bluuebunny/crossref_metadata_2025 huggingface dataset:
Clinical profile of childhood epilepsy in Nigerian children seen in a tertiary hospital
Authors: Eyong Komomo Ibor , Ekanem Emmanuel E. , Asindi Asindi A. , Chimaeze Torty
Published: June 2017

Background: Epilepsies are the most common conditions encountered in most paediatric neurology clinics in many parts of the developing world. In sub-Saharan Africa epilepsies are secondary, reflecting persistently high risks at birth, and the adverse neurological sequelae of CNS infections during and beyond childhood. The study was designed to determine the clinical pattern of childhood epilepsies, probable aetiologies and associated comorbidities of the disease children.Methods: The study was conducted within an 18 months period among children having established epilepsy attending the Neurology Clinic of University of Calabar Teaching Hospital (UCTH). The children and or care givers were interviewed by the authors and the following data were obtained and recorded in a questionnaire; bio data, age at onset of seizure. History was obtained to determine the possible cause of the seizure, type of epilepsy and associated comorbidities. The data obtained was analysed with SPSS version 20. P-value <0.05 was considered significant.Results: Of the one hundred eighty children seen with various neurological morbidities during the study period, one hundred and seven had epilepsy which constitutes 59.4%. Generalized tonic clonic epilepsy was the commonest type of epilepsy found in 66 (61.1%) of the children with epilepsy, followed by simple partial and myoclonic epilepsy in 18.5% and 6.5% respectively. Severe birth asphyxia was responsible was the commonest identifiable cause of epilepsy in 19 (17.8%) of cases while central nervous system infection accounted for 14 (13.1%). Cerebral palsy was the commonest comorbidity in 20 (18.6%) followed by mental retardation in 17 (15.9%) of the children.Conclusions: The study showed epilepsy to be the commonest neurological presentation among children presenting at the paediatric neurology clinic of our facility. Primary generalised tonic clonic epilepsy was the commonest type of epilepsy seen, followed by simple partial seizures. Cerebral palsy and mental retardation were the main associated comorbidities. Birth injuries mainly severe birth asphyxia and CNS infection were the major causes of epilepsy in our study. In conclusion, epilepsy is the commonest neurological morbidity in our environment, limited facilities and resources still militate against identifying the actual aetiology in most children with the disease. Effort should be intensifying to eradicate the preventable causes of the disease.
Study of the immediate clinical outcome of neonatal sepsis in the neonatal I.C.U. of a tertiary care hospital
Authors: Reshad Mohamed , Mundol Tania , K. Mithun H. , Prabhu Anitha S.
Published: June 2017

Background: According to the status of newborns report 2014, about 0.76 million neonatal deaths occur in India, the highest for any country in the world. Although the neonatal mortality rate (NMR) has declined in the last 2 decades, the early NMR has been the slowest to decline. The three major causes of neonatal deaths are preterm birth complications, infections, and intrapartum related complications; together, they contribute to nearly 90% of total neonatal deaths. The aim of the study was to study the immediate clinical outcomes of culture proven neonatal sepsis in the NICU of Yenepoya Medical College Hospital during the period January 2016 to June 2016.Methods: Retrospective hospital based study of records of all neonates admitted to the NICU with blood culture positive neonatal sepsis from January 2016 till June 2016. Blood cultures were done using the BACTEC 460. Data analysed using SPSS version 20.Results: A diagnosis of probable sepsis was made in 84 (54%) of the total neonates (154) admitted to the NICU during the study period of which 6 were out born babies. Culture positive sepsis was found in 11.6% (18).  The most commonly isolated organisms were Escherichia coli, Enterococcus and coagulase negative Staphylococcus aureus. Of the total 18 culture positive cases, urine culture was positive in only 2 cases while the remaining had a positive blood culture. Among the 18 cases of culture positive neonatal sepsis, 8 died while 10 survived.Conclusions: Incidence of neonatal sepsis was relatively high in YMCH with the most predominant organism being coagulase negative Staphylococcus aureus. 12.7% of the sepsis cases died. Resistance to cefotaxime and ampicillin was prevalent.
Intracranial ultrasonographic screening of premature babies meeting the criteria
Authors: P. Mallikarjuna G. , Prasad B. S. , Kulkarni Akhil M. , Kalappanavar N. K.
Published: June 2017

Background: The preterm infant brain is most vulnerable to both haemorrhagic and ischemic injury during the late second and early third trimesters.  This is due to vascular, cellular, and anatomical features of the developing brain and the tendency of preterm infants to experience periods physiological instability at a time when they have limited cerebral circulatory auto regulation. CUS is useful for recording PVH, PVL, measurement of resistive index and ventricular dilatation. The study was to determine the magnitude of abnormal intracranial findings among the preterm neonates admitted in NICU of S.S. Institute of Medical Science and Research Centre, Davangere by using cranial ultrasonography.Methods: The study was intended to do CUS in pre-terms with gestation age of less than 32 weeks or those with birth weight of less than 1500 grams irrespective of gestational age and Preterm with abnormal neurological presentation. Infants enrolled were divided in to groups according to gestational age, birth weight and results analysed by using Epi info version 6 software, p value <0.05 is considered significant.Results: Most common abnormalities found is intra ventricular haemorrhage (7.8%), ventricular dilatation (1%), agenesis of corpus callosum (1%). There is significant correlation between birth weight and gestational age (p value <0.05) and prevalence of intra ventricular haemorrhage in <28 weeks (group 1) is more (15. 4%), compared to group 2 (28-32weeks), and group 3 (>32 weeks).Conclusions: The prevalence of Intra ventricular haemorrhage is significantly higher as the gestational age decreases. Neonatologist can take ethical decisions depending on intracranial abnormalities as it changes line of management. CUS helps in directing the families of affected infants towards most appropriate follow up and to promote early intervention for chronic neurodevelopmental sequelae of haemorrhagic or ischemic injury. So, all neonatologist working in NICU should be trained in CUS.
Comparison of transcutaneous bilirubin with serum bilirubin measurements in neonates at tertiary care center in western part of India
Authors: Surana Amita U. , Patel Shefali , Prasad Rajeev , Tilwani Sandeep , Saiyad Ambrin , Rathod Maulik
Published: June 2017

Background: Noninvasive transcutaneous bilirubin measurement is an attractive option for jaundice evaluation in newborns. But variable accuracy had been reported in different studies. The aim of the study was to find out the correlation and agreement between TcB and TSB measurements in neonates.Methods: Prospective analytic study carried out in neonatal unit of tertiary care center. Newborns up to 10th postnatal DOL with visually found jaundice were enrolled in study. TcB was measured over forehead with Dragor JM 103 device. Simultaneous TSB measurements were done for all readings. Pearson’s correlation coefficient calculation and Bland Altaman analysis were done. ROC curve of mean TcB at different TSB level were constructed.Results: Total 160 newborns with male: Female ratios of 1.3:1 were enrolled. Mean values: gestational age 38.23±2.01; birth weight 2.403±0.61; age in hour at first reading 83.76±26.62; TSB11.65±4.58 mg/dl and TcB 11.73±3.53 mg/dl. A strong, positive and significant correlation was found between TcB and TSB measurements (r=0.836, r2=0.69, p <0.001). The average error in evaluating hyperbilirubinemia with TcB as compared to TSB was 0.856 with limits of agreement between -3.41 to +5.48. The AUOC at three TSB levels (>10mg/dl, >12 mg/dl, >15 mg/dl) of TcB were 0.899, 0.937 and 0.963 respectively. ROC analysis showed good sensitivity for all. Specificity was found to fall with increasing TSB concentration.Conclusions: In our study TcB correlated well with TSB measurements and showed good sensitivity and satisfactory specificity, thus validating its use as a screening tool for evaluation of jaundice in newborns.
Rare diagnosis in a neonate with isolated skin lesions
Authors: Suresh Supriya Gujjar , Jagadeesan Saraswathy , Srinivasan Arathi , Scott Julius Xavier
Published: June 2017

Langerhan Cell Histiocytosis (LCH) represents a group of diseases with varied spectrum of presentation. LCH limited to skin is not very common with 100 cases reported in literature. A definitive diagnosis is important for both management and follow up. A 30 days old male infant was brought with vesiculopustular skin lesions over the trunk and back since day 12 of life. Systemic examination was normal. Preliminary investigations revealed a normal haemogram with normal liver and renal function tests. He was initially managed symptomatically. In view of persisting skin leisons, biopsy done was suggestive of Langerhans Cell Histiocytosis and confirmed by CD1a postivity on immunohistochemistry. Skeletal survey did not reveal any lytic leison, bone scan was normal. There was no biochemical evidence of diabetes insipidus. The child was diagnosed to have neonatal isolated cutaneous LCH. He was followed up periodically without any therapy. Presently, he has an Event Free Survival (EFS) of 2 years without any progression. Though isolated cutaneous Langerhan Cell Histiocytosis is rare in neonates, it should still be considered in the differential diagnosis by the treating paediatrician. Though it can be a self-limiting entity, it is very important to recognize this condition, since it is mandatory to look for multisystem involvement by LCH as it determines the treatment intensity. It is essential to closely follow up these children to know if this heralds involvement of risk organs by LCH or a self-limiting disorder. This case also highlights the multidisciplinary dialogue required in the diagnosis and management of such rare cases.
Immunodeficiency, centromeric heterochromatin instability of chromosomes 1, 9, and 16, and facial anomalies: the ICF syndrome
Authors: Pande Shailesh , Bhushan Mani , Pais Anurita , Pradhan Gauri , Kadam Chaitali , Matkar Sunmeet
Published: June 2017

Instability of the heterochromatic centromeric regions of chromosomes 1 associated with immunodeficiency was found in a 3 and half months old girl. The case was referred to Department of Genetics, Global Reference Laboratory, Metropolis Healthcare Ltd, Mumbai with the suspicion of Downs Syndrome for chromosomal karyotyping. This patient had facial anomalies in addition to combined immunodeficiency and chromosomal instability. Stretching of the heterochromatic centromeric regions of chromosomes 1 and homologous and non-homologous associations of these regions were the most common cytogenetic findings in this patient. Multi-branched configurations and whole arm deletions of chromosomes 1 were also found. Comparing clinical and chromosomal data we conclude that the patient was suffering from immunodeficiency, centromeric heterochromatin instability and facial syndrome. The chromosomal karyotyping report was showing instability around vicinity of chromosome 1 and various abnormalities around vicinity of both chromosomes 1 were found in form of random breakages of chromosome 1, fragile sites, deletions/duplications of small and long arm, extra copies of chromosome 1 with rosette formations, exchange of arms and partial aneuploidies of chromosome 1. Further, the investigations regarding the immune status revealed that the level of IgM (5.98 mg/dl), IgA (<6.16mg/dl) and IgG (92.10 mg/dl) subgroup of immunoglobulin was very low. The results were consistent with The Immunodeficiency, Centromeric region instability, Facial anomalies (ICF) syndrome. Second sample from the patient for molecular studies could not be collected and performed since the patient failed to survive after 3 and half months.
Ear manifestations in head and neck injury
Authors: Patil Siddaram , P. B. Girish
Published: June 2017

Background: This study was done to study different types of trauma to the ear that occur in head and neck injury and methods which help in early diagnosis of such trauma to the ear.

Methods: Data for the study were collected from patients who presented with ear, nose and throat manifestations in head and neck injury in the Department of Otorhinolaryngology at J. J. M. Medical College and Hospital, Davangere between November 2012 to October 2014. This is a prospective case study. 50 patients were included in the study. Once patient was presented to us detailed history and examination was done. Investigations were done wherever necessary.  

Results: The incidence of head injuries is increasing in vehicular accidents (58%) due to increased use of vehicles, improper traffic control systems and increase in population. Males outnumbered the females. Males constituted 84%. Majority of the patients come under the age group of 21-40 constituting 60%. In the 50 cases, ear manifestations were seen in 22% patients.

Conclusions: Microscopic examination and microsurgical techniques in the field of ENT have revolutionized the treatment methods of sequelae following head injury.
Submental intubation in complex craniomaxillofacial trauma cases
Authors: Navin Kumar A. , Chattopadhaya P. K. , Dua Gaurav , Mehta Sandeep
Published: June 2017

Background: Airway management in patient with craniomaxillofacial trauma is challenging due to disruption of components of upper airway. In complex panfacial trauma cases, especially involving naso-orbito-ethmoidal complex, the airway is shared between the maxillofacial surgeon and anaesthesiologist. Often in such severe trauma cases, both nasotracheal and orotracheal intubation are contraindicated. Previously in such situation tracheostomy was the method of choice. Though tracheostomy is time tested it has its fair share of complications, some even life threatening. Other methods were used such as retromolar intubation as an alternative, but it may not be suitable for all such cases. Another approach is submental intubation but not so much in routine practice. A retrospective study was designed to evaluate clinical criteria’s airway management in complex craniomaxillofacial trauma cases using submental intubation.

Methods: Datasheets of 14 craniomaxillofacial trauma cases who were intubated with submental intubation method were reviewed. The factors like: ease of anaesthesiologist for carrying out general anaesthesia, ease of surgeon for performing surgery and average time taken during the procedure, intraoperative and postoperative complications were evaluated and charted.  

Results: Submental intubation provides intraoperative airway control, avoids use of both oral and nasal routes, and allows intraoperative manipulation of occlusion, intramaxillary and intermaxillary fixation. This technique has minimal complications and has better patient, anaesthetists and surgeons acceptability. The limitations of this technique include longer preparation time, inability to maintain long term postoperative ventilation and unfamiliarity of technique itself.

Conclusions: This submental intubation can be used with little modifications in a variety of complicated panfacial trauma cases. 
Microbiological profile in chronic rhinosinusitis patients in a rural hospital of India
Authors: Kamble Ajay , Garg Deepika , Puttewar Manish , Nagpure Prakash
Published: June 2017

Background: Chronic rhinosinusitis is one of the most common health problem a detailed microbiological profile of which is necessary to guide its proper management. The aim of this study was to identify the microbial pattern present in chronic rhinosinusitis (CRS) patients undergoing functional endoscopic sinus surgery at a rural tertiary care hospital in India.

Methods: A prospective study was done in ENT department of MGIMS, Sewagram over a period of 2 years. A total of 94 patients were included in the study. They were clinically diagnosed to have chronic sinusitis and confirmation was done by CT imaging of paranasal sinuses. During FESS, sinus secretions were aspirated and were subjected to bacterial and fungal culture. Bacterial and Fungal pathogens were identified according to the standard protocol.  

Results: In the 94 patients, the mean age was 33.44 years and Male female ratio was 1.08: 1. Staphylococcus was the commonest organism isolated in 54 cases (57.4%) followed by Streptococcus pneumoniae in 5 cases (5.3%), Klebsiella in 1 case (1.1%), E.coli in 1 case (1.1%) and Pseudomonas aerogenosa in 1 case (1.1%).Fungus (Aspergillus niger) was isolated in 2 patients (2.1%) and no pathogens were found in 30 (31.9%) patients.

Conclusions: In CRS bacterial etiology is the commonest.
Oral Midazolam as a Pre-Medication in Paediatric Patients
Authors: Phaltankar Jayashree , Shah Milin
Published: June 2017

Introduction: In some medical circumstances, pediatric patients may need premedication for transferring to the operating room. In these situations, using oral premedication is preferred. We assessed the efficacy and safety of oral midazolam to reduce the anxiety and improve behavior in children undergoing general anesthesia. Method: In a double-blind randomized clinical trial, 90 children aged between 1-8 years were assigned to one of three oral premedication groups by random selection. Each group contained 30 children. Group I received 0.5 mg/kg oral midazolam Group II received 0.75 mg/kg oral midazolam both in 25% dextrose to a total volume of 5 ml. Group III or control group received 5 ml of 25% dextrose. To study its acceptility, onset and level of sedation, changes in vitals like pulse rate, blood pressure and emotional state before and after sedation, and post-op side effects. Disscussion: After premedication, difference in pulse rate, systolic blood pressure and respiratory rate between the three groups was not statistically significant sedation at 30 minutes after premedication was better in study group II as compared to study group I Emotional state was concluded to be better in study Group II (0.75 mg/ kg) as compared to study group I (0.5 mg/kg) at the time of separation from parents. More post operative complications like nausea, vomiting, giddiness, headache with a dose of 0.75 mg/kg than with a dose of 0.5 mg/kg. Conclusion: So we conclude that oral midazolam in a dose of 0.5 mg/kg for premedication in pediatric patients at it provides good to excellent sedation at 30 minutes at the time of separation from parents, with better quality of separation, and stable emotional state at induction without significant hemodynamic changes with less postoperative
MBA Degrees Versus an Industry-centric Managerial Certification - An Innovative Solution for Globally-Positioned Enterprises
Authors: Ng Raymond Keng Wan
Published: June 2017

Presently, many countries are facing challenges of continuing economic contraction, huge public debts, bankrupt governments, massive unemployment, and underemployment of young graduates and mid-career professionals, geopolitical issues and socio-economic uncertainties. At the same time, universities and institutions continue to produce legions of MBA holders to fill the global marketplace justifying the shortfall in management talents in many economies, especially the emerging markets and BRICS economies which are likely to forge continued global economic growths. In this paper, the author investigates the macro environment, identifies the needs of today's industries, and examines the current ecosystem of the business education sphere. Special emphasis will be focused on curriculum and pedagogies review, as well as an economic justification of pursuing an MBA education against embarking a catalyst qualification intended to speed up management placements, improve return on investments of stakeholders, add value to the learning process and answers to the needs of today's industries.
Editorial
Authors: Jagadeesh R.
Published: June 2017

Happy to inform all the readers and others that SDMIMD Journal of Management is now in its fifth year and this is the first issue of volume 5. I sincerely thank all our authors, publishers, reviewers, and the members of the Editorial Board, and the Advisory Board, for their support, encouragement and appreciation which have helped us to successfully complete four years of publication. The SDME Trust has extended all the support in bringing out the journal. M/s Informatics, our web portal service provider, has helped in expanding our presence and improving the visibility.
Growth in Grocery Retailing in India-Competitive Landscape of Modern vis-a-vis Traditional Grocers
Authors: Meena Rani N. , Ramachandra K.
Published: June 2017

As India witnessed surge of modern retail format over the last decade, significant developments have taken place in its retail landscape. The authors felt it appropriate to check the reality at ground level to ascertain the truth in earlier projections or perceptions towards the modern vis a vis traditional grocery retailing. Hence a study was undertaken, largely relying on secondary data, to identify key trends which in turn would provide critical insights to the academicians, researchers and policy makers. The analysis was done for a review period from 2008-13 and forecast period from 2013-18. Key findings include a robust growth in terms of number of outlets and turnover of both modern and traditional formats during review period. The forecast seems to be more promising for modern retailers than it is for the traditional players. As the customer are getting more discerning, and strive to get value for money, convenience and product variety, the modern retailer should leave no room for complacency to meet the growing and varying needs of the consumers. The traditional mom and pop stores need to go for substantial makeover to remain relevant and a reckoning force in the booming sphere.
Left Brain Right Stuff: How Leaders Make Winning Decisions
Authors: Rau Pradeep
Published: June 2017

Listed in the Best Business Books of 2014, Phil Rosenzweig's book presents an interesting point of view on why it is important to consider both left brain (analytic) and right brain (intuitive and judgment based) approaches in any consideration of leadership and managerial behavior. The book is timely because a lot of interest has been focused very recently on "big data" and how managers today have extensive real time data from the marketplace and how, as a consequence, detailed analytical bases can inform managerial decisions. But, the main point of the book is that while analytic (left brain) approaches have indeed expanded greatly as a consequence of our ability to collect and make sense of vast amounts of data inexpensively (often uncovering relationships between managerial decision variables that were not even anticipated), true success in leadership/management often requires an appreciation of specific aspects of the context in which a decision has to be made including the nature of competition which the manager can only gain through employing what the author refers to as the "right stuff" i.e. a careful consideration of the manager's biases and other "qualitative" aspects of the decision context which are then individually discussed in the book's twelve chapters. Before a formal review of the book's content, it is also worth noting that the author is a professor at IMD, Lausanne (Switzerland) which is a major center of executive education and the book, therefore, represents deep insights gained by the author over a long career in consulting and executive teaching.
Sistemas robóticos teleoperados
Authors: Cerón Correa Alexánder
Published: June 2017

En el presente artículo se realiza una revisión general sobre los sistemas robóticos teleoperados, su estructura, componentes principales, clasificación, tipos de sensores, sistemas de locomoción y aplicaciones; como por ejemplo se mencionan algunos trabajos realizados en colombia y el mundo.
El aumento de la masa inercial: Einstein y las coordenadas
Authors: Cala Vitery Favio Ernesto
Published: June 2017

Durante los años de gestación de la Teoría General de la Relatividad (TGR) y de la subsiguiente cosmología relativista, Albert Einstein esperaba que su teoría de gravitación satisficiera las ideas de Mach sobre la inercia. Para esto calculó un par de efectos que debían garantizar la consonancia de TGR con el origen material de la inercia à la Mach. Estos efectos fueron: (A) El aumento de la masa inercial cuando se aglomera materia en su vecindad y (B) el arrastre de los marcos inerciales. En este articulo se hace un estudio histórico-conceptual del primero(A). Mientras que el arrastre es considerado como una predicción real de TGR, el aumento de la masa inercial ha llegado a desecharse como un artificio de coordenadas no impugnable a la variedad espacio-temporal estudiada. Se presenta una revisión técnica con clarificaciones conceptuales es presentada.
Monitoreo de parámetros fisico-químicos, en la cuenca alta del río Bogotá
Authors: Sierra Julia , Jaime Alexandra , Mora Andrea
Published: June 2017

La Universidad Militar "Nueva Granada" en su constante interés por el desarrollo de nuevas técnicas que permitan la preservación del medio ambiente, inició en el año 2000 la investigación "IDENTIFICACIÓN Y PRUEBADEBIOINDICADORESy RECUPERADORES PARA LA DESCONTAMINACIÓN DEL RÍO BOGOTÁ". En la primera fase de este estudio se hace un diagnóstico de la situación actual de la cuenca alta del Río Bogotá, a través de los proyectos de grado presentados por los estudiantes de la Universidad y dirigidos por un grupo de profesores. Se realizó una investigación como Tesis de Grado para optar al título de Ingeniero Civil,donde se analiza el comportamiento de los pará-. metros fisico-químicos en la cuenca alta del Río Bogotá; estos parámetros son de gran importancia ya que establecen las modificaciones que sufre una corriente superficial, como consecuencia de los diferentes usos del agua (causados por actividades industriales, domésticas, recreativas y de transporte). Eltítulo del trabajo de grado es "MONITOREODE PARÁMETROSFISICO-QUÍMICOS,EN LA CUENCAALTA DEL RÍO BOGOTÁ". Los aspectos fisicos que se tienen en cuenta en este trabajo son: turbiedad, temperatura y conductividad, y como aspectos químicos oxígeno disuelto, demanda bioquímica de oxígeno (DBO), demanda química de oxígeno (DQO), pH, alcalinidad total, acidez, dureza, cIoruros, amonio, nitritos, nitratos, fosfatos altos y bajos, sulfatos, cromo, cobre y cloro total.
Conceptos básicos en presas
Authors: Santaella Valencia Luz Elena , Morales Luz Yolanda
Published: June 2017

El agua es un elemento esencial para cualquier forma de vida, y alrededor de ésta se formaron las grandes comunidades y civilizaciones del mundo. El hombre primitivo ideó recipientes para almacenar el agua; cuando se hizo sedimentario y agricultor se ubicó cerca a los ríos; al aumentar la población se alejaron de la orilla siendo más difícil el transporte del agua, hasta que alguien ingenioso colocó unas piedras y ramas atravesadas en el río haciendo subir el nivel del agua y a través de una zanja la derivó hasta un sitio: esto constituyó una presa canal primitiva que se perfeccionó alcanzando alturas y embalses mayores. El objetivo de este artículo es presentar los aspectos más importantes sobre las presas, desde el punto de vista histórico, técnico y ambiental para afirmar y difundir un mayor conocimiento del tema.
El mundo natural de los seres vivos, un modelo perfecto de las matemáticas
Authors: Solaque Guzmán Leonardo Enrique , Rojas Cortés Lucio
Published: June 2017

Desde que el ser humano empezó a hacer uso de su razón, ha buscado desaforadamente explicación de muchos de los procesos fisicos existentes y ha intentado optimizar una gran variedad de tareas; es por esto, que logró crear una herramienta poderosísima llamada MATEMÁTICAS. Con este invento, el ser humano ha tratado de explicar un sin número de procesos, convirtiéndolos a símbolos tratables y manejables. Pero, ¿qué tan cerca estamos de comprender el mundo? Albert Einstein decía: "Lo más incomprensible del universo es que fuese comprensible".
Paradigmas de la investigación sobre lo cuantitativo y lo cualitativo
Authors: Medina Bermúdez Clara Inés
Published: June 2017

Un paradigma, tal y comolo definió Kuhn (1962), es "un conjunto de suposiciones interrelacionadas respecto al mundo social que proporciona un marco filosófico para el estudio organizado de este mundo. Un paradigma: Sirve como guía para los profesionales en una disciplina porque indica las cuestiones o problemas importantes a estudiar; se orienta hacia el desarrollo de un esquema aclaratorio; establece los criterios para el uso de "herramientas" apropiadas, y proporciona una epistemología. Un paradigma no sólo permite a una disciplina aclarar diferentes tipos de fenómenos sino que proporciona un marco en el que tales fenómenos pueden ser primeramente identificados como existentes". También el autor afirma que "cada paradigma explica un volumen limitado de la realidad;y señala que "la proliferación de pronunciamientos discordantes, la voluntad de ensayarlo todo, la expresión de un manifiesto descontento, el recurso a la filosofia y el debate sobre los fundamentos, son todos síntomas de una transición de la investigación normal a la extraordinaria".
Modelo conceptual guía para la escogencia del "tema" en los proyectos de grado en Ingeniería Industrial
Authors: González Ortiz Oscar
Published: June 2017

Seleccionar un "tema" para desarrollar el trabajo de grado que forma parte de los requisitos para optar un título profesional o de postgrado, es una tarea difícil para cualquier persona, aún para aquellas con amplia experiencia profesional, pero especialmente para el estudiante que recién termina sus estudios profesionales y que aún no ha podido entender cómo y para qué se utilizar una serie de conocimientos y herramientas que adquirió durante cinco largos años de estudio, pero que nunca aprendió a emplear en la práctica para resolver problemas reales, los cuales casi siempre se presentan en forma velada y difícil de concretar.
Los cementos adicionados
Authors: Salamanca Correa Rodrigo
Published: June 2017

En la tecnlogía de Concreto actual, y en todos los continentes, hay una tendencia muy clara e irreversible hacia la utilización de los cementos adicionados, más aún que la de los cementos portland convencionales. Esta tendencia está asociada con la gran importancia que ha adquirido el concepto de durabilidad del concreto, y además con la creciente preocupación por los temas de protección ambiental, amén de los beneficios económicos implícitos en su uso; tal como se verá en lo que sigue, todos esos aspectos están directamente ligados al concepto de uso de las adiciones, concepto que ha sido retomado en los últimos tiempos, pero que era conocido y aplicado desde tiempos muy remotos.
Domótica: Control de instalaciones con PC
Authors: Avilés S. Oscar F. , Castro José Fernando
Published: June 2017

En esta oportunidad expondremos en forma concisa lo que es la Domótica, los sistemas que estudia y los elementos que usan, en general, y en especial las solucions basadas en PC. También se hace un compendio de lo que ha sido el desarrollo del proyecto de un sistema de control de una instalación de iluminación y de aire acondicionado, con PC, a través del LPT.
TRANSPLANTE DE CÉLULAS-TRONCO HEMATOPOIÉTICAS: REFLEXÕES ANCORADAS EM LEGISLAÇÕES DE SAÚDE NACIONAL
Authors: Gomes Ingrid Meireles , Lacerda Maria Ribeiro , Rodrigues Jéssica Alline Pereira , Zatoni Debora Cristina Paes , Freitas Cibelly Aliny Siqueira Lima
Published: June 2017

 

Objetivo: Refletir sobre o transplante de células-tronco hematopoiéticas no Brasil ancorado nas proposições de legislações nacionais. Método: Reflexão crítica do tema a partir da Lei n.8.080/1990, e também da Lei n.9434/1997 e a portaria n.931/2006. Resultados: São discutidos princípios como integralidade, universalidade, igualdade, autonomia e direito e divulgação de informação, principalmente em relação às doações voluntárias. Aborda-se, ainda, a necessidade de pesquisas na área. Conclusão: Essa área da saúde, embora muito relacionada ao aspecto biológico, apresenta características importantes voltadas à integralidade; a informação em saúde é uma opção viável para diminuir as desistências de doadores voluntários; há necessidade de avançar na discussão de políticas públicas e da prática assistencial em saúde e de pensar sobre estratégias regionais que almejem suprir as demandas de atenção em saúde relacionadas ao transplante de células-tronco hematopoiéticas.

 

Descritores: Transplante de Células-Tronco Hematopoiéticas; Políticas Públicas de Saúde; Legislação como Assunto; Prática Profissional; Transplante de Medula Óssea.
Análisis de competitividad y movilidad en destinos turísticos del Estado de Guanajuato a través de un modelo de regresión logística
Authors: Treviño-Aguilar Erick , Heald Jeremy , Guerrero-Rodríguez Rafael
Published: June 2017

Este artigo apresenta uma discussão sobre a competitividade e a mobilidade turística dos destinos turísticos no estado de Guanajuato, México, no contexto do turismo cultural. Isso é feito por meio da aplicação de um modelo de regressão logística para caracterizar a probabilidade de mobilidade entre destinos turísticos do estado (os destinos tradicionais e cinco vilas mágicas) mediante a seleção de um conjunto de fatores explicativos usando dados reais do ano de 2013. Baseando-se nesses dados e a aplicação do modelo, são questionadas a teoria e a prática da competitividade, bem como o transporte a fim de sugerir algumas recomendações no que concerne ao eventual desenvolvimento de parcerias e coalizões entre diferentes destinos no estado mexicano de Guanajuato. A experiência ensina que a concepção e implementação do programa é um desafio e a experiência pode fornecer aprendizagems para programas similares implementados em diferentes países da América Latina.
Praça do centro de Flores da Cunha (RS): palco de realizações sociais, religiosas e turísticas
Authors: Cesar Pedro De Alcântara Bittencourt , Belusso Andreia , Silva Cassius Righez da
Published: June 2017

A Praça Central de Flores da Cunha tem diversas transformações socioespaciais resultando em territorialidades diversas. Assim, objetiva-se estudar, por meio de uma abordagem baseada nas representações simbólicas e espaciais (como procedimento metodológico), o reconhecimento das alterações e constituição entre o secular e o religioso no espaço público, bem como a formação do mito e da religiosidade que esse objeto referencia. Inicia-se o estudo reconhecendo as transformações espaciais ocorridas na praça em que se dá o evento. Realiza-se pesquisa de observação indireta. Sua análise possibilita compreender a relação: morador, rito, patrimônio e visitante. Localidade com aspectos socioculturais tradicionais, esse panorama poderia ter criado intenso conflito nas transformações das tradições observadas. Por costume da Igreja Católica, na procissão de Corpus Christi, o tapete confeccionado nos logradouros tem uma vida útil de horas. No local pesquisado, o término não se associa à passagem da comitiva religiosa, mas, sim, no tempo suficiente para que a prática da visitação turística possa ocorrer. Essa questão permite o reconhecimento do local como palco de diversas realizações sociais.
Experiências de ressignificação de tradições carnavalescas em Podence e Ovar, Portugal
Authors: Filippim Marcos Luiz , Bahl Miguel
Published: June 2017

O objetivo deste artigo consistiu em avaliar experiências de ressignificação de tradições carnavalescas nas localidades de Ovar e Podence, em Portugal. Na pesquisa, realizada em 2013, se adotou abordagem qualitativa, com delineamento de estudo de caso e foram empregadas técnicas como entrevistas narrativas, registros em caderno de campo, observação participante periférica e análise de documentos. Os resultados indicaram que os seguintes aspectos foram relevantes no processo de ressignificação das tradições em exame: influência do turismo, espetacularização e transformação de rituais em performances, textualizações acadêmicas e jornalísticas, seleção de conteúdos culturais pelos organizadores, e a própria natureza dinâmica das tradições. No entanto, constatou-se que apesar das manifestações culturais estarem sendo ressignificadas considerou-se a ressalva de que as mudanças de características se colocavam como alternativa ao seu desaparecimento uma vez que davam mostras de fragilização antes de serem reabilitadas como atrações turísticas.
THE INFLUENCE OF JOB BURNOUT, PERCEIVED ORGANIZATIONAL SUPPORT AND ISLAMIC RELIGIOSITY TOWARDS INNOVATIVE WORK BEHAVIOR AMONG ACADEMICS IN MALAYSIAN RESEARCH UNIVERSITIES, KLANG VALLEY
Authors: Mohd Beta Raja Mayang Delima , Ali Kalsom
Published: June 2017

The days when academics were regarded as a low-stress working environment were over. Because of the reshaping of academics' work, multiple roles have emerged, and the academics must take steps for the changing situations in their academics' practices.  When academics do not experience a sense of well-being at work and feel the lack of competencies, this may lead academics to experience a high level of burnout or even leave the teaching professions.

Therefore, this study will be conducted to examine the burnout characteristics of academics in research universities in Malaysia towards their innovative work behavior in teaching, research and service activities. With the high demand of producing specific research outputs put the academics under pressure to cope with their teaching responsibilities and other managerial and administrative responsibilities. 

This study will also examine the moderating effects of Islamic religiosity on the relationship between job burnout, perceived organizational support and innovative work behavior among academics in Malaysian Research Universities. Three hundred and sixty-four (364) Muslim academics from four Malaysian Research Universities located in Klang Valley will be sampled. Data will be collected via questionnaires, and the study will be using SPSS and AMOS, an approach of structural equation modeling to examine the survey data. 

Thus, the findings will be expected to show that the effect of job burnout and perceived organizational support on innovative work behavior is significant for academics and that Islamic religiosity of academics contributed to alleviating job burnout and enhancing positive, innovative work behavior.
El dialecto oblicuo de don Luis de Góngora y Argote según monseñor Juan Caramuel y Lobkowitz
Authors: Pérez Martínez Ricardo
Published: June 2017

El artículo analiza las apreciaciones de Juan Caramuel y Lobkowitz sobre el estilo poético de Luis de Góngora y Argote. Se explica también las razones por las que ese estilo poético del cordobés fue llamado “dialecto diferente” por el matritense: latinismos o cultismos léxicos, transposiciones o hipérbatos, imitación de la sintaxis latina, la mucha erudición y la fina sutileza de sus trabajados conceptos. Además, se relaciona el conceptismo poético con la noción de oblicuidad, empleada por Caramuel para hacer distinciones formales y de representación en diversas disciplinas.
Gerenciamento de acervo para performance musical
Authors: Ligocki Leandro
Published: June 2017

A profissão de arquivista de acervo para performance musical, ou arquivista de orquestra, é pouco usual. Dentro desta atividade existem ramificações (orquestra sinfônica, banda sinfônica, orquestra de ópera, acervo de aluguel de editora, acervo de conservatório e universidade, acervo de coral, arquivista de cinema e estúdio) cada uma com suas peculiaridades, responsabilidades, rotina e desafios. Um arquivista de orquestra deve concentrar em si uma série de conhecimentos organizacionais, administrativos e principalmente, musicais. A partitura ou grade de orquestra é, digamos, o alicerce principal do trabalho de um arquivista. É dela que são extraídas as partes que cada músico da orquestra irá utilizar. Quando se fazem necessárias correções, revisões ou mesmo alterações requeridas por maestros, compositores ou arranjadores, a referência será sempre uma grade. Para essas e tantas outras tarefas necessárias, se faz necessária não só a leitura da notação musical padrão, mas o conhecimento dos naipes da orquestra, nomenclaturas de execução e de nomes de instrumentos em diversos idiomas, transposição, e diversos símbolos e marcações específicas. Gerenciamento do acervo, trâmites de compra e aluguel de partituras (muitas vezes com editoras internacionais), direitos autorais e direitos de execução das obras, dimensionamento e compra de insumos de uso diário, organização e distribuição de partituras em ensaios e concertos, são atividades que também fazem parte da rotina de um arquivo de uma orquestra sinfônica.
O papel do serviço de atendimento ao usuário (SAU) no desempenho do programa “cuide de sua memória” do CECOM
Authors: Lopes Vivian de Lima Buosi , Rodrigues Andréia Fabiana de Oliveira , Carneiro Danilo Belai , Passos Benedito Marcelo
Published: June 2017

O Serviço de Atendimento ao Usuário (SAU) é a Área do CECOM responsável pela Recepção, e atua em atividades como: marcação de consultas e procedimentos, interface com os profissionais da Assistência, participação em Programas e Projetos do CECOM como apoio administrativo e interface com os pacientes, orientações diversas aos usuários, entre outras. Nesse contexto, quando surgiu o Programa “Cuide de Sua Memória” no CECOM, em setembro de 2014, o SAU foi inserido com a finalidade de realizar as convocações dos pacientes, que acontecem em duas situações diferentes: 1) após seis meses da consulta com o médico do Programa, para agendar avaliação neuropsicológica e 2) após falta em consulta com o médico ou com a psicóloga do Programa, em qualquer tempo. Analisando dados do período de um ano, com relação aos pacientes convocados após seis meses, pode-se identificar a relevância do contato realizado pelo SAU, visto que a continuidade do tratamento alcança 7 em cada 10 pacientes. Paralelamente, no que diz respeito às convocações após faltas, pôde-se constatar o aumento da adesão ao Programa em 64%, uma vez que a convocação, nesse caso, está relacionada à presença do paciente na consulta e à continuidade do acompanhamento. Com isso, conclui-se que o SAU tem desempenhado um papel fundamental para o êxito do Programa Cuide de sua Memória. Além disso, constata-se a importância de se envolver diferentes Áreas no planejamento e execução de Programas de Promoção e Prevenção de Saúde.
Atribuição do identificador de objeto digital (DOI) para os artigos de periódicos vinculados ao portal de periódicos eletrônicos da UNICAMP
Authors: Santos Gildenir Carolino
Published: June 2017

Existem várias formas de recuperação da informação periódica na Internet, mas não de maneira eficiente, como, por exemplo, através de um identificador persistente de objeto. Com essa preocupação, o Portal de Periódicos Eletrônicos Científicos (PPEC), vinculado ao Sistema de Bibliotecas da UNICAMP (SBU), manifestou, junto à Coordenação Geral da Universidade (CGU), o pedido de afiliação à CrossRef / PILA (Publisher International Linking Association) por meio da Associação Brasileira de Editores Científicos (ABEC), visando a aquisição do Digital Identifier Object (DOI), a ser atribuído aos periódicos vinculados e credenciados no PPEC. O presente trabalho tem como objetivo apresentar o processo de atribuição e controle do DOI nos periódicos do PPEC, a fim de garantir a sua identificação persistente na Internet para efeito da busca e recuperação dos metadados qualificados. Metodologicamente, os editores e assistentes da Universidade vinculados ao PPEC verificam, após a publicação do fascículo, se o mesmo está em conformidade com os metadados. Após essa verificação, é iniciado o processo de validação desse fascículo e seus artigos na CrossRef. A ferramenta que subsidia esse processo de atribuição é Open Journal System (OJS/SEER), que já possui integrado ao sistema plug-in de habilitação para o DOI, tanto para o fascículo quanto para os artigos dos periódicos. Optou-se pelo controle por artigos, pois ele facilita a validação de cada DOI junto à CrossRef, cujo pagamento é efetuado a cada três meses por meio da ABEC. Existem duas formas de realizar a validação do DOI: gerando um arquivo na linguagem XML ou selecionando os artigos e os registrando dentro do próprio sistema. A diferença é que enviando o XML, recebemos a comunicação de validação por e-mail. Já no registro dentro do sistema, a verificação da validação só é possível através da conexão à CrossRef. Após a realização da validação, é realizado um controle, em uma planilha Excel, para fins de pagamento e também do que está sendo enviado à CrossRef. Obtivemos de imediato, junto a CGU, a contemplação para atribuição de 17.000 DOIs a toda coleção de periódicos de 2000 a 2016 da UNICAMP, o que garantirá aos periódicos a internacionalização dos seus artigos. Concluímos, assim, que esse trabalho planejado, organizado e de total relevância para a Universidade aumentará cada vez mais o impacto na busca por seus periódicos, evidenciando, dessa forma, o quanto uma publicação qualificada e estruturada é capaz de promover a visibilidade e a aceitação junto à comunidade científica.
Construção do manual de processos de trabalho e técnicas do centro de dispensação de medicamentos de alto custo (CEDMAC) do hospital de clínicas da UNICAMP
Authors: Souza Débora Pessoa , Ferreira Bruno Silva de Araújo , Marchiore Adriana G. Mucke , Carvalho Glaucia Pereira do Amaral , Souza Débora Pessoa , Bértolo Manoel Barros
Published: June 2017

Os Centros de Medicação de Alto Custo (CEDMAC) da Secretaria de Saúde do Estado de São Paulo foram instituídos por projeto em parceria com Hospital das Clínicas da Faculdade de Medicina da USP, patrocinado pela Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP), visando à formação de rede estadual para atendimento integral dos pacientes indicados ao uso de agentes imunobiológicos nas doenças reumatológicas. O CEDMAC do Hospital de Clínicas da Universidade Estadual de Campinas (HC-Unicamp), implementado pela Disciplina de Reumatologia da Faculdade de Ciências Médicas, identificou a necessidade de padronização das condutas da equipe multidisciplinar, frente à especificidade da assistência, verificando a importância da descrição, em formato de manual, dos seus processos de trabalho e técnicas. O objetivo do estudo foi apresentar a metodologia de construção do manual do CEDMAC/HC-Unicamp como ferramenta institucional, visando à qualidade assistencial e administrativa. A metodologia para elaboração dos manuais no HC-Unicamp, desde 2008, tem como premissas ser participativo, multidisciplinar, focado em processos de trabalho, integrado às normas institucionais, com descrição objetiva e didática, formato padronizado e divulgação eletrônica. O Manual do CEDMAC/HC-Unicamp foi construído em dez meses, com o envolvimento de toda equipe multidisciplinar, tendo 19 capítulos sobre processos de trabalho e técnicas, além dos relativos à estrutura organizacional e anexos. Publicado no portal eletrônico dos Manuais HC, em julho de 2012, como e-book, com registro ISBN 978-85-63274-17-5. O Manual tem sido valioso instrumento na orientação dos profissionais da área nas atividades assistenciais, de ensino e pesquisa.