bluuebunny/crossref_metadata_2025 huggingface dataset:
Disclosure of Milicious Node in Wireless Sensor Network
Authors:   Department of CSE, Bharath Institute of Higher Education & Research,TamilNAdu, Nandhini P. , Velvizhi R. ,   Department of CSE, Bharath Institute of Higher Education & Research,TamilNAdu, Kavitha G. ,   Department of CSE,Bharath Institute of Higher Education & Research,TamilNAdu
Published: October 2019

Streamlining (WSN) is major to lessen abundance and criticalness use. To improve remote sensor structures for checked at get-together head and base station data blend is required. Data get-together is performed in each switch while sending information. Closeness sensor sort out decays in light of utilizing significance wasteful focus fixations for information putting away. Thusly outright strategy in WSN ought to be advanced in centrality steady way. So shown one show on trust based with loads.
Smart Helmet using PIC Controller
Authors:   Department of Mechatronics ,Bharath Institute of Higher Education & Research,TamilNAdu, Priya V. , Dhanasekar J. ,   Department of Mechatronics ,Bharath Institute of Higher Education & Research,TamilNAdu, Vasumathi G. ,   Department of Mechatronics ,Bharath Institute of Higher Education & Research,TamilNAdu
Published: October 2019

These days head protectors that spares a huge number of life are disregarded by the bicycle riders prompts demise of numerous lives. So as to keep away from this situation we presented shrewd head protector utilizing pic controller. Signal transmission between the protective cap unit and bicycle unit is utilizing a RF transmitter and recipient unit. Giving wellbeing to an individual while riding the bicycle is our prime concern. By finishing this undertaking it will be obligatory to wear protective cap while riding. The framework what we have wanted to configuration gives answer for this issue of evasion in wearing headgear. This framework additionally gives security to the vehicle as each bicycle will have a one of a kind cap and without which an individual neglects to begin that specific bicycle. This venture incorporates a protective cap body and a coordinated electronic framework arranged in the head protector body. It is worked through a remote control systemMoreover, the parts are separated about the head protector to give even weight appropriation to advance generally speaking parity and wellbeing.
Test and Determine the Strength of Ferrule Joint Pipe Fitting
Authors:   Department of Mechanical Engineering, Bharath Institute of Higher Education and Research, Chennai, Tamilnadu, India., Thirumavalavan S. , R Sabarish ,   Department of Mechanical Engineering, Bharath Institute of Higher Education and Research, Chennai, Tamilnadu, India., S Karthikeyan. ,   Department of Mechanical Engineering, Bharath Institute of Higher Education and Research, Chennai, Tamilnadu, India.
Published: October 2019

The tube connections in the cooling system are joints where a sleeve is crimped on the tube and then the tube is fitted between a nut and connector to ensure a leak proof joint. Earlier the crimping was done manually but the joints leaked in the field. A hydraulic tool is now available for crimping. The ability of the joint to prevent leakage depends on how well the sleeve 'bites' in the tube and how well the tube retains its original shape after crimping. These in turn depend on the (i) Material of the tube (ii) Material of the sleeve. Difference between the hardness of the sleeve and tube (with the sleeve being harder than the tube) Crimping pressure. Change in these parameters leads to different depth and amount of 'bite' and the extent to which the tube retains its original shape. A measure of the strength of the crimped joint is the amount of axial force needed to 'Pull Out' the sleeve after it has been crimped onto the tube. To create a variety of crimped joints where the parameters were varied. The size of the tube and thus that of the sleeve was not varied in order not to introduce additional variance in the parameters. A test set up to be created to hold a tube with both ends having a crimped joint in a tensile testing machine.
Variation in Heat Deflection Behaviour of Alkali Treated and Untreated Hybrid Fibre Reinforced Composites
Authors:   Department of Mechanical Engineering, Bharath Institute of Higher Education and Research, Chennai, Tamilnadu, India., Meenakshi CM , S Sucharitha ,   Department of Mechanical Engineering, Bharath Institute of Higher Education and Research, Chennai, Tamilnadu, India., V Srinivasan ,   Department of Mechanical Engineering, Bharath Institute of Higher Education and Research, Chennai, Tamilnadu, India.
Published: October 2019

Regular Fiber fortified composites discovers place in numerous applications as they have the benefits of being light, solid, modest and progressively ecological well disposed. This investigation planned to decide the impact of antacid treatment on normal fiber and its effect on the warmth diversion conduct of the regular and glass fiber fortified cross breed composites ,in this work two kind of half and half composite are made with glass, sisal and flax fiber ,the crossover strengthened composite covers were manufactured by hand lay-up technique. Examples are cut from the manufactured cover and their warmth diversion conduct was tried by ASTM D648 benchmarks. From the outcome it is comprehended that the basic treatment has improved the warmth avoidance withstanding limit of flax/glass half and half composite and don't have much impact on sisal/glass mixture composite.
Implementation of Internet Protocol in Embedded Systems
Authors:   Department of Information and Technology, Bharath Institute of Higher Education and Research, Chennai, India., Dean V.Khanaa , Thirunavukkarasu  ,   Assistant Professor, Department of Information and Technology, Bharath Institute of Higher Education and Research, Chennai, India., A Rama. ,   Assistant Professor, Department of Information and Technology, Bharath Institute of Higher Education and Research, Chennai, India.
Published: October 2019

Ahead bumbles shift and semaphores, even as they were sorted out in thought, do not develop until they have not been well continued with the previous being watched. On this document, we have bankrupted the architectonics of randomized figurines, which exemplifies the disconcerting annual embellishment and constitution. On this point, we affirm that the surrender of anamnesis transport and IPv7 may be apt to achieve this objective, the checksums should be produced conventional, mixed bendy.
Decision Support System of Employee Performance Evaluation
Authors:   Department of Information Systems, STMIK Pringsewu, Lampung, Indonesia., Fitriana Ayu , Nguyen Phong Thanh ,   Department of Project Management, Ho Chi Minh City Open University, Vietnam., Devi S. Rema ,   Associate Professor and Head Department of English, Kalasalingam Academy of Research and Education, Krishnankoil, India., Shankar K. ,   Department of Computer Applications, Alagappa University, Karaikudi, India., Abadi Satria ,   Department of Information Systems, STMIK Pringsewu, Lampung, Indonesia., Hashim Wahidah ,   Institute of Informatics and Computing Energy, Universiti Tenaga Nasional, Malaysia., Maseleno Andino ,   Institute of Informatics and Computing Energy, Universiti Tenaga Nasional, Malaysia.
Published: October 2019

Employee Performance Evaluation at CV Artha Mandiri Pringsewu is still done manually, without a computerized system, so that it faces obstacles to obtain actual and accurate information. In order to be successful in business today, CV. Artha Mandiri needs information system that can support decision making and various information. Problems that often occur in the process of employee performance appraisal include the decision-making subjectivity, especially if several existing employees have abilities that are not much different. The use of decision support systems is a solution to reduce subjectivity in decision making designed with Visual Basic 6.0 programming, The calculations were performed on all criteria for all employees, so it is expected that employees with the best abilities are selected. Decision support system is supported by a descriptive method in the development of system software with Waterfall model. The calculation process is carried out to determine employee recommendations in the Promotion System based on 3 aspects namely Intellectual Capacity, Work Attitude and Behavior. The result of this process is employee ranking. This ranking is the basis for decision makers to choose employees who are suitable in the vacant positions that are expected to help evaluating the performance of employees at CV Artha Mandiri.
Application Design of Catfish Species Specification
Authors:   Department of Information Systems, STMIK Pringsewu, Lampung, Indonesia., Yanto Adi Fitri , Nguyen Phong Thanh ,   Department of Project Management, Ho Chi Minh City Open University, Vietnam., Lydia E. Laxmi ,   Professor, Vignan’s Institute of Information Technology(A), Department of Computer Science and Engineering, Visakhapatnam, Andhra Pradesh, India., Shankar K. ,   Department of Computer Applications, Alagappa University, Karaikudi, India., Abadi Satria ,   Department of Information Systems, STMIK Pringsewu, Lampung, Indonesia., Hashim Wahidah ,   Institute of Informatics and Computing Energy, Universiti Tenaga Nasional, Malaysia., Maseleno Andino ,   Institute of Informatics and Computing Energy, Universiti Tenaga Nasional, Malaysia.
Published: October 2019

The system is a program inside of the computer and the task is to complete specific need or task. In its development, the system program has been developed for various fields, for example in determining the specification of catfish species. Catfish is a type of fish that live in fresh water. Catfish is easily recognized because their body is slippery, slightly flat elongated, and has long "mustache" that sticks out from around the mouth. Therefore, the researchers wrote this paper to improve service for the society and to facilitate the community in determining the type of catfish.
The Weakness Examination of Wireless Network Security at the Hospital Using QoS
Authors:   Department of Information Systems, STMIK Pringsewu, Lampung, Indonesia., Riyanti Kharisma , Sutejo  ,   Department of Information Systems, STMIK Pringsewu, Lampung, Indonesia., Ilayaraja M. ,   Department of Computer Science and Information Technology, Kalasalingam Academy of Research and Education, Krishnankoil, India, Shankar K. ,   Department of Computer Applications, Alagappa University, Karaikudi, India., Nguyen Phong Thanh ,   Department of Project Management, Ho Chi Minh City Open University, Vietnam, Hashim Wahidah ,   Institute of Informatics and Computing Energy, Universiti Tenaga Nasional, Malaysia., Maseleno Andino ,   Institute of Informatics and Computing Energy, Universiti Tenaga Nasional, Malaysia.
Published: October 2019

Computer networks today are a much needed service. Computer networks enable the shared use of data, software and tools. So that the working group can be communicate more effectively and efficiently. This study aims to determine the existing QoS in Surya Asih Hospital and analyze the deficiencies. (Bahasa: Hospital is Rumah Sakit (RS)) In this research started from collecting data that exist in location either that support hardware or connection internet RS Surya Asih have used Wireless Local Area Network (WLAN) network service. WLAN is a network where can be exchanged data and resources between computers in one building. To know the performance of WLAN network (Wireless Local Area Network In RS Surya Asih, it should be done a measurement analysis of network performance parameters QoS (Quality of Services) is the ability to guarantee the delivery of important data flow Analysis of the performance of WLAN (Wireless Local Area Network) Surya Asih stressed the process of monitoring and measuring network parameters on the network infrastructure such as access speed and transmission capacity, from the point of delivery to the point of receiver that became the demands, the parameters used Bandwidth, Throughput, Delay and Packet Loss. Superior LAN on RS Surya Asih has reliability sufficient maintenance and good network availability Analysis of network performance is seen through Wireshark, Uptime and Downtime results are not bad, The availability of complete devices and fulfilled according to reliability and maintenance is not difficult. QoS parameter test results that bandwidth management shows the use of more bandwidth and evenly distributed to every user of RS Surya Asih Pringsewu network.
Efectos de la volatilidad implícita sobre las empresas con mayor bursatilidad del mercado mexicano de valores
Authors: Mariné Osorio Fernando José , Bribiesca Aguirre Juan Carlos
Published: October 2019

En este artículo se presentan los resultados del estudio sobre el mercado de valores de México para determinar si la volatilidad implícita puede utilizarse como una determinante sistemática para poder explicar los rendimientos de las diez acciones con mayor bursatilidad en el mercado mexicano. Se aplicaron métodos estadísticos y técnicas de regresión para explorar si existe alguna relación entre el VIX mexicano o VIMEX y los rendimientos históricos del Índice de Precios y Cotizaciones, IPC. Los resultados obtenidos confirman que existe una correlación negativa entre la volatilidad implícita y los rendimientos de las acciones, y se comprobó que el VIMEX puede usarse como un método alternativo para explicar el riesgo sistemático.
CUSTOMERS' PERCEPTION TOWARDS INTERNET BANKING SERVICES IN RAMANATHAPURAM DISTRICT
Authors: Sountharya Mrs. P.
Published: October 2019

In the economic scenario, nancial institutions and banking industries are using effective strategic
planning for capturing customer attention and improving the perception level of customers. So banks
must adopt new strategies for developing a positive perception level in the minds of customers. For developing and
implementing customer centric strategies, banks need to provide consistent strategies to prevent customer from switching over
to other competitive banks. In order to understand customer perception on Internet banking services towards banking sector,
there is a need to understand dimensions like internet banking services, motivational factors and also identify the problems
towards internet banking services. The study has been undertaken with regard to the following set of objectives: To study the
socio-economic prole and their level of perception of the customers and to analyse the factors considered by the respondents
to select a particular bank. In the present study primary and secondary data have been used. Moreover a convenient random
sampling technique has been adopted for selecting a sample of 225 respondents who have used internet banking in
Ramanathapuram district in selected banks through questionnaire. The current research paper deals to identify the customer
perception levels.
COMPARISON OF RESPONSE TO TREATMENT OF OTOMYCOSIS USING TOPICAL BETADINE AND CLOTRIMAZOLE DROPS
Authors: Teharia Rajendra K.
Published: October 2019

INTRODUCTION: Otomycosis is the fungal infection of EAC (External Auditory Canal) that is very
commonly seen in Ear , Nose and Throat clinics .Local debridement and antifungals , topical or systemic
is the treatment of choice but recurrences are very common and resistant to treatment.
METHODS:Total 220 patients, divided into two groups each 110 in 'A' and 'B' were subjected to betadine (povidone - iodine )10%
solution and Clotrimazole (1 %) drops treatment and response of treatment assessed on 5th , 10th and 20th day and analyzed.
RESULTS :Out of 110 patients in each group on 5th day 21.8 % patients in group 'A', and 23.6 % in group B' showed no response.
70.9 % in group 'A' and 72.7 % in group 'B' were showed good response at evaluation of 20th day of treatment.
CONCLUSION :In our study, betadine (10% solution) and Clotrimazole (1 %) drops were equally effective in treatment of
otomycosis. Betadine(10% solution) is low cost, non-ototoxic, nonresistant and equally effective in bacterial and fungal
infection. That's why this study support betadine 10% solution as treatment of choice for otomycosis specially in developing
countries .
A COMPARITIVE STUDY ON INDUCTION OF LABOUR VERSUS EXPECTANT MANAGEMENT IN TERM PREMATURE RUPTURE OF MEMBRANES IN TERTIARY CARE HOSPITAL ,VISAKHAPATNAM
Authors: Gayak Kavitha
Published: October 2019

Premature rupture of membranes (PROM), also called Prelabour Rupture Of Membranes, is classically
dened as rupture of membranes before labour and accounts for 0.8-0.9% of all pregnancies at term. this
study was conducted over a period of 14 months ( from March 2018 to May 2019) in a tertiary care medical college . A total of 100
term PROM patients were recruited in our study – and divided into two groups randomly--50 (Group A) patients were managed
conservatively and 50 (Group- B) patients underwent induction of labour. Both these patient groups were studied to compare the
feto-maternal outcome. Group-A (conservative management group) patients were observed to await the spontaneous onset of
labour pains for at least 24 hours. Patients in group B were induced with either - PGE1 tab (misoprostol) 25 µgm 4 hourly orally or
iv oxytocin infusion. the PROM-delivery interval was < 12 hours in 72 % of induced groups (Group B) and 10% (5) in group- A
(conservative or expectant group). LSCS rate was 10 % in group-A (expectant group) & 15 % in group –B (induced group). Sepsis
rate, maternal and fetal, hospital stay, NICU admission & duration of NICU stay were notably higher in group – A (expectant
management group). therefore, from our study we concluded that immediate induction of labour in term PROM cases shortens
the PROM- delivery interval, hospital stay, NICU stay and reduction in both maternal & neonatal sepsis
CLIMATE CHANGE, POLLUTION, TROPICAL SEASON, HIV-POSITIVE, HIVNEGATIVE AND HIGH FREQUENCY OF HYPOVITAMINOSIS D IN PATIENTS FROM KINSHASA, DRC
Authors: Madone Mandina Ndona
Published: October 2019

Background: The main source of vitamin D from the human skin and synthetized by violets B rays emitted
by the sun. Environmental factors such us season, climate change, diets, and pollution, are therefore
likely to inuence the levels on vitamin D. Furthermore, High frequency of vitamin D deciency is now observed among HIVinfected patients. There is no published data about HIV and Vitamin D despite few scientic articles on HIV and vitamin D
status reported by other African countries.
Objective: This study sought to determine specically increased prevalence of vitamin D deciency and environmental factors
associated with HIV-positive compared to HIV-negative.
Methods: Patients followed in Kinshasa hospitals, DRC, where evaluated between the October 2015 and November 2017
period. Serum levels of vitamin D were measured in adult HIV-positives and HIV-negatives during the dry season and the rainy
season in the context of climate change and pollution of the megacity of Kinshasa.
Results: Five hundred and six patients were enrolled. The prevalence of moderate (≤29 and ≥20 ng/mL) and severe (<20
ng/mL) 25-OH vitamin D deciency was12% (n=64) and 54,6% (n=273) respectively, 34,4 %had normal status. 62,4% (n=316)
and 4,2% (n= 21) of patients with deciency (<30 ng/ml) 25-OH vitamin D were HIV-positive and HIV-negative respectively.
Water pollution, air pollution, dry season, and cold season La Niña we resignicantly associated with 25-OH vitamin D
deciency (P < 0.0001 and <0,05, respectively).
Conclusion: Overall, vitamin D deciency was very high whereas vitamin D deciency was epidemic among HIV-positives in
comparison with HIV-negatives. Dry season and La Niña season /climate change-variability related to ultraviolet light and
oxidative stress-ecotoxicity related pollution might be considered in the prevention and the treatment of HIV-infection in
Kinshasa, DRC, Central Africa.
INTRAOSSEOUS GANGLION CYST OF SCAPHOID AND LUNATE: A CASE REPORT
Authors: Khatri Ketan
Published: October 2019

INTRODUCTION:Intraosseous ganglion cyst of carpal bones is an uncommon cause of wrist pain. Although isolated
cases of scaphoid and lunate have been reported in literature,intraosseous ganglion cyst in both scaphoid and lunate is
rare.
CASE REPORT:We report a case of 27 year old female who presented with a 6 month history of progressive left wrist
pain. History of trauma was not reported. Conservative treatment with medications was unsuccessful. Examination
revealed moderate swelling and tenderness over volar aspect of wrist with terminally painful wrist motions. Plain
radiograph and MRI revealed well defined lesion in both scaphoid and lunate bone. Curettage and filling with radial
bone graft provided a good functional recovery.
CONCLUSION:we propose that early diagnosis of intraosseous ganglion is based on clinical presentation, proper
radiologic investigation and index of suspicion can be helpful in the surgical management of intra osseous ganglion cyst
in small bones of hand and intraosseous ganglion cyst may be considered as a differential diagnosis for wrist pain
CHILD SEX RATIO IMBALANCE AND CROSS REGIONAL BRIDES: A GENDERED PARADOX IN HARYANA AND UTTAR PRADESH
Authors: Nanda Bijayalaxmi
Published: October 2019

A deeply rooted cultural preference for sons has led to scarcity of girls in states such as Haryana,Punjab,Uttar Pradesh
and, Rajasthan. Gender-based violence, sex-selective abortions, discriminatory practices against girls and expensive
dowries are common in these areas.The gender biases have deprived women of their basic rights to education,mobility,
choice of partner,employment,ownership of property/land and so on.This limits their overall development and growth.
Advancement in new reproductive technology has exacerbated the issue of gender biased sex selection or sex selective
abortion, thus resulting in a significantly skewed sex ratio. A skewed ratio of women to men has led to brides being
'purchased' from economically marginalized states like Bihar, Jharkhand, Chhattisgarh, and West Bengal. As a result,
these migrant brides are forced to negotiate with 'new' cultural and social situations.The paper attempts to understand
the struggle, exploitation, and abuse experienced by these 'migrant brides' residing in three villages, namely Pipli
village in Kharkhoda Tehsil of Sonipat District,Deroli Ahir village in Narnaul Tehsil of Mahendragarh District and Gurana
village in Baraut Tehsil of Bahgpat district.
SOCIAL INTELLIGENCE AMONG ADOLESCENT BOYS AND GIRLS
Authors: N. Mrs. Sowmyashree K.
Published: October 2019

Social Intelligence is of more importance in the present life style due to growing tensions stresses and various
complexities.It can be learned,developed and used as an effective life skill for managing personal life, interpersonal
relationships and achieving success in all the walks of life. Present study aims to find out the social intelligence among
adolescent boys and girls, using random sampling technique 120 (60 girls and 60 boys) adolescent were taken. An
exploratory design was used for the study.Social intelligence test developed by Dr.S.Mathur (2007),is used to measure
social intelligence of adolescent students.The obtained result of the study revealed there is significant difference among
adolescent boys and girls on social intelligence.
A STUDY OF HAEMODYNAMIC RESPONSE TO LARYNGOSCOPY AND ENDOTRACHEAL INTUBATION WHEN USING FENTANYL:
Authors: Paulson Brenda
Published: October 2019

Direct laryngoscopy is used to facilitate tracheal intubation under vision.Direct laryngoscopy and passage of a tracheal
tube are noxious stimuli that can provoke adverse responses in the cardiovascular system. They cause intense reflex
increase in heart rate,blood pressure and serum concentration of catecholamines.This study makes an effort to find the
haemodynamic response to laryngoscope and endotracheal intubation using Fentanyl.
FETOMATERNAL OUTCOMES IN PREEKLAMPSIA PATIENTS WITH PROTEINURIA AND WITHOUT PROTEINURIA
Authors: Daulay Putri Aini
Published: October 2019

BACKGROUND AND OBJECTIVES : The high maternal mortality rate is still found mainly in Southeast Asia including
Indonesia. Maternal deaths that occur are caused by various things. High blood pressure during pregnancy
(preeclampsia and eclampsia) is one of the major causes of maternal death in the world besides heavy bleeding (usually
postpartum) and infection. The relationship between proteinuria and poor fetal outcomes has been investigated by
experts,increasing protein excretion in women with preeclampsia (PE) is generally associated with poor maternal and
fetal (fetomaternal) outcomes, proteinuria levels in women with PE are poor predictors of outcomes fetomaternal. But
another opinion says that proteinuria is not an absolute criterion that must be found to diagnose PE, where multiorgan
dysfunction in PE patients with or without proteinuria does not have a significant difference. From these results the
researchers wanted to know the fetomaternal outcomes of PE patients with proteinuria (+ 1, + 2, + 3, + 4) and
preeclampsia without proteinuria.
METHODS :This research is a descriptive study with a retrospective design,carried out using secondary data analysis
of patients diagnosed with PE with or without proteinuria and have been terminated.This research was conducted at the
General Hospital. H. Adam Malik Medan. The time of the study is from October 2017 to February 2018. The study
population is PE patients treated and terminated from February 2013 to May 2017. PE patients in this study will
henceforth be assessed based on protein levels in the urine (proteinuria). The sample size in this study uses the
Lemeshow formula which aims to find a large proportion in a population.
RESULTS: A total of 62 PE women with proteinuria and 21 PE women without proteinuria. Of all the samples, maternal
and fetal outcomes were assessed.Based on Proteinuria,research subjects who were diagnosed with PE with proteinuria
were 62 people.The highest number was 36.1% in PE with proteinuria + 3,followed by 18.1% in PE with proteinuria +1,
then as much as 15.7% in PE with proteinuria +4,and with the smallest amount of 4.8% in PE with proteinuria +2.Research
subjects diagnosed with PE without proteinuria totaled 21 people,as many as 25.3% of the total sample.
CONCLUSION : Most research subjects ranged age 21-30 years with gestational age,≥ 37 weeks, multipara. Subjects
were diagnosed with PE with proteinuria more than PE without proteinuria.The most maternal outcome is ICU treatment
followed by HELLP syndrome, eclampsia and pulmonary edema then maternal death. The highest fetal death rate for
babies with birth weight is LBW,with more normal APGAR scores
Can Frequency Diverse Array Prevent Wireless Eavesdropping_for_techRxiv.pdf
Authors: Ding Yuan , Narbudowicz Adam
Published: October 2019

In this paper, the concept
and recent development of exploiting frequency diverse array (FDA) and its
variants for the physical-layer wireless security have been revisited and carefully
examined. Following rigorous analytical derivation and illustrative
simulations, the authors argue that the investigations performed in some recent
works did not reveal one critical issue facing the real-world applications, and
system models established and used before were based on an unrealistic
assumption, i.e. that the legitimate and eavesdropping users at different ranges
sample the signal waveforms at the same time instant. This misunderstanding
results in conclusions that are misleading. The authors aim to take the first
step to divert research efforts and rectify the previous problematic analyses.
The authors prove that the FDA cannot secure a free-space wireless transmission
in range domain, because the previously claimed ‘secure reception region’
propagates in range domain as time elapses.
A Contribuição do PIBID/Ciências Sociais para a Formação do Professor de Sociologia
Authors: Penitente Luciana Aparecida de Araújo , Martins Letícia Bernal , Mendonça Sueli Guadelupe de Lima
Published: October 2019

Faced with the lack of significant changes in teacher training models, it is still possible to find a fragmentation between levels of education, with a small part of the curriculum for the dialogue between university and basic education. Light weight and low-cost training, coupled with traditional curriculum, directs teachers to limited performance, distancing them from theories, the basis for more qualified performance in school. Seeking to articulate the practice and theory in school, the Programa Institucional de Bolsa de Iniciação à Docência (PIBID) emerges in 2007, with the goal of initial teacher training in basic education. This text is a result of research developed in 2016 and aims to analyze the contributions of the Pibid/Social Sciences, for the degree course in Social Sciences, seeking to highlight their possibilities and limits to be overcome. Based on bibliographical review and fieldwork, structured interviews were conducted with 8 graduates and 2 students participating in the project, in order to understand their experiences, opinions and operation of the program. The results affirm the importance of the Pibid for teacher training, the overcoming of the traditional internship model and the improvement of the student in academic performance.
Recebido em: 11/07/2017.Aprovado em: 02/12/2018.
O Perfil das Escolas Rurais do Município de Toledo – Paraná
Authors: De Paula Ana Carolina , Nogueira Fracis Mary Guimarães
Published: October 2019

The present article aims to present an overview of the current conditions of the Rural Schools of the Municipality of Toledo / PR. The informations were obtained through field observations and complemented by bibliographical research in order to analyze the conception of schools located in rural areas of the municipality of Toledo / PR. In view of this theoretical and empirical basis, the main result was that the rural schools are subordinate to urban schools both from the point of view of logic and the conception of education, resulting in the process of de-characterization of schools located in rural areas of Toledo / PR and in the distancing of the formative process with the identity and reality of the rural population.
Recebido em: 18/12/2018.Aprovado em: 13/06/2019.
MEDICAL-SOCIAL REHABILITATION AS THE BASIS OF OVERCOMING THE LIMITATIONS OF LIVING ACTIVITIES OF CITIZENS WITH DISTURBANCES OF HEALTH AND THEIR SOCIALIZATION
Authors: Puzin S N , Grechko A V , Pryanikov I V , Shurgaya M A , Pogosyan G E
Published: October 2019

Modern approaches to protecting public health in the world are increasingly guided by the concept of preventable loss of health, which provides for the concentration of health efforts on the prevention of morbidity and disability. The nosological spectrum of causes of disability includes a large list of diseases, among which the leading ones are chronic non-communicable diseases, which are characterized by an epidemic type of spread. The highest level of disability is observed in connection with diseases of the circulatory system, malignant neoplasms, diseases of the musculoskeletal system and connective tissue. Of the total number of citizens recognized as disabled, a significant number are disabled people of the first and second groups. The significance of the disability problem is aggravated by the special demographic situation of the "aging" of the population, which is associated with the accumulation of pathology of various major body systems. Persistent dysfunctions of the body due to diseases, consequences of injuries and defects can lead to disabilities. The development of the UN international legal framework (UN Convention on the Rights of Persons with Disabilities, "International Classification of Functioning, Disability and Health") contributed to the formation of social policy in Russia aimed at protecting the rights of persons with disabilities. Medical and social rehabilitation and habilitation of persons with disabilities is the basis of social protection of citizens with health problems. The implementation of the main directions of medical and social rehabilitation and habilitation of persons with disabilities (medical, professional social) involves the use by persons with disabilities of technical means of rehabilitation that can compensate for impaired or lost functions of the body, which helps to overcome the limitations of life and socialization of citizens with persistent health problems.
PHYSICAL FACTORS AND THEIR ROLE IN ONCOLOGY
Authors: Kucherova T Ya , Vusik M V , Cheremisina O V
Published: October 2019

The analysis of the effect of various physical therapy methods on tumor growth in the historical aspect and comparison with our own scientific results were carried out. The role of physical therapy methods such as galvanization (electrophoresis), light therapy (ultraviolet irradiation, lasers of different light wave spectra), alternating currents (UHF, microwave, inductothermia), mechanical vibrations (ultrasound, vibration), magnetic field, pulse currents (DDT, SMT), high voltage currents (darsonvalization), and thermal factors (mud and heat treatment) in stimulation of tumor growth was studied. The results of our own studies confirm the statement that the physiotherapeutic factors used do not stimulate tumor growth, and can have a beneficial influence on the improvement of the quality of life of cancer patients. Thus, there is a growing evidence that physiotherapy is a safe and effective adjunct to cancer treatment.
POST STROKE REHABILITATION: CLINICAL EFFICACY OF BCI-DRIVEN HAND EXOSKELETON IN COMPARISON WITH "AMADEO" ROBOTIC MECHANOTHERAPY
Authors: Lyukmanov R Kh , Mokienko O A , Aziatskaya G A , Suponeva N A , Piradov M A
Published: October 2019

Motor function deficit due to stroke is one of the leading causes for disability among working-age population. The most effective evidence-based treatment strategies are task oriented exercise approaches including constrained-induced movement therapy. Robot-assisted training provides high amount of repetitions and feedback to patient. Adjuvant therapies such as mirror therapy and motor imagery show their effectiveness if used in combination with basic neurorehabilitation methods and are treatment of choice for patients with severe motor impairment. Brain-computer interfaces allow to control motor imagery as a process by giving different type of feedback (e.g. kinesthetic via exoskeleton) during training sessions. It is poorly known if kinesthetic motor imagery is more effective comparing to robot-assisted training as a part of post-stroke rehabilitation. Materials and methods: 55 patients with arm paresis >1 month after stroke were enrolled in the current study. Screening and randomization were performed. Participants underwent rehabilitation treatment where BCI controlled motor imagery training in main group and robot-assisted training in control group were included. Motor function of the paretic arm was assessed using Action Research Arm Test (ARAT) and Fugl-Meyer Assessment (FMA) before and after intervention. Results: Recovery of upper extremity motor function did not correlate with time since stroke and age of participants neither in main group, nor in control group. Correlations between change in motor scales scores and initial severity of motor deficit was shown in both groups (p
The Impact of Medicaid Preferred Drug Lists on Utilization and Costs of Antipsychotic Medication
Authors: Frois Christian , O’Connell Thomas , Pesa Jacqueline , Fastenau John
Published: October 2019

Background: Few studies have attempted to assess the effectiveness of formulary management in reducing the antipsychotic costs and utilization across U.S. state Medicaid programs, despite concerns about the potential impact of such formulary management on Medicaid patient health outcomes.

Objectives: Compare antipsychotic utilization and total costs across Medicaid states with preferred drug list (PDL) programs vs. states without PDLs in place.

Methods: The following data from 48 Medicaid fee-for-service (FFS) programs were collected for calendar year 2010: antipsychotic prescription use (IMS Health); formulary management (MediMedia, Medicaid FFS programs’ websites), and patient enrollment (MediMedia). For each program, the total antipsychotic cost per capita was estimated by multiplying antipsychotic utilization by list price (First DataBank), then dividing by program enrollment. To control for differences in the prevalence of antipsychotic use among Medicaid patients across states, cost estimates were adjusted using state-level mental-health illness prevalence data (Kaiser Family Foundation, Substance Abuse and Mental Health Services Administration [SAMHSA], and Thomson Healthcare). Volume-based market share of branded antipsychotics was also calculated to compare branded vs. generic antipsychotic use across states. Significance of difference between the means of PDL and non-PDL states was tested using a two-sided, two sample t-test, assuming unequal variances between samples.

Results: Among the 48 states studied, 33 (68.8%) used PDLs as a means to limit access to branded antipsychotic medications, including those states with the largest populations with a mental-health illness (e.g. New York, California, Texas). In our analyses, the average difference in antipsychotic costs per capita between PDL and non-PDL states was less than $0.6M or 1.5% (p=0.95). The average difference in antipsychotic utilization per capita was less than 2.8% (p=0.91) and in branded antipsychotic market share was 0.7% (p=0.59).

Conclusions: Although a majority of Medicaid states use PDLs to manage antipsychotic utilization, this analysis found no evidence of significant advantages for these Medicaid programs in terms of lowering percapita antipsychotic costs or increasing generic utilization.
Cost Effectiveness of Insulin Glargine versus Neutral Protamin Hagedorn Insulin in the Treatment of Type 2 Diabetes Patients in Turkey
Authors: Satman Ilhan , Bennett Hayley , Yilmaz Candeger , Imamoglu Sazi , Ayvaz Goksun , Comlekci Abdurrahman , Ozkaya Demet , Sahin Toros
Published: October 2019

Background: Type 2 diabetes mellitus (T2DM) poses a significant burden on population well being and healthcare expenditure in Turkey, with disease prevalence continuing to increase. Insulin treatment is necessary for patients failing to achieve glycaemic control with lifestyle modification or oral antidiabetic drugs. While neutral protamin Hagedorn (NPH) insulin has been traditionally prescribed for insulin introduction, insulin glargine has been shown to reduce glycated hemoglobin (HbA1c) with a more favourable hypoglycaemic profile.

Objective: To evaluate the cost-effectiveness of insulin glargine compared to NPH insulin in patients with T2DM in Turkey, from a Social Security Institution perspective.

Methods: A previously published discrete event simulation model of T2DM progression was utilised to characterise the cost-effectiveness of insulin glargine in a Turkish population given the benefits observed in clinical practice. Improvements in glycaemic control have been incorporated using data from The Health Improvement Network (THIN) database in the United Kingdom, combined with meta-regression results describing the relationship between hypoglycaemia and glycaemic control. Outcomes were evaluated over a 40-year horizon, and costs and benefits discounted at an annual rate of 3.5%. Results are reported in Turksih lira (TL), 2012.

Results: Over a lifetime, the Incremental Cost-effectiveness Ratio (ICER) of insulin glargine compared to NPH was 40,101 TL per Quality-adjusted Life Year (QALY). Almost 52 hypoglycaemic events per patient were avoided with the use of insulin glargine compared to NPH, at an incremental lifetime cost of 7,140 TL per patient. The cost-effectiveness of insulin glargine is reduced when modelling only those benefits considered in the trial setting, while the cost-effectiveness profile can be expected to further improve in patients with higher HbA1c levels at baseline.

Conclusion: It is difficult to interpret the results of modelling as there is no official cost-effectiveness threshold in Turkey. However, the results may be evaluated using thresholds derived according to methodology proposed by the World Health Organisation (WHO). Insulin glargine is expected to be costeffective compared to NPH insulin, with an ICER below three times the estimated gross domestic product (GDP) per capita; 56,850 TL.
Cost-effectiveness of Triple Therapy with Telaprevir for Chronic Hepatitis C Virus Patients in Germany
Authors: Stahmeyer Jona T. , Schauer Svenja , Rossol Siegbert , Heinrich Wedemeyer Hans , Wirth Daniel , Bianic Florence , Krauth Christian
Published: October 2019

Background: About 400,000-500,000 people are infected with hepatitis C in Germany. Long-term consequences are the development of liver cirrhosis and hepatocellular carcinoma. The introduction of first generation protease inhibitors has significantly improved the treatment of hepatitis C genotype 1 patients. The aim of the study was to assess the cost-effectiveness of triple therapy with telaprevir in Germany.

Methods: We used a Markov model on disease progression and natural history to assess the cost-effectiveness of triple therapy with telaprevir compared to standard treatment with pegylated interferon and ribavirin. Model structure and inputs were discussed with clinical experts. Deterministic and probabilistic sensitivity analyses were performed to verify the robustness of results.

Results: The base-case analyses shows that triple therapy results in higher costs (untreated patients: €48,446 vs. €30,691; previously treated patients: €63,228 vs. €48,603) and better outcomes (untreated patients: 16.85 qualily of life years [QALYs] vs. 15.97 QALYs; previously treated patients: 14.16 QALYs vs. 12.89 QALYs). The incremental cost-effectiveness ratio (ICER) was €20,131 per QALY and €30,567 per life year gained (LYG) for previously untreated patients. ICER in treatment experienced patients was €7,664 per QALY for relapse patients, €12,506 per QALY for partial responders and €28,429 per QALY for null responders. Results were robust in sensitivity analyses.

Conclusion: Although triple therapy with telaprevir leads to additional costs, there is a high probability of being cost-effective for different thresholds. This health economic analysis makes an important contribution to current debates on cost savings and efficient resource allocation in the German healthcare sector.
Real-World Treatment Patterns in Men with Castration-Resistant Prostate Cancer Receiving Docetaxel
Authors: Davis Keith L. , Gutierrez Benjamin , Zyczynski Teresa , Kaye James A.
Published: October 2019

Background: Docetaxel has been a standard of care for castration-resistant prostate cancer (CRPC) in the United States since 2004, yet little has been reported on its patterns of use in routine practice. To help understand these patterns, a retrospective study was conducted and is reported here.

Methods: Medical records from 394 patients treated in the United States were reviewed. Data were collected by 48 physicians from oncology (patient N=344) and 8 physicians from urology (patient N=50) practices. Inclusion criteria were: CRPC diagnosed between 2004 and 2010; received docetaxel; discontinued docetaxel due to rising prostate-specific antigen (PSA), progression of bone lesions, or progression of nodal or visceral metastases. Data were collected from physicians using an internet-based case report form. We evaluated patient demographics, characteristics of the docetaxel regimen, and other treatments used until docetaxel discontinuation.

Results: Patients had a mean [±SD] age of 66.5 [8.9] years, the majority (63%) were white, and geographic dispersion was similar to the US population. The majority of patients initiated docetaxel between 2008 and 2010. After CRPC diagnosis, 8% of patients had initiated another cancer-directed therapy before starting docetaxel. Most (78.9%) patients initiated docetaxel with prednisone, while 18.5% initiated docetaxel alone and 2.6% initiated with other medications. Half of patients initiated docetaxel within 1 month after CRPC diagnosis, while 25% started ≥6 months later. Other non-chemotherapy treatments used with docetaxel were hormonal therapy (22.8%), radiotherapy (17.3%), and surgery (4.1%). Most patients (75%) received ≥4 docetaxel cycles, half received ≥6 cycles, 25% received ≥8 cycles and 10% received ≥10 cycles. Increased tumor mass, with/without new bone lesions or rising PSA, was the most common reason for docetaxel discontinuation (74% of patients).

Conclusions: Concordant with guidelines, docetaxel and prednisone was the preferred first-line chemotherapy regimen in CRPC patients reviewed for this study. However, one quarter of patients did not initiate docetaxel until ≥6 months after CRPC diagnosis and total exposure varied considerably, with only 10% receiving ≥10 cycles. Future studies are needed to describe specific reasons explaining timing of docetaxel initiation and duration of exposure in some CRPC patients.
Japanese Patients’ and Physicians’ Preferences for Anticoagulant Use in Atrial Fibrillation: Results from a Discrete-choice Experiment
Authors: Okumura Ken , Inoue Hiroshi , Yasaka Masahiro , Gonzalez Juan Marcos , Hauber A. Brett , Levitan Bennett , Yuan Zhong , Baptiste Briere Jean
Published: October 2019

Background: Anticoagulants are recommended for stroke prevention in patients with atrial fibrillation (AF), but are associated with an increased risk of bleeding; therefore, physicians face benefit-risk tradeoffs when prescribing anticoagulants to AF patients. Although the unmet medical need for safer anticoagulants has been well-documented, there is limited information about the importance that patients and physicians place on cardiovascular events.

Objectives: The aim of this study was to quantify patients’ and physicians’ willingness to accept tradeoffs between the benefits and risks of anticoagulants in order to 1) document the potential differences between patients’ and physicians’ perceptions of benefits and risks and 2) support physicians’ clinical decision making.

Methods: Preferences from Japanese AF patients and board-eligible or board-certified physicians were elicited using a discrete-choice experiment. Random-parameters logit models were used to estimate importance weights for treatment-related changes in the annual risk of stroke, myocardial infarction, embolism, and bleeding.

Results: Japanese patients (N=152) and physicians (N=164) showed different preferences. In particular, among non-fatal outcomes, patients considered disabling stroke to be 16 times more important than non-major clinically relevant bleeding and 2.6 times more important than extra-cranial major bleeding. In contrast, physicians considered the same stroke risk to be 2.7 times more important than non-major clinically relevant bleeding and equally important as major bleeding.

Conclusions: Results suggest that Japanese patients are willing to tolerate a greater risk of bleeding in exchange for stroke prevention than are Japanese physicians. The findings demonstrate the importance of physician-patient communication in treatment decisions involving stroke preventative therapies.