bluuebunny/crossref_metadata_2025 huggingface dataset:
Mediazioni di cittadinanza: l'attivismo prosociale a favore dei migranti
Authors: M. Daher Liana , Nicolosi Davide
Published: April 2022

Le recenti iniziative di rivendicazione politica dei migranti evidenziano episodi di cittadinanza dal basso, all'interno dei quali è possibile osservare la presenza di movimenti collettivi o reti associative, quali, per esempio, Project20k e No Borders; ciò sembra rilevare una sovrapposizione tra aspetti volontaristici e aspetti relativi specificamente all'attivismo politico, prefigurando casi di cittadinanza mediata (Ambrosini, 2020a; Bartolotta, 2015). È possibile studiare questi casi attraverso il modello di attivismo prosociale, inteso come quella pluralità di forme attraverso le quali i cittadini si uniscono al fine di sostenere categorie sociali vulnerabili (Moro, 2010). Il presente lavoro mira ad analizzare tali processi di azione collettiva attraverso studi di caso di alcune reti di attivismo in difesa dei diritti dei migranti presenti in Sicilia, all'interno delle quali sono state condotte delle brevi campagne di interviste non strutturate rivolte ai membri del direttivo.
Sketch for a Sociology of Sociological Self-Analyses
Authors: Ienna Gerardo , Lombardo Carmelo , Sabetta Lorenzo , Santoro Marco
Published: April 2022

This essay analyzes one of the major expressions of the sociological critique of sociological reasoning, the objectivation of the subject of objectivation, who should analyze the sociohistorical conditions of possibility of the very act of objectivation. Though Bourdieu's invitation to a reflexive sociology of sociology has not been widely accepted and put into practice, the authors argue that its actual application actually brings about consistent payoff: this special issue represents but one installment. Reclaiming a place for socio-analysis, this paper highlights how this activity can produce a cognitive difference in the making of sociological research, insofar as its genesis and development are defined by the sharing of a specific thought style, existing within and because of an intersubjective framework.
From Paris to Boston: A Trajectory with Pierre Bourdieu
Authors: L. Swartz David
Published: April 2022

The author analyzes his contribution in introducing Bourdieu to the Anglophone world (and to the US in particular). By doing so, he presents the reader with an abundance of anecdotes designed to illustrate observations regarding intellectual autonomy, symbolic capitals, and the international circulation of sociological ideas. Self-analysis is viewed as a straightforward and blunt version of other standard, more euphemized, academic practices (like the introductory literature review that opens scientific papers): thus, it is also supposed to be a tool for writing better.
Il Tribunale Russell II e la nascita di una nuova cultura internazionalista
Authors: Tulli Umberto
Published: April 2022

Giancarlo Monina, Diritti umani e diritti dei popoli. Il Tribunale Russell II e i regimi militari latinoamericani (1971-1976), Carocci editore, Roma 2020.
Gender, Race, and Religion in an African Enlightenment
Authors: Lyonhart Jonathan D.
Published: April 2022

Black Panther (2018) not only heralded a new future for representation in big-budget films but also gave an alternative vision of the past, one which recasts the Enlightenment within an African context. By going through its technological enlightenment in isolation from Western ideals and dominance, Wakanda opens a space for reflecting on alternate ways progress can—and still might—unfold. More specifically, this alternative history creates room for reimagining how modernity—with its myriad social, scientific, and religious paradigm shifts—could have negotiated questions of race, and, in turn, how race could have informed and redirected some of the lesser impulses of modernity. Similar to genetic critiques, such alternative genealogies are not primarily about history but about the future, providing an almost eschatological vision of how society could be restructured.
Seeing and Interpreting Visions of the Next Age in Interstellar
Authors: Wright Nancy
Published: April 2022

Christopher Nolan’s Interstellar (2014) uses multiple styles of cinematography – documentary, painterly and expressionistic – to guide interpretation of its apocalyptic review of history. Within the prologue and epilogue of the science fiction film, clips from interviews originally filmed for Ken Burns’s The Dust Bowl (2012) invite questions about how to interpret documentary, revisionist and eschatological reviews of history. Cinematography functions as a self-reflexive cue to spectators within and outside the mise-en-scène to engage in eschatological interpretation. The representation of spectatorship and vision reveals the challenge of interpreting prophetic visions of the last things and the next age, which are conventions of the apocalypse genre.
Religion and Film: Representation, Experience, Meaning
Authors: Branco Sergio Dias
Published: April 2022

This is a book review of Stefanie Knauss, Religion and Film: Representation, Experience, Meaning (Brill, 2020).
Syntactic and Semantic Interface of English Complementizers ‘for’ and ‘that’: Implications and Theory
Authors: Abuisaac Shehda R.S. , Alastal Abdelgawad Ahmed , Elhewity Wail Rizq , Sapar Ahmad Arifin Bin
Published: April 2022

The aim of this study is to investigate the function and use of English complementizers ‘that and for’ and to examine how these complementizers interact with(in) the semantic scope of complex sentences. The study argues that the transformational processes of English complementizers have the potential to change and manipulate the sentence/speaker's meaning. This manipulative change of meaning is firstly abode by the complementizer used within the matrix of (complex) sentence and secondly by the type that the propositional content of the sentence refers to (whether the information conveyed expresses objective knowledge, subjective mood, moral judgment, emotional state or open, uncertain question). The study concludes that the classification of verbs plays an essential role in selecting the complementizer to be properly used in covering the necessary cognitive status of the sentence at the syntactic and semantic levels. Thus, each complementizer has its own semantic restrictions, which differentiate it from other complementizers.
ADOLESCÊNCIA E QUALIDADE DE VIDA: PERCEPÇÕES DE ADOLESCENTES ESCOLARES
Authors: De Oliveira Alfenas Gadelha Anna Karolina , Cristina Costa Camila , Fernandes de Sousa Clayton , Willian da Silva Marlon , Cristina Dias Franco Elaine
Published: April 2022

Identificar, na perspectiva do adolescente, os elementos biopsicossociais que compõem o ser adolescente à luz da qualidade de vida relacionada à saúde. Método: Estudo descritivo, de abordagem quanti-qualitativa realizado no período de outubro de 2020 a março de 2021. Estratégias de coleta foram a aplicação online do questionário KIDSCREEN-27 e a entrevista individual online. Os participantes foram 20 adolescentes, com idades entre 13 a 16 anos. À luz dos domínios relacionados à qualidade de vida, e à saúde que compõem o KIDSCREEN-27, foram definidas as categorias de análise. Resultados: identificou-se a necessidade ações de promoção da saúde, considerando os âmbitos biopsicossociais. Observou-se ainda desfechos que os/as adolescentes fazem menção a dificuldades escolares, sensação de tédio, afastamento de seus pares e poucas interações sociais causadas pelo isolamento social durante a Pandemia da COVID-19. Conclusão: os resultados apresentados neste estudo poderão corroborar para o planejamento e execução de práticas de  educação em saúde que atendam as demandas e particularidades que envolvem a promoção da saúde de adolescentes.
Analisis Tahapan Kebijakan Pengoptimalan Pendapatan Daerah
Authors: Saputra Agustinus Imam , Limpato Jarot
Published: April 2022

Abstract

In the era of regional autonomy, local governments are expected to optimize their local revenue to finance the implementation of business process and public services. During the pandemic, local governments have to work harder and be prudent in exploring the potential for local revenue. Rural and Urban Land and Building Tax (RU-LBT) is one source of local revenue that can be extracted. This study investigates the success story of Yogyakarta City in improving the RU-LBT determination in 2020. This study uses a descriptive qualitative approach with the content analysis method. The results of this study show that Yogyakarta was going through a long process in the effort to determine RU-LBT which is supported by a reliable Sales Value of Tax Object (SVTO). Regulations related to the determination of RU-LBT are the Regional Medium-Term Development Plan, General Policy on Regional Revenue and Expenditure Budget, Regional Regulations, Mayor Regulations, and Mayor Decrees. The stimulus in PBB-P2 is concrete steps in mitigating the risk of public resistance affected by the increase in tax payable. Hence, other local governments can make Yogyakarta City as a "best practice" in preparing efforts to explore the potential of RU-LBT. At the end, this study is expected to be a trigger for further research on policies to explore other local taxes.

Abstrak

Dalam era otonomi daerah, pemerintah daerah diharapkan dapat mengoptimalkan pendapatan asli daerah (PAD) guna membiayai pelaksanaan pemerintahan dan pelayanan masyarakat. Masa pandemi membuat pemerintah daerah untuk lebih bekerja keras disertai kehati-hatian dalam penggalian potensi pendapatan asli  daerah. Pajak Bumi dan Bangunan Perdesaan dan Perkotaan (PBB-P2) merupakan salah satu sumber dari pendapatan daerah yang dapat digali. Studi ini menginvestigasi keberhasilan Kota Yogyakarta dalam meningkatkan ketetapan PBB-P2 di Tahun 2020 ini. Studi ini menggunakan pendekatan kualitatif deskriptif dengan metode analisis konten. Hasil studi menunjukan bahwa, Yogyakarta melalui proses yang panjang dalam usaha penetapan PBB-P2 yang didukung oleh Nilai Jual Objek Pajak (NJOP) yang berkualitas. Regulasi yang berkaitan dalam penetapan PBB-P2 ialah Rencana Pembangunan Jangka Menengah Daerah (RPJMD), Kebijakan Umum Anggaran Pendapatan dan Belanja Daerah (KUA), Peraturan Daerah (Perda), Peraturan Walikota dan Keputusan Walikota. Ketentuan stimulus dalam PBB-P2 merupakan langkah nyata dalam mitigasi risiko dari resistensi masyarakat yang terdampak kenaikan pajak terutang. Pemerintah daerah lain dapat menjadikan Kota yogyakarta sebagai “best practice” dalam mempersiapkan usaha penggalian potensi PBB-P2. Studi ini diharapkan bisa menjadi pemicu bagi penelitian lebih lanjut mengenai kebijakan penggalian potensi pajak daerah lainnya.
Sensitivity Analysis of Uncertain Material RC Structure and Soil Parameters on Seismic Response of Soil-Structure Interaction Systems
Authors: Mekki Mohammed , Zoutat Meriem , Elachachi Sidi Mohammed , Hemsas Miloud
Published: April 2022

In seismic performance based design context, engineers are faced to a difficult task to estimate the response of soil-structure interaction (SSI) systems. To accomplish this task successfully, all sources of random and epistemic uncertainties should be taken into account. However, the uncertain parameters have not the same influence on the model response; a sensitivity analysis is therefore required. This article treats the two following aspects: the first one is to perform a sensitivity analysis on all the parameters in order to study their influence on the structural response. The uncertainties effect is done by studying the sensitivity of the maximum structure displacement towards the used materials parameters variation (fc’, εc0, εcu, Es, fsy, α, εsu, A, ξ) and soil properties (ξg, ν) on the SSI seismic response. This study consists of determining, quantifying and analyzing how the outputs of the N2-SSI model are affected by input variables fluctuations. The second aspect is analysing the SSI system response by considering the correlation between the parameters (shear wave velocity and soil damping) and the influence of the lack knowledge of the uncertainties due to this correlation. The results of the sensitivity analysis indicate that the response of the structure is very sensitive to the concrete and steel parameters for larger values of the shear wave velocity. While, the soil damping and Poisson's ratio in the case of soil with shear wave velocity of 90 m/s, are the main inputs with the greatest influence on the maximum displacement output.
Agronomic performance of soybean genotypes supplemented with micronutrients via leaf
Authors: Ferreira Luiz Leonardo , Amaral Uirá , Turati Gilberto Luis , Carvalho Ivan Ricardo , Silva Rodrigo Vieira , Carrijo Santos Núbia Souza , Fernandes Marilaine Sá , Lautenchleger Francine , Loro Murilo Vieira , Azevedo Pereira Alexandre Igor , Silva Curvêlo Carmen Rosa
Published: April 2022

Foliar fertilization, mainly with micronutrients, is one of the tools most recommended by researchers and professionals to growers in order to correct nutritional imbalances in crops. This work aimed to evidence the agronomic performance of soybean genotypes supplemented via leaf with micronutrients and to identify the relationships between characters. The experimental design used was in randomized blocks in a 3x5 factorial scheme corresponding to three soybean genotypes ANTA82, CD2737 and N7902 and five concentrations of leaf supplement, Triplus Anuais® with its guarantees of phosphorus 2%, boron 3.4%, molybdenum 1 % and nickel 0.35%. The leaf supplement was applied in a single dose during pre-flowering (0, 300, 600, 900 and 1200 ml ha-1). The variables were analyzed after the plants were harvested at the physiological maturation stage and the data were submitted to the assumptions of the statistical models. Analysis of variance was carried out with subsequent splitting with grouping of Scott-Knott means and polynomial regression models, in addition to simple correlation and path analysis, with grain yield as the main variable and the other variables as explanatory. The different performances of soybean genotypes were verified when submitted to foliar supplementation of micronutrients with adjustment of the most efficient dose for yield, through the regression curves. That supplementation via leaf with micronutrients in the pre-flowering phase was efficient for all soybean genotypes analyzed. However, it is worth mentioning the high yields obtained by the NS 7209 IPRO genotype at a dose of 514.23 ml ha-1. The selection of productive soybean genotypes can be performed indirectly by the number of legumes, grains per plant and the weight of a thousand grains.
Utilidad del tratamiento combinado con láser y magneto en la epicondilitis
Authors: Cepero Silvera Dayamí , Hernández Duarte Lázaro Porfirio , Guerra Sánchez Maura , Utra Rodriguez Olivia De Los Ángeles
Published: April 2022

Introducción: La atención del paciente con epicondilitis influye en la calidad de vida de las personas que la padecen, generando incapacidad y ausentismo laboral, constituyendo un problema de salud. Objetivo: Determinar la utilidad del tratamiento con Láser y Magneto en pacientes con epicondilitis en el Servicio  Integral de Rehabilitación de Amarillas, Policlínico Román Sánchez Estrada Municipio Calimete, en el período de Septiembre del 2018 a Septiembre del 2019. Material y métodos: Se realizó un estudio explicativo experimental para determinar    la utilidad del tratamiento con Magneto y Láser, en pacientes   con el diagnóstico de Epicondilitis, aguda o crònica en período de agudización,mayores de 20 años. La muestra definitiva quedó conformada por 54 pacientes, la cual fue dividida en dos grupos de tratamiento: El Grupo A con 27 pacientes se trató con Dipirona e Ibuprofeno por 10 días. El Grupo B con 27 pacientes se trató con campo magnético transarticular en el codo afecto y Laserpuntur 10 sesiones diarias. Se aplicó a los pacientes de ambos grupos de tratamiento la escala cualitativa de Likert para evaluar la intensidad del dolor, la capacidad funcional para las actividades cotidianas por el test de Wadell Modificado. Para el procesamiento estadístico se utilizó la Prueba de los Signos y la de Mann Whitney, considerándose significativos los valores de p menores de 0.05. Resultados: Predominó el sexo masculino, el grupo de edades de 40 a 49 años y los obreros agrícolas. El 85.2% (23 pacientes) eliminaron el dolor o quedaron con dolor ligero Conclusiones: La magnetoterapia combinada con el láser resultaron útiles en la mayoría de los pacientes con Epicondilitis, eliminando o disminuyendo el dolor y mejorando el funcionalismo del miembro.
Estado salud periodontal de las embarazadas del área de salud colón oeste
Authors: Reyes Martin Belkis , Delgado Reyes Falvia María , Cuyac Lantigua Marisol , Alfonso Biart Belkys
Published: April 2022

Introducción: El embarazo constituye un período de grandes modificaciones fisiológicas en el organismo, que pueden conllevar a la aparición de trastornos en el estado de salud bucal.  Objetivos: Describir el estado de salud periodontal en las embarazadas del área de salud Colón Oeste. Metodología: Se realizó un estudio observacional, descriptivo, transversal, retrospectivo, en el periodo comprendido desde enero del 2019 a marzo del 2020. EL universo se estudió en su totalidad  y estuvo constituido por 291 embarazadas pertenecientes al área de salud Colón Oeste las cuales fueron visitadas para obtener el consentimiento informado para participar en la investigación. Los resultados se presentaron en tablas estadísticas y se utilizó como medida resumen el porciento. Resultados: La edad que más pacientes aportó fue la del grupo etario de 25 a 34 años con 37.5%. Predominaron las pacientes sanas para un 70.2% seguidas de las pacientes con gingivitis crónica con 28.5%. La higiene bucal inadecuada fue la más significativa con 52.3%, dentro de los factores de riesgo el antecedente de caries  dental tuvo un mayor significado con un 61.8%, la inflación gingival  prevaleció en el 100% de las pacientes enfermas  periodontalmente. Conclusiones: La edad de 25 a 34 años fue la que más pacientes aportó, predominaron las pacientes sanas seguidas de las pacientes con gingivitis crónica. La higiene bucal inadecuada fue la más significativa, los factores de riesgo que prevalecieron fueron el antecedente de caries  dental seguido del apiñamiento dentario. El signo más representativo fue la inflación gingival.
Resección de un cavernoma cerebeloso: un reporte de caso
Authors: Cañar Lascano Geovanny German , Gallardo León Jefferson Franklin , Sánchez Cedeño Jorge Luis
Published: April 2022

Introducción: las malformaciones cavernomatosas son hamartomas cerebrales que representan el 20% de las malformaciones vasculares cerebrales, las manifestaciones clínicas están vinculadas a la localización de la lesión, siendo estas, convulsiones, cefalea, déficit neurológico focal, en su diagnostico se lo realiza por resonancia magnética en secuencia T2 con dos signos característicos, el signo de palomita de maíz y el anillo hipointenso de hemosiderina, mantienen un tratamiento complejo, siendo este conservador, resección quirúrgica, radiocirugía estereotáctica. Metodología: Se adquirió información científica del buscador PubMed de artículos de alto impacto al tema de interés en idioma ingles con traducción al español en los años 2017 al 2020. Caso clínico: Paciente femenino de 17 años, con antecedente de importancia de convulsiones pequeño mal desde hace 6 años y padre con diagnóstico de angioma cavernoso, actualmente paciente presenta cefalea holocraneana intermitentes, tipo pulsátil acompañadas de convulsiones tónico clónica de aproximadamente 10 minutos de duración aproximadamente 3 ocasiones por semana. Se realiza estudios de imágenes tipo RM donde se evidencia lesiones de intensidad heterogénea en la secuencia T2 con un anillo hipointenso en vermis y hemisferio cerebeloso derecha. Conclusión: Los cavernomas establecen una patología neurológica que abarca un limitante en la calidad de vida de los pacientes sobre el tratamiento farmacológico de las convulsiones, la elección adecuada del tipo de terapéutica radica en las manifestaciones clínicas y la ocupación anatómica de la lesión vascular, mejorando así, las comorbilidades, los parámetros clínicos y la respuesta al tratamiento farmacológico.
Aplicación de nuevas tecnologías para la enseñanza de alumnos de primaria
Authors: Bonilla Colcha Orlando Patricio , Fierro Zúñiga María Fernanda , Tenesaca Asadobay Mariela Cecilia , Domínguez Domínguez María de Lourdes
Published: April 2022

Se tiene como objetivo general analizar la aplicación de nuevas tecnologías para la enseñanza-aprendizaje de primaria. La metodología se basó en un diseño bibliográfico de tipo documental.   La implementación de nuevas tecnologías ha sido afectada en los últimos años por el efecto de la COVID-19 donde todo el proceso de usar nuevas tecnologías era lento y subestimado por la mayoría de los centros de enseñanza, entre ellos las escuelas de primaria, que han tenido que asumir estos cambios en las nuevas realidades que se han presentado en los últimos años, aunque se busca regresar a una normalidad similar a la que estaba antes de la pandemia, hay cambios que parecen irreversibles, ya que la dinámica social lo demanda, los estudiantes de primaria nacidos en una  generación muy  tecnológica denominados centenialls con un entorno de manejo de contenidos de internet  y equipos dejan  a la enseñanza formal carente de  atractivo y esto representa un peligro ante esta formación primaria convencional con técnicas de enseñanza conservadoras. Los equipos, la infraestructura, la actualización de software, son inversiones que requieren realizar los centros educativos y los gobiernos regionales y nacionales. las plataformas de aulas virtuales que ya existían para el momento de la pandemia, se modernizaron y se dieron a conocer rápidamente. En este sentido, para enfrentar esta nueva realidad, se realizaron investigaciones, actualizaciones, dotaciones, en función de adaptar los contenidos programáticos de educación primaria, y en todos los niveles, a la modalidad de educación virtual o e-learnig, como también se le conoce.
El benchmarking en las comercializadoras de Guayaquil. ¿Cómo sería esta técnica?
Authors: Marín Cucalón Brenda Estefanía , Choquehuanca Calcina José Domingo , Bernal Luna Claudia Patricia
Published: April 2022

Introducción. La globalización sigue siendo el fenómeno que más afecta a las organizaciones, y por el cual estas buscan optimizar todos sus procesos con miras a lograr la rentabilidad, por ello deben hacer frente a la competitividad de los mercados y desarrollar ventajas competitivas que permitan alcanzar sus objetivos y metas. Objetivo. Analizar la técnica del Benchmarking en las comercializadoras de Guayaquil. Metodología. Basada en el diseño bibliográfico, través de la investigación bibliográfica. Resultados. Los cambios constantes en la economía global, así como el pináculo de la tecnología, obliga a las empresas a buscar alternativas que le permitan seguir funcionando de manera óptima y eficaz, por lo cual deben adoptar la implementación de herramientas administrativas que contribuyan al logro de sus metas y su buen funcionamiento interno. Conclusión. Existen diversas herramientas, las cuales pueden ser utilizadas para mejorar diversos procesos, sin embargo, en el presente documento hablaremos sobre el Benchmarking, la cual es una herramienta que se basa en comparar sus procesos y/o actividades de una empresa con otras que cuentan con un alto grado de rentabilidad y aceptación entre los consumidores. No se trata de copiar sino de seleccionar todo aquello que de una manera puede funcionar en nuestra empresa, por lo cual amerita adoptar las técnicas y adecuarlas a los procesos internos.
Plan de acciones estratégicas de comunicación interna para el complejo turístico Dos Gardenia
Authors: Bencomo Valdés Yulima D. , Sánchez Alberich Reymer , Velasteguí López Luis Efraín , Arrasco Ruano Yolanda Tatiana
Published: April 2022

Hoy día, el turismo se concibe socialmente como una de las formas cambiantes para ajustarse a las crecientes demandas de sus usuarios. De esta forma, las empresas en el mundo aprovechan esta cobertura para generar ingresos económicos. El caso de complejo turístico cubano Dos Gardenias no está ajeno al contexto anterior y la situación de desabastecimiento, dificultades en el mantenimiento de la infraestructura y la actual situación epidemiológica por la que se atraviesa, exigen una gestión que responda a mantener una actividad comercial favorable para la instalación. Los últimos meses dado las interrupciones y cese de las actividades laborales en el restaurante, se ha podido percibir ciertas irregularidades la presente investigación se enfoca en proponer acciones estratégicas de comunicación interna para el complejo turístico Dos Gardenia para reunificar a los empleados y crear un ambiente de trabajo solidario y seguro, que permitan la consecución de los objetivos empresariales. De ahí que el problema sea ¿cómo mejorar la comunicación interna del complejo turístico Dos Gardenias?, y el objetivo general diseñar un plan de acciones estratégicas de comunicación interna para el complejo turístico Dos Gardenias. Para ello se aplicaron métodos del nivel teórico, empírico y matemáticos. Se ofrece un plan de acciones estratégicas de comunicación interna elaboradas sobre la base de un diagnóstico y aprobadas como adecuadas por los expertos consultados.
Trascendencia socio económica, científica y tecnológica del turismo de cruceros: caso Cuba
Authors: Sánchez Jorge Tanyara , Jiménez Valero Bisleivys , Velasteguí López Luis Efraín , Carrasco Ruano Yolanda Tatiana
Published: April 2022

A partir de la comprensión de los conceptos ciencia, tecnología y sociedad, elementos importantes y siempre vigentes en el desarrollo de las civilizaciones, se ha seleccionado la modalidad de turismo de cruceros como situación objeto de estudio para demostrar el vínculo de estos fenómenos en este subsector turístico que se encuentra en constante crecimiento. Por tanto, el objetivo se fundamenta en demostrar el impacto socioeconómico, científico y tecnológico de la modalidad turística de cruceros en Cuba. Vínculo manifestado desde los primeros indicios de viajes de cruceros hasta la actualidad, la cual es protagonizada por la mejora e innovación constante de esta industria basándose en estudios científicos, en la búsqueda de desarrollo tecnológico para mejorar la calidad de los productos y servicios dirigidos a la sociedad que disfruta de esta modalidad y además disminuir el impacto territorial y cultural de los destinos donde se desarrolla, incluyendo la propia sociedad cubana.
Influence of Febrile Seizure in Children’s Neurodevelopment
Authors: Kanta Shayla Imam , Khan Naila Zaman , Mahmud KM Sarwar
Published: April 2022

Background: Febrile seizure is one of the most common diseases in early childhood. The impact of early-life Febrile Seizure on the developing brain is an important issue to detect.

Objectives: To observe the neurodevelopment of children suffering from different types of febrile seizures.

Methods: This was a prospective observational study; the study was conducted in Dhaka Shishu (Children) Hospital, Dhaka from July 2012 to August 2013. Total 71 children were included in the study who fulfilled the selection criteria. History was taken thoroughly. Rapid neurodevelopmental assessment (RNDA) was performed for initial assessment and subsequent follow up and was advised accordingly.

Results: Total 71 cases were included where mean age was 17.76±8.03 months, median was 16 months; in both the group male child had slight high preponderance. Majority of seizures were <10 minutes duration in both group which was not statistically significant. Important postictal event was found, 12 cases (26.7%) in simple seizure and 16 cases (61.5%) in complex seizures which was found statistically significant, but there was no risk for further seizure. On follow up, RNDA detected risk of impairment in vision, cognition, speech and behavior. In complex group statistically significant association was found with impairment of cognition only at initial and follow up at 3 month.

Conclusion: Neurodevelopment impairment is not influenced by types of febrile seizure but significant cognitive impairment was found in complex seizure.

DS (Child) H J 2021; 37(1): 45-50
National Professor Dr. Nurul Islam: Architect of The National Drug Policy 1982
Authors: Hoque AMM Ehteshamul
Published: April 2022

Abstract not available

IAHS Medical Journal Vol 4(2), June 2021; 1
Determination of Sex of Sacrum in Adult Bangladeshi People by Morphometric Study
Authors: Rahman Zohora Farhana , Ashrafuzzaman Md , Islam Md Mozaherul , Zahan Ishrat , Alam Sultana Ruma , Khair Rummana
Published: April 2022

Background: Sex determination from bones is of vital importance in anthropological studies and medico-legal cases. Sacrum is one of the bones, which exhibits sex differences. Literature available on this bone shows that not much study has been done in the population of Bangladesh. In the present study, an attempt has been made to test the validity of the parameters that are useful in differentiating male and female sacra. The present study was conducted to see the sexual dimorphism and morphometry of sacrum in adult Bangladeshi people. This study will be useful for anatomists, experts in forensic medicine and physical anthropologist for more accurate sexing of sacra.

Materials and methods: Descriptive, cross-sectional study was conducted in the Department of Anatomy, Chittagong Medical College, Chattogram on 100 dry human sacra of known (Male-46, female-56) sex during January 2014 to December 2014. The measurements included for the study were maximum length, maximum width, mid ventral curved length, transverse diameter of first sacral vertebra, length of ala, maximum length of auricular surface and indices like curvature index, sacral index, corporo-basal index, alar index, index of body of S1, auricular index were calculated and statistically analyzed.

Results: In the present study the male sacrum showed significantly higher values for ventral straight length, ventral curved length, transverse diameter of S1 and antero-posterior diameter of S1 than the female sacrum, while the female sacral index showed higher value compared with the values of male.

Conclusion: From the above parameters and indices in the present study revealed demarking points for each have statistical significant role in determining the male and female sacrum.

IAHS Medical Journal Vol 4(2), June 2021; 2-4
Evaluation of Prevalence of Unscheduled Uterine Bleeding in Teen Aged Girls : A Cross Sectional Observational Study-100 cases
Authors: Mazumder Afroza Akhter , Feroze Reshma , Begum Shamim Ara , Kabir Sanjida
Published: April 2022

Background: Unscheduled uterine bleeding or abnormal uterine bleeding after menarche can occur due to ovulatory dysfunction between the age of 10 to 18 years. But the perception of the normal menstrual cycle makes worries to these girls and families because they have fear of the adverse effect of these on their future reproductive function. Evaluation of teen-aged girls can help us to exclude pathology and alleviate anxiety from her and their families. The aim of the study is to see the prevalence of unscheduled uterine bleeding in teen-aged girls attending OPD, in tertiary level hospitals.

Materials and methods: A total of 100 cases were included in this study between June 2019-June 2020. Patients at post menarche period presenting with abnormal uterine bleeding or unscheduled uterine bleeding were included. Clinical diagnosis was made based on history, clinical examinations & investigations. Clinical diagnosis according to FIGO ovulatory dysfunctions was revealed in most of the cases.But in adults, according to PALM-COEIN most of the cases are due to organic causes was detected. Detailed discussion about the study was done with patient & parents. Informed consent was taken from them. Data was collected in a predesigned data collection sheet. Data were expressed in terms of percentage.

Results: Most of the patients were in the age group of 8-14years (54%), 35% were between 14-18 years. 60% of the study patients were from urban areas. About 78% of parents had a monthly income of > 20,000 taka. Most of the patients were presented with heavy menstrual bleeding. 43% presented with bleeding for 7-10 days, 40% bleeding for > 10days & irregular continuous bleeding in 17% cases. Most of the patients needed more than an average numberof pads used per cycle. 15% needed double protections. Only 20% of the study patients had a regular cycle, but most of them (63%) had irregular cycles and in 17% of cases no cycle pattern was maintained. On examination for other associated features, 97% had normal secondary development according to Tanner’s stage, only 3% showed delayed development. In this study, BMI was normal in 30% cases, 58% were overweight, 10% were obese, 2% were morbidly obese. On clinical evaluation, pulse rates were within the normal range in 25% cases, 60% had tachycardia, 15% had pulse more than 110/min. Hypotension was recorded in 15% of cases. Regarding investigation findings, Hb% was < average in all cases, 33% had 8-10g%,65% had 7-8g% & < 7g% in about 12% cases. Hypothyroidism was detected in 6% of patients, & pelvic ultrasound was normal in all cases.

Conclusions: Abnormal Uterine Bleeding – Ovulatory Dysfunction (AUB- O) was the leading cause of unscheduled uterine bleeding during post menarche period.

IAHS Medical Journal Vol 4(2), June 2021; 5-8
Assessment of Platelet Count in Pediatric Patients with Dengue Fever Admitted in A Tertiary Care Hospital of Bangladesh
Authors: Datta Mitra , Ferdousi Asma , Ahmed Farid Uddin , Barua Dazy , Biswas Susmita , Amin Jabed Bin , Samad Rasheda
Published: April 2022

Background: Dengue is a major vector-borne disease that is prevalent in tropical and sub-tropical countries. A hallmark of dengue fever is thrombocytopenia. This study was conducted to evaluate the platelet count in relation to severity and outcome of dengue infection in a cohort of hospitalized children during 2019 dengue outbreak in Bangladesh.

Materials and methods: This observational study was carried out in the Department of Pediatrics of Chittagong Medical College Hospital, Chattogram, Bangladesh. One hundred and ninety two consecutive serologically positive dengue cases (Age £ 12 years) admitted from July 2019 to December 2019 were enrolled in the study. Platelet count was done daily from day 3 to 7 days of illness.

Results: Overall the mean age was 7.04 (±3.23) years with male preponderance (59.4%). As per the nadir platelet count 53 (27.7%) patients had counts >150,000, 66 patients (34.3%) had count between 100,000 and 150,000, 36 patients (18.7) had count between 50,000 and 1, 00,000, 13 patients (15.1%) had count between 20,000 and 50,000 while the remaining 6 patients (3.1%) had profound thrombocytopenia. Children with profound thrombocytopenia were likely to had dengue shock syndrome and prolonged hospitalization. There was no fatality in this series.

Conclusion: Though thrombocytopenia was common profound thrombocytopenia was not frequent in the hospitalized pediatric patients with dengue infection.

IAHS Medical Journal Vol 4(2), June 2021; 13-16
Visual Inspection of Cervix wiih Acetic Acid as A Method of Cervical Cancer Screening in Tertiary Hospital
Authors: Begum Kamrun Nesa , Shahanaz Shoyela , Rashid Fahmida , Rehena Zeenat , Chowdhury Shahanara , Sharmin Shahanaj , Baidya Chinmoy
Published: April 2022

Background: Cervical cancer belongs to a glorious natural history which favors well implemented secondary prevention. Considering the various constraints in our country, our study aimed to evaluate Visual Inspection of Cervix with Acetic Acid (VIA) as an alternative or adjunct to cervical cytology (Pap smear) in early detection of cervical cancer and also to assess its effectiveness as a screening method in a tertiary center outside of low resource settings.

Materials and methods: This cross-sectional descriptive study was carried out at Gynae OPD of Chittagong Medical College Hospital (CMCH) from January to December 2012. A total of 1600 sexually active women with 21 to 60 years old were enrolled in this study by purposive sampling technique. The women underwent a complete clinical evaluation, including Pap smear and VIA. Any positive test was referred to colposcopy and directed biopsy. Finally, data were analyzed with the help of SPSS 16 software.

Results: Out of 1600, VIA was positive in 135(8.4%) and cytology was positive in 74(4.6%) cases of the true positive 48 cases. The sensitivity of VIA (75%) was much higher than that of Pap smear (48%). The sensitivity ratio 1.54 (p<0.001). The positive predictive value for detection of CIN2 and above was 17% for VIA and 16% for pap (p=0.5). Moreover, patients of lost to follow-up before colposcopy and biopsy were only 4.44% with VIA positive cases while 28.38% with positive Pap smear (p<0.0001).

Conclusions: The high sensitivity of VIA indicates that it may be a feasible alternative test for detection of precancerous lesions of the cervix not only in limited-resource settings but also in a well-equipped tertiary hospital.

IAHS Medical Journal Vol 4(2), June 2021; 22-26
Immediate Outcome of Mechanically Ventilated Neonate : One Year Experience in Neonatal Intensive Care Unit of Combined Military Hospital Dhaka
Authors: Das Bijoy Kumar , Fatema Begum Nurun Nahar , Yasmeen Sabina , Raha Biplob Kumar
Published: April 2022

Background: A large number of neonates in intensive care unit require mechanical ventilation due to various disease conditions. There has been a dramatic fall in neonatal mortality in developed countries with the advent of mechanical ventilation. This study was carried out to see the immediate outcome of neonates who required mechanical ventilation.

Materials and methods: This prospective observational study was carried out in Neonatal Intensive Care Unit, CMH Dhaka from January 2016 to December 2016. Neonates who required mechanical ventilation during the study period were enrolled in this study. During the time of mechanical ventilation neonates were followed up for any complication till discharge or death.

Results: Total 30 neonates were enrolled in the study. Among them 22(73.3%) of the neonates were preterm and 8(26.7%) were term, 25(83.3%) having birth weight <2500 gm. Respiratory Distress Syndrome was the most common reason for mechanical ventilation accounting for 11(36.7%),other indications were Perinatal Asphyxia 7(23.3%), Septicemia 6(20.0%), Congenital Pneumonia 5(16.7%) and Meconium Aspiration Syndrome 1(3.3%). Common complications during the period of ventilation were Septicemia (40.0%), Acute Renal Failure (16.7%), Pneumonia (16.7%), Pulmonary Hemorrhage (10.0%), Intraventricular Hemorrhage (6.7%), Pneumothorax(10.0%) and Heart Failure (6.7%). 17(56.7%) neonates survived and 13(43.3%) were died. Most of the neonate died of Perinatal Asphyxia 4(57.1%), Septicemia 3(50.0%), RDS 5(45.5%) and Congenital Pneumonia 1(20.0%).

Conclusion: The survival rate of ventilated neonates was 56.7%. The higher gestational age and birth weight was significantly associated with better outcome. Septicemia and Pneumonia (PNA) was the leading cause of death in this study. Effective measures for prevention and management of sepsis could improve the outcome of neonates in NICU.

IAHS Medical Journal Vol 4(2), June 2021; 27-32
Estudo qualitativo dos riscos ambientais à saúde e segurança dos trabalhadores da limpeza no centro cirúrgico no Hospital Municipal de Itapuranga, Goiás, Brasil
Authors: Mendes Kamila Silva , Almeida Maria Carolina de
Published: April 2022

Identificação dos riscos ambientais inerentes à atividade de limpeza hospitalar no centro cirúrgico do Hospital Municipal de Itapuranga, como objetivo de se aperfeiçoar medidas já existentes, e promover a saúde e segurança dos trabalhadores. Através de um estudo qualitativo, com aspectos quantitativos, realizado por questionários, foi possível caracterizar o perfil desses trabalhadores. Observou-se que: 65% dos trabalhadores são mulheres, 78% possuem baixa escolaridade, 76% afirmaram que o trabalho afetava a sua saúde, 38% afirmaram apresentar problemas de saúde já diagnosticados pelo médico, 33,33% mencionaram o uso dos equipamentos de proteção individual (EPI). Os profissionais da área de serviço de limpeza hospitalar constituem uma população bastante suscetível aos acidentes ocupacionais, portanto os riscos devem ser analisados, visando sua eliminação ou controle, para melhoria do padrão de vida e saúde dos trabalhadores.
Resistência transmitida aos antirretrovirais em gestantes e recém-nascidos pelo HIV-1: uma revisão integrativa
Authors: Oliveira Evaldo Hipólito de , Holanda Elison Costa , Verde Roseane Mara Cardoso Lima , Andrade Sâmia Moreira de
Published: April 2022

O HIV é uma das doenças mais importantes do mundo, sendo a transmissão vertical um dos problemas mais combatidos, principalmente após a introdução da terapia antirretroviral. Porém, as mutações do HIV por resistência transmitida a drogas (TDRM) podem afetar a efetividade da primeira linha dos esquemas empíricos da terapia antiarretroviral (TARV) e acredita-se que sua prevalência esteja aumentando na população pediátrica e em gestantes. Desse modo, objetivou-se investigar, por meio de uma revisão integrativa a resistência transmitida aos antirretrovirais em gestantes e recém-nascidos pelo HIV-1, focando nas mutações e fatores associados, através de uma revisão da literatura dos últimos 10 anos, utilizando as bases de dados LILACS, MEDLINE e SCIELO, que compõe a Biblioteca Virtual em Saúde. Houve como resultado 566 artigos, dos quais 71 foram pré-selecionados para serem lidos na íntegra, resultando em 14 artigos aprovados. Observou-se que muitos dos artigos aceitos tinham como estudo no Brasil, Estados Unidos e África do Sul. A presença de resistência transmitida interfere negativamente na eficácia clínica da profilaxia antirretroviral durante as gestações futuras, levando a uma piora da infecção e progressão da doença a criança, com quando há infecção por esse vírus. Portanto, pesquisas futuras e políticas de saúde pública devem ser direcionadas ao monitoramento de TDRM tendências de prevalência e relação com resultados clinicamente relevantes em gestantes e recém-nascidos com HIV-I.
Efeitos do Maracujá (Passiflora edulis) no Manejo Glicêmico do Diabetes Mellitus
Authors: Mendes Renata Cristina Machado , Souza Mariana Pimentel Gomes , Martins Maria Yasmin Paz Teixeira , Reis Dayanna Magalhães dos
Published: April 2022

O Diabetes Mellitus (DM) é uma doença crônica e progressiva, caracterizada pela hiperglicemia persistente, que pode resultar em complicações micro e macrovasculares incapacitantes e, até mesmo, fatais. A Passiflora edulis, cujo fruto é o maracujá, é uma planta abundante no Brasil e possui potencial hipoglicemiante, podendo auxiliar no tratamento do DM. O objetivo deste artigo é investigar os efeitos das partes da P. edulis no controle glicêmico de indivíduos com DM. Trata-se de uma revisão integrativa da literatura com a seguinte pergunta de pesquisa: “O maracujá (P. edulis) tem impactos sobre os parâmetros glicêmicos em indivíduos com Diabetes Mellitus?”. A busca dos dados foi realizada nas bases de dados Bireme, Cochrane Library, Scielo e Pubmed, em janeiro de 2022. Foram encontrados 14 artigos, dos quais cinco compuseram a amostra final. Três dos estudos foram ensaios clínicos randomizados, enquanto dois foram estudos experimentais. Entre as formas farmacêuticas estiveram: farinha da casca e albedo, extrato da semente e extrato etanólico das folhas de P. edulis. A maior parte dos estudos mostraram efeitos como redução da glicemia de jejum e hemoglobina glicada. É possível concluir que as partes do maracujá (P. edulis), como sementes, folhas e casca possuem substâncias que podem auxiliar no controle glicêmico de pacientes com DM, entretanto, mais estudos são necessários para assegurar seu uso.
Diversidade da fauna edáfica em solos com diferentes sistemas de manejos no norte do Rio Grande do Sul
Authors: Viana Enderli , Cezimbra Julio Cesar Grasel , Silva Danni Maisa da , Silva Diego Armando Amaro da , Ramires Maiara Figueiredo , Bohrer Robson Evaldo Gehlen , Bisognin Ramiro Pereira , Guerra Divanilde , Lanzanova Mastrângello Enivar , Souza Eduardo Lorensi de , Redin Marciel
Published: April 2022

A fauna edáfica gera importantes serviços ambientais, que podem ser negativamente afetados pelos diferentes manejos do solo. Assim, o presente trabalho objetivou avaliar a diversidade da fauna edáfica em solos com diferentes sistemas de manejo no Sul do Brasil. O trabalho foi conduzido no município de Inhacorá, RS, em Nitossolo Vermelho distroférrico, entre dezembro de 2016 e fevereiro de 2017, consistindo em quatro áreas de cultivo em sistema de semeadura direta: Integração lavoura-pecuária (ILP), pastagem anual (PA), frutíferas (FT) e lavoura de grãos (LG). O delineamento utilizado foi em blocos ao acaso com oito repetições. A fauna foi amostrada com o método Provid, sendo utilizadas oito armadilhas por tratamento, distribuídas de forma aleatória. Na primeira época estudada a área ILP, apresentou-se significativamente superior em relação ao número total de organismos, enquanto que na segunda coleta, não houve diferença significativa em relação ao número total de organismos entre as áreas estudadas. Em relação a riqueza, especialmente na primeira época de coleta, as áreas de LG e FT, proporcionaram a maior diversidade, com 14 ordens, na área PA foram encontradas 13 ordens e na área de ILP 12 ordens, enquanto que na segunda coleta, todas as áreas apresentaram uma queda de diversidade. A ordem Collembola apresentou o maior número de organismos nas duas coletas, com destaque para a área ILP na primeira coleta. Dessa forma, a fauna edáfica mostrou-se influenciada pelos distintos manejos e pelas diferentes épocas de coletas.
Teste de Respiração Espontânea com 5 e 10 minutos em Recém-nascidos Muito Baixo Peso: ensaio clínico randomizado
Authors: Teixeira Raphaela Farias , Costa Cinthia Maria Xavier , Rodrigues Roxane Carnaúba Amorim , Silva Maysa de Jesus Santiago , Calheiros Anne Kelly  de Melo , Santos Victor Santana , Kassar Samir Buainain , Gurgel Ricardo Queiroz , Medeiros Andrea Monteiro Correia
Published: April 2022

Este estudo teve como objetivo avaliar os efeitos de um Teste de Respiração Espontânea (TRE) de 5 minutos e de 10 minutos nas taxas de sucesso na extubação de recém-nascidos muito baixo peso (RNMBP) comparado ao julgamento clínico isolado. Foi realizado um ensaio clínico randomizado controlado duplo-cego em duas Unidades de Terapia Intensiva Neonatal em Alagoas, Brasil, incluindo 88 RNMBP alocados em três grupos: grupo controle, TRE de 5 minutos e TRE de 10 minutos. O TRE foi realizado com o modo ventilatório ET-CPAP com PEEP de 5 cmH2O, fluxo inspiratório de 10 L/min e FiO2 de 30%. O desfecho primário foi a taxa de sucesso na extubação, definida como a não necessidade de reintubar em até sete dias após a extubação. Não houve diferença significante entre os três grupos em relação à proporção da taxa de sucesso na extubação (p =0,644), displasia broncopulmonar (DPB) (p =0,790) e internamento hospitalar (p = 0,175). Passar em um TRE com 5 ou 10 minutos não melhorou as taxas de sucesso na extubação de RNMBP em comparação com o julgamento clínico isolado ou fez diferença na ocorrência de DBP e no tempo de internamento hospitalar. O desenvolvimento de um teste de prontidão para extubação continua sendo um desafio no manejo ventilatório da população neonatal.