bluuebunny/crossref_metadata_2025 huggingface dataset:
DEVASTATING RESULTS OF UNMET NEEDS OF TERMINATION OF PREGNANCY
Authors: Hotkar Ashwini N , Bhingare Prashant , Gadappa Shrinivas
Published: April 2021

Uterine perforation is a rare life threatening complication due to unsafe abortion by unqualified or untrained person.
CASE: A 20 year old primigravida with 6 months ANC was referred to our hospital with the USG of uterine rupture and
with a history of Dilation and curettage i/v/o anomalous baby, was in septic shock. There was also evidence of Sigmoid
colon perforation. As a life saving measure Obstetric hysterectomy with colostomy done. Unsafe CONCLUSION:
abortions are still in practice which has led to increased rate of mortality and morbidity. surgical intervention on a uterus
of more than 20 weeks can be hazardous and should be terminated wisely.
OGILVIE'S SYNDROME-RELATED RIGHT COLON PERFORATION AFTER CESAREAN SECTION: A CASE SERIES
Authors: V Konappa. , Guntupalli Bharath , Gollapalli Bhavishya
Published: April 2021

The objective of this article is to discuss and report three cases of right colon perforation secondary to post cesarean
Ogilvie's syndrome (OS; colonic pseudo-obstruction) requiring right hemicolectomy. We retrospectively reviewed the
case notes of three patients who underwent caesarean section and postoperatively developed OS. OS is an uncommon
problem in patients undergoing caesarean section. Abdominal X-ray and water-soluble contrast enemaare the main
diagnostic modalities. Drip-suck therapy along with endoscopic or pharmacological decompression should be
performed in early stages. In a significant percentage of patients, diagnosis is delayed resulting in bowel ischemia and
perforation requiring surgical resection and adding significant mortality/morbidity. We recommend our obstetric
colleagues to involve surgical team in earlier stages to avoid surgery-related mortality and morbidity. We also advocate
general surgeons to be aware of OS in patients after caesarean section and recommend a stepwise systematic approach
toward the diagnosis and management of OS
COMPARISON STUDY OF DIFFUSION WEIGHTED IMAGING VERSUS CONVENTIONAL SEQUENCES OF MRI IN DIFFERENTIATING BRAIN ABSCESS AND CYSTIC/ NECROTIC BRAIN TUMORS
Authors: Bhagat Manish , Malviya Akanksha
Published: April 2021

AIM: To compare the effectiveness of diffusion Weighted Imaging (DWI) sequence with other routine magnetic
resonance imaging(MRI) sequences in the detection of cystic/necrotic brain tumors and brain abscess.
MATERIALS&METHODS: The study was carried out at Department of Radio-diagnosis, S.A.I.M.S, Indore from
October,2018 to March,2020 after clearance from the Institutional Ethical committee.The sample size consists of 54
patients[11 patients with brain abscess and 43 with cystic/necrotic brain tumors]. The MRI was performed using 1.5-T
system including fast spin-echo T1-weighted image (T1WI),contrast-enhanced T1WI,T2-weighted image(T2WI), fluidattenuated inversion recovery(FLAIR) sequence and DWI with apparent diffusion coefficient(ADC) maps.ADC values
were noted in cystic portion, wall, and perilesional edema of the lesions. Most of the brain abscess RESULTS: es and
brain tumors appeared hypointense on T1WI and hyperintense on T2WI/FLAIR. All patients with brain abscess except
one on treatment, showed high core signal intensity(SI) on DWI and low SI on ADC maps with mean ADC value of
0.637±0.141x10-3mm2/s. Mean ADC value in the wall of brain abscess was higher (1.369X10-3mm2/s) than its core. All
patients with cystic/necrotic brain tumors except two, showed low core SI on DWI and high SI on ADC maps with mean
ADC value of 2.446±0.613x10-3mm2/s. The mean ADC value of wall of cystic brain tumor (1.012±0.264X10-3mm2/s) was
comparatively lower than its core. Almost similar ADC values were noted in perilesional edema around both lesions. The
sensitivity, specificity, positive predictive value(PPV) and negative predictive value(NPV) in diagnosing brain abscess
and brain tumor with DWI+ADC map were higher than conventional MRI sequences alone. CONCLUSION:
Conventional MRI has limited application and DWI-ADC map is a good tool for differentiating brain abscess from cystic
or necrotic brain tumors with few exceptions. Diffusion imaging can also be used for follow-up of brain abscess after
antibiotic therapy.
DIVERGENT VERRUCOUS PRESENTATIONS – UNANTICIPATED HISTOPATHOLOGICAL DISCOVERY
Authors: Sreekala R. , Shabana Sk. , Mohan Rao A. Vijaya , Madhulika S.
Published: April 2021

Verrucous presentation of common dermatological disorders is a rare entity. Herein we report three such presentations. One is a verrucous variant of disseminated DLE, the second is verrucous psoriasis, and the other is prurigo nodularis, rare clinico-histopathological variants. They can be misdiagnosed for other closely mimicking conditions like Keratoacanthoma, Tuberculosis verrucosa cutis, and deep fungal infections.
Comparative Study on the Effect of Diverse Substrates on the Cultivation of Pleurotus ostreatus (Jacq.) P. Kumm. (Oyster Mushroom)
Authors: Ewekeye Tolulope
Published: April 2021

Introduction: Pleurotus ostreatus (Oyster mushroom) is an eatable mushroom with an exceptional aroma and savour. It is suited to be cultivated in temperate as well as tropical climate. Aim: This research was aimed at comparing the effects of different substrates on the cultivation of P. ostreatus. Method and Materials: The substrates used in this study were cornhusk, sawdust with wood shavings, banana leaves and a combination of all the substrates. All substrates bags were inoculated with 52.5 mL teaspoon of spawn, autoclaved at 1210C and 1.1 kg/cm2 pressure and incubated under appropriate conditions both at the cropping room and fruiting chambers. The linear mycelia growth and biological efficiency were determined. Result: The time for spawn running varied between 20-60 days and time for harvesting took between 60-85 days. The maximum linear mycelia growth after spawn running, were observed on cornhusk and the longest mycelia growth time was observed on sawdust which took 60 days after spawn running. Maximum yield of P. ostreatus was obtained in cornhusk treatments with an average weight value of 92.1 g. The minimum yield observed on sawdust was 22 g and combination of all was 23 g while the banana leaves treatment gave no yield at all. The biological efficiency obtained on cornhusk was 12.43% and the lowest 2.2% was obtained on sawdust. Conclusion: Among all the substrates, cornhusk was established as the most effective substrate for the production of P. ostreatus as it best supported both the spawn running phase and the yield phase.
Sosialisasi Sampah Melalui Bank Sampah untuk Menyejahterakan Masyarakat di Desa Truko Jawa Tengah
Authors: Siregar Hajizah Azmi , Siregar Noya Yukari , Selfia Yeni
Published: April 2021

Indonesia is the second largest contributor to plastic waste after China. In this case, the Kendal Regency government has various ways to educate the community to be aware of the importance of waste management. One way to reduce the amount of waste is by establishing Garbage Bank. Truko Village is one of the villages in Kendal district, Central Java province, this village was selected for community service activities because Truko village does not yet have a Garbage Bankand the village community also does not understand the system of running a Garbage Bank. This happens because there is still a lack of information about the Garbage Bank and proper waste management. To achieve this goal, the methods used are:1) Educating the public about the Garbage Bank program 2) Socializing the management of Garbage Bank and waste 3) Socialization and training on waste management has become a valuable project. The existence of this article is expected to improve facilities in Truko village and in other villages with a plan to form a Waste Bank.Establishing a Garbage Bank is a way to improve village facilities because with a Garbage Bank the waste management process will be more focused, it is hoped that this article can provide information to people in Truko Village and people outside Truko Village the process of forming a Garbage Bank and managing waste appropriately to become valuable goods selling
Frequency of Post-Operative Hypotony in 23 Gauge and 25 Gauge Pars Plana Vitrectomy in Advanced Diabetic Eye Disease
Authors: Khaqan Hussain Ahmad , Imtiaz Usman , Buksh Hasnain Muhammad , Rehman Hafiz Ateeq Ur , Naz Raheela
Published: April 2021

Purpose:  To compare the frequency of post-operative hypotony between 23G PPV and 25G PPV in advanced diabetic eye disease.

Study Design:  Quasi experimental study.

Place and Duration of Study:  Study was conducted at department of Ophthalmology, Lahore General Hospital, Lahore from 7th April 2016 to 6th October 2016.

Methods:  Total 100 cases of advanced diabetic eye disease with age ranging from 25 – 65 years and either gender were selected. Patients with nystagmus and claustrophobia, lamellar macular holes, epiretinal membrane and neovascular glaucoma were excluded. Patients were divided by lottery method into 2 groups. Data of the patient i.e. name, age, sex, patient’s registration number and address was recorded. Every patient had detailed preoperative work-up; including best corrected visual acuity by Snellen’s chart, intraocular pressure by applanation tonometer, indirect ophthalmoscopy and B-scan for retinal status. Group A underwent 23G PPV and group B underwent 25G PPV. Patients were followed after 24 hours of surgery to measure intraocular pressure to access hypotony.

Results:  Mean age of patients in group A was 50.16 ± 10.40 years and in group B was 50.26 ± 9.91 years. Out of 100 patients 57 (57.0%) were females and 43 (43.0%) were males, with female to male ratio of 1.1:1. Post-operative hypotony was seen in 24 (48.0%) patients with 23G PPV and 02 (4.0%) patients with 25G PPV (p-value = 0.0001).

Conclusion:  This study concluded that the frequency of post-operative hypotony in 23G Pars Plana Vitrectomy was higher as compared to 25G Pars Plana Vitrectomy in advanced diabetic eye disease.

Key Words:  Diabetic retinopathy, Pars Plana Vitrectomy, Hypotony.
Effects of Intravitreal Aflibercept in Patients with Central Serous Chorioretinopathy
Authors: Bodla Ali Afzal , Afzal Bodla Muhammad , Minahil Kazmi Syeda , Moazzam Ayema
Published: April 2021

Purpose:  The purpose of this study is to assess the efficacy of intravitreal injection of Afliberceptin patients with chronic central serous chorioretinopathy (CSCR).

Study Design:  Interventional case series.

Place and Duration of Study: Multan Medical and Dental Centre and Bodla Eye Care from February 2019 to February 2020.

Methods:  This study was conducted on fifteen eyes with sub-acute to chronic central serous chorioretinopathy. All patients who had undergone previous treatment with laser photocoagulation, intravitreal triamcinolone, or bevacizumab in past 3 months, history of glaucoma (intraocular pressure > 21 mmHg), patients who lost to follow-up, and those with previously vitrectomized eyes were excluded. Patients were treated with a single dose of intravitreal injection of Aflibercept (0.5 mg/0.05 ml). Visual acuity with Log MAR chart and central retinal thickness were studied before and after the injection.

Results:  The mean age of the patients was 30.46 years ± 9 years. After one month of intravitreal Aflibercept injection, visual acuity improved from 0.32 Log MAR to 0.173 log MAR and at 3 months (the last follow-up) it was 0.206 Log MAR. Central retinal thickness (CRT) improved from 437 ± 82 µm (at the time of presentation) to 349 ± 67 µm at 1 month post injection. At the last follow-up the mean CRT decreased to 309 ± 121 µm. Except for two eyes, all eyes showed visual improvement. These two eyes had a higher CRT as compared to other participants.

Conclusion:  Intravitreal injection of Afliberceptis effective in improving BCVA and decreasing the central retinal thickness in patients central serous chorioretinopathy.

Key Words:  Central retinal thickness, Central Serous chorioretinopathy, Aflibercept.
Role of Thyroid Stimulating Immunoglobulins (TSI) in Early Diagnosis of Patients with Euthyroid Grave’s Ophthalmopathy
Authors: Idris Mohammad , Umer Muhammad Zubair , Nathaniel Eemaz , Iqbal Muhammad , Zar Adnan
Published: April 2021

OBJECTIVE: to determine the role of thyroid stimulating immunoglobulin (TSI) in early diagnosis of patients with euthyroid grave’s ophthalmopathy visiting Oculoplastic service of a tertiary care centre       

Study design: cross sectional descriptive study

 Place and Duration of Study: Oculoplastic service, out patient department of ophthalmology, -------from August 2015 to August 2016.

Methodology: ninety patients of both the genders with euthyroid Greave`s Ophthalmopathy at any stage of severity of the disease by non-probability purposive sampling technique. One-way ANOVA test was also done for TSI with Age groups and Gender.

RESULTS: Among 90 patients, Females were more than males, 68.9% and 31.1% respectively. 4 age groups were made in which age group of 41 – 55 years patients were more (37.8%) and after that was patients of more than 56 years of age (32.2%). 84% had their thyroid stimulating immunoglobulin (TSI) test positive. Cross tabulation was performed for TSI with Gender. 84.4% of the males and females had their TSI positive with females having more tests positive than males, 55.6% and 28.9% respectively with a p value of 0.139. 

CONCLUSION: TSI is positive in majority of female Euthroid Graves ophthalmopathy patients visiting Oculoplastics clinics in age having 41 – 55 years. The association of TSI with gender showed higher significance than age. Early diagnosis with the help of TSI without any expensive investigations even when other thyroid function tests are normal can prevent complications especially ophthalmopathy by timely referral to endocrinologist.
Double Arcus Senilis
Authors: Nadeem Sana
Published: April 2021

Arcus senilis is the commonest of the corneal degenerations and presents as a whitish or yellowish band in the corneal periphery, associated with the deposition of lipoproteins in the corneal stroma. It is separated from the limbus by a clear zone. It is most commonly associated with aging. Other associations are hyperlipidemia, particularly in men less than 50 years (arcus juvenilis). However, a double arcus is very rare and only few case reports are found in literature. I present a case of 68-year-old man with diabetes mellitus and 35 pack years of smoking who presented to us in the Out Patient Department. He had double corneal arcus in both eyes. There was a distinct clear line between the two arci. The case is presented with a brief discussion on the traditional risk factors, possible pathogenesis and literature review.

Key Words:  Arcus senilis, Gerontoxon, Arcus Juvenilis.
Pattern of Intra Ocular Foreign Bodies in a Tertiary Care Hospital of Punjab
Authors: Iqbal Usama , Malik Irfan Qayyum , Hameed Zeeshan , Hameed Sadia
Published: April 2021

Purpose:  To describe the epidemiological characteristics, management strategies and outcomes of intraocular foreign bodies (IOFB) presented in a tertiary care setup of Punjab.

Study Design:  Descriptive retrospective study.

Place and Duration:  Department of ophthalmology, Gujranwala medical college/teaching hospital, from January 2017 to December 2019.

Methods:  A retrospective review, of all the patients who had IOFB removal, was performed. Information regarding the nature and circumstances of injury, types of IOFB, operative procedure performed and patient’s pre-operative and post-operative Best Corrected Visual Acuity (BCVA) were analyzed. Descriptive statistics were used for analysis of data.

Results:  Record of 22 patients was retrieved. Out of which 18 (81.81%) were male and 4 (18.18%) were female. Mean age was 27.95 ± 9.325 years. Occupational trauma was the leading cause of injury (66.6%). Metallic objects were among the most common type of IOFB (66.6%) followed by glass, concrete stone (each 13.3%) and lead pencil (6.6%). Serious complications seen due to retained IOFB were phthisis bulbi (9.09%), retinal detachment (13.63%) and endophthalmitis (9.09%). On follow-up, 10 patients had BCVA less than hand movement (HM). 5 patients had BCVA of CF to 6/60, 3 patients had BCVA of 6/60-6/24 and 4 patients had better than 6/18.

Conclusion:  Most common cause of IOFB was occupational trauma and young age group of working class was the most common population affected. Treatment delay and complications contributed to poor prognosis. Ocular safety measures during high-risk work can reduce the risk of trauma.

Key Words:  Intra-ocular foreign Bodies, Retinal Detachment, Phthisis Bulbi.
Clinical Outcomes of Use of Low Vision Aids for Enhancement of Residual Vision in Diabetic Retinopathy
Authors: Shah Mufarriq , Khan Muhammad Tariq
Published: April 2021

Purpose:  To investigate clinical outcomes of use of low vision aids for enhancement of residual vision in people with Diabetic Retinopathy (DR).

Study Design:  Cross-sectional study.

Place and Duration of Study:  Hayatabad Medical Complex Peshawar, from January 2018 to December 2019.

Methods:  Eighty-one consecutive patients with DR were assessed in a low vision clinic for vision rehabilitation. Data regarding distance and near visual acuity (VA), refractive error, types of low vision aids (LVAs), VA with best correction and with LVAs were collected and analyzed.

Results:  A total of 81 people with DR, 63% were male. Mean age was 58.48 ± 13.54 years. With mean duration of 12.6 years of diabetes, 29.6% had Insulin dependent while 70.4% had non-Insulin dependent diabetes. At presentation, 63% had moderate vision impairment (0.5 > VA > 1.0), 14.8% had severe vision impairment (1.0 > VA > 1.3) and 22.2% had blindness (VA < 1.3).With LVAs, 97.5% achieved distance VA of Log MAR 0.4 or better. Mean improvement in distance VA with LVAs was Log MAR 0.95 ± 0.19 (P = 0.000; 95% CI). Near VA improved significantly with LVAs and the number of participants who could see 1M or better with their own glasses increased from 7.4% to 97.5% (p < 0.001). Binocular telescopes 2.1X were the most preferred low vision device for distance vision and prismatic magnifying spectacles for near vision.

Conclusion:  Visual rehabilitation through the use of LVAs was helpful in patients with low vision caused by diabetic retinopathy. Hence, improving the quality of life.

Key Words:  Diabetic retinopathy, blindness, visual rehabilitation, low vision aids, Pakistan.
Visual Outcome of Phacoemulsification Versus Small Incision Cataract Surgery
Authors: Das Narain , Shaikh Asma Shams , Kumar Jai , Khan Beenish , Bhatti Nasir
Published: April 2021

Purpose:  To determine visual rehabilitation of Phacoemulsification in comparison to small incision cataract surgery after implantation of rigid intraocular lens.

Study Design:  Quasi Experimental Study.

Place and Duration of Study:  Shaheed Mohtarma Benazir Bhutto Medical College Lyari and Sindh Government Lyari General Hospital, Karachi, from July 2018 to December 2019.

Methods:  Patients with 35 – 70 years age and diagnosed with senile cataracts and visual acuity of <6/36were included. Patients having any corneal disease, intra-ocular pressure > 22 mmHg, high ametropia, any other eye disease were excluded. Patients were divided into two groups of 80 patients each. Group I underwent Phaco-emulsification and group II had Small incision cataract surgery. For data analysis, SPSS version 20.0 was used. Frequency and percentages were calculated for qualitative data and quantitative data was presented as mean and standard deviation.

Results:  In a total of 160 patients operated of cataract, male to female ratio was 1:1. The range of astigmatism after 6 months in the group I was between 0.5 – 1.00 D while in the group II, it was between 0.75 – 1.75 D. Uncorrected visual acuity and best corrected visual acuity of 6/18 or better was seen in 90 and 97% group 1 while it was 85% and 95% in group II patients respectively at sixth month.

Conclusion:  No significant difference was seen in uncorrected and best corrected visual acuity between the two groups. Time of surgery was lesser group 2 and Astigmatism was lesser in group 1.

Key Words:  Phaco-emulsification, Small Incision Cataract Surgery, Visual Rehabilitation.
Role of Optical Coherence Tomography Angiography ın Diagnosis of Early Glaucoma
Authors: Dikmetas Ozlem , Cankaya Ali Bülent
Published: April 2021

This is an editorial so this is not include an abstract section
Understanding Ocular Visual Function Beyond the Sphere and Cylinder Using Multimodal Imaging
Authors: Hashmani Nauman , Hashmani Sharif
Published: April 2021

We have presented two interesting cases that demonstrate the use of multimodal imaging in refractive surgery cases. The first case demonstrates a simple capsular contraction causing immense problems of light spread in an otherwise normal trifocal implanted patient. The second is a case of a hidden and problematic refractive surgery that again complicated a trifocal lens surgery. We have made many advancements in understanding the eyes optical elements and must use this to our advantage to help our patients.
Treatment of Severe Recalcitrant Fungal Keratitis Using Subconjunctival Fluconazole as an Adjunctive Therapy
Authors: Gull Ambreen , Niazi Fuad Ahmad Khan , Raza Ali
Published: April 2021

Purpose:  To evaluate the safety and effectiveness of 2% subconjunctival injection of Fluconazole as an adjunctive treatment in severe recalcitrant fungal keratitis.

Study Design:  Interventional case series.

Place and Duration of Study:  Ophthalmology department of Holy family hospital, Rawalpindi medical university, from January 2019 to August 2019.

Methods:  The study included 18 eyes of 18 patients with severe resistant fungal corneal ulcer.We excluded those cases who had known hypersensitivities to Fluconazole. These ulcers were refractory toprimary conventional antifungal therapy with topical Natamycin, topical and systemic Fluconazole. Sample for culture was taken with sterile cotton bud and scraping was taken with kimura spatula. All resistant cases were given1.0 ml of 2% subconjunctival Fluconazole injection once a day for at least one week. After that depending upon the condition, the injections were givenonalternate days for 2 weeks.

Results:  Average age of the patients was 35.22 years (SD ± 10.42). Among total 18 patients, six (33.33%) were females and 12 (66.67%) were males. Thirteen (72.22%) cases showed absolute response after one week and 5 (27.77%) cases needed more injections. Four (22.22%) of these 5 cases partiallyimproved andone case failed to show improvement. Final vision varied in different cases according to the position of the residual scar. Five cases ended up in keratoplasty. Local or systemic toxicity was not seen in any case.

Conclusion:  Subconjunctival injection of 2% Fluconazole can be used as an adjunctive therapy for severe fungal keratitis without any toxic complications.

Key Words:  Keratomycosis, Evisceration, Keratoplasty.
Orbital Hydatid Cyst: An Interventional Case Series
Authors: Khan Tajamul , Hussain Ibrar , Shah Zaman
Published: April 2021

Purpose:  To find out the demographics, presentation, and outcome of surgical treatment in patients of orbital hydatid cyst.

Study Design:  Interventional case series.

Place and Duration of Study:  Khyber Teaching Hospital Peshawar, Pakistan from 2009 to 2019.

Methods:  This study included 11 patients with orbital hydatid cyst who presented in Khyber Teaching Hospital, Peshawar. Detailed history, ocular examination and Orbital imaging (Ophthalmic B-Scan, CT scan and/or MRI) was performed. The patients underwent Orbitotomy, cyst extirpated and sent for histopathology. Albendazole was given to the patients for 12 weeks after surgery. The preoperative and postoperative data until last follow-up was analyzed.

Results:  Male to Female ratio was 5:6 and the mean age of the patients was 18.17 ± 17.4 years. Mean amount of proptosis was 26.27 ± 2.05mm and visual acuity was 0.23 ± 0.33 decimal in the affected eye at presentation. Eight patients (72.8%) had Relative Afferent Pupillary Defect with swollen discs. After imaging studies, presumptive diagnosis of hydatid cyst was made. Histopathology confirmed the diagnosis of hydatid cyst in all cases. Mean proptosis at the last follow up improved to 19.04 ± 1.45mm (P value = 0.00) and visual acuity to 0.47 ± 0.22 decimals (P value = 0.048). Only one patient (9.1%) had an associated hydatid cyst in the lung. There was no recurrence until last follow-up.

Conclusion:  Hydatid cyst should be considered in differential diagnosis of proptosis in patients under 20. Surgical excision followed by a course of oral Albendazole is effective for the treatment of orbital hydatid cyst.

Key Words:  Orbital hydatid cyst, Proptosis, Orbitotomy.
Sub-Threshold Micro Pulse Laser (810NM): Treatment for Chronic Central Serous Retinopathy
Authors: Kashif Mariam Shamim , Uzair Najia , Feroz Lubna , Mehmood Asaad
Published: April 2021

Purpose:  To find the effectiveness of sub-threshold (810nm) micropulse diode laser treatment (SMT) in chronic central serous retinopathy (CSR).

Study Design:  Interventional case series.

Place and Duration of Study:  Layton Rahmatulla benevolent trust eye hospital, from April 2019 to July 2020.

Methods:  The patients of chronic CSR (≥ 6 months) participated in the study. We used Spectral Domain Optical coherence tomography (SD-OCT) to record baseline central retinal thickness (CT). Best corrected visual acuity (BCVA) was recorded with Snellen’s chart and converted to Log MAR for statistical analysis. All patients underwent treatment with sub-threshold laser (810nm) in micropulse mode with 5% duty cycle (DC).

Results:  Twenty five eyes with chronic CSR were enrolled in the study. The patients were treated with laser and final assessment was made at 6 months. Mean BCVA at presentation was 0.46 Log MAR ± 0.12 and a mean baseline CT of 362.2 μm ± 32.6µm. At final follow-up there was a mean decrease in CT of 97.2 μm ± 21.8 from the baseline. After treatment mean BCVA was 0.33 Log MAR ± 0.12 and mean CT was 266 μm ± 20.9. Nineteen out of twenty-five eyes (76%) achieved a gain of vision between 1 to 3 lines and gain of 3 lines was achieved in 8% of cases. At the final follow-up there was incomplete resolution of sub retinal fluid in 4 eyes (16%) with no improvement in BCVA.

Conclusion:  SMT (810 nm) is an effective and minimally invasive treatment modality for chronic CSR.

Key Words:  Sub-Threshold micropulse laser, Central serous retinopathy, Central retinal thickness, sub retinal fluid.
Relação entre a percepção das importâncias alimentares com variáveis socioeconômicas, antropométricas e hipertensão arterial em idosas com sí­ndrome metabólica
Authors: Matos da Silva Andreia , Rodrigues Lage Beal Fabiani , Ferreira de Melo Gislane , Silva do Carmo Ariene , Paulo Alves Vicente , de Cárdenas Carmen Jansen
Published: April 2021

Objetivo: Avaliar a associação da percepção das importâncias de grupos alimentares com variáveis socioeconômicas, antropométricas e hipertensão arterial em idosas com sí­ndrome metabólica. Métodos: Estudo transversal analí­tico com 84 idosas com sí­ndrome metabólica. Foram coletadas variáveis socioeconômicas (estado civil, grau de instrução, renda mensal e composição familiar), variáveis antropométricas (peso, altura e circunferência da cintura) e pressão arterial, além da aplicação de uma escala de importância de grupos alimentares. Análises estatí­sticas foram realizados com ní­vel de significância de 5%. Resultados: Não foram encontradas associações com variáveis socioeconômicas, porém verificou-se associação positiva entre leite e pressão arterial; e negativas entre feijão com idade e pressão arterial diastólica, também entre oleaginosas com í­ndice de massa corporal e circunferência da cintura. Conclusão: A percepção de importâncias atribuí­das aos grupos alimentares é condizente com alimentação saudável, porém mais apreensivo para os aspectos da sí­ndrome metabólica do que para os socioeconômicos.
A importância do enfermeiro nas práticas integrativas e complementares no sistema único de saúde
Authors: Rodrigo de Freitas Jadson , Da Silva Alexsandro José , Alves da Silva José Almir , Rosemberg Bezerra Ramos Jorge , Da Mata Vasconcelos Silva Fernanda
Published: April 2021

As Praticas Integrativas e Complementares (PICS) resgatam os diferentes saberes relacionados ao cuidar em saúde e acontecem de forma concomitante í s práticas assistenciais. Objetivo: Desvelar a importância do enfermeiro nas práticas integrativas e complementares no Sistema Único de Saúde Método: Revisão integrativa da literatura realizada através do cruzamento dos descritores padronizados pelo MESH (" Complementary Therapies", "Primare Health Care" e "Public Health Nursing") e seus análogos em Português (DeCS) e em espanhol nas Bases de dados da Medline, Cinahl e Lilacs. O processo de seleção dos artigos considerou as recomendações PRISMA e os artigos foram classificados quanto ao ní­vel de evidências através referencial americano AHRQ. Resultado: Foram encontrados 282 artigos, dentre os quais cinco abordaram o tema proposto e foram selecionados para amostra. Conclusão: As PICS favorecem uma maior interação entre enfermeiro-paciente e através da construção de novos saberes desenvolvem estratégias formidáveis de enfrentamento aos problemas de saúde existente.
Instrumentos de rastreamentos de maus-tratos í pessoa idosa na rotina do atendimento clí­nico odontológico público
Authors: De Omena Mateus Rocha José Itamar , Soares Cota Ana Lí­dia , De Souza Braga Wanderson Thales , Rodrigues da Silva Robson , Pino dos Santos Laura Morgana , de Lima Melo Sabrina
Published: April 2021

O estatuto do idoso trouxe mudanças significativas para a legislação brasileira quanto a qualidade de vida de idosos. Mesmo garantida por lei, esta qualidade de vida tem sido alvo de estudos que apontam a resultados alarmantes de maus tratos. Objetivo: evidenciar a importância da aplicabilidade dos instrumentos para rastreamento de maus tratos em idosos pelos cirurgiões-dentistas na identificação de violência sofrida em domicí­lio na rotina do atendimento clí­nico dos pacientes cadastrados na Estratégia Saúde da Famí­lia (ESF). Método: Trata-se de uma revisão de literatura, que foi realizada no mês de junho de 2019. Resultados: Embora as fontes governamentais não apontem um grande í­ndice, a violência contra o idoso acontece dentro do lar, dificultando sua identificação. Os cirurgiões-dentistas cadastrados na ESF têm fundamental importância no uso de instrumentos para rastreamento de maus tratos, encaminhando os casos aos órgãos de proteção. Conclusão: Quando capacitado, o cirurgião dentista pode realizar o rastreamento de maus tratos ao idoso de maneira eficaz e conclusiva através dos instrumentos de rastreamento.
A importância da consulta de enfermagem cardiológica na prevenção de doenças e promoção de saúde
Authors: Gomes Allan Francisco , Kaory Yoshimura Beatriz , Ferreira de Souza Henrique , Ribeiro de Lima Natalia , Almeida de Paula Samuel , Vituri Marques Marceli
Published: April 2021

A consulta de enfermagem pode ser realizada de maneira generalista ou com foco especialista. Objetivo: Identificar quais são os benefí­cios em se realizar a consulta de enfermagem com foco cardiológico para prevenção de doenças e promoção de saúde. Método: Revisão bibliográfica, tipo integrativa, nos idiomas português, inglês e espanhol, publicados nos últimos dez anos nas bases de dados indexadas (SCIELO, LILACS e MEDLINE) na BVS (Biblioteca Virtual da Saúde). Resultados: A consulta de enfermagem cardiológica permite: identificar precocemente os riscos que desenvolvem doenças cardiovasculares, melhorar a qualidade de vida dos pacientes por meio das orientações, otimizar recursos e sua melhor distribuição pelos ní­veis de saúde e valorizar o profissional. Conclusão: A consulta de enfermagem proporciona resultados positivos, empodera o trabalho do enfermeiro e permite planejar estratégias e medidas que atuam na prevenção e promoção de saúde.
A atuação do coletivo feminista Marielle Franco e o impacto na saúde mental de suas integrantes durante a pandemia da COVID-19
Authors: Amorim Isidro Lins Maria Eduarda , Sena Menezes Giovanna Raquel , de Castro Silva Priscilla Maria
Published: April 2021

Objetivo: Analisar o impacto das ações realizadas no Coletivo Feminista Marielle Franco para a promoção da saúde mental de universitárias durante a pandemia da COVID-19. Método: Tratou-se de uma pesquisa-ação realizada com discentes dos cursos de Enfermagem e Psicologia da Universidade Federal de Campina Grande (UFCG). Os encontros do Coletivo aconteceram de forma remota de abril a junho de 2020. Para coleta dos dados utilizou-se um roteiro de entrevista semiestruturada, e analiticamente o modelo categorial temático proposto por Bardin. Resultados: Emergiram como categorias-temáticas: 1. Perspectivas apontadas sobre gênero na vivência do Coletivo Feminista durante a pandemia da COVID-19; 2. A atuação do Coletivo Feminista durante a pandemia da COVID-19 e sua articulação com a saúde mental das integrantes. Conclusão: As ações do coletivo desenvolvidas de forma remota durante a pandemia foram exitosas ao oportunizar um espaço acolhedor í s demandas das estudantes, promovendo a saúde mental e a formação de uma rede de apoio para as mulheres.
Metodologias ativas de ensino e aprendizagem: o ensino de hoje na saúde
Authors: Martins Ferraz Raquel , Rossetto Kron-Rodrigues Meline , Martins Galvão Henrique , De Oliveira Araújo Cláudia Lysia
Published: April 2021

Objetivo: Identificar e descrever as metodologias ativas de ensino e aprendizagem e a modificação no movimento de ensino da saúde. Método: Trata-se de uma revisão bibliográfica, de caráter descritivo e abordagem qualitativa, realizada em bancos de dados Ciências da Saúde, incluindo a Scientific Electronic Library Online (SciELO), América Latina e Caribe em Ciências da Saúde Literatura (LILACS) e BDENF (Banco de Dados de Enfermagem) – por meio da Biblioteca Virtual em Saúde. A busca e coleta dos dados ocorreu no primeiro semestre de 2019. Resultados: Metodologias baseadas em problemas e projetos, Metodologia de Aprendizagem baseada em Projetos, Taxonomia de Bloom e Método de Delphi, Aplicativos Móveis podem ser considerados as metodologias ativas atuais no processo ensino-aprendizagem. Conclusão: O papel do professor, enquanto facilitador no processo de ensino-aprendizagem, é fundamental no sentido de adequar-se í s novas demandas, abrir-se para as novas práticas pedagógicas, aceitar os desafios que a educação de hoje e do futuro imprimem.
Evolução dos casos de COVID-19 de dezembro de 2019 a outubro de 2020 no Maranhão
Authors: Dos Santos Bezerra Bárbara , Matos da Silva Sandra Regina , Pinheiro Araújo Thaynara
Published: April 2021

No final de dezembro de 2019, em Wuhan, uma nova variedade de Corona ví­rus foi identificada, sendo declarada como uma emergência de saúde pública pela Organização Mundial de Saúde. OBJETIVO: Analisar a evolução epidemiológica do COVID-19 no estado do Maranhão. MÉTODOS: Trata-se de um estudo epidemiológico descritivo e retrospectivo, com abordagem quantitativa. RESULTADOS: O Maranhão representa 1,7% dos casos no Brasil, figurando na 5º colocação na região Nordeste. Em termos de número de óbitos por Sí­ndrome Respiratória Aguda Grave, o mesmo estado contribuiu com 2,1% dos casos brasileiros, sendo sua predominância em indiví­duos do sexo feminino (56%) e na faixa etária entre 30 a 49 anos (37,5%). CONCLUSíO: Ressalta-se a importância de promover mais estudos sobre a doença e investir em estratégias para o controle do coronaví­rus, pois o surto do COVID-19 é recente e sua duração é incerta.
PEMBELAJARAN KOOPERATIF DENGAN PENDEKATAN NUMBERED HEAD TOGETHER DAN MOTIVASI BELAJAR TERHADAP HASIL BELAJAR SISWA
Authors: Fatah Abd
Published: April 2021

The objectives of this study are: 1) To determine the differences in learning outcomes shown by students who learn using the NHT-type cooperative model and conventional learning on the learning outcomes of vocational school students in Sampang on the subject of financial mathematics (annuity). 2) the difference in learning outcomes shown by students who have high learning motivation with students who have low learning motivation towards learning outcomes of vocational school students in Sampang on the subject of annuity. 3) To determine the interaction between the use of the cooperative learning model type NHT and conventional learning, as well as student motivation on learning outcomes of vocational students in Sampang on the subject of annuity. This type of research is an experiment with research subjects of class XII students, the instruments are tests and questionnaires. The homogeneity of the research subjects was tested by using the independent sample test. Data normality was tested with one sample Kolmogorov-Smirnov. Hypothesis testing uses two way ANOVA by displaying the average value of descriptive statistics as a level of differentiation. Based on the results of the study it can be concluded that: 1) There are differences in learning outcomes shown by students who learn using the NHT type cooperative model and accepted conventional learning with a significance level of 0.000 (<0.05). The highest mean is found in the NHT type learning model which in total obtained results of 89.27. 2). There are differences in learning outcomes shown by students who have high learning motivation with students who have low learning motivation who are accepted with a significance level of 0.000 (<0.05). The highest mean is found in high learning motivation, which in total is 88.84. 3) There is a significant interaction between the NHT type learning model, conventional and learning motivation on student learning outcomes on the subject of annuities received at a significance level of 0.001 (<0.05). While the highest mean is found in the interaction between the NHT type learning model with learning motivation of 89.74.
Interação total entre o campus Assis Chateaubriand - Instituto Federal de Educação do Paraná e a comunidade externa
Authors: Lima Ana Lúcia Da Silva , Zanella Fábio , Gimenes Gabriela Martins , Pin Camila Maria da Silva , Albuquerque Sara Bianca Rodrigues , Nascimento Jessica Aparecida de Souza , Santos Debora Juliete Pereira Correia
Published: April 2021

Para o desenvolvimento educacional e social, as parcerias entre entidades públicas e privadas são essenciais e desejáveis, sempre contemplando a valorização de um bem maior, o ser humano. No âmbito educacional, a troca de experiências e de saberes consolida o tripé - ensino, pesquisa e extensão. Desta forma, a oferta de ações de interação entre a comunidade interna do campus Assis Chateaubriand do Instituto Federal de Educação do Paraná (IFPR) e a comunidade externa está claramente institucionalizada em Programas e Projetos de Extensão do IFPR. O presente projeto objetivou sistematizar formalmente ações de extensão e educacionais comunitárias que causaram impactos positivos em diferentes segmentos da sociedade local. Durante o período de junho a outubro de 2019, foram desenvolvidas ações comunitárias, como por exemplo, oficinas, encontros, eventos e apresentações culturais (teatro). Todas as ações ocorreram de forma satisfatória quanto ao atendimento das expectativas da comunidade participante. Assim, a escola promoveu a construção de valores morais, a formação de cidadãos conscientes e críticos, de pessoas que saibam participar da vida comunitária e que dão valor ao bem-estar pessoal e coletivo, atuando na construção de um mundo melhor.
Palavras-chave: Geração de Renda; Interdisciplinaridade; Vulnerabilidade Social
Total interaction between Federal Institute of Paraná and external community
Abstract: For educational and social development, partnerships between public and private entities are essential and desirable, always in order to contemplate the appreciation of a greater good, the human being. The exchange of experience and knowledge consolidates the tripod - teaching, research, and extension in the educational scope. Thus, the offer of interactions between the internal community of the Assis Chateaubriand campus of the Federal Institute of Paraná Education (IFPR) and the external community is clearly institutionalized in Extension Programs and Projects at IFPR. This project aimed to formalize both relevant extensional and educational actions, distributed in all social segments, that positively impacted society. From June to October 2019, community actions were developed, such as workshops, meetings, events, and cultural presentations (theater performances). All the actions took place in a satisfactory way regarding meeting the expectations of the participating communities. Consequently, the school has promoted the construction of moral values, forming conscious and critical citizens: people who know how to be engaged in community life and who value personal and collective well-being, who work to build a better world.
Keywords: Income generation; Interdisciplinarity; Social vulnerability
A EXPLORAÇÃO DO TRABALHADOR ENTREGADOR MEDIADO POR APLICATIVO COMO UMA EXPRESSÃO DO CAPITALISMO GLOBAL E COLONIZADOR:
Authors: Gonçalves Nicolle W. da Silva
Published: April 2021

Em uma análise da condição de exploração do trabalhador por aplicativo, o presente trabalho tem o objetivo de traçar algumas reflexões iniciais acerca de dois elementos que conectam o capitalismo global, materializado nas empresas transnacionais, ao período de colonização das Américas: a expropriação de direitos do outro e o discurso de individualismo meritocrático. Para tanto, tendo por ponto de partida os conceitos de “Sistema-mundo” e “Modernidade”, serão caracterizados o capitalismo e a globalização como uma continuidade reformulada daquilo que foi estabelecido no período colonial, com reflexos diretos na atual Divisão Internacional do Trabalho. A hipótese é que a exploração colonial aos países periféricos permanece através da atuação das empresas transnacionais que se aproveitam da vasta mão-de-obra disponível para extrair lucro e direcionar a massa trabalhadora em sentido ao cumprimento dos seus objetivos. O caso dosentregadores será utilizado como referencial para análise da expressão prática do capitalismo neoliberal no Sul-Global: encontram-se invisibilizados em seus direitos, ao mesmo tempo que estão inseridos em uma dinâmica de aparente autonomia, responsáveis pelo seu sucesso e fracasso. De outro lado, as empresas de aplicativo se colocam na retaguarda de uma narrativa de neutralidade da tecnologia e da globalização homogeneizadora. Sem pretensões de esgotamento do tema, o ponto principal é refletir como a permanente expropriação de direitos do outro e o discurso de individualismo meritocrático, que acompanham a dialética do centro e da periferia global, são características fundantes da criação do próprio capitalismo, germinado da relação entre colonizador e colonizado.
LA/S AGENDA/S DE GÉNERO SINDICAL EN MENDOZA, ARGENTINA:
Authors: Gorri Patricia , Lecaro Patricia
Published: April 2021

El movimiento sindical vuelve a ser objeto de estudio para las Ciencias Sociales acentuando diferentes dimensiones de estudio respecto de los años 90, emergiendo en los últimos cinco años el tema de la marea feminista en el ámbito sindical. Presentamos este trabajo sobre la/s agenda/s de género en los sindicatos estatales de Mendoza – Argentina – las cuales visibilizan la reconfiguración política y económica que durante el periodo 2016-2020 en el que gobierna la alianza Cambiemos, de claro corte conservador en sus políticas públicas lo que conllevó un ajuste en términos neoliberales que afectó en su mayoría a los/las trabajadores, influyendo en su organización, representación, movilización y agendas. Estetrabajo es un primer acercamiento en nuestro proceso de investigación a la agenda de género sindical y a su vez nos permite reflexionar sobre los dilemas que enfrenta el compromiso académico y la investigación crítica al abordar nuestroobjeto de estudio desde lo conceptual y en su práctica política sindical. El trabajo está estructurado de la siguiente manera: en primer lugar, hacemos un recorrido conceptual que da cuenta de aquellas categorías que consideramos más fructíferas para el análisis e interpretación de nuestro objeto de estudio. En este sentido retomamos el camino teórico recorrido por referentes en el tema de feminismo y sindicalismo (GAMBA, 2008; ASPIAZU, 2015; GOLDMAN, 2018; LENGUITA,2017, 2019, 2020; NATALUCCI y REY, 2018; DIAZ y SOCOLOVSKY, 2020; GOREN y PRIETO, 2020). Con estas herramientas teóricas visitamos conceptos y describimos la militancia feminista en sindicatos estatales de Mendoza intentando dar cuenta de sus prácticas, discursos y agendas. En un segundo momento, hacemos un abordaje metodológico mediante la aproximación a los datos secundarios sobre trabajo y género en Mendoza que nos permiten dimensionar cuantitativamente el fenómeno bajo estudio. En tercera instancia, llevamos cabo la producción de un mapeo de los sindicatos provinciales respecto a las estructuras institucionales para observar si es visible en su organización interna la perspectiva de género. Por último, reflexionamos sobre los límites y desafíos del proceso de investigación en tiempos de pandemia.
Aprendizagem significativa: transformando a sala de aula em laboratório para o ensino de ciências
Authors: Borsekowsky Alana Rafaela , Keske Cátia , Pires Fabiana Lasta Beck , Ketzer Felipe , Nonenmacher Sandra Elisabet Bazana
Published: April 2021

Este artigo resulta de uma experiência de Estágio Curricular Supervisionado do Curso de Licenciatura em Ciências Biológicas, voltado a uma turma de Educação de Jovens e Adultos (EJA), no Ensino Fundamental. Trata de uma vivência que procurou romper com métodos de ensino tradicionais, comumente utilizados nas aulas de Ciências da Natureza. Uma experiência amparada em diferentes metodologias, com ênfase na atividade prática, para desenvolver conceitos de Física e Astronomia. O objetivo principal foi articular os temas e desenvolver as aulas, tendo como pressuposto balizador a Teoria da Aprendizagem Significativa. Consequentemente, a avaliação também teve de ser revista, ao encontro da proposta metodológica das aulas. Os principais resultados apontam para um maior envolvimento dos estudantes, que com o rompimento das resistências iniciais provocadas pelas metodologias ativas, evidenciaram predisposição para a aprendizagem. Nesse contexto, evidencia-se que os pressupostos da Aprendizagem Significativa se adaptam à Educação de Jovens e Adultos, considerando suas premissas de trabalhar conceitos científicos relevantes para o cotidiano e de associá-los aos conhecimentos prévios dos estudantes, usando-os como ancoragem para os próximos.
Iniciação científica por meio de elaboração de projetos de pesquisa: um relato sobre a organização da disciplina em um Curso Técnico em Química
Authors: Raupp Daniele Trajano , Borges Rempel Simone De Souza
Published: April 2021

Este relato de experiência objetiva descrever brevemente como a Iniciação Científica é estruturada no Curso Técnico em Química, na Fundação Liberato Salzano Vieira da Cunha, no município de Novo Hamburgo, RS. A partir da discussão das abordagens em sala de aula, da estrutura e apoio da escola, da dinâmica de trabalho com alunos, da compreensão de suas dificuldades, esperamos que este relato possa ser uma contribuição para os professores e pesquisadores com interesse nessa temática. O primeiro contato dos estudantes com a pesquisa acadêmica pode ser considerado um desafio na Educação Básica e dessa forma a aproximação com a metodologia da pesquisa científica, visando a capacitação e qualificação de jovens talentos demanda esforço da equipe pedagógica e qualificação dos orientadores para fomentar a criatividade e o pensamento científico do estudante, além de motivá-lo para aprendizagem de métodos e técnicas científicas.  A Iniciação Científica tem o potencial de ser uma poderosa estratégia na compreensão sobre como a ciência é construída e como os cientistas trabalham em oposição à visão dogmática de uma ciência acabada, possibilitando assim  a formação de um cidadão crítico capaz de modo de compreender  a utilidade da ciência  e sua  grande influência em nosso cotidiano e em nossa sociedade.