bluuebunny/crossref_metadata_2025 huggingface dataset:
Efficacy and Safety of Long-Pulsed Nd-Yag Laser in Treatment of Hirsutism
Authors: Rosie Tawhida Nawazesh , Khan Md Abdul Latif , Khan Md Shirazul Islam , Yazdi Quazi Salim , Karim ATM Rezaul
Published: August 2020

Introduction: Hirsutism is a condition of unwanted malepattern hair growth in women. Perception of hirsutism is subjective and it is a common condition affecting 5-10% of unselected women.

Objectives: To find out the efficacy and safety of long-pulsed Nd-YAG laser in the treatment of hirsutism.

Materials and Methods: Fifty females of age between 18- 50 years with dark terminal facial hair and normal hormonal profile were treated with long-pulsed Nd-YAG laser (1064nm, 10mm spot size, pulse duration of 25-30 minutes and fluence of 25-40J/cm2). Six consecutive sessions of laser treatment were delivered to all the patients at 4 to 6 weeks’ interval. Photographic evaluations and percentage of hair reduction were done before each session and final assessment noted at the end ofninemonths.

Results: All the patients completed the study. Good hair reduction (50-75%) was seen in 52% of patients after the first treatment session. After six consecutive treatment sessions at the end of nine-month excellent hair reduction (>75%) was noted in 86% of patients and good hair reduction (50-75%) seen in 12% patients. Side effects in our study were post-operative erythema in 40% and perifollicular oedema in 33.33%.

Conclusion: The study supportslong-pulsed Nd-YAG laser with multiple six sessionsis safe and effective in the treatment of hirsutism.

Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 169-172
Lipid Profile Pattern in Type 2 Diabetes Mellitus Patients
Authors: Sultana Most Sarmin , Akhter Yasmin , Parvin Mimi , Alam Md Mahbub Ul , Naznin Lubna , Wahab Md Abdul
Published: August 2020

Introduction: Dyslipidemia has been noted to play an integral role in the pathogenesis and progression of micro and macrovascular complications in Diabetes Mellitus (DM) patients. Lipid profile is the indicators of dyslipidemia.

Objectives: To evaluate the prevalence and pattern of dyslipidemia in type 2 DM patients.

Materials and Methods: This cross sectional study was conducted at Armed Forces Institute of Pathology (AFIP) from November 2014 to October 2015. The study included 300 type 2 diabetic patients belonging to the age group 30-59 years. Personal data and history of co-existing medical conditions were collected by data collection sheet and analyzed.

Results: Among 300 study subjects with type 2 DM the prevalence of dyslipidemia was 94% among them 19% had single dyslipidemia and 75% had multiple dyslipidemia. In this study, high level of total cholesterol (TC), triglycerides(TG) and Low Density Lipoprotein-Cholesterol (LDL-C) were found in 47.3%, 76.7% and 41.3% patients respectively. High Density Lipoprotein- Cholesterol (HDL-C) levels were found to be low in 60% patients.

Conclusion: The study revealed that dyslipidemia is very common in type 2 diabetic patients and the most common abnormality observed was increased serum TG level followed by decreased HDL-C level. So, patients with type 2 DM should be followed up with serum lipid profile regularly.

Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 177-179
Socio-demographic Characteristics of Women having Vaginal Discharge Attending a Military Hospital
Authors: Yasmin Shamima , Zaman Nasrin Ara , Zafreen Farzana
Published: August 2020

Introduction: Vaginal discharge is the commonest concern among women and leads many women to visit Gynaecology OPD. It is a normal part of women reproductive cycle, unless it causes itching, burning or other bothersome symptoms. Association between vaginal discharge and reproductive tract is weak. Psychological factors also contribute in vaginal discharge. So the problem of vaginal discharge can be best understood not only in bio-medical perspective but also in socio-cultural perspective. Proper understanding of the subject is required for appropriate medical intervention and bringing awareness among women.

Objectives: To determine prevalence of vaginal discharge, the socio-demographic factors associated with it, women’s perceptions of vaginal discharge and their treatment seeking behaviour.

Materials and Methods: This cross sectional study was performed at outpatients’ Department of Obstetrics and Gynecology, Combined Military Hospital, Chattogram from January 2016 to January 2017. Total 150 women with complains of vaginal discharge were interviewed with questionnaire.

Results: Most of the patients63(42%) belong to 25-34 age group, 86(57.3%) had poor sanitation facilities and 126(84%) used cloth pads during menstrual period. Many of them had backache 64(42.6%) followed by itching, bad smell 48(32%) and lower abdominal pain 15(10%). Most of the cases 98(65.3%) were multiparous.

Conclusion: To diminish the problem of vaginal discharge women should improve their health knowledge, empower economic status, maintain personal hygiene. Further study is needed for better outcome.

Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 183-185
Prevalence of Overweight among Military Personnel of a Selected Bangladesh Army Unit
Authors: Rahman Irtika , Rustom ATMA , Zafreen Farzana , Wahab Md Abdul
Published: August 2020

Introduction: Overweight are associated with high rates of morbidity and mortality, but prevalence data on these conditions are not readily available among military personnel in Bangladesh. The aim of this study is to determine the prevalence of overweight and its association with sociodemographic characteristics among military personnel in a unit of Bangladesh Army.

Objectives: The aim of the present study was therefore to determine the prevalence of overweight/obesity among military personnel in a military unit of Jalalabad cantonment and also to investigate their association with selected sociodemographic characteristics.

Materials and Methods: A cross-sectional descriptive study was conducted among 385 military personnel. Height weight, BMI were assessed using standardized procedures.

Results: Prevalence of overweight was 54(14%) and n

one of the participants were obese or underweight. Overweight status was significantly (p<0.05) higher among 30-45 years of age group and JCOs. No significant association was found with other socio-demographic characteristics.

Conclusion: Though overall prevalence of overweight was low among military personnel because of their physical hardship and training. But it is significantly higher among the JCOs and younger age groups. Life style modification and education on appropriate diet and physical exercise during formal and informal sessions may be advised.

Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 193-196
Socio-demographic Profile of Abortion Cases attending at a Tertiary Level Hospital
Authors: Sohel Feroz Ahmed , Jahan Sanzida , Russel Saifullah , Zafreen Farzana
Published: August 2020

Introduction: Abortion in Bangladesh is illegal under most situations, but menstrual regulation is often used as a substitute. Abortion can be legally performed by a physician in a hospital if it is necessary to save the life of the mother. A person, who performs an abortion under any other circumstances, including a woman who self-aborts, can be punished by a fine and imprisonment.

Objective: To assess the socio-demographic profile of abortion cases attending a tertiary level hospital of Bangladesh.

Materials and Methods: This cross-sectional descriptive type of study was carried out among 80 patients at the Gynae ward and out patient department of Dhaka Medical College Hospital from March 2012 to June 2012. The study population was women attending the selected hospital for an abortion or abortion-related complications.

Results: Most of the respondents 35(43.8%) were below 25 years of age and all patients were housewives. The maximum number of patients 63(78.8%) had spontaneous abortion, low socio-economic status and majority were multigravidas. It was also found that patients with abortion were mostly in their second (43.8%) and third (21.3%) decade of life.

Conclusion: In this study, the commonest reason for termination of pregnancy was unplanned pregnancy. Creating awareness and timely intervention might decrease the number of abortion cases.

Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 200-202
A Case of Young Stroke due to Takayasu’s Arteritis
Authors: Razzak Md Abdur , Badsha Soleman , Rahman Quazi Audry Arafat
Published: August 2020

The incidence of ischemic stroke among young adults is rising. Young individuals remain at high risk for recurrent stroke. As these patients generally still have a life expectancy of decades ahead, it is essential to find and educate them about the risk factors and causes of stroke to possibly prevent future vascular disease. One important but often missed cause of stroke in a young adult is Takayasu’s Arteritis. Takayasu’s Arteritis is a rare disease affecting the aorta and its main branches, causing arterial claudication and end-organ ischemia, including stroke. The etiology is unknown but is believed to be autoimmune. Early in the disease course, non-specific constitutional symptoms such as fever, malaise, and weight loss may occur this makes it a diagnostic challenge. Although, Takayasu’s Arteritis generally follows an insidious course, acute presentation with visual loss or stroke may also occur. It can be adequately treated if it is identified early. We describe a case of a 20-year-old officer cadet of Bangladesh Military Academy with no significant medical history who presented with acute ischemic stroke with right sided hemiplegia. He was evaluated as a young stroke case. Clinical examination revealed weak pulse in left upper limb and both carotids. Carotid bruits were also noted. CT angiogram findings revealed classical findings of Takayasu’s Arteritis. He responded well with steroid and immunosuppressive agent (Methotrexate). However, ultimately he could not be retained in service because of extremely strenuous nature of training, residual disability and chronic progressive and incurable nature of the disease.

Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 209-213
Comparison of Disulfiram and Naltrexone in Cases of Alcohol Dependence Syndrome
Authors: Adhikari Sandarba , Tulachan Pratikchya , Ojha Saroj Prasad , Chapagai Manisha , Dhungana Saraswati , Pant Sagun Ballav
Published: August 2020

Background: Relapse prevention in alcoholism is recognised as an important component of management. Use of pharmacotherapies to prevent relapse in combination to psychological intervention is emerging. Disulfiram and Naltrexone are two of three FDA approved drugs for pharmacotherapy. The aim of the study is to compare the effectiveness of these two drugs in preventing relapse in alcohol dependence syndrome cases. Methods: A prospective crossectional study was conducted to compare disulfiram and naltrexone in alcohol dependent patients in tertiary institution. Cases of alcohol dependence syndrome were diagnosed based on ICD-10 DCR presenting to psychiatry department of Tribhuvan University Teaching Hospital, over the period of 6 months. After detoxification and fulfillment of inclusion criteria, semi structured proforma, Severity of alcohol dependence questionnaire, Stages of change readiness and treatment eagerness scale, Obsessive compulsive drinking scale were applied. Drug allocation was based on simple random method and on subsequent follow ups done at 2nd, 4th, 8th, 12th week semi structured proforma, Obsessive Compulsive Drinking Scale were completed and psychological intervention continued. After data collection, analysis and final results were computed.Results: Both drugs reduced craving (p<0.001) and amount of alcohol intake (p<0.001). Relapse was more in naltrexone group but was not statistically significant (p>0.05). Side effects were more with disulfiram (p<0.001) whereas dropout was more in naltrexone group, (p<0.01).Conclusions: Disulfiram and Naltrexone were equally effective in reducing craving, reducing amount of alcohol intake, and preventing relapse in 12 weeks follow up period. Naltrexone was found to be better in tolerability whereas disulfiram was better in terms of dropout from treatment. Keywords: Alcohol dependence; disulfiram; naltrexone; relapse
Pattern of Cardiovascular Disease among Admitted Patients in Tertiary Care Teaching Hospital
Authors: Sharma Dibya , Kafle Ram Chandra , Alurkar Vijay Madhav
Published: August 2020

Background: Cardiovascular diseases are the dominant cause of morbidity and mortality worldwide. In 2008, cardiovascular deaths represented 30% of all global deaths, with more than 80% of deaths in developing countries. There is increase in incidence of hypertension, atherosclerosis, stroke, chronic heart failure and atrial fibrillation. The objective of this study is to find the pattern of cardiovascular diseases among patients admitted in cardiac ward.Methods: A retrospective analysis of records of admitted patients from 1st January 2016 – 30th December 2017 was conducted in Cardiology ward of Manipal Teaching Hospital, Pokhara, Nepal. A total of 2268 patients’ data were taken from the ward register. The data was collected and analyzed with descriptive and inferential statistics using SPSS 18.0 version during the period from 1st June to 30th August 2018. Results: The age ranged between 12 to 95 years with a mean (SD) is 61.23(16.34 years). More than half (51%) of the patients were female gender. Forty-six percentages of the patients were in the age group of 56 – 75 years. More than 1/3rd (35%) were diagnosed with Ischemic heart disease (IHD) followed by hypertension (22.8%) and arrhythmia(13.4%). There was a significant association between age and gender with the pattern of cardiovascular disease. Conclusions: Ischemic heart disease, hypertension and arrhythmia were the major causes of hospitalization. Preventive measures at community and personal level focusing on the risk factors management of ischemic heart disease will alleviate the burden of ischemic heart disease.Keywords: Cardiovascular disease; mortality; pattern; prevalence.
Psychiatric Comorbidities in Patients with Migraine in a Tertiary Hospital
Authors: Khattri Jai Bahadur , Subedi Anil
Published: August 2020

Background: Psychiatric disorders are common in the migraine patients and affect the quality of the life of the individual. The objective of the study was to study the different psychiatric comorbidities and its relationship in migraine patients. Methods: This was hospital based cross-sectional study. Seventy patients attending psychiatric outpatient department of Manipal Teaching Hospital, Pokhara with a diagnosis of migraine headache were included. The proforma was used to record socio-demographic variables. The patients were administered Mini International Neuropsychiatric Interview to find out the comorbid psychiatric disorder. Results: The migraine was found more in the age group between 26 to 35 years, female gender and in the Brahmin caste. The migraine was also noticed to be higher in the homemakers, higher secondary educated and middle class patients and the patients living in the urban area. The comorbid psychiatric illness was found in 38 cases (54.3%) among which mild depressive disorder was the most common diagnosis (14.3%). The patients of migraine with aura had high risk of developing the psychiatric comorbidities as compared to the patients without aura (Odds Ratio = 1.22), although this relationship was insignificant (p value = 0.7688).Conclusions: Mild depressive episode was the most common comorbid psychiatric condition. Migraine with aura have high risk of developing psychiatric comorbidities.Keywords: Anxiety; comorbidities; depression; migraine headache; psychiatric disorders; psychiatric symptoms
Comparison of Lung Ultrasound to X-ray for Diagnosis of Pulmonary Complications after Cardiac Surgery in Children
Authors: Bajracharya Smriti Mahaju , Shrestha Pragati , Sharma Apurb
Published: August 2020

Background: The purpose of this study was to compare diagnostic performance of lung ultrasound in comparison to chest X-ray to detect pulmonary complication after cardiac surgery in children.Methods: A prospective observational study was conducted in tertiary center of Nepal. 141 consecutive paediatric patients aged less than 14 years scheduled for cardiac surgery were enrolled during the 6 months period. Ultrasound was done on the first post-operative day of cardiac surgery and compared to chest X-ray done on the same day to detect pleural effusion, consolidation, atelectasis and pneumothorax.Results: Sensitivity, specificity, positive and negative predictive values and diagnostic accuracy were calculated using standard formulas. lung ultrasonography had overall sensitivity of 60 %, specificity of 72.4%, positive predictive value of 31.9% and negative predictive value of 89.3% and diagnostic accuracy of 70.2% for diagnosing consolidation. Similarly, lung ultrasonography had overall sensitivity of 90%, specificity of 82.6%, positive predictive value of 46.1% and negative predictive value of 98% and diagnostic accuracy of 83.6 % for diagnosing pleural effusion. For atelectasis, ultrasonography had sensitivity of 50%, specificity of 76.9%, positive predictive value of 30.7% and negative predictive value of 88.2% and diagnostic accuracy of 72.3%. No pneumothoraxes were detected during our study period. Conclusions: Lung ultrasound is an alternative non-invasive technique which is able to diagnose pulmonary complications after cardiac surgery with acceptable diagnostic accuracy with no proven complications but with decreasing exposure to ionizing radiation and possibly cost.Keywords: Cardiac surgery; children; lung ultrasound; pulmonary complications
Scenario of Head Injury Patients in Tertiary Care Hospital of Nepal
Authors: Paudel Subodh Sharma , Luitel Ritesh , Bista Anushruti , Baniya Aashish , Panta Dibya Jyoti , Shrestha Bibhushana , Singh Aditi
Published: August 2020

Background: The aim of the study is to find out the age and sex distribution, modes of head injury and correlate Glasgow Coma Scale with Computed Tomography in patients with head trauma in our center.Methods: A cross-sectional study was performed among 113 patients of acute head trauma presenting to Emergency department of our hospital for three months. The severity of the head injury was assessed on admission by the Glasgow Coma Scale score and categorized as mild, moderate, or severe head injury. Non contrast head computed tomography was obtained. Results: The mean age of patients studied in this study was 35.53 year in males and 32.1 year in female with male to female ratio being 1.86:1. The most common causes of head injury were road-traffic accident 58 (51%), falls 42 (37%) and physical assault 13 (12%). In our present study, 67 (59.3%) of patients had mild head injury, 27 (23.9%) had moderate head injury and 19(16.8%) had severe head injury. Our study shows presence of multiple lesions with depressed bone fracture of skull bone was associated with lower Glasgow Coma Scale. Significant association between Glasgow Coma Scale and computed tomography finding was seen (p<0.001). Conclusions: Glasgow Coma Scale is strongly associated with computed tomography in patients with head injury. Road traffic accident is the commonest mode of injury. Most present with mild head injury.Keywords: Computed tomography; Glasgow coma scale; head injury
Distribution of Hemoglobinopathy in Nepalese Population
Authors: Shrestha Rekha Manandhar , Pandit Roshan , Yadav Udaya Kumar , Das Rameshwar , Yadav Binod Kumar , Upreti Harish Chandra
Published: August 2020

Background: Sickle cell and thalassemia are the inherited disorders of globin chain synthesis, and are the most common monogenic disease worldwide. This study aims to find the distribution of hemoglobinopathies (sickle cell and thalassemia) cases in Nepal using laboratory based data.Methods: A retrospective study was carried out at five different sites of Nepal Government that uses capillary electrophoresis for screening of hemoglobin disorders from January 2019 to March 2019. All the cases diagnosed positive for hemoglobinopathy till December 2018 were collected from laboratory record at each sites, and analyzed using Statistical Package for Social Sciences (SPSS version 20.0).Results: Out of total 4018 patients tested during the period in all five different sites, 1470 were diagnosed positive for hemoglobinopathy. Sickling disorder was the most predominant hemoglobinopathy followed by ?-thalassemia. Province 5, province 6 and province 7 were mostly affected by sickling disorder while the other provinces by ?-thalassemia.Conclusions: Sickle cell is the commonest cause of hemoglobinopathy followed by B thallesmias in Nepalese population. Sickle cell is more concentrated towards western part of Nepal and especially in Tharu ethnic population. In contrast, the distribution of ?-thalassemia is found throughout the country and among all ethnic groups of population.Keywords: Hemoglobinopathy; Nepal; sickle cell; thalassemia
Medial versus Posterior Triceps Splitting Approach in Open Reduction Internal Fixation of Displaced Supracondylar Fracture of Humerus
Authors: Rokaya Poojan K , Karki Dhan Bahadur , Rawal Mangal , Limbu Deoman , Khan Javed Ahmed , Bhandari Prakash Raj , Ghimire Anil , Sharma Rachit , Shrestha Niraj Man
Published: August 2020

Background: The purpose of this study is to compare the clinical and radiological outcome of medial versus posterior triceps splitting approach in open reduction internal fixation of displaced supracondylar fracture of humerus in children.Methods: A retrospective review of total 70 children with medial approach (n=30) and posterior triceps splitting approach (n=40) children was made. Time to radiological union, postoperative Bauman’s angle and Lateral humerocapitellar angle was compared for radiological outcome. Cosmetic and functional outcome was assessed and compared using Flynn’s criteria. Results: Radiological parameters like time to union, postoperative Bauman’s angle and Lateral humerocapitellar angle were similar and non-significant between medial and posterior triceps splitting approach. Flynn’s cosmetic outcome was similar between these approach (p=0.198). Loss of ROM was significant in posterior triceps splitting approach (p=0.00). Flynn’s functional outcome was better with medial approach as compared to posterior triceps splitting approach with statistical significance (p=0.00). Conclusions: Medial approach has better functional outcome compared to posterior triceps splitting approach in open reduction internal fixation of displaced supracondylar fracture of humerus in children.Keywords: Children; Humerus; Open reduction; Supracondylar
Practices and Women’s Perceptions of Childbirth in Western Nepal: A Qualitative Study
Authors: Bhandari Tulsi Ram , Wagle Shreejana , Dangal Ganesh
Published: August 2020

Background: Despite continuous efforts to increase the utilization of institutional delivery care services nearly two-fifths women deliver their babies at home without the assistance of skilled birth attendants (SBA) in Nepal. The skilled care at birth can reduce the high maternal and neonatal mortality. This study explored childbirth practices and women’s perceptions of childbirth and its associated factors.Methods: An exploratory study was conducted in three purposively selected remote villages of Kapilvastu district, from March to May 2017. Face-to-face in-depth interviews were conducted with women who had an under-one year child. We performed a thematic analysis to draw the findings of the study. Results: Women sought institutional delivery care either for long labor-pain or obstructed-delivery. Despite various incentives, people still preferred home for normal deliveries. There was also practiced skilled birth attendant (SBA) assisted home delivery care. Some of the local health workers also advised pregnant-women for assisted home delivery care. People considered childbirth as a normal process. Due to cultural beliefs and norms, people were also reluctant to pursue institutional delivery care services. Financial constraints, poor access to services and expensive transportation services were other underlining causes of home delivery practices. Conclusions: Despite various incentives for institutional delivery care; the study did not spectacle an encouraging reaction. It pointed to the very basic and strong relationship between women’s position in the household and the society and education with childbirth practices. There were limits to how far financial incentives can overcome these obstacles. So, the improvement of the socio-economic conditions of the women would be the viable way-out of the problem.Keywords: Childbirth practices; home delivery; institutional delivery; women’s perception
Scenario of Sepsis in Intensive Care Unit in a Tertiary Care Hospital
Authors: Ghimire Ram Hari , Budhathoki Sampanna , Shreewastav Rupesh Kumar
Published: August 2020

Background: Sepsis has been defined as life-threatening organ dysfunction caused by dysregulated host response to infection. Sepsis is an important cause of mortality in intensive care unit worldwide. The study aims to identify the outcome of sepsis patient admitted at tertiary care hospital.Methods: This is a descriptive cross-sectional hospital based study on 76 adult patients admitted at intensive care unit of Nobel Medical College with diagnosis of sepsis with an objective of estimating mortality of sepsis and identifying associated symptoms with it. Baseline demographics, clinical and laboratory data were collected and analyzed. Results: Out of 76 patients with sepsis, mean age of the patients was 50.07±18.15 years. Majority of patients 31.6% with sepsis were above age groups >60 years. The most common symptoms among the patients were fever, which was seen in 69 (90.8%) patients. The most common source of infection in those patients was found to be unknown, which was seen in 36.8% of patients. While analyzing the outcome, it was noted that 25 patients with sepsis (32.9%) died during treatment.Conclusions: Sepsis is related with high mortality. Elderly patients are at more risk. Fever is the commonest presentation and source is not identified in majority of cases. Keywords: Intensive care unit; mortality; sepsis.
Influence of Body Mass Index, Handedness and Gender on Ruler Drop Method Reaction Time among Adults
Authors: Jha Reena Kumari , Thapa Samjhana , Kasti Roshan , Nepal Ojashwi
Published: August 2020

Background: The interval between stimulus and response is called reaction time. It measures the sensorimotor function and performance of an individual. It involves stimulus processing, decision making and response programming. Many factors such as age, gender, handedness, physical fitness, sleep, fatigue, distraction, personality type and type of stimulus have been shown to affect reaction time. Thus the aim of this study was to assess the effect of body mass index, handedness and gender on reaction time.Methods: A cross-sectional study was conducted in the Department of Physiology, Kathmandu University School of Medical Sciences, from October 2019 to December 2019, among 113 student volunteers. Height and weight were recorded and body mass index was then calculated. In ruler drop method, the students were made to sit with their forearm resting on a flat horizontal table surface, with their open hand at the edge of the surface. When the examiner suspended and released the ruler vertically the students were instructed to catch it as quickly as possible.Results: Females had a faster reaction time than males when testing either hand (178.46±17.56 Vs 195.99±15.67; right hand) and (184.25±17.02 Vs 199.57±15.91; left hand). In females, right hand responded faster than left hand. In both gender, reaction time was faster in normal weight compared to overweight individuals but it was statistically insignificant.Conclusions: Females responded faster than males. Right hand had shorter reaction time than left hand in females. Reaction time was insignificantly prolonged in overweight individuals. Keywords: Body mass index; reaction time; ruler drop method
E-Commerce Penjualan Obat Herbal pada Toko PO.Propolis dan Herbal Center Medan
Authors: Pania Sadri , Harahap Muhammad Khoiruddin
Published: August 2020

Abstract— Technology and information currently growing and advancing need to be balanced according to the needs of the current era, because the more complex the work carried out, it cannot be denied at any institution or other institution that requires technology that can help and improve the work. Likewise, the marketing of Herbal Products at PO.Propolis Herbal Center Medan, the current information system is still functioning semi-computerized. This research discusses and makes information systems that can help in sales at PO.Propolis Stores & Medan Herbal Centers which have been using manuals. And facilitate the work of employees in managing data. Complete marketing results data quickly and relatively quickly. The information system is designed using the PHP programming language with a MySQL database. Tests carried out using the Black Box test and White Box test. The results of the research have made E-Commerce which can help the information system that runs better
Efeito da adição de diferentes antioxidantes em diluentes de criopreservação sobre a qualidade do sêmen e a produção in vitro de embriões bovinos
Authors: Silva Natália do Carmo , Marques Thaisa Campos , Pádua João Teodoro , Leão Karen Martins
Published: August 2020

A qualidade das amostras de sêmen é fundamental para o sucesso dos programas de inseminação artificial em bovinos. Torna-se imprescindível a manutenção das características dos espermatozoides por meio de adequado processo de criopreservação. No entanto, os processos de criopreservação resultam na formação contínua e excessiva de espécies reativas de oxigênio (EROS), que são prejudiciais aos espermatozoides, pois induz a apoptose com consequente redução da qualidade espermática. Dessa forma, têm sido acrescidos aos crioprotetores substâncias antioxidantes como a glutationa e a melatonina, as quais tem como intuito minimizar os efeitos deletérios causados pelas EROS aos espermatozoides, resultando em melhor qualidade espermática, com consequente aumento das taxas de fertilização in vitro.  Diante disso, a presente revisão tem por objetivo analisar os efeitos da adição dos antioxidantes glutationa e melatonina em diferentes meios de criopreservação e a produção in vitro de embriões bovinos.
Edward Wilson: um testamento aos jovens cientistas
Authors: Ramos Rodrigo Ferraz
Published: August 2020

Primeiro a paixão, depois os estudos. Esse é o conselho de Edward Wilson aos jovens pesquisadores. Na obra intitulada “Cartas a um jovem cientista”, Wilson compartilha com o público a sua paixão pelo mundo natural e pela descoberta. Ser um cientista, antes de tudo, é ter paixão por resolver problemas. É necessário dedicação, criatividade e muito estudo, mas, o resultado é a descoberta de um mundo natural em evolução. A obra de Wilson é um verdadeiro testamento aos pesquisadores aspirantes e futuros cientistas.
Currículo e Educação Física: algumas relações com/sobre o corpo
Authors: Ilha Franciele Roos da Silva , Costa Andrize Ramires , Tortola Eliane Regina Crestani
Published: August 2020

O objetivo deste trabalho é discutir a relação entre corpo, currículo e Educação Física, por meio de uma reflexão teórica. Para tanto, foram utilizadas diferentes fontes bibliográficas para pensar as relações entre essas três categorias. Vale salientar que o estabelecimento dessas relações só foi possível pela abrangência e complexidade com que a concepção de currículo – e de corpo - é aqui assumida. Para tanto, o artigo está organizado em quatro sessões: 1) Traçados iniciais; 2) Corpo e Educação Física: reflexões a partir do currículo; 3) A Educação Física como forma de produzir corpos; e, 4) Considerações finais.  As reflexões apresentadas no âmbito das relações entre corpo, currículo e Educação Física demonstraram como esses três aspectos estão imbricados, se constroem e são reconstruídos constantemente, dependendo do contexto sociocultural em que se vive. Educação Física, um campo de saber, uma prática pedagógica permeada pelo corpo, como objeto de estudo e conhecimento, tem na escola e em espaços-tempos educacionais o currículo como meio de produção de discursos e subjetividades. Conclui-se que refletir acerca das práticas curriculares e pedagógicas, em especial na/da Educação Física, permite-nos pensar sobre a compreensão de corpo [e de sujeito] na sociedade moderna e contemporânea.
Reflexões sobre metodologias do ensino de Biologia
Authors: Alves Joelison Felipe , Silva Leandro Barbosa da , Reis Deyse Almeida dos
Published: August 2020

A educação vem passando por grandes mudanças nas questões metodológicas do ensino, diante disso, os Parâmetros Curriculares Nacionais apresentam propostas pedagógicas, cabe aos gestores escolares possibilitar o uso desses recursos para melhorar a qualidade do ensino. Os conteúdos aplicados à disciplina de Biologia não devem permanecer apenas centrados na metodologia embasada na transmissão de informações por meio do livro didático. É necessário que o professor busque estratégias que venham a contribuir para o conhecimento dos alunos do ensino médio, na formação contínua do estudante. Sendo assim, o presente estudo teve como objetivo investigar quais são as dificuldades encontradas pelos professores de Biologia para a elaboração de novos métodos de ensino, bem como entender quais motivos para o não uso no cotidiano da escola. Os dados coletados para análise do estudo foram obtidos por meio de um questionário realizado com professores de Biologia de uma Escola Pública da cidade de Manaus. Uma porcentagem dos professores afirmou que não aplica novos métodos por falta de tempo, outros afirmam que o uso apenas do livro ainda é dos principais mediadores de informações, outros apontaram que o uso de novos métodos serviria de complemento para as aulas teóricas. A falta dessas modalidades implica diretamente no aprendizado do aluno e há fatores que contribuem para o insucesso no processo de ensino aprendizagem. Portanto, é necessário discutir e refletir sobre esses fatores para que possam ser desenvolvidas situações para adequá-la a diferentes realidades de ensino.
Interface entre Estresse Precoce e Depressão em adultos: uma análise reflexiva
Authors: Teixeira Carla Araujo Bastos , Fernandes Maria Neyrian de Fátima , Macedo Rayonara Franco , Gherardi-Donato Edilaine Cristina da Silva
Published: August 2020

O presente trabalho tem como analisar reflexivamente com base na literatura a associação do estresse precoce e o desenvolvimento de depressão. O método caracteriza-se como um estudo descritivo, do tipo análise reflexiva, com discussão da literatura a partir de três categorias: estresse precoce, depressão e influências do estresse precoce na depressão em adultos. Como resultados, as experiências de estresse precoce influenciam os sistemas neurobiológicos, dentro dos limites genéticos, levando a manifestações comportamentais de depressão. São essas experiências adversas na infância que contribuem significativamente na fisiopatologia da depressão. O papel do estresse no desequilíbrio do processo saúde-doença está relacionado a causas multifatoriais. No entanto, conhecer o que acontece entre o estresse, na sua forma mais primária, estresse precoce e o desenvolvimento do adoecimento psíquico, em especial a depressão, é essencial para o direcionamento das práticas de assistência em saúde mental tanto no âmbito intervencionista como no âmbito preventivo. Faz-se necessário novos estudos na área, sobretudo os relacionados aos aspectos neurobiológicos.
Quantitativo de matrículas e taxa de abandono escolar no Ensino Médio do Estado do Amapá (2015-2017), Brasil
Authors: Favacho Marivane de Fátima da Cruz , Fecury Amanda Alves , Freitas Rosilene Ilma Ribeiro de , Dendasck Carla Viana , Araújo Maria Helena Mendonça de , Souza Keulle Oliveira da , Silva Iracely Rodrigues da , Moreira Elisângela Cláudia de Medeiros , Moraes Jones Souza , Oliveira Euzébio de , Dias Claudio Alberto Gellis de Mattos
Published: August 2020

A educação é um direito social e dever do Estado, devendo ser obrigatória e gratuita durante toda a Educação Básica (EB). Em vista de efetivar esse direito, o Estado estabeleceu a meta para garantir a progressiva universalização do acesso à educação, no entanto, a evasão escolar ainda é um dos grandes gargalos da educação no Brasil. Diante desse contexto, o presente artigo buscou demonstrar a quantidade de matrículas e a taxa de abandono escolar no Ensino Médio do Estado do Amapá, entre 2015 e 2017, a partir de buscas realizadas no banco de dados do INEP, bem como pesquisa bibliográfica e documental. Esses dados apresentam a soma de discentes matriculados no Ensino Médio (EM), Ensino Médio Técnico Integrado (EMTI) e Estudantes Incluídos; e também, demonstram a porcentagem de discentes que abandonaram a escola, no período estudado. As informações analisadas expressam uma redução ano a ano na taxa de matriculados e na porcentagem de abandono escolar. Esse comportamento pode ser explicado pelo fato de a escola pública registrar os maiores índices de abandono e uma das maiores taxas de reprovação. No entanto, esses dados são conflitantes, pois não avaliam a existência de evasão escolar e reprovação por fatores intra e extraescolares, percentuais que interferem no número de concluintes de uma série para outra no ensino médio.
Análise das características hematológica do líquido ascítico de pacientes internos no Hospital Universitário Lauro Wanderley (HULW)
Authors: Cunha Saraghina Maria Donato da , Silva Viviane Araújo da , Araújo Ana Paloma Tavares de , Oliveira Filho Abrahão Alves de , Oliveira Heloísa Batista Fernandes de , Correio Francisco Cunha Nunes
Published: August 2020

O objetivo desse trabalho foi analisar as características hematológicas dos líquidos ascíticos de pacientes internos no Hospital Universitário Lauro Wanderley assim como sua importância para determinar o diagnóstico. A população do estudo foi composta por pacientes com diversas patologias, admitidos no HULW, de ambos os gêneros, com idade igual ou superior a 18 anos com diagnóstico de ascite. O estudo foi realizado de acordo com as exigências do Comitê de Ética em Pesquisa (CAAE 23933819.0.0000.5183) do HULW. Foram analisados 309 exames. Destes, 68% eram do gênero masculino e a maior incidência na faixa etária acima de 60 anos (41%) com predomínio de ascite como diagnóstico estabelecido. A peritonite bacteriana esteve presente em 12% amostras e 6% apresentaram aspectos hemorrágico. Esses dados corroboram com a literatura, em que há o predomino do gênero masculino e a idade média 56,4 ± 6 anos, o que pode ser atribuída à prevalência de vírus da hepatite na população, bem como ao momento da disseminação da infecção viral, como também, o uso do álcool como fator relevante para desencadear a cirrose. Entre as limitações de nosso estudo, deve-se ressaltar a falta de informação clara no preenchimento da requisição do exame laboratorial, como também a coleta adequada e manuseio da amostra, o que dificulta e prejudica a análise dos fluidos cavitários.
A auditoria como ação pedagógica inovadora: perspectiva do acadêmico de enfermagem
Authors: Pereira Eduardo Lopes , Ferreira Paulo Emílio Botura , Lana Letice Dalla
Published: August 2020

O presente artigo tem objetivo relatar a vivência de um acadêmico de enfermagem ao executar uma auditoria de conformidade, ocasional, externa num serviço de internação hospitalar, durante a atividade prática de um componente curricular. Trata-se de um estudo descritivo, do tipo relato de experiência. A atividade prática foi desempenhada pelos acadêmicos no segundo semestre de 2019 em um hospital municipal da região da Fronteira Oeste do Rio Grande do Sul, Brasil. A prática componente curricular possui 4 momentos, a saber: sorteio do tema a ser avaliado; critérios da qualidade; análise documental e inspeção do serviço; e o relatório de auditoria. A partir do debriefing, como método de análise dos dados, identificou-se que as vivências de realizar a prática de auditoria em ambiente hospitalar apresentam duas categorias: perspectivas negativas da auditoria como ação pedagógica e perspectivas positivas da auditoria como ação pedagógica inovadora. Conclui-se que a auditoria como ação pedagógica no contexto hospitalar não só integra saberes apreendidos nas diversas disciplinas oferecidas durante o curso de graduação, mas permite ao acadêmico o exercício da construção de sua autonomia e responsabilidade nesta etapa de transição de identidade do futuro enfermeiro.
Desafios na gestão logística de uma microempresa fabricante de biscoitos na perspectiva da integração das atividades primárias e de apoio
Authors: Almeida Thairone Ezequiel de
Published: August 2020

Desde a origem até o consumo, a gestão logística acompanha a entrega de bens e serviços com a finalidade de responder as necessidades dos clientes. Todavia, a ineficiência na integração das atividades logísticas poderá contribuir de forma negativa na lucratividade do empreendimento. O elemento central deste artigo foi identificar quais os principais desafios na gestão logística de integração das atividades primárias e de apoio em uma microempresa fabricante de biscoitos. O estudo justifica-se em função da expansão acelerada que contribuiu para o não planejamento efetivo do setor logístico, além da queda no desempenho da empresa ante aos clientes. Nesse contexto, buscou-se desenvolver uma pesquisa de natureza aplicada, abordagem qualitativa e objetivo exploratório. O procedimento técnico utilizado foi o estudo de caso. A pesquisa consistiu em (i) definir a estrutura conceitual-teórica; (ii) planejar o caso; (iii) conduzir o teste piloto; (iv) coletar os dados; (v) analisar os dados; e (vi) gerar o relatório. Foram evidenciados múltiplos desafios durante a análise, como por exemplo, atrasos nas entregas das mercadorias aos clientes. Sugere-se a contratação de um operador logístico na fábrica de biscoitos para auxiliar a criação, planejamento, implementação, desenvolvimento e gestão das atividades de transportes, manutenção de estoques e processamento de pedidos. As conclusões provenientes do estudo destacam que a presença e atuação do operador logístico na microempresa poderá gerar benefícios como o aumento na qualidade do nível de serviço ao cliente e obtenção de vantagem competitiva perante a concorrência.
Soybean inoculation techniques for the region of Tangará da Serra - MT, Brazil
Authors: Barros Luiz Henrique da Silva , Magalhães Marcio Osvaldo Lima , Dalbianco Alessandro Bandeira , Fidelis Rodrigo Ribeiro , Rosa Hugo Henrique Ribeiro , Martinez Roberto Antonio Savelli
Published: August 2020

The use of inoculated microorganisms on seeds has increased in Brazil, as they help on the fixation and use of nutrients by plants, promoting increasing yields, mainly due to the reduction in the application of nitrogen fertilizers. The aim of this study was to evaluate the influence of single inoculation and co-inoculation of Azospirillum brasilense and Bradyrhizobium japonicum bacteria on seeds and foliar inoculation on soybean, in the region of Tangará da Serra – MT, Brazil. The experimental design used was a randomized block with 9 treatments and 4 replicates. The treatments were composed by using B. japonicum and A. brasilense bacteria in different combinations and times of application on seeds and sprayed on the leaves. The use of A. brasilense together with B. japonicum significantly improved the agronomic characteristics of the evaluated soybean cultivar. There was an increase in yield with the use of A. brasilense through the co-inoculation technique when compared to the single use of Bradyrhizobium. The use of co-inoculation at V3 soybean stage promoted higher nodulation and yield than the standard inoculation performed in the seeds, ensuring better results of nodulation and yield besides increasing the size of the soybean root system, when there and co-inoculation techniques were implemented.
O uso do aplicativo Canva Educacional como recurso para avaliação da aprendizagem na Educação Online
Authors: Ferreira Líllian Franciele Silva , Silva Vanessa Maria Costa Bezerra
Published: August 2020

A avaliação da aprendizagem, seja na educação presencial ou online, permeia a prática docente e o desenvolvimento discente durante o processo educacional. Este artigo tem como objetivo colaborar com as discussões sobre a temática da avaliação da aprendizagem no contexto da Educação Online, refletindo sobre o uso do aplicativo Canva Educacional no ambiente formativo. A pesquisa apresenta a seguinte questão norteadora: Como os discentes, de um curso online, compreendem a avaliação da aprendizagem por meio do aplicativo Canva Educacional? Posto isto, discute-se a relevância desse artefato tecnológico como estratégia didática articulada ao uso de Tecnologias Digitais da Informação e Comunicação (TDIC) no ambiente educacional. A metodologia baseou-se no Estudo de Caso (Yin, 2015), com uma abordagem qualitativa e exploratória. Como sujeitos, participaram 12 discentes de uma disciplina eletiva ofertada em um Programa de Pós-graduação em Educação (PPGE), em nível stricto sensu, geograficamente localizado em um município do Nordeste brasileiro. Dentre os resultados obtidos, destaca-se o uso do aplicativo Canva Educacional, como uma estratégia didática, possibilitando aos sujeitos desenvolver, capturar e compartilhar suas ideias e criações visualmente, ilustrando conceitos a partir da leitura dos textos, contribuindo para a aprendizagem significativa e escrita colaborativa dos alunos no ambiente online.
Em busca de sentidos à Educação Estatística na Educação Infantil: diálogos com uma pesquisadora
Authors: Ciríaco Klinger Teodoro , Santos Cristiane Afonso de Lima dos
Published: August 2020

Na busca por uma aproximação entre Educação Estatística e Educação Infantil, objetivamos: 1) identificar artigos publicados em edições de eventos científicos da área da Educação Matemática para caracterizar práticas a serem desenvolvidas (2013-2017); e 2) estabelecer pontos de articulação da temática investigada a partir a percepção da professora Celi Espasandin Lopes, referência no Brasil quando o assunto é Estocástica na infância. A metodologia se enquadra nos estudos qualitativos em que se utilizou questionário com perguntas abertas à pesquisadora. Ao concluir, identificamos: a) poucos referenciais teórico-metodológicos para orientar o professor sobre noções de Estatística e Probabilidade com a criança; e b) necessidade de estudos/pesquisas, em experiências interventivas, para auxiliar professores e futuros professores para o trabalho com estes conceitos.
O isolamento social como gatilho para a violência contra mulheres na vivência de pandemia
Authors: Santos Larissa Lessa dos , Viegas Larissa Bastos , Teixeira Mariana Lopes , Oliveira Raiane de Carvalho Machado , Barbosa Vanessa Vianna da Silva , Reis Lidiane Dias
Published: August 2020

Introdução: A violência doméstica sofrida pelas mulheres é um problema global de saúde pública que ocasiona uma série de comprometimentos negativos na vida da vítima. Objetivo: Identificar através da literatura científica como o isolamento social pode contribuir de forma negativa para o aumento do índice de violência doméstica. Metodologia: Trata-se de um estudo com abordagem qualitativa, do tipo revisão integrativa, que teve como base de dados a Biblioteca Virtual de Saúde Enfermagem usando os Descritores em Ciências da Saúde (DeCS) Isolamento Social; Violência Doméstica; Saúde das Mulheres. Foram selecionados artigos completos, em língua portuguesa e inglesa publicados entre 2010 a 2020. Ao fim da aplicação dos critérios, emergiram 8 artigos para leitura minuciosa e produção do conteúdo. Resultados: Na análise de dados foram estabelecidas duas categorias: Violência Doméstica e Impactos gerados pela violência na vida da vítima. Considerações Finais: A pesquisa levou-nos a concluir que o isolamento social é um fator predisponente para a violência doméstica contra as mulheres, a equipe não pode se limitar apenas ao recebimento das denúncias, pois as vítimas necessitam de direcionamento, esclarecimento sobre seus direitos e possíveis escolhas dos serviços de saúde disponíveis.