bluuebunny/crossref_metadata_2025 huggingface dataset:
Penggunaan Anestesi Lokal dan Adjuvan pada Analgesi Epidural di Wilayah Jawa Barat Tahun 2015
Authors: Yadi Dedi Fitri , Ibnu Muhamad , Oktaliansah Ezra
Published: September 2017

Analgesi epidural yang optimal akan menghasilkan penanganan nyeri yang baik dengan efek samping minimal dan meningkatkan kepuasan pasien. Sampai saat ini belum terdapat data di Indonesia khususnya di wilayah Jawa Barat mengenai penggunaan anestesi lokal dan adjuvan pada analgesi epidural. Tujuan penelitian ini mecari data mengenai penggunaan anestesi lokal dan adjuvan yang digunakan oleh dokter spesialis anestesi di wilayah Jawa Barat pada tahun 2015. Penelitian ini dilakukan pada bulan Agustus hingga September 2016 di Departemen Anestesiologi dan Terapi Intensif Rumah Sakit Dr. Hasan Sadikin Bandung. Penelitian ini bersifat deskriptif dengan pengambilan data menggunakan kuesioner dan pendekatan cross sectional. Kuesioner dikirimkan kepada 120 dokter spesialis anestesi di Jawa Barat melalui jasa pos dan 30 kuesioner diberikan langsung kepada dokter spesialis anestesi yang bekerja di Rumah Sakit Dr. Hasan Sadikin Bandung. Angka respons yang didapatkan sebesar 47,3%. Hasil penelitian ini didapatkan dokter spesialis anestesi di Jawa Barat yang masih melakukan analgesi epidural pada tahun 2015 sebesar 73,2%. Obat anestesi lokal yang paling banyak digunakan untuk analgesi epidural adalah bupivakain sebesar 94,23%. Konsentrasi terbanyak 0,125% sebesar 82%. Adjuvan yang paling banyak digunakan adalah fentanil sebesar 96,9%. Simpulan penelitian ini sebagian besar dokter spesialis anestesi masih menggunakan epidural sebagai analgesi sehingga bupivakasin dan fentanil menjadi obat terbanyak yang digunakan.Kata kunci: Analgesi epidural, anestesi lokal, adjuvan  Local Anesthetic and Adjuvan Used for Epidural Analgesia in West Java in 2015Optimal analgesia epidural technique should promote effective pain relief with minor adverse event and major pastient satisfactory. Up till now, there was no data about local anesthetic and adjuvan agent used for epidural analgesia by anesthesiologist in Indonesia, especially in West Java. The purpose of this study to find data regarding local anesthetic and adjuvan agent used for epidural analgesia by anesthesiologist in Indonesia, especially in West Java in 2015. This research was conducted from August to September 2016 in the Department of Anesthesiology and Intensive Therapy Dr. Hasan Sadikin Hospital in Bandung. This is a descriptive study with cross sectional approach using questionairre. Questionairre was sent to 120 anesthesiologist through mail and 30 questionairre was given to anesthesiologists worked at Dr. Hasan Sadikin General Hospital Bandung. Response was obtained 47.3%. This study shows that there were 73.2% anesthesiologist performed epidural analgesia in 2015. The most  local anesthetic used in epidural blockade was bupivacaine, amounted 94.23% and the most concentration is 0.125%, amounted 82%. The most used adjuvant was fentanyl, 96.9%. In Conclusion, most of the anesthesiologist used epidural as an analgesia so bupivacaine and fentanyl used most frequentKey words: Epidural analgesia, local anesthetic, adjuvan
Distinct Effects of Body Mass Index and Waist/Hip Ratio on Risk of Breast Cancer by Joint Estrogen and Progestogen Receptor Status: Results from a Case-Control Study in Northern and Eastern China and Implications for Chemoprevention
Authors: Wang Fei , Liu Liyuan , Cui Shude , Tian Fuguo , Fan Zhimin , Geng Cuizhi , Cao Xuchen , Yang Zhenlin , Wang Xiang , Liang Hong , Wang Shu , Jiang Hongchuan , Duan Xuening , Wang Haibo , Li Guolou , Wang Qitang , Zhang Jianguo , Jin Feng , Tang Jinhai , Li Liang , Zhu Shiguang , Zuo Wenshu , Ma Zhongbing , Zhou Fei , Yu Lixiang , Xiang Yujuan , Li Liang , Shen Shuohao , Yu Zhigang
Published: September 2017

Background

Obesity is a consideration in the pharmacologic intervention for estrogen receptor (ER) positive (ER+) breast cancer risk. Body mass index (BMI) and waist/hip ratio (WHR) have demonstrated different effects on breast cancer risk in relation to estrogen receptor (ER) status, but the results have been inconsistent. Furthermore, the situation in Chinese women remains unclear.

Materials and Methods

We conducted a case-control study including 1,439 breast cancer cases in Northern and Eastern China. Both ER and progesterone receptor (PR) statuses were available for 1,316 cases. Associations between body size-related factors and breast cancer risk defined by receptor status were assessed by multiple polytomous unconditional logistic regression analysis.

Results

Body mass index and WHR were positively associated with overall breast cancer risk. Body mass index was positively associated with both ER+/PR positive (PR+) and ER negative (ER−)/PR negative(PR−) subtype risks, although only significantly for ER+/PR+ subtype. Waist–hip ratio was only positively correlated with ER−/PR− subtype risk, although independent of BMI. Body mass index was positively associated with risk of ER+/PR+ and ER−/PR− subtypes in premenopausal women, whereas WHR was inversely correlated with ER+/PR− and positively with ER−/PR− subtype risks. Among postmenopausal women, WHR >0.85 was associated with increased risk of ER−/PR− subtype.

Conclusion

Both general and central obesity contribute to breast cancer risk, with different effects on specific subtypes. General obesity, indicated by BMI, is more strongly associated with ER+/PR+ subtype, especially among premenopausal women, whereas central obesity, indicated by WHR, is more specific for ER−/PR− subtype, independent of menopausal status. These results suggest that different chemoprevention strategies may be appropriate in selected individuals.
Seasonal proteinuria changes in IgA nephropathy patients after proteinuria remission v1
Authors: Koji Inagaki
Published: September 2017

Background: Proteinuria is a powerful prognostic factor for end-stage renal disease in IgA nephropathy (IgAN) patients. However, it is not known whether proteinuria exacerbations are related to seasonal changes. Methods: We retrospectively enrolled consecutive patients diagnosed with IgAN by kidney biopsy at our hospital between 2002 and 2014. Proteinuria remission was defined as urinary protein <0.3 g/gCr in two consecutive outpatient urinalyses and exacerbation as urinary protein 竕･0.75 g/gCr. Four seasons were defined: spring (March- May), summer (June- August), autumn (September- November), and winter (December- February). We performed a multivariate analysis to identify factors associated with the second remission following a proteinuria exacerbation. Results: We analyzed 116 patients. Proteinuria remission and exacerbation occurred in 89, and 50 patients, respectively. The incidence of proteinuria exacerbation was significantly higher in autumn and winter than in spring and summer (p=0.040). The cumulative second remission rate was significantly higher in patients with autumn and winter proteinuria exacerbation than in patients with spring and summer exacerbations (p=0.010). In multivariate analyses, exacerbation onset in autumn and winter (HR, 3.36; 95% CI, 1.36- 8.34) and intensive therapy (HR, 2.68; 95% CI, 1.24- 5.80) were significantly associated with a second proteinuria remission. Conclusion: In IgAN patients in proteinuria remission, proteinuria exacerbation frequently occurred in autumn and winter. Exacerbations occurring in autumn and winter tended to remit early.
Screening for high productive salt tolerant mutant M4 lines in chickpea(Cicer arietinum L.)
Authors: Das Mousumi , Kundagrami Saby Asachi
Published: September 2017

Genetic improvement through induced mutation has been very effective in improvement of crops. Seeds of three popular chickpea variety namely BGM 408, B115 and JG 315 were treated with 10,20 and 30 kR of gamma rays. Then treated seeds with their respective control(0 kR gamma rays) were sown in the field of Calcutta University experimental farm,Baruipur (with no salinity) in three consecutive years to raise M1, M2 and M3 generations respectively.Some M3 lines having higher yield potential were subjected to grow as M4 lines in salt stressed field (5-7ds m-1) of Hingalganj,South 24 Parganas. Finally, some promising salt tolerant lines with improved seed yield were selected which have a good promise for coastal saline belt after releasing as a variety.
Evaluation of gingival crevicular fluid and peri‐implant sulcus fluid levels of periostin: A preliminary report
Authors: Akman Abdullah C. , Buyukozdemir Askin Sezen , Guncu Guliz N. , Nohutcu Rahime M.
Published: September 2017

Background

Periostin is a protein present in alveolar bone and periodontal ligament whose function is related to response to external forces. The aims of this study are to detect levels of periostin in peri‐implant sulcular fluid (PISF) and gingival crevicular fluid (GCF) and to evaluate the relationship between periostin, pyridinoline cross‐linked carboxyterminal telopeptide of Type I collagen (ICTP), and C‐terminal cross‐linked telopeptide of Type I collagen (CTX) levels and clinical inflammatory symptoms and duration of functional loading.

Methods

The study population comprised nine women and four men with mean age 43.23 ± 12.48. Twenty “bone‐level designed” dental implants (DIs) placed in molar or premolar sites, without any signs of peri‐implant bone loss and with a restoration in function for at least 12 months, were included in the study with 20 contralateral natural teeth (NT) as controls. Clinical parameters and restoration dates of the implants were recorded. PISF, GCF, ICTP, CTX, and periostin levels were evaluated using enzyme‐linked immunosorbent assay.

Results

ICTP, CTX, and periostin levels were similar between DI and NT groups. There were no statistically significant differences between PISF and GCF values. When implants were grouped as healthy (gingival index [GI] = 0) and inflamed (GI ≥0), ICTP levels and PISF volume were lower in healthy implants compared with the inflamed group. Both periostin and CTX levels were negatively correlated with functioning time, suggesting less bone remodeling around DIs at later stages of functioning.

Conclusion

Findings of this study suggest collagen breakdown products may be used as markers to evaluate peri‐implant metabolism.
On the dynamics of an SIR epidemic model with a saturated incidence rate
Authors: Zaki A. S. , Yousef A. M. , Rida S. Z. , Gouda Y. Gh.
Published: September 2017

In this paper, discrete-time epidemic model with a saturated incidence rate is considered. Firstly, we introduce the local stability analysis of the system by details. Next, we study the bifurcation phenomena and the sufficient condition to verify flip bifurcation and Neimark-sacker bifurcation by using bifurcation theory and the center manifold theorem. Finally, numerical simulation including bifurcation diagrams, phase portraits and Chaotic attractors is carried out by using matlab to verify theoretical results obtained.
The Spatiotemporal Distribution of Two Bacterial Indexes in a Small Tibetan Plateau Watershed
Authors: Zhao Tongtong , Song Bangguo , Chen Yuansheng , Yao Weiwei , Ye Bixiong
Published: September 2017

Microbial contamination is now more common than chemical contamination in Tibet, and water-borne microbes can cause a number of diseases that threaten public health. Thus, in order to clarify the spatiotemporal distribution of bacteria in small watersheds for which there is no data in Tibet, we set up four sampling points along an upstream-downstream transect of the Xincang River Basin. We collected 239 water samples in 2014 and 2015, and evaluated their total constituent numbers of bacteria (TB) and coliforms (TC). The results of this study show that the microbial contamination of the Xincang River Basin is mild-to-moderate in terms of TB and TC contents, and that these concentrations vary significantly in different seasons. Results show that in summer TB and TC concentrations in the downstream section of this river were highest and that microbial contamination was most serious. Data also demonstrate that precipitation is the most important factor underlying increases in TB and TC concentrations during the summer months; both these variables are significantly correlated with precipitation, while animal husbandry and domestic sewage are the main sources of microbial contamination overall. The results of this study are likely to reflect the basic characteristics of small watersheds for which there is no data to some extent, and are thus of significant practical importance for protecting their ecological environments and promoting sustainable development.
Nanotherapy for Early Dementia: Targeting Senile Endothelium
Authors: D'Arrigo Joseph S.
Published: September 2017

Due to the complexity of Alzheimer's disease, multiple cellular types need to be targeted simultaneously in order for a given therapy to demonstrate any major effectiveness. Ultrasound-sensitive coated microbubbles (in a targeted lipid nanoemulsion) are available. Versatile small molecule drug(s) targeting multiple pathways of Alzheimer's disease pathogenesis are known. By incorporating such drug(s) into the targeted LCM/ND lipid nanoemulsion type, one obtains a multitasking combination therapeutic for translational medicine. This multitasking therapeutic targets cell-surface scavenger receptors (mainly SR-BI), making possible for various Alzheimer's-related cell types to be simultaneously searched out for localized drug treatment in vivo. Besides targeting cell-surface SR-BI, the proposed LCM/ND-nanoemulsion combination therapeutic(s) include a characteristic lipid-coated microbubble [LCM] subpopulation (i.e., a stable LCM suspension); such film-stabilized microbubbles are well known to substantially reduce the acoustic power levels needed for accomplishing temporary noninvasive (transcranial) ultrasound treatment, or sonoporation, if additionally desired for the Alzheimer's patient.
Is Fundulus heteroclitus Intrusion Depleting Winter Marsh Pools of Native Fish Species?
Authors: Gonçalves Renata , Cruz Joana , Ben-Hamadou Radhouan , Teodósio Maria Alexandra , Correia Ana Dulce , Chícharo Luís
Published: September 2017

This work updates the characterization of winter fish communities in salt marsh areas of Guadiana estuary (SE-Portugal) and discusses the potential risks of habitat dominance by a non-indigenous species (NIS). To this effect, six field campaigns were carried out during winter season targeting the collection of fish species. Individuals from seven different families (marine and estuarine) were collected although the community was dominated by two estuarine species – the native Pomatoschistus sp. (goby) and the NIS Fundulus heteroclitus (mummichog).  Goby controlled the majority of salt marsh habitats, except one specific, marsh pool, where extreme environmental conditions were registered, namely high temperature and salinity. Such conditions may have boosted the intrusion of mummichog in this area. This species is well adapted to a wide range of abiotic factors enabling them to colonize habitats where no predators inhabit. Impacts of mummichog intrusion in the Guadiana salt marsh area are still unpredictable since this is the first recorded in such high density. Nevertheless, in scenarios of increased anthropogenic pressure and, consequently, habitat degradation, there is a potential risk of mummichog spread to other habitats and therefore compete for space and food resources with native species.
The Peculiarities of Family Doctors Retraining in Georgia
Authors: Murusidze Lela , Zarnadze Irine , Zarnadze Shalva , Bakradze Tamar , Cheishvili Jilda
Published: September 2017

Working out of the human resources development policy and long-term plan, funding of critical specialties and employment of sought-after experts in coastal and mountainous regions, coordination and standardization of continuing and medical education are necessary. Geographical and financial availability of the first healthcare services, create the adequate conditions  of the first healthcare team which one consists: appropriate equipment and physical infrastructure, medical documents, to acknowledge the necessity of team working in healthcare system and define the proper contract obligations for doctors, for the reason of medical service improvement quality in providing the Disease Control national  recommendations and standards availability for regional doctors, encourage the audit systemspread information about the reform of Georgian healthcare in populations and healthcare professionals, encourage patient’s education, check the teaching programs of doctors retraining on which foundation will be able to create better conditions for practical skills. 

Our country must encourage to hold some priority scientific researches as in the field of state as in international grant program. Above-mentioned can be implemented by the active collaboration with USA and European disease control leading medical schools or universities, scientific funds and other international partner organizations.
Implementation of Public Works in Greater Warangal Municipal Corporation
Authors: Chandrakala Mattewada
Published: September 2017

A majority of the slum households in Warangal are working as labourers. The slums lack infrastructure facilities such as roads, drainage, housing, electricity, basic education and health, etc. With the implementation of programmes like Swarna Jayanthi Sahari Rozgar Yojana (SJSRY), the community based organizations like neighborhood groups and neighborhood committees have taken roots and they have been participating in the poverty alleviation and other development programmes effectively.  Spread of slums across the city is contributing to unhygienic environment in terms of cleanliness, water stagnation, presence of vectors, etc., which increases vulnerability towards deceases. Living conditions of the poor have consistently deteriorated due to several factors like inadequate environmental infrastructure and basic services. This research article to be discussed the problems and prospects of Implementation of Public Works Programmes in Greater Warangal Municipal Corporation. 
PENGARUH SUMBER INFORMASI TERHADAP KEPUTUSAN ADOPSI INOVASI PERTANIAN BIOINDUSTRI SERAI WANGI DAN TERNAK
Authors: Rushendi Rushendi , Zachroni Reni Siti
Published: September 2017

Penerapan inovasi pertanian bioindustri integrasi serai wangi dan ternak sapi bertujuan untuk meningkatkan produktivitas lahan dan mengurangi pemanfaatan input dari luar. Namun, penerapan inovasi tersebut oleh petani cenderung lambat. Oleh karena itu, diperlukan studi adopsi teknologi pertanian untuk memahami sumber informasi yang diperoleh petani dalam membuat keputusan adopsi inovasi pertanian bioindustri. Penelitian ini bertujuan untuk mengetahui pengaruh sumber informasi dalam keputusan adopsi inovasi pertanian bioindustri integrasi serai wangi dan ternak. Penelitian menggunakan metode survei melalui pendekatan kuantitatif deskriptif dengan uji korelasi regresi. Lokasi penelitian dipilih secara sengaja (purposive) dengan teknik cluster random sampling di empat dusun di Desa Cikahuripan, Kecamatan Lembang, Bandung Barat, pada bulan Maret–Mei 2016 dengan total sampel 230 petani. Hasil penelitian menunjukkan bahwa komponen inovasi yang diadopsi petani adalah menanam serai wangi, pemanfaatan limbah kotoran ternak menjadi pupuk organik, pemanfaatan limbah kotoran ternak menjadi biogas rumah tangga, dan membuat yoghurt. Faktor yang memengaruhi keputusan petani untuk mengadopsi inovasi pertanian bioindustri integrasi serai wangi dan ternak yaitu komunikasi melalui media dialog, tingkat kompetensi sumber informasi yang masuk kategori tinggi, dan tingkat kepercayaan sumber informasi terpercaya.
PERANCANGAN DAN PEMBANGUNAN SISTEM E-LEARNING PERPUSTAKAAN PERTANIAN
Authors: Kusmayadi Eka , Suryantini Heryati
Published: September 2017

Pustakawan perlu terus berupaya meningkatkan kompetensinya agar dapat mengelola perpustakaan dengan baik dan benar. Hal tersebut sesuai dengan amanat UU No. 5/2014 tentang Aparatur Sipil Negara. Namun, kompetensi pustakawan Kementerian Pertanian dalam pengelolaan perpustakaan belum optimal. Kondisi tersebut antara lain disebabkan kurangnya kesempatan pustakawan untuk mengikuti pelatihan, kurangnya kemandirian untuk meningkatkan kompetensi, dan terbatasnya dana untuk mengikuti kegiatan pengembangan kompetensi. Salah satu sarana peningkatan kompetensi yang sudah lama dimanfaatkan, terutama dalam dunia pendidikan, ialah e-learning. Sistem ini memanfaatkan kemajuan di bidang teknologi informasi dan komunikasi untuk meningkatkan kemampuan peserta didik. Pusat Perpustakaan dan Penyebaran Teknologi Pertanian telah membangun e-learning dengan memperhatikan metode Daur Hidup Sistem Informasi (SDLC) serta menyiapkan modul untuk mengisi materi e-learning. Melalui aplikasi ini, pustakawan diharapkan dapat mengikuti pembelajaran teknis pengelolaan perpustakaan serta memperoleh bimbingan teknis untuk keperluan uji kompetensi dan sertifikasi. Pada pengembangan selanjutnya, e-learning dapat digunakan untuk meningkatkan literasi informasi pengguna perpustakaan (pemustaka) lainnya. Agar e-learning beroperasi dengan baik diperlukan SOP pengoperasian sistem dan  pemeliharaan server.
Using Open Badges to support student engagement and evidence based practice
Authors: Harvey Fiona
Published: September 2017

The use of Open Badges as a scaffold for developing digital skills with staff and students has been part of the student engagement work at the University of Southampton. The Innovation and Digital Literacies Champions (iChamps) have been working with staff and students across a range of disciplines to formulate projects, deliver workshops to other students and support staff in developing their digital skills. This model has now been adopted by other academic units and this case study will focus on Geography. This paper introduces how open badges and e-portfolios have been used to support the development of digital literacies skills and enhance student engagement. Although the model had been in use for some time with the iChamps, it has only been during the REACT project that we extended the use of these digital tools for a particular cohort of students. In this case study, we report on our initial findings of the experiences of implementation with a first-year undergraduate cohort of Geography students and compare this to our very engaged iChamps. We also include successes of and challenges to this approach, in an attempt to encourage other institutions to develop Open Badges and evidence-based learning for themselves.
Políticas públicas educativas en Latinoamérica: el contexto brasileño y el venezolano
Authors: Socorro Paulina Elena Villasmil , Santos Arlete Ramos dos , Nunes Claudio Pinto
Published: September 2017

En el siguiente trabajo se analiza el devenir de las políticas públicas educativas en América Latina haciendo especial énfasis en el caso de Brasil y Venezuela. Se reflexiona sobre la relación entre el proceso de expansión imperialista y su huella en la constitución de una sociedad desigual. En este transcurso se han ido configurando sistemas educativos a la medida del modelo mercantilista vaciando de contenido su función social y generando, a su vez, el fenómeno de la exclusión y segregación. Este análisis toma como enmarque el desarrollo de las políticas públicas que desde el siglo XX hasta el momento actual se han implementado en Brasil y Venezuela, su contexto histórico, sus logros, contradicciones y los desafíos aún por enfrentar desde el punto de vista de la formación de los docentes y desde la propia praxis pedagógica.
A autonomia do Ensino Superior Português entre a lei e a prática – estudo de caso múltiplo
Authors: Nascimento Ana , Cabrito Belmiro
Published: September 2017

A autonomia no ensino superior tem tido várias interpretações. Todavia, as ideias “autonomia universitária” e “liberdade académica” sempre estiveram presentes. Neste artigo, discutem-se aqueles conceitos e contextualizam-se na atual realidade portuguesa, partindo da investigação de doutoramento em Educação intitulada “Financiamento do ensino superior público português: diversificação de fontes”. O subfinanciamento público das instituições públicas de ensino superior (IES), agravado desde 1990, levou os seus dirigentes a procurar fontes alternativas de receita que, pela sua natureza privada poderão ameaçar a autonomia. A investigação pretendeu, entre outros objetivos, clarificar como os dirigentes das IES interpretam a sua autonomia considerando a dependência financeira da instituição face ao exterior. É uma investigação qualitativa, integrando-se no paradigma interpretativo-fenomenológico, assentando nas 37 entrevistas semidiretivas a dirigentes das IES da Zona Metropolitana de Lisboa e aos financiadores. Os autores concluem que os entrevistados veem diminuída a sua autonomia, nomeadamente financeira e administrativa dadas as dificuldades financeiras.
Educação, escola e humanização em Marx, Engels e Lukács
Authors: Borges Liliam Faria Porto
Published: September 2017

O trabalho discute o entendimento da escola a partir dos conceitos de trabalho e humanização em Marx, Engels e Lukács. A constituição humana por meio da sua intervenção junto à natureza e o estabelecimento das relações sociais são processos educativos que se repetem, tanto na história do homem, quanto no desenvolvimento individual, recolocando, nos processos educativos, a construção do homem como ser social e construindo o longo caminho de distanciamento de sua condição animal. Com base nesse breve panorama, propõe uma análise acerca da escola e do ensino no Brasil, indicando a função social da educação escolar e o significado das perspectivas pedagógicas que secundarizam a relação entre ensinar e aprender.
Atuação de fisioterapeutas na inclusão de alunos com deficiência física no ensino regular
Authors: Melo Francisco Ricardo Lins Vieira de , Lucena Neide Maria Gomes de , Saraiva Luzia Lívia Oliveira
Published: September 2017

O estudo teve como objetivo identificar a atuação do fisioterapeuta no processo de inclusão escolar de alunos com deficiência física. Trata-se de uma pesquisa transversal, do tipo descritiva com abordagem quantitativa. Por meio de um questionário, participaram 47 fisioterapeutas, atuantes na área de neuropediatria de cinco centros de reabilitação da cidade de João Pessoa, na Paraíba. Os resultados mostraram que o contexto escolar dos alunos com deficiência física é um campo a ser mais bem explorado pelos fisioterapeutas. Para tanto, é necessária uma formação acadêmica mais condizente com o avanço das concepções acerca da deficiência e das políticas educacionais numa perspectiva multiprofissional, tendo como foco uma maior participação e aprendizagem das pessoas com deficiência física no ensino regular.
Relação intergeracional e aprendizagem docente: elementos para rediscutir a formação de professores
Authors: Sarti Flavia Medeiros , Bueno Michelle Cristina
Published: September 2017

O artigo discute aspectos relativos à aprendizagem docente, compreendida como processo de socialização profissional. Destaca a importância das relações intergeracionais estabelecidas entre professores iniciantes (entre os quais, os estudantes das licenciaturas durante os estágios) e professores experientes em situações de ensino. Parte de resultados obtidos no âmbito de uma investigação qualitativa, que elegeu como referencial empírico o estágio supervisionado em um curso de Pedagogia. A coleta de dados ocorreu por meio de observações (com o recurso de videogravação) das aulas de uma estagiária do curso e de entrevistas semi-estruturadas (recorrendo à videoconfrontação) realizadas com a estagiária e a professora supervisora do estágio. Os dados foram analisados no que se refere ao seu conteúdo, a partir de categorias teóricas desenvolvidas por autores ligados à didática profissional e por autores que, sob outras perspectivas, também discutem o processo de desenvolvimento profissional docente. As discussões propostas ressaltam importantes lacunas no modelo de formação inicial vigente, no que se refere a sua dimensão iniciática, como parte de um processo mais amplo de socialização profissional.
Analytical profile of Kushtha (Saussuria lappa) extensively used medicinal plant in Ayurveda system of medicine
Authors: Jani Dharmendra P. , Jani Komal D.
Published: September 2017

Ayurveda is one of the most ancient medical sciences of the world. It is considered as the Upaveda of Atharvaveda. Kushtha (Saussuria lappa - C.B.Clarke) has been mentioned in various texts of Ayurveda. Acharya Charaka has incorporated Kushtha in more than 100 formulations. It is called similar activity as divine plant Soma. It grows nearby Soma in Himalayas. Kushtha (Saussurea lappa. – C.B.Clarke) is used for the treatment of disease and novel drug entities continue to be developed through research into their constituents. So much adulteration and sub standard quality drug samples are found in the name of Kushtha (Saussurea lappa – C.B.Clarke) in the market. Analytical and physicochemical profiles for standardization of medicinal plants is need of hour. Costunolide can be marker compound for the identification of Kushtha (Saussurea lappa. – C.B.Clarke.)
Study of Ashoka (Saraca Asoca) Bark w.s.r. to its samples available in the crude drug market of Bombay
Authors: Shukla Anil Kumar
Published: September 2017

Ashoka is one of the most legendary and sacred trees of India. The Ashoka bark has been very widely used in Indian System of Medicine. It has very good effects in Uterine, genital and reproductive disorders. Ashoka bark is one of the top 20 herbs traded in Ayurveda and Herbal Industry being main ingredient in almost all formulations to treat Gynaecological disorders. Due to more demand and less supply of authentic Ashoka, there is substitution or adulteration with other plants. In this study of Ashoka bark with special reference to its samples available in the crude drug market of Mumbai, we determined method and time of collection of the authentic Ashoka bark, its organoleptic characteristics, Pharmacognostical and physic-chemical along with market samples. A great difference was observed in authentic Ashoka bark and marketed samples. Reference Ashoka bark collected from Sanjay Gandhi National Botanical Garden, Mumbai as per procedures described in Charak Samhita Vimansthana chaper 8. Other five samples of Ashoka bark available in name of Ashoka were collected from different locations of Mumbai crude drug Market. All six samples were properly powdered, sieved and kept in air tight containers for further study. In this study, emphasis is led upon standardisation of Ashoka - Saraca asoca (Roxb.) and its samples available in the crude drug market.
Magnitude of Bhasmas in handling Madhumeha (Diabetes Mellitus) - A Critical Review.
Authors: P. Divya , Surekha Medikeri , G. Hiremath Shobha
Published: September 2017

India is being estimated with fastest growing population of Diabetes. Diabetes is a metabolic disorder which is either due to Pancreas not producing enough insulin or the cells of the body not responding to the insulin produced. Diabetes refers “To run through siphon” and Mellitus means “Honey”, Similar condition Madhumeha “Prayo Madviva Mehanti” (Honey like urine) has been explained in the Ayurvedic classics long centuries ago in an apparent way. Rasashastra emphasize the usage of various Rasoushadhis in the management of Madhumeha. Various researches conducted in last few decades on the Rasa Bhasmas and Rasayogas mentioned in literature for Madhumeha have shown phenomenal Antidiabetic property. In this article, review of therapeutic efficacy of 5 Rasa Bahasmas Viz Naga, Vanga, Yashada, Swarna Makshika, and Abhraka Bhasmas with the scientific evidence and rationality have been compiled. Target conditions choosing of these Rasa Bhasmas in Madhumeha have been discussed.
Ayurvedic approach to the management of Karnasrava w.s.r. to Chronic Suppurative Otitis Media - Critical Review
Authors: . Anamika , Jadhav Vinod M. , Sajjanshetti M. R.
Published: September 2017

Chronic suppurative otitis media is common infectious ailment affecting mostly children all over globe. It is one of the commonest causes of preventable deafness. It can result in long term ill effects on growing children ranging from recurrent illness, poor school performance to language development and associated psychological and cognitive development. The management strategies are limited in conventional system of medicine, aural toileting remaining one of the basic and safe measure to achieve dry ear. Medicinal and surgical options are not free from side effects and many a time may not be beneficial. Ayurveda describe a similar condition Karnasrava which have similar etiology and clinical manifestations. Ayurveda stipulate a multimodal approach to this problem with use of various local procedures and use of oral medications as well. These treatment strategies are compiled in this article with recent studies in management of this disease.
Critical Analysis on Chakshushya Varga
Authors: V. Anuja Singh , Gowda Sumithra T.
Published: September 2017

The word Chakshushya means promotion of Eye health. In present scenario, due to lifestyle modifications eye has become more susceptible to various ocular diseases. Hence prevention and promotion of ocular health plays a major role. Here an attempt is made to analyse the drugs mentioned by Chakrapanidatta in Chakradatta’s Chakshushya Varga.
Relation between HIV and Infant Feeding - A Review Article
Authors: Acharya Jasmina D. , Patel Rutu , Shaikh Nilofar
Published: September 2017

Breast feeding increases the risk of HIV transmission from mother to child. Transmission through breast feeding is associated with increased maternal viral load in plasma and breast milk. Modern medical science suggests HIV infected women should give breast milk with accompanying prophylactic antiretroviral therapy to lower the risk of HIV transmission. According to Ayurveda, mother with vitiated breast milk should avoid breast feeding as it is responsible for developing many diseases in the child.
Significance of knowledge regarding Koshtha in Panchakarma
Authors: Vyas Poorvi K. , Vyas Kaushik B.
Published: September 2017

The Koshtha is very important matter in study of Ayurveda especially in Panchakarma. Koshtha is of three types, Mridu, Madhya and Krura on the bases of dominant Dosha in person and effect of some specific Ahara and Vihara after consuming it. After Koshtha examination, physician gets knowledge about predominant Dosha and makes judgement for line of treatment, advice regarding do and don’ts. Appropriate diet can be decided as diet is supposed to be one of the lines of treatment. Since 5 cleaning procedures are inevitable in case of vitiation of Dosha and Snehana is inevitable preoperative procedure before performing cleaning ones. For Snehana which unctuous material should be used is decided by Koshtha examination. Also dose and drug of choice of emetics and purgatives can be decided by it.
A Critical Review of Rukshana Karma in Clinical Practice
Authors: Panchal Vidyasagar , S. Prashanth A. , Chavan S. G.
Published: September 2017

Acharya Charaka explained six unique treatment modalities which are called as Shadvidhopakramas. Rukshana is one among those Upakramas. The Word ‘Upakrama’ has several meaning like planning, beginning, remedy and preparation etc. here Upakrama refers to planning a suitable treatment modality and working to execute it. Shadvidhopakrama includes Langhana, Brimhana, Sthambhana, Rukshana, Snehana and Swedana. These can be broadly classified under two headings as Santarpana and Apatarpana. Santarpaniya Upakramas are Brimhana, Snehana and Sthambana, where as Apatarpaniya Upakramas are Langhana, Rukshana and Swedana. Out of these six types, Rukshana is of the same importance as others. The details of Rukshana will be dealt in this article.
Yogic Intervention in Sexual Dysfunction - A Review
Authors: R. Rakshith K. , . Shivakumar , Sinha Kaushal , L. A. Vijeth Kumar
Published: September 2017

Yoga is an ancient practice with Eastern roots that involves both physical postures (Asanas) and breathing techniques (Pranayamas). Yoga therapy for male sexual problems can effectively be treated through Yoga therapy, particularly with the help of Yoga poses and breathing exercises, Yoga has proven itself highly very effective in the treatment of a number of incurable and sometimes terminable diseases. Then again, Yoga's therapeutic effects are just a spin-off and supplementary. Yoga which has proved to be very effective in the treatment of many impossible and incurable diseases, the therapeutic effect of Yoga is only a by product and incidental. Problems related to sex can very well be handled with Yoga as most often these problems are more related to the mind than body. Either they are caused by lack of confidence or stress or fatigue or fear and very few times some physical cause is there. There is also a cognitive component focusing on meditation and concentration, which aids in achieving the goal of union between the self and the spiritual. Although numerous empirical studies have found a beneficial effect of Yoga on different aspects of physical and psychological functioning, claims of Yoga's beneficial effects on sexuality derive from a rich but no empirical literature. The goal of this article is to review the philosophy and forms of Yoga, to review the no empirical and (limited) empirical literatures linking Yoga with enhanced sexuality, and to propose some future research avenues focusing on Yoga as a treatment for sexual disorder.
Effecacy of Kadali Kshara Sutra in the Management of Bhagandara (Fistula-In-Ano) - A Case Report
Authors: Patil Shilpa , Naikar Ashok , Halli Chandrakanth
Published: September 2017

Bhagandara (Fistula in ano) is a common anorectal condition prevalent world wide, and its prevalence is second highest after Arshas (Haemorrhoids). Kshara Karma is a one of the parasurgical procedure in Ayurveda. In this study Palasha Kshara Sutra is used in Bhagandara (Fistula-in-ano). Though, Apamarga Kshara Sutra is highly effective in the management of Fistula-in-ano. But pain, irritation, difficulty in preparation has limited its use. Thus, various type of Kshara Sutra tried with their efficacy in different angle. In this present study effort will be made to define the probable mode of action of Palasha Kshara Sutra prepared in Arka Ksheera in Fistula-in-Ano. This is equally effective with less pain and easy to prepare because a single plant is enough and not a seasonal plant. A 56 yr old male presented with complaints of painful swelling with pus discharge in the anal region since 1 week has been presented here.
Effect of Punarnavadi Mandoor and Shiva Gutika in Acute Deep Vein Thrombosis - A Case Report
Authors: S. Wasedar Vishwanath , Krishna Pusuluri YVSM , Harshikha Dani
Published: September 2017

Objectives: To minimise the dose of Anti-platelet drugs and to treat the acute case of DVT through Ayurvedic oral medications. Methods: The present diagnosed case of DVT approached to OPD of KLE BMK Ayurveda Hospital with a complaints of swelling and pain in the calf muscle of the left lower limb associated with reddish brown discoloration in the foot and occasionally nasal and gum bleeding was treated consequently for 5 months with Punarnavadi Mandoor and Shiva Gutika orally. Results: There is significant decrease in the symptoms of DVT and also major changes seen in Venous Colour Doppler study of the left lower limb. Conclusion: Acute DVT is caused by a blood clot in a deep vein and can be life threatening as it may leads to serious complication like pulmonary embolism which can be cured through Ayurvedic oral medications.
Management of Gouty Arthritis with special reference to Vatarakta - A Case Report
Authors: Krishnan V. Balendu , S. Prashanth A.
Published: September 2017

Gouty Arthritis has now become a common disease condition which we deal in Ayurveda, but a proper treatment protocol is not followed in many cases. The case reported here was as a result of improper diet and lack of exercise which resulted in an increase serum uric acid level and joint inflammation. The treatment was given at IPD level diagnosing it as Gambhira Vatarakta with valid Chikitsa Siddhanta. This case report provides us a guidelines that even a chronic gouty arthritis with a very high serum uric acid can be treated as per Vataraktha Chikitsa Siddhanta in Ayurveda.
Ayurvedic management of Ducchen’s Muscular Dystrophy - A Case report
Authors: R. Jayaraj , Rao Veena G. , Nagalikar Jyothi
Published: September 2017

Ducchen’s muscular dystrophy is most common X-linked recessive disorder affecting 30 in 100,000 live male births. The primary cause of this disease is mutations in Dystrophin gene which is essential for the structural and functional integrity of muscle. It is a progressive muscle wasting disease in which patients frequently develop contractures and lose the ability to walk between 6 and 12 years of age. With progressive disease most patients succumb to death from respiratory failure and cardiac dysfunction in their twenties. As this is a genetic disorder we can consider it as Adibala Pravritta Vyadhi. As Mamsa Kshaya is seen at some muscles and Mamsa Vriddhi at other this is an Avarana Vata Vyadhi. In both Upsthambha and Nirupasthmbha Vatavyadhi, Basthi is considered as prime choice of treatment. A Variety of Ksheerabasti in the form of Kalabasti is studied in this condition by taking subjective and objective parameters. As this has given better improvement with no adverse effects in the patient, it can be tried in large number of patients.
Obesity management through Ayurveda - A Case Study
Authors: Tyagi Dheeraj Kumar , . Shivakumar
Published: September 2017

Lifestyle disorders are one of the biggest threats for the population living unhealthy lifestyle. Sthoulya (Obesity) is one such disorder which creates lot of physical as well as mental disorder to the sufferer. Due to changing lifestyle, comforts and dietary habit lots of individuals changed their life totally. Obesity is a growing disease in developed and developing countries. Prevalence is drastically hike in past few years. Ayurveda, the science of life with which we can manage and control lots of lifestyle disorders. Focusing on dietary and lifestyle management along with treatment, we can overcome the hazards of obesity which is growing in a uncontrolled manner. The available data is based on the clinical findings only. Aim and objective: To assess the effect of “Guru Cha Atarpanam Chikitsa” in the management of Sthoulya. Setting: Swastharakshana evam Yoga, OPD and IPD, SDMCAH, Hassan. Method: Udwarthana, Parisheka, Shamana Aushadhis, Ahara, and Vihara was followed within the treatment duration and effect of treatment was assessed before and after treatment, advised for follow up. Results: The treatment adopted is effective in the management of Sthoulya and to improve the quality of life.
An Ayurvedic management of Annular Tear of Lumber Intervertebral Disc - A Case Study
Authors: Tokle Sheetal , Ruparel Sweety , Sharma Akanksha , Ramani Hetal
Published: September 2017

Intervertebral discs are fibro cartilaginous structures. They give shape to the vertebral column. The discs act as a remarkable series of shock absorbers. Surrounding each intervertebral disc, a tough, shock absorbing layer known as annulus, protect the disc’s vulnerable interior. An annular tear occurs when this outer hard layer cracks. Causes of annular tear are aging process of spine, injury, trauma etc. Medicines like Non-steroidal Anti-inflammatory Drugs (NSAIDs), Narcotic drugs, injections and surgery which have their limitations and having some adverse effects too. In present era, awareness and popularity of Ayurveda is increasing day by day and people prefer to be treated by Ayurveda. So, Ayurveda is more favoured by people. According to Ayurveda annular tear can be understood as Abhighata Janya Katigatavata. In this single case study an effort has been made to manage annular tear in lumbar intervertebral disc, through Ayurveda. A 48 year old female, suffering from annular tear of lumbar intervertebral disc desiccation and herniation, was treated with Tikta Kshira Basti for 15 consecutive days. Simultaneously Kati Basti and internal medicines were also given. Noticeable relief was found in all symptoms of the patients, so here a single case study is presented.
Ayurvedic Management of Sthaulya (Obesity): A Case Report
Authors: Alodaria Nirmal P. , Gupta S. N. , Dholakiya Dhaval , Vyas Kaushik B.
Published: September 2017

Obesity is burning health issue for society nowadays. In Sutrasthana of Charaka Samhita, in different Adhyaya (eg. Astauninditiya, Langhanabrumhaniya, Santarpaniya) causes, symptoms and treatment of Sthaulya are described. As an alternative approach, Ayurvedic treatment may serve as promising modality. A 17 years old male patient came in P.D. Patel Ayurveda Hospital on 22th May 2017. Patients weight was 114.8 kg and BMI was 37.51 which fairly included in obesity category according to NHI guidelines. He also had some associated complaints like exertional dyspnoea, increased appetite, excessive perspiration. He was treated with Snehana (Aabhyantara and Bahya), Swedana, Vamana, Virechana, Niruha Basti, Udvartana along with oral medicines like Varunaadi Kwatha, Arogyavardhini Vati, Triphala Guggulu, and Navayasa Lauha along with prescribed dietary regimes and life style modification. He lost about 9.7 kg of weight, which was 105.1 kgs and BMI was 34.34 only in 26 days without any complications.
II SEMINÁRIO INTERNACIONAL DE GESTÃO CONTEMPORÂNEA DE SISTEMAS DE SAÚDE: A TRÍADE QUALIDADE, ACREDITAÇÃO E SEGURANÇA DO PACIENTE
Authors: Reis da Silva Gilberto Tadeu , Oliveira Molesini Joana Angélica
Published: September 2017

A tríade qualidade, acreditação e segurança do paciente faz parte da Gestão Contemporânea dos Serviços de Saúde, constituindo matéria de estudo e de pesquisa na Academia, e de boas práticas nas organizações de saúde. Em virtude de tal importância em termos teóricos e práticos, essa tríade compôs a temática do II Seminário Internacional de Gestão Contemporânea de Sistemas de Saúde: qualidade, acreditação e segurança do paciente em debate.

Realizado em outubro de 2015, o Seminário foi uma iniciativa da Rede de Inovação e Aprendizagem em Gestão Hospitalar (InovarH/Ba), com o apoio financeiro da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), da Fundação de Amparo à Pesquisa do Estado da Bahia (Fapesb), da Secretaria de Saúde do Estado da Bahia/Diretoria de Vigilância Sanitária (Sesab/Divisa) e do Núcleo de Pós-Graduação em Administração da Universidade Federal da Bahia (NPGA/UFBA), por meio da cooperação internacional estabelecida entre a Universidade Federal da Bahia e a Universidade de Nice Sophia Antipolis (Sul da França). O evento reuniu pesquisadores, professores, acadêmicos, gestores, profissionais das áreas de saúde, administração de organizações públicas e privadas, prestadoras de serviços de saúde do Estado da Bahia, Secretaria da Saúde do Estado da Bahia, Divisão de Vigilância Sanitária, Ministério da Saúde, Agência Nacional de Vigilância (Anvisa), Organização Nacional de Acreditação (ONA), Consórcio Brasileiro de Acreditação (CBA), Organização Pan-Americana da Saúde, Fundação Getúlio Vargas de São Paulo, Hospital Sírio Libanês, Hospital das Clínicas de Porto Alegre, Hospital São Rafael, Centro Hospitalar Universitário de Nice (França) e hospitais, clínicas e secretarias municipais de saúde do Estado da Bahia.