bluuebunny/crossref_metadata_2025 huggingface dataset:
Modelling and Simulation of Compression Behaviour of 3D Woven Hollow Composite Structures Using FEM Analysis
Authors: Tripathi Lekhani , Chowdhury Soumya , Behera Bijoya Kumar
Published: March 2020

Three-dimensional (3D) woven spacer composites have the advantage of being lightweight and strong for use in various segments of structural engineering and automobiles due to their superior mechanical properties than conventional counterparts. In this investigation, the influence of different cell geometries of 3D woven spacer fabrics, namely rectangular, triangular and trapezoidal with woven cross-links, upon their mechanical behaviors, especially compression energy, was studied through FEM (finite element method). Cell geometries were changed into different heights and widths and evaluated through simulation and experiments. Simulation of the structure was carried out by the Abaqus platform, and validation of the results was done for the rectangular structure. It was found that compression energy increases with an increment in width, while initially, it shows the tendency to increase and subsequently decrease with an increment in height for the rectangular structure. Compression energy increases with an increase in the angle of the triangular structure; however, it shows the opposite trend in the case of the trapezoidal structure. The outcome of the result shows good agreement between simulation and experimentation values of more than 94% accuracy.
"Open to All Classes on Terms of Perfect Equality": The Association of Mechanics’ Institutes and the Establishment of “Adult” Education in Ontario, 1868-1895
Authors: Ferry Darren Neil
Published: March 2020

AbstractTypically, the Mechanics’ Institute movement in late nineteenth-century Ontario has been described by historians as an abject failure in providing educational opportunities for young working-class adults. However, under the direction of the Association of Mechanics’ Institutes of Ontario (1868-86), Mechanics’ Institutes across the province were specifically designed to assist individuals from all social classes and across gender lines to upgrade educational skills that were sorely lacking. As a result, the Association of Mechanics’ Institutes of Ontario was an influential and fairly effective transition instrument of the educational state, a bridge between voluntary and rather haphazard way in which education for the working classes was handled before mid-century and the complete takeover of “adult” education by the Ontario Department of Education in 1895.RésuméÀ la fin du dix-neuvième siècle en Ontario, le mouvement des instituts mécaniques a été souvent qualifié d’échec total en terme d’opportunité de formation pour les jeunes adultes travailleurs. Cependant, sous la direction de « The Association of Mechanics’ Institutes of Ontario » (1868-86), les instituts mécaniques partout dans la province ont été conçus spécifiquement pour aider des personnes de toute classe sociale et des deux sexes à améliorer leurs habiletés déficientes dans différents métiers. Par conséquent, l’Association a été un instrument valable et assez efficace de formation professionnelle. Elle fait la transition entre une instruction incomplète et peu rigoureuse offerte aux travailleurs à cette époque et l’organisation formelle de l’éducation aux adultes prise en charge par le Département de l’éducation de l’Ontario en 1895.
O coronelismo de Victor Nunes Leal e a modernização conservadora: colocações iniciais
Authors: Faleiros Juliana Leme , Almeida Silvio
Published: March 2020

O Estado brasileiro tem, em sua formação, características peculiares que, de alguma maneira, ainda são detectadas. Dentre elas, aponta-se o patrimonialismo, isto é, o desapreço pela separação entre público e privado. Apesar da compreensão corrente de que esta forma de Estado foi suplantada com Getúlio Vargas, no presente trabalho propõe-se a leitura de que persistem sinais de patrimonialismo que podem ser articulados à categoria de modernização conservadora. Uma das obras célebres do pensamento sociopolítico brasileiro que trata do patrimonialismo é Coronelismo, enxada e voto: o município e o regime representativo no Brasil, de Victor Nunes Leal. Por esse livro, cabe investigar de que maneira é possível apreender o processo de modernização conservadora. A metodologia foi a revisão bibliográfica, alcançando, ao final, o entendimento de que a obra pode revelar o modo pelo qual o Brasil se modernizou bem como o Estado se consolidou.
ANALISIS FAKTOR PENYEBAB PERILAKU TANTRUM PADA ANAK AUTIS
Authors: Firdaus Firdaus , Santy Wesiana Heris
Published: March 2020

Autisme adalah gangguan perkembangan yang kompleks, diklasifikasikan sebagai anak-anak luar biasa yang sangat beragam, tidak aman, agresif, kurang menanggapi atau bahkan berlebihan terhadap rangsangan eksternal, dan menggerakkan anggota tubuh mereka secara tidak wajar dan dapat memengaruhi perilaku mereka, yaitu amukan, Orang tua menentukan tingkat peningkatan yang perlu dicapai oleh anak. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang menyebabkan perilaku anak autis di Yayasan Nathanisa, Surabaya. Penelitian ini menggunakan desain kuantitatif dengan desain penelitian cross-sectional. Sampel diambil dengan teknik simple random sampling. Menggunakan data primer, dengan menganalisis anak autis dan ibu dari anak autis. Analisis data menggunakan uji regresi logistik biner statistik. Dari hasil uji regresi logistik biner diperoleh bahwa yang paling berpengaruh pada perilaku tantrum adalah dukungan orang tua tentang diet bebas gluten dan kasein dengan hasil p = 0,000. Dukungan orang tua dalam mempersiapkan anak untuk gizi sangat penting karena gluten dan kasein akan meningkatkan amukan pada anak-anak. Diharapkan orang tua selalu memperhatikan anak-anak autis sehingga amukan tidak terjadi
HUBUNGAN TINDAKAN CUCI TANGAN PAKAI SABUN DENGAN KEJADIAN DIARE PADA BALITA DI RW XI KELURAHAN SIDOTOPO, KECAMATAN SEMAMPIR, KOTA SURABAYA
Authors: Radhika Aulia
Published: March 2020

Diare merupakan satu dari banyak penyakit yang sering di temui di masyarakat. Diare berhubungan dengan system pencernaaan yang ditandai dengan buang air besar encer lebih dari tiga kali dalam sehari. Berdasarkan data puskesmas Sidotopo menunjukkan bahwa diare masuk dalam enam penyakit teringgi di poli umum dengan rentang usia terbanyak pada usia satu sampai dengan empat tahun. ditemukan sebanyak 685 kasus. Tangan merupakan perantara penyebaran kuman penyakit, oleh karena itu perilaku cuci tangan pakai sabun merupakan salah satu cara untuk mencegah timbulnya mata rantai penyebaran berbagai penyakit menular seperti diare. Tujuan penelitian ini adalah menganalis hubungan antara tindakan cuci tangan pakai sabun dengan kejadian diare pada balita di RW XI kelurahan Sidotopo, kecamatan Semampir Kota Surabaya. Jenis penelitian ini observasional dengan menggunakan pendekatan cross sectional, Sampel ditentukan dengan metode Cluster Random Sampling. Balita di RW XI Kelurahan Sidotopo yang mengalami diare berjumlah 33 balita dari 60 responden. dari hasil perhitungan hubungan dengan menggunakan chi square didapatkan hasil p=0,013 dengan α=0,05 (p<α) sehingga dari hasil tersebut dapat diartikan terdapat hubungan antara perilaku cuci tangan pakai sabun dengan kejadian diare pada balita di RW XI kelurahan Sidotopo Surabaya. Kejadian diare di kelurahan sidotopo Surabaya disebabkan oleh beberapa faktor yaitu tindakan masyarakat dan lingkungan salah satunya adalah karena cuci tangan yang tidak benar dengan demikian diperlukan perhatian khusus sejak dini oleh orangtua kepada balita dengan cara praktis untuk memutus salah satu rantai penyebaran diare dengan cuci tangan pakai sabun.
Road Accident Reconstruction Using On-board Data, Especially Focusing on the Applicability in Case of Autonomous Vehicles
Authors: Pinter Krisztian , Szalay Zsolt , Vida Gabor
Published: March 2020

The application of Event Data Recorder (EDR) in passenger cars and vans has been compulsory in the USA since 2014. In the European Union, every passenger car and vehicle manufactured and released must have e-call systems since April 2018. However, neither the data recorded in Event Data Recorders regulated by the current standards nor the data recovered from e-call systems are enough to reconstruct the movements of the vehicle before and after the accident to a degree that the accident could be analyzed in the perspective of liability. The continuous expansion of autonomous vehicle functions – which will inevitably lead to completely autonomous vehicles – makes it particularly justifiable that all vehicles should possess EDR functions and that these data recorders shall store the satisfactory number of parameters for the vehicle's full movement reconstruction.In the article, we will present a process of defining a data package – which will include a definition process for both the data points and the frequency of measuring and recording – that enables the post-event reconstruction of the full motion process, the vehicle movements and the evaluation of liability issues in both regular and irregular operation of autonomous and partially autonomous vehicles.
Dostosowanie sposobu organizacji czasu pracy do obowiązków rodzinnych w Polsce
Authors: Baranowska-Rataj Anna , Rynko Maja
Published: March 2020

This paper presents a diagnosis of reconciliation of work and parenthood in Poland based on the data from the European Labour Force Survey ad hoc module “Reconciliation between work and family life” carried out in 2010. These data provide information on the following options of combining work with parenthood duties: (1) part-time work (2) flexible arrangements of working time (3) distance work. We compare the conditions for combining work with parenthood duties in Poland with opportunities observed in other European countries. We also show to what extent the conditions for reconciliation of work and parenthood in Poland have improved in time. We make an overview of legal regulations related to combining work with childcare duties and indicate the opportunities for improvement of these policies.
Specyfika przemieszczeń wewnętrznych osób starszych w Polsce
Authors: Kałuża-Kopias Dorota
Published: March 2020

The purpose of this study is to identify regularities in internal migration of elderly people in Poland. In the analysis we focus mainly on directions of migration (urban, rural), demographic structure of migrants, and spatial distribution (at voivodeship level) of senior migrants. The study is based on results of the 2002 and 2011 National Population and Housing Censuses and current reports of the Statistical Central Office.

The results show that an increase in average life expectancy in good health leads to postponement of decisions to migrate to a later stage of life. It is reflected in a rise in the number of married persons amongst seniors changing a domicile. In case of persons in advanced age, who are usually single, less educated and of poor health, the migration is often a result of necessity rather than choice. The results of the 2011census indicate that current senior migrants are relatively younger than those who migrated a decade earlier. This suggests that the existing pattern of forced migration of seniors has changed to voluntary moves in Poland.
Demographic projections by religion and education in India
Authors: Stonawski Marcin , Potančoková Michaela , Skirbekk Vegard
Published: March 2020

Studying religion jointly with education allows one to produce more precise projections of the size and structure of religious communities. India’s religious groups are characterized by large differences in their education and fertility levels. Among those with secondary or more education, there tends to be low variation in fertility, while for those without any education, fertility is high and varies substantially. For India, if fertility differentials were constant and there was no increase in educational enrolment, the Indian population would grow from 846 million in 2000 to more than 2.3 billion in 2050, while the Hindu population would change from 80.2% to 76.4% and the proportion of Muslims would rise from 13.4% to 19%. If fertility converges and education levels increases, the population would increase to 1.7 billion by 2050, with 78.2% Hindus and 16.5% Muslims.
Informal support for the elderly in the context of their living arrangements in selected European countries
Authors: Kurkiewicz Jolanta , Soja Ewa
Published: March 2020

The main objective of this paper is to analyze the informal support for the elderly experiencing problems in everyday life connected with physical, mental or emotional fitness. The analysis covers groups of countries chosen from the participants of SHARE project. The multinomial logit model has been used in order to verify the hypothesis that such problems determine the living arrangements of the elderly. The binomial regression model has been used in order to answer a question if informal support from outside the household obtained by the people experiencing problems in everyday life is determined by the type of the household and by social and demographic characteristics of the individuals receiving the support. In conclusion we state that the occurrence of difficulties in everyday life does not affect the chance of living in a one-person household. For the other types of the households the aforementioned influence turns out to be significant only for selected countries. In all investigated countries, for people experiencing difficulties in everyday life, a significant influence of the type of the household on receiving help from outside the household has been observed. In future research, a closer attention should be paid to elderly people living alone and to incorporating various types of limitations in everyday life separately for men and women. For better explanation of the differences between post-transitional and the other European countries the formal and institutional supports should be introduced.
Uwarunkowania satysfakcji zawodowej starszych pracowników w Polsce
Authors: Soja Ewa
Published: March 2020

The current study investigates the role of job satisfaction in the light of population ageing in European countries. By increasing employees’ job satisfaction it is possible to counteract the consequences of labor force ageing and shrinking. In this context, this study aims to indicate factors that differentiate the level of job satisfaction of older workers in Poland. It also seeks to identify determinants of the greatest job satisfaction or lack of thereof. The analyzed factors include job characteristics and individual characteristics of employees. The study is based on data for Poland from the SHARE project. The analysis employs probit and logit models. Job characteristics that were found to determine job satisfaction, include support, recognition, salary, and opportunity to develop new skills. The most important individual determinants comprise physical health and living arrangement. The determinants of the greatest job satisfaction, among job characteristics, include first and foremost support and opportunity to develop new skills. With respect to individual characteristics, the most important determinants involve living arrangement, sex, and physical health. Lack of job satisfaction is determined first and foremost by salary, and next by recognition, opportunity to develop new skills, and physical and mental health.
Kierunki zmian w instytucjonalnej opiece nad dziećmi do lat 3 w świetle oczekiwań rodzin – studium przypadku
Authors: Szczepaniak-Sienniak Joanna , Kośny Marek
Published: March 2020

New solutions in the field of childcare under the age of 3 were introduced in Poland in 2011. This article, based on a survey conducted among Wroclaw families, provides arguments for the thesis that actual implementation of these new solutions is by far insufficient. An analysis of the instruments showed that nurseries are the most popular and recognizable ones – in contrast to other quite unpopular services, such as children’s clubs, daily caregivers and nannies employed on a contractual basis. The results of the research presented in this article, indicate the existence of constraints on both the supply side, including issues related to financial, legal and organizational aspects, as well as on the demand side. The new solutions introduced in 2011 seem not to fully meet the expectations of families.
Podział obowiązków w gospodarstwach domowych w Polsce: analiza sezonowości pracy domowej i zawodowej
Authors: Marszałek Marta
Published: March 2020

The analysis based on data from the Time Use Survey 2013 presents how household activities related to paid and unpaid work are distributed between women and men in Poland. The share of persons involved in selected activities at the defined time is presented. The 24‑hour rhythm of paid and unpaid work refers to weekdays (working days and weekends separately) and months. The analysis covers different groups of households, defined by the source of income and household living arrangements. The results confirm the hypothesis about double burden of women imposed by the asymmetric allocation of household duties between women and men, irrespectively of the source of household income. They also demonstrate how living arrangements contribute to the differences in paid and unpaid work of women and men.
Пірогенні зміни ґрунтів соснових насаджень
Authors: Voron V. P. , Melnyk Ye.Ye. , Ivanicheva Ye. V. , Timochuk I. V. , Tkach O. M.
Published: March 2020

Унаслідок низових пожеж відбуваються зміни фізико-хімічних і біологічних властивостей ґрунтів. Досліджено пірогенні зміни властивостей ґрунтів у чистих соснових лісах, що ростуть у різних природних зонах України. У соснових насадженнях після низових пожеж у результаті як часткового, так і повного згорання підстилки утворюється попіл, що в подальшому впливає на хімізм верхнього шару ґрунту. Подібні особливості відзначали в різних природних зонах України. Надходження попелу в ґрунт призводило до зростання рН верхнього гумусового горизонту. Оскільки таке явище є одноразовим, то в подальшому після дощів значення рН водного витягу знижувалося до природнього рівня. Причиною пірогенних змін є високий уміст у попелі лужних металів. Інтенсивність змін реакції та вмісту лужних катіонів залежить від рівня згорання підстилки. Найбільш відчутними є зміни у разі повного згорання підстилки. Зазначені зміни мають поверхневий характер, тобто переважно притаманні лише верхньому шару ґрунту. На більшій глибині реакція не відрізняється від контролю.
Основні показники вогнестійкості сосни звичайної в умовах Лівобережного Лісостепу
Authors: Sydorenko S. H. , Voron V. P. , Sydorenko S. V. , Bolohov O. M.
Published: March 2020

Метою дослідження є визначення основних морфометричних показників вогнестійкості дерев сосни звичайної в умовах свіжого субору Лівобережного Лісостепу та їхніх вікових змін. На відміну від пожежостійкості, вогнестійкість визначає ступінь потенційної спроможності дерева зберігати свою життєдіяльність на індивідуальному рівні після пірогенних пошкоджень. Виявлено, що верхня межа розташування грубої кори найбільше залежить від діаметра (r = 0,97) та віку дерев (Ff = 83,2, Fst = 1,8). Визначено, що товщина кори на всіх висотах заміру зазвичай є більшою в дерев із більшою висотою верхньої межі розташування грубої кори, в зоні переходу грубої кори в тонку вона становить 0,1–0,9 мм. Товщина кори в окоренковій частині дерев сосни звичайної в 10–15 разів перевищує товщину кори в тріщинах, де вона становить 1,5–5,8 мм, тому під час низових пожеж є ризик локального ураження камбію вздовж тріщин. Враховуючи отримані результати, було розроблено статистично-математичну модель, за якою можна оцінювати висоту верхньої межі розташування грубої кори дерев у сосняках.
Прогнозування постпірогенного відпаду в сосняках, пошкоджених літніми низовими пожежами, у Лівобережному Лісостепу України
Authors: Sydorenko S. H. , Liubchych A. M.
Published: March 2020

Пожежі є одними із найнебезпечніших чинників дестабілізації лісів. У зв’язку зі зростанням посушливості клімату ризик збільшення частоти й масштабів лісових пожеж залишається високим, тому актуальним є розроблення науково обґрунтованих заходів із пом’якшення екологічних, економічних та соціальних наслідків лісових пожеж. Удосконалено та уточнено показники, що характеризують візуальні прояви пошкодження дерев після низових пожеж, та показники вогнестійкості середньовікових дерев сосни звичайної (Pinus sylvestris L.). Виявлено, що в міру збільшення середньої висоти нагару на стовбурах зростає частка відпаду в досліджуваних групах дерев (r = 0,87, tф = 5,80, t0,01 = 3,17). Встановлено, що вогнестійкість дерев збільшується зі збільшенням природного ступеня товщини дерева в насадженні (виявлено обернений достовірний кореляційний зв’язок між природним ступенем товщини (ПСТ) і категорією санітарного стану пошкоджених дерев: (r = -0,54; р = 0,05). Розроблено прогностичну модель для встановлення ймовірності відпаду дерев, пошкоджених низовими стійкими літніми пожежами, яка як предиктори включає середню висоту нагару на стовбурах та ПСТ (точність прогностичної моделі становить понад 78 %).
Age structure of European ash (Fraxinus excelsior L.) forests in the Left- Bank Forest-Steppe of Ukraine
Authors: Meshkova V. L. , Borysova V. L.
Published: March 2020

The age structure of European ash stands in the forest fund of ten forest enterprises from Sumy, Kharkiv and Poltava regions was analyzed considering forest site conditions, stand origin, site index and ash proportion in the forest composition. The average age of ash stands is 68 years for the Left-Bank Forest-Steppe. On average from 46.1 % to 81.6% of European ash stands survive up to the V age class. The average age of ash stands is the highest in the forest-steppe part of Sumy Region in D2 and D3, in Kharkiv Region in D1, and in Poltava Region in C2 and C3. The average age is the highest (75 years) in artificial seed stands in Kharkiv Region, in natural seed (86 years) and vegetative (77 years) origin in Sumy Region. The survival of pure and almost pure ash stands is the highest in Kharkiv Region and the lowest in Poltava Region. In the legislatively adopted maturity age (VIII age class) survival of European ash with its proportion of 80–100 % is 26.5 %, 13.1 % and 3.2 % in Kharkiv, Sumy and Poltava Regions respectively. Correction of the main felling age in forests that are possible for exploitation is suggested considering the possible loss of timber quality as a result of forest damage by different causes.
Біотичні чинники ослаблення дубових насаджень Житомирської області
Authors: Andreieva O. Yu. , Zhytova O. P. , Martynchuk I. V. , Vlasiuk V. P. , Stehniak V. D.
Published: March 2020

У дубових насадженнях Житомирської області комахи-листогризи весняного комплексу з початку ХХІ століття утворили два спалахи масового розмноження – у 2002–2008 і 2010–2018 рр. Максимальну з початку ХХІ століття площу осередків комах-листогризів (понад 3000 га) відзначено в державних підприємствах (ДП) «Бердичівське ЛГ», «Житомирське ЛГ» та «Городницьке ЛГ», а питому площу осередків – у ДП «Городницьке ЛГ» (633,5 га на 1000 га). Найбільші площі осередків хвороб у дубових насадженнях припадають на поперечний рак дуба (збудник – бактерія Pseudomonas quercus Schem), трутовик дубовий несправжній (Phellinus robustus Bourd. et Galz.) та опеньок осінній (Armillaria sp.). Збільшення площ осередків поперечного раку дуба відзначено в роки згасання спалахів весняного комплексу комах-листогризів – у 2008 і 2013 рр. Найбільші площі осередків шкідливих організмів виявлено в ДП «Бердичівське ЛГ».
До історії лаборатории лісового ґрунтознавства УкрНДІЛГА. А. С. Скородумов, морський офіцер і вчений
Authors: Vergunov V. A. , Migunova Ye. S.
Published: March 2020

Коротко охарактеризовано ранні етапи розвитку ґрунтознавства в УкрНДІЛГА. Наведено матеріали про практично повністю забуту наукову діяльність одного з великих лісових ґрунтознавців країни – Олександра Сергійовича Скородумова, який працював в УкрНДІЛГА близько 20 років. А потім, ще приблизно стільки ж років, займався розробленням заходів з боротьби з ерозією ґрунтів в ННЦ «Інститут землеробства НААН». Серед робіт лісового напряму Скородумова – лісотипологічне оцінювання ґрунтів ряду природних зон і вивчення впливу штучних лісових насаджень на ґрунти посушливого степу. Об’єктом останньої роботи були південні чорноземи колишньої Володимирівської АЛОС УкрНДІЛГА (Миколаївська область). Пізніше, вже в період роботи в Інституті землеробства, за цими напрямами в Московському університеті він захистив докторську дисертацію та отримав вчений ступінь доктора біологічних наук, а пізніше – звання професора. При цьому Скородумов віддав 12 років життя служінню у флоті. Наводиться ще низка фактів, які свідчать про недостатню повноту й об’єктивність наявних матеріалів з історії УкрНДІЛГА.
Ріст дерев головних порід на ділянках реконструкції малоцінних молодняків коридорним способом
Authors:  Vedmid М. М. , Zhezhkun A. N. , Poliakov О. К. , Porokhnyach I. V. , Pohoryelov A. S.
Published: March 2020

Одним із важливих лісогосподарських заходів для відтворення корінних, продуктивних, стійких і довговічних деревостанів є реконструкція похідних та малоцінних деревостанів. Для заміни малоцінних і похідних молодняків на цільові проводять реконструктивні рубки та заходи, пов’язані зі штучним відновленням лісу. Розглянуто особливості росту дерев сосни звичайної, ялини європейської, дуба звичайного, ясена зеленого на ділянках реконструкції малоцінних молодняків коридорним способом. Визначено параметри поточного приросту за висотою дерев головних порід протягом 10-річного періоду після реконструкції залежно від деревного виду, ширини та напрямків коридорів, методу створення лісових культур, що ростуть у коридорах реконструйованих малоцінних молодняків до та після проведення рубок догляду. Визначено санітарний стан дерев головних порід і надано пропозиції для проведення наступних лісогосподарських заходів. Вивчено вплив освітленості, температури повітря, вологості та щільності ґрунту на стан і показники росту дерев головних порід.
Сучасний стан дубових насаджень Східного Полісся
Authors: Tkach V. P. , Rumіantsev M. Н. , Kobets O. V. , Luk’yanets V. A.
Published: March 2020

За матеріалами лісовпорядкування проаналізовано лісовий фонд Східного Полісся, зокрема розподіл площі дубових насаджень за походженням, групами віку, типами лісу та категоріями лісів. Досліджено лісівничо-таксаційні показники дубових лісів регіону в розрізі їхнього походження. Представлено результати досліджень особливостей розподілу площ і запасів дубових насаджень у різних категоріях лісів. Виявлено розбалансованість вікової структури дубових насаджень із суттєвим переважанням середньовікових насаджень незалежно від їхнього походження, а також пристиглих дубняків природного походження і молодняків насіннєвого штучного походження. Запропоновано проведення лісогосподарських заходів у дубових лісах Східного Полісся щодо оптимізації вікової структури насаджень і забезпечення їхнього відновлення природним насіннєвим шляхом.
Barreiras de comunicação com surdos no atendimento em saúde: um estudo descritivo.
Authors: De Miranda Rodrigo Sousa , Shubert Carla de Oliveira , De Figueiredo Nébia Maria Almeida , Fernandes Edicléa Mascarenhas , Tonini Teresa , Machado Wiliam César Alves
Published: March 2020

Objetivo: Identificar as barreiras de comunicação enfrentadas pelas pessoas surdas quando são atendidas por profissionais de saúde. Métodos: Estudo descritivo, qualitativo, realizado no 1º semestre de 2013, com 24 surdos. Coleta de dados a partir de grupo focal e análise temática de conteúdo. Resultados: Da análise dos dados emergiram as seguintes categorias temáticas: O enfrentamento da surdez: lembranças e possí­veis causas; Ajuda e dependência de ouvintes; Construindo alternativas para se comunicar com a equipe; e Necessidade de intérprete para facilitar a comunicação com a equipe. Conclusão: Os profissionais não estão preparados para se comunicar com pacientes surdos. É preciso investir no ensino da Lí­ngua de Sinais Brasileira nos cursos de formação dos profissionais de saúde, além da presença de intérprete de Libras nessas unidades, para facilitar a comunicação entre profissionais e surdos.Palavras-chave: pessoas com deficiência auditiva, linguagem de sinais, barreiras de comunicação, assistência í  saúde.
Medidas de prevenção í infecção hospitalar em unidades de terapia intensiva
Authors: Teles Juliane Fontes , Sousa Brendo Vitor Nogueira , De Oliveira Elenilda Farias , Martins Matheus Rodrigues
Published: March 2020

As infecções relacionadas í  assistência í  saúde representam um problema antigo de saúde pública e consideradas como uma das principais causas de morbidade e mortalidade, tornando-se um impasse para a segurança do paciente e qualidade da assistência. Assim, objetivou-se descrever o papel do enfermeiro nas medidas de prevenção das infecções relacionadas í  assistência í  saúde em Unidades de Terapia Intensiva. Trata-se de uma revisão sistemática, realizada nas bases de dados eletrônicas: Literatura Latino Americana e do Caribe em Ciências da Saúde (Lilacs), Scientific Eletronic Libray Online (Scielo) e Base de Dados de Enfermagem (BDENF), com artigos originais, disponí­veis na integra, em idioma português e publicados entre os anos de 2009 e 2017 que atendiam o objetivo proposto. Foram identificados 466 artigos, dos quais 7 foram selecionados. Percebeu-se que as principais medidas de prevenção estão voltadas para vigilância, higienização das mãos, adesão de protocolos e educação permanente. Conclui-se que o papel da enfermagem é de extrema importância para melhoria da qualidade assistencial, aumento da segurança do paciente, diminuição do tempo de internação e custos hospitalares.Palavras-chave: infecção hospitalar, unidade de terapia intensiva, Enfermagem.
Assistência multiprofissional no domicí­lio às pessoas em cuidados paliativos e familiares
Authors: Terra Izabela Buci , Pereira Barbara Caroliny , De Andrade Maria Betania Tinti , Goyatá Sueli Leiko Takamatsu , Dázio Eliza Maria Rezende , Resck Zélia Marilda Rodrigues
Published: March 2020

Introdução: Com o aumento de pessoas em condições crônicas em estágios agravados, torna-se essencial a intervenção em saúde por meio dos cuidados paliativos. Objetivo: Identificar e analisar a produção cientí­fica acerca da assistência multiprofissional no domicí­lio às pessoas em cuidados paliativos e familiares. Métodos: Revisão integrativa da literatura, considerou-se o perí­odo de 2013 a 2018 para a busca de artigos nas bases de dados que respondessem í  questão norteadora: Como é a assistência multiprofissional no domicí­lio às pessoas em cuidados paliativos e familiares? O caminho metodológico contemplou seis passos, sendo utilizado para a etapa da intepretação dos conteúdos dos artigos, a análise de Bardin. Resultados: Identificaram-se três categorias: O papel da equipe multiprofissional nos cuidados paliativos no domicí­lio; O papel dos cuidadores nos cuidados paliativos no domicí­lio e, Pessoas em cuidados paliativos no domicí­lio: necessidades e demanda. Conclusão: Evidenciou-se grande desafio em relação a capacitação dos profissionais de saúde que atuam nessa especialidade. Os cuidadores encontram-se sobrecarregados com reflexos na saúde. As pessoas em cuidados paliativos e familiares reconhecem a importância da assistência e da internação domiciliar, uma vez que lhes permite maior autonomia e proximidade com seus hábitos de vida.Palavras-chave: equipe de assistência ao paciente, cuidados paliativos, assistência domiciliar, atenção primária a saúde.
Superlotação dos serviços de urgência e emergência hospitalar
Authors: Da Silva Júnior Sergio Vital , Lacerda Francisco de Assis , Florêncio Márcia Virgí­nia Di Lorenzo , De Araújo ngela Amorim , Dos Santos Betânia Maria Pereira , Pedrosa Ivanilda Lacerda
Published: March 2020

Objetivo: Descrever a concepção dos profissionais de saúde frente í  superlotação dos serviços de urgência e emergência hospitalar. Métodos: Estudo transversal, descritivo, com abordagem quantitativa, realizado em um hospital de urgência e emergência em João Pessoa/PB. A amostra foi composta por 108 indiví­duos consoante aos critérios de inclusão e exclusão. Os dados empí­ricos foram analisados pelo Programa Statistical Package for the Social Sciences (SPSS), versão 21.0. Todos os aspectos éticos foram rigorosamente seguidos com aprovação pelo Comitê de Ética em Pesquisa do Centro de Ciências da Saúde da Universidade Federal da Paraí­ba. Resultados: Os profissionais de enfermagem e medicina estão em maior quantidade na equipe multiprofissional de saúde. A maioria dos participantes atua na área entre cinco e 10 anos. 95,4% dos entrevistados acreditam que a superlotação é um grave problema de saúde pública, 50,9% afirmam que os atendimentos clí­nicos e traumáticos geram superlotação, 47,2% afirmam que a superlotação ocorre em qualquer perí­odo da semana e 64,8% em qualquer perí­odo do dia. Conclusão: A superlotação hospitalar pode estar relacionada a problemas de gestão de riscos e ineficácia do sistema de prevenção de agravos, sendo importante o aprimoramento da prática assistencial e a gestão em saúde.Palavras-chave: emergências, Enfermagem, hospitalização, segurança do paciente.
Prevalence of self medication practice among students of a medical college
Authors: Islam Baishakhi , Hossain Md Aslam
Published: March 2020

Background: The unsolicited practice for self medication is commonly seen all over the world. In our country it is also commonly practiced even by health care professionals.

Objectives: This study is done to focus on the prevalence and other associated factors in various aspects of self medication among medical students. Methods: This was a descriptive study conducted within 4th year students among 113 participants by using a researcher made questionnaire in Gazi Medical College, Khulna from January 2019 to June 2019. Data analysis was done by using Microsoft excel.

Results: The prevalence of self medication was reported at 88.49%. The most important reasons for self medication was previous experiences with the illness (48%), minor illness (30%), and time saving (25%). The greatest number of students used self medication to treat headache (30%), gastric acidity (28%), fever (22%), and runny nose (14%). The data reveals that the highest proportion (38%) of students learned medications from old prescription of doctor provided to cure their past illness. The respondents used different group of drugs where greatest number (32%) used analgesics followed by anti ulcerants (28%), antipyretics (25%), and antibiotics (22%).

Conclusion: Due to high prevalence of self medication, it is necessary to implement strict rules and regulations to prevent this practice and provide adequate facilities to access medical services properly.

Bang Med J (Khulna) 2019; 52 : 21-24
Cause and outcome of poisoning among admitted patients in a teaching hospital
Authors: Hossain Sk Moazzem , Kabir Farjana , Kamal SM , Islam Nazrul
Published: March 2020

Background: Pesticide containing organophosphous compound (OPC), copper sulphate (cuso4), harpic, savlon, are easily available allowing opportunities for easy source of poisoning in the southern part of Bangladesh.

Objective: This study was aimed to find out epidemiological characteristics of patient presenting with poisoning & the outcome of poisoning.

Methods: This hospital based prospective cross sectional study was conducted from July to December 2017 in medicine ward among poisoned males and female patients. Sample size was 150 and they were selected from the population by non probability sampling technique.

Results: Among 150 cases OPC are (70,46.66%) followed by sedative drug (21,14%), Harpic (19,12.66%) Street poison (15,10%) copper sulphate (12, 8%) Rat killer (3,2%) Kerosene (2,1.33%) Paracetamol (3,2%) Puffer fish (1,0.66%) Yaba (1,0.66%) other's (3,2%). In this study young age group 21-30 yrs was the most common (41%) victim of poisoning, female to male ratio was 1.32:1. Majority of the patients hailing from rural area (63%) and most of them (33,38.59%) had secondary level of education. Familial disharmony (45%) was the commonest background for poisoning. Study showed that 82% of the patients recovered completely during follow up and 7% patient developed complication. Mortality rate was 11%.

Conclusion: OPC poisoning is the commonest poisoning. Early hospitalization, severity assessment & prompt institution of appropriate therapy can make a favorable outcome.

Bang Med J (Khulna) 2019; 52 : 30-34
Abstract From Current Literature Vol 52(1-2)
Authors: - -
Published: March 2020

Abstract not available

Bang Med J (Khulna) 2019; 52 : 40-43
Prevention of Succinylcholine Induced Postoperative Myalgia by Pretreatment with Lignocaine: A Randomized Controlled Study
Authors: Hossain Muhammad Sazzad , Sanjowal Lipika , Rashid Mohammad Mamunur , Babu Md Anisur Rahman , Saha Devashis
Published: March 2020

Succinylcholine, a depolarizing muscle relaxant possesses a unique property of rapid onset and short duration of action, but is accompanied by side effects such as fasciculation and myalgia. The aim of this study was to investigate the prophylactic effect of intravenous lignocaine on the incidence and severity of succinylcholine-induced postoperative myalgia. This was a randomized controlled double blind study conducted at National Institute of ENT Dhaka, during September to December 2017. Eighty adult patients of American Society of Anesthesiologists status I and II of both sexes for elective surgery under general anesthesia were randomly allocated into two equal groups, lignocaine group and normal saline group. The patients of lignocaine group were pretreated with lignocaine 1.5 mg/kg body weight in 5 ml volume, while patients of normal saline group were given isotonic saline 0.9% in the same volume (5 ml) intravenously. Thereafter, anesthesia was induced in all patients, by injecting 1.5 mg/kg of fentanyl and 2 mg/kg of propofol intravenously. Following the loss of eyelid reflex, 1.5 mg/kg of succinylcholine was injected intravenously as a muscle relaxant and then the patients were intubated. The incidence and severity of myalgia were assessed by a blinded observer 24 hours after surgery. In terms of demographic data, the results of this study showed that there is no significant difference between patients in both groups (P>0.05). Overall, the incidence and severity of succinylcholine-induced myalgia in lignocaine group was significantly less, when compared with normal saline group (P<0.05). Pretreatment with intravenous lignocaine is effective in prevention of postoperative succinylcholine induced myalgia.
Faridpur Med. Coll. J. Jan 2019;14(1): 13-15
Apheresis-Adverse Events in Man and Machine Individualities
Authors: Hoque Md Ashraful , Islam Kashfia , Akter Selina
Published: March 2020

Adverse events due to platelet pheresis are not unheard of citrate related reactions being the most common. Most of these events are mild and self limiting. The current study describes adverse events in platelet pheresis using modern apheresis systems. This prospective study included 1455 platelet pheresis procedures done from July 2016 to December 2017. Procedures were performed on Hemonetics MCS+, Trima Accel and Cobe spectra cell separators. The endpoint of each procedure was a yield of 3 × 1011 platelets (PLTs) per unit. Donor adverse reaction if any was managed, reported, and documented. The median age of donors was 31 years with male to female ratio of 13:1. The median body surface area and body mass index were 1.64 m2 and 22.4 kg/m2, respectively. The mean PLT count of donors was 199.8 × 103/uL with a mean hemoglobin value of 13.6 g/dl. ACD infusion was significantly more in the Hemonetics MCS+, (P< 0.01). Donation time was least with the Trima compared to Hemonetics MCS+ (P< 0.01) and Cobe (P< 0.001). Total whole blood volume processed was higher in Hemonetics MCS+, (P< 0.01). Paresthesia due to citrate toxicity was the most common adverse reaction (65.3%), and vascular injury was observed in only five donors. The overall incidence of adverse reaction was 3.4%. Serious adverse events were not observed. The modern generation apheresis machines are more donors friendly and cause less adverse reactions compared to the older versions. Good donor screening, optimized donor physiognomic and hematological values and skilled operators are the key factors in reaction reduction by apheresis.
Faridpur Med. Coll. J. Jan 2019;14(1): 27-30
Impact of Antenatal Care (ANC) on Perinatal Asphyxia.
Authors: Sarker Anita , Shamsad Iffat Ara , Zakia Najnin Umme , Nahar Khyrun , Shimul Sabiha
Published: March 2020

Antenatal care (ANC) is very important for all women for their own health and their neonates. This study was done to observe the impact of antenatal care on perinatal asphyxia. This case-control study was conducted at Neonatology Department of Dhaka Medical College Hospital, Dhaka from July 2014 to December 2014. Fifty neonates with perinatal asphyxia (Group I) and fifty neonates without perinatal asphyxia (Group II) were selected as study subjects. After selection, informed written consent was taken. Then data were collected by face to face interview of the mother. The mean age of neonates was 49.0±72.1 hours in group I and 55.8±63.9 hours in group II. Majority (80.0%) of the neonates had birth weight 2.5- 4.0 kg in group I and only 22(44.0%) neonates had birth weight 2.5-4.0 kg in group II. Almost half (48.7%) of the mothers received antenatal check-up at UHC/FWC/MCWC in group I and 20(41.7%) in group II. It was observed that 19(38.0%) mothers received antenatal care from untrained Dai in group I and 42(84.0%) in group II. Only 30.0% of the mothers received adequate antenatal check-up in group I and 68.0% in group II. Mothers having baby with perinatal asphyxia received significantly less number of ANC.
Faridpur Med. Coll. J. Jan 2019;14(1): 34-36
Kikuchi-Fujimoto Disease: A Case Report and Review of the Literature
Authors: Bodiuzzaman MM
Published: March 2020

Kikuchi-Fujimoto disease is a rare benign, condition of necrotizing histiocytic lymphadenitis. Presenting complaints of neck masses in association with non-specific systemic signs and symptoms prompt investigation towards the more common diagnoses. However, rarer conditions must still be considered especially when a patient's condition fails to abate. Herein I discuss a case of female patient who presented with a neck mass that was not attributable to the more common causes. A 28 year old lady presented with feverish feeling, weight loss and tender cervical lymph nodes. Initially tuberculous lymphadenitis was suspected but Kikuchi-Fujimoto disease was diagnosed after cervical lymph node biopsy. Symptomatic treatment was provided and an eventful full recovery was made.
Faridpur Med. Coll. J. Jan 2019;14(1): 50-53
OHVIRA Syndrome: A Case Report
Authors: Zeba Dilruba , Zesmin Fahmida , Roy Rajib
Published: March 2020

OHVIRA syndrome or Herlyn-Werner-Wunderlich syndrome is a rare congenital anomaly of female urogenital tract which is represented by the triad of uterine didelphys, obstructed hemivagina and ipsilateral renal agenesis. This rare variant of Müllerian duct anomalies represent failure of vertical and the lateral fusion of Müllerian ducts around 9 weeks of gestation. OHVIRA syndrome comprises about 2-3% of Müllerian abnormalities. A 13 years old girl got admission in FMCH on 15.3.2018 with lower abdominal pain and acute retention of urine. Her menarche was established 6 months back with regular cycle and associated with dysmenorrhoea. Imaging studies revealed uterine didelphys, highly dilated cervix with hematocolpos and absence of right kidney. The vaginal septum was excised. The patient recovered fully and was under follow up for 6 months. There was no evidence of further outflow tract obstruction.
Faridpur Med. Coll. J. Jan 2019;14(1): 54-56
Macromolecular composition, productivity and dimethylsulfoniopropionate in Antarctic pelagic and sympagic microalgal communities
Authors: Sheehan CE , Nielsen DA , Petrou K
Published: March 2020

Microalgae form the base of the Antarctic marine food web and through their conversion of nutrients into biomass, are the principal source of energy for higher trophic levels. Environmental conditions strongly influence microalgal photophysiology, biochemistry and macromolecular composition, which has implications for the quality and quantity of energy available for transfer through the food web. Here we assessed the photosynthetic performance, biochemical (dimethylsulfoniopropionate; DMSP) and macromolecular composition (lipids, carbohydrates and proteins) of selected diatoms sampled from 2 distinct Antarctic marine environments, namely the late spring bottom sea ice (sympagic) and near-shore ice-free coastal waters (pelagic). The photosynthetic efficiency and photoprotective capacity of the communities differed significantly, and chlorophyll a-specific gross primary productivity was 4-fold greater in the pelagic community. At the community level, pelagic microalgae had the highest DMSP content (1.4 nmol [µg chl a]-1) and the highest potential rates of DMSP lyase activity (0.87 nmol [µg chl a]-1 h-1). Comparisons within each community showed taxon-specific differences in macromolecular composition, which were strongest amongst the sympagic diatoms. Comparing across communities, pelagic diatoms had lower lipid to protein ratios, whereas sympagic diatoms were lipid rich and had significantly higher content of unsaturated fatty acids. These findings show variability in the physiology and nutritional quality of the base of the food web depending on habitat and taxonomic group and emphasise the importance of the sympagic community for providing a concentrated source of high-energy compounds during the pulsed productivity events for key grazers such as krill to survive through long dark winters.
The study different forms of common bean to anthracnose resistance using seedlings and DNA markers
Authors: Anokhina Vera S. , Xiao Yutin , Karpievich Vadim A. , Sauk Irina B. , Romanchuk Irina Yu.
Published: March 2020

The results of study of various forms of common bean (Phaseolus vulgaris L.) to anthracnose resistance using seedlings and molecular testing for the Co-14 and Phg-1 genes were presented. The different responses of the samples to the influence of the pathogen were revealed. The lines from mutant forms that had the Co-14 and Phg-1 genes in their genomes were selected.
Maryam's story: An ethnographic memoir
Authors: Lindisfarne-Tapper Nancy , Tapper Richard
Published: March 2020

In the early 1970s we made more than 100 hours of tape recordings, as part of our ethnographic fieldwork among the Piruzai, Pashtun farmers and semi-nomadic pastoralists in northern Afghanistan. These village voices create a remarkable community self-portrait of a social world now lost and irretrievable. Maryam's story is the perfect exemplar of an unconventional form of auto-ethnography. Maryam was married some thirty years before, as part of a series of marriage exchanges intended to settle a feud between the two main Piruzai families. Her husband, Tuman, became village headman, a Haji, and in 1971 our host. Later, Pakiza, Tuman's second wife and Maryam's co-wife, became the bane of her life. Her account captures something of the depth and colour of people's lives. It gives voice to the ensuing silence over the past nearly fifty years and offers a radical challenge to the gendered stereotypes which have dominated the global and Afghan media during the past forty years of war and occupation.