bluuebunny/crossref_metadata_2025 huggingface dataset:
Investigation of the Articles Published in the Journal of ‘Education and Science’ between 2011 & 2016 in the Context of the Use of SPSS and AMOS
Authors: MUT Ali İhsan , KUTLUCA Tamer , GEÇİCİ Mehmet Ertürk
Published: March 2019

The purpose of this study is to examine the articles,
which utilized SPSS and AMOS programs in the data analysis, and were published
in 2011-2016 in the journal of Science and Education that is in the scope of
SSCI. For this aim, 343 articles out of 688 were examined from the perspectives
of the type of statistical technique, the number of authors, sample size,
research design, group of sample and the method of analysis. The data were
examined through content analysis and presented by means of descriptive
statistical methods. According to the results of this research, parametric
tests were the most utilized statistical tests in the data analyses and the
studies were mostly designed compatible with quantitative research. The studies
were conducted mostly by one or two authors. Elementary and middle school
students and undergraduates were the most frequently studied participants. The
results of the study will be a guide and light for the future studies.
Government and school community member perception on childhood obesity prevention in the primary school settings of Brunei Darussalam
Authors: Ahmad Siti Rohaiza , Schubert Lisa , Bush Robert
Published: March 2019

Introduction: Childhood obesity is increasing in the Southeast Asian region, including in the nation of Brunei Darussalam. Within the public health focus on obesity prevention, specific settings, including primary schools, have been singled out as suitable sites for action. Recognizing that stakeholders are, in their various roles, producers of policy or implementers of practice, the purpose of this study in Brunei was to establish a baseline for interventions as well as to establish strengths and limitations in the current practice.

Methods: Semi-structured interview with government and school community stakeholders was conducted, and transcriptions were thematically analyzed.

Results: Three themes emerged from the data. The first theme was “children’s eating habits today = healthy adult population tomorrow;” many of the stakeholders believed that, if healthy eating is not practiced from an early stage, this can lead to the development of harmful diet-related diseases in the future. The second theme was “barriers to effectively addressing the issue of childhood obesity;” all were able to identify barriers such as workforce issues to address obesity prevention and health promotion activities. The third theme was “parental responsibility for children’s diet and physical activity habits.” The majority of respondents believed that parents are responsible for the rise in childhood obesity in Brunei.

Conclusions: The widespread ethos of personal responsibility for health behaviors has resulted in policies having a heavy emphasis on individual health behavior management and blame for the problem being directed primarily at parents. This individualization of the problem of childhood obesity is a barrier to the planning and implementation of ecological interventions.
Mild symptomatic Wernicke’s Encephalopathy: a case report
Authors: Cotelli Maria Sofia , Civelli Patrizia , Turla Marinella
Published: March 2019

Wernicke’s encephalopathy (WE) is an acute, neuropsychiatric syndrome which results from a deficiency in vitamin B1 (thiamine), which in its biologically active form, thiamine pyrophosphate, is an essential coenzyme in several biochemical pathways in the brain, often due to alcohol abuse (alcoholic WE). Non-alcoholic WE variant manifests in many different clinical settings, such as gastrointestinal tumors, hyperemesis gravidarum, chemotherapy, acquired immunodeficiency syndrome, prolonged therapeutic fasting, protracted parenteral nutrition and bariatric surgery, anorexia nervosa and can even be secondary to socioeconomic factors. The classic triad of encephalopathy, oculomotor dysfunction, and gait ataxia is only seen in approximately one-third of patients and is more common in alcoholics; only some of these symptoms are usually present. Here we describe a case of an occasional neuroradiological finding of Wernicke Encephalopathy not related to symptoms or signs.
Assessment of risk factors for hypertension in Dormaa municipality in Ghana using the World Health Organization STEPS approach
Authors: Atibila Fidelis , Dabo Ellis Owusu , Asamani James Avoka , Adjei Charles Ampong , Akugri Francis Abande , Attafuah Priscilla Adumoah
Published: March 2019

Introduction: Hypertension (HPT) is a significant public health challenge worldwide and is the single most important risk factor for cardiovascular disease. As life expectancy rates improve in Ghana and the prevalence of risk factors increase, the burden of non-communicable diseases such as HPT is also expected to increase. However, little is known about the specific factors that predispose of Ghanaians to a higher risk of HPT.

Methods: A cross-sectional study was conducted in the Dormaa Municipality in Ghana using the World Health Organization STEPwise approach to investigate risk factors for HPT. Study participants were recruited by probability proportional sampling technique. In all, 202 males and 198 females participated in this study.

Results: The mean age of the participants was 50.06 years (95% confidence interval [CI]: 48.46–51.66). In all, 40% of all participants in this study had elevated blood pressure (BP) (BP ≥140/90 mmHg). Further, the rate of isolated systolic HPT was 11.2% among the study population (12.9% in males and 9.6% in females). Risk factors as measured in the population were advancing age >45 years (odds ratio [OR] = 2.745, CI 1.20–6.30, p = 0.017), gender (44.6% males versus 35.4% females with elevated BP, male OR = 0.492, CI 0.28–0.86, p = 0.012), and tobacco use (OR = 2.66, CI 1.41–5.04, p = 0.003). Males reported higher mean portions of fruits (p = 0.036) and vegetable servings than females (p = 0.009) and spent more time each day on physical activities compared to females (p = 0.000).

Conclusion: The results of the present study provide useful data on HPT prevalence and associated risk factors in the Dormaa Municipality and the Brong-Ahafo Region of Ghana. To be able to control HPT in the municipality, health practitioners and policymakers should focus on these modifiable risk factors.
Contractual Preemptive Rights: Russian Doctrine and European Tradition in the Context of Russian Civil Code Reform
Authors: Velichko Veronika , Terdi Ekaterina
Published: March 2019

Problems associated with the possibility of the stipulation of preemptive rights by contract and their effective protection are researched in this article. Based on the examples of German, French and Swiss civil legislation, we establish that contractual preemption is widely used in Europe as a convenient instrument to formalize the interests of the participants in a civil turnover. In this connection, in Russian civil doctrine, the widespread idea that preemptive rights may be stipulated only by law, not by contract, should be revised.

We state that the essence of the institution of preemptive rights predetermines its remedy. Historically Russian civil law provides specific remedy in case of breach of the most spread statutory preemptive rights. It is a claim by the entitled person (holder of preemption) against a third party (counterparty of obliged person whose contract breached the preemption) to transfer from the third party to the entitled person the rights and duties that arose under the contract between the third party and the obliged person. This remedy is more efficient for the entitled person than damages. In accordance with the principle of good faith, it may be used only in cases in which the third party knew or should have known about preemption. However, this requirement is complied in relation to protection of statutory preemptions only. As far as both contractual preemptive rights and contracts stipulated the latter are not recognized and not registered in Russia, such suit will be dismissed by court. The lack of effective protection of contractual preemptions impedes the creation of full-fledge system of preemptive rights in Russian civil law.

In order to create effective mechanism of protection of contractual preemptive rights by giving the participants of a civil turnover the opportunity to ascertain if there is a contractual preemptions, we suggest that Russian civil legislation should be added by two registration systems. The first is a system for the registration of contracts that stipulate preemptions over immovable property (or registration of the preemptions itself which is better) provided by the Federal Service for State Registration, Cadastre and Cartography of the Russian Federation. The second is a system for the registration of notifications on the conclusion of contracts that stipulate contractual preemptive rights over movable things that could be established by an expansion of the existing system for the e-registration of notifications оf pledges of movable things under the jurisdiction of the Federal Chamber of Notaries of the Russian Federation.
The Adversarial System in the Criminal Process of Ukraine: Technical and Legal Aspects
Authors: Stolitnii Anton
Published: March 2019

This article substantiates the author’s scientific concept of electronic criminal proceedings, as regards the use thereof in the adversarial system, which would involve the formation of criminal proceedings as an electronic file, and the procedural interaction of the subjects of proceedings in an electronic law enforcement environment. The tasks of this article are as follows: analysis of issues that may arise when establishing such adversarial system in the criminal process of Ukraine; study of foreign experience of involving a defense lawyer in electronic criminal procedural processes; and development of proposals for improving the domestic practice of law enforcement.

The Uniform Register of Pre-trial Investigations (URPI) has been defined as an electronic procedural document and an integral segment of criminal proceedings. The analysis of the electronic segment of the pre-trial investigation shows that the lawyer’s procedural status needs to be improved by his/her involvement in the URPI. Based on the analysis of the experience of electronic criminal proceedings in the province of Alberta (Canada), the Czech Republic, Sweden, and Kazakhstan, proposals have been drawn up to bring the defense to the URPI.

As a result of the study, the author identified the legal and technical aspects of involving an attorney in electronic criminal proceedings, which suggested successive practical steps in creating personal virtual accounts, an algorithm for involving a defense lawyer in proceedings, and reforming the Uniform Register of Lawyers of Ukraine (URLU) as an electronic procedural legalization instrument.
Financial Support for Yoga Therapy: A Montage of Possibilities
Authors: Kepner John , Taylor Matthew , Gates Janice , Crutchfield Lila , Roth Beth
Published: March 2019

While Yoga therapy is not usually directly covered by health insurance, there are a wide variety of other possible sources of financial support for students. Among these are tax-sheltered health care accounts, Yoga therapy provided by licensed health care providers and billed under appropriate CPT codes, services provided by a Yoga therapist working with a licensed health care provider such as a chiropractor and billed under that practice, and Yoga as part of integrated programs such as the Dr. Dean Ornish diet and lifestyle programs and Jon Kabat-Zinn's mindfulness-based stress reduction program. This article provides a practical discussion of each of these options by experienced practitioners. Also provided is a legal opinion regarding the nature of expenses for Yoga therapy, tax-sheltered health accounts,and "qualified medical expenses," as defined by the United States Internal Revenue Service (IRS).
Chant and Be Happy: The Effects of Chanting on Respiratory Function and General Well-Being in Individuals Diagnosed with Depression
Authors: Kenny Molly , Bernier Raphael , DeMartini Carey
Published: March 2019

The effects of chanting on respiratory function and general well-being in individuals with mild to severe depression were tested in this pilot study. A total of 10 women and 1 man participated in this 8-week-long chanting program. All of the participants had been previously diagnosed with mild to severe depression.

Several testing measures were employed. All subjects filled out a preliminary screening questionnaire and took the Beck Depression Inventory at the beginning of the study prior to their first chanting class and at the last meeting before chanting started. A 5-point Likert Scale Questionnaire was administered before and after each session. Spirometry was used to evaluate subjects' FVC, FEV, and FET. Each subject also self-administered pre and post peak/flow tests, taking the best of three forced exhalations before and after each chanting session.

At the end of 8 weeks, our results showed that participants increased their breath control and overall expiratory output level. Additionally, 10 of our 11 subjects surveyed showed an increase in their overall mood on the Beck Depression Inventory. The score for one participant remained the same. Preliminary results from this pilot study indicate that chanting is an effective means of increasing people's moods in the immediate present, as well as over an extended period of time in which chanting is performed at least once per week.
Osteoporosis: An Opportunity to Serve
Authors: Taylor Matthew
Published: March 2019

Osteoporosis is a significant, serious health challenge that offers Yoga therapy an important opportunity to serve both the public and the health care community. A review of the etiology, incidence, and risk factors of osteoporosis is followed by a discussion of known medical risk factors for Yoga students. The problem is then presented from a Yoga therapy perspective, offering additional insights, opportunities, and challenges for Yoga therapists. Practical action steps and practice development recommendations support a concluding call for Yoga therapists to bring their transformative service to this worldwide pandemic.
Evaluation of efficacy of palonosetron versus ramosetron in patients receiving emetogenic chemotherapy
Authors: Ghazala Zainab , Kalshetty Prakash , V. Anuradha H.
Published: March 2019

Background: Chemotherapy induced nausea and vomiting is the most distressing side effect of cancer chemotherapy. It can seriously impact patient’s quality of life, influence the adherence to chemotherapy and progression free survival causing a delay or refusal of potentially life-saving therapy. The objective of this study was to compare the efficacy of palonosetron with ramosetron in achieving complete response to the chemotherapy.Methods: This was a prospective randomized open-label study conducted on 130 patients admitted in Medical Oncology ward of a Tertiary Care Hospitals, Bangalore, India. Patients were randomized to receive either palonosetron 0.25 mg or ramosetron 0.3 mg I.V. along with aprepitant and dexamethasone 30 minutes prior to chemotherapy and were followed up for a period of 5 days post chemotherapy. The observations such as number and severity of vomiting and nausea, the outcome was assessed at the end of 5 days. Pearson’s Chi-square test was used to demonstrate the difference between both the study groups with respect to various categorical data.Results: The complete response rate in delayed phase was more significant in patients who received palonosetron than patients who received ramosetron (72.3% vs 50.8%). Total control was achieved in 38.5% patients with palonosetron as compared to 15.4% patients with ramosetron.Conclusions: Palonosetron is more efficacious than ramosetron in controlling chemotherapy induced nausea and vomiting especially in delayed phase of emesis.
Knowledge, attitude and practice of in-home medication disposal in U.A.E.
Authors: Al Sha’rawy Manal , Abdin Shifaa , Kourbaj Layal , Kamal Leena , Abdelkarem Abdelmola R. , Ibrahim Rana , Sharif Suleiman I.
Published: March 2019

Background: Medication disposal is one of the topics overlooked by the population in the United Arab Emirates. The present study aims at assessing the knowledge, attitude and practice of public to appropriate disposal of medications in Sharjah, UAE.Methods: A cross-sectional study on randomly selected subjects was conducted using a pre-piloted questionnaire written in Arabic and English and distributed to 250 subjects. The survey was designed with 22 questions to assess knowledge, attitude and practice on safe disposal of expired medication.Results: More than half (120, 54.8 %) of the participants were females of age 17-25 (100, 45.7%) and with a university or a higher degree (124, 56.6%). A total of 131 (59.8%) of the participants reported that they do not take any precautions when disposing hazardous products and they just throw them in the general waste. Regardless of their educational level, 90 (41.1%) of the respondents believed that throwing medications in the general waste is the safest way of disposal. The majority of participants (202, 92.3%) reported that they never received counselling from pharmacists on safe disposal of expired and unused medications.Conclusions: International guidelines on safe medication disposal need to be adopted by health authorities. Providing secure collection boxes in various residential areas and increasing public awareness of medication’s safe disposal are important steps that could be implemented in the UAE. Pharmacists should also play a major role in guiding and instructing patients on this topic.
A study on drug induced cutaneous adverse drug reactions at a tertiary care hospital, Mysore, India
Authors: S. Kishore M. , Konnur Shashikala S.
Published: March 2019

Background: Drugs, however safe and efficacious, are associated with risk of adverse reactions. Adverse Drug Reactions (ADRs) are one of the leading causes of morbidity and mortality. ADRs was rated as the fifth leading cause of death among all diseases. Consequences of ADRs range from diminished quality of life, increased physician visits, hospitalizations, and even death. The objectives of the study were to obtain information about drug induced cutaneous adverse reactions and to establish the causal relationship.Methods: Observational cross sectional study, a total of 76 patients were recruited for the study,conducted in dermatology outpatient department of K R Hospital Mysore Medical College And Research Institute Mysore for 3 months. The drug reactions were recorded in ADR form of Central Drugs Standard Control Organisation (CDSCO). Causality was assessed using Naranjo algorithm and World Health Organization- Uppsala monitoring centre (WHO-UMC) criteria.Results: 76 patients with CADRs were included in the study during the 3 months study period. Most common age group with CADRs was 20-30 years; with 55.73% of females 20.26% male and the most common suspected drug group causing CADRs was antimicrobial 35.46%. And most common lesion is maculopapular rashes. According to Naranjos scale 67.30% of CADRs were probably caused by drugs.Conclusions: variety of drugs causes CADRs. Awareness among clinicians is required for active reporting of CADRs. Patients need to be educated for the cautious use of drugs causing ADRs to prevent the same.
Impact of counselling on the attendance and academic performance of second year medical students in the subject Pharmacology
Authors: Pise Nitin D. , Kaikade Swapnil B.
Published: March 2019

Background: Absenteeism is becoming a major problem among medical students which has become a focus of concern nationally and globally.Methods: Students are assessed at the beginning of the counselling. The academic performance and attendance rates of students are recorded and tabulated systematically. The data was evaluated for the group of students having low academic performance and attendance over the study period. Statistics applied to determine significant impact of counselling on attendance and academic performance of students over the study period.Results: Study showed positive and significant impact of counselling on attendance and academic performance of the students. The study also revealed positive correlation between attendance and academic performance.Conclusions: The significant impact of counselling was found on student attendance and academic performance. The counselling sessions also proved to improve the student teacher relationship in terms of better two-way communication and also helped in receiving feedback on implementation of new ways of teaching.
A comparative study of ultrasonographic evaluation of vaginal bleeding in pregnancy with clinical examination
Authors: K. K. Sumathy
Published: March 2019

Background: Ultrasound helps in assessing the type of abortion. Life threatening emergency like ectopic pregnancy, when evaluated by ultrasound gives scope for conservative approach without affecting the fertility status. The objective of this study was to compare the utility of ultrasound with clinical examination findings in pregnant females having vaginal bleeding.Methods: A hospital-based prospective study was conducted among 100 pregnant patients who have the problem of bleeding. A complete general physical and pelvic examination was done, and patients were then subjected to ultrasound examination. Epi info 7 software was used for statistical analysis. Chi- square test was used as the test of significance and correlation in terms of sensitivity, specificity was seen. P<0.05 is considered statistically significant.Results: 72 cases were diagnosed by ultrasonography as viable pregnancies with sensitivity, specificity negative predictive value (NPV), and positive predictive value (PPV) of 82% and 28 cases were diagnosed as non-viable pregnancies by ultrasonography with sensitivity of 52%, specificity of 81%, and NPV of 72%. The clinical diagnosis had sensitivity of 82%, specificity of 52%, and PPV of 40% in diagnosing viable pregnancies. In diagnosing non-viable pregnancies, clinical diagnosis had a very poor statistical correlation with sensitivity of 52%, specificity of 81%, PPV of 64%, and NPV of 72%.Conclusions: Judicious utilization of ultrasonography and a close connection with the sonologist is necessary. However, it should be realised that ultrasound is complementary in the pelvic examination and cannot substitute obstetric history and clinical examination.
A retrospective study on laparoscopic appendectomy versus open appendectomy
Authors: Senthil Kumar P. , Edwin Kin’s Raj S. , Nagalingam Saranya
Published: March 2019

Background: Appendectomy is the most common surgical procedure performed in emergency surgery. Open appendectomy is the “gold standard” for the treatment of acute appendicitis. Laparoscopic appendectomy though widely practiced has not gained universal approval. Our aim is to compare the safety and benefits of laparoscopic versus open appendectomy in a retrospective study.Methods: The study was done as a retrospective study among 387 patients diagnosed with appendicitis for a period of 18 months in the Dept of General Surgery. All patients included were 16 years and above and followed up for 3 weeks. In this study, 130 patients diagnosed as acute appendicitis - underwent open appendectomy and 257 patients diagnosed as sub-acute cases of appendicitis - underwent laparoscopic appendectomy. These two groups (open & laparoscopic) were compared for operative time, length of hospital stay, postoperative pain, complication rate, early return to normal activity.Results: Laparoscopic appendectomy was associated with a shorter hospital stay (around 4.5 days), with a less need for analgesia and with an early return to daily activities (around 11.5 days). Operative time was significantly shorter in the open group (35 mins), when compared with laparoscopic group (around 59 mins). Total number of complications was less in the Laparoscopic group with a significantly lower incidence of post-op pain and complications.Conclusions: The laparoscopic approach is a safe and efficient operative procedure and it provides clinically beneficial advantages over open appendectomy (including shorter hospital stay, an early return to daily activities and less post-op complications).
Use and relevance of modified alvarado scoring system in diagnosis of acute appendicitis: a cross sectional study from West Bengal, India
Authors: Barman Malay K. , Chanak Mahua , Das Kaustav , Mukherjee Koel
Published: March 2019

Background: For successful management of acute appendicitis, early diagnosis and intervention is needed. Incorrect diagnosis may allow significantly increased morbidity and mortality. Several studies across the globe shows that Modified Alvarado Scoring System (MASS) does not need high end instrument and can be done in emergency situation for accessing acute appendicitis and reducing the chances of unnecessary surgery. To access the efficacy of MASS for diagnosis of acute appendicitis in remote areas with primary health care facilities, present study was done at Siliguri of Darjeeling district of West Bengal which was 580 km distant from state capital (Kolkata).Methods: A cross sectional study over a period of 16 months was conducted among the patients admitted at North Bengal Medical College and Hospital suspected to have acute appendicitis. The diagnosis was confirmed by histopathological examination. Written consent was obtained from the patients before commencement of the study. MASS was applied to the patients and the results were compared with histopathological findings. Appropriate statistical analysis has been done by SPSS (version 16.0).Results: A total of 75 patients (44 males and 31 females) were considered. The sensitivity and specificity of MASS in this study were 75.86% (71.43% for males and 80% for females) and 82.61% (80% for males and 87.5% for females) respectively. Study revealed statistically significant (p<0.000) association between Histopathological report and MASS.Conclusions: To reduce the chances of negative appendectomy and for better diagnosis of appendicitis, MASS may be more useful at primary health care centres those are located in remote areas as it was very simple, easy and cost effective.
Effect of natural polyphenols on diabetes mellitus (type-2) with myocardial infarction: a double-blind placebo controlled trial
Authors: Goyal Rahul , Nagtilak S. , Thawani Vijay , Jindal Shavetika
Published: March 2019

Background: Diabetes Mellitus Type-2(T2D); is a leading disease in world wide. T2D is a clinical syndrome characterized by hyperglycaemia. Hyperglycemias are caused by an absolute or relative deficiency of insulin and due to insulin resistance. Diabetic patients are highly prone to Reactive Oxygen Species (ROS) and leads to Cardio vascular complications. Several medicines have been recommended to cure T2D; and still discovery of newer drugs are in process. Now a day, the focus of researches in diabetes includes discovery of newer anti-diabetic agents as well as isolating the active compounds from herbal sources. One such herbal source is pomegranate. Pomegranate is polyphenols and antioxidants rich fruit; which has potency to cure T2D and ROS.Methods: A Pomegranate Extract of Whole Fruit (PEWF) was prepared as tablet of 300mg to investigate its effects in patients with T2D. Total 40 participants of either gender with nested cases of T2D with Myocardial Infarction (MI) were included in study. All participants were assigned in two groups (20 each). One group was under “Add On” therapy of PEWF and matching placebos of same colour, shape and size were used as comparator agent for second group (300mg BD for 1 month).Results: Levels of biochemical markers related to T2D were compared to analysed pre and post drug effects by Z test, chi square test and by coefficient of variations. Results highlighted that those participants who were under “add-on” therapy of PEWF showed highly prognostic significance. Thus, PEWF should be consumed in diet as food supplementation.Conclusions: In conclusion, polyphenols and antioxidants rich fruit supplements should be taken in diet for healthy living.
Perception and practice of occupational safety measures against HIV infection among health care personnel in a tertiary health care facility of Ganjam district, Southern Odisha, India
Authors: Sethy Debasish , Jena Dhaneswari , Satapathy Durga Madhab , Sethy Santoshini
Published: March 2019

Background: Globally, 36.7 million people were living with HIV. The prevalence in India is estimated to be 0.26% and it is in the range of 0.21-0.25% in Odisha. The objectives were to assess the perception on HIV and the preventive practices among the health personnel in a tertiary level health facility of South Odisha.Methods: This study was hospital based cross-sectional study. Place of study was OPDs, indoor wards, emergency Department of MKCG Medical College, Berhampur, Ganjam, Odisha, India. Study period was from December 2017 to February 2018. Study participants were all the health care workers present during the visit were interviewed using semi structured questionnaire. Sample size were 174 health personnel. Those who didn’t give consent for the study were excluded from the study. Statistical tests used were percentage and proportion. Statistical software used-SPSS 16 version.Results: Out of 174 respondents 67.8% were doctors, 14.9% staff nurses and 17.3% other professionals. Among safety measures, gloves, mask, apron and cap were used by 69%, 11.5%, 13.8% and 5.7% respectively. The patient’s HIV status was enquired by 78.9% male health personnel during treatment. 90% female health personnel had come across HIV positive patients during treatment procedure. The knowledge about basic PEP regimen was present in 54.4% male and 80% female health personnel.Conclusions: The study participants were not aware about all the mode of transmission. There is gap in knowledge and practices of safety gears. Perceptions and practice of doctors were no way better than other health personnel. Knowledge and practice of safety gear should be enforced by the hospital authority to keep its work force safe and healthy.
Clinical and etiological profile of heart failure
Authors: Mistry Bansari S. , Pathak Krupa , Trivedi Smita K.
Published: March 2019

Background: The overall prevalence of heart failure (HF) is thought to be increasing, in part because current therapies for cardiac disorders such as myocardial infarction (MI), valvular heart disease and arrhythmias, are allowing patients to survive longer. Aims of the study were to know the presentation, causes, outcome of HF patients and to know the proportion of patients with heart failure with preserved ejection fraction (HFpEF) and heart failure with reduced ejection fraction (HFrEF).Methods: This was a cross-sectional observational study of heart failure patients for duration of one year, admitted in medicine department of medical college and SSG hospital, Vadodara, Gujarat, India.Results: Males constituted more than half of patients; however, HFpEF was more common in females in all age groups. Majority of patients had HFrEF. Breathlessness was the common presenting symptom. Common aetiologies found were ischaemic heart disease (IHD), hypertension (HTN), diabetes mellitus (DM) and valvular heart disease. 50-64 year patients constituted the major age group. IHD and DM were more common in this age group. Rheumatic heart disease (RHD) was seen commonly in 20-34 year of age group. In-hospital mortality rate though low has not much changed and contributes significantly considering the prevalence.Conclusions: Like developing countries, IHD contributes a major portion of patients with HF with risk factors like DM and HTN. Though, the contribution from RHD still cannot be ignored. There is little decrease in mortality but considering prevalence the burden is still high.
Is high flow nasal cannula as an effective oxygen delivery alternative in intensive care unit?
Authors: Patel Amrish , Atram Jitesh , Dumra H. S. , Dandnaik Mansi , Raval Gopal
Published: March 2019

Background: High-flow nasal cannula (HFNC) oxygen therapy is carried out using an air/oxygen blender, active humidifier, single heated tube, and nasal cannula. It is an oxygen delivery system which uses air blender to deliver accurate oxygen concentration to the patient from 21% to 100% at desired temperature. It can be administered via wide bore nasal cannula or to the tracheostomy tube via connector. It can give upto 60L/min flow hence can generate positive end expiratory pressure between 2 to 7 cmH20. By providing humidified oxygen along with the high flow rates it satisfies air hunger and reduces work of breathing for the patient.Methods: This is a retrospective observational study. Patients with persistent hypoxia in spite of conventional oxygen therapy were treated with HFNC. Patients with possible need for immediate invasive ventilator support were excluded. Clinical respiratory parameters and oxygenation were compared under conventional and HFNC oxygen therapy.Results: Thirty patients, aged more than 18 years admitted in intensive respiratory care unit with acute hypoxemic respiratory failure from June 2017 to January 2018 were included in the study. Study period was of 6 months. Etiology of acute respiratory failure (ARF) was mainly pneumonia (n = 17), interstitial lung disease (n = 5), bronchial asthma (n=3) and others (n = 5). There was statistically significant reduction in respiratory rate (29.40 before Vs 23.50 after; P- <0.0001) and significant improvement in comfort level of the patient after HFNC therapy. Median duration of HFNC was 48 hrs (24-360) hours. Five patients were intubated later on and 4 died in the intensive care unit.Conclusions: Use of HFNC in patients with persistent ARF was associated with significant and sustained improvement of clinical parameters (respiratory rate). It can be used comfortably for prolonged periods.
Effect of teneligliptin vs metformin on glycemic control in Indian patients with newly-diagnosed, drug-naïve type 2 diabetes mellitus: a 12-week randomized comparative clinical study
Authors: Raghavan Vijay , Lahiri Apala , K. Akul S. , Goswami Utpal , Gupta Chandra Narayan , Sen Sukanta
Published: March 2019

Background: This comparative study was done to evaluate the change from baseline in HbA1c levels with teneligliptin vs. metformin treatments at week 12 among recently diagnosed type 2 DM patients attending Medicine OPD of Dr. B. C. Roy Hospital, Haldia, West Bengal (a tertiary care teaching hospital).Methods: In this prospective parallel group clinical study patients were divided into two groups. Group A patients were on metformin monotherapy therapy and Group B patients were on teneligliptin monotherapy. Data of 40 patients (20 patients in each group) were available for analysis in the present study. Secondary endpoints included changes from baseline FPG and 2h-PPG values at 12 weeks were evaluated. Safety and tolerability were assessed by the incidence of adverse events (AEs) throughout the study period.Results: The mean age of patients was 50.05±12.35 years and out of the entire patient population 70% were males and 30% were females. At the end of 12 weeks or 3 months of metformin therapy, mean HbA1c, FBG, and PPG were significantly reduced by 0.52%, 16.2mg/dL, and 36.8mg/dL, respectively, and 37.75% of patients achieved the HbA1c target of <7%. At the end of 12 weeks or 3 months of teneligliptin therapy, mean HbA1c, FBG, and PPG were significantly reduced by 0.60%, 19.4mg/dL, and 49.8mg/dL, respectively (Table 2), and 40% of patients achieved the HbA1c target of <7%.Conclusions: Teneligliptin, a DPP4 inhibitor reduced HbA1C significantly compared with monotherapy of metformin in treatment naive patients at week 12. It also reduced FBG and 2-h PPBG as compared with metformin at week 12.
Evaluation of Candida Score: a bedside scoring system for early antifungal therapy in non-neutropenic critically ill patients
Authors: Dash Chinmaya , Pal Abhinanda , Sinha Sulekha
Published: March 2019

Background: Invasive Candida infections are the most common invasive fungal infections. Multiple site colonization plays a major role.  Further decrease in host immunity (e.g. neutropenia, diabetes mellitus etc.) aggravates local invasion and dissemination which finally leads to candidemia. Hence the study was done to evaluate “Candida Score” in non-neutropenic critically ill patients for early antifungal therapy.Methods: In this prospective observational cohort study, all critically ill patients having sepsis or septic shock on admission or during their stay in ICU stay were included in the study. The components of “Candida Score” like severe sepsis, total parenteral nutrition, surgery, and multifocal Candida colonization were as per Leone et al. Clinical sepsis was given score of 2 if present and 0 if absent. The other variables were given score 01 if present and 0 if absent. The score more than 2.5 is considered significant.Results: Out of 78 patients admitted in the ICU a total of 26 blood culture positives were reported. The prevalence of Candidemia (based on culture) was 23.1% (n=06). The strains isolated were Candida non albicans (n=4, 66.7%) and Canida albicans (n=2, 33.3%). Candida was isolated in different samples other than blood culture of 26(33.33%). The most common specimen with Candida isolation was from urine (n=14, 60.87%), followed by endotracheal aspiration and sputum (n=3, 13% each) and BAL fluid (n=1, 04.3%). Among the isolates Candida non albicans (n=12, 52.2%) was more prevalent than Candida albicans (n=11, 47.8%). The prevalence was maximum for the age group of 60 to 69 years (42.31%) followed by 70 to 79 yrs and 50-59 yrs. Among all patients, 14 patients were referred in our hospital and 12 of them had a prolonged ICU stay (>10 Days). The patients with the Candida score ≥2.5 were 06 in numbers, of which 66.7% were having score 3 followed by one each of having score 4 and 5. Out of these 06 patients 04 received antifungal treatment. One patient with Candida score more than 03 succumbed to death without having antifungal treatment.Conclusions: Early identification of invasive candidiasis with the use of “Candida Score” in critically ill patients may help to initiate antifungal interventions and even help the treating physician or intensivist to formulate the more effective treatment algorithms.
Unilateral renal cystic disease: a case report study
Authors: Hakkim Shameer , R. Babu , K. Kishan Raj , Mallampati Seetha Rami Reddy
Published: March 2019

Unilateral renal cystic disease (URCD) of kidney is a non-familial, extremely rare condition, characterized by replacement of the renal parenchyma of one kidney by a cluster of multiple cysts of varying size with a normal contralateral kidney. It is morphologically indistinguishable from autosomal dominant polycystic kidney disease (ADPKD); as such, hepatic and pancreatic cysts is not seen and shows no progressive deterioration in renal function; thus, differentiating ADPKD from URCD becomes important. We report a case of URCD documented by clinical and radiological imaging. A 21 year-old female, presented with history of mild lancinating pain in the left flank for 6 years which aggravated in the past 3 days, with no history of lower urinary tract symptoms. No significant family illnesses reported.  Examination showed normal vitals and ballotability present and associated tenderness on deep palpation in left lumbar region. Laboratory findings were within normal limits. Ultrasonography of abdomen and pelvis showed left hydronephrosis with multiple cysts. CECT Abdomen revealed an enlarged left kidney (∼15×16×10 cm) filled with variable sized round, well-marginated multiple cysts. Renal ultrasound was performed on patient’s parents and her siblings and ruled out cystic renal disease. Hence, authors considered the diagnosis of URCD in this patient. In conclusion, treatment and managing guidelines of URCD have not been mentioned in any of the medical literatures. There is little information regarding the progression of URCD. Hence there is a need for further understanding of pathogenesis, progression and management of these patients.
Deep vein thrombosis in patient with pulmonary tuberculosis: a rare and interesting causative link?
Authors: Saini Rohin , Mishra Arvind , Gupta Kamlesh Kumar , Kallani Monika
Published: March 2019

Pulmonary tuberculosis is a devastating disease affecting millions of people in developing countries such as India. Many complications of this disease are known, however only few of its hematological complications have been reported. Discovery of its unknown thrombogenic potential is one such disturbing new entity. Tuberculosis can induce a hypercoagulable state and can lead to thromboembolic complications and deep vein thrombosis. Here we report an interesting and rare case of 20-year-old male, newly diagnosed case of Pulmonary Tuberculosis presenting with complaints of acute onset right lower limb swelling and pain. He was diagnosed with thrombosis of external iliac vein. All possible causes for a provoked deep vein thrombosis were evaluated for and ruled out. The patient was started with first line anti tubercular treatment-rifampicin, isoniazid, pyrizinamide, ethambutol along with anti-thrombotics injection enoxaparin and warfarin and followed up for 6 months. He made complete recovery of both his pulmonary and limb disease.
Economia do compartilhamento: a lógica algorítmica das plataformas virtuais e a necessidade de proteção da pessoa nas atuais relações de trabalho
Authors: Riemenschneider Patrícia Strauss , Balczarek Mucelin Guilherme Antônio
Published: March 2019

A economia do compartilhamento, guiada pela evolução tecnológica, transformou o modo como os empregadores se relacionam com os trabalhadores e põe em questão a extensão da aplicação do Direito do Trabalho aos operários do século XXI. Assim, o objetivo do presente estudo é analisar a nova forma de organização do trabalho nesse cenário contemporâneo e verificar a adequação do critério da subordinação para que seja outorgada a proteção juslaboral ou se deve ser adotada a parassubordinação. Para tanto, o método de abordagem utilizado foi o dedutivo, juntamente com o procedimento histórico. Conclui-se as que as dimensões modernas da subordinação são suficientes para enquadrar os trabalhadores como empregados, devendo, assim, haver presunção juris tantum do vínculo empregatício nessa hipótese.
Absurd Elements in Anthony Neilson’s Realism and The Wonderful World of Dissocia Plays
Authors: SAKİROGLU Belgin
Published: March 2019

After World War II,
British theatre generally dealt with people’s meaningless actions and aimless
lives. During the 1950s theatre reflecting the changing society opposed to the
traditional theatre in terms of pattern and plot. The period in 1950s was named
as Absurd Theatre by Martin Esslin and it has affected many writers until
today. In 1990s theatre which reveals the untold explicitly and throws the
violence in them to their face was coined by Alex Sierz. In Realism (2006),
Anthony Neilson, one of In-yer-face playwrights, presents us with the
melancholy protagonist Stuart, who is distant from the outside world, and who
is lost amidst both his own sense of disinterest as well as life. The Wonderful
World of Dissocia (2004), takes a look at the protagonist Lisa’s watch- which
is consistently one hour behind- being fixed, as well as at the absurd events
unfolding within Lisa’s imagination. The aim of this paper is to analyze the
theme of absurdity in Anthony Neilson’s Realism and The Wonderful World of
Dissocia through the lens of Esslin.
Sigara Bağımlılığıyla Mücadelede Kamu Spotlarının Kullanımı: Sigarayı Bırak Hayatı Bırakma Kamu Spotlarının Göstergebilimsel Çözümlemesi
Authors: İMİK TANYILDIZI Nural , ACAR Hacı Mehmet
Published: March 2019

Sigara bağımlılığı çağımızın en önemli sağlık sorunlarından biridir.
Sigara bağımlılığını azaltmak için kullanılan en etkili yolardan biri de
medyadır. Özellikle televizyon ve radyolarda yer alan sigarayı bırakmaya
yönelik kamu spotları, halkı bilgilendirmek ve sigara kullanımını azaltmak için
kullanılmaktadır. Araştırmanın amacı sigaraya yönelik oluşturulan kamu
spotlarının hedef kitleye mesajları nasıl aktardığını gösteren ve gösterilen
ilişkisi içerisinde ortaya koyabilmektir. Araştırmada Sağlık Bakanlığının
yapmış olduğu “Sigarayı Bırak Hayatı Bırakma” kamu spotları göstergebilimsel
çözümleme yöntemi ile incelenerek, hedef kitleye mesaj aktarımının göstergeler
üzerinden ne şekilde yapıldığı ortaya konulmaya çalışılmıştır. Araştırmada
sonuç olarak incelenen üç kamu spotunda da hedef kitleyi sigara ve zararlarına
karşı uyarıcı, aynı zamanda eğitici mesajların olduğu, sigaraya ve zararlarına
karşı farkındalık yaratma noktasında kullanılan görsel göstergelerin düz
anlamlarının yanı sıra yan anlamlarıyla da mesajı verebildiği, sigaranın
kendisi gösterilmeden tamamen göstergeler üzerinden sigaraya işaret edildiği
görülmüştür.
Pozitif Psikolojik Sermayenin Yenilikçi Davranış Üzerindeki Etkisi: Bankacılık Sektöründe Bir Araştırma
Authors: ÖRÜCÜ Edip , ÇİNAR Binnaz
Published: March 2019

Bu çalışmanın temel amacı, bankacılık sektöründe görev alan
çalışanların pozitif psikolojik sermaye (özyeterlilik, umut, psikolojik
dayanıklılık ve iyimserlik) düzeylerinin yenilikçi davranışları üzerinde
etkilerinin olup olmadığının incelenmesidir. Bu amaca ulaşmak için, veriler
Balıkesir'in Bandırma ilçesinde görev alan banka çalışanlarından kolayda
örnekleme ve anket yöntemi kullanılarak toplanmıştır. 125 anket dikkate
alınarak analizler gerçekleştirilmiştir. Araştırma sonucu regresyon analizinde,
pozitif psikolojik sermaye alt boyutlarından psikolojik dayanıklılığın
yenilikçi davranışı anlamlı bir şekilde etkilediği saptanmıştır. Bununla
birlikte, pozitif psikolojik sermaye alt boyutları özyeterlilik, umut ve
iyimserlik düzeylerinin yenilikçi davranış üzerinde etkili olmadığı
belirlenmiştir.
Üniversite Öğrencilerinin Yaşam Doyumu Üzerinde Etkisi Olan Sosyo-Demografik Etmenlerin Belirlenmesi: Tekirdağ Namık Kemal Üniversitesi Öğrencileri Üzerine Bir Uygulama
Authors: KIRAN Elif , KİRMAN Şıvganur , BAKSI Elif
Published: March 2019

Bu
çalışmanın amacı, üniversite öğrencilerinin genel yaşam doyumu düzeylerinin
cinsiyet, kalınan yer, ekonomik durum, fakülte, iş kaygısı, sosyal çevre ve
sosyal etkinlik değişkenlerine göre incelenmesidir. Araştırmanın örneklemi
Tekirdağ Namık Kemal Üniversitesi’nde farklı fakülte ve bölümlerde öğrenim
gören 775 öğrenciden oluşmaktadır. Öğrencilerden, Kişisel Bilgi Formu ve Yaşam
Doyumu Ölçeği ile toplanılan verilerin analizlerinden elde edilen sonuçlar,
üniversite öğrencilerinin yaşam doyumunun iş kaygısı, eğitim beklentisi, sosyal
çevre, Tekirdağ’da yaşıyor olma, sosyal etkinliklere katılma sıklığı ve kalınan
yer değişkenleriyle ilişkili olduğunu göstermektedir. Yaşam doyumunu yordamaya
ilişkin ele alınan değişkenler toplam varyansın %14’ünü açıklamaktadır. Bu
bulgular doğrultusunda öğrencilerin yaşam doyumunu arttırmaya yönelik, sosyal
etkinliklerin çoğaltılması, iş alternatifleriyle ilgili seminerlerin
düzenlenmesi, psikolojik destek birimlerinin oluşturulması ve öğrencileri
bilinçlendirme eğitimlerinin yapılması ile ilgili önerilerde bulunulmuştur.
Ağız ve Diş Sağlığı Merkezinde Örgütsel Bağlılık Analizi: Nicel Bir Araştırma
Authors: AK Murat
Published: March 2019

Ülkemiz kamu sektörünün en önemli organizasyonlarından biri olan Sağlık
Bakanlığı'nda da son yıllarda yeniden yapılanma çalışmaları gündeme
gelmektedir. En son 15 08 2017 tarih ve 694 sayılı kanun hükmünde kararname ile
yeniden yapılandırılan Sağlık Bakanlığı teşkilat yapısında önemli ve köklü
değişiklikler gerçekleştirilmiştir. Bu çalışmada yeniden yapılandırılan Sağlık
Bakanlığı'nda tüm örgütler için son derece önemli bir konu olan örgütsel
bağlılığın analizinin yapılması hedeflenmektedir. Bu amaçla bu çalışmada Bartın
Ağız ve Diş Sağlığı Merkezi evreninde gerçekleştirilen örgütsel bağlılık
anketinden elde edilen bulgulara yer verilmektedir. Gerçekleştirilen anket
uygulaması sonucunda ağız ve diş sağlığı merkezinde görev yapan kamu
çalışanlarında örgütsel bağlılık, duygusal bağlılıkta 3,46, devam bağlılığında
3,38,  normatif bağlılıkta ise 3,31
seviyesinde gerçekleşmektedir.