bluuebunny/crossref_metadata_2025 huggingface dataset:
Overview of liver disorders during pregnancy at a tertiary care centre: Uttarakhand scenario
Authors: Ramola Monika , Jain Shweta , Gupta Vineeta , Bansal Neeta , Singh Parul
Published: August 2017

Background: Liver disorders in pregnancy encompass a spectrum of diseases encountered during antenatal and postnatal period resulting in abnormal liver function tests and hepatobiliary dysfunction or both. This study is aimed at determining the causes of liver disorders during pregnancy and associated maternal and fetal outcomes over a period of 3 years at a tertiary care centre of Dehradun.Methods: All case records of patients with liver disorders during pregnancy from May 2013 to May 2016 were retrieved from medical record department of SGRRIMHS, Dehradun and analyzed for various causes of liver disorders and associated maternal and fetal outcomes.Results: During the three-year study period, 146 pregnant patients were found to have liver disorders. The study found that viral hepatitis was the most common cause of liver disorders followed by Intrahepatic cholestasis of pregnancy IHCP. There were 6 mortalities among the study group out of which hepatitis E was the culprit for maternal mortality in two patients. The serum bilirubin levels were directly proportional to the maternal deaths.Conclusions: Liver disorders during pregnancy are rare but an important cause of maternal and fetal morbidity and mortality. Early recognition, timely referral and aggressive management may lead to better maternal and fetal outcome.
Abnormal lipid metabolism is associated with angiogenic and anti angiogenic factor imbalance in PIH women
Authors: Jammalamadaga Visala Sree , Abraham Philips
Published: August 2017

Background: Preeclampsia is a major cause of maternal and fetal/neonatal mortality and morbidity even in developed countries. Despite of extensive research, the etiology and pathogenesis of preeclampsia are not completely understood. Evidence shows that imbalance between angiogenic and antiangiogenic factor plays a pivotal role in the genesis of endothelial dysfunction which is considered as a hall mark in the development of multisystem disorder in pre-eclampsia and eclampsia. Abnormal lipid metabolism is a known causative factor for endothelial dysfunction. This study has been designed to determine the association between abnormal lipids and angiogenic, anti angiogenic balance in PIH (PE and E) women.Methods: Study group consisted of Normotensive pregnant women (N) preeclamptic women (PE) and eclamptic women (E) with 100 subjects in each group in the 3rd trimester of pregnancy. They were investigated for lipid profile and apolipoproteins, MDA, FRAP, TNF-α, sFlt-1, VEGF, PlGF, NO. Statistical analysis was done using ANOVA and pearson correlation analysis.Results: When compared to controls TC, TGL, VLDL, LDL, apoB, MDA, TNF-α, sFlt-1 levels were found to be significantly high and HDL, apoA, FRAP, VEGF, PIGF, and NO levels were significantly low in PE, E group.  Eclamptic women showed a significantly high level of MDA, TNF-α, sFlt-1and low levels of FRAP, VEGF, PIGF, NO when compared to PE group.Conclusions: In PIH women, abnormal lipid metabolism is associated with angiogenic and antiangiogenic imbalance.
Role of diagnostic hysterolaparoscopy in evaluation of female infertility
Authors: S. Ahmed Mariyam , N. Bhalerao Anand
Published: August 2017

Background: Infertility affects 10-15% of reproductive age couples. Routine pelvic examination and usual diagnostic procedures can miss majority of the pelvic pathologies. Hysterolaparoscopy is an effective tool for diagnosing these pathologies and additionally therapeutic procedures, like polypectomy, myomectomy, septal resection and adhesiolysis, can be done in the same sitting. Objective of present study was to determine the role of diagnostic hysterolaparoscopy for evaluating the causes of infertility.Methods: It was a prospective study conducted at the Department of OBGY from September 2015 to August 2016. Patients aged 20-40 years with infertility were included in the study. The prevalence of different lesions was analysed.Results: Out of the 30 patients studied, most had primary infertility. Laparoscopic abnormalities (56.6%) were more common than hysteroscopic abnormalities (36.6%). Adnexal adhesions (26.6%) was the most common abnormality detected on laparoscopy, while the common intra-uterine pathologies were uterine septum and synechiae.Conclusions: Hysterolaparoscopy may be recommended as the procedure of choice for evaluation of female infertility, which are usually missed by imaging modalities.
Role of plasminogen activator inhibitor type 1 (PAI-1) in PCOS patient
Authors: Sahay Shikha , Jain Madhu , Dash D. , Choubey Lavina , Jain Shuchi , Singh T. B.
Published: August 2017

Background: There has been few studies done demonstrating elevated level of PAI-1 in women with Polycystic Ovarian Syndrome (PCOS). PAI-1 has been associated with insulin resistance, obesity, anovulatory infertility, increased risk of cardiovascular disease in PCOS patient. The objective of the study was to find out the plasma level of PAI-1 in PCOS and compare with healthy age matched control. To correlate PAI-1 with various demographic, anthropometric, biochemical and hormonal parameters in PCOS patient and specific relation of PAI-1 with the insulin resistance, obesity, hyperandrogenemia.Methods: A prospective case control study was carried out in 50 patients having PCOS (fulfilling Rotterdam Criteria, 2003). 25 healthy age matched control were taken. Blood samples were taken for estimation of fasting glucose, fasting insulin, lipid profile, LH, FSH, Prolactin, Testosterone, insulin sensitive indices (HOMA-IR, glucose: insulin ratio). Plasma level of PAI-1 was estimated with Human ELISA invitorgen kit. The data were statistically analysed with SPSS 16.0 version (student T test, Pearson ranked correlation coefficient, linear regression analysis was applied) and PAI-1 was correlated with various parameters.Results: Mean level of PAI-1 was significantly raised in PCOS patient (893.36±234.97) pg/mL than in control (259.68±97.75) pg/mL (p<0.001). PAI-1 significantly correlated with insulin resistance, obesity; that is; PAI-1 significantly correlated with BMI (r=0.557; p<0.001), waist: hip ratio (r=0.550; p<0.001), fasting glucose (r=0.429; p=0.002), fasting insulin (r=0.357; p=0.001), triglyceride (r=0.492; p=0.000), LDL (r=0.604; p=0.001), HOMA-IR (r=0.467; p=0.001). On regression analysis LDL, fasting insulin, HOMA-IR altogether explained 54.9% of total variability of PAI-1.Conclusions: Plasma level of PAI-1 is elevated in PCOS patient and it is significantly correlated with insulin resistance and obesity.
Analysis of factors responsible for intrauterine fetal death in rural pregnant women at tertiary care centre of Northern India
Authors: Garg Shaveta , Kumar Naina
Published: August 2017

Background: Intrauterine fetal death (IUFD) is a tragic event for both the parents and obstetrician. Objectives of current study were to study the underlying etiology of Intra Uterine Fetal Death (IUFD) that can be helpful in formulating the preventive measures.Methods: This study was conducted over a period of one year from April 2016 till March 2017 at a tertiary rural care hospital. All patients with diagnosed IUFD at >24 weeks of gestation were included in the study.Results: Total eighty patients were admitted with diagnosis of intrauterine fetal death. Among these majority 58 (72.5%) were multigravida and only 22 (27.5%) were primigravida. Maximum number of patients, 61 (72.5%) were between age group of 20-30 years. Maximum number of IUFD were reported between 36-40 weeks of gestation (36.25%). Most of fetal deaths were due to preventable conditions like hypertensive disorders of pregnancy (28.75%), severe anemia (15%), abruptio placenta (11.25%), and rupture uterus (10%). Out of these patients 68 (85%) delivered vaginally and 7 patients were delivered by LSCS.Conclusions: The present study emphasizes the role of health education, regular antenatal checkups, early detection of complications and hospital delivery to reduce the overall preventable IUFD.
Awareness of danger signs during pregnancy, labour, child birth and during the first seven days of life attending antenatal care at KAMSRC
Authors: J. Krishna Sahithi , Cuddapah Gaurav Venkat
Published: August 2017

Background: The main objective of this study was to assess the awareness of danger signs during pregnancy, labour, child birth and during the first seven days of life among the antenatal women attending the OPD of Kamineni Academy of Medical Sciences and Research Centre.Methods: This was a cross sectional observational study. 200 antenatal women were assessed during the two months study period who attended the antenatal care.Results: 73.5% of the respondents knew at least one danger sign during pregnancy, 67.5% respondents knew at least one danger sign during labour and 65% of the respondents knew at least one danger sign of New born.Conclusions: Knowledge of signs of danger in pregnancy, during labour and delivery, and new born was low.
Complicated clinical course of acute pelvic inflammatory disease
Authors: Kornete Anna , Paunina Zane , Grabe Zane
Published: August 2017

The absence of both the classic risk factors for pelvic inflammatory disease (PID) and the triad of cervical motion, uterine or adnexal tenderness does not preclude the diagnosis of PID and tubo-ovarian abscess. The clinical case demonstration presents the perimenopausal woman with complicated clinical course of acute PID.
Ovarian tumor with mature teratoma with squamous differentiation in a postmenopausal female
Authors: Rai Amrita , Zutshi Vijay
Published: August 2017

Mature cystic ovarian teratomas are the commonest germ cell tumour accounting for about 30-45% of all ovarian neoplasms and around 60% of all benign tumors arising in the ovary. The reported incidence of malignant transformation in MCT is approximately 2%. A rare case of squamous cell carcinoma arising in a dermoid cyst of the ovary presenting in a postmenopausal female is presented here. A 60-year-old postmenopausal lady, presented with the complaint of pain in lower abdomen for 2 years and a large complex abdomino-pelvic mass on examination and investigations. Final histopathology was reported as squamous cell carcinoma arising from mature cystic teratoma of right ovary. Primary cytoreductive surgery was done and a surgical stage IIB was assigned. In view of the poor prognosis, adjuvant chemotherapy was started.
Fibroid originated from rudimentary horn in mullerian agenesis
Authors: Deepika . , Gupta Smita , Wadhwa Leena , Singh Lata
Published: August 2017

Mullerian agenesis or Mayer Rokitansky- Kuster- Hauser syndrome is defined by congenital absence of both the uterus and vagina. It affects 1 in 4000-5000 females. Leiomyoma arising from the uterine remanent in case of MRKH is very rare. Very few cases have been reported in literature. The exact etiopathogenesis of leiomyoma from the rudimentary uterus in MRKH syndrome is not known. We are reporting a rare case of 35-year-old married, nulliparous female who presented with primary amenorrhea and lump in lower abdomen since, 1 year. On physical examination, a mass of 18-week size of uterus, firm in consistency, irregular, nontender, mobile from side to side, occupying right iliac and hypogastric region was detected. Provisional diagnosis of multiple leiomyoma with mullerian anomaly was made on USG and MRI for which laparotomy was performed. Per-operatively, there was a mass of approx. 15 x 8 x 8 cm consisting of multiple fibroids present, uterus not visualized separately. Right ovary and tube absent. Left fallopian tube and ovary were normal arising from left rudimentary horn with no endometrial tissue. Blind end with no cervix. Partial agenesis of vagina. No communication possible between rudimentary horn and vagina. Patient underwent hysterectomy in view of non-functioning uterus. Histopathology report confirmed the diagnosis. Finally, it was diagnosed as a case of multiple leiomyoma originating from uterine remanent. Post-operative period was uneventful.
Adrenal gland metastasis - an unusual manifestation of cancer cervix
Authors: Theivasikamani Deenadayalan , Srinivasan Lakshminarasimhan , Bakthavachalam Ramkumar
Published: August 2017

Cancer Cervix is the most common women related cancer in India. It mainly affects middle aged female of 40-55 years age group, largely attributed to HPV infection. Advances in radiation therapy, surgical techniques and chemotherapy, have resulted in improved survival rates. Still 20-30% patients with cancer cervix would develop recurrent or persistent disease. Although the typical manifestations of recurrent cervical carcinoma are pelvic masses and lymphadenopathy, less typical manifestations like solid organ metastases and peritoneal carcinomatosis also can occur. The increasing prevalence of these less typical manifestations is partially related to the use of intensive pelvic radiation therapy, resulting in a shift away from pelvic recurrence toward distant metastasis, as well as related to improvements in cross-sectional imaging techniques. This article describes a clinical case of a 40-year-old patient with cancer cervix, who achieved complete remission with concurrent chemo radiotherapy and 3 years later, she relapsed with adrenal metastasis.
Vulval lymphangiectasia: 2 case reports
Authors: Gulati Gunjan , Bhagat Rohit , S. Bhagat Tripta
Published: August 2017

Vulval lymphangiectasia is a rare cutaneous condition of lymphatic channels in deep dermal and subcutaneous layers. It can be congenital condition or might develop secondary to tuberculosis, surgery, radiotherapy, crohn’s disease etc. Very few cases have been reported in the literature so far. Diagnosis is mainly clinical aided with histopathology. Various treatment modalities are available for this condition. Surgical treatment is the most commonly used method to treat vulvar lymphangiectasia and has offered promising results. In this report, we present 2 cases of vulval lymphangiectasia- one congenital case and other acquired after tuberculosis.
A unique variant of spontaneous ovarian hyperstimulation syndrome: case report
Authors: Buckshee Rohatgi Tanya , Buckshee Kamal
Published: August 2017

Spontaneous ovarian hyperstimulation syndrome (SOHSS) is extremely rare in naturally conceived pregnancies and is potentially a life-threatening condition. Objective of present study was to highlight the development of new and atypical findings associated with SOHSS in a woman who conceived naturally with singleton pregnancy while taking inositols and metformin. A 35 years old lady was under pressure to conceive, so she presented to us for fertility consultation and further management. Being a case of polycystic ovary syndrome (PCOS) with irregular periods, hyperandrogenism and dyslipidemia with raised blood sugar level, she was started on inositols and metformin to aid fertility and to improve endocrine and metabolic parameters. To evaluate the status of ovaries and endometrium, ultrasound (US) was done which revealed moderate amount of free fluid in pelvis, thickened endometrium and mild enlargement of ovaries with unusually small and atypical follicles. Pregnancy test and beta-human chorionic gonadotropin (βHCG) confirmed pregnancy. She was asymptomatic and was managed conservatively. Pregnancy progressed and at term, a healthy male baby was delivered. Awareness and suspicion of SOHSS in a PCOS case aided early diagnosis and timely management. Intake of type of pharmacological and non-pharmacological agents to be monitored for their impact on fertility, ovarian enlargement, severity of ovarian hyperstimulation syndrome (OHSS), clinical presentation, laboratory profile and outcome of pregnancy.
Developmental Pathways Towards Crime Prevention: Early Intervention Models
Authors: Boyes Mike C , Hornick Joseph P , Ogden Nancy
Published: August 2017

In examining the role of early intervention in children’s social development, the authors discuss the results of five broad-based intervention programs based on the Healthy Families model originated in the State of Hawaii. These programs were directed toward families at moderate levels of risk when dealing with the arrival their first child and were situated in Charlottetown, Prince Edward Island, Whitehorse, Yukon, and at three sites in Edmonton, Alberta. The authors state that their experiences with this project have led them to question a number of traditional assumptions regarding past theory and research in this area as it pertains to crime prevention. More specifically, they discuss how the developmental model helped to identify the various developmental pathways of positive change that were being demonstrated by families in the Healthy Families Program sites. They agree with other researchers that early childhood intervention is viewed most appropriately as an individualized strategy and not as a developmental panacea.
Meaningful Intervention with Children and Youth: A Reflection on Ten Years of Inquiry
Authors: Artz Sibylle , Nicholson Diana , Halsall Elaine , Larke Susan
Published: August 2017

It has been known since the early 1970s that youth risk assessment does not necessarily assist us in determining youth needs and services. Still, where young people and crime are the concerned, interventions are often focused on risk assessment rather than need assessment, especially when these young people face incarceration. In this article we emphasize needs assessment and the development of a youth friendly approach to such assessment.  We draw on a number of community-based and community involved studies that were conducted over a ten-year period, studies that focused on the perspectives, experiences, and needs of children and youth, and present as key among these studies a project on the development of a gender-sensitive tool for needs assessment that can aid workers with youth engagement and needs focused intervention.
Addressing the Phenomenon of Gangs The Youth and Street Gangs Project: History, Basic Principles, and Major Developments of a Prevention Project Based on Community Social Development
Authors: Hamel Sylvie , Cousineau Marie-Marthe , Léveillée Sophie , Vézina Martine , Savignac Julie
Published: August 2017

The authors discuss the apparent proliferation of street gangs, noting that society’s first reflex is to try to eradicate the phenomenon through repression, which is sometimes necessary when gang activities become truly dangerous, but is insufficient to truly eliminate the problem. They trace the evolution of the Youth and Street Gang Project in three districts of Greater Montréal and analyze the new and instructive information it provides. This innovative project aims to help the communities develop a prevention model, but also makes research an integral part of the process, so the process can be described and analyzed as its various stages unfold. Based on a number of years of data, the authors argue that while the project is designed essentially to prevent the phenomenon of gangs, its ultimate challenge is to find ways to encourage youth to integrate and join their communities, in the same way that they integrate and join gangs.
Embodiment and the Meaning of the “Healthy Body”: An Exploration of First Nations Women’s Perspectives of Healthy Body Weight and Body Image
Authors: Poudrier Jennifer , Kennedy Janice
Published: August 2017

Obesity and its associated health risks have been identified as areas of concern for First Nations women, however, very little is known about the cultural, gendered and historical meanings or experiences of healthy body weight and healthy body image from the perspectives of First Nations women. This article describes the first phase of a project that explores these issues from the perspective of First Nations women living in rural communities of the Battleford Tribal Council (BTC) region of Saskatchewan. We describe the start up phase of our community-based research program. We detail the processes involved in the development of our research team and the research project, including a community consultation (a sharing circle and focus group) that was held with six BTC women. We also describe the outcomes of the consultation, which was intended to provide an appropriate direction for our research program and to gain an understanding of BTC women’s perspectives on healthy body weight and body image. Through our analysis, we identify three interconnected themes related to perceptions of the “healthy body” in the context of BTC communities. These themes are: 1) the importance of Elder knowledge and traditional values in promoting community wellness; 2) the importance of understanding family history and the role of women; and 3) the need to better understand the practical aspects of purchasing and preparing healthy food. As such, we suggest that in order to enhance community programming related to healthy body weight and body image, it is essential to understand the ways in which First Nations women experience and give meaning to their bodies and the “healthy body” in the socio-cultural and historical context of the BTC communities. We also suggest that further exploration of these meanings with BTC women, analyzed with the concept of “embodiment”—which addresses the complex intersections between the physical body and the socio-cultural experiences of the body—will constitute an important second phase of our work.
Balancing the Medicine Wheel through Physical Activity
Authors: Lavallée Lynn
Published: August 2017

This article highlights the findings of a research project based on the medicine wheel teachings of balance between the physical, mental, spiritual, and emotional aspects of oneself. Specifically, this traditional approach to understanding health was used to explore the impacts of physical activity on emotional, spiritual and mental well-being. Four female participants in a martial arts program at an urban Friendship Centre told their stories at two sharing circles. Afterwards, they were given six weeks to develop symbols that represented the meaning of the martial arts program to them and how it had impacted their lives. The participants named this second method “Anishnaabe Symbol-Based Reflection.” This article provides a brief overview of these Indigenous methods and explains how they were applied to this research project. The article then focuses on two key themes that emerged from the Aboriginal women’s stories: issues related to identity and to a sense of not deserving good things in life. The women described how they were able to work through some of their identity issues and their low sense of self-worth through their participation in the martial arts program.
Hand Drumming: Health-Promoting Experiences of Aboriginal Women from a Northern Ontario Urban Community
Authors: Goudreau Ghislaine , Weber-Pillwax Cora , Cote-Meek Sheila , Madill Helen , Wilson Stan
Published: August 2017

Over the past 10 years, Aboriginal women from a northern Ontario urban community have been gathering to hand drum as a way to revive their culture and support one another. As a member of an Aboriginal women’s hand-drumming circle called the Waabishki Mkwaa (White Bear) Singers, I had a vision of exploring the connection between hand-drumming practices and health promotion, and was the primary researcher for the study described in this article. Adhering to Aboriginal protocols as part of an Indigenous research methodology, I offered traditional tobacco to members of the Waabishki Mkwaa Singers, as an invitation for them to be both co-researchers and participants in the study. In accepting the tobacco, the members agreed to help facilitate the research process, as well as to journal their experiences of the process and of their own hand-drumming practices. Using an Aboriginal Women’s Hand Drumming (AWHD) Circle of Life framework—a framework developed by the co-researchers of the study—we explored the physical, mental, spiritual, and emotional benefits of Aboriginal women’s hand-drumming practices, and examined how culture and social support networks are key determinants of Aboriginal women’s health. Results of the qualitative analysis show that the Aboriginal women’s involvement in hand-drumming circles has many health promoting benefits and builds on strengths already existent within their community. Through their experiences with hand drumming, the women reported gaining a voice and a sense of holistic healing, empowerment, renewal, strength and Mino-Bimaadiziwin (“good life”). These findings are consistent with evolving Aboriginal perspectives on health promotion.
Contemporary Perceptions of Health from an Indigenous (Plains Cree) Perspective
Authors: Graham Holly , Stamler Lynnette Leeseberg
Published: August 2017

Currently, there is limited literature demonstrating awareness of how contemporary Aboriginal Peoples understand and define health, address their health concerns, and perceive barriers to obtaining optimal health. This knowledge is an important and essential first step in program planning for delivering effective health care for all aspects of health. An additional challenge is to effectively address and meet these needs in a timely manner which is critical to overall Indigenous wellness. The primary researcher, who is Indigenous (Plains Cree), wondered whether the social determinants of health were reflective and an appropriate framework to address the existing health disparities between Aboriginal and non-Aboriginal Peoples of Canada, and more specifically, the Plains Cree people from Thunderchild First Nation. This paper examines the results from a qualitative descriptive research study completed in Thunderchild First Nation, Saskatchewan. There were four predominant themes that were derived from the data: health was consistently described in relation to physical, mental (intellectual), emotional, and spiritual wellness; value of health; factors related to the environment; and factors related to economics. Collectively, there does appear to be a holistic perception of health, similar to the teachings from the Medicine Wheel. Pursuing and maintaining health included a combination of information and practices from both the western and Traditional Indigenous world. This data supports that the determinants of health may be an appropriate framework to address the health needs of Indigenous Peoples, and an appropriate frame for federal, provincial and local policy makers to implement structural changes necessary to decrease the health disparities between the Indigenous Peoples and the rest of Canada.
Turkey Post 1980 Coup D’etat: the Rise, the Fall, and the Emergence of Political Islam
Authors: Hemmati Khash
Published: August 2017

While it has often been perceived that Kemalist Turkey succeeded in firmly establishing secularization, the Islamist movement that followed the 1980 military intervention questioned the fundamental principles of Mustafa Kemal Ataturk by embracing Islamic identity and Islamic values in the social and public sphere. This paper will examine the rise, the fall, and the emergence of political Islam in Turkey following the 1980 coup d’état. Following the military intervention of 1980, the level of Islamic activism rose due to state policies during the 1980s and 1990s. It can be observed that the consequences of the Islamic tolerance during the 1980s and 1990s led to the rise and the fall of the Islamic leaning Welfare Party of Necmettin Erbakan. This paper will also explain how the Justice and Development Party (AKP) differed its policies from the Welfare Party, by blending a moderate Islamic identity with a pro-Western mentality, to achieve support and stability for Islamist politics.
EMPREENDER A CULTURA: O TIPO E AÇÃO DO HOMEM CORDIAL NA POLÍTICA PÚBLICA AMAPAENSE, A PARTIR DE RAÍZES DO BRASIL
Authors: Carrera Guedes Fátima Lucia
Published: August 2017

A exposição e a discussão transcorrerão, metodologicamente, numa análise relacional e comparativa entre (e sobre) os fazedores e produtores culturais do Amapá à luz do ensaio de Sérgio Buarque de Holanda<a title="" href="file:///D:/Disco%20Local/Users/USER/Documents/Doutorado/DOUTORAMENTO%20NATAL/PRODUCAO_PUBLICA%C3%87OES_2015_16/Produ%C3%A7%C3%B5es_p_Publica%C3%A7%C3%A3o_2015_16/PRACS_IIsem_2016/Revisado_2o_email/Empreender_a_cultura_submiss%C3%A3oPracs.docx#_ftn1">[1], Raízes do Brasil e seus tipos ideais weberianos. É interesse entender a ação daqueles agentes sociais e políticos enquanto condutores do comportamento e atitude de herança ibérica cordial e sua relação político-institucional no campo da política pública cultural no Estado do Amapá. A análise discute, a partir de uma ruptura com o homem cordial, a atitude empreendedora e as possibilidades de usá-la como instrumento de dinamização do setor público objetivando responder as demandas e insatisfação da sociedade frente à ineficiência do Estado.

<a title="" href="file:///D:/Disco%20Local/Users/USER/Documents/Doutorado/DOUTORAMENTO%20NATAL/PRODUCAO_PUBLICA%C3%87OES_2015_16/Produ%C3%A7%C3%B5es_p_Publica%C3%A7%C3%A3o_2015_16/PRACS_IIsem_2016/Revisado_2o_email/Empreender_a_cultura_submiss%C3%A3oPracs.docx#_ftnref1">[1] Sérgio Buarque de Holanda, em Raízes do Brasil, assenta seu raciocínio sociológico à luz da teoria weberiana. Nasceu em São Paulo, em 1902 e faleceu em 1982. Depois de lecionar em várias escolas superiores, tornou-se, em 1956, catedrático de História da Civilização Brasileira na Faculdade de Filosofia da Universidade de São Paulo. É também autor de, entre outros, Cobra de vidro (1944), Caminhos e fronteiras (1956; Companhia das Letras, 1994), Visão do paraíso (1958), Livro dos prefácios (Companhia das Letras, 1996) e O espírito e a letra (Companhia das Letras, 1996). (HOLANDA, 1995).
Patent Ductus Arteriosus in Preterm Infants, Part 1: Understanding the Pathophysiologic Link Between the Patent Ductus Arteriosus and Clinical Complications
Authors: Elsayed Yasser N. , Fraser Debbie
Published: August 2017

Abstract

The clinical guidelines for treating patent ductus arteriosus (PDA) have significantly evolved over the last decades from treating any ductal shunt to more conservative management where only the hemodynamically significant patent ductus arteriosus (HSPDA) is treated. This shift has resulted largely from a lack of evidence from randomized controlled trials supporting a relationship between treating a PDA and improving long-term neonatal outcomes. However, there are many unresolved issues. There is no consensus on the precise definition of HSPDA requiring treatment or a clear understanding of when to treat HSPDA. Moreover, the current evidence shows worsening of the long-term neurodevelopmental outcome for infants undergoing surgical PDA ligation.

The presence of physiologic variability among preterm infants, and the presence of different compensatory mechanisms may make it difficult to establish a link between pathophysiology and long-term outcomes. That is, the physiologic variability cannot be simply assessed by randomly assigning infants into two arms of a study. Relying on research from animal and human studies, this article explains the link between the pathophysiology of a PDA and neonatal outcomes.
Computer‐Guided Immediate Implant Placement and Predigitally Designed Immediate Provisionalization
Authors: Wang Chin‐Wei (Jeff) , Bhaskar Vaishnavi , Dickerman Brandon , Kaigler Darnell
Published: August 2017

Introduction

Implementation of digital technology in patient care has allowed precise and personalized implant restorations to be delivered with unprecedented speed. This case report demonstrates that through digital planning, successful guided placement of an immediate implant can be achieved, including bone grafting and immediate provisionalization, using a predesigned and prefabricated restoration.

Case Presentation

A healthy 38‐year‐old female patient with high esthetic demands presented with an unrestorable maxillary left first premolar. Main challenges in this case included the presence of an impacted adjacent second premolar and the desire of the patient for a fixed provisional prosthesis. The treatment plan involved extraction of the tooth, computer‐guided immediate implant placement, and immediate provisionalization with a digitally designed, presurgically fabricated crown. After immediate delivery of the provisional crown, which facilitated sculpting of the peri‐implant soft tissue, minimal adjustment was required, and there was no need for suturing to seal the grafted socket. After delivery of the final restoration and 10 months of functional loading, evaluation of the implant and restoration revealed stable crestal bone levels with an esthetically pleasing result and high patient satisfaction.

Conclusions

Digital technology can play a significant role in implant therapy. Select cases can benefit from the digital workflow to facilitate guided immediate implant placement and delivery of a digitally prefabricated provisional restoration. Further studies are needed to optimize the generalizability of this approach.
Smoking May Lead to Marginal Bone Loss Around Non‐Submerged Implants During Bone Healing by Altering Salivary Microbiome: A Prospective Study
Authors: Duan Xiaobo , Wu Tingxi , Xu Xin , Chen Demeng , Mo Anchun , Lei Yiling , Cheng Lei , Man Yi , Zhou Xuedong , Wang Yongyue , Yuan Quan
Published: August 2017

Background: This prospective and controlled study elucidates the impact of smoking on the salivary microbiome and its further influence on marginal bone loss (MBL) around an implant during a 3‐month bone‐healing period.

Methods: Saliva samples were collected preoperatively from 20 periodontally healthy patients with single‐tooth replacement in the posterior mandible (smokers [n = 10] and non‐smokers [n = 10]). Sequencing of 16S recombinant RNA gene amplicons was used to characterize the salivary microbiome. Each patient received implant surgery after oral clinical assessment, and MBL around the implant was measured during a 3‐month healing period.

Results: In total, 871,389 sequences were compared against the Human Oral Microbiome Database for bacterial identification. Microbial signatures of smokers exhibited lower diversity and richness, with a significant decrease in uncultured species. The phyla Gracilibacteria and Saccharibacteria showed a significant decrease in smokers. The genera Streptococcus, Lachnoanaerobaculum, Stomatobaculum, and Eubacterium were significantly increased in smokers, whereas Selenomonas, Selenomonas [G‐3], and Catonella were significantly decreased. Specifically, Porphyromonas gingivalis was significantly more abundant in smokers, which was positively related to the severity of MBL during bone healing.

Conclusions: Smoking shapes the salivary microbiome in states of clinical health, and further may influence MBL during bone healing by creating high at‐risk‐for‐harm communities. Understanding of the distinctly divergent oral microbiome in smokers and non‐smokers is a base for personalized therapeutics for this high‐risk cohort and also a base for further study on the pathologic mechanisms.
Evaluation of oxidative status in patients with chronic periodontitis and polycystic ovary syndrome: A cross‐sectional study
Authors: Saglam Ebru , Canakci Cenk Fatih , Sebin Saime Ozbek , Saruhan Nesrin , Ingec Metin , Canakci Hümeyra , Sezer Ufuk
Published: August 2017

Background

In patients with polycystic ovary syndrome (PCOS), chronic periodontitis (CP) contributed to increased oxidative stress (OS), owing to an increase in serum and salivary 8‐hydroxy‐2′‐deoxyguanosine (8‐OHdG) and malondialdehyde (MDA) levels and a decrease in serum total antioxidant status (TAS) levels. The aim of the present study is to investigate salivary and serum 8‐OHdG and MDA levels as well as total antioxidant status (TAS) in females with CP and PCOS compared with healthy females.

Methods

Four groups, each consisting of 22 individuals, were: 1) women with both PCOS and CP (PCOSCP); 2) systemically healthy women with CP; 3) periodontally healthy women with PCOS (PCOSPH); and 4) periodontally and systemically healthy women (PH). Demographic and clinical periodontal parameters were measured. Oxidative parameters were evaluated in serum and salivary samples.

Results

Salivary 8‐OHdG levels in the PCOSCP and CP groups were statistically higher than those in both the PCOSPH and the PH groups (P < 0.05). There was no statistical difference between the PCOSCP, CP, and PCOSPH groups with regard to salivary MDA and TAS levels (P > 0.05). Highest serum 8‐OHdG and MDA levels and lowest serum TAS levels were seen in the PCOSCP group (P < 0.05). Serum 8‐OHdG and MDA levels in the PCOSPH group were higher than those in both systemically healthy groups (PH and CP) (P < 0.05). Salivary TAS levels were highest (P < 0.05) in the PH group. There was no statistical difference between the CP and PCOSPH groups, but serum TAS levels were lower than those in the PH group (P < 0.05).

Conclusions

CP, which led to an increase in serum and salivary 8‐OHdG and MDA levels and a decrease in serum TAS levels in patients with PCOS, contributed to increased OS. This effect was more prominent in serum levels than in salivary levels.
Microbiologic Response to Periodontal Therapy and Multivariable Prediction of Clinical Outcome
Authors: Mombelli Andrea , Almaghlouth Adnan , Cionca Norbert , Cancela José , Courvoisier Delphine S. , Giannopoulou Catherine
Published: August 2017

Background: This study assesses the microbiologic effects of a two‐phase antimicrobial periodontal therapy and tested microbiologic, clinical, and biologic markers as prognostic indicators for clinical success.

Methods: Eighty patients with chronic or aggressive periodontitis received periodontal treatment supplemented with 375 mg amoxicillin plus 500 mg metronidazole, three times daily for 7 days. In group A, antibiotics were given during the first non‐surgical phase (T1); in group B, antibiotics were given during the second surgical phase (T2). Six microorganisms, group assignment, demographic and clinical variables, peak values of 15 cytokines, and nine acute‐phase proteins in serum were evaluated as potential predictors of at least one site with probing depth (PD) >4 mm and bleeding on probing (BOP) at 12 months post‐therapy.

Results: T1 decreased the counts of Porphyromonas gingivalis, Tannerella forsythia, Prevotella intermedia (Pi), and Treponema denticola significantly more in group A than group B. Aggregatibacter actinomycetemcomitans and Parvimonas micra (Pm) showed a significant decrease only if the treatment was supplemented with antibiotics, i.e., T1 in group A, or T2 in group B. After T2, differences between groups were no longer significant. A multivariable model including four parameters revealed a predictive value of Pm (odds ratio [OR] = 4.38, P = 0.02) and Pi (OR = 3.44, P = 0.049) and yielded moderate accuracy for predicting the treatment outcome (area under the curve = 0.72). Host‐derived factors and treatment sequence were not significantly associated with the outcome.

Conclusions: Long‐term microbiologic outcomes of periodontal therapy with adjunctive antibiotics either in T1 or T2 were similar. Detection of Pm before therapy was a predictor for persistence of sites with PD >4 mm and BOP at 12 months post‐treatment.
Avaliação da qualidade da água do abastecimento público do município de Juazeiro do Norte, CE
Authors: Alves William Santana , DA SILVA TOSHIK IARLEY , Marrom David Antônius da Silva , Dos Santos Tainá Macêdo , Dos Santos Hernandes Rufino
Published: August 2017

Sabendo-se que todos os setores da economia giram em torno da disponibilidade de água, o acesso da população à agua de qualidade e em quantidade deve ser priorizado. Juazeiro do Norte possui uma população estimada em 2016 de 268.248 habitantes, a distribuição e manutenção das qualidades físico-químicas e biológicas da água é de responsabilidade da CAGECE. Este trabalho teve como objetivo analisar os indicadores e os padrões de potabilidade da água para o consumo humano na cidade de Juazeiro do Norte – CE. Foram coletadas amostras nos anos de 2014 e 2015 pela CAGECE e o monitoramento foi realizado da seguinte maneira: 53 amostras mensais, divididas em duas coletas. Foram feitas análises de Turbidez, Cloro Residual Livre, Coliformes Totais/Escherichia coli e Fluoreto. Os resultados do estudo apresentam uma situação preocupante com relação à qualidade da água distribuída pela CAGECE. Principalmente os resultados das análises microbiológicas (Coliformes Totais e E. coli). Isso mostra a necessidade de se intensificar o monitoramento e fiscalizar as condições com que essa água é distribuída para a população.
Da decodificação à produção de sentido:
Authors: DA SILVA SILVIO PROFIRIO
Published: August 2017

Na perspectiva da Linguística de Texto e da Psicolinguística, a leitura adquire a categoria de processo incontestavelmente marcado pela elaboração/construção de sentido. Esse processo é viabilizado pela articulação de um amplo contingente de saberes prévios do leitor, bem como práticas cognitivas e metacognitivas projetadas pelos leitores, como: antecipações, inferências, paráfrases, seleções, entre outras (KLEIMAN, 1989; KOCH & ELIAS, 2006). Hoje, o ensino da leitura tem como meta efetivar a formação de leitores autônomos, competentes e proficientes. Isso envolve um trabalho didático ancorado nos gêneros do discurso. Entre estes, estão os gêneros multimodais. Estes são resultantes do entrelaçamento de distintos modos semióticos. Devido e essa propalação de semioses na sociedade pós-contemporânea, surgiu a necessidade da efetivação de um trabalho didático alicerçado na perspectiva dos multiletramentos. Isso transcende a perspectiva da decodificação e extração de informações. Este trabalho tem como objetivo refletir sobre a relevância da efetivação de um trabalho didático do ensino da leitura ancorado na perspectiva da multimodalidade discursiva e dos multiletramentos. Decorrente disso, analisamos seis exemplares de gêneros multimodais (Charges, Memes e Tirinhas), objetivando identificar as marcas multimodais que contribuem, para a efetivação do processo de atribuição de sentido.
Enzimas fúngicas em dietas com alimentos alternativos para frangos de crescimento lento
Authors: Alves-Campos Carla Fonseca , Rodriguês Kênia Ferreira , Vaz Roberta Gomes Marçal Vieira , Giannesi Giovana Cristina , Silva Gerson Fausto da , Parente Iberê Pereira , Amorim Aline Ferreira , Barbosa Aleane Francisca Cordeiro , Silva Mônica Calixto da , Fonseca Flávia Luzia Rodrigues , Araújo Caroliny Costa , Silva Valquíria Sousa , Silva Jefferson Rodrigues da , Silva Ecione Martins , Campos Márcio Luz , Machado Shayanne Batista
Published: August 2017

Objetivou-se nesta revisão abordar sobre enzimas fúngicas e seus efeitos em dietas com alimentos alternativos para frangos de crescimento lento. A alimentação representa maior parte do custo total de produção e para reduzir os gastos e aumentar o lucro do produtor têm sido pesquisados alimentos alternativos, como a torta de babaçu, a torta de dendê e o bagaço de mandioca, que demonstram potencial de utilização na alimentação de frangos caipira, no entanto, com limitação de uso, devido os diferentes teores de fibra. Os polissacarídeos não amiláceos dificultam o acesso das enzimas digestíveis sobre o alimento, diminuindo a digestibilidade dos nutrientes. Para minimizar esse efeito, têm sido suplementados enzimas exógenas nas dietas das aves. Várias fontes podem originar esses aditivos, sendo a maioria adquirida por meio dos processos fermentativos. A temperatura, o pH, a concentração do substrato e a composição dos ingredientes são fatores que influenciam a ação enzimática e, consequentemente, a disponibilidade dos nutrientes. O uso das enzimas fúngicas pode aumentar o valor nutricional do alimento e melhorar a digestibilidade dos nutrientes, refletindo na eficiência produtiva, representando economia no custo de produção e benefícios ao meio ambiente, todavia, torna-se necessário avaliar o uso em dietas com alimentos alternativos de expressão regional.
Filme-educação
Authors: Machado Pamela de Bortoli , Akhras Fabio Nauras
Published: August 2017

O artigo apresenta o chamado Filme-educação que vem com a ideia de "ler" e "escrever" um filme, na medida em que a leitura e escrita são a base de uma compreensão acerca da linguagem cinematográfica.  Trata-se de colocar em prática aquilo que foi assimilado e “lido”, a partir de uma produção criativa do próprio aluno, numa imersão de conhecimento que não se dá em uma atividade isolada, ou seja, propicia o estímulo de outras habilidades e conceitos a partir da experiência pelo/ a partir/ com/ o filme. Logo, a partir de tais dizeres, ilustraremos os resultados obtidos com a aplicação de uma oficina embasada pelo conceito de Filme-educação, realizada em escolas da rede municipal de Campinas, São Paulo.
O que é o Direito? Uma breve visão crítica filosófica
Authors: Teles Tayson Ribeiro
Published: August 2017

Com as palavras aqui escritas, temos o desejo de refletir sobre o que seja o Direito, a dita “Ciência Jurídica”. Observando que no mundo “a razão jurídica se coloca como uma razão sem corpo, ou, se quisermos como uma razão narcísica, na medida em que é o corpo em espelho-objeto de si mesma” (SATIE, 2010, p. 637), nosso olhar ao Direito tem aqui viés crítico filosófico-sociológico. Criticamos o Direito a partir de comentários sobre o que cremos serem as duas principais tipologias de homens existentes atualmente em nosso meio social: o “homem direito” e o “homem do Direito”. Este é o profissional jurídico e aquele é o homem comum, aquele que se declara fiel obedecedor das leis. Os resultados da investigação bibliográfica sobre o tema revelam que o Direito não é bem a Ciência fomentadora da paz social, mas somente mais um instrumento ideológico responsável por controlar as pessoas, com o discriminante de ser um elemento estatal, cogente, obrigatório para todos.
CONSUMO ALIMENTAR E ESTADO NUTRICIONAL DE CRIANÇAS EM UMA ESCOLA PRIVADA DE PALMAS, TOCANTINS
Authors: Menêses Laynie Evangelina do Nascimento , Silva Naianny Vieira , Labre Marina Rabelo , Castro José Gerley Diaz , Barbosa Filho Juliano Vidal , Pereira Renata Junqueira
Published: August 2017

A identificação do perfil de consumo alimentar, bem como a do estado nutricional em escolares se faz muito importante, pois é nessa fase da vida que se formam os hábitos alimentares saudáveis, os quais contribuem para uma vida saudável até a fase adulta. Esse estudo teve como objetivo avaliar os hábitos de frequência do consumo alimentar e o perfil antropométrico de crianças, de 5 a 10 anos incompletos, de uma escola privada de Palmas, Tocantins. Foram avaliadas 184 crianças, de ambos os sexos, as quais foram submetidas a avaliação antropométrica e responderam a um formulário de consumo alimentar. Dos escolares avaliados, a maioria estava eutrófica, 37% apresentaram risco nutricional e 4,3%, obesidade grave. O consumo alimentar mostrou-se semelhante entre os dois sexos e para todas as classes de estado nutricional. Os resultados ressaltaram a necessidade de educação alimentar e nutricional para essas crianças, bem como para seus pais e a escola.
TRABALHO E EDUCAÇÃO NO CONTEXTO DAS POLÍTICAS NEOLIBERAIS:
Authors: Silva Carlos Cardoso , Alves Maria de Lourdes
Published: August 2017

O objetivo deste texto é suscitar reflexões e análises que podem ser estabelecidas, entre educação e trabalho frente ao modelo neoliberal, desvelando o cotidiano da escola, por meio de pesquisas bibliográficas que discutem essa temática. Os trabalhos pesquisados apontam para: controle, regulação, proletarização docente, desvalorização do trabalho do professor, elementos que não raro têm como consequência o adoecimento docente. Mas a pesquisa bibliográfica, revela um movimento de resistência de professores que não aceitam a mera condição de executores e resistem de modo silencioso a este padrão que pretende moldar o humano. Trata-se de uma revisão bibliográfica, acerca do tema em análise.

Palavras-chave: Trabalho docente.  Políticas neoliberais. Adoecimento.