bluuebunny/crossref_metadata_2025 huggingface dataset:
Prevalencia de tuberculosis y riesgo de tuberculosis pulmonar en contactos estrechos de pacientes en un centro penitenciario del municipio de Palmira, Colombia
Authors: Fernandez Blanca L , Palacios Castañeda Diana Fernanda , Pacheco Robinson
Published: July 2020

Introducción: La tuberculosis latente en instituciones penitenciarias es más frecuente. Factores como hacinamiento, desnutrición y acceso limitado servicios de salud elevan el riesgo de reactivación, transmisión y mal pronóstico.Objetivo: Determinar la prevalencia y los determinantes de infección latente y desarrollo de tuberculosis pulmonar en un centro carcelario de Palmira, Colombia.Métodos: Investigación Operativa multimétodo. Estudio de corte transversal. Se realizó un seguimiento prospectivo a través de los registros de vigilancia epidemiológica del programa de control de tuberculosis para determinar la prevalencia de tuberculosis Pulmonar en los siguientes dos años, y factores de riesgo de desarrollar tuberculosis pulmonar en población privada de la libertad.Resultados: De 2,837 internos recluidos (2015-2016), 10.0% fueron contacto estrecho de pacientes con tuberculosis pulmonar, la prevalencia de positividad general de PPD 90.7% y en población con cicatriz de BCG fue 92.5 %. Al comparar los grupos PPD+ vs PPD- las variables significativas fueron reclusión en patio uno (p= 0.008). Al comparar tuberculosis latente vs tuberculosis activa el IMC ≤18.5 fue significante (OR 5.385; IC: 1.016-28.53; p= 0.027); el seguimiento epidemiológico en los siguientes dos años identificó que nueve internos desarrollaron tuberculosis pulmonar activa. Conclusión: La cárcel concentra y magnifica los determinantes que favorecen la presencia de la trasmisión de tuberculosis, el desarrollo a tuberculosis activa, lo que demanda estrategias de prevención de la tuberculosis, humanización de las condiciones de la población privada de la libertad, y mejoramiento de la oferta en salud de manera prioritaria, oportunas y constante.
NO LUGAR PERIURBANO E ATRAVÉS DELE: ANÁLISE DA ACESSIBILIDADE SOCIAL NA REGIÃO NOROESTE DO MUNICÍPIO DE JACAREÍ, SP, BRASIL
Authors: Toledo André Luiz de , De Souza Adriane Aparecida Moreira , Gomes Cilene
Published: July 2020

A acessibilidade dos moradores da Região do Parateí do Meio aos benefícios da vida social urbana é o objeto principal de análise desse artigo para o entendimento do lugar periurbano. A metodologia de pesquisa utilizada orientou-se para a realização de um estudo de caso e consiste em uma triangulação de métodos gerais e técnicas relacionando as fases exploratórias, trabalho de campo e análise documental. Além disso, incluiu levantamento fotográfico e de coordenadas geográficas para a construção de um banco de dados georreferenciados e mapeamentos. Partindo da contextualização e circunstância da localização da área de estudo, no município de Jacareí, SP, os resultados específicos do artigo incluem uma leitura histórica da organização territorial em relação ao sistema viário e os eixos de urbanização e desenvolvimento; o apontamento dos cerceamentos de estradas locais, um panorama das paisagens dos bairros da Região e dados sobre o potencial de acessibilidade física e social dos moradores. A composição da imagem da periurbanidade do lugar conduz às considerações finais a respeito de questões do planejamento territorial ligadas, sobretudo, à necessidade de um pensamento mais compromissado com as transformações sociais e territoriais, estabelecido com base nos direitos de cidadania.
QUALIDADE DOS SERVIÇOS NA SAÚDE PÚBLICA: ESTUDO EM HOSPITAL DO MUNICÍPIO DE NATAL/RN
Authors: Vieira Jelisse , Medeiros Jássio Pereira de
Published: July 2020

O serviço público é aquele prestado pela Administração Pública para a satisfação, visando o atingimento dos interesses da coletividade. No contexto dos serviços públicos de cuidado à saúde, é direito do cidadão receber atendimento resolutivo com qualidade, presteza, tecnologia apropriada e condições de trabalho adequadas para os profissionais. Partindo desse pressuposto, se torna relevante o desenvolvimento de procedimento eficiente para monitorar a qualidade dos serviços prestados pelos hospitais e unidades de saúde. Somado a isso, pesquisadores em ciência da informação têm investigado o valor dos serviços nas organizações de acordo com as percepções, expectativas e necessidades dos usuários. Assim, visando contribuir para esta questão, este trabalho utilizou uma versão adaptada do modelo SERVQUAL para analisar a qualidade dos serviços de um hospital público do município do Natal/RN, sob o ponto de vista do usuário do serviço. Através de um estudo de caso, descritivo e quantitativo foram identificadas as potencialidades, como a segurança nos serviços oferecidos, e os aspectos críticos, como a insatisfação dos usuários no que diz respeito aos aspectos tangíveis e a empatia dedicada aos mesmos.
SETS Based Science Teaching Materials with Guided Inquiry Learning Model to Improve Learning Outcomes in Optical Geometry Materials
Authors: Prasojo Pandu , Prastowo Tjipto , Ibrahim Muslimin
Published: July 2020

This study aims to analyze the effectiveness of SETS based science teaching materials with guided inquiry learning model to improve the students' cognitive learning outcomes. This research was conducted by using learning cycles. The teaching materials developed were tested in class VIII MTs Bilingual Muslimat NU Pucang Sidoarjo semester even 2018/2019 academic year with the design of one group pretest-posttest design. Teaching materials developed include: (a) syllabus (b) Lesson Plan, (c) student books, (d) Worksheet, and (e) Learning Outcomes Assessment Sheet. The research parameters measured were the effectiveness of learning materials. The research data was obtained through validation, observation and test methods. The results of the study were analyzed descriptively quantitatively and qualitatively. Science literacy abilities of students are analyzed by n-gain. The results showed that (a) the learning devices developed were categorized as very valid, (b) the learning activities were carried out very well, (c) moderate scientific literacy skills. Based on the results of the analysis and discussion, it was concluded that the science learning device guided inquiry model that was developed valid, practical, and effective was used to increasing students' cognitive learning outcomes.
Investigating the Destiny of Children in the Hereafter from Avicenna. Mullā Ṣadrā, and the Infallibles' Viewpoints
Authors: Hāshemī Dulābī Qudsiyeh Sādāt , Haqqi Alī , Jawareshkīān Abbās
Published: July 2020

The destiny of the human being in the hereafter is one of the issues that one can never be indifferent about it. That human beings will ultimately be divided into the good and the bad, and rewarded or punished is unanimously agreed upon by all the Muslim thinkers. However, there is ample disagreements regarding how the children or those who die before the age of puberty would be rewarded or punished. By investigating Avicenna and Mullā Ṣadrā's viewpoints and studying the Infallibles' narratives, the present library-based study attempted to answer the following question: what is the destiny of children and the status of their souls after dissociating from body in the hereafter. The findings showed that although there are some disagreements on this regard among the three, they unanimously agree that punishing children without the Divine test is against the Divine justice; because of the Divine mercy and the children's not reaching to the age of puberty, as well as the rule which stipulates no punishment without declaration of law, there will be no punishment for the children. Children will be subject to the Divine mercy and, according to some narrative, they will join their faithful parents. Moreover, according to some other narratives, they will be trained by Ḥaḍrat Zahrā (PBUH), Ibrāhīm and Sara, and become the servants of the people of the paradise. All of the above are consistent with the narratives on the Divine knowledge about the children. Finally, from Avicenna and Mullā Ṣadrā's viewpoints, there is no intellectual impediment.
The Reasons of the Prohibition of the Marriage of the Prophet's Wives after his Demise
Authors: Ziaoddin Olyanasab Sayyid , Jalaei Nobari Husain
Published: July 2020

Describing the status of the Prophet's (PBUH) wives as Nisā al-nabī (نساء النبی), the Holy Qur'ān considered their remarriage after the Holy Prophet (PBUH) as tormenting, and severely forbids it. The present study aims to examine the reasons of the Prohibition of the marriage of the Prophet's (PBUH) wives after his demise, and explain the philosophy behind this decree of God based on Qur'ānic, narratives, and historical, social and intellectual reasons. In this study, the data were collected through a library research method and were analyzed using a descriptive-analytical method. The detailed study of the data indicated that those willing to marry the Prophet's (PBUH) wives did not respect dignity and status of the Prophet's (PBUH). In addition, after marrying the Prophet's (PBUH) wives, they could politically, socially, morally, and theologically abuse their status out of selfishness and adventure. Therefore, in addition to preserving the Prohibition of the prophecy, Qur'ān limited the possibility of personal identification of some people through affinity with the Prophet (PBUH) and prevented the possible slips. Moreover, his wives' denial of getting divorced after the elevation of the Qur'ānic verse 33: 53, indicates their self-sacrifice, appreciating the honor of continuing their marriage to the Prophet (PBUH) as well as maintaining the spiritual achievements of their matrimonial lives.
The Effects of Transformational Leadership, Competence and Compensation on Work Motivation and Implications on the Performance of Lecturers of Maritime College in DKI Jakarta
Authors: Manurung Erwin Ferry
Published: July 2020

This research aims to examine and analyze the Effects of Transformational Leadership, Competence and Compensation on work motivation and implication on the performance of lecturers of Maritime College in DKI Jakarta region both partially and jointly. Sampling 250 lecturers from the research population of 290 people with sampling of all population members including pre test samples of 40 lecturers. The method used is a quantitative method. The hypothesis testing method is through Structural Equation Modelling (SEM). The results showed transformational leadership, competence, compensation and motivation of work positively and significantly both in a paraxia and simultaneously response to lecturers ' performance. The results of Square Multiple Correlation (R2) Provide work motivation information of 62% at the College of Maritime Sciences in DKI Jakarta area provided by the transformational leadership, competence, compensation. And the dominant variables are transformational leadership. The 85% contribution to the performance of lecturers was given by transformational leadership, competence, compensation, and motivation, with a more dominant variable is the motivation of work.
An Answer to the Book "Al-Radd ʿAlā al-Rāfiḍah" by Maqdisī on the Drawbacks Mentioned about the A’lamīyat of Imam Ali (AS)
Authors: Bachari Ja’far , Ostadi Asiyeh
Published: July 2020

Muhammad ibn Khalīl Maqdisī , one of the Shāfi’ī scholars of the ninth century AH, in the book “Ar-Radd ʿAlā al-Rāfiḍah”, introduces some problems to the A’lamīyatof Imam Ali (AS) over the companions of the Prophet (PBUH). In this article, after introducing Maqdisī and his book, the problems that he has raised about the A’lamīyat of the Amir al-Mu’minin, Ali (AS) are stated and then they are answered. In presenting the answers, an attempt is made to answer based on Sunni sources. Maqdisī tries to deny the supremacy of Imam Ali and prove it for Abu Bakr and Umar; among the problems he mentioned, there are the multiplicity of narratives of Abu Bakr and Umar on Imam Ali (AS) and the employment of Abu Bakr by the Prophet (PBUH) in prayer and Hajj and so on. By analyzing these narratives and evidences by Maqdisī, as well as stating the positive evidences that prove contrary to the claim of Maqdisī, it can be known that the narratives that he refers to have uncertainties and problems that are not acceptable. His main goal is to give virtue to Abu Bakr over Imam Ali (AS), which is rejected with sufficient arguments.
Representation and the Portrayal of Elders’ Characters in Ethiopian Children’s Books: Policy Implication
Authors: Mekonnen Dereje , Shume Bonsa , Garuma Dessalegn
Published: July 2020

The objective of this study was to investigate the Representation and the Portrayal of Elders’ Characters in Ethiopian Children’s Books. To achieve this intention, three different publishers were purposively taken, Mega Enterprise, Aster Nega, and Royal, for the books do have large sellers for children’s present day in Ethiopia. Therefore, 38 different books were gathered from selected independent bookstores and taken from wholesalers along availability sampling technique. A coding sheet was utilized to assist in recording data. The information used to establish this recording aid was adapted from Robinson and Anderson’s (2006) content analyses on older characters. The gathered data under the help of three oriented experts were coded and statistically analyzed (using frequency and percentage). Thus, the study found that the elders’ character mostly appeared in children’s picture books. Further, the most of the elders’ characteristics were found to be positive in nature in the sample picture books. In addition to this, both physical and social basis characteristics of elders were found to be represented and portrayed in Ethiopian children’s picture books. Based on these results, it has been concluded that Ethiopian children’s picture books represented and portrayed elders’ characteristics prevalently and positively which in turn indicates the good and acceptable place that elders do have in Ethiopian children’s picture books. However, this study found that the characteristics of the books that represented and portrayed undermined the additional characteristic of elders with special needs. Further, the characters that presented and portrayed in those picture books may not yet included in to academic textbooks of students. Therefore, it has been recommended that the publishers, the educational experts, and the readers as well as the researchers should enforce the concerned bodies to include the elderly characteristics of individuals with special needs (particularly of those with disabilities) in to the readable picture books and should evaluate the contents of academic textbooks.
Gerenciamento de resultados e republicação de demonstrações contábeis em empresas listadas na B3
Authors: De Luca Márcia Martins Mendes , Viana Ana Olívia Batista , Sousa Karen Davila Freitas de , Cavalcante Danival Sousa , Cardoso Vanessa Ingrid da Costa
Published: July 2020

As informações divulgadas nas demonstrações contábeis impactam diretamente no processo decisório dos stakeholders. Nesse contexto, busca-se confirmar se as empresas que gerenciam resultados têm maior propensão a republicar suas demonstrações contábeis. O objetivo deste estudo é investigar as relações entre o gerenciamento de resultados e a republicação das demonstrações contábeis nas companhias listadas na B3—Brasil, Bolsa, Balcão. A amostra da pesquisa reúne 154 empresas e 201 casos de republicação de demonstrações contábeis entre 2011 e 2017. Para análise dos dados, foram aplicadas técnicas de análise de conteúdo, estatística descritiva, análise de correlação e regressão logística. Os resultados apontam para uma relação entre a republicação de demonstrações contábeis e a prática de gerenciamento de resultados por accruals discricionários, não se rejeitando a hipótese do estudo. Verificou-se, ainda, uma elevada proporção de republicações voluntárias, sugerindo que as empresas são propícias a adotarem esse procedimento com a finalidade de prover para os usuários uma maior qualidade das informações contábeis.
Incidencia de la incontinencia urinaria de esfuerzo en la mujer
Authors: Botero U. Jaime , Jubiz H. Alfonso
Published: July 2020

Nemir y Middleton (1) hicieron una encuesta en muchachas de colegio y encontraron incontinencia urinaria de esfuerzo en un 52,4%. En un 5% ocurría con una intensidad y frecuencia tales que constituía un síntoma molesto.
Ventajas de coloración de May Grunwald Giemsa en la Profilaxis del Carcinoma Cervical
Authors: Angel M. Gilberto
Published: July 2020

Quien haya tenido práctica Citológica con la Coloración de Papanicolaou, encontrará en la coloración de Giemsa los mismos caracteres citológicos y la misma seguridad diagnóstica. Es recomendable verificar las primeras coloraciones simultáneamente para mayor facilidad en su familiarización.
Sección de Información
Authors: De Obstetricia y Ginecología Federaciòn Colombiana
Published: July 2020

Copia de la declaración del comité medico central de la federación internacional de planificación de la familia, redactado al terminar su reunión sobre anticonceptivos esteroidales llevada a cabo en nueva york, los días 11 y 12 de abril de 1970.
Control hormonal del parto
Authors: Cobo Edgard
Published: July 2020

Según Hipócrates, el feto conocía la hora del parto y a esa hora empujaba con sus pies contra el fondo del útero hasta lograr la salida al exterior (1).
Hemorragia post-menopáusica
Authors: Pardo Vargas Francisco
Published: July 2020

Siempre que se habla de Hemorragia Post-Menopáusica tenemos en mente la posibilidad del carcinoma endometrial. Pero, no sucede lo mismo con otras entidades que por su frecuencia merecen también ser tenidas muy presentes.
El Valium 'roche' en obstetricia y ginecología
Authors: De Obstetricia y Ginecología Federación Colombiana
Published: July 2020

El VALIUM 'Roche' ejerce un poderoso efecto central, dirigido principalmente al sistema límbico, centro regulador de la conducta emocional. Por virtud de su leve efecto sobre la corteza cerebral, trae consigo relajación y calma, asimismo estabilidad autónoma sin afectar el sensorio. El efecto concomitante de relajación de la musculatura estriada es muy valioso en el tratamiento de los disturbios que presentan un tono mfosc-ular elevado. (Ej. espasmos musculares).La administración del VALIUM 'Roche' durante el período de dilatación proporciona tranquilidad mental; la ansiedad intermitente u otros estados de excitación más acentuados se mantienen bajo control, facilitando así el curso fsiiológico del parto. Parece que es posible abreviar el período de dilatación, mientras que el período de expulsión del feto y de la placenta no se altera. Según las dosis administradas, la parturienta permanece relajada y presenta un grado mayor o menor de sedación, algunas veces con necesidad de sueño. Sin embargo, está atenta, orientada y capacitada para colaborar activamente en el alumbramiento. El recién nacido es vigoroso. No hay riesgo de asfixia empleando las dosis recomendadas. Debe tenerse en cuenta la posible potencialización si se utiliza el VALIUM 'Roche' con otras drogas de efecto central.Administrado oportunamente, puede demorar las contracciones uterinas. Esta propiedad ha sido utilizada para sostener el embarazo en los casos de aborto inminente o amenaza de parto precipitado, así como en el rompimiento prematuro de la bolsa de aguas.En ginecología el VALIUM 'Roche' está Indicado en el tratamiento de los trastornos psicosomátlcos (síndrome premenstrual, vejiga irritable, dismenorrea, adnexopatía, espasmos de las trompas, síndrome menopáusico).
Sección de Información
Authors: De Obstetricia y Ginecología Federación Colombiana
Published: July 2020

Bajo el auspicio de la FASGO (Federación Argentina de Sociedades de Obstetricia y Ginecología), se reunió en Córdoba, Argentina, el Décimo Tercer Congreso de la especialidad. Ciudad Monacal de alrededor de 850.000 habitantes, con un bien concebido plan urbanístico de aspecto netamente Europeo y cuyas condiciones socioeconómicas está sufriendo un gran cambio por la implantacion de nuevas industrias.
La operación cesárea en Colombia (Recuento Histórico)
Authors: Sánchez Torres Fernando
Published: July 2020

La operación cesárea parece ser de todas las intervenciones obstétricas la más antigua, como que desde los tiempos mitológicos su práctica era conocida.
El Fórceps de Kielland en el manejo de las presentaciones occipitoposteriores persistentes
Authors: Díaz Garzón Jaime
Published: July 2020

Indudablemente una complicación relativamente frecuente (6% ), (1) y que en muchas ocasiones acarrea gran peligro tanto para el niño como para la madre, es la "detención" que ocurre por "falta de rotación" en las presentaciones occípitoposteriores (ODP-OIP) .
Estimulación de la Función Ovárica. Tratamiento de la Esterilidad Anovulatoria
Authors: Zárate Arturo , Mac Gregor Carlos , Canales Elías S.
Published: July 2020

Sin lugar a dudas la posibilidad da controlar el funcionamiento ovárico ha sido uno de los elementos qUe más han influído en el conocimiento de la endocrinología de la reproducción.
Riesgo Materno y Fetal en Cirugía Obstétrica
Authors: Karchmer Samuel , Chávez Azuela José
Published: July 2020

De los más valiosos elementos de juicio sobre la calidad de los servicios gineco-obstétricos, son la proporción en la que sufren lesiones o mueren las madres y/o sus hijos durante alguna intervención obstétrica, ya que el resolver con técnica satisfactoria los casos normales y en aquellos que tienen complicaciones, poner todos los recursos de que la medicina actual dispone, dará como resultado la salud y la vida de la paciente y el producto.
Resúmenes de Literatura Actual
Authors: De Obstetricia y Ginecología Federación Colombiana
Published: July 2020

Bactrim "roche" en el tratamiento de uretritis conococcica agudaTromboflebitis asociada con el embarazoTromboflebitis superficial durante el embarazoTromboflebitis superficial en el puerperioTromboflebitis profunda durante el embarazo: 17 casosTromboflebitis profunda en el puerperioEmbolismo pulmonarPlanificación familiar en un barrio de porto alegre (Rio Grande Do Sul. Brasil)Estudio de los anticuerpos leucocito-tóxicos en la embarazada aloinmunizada al factor RhExperiencia clínica con citrato de clomifen
Trastornos endocrinos durante la pubertad
Authors: Zárate Arturo , McGregor Carlos , Castelazo Ayala Luis , Canales Elias S.
Published: July 2020

Los trastornos que se presentan en la mujer durante la adolescencia y la pubertad siempre despiertan un gran interés y con mucha frecuencia se interpretan inadecuadamente.
Fisiología de las hormonas sexuales en la infancia
Authors: Duarte Contreras Alberto
Published: July 2020

Aun cuando el sistema endocrino se desarrolla durante los primeros meses de la vida fetal, se acepta que los órganos genitales permanecen en reposo durante la infancia y que su actividad fisiológica sólo se inicia en los años que preceden de inmediato a la menarca.
Carcinoma primario de la Trompa de Falopio. Reporte de dos casos
Authors: Cantillo Jaime , Rojas R. Laura , Milanés Luis
Published: July 2020

Se presentan dos casos de adenocarcinoma de trompa de Falopio, obtenidos del material quirúrgico del centro hospitalario San Juan de Dios que arrojó una cifra de 112.894 piezas quirúrgicas durante un lapso de 18 años; se comenta que la entidad es más frecuente en las menopáusicas, es rara y poco frecuente y que el diagnóstico por lo general es hallazgo anatomopatológico. El tratamiento es quirúrgico, seguido de radioterapia.
Importancia de la Colpocitología en los programas de planificación familiar
Authors: Cáceres Alvarez Eduardo , Guzmán Rubén Darío , Salazar Santos Rafael
Published: July 2020

En Octubre de 1968 se inició en el Instituto Materno Infantil (I.M.I.) del Centro Hospitalario San Juan de Dios, en Bogotá, el Servicio de Planificación Familiar.
Resúmenes de la Literatura Actual
Authors: De Obstetricia y Ginecología Federación Colombiana
Published: July 2020

Paso de los glóbulos rojos del feto a través de la placenta en el embarazo y el post parto.Estudio de la influencia de los grupos sanguíneos ABO sobre la fertilidad.Valor del estimativo del estriol urinario en pacientes con hemorragia antes del parto. Significado de los aumentos en los resultados de análisis volumétricos de anticuerpo rhesus después de la amniocentesis. Líquido de la trompa de falopio humana. composición proteica.Vaginitis candial recurrente. Carcinoma epidermoideo del cuello uterino, recurrente después de la radiación. El Bactrim en pacientes Ginecológicas.
Dr. Rodulfo Camero Castaño
Authors: De Obstetricia y Ginecología Federción Colombiana
Published: July 2020

Con dolorosa sorpresa recibimos la noticia del fallecimiento del eminente Ginecólogo y Obstetra Dr. Rodulfo Camero Castaño, acaecida en la ciudad de Bogotá el día 14 de Mayo.
Lesiones blancas de la Vulva
Authors: Di Paola Guillermo
Published: July 2020

El problema de las lesiones premalignas vulvares consistió durante muchos años en una interminable discusión acerca del significado de los conceptos leucoplasia y craurosis, que lamentablemente no contribuyó a aclararlo.
La Ginecobstetricia en Santafé de Bogotá Durante la Conquista y la Colonia
Authors: Sánchez Torres Fernando
Published: July 2020

En publicación anterior dejamos reseñadas algunas de las costumbres de los indios cuando irrumpieron en sus lares los ejércitos conquistadores. Avasallada por ellos su cultura, forzosamente hubieron de modificar su organización política y social y muchas de sus creencias ancestrales.
Empleo del furosemid durante el embarazo
Authors: Sánchez Torres Fernando
Published: July 2020

La aparición de edemas durante los últimos meses del embarazo no es un hecho infrecuente. Aunque la retención hidrosalina se ha tenido como un fenómeno casi natural de las embarazadas, un aumento excesivo de peso, acompañado o no de edemas, impone una seria atención por parte del obstetra ya que puede ser el anuncio de que se está iniciando una toxemia gravídica.
Fracasos y complicaciones obstétricas de los artefactos intrauterinos
Authors: Romero Romero Jaime , Pérez Muñoz Alvaro
Published: July 2020

Se presentan ocho casos de aplicación de artefactos intrauterinos en otros centros asistenciales, estudiados posteriormente en la Clínica Restrepo. Uno de estos cusos (el Nº 2) corresponde, posiblemente, a un error de técnica . Podr ía interpretarse corno aplicación del asa de Lippes en un embarazo reciente, produciéndose un aborto séptico. En los casos restantes hubo fracaso del método. El embarazo ocurrió en pacientes portadoras del artefacto intrauterino. En los casos Nosº 1 y 4, el embarazo fué extrauterino, localizado en la trompa derecha. En el caso Nº 3, complicado con perfroación uterina durante la aplicación del artefacto, evolucionó con dolor pélvico y hemorragia vaginal. Terminó en aborto a las 22 semanas. La presencia del asa de Lippes se comprobó clínica mente y por radiografías en el fondo de saco de Douglas.En el caso Nº 5 es un embarazo que evoluciona normalmente a la 24 semana. El caso Nº 6 evolucionó normalmente hasta el término, obteniéndose un niño normal. El artefacto se encontró en el hematoma retroplacentario. En los casos 7 y 8 el embarazo evolucionaba normalmente en la 13ª semana, fecha del último control.
Estudio sobre infección urinaria en cirugía ginecológica
Authors: Jubis H. Alfonso , Vélez Santiago
Published: July 2020

Desde hace mucho tiempo se conoce que la sonda vesical a permanencia produce una serie de problemas que día a día preocupa a muchos investigadores.
Infección pélvica en Obstetricia y Ginecología. Revisión estadística sobre 490 casos
Authors: Rodríguez Aristarco , Zúñiga Jorge Enrique
Published: July 2020

I.Se hace una breve actualización de la infección pélvica.II.Se estudian 490 casos del Servicio de Sépticas del Departamento de Obstetricia y Ginecología del Hospital Universitario del Valle.III.La mayor incidencia de la enfermedad inflamatoria pélvica, estuvo en los grupos de 20 a 40 años de edad y el diagnóstico más frecuente fué el de aborto séptico, el cual se encontró en mayor proporción en mujeres solteras.IV.Se estudiaron 100 casos tomados al azar para investigación bacteriológica, y se encontró el estreptococo como germen más frecuentemente aislado en un 31,4%; la E. Coli en segundo lugar con un 26,6%. El estafilococo y Alkalígenes Fecaelis en 9,6% cada uno.V.La asociación bacteriana más frecuentemente hallada fue la E. Coli con otros microorganismos como el enterococo, klebsiella, estreptococo, estafilococo y salmonellas respectivamente.VI.La frecuencia de la infección en todas sus localizaciones se presentó en relación inversa a su grado. Disminuye con relación al aumento de las semanas de embarazo, siendo la frecuencia más alta entre las 6 y las 20 semanas.VIL La tendencia actual en el tratamiento de la infección pélvica, está basada en las dosis masivas de antibióticos.VIII.Se plantean los diferentes tipos de tratamiento, conservador y agresivo, en la enfermedad inflamatoria pélvica.IX.Se hace una evaluación de la terapia del shock séptico y se presentan 10 casos manejados con vasodilatadores (Clorpromazina).X.El promedio de días de hospitalización por infección pélvica de todos los grados fue de 10.4 días, correspondiendo el menor número de días al grado I de infección pélvica, y el mayor al grado III de infección pélvica.XI.El coeficiente de mortalidad para los 4 años estudiados sobre un total de 10.107 pacientes egresadas del servicio, fue de 8.2 por mil.
Esterilidad. Factor Tubárico
Authors: Espinosa y Espinosa Alvaro , Alvarez Clara
Published: July 2020

Deseamos con esta contribución al tema: Esterilidad, Factor Tubárico, presentar a ustedes unos casos más para la casuística Nacional en esta materia.
Agentes farmacológicos que afectan al feto
Authors: Duarte Contreras Alberto , Coronel Becerra José G. , Luzardo M. Luis F.
Published: July 2020

Oímos a uno de nuestros maestros en alguna oportunidad la siguiente máxima: "no olvidemos que el Obstetra es el pediatra de! feto" (1). Ello nos hizo reflexionar muy seriamente en los riesgos a que está expuesto el feto con el cúmulo inagotable de agentes farmacológicos que se administran a la madre, muchas veces de manera indiscriminada. Nos detendremos a estudiar únicamente aquellos factores que son de uso corriente en nuestro medio.
Roturas uterinas
Authors: Ramírez Merchán Rafael , Rojas Laura
Published: July 2020

La coincidencia de dos artículos recientes (1-2) sobre rotura uterina con una revisiónn nuestra sobre el mismo tema (años 1963 a 1967), nos permite presentar estos comentarios en los cuales analizamos objetivamente el accidente y hacemos comparación de datos y resultados, lo cual le dá un interés y movilidad a las cifras estadísticas.
La prueba del índigo carmín en la ruptura prematura de membranas
Authors: Díaz Garzón Jaime
Published: July 2020

La ruptura espontánea de las membranas ovulares antes de la iniciación del trabajo de parto (Ruptura Pre- matura de Membranas), ocurre en un 12 % de los embarazos, siendo este porcentaje un poco mayor en los par- tos prematuros.
Internado en Obstetricia y Ginecología
Authors: Amaya León Hernando
Published: July 2020

Para iniciar esta exposición quiero recordar lo que la ley 14 de 1962 (Abril 28) dictó en normas relativas al ejercicio de la Medicina y Cirugía en nuestro país y que está en plena vigencia; dice su artículo 4°: "Los estudiantes de Medicina y Cirugía que terminen sus estudios, requieren como requisito para recibir el grado, que la respectiva Facultad o Escuela tenga incorporado en su plan de estudios a los menos un año de internado obligatorio.
Estudio Clínico-Patológico de las Enfermedades Trofoblásticas Gestacionales
Authors: Díaz de Calle Constanza , Júbiz Hasbun Alfonso , Malabet Santoro Carlos
Published: July 2020

Bien conocida es la importancia que en los servicios gineco-obstétricos tienen las enfermedades del trofoblasto. Revisando la literatura colombiana encontramos varios estudios ( l , 2, 3, 4, 5, 6) todos de tipo retrospectivo que analizan una serie de problemas inherentes a estas entidades. Los autores coinciden en mencionar las dificultades que se presentan en el tratamiento y control de las pacientes, por la falta de un registro adecuado y porque la mayoría de ellas proceden de lugares lejanos y generalmente no regresan a revisión.
心血管内科临床用药问题及用药研究
Authors: 洋 周
Published: July 2020

统计分析心血管内科疾病患者治疗中存在的用药安全问题

,

以及管理整改措施

。

方法 随

机抽取我院

2018

年

2

月

-2019

年

2

月心血管内科收治的

300

例患者

,

调查患者用药情况

,

分析主要用药

问题以及处理方式

。

结果

300

例患者中不合理用药总例数为

34,

其中不合理用药类型主要为抗菌药物

使用不合理

,

其次为配伍不合理

、

用法用量不合理

、

疾病诊断与用药不相符以及用药禁忌症忽视

。

结论 提

升心血管内科临床治疗用药的安全性对于治疗效果的提升有非常重要的作用

,

相关管理人员需要结合患

者的基本情况以及治疗方案为患者选择相应的药物进行治疗

,

确保治疗效果以及用药安全型的提升
探析干预性护理对胸部肿瘤放疗所致放射性肺炎的 作用
Authors: 兆美 杨
Published: July 2020

 

目的  探析干预性护理对胸部肿瘤放疗所致放射性肺炎的作用:方法  选取我院2018年6月至2019年6月收治的100名由于胸部肿瘤放疗所引发的二级及以上的放射性肺炎患者作为临床的研究对象,对于对照组的患者,主要使用常规的护理方式,实验组的患者在常规护理工作开展的基础上,使用一些综合性的护理干预措施:结果  实验组的患者在放射性肺炎的总体治疗有效率方面达到了96对照组的治疗有效率只有82实验组的护理满意度是98对照组的护理满意度是86???论  干预性护理措施,对于胸部肿痛放疗所引发的放射性肺炎,有着比较积极的护理作用与效果,有利于提高临床当中的护理满意度,促进患者的肺炎得到及时的治疗与康复,是一种值得在临床当中进行推广的护理措施。

 
艾灸疗法的研究现状
Authors: 新 蔡 , 玲敏 何
Published: July 2020

艾灸疗法是中医学领域中的重要构成内容,在临床上广泛应用。分析艾灸疗法的温热特征、预防、保健等多种作用,通过现代医学技术手段研究分析,了解艾灸疗法的安全性,从而为艾灸疗法的临床应用提供参考与支持。基于此,本文主要对艾灸疗法的研究现状进行了总结概述。
试析配装眼镜的检测与质量把控
Authors: 松 王
Published: July 2020

    在现代民众生活学习压力不断增加的情形下,越来越多的人离不开眼镜,无论其开展日常生产作业活动,还是其开展日常生活活动,都需要眼镜的支持及帮助,在眼镜对现代民众生产生活有更为深远影响的情形下,强化配装眼镜的检测及质量监管力度,具有极其重要的现实价值。在做好配装眼镜检测及质量把控工作的情形下,能够尽可能避免配装眼镜质量问题的出现,在其正常有效发挥眼镜帮助作用的情形下,满足现代民众的使用需要.
探讨舒适护理在剖宫产手术室护理中的应用
Authors: 敏 印
Published: July 2020

目的  探究在剖宫产手术室中行舒适护理对孕妇的临床影响及作用。方法  本研究采用回顾性方式,分析本院自2017年1月至2018年12月接收的120例剖宫产手术的患者来作为研究对象,将全部患者按照简单随机地分为两个小组,对照组和实验组,对照组患者在手术室内行常规护理,实验组患者行舒适护理,比较两组患者的焦虑自评量表、护理满意度等。结果  对两组患者进行术前及术后焦虑自评量表比较得出,对照组和实验组术前及术后焦虑自评量表评分有较大差异,实验组忠者焦虑自评量表评分明显低于对照组,P<O.05;且实验组患者护理满意度评分高于对照组,两组比较差异明显,P<0.05。结论 在剖宫产手术室中行有效的舒适护理模式能减少产妇患者的疼痛、增加护理效果,减少产妇焦虑,提高护理满意度,值得临床推广.
胫骨前肌训练对脑卒中偏瘫患者患肢功能和步态的影响
Authors: 荣荣 王 , 文星 徐 , 月兰 马
Published: July 2020

目的:探讨早期胫骨前肌训练对急性脑卒中偏瘫患者患肢功能和偏瘫步态恢复的影响。方法:将92 例急性脑卒中伴肢体功能障碍的患者随机分为实验组(46)和对照组(46),两组病人在生命体征稳定,神经 病学体征不再进展48小时后开始接受神经科常规治疗和康复训练,实验组在常规治疗和康复训练的同时 进行胫骨前肌的训练。结果:训练二周后,实验组的肌力、踝关节活动度、步行速度和步幅的评分与对照组 比较差异有统计学意义(p<0.05)。结论:在常规早期康复治疗的基础上加胫骨前肌的训练能更有效的改 善脑卒中偏瘫患者患肢功能和步态的恢复。
血液透析患者动静脉内瘘护理进展
Authors: 笑兰 赵
Published: July 2020

对于血液透析的患者而言,开展动静脉内瘘方面的互利是比较关键的。随着多年研究工作的不断 开展,在这方面的护理工作当中,也积累了一定的经验,可以提升临床当中的护理质量与效果。本文主要 探讨血液透析患者在动静脉内容方面如何进行有效的护理工作,希望通过本文的研究,可以为临床护理工 作开展提供参考
Completeness, Categoricity and Imaginary Numbers: The Debate on Husserl
Authors: Aranda Víctor
Published: July 2020

Husserl's two notions of "definiteness" enabled him to clarify the problem of imaginary numbers. The exact meaning of these notions is a topic of much controversy. A "definite" axiom system has been interpreted as a syntactically complete theory, and also as a categorical one. I discuss whether and how far these readings manage to capture Husserl's goal of elucidating the problem of imaginary numbers, raising objections to both positions. Then, I suggest an interpretation of "absolute definiteness" as semantic completeness and argue that this notion does not suffice to explain Husserl's solution to the problem of imaginary numbers.
Climate Change in Himalayas: Research Findings and Complexities
Authors: Singh Surendra P. , Gumber Surabhi
Published: July 2020

Himalayas are important for its influence on the climate of much of Asia, and ecosystem services, which serve some 1.3 billion people living in 10 river basins that originate from the region. The region is warming rapidly and is highly vulnerable to climate change. This review (i) sheds light on some fairly well established facts about climate change in Himalayas, (ii) makes an attempt to give an integrated picture of its impact on various components, and (iii) discusses complexities in generalizing the findings. Himalayas are warming at 2-3 time higher rates than global average rate, at least in some areas. The rate of warming is increasing in time and with elevation. As for rainfall, uncertainty is high, but generally predictions are for more violent events. According to an analysis based on 75 glaciers, 63 glaciers are showing shrinkage and 12 growth, however, their (growing ones) measurements are of low confidence level. The contribution of glacier and snow melt to total river discharge varies from 5-60% from west to east. Violent extreme events and glacier melt lakes are predicted to generate more disasters. The intensification of pre-monsoon drought is likely to be a critical climate change factor, affecting several ecological processes and social behaviour. Its examples are drying of water springs, suppression of treeline and desiccation of seeds of the species in which seeds remain lying on ground for a relatively longer period before conditions for germination become favourable, and spread of forest fires. The intensified water shortage is a threat even to tourism supporting capacity of the region. Apple cultivation in the state of Himachal Pradesh is getting adversely affected by the lack of sufficient winter-chilling. Some interventions are possible to undertake to address climate change impact. They include addressing data gaps, particularly with regard to changes in glacier ice mass, volumes and timing of river flows, frequency and duration of extreme events, transboundary cooperation, and development of translational ecology research in which scientists work in a close partnership with stakeholders and administrators. The Himalayan region is disproportionately affected by climate change induced disasters and miseries, though the region's per capita fossil fuel consumption is ridiculously low, raising a issue of climate change justice.
Total Biomass and Carbon Estimates in Mangrove Species of Bhitarkanika Wildlife Sanctuary (BWLS), Odisha
Authors: Banerjee Kakoli , Bal Gobinda , Paul Rakesh
Published: July 2020

We estimated total biomass and total carbon in 18 selected woody mangrove species based on the IVI values along with physico-chemical parameters of sea water and soil. AGB and BGB values were calculated as per the standard protocol in BWLS in five sampling stations namely Dangmal, Bhitarkanika, Habalikhati, Ekakula and Gupti. The highest values of IVI were noted for E. agallocha followed by A. officinalis, A. marina, H. fomes and C. decandra. Total biomass of species range was found to be varying between 0.69 tha-1 in X. molluccensis and 2122.17 tha-1 in A. officinalis. Total site-wise biomass ranged between 0.22 tha-1 in B. cylindrica at Gupti and 1419.26 tha-1 in A. officinalis at Bhitarkanika. Total carbon was considered to be 50% of total dry biomass which varied from 188.45±21.87 tha-1 at Ekakula to 941.31±201.17 tha-1 at Bhitarkanika, respectively. The higher biomass and carbon in A. officinalis proves it to be highly adaptive to the environmental changes in the present geographical locale. The maximum biomass and carbon of all the mangrove species in station Bhitarkanika is due to the fact that this station receives the fresh water discharge of Baitarani river thereby the adequate lower salinity is maintained. The present study reveals that mangroves of Bhitarkanika Wildlife Sanctuary can store substantial amount of atmospheric carbon and therefore needs to be conserved and sustainably managed.
Impact of Nitrogen Deposition on Tropical Forest Biomass and Carbon Sequestration
Authors: Sagar R. , Gautam Vijay Pratap
Published: July 2020

Undoubtedly, nitrogen (N) is an essential component of proteins and nucleic acid of cells but in the last few decades it has undergone dramatic changes. Now move nitrogen has come into circulation and thus it has now become an environmental problem. Ndeposition is not always undesirable, in areas with N- limitation , N–deposition enhances the plant growth. Besides, it sequesters more CO into the plant biomass there by 2 lowering greenhouse gas emission into the atmosphere. Forest ecosystems all around the globe have experienced N- deposition and are becoming an important C-sink which has been shown in the table 1of this review article. The C-sink capacity of forest ecosystems have been determined using many approaches which are stochiometric scaling, dynamic global vegetation models and biomass weighting method. All these method used C:N response ratio as a predictor for future rate of C-sequestration in response to N- addition. Nutrient availability increases the production of biomass per unit of photosynthesis and decreases heterotrophic respiration in forests. Nutrient availability also determines net ecosystem productivity (NEP) and ecosystem carbon use efficiency (CUE). Biomass production was found higher in the nutrient rich forests, Increase in biomass production was more in woody biomass while foliage and root biomass production remain unchanged. Indeed, the potential of forest C-sink depends upon the partitioning of the carbon uptaken during photosynthesis. In terrestrial ecosystems, C –sequestration predominantly occur in forests ecosystems. Both C:N ratio and nitrogen use efficiency (NUE) are crucial for determining C-sequestration in different forest types. C-sequestration in response to N-addition shows variation with kind of mycorrhizal association. N-deposition benefitted trees with arbuscular mycorrhizal fungi rather than ectomycorrhizal fungi. Thus, after going thoroughly across number of research articles, we arrived at the conclusion that it is the C:N ratio, NUE, forest type, nutrient availability which determine the C sequestration by forest biomass.
Improving Phosphorus Fertility in Soil through Microbial Mediators
Authors: Prasad Vishal , Chaudhary Shivani , Singh Anjali
Published: July 2020

Microbes are an important element of the phosphorus cycle operative in the soil and play significant roles in transference of phosphorus between various soil phosphorus pools. Therefore, there has been continued interest in the usage of soil microbes to improve the phosphorus nutrition of plants and increase the overall efficiency of phosphorus use in agricultural systems. This interest originates from the fact that insufficiency of phosphorus is a common problem in soils all over the world, that a foremost cost for agricultural production is due to phosphate fertilizers and that the efficacy of phosphorus used by plants from soil applied phosphate fertilizers is very poor. Hence, with such issues the role of soil microbes in increasing phosphorus fertility in soils becomes more important. In this review several such aspects concerning the solubilisation and mobilization of soil phosphorus by microorganisms for enhancing soil fertility are discussed.
Analysis of Arsenic Accumulation and its Effects on the Ionome Profile of Rice (Oryza sativa L.) Plants
Authors: Srivastava Sudhakar
Published: July 2020

The accumulation of arsenic (As), a toxic carcinogenic element, in rice plants is a matter of significant environmental and human health concern. This study was performed to analyze the impact of As on ionome profile of rice (Oryza sativa L.) plants. The rice seedlings were subjected either to fixed concentration of 20 μM arsenite [As(III)] for different durations (1, 3, 7, 15 and 30 d) or to different concentrations of As(III) (0, 3, 5, 10, 20, and 50 μM) for fixed duration of 15 d. In both concentration- and duration-dependent experiments, As concentration in leaves and roots was found to increase progressively. The maximum As level was observed at 50 μM in concentration dependent experiment (185 μg g-1 dw in leaves and 9027 μg g-1 dw in roots) and at 30 d in duration dependent experiment (78 μg g-1 dw in leaves and 6175 μg g-1 dw in roots). In concentration dependent experiment, Ni showed a progressive increase while Cu (at all concentrations) and Mn (beyond 5 μM) a decline in both leaves and roots. Zn and Co showed an increase in leaves while a decline in roots. A similar trend of different element concentration was recorded in duration dependent experiment. The present analyses thus highlight that As exposure has profound influence on elemental composition of rice seedlings. Therefore, the health and safety aspects of As impacted rice plants must also be assessed from the perspective of other elemental concentrations.
Identification and Characterization of Antagonism Band of Secondary Metabolite from T. asperellum MK045610 against F. oxysporum f. sp. ciceri and F. oxysporum f. sp. lycopersici based on HPTLC and GC-MS
Authors: Sonkar Preeti
Published: July 2020

The present investigation was carried out on identification and characterization of an antagonism band of extract secondary metabolites from Trichoderma asperellum MK045610 against Fusarium oxysporum f. sp. ciceri and Fusarium oxysporum f. sp. lycopersici. In this experiment, analysis was performed by High Performance Thin Layer Chromatography (HPTLC), paper disc assay, gas chromatography-Mass spectrometry (GC-MS). Firstly, extract crude secondary metabolites were used for partial purification based on HPTLC. Secondly, the paper disc assay method was used for the determination of antifungal property on PDA plate from the partial purified compound. Thirdly, GC-MS was used for identification of partial purified compound based on peaks. Identified compounds are named as Phenol, 3, 5-bis (1,1-dimethylethyl), Pentadecanoic Acid, 14-methyl, methyl ester, Benzenepropanoic acid, 3,5,-bis (1,1-dimethyl ethyl)-4-hydroxy-methyl ester and represented to antifungal property . Conclusively, Secondary metabolite of Trichoderma asperellum MK045610 has a significant role in radial growth inhibition of Fusarium oxysporum f. sp. ciceri and Fusarium oxysporum f. sp. lycopersici.
Examination of social interactions by problem behaviours (13 years of longitudinal research)
Authors: Seven Serdal , Seven Zeynep Deniz , Isik Ismail
Published: July 2020

In this study, social interaction situations of adolescents who were identified as having either high or low problem behaviours (LPB) were investigated. Previously, the Teacher Form of Social Skill Rating System scale was applied to 110 children when they were 6 years old. Accordingly, among these participants, there were 26 adolescents who were 19-year old and were available to become participants of this study. In this study, eight adolescents were interviewed in order to investigate their social interactions based on the previous examination of problem behaviours at the highest or lowest level. Results show that the degree of problem behaviours determined at the age of six was the determinant in the current social interactions of these participants. It was observed that children who were defined with high problem behaviours experienced social breaks, insecurities and problems, whereas those with LPB showed better developed social relationships, such as being successful in coping with problems and having the feelings of trust and competence.

Keywords: Problem behaviours, externalising, internalising, early childhood, early adulthood.
Understanding of sustainable development in terms of environmental ethics: A qualitative study
Authors: Åžen Åženol , Temel Senar
Published: July 2020

This study aims to determine prospective teachersâ€™ understanding of sustainable development concept in the context of environmental ethics approach. Qualitative research method was used. A total of 20 prospective teachers were participated to the study and they were selected by purposeful sampling method. A test comprised of two open-ended questions was used for collecting data. The test was applied to the participants and they were required to answer the questions in writing in 20 minutes. Prospective teachersâ€™ written answers to the test questions were analysis according to content analysis. The findings obtained through content analysis were divided into codes and then categories and themes were defined. After the analysis of the themes and categories, prospective teachersâ€™ understanding of sustainable development concept in the context of environmental ethics approach was revealed and then the findings were discussed in details.    

Keywords: content analysis, environmental ethics, prospective teachers, sustainable development, understanding