bluuebunny/crossref_metadata_2025 huggingface dataset:
Biografias e contextos: especificidades da iniciação sexual de jovens vivendo com HIV infectadas por transmissão vertical
Authors: Zanelatto Raquel , Cabral Cristiane da Silva , Barbosa Regina Maria , Peres Stela Verzinhasse
Published: February 2019

Resumo O artigo discute as especificidades do processo de iniciação sexual (IS) das jovens vivendo com HIV infectadas por transmissão vertical (TV) a partir de um estudo transversal, com amostragem probabilística, conduzido no município de São Paulo entre 2013 e 2014. Foram comparadas as médias da idade da primeira relação sexual das jovens de 18 a 24 anos, segmentadas entre infectadas por TV, infectadas por outras vias e aquelas que não vivem com HIV/Aids. Observou-se associação entre o adiamento da primeira relação sexual e a infecção por TV, ter filiação religiosa, ter ao menos ensino médio completo, não ter feito uso de drogas na vida e ter tido a primeira relação com parceiro mais novo ou até dois anos mais velho. A infecção pelo HIV confere complexidade aos processos de socialização para a sexualidade e, consequentemente, de transição para a vida adulta. Os resultados indicam que diferentes vias de infecção pelo HIV aparecem associadas a modos peculiares de viver a sexualidade.
Da política à prática da profilaxia pós-exposição sexual ao HIV no SUS: sobre risco, comportamentos e vulnerabilidades
Authors: Filgueiras Sandra Lúcia , Maksud Ivia
Published: February 2019

Resumo Os efeitos da terapia antirretroviral na transmissibilidade do HIV intensificaram a difusão de novas tecnologias biomédicas na prevenção do vírus. Este artigo discute concepções de risco e práticas de saúde em narrativas de profissionais e usuários sobre a Profilaxia Pós-Exposição sexual consentida (“PEP sexual”). Os dados resultam de um estudo de caso realizado em um serviço público de saúde. A análise pautou-se em estudos sobre risco e vulnerabilidades. Os resultados evidenciaram que os critérios epidemiológicos não são suficientes para responder à indicação da profilaxia, que os espaços de intersubjetividade circunscritos pela PEP sexual são atravessados por distintas lógicas de risco e por padrões morais discriminatórios. A concretização de práticas de saúde orientadas pela perspectiva do exercício da sexualidade como afirmação de um direito continua sendo um desafio.
MicroRNAs: new biomarkers and promising therapeutic targets for diabetic kidney disease
Authors: Nascimento Linicene Rosa do , Domingueti Caroline Pereira
Published: February 2019

Abstract Diabetic kidney disease (DKD) is a chronic complication of diabetes mellitus associated with significant morbidity and mortality regarded as a global health issue. MicroRNAs - small RNA molecules responsible for the post-transcriptional regulation of gene expression by degradation of messenger RNA or translational repression of protein synthesis - rank among the factors linked to the development and progression of DKD. This study aimed to offer a narrative review on investigations around the use of microRNAs in the diagnosis, monitoring, and treatment of DKD. Various microRNAs are involved in the pathogenesis of DKD, while others have a role in nephroprotection and thus serve as promising therapeutic targets for DKD. Serum and urine microRNAs levels have also been considered in the early diagnosis and monitoring of individuals with DKD, since increases in albuminuria, decreases in the glomerular filtration rate, and progression of DKD have been linked to changes in the levels of some microRNAs.
The coexistence center for elderly people and its importance in the support to the family and the Health Care Network
Authors: Derhun Flávia Maria , Scolari Giovana Aparecida de Souza , Castro Vivian Carla de , Salci Maria Aparecida , Baldissera Vanessa Denardi Antoniassi , Carreira Lígia
Published: February 2019

ABSTRACT Objective: To know the perception of relatives of elderly people about the coexistence center and its importance in supporting the Health Care Network. Methodology: A qualitative study carried out with 14 relatives of elderly people participating in a coexistence center. Data collection took place in January 2016 through individual interviews, which were recorded, transcribed and submitted to content analysis. The results were discussed in the light of the theoretical referential of health promotion. Results: The elderly's participation in the coexistence center was an alternative to support care and institutionalization, provided time for self-care and to maintain or engage in the formal labor market and positively influenced the family relationships. Conclusion: The coexistence center was set up as a health promotion institution, being jointly responsible for the care of the elderly with the Health Care Network and the families.
Institutional caregiver experiences in child care
Authors: Gabatz Ruth Irmgard Bärtschi , Schwartz Eda , Milbrath Viviane Marten
Published: February 2019

ABSTRACT Objective: to know the experience of institutional caregivers in child care. Method: qualitative research that used the Attachment Theory and the Symbolic Interactionism. Fifteen caregivers were interviewed, in 2015, in a child care institution based in a municipality in the south of Brazil. Data were analyzed through content analysis. Results: two categories emerged from the study: Embracing the children in the institution; Helping children adapt to institutionalization. Institutionalization imposes several social ills, such as abandonment and violence. These must be faced by caregivers, generating sadness and revolt. In addition, institutionalization leaves a mark on the child’s life, which belongs to no one, nor has his individuality and subjectivity preserved. Conclusion and Implications for practice: it is necessary to provide caregivers psychological support and Permanent Education so that they are supported in the work, improving the conditions of care offered to the child.
Emergency nursing: the Institute of Hygiene’s performance during the brazilian civil war of 1932
Authors: Marques Maria Cristina da Costa , Brasileiro Danilo Fernandes , Fraga Felipe Daiko
Published: February 2019

Abstract Objectives: to analyze and describe the São Paulo Institute of Hygiene’s performance, now the School of Public Health of the Universidade de São Paulo, in the training of emergency nurses during the Brazilian Civil War. Method: descriptive, historical-documentary study. Results: ministered from July 13 to August 31, 1932 to 383 students, in five classes, with an average of ten days of class. The discipline First Aid to the Wounded of Trenches is highlighted and was ministered by the nurse Iracema Niebler. At the end of the course, the students graduated and made up the List of Nurses of the Barracks Battalion of São Paulo. Conclusion and implications for the practice: the Institute of Hygiene’s performance in the training of civilians in emergency/war nurses revealed the institutional political alignment with the revolutionary movement of 1932, as well as the historical rescue of one of the first initiatives to train hands-on nurses assist in emergency situations during the most emblematic brazilian Civil War of 1932.
Speech-language therapy offer and primary health care in Brazil: an analysis based on socioeconomic development
Authors: Rech Rafaela Soares , Hugo Fernando Neves , Schmidt Jeanne Gabriele , Goulart Bárbara Niegia Garcia de , Hilgert Juliana Balbinot
Published: February 2019

ABSTRACT Purpose To describe the presence of speech-language therapists (SLT) in the primary health care (PHC) in Brazil and its association with socioeconomic inequalities. Methods Cross-sectional study with 17,157 PHC services in all Brazilian states. Based on the NASF External Assessment Questionnaire sub-item “speech-language therapist”, which was used to answer the question “What NASF professionals support your PHC service?”, in addition to contextual data (regional population, number of registered SLP, speech therapy college courses, city HDI and Gini Index). Results From all the PHC services supported by NASF, 50.8% (8713/17,157) has SLPs as part of the team. Brazil’s Southeast region has the higher prevalence of SLP at the team (57.4%; 5,575). South Region has the lower prevalence (28.9%; 625). The presence of SLP support is directly proportional to HDI stratum and Gini Index (average and high). Conclusion There is an important limitation of public care to treat communication and swallowing disorders in Brazil.
Erros ortográficos e habilidades de consciência fonológica em crianças com desenvolvimento fonológico típico e atípico
Authors: Donicht Gabriele , Ceron Marizete Ilha , Keske-Soares Márcia
Published: February 2019

RESUMO Objetivo Verificar e correlacionar os erros ortográficos presentes nas produções escritas ao desempenho em habilidades de consciência fonológica de crianças em diferentes anos escolares, com desenvolvimento fonológico típico e atípico. Método A amostra foi composta por 50 crianças divididas em dois grupos: com desenvolvimento fonológico típico (GDFT) e com desenvolvimento fonológico atípico (GDFA); estudantes dos anos iniciais (1ª a 5ª séries) de escolarização e idades entre 6:0 e 10:0 anos. As crianças foram submetidas às avaliações fonoaudiológicas e audiológica. Os dados foram tabulados e as análises estatísticas foram realizadas por meio do Coeficiente de Correlação de Spearman. Resultados Em relação ao número de erros ortográficos na escrita, estes foram semelhantes no GDFT e no GDFA, com exceção para os erros contextuais-arbitrários que foram em maior número para o GDFA. Ainda se observou que o número de erros ortográficos de escrita diminuiu com o aumento da escolarização. No que se refere ao desempenho médio em consciência fonológica, o GDFT teve um desempenho melhor que o GDFA em consciência silábica e fonêmica. As crianças de 4ª e 5ª séries apresentaram melhor desempenho em consciência fonológica que as de 1ª a 3ª séries. Conclusão A correlação foi inversamente proporcional entre o desempenho em consciência fonológica e o número de erros ortográficos (aqueles que alteram a estrutura silábica) para ambos os grupos, demonstrando que quanto mais erros deste tipo, menor o desempenho em consciência fonológica silábica, fonêmica e total.
Collaborative e-Health Environments: The enhanced role of health agents
Authors: JORENTE Maria José Vicentini , NAKANO Natalia , PADUA Mariana Cantisani , SILVA Anahi Rocha
Published: February 2019

Abstract The literature has discussed the importance of the impact of Information and Communication Technology on health promotion, health education and applications to promote change in health behaviors, denominated e-Health promotion. The objective of this article is to describe Web 2.0 properties that should converge to a peer-to-peer collaboration platform, with the mediation of a health agent. This Web 2.0 system should provide a space where people may, not only receive information, but also exchange ideas and experiences about how to deal with the conditions resulting from the diseases caused by Zika virus, such as microcephaly. Microcephaly is a rare neurological condition in which the child’s head and brain are significantly smaller than those of others at the same age and sex and may cause a number of genetic or environmental problems. The risk of a Zika epidemic is real, it mainly affects people in poor countries, and especially Brazil that has the social responsibility to face the challenge of supporting hundreds of families of children born with microcephaly. E-Health projects are often focused only on health service managers, practitioners and research partners. These projects are not of open access and, in Brazil, there is no public platform that serves non-specialized citizens. We suggest a design that includes the health worker, family and stakeholders as content creators, able to act peer-to-peer and bottom-up, which may be useful for developing countries with similar health contexts.
Competência em Informação: mapeamento do uso de fontes de informação por discentes da área da saúde
Authors: OLIVEIRA Daianny Seoni de , OLIVEIRA Nara Rejane Cruz de
Published: February 2019

Resumo A Competência em Informação surge da preocupação com a formação em pesquisa e uso das tecnologias por futuros profissionais. Na área da saúde, a informação científica fundamenta a tomada de decisão, pois os resultados de pesquisa potencialmente podem se transformar em ação. O objetivo desse artigo é mapear a competência em informação de graduandos da área da saúde na utilização de fontes de informação para fins de pesquisa científica, com base nos padrões de competência em informação para o ensino superior da Association of College and Research Libraries. Trata-se de estudo transversal do tipo descritivo, de abordagem quantitativa e qualitativa. Participaram 318 estudantes vinculados ao Instituto de Saúde e Sociedade de uma Universidade no Estado de São Paulo, dos cursos de graduação em Educação Física, Fisioterapia, Nutrição, Terapia Ocupacional, Psicologia e Serviço Social. Verificou-se que os graduandos possuem dificuldades em estabelecer a necessidade de informação, pouco conhecimento em relação ao acesso as bases de dados disponíveis, dificuldades em avaliar a qualidade das fontes utilizadas, necessidade de discutir o uso ético da informação e desconhecimento do conceito de competência em informação. Conclui-se que o tema precisa ser mais explorado em pesquisas e tratado em contínuo processo de formação nas universidades.
Indexação automática por atribuição de artigos científicos em português da área de Ciência da Informação
Authors: BANDIM Marcio Aercio Silva , CORREA Renato Fernandes
Published: February 2019

Resumo Propõe e avalia um processo de indexação automática por atribuição na representação de artigos escritos em português, visando a construção de uma base de dados científica na área de Ciência da Informação no Brasil. Utiliza como metodologia, a pesquisa exploratória, bibliográfica e empírica. A parte empírica envolve a realização de um experimento na forma de estudo de caso. O experimento consistiu na aplicação do processo proposto em um corpus formado por 60 artigos científicos e avaliação da qualidade na indexação automática por meio dos índices de consistência, precisão, revocação e medida F, tendo como padrão de referência as palavras-chaves dos autores. No processo proposto foram utilizados o Tesauro Brasileiro em Ciência da Informação e o software SISA. Foram obtidos resultados satisfatórios quanto a qualidade na indexação automática: índice de consistência médio de 19%, precisão média de 30%, revocação média de 37% e medida F média de 30%. Os resultados da pesquisa mostram que o Tesauro tem forte influência nos resultados de uma indexação automática por atribuição, apesar das relações de termo geral terem pouco contribuído para a qualidade na indexação automática. Também, foram apontados fatores intervenientes na indexação automática.
University libraries: The role of an accessible campus on the inclusion of users with special needs
Authors: DINIZ Isabel Cristina dos Santos , ALMEIDA Ana Margarida , FURTADO Cassia Cordeiro
Published: February 2019

Abstract The purpose of this paper is to present preliminary results of an ongoing research that seeks to diagnose inclusive practices in Brazilian and Portuguese university libraries, particularly in what concerns to the role of an accessible campus on the inclusion of users with special needs. The results were collected through an online questionnaire applied to 87 library directors (54 Brazilian and 33 Portuguese). Fifty valid answers were collected (28 Brazilian and 22 Portuguese).The results allowed to identify accessibility issues, namely in what regards to the access to the campus and to the lack of teams of librarians with specific skills to aid and assist these users. We conclude that many of these libraries are integrated in campuses without accessible infrastructure, and therefore, are not able to promote the inclusion of the students with special needs. Respondents say they are aware of their limitations and weaknesses when facing this challenge and show openness to change their practices and attitudes towards a new future scenario in which they could build solutions to improve the accessibility and inclusion in these libraries.
Tempo alocado, importância das atividades e perfil da equipe em bibliotecas universitárias na perspectiva dos processos de negócio
Authors: CASTANHO Viviane Carrion , CATEN Carla Schwengber ten
Published: February 2019

Resumo O objetivo deste estudo é investigar, na perspectiva da tipologia dos processos de negócio, o tempo alocado pelas bibliotecas universitárias nas suas diferentes atividades, além da importância atribuída por seus gestores às atividades executadas e também o perfil de quem as executa. A biblioteca universitária tem importante papel no provimento das necessidades informacionais do ensino e da pesquisa, por meio de suas funções de formação e desenvolvimento de coleções, do controle do acervo e da prestação de serviços de informação e de gestão. A gestão por processos colabora para que se chegue nos objetivos estratégicos da organização. É considerada um sistema de atividades integradas em processos de negócios, que pode ser uma excelente ferramenta de avaliação e implementação de melhorias na biblioteca universitária. Para cumprirem seu papel, as bibliotecas de instituições federais de ensino superior brasileiras contam com equipes cujo perfil é de bibliotecários e não bibliotecários. A pesquisa é bibliográfica, descritiva e qualitativa. A amostra é constituída por quatorze bibliotecas de uma instituição federal de ensino superior. As atividades inerentes às bibliotecas foram estruturadas em processos e subprocessos. Foi determinado o percentual de tempo neles despendido, a sua importância e o perfil dos agentes executores envolvidos. Como resultado, os dados de tempo, de importância e de perfil foram vinculados aos processos e subprocessos, para que se investigasse sua associação.
Programa nacional de livro didático (PNLD): mudanças nos livros de alfabetização e os usos que os professores fazem desse recurso em sala de aula
Authors: Albuquerque Eliana Borges Correia de , Ferreira Andrea Tereza Brito
Published: February 2019

Resumo Este artigo apresenta uma pesquisa que buscou analisar as mudanças nos critérios de avaliação dos livros didáticos de alfabetização submetidos a diferentes edições do PNLD e como tais mudanças influenciaram na produção e no uso que os professores fazem desse material. Como metodologia, realizamos análise documental de fichas de avaliação e resenhas presentes em guias do PNLD e entrevistas com 24 docentes que lecionavam no 1º ano do Ensino Fundamental. A análise dos dados revelou que as mudanças nos livros de alfabetização se relacionam às mudanças nos critérios de avaliação, e que os professores têm usado os livros de alfabetização por meio de diferentes estratégias.
O uso de indicadores para avaliação qualitativa de projetos educativos socioambientais: a gestão participativa no ambiente escolar
Authors: Brito Renato de Oliveira , Siveres Luíz , Cunha Célio da
Published: February 2019

Resumo Este artigo tem como objetivo, discutir os novos paradigmas educacionais, voltados para o desenvolvimento sustentável, a fim de se construir um novo modelo de escola, a partir da interação mais eficaz de todos os envolvidos no processo educacional, das famílias dos alunos e da sociedade. Tal ideia se baseia no pressuposto da gestão participativa, e vai ao encontro da promoção da sustentabilidade no ambiente escolar ao se considerar que essa iniciativa envolve ações individuais, mas também coletivas. A educação ambiental não pode se reduzir a uma atuação focada apenas no indivíduo, de maneira fragmentada. Tampouco, pode se voltar para coletivos genéricos, abstratos, fora do contexto territorial e histórico. Este artigo visa, ainda, a discussão da efetividade do uso de indicadores qualitativos, no sentido de verificar se eles podem ser utilizados enquanto balizadores das políticas públicas voltadas à escola, bem como discutir a efetividade da gestão participativa na constituição de escolas sustentáveis.
Use of electric arc furnace slag for producing concrete paving blocks
Authors: Penteado Carmenlucia Santos Giordano , Evangelista Beatriz Leão , Ferreira Gisleiva Cristina dos Santos , Borges Pedro Henrique Andrade , Lintz Rosa Cristina Cecche
Published: February 2019

Abstract In this study the electric arc furnace slag was used as coarse natural aggregate substitute in concrete paving blocks production. The concrete mixture was defined by using weight proportions in the ratio of 1:2:3:0.51 (cement:sand:coarse aggregate:water) in order to obtain a compressive strength of 35 MPa. Four groups of concrete were prepared: a reference recipe and three others with the slag replacing the natural aggregate in the proportions of 25%, 50% and 75%. The compressive strength was not influenced by the slag content; however, it was influenced by the curing age, as the sample with 75% of slag addition had its compressive strength increased by 13.5% from 7 to 56 days. Water absorption presented a slightly reduction with slag addition. The results of compressive strength and water absorption met the Brazilian technical requirements, making the paving blocks suitable for use in light vehicle traffic. The results obtained in this study highlight the influence of the production process in the final quality of the steel slag, and the need of stablishing technical and environmental requirements to guide and promote the safe use of electric arc furnace slag in concrete.
Recycled gypsum block: development and performance
Authors: Santana Clóvis Veloso de , Póvoas Yêda Vieira , Silva Deborah Grasielly Cipriano da , Miranda Neto Francisco de Assis
Published: February 2019

Abstract The gypsum plaster waste is still faced a serious economic and environmental problem. Considering the high volume and the destination often inadequate. Intending to provide a mitigating alternative, this research intends to develop blocks that incorporate the industrial gypsum plaster waste through reverse logistics. For this, a physic-chemical recycling process of gypsum plaster waste was carried out on an industrial scale and the developed material was characterized in anhydrous and fresh state. Then, blocks were made with the recycled material and characterized according to NBR 16495 (ABNT, 2016). After its characterization, the material was evaluated for its mechanical performance when used in walls, regarding the tests of suspended vertical loads and hard and soft body impact, according to the guidelines included in the performance standard NBR 15575-4 (ABNT, 2013). The walls constituted with the developed material showed satisfactory performance, having, in some cases, presented superior performance in comparison to the conventional walls of gypsum blocks, according to results presented by the Technical Assessments Document - DATEC nº 27 (2015). Finally, small walls of the recycled gypsum block and gypsum glue were elaborated to verify the compressive behavior. Regarding these verifications, it was noticed that the small walls obtained good resistive capacity.
Dispositivo vestível para medição da iluminância pupilar
Authors: Dias Maíra Vieira , Motamed Ali , Scarazzato Paulo Sergio , Scartezzini Jean-Louis
Published: February 2019

Resumo Dados de exposição do olho humano à luz podem auxiliar pesquisadores e profissionais de projeto a entenderem melhor o desempenho de edifícios, relativamente ao bem-estar e saúde de seus usuários. Entretanto, as tecnologias de detecção existentes para avaliar condições internas de iluminação a partir de um ponto de vista fixo e medir as quantidades luminosas não realizam um mapeamento das cenas visuais de modo semelhante ao olho humano. Visando contribuir com a superação desta lacuna, este artigo apresenta o "OcuLux", dispositivo vestível desenvolvido no Brasil, destinado a monitorar de modo contínuo a iluminância pupilar real em ambientes internos. O "OcuLux" foi calibrado e usado durante 7 dias em novembro de 2016 no Solar Energy and Building Physics Laboratory (LESO-PB) no campus da École Polytechnique Fédérale de Lausanne (EPFL) em Lausanne (Suíça), sob céus parcialmente encoberto e encoberto para diagnosticar a dose de luz recebida por pessoa exercendo atividades típicas de escritório. Os resultados mostraram que não foi encontrada diferença significativa entre a dose de luz recebida pela manhã e durante a tarde. Embora o "OcuLux" apresente faixa de medição limitada, seu uso em uma situação real indicou que o mesmo é confiável para medições da iluminância pupilar.
Avaliação pós-ocupação de unidades de emergência hospitalares de Florianópolis: problemas recorrentes e possíveis soluções
Authors: Cavalcanti Patrícia Biasi , Ely Vera Helena Moro Bins , Jeremias Diogo Mello , Schneider João Pedro , Silva Marcus Vinícius da , Bortoluzzi Thaize Vanessa Costa
Published: February 2019

Resumo Neste trabalho buscou-se refletir sobre a configuração espacial de unidades de urgência e emergência por meio da avaliação de seis destas unidades situadas em hospitais públicos da Grande Florianópolis, SC. A metodologia incluiu: revisão de literatura, visitas exploratórias e seis estudos de caso. Nos estudos de caso, foi aplicado o método Walkthrough por meio de dois amplos checklists, sendo o primeiro referente a aspectos mínimos necessários ao funcionamento da unidade e dos ambientes, e o segundo relativo à sua humanização. Os checklists totalizavam aproximadamente 500 itens avaliados, abrangendo a relação entre os usuários e o ambiente hospitalar, sua percepção e comportamento ambiental. Dentre os resultados constatados destacaram-se: subdimensionamento de ambientes, sobreposição de usos, inadequação do leiaute às atividades realizadas, problemas de acessibilidade, ausência de alguns ambientes necessários ao local e problemas de manutenção. O artigo reflete ainda sobre algumas possíveis soluções para esses problemas, especialmente aquelas referentes à atuação dos arquitetos e ao processo de revisão da Resolução RDC 50/2002.
Pediatrik öncü B-ALL’ye Moleküler Yaklaşım
Authors: AKIN BALI Dilara Fatma
Published: February 2019

Lösemi, çocukluk çağında en sık görülen malign
hastalıktır. Bu hastalık yaklaşık 150 yıl önce tanımlanmıştır, ancak son 30
yıllık süreçte tedavide %90’lara varan bir başarı oranına ulaşılabilmiştir. Bu
başarılı sonuçlara ulaşılmasında çoklu ilaç uygulamaları, santral sinir sistemi
profilaksisi, idame ve destek tedavi uygulamaları etkili olmuştur. Tedavide bu
kadar başarılı sonuçların alınmasına rağmen nüks lösemi için bir risk olmaya
devam etmekte ve ALL hastalarının %20’sinde görülmektedir. Tedaviden alınan
farklı sonuçlar diğer bütün kanser tiplerinde olduğu gibi lösemi’nin de
heterojen bir yapıya sahip olduğunu işaret etmektedir. Bu nedenle erken, doğru
bir teşhis ile daha etkin bir tedavinin ancak kişiye özgü (hastalık alt
gruplarına) tedavi, yöntem ve müdahale stratejilerinin geliştirilmesi ile
mümkün olabileceği öngörülmektedir. Bu kapsamda diğer bütün kanser tiplerinde
olduğu gibi “lösemi genomunda” yapısal ve/veya işlevsel bozukluk gösteren
genler, lösemi tanısı, tedavisi ve nüksünün önlenebilmesi için yeni prognostik
araçlar olabilme potansiyeli taşımaktadır.
Retrospective Evaluation of Children Applying for Athlete Licenses
Authors: Çetiner Nilüfer , BUCAK İbrahim Hakan , ALMIŞ Habip , KILIÇ Fedli Emre , TURGUT Mehmet
Published: February 2019

Objective:
The numbers of children and adolescents taking part in sporting activities has
risen increasingly in recent years, but sudden deaths occurring during matches
or training are a cause for concern among families and in society. The purpose
of the study was to seek an answer to the question of whether children should
be evaluated by a pediatric cardiologist for sports licenses. Material and Methods:
168 children aged 7-17 who had newly started sporting activities or doing sport
for some time were included in the study. Participants underwent a detailed
physical examination and were assessed by a pediatric cardiologist. Athletes
were examined using history, physical examination, 12-channel echocardiogram
and echocardiography.  Children with arrhythmia
were investigated using 24-h Holter monitoring. Results:
168 cases, 136 (81%) boys and 32 (19%) girls  were enrolled. The mean age of the cases was 13 years. Pathology
was determined in 4.1% of all subjects at electrocardiogram and in 11.9% at echocardiography.
Effort tests were applied to 14 children with significant symptoms, in whom
arrhythmia was determined or with a family history, 24-h rhythm Holter monitoring
to five children and ambulatory Holter monitoring to one hypertensive child.
Holter monitoring revealed frequent isolated monomorphic ventricular premature
contraction in two subjects. Seven participants were eventually suspended from
sporting activities.

Conclusion:National
guidelines including presport cardiovascular evaluation have been developed in
order to prevent sports-related sudden deaths. The main conclusion from our
findings is that young children engaging in sports should be evaluated by a
pediatric cardiologist before starting sporting activities.
Çocukluk çağında vajinal reflü: İki olgu sunumu
Authors: ELMACI Ahmet Midhat , GÜNDÜZ Metin , ALP Hayrullah
Published: February 2019

Vajinal reflü, miksiyon sırasında idrarın geri akım ile
vajen içerisine doğru birikimidir. Bu durum genellikle prepubertal kızlarda görülen ve
yapısal anormalliğin olmadığı fonksiyonel bir işeme bozukluğudur. Asemptomatik bakteriüriden
tekrarlayan idrar yolu enfeksiyonu ve gündüz idrar kaçırmaya kadar değişik
bulgularla ortaya çıkabilir. Bu yazıda idrar yolu enfeksiyonu öyküsü ve gündüz
idrar kaçırma şikayeti ile başvuran ve vajinal reflü saptanan iki olgu sunulmuştur.
İlk hasta 9 yaşındaydı ve tekrarlayan idrar yolu enfeksiyonu nedeniyle istenen işeme
sistoüretrogramda, işemenin erken fazında vajinaya doğru geri dolum tespit
edildi. On yaşındaki ikinci hasta idrar kaçırma şikayetiyle başvurdu  ve üriner sistem ultrasonografisinde vajende, miksiyon
sonrası kaybolan sıvı birikimi tespit edildi. Her iki hastaya da tuvalet
eğitimi verildi ve takiplerinde şikayetleri kayboldu.
Seyrek Görülen Bir Konjenital Hipotoni Vakası: Walker Warburg Sendromu
Authors: HÜRMÜZLÜ Selen , EMEKSİZ Serhat , MEN ATMACA Yasemin , AYAR Ganime , GÜVEN Alev
Published: February 2019

Konjenital muskuler distrofiler
(KMD) nadir görülen, infant döneminde kas güçsüzlüğü ve motor gelişimde gecikme
ile kendini gösteren bir grup hastalıktır. Bunların en ağır formlarından biri
Walker Warburg Sendromu (WWS)' dur. WWS otozomal resesif geçişli, beyin ve göz
anomalilerinin eşlik ettiği bir hastalıktır. Beyinde tip 2 lizensefali, beyaz
cevherde hipomyelinizasyon, hidrosefali, korpus kallosum agenezisi, gözde katarakt,
optik sinir displazisi, retinal displazi, lens defektleri görülür. Destek
tedavisi verilse de oldukça mortal seyreder, ortalama yaşam ömrü dört ay
civarındadır. Burada, klinik ve görüntüleme yöntemleriyle WWS düşünülen, kas
biyopsisinde alfa distroglikan eksikliği görülerek tanısı desteklenen bir olgu
sunulmuştur.
Kabuki Make-Up Sendromu: Nadir Bir Olgu
Authors: KARAMAN Ali
Published: February 2019

Kabuki make-up sendromu, multipl konjenital anomaliler, tipik yüz görünümü, iskelet anomalisi, dermatoglifik
değişiklikler, postnatal büyüme geriliği ve mental
retardasyonla karakterize
nadir bir sendromdur. Kabuki make-up
sendromu, genellikle sporadik oluşan MLL2 ve KDM6A genindeki
değişime bağlı doğumsal bir bozukluktur. Kabuki
tipi yüz görünümü, gelişim geriliği, mental retardasyon, fetal parmak
yastıkçıkları olan Kabuki make-up Sendromlu bir olgu literatüre katkı
amacıyla sunuldu.
Struma Ovarii: 3 years’ experience of a tertiary center
Authors: SOYSAL Sunullah
Published: February 2019

Struma Ovarii: 3 years’ experience of a tertiary center Objective: Struma ovarii accounts 0.5-1% of all ovarian tumors and
2-5% of ovarian teratomas. Struma ovarii cases are usually benign, only 5-10%
of cases are malignant and the most common type of malignancy is papillary
thyroid carcinoma(70%). The struma ovarii may be seen in all ages but it is
generally seen in 5th and 6th decade of life. Although most of the cases are
benign, clinical and radiological similarities to malignant masses leads to
treatment with laparotomy. In the present study 3 years’ experience of a
tertiary center's struma ovarii cases were studied.Material-Methods: Patients who underwent surgery
for adnexal masses were investigated from achieves of the hospital. Among
pathology results 6 patients with struma ovarii were detected.

Results: When the ages
of the patients are evaluated, the youngest patient was 29 years old and the
oldest patient was 71 years old age. Two of the patients were in the fourth
decade and remaining two were in the fifth decade Maximum size of the adnexal
mass 18 cm and the minumum size was 6 cm in lenght.Among 6 cases of struma
ovarii 3 of them had a frozen section diagnosis of struma ovarii. In final
histopathological diagnosis 3 of the cases had accompanying malignancies. One
of the malignant case was a metastasis of breast carcinoma to struma ovarii.Conclusion: Struma ovarii is a monodermal teratoma where there
is extensive differentiation to thyroid tissue. Among ovarian tumors, it
accounts 0.5-1%. A total number of 185 patients underwent surgery in our center
for ovarian masses in the last 3 years. Six struma ovarii cases were detected
among those cases which approximately accounts 3.2% of all ovarian mass cases.
This increased ratio may be attributable to the status of our center in which
complicated cases are referred. Struma ovarii cases are generally benign in
nature. Only 5-10 % of malignant cases are detected in struma ovaries. The
mostly seen malignancy in struma ovarii is the papillary thyroid carcinoma. Among
our 6 cases, one patient (16%) had a malignancy of papillary carcinoma.
Similarly, Wei et al. showed 10 papillary carcinomas among 96 cases of struma
ovarii. Although struma ovarii has a benign course macroscopic and microscopic
examinations are important to detect rare malignancies. In most of the cases,
the course of strumosis is uneventful. In our cases, patients are followed up
without disease. Struma ovarii may show changes similar to thyroid pathologies.
Hashimoto like thyroiditis may be seen. Patients may have simultaneous thyroid
pathology. In our series preoperative and postoperative TSH levels and thyroid
ultrasound of all patients were in normal range. As a conclusion Struma ovarii
cases are generally benign in nature but malignancy risk and accompanying
thyroid diseases should be kept in mind during follow up of struma ovarii
cases.
PERİPARTUM VE POSTPARTUM KAN TRANSFÜZYONU YAPILAN HASTALARDA KLİNİK DENEYİMLERİMİZ
Authors: İSLEK SECEN Elcin , SARGIN Mehmet Akif , ÇAMURŞEN Esra , YETİMOĞLU İdris , KAYMAZ YILMAZ Özge , TUĞ Niyazi
Published: February 2019

Amaç:  Kliniğimizde
doğum yapan hastaların prepartum, peripartum ve postpartum dönemdeki kan ve kan
ürünleri transfüzyon endikasyonlarını literatür eşliğinde tartışmak.Materyal-
Metod: Sancaktepe Şehit Prof.Dr.İlhan
Varank   Eğitim ve Araştırma Hastanesi,
Kadın Hastalıkları ve Doğum Kliniği,  01
Şubat 2018-31 Ekim 2018 tarihleri arasında doğum yapan ve kan transfüzyonu
yapılan hastaların demografik özellikleri, doğum kayıtları,  kan transfüzyonu zamanı, endikasyonları ve
sonuçlarının incelendiği retrospektif gözlemsel bir çalışma yapılmıştır.Bulgular: Çalışma süresince kliniğimizde doğum yapan 3575 hastanın
kayıtları incelenmiştir. Hastaların %2,65’ine (n­:95) kan transfüzyonu yapılmıştır. Sezaryen ile doğumların
%5,41’ inde, vajinal doğumların ise %1,56’sında kan transfüzyonu uygulanmıştır.
Transfüzyon yapılan hastaların  %26,3‘inde
(n:25)  herhangi bir spesifik neden
belirtilmez iken %30,5 (n:29) hastada ek risk faktörü olmayıp transfüzyon
endikasyonu kronik anemi bulunmuştur. Obstetrik endikasyonlardan en sık uterin atoni
%18,9 (n:18)
saptanmıştır. Transfüzyon yapılan hastalarda kullanılanan kan ürünleriden
eritrosit süspansiyonu ortalama 2,09 ± 1,186 (0-7) ünite, TDP 1,49 ± 1,05 (0-4)
ünite uygulanmıştır.

Sonuç: Kan ve kan ürünleri transfüzyonları hayat kurtarıcı
tedaviler olmakla beraber istenmeyen komplikasyonlara da neden olabilirler.  Gebe hastaların izlem ve takiplerinin düzenli
yapılması sağlanarak uygun demir ve multivitamin takviyeleri ile gebelikte
anemiyi önleyerek transfüzyon oranlarının düşürülebileceğini düşünüyoruz.
The Role of Internet of Things on the Development of Ports as a Holder in the Supply Chain
Authors: Jardas Mladen , Dundović Čedomir , Gulić Marko , Ivanić Katarina
Published: February 2019

The new technology greatly affects the way of production, consumption, communication, service delivery and ultimately on the entire supply chain. All stakeholders in the business process must invest in new knowledge and develop new business models to adapt to the changing business environment. Connecting devices over internet (Internet of things) and stakeholders’ synergy open up opportunities for new market achievements as well as for the improvement of business processes both in the supply chain and in ports. The development of information technologies has an impact on the reduction of errors, costs, time of information transfer and transport, inventory reduction and thus on better customization. There should be no weak links in the supply chain, which is especially related to the port and port processes that are the basis of the supply chain network. The port is the core of all activities of the supply chain and is also a place where supply and demand meet.
A Comparative Analysis of Accommodation Capacities of Nautical Tourism Ports in Croatia and in the Primorje-Gorski Kotar County
Authors: Kovačić Mirjana , Pahljina Nikolina Eva , Zekić Astrid
Published: February 2019

Croatia is one of the major Mediterranean destinations for nautical tourism owing to its countless attractions, indented coastline, numerous islands, climatic and other advantages. An important factor for achieving a full development potential is the availability of infra- and supra-structure, which is reflected through investments in new marinas, anchorages and other facilities. The article analyses accommodation capacities of ports for nautical tourism in Croatia. The authors give an overview of the current situation with an emphasis on the County of Primorje-Gorski Kotar. The purpose of this article is to analyse the growing need for accommodation capacities in nautical tourism ports and to point to the importance of building new marinas and berths, especially for boats long between 12 and 15 meters.
A Contribution to the History of Conferences on Marine Technology
Authors: Dobrinić Julijan
Published: February 2019

The paper brings an overview of all the Conferences on Marine Technology held so far – in memory of academician Zlatko Winkler. It gives the description of the entire Conference genesis, from the very idea and aims to the preparation and realization of each of the seven Conferences. Numerical data on Conferences are displayed in tables as well as the structure of their respective Organizing and Executive Committees.
Computer assisted learning vs. conventional teaching in experimental Pharmacology: perception of second year medical students
Authors: Sane Rohit M. , Jadhav Pradeep R.
Published: February 2019

Background: The main pool of pharmacology practical teaching is formed by the use and demonstration of animal experiments. Animals have been used to demonstrate the effect of various drugs in experimental pharmacology classes, in the lab. The practical sessions in pharmacology training involving animal experiments are still taught by traditional teaching methods. Rapid development of information technology has led to newer trends in teaching and learning using Computer Assisted Learning (CAL). Keeping it in mind we decided to undertake this study to assess the perception of CAL in 2nd year MBBS students over conventional teaching in experimental pharmacology.Methods: This was an observational, questionnaire-based study. A total of hundred undergraduate MBBS (2nd year) students participated. Participants were first demonstrated an animal experiment by conventional teaching method followed by the same animal experiment demonstration on CAL. Students’ feedback was recorded on a questionnaire and analyzed.Results: The mean age of the participants was 19.88±1.28 years. The study overall observed that 62% preferred CAL to conventional (38%). Majority of the participants’ thought CAL (63%) helps to understand better over conventional (28%) and that CAL (63%) is time independent over conventional (28%). More than 85% felt that CAL was more explanatory and provided a better learning experience.Conclusions: Students preferred CAL to conventional teaching, in experimental pharmacology. It also provided insight on perception and experience of students towards CAL for experimental pharmacology. However, further studies are warranted to assess the knowledge, cognitive and psychomotor skills of students.
A young patient with inferior ST elevation accompanying resiprocal ST depresion: A case report
Authors: YAMAN Nezaket Merve , ÖZBAY Mustafa Bilal , KÖNTE Hasan Can , EKİCİ Ertan , ÇETİN Elif Hande Özcan
Published: February 2019

In patients admitting to the
emergency department with chest pain and ST-segment elevation, the first
diagnosis to be considered is acute myocardial infarction. Urgent differential
diagnosis and immediately referral to catheter laboratory to perform coronary
angiography is life-saving. The electrocardiography is a vital tool in the
differential diagnosis of chest pain. Although the electrocardiographic
findings of acute myocardial infarction and acute myocarditis are generally
different, rarely two diseases can mimic each other. We presented a 21-year-old
male patient who had admitted our emergency with acute typical chest pain and
ST-segment elevation in D2, D3, AVF leads accompanying with reciprocal ST
depression in DI and AVL leads.
Exploring Differences Among Student Populations During Climate Graph Reading Tasks: An Eye Tracking Study
Authors: Atkins Rachel M. , McNeal Karen S.
Published: February 2019

Communicating climate information is challenging due to the interdisciplinary nature of the topic along with compounding cognitive and affective learning challenges. Graphs are a common representation used by scientists to communicate evidence of climate change. However, it is important to identify how and why individuals on the continuum of expertise navigate graphical data differently as this has implications for effective communication of this information. We collected and analyzed eye-tracking metrics of geoscience graduate students and novice undergraduate students while viewing graphs displaying climate information. Our findings indicate that during fact-extraction tasks, novice undergraduates focus proportionally more attention on the question, title and axes graph elements, whereas geoscience graduate students spend proportionally more time viewing and interpreting data. This same finding was enhanced during extrapolation tasks. Undergraduate novices were also more likely to describe general trends, while graduate students identified more specific patterns. Undergraduates who performed high on the pre-test measuring graphing skill, viewed graphs more similar to graduate students than their peers who performed lower on the pre-test.
To Teach Or Not To Teach Astronomy, That Is The Question: Results Of A Survey Of Québec’s Elementary Teachers
Authors: Chastenay Pierre
Published: February 2019

To determine the extent of astronomy teaching in Quebec’s schools, we conducted an online survey of 500 Québec’s elementary (K-6) teachers between January and March 2015. With a 35-items questionnaire, we wanted to find out how these elementary teachers teach astronomy (or not) to their classrooms, what is their background in Science & Technology (S&T), what pre-service education they received, the reasons why they teach astronomy or not to their students, the resources and materials they have at their disposal, their perception of the effectiveness of pre- and in-service training they received, and their perceived needs for in-service training. Results show that the majority of teachers surveyed didn’t study science beyond high school and have had no experience in S&T employment before becoming a teacher. We also found that only half of the teachers surveyed actually teach astronomy to their class, mostly by using reading and writing material, and that 39% of “Astronomy teachers” in our sample teach astronomy to their class between 6 and 10 hours per year. Major hurdles to astronomy teaching perceived by the teachers in our survey are a lack of experience and training in astronomy, a lack of resources and equipment, inadequate classroom arrangement, and their own, self-perceived incompetence in astronomy. Pre-service education in astronomy, in science and in science teaching is also considered mainly unsatisfactory, or non-existent in the case of astronomy; in-service training in astronomy is mainly composed of conversations with colleagues. Most respondents thus consider in-service training in astronomy to be inefficient or inexistent.
Compact and extremally disconnected spaces via generalized continuous functions
Authors: Bandpey Zeinab , Nayar Bhamini M. P.
Published: February 2019

In [12], the class of compact and extremally dinconnected spaces were studied using several investigative tools such as filters, graphs, functions, multifuctions and subsets of the space. These different approaches of investigation produced significant charecterizations and properties of this important class of spaces. In [3] we introduced three forms of generalized continuous functions by studying the class of u-continuous functions of Joseph, Kwack and Nayar [9] using the concepts of an α-set of Njastad [13]. The generalized continuous forms introduced there are: αu-continuous, semi-αu-contnuous and strongly u-continuous functions. In the present study we investigate the class of compact and extremally disconnected spaces using these generalized continuous functions.
Effect of Micro-Sized Colemanite on the Rheological Properties of the Water Based Drilling Fluid
Authors: ÖZKAN Abdullah , KAPLAN Behlül Merve , ÖZKAN Vildan , TURAN Sıtkı Ekrem
Published: February 2019

Drilling mud have been the subject of constant study since they are the most costly item of oil exploration. Recently, the several additives have been added to improve the rheological properties of the drilling mud. In this study, a water based drilling mud that is (1, 2, 3, 4 and 5) (% w/v) of colemanite (Ca2B6O11.5H2O), which is a calcium borate group mineral in the particle size of 100 μm subscale, was prepared for this drilling mud. The rheological properties such as plastic viscosity (PV), apparent viscosity (AV), gel strength, water loss and cake thickness of the obtained drilling muds were analyzed in detail using Fann Viscometer and American Petroleum Institute (API) testing equipment. As a result of the study, it was found that the added colemanite had a positive effect on the rheological properties of the drilling mud. When the analysis results of the drilling muds obtained at different ratios of colemanite addition are compared with each other, it is found that 4% of colemanite-added drilling mud has the best properties (excluding gel strength). The water-based drilling mud prepared by adding colemanite has 30.4% cP of plastic viscosity; 63.6% cP of apparent viscosity; 140% of rupture point; gel strength (10-sec and 10-min) values compared to the water based drilling muds prepared without any addition was positively affected.  