bluuebunny/crossref_metadata_2025 huggingface dataset:
FRAGILIDADE DE IDOSOS RIBEIRINHOS AMAZÔNICOS: DAS TRAJETÓRIAS METODOLÓGICAS AOS DESAFIOS EM SAÚDE PÚBLICA
Authors: Nascimento Rodolfo Gomes , Cardoso Ronald Oliveira , Pinto Denise da Silva , Magalhães Celina Maria Colino
Published: August 2019

Este estudo tem como objetivo descrever as particularidades teórico-metodológicas e discutir as experiências vivenciadas no processo de pesquisa sobre fragilidade biológica e condições de saúde de idosos ribeirinhos amazônicos. A pesquisa descritiva, de abordagem qualiquantitativa, realizada em 19 ilhas do município de Cametá, Pará, envolveu 108 idosos e permitiu alcançar tanto as proposições diretas sobre os marcadores de fragilidade e de saúde multidimensional, quanto os aspectos subjetivos referentes às particularidades do contexto histórico-cultural. A trajetória percorrida pelos pesquisadores nesse desafio foi marcada, especialmente, por uma arreigada estruturação metodológica, direcionada ao contexto peculiar da pesquisa, desde a inserção ecológica dos pesquisadores, ponto-chave para a concretização do arcabouço metodológico e do período de coleta de dados até a elaboração das propostas norteadoras em saúde pública considerando, sobretudo, as particularidades dos modelos de cuidado vigentes nessas comunidades amazônicas.
ANÁLISE DE SENTIMENTO DE REDES SOCIAIS ONLINE: O TWITTER E O UFC 202
Authors: Lazarin Trentinalha Luiz Antonio , Nickenig Vissoci João Ricardo , Rodrigues Tiago Franklin Lucena , Oliveira Leonardo Pestillo de
Published: August 2019

A modalidade esportiva MMA e a exibição do evento levam os usuários nas redes sociais on-line a opinarem. Com o objetivo de analisar mensagens postadas na rede social Twitter sobre o UFC 202 a pesquisa analisou discursos por meio da aquisição e tratamento das mensagens divulgadas na rede social usando de uma API e empregando método de análise de sentimento dos tweets utilizando linguagem R. As mensagens apresentaram classificação mais positiva mesmo sendo sobre um dos eventos mais polêmicos do UFC. Conclui-se que os usuários podem emitir mensagens positivas sobre um esporte que socialmente ainda apresenta algumas dificuldades de inserção. Abrem-se perspectivas para que estudos de recepção sejam incorporados para avaliar a percepção dos espectadores frente a um evento esportivo.
OVERWEIGHT IN CHILDREN AND ADOLESCENTS: CLINICAL VARIABLES, MOTIVATIONAL AND FAMILY PSYCHOSOCIAL RISK
Authors: Gomes Maria Camila Buarraj , Andrade André Luiz Monezi , Machado Wagner de Lara , Enumo Sônia Regina Fiorim
Published: August 2019

This study evaluated the relationships between anthropometric, dietary, motivational, and psychosocial variables among children and adolescents with overweight and non-alcoholic fatty liver disease (NAFLD). We evaluated 45 participants (6-17 years) in anthropometric terms, nutritional consumption, motivation for treatment, and family psychosocial risk by using statistical analyses (Student’s t-Test or Chi-Square). It was detected that 37.8% of the families had a high psychosocial risk, 82.2% were obese, 33.3% with NAFLD, high motivation (93.3%), but low adherence to treatment (2.4%). Participants with NAFLD presented higher psychosocial risk, significantly greater obesity severity, waist and neck circumference, and Body Mass Index. They reported lower adherence to treatment, high carbohydrate consumption, ultra-processed products, high energy density, and low fiber, with poor nutritional quality. Interventions should consider the motivation for treatment and psychosocial risks, especially in cases with NAFLD.
Pensar a solidão e a busca de felicidade em Tanta gente Mariana, de Maria Judite de Carvalho / Thinking Loneliness and the Search for Happiness in Tanta gente Mariana, de Maria Judite de Carvalho
Authors: Silva Maria Teresa Salgado Guimarães da
Published: August 2019

Resumo: O trabalho procura evidenciar a relevância da busca de felicidade nas personagens de Maria Judite de Carvalho e, ao mesmo tempo, a impossibilidade de as personagens encontrarem a felicidade. Para tanto, apoiamo-nos, em primeiro lugar, na obra de Freud, que aponta, no artigo “O mal estar na civilização”, os obstáculos que conspiram contra essa busca. Apoiamo-nos também em Simone de Beauvoir, que mostra, em O segundo sexo, o quanto as busca de felicidade é um processo imposto à mulher, como uma espécie de camisa de força que lhe é imposta, com todo um caminho pré-determinado. Concluímos que a obra termina por evidenciar personagens que, embora tenham uma relativa consciência do processo no qual estão enredadas, não conseguem se libertar das amarras sociais em que estão enredados.Palavras-chave: Maria Judite de Carvalho; busca da felicidade; solidão; imposições sociais.Abstract: The work seeks to highlight the relevance of the search for happiness in the characters of Maria Judite de Carvalho and, at the same time, the impossibility of the characters to find happiness. To this end, we rely first and foremost on Freud’s work, which shows in the article Culture and its discontents the obstacles that conspire against this quest. We also support Simone de Beauvoir, who shows in The Second Sex how much the pursuit of happiness is a process imposed on the woman, like a straitjacket imposed on her, with a predetermined path. We conclude that the work ends by highlighting characters who, although they are relatively aware of the process in which they are entangled, are unable to break free from the social ties in which they are entangled.Keywords: Maria Judite de Carvalho; search for happiness; loneliness; social impositions.
Adília Lopes por Adília Lopes, Ou uma poética de ajuntamentos / Adília Lopes by Adília Lopes Or an Assemble Poetics
Authors: Sales Paulo Alberto Da Silva
Published: August 2019

Resumo: Partindo da noção de ajuntamento, noção essa que envolve várias estratégias intertextuais e discursivas que mesclam na matéria do poema a vida, a experiência e arte, unidas às tendências da contemporaneidade, tais como o anacronismo e o retorno aos tempos passados, este artigo examina alguns poemas do livro Manhã, da poeta portuguesa Adília Lopes. Neste livro, evidenciaremos como a poeta articula significantes desprovidos de significados que são entrelaçados às experiências íntimas vivenciadas por Adília em vários momentos de sua vida, principalmente os da infância e os da adolescência. Para isso, selecionamos poemas que articularam os pormenores do sujeito empírico associados às experiências de leitura da tradição e, também, da cultura de massa e o que se resultou desses agrupamentos. Por fim, chegamos à conclusão de que a poesia de Adília Lopes se apresenta como um novo estágio da lírica portuguesa contemporânea que vai além da prática do ready made e se caracteriza, então, pela inespecificidade e pelo hibridismo.Palavras-chave: poesia portuguesa contemporânea; ajuntamento; Adília Lopes. Abstract: Starting from the notion of assemble as a notion that involves many discursive and intertextual strategies which merge life, experience and art in poem’s material joined to the contemporaneity tendencies such as anachronism and the ancient times return, this paper probes some poems of the book Manhã, written by the Portuguese poet Adília Lopes. In this book, we are going to evidence how the poet articulates signifiers deprived of meanings that are intertwined into intimate experiences lived by Adília in lots of moments of her life, mainly those of the childhood and adolescence. At the end, we arrive to the conclusion that the Adília Lopes poetry presents itself as a new phase of Portuguese contemporary lyric which goes beyond of ready made practice and is characterized, then, by non-specificity and hybridity.Keywords: contemporary Portuguese poetry; assemble; Adília Lopes.
“Brilho como espelho”: tensões entre fingimento e testemunho em Sylvia Plath / “I Gleam Like a Mirror”: Tensions Between Pretending and Testimony in Sylvia Plath
Authors: Teixeira Derick Davidson Santos
Published: August 2019

Resumo: Este trabalho trata da tensão entre testemunho e fingimento na poesia de Sylvia Plath. Veremos que, na obra da poeta, há uma tensão entre a poesia que finge e a poesia que testemunha, similar à tensão que é possível estabelecer entre a poesia de Fernando Pessoa e a poética do testemunho formulada por Jorge de Sena. Tais concepções de poesia são cotejadas, principalmente, com um artigo de George Steiner sobre a obra da poeta, com formulações de Giorgio Agamben sobre o testemunho e com propostas críticas de Marcos Siscar relacionadas ao lugar de fala da poesia. Dessa forma, é possível elucidar como Sylvia Plath atinge uma modalidade de testemunho dotado de valor histórico e que expõe o lugar de fala próprio da poesia.Palavras-chave: Sylvia Plath; poesia; fingimento; testemunho.Abstract: This work is about the tensions between pretending and testimony in Sylvia Plath’s poetry. We will notice that, in her work, there is a tension between the poetry that pretends and the poetry that testifies, which is similar to the tension that is possible to establish between Fernando Pessoa’s poetry and the poetics of testimony formulated by Jorge de Sena. These conceptions of poetry are collated, mainly, with an article by George Steiner about the poet, with formulations by Giorgio Agamben about the testimony and with Marcos Siscar’s critical proposals related to the place of speech of Poetry. Thus, it is possible to elucidate how Sylvia Plath reaches a type of testimony endowed with historical value and that shows a place of speech that belongs specifically to poetry.Keywords: Sylvia Plath; poetry; pretending; testimony.
PINA, Manuel António. O coração preparado para o roubo: poemas escolhidos. Seleção e posfácio de Leonardo Gandolfi. São Paulo: Editora 34, 2018.
Authors: Queiroz Thiago Bittencourt de
Published: August 2019

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Karar Verme Süreci
Authors: GILIÇ Fahrettin , ÇELİKTEN Mustafa , ÇELİKTEN Yeliz , YILDIRIM Ahmet
Published: August 2019

Örgüt yönetiminde, karar verme yönetim süreçlerinin en başında yer gelir. Karar verme, örgütün amaçları doğrultusunda yollar, imkânlar ve araçlar arasından bir seçim yapmayı içeren zihinsel, bedensel ve duygusal süreçlerin toplamıdır. Örgüt dışı faktörlerden kısa zamanda fazlaca etkilenen eğitim örgütleri için, birden fazla nitelik ve nicelik içeren kriter ve amaç söz konusu olduğunda Çok Kriterli Karar Verme (ÇKKV) yöntemleri öne çıkmaktadır. Çok kriterli karar verme yöntemleri, ölçülebilen ve ölçülemeyen stratejik ve operasyonel faktörleri aynı anda değerlendirme imkânı sağlayan, karar verme sürecine çok sayıda kişiyi dâhil edebilen analitik yöntemlerdir. Duygusal hareket etmek yerine akılcı ve analitik yöntemlerin kullanılması, karar vermede yanlılığı ortadan kaldırır, çelişkili ve işe yaramaz kararların alınmasını engeller, birçok değişkeni hesaba kattığı için çok sayıda paydaşın sürece katılmasını sağlayabilir, örgüte demokratik ve şeffaf bir yapı kazandırabilir ve örgütün verimliliğini artırarak amaçlarına ulaşmasına katkı sağlayabilir.
Measuring Digital Inequality in Australia: the Australian Digital Inclusion Index
Authors: Wilson Chris K , Thomas Julian , Barraket Jo
Published: August 2019

In the past two decades digital inequality has come to be understood as a complex, evolving and critical issue in Australia, as it has elsewhere. This conceptual shift has generated demand for more complex measurement tools that can capture and combine multiple and graduated indicators of digital inequality. The Australian Digital Inclusion Index (ADII), developed in 2015 and now including annual data covering the period 2014 to 2018, is a composite index that addresses this demand. This paper describes the development of the ADII, its architecture and the dataset used to populate it. It also provides an overview of the findings of the 2018 edition of the index. The 2018 index reveals that, although on aggregate digital inclusion is improving in Australia, it continues to follow distinct geographic, social and socio-economic contours. In general, rural and regional Australians, older Australians and Australians with low levels of income, employment, and education are less digitally included than their compatriots. For some of these groups the inclusion gap is widening.
Availability and utilization of emergency obstetric care public health facilities in Zaria, Northern Nigeria
Authors: L. Ya’u Samira , Jamilu Tukur
Published: August 2019

Background: Maternal mortality rates continue to soar high in Northern Nigeria despite all sorts of interventions being put in place. This has necessitated the need to emphasize on Emergency Obstetric Care (EmOC) to tackle obstetric complications which are the largest direct causes of maternal mortality. The study was conducted to assess the availability of Emergency Obstetric Care facilities in Zaria Local Government Area (LGA) located in Northern Nigeria.Methods: This was a hospital based cross- sectional descriptive study carried out in Zaria LGA. Data was collected from seven public health facilities using a structured interviewer administered questionnaire.Results: The LGA met the WHO requirement for the population served while none of the designated BEOC met the UN criteria for such designation. Only 8% of births took place in the health facilities and 0.7% of deliveries were by caesarean section. The met need for EmOC in Zaria LGA was 25.1%. Human resources were lacking in number and skills. Some key drugs and equipment needed to carry out signal function were also absent.Conclusions: Public health facilities in Zaria did not meet the requirements of the United Nations (UN) process indicators. There is need to upgrade the health facilities with the necessary human resource, equipment and facilities to enable them perform their designated EmOC functions.
A clinical study of maternal outcome in post dated pregnancy in a tertiary care hospital
Authors: Anand Nikhil , Shah Hardik
Published: August 2019

Background: Pregnancy lasting beyond 40 weeks is a known complication of normal delivery. Studies have found incidence between 2-14%. Post-dated pregnancy carries specific hazards to both mother and fetus. While mothers are faced with problems like increased incidences of induced labour, instrumental delivery and LSCS with associated morbidities, fetuses are faced with morbidities ranging from IUGR to macrosomia. We here tried to study maternal outcome in post-dated pregnancy. The objective is to study maternal outcome in post-dated pregnancy and to compare maternal outcome in spontaneous versus induced labour in post-dated pregnancy.Methods: This study was done at a tertiary care hospital in obstetrics and gynecology department for duration of 18 months. After screening according to inclusion criteria, all patients who were admitted in labour wards were grouped in two groups according to clinical examination. First group consists of patients with spontaneous onset of labour and second group consists of patients with induction of labour. In each group same protocol for fetal monitoring were performed, and labor monitored according to standard partograph. Maternal outcomes in both groups were studied.Results: Maternal outcomes were nearly same in both groups; induced and spontaneous onset of labour, except rate of LSCS, Which was more in induced group though not statistically significant.Conclusions: Women with uncomplicated post dated pregnancies with good bishop score should be allowed spontaneous labour and those with poor bishop should be offered induction of labour, while women with any complicating factors LSCS should be considered.
Clinical and sonographic estimation of fetal weight and correlation with the birth weight: a research article
Authors: Vaz Alvencia , Devi Aheibam Bidya , Singh Naorem Nabakishore , Singh Wahengbam Jatishwor , Singh Laiphrakpam Ranjit , Momin Dylan
Published: August 2019

Background: Accurate estimation of fetal weight is of paramount importance in the management of labour and childbirth. In developing countries including India, estimation of fetal weight by clinical method is important as ultrasound is not available in all health care settings. In view of this, the present study was conducted to estimate the fetal weight assessed by clinical and ultrasound method and correlating with the birth weight.Methods: A cross-sectional study was conducted to estimate fetal weight clinically by using Johnson’s formula and sonographically based on Hadlock’s formula in the Department of Obstetrics and Gynecology in collaboration with Department of Radiodiagnosis, Regional Institute of Medical Sciences, Imphal from October 2016 to March 2018. The study consisted of 525 pregnant women between 37 to 40 weeks of gestation in whom delivery was anticipated within one week of fetal weight estimation by clinical and ultrasound method and correlating it with the baby’s birth weight measured immediately after delivery. Analysis was done using Chi-square and Student’s t-test and p-value of <0.05 was taken as significant.Results: Both methods showed positive correlation with birth weight but clinical method (r=0.925) had stronger correlation compared with ultrasound method (r=0.508).Conclusions: Fetal weight estimation using Johnson’s formula had stronger correlation with the birth weight than ultrasound method and hence, useful for developing countries and all health care workers may be sensitized about the method.
Addressing adenomyosis: Implications beyond we actually know
Authors: Kumar Ganesh , Pachori Purnima
Published: August 2019

Background: Hysterectomy is one of the commonest gynecological surgeries being performed in India for various pelvic pathologies like fibroid uterus, endometrial hyperplasia, dysfunctional uterine bleeding, etc. But pre-operative diagnosis of adenomyosis and making it an indication for hysterectomy is not as common as pathologists find it in histo-pathology of hysterectomized specimens. The aim of the study was to study the frequency of adenomyosis in comparison to leiomyoma as a uterine pathology in hysterectomized specimens and correlate them clinically.Methods: A retrospective comparative study was carried out on 1646 hysterectomy specimens, during January 2014 to December 2016, which showed either adenomyosis or leiomyoma or both. Clinical records of these cases were retrieved and histo-pathology was correlated to clinical presentations and pre-operative ultrasonography.Results: Of the 1646 specimens taken for comparision between adenomyosis and leiomyoma, 49% showed only adenomyosis, 37% only leiomyoma and 14% had dual pathology showing findings of both. The peri-menopausal age group (45-54 years) accounted for the maximum number of patients undergoing hysterectomy (37.12%). But adenomyosis was found maximum in 35 - 44 years age group (38.04%). The clinical presentations for these two pathologies were similar and maximum patients presented with abnormal uterine bleeding and pelvic pain. Ultrasonography was able to diagnose only 32% cases of adenomyosis pre-operatively whereas this figure was 87% for fibroids.Conclusions: Adenomyosis and leiomyoma both account for the most frequent findings in hysterectomy specimens. Fibroids are easily diagnosed pre-operatively, but adenomyosis needs to be diagnosed pre-operatively by high index of clinical suspicion and imaging techniques. Adenomyosis is not just a disease of middle age, it needs to be addressed for infertility, recurrent pregnancy loss (RPL), bad obstetric history, IVF failures and adherent placenta as well.
Prospective comparative study between colposcopy and histopathology for diagnosis of CIN and carcinoma cervix
Authors: Hol Kishorkumar , Mishra Shweta S. , Darawade Sameer , Damle Hemant
Published: August 2019

Background: Cervical cancer develops from precursor lesions and detection of these lesions is of utmost importance. The detection of precancerous lesions is made with help of screening tests most important include PAP smear and colposcopy. So we conducted this study to understand the role of colposcopy in down staging of Carcinoma cervix.Methods: We performed a prospective study between Jan 2018 to Dec 2018 on 180 subjects chosen from patients who sought consultation for various gynaecological complaints between age group of 18-60 years. A Pap smear followed by a colposcopy was performed and colposcopic directed biopsies were taken and subjected to histolopathological examination.Results: Colposcopy had a sensitivity of 83.3%, specificity of 78.5%, PPV of 68.9% for CIN 1. It had a sensitivity of 90.9%, specificity of 95.2%, PPV of 83.33% for CIN 2 and 3 when co related with gold standard histopathology which is much higher as compared to Pap smear.Conclusions: Colposcopy is an effective tool in down staging of Carcinoma cervix.
Clinical and hormonal profile of patients diagnosed with polycystic ovarian syndrome at tertiary care hospital in Tamil Nadu
Authors: S. Sathiya , S. Renuka , M. Famida A. , J. Jennifer Britto , K. Vijayalakshmi , R. Sailatha
Published: August 2019

Background: In recent years due to the changing sedentary life style, irregular periods and infertility has become a major concern. There are many causes for infertility out of which ovulatory disorders contribute to a great extend. The main objective of the study was to assess the clinical and hormonal profile of patients diagnosed with polycystic ovarian disease at tertiary care hospital in Tamil Nadu.Methods: This study was a cross sectional study and was carried out at the Department of Obstetrics and Gynaecology at a tertiary care hospital of Tamil Nadu. The study was done for a period of 6 months. For confirming polycystic ovaries, patients were interviewed thoroughly about their menstrual and fertility history. Blood investigations like LH, FSH were done on D2/D3 of menstrual cycle. 125 patients with PCOS were included in this study. The data was analysed with SPSS-IBM (V.22.0) software.Results: The patients having polycystic ovaries were higher in women of 21-30 years of age. BMI was more than 25. Infertility was found that 57%, hirsutism 45%,  oligomenorrhoea 21% and amenorrhea 20%. On day 2, mean serum LH was 5.9±3.6 and serum FSH was 3.9±2.3. This study showed that the proportion of menstrual complaints is reported more in higher age group. Likewise lower income group presented with menstrual complaints. This was found to be statistically significant (P value <0.05).Conclusions: The study showed that patients diagnosed to have PCOS overweight. PCO in obese women had more severe ovulatory dysfunction. Infertility was the most common complaint.
Prevalence and determinants of postnatal depression in a tertiary care teaching institute in Kerala, India
Authors: T. Heera Shenoy , K. Remash , T. Sheela Shenoy
Published: August 2019

Background: Pregnancy and childbirth produce a variety of physiological, psychological and social consequences. Attitudes toward pregnancy and childbirth vary from culture to culture. Prevalence estimates range from 13 to 19% in resource-rich settings and 11 to 42% in resource- limited settings PND has a significant impact on the mother, the family, her partner and mother-infant interaction. This research aims to aid the early diagnosis of postnatal depression and the socio-demographic, obstetric, family dynamics, neonatal characteristics and psychiatric determinants of depression using EPDS among postnatal women in a tertiary hospital in Kerala state, India.Methods: 119 women between 2 to 6 weeks of postpartum period were subjected to a pre-tested pre-structured standard questionnaire. Diagnosis of depression was made using the Edinburgh postnatal depression scale. Possible depression is values >13 or more are invariably associated with depression.Results: Young age at marriage (p-value 0.022), love marriage (p-value 0.040) and low social support inadequate relationship with the in-laws was signiﬁcantly associated with PND (p-0.003). Low birth weight was a significant determinant of PND (p-value-0.018). Gender of the new-born, fear and preference towards any particular gender and order of female child in multiparous woman had no association in determining postnatal depression. Childcare stress (p-value-0.011), psychiatry history in family and personal history of depression and mothers with low self-esteem (p-value-0.001) had odds of developing postnatal depression in the study.Conclusions: Early screening of the women and counselling of women and their family will reduce the maternal morbidity and adverse child outcomes.
Management of pseudohypoparathyroidism in pregnancy: a rare entity
Authors: Sinha Mrinalini , Ara Anjum , Chug Indu C. , Hansadah Saunri , Goyal Avani
Published: August 2019

Pseudohypoparathyroidism is a very rare genetic disorder and during pregnancy poses multiple challenges related to its monitoring and management. Authors present the case of a  30year old primigravida who was a diagnosed case of pseudohypoparathyroidism since 22 yrs of age, presented to our obs/gynae OPD at 5+5 wks of POG. She was managed by serial monitoring of serum calcium, phosphate and vitamin D throughout  pregnancy with careful dose modification of calcium from 1gm to 3.5gm daily and vitamin D from  0.5mcg  to 1.5mcg daily. During her course of pregnancy, she developed gestational hypothyroidism, gestational diabetes mellitus, intrahepatic cholestasis of pregnancy and gestational hypertension which were controlled and managed successfully. She had an elective caesarean section at 37+6 wks POG for transverse lie. Both maternal and perinatal outcome were good. Patient was discharged with advice to continue with her monitoring of serum calcium, phosphate, vitamin D along with supplementation of calcium and vitamin D life long.
Functional outcome of distal radius fractures treated with fixation by percutaneous cannulated screw
Authors: Kumar Prakash , Desai Ashok , Patkar Harshal , Phalgune Deepak
Published: August 2019

Background: In the present study primary objectives were to evaluate the clinical and functional outcome and union rates, whereas secondary objective was to study complications associated with closed reduction percutaneous fixation of displaced unstable fractures of distal radius in adults by using cannulated cancellous (CC) screw.

Methods: Thirty two patients aged more than 18 years, with unstable displaced distal radial fracture were included in this prospective observational study. Patients were treated by closed reduction and percutaneous fixation by CC screw. Radiological parameters like radial inclination, radial height, ulnar variance, volar tilt were measured. Mayo wrist score and range of motion were noted. Patients were followed up for six months. Continuous variables were compared by using paired and unpaired ‘t’ test.

Results: Mean Mayo wrist score at six months post-operative follow-up (82.8) was significantly higher compared to six weeks post-operative follow-up (64.4). Mean early post-operative radial height, mean radial inclination, and mean volar tilt were significantly higher compared to mean six months post-operatively. Mean early post-operative ulnar variance was significantly lower compared to mean six months post-operatively. Mean flexion, mean extension, mean supination, mean pronation, mean radial deviation, and mean ulnar deviation was significantly higher six months post-operative follow-up compared to six week post-operative follow-up. Mean grip strength was significantly higher six months post-operative follow-up compared to six week post-operative follow-up.

Conclusions: Clinical and functional outcomes associated with closed reduction and percutaneous fixation by cannulated cancellous screw was excellent. Mayo wrist score was increased over six months follow up period.
Iatrogenic femoral neck fracture: an unusual cause
Authors: Bouya Ayoub , Elghoul Naoufal , Zaddoug Omar , Bennis Azzelarab , Benchakroune Mohammed , Zine Ali , Tanane Mansour , Jaafar Abdeloihab
Published: August 2019

The femoral diaphyseal fracture is now commonly treated by intramedullary nailing. The fracture of the femoral neck following this gesture is an exceptional complication of this technique. Rarely reported in the literature, several authors incriminate mainly errors of the introduction point. We report a case of iatrogenic fracture of the femoral neck following an unusual cause.
Massive complex Baker’s cyst treatment with open excision and arthroscopic partial meniscectomy: a case report
Authors: Joshi Prateek S.
Published: August 2019

Baker’s cyst is known to be associated with intra articular pathologies such as meniscus tears, chondral lesions, synovitis, synovial plica and cruciate ligament injuries. Complex Baker’s cyst excision alone is known to have high chance of recurrence. Combined treatment strategies that addresses intra-articular pathologies with excision of the cyst and closure of the valve, are thought to reduce chances of recurrence of such cysts. We present a case of massive complex Baker’s cyst treated with arthroscopic partial medial meniscectomy, synovectomy, open cystectomy and closure of the valve.
SERVİKAL DİSK HERNİLERİNDE ANTERİOR PLAK İLE STABİLİZASYON
Authors: Yıldızhan Serhat
Published: August 2019

AMAÇ: Bu çalışmada; tek seviye servikal disk hernisi bulunan ve diskektomi sonrası anterior kısa segment plak-vida ile füzyon uygulanan hastaların klinik ve radyolojik olarak uzun dönem takip sonuçları değerlendirildi.GEREÇ VE YÖNTEM: 01.01.2015-31.12.2017 yılları arasında Afyonkarahisar Sağlık Bilimleri Üniversitesi Tıp Fakültesi Nöroşirurji Kliniğinde opere edilen ve tek seviye diskektomi sonrası anterior plak-vida stabilizasyon yapılan 44 hasta hastane bilgi işlem sisteminden, dosyalardan tarandı. En az 1 yıllık takipler sonrasında hastalar klinik ve servikal dinamik grafi ile radyolojik olarak değerlendirildi.BULGULAR: Araştırma sonucunda 44 hastanın dosya bilgilerine ulaşıldı. Hastalar klinik ve radyolojik olarak değerlendirildi. En fazla cerrahi uygulanan mesafe 20 hasta ile C6-7 (%45) idi. En sık karşılaşılan semptom olarak tek taraflı kol ağrısı bulundu. Hastaların %72 (32 hasta)sinin daha önceden bir fizik tedavi programı aldığı saptandı. Tedavi sonucunda 34 hastanın şikayetleri tamamen düzeldi. Hastaların radyolojik takiplerinde herhangi bir kifotik açılanma veya greft kollapsı izlenmedi.SONUÇ: Servikal disk hernilerinin tedavisinde preop iyi bir değerlendirme ile uygun hastalara yapılan mikrodiskektomi sonrası plak ve füzyon işleminin uzun dönem takiplerinde başarılı sonuçlar elde edildi.
AKUT ST-SEGMENT YÜKSELMELİ MİYOKART İNFARKTÜSLÜ HASTALARDA BAŞVURU SIRASINDAKİ PLAZMA FİBRİNOJEN DÜZEYİ FİBRİNOLİTİK TEDAVİ SONRASI ÖLÇÜLEN TIMI KARE SAYISIYLA İLİŞKİLİ MİDİR ?
Authors: Çelebi A. Savaş , Gökaslan Serkan
Published: August 2019

AMAÇ: Artmış plazma fibrinojen düzeyi akut koroner sendromda kötü prognoz ve istenmeyen kardiyovasküler olaylarla ilişkilidir. Ancak bu durumun patofizyolojisi yeterince bilinmemektedir. Biz bu çalışmada, akut ST-segment yükselmeli miyokard infarktüsü hastalarında fibrinolitik tedaviye yanıtın fibrinojen düzeyi ile ilişkisini araştırdık.GEREÇ VE YÖNTEM: Çalışmaya, akut ST-segment yükselmeli miyokard infarktüsü nedeniyle semptomların ilk 12 saati içinde fibrinolitik tedavi uygulanan 128 hasta (79 erkek, 49 kadın ort yaş 56.3 ±7.4) alındı. Hastalardan başvurudan hemen sonra plazma fibrinojen düzeyi ölçüldü ve intravenöz fibrinolitik tedavi uygulandı. Hastalara ilk 72 saat içinde koroner anjiyografi yapıldı ve infarktla ilişkili arter için TIMI kare sayısı hesaplandı. TIMI kare sayısının ≥40 olması yetersiz reperfüzyon, <40 olması ise tam reperfüzyon olarak tanımlandı.BULGULAR: Hastaların 52’sinde (%40.6) tam reperfüzyon, 76’sınde (%59.4) ise yetersiz reperfüzyon saptandı. Plazma fibrinojen düzeyi tam reperfüzyon sağlanan hastalarda, sağlanmayanlara kıyasla anlamlı olarak düşüktü (322±26.4 mg/dl ve 498±36.8 mg/dl; p=0.006). Başvuru esnasında ölçülen yüksek fibrinojen düzeyi fibrinolitik tedaviye yetersiz perfüzyon yanıtının bağımsız öngördürücüsü idi (OR=4.8, %95 güven aralığı 1.2-17.3; p<0.0001).SONUÇ: Fibrinolitik tedavi uygulanan akut ST-segment yükselmeli miyokard infaktüslü hastalarda başvuru esnasında plazma fibrinojen yüksekliği, fibrinolitik tedaviye yetersiz reperfüzyon yanıtıyla dolayısıyla kötü prognozla ilişkili olabilir.
TAVŞANDA SPİNAL KORD TRAVMASININ NEDEN OLDUĞU ERKEN OXİDATİF STRESE KARŞI DANTROLENİN MESANE ÜZERİNE KORUYUCU ETKİLERİ
Authors: Keleş İbrahim , Bozkurt Mehmet Fatih , Fidan Abdurrahman Fatih , Karalar Mustafa , Çoban Soner , Denk Barış
Published: August 2019

AMAÇ: Spinal kord travmasından sonra mesanede görülen değişiklikler üzerine erken dönem dantrolen tedavisinin ekinliğinin araştırılması.GEREÇ VE YÖNTEM: Spinal kord travmasının neden olduğu tavşan mesanesindeki oksidatif hasara karşı dantrolenin erken dönemdeki olası koruyucu etkileri araştırıldı. Toplam 38 hayvan 5 gruba ayrıldı,1. grup kontrol, 2. grup spinal travma (ST), 3. grup ST+dantrolen 0. saat, 4. grup ST+dantrolen 1. Saat ve 5. grup ta ST+dantrolen 4. saat olarak belirlendi. Travmadan 24 saat sonra histopatolojik ve biyokimyasal inceleme yapılmak üzere anestezi altında tavşanların mesaneleri operasyonla çıkartıldı. Mesane dokusu ışık mikroskobunda incelendi. Ayrıca kan ve mesane dokusunda malondialdehid (MDA), glutatyon (GSH) and nitrik oxid (NO) düzeylerine bakıldı.BULGULAR: Spinal travma sonrası erken dönemde kontrol grubuyla karılaştırıldığında travma oluşturulan grupta ödem ve konjesyonda anlamlı artış vardı. Ödem ve inflamasyonu önlemede 3 ve 4. gruplarda dantrolen daha etkiliydi. Ancak 3, 4 ve 5. gruplarda dantrolenin konjesyonu azaltamadığı görüldü. Kontrol grubuyla karşılaştırıldığında MDA ve NO düzeylerinin yükseldiği GSH seviyesinin ise azaldığı görüldü. Travma sonrası azalan GSH seviyesini normale çekmede dantrolenin her 3 tedavi grubunun etkili olmadığı görüldü. Spinal travma sonrası artan MDA seviyesi 24 saat sonunda 5. grupta en düşük seviyelere indi.SONUÇ: Erken dönemde verilen dantrolenin mesanede inflamasyon ve ödemi azaltmada etkili olduğu, travma sonrası azalan GSH seviyelerini normale yaklaştırmada ise etkin olmadığı söylenebilir. Sonuç olarak; dantrolen bozulmuş mesane morfolojisini düzeltmede yardımcı
Análisis del Test de Actitudes Alimentarias (EAT-26) con un modelo tipo Rasch en una muestra de adolescentes paraguayos.
Authors: Fischer Reinhardt , Prieto Gerardo
Published: August 2019

Aunque el EAT-26 es un test muy utilizado mundialmente en el diagnóstico e investigación de los trastornos alimenticios, apenas existen estudios de sus propiedades psicométricas, utilizando el Modelo de Rasch (RM). El objetivo principal de este estudio ha sido analizar, con el Modelo de Escalas de Calificación, un modelo tipo Rasch para ítems politómicos, el test EAT-26 en una muestra de adolescentes. Así mismo, se propuso una adaptación de este test, con el fin de utilizarlo en el contexto paraguayo. La reagrupación de las 6 categorías originales y la eliminación de ítems que no se ajustaban al modelo derivaron en la propuesta de una versión del EAT, con 18 ítems y 3 categorías de respuesta. Se aportan los resultados correspondientes a las características de la nueva versión: unidimensionalidad, ajuste al modelo de personas e ítems, confiabilidad de las medidas, diferencias en la escala entre  ombres y mujeres, y funcionamiento diferencial de los ítems asociado al sexo.
Opieka nad osobą z chorobą Parkinsona w percepcji opiekuna rodzinnego
Authors: Szluz Beata
Published: August 2019

Z uwagi na proces starzenia się społeczeństw, częstość występowania zespołów otępiennych stale wzrasta. Choroba Parkinsona jest jedną z najczęstszych chorób neurozwyrodnieniowych i dotyczy przede wszystkim pacjentów po 50. roku życia. Głównymi objawami choroby Parkinsona są zaburzenia w postaci spowolnienia ruchowego, drżenia spoczynkowego i wzmożenia napięcia mięśni typu plastycznego. Opieka nad osobą z chorobą Parkinsona jest nie tylko wyczerpująca fizycznie i psychicznie, ale także kosztowna. W pracy podjęto próbę ukazania trudności, z którymi spotykają się rodzinni opiekunowie osób z chorobą Parkinsona. Sprawowanie opieki nad osobą z chorobą Parkinsona stwarza wysokie ryzyko obniżenia jakości życia przede wszystkim opiekunów rodzinnych silnie związanych emocjonalnie z chorym.
Kronika Kościoła parafialnego pw. Św. Apostołów Piotra i Pawła w Zabłudowie jako źródło do badań nad dziejami miasta
Authors: Górski Andrzej
Published: August 2019

Celem artykułu jest omówienie problematyki dotyczącej wydarzeń, jakie miały miejsce w mieście Zabłudów w latach 1927-1938. W szczególności analizie poddana została kronika kościoła parafialnego pod wezwaniem św. Ap. Piotra i Pawła w Zabłudowie napisana przez ówczesnych proboszczów ks. Witolda Kuźmickiego i ks. Jerzego Sienkiewicza. Autorzy w omawianej kronice skupili się nie tylko na sprawach stricte religijnych, lecz także na opisaniu wydarzeń dotyczących wielu uroczystości patriotycznych obchodzonych w omawianym okresie przez mieszkańców miasta i okolicznych miejscowości. W artykule podjęto również próbę przypomnienia wartości dokumentu w postaci kroniki jako ważnego historycznego źródła informacji. Artykuł przeznaczony jest nie tylko dla historyków, ale także dla wszystkich zainteresowanych historią regionalną z okresu międzywojennego.
Z dziejów parafii Niepokalanego Serca Maryi w Lublinie. Powstanie i terytorium
Authors: Kropidłowski Tomasz Karol
Published: August 2019

Kapucyni przybyli do Lublina w XVIII w. Zaangażowanie patriotyczne zakonników w powstanie styczniowe spowodowało, że podczas wielkiej kasaty klasztorów w Królestwie Polskim, przeprowadzonej nocą z 27 na 28.11.1864 roku, klasztor lubelski zamknięto. W 1930 roku częściowo nabyto, częściowo otrzymano jako odszkodowanie za dawny ogród klasztoru lubelskiego, ziemię w Konstantynowie pod Lublinem, na terenie potocznie nazywanym Poczekajka. Na tym terenie wybudowano kaplicę, którą 30.05.1948 roku poświęcił ówczesny ordynariusz lubelski, biskup Stefan Wyszyński, nadając jej tytuł Niepokalanego Serca Maryi. Następca biskupa Stefana Wyszyńskiego, biskup Piotr Kałwa, dekretem z dnia 28.02.1950 roku ustanowił przy kaplicy parafię, pod wezwaniem Niepokalanego Serca Maryi, powierzając ją Zakonowi Braci Mniejszych Kapucynów. Artykuł przedstawia przyczyny powstania parafii, tereny pierwotne, które swym zasięgiem obejmowała parafia Niepokalanego Serca Maryi w Lublinie. Jest to próba ukazania przeszłości historycznej terenów zajmowanych przez parafię, ponieważ dotychczas nie zostały całościowo opracowane żadne publikacje na ten temat. Dalej zostały omówione sprawy terytorialne, a więc rozwój osiedli mieszkaniowych na terenach należących do parafii, przynależność dekanalna, powstawanie nowych ośrodków duszpasterskich, a co za tym idzie – zmiana granic parafii.
Romuald Traugutt – przykład patriotycznej postawy w kazaniu bł. ks. Jerzego Popiełuszki z Mszy św. za Ojczyznę 29 stycznia 1984 roku
Authors: Szczecina Grzegorz Kamil
Published: August 2019

Kazania, które głosił bł. ks. Jerzy Popiełuszko w trakcie słynnych Mszy św. za Ojczyznę (1982-1984), poświęcał wielu tematom. Dotyczyły one głównie ponadczasowych wartości człowieka i społeczeństwa (prawda, wolność, sprawiedliwość, solidarność, męstwo, miłość). Wśród prezentowanych tematów obecna była również tematyka narodowo-historyczna i patriotyczna. Wyjątkową okazją do tego były rocznice. W żoliborskim kościele p.w. św. Stanisława Kostki, gdzie posługiwał Błogosławiony, w wyjątkowy sposób celebrowano rocznice powstania styczniowego. Znalazło to swój oddźwięk w nabożeństwach patriotycznych. W Mszy św. za Ojczyznę, 29 stycznia 1984 roku, warszawski kaznodzieja wskazał na postać dyktatora powstania Romualda Traugutta. Jego postawę miłości Ojczyzny oraz jej cechy prezentował sobie współczesnym jako wzór patriotyzmu i poświęcenia się Polsce. Bohaterska postawa przywódcy powstania styczniowego posłużyła Błogosławionemu jako ukazanie drogi do wolności człowieka i Ojczyzny oraz realizacji powołania chrześcijańskiego.
Dialog religii a dialog kultur
Authors: Kałuża Krystian
Published: August 2019

W artykule podjęto zagadnienie relacji między dialogiem kultur a dialogiem religii. Analiza pojęcia religii i pojęcia kultury pokazała, że ich treści są ze sobą ściśle powiązane. Nie ma religii bez kultury ani kultury bez religii. Dlatego pojawiający się czasem postulat zastąpienia dialogu międzyreligijnego dialogiem międzykulturowym jest bezpodstawny. Dialog kultur bez dialogu religii jest niemożliwy. Aby dialog mógł zaistnieć, muszą być spełnione odpowiednie warunki. Jednym z nich jest dążenie do prawdy. Prawda ma jednak charakter inkluzywny, a nie ekskluzywny. Dlatego w religii nie ma miejsca na przemoc w imię prawdy. Dla chrześcijan prawda ma charakter osobowy. Jest nią Jezus Chrystus – Zbawiciel „polifoniczny” (Klemens Aleksandryjski).
National Civil Religion in the German Empire (1871-1918)
Authors: Piwowarczyk Dariusz J.
Published: August 2019

The article draws on the argument presented by Carolyn Marvin and David Ingle (1996), and specifically on the thesis that nationalism can be also approached as a religious phenomenon- with its distinctive mythology, dogmas, “saints,” and ritual behavior; they term such ideological-ritual complex “national civil religion.” Using this heuristic tool, I analyze the quasi-religious content of German national ideology dominant in the Kaiserreich (1871-1918) by discussing three layers of imagery that can be distinguished in this ideological system: appropriated history as vell as Christian-Biblical and mythological-folkloric components.
Factors Influencing on Job Preference among Shariah Banking Student
Authors: Puspita Rosana Eri
Published: August 2019

Abstract The aim of this study is to predict factors influencing in job preference among Shariah Banking Student at disruption era. There are two variables to predict the factors, knowledge about sharia banking career and attitude. This study used a quantitative approach and online survey as the data collection technique. The result showed that intention is influenced by attitude and knowledge. This research provided a suggestion for managers of Islamic banking programs to carry out two approaches to marketing it, namely the consumer approach and product approach. The consumer approach was carried out by transferring knowledge about broader job prospects in this era and conducting market sensing. While the product approach was done by compiling a curriculum that is always updated with the needs of markets that are moving rapidly in this era. This study is limited to only on sharia banking student. The limitation of this study is the absence of testing of factors other than knowledge and attitudes that contribute to predicting intentions.AbstrakTujuan dari penelitian ini adalah memprediksi faktor yang mempengaruhi preferensi pekerjaan pada mahasiswa Perbankan Syariah di era disrupsi. Ada dua variabel untuk memprediksi faktor-faktor tersebut, yaitu pengetahuan tentang karir kerja perbankan syariah di era dan sikap. Pendekatan kuantitatif diadopsi dalam penelitian ini. Pengumpulan data dilakukan dengan survei online. Penelitian ini menggunakan pendekatan kuantitatif dengan mengetahui pengaruh antar variabel. Hasil penelitian menunjukkan bahwa niat dipengaruhi oleh sikap dan pengetahuan. Penelitian ini memberikan saran bagi manajer program perbankan syariah untuk melakukan dua pendekatan untuk memasarkannya, yaitu pendekatan konsumen dan pendekatan produk. Pendekatan konsumen dilakukan dengan mentransfer pengetahuan tentang prospek pekerjaan yang lebih luas di era ini dan melakukan penginderaan pasar. Sedangkan pendekatan produk dilakukan dengan menyusun kurikulum yang selalu diperbarui sesuai dengan kebutuhan pasar yang bergerak cepat di era ini. Penelitian ini terbatas hanya pada siswa perbankan syariah. Keterbatasan penelitian ini adalah tidak adanya pengujian faktor selain pengetahuan dan sikap yang berkontribusi untuk memprediksi niat.
Evaluación de la eficiencia de las empresas del sector carbón en Colombia
Authors: Fontalvo Herrera Tomás , Morelos Gómez José , Mendoza Mendoza Adel
Published: August 2019

Resumen: Este trabajo de investigación presenta un análisis de la eficiencia técnica de las empresas del sector carbón y sus derivados en Colombia, durante el periodo 2011-2014. Como fundamentación teórica se utilizaron los conceptos de análisis envolvente de datos (DEA), específicamente el modelo CCR-O, enfocado en salidas y en la técnica multivariada de análisis discriminante. Para el desarrollo de la investigación se realizó un estudio empírico racional, con un enfoque evaluativo, que permitió establecer una estructura DEA para valorar las eficiencias. Para esta investigación se trabajó con 14 grandes empresas del sector minero en Colombia; como fuente de información primaria se tomó la reportada por la Superintendencia de Sociedades en los respectivos años. Con base en la estructura DEA, se valoraron las eficiencias de las empresas y se establecieron aquellas que se constituyeron en referentes de evaluación de las empresas ineficientes; seguidamente, se calcularon las proyecciones de las variables de salida que permiten que las empresas ineficientes alcancen las eficiencias de acuerdo con el modelo CCR-O enfocado en salidas. Por último, se utilizó la técnica análisis discriminante, que permitió validar la pertenencia de una empresa del sector a ser eficiente o no. La eficiencia promedio de las empresas bajo el modelo DEA en el periodo de estudio alcanzó un nivel alto, de 84,5 % y la técnica análisis discriminante indicó una validación del 80,3 %. Este trabajo aporta criterios a los responsables de la toma de decisiones para mejorar la eficiencia en el sector.
Perfil de responsabilidad social empresarial del sector solidario en Ibagué, Colombia
Authors: Vargas Montealegre Alba Ruth , León Moreno Daniel Augusto
Published: August 2019

Resumen: El presente artículo de investigación muestra la elaboración del perfil de responsabilidad social empresarial del sector solidario en Ibagué, Colombia, sector de gran importancia debido a su enfoque sin ánimo de lucro y a la aplicación de prácticas enfocadas en el desarrollo integral del serhumano. El enfoque es mixto, emplea el análisis de correspondencia como técnica estadística y la descripción de resultados como complemento cualitativo. La recolección de información se realizó a través de un cuestionario aplicado mediante entrevista a empresas del sector solidario en Ibagué. Los resultados permiten establecer las fortalezas y debilidades del sector en materia de responsabilidad social, el nivel de implementación de actividades socialmente responsables y el compromiso de las empresas solidarias con sus colaboradores, asociados y grupos de interés.
El Grupo Empresarial Antioqueño frente al conflicto armado colombiano: respuestas estratégicas en el periodo 1978-2012
Authors: Muñoz Martínez Ivonne Tatiana , Mariño Arévalo Andrés Alberto
Published: August 2019

Resumen: La investigación de la cual se deriva el presente documento identifica cómo en un contexto de conflicto armado el Grupo Empresarial Antioqueño (GEA) actuó estratégicamente durante 1978 y 2012. Para ello se indagaron teóricamente tres conceptos: respuestas estratégicas a partir de la relación organización-entorno, qué son conglomerados empresariales y las características del conglomerado analizado (GEA). Por medio de un análisis cualitativo, se llevó a cabo la revisión bibliográfica de eventos sociopolíticos (conflicto armado) en Colombia y se identificaron las estrategias por parte del GEA frente a este entorno. Como resultado, se propone una matriz de análisis de respuestas estratégicas de los empresarios frente a un entorno de conflicto armado. Este análisis permitió concluir que el GEA tuvo una gran injerencia en el plano político, y de esta manera logró capacidad de acción como conglomerado e impactó los demás ámbitos de la sociedad colombiana.