bluuebunny/crossref_metadata_2025 huggingface dataset:
A study on waiting time and out-patient satisfaction at Gujarat medical education research society hospital, Valsad, Gujarat, India
Authors: Patel Ravikant , Patel Hinaben R.
Published: February 2017

Background: Gujarat Medical Education Research society started GMERS medical college and tertiary care Hospital in Valsad since last 4 years. As civil Hospital is converted in to tertiary care hospital and many of the departments running in different buildings so, searching the concern OPDs is difficult for patients, waiting time and patients satisfaction is important to avail the services. Patient satisfaction is one of the important goals of any health system, but it is difficult to measure the satisfaction. Aims & objectives were (1) to study the waiting time at various Out Patient Department (OPDs). and various investigation; (2) To study the accessibility of various department of hospital;  (3) To study the patient satisfaction on hospital process, behavior of hospital staff and treatment cost.Methods: This was a cross sectional observational study conducted in G.M.E.R.S. Hospital-Valsad for the period of 2 months and total 135 patients were interviewed availing the OPD Services.Results: The mean age of patient attending the OPD was 30.31±15.65 years and majority of them are female patient (54.07%). Hospital staff (48.89%) was main source of guidance for searching the OPDs for consulting the doctor. 54.07% patient registered 20 min after standing in queue. The mean waiting time was 12.16±2.35 min. 94.07% and 98.52% patients were satisfied with treatment cost and behavior of staff respectively.Conclusions: Many patients face the difficulties in finding the various departments. On an average 12 minutes of waiting time outside the various O.P.Ds. They were also satisfied with the treatment cost and behaviour of hospital staff.
Job satisfaction of counsellors at integrated counselling and testing centres (ICTCs) of Delhi, India
Authors: Chellaiyan Vinoth Gnana , Raut Deepak K. , Khokhar Anita
Published: February 2017

Background: Counselling services play a crucial role in catering clients of integrated counseling and testing centers (ICTCs). The counsellors provide information, education regarding HIV testing and treatment, guidance and support to the clients in taking informed decisions. The counsellors pose challenges due to the burden of client’s number and decreased self-satisfaction in the job. The objective was to assess the job satisfaction of counsellors providing HIV counseling services at ICTCs of Delhi.Methods: The study was cross sectional, conducted in Integrated Counseling and Testing Centers. The study was conducted in 20 selected ICTCs of Delhi. Selection of ICTCs was on the basis of population proportion to size of clients catered. All the counsellors in the selected ICTCs were invited to take part in the study. The interview of the counsellors was completed by maximum of 3 visits. A pretested, structured questionnaire with five point likert scale for satisfaction was used. Chi square test was applied. P value of<0.05 was significant.Results: In 20 ICTCs, a total of 32 counsellors participated in the study. Among 32 counsellors, 14 (43.8%) were males and 18 (56.2%) were females. Majority (93.7%) of counsellors said that refresher counselling training was very useful. Most of the counsellors, 22 (68.7%) suggested that strengthening the collaboration with non-government organizations would increase the number of direct walk-in clients. Majority of the counsellors, 26 (81.2%) said that they were satisfied with the job. However, 19 (59.3) counsellors said that they would change the profession if given a choice.Conclusions: Periodical salary revisions and further career growth in counselling domain, could improve the job satisfaction and would help the counsellors retain the job. This would cut down the additional expenses of the programme for imparting induction training often-times.
Antimicrobial susceptibility profile of Vibrio cholerae strains isolated at a tertiary care medical centre in New Delhi, India
Authors: Uppal Beena , Mehra Bhanu , Panda Pragyan Swagatika , Kumar Shyam Kishor
Published: February 2017

Background: Vibrio cholerae is a common cause of acute diarrhea in India. Extensive and injudicious use of antimicrobials has led to the emergence of V. cholerae strains that are resistant to several antibiotics. The present study was conducted to document the antibiogram of V. cholerae strains isolated at an urban health centre in New Delhi. The present study was a retrospective, record-based analysis conducted from January to December 2015, at the Department of Microbiology of a tertiary care teaching institute.Methods: Stool samples received in the laboratory were processed as per standard microbiological techniques and all the V. cholerae strains isolated were subjected to antimicrobial susceptibility testing as described in the Clinical and Laboratory Standards Institute (CLSI) guidelines. Data was analyzed using the Epi info software, version 3.5.3, and results depicted in the form of descriptive statistics.Results: Vibrio cholerae was isolated in 70 of the 2340 stool samples processed during the study period. Serogrouping revealed that 66 (94.3%) of the isolates were V. cholerae O1 serotype Ogawa, while non-O1 non-O139 serogroups constituted 4 (5.7%) isolates. The strains exhibited resistance to nalidixic acid (94.3%), ampicillin (92.9 %), ciprofloxacin (55.7%), cefotaxime (41.4%), gentamicin (22.9 %) and amikacin (7.1 %). Conclusions: Our study highlights the significance of regular surveillance of antimicrobial resistance profile of V. cholerae strains for proper management of cholera.
Umblical myiasis in a newborn: a case report
Authors: Jauhari Shalabh , Nautiyal Sulekha
Published: February 2017

Myiasis is defined as the infestation of live vertebrates (humans and/or animals) with dipterous larvae. We present a case of rare but not unknown type of myiasis, presented by an 11 days old neonate. The larvae were characterised microscopically. Poor sanitation is probably the most important risk factor for human myiasis. Umblical myiasis though a rare presentation due to improved health conditions and health education still remains an entity to be looked for in case of newborn belonging to low socio economic status parents and even in orphanages.
Evaluation of new scoring system predicting the occurrence of deep infection in open fractures patients
Authors: Salama Khaled Morsy , Abdallah Ahmed Abdelbadie , Alghoul Yassin Mohamed Sakr , Mostafa Mohamed Saleh , Zied Elsayed Abdallah Elsayed
Published: February 2017

Background: Open fractures of long bones incidence is 11.5 per 100,000 person per year. The management of open fractures had been improved by early adequate surgical debridement and various types of fracture fixation. The Gustilo classification is commonly used for treatment decisions and comparison. Although it had a good prediction power for deep infection but the variability among the inter observer was a problem. Yokoyama et al., 2009 he had advised a new scoring system based on three items of HFS-98 to predicting significant deep infections in open upper and lower extremity fractures.

Methods: This study was conducted at Emergency Department Suez Canal University Hospital on 233 Patients with open fractures of long bones from April 2014 till November 2015. The patients were classified according to the criteria proposed by Gustilo classification & Yokoyama’s new scoring system. The relationship between the new score three items were investigated by categorical regression multivariate analysis.

Results: In this study, we had 233 Patients with open fractures of long bones. Road traffic accidents were the mechanism of injury in (44.6%). Deep infection was positive in 70/233 patients with Gustilo GI. The cut-off point of application of Yokoyama’s new scoring system was 30, Sensitivity; 63.3%, Specificity; 89%, significant P-value <0.001.
Conclusions:The cut-off point of the new Yokoyama’s new scoring application in this study was slit different from the reported applicable values before. This revised scoring system was thought to be useful for predicting deep. Further prospective trial is needed for advising new scoring system.
 
Comparative study between percutaneous pinning and ligamentotaxis using external fixator in the management of distal end radius fracture in adults: a prospective study
Authors: D. K. Sridhar , S. Raghavendra T. , Mahida Jaipalsinh R.
Published: February 2017

Background: Fractures of distal end of radius are beginning at the proximal end of pronator quadratus and ending at the radio-carpal articulation. The final aim in the management of comminuted intra-articular fractures of distal radius is to restore normal function. Recognition of patterns that are inherently unstable and therefore necessitate additional forms of fixation to secure and maintain reduction and prevent late collapse is the key for successful management of the more complex fractures of distal radius. The aim is to study the functional outcome of surgical management of comminuted intra-articular fractures of distal end radius by comparing 2 different methods of surgical interventions.

Methods: In study of 30 cases treated in period from March 2008 to September 2009 at St. Martha’s Hospital by ligamentotaxis and percutaneous pinning, all patients with compound fractures, Frykman's IV, V, VI, VII and VIII, comminuted fractures and in fractures where reduction was lost following closed reduction and POP application were taken into consideration.

Results: The average age in males were 41.35 years and female were 35 years. 12 (40%) fractures were type VII, 6 (20%) were type VIII, 9 (30%) were type IV and 3 cases (10%) was type V. functional results in ligamentotaxis group (G1) 7 cases had excellent results (47%), in percutaneous pinning (G2), 3 cases had excellent result (20%). In ligamentotaxis group (G1) 3 had good results (20%), in percutaneous group (G2) 6 had good results (40%). In ligamentotaxis group (G1) 5 had poor results (33%), in percutaneous pinning group (G2) 6 had poor results (40%).

Conclusions: In comparative studies, external fixation with percutaneous pinning consistently achieves better anatomical results as compared to percutaneous pinning alone. In our study, also this technique has shown satisfactory result that lead to high rate of return to pre-injury status, high level of patient satisfaction and low rate of complications.
A study of surgical management of distal femoral fractures in adults using locking compression plate
Authors: Bachu Srinivas , L Ramulu
Published: February 2017

Background: The introduction of locking compression plates with option of locked screws has provided the means to increase the stability of fracture fixation.

Methods: In this study, 30 distal femoral fractures were treated using the distal femoral locking compression plate. All fractures were fresh, closed and operated within 12 days. Follow up duration ranged from 6 to 18 months.

Results: In this study, 20 patients were males and 10 were females. The 23 of the fractures (76.66%), were caused by road traffic accidents, 3 were due to accidental falls (10%), one was due to assault and 3 were due to fall from height.9 patients had associated injuries.  All patients were treated with open reduction and internal fixation using Locking Compression Plate. 6 to 9 holed plates were used. Out of 30 patients 2 went for delayed union and 3 went for non-union. Average knee flexion was 109o having knee range of motion more than 100 with 50% patients. Average knee extensor lag was 2.4 degrees with only 4 patients with lag more than 5. 2 patients developed 2 cm shortening. 4 patients had less than 5 degrees of malalignment. 2 patients had deep infection. Functional outcome was measured using NEER's scoring system and was done at the end of 5- 7 months (average of 6 months).  Excellent results- 17 (56.66%) good results-8 (26.66%) fair results-2 (6.66%) poor results-3 (10%).

Conclusions: LCP condylar plate represents an evolutionary approach to the surgical management and is an important armamentarium in distal femur fracture fixation, especially when fracture is severely comminuted and in situations of osteoporosis. 
Analysis on Energy-saving Lighting Design of the Underground Construction
Authors: Du Fang , Li Yong , Wu Feng
Published: February 2017

There are often no windows and lack of natural light in the most of underground space, so lighting design is the most basic for most underground architectural design. Natural lighting is not only for comfortable indoor energy-saving and healthy light environment, but also for the good indoor environment. We need to use natural light and artificial lighting conduction system to offset the lack of natural light and improve the effect of underground space of natural light.
The Study on Complex Planting Modes of Urban and Architecture
Authors: Tang Bin , Han Dongqing
Published: February 2017

An ideal urban planting mode of contemporary cities is discussed, and the
urban complex planting modes are compared and analyzed. Based on architect Emilio
Ambasz’s “overlay” theory, a multi-cell and three-dimensional complex planting mode
closely combined with architectural space is presented. Aiming at the current shortcoming
of paying attention only to local advantage and ignoring the whole benefit of urban
planting, it is suggested to integrate the urban planting system with the architectural
system, so as to emphasize the maximization of the integrative using efficiency of urban
space.
Integrating Urban Building Space and Transportation Space to Solve Traffic Congestion
Authors: Zhang Hong
Published: February 2017

Today, with urban function system increasingly complicated, there exist problems which are seriously hindering urban sustainable development in most cities such as traffic jams, constructive destruction, building space separation with traffic space, poor urban space resource utilization and so on. So the article makes a number of integration methods of urban building space and transportation space from the perspective of urban morphology integration. It tries to integrate urban environment with techniques of multidimensional space interludes, cascading, infiltration between building space and traffic space in three-dimensional space coordinates, to achieve the objectives   of proper division, solving traffic congestion problems and the establishment of a new dynamic three-dimensional transport system.
The Primary Discussion on the Safety Management of Construction Site
Authors: Feng Qi
Published: February 2017

In recent years in building construction site construction workers due to the complexity, the project construction period, the working environment is poor, the construction process hazard and more security-conscious workers partial bottom. When accidents occur, such as by falling, falling objects wounding, electric shock, earthmoving collapse, overturning and other machinery, causing casualties, to construction companies and property losses caused by the economy to varying degrees. Throughout its reasons, one is security responsibilities are not clear, safety supervision and management system is not perfect, the other is the weakening of the internal management of construction enterprises, especially flawed construction site management, lack of effective security measures, the responsibility is not implemented, management personnel and operations personnel have not performed the necessary education and training, lack of knowledge of security technologies, illegal command, illegal operation.
Discussion of Building Electrical Lighting Energy-saving Design
Authors: Liu Shixiong
Published: February 2017

This paper mainly for the construction of electrical energy-saving lighting design analysis, discussed the importance of building electrical lighting energy-saving design, and specifically describes how electrical energy-saving design, in order to provide reference for the construction of electrical energy-saving design.
 
The Research of High Voltage Auxiliary Power System Neutral Point Grounding Modes between the Nuclear Power Plant and Conventional Fossil Fuel Power Plant
Authors: Zhang Yunfeng , Pan Hourong
Published: February 2017

Currently, in power plants, the application of the extinction coil in high voltage auxiliary power system neutral point is less experienced. A research done on nuclear power plant and conventional fossil fuel power plant proved that using an auxiliary power system’s different characteristics was leading to different demands of the grounding modes. Thus, this research was done by selecting the grounding mode of high voltage auxiliary power system neutral point on the main nuclear power plants and the partial fossil fuel power plants together with the calculation of practical engineering, and optimal design schemes. The high voltage auxiliary power system neutral point grounding modes have been induced in the large-scale into the nuclear power plant and the conventional fossil fuel power plant. Methods in determining the neutral point grounding modes are used by analyzing the principles commonly used grounding modes and requirements of related codes. First, choose the suitable grounding mode according to the calculation result of capacitive current. Then, choose more conducive grounding mode to the operation of power plant according to the operation of technology equipment. The power is required from the configuration, connection of auxiliary power and the cut from the accident of auxiliary power. As some power plants which are under-construction will be putting into operation one after another, the whole set of perfect security arrangements and operating experiences will also be accumulated inevitably. As a conclusion, high voltage auxiliary power system neutral point grounding modes directly affect the running of the auxiliary power system and even affect the security of the nuclear safety and the operation of the power plant. I hope this article can play a role for reference on the selection of the auxiliary power system grounding modes.
Difficulties and Countermeasures on Fire Protection Design of Large Commercial Building
Authors: Han Wuyi
Published: February 2017

Large commercial building has gradually become the main trend in commercial buildings recently. In current national fire protection design specification, the lacking of targeted measures for the fire protection design on such building will bring obsession to building designers during the specific engineering design, and it can easily lead to non-compliance with national specification. Therefore, we propose relevant state departments to publish state technical standard on fire control against fire protection design of large commercial building. Based on the collected information, data and conducted experiments, standardize the fire protection design of such buildings, will effectively avoiding formation of major fire potential. 
Research on Architectural Design Thinking Innovation
Authors: Zou Guangyu
Published: February 2017

Architectural design thinking innovation is the innovative thinking activities of inside and outside area of building, in order to meet the daily life and entertainment needs. With the development of economy, people have increasingly high design requirements for the building, which requires designers to improve their innovative thinking and ability of aestheticism. It continually innovate and inspire talent during the building design, and combine the theory and actual situation, in order to develop the new realm of architectural design work. This paper will mainly analyze and discuss the architectural design innovation thinking.
Research on Building Information Model (BIM) Technology
Authors: Yang Tianqi , Liao Lihui
Published: February 2017

All above this paper is to give the BIM scientific definition, describes the BIM six technical characteristics and points out the essence of BIM Technology, creatively put forward the mature styling BIM seven technical standards, depicting the BIM Technology Development Tools, and other technical fusion development realize the feasibility of the technical route, show the BIM building life cycle management strategies and methods based on, from the two dimensions of qualitative and quantitative, symbiosis is the example of the fused BIM Technology and energy consumption analysis tool. In the realization of green, smart and sustainable design BIM technology advantages to focus attention, the article finally, the BIM technology in China's engineering practice in the application of the prospects for the future.
Comparative Analysis on Main Material index of China and International Composite Girder Bridge with Corrugated Steel Web
Authors: Lei Zheng , Yang Guodong , Chen Huali , Ma Chunyang
Published: February 2017

Prestressed Concrete girder bridge with corrugated steel web is type of girder bridge that evolve rapidly in recent year, its excellent mechanical properties is getting more and more recognition by majority of the bridge engineers. This article investigate the case study of constructed girder bridge with corrugated steel webs in China, analyze and give comment based on their construction design, technology and etc. With the data of constructed girder bridge with corrugated steel webs in Japan, comparative analysis of the main material index of China and Japan girder bridge with corrugated steel webs was compared, the material index function was developed to ease the estimation of related construction.
The Unity of Space in Buildings and Music
Authors: Hu Lanyue
Published: February 2017

The phrase “buildings are the essence of music while music is the flow of buildings” is well known but rarely understood by many. If indeed music is repeated in its simplest way, it could not escape its literary metaphor. This is a property that is difficult to define as music and architecture should be examined from all perspectives. This report examines the compatibility between music and buildings from the viewpoint of modern art which improves our understanding and appreciation of architectural features. Therefore, in principle, the relationship to unify buildings and music should be investigated.
Analysis of Geological Survey Technology in Building Engineering
Authors: Wei Zhou
Published: February 2017

During the process of building construction, the role of geological survey is most important and it can be the factor that determines the success of an entire building construction project. Only if the geological survey is valued and related investigation record works is done prior to building construction, and ensures that the integrity and accuracy of the records, then only a scientific construction design can be made and assure the stability of the construction building. It can also promote the success of building construction; keep the harmony of the natural environment of construction site and to establish a good foundation for the sustainable development of building construction. Therefore, this paper mainly analyses the geo-logical survey technique in building construction engineering.
A DISPUTA DO FUNDO PÚBLICO DA PREVIDÊNCIA SOCIAL NO CONTEXTO DA MUNDIALIZAÇÃO DO CAPITAL
Authors: Rocha Flávia Rebecca Fernandes
Published: February 2017

O presente artigo apresenta a correlação de forças das classes em disputa na sociedade capitalista pelo fundo público da política de previdência social. Sob o falso argumento do déficit previdenciário, o governo, associado à burguesia nacional e internacional, difundem uma “cultura de crise” que propicia o achatamento do sistema de proteção social brasileiro, por meio de contrarreformas, escamoteando aquele que é o cerne da questão: a crise de um modelo econômico cada vez mais caro, que fez crescer a dívida e as despesas com encargos e juros; e que absorve os recursos das políticas públicas em geral, principalmente as da seguridade social, por meio de renúncias fiscais e desvio de receitas.Palavras-chave: Previdência Social, Fundo Público, Capital.
A PREVIDÊNCIA SOCIAL COMO DETERMINANTE DA DISTRIBUIÇÃO DE RENDA NO ESTADO DO CEARÁ
Authors: Rodrigues Rômulo Eufrosino de Alencar , Nunes Erivelton de Souza , Sousa Eliane Pinheiro de
Published: February 2017

O artigo faz uma análise da funcionalidade previdenciária cearense quanto à distribuição de renda em nível municipal no ano de 2010. Utiliza estatística descritiva e a estimação de um modelo econométrico de regressão linear múltipla, em que a relação entre arrecadação e despesa previdenciária municipal foi considerada como variável dependente, enquanto as variáveis explicativas foram representadas pelo Produto Interno Bruto (PIB), PIB per capita, número e proporção de idosos na população. Emprega dados do Anuário Estatístico do Ceará, fornecidos pelo Instituto de Pesquisa e Estratégia Econômica do Ceará (IPECE). Os resultados sinalizam que a previdência social cearense, ao possibilitar a transferência de renda dos municípios mais ricos para os mais pobres, constitui-se em importante mecanismo redistributivo em nível local.Palavras-chave: Previdência social, Ceará, regressão linear múltipla.
AS ALTERAÇÕES NA LEGISLAÇÃO DO BENEFÍCIO DA PENSÃO POR MORTE E SEUS REFLEXOS
Authors: Guilhem Marisangela Caminero , Briancini Valkiria
Published: February 2017

Abordagem da Previdência Social como subsistema da Seguridade Social. O objeto do estudo é o benefício previdenciário denominado pensão por morte, concedido aos dependentes do segurado da Previdência Social que vem a falecer, podendo ou não estar aposentado. Esse benefício é uma prestação de caráter contínuo que substitui a remuneração do segurado falecido. O artigo apresenta as alterações introduzidas pela Lei n.º 13.135/2015 quanto à concessão do benefício em questão e esclarece as razões que ensejaram tais modificações. A pesquisa foi elaborada através do método hipotético-dedutivo por meio de revisão de literatura e análise documental com destaque para a doutrina nacional, súmulas e legislações específicas sobre o tema.Palavras-chaves: Previdência Social, benefício, pensão por morte, alterações, Lei n.º 13.135/2015.
SUPEREXPLORAÇÃO DA FORÇA DE TRABALHO E PREVIDÊNCIA SOCIAL NA AMAZÔNIA
Authors: Silva Christiane Pimentel e
Published: February 2017

O artigo discute os mecanismos de exploração e superexploração da força de trabalho, no pensamento de Karl Marx e de Ruy Mauro Marini, para compreender o acesso dos trabalhadores à proteção social, especialmente a Previdência social. Destaca as formas específicas de inserção da força de trabalho na Amazônia, tanto ao trabalho quanto à previdência, a partir de indicadores sociais e conclui que a superexploração constitui barreiras estruturais à consolidação da proteção social universal, incluindo a previdência social, que no contexto amazônico ainda é acirrado pela sua forma de inserção ao capitalismo.Palavras-chave: Superexploração, proteção social, Previdência Social, Amazônia.
TENDÊNCIAS E IMPASSES DA SEGURIDADE SOCIAL E O FUTURO DA PREVIDÊNCIA NO BRASIL CONTEMPORÂNEO
Authors: Severiano Evania Oliveira
Published: February 2017

O artigo analisa tendências e impasses da Seguridade Social e da Previdência Social no contexto das contrarreformas no Brasil contemporâneo. Tem por base pesquisa bibliográfica, documental e observação militante. Enfatiza que, no âmbito das contrarreformas, aprofunda-se a precarização dos direitos sociais, sob duplo movimento sincronizado: mercantilização de direitos, sobretudo na saúde, previdência, educação e acesso seletivo e focalização em ações referidas à Política de Assistência Social. Conclui que entre as múltiplas determinações desses processos, sob a hegemonia da fi nanceirização da riqueza, destacam-se,no Brasil, três processos articulados: confl uência entre as conquistas democráticas e direitos sociais na Constituição/1988; ciclos de ajustes e contrarreformas e mais recentemente o fenômeno denominado “golpe parlamentar-jurídico e midiático”.Palavras-chave: Estado, Fundo Público, Seguridade e Previdência Social, direitosocial.
RESENHA SILVA, Maria Lucia Lopes da. Previdência Social no Brasil: desestruturação do trabalho e condições para sua universalização. São Paulo: Cortez editora. 2012.
Authors: Araujo Cleonice Correia
Published: February 2017

A presente resenha refere-se ao livro Previdência Social no Brasil: desestruturação e condições para sua universalização, publicado no ano de 2012 pela Cortez Editora. O livro, originalmente tese de doutorado, traz a público o necessário e urgente debate sobre a Seguridade Social brasileira, mais especificamente a Previdência Social na sua histórica relação com o trabalho. A análise apresentada é densa, rigorosa, combina elementos da teoria e da empiria como resultado de exponencial articulação entre investigação científica, competência profissional e militância política. Essas dimensões se refletem na propriedade e profundidade com que a autora desvela as regras e desdobramentos complexos que conformam a Previdência Social no Brasil. Esta é apreendida para além da sua dimensão técnica e fenomênica, mas como um processo histórico, político, instituída jurídica e socialmente como um direito social construído a partir das lutas da classe trabalhadora.
DETERMINANTES DA PARTICIPAÇÃO FEMININA NO ESPORTE NO NORDESTE DO BRASIL
Authors: Godoy Márcia Regina , Triches Divanildo
Published: February 2017

O artigo analisa, por meio da teoria do capital saúde, os determinantes econômicos da participação em atividades desportivas entre as mulheres, de 20 a 40 anos, residentes no Nordeste do Brasil. Utiliza o modelo de regressão probabilística para os dados da Pesquisa Nacional de Amostra de Domicílios de 2008. Destaca que os resultados revelaram que16,76% das mulheres praticam atividades desportivas. A modalidade esportiva mais praticada é a caminhada. A escolaridade e a renda são as variáveis que mais afetam positivamente a probabilidade de uma mulher praticar exercício físico. O fator redutor é ter filhos até 5 anos. Essas conclusões foram coerentes com a teoria do capital saúde e podem ser utilizados por gestores públicos na adoção de políticas públicas para encorajar e difundir a prática da caminhada, atividade que não requer investimento em equipamentos e acompanhamento especializado.Palavras-chave: Esporte, economia da saúde, atividades desportivas, sedentarismo, Região Nordeste.
FOMENTO FEDERAL AO ETANOL DE SEGUNDA GERAÇÃO NO BRASIL: um exame da atuação da FINEP e do BNDES
Authors: Pereira Wellington , Paula Nilson de
Published: February 2017

O objetivo do artigo é destacar as ações do governo brasileiro por meio do crédito para pesquisa e desenvolvimento dirigidas à produção de etanol, destacando-se o caso da segunda geração. Apresenta ainda exame do crédito e das subvenções concedidos a projetos relacionados ao etanol pelas duas principais instituições subordinadas ao governo federal no fomento a P&D e investimentos de longo prazo: a Financiadora de Estudos e Projetos (FINEP) e o Banco Nacional de Desenvolvimento Econômico e Social (BNDES). A argumentação leva em conta a importância estratégica destes produtos para o dinamismo do segmento sucroalcooleiro, com repercussões positivas no conjunto da economia, disseminando novas tecnologias e conhecimentos.Palavras-chave: Etanol, políticas públicas, biocombustíveis, FINEP, BNDES.
PESCADORES ARTESANAIS E A EXPANSÃO PORTUÁRIA NA PRAIA DO BOQUEIRÃO, ILHA DE SÃO LUÍS-MA
Authors: Ribeiro Itatiane , Castro Antonio Carlos Leal de
Published: February 2017

Descrição de focos de confl ito socioambientais decorrentes da polarização entre a atividade portuária e a pesca artesanal na praia do Boqueirão. O estudo ocorreu no período de janeiro a abril/2014, utilizando como métodos a observação participante e entrevistas com aplicação de questionários. Verificou intensos confl itos socioambientais na região tanto entre a Vale e os pescadores,quanto entre pescadores nascidos no Boqueirão e pescadores oportunistas. Dos problemas ambientais percebidos, destacam-se o lixo, a construção do Píer IV e o resíduo de minério de ferro lançado no mar. A evolução do uso e ocupaçãodo solo demonstrou que a área estudada vem apresentando modifi cações de  caráter antrópico que tem provocado a degradação ambiental do ecossistema, tais como aumento do banco de areia e deposição de minério, que pode afetar diretamente a comunidade pesqueira local.Palavras-chave: Pescador artesanal, expansão portuária e confl itos socioambientais.
RESIDÊNCIA MULTIPROFISSIONAL EM SAÚDE: o olhar dos preceptores sobre o processo de ensino-aprendizagem
Authors: Silva Luciana da Conceição e , Brotto Marcio Eduardo
Published: February 2017

O estudo é sobre o processo ensino-aprendizagem na Residência Multiprofi ssional em Saúde (RMS) a partir da análise dos relatos de preceptores das áreas de Psicologia, Serviço Social e Enfermagem. Os Programas de Residência Multiprofissional em Saúde fazem parte das estratégias da Política de Formação de Recursos Humanos da Saúde no Brasil e afi rmam ter como objetivo contribuir com a revisão do modelo assistencial através da formação de um novo perfi l profi ssional na saúde. Tem como objetivo aproximar-se dos relatos e percepções dos preceptores sobre o processo de formação na RMS. Tal pesquisaenvolveu as seguintes estratégias metodológicas: revisão bibliográfica;análise documental; observação de campo e entrevista semiestruturada. Para a análise dos dados utiliza análise de Conteúdo Temática. Nos resultados, observa fragilidades em relação à participação dos preceptores na construção e revisão do Projeto Político Pedagógico bem como aos processos de planejamento do ensino e avaliação do curso, em especial a perspectiva multiprofi ssional.Palavras-chaves: Saúde, residência, educação.
Informing citizens, building trust and promoting discussion
Authors: Vrabie Catalin
Published: February 2017

Where information is cheap, attention becomes expensive. In todayâ€™s society, information is increasingly at hand. Today, via Internet, anyone has access to it. In the online environment, news channels are flooded with updates â€“ most of them being takeovers of official Web sites of the institutions involved. Their huge numbers and increased dynamics demolish any attempt to build confidence in the government source. A few decades ago, the citizen had television as the main source of information. Soon after the number of TV channels has increased, was observed a decrease regarding the television consumerâ€™s confidence in the information provided this way. Before that, the newspaper and the radio went through similar stages. Today Internet is facing it. This paper proposes the realization of a conceptual framework for online delivery of information from the public environment to the citizens, businesses and other government institutions â€“ as part of a success model regarding the public administrationâ€™s communication with the environment it addresses to. 

Keywords: web platform, new media, information delivery channel
Cognitive Support Increase CD4 Level on Patient with HIV at Kota Kediri
Authors: Peristiowati Yuly , Siyoto Sandu , Wardani Ratna
Published: February 2017

Introduction: HIV still becomes health problem that threaten Indonesia and many countries around the world. When HIV enters the body, it looks for CD4 cells and begins to replicate itself. Once replicated and left the dead CD4, the new viral particles will be looking for and infecting new CD4. The purpose of this study was to determine the effects of cognitive supports on CD4 level people living with HIV. Those cognitive supports consist of information, psychological, and spiritual support in order to increase the levels of CD4. Method: This was quasy experiment research with posttest group design. Population were all people living with HIV at Kota Kediri. Samples were 20 respondents who meet the criteria, divided into two groups, intervention and control. The independent variable was cognitive support, while dependent variable was CD4 level of people living with HIV. Blood samples were collected to examine CD4 level. Data were then analyzed by using Anova test and T-test. Result: Results indicated that the cognitive supports had an effect in increasing the levels of absolute CD4 and CD4 percentage of people living with HIV at a signifi cance value of 0.003. However, there was no signifi cant difference between the control groups taking ARV regularly and irregularly. Discussion: The provision ofcognitive support was capable to stimulate the immune system by increasing T lymphocytes that have CD4 molecular markers. Thus, an increase in the levels of CD4 is expected to improve the quality of life of people living with HIV.Keywords: cognitive support, HIV, CD4
Hopelessness Experience among Stroke Survivor in Semarang
Authors: Sawab Sawab , Bahrudin Moch. , Catharina Daulima Novy Helena
Published: February 2017

Introduction: Hopelessness was a negative feelings about goal achievement and powerlessness feeling against an expectation. Hopelessness in stroke survivors can occur due to prolonged disability and neurologic defi cit. This condition can lead to emotional and mental disorders even a suicide action. Therefore, it was a need to explore hopelessness experience in stroke survivors. Method: This study was a qualitative descriptive phenomenology with 6 participants. Results: 7 themes were revealed in this study, (1) Physical changes as a response on hopelessness, (2) Loss response as a hopelessness stressor, (3) Dysfunction of the family process, (4) Loss of meaning of life, (5) Self support and motivation as a coping resource against hopelessness, (6) The spiritual meaning behind hopelessness, (7) Can go through a better life. Discussion: This study suggests to develop a nursing care standards in hopelessness, encourage a family support and family psychoeducation for stroke survivors.Keywords: Stroke survivor, hopelessness experiences, qualitative
Health Empowerment, and Economics of Women with HIV/AIDS Through Life Skills Education
Authors: Azza Awatiful , Setyowati Trias , Fauziah Fauziah
Published: February 2017

Introduction: Women with HIV/AIDS have a heavy burden. Discrimination and the low economic status causes them worse off in the uncertainty of life. The purpose of the study to develop a health empowerment and economic and increase community involvement in the business activities of women with HIV/AIDS. Methods: The method descriptive approach,focus group discussion. The preparation of the design strategies, health empowerment and economic through life skills education for women with HIV/AIDS strengthened through Participatory Action Research (PAR). The results of this study showed that the health status of women with HIV who are involved in phase I. The average age of patients were at a fairly productive life span between 20–40 years. 90% they do not have income. The results of focus group discussions (FGD) indicates that the client requires additional activities that can generate income, but do not overload the physical. Some of the selected activities include embroider and sew, salons and cooking. The results of research on public response associated with HIV/AIDS they mention that women with HIV should be protected by the government and the public, although on average they still can not accept people in their environment.Keywords: Empowerment, women with HIV/AIDS, Life skill education
A Nursing Management Model to Increase Medication Adherence and Nutritional Status of Patients with Pulmonary TB
Authors: Mar’ah Has Eka Mishbahatul
Published: February 2017

Introduction: High dropout rate, inadequate treatment, and resistance to medication, still become an obstacle in the treatment of pulmonary TB. Pulmonary TB patient care management at home can be done actively through telenursing. N-SMSI (Ners-Short Message Service Intervention) is one of community nursing intervention, in which community nurses send short messages to remind patients to take medication and nutrition. The aim of this study was to analyze the effect of nursing management model N-SMSI to increased medication adherence and nutritional status of patients with pulmonary TB. Method: This study was used prospective design. The populations were new pulmonary TB patient at intensive phase, at Puskesmas Pegirian Surabaya. Samples were taken by purposive sampling technique; consist of 30 people, divided into treatment and control groups. The independent variable was N-SMSI. The dependent variables were medication adherence collected by using questionnaire and nutritional status by using measurement of body weight (kg). The data were then analyzed by using Wilcoxon Signed Rank Test, Mann Whitney, and Independent t-test with α ≤ 0.05 Result: The results of wilcoxon signed rank test had showed difference in the nutritional status of the treatment group before and after intervention, with p = 0.001. It’s similar with the control group, with p = 0.002. Mann whitney test results had showed no signifi cant difference in nutritional status between treatment and control group, as indicated by the value of p=0.589. While independent t-test had showed difference in compliance between treatment and control group, with p=0.031. Conslusion: N-SMSI can improve medication adherence of patient with Pulmonary TB. This model can be developed by nurse as alternative methods to improve medication adherence in patients with Pulmonary TB. Further research should modify nursing management model which can improve the nutritional status of patient with Pulmonary TB.Keywords: nursing care management model, medication adherence, nutritional status, patient with Pulmonary TB
Breastfeeding Self Effi cacy and Effective Breastfeeding on Postpartum Mother
Authors: Pradanie Retnayu
Published: February 2017

Introduction: Breastfeeding has been identifi ed as the optimal source of nutrition for infants. However, many mothers do not breastfeed their infants excusively. The possible modifi able factors to improve breastfeeding rates are breastfeeding self effi cacy and effective breastfeeding behavior. The aim of this study was to analyze the breastfeeding support package to improve breastfeeding self effi cacy and impact on effective breastfeeding behavior. Method: This study was a quasy experiment pre-post test non equivalent control group design. Samples were 20 respondents recruited using consecutive sampling in Navy Hospital Dr. Ramelan who met the inclusion criteria. Instruments that used in this study were breastfeeding self effi cacy short form and LATCH assessment tool. Results: The score of breastfeeding self effi cacy on experiment group was improve higher than control group. But, the hypothesis test showed that there were no difference score between experiment and control group after intervention (p = 0.104). The correlation between breastfeeding self effi cacy and effective breastfeeding behavior was not signifi cant (p = 0.976). Analisis and Discussion: The antecedent of breastfeeding self effi cacy were not only the information resources but also job and education level. Breastfeeding self effi cacy was not an antecedent of effective breastfeeding behavior. Keywords: breastfeeding self effi cacy, effective breastfeeding, intervention
An Ergonomic Desk and Chair Prototype to Improve Seating Position on Senior High School Students at Kabupaten Gresik
Authors: Nilamsari Neffrety , Soebijanto Soebijanto , S.M. Lientje , B.R. Setokoesoemo
Published: February 2017

Introduction: The need of desks and chairs at school which appropriate with student’s anthropometry are very important. Desks and chairs which not suit with student’s anthropometry will lead to fatigue. At Kabupaten Gresik, the provision of desks and chairs which suit with student’s anthropometry still less in number. This study was aimed to provide recomendation for an ergonomic desk and chair prototype to improve seating position on senior high school students at Kabupaten Gresik. Method: This was preexperiment research with one group pre post test design. Research subjects were students at SMAN 1 Menganti and SMAN 1 Cerme, Kabupaten Gresik, 139 students were involved. Result: The recomendation of ergonomic desks and chairs specifi cation according to student’s anthropometry were: 1) Prototypechair N, length = 48 cm, wide = 43 cm, cushion base’s height from floor surfaces = 47 cm, bag keeper’s height from floor surfaces =3cm, bag keeper’s wide= 43 cm, bag keeper’s length = 47 cm, cushion’s wide = 41 cm, cushion’s length = 46cm, handrest’s height = 22 cm, handrest’s length = 30 cm, backrest’s height = 38 cm, backrest’s wide = 43 cm, cushion’s foam thickness = 4 cm, backrest’s foam thickness = 4 cm; 2) Prototype desk N, length = 50 cm, wide = 66 cm, back section’s height = 85 cm, front section’s height = 75 cm, footrest from fl oor surfaces = 10 cm, drawer’s height = 10cm, front bamper’s height = 40 cm, and table’s angle = 10o. Discussion: An ergonomic desks and chairs are very important for students at school, it will help teaching learning process run well and comfortable. The measurement of desk and chair must be reviewed after fi ve years, because of student’s anthropometric development. So then students will feel no fatigue.Keywords: ergonomy, senior high school student’s seating position
Improving Counselling Skills about Reproductive Health among Students by Using Peer Counselor Training
Authors: Harini Ririn , Rahmat Ibrahim , Nisman Wenny Artanty
Published: February 2017

Introduction: Nowadays, the goal of MDGs to improve maternal health is one of the priorities of many countries. Indonesian Government, by the National Family Planning Board (BKKBN), has followed up by monitoring and evaluating programs which is realized by providing technical guidance resilience in young people through Generation Planning program and developing Information and Consultation Center for Students Reproductive Health (PIK-KRM). In order to improve the role of peer counselors, a training should be done to increase their knowledge, attitudes, and skills. The objective of this research was to determine the effects of training on peer counselor’s knowledge, attitudes, and skills at PIK-KRM. Methods: The study was used quasy experiment pre-test and post-test nonequivalent control group design. Population were the committee of PIK-KRM at Faculty of Health, University of Muhammadiyah Malang, 80 students were included. Independent variable was training, while dependent variables were peer counselor’s knowledge, attitude, and skills. Data were collected by using questionnaire and observation form. Data were then analyzed by using paired t–test, independent sample t-test, simple linear regression. Results: The results of linear regression had showed that training have significant effect on peer counselor’s knowledge (p=0.000; R square=0.254), attitude (p=0.000; R square=0.432), and skills (p=0.000; R square=0.191). Discussion: Training can improve peer counselor’s knowledge, attitude, and skills at PIK-KRM board in giving information and counseling about reproductive health (sexuality, HIV/AIDS, and drugs). Nurses should provide continous training regularly, so their ability can be more better.Keywords: training, peer counselors, knowledge, attitudes, skills, PIK-KRM board, students reproductive health