bluuebunny/crossref_metadata_2025 huggingface dataset:
An unusual clinical presentation of labial fusion in post pubertal period
Authors: Pandey Kiran , Srivastava Kaustubh , Singh Snehlata , Lal Pavika
Published: February 2018

Labial fusion is sealing of labia minora in midline, also known as labial adhesion or labial agglutination or synechia vulvae. This condition is common in pre-pubertal females usually asymptomatic when oestrogen levels are low and commonly resolves spontaneously post-puberty if unresolved medical treatment includes use of estrogen cream or betamethasone cream application, very rarely surgical treatment required, if not responding to medical treatment due to dense adhesions. This case report is unusual as it has presented in a post-pubertal female requiring surgical management.
Microperforate hymen with infertility: rare case report
Authors: Jindal Aditi , Thakur Rama
Published: February 2018

Female genital tract anomalies are rare but may have a serious impact on the reproductive health. Here we are going to discuss a rare case of pin point hymenal opening. Here the patient presented to us with primary infertility. She presented to a health care centre for the first time therefore she had never been examined. After all the initial investigations a diagnosis of micro perforate hymen was made. She was posted in OT for hymenectomy. She underwent excision of the hymenal tissue and the edges were sutured to the introitus to prevent reclosure of the hymen. She had an uneventful postoperative period. Patient was discharged after complete recovery at 5th post-operative day. She resumed sexual functions 6 weeks after the surgery. These anomalies usually require surgical interventions. Correct surgical intervention is required for a better psychological and reproductive health.
An unusual case of bilateral hydroureter: solved by a gynaecologist
Authors: Sardeshpande Nagendra , Doctor Jainesh
Published: February 2018

A 26-year unmarried girl presented with severe dysmenorrhoea and hesitancy of micturition during menses since, 2 years. She had history of regular menstruation. On IVP and ultrasound there was presence bilateral hydroureter and hydronephrosis. She had previous history of cystoscopy with bilateral ureteroscopy done for the same. Bilateral ureteric stenting for a period of 3 months was done 1 year earlier, however it failed to resolve the hydroureter. A MRI was done, which showed hydroureter with surrounding endometriotic nodule. Laparoscopy was done, and ureteral shaving was performed. Postoperative IVP showed normal ureteral and renal pelvic anatomy. Patient is presently on Dienogest and is asymptomatic.
Trans-oral incisionless fundoplication vs stretta, two recognized endoluminal anti-reflux therapies; a systematic review and meta-analysis
Authors: Obuobi Reece-Bolton , Viswanath Yirupaiahgari , Sathasivam Rajeev , Bussa Gopinath , Gill Talvinder , Reddy Anil , Shanmugam Venkat , Gilliam Andy , Thambi Prem
Published: February 2018

Gastro-oesophageal reflux disease (GORD) is common with a prevalence of 10-20% in the Western World. During the last two decades, amongst introduced several endo-luminal techniques, evidence has emerged about the efficacy and safety of two treatment modalities for GORD; 'Stretta' procedure and trans-oral incisionless fundoplication (TIF)' or EsophyX. Author in this study aim to conduct a systematic review of published 'level 1' evidence, to evaluate all evidence on the efficacy of Stretta procedure and TIF (EsophyX) for the management of GORD. A robust literature that included RCT trials only, searched on MEDLINE, EMBASE, and Cochrane library was undertaken from January 2007 until January 2017. The outcomes were normalisation of oesophageal pH values, augmentation of lower oesophageal sphincter pressure (LESP), health-related quality of life (HRQOL) score, and ability to stop or reduce PPI after procedure. For quality assurance purposes, two researchers were involved in the data collection process and its analysis. Author collected data from 9 RCT trials, 3 for Stretta and 6 for EsophyX. From the Stretta trials 101 patients were recruited, 92 patients were analyzed.  Of the EsophyX trials, 3 of six papers were from single trial. A total of 296 patients were included and 203 were analysed. The pooled results show both stretta and esophyX significantly improved GORD symptoms. In a meta-analysis of trials, author found that both Stretta and EsophyX significantly improves GERD-HRQL score and enables patients to reduce or stop PPI intake compared with sham/PPI therapy alone. The overall quality of evidence is superior for EsophyX than it is for Stretta.
Retrosternal goitre, do humans need a sternotomy?
Authors: Kasliwal Navin R. , Kasliwal Abhay , Boriwale Anand , Sonawane Satish
Published: February 2018

Retrosternal goitre as a surgical thyroid pathology is diminishing in incidence. Though surgery is the generally accepted treatment modality, lot of uncertainties exist regarding the approach for surgery in consideration with the prognostication, surgical morbidity and the post-operative outcome. Median sternotomy, in addition to being more morbid, is generally out of the general surgeons’ perview and therefore its need necessitates preoperative arrangements for assistance by a thoracic surgeon. Cervical approach is sufficient for most of the lesions but the surgeon should be conversant with median sternotomy as to perform it expediently and without hesitation when it is indicated. The generally indications for sternotomy are extension of goitre below the aortic arch, involvement of the posterior mediastinum, large thyroid tissue extending towards tracheal bifurcation, and primary ectopic thyroid tissue in the mediastinum. Here the available literature was reviewed to identify the preoperative predictors of a sternotomy in the management of substernal goitre in order to provide better preoperative planning and patient consent in managing the patient with reference to a recently encountered case.
Laparoscopic repair of perforated peptic ulcers without omental patch versus conventional open surgery
Authors: Srivastava Vaibhav , Singh Gyanendra , Singh Santosh K.
Published: February 2018

Background: Perforation of peptic ulcer usually presents as an acute abdomen. Nearly one third of the patients have no history of the disease. Laparoscopic surgery, a minimally invasive technique, has recently begun to be used on perforated peptic ulcers effectively and frequently. This study aimed to evaluate the efficacy, safety and outcome of laparoscopic surgery without omental patch for perforated ulcers in comparison with conventional open surgery.Methods: All patients diagnosed clinically with perforated peptic ulcers presenting within 24 hours of symptoms and undergoing surgery under a single surgeon during 1-year interval were included in this study and randomly assigned to laparoscopic and open repair group. Patients who had to be converted from laparoscopic surgery to open surgery, were excluded.Results: A total of 69 patients were included in this study. Number of doses of analgesics required in laparoscopic group was 9.48 ± 1.82, while those required in conventional open group was 18.16±2.24. In laparoscopic duodenal perforation repair group, duration of hospital stay (in days) was 8.42±1.44 as compared to 12.08±4.82 in open repair group. Laparoscopic group had significantly fewer post-operative complications but had longer mean operative time (101.90 minutes compared to 60.32 minutes in open repair group).Conclusions: Laparoscopic closure of perforated duodenal ulcer is a simple and safe procedure in experienced hands. It maintains the benefits of the minimally invasive approach. It is associated with longer operating time, less postoperative pain, less post-operative complications, a shorter postoperative hospital stay, and earlier returns to normal daily activities.
Clinicopathological profile and management outcome of skin and soft tissue infections at tertiary care centre of sub Himalayan region
Authors: Nautiyal Hemant K. , Agarwal Ayush , Sachdev Gurvansh Singh , Sachan P. K.
Published: February 2018

Background: Many times, it is difficult to differentiate between Necrotizing soft tissue infections (NSTI) and Non NSTI based on symptoms, signs and investigations. Only early diagnosis and debridement can prevent high morbidity associated with it.Methods: This prospective observational, study was conducted in the department of General Surgery, over a period of 1 year on consecutive 100 admitted patients. Clinical signs, symptoms and vital parameters of NSTI group and Non NSTI group were compared. Biochemical investigations, systemic involvement and treatment received was also evaluated. Chi-square analysis was performed to compare categorical variables.Results: A 77.8% of the NSTI and 54.7% of the Non NSTI infections occurred in males. Significant difference was found in mean age in patients with NSTI (50.9±13.1) and Non NSTI (41.1±15). Type II DM (38.9%) and hypertension (8.3%) were more commonly associated with NSTI patients. Mean pulse rate, respiratory rate and body temperature were significantly more in NSTI group. Patients with NSTI had significantly less hemoglobin and increased creatinine as compared to Non NSTI group. In NSTI group, 83% of patients had necrotizing fasciitis along with myonecrosis followed by Fournier’s gangrene (13.8%). Among Non NSTI group perianal abscess and subcutaneous abscess constituted 45.31% of patients. Methicillin sensitive staphylococcus aureus was found in 43.8% and 38.9% of Non NSTI and NSTI groups respectively.Conclusions: Classical symptoms and signs of NSTI are not reliable and often investigations also fail to differentiate between NSTI and Non NSTI. Type 2 diabetes mellitus patients are more prone to it. High level of clinical suspicion is required for early diagnosis. Timely and adequate debridement of NSTI is necessary to decrease morbidity and mortality.
Disease pattern by upper gastrointestinal endoscopy in rural areas of Tiruchirappalli district carried out at CMCH and RC Irungalur, retrospective study and comparative analysis with other contemporary studies in India
Authors: Padma S. , Murugan R.
Published: February 2018

Background: Dyspepsia is one of the symptoms of upper Gastro Intestinal diseases which are commonly encountered in clinical practice both in urban and rural areas. The upper gastric intestinal diseases causing dyspeptic symptoms are numerous. The upper GI Endoscopy is one of the essential investigations to evaluate the cause of upper GI tract disease. Retrospective study was done to know the pattern of upper GI tract diseases by upper GI endoscopy in CMCH and RC and compare this study with other studies from south India as well with other regions of India.Methods: Endoscopy data base records of 2198 patients who underwent upper GI endoscopy between September 2014 to August 2016 were taken from Endoscopy Register of Gastroenterology Department at CMCH and RC. Statistical analysis was done based on disease presented and diagnosis. The results were compared with similar published studies in other parts of India.Results: Positive yield was 94%, Male, female distribution was 61.78% and 38.21%. Among the benign lesions, lesions of stomach constituted 52.3%, oesophageal lesions 24.6%, duodenal lesions 7.8%. Of the benign lesion, gastritis constitutes the 44.9%, varices 8.9%, and lax LES with oesophagitis 8.1% were the leading findings in endoscopic diagnosis. Malignancy distribution was stomach 1%, malignancy oesophagus 2.1%.Conclusions: Upper GI lesion was common in males. The incidence of benign lesion was high compared to malignant lesion. Irrespective of the type of population, gastritis was the commonest finding. The incidence of malignant lesion was found little higher in some studies which may require specific studies to understand the causative factors
A comparative study of intra-peritoneal instillation of lignocaine versus placebo on operative site in laparoscopic cholecystectomy
Authors: Mundra Mukund , Kumar Vinod
Published: February 2018

Background: Visceral nociception is a significant source of the post-operative morbidity in Laparoscopic cholecystectomy and thus the idea of intraperitoneal local anaesthetic (IPLA) instillation was promulgated. The aim of the study was to evaluate the role of intra-peritoneal lignocaine instillation on post-operative morbidity in terms of post-operative pain and post-operative nausea and vomiting and also to establish if there is any difference exists between the timing of instillation of intra-peritoneal lignocaine (before and after completing the gall bladder dissection).Methods: Eighty patients randomized into two groups lignocaine group (lignocaine instilled in gallbladder bed) and placebo group (saline instilled in gallbladder bed). Lignocaine group further divided into subgroups i.e. pre-dissection lignocaine group (lignocaine instilled before gallbladder dissection) and post-dissection lignocaine group (lignocaine instilled after gallbladder dissection).Results: Post-operative pain was measured in terms of the VAS score. The score was less in lignocaine group. The difference was statistically significant (p<0.05) at 1, 2, 4, 6, 12 and 24hours between lignocaine group and placebo Group. No statistically significant difference between the mean of VAS scores of pre-dissections lignocaine and post-dissection lignocaine subgroups. In lignocaine group, 27.8%, 75%, 41% and 25% of the subject required rescue analgesia in 1st hr, next 1-8 hr, 8-16 hr and 16-24 hr respectively. In placebo group 33.3%, 97.2%, 83.3 % and 63.9% of the subject required rescue analgesia in 1st hr, next 1-8 hr, 8-16 hr and 16-24hr respectively. The difference was found to be statistically significant (p<0.05) except at 1st hour. Post operatively nausea perception, seemed to be slightly higher in placebo group as compared to lignocaine group but difference was statistically insignificant (p>0.05).Conclusions: Intraperitoneal lignocaine instillation is an effective method to alleviate post-operative pain in patients undergoing laparoscopic cholecystectomy, whether used as pre-emptive analgesia or instilled at the end of surgery. Intraperitoneal lignocaine instillation decreases post-operative analgesia requirement, especially after the 1st post-operative hour.
Effect of low level laser therapy on diabetic foot ulcers: a randomized control trial
Authors: M. J. Lenifa Priyadarshini , E. P. Kishore Babu , A. Imran Thariq
Published: February 2018

Background: Nearly 15% of diabetic patients will suffer from DFU in their life span. Conventional treatment is not effective against the non-healing DFUs so in recent days so many adjuvant therapies which have been tried to stimulate healing process are in use. LLLT, is a non-invasive, pain-free method is considered as a possible treatment option for the diabetic foot syndrome. Aim of this study is to study the role of low level laser therapy on diabetic ulcers, i.e. Reduction in size of the ulcer, faster wound healing, control of infection, cost effectiveness and if secondary procedures like split skin grafting can be avoided.Methods: A total of 100 patients with Diabetic foot ulcer fitting the inclusion criteria was included in the study and they were randomly categorized into control and study group. Patients in the study group received treatment with LLLT. Ulcer bed with edge was irradiated locally with red light (660nm), about 4-8J/cm2 for 20 minutes was delivered for 15 days on daily basis. Conventional dressing was preferred for covering after irradiation and controls were treated with conventional therapy alone which includes dressings with betadine or wet with saline, Course of antibiotic treatment and sloughs removed whenever needed. The size, grade and culture status of the ulcer was assessed on Day 1 and day 15. Duration of stay in hospital was noted to assess cost effectiveness.Results: In LLLT group, after completing 15 days treatment complete wound healing was achieved in 66.6% of grade-1 ulcers and 4.4% of grade-2 ulcers and 96.6% of grade-2 ulcers improved to grade-1. In contrary only 3.4% of grade-2 ulcers improved to Grade 1 and a majority of ulcers remained as such. Reduction in Mean area of ulcer at day-15 was statistically significant in LLLT group (13.74±11.88 to 3.97±5.41cm2 and P<0.001) whereas reduction of mean ulcer area among controls was statistically not significant (19.09±15.03cm2 to 18.80±17.70cm2 and P=0.859). Mean total cost of the treatment was less compared to conventional treatment group. (2264.3±140 Vs 3588.4±68 Rs).Conclusions: Laser therapy is painless, cost effective procedure which induces faster granulation, wound contraction and reepithelialisation, thus accelerates complete wound healing hence avoiding secondary procedures like split skin grafting. Control of infection was also better compared to control group.
Evaluation of bowel habits in benign anorectal diseases
Authors: Kumar Navin , Huda Farhanul
Published: February 2018

Background: Evaluation of bowel habit is useful indicator of functional gastrointestinal disorders. Assessment of bowel habit is retrospective in nature and it is best done by questionnaire technique. Aims and objectives of the study was to look for the bowel habit in common benign anorectal disorder.Methods: One-hundred patients with benign anorectal diseases who presented in the Surgery out patient’s department (SOPD) at AIIMS Rishikesh, India from January 2014 to December 2016 were included in the study. Inclusion criteria were all the cases of benign anorectal disorder attended in the Surgery OPD and exclusion criteria were cases with malignant anorectal disease. Patients were assessed on 7 questionnaires as bowel movements (number/day), consistency, feeling of incomplete defecation and/or difficult evacuation, straining at defecation, bleeding per rectum, pain during defecation, use of laxatives. These questionnaires were given to all these patients and asked to prepare a four-week daily diary.Results: One hundred patients with benign anorectal diseases enrolled in the study. All the patients came in the follow up with four-week daily diary. Author have encountered mainly haemorrhoid, Fissure in Ano and fistula in Ano at the General Surgery OPD. Most common disease was haemorrhoid (51%) and least common was fistula in Ano (3%). Most common bowel habits in haemorrhoid was passage of hard stool (51%) whereas in fissure in Ano it was straining at stool and in fistula in Ano it was passage of hard stool (100%), straining at defecation (100%) followed by bleeding and pain during defecation (67% each). Frequency of bowel movement was one per day and consistency was hard in majority of male and female patients. Laxative was used by 29% patients mainly for hard stool, incomplete evacuation and straining at stool.Conclusions: Bowel habit can be best investigated by questionnaire technique. Stool consistency is better guide of colonic transit time. Hard stool is the major cause of majority of the benign anorectal disorder.
A comparative study of the effect of piroxicam versus diclofenac on wound healing in clean abdominal wounds
Authors: Madinur Chandrashekar Reddy J. , Tubachi Prashant , Tubachi Prashant , Godhi A. S. , Godhi A. S.
Published: February 2018

Background: The primary function of the skin is to serve as a protective barrier against the environment. The process of wound healing constitutes an array of interrelated and concomitant events. Understanding these processes and various factors affecting these processes continue to expand. The present study was undertaken to compare and evaluate the effect of piroxicam versus diclofenac on wound healing in clean abdominal wounds.Methods: The present one year randomized controlled trial was conducted on all the patients undergoing appendicectomies for uncomplicated appendicitis and uncomplicated inguinal hernia repairs in the Department of Surgery, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belgaum during the period of one year. Based on the thumb rule a total of 60 patients divided into two groups of 30 each were studied. Based on the computer-generated randomization patients were allocated to two groups that is group A (Inj. Piroxicam) and Group B (Inj. Diclofenac).Results: In the present study, males outnumbered females with male to female ratio between of 1.72 to 2:1. The mean age in group A was30.9±7.86 years and in group B it was 30.3±7.97 years. Both the groups that is Group A and B were graded under grade I (Good wound healing) from the POD 3 onwards. Overall the individual score and total scores had no influence of the final grading (outcome) of the wound.Conclusions: Overall, better results were seen on wound healing in patients who received Inj piroxicam with significantly less post-operative redness and edema. However, this did not have significant difference in the final outcome of the grading of the wound.
Fournier’s gangrene: a clinical profile of 30 cases
Authors: T. Kavya , Babu G. Rajashekara , C. S. Santhosh
Published: February 2018

Background: Fournier's gangrene is a rapidly progressive synergistic infection involving the perineal region and the scrotum and/or the penis. This study was conducted to know about the etiology and mode of presentation of Fournier’s gangrene and the impact of early and aggressive multimodality treatment in reduction in morbidity and mortality associated with this condition which is still considered to be significantly high.Methods: The medical records of 30 patients of Fournier's gangrene who presented to the hospital between May 2014 to June 2017 were retrospectively reviewed to analyze the presentation, progression and the outcome of the disease.Results: The study included a total of 30 male patients. The mean age was 57 years (range 38-72 years). The most common etiology was secondary to anorectal pathology (40%). The most common predisposing factor was noticed to be diabetes mellitus (73.34%). Pain and tenderness in the perineal region was present in most of the patients and scrotal involvement was seen in 66.67% of the patients. Fever was the most common prodromal condition seen in 93.33% all of which in turn were associated with tachycardia. Hyperleukocytosis was seen in 93.33% of patients except for one patient who was diagnosed to be retropositive on admission. The microbiological profile yielded polymicrobial culture report in 80% of the patients and monomicrobial in the rest with Escherichia coli being the most common organism isolated from 80% of the patients. All patients underwent adequate resuscitation, primary emergency debridement with parenteral antibiotic therapy. All the patients recovered after a mean hospital stay of 16.93 days (range 9-30 days). The mortality rate in present study was found to be 6.67%.Conclusions: In spite of the advancements in the field of medicine Fournier’s gangrene still remains a disease with questionable degree of morbidity and mortality and early detection and treatment with aggressive debridement seems to be the only way of obtaining a good prognosis in these patients.
A retrospective study of correlation of tumour thickness with nodal spread in anterior tongue cancer
Authors: Sharma Vidhyasagar M. , Akruwala Sushil D.
Published: February 2018

Background: Squamous cell carcinoma (SCC) of the oral tongue is characterized by a high propensity for cervical nodal metastasis, which affects the probability of regional control and survival. Many histopathologic parameters in tongue squamous cell carcinoma have been identified as predictive factors for cervical metastasis. Several studies focused on tumor thickness, and the depth of invasion was suggested to have a relationship to the occurrence of cervical metastasis.Methods: The medical records of 134 primary tongue carcinomas operated without any preoperative therapy. Author conducted a retrospective study of anterior tongue cancer cases operated at the institute in the department of surgery between April 2012 till March 2017 and studied the correlation between tumour thickness and nodal spread. Each patient's tumor type, tumor location, tumor size, invasion mode, depth of invasion, intralymphatic tumor emboli, and perineural invasion were evaluated.Results: The overall cervical metastatic rate was 56.71%. In the group in which tumor depth exceeded 5mm, the metastatic rate was 77.77% (70/90). In contrast, when the depth of invasion was less than 5mm, the incidence of cervical metastasis was 13.63% (6/44). Clinically negative necks turned out pathologically positive in 28.39%.Conclusions: It was observed that there is a discerning point at 5mm of tumor depth at which cervical metastasis is probable. Elective neck therapy (surgery or irradiation) is strongly indicated for tumors exceeding 5mm invasion.
Parathyroid hormone assay following total thyroidectomy for early prediction of post-operative hypocalcemia
Authors: Arnepalli Naveen , Kishanchand Chethan , Jayasankar Balaji
Published: February 2018

Background: Detecting post-operative hypocalcaemia following total thyroidectomy using serum parathyroid hormone levels would help in an earlier and a definitive treatment plan in treating hypocalcaemia.Methods: This was a prospective interventional study done in a tertiary care teaching hospital. This was mainly done to assess the post-operative hypocalcemia following total thyroidectomy using parathyroid hormone levels and to assess the correlation between the two. With a baseline levels recorded patients underwent a post-operative evaluation of parathyroid hormone 1 hour after total thyroidectomy and serum calcium levels on day 1, 2, 3 and 4 after surgery. The same was statically analyzed to find a correlation between parathyroid hormone levels and the degree of hypocalcemia and evaluated to see if parathyroid hormone was a reliable clinical indicator.Results: A total of 43 patients were included in the study and the parathyroid hormone levels were assessed following surgery, the same was plotted statistically. Sensitivity of parathyroid hormone drop by 75% in predicting hypocalcaemia was 95%. 50% drop in parathyroid hormone levels was a sensitive predictor of hypocalcaemia. A PTH value of less than 15.1pg/ml was highly specific and sensitive indicator of hypocalcaemia.Conclusions: Parathyroid hormone Assay following total thyroidectomy is reliable for early prediction of hypocalcaemia. Patients with a parathyroid hormone level <9pg/ml or with 75% drop in parathyroid hormone level are at a high risk for hypocalcaemia and would require calcium supplementation.
Analytical-Behavioral Therapy for Modification of Trichotillomania Behavior
Authors: Bueno Gina Nolêto , Águes Kassia Chalon
Published: February 2018

This study aimed to identify the elicitors of trichotillomania problem-behavior of a participant, to design a behavior analytic intervention. It also aimed to control the target behavior and the negative emotional responses background trichotillomania, and to train alternative behaviors. The program consisted on phases: functional assessment, experimental functional analysis and final evaluation. Results: reduction of behavior-problem and the negative emotional responses.

Terapia Analítico-Comportamental na Modificação do Comportamento de Tricotilomania

Este estudo objetivou identificar os eliciadores do comportamento-problema tricotilomania de uma participante, para delinear uma intervenção analítico-comportamental. Objetivou também favorecer o controle do comportamento-alvo, das respostas emocionais negativas antecedentes à tricotilomania, e treinar comportamentos alternativos. O programa compôs-se das fases: avaliação funcional, análise funcional experimental e avaliação final. Resultados obtidos: redução de ocorrência do comportamento-problema e das respostas emocionais negativas.
Jung and the Individuation
Authors: Viana Nildo
Published: February 2018

This article presents an analysis of the Jungian conception about the development of personality and a brief consideration about this process and the social formation of the individual as understood by other authors. Thus, after a synthesis of the conception of Carl Gustav Jung, which refers to the problem of individuation, we compare it with the conception coming from sociology and other approaches that deal with the phenomenon of socialization. This results in a critical perspective of the Jungian analysis, without discarding the set of its contributions. The major problem of Jung's analysis is, at the same time, his great merit: the analysis of the mind as a psychic totality. This conception has as its problem the autonomization of the human psyche, which disconnects it from the social, which is the determinant of the human mind. The merit was to have focused the psychic universe of the human being, provided we understand not how he did it, as autonomization, but as focus. In this way, understanding as focus and not autonomy, we can use the Jungian conception to understand the psychic phenomenon.

Jung e a Individualização

O presente artigo apresenta uma análise da concepção junguiana sobre o desenvolvimento da personalidade e uma breve consideração sobre esse processo e a formação social do indivíduo tal como é entendido por outros autores. Assim, após uma síntese da concepção de Carl Gustav Jung, que remete ao problema da individuação, a comparamos com a concepção oriunda da sociologia e outras abordagens que tratam do fenômeno da socialização. Disso resulta uma perspectiva crítica da análise junguiana, sem descartar o conjunto de suas contribuições. O maior problema da análise de Jung é, simultaneamente, o seu grande mérito: a análise da mente como totalidade psíquica. Essa concepção tem como problema a autonomização da psique humana, o que a desliga do social, sendo este o determinante da mente humana. O mérito foi ter focalizado o universo psíquico do ser humano, desde que entendamos não como ele o fez, como autonomização, e sim como foco. Desta forma, compreendendo como foco e não autonomia, podemos usar a concepção junguiana para compreender o fenômeno psíquico.
Love and Psychopathological Jealousy: a Vision Based on the Behavioral Analytical Perspective
Authors: Oliveira Iran Johnathan Silva , Alves Maria Paula Nogueira Paranaguá
Published: February 2018

This research presents a bibliographic review from the perspective of Behavior Analysis about two themes that are very present in people´s daily lives: love and jealousy. There are discussed the love's changes throught the time, as well as the conceptualization of love for the chosen approach. It is also debated the fragility of love relationships nowadays, being externalized,so, the transformation of healthy love behavior into a dysfunctional love behavior, with the psychopathological jealousy as the main focus. In this way, it was saught the comprehansion of the factors that lead to such dysfunctional behavior and what are it's consequences for the jealous person and his / her loving partner, using bibliographical research and functional analysis to reach this understanding. It is also pointed out, in this research, therapeutic interventions that can be used in order to minimize or extinguish psychopathological jealous behavior.

Amor e Ciúme Psicopatológico: uma Visão Fundamentada na Perspectiva Analítico Comportamental

A presente pesquisa apresenta uma revisão bibliográfica na perspectiva da Análise do Comportamento acerca de dois temas que são extremamente presentes no cotidiano dos indivíduos, o amor e o ciúme. Disserta-se sobre a mudança do amor ao longo dos tempos, bem como sua conceituação para a abordagem escolhida. Atenta, também, para a fragilidade dos relacionamentos amorosos atuais, externando, assim, a transformação do comportamento amoroso saudável em comportamento amoroso disfuncional, tendo como foco principal o ciúme psicopatológico. Diante disso, procura-se compreender os fatores que acarretam tal comportamento disfuncional e quais as consequências para o indivíduo ciumento e seu par amoroso, utilizando-se de pesquisas bibliográficas e de uma análise funcional para maior auxílio nessa compreensão. Busca-se também apontar junto a pesquisa, propostas terapêuticas interventivas a fim de minimizar ou extinguir o comportamento ciumento psicopatológico.
Analysis of pleasure and Suffering at Work: Burnout Syndrome in Officials of an Institution of the State of Goiás
Authors: De Sousa Ivone Felix , Siqueira Teresa Cristina , De Castro Marli Bueno , Simões Bruna Siqueira , Oliveira Raquel Priscila De Castro
Published: February 2018

This study was intended to examine aspects of pleasure and suffering at work, organizational commitment, burnout syndrome and job satisfaction in civil servants of an institution of the State of Goiás. 131 servers participated in this study all levels of both sexes. Using the scales of pleasure and pain; organizational commitment; of satisfaction and burnout; including the data partners gender demographic education, length of service, age and capacity. The results of this research indicate high levels of pleasure and low averages of organizational commitment, which contradicts previous research and that probably the relationships between colleagues and managers and the salary as well as the tasks performed are interfering in these results, because they are with high levels.To complete this work, the importance of understanding the institution as a whole physical components, materials and human, since human relationships, perceptions, the commitment, the values must be analyzed in order to make a diagnosis of organizational need and improve the performance of workers.

Análise de Prazer e Sofrimento no Trabalho: Síndrome de Burnout em Funcionários Públicos de uma Instituição do Estado de Goiás

Pretendeu-se, neste estudo, analisar os aspectos de prazer e sofrimento no trabalho, comprometimento organizacional, síndrome de burnout e satisfação no trabalho em funcionários públicos de uma instituição do Estado de Goiás. Participaram deste estudo 131 servidores de todos os níveis hierárquicos, de ambos os sexos. Utilizou-se as escalas de prazer e sofrimento; de comprometimento organizacional; de satisfação e de burnout; incluindo os dados sócios demográficos de gênero, grau de instrução, tempo de serviço, idade e lotação. Os resultados desta pesquisa apontam altos níveis de prazer e baixas médias de comprometimento organizacional, o que contradiz pesquisas anteriores e que provavelmente as variáveis relações entre os colegas e gestores e o salário, bem como as tarefas executadas estejam interferindo nestes resultados, pois elas estão com níveis altos de satisfação. Ao concluir este trabalho, verificou-se a importância de entender a instituição como um todo nos componentes físicos, materiais e humano, uma vez que as relações humanas, as percepções, o comprometimento, os valores devem ser analisados com o intuito de fazer um diagnóstico organizacional preciso e melhorar o desempenho dos trabalhadores.
Poligami menurut Nasr Hamid Abu Zayd: studi atas pengaruh pemikiran tafsir terhadap penetapan hukum
Authors: Surahman Cucu
Published: February 2018

This article examines Nasr Abu Zayd’s (d. 2010) thought of tafsir and takes a close look at its implementation when he interprets “polygamy verses”. With library research method and content analysis, I conclude that Abu Zayd uses thematic method of interpretation, by using contextual analysis approach. This method is similar to Fazlur Rahman’s Double Movement method. Abu Zayd’s contextual interpretation theory (al-qira’ah al-siyaqiyyah) operates in the following steps; first, turn to the meaning (ma’na) of the text in its historical and cultural context (tarikhiyyat al-dalalah); and second, implement its significance (maghza) in contemporary context. Based on his contextual analysis (al-qira’ah al-siyaqiyyah) to polygamy verses, Abu Zayd concludes that polygamy is not the final purpose Islamic teaching (shari’ah al-Islamiyah). Polygamy is a temporal decision which is related to the very tight prerequisites. According to him, the significance (maghza) of the Qur’an text talking about polygamy is however justice and equality. Otherwise, Abu Zayd says that the implicit (maskut ‘anhu) final purpose of the revelation of “polygamy related-verses” are monogamy.
Hukum Islam sebagai rekayasa sosial dan implikasinya dalam undang-undang perkawinan di Indonesia
Authors: Setiyanto Danu Aris
Published: February 2018

This study focuses on the role of Islamic law as social engineering and its implications in marriage law in Indonesia. Islamic law has always been a concern among legal experts and studies. One interesting thing is the effort to achieve justice through the application of Islamic law which functioned as social engineering. Though the nature of Islamic law is the dimension of social justice but at the same dimensions of the Godhead. In the Indonesian context, it is understood that the marriage law in Indonesia is the implication. As this study included the study of literature and research data analyzed by the theory of law as a social engineering with the sociological approach. The results of this study concluded Law Islamic law can function and formulated as social engineering in the form of state regulation and in fact it is contained in the articles of the Marriage Law in Indonesia.
Таможенно-тарифное регулирование внешнеторговой деятельности как инструмент обеспечения экономической безопасности
Authors: Репин Денис Владимирович , Самик Маргарита Васильевна
Published: February 2018

Обеспечение мер таможенно-тарифного регулирования, возложенное на таможенные органы, связано с формированием доходов федерального бюджета посредством взимания таможенных платежей и, таким образом, с обеспечением экономической и национальной безопасности. В статье проводится анализ особенностей применения методов таможенно-тарифного регулирования в России в условиях ЕАЭС. Дается оценка снижения импортных пошлин по отдельным товарным группам. Анализируется динамика перечислений таможенных платежей в доход федерального бюджета России.
Riesgo cardiovascular: análisis basado en las tablas de Framingham en pacientes asistidos en la unidad ambulatoria 309, IESS – Sucúa
Authors: Arboleda Carvajal Mishel Stefania , García Yánez Alan Rafael
Published: February 2018

Las enfermedades cardiovasculares son la principal causa de muerte en el mundo y en Latinoamérica. Sin embargo, no se dispone de suficiente documentación sobre la prevalencia y la distribución de los factores de riesgo cardiovascular en la población Latinoamericana.El objetivo de este trabajo de investigación es determinar los factores de riesgo cardiovascular en pacientes asistidos en la Unidad de Atención Ambulatoria 309 de la ciudad de Sucúa – Morona Santiago; para ello se empleó un estudio de tipo cuantitativo, observacional, descriptivo de corte transversal, cuyo universo de estudio está constituido por un total de 732 pacientes atendidos en la Unidad de Atención Ambulatoria 309 IESS y se trabajó con una muestra de 249 pacientes. Como método se utilizó una entrevista estructurada, la técnica fue una encuesta sobre factores de riesgo cardiovascular; como instrumento de recolección de datos se empleó un formulario con un instructivo, variables socio-demográficas, variables de estudio.Al final del estudio se pudo determinar que el riesgo cardiovascular bajo se presenta en la mayoría de la muestra (96,8%), seguido por el riesgo cardiovascular moderado con un 2,8%, y finalmente un 0,4% de presencia de riesgo cardiovascular alto. Se pudo concluir que en los pacientes que presentaron riesgo cardiovascular elevado, el factor asociado que influye directamente en su alimentación (HDL, colesterol sérico), IMC, presencia de diabetes, y presión arterial sistólica. La existencia de un mejor estilo de vida, estado nutricional y alimentación, podría tener un mejor resultado en la prevención de factor de riesgo cardiovascular.
Strongyloides stercoralis; reporte de un caso en el post-trasplante renal
Authors: Amaya Nieto Javier , Girón Luque Fernando , Baez Suarez Yenny
Published: February 2018

La hiperinfección por Strongyloides spp (HS) es una enfermedad rara dentro de la población inmunocompetente, pero puede presentarse en pacientes inmunocomprometidos como los pacientes trasplantados renales por lo que al realizar un análisis de la literatura actual acerca del tema se hace importante. En el presente artículo presentamos el caso clínico de un paciente trasplantado renal que después de iniciar la terapia inmunosupresora, presenta síntomas y signos de HS, diagnosticado y tratado de forma exitosa.
Conceptualización de la interacción comunicativa y su caracterización
Authors: Carrillo Vargas María Camila , Hamit Solano Angie Roxana , Benjumea Galindo Diana Carolina , Segura Otálora María Constanza
Published: February 2018

Este artículo tiene como objetivo definir la interacción comunicativa y cada uno de los elementos que permiten su caracterización. Para esto, se realizó una revisión de la literatura mediante una búsqueda inicial en libros, metabuscadores y diferentes bases de datos, seleccionando la información pertinente según distintas corrientes para la construcción del concepto integrador de la interacción comunicativa y para la descripción de los elementos que permiten su caracterización en dos grandes categorías: las habilidades pragmáticas y las habilidades sociales, teniendo en cuenta las modalidades verbal oral y no verbal desde la perspectiva del modelo sistémico de la comunicación. Se concluye resaltando la importancia que adquieren la interacción comunicativa y sus elementos para el estudio de la comunicación humana, siendo una herramienta útil para que el profesional en fonoaudiología ahonde en su objeto de estudio, actualice sus conocimientos y traslade esta caracterización a los diferentes escenarios en que se desempeña.
Contribuição dos Quintais na Conservação do Cerrado e da Agrobiodiversidade: Um Estudo dos Quintais Tradicionais da Baixada Cuiabana
Authors: Amaral Cleomara Nunes , Souza Gabriela Coelho de , Ritter Mara Rejane , Loboruk Nil , Melo Ricardo Silva Pereira
Published: February 2018

Diante das recentes modificações impostas pelo avanço da fronteira agrícola sobre o rural do estado de Mato Grosso, os quintais se tornam um dos poucos espaços de manejo da agrobiodiversidade. O objetivo deste trabalho é analisar os quintais manejados por agricultores tradicionais da Baixada Cuiabana, enfatizando o papel do quintal na conservação da agrobiodiversidade. Para coleta de dados foram visitados 90 quintais do município de Jangada. Os tradicionais quintais apresentaram 136 etnoespécies, nativas e exóticas, com variedades agrícolas locais e comerciais, que conjuntamente com os espaços de roça e do cerrado compõem uma matriz permeável à rica fauna silvestre que circula localmente.
A Renda Desenvolvida Sobre Padrões Tradicionais
Authors: Júnior Jackson Bouéres Damasceno , Kubo Rumi Regina
Published: February 2018

Os processos de reordenamento agrário têm influência na formação da renda das famílias de agricultores, utilizando o trabalho para articular as dimensões social e ambiental do processo, formatando um processo cultural específico evidenciado cotidianamente, permitindo avaliar a inserção de cada contexto sob a ótica do capital financeiro e a lógica da resistência à entrada do referido capital no meio rural
Um Olhar Reverso: Da Aldeia Para Universidade
Authors: Apurinã Francisco
Published: February 2018

Este artigo tem como objetivo refletir sobre os métodos utilizados nas pesquisas etnográficas. As análises são fruto da minha trajetória acadêmica, pessoal e profissional, resultando numa reflexão dialógica com outros autores desse campo do conhecimento. Aqui lançarei mão de minhas experiências empíricas e vivências dentro e fora da aldeia - como indígena, objeto de pesquisa e como pesquisador. Nas considerações finais faço um convite para novas reflexões, sobretudo pela necessidade de romper a distância que geralmente há entre o pesquisador e o pesquisado, sujeito e objeto das pesquisas etnográficas.
Erektil disfonksiyonlu diabetes mellitus olgularında penil Doppler ultrasonografi bulguları
Authors: Altınbaş Namık Kemal , Hamidi Nurullah , Yağcı Cemil
Published: February 2018

Amaç: Penil Doppler ultrasonografi (US) incelemesi istenen erektil disfonksiyon şikayeti bulunan diabetes mellitus tanılı hastalarda US bulgularının erektil fonksiyon skorlama testi ile karşılaştırılarak değerlendirilmesi amaçlandı.Gereç ve Yöntem: Penil Doppler US incelemesi yapılan 27 hasta prospektif yürütülen bu çalışmaya dahil edildi. Hastalara US ünitesinde, penil kavernöz cisme papaverin enjeksiyonunu takiben Doppler US yapılarak penil kan akımı değerlendirildi. Pik sistolik akım hızı, diyastol sonu hız kaydedilerek Doppler US tanısı belirlendi. Ereksiyon düzeyi, ereksiyon sertlik derecelendirme skalasına göre 4 puan üzerinden değerlendirildi. Erektil fonksiyon için IIEF-5 (erektil fonksiyon uluslararası indeksi) anketi ile skorlama yapıldı ve SHIM (erkekler için seksüel sağlık envanteri) seviyesi belirlendi. Elde edilen Doppler US tanıları ile SHIM seviyeleri karşılaştırıldı.Bulgular: Çalışma dahilinde 27 hasta mevcuttu. Hastaların yaş ortalaması 55.74±9.02 (aralık 39-70) idi. Hastaların 21’inde (%78) anormal penil Doppler US bulguları elde edildi. Hastalar Doppler US bulgularına göre normal (n=6), arteriyel yetmezlik için sınırda (n=2), arteriyel yetmezlik (n=5) ve venöz yetmezlik (n=14) olarak sınıflandırıldı. Penil Doppler incelemesine bağlı olarak hiçbir hastada komplikasyon gelişmedi. Ereksiyon sertliği iki hasta hariç diğerlerinde tam düzeyde değildi. En düşük ereksiyon sertlikleri ve IIEF-5 skorları arteriyel problem durumunda gözlendi.Sonuç: Erektil disfonksiyon şikayeti bulunan diabetes mellitus tanılı hastalarda vasküler problem oranı yüksektir ve çalışmamızda özellikle venöz yetmezlik daha sık olarak gözlenmiştir.
Primary hyperoxaluria
Authors: Aydın Elçin , Öztürk Atasoy Tülay , Argın Mehmet
Published: February 2018

Hyperoxaluria is characterized by nephrolithasis and nephrocalcinosis caused by supersaturation of calcium oxalate
in the urine. Deposits of calcium oxalate can lead to kidney damage, kidney failure, and injury to other organs.
Herein, we report a case of primary hyperoxaluria which is a serious though rare condition, can be suspected on the
basis of the renal features. Radiological skeletal changes, which are also rather specific, may also share some
features with renal osteodystrophy.