bluuebunny/crossref_metadata_2025 huggingface dataset:
When Lightning Strikes Twice in Pediatrics: Case Report and Review of Recurrent Myocarditis
Authors: Floyd Alisha , Lal Ashwin , Molina Kimberly , Puchalski Michael , Miller Dylan , May Lindsay
Published: February 2018

Myocarditis is an important but incompletely understood cause of cardiac dysfunction. Children with fulminant myocarditis often require inotropic or mechanical circulatory support, and researchers in some studies suggest that up to 42% of children who die suddenly have evidence of myocarditis. Recurrent myocarditis is extremely rare, and the vast majority of reported cases involve adult patients. Pediatric providers who suspect a recurrence of myocarditis have limited evidence to guide patient management because the literature in this domain is sparse. Here we present a unique, illustrative pediatric case of recurrent myocarditis. A 14-year-old boy presented for the second time in 2 years with a clinical history strongly suggestive of myocarditis. Although myocarditis was suggested in the results of cardiac MRI, no pathogen was identified during his first presentation. During his second episode of myocarditis, parvovirus was confirmed by polymerase chain reaction testing of an endomyocardial specimen that also met Dallas criteria for myocarditis. With each presentation, he had decreased ventricular function that subsequently normalized. To the best of our knowledge, there are no reports of recurrent myocarditis in children in whom the diagnosis was confirmed by using MRI and/or biopsy data. Reviewing this distinctive case and the existing literature may help characterize this entity and raise awareness among care providers.
Eveningness is associated with poor sleep quality and negative affect in obsessive–compulsive disorder
Authors: Simor Péter , Harsányi András , Csigó Kata , Miklós Gergely , Lázár Alpár Sándor , Demeter Gyula
Published: February 2018

Background

Obsessive–compulsive disorder (OCD) is characterized by intrusive thoughts and repetitive behaviors that severely encumber daily functioning. OCD patients seem to exhibit sleep disturbances, especially delayed bedtimes that reflect disrupted circadian rhythmicity. Morningness–eveningness is a fundamental factor reflecting individual variations in diurnal preferences related to sleep and waking activities. Eveningness reflecting a delayed sleep–wake timing has repeatedly been associated with sleep problems and negative affect (NA). Therefore, the aim of this study was to examine the associations between morningness–eveningness, sleep complaints, and symptom severity in OCD patients and compared with a mixed psychiatric control group.

Materials and methods

The data of 49 OCD and 49 mixed psychiatric inpatients (with unipolar depression and anxiety disorders) were analyzed. Patients completed questionnaires regarding morningness–eveningness, sleep quality, nightmare frequency, depression, anxiety, and affective states. Obsessive and compulsive symptom severity was also assessed within the OCD group by clinician-rated scales.

Results

Eveningness preference was associated with impaired sleep quality and higher NA in OCD patients. In addition, impaired sleep quality showed a moderate correlation with anxiety and strong correlations with depressive symptoms and NA. Interestingly, in the mixed psychiatric group, eveningness was not linked to NA, and sleep quality also showed weaker associations with depressive symptoms and NA. Within the OCD group, eveningness preference was predictive of poorer sleep quality regardless the influence of depressive symptoms.

Conclusion

Our findings suggest that eveningness and sleep complaints are predictive of affective dysfunctions, and should be carefully considered in the evaluation and treatment of OCD patients.
Household's Balance Sheets and the Effect of Fiscal Policy
Authors: Bosca Jose E. , Ferri Javier , Andres Javier , Fuentes-Albero Cristina
Published: February 2018

Using the Panel Survey of Income Dynamics, we identify six household types as a function of their balance sheet composition. Since 1999, there has been a decline in the share of patient households and an increase in the share of impatient households with negative wealth. Using a DSGE model with search and matching frictions, we explore how changes in the distribution of households affect the transmission of government spending shocks. We show that the relative share of households in the left tail of the wealth distribution plays a key role in the aggregate marginal propensity to consume, the magnitude of the fiscal multipliers, and the distributional consequences of fiscal shocks. While the output and consumption multipliers are positively correlated with the share of households with negative wealth, the size of the employment multiplier is negatively correlated. For calibrations based on the empirical household weights after the Great Recession, our model delivers jobless fiscal expansions.
1850- 1950 Yılları Arasında Seyahatnamelerin Işığı Altında Doğu Türkistan Şehirleri
Authors: YILMAZ VURGUN Seda
Published: February 2018

Doğu
Türkistan Türklerin en eski yerleşim alanlarından biridir. Hunlar, Göktürkler
ve Uygurlar bölgeye hakim olan Türk devletlerindendir. Doğu Türkistan
toprakları Moğolların ardından Çağatay hanlığının sınırlarına dahil olmuş, 1750’de
Çin işgali başlamış ve 1862 tarihine kadar sürmüştür. Bu süre içinde Doğu
Türkistan’da çok sayıda isyan hareketi olmuştur. XIX. yüzyılın ikinci yarısında
Yakup Bey, Kaşgar merkez olmak üzere dönemine göre güçlü bir devlet kurmayı
başarmıştır. Doğu Türkistan  halkı Çin
hakimiyetine girdikten sonra her alanda kısıtlanmıştır. Rusya ve İngiltere'nin bölgeye
etki etme çabaları durumu daha da karmaşık bir hale sokmuştur. Rusya, Doğu
Türkistan'daki Çin hakimiyetinden rahatsızlık duymuş bu nedenle her fırsata bölgeye
etki etmeye çalışmıştır. İngiltere ise Hindistan'daki ticari çıkarlarından
dolayı Doğu Türkistan ile yakın temas halinde olmuştur. Bu
çalışmada Doğu Türkistan şehirlerindeki idari yapı ve sosyo-kültürel hayat seyahatnameler
başta olmak üzere yabancı ve yerli araştırma eserlerin ışığı altında
incelenmiştir. XIX. yüzyılın ikinci yarısından XX. yüzyılın ilk yarısına kadar
Doğu Türkistan'ı ziyaret eden seyyahlar şehirlerdeki demografik yapı ve dini
hayat hakkında bilgi vermişlerdir. Doğu Türkistan halkının beslenme kültürleri ve eğitim-öğretim yöntemleri  seyahatnamelerde üzerinde durulan diğer
konulardandır.
Germencik İsmine Dair
Authors: KORKMAZ Mehmet
Published: February 2018

Günümüzde Aydın‘ın bir ilçesi olan
Germencik üzerinde yapmış olduğumuz çalışma ilçe ismi üzerinde pek çok fikrin
bulunması sebebiyle konuyu açıklığa kavuşturmak için hazırlanmıştır. ġehrin
günümüze ulaşana kadar (XV Yüzyıl – XIX Yüzyıl) dört isminin bulunduğu,
bilinenin aksine ilk isminin Degirmencik değil Germiyancık olduğu Osmanlı
dönemine ait çeşitli haritalar ve kaynaklar incelenerek tespit edilmiştir. Elde
etmiş olduğumuz verilerden hareketle bu isimlerin en eskiden yeniye doğru
Germiyancık, İneâbâd (Eyneabad), Degirmencik ve Germencik şeklinde
sıralandığını söyleyebiliriz. Çalışmamızda bu isimlerin kökenlerini, günümüze
gelene kadar nasıl bir gelişim ve değişim gösterdiğini ortaya koyarak en doğru
sonuca ulaşmaya çalıştık.
14. Yüzyılda Osmanlı - Bizans Ucunda Toplumsal Hayat
Authors: KARAKÖK Tunay
Published: February 2018

13. yüzyılda
Anadolu’da Türk beyliği olarak kurulan Osmanoğulları, güçlerine dayanarak Bizans’tan
toprak almışlar ve devlet olmayı başarmışlardır. Devlet olmayı başaran
Osmanlılar aynı zamanda Bizans ile sınır komşusu haline de gelmişlerdir. İşte bu
çalışma bu karışık ama aynı zamanda da kültürler arası alışverişlerin kolayca
ve sıkça yaşandığı sınırlardan – uçlardan biri olan 14. yüzyılda Osmanlı –
Bizans ucunda yaşanan toplumsal hayatı ele almaktadır. Çalışmamız bu bağlamda:
genel bir değerlendirmenin yapıldığı ve sınır – uç kavramının ele alındığı bir
giriş;  Osmanlıların Anadolu’ya Gelişi ve
Bizans Sınırına Yerleşmeleri ile 14. yüzyılda Osmanlı ve Bizans İmparatorluklarının
siyasi durumları ile münasebetlerinin anlatıldığı birinci bölüm; 14. yüzyılda
Osmanlı ve Bizans Ucunda yaşanan toplumsal hayatın detaylandırılarak
anlatıldığı ikinci bölüm ve bir de anlatılanların toparlanarak özetlendiği
sonuç bölümlerinden oluşmaktadır.
Abdurrahman Hıbrî ve Hadâyıku’l-Cinân’ı
Authors: ÜNLÜ Osman
Published: February 2018

Klasik Türk edebiyatında anlatma esasına
dayanan türlerinin en önemlisi hikâyedir. Klasik edebiyatta hikâyelerin
bulunduğu eserler mecmua şeklinde veya belli bir amaçla tertip edilmiş
kitaplardır. Hikâyelerin belli bir düzenle tertip edildiği eserlerden biri de Hadâyıku’l-cinân’dır.
XVII. yüzyılın ilk yarısında Abdurrahman Hıbrî tarafından kaleme alınmıştır.
“Cennet bahçeleri” gibi sekiz bölümden oluşan eserde telif hikâyeler dikkat
çekmektedir. Dönemin günlük hayatını aksettirmesi bakımından da önem taşıyan
Hadâyıku’l-cinân, ilk defa bu yazıda genel hatlarıyla tanıtılmıştır. Eserin
nüshaları, kime sunulduğu ve telif tarihi hakkında bilgi verilmiştir. Buna
ilave olarak eseri oluşturan sekiz bölümde hangi konuların ele alındığı ve
hikâyelerin özetleri verilerek okurun Hadâyıku’l-cinân’ın içeriği hakkında
genel bilgi sahibi olması amaçlanmıştır.
OMEGA 3 SUPPLEMENTATION AND EVOLUTION OF COGNITIVE IMPAIRMENT IN ELDERLY v1
Authors: J Baleztena , M Bes-Rastrollo , M Ruiz-Canela , C Sayon-Orea
Published: February 2018

A few studies have assessed the association between omega-3 polyunsaturated fatty acids (n-3 PUFA) and cognitive impairment (CI) in very old adults. The aim of this study was to evaluate the effect of a supplementation with n-3 PUFA on the cognitive function in an institutionalized ≥75-year-old population without CI or with mild cognitive impairment (MCI). A multicenter placebo-controlled double-blind randomized trial was conducted between 2012 and 2013. Cognitive function was assessed at baseline and after one year using 4 neuropsychological tests. Nutritional status was assessed using Mini Nutritional Assessment (MNA). Interaction between Mini-Mental State Examination (MMSE) score and nutritional status were analyzed using linear regression models.
Isolation of Viral Like Particles (VLP) from Tissues of Molluscs v2
Authors: (Ginger) Jiang Jing-Zhe , Wei Hong-Ying
Published: February 2018

This is a protocol especielly for the isolation of Viral Like Particles (VLP) from the tissues of Molluscs, such as abalone, oyster, clam, scallop and so on. This maybe also applicable for other animal tissues, such as shrimp and fish, based on the principle of the protocol. But we havn't verified this idea yet.
THE INCIDENCE OF THROMBOCYTOPENIA AMONG 600 PREGNANT LADIES IN SULAIMANI-IRAQ
Authors: Hassan Nzar , Shalli Awaz , Jalal Sana , Mustafa Azad
Published: February 2018

Background 

Thrombocytopenia in pregnancy is quite common; it’s the second most common hematological abnormality, after anemia, during pregnancy. Thrombocytopenia results from a wide range of conditions, several of them being pregnancy related. While some of these are not associated with adverse pregnancy outcomes, others are associated with substantial maternal and /or neonatal morbidity and mortality.

Objective

To determine the incidence and various underlying causes of thrombocytopenia in pregnant women in Sulaimani-Iraq.

Methods

In this study a total of 600 pregnant women at different gestational ages, and 150 non- pregnant apparently healthy women, as control, were included. They were randomly selected from different primary health care centers and outpatient clinics of Maternity Teaching Hospital in Sulaimani city. Full history, physical examination and laboratory investigations were performed.

Results

The incidence of thrombocytopenia in the pregnant group was 7.7 % with gestational thrombocytopenia accounting for 76.1% of cases, followed by pregnancy induced hypertensive disorders in 19.6% of cases. The platelets count in pregnant women included in the study ranged from 60-450 x 109 /L with a mean of (250.2 x 109 /L ± 68.39), a value that is significantly lower than the value in control group with a range of platelets from 162-392 x 109 /L, and a mean of (285 x 109 /L ± 48.2) (P value= 0.001). 

Conclusion

Gestational thrombocytopenia is the commonest cause (76.1% of cases) for thrombocytopenia occurring later in pregnancy in this study, and a platelets count ≥ 121 x 109/L detected late in pregnancy does not require sophisticated investigations and should be regarded as safe threshold.
Rational and Irrational Components of Difficult Life Situation Assessment by Adults (on the example of relatives of children who suffer from serious and life-threatening diseases)
Authors: Dermanova Irina B. , Alexandrova Olga V. , Tkachenko Alexander E. , Kushnareva Irina V.
Published: February 2018

The article analyzes the role of rational and rational conscious components in difficult life situations assessment (DLS). Such indicators as meaningful goals, satisfaction of life process and its result, as well as the concept regarding life controllability are referred to the rational conscious aspects. As irrational conscious aspects there are studied indicators of irrational attitudes and religious commitment. The authors have verified the hypothesis about various roles of these indicators in cognitive assessment of difficult life situation of adults who are close relatives of a child who suffers from a serious life threatening disease. Based on the study works there have been a conclusion that a more satisfactory situation assessment more often correlates with higher indicators of life meaningfulness in case of refusing from irrational attitudes. However, in certain cases actualization of irrational attitudes in combination with the emerged religious commitment can be connected with the feeling of encouraging situation clearness (particularly, in cases of elder subjects who are relatives of elder children). The feeling of insolubility of the situation can be accompanied with the disappointment in religion and actualization of obligation towards oneself. In general, religious commitment of a person does not correlate with the felling of controllability of life, but it can reduce the severity of situation experience. The significant factor in perception of the situation severity, connected with the meaningfulness indicators and irrationality, is the age of a child.
Main causes of parents dissatisfaction by the accessibility and quality of ambulatory-polyclinic care for children
Authors: Yuryev Vadim K. , Sokolova Vera V.
Published: February 2018

One of the main tasks of the national healthcare is to increase the accessibility and quality of medical care to the population. One way of assessing the quality of care is to study patient satisfaction with medical care through sociological research. The degree of patient satisfaction reflects not only the social effectiveness of medical organizations, but also the work of all health systems. The bulk of medical care a child receives in the conditions of the polyclinic. Parents, being legal representatives of the child, can objectively assess the quality of medical care provided to them in the children's polyclinic, and, if necessary, protect his legitimate interests. With a view to identifying the main causes of the dissatisfaction of the child population of Saint Petersburg by the accessibility and quality of ambulatory-polyclinic care, the anonymous questionnaire of 1488 parents of children receiving the medical care in outpatient polyclinics was conducted. It found that in children's polyclinics parents often face difficulties when calling the doctor home, visiting a pediatrician and subspecialties doctor, passing medical examinations and procedures. Parents were not always satisfied with the preventive activities and sanitary and hygienic condition of the polyclinic. There are cases of inattentive and mistreatment by medical personnel. In General, over half (53.2%) parents have remained completely unsatisfied or not fully satisfied by the quality of provided ambulatory-polyclinic care.
Breathing disorders during sleep in premature infants with broncopulmonary dysplasia and pulmonary hypertension
Authors: Solomakha Anna Yu. , Petrova Natalia A. , Ivanov Dmitry O. , Sviryaev Yurii V.
Published: February 2018

Infants with severe and moderate bronchopulmonary dysplasia (BPD) are characterized by long-term persistence of apnea of prematurity, mainly central genesis, and more significant decrease of ЅрО2. The aim of our study was to assess the character and severity of breathing disorders during sleep in infants the first year of life, born prematurely and having BPD complicated by PH. Were examined 40 infants who were born at 23-31 weeks of gestation, weight at birth less than 1700 g. 31 infants had BPD (mild form was diagnosed in 9 infants, moderate form – in 12 infants and severe form – in 10 infants), 11 infants had BPD complicated by PH. Patients were divided into 3 groups. The first group was made up of the infants without BPD. The second group includes infants with BPD, and 3 group was made up of the infants with BPD complicated by PH. Cardiorespiratory monitoring was performed immediately before discharge from hospital (35-43 weeks post-menstrual age) (infants had not been routine monitored for at list 5 days and had not been received oxygen for at list 8 days). We used “The brief screening questionnaire for infants with sleep problems”, developed by A. Sadeh (author's permission to use the questionnaires was received), as the screening of disorders of sleep in infants. The result was obtained the comparative characteristics of cardiorespiratory indices in the groups of infants and evaluated the character and severity of breathing disorders during sleep, made testing applications screening questionnaire.
Correlation analysis of T2-weighted images and Medical Research Council scale in corticosteroid-naive patients with Duchenne muscular dystrophy
Authors: Suslov Vasiliy M. , Pozdnyakov Alexander V. , Ivanov Dmitry O. , Rudenko Dmitry I. , Malekov Damir A. , Suslova Alexandra D. , Ulyanenko Daria I.
Published: February 2018

Because of the necessity of objective instrumental methods for assessing the state of skeletal musculature in patients with Duchenne muscular dystrophy, the aim of our work was to evaluate the correlation between manual methods of assessment of the muscle strength and the results of magnetic resonance imaging (MRI) of the skeletal muscles of lower limbs. We have examined 15 corticosteroid-naive patients with Duchenne muscular dystrophy. Patients were divided into 2 groups: ambulant patients (average age 8.1 years) and non-ambulant patients (mean age 12.7 years). Muscle strength of lower extremities of all patients has been evaluated by Medical Research Council scale and MRI of skeletal muscles of the pelvic girdle, thighs and lower legs has been performed. The following results have been obtained: ambulant patients have been characterized by a high correlation of MRC scale and MRI of the lower extremities in the evaluation of the pelvic girdle and thighs muscles and the total score (pelvic girdle, thighs and lower legs) and salient correlation in the evaluation of the lower legs muscles. Non-ambulant patients have been characterized by moderate correlation in the evaluation of pelvic girdle and thighs muscles, as well as the total score of lower limbs. There was no correlation between MRC and MRI results in the muscles of the lower legs. Magnetic resonance tomography is able to reliably estimate the degree of fatty infiltration in Duchenne muscular dystrophy and is the method of choice in the diagnosis and evaluation of the severity of this disease.
PECULIAR FEATURES OF STRUCTURAL AND FUNCTIONAL INDICES OF CARDIOVASCULAR SYSTEM IN YOUNG MEN WITH ARTERIAL HYPERTENSION ASSOCIATED WITH METABOLIC SYNDROME
Authors: Rizvanova R T , Maksimov N I
Published: February 2018

Aim. To carry out dynamic assessment of the structural and functional indices of cardiovascular system in young men with arterial hypertension (AH) associated with excess body mass (Ebm) against the background of therapy. Materials and methods. Examination of 86 young men aged 18-27 years, including the group of comparison with practically healthy persons ( n = 24) and the group of observation ( n = 62) was performed. The group of observation joined patients with AH without EBM and AH+EBM. The study was conducted initially and 6 months later. Patients with AH+EBM ( n = 25) were divided into 2 subgroups: group 1 (12 persons) without therapy and group 2 (13 persons) against the background of antihypertensive therapy. Results. Six months later, in group 1 there was observed a growth of “office” systolic arterial pressure (SAP) by 3,8 % (145,0 ± 2,88 and 150,54 ± 2,99 Hg mm), p = 0,001, but in the group with antihypertensive therapy, SAP decreased by 12,7 % (145,75 ± 2,80 and 129,33 ± 1,5 Hg mm), p = 0,01 and DAP - by 12,1 % (86,5 ± 1,95 and 77,16 ± 2,41 Hg mm), p = 0,02. Pulse wave propagation velocity (PWPV) along the vessels of muscular and elastic types among patients without therapy was found to grow in dynamics by 12,2 and 16,2 %, respectively. Against the background of therapy, there was a tendency to a reliable reduction in PWPV indices. Conclusions. Antihypertensive therapy in patients with AH+EBM, while decreasing AP, leads to reduction of LVMM, LVMMI, PWPV and IMCV. The early diagnosed lesion of target organs among young men with AH+EBM and timely antihypertensive therapy can improve structural and functional characteristics of cardiovascular complications.
CHILDHOOD OPHTHALMOLOGIC TRAUMATISM IN PERM KRAI
Authors: Gavrilova T V , Chereshneva M V , Orlova N A
Published: February 2018

Aim. To analyze severe traumatic injuries of visual organs in children of Perm Krai. Materials and methods. Retrospective analysis was fulfilled according to the data of case registers of emergency ophthalmologic stations of Perm Regional Clinical Hospital and “City Clinical Hospital № 2 named after F.Kh. Gral” as well as case histories of children with visual organs injuries hospitalized to ophthalmological units of the same institutions for 2 years (2014-2015). Results. During 2 years, 39 801 persons, including 4078 (10,2 %) children, addressed to two emergency ophthalmological stations in connection with visual organs injuries; 41 children were hospitalized: 30 (73 %) boys and 11 (27 %) girls aged 1-17 years. Most children had eye injuries, received at home - 23 persons (56,1 %), in the street - 17 (41,5 %), at school (manual training) - 1. Injured visual organ - 43 eyes: wounds - 31 (72 %) eyes, contusions - 8 (19 %), burns - 4 (9 %). Conclusions. Injuries of visual organs, which require hospitalization to specialized units and rendering emergency surgical and conservative care, are registered in children of Perm Krai. A part of injured patients after hospital treatment preserved low visual acuity or had no object vision. Thus, it is necessary to take active measures for prevention of eye injuries and their consequences.
Emergency obstetric hysterectomy: a retrospective study from a teaching hospital over eight years
Authors: Verma Madhureema , Agarwal Manju
Published: February 2018

Background: EOH is define as removal of uterus (total or subtotal) at the time of caesarean section or following vaginal delivery within puerperium. Objective of present study was to determine the frequency, demographic characteristics, indications, and maternal outcomes associated with emergency obstetric hysterectomy.Methods: It was a retrospective, observational, and analytical study conducted over a period of eight years, from January 2009 to December 2016. A total of 64 cases of emergency obstetric hysterectomy (EOH) were studied in the Department of Obstetrics and Gynecology, SRG Hospital and Jhalawar Medical College Jhalawar (Rajasthan).Results: The incidence of EOH in our study was 0.4 per 1000 following vaginal delivery and 3.5 per 1000 following cesarean section. The overall incidence was 1.03 per 1000 deliveries. Rupture uterus 30 (46.8%) was the most common indication followed by postpartum hemorrhage 23 (35.9%) and morbidly adherent placenta 11 (17.1%). Subtotal abdominal hysterectomy was performed in most of the cases. Maternal mortality was 6.2%.Conclusions: This study concluded the great role of EOH as a life-saving procedure in those cases where medical management has failed.
A large posterior vaginal wall cyst simulating rectocele: an account of an unusual perplexing case
Authors: Garg Deepali , Marwah Sheeba , Sharma Ritu , Salhan Sudha
Published: February 2018

Benign cystic lesions of the vagina are uncommon, often being an asymptomatic incidental finding revelled during routine gynaecological examination. Large vaginal wall cysts > 5cm size are a rare gynaecological entity. Most of the work available in literature accounts their mullerian genesis. Large epidermal inclusion cysts are further rarer. Thus, here is described a case illustrating an exceptional case of large epidermal inclusion vaginal wall cyst mimicking rectocele. Also, clinical considerations and relevant literature review on the same has been addressed. A 40 year old lady P2L2 presented in gynecology OPD with complaints of feeling of fullness in the vagina associated with some mass protruding out of the vagina for last few years. Careful evaluation indicated it to be a large posterior vaginal wall cyst 7x6 cm, aping enterocele, lying separate from rectum. The cyst was then surgically excised without any intraoperative or postoperative complications. Giant vaginal cysts are an uncommon occurrence. Meticulous clinical evaluation, bolstered with pertinent investigations can help in clinching the diagnosis early.
Tricks and tacks in the management of the forgotten double J stent
Authors: Agarwal Shikhar , Sarpal Rajeev , Pathak Priyank , Biswas Manoj , Mittal Ankur , Rathore Karamveer , Pal Ravinder
Published: February 2018

Background: Double J ureteral stent has become the part and parcel of the routine procedure for the prevention or relief of upper urinary tract obstruction. Forgotten DJ stent can lead to encrustation, infection, migration, hydronephrosis and fragmentation.Methods: Total 16 patients with forgotten double J stent at urology department of the tertiary teaching hospital from January 2014 to December 2016 were included in this retrospective study. The details reviewed included the indwelling time, presenting complaints, radiological and laboratory investigations, their management techniques and complications of the interventions.Results: Twelve were male while 4 were female with mean patient age was 41.3±10 years. Most common presenting complaints were lower urinary tract symptoms. Five had broken stent, two encrusted calcified stents while two were migrated to upper ureter. One patient was diagnosed as pyonephrosis while 6 patients were uncomplicated cases.Conclusions: Stents, which are forgotten, can lead to morbidity in stented patients. Stent register should be made, and a computer-based tracking system has also been described to ensure the safety.
Comparison of clinical accuracy v/s investigations in the diagnosis of acute appendicitis
Authors: Halbhavi Subhash N. , Lamni Yamanur P. , Goudar B. V. , Kalburgi E. B. , T. Sushant P. , R. Manjula
Published: February 2018

Background: Now a day there is a trend to rely more on high-tech investigations rather than taking thorough history and clinical examination of the patients in the diagnosis of acute pain abdomen. Commonest cause of acute abdomen in the surgical practice is appendicitis. Delay in the diagnosis and treatment of acute appendicitis, leads to complications. Objective of this study was to evaluate the accuracy of clinical diagnosis versus sensitivity and specificity of ultrasound examination and histopathological examination of the resected specimen of appendix. This study also assesses the incidence of negative appendectomies in a medical college hospital of North Karnataka.Methods: This study included one hundred and fifty patients with history of pain abdomen where clinical diagnosis of acute appendicitis was made. The study period was of 18 months between February 2014 to July 2015. Routine blood investigations and abdominal ultrasonography were done in all cases. All ultrasound positive cases were subjected to surgery. Some ultrasound negative cases were also taken to surgery on the high suspicion of diagnosis of acute appendicitis depending upon thorough history taking and clinical examination. The diagnosis made depending on the ultrasound findings were compared with clinical findings, operative findings and histopathological examination reports.Results: Out of 150 patients, 104 were male and 46 were female. The common symptoms were pain in the RIF (100%) and anorexia (80%).The overall sensitivity and specificity of clinical diagnosis was 96.9% and 90.48% respectively. The same for ultrasound was 86.99% and 33.33% respectively. The present study shows negative appendectomy rate 6.66% in females and 7.33% in males.Conclusions: The diagnostic accuracy of ultrasound was 84.87% whereas clinical diagnosis was 96%. Thus, detailed history taking, and thorough clinical examination still holds good in the diagnosis of acute appendicitis and should be stressed in the clinical teaching.
Modified Mc-Gregor’s fan flap for lower lip reconstruction: a two years institutional experience
Authors: Shah Pratik R. , Patel Mehul K.
Published: February 2018

Background: Aim of the study was to evaluate the modified fan flaps done during the past two years with regard to applicability, reliability, functional perspective and complications.Methods: All the cases of lower lip defects which were reconstructed using modified Mc Gregor’s fan flaps were included and followed up prospectively at periodic intervals up to 2 years. The indications, applicability to defect size, postoperative aesthetic and functional results and drawbacks were noted.Results: Total 21 modified fan flaps were done during this period. All were done for squamous cell carcinoma affecting lower lip. All the flaps survived, four patients had marginal mucosal loss of neovermilion which healed by secondary intention, 1 case of Bilateral modified Gilles fan flap developed little microstomia, 1 flap with bilateral fan flap had dehiscence of suture line leading to significant morbidity which later had to be closed by secondary resuturing.Conclusions: The modified Mc-Gregors fan flaps are safe and reliable flap for lower lip reconstruction in terms of acceptability and function.
A cross-sectional study on prevalence of gastro esophageal reflux disease in regurgitant infant and children with evaluation of IGERQ score
Authors: Kandasamy Elayaraja , Andy Senthil Kumar
Published: February 2018

Background: Gastro Esophageal Reflux Disease (GERD) is the most common esophageal disorder in children of all ages. GER becomes pathological when reflux increase in frequency and intensity, associated with esophageal and respiratory symptoms. Thus, the study was determined to assess the prevalence of GERD in regurgitant children of age 6 to 24 months with evaluation of IGERQ score (Infant Gastro Esophageal Reflux Questionnaire).Methods: A descriptive study was conducted in Gastroenterology Department, Institute of child Health and Hospital for Children, Egmore, Chennai from September 2007 to September 2009. 123 regurgitant children of age 6-24 months were enrolled. Clinical examination and validated questionnaire with total score of 25 was used. Data analysis was aided by EPI info programme. Chi square with P value <0.05 was considered statistically significant. IGERQ score was evaluated by calculating sensitivity, specificity, positive predictive valve and negative predictive valve.Results: The prevalence of GERD in regurgitant infant and children is 30.8%. Refusal of feeds and poor weight in regurgitant children significantly correlated with GERD. sensitivity was 84%, specificity was 96%, positive predictive value was 91%, negative predictive value was 93%Conclusions: Clinical diagnosis of GERD is sufficient in most instances and a questionnaire may aid in diagnosis the disease. IGERQ score is easily adaptable. IGERQ score >5 has high specificity positive and negative predictive value but reproducibility in our population need further evaluation.
Clinical profile of systemic lupus erythematosus among children less than 12 years
Authors: Andy Senthil Kumar , Kandasamy Elayaraja
Published: February 2018

Background: Systemic lupus erythematosus (SLE) is an episodic multisystem autoimmune disease characterized by widespread inflammation of blood vessels and connective tissues and by the presence of antinuclear antibodies especially antibodies to native double stranded DNA. The aim was to study the clinical profile of SLE among children less than 12 years attending an urban referral hospital, SLEDAI scoring at onset and follow up at 1 year and SLICC/ACR damage index at 1 year.Methods: A descriptive, prospective and observational study was conducted in Medical, Nephrology, Rheumatology OPD wards, in ICH and HC, from November 2007 to August 2009 among all children diagnosed to have SLE. Results: In this study there were 50 cases over the last 2 years. Majority of the children were diagnosed within a year of their initial manifestation. The mean age at the time of onset of symptoms was 7.94 years. Female to male ratio in our study is 2.5:1.Conclusions: Efforts should be directed in diagnosing at earlier stage itself for better outcome. SLEDAI and SLICC/ACR DI can be incorporated in routine follow up to detect mild to moderate and severe flare and extent of organ damage.
What is and is not Hellenistic Judaism?
Authors: Rios Cesar Motta
Published: February 2018

Abstract: in the studies of Judaism in antiquity, and in the field of general History as well, it is usual to find references to Hellenistic Judaism, usually in opposition to Palestinian Judaism. In this article, I reflect on the concept of Hellenistic Judaism through the reference to specific texts and authors identified as part of this branch of Ancient Judaism. I demonstrate the frequent simplification that this expression imposes to an extremely complex intercultural phenomenon. I do not suggest its complete abandon, but a minded use of it, which includes the recognition of the impressive existent diversity.O Que É e Não é Judaísmo Helenístico?Resumo: em estudos sobre o judaísmo na Antiguidade, bem como da História geral, é comum encontrar referências ao judaísmo helenístico, por vezes em oposição ao judaísmo palestino. Neste artigo, reflito sobre o conceito de judaísmo helenístico a partir de referências a casos pontuais de textos e autores comumente alocados em tal âmbito. Demonstro a frequente simplificação que a expressão estabelece para um fenômeno intercultural extremamente completo. Não sugiro a abolição do uso da mesma, mas sim seu uso refletido e com o reconhecimento da necessidade de se considerar as diversidades existentes.
Urban Landscape Educates for Diversity
Authors: Junqueira Sérgio Rogério , Jaluska Taciane
Published: February 2018

Abstract: this text is the result of a qualitative exploratory and documentary research aiming to understand the religious spaces as educational instruments for the respect of Brazilian cultural diversity, based on the urban tourism itineraries focused on the religious cultural heritage produced by the Curitiba Institute of Tourism and the Foundation Cultural of Curitiba. To this end, we propose the discussion based on the understanding of tourism as an educational space for cultural plurality through the construction of scripts with pedagogical conceptions and propositions. The results point out that the practice of educational tourism to promote environmental studies helps to develop not only cognitive aspects, but also emotional, affective, social and cultural aspects in the individual, favors encounters that stimulate student reflection and promote knowledge of the socio-cultural environment where Live and the enormous Brazilian cultural diversity, disrupting ethnocentrism. Paisagem Urbana Educa para a Diversidade Resumo: este texto é o resultado de uma pesquisa qualitativa exploratória e documental visando compreender os espaços religiosos como instrumentos educativos para o respeito a diversidade cultural brasileira, a partir dos roteiros de turismo urbano voltados para o patrimônio cultural religioso produzidos pelo Instituto de Turismo de Curitiba e Fundação Cultural de Curitiba. Para tal propomos a discussão a partir da compreensão do turismo como espaço de educação para a pluralidade cultural por meio da construção de roteiros com concepções e proposições pedagógicas. Os resultados apontam que a prática do turismo educacional para promover estudos do meio auxilia a desenvolver no indivíduo não só aspectos cognitivos, mas também emocionais, afetivos, sociais e culturais, favorecem encontros que estimulam a reflexão dos alunos e promovem o conhecimento do meio sociocultural onde vivem e da enorme diversidade cultural brasileira, descontruindo o etnocentrismo.
Martin Luther's Two-dimensional missionary theological structure in his lectures on Genesis and Galatians
Authors: Graff Anselmo Ernesto , Pauly Evaldo Luis
Published: February 2018

Abstract: this article presents contributions of Martin Luther’s missiological reflection of the missionary work of the Church. The methodology is a bibliographical / documentary research. In the thought of the Reformer the mission of the Church is to proclaim the Gospel. This occurs in the vertical dimension, where the work is exclusive of God and in the horizontal, where the responsibility is of the ChristiansA Estrutura Teológica Missionária Bidimensional de Lutero: Preleções sobre Gênesis e GálatasResumo: este artigo apresenta contribuições de Martinho Lutero na reflexão missiológica da obra missionária da Igreja. A metodologia é de uma pesquisa bibliográfica/documental. No pensamento do Reformador a missão da Igreja é proclamar o Evangelho. Isto ocorre na dimensão vertical, onde a obra é exclusiva de Deus e na horizontal, onde a responsabilidade é dos cristãos.
Visual and Dynamic Hagiographies: the use of Youtube for the Promotion of Saints in Kids
Authors: SOLÍS NICOT YVES BERNARDO ROGER
Published: February 2018

Abstract: in the Age of You Tube and Facebook, new ways of religiosity are appearing in the Web 2.0, some institutional but many create by single believer. This recent phenomena require both a theoretical and methodological treatment. New cases of promotion of saints and sanctuary are born with the emergence and development of Internet and social digital networks. This article aim to promote a reflection about new Digital Narratives, known also as Digital Storytelling, (DST) focused on kids and family. Using the case of the promotion in Spanish language of John Paul II the idea is to show changes and continuities between DST and more traditional narrations of saint’s promotions.Hagiografias Visuais e Dinâmicas: o Uso do Youtube para a Promoção dos Santos para CriançasResumo: Na Era do YouTube e Facebook aparece na Web 2.0 novas formas de religião popular e institucional. Esse fenômeno está recebendo um novo tratamento teórico e metodológico, instigado pelo surgimento de novos santuários com o desenvolvimento e expansão do acesso à Internet. Este artigo é uma reflexão sobre as narrativas digitais para as famílias e crianças ao analisar a produção digital na língua espanhola da figura de João Paulo II, demonstrando as mudanças e continuidades nas narrativas dos santos tradicionais.
The Servant of Yhwh: an Analysis of Isaiah 42,1-4
Authors: Neves Silva Rosemary Francisca
Published: February 2018

Abstract: the research aims to analyze the first song of the Servant of YHWH that is inserted in the book of Dêutero-Isaiah. It is served in the classical instruments of biblical research. First of several theories about the formation of the corners, which allowed us to opt for the theory of Duhm, which presents the servant as an anonymous character. The historical-critical method favored the understanding of the first corner of Isaiah 42,1-4, especially the key concepts that describe the figure of the Servant. In this passage, the Servant/slave is called to accomplish a specific mission, to bring hope and the liberation of the people of God, leading them to salvation through the release of the oppressors.

O Servo de Yhwh: uma Análise dDe Isaías 42,1-4

Resumo: a pesquisa tem como objetivo analisar o primeiro Canto do Servo de YHWH que está inserido no livro do Dêutero-Isaías. A mesma se serviu dos instrumentos clássicos da pesquisa bíblica. Primeiramente das várias teorias sobre a formação dos Cantos, as quais nos possibilitou optar pela teoria de Duhm, o qual apresenta o Servo como um personagem anônimo. O método histórico-crítico favoreceu a compreensão do primeiro Canto de Isaías 42,1-4, especialmente dos conceitos-chave, que descrevem a figura do Servo. Nessa perícope, o Servo/escravo é chamado a realizar uma missão específica, a de levar a esperança e a libertação ao povo de Deus, conduzindo-os à salvação por meio da libertação dos opressores.
Editorial
Authors: Quadros Eduardo
Published: February 2018

Este número da revista Caminhos reúne alguns trabalhos apresentados no simpósio Imagens de um povo crente: um diálogo entre a Europa e a América Latina, organizado dentro do XVIII Congresso Internacional da Associação de Historiadores Latinoamericanistas. O congresso aconteceu no princípio de setembro, na cidade espanhola de Valencia, reunindo pouco mais de mil pesquisadores, distribuídos por cerca de sessenta simpósios temáticos.
Підвищення ефективності навігації літального апарату під час посадки за допомогою супутникової навігаційної системи
Authors: Kharchenko Volodymyr , Konin Valeriy , Olevinska Tetiana
Published: February 2018

У цій статті представлено два алгоритми, що дозволяють підвищити ефективність навігації повітряного судна під час заходу на посадку за сигналами супутникової навігаційної системи. Перший алгоритм описує створення в просторі віртуальних опорних площин за координатами чотирьох точок на злітно-посадковій смузі та подальше обчислення горизонтального та вертикального кутового відхилення літального апарату від них. Другий алгоритм описує автономний контроль цілісності навігаційного поля в районі аеродрому за наявності в зоні видимості чотирьох супутників однієї системи. Методи дослідження: Використовувались методи планування експерименту, методи аналітичної геометрії та лінійної алгебри. Результати: Отримано нові експериментальні дані. Обговорення: Результати експериментального дослідження першого алгоритму показали принципову можливість обчислення відхилень літального апарату вказаним способом. Показано, що впровадження запропонованої технології дозволить підвищити ефективність навігації повітряних суден малої авіації під час посадки на аеродромах, які наразі не обладнані радіонавігаційними засобами для інструментальної посадки. Дослідження другого алгоритму показало, що зазначеним способом можливо зменшити кількість відмов супутникової навігаційної системи, що також позитивно впливає на ефективність навігації. Ці результати можуть бути використані у авіакосмічній галузі для зменшення кількості нельотних періодів повітряних суден малої авіації.
Виявлення та розпізнавання простих об’єктів з використанням імовірнісного підходу
Authors: Kharchenko Volodymyr , Kukush Alexander , Chyrka Iurii
Published: February 2018

Мета: Представлені результати досліджень спрямовані на краще розуміння методів комп’ютерного зору та їхніх можливостей. Статистичний підхід до виявлення та розпізнавання об'єктів дозволяє обробляти типові об’єкти з простими дескрипторами. Методи дослідження: Розглянутий підхід базується на методах теорії ймовірності, ядерній оцінці щільності ймовірності та комп'ютерному моделюванні як засобі апробації. Результати: Розглянутий підхід до виявлення та розпізнавання об'єктів продемонстрував ряд переваг у порівнянні з існуючими методами завдяки простоті реалізації та швидкій обробці даних. Представлені результати експериментальної перевірки доводять, що розглянутий метод може використовуватись для виявлення та розпізнавання об’єктів різної форми. Обговорення: Підхід може бути реалізований у багатьох  системах комп’ютерного зору, що оглядають об’єкти в складних шумових умовах.
Роль патогенних мікроорганізмів у накопиченні біогенних магнітних наночастинок у тканинах легень
Authors: Gorobets Svitlana , Gorobets Oksana , Medviediev Oleksandr , Kuzminykh Liubov
Published: February 2018

Мета: У цій роботі досліджується роль патогенних мікроорганізмів у накопиченні біогенних магнітних наночастинок у тканинах легень. Основна мета даного дослідження – довести, що біогенні магнітні наночастинки можуть потрапляти у тканини легень разом з патогенними мікроорганізмами та накопичуватись там при відповідних захворюваннях. Методи дослідження: Попарне та множинне вирівнювання амінокислотних послідовностей, електронний парамагнітний резонанс. Результати: Продуценти біогенних магнітних наночастинок були знайдені серед патогенних мікроорганізмів, що є збудниками захворювань легень. Біогенні магнітні наночастинки можуть потрапляти у тканини легень разом з патогенними мікроорганізмами та накопичуватись там при відповідних захворюваннях. Наявність біогенних магнітних наночастинок у тканинах легень була експериментально доведена в ході аналізу спектра електронного парамагнітного резонансу. Обговорення: Результати даного дослідження можуть бути використані для запобігання та розуміння можливих причин токсичного, алергічного впливу і закупорки судин під час неконтрольованого накопичення магнітних наночастинок в різних органах та тканинах через їх магнітні диполь-дипольні взаємодії з біогенними магнітними наночастинками на клітинних мембранах.
RELAÇÃO TEORIA E PRÁTICA NA FORMAÇÃO DOCENTE: SUBSÍDIOS DE INOVAÇÃO
Authors: Monteiro Francisca Ocilma Mendes
Published: February 2018

Resumo: No processo de formação inicial docente a relação teoria e prática se impõe e desafia os professores formadores.  Para compreender a dimensão teórica e prática em uma visão de unidade, este trabalho investigativo objetivou apresentar algumas reflexões, fundamentada em diferentes autores e em alguns marcos legais, sobre as mudanças ocorridas na formação inicial docente no que se refere a relação teoria e prática. Os principais teóricos que embasaram esse estudo foram: Cunha (1998,2013); Lucarelli (2009); Freire (1996); Sousa Santos (1987); Pimenta (2006) e outros. Nesta perspectiva, fez-se uma análise de estudos, já publicados, e na legislação educacional brasileira, priorizando as normativas a partir da Lei de Diretrizes e Bases da Educação Nacional (9.394/1996). Assim, a formação docente converge para uma proposta que rompe com a dicotomia presente nas dimensões teórica e prática se encaminhando para uma perspectiva de integração relacional e de inovação.
AMBIENTALIZAÇÃO CURRICULAR: O DESENVOLVIMENTO PESSOAL E PROFISSIONAL DE PROFESSORES DA EDUCAÇÃO BÁSICA
Authors: Arruda Marina Patricio de , Lima Lucia Cecatto de
Published: February 2018

A Universidade como instituição formadora de professores apresenta-se como espaço importante na consolidação de outra proposição pedagógica de Educação ambiental, processo que poderia incluir as dimensões do desenvolvimento pessoal e profissional de professores da Educação Básica. Buscando criar possibilidades para uma reforma do pensamento de professores de um Centro de Educação Infantil Municipal, uma experiência de pesquisação foi desenvolvida com o objetivo de ampliar o debate sobre a Educação Ambiental e a Ambientalização nos currículos da Educação Básica. As histórias de vida orais obtidas indicaram a escola como espaço de formação não só para os alunos, mas, também para os professores sobre a questão ambiental. Concluímos provisoriamente que os encontros pedagógicos promoveram a compreensão da relação entre Educação Ambiental, Ambientalização e Educação para a Inteireza contribuindo para com o processo de desenvolvimento pessoal e profissional daqueles professores. E nessa aventura reflexiva, os professores puderam pensar num outro modelo de formação integral capaz de privilegiar o reconhecimento do caráter multidimensional do humano.