bluuebunny/crossref_metadata_2025 huggingface dataset:
Investigation of a novel implant design for the treatment of reverse oblique femoral intertrochanteric fractures
Authors: Zhang Rui , Wang Kangyi , Luo Peng , Guo Xiaoshan
Published: October 2019

Objective: To evaluate the biomechanical properties of intramedullary fixation, lateral plate, medial buttress plate and bilateral plate for fixing reverse oblique intertrochanteric fractures. Methods: Twenty-four synthetic femoral bone models (Synbone) were divided into four groups [proximal femoral nail anti-rotation (PFNA), proximal femoral medial buttress plate (PFMBP), proximal femoral locking compression plate (PFLCP) and proximal femoral medial buttress plate + proximal femoral locking compression plate (PFMBL+PFLCP)], and an unstable, reverse oblique femoral intertrochanteric fracture was made. After fixation, each model underwent axial load testing, torsion testing, and axial load-to-failure testing. The stiffness of axial and torsion, the torque of different torsion angles and the failure load of every model were recorded. Results: The bilateral plate showed the best performance in axial load, torsion, and load-to-failure testing. The stiffness of axial and torsion in the PFMBP was superior to the PFNA [162.05±22.05 N/mm vs. 119.13±29.14 N/mm in axial, (1.36±0.32) N × mm/deg vs. (1.10±0.13) N × mm/deg in torsion, P<0.05], whereas there was no significant difference between PFMBP, PFLCP and PFLCP+PFMBP in torsion stiffness [(1.36±0.32) N × mm/deg, (1.45±0.44) N × mm/deg, (1.45±0.18) N × mm/deg, P>0.05]. Conclusion: Our newly designed medial buttress plate achieved greater stiffness in axial load and torsion than PFNA and PFLCP to fix reverse oblique intertrochanteric fractures in biomechanical research, whereas the bilateral plate showed better stiffness than PFMBP.
Induction techniques that reduce redistribution hypothermia: A prospective, randomized, controlled, single blind effectiveness study.
Authors: Roth Jonathan , Braitman Leonard E , Hunt Lacy H.
Published: October 2019

BACKGROUND
While much effort has been devoted to correcting intraoperative hypothermia, less attention has been directed to preventing redistribution hypothermia. In this study, we compared three different anesthetic induction techniques to standard IV propofol inductions (control) in their effect on reducing redistribution hypothermia.
METHODS
Elective, afebrile patients, age 18 to 55 years, were randomly assigned to one of four groups (n=50 each). Group “INH/100” was induced with 8% sevoflurane in 100% oxygen, Group “INH/50” with 8% sevoflurane in 50% oxygen and 50% nitrous oxide, Group “PROP” with 2.2 mg/kg propofol, and Group “Phnl/PROP” with 2.2 mg/kg propofol immediately preceded by 160 mcg phenylephrine. Patients were maintained with sevoflurane in 50% nitrous oxide and 50% oxygen in addition to opioid narcotic. Forced air warming was used. Core temperatures were recorded every 15 minutes after induction for one hour.
RESULTS
Compared to control group PROP, the mean temperatures in groups INH/100, INH/50, and Phnl/PROP were higher 15, 30, 45 and 60 minutes after induction (p<0.006 for all comparisons), averaging between 0.39 o C and 0.54 o C higher. In group PROP, 60% of patients had at least one temperature below 36.0 o C in the first hour whereas only 16% did in each of groups INH/100, INH/50, and Phnl/PROP (p<0.0001 in each group compared to PROP).
CONCLUSIONS
In this effectiveness trial, inhalation inductions with sevoflurane or with prophylactic phenylephrine bolus prior to propofol induction reduced the magnitude of redistribution hypothermia by an average of 0.4 to 0.5°C in patients aged 18 to 55 years.

Registered on clinical-trials.gov as NCT02331108, November 20, 2014.
Data and Techniques Used for Analysis of Women Authorship in STEMM: A Review
Authors: Bhagat Vijay
Published: October 2019

Women are underrepresented in authorship of scholarly articles published in Science, Technology, Engineering, Mathematics and Medicine (STEMM). The scholars have been analysed this representation of women using wide range of data, methods and techniques. Several studies have reported complementary results with gender disparity in authorship of scholarly publications. However, the reported results vary according to objectives of the study, size and source of the data, techniques and methods used for the analysis. Therefore, these results are specific to size and source of data, techniques and methods, academic fields, journals, regions, etc. and insufficient to reach global conclusions. The study concludes that: 1) available data is insufficient to include all scholarly authorships, 2) data and techniques used for detection of author’s gender need more geographic inclusions, 3) new techniques and methods should be adopted for more precise and inclusive analysis, and 4) the results, techniques and methods should be tested thoroughly from different sources of data and geographic conditions. The field is new, active, important and challenging area of research for equality and social welfare.
ApoE-Derived Peptides Attenuated Diabetes-Induced Oxidative Stress and Inflammation
Authors: Nankar Sunil A. , Bulani Yogesh , Sharma Shyam S. , Pande Abhay H.
Published: October 2019

Background:

Peptides derived from the apolipoproteins (apo-mimetic peptides) have emerged as a potential candidate for the treatment of various inflammatory conditions. Our previous results have shown that peptides derived from human apolipoprotein-E interact with various pro-inflammatory lipids and inhibit their inflammatory functions in cellular assays.

Objective:

In this study, two apoE-derived peptides were selected to investigate their antiinflammatory and anti-oxidative effects in streptozotocin-induced diabetic model of inflammation and oxidative stress.

Methods:

The peptides were injected intraperitoneally into the streptozotocin-induced diabetic rats and their anti-inflammatory and anti-oxidative effects were evaluated by monitoring various oxidative and inflammatory markers.

Results:

Administration of 4F, E5 and E8 peptides decreased the oxidative and inflammatory markers in STZ-induced diabetic rats to different extent, while had no significant effect on the other diabetic parameters (viz. total body weight of animals and increased blood glucose level). E5 peptide was found to be relatively more effective than 4F and E8 peptides in decreasing inflammation and oxidative stress.

Conclusion:

E5 peptide can be developed as a potential candidate for inflammatory conditions.
Purification of Polyphenol Oxidase from Potato and Investigation of the Inhibitory Effects of Phenolic Acids on Enzyme Activity
Authors: Bayrak Songül , Öztürk Cansu , Demir Yeliz , Alım Zuhal , Küfrevioglu Ömer İrfan
Published: October 2019

Background:

Polyphenol Oxidase (PPO) belongs to the oxidoreductase enzyme family.

Methods:

Here, PPO was purified from potato using Sepharose 4B-L-tyrosine-p-aminobenzoic acid
affinity chromatography. It determined the interactions between some phenolic acids and the
enzyme.

Results:

The enzyme was obtained with a specific activity of 15333.33 EU/mg protein and 7.87-
fold purification. It was found that phenolic acids exhibited inhibitory properties for PPO. The IC50
values of the phenolic acids were found in the range of 0.36-2.12 mM, and their Ki values were
found in the range of 0.28± 0.07-1.72±0.32 mM. It was determined that all studied compounds
displayed a competitive inhibition effect. Among these compounds, 3-hydroxybenzoic acid was
found to be the most effective PPO inhibitor (Ki: 0.28±0.07 mM).

Conclusion:

Investigating the inhibition kinetics of the enzyme will simplify the testing of PPO
inhibitor candidates.
A Systematic Review and Meta-Analysis of Serotype Distribution of Streptococcus Pneumoniae in Iran: Practical Evidence to Optimizing Local Vaccination Protocols
Authors: Karimi Abdollah , Hoseini-Alfatemi Seyedeh Mahsan , Tabatabaei Sedigheh Rafiei
Published: October 2019

Background:

Little is known regarding the burden of predominant circulating serotypes
of Streptococcus pneumoniae in Iran. Therefore, this study aimed to investigate the serotype distribution
of pneumococcal diseases in Iran by using a comprehensive systematic review of available
articles.

Methods:

A systematic literature search was carried out to identify papers published by Iranian authors
in the Web of Science, PubMed, Scopus, Embase and Google Scholar electronic databases
from January 2000 to December 2018. Then, eight publications that met our inclusion criteria were
selected for data extraction and analysis by Comprehensive Meta-Analysis software.

Results:

In total, three studies reported the distribution of S. pneumoniae serotypes among patients,
two studies among healthy individuals, and three studies among both groups. Of those studies, serotype
19A/F (17.9%; 95% CI: 13.6-23.0) was the most circulating serotype followed by 23A/F
(12.3%; 95% CI: 7.7-19.2), 6A/B (11.0%; 95% CI: 8.0-14.9), and 14 (8.8%; 95% CI: 5.8-13.2). In
contrast, the lowest circulating serotype was 60 (0.02%; 95% CI: 0.0-1.2), 29 (0.07%; 95% CI:
0.01-5.0), and 36 (0.09%; 95% CI: 0.04-2.1). Meta-regression results showed that prevalence of
serotype 23A/F significantly increased each year about 0.2% (95% CI: 0.1-0.3, P <0.001, tau2
<0.001).

Conclusion:

In the present study, it was found that over the last decade, the most prevalent serotypes
in Iran were 19, 23, 6, and 14, respectively. These findings provide practical evidence to select
effective pneumococcal vaccine candidates for the prevention of invasive diseases in Iranian
patients and also to compare our situation with others.
Neuro-Psychiatric Alterations in Patients with Diabetic Foot Syndrome
Authors: Navarro-Flores Emmanuel , Pérez-Ros Pilar , Martínez-Arnau Francisco Miguel , Julían-Rochina Iván , Cauli Omar
Published: October 2019

Diabetic Foot Syndrome (DFS) is a common long-term complication of diabetes mellitus.
DFS has recently been associated with adverse effects on brain function which could further impair the
quality of life of these patients, as well as increase the social and economic burden, morbidity, and
premature mortality of the disease. The current knowledge of neuropsychiatric alterations e.g. cognitive
impairment, gait disorder, depression, and quality of life in patients with diabetic foot syndrome is
summarized. The cognitive domains altered in DFS are executive function, memory, and psychomotor
speed. Compared to diabetic patients without DFS, individuals with DFS present gait alterations
caused by changes in several spatio-temporal parameters and lower-limb kinematics. The increased
rates of anxiety and depression among patients with DFS were related to several factors, including female
sex, a smoking habit, age under 50 years, and foot ulceration exceeding 7 months' duration. The
role of infections and the use of preventive antimicrobial treatment need further studies regarding their
effect on comorbid neuropsychiatric disorders. The care of these patients should include the prevention,
detection and treatment of these neuropsychiatric disorders in order to improve their quality of
life.
Clinical and Functional Dynamics of Physical Working Capacity and Psychological Adaptation in Patients with Acute Coronary Syndrome at the Stages of Rehabilitation
Authors: Nesterak Roksolana , Bardashevska Sofia
Published: October 2019

The objective of the research was to analyze the effectiveness of using suggestive therapy in the patients with acute coronary syndrome by assessing the dynamics of the clinical condition and indicators of anxiety.

Materials and Methods. There were examined 135 patients with non-ST-segment elevation myocardial infarction, 60 patients with the use of the conservative treatment and 75 patients who underwent percutaneous coronary intervention. The dynamics of objective indices, adaptation changes and anxiety indices in the groups of patients with traditional treatment and in the groups of patients with suggestive therapy in addition to the traditional rehabilitation measures, were analyzed.

Results. Analyzing the dynamics of adaptive indices, it was determined that in the group of patients with non-ST-segment elevation myocardial infarction, who were performed conservative therapy, the dynamics was less significant, which is related to the general desadaptative syndrome. Changes in the group of patients undergoing percutaneous coronary intervention and suggestive therapy, with a decrease of blood pressure, heart rate, and a decrease in the index of functional changes from 3.78±0.15 points before the intervention up to 2.92±0.13 points after suggestive therapy (p<0.01) were more significant. In all groups of patients, high levels of reactive anxiety were observed at the beginning of treatment. As a result of treatment, a decrease in anxiety was noted, but more pronounced changes were seen in the group with the use of suggestive therapy (p<0.05).

Conclusions. The use of suggestive therapy methods when treating the patients with acute coronary syndrome is an important intervention, that provides a comprehensive approach considering all the components, enhances the patients’ adaptive abilities in the rehabilitation phase, improves the quality and effectiveness of restorative treatment. The use of suggestive therapy at the rehabilitation stage improves the clinical course, reduces anginal manifestations, stabilizes blood pressure and increases exercise tolerance.
Ecstasy Intake Related Coagulopathy
Authors: Eren Filiz , Inanir Nursel Turkmen , Eren Bulent , Gurses Murat Serdar , Ioan Beatrice , Gundogmus Umit Naci
Published: October 2019

3,4-methylenedioxymethamphetamine (MDMA), substance known as "Ecstasy" among the people and used due to entertainment, euphoric and energy booster effect, is one of the famous synthetic stimulants.  22-year-old man was found as unconscious in the early morning. According to the expressions of his family and friends, it was learned that he drank alcohol until late in the previous evening and took ecstasy besides this before he died. It was reported that he was taken to intensive care unit with temperature of 41oC and death occurred 12 hours later. At autopsy in external examination, petechial and purpuric hemorrhages in purple and red color were detected on body. In internal examination, petechial hemorrhages on the surface of the heart and lungs, subendocardial hemorrhage in the heart, hemorrhage on the mucosal surface of the stomach were seen. In the toxicological analyses of the blood, Paracetamol (4870 ng/ml), MDMA (847 ng/ml), MDA (94,2 ng/ml), Lidocaine (23 ng/ml), Pantoprazole (10,5 ng/ml), Midazolam (1,83 ng/ml) were detected. The death occurred due to coagulopathy related MDMA intoxication. Here, we present a case of autopsy, clinical findings and histopathologic findings, laboratory results in medicolegal literature.
C. G. Jung on religion
Authors: Miranda Punita
Published: October 2019

This paper considers Jung’s lifelong engagement with the phenomenon of religion. More specifically, it examines the development of his theories in relation to the stages of his life and how religion gradually assumed a definite place in his theory and practice; moving over from psychiatry through psychoanalysis and typology to the theory of archetypes, and finally to the psychology of religious motifs. From the years spent composing his Red Book, Jung struggled to understand the psychological and historical effects of Christianity. The older he got, the more he felt a powerful sense that it was his task to treat the spiritual and religious ills of his patients. His whole oeuvre can be understood as an attempt to grasp the future religious development of the West, in the conviction that religion was necessary for the spiritual evolution of mankind. A strong example of Jung’s influence in the second half of the twentieth century was his promotion of one of the most dynamic and innovative discourses on religion, the annual Eranos Conferences, which became one of the most important forums of dissemination of his religious ideas to a broader public. In the course of his research he actively cultivated dialogue with theologians and historians of religion, and everything he published had to do with religion to a greater or lesser degree.
O PENSAMENTO E A LAGRIMA
Authors: Ferraro de Sá Clara Rossana
Published: October 2019

Título:O PENSAMENTO E A LÁGRIMA

       

A psique é constituída pelo consciente e inconsciente e pela interação entre eles. Como um sistema auto-regulador teologicamente determinado, contém um impulso em direção à totalidade e tem a tendência a equilibrar-se através da função compensatória do inconsciente. Jung denomina de Self este arquétipo central. O processo simbólico – a vivência da imagem e na imagem – permeia o caminho de integração da psique inconsciente. O desafio criativo torna-se visível ao trazer  a energia aprisionada para a consciência e assim a nova vida fértil apresenta-se como novas possibilidades a serem vividas.

Este artigo tem por objetivo tornar visível o processo de analise e a integração da função sentimento inferior, a quarta função, inconsciente e portanto, aquela que religa ao arquétipo central. Através das técnicas expressivas, ao longo de quatro anos, sessões semanais, o inconsciente gerou imagens através de materiais específicos : aquarela, grafite, caixa de areia, argila. A analise de sonhos fundamenta este processo.

 

DESCRITORES

Self, consciente, inconsciente, funções, ego, analise, técnicas expressivas
The Use and Effects of an App-Based Physical Activity Intervention “Active2Gether” in Young Adults: Quasi-Experimental Trial
Authors: Middelweerd Anouk , Mollee Julia , Klein Michel MCA , Manzoor Adnan , Brug Johannes , te Velde Saskia J
Published: October 2019

Background

Insufficient physical activity (PA) is highly prevalent and associated with adverse health conditions and the risk of noncommunicable diseases. To increase levels of PA, effective interventions to promote PA are needed. Present-day technologies such as smartphones, smartphone apps, and activity trackers offer several possibilities in health promotion.

Objective

This study aimed to explore the use and short-term effects of an app-based intervention (Active2Gether) to increase the levels of PA in young adults.

Methods

Young adults aged 18-30 years were recruited (N=104) using diverse recruitment strategies. The participants were allocated to the Active2Gether-Full condition (tailored coaching messages, self-monitoring, and social comparison), Active2Gether-Light condition (self-monitoring and social comparison), and the Fitbit-only control condition (self-monitoring). All participants received a Fitbit One activity tracker, which could be synchronized with the intervention apps, to monitor PA behavior. A 12-week quasi-experimental trial was conducted to explore the intervention effects on weekly moderate-to-vigorous PA (MVPA) and relevant behavioral determinants (ie, self-efficacy, outcome expectations, social norm, intentions, satisfaction, perceived barriers, and long-term goals). The ActiGraph wGT3XBT and GT3X+ were used to assess baseline and postintervention follow-up PA.

Results

Compared with the Fitbit condition, the Active2Gether-Light condition showed larger effect sizes for minutes of MVPA per day (regression coefficient B=3.1; 95% CI −6.7 to 12.9), and comparatively smaller effect sizes were seen for the Active2Gether-Full condition (B=1.2; 95% CI −8.7 to 11.1). Linear and logistic regression analyses for the intervention effects on the behavioral determinants at postintervention follow-up showed no significant intervention effects of the Active2Gether-Full and Active2Gether-Light conditions. The overall engagement with the Fitbit activity tracker was high (median 88% (74/84) of the days), but lower in the Fitbit condition. Participants in the Active2Gether conditions reported more technical problems than those in the Fitbit condition.

Conclusions

This study showed no statistically significant differences in MVPA or determinants of MVPA after exposure to the Active2Gether-Full condition compared with the Active2Gether-Light or Fitbit condition. This might partly be explained by the small sample size and the low rates of satisfaction in the participants in the two Active2Gether conditions that might be because of the high rates of technical problems.
By Pen, Sword, and Struggle
Authors: Romisher Jason
Published: October 2019

This article is an examination of African American high school student activism during the black freedom struggle by youth from Lawnside, New Jersey; one of ten self-governing African American communities in the United States.  A critical factor in Lawnside’s historical narrative is that its young people both historically and today attend segregated elementary school and then integrated high school in the historically all white community of Haddon Heights.  From 1965-1971, many African American young people from Lawnside were inspired to address decades of inequality and African American educational and cultural concerns by engaging in acts of collective violence and non-violent direct action.  These protest efforts included a boycott, two sit-ins, a protest march, and a formal list of demands. African American high school students from Lawnside expressed similar grievances to African American youth in other locations, they demonstrated considerable activist autonomy from parents and outside organizations, and female students often held positions of influence and leadership.
FEIRAS AGROECOLÓGICAS COMO CONTRAPONTO AO PROJETO DO CAPITAL
Authors: Andrioni Ivonei , Caetano Edson
Published: October 2019

Tendo como referência o materialismo histórico dialético, este texto tem como objetivo analisar a feira Canteiros de Comercialização Sociossolidária e Agroecológica (CANTASOL), no Assentamento Doze de Outubro, município de Claudia/MT, como alternativa questionadora e de resistência aos ditames da sociedade capitalista, podendo assim, contribuir para a construção de uma sociedade ancorada nos produtores livremente associados. Buscamos evidenciar as contradições e entender as perspectivas que o projeto das feiras agroecológicas traz para os trabalhadores e trabalhadoras que dele fazem parte.
A EFICIÊNCIA DOS GASTOS EM P&D NOS GANHOS DE COMPETITIVIDADE INTERNACIONAL: UM ESTUDO PARA PAÍSES SELECIONADOS
Authors: Santos Edilson Braga dos , Lucena Rodrigo Milano de
Published: October 2019

A busca por competitividade internacional é essencial para um país que queira buscar desenvolvimento no mundo globalizado. Uma das estratégias para atingir esse objetivo é o investimento em pesquisa e desenvolvimento. Diante disso, o objetivo deste trabalho foi calcular a eficiência dos gastos em P&D de países selecionados para ganhos de competitividade. Os países analisados foram os BRICS (Brasil, Rússia, Índia, China e África do Sul) mais México, Coreia do Sul, Indonésia e Turquia, por apresentarem características econômicas emergentes semelhantes. Como procedimento metodológico foi utilizada a Análise Envoltória de Dados (DEA). A base de dados é composta pelo percentual dos gastos em P&D em relação ao PIB dos países, disponíveis na base de dados do Banco Mundial, e os sub indicadores relacionados à inovação dentro Global Competitiveness Index, elaborado pelo Fórum Econômico Mundial, para os anos de 2012 e 2016. Os resultados apresentaram que por mais semelhantes que sejam esses países, alguns apresentaram perda de eficiência entre os anos analisados. Não foi encontrada nenhuma tendência ou padrão com relação aos países e sua eficiência, mas o trabalho pode servir de motivação para outras investigações a respeito da eficiência dos gastos em P&D dos países analisados.
DETERMINANTES E CONDICIONANTES DA DECISÃO DE COOPERAR AO NÍVEL LOCAL: UM ESTUDO DE CASO NA COMUNIDADE INTERMUNICIPAL DA REGIÃO DE COIMBRA
Authors: Correia Pedro Miguel Alves Ribeiro , Mendes Ireneu De Oliveira , Ribeiro Vanessa Medeiros
Published: October 2019

O presente estudo visa explorar os determinantes e condicionantes que norteiam as cooperações intermunicipais e a diversidade de agentes e fatores que envolvem essa relação de cooperação ao nível local na Comunidade Intermunicipal da região de Coimbra (CIM), Portugal. Objetivando conhecer o nível de cooperação entre os entes de esfera municipal a nível local na Comunidade Intermunicipal da Região de Coimbra, foi elaborado um modelo inicial de pesquisa baseado no referencial teórico abordado, e aplicou-se um questionário a todos os municípios integrantes da CIM, para aferir qual a percepção dos trabalhadores dos diferentes municípios da região sobre a importância dos processos de cooperação e sobre os fatores potenciadores dessa cooperação local. Os dados recolhidos foram analisados com recurso a um modelo de equações estruturais. Como conclusão, é possível afirmar que as percepções dos respondentes acerca das dimensões “Motivação interna para cooperar” e “Rede de relações entre agentes públicos” têm impacto direto e positivo nas suas percepções relativamente à Eficiência na alocação e Gestão dos recursos.
A (I)LEGALIDADE DAS LIMITAÇÕES CONTRATUAIS SOCIETÁRIAS SOBRE A LIBERDADE DE TESTAR E ELEGER REGIME DE BENS NO CASAMENTO
Authors: Franco Gastão Marques , Medeiros Allan Álvares Contagem de
Published: October 2019

A realização de um testamento e a escolha do regime de bens no casamento ou união estável são atos que representam a autonomia da pessoa humana para decidir sobre seu próprio patrimônio durante e após a vida, que já é limitada por alguns requisitos legais previstos no ordenamento jurídico. No entanto, uma prática que se torna cada vez mais usual, notadamente nas denominadas empresas familiares, é a imposição de cláusulas que restringem essa liberdade individual, visando a continuidade dos negócios por membros do núcleo familiar gestor da atividade. O presente estudo irá analisar se essas limitações oriundas de uma relação particular entre indivíduo e empresa podem ser consideradas legais, principalmente sob a égide de princípios constitucionais e de direito privado que asseguram a autonomia da pessoa humana no ato de testar e eleger o regime de bens com outro indivíduo.
Hubungan Perilaku Konsumsi dan Aktivitas Fisik dengan Diabetes Mellitus di Indonesia
Authors: Nurjana Made Agus , Veridiana Ni Nyoman
Published: October 2019

Abstrak  

Prevalensi Diabetes mellitus (DM) mengalami peningkatan secara global baik di negara berpenghasilan tinggi maupun negara berpenghasilan rendah dan menengah termasuk di Indonesia. Indonesia menduduki urutan ke empat dengan prevalensi diabetes tertinggi di dunia setelah India, China, dan Amerika Serikat. Tujuan dari tulisan ini adalah untuk mengkaji hubungan pola konsumsi dan aktivitas fisik dengan kejadian DM di Indonesia berdasarkan data Riskesdas tahun 2013.  Pengumpulan data dilakukan pada bulan Mei - Juni 2013 di 33 provinsi dan 497 kabupaten/kota di Indonesia. Desain penelitian ini adalah cross sectional. Jumlah sampel sebanyak 722.329 responden yang berusia 15 tahun ke atas. Hasil penelitian menunjukkan bahwa aktivitas fisik merupakan faktor risiko dominan terhadap kejadian DM di Indonesia. Masyarakat yang memiliki kebiasaan hanya melakukan aktifitas ringan mempunyai peluang untuk terkena DM 2,9 kali dibandingkan dengan masyarakat yang memiliki kebiasaan melakukan aktifitas berat, sedangkan masyarakat yang memiliki kebiasaan melakukan aktivitas sedang mempunyai peluang lebih rendah terkena DM yaitu 1,8 kali dibandingkan dengan aktivitas berat. Semakin berat aktivitas fisik yang dilakukan maka semakin sedikit kemungkinan terkena DM. Dalam mencegah semakin tingginya prevalensi DM di Indonesia maka diperlukan peningkatkan kesadaran masyarakat untuk meningkatkan intensitas aktivitas fisik terutama bagi masyarakat yang aktivitas fisiknya rendah.

 

Kata kunci : Diabetes mellitus, perilaku konsumsi, aktivitas fisik

 

Abstract  

Prevalency Diabetes Mellitus (DM) experience increasing globally either in high income states or in the low and middle income states including Indonesia. Indonesia is the fourth prevalency Diabetes Mellitus in the world after India, China, and United States. The aim of this study is to analyze the relationship between consumsion pattern and physical activity on DM in Indonesia based on Riskesdas data in 2013. Data are gathered from may up to June 2013 in 33 provinces and 497 regencies/cities in Indonesia. The research is cross sectional design. The samples are 722.329 respondents aging among 15 years and over. The results show that the physical activity is the risk factor dominantly on the DM in Indonesia. Society having only light activity have a tendency to get DM 2.9 times compared to those who have the strongest activity, while those who are stronger activity have lower tendency to get DM that is 1.8 times compared to those who have the strongest activity. To prevent higher prevalency DM in Indonesia, it is expected to rise the societal care to increase physical activity intensity primarily for those who has the low physical activities.

 

Keywords : Diabetes mellitus, consumtive behavior, physical activity
Status Kerentanan Aedes Aegypti (Linn.) Terhadap Insektisida Dan Kaitannya Dengan Kejadian Kasus Demam Berdarah Di Kota Banda Aceh
Authors: Isfanda Isfanda , Riezky Ade Kiki
Published: October 2019

Demam Berdarah Dengue (DBD) merupakan penyakit infeksi virus akut menular. Penyakit DBD ditularkan melalui gigitan nyamuk Aedes aegypti yang mengandung virus dengue dalam kelenjar saliva untuk di transmisikan ke tubuh hospes melalui gigitan. Pengendalian vektor secara kimiawi dengan menggunakan insektisida merupakan cara yang paling efektif dalam memutuskan rantai penularan penyakit DBD. Penggunaan insektisida yang sama secara terus menerus akan menyebabkan resistensi terhadap serangga sasaran. Penelitian ini bertujuan untuk mendapatkan data status kerentanan nyamuk Ae. aegypti terhadap insektisida malation dan deltametrin. Sampel telur nyamuk dari empat Kecamatan yang dipilih lokasinya sesuai dengan banyaknya kasus selama lima tahun terakhir. Telur Ae. aegypti yang dikumpulkan dari masing-masing lokasi ditetaskan secara terpisah. Insektisida yang digunakan untuk pengujian menggunakan kertas berinsektisida (impregnated paper) malation 0,8% dan deltametrin 0,05% dengan menggunakan WHO test kit. Hasil analisis menunjukkan lima dari delapan lokasi yang di uji telah resisten terhadap malation 0,8%, dan tujuh dari delapan Gampong telah resisten terhadap deltametrin 0,05%. Adapun dua Gampong yang masih rentan terhadap malation yaitu Gampng Ateuk Pahlawan, dan Jeulingke. Gampong yang masih toleran terhadap malation yaitu Punge Blang Cut. Sedangkan Gampong yang masih toleran terhadap deltametrin yaitu Ateuk Pahlawan. Desa Sukaramai merupakan daerah yang paling resisten terhadap malation yang merupakan daerah yang paling tinggi angka kasus DBD di Kota Banda Aceh selama lima tahun terakhir.
Pengaruh Pemberian Ekstrak Etanol Daun Lannea Coromandelia Terhadap Perubahan Berat Badan Dan Kondisi Fenotip Makroskopik Organ Tikus Wistar
Authors: Febriansyah Evan , Puetri Nona Rahmaida , Marlinda Marlinda
Published: October 2019

The use of kuda-kuda leaves has long been carried out, several studies have shown that these leaves can increase the body weight of livestock fed with fresh horse leaves and extracts. The purpose of this study was to determine the effect of giving kuda-kuda leaf extract on changes in rat body weight as a basic study to produce drugs that have the potential to be weight-enhancing drugs in the future. The sample was a female Wistar mouse given ankuda-kuda leaf extract. Each treatment group was 5 female wistar rats, with a total treatment of 3 groups, so that the total number of samples was 15 female wistar rats. The dose-determined kuda-kuda leaf extract was administered orally using a one-time gastric sonde. Observations were continued from the first day to the 14th day, and every day a weighing was carried out and on the 14th day macroscopic observations were made on the condition of the rat organs. Data analysis was carried out using the SPSS program using krusscall wallis (non parametric) analysis. rats given horse extract leaves with a concentration of 3000 mg experienced the highest increase when compared to rats given horse-leaf extract with concentrations of 500 mg and 5500 mg. It can be concluded that the administration of kuda-kuda leaf extract caused an increase in rat weight. This can be caused by the content of several compounds that have the potential as a supplement for health found in the leaves of kuda-kuda such as ß-Sitosterol, tannins, and flavonoids.
Factores comportamentales para enfermedades no transmisibles en estudiantes Universitarios.
Authors: Villaquiran Hurtado Andrés Felipe , Jácome Velasco Sandra Jimena , Benavides Ortega Erica
Published: October 2019

Introducción: La universidad trae consigo nuevos retos para los jóvenes estudiantes; los estilos de vida que se adopten durante esta etapa, serán importantes para mantener una calidad de vida adecuada o deteriorar su salud con la aparición de enfermedades no transmisibles. Objetivos: Determinar los factores comportamentales relacionados con las enfermedades no transmisibles en los estudiantes de la facultad de Ciencias de la Salud y Ciencias Agrarias de una universidad pública del Cauca. Métodos: Estudio descriptivo y observacional realizado a 202 estudiantes seleccionados mediante muestreo aleatorio simple, quienes diligenciaron el cuestionario básico y ampliado del método progresivo de la OMS para la vigilancia de los factores de riesgo de las enfermedades crónicas (STEPS) validado por la OMS; se evaluaron los pasos 1 y 2 del cuestionario y cada uno de los pasos cuenta con 6 y 3 ítems respectivamente. Resultados: El cáncer es el principal antecedente familiar con el 51,5 %; el 55,4 % de los estudiantes ha pasado sin comer al menos una de las 3 comidas esenciales en la última semana; solo el 51 % realiza actividad física. Una gran mayoría de universitarios (73,8 %) consume bebidas alcohólicas, con un aumento en el consumo de un 26,7 % al ingresar a la Universidad, también el 17,3 % fuma. Conclusiones: Los estudiantes universitarios presentaron comportamientos poco saludables que los ponen en un mayor riesgo de sufrir Enfermedades No Transmisibles.
Accidentes con material biológico en trabajadores de la salud. Palmira-Valle del Cauca. 2014-2016.
Authors: Arango Correa Paula Andrea , Medina Murillo John Jairo , Salcedo Cifuentes Mercedes
Published: October 2019

Introducción: Los profesionales sanitarios están expuestos diariamente a diferentes riesgos biológicos generados por su ambiente laboral. Objetivo: Describir el perfi l de los accidentes laborales por riesgo biológico en una institución de salud de segundo nivel de complejidad. Palmira-Valle del Cauca. 2014-2016. Materiales y métodos: Estudio descriptivo, retrospectivo, realizado con 37 reportes. A las variables cuantitativas se les calcularon medidas de tendencia central y dispersión y a las cualitativas proporciones y razones. Para analizar la relación entre variables se usaron los Test del Chi cuadrado, Fisher o Medianas de acuerdo a la distribución de los datos, considerando un valor de p≤0,05 como signifi cante. Resultados: La mayoría de los trabajadores accidentados fueron mujeres jóvenes, principalmente enfermeras auxiliares las cuales fueron lesionadas por elementos punzantes (agujas) durante los turnos matutinos y en los servicios de mayor demanda (urgencias y hospitalización). El 89 % de los trabajadores expuestos al riesgo biológico no utilizaron materiales o equipos de seguridad al momento del accidente. Las causas frecuentes fueron la manipulación de agujas y los movimientos del paciente al realizar procedimientos asistenciales. Las manos fueron el área más afectada. Conclusiones: El elemento vulnerante, el sitio de la lesión, el servicio, la edad del trabajador, el turno y el cargo en la institución prestadora de servicios de salud, determinaron el perfi l de los accidentes de trabajo, que registraron el mayor número de accidentes laborales con exposición a riesgo biológico; las causas más frecuentes se asociaron con la manipulación de elementos punzantes cuando la asistente atiende al paciente.
Enfermedad cardiovascular: creencias y prácticas en la adherencia al tratamiento
Authors: Melo Barbosa Olga Patricia
Published: October 2019

Introducción: Las enfermedades cardiovasculares representan a nivel global un problema de salud pública de dimensiones importantes después de las enfermedades infecciosas; de ahí que para que la morbimortalidad de estas enfermedades disminuya se hace necesario que los pacientes se adhieran a los tratamientos. Dentro de los factores de no adherencia se encuentran las creencias respecto a la enfermedad o su tratamiento, que generalmente están infl uenciadas por el entorno social y cultural. Metodología: Se realizó una revisión de la literatura en las bases de datos EBSCO HOST, PUBMET, DIALNET, Wolters Kluwer Ovid, LILACS, SCIELO, ScienceDirect Medline y Pubmed. Los artículos se eligieron teniendo en cuenta que fuesen publicados entre enero de 1990 a diciembre de 2016, con los siguientes términos de búsqueda: creencias en tensión arterial, belief cardiovasculares diseases, creencias y prácticas en salud cardiovascular, creencias sobre la enfermedad cardiovascular, adherencia al tratamiento de la enfermedad cardiovascular, beliefs in cardiovascular diseases, adherence treatment disease cardiovascular. De los artículos seleccionados: 330 se escogieron por el título, 129 se excluyeron porque el título no es pertinente para el objeto de esta revisión y 51 fueron recuperados para lectura crítica. Resultados: Se encontró que los pacientes tienen muchas y variadas creencias frente a la enfermedad y su tratamiento; razón por la cual utilizan prácticas alternativas para el manejo de la enfermedad, que van desde la acupuntura, infusiones de plantas, recetas caseras hasta el chamanismo. Conclusiones: El enfermero está llamado a identifi car a los pacientes no adherentes, a investigar acerca de las creencias y prácticas para diseñar intervenciones más efectivas y efi cientes teniendo en cuenta el cuidado transcultural.
Condiciones de seguridad percibidas por cuidadores familiares en atención pediátrica.
Authors: Romero Massa Elizabeth , Carrera Hooker Angely , García Martínez Danna
Published: October 2019

Objetivo: Identificar percepción de cuidadores sobre condiciones de seguridad en la atención  en hospital pediátrico. Materiales y Métodos: Estudio descriptivo, por muestreo probabilístico se seleccionaron y participaron 163 cuidadores de niños hospitalizados,se aplican   la encuesta de caracterización y la de condiciones de seguridad del entorno hospitalario versión cuidador, con alfa de Cronbach de 0.97, mediante estadística descriptiva se expresan los datos  Resultados: Los cuidadores en el 51,5% correspondían a edades entre 18-29 años, en mayoría del sexo femenino y madres correspondiendo al 95% y 85,9% respectivamente. Percibieron seguridad en la hospitalización del niño el 86%. Ocurrencia de riesgos por flebitis el 17%, reacciones adversas a medicamentos 8,6%, confusión de pacientes 7,4%, en menor grado   caídas, infecciones  y ulceras por presión en el  2,4 %. En mayor proporción reportaron en riesgo 21,5% flebitis, 19% caídas, 11% infecciones, 10% reacciones adversas medicamentosas y 8,6%, confusión de pacientes. Para los cuidadores el 60.2% les explican los procedimientos, la atención es  oportuna para el 59%; la comunicación es  clara para el 70%,  están alertas para detectar posibles riesgos el 58.3%, sigue recomendaciones dadas el 75.5%, confía en los profesionales el  70.5%,  manejan situaciones propias de la hospitalización el 63.2%. Conclusiones: Los cuidadores se sienten seguros, conocían y se mantenían informados sobre riesgos y la razón de la  hospitalización del niño; su percepción sobre condiciones de seguridad en la atención permitió identificar confianza en el profesional que atiende en la hospitalización pediátrica. Se encontró que la flebitis, reacciones a medicamentos y confusión de pacientes fueron los riesgos de mayor ocurrencia.
Calidad de vida en personas portadoras de una ostomía digestiva.
Authors: Valencia Rico Claudia Liliana , López González Luz Adriana , Gómez Suarez Laura Melissa , Orrego Murillo Daniela , Restrepo Peláez Laura Vanessa
Published: October 2019

Introducción: las personas ostomizadas experimentan problemáticas clínicas, personales, familiares y sociales que repercuten en su calidad de vida. Objetivo: realizar una revisión bibliométrica y exploratoria relacionada con la calidad de vida en personas portadoras de ostomías digestivas. Metodología: se realizó búsqueda en Scopus, utilizando los descriptores: “Quality of life” y “Surgical stomas”. Se seleccionaron artículos publicados a partir del año 2014, en cualquier idioma, derivados de investigación y revisiones, escritos por enfermería exclusivamente o en cooperación con otras áreas de salud; se excluyeron las publicaciones de ostomías urológicas y respiratorias. Resultados: la muestra total fue de 39 manuscritos. El año de mayor publicación fue 2016; el 66,7 % de las investigaciones correspondía a nivel de evidencia baja y el 56,4 % correspondía a investigaciones descriptivas. A nivel exploratorio, el 31,4 % de los estudios utilizó cuestionarios relacionados con la calidad de vida, en el 14,2 % se indagó la calidad de vida a través de estudios cualitativos y en el 54,2 % se evaluaron otras temáticas que interfieren en la calidad de vida. Conclusión: la bibliometría muestra publicaciones con nivel de evidencia baja. Los resultados exploratorios muestran alteración del bienestar en la dimensión física primordialmente, generando situaciones de afrontamiento que afectan la calidad de vida.
INTEGRALIDADE DA SAÚDE DO IDOSO NA ATENÇÃO PRIMÁRIA À SAÚDE: ANÁLISE DAS TENDÊNCIAS EM TESES E DISSERTAÇÕES BRASILEIRAS
Authors: Pucci Vanessa Rodrigues , S Kauana Flores da , Damaceno Adalvane Nobres , Weiller Teresinha Heck
Published: October 2019

O número de idosos ampliou em decorrência do aumento da expectativa de vida. Assim, o envelhecimento populacional tornou-se um dos maiores desafios da saúde pública. Desta maneira, evidencia-se a demanda por melhores políticas públicas de saúde, e reestruturação da assistência. Este estudo teve como objetivo identificar a produção brasileira de teses e dissertações desenvolvidas sobre a temática, bem como descrever as tendências gerais destas produções. Trata-se de uma revisão narrativa de literatura, com buscas realizadas no Banco de Teses e Dissertações da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, e da Associação Brasileira de Enfermagem – Centro de Estudos e Pesquisas em Enfermagem. As buscas foram realizadas no mês de outubro de 2015, utilizando-se os resumos que contivessem ou no corpo do resumo ou nos títulos as seguintes palavras: atenção primária à saúde; integral; envelhecimento, idoso/idosa. Utilizou-se análise de conteúdo para análise dos resultados. O corpus de análise foi composto por resumos de cinco trabalhos publicados entre os anos de 2009 e 2012.  Por meio destes, foi possível identificar duas categorias relacionadas a temática, a saber: cuidado e práticas de cuidado da pessoa idosa, e atenção à saúde do idoso na perspectiva de gestores e profissionais de saúde. Percebeu-se que a temática é pouco estudada evidenciando uma lacuna neste sentido. A maior tendência encontrada foi relacionada ás práticas de cuidado direcionadas à saúde da pessoa idosa. Deve-se ampliar o olhar que recai sobre esta população, justificando, desta forma, a necessidade de mais estudos na temática.
RELAÇÃO ENTRE QUALIDADE DE VIDA E COMORBIDADES EM PACIENTES RENAIS CRÔNICOS EM HEMODIÁLISE
Authors: Lidianne Alencar Marinho Christielle , Eidler da Silva Borges Jéssica , Emilia Cavalcante Valença Fernandes Flávia , Freire Oliveira Jeany
Published: October 2019

Objetivou-se correlacionar a hipertensão arterial sistêmica e a diabetes mellitus com a doença renal crônica e seu impacto na qualidade de vida dos pacientes em tratamento hemodialítico. Realizou-se um estudo quantitativo do tipo transversal, sendo a amostra composta por 110 pacientes em hemodiálise, numa Clínica de Hemodiálise no Piemonte norte do Itapicuru -BA, aos quais responderam a um instrumento o Kidney Disease and Quality of Life Short Form (KDQOL-SF™ 1.3), específico para avaliar a qualidade de vida do doente renal crônico. Ao relacionar os domínios do KDQOL SF com a hipertensão arterial, verificou-se menores escores na Situação de trabalho e Função física nos pacientes que são hipertensos. Em Contrapartida, observamos que os domínios com maior escore foram a Função sexual e Função cognitiva nesta mesma população. Já quando comparado os domínios de QV entre os portadores de diabetes e os que não possuem a doença, foi encontrado diferenças significativas (p<0,05) nos domínios Função cognitiva, Funcionamento físico, a Função social e o Componente mental, em que nos domínios citados, os diabéticos apresentaram menores escores comparados com os não diabéticos. Conclui-se que as comorbidades apresentadas ao longo do estudo possuem interferência direta na vida dos pacientes em tratamento hemodialítico.  Assim, a equipe de saúde e os cuidados prestados devem ser monitorados constantemente entre os pacientes.
The characterisation of magnetic materials extracted from the aceh iron sand
Authors: Sayuti Muhammad , Putra Reza , Yusuf Muhammad
Published: October 2019

This study aims to identify the content and particle shape, and to determine the type, of iron oxide in the magnetic material from Aceh iron sand. The samples were taken from four seacoast locations, namely Mon Klayu, Mantak Tari, Lam Panah and Syiah Kuala beaches. The magnetic materials are separated from the iron sand using an external magnet, washed out with distilled water and dried at 80 ?C. The materials were characterized by XRD and SEM. The results show that the magnetic materials sampled from Aceh iron sand contain 88.93, 96.3, 92 and 85% of Fe, respectively. The iron oxide found in Aceh iron sand was predominantly magnetite (Fe3O4) or ilmenite (Fe,Ti3)O4; however, there are also other oxide impurities, such as silica and chromium oxides. The identified minerals were classified as lithogenous sedimentary volcanic minerals, which have a black colour and spherical shape. Related to that, the sampling locations of these minerals were types of volcanic minerals and lithogenous sediments, since the position of the coast locations is adjacent to Burni Telong, Peut Sago and Seulawah volcanos, and the minerals are carried by the stream to the beaches through the river flow, which further supports the assumption of their volcanic origins.
Air quality monitoring and modeling near coal fired power plant
Authors: Vujic Bogdana , Marceta Una , Popescu Francis , Tot Bojana
Published: October 2019

In municipality of Ugljevik (Bosnia and Herzegovina), the coal-fired thermal power plant is located in the vicinity of the populated area. The ambient air quality monitoring within this area were not systematically performed in the previous period. This research was the first to include indicative measurement of pollutant concentration in air combined with modeling techniques for the purpose of a preliminary assessment of impact which the power plant has on air quality. Since coal, with the sulfur content of 3-6%, is used, as well as the fact that there was no flue gas desulphurization during the research period, this paper shows the results for SO2 as one of the most prominent indicators of pollution originating from the power plant. As a complement to the measurements, modeling of SO2 dispersion was carried out using ADMS5 software. The measurements indicated increased ground-level concentrations of SO2. Additionally, the modeling of SO2 dispersion with real meteorological data was carried out. The modeling confirmed high SO2 concentrations in research area. Also, it was found that the high episodic ground-level SO2 concentrations are the consequence of the terrain configuration and meteorological conditions.