bluuebunny/crossref_metadata_2025 huggingface dataset:
La controversia científico-técnica sobre las benzodiacepinas en profesionales de la salud pública de Uruguay
Authors: Bielli Andrea , Bacci Pilar , Bruno Gabriela , Calisto Nancy , Navarro Santiago
Published: February 2018

Resumen La controversia científico-técnica internacional sobre las benzodiacepinas, intensa durante los años ochenta y noventa, cuestionó su lugar en la práctica clínica, por su potencialidad adictiva, y por el abuso que médicos y pacientes parecerían realizar. Este artículo presenta resultados de una investigación que tuvo como objetivo analizar el papel de dicha controversia en las prácticas médica, psiquiátrica y psicológica en los servicios de salud pública uruguayos. Se utilizó metodología cualitativa y se combinó relevamiento de artículos académicos nacionales (1960-2012), entrevistas en profundidad a 45 profesionales y dos grupos de discusión. Se efectuó análisis de contenido desde cuatro ejes: ansiedad en la clínica, prescripción, relación tratamientos farmacológicos con no farmacológicos y valoración de benzodiacepinas. Se obtuvo un panorama diacrónico de la controversia académica y se identificó una valoración condicional de estos medicamentos realizada por los profesionales que supone: reconocimiento de atributos positivos y negativos de las benzodiacepinas, uso mesurado, médicos y pacientes vigilantes de sus propios comportamientos. Se concluye que la controversia se plantea en términos individuales, lo que obstaculiza una discusión global de las dimensiones políticas y colectivas implicadas.
Vínculo: um conceito problemático no campo da Saúde Coletiva
Authors: Barbosa Maria Idalice Silva , Bosi Maria Lúcia Magalhães
Published: February 2018

Resumo A relação entre os profissionais e as pessoas que usam os serviços de saúde é um tema importante no âmbito do SUS e adquire uma linguagem especial na Política Nacional de Atenção Básica (PNAB) pelo uso da palavra vínculo. O objetivo deste artigo é focalizar a dimensão semântica do uso do termo “vínculo” em Saúde Coletiva, revisando pesquisas e textos oficiais da política setorial que o incluem em seus descritores ou o apontam como relevante em seus resultados. Selecionamos 52 artigos nas bases Lilacs e SciELO, incluindo nos campos assunto ou título a palavra “vínculo”, associando-a aos descritores: Atenção Primária à Saúde, Atenção Básica à Saúde, Sistema Único de Saúde, Saúde da Família, Estratégia Saúde da Família, Saúde Coletiva, Saúde Pública. Concluímos que, apesar de os estudos aludirem ao termo/conceito constatando sua inequívoca importância no campo da saúde, o vínculo quase sempre é algo não visto, mas que deveria existir como condição para funcionamento do serviço em termos de responsabilização e longitudinalidade do cuidado. Este lugar de invisibilidade certamente não significa o lugar da não existência, mas da precariedade teórico-metodológica concernente a concepções e desenhos de pesquisas que tocam fenômenos relacionais tão complexos quanto este no campo da Saúde Coletiva.
Iniquidades de gênero: mulheres com HIV/Aids em situação de violência
Authors: Ceccon Roger Flores , Meneghel Stela Nazareth
Published: February 2018

Resumo Este estudo tem como objetivo visibilizar as iniquidades de gênero presentes na vida de mulheres com HIV/aids em situação de violência. Estudo qualitativo que utilizou narrativas de 61 mulheres cadastradas no Serviço de Assistência Especializada em HIV/aids de um município de médio porte do interior do Rio Grande do Sul, sendo utilizada a técnica de análise de narrativa para a compreensão dos dados. Foi construída uma narrativa única a partir da percepção dos pesquisadores e das trajetórias de vida das entrevistadas, contemplando aspectos vivenciados pela maioria delas. A maior parte das mulheres era jovem, pobre, ocupava empregos precários e muitas exerceram a prostituição ao longo da vida. As mulheres se constituem como figuras do sofrimento e são tratadas pela sociedade como promíscuas, infratoras e “putas”. Houve relatos de violências, abusos, preconceitos, estigmas, infrações de direitos e sofrimentos. As desigualdades de raça, classe social e gênero são situações geradoras de vulnerabilidades, violências e iniquidades na vida de mulheres com HIV/aids.
Costo por estadio de la atención integral del paciente diabético tipo 2 con enfermedad renal crónica
Authors: Ríos Enrique Villarreal , Anaya Rosaura Padilla , Daza Emma Rosa Vargas , González Lidia Martínez , Rodríguez Liliana Galicia
Published: February 2018

Resumen Objetivo: Identificar el costo de la enfermedad renal crónica por estadio en pacientes con diabetes. Métodos: Estudio de costos en diabéticos tipo 2, se integraron cinco grupos definidos a partir del estadio de la enfermedad renal crónica. Se incluyeron aquellos con más de cinco años de evolución de la diabetes tipo 2, el tamaño de la muestra se calculó para cada estadio y la selección fue aleatoria simple. El diagnóstico por estadio se calculó mediante la ecuación de Cockcroft-Gault. El costo promedio se integró a partir del perfil de uso y el costo unitario, se realizó estimación de la proyección del costo, también se realizó estimación del costo para un paciente con 25 años de vida con enfermedad renal crónica. Resultados: En el estadio 1 el costo anual es $587.39, y en el estadio 5, $10,748.51. Otorgar la atención durante 25 años en una población de 100 pacientes diabéticos ajustados por letalidad, permanencia en el estadio e inflación cuesta $7,067,674 y el costo promedio de un individuo en este mismo escenario es $70,672. Conclusión: Se puede decir que el costo por estadio de la enfermedad renal crónica en el paciente diabético es alto con notable diferencia entre los distintos estadios.
Apoio social e o cuidado integral à saúde do idoso
Authors: Guedes Marcelo Barbosa Otoni Gonçalves , Lima Kenio Costa , Caldas Célia Pereira , Veras Renato Peixoto
Published: February 2018

Resumo O crescente envelhecimento populacional e as transformações socioculturais do nosso tempo conduzem a novas necessidades, não somente de cuidado, mas também para atender a uma nova perspectiva do conceito de saúde, no qual cuidar da doença se tornou ação limitada. Este estudo trata-se de um ensaio baseado na literatura científica e se propõe a pensar sobre uma pequena parte desta grande questão: o apoio social como parte da atenção integral à saúde do idoso. Para isso, realizou-se uma revisão narrativa da literatura nas bases de dados Pub Med/MedLine, Crochane e Scopus, bem como nas listas de referências dos artigos encontrados. Parte-se da compreensão do papel do apoio social e das redes microssociais na saúde do idoso. A seguir, discutimos formas de avaliar o apoio e a rede social e refletimos sobre o papel do apoio social no Sistema Único de Saúde. Por fim, aborda-se o manejo do apoio social. Como considerações finais, são destacados os principais desafios para que o Apoio Social seja realmente considerado um determinante da saúde das pessoas.
Abordagens da alienação parental: proteção e/ou violência?
Authors: Montezuma Márcia Amaral , Pereira Rodrigo da Cunha , Melo Elza Machado de
Published: February 2018

Resumo Este artigo analisa as abordagens da alienação parental a partir das dimensões conceitual, de poder e operativa, principais categorias extraídas de pesquisa qualitativa envolvendo entrevistas com a equipe de estudos psicossociais, mediadores e juízes da Vara de Família do Fórum Lafayette, de Belo Horizonte-MG. Na dimensão conceitual, foram abordados o conceito médico de síndrome e o conceito legal de ato ilícito e ato de litígio, este último associado a conflito familiar. Na dimensão de poder, foram apontadas a medicalização, a judicialização e a intervenção do Estado. E como dimensão operativa, abordagens exclusivamente periciais foram contrapostas às abordagens dos estudos psicossociais e de acompanhamento terapêutico, e discutiram-se as medidas legais, no seu aspecto protetivo e punitivo. Concluiu-se que, por meio da flexibilização das abordagens clínicas e legais, é possível ao Estado cumprir sua função de proteger o menor em vulnerabilidade, sem incorrer em violência institucional. Apontaram-se nessa direção a mediação e a nova lei da guarda compartilhada que, juntamente com intervenções terapêuticas de orientação preferencialmente psicanalítica ou sistêmica, promovem a responsabilização do sujeito para com suas escolhas e atos, melhor forma de resolução de conflitos.
Los Cuadernos Médico Sociales de Rosario y las revistas de la medicina social latinoamericana entre las décadas de 1970 y 1980
Authors: Spinelli Hugo , Librandi Juan Martín , Zabala Juan Pablo
Published: February 2018

Resumen Entre 1970 y 1980, fueron creadas un conjunto de revistas con el objetivo de difundir las ideas de la medicina social latinoamericana en distintos países del continente, en una etapa temprana en la institucionalización de este movimiento que luego se afianzó en Brasil bajo el nombre de “salud colectiva”. En este trabajo recorremos las principales características de esos emprendimientos: la Revista Centroamericana de Ciencias de la Salud, Saúde em Debate, Salud Problema, Revista Latinoamericana de Salud y Cuadernos Médico Sociales. En particular, nos focalizamos en los Cuadernos Médico Sociales de Rosario, analizando las condiciones de su surgimiento y los procesos editoriales que marcaron esta publicación, donde fue central la figura de Carlos Bloch como editor e ideólogo de la revista.
A virada austera: o declínio do acesso à saúde e da qualidade de atendimento para pacientes com câncer em Portugal
Authors: Barradas Carlos da Silva , Nunes João Arriscado
Published: February 2018

Resumo Em abril de 2011, Portugal pediu à Comissão Europeia um resgate financeiro, como resposta à sua crise de dívida soberana, sendo contrabalançado por várias medidas de austeridade. No Serviço Nacional de Saúde essas medidas foram rápidas e em grande escala, gerando nos profissionais de saúde que aí trabalham dificuldades crescentes no uso de meios de diagnóstico, tratamentos e medicação para os pacientes, bem como no aumento de obstáculos às consultas regulares. Este artigo pretende, por meio de análise da mídia, das políticas de saúde em Portugal relativas ao câncer e dos testemunhos desses/as profissionais, mostrar suas ansiedades e explorar a forma como isso está afetando negativamente a vida de quem lida diariamente com essa doença.
El San Juan de Dios y las trabajadoras: la vida social de un hospital y la crisis de la salud en Colombia
Authors: Góngora Andrés
Published: February 2018

Resumen Este artículo describe algunos eventos significativos de los 15 años de lucha (1999-2014) de un grupo de mujeres por la reactivación del Hospital San Juan de Dios y por continuar siendo trabajadoras después de las reformas neoliberales en Colombia. La etnografía presentada propone herramientas para la comprensión de las dimensiones morales forjadas a partir de un conflicto por el reconocimiento de derechos y demuestra que el hospital, más que un conjunto arquitectónico, es un idioma activado por las trabajadoras para afirmar su humanidad, un vehículo para la elaboración simbólica de una causa y un medio para entender la construcción de colectividades a partir de gramáticas emocionales.
Tecnopolíticas das mudanças climáticas: modelos climáticos, geopolítica e governamentalidade
Authors: Miguel Jean Carlos Hochsprung
Published: February 2018

Resumo A partir de um estudo empírico sobre a modelagem climática no Instituto Nacional de Pesquisas Espaciais, no Brasil, este artigo discute como a prática da modelagem constitui-se em pragmáticas de governo das mudanças climáticas. Discute como tais pragmáticas dirigem-se à atuação geopolítica do Estado no regime internacional de produção do conhecimento climático global. Indica que a modelagem produz formas de leitura dos fenômenos e futuros impactos das mudanças climáticas em escala local, desdobrando-se em racionalidades governamentais de caráter biopolítico. Discute como a tecnociência da modelagem climática é construída como tecnologia e racionalidade governamental do Estado (governamentalidade), processo aqui chamado de tecnopolítica das mudanças climáticas.
Historial oral y memoria de los enfermos de Hansen en dos lazaretos de Colombia: trayectorias de vida, conflictos y resistencias
Authors: Botero-Jaramillo Natalia , Mora-Blanco Jessica , Quesada-Jiménez Nelson Daniel
Published: February 2018

Resumen Investiga la historia oral de la enfermedad de Hansen en dos comunidades de Colombia que fueron hasta 1961 lazaretos. La historia oral en torno de la enfermedad ha permitido conjugar la memoria individual con la memoria colectiva. Esta historia ha quedado en la oralidad y pocos trabajos académicos la han recopilado. Utilizamos la historia oral como método de investigación cualitativo, para analizar cómo enfermos y convivientes se posicionan ante la enfermedad y cómo atraviesa toda su existencia, resignificando los conceptos de salud y enfermedad, de normalidad y anormalidad, y cómo en sus trayectorias de vida emprendieron estrategias de resistencia que les permitiera aproximarse a la normalidad, desde sus propias significaciones socioculturales.
The black scourge? Race and the Rockefeller Foundation’s tuberculosis commission in interwar Jamaica
Authors: Altink Henrice
Published: February 2018

From 1927 to 1942, the Rockefeller Foundation ran a tuberculosis commission in Jamaica that researched the epidemiology of the disease, examined the efficacy of a vaccine with heat-killed tubercle bacilli, and offered basic treatment to tuberculosis sufferers. Drawing upon diaries and scientific writings by the staff employed by the commission, among other sources, this article explores the role that race played in the tuberculosis commission. It assesses how race shaped the research conducted by the commission, how it informed staff interactions and staff/patient relations, and the clash and/or confluence of “imported” and local racial ideas in the commission’s work.
Liberating the people from their “loathsome practices:” public health and “silent racism” in post-revolutionary Bolivia
Authors: Pacino Nicole L.
Published: February 2018

Abstract: After the Movimiento Nacionalista Revolucionario (MNR) took power in the 1952 National Revolution, the party expanded rural public health programs to address what early twentieth-century elites called the “Indian problem:” the idea that indigenous culture was an impediment to Bolivia’s modernization. After 1952, the MNR used public health as a project of cultural assimilation, and state-sponsored health programs sought to culturally whiten the population by transforming personal habits. This essay analyzes the language with which health workers discussed the indigenous population to show that despite the regime’s intention to move away from defining the rural population on racial terms, medical and political elites continued to define indigenous customs as an obstacle to progress and a remnant of an antiquated past.
A gestão democrática da educação básica no âmbito do plano de ações articuladas municipal: tensões e tendências
Authors: BATISTA NEUSA CHAVES
Published: February 2018

RESUMO O artigo analisa a implementação da política nacional Plano de Ações Articuladas no estado do Rio Grande do Sul. Trata-se de uma política pública, iniciada em 2007, com a finalidade de articular ações educacionais entre a União e os municípios com vistas à melhoria da qualidade do ensino e aprendizagem nas municipalidades. No ordenamento legal, cabe à União a coordenação da política nacional de educação, articulando os diferentes níveis e sistemas; já a gestão democrática da educação é princípio para a autonomia dos sistemas municipais de ensino. Na análise identificam-se as tensões na relação entre União e municípios com base no exame das situações e tendências dos indicadores da área gestão democrática e desenvolvimento dos sistemas de ensino. O estudo aponta que as ações e subações planejadas para essa área entre municípios (secretarias municipais de educação) e União (Ministério da Educação) ainda são frágeis no que tange ao seu cumprimento por ambas às partes comprometidas.
Educação superior no PNE (2014-2024): apontamentos sobre as relações público-privadas
Authors: MINTO LALO WATANABE
Published: February 2018

RESUMO O artigo trata de alguns aspectos relevantes para uma compreensão do Plano Nacional de Educação, naquilo que se refere aos conflitos entre os setores público e privado no ensino superior. Adota-se como procedimento a análise do texto final da lei em foco e de seu anexo. Público e privado não são tomados como esferas autônomas e predeterminadas, mas examinados em virtude dos conflitos sociais, políticos e econômicos que, no âmbito do ensino superior, expressam disputas em torno de interesses de classe e de visões de mundo antagônicas. Nesse sentido, aponta-se que, a despeito das resistências e mobilizações possíveis durante conferências municipais, estaduais e nacional, no conteúdo do novo Plano Nacional de Educação prevalecem os interesses privados no ensino superior, conforme tendências consolidadas sobretudo nas últimas duas décadas.
Usage of probiotic in country-type broiler's chicken diet and its effects over the carcass yield, morphology and the gastrointestinal pH
Authors: Valentim Jean Kaique , de Paula Karynne Luana Chaves , Geraldo Adriano , Miranda Diogo Alvarenga , Antunes Hellen Cristina Ferreira , Lemke Sara Santana Ramos , Gonzaga Poliana Rodrigues do Nascimento , Chaves Claudiane Aparecida Rocha
Published: February 2018

SUMMARY This study had as an objective to evaluate the carcass yield, morphology and intestinal pH of male country hick broilers raised on Tifton-85 pickets, fed with commercial probiotic supplemented ration. A total of 210 one-day-old males broiler's chicken from the Peeled Neck lineage were raised in experimental boxes on a conventional shed until 30 days of age, and from 30 to 90 days of age they had access to Tifton-85 pickets (Cynodonspp.). The carcass yield variables evaluated were live weight at 90 days, carcass weight (with foot, neck and head), carcass weight (without foot, neck and head), thigh, chest, wings, edible viscera, inedible viscera, abdominal fat, pH, length and weight of the gastrointestinal tract compartments (gut, duodenum, jejunum, ileus, proventriculus, gizzard, and cecum). All data went through analysis of variance, and the means of the treatments were compared by the F test with 5% of probability. Variables of carcass yield, primary and secondary cuts, length, weight and pH of gastrointestinal tract compartments were not influenced (P> 0.05) by treatments with and without probiotic addition. Inclusion of 300 g / ton of the probiotic Bacillus subtilis DSM 15,544 in broiler's chicken from the Peeled Neck lineage had no influence over the carcass yield, pH and morphology of the gastrointestinal compartments of the birds in the period and levels in the present experiment. The sanitary challenge was not enough to demonstrate the effectiveness of probiotic action.
Mineral-nitrogen supplementation to finishing Nellore steers in deferred pasture
Authors: Ítavo Luis Carlos Vinhas , Dias Alexandre Menezes , Ítavo Camila Celeste Brandão Ferreira , Franco Gumercindo Loriano , Morais Maria da Graça , Souza Andréa Roberto Duarte Lopes , Nogueira Ériklis , Mateus Rodrigo Gonçalves , Araujo Hilda Silva , Moraes Gabriella Jorgetti de , Costa Marlova Cristina Mioto da , Guimarães-Inácio Alexandre , Niwa Marcus Vinicius Garcia
Published: February 2018

SUMMARY The objective of this study was to evaluate the effects of two protein levels in mineral-protein-energy supplements on the productivity and economic performance of Nellore steers. Ninety animals weighing 382.35±32.95 kg on average, were treated with mineral-nitrogen supplements containing 30% crude proteins (CP; 75% ground maize, 8.91 % urea and 16.09% mineral) and 40% CP (66.67 % ground maize, 11.90% urea, and 21.43% mineral). The animals were housed in two paddocks of Uruchloa brizantha ‘MG-5’ (syn. Brachiaria brizantha) and were weighed at the beginning, at 45 days, and at 94 days of the experiment, when they were slaughtered at an average weight of 451±35.38 kg. We evaluated supplement intake, weight gain and economic aspects. The 40 and 30% CP treatments significantly affected supplement intake (P<0.05), with averages of 0.69 and 2.26 kg/day, respectively. The average total weight gain was higher (P<0.01) in animals receiving the supplement containing 30 % CP (71.46 kg / animal) than in animals receiving 40% CP (64.33 kg/animal). Greater slaughter weight was attained in the animals treated with 30% CP (456.66 vs. 443.84 kg). The mineral-nitrogen supplementation in both CP levels provided satisfactory animal performance and carcass characteristics. Owing to economic considerations, it is recommended to use 40% CP mineral-nitrogen supplements on finishing steers on pasture, although success in reducing production costs of livestock ultimately depends on the variations in prices between the different regions of the country and market opportunities.
Composting for valuation of marine fish waste
Authors: Valente Beatriz Simões , Andreazza Robson , Xavier Eduardo Gonçalves , Gomes Mario Conill , Pereira Heron da Silva , Ávila Fernanda Dias de
Published: February 2018

SUMMARY This trial evaluated the composting for valuation of marine fish waste. The study was carried out in a composting cell (1.10m length, 1.50m width, 1.20m height, and 2.50m headroom), which received a mixture of marine fish waste (skin and fin) and reused wood shavings at a 7:3 proportion. The efficiency of the composting process was evaluated through analysis of biomass temperature, moisture, pH, ash, compost mineralization index, carbon/nitrogen ratio, total organic matter, total organic carbon and total nitrogen. Data were tested by analysis of variance and polynomial regression, and the means compared by Tukey's test at 5%. The results showed that composting is an efficient alternative for the valuation of fish residues. The compost complies with the Brazilian Standards (Normative Instruction 25/2009 of the Brazilian Ministry of Agriculture, Livestock and Food Supply). The C/N ratio lower than 15/1 combined with the high moisture content of the substrates inhibit the increase in the biomass temperature. The wood shavings reused for three consecutive times provide nitrogen. The addition of water to the composting process should be suppressed when using the proportion of 7kg fish waste and 3kg reused wood shavings.
Associação entre as características macroscópicas do cordão umbilical, gestação de alto risco e repercussões neonatais
Authors: Salge Ana Karina Marques , Reis Marilya Rodrigues , Siqueira Karina Machado , Castral Thaíla Correa , Guimarães Janaína Valadares , Castro Eumenia Costa da Cunha
Published: February 2018

RESUMO Objetivo Verificar a associação entre as características macroscópicas do cordão umbilical, a gestação de alto risco e as repercussões neonatais. Método Estudo transversal, realizado no período de janeiro de 2012 a janeiro de 2015 em uma maternidade pública de Goiânia/GO. A população foi constituída de 126 puérperas com diagnóstico de gestação de alto risco e 139 clinicamente normais (grupo controle). Foram avaliadas características macroscópicas do cordão umbilical, doenças de base maternas, fetais e neonatais, idade gestacional, índice de Apgar, peso ao nascer, perímetro cefálico e paridade. Os dados foram analisados descritivamente. Resultados Participaram do estudo 265 puérperas e seus respectivos recém-nascidos. As características mais frequentes do cordão umbilical de puérperas com gestação de alto risco e grupo controle foram a ausência de nós verdadeiros (97,6% e 2,4%, respectivamente), comprimento entre 35 e 70 centímetros e inserção paracentral (81,7% e 18,3%). Houve diferença estatística entre o grupo gestação de alto risco e extremos de idade materna (p=0,004). Conclusão A análise e a descrição das características do cordão umbilical, realizadas pelo/a enfermeiro/a, trazem informações importantes sobre o prognóstico neonatal. Essa atribuição subsidia a prática clínica e visa à segurança ao binômio durante todo o período perinatal.
An open-access platform for camera-trapping data
Authors: Lavariega Mario César
Published: February 2018

In southern Mexico, local communities have been playing important roles in the design and collection of wildlife data through camera-trapping in community-based monitoring of biodiversity projects. However, the methods used to store the data have limited their use in matters of decision-making and research. Thus, we present the Platform for Community-based Monitoring of Biodiversity (PCMB), a repository, which allows storage, visualization, and downloading of photographs captured by community-based monitoring of biodiversity projects in protected areas of southern Mexico. The platform was developed using agile software development with extensive interaction between computer scientists and biologists. System development included gathering data, design, built, database and attributes creation, and quality control. The PCMB currently contains 28,180 images of 6478 animals (69.4% mammals and 30.3% birds). Of the 32 species of mammals recorded in 18 PA since 2012, approximately a quarter of all photographs were of white-tailed deer (Odocoileus virginianus). Platforms permitting access to camera-trapping data are a valuable step in opening access to data of biodiversity; the PCMB is a practical new tool for wildlife management and research with data generated through local participation. Thus, this work encourages research on the data generated through the community-based monitoring of biodiversity projects in protected areas, to provide an important information infrastructure for effective management and conservation of wildlife.
Molecular Docking - An easy protocol v1
Authors: Jabbarzadeh Kaboli Parham , Ismail Patimah , Ling King-Hwa
Published: February 2018

To setup the docking, the Lamarckian genetic algorithm (LGA) was used, and docked conformations were compared and clustered based on the conformational similarities and root-mean-square positional deviation (rmsd). The numbers of runs were adjusted to 30 for all ligands. Rmsd was calculated based on rmsd conformational clustering tolerance of 2.0 Å. For genetic algorithms, parameters were setup as 150, 0.02, 0.8, 27000, and 2500000 for population size, mutation rate, crossover rate, maximum number of generation, and maximum number of energy evaluations, respectively. For LGA docking, the pseudo-Solis and Wets local search method was used with a maximum of 300 iterations per local search, and the probability of performing local search on an individual in the population was adjusted to 0.06, the size of local search space to sample, ρ, was 1.0, the maximum number of consecutive successes or failures before doubling or halving the ρ was four for both, and finally the lower bound on ρ was 0.01. To have access to sample data and configuration files also check out: doi: 10.13140/RG.2.2.20407.42403
The feasibility and outcome of atrial fibrillation screening using intermittent electrocardiogram in a primary health care setting: A cross-sectional study v1
Authors: Ghazal Faris
Published: February 2018

Background Atrial fibrillation (AF) is a major risk of ischemic stroke unless treated with anticoagulant. Detection of AF can be difficult because AF is often paroxysmal and asymptomatic. The aim of this study is to develop a screening model for detecting AF in a primary health care setting and to start oral anticoagulant therapy in high risk patients to prevent stroke. Methods and Findings A cross-sectional study. All of 70- to 74-year-old individuals registered at a single primary health care centre in Stockholm were invited to AF screening upon visiting the centre during a ten-month period. Those who did not have contact with the centre during this period were invited to participate by letter. Intermittent ECG recording, 30 seconds twice a day, using a hand-held Zenicor device over a 2-week period, was offered to participants without AF. Oral anticoagulant therapy was offered to patients with newly detected AF. A total number of 324 (78.1%) out of 415 identified persons participated in the study. The mean age of the participants was 72 years, 52.2% were female and the median CHA2DS2-VASc was 3. Previously diagnosed AF was found in 34 (8.2%) persons in the target population. Among participants without previously known AF, 16 (5.5%) cases of new AF were detected. The final AF prevalence in the target population was 12%. Initiation of oral anticoagulant therapy was successful 88% of patients with newly detected AF. Conclusions The AF screening project showed a high participation rate and yielded a high rate of newly discovered AF of which 88% were able to be treated with oral anticoagulant.
Multivariate optimal allocation with box-constraints
Authors: Friedrich Ulf , Münnich Ralf , Rupp Martin
Published: February 2018

Modern surveys aim at fostering accurate information on demographic and other variables. The necessity for providing figures on regional levels and on a variety of subclasses leads to fine stratifications of the population. Optimizing the accuracy of stratified random samples requires incorporating a vast amount of strata on various levels of aggregation. Accounting for several variables of interest for the optimization yields a multivariate optimal allocation problem in which practical issues such as cost restrictions or control of sampling fractions have to be considered. Taking advantage of the special structure of the variance functions and applying Pareto optimization, efficient algorithms are developed which allow solving large-scale problems. Additionally, integrality- and box-constraints on the sample sizes are considered. The performance of the algorithms is presented comparatively using an open household dataset illustrating their advantages and relevance for modern surveys.
Antinociceptive evaluation of conventional anticonvulsant with conventional analgesics on pain model of albino rats and mice
Authors: Agarwal Ruchika , Kansal Saurabh
Published: February 2018

Background: Pain is one of the most common presentations of any disorder and needs immediate and appropriate attention of the treating physician. As pain syndrome involves a variety of etiopathogenesis and temporal domains, management of pain as such requires consideration of many factors that may dictate appropriate therapeutic management. Carabmazepine is an established drug for trigeminal neuralgia while Gabapentin has been tried in postoperative pain but its effectiveness per se and when compared to conventional analgesics needs to be evaluated.Methods: The present study was planned to study the analgesic effects of Gabapentin in various pain models like writhing and formalin test and to compare it with conventional analgesics like Diclofenac sodium and Tramadol in various acute pain models.Results: This study has been carried out in department of Pharmacology, HIMS, Dehradun, for evaluation of Gabapentin for its antinociceptive effect in rats and mice. In the writhing test, a reduction in number of writhes, though insignificant, was found in the Gabapentin pre-treatment group. However, in the first phase of Formalin test which is characterized by licking and biting, Gabapentin produced no significant effect in comparison to control values. In the second phase of leg raising (LR), all three drugs, i.e. Gabapentin and the two positive controls i.e. diclofenac and tramadol produced significant decrease (p< 0.05) in episodes when compared to the control group.Conclusions: Hence the result conclude that Gabapentin could be an effective analgesic drug in visceral and chronic pain in humans but not in acute pain as first phase of formalin test is model of acute and second phase denote chronic pain while writhing test is a model of visceral pain.
An intervention study of autologous fat transfer for scar tissue rejuvenation in the setup
Authors: Parikh Nirzaree K. , Darshan Jitendra R.
Published: February 2018

Background: There are lot of work going on AFT procedures. This procedure has been taken recent advances nowadays and very helpful in many conditions to rejuvenate and restoration of damaged tissues. The use of autologous fat for soft tissue augmentation seems attractive because of its relatively ubiquitous availability. Autologous fat transfer is a technique shown to be beneficial as a reconstructive procedure for patients with volume loss of tissue due to disease, trauma, and congenital defects.Methods: In the present study, 20 patients were taken as sample size. It is an intervention study. Whole procedure has been taken as day case which included local anaesthesia and patient received all the standard monitoring, medications, safety precautions and care that is provided for any patient undergoing any surgery, including antibiotics, pain medicine and other supportive care as needed. The Autologous fat was harvested by surgeon via syringe aspiration technique with a long atraumatic cannula. After processing, the material was injected immediately under designated skin grafts/scars using a small needle. Scar was cleansed with normal saline and dry dressing is applied for a day. Then patient was discharged on the same day.Results: Results obtained were efficacious with 60 to 80% improvement in all parameters in 15-20 days after the procedure.Conclusions: AFT procedure was found feasible, efficacious and accepted in patients with scar. It brings scar tissue rejuvenation up to great extent.
Etiology and outcome of mono-articular arthritis: a follow up study
Authors: Sonawale Archana , Sabnis Nilakshi Harshad , Karale Maroti
Published: February 2018

Background: Monoarthritis is a common rheumatological complaint. Inspite of investigations, many cases remain undiagnosed. Prompt investigation and treatment is important in acute arthritis especially septic arthritis else joint destruction, permanent disability or even death can result. This study was conducted to etiologically categorise patients as inflammatory, non-inflammatory and infective arthritis and to study the outcome.Methods: This observational prospective study conducted at a tertiary care hospital in Mumbai enrolled 40 patients above the age of 12 yrs presenting with first episode of mono-articular arthritis. They were treated with standard treatment guidelines and followed up every 3 monthly for one year. Outcome was assessed using ESR, CRP values and Health Assessment Questionnaire.Results: Mean age at diagnosis was 38 years with a male to female ratio of 1.4:1. Acute and chronic mono-articular arthritis cases were 16.2% and 83.7% respectively. Knee joint was most commonly involved (38%). Etiologically inflammatory, infectious and non-inflammatory cases were 59.5%, 29.7% and 10.8% respectively. In 21% cases etiology was tuberculosis. 27 % evolved into oligoarthritis over one year. The serial ESR, CRP values and Stanford Health Assessment Questionarre scores decreased significantly across all etiological groups with treatment.Conclusions: Knee is the most commonly affected joint in mono-articular arthritis. Tuberculosis is the most common etiology. Irrespective of the etiology, if patients are treated according to standard guidelines promptly mono-articular arthritis has a good response to therapy as assessed by the health assessment questionnaire (HAQ) and serial measurements of proinflammatory markers like ESR, CRP.
An overview of insulin therapy in pharmacotherapy of diabetes mellitus type I
Authors: Alotaibi Abdulkareem , Sultan Bashayer Al , Buzeid Reem , Almutairi Mohammad , Alghamdi Eman , Aldhaeefi Maram , Khogheer Yaser , Albareqi Mohammad
Published: February 2018

Type 1 diabetes mellitus is a chronic disease, which characterizes itself with body’s inability to produce insulin from pancreas. This condition can happen from different autoimmune processes, which subsequently leads into destruction of beta cells in pancreas, the cells responsible for production of insulin. This condition account for about 5-10% of all different forms of diabetes, which should be taken very seriously since its incidence seems to be increasing worldwide and it can result in different devastating short and long-term complications. Management and approaches in patients with type 1 DM is of major concern worldwide since in the lack of proper management these patients cannot survive. Therefore, it is very important to have a multidisciplinary health management team that can have full focus on every aspect of this condition from continuous glucose monitoring, meal planning, screening for different complications to insulin therapy, which is the mainstay in treatment of patients in this group. American Diabetes Association (ADA) suggests using patient’s age in establishment of glycaemic goals, with targets for pre-prandial, bedtime and haemoglobin A1c levels. It is very important to educate patients on how to adjust the level of their insulin injection according to the amount of carbohydrate intake, premeal blood glucose, and anticipated activity. Insulin is and will remain the most important treatment approach in patients suffering from type 1 DM. According to recommendations of ADA, it is best when patients with type 1 DM are treated with multiple daily doses of insulin injections, such as three to four daily basal and prandial injections, or continuous subcutaneous insulin infusion devices should be used.
Comparative study between partial inferior turbinectomy and submucosal diathermy for treatment of inferior turbinate hypertrophy due to allergic rhinitis
Authors: R. K. Datta , B. Ramya , S. R. Vinay
Published: February 2018

Background: Nasal obstruction due to inferior turbinate hypertrophy is one of the most common symptoms of Allergic rhinitis (AR) which causes significant debility. Surgery is one of the modalities of treatment to relieve patients of nasal obstruction. Objective of the study was to evaluate the efficacy of submucosal diathermy (SMD) and partial inferior turbinectomy (PIT) in the treatment of hypertrophied inferior turbinate.

Methods: Sixty patients with allergic rhinitis and hypertrophied inferior turbinates were randomised into two groups with thirty patients each (group I underwent SMD and group II underwent PIT). They were assessed for relief of nasal obstruction by subjective and objective methods.  

Results: Nasal obstruction due to hypertrophy of inferior turbinate was the main symptom with 45 (75%) patients having severe obstruction and 15 (25%) patients moderate obstruction. Both the surgical procedures were effective in reducing nasal obstruction & other symptoms of AR. Though the total symptom score was significantly reduced by both the methods (p=0.001) SMD was superior in relieving nasal obstruction at 3months follow up while PIT was more effective at 6 months follow up.

Conclusions: SMD is an easier, less invasive method with lesser postoperative discomfort and complications as compared to PIT. Our study recommends SMD as an effective technique for relief of nasal obstruction in allergic rhinitis.
THE IMPORTANT FACTORS OF TOURISM DEVELOPMENT IN SINGAPORE
Authors: Eko Suprayitno Azhar Harun,
Published: February 2018

This research paper will analyze the development of tourism industry in Singapore in which it focuses on the increasing number of tourist visit to Singapore, that contribute a significant source of tourism sector’s income and its role to generate the Singapore’s Gross Domestic Product (GDPS). The research aims to examine general characteristics of Singapore’s tourism industry and its role within the process of globalization. By applying the theoretical explanations, this research will observe several main questions: How the tourist locates Singapore as a tourist place and how they enter Singapore. In addition, what are the possible consequences on Singapore especially the influence on its National Income? The field research has been conducted at the most popular location of tourist area. Three equations had formed the hypothesis to answer those questions. First, the output of the study has shown that the price of consumer index (Index) have influence the increasing number of tourist to Singapore (TouS) in a positive way. Second, there are many other factors that contributed to the tourism sector’s income, however, the output of this study revealed only the total number of hotels in Singapore (HoS) is the major factors that contributed to the tourism sector’s income (ImS).
MUTUAL FUNDS PERFORMANCE EVALUATION BASED ON SELECTIVITY AND MARKET TIMING
Authors: Murhadi Werner R.
Published: February 2018

This paper is an empirical evaluation of the performance of mutual fund managers in terms of “market timing” and “selectivity”, within the framework suggested by Treynor and Mazuy (1966) and Henriksson and Merton (1981). The relevant data set is a balanced panel of 55 (fifty five) mutual funds, over a 17 (seventeen)-month period began from February 2008 until June 2009. The result found that only 4 (four) mutual funds demonstrated a good performance in market timing and 4 (four) mutual funds showed a good performance in stock selection. Both methods have a good indicator to reflect mutual funds performance.
ANALISIS PENGARUH BURNOUT DAN KECERDASAN EMOSIONAL (EI) TERHADAP KINERJA PEGAWAI PT BANK MEGA SYARI’AH CABANG MALANG.
Authors: Sani Achmad
Published: February 2018

This research investigates the extent to which Burnout and Emotional Intelligence impacts on the  work performance of employee. This research sets its goal to know  the significant influence of Burnout and Emotional Intelligence toward the performance of employee Bank Mega Syari’ah Malang. This is explanatory research which has goal o test defined hypothesis on the influence of burnout and Emotional Intelligence toward the work performance of employee. The research population  involved 32 employee of Bank Mega Syari’ah Malang.  Quistionnaire is used as research instruments in this research. This research employs path analysis to statistically analyze the data in which the coefficient determinants is set on 0,05 level. The result of the research analysis proves that  Burnout and Emotional Intelligence simultaneously give significant influence on the work performance employee with determination coefficient  shows 0,468. Based on finding, it si further suggested that leader on Bank Mega syar’ah Malang should give more attention to the  Burnout and Emotional Intelligence. The result of this research proves that Burnout and Emotional Intelligence simustaneously give significant influence on work performance.
MODEL PERILAKU KEPATUHAN ZAKAT: SUATU PENDEKATAN TEORI
Authors: Aulia Fuad Rahman Zulkifli Daud, Sanep Ahmad,
Published: February 2018

Zakah is one of the religious orders that must be complied by every Muslim who had the capacity to do so. The level of such complience was affected by the faith factor. However, if payment of zakah was obliged through the formal institution of zakah collector, as that was applied in several islamic countries, then the zakah complience is now becomes the obedience against the formal institution of zakah collector. Therefore, the management of zakah institution, collecting efficiency and several other factors that were connected with the services given by zakah institution influenced the level of zakah complience. The study aimed at forming the zakah complience model of the formal institution of zakah collector. The model was formed based on the tax compliance model by adding several important factors that influenced the obedience of zakah payment. The availability of zakah complience model will benefit to facilitate research concerning the empirically test of zakah complience and evasion to the formal institution of zakah collector.
PENGARUH PENERAPAN PRAKTIK TOTAL QUALITY MANAGEMENT (TQM) TERHADAP KINERJA KUALITAS (Studi Persepsi Karyawan Pada PT. Sermani Steel Makassar)
Authors: Munizu Musran
Published: February 2018

The purpose of this research was to test and analyze the effect of TQM practices implementation which consists of leadership, strategic planning, customer focus, information and analysis, people management, and process management to quality performance at Sermani  Steel in Makassar. The population were 300 employees and the sample were chosen 150 employees as respondents. Sample technique which used was simple random sampling. Method of analysis which use both descriptive statistic and Structural Equation Modelling (SEM). Data processing uses two statistic tools i.e : SPSS for windows and AMOS 4.01. The finding of research indicate that : TQM practices implementation which consists of leadership, strategic planning, customer focus, information and analysis, people management, and process management have significantly and positive effect on quality performance. Leadership has dominant effect on quality performance (Critical ratio = 7,860 t-table = 1,960; and probability = 0,000 α = 0,05)
KONSEP DLAMAN DALAM PERBANKAN SYARIAH: SEBUAH TINJAUAN EPISTEMOLOGIS
Authors: Munir Misbahul
Published: February 2018

The purpose of this research is to explore the concept of dlaman (the responsibility) in the field of Syariah Banking. The concept refers to business investment based on the principle of   profit share. In this sense, joint venture is a running business in which the risk account will be mutually responsible. Furthermore, related to financial loss, the capital loss is not the responsibility for such a manager, this is in the case if the manager is not careless or improper on his/her duty. This research applies the library approach concerning the classical and modern books to construct the concept of dlaman in the field of syariah banking. The result of research indicates that the role of Syariah Banking is not same with the role of mudlarib (investor manager) as the case of conventional mudlarabah (mudlarabah tsunaiyyah). In the classical books, the system of conventional mudlarabah regulates simply for the concept of profit share between two people namely: investor (shohibul mal) and mudlarib. Meanwhile, in fact the syariah banking can be act as mudllarib for saving customer as well as shohibul mal for financing customer. While, the role of Syariah bank to carry out the financial saving for society can be seen as mudlarib intermediary.
ANALISIS RESPON SIMETRIS/ASIMETRIS TERHADAP HARGA DI DALAM KEPUTUSAN PEMILIHAN BRAND OLEH KONSUMEN (Studi Pada Produk Minyak Goreng)
Authors: Hasan Irmayanti
Published: February 2018

The increase in world crude oil prices affects the oil prices in Indonesia. The evidence shows at the beginning of 2011, the cooking oil increase significantly between 10-20% for all brand types. As the result, most of the housewives will be more cautious and selective to choose and buy cooking oil. Another impact of the oil price increase is the decline in consumer loyalty towards a particular brand. The research analysis is aimed to know the weight or the proportion between the acquisition utility and transaction utility in forming the total utility unit. The analysis employs the conditional logit model. The results show the respondents are loyal in response to the changes in the price of cooking oil and the response is symmetrical. Response switcher, in response to price changes Edible Oils, the response is asymmetrical. Gain coefficient- the loss regression results on symmetric and asymmetric response is quite significant, meanwhile RP coefficient, Income and S (purchase proportion) are not significant. The results are consistent with previous research conducted by Lakshman Krishnamurthi, particularly on the gain and loss coefficients.
ANALISIS PENGARUH INFRASTRUKTUR PUBLIK TERHADAP PRODUK DOMESTIK BRUTO PERKAPITA DI INDONESIA
Authors: David Kaluge Eko Fajar Cahyono,
Published: February 2018

This study aims to measure how far the influence of public infrastructure such as roads, electricity,  and telephone  to Gross Domestic Product in Indonesia. This research is based on the theory of classical and neoclassical economic growth which assumes that the infrastructure is physical capital that relate either directly or indirectly to economic growth. This research used error correction model  analysis and time series data. Based on estimates found that public infrastructure have a significant and positive impact on Gross Domestic Product.