bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluation of nephroprotective effect of Bryonia lacinosa on streptozotocin induced diabetic nephropathy in rats
Authors: Bhide Shruti S. , Maurya Miteshkumar R. , Gajbhiye Snehlata V. , Tadavi Firoz M.
Published: April 2017

Background: Ayurvedic literature indicated use of Bryonia laciniosa (BL) for metabolic abnormalities. However only one study evaluated Bryonia laciniosa seed ethanolic extract in streptozotocin-induced diabetes in rats and was found to have anti-hyperglycemic and anti-hyperlipidemic effects. The authors looked at the renal function test in addition and found that it prevents deterioration of renal function in rats. Hence it was interesting to find if Bryonia laciniosa had any protective action in streptozotocin induced diabetic nephropathy in rats.Methods: Streptozotocin induced diabetic nephropathy model in wistar rats was standardised in phase 1. In phase 2 animals were divided into 4 groups and diabetic nephropathy was induce with STZ. Vehicle Control group animals received CMC 0.5%, Positive control group received enalapril 5 mg/kg, Test group 1 received ethanolic extract of Bryonia laciniosa (EEBL) 250 mg/kg and Test group 2 received (EEBL) 500 mg/kg from 3rd day onwards till 6 weeks. Renal function, morphology and histopthological changes were evaluated.Results: There was a significant reduction (p <0.001) in the serum creatinine and BUN in both low and high dose EEBL groups. High dose of EEBL lowered raised MDA values significantly (p<0.001) and raised the GSH values (p<0.001). On histopathology, the high dose EEBL reversed nephropathic changes which were equivalent to enalapril.Conclusions: Bryonia lacinosa in high doses 500 mg/kg has potential to reverse diabetic nephropathic changes induced in wistar rats.
A clinical comparative study of two intubating doses of cis-atracurium during general anaesthesia for gynaecological surgery
Authors: Jammar Prakash , Pathak Deba Gopal , Begum Ismatara , Chauhan Ram Chandraji
Published: April 2017

Background: Cisatracurium is one of the cis-cis isomer of atracurium (51W89:1R-cis 1’R-cis atracurium) an intermediate duration non-depolarising neuromuscular blocking drug and is devoid of histamine release. However, 2× ED95 dose of cisatracurium does not provide satisfactory intubating condition. The recommended intubating dose of cisatracurium is 3 ×ED95. The objective of this study was to evaluate and compare duration of action, hemodynamic effects and any adverse effects for different doses of cisatracurium.Methods: After Institutional Ethical Committee approval and informed patient consent, 80 patients of ASA I and II in the age group of 20-60 years were selected and included in the study. Patients were divided in two groups of 40 each, group A received intravenously 3×ED95 (0.15 mg/kg) loading dose of cisatracurium and group B received intravenously 4×ED95 (0.2 mg/kg) loading dose of cisatracurium.Results: After induction, MAP and HR shows decrease in both groups but neither statistically nor clinically significant. Better hemodynamic stability and longer duration of action was found in group B compared to group A. No adverse effects noted in both groups.Conclusions: 4×ED95 dose of cisatracurium provides longer duration of action and more stable hemodynamic status than 3×ED95. No associated signs of histamine release were detected clinically.
The effect of silver-impregnated catheters on catheter colonization and catheter-related bloodstream infection: a comparison between silver-impregnated and standard catheter
Authors: Abu Sa'aleek Mohammad Ali
Published: April 2017

The use of antimicrobial central catheter is common in clinical practice to prevent catheter colonization, therefore preventing catheter-related blood stream infection (CRBSI). This paper aims to evaluate evidence from the literature in order to illustrate the effectiveness of one of the most common antimicrobial central catheters, chlorhexidine/silver sulfadiazine central venous catheter, in the prevention of bacterial colonization and CRBSI. Several studies have been selected including randomized control trails (RCTs), meta-analysis and systematic review. The seven RCTs included a total number of 2346 catheters. The patients were either assigned to an intervention group (silver-impregnated central venues catheter) or a control group (standard catheter). These studies were conducted in the USA, Europe, Australia and Brazil from 2004 until 2012. The results revealed that there was a discrepancy in the effectiveness of using silver-impregnated central venous catheter in prevention of catheter colonization and catheter- related bloodstream infection. More recent randomized studies are needed to solve this discrepancy, with a focus on following of infection control measures as the golden standard to prevent colonization and reduction of CRBSI.
Boston keratoprosthesis type 1 - indication, complication and visual outcomes
Authors: Raina Kritika , Gupta Alka
Published: April 2017

Background: Diseases affecting the cornea are a major cause of blindness all over the world, second only to cataract in overall importance. In India, there are approximately 6.8 million people who have corneal blindness with vision less than 6/60 in at least one eye, and of these, about 1 million have bilateral corneal blindness.Methods: The study was conducted in upgraded department of ophthalmology, L.L.R.M. Medical College, Meerut, India from January 2014 to June 2015. It was prospective interventional study. Included those patients who have Failed corneal graft with poor prognosis for further grafting, multiple corneal graft failure, having nearly total corneal neovascularization, vision less than 6/60 with associated other complications in better eye and no vision in opposite eye and Healed Chemical burn and those patients who has end stage glaucoma or RD (retinal detachment), defective perceptions and projection of light and not willing for the procedure.Results: A total of 20 patients were enrolled for the study which were followed up and assessed over 12 months. It was observed that maximum number of patients were in the age group of 41-60 years (45%) and in the >60 years group are minimum (20%). Among these 14 cases (70%) were male and 6 cases (30%) were female.Conclusions: The Boston type 1 keratoprosthesis provides visual recovery for eyes with multiple PK failures or with poor prognosis for primary PK, showing excellent retention rates. Most of the cases had a significant improvement in vision after Boston type I KPro implantation.
Oxidative stress factors in Nigerians with rheumatoid arthritis
Authors: H. Yeldu M. , G. Arinola O.
Published: April 2017

Background: Rheumatoid arthritis (RA) is a chronic progressive inflammatory autoimmune disorder characterized by symmetric erosive synovitis and sometimes with multi-system involvement. But the exact mechanism of the disease is not fully understood. In the light of above explanation, the present study measured the plasma levels of total peroxide potential (TPP), total antioxidant potential (TAP), malondialdehyde (MDA), oxidative stress index (OSI) and nitric oxide (NO) in relation to the titer of rheumatoid factor among RA patients compared with controls.Methods: This study included 28 rheumatoid arthritis patients and 28 apparently healthy subjects as controls who were matched for age (50-60 years), sex, and socioeconomic status. Rheumatoid factor was estimated using latex method as described by manufacturer. Anthropometric parameters and plasma levels of TPP, TAP, OSI, MDA and NO were determined using standard techniques.Results: The result indicated that with the exception of mean body weight which was significantly (p<0.001) higher among RA patients (90.61±2.02 years) as compared with controls (77.91±2.51 years), mean age, height and body mass index of RA patients (55.68±1.05kg, 1.65±0.01m and 33.40±0.83 kg/m2 respectively) were not significantly different compared with controls (54.07±1.04kg, 1.61±0.02m and 30.44±1.28 kg/m2 respectively). Plasma TPP, NO, OSI and MDA were significantly (p<0.01; p<0.001) higher while, plasma TAP is significantly lower among RA patients compared with controls. Plasma MDA was positively correlated with titer of rheumatoid factor in the RA patients.Conclusions: Our findings therefore may raise the concept that there are some yet unknown key events in the pathogenesis of RA determination of sex of the skull along with other parameters.
Observations on radiological correction of acetabular dysplasia by Dega transiliac osteotomy
Authors: Jan Wazir Fahad , Sarup Sanjay , Dar Mohd Yahya , Jahan Alamgir , Khan Ovais Nazir
Published: April 2017

Background: Several osteotomies have been described for the correction of acetabular dysplasia associated with variable outcomes. The purpose of our study was to evaluate the effect of Dega transiliac osteotomy in radiological correction of acetabular dysplasia by assessing the change in various radiological parameters from preoperative period to postoperative period and at a follow up of two years.Methods: This was a prospective observational study conducted on 35 patients of either sex, in the age range of 18 months to 8 years, presenting to the paediatric orthopaedic OPD, of Artemis Health Institute, Gurgaon, Haryana, India between January 2012 and September 2014 in whom a diagnosis of acetabular dysplasia was made. All the patients underwent Dega transiliac osteotomy and the effectiveness of this osteotomy in the correction of acetabular dysplasia was assessed by measuring various radiological parameters preoperatively, postoperatively, and at a follow up of two years. The various radiological parameters included acetabular index (AI), centre edge angle of wiberg (CEAW), reimer’s extrusion index (REI) and the shenton’s line (SL).Results: In present study sample of 35 cases, 29 had DDH, 4 were secondary to cerebral palsy and 2 had developed dysplasia following septic arthritis of the hip. The sex distribution showed 19 females and 16 male patients. All the patients underwent Dega transiliac osteotomy at a mean age of 42.94±21.68 months. The mean value of AI improved from 42.43±4.77 degrees in preoperative period to 19.86±2.45 degrees at follow up. The mean value of CEAW improved from - 32.49±21.60 degrees in preoperative period to 32.06±5.48 degrees at follow up. The mean value of REI, improved from 91.06±21.43 % in preoperative period to 0.29±1.18 % at follow up. The SL was broken in all the 35 patients preoperatively, while at follow up it was continuous in all the patients. These changes in all the four parameters were statistically highly significant (p value<0.001).Conclusions: Thus results of present study demonstrate that Dega osteotomy is a safe, effective and versatile surgical procedure for the treatment of acetabular dysplasia secondary to DDH and other disorders. Since the majority of the patients included in this study had the diagnosis of DDH, the results of this study are more representative of dysplasia associated with DDH.
Surgical management of pterygium in a rural hospital using bare sclera versus conjunctival autograft technique
Authors: P. Dinesh , Shenoy Sundip , Pandey Nidhi , Reddy D. Pavan Kumar
Published: April 2017

Background: Pterygium is defined as a triangular fibrovascular subepithelial ingrowth of degenerative bulbar conjunctival tissue over limbus onto the cornea. Commonly seen among farmers, fishermen, stone cutters and welders. Both blue and ultraviolet light have been implicated in its causation. Histologically the true Pterygium shows elastotic degeneration of the subconjunctival connective tissue. Pterygium warrant treatment when they encroach the visual axis, induces significant astigmatism or become cosmetically bothersome. My present study was undertaken to evaluate the efficacy, safety and recurrence rates of conjunctival autograft and bare sclera techniques in treatment of progressive true pterygium in a rural hospital.Methods: The prospective study was done in the Department of Ophthalmology, Adichunchanagiri Institute of Medical Sciences, B.G Nagara, Mandya District, Karnataka, India. The study was conducted for a period of 18 months. About 70 patients who presented with progressive pterygium were included in the study.Results: In our study pterygium recurred in 10 cases (14.28%), among which pterygium recurred in 8 cases (22.85 %) using bare sclera technique and in 2 patients (5.71%) using conjunctival autograft technique, best corrected visual acuity remained stable in 37 cases (52.85 %), improved in 33 cases (47.14 %) and worsened in none (0%) of the cases.Conclusions: Conjunctival autografting is a safe and effective procedure in the management of pterygium. The recurrence rate following limbal conjunctival autografting is significantly lower than that following primary conjunctival closure by bare sclera technique.
Antibiotic prescriptions in the case management of acute watery diarrhea in under fives
Authors: Udoh Ekong E. , Meremikwu Martin M.
Published: April 2017

Background: Diarrhea disease is a leading cause of under-five mortality globally. The World Health Organization recommends low osmolality oral rehydration solution, zinc supplementation and adequate nutrition in the management. Antibiotic is indicated only in specific circumstances. This study was aimed at determining the antibiotic prescription in the management of under-fives with acute watery diarrhea.Methods: An audit of under-fives managed for acute watery diarrhea was conducted between January and February 2012. A multi-stage stratified random sampling technique was used to select 32 health facilities (21 primary and 11 secondary) from two local government areas of Cross River State. Case records of children managed for the condition six months prior to the audit were retrieved and evaluated. The appropriateness, types and frequency of antibiotic prescriptions were assessed.Results: A total of 370 case records were evaluated. Antibiotic was not indicated in any of the children but was prescribed for 291 (78.6%). Of this number, 169 (45.7%) received one antibiotic while 122 (33.0%) received two or more antibiotics. The difference in the prescription of multiple antibiotics between health workers in the primary and secondary facilities was statistically significant (p value = 0.00001). Metronidazole was the most prescribed antibiotic 228 (50.9%), followed by co-trimoxazole 88 (19.6%) and gentamicin 55 (11.8%).Conclusions: There is a high level of irrational antibiotic prescriptions in the State with oral metronidazole being the most prescribed. Periodic training of health workers on indications for antibiotic prescriptions in the management of diarrhea in under-fives is necessary.
Prevalence of glucose 6 phosphate dehydrogenase (G6PD) deficiency in a community by newborn screening
Authors: Moinuddin Md Khaja , Gagandeep Vijayalaxmi , Mutalik Seeta
Published: April 2017

Background: Glucose 6 phosphate dehydrogenase deficiency is a genetic disorder and incidence 400 million per year globally. It is X-linked inherited disorder affect males and rarely females also by lyonisation. Characterized by significant biochemical and molecular heterogeneity. Known for its grave complications like hemolysis, severe anemia, failure and severe jaundice following ingestion of fava beans and certain drugs. Prevalent in certain communities of India, hence routine newborn screening and Detection of g6pd deficiency is important to prevent grave complications.Methods: Prospective observational study carried out at Vani Vilas Children’s hospital attached Bangalore Medical college and research institute, from January 2016 to September 2016. All the newborns born at Vani Vilas Hospial included in the study by routine newborn screening.Results: A total of 9,136 neonates were included in this study. There were 5,013 males and 4,123 females. 37 neonates were found to be G-6-PD deficient, prevalence being 0.40%. The difference in the prevalence of G-6-PD deficiency in males 0.57% (n=29) and females 0.19% (n=8) was significant (p <0.002).Conclusions: Significant prevalence of g6pd in India. In our study, we found 1 G6PD deficiency in per 1000 population. Hence, we recommend screening for G6PD deficiency in all the newborns to prevent complications in future.
A study of bacterial sepsis and its relation to thrombocytopenia in neonates
Authors: Goudar Vikram R. , Kabbin Gautam Mohan , Joshi Suhas N. , Chavan Vinod P. , Badiger Shriharsha L.
Published: April 2017

Background: In developing countries like India, the culture facilities are non-existent in most of the district hospitals, so the burden of identification of sepsis lies on hematological investigations like platelet count and white blood cells and very few indian studies have been done to show the association. Objectives: 1) To know the incidence of thrombocytopenia in babies with proven bacterial sepsis. 2) To find, if any, species specific differences in severity and incidence of thrombocytopenia. 3) Clinical outcomes in thrombocytopenic and nonthrombocytopenic septic babies.Methods: It is a prospective observational hospital based study. All the neonates admitted to our NICU with probable sepsis were screened for sepsis and neonates with birth weight of 1000 grams and above with blood and/or Cerebrospinal Fluid (CSF) culture positivity for bacterial growth were recruited during the study period from November 2011 to October 2012. A total of 100 neonates with blood and/or CSF culture positivity for bacterial growth were considered convenient for the study.Results: During the present study period of 1 year we had a total of 960 Neonates admitted to our NICU. 475 neonates were screened for sepsis.  A total of 100 neonates with blood and/or CSF culture positivity for bacterial growth were considered for the study. Klebsiella pneumoniae sepsis was the highest contributor to the severe thrombocytopenia category (15 out of 29cases). Out of the 100 cases, 41 had normal platelet count and 59 had thrombocytopenia. Klebsiella positivity was more significantly associated with severe thrombocytopenia than MRCONS positivity or rest of the cultures combined together (p value <0.01). Although there was no significant association between thrombocytopenia and mortality (p=0.176), the proportion of children with severe thrombocytopenia was significantly higher in babies who expired (25% vs 9%) when compared to babies who survived.Conclusions: Our study shows that in our setting bacterial sepsis is significantly complicated by thrombocytopenia. Severe thrombocytopenia in a suspected case of bacterial sepsis might predict Klebsiella species sepsis and hence it may be prudent to start empirical antibiotics covering the Klebsiella species.
A rare case of meningitis due to Salmonella typhi in a nine month old infant
Authors: S. Nautiyal , S. Jauhari , J. Chauhan , R. Nadeem
Published: April 2017

Salmonella typhi is a rare cause of bacterial meningitis in infants accounting for 1% or less of cases. We report a rare case of meningitis in a nine-month-old baby due to Salmonella typhi. A nine-month-old female was admitted to our tertiary care hospital, with a week’s history of fever with rigors and refusal to take feeds.
Sociodemographic and dietary factors influencing overweight and obesity in school going children aged 10 to 15 years: a cross sectional community based study
Authors: R. L. C. Amarnath , K. Shilpa , Ugargol Amit R. , Bandlamudi Sowjanya
Published: April 2017

Background: Childhood obesity as a rampant public health problem as it is affecting both developed and developing countries. Understanding the trends in obesity prevalence among children, contributing factors and developing strategies for successful interventions is the need of the hour. Hence the present study was aimed at understanding the implication of dietary and socio-demographic factors influencing overweight and obesity among 10-15 year old school children.Methods: The study was a cross sectional study, undertaken in eight private schools of Belgaum City, Karnataka from January 2010 to December 2010. School children of sixth to tenth standard aged between 10 to 15 years were included. Children were interviewed by the investigator. Examination was carried out which included general physical examination, measurement of height, weight, waist circumference, hip circumference, blood pressure and other vital signs. Overweight and obesity were defined basing on Based on WHO and International obesity task force (IOTF) BMI cut-off standards for Asia and India.Results: A total of 600 children were included of which 52.33% were males. Majority of the study subjects belonged to socio economic class I and II. About 65.67% of students belonged to nuclear family. The prevalence of overweight and obesity was 18.83% in study population. Out of this overweight contributed 11.33% and obesity contributed 7.5%.The odds of overweight and obesity was higher in females (OR=1.19), In children aged 13 years (OR=3.21), in children belonging to Sikh community (OR=6.26) and in children with socio economic class II (OR=1.65). Children from joint family (OR=0.70) and third generation family (OR=0.29) had lower odds of overweight and obesity compared to children from nuclear families. Daily consumption of snacks between meals (OR=2.42), sweets (OR=1.985), ice-cream (OR=1.667), fast foods (OR=3.062) and beverages (OR=4.80) were strongly associated with increased risk of overweight and obesity in study population.  Daily consumption of fruits (OR=0.095) and vegetables (OR=0.166) and pulses (OR=0.690) was associated with reduced risk of overweight and obesity in study population (Table 4).Conclusions: Overall the study findings reveal that children had a relatively higher prevalence of overweight and obesity. Regular intake of fast foods, beverages, snacks between the meals and ice creams was associated with higher risk of obesity in study population. Regular consumption of fruits, vegetables and pulses had strong negative association with overweight and obesity in study population.
Outbreaks of measles in Rajasthan in 2014: a cross sectional epidemiological investigation
Authors: Singh Kamaljit , Garg Rajesh
Published: April 2017

Background: In India, although the measles vaccine is available across the country up to village level, but still India is struggling with mortality and morbidity associated with Measles and its outbreaks.  Investigations in measles outbreak help to know the determinants behind it and thus prevent further outbreaks. The outbreaks of measles in Rajasthan were investigated in 2014 by analyzing various socio-demographic parameters. Objective: To assess the epidemiological profile of measles outbreak in Rajasthan in 2014.Methods: The data of the measles surveillance project of Rajasthan was used for analysis. This is an analytical, cross sectional study where 10 districts of Rajasthan having confirmed measles outbreak in 2014 were included. A total of 353 laboratory plus epidemiologically linked measles cases were considered. Statistical analysis: Percentages, proportions and Chi square test were applied. Results: Out of the 23 suspected measles outbreaks subjected for confirmatory laboratory investigation, majority i.e. 14 (60.8%) were found to be of measles. Out of these 14 outbreaks, 353 cases were of measles (Laboratory confirmed + epidemiologically confirmed). Maximum numbers (around 50%) of cases were from the age group 1-4 years. Only 108 (30.6%) cases were vaccinated for measles vaccine. Girl children contributed to about 60 % of the total measles cases. Almost 2/3rd (66.9%) cases were in Muslim families. Conclusions: There was clustering of measles cases in few of the districts adjacent to each other. Measles vaccination coverage in few pockets was poor in outbreak districts. There is a need to boost up measles vaccination coverage with special attention to high risks areas like urban slums etc.
A prospective comparative study in the management of Neer’s type II and type III proximal humerus fracture with proximal humerus nail versus proximal humerus internal locking system
Authors: R. Ramesh , Ahamed Ameen
Published: April 2017

Background: Proximal humerus fractures account for approximately 4-5 % of all the fractures and are next in occurrence to hip fractures and distal radius fractures in elderly population.

Methods: A prospective study of 40 patients with Neer’s type II and type III proximal humerus fracture, among which 20 were treated with proximal humerus nail and 20 with proximal humerus internal locking system at two Hospitals attached to J.J.M Medical College Davangere, Karnataka, India between September 2015 to December 2016. At final follow up results were assessed with constant shoulder scoring system.

Results: In the PHN group, 8 patients (40%) showed excellent outcome, 8 patients (40%) showed good outcome and 4 patients (20%) showed fair outcome. Among the PHILOS group, 12 patients (60%) showed good outcome, 6 patients (30%) showed fair outcome and 02 patients (10%) with poor outcome.

Conclusions: Proximal humerus nail for Neer’s type II and type III proximal humerus fracture has better results compared to proximal humerus locking plate system with increased range of movements and restoring better shoulder biomechanics.
Enhancing Safety Performance by Recognizing the Role of Perceived Management Commitment to Safety in the Jordanian Healthcare Industry: Conceptual Framework
Authors: Al-Bsheish Mohammad Adel
Published: April 2017

Nowadays, workplace safety is a clear concern for both individuals and organizations, particularly in developing countries such as Jordan. This is evidenced by the expanding body of safety-related literature published on this regard. This paper develops a conceptual framework of safety management based on perceived organizational support theory. The main aim of this framework is to disclose the causal links between a physiological empowerment, respect, perceived management commitment to safety and safety performance based on previous studies. Such framework could have impact on practical issues in healthcare industry, as well as enhancing the body of related literature on perceived management commitment to safety. Consequently, this framework presents a new trend concerning perceived management commitment to safety through investigating each dimension of safety climate individually.    

 
Modos de comunicação e práticas de leitura dos escravos do século XIX
Authors: Barbosa Marialva Carlos
Published: April 2017

O artigo mostra alguns modos de comunicação dos escravos brasileiros do século XIX, dando ênfase, sobretudo, às práticas de leitura e de escrita desses atores sociais fundamentais da história do Brasil. Dividido em duas partes, procura inicialmente mostrar as habilidades orais cotidianas para, na sequência, a partir da pesquisa em fontes primárias, descrever as suas habilidades em torno da escrita e da leitura. Revela, assim, um pouco do mundo da comunicação e das práticas orais, de leitura e de escrita dos escravos brasileiros no século XIX.
The Veterinary Clinical Trials Network - a Pragmatic Approach to Filling the Evidence Gaps for Veterinary Practice
Authors: Doit Hannah
Published: April 2017

Including current published evidence is vital as part of evidence-based decision making in veterinary practice. Sometimes there is no published evidence which is relevant or applicable to the clinical situation.

This can be either because it refers to patients with experimentally induced conditions, from a referral population or who lack the co-morbities often seen outside of the experimental context. The Veterinary Clinical Trials Network is unique. It is a rapidly expanding network of veterinary practices, with whom we are working to establish methods for running prospective, pragmatic, practical clinical trials in veterinary practice.

Data is extracted from the patient record using an XML Schema. The data extracted is already captured by the Practice Management Software (PMS) system as part of the consultation, no extra information is required, and the extraction method is automated. This improves participation as it minimises the time input required from vets and vet nurses. Other data is obtained directly from owners of the animals involved.

By working with a large number of first opinion veterinary practices we are able to include enough patients to ensure that our trials are suitably powered, and the participants will be representative of the wider vet-visiting pet population. The research generated from this clinical trials network will help strengthen the evidence base to aid decision making by veterinary practitioners.
Avaliação de cesáreas na Maternidade Escola Assis Chateaubriand utilizando o sistema de classificação de Robson em dez grupos
Authors: Moura Victor De Alencar , Feitosa Francisco Edson de Lucena
Published: April 2017

Introdução: o parto cesárea é aconselhado quando não é provável que se realize o parto vaginal com segurança. Observa-se que no Brasil a taxa de cesarianas na rede pública é de aproximadamente 52%. Objetivo: esta pesquisa teve como objetivo a coleta de informações referentes a partos cesárea realizados na Maternidade Escola Assis Chateaubriand no período de março a julho de 2015, considerando a importância de uma base para a indicação de cesáreas e o propósito de reduzir o número deste procedimento. Métodos: foram considerados 100 partos de cada mês, escolhidos aleatoriamente, contabilizando 500 partos cesárea de um total de 2230 partos realizados no período. Os dados coletados foram avaliados considerando o Sistema de Classificação de Robson em Dez Grupos (SCRDG). Este sistema de classificação baseia-se em características obstétricas das pacientes, considerando as semelhanças. Resultados: observou-se que no período avaliado a taxa de cesáreas foi de 53,7%. O Grupo 5 foi o que mais contribuiu para a taxa de cesáreas (25,2%), seguido pelo Grupo 2 (18,6%). Conclusão: este resultado deve ser considerado no planejamento da unidade hospitalar bem como com relação às políticas públicas, fornecendo subsídios para que se possa sugerir medidas para reduzir a frequência de cesáreas no referido hospital.
Ventricule-shunt abdominal complications
Authors: Landim Júnior Jose Albuquerque , Rodrigues Valcler Antonio Cabral , Okoba Willy , Linhares Elson Arruda , Neves Jose Ricardo Cunha , Guimarães Filho Artur
Published: April 2017

The ventriculoperitoneal shunt (VPS) is a solution to relieving symptoms of excess cerebral-ventricle cerebrospinal fluid (CSF); draining this extra fluid to the peritoneum. Other forms of shunts exist though less used in relation to VPS; whose choice is mainly determined by patient’s clinical presentation and regressive history. Though rare, VPS is not devoid of complications. Furthermore, primary abdominal complications are rarer, though most present as peritonitis, abscess or shunt catheter dissociation, each with varying short and long term consequences. Recently, abdominal fluid collections are drawing increasing interest, particularly in relation to: encysted collections (abdominal pseudocysts-APC) and excess cerebrospinal fluid (CSF) accumulation (called CSF ascites). We present a case of an abdominal APC diagnosed in an outpatient treated at our referral centre, and explore the involved clinical and surgical aspects. This patient was successfully treated and evolved well post-operatively and up-to-date. Despite vast evolution in neurosurgery, VPS continues being the prima choice in treating hydrocephalus, a procedure prone to complications just like any surgery, though rare. Non-draining shunts usually warrant revision which usually means at least a reoperation. Mechanisms leading to APC formation remain unknown, although a previous bout of sub-clinical peritonitis continues being the dominant hypothesis.
Dhatupatha of Panini
Authors: Aggarwal Ashwini Kumar
Published: April 2017

Sanskrit is a language that flows from time immemorial; it originates in natural sounds and finds its way in many spoken languages Today.

This book presents the traditional Dhatupatha of Panini, the Roots of the Sanskrit Language, in Devanagari script, with a measure of Elucidation.

It contains all the 1943 Sanskrit Dhatus in correct Panini order. It also contains versions of some Dhatus appearing in standard Dhatupathas, so that the total count of Dhatus listed is 2056. For each Dhatu, it includes Accents (Dhatu Svara), iii/1 Verb Rupa, and English Meaning. It also gives Ashtadhyayi Sutra Reference for Dhatus that are difficult to conjugate.

A complete Alphabetical Index is supplied that is pleasingly formatted to locate any Dhatu easily. It is formatted two ways, one as a standard index and the other as an index on the original dhatus containing tag letters.

Thus it adequately serves the needs of Libraries, University faculty members and serious Scholars. For the students in a gurukul system, a section on learning the chanting of the Dhatupatha is additionally provided.

Panini was a linguist, grammarian, programmer, sage and visionary, who lived circa 600 BC. His work on Sanskrit Grammar rivals the best computer software and apps available today, and is being recognised as the most complete and practical textbook in this regard.
Srimad Bhagavad Gita Reader
Authors: Aggarwal Ashwini Kumar
Published: April 2017

The Bhagavad Gita has been chanted and read in homes and workplaces. Children and families love to recite it during festivals and gatherings. It is the discourse that instructs man to realign himself to his duty and responsibility. It is the scripture that creates a strong foundation for implicit faith and concordant action in day to day life.

How may we read the Gita? It's verses are written in a meter known as Anushtup Chhanda consisting of 32 syllables each. The traditional way to recite is to pause after 8 syllables. However the commonly available editions of the Bhagavad Gita do not give any such pause.

This is a book that lists all the 700 verses of the Gita with pauses at 8 syllables i.e. at each quarter. A complete Devanagari Latin transliteration is provided using the iso15919 standard. This makes it very easy for the English reader to quickly learn the proper chanting procedure.The original Sanskrit text is also present with pauses at each pada. The split of the verses is done using Grammar rules of Sandhi as given in the Ashtadhyayi of Panini, a timeless masterpiece on language, word formation and syntax.

Thus it fulfills a basic academic need of individuals, schools or colleges using the Bhagavad Gita in any manner. Most institutes imparting Sanskrit teaching also use the Gita and this book is an apt textbook for the same.
Worksheets that Teach: Algebra 2, Volume I
Authors:   Quantum Scientific Publishing
Published: April 2017

Worksheets That Teach are completely different than normal classroom worksheets because they actually teach the content!

Each content-based worksheet begins by actually teaching all of the content in the stated learning objective(s) before moving into the set of exercises that are normally found in a classroom worksheet.

Worksheets That Teach are ideal for:
1. Classroom use to reinforce a topic
2. Student test preparation
3. Homeschooling
4. Individual tutoring sessions
5. Successful students that would like the additional challenge of exploring a new topic on their own
6. Substitute teachers that need to teach a class in an unfamiliar discipline

Worksheets That Teach Series Areas of Study:
Foreign Languages
General Studies
History
Language Arts
Mathematics
Science
BAMBOO FOUNDATION DENGAN PENDEKATAN SUSTAINABLE ARCHITECTURE DI BOYOLALI
Authors: Kusumo Adi Surya , Pitana Titis Srimuda , Suastika Made
Published: April 2017

The background of designing Bamboo Foundation in Boyolali is the emergence of human’s awareness to save the environment especially in the use of eco-friendly building materials. Unfortunately these phenomenon is used by several parties to gain much profit by producing materials and labeling their product with eco-friendly label and then sell them in a very expensive price. Because of the phenomenon then occur an idea to persuade the society to use eco-friendly materials but in a cheap price and good quality which is bamboo. Along  with the finding of bamboo preservation and processing methods ,it shows that bamboo has a big potential to be used as main material in a construction. So the existence of Bamboo Foundation to provide education about bamboo for the society. The designing problem is not only how to develop the bamboo preservatives and processing education but also about the conservation of various bamboo species based on the application of sustainable architecture in Bamboo Foundation design. The method used is architectural design method that combine various bamboo construction structure with the application of sustainability architecture. The result is the design of a bamboo education facilities consists of gallery, class, workshop, bamboo conservation, and supporting buildings that also use as a precedent for the visitors.

 

Keywords: Bamboo, Conservation, Education, Sustainable Architecture.
SEKOLAH ALAM BENGAWAN SOLO DENGAN PENDEKATAN EKOLOGI ARSITEKTUR DI KABUPATEN KLATEN
Authors: Aziz Hikmatyar Abdul , Triratma Bambang , Sumadyo Amin
Published: April 2017

Design of the School of Natural Bengawan Solo in Klaten motivated by formal school education as children when space is in fact still can not be said to ideal for education and develop interest in the child's talents. Education became a fundamental necessity for everyone today. This then raises the idea to present alternative educational space able to accommodate the needs of children to learn, play, and explore. Empowering communities to be able to optimize the potential to become one of the important objects in presenting educational space. Bengawan Solo river and wood craft into the potential of rural communities Gondangsari, Juwiring, Klaten. Potentials possessed villagers Gondangsari not managed properly due to lack of containers in order to accommodate and develop this potential. Design issues are: how to design an alternative education space and bring the space community development based on the application of Ecological Architecture into the design of the School of Natural Solo. The method used is a method of architectural design that blends the essence of Ecological Architecture according to Heinz Frick and Kenneth Yeang in accordance with the design of the School of Natural Solo. Then blend the essence of Ecological Architecture into the design strategies in the design essence a result of interaction of school, nature, and potential kawaasan. The result is a draft design of an educational facility such as classrooms, laboratories of nature, community development space, exhibition space and its supporting buildings which also functions as a precedent alternative education for the visitors.
PENGARUH FAKTOR BERMUKIM MASYARAKAT TERHADAP POLA PERSEBARAN PERMUKIMAN DI KAWASAN RAWAN BENCANA LONGSOR KABUPATEN MAGETAN
Authors: Bachry Adryan Aji Saiful , Hardiana Ana , Putri Rufia Andisetyana
Published: April 2017

Housing and settlements is fundamental human need to do daily activities for the survival of mankind. The community in determining the location of settlements have basic considerations that affect them in choosing a location for a settlement. The basic consideration is composed of several factors, including accessibility, environment, job opportunities, level of service, in addition to psychological factors, socioeconomic factors and historical cultural factors. Basically the location of settlements or housing are not allowed on the mountain slopes are potentially landslide disaster. Landslide that is threatening the survival of human beings who lived in the area. The danger of a disaster is a natural or artificial phenomena which have the potential to threaten human life, loss of property and damage to the environment. The area of the slopes of Mount Lawu which has a dense contour and topography make settlement patterns that are located in the area most are clumped as well as the distance between one another with their distance. There are several factors that affect the formation of settlement patterns, namely economic, cultural, institutional and customs. The issue of this study is to examine how the influence factors of settlement in the area of  landslide-prone Magetan against  pattern of settlement that is formed in the area. This study discusses the characteristics of the factor pattern of distribution in the community, the establishment of settlements and the influence factors of settlement against the spread pattern of settlement in the area of the landslide-prone Magetan by using multiple linear regression analysis. The community has its own considerations against the selection of the location of the settlement which made slopes be settled and be against the formation of settlement patterns in the Poncol Districts and Plaosan Districts which located on the slopes of Mount Lawu. Of research results obtained in the area of community based factors prone to landslide has no influence on the pattern of the spread of settlements that was formed in the area.
REVITALISASI BANGUNAN TRADISIONAL RUMAH TINGGAL SEBAGAI HOMESTAY DENGAN PENDEKATAN ADAPTIVE REUSE DI JAGALAN, KOTAGEDE, YOGYAKARTA
Authors: Wardani SIsca Pramudya , Hardiana Ana , Ikhsan Fauzan Ali
Published: April 2017

The sustainability for cultural heritage is a vital thing for present time and future. Recently, traditional house which is  a javanese cultural heritage is slowly gone in Jagalan, Kotagede.  Homestay in jagalan kotagede as a living museum which has a characteristic of cultural properties area has changed. The change is because of the necessity of a modern living which can not adapt to the old culture, economic necessity, and also eathquake in Jogja in 2006 go along the dull of Jagalan, Kotagede area characteristics. As Jagalan characteristics seems arousing little interest, it makes Jagalan loses heritage spirit and also leads to the unorganized local people. These are due to the economical, social and political matters. Thus, the effort to achieve harmony will be done, including area planning, traditional home stay building, local art, culinary road characteristics, Jagalan potential and adaptive side to the earthquake effect. The official announcement of “Jagalan Tlisih” by Sultan Hamengku Buwono X will be able to make everyone realize that the sustainability of cultural heritage is important. Jagalan Village should be supported by maintaining the potential within, in order to accomplish the realization of cultural tourism village. moreover, traditional building which is counted as  potential legacy needs to be preserved and maintained. The maintenance is by revitalizing, to revive and to restore. Adaptive concepts is a way to build an object and environment so that when these aspects are combined they will be able to work together and create new thing without losing identity of their own. The preservation is applied by taking advantage from the traditional house to be a homestay.  Moreover, homestay will be a new function in the form of traditional building to support Jagalan Village which has heritage value to fulfill the goal as a tourism destination. Furthermore, Jagalan area will be local based homestay along with  adaptive people within its function as cultural tourism village. The new function is one of Adaptive Reuse as a dynamic revitalization responses from spatial, physic, and style aspect which can stands alone and revive its environment.
RUMAH SINGGAH PASIEN KANKER PAYUDARA DENGAN PENDEKATAN KONSEP HEALING ENVIRONMENT DI KOTA SURAKARTA
Authors: Mandayaningrum Emma Indira , Singgih Edi Pramono , Yuliani Sri
Published: April 2017

The Background of the shelter house design for breast cancer patient using healing environment in Surakarta city is the increasing number of breast cancer patient in Surakarta city, uneven facility and infrastructure of breast cancer treatment in Indonesia, and there is no shelter house especially for breast cancer patient in Surakarta city. Therefore the aim of this design is to get a building design which can facilitate and serve the breast cancer patient’s activity and treatment. The building design considers healing environment concept in Surakarta city. The problem of the design is how to plan and design shelter house for breast cancer patient using healing environment concept in Surakarta city which can facilitate the activity for a certain time with a certain education system. The method that used is architecture planing method. The result is the building which consider healing environment concept in Surakarta city.
SENTRA USAHA KECIL MENENGAH DENGAN PENDEKATAN ARSITEKTUR NEO VERNAKULAR DI SURAKARTA
Authors: Anggraini Eva , Suroto Widi , Daryanto Tri Joko
Published: April 2017

The existence of UKM (Small and Medium Enterprises) Center in Surakarta motivated by the high potential of UKM in Surakarta and the lack of facilities for the center of UKM in Surakarta. The purpose of the final research is to get the plan and design concept of UKM Center in Surakarta that were able to accommodate trading activities, human resource developing, and promoting UKM product, using Neo Vernacular Architecture as design approach. The problem that arises is how to translate the characteristic of Neo Vernacular into the design of UKM Center. The method used is qualitative descriptive graphical which is decomposition of data and information with picture/visual illustration as media based on existing normative theory. In this research, studies are done to obtain the application of the characteristic of Neo Vernacular Architecture for UKM Center in Surakarta. The result is a design concept of UKM facility, which serves as a means of trading, developing and promoting in the form of building area by applying the characteristic of Neo Vernacular in the appearance of the building so as to create the atmosphere that is present but do not leave the local character.
SENTRA KERAJINAN KULIT SEBAGAI KAWASAN WISATA INDUSTRI DI KABUPATEN MAGETAN
Authors: Aryana Zarra Primita , Sumaryoto Sumaryoto , Pramesti Leny
Published: April 2017

The development of Leather Crafting Center “Sawo Street” in Magetan Regency is supported by the increasing numbers of tourists who visit the place, the increasing numbers of leather craft showrooms, the availability of development area, great amount of raw materials, and the local crafters as the embryo of this industrial tourism. Therefore, the objective of this design is about achieving an area design which provides the facilities for shopping tourism activities, especially for leather crafting products, facilitate industrial tourism activities and training activities for the crafters into the building design that expresses local area architecture as the land mark of Magetan Regency. The problem of the design is about how the finishing of mass system of the buildings in the area and the expression of buildings with local architecture can be interpreted into the area design of Leather Crafting Center “Sawo Street” in Magetan Regency. The method used in this study is architecture design method. The achieved result is the design of leather crafting shopping center, industrial tourism, and training center area in the form of supporting building facilities in a tourism area in order to optimize the function of Leather Crafting Center “Sawo Street” in Magetan Regency as industrial tourism area.