bluuebunny/crossref_metadata_2025 huggingface dataset:
O ENSINO DE GEOGRAFIA FÍSICA:
Authors: Ferreira Silva Patrícia , De Oliveira Fontes Baitz Ednice
Published: May 2021

Esta pesquisa analisa os aspectos da Geografia Física no sítio urbano de Ilhéus como recurso didático nas aulas de Geografia da Educação Básica, visando o entendimento das relações sociedade-natureza que modificam constantemente os espaços. A pesquisa busca respaldo teórico na importância do estudo do relevo para a compreensão de problemas urbanos tratados em sala de aula. Para tanto, seguimos o pensamento de autores como Casseti (1991), Haesbaert (2004), Vesentini (2004), Almeida (1991), Callai (2017), Cavalcanti (2009) entre outros. Foram realizados trabalhos de campo, tendo como objetivo a escolha e o reconhecimento de locais que poderiam ser visitados pelos alunos, levando em conta alguns parâmetros como: Não apresentar risco para os alunos; ser de fácil acesso; ter uma feição do relevo representativa; e possuir visão panorâmica. Assim, foram identificados sete locais com potencial de visualização do relevo que possibilitam análises compartimentadas e integradas dos elementos da paisagem no ensino de Geografia. A proposição dos roteiros para aulas práticas em campo com alunos da Educação Básica, possibilita aos alunos observar e discutir questões socioambientais a partir de seu cotidiano contribuindo para a diversificação de possibilidades do aprender/apreender no processo de ensino/aprendizagem. 
Palavras-chave
Geografia Escolar, Prática de campo, Sociedade - Natureza
 
Teaching physical Geography: a proposal for a field tour in the urban site of Ilhéus, Bahia/Brazil
Abstract
This research analyzes the aspects of Physical Gography in the urban site of Ilhéus as a didactic resource in the Basic Education Geography classes, aiming at understanding the society-nature relations that constantly modify the spaces. The research seeks theoretical support on the importance of the study of relief for the understanding of urban problems treated in the classroom. For this, we follow the thinking of authors such as Casseti (1991), Haesbaert (2004), Vesentini (2004), Almeida (1991), Callai (2017), Cavalcanti (2009) among others. Field work was carried out, with the objective of choosing and recognizing places that could be visited by students, taking into account some parameters such as: Do not present risk to students; be easily accessible; have a representative relief feature; and have a panoramic view. Thus, seven locations with potential for visualization of the relief were identified, which allow for compartmentalized and integrated analysis of the elements of the landscape in the teaching of Geography. The proposal of scripts for practical classes in the field with Basic Education students, allows students to observe and discuss socio-environmental issues from their daily lives, contributing to the diversification of possibilities of learning / apprehending in the teaching / learning process.
Keywords
School Geography, Field practice, Society - Nature
Preceptoria de graduação em enfermagem: uma discussão da enfermagem
Authors: Santos Emanuel Pereira dos , Maciel Maria José Pessanha , Simões Luciana Oliveira , Mourão Catia Rustichelli , Silva Camilla Santos da , Oliveira Vanessa Silva de
Published: May 2021

Esse trabalho se refere a uma discussão sobre a Preceptoria de Graduação em Enfermagem dentro de um Hospital Universitário na Cidade do Rio de Janeiro realizado pelos autores nos setores de Materno-Infantil. O hospital em questão recebe acadêmicos de sua Universidade e os orienta nas atividades gerenciais e assistenciais. Alguns dos profissionais de Enfermagem já se envolvem em eventos e trabalhos para publicação com os acadêmicos da instituição. Método: Esse estudo é uma discussão sobre tópicos e a importância do trabalho da Enfermagem na Preceptoria. Objeto: A discussão sobre a relação de preceptoria de Graduação em Enfermagem dentro do Hospital Universitário. Objetivo: Discutir sobre a importância da preceptoria de Graduação em Enfermagem. Resultados: A interação entre profissionais e acadêmicos de Enfermagem possibilita o crescimento da profissão desde a sua base. Essa possibilidade facilita a atualização dos profissionais, pois se encontram trocando idéias com a academia científica e recebendo atualizações constantes. Conclusão: A interação entre as pessoas que iniciaram a caminhada no processo de Ensino em Enfermagem e os profissionais que se encontram na assistência e na gerência possibilita o crescimento de ambos, contudo, vale ressaltar a busca de melhorias na definição e no investimento ao preceptor.
Puericultura e educação em saúde – um relato de experiência
Authors: Polidoro André Alexey , Bagatelli Rodrigo Cechelero , Allegretti Aline Elias da Vinha Andrade , Krambeck Juliana Schuster Semmer , Polidoro Jacqueline Aedinet Pruner
Published: May 2021

O atendimento de rotina às crianças saudáveis, também chamado de puericultura, é atualmente função executada pela equipe de Estratégia Saúde da Família (ESF), de forma multidisciplinar, nas unidades de saúde, fazendo com que todos os membros da equipe trabalham conjuntamente neste cuidado. A necessidade e a origem desta prática são alvos de debates antropológicos e da própria Medicina Baseada em Evidências, mas a puericultura faz parte atualmente das recomendações no Ministério da Saúde e é uma demanda da parte dos pais. Além disso, a necessidade de ensinar os pais o cuidado de saúde com os filhos faz parte dessa atividade. Esta necessidade aumenta a pressão sobre a já sobrecarregada equipe de ESF. Este artigo mostra a elaboração em equipe de roteiro multiprofissional para a avaliação da criança em diferentes idades, e constrói a atividade coletiva de puericultura como um encontro entre população e profissionais de saúde para troca de saberes, numa relação horizontal, com o objetivo de construção de autonomia, através da educação em saúde.
Uso de crack por filhos de mães usuárias dessa droga: revisão sistemática
Authors: D’Angelo Bárbara Borges , Costa Ana Carolina Barreto Martyn , Bittencourt Ana Clara de Moraes , Oliveira Camila de , Bonagura Caroline Siriano , Souza Nathan Mendes
Published: May 2021

Objetivo: Revisar o conhecimento científico publicado sobre o uso de crack por filhos de mães que usaram/usam crack. Métodos: Revisão sistemática realizada nas bases de dados do Portal BVS, SciELO, Science Direct, Portal Periódicos CAPES e Google Acadêmico para encontrar artigos advindos das referências daqueles já incluídos. Os estudos foram avaliados por meio de ferramentas metodológicas reconhecidas. Resultados: Encontrou-se como fator de risco direto para o uso de crack por filhos de dependentes a influência familiar e social. Além disso, outros fatores de risco também foram comtemplados como a exposição pré-natal e a herdabilidade de vícios. Todavia, também foram abordados fatores protetores, sendo eles disponibilidade de informações, estrutura familiar protetora, a desaprovação do meio social ao uso da droga, o interesse familiar na vida da criança/adolescente e atividades socioeducativas. Conclusão: Não foi encontrada relação substancial entre o uso de crack durante a gestação por mães usuárias de crack e o futuro uso de seus filhos. Porém, foi constatado que a exposição pós-natal, por meio da influência familiar e social, é o principal fator de risco para o uso e abuso de drogas, especificamente o crack, principalmente se existir a convivência intima com um familiar usuário.
Reabilitação da capsulite adesiva após tratamento conservador de fratura proximal de úmero: Relato de caso
Authors: Caiado Vanessa da Silva , Gavazza Cláudia Zornoff , Areunete Guilherme Salcedo , Bezerra Mariana Alonso Monteiro , Mathias Letícia Del castillo , Bromershenkel Adalgisa Ieda Maiworm
Published: May 2021

Introdução:  A capsulite adesiva é uma condição de etiologia incerta e pode estar associada a mecanismos pós traumáticos seguidos de longos períodos de imobilização causando dor e redução da amplitude de movimento (ADM) da articulação do ombro.

Objetivo: Descrever as técnicas e os resultados de um protocolo fisioterapêutico utilizado em um caso de capsulite adesiva após tratamento conservador de fratura proximal de úmero esquerdo.

Método: O indivíduo foi submetido a 2 sessões de fisioterapia por semana totalizando 25 sessões. Foram realizadas técnicas visando o aumento da amplitude de movimento como alongamento de cápsula articular, facilitação neuro muscular proprioceptiva e exercícios ativos com e sem carga.

Resultados e conclusão: Após o tratamento realizado houve aumento significativo da amplitude de movimento da articulação do ombro e redução da dor. O protocolo fisioterapêutico utilizado para reabilitação de capsulite adesiva após tratamento conservador de fratura proximal de úmero no caso relatado foi eficaz.
Discordance in the diagnosis of chronic kidney disease between serum creatinine determination and glomerular filtration rate (calculated by Cockcroft-Gault) in hypertensive and / or diabetic patients in a spray of Araguari-MG
Authors: Arruda Amanda Vieira , Araújo Gabriela Cristina de Alvarenga , Guedes Gustavo Prado Pouzas , Carneiro Marilia Borges , Dias Samuel Ribeiro
Published: May 2021

A hipertensão arterial (HA) é um problema de saúde pública mundial e um dos principais fatores de risco para o desenvolvimento da doença renal crônica. A HA pode ser tanto a causa como a conseqüência de uma doença renal. A DRC pode ocorrer em mais de 75% dos hipertensos de qualquer idade (BASTOS, 2010)

O Diabetes mellitus (DM) é uma condição que ocorre quando o corpo não fabrica insulina suficiente ou não consegue utilizar de forma adequada quantidades normais de insulina (hormônio que regula a quantidade de glicose no sangue).Os pacientes diabéticos apresentam risco aumentado para DRC e devem ser monitorizados frequentemente para a ocorrência da lesão renal. O acometimento renal pela DM representa a principal complicação microvascular da doença e a maior causa de insuficiência renal terminal em todo o mundo, cursando com morbidade e mortalidade elevadas. O risco de desenvolvimento de nefropatia é de cerca de 30% nos diabéticos tipo 1 e de 20% nos diabéticos tipo 2. (Junior, 2004) O DM é a principal causa de IRC em pacientes ingressando em hemodiálise (HD) nos países desenvolvidos, representando até quase 50% dos novos casos. (BURMEISTER, 2012)

O presente trabalho tem por objetivo relatar as vivências no desenvolvimento do tema Metodologia Ativa por meio da utilização do Arco de Charles Maguerez em uma Unidade Básica de Saúde da Família (UBSF) do bairro Miranda em Araguari-MG, durante a disciplina Internato em Sistemas Municipais de Saúde da Unidade de Ensino do Curso de Medicina do Instituto Master de Ensino Presidente Antônio Carlos - IMEPAC.

O Arco de Charles Maguerez é uma das estratégias de ensino-aprendizagem para o desenvolvimento da Problematização e partir da realidade social.

 Durante o estudo e a observação da realidade local foram avaliados 487 prontuários, onde nos deparamos com 149 hipertensos, 68 diabéticos, 270 hipertensos e diabéticos. Identifica - se que não ocorreu a avaliação necessária a estes portadores já que de acordo com os protocolos oficiais de HAS e da Sociedade Brasileira de Nefrologia orientam, a investigação clínica e laboratorial anual com a dosagem da creatinina sérica e o cálculo da TFG com o uso da equação de Cockcroft-Gault. Propõe-se a investigação da não aplicabilidade dos protocolos oficiais

Trata-se de um estudo transversal realizado em uma ESF de Araguari-MG. Houveram dois instrumentos de coleta, o primeiro foi a avaliação da Pressão Arterial (PA) realizada um uma reunião de Hipertensos, e o segundo deu-se com a análise do prontuário do grupo de pacientes estudado. Foi considerado como Hipertensão Arterial Sistêmica Controlada níveis menores que 140/90mmhg.
Utilização de técnicas de Arteterapia na reabilitação de pessoas com transtornos induzidos por substâncias
Authors: Valladares-Torres Ana Cláudia Afonso , Souza Jean Carlos Marques
Published: May 2021

Objetivo: identificar a percepção de um grupo de pessoas adultas com transtornos induzidos por substâncias sobre as intervenções de Arteterapia. Métodos: pesquisa qualiquantitativa, descritiva e exploratória por meio de instrumentos aplicados aos toxicômanos, como feedback individual ao final de três intervenções de Arteterapia (relaxamento, visualização criativa e atividade de arte). Resultados: os resultados das avaliações da análise de conteúdo e termômetro das emoções foram a diminuição da tensão e ansiedade, proporcionaram o relaxamento ou distração, seguida da melhora de humor, diminuição da tristeza e aumento da alegria, além de facilitarem a integração e o acolhimento grupal. Conclusão: Arteterapia é uma intervenção benéfica, que contribui significativamente para um cuidado mais humanizado no campo da saúde mental, em especial da dependência de drogas. As intervenções criativas e dinâmicas favorecem o relaxamento e, concomitantemente, diminuem a tensão e a ansiedade, bem como melhoram o humor de seus participantes.
A importância da atividade física e alimentação na hipertensão arterial
Authors: Inácio Geovanna Porto , Fontana Ana Paula , Peixoto Débora Bernardes , Machado Ariane Velasco , Xavier Fabrício De Souza , Menezes Marina Santos , Aquino Marcelo Albuquerque Rocha , Inácio Jordanna Porto
Published: May 2021

A hipertensão arterial sistêmica (HAS) é o maior fator de risco para mortalidade no mundo e transformou-se progressivamente em dos mais graves problemas de saúde pública. Em 2018, estimava-se que 12,8% das mortes foram decorrentes da HAS. Associada às várias diversidades sua prevalência sofre influência de múltiplos fatores, com destaque para os demográficos, hereditários, socioeconômicos, comportamentais e antropométricos. A maioria desses fatores podem ser controlado ou modificado, sendo então possível reduzir a incidência da hipertensão e de suas complicações. Além do que contribuiu nas últimas décadas para o aumento das cardiopatias, dos acidentes cerebrovasculares, a insuficiência renal e para as incapacidades prematuras (WHO, 2008; OLIVEIRA et al 2012; OMS 2013; MARQUES et al 2020; BARROSO et al 2021; OLIVEIRA et al 2021).

As evidências científicas apontaram que nos últimos anos as condutas não medicamentosas, como adesão aos programas de atividades físicas e alimentação adequada, constituem-se em estratégias iniciais na hipertensão leve a moderada. São ações de baixo custo e risco mínimo, capazes de contribuir para a regulação da pressão arterial, tratamento de dislipidemias e da obesidade. Na revisão sistemática, Marques et al (2020) referem que dentre os fatores de risco, a baixa atividade física representou maior chance de um indivíduo apresentar HAS (TAYLOR, 2014; CASSIANO et al 2020).

As Diretrizes Brasileiras para Hipertensão Arterial 2020 citam que há uma associação direta do sedentarismo com a elevação da PA e da HA. A falta de atividade física a maior prevalência estava entre as mulheres (31,7%) do que nos homens (23,4%). O que foi identificado em 2019 pelo inquérito telefônico Vigitel, onde 44,8% dos adultos não alcançaram um nível suficiente de prática de atividade física, sendo esse percentual maior entre mulheres (52,2%) em relação aos homens (36,1%) (PICCINI et al 2012).

Existem muitas possibilidades de associar as atividades físicas a uma dieta equilibrada para prevenir e controlar a HA, sejam elas de baixa quantidade de gordura, mediterrânea, vegetariana, baixo teor de carboidratos e outras, além de incluir a baixa ingestão de sódio. No entanto, o maior desafio seja considerar e ser levados em conta os aspectos e as dificuldades socioeconômicos e culturais de cada população. Cassiano et al (2020) concluíram e recomendaram no seu estudo que um programa prolongado de exercícios físicos, associado ao acompanhamento nutricional possibilitará a redução do risco para o desenvolvimento de eventos cardiovasculares nos próximos dez anos, além de favorecer uma melhor qualidade de vida (OLIVEIRA et al 2012; ZAAR et al 2014; BRICARELLO et al 2020).
CRITICAL ANALYSIS OF NIDANAS OF ASRIGDARA IN THE PATHOGENESIS OF THE DISEASE
Authors: Khushbu Jain
Published: May 2021

Woman's health is point of concern for her family, society and culture because any physical or mental disturbance can disturb her normal menstrual cycle. Asrigdara is the common gynecological problem from menarche to menopause affecting her day to day activities. It is one of the Raktadoshaja Vikara manifesting as excessive menstrual bleeding or intermenstrual bleeding different from the features of normal menstrual blood. On the basis of its symptomatology, it can be compared with abnormal uterine bleeding. It is a debilitating disorder affecting the physical and psychological health of women which finally results in hysterectomy if not treated properly. Nidana is the main causative factor in initiating the Samprapti of the disease. In Samprapti of Asrigdara, various etiological factors such as Lavana, Amla and Katu Rasa, Guru, Vidahi and Snigdha Annapana, Dadhi, Sukta, Mastu etc leads to vitiation of Vata Pitta Dosha and Rakta Dhatu resulting in Asrigdara Vyadhi. In the present study an effort was made to analyse Nidanas in the pathogenesis of the disease on the basis of involvement of Doshas and Dhatus. In Ayurveda classics, Nidana Parivarjan is mentioned as the first line of treatment for any disease. Understanding the Nidanas of Asrigdara plays a major role in the diagnosis, prevention and treatment of the disease.
A CRITICAL PHYTOCHEMICAL ANALYSIS OF DIFFERENT SOURCES OF SARIVA FROM ITS NATURAL HABITAT
Authors: Vidyalaxmi Pujari  , Shrikanth P
Published: May 2021

The material medica has over 25000 plant species having therapeutic value, and more than 500 are used in indigenous systems of medicine. Sariva is one such drug having multifaceted activities widely used as coolant, blood purifier. In Ayurvedic classics two varieties have been mentioned, Shweta and Krishna. Regarding the botanical identity of both the varieties, Shweta Sariva is unanimously accepted as Hemidesmus indicus, where as for Krishna Sariva is accepted as both Ichnocarpus frutescens, Cryptolepis buchnani. In the market, by the name of Sariva Decalepis hamiltonii is usually sold. Hence all the four sources were collected from their natural habitat, subjected for phytochemical analysis, including its morphological features and HPTLC was carried out. In this research work it was found that the four sources of Sariva have match with standards mentioned in quality standards of Indian medicinal plants, published by ICMR, New Delhi. Further these sources should be subjected for pharmacological evaluations pertaining Sariva as to confirm the genuine source and best substitute.
MANAGEMENT OF URINARY CALCULUS WITH HERBAL PREPARATION (MORINGA OLEIFERA AND TRIBULUS TERRESTRIS)
Authors: Vishal Khanna  , Anjali Sharma
Published: May 2021

Urinary stones are a common disease that remains a significant health problem. It carries significant morbidity and imposes tremendous financial burden on healthcare system. Urolithiasis affects up to 5% of the population, with a recurrence rate of 50 to 80%. Males are more frequently affected than the females. Management includes both medicinal and surgical treatment which depends on size, type and location of stone. Larger stones which fail to pass through urinary system, needs treated by surgical interventional such as Extracorporeal shock wave lithotripsy (ESWL), Ureteroscopy, and Percutaneous Nephrolithotomy etc. For prevention and recurrence of stone, many herbal medicines have been used traditionally which are believed to cause the disintegration, dissolution and dislodgement and expulsion of urinary stones. In Ayurveda, there are references and comprehensive description of various herbal drugs regarding their anti-lithaitic properties. Role of Moringa oleifera (Shigru mool) and Tribulus terrestris (Gokshura phala) has been highly mentioned. In the present study, a total of 30 patients of Urolithiasis (Mutrashmari) with stone size up to 12mm were selected and all patients were randomly assigned to receive the designed herbal treatment i.e., decoction of Moringa oleifera and Tribulus terrestris for a maximum of 60 days. The study concluded that the herbal formulation is found significant in improving the symptoms of Urolithiasis in all patients and stones in 11 patients were also expelled out.
SUKHPRASAVA (NORMAL LABOUR) IN ANCIENT LITERATURE: A REVIEW
Authors: Priyanka H  , K. Bharathi
Published: May 2021

Ayurveda value lies in the fact that it is not a medical science dealing solely with treatment of disease. Instead, it offers practical guidelines that apply to every facet of daily existence. It also seeks to reconcile health and lifestyle with universal aspects of existence, and to enhance wellbeing. Earliest available evidence and concept of maternal and child care are present in Rigveda, Yajurveda, Atharvaveda, Upnishada and Samhita. Historical review focused on examining research throughout a period of time, often starting with the first time an issue, concept, theory, phenomena emerged in the literature. Details about mechanism and management of labor are described elaborately. To get relieved from difficulties of labor, certain oblations and enchanting of Mantra are advised. Vivid description of Sukhprasava chronologically presented in this article.
STUDY OF CHARKOKTA ANGULA PRAMANA OF SHADANGA AND IT’S IMPACT ON PHYSICAL HEALTH
Authors: Avdesh Dangwal  , R.B. Shukla  , Naresh Kumar  , Seema Joshi
Published: May 2021

Body parts and their Pramana are specially described in Ayurveda which is an important part of Rachana Sharir. Description of Angula Pramana was found in Vedic Kala, Purana-Upanishad Kala. Samhita Kala like Vrahtai (Charaka Samhita, Sushruta Samhita, Ashtanga Sangraha, Astanga Hridya) Kashyapa Samhita, Bhela Samhita, Sharangadhara Samhita, Vangsena Samhita, and Kautilya Arthashastra. Pramanas are not useful only in Rog and Rogi Pariksha but also useful to know about his/her Ayu such as Hitaayu, Ahitaayu, Sukhayu and Dukhaayu. At the time of Acharya Charaka, the length and breadth of different Anga-Pratyanga was measured by using their own fingers. This technique of measurement is known as Anguli Pramana. Anguli Pramana which is based on Swa-Angula Pramana is used for measuring the dimensions (Ayam, Vistara and Parinaha etc.) of the different Anga Pratyanga of the body. The study was conducted on 200 volunteers in the age group of 16-40 years. One Angula as a unit of Angula Pramana was obtained by measuring the width of Madhyamparva of middle finger of working hand. The measurements were taken in centimetres for standardization as per metric system and then converted into Anguli Pramana based on individual.
This article summarizes the facts related to Anguli Pramana from classical literature, Ayurvedic literature and modern literature along with result of our research work to identify the anatomical landmark of Shadanga to measure through Anguli Pramana and its impact on physical health in present era. At present, there are many physical anomalies either they are genetic disorders, endocrine disorders, traumatic injury which results as anatomical disfiguration of body parts that can distinguish from their Anguli pramana or anthropometry.
SELF CARE TO FEEL BEST DURING MENSTRUATION (RAJASWALA PARICHARYA): THE IMPACT OF LIFESTYLE MODIFICATION THAT ENHANCE FERTILITY
Authors: Mangesh laxman Patil  , Namrata Mangesh Patil  , Prathmesh Dhamal  , Ashwini Bhaskar Pawar
Published: May 2021

Out of various Paricharya mentioned in Ayurveda, Rajaswala Paricharya holds an important one. The Charya or code of conduct mentioned for a Rajaswala stree is termed as Rajaswala Parichara. Due to changing lifestyle, physical and mental stress, Mithya Aahar, Woman in reproductive age groups suffer from various conditions related to menstrual cycle like dysmenorrhoea, menorrhagia, irregular menses, PCOS, endometriosis, adenomyosis which increase incidence of infertility also Rajaswala charya is the most neglected part in the society.

Acharyas mentioned Aaharas and Charyas which are indicated and contracted for maintaining the health.

By the concept of Shuddha Shukra & Shuddha Aartava in the formation of Garbha its very clear that concept of Supraja Jananam i.e., healthy progency begins at the very level of preconceptional care or even before to that in the form of Rajaswala Paricharya.

If it followed during menstruation it will get relief from conditions of menstrual abnormalities, infertility and to gain better healthy life of woman.
A UNIQUE COMBINATION OF AYURVEDIC MEDICINES AND PANCHAKARMA IN MANAGEMENT OF DARUNAKA: A SINGLE CASE STUDY
Authors: Pranjal Sanjay Jain  , Amey Chandrakant Nakil  , Vivek Shrirampant Chandurkar
Published: May 2021

In today’s era, Darunaka (Dandruff) is one of the irritative and embarrassing diseases which have high prevalence rate. The disease is mainly concerned with hair root. Due to the poor cleaning, pollution, changing lifestyle and food habits that ultimately leads to the disease. According to Ayurveda, it can be correlated with Seborrhoic dermatitis. Cardinal symptoms of Darunaka are Kandu (itching), Rukshata (dryness), Twaksphuthan (cracking of skin), Keshachutti (falling of hair). As dandruff doesn’t produce any hazards effect to body but cosmetically it looks ugly. It is mainly due to the vitiation of Vata and Kapha Dosha. In present paper, a 30yr male patient came to the OPD with symptoms of Shweatvarniya Twakvevarnya at Shir Pradesh, Kandu, Twaksphuthan, Keshachyuti, Rukshata, since 3yrs along with he also developed Kurpar and Vankashanpradeshi Twakavaivarnya and Kandu. He was treated with the help of Ayurvedic medicines and some Panchakarma procedures. The improvement provided by therapy was assessed on the basis of sign and symptoms before and after treatment.
Estimation of Scale Parameter of Weibull-Lomax distribution via Bayesian Approach
Authors:   Department of Mathematics & Statistics DDU Gorakhpur University, Gorakhpur, INDIA, Rao, Arun Kumar
Published: May 2021

In this paper, the Weibull-Lomax distribution is considered for Bayesian analysis. The expressions for Bayes estimators of the parameter have been derived under squared error, precautionary, entropy, K-loss, and Al-Bayyati’s loss functions by using quasi and gamma priors.
LEITORES EM DIFERENTES TEMPOS: A RECEPÇÃO DO CONTO FELICIDADE CLANDESTINA, DE CLARICE LISPECTOR
Authors: Rezende Neide Luzia de
Published: May 2021

O artigo trata da recepção de “Felicidade clandestina”, de Clarice Lispector, considerando certas representações dos leitores especializados (professores e alunos de Letras, por exemplo) em diferentes épocas e circunstâncias que vêm sendo confrontadas pelos novos leitores (alunos da educação básica). As observações foram colhidas nas atividades docentes na Universidade de São Paulo, e o referencial teórico, além da fortuna crítica relativa ao conto, é composto pelos autores que tratam da Estética da Recepção, especialmente, Hans Robert Jauss e Wolfgang Iser, ao mesmo tempo em que se adota parte da interpretação do conto feita por Y. Rosenbaum (2006).

PALAVRAS-CHAVE: Recepção Estética. Leitora Ideal. Clarice Lispector. Felicidade Clandestina.
PANDEMI COVID-19 DAN ADAPTASI PELAKU PARIWISATA DI DATARAN TINGGI DIENG
Authors: Afriana Ferita Nelindya , Widiyanto Nur
Published: May 2021

The paper aimed to find out the adaptation strategies of tourism actors in Dieng Plateau, Central Java in dealing with the pandemic. The qualitative study through employing observation and in-depth interview as data collection techniques reveals that  COVID-19 pandemic has weakened the tourism sector in Wonosobo Regency to the lowest point in history. The pandemic’s impact has appeared on the economic and management aspects of both the government, tourism actors, and tourists. Tourism destinations in Wonosobo, especially in the Dieng Plateau, has been closed, resulting in a drastically decrease of visitor, similar to the other destinations facing the huge economic losses in tourism. Thus, the reopening of tourism destinations while conducting several adaptations to prevent the spreading of the virus is needed to save tourism industry both in national or local level. So that, tourism actors in Dieng area included tourism sector employees, guests, government have started to adapt the new behavior to run tourism sectors during the crises. These adaptation strategies are expected to revive tourism sector that can be measured from the increase of visitors arrival and the implementation of the new behavior in the industry.

Keywords: Pandemic, Dieng, Tourism, Adaptation, Impact
Building user interfaces in e-learning resources
Authors: Kurzibova Y.
Published: May 2021

The article discusses a pressing problem of improving the quality of e-learning and considers a special approach to e-learning resources graphic interfaces layout based on the Successive Approximation Model of instructional design. This approach allows the learner to influence the attainability of learning goals, which implements the principle of humanization and individualization of e-learning.
Software architectures in smart manufacturing: Review and experiences
Authors: Stojanov Z. , Dobrilovic D. , Jotanovic G. , Perakovic D. , Jausevac G. , Brtka V.
Published: May 2021

Cyber-physical systems based on heterogeneous and distributed devices, applications and services are the core of smart factories. Smart manufacturing systems are highly dependent on software applications and services that enable integration of data from different and heterogeneous sources, as well as support for control and management processes. Development and implementation of specific architecture styles and patterns in smart industrial settings is essential for their performance. Several software architecture styles used in Industry 4.0 environments are discussed and illustrated with examples from literature. Our experience with a prototype of a smart sensor-based layered architecture is presented and discussed. Further work will be directed towards development of service oriented architectures and reengineering method for old fashioned industrial settings.
Spiritual care and support from the perspective of hospitalized cancer patients
Authors: Juškauskienė Erika , Spirgienė Lina , Riklikienė Olga
Published: May 2021

The aim was to describe the experience of non-terminal patients with oncological disease about the spiritual care and support provided to them in the nursing and supportive care hospital.

Methods. The study was conducted in 2018 in four Lithuanian nursing and supportive care hospitals. During the face-to-face interviews, 118 patients with non-terminal oncological diseases shared their experiences on the spiritual care and support provided in the health care institution. Purposive sample selection was applied. The answers were analyzed by the method of qualitative inductive thematic content analysis. Kaunas Regional Bioethics Committee (No. BE-2-84) issued the permission to conduct the research.

Findings. Patients with oncological diseases, in describing the spiritual care and support they received in nursing and supportive care hospital, associated it primarily with the sacraments and religious rituals provided by clergy or their assistants. Patients identified clergy and spiritual advisors, also medical, nursing and social care staff, and relatives as the main providers of spirtiual care. Patients expressed a desire to receive the spiritual help and support from a multidisciplinary team whose members liaise with each other, coordinate their actions, and together seek the best solutions. One third of patients experienced that their spiritual needs and expectations left without due attention or were not met at all. Some patients felt that there was too little spiritual support and help in the hospital.

Conclusions. Patients with oncological diseases, in describing the spiritual care and support they received in nursing and supportive care hospital, associated it primarily with the sacraments and religious rituals provided by clergy or their assistants and to lesser extent with conversation and communication initiated by medical staff. The spiritual needs of patients with oncological diseases must become an integral part of holistic patient care not only at the theoretical level but also in clinical practice.
TIMING OF MESSAGES AND PERCEIVED SELF-EFFICACY FOR TREATMENT AMONG PEOPLE LIVING WITH HIV/AIDS IN HOMA BAY COUNTY, KENYA
Authors: Mberia Hellen Mberia , Mwangi Catherine , Kimalu Paul , Ngugi Catherine , Simiyu Rogers , Okomo Gordon , Mudogo Collins
Published: May 2021

Purpose: The purpose of this study was to ascertain the effect of timing of mobile phone text messaging (as a communication strategy employed in the text for adherence intervention) on perceived self-efficacy for treatment among people living with HIV/AIDS in Homa Bay County, Kenya.

Methodology: Overall the study used a quasi-experimental design involving a control and an intervention group to assess the effect of the text messaging. This paper focusses on the intervention group. The key variables discussed in this paper are timing and perceived self-efficacy. The study comprised of both quantitative and qualitative data. Simple linear regression models and multi-linear regression models were used to estimate the relationship between the independent variable (timing of messages) and the dependent variable (self-efficacy). Qualitative data was analysed thematically and narratives provided under each section in verbatim.

Findings: The intervention group of the study achieved a sample size of 77.92 per cent (n=247/317). Timing of the messages was found to have a statistically significant relationship with perceived self-efficacy as a standalone predictor variable. However when broken down into components (morning, noon and evening) none had a relationship with self-efficacy index. Similarly, when combined with other variables that were studied (type of messages, frequency and language), timing did not have a relationship with self-efficacy.

Unique contribution to theory, practice and policy: Programs and partners involved in designing and implementing mHealth solutions need to consider and involve participants in determining communication strategies that can be effective. Timing is one of the many strategies that patients should take part in. This would ensure that interventions are highly acceptable and effective and ensure that it provides a sufficiently interesting and rewarding experience.
Analysis of Cuorum Sensing-Dependent Virulence Factors and Drug Resistance in Pseudomonas Aeruginosa Strains
Authors: Jesús Alba-Romero José de , Ruiz-Flores Pablo , Castro-Escarpulli Graciela , Isabel Hernández-González Sandra , Martínez-Romero Aurora , Luis Ortega-Sanchez José
Published: May 2021

The objective was to analyze the virulence factors dependent on Cuorum Sensing and drug resistance in strains of Pseudomonas aeruginosa. Virulence factors such as pyocyanin, beta-lactamase, biofilm, and antibiotic resistance were determined in 95 strains of P. aeruginosa isolated from hospitalized patients. Genus and species were identified by protein analysis by MALDI-TOF. 100% of the strains were resistant to at least one drug and the highest proportion was 32 strains resistant to 4 drugs and 5 resistant PAM strains. In the analysis of virulence factors, 98.8% produce at least one virulence factor and 48.9% are beta-lactamase producers. Therefore, it is concluded that P. aeruginosa strains isolated from clinical samples constitute a risk factor for hospitalized patients.
Assessment of Hazards, Health Consciousness and Health Seeking Behavior of Automobile Mechanics in Cape Coast Metropolis, Ghana
Authors: Assefuah Mensah Simon , A. Essuman Mainprice , S. Brah Augustine , A. Aboagye Phyllis , Boye Alex
Published: May 2021

Objective: Automobile mechanics are exposed to a wide range of chemicals contained in brake fluids, detergents, lubricants, paints, metal cleaners, solvents and fluids. Constant exposure to these chemicals puts mechanics at risk. This study aimed to assess the diverse hazards in working environment of automobile mechanics in Cape Coast Metropolis, Ghana. Method: A questionnaire-based survey was conducted among 225 automobile mechanics in Cape Coast Metropolis. The questionnaire sought information on possible hazards, health problems associated with work, use of personal protective equipment and where workers seek help when they fall ill. The interview was followed by measurement of blood pressure, hematological profile and liver function test. Results: Most auto-mechanics, welders, car sprayers and electricians were exposed to diesel, electrodes, paints and soldering iron respectively. Productive cough, abdominal pain, nausea and breathlessness were common clinical conditions reported by these mechanics. Blood pressure and haematological parameters were all in their normal ranges when compared to bench reference ranges. Conclusion: Most mechanics were conscious about their health, however, showed poor health seeking behavior and poor use of protective measures against possible hazards. Proper education of this economically viable group on workplace hazards, the types and properties of the different protective devices in order to safeguard their health is needed.
Excess Weight Among Preschool Children in a Lower-Middle-Income Country: Predictors and Perspectives of Prevention
Authors: Ben Fredj Sihem , Ghammam Rim , Zammit Nawel , Ben Ammar Samah , Ammar Asma , Hasni Yosra , Chelly Souhir , Maatoug Jihen , Ghannem Hassen
Published: May 2021

Objective: We aimed to assess the weight status and to determine predicted factors of excess weight among Tunisian preschool children. Methods: We conducted a cross-sectional study among preschoolers attending kindergarten during 2016-2017 school-years in Sousse, Tunisia. The children’s parents completed the self-administered questionnaire. Anthropometric measures (Weight and height) were taken for the children. Weight status considered body mass index (BMI) and excess weight was defined by the International Obesity Task Force (IOTF) standards. Odds ratios for excess weight were calculated using binary logistic regression analyses. Results: A total of 364 preschoolers were included with a mean age 4.49±0.9 years. The ratio boys/girls was 1.05. The prevalence of excess weight was 31.3%; CI95%:[26.7%-36.5%]). Female gender (AOR=1.74; CI95%:[1.07-2.83]), working mother (AOR=1.75;CI95%:[1.04-2.92]), sedentary behavior (AOR=1.87;CI95%:[1.01-3.51]), eating sweets (AOR=1.95;CI95%:[1.19-3.19]), eating while watching television (AOR=2.53;CI95%:[1.23-5.18]) were positively associated with greater risk of excess weight while sleep duration<10h (AOR=0.41;CI95%:[0.24-0.71]) and less educated mother (AOR=0.35;CI95%:[0.12-0.96]) were negatively associated with excess weight. Conclusion: Our results show that the prevalence of overweight and obesity among preschoolers was alarming. Prevention of obesity should start early in life through a multisectoral approach.
An Overview on Biopolymer: A Novelistic Bio-Excipient in Nanoparticulate Drug Delivery
Authors: Kumar Sushant , Satheesh Madhav N. V. , Verma Anurag , Pathak Kamla , Pandey Swarnima
Published: May 2021

The point of this review is to feature the novelistic properties as bioexcipient, isolated from different regular natural sources like legumes, seeds, leaves, vegetables, bits, roots, barks and so on and to investigate the probability in medication conveyance framework. The biomaterial s have been exposed to different physicochemical assessments alongside unearthly examination including UV, FT-IR, Mass and 1H NMR. The confined biomaterial was discovered tom be polymeric in nature having a various utilitarian properties. Based on its inbuilt polymeric properties, the biomaterial secluded from various sources, can be utilized as an option in contrast to accessible standard polymers at extremely efficient economical scale. The separated biopolymer comprised of an interesting polymeric properties like accessible standard polymers. The isolated biomaterial from natural sources shown distinctive inbuilt polymeric properties by execution of various physico-substance examination. As we probably are aware there are various polymers accessible and oftentimes utilized design of novel medication. Yet, detached biomaterial from natural sources have demonstrated about their novelistic various properties like biodegradability, bioretardant, bioadhesive, filmability etc.
Gait analysis as a clinical tool for dementia: current perspectives and future challenges
Authors:   Newcastle University, Mc Ardle Riona , Del Din Silvia ,   Newcastle University, Yarnall Alison ,   Newcastle University
Published: May 2021

Gait, the way that we walk, requires complex cognitive functions. Gait may be a useful early marker for dementia diagnosis, as gait impairments precede and reflect cognitive decline. Early diagnosis of dementia enables individuals and their families to make informed decisions about their care plans, and allows researchers to understand preclinical and prodromal disease stages, providing novel targets for drug therapies. As such, a range of biomarkers are being developed to improve early and accurate diagnosis, including gait analysis. This editorial will outline how gait analysis can support the clinical diagnosis of dementia, including evidence of unique signatures of gait which can aid the identification of cognitive impairment and discrete dementia disease subtypes, the potential use of wearable technology to assess gait in the clinic and the real world, and key recommendations for the future implementation of gait into the diagnostic toolkit for dementia.
Giant breast fibroadenoma in pregnancy
Authors:   Department of Gynecology and Obstetrics, Vyškov Hospital p.o. Czech Republic, Krhovský Miroslav , Pilka Radovan , Fait Vuk , Eim Josef
Published: May 2021

Overview Objective: To present unusual case of rapidly growing breast fibroadenoma during pregnancy. Case report: Breast fibroadenomas are hormone-dependent tumors which can grow rapidly during pregnancy. We present a case of giant fibroadenoma, first detected before pregnancy, which grew rapidly under the influence of pregnancy hormones and was excised in the third trimester. Conclusion: Fibroadenomas are benign breast lesions in young women. They are hormone-dependent tumors, which can grow rapidly especially during pregnancy and/ or lactation and imitate malignancy. In each case of a newly created breast lesion, it is necessary to proceed responsibly to the clinical examination, which is a base for further decision concerning the necessity of taking a bio­psy for histological verification. Keywords: breast fibroadenoma – pregnancy – lactation – phyllodes tumor
First experiences with bone conduction implant Sophono
Authors: Varga Lukáš , Bercíková Branislava , Kabátová Zuzana , Profant Milan
Published: May 2021

ntroduction: Bone conduction implants are currently used for rehabilitation of conductive and mixed hearing loss as well as for single sided deafness. A growing number of these implants available on the market increases requirements on detailed knowledge on their technical properties, and on their advantages and disadvantages in clinical practice. Sophono is one of the recent members in this implant group. The aim of the study is to summarize our first experiences with Sophono at our implantation center in Bratislava. Patients and methods: We present data of the first two adult patients who underwent Sophono implantation. Both suffered from bilateral conductive hearing loss of different etiology. We focused on their audiological functional outcomes, basic surgical aspects and subjective assessment by the patients. Results: In free field tone audiometry with the implant, both patients achieved improvement of hearing thresholds by 21.25 dB and 31.25 dB, respectively. In speech tests with and without noise, we also demonstrated a clear benefit of the implant, which was in a narrow relationship with the degrees of their hearing loss: speech discrimination scores in noise were 30% and 60% in patients 1 and 2, respectively. The surgical procedure in Sophono implantation is relatively simple and does not include any work on middle ear structures. Patient satisfaction with the implant does not always correspond to the measured functional outcomes. Conclusion: The Sophono implant represents a suitable option for rehabilitation of conductive and mixed hearing loss as well as single sided deafness in selected patients. The candidate selection is always based on comprehensive assessment in which the audiological results are an elementary criterion, but definitely not a single one. Keywords: Sophono – implantation – conductive hearing loss
Consenso Latinoamericano para las Directrices de Tratamiento de la Migraña Crónica
Authors: Giacomozzi Alex Rodrígo , Vindas Alexander Parajelas , Silva Junior Ariosvaldo Alberto da da , Bordini Carlos Alberto , Buonanotte Carlos Frederico , Roesler Célia Aparecida de , Brito Cláudio Manoel , Perez Cristina , Carvalho Deusvenir de Souza , Macedo Djacir Dantas Pereira de , Piovesan Elcio Juliato , Sarmento Elder Machado , Melhado Eliana Meira , Éckeli Fabiola Dach , Kowacs Fernando , Sobrino Fidel , Rabello Getúlio Daré , Rada Grisel , Souza Jano Alves de , Durán Juan Carlos , Casanovas Juana Rosa , Calia Leandro Cotoni , Medina Luis Roberto Partida , Queiroz Luiz Paulo de , Ciciarelli Marcelo Cedrinho , Valença Marcelo Moraes , Cusicanqui Maria , Jimenez Maria Karina Velez , Goycochea Maria Tereza , Peres Mario Fernando Prieto , Sandoval Mario Victor Fuentealba , Vincent Maurice Borges , Gomes Michel Volcy , Diez Mónica , Aranaga Nayeska , Barrientos Nelson , Kowacs Pedro André , Moreira Filho Pedro Ferreira
Published: May 2021

Consenso Latinoamericano para las Directrices de Tratamiento de la Migraña Crónica. Headache Medicine. 2012;3(4)
Cluster headache and the hypothalamus – causal relationship or epiphenomenon?
Authors: Holle Dagny , Obermann Mark
Published: May 2021

Typical clinical features of cluster headache (CH) include trigeminal distribution of pain, circadian/circannual rhythmicity, and ipisilateral cranial autonomic features. This presentation led to the assumption that the hypothalamus plays a pivotal role in this primary headache disorder. Several studies using neuroimaging techniques or measuring hormone levels supported the hypothesis of a hypothalamic involvement in the underlying pathophysiology in CH. Animal studies added further evidence regarding this hypothesis. Based on previous data even invasive treatment methods such as hypothalamic deep brain stimulation (DBS) were tried for therapy. However, the principal question whether these alterations are pathognomonic for CH or whether they might be detected in trigeminal pain disorders in general in terms of an epiphenomenon is still unsolved. This review summarizes studies on hypothalamic involvement in CH pathophysiology, demonstrates the involvement of the hypothalamus in other diseases, and tries to illuminate the role of the hypothalamus based on this synopsis.
Avaliação do equilíbrio, agilidade e presença de tontura em pacientes com migrânea com e sem aura
Authors: Carvalho G. F. , Gonçalves M. C. , Florêncio L. L. , Dach F. , Ferreira K. S. , Chaves T. C. , Speciali J. G. , Bevilaqua-Grossi D.
Published: May 2021

Avaliação do equilíbrio, agilidade e presença de tontura em pacientes com migrânea com e sem aura Headache Medicine. 2012;3(4)
Análise do tempo de profilaxia da migrânea
Authors: Silva-Néto Raimundo P. , Almeida K.J. , Valença Marcelo Moraes
Published: May 2021

Silva-Néto RP, Almeida KJ, Valença MM. Análise do tempo de profilaxia da migrânea. Headache Medicine. 2012;3(4)