bluuebunny/crossref_metadata_2025 huggingface dataset:
Study on etiology and clinical course of neonatal seizures and their outcome
Authors: Syed Abdul Mohid , Reddy Y. Shasidhar , Belavadi Gangadhar B.
Published: August 2019

Background: The aim was to explore etiology, clinical course of neonatal seizure sand their and outcome in Narayana Medical College Hospital, Nellore, Andhra Pradesh, India.Methods: Retrospective study of 65 neonates from 1 month to 1 year diagnosed with epilepsy between November 2016 to August 2018.Results: Most common type of seizures seen are subtle (40%), followed by multifocalclonic (20%), tonic (21%), focal clonic (9.2%), clonic (7.7%) and myoclonic (1.6%). Most common cause of neonatal seizures was HIE (41.5%), followed by hypoglycemia (13.8%), intracranial bleed (10.8%), septicemia (10.8%), hypocalcemia (7.7%). The morality percentage is high (18.2%) when seizures occurred before 12 hours, when seizures occurred between 24-48 hrs it is 14.3%, and mortality was least when seizures occurred between 2-6 days (12.5%). Seizures are common in stage IIHIE (81.5%) compared to Stage I &Stage III. Seizures with adverse outcome are generalized myoclonic and focal clonic seizures. Focal clonic and focal tonic seizures are most often associated with focal injury. Generalized tonic seizures, motor automatism and some myoclonic seizures are associated with diffuse brain injury. Prolonged seizure activity, seizures lasting for many days, repetitive seizures, and the need for multiple anticonvulsants to control seizure activity are associated with an increased mortality.Conclusions: Authors conclude that prompt recognition, evaluation and treatment of these neonatal events are important in improving the survival of neonates with seizures.
Antenatal diagnosis of alobar holoprosencephaly: a case report
Authors: Waikar Manjushri , Singh Anamika
Published: August 2019

Holoprosencephaly (HPE) is a structural malformation of the brain that results from the complete or incomplete noncleavage of the forebrain/ prosencephalon of the embryo into 2 hemispheres1. We present a case of twenty-five year-old primigravida presented to the Outpatient department of Obstetrics for routine checkup and diagnosed with Alobar holoprosencephaly on 2nd level USG. Fetal MRI was performed and the findings were confirmed. Even though ultrasonography is diagnostic in the detection of fetal anomalies, MRI plays a vital role due to its multiplanar capability and excellent soft tissue resolution. The purpose of publishing this case is to sensitize the clinicians to the classical features of holoprosencephaly on various imaging modalities and to stress the importance of its detection before 20 weeks of gestation so as to allow for legal medical termination and alleviate maternal psychological trauma of bearing a deformed fetus.
Body fat indices for identifying risk of hypertension in Indian children
Authors: S. Vairamuthu G. , A. Thangavel
Published: August 2019

Background: Studies in India shown high body fat indices were strongly associated with hypertension in Indian children, but such studies mostly not done in southern states of India. So, authors include children in Tamilnadu measure body fat indices and blood pressure to find which body fat index correlates closely with hypertension.Methods: Standing height was measured using stadiometer. Weight was measured using electronic scale. WC measured in standing position, by a stretch resistant.  WC above 90th centile will be considered as Adipose. Waist to height ratio optimal cut-off value is 0.44 for children. TSFT recorded using Harpenden caliper, on the non-dominant upper arm. Wrist circumference measured using stretch resistant tape.Results: In this study 2000 children were participated. More hypertensives are seen in 10 to 12 years(62) and 16 to 18 years(31).Increased weight correlated with hypertension. Study indicates waist circumference is significantly correlated with systolic BP p<0.003, diastolic BP p<0.000. This study shows significant correlation p<0.003 for systolic and p<0.000 for diastolic BP with triceps skin fold thickness estimation. In multivariate analysis with systolic blood pressure and diastolic blood pressure shows very strong correlation with waist circumference, waist to height ratio and triceps skin fold thickness.Conclusions: In this study we investigate the correlation between body fat indices and blood pressure correlation was statistically analyzed which shows that waist circumference, waist to height ratio and triceps skin fold thickness were strongly correlated with systolic and diastolic BP.
Paroxysmal hypertension with reversible posterior leukoencephalopathy syndrome in a child: an unresolved riddle
Authors: Thomas Mili , Nair Veena V. , Hrishikesan Lekha , Swarnam Kamala
Published: August 2019

Nine year old girl was presented with paroxysmal episodes of hypertensive emergency. She was asymptomatic with normal blood pressure without antihypertensives in between the episodes. MRI brain was suggestive of reversible posterior leukoencephalopathy.  Acute episodes were managed with IV labetalol infusion and amlodipine. She was evaluated extensively to find out the etiology of hypertension. Cardiac and renal causes were ruled out. Work up for pheochromocytoma, hyperaldosteronism, porphyria and vasculitis were negative. The case is reported in view of the rare presentation and the leukoencephalopathy noted in this case.
Production of L-asparaginase by Aspergillus niveus under solid-state fermentation using agroindustrial byproducts
Authors: Da Silva Amatto Isabela Victorino , Guimarães Luis Henrique Souza
Published: August 2019

Background: L-asparaginase, produced mainly by microrganisms, cleaves L-asparagine to aspartic acid and ammonia as products. This enzyme has been applied in the treatment of the leukemia and in food preparation preventing the acrylamide formation.

Methods: Aspergillus niveus was grown in different solid substrates (agroindustrial byproducts) moistened with different agents (tap water, distilled water and several salt solutions) for different periods (24-240 h) at 30ºC. The enzyme extract was obtained with the addition of cold distilled water, agitation at 50 rpm for 30 min and filtration. The filtrate was used to determine the L-asparaginase activity through the hydroximate aspartic methodology using L-asparagine as substrate. The influence of temperature (30-75ºC), pH (3-9) and chemical compounds on the enzyme activity was analyzed.  

Results: The highest level of enzyme production was obtained using the M1 mixture (wheat bran, crushed soybean, orange peel; 1:1:1, w/w/w) as substrate humidified with Czapeck Dox salt solution (1:0.5, m/v) for 48-120 h, at 30ºC. The best temperature and pH for the enzyme activity were 35ºC and 5.0, respectively. The enzyme activity was increased in the presence of NaCl and some organic solvents (acetonitrile, butanol ethanol, isopropanol and methanol).

Conclusions: A. niveus produced L-asparaginase under SSF using a mixture of agroindustrial byproducts as solid substrate in the absence of L-asparagine as inducer. The temperature and pH of activity, as well as the NaCl tolerance, indicate its potential to be applied for different purposes. A. niveus can be an interesting source of L-asparaginase gene to be investigated targeting future application.

 
Avanços científico-tecnológicos e Auto(trans)formação de professores: novos tempos ... velhos desafios?!
Authors: Dos Santos de Andrade Toniolo Joze Medianeira , Ilgo Henz Celso , Goelzer Juliana , Hennicka Micheli
Published: August 2019

Vivemos tempos de rápidas mudanças, sobretudo decorrentes dos avanços científicos e tecnológicos, que trazem consigo outras caracterizações na sociedade e no cotidiano das pessoas, mudando formas de interagir no e com o mundo. Esses novos tempos trazem, também, novas presenças no atual cenário educacional, bem como nas formas de ser, fazer, conviver, aprender, predominantemente influenciadas pela era tecnológica. Diante dessas inúmeras transformações, a escola ainda enfrenta o velho desafio de reconhecer essas mudanças e suas influências nas relações político-pedagógicas com os estudantes e a sociedade. Contudo, ainda não é esta a escola que temos; e esta realidade desafiadora nos coloca também diante da necessidade de uma maior atenção aos processos de auto(trans)formação com  professores, entendendo esses como o primeiro passo na busca de outras formas de sentir/pensar/agir desses profissionais. Assim, as inovações e transformações científico-tecnológicas também passam a ser possíveis aliadas na educação nos/dos novos tempos, com processos de ensino-aprendizagens significativos para crianças, adolescentes, jovens e adultos do século XXI.
O perfil leitor do professor do 1º Ciclo do Ensino Básico: educação literária e construção da competência leitora
Authors: Azevedo Fernando , Sardinha Maria da Graça , Machado João
Published: August 2019

Este estudo analisa o perfil do professor do 1º Ciclo enquanto leitor e resulta de um inquérito por questionário, realizado nas escolas públicas do 1º Ciclo do Ensino Básico do concelho da Covilhã, distrito de Castelo Branco, em outubro de 2017. Com a aplicação deste questionário, os autores do estudo quiseram saber da preocupação dos professores sobre a sua formação implicada nos artefactos culturais que os formam enquanto leitores; com os hábitos de leitura; com os tipos de leitura; com as necessidades reais da sua formação contínua; com a importância que atribuem a atividades relacionadas com a promoção da leitura; com as principais aprendizagens dos alunos através desta atividade. Os resultados apontam para a necessidade de apostar na formação leitora dos professores do 1º Ciclo, dado que estes são os mediadores, por excelência, da relação da criança com a leitura.
CONTAÇÃO DE HISTÓRIAS, ESPAÇO E MEDIAÇÃO: AS EXPERIÊNCIAS DO CELLIJ
Authors: Souza Renata Junqueira de , Motoyama Juliane Francischeti Martins
Published: August 2019

O CELLIJ – Centro de Estudos em Leitura e Literatura Infantil e Juvenil “Maria Betty Coelho Silva” da Faculdade de Ciências e Tecnologia da UNESP de Presidente Prudente há mais de 20 anos promove atividades para incentivar jovens no prazer à leitura e acesso a livros literários. Fazendo uma distinção entre ler, dizer e contar, recebemos crianças para sessões de contação de histórias e exploramos as possibilidades das estratégias metacognitivas de compreensão leitora, através de discussões sobre o texto antes, durante e após a leitura. Acreditamos que tanto o contador de histórias, quanto o espaço quando bem decorado e pensado para estimular a leitura e a interpretação do texto podem servir de agentes mediadores na formação leitora. Neste artigo, exploramos práticas de leitura já elaboradas e aplicadas no Centro e mostramos como nossos visitantes reagem às atividades e adentram não só no texto literário, mas também em um espaço encantador e crítico intencionalmente preparado para formar leitores.
Biomassa de Eichhornia crassipes e Lemna minuta para alimentação animal
Authors: Antonelo Fábio Antônio , Loureiro Matheus De Almeida , Johann Gracielle
Published: August 2019

Objetivou-se analisar a composição centesimal de Eichhornia crassipes e Lemna minuta, bem como avaliar os seus rendimentos da extração de carboidratos, visando a aplicação de suas biomassas para a alimentação animal. Para a composição centesimal da matéria prima, foram avaliados os percentuais de umidade, minerais, proteínas, fração de parede celular, lipídios e carboidratos solúveis. Os resultados obtidos na composição da biomassa de E. crassipes revelou 8,48% de proteína bruta e 68,45% de fração de parede celular. Para L. minuta, obteve-se 14,95% de proteína bruta e 53,43% de fração de parede celular. Para umidade, cinzas, proteína bruta, fração de parede celular e lipídios houve diferença estatisticamente significativa entre as espécies. Para o rendimento da extração de carboidratos, foi constatada uma média de 0,83% para L. minuta, sendo este valor, mais baixo do que o obtido para E. crassipes (2,65%). Deu-se a avaliação da composição centesimal e da extração de carboidratos das biomassas de E. crassipes e L. minuta e foi constatado por meio dos resultados obtidos para os níveis de proteínas e fibras que as biomassas dessas espécies podem ser utilizadas na alimentação animal.
Alface em canteiro econômico integrado ao sistema de irrigação cuca de umbu no município de Salgueiro, Pernambuco
Authors: Leite Daniel De Carvalho , Teles Elton Carlos Pereira Vieira de Alencar , Arraes Francisco Dirceu Duarte , Alves Jânio Eduardo de Araújo
Published: August 2019

O sistema de irrigação, denominado cuca de umbu, pode ser uma alternativa eficiente e vantajosa para os agricultores familiares na produção de alface em canteiro econômico. Nesse sentido, objetivou-se avaliar a produção de alface no canteiro econômico integrado ao sistema de irrigação cuca de umbu com o canteiro convencional irrigado manualmente com regador em propriedade familiar no município de Salgueiro, Pernambuco. O experimento constitui-se de dois tratamentos, canteiro econômico e o convencional com quatro repetições, avaliou-se o número médio de folhas por planta; altura média de plântulas; diâmetro da planta e do caule; massa fresca e seca da parte aérea e da raiz; comprimento da raiz; e eficiência no uso da água. A eficiência no uso da água foi superior em 2,92% para os canteiros convencionais, porém, com exceção do comprimento da raiz que foi 2,19 cm maior nos canteiros convencionais, todos as demais variáveis evidenciam que a produção foi melhor para os canteiros econômicos, havendo diferença significativa para a massa fresca das plantas que foi 103,430 g/planta maior nos canteiros econômicos, a altura de plantas 3,81 cm e o diâmetro caule 0,19 cm.
Óleo fixo de pinhão bravo no controle in vitro de Colletotrichum musae
Authors: Costa Frank Magno da , Oliveira Izaías Araújo de , Santos Mayara Fernandes dos
Published: August 2019

A antracnose causada pelo fungo Colletotrichum musae é considerada das mais importantes moléstias em frutos de banana. O objetivo deste trabalho foi avaliar o efeito do óleo fixo de pinhão bravo no controle in vitro de C. musae, em diferentes concentrações e metodologias de aplicação. O fungo foi isolado de frutos de bananeira, cultivado em meio de cultura Batata-Dextrose-Ágar (B.D.A). O experimento conduzido em esquema fatorial com 2 fatores (3 métodos de aplicação e 3 concentrações + 2 testemunhas), com sete repetições. Os métodos de aplicação foram: incorporação do óleo ao meio de cultura fundente; distribuição do óleo no meio de cultura solidificado e distribuição do óleo em papel filtro, fixado na parte interna da tampa da placa de Petri. As concentrações do óleo utilizadas foram: 0,1; 1 e 10%. As testemunhas foram: testemunha absoluta (sem óleo e sem fungicida) e testemunha relativa (sem óleo e com fungicida). O óleo testado em todas as concentrações e métodos de aplicação foi diluído em Tween 80. Diariamente, por dez dias foi medido o crescimento radial em centímetros do micélio do fungo. Os dados foram analisados pelo teste de Tukey a 5% de probabilidade. Os tratamentos 1, 2, 5, 7, 8 e 11 proporcionaram maior inibição do crescimento micelial de C. musae e foram estatisticamente iguais entre si. O óleo fixo de pinhão bravo pode ser usado como medida alternativa de controle de C. musae em substituição aos pesticidas químicos.
Veranicos na produtividade de feijão-caupi (Vigna unguiculata) no município de Crateús, Ceará
Authors: Araújo Beatriz De Abreu , Queiroz Thales Rafael Guimarães , Torres Wesley Lívio Viana , Moreira Francisco José Carvalho
Published: August 2019

Diante da importância do cultivo de feijão-caupi para as regiões semiáridas do Nordeste brasileiro e a necessidade de conhecer o comportamento da ocorrência de veranicos, devido sua importância para a agricultura de sequeiro, com o presente trabalho objetivou-se classificar a influência dos veranicos sobre a produtividade de feijão-caupi no município de Crateús, Ceará, entre os anos de 2006 a 2016. Foram coletados dados de produtividade do feijão-caupi e dados pluviométricos para a primeira safra, disponibilizados pelo Instituto Brasileiro de Geografia e Estatística (Produção Agrícola Municipal) e Fundação Cearense de Meteorologia e Recursos Hídricos, respectivamente. Os resultados apontam que o tipo de veranico mais frequente na região, no período estudado, foi o do tipo A, com mais de 70 ocorrências. Os veranicos do tipo B e D, apresentaram correlação significativa sobre a produtividade de grãos de feijão-caupi, na primeira safra, para o município de Crateús, sendo necessário levar em consideração os meses que essa má distribuição ocorre com maior frequência, podendo assim, serem utilizadas medidas que possam mitigar seus efeitos danosos.
Meio dispersivo na síntese eficiente de nanopartículas de prata para aplicação em tecidos antimicrobianos
Authors: Backx Bianca Pizzorno , Delazare Thais
Published: August 2019

As nanopartículas de prata têm sido cada vez mais utilizadas em aplicações industriais há muito tempo. Os métodos químicos de síntese de nanopartículas de prata podem ser tóxicos e caros. Portanto, muitos estudos têm surgido para criar rotas de síntese ecologicamente corretas que forneçam boa dispersão e estabilidade no meio extrativo. Espécies vegetais são investigadas para a descoberta de um novo meio dispersivo para nanopartículas de prata (AgNPs) sintetizadas por via verde. As AgNPs estão dispersas em extrato vegetal, por plantas disponíveis no Brasil. Neste trabalho foram utilizadas folhas de Melissa Officinalis como meio dispersivo das nanopartículas. Através das técnicas de caracterização utilizadas foi possível observar as modificações superficiais com a presença de nanoestruturas bem dispersas, que são fundamentais para a confecção de tecidos inteligentes com ação antimicrobiana. Assim foi possível por meio de cada rota de síntese avaliar a dispersão e morfologia das AgNPs em diferentes meios dispersivos de Melissa Officinalis, concluindo-se que o mesmo é muito eficiente para estabilização das AgNPs.
O que é o quintal para os agricultores de São João da Várzea no Rio Grande do Norte?
Authors: Freitas Ana Valeria De , Coelho Maria de Fatima Barbosa , Pereira Ygo Biserra , Freitas Neto Enoque Carneiro de
Published: August 2019

Os espaços localizados nos arredores das casas são sistemas complexos, em que uma grande diversidade de espécies é manejada, principalmente, para alimentação da família e uso medicinal. Nos estudos científicos estes espaços são denominados quintais ou quintais agroflorestais, mas são poucos os estudos que caracterizem como os próprios agricultores denominam estes espaços. O objetivo do presente trabalho foi realizar um levantamento etnobotânico em unidades produtivas de São João da Várzea, Mossoró, Rio Grande do Norte, identificando junto aos agricultores quais os espaços e suas características. Foram usadas metodologias participativas como oficinas, técnica bola de neve, turnê guiada, diagnostico rápido participativo e mapas cognitivos. O conhecimento das denominações locais dos diferentes espaços de plantio é importante para a realização de estudos na área agronômica e etnobotânica. Em São João da Várzea foram identificados 15 espaços com características especiais para as atividades agrícolas. Os espaços apresentam diversidade de espécies vegetais com um total de 154 espécies pertencentes a 63 famílias botânicas, abrangendo um total e 2474 plantas. Este fato associado ao manejo em cada ambiente contribui para a segurança alimentar das famílias e manutenção da biodiversidade local. Os espaços apresentam diferença na composição florística relacionada com a disponibilidade de água, tamanho da unidade produtiva, tipo de solo, condição socioeconômica, cultural e aptidão agrícola da família. As espécies mais frequentes são as frutíferas como Psidium guajava L., Cocos nucifera L., Annona squamosa L., Malpighia glabra L. e Carica papaya L.
Biofertilizantes na produção da videira Isabel
Authors: Silva Francisca Lacerda da , Lima Alex Serafim de , Santos Jéssica Da Mota , Alves Jackson De Mesquita , Sousa Caio Da Silva , Santos José Geraldo Rodrigues dos
Published: August 2019

A videira “Isabel” é uma das culturas mais importantes tanto para o setor agrícola quanto para subsistência de pequenas famílias. O biofertilizante bovino surge como uma alternativa para substituir o uso excessivo de adubos químicos nas pequenas propriedades, em que pode ser utilizado em cultivos agrícolas proporcionando aspectos de qualidade e quantidade, agindo positivamente no sistema solo-água-planta. Nesta perspectiva, objetivou-se avaliar a produção de frutos de videira Isabel, adubadas com tipos e doses de biofertilizante bovino, durante o segundo ciclo produtivo. O experimento consistiu em delineamento em blocos casualisados, com fatorial 5 x 8, referente a cinco tipos de biofertilizante: (B1 = à base de esterco bovino, B2 = B1 + farinha de rocha MB4, B3 = B2 + leguminosa (Vigna unguiculata L. Walp.), B4 = B2 + cinza de madeira e B5 = B3 + cinza de madeira) e de 8 doses de biofertilizante (D1 = 0; D2 = 0,35; D3 = 0,7; D4 = 1,05; D5 = 1,4; D6 = 1,75; D7= 2,1; e D8 = 2,45 L/planta/vez), aplicadas a cada 2 meses. Os tipos de biofertilizante B1, B2, B4 e B5 exerceram valores significativos na produção, exceto para com a qualidade. O uso de biofertilizante aplicado 1,2 L/planta/vez proporciona maior eficiência produtiva de frutos de videira Isabel nos tipos B1, B2, B4 e B5, exceto para com ºBrix e acidez. A aplicação de diferentes tipos de biofertilizante bovino associado a dosagens ótimas acarreta em plantas com elevado potencial produtivo da videira Isabel.
Leguminosae: Florística e Taxonomia de áreas de Cerrado do Maranhão, Nordeste do Brasil
Authors: Gomes Gustavo Da Silva , Silva Guilherme Sousa da , Conceição Gonçalo Mendes da
Published: August 2019

Esta pesquisa contribui para o conhecimento taxonômico de Leguminosae no Cerrado do Maranhão, Nordeste do Brasil. A coleta e a herborização das amostras foram realizadas de acordo com a metodologia usual para a família em estudo. Leguminosae está representada por 50 espécies e 29 gêneros, distribuídas em quatro subfamílias: Papilionoideae (22 spp.), Caesalpinioideae (20 spp.), Cercidoideae (6 spp.) e Detarioideae (2 spp.). Mimosa L. foi o gênero que apresentou a maior riqueza (8 spp.). A forma de vida arbustiva foi a mais representativa (19 ssp.), enquanto que Mata de Galeria foi a fitofisionomia mais diversa (24 spp.). Assim, foi criada a chave de identificação para as subfamílias, descrições gerais e material examinado para cada espécie.
EDUCAÇÃO AMBIENTAL: ATUAÇÃO DO GESTOR ESCOLAR E USO DAS TECNOLOGIAS DA ALFABETIZAÇÃO AO ENSINO MÉDIO
Authors: Bolsoni Maria Valdete Da Silva , Moreira Valdecira Aparecida da Silva , Balbinot Valdicéia De Cássia da Silva
Published: August 2019

O artigo objetiva socializar resultado de pesquisa sobre implicações da atuação do gestor escolar e uso de tecnologias digitais na Educação Ambiental. Metodologicamente utilizou-se a pesquisa bibliográfica, a partir da análise da Educação Ambiental, relacionando políticas públicas e legislações às questões pedagógicas. Constatou-seque a temática é abordada nas escolas e promove incentivo aos estudantes em relação aos cuidados com o ambiente. Entretanto, há necessidade de investimentos na formação dos gestores, sendo necessário prover meios para aquisição, reparos e manutenção de equipamentos tecnológicos, possibilitando às escolas mapear as perspectivas inovadoras e corretivas a serem colocadas em prática na educação ambiental.
THE EXPERIENCES OF SM3T TEACHERS: CONSTRUCTING TEACHER IDENTITY IN THE BORDERLAND DISCOURSES
Authors: Nugraheni Gracia Vica Ade
Published: August 2019

This study focuses on the experiences of SM3T teachers in constructing teacher identity in the borderland discourses. Teacher identity construction is a dynamic process. One of the aspects constructing teacher identity is borderland discourse. In short, borderland discourse is the intersection between oneself as a personal and as a professional. The participants of this research were five teachers who have experienced SM3T program. SM3T is a program held by the government in Indonesia. It stands for Sarjana Mengajar Terdepan, Terluar, Tertinggal. In order to find out SM3T teachers’ experiences and beliefs about constructing teacher identity in the borderland discourses, the researcher used mixed methods which were combination between quantitative and qualitative. The researcher used close-ended questionnaire and also in-depth interview in order to gather further information.This study aimed to find out the borderland discources faced by the SM3T teachers and the solution to cope them. This study revealed that most of the teachers faced borderland discources during SM3T program.
Prevalence of Obstructive Sleep Apnea Syndrome in Psoriasis Patients
Authors: KARAGÜN Ebru , GÜLEÇ BALBAY Ege
Published: August 2019

Aim: Psoriasis is a frequently seen chronic systemic inflammatory disease accompanied by several comorbid conditions that affects 2-3% of the general population. One of the comorbidities rarely accompanying psoriasis is obstructive sleep apnea syndrome (OSAS). OSAS is a disease characterized by recurrent complete (apnea) or partial (hypopnea) upper airway obstruction episodes and frequently by decreased blood oxygen saturation. The purpose of this study was to evaluate the risk factors for OSAS by investigating OSAS symptoms in psoriasis patients.Material and Methods: Eighty-two patients aged over 16, diagnosed with psoriasis, and under follow-up by the Duzce University Medical of Faculty, Dermatology and Venereal Diseases Polyclinic, Turkey, were included in the study. Patients’ OSAS symptoms were investigated. The Epworth Sleepiness Scale was used to assess excessive daytime somnolence.Results: Of the patients 51.2% (n=42) were male and 48.8% (n=40) female. Patients’ mean age was 47.09±14.10 years. Patients’ mean time of psoriasis diagnosis was 16.97±10.55 years, and mean Psoriatic Area Severity Index (PASI) score was 11.25±6.32. Severe disease was present in 54.9% of patients (n=45) based on PASI classification. Prevalence of 56.1% for snoring, 25.6% for excessive daytime sleepiness, and 15.9% for witnessed apnea were determined in these patients. Forty-seven (57.3%) cases had at least one major symptom. The most common minor symptoms were inability to sleep with 25.6% (n=21) and insufficient disrupted sleep with 22.0% (n=18).Conclusion: Prevalence of OSAS symptoms in psoriasis patients were found high. Psoriasis patients with OSAS symptoms must be referred to relevant specialists for polysomnographic evaluation.
Air Embolism in Liver: A Rare Location
Authors: PATMANO Gülçin , SALAR Remzi , KAYA Ahmet
Published: August 2019

Air embolism is a rare clinical entity that must be well recognized with high morbidity and mortality rates. Sensitive early diagnosis methods are available for air embolism, but these methods are not always easy to reach. With the detection of venous air embolism, mortality and morbidity can be reduced by rapid aspiration of air and concomitant treatment. It is important to recognize and prevent the problems that embolism may cause in the early period. In venous air embolism, the amount of aspirated air is directly proportional to mortality and morbidity. The most important approach here is to try to prevent the development of air embolism and to make an early diagnosis in possible cases, keeping in mind that it can always develop. In this case report, we present a 51-year-old female patient with the diagnosis of air embolism in the postoperative period and the treatments applied.
NOITES COMPARADAS
Authors: Derze Farlley
Published: August 2019

Este estudo é sobre a noite, com o interesse em se verificar como ela foi abordada em diferentes períodos, da Idade Média aos nossos dias. O objetivo foi o de mapear a relação entre a noite e a imaginação. O método adotado foi a comparação das abordagens encontradas na literatura, na música, na pintura e na arquitetura. Nos resultados encontra-se a noite associada a medo, a ritos, a mitos, a poder, mas também à liberdade, à segurança, à beleza, e à modernidade. Concluiu-se que as noites serviram para caracterizar a estética emocional de cada época.
ARQUÉTIPOS DA MORTE
Authors: Oliveira Leonardo
Published: August 2019

Jung definiu “arquétipo” como um conjunto de imagens primordiais oriundas da repetição sucessiva de uma mesma experiência e armazenadas no inconsciente coletivo, uma profunda camada da psique humana e inata ao indivíduo. Segundo o autor, não se trata de um termo novo, pois aparece na Antiguidade Clássica como sinônimo de “ideia” em Platão. Em 2007, Kellehear debruçou-se sobre a tentativa de delinear distintos arquétipos de morte no decurso da história, investigando características sociais por trás de múltiplas atitudes perante a finitude. O autor defende que houve maneiras de morrer típicas e dominantes em épocas específicas, que resguardavam características morais e eram encobertas por estilos de conduta na morte. Com base no conceito de Jung e nas investigações de Kellehear, o presente artigo destina-se a ilustrar três arquétipos de morte a partir de uma breve compilação de imagens – a morte domada medieval, a morte romântica e a morte selvagem moderna –, traçar possíveis diálogos entre eles e, por fim, propor a seguinte pergunta: qual seria o arquétipo de morte do século XXI?
Postulados del poder y la formación educativa en Colombia
Authors: Casas Alejandro
Published: August 2019

Este artículo parte de una noción de poder, desde algunas perspectivas que incluyen dispositivos, mecanismos y modalidades del poder. Tiene como objetivo analizar la relación entre los postulados de poder y algunos aspectos de la educación colombiana, en particular, de la correspondencia entre formación laboral y la reproducción del orden ideológico estatuido. El tipo de investigación se aproxima al análisis crítico del discurso y se desarrolla desde un enfoque cualitativo, mediante un método dialógico entre las teorías del poder de Foucault (1988, 2002) y de Althusser (1969, 1971, 1988) –corpus-, en torno de seis postulados principales básicos. Las oposiciones y complementariedades que estas dos teorías presentan acerca del poder surgen, especialmente, porque se han pensado dentro de marcos institucionales, tales como las escuelas (Foucault, 2002) y la ineludible relación con las ideologías y políticas estatales (Althusser, 1988). Como resultados, se muestran las disparidades y confrontaciones entre estas dos teorías sobre poder. La conclusión permite observar las relaciones que se dan entre estado y los escenarios escolares públicos, así como la forma en que funcionan los dispositivos de poder en estos escenarios (Jäger, 2003), siempre desde la posibilidad de la esperanza humana de transformar su entorno.
Accountability in Government Contracts: A Measure of Performance from the Commitment-Making Officials?
Authors: Zamroni Mohammad
Published: August 2019

Public-private partnership is an alternative defrayal which gives chances for private sectors to get engaged in financing the government’s good and service suppliers through business contract. As contracts commonly made, failure may happen while implementing the contract, known as a tort. Therefore, government contracts are conducted by Commitment-Making Officials (hereinafter, PPK), authorized to make and implement it. Thus, the accountability over the contract failure is inseparable with the authorized PPK. This study aimed to examine the accountability of PPK when failures happen in the implementation of government contract. This paper using legal research method along with statute and conceptual approaches, the finding showed that PPK were accountable both as officials and individual. As officials, their accountability is apparent when they did tort on the provision mentioned in a government contract they had signed and established. As individuals, their accountability is apparent on which they did maladministration.
Reconciliation of Humanitarian Law and Human Rights Law in Armed Conflict
Authors: Ashri Muhammad
Published: August 2019

A common insight on human rights law as an instrument that aimed to protect the human dignity and values are often regarded to be separate from international humanitarian law. In relation to the norms, the difference between the two concepts related to the current conflict arise many debates. This paper reviews the common thread of the two international legal instruments. The connection between the two can be elaborated by explaining the concept; similarities and dissimilarities; and linking the basis for the establishment of legal instruments between human rights law and international humanitarian law. The results of research indicated that between international humanitarian law and human rights law have relevant rules applied in conflict situations. International humanitarian law as an instrument of international law is specifically applied in situations of armed conflict, whereas human rights law as a general instrument can be applied both in peace or conflict conditions. In a condition of armed conflict, international humanitarian law as a lex specialist is not widely interpreted to set aside human rights law. Human rights law is applied if facts or incidents exist in armed conflict that is contrary to human values.
Ballooning technique for orbital floor fracture reduction in neglected midfacial fracture: a case report
Authors: Siauw Cahyadi , Syamsudin Endang , Ismiarto Yoyos Dias
Published: August 2019

Objective: Midfacial fracture is a fracture that separates maxilla from the middle part of face. Orbital floor fracture includes in midfacial fracture that difficult to treat. The aggravating factor of the treatment are depressed fractures and infection. We use ballooning technique which is inflated in the maxillary sinus to lift fracture segment of orbital floor and to prevent the orbital floor displaced to the maxillary sinus.Methods: There were multiple lacerations at left eye and nose region, post suturing at left zygoma and left cheek region. Intraoral findings there were multiple laceration, then the patient was examined a complete blood count, chest xray, cervical lateral examination, and 3D CT-Scan examination.Results: Examination of head and panoramic xray was performed and showed there was no bone discontinuity, contact and stable fracture segments. Examination of the 5th day post operative showed minimal pus drainage, leukocytes were within normal limits and other lab results were normal. Physical examination showed minimum scar, there was no dehiscence, symmetrical face and drain was performed at left zygoma region, symmetrical orbital, intact and stable occlusion.Conclusion: In this case, ballooning technique was successfully reduced the ruptured orbital floor and obtained good result.Keywords: Ballooning, Fixation, Open fracture, Orbital floor fracture.
Comparison of the Objective Measures and Behavioral Responses in Cochlear Implant Users Implanted with CI422: A Preliminary Study
Authors: OZBAL BATUK Merve , CİCEK CİNAR Betul
Published: August 2019

Objectives: The aim of the present study is to investigate the relationship between
the eSRT and eCAP thresholds with the behavioral comfortable levels in CI users
implanted with CI422. Materials and Methods: There were 10 CI user
included in the study with mean age at evaluation 20.47. five electrodes were selected from different regions
of cochlea for comparison. For these five electrodes, behavioral C levels were
determined with Custom Soundâ 5.2 Fitting Software and eCAP and eSRT thresholds
were obtained with Custom Soundâ EP 5.2. Results: Correlations analysis was
done between behavioral C levels and eSRT or eCAP separately. For E22,
behavioral C level was positively correlated with eSRT (r=.772; p= .009;
p<.01). However, there was no correlational relation with eCAP. For E1,
behavioral C level was positively correlated with both eSRT (r=0.785; p=.007;
p< .01) and eCAP (r=0.812; p=.004; p<.01). there was not any correlational relation between eSRT and eCAP except
E1. Behavioral C levels was compared with ECAP and ESRT
with related-samples Wilcoxon test. Behavioral C levels for all electrodes are
statistically significantly different from eSRT levels.

Conclusion: This study is the first study that investigates the
objective measures and behavioral method in adults with CI422 implants. Both
eCAP and eSRT can be used in CI fitting but eSRT levels are significantly
higher than the behavioral C levels. In order to provide adequate stimulation
the combination of the objective measures and behavioral methods was considered
to be the best option.
An improved deyolking procedure facilitates the proteomics analysis of early developmental stages of zebrafish embryos
Authors: Kathiresan Purushothaman , Presslauer Christopher , Das Prem Prakash , Kwang Lim Teck , Johansen Steinar Dae , Lin Qingsong , Babiak Igor
Published: August 2019

Background: Zebrafish is a well-recognised organism for investigating vertebrate development and human diseases. However, the data on zebrafish proteome are scarce, particularly during embryogenesis. This is mostly due to the overwhelming abundance of egg yolk proteins, which tend to mask the detectable presence of less abundant proteins. Results: In this study, we developed an efficient procedure to reduce the amount of yolk in zebrafish early embryos to improve the LC-MS-based shotgun proteomics analysis. We demonstrated that the deyolking procedure resulted in a greater number of proteins being identified. This protocol resulted in approximately two-fold increase in the number of proteins identified in deyolked samples at cleavage stages, and the number of identified proteins increased greatly by 3-4 times compared to non-deyolked samples in both oblong and bud stages. Gene Ontology and KEGG analysis revealed a high number of functional proteins differentially accumulated in the deyolked versus non-deyolked samples. The most prominent enrichments after the deyolking procedure included processes, functions and components related to cellular organization, cell cycle, control of replication and translation, and mitochondrial functions. Conclusion: This deyolking procedure improves both qualitative and quantitative proteome analyses and provides an innovative tool in molecular embryogenesis of polylecithal animals, such as fish, amphibians, reptiles, or birds.
Knowledge, attitudes, and use of family planning methods among female secondary school students in Tanzania
Authors: Ayubu Agnes Enock , Mwasha Loveluck Kusiriel , Kabeya Lucia Damian
Published: August 2019

Background The secondary school student population comprises adolescents aged 12–19 years, who represent around 15% of the global population. The Many adolescents are sexually active and at high risk for unwanted/unintended pregnancies and sexually transmitted infections; however, access to family planning (FP) services for this group is limited. Girls are more susceptible to sexual reproductive health problems than boys, and are less likely to use contraceptives. Despite these challenges, there are few studies on knowledge and attitudes about FP methods among female secondary school students. This study aimed to assess knowledge, use, and attitudes toward FP methods among female secondary school students in Ilala, Dar es Salaam, Tanzania. Methods A descriptive cross section study was conducted from February to April 2017 among 120 female secondary school students, using multi-stage sampling. Data were collected using a structured self-administered questionnaire. Descriptive and inferential statistics were used to examine relationships between participants’ knowledge, attitudes, and use of FP methods. Results Most (93.33%) participants had heard about FP methods, but the majority (85.8%) had low knowledge about how these methods functioned. Although 70.83% of participants had a positive attitude toward FP methods, 29.17% thought they were at risk for sexually transmitted diseases and pregnancy, and few (8.33%) had used FP. There was a significant relationship between awareness and use of FP methods (p=0.003). Conclusion Female secondary school students in Tanzania have low knowledge of FP methods. Knowledge of FP methods can help to prevent the consequences of unprotected sex among adolescent girls, and assessment of their knowledge and attitudes regarding FP methods will help in designing and implementing appropriate interventions. Key words: Family planning, knowledge, attitude, family planning method use, adolescent, student
Regulatory role of programmed cell death 4 in precancerous gastric lesions and early gastric cancer
Authors: Zhu Yaodong , Liu Lei , Peng Qiang , Ba He , Song Wanji , Dong Wenqing , Li Ping , Zhang Mei
Published: August 2019

Background
Programmed cell death 4 (PDCD4) as a newly identified tumor suppressor is involved
in inhibiting tumorigenesis and tumor progression. Epithelial mesenchymal Transition (EMT) is also associated with tumorgenesis of gastric cancer. However, few studies have elucidated the role of PDCD4 in regulation of EMT during precancerous gastric lesions (PLGC) and early gastric cancer.
Methods
In this study, the expression of PDCD4 and EMT-associated proteins in PLGC and early gastric cancer tissues were detected by immunohistochemistry. The relationship between the expression of PDCD4 and EMT-associated proteins and clinical and pathological parameters were analyzed. The PDCD4 high-expressed SGC-7901 cell line was also used to evaluate the function of PDCD4 in vitro and in vivo.
Results
PDCD4 and EMT associated proteins expression were significantly altered in PLGC and early gastric cancer tissues. After transfection with the PDCD4 gene, the expression of E-cadherin was significantly increased, the expression of N-cadherin and Vimentin were also remarkably inhibited. PDCD4 high-expressed also inhibited tumor growth and pathological features in nude mice xenograft model.
Conclusion
This study elucidates a regulatory role of PDCD4 in PLGC and early gastric cancer and provide insights into EMT-associated target which may provide novel therapeutic recourse.
Management and leadership competence for hospital managers: a systematic review and best fit framework synthesis
Authors: KAKEMAM Edris , LIANG Zhanming , JANATI Ali , ARAB-ZOZANI Morteza , MOHAGHEGH Bahram , GHOLIZADEH Masoumeh
Published: August 2019

Background Competent managers are vital to the productivity and service quality of healthcare organizations and the sustainability of the healthcare system including hospitals. The purpose of this study is to synthesize the evidence related competency to management and leadership in healthcare organizations including hospitals through the Best Fit Method. Methods A systematic literature review was performed to identify studies focusing on confirming and/or assessing the competency requirements of health service managers in particular hospital managers. The following electronic databases were searched from January 2000 and December 2018: ISI/Web of Sciences, PubMed, Scopus, Emerald, and the Scientific Information Database. Applying the Best Fit Framework Synthesis Method, we mapped all of the competency and associating behavioral items against the validated MCAP management competency framework which includes 6 core competencies, 18 subthemes and 83 associating behavioural items. Results Eleven studies were identified for inclusion in the review. The mapping of the competencies and relevant items identified in these studies with the validated MCAP management competency framework and associating items confirm that the MCAP framework has vastly represented findings of all recent studies. Although the MCAP framework incorporated behavioral items associating with the competency of Professionalism into the six core competencies, the study found the necessity of treating Professionalism as an independent competency to be included in the global management competency framework for health service managers, in particular hospital managers. As a result, the proposed Global Management Competency Framework includes the following 7 competencies: evidence-informed decision making, operations, administration and resource management, knowledge of healthcare environment and the organization, interpersonal, communication qualities and relationship management, leading people and organisation, enabling and managing change, and professionalism. Conclusions This review and the mapping of the competencies identified in previous studies with the validated MCAP framework resulted in the recommendation of Global Management Competency Framework for health service managers. It provides useful guidance to the formulation of training and development direction for the health service management workforce. However, since management competencies are context sensitive, in order to developing a more targeted approach or target curriculum for the development managers from different sectors, management levels, validation is recommended.
Knowledgeof anthrax infection prevention and its associated factors among livestock owners in Sekotazuria district, Wag-himra zone, northeast, Amhara region Ethiopia: Cross Sectional Study
Authors: seid Kibeb , Derso Terefe , shiferaw atsede mazengia
Published: August 2019

Introduction

Anthrax is an infectious bacterial disease transmitted from infected animal to human by direct or indirectcontact with their products like hides or wool. The most efficient ways of anthrax infection preventions are vaccination of livestock, surveillance, and proper disposal of livestock carcasses in domestic herd.Recently, anthrax infection in humans has been reported from several districts spreadcountrywide and becomes a major public health problem of animals-humans in Amhara region (the study area).Objective

This study aimed at determining knowledge of anthrax infection prevention and its associated factors among livestock owners in Sekotazuria district.Method

Community based cross-sectional quantitative study was conducted from April to May, 2018, at Sekotazuria district, Northeast Ethiopia. A total of 844 live-stoke owners were selected from Sekotazuria district using simple random sampling technique. Data were collected using a structured self-administered questionnaire and data were cleaned, coded, and entered into Epi-info version 3.5.3, and transferred into SPSS version 20 for further statistical analysis. A p-value of less than 0.05 at multiple logistic regression analysis was considered statistically significant.Results

The study revealed that good knowledge of anthrax prevention among livestock owners was 55.8% (95%CI: 54.2, 57.4%). According to multivariable logistic regression analysis, secondary and above educational level[AOR=2.97, 95% CI: 1.07, 8.20], age range of 42 – 80 [AOR=1.47, 95% CI: 1.04, 2.07], and health education about anthrax [AOR=4.25, 95% CI: 2.51, 7.17]were found significantly associated with good knowledge of anthrax infection prevention.Conclusion

More than half of livestock owners at SekotaZuria District had good knowledge towards anthrax infection prevention, education level in secondary and above,respondents age category 42-80 years, and health education about anthrax were factors associated with knowledge of anthrax infection prevention. Therefore, health education about anthrax shall be strengthening.