bluuebunny/crossref_metadata_2025 huggingface dataset:
Prevalence of anaemia and its epidemiological correlates among women of reproductive age group in an urban slum of Mumbai
Authors: Lilare Rushali R. , Sahoo Durgesh Prasad
Published: July 2017

Background: Anaemia is a major public health problem affecting children, adolescent, women of reproductive age groups and lactating mothers worldwide. As per NFHS-IV data, prevalence of anaemia in India is 53%. This study was done to assess the prevalence of anaemia and its epidemiological correlates among women in reproductive age groups in an urban slum of Mumbai. Methods: This community based cross-sectional study was carried out in an urban slum in Mumbai. Total 315 women in the reproductive age groups (15-49 years) were enrolled in the study. Samples were selected by stratified random sampling from various sectors. All respondents were interviewed and haemoglobin estimation was done with Sahli’s method. Data was analysed using SPSS version 20.0 and chi-square test was used to find out the association between two qualitative variables. Results: The prevalence of mild, moderate and severe anaemia was 37.1%, 9.5% and 2.9% respectively. The factors associated with anaemia were education (p value=0.0001), socio-economic status (p value=0.001), consumption of iron rich food (p value=0.0001) and interval between two successive pregnancy in years (p value=0.0001). Conclusions: The findings of the present study revealed that education, socioeconomic status, consumption of iron rich food, interval between successive pregnancies affect the overall blood haemoglobin level on a long run. Community awareness regarding education and schooling of girls will help to increase the education level of women and would indirectly help to increase the health awareness and decrease the prevalence of anaemia.
The knowledge, attitude and practices regarding commonly occurring mosquito borne diseases among people in catering area of urban health and training centre
Authors: Sharma Ashutosh , Gupta Vinita , Khandelwal Ashish
Published: July 2017

Background: Mosquito borne diseases are major public health problems and emerging diseases in India. These are endemic in some parts of country with periodic outbreaks. South East Rajasthan is one of the region which showed such major outbreak during post monsoon period.Methods: This cross-sectional study was carried out in the month of September to November 2016 in field practice area of UTHC Mahaveer Nagar, Govt. Medical College, Kota. 1083 houses were selected for the study by systemic sampling and pre tested and semi structured questionnaire were filled by adult member of family. Data was analysed in Microsoft Excel 2010 & SPSS ver16.Results: Out of 966 respondents 88.4% were aware about mosquito borne diseases. Fever as chief complaint was known to 97.16%. Majority of them believe that mosquito breeds in dirty water. Television and newspaper are main source of information on mosquito borne disease. Mosquito mat/coil/liquid vaporizer is used by most of them during night time only. Most of respondents neither check cooler for mosquito larvae nor changed water in coolers within a week.Conclusions: Study recommends increasing the knowledge and application of preventive measures by massive awareness campaign before monsoon so to reduce the health care burden from mosquito borne diseases.
Study to access the socio-demographic determinants and the reasons for preference of place of delivery in rural women of Paithan, Aurangabad (Maharashtra)
Authors: Kuril Bina M. , Pund Sandeep B. , Doibale Mohan K. , Ankushe Rajendra T. , Kumar Purushottam , Siddiqui Nafeha
Published: July 2017

Background: Maternal health reflects the overall effectiveness of the health system of any country. One strategy for reducing maternal mortality and morbidity is ensuring that every baby is delivered in an institution. Government of India has launched various health schemes under the umbrella of National Rural Health Mission (NRHM) to promote institutional deliveries. Thus this study was conducted to study the socio-demographic determinants of place of delivery and the reasons for preference of place of delivery by rural women.Methods: A community based cross-sectional study was conducted in the field practice area of rural health training center (RHTC), Paithan, Dist. Aurangabad during the period of 1st October 2015 to 31st March 2016. All the villages under two sub-centers of one PHC under the RHTC were selected for the study. All women above 18 years of age who delivered at least once between 1st January 2001 to 31st December 2015, were interviewed for their place of delivery and their socio-demographic profile.Results: It was observed that 564 (80.46%) women were delivered in a hospital, of which 313 (44.65%) and 251 (35.81) were delivered in private and government institutions respectively, while 137 (19.54%) respondent women were delivered at home. Education of women, occupation of women, type of Family, education of husband, occupation of husband, parity, distance of hospital from the residence and women’s age at marriage were the socio-demographic factors found to be significantly associated with place of delivery by the bivariate analysis. Reasons observed for home delivery were related to lack of knowledge about government healthcare facilities, about need for institutional delivery and inability to reach hospital on time.Conclusions: The proportion of home deliveries in 2001-15 was 13.08% as against 35.80% of government institutional deliveries and 44.65% of private institutional deliveries. Education of women, education and occupation of husband were found to be significantly associated with place of delivery by multivariate analysis.
Clinico demographic profile of newly diagnosed HIV sero positive patients attending an ART centre: a cross sectional study
Authors: Gorantla Misha , Kondagunta Nagaraj
Published: July 2017

Background: India faces a high burden of HIV. An understanding of the determinants of this disease is of vital importance in curtailing this epidemic. The objective was to study the clinico-demographic profile of the study subject.Methods: This is a cross sectional study done on 142 patients which includes all newly diagnosed (diagnosed on or after 1st January 2012), sero positive, adult patients, enrolled at ART centre, Nalgonda and started on treatment during the months of December 2012, January 2013, February 2013. A pre designed, pre tested questionnaire was used. Data regarding their demographic characteristics and various clinical aspects was obtained. Results: Out of a total of 142 study subjects, majority (78.88%) belonged to economically productive age group (16-45 years). Married individuals constituted a majority (79.57%). A majority of the subjects were skilled laborers, belonged to lower middle class of BG Prasad classification, hailed from rural areas and belonged to nuclear families. Very few had high educational attainment. A majority (95.78%) reported not using condoms during their last sexual act and 9.16% subjects reported being previously diagnosed with an STD. Most common presenting complaint was fever and most common opportunistic infections were candidiasis and tuberculosis. Majority were found to belong to stage 1 HIV. Participants were mostly underweight and had severe anaemia. Majority had CD4 count between 201- 350 cells/mm3. Conclusions: Interventions targeting improvement in socio economic status, education levels, nutritional status as well as awareness about condom use must be built into the national HIV programme.
Pre lacteal feeding practice among mothers in a rural area of Karnataka: a cross sectional study
Authors: Jayarama Srividya , Ramaiah Radha
Published: July 2017

Background: In many countries across the world, the practice of giving new born babies other substances (pre lacteal feeding) even before lactation is a common cultural practice. The objectives of the study were to determine the prevalence of pre lacteal feeding practice among mothers and to identify the factors leading to pre lacteal feeding.Methods: A community based, cross sectional study was conducted among 206 mothers of infants and children younger than 24 months, residing in a rural area of Karnataka. Data regarding pre lacteal feeding practice, type of pre lacteal feed given, reasons for giving pre lacteal feed was collected using a predesigned questionnaire prepared in local language. Institutional ethical committee approval, informed consent from the study participants was taken and anonymity, confidentiality was ensured.Results: Out of 206 study participants, 66 (32.03%) had given pre lacteal feeds to their newborn, while 140 (67.97%) had not given pre lacteal feeds to their newborn. Pre lacteal feeding practice was more among mothers who were illiterates, who belonged to lower socio economic status. This difference in prevalence of pre lacteal feeding practice was found to be statistically significant. Honey, sugar water, religious water, coconut water, jaggery are the different types of pre lacteal feeds given. Customs, insisted by relatives, development of speech, helps in digestion, cleanses digestive system were the reported reasons for giving pre lacteal feeds.Conclusions: Socio demographic factors like education, socio economic status influence pre lacteal feeding practice. Through IEC (Information, education communication) activities awareness regarding ill effects of pre lacteal feeding practice should be created among mothers.
Perception of medical undergraduate students about teaching learning methods and assessment tools used in a medical college in India
Authors: Singh Arun , Katyal Rashmi , Chandra Shalini , Joshi Hari S. , Singh Kashmir
Published: July 2017

Background: New teaching-learning methods and assessment tools can be used to enhance the learning among the medical students. But their views are important for the faculty members who are holding the decision making posts.Methods: The duration of teaching session was 2 hours 5 minutes using six teaching-learning methods. Out of total 119 students the perception and level of awareness of 96 students were recorded about the six teaching-learning methods and five assessment tools in the pre and post-tests. Descriptive analysis was done. The students paired “t” and ANOVA were used for statistical analysis and “p” value <0.05 was taken as statistically significant.Results: Vertical integration was strongly agreed upon as the best method and among the three traditional teaching methods the case demonstration was the most liked method of teaching by the students and. Among the interactive teaching methods, the case based learning was the most liked method by the students. Out of total five assessment tools the MCQs was the most liked. Similarly, OSCE and DOPS were considered to be better assessment tools as compared to others (P-value significant being <0.05).Conclusions: Vertical integration will be more helpful in real professional life scenario than in passing the exams which should be incorporated in medical curriculum.
Study of knowledge and attitudes to first aid among school children of Doiwalablock, Dehradun
Authors: Semwal Jayanti , Bakshi Ravleen Kaur , Juyal Ruchi , . Deepshikha , Vyas Shaili , Kandpal SD
Published: July 2017

Background: First-aid (FA) is the providing of initial care for an illness or injury, by a non-expert but trained person, till medical treatment can be accessed. Aim of the study is to impart knowledge in first aid among students to build a safe and healthier community. The objectives of the study were to assess the basic knowledge and understanding of it among the school children, to find out their attitude and to provide appropriate education regarding first aid.Methods: This cross-sectional study was conducted in randomly selected public school of Doiwala, Dehradun among all the school children of classes 9th to 12th. A pretested oral questionnaire was used to assess their knowledge and attitude about first aid. Knowledge, attitude and practices (KAP) about the first aid for common medical emergencies were assessed. Following which, education and training regarding first aid was provided to them. The data were presented as frequencies and percentages. Chi squared test was used as tests of significance.Results: Out of 441 students, majority (91%) had heard about the first aid of which the proportion of boys and girls were almost similar i.e. 92: 92.2. Only 17% of students complete knowledge of first aid and 33.3% of students had partial knowledge. On an average complete knowledge and partial knowledge was present only in 0.04 and 0.06 respectively.Conclusions:Students have revealed that first aid study is in the curriculum of the course but it seems from the study that practically no stress is being given in imparting knowledge regarding first aid in these schools. To conclude all students had shown their keen interest and positive attitude towards getting knowledge about first aid.
Awareness and screening behaviors of breast cancer among urban women in Mysuru, India- need for breast health education program
Authors: B. Madhu , Shankar Puja
Published: July 2017

Background:Breast cancer is the second most common cancer among Indian women. By recommending them to participate in screening programs, early detection can be possible. The objectives of the study were to determine awareness of ‘breast cancer and breast cancer-screening procedures’ among urban women of Mysore; to determine the extent to which ‘breast cancer screening procedures’ are practiced; to determine the factors associated with better screening practices.Methods:Cross sectional study was conducted (August 15th-September 15th, 2011) in Mysore. Study group comprised of 100 professional women, without history of breast cancer.Results:Ninety nine percent of women were aware of breast cancer. Sixty three percent of women were aware of breast self-examination. Sixty six percent had practiced BSE once; only 18 percent of them were aware of ideal positions.Conclusions:It was found that low levels of practice directly associated with the lack of knowledge regarding breast cancer and thus emphasizing the need for a community based breast health education (BHE) program for women.
Facebook addiction and depression in adults [19 years-64 years]
Authors: Norman Prasan , Elavarasan Karthikeyan , Dhandapani Thirunaaukarasu
Published: July 2017

Background: Face book, one of the most popular social networking sites, has been a popular time pass activity site. Most of the users log in at least once daily. Some even keep their Facebook accounts online over their mobile phones/android devices throughout the day. Most studies take into account the association of social networking sites and depression in adolescents or school students/college students etc. Hence this study was conducted in adults aged 19years to 64 years.Methods: A study was conducted to determine Facebook addiction and depression in those users aged 19 years to 64 years in India from April 1st 2016 to April 1st 2017. The participants were interviewed through an online questionnaire.Results: This study was conducted among four hundred and sixty nine adults of age nineteen years to sixty four years of which Two hundred and fifty three were males and two hundred and sixteen were females. 64% of the participants were addicted to Facebook. 40.66% (122) had signs of depression.Conclusions: Simple measures like spending time with friends and loved ones, going out for a ride, attending social gatherings, doing activities that release endorphins and decreasing the time spent on social networking sites could help prevent Facebook addiction and depression.
A study to assess the effectiveness of self-instructional module on minor ailments of children among anganwadi workers
Authors: Jamra Vishal , Mahore Ramniwas , Saxena Dinesh Mohan , Agarwal Anil Kumar
Published: July 2017

Background: Anganwadi workers (AWW) are India’s primary tool against the menace of child malnourishment, infant mortality, and lack of child education, community health. The Anganwadi workers should have basic knowledge of treatment of minor ailment in under five children. Methods: This cross sectional study was conducted on 48 AWWs of selected ICDS centers of District Bhopal, Madhya Pradesh by simple random sampling method. Results: Brief structured interview and structured questionnaire techniques were used to collect responses from the AWWs. All the AWWs (48) were trained and had been rendering adequate services but they were not much reflective of the same when being questioned on the knowledge parameter. The study revealed that out of 48 AWW, more than 80% were in the age group of 25-45 years. After IMCI based training given to AWWs, their knowledge and skills for treating minor ailments under five children was significantly improved from pre-test assessment (Total score 1087 with Mean (SD) score 2.83 (1.32) to post-test assessment1392 with Mean (SD) score 3.62 (1.38). Knowledge of AWWs regarding under five children in all 8 domains of illness was changed significantly 14.1% from 50.3% in baseline survey to 64.4% in end line survey. Conclusions: As the Anganwadi worker is the key person in the programme, her education level and knowledge of minor ailments for under five children plays an important role related to her performance in the Anganwadi centre.
Prevalence of osteoarthritis patients in South Indian hospital
Authors: Viswanath J. , Cheekavolu Chakrapani , Dixit Renu , Sankaraiah S.
Published: July 2017

Background: Osteoarthritis is multifactorial in aetiology. Both systemic factors (e.g. age, sex, genes) and local factors (e.g. muscle weakness, joint deformity) appear to influence the risk of individual joints developing the disease. Methods: Total 60 patient’s prospective data was collected in S.V. Ayurvedic Medical College and Hospital. Collected data were family history, physical activity, illness, addiction, digestive power etc., in patients with osteoarthritis. Results: The study showed 53.33% of previous family history of osteoarthritis and 46.66% were no family history of osteoarthritis. 76.66% gradual disease onset and 23.33% were insidious onset. 100% were having joint pain with swelling. 50% were average digestive power, 36.66% good and 13.33% poor. 30% patients were having addiction of alcohol, 16.66% smoking and alcohol, 16.66% smoking, 3.33% tobacco and 33.33% were no addiction. 66.66% patients were having irregular bowel habit and 33.33% was regular. 41.66% sedentary, 40% active and 18.33% were moderately active. 40% illness was observed during the period of 0-6 months, 30% 1-2 years, 16.66% 6-12 months and 13.33% were 2-5 yrs. 60% cold season and 40% were other seasons. Conclusions: Present study demonstrated that, incidence of osteoarthritis was very high especially in earlier family history of osteoarthritis, gradual disease, joint pain, average digestive power, No addiction, bowel habit Irregular, sedentary, illness during the period of last 6 months and cold season patients.
Nurses’ knowledge of HIV/AIDS
Authors: Siebers Robert
Published: July 2017

A recent article in this journal presented the knowledge and attitude towards caring for HIV/AIDS patients in Nigeria. The authors, in their discussion section, state that the majority of their respondents had a good knowledge of HIV/AIDS in contrast to the results of a South African study of nurses. In support of that statement the authors cite the study of Juan et al and hypothesise that this difference may be due to the fact that their study was done in urban areas of Nigeria while the study by Juan et al was done in a rural area of South Africa.
Preparation and Characterization of Pristine PMMA and PVDF Thin Film using Solution Casting Process for Optoelectronic Devices
Authors: Rameshkumar C. , Sarojini S. , Naresh K. , Subalakshmi R.
Published: July 2017

The PMMA and PVDF thin films were synthesized by solution casting process. The structural, spectroscopic, and morphological attributes of both the interface and surface of the film have been investigated. The structural properties of pristine PMMA and PVDF thin film were studied by XRD. The XRD spectra showed the detailed state of order and disorder of the system. From the XRD studies amorphous nature as well as the crystallanity (semi crystalline nature) of the polymer thin film were identified. SEM showed the surface morphology of the pristine PMMA and PVDF thin film. From the SEM image the size and the porous nature of the thin film were estimated. The UV showed the absorption characteristics of PMMA and PVDF thin films. From the UV-Visible spectra, we determined the direct and indirect optical energy gap of pristine PMMA and PVDF polymer samples by Devi's and Mott formula and Tauc's Expression. To the best of our knowledge, the direct and indirect energy gap in pristine PMMA and PVDF polymer thin films have been observed for the first time as no such report was found in literature survey.
Разработка подходов к анализу ресурсного потенциала торговой организации с целью выбора конкурентной стратегии
Authors: Николаева Тамара Ивановна , Урясьева Татьяна Ивановна
Published: July 2017

В статье раскрывается сущность ресурсного потенциала торговой организации, факторы, на него влияющие, дается состав и характеристика ресурсов. Обобщены научные подходы к определению состава и к оценке ресурсов организации. Предложена авторская трактовка понятия ресурсного потенциала. В процессе исследования авторами сделан вывод, что существующие подходы к определению видов ресурсов и их анализу не обеспечивает объективную оценку ресурсного потенциала торговой организации. Стратегическое видение потенциальных рыночных возможностей требует реальной оценки на основе новых подходов к их дифференциации и идентификации. Для оценки конкурентного превосходства торговой организации авторы предлагают выделить при анализе оценки возможностей организации следующие ресурсы: маркетинговые ресурсы; ресурсы задействованные в завоевании конкурентных преимуществ; пространственные ресурсы и потребительский капитал; информационные ресурсы; финансово- инвестиционные ресурсы; компетенции менеджмента. Состояние ресурсов и их инновационность, по авторскому определению, является стратегической платформой для развития организации. Реальное представление о ресурсном потенциале торговой организации позволит торговым предприятиям обоснованно выбирать стратегии, направленные на максимальное использование возможностей по укреплению позиции на зрелых рынках и на освоение рыночного потенциала на растущих рынках.
Формирование российского рынка фруктов и орехов в условиях экономических санкций
Authors: Резго Георгий Яковлевич , Аверьянова Светлана Евгеньевна
Published: July 2017

В статье рассматриваются состояние российского рынка фруктов и орехов, в условиях международных экономических санкций, введенных в отношении России некоторыми зарубежными странами и ответных мер, введенных президентом России в форме эмбарго на поставку продовольствия из этих стран. Предлагаются меры по насыщению рынка продовольствия России фруктами и орехами.
Impacts of place and social spaces on traditional food systems in southwestern Ontario
Authors: Neufeld Hannah T. , Richmond Chantelle A. M. , Health Access Centre Southwest Ontario Aboriginal
Published: July 2017

Processes of environmental dispossession have had dramatic consequences for dietary quality, cultural identity, and the integrity of traditional food systems (TFS) in many Indigenous populations. These transitions have not been documented among First Nation people in southwestern Ontario, and virtually no studies have investigated TFS in southern or urban regions of Canada. Nested within a larger community-centred project designed to better understand the social and spatial determinants of food choice and patterns of food security, the objective of this paper was to explore First Nation mothers’ knowledge about access, availability, and practices relating to traditional foods in the city of London, Ontario, and nearby First Nation reserves. In 2010, twenty-five women participated in semi-structured interviews that were audio recorded, transcribed, and analyzed with input from community partners. Our results centre on the women’s stories about access, preferences, knowledge, and sharing of traditional foods. Those living on a reserve relied more consistently on traditional foods, as proximity to land, family, and knowledge permitted improved access. Urban mothers faced transportation and economic barriers alongside knowledge loss related to the use and preparation of traditional foods. Overall our results demonstrate uneven geographic challenges for First Nation engagement in TFS, with urban mothers experiencing uniquely greater challenges than those residing on a reserve.
Needle Stick Injuries Prevention by Implementing Proper Techniques and Educating Health Care Personnel
Authors: Dr.Suchithra R Dr.Shreenivas Shouri ,
Published: July 2017

Instead of various Health education programmes, HBV vaccine availability, good supply of personal protective equipment, Biomedical waste management rules in many hospitals and laboratories, needle stick injury precautions were not following. The aim of the study is to assess the needle stick injuries rate after implementation of proper techniques in hospital and educating health care personnel regarding needle stick injuries. Structured questionnaire gave to control and case group to answer in the month of may 2016 after educating them regarding needle stick injuries and implementing proper techniques to avoid needle stick injuries. After obtaining the answers to this questionnaire from studied health care personnel, all the results were analyzed. In this study 23% of PPE usage increased, 27% increased in knowing patient status about HBV, HCV, HIV, 77% increase in entering incident into register, 13% and 15% improvement in post exposure test and counseling respectively in case group. All Health care Personnel should follow the universal precautions related to the particular procedure. Education trainings should focus on rules of biomedical waste management, needle exchange program, no re-capping of needle guidelines to reduce needle stick injury exposure and transmission of blood borne viruses.
Comparison of diagnostic ability of ultrasonography, contrast enhanced computed tomography and magnetic resonance imaging in detection of ovarian masses with histopathology correlation
Authors: Salooja Dr BS
Published: July 2017

Objective: To compare the diagnostic ability of ultrasonography, contrast enhanced computed tomography and magnetic resonance imaging in detection of ovarian masses with histopathology correlation. Methods: This was a prospective observational study. The study was carried out in a tertiary care hospital in northern India. Women with perimenopausal and postmenopausal aged>40 years were included in the study. It was planned to included 130 women considering the previous study. After complete clinical evaluation and laboratory investigations, the patients first underwent USG evaluation followed by CT and MRI assessment. Results: The mean age of patients was 56.70±11.81 years. USG was found to have the sensitivity of 75% and specificity of 96.5%. The PPV and NPV of USG for malignancy were 91.7% and 88.3% respectively. The accuracy of USG to differentiate between benign and malignant masses was 89.2%. CT was found to have the sensitivity of 79.5% and specificity of 93%. The PPV and NPV of CT for malignancy were 97.2% and 90.4% respectively. The accuracy of CT to differentiate between benign and malignant masses was 92.3%. MRI was found to have the sensitivity of 86.4% and specificity of 94.2%. The PPV and NPV of MRI for malignancy were 88.4% and 93.`% respectively. The accuracy of MRI to differentiate between benign and malignant masses was 91.5%. Conclusions: The findings of this study suggest that in a setting where MRI is available, it must be the diagnostic modality of choice.
Chest X ray Imaging Patterns of Infectious Pneumonia among Immunocompetent Patients
Authors: Vasundhara Dr.Bakka Sarada, Dr.Nagireddy
Published: July 2017

Infectious Pneumonia is a worldwide public health problem. It is a single largest infectious cause of death in children worldwide. Chest X ray is a non invasive, economical medical test that helps physicians to diagnose and treat medical conditions including infectious pneumonia. The aim of this study is to know the prevalence of infectious pneumonia among immunocompetent individuals and the various patterns of pneumonia on chest X-ray. Patients attending General Medicine OPD with persisting symptoms of pneumonia were selected to do this study. Chest x-ray taken and findings were correlated with clinical features, blood and sputum investigations for accurate diagnosis. Cough and fever were the most common presenting features seen in 86.4% and 70.2% of the patients respectively. Lobar consolidation was predominant pattern seen in 46 (62.1%) patients, followed by diffuse consolidation among 10 (13.5%) patients. Out of 74 patients 47 (63.1%) were confirmed by bacterial culture. Sputum samples reported with Streptococcus pneumoniae, Klebsiella pneumoniae, Tuberculosis were identified mostly from lobar pneumonia cases. Staphylococcus aureus, Klebsiella pneumoniae, Pseudomonas, Enterobacter, Acinetobacter were isolated from bronchopneumonia cases. Diagnosing of Infectious pneumonia by various imaging patterns of chest x ray needs expertise. Studying Chest x-ray imaging patterns and their correlation with microbiological investigations helps us to diagnose accurately and start appropriate treatment
A retrospective study on lipid profile of patients having non-alcoholic fatty liver disease diagnosed by ultrasound in a tertiary care hospital
Authors: Dr BP Mishra Dr Manohar Lal Verma , Dr Vidhi Verma , Dr Harshita Pant ,
Published: July 2017

Objective: To assess the lipid profile and body mass index (BMI) of the patients suffering from NAFLD in a north Indian population. Methods: This was a hospital based cross-sectional study conducted in a tertiary care hospital in north, India. All the ultrasound proven fatty liver cases without hepatitis, history of no alcohol intake and not on any lipid lowering medicine were included in the study. The patients with very low and high BMI, having diabetes and hypertensive were excluded from the study. A total of 128 patients were included in the study. The age, sex, height and weight were recorded. A detailed clinical history for all the patients was taken and careful general examinations were done. Ultrasonographic (US) examination of all the patients was done for diagnosing and classifying grades of fatty liver grades. Results: The mean age of the patients was 48.78±14.23 years and 45.3% of the patients were males. The mean BMI was 30.34±2.34. Increased levels of total cholesterol, triglyceride, LDL and VLDL were observed among NAFLD patients. HDL was found to be decreased among NAFLD patients. Majority of the patients were in Grade 0 (43.8%) followed by Grade I (32%), Grade II (17.2%) and Grade III (7%). Grade 0 fatty liver was higher among females (53.6%) than males (46.4%). Grade I fatty liver was also higher among females (58.5%) compared to males (41.5%). Conclusion: The study found abnormal profile of lipid levels amongst patients with fatty liver. A case-control study is recommended to find better understanding of lipid levels among NAFLD subjects.
Multiple Melanomas of the Right Atrium as a First Sign of a Metastatic Disease
Authors: Igor Medved Aleksandra Ljubacev ,
Published: July 2017

Out of all malignant tumors, metastatic melanoma has the highest propensity of heart metastases. Metastatic heart tumor is often a sign of disseminated malignant disease and poor prognosis. In our 39-year-old female patient, the symptoms of heart failure caused by metastatic melanoma of the right atrium were the first sign of advanced metastatic disease. The tumor masses were completely resected along with the affected wall of the right atrium, which was reconstructed with an autologous pericardial patch. The patient underwent further oncological treatment, and was asymptomatic for four years after surgery. Considering new treatment options in oncology a complete resection of metastatic heart melanoma offers a chance to improve quality of life and prognosis of these patients.
ANÁLISE DA POTABILIDADE DE ÁGUA DE CHAFARIZES DE DOIS BAIRROS DO MUNICÍPIO DE FORTALEZA, CEARÁ
Authors: BEZERRA Antonia Diana Alves , NOGUEIRA Elcivania Rodrigues , ARAÚJO Francisco Gabriel Dias Mota , BRANDÃO Maíra Gadelha Alves , CHAVES Bruno Edson , PANTOJA Lydia Dayanne Maia
Published: July 2017

Devido ao quadro de déficit hídrico, em algumas regiões do Brasil, especialmente no Nordeste, vem emergindo um evidente consumo de água procedente de fontes hídricas alternativas, entre elas o consumo de água originário de chafarizes. Essa ação é frequente em determinadas comunidades, entretanto, sua distribuição não costuma passar por tratamento. Dentro desse contexto, o presente trabalho objetivou analisar a potabilidade da água de chafarizes dos bairros Lagoa Redonda e Curió, município de Fortaleza-CE. Para tanto, foram analisados os parâmetros físico-químicos e bacteriológico de oito amostras coletadas, sendo seis do bairro Lagoa Redonda e duas do bairro Curió. Os parâmetros físico-químicos analisados foram: pH, cor, turbidez, alcalinidade total, dureza, cálcio, magnésio, cloretos, sódio, potássio, nitrito, nitrato, amônia, condutividade, ferro, sulfato e sólidos totais dissolvidos. Já as análises bacteriológicas foram realizadas para a determinação de Escherichia coli, utilizando-se a metodologia dos tubos múltiplos. Os resultados obtidos foram comparados com os padrões estabelecidos pela Portaria Nº 2.914, de 12 de dezembro de 2011 do Ministério da Saúde, e revelaram que 37,5% das amostras apresentaram pHs abaixo do recomendado, 25% estão com teores de nitrato acima do permitido e 62,5% das amostras apresentaram-se positivas para contaminação bacteriológica. Os demais parâmetros estão dentro dos padrões estabelecidos. Os resultados acima dos limites máximos revelaram a má qualidade sanitária de águas provenientes dos chafarizes monitorados, logo, o consumo dessas águas são potencias fontes de risco à saúde pública.
INCORPORAÇÃO DO LODO DE ESGOTO NA COMPOSIÇÃO DE SUBSTRATO PARA PRODUÇÃO DE MUDAS NATIVAS
Authors: NOBREGA Michele Aparecida dos Santos , PONTES Montcharles Da Silva , SANTIAGO Etenaldo Felipe
Published: July 2017

A disposição final dos resíduos sólidos tem sido um agravante nas questões ambientais, pois seu despejo incorreto promove danos à saúde pública e ao meu ambiente. Baseado em suas características químicas, os biossólidos tem potencial para uso em substratos de plantas, demandando estudos de espécies que sejam tolerantes, passíveis de serem utilizadas em modelos de produção vegetal, bem como para recuperação de áreas degradadas. Neste sentido, esta revisão objetiva alertar e informar a população em geral e os profissionais da área de restauração ambiental quanto à atuação do lodo de esgoto como coajduvante na composição de substrato para produção de mudas de espécies florestais nativas. Tais informações podem contribuir para a elaboração de protocolos para a produção de substrato para mudas nativas, substrato este que seja de baixo custo de produção e que contribua para a melhoria ambiental. 
INCIDÊNCIA DE INFECÇÕES DO TRATO URINÁRIO EM GESTANTES E CORRELAÇÃO COM O TEMPO DE DURAÇÃO DA GESTAÇÃO
Authors: VEIGA Samara Pavan da , BOEIRA Veridiana Lenartovicz , SILVA Claudinei Mesquita da , PEDER Leyde Daiane de
Published: July 2017

As infecções do trato urinário são frequentes durante o período gestacional e as complicações se associam a significativos problemas. O estudo objetivou verificar a incidência de infecções do trato urinário durante a gestação e a correlação com a duração do período gestacional identificando complicações com o parto prematuro e o baixo peso ao nascer. Trata-se de um estudo retrospectivo com análise de Declarações de Nascidos Vivos e análise de laudos laboratoriais de exame de urina I de gestantes atendidas pelo Laboratório Municipal de Marmeleiro – PR, durante o período de pré-natal. A incidência de infecção do trato urinário encontrada foi de 10,1% e dentre essas, 18,2% tiveram parto prematuro. Das que tiveram parto prematuro, 63,6% não apresentavam os 3 exames de urina I preconizados pelo Programa Rede Mãe Paranaense; 10,4% dos bebês apresentaram baixo peso ao nascer e 33,3% nasceram de períodos gestacionais com incidência de infecção urinária. A partir dos resultados concluiu-se que existe correlação entre a incidência de infecções do trato urinário na gestação e o aumento das taxas de prematuridade.
UTILIZAÇÃO DE METILFENIDATO, LISDEXANFETAMINA E MODAFILINA COMO DROGAS AMPLIADORAS DO CONHECIMENTO: ESTUDO DO PERFIL DE DISPENSAÇÃO EM UMA FARMÁCIA COMUNITÁRIA DO INTERIOR DO RIO DE JANEIRO
Authors: OLIVEIRA Cristiano Guilherme Alves de , RIBEIRO Natalha Feilisbino , BARRETO Juliano Gomes , SILVA Denise Aparecida da , LADEIRA Rondinelli De Carvalho
Published: July 2017

Os ampliadores cognitivos trazem uma possível melhora na capacidade da atenção, memória e no estado de alerta. No entanto, a utilização de fármacos para tal finalidade pode apresentar riscos para a saúde apresentando uma forma irracional da utilização destes medicamentos. Desta forma, foi realizado uma pesquisa na dispensação de medicamentos metilfenidato, lisdexanfetamina e modafilina em uma farmácia comunitária, através do balanço de medicamentos registrados no SNGPC nos anos de 2016 e 2017. Os dados observados descrevem uma sazonalidade da venda destes medicamentos com predominância de metilfenidato de 10 mg para apresentação de 30 e 60 comprimidos. A prescrição dos fármacos acontece por grande maioria por especialistas (psiquiatras), ocorrendo uma parte de não especialistas. Ocorre um aumento significativo do consumo destes medicamentos entre os anos de 2016 e 2017. Alertas da ANVISA assim como dados obtidos no trabalho sugerem a necessidade de alerta para o consumo destes medicamentos de forma irracional.
An analysis of growth trend, instability and determinants of rice production in Assam
Authors: Mech Annesha
Published: July 2017

Rice is one of the most dominant crop in Assam occupying about 70 per cent of the net cultivated area. It accounts for about 6 per cent of the national rice area and 4 per cent of production of India. This paper makes an attempt to examine the growth trend, instability and factors influencing rice production in Assam over the period 1972-73 to 2014-15. Annual Compound Growth Rates of area, production and yield is calculated using log-linear function. Coefficient of Variation is employed to assess the instability of rice production in Assam. To estimate the impact of various factors on rice production in Assam, three types of models are used namely linear model, log-linear model and a log-linear model with autocorrelation corrections. In all the models, the dependent variable is rice yield and the independent variables are yearly average rainfall, yearly average temperature of the state; area of rice cultivation in hectare; area covered by HYV seeds in hectare; area covered by irrigation in hectare; fertilizer used in kg per hectare. The estimated result of log-linear model with autocorrelation corrections shows that among the various determinants influencing rice production during the period 1972 to 2014, area under rice cultivation in hectares; area covered by HYV seeds in hectare; fertilizer used in kg per hectare were found to have a positive significant impact on rice production in Assam. Temperature is found to have a negative impact on rice production.
Micropropagation of White Palash tree (Butea monosperma (Lam.) Taub. Var. lutea (Witt.)).
Authors: D Rathnaprabha , N Muralikrishna , E Raghu , V Yashodhara , A Sadanandam
Published: July 2017

An efficient and reproducible protocol is established for rapid in vitro multiplication of an endangered, valuable medicinal plant, Butea monosperma (Lam.) Taub. Var. lutea, through cotyledonary nodes of mature seeds. Among various cytokinins tested, high frequency of direct shoot regeneration was induced on Murashige and skoog (MS) medium supplemented with BAP, which found to be more effective and showed optimal response at 2 mg/L with a maximum number of 8.35±0.32 multiple shoots per explant. Proliferation of shoots was established by repeated subculturing on to same regeneration medium with 2-3 weeks of time interval. Rooting of regenerated shoots was achieved after 3 weeks of culture on MS medium containing 1 mg/L IBA. In vitro raised plantlets were transferred to pots containing sterilized soil and vermiculate mixture in 1:1 ratio and then shifted to greenhouse. Well established plantlets exhibited 75% survival rate.
Makna Simbolik Tradisi Rebo Kasan
Authors: Rahmawati Rian , Nurhadi Zikri Fachrul , Suseno Novie Susanti
Published: July 2017

Penelitian ini dilatarbelakangi oleh ketertarikan peneliti terkait makna dibalik penggunaan simbol tertentu pada tradisi Rebo Kasan yang sampai sekarang masih dipertahankan oleh beberapa kelompok masyarakat di Kabupaten Garut. Hal ini penting mengingat tradisi Rebo Kasan ini merupakan rangkaian sejarah masa lalu yang mengandung nilai-nilai moral maupun keagamaan didalamnya. Tujuan penelitian ini adalah untuk menemukan dan menjelaskan lebih dalam mengenai makna denotasi, konotasi dan mitos pada simbol-simbol Rebo Kasan di Kabupaten Garut. Metode penelitian yang digunakan dalam penelitian ini adalah metode analisis Semiotik Roland Barthes, yaitu studi yang mengkaji makna suatu tanda baik itu makna denotasi, konotasi dan mitos, dengan pendekatan kualitatif, penelitian ini dapat mengungkap makna denotasi, konotasi dan mitos pada simbol-simbol yang digunakan dalam tradisi Rebo Kasan di Kabupaten Garut. Sedangkan teknik pengumpulan data yang digunakan pada penelitian ini adalah observasi partisipan, wawancara mendalam, studi kepustakaan. Subjek pada penelitian ini adalah jamuan yang dihidangkan pada perayaan tradisi tersebut serta pengambilan informan dengan menggunakan purposive sampling. Jumlah informan dalam penelitian ini adalah sebanyak 5 orang. Hasil penelitian menunjukkan bahwa dalam tradisi Rebo Kasan di Kabupaten Garut memiliki makna denotasi, konotasi dan mitos. Adapun yang merupakan simbol tradisi tersebut adalah, air putih, Dupi, Leupeut dan Bugis yang merupakan makanan khas dari daerah tersebut. Makna tradisi dari Rebo Kasan itu sendiri adalah berbagi atau bersedekah dengan tujuan menolak marabahaya yaitu dengan jamuan berupa makanan yang dimaknai dengan makna tertentu yaitu diantaranya, air putih merupakan simbol kesucian, Dupi sebagai simbol penolakan, Leupeut sebagai simbol mempersatukan, dan Bugis sebagai simbol keyakinan.
Media Sosial dan Perkembangan Komunikasi Korporat
Authors: Juwita Rina
Published: July 2017

Kehadiran media sosial telah mengubah aktivitas komunikasi korporat dan dengan cepat merevolusi bagaimana kampanye atau program public relations berjalan. Jika dibandingkan dengan cara tradisional yang mengandalkan pada output murni, media sosial memaksa komunikasi korporat beralih pada proses dialog dimana para pemangku kepentingan, dan bukan hanya perusahaan sama-sama memiliki kekuasaan terhadap pesan yang beredar. Media sosial merupakan alat komunikasi revolusioner yang mengubah secara cepat bagaimana praktik PR menjadi bagian integral dari komunikasi korporat bagi sejumlah perusahaan dan menawarkan pilihan baru bagi para praktisi PR pada setiap aspek proses komunikasi yang dilakukan.
A CULTURA E A OBRA DE ARTE NA FILOSOFIA POLÍTICA DE HANNAH ARENDT: SINAIS DA ESTABILIDADE DO MUNDO
Authors: Passos Fábio Abreu dos
Published: July 2017

Resumo: O mundo, no interior das reflexões de Hannah Arendt (1906-1975), deve ser compreendido como algo construído pela capacidade humana de reificação e, nesse sentido, deve ser visto como um artifício humano. Essa capacidade humana de reificação edifica um mundo de estabilidade, que existe antes de nossa chegada e continuará a existir após nossa breve passagem por ele, dando, assim, aos seres finitos, um lar mais durável do que suas próprias vidas e, consequentemente, garante-lhes uma identidade. Essa identidade aparece como algo de permanente em meio às constantes mudanças da vida, um abrigo diante das intempéries de suas existências, ou seja, uma morada a partir da qual possam reconhecer-se como humanos, pois o mundo é a marca indelével de que somos seres que constroem história e cultura. O mundo e sua durabilidade manifestar-se-á, sobretudo, na cultura e, especificamente, na obra de arte: a mais durável das obras humanas, pois há nela um grau de excepcional permanência que nenhum outro objeto produzido pelo homo faber possui. Essas reflexões nos proporcionarão abrir uma linha argumentativa que nos levará a compreender uma importante característica do conceito de mundo no pensamento político arendtiano, ou seja, que o mundo, enquanto fonte de estabilidade, permite ao homem ser compreendido usando-se o substantivo “homem” no plural.Abstract: The world, inside the reflections of Hannah Arendt (1906-1975), must be understood as something constructed by the human capacity of reification and, accordingly, may be viewed as a human gimmick. This human ability of reification builds a world of stability, that exists before our arrival and will continue to exist after our brief stint for him, giving, thereby, to finite people, a more durable home than their own lives and, consequently, guarantee to them an identity. This identity appears as something permanent in the midst of the constant changes of life, a shelter on the bad conditions of their existence, or, with other words, a residence from which they can recognize themselves as humans, because the world is the indelible mark that we are beings who build history and culture. The world and its durability will manifest itself, especially in culture and, specifically, in the work of art: the more durable of the human works, because there is in it a degree of exceptional permanence that no other object produced by homo faber has. These conceptions will open an argumentative line which lead us to understand an important feature of the concept of the world in the Arendt’s political thought, namely, that the world, as a source of stability, allows the man be understood using the noun “man” in the plural.
Confiança do empregado na organização e comprometimento organizacional: em busca da relação entre os construtos
Authors: Cunha Daniele Estivalete , Silva Andressa Hennig , Estivalete Vania de Fátima Barros , De Andrade Neves Hörbe Tatiane , Moura Gilnei Luiz de
Published: July 2017

Este estudo foi desenvolvido com o propósito de identificar a associação da confiança do empregado na organização com o comprometimento organizacional. Para tanto, empreendeu-se uma pesquisa de caráter descritivo, quantitativa, com 76 colaboradores da empresa Beta, que atua no setor de monitoramento e segurança. Os instrumentos utilizados para a coleta de dados foram o ECEO (Escala de Confiança do Empregado na Organização) e o EBACO (Escala de Bases de Comprometimento Organizacional). Para análise dos dados utilizou-se: estatística descritiva, análise fatorial e coeficiente de correlação de Pearson, na tentativa de estabelecer as relações entre os construtos. Aponta-se que a estrutura fatorial original dos dois instrumentos não se confirmou neste estudo. Como principais resultados, evidencia-se que a confiança é mais bem representada pelos padrões éticos e solidez organizacional e o comprometimento configura-se como o afiliativo. Indicou-se, também, que existe associação entre os fatores. E, como limitações deste estudo, tendo em vista o tamanho da amostra, infere-se que os resultados não podem ser generalizados.