bluuebunny/crossref_metadata_2025 huggingface dataset:
Clínica do Trabalho: Contribuições da Psicanálise para o Exercício Profissional
Authors: Gomez Victoria Ayelen , Chatelard Daniela Scheinkman , Araujo Tereza Cristina Cavalcanti Ferreira de
Published: August 2021

Resumo Este artigo tem como objetivo refletir sobre as contribuições da psicanálise para o exercício profissional da escuta do sofrimento no trabalho a partir da psicodinâmica do trabalho (PdT), da centralidade do trabalho e da escuta da palavra na clínica do trabalho. A PdT é uma clínica que se sustenta na descrição e no conhecimento das relações entre trabalho, sofrimento, prazer e saúde mental, e a centralidade do trabalho é fundamental para a atribuição de sentido e compreensão desse sofrimento no trabalho. A psicanálise propõe que o sujeito seja escutado e demarca um território importante para a palavra. Esse território se apresenta fundamental na escuta do sofrimento no trabalho, uma vez que ela se fundamenta nesse lugar. Sustenta-se a importância de uma lógica da singularidade de cada sujeito, ao considerar os significantes que marcam a história de cada trabalhador, mas sem deixar de ponderar os determinantes e os condicionantes sociais da produção desses sintomas. As contribuições da psicanálise para o exercício profissional na escuta do sofrimento no trabalho a partir da PdT se tornam fundamentais, uma vez que permitem considerar a singularidade daquele sujeito sem desconsiderar a organização do trabalho.
Trabalhadoras(es) do SUAS: Quem são as(os) Psicólogas(os) da Proteção Social Básica (PSB)
Authors: Motta Roberta Fin , Brandolt Catheline Rubim , Pizzinato Adolfo
Published: August 2021

Resumo Este estudo buscou apresentar elementos sobre a caracterização de psicólogas(os) do Sistema Único de Assistência Social (SUAS) e seus processos de inserção no nível de Proteção Social Básica (PSB) da cidade de Porto Alegre (RS), além de discutir as transformações no mundo do trabalho que, nas últimas décadas, têm atingido em maior grau a prática profissional no campo da política social. Participaram da pesquisa 27 profissionais; os dados foram obtidos por meio de entrevistas e construídos sob os princípios da Teoria Fundamentada (TF). Os resultados indicaram que as(os) trabalhadoras(es) estão submetidas a condições adversas de formação das relações de trabalho, desde o modo de contratação até o desenvolvimento das atividades rotineiras do trabalho. Por ser um campo em expansão, a materialização da atenção às necessidades sociais da população ainda carece de construções epistemológicas próprias para sua efetivação. A caracterização das(os) trabalhadoras(es) psicólogas(os) aponta inúmeros desafios para a construção de fazeres e saberes comprometidos com direitos sociais.
A EDUCAÇÃO DAS PESSOAS COM DEFICIÊNCIA: FORMAÇÃO DE DISCURSOS
Authors: Paula Tatiane Estácio de , Loguercio Rochele
Published: August 2021

O presente artigo realiza uma análise documental, de cunho pós-estruturalista, sobre determinados discursos que possibilitaram a emergência de políticas públicas em torno da educação de pessoas com deficiência. Analisa-se a legislação e o conjunto de arquivos que a promoveu, bem como são problematizadas as leis e as promoções de sentido partindo da perspectiva histórica promovida nas obras de Michel Foucault, quebrando o seu caráter historiográfico ao buscar evidenciar as descontinuidades e os jogos de força que constituem as condições para o nascimento de novas práticas sociais de inclusão. Ademais, tal estudo busca promover uma discussão a respeito das políticas públicas nacionais, suas técnicas e estratégias de funcionamento. Para tanto realizou-se uma busca documental por registros históricos e em políticas públicas nacionais. Por meio da análise de tais políticas observa-se que o sujeito da inclusão é visto como fora da linha da normalidade, e é compreendido de modo como se a diferença não fosse algo intrínseco ao processo de educação.
Justification by Works
Authors: Baugh Albert C.
Published: August 2021

The subject on which I propose to speak to you tonight is a large one. In a sense it covers almost the whole profession of which this Association is the organ—the teaching and the research in one large segment of the humanities. I shall start with the assumption that we are all teachers. This, I know, is not strictly true. But it is probably true of ninety percent, and of the other ten percent some have been teachers and many are preparing themselves for teaching careers. How many of our members are engaged in research I do not know, but the number interested in research or in its results is large, as any one can see from the size of our annual conventions and the attendance at group and sectional meetings. I shall address myself particularly to the job which we have to do as teachers, and I shall consider the part which research plays in that job. I shall even direct a few remarks at those who are so heretical as to think that the MLA and PMLA are not perfect! In the light of this modest preview I am sure of your unanimous agreement on one point, that I have set myself a sufficiently large task for fifty minutes.
Unrecognized Disarmament
Authors: Morgan Bayard Quincy
Published: August 2021

My older hearers will recall that after the First World War a number of our state legislatures and our school boards prohibited the teaching of German in the public schools. Today, I think, most of us would consider such a prohibition with regard to Russian, for instance, absurd and self-defeating. Even the man in the street could be made to see that it would be as if a regiment in the trenches, knowing that the enemy was preparing for an offensive, were ordered to close its eyes, so that it couldn't see what direction the attack was to take.
Hawthorne and the Concept of Sympathy
Authors: Male Roy R.
Published: August 2021

Some of the most fruitful modern Hawthorne criticism is that which endeavors to correct and supplement the older, somewhat distorted picture of a solitary Puritan anachronism living in an “owl's nest” by recognizing Hawthorne's immediate connection with the fundamental issues of his own day. What Hawthorne owed to his immediate predecessors and contemporaries cannot be adequately evaluated in terms of “influence” or parallel passages. A more rewarding approach to the problem would be to examine part of the climate of opinion in Hawthorne's time in connection with a detailed study of his work. The present paper, intended to be suggestive rather than definitive, is an attempt to reveal some of the possibilities of this approach.
Charles Sealsfield and the Courrier des Etats-Unis
Authors: Arndt Karl J. R.
Published: August 2021

After Otto Heller published the results of his investigations into the question of Charles Sealsfield's claimed editorship of the Courrier des Etats-Unis in the Euphorion in 1907 (xiv, 718-724), he was convinced that he had disproved “the biographical fable that makes Sealsfield editor of the Courrier des États-Unis.” This assertion was repeated in 1939 in the important Heller-Leon Sealsfield Bibliography and more recently in an article published by the Zeitschrift für deutsche Philologie, to which Professor Eduard Castle of the University of Vienna then made an enlightening but inconclusive reply because he did not have access to copies of the Courrier. In view of the fact that to date Otto Heller's study remains the only one based on an actual examination of the Courrier itself, the weight of evidence must remain in favor of his published conclusions unless these are disproved by more valid evidence from the same source. On the basis of a more complete study of the record it is believed that the following pages will bring such evidence and thus reestablish and confirm Sealsfield's original claim made in his biographical letter to Brockhaus asserting that from 1829-30 he was editor of the Courrier and that he resigned several weeks after news of the French Revolution of 1830 reached America. This will not only correct an unfortunate error in Sealsfield scholarship, but also clear Sealsfield against a charge of untruthfulness.
Pope, Lady Mary, and the Court Poems (1716)
Authors: Halsband Robert
Published: August 2021

So much ink has already been spilt in discussing the relationship between Alexander Pope and Lady Mary Wortley Montagu that one may very well hesitate before adding his jot. Yet the interaction of these two uncomfortably brilliant personalities is of exceptional interest both for their psychological drama and for the literature they wrote because of each other. As drama their relationship may be divided into three acts: friendship, estrangement, and enmity. Unfortunately, with the sparse documentation that survives, the action must be patiently reconstructed from fragmentary clues. Since both chief actors had complex, if not crafty minds, their motives are not simple, and must be carefully and sceptically determined. To favor either Lady Mary or Pope is to distort their drama; one must try instead to judge impartially on the basis of the facts that remain. At present, with valuable new data added to a fresh appraisal of the old, an account may be given which is less equivocal and more credible.
Bridges' Milton's Prosody and Renaissance Metrical Theory
Authors: Kellog George A.
Published: August 2021

Robert bridges published his second edition of Milton's Prosody in 1921. It was a study both highly promising and a little repulsive. Modestly, in his whimsical preface (p. iv), he referred to it as his “poor little grammar.” And in one very important sense, that is what it actually was: a grammar, or grammatical prosody, of the verse of Paradise Lost, Paradise Regained, and Samson Agonistes. What the poet's modesty concealed, however, was that underneath the linguistic surface, which was almost Teutonic in its precision and thoroughness, there lay, scattered but brilliant, an ore of metrical theory. For example, it is from Bridges as much as from anybody that we have derived the notion of “scansion divorced from rhythm,” of speech-accents counter-pointing metrical accents. Historically more important, I think, is the debt we owe Bridges for restoring to its original dignity the broadly European metrical system, characteristic of the Renaissance and of Milton, which Bridges called the “syllabic” system. It was he, surely, who first approached that system without a strong bias in favor of a stress prosody, or of a prosody insisting on extra-metrical liberties, and who consequently saw in it not only a rigid side—the syllable-count—but a flexible side, wherein genuine musical variation was possible—the manifold devices of “elision.”
Evaluación de Tecnologías en Salud: Un Enfoque Hospitalario para la Incorporación de Dispositivos Médico
Authors:   , Lizcano-Jaramillo P. A.
Published: August 2021

Este artículo presenta el estado del arte acerca de las evaluaciones de tecnología y los aportes que han sido reali- zados a nivel hospitalario en diversos países del mundo. La incorporación de tecnologías sanitarias está enfocado al mejoramiento de la calidad y la eficiencia en la prestación de los servicios de salud. La evaluación de tecnología son un proceso científico, multidisciplinario y multidimensional que tiene como objetivo contribuir y mejorar la toma de decisiones en los procedimientos de adquisición e incorporación tecnológica, mediante la evaluación com- parativa de los efectos positivos y negativos de las tecnologías en hospitales. El propósito generalmente considera diversas alternativas, proporcionando la mejor selección de tecnología que compense las necesidades médicas en instituciones de salud. A nivel mundial han trabajado constantemente para mejorar los procesos de evaluación de tecnología en el ámbito nacional y hospitalario. La implementación de las metodologías de evaluación en hospita- les permite contribuir a la disminución de los riesgos generados por el uso de los dispositivos o equipos médicos en relación con la seguridad de los pacientes implementando tecnologías eficaces para diversos tratamientos. En conclusión, la evaluaciones de tecnología es un proceso fundamental que proporciona información relevante para la toma de decisiones para las incorporaciones de nuevos dispositivos médicos en hospitales.
Biomateriales para Regeneración de Tejido Óseo Extraídos de Desechos de Pescado
Authors:   , Anaya-Barajas D.
Published: August 2021

Los biomateriales para regeneración ósea comúnmente se basan en el diseño natural del hueso, el cual mezcla la dureza de un material cerámico como la hidroxiapatita con la flexibilidad de un polímero como el colágeno. Ambos materiales pueden extraerse de los desechos del pescado consumido en la dieta humana, tales como escamas, piel e incluso huesos. Esta extracción tiene la ventaja de aportar biomateriales naturales, de baja toxicidad y como aña- dido, que evitan la transmisión de enfermedades que se ha reportado para colágenos provenientes de animales ma- míferos. En este trabajo se hace una revisión de bibliografía referente a la extracción de colágeno tipo I, precursores de hidroxiapatita y síntesis de compósitos de ambos, para proponer la recuperación de estos biomateriales como una alternativa amigable con el ambiente y útil para usos médicos.
Porous Lattice Structure of Femoral Stem for Total Hip Arthroplasty
Authors:   , Botello- Arredondo A. I.
Published: August 2021

Total Hip Arthroplasty (THA) is one of the surgical procedures carried out satisfactorily in procedures for osteoarthritis and trauma lesions. ATC surgery reduces pain and improves the quality of life of young patients. Therefore, it is of great importance to improve the properties of hip implants, since current implants do not match their lifespan with the life expectancy of a young patient. This is because the solid prostheses that currently exist have a higher Young's modulus, and therefore are too rigid compared to the bone tissue. On the other hand, the cyclic and continuous loads to which the hip joint is subjected in daily activities, can cause loosening and consequent implant loss The present work proposes an implant manufactured with a porous lattice structure, which aims to reduce stiffness, allow bone growth and a more effective mechanical load transfer. Three computational models subjected to static charges were evaluated and compared: 1) healthy femur, 2) implanted femur with a commercial prosthesis, and 3) implanted femur with a prosthesis with lattice structure. For the computational analysis it was decided to perform a static analysis of a person standing on the left foot; a load equivalent to the body weight was applied on the head of the femur, balancing the reaction forces in the system of forces (contact force, body weight, and abductor muscle).. The results were shown in terms of displacement, compression and deformation. The model implanted with a prosthesis with a lattice design presented a slight decrease in displacement, and a decrease in compression and deformation values, which indicated that the proposed design has a better distribution and transport of the loads through its structure.
On the Uniqueness of the Classical Solutions of the Radial Viscous Fingering Problems in a Hele-Shaw Cell
Authors:   Department of Mathematics, Keio University, Tani Atusi , Tani Hisasi
Published: August 2021

In [9, 10] we established the existence of classical solutions to two-phase and one-phase radial viscous fingering problems, respectively, in a Hele-Shaw cell by the parabolic regularization and by vanishing the coefficient of the derivative with respect to time in a parabolic equation. In this paper we show the uniqueness of such solutions to the respective problems
Analysis of the variations in price of anti-glaucoma eye preparations available in Indian pharmaceutical market
Authors: Kumar Sonu , Chandra Anupam , Chandra Akash Prasad , Kesari Uma Shankar Prasad
Published: August 2021

Background: The aim of the study was to analyze the percentage cost variations among different brands of the commonly prescribed anti–glaucoma drugs.Methods: The maximum and minimum price of each brand of the drug in INR was noted by using CIMS January to April 2018 edition Drug Today April to June 2018 Vol-1. The cost ratio and the percentage cost variation for individual drug brands was calculated. The cost of each eye drop was calculated. At last the cost ratio and percentage cost variation of various brands was compared.Results: Percentage variation in cost for anti-glaucoma eye preparations marketed in india was found to be eye drop timolol maleate (0.5%) of 5 ml:263.63, eye drop dorzolamide (2%) of 5 ml:9.77, eye drop pilocarpine (2%) of 5 ml:160.40, eye drop Betaxolol (0.5%) of 5 ml:56.54, eye drop Latanoprost (50 mcg/ml) of 2.5ml:135.88, eye drop Brimonidine tartarate (0.15%) of 5 ml:183.9, eye drop Levobunolol (5 mg/ml) of 5 ml:32.38.Conclusions: Glaucoma is the most common ocular disease and eye drops are to be prescribed for prolonged period. If a costly brand is prescribed, the patients have to pay more money unnecessarily for their treatment. The clinicians prescribing these drugs should be aware of these variations in cost to reduce the cost of drug therapy.
Efficacy of leeching (Ta‘līq al-‘Alaq) in patients with vitiligo (baras): a comprehensive case study
Authors: Iqbal Arsheed , Rashid Adil , Jan Afroza , . Haider
Published: August 2021

Vitiligo is a hypomelanotic skin disorder in white patches appear on the skin surface and also involve the hair. The disease is idiopathic, acquired and effects 1-4 percent of the world population. It is belived that there is immunologic influence in the pathogenesis of vitiligo and there is evidence of early cell death in vitiligo melanocytes related to their increased sensitivity to oxidative stress. In Ayurveda the vitiation of three doshas results deraignment of rasa, rakta, mamsa and medadhuta which results in vitiligo patches on skin. In Unani System of Medicine (USM) the deraignment of body humours result in the Fasad-e-Ikhlat which results in the Baras (vitiligo). Since both in Ayurveda and USM leech has been used for various dermatalogicalailments including vitiligo. In this study leeching (hirudotherapy) were done in vitiligo patients of both sexes with single and multiple patches and successful results were observed.
A cross sectional study to assess psychological impact of COVID-19 on health care workers in KIMS Bangalore
Authors: Ramya H. S. , . Keerthidarshini , L. Sanjay , Asiya Afroza
Published: August 2021

Background: The ongoing coronavirus disease-2019 (COVID-19) pandemic has resulted in substantial psychological stress and anxiety for healthcare workers, we did a study targeting the healthcare workers to assess the magnitude of stress and anxiety in tertiary care centre.Methods: We conducted a cross sectional survey-based study among 150 healthcare workers working at KIMS hospital, Bangalore from September 2020 to December 2020. Stress and anxiety were investigated using DASS-21 scale, association of stress and anxiety with demographic factors such as age, sex, profession, living with family/alone, past history and family history of any psychiatric illness were analysed using chi-square test.Results: In 150 participants who were included in the study, 47 were males and 103 were females. Mean age of the subjects was 32.9±8.37 years. The number of married and unmarried subjects were similar in the two groups (79 versus 71). Majority of the subjects were staying with the family (69%) and few were staying alone (31%). 10 were ayahs, 21 ward boys, 14 interns, 59 post graduates, 46 staff nurses were included. 11 subjects gave history of substance abuse in the past (7%). 7 subjects had suffered from psychiatric illness (5%) in the past 4 more had family history of psychiatric illness and the mean score for stress recorded was 17.77±6.4, which was indicative of mild stress. The mean anxiety score was 16.25±6.61 which corresponded to severe anxiety.Conclusions: In this study of healthcare workers, working in fever clinic, triage, wards and ICUs for patients with COVID-19, subjects reported experiencing stress and anxiety, especially ayahs, staff nurses and mainly female healthcare workers directly engaged in diagnosis, treatment, and care for patients with COVID-19.
Knowledge and attitude towards exclusive breast feeding among postnatal mothers in a tertiary care teaching hospital-an institution based cross sectional study
Authors: V. Revathi
Published: August 2021

Background: Exclusive breast feeding (EBF) is termed as an optimal strategy for feeding newborns and as per WHO   should start within the first one hour of delivery and must continue up to 6 months of infant’s age, as the only source of nutrition and fluids for babies at that age. Unfortunately, a report estimated in 2012 that, only 35% of infants were exclusively breastfed globally. This stresses the need to educate and motivate mothers to exclusively breastfeed their babies for the first six months of life.Methods:  Knowledge and attitude towards EBF, of postnatal mothers admitted to a tertiary care teaching hospital was assessed using a self-administered questionnaire and their responses analysed using statistics software.Results: From our study we found that, based on knowledge score, 88 (69.8%) of the respondents had good knowledge and 38 (30.2%) of the study participants were categorized as having poor knowledge. Based on the attitudinal score, 17 (14%) of the study participants were categorized as having negative attitude towards EBF and 108 (86%) were categorized as having positive attitude towards EBF. Conclusions: Health care providers working in the areas of maternal and child health (MCH), should evaluate mothers’ knowledge and attitude for EBF, every visit by asking questions related to EBF. IEC activities related to EBF should be promoted to disseminate knowledge regarding EBF. Breast feeding support groups should be established to help motivate mothers to exclusively breast feed their babies for the first six months of life.
Knowledge and practices of self-medication among adolescents
Authors: Gabriel Dimple C. , Balakrishna Bhavani Bangarkodi
Published: August 2021

Background: Self-medication begins in early adolescence, often during the middle school years. By the age of 16, nearly all adolescents have taken medicine independently for minor illnesses and become more involved with managing chronic conditions. Taking medications without a doctor's prescription, even if the ailment is minor, can have serious repercussions. A large number of potent drugs such as pain relievers, cough remedies, anti-allergies, laxatives, antibiotics, antacids and vitamins are sold over-the-counter (OTC). The present study   aimed to assess “the knowledge and practices of self-medication among adolescents in selected colleges, Bengaluru, India with a view to develop an informational booklet.Methods: The study was done using a survey design. Simple random sampling technique was adopted to select 100 adolescents from a pre-university college. A socio demographic Performa, a self-reported structured questionnaire to assess knowledge and practice checklist regarding self-medication was used to collect the data. Descriptive and inferential statistics was used for analysis.Results: Self-medication use was reported by 94% of the adolescents. Analgesics 65%, antipyretics 51%, cough and cold medications 49%, vitamins 35%, antibiotics 26%, and antacids 19%, were cited as the most common types of medication taken. Around 45% adolescents had poor knowledge about self-medication. There was a low negative correlation between knowledge and practice of self-medication among participants. (Pearson’s r=-0.44).Conclusions: The practice of self-medication among adolescent was very high. A significant number of adolescents had inadequate knowledge regarding self-medication and its consequences. Therefore, potential problems of self-medication should be emphasised to the adolescents. Need based information booklet was prepared and disseminated to the adolescents.
A prospective observational study depicting role of lung ultrasound in pediatric pneumonias
Authors: Saklani Ashish , Tomar Ashwani , Kapila Sumala , Kaushik Shyam Lal , Mahajan Anjali
Published: August 2021

Background: Pneumonia is a major cause of morbidity and mortality in children under five years of age. Chest x-ray poses radiation hazard to children and thus an alternative safe imaging modality must be explored for pediatric pneumonias.Methods: This prospective observational study included all children below 18 years of age. Majority of patients were below five years of age. All clinically suspicious patients were subjected to chest x-ray and lung ultrasound (LUS). Chest x-ray was considered as imaging diagnostic standard for pneumonia. Consolidation and dynamic air bronchogram were looked on LUS.Results: A total of 55 patients were included in study with 26 (47.2%) as infants and up to 47 (85.3%) as under five children. Out of 55 cases 32 cases (58.20%) were diagnosed as lobar pneumonia while 23 (41.8%) as bronchopneumonia on chest x-ray. LUS demonstrated high sensitivity and specificity of 90.63% and 100% for lobar pneumonia and 86.96 and 90.63% for bronchopneumonia respectively. Dynamic air bronchogram sign was found in all cases of lobar pneumonia on LUS and with sensitivity of 73.91% in bronchopneumonia.Conclusions: LUS proved itself as highly sensitive and specific modality for detecting consolidation and owing to safe non ionizing nature of ultrasound, it must be considered as an alternative to chest x-ray as an imaging diagnostic tool for pediatric pneumonia.
Study on impact of duration of tympanic membrane perforation on hearing loss and audiological outcome after surgery
Authors: Ahmad Raies , Kalsotra Gopika , Kishore Kamal , Saraf Aditiya , Kalsotra Parmod
Published: August 2021

Background: The aim of the study was to assess impact of duration of tympanic membrane perforation on hearing loss and postoperative audiological outcome using pure tone audiogram.

Methods: The present study was conducted on 100 patients in department of ENT and HNS, SMGS Hospital, Government Medical College Jammu during a time period of November 2018 to October 2019. All the patients with age 15 to 60 years who presented with tympanic membrane (pars tensa) perforation were included in the study.  

Results: In our study, mean preoperative hearing loss (AC threshold) of group A was 36.23±1.07 dB and of group B was 25.67±6.38 dB. Group C had mean preoperative hearing loss (AC threshold) of 28.78±6.50 dB. Mean preoperative air-bone gap (AB gap) of group A was 12.9±8.05dB and of group B was 13.86±4.19 dB. Group C had mean preoperative air-bone gap (AB gap) of 16.47±5.51 dB. Postoperatively, pure tone threshold at three months was least in group B (15.09±5.80 dB), followed by group C (15.68±4.66 dB) and group A (19.33±2.81 dB). Whereas, postoperative AB gap at 3 months was least in group C (10±3 dB), followed by group C (8.44±3.59 dB). Group B had maximum postoperative AB gap of 8.49±4.34 dB.

Conclusions: This study did not show any correlation between duration of disease and degree of hearing loss.
Experiences with management of foreign body airway presenting as dire emergency
Authors: Ullal Aishwarya , Ajith Arun P.
Published: August 2021

Aspiration of foreign bodies by children is a common problem around the world. Foreign body aspiration is a common cause of morbidity and mortality in children, especially between ages 18 months to 3 years. Laryngeal foreign bodies pose as a dire emergency lead to choking and accidental deaths. This is a case series of five cases of laryngeal foreign bodies presenting as a dire emergency to our casualty. Detailed history and examination was done. Radiological investigations were done. Rigid bronchoscopy was performed and the foreign body was extracted restoring the airway, preventing the accidental death of the patient. Foreign bodies of the airway are the most common causes of preventable deaths among children. Quick detailed history, examination and radiological investigations are required to come to the diagnosis and prompt management. This case series throws light on how to manage laryngeal foreign bodies.
Practice pattern and use of a novel skin moisturizer containing skin barrier therapy in patients with atopic dermatitis: a cross-sectional survey among dermatologists in India
Authors: Abraham Anil , Ganjoo Anil , Kapoor Sheilly , Sharma Divya , Talathi Abhay
Published: August 2021

Background: Atopic dermatitis is considered as the most common chronic, inflammatory dermatological disorder. Skin barrier dysfunction represents an early pathology of this condition. Various factors contribute to development of such defects. Skin moisturizers remain the mainstay of therapy for AD along with other treatment modalities.

Methods: Dermatologists across India were administered a questionnaire consisting of questions related to number of the patients seen with AD every week and their clinical experience regarding the use of novel skin moisturizer containing skin barrier therapy for the management of AD. The responses were analysed as number and percentages.

Results: A total of 1605 patients were included in this survey. The complete responses were obtained from a total of 58 dermatologists. The majority (98%) of the dermatologists found the overall efficacy of novel skin moisturizer (Atoderm Intensive Baume) in AD patients as ‘satisfactory’. Atoderm Intensive Baume was found as efficacious in improving various parameters of AD such as skin dryness, severity of pruritus, inflammation, insomnia, itching, and urge to scratch. It was also well tolerated. It plays an important role in the repair of damaged skin barrier caused by AD.

Conclusions: This survey findings indicated that novel skin moisturizer (Atoderm Intensive Baume) is a preferred formulation by dermatologists across India for the management of AD with proven efficacy and safety.
Incidence of steroid modified tinea in pediatric age group at tertiary centre in North India
Authors: Chaudhary Savita , Jain Chandni , Paliwal Gaurav , Shukla Priyanka
Published: August 2021

Background: Uncontrolled use and abuse of topical steroids has led to increase in number of cases of superficial dermatophytosis of skin, hair and nail in pediatric age group as well. Our study aimed to analyse epidemiological and microbiological profile of steroid modified tinea (SMT) in pediatric age group.

Methods: Clinically diagnosed tinea childhood patients with history of usage of topical steroids in children were included in our study. Detailed history was taken and clinical examination along with KOH mount and culture was done.

Results: 112 patients were clinically diagnosed as tinea out of which 61cases gave the history of topical steroids and were included in our study. Most common age group was 12-18 years with female:male of ratio approximately 3:1 and disseminated and atypical form was the most common variety. KOH mount was positive in 73.2% cases and culture was positive in 69.6% cases. Most common species found out to be Tinea mentagrophytes followed by Tinea rubrum. Among non-dermatophyte group, Candida was the commonest.

Conclusions: There is rise in incidence of dermatophytosis, especially steroid modified, atypical and disseminated.
Metabolic syndrome in skin tags: a hospital based observational study
Authors: Das Subrata Kumar , Das Saptadipa
Published: August 2021

Background: The aim was to evaluate the parameters of metabolic syndrome in patients of skin tags and to investigate the possibility of an existing relationship between metabolic syndrome and skin tags.

Methods: This cross-sectional observational study included 47 patients with skin tags attended Outpatient department (OPD) of Department of Dermatology at a tertiary care center during a period of 1 year. Clinical and laboratory parameters were noted in each patient.

Results: This study included 47 patients with skin tags (28 males and 19 females). In the present study maximum number of patients belonged to the age group >40 years with 19 patients, followed by 30-40 years with 13 patient. In this study no. of students were 15, and no of employee were 11. Most patients had skin tags in more than one area, neck and axilla were involved in 9 patients each. In this study out of 47 patients. 11 patients had derangement of clinical and laboratory parameters of metabolic syndrome based on NCEP adult treatment panel III.

Conclusions: In the present study we observed significant derangement of clinical and laboratory parameters of metabolic syndrome in patients of skin tags.  
Dermatosis of scalp and hair disorder: an observational study in a hilly state of North-East India
Authors: Das Subrata Kumar , Das Saptadipa
Published: August 2021

Background: The skin of the scalp has several unique features that aid in its critical role of protecting the head. These unique features of the scalp make it susceptible to superficial mycotic conditions, parasitic infestation and inflammatory conditions. These disease processes of the scalp can have significant overlap in clinical symptomatology. The aim was to observe the clinical profile of scalp dermatosis and hair disorder at a tertiary care hospital.

Methods: This was a cross sectional observational study which was carried over a period of 1 year 5 months from August 2019 to November 2020. A total of 76 patients were included in the study, who visited dermatology OPD of SMIMS, Sikkim.

Results: This study included 76 patients of clinically and histopathologically diagnosed cases of scalp dermatosis and hair disorder, 47 males and 29 females. A total of 18 different dermatoses were observed in this study. The most common disorder was seborrheic dermatitis, which accounted for 18.4 %, followed by androgenetic alopecia in 17% and alopecia areata in 15% cases in the present study.

Conclusions: The article provides an overview of the most common scalp disorders, which we have observed in our study.
Noticias del BID: Vol. 3, no. 1, febrero 1976
Authors:   Inter-American Development Bank
Published: August 2021

Noticias del BID, publicación mensual que tiene por objetivo informar acerca de las actividades del Banco Interamericano de Desarrollo.
Conflict of interest in the civil service in terms of political law
Authors: Atamanenko Artemiy
Published: August 2021

The study of the structures of legal regulation of moral and political relations is an extremely important aspect of building an effective and optimal political system. To work out a constructive vector of political development, it is necessary to deconstruct the logic of the emergence of political legislation. Which conceptual foundations of such regulation can be extracted from the classical theory? It is this question that determines the necessity and urgency of interdisciplinary consideration of this discussion field. The article presents a model of socio-political discourse that legitimizes moral and political arguments in the formation of a legislative basis for regulating conflicts of interest.
the analyze of the implementation of the decree "on free farmers" of 1803 through the the concepts of "freedom" and "consent"
Authors: Soshin Nikolay
Published: August 2021

the article analyzes the reasons for the insufficient statistical efficiency of the implementation of the decree "on free farmers" of 1803. The legal nature of the decree is considered from the standpoint of «consent» and «freedom». The main purpose of the article is to show that this decree is interesting and progressive, in terms of the underlying concepts, despite the unimpressive statistical indicators of the liberation of the peasants.
The Spiritual Path of Pilgrimage Tourism for Sustainable Development: Case-Desa Astana-Cirebon, Indonesia
Authors: Hindersah Hilwati , Agustina Ina Helena , Chofyan Ivan
Published: August 2021

The Cirebon region which is located in the province of West Java, Indonesia has valuable artifacts and sites as a source of knowledge. Conservation in this area has not been actualized yet, even though it has potential for pilgrimage tourism destinations. The purpose of this research is to describe the spiritual path of Cirebon pilgrimage tourism. The method used is a case study, this method is more operational to find out why and how the spiritual path of the Cirebon pilgrimage was formed. The findings of this study are the existence of a spiritual path that connects the cemetery locations and sites such as: Talun Keramat Cemetery is located in Cirebon Girang Village, Talun District, Syekh Magelung Sakti Site is located in Karangkendal Village, Kepetakan District, Nyi Mas Gandasari Tomb is located in Pangurang Village. Arjawinangun District and one that is very well known to foreign countries is Astana Sunan Gunung Jati in Astana Village, Gunungjati District. The results of the study provide direction for developing a spiritual path to become a Cirebon tourist destination package as well as regional conservation.
COVID-2019 and Pregnancy
Authors: Al Riyami Nihal , Sheik Shahila
Published: August 2021

As of March 2021, approximately 130 million people worldwide had been infected with SARS-CoV-2. However, limited data are available regarding the effects of COVID-19 infection on pregnancy and maternal and perinatal outcomes. The MEDLINE® (National Library of Medicine, Bethesda, Maryland, USA), SCOPUS (Elsevier, Amsterdam, Netherlands) and Cumulative Index to Nursing and Allied Health Literature (EBSCO Information Services, Ipswich, Massachusetts, USA) databases were searched to identify relevant English-language articles published between January 2020 and February 2021. A total of 17 articles describing the outcomes of 762 pregnancies were identified. There were 613 babies born, including 16 sets of twins. Within the cases studied, 12 (1.6%) maternal deaths and eight (1.3%) stillbirths were reported. A small proportion (3.9%) of mothers required admission to the intensive care unit, usually due to associated comorbidities. Rates of Caesarean and preterm delivery were 27-100% and 4-50% respectively. Further research is necessary to determine the effect of COVID-19 infection on early pregnancy.

Keywords: COVID-19; Pregnancy; Maternal Death; Perinatal Death; Pregnancy Outcome; Stillbirths; Preterm Births; Review.
Educação como intervenção de enfermagem na prevenção de covid-19 em diabéticos
Authors: Rodrigues Raianne Cristina da Rocha , Oliveira Mariana Terra Alves de , Veloso Danyelle Lorrane Carneiro , Sete Alexandra Rubim Camara , Dutra Luz Marina Alfonso
Published: August 2021

Objetivo: elaborar e implementar um material educativo que possuiu como finalidade orientar os diabéticos sobre os cuidados na prevenção do COVID-19 em um centro especializado em diabetes do Distrito Federal . Materiais e método:Trata-se de uma construção dialógica na qual foi elaborado um folder com orientações quanto ao covid-19, o motivo da necessidade do controle glicêmico e cuidados de higiene para indivíduos diabéticos diante da pandemia. Resultados e discussão: Foi elaborado, impresso e entregue os folders aos usuários diabéticos em um centro especializado em diabetes no Distrito Federal com orientações quanto ao covid-19 e gestão do autocuidado para prevenção da doença. Outros estudos demonstram a importância e influência da utilização das tecnologias em saúde no manejo do autocuidado e de doenças como a Diabetes Mellitus. Conclusões: A utilização das tecnologias em saúde tem sido uma ferramenta manejada pela equipe de enfermagem na promoção de saúde e do autocuidado de usuários dos serviços de saúde, assim como foi utilizada em um centro especializado de diabetes no Distrito Federal para orientação do auto manejo e prevenção da covid-19. Espera-se que folder seja utilizado nas unidades de saúde, na versão digital ou impressa, para expandir a informação e orientar os indivíduos.
Saúde do homem: Estratégias de acolhimento multiprofissional na atenção básica de pernambuco
Authors: Silva Janiedson Barros , Soares Lidiane Martins , Dos Santos Silvana Cavalcanti
Published: August 2021

RESUMO OBJETIVO: conhecer as atividades relacionadas ao acolhimento e cuidados à saúde do homem, desenvolvidas por equipe multiprofissional de unidades da estratégia de saúde da família do agreste de Pernambuco, considerando as recomendações da Política Nacional de Atenção Integral à Saúde do Homem. METODOLOGIA: Tratou-se de um estudo descritivo, analítico, de natureza qualitativa que foi construído com base na Teoria das Representações Sociais de Moscovici (MOSCOVICI, 1978). A coleta de dados foi realizada por meio da técnica de entrevista registrada por meio de diário de campo durante no período em novembro e dezembro de 2019, em 5 equipes das unidades, sendo, 2 médicos, 2 dentistas, 3 agentes comunitários, 4 enfermeiros e 3 técnicos de enfermagem. RESULTADOS E DISCUSSÃO: Os resultados apontam que boa parte dos profissionais de saúde da atenção básica, ainda desconhecem ou conhecem apenas parcialmente a política nacional de atenção integral a saúde do homem, este fato revela os desafios que profissionais e principalmente gestores das instancias de saúde pública precisam enfrentar na busca de melhor qualificação e efetividade dos serviços de saúde prestados ao público masculino. CONSIDERAÇÕES FINAIS: Mesmo após 10 anos da institucionalização da PNAISH no Brasil, diversos fatores ainda dificultam assistência de saúde para aos homens. Portanto, as atribuições de cada membro da equipe multiprofissional são importantes para exercer suas funções no seu âmbito, a qualificação funcionária e gestora é essencial para maior êxito em cada cargo para proporcionar um elo entre o usuário, unidade e rede de atenção, assim, incluindo e integrando essa população.
CONHECIMENTO DE ALUNOS DE GRADUAÇÃO SOBRE O PAPEL DO CIRURGIÃO-DENTISTA NA VIOLÊNCIA DOMÉSTICA CONTRA A MULHER
Authors: De Sousa Silmara Pereira , Silva Ricardo Henrique Alves da
Published: August 2021

Diante da violência doméstica contra a mulher é importante considerar o cirurgião-dentista como um potencial agente no reconhecimento desta situação, tornando importante a formação destes também quanto a responsabilidade ética e legal referente à observância e procedimentos legais das injúrias físicas que caracterizam este ato. O objetivo deste trabalho foi verificar o conhecimento de alunos de graduação frente ao tema violência doméstica contra a mulher. Foram aplicados questionários aos alunos do primeiro e último períodos de um curso de graduação em Odontologia, totalizando 94 participantes. Frente ao conhecimento da descrição e epidemiologia de tal agravo, 92% dos alunos de último período atingiram o nível alto, enquanto 77% dos pertencentes ao primeiro período atingiram tal escore. Em relação ao grupo de questões legais, éticas e manejo de casos, as taxas obtidas apontaram um desempenho designado como bom, para ambos os grupos. A área de maior diferença foi a destinada a influência da graduação, onde 45% da amostra do primeiro período apresentou um desempenho ruim em comparação a 20% do último período. O conhecimento dos estudantes se mostrou satisfatório, principalmente acerca da definição, epidemiologia e conhecimento ético e legal, sugerindo que a graduação possui um papel importante na temática, já que os participantes do último período apresentaram a média de acertos maior que o primeiro período.
O perfil de comercialização de nimesulida em farmácias comunitárias no município de Belém – Pará.
Authors: Pereira de Sena Luann Wendel , Moreira Maria Pantoja , Mello Amanda Gabryelle Nunes Cardoso , Ghammachi Carolina Neves
Published: August 2021

Os anti-inflamatórios são utilizados para evitar ou dificultar um processo inflamatório causado por uma infecção ou lesão. A nimesulida surgiu em 1985 e passou a ser comercializada em mais de 50 países. Contudo, com o passar dos anos, alguns estudos científicos demonstraram a presença de uma grave reação adversa: a toxicidade hepática e renal. Desde então, ela segue sendo observada. O objetivo foi analisar o perfil de comercialização de nimesulida em farmácias comunitárias no município de Belém – Pará. Trata-se de um estudo observacional quantitativo. Foi obtido dados e catalogados em planilha de quantidade de nimesulida comercializada durante o mês de julho de 2018. Os resultados obtidos demonstraram que a nimesulida apresentou um alto índice de consumo e que apenas 38% (n=457) dos pacientes continham prescrições, a forma farmacêutica sólida foi a mais prevalente, tendo os comprimidos correspondendo a 94,98% do quantitativo total de vendas. Os dados desta pesquisa demonstraram o quanto esse fármaco é consumido de maneira irracional nas farmácias e/ou drogarias no município de Belém – Pará e a real necessidade de políticas públicas voltadas ao uso racional de medicamentos.
Incentivo a prática esportiva e socialização a acadêmicos de medicina da Universidade do Estado de Mato Grosso - UNEMAT.
Authors: Barroso Marcio Garcia , Vieira Yasmin , Bom Vinícius Honório Alcântara
Published: August 2021

Os estudantes do curso de medicina, quase sempre são orientados a viver em busca do máximo de sua capacidade intelectual para obterem excelência em sua formação, e muitas vezes esquecem que a boa qualidade de vida também é importante. Esse trabalho trata-se de um estudo descritivo, do tipo relato de experiência, sobre o projeto de extensão desenvolvido junto a Universidade do Estado de Mato Grosso – UNEMAT, com o intuito de promover o incentivo a prática esportiva e melhoria nas inter-relações nas diversas esferas sociais que permeiam o aluno de graduação do curso de medicina, buscando uma melhoria na qualidade de vida, maior socialização e consequente engrandecimento nas condições de ensino-aprendizagem a que são submetidos, contribuindo para sua formação profissional. Nesse projeto observou-se entre a equipe participante, uma vivência profissional e social diferenciada, que contribuiu com discussões, trocas de experiências, reflexões sobre a relevância de se conhecer os mais diversos contextos sociais que compõe a sociedade e proposições de ideias para a melhoria do cuidado na saúde e que para isso torna-se importante uma boa qualidade de vida entre os futuros profissionais médicos, sendo o esporte uma boa opção, uma vez proporciona, além de um momento de descontração, um possível desligamento psicoemocional das atividades de estudos intensos,  promovendo uma maior integração e socialização entre os graduandos de medicina. A conclusão alcançada ao final desse trabalho apoia que novos instrumentos extracurriculares podem ser incluídos durante o processo de formação médica no sentido de melhorar a qualidade de vida dos estudantes.
PERCEPTION OF PHARMACEUTICAL PROFESSIONALS ON IMPLEMENTATION OF PHARMACEUTICAL CARE IN PRIMARY HEALTH CARE
Authors: Shio Marina Tiemi
Published: August 2021

Introduction: Pharmaceutical Care in Primary and Specialized Health Care was standardized by Ordinance No. 1,918 / 2016 approved by the Municipal Health Secretariat of São Paulo. The role of the pharmacist is important for expanding health care and improving adherence to drug treatment for patients. Objective: The research evaluate the perception of pharmaceutical professionals regarding Pharmaceutical Care after the implementation of the Ordinance in the Primary Health Care and Specialty Network. Methods: An online questionnaire was applied before and after the regulation of the Ordinance. Thirty-two pharmacists answered the questionnaires. The opinions of the pharmaceutical professionals regarding the types of interventions used, their ability to intervene, generate good results and the patients' trust for the pharmacist were similar before or after the regulation of the Pharmaceutical Care Ordinance. However, after the standardization of the ordinance, there was an increased participation of pharmaceutical professionals in the meetings of the multidisciplinary team. During the meeting, there was an increase of the feedback concerning the improvement of pharmacotherapy. Pharmaceutical professionals reported that they felt more inserted in the multidisciplinary team (81.25%) and it is necessary an improvement their professional skills (87.50%), as well as an academic updating (96.88%). The implementation of Pharmaceutical Care, according to Ordinance No. 1,918 / 2016, brought pharmacists closer to patients using the Unified Health System (SUS) and to the multidisciplinary team of their Health Unit, enabling a better monitoring of the patient with polypharmacotherapy.