bluuebunny/crossref_metadata_2025 huggingface dataset:
Perda auditiva unilateral e assimétrica na infância
Authors: Gouveia Fernanda Navarro , Jacob-Corteletti Lilian Cássia Bórnia , Silva Bárbara Cristiane Sordi , Araújo Eliene Silva , Amantini Regina Célia Bortoleto , Oliveira Eduardo Boaventura , Alvarenga Kátia de Freitas
Published: January 2020

RESUMO Objetivo Descrever a perda auditiva sensorioneural unilateral e bilateral assimétrica em crianças quanto às características etiológicas, audiológicas e demográficas. Método Estudo retrospectivo transversal, desenvolvido na Seção de Implante Coclear do Hospital de Reabilitação de Anomalias Craniofaciais, por meio da análise de prontuários. Resultados Foram analisados os dados de 1152 pacientes, sendo 424 (37%) adolescentes, adultos ou idosos e 728 (63%) crianças, dentre as quais, 691 (95%) apresentavam perda auditiva bilateral simétrica e 37 (5%) perda auditiva sensorioneural unilateral (n=10) ou bilateral assimétrica (n=27). A idade média ao diagnóstico na perda auditiva sensorioneural unilateral foi de 33,58±21,69 meses e na bilateral assimétrica de 33,12±21,69 meses, com prevalência de 1,4% e 3,7%, respectivamente. O indicador de risco para a deficiência auditiva de maior ocorrência para ambos os grupos foi o de antecedente familiar. A maioria dos familiares das crianças com perda auditiva sensorioneural unilateral apresentaram a classificação socioeconômica baixa superior (50%), enquanto que as crianças com perda auditiva sensorioneural bilateral assimétrica se subdividiram igualmente em baixa superior (37%) e média inferior (37%). Conclusão Houve uma maior prevalência da perda auditiva sensorioneural bilateral assimétrica em relação à unilateral, bem como do indicador de risco de hereditariedade, com predomínio do grau profundo na pior orelha e preponderância do sexo feminino, em ambos os grupos. Apesar de a triagem auditiva neonatal propiciar a identificação precoce da perda auditiva sensorioneural unilateral, a idade no diagnóstico audiológico ainda se encontra acima do recomendado. Adicionalmente, a maioria dos familiares das crianças apresentou nível de rendimento baixo.
In vitro culture and greenhouse acclimatization of Oncidium varicosum (Orchidaceae) with microorganisms isolated from its roots
Authors: Bezerra Gabrielle Alves , Gabriel Afra Vital Matos Dias , Mariano Eduardo D. , Cardoso Jean Carlos
Published: January 2020

Abstract Sustainable production of orchids may be achieved with the use of symbiotic microorganisms that improve resistance of plants to pests and diseases and reduce the need of substrate fertilization. In this study, one fungus (F1), one yeast (Y1) and one gram-positive bacteria (B+) were isolated from the roots of the orchid Oncidium varicosum and used in the cultivation of protocorms and plantlets obtained from seeds of this species. Cultivation of protocorms in Murashige and Skoog (MS) medium enriched with sucrose and inoculated with microorganisms did not result in better development of protocorms. However, the use of plantlets in the rooting phase in MS medium without sucrose and inoculated with B+ resulted in plantlets with more leaves and roots and longer shoots and roots, suggesting synergism between microorganism and plant when sucrose is absent. The major benefits of co-cultivating plantlets and these microorganisms were observed in the acclimatization in the greenhouse. Plantlets obtained with oat meal agar medium and B+ showed the highest pseudobulb diameter, number of roots, height and fresh weight among treatments. We concluded that the application of rooting-derived microorganisms in the in vitro culture and plantlet acclimatization of Oncidium varicosum is beneficial.
In vitro regeneration and flowering of Portulaca grandiflora Hook
Authors: Cruz Carla Fernandes , Santos Wolffe Ferreira dos , Souza Claudinei da Silva , Machado Marcelo Dias , Carvalho Ilio Fealho de , Rocha Diego Ismael , Silva Maurecilne Lemes da
Published: January 2020

Abstract P. grandiflora is a known ornamental plant with abundant flowering. The flowers exhibit varied coloration with distinct forms and simple folded petals and/or multiple. The objective of this work was to induce regeneration via organogenesis and in vitro flowering of P. grandiflora. Nodal segments of seedlings germinated in vitro were used as explant source for regeneration. Kinetin (KIN) and 6-Benzylaminopurine (BA) were used for the induction of organogenesis. The treatments supplemented with 1.0 and 1.5 mg L−1 BA induced the highest number of adventitious shoots with an average number of 7.0 (±1.55) e 5.4 (±0.83), respectively. The microcuttings obtained from regenerated shoots produced floral buds. The floral buds were located in the axillary and terminal regions of the microcuttings and developed in approximately 10 days of cultivation until the anthesis. The highest number of flower buds was observed in the presence of 0.75 mg L−1 of gibberellic acid. This study opens new perspectives for the establishment of biotechnological tools to be applied for this important ornamental species.
A Escola de Pesca do Abrigo Cristo Redentor do Rio de Janeiro e a formação profissional do pescador brasileiro no Estado Novo, 1937-1945
Authors: Caminha Mônica Cruz
Published: January 2020

Resumo O artigo apresenta, com apoio de imagens, a Escola de Pesca Darcy Vargas, um dos departamentos da instituição filantrópica Abrigo do Cristo Redentor do Rio de Janeiro, e sua importância no contexto do Estado Novo. Estabelecida na ilha da Marambaia, no início da década de 1940, a escola visava à formação técnica e profissional de pescadores locais e de várias regiões litorâneas do país, colaborando, dessa forma, para o surgimento de um “trabalhador/cidadão” apto a contribuir para o desenvolvimento socioeconômico almejado pelo “Estado Nacional” dirigido por Vargas.
Long-term monitoring of an earth-masonry shell house in Johannesburg, South Africa: thermal performance
Authors: Bradley Ryan A. , Gohnert Mitchell , Fitchett Anne
Published: January 2020

Earth has been used as a building material for millennia, and several structures built in antiquity still exist today. Recently, there has been renewed interest in earth-block masonry as it offers some benefits over more traditional materials, including sustainability, low embodied carbon dioxide and energy, good thermal performance and affordability. Additional benefits may be achieved by utilising shells for roof or structure. Of particular focus in this paper is a shell house built in Johannesburg, South Africa. It is a double-storey house, comprising interlocking masonry walls, earth-block vaults and a rib and block slab. This paper presents some in situ experimental results from a long-term thermal evaluation of the prototype house. The effectiveness of several passive design strategies was also examined. Natural ventilation and painting external surfaces white were especially effective at reducing late afternoon and evening temperatures during summer. Another important finding was that the shading of the shell's surface resulted in a significant reduction of indoor temperatures during the winter months. Specifically, the temperature within the north vault was regularly 3–5°C warmer than in the partially shaded south vault between 5.00 p.m. and 9.00 p.m. Several performance recommendations are presented for unreinforced earth-masonry shells.
Polypropylene pipe interface strength on marine sandy soils with varying coarse fraction
Authors: de Leeuw Lawrence W. , Martin Gary , Milewski Henry , Dietz Matthew S. , Diambra Andrea
Published: January 2020

The interface shear strength of polypropylene pipeline coatings and marine sandy soils was investigated through direct and surface-over-soil interface shear box testing. Polypropylene specimens were acquired by removal from existing manufactured steel pipes and test soils were fabricated to closely resemble typical compositions and particle size distributions of North Sea marine sediments. The test sands varied according to their coarse particle fractions, with 0, 15 and 35% being retained on a 0·4 mm sieve. Testing was carried out at the very low stresses pertinent to pipeline interfaces, between 2·5 and 37·5 kPa, in both loose and dense states. The experimental results suggest a dependency of the interface shear strength on the stress level and relative density, with the coarse particle fraction playing a modest role. Surface characterisation and lack of volumetric deformation suggests that the shearing kinematic is predominantly grain sliding rather than rolling. Interface efficiency was largely constant despite some scatter due to variability in surface specimens. The distinct seams apparent on some of the polypropylene surfaces as inherent manufacturing artefacts had a negligible influence on interface strength. The relationship between interface strength, normalised roughness and Shore D hardness was assessed, discussed and compared with results from other works.
Corrosion behavior of MoS2-incorporated PEO coatings prepared on Al alloy
Authors: Ghorbanian Babak , Tajally Mohammad , Khoie Seyed Mohammad Mousavi , Tavakoli Hossein
Published: January 2020

Aluminum (Al) alloys are used widely in the automotive and aerospace industries, but their corrosion resistance is insufficient in long-term service, particularly in a high-salinity environment. The incorporation of molybdenum disulfide (MoS2) particles into plasma electrolytic oxidation (PEO) coatings formed on an aluminum alloy was investigated in this work. After oxidation, the coatings were investigated by a series of structural, morphological and electrochemical corrosion tests to understand the effect of molybdenum disulfide addition to the base electrolyte. The phase compositions and surface morphology of coatings were analyzed through X-ray diffraction (XRD) and field-emission scanning electron microscopy (FESEM), respectively. The XRD results showed that all coatings were primarily composed of α-aluminum oxide (α-Al2O3), γ-aluminum oxide and molybdenum disulfide phases. The FESEM observations indicated that molybdenum disulfide particles were successfully incorporated in the ceramic coating and the apparent porosities decreased with increasing molybdenum disulfide concentration. The electrochemical corrosion tests indicated that the amount of coating porosity decreased and the corrosion current density decreased from 79·6 μA/cm2 in the bare aluminum alloy to 58·1 and 30·1 μA/cm2 in the PEO coatings without and with the molybdenum disulfide additive, respectively. This behavior could be attributed to the beneficial effect of the molybdenum disulfide particles, which might play an important role in blocking micropores and microcracks.
Dvostruki bedem u Šibeniku – funkcija, valorizacija i prezentacija
Authors: Bilić Darka , Majer Jurišić Krasanka , Pavić Josip
Published: January 2020

Da bi osigurala vojnu i političku prevlast u gradovima u kojima je pri preuzimanju vlasti naišla na otpor, Mletačka Republika je početkom 15. stoljeća užurbano pristupila obnovi postojećih utvrda i izgradnji novih. U Šibeniku je svoju posadu smjestila u srednjovjekovnom gradskom kaštelu iznad grada te ga povezala s obalom šibenskog zaljeva utvrđenim prolazom, „putom spasa“, planirajući njime dopremiti pojačanja u slučaju opsade kaštela ili ga iskoristiti za povlačenje posade u slučaju njegova pada u neprijateljske ruke. Put spasa sagrađen je u formi dvostrukog bedema. Imao je kulu na ulazu i još jednu koja je prolaz dijelila na dva dijela. Premda nikad nije poslužio svrsi za koju je bio izgrađen, komunikacija kroz dvostruki bedem mogla se uspostavljati na dvije razine: stubama i rampama postavljenim na tlu i preko šetnica pri vrhu dvaju paralelnih zidnih plašteva. Prema do sada dostupnim podacima proizlazi da je šibenski put spasa jedinstvena pojava u dalmatinskoj vojnoj arhitekturi, a među nadasve rijetko sačuvanim primjerima na teritoriju Mletačke Republike ističe se svojom monumentalnošću, jasnoćom forme i prepoznatljivošću u gotovo svim elementima.
Stropni medaljoni iz dvorca Adamović-Hellenbach-Mikšić u Svetoj Heleni
Authors: Marić Matija
Published: January 2020

Rad obuhvaća istraživanje povijesnih podataka o dvorcu, njegovim vlasnicima te građevinskim preinakama. Prema tim podacima, medaljoni su povijesno kontekstualizirani. Na temelju arhivskih fotografija i dostupnih arhitektonskih nacrta dvorca izrađen je 3D model mogućeg izgleda stropa, koji je uklopljen u shematsku elevaciju prostorije u kojoj se nekad nalazio. Nakon toga interpretiraju se svi dokazi za dataciju medaljona te se medaljoni promatraju s dva moguća aspekta: najprije u kontekstu trendova unutarnjeg uređenja reprezentativnih stambenih prostora druge polovice 19. stoljeća i potom u kontekstu mogućih uzora za ikonografski motiv prikazanih amoreta.
Dramaturxias Itinerantes [ed. primavera 2019] = Dramaturgias Itinerantes
Authors: Portela Patricia , Pérez AveLina
Published: January 2020

O Consello da Cultura Galega, o Camões, Centro Cultural Portugués en Vigo e a Escola Superior de Arte Dramática de Galicia poñen en marcha o programa “Dramaturxias itinerantes/Dramaturgias itinerantes”, que ten como obxectivo servir de ponte entre as escrituras teatrais galega e portuguesa para fomentar, a través do diálogo escénico, un mellor coñecemento mutuo que poida agromar en futuros traballos colectivos. Nesta primavera de 2019 inauguramos en Galicia o ciclo e acollemos, primeiro en Compostela e despois en Vigo, as dramaturgas Patrícia Portela e AveLina Pérez. Escoitaremos os seus textos orixinais nas voces do alumnado da ESAD e de parte do Grupo de Teatro Amador do Centro Cultural Português do Camões de Vigo “Eu.Experimento” e teremos ocasión de departir coas dúas escritoras.
Prospectos para el alivio de la pobreza en las regiones rurales colombianas como resultado de las IED neozelandesas en el sector lácteo
Authors: Robinson Stuart Christopher
Published: January 2020

Este reporte proporciona una discusión y recomendaciones sobre la participación de la industria láctea de Nueva Zelanda en Colombia con el objetivo de reducir la pobreza. El tema es de más relevancia en la perspectiva de la negociación actual entre la Alianza del Pacífico y Nueva Zelanda, en particular, debido a las preocupaciones planteadas por la industria láctea en Colombia. Sin embargo, muchos elementos de este análisis contribuyen a la literatura sobre inversiones extranjeras directas en el sector agropecuario como herramientas potenciales para la mitigación de la pobreza en áreas rurales en mercados emergentes. El trabajo que Nueva Zelanda ha llevado a cabo hasta ahora en Colombia demuestra la metodología ideal de investigación y desarrollo, los cuales son requeridos para estimar tales resultados. Los dos principales beneficios para la mitigación de la pobreza por parte de la mejora de la productividad de los productos lácteos son el aumento del empleo y la infraestructura
Levodopa kinetic-dynamic test v1
Authors: Contin Manuela
Published: January 2020

Levodopa oral test Administration of a subacutest dose of levodopa (100 mg) plus benserazide (25 mg) or carbidopa (25 mg) under standardized conditions. Levodopa kinetic–dynamic monitoring Measurements of plasma levodopa concentrations and clinical effects by objective motor tests (alternate finger tapping test).
PlOsOne_Araneda_DeVolder_additional results v1
Authors: De Volder Anne
Published: January 2020

Abstract Using functional magnetic resonance imaging, we monitored the brain activity of 12 blind subjects and 12 control subjects, studied blindfolded, matched for age, gender, and musical experience. They were involved in the detection of rhythmic sequences ("beat") versus irregular ("no beat") composed of sounds or vibrotactile stimulations. Differences in cerebral activity between the two groups, in both sensory modalities, were observed in the occipital brain areas as well as in the heteromodal cerebral regions, including the parietal and frontal brain areas, which were recruited only in the early blind group. These results highlighted that early blindness induced brain differences in the brain network dedicated to perception of rhythm, with a participation of visual occipital brain areas. We concluded that, in the early blind, the visually deprived cortex switches its input modality from vision to audition and vibrotactile sense to perform a temporal processing task, regardless of the input modality, supporting the concept of metamodal organization of the brain.
Infecting and mosquitoes with Dirofilaria immitis and Brugia malayi v2
Authors: Povelones Michael , Mccrea Abigail
Published: January 2020

This protocol is for infecting Aedes aegypti and Aedes albopictus mosquitoes with the filarial nematodes Dirofilaria immitis or Brugia malayi. Although it is not necessary, it is strongly recommended to measure the number of ingested parasites, which indicates the exposure level for the mosquito and allows for better comparison between replicates. We use a post-feed treatment protocol, but if mosquito groups are treated prior to infection, then it is not just strongly recommended, but critical to measure ingested microfilariae in a group of mosquitoes immediately following the feed to confirm that treatment does not change the extent of blood feeding. Note that microfilariae are large (approximately 300 µm) and will quickly settle in blood samples. This should be considered throughout the protocol and this fact is pointed out in places in this protocol.
INTEGRITY IN SOCIAL HUMANITARIAN SCIENCES AS A PHILOSOPHICAL&METHODOLOGICAL PROBLEM
Authors: Ozhevan Mykola
Published: January 2020

The main determinants of scientific integrity are considered in the article: moral and ethical; religious and ideological; philosophical and methodological; political and legal; social with criminogenic inclusive; technical and technological; advertising and marketing.
The main attention is drawn to the crisis in the social and humanitarian sciences which in Ukrainian conditions can be explained in the broad sense by the legacy of the Soviet past, when the social humanitarian sciences (the social sciences and the humanities in western understanding) were predominantly promoted with ideological goals. The quasi scientific practice that drove in Soviet times was the practice of artificial scientification of various political doctrines and ideologies based on the «one correct doctrine» — Marxism-Leninism («scientific communism»; «scientific atheism», etc.). Competing doctrines declared unscientific.
At the more late time, the manifestations of scientific malpractice are commercial facilitated researches. To this over-commercialization and over-politicization factors we must add the relativism of the postmodern worldview with its dubious «post-truth» ideal.
The article suggests various ways and methods solving the problem of strengthening the scientific integrity: philosophical; moralðical; political&legal; corporate-administrative.
OTİZM SPEKTRUM BOZUKLUĞU OLAN ÇOCUKLARIN KAYNAŞTIRILMASI VE BÜTÜNLEŞTİRİLMESİNDE ÖĞRETMENLERLE İLGİLİ DEĞİŞKENLERİN İNCELENMESİ
Authors: Burak Yakup , Ahmetoğlu Emine
Published: January 2020

Bu araştırmada otizm spektrum bozukluğu
olan çocukların kaynaştırılması ve bütünleştirilmesinde öğretmenlerle ilgili
değişkenlerin incelenmesi amaçlanmıştır. Araştırmada nicel araştırma
yöntemlerinden olan ilişkisel tarama modeli kullanılmıştır. Araştırmanın
örneklem grubunu Edirne il ve ilçelerinde yer alan özel ve resmi ilkokullarda
görev yapan 674 sınıf öğretmeni oluşturmuştur. Araştırmada veri toplama aracı
olarak Segall ve Campbell (2007) tarafından Otizm Kaynaştırma Ölçeği olarak
geliştirilen Segall (2011) tarafından yeniden yapılandırılan, altı senaryo ve
10 bölümden oluşan, Yerleştirme ve Hizmet Anketi kullanılmıştır. Araştırma
bulgularına göre sınıf öğretmenlerinin sınıf içi rahatsız edici davranışlardan
rahatsız olma düzeyleri ile yaş, mevcut pozisyonda çalışma süresi, çalıştığı
otizmli öğrenci sayısı ve başarılı bir kaynaştırmayı etkileyen faktörlere
ilişkin görüşleri arasında pozitif yönde bir ilişki varken, otizmli kaynaştırma
öğrencisine yönelik öngörüleri, otizm konusundaki yöntemlere yönelik
farkındalıkları arasında negatif yönde bir ilişki olduğu tespit edilmiştir.
Ancak sınıf öğretmenlerinin sınıf içi rahatsız edici davranışlardan rahatsız
olma düzeyleri ile otizmli kaynaştırma öğrencisine yönelik his, tutum,
görüşleri (duygusal tutum, öznel yargı ve öz yeterlik) arasında anlamlı düzeyde
bir ilişki olmadığı bulunmuştur.
The Meaning and Meaning of the Text of Textbooks, from the Point of View of the Philosophical Approach, the Cole of These Phenomena in the Educational Process
Authors: Mikhalkin N.V. , Averyushkin A.N.
Published: January 2020

In its content, this article represents an attempt by the authors to clarify the content and essence of the concepts of "text" and "meaning" from the point of view of a philosophical approach to language and text. Through the use of methods such as analysis, comparison and comparison, the authors identify the essential and distinctive features of the concepts stated, formulate their author's definition and their role in the education and education of students of humanities.
The Language Course is not Just a Book. It is a Complex Set of Educational Components
Authors: Astashina M.S.
Published: January 2020

Beyond all doubt a coursebook is a key-element in the lesson preparation for a majority of teachers. It can be defined as “a guide for teachers” because it has special pedagogical recommendations and a developed syllabus with the balance of skills and language practice for learners during a particular lesson. This article highlights issues towards the use of a modern coursebook with interactive components in a classroom, advantages and disadvantages of E-books as well. The findings revealed that the coursebook consists of several elements, which are made not only for working with a teacher but also for self-study. A teacher should not only concentrate on a well-designed syllabus, but also monitor students’ progress and make necessary modifications of tasks and information for learners’ needs. There are at least four strategies that give teachers the idea of working with a coursebook. The paper is expected to broaden teachers’ knowledge about modern coursebooks and E-books.
Lexicographic Parameterization of the System of Crimean Tatar Philological Terms
Authors: Selendili L.S.
Published: January 2020

The article contains information on the lexical parameters of the description of Crimean Tatar philological terminology, which will be systematized in the lexicographic system "Russian-Crimean Tatar linguistic correspondences." Each term in the “Special vocabulary” module of the lexicographic base of the electronic “Russian-Crimean Tatar Dictionary of Linguistic Correspondences”, including its synonyms, takes its place in a pre-modeled logical-conceptual system, which is highlighted as a submodule with the name of the branch of knowledge. In our work, we examined the terms of the sub-module "Philology".
The Difference Characteristicsof Collagen from Tilapia (Oreochromis niloticus) Bone, Skin, and Scales
Authors: Romadhon Romadhon , Darmanto Yudhomenggolo Sastro , Kurniasih Retno Ayu
Published: January 2020

Tilapia (Oreochromis niloticus) is one of the main commodities of freshwater fish in Indonesia. Mostly, tilapia is exported in the form of fillets which produce residual processing including bobe, skin, and scales which can reach 50 to 70% of the total weight of fish. The aimed of this study was to extract and characterize collagen from bone, skin, and scales of tilapia. The research method used a Completely Randomized Design (CRD) by treating the different types of collagen raw materials, namely bone, skin, and scales of tilapia. The results showed that the type of raw material affected the yield, water content, color, and pH (p<0.05). The collagen yield in this study was 0.53% (bone), 0.63% (scales) and 0.94% (skin). The small amount of amendment was caused by the concentration of acetic acid being too low. the smallest water content in tilapia fish collagen 2.17%; the best brightness of collagen in fish bones 76.91%; the value of the largest degree of white on fish scales 75.95%; pH content close to neutral fish collagen scales 6.49; Morphological results of collagen produced using SEM, the presence of pores seen in the collagen of tilapia fish due to the space between the collagen fibers while. Collagen from the skin and scales has the same morphology, which is shaped in small squares and smooth surface without pores
Characteristics of Chitosan from White Leg Shrimp Shells Extracted Using Different Temperature and Time of the Deasetilation Process
Authors: Setha Beni , Rumata Fitriani , Br.Silaban Bernita
Published: January 2020

Chitosan is a white amorphous solid chitin, and of high biological and mechanical characteristics.Chitosan production is divided into two stages. First is chitin isolation (deproteination, demineralization,and depigmentation), and second is deacetylation of chitin to chitosan. This research was aimed to determinethe characteristic of chitosan isolated from the shells of the white leg shrimp using different temperatureand time in the deasetilation process. The FTIR test results showed that the chitin group was partiallybroken into chitosan in every treatment. The highest content of chitosan was obtained at the temperaturetreatment of 100oC for 2 hours, while the highest degree of deacetylation, viscosity, and molecular weightwere observed at the temperature treatment of 120oC for 3 hours. The sample were not soluble in aquades,methanol, or ethanol indicating the samples were chitosan.
Characteristics of Functional Salt from Green Seaweed Ulva lactuca
Authors: Kurniawan Raudhi , Nurjanah  , M.Jacoeb Agoes , Abdullah Asadatun , Pertiwi Rizsa
Published: January 2020

Ulva lactuca is a potential source of functional salt. The production of the functional salt is limited by the fishy smell of the product. The purpose of this research was to determine the concentration of activated charcoal that can reduce the fishy odor of seaweed salt. The functional salt was extracted using activated charcoal at 0.5; 0.75; 1; 1.25 and 1.5%. The sensory and functional properties of the salt including mineral content, Na: K ratio, NaCl levels, total phenol and antioxidant activity were characterized. The sensory tests showed that 1.5% activated charcoal improved salt's consumer acceptance. The selected functional salt contained Na 91.00±1.28 g/kg; K 44.88±0.06 g/kg with a Na: K ratio of 2.03±0.03. This salt also contained NaCl 9.08±0.42%; total phenols of 13.72±0.19 mg GAE/g extract and antioxidant activity expressed by IC50 1681.27±3.80 mg / L.
Os fragmentos de Varrão Atacino: tradução e notas
Authors: Mello Jéssica Frutuoso
Published: January 2020

Apresenta-se a tradução para o português dos fragmentos das obras de Varrão Atacino – Argonautas, Topografia, Notas e Guerra Sequana –, precedida de uma breve introdução sobre o autor. Varrão é um poeta sobre o qual pouco se sabe, e as poucas informações que restam são questionáveis. Infelizmente, processo semelhante ocorre com sua obra, que foi quase inteiramente perdida, restando apenas 26 fragmentos. A tradução realizada prioriza o sentido do texto. Constam, em notas de rodapé, comparações das edições consultadas, assim como possíveis equivalências aos trechos das obras de Apolônio de Rodes e Arato, já que seus poemas Argonautas e Notas seriam traduções daquelas, respectivamente.
Outcome analysis in patients with multi vessel coronary artery disease and left ventricular ejection fraction after percutaneous coronary intervention: single center experience
Authors: Singh Abhimanyu , Banerjee Tanmay , Kumar Dilip
Published: January 2020

Background: The present study evaluated the changes in baseline left ventricular function and clinical symptoms in multi-vessel coronary artery disease patients after multi-vessel percutaneous coronary intervention.Methods: This was a prospective, observational study conducted at Medical Super-speciality Hospital, Kolkata, India, between August 2017 and August 2019. The study included 48 patients who were diagnosed with ≥2 coronary artery stenosis of ≥50% in native coronary arteries with left ventricular ejection fraction (LVEF) <40%. Echocardiography was performed before and after 3 months of the procedure to observe LVEF. Canadian Cardiovascular Society (CCS) score was calculated before and after 3 months after PCI.Results: Mean age of the patients was 61.89±9.96 years and 89.6% patients were male. Mean LVEF before and after angioplasty was 34.9±4.95% and 42.06±8.78%, respectively (p=0.001). CCS score before and after angioplasty was 2.89 and 1.83, respectively (p=0.001).Conclusions: The results displayed significant improvement in clinical symptoms as well as LVEF after PCI in patients with multi-vessel disease with LVEF <40%. These results will be helpful to conduct larger randomized trials with long term follow-up in order to prove the safety and effectiveness of PCI in such patients over coronary artery bypass grafting.
Outcome of clubfoot treatment in the pre-ponseti period in a Nigerian teaching hospital: a 14 year review
Authors: Oyewole Olugboyega A. , Balogun Mosimabale J. , Omoyeni Richard A. , Ogunlade Samuel O.
Published: January 2020

Background: Congenital Talipes Equinovarus (CTEV) is a common musculoskeletal congenital disorder. Historically, surgical treatment of various types was popular; however, currently the gold standard of treatment is non-operative care using the Ponseti method. This work evaluates the outcome of this former method of managing CTEV before author adopted the Ponseti Method and compares it with the reported outcomes of the Ponseti method in published literature.Methods: A retrospective review of this data from January 1990 to December 2003 was done, the patients demographics, treatment given, duration and outcome of care were analysed using descriptive statistics. This finding was then compared with outcomes of Ponseti method in literature.Results: Here, 145 patients had initial non operative care; eighteen of those patients (12.4%), eventually require either a posteromedial release, a combined posteromedial and posterolateral releases or a triple arthrodesis.Conclusions: The study shows that the success rate of this method of manipulation preceding the adoption of the Ponseti method is 87.6%. This outcome is inferior when compared to the outcome of Ponseti method in published literature. Also, the extensive nature of eventual surgical intervention required to achieve correction is in contrast to the minimal surgeries needed achieve correction of residual deformities following the use of the Ponseti method.
Incidence of flexion distraction injuries of thoraco lumbar spine
Authors: S. Satheesh Kumar
Published: January 2020

Background: Thoraco-lumbar spine fractures form majority of spine fractures and is an important cause of morbidity. However, comprehensive data regarding epidemiological pattern of trauma patients with spinal fractures are scarce. Many epidemiological reports about spinal fractures focus on osteoporosis as an etiologic factor. But in Indian population more important etiological factors are road traffic accidents and falls from height. Studies concerning only operatively treated patients with spinal fractures show selective and biased data that might be useful for capacity planning in hospitals or evaluating results of operative treatment, but not for epidemiological purposes. Methods: Among 86 consecutive patients with thoracic or lumbar fractures attending the out-patient department or Emergency department of Sree Gokulam Medical College, Trivandrum were enrolled in the study.  All patients with fractures of the thoracic or lumbar spine were enrolled in this study.Results: Flexion distraction injuries are the second commonest unstable thoracolumbar spine injuries.Conclusions: This study is a prospective cohort study of the epidemiological aspects and pattern of injury and treatment in thoraco-lumbar spine fractures at a tertiary care referral center. A total of 86 patients were enrolled in the study. The most common fracture pattern seen in this study was compression fractures (24.4%) which are stable. This was followed by stable burst fractures (23.2%, unstable burst fractures (18.6%), translational injuries (fracture-dislocations) (16.3%), flexion-distraction injuries (13.9%) and chance fractures (3.5%).
Clinical study of neurological presentation of diabetes mellitus in a tertiary care hospital
Authors: Sharma Sadhna , Pasha Shaik Afsar , Mohidden Mohammad Khawja , Srikanth E.
Published: January 2020

Background: A wide range of commotions affecting the central and peripheral nervous systems, either directly or indirectly, may be observed in patients with diabetes mellitus. The spectrum of neurological complications among diabetes are quite varied.Methods: Authors conducted a Cross-sectional prospective observational study to study different neurological manifestations of diabetes mellitus. at NRI General Hospital, Chinakakani, Guntur District, Andhra Pradesh. The selected patients were studied in detail with history and physical examination. The investigations included Fasting Blood Sugar (FBS), Postprandial Blood Sugar (PPBS), Glycosylated Hemoglobin (HbA1C).Results: A total of 100 subjects were included in the final analysis. Majority of participants were aged between 46 to 65 years, and 55% of them were males. Only 13% of the participants had HBA1c value below 7.5 gm%. Out of 100 participants, 82% participants had diabetic peripheral neuropathy. A total of 6 subjects had cranial neuropathy, with 5% participants having 3rd nerve and one participant had 6th nerve. Involuntary movements (Chorea) was present in 4% of patients. Among the people with Seizures, 6% participants had Hyperglycemic, and 2% participants had Hypoglycemic seizures. Out of 100 participants, 7 participants had dysautonomia.Conclusions: Peripheral neuropathy was the most common neurological manifestation among the diabetic population. The other key neurological abnormalities include cranial nerve palsy, dysautonomia, seizures and Chorea. Clinicians need to be aware the entire spectrum of neurological abnormalities among patients with type 2 Diabetes.
Improved breastfeeding with back massage among postnatal mothers
Authors: Widiastuti Ni Made Rai , Widiani Ni Nyoman Ayuk
Published: January 2020

Background: The achieving target of exclusive breast milk in Indonesia has not been achieved. The unsuccessful approval of exclusive breastfeeding is partly due to the mother's reasons for the inadequacy of milk production. Physiologically, oxytocin and prolactin are responsible for the smooth production of breast milk. The release of the hormone oxytocin in addition to being transferred by stimulation to the nipple through the baby's mouth or through spinal massage. Application of back massage techniques or oxytocin massage to provide stimulation that is expected to increase patient comfort, prevent oxytocin release, and increasing milk production.Methods: This research is a quasi-experimental design with a time series design and a control time series design. The sample this study were 15 postpartum mothers treated group and 15 postpartum mothers in the control group. Data was collected by the method of intervention and direct observation on the frequency of urinating infants. Data analysis using repeated ANOVA test.Results: Based on the results of research on the frequency of urinating in the control group had an average of 5.6 and a treatment group of 6.9. This is reinforced by the value of p=0.0001 (p<0.005) which means that there is an effect of giving back massage to increase milk production in postpartum mothers.Conclusion: This study suggests that giving back massage techniques to postpartum mothers as an alternative to increase milk production in postpartum mothers and included as one of the basic care for postpartum mothers since the first day after childbirth.
Study of cross-referrals to the dermatology department in an inpatient setting at a tertiary care centre
Authors: Bakhtar Niyati , Pandey Kirit , Pandey Neha , Bakhtar Nikhil , Bakhtar Vijay
Published: January 2020

Background: Till recently, dermatology was primarily being considered to be an outpatient focused discipline. However, several inpatient admissions to other specialties require dermatologic consultation for optimum management. This study was conducted to analyse the incidence and indications for inpatient dermatology referrals and the impact of dermatology consultation on patient management.Methods: A cross-sectional study was undertaken by analyzing the records of 243 patients referred to dermatology department over a 2-year period. Descriptive analysis was conducted in the form of study of presumptive diagnoses by the referring clinicians, causes of referral, distribution of referrals across specialties and the dermatological opinions with respect to diagnosis and management etc.Results: Clinically significant change was documented in the course of skin lesions management of almost two-thirds of referred patients. Maximum referrals were from the department of general medicine with “skin rash” being the most common cause for seeking 2nd opinion. Concordance for diagnosis between the referring clinician and the dermatologist was observed in only 30.2% of the cases.Conclusions: Dermatologic referral does lead to improved patient care. But there is need for better training of non-dermatologists enabling them to recognize and treat common skin lesions.
Cancer burden and alarm signals: a community based study from Kerala, India
Authors: Mathew Geethu , Sebastian Shaliet Rose , Benjamin Anoop I. , Goyal Vinay , Sushan Abey , Joseph Jiju , L. Sheeja A.
Published: January 2020

Background: Cancer is emerging as a major public health concern in many countries including India. Kerala state has the highest burden of cancer in the country. Objective of this study was to estimate the prevalence of diagnosed cancers, warning signs and selected risk factors of cancer in Kadapra Panchayath of Pathanamthitta district, Kerala.Methods: A total of 16,391 population was covered by door to door survey using a structured questionnaire. The questionnaire collected information on the sociodemographic variables of the residents, source of water supply, warning signs of cancer and details of diagnosed cancer cases.Results: The mean age of the population was 40.9+21 years. The prevalence of diagnosed cases of cancer in our study population was 776/100,000 population. Breast cancer was the most common cancer (43.5%) identified in the population. The prevalence of any warning sign among the study population was 220/100,000 population. Breast lump was the common warning sign identified. Increasing age and female gender were the factors found to be significantly associated with cancer.Conclusions: As prevalence of cancer was found to be high in this population, an active community based screening along with teaching self-breast examination to the women in the community are required. Improving community awareness could help in early diagnosis, treatment and prevention. Soil and water testing for carcinogens is recommended.
A study of effectiveness of addition of drug teneligliptin to metformin, glimepiride, pioglitazone combination in type II diabetic patients
Authors: Patil Dilip Pandurang
Published: January 2020

Background: Diabetes is a most prevalent chronic disease and has reached to alarming stage in almost all developed and developing countries. Worldwide approximately four hundred millions of people are living with diabetes and it is a leading cause of death. Aims and objectives is to study effectiveness of addition of drug Teneligliptin to Metformin, Glimepiride, Pioglitazone combination in type II Diabetic patients.Methods: This was a cross sectional study carried out in the department of Medicine of a tertiary health care centre during the one year period i.e. January 2017 to January 2018 in the type II diabetic patients. Out of all type II diabetic patients 40 patients who were on the treatment for hypoglycemia with drugs Metformin, Glimepiride, Pioglitazone were selected out of these randomly 20 patients were continued on the previous treatment (Group B) and remaining 20 were given additional drug Teneligliptin (Group A). The statistical analysis was done by unpaired t-test and chi-square test analyzed by SPSS 19 version of software.Results: In this study Authors have seen that the average age in both the groups was comparable i.e. 36.78±6.74 and 38.92±5.87 (p>0.05, t=1.24, df=38), the sex ration was also similar in both the group (p>0.43, χ2=0.43, df=1) and the HbA1C was comparable at 1st Wk. 10±4.56 - 9.87±3.42 (p>0.05, t=1.023, df=38) and 4th Wk. 8±5.23 - 9.67±4.52 (p>0.05, t=1.0804, df=38) but significantly differed at 8th Wk. 7.12±2.34 - 9.92±3.56 (p<0.01, t=3.82, df=38), 12th Wk. 5.98±1.98 - 9.24±2.79 (p<0.001, t=4.26, df=38) respectively in Group A and B.Conclusions: It can be concluded from this study that the addition of Teneligliptin significantly reduced the HbA1c level at the end of 4th wk. and hence superior to conventional Metformin, Glimepiride, Pioglitazone only combination treatment.
A rare case of isolated gall bladder perforation in blunt trauma abdomen: a case report
Authors: Meena Omesh K. , Raj Monish
Published: January 2020

Blunt trauma abdomen leading to gallbladder perforation is a rare event usually recognized on evaluation and treatment of other visceral injuries during laparotomy. The gallbladder is relatively a well-protected organ. Isolated gallbladder perforation is extremely rare. The clinical presentation is variable, early diagnosis and treatment is of extreme importance to reduce morbidity and mortality associated with gallbladder perforation. We report a case of a patient who sustained isolated gallbladder injury following blunt trauma abdomen to emergency department in Safdarjung Hospital, New Delhi.
A high risk unstable case of left main bifurcation lesion treated with simultaneous kissing stents as salvage procedure
Authors: Kunwar Brajesh Kumar , Pawar Vikrant , Villkhoo Ravneet Singh , Mishra Shivram
Published: January 2020

Bifurcation treatment with percutaneous coronary intervention is still one challenging task especially the left main bifurcation. And it becomes still more challenging when it is done in emergency situation in a very unstable patients. There are many one-stent and two-stent approaches available to treat the bifurcation lesions but no approach has proven superior to other. Here, we present a case of a 78-year-old male diagnosed with distal left main bifurcation lesion treated with simultaneous kissing stents technique presented with acute coronary syndrome, non-ST elevation myocardial infarction with pulmonary oedema in cardiogenic shock.
T-tube enterostomy in neonates with perforated necrotizing enterocolitis as an alternative option
Authors: Elkadi Tarek Talaat Harb
Published: January 2020

Background: The use of T tube enterostomy (TTES) as an alternative option for stoma in neonatal emergency is known long time ago.Methods: We introduced T-tube ileostomy as technical innovation in our institution as a way of treatment for intestinal perforation in low birth weight premature neonates.Results: In this study 14 neonates underwent TTES procedures at university-based pediatric surgery and neonatology department. 11 (78.6%) patients treated with TTES, discharged home. Three babies (22.4%) died in postoperative course. One of them developed recurrent severe fulminant NEC ileostomy was created and kept on TPN but died after 2 weeks due to septicaemia. The two others were dysmorphic with metabolic diseases.Conclusions: T tube is effective in selected cases of necrotizing enterocolitis (NEC) because of its simplicity in application and removal. But it could not replace the formal stoma in general, its advantages are saving one more time exposure to surgery in those risky patients, Author recommend the use it in cases of post NEC intestinal perforation and extreme low birth weight neonates.
Conventional versus invagination stripping varicose veins: which is better?
Authors: Shetty Varun Sudarshan , Ali Iqbal , Reddy Varugu Suryateja
Published: January 2020

Background: Varicose veins are dilated, tortuous veins. It is an extremely common condition causing substantial morbidity. Prevalence of varicose veins ranges between 5% to 30% in adult population. Surgery is preferred over conservative treatment in symptomatic primary varicosis of the great saphenous vein (GSV). This study aims to compare the efficacy of GSV stripping by invagination technique in comparison to the conventional method in terms of time taken to strip the vein, the length of vein stripped, post-operative pain, area of bruising and intra-operative blood loss.Methods: The study was conducted in Dr. D. Y. Patil Medical College, Hospital and Research Centre located in Pimpri, Pune between July 2017 to September 2019.It is a prospective comparative Study. Subjects were randomly divided into 2 groups alternately where group A and B were operated by conventional and invagination techniques respectively and their outcomes were compared.Results: The mean age of the cases in Group A (conventional stripping) was 52 years and in group B (Invagination stripping) was 53 years. Blood loss was significantly more in conventional stripping compared to invagination stripping (p<0.001). The post-operative (after 1 week) mean VAS of the cases in Group A was 3.1 and 2.3 respectively while in group B it was 2.9 and 2.1 respectively. Time taken to get back to activity was significantly more in conventional stripping compared to invagination stripping (p<0.001).Conclusions: From this study we concluded that Invagination stripping is a suitable alternative to time honoured conventional varicose vein stripping with added advantage of less blood loss, less postoperative pain and shorter time span to get back to work.
Role of drains in cases of peptic ulcer perforations: comparison between single drain versus no drain
Authors: Kumar Rajneesh , Hastir Ankur , Chopra Lakshay , Jindal Sonali , Walia R. P. S. , Goyal Subhash
Published: January 2020

Background: Peptic ulcer perforation is one of the commonest causes of peritonitis and needs immediate surgical intervention after prompt resuscitation if mortality and morbidity are to be contained. Aims and objectives of the study was to compare role of Intra-abdominal drains prophylactically after plugging of these perforations single drain or no drain.Methods: In this study, we compared the relative safety and efficacy of putting single drain prophylactically near operation site or in natural abdominal fossae (hepato-renal pouch or sub hepatic) and no drain in cases of peritonitis due to peptic ulcer perforation. Study was done on 60 patients (one drain put in 30 patients Group A and no drain was put in other 30 patients of Group B). We handle the perforation after thorough peritoneal lavage with warm saline and metrogyl. All the perforation was closed by Grahm’s Patch.Results: No significant difference between drain and non-drain group as far age and sex concerned. Significant difference was seen in operative duration, hospital stay, wound dehiscence and post-operative fever, intraperitoneal collection or abscess formation. So use of drains are not effective in preventing post-operative infection rather there are chances of its blockage due to debris, intestine or omentum and tubes itself are source of infection as foreign body and there are chances of migration of bacteria from exterior to peritoneal cavity via these drains.Conclusions: Non drainage of peritoneal cavity after peptic ulcer perforation surgery is an effective method to reduce operative duration, hospital stay and wound dehiscence and post-operative pyrexia.