bluuebunny/crossref_metadata_2025 huggingface dataset:
ANÁLISE DO PERFIL DOS EGRESSOS DO PROGRAMA DE PÓS-GRADUAÇÃO CONTÁBIL: UM ESTUDO NA FEARP/USP
Authors: Miranda Cláudio De Souza , Lima Joao Paulo Resende de , Araujo Adriana Maria Procópio de
Published: April 2020

A pós-graduação em contabilidade no Brasil teve seu início em 1970 e, seguindo tendências mundiais para garantir e aumentar a qualidade dos programas, iniciou-se, na década de 1990, o processo de avaliação externa. O modelo aplicado pela Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) é o resultado de um processo de aprimoramento de qualidade dos programas. Além da avaliação externa realizada pela CAPES, pode-se avaliar um programa internamente pelo acompanhando da trajetória de seu egresso e pela percepção deste sobre sua formação. O estudo teve como objetivo analisar a percepção do egresso do Programa de Pós-Graduação em Controladoria e Contabilidade (PPGCC), da Faculdade de Economia, Administração e Contabilidade de Ribeirão Preto (FEARP-USP), a respeito do curso e da sua experiência como pós-graduado. Foi realizada uma websurvey com 43 egressos, o que representou 46,2% do total até o ano de 2016. Os resultados apontaram que 58,1% dos titulados continuaram em programas de pós-graduação ao iniciar o doutorado e que 67,5% atuam na carreira docente. Em relação à estrutura do programa, 62,8% dos egressos afirmam que as metodologias de ensino utilizadas são adequadas e 67,4% afirmam ter uma boa relação com seu orientador.
MAPEAMENTO DE PROCESSOS E ANÁLISE DE BENCHMARKING PARA EXPEDIÇÃO DE DIPLOMAS NA COORDENAÇÃO DE REGISTROS ACADÊMICOS DA UNIVERSIDADE FEDERAL DE PELOTAS (UFPEL)
Authors: Prestes Uilson Diego Gomes , Royer Rogério , Ferreira Porto Rosa Ariane
Published: April 2020

A gestão por processos vem sendo apontada como uma trajetória que as organizações devem seguir para tornarem-se eficazes. Processos bem documentados permitem que seus conteúdos sejam transmitidos facilmente para qualquer pessoa que precise entendê-los. No mapeamento de processos, conseguimos definir nitidamente as falhas de um processo, possibilitando maior facilidade em instituir a melhoria contínua, identificar os gargalos, determinar os responsáveis pelas etapas, atividade, processo, estimar os recursos necessários, e realizar os ajustes quando necessário. Uma vez documentados, os processos podem ser avaliados quanto a sua adequação aos propósitos da organização. Logo, entender, documentar e melhorar os seus processos de negócio são as atividades a que as organizações se lançam na busca da eficácia. Desta maneira, o estudo deste trabalho tem como propósito o mapeamento e análise de benchmarking do processo de expedição e registro de diplomas da coordenação de registros acadêmicos (CRA) da Universidade Federal de Pelotas (UFPEL), identificando, a partir deste mapeamento, os processos críticos, auxiliando na identificação de melhorias dos mesmos, servindo de suporte para a Instituição na busca por uma melhor performance. Desta forma, este trabalho apresenta, primeiramente, uma breve revisão teórica sobre alguns conceitos e definições relevantes para esta pesquisa, como: (i) Processos e Operações; (ii) Mapeamento de Processos; (iii) Fluxograma; e (iv) Benchmarking. A metodologia utilizada se classifica como sendo uma pesquisa exploratória, sendo o Estudo de Caso a modalidade de pesquisa escolhida. Os resultados do Estudo de Caso são apresentados conforme as quatro etapas da metodologia proposta, apresentando-se o (1º) estudo de identificação do estado atual do processo, (2º) a identificação da demanda atual, (3º) a análise de possíveis melhorias no processo, (4º) a elaboração de um plano de ação com propostas de melhorias. Na conclusão deste trabalho, observa-se que os objetivos principais delimitados foram atingidos, e a metodologia proporcionou a identificação de pontos fortes e fracos do processo de expedição e registros de diplomas da Universidade Federal de Pelotas. Uma nova proposta para o processo é descrita, assim como um conjunto de ações é apresentado.
Göreve Yeni Başlayan Okul Yöneticilerinin Karşılaştıkları Sorunlar Ve Çözüm Önerileri
Authors: YETİM Günnur , TOPRAKCI Erdal
Published: April 2020

Toplum sistemini oluşturan en önemli toplumsal kurumların başında eğitim kurumu gelmektedir. Okullarda görev yapan yöneticilerin görevlerini yaparken göreve ilk başladıkları andan itibaren görevleri ile ilgili sorun yaşamamaları büyük önem taşımaktadır. Millî Eğitim Bakanlığına bağlı okullarda göreve yeni başlayan okul yöneticilerinin görevlerini yaparken karşılaştıkları sorunlar, nedenleri, çözüm önerileri konusundaki görüş ve önerilerini belirlemeye çalışan bu araştırma bu anlamda önemlidir. Buna göre araştırmada, göreve yeni başlayan okul yöneticilerinin karşılaştıkları sorunlar ve çözüm önerilerinin incelenmesi amaçlanmıştır. Araştırmanın deseni niteldir. Olgu bilim desenine göre düzenlenmiştir. Verilerin çözümlenmesinde içerik analizinden faydalanılmıştır. Göreve yeni başlayan okul yöneticilerinin karşılaştıkları problemler ve çözüm önerileri hakkında derinlemesine bilgi elde edebilmek adına yüz yüze görüşerek görüş alınması araştırmanın amacı için uygun görülmüştür. Araştırmanın çalışma grubunu 2016-2018 yılları arasında İzmir Bornova ilçesinde bulunan Milli Eğitim Bakanlığı’na bağlı okullarda göreve yeni başlayan 25 okul yöneticisi oluşturmuştur. Okul müdürü ve müdür yardımcılarının farklı okul kademelerinde görev yapanlar arasından seçilmesi ile çeşitlilik sağlanmaya çalışılmıştır. Araştırmadan elde edilen birkaç sonuca göre; katılan okul yöneticileri görev öncesinde görevle ilgili hiçbir eğitim almamaları nedeniyle göreve dair bilgi eksikliklerinin olduğunu bu sebeple göreve adapte olmakta zorlandıklarını ve işlerini daha uzun sürede öğrendiklerini ifade etmişler. Okullarda TEFBİS (Türkiye’de Eğitim Finansmanı ve Eğitim Harcamaları Birliği Yönetim Sistemi), KBS(Kamu Bilgi Sistemi), TİF (Taşınır İşlem Fişi), İSG (İş Sağlığı Güvenliği), DYS (Doküman Yönetim Sistemi), TKY (Toplam Kalite Yönetimi) ve muhasebe gibi konularda bilgi sahibi olan memurların olmamasının iş yüklerini arttırdığını ve işlerini yaparken zaman kaybına neden olduğu görüşünü dile getirmişlerdir. Araştırmada örneğin, göreve yeni başlayan okul yöneticilerine görev öncesi, Milli Eğitim Bakanlığı ve Üniversitelerin işbirliği ile yöneticilik eğitimi verilmesi, gibi elde edilen sonuçlara dayalı olarak araştırmacı ve uygulamacılar için bir takım önerilere yer verilmiştir.
Acute myocarditis in children: problems of diagnosis and treatment
Authors: Pshenichnaya Elena V. , Dudchak Alexandra P. , Usenko Nadezhda A. , Sosna Viktoriya V.
Published: April 2020

Acute myocarditis by the World Health Organization is an inflammatory disease of the heart muscle, confirmed by histologically, immunologically and immunohistochemically. The diagnosis of acute myocarditis in children remains open due to the presence of a number of reasons. First of all, it is difficult to diagnose myocarditis in children due to the variety of clinical manifestations and the presence of nonspecific symptoms of the disease. What matters is the lack of accessibility in the routine practice of a doctor of certain research methods and a sharp limitation in the use of endomyocardial biopsy. The search for differential diagnostic algorithms of the disease continues. According to modern literature, much attention is paid to non-invasive methods for the diagnosis of acute myocarditis in children. The course of acute myocarditis can be complicated by life-threatening cardiac arrhythmias: ventricular extrasystole, lengthening of the corrected QT interval, atrioventricular block. The appearance of cardiac arrhythmias increases the risk of sudden cardiac death. Recommendations for the treatment of myocardium in children often undergo changes due to the small number of multicenter and controlled studies in the pediatric population. The article provides an overview of modern approaches to the treatment of acute myocarditis in children: the use of antiviral drugs, intravenous immunoglobulin, immunosuppressive therapy, especially the treatment of heart failure in acute myocarditis in children.
Modern methods for the diagnosis of cognitive impairment
Authors: Kurbanova Maryam M. , Galayeva Anna A. , Stefanovskaya Yekaterina V. , Suvorkina Anastasiya A. , Alikhanov Nurmagomed M.
Published: April 2020

The review presents modern views on the problem of cognitive impairment, on the need to improve diagnostics at the pre-dementive stage of development of these disorders. The most widely used neuropsychological tests and structural neuroimaging methods for assessing cognitive functions are considered.
Telephone consultations (lecture for practitioners)
Authors: Logunov Konstantin V.
Published: April 2020

The lecture for clinicians discusses over-the-phone medical consulting basic features and analyzes pros and cons of the technology. It formulates main rules for remote communication with consumers of medical services, minimizing the risks for both interacting parties.
A study of tumours and tumour like lesions in the Eye and its Adnexa: Our experience of 80 cases with review of literature
Authors: R Sonwane Bharat , J Nandkar Somnath
Published: April 2020

The eye is a unique special sensory organ which exhibits diverse histologic structures. Clinical signs symptoms of ocular malignancies simulate more commonly occurring benign conditions which pose great difficulties both for treating clinicians even experienced pathologists.

The present study is to evaluate the histomorphological spectrum of lesions of entire eyeball and ocular adnexa to compare our results with other studies.

The present study included the 80 cases of tumours tumour like lesions in the eye its adnexa, in our institute during June 2013 to October 2015.

All biopsies were embedded completely after thorough gross examination, resected specimens were noted for size, shape, consistency approximate section were taken. The enucleated eyeballs are sectioned according to stard protocols.

In the present study, 80 cases of tumours and tumour like lesions in the eye its adnexa was carried. Out of these, eye lid was affected in 43 cases (53.75%), conjunctival cornea in16 cases (20%), intraocular in 17 cases (21.25%) orbit in 4 cases (05%).

Among 80 cases maximum 44 cases (55%) were of malignant tumours followed by tumour like lesions 24 cases (30%) 12 cases (15%) of benign tumours.

Histopathological examinations of orbital ocular lesions are absolutely mandatory for definitive diagnosis and further management. Illiterate patient take some home remedies, which leads to complications and loss of eyesight. So awareness is needed to ensure early presentation.
Comparitive study of effectiveness of external dacryocystorhinostomy with silicone tube placement versus silicone tube with application of Mitomycin–C in nasolacrimal duct obstruction
Authors: Verma Neha , Kumar Ram
Published: April 2020

: To compare the effectiveness ofexternal dacryocystorhinostomy(DCR) with Silicone tube(SI) placement versus Silicone tube with application of Mitomycin–C(MMC) in Nasolacrimal Duct Obstruction(NLDO).

: The study was conducted in the department of Ophthalmology, at BRD medical college, Gorakhpur, U.P., India between March 2018 to June 2019.It was a prospective randomized study, where we studied 88 eyes from patients who presented with simple epiphora due to primary acquired NLDO. The patients were randomly assigned into two groups, where one group was subjected to external DCR along with the placement of a silicone tube ,and the other group underwent silicone tube placement followed by the application of 0.2mg/ml of anti-metabolite MMC.

After a 6 month follow-up, it was noted that there was no statistically significant difference between the two groups, i.e., when considering patients with simple epiphora secondary to primary acquired NLDO, external DCR with silicone tube and silicone tube with MMC(0.2mg/ml) application are at par with each other in terms of effectiveness. However, silicone intubation with MMC is a minimally invasive procedure when compared to external DCR with silicone tube placement.
Evaluation of Load-Transfer Efficiency of Steel Mesh Reinforced Contraction Joints in Concrete Pavement: Accelerated Pavement Test and FE Analysis
Authors: ÇELİK Muhammet , SEFEROĞLU Mehmet Tevfik , AKPINAR Muhammet Vefa , NASERY Mohammad Manzoor , SEFEROĞLU Ayşegül Güneş
Published: April 2020

Transverse contraction joints are by far the most common type of joint in jointed plain concrete pavements. Early loading of contraction joints can create a weakened vertical plane and later grow as a full-depth crack. In this study, load transfer efficiency (LTE) of steel mesh reinforced transverse contraction joints were studied at accelerated pavement tests (APT). 3D finite element (FE) model of jointed plain concrete pavement (JPCP) was developed to study deflections and crack propagation in just under the joint of the concrete pavement. The APT tests were focused on the LTE values before and after the crack initiation under the contraction joint region. Experiments were performed on three slabs in which two of these slabs were prepared without reinforcement and one of them was reinforced with steel mesh. Data generated by APT was used for verification of crack propagation modeling in the finite element analysis. Steel mesh reinforced slab gave the lowest vertical deflections (51μm) and highest LTE (91.56%). The LTE value in the reinforced slab after 25,000 passes was 13.63% higher than the average of unreinforced slabs. The findings suggest that the load transfer efficiency was found to be a complex parameter and should be interpreted together with average displacement values when contraction joints are evaluated at early traffic loadings.
Kum Zeminlerdeki Kazıklı Radye Temellerin Optimum Kazık Aralığının Deneysel Olarak İncelenmesi
Authors: ATEŞ Bayram , ŞADOĞLU Erol
Published: April 2020

Kazıklı temeller, yapı yüklerinin yüzeysel temellerle güvenle taşıtılamadığı durumlarda kullanılmaktadır. Kazıklı radye temeller, kazık ve radyenin yük taşıma kapasitelerini birleştiren bir temel sistemi olması sebebiyle son yıllarda ön plana çıkmıştır. Bu sebeple söz konusu temel sistemlerinin güvenilir ve ekonomik tasarımı için kapsamlı teorik ve deneysel çalışmalar yapılmaktadır. Bu çalışmada, kum zemin içerisinde yer alan kazıklı radye temellerin tasarım parametrelerinin etkileri (kazıklar arası mesafe, kazık çapı, kazık uzunluğu ve rölatif sıkılık, vb.) deneysel olarak araştırılmıştır. Laboratuvar deneylerinde, çapı 20 ve 30 mm, uzunluğu 200 ve 300 mm olan model kompozit (çelik ve beton) kazıklar kullanılmıştır. Plan boyutları 160x160 mm, 240x240 mm ve kalınlığı 6 mm olan model radyeler, çelik plakadan imal edilmiştir. Farklı tasarım parametrelerine sahip model kazıklı radye temeller test edilmiştir. Deney sonuçlarından, kazıklı radye temellerde kazıklar arası mesafe arttıkça taşıma gücünün bir sınır değer kadar arttığı ve kazıklar arası optimum mesafenin 4D olduğu belirlenmiştir. Temel mühendisliği uygulamalarında kullanılmak üzere tasarım parametreleri önerilmiştir.
Planejamento estratégico como ferramenta de gestão local na atenção primária à saúde
Authors: Teles Figueiredo Inês Dolores , Torres Geanne Maria Costa , Cândido José Auricélio Bernardo , Morais Ana Patrícia Pereira , Pinto Antonio Germane Alves , Almeida Maria Irismar De
Published: April 2020

O objetivo deste estudo foi analisar saberes e práticas do planejamento estratégico, na perspectiva dos profissionais e gestores da Atenção Primária à Saúde. Trata-se de pesquisa descritiva, com abordagem qualitativa, realizada com dez profissionais da Atenção Básica e Gestão, de um município da Região Metropolitana de Fortaleza, Ceará, Brasil, em 2016. Os dados foram coletados por meio de entrevistas semiestruturadas e grupo focal, sendo tratados pela análise de conteúdo de Bardin. Os resultados evidenciam participantes entre 26 a 64 anos de idade, maioria do sexo feminino, graduados e tempo de atuação no serviço entre quatro meses a oito anos. Destacam a importância do planejamento estratégico, porém com uso deficitário dos instrumentos, especialmente, o relatório de gestão que favorece a análise, execução e tomada de decisão. Conclui-se que o planejamento estratégico cria novas possibilidades de transformar as práticas nos territórios, sendo imprescindível à gestão e ao fazer dos profissionais da Atenção Primária.
Análise epidemiológica dos casos de Leishmaniose Tegumentar Americana em um município do Triângulo Mineiro
Authors: Bernardes Hellen Cristina , Dos Santos Ana Flávia Ferreira , Gohm Daniel , Dias Lineker Fernandes , Araújo Vilges Keline Medeiros de , Oliveira Stefan Vilges de
Published: April 2020

Este estudo tem o objetivo de analisar o perfil epidemiológico da Leishmaniose Tegumentar Americana no município de Patrocínio, Minas Gerais, Brasil, no período de 2007 a 2018. Trata-se de uma pesquisa epidemiológica descritiva a partir dos dados do Sistema de Informação de Agravos de Notificação do Ministério da Saúde. Nesta cidade foram notificados 21 casos no período, com uma incidência média de 0,21 casos de Leishmaniose Tegumentar Americana a cada 10 mil habitantes. O perfil dos indivíduos acometidos foi composto por homens (90,48%), brancos (71,43%), entre 50 e 64 anos de idade (33,33%), moradores da zona urbana (90,48%), com ensino fundamental completo (23,81%) e com a apresentação clínica na forma cutânea (85,71%). Todos os casos eram novos e evoluíram para cura em 80,59%. Embora a Leishmaniose Tegumentar Americana se manifeste com uma incidência baixa no município, observa-se a manutenção da sua ocorrência ao longo dos doze anos analisados, figurando-se como uma doença endêmica no local.
Da montagem ao collage: found footage, voz-over e filme-ensaio
Authors: De Almeida Rafael
Published: April 2020

Objetiva-se investigar, à luz de Seams (Karim Aïnouz, 1993), como a voz-over, o found footage e o filme-ensaio são colocados em relação, bem como comportam-se enquanto práticas criativas autônomas, em obras que reutilizem imagens de arquivo. Partimos da hipótese de que a aproximação entre esses elementos se dá sobretudo por meio do procedimento de montagem, encontrando-se frequentemente conectado com a noção de collage. Pretende-se analisar os procedimentos de montagem do filme, para por fim sinalizar que o collage é o responsável não apenas por colocar em relação criativa a voz-over, o found footage e o filme-ensaio, mas por garantir que esses elementos potencializem seus papeis narrativos diante da construção textual discursiva e crítica, sobre o machismo brasileiro, pretendida pelo curta-metragem.
Crítica da inspiração nos processos comunicacionais do capitalismo “cool”
Authors: Casaqui Vander
Published: April 2020

Este artigo tem como objetivo tratar da inspiração, como elemento que identifica os processos comunicacionais relacionados com a cultura empreendedora. Nesse sentido, a publicização dos ideais, valores, prescrições dos agentes identificados com o empreendedorismo parte de um modelo comunicacional bem delimitado, cuja função principal é inspirar, ou seja, transformar o outro, que compõe seu auditório social (BAKHTIN, 1997). Essa transformação desejada seria, em última instância, a promoção do engajamento no capitalismo contemporâneo em sua face mais sedutora, que McGuigan (2009) define como cool capitalism. Em síntese, procuramos discutir as intersecções entre inspiração, empreendedorismo e o capitalismo neoliberal, ou sociedade neoliberal (conforme DARDOT; LAVAL, 2016).
Diversitywashing: as marcas e suas (in)coerências expressivas
Authors: Carrera Fernanda , Torquato Chalini
Published: April 2020

Considerando a representação midiática de corpos e sujeitos diversos, este trabalho busca debruçar-se sobre o conceito de diversitywashing, entendendo que muitas estratégias de marca camuflam práticas inconsistentes, sobretudo em relação às rotinas produtivas da publicidade e aos rastros de estereótipos imagéticos e textuais, que revelam uma contradição daquilo que expõem discursivamente. Assim, propõe-se aqui contribuir sobre as demandas contemporâneas acerca da relação entre mídia e diversidade, avançando na noção conceitual de diversitywashing a partir da categorização de seis traços comuns desta prática à luz de pressupostos teóricos sobre performatização de si, gerenciamento de impressões e coerência expressiva.
As relações entre horror e racismo no filme Corra!
Authors: Acker Ana Maria , Campos Deivison Moacir Cezar de
Published: April 2020

O artigo discute como o filme Corra!, de Jordan Peele, apresenta experiências sensíveis do horror e do racismo nas sociedades contemporâneas. O conceito de horror é entendido a partir de Eugene Thacker (2011 e 2015) para quem a fruição com o gênero se dá no ato de pensar sobre um mundo impensável, não-humano e desconhecido. Considerado o outro na sociedade Ocidental, a condição de ser negro, categoria criada durante o processo de escravização e colonização para a desumanização dos africanos (GILROY, 2007), atende a essa definição do gênero. O ser negro causa horror em quem ignora a condição humana, ao mesmo tempo em que é afetado em sua humanidade pelo racismo. O texto promove o encontro de duas pesquisas que investigam as características das possíveis experiências estéticas do horror na contemporaneidade: pensando o fenômeno para além do medo (ACKER, 2018) com a que propõe uma crítica ao racismo estrutural a partir do midiático (CAMPOS, 2018).
Avaliação do nível de sustentabilidade das indústrias de pequeno porte de microrregião do sul de Santa Catarina
Authors: Wernke Rodney , Junges Ivone
Published: April 2020

O estudo teve o objetivo de identificar os níveis de sustentabilidade ambiental, econômica e social de pequenas empresas fabris localizadas nos municípios de uma microrregião do sul de Santa Catarina. A pesquisa se caracteriza como descritiva, com abordagem quantitativa e utilização do procedimento survey para coleta dos dados de 88 pequenas indústrias. Após breve revisão da literatura e evidenciação de estudos anteriores, foram apresentados os dados levantados acerca da utilização de práticas de sustentabilidade nas dimensões ambiental, social e econômica. Os resultados evidenciaram que a dimensão ambiental é a que menos prioridade vem recebendo dos gestores fabris participantes do estudo, seguida da dimensão econômica. Por outro lado, a dimensão social é aquela na qual o melhor desempenho foi constatado, visto que um maior número de indicadores apresentou percentuais elevados de utilização das práticas de sustentabilidade. Ainda, foi apurado por intermédio do teste estatístico Mann-Whitney que não há relação entre o porte das empresas e o nível de uso das práticas de sustentabilidade abrangidas.
Estudio genético en embarazadas
Authors: Posso Álvarez Julio César , Sinisterra Galarza Sandra Liliana , Vásquez Zapata Gustavo Adolfo , Isaza de Lourido Carolina
Published: April 2020

Introducción: con base en el impacto que genera el hallazgo de un feto o recién nacido con alguna alteración cromosómica, desde el punto de vista familiar, social y para las entidades de salud, se analizan los resultados de los estudios genéticos realizados por el Servicio de Perinatología de la Clínica Rafael Uribe Uribe del Instituto de los Seguros Sociales en la ciudad de Cali, durante los últimos seis años.Objetivo: describir la frecuencia de las alteraciones cromosómicas encontradas en la Clínica Rafael Uribe Uribe de Cali durante los estudios genéticos realizados por el Servicio de Perinatología de este centro desde enero 1 de 1997 hasta diciembre 31 de 2002.Materiales y métodos: se realizó un estudio retrospectivo, en el cual se revisaron las historias clínicas de todos los procedimientos genéticos practicados a las gestantes que aceptaron amniocentesis o cordocentesis según la indicación.Resultados: se encontraron 615 procedimientos de diagnóstico prenatal: 604 amniocentesis (98,21%) y 11 cordocentesis (1,79%). Se evidenciaron 19 estudios anormales (3,09%); de ellos, 17 correspondieron a aneuploidias (89,47%): seis trisomías 21 (31,57%), 4 trisomías 18 (21,05%), dos trisomías 13 (10,52%), dos síndromes de Klinefelter (10,52%) y tres monosomías 45XO (15,78%); se presentaron dos alteraciones estructurales (10,53), de las cuales una correspondió a una translocación reciproca (46XX, t (6,15) der 15) (5,26%) y una delección (46XX, 9 q (-)) (5,26%).Las indicaciones más frecuentes del estudio genético fueron:Edad materna (>35 años).Hallazgos ecográficos.Deseo de la pareja.Conclusiones: los resultados obtenidos no distan de los publicados en la literatura mundial; la alteración cromosómica más frecuente fue la trisomía 21. Puesto que para diagnosticar una alteración cromosómica se requirieron 32 estudios de diagnóstico prenatal, debemos afinar (con la ayuda de las directivas de la institución) en la determinación de marcadores ecográficos y bioquímicos con el propósito de someter al menor número de pacientes al riesgo que implican los procedimientos invasivos.
Terapia hormonal de reemplazo y cáncer
Authors: Martínez Morales Gilberto
Published: April 2020

El temor al riesgo de algunos tipos de cáncer, en especial el mamario relacionado con el uso de la terapia hormonal de reemplazo, a lo largo de las últimas tres décadas ha sido un tema de controversia e investigación permanente. Al comienzo del nuevo milenio la información publicada ha permitido obtener más claridad en la materia aunque no toda la que se quisiera a pesar de las nuevas metodologías utilizadas en la investigación; sin embargo, creemos que estamos lejos de conocer la verdad. Pero probablemente más que los mismos resultados, en muchos casos es la interpretación y difusión que se le da a los mismos lo que más impacta en la toma de decisiones en la práctica médica. Diferencias poblacionales, raciales y geográficas entre otras, han mostrado grandes desigualdades en relación con el riesgo de padecer un determinado cáncer, así como las barreras económicas han limitado también la exposición a noxas cancerígenas. El papel de las combinaciones de estrógenos más progesterona y el de los estrógenos equinos conjugados está ahora más definido en relación con la carcinogénesis, pero no así el relacionado con la información sobre las nuevas moléculas, las dosis bajas y las diferentes vías de administración que ya se están utilizando. El médico deberá acudir cada vez más a las herramientas que le facilita la epidemiología para comprender mejor la información y trasmitirla a sus pacientes y los sistemas de salud deberán facilitarle a ambos los espacios suficientes para una sana decisión.
Partner Violence Beliefs, Attitudes, and Implications in Israeli Muslim Society
Authors: Sowan-Basheer Wafaa , Winstok Zeev
Published: April 2020

The purpose of the current article was to examine beliefs and attitudes around partner violence within Muslim society in Israel. The study addressed three gender-asymmetrical aspects of such beliefs: reasons for violence (the belief that men hurt their female partners to control them, and the belief that women hurt their male partners to protect themselves); violent behavior (the belief that men, more than women, are violent in intimate relationships); and the outcomes of violence (the belief that women, more than men, are injured as a result of intimate violence). The study also examines the attitude toward the appropriate social response to the problem (the belief that men who use partner violence should be condemned more than women should). First, the study compares men and women's belief levels and relates these to the accumulating empirical knowledge. Then, the study examines the difference between men and women in the relationship between the beliefs, as well as the effects of this on prevailing attitudes. The study was based on a community sample of 420 Muslim students. The research findings indicate that the belief that men, more than women, use physical violence in intimate relationships was the strongest belief of those tested and it was stronger among women than among men. The findings also indicate that among both men and women, the behavioral aspect does not affect the tendency for condemnation. On the other hand, among both, the consequences of violence affect condemnation. Theoretical and empirical implications of gender differences in physically violent behavior, Gender differences in consequences of physical partner violence, gender differences in condemnation of violent behavior and effects of beliefs on the attitude toward its condemnation were discussed.
The Effect of Workload Perception and Occupational Stress on Medical Error Attitudes of Nurses Working in Surgical Clinics
Authors: BÖLÜKBAŞ Nurgül , ÖZYER Yasemin , ÇİLİNGİR Dilek
Published: April 2020

Objectives: The study was conducted to determine workload perception and effects of occupational stress on medical error attitudes of nurses working in surgical clinics.Method: This descriptive study was connducted with 100 nurses employed at surgery clinics, Ordu State Hospital and Training and Research Hospital of Ordu University, Turkey. The data were collected using Descriptive Questionnaire Form, Occupational Stress Scale, Individual Workload Perception Scale and Medical Error Attitudes Scale between September and December 2015.Results: There is not any significant relationship between the average scores of all three scales when they are compared with each other (p>0.05). The surgical nurses’ average score on the individual workload perception scale is 73.37±9.06, their average score on the occupational stress scale is 42.21±4.99, and their average score on the medical error attitude scale is 40.86 ±5.40. It was determined that workload perception and occupational stress in the nurses employed in surgical clinics did not have effect on the medical error attitudes. (r=0.712).Conclusion: In this study, it was observed that nurses’ perception of work stress and work overload did not affect medical error attitudes. The overall average scores of surgical nurses on the scales of individual workload perception, occupational stress, and medical error attitude are directly proportional.
Planning of Large Odontogenic Cysts Treatment Using Panoramic and CBCT Images.
Authors: YANIK Saim , POLAT Mehmet Emrah
Published: April 2020

Objective: We explored the utility of Cone Beam Computed Tomography (CBCT) and Orthopantomography (OPG) in terms of treatment planning to determine which form of radiography can more reliably assess cyst volume.Methods: We evaluated the panoramic and CBCT images of nine patients who consulted ours. clinic for treatment of large cystic lesions. Overall, 27 images were reviewed and analyzed by 21 oral and maxillofacial surgeons. We asked five questions (detailed in the main text).Results: We evaluated the 189 answers in the questionnaire. The surgeons recommended marsupialization followed by enucleation, marsupialization, and enucleation (70.89 %, 14.28 %, and 14.81 %, respectively). The answers to the reasons of these treatment choices showed that the size of the cysts and relationship with the adjacent anatomical structures are the most effective factors. In after marsupialization challenges, 85.71% of the answers considered that the lesion had shrunk sufficiently to allow enucleation according to OPG’s, however, this rate decreased to 42.23% when the same surgeons evaluated the CBCT images of the patients after marsupialization. Ninety-nine percent of the responses reported that CBCT was much more reliable than OPG.Conclusion: In this study, we concluded that OPG imaging method can be used for the diagnosis and follow-up of cystic lesions, but in order to determine the accuracy of timing, adequacy of new bone formation and whether the cyst has shrunk sufficiently in volume, during the transition from the marsupialization process to the enucleation process, it is necessary to use CBCT imaging method. Further clinical trials should be conducted to define the effects of three dimensions images regarding surgical treatments of different kinds of oral and maxillofacial region cystic lesions.
Comparison of The Effects of Remifentanil and Fentanyl Combined with Desflurane on Intraoperative Hemodynamic Parameters and Postoperative Recovery Period in Anesthesia for Day Case Surgery
Authors: DOĞAN Murat , GÜNGÖRDÜ Ezgi
Published: April 2020

Objective: We aimed to compare the effects of two different opioids, fentanyl and remifentanil with short-acting inhalation agent, desflurane on intraoperative hemodynamics and recovery quality in the postoperative period in anesthesia for day case surgery.Methods: A prospective randomized case control study was carried out at Anesthesia and Reanimation Clinics of The Istanbul Education and Research Hospital with the approval of the local ethics committee between 2001-2002. The study population (n=100) who has arthroscopic knee surgery was composed of patients between the ages of 18-65 classified as ASAI-II. The cases were randomized and divided into two groups. After giving fentanyl to patients in the first group and remifentanil infusion to patients in the second group, induction has administered by propofol and mivacurium was given as a muscle relaxant in both groups. After endotracheal intubation, systemic blood pressure, heart rate and peripheral oxygen saturation (SpO2) values were recorded every five minutes. When the surgery was completed, eye opening, following commands, saying her name, saying her birthday, sitting without help and getting the correct answer to the DSS test was recorded for both groups. Visual Pain Scale (VAS) and Modified Aldrete Score were evaluated and recorded at 0, 15, 30, and 60 minutes. Patients were observed and recorded in terms of side effects such as increased secretion, bradycardia, nausea, vomiting, dizziness, headache, and tremors in both groups.Results : In terms of demographic features there was no statistically significant difference between the two groups. Generally; systemic blood pressures were significantly higher in the fentanyl group. Heart rate was significantly higher in fentanyl group during intubation and intraoperative periods . There was no statistically significant difference between groups in terms of Sp02 . Time until spontaneous breathing, extubation, eye opening, following commands, saying the name, DSST and unassisted sitting were significantly longer in the fentanyl group . The mean values of VAS scores at the 15th and 30th minutes were significantly higher in the remifentanil group . Similarly, the mean Aldrete recovery scale score scores at 15th and 30th minutes were significantly higher in the remifentanil group . When postoperative pathological findings were evaluated, the frequency of bradycardia was significantly higher in the remifentanil group, there was no difference in terms of other side effects. Conclusion: According to the our study results; we concluded that it is a better alternative to use remifentanil together with desflurane which is preferred short-acting inhalation agent in ambulatory anesthesia; in terms of hemodynamic stability during the intubation, peroperative and extubation periods and rapid postoperative recovery.
Our New Choice in Labour Analgesia, Combined Spinal-Epidural Analgesia: Our Short Term Results
Authors: GÜLTEKİN Ahmet , CANAKCİ Ebru
Published: April 2020

Objective: Nowadays, the painless childbirth preference of expectant mothers is gradually increasing. The most important and first objective in labor analgesia should be the safety of mother and baby. Our objective in this study is to compare the effects of combined spinal-epidural analgesia (CSE) and epidural analgesia on analgesia quality and labor in labour analgesia.Methods: Our study was performed prospectively on 40 primigravid pregnant women who requested painless childbirth and were included in the ASAI-II group, between September 1, 2018, and November 30, 2018. Pregnant women who had single fetus at 36-42 weeks, have vertex presentation, no contraindications for regional analgesia, have active contractions and with 3-4 cm cervical opening were randomly divided into two groups in the study. Combined Spino Epidural group (= Group CSE, n = 20), Epidural analgesia group (= Group EPI, n = 20) was determined as the groups. To the pregnant women in the Group CSE, Intrathecal dose in a manner that 2.5 mg hyperbaric bupivacaine + 12.5 µg fentanyl total volume of 1 ml was injected. To the pregnant women in the Group EPI, 20 G epidural catheter was placed with the method used in the first group and fixed to the skin. Epidural analgesia solutions (20 mg bupivacaine + 50 µg fentanyl +15 cc saline) were prepared in 20 cc injectors containing 0.1% bupivacaine + 2.5 µg/ml fentanyl for use in both groups. When the VAS values became 4, these prepared solutions were planned to be given as 10 ml intermittent bolus from these epidural catheters.Results: The mean values of maternal age, weight, and height, and infant height have not shown any difference according to the groups (p> 0.05). The first VAS median value was obtained as 5 in both groups. However, the VAS values were accumulated in the higher values in the combined spinal-epidural group (p = 0.031). Although the second VRS and VAS median values were lower in the pure epidural, the outlet VRS and VAS values have been obtained lower in the combined spinal-epidural group. Conclusion: For normal spontaneous vaginal delivery, every mother should be offered labour analgesia options such as CSE analgesia and epidural analgesia. CSE analgesia may be a good alternative to epidural analgesia because of its advantages such as the onset of fast analgesia, shortening the first stage of labour and increasing the comfort of the mother in the outlet.
Comparison of Endometrial Biopsy Results of Premenopausal and Postmenopausal Patients
Authors: TURAN Gökçe , YALCİN BAHAT Pinar , ASLAN ÇETİN Berna , KADİROĞULLARI Pınar
Published: April 2020

Objective: To evaluate the histopathological results of endometrial biopsy specimens obtained from patients who referred to our clinic with a complaint of abnormal uterine bleeding (AUB) and to compare the results of premenopausal and postmenopausal patients.Methods: In this retrospective study, the records of patients who referred to our clinic due to AUB between 2013 and 2017, and who had undergone endometrial biopsy with pipelle were evaluated. Demographic data and menopausal status of the patients were recorded. Endometrial biopsy results of all patients were investigated. In addition, the patients were divided into two groups as premenopausal and postmenopausal. Endometrial biopsy results of both groups were compared.Results: While 2808 (56.1%) of the 5000 patients who referred with AUB and who had undergone endometrial sampling were premenopausal, 2192 (43.8%) were postmenopausal. The mean age of the premenopausal and postmenopausal groups was found to be 41.6 ± 1.8 and 54.2 ± 5.9, respectively. Secretory endometrium was significantly higher in the premenopausal group than the postmenopausal group (p <0.001). While atrophic endometrium and malignancy were significantly higher in the postmenopausal group than the premenopausal group, chronic endometritis was significantly higher in the premenopausal group.Conclusion: Endometrial biopsy, which is a simple, inexpensive and easy technique, is the most preferred method for the exclusion of malignancy in patients with complaint of AUB. In patients with complaint of AUB, malignancy exclusion decision by endometrial biopsy must be made considering the age interval, risk factors that may cause estrogen exposure, and menopausal status of the patients.
Investigating the Effect of Mesenchymal Stem Cells on Peripheral Nerve Repair with Quantitative Methods
Authors: AYAS Bülent , GÜRGÖR Pınar Naile , ERİŞGİN Züleyha , ÇİFCİ Mehmet
Published: April 2020

Objective: The aim was to research the possible effects of bone marrow stromal cells on the effective method for peripheral nerve injuries of end-in-end repair for sciatic nerves using quantitative histologic methods.Methods: Five adult male New Zealand rabbits had both sciatic nerves cut and then the end-in-end repair technique performed. Then while nothing was administered to the left side, the right side had autologous mesenchymal stem cell injection from previously cultured material administered. Four weeks later the repair area was removed, and sections were stained with S100 and CD31 antibodies. Stained sections were investigated for Schwann cells and vessels. Evaluations of the left and right sides were made by comparing their Schwann cell density and vessel density determined by estimating their volume fractions, separately.Results: The repair areas on both sides showed no significant differences for the degree of immunoreactivity for S100 and CD31 (p=0.003). But the volume fractions of Schwann cells and vessels within the repair areas were found to be increased for the cell-treated nerves, but statistically there was no difference for vessels (p=0.073).Conclusion: These results support the findings already reported in the literature, that increased Schwann cell density will probably promote regeneration of the peripheral nerve.
The Assessment of the Efficacy of Carboxymethyl Chitosan in the Surgical Treatment of Carpal Tunnel Syndrome: a Retrospective Study
Authors: YILDIRIM Timur
Published: April 2020

Objective: Carpal Tunnel Syndrome (CTS) is the most commonly encountered entrapment neuropathy of the upper extremity characterized by the compression of the median nerve at the level of the wrist. The objective of the treatment is to eliminate the symptoms stemming from compression and to preserve the neurological function by relieving the median nerve of pressure. Conservative and surgical treatment methods are used effectively in Carpal Tunnel Syndrome. Anti- Adhesion barriers are used during surgery. The aim of this study is to investigate the postoperative effectiveness of carboxymethyl chitosan and methylprednisolone used intraoperatively.Methods: 87 patient files (26 males, 61 female) who were operated with the diagnosis of moderate degree Carpal Tunnel Syndrome. Peroperative local carboxymethyl chitosan gel was applied following the surgical decompression of the transverse carpal ligament in 32 patients, after surgical decompression peroperative local methylprednisolone was applied in 28 patients and only surgical decompression was performed in 27 patients. Preop and post op complaints of patients were evaluated using Symptom Severity Scale (SSS), Functional Status Score (FSS), Boston Symptom Severity Scale (BSSS), Visual Analogue Scale (VAS). Results: When pre and postoperative CNS values were evaluated according to gender and intervention groups, male patients had higher CNS values than female patients (P = 0.046). When preop and postop FSS values were evaluated according to gender and intervention groups, FSS values decreased significantly in all surgical intervention groups compared to preoperative values (P <0.001). When preop and postop VAS scores were assessed with emphasis on sex and intervention groups, VAS scores of the patients in all intervention groups showed a significant decrease as compared to preoperative scores in a time dependent manner (P<0,001).Conclusion: We compared the groups treated with CMCS and methyl prednisolone during surgical interventions for carpal tunnel syndrome with those who had undergone only surgery; we see that there was a significant decrease in the symptoms at three months.
Evaluation of the World Breastfeeding Trend Initiative Reports of the Countries Affiliated to the Turkish Cooperation and Coordination Agency
Authors: GEDİK TEKİNEMRE Işılay , KAYHAN TETİK Burcu
Published: April 2020

Breastfeeding has many benefits for the physical and psychological development of the baby and its positive effects continue for life. Breastfeeding correctly and properly whenever the baby wants, except in compulsory situations feeding only with breast milk during the first six months and breastfeeding is recommended in addition to supplementary food for at least two years of age. In most parts of the world, programs to encourage breastfeeding are implemented. In this study, the rates of countries that sent reports to World Breastfeeding Trend Initiavite (WBTI) from countries that are members of the Turkish Cooperation and Coordination Agency (TCCA) Presidency on breastfeeding and bottle use. It was observed that the rates were below the standards in the specified reports. Increasing breastfeeding rates, reduce baby bottle use and thus, it is thought that educational programs should be focused on in order to raise healthier generations
Comparative Evaluation of Three Nickel-Titanium Instrumentation Systems in Human Teeth Using Computed Tomography
Authors: ÇAKICI Fatih , ERDOĞAN Aziz
Published: April 2020

Objectives: Root canal cleaning and shaping during root canal treatment have been one of the important stages in achieving success The objective of this study was to investigate area and volume changing occurring during shaping of the root canals with three different nickel titanium instrument systems (Race, Hero shaper, Protaper).Method: In this study, 91 upper first molar teeth were used. Teeth divided randomly into 3 groups. Mesio buccal root of first upper molar teeth were shaped with Race, Hero shaper, and Protaper. The CT images were taken before and after shaping. The taken CT images were transferred to mimics software and 3D models were obtained. On these 3D models, area and volume changes were calculated. Data were subjected to one way Anova. Significance level was set at P= 0.05Results: No significant difference was found between the volumes calculated on images in terms of the effectiveness of the instruments (P=0.47). No significant difference was found between the areas calculated on images in terms of the effectiveness of the instruments (P=0.71).Conclusion: Within the limits of this study, all rotary instrument systems showed similar effects in terms of area and volume changes of the root canals at the end of the shaping process.
Condições e tipos de céu para simulações de iluminação natural com céu estático
Authors: Michel Mariana Vallory , Laranja Andréa Coelho
Published: April 2020

As normas brasileiras recomendam que o céu em simulações de iluminação natural seja o mais representativo do local nos solstícios de verão e inverno, mas não fornecem informações suficientes para defini-lo. Entretanto, os dados mais importantes para a definição do céu são os obtidos por equipamentos que medem radiação solar global e difusa – existente em poucas cidades no Brasil. Assim, este artigo tem como objetivo definir as condições de céu e os céus CIE característicos de capitais brasileiras por meio de um método aplicável à realidade do país. Inicialmente, foram selecionadas as capitais do Centro-Sul com disponibilidade de dados diários e mensais de horas de sol do Instituto Nacional de Meteorologia no intervalo de vinte anos (1997-2016). O método escolhido para encontrar as condições de céu foi o simplificado de Duffie e Beckman (2013) com adaptações de Ferreira e Souza (2006). Para os tipos de céu, utilizou-se etapa complementar autoral, que dividiu o percentual de cada condição de céu obtido na etapa anterior pela quantidade de céus CIE na respectiva condição de céu. Os resultados foram ratificados pela comparação com dados de nebulosidade do mesmo ínterim. Assim, a pesquisa estabeleceu uma classificação simplificada de condições e tipos de céu CIE para simulações com céu estático em programas de iluminação natural para Cuiabá, Brasília, Belo Horizonte, Vitória, São Paulo, Curitiba, Florianópolis e Porto Alegre. Ademais, apresenta-se uma metodologia para seleção dos céus característicos, passível de ser replicada para outras cidades brasileiras.