bluuebunny/crossref_metadata_2025 huggingface dataset:
EQUIDAD ECONÓMICA DIMENSIÓN DE LA CALIDAD DE VIDA LABORAL EN LA UNIVERSIDAD DE LA GUAJIRA
Authors: Pinto Aragón Elvis Eliana , Brito Carrillo Clara Judith , Mendoza Cataño Carmenza Leonor
Published: September 2017

Este artículo tiene como propósito analizar la equidad económica como dimensión de la calidad de vida laboral en la Universidadde La Guajira. Metodológicamente, la investigación corresponde a un paradigma positivista, el tipo de investigación es descriptiva y analítica, diseño no experimental, transaccional y de campo, la población fue de 59 empleados de carrera administrativa, obteniéndose la información mediante la técnica de la encuesta y como instrumento un cuestionario de nueve ítems con opciones de respuestas múltiples, validado por cinco expertos, mientras la confiabilidad ,mediante la estimación del coeficiente de alfa crombach con un 91% de fiabilidad, para el análisis de los datos se empleó la estadística descriptiva. Los resultados indicaron que la equidad económica representa una dimensión de la calidad de vida, generando un aporte para mantener la integración de los trabajadores universitarios con las actividades misionales en la universidad objeto de estudio. Concluyéndose que la equidad como parte de la dimensión de la calidad de vida en la universidad de La Guajira proporciona bienestar a los trabajadores mediante los beneficios derivados de su relación laboral, convirtiendo sus espacios en un ambiente gratificante para el cumplimiento de las funciones asignadas, asimismo manteniendo la convivencia y satisfacción en el quehacer de su compromiso y desempeño laboral
ANÁLISIS CRÍTICO DE LA FORMACIÓN DEL CONTADOR PÚBLICO POR CICLOS PROPEDEUTICOS EN LA GLOBALIDAD COMPLEJA
Authors: Ariza Angarita Yuleida , Villasmil Molero Milagros , Monsalve Peláez Magda , Fontalvo Anaya Freddy
Published: September 2017

Uno de los desafíos que enfrenta la educación superior en la era de la globalización es replantear y reorganizar el sistema de formación, buscando alineación de las estructuras curriculares entre la educación media, la formación para el trabajo y la educación superior en sus diferentes modalidades de modo que garantice el acceso, permanencia, movilidad, flexibilidad y el respeto vocacional, al mismo tiempo que promueva la excelencia académica y el desarrollo social y productivo. Metodológicamente es de tipo documental con visión exploratoria descriptiva y diseño bibliográfico, centra su objetivo en analizar la pertinencia de la formación profesional del contador público por ciclos propedéuticos en Colombia.Metodológicamente se empleó un tipo de investigación descriptivo documental con un diseño transeccional, acompañado del método de observación, por referirse a un tema con impacto social, se destaca dentro de sus hallazgos la débil integración de los sistemas por niveles, de modo que posibilite comunicación dialógica de saberes y promueva las competencias que requiere el nivel profesional y sea garante de movilidad y flexibilidad. Se concluyó la importancia de reestructurar las políticas educativas en condiciones de corta trayectoria educativa y bajos costos, de modo que exprese correspondencia con el momento histórico que atraviesa la profesión contable.
CALIDAD DE SERVICIOS PARA OPTIMIZAR LA ATENCIÓN EN EL CENTRO DE DIAGNÓSTICO CARDIOVASCULAR DEL MAGDALENA-COLOMBIA
Authors: Palacios Arrieta Alexis , Ruz Gómez Alexander , Villa Corrales Laureano , Salazar Araujo Eduardo
Published: September 2017

El objetivo del presente estudio es analizar la calidad de servicios ofrecida por el Centro Cardiovascular del Magdalena- Colombia, para optimizar la atención prestada a sus usuarios. Se fundamenta en un enfoque positivista, con un diseño de investigación no experimental, de campo, transversal; y un tipo de estudio descriptivo, bajo la modalidad de estudio de caso. La población está conformada por dicho centro, el cual recibe un promedio de 550 personas (usuarios) por mes cuenta con 35 trabajadores, los informantes clave fueron 210 usuarios de los servicios quienes decidieron participar de forma voluntaria y 20 trabajadores, para un total de 230. La técnica empleada fue la encuesta a través de un cuestionario. Los resultados evidencian una tendencia alta a considerar profundamente la calidad del servicio; integrando mayor tecnología en la comunicación y mejorando sustancialmente los servicios de atención, así como también conocer las necesidades específicas del cliente. Los usuarios y acompañantes manifestaron que el centro de diagnóstico cuenta con mediana tecnología. Se concluye que en el Centro Cardiovascular la prestación del servicio según la percepción de usuarios y acompañantes es de excelente calidad, sin embargo, puede mejorar en la medida en que se incorporen elementos innovadores en el servicio.
FIABILIDAD Y VALIDEZ DE LA ESCALA DE FELICIDAD DE LIMA EN TRABAJADORES DE EMPRESAS DE SERVICIOs
Authors: Moreno Freites Zahira , Ibarra Morales Luis Enrique
Published: September 2017

El objetivo de este estudio fue aportar evidencia suficiente sobre la fiabilidad y validez de la escala de felicidad de Lima utilizada en el cuestionario diseñado por Reynaldo Alarcón en el año 2006. Se utilizó una metodología cuantitativa con la aplicación de una encuesta de medición justificada por un amplio marco teórico, donde los resultados constataron que el binomio que constituye el alfa de Cronbach y el Análisis Factorial Exploratorio (AFE) fue del todo suficiente para garantizar la validez y fiabilidad del cuestionario, el cual fue aplicado a una muestra de 295 empleados de 17 empresas de servicios que operan en la ciudad de Barquisimeto, estado Lara, Venezuela. Por lo tanto, se concluye que la escala presentó adecuadas propiedades psicométricas que permiten recomendar su empleo como instrumento de evaluación de la felicidad en el contexto laboral.
LIDERAZGO RESONANTE Y SU EFECTO DINAMIZADOR EN LA NEGOCIACIÓN ANTE CONFLICTOS ORGANIZACIONALES
Authors: Buitrago Acuña Ramiro , Hernández Rivas María , Hernández Malpica Pedro
Published: September 2017

El propósito de la presente de investigación, consistió en dilucidar, así como reflexionar acerca del efecto dinamizador que el liderazgo resonante pudiera ofrecer en la gestión inteligente de las emociones, en escenarios conflictivos, a partir de las consideraciones efectuadas desde la doctrina. Para ello, se utilizó una metodología descriptiva y documental, cuya técnica investigativa fuera la observación de los archivos, documentos públicos y privados indubitados, donde se abordase el fenómeno. Así entonces, a través de la revisión bibliográfica, a razón de la hermenéutica e interpretación, con el propósito de comprender este fenómeno, se encontró como resultado que los líderes resonantes, se muestran como negociadores generosos, tendentes a colaborar, motivados para crear situaciones donde las dos partes negociadoras puedan ganar, ofrecen mejores condiciones para alcanzar un acuerdo. Así mismo, crean un clima donde se facilitan la interacción entre las mismas. Concluyendo que, cuando los líderes abocan sus emociones por conducir a sus seguidores en el progreso, consiguen robustecer patrones comportamentales efectivos entre los miembros de su equipo, contemplando diversas maneras de transigir, por medio de la negociación, alcanzando los objetivos propuestos con eficiencia.
UNA MIRADA A LAS ORGANIZACIONES DEL SECTOR COOPERATIVO DESDE LA APLICACIÓN DE SUS PRINCIPIOS. CASO IBAGUÉ (COLOMBIA)
Authors: Rubio Rodríguez Gustavo Adolfo , Rivera González Miguel Ángel
Published: September 2017

El presente trabajo deriva de una investigación cuyos resultados precisan el comportamiento que ostentan las entidades del sector cooperativo de la Ciudad de Ibagué, en el cumplimiento de los principios del cooperativismo, como fundamento primordial para su optimo desempeño; en consecuencia, se revelaron las acciones que han de implementar este tipo de organizaciones, en búsqueda de su crecimiento desde el componente social y económico para el logro de su identidad cooperativa. El diseño utilizado en el manuscrito atañe a una investigación de corte no experimental, por cuanto se analizó el comportamiento de ciertos sujetos luego de observarlos en su contexto natural. Se descubrió que un alto porcentaje de los asociados a las entidades cooperativas han recibido capacitación en materia cooperativa, carecen de sentido de pertenencia y conocen los principios del cooperativismo, mas no todos se aplican. Se concluye que la cimiente en que se desarrolla la filosofía cooperativa está dada en valores y principios que deben asumir tanto las empresas cooperativas como los asociados.
ESTRATEGIAS DE LA RESPONSABILIDAD SOCIAL ACCIÓN VOLUNTARIA EN LA UNIVERSIDAD DE LA GUAJIRA
Authors: Paz Marcano Annherys , Sánchez Gonzalez José , Magdaniel Socarras Yina , Robles Julio Carlos
Published: September 2017

El artículo tuvo como objetivo analizar las estrategias de la responsabilidad social como acción voluntaria en la Universidad de La Guajira. Metodológicamente, presenta enfoque positivista, con investigación analítica, descriptiva, no experimental, transaccional, de campo. Se utilizó censo poblacional a 30 sujetos de la dirección de extensión de la Universidad de La Guajira, utilizando un cuestionario de 8 ítems con opciones de respuestas múltiples, validado por (10) expertos, su confiabilidad por alfa cronbach, reflejó 0, 94 de fiabilidad. Teniendo por resultado que la universidad apoya la ejecución de actividades sociales programadas en las comunidades, desde la filantropía y con alianzas sociales. Concluyendo que la Universidad de La Guajira, aplica estrategias de la responsabilidad social en las comunidades adyacentes desarrollando actividades donde involucra tanto a los colaboradores como al colectivo social de las comunidades, mediante acciones de participación voluntaria con los grupos de interés buscando desde sus ideas mejorar el bienestar de todos con un compromiso compartido.
Reflexiones en torno al lenguaje médico actual, los epónimos y abreviaciones. Las razones de su existencia y los principales problemas que plantea su uso
Authors: Araujo C. Juan Carlos
Published: September 2017

El lenguaje médico, como todo lenguaje científico, no persigue fines estéticos, creativos, lúdicos ni recreativos como sería el caso del lenguaje literario, sino fines informativos, didácticos y comunicativos. Los epónimos, así como los diferentes tipos de abreviaciones (abreviaturas, siglas y símbolos), han formado parte del lenguaje de la humanidad desde más de una veintena de siglos y son especialmente abundantes en los lenguajes de las especialidades, tanto de la medicina como de otras ciencias. Así como del lenguaje común y popular, estos han formado parte del lenguaje desde tiempos inmemoriales, y son especialmente abundantes en los lenguajes médico-científicos. Normalmente se utilizan como recurso para honrar, ganar tiempo y ahorrar espacio, cuando esté en su contenido se percibe bien, su uso revela notoriamente un ahorro en la comunicación médica; de no emplearlos, en cada caso habría que hacer una exposición o descripción relativamente amplia de la enfermedad o el signo de que se trata. Sin embargo, pueden producir problemas de comunicación entre los profesionales de los diferentes niveles asistenciales, debido a su imprecisión y a su carencia de equivalencia internacional, lo que puede llevar a confundir la realidad que tratan de describir, ya que un mismo término o abreviatura puede tener diferentes significados, lo que puede suscitar interpretaciones erróneas con posibles consecuencias graves. En este artículo se revisan las razones de su existencia que definen su construcción y uso, se describen los problemas de su utilización en la comunicación medico científica en la actualidad.
Writing outside history: Reification, agency and the discourse on identity and difference
Authors: Mackintosh R , Long W
Published: September 2017

The recent debates about the transformation, or decolonization, of higher education in South Africa have underscored the continuing salience of "identity" in post-apartheid political discourse. Disillusioned with the token equality of liberal politics, student-led movements now demand that their manifestos be granted legitimacy precisely on particularistic grounds. With the aim of understanding what conception of social change these demands entail, this archival study analyzes how political identity and agency have been constructed in contemporary South African academic discourse. More specifically, this study identifies the different kinds of ontological and epistemological presuppositions that particular uses of language are necessarily committed to, and therefore necessarily limited by (both politically and conceptually). Utilizing Scopus, a bibliographic database, the five most relevant and highly cited articles were selected and subsequently analyzed using the logical rules governing both predicate ascription and presupposition. Two main uses of language were isolated based on common sets of presuppositions: 1) A non-human ontology of agents, and 2) Agency as a property of antecedently given identities. Each use of language was found to comprise two further subcategories respectively: 1.1) Psychological agencies, 1.2) External agencies; and 2.1) Realist view of political identity, 2.2) Constructivist view of political identity. The results of the data analysis suggest that the two main uses of language are mutually reinforcing. Taken together, they appear to entail an account of social change that, via the linguistic obfuscation and reification of human agency, is in fact immanent to the existing socio-political order itself. It is suggested that future research on political identity and agency will require a trans-disciplinary approach concerned with explaining manifest social antagonisms (e.g. class oppression; institutional racism; Islamophobia) in terms of the global historical and material conditions within which they are located.
Love as radical politics
Authors: Hayes G
Published: September 2017

With the "affective turn" in social studies, the discussion of the role of emotions in social and political life is increasingly becoming a valid topic of inquiry. However, it is the "negative" emotions, like fear, anger, shame, that tend to dominate the discussions, with less attention being given to discussions of hope, compassion, and love. Srecko Horvat's The radicality of loveis an attempt to correct this bias. His text makes a case for the social importance of love in the reinvention of revolutionary politics. He does this through a discussion of some of the revolutions of the twentieth century, as well as some of the (revolutionary) social movements of the twenty first century.
Optimising thermal photovoltaic energy system for green and sustainable energy generation
Authors: Mafimidiwo Olufunmilayo Alice , Saha Akshay Kumar
Published: September 2017

Electricity generated from a concentrated thermal photovoltaic system can be improved upon for optimum output. This investigation considered the various options of optimising system operation via effective control of the operating conditions. It examined various options of varying the system configurations for optimised system efficiency and power output and at minimum operating costs. The number of mirrors and photovoltaic cells for use in the concentrated thermal photovoltaic system were set at eight as standard for the system operation. This number was varied down and up (from eight to six and then from eight to ten) to study the effects of these variations on the concentrated thermal photovoltaic system efficiency and generated power output. A novel thermal model was built in two dimensions and was used to simulate the thermal performance of the concentrated thermal photovoltaic modules. The parameters used for the materials involved were defined and the appropriate physics applied in the study of various operating conditions that affected the system performance for the two-dimensional system were stated. The results showed that temperature rise was least in the ten mirrors configuration and highest in the six mirrors configuration. The six PV cells-mirrors configuration, however, generated the highest power output of the three different configurations considered. The six PV cells/mirrors configuration utilised the least numbers of mirrors and PV cells out of the three configurations, ultimately translating to reduced-materials cost for the operation. Based on these findings, the choice of the lower number of six mirrors and six PV cells was considered the most economical and, therefore, most desirable.
Characterisation of wind speed series and power in Durban
Authors: Legesse Ayele Nigussie , Saha Akshay Kumar , Pillay Carpanen Ridiren
Published: September 2017

Both the planning and operating of a wind farm demand an appropriate wind speed model of its location. The model also helps predict the dynamic behaviour of wind turbines and wind power potential in the location. This study characterises the wind speed series and power in Durban (29.9560°S, 30.9730°E), South Africa, using Markov chain and Weibull distribution. Comparison of statistical quantities of measured and Markov model-generated wind speed series revealed that the model accurately represented the measured wind speed series. The Markov model and Weibull distribution were also compared through their corresponding probability density functions. The root mean square error of the Markov model against the measured wind speed series was nearly one-tenth that of the Weibull distribution, indicating the effectiveness of the former. Finally, the analysis of wind power density showed that Durban and its environs need large wind turbines with hub heights greater than 85 m for efficient utilisation of the available wind energy.
ImageLab analysis for quantitative immunoblotting with VersaDoc imager v1
Authors: Campbell Doug , Donaher Natalie
Published: September 2017

Brief outline of the Campbell Lab's protocol for using ImageLab (Bio-Rad, freeware with registration) to calculate concentrations of proteinin phytoplankton samples against a quantitative protein standard such as RbcL or PsbA. ImageLab can export an excel format, allowing for non-linear regression analysis.
Chemical pre-treatment of charred archaeological grains for stable isotope analysis v1
Authors: Vaiglova Petra
Published: September 2017

This pre-treamtment has been found tobe most effective for removing contamination (specifically carbonates) from archaeological charred grains/seeds. It is appropriate to usein preparation for stable isotope analysis (δ13C and δ15N). It is not appropriate to use as a pre-treatment for radiocarbon dating, as this latter method is more sensitive to contamination and must attempt to remove any exogenous humic acids. For measurement of δ13C and δ15N values, humic acid contamination would have to be extremely large in order to cause a small change to the stable isotopic composition and as humic acid removal causes large mass loss, it is argued that it is unnecessary (see Vaiglova et al. 2014, Rapid Communication in Mass Spectrometry). Homogenizing the seeds with a mortar and pestle prior to pre-treatment will ensure that all samples willreact to the pre-treatment the same way (contamination will be harder to clean from the inside of more robust seeds than from fragments of seeds so crushing will ensure that more surface area is exposed to the solution).See Vaiglova et al. (2014) for discussion of pro's and con's of crushing the samples.
Media Activism as Movement? Collective Identity Formation in the World Forum of Free Media
Authors: Stephansen Hilde C.
Published: September 2017

More than simply tools used by social movements to reach other substantive aims, media are increasingly becoming subjects of activism. This article contributes to advancing understanding of such media-focused activism through a case study of the World Forum of Free Media, a thematic forum for media activists and media advocacy organisations linked to the World Social Forum. Based on qualitative research conducted between 2008 and 2016—including participant observation, in-depth interviews and textual analysis—the article critically explores the extent to which the World Forum of Free Media can be considered a ‘free media’ movement in the making, and examines some of the challenges and contradictions that such a movement-building project entails. Drawing on social movement theory, specifically the concept of collective identity, it analyses efforts by forum organisers to mobilise a very diverse range of actors—from alternative media activists to policy- and advocacy NGOs—around a plural and inclusive ‘free media’ identity. While the World Forum of Free Media has to some extent succeeded in facilitating convergence around a set of core principles and ideas, it has so far struggled to develop a clear outwards-facing identity and mobilise a broad grassroots base.
Variants of Interplay as Drivers of Media Change
Authors: Grenz Tilo , Eisewicht Paul
Published: September 2017

This article conceptualizes acting on media in terms of different interplays between focal actors, users, and user communities. It is argued that—in times of mediated visibility, the increasing entanglement of social and technological change, and accelerated feedback loops—arenas of negotiation emerge and therewith the complexities of relations between producers and users increases. Using insights from the fields of Wii hacking, Circuit Bending, and online poker tools, three variants of interplay are presented and discussed: integration, segregation, and permanent confrontation. Whilst a process-oriented perspective on reciprocal action is developed the paper contributes (a) to a balanced perspective on what is often a one-sided discussion regarding the actions leading to media change, and (b) to the understanding of the relation between media change and reflexive modernity.
Forgetting History: Mediated Reflections on Occupy Wall Street
Authors: Daubs Michael S. , Wimmer Jeffrey
Published: September 2017

This study examines how Occupy Wall Street (OWS) protestors’ practices and stated understanding of media act on social perceptions of networked media. It stems from a discursive content analysis of online commentary from OWS protestors and supporters, using different sources from the first Adbusters blog in July 2011 until May 2012. We demonstrate how the belief in the myth of an egalitarian Internet was incorporated into the offline structure of OWS and led OWS participants to adopt rhetoric that distances the movement from past protest actions by stating the movement was “like the Internet”.
Development of a Web-Based Nationwide Korean Pediatric Dental Sedation Registry
Authors: Choi Sung Chul , Yang Yeonmi , Yoo Seunghoon , Kim Jiyeon , Jeong Taesung , Shin Teo Jeon
Published: September 2017

Objective: Finding a balance between sedation efficacy and safety remains an ongoing challenge. In children, the risk of sedation-related complications is relatively high. It is of utmost importance to determine the factors related to improved overall sedation outcomes. However, most previous reports have been based on small samples at single institutions. The Korean Academy of Pediatric Dentistry (KAPD) developed a Korean Pediatric Dental Sedation Registry using a web-based platform. Study design: Specialists in pediatric dental sedation selected the itemized list included within the registry through an extensive literature review. The web-based registry was built into the KAPD homepage to facilitate easy access to the sedation data. All teaching and university hospitals agreed to participate in the Korean Pediatric Dental Sedation Registry. Conclusion: This is the first attempt to collect sedation data on a nationwide scale in the field of pediatric dentistry. The sedation database established with the registry may facilitate standardizing and improving pediatric dental sedation clinical practices.
Characteristics and Associated Comorbidities of Pediatric Dental Patients Treated under General Anesthesia
Authors: Delfiner Alexandra , Myers Aaron , Lumsden Christie , Chussid Steve , Yoon Richard
Published: September 2017

Objective: To describe characteristics and identify common comorbidities of children receiving dental treatment under general anesthesia at Children's Hospital of New York-Presbyterian. Study design: Electronic medical records of all children that received dental treatment under general anesthesia through the Division of Pediatric Dentistry from 2012–2014 were reviewed. Data describing patient characteristics (age, sex, race/ethnicity, insurance carrier, and American Society of Anesthesiologists physical status classification system), medical history, and justification for treatment were collected. Descriptive statistics, including frequencies, percentages and t-tests, were calculated. Results: A total of 298 electronic medical records were reviewed, of which 50 records were excluded due to missing information. Of the 248 electronic medical records included, the average age was 5-years-old and 58% were male. The most common reason for dental treatment under general anesthesia was extent and severity of dental disease (53%), followed by significant medical history (47%) and behavior/pre-cooperative age (39%). Those who were ASA III or IV were older (6.6-years) (p<.001). Common medical comorbidities appear evenly distributed: autism (12%), cardiac anomalies (14%), developmental delay (14%), genetic syndromes/chromosomal disorders (13%), and neurological disorders (12%). Younger age groups (1 to 2 years and 3 to 5 years) had a high percentage of hospitalizations due to the extent and severity of the dental disease (83%) and behavior (77%) (p<0.001). Conclusions: No single comorbidity was seen more often than others in this patient population. The range of medical conditions in this population may be a reflection of the range of pediatric specialty services at Children's Hospital of NewYork-Presbyterian.
The Use of Restorative Materials in Primary Molars among Pediatric Dentists in Israel
Authors: Blumer Sigalit , Peretz Benjamin , Ratson Tal
Published: September 2017

Objectives: To assess the current choice of various restoration materials among Israeli pediatric dentists according to seniority and specialty. Study design: Participating dentists completed a 23-item questionnaire on their qualifications, type of practice and preference of restorative material. Results: Seventy-five dentists (average age 46.27±12.6 years, 58 females) participated. Forty-one were specialist pediatric dentists and 34 were general practitioners. Amalgam was preferred by 49.3%, followed by composite (41.3%), glass ionomer cement (5.3%) and compomer (4%). Only 13.3% of the dentists thought amalgam bears environmental and health hazards, compared to 49.3% for composite. Satisfaction was high for amalgam and composite, less for glass ionomer cements and least for compomer. General practitioners preferred amalgam (70.6%) while pediatric dentists preferred composite (51.2%), P < 0.003. Conclusions: Amalgam and composite were the materials of choice among the participating Israeli dentists. Most of them (86.7%) responded that amalgam does not possess any health issues. Their satisfaction with the restoration materials was highest for amalgam and composite, a choice significantly affected by whether they were in general practice (amalgam) or specialized in pediatric dentistry (composite).
Comparing Dental Stress in New Child Patients and Returning Patients Using Salivary Cortisol, Immunoglobulin-A and Alpha- Amylase
Authors: Alaki Sumer M , Safi Ayman , Ouda Soliman , Nadhreen Alaa
Published: September 2017

Objectives: this study was aimed at comparing dental stress in children having their first dental visit to those returning for dental treatment using salivary biomarkers of stress including salivary cortisol (s-cortisol), Immunoglobulin-A (s-IgA) and alpha-amylase (s-α-amylase). Additionally, the study was aimed at monitoring the change in stress in new patients as they progressed from the waiting to the clinical areas. Study design: salivary samples were collected from 40 children who had not been to a dentist before and similar samples were collected from 40 children who were returning for completion of dental treatment. Salivary cortisol, s-IgA and s-α-amylase concentrations were obtained by Enzyme-linked Immunosorbent Assay (ELISA). Results: salivary cortisol levels were higher for new patients at the waiting area compared to that at the dental chair (p=0.05). Salivary alpha-amylase significantly increased in new patients while being seated in the dental chair. Returning patients had higher s-α-amylase (p=0.001) and s-IgA (p=0.016) compared to new patients. Returning patients had the lowest level of s-cortisol when providers were faculty pediatric dentists than with students and interns (p=0.035). Conclusions: children coming in for their first dental visit may experience dental stress at the waiting area before being seated for dental examination. Returning children may experience higher levels of stress compared to new child patients possibly due to previous dental exposure.
Selective Reduction of Talon Cusps- A Case Series
Authors: Leith Rona , O'Connell Anne C
Published: September 2017

Talon cusps associated with permanent incisors are a rare occurrence but can cause numerous complications. When treatment is indicated options include radical or selective reduction of the accessory cusp, but there is no standard protocol for management. Study design: Patients referred to the Dublin Dental University Hospital for treatment of talon cusps were identified, contacted and consent obtained. Clinical notes, photographs and radiographs were retrospectively reviewed. Results: Eleven patients with 14 talon cusps were identified. The age ranged from 8–15 with a mean of 11 years. Four teeth had radical talon cusp reduction carried out and 10 teeth underwent selective reduction. Follow up ranged from 3–66 months. Technical information from these cases was used to devise a protocol for selective reduction. Conclusions: Selective reduction is a valuable technique for managing talon cusps. It is a conservative approach which can be employed before an incisor has reached maturity and is acceptable in young children.
Guiding the Child's Teeth with Class III Dental Malocclusion into Correct Occlusion: A Clinician's Parenting
Authors: Kapur A , Chawla HS , Utreja A , Goyal A
Published: September 2017

Pediatric dentists are often the first ones to be consulted for the presence of an anterior cross bite in the primary dentition. The condition requires an early interception to avoid progressive dentoalveolar and skeletal changes. The management, however, poses unique challenges in terms of young age of the child, correct choice of appliance and unpredictability of the response to treatment due to inability to ascertain the inherent growth potential. It is very important therefore for the specialist, to be able to recognize the early signs of a developing class III malocclusion tendency and also know the basic details of successful management of such cases. The following article describes the appropriateness of appliance choice for a case of incisor cross bite in primary dentition using different appliances based on their varied clinical presentations.
Parents' Attitude towards the Use of Fluorides and Fissure Sealants and its Effect on their Children's Oral Health
Authors: Blumer Sigalit , Ratson Tal , Peretz Benjamin , Dagon Nurit
Published: September 2017

Objectives: To characterize the attitudes of Israeli parents towards caries preventive measures. Study design: participating parents completed a 21-item questionnaire on their demographics, dental history, attitudes and satisfaction from fluorides and fissure sealants. Results: One hundred parents (average age 41.62±4.9 years, 85 females) participated. Most of the parents (88% of the mothers and 84% of the fathers) had an academic education. Most of the parents (54%) had a favorable attitude towards the use of fluoridated gels, while only 37% of them had a positive opinion regarding fluoridated water. The satisfaction levels were very high regarding fissure sealants, fluoridated mouth rinses and fluoridated gels (78.1%, 73.6% and 72.5% respectively). The satisfaction from fluoridated water was split almost equally (50.8% were ‘pleased’ and 49.2% ‘not pleased’). The main source for parental oral health knowledge was the dentist (83%). Parents' attitude towards caries preventive measures was significantly correlated to their gender, dental experience, level of education and the number of children in the family. Conclusions: positive attitude towards caries preventive measures was found among parents with higher awareness for preventive oral health measures and among bigger families. Mothers were more positive about fissure sealants than fathers. Mothers with up to 12 years of education tended to have a positive opinion regarding water fluoridation.
Microbiologic Evaluation of Cotton and Polytetrafluoroethylene (PTFE) Tape as Endodontic Spacer Materials in Primary Molars An in Vivo Study
Authors: Prabhakar Attiguppe Ramasetty , Dixit Kratika , Raju OS
Published: September 2017

Objective: PTFE tape, which is commonly used as plumber's tape is an inorganic, non-fibrous, ribbon like material. The aim of this study was to evaluate PTFE tape as endodontic spacer material and to compare it with commonly used spacer material that is cotton, in primary teeth. Study Design: Seventeen children undergoing pulpectomy of lower second primary molar bilaterally were included in the study. Cotton and PTFE tape were placed as spacers on each side randomly. Samples were taken from the access cavity at baseline and after seven days to check for microbial leakage. Spacer materials were also checked for microbial contamination. Results: The results revealed that there was a significant increase in the bacterial colony count after seven days in cotton group. The access cavities were also positive for microbial leakage in the cotton group where the spacers showed positive growth. In PTFE group only two samples showed microbial contamination of spacer and out of two only one sample showed contamination of access cavity along with spacer. Conclusion: Within the limitations of this study, it can be concluded that PTFE tape performed better than cotton as endodontic spacer material. Thus, PTFE tape can be recommended as an endodontic spacer material as an alternative to cotton in primary teeth.
Evaluation of Oral Health-Related Quality of Life to Assess Dental Treatment in Preschool Children with Early Childhood Caries: A Preliminary Study
Authors: Vollú Ana Lúcia , da Costa Maria da Encarnação Perez Requejo , Maia Lucianne Cople , Fonseca-Gonçalves Andréa
Published: September 2017

Purpose: The oral health-related quality of life (OHRQoL) of preschool children with Early Childhood Caries (ECC) was used to assess the outcome of dental treatment. Study design: Children (3.56±1.31years) affected by ECC were selected. Anamnesis, clinical and radiographic exams were performed. Data about sociodemographic aspects, OHRQoL and dmf-t index were collected. The Brazilian version of Early Childhood Oral health Impact Scale (B-ECOHIS) was applied in two time intervals: before and after 30 days of treatment. B-ECOHIS scores and effect size (ES) were used to evaluate the OHRQoL of preschool children. The Student's-t test was used for comparison between the B-ECOHIS averages, considering the following aspects: gender, age, socioeconomic status, severity of caries and type of treatment. Results: The mean dmf-t was 6.25±4.20 and no differences between boys (6.00±4.32) and girls (6.83±4.35) (p=0,942) were found. Pain and psychological problems among children and parents feeling upset and guilty were the most frequently reported impacts at baseline. There was a greater impact on girls (17.67±8.68) than on boys (13.30±10.53) (p<0.001); and on children younger than 4 years (16.71±9.96) (p<0.05). The highest B-ECOHIS scores were observed in treatments involving dental extractions and space maintainers. There was no difference between the total B-ECOHIS scores of subjects from middle (16.24±10.30) and lower socioeconomic classes (15.97±10.26). The total scores of B-ECOHIS and its domains decreased after 30-day follow-up. Dental rehabilitation of preschool children showed a large effect size for these subjects (ES=1.19) and their families (ES=1.00). Conclusion: Dental treatment resulted in significant improvement of the preschool children's OHRQoL.
Conceptual study of pathophysiology and pharmacological effect of Saptamrit Louha in approach to Soola
Authors: Ekka Deepak , Dubey Swati , Khichariya S. D. , Dhruw D. S.
Published: September 2017

Anndrvashoola and Parinamshoola briefly described by aacharya Vijayrakshitand Kanthdatta on Madhukosh in shoola Nidanam 26th chapter, mainly vata dosha is responsible for that disease. In Anndrvashoola continuous pain in abdomen, pain present before meal and relif in pain after vomiting in Parinamshoola, aadhman, aatop, arti, kamp and pain relief by consuming greaspy and worm food. In modern science, according to sign symptoms we correlated with peptic ulcer. Main cause is H. Pylori, NSAID, stress, smoking, steroid either duodenum or stomach ulcer in ratio of 4:1. The peak incidence of duodenal ulcer is 5th decade while for Gastric ulcer is 6th decade and “O” blood group persons are more prone to develop duodenal ulcer.  To treat this disease Vranropan and Shothhara chikitsa is very important for that this drug should have properties like Dahaprashmana, Amashayakshata sandhan, Pittashamak, Amlatanashak, shothhara due to those action Saptamrit Louha play effective role in Shoola. Considering above factor SAPTAMRIT LOUHA is chosen in management of shoola. Later on, I will have explained how Sapamrit louha works on Anndrvashoola and Parinamshoola at the time of presentation.
Prevalence of Helicobacter pylori in children 2-16 years with chronic Idiopathic thrombocytopenic purpura referred to hematology clinic of Ardabil during 2013-2015
Authors: Vafaie Majid , Fathi Afshin , Modarres Ania
Published: September 2017

Background: Idiopathic thrombocytopenic purpura (ITP) is the most common autoimmune blood disorder which leads to premature destruction of platelets by producing antibodies using phagocytic cells against antigens of platelets surface especially in the spleen. Recently, several studies have reported the high prevalence of H. pylori infection in adult patients with chronic ITP, but the studies performed in this area have been very limited in children. The purpose of this study is to investigate the prevalence of Helicobacter pylori infection in children with chronic ITP.Methods: In this case- control study, the case sample includes 30 children in the age range of 2-16 years with chronic ITP and control samples includes 90 children in the age range of 2-16 years who are healthy in terms of ITP disease. A questionnaire and a stool sample is prepared for each sample. These samples are examined by the method of ELIZA kit for the presence or absence of antigen H. Pylori. Data analyzed by statistical methods in SPSS.19.Results: Of the total 30 children with chronic ITP who has referred to the haematology ward of the hospital, H.pylori + 16.7%, we had H.pylori + 20% from a total of 90 controls (P=0.68). The average age of the case and control groups were 6.9±2.8 and 6.9±3 years, respectively; there is no a direct relationship between helicobacter pylori infection and sex, drinking water, but there is a statistically significant difference between platelet levels and the prevalence of H Pylori in the case group (p<0.05); however, this difference is not significant in the control group.Conclusions According to a conducted study, Helicobacter pylori infection is not considered as a factor risk in the development of chronic thrombocytopenic purpura in children. So, it is recommended that further studies to be done in different ethnic groups in the world with more samples, especially in the age range of children, so that the role of Helicobacter pylori in the pathogenesis of chronic autoimmune thrombocytopenic purpura can be determined accurately.
A study of pattern, risk factors, types, complications and outcome of stroke in geriatric age group
Authors: More Prashant Pramod , Samel Samveda Shirish , Patil Dilip Ratan
Published: September 2017

Background: Stroke is the number one cause of disability and third leading cause of death in the world after heart diseases and cancer with an incidence approximately 150 to 200 in 100,000. The objective of this study was to study how the pattern of stroke in elderly differs from that of younger population.Methods: This is a prospective observational comparative study of stroke patients done over a period of one year at ACPM Medical College, Dhule. We studied 100 consecutive patients of stroke admitted in neuro-medicine department of this hospital. We have studied the risk factors, incidence, pattern, severity, complication and outcome of stroke in Geriatric age group compared to stroke in younger age group. The individuals who were 60 and above (≥60) are included in the ‘geriatric group’ and those below 60 were considered as ‘younger patients’. Those more than 85 years were classified as ‘very elderly’.Results: There is an increased incidence of both ischemic and hemorrhagic strokes in geriatric population compared to younger people. Statistically there is increased incidence of ischemic stroke compared to hemorrhagic stroke in geriatric age group. PAC subtype of stroke has highest predilection to develop in both age groups and also PAC is the most common subtype of stroke leading to stroke related complications in geriatric population. There is no statistically increase incidence of severe stroke seen in elder age as compared to the younger people.Conclusions: The geriatric population does not have a poorer stroke outcome as compared to younger people. There is also no statistically significant difference in mortality rate in stroke patients between geriatric vs. younger age group.
A study of the risk factors of various arrhythmias in patients with coronary heart disease
Authors: Patil Puneet , Sait Aamera , Patil Dilip Ratan
Published: September 2017

Background: Complications like arrhythmias, cardiac failure, cerebrovascular and mechanical complications. Among these complications, arrhythmias are the most common complication of acute myocardial infarction. The objective of this study was to study the risk factors of various arrhythmias in patients with coronary heart disease.Methods: Present study was a hospital based cross sectional study conducted at department of General Medicine of a tertiary care hospital for a period of two years among 102 patients. Detailed history, clinical examination, investigation was done. All patients were followed for one year to assess the outcome among them. All data was entered in the Microsoft Excel worksheet and analyzed using proportions.Results: Arrhythmias were more common with low ejection fraction (72.73%). The overall mortality was 7.84%. Ventricular fibrillation was seen in 50% of the patients who did not receive thrombolytic therapy. First-degree AV block and second-degree AV block were present in 6.25% and 7.50% respectively and did not affect the mortality while complete heart block was present in 8.75% and mortality rate of 28.57% with right ventricular involvement. Risk factors like smoking, alcohol, hypertension, diabetes mellitus and obesity had higher incidence of arrhythmias but was not found to have any statistical significance (p >0.05). However, patients having multiple risk factors strongly associated with the high mortality in statistically significant manner (p value 0.0006).Conclusions: Patients with risk factors like smoking, alcohol, hypertension, diabetes mellitus and obesity had higher incidence of arrhythmias. Multiple risk factors increase the incidence of both arrhythmias and mortality (67% mortality with 4 risk factors and 75% mortality with 5 risk factors).
A study on urinary tract infection in a tertiary care hospital
Authors: Rajendran V. , Nepoleon R. , Solanke Prashant V. , Zailu M. Shahbaz , Valli P.
Published: September 2017

Background: Urinary tract infection is defined as bacteriuria along with urinary symptoms. It is one of the most common bacterial infections in humans and a major cause of morbidity. UTI has become difficult to treat because of appearance of pathogens with increasing resistance to antimicrobial agents. The objective of this study was to determine the bacteriological profile of pathogens responsible for urinary tract infection and to assess the antibiotic sensitivity pattern of the causative uropathogens.Methods: This cross-sectional study was performed at the hospital of Sree Mookambika Institute of Medical Sciences, Kulasekharam during January 1, 2016 to December 12, 2016. Institutional ethical committee clearance was obtained. We surveyed 628 patients, who had clinical manifestations of UTI. Urine specimens were cultured for isolation of the microbial agents of UTI. The isolated bacteria were identified using biochemical tests. Data was entered in Microsoft Excel Version 2016.Statistical analysis was done using SPSS TRIAL VERSION 21C.Results: The commonest organism isolated overall was extended spectrum beta lactamase positive E. coli (35.5%) followed by extended spectrum beta lactamase negative E. coli and Enterococcus. Females (68.63%) were mostly affected than males in our study. The people in the age group of 41-60 years are found to be more (48.46%) affected than the people of other age groups. The most sensitive oral antibiotic to almost all organisms in our study is Nitrofurantoin followed by Cotrimoxazole and Norfloxacin and among parenteral antibiotics, Amikacin stands first followed by Piperacillin-Tazobactam and Gentamicin. Apart from the above antibiotics, Klebsiellapnemoniae also shows good response to Cefotaxime (96.15%) and Cefipime (96.15%) and Aztreonam (92.3%).Conclusions: From our study, it is observed that the most common causative organism for Urinary tract infection is found to be extended spectrum beta lactamase positive E. coli followed by Extended Spectrum Beta Lactamase negative E. coli and Enterococcus. The current status of sensitivity of common organism rests mainly on Nitrofurantoin (oral) and Amikacin, Piperacillin-Tazobactam (parenteral).