bluuebunny/crossref_metadata_2025 huggingface dataset:
Modelos de Desenvolvimento Regional e Sistemas Urbanos: Portugal, visão integrada / Regional Development Models and Urban Systems: Portugal, integrated approach
Authors: Gonçalves Carlos
Published: February 2017

Resumo
Neste artigo, analisam-se os sistemas urbanos representados nos Planos Regionais de Ordenamento do Território em Portugal Continental. A espacialização dos sistemas urbanos regionais reproduz, quer as dinâmicas de desenvolvimento existentes, quer a natureza das propostas formuladas pelo conjunto de entidades que têm responsabilidades de projetar o futuro destas regiões. Propõe-se um exercício de agregação das propostas e, através dele, apresenta-se uma síntese das estruturas definidoras do desenvolvimento do país.

Abstract
In this article we analyze the urban systems represented in Portuguese Regional Spatial Plans. The spatial distribution of regional urban systems reproduces the development dynamics consolidated and the nature of the proposals made by the group of entities that have responsibilities to design the future of these regions. At the end, we present an exercise that combines the proposals and through it, we present an overview of the structures that organize the development of the country.
Me engana que eu gosto! Falácias como mecanismo de produção do riso
Authors: Carmelino Ana Cristina , Ferreira Luiz Antonio
Published: February 2017

No processo de persuasão estão implicados diferentes tipos de argumentos. Há aqueles que parecem convincentes para grande parte do auditório, mas são falaciosos, produtos de raciocínios falsos, que apenas simulam a veracidade de um fato, acontecimento ou opinião. Conhecer os tipos de falácias é relevante para evitar armadilhas lógicas no processo argumentativo bem como para analisar a argumentação alheia. Este artigo pretende tratar desses argumentos a fim de desvelar outra função exercida por eles na arte de argumentar: a de produzir humor. Para isso, busca-se demonstrar como diferentes textos humorísticos se utilizam de falácias para provocar o riso. O corpus de análise consiste em exemplos retirados das edições impressas de 2015 da versão brasileira da revista MAD, um periódico de humor publicado no país desde 1974. O referencial teórico que fundamenta as análises advém da Retórica e da Lógica.
Análisis de la Coherencia entre el Proceso Pictórico de Yves Klein y la Idea de Duplicidad en sus Monocromos de la Serie IKB-International Klein Blue
Authors: Fortuny-Agramunt Jaume
Published: February 2017

La investigación buscó comprender cómo Yves Klein creó el nuevo color Internacional Klein Blue y recoger los datos necesarios para definir el objeto de sus acciones específicas en su lienzo y en cualquier otra superficie denominada IKB. Una investigación de este tipo intentó mejorar nuestra comprensión de los aspectos tecnológicos subyacentes a la ciencia del color y su duplicidad. La metodología utilizada en el proceso de análisis fue la tecnología de la pintura industrial, espectrofotometría y colorimetría, y fue con el objetivo de confirmar la experiencia estética descrita en las reseñas sobre el International Klein Blue y la idea de la duplicidad. Se analizaron la intensidad, el tono, el subtono, la longitud de onda dominante, la luminosidad, el brillo, el lustre, el índice de refracción y la viscosidad de la pintura. Los resultados del análisis mostraron que el azul IKB no era un color nuevo como se puede leer en la bibliografía y que tampoco tuvo una intensidad excepcional como afirmaron los críticos de arte, y que Klein no logró duplicar la obra de arte.
Un acercamiento al concepto de paisaje desde las aulas de Educación Infantil
Authors: Mora Márquez Manuel , Gómez Luque Francisco de Paula
Published: February 2017

En este trabajo se describe una propuesta didáctica para acercar el concepto de paisaje al aula de Educación Infantil, en la cual, a partir de actividades lúdicas y motivadoras, permita que los niños y niñas de esta etapa educativa adquieran unos conocimientos sobre el entorno y contenidos del tema transversal de Educación Ambiental.Este concepto del paisaje ayuda al desarrollo social, cognitivo y a conocer el entorno del niño y niña, lo cual permite establecer, desde esta edad temprana, hábitos y actitudes positivas de cuidado y respeto del medioambiente.
Reseña del libro: Innovación Docente Universitaria en Educación Infantil
Authors: Briones Fernández Carmen
Published: February 2017

Reseña del libro Innovación Docente Universitaria en Educación Infantil
Pharmacoeconomic comparison of losartan and amlodipine in patients of hypertension in a tertiary care teaching hospital
Authors: Shaifali Iram , Singh H. K.
Published: February 2017

Background: To conduct a pharmacoeconomic comparison (cost-effectiveness analysis) and to evaluate the overall safety and efficacy of Losartan and Amlodipine in reducing the Mean blood pressure per mm Hg in hypertensive patients.Methods: This was a prospective, randomized, open label, observational analysis of cost-effectiveness; into compare the cost of Losartan 50mg and Amlodipine 5mg in hypertensive patients using either of the two drugs. A total of 80 newly diagnosed drug naïve hypertensive patients were considered for the comparison, of which 40 patients were prescribed Losartan and the other 40 were prescribed Amlodipine as per the recommended dosage. Based on the data, statistical analysis was carried out using SPSS Software Version 21.Results: The two drugs were found to be equi-effective in reducing the blood pressure to the target goal, at their respective equivalent doses Moreover, the cost of reducing 1 mm of Hg mean blood pressure with Losartan was 103.42 INR, whereas that of Amlodipine was 57.11 INR. Hence the cost incurred in treating elevated BP was markedly lower with the Amlodipine group as compared to the Losartan group.Conclusions: This pharmacoeconomic analysis shows that Amlodipine is more cost-effective as compared to Losartan when the cost per mm Hg reduction in mean blood pressure is considered. Hence in India, where the cost of drug is a significant deterrant to patient compliance, cost-effective therapy of chronic disease like hypertension is of prime importance.
Comparison of the treatment mediated changes in serum lipid profile of cases with metabolic syndrome treated with low dose atorvastatin versus the usual care group
Authors: Sharma Shubhangam , Verma Hemlata , Dubey Anuradha
Published: February 2017

Background: Metabolic syndrome (MetS) is a constellation of cardiometabolic risk determinants comprising of obesity, insulin resistance, dyslipidaemia and hypertension. In view of the epidemic of metabolic syndrome, this prospective, comparative study done in OPD setting in a tertiary care centre of central India aimed at finding out the changes in lipid profile, a surrogate marker of cardiovascular morbidities on treatment with low dose atorvastatin versus the usual care group.Methods: Patients satisfying NCEP-ATPIII criteria for metabolic syndrome were divided into two groups. Group A received treatment with 20 mg Atorvastatin along with target driven treatment for hypertension and elevated glucose, as required. Group B received the same except for atorvastatin. Serum lipid profiles were recorded and changes were compared before and after study duration of 3 months. Also, cardiac events were kept track of during follow up.Results: At the end of study it was found that treatment mediated changes in the lipid profile were highly significant (p<0.001) and favourable in group A as compared to Group B. Also, lesser cardiovascular outcomes were observed in Group A patients.Conclusions: The study concludes that among patients with metabolic syndrome, those treated with statins benefitted more than those who did not take statin therapy. This benefit in the correction of serum lipid profile also translated in terms of decreased cardiovascular outcomes in Group A patients. Hence, low dose atorvastatin therapy provides a potential approach for treatment of patients with metabolic syndrome.
A Comparative study to assess the effectiveness and safety of cilnidipine versus amlodipine in patients with newly diagnosed essential hypertension: insights from a single centre prospective observational study
Authors: Y. S. Ramya , C. R. Jayanthi , K. R. Raveendra , B. T. Pradeep Kumar
Published: February 2017

Background: Calcium channel blockers (CCBs) are proposed to play a pivotal role for the management and control of hypertension. Dihydropyridine-type calcium channel blockers (CCBs) like Amlodipine are frequently used because for their strong antihypertensive and minimal adverse side effects. However, it is commonly associated with the causation of pedal edema among the patients. Cilnidipine, which is a novel new generation calcium channel blocker, is presumed to cause lesser pedal edema with a satisfactory clinical control of hypertension along with negligible side effects. This study was carried out to compare clinical effectiveness and safety profile between Amlodipine and Cilnidipine.Methods: A prospective, randomized, open label study of 12 weeks’ duration was conducted amongst 60 patients with newly diagnosed essential hypertension. 30 patients of one group received Tab. Amlodipine 5 mg and 30 patients of same age groups received Tab. Cilnidipine 10mg.Results: There was a highly statistically significant decrease in the level of blood pressure in the Cilnidipine group compared to the Amlodipine group mainly at day 90 (P<0.001). Cilnidipine treated group had a fall in blood pressure of 23 ± 8 mmHg and the Amlodipine group had a decrease in the blood pressure of 12±7mmHg. Additionally, there was also significant reduction in pulse rate in the cilnidipine group. Only 4 patients in the Cilnidipine group developed ankle edema which completely disappeared at the end of 12 weeks of therapy compared to 9 patients in the Amlodipine group which persistently worsened at the completion of the study.Conclusions: Our study concluded that cilnidipine was a well-tolerated anti-hypertensive drug amongst patients with newly diagnosed essential hypertension and associated with minor adverse effects.
Evaluation of anticonvulsant activity of amlodipine in albino rats
Authors: B. Roopa , M. Janardhan , Y. Venkata Rao
Published: February 2017

Background: The objective of the study was to evaluate the anticonvulsant activity of amlodipine in albino rats.Methods: Anticonvulsant activity of amlodipine was done in three graded doses (1 mg/kg, 2 mg/kg, 4 mg/kg), and combination group with low dose of amlodipine (1 mg/kg) and standard drug (phenytoin) in maximal electroshock seizures (MES) experimental animal model.Results: Amlodipine in dose of 2, 4 mg/kg showed dose dependent significant anticonvulsant effect and combination of low dose amlodipine and low dose of standard drug also showed significant anticonvulsant effect in MES model.Conclusions: Amlodipine is having anticonvulsant activity and also potentiated the anticonvulsant effect of phenytoin in MES model.
Study of seizures among pediatric age group (0-12 years) in tertiary health care center of a district of Maharashtra, India
Authors: Miyan Tambe Saleem Hussain , Ali Inamdar Ismail Ali Farukh , Bari Nasir Abdul , Chavan Arvind Nilkanthrao
Published: February 2017

Background: Seizures represent the most distinctive signal of neurological disease in the newborn period and these convulsive phenomena are the most frequent of the overt manifestation of neonatal neurological disorders. Recognition and classification of seizures remain problematic; particularly when pediatricians rely only on clinical criteria. The objective of this study was to study the incidence of pediatrics (0-12 years) seizures. To study the etiology and pattern of seizures.Methods: 326 Subjects who had seizures were included in the study. Relevant history was ascertained from a patient’s parents or a reliable relative or attendant, medical records and the referring physicians note, specifically from mother in case of neonatal seizures i.e. age at onset of seizures, seizure activity with special emphasis on occurrence of 1st seizures, duration of seizures, number and type of seizures, associated autonomic changes, medications required to control seizures, response time to medications, and possible causes for determination of etiology. A detailed antenatal, natal and postnatal history was taken.Results: Out of 326 study subjects 117 (35.89%) were in neonatal age group, of which 75 (64.10%) and 42 (35.90%) were male and female respectively and 209 (64.11%) were beyond neonatal age, out of which 125 (59.8%) were male and 84 (40.2%) female. out of 117 neonatal seizures, 75 (64.10%) neonates were male and 42 (35.90%) were female. Male: Female ratio was 1.79:1. The seizures were common in male neonates. Subtle seizures were the commonest type of seizures observed both in term and preterm neonates.Conclusions: The various types of seizure were compared with the preterm and term neonates and it was found statistically significant (X2 = 5.06 d.f. = 4, p<0.05). The various causes of seizure were compared with the preterm and term neonates and it was found statistically significant (X2= 17.42 d.f. = 6 p<0.05).
Respiratory compliance of newborns after birth and their short-term outcomes
Authors: Verma Pramila , Kalraiya Ashish
Published: February 2017

Background: Worldwide approximately one million babies die per year due to asphyxia out of which about one third (approximately 3 lakhs) is contributed by our country. The objective of this study was to determine the requirement of respiratory support in newborn babies and their short-term outcomes.Methods: This retrospective observational study was conducted over one year at PCMS and RC Bhopal. Babies who were delivered in PCMS and required respiratory support at birth were enrolled in the study. The medical records of all these babies for resuscitation measures, requirement of respiratory support after hospitalization to the neonatal intensive care unit and their short-term outcome were recorded on a pre-designed study proforma.Results: During post-resuscitation care in neonatal intensive care unit, 55.5% (30/54) babies required respiratory support. Among them 7.4% (4/54) were supplemented with oxygen for a few hrs, 22.2% (12/54) required positive end expiratory pressure and put on high flow oxygen and air mixture for 24-48 hours. While 25.9% (14/54) newborns required mechanical ventilation for 3-7 days and then switched over to CPAP for the next 24-48 hrs. Out of 54 babies eight babies expired while ten babies went against medical advice. Remaining 36 babies were discharged, of which five babies developed hypoxic ishchaemic encephalopathy.Conclusions: It is evident from the present study that half of the resuscitated babies further required respiratory support in the NICU. We also concluded that three fourth of the newborns were discharged and had normal short term outcome.
Clinical profile and outcome of acute kidney injury in neonatal sepsis in a tertiary care centre
Authors: Durga Divya , Rudrappa Sudha
Published: February 2017

Background: Septicemia remains a leading cause of morbidity and mortality among neonates with AKI complicating as many as 3.4 to 24% of them. The actual incidence of renal failure in all sepsis cases is not documented. There are several studies in the literature on renal failure in neonates which were based on older definitions using blood urea and urine output as parameters. The major limitation of the older studies was that they did not use the current acute kidney injury network (AKIN) definition. In the present study, we have attempted to investigate AKI in neonatal sepsis using the AKIN definition based on serum creatinine (Table1). We also attempted to determine the predictors of AKI in neonatal sepsis.Methods: The present study was an explorative study conducted in the neonatal unit of Cheluvamba hospital attached to Mysore Medical College and Research Institute in which a total of 50 neonates with clinical/ culture positive sepsis were enrolled during the period of June 2014 to June 2015.Results: These neonates were investigated for the presence of AKI based on serum creatinine values of three consecutive days and were divided into two groups. Group 1 consisted of septic neonates with AKI and group 2 consisted of septic neonates without AKI. Both the groups were followed up till discharge or death. The risk factors associated with sepsis were compared in both the groups and predictors of morbidity and mortality associated with AKI in sepsis were also determined.Conclusions: Incidence and mortality associated with AKI in sepsis was found to be 24% and 75% respectively. Factors like PROM, foul smelling liquor, > 3 unclean vaginal examinations during labour were significant risk factors for development of AKI in sepsis. Culture positivity, associated meningitis, DIC, shock and need for assisted ventilation were poor prognostic indicators and were significantly associated with mortality.
To study the effectiveness of cord blood Albumin as a predictor of neonatal jaundice
Authors: George Nithu A. , M. K. Shyam Sudhir
Published: February 2017

Background: Neonatal hyperbilirubinemia is one of the commonest problems in newborn. It can be due to different etiologies. Most often it is physiological jaundice. The main reasons for physiological jaundice is that in an infant the liver is not mature enough to handle the freely circulating bilirubin due to higher volume of short life erythrocytes in the circulation and low level of albumin. Early detection of neonatal jaundice is essential to prevent developing kernicterus as well as discharge the babies early. Albumin is synthesized by liver and helps in the transport of unconjugated bilirubin by binding to bilirubin it and thus making it nontoxic to the body. Low levels of albumin make bilirubin free and toxic to the body. Hence, this study was done to evaluate effectiveness of cord blood albumin as a predictor of neonatal Hyperbilirubinemia.Methods: 50 term healthy newborns were included in the study with the term babies of both genders from any mode of delivery, birth weight >2.5 kg, APGAR score more than 7 at 1st and 5th minutes of life and without Rh incapability. Cord blood albumin levels were measured. Blood test for bilirubin was done when required and baby was managed accordingly.Results: Out of the total 50 neonates enrolled, 7 belonged to group 1 (albumin <2.8 g/dl), 34 to group 2 (2.8-3.3 g/dl), and 9 to group 3 (>3.3 g/dl). Out of the total 7 neonates in group 1, 6 (85.71%) was icteric at 24-48 hours and 1 (14.29%) was icteric at >72 hours. All the 7 neonates developed Hyperbilirubinemia requiring phototherapy. 3 (42.86%) out the 7-neonate required phototherapy for more than 24 hours. Out of the total 34 neonates in group 2, 20 (58.82%) was icteric at >72 hours, 12 (35.29%) at 48-72 hours and 2 (5.88%) at 24-48 hours. Only 12 (35.29%) neonates had Hyperbilirubinemia requiring phototherapy. Out of the total 9 neonates in group 3, 1 was icteric at 48 - 72 hours and 8 was icteric at >72 hours. But only 2 had Hyperbilirubinemia requiring phototherapy.Conclusions: Cord blood albumin is an effective way to predict neonatal Hyperbilirubinemia in term healthy infants.
Celiac disease masquerading as refractory iron deficiency anemia
Authors: Azad Syed Md , Rohit Kapoor Rohit Kapoor , Bannerji Rohit , Ray Jaydeb , Mitra Monjori
Published: February 2017

Iron deficiency is most common cause of anemia worldwide and more so in our country. Dietary factors and malabsorption are the major factors responsible for iron deficiency. Celiac disease is one of the most common causes of intestinal malabsorption during childhood. Here we present a case of celiac disease in a child presenting with iron deficiency anemia, refractory to iron therapy.
Is mothers’ knowledge and practice regarding childhood immunization compliant with immunization completeness?
Authors: Siddiqui Nafeha Sameen , Gaikwad Arvind K. , Kuril Bina M. , Ankushe Rajendra T. , Doibale Mohan K. , Pund Sandeep B. , Kumar Purushottam
Published: February 2017

Background: Immunization is one of the most effective, safest and efficient public health interventions. Despite the concrete efforts of government and other health agencies, a large proportion of vulnerable infants and children in India remain unimmunized. In order to improve immunization coverage, factors such as knowledge, attitude and practices of parents/caretakers are known to contribute to success or failure of immunization program. The aim of present study is to assess the knowledge and practice of mothers with respect to immunization completeness of their child.Methods: This is a descriptive cross sectional study involving 364 mothers attending immunization OPD in Government Medical College, Aurangabad, Maharashtra, India during month of September till December 2015.Results: 78.5% children were completely immunized as per date. 57.97% of the study population was found to have adequate knowledge-practice scores. A significant association of immunization completeness with KP scores of mothers (p<0.05) was found.Conclusions: Future efforts are required to improve immunization rate and parents' knowledge and practice.
The state with lowest sex ratio in India: role of socio – cultural factors?
Authors: Jangra Babita , Alla Sonali , Majra Jaipal
Published: February 2017

Background: Child sex ratio is declining rapidly from 945 in census 2001 to 927 in census 2011.With the average family size decreasing rapidly and preference for male child remaining the same, the female child population is showing a downward trend. Objectives: To study the factors responsible for low child sex ratio and to study the relationship between sex ratio and birth order.Methods: The study was done in Primary health centre, Khanpur Kalan which is rural field practice area attached to the department of community medicine, BPS Govt. Medical College for women, Khanpur Kalan, Sonepat, Haryana. Assuming the probability of being born as female is 50%, the calculated sample size was taken as 400 at 95% confidence interval. Data was collected from house to house visit with the help of pre tested and semi structured questionnaire.Results: The overall child sex ratio of the study population was 620. Sex ratio goes on decreasing with increasing educational status of parents and with increasing birth order. Most common factor responsible for girl child negligence as told by respondents is domestic violence and ill treatment by husband and in laws. The most common reason for male child preference as told by the respondent is to run the family name, followed by security in old age and to perform the last rites.Conclusions: There should be National Policy for giving social security and equal rights to females so that parents do not feel any type of social or financial insecurity. Monitoring and counselling of families especially the families with previous two girls should be done at the community level.
Comparative study of surgical management of humeral shaft fractures with dynamic compression plate in Henry’s and Thompson’s approach in adults
Authors: Deepak C. D. , D. V. Mahesh , Ravoof Abdul , Krishna Sai Sankosh
Published: February 2017

Background: Fractures of the humeral shaft account for roughly 3% to 5% of all fractures. The predominant causes of humeral shaft fractures include simple falls or rotational injuries in the older population and higher energy mechanisms in the younger patients including motor vehicle accidents, assaults, fall from height and throwing injuries. Treatment options for humeral fractures vary according to the type of fracture, age group, bone density, soft tissue status and associated complications. Surgical management of shaft humerus fractures by plating can be done mainly through Thompson’s (posterior) approach and Henry’s (antero-lateral) approach.

Methods: The study was conducted in patients treated for shaft humerus fracture at Adhichunchanagiri Institute of Medical Science, BG Nagara from the month of August 2014 to January 2016. Twenty patients diagnosed as shaft humerus fracture were taken into the study, all were undergone open reduction and internal fixation using dynamic compression plate in Thompson’s and Henry approach. Patients’ age more than 18 years were taken up for the study. Patients were followed up at 3 weeks, 6 weeks, 6 months.

Results: The sample consisted of twenty shaft humerus fracture patients with 10 males and 10 females. The patients’ ages were more than 18 years where 13 cases (65%) between 26 to 55 years. Among these 20 patients, 10 involved the right side and 10 involved the left side. All patients achieved clinical and radiological union at 6 month follow up. According to Constant Murley Score, excellent result were found in 11 patients (55%), good in 2 patients (10%) and fair in 7 patients (35%). According to Mayo elbow performance index, 17 patients showed excellent outcome (85%) and 3 patients showed good outcome (15%).
Conclusions:Dynamic compression plating is the best modality of management for the internal fixation of humeral shaft fractures. It is found that the fracture fixation of upper and middle one-third humerus in Henry’s approach is easier, lower one-third humeral fractures are not possible because the plate at the supracondylar ridge poses difficulty to fix. Fracture fixation of the lower one third and middle one third is easier in Thompson’s approach because of the flat surface of the bone and offers better plate contour.
 
Proximal humerus fractures operated with PHILOS plate: 4 year prospective study
Authors: Kulkarni Shreepad , Kulkarni Avinash , Patel Amit , Gupta Tapan
Published: February 2017

Background: Fractures of proximal humerus are still an unsolved problem in many ways. Locked plating is becoming more common; precise knowledge of and experience with the surgical technique is required to maximize clinical outcomes. However the goal of proximal humerus fracture fixation should be stable reduction allowing early mobilization. This study is conducted to study the results and complications of proximal humeral fractures treated by anatomic locking compression plate (PHILOS- proximal humerus interlocking system) and PHLP- Pro.

Methods: This is a 4 year prospective study, conducted in the department of Orthopaedics in Shri B M Patil Medical College & Hospital, Vijaypur. Displaced two part, three part and four part fractures of proximal humerus with or without shoulder dislocation including fractures involving osteopenic bone were included. The functional assessment was done according to constant Murley score and DASH score at the end of 6 months.

Results: Out of 60 patients, 56 were available for follow-up: 24 patients having excellent results (4 are 2 part, 20 are 3 part fractures), 32 patients having good results (22 are 3 part, 10 are 4 part fractures).  None of the patients had fair or poor results.

Conclusions: In conclusion, the internal fixation of proximal humeral fractures with the use of anatomic locking compression plates yields reliable results when utilized correctly. We believe that, provided the correct surgical technique is used by competent surgeon, the anatomic locking compression plate is suitable for the stabilization of proximal humeral fractures and can lead to a good functional outcome.
Propionibacterium acnes as a cause of shoulder osteoarthritis after three shoulder arthroscopies: a case report and review of preventive action
Authors: Bakriga Batarabadja , Beaudouin Emmanuel , Kombate Noufanangue , Ayouba Gamal , Dellanh Yanick , Walla Atchi , Abalo Anani , Dossim Assang
Published: February 2017

We report a case of postoperative osteoarthritis infection caused by P. acnes after shoulder arthroscopy, and review possible preventive action. A right-handed 24-year-old man presented an anterior instability of the left shoulder. The patient underwent an anterior stabilization by the latarjet procedure. Stabilization failed, requiring a second and third surgery. The patient returned 10 months later for suspected septic arthritis of his left shoulder. An arthroscopy lavage with bacteriological and anatomo-pathological sampling was carried out. The bacteriological results revealed a positive P. acnes culture. The patient was treated using antibiotherapy for 12 weeks with a combination of clindamicin and moxifloxacin. C-reactive protein (CRP) was negative two months after the onset of antibiotherapy.  P. acnes is a anaerobic, non-sporulated, gram-positive bacillus. This commensal germ is part of the normal cutaneous flora and causes acne, but has also been recognized as a causative pathogen in osteoarticular infections since the 1990s, as described by Coden. Treatment is achieved via surgical debridement and intravenous antibiotics. We insist on preventive action in the form of a preoperative patient preparation protocol. Previous literature has underlined the important role of chlorhexidine or alcoholic iodinated polyvidone in the prevention of these infections. As P. acnes is a commensal germ of the patient's skin, prophylaxis should be reinforced by the thorough preparation of the surgery and surgical site. Clindamycin antibioprophylaxy specific to this germ should be administered for this surgery. To my knowledge, there is no specific antibioprophylaxy for shoulder surgery to date.
Turismo de base comunitária e patrimônio cultural imaterial no nordeste brasileiro
Authors: Gabrielli Cassiana , Nicolau Gabriela
Published: February 2017

Este artigo pretende contribuir com a discussão acerca da complexa ligação entre Bens Culturais Imateriais e o Turismo. Para isso, em um primeiro momento, abordaremos a perspectiva da Unesco acerca da aproximação do turismo com o patrimônio cultural imaterial, contrastando-a com análises antropológicas advindas, em grande escala, da Antropologia da Performance (ANDERSON, 1982; SCHECHNER, 1985) e da Antropologia do Turismo (GRUNEWALD, 2003). Em um segundo momento, analisaremos a configuração de alguns roteiros de Turismo de Base Comunitária (TBC) e a utilização, por parte destes, de saberes étnicos circunscritos em modos tradicionais de vida e organização social nos estados do Ceará e Sergipe, na região Nordeste do Brasil. Na última etapa, se detalhará a metodologia adotada pelo Instituto de Pesquisas em Tecnologia e Inovação (IPTI), uma entidade privada sem fins lucrativos, quando da elaboração do Plano de Gestão Participativa do Turismo no município de Santa Luzia do Itanhy (SE), realizado em 2011, com o apoio do Ministério do Turismo. Após o estudo de alguns casos de sucesso e propostas de implantação de TBC, por meio do desenvolvimento de novos modelos de planejamento turístico na região Nordeste do Brasil, foi possível estabelecer a relação direta entre gestão do turismo de base comunitária e seu vínculo com a cultura, a identidade e o patrimônio imaterial.
Turismo de Base Comunitária: uma reflexão sobre seus conceitos e práticas
Authors: Fabrino Nathalia Hallack , Nascimento Elimar Pinheiro do , Costa Helena Araújo
Published: February 2017

O Turismo de Base Comunitária (TBC) traz uma proposta de desenvolvimento de turismo na escala local e centrado nos recursos endógenos das comunidades. A literatura ressalta seu potencial de promover a conservação ambiental, a valorização da identidade cultural e a geração de benefícios para as comunidades receptoras. Este artigo tem como objetivo verificar a aderência entre a discussão teórico-conceitual do TBC e as suas práticas. A revisão teórica do tema permitiu elaborar seis elementos-chaves (dominialidade, organização comunitária, democratização de oportunidades e repartição de benefícios, integração econômica, interculturalidade e qualidade ambiental), desdobrados em critérios e subcritérios. Este quadro de análise teórico foi aplicado empiricamente em três iniciativas da Rede Tucum no Ceará (Brasil): Ponta Grossa, Assentamento Coqueirinho e Prainha do Canto Verde. Concluiu-se que dos seis elementos-chaves inicialmente propostos, apenas dois devam ser considerados como aspectos constituintes do TBC na teoria e na prática: dominialidade e organização comunitária. Os outros quatro elementos foram identificados como possibilidades ou desdobramentos desejáveis do TBC.
Analysis on Electrical Automation Systems in Architectural Engineering
Authors: Yuan Xudi
Published: February 2017

With the advancement of economic and science and technology, electrical automation has been widely used in modern construction projects. Describes the advantages of electrical automation system, analyze the composition and function of the electrical engineering building automation system implementation. Finally, focus on the electric automation system in the building project.
The Primary Study on Evaluating Index System of Energy Efficient Buildings
Authors: Ye Ling , Yao Yang , Wang Qingqin
Published: February 2017

In the standards and criterions of many countries, the evaluating index of energy efficient buildings mostly comprises of two types, prescriptive index and performance index. Firstly , the concepts of each type  were  explained  respectively  in  this paper , and  several  existed typical evaluating performance indexes and methods of energy2efficient buildings were introduced , also  the  characteristics of  each index were presented. Furthermore , the evaluating indexes and methods used by  existing  design  standards for  energy  efficiency  buildings  in  China were  briefly  discussed  and  some  elementary  suggestions  on  the foundation  of   evaluating  index  system  were  analyzed.   At  last ,  based  on the discussion , a suitable evaluating index system of energy efficient buildings for China could  be  established ,  as  a  result ,  the  energy  resources could  be  saved and the environment  could  be protected.
The Research Progress on Lifting Technique of 120 m Span Steel Roof Truss
Authors: Lu Hanshi , Lu Minming
Published: February 2017

Assembling and mounting of steel truss of super large span roof are analyzed. Steel truss factory prefabricated parts are used. An overall jig frame is sectionally assembled on site and lifted after being assembled in sections. Then, it is assembled in place in a mode that a temporary support jig frame is erected on site, so that large lifting and transportation equipment can be reduced. Thus, the cost is saved and the construction period is shortened.
Research on Ecological and Development of Architectural Design
Authors: Liu Ping
Published: February 2017

Reasonable ecological architectural design can promote the realization of energy saving and environmental protection strategic planning. Architecture is an artificial environment to meet people’s daily life and living, architects may achieve energy saving and low consumption requirements through this kind of environment. Optimization should be made on the aspects of overall layout, functional configuration and space combination during design, in order to create more value under limited economic conditions.
Analysing the Key Points for Cost Control of EPC Model Hospital Construction Project
Authors: Bu Nayan
Published: February 2017

As the EPC (Engineering Procurement Construction) model became one of the widely used models in the areas of local and international construction, project management based on the EPC highlights its importance. EPC project commonly refers to the four stages of the project implementation process which are design, procurement, construction and delivery to a construction enterprise for integrated management.The advantage is that it can unleash the leading role of the design by overall optimization in the implementation of the project to realize reasonable cross and full coordination in the various stages of design, procurement and construction, achieving savings in investments as desired by the owners, shorten the construction period, improve the quality and other targets.
REVISTA DE POLÍTICAS PÚBLICAS: balanço de 20 anos
Authors: Santana Raimunda Nonata do Nascimento , Sousa Salviana de Maria Pastor Santos
Published: February 2017

O presente documento é, basicamente, um registro histórico do percurso da Revista de Políticas Públicas (RPP) no período de 1995 a 2015. Assim, num misto de relato e memória buscamos destacar momentos e dimensões relevantes que conformaram e consolidaram a força expositiva da Revista e sua contribuição à produção e divulgação do conhecimento no vasto campo pertinente às políticas públicas.Duas oportunas motivações orientaram a escritura do documento: os 20 anos de existência da RPP, tempo ricamente sugestivo, na nossa visão, para a realização de um balanço, e a inauguração, neste volume, de sua condição, exclusivamente, como periódico eletrônico, fato que, sem dúvida, marca o percurso da Revista numa dupla dimensão. De um lado, com a nostalgia em relação à versão impressa que se finda e, por outro lado, com o campo de possibilidades que a editoração eletrônica abre para avanços no gerenciamento do processo editorial.
SEGURIDADE SOCIAL E PARTICIPAÇÃO: considerações sobre a política previdenciária no Brasil
Authors: Jesus Edivane de , Vasconcelos Jorge
Published: February 2017

O objetivo deste artigo é debater a participação social na seguridade brasileira e, de modo específico, na política de previdência, considerando o processo histórico de redemocratização do país e a realidade social atual. Por meio da análise de produções teóricas, legislações e dos espaços de controle social da seguridade, busca problematizar a ausência de mecanismos efetivos de participação na política de previdência social. Os resultados da pesquisa permitem apontar possíveis razões do cerceamento da democratização na política previdenciária, evidenciando a necessidade de construção da mesma por outras bases, em que a classe trabalhadora possa ter voz e protagonismo.Palavras-chave: Redemocratização, seguridade social, Previdência Social, participação e controle social.
PARA ONDE CAMINHA A FORMAÇÃO DOCENTE?
Authors: Nascimento Ilma Vieira do , Melo Maria Alice , Bonfim Maria Núbia Barbosa
Published: February 2017

Com base em pesquisas desenvolvidas no PPGE/UFMA, o artigo discute a formação de professores da educação básica com foco no Plano Nacional de Formação de Professores da Educação Básica - PARFOR, realizado pela UFMA sob a denominação de PROFEBPAR. Apresenta o contexto de seu surgimento quando ganha dimensão nacional o interesse pela formação de professores enquanto expressão de uma política que se desenvolve à luz de orientações de cunho neoliberal a requerer reestruturação do Estado e, particularmente, da educação. Evidencia que a institucionalização dessa política, em 2009, objetiva conferir organicidade às ações institucionais, a partir daí sob a regulação da Capes. Nesse contexto, questiona o caráter emergencial desse Programa deformação de professores, em face da própria sistemática de sua realização e aos, ainda, inúmeros problemas a marcar a educação no Estado do Maranhão.Palavras-chave: Formação de professores, cursos emergenciais, Parfor.
O rodzinie Siemiątkowskich. Część I. Cwetana vel Tsena i Józef Siemiątkowscy – z dworu w Tymienicach w świat
Authors: Antoszczyk Bożenna
Published: February 2017

Helena z Walewskich (1881–1956) i Antoni (1868–1952) Siemiątkowscy herbu Jastrzębiec byli właścicielami majątków Wojsławice i Tymienice do wybuchu II wojny światowej. Ich siedzibą był pałac w Wojsławicach zbudowany w latach 1900–1902, skąd zostali usunięci we wrześniu 1939 r. Jeden z synów, Józef Siemiątkowski (1904–1939), zamieszkiwał wraz z żoną Cvetaną vel Tseną (1911–1983) i dziećmi Heleną ur. 1936 r. i Antonim (1938–2011) w XIX-wiecznym dworku w Tymienicach. Ślub ich odbył się w Sofii w 1934 r. Wraz z wybuchem wojny przenieśli się do Warszawy, gdyż Józef został powołany do wojska. Część I opowieści o rodzinie Siemiątkowskich przedstawia tragiczne losy tego małżeństwa. 24 września 1939 r. Józef Siemiątkowski poniósł śmierć w walkach z Niemcami na przedpolach Warszawy, w Kazuniu. Jego żona Cvetana wyjechała z dziećmi do Bułgarii. Gdy po wojnie rodzeństwo wróciło do Polski czekało je trudne życie w nieprzyjaznej powojennej rzeczywistości.
Atrakcyjność turystyczna gminy Uniejów w opinii turystów i kuracjuszy
Authors: Krajewska Justyna Teresa
Published: February 2017

W niniejszym artykule podjęto próbę oceny atrakcyjności turystycznej gminy Uniejów w opinii turystów oraz kuracjuszy. W tym celu przeprowadzono ankietę z przedstawicielami obu grup. Respondentów wybrano losowo. Kwestionariusz składał się z 22 pytań, które dotyczyły zarówno oceny atrakcyjności turystycznej, rekreacyjnej, jak i bazy noclegowej oraz gastronomicznej Uniejowa. Ponadto w kwestionariuszu zamieszczono pytania diagnozujące znajomość wśród respondentów innych atrakcyjnych turystycznie miejsc w okolicy, przyczyny ich przyjazdu do Uniejowa oraz częstotliwość i długość tych wizyt. Turyści i kuracjusze mogli również przedstawić swoje pomysły dotyczące uatrakcyjnienia miasta i gminy Uniejów. Analizowany obszar został bardzo dobrze oceniony pod względem atrakcyjności terenów rekreacyjnych przez osoby ankietowane. Władze gminy powinny jednak podejmować dalsze działania i inwestycje mające na celu wzrost atrakcyjności tego obszaru dla turystów i kuracjuszy.
Response of local rice (Oryza sativa L.) cultivars to recommended NPK fertilizer dose under upland rainfed conditions
Authors: Kikon Noyingthung , Riste Khroteü , Ohain T.
Published: February 2017

The present investigation was conducted to study the growth and yield response of local rice cultivars to application of recommended dose of NPK fertilizers under upland rainfed conditions. It was found that the application of recommended NPK fertilizer dose (60:30:30 kg/ha) resulted in significantly superior expression of rice growth and yield attributes by the different cultivars recording increased grain yields up to 36.51 q/ha and straw yields of 60.96 q/ha. Among the 8 local rice cultivars tested signification variations in plant growth, yield and yield attributes were observed. However, the cultivar ‘Muntse’ was found to be the most adaptable rice variety recording the highest grain yield of 42.94 q/ha followed by ‘Temeseng’, ‘Leikhumo’ and ‘Chongloi Mann’. Application of recommended fertilizer dose (60:30:30 kg/ha) to the cultivar ‘Mumtse’ was found to record the highest gross return/ha (Rs.51,342), net return/ha (Rs. 30,169) as well as BCR (1.42) compared to the rest of the treatments tested.
Effective Dissemination - Building an 'Evidence to Impact' Strategy
Authors: O'Neill Dan
Published: February 2017

When a piece of ‘evidence’ is generated in the research environment and almost nobody hears about it, then can we really still call it a piece of ‘evidence’? Does evidence only become evidence once it is used; and until then, is it just a piece of insignificant information? As we inexorably travel through the EBVM era, we must increasingly prioritise effective dissemination of evidence. This paper will use the VetCompass Programme at the Royal Veterinary College as a case study to explore a strategic dissemination plan and examine routes for effective dissemination.

Although EBVM traditionally assumes an audience of academics or practicing veterinarians, the authors contend that substantial welfare gains can be additionally achieved by targeting current and future pet owners, the non-owner general public, industry, welfare bodies, scientific groups, breeders and kennel clubs. Effective dissemination should be strategic and give a priori consideration to identifying target audiences, appropriate formatting of the messages and open access routes for dissemination. Scientists who generate EBVM may not always be best placed to also disseminate these messages and therefore research teams should consider widening their combined skill-base to also incorporate marketing and media savvy.

The VetCompass Programme is a new and hugely exciting project that shares de-identified primary-practice clinical data for research to support effective evidence based veterinary medicine and welfare reforms. VetCompass data collection commenced in 2009 and the current 470 collaborating primary-care practices have shared data on 4 million small animals and 45 million unique episodes of care. VetCompass has 15 peer-reviewed publications to date.
In order to maximise the welfare gains from an array of evidence silos generated within VetCompass, a dissemination strategy was designed based on a Systems Thinking approach. The outcomes from a range of dissemination trials within VetCompass will be discussed to highlight the most effective vehicles for individual audiences. Traditional dissemination vehicles include peer-reviewed publications and conference talks but the authors will explore the utility of online interactive tools, poster infographics, social media, YouTube, newspaper, TV and radio in addition to engagement via embedding key groups within primary research itself. Effective dissemination pathways must be realistic within the resources available, and ideally should also enhance future evidence generation.

For maximally effective EBVM, it is no longer enough to assume that if we build it, they will come. Instead, we must take our evidence to the audience.

 
Perceived Health Beliefs of Fertile Age Women Upon Early Breast Examination
Authors: Rahmatari Aida
Published: February 2017

ABSTRACTBreast cancer remains a problem in Indonesia because 68.6% of patients see a doctor at an advanced stage, while in the early stages are only 22.4%. One of precaution can be done by early detection of breast cancer with breast examination. This study was conducted to analyze the relationship between perceived health beliefs of fertile age women with practice of early breast examination. This study is an observational analytic study using a case-control design. Samples were taken from the population by simple random sampling. Total sample are 24 case groups and 24 control groups. The independent variables were perceived threat, perceived benefits, perceived barriers. The dependent variables were practice of early breast examination. The results of the study were analyzed by using Chi Square test. The results of bivariat analyze are known that the variables are related to the practice of early breast examination are perceived threat (p = 0,013), and perceived barriers (p = 0,021). Variables that are not related to the practice of early breast examination are perceived benefit (p = 0,348). The conclusion is perceived threat, and perceived barriers in fertile age women are significantly related to practice of early breast examination. Advised for women to be able to be a savior for himself and the booster and motivator to the other women in the neighborhood for the early detection of breast cancer.Keywords: breast cancer, breast examination, early detection, fertile age                       woman, perceived