bluuebunny/crossref_metadata_2025 huggingface dataset:
Norwegian Public Library Language Cafés Facilitate Discourse Between Immigrants and Norwegian-Born Citizens
Authors: Krueger Stephanie
Published: March 2018

A Review of:
Johnston, J., & Audunson, R. (2017). Supporting immigrants’ political integration through discussion and debate in public libraries. Journal of Librarianship and Information Science, 29 May, 1-15. https://dx.doi.org/10.1177/0961000617709056

Abstract

Objective – To investigate if conversation-based language cafés in Norway provide a platform for improving communication between immigrants and Norwegian-born citizens, potentially setting the stage for better participation by immigrants in civic dialogues.

Design – Multi-site case study.

Setting – Public libraries in Oslo, Moss, and Horten, Norway.

Subjects – Language café participants (immigrants and Norwegian-born volunteers).
Methods – Participant observation and questionnaires for immigrants (Norwegian, English, Somali, and Arabic language versions) and volunteers (Norwegian language only) who took part in café activities.

Main Results – 64 immigrants (21 in Oslo, 30 in Moss, 13 in Horten) and 31 volunteers (7 in Oslo, 14 in Moss, 10 in Horton) completed questionnaires. Language cafés at all three sites led to informal, respectful discursive interaction between participants. Though each café had a unique set of participants and conversational topics, all cafés enabled immigrants to improve their Norwegian language skills while providing all participants with a place to meet new people, exchange information, and discuss political issues.

Conclusion – Having attended the cafés and improved their knowledge of Norwegian language and culture, immigrants at all three sites were potentially better equipped for future participation in the Norwegian public sphere.
Cummings, Merrill, and Borrelli’s Inquiry into Small Screen Use by Academic Library Users: Timing is Everything
Authors: Bomhold Catharine
Published: March 2018

A Review of: Cummings, J., Merrill, A., & Borrelli, S. (2010). The use of handheld mobile devices: Their impact and implications for library services. Library Hi Tech, (28)1, 22-40. https://doi.org/10.1108/07378831011026670
Abstract
Objective – The authors undertook this study to understand the relatively new phenomenon of handheld computing and the use of small-screen devices among academic library users. They sought to determine if users would be inclined to search the online library catalogue on their devices and, by extension, if there would be a growing demand for small-screen compatible library services.
Design – Online and paper surveys were used with both closed and open questions. Respondents included students, faculty, and staff at Washington State University (WSU).
Setting – Washington State University Library, Pullman, Washington, United States of America. Subjects – The survey was open to any user of the Washington State University (Pullman) Library. The 206 respondents included 126 (61.2%) undergraduates, 26 (12.6%) graduate or professional students, 32 (15.3%) WSU employees, and 15 (7.3%) faculty members. Methods – A survey was distributed both online and on paper. The online version used Surveymonkey.com and participation was solicited through various social media. It was open for three months during the Spring semester, 2007. The paper version was distributed to all library users on two days in June 2007. Eighty-four online and 122 paper responses were received.
Main Results – Most of the respondents (58.4%) who owned a personal digital assistant (PDA) or Web-enabled cell phone (WECP) indicated that they would search the library catalogue on a small-screen device. Responses to the open question “How would you use the OPAC [online public access catalogue] if it was available on a PDA or WECP?” were mixed, both positive and negative. The positive responders noted the possible time savings associated with the availability of more information on their devices. The negative responders noted the cost of data, the annoyance of public phone use, and the complex format of the current catalogue that would not transfer to a small screen.
Conclusion – The authors cited the growing usage trends in handheld devices, along with the willingness of current owners to use their devices, to predict an increase in usage of small screen searching. They speculated that further research should investigate how small screens would be used and what would that experience look like, rather than if patrons would use them.
University Community Engagement and the Strategic Planning Process
Authors: Newton Miller Laura
Published: March 2018

Objectives- To understand how university libraries are engaging with the university community (students, faculty, campus partners, administration) when working through the strategic planning process.

Methods- Literature review and exploratory open-ended survey to members of CAUL (Council of Australian University Librarians), CARL (Canadian Association of Research Libraries), CONZUL (Council of New Zealand University Librarians), and RLUK (Research Libraries UK) who are most directly involved in the strategic planning process at their library.

Results- Out of a potential 113 participants from 4 countries, 31 people replied to the survey in total (27%). Libraries most often mentioned the use of regularly-scheduled surveys to inform their strategic planning which helps to truncate the process for some respondents, as opposed to conducting user feedback specifically for the strategic plan process. Other quantitative methods include customer intelligence and library-produced data. Qualitative methods include the use of focus groups, interviews, and user experience/design techniques to help inform the strategic plan. The focus of questions to users tended to fall towards user-focused (with or without library lens), library-focused, trends & vision, and feedback on plan.

Conclusions- Combining both quantitative and qualitative methods can help give a fuller picture for librarians working on a strategic plan. Having the university community join the conversation in how the library moves forward is an important but difficult endeavour. Regardless, the university library needs to be adaptive to the rapidly changing environment around it. Having a sense of how other libraries engage with the university community benefits others who are tasked with strategic planning
An Action Research Approach helps Develop GIS Programs in Humanities and Social Sciences
Authors: Costello Laura
Published: March 2018

A Review of:
Kong, N., Fosmire, M., & Branch, B. D. (2017). Developing library GIS services for humanities and social science: An action research approach. College & Research Libraries, 78(4), 413-427.  http://dx.doi.org/10.5860/crl.78.4.413
Abstract
Objective – To develop and improve on geographic information systems (GIS) services for humanities and social sciences using an action research model.  
Design – Case study.  
Setting – A public research university serving an annual enrollment of over 41,500 students in the Midwestern United States.  
Subjects – Faculty members and students in the humanities and social sciences that expressed interest in GIS services.  
Methods – An action research approach was used which included data collection, analysis, service design, and observation. Interviews with 8 individuals and groups were conducted including 4 faculty members, 3 graduate students, and one research group of faculty and graduate students. Data from interviews and other data including emails and notes from previous GIS meetings were analyzed and coded into thematic areas. This analysis was used to develop an action plan for the library, then the results of the activity were assessed.
Main Results – The interviews revealed three thematic areas for library GIS service: research, learning, and outreach. The action plan developed by the authors resulted in increased engagement including active participation in an annual GIS day, attendance at workshops, course-integrated GIS sessions, around 40 consultations on GIS subjects over a two-year period, and increased hits on the Library’s GIS page. Surveys from pre- and post-tests in the workshops increased participants’ spatial awareness skills. Conclusion – Using an action research approach, the authors were able to identify needs and develop a successful model of GIS service for the humanities and social sciences.
Call for Applicants for EBLIP Journal: Production Editor
Authors: . .
Published: March 2018

No abstract.
EBLIP Panel Presentation at 2018 American Library Association Annual Conference
Authors: . .
Published: March 2018

No abstract.
EBLIP Gets an Upgrade
Authors: Kloda Lorie A.
Published: March 2018

none
Two-Wheeler Safety System for Accident Prevention, Detection and Reporting
Authors: C Priyanka , Darshini C Priya , Shavi Vinayak G , Begum Sarvar
Published: March 2018

The objective of this paper is to build a safety system which is integrated with the smart helmet and intelligent bike to reduce the probability of two-wheeler accidents and drunk and drive cases. The pressure sensor and the accelerometer sensor checks if the person is wearing the helmet or not. Alcohol sensors detects the alcoholic content in the rider’s breath. If the rider is not wearing the helmet or there is alcohol content found in rider’s breath, the bike remains off. The bike will not start until the rider wears the helmet and there is no alcoholic content present stating that rider did not consume alcohol. When the rider crashes, helmet hits the ground and sensors detect the motion and tilts of helmet and reports the occurrence of an accident and sends information of the location of accident to the family members of the rider and the emergency contact numbers.
Agriculture Robotics
Authors: Tejaswani G. , B Afroz. , Y Shruthi. , .S Sunitha
Published: March 2018

In this paper we are going to present about Agriculture Robot how farmer can perform plowing, seeding and grass cutting in fields. To perform this operation by using the agriculture robot we can reduce the labor work. We are using the android application to provide the input to the robot. By using GSM we are going to communicate with the robot. This system has three main sections like seeding, plowing and waste plant cutting. As per the user instruction the robot will perform the operation without human presence. It automatically stops when there is any abstracal comes in between and it sends the message regarding the abstracal to the user. By using, ultrasonic sensor it detects the abstract which comes in front of the robot.
Scope and Challenges of Internet of Things (IoT) in Kashmir
Authors: Maqbool Pala, M.
Published: March 2018

Internet of things is a fast growing technology that shall be shaping overall living standards of human beings all over the world. It, however like all other technological advancements, is dependent on certain factors. This paper tries to evaluate the scope, chances of growth and challenges that can hinder its survival in Kashmir.
A Text Recognizing Device For Visually Impaired
Authors: Tejaswani G. , B Afroz. , S Sunitha.
Published: March 2018

In the present world visually impaired people use Braille lipi language to read the books, but those books are available only in particular places like library etc. It has become very difficult for the visually impaired peoples to come out into the real world. Braille cannot be used in every place like in the mobiles, supermarket, and news papers. Due to this it has become difficult for the visually impaired people to read the text. To overcome this difficulties faced by the visually impaired, finger reader with speech assistance is used to read any printed text from the mobiles, news papers etc. we are using the assistive technology in this device to provide the assistance for the visually impaired people
Survey on Effect of Multimodal Interface on Senior Citizen
Authors: Mathew Aleena Susan , N Vidya .
Published: March 2018

Multimodal interface is designed within CAMI in which an Artificial Intelligent ecosystem integrates the main functionalities of AAL (Ambient Assisted Living) systems for senior citizen, which are its target users to fulfill their needs. It supports numerous languages. It can process both gesture and speech commands. It must work on different devices and adapt to any screen size. The interface is developed using HTML5, JavaScript, CSS3 and integrates Google Speech Service along with other services
Review on Logic Encryption Strategy Ensuring Key Interdependency
Authors: Padmaa M. , Divyadarshini S. , Keerthana M. , Parameswari T.S. Mohana , Priya K. Mohana
Published: March 2018

With the globalization of IC outline ﬂow, numerous fables organizations outsource the creation of their plan to off-site foundries. As these foundries may not generally be believed, it brings about security vulnerabilities and dangers, for example, forging, IP theft, figuring out, overbuilding and Hardware Trojans. Logic encryption has developed to be a potential answer for secure the plan against these dangers. It presents some additional equipment (key-gates) into the plan to conceal the usefulness from unapproved clients, utilizing security keys. The areas of addition of key-gates decide the nature of the security gave by the subsequent plan. In this paper, we examined pros and cons of few papers and propose a productive technique to defeat the IP theft
Recommender Framework for Sentimental Analysis using l-injection
Authors: Deepa P. , Roshini D.Eva , Bharathi V.Dhivya , Bhuvaneswari S.
Published: March 2018

We build up a novel structure, named as l-injection, to address the sparsity issue of recommender frameworks. Via precisely infusing low esteems to a chose set of unrated client thing sets in a client thing framework, we show that best N proposal correctness’s of different community oriented separating (CF) systems can be altogether and reliably moved forward. We initially embrace the thought of pre-utilize inclinations of clients toward a tremendous measure of unrated things. Utilizing this thought, we distinguish uninteresting things that have not been evaluated yet but rather are probably going to get low appraisals from clients, and specifically ascribe them as low esteems. As our proposed approach is technique rationalist, it can be effectively connected to an assortment of CF calculations. Through extensive investigations with three genuine datasets (e.g., Movielens, Ciao, and Watcha), we show that our answer reliably and generally upgrades the exactnesses of existing CF calculations (e.g., thing based CF, SVD-based CF, and SVD++) by 2.5 to 5 times overall. Besides, our answer enhances the running time of those CF techniques by 1.2 to 2.3 times when its setting produces the best precision
Military Based Security System Using Raspberry Pi
Authors: Kavitha S. , Varshini S.R.Kamali , Vijayalakshmi Mrs.P.
Published: March 2018

In today’s world Indian border military force is facing a huge destruction. Hence, most of the military organizations         take the help of military robots to carry out risky jobs which cannot be handled by humans. In this proposal, we design and implement in such a way that the robotic vehicle can enter into an area of higher risks, move and place wherever the object wants to go and captures intruder’s image. It has human detection Pi camera and temperature and gas detecting sensor that can provide precaution to potential crimes, fire and leakage of any gases. The credit card sized Raspberry Pi with Open Source Computer Vision (OpenCV) software controls the face detection algorithm and sends captured pictures to the user’s email via WI-FI. The pi-camera serves as the eye of the robot and provides us live video streaming. The biggest advantage of the system is that the user can get the picture of the intruder from anywhere in the world and can respond according to the risks in the situations.

 

      The prime objectives of this paper are:

To find the presence of an intruder - if detects, captures images and sends it to the given email address.

Enables control of the robotic vehicle –i.e. The robot can be moved in any directions from the user present in any location.

To find the presence of any gases present in the surrounding other than the normal air and warns the nearby person with its buzzing.

Can monitor the location at any remote distance via live surveillance.

To find the temperature of the environment
Simulation of Quasi Cascaded H-Bridge Five-Level Boost Inverter
Authors: Devika M. , Sundaraperumal M. , Rajkumar M.Valan
Published: March 2018

Multilevel inverters have become more attractive for researchers due to low total harmonic distortion in the output voltage and low electromagnetic interference. This paper proposes a novel single-stage quasi-cascaded H-bridge five-level boost inverter. The proposed quasi cascaded h-bridge five-level boost inverter has the advantages over the cascaded H-bridge quasi-Z-source inverter in cutting down passive components. Consequently, size, cost, and weight of the proposed inverter are reduced. A capacitor with low voltage rating is added to the proposed topology to remove an offset voltage of the output AC voltage when the input voltages of two modules are unbalanced. Besides, sinusoidal pulse width modulation techniques used here. PID controller is used to control the capacitor voltage of each module. This paper presents circuit analysis, the operating principles, and simulation results of the proposed system
Survey of new attack models on Cloud Infrastructure
Authors: Singh Har Preet
Published: March 2018

Cloud Computing is currently most useful technol- ogy around the globe which offers an innovative business models for infrastructure to the enterprise , software services to the end users and the easy to deploy platform to the developer on Internet using virtual machine , for the quick and easy accessibility. It     is Internet driven technology, which gives pool of resources such as Storage , Network , Application on demand basis. As the technology is driven over the Internet and virtual machine and allow resource pooling their are various kind of security problem arise relate to the model architecture, multi-tenancy, elasticity, data confidentiality, authentication and authorization. Various kind of attack could happen in cloud infrastructure ,as there      is no exact definition about the attack and attack  model  but here we try to group into a various levels eg. Network level, host level and application level and few other attacks and the solution to prevent the attacks. In this paper we will discuss about the different kind of attacks and solution on cloud services
The Critical Period of Corn Crops (Zea Mays L.) Due to Weed Competition on Various Soil Processing Systems
Authors: Girsang Warlinson , Wibowo Eko
Published: March 2018

The research was conducted in October 2016 - February 2017 at Huta Sait Buttu Saribu, Pematang Sidamanik sub-district of Simalungun district, altitude of place + 1100 m asl. The purpose of this research is to understand the critical period of corn crops (Zea mays L.) due to weed competition in various soil systems. The research implementation methodology used a split plot design (SPD) with randomized block experimental design. The treatment consists of two factors, namely the land treatment system (T) as the main plot and the weed investment period (W) as the subplot. The soil processing system consists of 3 types, i.e. without soil treatment (T0), minimum tillage (T1), and intensive tillage (T2). While the investment period of weeds is designed in 10 treatments, namely W1 = free weed for 0-15 DAP, W2 = free weed for 0-30 DAP, W3 = free weed 0-45 DAP, W4 = free weed 0-60 DAP, W5 = free weed until harvest, W6 = weeds from planting to harvest, W7 = weeds for 0-60 DAP, W8 = weeds for 0-45 DAP, W9 = weeds for 0-30 DAP, and W10 = weeds for 0-15 DAP. Each treatment was repeated 3 times. To determine the effect of the two treatments, observation towards the dominance of weeds (summed dominance ratio), the period of silk delay (day), height of plant (cm), root dry weight (g), leaf area (cm2), and dry seed production per plot (kg) is done. From the result of research data analysis, noted that soil processing system is influencing the root dry weight, plant height, total leaf area and seed production per plot, but the period of silk delay is not influenced by difference of soil processing system. The difference in weed investment time affects the period of silk delay, plant height, root dry weight, leaf area and seed weight per plot. The interaction of both treatments affects plant height, root dry weight, leaf area, and seed weight per plot. But period of silk delay is not influenced by the interaction of the two treatments. From the research results, concluded that the critical period of corn crop growth due to weed competition occurs when in the period of 0-60 DAP weeds are allowed to compete with corn crops
Implementation Of Teacher And Lecturer Policy At Vocation Education System Of The Indonesian Navy
Authors: Sutristyanto Isworo , . Sumartono , S. Haryono Bambang , Mindarti Lely I.
Published: March 2018

Nowadays, the policy of national higher education has an influence on  higher education in the Indonesian Navy in patterns and structures, types of education, educational outcomes or graduates of each educational strata. The human resources of the Navy were built by an using expert system with the field of each assignment being scholar soldier, with the development domain is Cognitive, Affective and Psychomotor Domains Granding. The equalization of graduates between academic and vocational education influences on the quantity and quality of standardized military lecturers as educators in the Navy education system which is harmonized with the prevailing national policy. Based on the existing gap due to the implementation of lecturer policy, the efforts that have been done, the purposes of this study are : 1) Describe and analyze the implementation of teacher and lecturer policy on Higher Education Vocation of the Indonesian Navy service vocation; 2) Finds the implementation model of policy of teacher and lecturer in higher education of vocation of the Indonesian Navy. In this research, the paper used Merilee S. Grindle model approach. It model uses to describe the implementation of policy of teachers and lecturers in higher education vocational service of the Indonesian Navy. The result of the policy implementation on vocation system of teacher and lecturer in higher education system of the Indonesian Navy has not given any significant result change, because there are still many obstacles in the process. The model of policy implementation of teacher and lecturer in higher education vocation of the Indonesian Navy officially started by synchronizing policy between the Higher Education Institution and the Indonesian Navy  then it is passed down to specific socialization program to support of lecturer policy objectives.
Effect of Leadership, Personality and Job Satisfaction On Job Performance of Diplomat
Authors: Hadiningrat June Kuncoro , R. Luddin Muchlis , Suyatno Thomas
Published: March 2018

This research aims to study the effect of leadership, personality and job satisfaction on diplomat performance in the Ministry of Foreign Affairs of the Republic of Indonesia. The research methodology was a survey with path analysis applied in testing hypothesis. It was conducted among 158 diplomats selected  by simple random sampling from 657 young diplomat population. Data analysis and interpretation indicate that (1) leadership has a positive direct effect on job performance of diplomat/diplomat performance, (2) personality has a positive direct effect on diplomat performance, (3) job satisfaction has a positive direct effect on diplomat performance, (4) leadership has a positive direct effect on job satisfaction, (5) personality has a positive direct effect on job satisfaction.
Analysis of consumer behavior in a small size market entity: case study for Vlora District, Albania
Authors: Kushta Elmira , Prenga Dode , Memaj Fatmir
Published: March 2018

In standard econometric application all variables are analyzed statistically before being used in mathematical models. In this framework we considered non-stationary distribution as an starting procedure on the study of consumer behavior in a local market area whereof non-homogeneity of buyers and small size effect could be present. By evaluation of the degree of non-stationary of the actual state for particular variable as observed, we hope to be able to estimate and interpret the model outcomes. Assuming the non-stationary of variables as indicator of the overall stet itself, we argue that the state where observation were made is non-stationary too, and for that reason, models are expected to not fit well. In the other hand, by dropping the significance level in model fitting process we expect to count for this instability whereas the model remains valid. Herewith, the logistic model for consumer behavior in our system is applied and calculated using significance level 0.85-0.90. Under such limiting constraint assumption we identified the variables that mostly affected the proportion between expense categories and the characteristics of the expenses that mostly describe the market consumer behavior in the unity studied. We hope that methodically this procedure could be helpful for other similar market or socio-metric study as well.
Occurrence of post-endodontic pain after single-visit RCT using Balanced Force technique and two reciprocating system when apical patency is maintained
Authors: Paredes Vieyra Dr. Jorge , Ocampo Acosta Fabian , Jiménez Enriquez Francisco Javier , Rojas Alvarado Rosendo Andres
Published: March 2018

Aim. The goal of this research was to relate the occurrence of post-endodontic pain after single-visit RCT using Balanced Force technique and two reciprocating system when AP is conserved.

Methodology: Two hundred and sixteen of 245 patients aged 18-65 years were incorporated in this research. All patients had teeth selected for conventional RCT for prosthetic reasons detected with only vital pulps. For hand instrumentation, Balanced Force were used. All canals were clean and shaped with hand Flex-R files. For mechanical shaping, all instruments were prepared with Protaper Next and Reciproc instruments in continuous brushing and reciprocating mode respectively. Final irrigation with cold (8oC) 17% EDTA served as a lubricant.

Results: The average age of the 216 participants registered in this research was 54 years. No statistically significant difference (p > .05) among the groups were found regarding degree or duration of pain. There was no statistically significant difference (p> .05) among the Balanced Force technique, PTN and R techniques in relation to the occurrence of post/endodontic ache at any of the three time points measured (Table 3, 4).

Conclusions. The incidence of post-endodontic pain is lower when AP is maintained and presence/absence of pre-operative pain has to be consider. When previous symptoms are present, occurrence and period of pain is longer in teeth with this condition that when AP is maintained. It can be established that conserving AP with a thin K-file can help to prevent post-endodontic pain in some specific cases.
Insulin Resistance and Glucose Dysregulation in HIV Treated Patients
Authors: Yancheng Prof. Xu , A. ALI Salama , Xiaoqi Ass. Prof Chen
Published: March 2018

The emergence of a new HIV infected elderly population as a result of chronic use of highly active antiretroviral therapy (HAART) has attributed to the increase of metabolic disorders particularly insulin resistance(IR) and diabetes, dyslipidemia and lipodystrophy.The pathogenesis of these metabolic derangements is complex and multifactorial and could be a consequence of an interplay between traditional age-related risk factors, HIV infection, antiretroviral therapy effects, the inflammatory effect and immune activation in this population. IR in HIV infection has numerous causes which include not only the direct effects of antiretroviral drugs but also factors such as aging and restoration to health accompanied by fat accumulation. Studies have shown that insulin levels increase over time with antiretroviral therapy, likely the result of improved health, fat accumulation, and aging, and that increases in visceral fat and upper trunk fat are associated with a higher risk of IR in HIV infected and uninfected individuals. Since metabolic and cardiovascular disease (CVD) increase with aging, knowledge of the optimal management of these conditions is essential for practitioners caring for HIV infected patients including endocrine subspecialists. This review aims to synthesize the current knowledge on insulin resistance and dysregulation of glucose on treated HIV population
Pre-Analytical Factors Influence Vitamin D Measurement In Clinical Laboratory
Authors: Alnagar Fahima A
Published: March 2018

It has been more than 90 years since the discovery of vitamin D and its capability to cure rickets in children. Recently, awareness is growing of the prevalence of vitamin D deficiency in the general population in association with an increased risk of several diseases. Analyses of vitamin D levels in blood samples provide direct measures of exposure to dietary or supplemented vitamin. This review is focused on the pre-analytical factors and challenges are known to affect the concentrations of vitamin D biomarkers. The pre-analytical measurement of disease relevant vitamin D deficiency in blood can vary as a function of differences in sample handling and processing. It could impact the accurate measurement of the diseases relevant vitamin D deficiency. Majority of the analysis in a clinical biochemistry laboratory requires serum or plasma as the analytical specimen and obtaining serum or plasma from a primary sample is an important step of pre-analytical procedure. Although vitamin D is considered as a relatively stable analyte, effect of pre-analytical conditions and stability of vitamin D in serum and plasma needs to be identified clearly.
Policy Evaluation Of Performances Allowance using System Dynamics Approach: Case Study Of Indonesia Navy
Authors: H. Nugroho Sukmo , Gunawan Kazan , .Madhakomala R.
Published: March 2018

Indonesia Navy (TNI-AL) has implemented a policy in the field of performance management to improve the professionalism of soldiers with the provision of performance allowance. Performance allowances (remuneration) are expected to improve the performance of personnel that will have an effect on improving organizational performance. However, this policy at the level of application still appears some potential problems. Nowadays, the policy has not given a significant influence on the performance, productivity and improvement of the personnel welfare of TNI AL. The provision of performance allowance is not based on achievement, weight and level of work risk on each personnel. The aim of this paper is giving analysis, studies, and research about how the application of remuneration allowance policy of Navy personnel and an impact on performance, soldiers welfare, and public services. This research uses system dynamics (SD) approach to answer a research problem. The result of paper was given analysis that professionalism aspect has weight 7,02; Soldier income aspect has weight 6,73; soldier capability aspect has weight 7,71. The final result showed that public service aspect has weight 4,88; Navy workload aspect has weight 7,18; Job risk aspect has weight 5,12. The final result showed that soldier welfare aspect has weight 6,75; Performance allowance aspect has weight 6,54; social status aspect has weight 6,11
Addison hastalığı ile renal tüberküloz birlikteliği
Authors: Ataman Hatipoğlu Çiğdem , Cesur Salih , Bulut Cemal , Ergün Emine , Kınıklı Sami , Karakök Taliha , Yağcı Serap , Demiröz Ali Pekcan
Published: March 2018

Renal tüberküloz akciğer tüberkülozunun lenfohematojen yayılımı
sonucunda gelişir.
Renal tüberkülozun en önemli bulgusu steril pyüridir. Gelişmekte olan ülkelerde
Addison hastalığının %10-15’inden tüberküloz hastalığı sorumludur. Tüberküloza
bağlı adrenal tutulum bilateral adrenal genişleme, atrofi ve kalsifikasyon
şeklinde görülebilir. Mycobacterium
tuberculosis komplekse bağlı adrenal bezlerin infeksiyonu hematojen
yaylılım sonucu gelişir. Klinik bulguları yıllar sonra belirgin olabilir,
asemptomatik infeksiyon oldukça sıktır. Bu yazıda, önceden Addison hastalığı
(adrenokortikal yetmezlik) tanısı alan 60 yaşında bir kadın hastada saptanan
renal tüberküloz sunuldu .
Indeterminismo y complejidad: problemas de la predicción científica en Popper
Authors: Ávila Roberto
Published: March 2018

En principio, Popper defiende que existe un único método para las ciencias naturales y sociales. Sin embargo, el uso de la predicción como test científico tropieza con la impredecibilidad de los hechos humanos, y con la consiguiente pluralidad metodológica de la ciencia. Por otra parte, también existen hechos naturales impredecibles, lo cual sugiere que la predicciónno señala el límite entre ciencias de la naturaleza y ciencias sociales. En el escrito se hace una revisión general del problema, se repasa la concepción de Popper acerca de la predicción y se hace un recorrido por algunos problemas del estudio de las ciencias sociales, que concluyen en la pertinencia de la complejidad enrelación a los prospectos de indagación en las ciencias, como propuesta de un límite metodológico más adecuado.
Análise da Revisão Cochrane: Antibióticos Destinados ao Tratamento da Bacteriúria Assintomática. Cochrane Database Syst Rev. 2015;4:CD009534.
Authors: Bigotte Vieira Miguel , Alves Mariana , Costa João , Vaz-Carneiro António
Published: March 2018

A bacteriúria assintomática é frequentemente detectada em mulheres com idade inferior a 60 anos, doentes com diabetes e doentes idosos. O benefício do seu tratamento com antibióticos é controverso. Esta revisão sistemática Cochrane teve como objetivo avaliar a eficácia e a segurança da utilização de antibióticos no tratamento de bacteriúria assintomática em adultos. Foi realizada revisão sistemática da literatura até 24 de fevereiro de 2015, através de pesquisa no Cochrane Renal Group´s Specialised Register. Foram incluídos ensaios aleatorizados controlados e quasi-aleatorizados nos quais doentes adultos tivessem sido tratados com antibiótico comparativamente com placebo ou ausência de tratamento. Foi avaliada a ocorrência de infeções do trato urinário sintomáticas, complicações, morte, qualquer efeito adverso, desenvolvimento de resistência a antibióticos, cura bacteriológica e declínio da função renal. Foram incluídos nove ensaios clínicos nesta revisão (1614 participantes). A ocorrência de infeções do trato urinário sintomáticas, complicações e morte foi semelhante entre grupos. A utilização de antibióticos encontrou-se significativamente associada a cura bacteriológica e a um número mais elevado de efeitos adversos, predominantemente ligeiros. Não se verificou agravamento da função renal com qualquer um dos tratamentos. De acordo com os ensaios clínicos incluídos nesta revisão, os autores concluem não existir benefício no tratamento da bacteriúria assintomática.
The Road towards the Responsible and Safe Legalization of Cannabis Use in Portugal
Authors: Baptista-Leite Ricardo , Ploeg Lisa
Published: March 2018

Introduction: Recently, the world has seen examples of the legalization of cannabis for recreational purposes. Due to the diversity of experiences in progress, it is urgent to analyze the impacts of this legalization, from a public health perspective. Therefore, this article aims to review the accumulated knowledge in the states and countries where the use of cannabis is legal and to ponder over the relevance of starting a similar path towards legalization in Portugal, thus supporting political decisions to be properly informed and evidence-based.Material and Methods: An extensive literature review was performed using databases and scientific journals, such as PubMed, as well as the search of institutional documentation, including the EMCDDA and SICAD.Results: The gathered information provided insights and enabled assessment of (1) the acute and chronic effects of cannabis use on health, (2) the Portuguese situation related to cannabis and (3) the processes and lessons learned after the legalization of cannabis in other countries or states. Given the above, and according to the data presented, the authors argue for a safe and responsible strategy towards the legalization of cannabis use in Portugal. In accordance, a set of concrete proposals are presented.Discussion: From a public health perspective, it is assumed that the interest of this proposal is to reduce the problematic use of cannabis, to effectively fight against illicit drug trafficking and drug-related crime, as well as health promotion and prevention of addictions and other adverse health impacts. This article reveals that the effects of legalization might, contrary to general beliefs, generate positive results with respect to these aims, given that there will be greater control on the market, price, quality, and information - to name a few - if implementation occurs with proper consideration and definition.Conclusion: The debate on the responsible and safe legalization of cannabis use in Portugal should be open and promoted, based on a public health perspective.
Carta ao Editor: Anafilaxia, Diagnóstico e Tratamento
Authors: Carneiro-Leão Leonor , Santos Natacha , Gaspar Ângela , De Anafilaxia e Doenças Imunoalérgicas Fatais Grupo de interesse da SPAIC
Published: March 2018

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Medicine and its Preventive Excesses
Authors: Gérvas Juan
Published: March 2018

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Errata a “Factors Influencing the Implementation of Screening and Brief Interventions for Alcohol Use in Primary Care Practices: A Systematic Review Protocol”
Authors: Rosário Frederico , Santos Maria Inês , Angus Kathryn , Pas Leo , Ribeiro Cristina , Fitzgerald Niamh
Published: March 2018

O artigo “Factors Influencing the Implementation of Screening and Brief Interventions for Alcohol Use in Primary Care Practices: A Systematic Review Protocol”, published on our edition January 2018 [Acta Med Port 2018 Jan;31(1):45-50] foi publicado com um erro na linha de autoria.Na página 45, onde actualmente se lê:Frederico ROSÁRIO[AC,1,2], Maria Inês SANTOS[3], Kathryn ANGUS[4], Leo PAS[5], Niamh FITZGERALD[4]Deve ler-se:Frederico ROSÁRIO[AC,1,2], Maria Inês SANTOS[3], Kathryn ANGUS[4], Leo PAS[5], Cristina RIBEIRO[1,6], Niamh FITZGERALD[4]Também nas informações de afailiação constantes em rodapé da mesma página 45, onde se lê:1. Institute of Preventive Medicine and Public Health. Faculty of Medicine. Lisbon University. Lisbon. Portugal.2. Tomaz Ribeiro Primary Health Care Center. Dão Lafões Primary Health Care Centers Grouping. Viseu. Portugal.3. Department of Pediatrics. Tondela-Viseu Hospital Center. Viseu. Portugal.4. Institute for Social Marketing (ISM). UK Centre for Tobacco & Alcohol Studies. Faculty of Health Sciences & Sport. University of Stirling. Stirling. United Kingdom.5.Academic Centre for General Practice. KU Leuven. Leuven. Belgium.Deve ler-se:1. Institute of Preventive Medicine and Public Health. Faculty of Medicine. Lisbon University. Lisbon. Portugal.2. Tomaz Ribeiro Primary Health Care Center. Dão Lafões Primary Health Care Centers Grouping. Viseu. Portugal.3. Department of Pediatrics. Tondela-Viseu Hospital Center. Viseu. Portugal.4. Institute for Social Marketing (ISM). UK Centre for Tobacco & Alcohol Studies. Faculty of Health Sciences & Sport. University of Stirling. Stirling. United Kingdom.5. Academic Centre for General Practice. KU Leuven. Leuven. Belgium.6. Quality Department. Directorate-General of Health. Lisbon. Portugal.Link para o artigo inicialmente publicado.
Resposta a Carta ao Editor: Ainda a Propósito do Delirium
Authors: Quaresma Filipa
Published: March 2018

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Letter to the Editor re: “The Role of Medical Students in Short-Term Experiences In Global Health: A Perspective From São Tomé Island”
Authors: Lin Henry C
Published: March 2018

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Pielonefrite Enfisematosa Fulminante Secundária a Neoplasia Urotelial com Fístula Renocólica
Authors: Elvas Ana Rita , Pereira Bruno Jorge , Carrega Filipa , Vicente Leopoldina
Published: March 2018

A pielonefrite enfisematosa é uma entidade pouco frequente e potencialmente fatal. O reconhecimento desta patologia permite a correta orientação precoce dos doentes. A diabetes e a obstrução ureteral são os principais fatores de risco identificados. Apresenta-se o caso de uma doente saudável, sem fatores de risco conhecidos, em que o motivo de ida ao serviço de urgência foi apenas uma dor lombar, acabando por evoluir com quadro de choque séptico nas primeiras horas. Os exames imagiológicos permitiram identificar a presença de gás perirrenal e subcutâneo o que orientou o correto diagnóstico (pielonefrite enfisematosa secundária a neoplasia urotelial fistulizada) e tratamento cirúrgico. Contudo, e como o estado clínico e analítico à admissão e no pós-operatório faziam prever a doente acabou por falecer. De referir ainda que este mesmo caso documenta uma bacteriemia por Sphingomonas paucimobilis (adquirida na comunidade) com lesões cavitadas a nível pulmonar (provável embolismo séptico).
Smoking Cessation after Bladder Cancer Diagnosis
Authors: Mota Paulo , Sousa Pedro Miguel , Botelho Francisco , Carvalho-Dias Emanuel , Cordeiro Agostinho , Torres João Pimentel , Morais Nuno , Anacleto Sara , Lima Estevão
Published: March 2018

Introduction: Smoking is an important risk factor for the development, recurrence and progression of bladder cancer. Our aim was to analyze smoking habits after diagnosis in bladder cancer patients. Additionally, we evaluated patient knowledge about smoking as a risk factor and the urologist role in promoting abstinence.Material and Methods: A cross-sectional, observational and descriptive study was performed in bladder cancer patients, diagnosed between January 2013 and September 2015 (n = 160) in Braga Hospital, in Portugal.Results: Smoking history was present in 71.9% of the sample, with 21.9% current smokers, (40.7% of abstinence after diagnosis). Smoking was acknowledged as a risk factor by 74.4% of the sample, with only 51.3% of ever smokers and 24.4% of non-smokers recognizing smoking as the leading risk factor (p = 0.008). The presence of other household smokers were significantly higher in patients who continued smoking (40%) than in ex-smokers after diagnosis (4.2%) (p = 0.005). The majority of smokers at diagnosis (83.1%) were advised to quit by their urologist, but only one smoker (1.7%) was offered any specific intervention to aid in cessation.Discussion: Smoking is not recognized as the leading risk factor for bladder cancer. This limited awareness, associated with the known difficulties in quitting smoking and the observed lack of smoking cessation interventions, may account for the high current smoking prevalence, albeit in line with other studies.Conclusion: This study highlights the need for efficient smoking cessation programs directed to bladder cancer patients.
Parasitose Palpebral por Carraça: Caso Clínico e Revisão da Literatura
Authors: Moreira Jorge , Maio Tiago , Sampaio Filipa
Published: March 2018

No âmbito da prática clínica oftalmológica, as parasitoses por carraças são incomuns. Os autores descrevem o caso clínico de uma doente de 73 anos observada por edema e eritema da pálpebra superior direita. O exame oftalmológico revelou uma carraça aderente à margem palpebral. A carraça foi removida usando uma pinça fina, e poucos dias após, houve regressão total dos sinais inflamatórios, sem registo de complicações. O parasitismo por carraças representa uma ameaça para a Saúde Pública, pois as carraças são vetores de inúmeros agentes infeciosos responsáveis por patologias potencialmente graves, como a doença de Lyme. As carraças podem também induzir reações cutâneas locais e, mais raramente, paralisia neuromuscular. A morbilidade associada à picada da carraça aumenta com a duração da parasitação, pelo que a carraça deve ser removida o mais rápido possível, e os doentes devem ser alertados para os sinais de possíveis complicações locais e sistémicas.
Challenges of Ageing in Portugal: Data from the EpiDoC Cohort
Authors: Rodrigues Ana Maria , Gregório Maria João , Sousa Rute Dinis , Dias Sara S , Santos Maria José , Mendes Jorge M , Coelho Pedro Simões , Branco Jaime C , Canhão Helena
Published: March 2018

Introduction: Portuguese adults have a long lifespan, but it is unclear whether they live a healthy life in their final years. We aimed to determine the prevalence of multimorbidity and characterize lifestyle and other health outcomes among older Portuguese adults.Material and Methods: We performed a cross-sectional evaluation of 2393 adults, aged 65 and older, during the second wave of follow-up of the EpiDoC cohort, a population-based study involving long-term follow-up of a representative sample of the Portuguese population. Subjects completed a structured questionnaire during a telephone interview. Socioeconomic, demographic, lifestyle behaviours, chronic diseases, and health resources consumption were assessed. Cluster analysis was done to identify dietary patterns. Descriptive and analytic analysis was performed to estimate multimorbidity prevalence and its associated factors.Results: Multimorbidity prevalence among older adults was 78.3%, increased with age strata (72.8% for 65 – 69 years to 83.4% for ≥ 80 years), and was highest in Azores (84.9%) and Alentejo (83.6%). The most common chronic diseases were hypertension (57.3%), rheumatic disease (51.9%), hypercholesterolemia (49.4%), and diabetes (22.7%). Depression symptoms were frequent (11.8%) and highest in the oldest strata. The mean health-related quality of life (EQ-5D-3L) score was 0.59 ± 0.38. Hospitalization in the previous 12 months was reported by 25.8% of individuals. Overall, 66.6% of older adults were physically inactive. ‘Fruit and vegetables dietary pattern’ was followed by 85.4% of individuals; however, regional inequalities were found (69% in Azores). Obesity prevalence was 22.3% overall and was highest among Azoreans (33%).Conclusion: The high prevalence of multimorbidity, combined with unhealthy lifestyle behaviours, suggests that the elderly populationconstitutes a vulnerable group warranting dedicated intervention.
Children Who Leave the Emergency Department Without Being Seen: Why Did They Leave and What Would Make Them Stay?
Authors: Sousa Rodrigo , Correia Cátia , Valsassina Rita , Moeda Sofia , Paínho Teresa , Oom Paulo
Published: March 2018

Introduction: Children who visit emergency departments and leave without being seen represent a multifactorial problem. We aimed to compare the sociodemographic characteristics of children who left and of those who did not leave, as well as to evaluate parental reasoning, subsequent use of medical care and patient outcome.Material and Methods: This was a prospective case-control study of a random sample of children who left without being seen and their matched controls from an emergency department during a three-month period. We performed a phone questionnaire to obtain information concerning reasons for leaving, patient outcomes and general feedback.Results: During the study period, 18 200 patients presented to the emergency department, of whom 92 (0.5%) left without being seen. Fifty-five (59.8%) completed the questionnaire and there were 82 controls. The most common reasons for leaving were ‘excessive waiting time’ (92.7%) and ‘problem could wait’ (21.8%). A significantly higher number of patients who left sought further medical care (78.2% vs 11%) but they did not experience higher levels of unfavourable outcomes.Discussion: The waiting time seems to be the major factor that drives the decision to leave. The fact that parents felt safe in leaving and the low level of adverse outcomes highlights the low-acuity nature of the majority of patients who leave.Conclusion: Reducing the waiting times may be the logical strategic mean to decrease the rates of patients who leave without being seen. However, our data seems to indicate that the concerns surrounding clinical outcome after leaving may be partly unwarranted.