bluuebunny/crossref_metadata_2025 huggingface dataset:
Angiopoietin 2 in type 2 diabetes mellitus patients and those with complications: an observational comparative study
Authors: K. Kishan Raj
Published: April 2020

Background: Angiopoietin 2 levels in blood signifies neo vascularization. Only biomarker available now for routine check up is HbA1c. However, it doesn’t suggest if patient is more prone to get into complications than the other. Here, we try to bring in another biomarker Angiopoietin 2 and elucidate if it can identify patients going in for complications of type 2 diabetes mellitus early.Methods: Total 60 diabetic patients were studied over a span of 1 year. 30 were diabetic without any complciations and another 30 were with complications (Diabetic foot ulcer, Diabetic retinopathy, Diabetic nephropathy, Diabetic neuropathy). Angiopoietin 2 levels were estimated in both the groups and compared.Results: Analysis showed Mean duration of Diabetes was significantly lower in patients without complication than those with complications. Human angiopoietin 2 levels were elevated in both the study groups. More so, in the study group with Diabetic patients with complications. It was statistically significant. (p<0.001).There was no significant relationship between duration of diabetes and Human angiopoietin 2 levels.Conclusions: It was found that angiopoietin 2 is also a good biomarker for diabetes as HbA1c. It also helps in detection of complications earlier and thus may help in reducing morbidity as well as mortality. Further studies are required to strengthen the information got from this study to compare efficacy of HbA1c and angiopoietin 2 as well as how early can we detect the patients who may land up in complications.
A ten year review of depot medroxyprogesterone acetate contraceptive use at Rivers State University Teaching Hospital, South Nigeria
Authors: Nonye-Enyidah Esther I. , Kasso Terhemen
Published: April 2020

Background: Depo Medroxyprogesterone Acetate (DMPA) also known as Depo provera is a long acting progestogen-only contraceptive injection used by women worldwide. It is given deep intramuscularly at interval of 3 months. It is easy to use, effective, safe, convenient and reversible. Objective was to determine the prevalence of DMPA contraceptive method and profile of its acceptors at the RSUTH.Methods: This was a retrospective study of 271 clients attending family planning clinic at the RSUTH from 1st January, 2008 - 31st December, 2017. Their records were retrieved from the clinic and reviewed. Data was extracted, coded and analyzed using the statistical package for social sciences (SPSS) IBM version 25.0 (Armonk, NY).Results: The prevalence rate of DMPA contraceptive among contraceptive acceptors at the RSUTH within the study period was 14.3 %. The modal age group was 30-34 years accounting for 103 (38.0%). Age range was 20-51 years. Two hundred and sixty eight (98.9%) had formal education. Majority of the clients had secondary level of education 209 (77.1 %). Of the 271 acceptors of DMPA, 175 (64.6%) were multipara. Most of the clients were married 259 (95.6%) and of Christian religion 265 (97.8%). Clinical personnel were the commonest source of information, accounting for 228 (84.1%).Conclusions: The prevalence of DMPA use over the study period was low. There is need for more counseling and enlightenment campaign to encourage our women to use this effective and safe method of contraception.
Perceptions of primary care physicians about early diagnosis of rheumatoid arthritis and methotrexate monitoring
Authors: N. Alrashdi Mousa , M. Alrasheedi S. , A. Alsulmi H. , Majed Alenazi , Hassan Daghasi , M. Bedaiwi
Published: April 2020

Background: Current guidelines recommend the early recognition and diagnosis of rheumatoid arthritis and treatment with disease-modifying antirheumatic drugs (DMARDs). Methotrexate is the first drug of choice for most patients with rheumatoid arthritis, but this medication has contraindications and side effects that need monitoring. This survey analysis aims to explore the level of knowledge of primary healthcare physicians towards the early detection of rheumatoid arthritis and monitoring treatment with methotrexate.Methods: A self-administered structured questionnaire was distributed to primary healthcare physicians in the region of Riyadh, Saudi Arabia. The survey consists of sections including the demographics of respondents, knowledge about rheumatoid arthritis, and methotrexate. Data were analyzed using SPSS version 22.Results: In total, 249 physicians responded to the survey. Physicians with more years of experience showed a significantly higher level of knowledge about rheumatoid arthritis and methotrexate monitoring (p-value <0.001). The responses of physicians regarding knowledge about the disease were better than their responses about the drug.Conclusions: The knowledge of primary healthcare physicians in Riyadh, Saudi Arabia, is considered satisfactory in regard to rheumatoid arthritis diagnosis, but the level of knowledge about methotrexate requires improvement.
A comparative study to evaluate the clinical utility and performance of a new hand-held mobile electrocardiogram device
Authors: Desai Nagaraj , S. Sunil Kumar , V. Guruprasad B. , S. Poornima K.
Published: April 2020

Background: Electrocardiogram (ECG) is a non-invasive test which can provide clue for the presence of cardiac diseases. Simple, handheld devices, sufficiently miniaturized are useful for a widespread use. New devices, however, need to be compared with the standard ones for their performance in the real-world practice. Here in we report clinical utility of a handheld device.Methods: KardioscreenTM is a mobile and handheld device. It’s been approved for safety and performance standards and it has been certified for ‘Conformite Europeenne’ (CE). Using this device, a comparative blinded study with a conventional and commercially available standard 12 lead ECG machine was one. 604 ECGs recorded from 302 patients with various clinical disorders were coded and analyzed by two blinded observers. A third cardiologist adjudicated the reports. The reports were then correlated for the ECG patterns generated and with the clinical diagnosis. Computer generated measurements of various durations and intervals were also analyzed and compared. Regression analysis was used to compare the values. SPSS 21 software was used to analyze the data.Results: Kardioscreen device could provide recordings to diagnose including ST elevation (99%), non-ST elevation myocardial infarction (94.1%), chamber-hypertrophy (87%), conduction blocks (99%), and arrhythmias (96.4%), with good correlations with the comparator for pattern recognition. Also, computer generated measurements were significantly correlated with the comparator (R=0.96 for HR, R=0.82 for QRSd, R=0.86 for QT/QTc, R=0.76 for PR).Conclusions: The Kardioscreen device is a reliable tool for electrocardiographic diagnosis of common clinical cardiac disorders.
Socio-demographic determinants of tuberculosis patients attending directly observed treatment short course centre in urban Ghaziabad, Uttar Pradesh
Authors: Yadav Manoj Kumar , Raghav Mohit , Chaudhary S. S. , . Manisha
Published: April 2020

Background: Tuberculosis was the first infectious disease declared by the WHO as a global health emergency. Men are more commonly affected than women. The case notifications were higher in males than in females most countries. The objective of the study was to assess socio-demographic determinants of tuberculosis patients attending directly observed treatment short course (DOTS) centre in Urban Ghaziabad.Methods: This was an observational cross-sectional study. The study was carried out in selected DOTS centres of district Ghaziabad. 850 study subjects age group more than 15 years were included.  Multistage sampling was done. Numbers and percentage were used. SPSS version 13 was used for statistical analysis.Results: Majority 41.17% of tuberculosis (TB) patients belonged to 15-25 years age group. 30.58% patients were in 26-35 years age group followed by 23.52% in 36-45 years age group and least 4.70% were in >45 years age group. Majority 54.1% of TB patients were females that compared to 45.9% were males. Among tuberculosis patients majority 58.82% were married as compared to 40% were unmarried and least 1.18% were widow. 75.29% tuberculosis patients were Hindus as compared to 22.35 were Muslims and least 2.35% were Sikh/Christian. Among tuberculosis patients majority 44.71% were from nuclear family. 31.76% had joint family and least 23.53% had 3rd generation family.Conclusions: It was concluded that socio-demographic determinants were low. It was recommended to raise socioeconomic standard of population, give health education to improve personal habit and stop TB transmission.
Prevalence of depression among school going adolescents in an urban area of Karnataka, India: a cross sectional study
Authors: Sinha Sweta , Patil Manjula S. , Viveki R. G. , Halki Sunanda
Published: April 2020

Background: World Health Organization (WHO) recognizes depressive disorders as priority mental health disorder of adolescence due to its high prevalence, recurrence, ability to cause significant complications and impairment. Emotional instability resulted in adolescent period make them vulnerable to depression. Depression is one of the under recognized health problem among adolescents. The aim of the study was to explore the prevalence of depression among school going adolescents.Methods: A cross sectional study was conducted among the school going adolescents of urban area of Belgaum, Karnataka. The self-administered questionnaire of Beck's Depression Inventory (BDI) II was used to assess the prevalence of depression. Data was analysed using MS-Excel 2007, SPSS software version 22.0, proportion and chi-square test were applied.Results: The overall prevalence of depression in this study was 62.60%. Association between sex, type of family and socio-economic status was not statistically significant. Mild depression was more prevalent among the adolescents in the present study.Conclusions: We recommend that teachers and parents be made aware of this problem with help of school counsellors so that the depressed adolescent can be identified and helped rather than suffer silently.
Unmet health needs of elderly: a community based cross-sectional study in rural areas of Kancheepuram District, Tamil Nadu
Authors: Kalusivalingam N. , Bobhate Prateek , Kalaivani A. , Karnaboopathy R.
Published: April 2020

Background: The proportion of elderly population is on the increasing trend in India. Morbidity was found higher among the elderly population. About 10% increased risk of mortality was found among elderly people with unmet needs. The objective of the study was to assess the morbidity pattern and unmet health needs among elderly population in rural areas of Kancheepuram district, Tamil Nadu.Methods: This community based cross-sectional study was conducted for a period of 18 months in four selected villages in Kancheepuram district, Tamil Nadu, among 390 participants. EASY care standard (2010) questionnaire was used for assessment of health care needs. Frequency distribution of study variables and association using chi-square test were done using SPSS software version 23.Results: Out of 390 study participants, 51% were females. The most common morbidity was arthritis (40.5%), followed by diabetes and difficulty in hearing (29.5% each). Psycho-social issues such as loneliness (36.7%), little interest in doing things (30.8%), feeling hopelessness (30%) were noted among the study participants. The highest unmet health need was 11.8% for difficulty in hearing. The unmet health needs were associated with older age, widowhood, lower educational status, inability to work, low socio-economic status, absence of individual income, and absence of care taker of the study participants.Conclusions: The health needs of elderly are multi-faceted viz., medical, psycho-social, financial, etc. Since, family characteristics play a major role in meeting the health needs of elderly population, community-oriented services mainly involving family members will help for addressing the unmet needs of the elderly.
A cross sectional study on school absenteeism among female adolescents during menstruation in the rural Jharkhand
Authors: . Vidyasagar , Jilani Kashmira
Published: April 2020

Background: Girls especially during menstruation are likely to be affected in different ways by inadequate water, sanitation and hygiene conditions in schools, and this may contribute to unequal learning opportunities. For example, lack of adequate, separate private and secure toilets and washing facilities may discourage parents from sending girls to school. The objective of the study was to find the relation between wash facility and school absenteeism among the girls from a rural community of Jharkhand.Methods: Community based cross sectional study at the rural area among the school girls of classes 8 to 10. Pre tested semi structured questionnaire was used. Data entry at MS Excel and data analysis was done using Statistical Package for Social Sciences (SPSS) software, version 20.0.Results: The mean age at menarche was 12.13 years. At school, separate wash area for girls was present in most of the cases 228 (61.1%). About 39 (9.9%) participants did not attend school during the menstrual days. Of this 29 (74%) believed that lack of separate wash at schools was a reason.Conclusions: Presence of separate wash area for girls at school was significantly (p-value<0.001) associated with good attendance during menstruations (96%).
Association between predisposing factors and adults obesity from rural field practice area of a tertiary care centre, an experience from rural Bihar: a case control study
Authors: Chandra Vikash , Choudhary Sanjay Kumar , Kumar Sanjay , Kumari Abha
Published: April 2020

Background: World Health Organization (WHO) defined obesity and overweight as abnormal or excessive accumulation of fat that may impair health. Obesity is a serious health issue and predisposes individuals to an increased risk of morbidity and mortality from conditions such as diabetes and hypertension. The aims and objective of this study was to identify predisposing factors associated with obesity among adults.Methods: The present case-control study was conducted among adults between 20 to 60 years of age group. The cases of obesity were identified during this study.  Multi-stage sampling was done. Thus a total of 1200 subjects were studied in study setting. Pretested semi-structured proforma was used for data collection from cases and controls which involved personal interview with the respondents and clinical examination. Data was entered in Microsoft Excel 2010 after coding. Statistical analysis was done by using SPSS software. The statistical significance was evaluated at 95% confidence interval level.Results: In this study 110 obese cases and equal number of controls were compared. It is seen that the difference between cases and controls was statistically significant with regard to age (p=0.001), sex (p=0.004), occupation (p=0.000), socioeconomic status (p=0.000), education (p=0.000), tobacco use (for males only, p=0.003), physical activity (p=0.001), duration of watching TV (p=0.000) and family history of obesity (p=0.000).Conclusions: There is necessary need to health education among adults on the aspects of healthy food habits and desired lifestyles to prevent obesity/overweight and its other associated ill effects.
Perceptions and possible solutions for violence against children among mothers of under five
Authors: Kirthana V. , Kulkarni Praveen , Shabadi Nayanabai , Narayana Murthy M. R. , Bilimale Anil S.
Published: April 2020

Background: Violence has been one of the most complex contemporary phenomena and their manifestations are responsible for social and mental disturbances of children. This phenomenon is a serious problem of global public health, presenting various causes that compromise socio-cultural levels of society. The objective of the study was to assess the perceptions on causes and consequences of violence against children among mothers of under five children and to describe the common solutions for the violence against children as perceived by mothers.Methods: This qualitative research was undertaken in the urban field practice area of Department of Community Medicine, JSS Medical College, Mysore. A total of 20 women were interviewed for free-listing exercise and the data regarding their perception about causes, consequences and methods of prevention of violence on children were collected. The data collected through free listing and pile sorting was analyzed using Visual Anthropac 1.0.Results: Among 20 subjects interviewed, mean age of the women interviewed was 29.6 years, 70% were completed basic schooling, 30% had history of substance abuse by family members. Common themes emerged out were subjects being not aware of child abuse, opined that child abuse was solely from family members, claimed that they do not abuse their children, opted to remain silent in the circumstances of child abuse, believed it hamper child growth.Conclusions: It is necessary to intervene violence as it means to prevent it through short- and long-term goals such as the implementation of public policies, programs that aim at changes capable of modifying the conditions that favour this phenomenon.
Dietary pattern and nutritional status among lactating women in North Karnataka
Authors: Unni Xavier Antoney , A. M. Amgiasvasanth
Published: April 2020

Background: Women from low-income settings are considered as nutritionally vulnerable. This risk is augmented during pregnancy and lactation as food nutrient requirement increases. Lactating mothers are subjected to nutritional stresses which are further exaggerated by frequent pregnancies resulting in high maternal mortality and health risk for children. Attainment of millennium development goals (MDG) by our country is largely dependent on the health of mothers and children, which in turn is influenced by diet. Objective of this study was to assess the nutritional status and associated factors of lactating women. To assess diet pattern of lactating womenMethods: Cross-sectional study carried out for a period of three month by house to house visit in the urban field practice area of SDMCMSH, Dharwad. Taking prevalence of malnutrition among lactating mothers (15-49 years) as 50, sample size was calculated to be 100 using n=4pq/d×d. Data analysed using the IBMSPSS 20.0.Results: Majority of mothers were housewives and in the age group of 20-25 year. >80% of the participants did not take additional meals during lactation. >60% of women from low socioeconomic state were malnourished and >55% of women from high socioeconomic state but working is malnourished.Conclusions: Dietary intakes of the lactating women are insufficient compared to national recommendations. Low socioeconomic condition and working status of mother are important predictors of malnourishment. Effective nutritional education of families and communities is recommended to improve dietary practices and result in adequate nutrition.
Usability and acceptability of a hypothermia monitoring device in a community setting
Authors: Mukane Madhuri , Gage Annika , Choubey Priyanka
Published: April 2020

Background: The present pilot study aimed to test the usability and acceptability of the hypothermia monitoring device, i.e., temp watch, among the mothers/caregivers of low birth infants (LBW) and community health workers (ASHA workers) who visited them.Methods: Eligible LBW new-borns (<2500 grams) were recruited after written informed consent from parents and were followed-up for 28 days with intermittent visits from assigned ASHA workers. The parents recorded hypothermia episodes and KMC hours in a patient diary. Feedback was taken from these mothers and ASHA workers at the end of study.Results: The weight gain at 28th day of the recruited babies was significant (p=0.01) as compared to the weight at enrolment on day 0. Among the recruited population (n=50 LBW infants), 57% of the subjects reported the device alerted for hypothermia at least once a week. All the mothers of the recruited babies thought that the temp watch device was useful for hypothermia monitoring and the alerts helped in maintaining the baby’s temperature. All ASHA workers were satisfied with the device and reported a positive behavioral change in the mothers KMC hours at the end of the study.Conclusions: The temp watch was useful in hypothermia monitoring in LBW infants in a low resource home setting. The usability and acceptability of the device was tested in mothers and ASHA workers with positive feedbacks from both populations. This suggests a need for the intro-duction of the device as a community-based intervention for hypothermia monitoring in LBW infants.
Spectrum of otorhinolaryngologic ailments in the North Indian state of Punjab: a seven year retrospective study of peripheral health camps
Authors: Munjal Manish , Rishi Porshia , Tuli Nitika , Singh Harjinder , Talwar Shivam , Sharma Salony , Munjal Shubham
Published: April 2020

Background: Community otorhinolaryngology services have a role to play in the early diagnosis, treatment and rehabilitation of the individuals with low socioeconomic status.Methods: A retrospective study of 52 ear, nose, throat and head neck, peripheral camps held during a 7-year period, i.e. 2012-2019 was undertaken. The camps were organised by Dayanand Medical College and Hospital, Ludhiana. The epidemiological and gender profile of the patients with otorhinolaryngologic complaints was studied and statistically analysed.Results: A total of 52 camps were organized over a period of 7 years (2012 to 2019). Maximum number of camps were organized in Malwa belt (49) with 65% being organized in Ludhiana city followed by Barnala and Sangrur. Maximum number of camps were organized at the religious places (44%) followed by non-governmental organizations (33%) and schools (23%). Male patients (55.7%) outnumbered the female at the camps. Out of 576 patients with nasal complaints 56.7% were male while 43.3% were female. Out of 538 patients with throat complaints 56.8% were male while 43.2% were female.Conclusions: Maximum camps were held in the Malwa belt of Punjab. Otological ailments are of concern for the public. Relief and awareness from the camps of previous years brought about more attendance and request to hold more camps.
Is Indian osteoarthritis different? Emerging scenarios of disease pattern and implications for diagnosis and treatment of osteoarthritis in India
Authors: Kohli Pavankumar , Waybase Hanumant , Patel Poorv , Naik L. G. , Colaco Rajiv , Nadkarni Sunil , Gore Satishchandra
Published: April 2020

Background: There are many studies to show comparative cartilage wear of medial and lateral compartment of knee. However, there are no studies in Indians that compare relative cartilage loss between femur and tibia.

Methods: 44 patients with osteoarthritic knee at our center were posted for operative intervention in the form of partial or total knee arthroplasty and included in this study. Each patient had an magnetic resonance imaging (MRI) (cartogram) and weight bearing X-rays of the same knee. Intraoperative qualitative cartilage loss both femoral and tibial surfaces was observed and confirmed with preop findings of cartilage loss on X-ray or MRI.

Results: The wear/loss of cartilage in 44 patients in femur is approximately twice that of tibia.

Conclusions: Femoral cartilage loss is significantly more than tibia in Indians. These findings carry significance of not waiting for bone on bone arthritis to consider active treatment for Indian osteoarthritis patients. Bone on bone arthritis has so far been considered the litmus test for any intervention for osteoarthritis, even in India. Specific attention should rather be given to the femoral condyle clinically and radiologically. The authors have already described “The Dervan RIM sign” for the same purpose. The wear pattern is different from Caucasians and focus cannot be on joint space narrowing which is only with equally prevalent tibial and femoral cartilage wear.

 
Burden of isolated clavicle fractures at tertiary care healthcare centre: a look into registry
Authors: Sharma Sruti , Kumar Vishal , Sharma Raman , Aggarwal Sameer
Published: April 2020

Background: Clavicle is one of the common bones to undergo fractures with incidence rate higher in second to third decade of one’s life as well as in elderly age. Management of these clavicle fractures have always been a subject of debate, where literature have been advocating both non-operative as well as operative methods.

Methods: The present study was conceived to know the burden of these isolated clavicle fracture cases reporting to tertiary level healthcare institute of North India and to study about their management pattern.

Results: During the five years study duration (2014-2018), a total of 38 patients had reported to the trauma centre of the institute. Out of total, males had more preponderance 77% (29) and incidences were reported more in younger population. All patients were managed well by opting conservative measures, besides deformity had been reported in 2 (5.26%) patients. 3 (7.9%) patients had reported with complaints of pain, weakness while doing work, fatigue and pain when lying on the affected shoulder None of the patient was managed by open reduction and fixation.

Conclusions: The present study concludes that the number of patients having isolated clavicle fracture are not contributing to any sort of burden at tertiary level institutes and are not even time consuming.
The Machine in the Body—the Body in the Machine: Perception of the Human Body in a Post-Biological Society
Authors: Gruchoła Małgorzata
Published: April 2020

Maszyna w ciele – ciało w maszynie: postrzeganie ciała ludzkiego w społeczeństwie postbiologicznym

Celem artykułu była krytyczna analiza relacji ciało–maszyna w społeczeństwie postbiologicznym, w ujęciu Roya Ascotta z dwóch perspektyw (David Tomas): z jednej strony funkcjonowanie maszyny w ciele jako przejaw transgresji, z drugiej – funkcjonowanie ciała w maszynie jako wyzwanie transhumanizmu. Przyjęto pytanie badawcze: jaki obraz ciała proponuje i narzuca społeczeństwo postbiologiczne? Jak maszyna cybernetyczna funkcjonuje wewnątrz ciała ludzkiego oraz jak ciało funkcjonuje w maszynie? Czy podejmowane próby w ramach transhumanizmu nie zmierzają w kierunku internetu ciał? Przyjęto hipotezę, że przekraczanie kolejnych granic ciała w ramach transgresji i transhumanizmu zmienia relację ciało–maszyna. Artykuł ma charakter konceptualny oraz analityczno-opisowy. Hipoteza została potwierdzona.
Luxuria, grzech i kara. Przyczynek do badań ikonograficznych Ołtarza Sądu Ostatecznego Jheronimusa Boscha (i jego warsztatu) z Akademie der Bildenden Künste w Wiedniu. Część I
Authors: Kubies Grzegorz
Published: April 2020

Ołtarz Sądu Ostatecznego z Wiednia uważany jest obecnie przez członków Bosch Research and Conservation Project za dzieło Jheronimusa Boscha (ok. 1450-1516) i jego warsztatu. Reminiscencje oraz aluzje do grzechów nieczystości uobecniają się w Ołtarzu wiedeńskim wielokrotnie. Choć w kilku scenach pojawiają się instrumenty muzyczne, często w sztuce łączone z miłością, to w literaturze przedmiotu aspekty muzyczne są często marginalizowane lub wręcz pomijane. Głównym celem niniejszego artykułu, oprócz analizy ikonograficznej owych kilku scen (część I), jest próba dotarcia do źródeł ideowych powiązania w wizji zaświatów dwóch elementów: kar odpowiadających jednemu z grzechów głównych (luxuria) z muzyką (część II). Umuzycznione sceny w Ołtarzu Sądu Ostatecznego, wykazujące związki z malarstwem miniatorskim, przywołują na myśl realia historyczne – aspekty praktyki wykonawczej w ramach muzykowania prywatnego przełomu XV-XVI wieku.
Luxuria, grzech i kara. Przyczynek do badań ikonograficznych Ołtarza Sądu Ostatecznego Jheronimusa Boscha (i jego warsztatu) z Akademie der Bildenden Künste w Wiedniu. Część II
Authors: Kubies Grzegorz
Published: April 2020

Ołtarz Sądu Ostatecznego z Wiednia uważany jest obecnie przez członków Bosch Research and Conservation Project za dzieło Jheronimusa Boscha (ok. 1450-1516) i jego warsztatu. Reminiscencje oraz aluzje do grzechów nieczystości uobecniają się w Ołtarzu wiedeńskim wielokrotnie. Choć w kilku scenach pojawiają się instrumenty muzyczne, często w sztuce łączone z miłością, to w literaturze przedmiotu aspekty muzyczne są często marginalizowane lub wręcz pomijane. Głównym celem niniejszego artykułu, oprócz analizy ikonograficznej (profilowanej muzykologicznie) owych kilku scen (część I), jest próba dotarcia do źródeł ideowych powiązania w wizji zaświatów dwóch elementów: kar odpowiadających jednemu z grzechów głównych (luxuria) z muzyką (część II). Umuzycznione sceny, wykazujące związki z malarstwem miniatorskim, przywołują także na myśl realia historyczne – aspekty praktyki wykonawczej w ramach muzykowania prywatnego przełomu XV-XVI wieku. Jako najważniejsze źródła literackie inspiracji malarza jawią się Biblia, Wizja Thurkila oraz Strumień światła Boskości Mechtyldy z Magdeburga. Korespondencja pewnych motywów w scenach przedstawiających grzechy nieczystości (Tryptyk Wędrowca, Wóz z sianem, Siedem Grzechów Głównych i Cztery Rzeczy Ostateczne) z odpowiadającymi im motywami w Ołtarzu wiedeńskim, dowodzi istnienia w pracowni Jheronimusa Boscha spójnego systemu mentalno-światopoglądowego, w którym kara wiecznego potępienia nosi piętno uciech ziemskich.
Kształtowanie się tureckiej tożsamości kulturowej po reformach Kemala Mustafy Atatürka
Authors: Skowron Emilia
Published: April 2020

Republika Turcji powstała w 1923 r. i stała się nowym tworem państwowym odrzucającym przeszłość osmańską. Podstawową kategorią stał się jednolity naród – przeciwieństwo wieloetnicznego społeczeństwa Imperium Osmańskiego, w którym istotna była przynależność do ummy muzułmańskiej a nie do narodu. Całkowite zmodernizowanie, wg założyciela i reformatora nowej Turcji – Atatürka, mogło dokonać się tylko poprzez reformy inspirowane osiągnięciami cywilizacji europejskiej. W pierwszych latach wprowadzono wiele zmian, które miały przebudować państwo na wzór europejski. Wśród głównych nurtów należy wyróżnić laicyzm usuwający religię ze sfery publicznej w celu otwarcia społeczeństwa na nowoczesne rozwiązania. Widoczne są trzy nurty kształtujące tożsamość Turków: turecki (przedislamski), muzułmański i nacjonalistyczny. Wskazuje to na złożoność tożsamości mieszkańców, którzy czują się jednocześnie Turkami i muzułmanami. Rodzi się pytanie o ich przynależność cywilizacyjną ze względu na to, że przyjęli wiele z cywilizacji europejskiej przy jednoczesnym kultywowaniu dawnych praktyk i podtrzymywaniu wartości wyrastających z islamu. Dziś coraz bardziej widoczne jest odnawianie się islamu, co wskazuje na powierzchowność procesów laicyzacji stojących u podstaw tworzenia nowej Republiki Turcji.
Salvation from Oblivion: Teofila Bobko-Jankowska (1920–2009)
Authors: Boroch Robert
Published: April 2020

Ocalić od zapomnienia: Teofila Bobko-Jankowska (1920–2009)

Artykuł stanowi dokumentację twórczości miejscowej poetki Teofili Bobko-Jankowskiej (1920–2009) związanej z warmińską miejscowością Biskupiec. Zebrany materiał należy do kategorii badań nad regionalizmem i antropologią literatury polskiej, stanowiąc dokumentację wytworów kultury powstałych w małych strukturach społecznych oraz siły ich społecznego oddziaływania na procesy związane z ochroną kultury w regionie warmińskim po roku 1945. W tym kontekście literatura regionalna i lokalni twórcy kultury wywierają wpływ na możliwości wytwórcze miejscowej kultury, co przekłada się bezpośrednio na rozwój i konsolidację potencjału twórczego kultury miejscowej.
Polish Diaspora and Military Intelligence of the Second Polish Republic, 1918-1939. An Outline of the Problem
Authors: Skóra Wojciech
Published: April 2020

Polonia a wywiad wojskowy Drugiej Rzeczypospolitej (1918-1939). Zarys problemu

Wielomilionowa Polonia była uznawana przez władze Polski za rezerwuar wsparcia dla kraju. Ministerstwo Spraw Zagranicznych prowadziło działania mające uczynić z niej narzędzie rządu. Polonia, rozumiana jako Polacy na stałe przebywający za granicą, była w dwudziestoleciu międzywojennym podstawą działań wywiadu polskiego. Do takiego wniosku prowadzi analiza wybranych siatek wywiadowczych i narodowości agentów. Nie dotyczyło to wyłącznie „agenturalnej drobnicy”, owych tysięcy osób zbierających drobne wiadomości. Również najważniejsi agenci – choć rzadziej – byli z pochodzenia Polakami.
Wpływ polskiej emigracji w Europie Zachodniej na życie polityczne Polonii amerykańskiej przełomu lat siedemdziesiątych i osiemdziesiątych XIX wieku
Authors: Kiper Daniel
Published: April 2020

Polska diaspora w Stanach Zjednoczonych Ameryki Północnej w XIX wieku zmieniała się w czasie. Zmianom podlegały również wzajemne kontakty między wychodźstwem polskim w Europie Zachodniej a polską emigracją w USA, inaczej nazywaną Polonią amerykańską. Między latami 30. a 60. XIX wieku relacje obu emigracji były sporadyczne. Wpływały na ten stan rzeczy dwa czynniki: oddalenie geograficzne oraz niewielka liczba polskich emigrantów politycznych w Stanach Zjednoczonych. Ta sytuacja zaczęła się zmieniać pod koniec lat 70., kiedy nastąpił rozwój emigracji zarobkowej, który spowodował gwałtowny wzrost ludności polskiego pochodzenia w Ameryce.

W tym okresie przedstawiciele emigracji polskiej w Europie (mieszkający głównie we Francji i Szwajcarii) zaczęli szukać porozumienia ze swoimi odpowiednikami po drugiej stronie oceanu. Robili to na tyle skutecznie, że udało im się doprowadzić do kilku wspólnych inicjatyw. Jedną z nich było powołanie do istnienia Związku Narodowego Polskiego. Niniejszy artykuł stanowi próbę prześledzenia owoców współpracy między wychodźstwem europejskim a amerykańskim na przełomie lat 70. i 80. XIX wieku. Mowa w nim o ludziach oraz instytucjach, które uczestniczyły w tych kontaktach, o sukcesach i porażkach wspólnych inicjatyw.
Nacimiento a partir de Fertilización IN VITRO en ciclo natural
Authors: Lucena Elkin , Lucena Carolina , Rojas Alejandro , Lombana Oscar , Suárez Zulma , Mojica Sandra , Saa Angela María , Bernal Diana , Morán Abby
Published: April 2020

El ciclo natural combinado con fertilización in vitro (FIV) y transferencia embrionaria está mostrando ser una opción de gran beneficio especialmente para pacientes mayores de 35 años, ya que se disminuye el costo del tratamiento por la facilidad de no utilizar hormonas para estimulación ovárica y por tanto se elimina el riesgo de la utilización de hormonas exógenas, con el beneficio adicional de transferir los embriones obtenidos en un ambiente endometrial libre del efecto de la estimulación.Objetivo: describir el embarazo y nacimiento de un niño sano como resultado de fertilizacion in vitro en un ciclo menstrual normal sin utilización de estimulación exógena de gonadotropinas.Procedimiento: se realizó seguimiento folicular por ecografía a una paciente con factor tuboperitoneal, hasta que el folículo dominante alcanzó un tamaño de 16 mm y grosor endometrial mayor de 14 mm. Se aplicaron 10.000 UI de hCG y 36 horas después se realizó aspiración folicular. El folículo dominante con un oocito en metafase II (MII), se fertilizó por ICSI y a las 48 horas de cultivo, el embrión obtenido fue transferido al útero previa preparación endometrial.Resultados: se obtuvo un óvulo en MII, el cual fertilizó después de ICSI y se transfirió un embrión en 4 blastómeras grado I a las 48 h de la aspiración. Doce días después de la transferencia embrionaria se realiza prueba de embarazo cuantitativa con un resultado positivo y nacimiento de un bebé sano.Conclusiones: la obtención de un óvulo maduro sin estímulo hormonal y transferencia embrionaria en ciclo natural, ofrece una nueva alternativa al tratamiento de infertilidad independiente de la edad.
Complicaciones materno fetales en pacientes con Síndrome de Turner. Reporte de dos casos manejados con donación de óvulos
Authors: Velasco Harry , García Natalia , Madero José Ignacio , Duque Marco A. , Saumet Julio , López Claudia , León María Fernanda , Ávila Luz Mábel , Ruiz Jesús A.
Published: April 2020

El Síndrome de Turner (ST) es la patología más frecuente que compromete los cromosomas sexuales, es causada por la ausencia completa o parcial del cromosoma X. Las implicaciones reproductivas de estos pacientes que se constituyen en infertilidad por una falla ovárica prematura y disgenesia gonadal, sugieren que el manejo indicado es la donación de óvulos asociada con la generación de embriones in vitro y su posterior transferencia, previa preparación endometrial. En este artículo se informan dos casos de ST manejados con ovodonación y sus implicaciones clínicas en el embarazo: Desproporción cefalo-pélvica por talla baja, complicaciones cardiovasculares que generan linfedema, lesiones aórticas y preeclampsia.
Diagnóstico y manejo quirúrgico de placenta accreta. Presentación de un caso y revisión de la literatura
Authors: Rojas-Lozada Fabio , Kuzmar-Daza Leyla , Ferreira-Narváez Fidel , Abdalla Martha
Published: April 2020

Presentamos el caso de una mujer de 37 años con diagnóstico prenatal de acretismo placentario por ecografia obstétrica, doppler placentario y resonancia magnética; confirmado, por histopatología. Reviste interés por el manejo multidisciplinario instaurado. Se describen los resultados de la revisión bibliográfica conducida en MEDLINE en los años 1991 a 2005 utilizando las palabras claves “factores de riesgo”, “diagnóstico placenta accreta”, “manejo placenta accreta” y “casos placenta accreta”. Se obtuvo el consentimiento informado por parte de la paciente para reportar el caso, mediante el cual se pretende ilustrar el diagnóstico apropiado y el manejo programado de esta patología que involucra varias especialidades y que no es tan frecuentemente observada en la práctica.
Inversión uterina puerperal crónica: presentación de caso y revisión de la literatura
Authors: Rodríguez Jorge A. , Calderón Adriana P. , López Luis Alfonso , Montenegro Daniel
Published: April 2020

Se presenta un caso de diagnóstico tardío de inversión uterina poco frecuente en la literatura médica. El cuadro clínico de la paciente incluía sangrado genital moderado persistente y dispareunia de 14 meses de evolución. La técnica de reposicionamiento uterino se realizó por vía vaginal con revisión posterior por víalaparoscópica y evolución satisfactoria. Se hace una revisión de la literatura.
Rabdomioma: tumor del corazón fetal. Diagnóstico prenatal
Authors: Otero Juan Carlos
Published: April 2020

Los tumores primarios del corazón son raros. En estudios de autopsias la incidencia puede llegar a ser hasta del 0,002-0,250%; el rabdomioma es el tumor benigno más común (50-78%), y se asocia con esclerosis tuberosa en 72% de los casos.1 En la gran mayoría, este tumor tiende a regresar.Los síntomas típicos son secundarios a los efectos ocasionados por las alteraciones de la geometría ventricular izquierda (gasto cardíaco y fracción de eyección). El hydrops y las arritmias son, en estos casos, las principales causantes de la muerte repentina.La conducción atrioventricular anormal se debe a la interrupción por parte del tumor, del tejido fino nodal o septal. Los niños afectados tienen una edad de gestación promedio entre 22 a 36 semanas,2 y su pronóstico depende en especial de la presencia de arritmias y de esclerosis tuberosa.3 Como tratamiento prenatal se ha intentado el uso de la digital y otros medicamentos.Previa autorización de la paciente, se presenta este caso para ilustrar acerca de las posibilidades de diagnóstico y tratamiento antenatal de esta patología, de rara presentación en la práctica.
Algunas consideraciones antropológicas y religiosas alrededor de la menstruación
Authors: Alarcón-Nivia Miguel Ángel
Published: April 2020

Este trabajo comprende una revisión de los nombres populares que se le dan a la menstruación en Colombia, las creencias indígenas alrededor del tema en diferentes partes del mundo, las precauciones y prohibiciones que se tienen respecto a las mujeres menstruantes desde la mira de algunas religiones. Se presentan también algunas explicaciones sobre las causas de la menstruación, según filósofos de la antigüedad y pensadores modernos.
El avance esperado de las publicaciones científicas colombianas
Authors: Eslava Javier H.
Published: April 2020

Colombia se ha caracterizado por tener desde hace mucho tiempo publicaciones científicas. La Revista de la Facultad de Medicina de la Universidad Nacional, por ejemplo, publicó su primer número en junio de 19322 y alcanzó a figurar en la Librería Nacional de Medicina desde la misma fecha, con inclusión al Index Medicus desde 1965 a 1981.3 También se encontró la Revista de la Facultad de Odontología entre los periodos de 1963 a 19734 y Colombia Médica desde 1939 a 1946, con un periodo de suspensión entre 1940 y 1943, y como Colombia Médica (Cali-Colombia) desde 1990.5
Caracterización de los trastornos hipertensivos del embarazo
Authors: Salazar Juan Álvaro , Triana Juan Carlos , Prieto Franklyn Edwin
Published: April 2020

Objetivo: describir la incidencia de los trastornos hipertensivos del embarazo en Villavicencio (Colombia) y las características que pueden relacionarse con la hospitalización materna y las complicaciones.Materiales y métodos: registro prospectivo de embarazadas hipertensas, mediante búsqueda activa. Se registraron las características sociodemográficas, clínicas y de tratamiento; los datos son comparados con información institucional de la población de embarazadas atendidas en el periodo de estudio. Las participantes del grupo de hipertensas fueron clasificadas con base en la ausencia o presencia de complicaciones y hospitalización materna. Se hizo comparación de los grupos mediante análisis univariado y regresión logística múltiple.Resultados: la edad y el número de gestaciones entre las hipertensas y la población total de embarazadas, no mostraron diferencias. Se encontraron mayores porcentajes de parto pretérmino, parto intervenido y peso inferior a 2.500 gr en el grupo de hipertensas. El 53,2% de los casos se clasificaron como complicados, el 15,4% de ellos no recibió un tratamiento específico. Se encontró asociación entre más de 4 días de hospitalización materna con proteinuria grave y epigastralgia. El parto pretérmino y la proteinuria leve fueron predictores de complicaciones. La epigastralgia fue pronóstico para complicación con una razón de verosimilitud positiva de 2,29 y negativa de 0,51, índice de Youden de 0,53.Conclusiones: la hipertensión en el embarazo posee alto impacto en la salud materna y perinatal. Se sugiere fortalecer las medidas de prevención, diagnóstico y los recursos para tratamiento.
Yaşam Boyu Bakış Açısından Diyalektik Davranış Terapisi
Authors: ÜSTÜNDAĞ BUDAK Ayşe Meltem , ÖZEKE KOCABAŞ Ezgi , GÖKSU Helin
Published: April 2020

Bu derlemede diyalektik davranış terapisi ve terapinin araştırma bulguları yaşam boyu yaklaşımı üzerinden ele alınmaktadır. Diyalektik davranış terapisi ilk olarak intihar ve kendine zarar verme riski taşıyan borderline kişilik bozuluğuna sahip bireyler için geliştirilmiş, kanıta dayalı yaklaşımlardan biridir. Bununla birlikte, son yıllarda daha geniş bir popülasyon için kapsamlı bir tedavi modeli sunmaktadır. Örneğin, standart diyalektik davranış terapisi çocuklar ve ergenler için adapte edilerek hem önleme hem de müdahale amaçlı olarak başarıyla uygulanmaktadır. Bunun yanısıra, transdiyagnostik bir yaklaşımla kanıta dayalı tedavilerin kullanımındaki son gelişmeler diyalektik davranış terapisinin yaygınlaştırılmasını ve uygulanmasını daha önemli hale getirmiştir. Diyalektik davranışçı terapinin yaşam boyu yaklaşımından güncel araştırma ve uygulamalarına odaklanmak ve diyalektik davranışçı terapinin girişimsel veya önleyici amaçlar için kullanılması, ilgilenen araştırmacılara ve uygulayıcılara gelişimsel aşamalardaki etkileri konusunda katkıda bulunacaktır.
Predicados afectivos en el bribri
Authors: Barguigue Saïd , Alvarez Gonzalez Albert
Published: April 2020

Este trabajo presenta los diferentes predicados afectivos que existen en la lengua bribri (chibcha), considerando: (i) los mecanismos morfológicos de creación de estos predicados (lexicogénesis), (ii) los cambios semánticos que experimentan, (iii) cómo se codifican los cuatro participantes de una situación afectiva, a saber el experimentador (el participante que experimenta el afecto), el afecto (lo que experimenta el experimentador), el estímulo (lo que causa el afecto) y el lugar del afecto (lo más común una parte del cuerpo).
Sentidos atribuídos à Educação de Jovens e Adultos por licenciandos em Matemática
Authors: Medrado Jackelyne de Souza , Nardi Roberto , Dias Marisa da Silva
Published: April 2020

Objetiva-se, neste artigo, apresentar os sentidos produzidos por licenciandos em Matemática, relacionados à Educação de Jovens e Adultos (EJA), sob a ótica da Perspectiva Histórico-Cultural, particularmente, dos conceitos de sentido e significado abordados por Vygotsky. Os procedimentos metodológicos foram pautados na ideia dos Núcleos de Significação para apreensão de sentidos e significados constituídos pelo sujeito frente a sua realidade. Os dados foram constituídos por meio de questionários abertos. Foram identificados, por meio da análise, quatro núcleos de significação: status de inferiorização da EJA, reflexos dos documentos legais e de aproximações com a EJA, a EJA e o sistema socioeconômico e a EJA como direito. Elucida-se a necessidade de refletir a temática em questão nos cursos de formação de professores, pois as condições criadas neste contexto não têm sido suficientes para que o licenciado se aproprie dos significados sobre a EJA e o ensino nesta modalidade.
O USO DE JOGOS EDUCACIONAIS NA PRÁTICA DO ENSINO
Authors: Alves dos Santos Jainara Vanessa , B. Oliveira Eduardo , César P. de Sousa Tiago , Cupertino Gomes Érica , A. da Cruz Jonierson
Published: April 2020

Ensinar Física por meio de jogos didáticos é uma ótima alternativa de ensino em sala de aula e bastante rica em aprendizagem. Tendo como finalidade despertar o interesse dos alunos, pois uma vez determinados pelo conteúdo, eles se intensificam mais e escavam mais o assunto. Diante disso, o presente trabalho tem por objetivo apresentar a utilização de um tabuleiro como jogo didático para o ensino de Física, o projeto foi realizado por acadêmicos residentes do Programa Residência Pedagógica com alunos da 2º série do Instituto Federal do Tocantins campus Araguaína.
O TRABALHO COM IMAGENS NA EXPLORAÇÃO DE TEXTOS NARRATIVOS EM AULAS DE LÍNGUA INGLESA NA ESCOLA PÚBLICA
Authors: Vieira Miliane Moreira Cardoso , Gomes dos Santos Filho João , Martins Aguiar Monteiro Jaiara
Published: April 2020

Este trabalho se trata de um relato de experiência vivenciado no segundo semestre do ano de 2019, enquanto residente do Programa Residência Pedagógica (PRP), no Subprojeto de Letras – Língua Inglesa, promovido pela Coordenação de Aperfeiçoamento de Pessoal de Nível Superior – Capes, conforme o Edital CAPES n°06/2018, com a participação da Universidade Federal do Tocantins (UFT) e da Secretaria de Estado da Educação, Juventude e Esportes do Tocantins (SEDUC). O desenvolvimento das atividades partiu da reflexão que ensinar uma nova língua é um alvo desafiador àqueles que se dispõem a fazê-lo, e as circunstâncias que fazem a realidade da escola pública intensificam as dificuldades ocorrentes no processo de ensino.
O AUDIOVISUAL COMO METODOLOGIA NO ENSINO DE FILOSOFIA PARA O ENSINO MÉDIO
Authors: Soares Paulo Sérgio , Rezende Monteiro Cláudia , Oliveira da Silva Elisangela
Published: April 2020

Não há. Este trabalho faz parte dossiê temático associado ao II Seminário da RP/UFT, com o tema: “Formação e prática docente – concepções, trajetórias e desafios da Residência Pedagógica da UFT".