bluuebunny/crossref_metadata_2025 huggingface dataset:
Neue Geschäftsmodelle für die digitale Transformation
Authors: Gülpen Christian , Piller Frank , Dirzus Dagmar
Published: August 2018

Die systematische Entwicklung neuer Geschäftsmodelle ist eine ebenso essenzielle wie herausfordernde Aufgabe im Rahmen der Unternehmensführung. Die Digitalisierung erschwert diese zusätzlich durch zahlreiche teils sehr komplexe und schnelle technologische Entwicklungen und tiefgreifende Veränderung etablierter Wertschöpfungsstrukturen. Der VDI/VDE-GMA-Fachausschuss 7.23 „Geschäftsmodelle für Industrie 4.0“ arbeitet daran, eine umfangreiche Richtlinie zu erstellen, die Unternehmen bei der Entwicklung neuer Geschäftsmodelle für Digitalisierung und Industrie 4.0 wirksam unterstützt. In einem interdisziplinären Richtlinienausschuss arbeiten daher circa 40 Experten aus Wissenschaft und Industrie an dieser Richtlinie, die einen umfassenden, aber dennoch praxistauglichen Überblick über wichtige Gestaltungselemente, Herausforderungen, Lösungsansätze, weiterführende Informationsquellen sowie konkrete Prozesse und Methoden geben wird. Oberstes Ziel dabei: Kleine, mittlere und große Unternehmen bei der Entwicklung besserer Geschäftsmodelle für Digitalisierung und Industrie 4.0 zu unterstützen.
CONSELHOS MUNICIPAIS DE EDUCAÇÃO NO BRASIL: DISCUSSÕES ACERCA DE SEU SURGIMENTO E DESENVOLVIMENTO
Authors: Almenara Gilsemara Vasques Rodrigues , Lima Paulo Gomes
Published: August 2018

A presente pesquisa discute o surgimento e desenvolvimento dos conselhos municipais de educação no Brasil, os percalços e encaminhamentos para a sua constituição. Em seu conjunto são trazidas discussões sobre os elementos imprescindíveis de legitimação dos Conselhos Municipais de Educação centrados na participação, gestão democrática e autonomia. Trata-se de uma pesquisa exploratória de caráter bibliográfica organizada em três seções: a). Os conselhos municipais de educação no Brasil: desdobramentos históricos, b) Qualidade socialmente referenciada, participação e democracia no centro do debate dos conselhos municipais de educação e c) Perspectivas de gestão democrática nos CME: algumas pontuações. Em sua dimensão conclusiva, o estudo revelou que educação se torna uma síntese entre igualdade e diferença. Mais do que meros executores de políticas, os cidadãos querem ser ouvidos nos momentos de elaboração das políticas públicas, assim como, nos momentos de tomadas de decisão. A participação é a forma concreta da democracia e os colegiados, como seus canais de legitimação devem ser trabalhados com vistas a lutar pelo direito e justiça social de seus munícipes, sendo o Conselho Municipal de Educação, instância e espaço propício para esta finalidade.
CONSELHOS MUNICIPAIS DE EDUCAÇÃO NA ELABORAÇÃO DOS PLANOS MUNICIPAIS DE EDUCAÇÃO NO ESTADO DE MATO GROSSO DO SUL: QUAL PARTICIPAÇÃO?
Authors: Aranda Maria Alice de Miranda , Barcelos Fabiany dos Santos
Published: August 2018

Resumo: O artigo tem sua origem em Dissertação de Mestrado recentemente defendida no Programa de Pós Graduação da Universidade Federal da Grande Dourados. Analisa a concepção de participação dos Conselhos Municipais de Educação (CME) do estado de Mato Grosso do Sul (MS) na elaboração dos Planos Municipais de Educação (PME). A metodologia pautou-se na pesquisa bibliográfica, documental e de campo. O lócus da pesquisa foram municípios do MS que possuem o CME. Constatou-se que a prevalência da participação política, cuja concepção tem lugar garantido na sociedade capitalista, pois atende aos interesses de grupos específicos, legitima ideias pré-concebidas, exercita apenas a forma de cidadania ampliada e não a plena. A busca é pela participação plena requer mudanças nas formas de participação da sociedade civil e política, incita o diálogo e a luta de classes e visa a superação de desigualdades e injustiças sociais, remete a uma sociedade e a um cidadão de novo tipo.
PERFIL DA COMPOSIÇÃO DOS CONSELHOS MUNICIPAIS DE EDUCAÇÃO DE MATO GROSSO
Authors: Siebiger Ralf Hermes , Nez Egeslaine de
Published: August 2018

O presente texto discute e problematiza a composição dos Conselhos Municipais de Educação (CMEs) do estado de Mato Grosso, no que diz respeito a seus membros, considerando as diferentes representatividades previstas nos textos legais. Para tanto, foi realizada uma pesquisa documental em uma amostragem de 22 (vinte e dois) CMEs do estado, perfazendo um universo de 33 (trinta e três) normas consultadas, referentes às leis de criação desses conselhos e alterações posteriores nos textos legais. Enquanto resultados, verifica-se, na composição dos conselhos observados, a predominância de representantes da esfera pública escolar (órgãos e instituições relacionados à educação), seguido de representantes da esfera pública não escolar (legislativo, judiciário e de outros órgãos/entidades do executivo não-vinculados à educação), e da sociedade civil (compreendendo alunos, pais de alunos, entre outros), dentre as demais categorias de representatividade. Destaca-se que a quase totalidade das leis estabelece uma distinção entre as esferas pública e privada ao definir a vinculação de cada representante, bem como uma incidência considerável de imprecisões em relação aos tipos de segmentos representados. De uma maneira geral, constata-se, na composição desses conselhos, a presença significativa de vagas destinadas a representantes do próprio poder executivo, provavelmente devido ao fato de o Estado ser o responsável por instituir esses conselhos, bem como a necessidade de haver maior precisão em relação à definição do tipo de representação, evitando-se, assim, dubiedades em relação aos requisitos para se tornar membro de um CME.
A PRÁTICA PEDAGÓGICA DA GINÁSTICA PARA TODOS NO ÂMBITO ESCOLAR
Authors: Gonçalves Vivianne Oliveira , De Assis Renata Machado , Lopes Caroline Rodrigues
Published: August 2018

O presente estudo tem como objetivo investigar a viabilidade de uma proposta pedagógica da prática da ginástica para todos (GPT) nas escolas municipais de Jataí, Goiás, por meio da realização de um curso de GPT para os professores da rede municipal. A pesquisa tem abordagem qualitativa, e os instrumentos utilizados para a coleta de dados foram dois questionários com perguntas abertas aos professores participantes, aplicados no início e final do curso. O curso foi elaborado com aulas práticas e teóricas, abrangendo os seguintes conteúdos: os fundamentos básicos da ginástica, a GPT como conteúdo da Educação Física escolar, construção de materiais alternativos para as aulas de GPT, e metodologia de ensino da GPT no âmbito escolar. Os dados foram analisados por meio da análise de conteúdo, o que possibilitou estabelecer três categorias de análise: 1) a ginástica enquanto conteúdo das aulas de educação física e a ginástica para todos; 2) dificuldades encontradas para a inserção da ginástica nas aulas; 3) avaliação do curso e da experiência com a GPT. Constatou-se o não conhecimento da GPT por parte dos professores, assim como a falta de material para a prática da ginástica na escola. Nesse sentido, o curso contribuiu no que se refere à sugestão e à construção de materiais alternativos, oferecendo novas formas de estruturação do conhecimento, auxiliando e orientando os docentes no trato com o conteúdo da ginástica escolar.
AS PESQUISAS EM EDUCAÇÃO ESPECIAL NAS REVISTAS BAIANAS: UMA REVISÃO SISTEMÁTICA
Authors: Silva Osni Oliveira Noberto da , Miranda Theresinha Guimarães , Bordas Miguel Angel Garcia
Published: August 2018

O objetivo do presente estudo foi verificar por meio de revisão sistemática as produções acerca da Educação Especial, publicadas revistas acadêmicas de maior conceito no campo da Educação, ligadas a Universidades Estaduais da Bahia: a revista da FAEEBA e a revista Práxis Educacional. Inicialmente foi encontrado um total de 18 artigos, onde foram analisados os títulos, resumos e em seguida foi feita a leitura dos textos na integra, tendo ao final 11 artigos selecionados sobre Educação Especial, em seus diversos aspectos: foram 3 artigos sobre Educação Infantil, 2 artigos sobre Língua Brasileira de Sinais, 2 sobre Políticas públicas, 2 sobre Formação docente e 1 sobre prática pedagógica. Sobre a localização geográfica, 04 são oriundos da região Sudeste, 04 da região Sul, 01 da região Centro-Oeste e 01 da região nordeste. Nenhum estudo de uma Universidade baiana, sobre Educação Especial foi encontrado, durante o recorte temporal analisado, apesar de existirem 2 revistas acadêmicas de qualidade no estado.
The Opportunistic House for Tehran: A Design Prototype
Authors: Khorshidifard Sara
Published: August 2018

This article is an advocacy research for Tehran, promoting an implication of architectural design as a tool for citizen empowerment and positive environmental change. In the article, I am offering a fresh look at Tehran's housing problems by speculating an "opportunistic house” typology as a residential style that would serve much more than just shelter. I am making a case for a new house prototype that applies socially-equitable solutions in design. My study finds applications and significance beyond plain housing design and, mainly, onto the design of ad hoc urban public realm spaces. This is in accord with my overarching mission of supporting new way of thinking about, and ultimately offering, welcoming, safe, and energized places for Tehran's citizens. These will additionally have important implications for inhospitable public spaces worldwide. This research is grounded in my prior, multidisciplinary doctoral studies. The article itself is an initial step in my ongoing research design, of helping to build and revitalize a wide range of urban communities by nurturing their relationship to their built and natural environments. The article is a discussion around the following questions. How can housing design inventions empower citizens? In what manner can design offer progressive living place options whose services go beyond shelter needs? Particularly, in what ways can domestic spaces be designed to also embody other-than-living capacities, for example, for new kinds of public spaces? And eventually, what could a prototype of the opportunistic house look like in the context of a city like Tehran? The article is structured to first present a brief survey of how Tehran house forms and functions have developed historically, with more emphasis on their current state. It will then offer examples of opportunistic uses of domestic spaces in Tehran. This notion is communicated through narrative analysis and photographic vignettes from a few Iranian films. Through the selection, I show, for example, how and where informal economies are shaping inside Tehran apartments. Next, the article will identify possibilities and spaces in current houses that are and have the potentials to be used in resourceful ways. Based on the steps indicated, analyzing people needs and artifact interpretations, I will conclude with a design proposal of a new infill apartment house. The final proposal will include theoretical statements about possible design interventions and a visual prototypical elaboration through imageries and conceptual renderings. The resultant prototype becomes one example of possible houses that could serve as catalysts for informative, inspiring, and state- of-the-art practices, a precedent in Tehran for others to build upon.
The Architect as a Social Designer: The Fun Palace Case
Authors: Popov Lubomir Savov , David Gary
Published: August 2018

The goal of this paper is to discuss how the architectural profession and its work, through development of physical structures, relate to the idea of social design. Toward this end, we explore a number of issues that emerge from this concept”the social role of the architect, the emerging engagements in social design, and the need for corresponding design ethics. Through an applied sociological approach that focuses on interaction, emphasizing collaborative and transformative work within situated contexts, we conduct a case study on a project known as The Fun Palace. Rather than providing a detailed examination of the Fun Palace or its architect, Cedric Price, this paper uses this case to explore and discuss the potential for architecture in social design. Consequently, the study contributes to the ongoing debate on the social role of the architect, the scope of the architectural profession, and involvement with social design.
Evaluating the Utility Core in the Prefabricated Building Industry – past, present and future
Authors: Carbone Carlo , Eid Mohamed Basem
Published: August 2018

Harnessing, distributing, tempering and supplying water, heat and power in a building produces its share of design, technical and coordination issues. Specifically, the relationship between hygiene and cooking functions and architecture has been underscored by even the most ancient civilizations as these services give a building its potential to serve and showcase architecture's hospitality. The relationship between services and architectural space has long challenged designers and manufacturers to streamline their piecing together. Throughout construction history and modern architecture in particular the wet service core or utility core sought to organize an efficient way of zoning services, their production and construction integration; The utility core epitomized this rationalization within a self-contained engine-like device positioned to serve the entire dwelling. This paper proposes an extensive review of literature and practical exploration in order to detect new potentials for designing integrated, technology-driven, flexible and adaptable prefabricated utility cores for today's industry. The core was intended as a hub accommodating mechanical and technological equipment; electrical services, plumbing fixtures, water supply, drain, waste, vent piping, telephone cables, and easy connections to site infrastructure. Today's techniques and building information modeling allows the core to be redefined in relation to multiple scales and various organizational possibilities with regard to space/function connections. Further an adaptable core articulated to the «open building» theoretical framework of layering systems to avoid entanglement and to maximize durability, can be part of a comprehensive strategy to enable customization. The vast amount of literature and precedents contribute to a robust historic narrative of two distinct approaches of architectural rhetoric and industrial production.  This paper will endeavor to illustrate this narrative and evaluate the potentials for achieving broader application.
Land Use and Transport Mode choices: Space Syntax Analysis of American Cities
Authors: Berhie Girmay Kifle , Haq Saif
Published: August 2018

Natural movement theory (from space syntax literature) postulates that configuration of the urban grid is an important generator of aggregate patterns of movement in urban areas (Hillier et al. 1993). In addition, movement economy theory asserts that retail and commercial activities migrate to configurationally hotspot locations to take advantage of the economic opportunities created by movement (Hillier 1996). These concentrations of retail and commercial activities are also the work places for a good number of people and in turn, will influence the choices of residential locations. Since journey-distance and time are two very important factors influencing transport mode choice, (Plaut 2005; Wardman, Tight, and Page 2007; Pucher and Dijkstra 2003; Schwanen and Mokhtarian 2005). This paper hypothesized that the locations of retails and commercial areas as understood by their space syntax derived configurational index, will first affect the choices of residential locations and also influence choices of commuting mode. This hypothesis is tested in four US cities of Boston, Pittsburgh, Lubbock, and Salt Lake City using data collected from online open source database of the respective cities and US census bureau. Space Syntax topological and angular analyses of CAD drawn axial lines and street centerlines extracted from GIS maps are performed for all cities. ArcGIS spatial analysis tools were applied to combine land use, socio-economic & demographic, transportation and Space Syntax variables to the scale of census block-groups that was selected as the study unit. Multiple regression analyses are carried out to identify relevant and significant variables explaining each mode of transport. The findings indicate that Space Syntax variables play an important role in explaining choice of commuting mode. In addition, several linear regression analyses are performed to examine the land use and transport mode choice in the context of street configuration. The results indicate that commercial and retail concentration were positively correlated with integration cores. Following general trend of space syntax findings, commuters tend to live at configurationally segregated areas while walkers and bicycle riders tend to live in configurationally integrated areas where commercial and retail activities are concentrated. Regarding the differences of layout types, the results of comparative analysis between gridded and non-gridded cities indicates that closeness variable called ‘integration' and between-ness variable called ‘choice' are relevant to explain walking and driving modes in non-gridded and gridded cities respectively.
AVALIANDO A REATIVAÇÃO DE ESTRUTURAS DO EMBASAMENTO PRECAMBRIANO NA FORMAÇÃO DAS BACIAS SEDIMENTARES CONSTEIRAS: O CASO DA ZONA DE CISALHAMENTO PERNAMBUCO LESTE
Authors: Neves Sérgio Pacheco , Mariano Gorki , Lima Cristiane Marques
Published: August 2018

Este trabalho apresenta uma síntese de dados de obtidos em campo e a partir de descrição de lâminas delgadas durante o mapeamento geológico sistemático conduzido na terminação oriental da zona de cisalhamento Pernambuco leste (ZCPE). O objetivo da pesquisa foi entender o possível condicionamento de estruturas pré-cambrianas presentes no embasamento cristalino, em especial a herança das principais descontinuidades crustais/litosféricas (zonas de cisalhamento brasilianas, orientação da foliação regional, limites entre diferentes unidades), durante os processos de riftteamento que deram origem à formação das bacias costeiras. A ZCPE é uma transcorrência destral, com largura variando de 1 a 5 km caracterizada por faixas protomiloníticas a ultramilonítcas desenvolvidas essencialmente sobre protólitos graníticos variados. Marca o limite entre as bacias costeiras de Pernambuco e da Paraíba. Como estas bacias apresentam espessura e estratigrafia diferentes, tem sido sugerido que a ZCPE exerceu algum controle sobre os processos de formação. Desta forma, a determinação de uma possível reativação desta zona de cisalhamento durante a abertura do Atlântico é de fundamental importância para a elaboração de modelos geodinâmicos. Durante o desenvolvimento do trabalho foram obtidos dados estruturais (foliações, lineações, fraturas) em milonitos e ultramilonitos. A análise dos dados indica que não houve reativação rúptil em larga escala, ou mesmo numa escala local, da ZCPE durante o Cretáceo. O papel da ZCPE, na formação das bacias de Pernambuco e Paraíba, foi essencialmente passivo ao impedir provisoriamente a continuidade do processo de rifteamento. De forma mais ampla, este estudo revela que nem sempre zonas de cisalhamento dúcteis são reativadas em eventos tectônicos subsequentes.
GEOLOGIA DA PORÇÃO CENTRO-LESTE DA BACIA SÃO JOSÉ DO BELMONTE, PERNAMBUCO, NE DO BRASIL
Authors: Freitas Wilson Andrade , Lima Filho Mario Ferreira , Silva Valdielly Larisse , Agostinho Sonia , Piovesan Enelise Katia
Published: August 2018

Este trabalho apresenta os resultados do mapeamento geológico em escala 1:50.000 de uma área de 350 Km2 na porção centro-leste da Bacia de São José do Belmonte, localizada entre os municípios de Verdejantes e São José do Belmonte - PE. Utilizando aspectos de campo, análises petrográficas e bioestratigráficas, foram cartografadas sete unidades litoestratigráficas, quatro delas pertencentes ao embasamento da bacia: o Complexo São Caetano, composto por paragnaisses intercalados com quartzitos; o Complexo Riacho Gravatá, formado por rochas metapelíticas, metavulcânicas e quartzitos; sienitos milonitizados; e rochas graníticas. As unidades sedimentares incluem a Formação Cariri, composta por conglomerados e arenitos grossos a médios; a Formação Brejo Santo, que compreende folhelhos e argilitos; e a Formação Missão Velha, composta por arenitos grossos a finos. Bioestratigrafia baseada em ostracodes não marinhos em folhelhos vermelhos obtiveram espécie-guia da biozona NRT-001 (Andar Dom João), idade Jurássico Superior, o que permitiu correlacionar esses depósitos à Formação Brejo Santo da Bacia do Araripe, e assim posicionar as demais unidades. Estruturalmente, os metapelitos do complexo Riacho Gravatá apresentam foliação de baixo ângulo com transporte tectônico para SW. Rochas sieníticas com textura milonítica e foliação subvertical evidenciam tectônica transcorrente associada à zona de cisalhamento São José do Belmonte. Tanto as rochas graníticas, como as rochas sedimentares apresentam falhas sinistrais de direção N e NNE e falhas destrais de direções ENE e NNW.
NIGERITE GROUP “ZINCONIGERITE-(6N6S)” VARIETY IN THE RONCADEIRA PEGMATITE, NOVA PALMEIRA-COUNTY STATE OF PARAÍBA, BORBOREMA PROVINCE, NE-BRAZIL
Authors: Beurlen Hartmut , Thomas Rainer , Soares Dwight , Silva Marcelo Rodrigues
Published: August 2018

Descreve-se a primeira ocorrência de um mineral do grupo da nigerita na Província Pegmatítica da Borborema, no pegmatito Roncadeira, Nova Palmeira-PB. No Brasil é a segunda, pois já havia sido descrita outra, em regolito associado a pegmatitos próximos à vila Jornal, às margens do rio Parapueri, no Amapá. As análises químicas desta primeira ocorrência no Amapá não permitiram, na época, caracterizá-la conforme a nomenclatura adotada a partir de 2002 pela “International Mineralogical Association” (IMA) para o super-grupo nigerita-högbomita. A ocorrência de Roncadeira já havia sido mencionada em trabalho anterior pelos autores, mas sem maiores detalhes. A identificação foi realizada pela própria composição química, inicialmente semi-quantitativa, indicada por microscopia eletrônica de varredura (MEV), mas depois confirmada por análises quantitativas via microssonda eletrônica (EMPA) e pelo espectro RAMAN. A fórmula química obtida a partir da média de 13 análises em três grãos, normatizada para um total de 11 cátions é:Sn0.95Ta0.04 (Zn1.14, Fe0.69, Mg0.09, Mn0.10 , Ca 0.02)2.04 Al7.85Si0.11O15 (OH)As médias das razões catiônicas Zn/(Zn+Fe+Mn+Mg+Ca) = 0.56 e de Zn/Fe = 1.65 (inadequadas para ferro- ou magnesionigerita) e a razão Al/Sn = 8.27 (maior que 7), típica para o polissoma -6N6S, permitem pois identificá-la como “zinconigerita-6N6S” (ZN a partir de agora), espécie do grupo ainda não reconhecida pela (IMA), mas já registrada em pelo menos oito outras ocorrências mundiais. A ZN no pegmatito de Roncadeira ocorre associada com cassiterita, tapiolita-(Fe), ferrowodginita, assim como com crisoberilo e gahnita enriquecidos tanto no contato “greisenificado” como em corpos de substituição dominados por agregados sacaroidais de albita + quartzo + muscovita. Esta associação é muito similar às descritas na ocorrência tipo na Nigéria e outras similares na Namíbia, Portugal (Cabana / Ponte de Lima; Lousas/Barroso Alvão) Amapá/Brasil, Finlândia (Rosendal). Todas estas ocorrências são, portanto possívelmente ligadas a atividades metamórfico-metassomáticas de contato tardias nos pegmatitos hospedeiros.
Subcutaneous Anti-D versus intravenous methylprednisolone for the treatment of immune thrombocytopenic purpura
Authors: Sharmeen Olia , Rashid Mohammod Hasanur , Rouf Md Abdur , Islam Afiqul
Published: August 2018

Background: Established treatment option for immune thrombocytopenic purpura (ITP) are intravenous immunoglobulin (IVIg), anti-D immunoglobulin’ and high dose intravenous methyl prednisolone (HIVMP). The present study was undertaken to compare the efficacy of subcutaneous bolus anti-D over HIVMP in the treatment of ITP.Methods: A randomized clinical trial was conducted on a total 20 children with ITP, presented with extensive bleeding manifestation and platelet count <20 × 109/L;10 children received single dose subcutaneous anti-D (75 microgram/kg) and 10 children received HIVMP (30 mg/kg/dose) for 3 consecutive days. Patients were monitored for response to treatment and adverse events, platelet count and hemoglobin label were done in all patients at 24-hour, 48-hour, 72 hour, 1st week, 2nd week, 1st month, 2nd month and 3rd month after treatment to observe the change. Response rate define as a platelet count over 20 × 109/L within 72 hours of treatment. All the data were analyzed with the help of SPSS software version 16.0.Results: By 24 hours of treatment 40% patient of anti-D and 10% patients of HIVMP group had platelet count >20 x109/L, by 72 hours 90% patients of both group achieved complete response (P =1.750). In HIVMP group the rate of remission gradually decreasing but in anti-D group it was persistently remain high. In anti-D group hemoglobin concentration decreased in 80% cases (P=0.023) but rate of decrease was not significant. New hemorrhage or significant extension of hemorrhage did not observe in any group.Conclusions: A single dose of subcutaneous anti-D raised platelet count in children with ITP more rapidly and effectively than HIVMP (30 mg/kg/dose) with an acceptable safety profile.
Cord serum bilirubin as a predictor of neonatal hyperbilirubinemia in healthy term and late preterm neonates
Authors: R. Ramanathan , A. Baby Praveena
Published: August 2018

Background: Icterus neonatorum is the most common neonatal illness occurring in the first 7 days of life. It is the most important cause for hospital readmissions during the early neonatal period and also the cause for neonatal morbidity. In this study our main objective is, to find out that whether detecting umbilical cord blood bilirubin levels soon after birth, will help to identify the development of significant jaundice in early neonatal period which requires immediate interventionMethods: This was a prospective observational study carried out among 150 term and preterm babies. Their cord bilirubin level were estimated. Jaundice was determined by using yellowish appearance of eyes, skin and Kramer score. Statistics employed include Chi-square test and receiver operator characteristic curveResults: Study participants enrolled into the study was 150. Cord serum bilirubin was significantly associated with Kramer score and yellowish discoloration of eyes and skin and not significantly associated with sex, mode of delivery, gestational age and birth weight. When cord serum bilirubin was compared against the occurrence of clinical jaundice, sensitivity was found to be 58.33%, specificity was 96.49% positive predictive value was 84% and negative predictive value was 88%. Receiver operator characteristics curve indicated that the area below the curve was 0.842.Conclusions: Cord serum bilirubin can be used as a screening tool to identify the neonatal jaundice in both term and late preterm babies. Present study has shown increased specificity than sensitivity which warrants further exploration.
Screening for metabolic syndrome in children aged 10-18 years with parental history of premature coronary artery disease
Authors: Rao Anjana H. , Hegade Vinayaka P.
Published: August 2018

Background: The metabolic syndrome is appearing with increasing frequency in children and adolescents and is characterized by the clustering of abdominal obesity, impaired fasting blood glucose (FBS), hypertriglyceridemia, low HDL cholesterol and hypertension. Objective of this study was to screen for components of metabolic syndrome in children aged 10-18 years with parental history of premature coronary artery disease (CAD) and to compare them with children without parental history of premature coronary artery disease.Methods: A total of 90 children each between the ages of 10-18 years were selected as the study group and comparison group. These children were screened for components of metabolic syndrome like fasting blood sugar, hypertension, obesity and dyslipidemia. Diet and hours of physical activity were assessed. Statistical analysis was carried out through SPSS for windows (version 17.0).Results: The most common component of metabolic syndrome in the study group was abnormal FBS followed by elevated triglycerides, low HDL cholesterol, obesity and hypertension. The mean values of FBS, Systolic blood pressure (SBP), diastolic blood pressure (DBP), total cholesterol, triglycerides were found to be significantly higher in the study group. Children in the study group had a higher mean body mass index (BMI) and a history of excessive oily food intake with a sedentary lifestyle.Conclusions: Children with parental history of premature coronary artery disease have higher incidence of dyslipidemia and abnormal FBS. Children in the study group had a sedentary lifestyle with unhealthy diet practices.
Effects of lower limb strength training on gross motor functions in children with cerebral palsy
Authors: Shah Vidhi S. , Shaikh Shahnaz , Udani Varun , Khandare Shilpa , Modi Abhi
Published: August 2018

Background: In cerebral palsy children muscular performance may be compromised by deleterious, changes in muscle tissue properties and co-activation of antagonist muscle strength. Resistance training has become an increasingly common intervention aiming to improve function by increasing muscular strength. So, the objective of the study was to evaluate the effect of strength training with Theraband on functional activities of cerebral palsy children by using Gross motor functional measurement (GMFM) scale.Methods: The experimental study was done on 12 cerebral palsy children who fit under study criteria. The strength training was given 3 times in a week for 6 weeks by using Theraband as resistance training.Results: The results of the present study show significant difference (P <0.005) in pre and post score of GMFM component D and E after strength training. Also, there is 9.49% improvement in GMFM component ‘D’ and 6.39% improvement in component ‘E’ post treatment.Conclusions: There is an improvement in gross motor function in particular standing, walking, running and jumping after 6 weeks of functional strength training program in children with cerebral palsy.
Study of common dermatoses in school children of rural area of Dakshina Kannada district, India: a cross-sectional study
Authors: N. Shreekrishna G. , Bhat Sinchana
Published: August 2018

Background: Prevalence of skin diseases amongst children of a community is an indicator   of health and personal hygiene of a society. School children are more prone for skin infections and majority of them are preventable. Present study aimed to find the common dermatoses in school children of rural area.Methods: This was a cross sectional study conducted among 400 children from three randomly selected schools. Socio-demographic data was collected using a pretested semi structured questionnaire and skin conditions were identified by examination.Results: Out of the total 400 children, 224 (56%) were boys and 176 (44%) were girls. The overall prevalence of skin conditions was 222 (55.5%). Majority (27.5%) had fungal infection, 15% had bacterial infection, 10% had parasitic infection and 3 % had viral infection.Conclusions: Prevalence of skin infections is high in present study, hence creating awareness about personal hygiene among parents, children and teachers is the need of the hour.
A rare manifestation of Fanconi anemia
Authors: Pradeep Pooja , K. Vindhiya , R. Shiji
Published: August 2018

Fanconi anemia is an inherited pancytopenia, primarily inherited as autosomal recessive form. It occurs in all racial and ethnic groups. Majority of patients have both physical and haematological abnormalities, about one-third of patients will have normal physical features but abnormal haematological findings and unknown percentage have physical anomalies and normal haematological findings. The diagnosis is based on characteristic physical anomalies and abnormal haematological findings, which is confirmed with a lymphocytic chromosomal breakage study using Diepoxy butane (DEB). The report here is about a two and half years old female child who presented with physical features in the form of short stature, microcephaly, left hypoplastic thumb and congenital heart disease without haematological abnormalities. Chromosomal study was suggestive of Fanconi’s anemia.
Stenotrophomonas maltophilia: a rare cause of early onset neonatal sepsis
Authors: Soren Chapay , Jagtap Snigdha , Malathi V. , V. V. Lakshmi Aparnadevi
Published: August 2018

Stenotrophomonas maltophilia is a rare cause of early onset neonatal sepsis. The extensive resistance of this organism to several antibiotics leaves fewer options for antimicrobial therapy. A few cases were reported in neonates. We present a case of early onset sepsis in a neonate caused by Stenotrophomonas maltophilia. The newborn was born preterm and presented with respiratory distress within two hours of birth. Stenotrophomonas maltophilia is a rare cause early onset neonatal sepsis with significant morbidity and mortality.
Lower limb weakness: an unusual cause
Authors: Jerry Antony Leo , S. Sundari , A. P. Krithika
Published: August 2018

Osteochondromas are usually tumours of the long bones and occurs rarely in other bones. Osteochondroma of rib causing spinal cord compression is a rare presentation with only 8 cases reported in literature involving similar presentation in pediatric age group. Our case is a boy who presented with paraparesis of acute onset. All the usual suspects were ruled out. The cause was found to be a solitary lesion arising from the head of the 3rd rib causing cord compression. Laminectomy and decompression with excision of the lesion was done. On HPE it showed features of osteochondroma. Post operatively the child recovered well, the weakness and sensations improved.
Open versus laparoscopic appendectomy among Saudi patients
Authors: Miftah Mohammed , Attiah Jumanh , Alawaji Omar , Alghamdi Faisal , Alasmari Abdulaziz , Elsayed Alaa , Alfarrah Basil , Almohideb Malik , Majrashi Rawabi , Al Adi Mohammed
Published: August 2018

Appendicitis is the most common cause for abdominal surgeries among all age groups worldwide. Significant research papers were published concerning the techniques through which appendectomy is done. Open appendectomy has been the gold standard treatment for acute appendicitis and has been known as a safe practice with relatively low rate of postoperative complications. However, in the last few decades, laparoscopic surgery has developed widely with the advent of minimal surgical invasion and is now more increasingly prevalent intervention. In this study, we aim to report on previous literature on laparoscopic and open appendectomies that were carried out in Saudi Arabia and compare the efficacy, safety and complications of performing laparoscopic and open appendectomies including mean operative time, mean hospital stay and prevalence of postoperative complications, mainly, wound infection and intra-abdominal infections. PubMed database and EBSCO Information Services were used for articles selection. All relevant articles to our review with the topics regarding the appendectomy procedures; both open, laparoscopic, and other articles have been used. We excluded other articles, which are not related to this field. The data will be extracted according to specific form in which it is going to be reviewed by the group members. The study found out that mean operative time was shorter in open procedures than laparoscopic one making it open appendectomy the faster intervention. Mean hospital stay was found to be significantly less in LA than OA patients. Indicated higher rate of intra-abdominal infections in the LA patients than OA ones, while wound infections are mainly present in OA cases in the reference studies.
Maternity handover in Kerala: a cross sectional study
Authors: Sheikh Aadil , Dunphy Jessica , Humphries Claire , MacArthur Christina , Manaseki-Holland Semira
Published: August 2018

Background: The objective of the study was to explore the referral system from the community to hospital obstetric care in Kerala, India.Methods: Cross-sectional study. A total of 206 obstetric inpatients in 3 hospitals in Kerala, India completed an orally-administered questionnaire regarding referral and attitudes towards healthcare information.Results: Among 206 respondents, 19 (9%) had been referred from another healthcare provider.  In multivariate analysis, referral was independently associated with being in a tertiary hospital (p<0.001). At total of 17 referred women received a document containing hand-written notes from their previous healthcare provider. Just 3 of the documents available to view were formal referral documents; others were test results and/or hospital notes. A total of 170 (86%) of the 206 women thought that receiving documents such as referral letters was important; mostly because it helped them understand their condition and explain it to others (91%).Conclusions: A high rate of self-referral (91%) was reported by obstetric inpatients. It appears that some women who are referred do not receive a formal referral document. Participants thought that receiving referral documents was important. A strong health system requires transfer of information between primary and secondary/tertiary care services, which India is seeking to develop. Further research is needed into why women are not accessing community health services and the impact of the content of referral documents on patient care.
Awareness about complementary and alternative medicine among attendees of urban and rural health training centres of a medical college in North Karnataka
Authors: N. Chandan , Patil Kiran
Published: August 2018

Background: Complementary and alternative medicine (CAM) includes a wide range of practices that do not fit within the dominant biomedical model of health care and are not commonly provided within orthodox medicine settings. People might be attracted to and use CAM because they hold beliefs that are congruent with CAM. But safety and efficacy of these systems are not well established. So this study was done to assess awareness among patients attending UHTC and RHTC about CAM.Methods: Cross sectional study was done in UHTC and RHTC of SDMCMSH, Dharwad, India. Data was collected by using pre designed interview schedule from 200 patients. Data was entered in Microsoft excel 2013 and analysed using IBM SPSS v20. Descriptive statistics and chi square test were applied. p<0.05 was considered statistically significant.Results: 100 patients each from UHTC and RHTC were included in the study. 93% of UHTC and 98% of RHTC patients were aware about CAM. 74% in UHTC and 60% in RHTC were aware of advertisements about CAM. 96% of UHTC and 100% of RHTC patients said CAMs have no side effects. 45% from UHTC and 14% from RHTC preferred CAM. 43% from UHTC and 42% from RHTC patients had used CAM.Conclusions: The awareness about CAM in our study is high, 93% among urban and 98% among rural study participants. Ayurveda was the most commonly used AMT.
Prognostic subtyping based on estrogen receptor, progesterone receptor, and human epidermal growth factor receptor2 expression in breast cancer cases among north Indian females
Authors: Lone Kouser Sideeq , Parveena Shaheena
Published: August 2018

Background: Cancer of breast has recently become the leading cancer among women in Kashmir. Worse prognosis of this disease is with the features of higher grade, positivity for Her-2/neu, negativity for ER, PR, and presence of BRCA gene. Thus the receptor status like are a very useful tool for rapid diagnosis, treatment as well as for prognosis of the disease. The objective of the study was to analyze the pattern of expression of hormone receptors which include ER, PR and Her-2/neu in breast cancer cases among Kashmiri females and to find their association with various clinicopathological parameters.Methods: A cross sectional hospital based study done in a tertiary health care centre of Kashmir valley. We selected 102 consecutive breast cancer cases for the period of one year. Cases were sent for biopsy of the tumour lesion and for receptor status analysis.Results: In about 50.9%of cases tumour had spread to T2 stage. There was a significant difference in the tumor stage and the age groups at presentation. The HER 2 status was positive in 85.5% of cases. About 65% were ER positive and 51.9 were PR positive. Only 8 were triple negative and 42 were triple positive for receptors. We did not found any significant relationship between grade, stage of disease and age when compared for receptor status.Conclusions: We found a high percentage being receptor positive tumours which has been found to be a good prognostic sign.
Awareness about mosquito-borne infections among agricultural and horticultural college students: Coimbatore, South India
Authors: Palaniappan V. , Kalidas P. , Lokeshwaran R. S.
Published: August 2018

Background: Mosquito-borne infections especially dengue has created several outbreaks in the present days. Agricultural and horticultural college students are at increased risk of getting infected since they are involved in a lot of field activities. The main aim of our study is to assess the awareness about mosquito-borne infections among agricultural and horticultural students of all the academic years. Also, to analyse the preventive measures and sanitary methods followed by the students to prevent the infection.Methods: This cross-sectional study was conducted in Tamil Nadu Agricultural University (TNAU), Coimbatore including 250 students who are involved in the field works. The questionnaire consisting of 24 multiple choice questions were distributed and collected after filling. The data were processed and statistical significance was calculated using the software SPSS version 20.Results: Females have comparatively good knowledge (54.8%) than males (46.9%). Students whose age is less than 20 years have good knowledge (64%) when compared to students with age more than or equal to 20 years (40.8%). Agricultural students have comparatively fair knowledge (54.5%) than Horticultural students (47.1%). There is a significant association between knowledge and age.Conclusions: The results of our study revealed that the students have fair level of knowledge about mosquito-borne infections especially dengue. Not only creating awareness is important, it should also be looked into that people implement their knowledge into day-to-day practice to prevent the mosquito-borne infections.
Assessment of awareness and attitude of rural women towards ill-effects of indoor air pollution and their perception regarding alternate cooking fuel usage in Mangalore
Authors: Alex Prince , K. G. Kiran , Baisil Sharon , A. U. Shameena , Badiger Sanjeev
Published: August 2018

Background: Indoor air pollution is typically underreported and less regulated than its counterpart. So this study was to assess the awareness and attitude of the study population towards ill effects of indoor smoke exposure among the study population and to assess the users' perception about other alternative fuels to be used to reduce the ill effects. Objectives of the study were to assess the awareness and attitude of the study population towards ill effects of indoor smoke exposure among the study population and to assess the users' perception about other alternative fuels to be used to reduce the ill effects.Methods: It was a cross- sectional study conducted in the rural field practice area of K.S Hegde Medical Academy among the household women who spend the majority time cooking in their house. The study included 400 household women. Data was collected using a pre-tested, semi-structured questionnaire, and entered into MS Excel and analysed.Results: Most (80.8%) of them were aware that exposure to smoke affects the health of those exposed to it. Also, their perception regarding alternate fuels was good. In the study most of the study participants (92.1%) were willing to change over to a cleaner fuel.Conclusions: By raising their awareness towards the harmful effects of firewood smoke and providing awareness regarding government programmes for using cleaner fuels, the ill-effects on health of those involved in cooking can be reduced in future.
A cross sectional study to assess the psychological morbidity (depression, anxiety, stress) among undergraduate medical students in Bangalore Medical College and Research Institute, Bengaluru
Authors: N. Ramya , N. Ramakrishna Reddy , S. Ranganath T. , V. Subathra
Published: August 2018

Background: Mental health is an important factor in medical student’s career. But unfortunately many are suffering from some form of mental problems. Like other young adults, under graduate medical students are similarly vulnerable to turmoil due to academic and social stress which often hampers their education achievement. The objectives of the study were to assess the prevalence of psychological morbidity (depression, anxiety, stress) among under graduate medical students and to find the association of these psychological morbidity with personal dataMethods: A cross sectional study was conducted at Bangalore Medical College & Research Institute, Bangalore among Under-graduates medical students during November 2016- January 2017. Sample Size was calculated to be 151. Data was collected using a self-administered, pre-designed, pre-tested anonymous questionnaire, DASS 42. Data was analyzed by descriptive statistics and chi-square test.Results: Out of 151 students, 80 (52.98%) were males and 71 (47.01%) were females. Out of 151, 64(42.38%) had some form of depression, 83 (54.96%) had some form of anxiety and 69 (45.69%) had some form of stress.Conclusions: It is important to detect medical students who suffer from psychological morbidity at an early stage, so that treatment in the form of counselling could be initiated.
An experimental study of arsenic and lead concentration in common food sources
Authors: Ghani Abdul , Sahito Ambreen , Naeem Shahla , Kayama Fujio , Fatmi Zafar
Published: August 2018

This study estimated the concentration of arsenic (As) and lead (Pb) in commonly used food items: chicken meat, potato and lentils. Furthermore, it also determined the contribution of As and Pb in food through leaching by different types of utensils. Samples of food were bought from open market of Karachi, Pakistan. Each food item was cooked under standardized condition for 20 minutes. The food samples were cooked in utensils made of four different types of materials which are commonly used for cooking. The As and Pb concentrations were determined by inductively coupled plasma mass spectrometry. None of the food items were free of As or Pb. Lentils cooked in aluminium and steel cookware had high concentration of Pb (55.1 and 34.6 ng/gm, respectively). The As concentration was higher in chicken meat (ranged from 41.3 to 47.7 ng/gm) compared to other food items. The chicken meat was uniformly contaminated with high As levels irrespective of the utensil material used for cooking. Thus, chicken meat could be potentially contaminated from external environment (mostly likely during raising). Aluminium or steel utensils have particular interaction with lentils and causes leaching of Pb during cooking. Exposure from As and Pb can be reduced by regulating food items and quality of cooking utensils.