L HCl (10% of sample volume) done to adjust pH four to preserve plasma acylated ghrelin. The serum was stored at -20c for hormonal assay of Ghrelin by Elisa kit of Biovender Laboratani of Czek Republic. Result: The statistical analysis of Acylated ghrelin concentration was done by using paired t-test and one way ANOVA showing significant difference between the concentration of ghrelin in both obese and lean with reference to BMI having P-value<0.0001. Conclusions: The study showed that acylated ghrelin levels were comparative on the lower side in obese type two DM as compared to lean type two DM with significant P-value <0.0001 by using two-tailed P-value.
Comparison of Dexmedetomidine versus Midazolam in weaning from mechanical ventilation and length of stay in ICU.
Authors: Dodhy Afia Arshed
Published: November 2020

Objectives: To compare the role of dexmedetomidine versus midazolam as sedative in facilitating early mechanical ventilation weaning thereby decreasing ICU cost. Study Design: Randomized Controlled trial. Setting: Surgical ICU of Lahore General Hospital, Lahore. Period: December 2018 to July 2019. Material & Methods: Total of 60 adult postoperative patients (30 in each group) who required mechanical ventilation in the surgical ICU for minimum 24 hours postoperatively after major pelvi-abdominal operations were included. Patients of group “A” and “B” received midazolam infusion 20-100 mcg/kg/hr & dexmedetomidine infusion 0.2-0.7 μg/kg/hr respectively while being mechanically ventilated. The degree of sedation was measured by using the Richmond agitation sedation score (RASS) every 6 hourly. Extubation time (i.e. time from termination of drug to extubation) was recorded. The time of ICU length of stay was also recorded Results: Mean age of patients was 41.97 ±10.21 and 42.57±10.93 years in group-A and B, respectively. In group-A 18 patients (60%) and in group-B 16 patients (53.0%) were male while 12 patients (40%) in group-A and 14 patients (47.0%) were females. A significant decrease in extubation time was observed in Group-B when compared with the Group-A (p=0.046) along with odds ratio 0.938 while no significant relationship could be proved between length of stay at ICU between two groups. Stratification with regard to age, gender height, weight and type of surgery was carried out. Conclusion: Dexmedetomidine is more favourable than midazolam for sedation in intensive care patients by facilitating early exubation and decreasing the duration of invasive ventilation while no significant relationship could be proved in two groups between length of stay in intensive care unit.
Impact of burnout among surgeons and residents at a Tertiary Care Hospital of Pakistan.
Authors: Zaman Balakh Sher , Ghouri Raza Gulzar , Ali Muhammad Mohsin , Ahmed Raja Mobeen
Published: November 2020

Objectives: To determine frequency and impact of burnout among surgeons and residents of different specialties at a tertiary care hospital in Punjab, Pakistan, over a period of 6 months. Study Design: Observational Cross-sectional study. Setting: Departments of General Surgery and Ophthalmology, Mayo Hospital Lahore and the Department of Gynecology, Lady Willingdon Hospital Lahore. Period: September to November 2019. Material & Methods: Out of 150 invited participants, 124 responded to the questionnaire. Grades of burnout were determined according to the American Public Welfare Association (APWA) inventory. Data analysis was performed using SPSS 26.0, with qualitative statistics determined as frequency and percentages, and quantitative correlations among variables determined by application of chi-square test with p-value ≤ 0.05 as significant. Results: Out of 124 participants, 48.3% were female while the rest were male, mostly in the age group of 26-30 years (75%). Majority (50.8%) belonging to General Surgery; 32.3% were from Gynecology and Obstetrics and 16.9% were from Ophthalmology. Most of the participants (81.4%) were residents, with majority (51.6%) working 60-80 hours per week. There was high rate of burnout, with 46.3% of females and 32.8% of males reporting early burnout, and 36.6% of females along with 25% of males reporting advanced burnout. General surgeons and gynecologists were more prone to advanced burnout, while eye surgeons and residents had an increased propensity towards developing burnout. Conclusion: There is a high rate of burnout among surgical residents and consultants, attributable to increased working hours, less pay, and decreased job satisfaction. Measures should be taken to curb this trend, both for patient safety as well as for personal and mental health improvement of surgeons.
Acquired cystic renal disease in hemodialysis patients.
Authors: Malik Suhail Iqbal , Khan Raheel , Yousuf Muhammad , Imran Muhammad , Saeed Yusra , Ahmad Muhammad
Published: November 2020

Objectives: Acquired cystic renal disease is known complication of End stage renal disease and hemodialysis and is also a precursor to renal cell carcinoma in patients who are on long term maintenance hemodialysis. Study Design: Cross Sectional study. Setting: Bahawal Victoria Hospital, Bahawalpur-Pakistan. Period: Jan 2019 to June 2019. Material & Methods: Patients on maintenance hemodialysis were evaluated using ultrasound for acquired cystic renal disease. Results: The study included 220 patients who were on maintenance hemodialysis. The male to female ratio was 2.01:1. Most common causes of renal failure were Diabetes Mellitus and Renal stone Disease (22.3%) each. Acquired cystic renal disease was found in 45 (20.5%). The difference of frequency of acquired cystic renal disease was statistically significant in age groups & anemia. Conclusions: Acquired cystic renal disease is common complication of End stage renal disease and maintenance hemodialysis. Regular monitoring with ultrasound needs to be done for those patients who are on maintenance hemodialysis for more than 3 years.
Efficacy of amoxicillin-clavulanic acid versus ceftriaxone in children hospitalized under 5 years of age with uncomplicated community acquired pneumonia.
Authors: Abid Huriya , Rizwan Wajiha , Naeem Irfan , Lodhi Aysha Mansoor , Rana Muhammad Nasir
Published: November 2020

Objectives: Community acquired pneumonia (CAP) is considered to be the commonest reason for hospitalization among children. Pneumonia is the leading cause of mortality among children in Pakistan in children, causing 33% of all deaths in infants and 37% of all deaths in children 1 to 4 years. The aim of current study was to compare efficacy of amoxicillin-clavulanic acid versus ceftriaxone among children under 5 years of age, hospitalized having uncomplicated CAP. Study Design: Randomized Controlled trial (RCT). Setting: Department of Pediatric Medicine, The Children Hospital and Institute of Child Health, Lahore. Period: 01/01/2019 to 30/06/2019. Material & Methods: A total of 210 (105 in each group) children aged between 2 to 60 months, diagnosed having CAP were randomly allocated into either Group-A (received IV amoxicillin-clavulanic acid) or Group B (received IV ceftriaxone). Efficacy in terms of response of both treatment groups was noted after 5 days treatment. Results: Overall, mean age was noted as 14.68±15.7 months. Majority (n=131, 32.4%) were male and aged between 1 to 12 months (n=135, 64.3%). Mean duration of symptoms was noted as 3.60±1.69 days. Efficacy was significantly higher in children treated with ceftriaxone as compared to those treated with Amoxicillin/Clavulanic acid (96.2% vs. 76.2%; p<0.001). This difference was significant across all age, gender and duration of symptom groups (p<0.05). Conclusion: The efficacy was significantly higher in children treated with ceftriaxone as compared to Amoxicillin/Clavulanic acid.
Correlation of VIT D3 and serum ferritin levels in anemic patients in a hospital based study.
Authors: Khan Hamzullah , Basharat Mohammad
Published: November 2020

Objectives: To determine the correlation of Vit D3 levels with serum ferritin in patients with anemia. Study Design: Cross Sectional study. Setting: Department of Pathology, Qazi Hussain Ahmed Medical Complex Nowshera. Period: 5th Jan 2019 to 31st Dec 2020. Material & Methods: Data entered in SPSS 25th version. Descriptive statistics was used for numerical variables. Pearson correlation was used for correlation of Vit D3 with gender. Normality of data was checked by Shapiro wilk test. Mann Whitney U test was used to show the difference of Vit D3 and ferritin levels in gender. Results: The total of 192 anemic patients with Hb<10g/dl as per definition of WHO1 were referred for ferritin level estimation with 142(74%) females and 50(26%) males. Out of total, 47 were also advised with Vit D3 level estimation with 29(61.7%) females and 18(38.3%) males. Mean with standard deviation for age was 30+9.6 years. Mean with standard Error of mean of Vit D3 was (Mean-15.5ng/ml, SE 2.19). Mean with standard Error of mean of serum ferritin was (Mean-48.2ng/ml, SE 5.90). We observed 35(74.5%) cases out of 47, as Vit D3 deficient with a count less than 20 ng/ml. We observed that 118 (61.5%) were iron deficient with serum ferritin less than 15ng/ml. Person correlation showed a statistically significant correlation of Vit D3 with ferritin (p= 0.022, r=0.7). Spearman ranked correlation showed a statistically significant correlation between the categories of Vit D3 and ferritin (p=0.022, r=0.7). Mann Whitney U Test showed no significant difference in gender groups for botht the variables (p= 0.86 &p=0.33 respectively) thus retain the null hypotheses. Conclusion: The frequency of deficiency Vit D3<20ng/ml in anemic patients was 74% while that of ferritin<15ng/ml in anemic patients was 61.5%. There is a strong statistically significant correlation of Vit D3 with serum ferritin in anemic patients with Hb<11g/dl.
Different types of tumors in perimenopausal women presenting with ovarian masses at A Tertiary Care Hospital.
Authors: Akmal Maria , Janjua Mahham , Wajid Rabia , Imran Maria , Jawad Zobia
Published: November 2020

Objectives: To determine frequency of benign and malignant tumors among perimenopausal women presenting with ovarian masses at a tertiary care Hospital. Study Design: Descriptive Cross Sectional study. Setting: Department of Obstetrics & Gynecology, Jinnah Hospital, Lahore. Period: Six Months from August 2017 to January 2018. Material & Methods: A total 127 premenopausal females with ovarian masses visiting Obstetrics & Gynaecology Department, Jinnah Hospital, Lahore were selected. After detailed medical history and clinical examination patients underwent ultrasonography to diagnose status of ovarian masses. Data was entered in self-made proforma. Results: Total 127 patients were selected. Mean age of cases was 48.87 ± 3.04 years, with mean BMI of 26.52±2.43 kg/m2 and obese patients were 30.7%. Out of all 73.2% patients had benign masses and 26.8% patients had malignant masses. Obesity and family history were significantly correlated with malignant tumors among premenopausal women having ovarian masses p-value 0.001. Conclusion: It was observed that the malignant tumors are frequently linked to pre-menopausal women with ovarian masses. Obese and family history positive patients are on high risk of malignant tumors.
Liver disease in the Era of Coronavirus Disease 19 (COVID-19) pandemic
Authors: Siddesh Besur , Rehana Begum , Vikraman Gunabushanam , Herbert L Bonkovsky
Published: November 2020

Coronavirus infections have caused outbreaks in humans: SARS-COV ((Severe Acute Respiratory Syndrome) and MERS-CoV (Middle East Respiratory Syndrome) resulting in significant mortality and morbidity.
Hormones and depression in women
Authors: John Studd
Published: November 2020

It is well known that depression is more common in women than in men with more prescriptions for antidepressants, hospital admissions for depression and suicide attempts. However another aspect to be considered is that depression is different in women than men because women have depressive episodes at times of hormonal shift which is a physiological phenomenon not encountered in men. This is why hormone therapy is so important
Toracostomía cerrada bajo sedación en el servicio de urgencias. Revisión de tema
Authors: Mora Rodriguez Jose Luis , Herrera Cañón Jhon Camilo , Hoyos Valencia Valentina , Ortega Narvaez Andrea Marisol
Published: November 2020

El trauma es uno de los principales retos en cuanto a salud pública mundial se trata. Según la OMS, causa alrededor de cinco millones de muertes al año, siendo el trauma de tórax uno de los más frecuentes, reportándose hasta 90-96% de lesiones penetrantes con una mortalidad cercana al 30%. La toracotomía es un procedimiento frecuentemente realizado en el servicio de urgencias, pero es una técnica dolorosa e incómoda que puede generar dificultades a la hora de su realización. Se requiere encontrar la información disponible acerca de la seguridad en la intervención bajo sedación y determinar su utilidad en el servicio de urgencias, así como conocer los niveles de sedación para poder realizar las diferentes técnicas y evaluar según el procedimiento a realizar a qué nivel se debe llevar el paciente. La utilización de fármacos para analgesia y sedación en este servicio tiene por objetivo el control efectivo y seguro del dolor, control de la ansiedad, para evitar movimientos del paciente, buscando disminuir las posibles complicaciones. En esta revisión se estudian medicamentos como ketamina, propofol, morfina, hidromorfona, fentanilo, etomidato y midazolam, así como sus posibles combinaciones para implementarlos en el proceso de sedación en la toracostomía de urgencia. No hay una estrategia terapéutica aplicable a todos los pacientes por lo que cada una de ellas debe individualizarse.
Research on the Development Path of Zigong Salt Culture and Creative Industry in the Era of Digital New Media
Authors: Zhang Bingjie
Published: November 2020

Salt culture is the main component of traditional culture in Zigong,Sichuan.With centuries of history, it has accumulated rich cultural connotations. At present, Zigong salt culture, as a precious traditional cultural wealth, has taken cultural and creative industries as a new carrier of communication in the rapid development of digital new media technology, giving full play to the resource advantages of its traditional culture. This article focuses on the study of the development path of Zigong salt cultural and creative industry in the new digital media era. Combining digital new media technology with cultural and creative industries, Zigong salt culture actively uses virtual technology to realize the innovative development of cultural and creative industries, promote the cultivation of cultural and creative brands based on digital new media technology. This article aims to give relevant strategies with reference value, so as to make corresponding contributions to the development path of Zigong salt culture in the future.
Sociabilidades, subjetividades e representações de gênero na imprensa dos anos 20
Authors: Castro Raimundo Nonato de , Cavalcanti Natália Conceição Silva Barros
Published: November 2020

A cidade de Recife dos anos 1920 acompanhou a divulgação em jornais e revistas de modos e modelos a serem seguidos por homens e mulheres. No entanto, a década de 20 ocasionou uma profunda transformação na maneira de como as mulheres e homens se comportavam e/ou adquiriam novos costumes. Enquanto os homens procuravam assegurar a sua condição de chefe de família, a mulher ia gradativamente assumindo um papel de independência em relação aos costumes dominante. Agora ela ocupava espaços de trabalho e deixava, em alguns casos o lar e o cuidar dos filhos para os homens. O objetivo deste artigo é apresentar o quanto os jornais e revistas do Recife construíram modelos de mulheres a partir da escrita dos homens, que ocupavam as suas redações.
Entre o “Congresso Feminista” e a “perversidade”: os debates sobre gênero nas páginas da composição teatral Sonho de Ópio
Authors: Pinto Rebeca Natacha De Oliveira
Published: November 2020

A partir da composição Sonho de Ópio, encenada pela Companhia Teatral São José, este trabalho se propõe a refletir sobre as imbricadas relações entre participação política feminina e o universo cultural carioca na Primeira República. Para tanto, o conceito de gênero se faz relevante, na tentativa de ressignificar a atuação e experiências femininas, revelando protagonismo social tanto na esfera pública, como em aspectos privados. Intentaremos perceber como as personagens femininas “Suffragista” e “Perversidade” nos fornecem indícios para compreender como mulheres, de diversos segmentos sociais, ocuparam o espaço público e o universo do entretenimento carioca dos anos 1920, em meio às profundas desigualdades de gênero.
Uma proposta de interseccionalidade entre gênero e raça para a Educação Básica
Authors: Sousa Mariana Alves de , Possas Lidia Maria Vianna
Published: November 2020

O presente estudo se refere a necessidade de provocar uma reflexão crítica sobre a importância de o ensino abordar a interseccionalidade em suas práticas para democratizar e descolonizar a construção do conhecimento no âmbito escolar. A forma com que os conteúdos escolares têm versado sobre o debate histórico e social das desigualdades raciais e de gênero produz um distanciamento  da realidade social. Em se tratando de identidades de distintos marcadores sociais da diferença como raça e gênero, a interseccionalidade relacionada ao ensino das disciplinas de História e Sociologia pode se transformar em elemento potencializador da ressignificação do lugar social de minorias comumente marginalizadas no contexto social e na produção do conhecimento.
Building freedom: anti-slavery and abolitionist struggles for black women in 19th century Brazil
Authors: Pires Clarissa
Published: November 2020

Ao longo do século XIX, do norte ao sul do Brasil, as mulheres negras -livres, forras e cativas –atuaram de diferentes maneiras no processo que desencadeou a Lei Áurea em 1888. Neste sentido, o presente artigo tem por intenção lançar luz sobre a participação das mulheres negras nas lutas cotidianas e populares, individuais e coletivas, travadas contra a instituição da escravidão, a desigualdade de gênero e a discriminação socioracial no país, considerando a interseccionalidade entre o gênero, a raça e a classe social na dialética da dominação escravista. O desafio proposto consiste em revelar as contribuições do materialismo histórico à escrita da história das mulheres negras e observar trajetórias ímpares pautadas na busca pela liberdade.
Feminismo(s) e cidadania feminina: o pensamento feminista como referência teórico-política à cidadania de mulheres em sua pluralidade
Authors: Marinho Silvana
Published: November 2020

Este artigo refletirá sobre a  contribuição dos feminismos como lente de leitura da realidade e como estratégia de luta emancipadora à cidadania de mulheres na sua pluralidade: cis, trans, lésbicas, negras, ameríndias, latinas, jovens, adultas, idosas, etc. A cidadania feminina será pensada a partir de diferentes matizes e matrizes teóricas do feminismo, do clássico ao contemporâneo: o pensamento feminista sufragista, protagonizado principalmente pelas francesas; o pensamento feminista russo, em especial o socialista, que põe em evidência as demandas das mulheres trabalhadoras; o feminismo interseccional e o feminismo descolonial, que inserem também a raça/etnia, a sexualidade e a origem territorial geopolítica norte/sul no centro do debate feminista, interpelando uma suposta universalidade feminina (branca, eurocentrada, heteronormativa).
Mulheres pescadoras: trajetórias de mulheres nos pantanais sul-mato-grossense
Authors: Zanchett Silvana Aparecida da Silva
Published: November 2020

Análise histórica do cotidiano, de memórias e de silêncios na vida de mulheres pescadoras na região dos Pantanais Sul Mato Grossense.  A pesquisa problematiza narrativas e os múltiplos sentidos e significados que a vida ribeirinha tem para com essas mulheres, evidenciando suas expectativas e anseios na relação tecida com o rio e a cidade sulmatogrossense, bem como na construção de modos de vida singulares expressos nas suas vivências cotidianas. Apresentam tensões, as emoções e os sentidos que essas mulheres construíram ao longo de suas trajetórias no mundo da pesca. Um mundo permeado de incertezas e de conquistas para essas mulheres, visto que, esse espaço era até então, destinado aos desbravadores. Nesse sentido, as narrativas orais nos enriquecem historicamente, ao visibilizar histórias de vida de mulheres que estavam fadadas ao mundo privado na sombra dos seus esposos, mas que agora dominam espaços com seus trabalhos, suas lutas e seus anseios.
Apresentação - Dossiê História das Mulheres, Gênero e Interseccionalidades
Authors: Medeiros Kenia Erica Gusmão , Ramos Gilmária Salviano , Sampaio Paula Faustino
Published: November 2020

É com enorme satisfação que apresentamos o Dossiê Especial “História das Mulheres, Gênero e Interseccionalidades”. Concebemos esse dossiê em função da surpresa que tivemos com a imensa quantidade de textos que recebemos para a chamada “Ensino de História, História das Mulheres e Desigualdades Sociais”, publicada em abril de 2020. Desse modo, selecionamos alguns trabalhos que não demonstravam alinhamento com todas as categorias da proposta inicial, mas ainda assim representavam enorme contribuição historiográfica.  Esse conjunto de textos evidencia a diversidade de temas, abordagens e categorias que fazem parte dos campos da História das Mulheres e dos Estudos de Gênero.
Family-oriented technologies for women with infertility in anamnesis
Authors: S. Yu. Vdovichenko  , K. S. Insarova
Published: November 2020

The objective: decline of frequency of perinatal pathology for women with infertility in anamnesis on the basis of the use of family-oriented technologies.Materials and methods. А complex inspection is conducted 300 pregnant from which 250 were with infertility in anamnesis and 50 are primiparous, becomings pregnant independently, and also their new-born. In subsequent conducted prospective randomization, as a result of which patient with infertility in anamnesis up-diffused on two equal groups on principle of therapy: 75 pregnants at which used the family-oriented technologies; 75 pregnant which were conducted on the generally accepted treatment-and-prophylactic measures.Results. The use of the algorithm of diagnostic and treatment-and-prophylactic measures improved by us allows to reduce frequency of the involuntary breaking of pregnancy to 22 weeks – from 13,0% to 5,7%; «early» premature births – from 3,0% to 1,0%; to placenta disfunction from 63,0% to 40,6%; caesar sections – from 96,0% to 56,5%, and also perinatal losses – with 40,0‰ to 16,2‰ accordingly.Conclusion. Despite a significant reduction in the frequency of cesarean section, perinatal pathology and mortality in the main group not only did not increase, but also significantly improved the adaptation of newborns whose mothers received family-oriented technology.
Modelos Lagrangianos para la simulación de fluidos y su aplicación a la hidrodinámica marina
Authors: Sánchez-Mondragón Joel
Published: November 2020

Se describe el método de movimiento de partículas semi-implícito (MPS), el cual es uno de los modelos Lagrangianos más representativos usados en la simulación de fluidos. Además, se especifican las ventajas y desventajas de las versiones del método MPS: una basada en la densidad de partículas, otra en la divergencia de la velocidad y la débilmente compresible. Adicionalmente, para demostrar la capacidad del método, estas versiones se aplican en el problema clásico de rompimiento de presa en dos dimensiones. De estos resultados, se comparan las distribuciones del campo de presiones en varias etapas de la simulación y el histórico de la presión de impacto en la pared del contenedor por la colisión con el fluido.
Seed morphology in the genus Iris (Iridaceae) from Russia
Authors: Alexeeva N. B.
Published: November 2020

The genus Iris in Russia is represented by 41 species. Four species are endemic, 11 are included in the Red Data Book of the Russian Federation and 30 have different regional conservation status. The presented results of the study of the morphology of seeds and of seed coat surface morphology in 40 species from the genus Iris growing in Russia were obtained mainly using light and scanning electron microscopy. Seed shape is round, ovate, oblong or pear‑shaped, with the exception for I. psammocola, in which it is club‑shaped. The smallest seeds in the studied species belong to I. ruthenicaand I. uniflora. Morphometric data lead to interesting conclusions regarding the taxonomic relations between some species. For example, the species currently considered as synonyms, e.g., I. biglumisand I. pallasii in I. lactea, and I. maackii in I. pseudacorus, are found different concerning seed morphology. On the other hand, the taxonomically well distinct species such as I. halophila and I. pseudonotha share similar seed morphology. A study of the morphological characteristics of the seed coat surface in 40 species of the genus Iris made it possible to compile an atlas for determining species in the genus Iris in Russia.
Usos de la ironía en la narrativa de Washington Delgado
Authors: Valenzuela Garcés Jorge
Published: November 2020

En este artículo analizaremos el cuento “La muerte del Dr. Octavio Aguilar” de Washington Delgado, notable poeta de la generación del 50. Nos proponemos analizar la forma en que el autor emplea algunas modalidades de la ironía, como la de situación o de postura, para la descripción de la experiencia de la muerte, hecho central en el relato. La hipótesis es que en este cuento la muerte se presenta como el estado que explica las condiciones existenciales del personaje central y como una presencia que es sentida desde la infancia y que por lo tanto puede ser descrita.
En defensa del indigenismo
Authors: Huamán Villavicencio Miguel Ángel
Published: November 2020

El indigenismo como movimiento literario, cultural, ideológico y político constituye un hito, una referencia obligada de nuestra tradición cultural y literaria nacional. Su debate no se reduce ni limita a las primeras décadas del siglo XX, etapa privilegiada en forma recurrente en los estudios iniciales sobre esta corriente. Podemos afirmar, sin temor a equivocarnos, que no hay momento ni periodo, más o menos visible, en el que no se haya evaluado en forma crítica este acontecimiento, el mismo que ha resurgido con otras denominaciones o referencias (regionalismo, andinismo, mariateguismo, humalismo, etc.), a lo largo de nuestro proceso histórico, pero imbuidas de la perspectiva inicial. El propósito de este artículo es hacer una defensa del indigenismo contestando algunas posiciones contrarias como la de Mirko Lauer.
Rumi, ¿existió alguna vez?
Authors: Escajadillo Tomás G.
Published: November 2020

En literatura, la novela y la poesía son creaciones que pueden tomar algunos aspectos de la realidad, pero son también –y principalmente– fantasía e imaginación. Más de una discusión acerca de la verdad histórica, en algunas novelas, ha surgido por parte de investigadores literarios e historiadores. Y es que algunas novelas nos sitúan y nos crean una imagen que podemos tomarla como real, aunque no lo sea, según dice el investigador inglés Lewis Taylor acerca de las obras de Ciro Alegría y José María Arguedas. En este sentido, el presente artículo se propone hacer un análisis de las propuestas del mencionado crítico y un balance sobre las aproximaciones al tratamiento del hecho real en el campo de la ficción.
El periodismo en la literatura. Impresiones de la realidad en la narrativa de Vargas Llosa
Authors: Martínez Gómez Juana
Published: November 2020

El periodismo y la literatura son prácticas escriturales que interesan a Vargas Llosa desde muy temprana edad y que cultiva de forma simultánea durante toda su vida. Desde su concepción realista de la literatura, el autor no puede soslayar la presencia del ámbito periodístico en algunas de sus novelas como una faceta relevante del conglomerado social ficcionalizado. Este trabajo aborda las diferentes formas que el periodismo adopta en sus novelas empezando brevemente por Conversación en la Catedral, para repasar después otras novelas y detenerse con mayor profundidad en la última, El sueño del celta, en la que el periodismo aparece como soporte narrativo de gran envergadura.
La escritura utópica de Mario Vargas Llosa
Authors: Huamán Villavicencio Miguel Ángel
Published: November 2020

Uno de los efectos más recurrentes de la escritura literaria es el asombro que se produce en el lector frente a la revelación de la dimensión estética. A partir de esa experiencia, el usuario intenta descifrar o comprender la peculiar naturaleza de la creación verbal. Entonces, en el afán por entender el secreto de la palabra poética, la primera alternativa consiste en indagar en el autor o escritor al respecto, porque se supone que quién ha concretado una obra que genera tal reacción, debe de saber en qué consiste su arte, su destreza, su particular habilidad creativa. En este sentido, la intención de este artículo es realizar una rápida revisión del “arte poética” del autor de La casa verde, con el objeto de clarificar la continuidad de sus convicciones básicas y observar cómo la aparente adscripción de su postura a una opción esteticista, que algunos han considerado homóloga a su postura ideológica a favor del liberalismo, ha sido modificada, de conformidad con sus últimas reflexiones. Ello acerca su obra a la del otro gran narrador peruano del siglo XX: José María Arguedas.
Observaciones al Diccionario Panhispánico de Dudas (DPD)
Authors: Portilla Durand Luisa
Published: November 2020

En octubre del 2005 se publicó el Diccionario panhispánico de dudas (DPD), texto que «se propone servir de instrumento eficaz para todas aquellas personas interesadas en mejorar su conocimiento y dominio de la lengua española» (p. XIII); sin embargo, a pesar de dicho propósito, la obra presenta serias inconsistencias y contradicciones en sus propuestas prescriptivistas. Evidentemente, el análisis y las observaciones no se agotan en el presente artículo; pues el interés al redactarlo es compartir sólo algunas reflexiones respecto de ciertos criterios normativos que requieren ser discutidos, sobre todo por quienes estamos interesados, particularmente, por mejorar nuestro conocimiento y dominio de la lengua española.
Inserção no mercado de trabalho de egressos de um curso de Odontologia do Piauí
Authors: Sérgio Ana Flávia Andrade , Lima Cacilda Castelo Branco , Viana Patrícia Ferreira de Sousa
Published: November 2020

As transformações e dificuldades que permeiam o mercado de trabalho odontológico despertam questões sobre a inserção dos cirurgiões-dentistas e sua formação diante do exercício profissional. O objetivo deste trabalho foi avaliar a inserção de egressos do curso de Odontologia da Universidade Federal do Piauí no mercado de trabalho. Neste estudo transversal de caráter quantitativo, um questionário online autoaplicável foi enviado a 76 cirurgiões-dentistas formados entre 2017 e 2018, abordando dados sociodemográficos, investimento em pós-graduação e ingresso no mercado de trabalho. Foi realizada análise descritiva dos dados. A taxa de resposta foi de 92,1%. A maioria dos egressos (88,6%) possuía ou cursava algum tipo de pós-graduação, principalmente nas áreas de Cirurgia, Endodontia e Ortodontia. Quanto ao ingresso no mercado, apenas 4,3% nunca exerceram a profissão e 75,7% se inseriram em até 3 meses de formados. Os cirurgiões-dentistas estão divididos de forma equiparável entre os setores público e privado, possuem em sua maioria jornadas de até 40 horas (75,4%) e renda mensal de até 5 salários mínimos (91,3%). Apenas 11,4% não estão satisfeitos com a profissão escolhida e 40% julgam o mercado como regular. Entre as dificuldades relatadas no início da profissão, as mais citadas foram baixa remuneração (82,1%) e insegurança na prática clínica (70,1%). Como sugestão para o curso de graduação, indicaram a abordagem de Administração, Marketing e Empreendedorismo. Observou-se que o mercado proporcionou oportunidades para uma inserção rápida, no entanto, com redução do exercício estritamente autônomo. Os egressos valorizam a pós-graduação e apesar das dificuldades, estão satisfeitos com a profissão.
Aplikasi Edutainment Pendukung Pembelajaran Jarak Jauh TK Merujuk Standar Nasional PAUD
Authors: Zamzami Elviawaty Muisa
Published: November 2020

Pandemi COVID-19 memicu perubahan pembelajaran Nasional, memunculkan “Belajar Dari Rumah”. Penyelenggaraan Pendidikan menjadi Pembelajaran Jarak Jauh (PJJ), tidak terkecuali untuk jenjang Taman Kanak-kanak (TK). PJJ membutuhkan teknologi informasi dan komunikasi termasuk aplikasi edutainment. Aplikasi edutainment dapat mendukung pembelajaran pada jenjang TK. Paper ini memuat penelitian untuk memperoleh aplikasi-aplikasi edutainment yang dapat mendukung PJJ TK merujuk Standar Nasional PAUD (SN PAUD). Penelitian kualitatif ini menggunakan teknik observasi  terhadap aplikasi-aplikasi pada Google Play Store dengan platform Android. Selanjutnya, melakukan analisis eksperimen terhadap konten dari aplikasi edutainment yang telah dikumpulkan. Bagian akhir paper ini memberikan daftar aplikasi edutainment yang penggunaannya mendukung PJJ jenjang TK, bukan untuk menggantikan materi pembelajaran yang telah disusun untuk tatap muka langsung atau daring. Aplikasi-aplikasi edutainment tersebut memuat konten berkesesuaian dengan Standar Isi pada SN PAUD, sehingga  siswa memperoleh lebih banyak manfaat “Belajar Dari Rumah” dan memungkinkan guru mengeksplorasinya untuk pembelajaran.
Grandparenting Membentuk Karakter Anak Usia Dini di Masa Pandemi Covid-19
Authors: Pagarwati Lia Dwi Ayu , Rohman Arif
Published: November 2020

Tujuan penelitian ini memaparkan bagaimana grandparenting membentuk tanggung jawab, jujur, mandiri, disiplin dan religius anak di masa pandemi covid-19. Penelitian ini menggunakan penelitian kualitatif dengan metode studi kasus. Pengumpulan data menggunakan wawancara dan angket (googleform). Wawancara yang digunakan adalah wawancara mendalam. Partisipan dalam penelitian ini nenek yang mengasuh cucunya sebanyak 6 keluarga. Penelitian dilakukan di 5 kabupaten Provinsi Sumatera Selatan. Hasil penelitian menunjukkan penyerahan pengasuhan pada nenek terjadi akibat beberapa faktor yaitu perceraian, kematian dan waktu bekerja orang tua. Pola pengasuhan yang di gunakan nenek dalam membetuk karakter tanggung jawab, jujur, disiplin, mandiri dan religius berupa pengasuhan yang otoriter, otoritatif dan permissive dengan metode penjelasan, pemberian contoh dan pembiasaan. Dalam pola asuh yang digunakan nenek berdampak baik dalam membentuk karakter berupa disiplin, tanggung jawab, jujur, religius dan mandiri pada cucu mereka. Dengan terbentuknya karakter anak dengan baik maka dalam membiasakan anak dalam menerapkan protokol kesehatan dengan hidup bersih dan sehat juga berjalan dengan baik pula.
Perubahan Kreativitas Seni Sebuah Proses Simbolis Dalam Kategori Sejarah
Authors: Seramasara I Gusti Ngurah
Published: November 2020

Perubahan kreativitas seni tidak bisa dipisahkan dengan perubahan struktur masyarakat Bali. Perubahan struktur masyarakat Bali merupakan dinamika pergerakan masyarakat dari struktur tradisional menuju pada struktur modern. Struktur masyarakat modern di Bali muncul sebagai dampak dari berkembangnya kekua- san kolonial Belanda, yang berimplikasi terhadap perubahan kreativitas seni dari yang bersifat pengabdian menuju pada kreativitas komersiil. Perubahan biasanya dilihat sebagai sebuah evolusi dari periode ke periode, dan setiap realitas dalam satu periode digeneralisasikan mewakili mewakili jaman, padahal setiap jaman terdapat tingkat perubahan yang berbeda. Tulisan ini ingin melihat perbedaan perubahan dalam satu jaman melalui konsep transformasi struktural dalam kategori sejarah.Untuk menjelaskan perubahan kreativitas seni sebuah proses simbolis dalam kategori sejarah, digunakan metode penelitian sejarah, dengan cara mengumpulkan sumber (heristik), kemudian melakukan kritik sumber, untuk mengetahui sumber yang sesuai dengan penulisan, kemudian melakukan interpretasi yang akhirnya dilanjutkan dengan sintesis yaitu menulis hasil penelitianTransformasi struktural dalam masyarakat Bali terutama di Ubud, antara kategori tradisional dengan kategori modern mengalami integrasi kultural, karena prinsip-prinsip pengabdian sebagai norma dan budaya tradisional, dapat hidup terintegrasi dengan prinsip-prinsip komersiil, sesuai dengan perkembangan jaman. Kreativitas seni sebagai proses simbolis dalam memaknai realitas dapat dipisahkan antara kepentin- gan untuk pengabdian dengan kepentingan untuk komersiil yang didukung oleh perkembangan Pariwisata yang menempatkan Ubud khususnya dan Bali pada umumnya sebagai Pasar Internasional.
Reşîd Rızâ’nın Tefsirinde Ayetlerin Noktalama İşaretleri İle Yazımı Üzerine
Authors: YÜCEL Hasan
Published: November 2020

Kur’ân metni ilk yazıya geçirilmesinden bu yana çeşitli evrelerden geçerek bugünkü halini almıştır. Metnin yazısı, özü/heykeli itibariyle değişmemiştir. Ancak âlimler metni kolay okunabilir ve anlaşılabilir kılmak adına yazıya nokta, hareke, sembol gibi bazı ilavelerde bulunmuşlardır. Reşîd Rızâ ise ilk defa Kur’ân yazısını, Arap yazısındaki gelişmelere bağlı olarak noktalama işaretleri ile yazmayı gerçekleştiren kişi olmuştur. Elinizdeki araştırma, daha önceki çalışmalarda hiç değinilmemiş olan Reşîd Rızâ’nın tefsirindeki bu özelliği detaylı bir şekilde incelemekte ve Reşîd Rızâ’nın Kur’ân ayetlerini noktalama işaretleri ile yazma keyfiyetini ortaya koymaya çalışmaktadır. Bu çerçevede Reşîd Rızâ’nın el-Menâr adlı eserinde tefsir edeceği ayetleri bir grup halinde yazarken noktalama işaretlerini kullanış biçimi niteliksel ve niceliksel açıdan irdelenmiştir. Onun bu ameliyesi, secâvendlerle noktalama işaretleri arasında nasıl bir benzerlik ya da farklılık gördüğüne dair fikir sunması açısından önemlidir. Ayrıca bu araştırma ile Kur’ân tarihi alanında yeni bir başlık oluşturulmasına da zemin hazırlanmış olacaktır.
maulid nabi muhammad saw
Authors: RUKMANA PUTRI
Published: November 2020

Maulid nabimerupakantradisiyangberkembangdimasyarakatislam jauhsetelahnabiMuhammadwafat.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PENDOKUMENTASIAN ASUHAN KEPERAWATAN DI RUMAH SAKIT JIWA
Authors: Sitorus Shinta Cristina
Published: November 2020

Perilaku adalah semua kegiatan atau aktivitas manusia, baik yang dapat diamati langsung, maupun yang tidak diamati secara langsung, oleh pihak luar.
PENYAKIT AKIBAT KERJA BAGI PERAWAT YANG BERTUGAS DI RUMAH SAKIT
Authors: Sibarani Inayah Husna
Published: November 2020

Dalam kehidupan manusia selalu mengadakan berbagai macam aktifitas. Salah satu aktivitas yang rutin dilakukan setiap orang adalah bekerja. Bekerja dapat diartikan sebagai kegiatan manusia dalam melaksanakan suatu tugas yang diakhiri dengan buah karya yang dapat dinikmati oleh manusia yang bersangkutan. Apapun profesi yang dipilih, bekerja bagi setiap orang selalu dilakukan dalam rangka memenuhi kebutuhan sehari-hari, mulai dari pekerjaan yang berisiko rendah hingga pekerjaan yang berisiko tinggi. Perawat merupakan petugas kesehatan dengan presentasi terbesar dan memegang peranan penting dalam pemberian pelayanan kesehatan. Dalam menjalankan tugasnya perawat berisiko mengalami gangguan kesehatan dan keselamatan kerja (K3). Perawat merupakan petugas kesehatan dengan presentasi terbesar dan memegang peranan penting dalam pemberian pelayanan kesehatan. WHO (2013) mencatat, dari 39,47 juta petugas kesehatan di seluruh dunia, 66,7% nya adalah perawat. Di Indonesia, perawat juga merupakan bagian terbesar dari tenaga kesehatan yang bertugas di rumah sakit yaitu sekitar 47,08% dan paling banyak berinteraksi dengan pasien (Depkes RI, 2014). Kecelakaan adalah kejadian tidak terduga yang disebabkan oleh tindakan tidak aman dan kondisi tidak aman (Heinrich, 1930). Sebagian besar (85%) kecelakaan disebabkan oleh faktor manusia dengan tindakan yang tidak aman. Ancaman kecelakaan kerja di tempat kerja di negara berkembang seperti Indonesia masih sangat tinggi. Hasil laporan National Safety Council tahun 1988 menunjukkan bahwa terjadinya kecelakaan kerja di rumah sakit 41% lebih besar dari pekerja industri lainnya. Kasus yang sering terjadi adalah tertusuk jarum, terkilir, sakit pinggang, tergores, luka bakar dan penyakit infeksi lainnya. Kejadian penyakit infeksi di rumah sakit dianggap sebagai suatu masalah serius karena mengancam kesehatan dan kesejahteraan pasien dan petugas kesehatan secara global (Luo, et all, 2010). Penelitian menunjukan bahwa rata-rata risiko transmisi virus melalui Blood-borne pada kecelakaan tertusuk jarum yaitu 30% untuk virus Hepatitis B, virus Hepatitis C yaitu 3% dan kurang lebih 0,3% untuk virus HIC (Weston, 2008). WHO (2002) mengestimasikan bahwa sekitar 2,5% petugas kesehatan diseluruh dunia menghadapi pajanan HIV dan sekitar 40% menghadapi pajanan virus Hepatitis B dan Hepatitis C (Sadoh, et. all, 2006) dan 90% dari infeksi yang dihasilkan dari pajanan tersebut berada di negara berkembang (Reda, et.all, 2010).
Pembuatan sticker pkh
Authors: ramadani nurannisa
Published: November 2020

Kuliah kerja lapang plus merupakan suatu kegiatan perkuliahan dalam bentuk pengabdian pada masyarakat yang dilakukan oleh mahasiswa dalam jangka waktu tertentu.
Upaya penerapan keselamatan dalam pencegahan penyakit di rumah sakit
Authors: Sipayung Miranda
Published: November 2020

Rumah Sakit harus menjamin kesehatan dan keselamatan baik terhadap pasien, penyediaan layanan atau pekerja maupun masyarakat sekitar dari berbagai potensi bahaya di Rumah Sakit. Oleh karena itu, Rumah Sakit dituntut untuk melaksanakan Upaya Kesehatan dan Keselamatan Kerja (K3) yang dilaksanakan secara terintegrasi dan menyeluruh sehingga risiko terjadinya Penyakit Akibat Kerja (PAK) dan Kecelakaan Akibat Kerja (KAK) di Rumah Sakit dapat dihindari. Penyakit akibat kerja di rumah sakit dapat menyerang semua tenaga kerja baik medis maupun non medis (Anies, 2005). Kecelakaan kerja pada perawat dianggap sebagai suatu masalah serius karena mengancam kesehatan dan kesejahteraan pasien dan petugas kesehatan secara global (Maria, 2015). Kecelakaan tersebut yang pada akhirnya dapat mempengaruhi produktivitas kerja perawat. Produktivitas kerja yang rendah pada akhirnya berdampak terhadap pelayanan kesehatan yang diberikan oleh rumah sakit.
Analisis Pengetahuan Perawat dalam Memberikan Diagnosa Keperawatan
Authors: Angeline Florence
Published: November 2020

Menurut Nursalam (2012) ,Perawat professional dalam memberikan pelayanan keperawatan di masa depan adalah harus berkomunikasi secara lengkap,adekuat dan cepat.Proses keperawatan merupakan metode ilmiah yang dipakai dalam memberikan asuhan keperawatan yang professional.Perawat, dimana saja ia bertugas,mengahadapi klie dengan segala macam kasus, dan melayani klien pada semua tingkat usia juga harus menggunakan proses keperawatan.Perawat diharapkan memahami tentang konsep proses keperawatan dan mampu menerapkan serta menyusunkan dalam sebuah dokumen status kesehatan klien (Rohmah, N dan Adam Walid, S. 2009)Asuhan Profesional dituntuk untuk dapat melaksanakan proses keperawatan dengan tepat dan benar . Pemahaman mahasiswa terhadap proses keperawatan sangat penting.Karena topic ini akan menjadi bagian yang amat penting,karena topik ini akan menjadi bagian yang amat penting dalam pelaksanaan asuhan keperawatan.Perbedaan asuhan yang professional dengan asuhan tradisional terletak pada penggunaan proses keperawataan.Kenampuan perawat dalam menerapkan proses keperawatan dalam asuhannya sudah tidak dapat ditawar lagi apabila ia meyakini bahwa asuhannya adalah asuhan yang professional ( Rohmah, N dan Walid, S, 2009).
MANFAAT DOKUMENTASI DALAM MEMBERIKAN ASUHAN KEPERAWATAN DI RUMAH SAKIT
Authors: Sagala Hanita Grace
Published: November 2020

Pelayanan keperawatan profesional yang berdasarkan ilmu pengetahuan mempunyai proses keperawatan yaitu suatu asuhan keperawatan sebagai metode ilmiah penyelesaian masalah keperawatan pasien untuk meningkatkan outcome pasien yang harus didokumentasikan. Pendokumentasian asuhan keperawatan dapat digunakan sebagai tanggung jawab dan tanggung gugat dari berbagai kemungkinan masalah yang dialami oleh pasien atau klien baik masalah kepuasan maupun ketidak puasan terhadap pelayanan kesehatan yang diberikan. Tanpa dokumentasi keperawatan maka semua implementasi keperawatan yang telah dilaksanakan oleh perawat tidak mempunyai makna dalam hal tanggung jawab dan tanggung gugat. Pedokumentasian asuhan keperawatan yang tepat waktu, akurat dan lengkap tidak hanya penting untuk melindungi perawat tetapi penting juga untuk membantu pasien atau klien mendapat asuhan keperawatan yang lebih baik.
Faktor yang berhubungan dengan kejadian kecelakaan kerja pada perawat di rumah sakit
Authors: Napitu Januarizkah
Published: November 2020

Keselamatan dan kesehatan kerja (K3) bagi para pekerja di Rumah Sakit dan fasilitas medis lain tidak kalah pentingnya dibandingkan dengan sektor industri lainnya. Disadari atau tidak, di lingkungan RS terdapat banyak bahan, alat dan proses kerja yang berpotensi bahaya. Angka Kecelakaan Akibat Kerja (KAK) di RS juga cukup memprihatinkan. Pada prinsipnya permasalahan tersebut timbul karena lemahnya pihak manajemen dalam menjalankan K3 RS dengan baik dan benar, serta tingkat kesadaran pekerja RS akan K3 yang masih rendah. Di samping itu berbagai masalah K3 kurang mendapat perhatian sebagaimana mestinya. Berdasarkan latar belakang yang telah diuraikan di atas maka saya tertarik membuat jurnal be judul faktor yang berhubungan dengan kejadian kecelakaan kerja pada perawat di rumah sakit.
KONSEP DASAR DOKUMENTASI KEPERAWATAN
Authors: Pasaribu Yohana
Published: November 2020

Keperawatan adalah pelayanan profesional berdasarkan ilmu dan kiat keperawatan, berbentuk pelayanan bio, psiko, sosio, dan spiritual komprehenshif yang ditujukan kepada individu, kelompok, dan masyarakat, baik sakit maupun sehat yang mencakup seluruh proses kehidupan manusia. Pelayanan keperawatan berupa bantuan, diberikan karena adanya kelemahan fisik dan mental, keterbatasan pengetahuan, dan kurangnya kemauan menuju kemampuan melaksanakan kegiatan sehari-hari.
6 SASARAN PENERAPAN KESELAMATAN PASIEN DI RUMAH SAKIT
Authors: Bismar Muhammad
Published: November 2020

Keselamatan pasien adalah suatu sistem dimana rumah sakit memberikan asuhan kepada pasien secara aman serta mencegah terjadinya cidera akibat kesalahan karena melaksanakan suatu tindakan atau tidak melaksanakan suatu tindakan yang seharusnya diambil. Sistem tersebut meliputi pengenalan resiko, identifikasi dan pengelolaan hal yang berhubungan dengan resiko pasien, pelaporan dan analisis insiden, kemampuan belajar dari insiden, tindak lanjut dan implementasi solusi untuk meminimalkan resiko (Depkes 2008). Setiap tindakan pelayanan kesehatan yang diberikan kepada pasien sudah sepatutnya memberi dampak positif dan tidak memberikan kerugian bagi pasien. Oleh karena itu, rumah sakit harus memiliki standar tertentu dalam memberikan pelayanan kepada pasien. Standar tersebut bertujuan untuk melindungi hak pasien dalam menerima pelayanan kesehatan yang baik serta sebagai pedoman bagi tenaga kesehatan dalam memberikan asuhan kepada pasien. Selain itu, keselamatan pasien juga tertuang dalam undang-undang kesehatan. Terdapat beberapa pasal dalam undang-undang kesehatan yang membahas secara rinci mengenai hak dan keselamatan pasien.