bluuebunny/crossref_metadata_2025 huggingface dataset:
MODELS OF INTEGRATION OF INFORMATION SYSTEMS IN HIGHER EDUCATION INSTITUTIONS
Authors: Rakhmatullaev Marat , Karimov Uktam
Published: May 2018

At present a lot of automated systems are developing and implementing to support the educational and research processes in the universities. Often these systems duplicate some functions, databases, and also there are problems of compatibility of these systems. The most common educational systems are systems for creating electronic libraries, access to scientific and educational information, a program for detecting plagiarism, testing knowledge, etc. In this article, models and solutions for the integration of such educational automated systems as the information library system (ILS) and the anti-plagiarism system are examined. Integration of systems is based on the compatibility of databases, if more precisely in the metadata of different information models. At the same time, Cloud technologies are used - data processing technology, in which computer resources are provided to the user of the integrated system as an online service. ILS creates e-library of graduation papers and dissertations on the main server. During the creation of the electronic catalog, the communication format MARC21 is used. The database development is distributed for each department. The subsystem of anti-plagiarism analyzes the full-text database for the similarity of texts (dissertations, diploma works and others). Also it identifies the percentage of coincidence, creates the table of statistical information on the coincidence of tests for each author and division, indicating similar fields. The integrated system was developed and tested at the Tashkent University of Information Technologies to work in the corporate mode of various departments (faculties, departments, TUIT branches).
PUPILS' LEARNING EXPERIENCE IN HOMESCHOOLING- BIOGRAPHY ANALYSIS
Authors: Krupińska Sylwia
Published: May 2018

The article concentrates on learning experience as a factor that shapes people's attitude towards lifelong learning. Literature analysis demonstrated a gap in the understanding the experience of adults going through alternative education. The study analysis, the experience of adults who were educated in Poland at home in times of compulsory education system. The studies are carried out on the basis of biographical analysis using biographical narrative interviews by Schütz. The method falls within the quality methodology and concentrates on exact parts in the respondent's biography.
IDENTIFICATION AND PROJECTION OF THE QUANTITY OF FOOD TO BE SUPPLIED TO MUNICIPAL INSTITUTION STUDENTS/ CUSTOMERS IN REZEKNE MUNICIPALITY
Authors: Zvaigzne Anda , Kotāne Inta , Klodāne Aļona , Jackaničs Andrejs
Published: May 2018

Regardless of food market globalisation, in recent years a topical matter has been food consumption as close to the production site as possible or local food. Research studies conducted in the world and in Latvia too show that the introduction of green public procurement contributes to the development of a local area and directly promotes and ensures increases in local product sales, thereby stimulating the purchase of local food to supply customers and students of municipal institutions with food. The authors believe that a timely examination of the situation and a projection of the required amount of food for customers/students of municipal institutions are essential prerequisites for local enterprises in Rezekne municipality to plan and develop their businesses. The paper is based on the implementation results of the research grant "Opportunities for the Green Public Procurement of Food by Municipal Institutions in Rezekne Municipality”. The research aim is to identify and project the quantity of food to be supplied to municipal institution customers/students in Rezekne municipality. The research results indicate that the demand for food to be supplied through public procurement by Rezekne municipality municipal institutions might remain the same in the nearest future. Holding public food procurement tenders in future, the local authorities of Rezekne municipality have to split any large amount of procured food into smaller ones, thus giving an opportunity for local small enterprises to participate in the tenders. Research methods used: monographic, descriptive, analysis, synthesis, data grouping, statistical analysis and a sociological method – a survey of municipality/parish administration representatives.
PEDAGOGICAL TECHNOLOGIES IN MUSIC EDUCATION AS A FACTOR OF DEVELOPMENT OF THE INTEGRAL PERSONALITY
Authors: Marchenoka Marina
Published: May 2018

Music like any other art helps the individual explore the world, develops the individual’s emotional sphere, building fundamentals for systematisation and classification of phenomena, algorithms of creative thinking on the basis of the perception and analysis of music artistic characters, thus defining development of students’ memory, fantasy and imagination, stimulating them to search for unusual solutions of problems. The development of these abilities is indispensable in any sphere of human activity and – what is the most important – gives a possibility for individual’s self-realisation. Therefore the main task of music education is development of the complete personality, based on the needs and demands of the modern society. Solution of this task requires reviewing of the music educational process, modernisation of the ways of realisation of the educational content, ensuring creation of new teaching forms, methods, means and technologies.
PROFESSIONAL IDENTITY COMPONENTS OF A DANCE TEACHER
Authors: Gorobeca Paula
Published: May 2018

The concept of professional identity is considered and topical from the perspective of different occupations. The professional identity of the dance teacher has so far not been researched scientifically and there are no studies about this concept. The article focuses on the term “teachers professional identity” and the formation process of the dance teacher’s professional identity model, as well as the explanation of components of this model from a dance teachers point of view. The aim of this article is to create a professional identity model of the dance teacher by analyzing scientific literature and using professional experience. The professional activity of the dance teacher directly affects the students both physically and psychologically, therefore it is especially important to pay attention to the issues of dance teacher’s professional identity, even more if these questions are not discussed in the study process and there are no related instructions or materials that reveal the essence of the professional identity concept in the world of dance. In a relatively short period of time that students spend in dance classes, teachers must maximize the positive impact on their students. Considering many factors of influence - family, school, friends, social networks, hobbies, dance educator should strive to create an understanding of behavior, aesthetics, tastes, positive relationships in the group, discipline and many more. Explaining professional identity from a creative point of view leads to greater insight into one's profession, as well as to assess the quality of one’s professional work and achievements.
GRAPHIC DESIGN OPPORTUNITIES FOR INTEGRATED APPROACH IN MUSEUMS IN REPRODUCTION OF ART TREASURES
Authors: Dundure Inese , Apele Diāna
Published: May 2018

Latest tendencies in museum accessibility, both in the world and in Latvia, show that the social status of museums is changing from a cultural institution for a narrow circle of interested persons to a meeting place open to society, accessible both intellectually and physically to different social groups. The research aim is to study the opportunities for the use of graphic means to disclose and give access to the collection of artistic property of Latgale Culture and History Museum (LCHM) to persons with vision impairment. With the information summarised, the authors invite to use the opportunities of graphic design and technologies in the creation of art reproductions, making the graphic image of the painting perceptible by touch, i.e. tactile, and thus accessible to persons with visual impairment. The novelty of the research on the scale of Latvia will be a supplement of tactile images to the album of the collection of art reproductions of LCHM, which includes tactile graphic images and corresponding descriptions in Braille for persons with vision impairment. At this stage of the research, empirical methods were used – interview and practical activity.The aim of the research: Study and research graphic design opportunities for the integrated approach in museums in the reproduction of existing art property to ensure its accessibility to persons with vision impairment, analyse the needs of the visually impaired in cooperation with societies and organisations in Latvia and design a scheme of practical activities for persons with vision impairment.
CREATION OF THE PROGRAM OF INTEGRATED TRAINING OF FIRST-LEARNING IN THE PEDAGOGICAL UNIVERSITY
Authors: Zhestkova Elena , Luchina Tatjana
Published: May 2018

Adaptation problems for first-year students are inevitable, they are social, pedagogical, psychological and subjective or objective. Teachers of the university need to be able to foresee them and some to prevent, classify and be able to organize assistance to students in solving these problems, and organize educational work as a curator of the student group. One of the objective problems is the change of the educational space and the measures of responsibility for learning outcomes. The article presents the experience of creating a program for the comprehensive support of freshmen at a pedagogical university.
COMPARATIVE RESEARCH ON TAX APPLICATION TO ROYALTIES CONTRACTS
Authors: Pumpure Inga , Mietule Iveta
Published: May 2018

Royalties and copyright as an economic category and topical legal terms scored in the 20th century, while improving the country's fiscal policy and differentiating tax items; the usage of economic categories of "royalties" expands and becomes important. To be able to compare how royalties beneficiaries comply with legislative acts and requirements relating to the taxation of another European Union Member State, the author compares the taxation in Latvia and Estonia. In 2018, an ambitious tax reform has been implemented in both countries.The aim of the research: to conduct a comparative study on tax requirements and issues related to royalties in Latvia and Estonia. To achieve the aim of the research, the monographic method, the methods of comparative and analytical analysis, and the grouping and graphic methods were used additionally. In the result of the research study, the author concluded that, despite the unification of tax systems in the Baltic States, the regulatory framework is different in both countries. Estonian taxpayers' tax burden in respect of royalties is significantly higher than that of the Latvian income recipient
MODELING OF THE CLUSTER SYSTEM OF ADDITIONAL PROFESSIONAL EDUCATION IN CONDITIONS OF QUALITATIVE AND STRUCTURAL CHANGES IN THE ECONOMY OF THE SAKHA REPUBLIC (YAKUTIA)
Authors: Mikhailova Evgenia , Chorosova Olga , Solomonova Galina
Published: May 2018

The process of implementing the cluster approach in education requires the awareness of its theoretical, methodological and applied aspects taking place in Russia. The basis of the cluster methodology in education is the consideration of forms of socio-economic relations aimed at creating a modern innovative products as an holistic set of elements in conjunction relations between them. The cluster approach needs the methodological basis of interdisciplinary processes, scientific and theoretical awareness of key tasks and strategic orientations in professional and additional professional education since the management theory of educational clusters, the regulation of establishment and functioning has not yet received proper development in regional conditions. The following methodological principles are used in the research of clusters and cluster systems: systematic approach for the research of economic development of the region considering the clusters and cluster systems of external and internal environment; use of the regional features of functioning; the feasibility of modeling activities results of cluster systems.The research aim is to develop a cluster system model of additional professional education at NEFU capable of meeting the needs of Yakutia by highly qualified personnel. Objectives: to analyze the conceptual field of the cluster system in the educational space of NEFU with regard to additional professional education; the comparative research of the clusters of the North-Eastern Federal University, the Sakha Republic  (Yakutia) in assessing its activity and influence on innovative, technological and social development of the region etc.
VALUES HIGHLIGHTING PRODUCTIVE LEARNING IN THE PROCESS OF DEBATING
Authors: Ročāne Maija , Samuseviča Alīda
Published: May 2018

The lack of students` motivation is quite often the reason why students have low academic abilities and achievements. However, this can be a consequence of a lack of productive learning-oriented values. The empirical findings of the survey reveal that engagement in the process of debating contributes to the ability of students to evaluate and recognize the values gained during the debates, as well as students' self-direction, which contributes to their progression and productivity in different life situations. Students` responses to the values gained in the process of debating reveal that students' ability to self-direction increases proportionally to the students` length of experience of debating, while focusing on achievements reduces. Thus the achievement of long-term goals has been highlighted in comparison with short-term goals. The aim of the publication is to find out students' opinion about the values acquired during the process of debating, revealing and characterizing the pedagogical potential of the implementation of the debate.
COMPLEX ANALYSIS OF COMPANY BANKRUPTCY FORECASTING: THEORETICAL INSIGHT
Authors: Mackevičius Jonas , Šneidere Ruta , Tamulevičienė Daiva
Published: May 2018

In modern conditions for dynamic and competitive businesses, more and more companies face financial problems and eventually go bankrupt. A noteworthy trend: not only new companies that have not yet managed to establish themselves in the market go bankrupt but also large companies operating for years and maintaining good traditions. Bankruptcies of companies cause many problems not only for the companies themselves but also for the state and many members of society. Thus, it is crucial to evaluate the financial state of a company and its activity results as accurately and early as possible when forecasting the possibility of a bankruptcy. The paper recommends a complex analysis methodology for forecasting company bankruptcies. It consists of the following elements: 1) study of the external and internal environments; 2) evaluation of changes of absolute financial indicators;3) calculation and evaluation of financial ratios; 4) application of bankruptcy prediction models; 5) research of bankruptcy causes and 6) application of operational and prospective measures to avoid bankruptcy. By carrying out a thorough analysis of each of these elements, it is possible to obtain detailed and objective information about the company's financial status, activity results and cash flows as early as possible and anticipate the possibilities of the company's business continuity.
EXPERIMENTAL STUDY ON DEVELOPMENT OF ADOLESCENTS' INTERACTION SKILLS IN SOCIAL PAINTING
Authors: Barkane Evita , Truskovska Zenija
Published: May 2018

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HIPPOTHERAPY OF CHILDREN WITH DOWN SYNDROME: DIFFICULTIES, RECOMMENDATIONS FOR WORK
Authors: Czerw Monika
Published: May 2018

There are many forms of therapy for children with Down syndrome. Among them, hippotherapy is gaining more and more scientific recognition in Poland. Hippotherapy represents an alternative form of rehabilitation, with a key link being an adequately trained horse. The major benefit of hippotherapy is a broad spectrum of effect. It is important for the rehabilitation of people with Down syndrome that hippotherapy offers great opportunities to stimulate physical, cognitive, sensory and verbal areas. Its effect on social functioning of the individual is also substantial. Attractive forms of the therapeutic sessions, positive results of hippotherapeutic effects and the increasing popularity represent the motivation for both practitioners and scholars for organization of knowledge and limitation of scepticism about this field of science.This paper presents author’s observations collected over many years of work as a hippotherapist with people with disabilities. It is aimed to bring closer the aspect of using hippotherapy in the work with children with Down syndrome. The paper also stresses the difficulties and methods to overcome them. It identifies the risks and the observed successes.
LOW-RISE RESIDENTIAL BUILDING AND PLANNING DEVELOPMENT OF LIEPAJA “NEW WORLD” AND THE LAKE TOSMARE SHORE TILL WORLD WAR II
Authors: Ozola Silvija
Published: May 2018

Russian Army Headquarters and Maritime Fleet planned to build a sea and land fortress, and Major General Ivan Alfred McDonald developed a project on August 30, 1892. Near Naval Port and the Lake Tosmare Apparent Heir’s Grove and residential buildings with streets were built. Residential buildings were built in “New World” – land between Romny Railway and Grobin Highway. In Liepaja 1922 administrative border plan development was started to include the Lake Liepaja’s northern part into the urban territory. Low-rise residential buildings of Aspazija’s (former Apparent Heir’s) Grove were supplemented. Research issue – building structure and development of residential buildings of Libava Maritime fortress territory has been studied insufficiently. Novelty characteristics – low-rise residential buildings’ construction and street network of Apparent Heir’s Grove has been analysed. Research goal – analyse “New World” and low-rise residential building and planning of the Lake Tosmare surroundings till World War II. Principal research methods – planning and construction observation in nature, archive and cartographic material analysis. Brief description of research outcomes: fortress built on the Baltic Seacoast affected further development of the territory. Nowadays development of qualitative architectonic space without historical development analysis is impossible.
PSYCHOLOGICAL NEEDS OF DEMENTIA PATIENTS IN SOCIAL CARE INSTITUTION: A QUALITATIVE STUDY
Authors: Terehova Rudite
Published: May 2018

Psychological needs are present in all human beings, but are likely to be heightened for people with dementia because they are usually more vulnerable and less likely to be able to take action to satisfy these needs. The open, unstructured interviews of six patients with dementia were performed with the aim of clarifying their psychological needs in the social care institution. Key themes, derived from interviews: the need for emotional support; the need to maintain autonomy and independence; the need for dignified attitude; the need to participate in decision making and control their lives; the need to preserve the sense of identity; the need to engage in meaningful activities. One expert - social rehabilitator – was interviewed to find out, in which areas dementia patients need psychological support. The expert interview discovered the following themes: dignified attitude; emotional support; meaningful activities; the sense of identity. Increased competence of understanding psychological needs and how those needs can be met, are essential for delivering high-quality care for persons with dementia living in social care institutions.
CONTEMPORARY ACTUALITIES AND CHALLENGES OF ASSESSMENT OF DEPRESSION IN ADOLESCENTS
Authors: Elsiņa Inese
Published: May 2018

Depression is one of the most widespread mental disorders worldwide. Adolescence is a vulnerable period for developing depression. It is associated with a number of challenges in biological, psychological and social areas. Depression, if left unassessed and untreated properly, has a great negative impact on well–being, mental and physical health, social functioning, academical achievement, and economical disadvantages on the national level as well. Studies reveal the need of improving the identification of depression symptoms in adolescents among different types of specialists working with them (i.e. in educational, primary care, clinical settings). Also, efficient measurement instruments and tools are evaluated to help specialists in assessment of the symptoms of adolescents’ depression more precisely. The aim of the current article is, firstly, to justify the actuality of the problem and the assessment of adolescents’ depression, secondly, to provide a theoretical review, integrative analysis of contemporary approaches to assessment of adolescents’ depression globally and in Latvia, thirdly, to describe the proximal research ideas and tasks of the author of this article on the topic.
Clinical efficiency of desmopressin and cyclooxygenase inhibitor use in incontinent women
Authors: Osipova Natalya A. , Niauri Dariko A. , Gzgzyan Alexander M.
Published: May 2018

Hypothesis/aims of study. Questions regarding the pathogenesis of urine incontinence and methods of treatment are acti vely discussed by gynecologists, urologists, and neuropathologists. Urine incontinence often has multifactor origins: the causes of urine incontinence are connected, as a rule, with the violation of urine continence functional mechanisms, anatomotopographical features of the lower urinary tract, or an premature ovarian failure. Simultaneously, changes in kidney function play a role in the pathogenesis of urine incontinence. In some cases, urine incontinence is combined with urine overproduction or inversion of the circadian rhythm of renal function owing to a decrease in the reabsorption of sodium ions in the thick ascending limb of the loop of Henle. In some patients, we successfully normalized ion transport, diuresis, and circadian rhythm of urine production by desmopressin or diclofenac administration. The present analysis was undertaken to evaluate the clinical efficiency of desmopressin and diclofenac in incontinent patients with nocturnal polyuria and polyuria.

Study design, materials, and methods. In total, 130 patients with complaints of urinary incontinence, polyuria (24-h urine volume of 40 mL/kg bodyweight or above), or nocturnal polyuria (nocturnal volume/24-h urine volume of 0.33 or above); 30 incontinent women without polyuria or nocturnal polyuria (comparison group); and 14 control subjects were included. The mean patient age was 43.6 ± 4.5 years (41.8 ± 3.7 years in the comparison group and 39.4 ± 6.3 years in the control group, p > 0.05). All the participants performed seven days of urine collection to determine the voided volumes. Patients with polyuria or nocturnal polyuria performed the 3-fold 24-h pad-test. Patients with polyuria and nocturnal polyuria were examined twice: in the initial state and one month after the start of treatment with the optimal dose of diclofenac or desmopressin (Minirin).

Results. The use of both diclofenac or desmopressin in patients with various types of urine incontinence, polyuria, or nocturia decreased the volume of voided urine because of the normalization of diuresis and an increase in cystometric bladder capacity.
Sudden death and coronary heart disease: findings from a retrospective autopsy study
Authors: CHATZİNİKOLAOU Fotios , DELİLİGKA Aspasia , KOUTSOUKİS Dimitrios , CHRYSOVERGİS İoannis , KARACHALİOU Evangelia , KARAMPOUTAKİS George J. , OUZOUNİ Christina , NAKAKİS Konstantinos , KOUTSAMPASOPOULOS Konstantinos
Published: May 2018

Purpose: The aim of this study was to examine how often myocardial infarction in abruptly dying persons with or without known coronary heart disease could be found as well as to estimate the severity of atheromatosis in correlation to gender and age. Materials and Methods: A retrospective study was designed using data from clinical records of 184 cases of adults who submitted with sudden death and underwent autopsy during a period of one year. We studied the demographic characteristics, season and location of death. Symptoms, smoking, alcohol and drug use, circumstances of death were also record. Coronary arteries findings in autopsy, heart weight, localization of myocardial infarction and the presence of an old myocardial infraction were record from autopsy report. Results: 92 patients (54 male, 38 female mean aged 64.8 years) met the inclusion criteria. In the majority of cases an acute myocardial infraction was certified during autopsy (92.4%). Grading severity of coronary arteries lesions in most of cases they characterized as severe (75%), and only in two cases they found to be normal. Males were more possible to have moderate or severe lesions in coronary arteries compared with females. Severe atheromatosis was found in older victims more frequent compare to younger. Conclusions: Acute myocardial infarction is a common autopsy finding among victims of sudden cardiac death. Old-aged myocardial infraction also can be identified in many cases and the severity of atheromatic lesions extends by age.
The use of the paediatric gastroscope to deploy self-expanding metal stents in patients with cancer of the oesophagus at Dr. George Mukhari Academic Hospital
Authors: Kumar Neha , Balabyeki Moses A. , Sardiwalla Imraan I. , Sardiwalla Yaeesh , Koto Modise Z.
Published: May 2018

Background: Oesophageal carcinoma continues to be a major cause of cancer related deaths worldwide. Metal stents are an established treatment option for palliation of dysphagia. These stents are classically deployed using endoscopy with fluoroscopic control. An alternative technique is using the paediatric endoscope.Methods: The study is a retrospective review of all cases of esophageal stenting at Dr George Mukhari Academic Hospital, Pretoria, South Africa were included. A prospectively maintained database Olympus Endobase® is used in the endoscopy suite. All cases between March 2015- February 2018, where the oesophagus was stented were reviewed. Cases where the paediatric scope was used were analysed further. Data captured from the database included demographics, tumour length, the presence of trahceoesophageal fistula.Results: A total of 233 patients were stented, the paediatric scope was used in 217. The procedure was successfully completed in 84,7% of the patients. Repeat stenting was required in 20 patients. The mean age was 57 years (32-97). Average length of the stricture 9,6cm (5-15cm). The reasons for palliation were patient unfit for surgery (n=159), associated TOF (n=15), unspecified (n=38). The reasons for repeat stenting were stent migration (n=5), tumour overgrowth (n=10) and blocked stent (n=5). Complications were recorded in 1 case where an iatrogenic perforation was caused which was successfully stented. In the 33 cases that failed the reason for failure was inability of the scope to negotiate the stricture. These cases were subsequently completed successfully using a guidewire with fluoroscopy. There was no periprocedural mortality.Conclusions: It is safe and feasible to use the paediatric endoscope to stent tumours of the oesophagus. If the procedure is successful it prevents the exposure of the staff and the patient to radiation. It ensures reliable placement of the guidewire into the stomach as well as confirming appropriate positioning of the stent.
Clinico-bacteriological profile of non-traumatic perforation peritonitis cases attending a tertiary care hospital of central India region
Authors: Meshram Sunita , Lal Manoj
Published: May 2018

Background: Peptic ulcer, typhoid and appendicitis constitute the common causes of non-traumatic perforation, tuberculosis, ascariasis, amoebiasis and roundworm infestation are less common. An increasing incidence of perforation of gastrointestinal tract provoked us to study various aspects of non-traumatic perforation of gastrointestinal tract.Methods: The present study was carried out in 165 patients of non-traumatic gastrointestinal perforation, admitted in the surgical wards of sanjay Gandhi Memorial Hospital associated with S. S. Medical College, Rewa (M.P.), India, in the period from August 2002 to July 2003. All medical and surgical management was done, and necessary investigations were performed. A careful record of pre, per and postoperative findings were made in each in the proforma. All the cases were advised to attend surgical outpatient Department regularly for follow up.Results: Maximum number of cases were due to peptic perforation 70.91% followed by typhoid perforations 26.06% and appendicular perforations 3.03%. Highest incidence of peptic perforation was recorded in the age group of 41-60 years (42.74%), typhoid perforation in age group of 21-40 years (42.74%), typhoid perforation in age group of 21-40 and 41-60 years of age group (40%). Pain abdomen was present in all cases of perforations Next common symptoms in peptic perforations was constipation and distension (90.5%). In typhoid perforations distension constipation (93.03%) followed by abdominal distension (83.72%) and in appendicular distension (80.0%) followed by abdominal distension (40.0%) cases. 51.2%cases of peptic perforation were operated, 58.1% typhoid perforations were operated and 100% cases of appendicular perforation were operated.Conclusions: It is concluded from the study that non-traumatic gastrointestinal perforation is a common emergency surgical problem encountered by a general surgeon. The need for an early and accurate management is necessary, because if not treated timely the result will be fatal.
Is vacuum assisted closure dressing better than conventional management of diabetic wounds?
Authors: Bagul Abhijit , Narwade Nandkishor , Bhupatkar Ankit , Murali Sridevi , Shah Yashraj
Published: May 2018

Background: Foot ulcers are a major cause of hospitalization in patients with Diabetes Mellitus (DM) which increases hospital stay because of multiple surgical procedures, prolonged length of stay. The objectives of this study were to test the conventional therapy for diabetic wounds with respect to time and wound healing, to compare the outcomes of the two methods after a stipulated period and to prove the efficacy of one method over the other by appropriate statistical methods at the end of data collection.Methods: A prospective randomized hospital based observational study of 47 patients was conducted at the Hospital of D. Y. Patil University School of Medicine, Nerul, Navi Mumbai, Maharashtra, India for a period of 24 months (June 2014 to June 2016). All these 47 patients were studied, and the data was statistically evaluated to determine the efficacy of vacuum assisted closure in healing of diabetic wounds and to compare it with conventional method of treatment of diabetic wounds. The patients were divided into 2 groups, Group ‘A’ which consisted of 22 who received Vacuum Therapy (VAC), Group ‘B’ which consisted of 25 and received conventional dressing.Results: The patients on VAC therapy had early appearance of granulation tissue as compared to patients treated by Conventional dressing (90.9% Vs 76% at the end of one week. All patients developed granulation tissue by the end of 2 weeks.Conclusions: We thus conclude that VAC appears to be superior compared to conventional dressings in the treatment of diabetic foot ulcers in terms of early appearance of granulation tissue and decrease in wound depth.
Knowledge and practices of health care professionals to prevent surgical site infection in a tertiary health care centre
Authors: Patil Vaibhav B. , Raval Ravi M. , Chavan Ganesh
Published: May 2018

Background: In spite of advanced operative techniques, availability of higher antibiotics, modern sterilization techniques, higher rate of SSI in government set up after major surgeries is quiet worrisome. Present study is an attempt to assess knowledge and practices of health care professionals to decrease incidence of SSI and to determine their relationship with each other.Methods: This is cross sectional study conducted in one of the tertiary institute in western Maharashtra. Data collection was done by using pre-tested, structured questionnaire. We assessed knowledge and practices followed in wards and operation theatre and compared with standard practices according to WHO infection control protocols. We analyzed data according to Low (<60%), moderate or good (60-80%) and >80% means high knowledge and practices using 3-point Likert scale (never practiced, sometimes practiced, and always practiced). Subgroup analysis will be made by dividing participants in 3 groups mainly consultants (faculty), residents and interns, and staff nurses.Results: Authors found poor knowledge among all three subgroups and in assessment of level of practices, we found that 68.75 % of consultants were following very high level of practices followed by staff nurses (64.51%) and then Interns and residents (49.15%) and while assessing relationship between knowledge and practices in each subgroup by calculating spearman’s Rho coefficient (R), authors found that for interns and residents, P value is 0.025, so association is statistically significant.Conclusions: It can be concluded that health care professionals in the current study have good practices level regarding infection control but knowledge of surgical site infection prevention activities among those was found low. It emphasizes importance of providing training programs for newly joined students, staff nurses and for consultants about infection control protocols at regular intervals.
The role of C-reactive protein as a predictor of difficult laparoscopic cholecystectomy or its conversion
Authors: Kaushik Bhanu , Gupta Shalu , Bansal Somendra , Yadav Bhanwar Lal , Bharti Dinesh , Kalra Deepesh , Sodha Vikram Singh
Published: May 2018

Background: Laparoscopic cholecystectomy (LC) can be the easiest or the most difficult laparoscopic operation. Conversion to open surgery has been a traditional marker of difficult LC. Recent studies have shown that C-reactive protein (CRP) may be helpful to surgeon in knowing the pathological condition of gall bladder before removal. Aim of this study was to evaluate the role of CRP as a predictor of difficult LC or its conversion.Methods: This study was done from 1 march 2016 to may 2017 in department of general surgery, SMS hospital Jaipur, under single unit. All patients with cholelithiasis admitted in single unit of SMS hospital undergoing LC were included in this study. Exclusion criteria were high BMI (>35), proven congenital anomaly of gall bladder, previous abdominal surgery, any conditions increasing CRP and immunocompromised patients.  CRP was done for each patient.Results: Mean age of our 148 patients was 50.41 years. Female to male ratio was 4.28:1. Mean CRP was 22.2±18.2 mg/dl for simple cholecystectomy, 46.5±32.0 mg/dl for difficult cholecystectomy and 83.6±22.4 mg/dl for laparoscopic converted to open cholecystectomy, which was statistically significant (p value 0.0002).Conclusions: CRP is a potent predictor of difficult laparoscopic cholecystectomy and its conversion preoperatively. Patients with preoperatively high CRP have higher chance of complication intraoperative and high chances of conversion to open.
Clinical study of right iliac fossa mass: experience at a rural hospital
Authors: Ramteke Harshal B. , Singh Harmandeep , Wagh Dhirendra D. , Bhoyar Rohini J.
Published: May 2018

Background: Objectives of present study was to study the clinical profile, different modalities of investigation and various modes of management for Right Iliac Fossa (RIF) mass at a rural hospital, A.V.B.R.H.Methods: Total 86 cases of RIF mass were studied prospectively for 4 years from August 2013 to September 2017. Patients above the age of 10 years presenting with a mass in RIF associated with acute/chronic abdominal conditions and incidentaly found mass in RIF on examination and investigation were included in the study. Patients with abdominal wall/bony swellings of the region and gynaecological causes of RIF mass were excluded. After detailed history and clinical examination, patients were subjected for different investigations to establish pathological diagnosis and treated accordingly.Results: 69.76% cases with RIF mass were related to appendicular pathology. Of these 60.48% were appendicular mass and 9.3% were appendicular abscess. 13.95% cases were Carcinoma Caecum, 6.97% cases were Ileo-caecal Tuberculosis, 6.97% were of ilio-psoas abscess and 2.32% cases were of Intusussception. Mean age of RIF mass was 37.41 years with a male preponderence of 1.4:1. Pain in abdomen was the commonest symptom. 16.28%(14) cases were treated conservatively and 83.72%(72) were treated surgically.Conclusions: Most common cause of RIF mass is appendicular lump (60.46%) among various other pathologies. Pain in abdomen is the commonest presenting symptom. Interval appendectomy should be considered essential as the incidence of recurrence of appendicitis and mass formation is high after conservative treatment. Detailed history and thorough clinical examination is of utmost importance to reach the correct clinico-pathological diagnosis of RIF mass.
A comparative study of open and closed hemorrhoidectomy
Authors: Mohapatra Raghunath , Murmu Dasarathi , Mohanty Alok
Published: May 2018

Background: Hemorrhoidectomy is the treatment of choice for patients with third-degree or fourth-degree haemorrhoids. This prospective randomized clinical study compared the outcome of surgical haemorrhoidectomy by open and closed techniques in terms of postoperative pain, wound healing, and morbidity.Methods: All consecutive patients with Grade III internal haemorrhoids or Grade IV haemorrhoids were randomly allocated to one of two groups. The entire wound was left open in the open group and completely closed using 2-0 chromic sutures in the closed group. Postoperative pain was assessed by a linear analog scale. Additional consumption of analgesics on the day of surgery and at defecation during the first week was recorded. Patients were followed up 1, 2, and 3 weeks after the procedure.Results: There were 30 patients in each group. No statistically significant differences were found between the two methods regarding complications, pain, or postoperative stay. There were four reoperations for bleeding, all after Milligan-Morgan operations. At follow-up after three weeks 78 percent of the Ferguson patients had completely healed wounds, and none had signs of infection. Of the Milligan-Morgan patients, only 26 percent had completely healed wounds, and symptoms of delayed wound healing were significantly more frequent.Conclusions: Both methods are fairly efficient treatment for third and fourth degree hemorrhoids, without serious drawbacks. The closed method has no advantage in postoperative pain reduction but is more advantageous with respect to faster wound healing.
Lower limb cellulitis in non-diabetic patients: a prospective study
Authors: Adimoolam Eakanathan , Pitchai Rajapandi
Published: May 2018

Background: Lower limbs are commonly involved in cellulitis as they are more susceptible to injuries. This study analyzes the various causes and risk factors for cellulitis in the non-diabetics.Methods: This prospective study was conducted at the Department of General Surgery, Government Thanjavur Medical College and included 100 non-diabetic patients with lower limb cellulitis. The severity of cellulitis was graded as per the CREST guidelines. Demographics, risk factors, grades, management and treatment outcomes were recorded and analyzed.Results: Cellulitis was more common in females (58%) and old age group (37%). It was more unilateral (86%) and resulted more from post bite wounds (21%). 76% had culture-positive wound infections. Severe grades of cellulitis needed surgical intervention and many patients needed skin grafting.Conclusions: Nondiabetic patients with lower limb cellulitis can also result in severe morbid consequences but in the absence of co-morbid illness, they usually recover with minimal residual disabilities. Nondiabetic elderly patients have to be motivated to take care of their feet as the diabetic patients, as neglect of minor trauma or bites can lead to morbid illness necessitating major treatment like skin grafting.
Clinical analysis of cardiac failure in post-myocardial infarction patients
Authors: Reddy R. Jaya Prakash , Reddy P. Vijaya Narasimha
Published: May 2018

Background: Cardiac failure is one of the common complications of Acute Myocardial Infarction. As CAD is the leading cause of death and post MI Cardiac failure also causing increase in rate of Mortality. It directs us to assess the complications of MI and to evaluate the precautionary & preventive steps of cardiac failure.Methods: The present study comprises of 50 cardiac failure patients with history of MI in the past and who presented with myocardial infarction with cardiac failure were included in this study. We excluded the patients who presented with Cardiac failure without Prior history of MI. This hospital based cross sectional study was conducted at Rajiv Gandhi Institute of Medical Sciences (RIMS), Ongole, Prakasam District, Andhra Pradesh. The study was carried out for a period of 1 year with informed consent.Results: In present study majority number of patients (33) show hypokinesia and 10 are found to have dyskinesia and only 4 are akinesia. In this study More than 50% patients are with history of anterior wall involvement. 36(72%) patients have elevated JVP, 34(68%) have cardiomegaly, 38 patients presented with PND. 29(58%) patients are DM and 35(70%) are HTN and only 6(12%) patients are neither DM, nor HTN.Conclusions: Cardiac failure is a common complication after MI. Most common presentations are breathlessness, chest pain, PND, JVP etc. Anterior wall MI on ECG either isolated or associated with other walls is the leading cause of post MI cardiac failure.
Levantamento sobre a utilização de jogos na Análise do Comportamento Aplicada
Authors: Azoubel Marcos Spector , Pergher Nicolau Kuckartz
Published: May 2018

Os jogos têm sido defendidos como ferramenta de intervenção em diferentes con- textos de aplicação. O objetivo desta pesquisa foi realizar uma caracterização das pesquisas que envolveram a utilização de jogos (games) como variável independente publicadas no Journal of Applied Behavior Analysis (JABA). Foram selecionados 17 artigos, publicados de 1968 a 2015. Os elementos manipulados mais frequentes foram as regras sobre o funciona- mento do jogo, o acúmulo de pontos e as consequências grupais para respostas individuais. A maioria das pesquisas foi realizada em escolas e teve como foco comportamentos considerados inadequados. Os resultados das pesquisas sugerem ampla efetividade das características de jogos na modi cação de comportamentos. Discute-se a de nição de “jogo” e o caráter de inovação atribuído à chamada gamificação.
Emergência de relações equivalentes a partir do treino de discriminação simples simultânea com estímulos compostos
Authors: Silveira Marcelo Vitor , Dos Santos Alceu Regaço , De Rose Julio Cesar
Published: May 2018

Estudos anteriores confirmaram a emergência de relações de equivalência a partir das discriminações condicionais treinadas no procedimento matching-to-sample (MTS). Também se verificou a emergência de classes de equivalência após o estabelecimento de discriminações condicionais entre as unidades de estímulos compostos apresentados em treinos de discriminações simples sucessivas. Os protocolos de treino de discriminação simples simultânea com estímulos compostos não estão sendo devidamente explorados, a despeito das evidências de sua eficácia para o estabelecimento de discriminações condicionais entre os elementos dos estímulos compostos e relações de equivalência. O objetivo dessa pesquisa foi verificar o estabelecimento de classes de equivalência a partir de um treino de discriminações simples simultâneas. Cinco universitários foram ensinados a responder diferencialmente aos estímulos compostos “corretos” e “incorretos”, que eram apresentados em uma tarefa de discriminação simples simultânea. Três participantes atingiram o critério no treino AB e AC e foram submetidos ao teste AC e CA. O teste foi conduzido no formato MTS, no qual os elementos dos estímulos compostos foram isolados e apresentados com estímulos-modelo ou como estímulos de comparação. Dois participantes atingiram o critério de 90% de acertos nos testes e um participante ficou um pouco abaixo deste critério. As performances de dois participantes confirmaram a previsão de que classes de equivalência se originariam a partir deste procedimento, o que confirma a efetividade de procedimentos alternativos ao MTS para o tratamento empírico do fenômeno da formação de classes de equivalência.
Descrição e análise de prescrições comportamentais em legislações referentes ao planejamento urbano brasileiro
Authors: Lourencetti Luiz Antonio , Carrara Kester
Published: May 2018

O desenvolvimento urbano brasileiro é caracterizado pela ausência de planeja- mento que pode ser apontada como um dos precursores dos fenômenos de exclusão e de- sigualdade social atuais. Diante disso, tornam-se imprescindíveis políticas públicas como forma de minimizar eventuais consequências negativas. O planejamento de políticas públicas muitas vezes envolve um planejamento cultural, o que está intrinsecamente relacionado à maneira com que os indivíduos interagem entre si e com o ambiente em que estão inseridos. Nesse sentido, utilizando a descrição de contingências comportamentais de três termos (con- texto antecedente, resposta e consequência), este estudo objetivou analisar funcionalmente legislações acerca do planejamento urbano, especi camente no Estatuto da Cidade, Política Nacional de Mobilidade Urbana e Plano Diretor de Bauru/SP, para identi car e analisar pres- crições comportamentais direta ou indiretamente referenciadas. Foram identi cadas e descri- tas contingências comportamentais, sendo estas relacionadas a prescrições comportamentais a agentes públicos de diferentes níveis de governo, bem como contingências que tratam do comportamento dos munícipes. Foi possível constatar que a lei não explicita os termos que compõem as contingências, sendo que tais implicações são discutidas sob a ótica da Análise Comportamental da Cultura, destacando relações entre as leis e os possíveis efeitos sobre o comportamento dos envolvidos em sua execução.
Método Reno: uma proposta para análise comportamental do discurso
Authors: Xavier Giovanna Silveira , Espíndola Priscila Sampaio , Córdova Lucas Ferraz , Da Silva Nayla Nara Ferreira Mota
Published: May 2018

Em 1957, Skinner publicou a obra “O Comportamento Verbal”, na qual aplicou os pressupostos do behaviorismo radical para uma explicação da relação verbal entre falante e ouvinte, dando ênfase especial na descrição do comportamento do falante. Desde então, tais premissas têm sido sistematicamente aplicadas à análise comportamental do discurso (ACD) e alguns importantes estudos têm se desenvolvido na área. O presente artigo tem por objetivo apresentar, didaticamente, o método de análise do discurso desenvolvido por Willard Day Jr. (1926–1989) e seus alunos, na Universidade de Nevada, no final da década de 1970. Para isso, propõe-se uma junção concisa, atualizada e prática de fases para a realização desse método. O Método Reno, como ficou conhecido, busca inter-relacionar, sob influência do movimento hermenêutico, o método experimental ao método interpretativo e tem se mostrado eficaz e interessante para a análise de relações verbais.