bluuebunny/crossref_metadata_2025 huggingface dataset:
Patients’ awareness and extent of self-reported foot care practices in diabetes population
Authors: Seid Mohammed Assen , Worku Eden Zenebe , Mideksa Habtamu Bulbula
Published: August 2019

Background: Diabetic foot ulcer is a serious complication of diabetes which results lower extremity amputation. Proper preventative measures, appropriate foot self-care and management of foot ulcer will reduce, delay or prevent the incidence of infection, gangrene, and amputation. This study was intended to assess diabetes patients’ awareness and extent of foot care practice at University of Gondar referral Hospital.

Methods: An institutional based cross-sectional study was conducted from March to June 2018. A total of 372 diabetes patients were included in this study. Data were collected through face to face interview using structured questionnaires. The data were analyzed using SPSS version 20. Binary logistic regression analysis was conducted. A p value <0.05 was consisdered statitisticaly significant.  

Results: Of all participants more than half 197 (53%) were male. The age range of participants was 18-90 years. Majority, 65.6 % (with 95% CI 60.8-70.2) of diabetes patients had good foot self-care practice. Poor foot self-care practice was significantly associated with having poor level of awareness about foot care (AOR 12.55, 95% CI, 6.49- 24.28) and having no previous information about foot ulcer (AOR 7.03, 95% CI, 2.11-23.46).

Conclusions: Generally, in this hospital most of the study participants had good awareness and practices towards foot self-care. However, selectively majority of patients had poor foot self-care practice regarding; drying of their feet after every wash, change the socks/stockings/ used regularly, and avoid wearing of slippers with no fastening. Foot self-care practices were positively associated with having good awareness about foot care and having previous information about foot ulcer.
ACESSIBILIZAR É SE AFETAR PARA ACOLHER E SENSIBILIZAR: Relato de Experiência no Grupo de Estudo em Acessibilidade Cultural
Authors: Pinheiro Marília Navegante
Published: August 2019

Resumo:

Neste artigo trazemos um relato de nossas vivências no Grupo de Estudos em Acessibilidade Cultural (GEAC), que é um projeto vinculado ao Programa de Cultura (PROCULT) da Universidade Federal do Amapá (UNIFAP), o qual é orientado pelo professor mestre Emerson de Paula do curso de Teatro e que teve seu início em agosto de 2017. Nosso primeiro contato com o grupo de estudos se deu a partir dos trabalhos realizados como bolsista e voluntária e assim iniciamos o processo de desenvolvimento de trabalhos correspondentes às necessidades do grupo. Neste sentido discorreremos sobre o que fora desenvolvido no grupo entre os meses novembro de 2017 até o início de março de 2018.

 
Palavras-chave: Relato, acessibilidade cultural, Grupo de estudo.
POLÍTICA, RELIGIÃO E GÊNERO: ensaio sobre a construção das relações de gênero em La cisma de Inglaterra de Calderón de la Barca.
Authors: De Souza Matheus Vargas
Published: August 2019

Este artigo tem por objetivo propor uma leitura da peça La cisma de Inglaterra, de Pedro Calderón de la Barca, com o olhar voltado para os estudos de gênero. Através de uma leitura minuciosa do texto de Calderón e com o apoio teórico de Joan Scott e Judith Butler, esperamos ao final do artigo demonstrar que a tragédia do Siglo de Oro espanhol apresenta um projeto claro de enaltecimento do reino espanhol e da fé católica tendo nas construções das relações de gênero e dos ideias de mulher boa e mulher má uma ferramenta indispensável. Procuramos demonstrar também que, como parte do processo de criação de ficções culturais, dentro do raciocínio de Butler, Calderón elabora barreiras limitadoras do gênero para a sociedade espanhola do século XVII.
A DESIGUALDADE DE GÊNERO QUE REFLETE NO ENCARCERAMENTO FEMININO BRASILEIRO
Authors: Ferreira Josiane Pantoja
Published: August 2019

O presente artigo é fruto da disciplina Desigualdades em Gênero, Geração e Etnia, ministrada no Mestrado Profissional em Planejamento e Políticas Públicas da Universidade Estadual do Ceará – UECE. O trabalho faz uma abordagem sobre o crescimento populacional do aprisionamento feminino brasileiro, analisando a situação de preconceito da mulher no mercado de trabalho e mostrando que a mulher presa também sofre com a discriminação. A pesquisa bibliográfica desenvolvida, neste trabalho, tem como base o Levantamento Nacional de Informações Penitenciárias do MJ/DEPEN; a Pesquisa Nacional por Amostra de Domicílios (PNAD), do IBGE (2017), que realizou um estudo sobre o mercado de trabalho. Portanto, o cárcere para mulheres exprime e revela a desigualdade de gênero presente em diferentes espaços sociais.
CADASTRO AMBIENTAL RURAL COMO FERRAMENTA DE GESTÃO DO TERRITÓRIO: O CASO DA SUBPROTEÇÃO DA MICROBACIA DO JAURUCU/PA
Authors: Baracho Dias Rafaella , De Pinho Alvarez Wellington , Silva dos Santos Thiago
Published: August 2019

Gerir o território significar disciplinar o uso dos recursos e o Cadastro Ambiental Rural contribui para controle destes usos nas diferentes áreas do país. Assim, a demarcação de áreas como Reserva Legal e Áreas de Preservação Permanente são formas de proteger cursos fluviais e vida animal. A bacia do Jarauaçu tem mais de 70% de sua área ocupada para uso pastoril e os diversos cursos fluviais, bem como reservas legais são ocupadas por pastagem em mais de 80% da bacia. Morfologicamente sua declividade apresenta ondulação suave e forte proporcionando processos erosivos que contribuiu para soterramento de nascentes e canais fluviais.
Lymphangioleiomyomatosis-associated spontaneous tension hemopneumothorax in multiple organ involvement tuberculosis
Authors: METİN Bayram , ERKOÇ Mustafa Fatih , ŞAHİN Sevinç , İNTEPE Yavuz Selim
Published: August 2019

Tuberosclerosis
complex  is a genetic disorder that can
affect several organs (such as the brain, lungs kidneys, eyes, the heart, bones
and the skin). Pulmonary lymphangioleiomyomatosis is a disease that is mostly
seen among young adult women. It is characterized primarily by the
non-neoplastic atypical proliferation of smooth muscle cells in the lung
parenchyma. Here, we present a case of lymphangioleiomyomatosis-associated
spontaneous hemopneumothorax in a tuberosclerosis patient, which we did not
encounter in the literature.
Platelet distribution width can be a useful marker of decreased platelet activity after percutaneous mitral balloon valvuloplasty
Authors: TEK Müjgan , Çetin Mehmet Serkan
Published: August 2019

Aim:
Increased platelet
activity and elevated mean platelet volume (MPV) has been
demonstrated in patients with rheumatic mitral stenosis (RMS).
However, platelet
distribution width (PDW) and the
impact of percutaneous mitral balloon valvuloplasty (PMBV) on PDW has
never been studied. Therefore, we aimed to investigate whether PMBV
decreases PDW in patients with RMS.Material
and Methods:
Symptomatic patients with severe RMS undergoing PMBV were included.
Echocardiographic characteristics and hematologic parameters was
measured just before and 1 month after the PMBV procedure.Results:
A total of 30 patients (24 female, mean age: 49.8±13.2 years) were
included the study. Mean transmitral pressure gradient, pulmonary
artery pressures and left atrium diameter decreased but mitral valve
area increased significantly after PMBV. PMBV procedure significantly
decreased PDW in patients with RMS (13.5±2.3 vs 12.4±1.9 fL, before
and after procedure, respectively; p<0.0001). MPV was decreased
after PMBV but it was not statistically significant (10.9±0.8 vs
10.6±0.9 fL, p=0.056). Platelet count was significantly increased
after procedure (250±62.6 vs 273.5±78.6 x103/ul, p=0.035). In
linear regression analysis, an independent relationship was found in
magnitude of PDW decrease and magnitude of increase in mitral valve
area (ẞ:0.491, p=0.046).

Conclusion:
PMBV
is associated with a significant decrease in PDW 1 month after the
procedure. There
was a significant correlation between the magnitude of decrease in
PDW and magnitude of increase in mitral valve area after PMBV.
THE LATTICE OF SUBHYPERGROUPS OF A HYPERGROUP
Authors: BAYRAK Dilek
Published: August 2019

Tarnauceanu [On the poset of
subhypergroups of a hypergroup, Int. J. Open Problems Comp. Math. 3(2) (2010)
505-508] gave some open problems concerning to the set of subhypergroups of a
hypergroup, partially ordered by set inclusion. In this study, we obtain that
some certain subposets of subhypergroups of a hypergroup are modular or
distributive lattice.
SOME COMPOSITE MODELS AND THEIR APPLICATION TO TURKISH MOTOR INSURANCE DATA
Authors: YİĞİTER Ayten , GENÇTÜRK Yasemin , HAMURKAROĞLU Canan
Published: August 2019

It is important for an
insurance company to predict the future claims in order to evaluate premiums,
to determine the reserve necessary to meet its obligation and probabilities of
ruin, etc. as the claim data is highly positively skewed and has heavy tail, no
standard parametric model seems to provide an acceptable fit to both small and
large losses. Composite models that use one standard distribution up to a
threshold and other standard distribution thereafter are developed and it is seen
that these composite models provide better fit than the standard models when
claim data involve small and high claims.

 

The aim of this study is to
investigate the use of the composite models namely Exponential-Pareto,
Weibull-Pareto and Lognormal-Pareto to model the Turkish Motor Insurance claim
data. From the results obtained, it is concluded that the composite
Weibull-Pareto model provides better fit to Turkish Motor Insurance claim data
than the all other models considered.
As crianças negras da Casa de São José no Rio de Janeiro (1888-1916)
Authors: Caseli Thaysa Segal , Soares Jefferson da Costa
Published: August 2019

Neste artigo apresentamos resultados de uma pesquisa de mestrado em Educação que investigou a relação entre a população negra e a escola, através das experiências de alunos da Casa de São José. A partir da análise documental dos registros escolares desta instituição, espaço de profissionalização no Rio de Janeiro, criado três meses após a Abolição, foi possível verificar o desenvolvimento do perfil racial dos alunos, que em sua origem contava com uma representação de alunos negros superior à de brancos. Com base em Mattos (2013) e Müller (2003) o clareamento percebido na evolução das matrículas, após a primeira década de funcionamento, foi compreendido por um lado como estratégia de distanciamento dos estigmas da escravidão, por outro como branqueamento, em razão da criação de estratégias não anunciadas que impediam o acesso de pessoas que se distanciavam dos padrões físicos e culturais desejados. Os pensamentos decoloniais influenciaram as interpretações acerca de tais práticas universalistas, tendo em vista que o padrão de poder eurocentrado, construído aos poucos pelos colonizadores e perpetuado mesmo após a descolonização, era exercido em nome da tentativa de homogeneização cultural, histórica, social, política, econômica, através de estruturas de controle que utilizaram a raça como base de classificação.
Discurso patriarcal y orden de género en los manuales para mujeres a finales del siglo XIX y principios del XX en México
Authors: López Oresta
Published: August 2019

En el presente trabajo, se analiza el discurso que ofrecen dos libros sobre el lugar de las mujeres en la sociedad y en la familia. Se consideran para ello, dos manuales importantes en las escuelas femeninas: el Manual de economía doméstica de Appleton, de circulación en México y América Latina y El hogar mexicano. Nociones de economía doméstica de Laura Méndez de Cuenca, que tuvo difusión en el centro de México, de contenidos acordes a la experiencia cultural mexicana. Lo que se problematiza es la tensión y transformación de los discursos patriarcales y la apropiación y adaptación de saberes pedagógicos y prácticos que se ofrecen naturalizados por género a las estudiantes. Asimismo se revisa la autoría por género de este tipo de textos escolares. Cómo es que se visibilizaba e invisibilizaba a las autoras de saberes pedagógicos propios de mujeres a la vez que se les subordina o excluye en la autoría más allá de las fronteras parroquiales. Se enfatiza el caso de Laura Méndez de Cuenca, quien como otras maestras escritoras del género de libros escolares, asume su autoría y lucha por colocar su obra en un mundo de autores varones que prescriben conocimientos para mujeres. Estos textos develan el orden de género con el que se realizaba la educación de las niñas y las prácticas por medio de las cuales se pretendía disciplinar a las profesoras-autoras, en un mundo donde la pedagogía y la autoría son controladas por hombres.
A crise do capital e a luta de classes na educação
Authors: Castro Matheus Rufino
Published: August 2019

Este estudo se tem como objetivo analisar de que forma os ataques do conservadorismo burguês à educação, especificamente ao Colégio Pedro II, se relacionam com o próprio processo da luta de classes com a agudização da crise estrutural do capitalismo. Tendo em vista que a educação se apresentou como um dos segmentos da classe trabalhadora mais dispostos ao enfrentamento com o projeto sociometabólico do capitalismo, a ofensiva conservadora por meio do projeto Escola Sem Partido almeja justamente o cerceamento das possibilidades do caráter crítico da educação. Para tanto, analisaremos o caso do Colégio Pedro II, referência na educação pública, gratuita e de qualidade, e que se sobressai como vanguarda na política de direitos humanos aos estudantes, se tornou o alvo predileto daqueles que coadunam com projeto conservador-burguês, como nos mostra a ação promovida pelo Ministério Público Federal (2017), acusando o colégio de realizar uma “doutrinação esquerdista-comunista”. Isto posto, podemos ver cada vez mais claramente os contornos da luta de classes no país e o caráter predatório do capital, em que termos como “direitos humanos, tolerância e etc.,” tornaram-se pautas doutrinadoras da esquerda.
Educação para o mercado
Authors: Góis Luana Santana , Ribeiro Marivone Maria , Mota Luzia Matos
Published: August 2019

O artigo aborda as implicações advindas da implantação do Decreto 2.208/97 com repercussões na Lei 15.415/2017 e a consequente oficialização da dualidade estrutural da educação, caracterizada pela formação intelectual para as classes dominantes coexistindo com uma escola instrumental destinada aos filhos das classes populares, configurando projetos contraditórios, cujas diferenças reproduzem e aprofundam as desigualdades sociais. Para o delineamento da análise, o trabalho mostra como a dualidade estrutural se materializou desde sua origem até alcançar os dispositivos legais do país. Traça também um painel do momento histórico em que se deu a imposição do supracitado decreto, bem como suas implicações que estão sendo retomadas na atual Reforma do Ensino Médio. Como aporte teórico para este trabalho foram realizadas pesquisas bibliográficas com base nos estudos sobre a educação técnica e tecnológica no Brasil, cujos resultados apontaram para uma reforma implementada na década de 1990, que é revisitada nos dias atuais, condizente com uma proposta global neoliberal, tendo em vista uma concepção mercadológica da educação, contraposto a um projeto de ensino centrado nas ciências, cultura, humanidades e tecnologias, objetivando o desenvolvimento de todas as potencialidades dos jovens e adultos trabalhadores.
A influência do humanismo na “boa educação” da mocidade brasileira
Authors: Silva Fabrícia Carla de Albuquerque , Lima Walter Matias , Diógenes Elione Maria Nogueira , Farias Flávia Maria de Albuquerque Silva
Published: August 2019

Este artigo tem como cerne compreender e sublinhar as problemáticas que circundam a chamada boa educação direcionada à mocidade brasileira, cujo alicerce está na tradição humanista. Nessa perspectiva, no primeiro tópico, estudam-se os elementos da gênese e dos sentidos do termo humanismo, que remontam à Antiguidade e Renascença. Para compreensão da polissemia que marca o Humanismo, foram consultados: Nogare (1985), Chacon (1980), Luckesi (1985), Cambi (1999), Bencostta (2007), Elias (1993), Hilsdorf (2006) e Melanchton [15--]. A discussão subsequente abrange as mudanças aportadas no contexto brasileiro, contrapondo inclusive ao que foi proposto na Reforma Pombalina. Nesse segundo tópico, do artigo, foi imprescindível a análise das seguintes fontes: 1. Instrucçoens para os professores de Grammatica Latina, Grega, Hebraica e de Rhetorica (1759); 2. Cartas sobre a Educação da Mocidade (1760). À guisa de considerações finais, foram sublinhadas as características do Humanismo histórico-literário e a atuação dos religiosos no perpetuamento dessa tradição no âmbito educativo, voltado para moldar o comportamento da mocidade do Oitocentos no Brasil.
Valorização profissional e feminização dos professores do curso normal do Instituto Estadual de Educação Olavo Bilac/RS, entre 1901 e 1970
Authors: Braido Luiza da Silva , Ferreira Liliana Soares
Published: August 2019

Com o objetivo de estudar sobre a valorização profissional dos professores do Curso Normal (CN) do Instituto Estadual de Educação Olavo Bilac (IEEOB), de Santa Maria/RS e o processo de feminização, entre 1901 e 1970, resultou a realização deste artigo. A escolha pelo tema deu-se por entender que para iniciar um estudo se deve, primeiramente, compreender os fatores que intervêm no fenômeno, seu passado, presente e prospecção de futuro. Deste modo, é importante entender a historicidade do CN, para então compreender a valorização dos professores, o que implica entender os momentos, políticos e sociais que influenciaram na educação desde o início do CN do IEEOB até 1970. Entende-se o CN como início da história da formação de professores, considerando as normalistas, no século passado, como precursoras da profissão, tratadas com muita pompa em suas formaturas, e por amor às crianças. Professoras de quem se esperava o dom, ou a habilidade de encarar a profissão como uma missão, como se fossem destinadas à docência. Tais características, dada a prevalência do CN na história da educação, são ainda evidenciadas no trabalho pedagógico das professoras da infância nas escolas gaúchas.
Pedagogia militar
Authors: Veiga Célia Cristina Pereira da Silva , Souza José dos Santos
Published: August 2019

Tem se propagado no Brasil a ideia de que a militarização das escolas públicas de periferias urbanas seja a solução para a garantia de qualidade de ensino. Está ideia se baseia na crença de que a disciplina rigorosa inerente à pedagogia militar levaria a melhor desempenho escolar. Em busca de uma compreensão mais objetiva deste fenômeno, o artigo trata do conceito de pedagogia militar e sua aplicação no Curso de Formação de Soldados da Polícia Militar do Estado do Rio de Janeiro (CFSd/PMERJ). O objetivo é evidenciar o conceito de pedagogia militar e a forma como ela se materializa em cursos de formação de soldados. Com base em levantamento por meio de questionários aplicados a 983 alunos e ex-alunos do CFSd/PMERJ, verificou-se grande incidência de depoimentos negativos em relação à pedagogia militar adotada e ao impacto desta na formação que obtiveram. Concluiu-se que a pedagogia militar não goza de consenso nem entre os militares que passaram por este tipo de formação.
MESTRES DA REPORTAGEM: o livro que virou série em favor de estudantes e da sociedade
Authors: Marcos Patrícia Sheila Monteiro Paixão
Published: August 2019

O artigo apresenta a trajetória da série “Mestres da Reportagem”, produzida por estudantes de Jornalismo de diferentes instituições de ensino do Brasil e jornalistas recém-formados. O projeto começou com um livro, lançado em 2012, vinculado a uma das disciplinas do curso de Jornalismo da extinta Faculdade do Povo, em São Paulo (FAPSP). Em 2015, a obra foi transformada em série, ampliando o leque de coautores. Os volumes da série trazem entrevistas com grandes nomes da reportagem brasileira, proporcionando à sociedade conhecer os bastidores de matérias emblemáticas, que ajudaram a transformar seu cotidiano e a revelar importantes personagens.
 
PALAVRAS-CHAVE: Mestres da reportagem; Jornalismo; reportagem; livro; série.   
 
ABSTRACT
The article reveals the trajectory of the series "Mestres da Reportagem", produced by journalism students from different educational institutions of Brazil and by newly graduated journalists. The project began with a book, launched in 2012, linked to one of the disciplines of the journalism course of the extinct Faculdade do Povo, in São Paulo (FAPSP). In 2015, the work was transformed into a series, expanding the range of co-authors. The volumes of the series bring interviews with big names of the brazilian journalism, providing society to know the backstage of emblematic reports, which helped transform their daily life and reveal important characters.
 
KEYWORDS: Mestres da reportagem; journalism; report; book; series.
 
 
RESUMEN
El artículo revela la trayectoria de la serie "Mestres da Reportagem", producida por estudiantes de periodismo de diferentes instituciones educativas del Brasil y periodistas recién graduados. El proyecto comenzó con un libro, lanzado en 2012, vinculado a una de las disciplinas del curso de periodismo de la extinto Faculdade do Povo, en São Paulo (FAPSP). En 2015, el trabajo se transformó en una serie, ampliando la gama de co-autores. Los volúmenes de la serie traen entrevistas con grandes nombres del periodismo brasileño, proporcionando a la sociedad conocer el paso a paso de reportajes emblemáticas, que ayudó a transformar su vida cotidiana y revelar personajes importantes.
 
PALABRAS CLAVE: Mestres da reportagem; periodismo; reportaje; libro; serie.
Effect of Brightness of Visual Stimuli on EEG Signals
Authors: Eroğlu Kübra , Kayıkçıoğlu Temel , Osman Onur
Published: August 2019

The aim of this study was to examine brightness effect, which is the perceptual property of visual stimuli, on brain responses obtained during visual processing of these stimuli. For this purpose, brain responses of the brain to changes in brightness were explored comparatively using different emotional images (pleasant, unpleasant and neutral) with different luminance levels. Moreover, electroencephalography recordings from 12 different electrode sites of 31 healthy participants were used. The power spectra obtained from the analysis of the recordings using short time Fourier transform were analyzed, and a statistical analysis was performed on features extracted from these power spectra. Statistical findings obtained from electrophysiological data were compared with those obtained from behavioral data. The results showed that the brightness of visual stimuli affected the power of brain responses depending on frequency, time and location. According to the statistically verified findings, the distinctive effect of brightness occurred in the parietal and occipital regions for all the three types of stimuli. Accordingly, the increase in the brightness of pleasant and neutral images increased the average power of responses in the parietal and occipital regions whereas the increase in the brightness of unpleasant images decreased the average power of responses in these regions. However, the increase in brightness for all the three types of stimuli reduced the average power of frontal and central region responses (except for 100-300 ms time window for unpleasant stimuli). The statistical results obtained for unpleasant images were found to be in accordance with the behavioral data. The results also revealed that the brightness of visual stimuli could be represented by changing the activity power of the brain cortex. The main contribution of this research was to comprehensively examine brightness effect on brain activity for images with different emotional content and different frequency bands at different time windows of visual processing for different brain regions. The findings emphasized that the brightness of visual stimuli should be viewed as an important parameter in studies using emotional image techniques such as image classification, emotion evaluation and neuro-marketing.
Mandibular implant-retained overdenture with magnets in total edentulous patients (case report)
Authors: Machmud Edy , Arpa Sitti
Published: August 2019

Objective: According to the manufacture, fewer than 1 in 10 capsule associated with overdentures on natural teeth separated from the denture base during an 8-year clinical trial; more interestingly, none experience loss of magnetic attraction.Methods: A 50 year old female patient came to Dental Hospital Makassar Hasanuddin University wanted to fix a loose denture, which has been used for 9 years. Chief complaint was a mobile mandibular denture. Treatment for the restoration of oral function, including mastication, using mandibular implant-retained overdenture with magnets in total edentulous. Implant supported retained with magnetic attachment constitute an accurate and predictable treatment option and achieve a higher patients satisfaction.Results: The surface of both magnet and attachment keeper were coated with titanium nitride (TiN). Self-curing resin was used for luting between  magnets and denture base resin.Conclusion: Magnetic attachments can be used to retain mandibular implant overdenture.Key words: Implant supported overdenture with magnets, resorbed alveolar ridge, total edentulous
Turf Toe
Authors: Poppe Tanner , Reinhardt Daniel , Tarakemeh Armin , Vopat Bryan G. , Mulcahey Mary K.
Published: August 2019

» Turf toe is a common injury in athletes. The prevalence of this injury has increased since the implementation of artificial turf and has been reported to be as high as 45% in professional football players.

» The mechanism of injury, first described by Bowers and Martin in 1976, is hyperextension of the first metatarsophalangeal (MTP) joint, which causes disruption of the plantar structures. Turf toe can be classified as grade I, II, or III depending on the severity of the injury.

» Patients typically present with tenderness, swelling, and/or loss of motion at the MTP joint. Physical examination includes palpation of the key structures surrounding the joint, along with varus and valgus stress and drawer testing of the MTP joint. Weight-bearing radiographs and magnetic resonance imaging are the most commonly utilized imaging modalities.

» Turf toe typically is treated nonoperatively with rest, ice, nonsteroidal anti-inflammatory drugs, and compression. Operative treatment may be indicated when nonoperative measures are unsuccessful or in patients with severe disruptions of the plantar structures. Outcomes of turf toe are generally good, but in rare cases, the injury can be career-ending.

» The purpose of this review is to highlight the current literature on the epidemiology, risk factors, classifications, diagnosis, treatment, and clinical outcomes of turf toe.
Diversity of reef associated fishes in hook and line fishery at Mandapam, Gulf of Mannar, south-east coast of India
Authors: Varghese Molly , Gandhi A.
Published: August 2019

Reef associated fishes landed by hooks and lines at Mandapam landing centre in Ramanathapuram District, Tamil Nadu for a period of four years from October 2008 to May 2012 were studied based on fortnightly samplings. The hook and line fishing is seasonal in Gulf of Mannar and lasts for six months annually from October - November to April - May, as this area remains rough during the rest of the year. The average annual landing of fish during the study period was 171 t with a peak of 295 t in 2008-09 and showed a decline since then. A total of 32 species of reef associated fishes belonging to 14 families were landed. Among them, Sphyraena barracuda contributed the maximum with a share of 42% followed by Caranx heberi (15%). Family-wise landings indicated the dominance of Sphyraenidae (46%). The diversity index (H’) was the highest during 2008-09 and the evenness of distribution of individuals among different species did not show significant variation in different years. Funnel plots of average taxonomic distinctness (∆+ ) and variation in taxonomic distinctness (λ+ ) indicated that the values in most of the years are within the normal limits.
Molecular characterisation and pathogenicity evaluation of Aeromonas hydrophila strains isolated from cultured tilapia Oreochromis niloticus in Egypt
Authors: Mansour Ahmed , Mahfouz Nadia B. , Husien Mona M. , Omer Amira A.E.Z.M. , Moustafa Eman M.
Published: August 2019

The objectives of the present study were to  characterise Aeromonas hydrophila isolated from diseased tilapia Oreochromis niloticus  cultured in Kafrelsheikh farms and to  evaluate virulence and pathogenecity. About 200 adult fish exhibiting the onset of clinical signs were bacteriologically examined using Aeromonas isolation medium. The isolates were identified by 16S rRNA gene sequence analysis using species specific primers and then tested for ten virulence genes employing specific primers. Experimental challenge studies were also conducted to investigate the pathogenicity of the recovered A. hydrophilastrains. Thirty five isolates were identified as A. hydrophila based on 16S rRNA gene sequence analysis,which were also positive for presence of four virulence genes (aerolysin, lipase, cytotonic heat stable enterotoxin and haemolysin). Results showed that majority of the examined strains carried one or more virulence genes.
Growth of Penaeus aztecus Ives, 1891 and Penaeus duorarum Burkenroad, 1931 in a hypersaline lagoon: relationships with environmental conditions and body size
Authors: Perez-Castaneda Roberto , Sanchez-Martinez Jesus Genaro , Luzvazquez-Sauceda Maria de La , Rabago-Castro Jaime Luis , Lpez-Rocha Jorge Alberto , Benavides-Gonzalez Flaviano , Martinez Zeferino Blanco
Published: August 2019

Growth rates of the brown shrimp Penaeus aztecus Ives, 1891 and pink shrimp Penaeus duorarumBurkenroad, 1931 were estimated using length-frequency data in the hypersaline coastal lagoon, Laguna Madre of Tamaulipas, Mexico. The influence of environmental variables (salinity and temperature) and shrimp body size on the growth of both penaeid species were also evaluated. Shrimps were collected monthly from two fishing zones located at the central part of the lagoon throughout one year. A total of 4458 shrimps were analysed (69.3% P. aztecus and 30.7% P. duorarum) with total lengths (TL) ranging from 50.9 to 131.4 mm in P. aztecus and 59.7 to 134.5 mm in P. duorarum. Mean growth rate (±SD) of P. duorarum (3.10 ±1.78 mm TL per week) was slightly higher than that of P. aztecus (2.71 ±1.37 mm TL per week); however, the interspecific difference was not significant (p>0.05). Growth rates for both the penaeid shrimp species increased as water temperature increased. Additionally, a negative relationship between the growth rate and body length of shrimp was also detected suggesting that the positive effect of water temperature on the increase in shrimp length may be size-dependent.
Molecular characterisation and expression analysis of scavenger receptor class B member 1 (SR-B1) gene in Nile tilapia Oreochromis niloticus (Linnaeus, 1758)
Authors: Huang Yucong , Cai Shuanghu
Published: August 2019

The scavenger receptor class B member 1 (SR-B1) plays an important role in the first level of host defense against invading pathogens. In the present study, we cloned and characterized SR-B1 gene from Oreochromis niloticus (Linnaeus, 1758). The sequence of SR-B1 is 2248-bp long and contains a 1404-bp ORF encoded 467 amino acids. The sequence alignment showed that SR-B1 gene contains ten exons and nine introns. A multiple alignment analysis suggested that SR-B1 protein contains the conserved CXXS redox and GXXXG motifs, and shared high similarities with that of other species. On a phylogenetic tree, SR-B1 clustered with those of other teleosts and formed a separate fish clade. Real-time quantitative PCR analysis showed that SR-B1 was differentially expressed in various tissues and the expression levels in spleen and intestine were significantly upregulated by Streptococcus agalactiae infection. The results suggest that SR-B1 may be involved in the immune response against bacteria in Nile tilapia.
La evaluación de la capacidad de carga perceptual en el Camino de Santiago Francés: una aproximación cuantitativa
Authors: Martín Duque Clara , Morère-Molinero Nuria
Published: August 2019

El camino de Santiago francés es el itinerario de Santiago más transitado. El aumento constante de turistas en la ruta ha provocado que se empiecen a escuchar las primeras voces críticas por la masificación de la ruta. Esta problemática unida a las características propias de la ruta, nos ha llevado a plantear el análisis de la capacidad de carga perceptual del Camino de Santiago francés. Para ello se ha diseñado una investigación cuantitativa dirigida a las personas que realizan la ruta. Las 385 respuestas obtenidas nos han permitido determinar que el Camino de Santiago Francés está masificado y se detectan problemáticas y cambios que pueden afectar a la identidad del itinerario a largo plazo.
Ub-clipping: an approach for studying ubiquitin chain architecture
Authors: Swatek Kirby N. , Usher Joanne L. , Kueck Anja F. , Gladkova Christina , Mevissen Tycho E.T. , Pruneda Jonathan N. , Skern Tim , Komander David
Published: August 2019

The post-translational modification of proteins with ubiquitin is a dynamic multifaceted process affecting all aspects of eukaryotic cellular biology. The complexity of ubiquitin modifications arises from their ability to form architecturally distinct polyubiquitin chains1-3. Despite our understanding of the importance of these signals, we currently lack tools and methods to study them. Here we describe an approach, termed Ub-clipping, which provides unprecedented insight into ubiquitin chain architecture. This protocol is related to our recent Nature paper titled, “Insights into ubiquitin chain architecture using Ub-clipping”. This technology takes advantage of an engineered viral protease, Lbpro*, which ‘clips’ ubiquitin such that the information on the site of modification is retained and the remaining ubiquitin and substrate polypeptides are kept intact. The goal of this protocol is to allow researchers to efficiently adapt our new technology to their proteomic workflows. We anticipate this method will continue to shed light on the architecture of ubiquitin signals, and therefore further our understanding of the ubiquitin code across a broad spectrum of biological systems.
Immediate effect of an acupressure strap simulating wrist-ankle acupuncture on menstrual pain in young women: study protocol for a randomized controlled trial
Authors: Zhai Shu-jie , Ruan Yi , Liu Yue , Lin Zhen , Xia Chen , Fang Fan-fu , Zhou Qing-hui
Published: August 2019

Background: Dysmenorrhea seriously affects the ability to perform normal social activities and decreases quality of life. Primary dysmenorrhea can be effectively treated with acupuncture. Based on the wrist-ankle acupuncture (WAA) theory, we designed a portable WAA point compression treatment strap that treats diseases by automatically applying pressure to acupuncture points. The proposed study aims to evaluate the analgesic effect of the acupressure wrist-ankle strap in patients with primary dysmenorrhea.
Methods: The study will be a randomized controlled trial conducted from 1 May 2019 30 May 2020 that includes 78 students from Shanghai University of Traditional Chinese Medicine who have primary dysmenorrhea and meet the eligibility criteria. Participants will be randomly divided into two groups in a 1:1 allocation ratio. The intervention group will use the acupressure wrist-ankle strap equipped with tip compression component parts on the internal side; the control group will use the non-acupressure wrist-ankle strap with the tip compression parts removed. All participants will be treated for 30 min on the first day of menstruation. The main outcome measures are the pain intensity score measured by the visual analogue scale, and the onset time of analgesia. The secondary outcome measures are the pain threshold at Yinlingquan (SP 9) , skin temperature at Guanyuan (CV 4) , and expectations and satisfaction of patients as investigated via the Expectation and Treatment Credibility Scale.
Discussion: This trial will be the first study to evaluate the analgesic effect of the acupressure wrist-ankle strap in patients with primary dysmenorrhea. The quality of this study is ensured by the strict randomization, non-acupressure control, and blinded design. The results may provide a potential alternative treatment for primary dysmenorrhea and evidence-based proof of the analgesic effect of WAA.
Trial registration: Chinese Clinical Trial Registry, ID: ChiCTR1900021727. Registered on 7 March 2019. http://www.chictr.org.cn/listbycreater.aspx
Enrollment and Retention in Community Health Insurance: Experiences from ICOCARE scheme in South Western Uganda
Authors: Turyamureba Bosco , Ssengooba Freddie , Ssennyonjo Aloysius , Asiimwe Stephen , Baguma Bildard , Kisakye Angela , Kirunga Christine
Published: August 2019

Background: Globally, developing countries have inadequate capacity to raise tax to finance well-functioning health systems. In sub Saharan Africa, over 40% of the total health expenditure comes from households and mostly out of pocket payments. Over 20% of the population spend more than 10% of their total household consumption expenditure on health care. Prepayment schemes are crucial for promoting resource pooling and risk sharing to prevent catastrophic health expenditure, yet in Uganda only 1% of women and less than 2% of men are covered by health insurance schemes. Private insurance companies cover approximately 12% of Ugandans who are formally employed. We analyzed factors associated with enrollment and retention in ICOCARE health insurance scheme and examined ways to increase enrollment and reduce dropouts. Methods: This was a cross sectional study which employed both quantitative and qualitative methods of data collection. We interviewed 194 respondents who included both active and non-scheme members of the ICOCARE community health insurance scheme. We conducted three focus group discussions and two key informant interviews with key stakeholders. Quantitative data was analyzed using Statistical Package for Social Scientists software version 20 and STATA 13 while qualitative data was analyzed using the six steps of thematic analysis developed by Braun and Clarke. Results: We found that enrollment and retention into ICOCARE health insurance scheme was influenced by quality of care, extra charges to members, service exclusions, and knowledge of Community Health Insurance principles, previous illness experiences, distance from home to service provider and means of transport used to reach the health facilities. Members living in less than 5km to the service provider were 8 times more likely to enroll and retain membership into ICOCARE health insurance scheme [p-value <0.05 and CI (3.288-22.302)]. Conclusions: Knowledge on Community Health Insurance principles, benefits and coverage of non communicable diseases which is excluded in most CHI benefit packages influenced enrollment and retention. Transport costs to service providers deterred potential members from renewal of membership. CHI schemes need to intensify community education on CHI principles and identify service providers in areas where members can easily access care to minimize extra costs.
High prevalence of cesarean section delivery among health facilities delivered mothers in Bahir Dar city, Amhara region, Ethiopia. A comparative study
Authors: Melesse Meseret Bantigegn , Geremew Alehegn Bishaw , Abebe Solomon Mekonnen
Published: August 2019

Background

Cesarean section delivery prevalence rate has been in an alarming increase worldwide each year; there are large disparities of CS proportion among women who give birth at a public and private health facility. However, there is a lack of evidence regarding the underlying factors and the proportion of CS delivery in public and private health facilities. Therefore this study aimed to asses and compare the prevalence of CS delivery and associated factors among public and private health facilities delivered mother in Bahir Dar city, Amhara region, Ethiopia,

Methods

An institution-based comparative cross-sectional study design was conducted from March1-April 15, 2019 health facility in Bahir Dar city. Study participants 724(362 for each public and private facility) were recruited through a systematic random sampling technique. Structured interview administered questionnaires and chart review checklist were used to collect data. The data were entered with Epi info version 7.2 and analyzed using SPSS version 23.0 software. A binary logistic regression model was fitted and an adjusted odds ration with 95% CI was used to determine the presence and strength of association between independent variables and cesarean section delivery.

Results

The response rate was 98.3% and 97.2% for public and private health facilities respectively. The prevalence of CS in private health facilities was198 (56.3%) (95%CI: 50.9, 61.4) and 98 (27.5%) (95%CI: 22.8, 32.2) was in public health facilities. Overall prevalence of CS delivery was 296(41.8%) (95% CI: 38.4, 45.5). Breech presentation (AOR=3.64; 95%CI (1.49, 8.89), urban residence (AOR=6.54; 95%CI (2.59, 16.48) and being referred (AOR=2.44; 95%CI (1.46, 4.08)were variables significantly associated with CS among public facility whereas age between 15-24 (AOR=0.20, 95% CI; 0.07,0.52),governmental employee (AOR=2.28;95%CI (1.39,3.75),self-employed (AOR=3.73;95%CI(1.62,8.59),Para one(AOR=6.79;95%CI(2.02,22.79) Para two (AOR=3.88;95% CI(1.15,13.08), and wealth index being highest level of wealth asset AOR=5.39; 95%CI (1.08, 26.8) in private health facility:

Conclusion and recommendation

We concluded that there is a statistically significant difference in the prevalence of CS delivery in public and private health facilities. Therefore, there should be a mechanism for a medical audit of labor management.
Management Outcome of Uterine Rupture and Associated Factors in Yirgalem General and Teaching Hospital, Southern Ethiopia: A Cross-Sectional Study
Authors: Tekle Achamyelesh , Hagos Hailemichael , Tefera Kebede
Published: August 2019

Background

Uterine rupture is dropped significantly in the developed world. However, it is still a major public health problem in developing countries including Ethiopia. The aim of this study was to assess management outcome of uterine rupture and its associated factors in Yirgalem General and teaching Hospital of southern Ethiopia.

Methods

An institution based cross-sectional study was conducted. All records of uterine rupture managed in Yirgalem general and teaching hospital between January 1, 2012, and December 30, 2017, were reviewed. Data were collected using a checklist. Descriptive statistics and logistic regression analyses were done.

Results

A total of 331 cases of mothers who managed for uterine rupture were included in the study. 235 (71%) of them had a poor management outcome. Wound site infection 131 (39.6%) and anemia 129 (39%) where the common post-operative complications. There were 13 (4%) maternal death and 320 (96.7%) neonatal death. Lack of antenatal care follow up (adjusted odds ratio (AOR) =2.2, 95% CI: 1.1-4.5), prolonged duration of labor more than 24hr (AOR=3.6; 95% CI: 1.7-7.4), patients presented with sepsis (AOR=2.9; 95% CI: 1.4-6.1), mothers who did not transfuse for blood during the case scenario (AOR=4; 95% CI: 2.1-7.9) and prolonged intra operative time (AOR=5.5; 95% CI: 2.8-10.8) were factors associated with poor management outcome of uterine rupture.

Conclusion

Poor management outcome of uterine rupture was high in the study area as compared to other studies. Lack of ANC follow up, longer duration of the surgical procedure, prolonged duration of labor, lack of blood transfusion and pre and postoperative complications are associated with poor management outcome. Therefore, proper ANC and early identification of the high-risk groups can prevent and decline the occurrence of uterine rupture and that enhance good outcome.
Association Between Gastrointestinal Bleeding With Clinical Outcome On Acute Ischemic Stroke Patient
Authors: Amalia Lisda , Defryantho Rico , Parwati Ida , Ganiem Ahmad Rizal , Panigoro Ramdan
Published: August 2019

Background

Gastrointestinal bleedingis one of the complication of acute ischemic stroke and cause of increased mortality and length of stay. This is caused by a delay in the administration of antiplatelet or anticoagulant.Objective.To find the association between gastrointestinal bleeding with clinical outcome in acute ischemic stroke patient.Methods.This study was a prospective observational, conducted at Hasan Sadikin Hospital Bandung for 4 months (November 2017-February 2018). Acute ischemic stroke patients that fulfill the inclusion and exclusion were observed while being inpatients to observe their mortality and length of stay.This study used univariat, bivariat, multivariat, and stratification analysis.Results. A total of 100 acute ischemic stroke patients were found, and 24 patients had gastrointestinal bleeding. A history of previous peptic ulcer/gastrointestinal bleeding was found most often in patient with gastrointestinal bleeding (20.8%/p=0.003).Median NIHSS score is higher (16 vs 7/p<0.001) and GCS score was lower (12 vs 15/p<0.001) in patients with gastrointestinal bleeding. Multivariate analysis showed that gastrointestinal bleeding were significantly associated with survival (p = 0.021) and length of stay (p = 0.008). The analysis of stratification showed subjects with infections who later experienced gastrointestinal bleeding had a lower risk of death and length of stay than subjects without infection who experienced gastrointestinal bleeding (1.7 vs 22.5 times and 1.5 vs 2 times).Conclusion.Gastrointestinal bleeding had more increased mortality and length of stay than without gastrointestinal bleeding in acute ischemic stroke patient.
Performance of Xpert MTB/RIF Assay for Childhood Pulmonary Tuberculosis With Real World Evidence in China
Authors: Lu Shuihua , Xia Lu , Liu Xuhui , Qian Xueqin , Zhang Aimei , Li Tao , Xi Xiuhong , Zhang Yao , Liu Yuhong , Fan Xiaoyong , Liu Ping
Published: August 2019

BACKGROUND: Rapid and accurate notification of childhood pulmonary tuberculosis (PTB) is a worldwide challenge. Although the Xpert MTB/RIF assay (Xpert) has been endorsed as the initial test for suspected childhood pulmonary tuberculosis in many countries, limited studies have reported the real-world performance of Xpert for the detection of childhood PTB. OBJECTIVE: To evaluate the real-world performance of Xpert for the detection of childhood pulmonary TB in China. METHODS: We consecutively extracted the data of all patients ≤14 years with pulmonary disease through the electronic medical record (EMR) systems of Shanghai Public Health Clinical Center from January 2014 to December 2017. The clinical profile, the decision-making tests including AFB smear, solid/liquid culture, pathological examination and Xpert result were matched and assessed. The real diagnostic accuracy and the all-factors case notification rate for childhood PTB with the implementation of Xpert were evaluated. RESULTS: 519 cases ≤14 years with pulmonary disease were extracted from the data base. Of these, 145 had matched results, there were 374 non-matched cases including 346 with incomplete or unavailable data and 28 with NTM, BCG or an unidentified strain. For matched data, the overall sensitivity and specificity of the Xpert assay were 66.7% (32/48, 95%CI 0.52-0.80) and 87.6% (85/97, 95%CI 0.87-0.98) respectively against the gold standard; 34.6% (44/127, 95%CI 26.6-43.7) and 100% against the composite clinical reference standard (CCRS). The all-factors case notification rate by Xpert was 29%. CONCLUSIONS: Xpert/MTB RIF assay has acceptable sensitivity and excellent specificity for rapid diagnosis of children with pulmonary TB as well as for the detection of RIF resistance in China. However, implementation of Xpert for the initial diagnosis of childhood PTB is inadequate to meet the urgent requirement for rapid and accurate detection of childhood PTB.