bluuebunny/crossref_metadata_2025 huggingface dataset:
Critical success factors for social value in construction procurement in Northern Ireland
Authors: Murtagh Shauna R , Brooks Tara
Published: August 2019

The delivery of social value is now an established requirement embedded in many public-sector construction projects. Understanding factors for success will aid both contractors and commissioners in implementing social-value requirements. The literature on social value in construction suggests factors that may positively or negatively affect the successful delivery of social value. This study takes a sequential mixed-methods approach to identify critical success factors using face-to-face semi-structured interviews with contractors and public-sector commissioners in Northern Ireland, UK, followed by a questionnaire survey of key factors identified from the interviews. Findings reveal five critical factors identified using factor analysis: organisational leadership, process and preparation, social and local awareness, effective support networks and industry-focused strategy. Contractors and commissioners can differ significantly in their perception of the importance of certain factors. A maturity matrix is developed for commissioners and contractors to benchmark their level of maturity in terms of delivery of social value. Contractors and commissioners can use the identified factors to develop optimal conditions for successful social-value delivery in construction projects in Northern Ireland.
Utilizando la ingeniería inversa para manejar Malware
Authors: Sánchez Venegas Carlos Andrés , Aguado Bedoya Camilo , Díaz López Daniel Orlando , García Ruíz Juan Carlos Camilo
Published: August 2019

Este artículo es producto del proyecto de investigación “Cyber Security Architecture for Incident Management” desarrollado en la Escuela Colombiana de Ingeniería Julio Garavito en el año 2018. Introducción: La ingeniería inversa permite deconstruir y extraer conocimiento de objetos. El uso de la ingeniería inversa en el análisis de malware es extremadamente útil para comprender las funcionalidades y los propósitos de una muestra sospechosa. Métodos: Este artículo utiliza Radare, la cual es una de las herramientas de código abierto más populares para ingeniería inversa con el objetivo de hacer frente a las amenazas de malware. Resultados: Se presenta un caso de uso relacionado al análisis de malware anti-sandbox, de forma que sea posible analizar el comportamiento de la muestra utilizando una sandbox. Además, se presenta otro caso de uso en el que se desarrolla un análisis en profundidad de una aplicación maliciosa de Android dirigida a la audiencia de un evento popular (Copa Mundial de la FIFA 2018), que permite demostrar la relevancia de las técnicas de ingeniería inversa en las estrategias de protección al usuario final. Conclusiones: Este artículo muestra cómo los resultados de un proceso de ingeniería inversa se pueden integrar con reglas Yara, lo que permite detectar malware, y también muestra una alternativa para generar automáticamente reglas Yara a través del generador yarGen. Originalidad: El uso de soluciones de ingeniería inversa de código abierto por parte de las agencias de seguridad del estado no ha sido discutido anteriormente, lo que hace de este artículo un elemento notable de apoyo hacia la modernización de las fuerzas militares. Limitación: Se comparten diferentes enfoques y perspectivas sobre las limitaciones en el uso de ingeniería inversa por parte de las agencias de seguridad del estado.
Una experiencia exitosa de competitividad de los pequeños productores en una localidad del centro-norte de México
Authors: De Luna – López Humberto , Cruz – Cruz Marisol , Saucedo – Estrada Eloy
Published: August 2019

Propósito: el objetivo de este trabajo es exponer la competitividad de los pequeños productores o campesinos de una localidad en el centro norte de México, con el cual han transitado de un estatus de productor de autoconsumo a productor competitivo en el mercado nacional. Descripción: primero se exponen los aspectos teóricos metodológicos de las ventajas competitivas, que mediante el método hipotético-deductivo es corroborado en la realidad de los pequeños productores. En segundo lugar, se da cuenta de las iniciativas de los pequeños productores en América Latina, quedando claro que no es una iniciativa propia de México, sino que se comparte con otros lugares. En tercer lugar, se hace una descripción situacional de los pequeños productores del Ejido Zaragoza, la pertinencia de dedicarse al cultivo de semillas de calabaza respecto a los granos básicos y, en cuarto lugar, la manera de organizarse. Punto de vista: La dependencia del pequeño productor respecto al gobierno, explica en parte su incapacidad para convertirse en un agente económico competitivo. Conclusiones: sobresale la imposición de un problema empírico que se convierte en un tema académico, pero cuyo eje central es resolver un problema real sentido por los campesinos de la zona norte de México.
La iniciativa emprendedora como base para la creación de empresas de participación. Un instrumento para la innovación social
Authors: Bel- Durán Paloma , Fernández- Guadaño Josefina , Lejarriaga - Pérez de las Vacas Gustavo , Martín –López Sonia
Published: August 2019

Propósito. Mostrar los resultados de un estudio que procura analizar en qué medida en la enseñanza primaria y secundaria se promueve no ya la creación de empresas en general, sino la creación de empresas de participación en particular.Temas. Se pretende ahondar en el análisis de la correlación existente entre las iniciativas desarrolladas bajo fórmulas participativas en los centros de enseñanza cooperativos con dos objetivos más ambiciosos. El primero, contrastar si estos promueven, en mayor medida, la creación de sociedades cooperativas y laborales que otros centros educativos que no sean sociedades cooperativas. El segundo, conocer en el ámbito universitario, la influencia que puedan tener los centros de educación cooperativos en la posible creación de empresas bajo fórmulas jurídicas de sociedad cooperativa y sociedad laboral.Desarrollo. Se ha constatado la necesidad de una evidente coordinación de las materias y competencias en todos los niveles educativos en materia emprendedora. Conclusiones. Es importante incentivar la creación y puesta en marcha de proyectos empresariales de participación en niveles inferiores de enseñanza, y que sea la Universidad (las oficinas técnicas universitarias de apoyo en materia de creación de empresas y el profesorado) quienes culminen el proceso de apoyo y seguimiento de estos proyectos, prestándoles asesoramiento y formación.
First steps using a jupyter notebook v1
Authors: J J. Ponsero Alise
Published: August 2019

Install and start using awesome jupyter !
Dilin Temel İşlevi ve Türkçenin Yapısı Açısından 2018 Türkçe Dersi Öğretim Programı’ndaki Dil Bilgisi Kazanımlarının Aşamalılığı
Authors: EKİNCİ ÇELİKPAZU Esra
Published: August 2019

Dil
öğretimi sürecinde dil bilgisinin öğretilip öğretilmeyeceği ya da ne kadarının öğretileceği
ile ilgili kesin bir sonuca varılamamış olsa da ana dil olarak Türkçe
öğretiminde Türkçenin yapısının öğretimi ile ilgili kazanımlar belirli bir
aşamalılığa göre öğretim programında yer almaktadır. Bu çalışmada Türkçe
öğretmenlerinden ve Türkçe eğitimi alanında çalışan öğretim elemanlarından
alınan görüşler doğrultusunda 2018 Türkçe Dersi Öğretim Programı’ndaki dil
bilgisi kazanımlarının aşamalılığı dilin yapısı ve temel işlevi doğrultusunda
ele alınmıştır. Betimsel modelde düzenlenen çalışmanın verileri yarı
standartlaştırılmış görüşme yöntemi ile elde edilmiştir, verilerinin analizinde
betimsel analiz kullanılmıştır. Araştırmanın sonuçlarına göre her iki çalışma
grubunun da konu ile ilgili görüşleri örtüşmektedir. Türkçe öğretmenleri ve
akademisyenler dil bilgisi kazanımların aşamalılığının Türkçenin yapısı ile
uygunluk göstermediği, kök ve ek konusu ile başlamanın öğretim sürecinde
birtakım sorunların yaşanmasına sebep olduğu ve kazanımların sözcük kavramı ve
sözcük türleri ile başlaması gerektiği konusunda aynı görüşe sahiplerdir.
SLOPE STABILITY ASSESSMENT IN THE OPENCAST QUARRY IN HAMMAM DALAA (M'SILA, ALGERIA)
Authors: Aiss A. , Cheikhaoui Y. , Kanli A.I. , Benselhoub A. , Ariznavarreta F.
Published: August 2019

The aim of this study is to identify the main factors that affect the site's stability by using the adequate solutions, which help to solve the problems of slope stability at the quarry of Chouf Amar, Hammam Dalaa, Algeria.

A large amount of geological, hydrogeological and mechanical data has been collected from the site. We realized the study of the influence of different factors on the safety coefficient.

Limit equilibrium techniques have been adapted, taking into account the variability of the site data, to analyze the performance of the existing area of production site.

Results solution under different configurations has shown that stability index is highly affected by hydraulic and seismic factors.
COMÉRCIO ELETRÔNICO: O VAREJO VIRTUAL BRASILEIRO
Authors: Cardoso Simone , Kawamoto Márcia Hiroko , Massuda Ely Mitie
Published: August 2019

O comércio eletrônico tem se expandido no mundo nos mais diversos segmentos e o Brasil segue essa mesma tendência. Apesar do crescimento mundial do comércio eletrônico, poucos estudos são realizados, em especial sobre o Brasil. Como objetivo descrever evolução e características do varejo virtual brasileiro, a pesquisa foi realizada por meio de acesso aos periódicos científicos nas bases de dados do portal de periódicos da Capes, Emerald, EBSCO, Scopus, Scielo e Proquest, sem delimitação de data de publicação e em português. Também foram utilizados os relatórios que foram popularizados como Webshoppers. Verificou-se que as empresas de comércio eletrônico se concentram na região Sudeste e as categorias mais vendidas são dos setores de saúde, cosméticos e perfumaria além de moda e acessórios. Houve aumento nas vendas do varejo online mesmo em período de crise e instabilidade econômica.
O MÉTODO DE CASOS COMO FERRAMENTA PARA A GESTÃO DO CONHECIMENTO NO SETOR PÚBLICO: UMA REVISÃO SISTEMÁTICA DA LITERATURA
Authors: Santos Alessandra de Souza , Figueiredo Frederico de Carvalho
Published: August 2019

O método de casos tem sido empregado com sucesso na literatura gerencial como ferramenta de aprendizagem organizacional para se criar, adquirir, desenvolver, transferir e reter conhecimentos, documentando de forma cooperativa o conhecimento e a experiência adquiridos. Essa metodologia tem sido utilizada também no setor público, pois retrata o conhecimento tácito e sistematiza e registra experiências relevantes, incorporando-as à memória organizacional e permitindo que a organização analise desafios e oportunidades ao abordar lições aprendidas e documentar melhores práticas que podem contribuir para a tomada de decisões em situações complexas. Em razão da potencial aplicação do método de casos como ferramenta de gestão do conhecimento, pela conversão do conhecimento tácito em explícito, o presente artigo consiste em revisão sistemática de literatura que tem por objetivo verificar se o método de casos tem sido documentado na literatura como ferramenta de gestão de conhecimento. Os achados foram escassos e sugere-se a realização de futuras pesquisas nesse sentido.
AVALIAÇÃO DE ASPECTOS BIOCLIMÁTICOS EM HABITAÇÕES SOCIAIS NO LITORAL SUL DA BAHIA
Authors: Jesus Calline Chaves de , Silva Heleonora Ferreira da , Costa Silvia Kimo
Published: August 2019

Este artigo apresenta os resultados da pesquisa intitulada: “Habitações de Interesse Social (HIS) e eficiência energética: estudo de tipologias arquitetônicas no Litoral Sul da Bahia”. Foi realizado um diagnóstico de dois conjuntos habitacionais padrão construídos entre os anos de 2009 e 2017 nos municípios de Ilhéus e Itabuna, BA. Tais empreendimentos estão vinculados ao Programa Habitacional do Governo Federal “Minha Casa Minha Vida” (PMCMV) e atendem o estrato da população que se enquadra na faixa de renda de zero a três salários mínimos. Para realizar tal diagnóstico foi elaborado um roteiro de observação direcionado a partir de um Estudo de Revisão Sistemática relacionado às estratégias que possibilitam eficiência energética em HIS. Os resultados mostraram que a arquitetura habitacional padrão do PMCMV, que vem sendo construída no litoral sul da Bahia, não contempla estratégias de sustentabilidade mínimas para viabilizar o conforto ambiental com menor dispêndio de energia.
CONHECENDO OS MODELOS DE CARREIRA DOS PROFISSIONAIS DA ÁREA DAS ARTES
Authors: Costa Wesley Rodrigues da , Belo Raquel Pereira , Pereira Neta Anisia Sousa , Nascimento Flávio Henrique Mendonça do , Moraes Josiane Alves
Published: August 2019

A presente pesquisa foi realizada no âmbito da análise psicossocial do trabalho e das organizações e dessa forma buscou conhecer os modelos de carreira profissional dos profissionais da área das Artes. As transformações no desenvolvimento de carreiras acompanharam o desenvolvimento do trabalho e atualmente constituem-se modelos de carreira: carreiras sem fronteiras, carreira portfólio, âncoras de carreira, carreira protiana e craft careers. Fizeram parte da pesquisa 14 profissionais. O instrumento da pesquisa foi um roteiro de entrevista semiestruturada e questionário sociodemográfico. Os dados foram analisados por meio da Técnica da Análise de Conteúdo, proposta por Bardin (2011). Os resultados apontam que os modelos de carreira profissional elaborados por parte dos profissionais são a carreira de tipo empreendedor, âncoras de carreiras e craft careers e estes têm como órgãos empregadores as instituições públicas e privadas. Conclui-se que os entrevistados são profissionais motivados a exercerem suas profissões apesar das dificuldades encontradas para exercê-las, visto que alguns deles mantêm duas profissões, sendo a primeira aquela pela qual se optou cursar e, a segunda aquela pela qual tem identificação no campo das artes.
ANÁLISE DA EFETIVIDADE DE ESTRATÉGIA NUTRICIONAL EM MULHERES COM SÍNDROME METABÓLICA
Authors: Brauna Claudia , Almeida Vieira Rafaely De Fatima Fernandes , Kuhl Adriana Masiero , Melhem Angélica Rocha de Freitas , Bennemann Gabriela Datsch , Schiessel Dalton Luiz , Cavagnari Mariana Abe Vicente
Published: August 2019

O objetivo deste estudo foi analisar a efetividade de uma estratégia nutricional em mulheres obesas com Síndrome Metabólica (SM). Estudo longitudinal caso-controle estruturado com dois grupos, sendo mulheres obesas com diagnóstico clínico de SM (Grupo Caso) e mulheres obesas sem diagnóstico de SM (Grupo Controle), em acompanhamento nutricional na Clínica Escola de Nutrição da Unicentro. A coleta de dados ocorreu em duas etapas, com intervalos de um mês, sendo realizadas medidas antropométricas, análise do consumo alimentar e exames bioquímicos. A estratégia nutricional utilizada foram orientações nutricionais e plano alimentar individualizado. Foram avaliadas 20 mulheres, cada grupo com número equivalente. Pacientes com SM apresentaram valores de CC e glicemia em jejum superiores ao grupo controle (p
ASPECTOS COMPORTAMENTAIS DA MULHER MASTECTOMIZADA E A OCORRÊNCIA DE COMPLICAÇÕES NO PÓS-OPERATÓRIO
Authors: Diniz Fernanda Santos , Almeida Ândria Silveira , Campos Maria Pontes de Aguiar , Carvalho Thialla Andrade de , Nascimento Quezia Santos do
Published: August 2019

Verificar o comportamento da mulher mastectomizada e as complicações mais frequentes no pós-operatório tardio. Pesquisa transversal do tipo descritiva de natureza quantitativa em uma organização não governamental. A população foi constituída por 40 mulheres. Dos 87,50% receberam orientações sobre os cuidados pós-operatórios e 67,50% orientações de enfermagem. Além disso, 27,50% não realizaram a mamografia após a cirurgia, 15,00% não tinham o hábito de palpar a mama e 55,00% não realizaram automassagem no pós-operatório. Quanto à realização de movimentos simples como pentear os cabelos com o membro do lado operado, 57,50% não realizaram. O comportamento das mulheres submetidas à mastectomia foi em maioria de acordo com o que é recomendado. No entanto, ainda há necessidade de aumentar a qualidade das orientações, visto que apesar de existir seguimento recomendado entre as mulheres pesquisadas, o percentual de complicações foi considerável e a redução da ADM do ombro, dor crônica e ISC foram as mais prevalentes.
RELAÇÃO ENTRE AUTOEFICÁCIA E ESTRATÉGIAS DE ENFRENTAMENTO DE USUÁRIOS ABSTINENTES DE DROGAS
Authors: Rodrigues Gabriela Chaves , Alves Roberta Borghetti , Martins Priscila Rosa
Published: August 2019

Analisar a relação entre autoeficácia e estratégias de enfrentamento em usuários abstinentes de drogas. Estudo descritivo, correlacional, com abordagem quantitativa, de campo e transversal. Aplicaram-se a Escala de Autoeficácia para Abstinência de Drogas, o Inventário de Habilidades de Enfrentamento Antecipatório para a Abstinência de Álcool e outras Drogas e um Questionário Sociodemográfico. Participaram 100 homens. Evidenciou-se que a crença de ser autoeficaz diante das emoções negativas obteve correlação positiva e significativa ao ser Assertivo na Recusa de Drogas, no Autocontrole de Emoções e na Expressão de Emoções Positivas. Já ser Assertivo na Recusa de Drogas apresentou correlação positiva e significativa com a crença de ser eficaz frente a Emoções Negativas, Situações Sociais Positivas, Preocupações com outros, e estados fisiológicos como a Síndrome de Abstinência ou Fissura. Tais relações demonstram a necessidade da utilização destes fenômenos quando se busca a abstinência de usuários de drogas.
O MÉTODO PILATES NO SOLO NA QUALIDADE DE VIDA, FUNÇÃO PULMONAR E FORÇA MUSCULAR RESPIRATÓRIA DE IDOSAS
Authors: Santos Mariana Barcelos Fabrício dos , Antunes Mateus Dias , Oliveira Daniel Vicentini de , Palácio Siméia Gaspar
Published: August 2019

Este estudo teve o objetivo de analisar os efeitos do método Pilates no solo na qualidade de vida, função pulmonar e força muscular respiratória em mulheres idosas. Estudo quasi-experimental, realizado com 19 idosas no município de Maringá, Paraná, avaliadas por meio do SF-36, da espirometria e manovacuometria. As idosas foram submetidas a dez sessões de Pilates no solo, realizadas três vezes por semana, durante 60 minutos. Ao término do tratamento as pacientes foram reavaliadas e os dados analisados pelos testes de Wilcoxon e Mann Whitney (p < 0,05). Houve melhora da força muscular inspiratória (40,5%), expiratória (42,9%), da capacidade vital forçada (9,1%), do volume expiratório forçado no primeiro minuto (13,3%); e principalmente na qualidade de vida nos domínios de limitação por aspectos físicos (68,42%), aspectos emocionais (43,42%), capacidade funcional (35,0%) e dor (34,37%). O método Pilates no solo mostrou-se eficaz para melhorar a qualidade de vida, na função pulmonar e força muscular respiratória.
DESEMPENHO DE LONGEVOS CAIDORES E NÃO CAIDORES NA AVALIAÇÃO DO TIMED UP AND GO UTILIZANDO UM APLICATIVO DE SMARTPHONE
Authors: Oliveira Gabriela Guimarães , Pinho Márcio Sarroglia , Bós Ângelo José Gonçalves
Published: August 2019

Este estudo tem por objetivo observar o desempenho de longevos caidores e não caidores por meio do teste Timed Up and Go (TUG) utilizando um aplicativo de smartphone (Mobility Suite®). Participaram longevos (≥90 anos), de Porto Alegre (RS), acompanhados em domicílio. Cada longevo realizou o TUG utilizando um smartphone com sistema operacional Android que foi colocado em uma cinta elástica com velcro e preso no peito, na altura do esterno. Assim, parâmetros das fases individuais do teste foram fornecidos pelo aplicativo, sendo eles: a) duração total do TUG em segundos; b) duração da transição de sentado para em pé em segundos; c) duração da transição de pé para sentado em segundos; d) variação máxima do ângulo do tronco na fase de inclinação para frente em graus e; e) velocidade angular máxima durante a fase de inclinação para frente em graus/segundos. Análise de variáveis sociodemográficas e clínicas, presença de multimorbidades e polifarmácia e variáveis relacionadas às quedas foram utilizadas para comparações. Dos 98 avaliados, 26,5% referiram quedas nos últimos seis meses. Longevos caidores apresentaram mais sintomas depressivos (p
An Earthquake Nest in Cascadia
Authors: Merrill Reid , Bostock Michael
Published: August 2019

We investigate an isolated cluster of temporally persistent, intraslab earthquakes (ML<3.2) at >60  km depth below the Georgia Strait in southern British Columbia that is unique in Cascadia and meets the criteria for identification as an earthquake nest. A total of 129 relocated hypocenters define two northwest‐dipping structures in the subducting Juan de Fuca mantle within an ∼30×10×10  km3 volume. Focal mechanisms for 15 events represent a mix of strike‐slip and reverse faulting, and a stress regime of down‐dip tension and plate‐normal compression, consistent with a previous regional study. Converted seismic phases inferred to originate at the boundaries of subducted oceanic crust are observed at several receivers and are consistent with a local slab depth of ∼45  km, shallower than some JdF plate models. The geographical isolation of the nest within the confines of an extrapolated propagator wake suggests that its location is controlled by this pre‐existing and presumably hydrated structure.
Dynamic Analysis of a Large Freestanding Rock Tower (Castleton Tower, Utah)
Authors: Moore Jeffrey R. , Geimer Paul R. , Finnegan Riley , Michel Clotaire
Published: August 2019

We acquired a unique ambient vibration dataset from Castleton Tower, a 120 m high bedrock monolith located near Moab, Utah, to resolve dynamic and material properties of the landform. We identified the first two resonant modes at 0.8 and 1.0 Hz, which consist of mutually perpendicular, linearly polarized horizontal ground motion at the top of the tower. Damping ratios for these modes were low at ∼1%. We successfully reproduced field data in 3D numerical eigenfrequency simulation implementing a Young’s modulus of 7 GPa, a value ∼30% lower than measured on core samples. Our analysis confirms that modal deformation at the first resonant frequencies closely resembles that of a cantilever beam. The outcome is that with basic estimates of geometry and material properties, the resonant frequencies of other freestanding rock monoliths can be estimated a priori. Such estimates are crucial to evaluate the response of rock towers to external vibration inputs.
Desafios do contemporâneo na ficção de Lídia Jorge / Challenges of the Contemporary in the Fiction of Lídia Jorge
Authors: Besse Maria Graciete
Published: August 2019

Resumo: Desde O dia dos prodígios (1980) até Estuário (2018), a obra ficcional de Lídia Jorge percorre diferentes lugares, experiências e memórias para desenhar uma cartografia da vida precária e interrogar incansavelmente as sombras que se escondem nas dobras do tempo, sabendo que “escrever sobre o passado é sempre uma proposta de futuro”. A partir de alguns conceitos fundamentais de Agamben, o objectivo deste estudo é analisar como o olhar iluminador da romancista se debruça sobre o arcaico e o contemporâneo, para resgatar do silêncio os contornos mais sensíveis da realidade, oferecendo-nos um testemunho notável sobre a vulnerabilidade humana e interpelando-nos para uma reflexão estimulante sobre a importância da literatura na transformação do mundo.Palavras-chave: Lídia Jorge, Agamben, romance, sociedade portuguesa, ética.Abstract: From The Day of Prodigies (1980) to Estuary (2018), Lídia Jorge’s fictional work traverses different places, experiences and memories to draw a map of precarious life and tirelessly interrogate the shadows that hide in the folds of time, knowing that “writing about the past is always a proposal for the future.” From some fundamental concepts of Agamben, the objective of this study is to analyze how the illuminating look of the novelist focuses on the archaic and the contemporary, to rescue from the silence the most sensitive contours of reality, offering us a remarkable testimony about human vulnerability and questioning us for a stimulating reflection on the importance of literature in the transformation of the world.Keywords: Lídia Jorge, Agamben, novel, portuguese society, ethic.
A leveza na desordem: uma leitura de As falsas memórias de Manoel Luz, de Marlene Ferraz / The lightness in the clutter: A Reading of As falsas memórias de Manoel Luz, by Marlene Ferraz
Authors: Valentim Jorge
Published: August 2019

Resumo: O presente ensaio tem como objetivo tecer algumas reflexões em torno do romance As falsas memórias de Manoel Luz (2017), da escritora portuguesa Marlene Ferraz (1979-), a partir do conceito de “leveza”, proposto por Ítalo Calvino (1990), bem como a sua presença no contexto da ficção portuguesa atual de autoria feminina, lida por João Barrento (2016), sob o signo de uma “nova desordem narrativa”. Pretende-se, aqui, pensar a produção das escritoras portuguesas de agora sob a junção dessas duas vertentes como uma forma de consolidar novos caminhos de criação.Palavras-chave: leveza; autoria feminina; ficção portuguesa contemporânea; Marlene Ferraz.Abstract: The present essay aims to make some reflections about the novel As falsas memórias de Manoel Luz (2017), by the Portuguese writer Marlene Ferraz (1979-), from the concept of “lightness”, proposed by Ítalo Calvino (1990), as well as its presence in the context of Portuguese current fiction of feminine authorship, read by João Barrento (2016), under the sign of a “new narrative disorder”. We purpose to think the production of the Portuguese women writers of now under the junction of these two slopes as a way of consolidating new ways of creation.Keywords: lightness; feminine authorship; contemporary Portuguese fiction; Marlene Ferraz.
Retratos femininos em ciclo ficcional de Fernanda Botelho: vozes narrativas e atmosfera de melancolia / Female Portraits in Fernanda Botelho’s Fictional Cycle: Narratives Voices and Melancholy Atmosphere
Authors: Martins José Cândido De Oliveira
Published: August 2019

Resumo: Fernanda Botelho (1926–2007) é autora de uma obra ficcional marcada pela originalidade em vários aspectos, que se estende por cerca de meio século, embora se conta entre as escritores contemporâneas injustamente esquecidas. No ciclo ficcional de Fernanda Botelho da década de 1990, dotado de afinidades diversas – Festa em Casa de Flores (1990), Dramaticamente vestida de negro (1994) e As Contadoras de histórias (1998) –, a escritora detém-se na análise de significativa galeria de figuras femininas e em algumas das questões envolventes, num quotidiano dominado por uma banalidade inquietante: ponto de vista e consciência crítica; psicologia e identidade; relações interpessoais e condição social; sentimentos de angústia e papel da memória; ambiguidade e inconformismo ético-social; manifestações de humor e de ironia.Palavras-chave: Fernanda Botelho; retratos de mulheres; ironia; angústia; melancolia.Abstract: Fernanda Botelho (1926–2007) is the author of a fictional work marked by originality in many respects, which spans about half a century, although it is among the unjustly forgotten contemporary writers. In Fernanda Botelho’s fictional cycle of the 1990s, endowed with different affinities – Festa em Casa de Flores (1990), Dramaticamente vestida de negro (1994) and As Contadoras de histórias (1998) –, the writer focuses on the analysis of significant gallery of female figures and some of the surrounding issues, in a daily life dominated by a disturbing banality: point of view and critical awareness; psychology and identity; interpersonal relationships and social condition; feelings of anguish and role of memory; ambiguity and ethical-social non-conformism; manifestations of humor and ironyKeywords: Fernanda Botelho; portraits of women; irony; anguish; melancholy.
Urban Air Quality: Assessing Traffiffic and Building Architecture Impacts using Portable Measuring Devices in Toronto, Ontario
Authors: Fang Cuilian , Jeong Cheol H. , Evans Greg J.
Published: August 2019

Vehicle emissions are one of the largest local contributors to poor urban air quality. High emissions are often associated with traffic congestion, and pollution may also become trapped between tall buildings creating a street canyon effect. The spatial variability of traffic-related air pollutants in microenvironments should be considered in evaluating changes in urban planning. This study focuses on assessing the air quality and commuter exposure in Toronto, Ontario, Canada, specifically focusing on the effect of the King Street Pilot Project on local urban air quality by reducing traffic. Increased vehicular density is expected to contribute to higher urban pollution levels and tall buildings may trap these contaminants. Field measurements were made within the King Street Pilot area during weekday rush hours to capture the best representation of peak activity and pollutant levels when there were similar average wind speeds and directions for the sampling dates. A suite of portable devices was carried along predesigned and timed routes through traffic dense areas to measure vehicle-related air pollutants including black carbon (BC), ultrafine particles (UFP, particles smaller than 0.1 μm), and particulate matter (PM2.5, particles smaller than 2.5 μm). Data was normalized, corrected and analyzed using centralized pollutant while considering meteorological site measurements located about 1.5 km away from the study area. Results indicated higher BC and UFP levels during peak commuting times between 8 am to 10 am and relatively increased pollution levels within the area of tall buildings versus the area with shorter buildings. Strong spatial variations of BC and UFP were found, while PM2.5 levels remained relatively constant in the downtown area. Elevated levels of BC and UFP were observed around nearby construction sites. This study contributes to establishing a baseline to evaluate the King Street Pilot Project’s air quality impact as well as proposing potential methods of detailed data collection within microenvironments to observe the air quality of urban centres.
The study of association between maternal serum magnesium levels and preterm labour in a tertiary care hospital
Authors: Anand Shifali , Hak Jyoti , Prashar Niveditaa , Gandotra Nikita , Jaggi Rohini
Published: August 2019

Background: Serum magnesium level in pregnancy is a valuable tool to find out preterm onset of labour. In the asymptomatic group, greater surveillance and administration of steroids, tocolytics and transfer to a higher centre wherever necessary has to be done with mothers with low serum magnesium level. The objective of the study is to find association between serum magnesium levels and women with preterm labour, and to compare these values with those patients who have a term delivery.Methods: The subjects included 100 pregnant women with preterm labour (cases) between 28 and 37 weeks gestation (Group A) and similar number of pregnant women with term labour (controls) between 37 and 40 weeks (Group B). Inclusion criteria for cases was singleton pregnancy, painful uterine contractions more than two in 30 minutes, intact fetal membranes, cervical dilatation (at least 1 cm) and effacement (80%). Serum magnesium levels were done in both the groups. Patients were followed until delivery. Routine antenatal investigations were done. Serum levels of magnesium were estimated by Erba’s semi auto-analyser.Results: 62% patients in Group A were from rural areas. More patients in Group A (70%) were from low socioeconomic class. More women in Group A were anaemic (44%). Mean value of hemoglobin in Group A was 9.93gm/dL. More patients in Group A had muscle cramps (89%). VLBW (<1500gm) neonates were more in Group A (21%). Also, LBW (1500-2499gm) neonates were more in Group A (60%). Mean neonatal birth weight in Group A (1907.3gm) was less. Neonatal morbidity and mortality was observed significantly more in Group A. Mean serum magnesium was less in Group A. Mean serum magnesium levels in primi and multigravida patients were less in Group A. Moreover, mean serum magnesium levels were less in urban and rural patients in Group A. Mean serum magnesium levels were less in normal and overweight patients in Group A. Also, mean serum magnesium levels were less in patients with cervical dilatation <3cm and >3cm in Group A.Conclusions: Low maternal serum magnesium level is associated with preterm labour. Patients with preterm labour have significantly low serum magnesium level when compared with labour at term.
Comparative evaluation of colposcopy, cytology and histopathology for diagnosis of cervical lesions
Authors: Saxena Rashmi , Agrawal Alpana , Agarwal Neelima , Gupta Manisha , Shubham Divya , Rathore Priyanka
Published: August 2019

Background: Cervical cancer is the fourth most frequent cancer globally in women with an estimated 570,000 new cases and 311,000 deaths in 2018 representing 6.6% of all female cancers. To correlate the cytology, colposcopy and histopathology of cervical lesions in patients attending gynaecology OPD in a tertiary care centre, Ghaziabad.Methods: 208 women were enrolled from Gynaecology OPD of Santosh Medical College and Hospital, Ghaziabad, irrespective of their chief complaints. Women aged 19-80 years were included in the study group. Those with pregnancy and already diagnosed or treated with CIN, Cervical cancer or Cervical HPV infection were excluded from the study. PAP-smear was taken for all the patients followed by colposcopy without waiting for PAP-smear report. Cervical biopsy was taken from patients with abnormal colposcopic findings (90 patients).Results: Majority of women were in age group 30-39 years. 37.5% had unhealthy, 21.6% had hypertrophied cervix and only 9.1% had normal cervix. It was found that PAP -smear has a sensitivity of 33.33%, specificity of 92.59%, accuracy of 68.89%, positive predictive value of 75% and negative predictive value of 67.57%. Test parameters calculated for colposcopy revealed that it has sensitivity of 73.33%, specificity of 92%, PPV of 64.7%, NPV of 94.52% and accuracy of 88.89%.Conclusions: The results from the current study conclude that it is better to use cytology and colposcopy together as part of routine screening for cervical cancer rather than pap smear alone in order to detect maximum number of lesions.
Determinants of anemia among pregnant women: A hospital based cross sectional study
Authors: Kalpana P. , Kavitha A.
Published: August 2019

Background: The objective was to study the determinants of anemia among pregnant women. There is a negative effect on the health of the mother and as well as that of the child due to anemia in women with pregnancy. Death rate is more in women who are pregnant and having anemia. The objective of this study was to study the determinants of anemia among pregnant women.Methods: A hospital based cross sectional study was carried out among 40 pregnant women over a period of six months. Demographic data like age, residence, occupation etc was recorded. Obstetric data like gravida, parity, previous LSCS was also recorded. The data was presented as means and student’s t test was applied.Results: The mean age was 23.43±3.4 years. Majority were young between the ages of 19-22 years. Majority belonged to urban residents i.e. 57.5%. 20% of the subjects were found to be illiterate. Majority of the mothers were housewives i.e. 82.5%. Majority were multi-gravida i.e. 60%. Majority had no history of abortions in the past i.e. 75%. Out of total 19 repeat pregnancies, majority i.e. 84.2% had lower segment cesarean section. Majority reported that they had normal menstrual history. The mean hemoglobin level was found out to be 7.94 gm/dl. It was found that the mean hemoglobin level did not differ significantly across age, residence, education, occupation, gravidity, history of abortions, type of delivery but differed significantly by abnormal menstrual cycle.Conclusions: Mean hemoglobin level was more in women with normal menstrual history compared to those women with abnormal menstrual history and this difference was found out to be statistically significant. Hence abnormal menses should be promptly treated, hemoglobin assessed.
A cross sectional study to determine polycystic ovarian disease among students of a tertiary care teaching hospital
Authors: Jalemu Raja Sekhar , Sabbe Kasthuribai , Jalemu Grishma
Published: August 2019

Background: India now has highest number of patients with type 2 diabetes mellitus globally and speedy rise of the incidence of obesity in children is the major reason for increasing insulin resistance, the metabolic syndrome, dyslipidemia and polycystic ovarian syndrome. But proportion for PCOD is unknown in community. Objective of this study was to estimate the prevalence of PCOD among students in Tertiary care teaching hospital.Methods: A cross sectional study was conducted among students of aged 16-24 years in a teaching hospital in Kerala. Sample sizes of 256 students were randomly selected from various batches of medical and paramedical courses. Occurrence of hyper androgenic features and menstrual irregularities were evaluated, and they were physically examined. The diagnosis of PCOS was made based on Rotterdam’s criteria. Epi-info 7 was used for analysis.Results: Seventy-five students (30%) met the criteria to be diagnosed as polycystic ovarian syndrome. Twenty students (10%) had a history of thyroid dysfunction. The other clinical features of hyperandrogenism were like acne (25%), oily skin (13.5%), and increased hair growth (7%), male pattern thinning of hair (9.75%).Conclusions: PCOD can be assumed of as a forerunner syndrome that, if screened for, can help in early identification of risk of highly morbid conditions, in adolescent girls.
A study on laparoscopic sterilisation using 5mm laparoscope and direct trocar entry method
Authors: C. Mohammed Sidhiq , H. Mini C.
Published: August 2019

Background: Laparoscopic sterilization is a widely accepted method of permanent contraception. The techniques of abdominal entry are open direct trocar and veress method. The objectives of this study were to performance and practice of 5mm direct trocar entry techniques in Laparoscopic sterilization. To prepare a list of benefits and complications.Methods: Retrospective analysis of patients who underwent direct 5mm trocar entry for laparoscopic sterilization.  Period: 1st April 2017 to 30th November 2017. Patient came on the day of surgery with empty stomach. Intravenous pethedine 50mg and phenergan 12.5mg and antibiotics were given. Injection lignocaine intraumbilically and incision of 5mm was made. 5mm trocar and canula inserted directly. 5mm scope inserted.  After ensuring peritoneal cavity, pneumoperitonium created. Secondary 7mm port made under vision and ring applicator inserted and fallop ring applied on both tubes. Port closure done by N Butyl 2 cyano accrylate. Patient was observed for 6 hours and discharged with analgesics and antibiotics.Results: We operated 220 interval sterilizations and 31 posts MTP.  In 250 cases, the method was successful.  Only in one woman 5mm trocar was insufficient to make peritoneal entry since the patient was morbidly obese. Hence 10mm trocar was used.Conclusions: Laparoscopic tubal sterilization can be done with 5mm laparoscope and direct trocar entry method is safe and saves time.
A comparative study of intra-cervical foley’s catheter and PGE2 gel for induction of labour at term
Authors: Kanada Anjali R. , Jain Mahima
Published: August 2019

Background: In cervical ripening, before induction of labour, is needed to increase the success of labour induction, to reduce complications and to diminish the rate of caesarean section and duration of labour. Pharmacological preparations are in widespread use for cervical ripening but are not free from side-effects and complications. Mechanical methods, i.e. the use of Foley’s catheter balloon, though effective have not gained much popularity because of the fear of infection. Therefore, the study has been conducted to prove the efficacy and safety of extra amniotic Foley catheter balloon and to compare it with intra-cervical prostaglandin E2 (PGE2) gel. The objective of the study was to the success of induction of labor depends on the cervical status at the time of induction. For effective cervical ripening both Foley's catheter and PGE2 gel are used. The aim of this study was to compare the efficacy of intra cervical Foley's catheter and intra cervical PGE2 gel in cervical ripening for the successful induction of labor.Methods: A randomized, comparative study was conducted in the department of obstetrics and gynaecology, Civil hospital, B.J. Medical College Ahmedabad, during a period of 8 month from September 2018 to April 2019. 100 patients at term with a Bishop's score ≤5 with various indications for induction were randomly allocated to group F (intra-cervical Foley’s catheter) and group P (PGE2 gel) with 50 women included in each group.Results: The groups were comparable with respect to maternal age, gestation age, indication of induction and initial Bishop's score. Both the groups showed significant change in the Bishop's score, 5.10±1.55 and 5.14±1.60 for Foley's catheter and PGE2 gel, respectively, p <0.001. However there was no significant difference between the two groups. There was no significant difference in the side effects and caesarean section rate in both groups. The induction to delivery interval was 16.01±5.50 hours in group F and 16.85 ± 3.81 hours in group P (p=0.073). Apgar scores, birth weights and NICU admissions showed no significant difference between the two groups.Conclusions: The study shows that both Foley's catheter and PGE2 gel are equally effective in pre induction cervical ripening.
The predictive value of sFlt-1/PIGF ratio in high risk patients for the development of preeclampsia
Authors: Sunil Isha , Sharma Mitali
Published: August 2019

Background: Hypertensive disorders of pregnancy constitute a major cause of maternal morbidity and mortality. Pre-eclampsia/eclampsia ranks second only to haemorrhage as a specific, direct cause of maternal mortality. A number of markers have been under study for the early detection of this disease. The study aims to evaluate the predictive value of sFlt-1/PlGF ratio for preeclampsia.Methods: This study was conducted in the Department of Gynaecology and Obstetrics of ASCOMS hospital, Jammu for a period of 6 months from Jan 2019 to June 2019. 50 antenatal patients attending the outpatient department with risk factors for developing preeclampsia were enrolled in the study. Their sFlT-1/PIGF ratio was determined at gestational age of 20 weeks to 37 weeks and its predictive value was evaluated.Results: In the present study, 8 patients developed preeclampsia subsequently. The mean sFlt-1/PIGF ratio values were significantly higher in the patients who developed preeclampsia (73.5) than who did not develop the disease (26.07). The positive predictive value at 1 week was 41.66% and negative predictive value was 100%. At 4 weeks, positive predictive value was 66.66% and negative predictive value was 100%.Conclusions: The present study suggests sFlt-1/PIGF ratio values are useful marker was a predictor of preeclampsia and values >38 were associated with preeclampsia. It is more useful in ruling out preeclampsia than ruling in the disease.
A case of foetal macrosomia
Authors: Acharya Pushpashree , Singh Sanjay
Published: August 2019

Fetal macrosomia is an upcoming challenge in the field of obstetrics due to its rising incidence. The incidence varies according to ethnicity, genetic differences and anthropometric discrepancies between populations. Obesity, previous history of macrosomia, multiparity, diabetes and post-dated pregnancy are few risk factors associated with macrosomia. Management of macrosomia is a big challenge as no precise guidelines have been set. Macrosomia is associated with multiple maternal and foetal complications like operative delivery, post partum haemorrhage, perineal trauma, shoulder dystocia, brachial plexus injury, skeletal injury, birth asphyxia etc. We report a case of foetal macrosomia, weighing 5.5kg which was delivered by LSCS to a woman having BMI - 26.6kg/m² with 39 weeks of pregnancy with history of previous LSCS. There was no maternal or foetal complication. There was no history of diabetes in present pregnancy and inter conception period. Because of rarity of this condition we report this case of foetal macrosomia with a short review of literature.
A case of an uncorrected double outlet right ventricle with ventricular septal defect in pregnancy
Authors: Tilak Kedar M. , Wankhede Uma N.
Published: August 2019

Congenital Heart Diseases (CHD) lead to various changes in the normal mechanisms of hemodynamics. Pregnancy in women with CHDs is rare. Double Outlet Right Ventricle (DORV) is a rare disorder, in which both the aorta and the pulmonary artery arise from the right ventricle. We present a case of a thirty-year-old pregnant woman who presented to us with 22 weeks of amenorrhea. She had DORV with VSD, which was undiagnosed till she came to our hospital. Double Outlet Right Ventricle (DORV) is a rare congenital heart disease. Pregnancy in a patient with DORV needs early diagnosis and a stepwise multidisciplinary approach for successful outcomes.
The role of open reduction and internal fixation in the treatment of the intercondylar fractures of humerus
Authors: Sivaram G. V. Venkata , Prabhakar Y. V. S.
Published: August 2019

Background: Inter-condylar fractures represent one of the most complicated and challenging fractures in the upper extremity. The results of managing these fractures non-operatively are limited by failure to get anatomical reduction and early mobilization, which often results in painful stiff elbow and/or pseudo-arthrosis. The objective of this study was to evaluate and analyse the role of open reduction and internal fixation in inter-condylar fractures of distal humerus.

Methods: The present study was done in Malla Reddy Institute of Medical Sciences between June 2014 and June 2017. Out of 34 cases of intercondylar fractures of humerus admitted during the period, 25 patients were selected for the study that satisfied our inclusion criteria. Three patients out of those selected could not be included in the study as one had cardiac issues pre-operatively, one refused surgery and one was lost to follow up.

Results: Our study included 22 patients, 14 male and 8 female patients. Their average age was 41.4 years. The fractures were classified as per the AO classification. There were B1-3, B2-1, C1-6, C2-5, C3-7 fractures. Both compound and closed fractures were included. All the patients were operated by posterior olecranon Chevron osteotomy approach by a senior faculty member. Twenty two patients who satisfied our inclusion criteria were treated, followed up and the results analyzed using Cassabaum’s scale of elbow function we had 86% of excellent to good results. Our results are comparable with other similar studies.

Conclusions: Posterior olecranon approach was found to be of most satisfactory approach by us. It allows good exposure of the joint and the ulnar nerve.
Outcome following proximal femoral nailing with helical head screw for intertrochanteric and subtrochanteric fractures
Authors: Palle Sudharsana Reddy , Srinivasan Santhosh , Gokul Raj D.
Published: August 2019

Background: Intertrochanteric fractures are seen commonly in two patient groups, older osteopenic patients after a low-energy fall and younger patients involved in high-energy trauma. Early surgical intervention is advocated in the majority of these patients to reduce the complications associated with long-term immobilization.

Methods: In this study proximal femoral nailing with helical head screw is used to achieve initial stability and early mobilization of the patients to avoid complications. In 60 patients undergoing proximal femoral nailing with helical head screw for intertrochanteric fractures the results of surgery were meticulously followed.

Results: The patients were assed clinically and radiologically for time of union rate of infection stability and implant failure. All fracture in our study unites within 8 months following surgery.

Conclusions: Our study concludes that proximal femoral nailing with helical head screw is the best method of treatment for intertrochanteric fracture as it leads to lesser complications.