bluuebunny/crossref_metadata_2025 huggingface dataset:
Accidental Intramuscular Isoprenaline in Early Pregnancy: The Effects, Management and Outcome
Authors: Mostafi Mamun , Rahman Md Anisur , Mollick Md Torab , Haq Md Naimul , Rafi Ahmed
Published: April 2017

Isoprenaline is a beta-adrenergic agonist, used for the treatment of cardiovascular emergencies like hypotensive shock or sever bradycardia. This drug is not indicated to use in bolus form either intramuscularly or intravenously. Accidentally a 22 year old pregnant woman was given an intramuscular injection of two mg Isoprenaline. It was a lethal dose, fortunately the patient survived. This article narrated the events, the ECG changes, management and outcome of the patient and pregnancy.J Bangladesh Coll Phys Surg 2016; 34(2): 108-111
Testicular Tuberculosis with Tuberculoma of Brain in an HIV Negative Patient
Authors: Khanom Mehrunnissa
Published: April 2017

Isolated testicular tuberculosis without renal or pulmonary involvement has not been reported much earlier. The case of a young HIV negative patient with testicular tuberculosis and tuberculoma of brain has been presented. A 32 years old normotensive, non-diabetic farmer presented to emergency facility with sudden onset of severe headache, vertigo and vomiting that developed over 24 hours and mild pain, swelling of right hemiscrotum associated with low grade fever for last one month. On examination, patient was conscious, oriented, pulse rate was 72/min, blood pressure was recorded 130/80 mm Hg, body temperature was 99 degree F, genital examination revealed swelling of right hemiscrotum with enlarged, firm and mildly tender right testis. He refused full neurological examination due to severe Journal of Bangladesh College of Physicians and Surgeons Vol. 34, No. 2, April 2016 headache and vertigo. MRI of brain revealed multiple, hyperintense, ring-enhancing lesions over right cerebellar hemisphere and corpus callosum. Aspiration of scrotal fluid revealed about 50 ml of yellowish pus, microbiology confirmed presence of few acid-fast-bacilli and plenty of pus cells. FNAC from right testicular mass revealed presence of granuloma and caseation necrosis. His chest X-ray and CSF analysis were normal, ESR was 20, USG of abdomen, hepatic and renal work-up was normal. Soon the patient was started with category I antituberculosis drug along with intravenous steroids. An excellent symptomatic improvement developed on 5th day of initiating drug therapy, he was closely monitored and followed up after discharge. This case report was prepared with his full consent.J Bangladesh Coll Phys Surg 2016; 34(2): 112-114
The Netlike Skin Lesion -Cutis Marmarota
Authors: Islam Mohammad Rafiqul , Amin Md Robed
Published: April 2017

Abstract not availableJ Bangladesh Coll Phys Surg 2016; 34(2): 115
Letter to the Editor 34(2)
Authors: Sarder Md Hafiz , Jahan Muna Shalima
Published: April 2017

Abstract not availableJ Bangladesh Coll Phys Surg 2016; 34(2): 116-117
College News 34(2)
Authors: Azad Khan Abul Kalam
Published: April 2017

Abstract not availableJ Bangladesh Coll Phys Surg 2016; 34(2): 118-123
From the desk of editor in Chief 34(2)
Authors: Azad Khan Abul Kalam
Published: April 2017

Abstract not availableJ Bangladesh Coll Phys Surg 2016; 34(2): 124
Laryngeal Hamartoma in a Newborn
Authors: Sultana Jesmin , Nazme Nure Ishrat , Sarker Mukta , Chowdhury Rehana Begum
Published: April 2017

We report an interesting case of a neonate presenting immediately after birth with respiratory distress, inspiratory stridor and difficult intubation. During operative microlaryngoscopy, a well-delineated papilloma like elongated supraglottic mass was seen. The patient underwent surgery, and the diagnosis was confirmed histologically. Biopsy revealed tissue compatible with hamartoma including blood vessel, nerve bundle and cartilage plate. The mass was removed by direct laryngoscopy. Neonatal laryngeal hamartomas are extremely rare. In general, an excellent prognosis is associated with these lesions, and the treatment of choice is endoscopic surgical excision. To our knowledge, this is the first description of a neonatal laryngeal hamartoma in Bangladesh.J Bangladesh Coll Phys Surg 2016; 34(3): 172-174
Letter to the Editor 34(3)
Authors: Bala Chandra Shekhar , Banik Gobinda Chandra , Perveen Shaila
Published: April 2017

Abstract not availableJ Bangladesh Coll Phys Surg 2016; 34(3): 178-180
Haematuria: Do we always know the answer?
Authors: Uddin Md Mohsin
Published: April 2017

Abstract not availableKYAMC Journal Vol. 4, No.-2, Jan 2014, Page 369-370
Morbidity Pattern and Profile of Patients Attended at the Private Chamber of a Practicing Psychiatrist
Authors: Biswas Tanmay Prakash , Haider Burahan Uddin , Dass Saroj Kumar
Published: April 2017

Mental illnesses are of various types and all of them have a great impact on the life of the Sufferer, family members and on the society. This study was conducted by the author in the middle of 2002 to find out types of mental illness prevailing in the community on the patients attended at his private chamber. Total eighty new cases were attended during the study period. A semi structured questionnaire was used to collect relevant data and Mental State Examination was done by the author during clinical interview. Majority of the patients belonged to 11 to 30 year age group. Males were 65% and the rest were females. Muslims and Hindu patients were 86.25 and 13.75% respectively. A good number (11.25%) of the cases were married before 18 years of age and 22.50% had a family history of mental illness. Two-thirds of the cases were from rural background. Psychotic patients were 51.25%. Patients having Mental retardation, Headache and Psychoactive substance use disorder also present. Urban patients suffer more than rural. Findings of this may be helpful in assessing the present disease situation in our community.KYAMC Journal Vol. 4, No.-2, Jan 2014, Page 371-379
Studies on Socio-demographic Characteristics of Fungal Diseases Patients Attending at Out Patient Department of Rajshahi Medical College Hospital
Authors: Awal MA , Rahman AKM Shahidur , Asif Omair Abdullah , Khan Md Mohasin Abdullah , Haque M Ekramul
Published: April 2017

A total of 12,798 fungal diseases patients were interviewed about their socio-demographic characteristics attending the Skin and V.D. department of Rajshahi Medical College Hospital from July 2002 to June 2004. It was found that high prevalence of diseases was in age group 20-29 years (36.03%) and females were the more suffered group (55.39%) than the males (44.61%). Among the different occupations, housewives ranked first (37.05%) and shows a definite association with fungal infections due to sweating (P<0.001). Tinea corporis were highest in prevalence (36.48%) as compared to other clinical varieties of diseases. Majority of the patients were heavy sweating group (71.15%). It was showed that patients who washed their cloths and bed sheets within seven days were less suffered group (7.89%).The illiterate group of patients was highly sufferer (51.07%) and unawareness shows a definite association with fungal diseases (P<0.001). It was observed that low-income group of people had the highest number of diseases (59.45%) than the higher income group of patients (12.04%).KYAMC Journal Vol. 4, No.-2, Jan 2014, Page 380-385
Effects of Ocimum Sanctum (Tulsi) on Blood Glucose level of Alloxan induced Hyperglycemic Rats
Authors: Mahmuda Farzana , Akhter Marufa , Begum Rabeya , Chowdhury Jesmine , Parveen Feroza , Ahmed Jalal Uddin
Published: April 2017

Blood Glucose lowering properties of Ocimum Sanctum (OS), a renowned medicinal species, were assessed by measuring the levels of blood glucose in the plasma of the hyperglycemic Long Evans rats. The feeding of 1% powder of OS with normal diet for 21 days to hyperglycemic rats significantly reduced serum blood glucose level (p < 0.01). The present study suggests that the blood glucose lowering effects of OS probably serve as a new potential natural product for the treatment of hyperglycemia.KYAMC Journal Vol. 4, No.-2, Jan 2014, Page 386-390
Detection of Cervical Lymphnode Metastasis in Oral Squamous Cell Carcinoma by Ultrasonogram Guided Fine Needle Aspiration Cytology (FNAC) and Comparison with Computed Tomographic (CT) Findings
Authors: Azam Md Saiful , Rahman Quazi Billur , Akhter Mahmuda , Hossain Md Sakhwat , Asadullah Morshed , Rahman Syed Atiqur , Islam Md Shahidul
Published: April 2017

Background: Several imaging methods are using for investigating the presence and extent of nodal metastasis including Computerized Tomography, Magnetic Resonance Imaging, Radionuclide scintigraphy, Positron Emission Tomography and Ultrasound Guided FNAC. To find out the over all accuracy of detection of metastatic lymph nodes by two available and cost effective methods (Ultrasound Guided FNAC and CT scan) will help to make an effective treatment protocol.Objectives: This study opted to compare the relative sensitivity and specificity of Ultrasound Guided FNAC and CT scan in the detection of lymph node metastasis in oral squamous cell carcinoma.Materials & Methods: 37 patients were included with oral squamous cell carcinoma and both Ultrasound Guided FNAC and CT scan were done in all these patients. Later, following surgical excision, histopathology reports of the patient's neck nodes were collected.Results: CT scan of the neck nodes revealed 26 of the subjects having nodal metastasis; there was 1 (2.7%) false positive node and 1 (2.7%) false negative nodes. Sensitivity of CT scan test was found 96.15 % and specificity was found 90.9%. Positive predictive value and negative predictive value was found 96.15% and 90.9% respectively, and the accuracy was found 94.59%, Ultrasound Guided FNAC detected 25 (67.6%) metastatic lymph node. Among those 1 (2.7%) was false positive and 2 (5.4%) were false negative. It showed 92.3% sensitivity and 90.9% specificity. Positive predictive value and negative predictive value of the test were 96.0% and 83.3% respectively and accuracy was 91.89%.Conclusion: Ultrasound Guided FNAC was found comparable to CT scan in the evaluation the node metastasis. Both the two tests showed high sensitivity, specificity and overall accuracy.KYAMC Journal Vol. 4, No.-2, Jan 2014, Page 391-397
Effect of Oral Administration of Coriander Extract on Memory Boosting & Regaining in Wistar Albino Rats.
Authors: Jasira Mohamed , Sailesh Kumar Sai , Mukkadan JK
Published: April 2017

Coriander is cultivated throughout the world for its nutritional value. The present study was undertaken with an objective to study the effects of oral administration of coriander on memory boosting and regaining. Here we investigated the influence of oral intake of coriander on behavioural task performance by using T-maze and radial arm maze and physiological measures relative to a milk control group. We have observed significant memory boosting and memory regaining effects of coriander when administered orally. This effect may be due to memory-improving property and anticholinesterase activity of coriander. Hence we recommend that coriander can be used as a remedy in the management of Alzheimer's disease.KYAMC Journal Vol. 4, No.-2, Jan 2014, Page 398-401
Studies on Antifungal Activity and Brine Shrimp Toxicity Argemone mexicana
Authors: Nahar Ainun , Habib Anwar , Awal MA , Rahman AKM Shahidur , Mondal MA Gafur , Alam M Shah
Published: April 2017

The present study determined the antifungal activity of the root of extracts Argemone mexicana against 7 fungi using dichloromethane and methanol as solvent. Among these pathogens, 3 were dermatophytes and the rest 4 were nondermatophytes. The dichloromethane extract of Argemone mexicana exhibited moderate to good activity at concentration of 200 ?g/disc but at concentration of 50 ?g/disc, the same extract showed no activity against the tested fungi. The methanol extract were also inactive against the tested pathogens. In brine shrimp toxicity test, it was observed that LC50 value of the dichloromethane extract of Argemone mexicana was 22.35 ?g/ml. From these findings it is indicative that dichloromethane extract of Argemone mexicana is biologically active and may have antifungal principles that could be useful in fungal diseases.KYAMC Journal Vol. 4, No.-2, Jan 2014, Page 402-405
Biomarkers of Oxidative Stress in Normal and Pre-eclamptic Women
Authors: Ara Shahin , Nigar Taslima , Habib Md Anwar
Published: April 2017

Preeclampsia is a serious pregnancy complication. Little is known about which clinical risk factors are associated with the progression from normal to preeclampsia. Recent evidence suggests that the oxidative stress is one of the important factor associated with preeclampsia. High uric acid and MDA levels are indicative of oxidative stress. The purpose of this study was to evaluate the possible relationship between the biochemical markers (Uric acid & MDA) of oxidative stress in preeclamptic & normal pregnant women. In our study we investigated total number of 40 healthy pregnant and clinically diagnosed preeclamtic women. Among them 20 healthy (third trimester) normal pregnant women were taken as control group and another 20 clinically diagnosed PET women (at pre labour state) were taken as observational group. MDA and uric acid level were within normal range (2.63 ± 0.66 & 337.88 ± 16.52 ?mol/l ) respectively in normal pregnant women but significantly higher (3.74 ± 1.45 & 428.50 ± 23.65 ?mol/l ) in the group of preeclamptic women. This study review our current understanding of oxidative stress biomarkers ( Uric acid & MDA ) in preeclampsia and highlights that increased MDA and Uric acid levels are associated with preeclampsia.KYAMC Journal Vol. 4, No.-2, Jan 2014, Page 406-408
Role of Steroid in Adult Patients of Septic Shock - A Critical Analysis
Authors: Hasan Rajib , Kabir Humayun , Roy Taposh Chandra , Chowdhury Javed Sharoar , Yeasmin Farzana
Published: April 2017

" Sepsis and septic shock is the condition which has been with intensive care units from long before. In fact, it is one of the highly ranked diseases causing mortality in ICU patients. There are currently many evidence based practices in the management of septic shock and use of steroid is one of them. The aim of this article is to critically evaluate the evidences regarding the role of steroids in adult patients of septic shock. This article has also evaluated all the current evidences regarding details of the role of steroids including their formulation, dosage, duration and route of administration in patients of septic shock.KYAMC Journal Vol. 4, No.-2, Jan 2014, Page 409-414
Thyroid Function in Normal Pregnancy
Authors: Rahman M Hafizur , Chowdhury Mahbub Ara , Moni Sabiha Yasmin
Published: April 2017

Hormonal changes and metabolic demands during pregnancy result in alteration in the physiological and biochemical parameters of thyroid function. Among the many physiological alterations which may occur during pregnancy are thyroid enlargement, increased thyroid capability for iodine uptake and increase in serum thyroxine and tri-iodothyronine concentration. However these findings are not usually associated with symptoms of hyperthyroidism. To clarify the changes, a study was undertaken in Rajshahi Medical College Hospital when serum specimens were collected from individual woman at different stages of normal pregnancy and women married but non pregnant. Among the study subjects, 22 women were in their 1st trimester, 20 women were in their 2nd trimester, 32 women were in their 3rd trimester of normal pregnancy and 10 women were married but non pregnant. We have measured serum levels of total and free thyroxine (TT4 & FT4) and total and free triiodothyronine (TT3 & FT3 ) by using RIA. During the 1st trimester of pregnancy serum FT4 and FT3 concentrations are significantly higher than in non pregnant women and women in 3rd trimester. The concentration of FT4 and FT3 progressively declined as the pregnancy advanced and are to control level in the 3rd trimester. The mean serum TT4 and TT3 are significantly elevated throughout pregnancy in comparison to control.KYAMC Journal Vol. 4, No.-2, Jan 2014, Page 415-418
Kikuchi's Disease
Authors: Ahmed Sheikh Salahuddin , Ali Md Zulfikar , Laila Tarafdar Runa , Hoque Mohammad Rafiqul
Published: April 2017

Kikuchi's disease, also known as histiocytic necrotizing lymphadenitis, is a rare entity with classic clinical findings of cervical lymphadenopathy and fever. Although Kikuchi's disease does predominantly affect young women, it can appear at all ages; irrespective of gender. The rarity of the disease has led us to report this case. The clinical features and diagnosis have been discussed with review of literatures about this uncommon entity. Our patient, a young female of 20 years presented in a rural tertiary care hospital with features of upper respiratory tract infection and discrete lymphadenopathy on the left cervical region; fine-needle aspiration cytology revealed the diagnosis of Kikuchi's disease. She received a course of antibiotics and showed complete recovery over a month. Last follow-up about 3 years later till writing this report she was found normal. The cause of Kikuchi's disease is unknown, although infectious and autoimmune etiologies have been proposed. The disease usually runs a benign course with complete recovery. While rare, Kikuchi's disease should remain in the differential diagnosis during evaluating a patient having lymphadenopathy. Its initial clinical appearance is commonly similar to that of a lymphoma, and it can be pathologically misdiagnosed as such. Despite the fact that Kikuchi's disease is benign, an accurate diagnosis is important because misdiagnosis might lead to unnecessary surgery and/or chemotherapy.KYAMC Journal Vol. 4, No.-2, Jan 2014, Page 419-422
Concurrent renal cell carcinoma in one kidney and complete stag horn stone in the opposite kidney- a case report
Authors: Uddin Md Mohsin , Kabir Golam , Khan Md Rashed , Rahman Md Mezanur , Fatmi Rejwana , Islam Md Rashedul , Sarkar Roma
Published: April 2017

The simultaneous occurrence of renal cell carcinoma (RCC) in one kidney & stag horn calculus in another kidney is rare combination. We report a 60-year-old man with concurrent large RCC in one kidney & a complete stag horn stone in the opposite kidney. He was admitted to the hospital because of occasional right loin pain and recently diagnosed hypertension leading to the diagnosis of right renal stone and incidental left renal solid mass in ultrasound scan. Contrast enhanced CT scan revealed 8cm x 6 cm irregular contrast enhanced solid mass(RCC)in the left kidney with extension to perinephric fat and 2.5 cm x 1.5 cm stag horn stone with two small caliceal calculi in the right kidney. Open extended pyelolithtomy(Rt) followed by Laparoscopic left radical nephrectomy were performed. Priority, nature of surgery, and post operative residual renal functional status were among the important considerations in this particular case.KYAMC Journal Vol. 4, No.-2, Jan 2014, Page 423-426
Hydatid Cyst Of Lung
Authors: Rahman Md Lutfar , Badruzzaman Md , Mokhlesuzzaman AKM , Kabir Md Mainul , Chowdhury Md Masumul Gani , Hossain Md Alamgir
Published: April 2017

Lung hydatid cyst may be primary or secondary. In our case, the cyst was a single one locating in right middle lobe. Hydatidosis locating in different sites, particularly the liver may be associated. Initial growth of primary hydatidosis is asymptomatic. The evolution of the cyst may produce bronchial fistulization and intrapleural rupture. Breaking of primary visceral hydatid cyst in a vein or heart producing hydatidosis is rare. Progressive respiratory deficiency and right ventricular failure due to multiple malignant primary hydatidosis is a special form. The recognition of certain details of the lesion and discoverothers are not visible by conventional radiography, can be done by ultrasonography, computed tomography and magnetic resistance imaging. Surgery is the treatment of choice. Chemotherapy is used in general as a complement to surgical treatment to prevent recurrence. The goal of surgery is to remove the parasite and to treat the bronchialpericyst pathology with other associated lesions. The results are now commonly satisfactory. Prolonged air leakage and pleural infection are most frequent complication.KYAMC Journal Vol. 4, No.-2, Jan 2014, Page 427-430
Leiomyosarcoma of the Ovarian Vein: A Rare Cause of Flank Pain and Psychiatrist's Involvement
Authors: Hossain Mohd Farid , Rahman Anisur , Khan Iqbal Masud , Rahman Mohd Masudur
Published: April 2017

A 33 years aged gentle lady from Uttara, Dhaka, got admitted through emergency with moderate to severe right sided flank pain.Contrast enhanced CT scan of whole abdomen revealed a 4x3 cm size retroperitoneal tumour. She was explored and found to have a rare disease---soft tissue tumour arising from right gonadal vessels. Histopathology confirmed it as leiomyosarcoma of the right ovarian vein. Patient had post surgical smooth recovery. venous leiomyosarcomas are rare tumour that to from ovarian vein. Clinicopathological features, treatment and follow up of this case are discussed here.KYAMC Journal Vol. 4, No.-2, Jan 2014, Page 431-433
Determinants of Work Performance in Workers with Depression and Anxiety: A Cross-Sectional Study
Authors: Ivandic Ivana , Kamenov Kaloyan , Rojas Diego , Cerón Gloria , Nowak Dennis , Sabariego Carla
Published: April 2017

Depression and anxiety are highly prevalent disorders with an impact on existential aspects of person’s life, including employment i.e., work performance (WP). In order to develop appropriate strategies, it is essential to identify determinants of WP. The objective of this study was to identify the built, social, attitudinal and health system-related environmental determinants of WP in workers with anxiety or depression in total (N = 1211) and regarding the level of disability. Hierarchical binary logistic regression was performed on data obtained from implementation of the WHO Model Disability Survey (MDS) in Chile in 2015. Hindering aspects of means of transportation and workplace, and the use of personal assistance were determinants of WP for all workers with anxiety or depression. Results differed with level of disability. Hindering aspects of means of transportation and workplace, and discrimination were determinants of WP for persons with mild to moderate disability, while hindering aspects of the workplace and dwelling, and the use of personal assistance were determinants of WP for persons with severe disability. Our results emphasize the need for a broader understanding of determinants of WP and the requirement for an integrative approach in developing both universal and specific strategies that go beyond workplace settings.
Representational comparisons of health education for alcoholics: a study of AnCo-networks
Authors: Ribeiro Tito Lívio , Oliveira Marcia Aparecida Ferreira de , Martins Álissan Karine Lima , Vilela Alba Benemérita Alves , Filho Ismar Eduardo Martins , Franklin Thainara Araújo , Santana Maria Lydia Aroz D'Almeida , Lopes Cláudia Ribeiro
Published: April 2017

Introduction: the advancement of alcoholism on the population has already been characterized as a serious public health problem, requiring the development of actions and strategies to reduce the vulnerability of these individuals.

Objective: To know the social representations from the inducer term "health education for alcoholics", and also to identify sociodemographic and defining characteristics about alcohol consumption.

Method: this is a mixed approach of research, a type of transversal, census and exploratory, which included 121 students. We used the use of technique of free evocation of words to inducing term "Health education for alcoholics", and a questionnaire that identifies the aspects related to alcohol consumption and social issues involved.

Results: 56.2% of people have consumed alcohol, and 37.2% live with people that consume alcohol daily, and when asked about the knowledge of the parents towards the consumption of alcohol 46.3% respond positively, and 62.8% dialogue before the consummation, they were identified as core words: help, support groups, lectures or family.

Conclusion: Health education as practice should be represented by care networks in mental health of the Unified Health System - SUS, which are responsible for activities that provide reeducation to alcoholics, involving the family in the context.
Assessment Of Treatment For Hypertension In Primary Care
Authors: Girão Ana Lívia Araújo , Oliveira Glória Yanne Martins , De Freitas Rodrigo Jacób Moreira , Gomes Emiliana Bezerra , De Carvalho Rhanna Emanuela Fontenele Lima , De Freitas Consuelo Helena Aires
Published: April 2017

Background: Because hypertension is a multifactorial clinical condition, primary care in this  context consists in strategies for detecting and controlling the disease. Programs emphasizing 

this level of care incentive evaluative research as fundamental to generate mechanisms for quality assessment and control, as well as to provide information on the functioning and effectiveness of the health system. The present study aimed to evaluate the quality of health 

care provided for hypertensive users in primary health care. 

Methods and findings: This is an evaluative research conducted by triangulation of methods 

in which the quantitative and qualitative approaches were simultaneously used through 

observation, application of questionnaires, interviews and focus group data including 

managers, workers and users of a primary health care unit. The study showed that the health 

service has fulfilled its role of welcoming users through multidisciplinary teams as a gateway 

to the public system. However, the link between the health team and the community has been 

gradually undermined by the implementation of spontaneous demand with risk classification, 

compromising the continuity of treatment for hypertension.  

Conclusions: Multidisciplinary team and empowerment of individuals are fundamental for 

the qualification of care. However, the care provided for hypertensive users in primary care 

has in most cases been fragmented after the implementation of the system of free access with 

risk classification. This fact points to the need to adapt the care needs of hypertensive users to 

the new health care model.
An Epidemiological Profile of Accidental Tetanus Cases in a Referral Hospital, 2007-2013
Authors: Pereira Andressa Pedroza , Nunes José Ronaldo Vasconcelos , Da Silva Ivanise Tibúrcio Cavalcanti , Andrade Cecília Pessoa Paiva Dantas , De Araújo Hirla Vanessa Soares , Xavier Bárbara Letícia de Queiroz , De Oliveira Larissa Rolim , Mendes Solange Ribeiro , De Sousa Rozane Pereira , Da Silva Hermênnia Ferreira , Nunes Hérika Ferreira Batista
Published: April 2017

Objective: to describe the epidemiological profile of accidental tetanus cases in a referral hospital in the State of Pernambuco, during 2007-2013.

Method: this is a descriptive, retrospective, quantitative study based on secondary data.

Results: there were 126 cases confirmed. Most of them (88.9%) were male and from the urban area (77%). The most frequent professions were agricultural workers in general and masons (31.7%), with age group between 35-49 years old (39.7%). Drilling was the most evident injury (48.4%). The lower limbs were the most affected region (65.1%), and the predominant clinical sign was trismus (90.5%). The lethality rate was 19.0%, and the mean length of hospital stay was 49.4 days.

Conclusions: Accidental tetanus is an immune- preventable disease, the vaccine is highly immunologically effective. However, it remains a public health problem in Pernambuco, presenting high lethality and a long time in the service.
Cardiopulmonary Re-Immonation (CPR): How Long Should A Person Insist On Performing The Maneuvers?
Authors: Formiga Henrique José Bandeira , Nunes Elicarlos Marques , Bezerra Kévia Katiúcia Santos , Nery Jairio Dos Santos , Segundo Massabiel Rocha Arnaud , Bosco Maria Camila Bandeira Seixas , Dantas Geórgia Cristina dos Santos , Veras Damiana , Nunes Rosa Martha Ventura , Martins Edmara Da Nóbrega Xavier , Nunes José Hamylka Ventura , Cavalcante Moniza Karlla Silva , Alves Érica Surama Ribeiro César , Formiga Anne Milane Bezerra , Ferreira Allan Martins
Published: April 2017

Objetive: The study had the aim to describe the exact moment of interrupting CPR maneuvers in patients in CRP situations.

Method: This is an exploratory and descriptive research, with quantitative character and approach. It was performed with 67 (seventy-seven) nurses from a Regional Hospital, who were informed about the objectives of the same. There were included those who act in direct patient care; of effective position and contracted in the service; And with more than one (1) year of training. The instrument used for data collection was a questionnaire, previously elaborated, containing objective, subjective and non-inductive questions, which allowed the informant to answer the data pertinent to the study. It was found that the majority of the interviewees were women, aged between 31 and 35 years, specialists, with more than 4 years of training and 3 years of service, medical / surgical clinic attendees, and without reports of training.

Results: They demonstrated they know the exact timing of CPR maneuvers but reported that they would not apply CPR in situations in which the patient had cadaveric stiffness, decomposition, crushing of the skull and thorax, or a CPA report of more than 20 minutes. Faced with conditions in which the team could decide not to perform CPR, they reported not applying CPR in the vegetative state, in terminal or chronic patients.

Conclusion: Therefore, they conclude that the said moment of interrupting the protocol is determined in a personal and ethical way, that is, by the individuality of each situation.

Keywords: Nurses. Cardiovascular Stop. Cardiopulmonary resuscitation.
Immediate and Late Complications of Temporary and Permanent Hemodialysis Catheters
Authors: Brandão Brígida Maria Gonçalves de Melo , Angelim Rebeca Coelho de Moura , Freire Daniela De Aquino , Torres Kydja Milene Souza , Fernandes Michele Natália de Araújo , Abrão Fátima Maria da Silva , Carvalho Denise Maria Albuquerque , Sanches Luiz Miguel Picelli
Published: April 2017

This study aimed to identify the immediate and late complications of temporary and permanent catheters for hemodialysis in a nephrology service. This is an exploratory-descriptive study with quantitative approach, performed in a Nephrology center that is reference in the State and located in Recife/Pernambuco. The sutdy was conducted in the period from April to September 2015 using an instrument developed by the authors, consisting of socio-demographic and clinical data. The study included 40 patients who had a total of 57 complications. The most frequent immediate complication was hematoma (33.4%) and the most common late complication was decreased blood flow (46.1%). Results led to conclude that the nursing staff, in particular, should be alert to the occurrence of complications. For this, it is suggested that training and continuing education be developed as a way to improve the performance of the nursing staff before any sort of problem related to catheters for hemodialysis.

Key words: Complications; Catheters; Renal dialysis; Nephrology.
Nurses Records in Medical Records of a School Hospital
Authors: Cardoso Érika Leite da Silva , Santos Sérgio Ribeiro dos , Araújo Yana Balduíno de , Costa Maria Bernadete De Sousa , Ferreira Evyllâne Matias Veloso , Neves Nívea Trindade de Araújo Tiburtino
Published: April 2017

Objective: Describe the characteristics of the evolution of nurses in the medical records of patients admitted to a school hospital in the city of João Pessoa, PB, Brazil.

Methods: This is a descriptive, exploratory and documental, embodied in a quantitative approach. The source of study data were the records of patients of the Pediatric Clinic of Infectious and Parasitic Diseases (IPD), who were in the Statistical and Medical Archive Service (SMAS), in a time frame from April to October 2015. The analysis the data was performed, from the descriptive statistics, using a statistical software.

Results: Through the data collected, two characteristics were observed in the records: the general aspects and the focus of care. In general aspects, the developments were characterized as being absent from erasures, use of correctives, grammatical errors, non-standard abbreviations and generic terms. They proved to be legible and clear, using scientific terminology, the date and time stamp. However, it was found that there are many blanks. As the focus of care, the records contemplated the general condition, level of consciousness, respiratory pattern and eliminations.

Conclusions: Based on the foregoing, the concreteness of this study shows us that nurses need to be aware in order to provide a more qualified registration and, above all, standardized, ensuring continuity of care and promoting the evaluation of the implemented care.
Prevalence of Arbovirus Infections among Pregnant Women at a Maternity Hospital School
Authors: Figueiroa Maria das Neves , Menezes Maria Lúcia Neto de , Barbosa Adrielly Martins , Silva Ivanise Tibúrcio Cavalcanti , Monteiro Estela Maria Leite Meirelles , Santana Alef Diogo da Silva
Published: April 2017

Objective: Survey the prevalence of arbovirus infections among pregnant women provided with care at a maternity hospital school in Recife, Pernambuco, Brazil.

Method: Descriptive, cross-sectional, retrospective, and quantitative study, carried out with data collected from the notification forms filled in during obstetric screening between August 2015 and July 2016.

Results: Positive serology was found for arboviruses in 40.2% of the 103 suspected cases. Serology was not performed or it showed inconclusive results in 59.8% of the cases. Dengue fever occurred in 44% of the cases, chikungunya in 34%, and zika fever in 22%. Infections were more frequent among pregnant women over 20 years old, with low income and low schooling levels, living in Recife (48.5%) and Olinda, Pernambuco, Brazil (24.3%). The most frequently mentioned symptoms were arthralgia (94%), exanthema (82%), and fever (78%). Infections occurred within the first trimester of pregnancy (54.5%), 63.3% of the pregnant women had to be hospitalized, and 45.4% of them did not undergo morphological ultrasonography. Most babies were born full-term and they had adequate weight. The prevalence of microcephaly was 9.7% when considering cases of arbovirose and 62.5% when considering specific cases of zika fever.

Conclusion: The prevalence and repercussions of arboviruses justify the consolidation of actions to fight Aedes aegypti, as well as the effective deployment of clinical protocols and recommendations aimed at the mother and child care.
School and community relationship in the perspective of Health Promotion
Authors: Pinto Maria Benegelania , Silva Kênia Lara , Andrade Luciana Dantas Farias de
Published: April 2017

Goals: The aim of this study was to analyze the scientific production on the relationship between school and community in the perspective of Health Promotion.

Method: Integrative review. The search was guided by question: How has the relationship between school and community occurred in Health Promotion?

Results: Nine studies were selected in Portuguese, Spanish and English, published from April 2006 to April 2016. Most of the rescued studies showed that the type of relationship between school and community has based on actions that are not linked to the principles of Health Promotion, mostly focused on the individual, without considering collective issues, risk factors that cause illness, disconnected from the social context. Few studies present advances in Health Promotion with a critical-citizen perspective and experiences with the potential for the necessary establishment of the school and community relation.

Conclusion: Although the relationship between school and community in the perspective of Health Promotion presents as elementary and not deepened, the successful experiences show good prospects of overcoming. It is necessary to move forward and bring the relationship between school and community in a synergetic movement in favor of Health Promotion.

Descriptors: Health promotion; School; Community.
Timed Up And Go Risk Predictor Of Falls In Elderly People Residing In The Community?
Authors: Rodrigues Mayara Muniz Peixoto , Falcão Renata Maia De Medeiros , Veras Rafaella Felix Serafim , Barbosa Keylla Talita Fernandes , Oliveira Fabiana Maria Rodrigues Lopes de , Pereira Maria Auxiliadora , Pontes Maria de Lourdes De Farias , Fernandes Maria das Graças Melo , Vasconcelos Josilene De Melo Buriti , Oliveira Jacira Dos Santos
Published: April 2017

Objective: evaluate the risk of falls of elderly people residing in a community in northeastern Brazil using the “Timed up and go”.

Method: descriptive study, with a quantitative approach, performed with elderly people residing in a community. The collected data related to the sociodemographic and economic characteristics of episodes of falls in the last two years, regular practice of physical exercise and complaint of pain at the time of the interview; and, at last, the application of the “Timed Up and Go” test.

Result: Most of the elderly were classified as free and independent and independent. There is a direct relationship between advanced age and increased time to perform the test. Conclusion: the "Timed Up and Go" test was not effective in predicting risk of falls alone and should associate with other indicators.

Descriptors: Elderly people; Accidents by fall; Walking; Postural balance.
The ghost of Afrikaner identity in Ancestral voices, Leap year and The long silence of Mario Salviati (Etienne van Heerden)
Authors: Van Graan Mariëtte
Published: April 2017

Ghost characters are a characteristic of the novels of Etienne van Heerden, but little research has been done concerning the nature and function of these ghost characters. In this article I discuss Van Heerden’s use of ghost characters diachronically with reference to the novels Ancestral voices (1986), Leap year (1993) and The long silence of Mario Salviati (2000). In order to clarify the nature of these ghosts, I use the so-called science of the paranormal as a framework. The ghosts in the three novels will be classified accordingly, and then discussed within the context of the novels in which they appear. In this way, I shall show how the ghost characters in these novels can be read as a constantly changing embodiment of Afrikaner identity (a central theme in Van Heerden’s oeuvre). Van Heerden’s Afrikaner changes with the times: in Ancestral voices the ghost characters form a collective that represents a fragmented image of the stereotypical, archaic male Afrikaner identity; in Leap year a liminal character is written in a liminal time to embody a liminal Afrikaner identity; and in The long silence of Mario Salviati Van Heerden moves away from the exclusive Afrikaner identity to a broader South African identity by using ghost characters from very different backgrounds and origins. In conclusion I shall compare these identities and the historical contexts of these novels in order to show the function of Van Heerden’s ghost characters as constant rewritings of South African identities.
Curved reformat of the paediatric brain into a ‘Mercator/flat-earth map’ – A standardised method for demonstrating cortical surface atrophy resulting from hypoxic ischaemic injury
Authors: Chacko Anith , Simpson Ewan , Vedajallam Schadie , Andronikou Savvas , Thai Ngoc J.
Published: April 2017

No abstract available.
AQUISIÇÃO DE UM PROGRAMA MOTOR SEGUNDO O TIPO DE PRÁTICA: ESTUDO DE REVISÃO COM OLHAR PARA O EFEITO DE INTERFERÊNCIA CONTEXTUAL
Authors: De Conti Teixeira Costa Gustavo , Freire Auro Barreiros
Published: April 2017

A interferência contextual mostra relação entre o tipo de prática e a intensidade da interferência. Assim, esta revisão relacionou a interferência contextual com o PMG, na aquisição de uma habilidade motora. Buscou-se periódicos nas bases de dados SciELO, MEDLINE, MEDLINE/ PUBMED, Web of Science, Science, Wiley Online Library e Scopus, até o ano de 2015. Os resultados mostraram inconsistências entre o efeito de interferência contextual e a aquisição de programas motores. Entretanto, em conjunto, deram indícios de que a prática com alta interferência contextual promove efeito benéfico na melhoria da capacidade de parametrização do movimento e que deve ser inserida após a aquisição de uma estrutura, a qual é melhor adquirida através da prática constante.
Evaluating the Effectiveness of Asset Pricing Model before, during and after Financial Crisis 2008: Evidence from Karachi Stock Exchange
Authors: Hassan Waqar Ul , Hasnain Zeeshan , Hussain Shahbaz
Published: April 2017

The Study aims to explore the strength of arbitrage pricing model (APT) for determining stock returns of Karachi stock exchange (KSE) across three distinct and structured periods; before financial crisis period (2006-07), during financial crisis period (2008) and after financial crisis period (2009-10). The Study adopted descriptive statistics, Pearson correlation, linear regression, Random effect model for interpretation and execution of data. 253 financial and non-financial listed companies on KSE for the period of (2006-10) are considered as sample firms. Results of regression analysis indicated that models selected for the present study showed poor performance for measuring KSE returns. Independent variables showed significant behavior for measuring KSE returns in pre-financial crisis period; no statistical relationship for measuring KSE returns in during financial crisis period; insignificant nature for measuring KSE returns the post-financial crisis period. The Study has provided understandings about arbitrage theory applicability and financial crisis - 2008 impacts on KSE.
The Financial Inclusion Development in Palestine
Authors: Shihadeh Fadi Hassan , Hannon Azzam , Wang Xiu Hua
Published: April 2017

This papers presented the financial inclusion development in Palestine, includes the analysis and the discussion of the financial inclusion indicators and its comparison to other indicators in certain countries in the region.The indicators that were analyzed are the banking penetration and usage of banking services. We found that Palestine achieved a remarkable improvement to enhance the financial inclusion like branching and electronic tools, while the credits in Palestine in limited level same as in the MENA region.
A Brief Answer: Why is China's Aquaculture Industry so Successful?
Authors: Farquhar Samantha D. , Sims Sebastian M. , Wang Shu-Jiao , Morrill Kiera S.
Published: April 2017

As wild capture fisheries continue to be exhausted worldwide, aquaculture is being looked as the sustainable solution to meet the global fisheries demand. China is one of the most successful countries in the world when it comes to aquaculture. They produce more fish than they catch, simultaneously providing for their own country and the rest of the world. By contrast, the United States imports over 90% of its fisheries; its aquaculture industry meeting only 5% of the country’s total demand of fish. While the United States prides itself on being a world leader in several fronts, aquaculture is certainly not one of them. This makes anyone question: why is China’s aquaculture so successful? This manuscript works to answer this question briefly by identifying and exploring three notable characteristics of China’s aquaculture industry: (1) history; (2) size and diversity; and (3) government support and research. It goes on to suggest how the U.S. can improve it aquaculture industry based on the Chinese success story.
ANÁLISE DA INDÚSTRIA MADEIREIRA NA AMAZÔNIA: GESTÃO, USO E ARMAZENAMENTO DE RESÍDUOS
Authors: Ramos Wilson Fernandes , Ruivo Maria de Lourdes Pinheiro , Jardim Mario Augusto Gonçalves , Porro Roberto , Castro Rosecélia Moreira da Silva , Souza Larissa Melo de
Published: April 2017

Apesar da importância econômica e social da indústria madeireira, aindasão poucos os estudos envolvendo sua cadeia produtiva na Amazônia,principalmente com enfoque na gestão dos resíduos provenientes daprodução. Muitos deles estão nos bancos de dados dos órgãos públicos eprivados ligados à problemática ambiental e madeireira. O objetivo destetrabalho foi realizar, a partir de levantamento de dados, a sistematização e aanálise das informações, de forma a auxiliar na gestão da matéria-prima e dosresíduos resultantes do processo de industrialização da madeira, e contribuirpara o conhecimento sobre o estado atual da gestão dos resíduos provenientesdas indústrias. Também é proposta uma metodologia que permite estudossistemáticos, para contribuir com os órgãos públicos e privados ligados àproblemática ambiental e madeireira, com o objetivo de facilitar a realizaçãode outros estudos com a mesma temática. A indústria madeireira apresentouum baixo rendimento operacional e, por conseguinte, uma alta geração deresíduos que, caso não dispostos ou aproveitados de maneira correta, trazemproblemas ambientais (como a contaminação de rios, solos e ar) e sociais(como problemas respiratórios e proliferação de vetores de doenças quepodem afetar a população ao redor dessas indústrias).
A EXPANSÃO URBANA DA CIDADE DE ARARANGUÁ, SANTA CATARINA, NO PERÍODO DE 1957 A 2010 E SUAS IMPLICAÇÕES AMBIENTAIS
Authors: Marcon Luciléia , Zocche Jairo José , Ladwig Nilzo Ivo
Published: April 2017

Este estudo teve por objetivo mapear a expansão urbana da cidade deAraranguá, Santa Catarina, no período de 1957 a 2010, e analisar asimplicações ambientais sobre locais com cotas altimétricas baixas, áreasúmidas, entorno de nascentes e corpos d’água. O mapeamento e a elaboraçãode mapas temáticos se deram por meio de técnicas de geoprocessamento.Foi adotado o perímetro ocupado pela malha urbana, em 2010, como a áreapara análise multitemporal das mudanças ocorridas nas formas de uso ecobertura da terra. Sobre esse perímetro foi acrescido um buffer de 2 km deraio para a verificação dos espaços propícios à expansão urbana. O rápidoavanço da malha urbana de Araranguá sobre as áreas de preservaçãopermanente (APPs), assim como a degradação ambiental verificada, nosalerta para a urgência de uma revisão do Plano Diretor Municipal, bem comoo estabelecimento de programas de gestão territorial que tenham por basea interdisciplinaridade.
COLETA SELETIVA: INFLUÊNCIA NOS HÁBITOS DE DESCARTE DA POPULAÇÃO EM LAVRAS, MINAS GERAIS
Authors: Sadi Junior Hafez Tadeu , Amorim Juliana Campos , Ribeiro Marina Severo de Rezende , Ribeiro André Geraldo Cornélio , Fia Ronaldo
Published: April 2017

Este trabalho teve por objetivo determinar a influência da coleta seletiva noshábitos de descarte de resíduos sólidos domiciliares em Lavras, Minas Gerais,especificamente nos bairros: São Vicente, Caminho das Águas e Dona Flor, nosquais a coleta seletiva havia sido recentemente implantada; e CondomínioFlamboyants, Monte Líbano e Jardim Eldorado, nos quais a coleta seletivajá funcionava havia pelo menos cinco anos. Em outubro de 2013, aplicousenos bairros um questionário socioeconômico e de hábitos de descartede resíduos que contemplou a forma de separação dos resíduos para acoleta seletiva e o descarte dos resíduos domiciliares especiais. Verificouseque a população deve ser melhor informada sobre os resíduos sólidos,principalmente quanto à forma de separação. Conclui-se que a implantaçãode um processo de coleta seletiva sem a conscientização dos cidadãos não égarantia de bons resultados quanto à participação da população nem quantoà efetiva separação dos resíduos passíveis de reciclagem.