bluuebunny/crossref_metadata_2025 huggingface dataset:
Campo, cidade, escola e profissão: jovens estudantes do curso Técnico em Agropecuária no Ensino Médio Subsequente
Authors: Cavalcante Ludmila Oliveira Holanda , Silva Fábio Dantas de Souza , Abreu Luciane Ferreira de
Published: October 2019

O artigo discute as concepções de juventude, trabalho e campo de jovens que se inserem na educação profissional após a conclusão do ensino médio regular e como as trajetórias de vida desses sujeitos e a formação para o trabalho no campo influenciam seus projetos de vida, dialogando com aspectos que caracterizam a diversidade da juventude brasileira. Os dados explorados no texto foram obtidos por meio de pesquisa qualitativa que seguiu etapas diferenciadas, tais como: análise de documentos institucionais da escola onde os sujeitos estudam, aplicação de questionários junto aos estudantes, realização de grupos focais com os estudantes e entrevistas individuais com estudantes do curso e com o gestor da instituição educacional. A abordagem sócio-histórica no estudo foi significativa para colaborar na compreensão do cenário dos jovens sujeitos da pesquisa e sua relação com o entorno ao longo do tempo, em interface com o debate conceitual da Educação do Campo. A pesquisa revelou indícios de que a vinculação dos jovens com o território da zona rural é fragilizada, apesar de optarem por um curso predominantemente rural, os estudantes não demonstram muita conexão com o território e suas questões de cunho político e social.

Palavras-chave: Juventude rural, Educação do campo, Trabalho.
AUTOESTIMA E ASPECTOS SOCIOEMOCIONAIS EM PACIENTES DE CIRURGIA ORTOGNÁTICA: PROPOSTAS DE ANÁLISE PSICOLÓGICA
Authors: Macena Matheus Sousa de , Menezes Letícia Dultra de Faro , Melo Marcelo Rodrigo de Souza , Barros Lívia de Melo
Published: October 2019

A pesquisa objetivou investigar a autoestima e os aspectos socioemocionais de pacientes com deformidades dentofaciais submetidos à cirurgia ortognática. Disponibilizamos um questionário da plataforma Google Docs em um grupo de uma rede social composto por pessoas com interesses em comum no tema. Houve 120 respostas no total e, em geral, elas revelaram que houve aumento de autoestima nos pacientes (média geral subiu de 4,58 para 8,33) e melhora significativa em fatores funcionais, sociais e psicológicos. Contudo, existe a possibilidade de frustração para alguns sujeitos submetidos ao procedimento, oriundo das expectativas perante a cirurgia, especialmente no âmbito estético. A cirurgia ortognática é uma alternativa considerável no tratamento de deformidades dentofaciais e de seus agravos, porém, diante da pluralidade de resultados e reações, infere-se a importância de acompanhamento psicológico no pré e pós-cirúrgico, como forma de preparo para a cirurgia e de adaptação aos resultados do procedimento.
ANÁLISE COMPARATIVA DOS GUIAS ALIMENTARES PARA A POPULAÇÃO BRASILEIRA E ARGENTINA
Authors: Pereira Maria Devany , Sousa Alana Paulina de Moura , Sousa Janekeyla Gomes de , Perricone Patricia Maria Beatriz , Carvalho Cecília Maria Resende Gonçalves de , Santos Marize Melo dos
Published: October 2019

Vários países já desenvolveram seus guias com objetivos semelhantes, porém, abrangendo suas particularidades. Objetivou-se analisar o Guia Alimentar para a População Brasileira e o Guia Alimentar para a População Argentina, identificando possíveis semelhanças e diferenças entre estes, relacionando-os quanto à estrutura e à promoção de práticas alimentares saudáveis. Trata-se do estudo descritivo que utilizou o Guia Alimentar Brasileiro e Argentino, com levantamento bibliográfico e análise documental quanto às principais diferenças e semelhanças estruturais e de desenvolvimento. Ao comparar os guias alimentares, observou-se maior conteúdo técnico no guia argentino. Enquanto o brasileiro apresenta as informações de forma mais resumida e dinâmica. Ambos chamam a atenção para a importância da promoção de práticas alimentares saudáveis em todas as fases da vida. A melhoria da qualidade e o aprimoramento dos guias alimentares são fundamentais para a qualidade de vida da população. Logo, maiores estudos que abordem o entendimento e o ponto de vista da população sobre o guia alimentar fazem-se necessários.
Ankara, İstanbul ve İzmir Büyükşehir Belediyeleri'nin Twitter Kullanımına Yönelik Eğilimleri ve Takipçilerinin Tepkileri Üzerine Bir Analiz
Authors: UYSAL Yusuf
Published: October 2019

Bu çalışma iki bölümden oluşmaktadır. Birinci bölümde, sektörler ve sektör dışı faaliyetler temelinde Ankara, İstanbul ve İzmir Büyükşehir Belediyeleri'nin (BB)Twitter kullanım eğilimleri incelenmektedir. İkinci bölümde BB’lerin paylaşımlarına takipçilerin "beğeni", "retweet" ve "yorum" şeklindeki tepkileri karşılaştırmalı olarak analiz edilmektedir. Böylece, BB’lerin bir sosyal medya platformu olarak Twitter’i nasıl kullandıklarının tespit edilmesi ve takipçilerin paylaşımlara yönelik tepkilerinin ölçülmesi amaçlanmaktadır. BB’lerin çok çeşitli sektör ve alanlarda görev ve sorumluluklarının bulunması nedeniyle, paylaşımlar "sektör" veya "sektör dışı hizmet alanları" ile ilgili olanlar şeklinde gruplandırılmıştır. Bu bağlamda, 14 sektör gurubu ve 5 sektör dışı faaliyet alanı gurubu oluşturulmuş, değerlendirmeler ve analizler bu gruplandırma temelinde yapılmıştır. Bu analiz, inceleme konusu BB'lerin 01.10.2018 ile 31.12.2018 tarihleri arasındaki Twitter paylaşımlarını kapsamaktadır. Araştırmadaki veriler, Microsoft Excel Programı kullanılarak analiz edilmiştir. 
Kamu Çalışanlarında Örgütsel Adalet Algısı ve Örgütsel Bağlılık Düzeyi Arasındaki İlişkiye Yönelik Bir Araştırma: Bursa ve Afyonkarahisar İli Örneği
Authors: TOKMAK Mutlu
Published: October 2019

Kurumların çalışanlarına yönelik adil olması ve uyguladığı politikalarda personeline eşit davranması örgütsel adalet olarak ifade edilmektedir.  Çalışanların örgüt amaç ve hedeflerini benimsemeleri ve bu hedeflere ulaşma konusunda var güçleri ile çaba göstermeleri ise örgütsel bağlılık olarak değerlendirilmektedir. Bu çalışmada, kurum çalışanlarının örgütsel adalet algıları ile örgütsel bağlılık düzeyleri arasındaki ilişki ortaya konmaya çalışılmaktadır. Ayrıca, çalışanların kurumlarının bulundukları ile göre örgütsel adalet algıları ve örgütsel bağlılık düzeylerindeki farklılıklarda araştırılmaktadır. Bu amaçla alan araştırması gerçekleştirilmiş, Afyonkarahisar ve Bursa illerinde faaliyet gösteren kamu kurum çalışanlarına anket uygulaması gerçekleştirilmiştir. Araştırma ile elde edilen veriler korelasyon analizi ve Mann Whitney U testi ile analiz edilmiştir. Araştırma neticesinde, örgütsel adalet algısı ile örgütsel bağlılık düzeyi arasında pozitif yönlü ve anlamlı bir ilişki olduğu tespit edilmiştir. Bursa ilindeki kamu kurumlarında çalışan personelin örgütsel adalet algıları ve örgütsel bağlılık düzeylerinin Afyonkarahisar ilinde çalışanlara göre daha düşük olduğu sonucuna ulaşılmıştır. 
Mahalli İdarelerce Yürütülen Hizmetlere İlişkin Şikâyetlerin İncelenmesi ve Yerel Yönetimler Kamu Denetçisinin Gerekliliği
Authors: YILDIRIM Kürşad Emrah
Published: October 2019

Kamu denetçiliği, kurumsal olarak ilk kez İsveç’te uygulanmaya başlanmıştır. Kamusal nitelikteki hizmetlerin sunumu sırasında bir takım bürokratik eylemlerin bulunması, onların denetlenmesini ve bu denetimi yerine getirecek kamu denetçiliği kurumu gibi bir yapıyı gerekli kıldığı düşünülmektedir. Bağımsız olma ve tarafsızlık ilkeleri doğrultusunda vatandaşları idarenin keyfi uygulamalarına karşı güvende hissetmelerine yönelik hareket edebilmeleri için zamanla birçok ülkede varlık göstermeye başlamıştır. Kamu denetçiliği kurumu, zamanla birçok ülkeye yayılmıştır. Türkiye’de de 2012 yılı 6328 sayılı “Kamu Denetçiliği Kurumu Kanunu” ile Kamu Denetçiliği Kurumu kurulmuş ve 1982 Anayasası’nın 74. maddesiyle anayasal bir kurum haline getirilmiştir. Kamu Denetçiliği Kurumu, idarenin işleyişi ve her türlü eylem, işlem, tutum ve davranışını gelen şikâyetler üzerine incelemekle görevli olan ve bu incelemeler sonucunda idareye öneriler sunan bir kurumdur. Kamu Denetçiliği Kurumu’nun yıllık faaliyet raporları incelendiğinde mahalli idareler ile ilgili şikâyetlerin diğer şikâyetlerden ayrı olarak sınıflandırıldığı görülmektedir. Bununla birlikte bu kuruma gelen ve incelemeye konu olan şikâyetlerin önemli bir kısmını mahalli idareler oluşturmaktadır. Çalışmada söz konusu raporlarda yer alan ve “Mahalli İdarelerce Yürütülen Hizmetlere İlişkin Şikayetler” tablolaştırılarak incelenmiş ve yapılan incelemeden elde edilen sonuçlar üzerinden yerel kamu denetçisinin gerekliliği üzerinde durulmuştur. 
Soma Maden Kazasından Sağ Kurtulan İşçilerin Travma Sonrası Stres Problemlerinin ve Psikolojik Süreçlerinin Değerlendirilmesine Yönelik Nitel Bir Araştırma
Authors: ÇÖGENLİ Mehmed Zahid
Published: October 2019

İnsanlar hayatlarının bazı dönemlerinde karşılaştıkları kötü olaylar karşısında travma geçirebilir ve bunun bir sonucu olarak stres yaşayabilirler. Yaşanan bu stres bireyin sosyal hayatında ve iş görme becerisinde olumsuz sonuçlar doğurabilmektedir. Yapılan çalışmada Soma Maden Faciasından sağ kurtarılan işçilerin yaşadıkları travma sonrasında gerek özel gerekse iş yaşamlarında karşılaştıkları zorlukları belirlemek amaçlanmıştır. Nitel araştırma yöntemi olarak planlanan çalışmada yarı yapılandırılmış sorular hazırlanarak mülakat uygulanmıştır. 13 Mayıs 2014'te Manisa'nın Soma ilçesinde meydana gelen maden kazasından kurtulan işçiler tespit edilerek görüşme için 10 adet soru hazırlanmış ve 8 kazazedeyle görüşülmüştür.  Yapılan görüşme kayıtlarının incelenmesi sonucunda 8 görüşmeciden 7 tanesinde alan yazında yer yerilen travma sonrası stres bozukluğu belirtilerinin biri veya birkaçının varlığı tespit edilmiştir.  Bu belirtiler uyku problemleri, aşırı uyarılmışlık hali, korku endişe kaygı durumu, travmayı hatırlatan rüyalar ve uyaranlardan kaçınma olarak belirlenmiştir. Görüşmecilerin yaşadıkları travma sonrasında aile içi problem yaşadıkları, sosyal hayatlarında adaptasyon sorunlarının baş göstermesi, tekrar iş bulmada zorlandıkları ve bunun sonucunda da ekonomik olarak zor dönemlerden geçtikleri belirlenmiştir.
Therapy of patients with the high risk of arterial hypertension with the use of telmisartan
Authors: Nikitin A. V. , Vasilieva L. V. , Gosteva E. V. , Starodubtseva I. A. , Latisheva M. N.
Published: October 2019

Aim. The study assesses the effects of therapy based on the use of telmisartan in patients with arterial hypertension and stable angina on the clinical and functional indicators of the cardiovascularvascular system. Material and methods. 52 patients with a combination of arterial hypertension (AH) I and II stages and coronary artery disease II with the mean age 63.5 ± 5.4 years (79% males and 21% of females) were enrolled in the trial. The duration of AH and CAD were 17.5±3.8 and 12.5±3.1 accordingly. All patients took a daily 80 mg dose of telmisartan. The efficacy of treatment was estimated in 3,6 and 12 months. Results. The use of telmisartan in complex treatment of high-risk patients with AH has led to decreasing blood pressure to the target level, increasing exercise tolerance (walking the distance from 315.5 m to 410.2 m in 6 minutes). 12 months of therapy based on telmisartan showed significant decrease in left hy‑ pertrophy ventricle (LV myocardial mass index on average by 10.4%), a decrease in the total duration of depression ST segment from 9.6±2.9 to 2.7±1.5 mm and a decrease in the depth of depression from 1.5±0.3 mm to 0.3±0.09 mm, with a trend towards decrease in the number of episodes of ST-segment depression, as well as the absence of a significant change in heart rate. After 12 months of en‑ dothelium-dependent vasodilation therapy, the condition of 31 (60%) patients improved, and 18 (35%) patients showed the tendency to improvement. The tests with reactive hyperemia conducted after 12 months of treatment revealed decreased linear velocity of blood flow in the brachial artery on average by 17%. Conclusion. The use of telmisartan in complex therapy improves the quality of life according to the EQ-VAS questionnaire by 25 points after 12 months of therapy, contributes to lowering blood pressure in 96% of patients, reduc‑ ing myocardial hypertrophy, endothelial dysfunction and severity of ischemic manifestations (reducing the need for nitroglycerin intake to an average of 0,5 inhalations, as well as a decrease in the ST segment depression of 40% after 12 months of therapy).
Efficacy evaluation of antidepressant drugs utilized at tertiary care centre in North Karnataka in psychiatric outpatient department
Authors: Bagewadi Harish G. , Huded Chandrashekar
Published: October 2019

Background: Depression is the major psychotic disorder affecting 9.5% of population worldwide. Present study investigates the prescribing patterns of different antidepressants evaluating their efficacy.Methods: This was a prospective, observational study which was conducted in the out-patient department of Psychiatry and Pharmacology in Gulbarga Institute of Medical Sciences, Kalaburagi. A total of 200 cases were enrolled for the present study. Statistical analysis for efficacy was done using Wilcoxson’s signed rank test.Results: Predominantly, females suffered from depression when compared to male counterparts. In our study, monotherapy was practiced more frequently than polytherapy with 2 or more drugs. Selective serotonin reuptake inhibitors (SSRIs) like Escitalopram was found out to be the most widely used antidepressant drug.Conclusions: Among antidepressant medications, SSRIs are preferred over others because of their better side effect profile.
Cost variation analysis of parenteral antibiotics in Indian pharmaceutical market
Authors: Bhandari Prasan R. , Bhandary Apeksha
Published: October 2019

Background: The objective of the present study was to analyse price differences between parenteral antibiotics available in a tertiary care teaching hospital.Methods: The study was done in the Department of Pharmacology of S. D. M. College of Medical Sciences, Dharwad, Karnataka. Latest volume of current index of medical specialties or Indian Drug Review was used to analyze the prices of parenteral antibiotics.Results: Overall, prices of 17 single drug antibiotics available in 37 strengths marketed and 8 fixed-dose combinations available in 16 strength marketed were analyzed. It was observed that the maximum cost variation among the single ingredient parenteral antibiotic was with cefpirome 1000 mg. The price difference being Rs. 283 and the cost variation being 90.7%. The minimum price variation was seen with Ampicillin 100 mg of Rs. 4.3 and the cost variation being 40.2%. Additionally the highest price difference was also seen teicoplanin 400 mg i.e., Rs. 610 and its cost variation being 68.5%. Among the fixed-dose combination (FDC’s) the maximum price variation was observed in the combination of cefoperazone+sulbactum 1000+1000 of Rs. 340. Whereas the cost variation of the same was 212.5 %. The minimum price variation among the FDC’s was of the combination of ceftriaxone 250 mg + tazobactum 31.25 mg Rs. 3.3 and its cost variation being 7.9 %.Conclusions: Pharmacoeconomics facets must be taken into deliberation by healthcare practitioners while prescribing antibiotics to the patients for infectious disease treatment. This will assist compliance, reduce antibiotic resistance and treatment failure.
A comparative study of metabolic side effects of risperidone and olanzapine in the treatment of schizophrenia
Authors: Nagaraj Lavanya , Madalageri Naveen Kumar
Published: October 2019

ABSTRACTBackground: Schizophrenia is one of most serious chronic psychiatric disorder, which affects about 1% of population. Treatment of schizophrenia comprises of typical antipsychotics and or atypical antipsychotics. Typical antipsychotics like haloperidol have extrapyramidal side effects which limit their use in chronic cases. Atypical antipsychotics though have better treatment response, they have metabolic side effects like hypercholesteremia, hypertriglyceridemia and hyperglycaemia. As there is paucity of data in Indian population the present study has been taken up to compare the metabolic side effects of risperidone and olanzapine in the treatment of schizophrenic patients in a tertiary care hospital.Methods: It was a comparative study conducted on 60 patients of Schizophrenia for one year in a tertiary care hospital. The study subjects were randomly assigned into 2 groups of 30 patients each, where group 1 were treated with atypical antipsychotic drug risperidone and group 2 with Olanzapine and both groups received the treatment for one year. Metabolic side effects like hypercholesteremia, hypertriglyceridemia and hyperglycaemia were evaluated and compared over a period of one year.Results: Both risperidone and olanzapine were associated with comparable baseline to endpoint increase in metabolic side effects. However, risperidone treated subjects had significantly less metabolic side effects compared to olanzapine.Conclusions: Apart from total cholesterol and triglycerides, other metabolic side effects were less in risperidone treated patients than olanzapine treated patients.
Neuropathic pain treatment between drug therapy and supplement effects
Authors: Muttalib Mohammed Abdul
Published: October 2019

Neuropathic pain (NP) is a medical condition induced by diseases or lesions in the primary or inner cell systems that influence somatosensory nervous system buildings. Central NP, including backbone pain; multiple sclerosis, is recurrent. NP has an important impact on the life of patients and a strong economic impact on people and the society. some small neuropathy responds like a NSAID, aspirin and ibuprofen to an over-the-counter drug. More strong medicine (such as anti-depressants and serotonin-epinephrine reuptake inhibitors), anticonvulsants (pregabalin and gabapentin), and topical lidocaine-these are recognized as the most advanced neuropathical treatment-is also needed for other serious circumstances to increase ache leadership. Supplemental drugs, such as beta lipoic acid, acetyl-L-carnitine, benfotiamine, taurine and others, have been studied for neuropathic pain relieve under doctors to guarantee safe use and not bring any medicines that may interact with the dietary supplement. A medical procedure has been investigated for a neuro-lipoic pain relief. In specific, owing to the power of drug contrast with alternative products and owing to the effect of some drugs, it was considered that the drugs are (in spite of their side effects) more helpful and efficient to relieve neuropathic pain than the option, since neuropathic pain represents a serious illness and needs a more strong and effective therapy technology (particularly in severe cases).
Early oncological outcomes and accuracy of risk stratification and tailoring surgical staging based on preoperative histology, Ca125 and MRI in endometrial cancer: a prospective cohort study
Authors: Mathews Jency , Abraham Seethal
Published: October 2019

Background: momentum to select patients who will benefit from the extensive procedures. However, the parameters used for risk stratification have variable accuracy outside of tertiary cancer centres. This study looks into the accuracy of risk stratification using preoperative histology, MRI and Ca 125 levels and the oncological outcomes after tailoring surgical staging based on the risk stratification by combining the three variables in a suburban centre with a growing cancer population.Methods: This prospective observational cohort study was undertaken in a suburban cancer center in Pushpagiri Medical College, Tiruvalla, Kerala between June 2014 and December 2018. All patients underwent surgical staging with hysterectomy and salpingo oophorectomy as the least procedure. Lymphadenectomy was tailored according to the preoperative risk grouping and changed only in the presence of gross findings at surgery. Adjuvant treatment and follow up data obtained and collected in Microsoft Excel and analysed using statistical software SPSS version 22.Results: Of 47 patients recruited for the study, 35 patients were available for final analysis. Preoperative histology was accurate in 73%. There was 20 % overestimation and 8% underestimation. Ca 125 levels were elevated in 15%.  MRI had an overall sensitivity of 74% and specificity of 60%. When MRI, Ca125 and histology were combined together, there was patients were deemed to be high risk. On final risk grouping, 9 patients were down staged and none were upstaged.Conclusions: Preoperative histology, MRI and ca 125 levels have moderate accuracy individually as preoperative risk determinates. The three parameters combined together show high specificity and PPV for preoperative risk stratification and the risk stratification has not been detrimental with respect to oncological outcomes of recurrence.
Retrospective study to improve early initiation of breastfeeding in newborns
Authors: Jayaseelan Joyce , Mohan Anita Krishna
Published: October 2019

Background: Breast milk is the best nutrition to every new born baby. WHO recommends that all new-borns should be breastfed within one hour of birth and then on demand. Exclusive breast feeding i.e. avoiding any other feeds till 6 months of age, is best for the baby. Despite these guidelines, our national average of initiating breastfeeding within the first hour is less than 50% as per NFHS 2015-2016. The objective was to study the existing rate of early initiation of breast feeding in the study hospital.Methods: Retrospective data collection from 2015 to 2017 was used for this study. Mothers were educated about colostrum and benefits of early initiation of breastfeeding in their third trimester and during their baby shower.Results: Early initiation of breast feeding was successful among 2624 babies out of 2835 babies who were born in the study period.Conclusions: As compared to national averages, the study hospital had a superior percentage of babies being initiated early on breastfeeding. We need to educate and motivate the society to encourage exclusive breast feeding for all babies. Professional help in the form of dedicated lactation consultants of guidelines will help mothers to breast feed their babies sooner and for longer. Busting local myths and harmful practices is the need of the hour.
A rare case of isolated fallopian tube torsion
Authors: Sandhu Namrita , Singh Sanjay
Published: October 2019

Isolated torsion of fallopian tube is a rare occurrence. Diagnostic difficulty gets compounded in adolescents because the most commonly used imaging study in young, usually sexually inactive, population is transabdominal ultrasonography which may show normal ovaries, leading clinicians to abandon a diagnosis of adnexal torsion. Other imaging modalities such as CT scan or MRI are less useful for a rapid diagnosis because of the risk of radiation exposure, cost, or lack of ready availability. Delays in diagnosis may increase the likelihood of necrosis of the fallopian tube which would result in salpingectomy as was the case in our case report. Here authors present one such case, wherein one 12 year old girl who attained menarche at 10 years of age presented with acute paraumblical pain and vomiting without any fever, bowel and bladder disturbances. On examination there was tenderness in right iliac fossa. Her USG report was unremarkable. She initially was put-on broad-spectrum antibiotics but without any amelioration of symptoms. Diagnosed as appendicitis by surgeon, she was taken up for laparoscopic appendicectomy. However, it turned out to be a case of fallopian tube torsion, wherein the tube had become gangrenous for which salpingectomy was done.
Evaluation of outcome following clamp assisted mini open reduction and internal fixation with intramedullary nailing of subtrochanteric femoral fractures
Authors: Prajapati Chirag G. , Dabhi Rasik B. , Maru Nikunj D.
Published: October 2019

Background: Subtrochanteric fractures of the proximal femur have been defined as the fractures extending from lesser trochanter distally for 5 cm. These fractures usually occur in two age distributions. In the elderly osteopenic population resulting from trivial trauma as fall from standing height or in the younger ones as a result of high energy trauma. Incidence has been on the rise and they comprise about 7 to 10% hip fractures and could lead quickly to large amount of blood loss and other complications.

Methods: This is a multicentric prospective prognostic study level 1 consisting of 25 patients admitted in government civil hospital, Ahmedabad during April 2013 to May 2015 having high subtrochanteric femur fractures treated by clamp assisted reduction and intramedullary nailing. Out of these, 20 patients (80%) came for final follow up with average follow up of 11.5 months and evaluated for union, complication and functional outcome.

Results: In our study final outcome is assessed based on hip outcome score (modified) based on which 85% had excellent outcome, 10% had good outcome and 5% had fair outcome with none of the patient having poor outcome.

Conclusions: We found that clamp-assisted reduction and intramedullary nail fixation provides excellent reduction quality, high rate of fracture union, with no apparent increase in complications in subtrochanteric fractures of the femur. 
The Holevich modification of the first dorsal metacarpal artery flap in coverage of thumb skin losses
Authors: Panagatla Prakash , Kondapavuluri Sindhuri , Ravula Parvathi
Published: October 2019

Background: Reconstruction of complex soft tissue defects of the thumb is a challenging problem. It is very important to reconstruct these defects using sensate flaps as the thumb pulp needs to be sensate for implementing the various functions of the thumb. The aim of this study is to report our experience on the safety and functional outcome of the innervated first dorsal metacarpal artery flap (FDMA) for soft tissue defects of thumb.

Methods: During 18 month period, nine patients with a mean age of 29 years, male:female ratio of 8:1 underwent coverage of soft tissue defects of the thumb, of various volar and dorsal defects, using an innervated first dorsal metacarpal artery flap. Indications were postburn deformities and acute trauma. None of the patients had any neurorraphy. Outcome of the Holevich modification of FDMA flap was assessed with regards to survival and function, reachability for different locations of the thumb, recovery of sensation in terms of two-point discrimination (2PD), donor morbidity with regards to deformity and range of motion were analysed.

Results: The mean size of the defect was 6.7 cm2. Average hospital stay was 5 days. Average time of sensory recovery was 6 months. The mean 2PD was 4 mm (range 2-6 mm). All patients had a normal active range of motion in the donor finger. One of nine patients had distal flap marginal necrosis of 3-4 mm; it healed with debridement and regular dressings over 12 days.

Conclusions: The Holevich modification ensures the safety of the innervated FDMA flap in thumb defect coverage with good recovery of sensation.
Study of role of limited contact dynamic compression plates versus locking plates in long bone fracture management
Authors: Singh Nikhil , Barik Sanjay Kumar , Maniyar Divya
Published: October 2019

Background: Present study was conducted to assess the functional, radiological, clinical factors associated with long bone fractures stabilized with limited contact dynamic compression plating (LC-DCP) and locking plates.

Methods: In this retrospective observational study conducted over 2 years, 60 osteoporotic patients undergoing surgery for diaphyseal fractures of long bones at the study centre were studied. Two groups were formed on the basis of usage of LC-DCP plate or the locking plate in fracture management. Participants were thoroughly evaluated clinically. Radiographic assessments included evaluation of callus formation and fracture fragments after the functional load. Functional outcome was assessed based on the range of movements and the ability to carry out daily activities. Disabilities of the arm, shoulder and hand (DASH) score was also calculated. Post-operative follow-ups were conducted at 6 weeks, 12 weeks and 1 year.

Results: Radius or ulna were the commonest site of fracture with more than half (35, 58.33%) patients affected with 93.3% having middle 1/3rd diaphysis fracture. There were no significant differences between the genders for site or location of fractures. DASH scores were comparable in both groups. The mean union time was significantly higher among females (9.76±2 weeks) than males (8.59±1.21 weeks). Most patients took 14-16 weeks to achieve the functional outcome, with LC-DCP observed to provide faster functional recovery.

Conclusions: Radius or ulna fractures are the commonest amongst long bone fractures, with middle 1/3rd diaphysis being the commonest site of affection. LC-DCP facilitates slighty faster fracture union and functional recovery than locking plates, with union time being significantly longer in females.
Authority and Position of Notary Deed in the Land Sector
Authors: Pratiwi Sastri Hasnur , Fendri Azmi , Benni Beatrix
Published: October 2019

The notary public officials are authorized to make an authentic deed, besides other prescribed by statute the authority. At the time of the enactment UUJN No. 30 Tahun 2004, a debate emerged related to the authority notaries in making the deed associated with land. It is in the trigger because of other dignitaries in this PPAT who also has the authority in making the deed associated with land. In the process of land registration as mentioned in PP No. 24 Tahun 1997, that which, aids the head of the land office is PPAT. This study aims to find out about to look at what the meaning of the deed which as pertaining to land that has been granted to a notary in UUJN. The main approach method used in this research is the normative juridical approach that is research that emphasizes the legal aspects, by studying the materials of primary law and secondary law which will be used as guidance in understanding and analyzing the problems discussed, while as supporting the main approach Empirical juridical approach is used. Research suggests that the significance of related to land certificate which is the authority of the notary is wide it could make a notarial deed with regard to land as long as it does not constitute the PPAT.
MIGRANT WOMEN IN THE REPUBLIC OF TATARSTAN: INTEGRATION STRATEGIES AND PRACTICES
Authors: Alekseevna Titova Tatyana , Valeryevna Frolova Elena , Gennadievna Gushchina Elena , Raisovna Sagitova Rimma
Published: October 2019

Purpose: The relevance of the studied problem is due to the need for a comprehensive study of the adaptation of migrants to a foreign cultural environment in the regions of the Russian Federation. The aim of the article is to analyze the strategies and practices of the integration of migrant women in the Republic of Tatarstan for 2017-2018.

Methodology: The leading approach to the study of this problem is the polyparadigmatic methodology. The article describes the economic status of migrant women, their linguistic competences and the level of language proficiency in the host population languages and religious practices.

Result: It is concluded that migrant women have a fairly high level of intra-group cohesion and dependence on family and kinship ties. This, combined with a fixed low level of proficiency in the host population languages, makes it difficult for migrant women to integrate into the host community. The materials of the article can be useful for ethnologists, social and cultural anthropologists, political scientists, as well as representatives of bodies and structures responsible for interethnic interaction.

Applications: This research can be used for universities, teachers, and students.

Novelty/Originality: In this research, the model of Migrant Women in the Republic of Tatarstan: integration strategies and practices are presented in a comprehensive and complete manner.
Hypnotherapy Applications as a Traditional and Complimentary Medicine Method
Authors: TASTAN Kenan
Published: October 2019

ABSTRACTHypnosis is defined as an act or procedure which is designed to change a person’s consciousness and awareness level and her/his feelings, emotions, memory or behaviors through suggestion or which leads to this change by the Ministry of Health.It is one of the treatment techniques of Traditional and Complimentary Medicine (TCM), and is used as a reliable option in treatment of many acute and chronic diseases as a primary of complimentary method. Hypnosis has been proven to be a scientific and effective method by many studies. With publication of regulations, we hope that it will come to its proper place.
Internet Use and Addiction: A Cross-sectional Study to ascertain Internet Utilization Level for Academic & Non-Academic Purpose among Medical and University Students of Bangladesh
Authors: MOSTAFA Asma , HOQUE Rozina , CHAKRABORTY Ruma , HAQUE Mainul , SAİFUDDİN MUNNA Mohammed
Published: October 2019

Introduction: The Internet is an essential
component for providing current and up to date information in education.
Despite the significant advantages,
misuse of internet results Internet addiction (IA) disorder. The present study aims
to determine the level of IA and internet behavior pattern among medical and
university students of Bangladesh. Methods: This cross-sectional study was carried
out among 379 students of Bangladesh from one private medical college and one
private university of Chittagong during the study period from 2017 to 2018. “Young’s IA test (IAT)’’ was used. Data were analyzed using SPSS
version 21. Cronbach’s alpha coefficient, the independent t-test and one-way analysis of variance
(ANOVA) were utilized and P<0.05 as significant. Results:
The mean± SD of “IAT” score was 47.97±13.61. Cronbach’s alpha coefficient
was 0.83.
The majority (54.88%) of the participants
was “mild user’’. The majority (63.39%) of
the medical students was “mild user,’’
and the majority (61.60%) of the
university students were “moderate user.”
Statistically, a significant difference was found between “IAT” score and “Duration of internet use”
of the medical and university students (p = 0.00). A
significant difference was observed between age, sex, and IA. The majority (86.61%) of medical students used the internet for social networking, and the majority
(71.2%) of university
students used the internet for education
purpose. Maximum participants use “Smartphone” and “mobile 3G” and had an email address and a social network account. Conclusion:
Early detection of internet dependence could help to take appropriate steps to
tackle the growing problem of IA.
Evaluation of Experiences and Perceptions of Family Physicians on Continuing Medical Education and the Effect on Daily Clinical Practice
Authors: KAFADAR Didem , ESEN Ayşe Didem , ARICA Seçil
Published: October 2019

Introduction:
To increase, develop or maintain the knowledge and skills; to update the
medical approaches necessary for providing an effective healthcare service are
aimed through continuing medical education(CME) activities.In this study,we evaluated the factors influencing attendance to CME
activities along with the experiences in CME and perceptions of family physicians
about the effect of CME on their routine clinical practice.

Methods:A questionnaire developed by the researchers was implemented to family
physicians during 3 Family Medicine CME activities held
in consecutive 6 months.The questionnaire composed of
multiple-choice,open-ended,Likert-type questions about sociodemographic
characteristics, professional experience concerning CME. An index about perceptions
of participants about the effect of CME activities on their daily clinical
practice was developed and a  score
≥ 20 points  was considered as “positive
index score”.

Results: A total of 247 family physicians, consisting of 112 family medicine residents,
106 specialists and 29 general practitioners,participated in the study.The most
frequently mentioned barriers to participate in CME activities were economic
reasons and time constraints.Residents stated that CME was useful in the
recognition of new medications (p=0.006).General practitioners reported that
CME had more impact in early diagnosis and treatment(p=0.0001). There was no
difference between the reports of all groups on effects of CME on chronic
disease follow-up(p=0.078).Participants who had scores ≥20,which
revealed a positive perception on the impact of CME activities on their daily
clinical practice were 71%.

Conclusions:
Our study participant pyhsicians think that scientific activities and meetings
improve their daily clinical practice. Time constraint and economic reasons were reported highly as
barriers for attendance
to CME. “Perceived impact of CME activities on daily clinical
practice index” may be used for evaluation in different groups of participants
and meetings with variable themes.
SEXUALIDADE NA EDUCAÇÃO INFANTIL: UM OLHAR DOS PAIS E PROFESSORES
Authors: Llanos Mônica Hammen , Martins Miriam da Conceição
Published: October 2019

A sexualidade é uma área do desenvolvimento da criança de extrema relevância na infância, principalmente para a formação da personalidade. A família e a escola são fundamentais para que esse desenvolvimento ocorra de forma saudável, pois a sexualidade não se restringe apenas ao desenvolvimento biológico e neurológico. É muito mais do que isto, envolve relações sociais, afetivas e autoestima. Sendo assim, a presente pesquisa teve como objetivo geral analisar como a sexualidade é vista pelos pais e professores na educação infantil de uma escola do município de Criciúma. É uma pesquisa qualitativa e descritiva, pois visa analisar o conhecimento dos pais e professores com relação à sexualidade dos filhos e/ou alunos. Foi aplicado um questionário com quatro mães de alunos matriculados na educação infantil, sendo que apenas três retornaram e foi realizada entrevistas com duas professoras dos respectivos alunos com vasta experiência com essa faixa etária. Os resultados foram analisados por meio das respostas do questionário realizado com as famílias como da entrevista com as professoras. Conclui-se que não há percepção da manifestação frequente da sexualidade nas crianças tanto na visão dos pais como dos professores e ainda, relacionam a sexualidade mais como um fator biológico.Palavras-chave: Sexualidade infantil. Manifestações sexuais. Educação infantil.
A GESTÃO DEMOCRÁTICA E A FORMAÇÃO PARA A CIDADANIA: COMPROMISSO SOCIAL E POLÍTICO
Authors: Souza Morgana Marcelino de , Melo Maria Aparecida da Silva
Published: October 2019

A gestão democrática na escola possui caráter de grande significado, pois é condição necessária para o desenvolvimento de uma educação de qualidade. Isso se dá devido ao fato da gestão democrática, em seus princípios, ensejar a participação efetiva da comunidade, dando oportunidade para que haja envolvimento e comprometimento de todos, numa perspectiva de educação para a formação cidadã. Em razão do exposto, as ações de planejamento constituem-se em possibilidade concreta para consecução de tais objetivos, visto que entende-se o projeto político-pedagógico como instrumento de gestão democrática, fomentando debates e definindo ações coletivas, voltadas às necessidades da escola e dos alunos. Para fundamentar o tema, realizou-se um estudo teórico sobre a função social da escola, a gestão democrática e o projeto político-pedagógico, cujo objetivo principal foi analisar o papel da gestão democrática na formação para a cidadania. Realizou-se também uma pesquisa de campo com três gestores da rede pública municipal da cidade de Criciúma para verificar quais ações são desenvolvidas para o cumprimento da função social; analisar a percepção dos diretores acerca do cumprimento da função social; compreender o processo de construção da gestão democrática e identificar os instrumentos utilizados. Partindo desta premissa, constatou-se ao final da pesquisa indícios de gestão com aporte técnico e burocrático, sem a preocupação com o desenvolvimento para a cidadania. Nessa perspectiva, entende-se a necessidade das escolas pesquisadas refletirem sobre o papel da gestão democrática como instrumento para o cumprimento da função social, no sentido de colaborar com ensino de qualidade e formação cidadã.PALAVRAS-CHAVE: Função social da escola. Gestão democrática. Projeto político- pedagógico.
CULTURA ESCOLAR E CONCEPÇÕES DE INFÂNCIAS: REGISTROS E DEPOIMENTOS SOBRE O TRABALHO DA PROFª. DE EDUCAÇÃO FÍSICA IVA DAMIANI (E.E.B. BARÃO DO RIO BRANCO, URUSSANGA 1955 À 1964)
Authors: Bez Birolo Paula Possamai , Costa Marli de Oliveira
Published: October 2019

Esse estudo trata de uma investigação aos Relatórios de Educação Física elaborados pela Professora Iva Damiani a Secretaria de Educação Estadual entre os anos de 1955 a 1964 e outros documentos elaborados pela professora e alguns depoimentos publicados em jornal sobre sua atuação como docente. O objetivo do trabalho é identificar nesses registros que concepções de infâncias eram adotadas pela professora. A metodologia utilizada foi a pesquisa documental e como categorias de análise foi necessário revistar os conceitos de infância e criança e o conceito de cultura escolar. Além dessas categorias foi preciso compreender a história da escola envolvida e a história da formação das professoras em Santa Catarina. As análises apontam que o trabalho da Professora Iva Damiani compreendia as crianças como adulto futuro, ou seja, a escola trabalhava para a preparação futura das crianças, o adulto que poderia ser.PALAVRAS CHAVE: Professora. Educação Física. Concepção de Infância. Cultura escolar.
A ARTE COMO DISCIPLINA EPISTÊMICA NO ENSINO BÁSICO
Authors: Castro Uelinton , Costa Aurea de Carvalho , Paes Paulo Cesar Duarte
Published: October 2019

A arte no capitalismo não é apenas uma expressão estética, mas tambem mercadoria, muitas vezes, reduzindo a obra de arte a mero produto ou interesses materiais de dominação histórica. Mas a arte também pode contribuir, dialeticamente, no âmbito da sensibilidade, para uma formação emancipadora, quando conserva sua característica intrínseca de signo do desenvolvimento espiritual da civilização. A partir da crítica à apropriação da arte com fins mercantis, o texto propõe uma formação artística na escola, que amplie as referências estéticas dos alunos, com vistas ao desenvolvimento de suas máximas capacidades e a produção para a emancipação humana, portanto, no âmbito do referencial teórico do materialismo histórico e dialético. Este texto é parte dos resultados de uma pesquisa de mestrado.
Uznanie za pracownika osoby zatrudnionej na podstawie umowy cywilnoprawnej
Authors: Świątkowski Andrzej Marian
Published: October 2019

Autor analizuje koncepcję pracownika wypracowaną w orzecznictwie Trybunału Sprawiedliwości UE (TSUE). Akcentuje autonomiczny charakter definicji „pracownika”, pod którym to pojęciem TSUE rozumie osoby świadczące pracę na podstawie umów cywilnoprawnych oraz samozatrudnione. Przedstawia kryteria stosowane w judykaturze unijnej pozwalające odróżnić zatrudnienie pracownicze od niepracowniczego. Podkreśla przepisy prawa pracy, materialne i procesowe, pozwalające zainteresowanym na uznanie za pracownika osoby zatrudnionej w ramach umów cywilnoprawnych.
O zakresie podmiotowym prawa pracy z perspektywy koncepcji work-life balance
Authors: Pietras Aleksandra
Published: October 2019

W Polsce znaczna część osób zatrudnionych na innej podstawie prawnej niż stosunek pracy świadczy pracę w warunkach zależności ekonomicznej. Z drugiej strony następuje odejście od klasycznego modelu podporządkowania pracowniczego, co wiąże się z większą niezależnością pracowników i stanowi konsekwencję rozwoju nietypowych form zatrudnienia także w ramach stosunku pracy. Biorąc to pod uwagę, warto zastanowić się, jak w przyszłości powinien się kształtować zakres podmiotowy prawa pracy. Pozycja społeczna wszystkich osób, dla których praca stanowi podstawowe źródło dochodów, a więc warunek godnego życia, jest coraz bardziej podobna, a negatywne następstwa konfliktów pomiędzy sferą życia zawodowego i prywatnego są tak samo dotkliwe, bez względu na podstawę prawną zatrudnienia. Interes społeczny wymaga więc, aby uwzględnić zagrożenia towarzyszące różnym formom świadczenia pracy.
Prywatne pośrednictwo pracy a świadczenie usług informacyjnych o miejscach pracy za pośrednictwem systemów teleinformatycznych
Authors: Barański Michał
Published: October 2019

Treść art. 18 ust. 1 pkt 1 oraz art. 18c ust. 2 pkt 4 ustawy z dnia 20 kwietnia 2004 r. o promocji zatrudnienia i instytucjach rynku pracy, z uwagi na ich daleko idącą niedookreśloność, rodzi pytanie o to, jaka jest wzajemna relacja obu tych regulacji, w szczególności, czy usługi wymienione w art. 18c ust. 2 pkt 4 wskazanej ustawy mieszczą się w zakresie pojęciowym pośrednictwa pracy czy też przeciwnie, stanowią one usługi, których nie można zakwalifikować jako pośrednictwo pracy. W artykule szczegółowo przeanalizowano regulacje związane z gromadzeniem (w postaci dokumentu elektronicznego) i udostępnianiem informacji o wolnych i poszukiwanych miejscach pracy za pośrednictwem systemów teleinformatycznych. Ukazano różnicę między biernym i czynnym pośrednictwem pracy, a także podjęto próbę wskazania reżimu prawnego umowy o świadczenie usług wymienionych w art. 18c ust. 2 pkt 4 wskazanej wyżej ustawy.
UM MODELO GERENCIAL DE ESTOQUE, CONTROLE DOS FORNECEDORES E SATISFAÇÃO DO CLIENTE EM RESTAURANTES DE COMIDA JAPONESA
Authors: Silva Rayane Vieira da , Mauri Gabriela De Nadai , Freitas Rodrigo Randow de
Published: October 2019

O setor de serviço está continuamente em expansão, especificamente no segmento de restaurantes há a necessidade de garantir a qualidade dos serviços e produtos. Assim, é necessário um bom gerenciamento de estoques e gestão integrada da cadeia de suprimentos, assim como a análise da qualidade dos serviços prestados a fim de identificar a satisfação dos clientes, a similaridade entre os critérios analisados e as possíveis falhas. A pesquisa foi executada entre março e junho de 2016, A técnica adotada foi um estudo de caso, utilizando abordagem qualitativa e quantitativa. Para a realização dos diagnósticos e a situação dos restaurantes, foram realizadas entrevistas com os donos das empresas e também com os clientes. Com isso, a amostragem considerada foi a não probabilística com abordagem por conveniência. Como resultado, não foi identificado um sistema sólido de gestão de estoque e controle de fornecedores e observaram-se os erros existentes, assim, por meio dos dados obtidos foi proposto um modelo para ambos com a utilização de métodos como classificação ABC e XYZ. É importante ressaltar a mensuração da qualidade dos serviços oferecidos e quais os fatores devem ser priorizados de acordo com a satisfação dos clientes nos restaurantes japoneses.