bluuebunny/crossref_metadata_2025 huggingface dataset:
Knowledge, attitude and practices of antibiotic usage among students from Mumbai University
Authors: Limaye Dnyanesh , Naware Sanika , Bare Priyanka , Dalvi Shreya , Dhurve Ketaki , Sydymanov Arlan , Limaye Vaidehi , Pitani Ravi Shankar , Kanso Zeinab , Fortwengel Gerhard
Published: May 2018

Background: Discovery of antibiotics have helped to manage the devastating diseases. Presently, the antibiotic era is threatened by the emergence of high level of antibiotic resistance of important pathogens. Misuse of antibiotics poses a serious risk to infectious disease control. It is necessary to improve public awareness to bring a change in the behavior of consumers. Therefore, present study was undertaken to assess the existing knowledge, attitude and practices related to antibiotic usage among university students.Methods: A cross-sectional study was carried out among students from Mumbai University, India during May-June 2017. 300 students were approached to participate in the study of which 250 agreed to participate (males: 117; females: 133). Pretested questionnaire was distributed and collected data was analyzed using IBM SPSS version 23.Results: Substantial number (33% and 40%) participants were unaware about the differences in antibiotic-anti-inflammatory drugs and antibiotic-antipyretics respectively. 28% of the participants thought it is right to stop antibiotics only based on symptoms improvement. Sixty eight percent and seventy nine percent participants believed that antibiotics should always be prescribed to treat flu like symptoms and pneumonia respectively.Conclusions: Participants demonstrated poor knowledge about antibiotics. Similarly, their attitude and practice toward antibiotic use was associated with misconceptions. An educational intervention can be introduced to make them aware about rational antibiotic practices.
Seroprevalence of chikungunya fever virus and O’nyong Nyong fever virus among febrile patients visiting selected hospitals in 2011-2012 Trans Nzoia County, Kenya
Authors: Kamau Kevin K. , Magoma Gabriel , Kwallah Allan Ole , Syengo Charles K. , Mwau Matilu
Published: May 2018

Background: Chikungunya virus (CHIKV) is an alphavirus in the Semliki Forest complex, and is most closely related to O’Nyong Nyong virus (ONNV). CHIKV and ONNV are mosquito-borne alphaviruses endemic in East Africa that cause acute febrile illness and arthralgia. The objectives of this study were to measure seroprevalence of CHIKV and ONNV in selected health facilities in Western Kenya and link it to demographics and other risk factors.Methods: The study design was cross sectional in selected health facilities. We tested for anti-CHIKV antibodies using In-house Indirect IgG Enzyme Linked Immunosorbent Assay (ELISA) and In-house IgM Capture ELISA and confirmed with Focus Reduction Neutralization Test (FRNT) for specific alphavirus neutralizing antibodies against CHIKV or ONNV. Mean, median and standard deviation were used to summarize the data. Comparisons of means and medians were done using Student’s t test. Prevalence rates were determined using descriptive statistics (e.g. proportions, rates).Results: From the 382 samples that were successfully collected, 114 (29.84%) had anti-CHIKV antibodies by the ELISA test. Of these, 27 (7.1%) had CHIKV-specific neutralizing antibodies and 5 (1.3%) had ONNV-specific neutralizing antibodies. Age was significantly associated with seropositivity (OR=1.03; P=0.015, 95% C.I 1.01-1.06). Males were less likely to be seropositive (OR=0.67; P=0.358, 95% C.I 0.27-1.52). Risk factors associated with seropositivity included collecting firewood (OR=2.73 95% 1.13- 6.41) and walls with holes and cracks (OR=0.23 95% C.I 0.04 -0.86).Conclusions: Both CHIKV and ONNV infections were confirmed in the participants’ more so in women and adults, demonstrating undocumented and ongoing transmission in Western Kenya. In 2011 and 2012 CHIKV and ONNV contributed 8.4% of fevers presented in the three selected health facilities in Western Kenya.
Multiorgan dysfunction (MOD) in falciparum malaria in children: a study from high endemic area of Southern Odisha
Authors: Mohanty Niranjan , Patro Debasis , Dhal Subhranshu Sekhar
Published: May 2018

Background: To find out the prevalence of multiorgan dysfunction in cases of severe falciparum malaria in children, correlating the organ dysfunction in different age group and relationship with case fatality rate (CFR).Methods: This prospective cross-sectional study was conducted from Jan 2014 to June 2016 in the Department of Pediatrics, Maharaja Krushna Chandra Gajapati medical college and hospital (MKCG MCH), Berhampur, Odisha, India. Total 340 cases belonging to <14 yrs having severe malaria (as per the WHO criteria) were included in the study. Mixed malaria and Plasmodium falciparum (Pf) positive cases having other significant disease e.g. chronic hemolytic anaemia, cardiac, renal or other chronic diseases were excluded. The study subjects were thoroughly screened for presence of organ dysfunction clinically and by appropriate laboratory tests and analysed.Results: Out of 340 subjects, maximum no of cases (56.76%) were found in >5yr age group. Hyperparasitemia (>10%) was detected in 12.35% cases. Cerebral malaria was most common organ dysfunction found in 1-5 years, followed by anaemia in 5-10 years, acute renal failure (ARF) in 10-14 years age group. Multiorgan dysfunction (MOD) was detected in 32.94% cases of severe malaria. Overall CFR was 8.82%, being directly proportional to no. of organ involvement, 31.81% with 4 organs and 100 % with five organs involvement respectively which was statistically significant.Conclusions: MOD is of grave outcome in severe Pf malaria increasing the case fatality rate proportionate to number of organs involved.
A clinical audit of thoracotomy done in a tertiary care center
Authors: Ahmad Zeeshanuddin , Agrawal Deepak , Desai Sanjay M. , Jain Amar
Published: May 2018

Background: Sri Aurobindo Medical College and Post Graduate Institute is a tertiary care center in Indore. The surgical oncology department is performing various oncological surgeries. One subspeciality is thoracic surgery, where surgeries for benign as well as malignant cases are being done. Thoracotomy is done for various lung, pleural and mediastinal pathology. Open and VATS are two main modalities with each having their pros and cons.Methods: All thoracotomies done from 2016 to January 2018 were included in the study. Decortications, wide local excision, lobectomies, pneumonectomies, hilar lymph node dissections were done.Results: Total 30 cases were done in a span of 2 years. Of these 9 cases were done for a malignant origin, 4 for benign tumor, 3 for benign non-infective disease and rest 14 for infective origin. Posterolateral thoracotomies were done most often. Average duration of the procedure was 157 minutes. Average blood loss was approximately 340 ml. Mean duration of stay was 10.9 days.Conclusions: Thoracic oncologic procedures are less often done due to paucity of the cases. However, surgical oncologist being well versed with the anatomy, relations and oncologic concepts can perform both neoplastic as well as infected cases. With increasing number of cases, the standard of care is increasing, operating time is lessened, complications are brought down, and the results are better.
Use of social networking sites (SNS), social integration and social support in Indian medical students: a cross sectional investigation
Authors: Sinha Deoraj , Jaiswal Suyog V.
Published: May 2018

Background: Internet mainstreamed virtual socialization on social networking sites (SNS). Social relationship variables are linked to health. We investigated the social relationship variables and SNS use among medical students.Methods: After institutional ethics committee approval, we invited 150 random undergraduate medical students and 150 postgraduate resident doctors from a medical college. Regular SNS users were included and those suffering from any psychiatric or chronic medical condition were excluded from the study. Of all the invited individuals, 104 undergraduates (56 females and 48 males) and 103 postgraduates (50 females and 53 males) consented for study.Results: Facebook was the most commonly and regularly used SNS in our study sample. Daily average time spent by participants on SNS was 40 minutes. Mean number of SNS friends of undergraduates was 150 and of postgraduates was 143. Undergraduate medical students reported an average of 49 friends living locally and 74 friends living at a distance; postgraduate resident doctors reported average 80 friends living locally and 325 friends living at a distance. Undergraduates sought attention more frequently than postgraduates by posting photos to SNS. Postgraduates had their recreation and academics were more affected due to SNS than undergraduates. Number of SNS friends had no association with social integration, social support or social stress.Conclusions: SNS may hamper the curricular as well as recreational activities of medicos, especially postgraduate resident doctors. The number of SNS friends is independent of a medico’s social integration and may not be associated with social support and social stress.
Carotid intima medial thickness as a marker of atherosclerosis in ankylosing spondylitis
Authors: Mishra Sarvagya , Singhai Abhishek , Joshi Praksah , Jha Rajesh Kumar
Published: May 2018

Background: Ankylosing Spondylitis (AS) is an inflammatory disorder of unknown cause that primarily affects the axial skeleton; peripheral joints and extraarticular structures are also frequently involved. The present study was planned to generate more data on this subject with the aim of measuring the CIMT in AS, as these patients are more prone to develop early atherosclerosis and develop early macro vascular complications like CAD.Methods: It was a cross-sectional study with a sample size of 60 patients. The study group included 30 patients with a known history or clinical features suggestive of AS. The control group included 30 normal adult subjects without any previous history. All subjects included in the study underwent detailed clinical history, analysis, physical examination and necessary investigations.Results: CIMT in the control group was 0.54±0.19 mm and in the AS group was 0.65±0.21 mm. The difference was found to be statistically significant (P<0.05), showing a higher CIMT in the AS group in comparison to the control group. The mean age in the control group was 30.43±6.14 years and in the AS group was 29.3±10.1 years. The difference was found to be statistically not significant (p>0.05), showing comparable age between the two groups. The age to CIMT showed positive correlation which was statistically significant (r=0.405, p=0.026).Conclusions: Results of this study showed that there is a higher prevalence of subclinical atherosclerosis (20%) in AS patients as compared to controls as evidenced by a higher CIMT. Every effort should be made in order to control inflammation and traditional risk factors in this population, to avoid the consequences of accelerated atherogenesis.
Histopathological spectrum of non-infectious erythematous, papulo-squamous lesions: at a teritary care institute
Authors: Agrawal Sonal , Mishra K. B. , Gupta C. M.
Published: May 2018

Background: Dermatologic disorders are common in many countries, but the spectrum varies greatly. Papulosquamous lesions of the skin are encountered with considerable frequency. There is overlap of both clinical pattern and distribution of papulosquamous skin disorders, which often makes clinical diagnosis difficult, Histopathology is highly specific and sensitive for many lesions and its remains the gold standard for most dermatological diagnosis.Methods: A prospective histopathological study of 50 cases, which was carried out in the department of dermatology and Pathology in L. N. medical college and J. K. hospital research center, over a period of 1 year. A brief history and dermatological examination was carried out, skin biopsies taken were fixed in 10% formalin and subjected for tissue processing. Followed by microscopic examination.Results: In the present study of 50 cases of papulosquamous disorders psoriasis 60% (30 Cases) was the commonest followed by lichen planus 20% (10 cases), 3% (6 cases) each of pityriasis rubra, pilaris, parapsoriasis, Pityriasis rosea, and 4% (02 cases) of seborrheic dermatitis. Commonest age-group 31-40 years was more affected, sex distribution pattern revealed a male preponderence. 30 cases showed compatible clinical as well as histopathological diagnosis.Conclusions: Key histopathological features and clinico-pathological study gives a conclusive diagnosis. The importance of specific histo-morphological diagnosis lies in the distinguishing various lesions and their prognosis.
A study of Acinetobacter infections in a tertiary care hospital in Northeast India
Authors: Saha Swarnatrisha , Devi Ksh Mamta , Damrolien Shan , Devi Kh Sulochana
Published: May 2018

Background: Acinetobacter is an important opportunistic pathogen and is a common cause of hospital acquired infections. Acinetobacter infections are often extremely difficult to treat because of their widespread resistance to the major groups of antibiotics. The study was conducted to determine prevalence and antibiotic susceptibility pattern of Acinetobacter species isolated from various clinical samples.Methods: Clinical specimens over a period of 2yrs from May 2015 to April 2017 were collected from the patients attending the hospital. Acinetobacter species isolates were identified, and antibiotic susceptibility test was done following standard operative procedures.Results: From 9979 clinical specimens, 3715 were positive for significant bacterial growth of which 111 (2.9%) were culture positive for Acinetobacter spp. Among 111 isolates 109 (98.2%) isolates were Acinetobacter baumanni and 2 (1.8%) were Acinetobacter lwoffii. Maximum isolates were isolated from urine samples 36 (32.4%) and majority of the isolates were from wards (56.7%) giving a probability of increased hospital acquired infections. Maximum resistance was shown by cefipime (80.1%). Imipenem and Meropenem shows resistance of 25.3% and 29.7% respectively. ICU isolates showed extensive resistance in comparison to wards and OPD.Conclusions: Increasing trend of resistance pattern to a large range of antibiotics is a matter of concern. To avoid resistance, antibiotics should be used judiciously, and empirical therapy should be determined for each hospital according to the resistance rates of the hospital. Infection with MDR Acinetobacter species is independently associated with high mortality, emphasizing the need for aggressive infection control strategies.
Addition of benzodiazepines to selective serotonin reuptake inhibitors to optimize treatment of depression: a hospital based study
Authors: Dar S. A. , Bhat B. A. , Jan M. M.
Published: May 2018

Background: Selective serotonin reuptake inhibitors ameliorate depression and anxiety slowly and in fact increase anxiety or insomnia initially. Addition of clonazepam to escitalopram improves response: thereby improving symptoms associated with depression, reducing side-effects and alleviating core depressive symptoms. The aim of study was to assess the benefits of adding benzodiazepines in management of depression.Methods: It was an open label prospective study of 8 weeks of escitalopram group versus escitalopram with benzodiazepine group in moderate to severe depression. 51 subjects who gave written informed consent and were fulfilling the inclusion and exclusion criteria were included in the study and grouped into escitalopram alone or escitalopram with benzodiazepines.Results: In the present study nearly 60% of the patients were prescribed clonazepam. Though combined group with benzodiazepines had faster onset of action in controlling depressive symptoms than escitalopram group alone at 4 weeks of treatment, there was no significant difference in the pattern of reduction of MADRS score in both the groups at 8 weeks of follow up.Conclusions: Augmenting benzodiazepines to antidepressants are more effective in management of depression associated anxiety and sleep disturbances initially till SSRIs start action.
Breastfeeding counselling and support: is it adequate? a descriptive study from Rohtak, India
Authors: Goswami Shweta , Khanna Pardeep , Verma Ramesh , Chayal Vinod , Arora Varun
Published: May 2018

Background: Antenatal breastfeeding education and motivation along with postnatal encouragement and lactation support are likely to improve rates of early initiation and exclusive breastfeeding. This study was done to know whether antenatal and postnatal visits were utilized for promotion of optimum breastfeeding in addition to the routine obstetric services.Methods: This descriptive cross-sectional type of community based epidemiological study was conducted in rural and urban field practice area attached to Department of Community Medicine, Pt. B. D. Sharma PGIMS, Rohtak. A total of 500 mothers were studied. A pre-tested semi-structured interview schedule was used for interviewing the study subjects and house to house visits were carried out to collect the information.Results: Health functionaries were the source of information in 49.6% mothers in urban area as compared to only 29.2% in rural areas. Breastfeeding related information was better in the mothers counseled by health functionaries than not counseled group.Conclusions: Health functionaries should be instructed to inform all pregnant women about the benefits and management of breastfeeding during antenatal as well as postnatal visits. Existing breastfeeding education and postnatal support is not adequate in the population studied and needs to be strengthened.
Study of haematological, biochemical profile and clinical presentation in dengue positive patients: 82 cases
Authors: Patel Mubin I. , Patel Abhishek , Patel Avani , Patel Sharmistha , Padsala Suresh
Published: May 2018

Background: Dengue Fever (DF) is a self-limiting disease caused by arbovirus and transmitted by Aedes mosquitoes (Aedes aegypti and Aedes albopictus). It is one of the 17 neglected tropical diseases by WHO. Diagnosis of dengue depends mainly on the detection of IgM and IgG antibody, and NS1 antigen.Methods: The study was carried out in Department of Pathology, affiliated with a government hospital. It includes 82 dengue patients, admitted from August 2015 to August 2016. Haematological, biochemical profile, clinical signs and symptoms were recorded. The Tourniquet test was performed in all the patients on admission. Grading of dengue: DF/DHFI/DHFII/DHFIII/DHFIV. Grade III and IV were collectively called as Dengue Shock Syndrome.Results: Total 82 Dengue positive cases were studied, 52 (63%) were males and 30 (37%) were females. 24 (29%) patients were recorded in September 22 (27%) in October 19 (23%) in August. 12 (14.60%) had positive tourniquet test. Thrombocytopenia was present in 86.5 % patients. Majority cases were of classical dengue fever 51 (62.20%), 14 (17.07%) were of DHF I, 12 (14.63%) were of DHF II, 3 (3.66%) were of DHF III and 2 (2.44%) were of DHF IV.Conclusions: It is very important to correlate clinical examination with haematological and biochemical profile in dengue patients. Hematocrit value, leucopenia, thrombocytopenia, raised liver enzymes is very important to monitor dengue cases in their initial stages and thus facilitate early treatment. This would minimize morbidity and mortality arising out of serious complications of dengue fever.
A comparative study on dengue and malaria infections and analysis on the prevalence of co-infection from a rural tertiary care hospital
Authors: P. R. Dhanya , K. Shilpa , Hittinahalli Vivek
Published: May 2018

Background: To compare dengue fever and malaria infection cases from a rural tertiary care hospital.Methods: Samples from January 2017 to February 2018 which had come to the Department of Microbiology at East Point College of Medical Science and Research Centre were included in the study. Serological diagnosis of dengue was done using the rapid dengue day 1 test which detects NS1, IgM and IgG. This test can be performed using serum, plasma or whole blood. Malarial parasites were identified by peripheral smear for malaria by Leishman’s stain and Jaswant Singh Battacharji (JSB) stain, rapid tests were performed by using advantage mal card, which detects plasmodium falciparum and plasmodium vivax by using human whole blood.Results: Monthly analysis is done for dengue samples and malaria samples were done during January 2017 to February 2018. Positive samples are then analysed according to NS1 positive cases, IgM positive cases, IgG positive cases, NS1 and IgM combined cases, NS1 and IgG combined cases and IgM and IgG combined cases for dengue. In case of malaria vivax and falciparum cases were compared. Samples are then compared among different age groups. Under 15 age- group there were 32 positive cases of NS1, 1 case of IgM and IgG combined positive and 1 case of P. falciparum infection. In 16-50 age-group 244 cases were dengue NS1 positive, 1 case positive for NS1 and IgM combined, 1 case for NS1 and IgG combined, 5 cases for IgM and IgG combined, 11 cases of P. vivax and 3 cases of P. falciparum. Above 50 age-group had 27 NS1 positive cases and 1 case of IgM and IgG combined. NS1 and Plasmodium vivax species positives were more from dengue and malaria infection.Conclusions: From July 2017 to October 2017 dengue and malaria cases were drastically increased. Malariacases drops from November to December 2017 and again raised from January to February 2018, which shows seasonal variations. So, we conclude that viral and parasitic infection mainly occurs in July to September months and has to be ruled by proper clinical diagnosis.
Clinico-radiological variability of pulmonary tuberculosis in young patients as compared to elder patients prior to RNTCP and after 18 years RNTCP
Authors: Joshi Jawahar L. , Devi Sunita , Mohan Vinay , Kaur Ritu P. , Kaur Ramandeep
Published: May 2018

Background: Tuberculosis, a chronic disease causing high morbidity and mortality with multiple host related and socio-demographic risk factors. Incidence is 3-4 times among in diabetics. HIV is considered to be a most powerful risk factor other being malnutrition, Tubercular contacts, smoking habits and alcoholism. Many ecological and societal threats increase a vulnerability to infection and succession of the disease. Objective was to study and compare various clinico-radiological presentations and clinical risk factors for pulmonary tuberculosis in the young (<50yrs) and elderly (>50yrs) patients.Methods: Total 300 pulmonary tuberculosis patients each admitted in hospital during 1999 (group ‘A’) and 2016 (group ‘B’) respectively were included in our study. Socio-demographic risk factors and presence of any existing co morbidities and clinical as well radiological presentation data were evaluated.Results: Majority patients in both group ‘A’ and ‘B’ were males (67% and 61.3%), younger (71.3% and 63.3%) patients. Elder patients had more smokers in both groups (48.8% and 33.6%). COPD trends seems to be receding in group ‘B’ as compared to group ‘A’ in younger (6.3% vs. 8.9%) as well elder (13.6% vs. 29.1%) but on the contrary lifestyle disease trends like DM increased in group ‘B’ than group ‘A’ patients more in elder subgroup (30% vs. 9.3%). HIV infected was more in younger 2.1 % (elder 0.9%) group ‘B’ patients. Haemoptysis (17.8% and 18.6% vs. 13.7% and 9.1%) and cough (~87% vs. ~85%) were almost similar but fever (~90% vs. ~65%) was seen significantly higher in the young patients. Radiologically bilateral upper lobe cavitations (15%-30%) was a higher in group A patients as compared to negligible less than ~3% cavitations in group B, on the contrary infiltrations (15%-32%) was more in group B.Conclusions: Young adults are more likely to have fever while haemoptysis cough and advanced lung field involvement is more common in elderly. Elderly patients had a higher number of co-morbidities like COPD and DM. The present study reveals that various demographic, socioeconomic and clinical risk factors have a potential role in causation/augmentation of pulmonary tuberculosis hence life style modification, prevention and timely management of these risk factors could be helpful to reduce the burden of disease.
Dexmedetomidine versus propofol as a sedative agent in the intensive care unit: a randomized single blinded prospective study
Authors: Borah Pollov , Kakati Rishav , Bhattacharyya Rajib K.
Published: May 2018

Background: Sedation is an essential prerequisite for every ICU patient. It promotes patient comfort, helps in alleviation of anxiety, stabilizes vitals and reduces the time to extubation and ICU discharge. This study aims at comparing dexmedetomidine versus propofol in ICU sedation with respect to maintenance of vitals, time to extubation, incidence of adverse effects and cost effectiveness.Methods: 60 intubated and mechanically ventilated post-surgical ICU patients were randomly allocated to two groups of 30 each. Group D received dexmedetomidine infusion as a loading dose of 0.1mcg/kg/min IV over 10 minutes followed by maintenance infusion of 0.2-0.7mcg/kg/h IV. Group P received propofol infusion as a loading dose of 5mcg/kg/min IV over 5 minutes followed by a maintenance infusion of 0.3-3mg/kg/h IV. Patients in both groups were maintained at Richmond agitation sedation score of -1 to -2. Measurements of HR, NIBP, SpO2 were taken at regular intervals till cessation of sedation and extubation. Data thus collected was subjected to statistical analysis.Results: Dexmedetomidine was seen to be comparable to propofol as far as maintaining vitals was concerned. Group D (dexmedetomidine) had a statistically significant shorter mean duration to sedation cessation and extubation than group P (propofol). Dexmedetomidine also had the added advantages of minimal respiratory depression, decreased opioid requirements as well as greater cost effectiveness.Conclusions: Dexmedetomidine was found to be a better choice for sedation in the ICU compared to propofol.
Prevalence of psychiatric co morbidities in bronchial asthma and chronic obstructive pulmonary disease patients in North India population cohort
Authors: Mahajan Vineet , Sareen Himanshu , Kant Surya , Bajpai Jyoti , Narain Apoorva , Soni Sandeep , Kapoor B. K.
Published: May 2018

Background: Psychiatric co morbidities tend to occur quite frequently in patients of chronic respiratory diseases mainly bronchial asthma and Chronic Obstructive Pulmonary Disease (COPD) but still it is highly under diagnosed. Aim and objective of the study was to find out the prevalence of psychiatric co morbidities in asthma and COPD and to correlate them with disease severity according to Global Initiative against Obstructive Lung Disease (GOLD) and Global Initiative against Asthma (GINA) guidelines.Methods: Study was conducted in Department of TB and Chest in association with Department of Psychiatry of Punjab Institute of Medical Sciences, a secondary care medical college in north India. A total 204 patients, 68 of bronchial asthma, 68 0f COPD and 68 were controls included in the study. Diagnosis and severity of respiratory diseases was assessed by spirometry. Evaluation of psychiatric co morbidities was done using the MINI international neuropsychiatric interview questionnaire.Results: The frequency of psychiatric co morbidities in COPD patients was significantly higher (32.4%) compared to patients of bronchial asthma (20.6%). The most common co morbidity in both arms was generalized anxiety disorder (17.6% in COPD patients and 10.3% in patients of bronchial asthma.Conclusions: COPD patients have a higher frequency of psychiatric co morbidities compared to bronchial asthma patients and control population. These should be properly screened and treated.
Intraoperative squash cytology and histopathological correlation of primary temporal lobe lesions: a 6 year study at tertiary care centre of Kashmir, India
Authors: Lone Mohd Iqbal , Jeelani Tazeen , Rashid Gazanfar , Bashir Nusrat , Angmo Dekyong
Published: May 2018

Background: Central nervous system (CNS) tumors constitute about 1-2% of all the tumors. They are the 6th most common tumors in adults and 2nd most common among childhood tumors. Gliomas are the most common CNS neoplasms. In addition to gliomas temporal lobe has predilection for some peculiar tumor subtypes having good prognosis, including pleomorphic xanthoastrocytoma (PXA), low grade astrocytic tumors and dysembryoplastic neuroepithelial tumor (DNET) in children.Methods: Study was conducted in the department of pathology Sher-e-Kashmir institute of medical sciences (SKIMS) Soura, Srinagar Kashmir India. This was six-year study.Results: Temporal lobe tumors were commonly seen in 3rd to 4th decade of life accounting for 37.9% of the cases followed by 4th to 5th decade (27.5%). The mean age of presentation being 40±10 yrs. Males outnumbered females with a male: female ratio of 1.7:1. Intraoperative squash smears were mostly reported as High grade gliomas (WHO Grade III-IV) accounting to a total of 42 cases (36.2%). On histopathology frequent temporal lobe tumor seen was Glioblastoma multiforme (GBM) 17.4%, followed by pleomorphic xanthoastrocytoma and oligodendroglioma accounting for 14.6% of cases each. On comparing the diagnostic accuracy of intraoperative squash smears to that of Histopathological diagnosis an overall accuracy of 86.2% was observed.Conclusions: Intra operative squash technique in CNS tumors is universally accepted method. In temporal lobe lesions, on adequate sampling and careful examination, squash cytology has fairly good diagnostic accuracy rate of 86.2% when compared to histopathology.
Kimura’s disease: a diagnostic and therapeutic enigma
Authors: Bharat Vinay , Gupta Abhishek , Bansal Rani , Gupta Priya , Gupta Mamta
Published: May 2018

Kimura’s disease is a rare chronic inflammatory disorder present in 2nd and 3rd decade. It has a predilection for head and neck region presenting as a slowly growing painless swelling. It is usually accompanied by peripheral eosinophilia and elevated serum IgE and hence it was initially thought to be of allergic origin. Histologically the lesions are characterized by reactive hyperplasia of lymph nodes, eosinophilic infiltration and increase in postcapillary venules. Authors have reported a male patient with a slowly growing right sided neck swelling which is recurring even after course of steroids and excision done twice at an interval of 6 months. Kimura’s disease although a benign Lymphoid disorder but the incidence of recurrence despite taking treatment is a cause of much concern for the patient.
An interesting case of back pain
Authors: Rai Pratheeksha G. , Subramanya Chethan
Published: May 2018

Meliodosis is a disease caused by gram negative bacterium Burkholderia pseudomallei. Among its various clinical presentations, involvement of spine is rare phenomenon. On presentation they mimic tuberculosis and malignancy. We present a case of an elderly male with known case of diabetes mellitus presented with fever of unknown origin associated with back pain. On evaluation, all tests for tuberculosis and malignancy remained negative. Multiple visceral abscesses with hyper intense foci in T4vertebrae were seen. Pleural fluid culture grew Burkholderia pseudomallei. Patient was treated with parenteral meropenem for 2 weeks, oral doxycycline and trimethoprim/sulphamethazone for 12 weeks. Dramatic decrease in back pain with improvement of constitutional symptoms was seen within 2 days of initiation of appropriate antibiotics. Meliodosis should be considered in differential diagnosis of back pain with constitutional symptoms. Dedicated team of microbiologists and physicians is required to identify and treat the disease.
Avaliação da qualidade físico-química, microbiológica e aceitação sensorial das águas de coco refrigeradas produzidas no Sertão do Pajeú – Pernambuco
Authors: Moura Neto Luis Gomes , Silva Bruno Alves da , Costa Janaina De Paula da , Nascimento Andrea Dacal Peçanha do , Soares Denise Josino
Published: May 2018

Coconut water is a natural,tasty, low calorie drink,. Its consumption is continuously increasing , mainly because of its properties of electrolytes replacement. The extraction and packaging stages are quite susceptible to microbial attack, resulting in loss of quality and, consequently, a decrease in its nutritional value. (PH, total soluble solids, total titratable acidity, reducing sugars, ashes), microbiological quality (total coliforms, thermotolerant to 45ºC, Salmonella, molds and yeasts, Global impression and purchase attitude) of coconut water refrigerated, bottled and commercialized in the Sertão do Pajeú, Pernambuco. Two brands (A and B) were identified and had samples collected in the companies so as to reduce variations during analyzes. The two samples were within the standards established by current legislation, but sample B presented aspects that had greater acceptability among consumers and were also safer to them .
Estudo da Terapia Fotodinâmica (PDT) no reparo de lesões teciduais: estudo de casos clínicos
Authors: Moura José Pedro Gomes , Brandão Lethicia Barreto , Barcessat Ana Rita Pinheiro
Published: May 2018

A Terapia Fotodinâmica (PDT) é uma modalidade terapêutica utilizada com a finalidade de redução microbiana e tumoral. Trata-se da combinação de um fotosensibilizador com radiação eletromagnética ao oxigênio tecidual, gerando alto efeito citotóxico local, levando a célula ou o microorganismo à morte. O objetivo desta pesquisa avaliar a evolução clínica de feridas humanas tratadas e não tratadas com a PDT. Para este estudo foram utilizados dezesseis indivíduos com duas feridas cada, sendo cada um dividido em dois grupos: 1) grupo PDT: tratado uma de suas feridas com a PDT e; 2) grupo controle: tratado sua outra ferida com terapia convencional com solução fisiológica (0,9%). As lesões de ambos grupos receberam igual cobertura com alginato de prata, sendo fotografadas e mensuradas em dois períodos para avaliar cicatrização. Cem por cento das lesões tratadas com PDT apresentou redução em sua área e melhora clínica, enquanto que no grupo controle houve setenta por cento de redução das lesões. A evolução clínica das feridas foi mais favorável naquelas nas quais utilizou-se PDT tanto no que concerne à redução da área quanto à redução da sensibilidade dolorosa, mostrando-se a terapia fotodinâmica como útil, eficaz e promissora no tratamento de feridas.
Management of traumatic pneumothorax in isolated blunt chest trauma
Authors: SARIÇAM Murat , ÖZKAN Berker , TÜRK Yaşar
Published: May 2018

Objectives: Pneumothorax
is an important complication of blunt chest trauma. The aim of this study was
to report our experience in treatment strategy and outcomes of traumatic
pneumothorax. Methods: A total of 78 patients who developed pneumothorax due
to isolated blunt chest trauma were evaluated in terms of age, gender, size of
pneumothorax, treatment methods, complications and length of hospital stay. The
size of pneumothorax was calculated with computer-aided volumetry. Results: Tube thoracostomy was performed for 48 patients while observation was
undertaken for 30 cases. Chest tubes were inserted in 6 patients after 24 hours
following the traumatic event. A total of 8 patients who developed prolonged
air leakage and hemothorax as complications underwent video-assisted
thoracoscopic surgery. None of the patients developed any mortality or
morbidity. Conclusions: Traumatic pneumothorax demands prompt diagnosis
and treatment. Monitoring all patients even with small sizes of traumatic
pneumothorax for at least 24 hours onset of their initial assessment and
applying chest tubes for cases who have pneumothorax larger than 50% at first
examination should be an appropriate modality for treatment. Moreover, the
minimally invasive approach of video-assisted thoracoscopic surgery benefits to
overcome the complications of thoracic trauma.
现代建筑结构检测与加固施工技术
Authors: 闫 彬彬
Published: May 2018

现阶段,在我国社会经济快速发展的今天,对建筑工程结构检测又提出了新的要求,使得建筑工程在结构检测过程中逐渐研发出一些新型检测技术。基于此,本文就对现代建筑结构的检测方法进行分析,并提出针对性的建筑结构加固施工技术,以期为建筑工程的施工提供参考依据。
地质找矿工作中的重点难点问题探讨
Authors: 张 洪铭
Published: May 2018

随着经济的发展,国家在地质找矿方面的投入越来越大,使我国的地质找矿技术得到了很大的提升,改善了以往找矿方法单一的问题,其发展越来越趋向于科学化及合理化,但由于我国地质找矿工作起步较晚,在具体工作过程中仍然会遇到许多的重点和难点问题,对该项工作的质量造成了一定的影响,基于此,本文就地质找矿工作进行讨论,对该项工作中遇到的重点及难点问题加以了解,并针对这些问题探讨相应的解决措施,希望能够对地质找矿工作的发展产生一定的推动作用。
试论建筑施工现场管理的优化及质量监督
Authors: 张 涛
Published: May 2018

在建设现代化建筑工程的过程中,完善落实好工程施工现场管理工作很有必要,其可从根本上提高整体施工质量,并可为施工人员的生命安全提供保障。随着我国市场经济体制的不断改革以及建筑行业的快速发展,传统施工现场管理模式远远无法满足现代工程的实际要求,且在实践过程中常产生大量问题,由此也为施工人员生命安全以及施工质量造成严重影响。因此,在新时期背景下,相关建筑施工企业应提升对上述问题的重视程度,并可多方面入手对施工现场管理水平加以提升,以此确保施工质量和施工人员生命安全。文章主要对施工现场管理的优化及质量监督进行了分析研究。
关于建筑工程施工质量控制的探析
Authors: 赵 林
Published: May 2018

建筑工程施工质量控制对于建筑工程建设的重要性,因此需要切实加强对原材料质量的控制以及机械设备管理、做好施工技术交底工作、努力提高施工管理人员的专业技术水平、认真做好隐蔽工程的验收工作等各方面工作,从而保障建筑工程建设的顺利实施。基于此,本文阐述了建筑工程施工质量控制的重要性,对建筑工程施工质量控制存在的主要问题及其策略进行了探讨分析,旨在保障建筑工程建设的顺利进行。
建筑工程管理中创新模式的应用及发展分析
Authors: 吴 昊
Published: May 2018

建筑工程优质化创新化已成为当今行业发展重要推动力,在现代工程建设高速发展的今天,如何在建筑工程的管理模式中发挥主观能动性,实现管理的全面创新成为建筑行业获得最大经济利益的关键一环。科学完善的工程管理不但可以保证工程进度,还可为居民提供更加优越的生活物质基础,满足人们日渐严格的建筑质量要求。在当前阶段,我国在革新工程管理的道路上还存在一些难以解决的问题,而传统落后的管理观念已不能适应市场新要求,所以在这种背景因素的促使下,本篇文章研究讨论了实际工程管理存在的不足并提出有效的优化策略,将工程管理全面改革,且对其未来发展前景作出具体论述,意在突破传统管理的壁垒,符合新时期建筑行业的发展模式。
建筑工程造价动态管理分析
Authors: 袁 颀
Published: May 2018

随着经济的发展,我国的城市基础建设的步伐越来越稳健和迅速,也因此我国的建筑工程企业的发展有越来越大的空间。在此背景下,企业家越来越重视对建筑工程施工过程的管理,也在寻求提高企业经济效益的方法。这是一个企业是否能够继续稳健发展的关键。随着建筑工程施工管理的不断发展,动态管理在工程造价管理中的应用已经成为发展的重要方向。建筑工程造价管理工作在动态工程造价管理下健康发展,实现科学的工程造价管理。因此,此文通过从自身的一些经验以及查阅相关的文献资料下对建筑工程造价的动态管理与控制进行了论述。
城市景观生态规划的要点分析
Authors: 高 杨
Published: May 2018

随着我国城市化进程的快速发展,环境恶化、特色缺失等一系城市问题也随之暴露出来,城市景观越来越受到人们的重视。本文论述了城市景观的特点,目前城市景观管理中存在的问题,并对如何加强城市景观管理提出了合理化建议。
建筑电气自动化在现代建筑中的应用
Authors: 李 凯
Published: May 2018

社会的进步以及经济的发展,对建筑行业的发展产生了很大的推动作用,各种电气自动化技术被广泛的应用在了建筑工程当中,在提升建筑智能化水平的同时,也让建筑当中的电气设备变得更加安全可靠,在改善人们生活条件的同时,也推动了建筑行业的现代化发展,因此,本文针对建筑当中的电气自动化进行讨论,对该项技术的主要优势加以了解,并对该项技术在建筑当中的具体应用进行论述,希望能够提升电气自动化的应用水平,将该项技术的作用充分的发挥出来,使其在建筑行业未来发展过程中发挥更大的作用。
当前城市防洪工程建设和管理问题的探讨
Authors: 杜 亮
Published: May 2018

城市防洪工程作为城市经济与民生发展的基础保障,是提高城市安全稳定的重要环节,其很大程度的决定了城市的发展水平。如今,对城市防洪工程的概念理解已不单是修建堤坝,防洪抗涝,而应是顺应城市建设进度和发展步伐,协调城市基础生态环境,完善城市基础设施,提高城市景观面貌的系统性、综合性的工程。与此同时,过度重视基础建设,轻量管理的传统城市建设理念随着时代的进步被摒弃,并逐步趋向建设与管理的双向发展。鉴于此,本文就当下城市防洪工程工作的发展现状进行了研究,并阐释了管理工作中存在的缺陷和不足,同时提出了具有针对性的改善举措,旨在可以为完善城市防洪工程管理体系,推动城市的健康发展提供一些意见上的参考。
浅谈地铁车站常规机电设备安装工程质量控制
Authors: 鹿 勇
Published: May 2018

文章主要对地铁车站常规设备安装工程施工质量控制进行了探讨。
土石坝施工质量管理
Authors: 朱 广
Published: May 2018

水利工程建设通常都会采用土、砂砾、石料等作为大坝主体材料,这种土石坝在水利工程发展过程中应用的时间非常久,也是目前大多数水利工程使用的大坝类型,这种大坝施工简单,可以就地取材,能够一定程度的减少施工建设成本。但是土石坝也存在一定的缺点,如会受到渗流现象的威胁,需要对于土石坝的施工进行严格的质量控制以保证土石坝的优良性能等。鉴于此,本文主要分析了土石坝存在的渗流缺陷,并制定了相应的质量管理办法,以供参考。
成组技术在建筑预决算中的应用
Authors: 王 沿娣
Published: May 2018

随着经济的不断发展,建筑业的脚步也迅猛向前,成组技术的运用,为建筑业在建筑工程的预算和决算的过程提供了极大的便利。它对推动建筑工程建造的全过程的完整化和合理化、增强建筑项目的市场竞争力、提高建筑工程商的经济效益等都起到了至关重要的积极作用。
岩土工程施工特点及岩土工程勘探技术研究
Authors: 郭 文智
Published: May 2018

在我国的建筑工程中, 岩土工程具有非常重要的地位, 岩土工程施工的质量情况既对建筑工程的整体质量有影响。近年来,随着我国经济突飞猛进的发展,各个行业的工程建设在不断增多,岩土工程的应用也变得丰富起来,所以保证岩土工程的施工质量是目前建筑工程的重要工作。本文立足于岩土工程的施工技术特点,对岩土工程的勘探技术进行细致的分析,总结勘探技术在使用中存在的问题并予以优化,进而促进我国岩土工程的稳定发展。
浅析邻近营业线（B、C类）施工监理控制要点
Authors: 李 玉刚
Published: May 2018

铁路营业线施工必须把确保安全放在首位,坚持“安全第一、预防为主、综合治理”的方针。
高速公路造价管理的重要性与改善方法
Authors: 钟 家瑞
Published: May 2018

项目造价管理水平直接影响着项目的经营效果和经济效益,随着社会的不断发展,高速公路市场竞争越来越激烈,为了能够更好的发展,需要不断加强成本造价管理控制。因此在实际的应用过程中需要从多个方面进行优化控制,并针对存在的问题采取做事进行优化,从而能够更好地控制工程造价,促进企业的建设发展。基于此本文分析了高速公路造价管理的重要性与改善方法。
浅谈公路隧道工程建设的开挖支护施工
Authors: 杨 杰
Published: May 2018

隧道工程开挖支护施工是公路交通工程建设的重要内容,施工时要根据地质勘察情况进行分析,然后与各种开挖支护方案进行结合,并采用复合衬砌支护方式进行施工。基于此,本文阐述了公路隧道工程建设中的主要开挖支护施工方法,对公路隧道工程建设中开挖支护施工作用及其施工要点进行了论述分析,旨在保障公路隧道工程建设的顺利实施。
浅谈公路沥青路面的热熔橡胶沥青碎石封层养护施工及其检测
Authors: 杨 德明
Published: May 2018

当前公路工程通常采用半刚性基层加柔性面层的结构,该结构具有较高的强度与刚度等特征,但是却同时存在容易产生干缩和温缩造成的裂缝问题。而这种裂缝容易在沥青面层进行反应,导致雨季雨水通过裂缝渗入到基层中,对基层进行侵蚀,基于此,本文结合某公路工程,首先阐述了公路沥青路面工程中的裂缝及其病害,对公路沥青路面工程中的热熔橡胶沥青碎石封层养护施工进行了论述分析,并论述了加强公路沥青路面工程养护检测的措施。
高支模施工技术在土建施工中的应用
Authors: 梁 宏斌 , 宋 晓蕾
Published: May 2018

随着现代科学技术的不断深入及运用，我国各项生产领域均得到很大程度的进步，土建工程作为我国经济发展的支柱，对我国实现社会主义现代化建设有着至关重要的作用。各项新技术在快速发展的大环境下得以兴起及运用，土建工程方面也慢慢引用了高支模的施工技术，利用该技术可以优化工程建设的综合经济效益，维持土建工程施工的健康安全发展。所以高支模工程技术在土建施工中占据着极其重要的位置，是当前土建行业广泛应用的核心技术。本文根据高支模施工技术在土建工程施工中的实际应用，详细探讨其作用及存在的问题，并针对存在的问题采取有效的应对措施，以期能够为我国土建工程建设的顺利发展提供参考。
贵州山区高速沥青路面配合比设计及施工控制
Authors: 伏 亚亚 , 张 春
Published: May 2018

对多雨、大纵坡的山区高速公路沥青路面配合比设计及施工过程中存在的问题进行分析，通过对原材料控制—配合比设计—配比优化—施工控制—施工优化方面提出自己看法及施工质量控制要点。
简析土建工程中的混凝土施工技术及其施工管理
Authors: 王 睿
Published: May 2018

随着城市化建设的不断推进,使得建筑混凝土工程建设不断增多,而且混凝土以高强度及良好工作性能的特点在建筑工程建设中得到广泛应用,并且其施工质量好坏直接关系到建筑安全及其使用,基于此,本文阐述了对建筑混凝土工程建设中常用的施工技术及其施工管理进行了简要分析,旨在保障土建工程建设的顺利进行。
建筑工程施工技术质量控制方法探讨
Authors: 覃 泳蓉
Published: May 2018

随着我国建筑行业的迅速发展,我国人民对建筑工程的施工质量提出了更高要求,想要保证建筑工程的整体质量,就必须要采取有效方法对建筑工程施工技术进行控制,使建筑工程的施工质量得到有效保障。然而就实际情况来看,我国建筑工程施工技术的质量控制存在诸多问题,很难保证建筑工程的整体质量,这就必须要对以往的建筑工程施工技术质量控制进行优化,为建筑工程施工技术质量控制的进步和发展提供有利支持。鉴于此,本文就针对建筑工程施工技术质量控制的影响因素进行深入分析,根据实际情况提出一些具体方法,希望能为建筑工程施工技术质量控制提供有效参考依据。
关于公路路基工程建设施工的探析
Authors: 赵 仁章
Published: May 2018

公路路基工程不仅需要承受汽车等交通工具的载重,还需要能够经得起自然因素的侵蚀考验。因此公路路基工程建设施工应该根据施工区域的地形、地质状况等地理条件以及自然条件加以分析后,通过合理施工及其质量管理,提高公路工程质量。基于此,本文阐述了公路路基工程建设的施工准备,对公路路基工程建设施工要点及其质量管理进行了探讨分析。
高层建筑危急情况下的电梯系统
Authors: 杨 新建
Published: May 2018

高层建筑发生火灾时,由于受到高温、烟气、正压送风以及消防水等因素的影响,电梯系统的支护结构、供电系统、电气、电路等部件出现故障或损坏,导致电梯停止运行,是影响高层建筑使用电梯进行人员疏散的根本原因。因此,建立电梯紧急疏散系统,是实现电梯协同疏散的保障措施之一。基于此,本文阐述了高层建筑发生火灾时电梯系统疏散的安全隐患及其可能性,对高层建筑发生火灾时的电梯系统失效机制及其疏散系统进行了探讨分析。
电梯远程监控系统的研究与开发
Authors: 陈 涛
Published: May 2018

随着城市化的不断推进,使得高层建筑日益增多,电梯作为最重要的高层建筑交通工具,其运行质量和可靠性直接影响到居民的舒适性和生命安全。所以实时监控电梯运行状态,并且将监测数据传输到监测软件,进行信号分析,科学判断电梯运行状态,对于保障电梯安全运行非常关键,基于此,本文概述了电梯远程监控系统,简述了电梯远程监控系统的组成,对电梯远程监控系统的研究与开发进行了探讨分析。
现代电梯的机械构造及机械安全装置浅谈
Authors: 郭 闯
Published: May 2018

现代电梯作为高层建筑中的重要组成部分,关系到人们的生命财产安全。因此对现代电梯的安全运行必须要给予高度的重视。不仅要对现代电梯的机械结构进行一定的了解,还要加强对限速器、安全钳、缓冲器以及终端超越保护装置等安全装置进行分析,以确保现代电梯的安全运行。基于此,本文分析了电梯机械结构安全事故原因,对现代电梯的机械构造及其安全装置进行了论述分析。
简析电气自动化控制管理中的PLC技术应用
Authors: 韩 雪松
Published: May 2018

PLC 技术是以微处理器为基础,综合计算机、通信、互联网以及自动控制技术而开发的一种工业控制装置,其全称为可编程逻辑控制器。PLC 技术属于专门为工业体系生产而设计的电子化控制装置,该装置之所以能够被广泛的应用到各个生产行业之中,其根本原因就是由于其具有通用性、灵活性、可靠性等方面的优势。PLC 技术在电气自动化控制管理中的应用,首先应该对电气自动化控制任务进行确定,然后对PLC 的功能和价格进行比较,选择比较适合电气自动化控制的程控器主机。为了充分发挥其作用,本文阐述了电气自动化控制管理的主要特征以及PLC 技术的主要类型及其优势,对电气自动化控制管理中的PLC 技术应用进行了简要分析。
浅谈风景园林设计的植物配置与规划
Authors: 李 婷
Published: May 2018

在现代园林建设过程中,植物配置应根据施工现场的实际情况和功能要求,结合植物本身的生态习性,进一步提高园林绿化的整体效果,为人们提供一个更舒适的生活环境。本文讨论了景观设计的植物配置和规划。
建筑学中绿色建筑设计的发展趋势
Authors: 龚 向宇
Published: May 2018

社会经济的发展,环境问题越来越受到人们的重视,在建筑行业中,绿色建筑的设计与发展成为很多人的研究对象。绿色建筑符合可持续发展道路的需求,它的出现体现了社会意识到对环境问题治理的重要性。发展绿色建筑需要了解我国建筑行业最真实的发展情况,寻找属于中国的社会经济情况的特色的绿色建筑发展道路。推进社会经济的繁荣发展。这不只是建筑工程师的任务,需要整个社会的合力支持。本文就整个绿色建筑设计的发展现状以及推进绿色建筑设计发展的措施和意义进行简要分析。
建筑工程施工的关键施工技术
Authors: 陈 健攀
Published: May 2018

建筑工程施工的关键施工技术涵盖领域包括土建、采暖卫生、煤气工程、电梯与消防等方面,涉及的学科包括材料力学、结构力学、施工技术、钢筋混凝土技术等,每个领域内学科和理论知识又有交叉,为了发挥其作用,本文阐述了现代建筑工程施工的主要特征,对建筑工程施工的关键施工技术及其发展进行了探讨分析,旨在促进建筑业的可持续发展。
浅谈室内装饰施工质量管理
Authors: 谢 阳如
Published: May 2018

室内装饰装修是建筑工程设计的深化和拓展,能够对室内空间进行再创造,并完善建筑使用功能,以此满足居民的实际需求。近年来我国建筑行业平稳发展,建筑室内装饰装修工程不断增加,给具体工作提出了更高要求。本文对室内装饰施工质量管理进行分析探讨。
简析双连拱隧道的施工要点及其安全管理
Authors: 沈 冲
Published: May 2018

双连拱隧道通常是在经过山势不高、纵向长度较短、横坡较陡以及公路上下行线在此分不开的情况下,设置双跨连拱隧道,为了保障双连拱隧道建设的顺利进行,本文简述了双连拱隧道的主要特征,结合国内山区某隧道工程,对双连拱隧道施工要点及其安全管理进行了简要分析。
浅谈市政工程安全管理
Authors: 覃 式军
Published: May 2018

当前,建筑行业施工安全生产事故频繁发生,特别是重大伤亡事故呈上升趋势。因此,需要加强市政工程安全管理,确保人民的生命财产安全。,因此安全管理是市政工程管理日益重要的组成部分。
探析土木建筑地基工程建设的试验检测及其策略
Authors: 应 海洋
Published: May 2018

土木建筑地基工程试验检测技术主要包括静力触探法、动力触探法、平板荷载试验法等方法,为提高地基试验检测工作质量水平,土木建筑地基工程试验检测工作逐步应用探地雷达法、剪切波速法和瑞利波法等技术。但是无论采用何种试验检测技术,试验检测人员都必须掌握相应的试验检测要点,从而提高检测结果的准确性,保障建筑工程质量。因此为了充分发挥其作用, 本文阐述了土木建筑地基工程建设存在的主要问题以及土木建筑地基工程建设试验检测的要求及其内容,对土木建筑地基工程建设的试验检测要点及其策略进行了探讨分析,旨在保障土木建筑工程建设的顺利进行。
现代电梯轿厢机械锁紧装置的现场检验分析
Authors: 赵 晓珂
Published: May 2018

电梯轿厢机械锁装置是电梯重要的安全装置,它是为了预防电梯在非开锁区域突然打开轿门时,发生人员坠落事故而设置的门锁保护装置。其安全性能直接关系着电梯运行的可靠性。纵观近几年的电梯事故,很大一部分情况是由机械锁紧装置的故障造成的。笔者通过现场查验,对电梯轿厢机械锁紧装置的可靠性进行分析讨论,以期提高使用的安全系数。
建筑工程中的抗震施工技术分析
Authors: 陈 波
Published: May 2018

地震灾害的发生对我国的城市建设工作带来了严重的影响,其不仅会对人们的生命安全构成严重的威胁,同时还对城市建筑带来严重的损毁,影响城市经济的进一步发展。为了提升建筑结构的整体性能,降低其在灾害面前的损毁程度,应重视抗震技术的合理应用,提升建筑的抗震性能,尽可能的保证人们的财产安全。本文主要是针对抗震技术在建筑工程中的具体应用进行了详细的阐述,剖析了抗震技术在建筑中的重要作用,希望能够为提升建筑的稳固性奠定基础。
建筑工程项目绿色施工管理模式研究
Authors: 赵 东言 , 滕 国定
Published: May 2018

近些年来,在改革开放和经济全球化的推动下,我国在社会不断进步、经济不断发展的同时,其建筑工程领域也取得了重大的成就与发展。人们在发展的过程中,更加注重对生态环境的保护。所以,从这个角度来看,积极对建筑工程项目的绿色施工管理模式进行系统的应用也是非常有必要的。因此,本文主要从绿色施工管理的相关概述入手,对建筑工程项目绿色施工管理模式的种类进行系统的论述,从而更好的促进我国建筑工程项目施工质量的提高。
土地资源可持续利用的管理机制研究
Authors: 向 丹 , 刘 昌昊
Published: May 2018

随着我国经济的快速发展和综合国力的提高,对土地资源的使用和需求日益增加。而我国人均土地资源少、难利用土地多、后备资源不足等问题日益严重,土地资源可持续利用迫在眉睫。本文以土地资源的合理利用为出发点进行研究,分析了我国土地资源目前的发展现状,并对如何使土地资源更好的可持续利用与合理开发等问题进行了探讨,希望能为土地资源的可持续利用提供参考。
A Review of Multiliteracies Pedagogy in Primary Classrooms
Authors: Kulju Pirjo , Kupiainen Reijo , Wiseman Angela M , Jyrkiäinen Anne , Koskinen-Sinisalo Kirsi-Liisa , Mäkinen Marita
Published: May 2018

In the digital era, students are walking new literacy paths. For this reason, there is a need to explore evolving literacy practices in school pedagogy. This is often addressed by the expanding use of the concept of multiliteracies. This article reviews studies (N = 67) of multiliteracies pedagogy. The main purpose was to explore how the concept of multiliteracies has been used and understood in primary classroom research. The findings indicate that the studies often took into account both the multimodality of meaning-making and the diversity of learners. Recommendations are made for future multiliteracies studies to strengthen the pedagogical practices.
Expériences poétiques d’étudiants en formation initiale en enseignement du français au secondaire québécois
Authors: Emery-Bruneau Judith , S. Leclerc Camille
Published: May 2018

Quel rapport à la poésie les étudiants en formation initiale à l’enseignement du français au secondaire québécois entretiennent-ils? Quelles sont leurs conceptions de la poésie, leur manière de lire un recueil de poésie contemporaine et d’écrire un poème? Nos résultats d’enquêtes montrent le très lourd poids de la tradition scolaire qui pèse sur les étudiants et qui semble les empêcher de se distancier afin d’éviter de reproduire des pratiques plus scolaires qu’expérientielles ou esthétiques. Nous proposons quelques pistes de formation qui leur permettront de vivre des expériences poétiques variées, déstabilisantes, satisfaisantes, fructueuses et complexes afin de les amener à enseigner autrement la poésie.
Under the Bed Fred by L. Bailey
Authors: Borle Sean
Published: May 2018

Bailey, Linda. Under the Bed Fred. Tundra Books, 2017.In this offering of the “monsters are not scary” genre, award winning author Linda Bailey has written a chapter book for newly independent readers. There are five chapters telling the story of Leo, who is afraid of the monster, Fred, who lives under his bed. Eventually Leo befriends Fred and discovers he is not scary. He takes Fred to school, where Fred defends him against the class bully, who is portrayed as a red-headed child with a green shirt. Most readers will relate to dealing with a bully at school.The book is well paced for a new reader’s daily reading time. The text is simple and nearly every page has an illustration. One can imagine a child in Grade 2 or 3 being able to read a chapter each day and feel success at having completed a 63 page book by the end of a week.The illustrations are comic style. The monster looks a lot like a brown bear.  There are lots of action images, extreme expressions, and speech balloons.  The text appears as a very large typeface to emphasize something scary or loud. Sometimes the text is printed at an angle and sometimes words like “KNOCK! KNOCK! KNOCK!”, “GRRRRRROWWLL!” and “CRASH! OOF! POP!” are printed over images for effect.Overall, this is a good book and it is therefore recommended for public and school libraries. Recommendation: 3 stars out of 4Reviewer: Sean C. BorleSean Borle is a University of Alberta undergraduate student who is an advocate for child health and safety.