bluuebunny/crossref_metadata_2025 huggingface dataset:
A study to assess the knowledge of mothers regarding reproductive child health programme activity and its utilization in selected urban community in Gwalior city
Authors: Sharma Ketan , Sharma Jyoti , Choudhary Jyoti , Charming Rae Treeza
Published: October 2018

Background: Reproductive and child health program is the flagship program of the department of family welfare, government of India. Female education is a strong predictor of the use of reproductive health care services but the extent and nature of relation between the two is not uniform across social setting. Hence the investigator feels very important to assess the knowledge of mothers regarding reproductive child health programme activity and its utilization in Gwalior city.Methods: The present study aimed at assessing the mother’s knowledge and utilization regarding reproductive child health programme activity in selected urban community at Gwalior city.Results: The present study depicts that the maximum mother (55%) were having good knowledge regarding reproductive child health programme activity and the mothers were having maximum knowledge regarding essential newborn care 67.5% and minimum knowledge (26.6%) regarding control of STD/RTI. Majority of mothers 45 (75%) had average utilization of the reproductive child health programme activity. There was positive correlation between knowledge and utilization of reproductive child health programme activity among mothers (r=0.83).Conclusions: In the present study, there was significant association between utilization of reproductive child health programme activity and mother’s age and parity.
A study to evaluate scope of preventive strategies in modifiable risk factors of hypertension
Authors: Mathur Medha , Mathur Navgeet
Published: October 2018

Background: Hypertension is a vascular disorder associated with high morbidity and mortality. Risk factor prevention plays key role in control of the non-communicable diseases. Current study was conducted to assess prevalence of risk factors related to hypertensive patients.Methods: This cross-sectional study was conducted for the period of six months (January to June 2018). Total 672 hypertensive patients were included in this study and subjected to evaluation of modifiable risk factors like obesity, lack of exercise, smoking, dyslipidemia and pre-existing diabetes mellitus along with non-modifiable risk factors like positive family history and age.Results: On risk factor evaluation of 672 hypertensive patients it was found that 601(89.4%) patients had lack of exercise, 210 (31.2%) patients had dyslipidemia, 190 (28.2%) patients were smokers, 164 (24.4%) patients had diabetes mellitus before emergence of hypertension, 132 (19.6%) patients were obese and 498 (74.1%) patient had age more than 60 years, 94 (13.9%) patients had family history of hypertension.Conclusions: High prevalence of risk factors for this non-communicable disease in Indian community is alarming. Dealing with modifiable risk factors by health education, promotion of exercise, favourable life style, dietary modifications, cessation of smoking, screening programmes for early detection of deranged blood pressure, blood sugar, lipid profile can be effective preventive strategies.
Assessment of food insecurity and its correlates in a rural community of Karnataka: a case study
Authors: Jacob Ankeeta Menona , Rajaram Dinesh , Manjunath Bhanu , Kunnavil Radhika
Published: October 2018

Background: Food insecurity exists when people are undernourished due to the physical unavailability of food, lack of social or economic access to adequate food, and inadequate food utilization. As per FAO, India is home to 25% of world’s hungry population and 194.6 million undernourished people for the period of 2014-2016. The objectives were to assess the food insecurity and determine its correlates in a rural community of Karnataka.Methods: A cross sectional study was undertaken to assess food insecurity and its correlates in households of a rural community of Karnataka using the “Household Food Insecurity Access Scale (HFIAS) for measurement of food access: Version 3” questionnaire during December 2014. The data collected was analyzed using SPSS version 20.0 and mean, proportion and chi-square were calculated as appropriate.Results: The average HFIAS score was as low as 4.15. 80.8% of the 52 households were food insecure, of which 17.3% were mildly insecure, 48.1% were moderately insecure and 15.4% were severely food insecure.Conclusions: With 80.8% food insecurity in the rural agriculture-based community, there is a need for improvements in stability, accessibility and utilization of available food through use of fair price shops and garden kitchen promotion.
Breast cancer screening and diagnosis: a glance back and a look forward
Authors: Javaeed Arslaan
Published: October 2018

The breast cancer has emerged as the commonest malignancy among women and the second most common cancer worldwide after lung cancer. But luckily, the survival rate has also increased significantly to about 98% in patients with early stage of the disease. It shows that an early and accurate diagnosis will considerably reduce the morbidity and mortality from breast cancer. Therefore, the selection of proper diagnostic technique is of immense importance. Various techniques for screening and diagnosis of breast cancer include conventional methods like self and clinical breast examination, mammography and ultrasound. Magnetic Resonance Imaging (MRI) and nuclear imaging are useful for advanced stages of the disease. Biopsy is the gold standard test for the diagnosis. Present article is an effort review different techniques available for the screening and diagnosis of breast cancer.
Etiological spectrum for dysphonia in a rural Indian treatment seeking population
Authors: Mathew Amrita Suzanne , Sridhar Aishwarya
Published: October 2018

Background: Aim of the study was to identify and analyse the etiological factors for dysphonia in a rural treatment seeking population in South India.

Methods: 100 consenting patients presenting to the Department of Otorhinolaryngology in our rural hospital with change in voice for more than 4 weeks and undergoing detailed clinical evaluation including videolaryngoscopic examination and other relevant investigations to arrive at a definitive diagnosis, were included in a cross sectional descriptive clinical study. Descriptive and inferential statistical analysis was performed.  

Results: Organic/structural and functional dysphonia constituted 87% and 13% of cases respectively. The commonest causes for dysphonia were laryngopharyngeal reflux disease (LPRD) (35%), laryngeal/hypopharyngeal malignancies (16%) and vocal palsy/paresis (12%). The mean age of the study patients was 38.71±5.82 years. Majority (65%) were aged 21–50 years. Vocal palsy was identified in children aged 1–10 years (1%), and muscle tension dysphonia in those aged 11–20 years (2%). In individuals aged 21–50 years, LPRD (28%), functional dysphonia (9%), vocal nodules (8%) and vocal palsy (7%) were the most common causes. Laryngeal/hypopharyngeal malignancy (14%) was the commonest etiology identified in individuals aged ≥51 years. Male:female ratio was 1.1:1. The most frequently observed cause for dysphonia was laryngeal/hypopharyngeal malignancy (15%) in males, and LPRD (22%) in females.

Conclusions: With its vast etiology, dysphonia is often just the “tip of the iceberg” for a much greater underlying disease process. This study serves as an insight into the possible differential diagnosis based on age, gender and geographic location of patients. As observed, the most common causes for dysphonia are LPRD and laryngeal/hypopharyngeal malignancies; both of which are amenable to prevention by lifestyle modification, early detection by appropriate clinical and investigative measures, and suitable treatment. Early and correct identification of the cause for dysphonia, enables early management, thereby reducing its associated morbidity and mortality.
An atypical case of rhinosporidiosis: a case report
Authors: C. J. Timna , D. Chandrika
Published: October 2018

Rhinosporidiosis is an infective chronic granulomatous lesion caused by an organism rhinosporidium seeberi, which is seen endemic in some parts of Asia. This organism is difficult to culture and the diagnosis is based on histopathological examination. This disease is more commonly seen in men, in second to third decade.. This case report is regarding a case of a 55 years old lady with history of recurrent rhinosporidiosis in nose. The lesion was found to arise from the inferior meatus and was pale smooth  glistening in appearance, insensitive and does not bleed on touch. Site of origin of the polyp and the appearance was atypical of that of rhinosporidiosis. Patient was subjected for endoscopic excision and cauterisation of the base of the lesion and sent for histopathological examination .Biopsy confirmed the diagnosis of rhinosporidiosis.
Anomalies of the branchial arch apparatus in children: case series and review of literature
Authors: Jain Neha , Dham Ruchima , Shishodia Shama , Mahajan Nidhi
Published: October 2018

Branchial apparatus develop between the 3rd and 7th weeks of embryonic life. There are five mesodermal arches separated by invaginations of ectoderm and endoderm. Branchial anomalies are result of aberrant embryonic development and are rarely seen in clinical practice. The objective of this article is to present few cases of branchial arch anomalies and to discuss the clinical presentation, diagnosis and surgical approach of such lesions in pediatric age group.
Functional outcome of unstable intertrochanteric fractures managed with proximal femoral nail: a prospective analysis
Authors: Mandice C. Joney , Khan Raship , Anandan Heber
Published: October 2018

Background: Hip fractures are a growing concern for the orthopedic surgeons all over the world because the incidence of hip fractures is increasing dramatically and these fractures impose a significant challenge in their efficient management. The aim of the study was to prospectively analyze the functional outcome of unstable intertrochanteric fractures managed with ‘proximal femoral nail’.

Methods: In our institution, we have selected 24 cases of unstable intertrochanteric fractures for this prospective study. All cases enrolled were managed with the proximal femoral nail. These cases were studied from the mechanism of injury, classification, and treatment with the proximal femoral nail and their surgical and functional outcome with or without residual comp.

Results: Patients were followed up for an average period of 8.58 months. The mean Harris hip score was 88.75 at 6th month. The score was excellent in 12 patients, good in 10 patients, fair in 1 patient and poor in 1 patient. In our study of 24 patients with unstable intertrochanteric fracture, the average age incidence was 54.64 years. In the present study male: female was 5:3.

Conclusions: In unstable proximal femur fractures, PFN is a significant advancement in the treatment of unstable trochanteric fractures which has the unique advantages of closed reduction, preservation of fracture hematoma, less tissue damage, early rehabilitation and early return to work.
Various presentations of cutaneous tuberculosis at a tertiary care centre: a one year prospective study
Authors: Jayanthi N. S. , Anandan V. , Kopika S.
Published: October 2018

Background: Cutaneous tuberculosis is a rare manifestation of tuberculosis accounting for about 1.5% of all the extra pulmonary manifestations, though the prevalence of pulmonary tuberculosis is high in India. The aim of the study was to prospectively analyze the various clinical presentations of cutaneous TB and their age and sex distribution among the OPD attending patients over a period of one year.

Methods: Prospective study, conducted during July 2016 to June 2017. Clinically suspected cases of cutaneous tuberculosis were subjected to lesional biopsy and the results obtained were analyzed.

Results: Out of 36 clinically suspected cases, 24 turned out to be cutaneous tuberculosis and apart from these, 5 cases were referred from other departments as cutaneous tuberculosis. The predominant presentation was lupus vulgaris in 12 patients, followed by tuberculous verrucosa cutis in 8 cases, tuberculous ulcers in 3 cases and the remaining 2 cases were erythema induratum of Bazin. Among them, 13 were men accounting to about 52% and 7 were children which accounted for 28% and the remaining 5 were women which added to 20%.

Conclusions: Though the cutaneous manifestations of tuberculosis is very rare, the recent years have shown a rising incidence especially among children and therefore requires a high index of suspicion in them since India has very high prevalence of tuberculosis as such.
Incidence of steroid modified tinea in tertiary care centre Lucknow
Authors: Chaudhary Savita , Shukla Priyanka , Gupta Khushboo , Paliwal Gaurav
Published: October 2018

Background: Rampant use and abuse of topical steroids has led to increase in number of cases of superficial dermatophytosis of skin, nail and hair. In most of the cases they are resistant to topical as well as oral antifungals even after prolong course of treatment. Our study aims to analyse epidemiological and microbiological profile of steroid modified tinea (SMT).

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

Results: 980 patients were screened of which 550 patients with history of using topical steroids were included in our study. Most common age group was 20 to 29 years with male: female of ratio approximately 3:1 and disseminated form was the most common variety. KOH mount was positive in 76% cases and culture was positive in 72% cases. Most common species came out to be T. Mentagrophytes followed by T. rubrum. Among non-dermatophyte group, Candida was the commonest.

Conclusions: There is rise in incidence of dermatophytosis, especially steroid modified one and cases of disseminated tinea are rising.
İMPLANT ÇIKARIMINDA ENDİKASYON VE KOMPLİKASYON İLİŞKİSİ
Authors: Üçpunar Hanifi , Özcan Seçkin , Sofu Hakan , Çamurcu İsmet Yalkın , Duman Serda , Konya Mehmet Nuri
Published: October 2018

AMAÇ: Bu çalışmanın amacı, implant çıkarımı cerrahisininendikasyonları ve komplikasyonları arasındaki ilişkiyideğerlendirmektir.GEREÇ VE YÖNTEM: 2011-2014 yılları arasında implantçıkarımı ameliyatı yapılan hastaların verileri tıbbi kayıtlarımızdanincelendi. Hastaların yaşı, cinsiyeti, implantınanatomik bölgesi ve implantın türü değerlendirildi. Tümhastalar için kırık tedavisi ve implant çıkarımı ameliyatıarasındaki süre kaydedildi. İmplant çıkarımı ameliyatıendikasyonları analiz edildi ve komplikasyonlar ile olanilişkisi Pearson Ki-Kare testi ile değerlendirildi.BULGULAR: Yaş ortalaması 36.2 ± 18.4 olan (dağılım,5-79 yıl) 276 hastadan (116 kadın, 160 erkek) 279 implantçıkarıldı. İlk operasyondan implant çıkarımı ameliyatınakadar geçen ortalama süre 27.9 ± 33 aydı (aralık 0.25 ila240 ay). İmplantların en yaygın anatomik yerleşimlerinin93 hastada (% 33.6) tibia, 63 hastada femur (% 22.8) ve 39hastada (% 14.1) fibula olduğu görüldü. İmplant çıkarımıendikasyonları; 54 hastada (% 20) implant yetmezliği, 21hastada (% 8) derin enfeksiyon, 167 hastada (% 60) implantiritasyonu, 9 hastada (%3) psödoartroz, 44 hastada (% 16)hastanın talebi ve 40 hastada (% 14) cerrahın talebi olaraktespit edildi. Genel olarak komplikasyon oranı %17 (48hasta) olarak bulundu. İmplantın enfeksiyon nedeni ilealınması ile postoperatif enfeksiyon ve refraktür arasındaanlamlı korelasyon mevcuttu. Psödoartroz nedeniyleimplantın çıkarılması ile beklendiği gibi yeni implantihtiyacı arasında anlamlı korelasyon elde edildi.SONUÇ: İmplant çıkarma ameliyatı sırasındaki veyasonrasındaki komplikasyonların, daha önce enfeksiyon,psödoartroz ve implant yetmezliği gibi sorunlu klinikdurumlarla ilişkili olduğu tespit edildi.
BORAKS KULLANIMINA BAĞLI KAN-TESTİS BARİYERİNDE GÖRÜLEN DEĞİŞİKLİKLERİN HİSTOLOJİK DEĞERLENDİRİLMESİ
Authors: Tosun Murat , Aladağ Tuğçe , Gökalp Esra , Gökçe Gökçen
Published: October 2018

AMAÇ: Günlük yaşantıda yaygın olarak kullanılan bor bileşiklerininuzun süreli kullanımında değişik organlardadoza bağımlı toksik etki olabileceği yönünde bulgularmevcuttur. Bu amaçla çalışmamızda değişik dozlarda borakskullanılan ratların testislerinde kan-testis bariyeri yapısındave leydig hücre sayısında görülebilecek değişimibelirlemeyi amaçladık.GEREÇ VE YÖNTEM: Çalışmada her grupta 6’şar erkek ratbulunan toplam 4 grup oluşturuldu. Her gruptaki ratlaraboraksın farklı dozları oral yoldan uygulandı. Deneysonrası alınan sol testisler histolojik olarak takip edilerekimmunohistokimyasal olarak Claudin-1, Pan Cadherin veCalretinin ile boyandı ve ışık mikroskobu ile değerlendirildi.BULGULAR: Testis örneklerinde Cadherin ekspresyonununartan doza bağımlı azaldığı gözlendi. Bununlabirlikte Claudin 1 ekspresyonunun gruplar arasında çokdeğişiklik göstermediği gözlendi. Leydig hücre sayısınınise bir kez LD50x2 doz boraks uygulanan ratlarda azalmagösterdiği gözlendi.SONUÇ: Elde edilen bulgular boraks kullanımının dozabağımlı olarak testislerde kan-testis bariyeri bileşenleriüzerine zararlı etkiler oluşturabileceğini göstermektedir.Bu etkiler uzun dönemde infertilite sorunlarına nedenolabilme potansiyeline sahiptir. Bu nedenle bilhassa borbileşenleri üretim merkezleri çevresinde olmak üzereçevre kirliliği yönünden önemli korunma tedbirlerialınmasının gerekli olduğunu düşünmekteyiz.
Adolescent Sports-Related Concussion: US Healthcare Access, Finance, and Delivery
Authors: Younger David Steven
Published: October 2018

The current United States health care systems has challenges and inconsistencies resulting from deficiencies in prevention and the optimal management of the sports-related concussion that goes beyond the acute injury. The current system leads to gaps in optimal care for children beginning with coaches who fail to identify a sport-relation concussion, remove a player from the practice or game or properly assess the player for a concussion before returning them to play according to each states’ laws; to more systemic problems that result from lack of communication with parents and school officials. The result is a delay in diagnosis and treatment, and in the provision of follow-up health services, concussion-related educational and insurance-related services and applicable insurance waivers. Viewed through the lens of a public health socioecological framework, the actors and social and environmental factors, and policy-sensitive participants can be clarified with respect to formulating public health policy in order to identify areas amenable to intervention and health risk mitigation of school-age youth at risk.
Pancreatogenic infections: importance of microbiological monitoring and penetration of antimicrobial chemotherapeutic agents into the pancreas when defining therapeutic approach
Authors: Filippova O.V. , Malorodova T.N. , Pokrovskaya T.G. , Afanasiev Yu.I.
Published: October 2018

The review provides the information on the spectrum of microorganisms initiating the development of clinical and morphological forms of pancreatogenic infections. It is shown that when analyzing pathological conditions, no features in the microbiological landscape of the secondary infection in the pancreas and the surrounding extraperitoneal cellular tissue are registered. It provides the information on the particular structure of the microorganisms spectrum in acute pancreatitis in the Italian, Mexican, Indian, Chinese and Russian patient populations. Special attention has been paid to the choice of antibacterial medications in acute pancreatitis; the choice is based on sensitivity of allocated microorganisms to these medications, and particularities of medication therapeutic concentrations formation in the pancreas tissues or its secret. Foreign researchers’ experimental and clinical data regarding the penetration degree of various antibacterial agents into pancreatic tissue in the presence of pancreatic necrosis and efficiency of the agents in the process of drug correction of necrotizing pancreatitis. The analyzed information predetermines the need for a continuous microbiological pattern monitoring on the local level in association with assessment of its sensitivity and specificity to the prescribed antibacterial therapy of acute pancreatitis in the early stages of its infectious complications.
POLÍTICAS DE SAÚDE MENTAL E ABERTURA PARA O FUTURO
Authors: Furegato Antônia Regina Ferreira
Published: October 2018

Editorial
Real-Time Lighting Control System with Fuzzy-Mamdani for Smart Home Application
Authors: Budianto Dimas , Nurmaini Siti , Tutuko Bambang , Raflesia Sarifah Putri
Published: October 2018

The use of pervasive computing in the context of home automation equipment will greatly facilitate life. Several building still use manual switch  to turn on or turn off the lighting system. It becomes ineffective if the house has a lot of lights, due to it sometimes forget to turn off. Hence, the real-time control system for automatic lighting processing is desirable. An automatic control system will allow to control the illumination and it will decrease the energy costs. In this paper, the Fuzzy logic system-based Mamdani style is used to adjust the intensity of the lights. Based on simple algorithm the controller board is working in a real-time condition. As a result found, the implementation is successfully to control the lighting system with good performance. Thus, the fuzzy system can be built smart home concept that facilitate the human life.
Fen Bilgisi Öğretmen Adaylarının Argümantasyona İlişkin Görüşleri ve Argüman Kurma Becerilerinin Araştırılması
Authors: AYDEMİR Selçuk , KARAKAYA CIRIT Didem , KAYA Songül , AZGER Ceylan
Published: October 2018

Bu
çalışmanın amacı, Fen Bilgisi (FB) öğretmen adaylarının argümantasyona ilişkin
görüşlerini ve argüman kurma becerilerini belirlemektir. Araştırmaya Muş
Alparslan Üniversitesi, Eğitim Fakültesi FB Öğretmenliğinde öğrenim gören
toplam 32 öğretmen adayı katılmıştır. Bu çalışmada, FB öğretmen adaylarının
argümantasyona ilişkin görüşlerini belirlemek için 6 sorudan oluşan açık uçlu
anket kullanılırken, argüman kurma becerilerini belirlemek için yarışan
teoriler etkinliğine dayalı yarı-yapılandırılmış mülakatlar yapılmıştır. Açık
uçlu anket ve yarı-yapılandırılmış mülakatlardan elde edilen veriler içerik
analiz yöntemi ile analiz edilmiştir. Öğretmen adaylarının argüman kurma
becerilerine ilişkin elde edilen verilerin analizinde ise Toulmin’in Argüman
Modeli esas alınarak Erduran, Simon ve Osborne (2004) tarafından geliştirilen
ve beş argüman seviyesinden oluşan ölçeğe göre analiz edilmiştir. Elde edilen
sonuçlar, öğretmen adaylarının genel olarak orta düzeyde görüşlere sahip
olduklarını ancak düşük seviyede argüman kurma seviyelerine sahip olduklarını
göstermiştir.
Estimativa de Mapa de Eficiência para Máquinas Elétricas Através do Método de Filtro de Kalman Estendido
Authors: Ries Victor Hugo Kittel , Waltrich Gierri , Vaccari Anderson
Published: October 2018

Neste artigo é apresentado um método para a estimativa do mapa de eficiência em máquinas elétricas sem a necessidade de transdutores de torque ou dinamômetros. A técnica empregada é o Filtro de Kalman Estendido (EKF), que permite estimar torque e velocidade apenas medindo correntes e tensões na máquina. O estudo foi realizado utilizando um motor síncrono de ímã permanente (PMSM). Para validar os modelos teóricos, foram realizadas simulações no Matlab e em hardware-in-the-loop (HIL), em conjunto com processadores digitais de sinais (DSP), além de testes experimentais em um motor real. Os resultados deste estudo mostram que os mapas de eficiência estimados pelo EKF são semelhantes aos obtidos por dinamômetros, demonstrando o potencial da técnica para estimar o mapa de eficiência de uma máquina elétrica sem o uso de dinamômetros.
Current Perceptions: The DNP–PhD Divide
Authors: Nickasch Bonnie L. , Lehr Michelle M. , Schmidt Bonnie , Henne Trevor , Wippich Carley
Published: October 2018

Background: Doctor of Nursing Practice (DNP) and PhD degrees are terminal degrees in nursing, yet they differ in preparation and intended purpose. Perceptions of DNP- and PhD-prepared faculty, staff, and administrators regarding DNP/PhD teaching roles, research expectations, and attitudes toward collaboration are poorly understood. Objective: This mixed-method study sought to identify current perceptions related to collaboration and utilization of DNP- and PhD-prepared faculty, staff, and administrators. Methods: Quantitative survey responses were obtained from 55 DNP- or PhD-prepared individuals, followed by qualitative interviews of eight participants. Results: Qualitative findings identified DNP–PhD division, lack of collaboration, and sub-optimal utilization of DNP and PhD individuals. Significant quantitative findings identified perceptions that increased collaboration would enhance student learning and increase research success. Conclusions: Administrators should make organizational changes that break down barriers between DNP- and PhD-prepared faculty, staff, and administrators. Implications for Nursing: University administrators can optimize student success by finding ways to bridge the divide between DNP- and PhD-prepared faculty, staff, and administrators.
Improving Vaccination Rates in Adults With Type 2 Diabetes in a Family Practice Setting Through the Use of Evidence-Based Interventions
Authors: Gottlieb Ronda Perrin , Dols Jean Dowling
Published: October 2018

Background: Adults with diabetes are at increased susceptibility to infectious disease because of hyperglycemia, poor glucose control, and decreased immunity. Diabetes is the seventh leading cause of death in Texas and the United States. Objective: The purpose of this evidence-based quality improvement project was to implement processes to facilitate providers’ adherence to immunization guidelines for adults with type 2 diabetes mellitus. Method: A protocol was created for a family practice clinic using the Four Pillars Transformation Program. Interventions included immunization standing orders, vaccine needs screening, patient education, electronic medical record alerts, an appointed immunization champion, and quality improvement meetings. Results: Ten weeks post project implementation, the increased screening and education resulted in 64% of the eligible patients being vaccinated with pneumococcal polysaccharide vaccine 23, 86% pneumococcal conjugate vaccine, 89% tetanus, and 54% herpes zoster. Conclusions: The results indicate that formal printed education on diabetes and vaccines increased vaccine uptake in eligible patients by 76%. Implications for Nursing: The Four Pillars Transformation Program allows each practice the ability to modify and select interventions best suited to the practice needs, making it a feasible tool for any clinic.
Die Ned Geref Kerkorde van 1962: In samehang en voeling met die res van die lewe of werklikheid?
Authors: Strauss Pieter Johannes
Published: October 2018

Abstract:
The Church Order of 1962 of the Dutch Reformed Church: connected to the rest of life with a feeling for the whole of creation?

The Church Order of 1962 was the first church order accepted by the new General Synod of the Dutch Reformed Church. Apart from the fact that it tried to be an order according to Holy Scripture and the Three Formulas of Unity as reformed confessions of faith, it contains articles based on norms revealed outside the contact and cooperation of the church with the rest of life. Norms revealed out of the pattern of God’s creation in which aspects created with an own character together with other such aspects, form an integrated whole. An aspect will lead a human act and use the core of other aspects to form norms for the act mentioned.

The Church Order of 1962 is investigated from article 1 till 70. The question in the title is answered in the affirmative. This Church order is connected to the rest of life and contains articles to confirm this.

Opsomming:

Die eerste kerkorde van die nuwe Algemene Sinode van die Ned Geref Kerk in 1962 poog om Bybels en belydenismatig te wees. Daarom bou dit op konstantes of beginsels wat op die Woord van God en die belydenisskrifte van die Ned Geref Kerk gebaseer is. Hiernaas weerspieël dit norme soos blootgelê deur die samehang van die kerk met die res van die lewe of geskape werklikheid. ‘n Werklikheid waarin daar ‘n verskeidenheid oorspronklike aspekte is wat met mekaar saamhang. ‘n Lewe waarin elke menslike handeling deur ‘n aspek gelei word en die kern van ander aspekte in diens neem as norme vir optrede.

Die Kerkorde van 1962 word van artikel 1 tot 70 vir sulke norme of samehange ondersoek. Die vraag in die titel word bevestigend beantwoord. Die Ned Geref Kerk leef in samehang en voeling met die res van die lewe.
BMM: A Business Modeling Method For Information Systems Development
Authors: Montilva C Jonás , Barrios A Judith
Published: October 2018

An important premise of most of the contemporary methods for developing Software and Information Systems is that a good understanding of the application domain is essential for a comprehensive definition of its requirements. However, when these methods are applied to the enterprise context, it is very unclear what an application domain means. To solve this problem, we elaborate the notion of business system and propose a method based on such notion for modeling application domains of Enterprise Information Systems (EIS). This method helps EIS development teams to get comprehensive knowledge about EIS application domains. This knowledge is expressed in terms of the fundamental concepts of a business system: goals, technologies, business rules, business processes, business objects, actors, job structure, and events. The method is described in terms of three methodological components: a product model, a process model, and a team model. This structure facilitates the explanation, understanding and application of the method.
A Component-based Product Line for Workflow Management Systems
Authors: De Souza Gimenes Itana Maria , Lazilha Fabrício Ricardo , De Oliveira Junior Edson Alves , Barroca Leonor
Published: October 2018

This paper presents a component-based product line for workflow management systems. The process followed to design the product line was based on the Catalysis method. Extensions were made to represent variability across the process. The domain of workflow management systems has been shown to be appropriate to the application of the product line approach as there are a standard architecture and models established by a regulatory board, the Workflow Management Coalition. In addition, there is a demand for similar workflow management systems but with some different features. The product line architecture was evaluated with Rapide simulation tools. The evaluation was based on selected scenarios, thus, avoiding implementation issues. The strategy that has been used to populate the architecture and experiment with the product line is shown. In particular, the design of the workflow execution manager component is described.
Response to Carroll, President of the Victorian Mental Health Tribunal
Authors: Maylea Christopher , Ryan Christopher James
Published: October 2018

Drs Maylea and Ryan publish their response to Matthew Carroll's letter about their 2017 article ‘Decision-Making Capacity and the Victorian Mental Health Tribunal’.
Effets de la dose de gonadotrophines sur l’œstrus et la production d’embryons chez les brebis Hamra et Ouled Djellal
Authors: Gharbi Ismail , Dechicha Amina Samia , Ferrouk Mustapha , Baazize-Ammi Djamila , Kebbal Seddik , Guetarni Djamel
Published: October 2018

L’application des techniques de superovulation et de production d’embryons est incontournable pour la conservation des ressources génétiques ovines. L’objectif de la présente étude a été d’évaluer l’effet de l’administration de deux doses d’hormone folliculostimulante d’origine porcine (pFSH) sur le délai d’apparition et la durée de l’œstrus, la réponse ovarienne, et la production d’embryons chez les brebis des races Ouled Djellal (OD) et Hamra (H). Les brebis OD (n = 15) et H (n = 14) ont été synchronisées par la pose d’éponges vaginales imprégnées avec 40 mg d’acétate de fluorogestone (FGA), et superovulées par l’administration de 16 ou 20 UA de pFSH durant les trois derniers jours du traitement progestagène. Le septième jour après œstrus et saillie naturelle, les embryons ont été collectés par laparotomie. Chez les brebis OD le début de l’œstrus a été plus précoce avec l’utilisation de 20 UA qu’avec celle de 16 UA (22,1 ± 4,5 vs 25,0 ± 3,5, p < 0,05), de même la durée de l’œstrus a été plus longue (34,0 ± 6,6 vs 40,0 ± 7,1, p < 0,05). Chez les brebis H l’augmentation de la dose de pFSH de 16 UA à 20 UA a induit une baisse de production d’embryons : taux de collecte 72,2 vs 47,1, p < 0,001 ; nombre de structures récoltées 5,9 ± 3,4 vs 3,6 ± 2,1, p < 0,05 ; nombre d’embryons récoltés 3,2 ± 1,9 vs 5,1 ± 2,6, p < 0,05 ; embryons de grade 1 et 2, 4,3 ± 2,4 vs 2,1 ± 1,7, p < 0,01. En revanche, chez les brebis OD le taux d’ovulation et la production d’embryons ont été nettement améliorés lors de l’utilisation d’une dose de 20 UA : nombre de corps jaunes 6,9 ± 3,9 vs 10,4 ± 5,4, p < 0,05 ; nombre d’embryons récoltés 3,2 ± 2,0 vs 5,1 ± 2,3, p < 0,05 ; embryons de grade 1 et 2, 2,2 ± 1,6 vs 4,3 ± 1,7, p < 0,05. Les résultats indiquent que la réponse ovulatoire, l’œstrus, et la production d’embryons sont influencés par la dose de la pFSH et par la race.
Fotografia, arte e história na atualidade: relações praticadas
Authors: Furegatti Sylvia , Schiavinatto Iara
Published: October 2018

Este Dossiê da Revista Resgate investe sua atenção nas pesquisas que combinam os campos de produção e reflexão contemporâneas dentre Fotografia, Artes Visuais e História. Deriva diretamente de parte das discussões levantadas pelas mesas do Fórum que abriu a 10a edição do Festival Hercule Florence de Fotografia, realizado em abril de 2017, no Instituto de Artes da Unicamp, com desdobramentos para outras atividades nas dependências da Estação Cultura de Campinas e arredores do centro da cidade.
Experiência interdisciplinar na educação básica e na formação de professores: artes, biologia e geociências.
Authors: Duarte Sarah Gonçalves , Martins Claudia Maria Magalhães Ribeiro , Bandeira Luana Graziella , Carramillo Lucio Caetano , Gervásio Marcos Pereira , Wanderley Maria Dolores
Published: October 2018

A interdisciplinaridade melhora o processo de ensino-aprendizagem. Sendo assim, um método mesclando “Arte, Biologia e Geociências” foi desenvolvido. O objetivo desde método era fazer com que os alunos do Ensino Médio de um colégio estadual representassem através da arte a origem do universo, do planeta Terra e da vida, seguindo a escala do tempo geológico e da evolução dos organismos. Após quatro aulas teóricas, os materiais produzidos, coletados ou cedidos por universidades foram apresentados na exposição “Uma viagem na história da vida com Arte e Biologia”. Este método também foi aplicado aos alunos do curso de Licenciatura em Ciências Biológicas e Licenciatura em Geografia, das universidades UFRuralRJ e UFRJ, como exemplo de vivência didático-pedagógica de um método interdisciplinar. Como resultado, verificou-se o aprendizado dos alunos do Ensino Médio e a conscientização dos alunos da licenciatura sobre a importância atividades interdisciplinares para minimizar a fragmentação do conhecimento.
Connecting formal and informal learning to enhance elementary teacher preparation in geosciences
Authors: Locke Sharon L. , Bracey Georgia , Foster Tom , Fraine Shawn , Hu Shunfu , Lacombe Katie , Wilson Colin
Published: October 2018

The U.S. National Research Council has called on the science education community to conduct further studies on how informal learning complements the formal classroom environment. Responding to this research need, we are developing, testing, and studying new instructional materials that integrate informal, field-based science learning into elementary teacher education. Us-ing EarthCaching as a model for teaching geosciences, the project team has developed an introductory module and seven field-based EarthCaching activities that connect to the earth and space science core ideas described in the Next Generation Science Standards. The materials are aimed at pre-service elementary teachers; however, they are appropriate for use with early child-hood and special education majors. To date we have piloted the materials over four semesters, gathering feedback through fo-cus groups to inform iterative revisions. Through the redesign process, the team has identified a set of preliminary design prin-ciples to guide other teacher educators interested in integrating EarthCaching into their instruction. These include attention to preparation, safety, and navigation; emphasis on observation, estimation, and prediction; promoting peer group interactions; presenting familiar sites from a new perspective; and highlighting cultural significance. Elementary pre-service teachers in the focus groups noted the value of taking young learners outside to EarthCache, including the opportunity to connect classroom learning to the real world and to teach geosciences locally. We anticipate that integrating informal science learning experiences into a science course for elementary pre-service teachers will increase their positive attitudes towards informal learning and in-tention to use elements of informal learning with their own students.
Mandatory Reporting of Fatal and Nonfatal Opioid Overdoses in a Rural Public Health Department
Authors: Frank Christopher J. , Kushner Siri E. , Doran David A. , Stehr-Green Jeanette
Published: October 2018

In 2016, Clallam County became the first county in Washington State to mandate reporting of fatal and nonfatal opioid overdoses. This reporting improved our understanding of opioid overdoses in the community and allowed us to provide harm reduction and case management services after nonfatal overdoses. By using the Washington State Prescription Monitoring Program, we have been able to notify health care providers when their patients have experienced a fatal or nonfatal opioid overdose to help better guide their prescribing practices.
Edward Ballard and the Practice of Epidemiology in the 19th-Century United Kingdom
Authors: Steere-Williams Jacob
Published: October 2018

This article recovers the history of Victorian epidemiology through the career of British physician Edward Ballard (1820–1897). Ballard’s career provides a useful window into the practices of epidemiology in the 19th century because he held notable public health posts as medical officer of health for Islington and inspector at the Medical Department of the Local Government Board. By the time of his death, in 1897, he typified the transition toward professional epidemiology. In exploring some of the most important environmental and health-related problems in preventive medicine in the 19th century, Ballard was part of a group of influential epidemiologists who studied infectious disease. In particular, he was noted for his research into typhoid fever and industrial health. Yet Ballard’s career has largely been forgotten. In this article, I explore Ballard’s work as a window into the everyday practices of Victorian epidemiology and suggest that the process of professionalizing epidemiology in the 20th century was about forgetting epidemiology’s Victorian past as much as it was about championing it.
Comparing the United States’ and China’s Shifting Health Challenges
Authors: Fielding Jonathan
Published: October 2018

The United States and China both face the question of how to prioritize programmatic resources and policy interventions to make the greatest impact on the health of their populations.

I discuss strengths and limitations of the expert panel survey used by Wu et al. in “The 20 Most Important and Most Preventable Health Problems of China: Opinions From Chinese Experts Using a Modified Delphi Process,” in this issue of AJPH.

I juxtapose this method with several US approaches to priority setting at the federal, state, and county levels and suggest steps for moving from research to action.
ÜCRETLERİN KAYNAKTA VERGİLENDİRİLMESİ: FARKLI VERGİ SİSTEMİ UYGULAYAN OECD ÜLKELERİNE İLİŞKİN BİR İNCELEME
Authors: ŞEN Özden , DEMİRLİ Yunus
Published: October 2018

Ücret gelirleri, OECD ülkelerinde gelir vergisi kapsamında ve
genellikle kaynakta kesinti yöntemiyle vergilendirilmektedir. Bu çalışmanın
amacı; farklı gelir vergisi sistemlerinde kaynakta vergilendirilen ücretlilerin
gerçek usulün imkânlarından ne ölçüde yararlandırıldığını tespit etmek ve
Türkiye için çözüm önerileri getirmektir. Bu kapsamda çalışmada OECD
ülkelerinin ücretlerin vergilendirilmesinde kullandıkları yöntemler
araştırılmıştır. Ayrıca ücretlerin kaynakta vergilendirilmesine etkisini tespit
etmek amacıyla; kapsamlı, ikili, yarı ikili ve düz oranlı gelir vergisi
sistemlerini uygulayan OECD ülke örnekleri incelenmiştir. Çalışma sonucunda,
gelir vergisi sistemlerindeki farklılıkların kaynakta kesinti yöntemine
doğrudan etkisinin olmadığı, incelenen ülkelerde vergiye şahsilik özelliği
kazandıran vergi kolaylıkları ile sosyal içerikli transferlerin çalışanların
net ücretlerini pozitif yönde etkilediği tespit edilmiştir. Türkiye’de ise
ücretlerin çoğunlukla kaynakta vergilendirilmesi gelir vergisinin sübjektif
niteliklerini kısmen kaybetmesine neden olmakta ve ücretliler için gerçek
usulde vergilendirme şekli nitelik taşımaktadır. Bu nedenle diğer bazı
ülkelerde olduğu gibi Türkiye'de de, ücretlerin vergilendirilmesinde beyanname
yöntemi gibi gelir vergisini güçlendiren vergilendirme tekniklerinin
kullanılması önerilmektedir.
LPS-adsorber in patients with septic shock
Authors: Loginov S. P. , Gromova Elena Georgievna , Kiselevskij M. V. , Krotenko N. P. , Doljikova Ju. I. , Vlasenko R. Ja. , Kuznetsova L. S.
Published: October 2018

The results of lipopolysaccharide (LPS) sorption using selective LPS adsorber (Alteco) in 20 patients with gram-negative sepsis were investigated. From 2 to 6 hemoperfusion operations were performed. Concentrations of interleukins (IL): IL-6, IL-8, IL-10, IL-18, lipopolysaccharide (LPS) in serum before and after the procedure, and in washouts from sorbents were controlled. Decrease in LPS was accompanied by improvement or normalization of clinical and laboratory parameters, more pronounced in the group of survivors. High sorption capacity of LPS-adsorber and its efficiency in elimination of not only LPS but cytokine excess from the blood flow have been demonstrated.
Overview of Different Waste Treatment Methods
Authors: Khan Nida Tabassum , Jameel Namra , Khan Maham Jamil
Published: October 2018

Wastes including chlorinated aliphatic hydrocarbons, refractory organic compounds, aromatic derivatives, radionuclides etc., poses a serious threat to the environment. Therefore numerous in situ /ex situ treatment method are formulated to remove or immobilize such contaminates occurring in soil, water or air to minimize its harmful effects.
HAYDİ KÖYÜMÜZE GERİ DÖNELİM! TERSİNE GÖÇÜN SOSYOEKONOMİK ETKİLERİ: YENİYOL KÖYÜ ÖRNEĞİ
Authors: KEPENEK Emek Barış , UĞUZMAN Prof.dr. Tülay
Published: October 2018

Göç, insanlık tarihinin en başından beri
varlığını sürdüren, hem sosyal hem kültürel hem de ekonomik boyutlara sahip
karmaşık bir olgudur. Bu makalenin ana teması, “göç sürecinin tamamlandığını
düşünen kişilerin ilk hareket noktalarına dönmeleri” olarak tanımlanan tersine göç olgusudur. Bu bağlamda
makalenin amacı, tersine göç kavramının, hem göçmen kişi üzerinde hem de geri
dönülen mekânda yarattığı ekonomik ve sosyal etkileri araştırmaktır. Makale
ayrıca bulgular üzerinden bölgesel sorunlara yönelik çözüm önerileri getirmeyi
de amaçlamaktadır. Rize iline bağlı Yeniyol Köyü araştırma
alanı olarak seçilmiştir. Çalışma, alan araştırması yöntemi kullanılarak
yürütülmüştür. Emeklilik ve istenilen başarı düzeyine ulaşılmamış olması, geri
dönüş nedenleri olarak karşımıza çıkmaktadır. Geri dönüşlerin olduğu ailelerde
toprak ve gelir paylaşımları üzerine sorunlar ortaya çıkmaktadır.

Göçün önüne geçebilmek için kırsal kesimde
yaşamı kolaylaştıracak, gelir getirecek yapıların kurulması ve bölgesel
özelliklere göre yapılmış kalkınma politikalarına ihtiyaç vardır.
YEREL HALKIN SURİYELİLERE YÖNELİK TUTUM ÖLÇEĞİ GELİŞTİRME ÇALIŞMASI
Authors: YİĞİT ÖZÜDOĞRU Hülya , KAN Adnan , YAMAN Esra , USLU Latife
Published: October 2018

Türkiye’nin, jeopolitik konumu, tarihi ve kültürel
bağlarından dolayı hâlen devam etmekte olan Suriyeli mülteci krizinden uzun
soluklu olarak etkileneceği aşikârdır. 
Bu durumun bir ürünü olarak Türkiye’ye göç eden Suriyeliler toplumumuza
yeni bir sosyal grup olarak dâhil olmuşlardır. Suriyelilerin Türkiye’ye gelmeye
başlaması, Türkiye’de yaşayan halkın kültürü ile kendi kültürleri arasında bir
gerilimin yaşanmasına neden olmuştur. Bu bağlamda Suriyelilere yönelik
tutumların bilinmesi başta uyum çalışmalarında kullanılmak üzere kamu
politikalarını belirlemek vb. amaçlarla birçok alanda istenen bir durum hâline
gelmiştir. Bu doğrultuda çalışmanın amacı yerel halkın Suriyelilere yönelik
tutumunu ölçen geçerli ve güvenilir bir araç geliştirmek olarak
belirlenmiştir.  Halkın Suriyelilere
yönelik tutumunu ölçmek amacıyla geliştirilen bu ölçeğin; sahada yürütülecek
uyum ve politika geliştirme çalışmalarına katkı sağlaması beklenmektedir. Ölçme
aracının geçerlik ve güvenirliğin test edilmesi amacıyla 540 kişilik çalışma
grubundan elde edilen verilerle 26 maddeden oluşan kabul etme, tehdit ve
reddetme olarak adlandırılan üç faktörlü yapı belirlenmiştir. Ölçeğin tümü için
elde edilen iç tutarlık kat sayısı. 965; KMO değeri. 969 olarak tespit
edilmiştir. Ölçeğin faktörlerinin açıkladığı toplam varyans oranı 66,335’tir.

Bu bulgulardan yola çıkarak ölçeğin yerel halkın
Suriyelilere yönelik tutumlarını ortaya koymak için geçerli, güvenilir ve
ölçülmek istenen özelliğe sahip olan ile olmayanı ayırt etme özelliğine sahip
olduğu söylenebilir.
Mechanism of managing expenses and earnings of the industrial enterprise in current market conditions
Authors: Andryuk G. L.
Published: October 2018

Today industrial enterprises are facing the problem of efficient management of expenses and earnings, as prospects of enterprise development depend more and more seriously on these figures and factors influencing their change, as well as the degree of managerial impact. The article analyzes key finance tools of managing enterprise expenses and earnings illustrated by the limited company ‘Grantmash’, identifies their basic advantages and shows possibilities of their use in practice of managing industrial enterprise expenses and earnings. The author proposes to introduce principles of thrifty production as the most effective tool of managing expenses and earnings in industrial sphere. Within the frames of this program it is recommended to optimize personnel by cutting human resources being used infectively, to lower labour-intensity of production through introduction of new technologies of mechanization and automation and to upgrade machinery and equipment. Management of the industrial enterprise should take a number of steps aimed at rationalization of using work places and storages, liquidation of extra functions and simplification of document turn-over and accounting scheme. It is also recommended to cut costs of material resources at the expenses of suppliers selling necessary for production resources at lower prices and to take managerial, technical and technological steps, which can raise efficiency of the available raw material basis and cut a proportion of rejects. In order to optimize the value of fixed assets and improving efficiency of their use it is necessary to reduce the volumes of unnecessary raw material and component purchase, to optimize the structure of stocks at storages and the need in certain material and technical items, as well as to take steps aimed at building the system of accounts receivable control.