bluuebunny/crossref_metadata_2025 huggingface dataset:
Doppler Ultrasonography Screening of the Lower Limbs in Patient with Coronary Artery Disease
Authors: Merghit Rachid , Merghit Rachid , AIT Athmane Mouloud , Gueriane Ikhlas , Lakehal Abdelhak
Published: October 2020

Introduction: For patient with coronary artery disease (CAD), peripheral artery disease (PAD) is really
underestimated.
Objectives: Establish a mapping of atherosclerotic involvement of the lower limbs using ultrasound
exploration, by working on a sample of coronary artery disease (CAD) patients, recruited in cardiology at
the university hospital centers of the city of Constantine.
Patients and Methods: Our study is descriptive, transversal, and multi-centric carried out in unit of
cardiovascular explorations of the University Hospital of Constantine. The patients involved had at least
one significant coronary lesion ≥ 50 on a principal coronary artery. All of our patients benefited from a
lower limb Doppler ultrasonography using a 12L linear scanning probe on a General Electric vivid E9
ultrasound system. The data processing and processing used epi info 8 software.
Results: Atheromatous affection and implication of the lower limbs is very common and usual in patient
with coronary artery disease (CAD), mostly on the infra popliteal floor. 34.67% have a hemodynamic lesion
≥ 50% on the arterial axes of the lower limbs. Taking the lion’s share, with more than half of our population
had predominantly distal mediacalcosis lesions.
Conclusion: Atherothrombotic disease or atherothrombosis demands a global patient care since for a long
time and for as long as anyone can remember, the clinical translations and manifestations of
atherothrombosis were treated in isolation and compartmentalized.
Paradoxical molting process in Orthezia urticae and other coccids (Arthroidignatha: Gallinsecta) with notes on systematic position of scale insects
Authors: Kluge N.J.
Published: October 2020

Process of transformation in legs and antennae, which takes place in Orthezia urticae (Linnaeus, 1758) in course of molt from one instar to another, disagrees with modes of life of these instars. Each molt from one actively feeding instar to another (these are two first instars of male and all instars of female) is accompanied with deep degeneration, dedifferentiation, new differentiation and subsequent growth of each appendage; proximal segment of each appendage newly grows in an unusual inverted condition and everts only during ecdysis. Unlike this, quiescent instars of male molt like most other insects, so that molting processes do not cause immobility of their appendages. Examination of some other coccid species allows to assume that this alternation of molt modes is usual for Gallinsecta. Possibly, this character is initial for Gallinsecta and is connected with existence of leg-less feeding instars in non-related representatives. To describe processes which take place at metamorphosis, new terms for preimaginal instars of Pterygota are introduced. New taxa names PSYLLALEYRODA taxon nov. and APHIDOCOCCA taxon nov. are suggested.
Клініко-інструментальна характеристика пацієнтів із хронічною серцевою недостатністю та зниженою фракцією викиду лівого шлуночка залежно від наявності цукрового діабету 2-го типу
Authors: Tkach N. A. , Filatova O. L. , Gavrilenko T. I. , Dudnik G. Ye. , Lipkan N .G. , Voronkov L. G.
Published: October 2020

The aim – to compare clinical and instrumental parameters in patients with chronic heart failure (CHF) and reduced left ventricular ejection fraction (LVEF) depending on the presence of type II diabetes mellitus.Materials and methods. 490 case histories of patients in the period from 2011 to 2018 with CHF, 40–80 years of age (median – 64 years), II–IV NYHA functional class, LVEF ≤ 40 % were analyzed. The study group included mainly patients with coronary heart disease (CHD) in combination with hypertension – 403 (82.2 %) patients, with isolated CHD – 55 (11.2 %) and with hypertension – 32 (6.6 %) patients. Most patients (278 (56.7 %)) had a permanent form of atrial fibrillation. Among the subjects were 373 (76.1 %) men and 117 (23.9 %) women. Patients were included in the study in the phase of clinical compensation, i.e. in the euvolemic state. All patients were divided into two groups: group I included 338 (69 %) patients with CHF and reduced LVEF without diabetes; group II consisted of 152 (31 %) patients with CHF and reduced LVEF with type II diabetes.Results and discussion. The analysis revealed no significant differences among patients in the study groups by age, general hemodynamic parameters, mean daily heart rate, NYHA functional class, concomitant chronic obstructive pulmonary disease and the duration of CHF. A lower percentage of patients with atrial fibrillation in group II, a higher BMI in patients in group I, Е/е´ and left ventricular myocardial mass index were higher in patients without concomitant diabetes. In the study, we obtained a significantly higher uric acid level in patients with concomitant diabetes mellitus 2 and did not receive statistical differences in oxidative stress and proinflammatory markers, NT-proBNP and insulin. There was also no significant difference in the values ​​of flow-dependent endothelial dysfunction. The combination of coronary heart disease and diabetes mellitus 2 has been shown to be a major factor of high mortality in patients with CHF. However, we did not find a difference in the life expectancy of patients with CHF and reduced LVEF with and without diabetes. We also had a significantly worse survival of patients with HbA1с above 7.4 %.Conclusions. The 5-year survival of patients with CHF with reduced LVEF with and without diabetes mellitus 2 does not differ significantly, while among the general group of patients the worst 5-year survival was demonstrated by those with HbA1с higher than 7.4 %.
Лікування артеріальної гіпертензії в осіб похилого віку
Authors: Kovalyova O. M.
Published: October 2020

The article is dedicated to the strategy of management of arterial hypertension in older patients based on the Guidelines of the International Society of Hypertension, the European Society of Cardiology, the European and the American Society of Hypertension, the American College of Physicians and the American Academy of Family Physicians. According to the results of epidemiological and clinical investigations is shown the influence of high blood pressure on cardiovascular outcomes and mortality in the population of older persons. Due to the analyses of randomised controlled trials is pointed out the convicing data the need for differtntiated control of blood pressure according to the level of arterial hypertension and factors of cardiovascular risk. The methodology of initial antihypertensive therapy in persons of different age groups is taken in comparative aspects. The main discussed questions related to the blood pressure targets in the dynamics of antihypertensive treatment in patients 65–79 years and age ≥ 80 years are emphasized. The requirements for individual medical tactics of older hypertensive patients taken into account anamnesis, fit and mental state, clinical features, comorbidity, complications and hypertension-mediated organ damages are recommended.
Low Level Laser Therapy as adjunctive support in implant dentistry: a reliable option?
Authors: Bernardi Sara
Published: October 2020

Use of low level laser therapy (LLLT) in bone healing has been studied for years, and its application in implant dentistry is still a controversial topic due to the difficult assessment of its clinical efficacy. We report the application of LLLT as aid in the osseointegration in two patients undergone to implant surgery in the upper jaw. In one hemi-arch the LLLT was applied and the other one was used as control. The assessment of the bone area surrounding the fixtures was performed by means of cone beam compute tomography and the area of bone-implants contact was measured by means of InVesalius® software. The radiological findings support the idea of considering the laser biostimulation as an adjunctive aid in implant surgery.
Asymmetric Interest Rate Transmission in an Inflation Targeting Framework: The Case of Colombia
Authors: Galindo Arturo J. , Steiner Roberto
Published: October 2020

After adopting an inflation targeting framework for monetary policy at the turn of the century, the Central Bank of Colombia started actively using the monetary policy interest rate as its key policy tool. In this regard, this paper examines the interest rate pass-through from the monetary policy rate to the retail rates in Colombia and explores asymmetries in the adjustment process within the framework of a non-linear version of the ARDL (NARDL) model developed by Shin et al. (2014). Our findings show that the policy rate plays a key role in determining deposit and lending retail rates but the nature of the pass-through varies across different types of lending products. In the case of lending rates, the pass-through is usually a full one, and takes around 12 months to be nearly complete. Our results capture an asymmetric positive pass-through in deposit rates and an upward rigidity in the lending rates of consumer and ordinary corporate loans, key segments of the credit market. These findings imply that most retail lending rates respond more to policy rate cuts than to hikes, indicating that financial intermediaries are more reluctant to raise interest rates than to decrease them following policy adjustments.
THE FUTURE OF INDONESIA AND GLOBAL AGRICULTURE: RICE CONSUMPTION AND AGRICULTURAL MODERNIZATION
Authors: Arsani Ade Marsinta
Published: October 2020

In the industry revolution 4.0 era, the agriculture sector still has an important position in human life because, without this sector, human capital development cannot be well developed. Globally, the share of agriculture, forestry, and fishing sector has declined significantly in the last two decades. However, the demand on agriculture product, especially rice, incline every year. Rice supply and demand projection with appropriate methods are very important because their result affect how agricultural policies are applied. The aim of this study is to examine the likely evolution of rice consumption in Indonesia and forecast the Indonesia rice consumption per capita based on global data. The results indicate the income elasticity of demand for rice in the Indonesia has become negative. The forecast of model show that Indonesia’s rice demand will keep incline, at least in the next five years. Due to those result, in order to maintain farmers’ wealth, modernization in agriculture is needed. Government has encouraged some programs such as Simluhtan, Katam, Si Mantap, Smart Farming, Smart Green House, Autonomous Tractor, dan Smart Irrigation to accelerate the agricultural transformation. Unfortunately, human resource quality becomes a problem. Indonesia need massive effort so that modernization in agriculture works well.
PENGARUH INSENTIF PAJAK, FINANCIAL DISTRESS, EARNING PRESSURE TERHADAP KONSERVATISME AKUNTANSI
Authors: Sugiyarti Listya , Rina Stefany
Published: October 2020

This study aims to obtain empirical evidence of tax incentives, financial distress, earnings pressure and accounting conservatism. The influence of the independent variable on the dependent variable in the study uses secondary data in the form of financial statement data in the manufacturing companies of the consumer goods industry sub sector listed on the Indonesia Stock Exchange in 2013-2017. This research used quantitative methods. The sample used in this study amounted to 19 manufacture companies of consumption goods industry sub-sector with a research observation period of 5 years and obtained a total final sample that can be processed as many as 95 financial statement data. Data analysis techniques used multiple linear regression with statistical tests and the operation of SPSS software version 24. The results of the study showed that tax incentives affect accounting conservatism, financial distress influences accounting conservatism, while earning pressure does not affect accounting conservatism.
IMPLEMENTAÇAO DO E-SOCIAL E SEUS IMPACTOS
Authors: Orth Arlete Cherobini , Aparecida Sousa Thayane
Published: October 2020

O presente trabalho teve por objetivo realizar uma breve análise sobre o sistema E-social e sua tecnologia, o lançamento se deu em 12 de dezembro de 2014 e foi publicado através do Decreto nº 8373, no âmbito federal. O referido sistema de escrituração digital das obrigações Fiscais, Previdenciárias e Trabalhistas é um projeto conjunto da Receita Federal do Brasil, Ministério do Trabalho e Emprego, Ministério da Previdência Social, INSS e Caixa Econômica Federal, cujo objetivo é unificar a captação das informações tributárias, trabalhistas e previdenciárias, unificando as obrigações acessórias para os empregadores, e dar maior transparência as relações entre empregador/empregado, contadores e fisco. O trabalho buscou conhecer quais são os benefícios que contemplou ao empregador e ao empregado. Constatou-se que o programa trará mais segurança, e evitará as inconsistências de informações, sendo que essas, às vezes, defasadas entre os diversos formulários entregues. As informações coletadas alimentarão, automaticamente, as bases de dados dos órgãos envolvidos no projeto. O envio dos documentos é online e pode significar redução de custos e tempo para o setor, evidenciando a realidade das empresas. Os quesitos analisados serão citados no corpo do trabalho. Com a análise deste projeto, muitas empresas buscam garantir que direitos, tanto de empregadores, quanto de colaboradores, sejam efetivados com maior transparência e assim diminuir as ações trabalhistas. A fundamentação teórica do presente estudo foi realizada com base em pesquisas bibliográficas e legislações pertinentes, que dão embasamento necessário para mostrar os resultados positivos e que as empresas usufruem a partir da criação de tal projeto. Conclui-se que o projeto E-social oportunizou ao Empregador e ao empregado condições e maior segurança no momento de contratação, com isso, trazendo garantias na relação e efetivação de seus direitos trabalhistas e previdenciários, ainda transparência referente às informações de seus contratos laborais.
ACESSO A EDUCAÇÃO ATRAVÉS DO PROGRAMA DE BOLSA PASE, DA FACULDADE LA SALLE EM LUCAS DO RIO VERDE-MT
Authors: Orth Arlete Cherobini , Pilonetto Karla Cristina , Paludo Nadir João
Published: October 2020

Diante a desigualdade social na educação do Brasil, o acesso ao Ensino Superior vem se tornando um grande desafio. Perante isso, esta pesquisa tem por objetivo principal analisar o Programa de Assistência Social Educacional (PASE) a ingressos ao Ensino Superior através desse benéfico, disponibilizado pela Faculdade La Salle de Lucas do Rio Verde-MT. O presente estudo buscou; a) descrever as condições para obtenção do benefício, b) apurar o número de beneficiados pelo programa nos anos de 2015 a 2018, c) quantificar a percepção de importância para os acadêmicos beneficiados pelo programa. Após essa etapa, foi realizado um questionário, aplicado através do Google Forms, via link por e-mail institucional para todos acadêmicos beneficiados pelo programa, com a contribuição de 64, dos 223 bolsistas. Conforme o resultado da pesquisa, podemos observar que a grande maioria dos beneficiados estão satisfeitos com o programa, sentem-se valorizados e acreditam estar concorrendo de igual para igual no mercado de trabalho. Conclui-se que o programa tem cumprido com o que se foi proposto a fazer, reduzindo a desigualdade e aumentado a inclusão de pessoas menos desfavorecidas.
SOFTWARE EDUCACIONAL PARA O ENSINO DE PROGRAMAÇÃO ADAPTADO AO ESTILO DE APRENDIZAGEM DO ALUNO
Authors: Chicon Patricia Mariotto Mozzaquatro , Campos Luiz Henrique Dias da Costa , Schuch Regis Rodolfo
Published: October 2020

O alto índice de reprovação em disciplinas introdutórias de programação, em cursos de tecnologia, traz grande preocupação aos pesquisadores, que por sua vez vêm realizando estudos para identificar as causas e dificuldades que estão ocasionando o problema. Por se tratar de um assunto complexo, não se tem chegado a uma conclusão concreta, pois abrange fatores como personalidade, estilo de aprendizagem e cognitivo de cada estudante, que acaba sendo mais difícil a elaboração de uma definição evidente. A presente pesquisa vê como de fundamental importância a realização da modelagem de cada usuário, identificando suas dificuldades e seus estilos de aprendizagem e cognitivos, pois terá papel fundamental nos testes a realizar-se na implementação da mesma. O trabalho tem por objetivo construir um objeto de Aprendizagem (OA) para o ensino de programação integrando técnicas de Navegação Adaptativa, fazendo com que a estrutura da navegação e apresentação dos conteúdos e atividades estejam de acordo com o perfil do usuário.
Evaluation of dynamics of atmospheric air pollution of the city center by emissions of the road transport using cartographic method
Authors:   FSBEI HE ", Dementyev A.A. ,   Ryazan State Medical University named after Academician I.P. Pavlova", Tsurgan A.M. ,   FSBEI HE "Ryazan State Medical University named after Academician I.P. Pavlova", Chudinin N.V. ,   FSBEI HE "Ryazan State Medical University named after Academician I.P. Pavlova", Soloviev D.A. ,   FSBEI HE "Ryazan State Medical University named after Academician I.P. Pavlova"
Published: October 2020

When characterizing vehicle emissions, as a rule, the speed of traffic flows is not taken into account, which significantly reduces its accuracy. In this regard, the use of the cartographic method for assessing the speed of traffic flows on the tracks is quite reasonable and relevant. The assessment of the intra-annual dynamics of the intensity of traffic flows and emissions of the main components of exhaust gases by vehicles on the streets of the city of Ryazan and bypass roads using a cartographic method for recording the intensity of traffic flows was carried out. The study was conducted in 2018–2019 on the territory of Ryazan. The material used for the study was cartographic data published in free access on the website www.yandex.ru traffic jams. The length of traffic flows with a speed of 5-10 km / h (heavy traffic conditions – TTU) was determined at different times of the day on days of the week. The indicators of the average hourly length of heavy transport conditions were calculated. Bypass roads of the city were characterized by a significantly greater length of sections with TTU compared to the city streets from Tuesday to Thursday and Sunday (p<0.05). The increased complication of traffic conditions during morning and evening rush hours led to an average annual increase in emissions of the main components of vehicle exhaust gases of 17.7% and 14.9% respectively, with the largest increase in emissions being typical for the city center. At the same time, the maximum complication of transport conditions on the bypass roads was observed in the summer and spring (from Monday to Wednesday and Sunday), while on city highways - on working days in the autumn and weekends in winter. On the city streets, the greatest length of heavy traffic conditions during the morning rush hour was observed in winter, and the shortest was in summer, while the evening rush hour, on the contrary, was most pronounced in autumn. On the bypass roads, there was a clear tendency towards heavier transport conditions over a longer period of the day according to the scheme winter–autumn–spring– summer.
Підходи до оптимізації розміщення пожежних веж лісогосподарського підприємства
Authors: Bogomolov V. V.
Published: October 2020

У зв’язку з підвищенням рівня пожежної небезпеки в лісах України виникла нагальна потреба в розширенні мережі камер телеспостереження за пожежами. Додаткові телекамери встановлюють із метою підвищення точності визначення координат пожежі, що, зі свого боку, зменшує час мобілізації сил і засобів для її гасіння. Викладено чисельний метод розрахунку видимості камер телеспостереження за пожежами на засадах сфероїдної геодезії та з використанням відомих алгоритмів опрацювання даних. Надано обґрунтування величини максимальної дальності телеспостереження та висоти підняття диму. Запропоновано підхід до вибору підмножини пожежних веж із загальної множини за умови максимуму видимої площі у найбільш пожежонебезпечних частинах лісових масивів. Показано підхід до виявлення найперспективніших місць для встановлення нових веж або для вибору наявних висотних споруд на цифровій моделі місцевості. Наведені підходи застосовано для двох лісогосподарських підприємств східної України, в результаті чого надано рекомендації щодо розміщення додаткових систем телеспостереження.
Фітомаса та депонований вуглець у робінієвих насадженнях Північного Степу України
Authors: Sytnyk S. A. , Lakyda P. I.
Published: October 2020

Наведено результати оцінювання обсягів загальної фітомаси та акумульованого в ній вуглецю в робінієвих насадженнях степової зони України, підпорядкованих Дніпропетровському обласному управлінню лісового та мисливського господарства, в період 1973–2011 рр. За ревізійний період площа робінієвих насаджень досягла 17,6 тис. га із загальною фітомасою до 1,96 млн т. Оцінено розподіл загальної фітомаси за структурними компонентами насадження – фітомасою деревини та кори стовбурів, фітомасою деревини та кори гілок крони, листям, коренями й піднаметовою рослинністю. У робінієвих насадженнях регіону дослідження акумульовано до 0,98 млн т вуглецю. Середня щільність вуглецю в робінієвих насадженнях варіювала від 3,21 до 5,56 кг·(м2)-1.
Ентомокомплекс і санітарний стан полезахисних лісових смуг ДП «ДГ “Елітне” ІР ім. В. Я. Юр’єва НААН України»
Authors: Sydorenko S. V. , Zinchenko O. V. , Skrylnyk Yu. Ye. , Kukina O. M , Sydorenko S. H.
Published: October 2020

Полезахисні лісові смуги (ПЛС) забезпечують формування біологічної повноцінності сільгоспугідь і баланс біогеоценозів, підвищують фауністичне біорізноманіття. Таксаційні дані, породний склад і санітарний стан полезахисних насаджень визначають специфічне середовище існування певних видів комах і формування відповідних ентомокомплексів. Метою роботи було визначення санітарного стану дерев у полезахисних лісових смугах та уточнення складу ентомокомплексу на найпоширеніших деревних породах. Польові дослідження проводили впродовж вегетаційного періоду з використанням загальноприйнятих ентомологічних і лісівничих методів. Досліджувані лісові смуги за санітарним станом були ослабленими та сильно ослабленими (індекс санітарного стану насаджень становив від ІІ,1 до ІІІ,0). У результаті ентомологічного аналізу визначено 45 видів комах із 32 родів і 13 родин. Із них комахи-ксилофаги представлені 23 видами, комахи-філофаги – 21 видом. Загалом, зрідка траплялися 43,2 % видів, масовими та звичайними були 25 і 22,7 % видів відповідно, поодиноко траплялися 9,1 % видів. Ясен звичайний мав індекс санітарного стану IV,1, ясен зелений – III,6, клен гостролистий – III, 9. Виявлено, що недогляд та нехтування проведенням лісівничих та агротехнічних заходів у ПЛС спричинили часткове всихання дерев у насадженні, внаслідок чого поширилися збудники захворювань і шкідливі комахи, які заселяли окремі дерева у насадженні.
Висотно-поясні особливості всихання ялинників на північно- східному мегасхилі Українських Карпат
Authors: Oliinyk V. S. , Zeinalian A. M.
Published: October 2020

Проаналізовано особливості поширення всихання ялинових насаджень у висотному діапазоні гір 350–1 400 м над рівнем моря на прикладі басейну річки Бистриця Солотвинська північно-східного мегасхилу Українських Карпат. Охарактеризовано кількість і площі осередків часткового та суцільного вс ихання для висотних поясів – передгірних ялицево-букових і гірських буково-ялицевих, буково-ялицево-ялинових і ялинових лісів. Наведено верхню межу поширення всихання. Розраховано емпіричні залежності площ осередків різних видів цього явища від гіпсометричних рівнів гірської системи. З’ясовано, що найбільш уразливою до всихання є ялина на висотах 400–900 м н. р. м. Оцінено вплив експозиції та крутизни гірських схилів на поширення процесів усихання. Виявлено, що в передгірних умовах важлива роль у стійкості похідних ялинників належить ландшафтно-лісівничим особливостям. У цих умовах процеси всихання насаджень найменш активно відбуваються в глибині лісових масивів, дещо активніше – на ділянках, що межують із галявинами, зрубами й молодняками, і сягають максимуму в смугах узлісся.
Strengths and Weaknesses of Cognitive Theory
Authors: Alahmad Mana
Published: October 2020

This paper focuses on strengths and weaknesses of the Cognitive Theory. Many theories have been proposed over the years to explain the developmental changes that people undergo over the course of their lives. These theories differ in the conceptions of human nature they adopt and in what they regard to be the basic causes and mechanisms of human motivation and behavior. Piaget's theory of cognitive development explains how a child constructs a mental model of the world. He disagreed with the idea that intelligence was a fixed trait, and regarded cognitive development as a process which occurs due to biological maturation and interaction with the environment. Cognitive learning theory is best used to guide learning when trying to build usefulness Knowledge structures, and clinical reasoning teaching. The theory suggests that Clinical exercise is crucial to the organization of Memory Knowledge and Recall Facilitation. This means teachers will be expected to be aware of prior clinical experiences of the learner before assessing the learner’s experience Powerful performance.
Social Construction of Commercial Sex Workers at Nightclub in Palangka Raya
Authors: Anggraeni Sucita , Pitoyo Dhanu
Published: October 2020

This study aims to analyze Commercial Sex Workers (CSWs) in night clubs in the city of Palangka Raya with a review of social construction. Data obtained based on the results of in depth interviews during the months of June to August 2018 with three CSWs who are willing to be interviewed are supported from relevant secondary data. The data is processed based on qualitative research principles based on the type of case study research. In the results of this study it was found that the CSWs could be independent or take shelter under the agency in the night club. This CSWs network generally starts from working as a Sales Promotion Girl (SPG) or song guide to the sexy dancer at the night club.
The Performance of Mangupa Tradition in Angkola Custom, Medan, Indonesia
Authors: Pane Akhiril , Sibarani Robert , Nasution Ikhwanuddin , Takari Muhammad
Published: October 2020

The Angkola oral tradition of mangupa is as household advice by appealing to Allah SWT. This tradition is trusted by indigenous communities to restore the spirit to the body (paulak tondi tu badan). As the object of study is the performance analysis by using Duranti theory (2001: 14) with a view of a) performance, b) indexcality, and c) participation and theory of the performance. Finnegan (1991, 1992: 92-93) states that there are 3 elements such as: a) composition, a form that is composed, b) transmission, the selection process that will continue the oral tradition, and (3) the audience. The methods used are surveys, interviews with key informants, primary data source at the ceremony and secondary data by collecting field data, analyzing data. The result of the analysis of traditional Angkola data is divided into four components: a) Ceremonial place, b) Ceremonial time c) Traditional tools, d) Traditional leaders and participants. The transmission of customary philosophy: sangap, hamomora. and hamoraon. The audiences are all who attended the Angkola traditional wedding ceremony in the tradition of mangupa. The advice on mangupa consists of: 1) mangupa text using the name of Allah SWT, 2) mangupa texts of prayer and hope, 3) mangupa text of hope, and 4) mangupa text with philosophical Angkola custom.
Clinical Predictors of Poorly-Controlled Childhood Epilepsy: A Case-Control Study
Authors: Asaduzzaman Mohammad , Rahman Md Mizanur , Hasan Mohammad Nadim
Published: October 2020

Introduction:The aim of the present study was to determine clinical factors associated with poorly controlled epilepsy.

Materials and Methods: This retrospective study was performed from January 2007 to December 2008 at Paediatric Neurology outpatient department in Bangabandhu Sheikh Mujib Medical University, Dhaka, among the children with epilepsy of 7 months to 15 years age who had history of at least 6 months treatment with rational antiepileptic drugs daily with adequate compliance. There were two groups of patients; group 1, consisted of 50 poorly controlled epilepsy patients and group 2, comprised 50 well-controlled epilepsy patients. We retrospectively reviewed EEGs and medical records from these children. Features of clinical findings were compared between the two groups.

Results: In this study, age of onset of initial seizure before 1 year, mixed type of seizure, infantile spasm, high initial seizure frequency (daily seizure), symptomatic etiology, mental retardation, neonatal seizure and more than 20 seizures before starting treatment were also found to be significant clinical predictors of poorly controlled epilepsy. Multivariate analysis detected 2 independent clinical predictors of poorly controlled epilepsy: mixed seizures and more than 20 seizures before starting treatment.

Conclusions: The study showed several clinical factors that can be identified early in the course of childhood epilepsy which can predict development of poor seizure control. Knowledge of these factors will help us to discriminate our patients and pay more attention to those at risk of developing poorly controlled epilepsy.

Medicine Today 2020 Vol.32(2): 85-90
Epidemiological & Clinical Manifestation of Cirrhosis of Liver in a Tertiary Hospital
Authors: Hossain SK Moazzem , Kabir Farjana , Kamal SM , Chanda Utpal Chandra , Tarafder Pritish
Published: October 2020

Introduction:Cirrhosis of liver is common Medical problem in our country and causing for significant morbility & mortality. This study was aimed to findout actiology and clinical presentation of cirrhosis in this southern part of Bangladesh.

Materials & Methods: An observantional study was conducted in Khulna Medical College Hospital from January 2016 to June 2016. That included adult (>15yrs) cirrhosis patient in medicine ward on the basis of history & clinical examination.

Results: Common age is (37-48)yrs, 80% were male patient. Male Female ratio 4:1. Anorexia & dyspepsia were the most common symptom. 78% presented with ascites 34% presented with variceal bledding. Aetiology are Hepatitis B (52%), Hepatitis C (24%) & idiopathic 16%.

Conclusion: Screening for chronic liver disease should include history and physical examination, serum transaminase measurement, upper abdominal ultrasonography, and in some case, fibroscan. Management of patient with cirrhosis should be prevention & early intervention to stabilize disease progression and to avoid or delay clinical decompensation and the need for liver transplantation.

Medicine Today 2020 Vol.32(2): 100-103
Intranasal Splint in Nasal Septal Surgery: Is It Necessary?
Authors: Mazumder Jahangir Alam , Mustafa Md Golam , Delwar AHM , Rashid Shazibur , Rahaman Md Mostafizur , Ahmed Shamsuddin
Published: October 2020

Introduction: After SMR/septoplasty with or without turbinate surgery, it needs to keep apart the septum and turbinates upto their complete healing otherwise there is a chance of adhesion (synechia) formation. To prevent this there are variousprocedures. To place an intranasal splint in one or both sides of the septum is one of them. Nowadays there raised thequestion of whether the splinting is necessary or not. There is no significant difference in result with or without anintranasal splint. Weighing against the co-morbidities the routine use of an intranasal splint can no longer be justified.

Materials and Methods: This is a randomized control study of 200 patients of SMR/septoplasty, done for nasal septaldeviation causing symptoms in Cumilla Medical College Hospital in the period of January 2016 to December 2019. Theywere equally divided into two groups, group-A were operated placing an intranasal splint and group-B with no intranasalsplint. They were followed up for 6 weeks to detect any synechia and co-morbidities.

Result: The age of our patients wasranged from 13-49 years with a mean age of 22.45 years. The male to female ratio is 1.78:1. Synechia was found in 4% ofthe splinted group and 6 of the nonsplinted groups. Co-morbidities were detected more in the splinted group than that ofnon-splinted. In INS group these were found as follows: pain in the nose, face and head (26%), faint during removal ofnasal splint (6%), nasal obstruction (38%), the anxiety of splint removal in the postoperative period (35%) and vestibulitisdue to persistent irritation by a splint (17%).

Conclusion: There is little significant advantage of using intranasal splintroutinely in septal surgery to prevent synechia formation.

Medicine Today 2020 Vol.32(2): 126-129
Changing Pattern of Post-infectious Glomerulonephritis: A Study in South-Western Region of Bangladesh
Authors: Azim Muhammed Arshad Ul , Rahaman Md Motiur , Md Zahir Kamruzzaman , Hauque Md Obaidul , Wadud Md Abdul , Senior Mafia Akter
Published: October 2020

Introduction: In developing countries like Bangladesh, post-infectious glomerulonephritis (PIGN) is the common form ofacute glomerulonephritis having its changing pattern over recent decades. The aim of the study was to analyze the clinicalprofile of PIGN in local scenario.

Materials and Methods: This cross-sectional study was conducted at Shaheed Sheikh AbuNaser Specialized Hospital, Khulna during period from 2017 to 2019. A total of 67 cases of PIGN were identified on thebasis of clinical features, laboratory parameters with recent history of infection. The patients’ records were reviewed withrespect to clinical data. Patients with reduced complement level were included.

Result: The age range of the patients wasbetween 2 and 55 years with male predominance. The study revealed that 32.8% of patients had a recent history of sorethroat, 31.3 % of patients had a history of skin infection and rest 35% had a history of fever. Moreover, during presentation68% of patients had hypertension and 37 % of patient had renal impairment. In this study, majority of patients (53%)presented with one plus to two plus proteinuria and the rest of the patients (37%) presented with three plus proteinuria ondipstick. After 2 weeks of follow up, the presence of hematuria found in 58 patients out of 67, proteinuria found in 14patients out of 61 and renal impairment found in 5 patients out of 25.

Conclusion: PIGN has been changing with respect toage, proteinuria and renal function. To follow-up periodically and reduction in overcrowding of the patients, would be oneof the superior suggestions to reduce the spread of infectious diseases in our country.

Medicine Today 2020 Vol.32(2): 130-133
L’ecografia del rene trapiantato: caratteristiche specifiche e utilizzo nella pratica clinica
Authors: Alfieri Carlo Maria , Tangredi Marianna , Giuliani Silvia , Messa Piergiorgio
Published: October 2020

Renal transplantation (RTx) is at the moment the best therapy for end stage renal disease. In recent years, the increase of the global knowledge about immunology and RTx complications allowed a significant increase in the duration of RTx and in patients’ survival.
RTx ultrasound gives to transplant clinicians the possibility of carrying out a structural monitoring of the graft from the beginning throughout the duration of the RTx. Then, ultrasound is a first-level method that all clinicians should be able to perform and interpret.
In this paper we will present some basic concepts about the ultrasound image of the “healthy” transplanted kidney, relating them to the main pathological pictures that may occur during a clinical-ultrasound monitoring of the RTx.
Finally, some concepts regarding the use and usefulness of ultrasound with contrast media (CEUS) in the evaluation and the follow-up of RTx will be discussed.
A pedagogia Waldorf e a Base Nacional Comum Curricular na formação da criança
Authors: Saraiva Gabriela Luz , Zucolotto Marcele Pereira da Rosa
Published: October 2020

Este artigo tem como objetivo principal fazer uma apresentação da Pedagogia Waldorf relacionando-a com as competências gerais para a educação básica apontadas pela Base Nacional Comum Curricular (BNCC). Para tanto, realizou-se um estudo de cunho teórico buscando compreender como esta pedagogia coloca em prática o desenvolvimento das competências estabelecidas na Base Nacional Comum Curricular e se a mesma consegue atender ao desenvolvimento do aluno considerando as competências estabelecidas pela Base. Como resultados, percebeu-se que a pedagogia Waldorf pode ser entendida como uma alternativa de concretização dos preceitos da BNCC, tendo em vista que ambas se esforçam por fomentar um ser humano ético, livre, crítico, autônomo. Por fim, espera-se que este estudo possa contribuir para o campo educacional, tendo em vista que o foco deste, a pedagogia Waldorf, apresentou-se não apenas como uma possibilidade de consolidação das normativas da BNCC, mas principalmente como possibilidade de que a práticas pedagógicas possam contribuir para a formação de seres humanos integrais aptos a atuarem eticamente em nossa sociedade.
Screening Fitoquímico de amostras de própolis do Nordeste do Brasil por HPLC: Variedades verde, negra e vermelha
Authors: Rodrigues Maria do Socorro Araujo , Sousa Bruna Rodrigues de , Cunha Marcelo Holanda da , Araujo Alfredina dos Santos , Silva Osvaldo Soares da , Fonseca Sthelio Braga da , Meireles Bruno Raniere Lins de Albuquerque , Medeiros Weverton Pereira de , Freitas Francisco Bruno Ferreira de , Albuquerque Tiago da Nóbrega
Published: October 2020

A própolis é uma resina natural elaborado por abelhas do gênero Apis sp., e devido à sua atividade antioxidante e antimicrobiana, tem sido usada frequentemente na medicina alternativa em diversos locais do mundo. Essas características biológicas estão atreladas a sua composição química, precisamente aos compostos fenólicos que variam em relação a sua estrutura e concentração dependendo da região de produção, disponibilidade de fontes vegetais para coleta de resinas e época do ano. Diversos experimentos têm sido conduzidos a fim de definir os compostos que caracterizam estas atividades, sendo assim, o objetivo deste estudo foi elaborar e identificar a composição química dos extratos hidroalcoólicos das própolis vermelha, verde e negra por Cromatografia Líquida de Alta Eficiência. Os perfis apresentados por Cromatografia Líquida de Alta Eficiência (CLAE) dos extratos das amostras da própolis verde, vermelha e negra foram bastante semelhantes, mas houve uma grande variação em termos de perfil quantitativo, além de desempenharem um papel essencial na atividade antioxidante. Através dos cromatogramas, verifica-se que em função da concentração de própolis, diferentes compostos fenólicos são extraídos a partir da própolis, resultando em extratos com diferentes propriedades biológicas. Estes dados associados contribuem para o conhecimento da atividade biológica do extrato hidroalcoólico de própolis verde, favorecendo a busca de novos agentes terapêuticos.
The relationship between water flow and water quality in an experimental coastal watershed microbasin in Northeastern Brazil
Authors: Silva Karina Ribeiro da , Santos Weslei Almeida , Silva Joel Marques da , Leite Igor Vieira , Oliveira Junior José Augusto , Almeida André Quintão , Garcia Carlos Alexandre Borges , Costa Silvânio Silvério Lopes da
Published: October 2020

Water quality is an important tool to support the planning and management of water resources. This article has as its main objective to evaluate changes in the quality of the surface waters of the Timbó stream as a function of flow in an experimental watershed located in São Cristóvão (SE), northeastern Brazil. Four sampling campaigns were carried out in 2018 to evaluate pH, dissolved oxygen, electrical conductivity, total dissolved solids, turbidity and temperature at three collection points. Data on land use and occupation and the flow of the Timbó stream were also obtained. The land use and occupation survey indicated that 51% of the total area of the microbasin is occupied by forests and that 49% is composed of pasture, undergrowth and exposed soil. The correlation analysis identified a strong correlation (p-value <0.05) between the studied parameters, with an emphasis on a direct relationship between Q and TUR (r = 0.9) and Q and O (r = 0.6) and an inversely proportional relationship between TDS and CE (r = -0.8), confirming the results of a principal component analysis, where the parameters contributing the most to the quality of the investigated water resource were CE, TDS, OD and turbidity.
A construção da identidade histórico-cultural no espaço escolar e o ensino de Educação Física
Authors: Serafim Lielle , Salim Maria Alayde Alcantara , Quinquim Marli
Published: October 2020

A presente artigo apresenta um trabalho com a dança afro-brasileira associada aos processos de construção da identidade histórico cultural, destacando como podemos abordar esse tema no ensino de Educação Física, integrando-o a proposta curricular e a outras disciplinas, desenvolvendo assim atividades de dança que possam oferecer ao aluno a possibilidade de expressão.  Adotamos a Pesquisa Participante com o propósito de nos aproximar da realidade das pessoas em articulação com a investigação sobre nossa própria prática como professora de Educação Física. Ao longo do processo, com base na análise das informações registradas no diário de campo observamos como resultado desse trabalho as mudanças de concepções dos alunos a respeito do racismo e da cultura africana. Acreditamos que ao introduzir as práticas culturais de origem africanas no ambiente escolar estamos permitindo aos sujeitos um contato com parte de sua história, bem como possibilitando sentimentos de representatividade e identificação. Destacamos como resultado a possibilidade da utilização das aulas de Educação Física para valorização da cultura afro brasileira, com práticas educativas que contemplam as questões raciais e colaboram para a eliminação do racismo, do preconceito, da discriminação e fortalecem a construção da identidade histórico cultural.
Transtorno do espectro autista e hábito alimentar de crianças e adolescentes
Authors: Gomes Aliny Barros , Barbosa Rhuanna Silva , Bezerra KeilaCristiane Batista , Ibiapina Daniela Fortes Neves
Published: October 2020

O presente estudo objetivou realizar uma revisão integrativa sobre Transtorno do Espectro Autista e hábito alimentar, analisando especificadamente sobre os hábitos alimentares dos autistas e os fatores que influenciam no hábito alimentar de crianças e adolescentes portadoras do TEA. Trata-se de uma revisão integrativa da literatura, de natureza qualitativa e exploratória, com abordagem teórica. As buscas pelas referências de artigos foram feitas através de banco de dados eletrônicos (Scielo, Google Acadêmico, BVS, LILACS, PUBMED). Para o levantamento das pesquisas foram utilizados os descritores: “transtorno do espectro autista”, “comportamento “, “alimentação”, “nutrição”, “crianças”, “adolescentes”, no idioma português, e inglês, cadastrados nos Descritores em Ciências da Saúde (DeCS). A busca resultou inicialmente em 18 artigos, que abordavam os descritores selecionados para pesquisa. Após a análise e a leitura minuciosa respeitando os critérios de inclusão e exclusão, restaram 10 artigos para a análise, no período de 2018 a 2020. Nos estudos analisados foi possível observar um alto consumo de alimentos processados e uma baixa variedade alimentar, além de uma alta recusa da inserção de novos alimentos na dieta, podendo ocasionar deficiência de micronutrientes e problemas no desenvolvimento dessas crianças e adolescentes portadoras do TEA. Conclui-se que o hábito alimentar de crianças e adolescentes apresentou alterações em 100% dos estudos analisados, demonstrando a preferência pelos alimentos processados e apresentando elevado índice de sobrepeso e obesidade, assim como, a deficiência de vitaminas e minerais. Evidenciando o risco de problemas nutricionais a longo prazo, já que os hábitos da infância têm influência direta na vida adulta.
Germinação de sementes de Amburana cearensis (Allemao) A. C. Sm. submetidas a diferentes substratos
Authors: Ferraz Graciane  Xavier Leal , Silva Monalisa Alves Diniz da , Alves Rafael Mateus , Freire Elania , Alves Robson José Rodrigues , Ferraz Edimir Xavier Leal
Published: October 2020

Espécies florestais da Caatinga são comumente utilizadas para a recuperação de áreas degradadas, normalmente para a produção das mudas as sementes são colocadas para germinar em substratos. Com isso, objetivou-se com essa pesquisa avaliar diferentes tipos de substratos para a germinação de sementes de A. cearensis, buscando a determinação do mais adequado para promover o desenvolvimento inicial da espécie. O experimento foi realizado em delineamento inteiramente casualizado, com cincos substratos, sendo, areia, vermiculita textura fina, vermiculita textura grossa, húmus e fibra de coco, com quatro repetições de 25 sementes. Após a semeadura realizou-se irrigações diariamente até ao 30o dia após o semeio. Foram avaliados, porcentagem de emergência, tempo médio de emergência, índice de velocidade de emergência, altura das plântulas, comprimento radicular, massa seca da parte aérea e do sistema radicular e a massa seca total das plântulas. O substrato vermiculita textura média proporcionou os melhores resultados quanto a porcentagem de emergência, o índice de velocidade de emergência, o comprimento da parte aérea e do sistema radicular. A vermiculita textura média é o substrato mais indicado para o desenvolvimento inicial de A. cearensis.
Quality of grape tomatoes in differents cultivation systems
Authors: Rocha André Mesquita , Chagas Andreia Aparecida dos Anjos , Silva Gabriela Conceição Oliveira e , Silva Ernani Clarete da , Silva Washington Azevedo da , Carlos Lanamar de Almeida
Published: October 2020

Tomato is a fruit rich in bioactive compounds like lycopene, vitamin C and phenolic compounds. However, cultivation conditions can influence the concentration of these substances. In this study, the objective was to analyze quality characteristics of tomato fruits in different cultivation systems. The following characteristics were evaluated: pH, soluble solids content, total acidity, relationship between soluble solids content and total acidity, instrumental color parameters (L *, a *, b *, chroma and hue), texture, bioactive compounds (total carotenoids, lycopene, total phenolic compounds and vitamin C) and antioxidant activity of grape tomato fruits grown in a greenhouse in different systems (soil x substrate). A completely randomized design was used, with two treatments and four replications. The analysis were performed by official methods and in triplicate. The pH, soluble solids, texture, color, lycopene, vitamins C and antioxidant activity were not affected by the cultivation system used. However, grape-type tomatoes grown in substrate showed higher levels of carotenoids (36.31 µg.100 g-1 fresh matter), phenolic compounds (68.37 mg GAE.100 g-1 fresh matter) and ratio between total soluble solids and total acidity (17.90), and lower total acidity (0.58% citric acid 100 g-1), which represents a nutritional, sensorial and functional advantage for the consumer.