bluuebunny/crossref_metadata_2025 huggingface dataset:
Skarga na czynności komornika jako środek zaskarżenia w postępowaniu egzekucyjnym – wątpliwości dotychczasowe i nowe
Authors: Koroblowski Mariusz
Published: December 2019

There are various appeals in the enforcement proceedings, such as a complaint against a bailiff, a complaint against the decision of the court, a complaint against the decision of the court referendary, and a charge against the plan for splitting the sum obtained from the enforcement. This article refers to the issue of doubts to date and new reservations concerning the complaint against a bailiff. The attention was paid to the consequences of the amendments to the Code of Civil Procedure made by the Act of 10 July 2015 on the amendment to the Civil Code, the Code of Civil Procedure and some other acts. It should be noted that the presented subject matter is of considerable practical value, since the distortion of the correct course of the enforcement proceedings often involves the breach by the bailiff of the rights of the debtor, creditor or third parties.
Efektywność kontroli sądowoadministracyjnej rozstrzygnięć wydawanych w procedurach administracyjnych trzeciej generacji. Rozważania na tle wybranych rozwiązań normatywnych w prawie polskim
Authors: Kamiński Marcin
Published: December 2019

The study is devoted to analysing the relationships between the effectiveness of judicial control exercised by administrative courts and the specific character of administrative procedures of third generation. The considerations lead to the conclusion that the special features and the normative solutions of the positive law entail limitations on the intensity of the judicial review of legality of the contested administrative acts or actions. In such a situation, the judicial control may be confined to the formal sphere of legality. Consequently, the degree of effectiveness of the judicial impact on the administrative activity of prospective character may be substantially reduced.
Sposób uwzględniania upływu terminu przedawnienia roszczenia a postrzeganie ochrony praw jednostki w postępowaniu sądowym
Authors: Kuźmicka-Sulikowska Joanna
Published: December 2019

The article points out the importance of the way of taking into account the fact that the claim demanded before the court is time-barred for the perception of the standard of protection of the individual’s rights in court proceedings. It is shown how it depends on whether the limitation period is taken into account ex officio or upon the objection raised by the person against whom the claim is brought.
Ponaglenie jako środek ochrony sytuacji prawnej jednostki
Authors: Mielczarek-Mikołajów Justyna
Published: December 2019

So far, the parties to administrative proceedings, in order to counteract the slowness of the body conducting the proceedings, have been able to file a complaint about not handling the case on time or on the lengthy conducting of the proceedings themselves. The legislator, taking into account the experience to date, as a result of the amendment to the Code of Administrative Procedure, decided to replace the complaint with a reminder. The article describes the constituent elements of this form of urgency, as well as practical issues related to the application of this measure by the parties and authorities conducting the proceedings.
Conflict in Darfur in the perspective of genocide prevention
Authors: Kościółek Jakub
Published: December 2019

The article presents the records collected by the Darfur Atrocities Documentation Team (ADT), which have proved the occurrence of genocide in Darfur. It describes the discussion of the academic community and often conflicting political positions on the issue. The author attempted to analyse the results of the work of the International Commission of Inquiry on Darfur (ICID), appointed at the request of the United States by the UN Security Council, which examined the numerous violations of the international law in the province, but did not express an opinion whether or not genocide had taken place in Darfur. He has confronted the collected evidence of crimes committed in Darfur with the “Convention on the prevention and punishment of genocide”, which obliges the international community to intervene when genocide is proved to be happening. The conflict in Darfur has been presented as an example of the ineffectiveness of the response of the international community to genocide. Therefore, an analysis was carried out on the means of effective prevention of genocide, which can be used in future prevention of crimes in other regions of the world.
Glosa do wyroku Naczelnego Sądu Administracyjnego z dnia 8 maja 2018 r., II OSK 1357/17 – aprobująca
Authors: Woźniak Marta
Published: December 2019

The judgment of the Supreme Administrative Court of 8 May 2018 concerns the issue of relations of property rights to public interest, in connection with the resolution of the commune council, regarding the creation of a culture park. The resolution introduces a specific public-law regime in a given area, taking into account the general needs, which simultaneously causes interference in the sphere of subjective rights, in particular through a system of prohibitions and restrictions. The judgment is based on the conviction that there is a need in the public space to protect cultural values. In the aspect of the constitutional principle of proportionality, it is also important to consider the private interest in the area covered by protection in the form of a culture park.
Experience of successful surgical treatment deep and extensive purulent-necrotic lesion of the lower limb with the neuroischemic form of the diabetic foot syndrome
Authors: Fomin K. N. , Platonov S. A. , Soroka V. V. , Nokhrin S. P. , Kurilov A. B. , Belousov E. Yu. , Ditmar A. A.
Published: December 2019

The article presents the successful surgical treatment experience in a patient with deep and extensive purulent-necrotic lesion of the lower limb with a neuroischemic form of the diabetic foot syndrome. The possibilities of modern methods by revascularization, surgical treatment of purulent focus and extensive postoperative complex configuration wounds local treatment are demonstrated.
Features of specialized care for patients with diabetic osteoarthropathy
Authors: Babushkina Yu. V. , Burleva E. P. , Galimzyanov F. V. , Levchik E. Yu.
Published: December 2019

Objective: to evaluate the results of specialized treatment of uncomplicated and complicated trophic ulcer (TU) and osteomyelitis (OM) of diabetic osteoarthropathy (DOAP).Materials and methods. The results of treatment in 114 patients (127 feet) with DOAP were analyzed: There were 52 (45.6 %) men, 62 (54.4 %) women. The type 1 diabetes mellitus (DM) was diagnosed in 36 (31.6 %) patients (average age 43.0 years old); type 2 diabetes – in 78 (68.4 %) people (average age – 58.0 years old). The acute and subacute stages of DOAP were detected in 55.9 % of cases, chronic – in 44.1 % of cases. The defeat of the middle part of the foot prevailed in 66.9 % of cases. Patients are ranked by the University of Texas classification. DOAP without TU – 71 (55.9 %) cases, with TU – 56 (44.1 %) observations. Stage BIII (OM) – 22 (17.3 %) cases: 8 (6.2 %) – in the subacute stage of DOAP, 14 (11.2 %) – in the chronic stage of DOAP. The examination protocol for DOAP included clinical data (+ sounding of the adjacent bone in TU), thermometry, radiography, and magnetic resonance imaging (MRI) of the feet, as well as laboratory data. A diagnostic algorithm has been developed for the optimal choice of tactical decisions in case of DOAP (TU–/OM–) and DOAP (TU+/OM+).Results. 80 patients were treated on an outpatient basis under the supervision of a podiatrist. Patients with acute or subacute DOAP (TU−/OM−) received conservative treatment in the form of unloading the limb using an individual discharge bandage until the transition to the chronic stage. In the chronic stage of DOAP (TU–/OM–) recommended the manufacture of complex orthopedic shoes for an individual block. In addition to the correction of hyperglycemia, patients with DOAP (TU+) (AI, AII, BI) used local treatment in accordance with the stage of the wound process. 34 patients (BII, BIII) were treated in a hospital. 27 patients of these underwent surgical procedures, osteonecrectomy, 7 patients underwent arthrodesis. All patients with DOAP (TU–/OM–) (n = 71) limb saved. With DOAP (TU+/OM+) (n = 56): 8 (14.3 %) people – the result is unknown, 7 (12.5 %) patients – retention of TU, 35 (62.5 %) patients – complete epithelization, 2 (3.6 %) cases – small amputations, 4 (7.2 %) – high amputations.Conclusion. Differentiated specialized treatment of uncomplicated and complicated by trophic ulcers or osteomyelitis DOAP in its various clinical stages made it possible to avoid high amputation in 96.6 % of cases.
Vocabulary: how many words are enough? Principles of minimizing learners’vocabulary
Authors: Vlasova Ekaterina A. , Karpova Elizaveta L. , Olshevskaya M. Yu.
Published: December 2019

This article analyses methodology of compiling Russian general wordlists and lexical minima for teaching Russian for specific purposes. The study systematizes three approaches: linguo-didactic, linguo-statistical, and corpus-based. The article also describes the process and results of applying all the three methods to the development of a lexical minimum based on political science corpus. Methodological analysis comprises general word lists for the Russian State Standard Exam (TRKI), the System of lexical minima by V. V. Morkovkin, and the Frequency dictionary of the Russian language for foreigners, created by S. A. Sharov as a part of the KELLY project, as well as special lexical minima for medicine, robotics, nuclear energy, and mathematics. It has been revealed that the core element in the development of a discipline-specific lexical minimum is minimization that involves a set of principles determining the optimal length of the list and lexeme selection. For the Russian general word lists, the most common principles of minimization are methodical expediency (“relevance” of the word at each level), quantitative metrics, including absolute and relative frequencies, the word rank, and a coverage index, showing the percentage of text that every lexeme covers. The article reports the results of combining the quantitative methods, corpus-based analysis, and didactic principles to apply to the development of the lexical minimum based on political science textbooks. The core index, defining the length of this list, was coverage which revealed that 8,237 most frequent lexemes cover 98 % of the whole corpus. The linguo-didactic analysis showed that 1, 000 most frequent lexemes, without stop-words, cover 50 % of this corpus, and therefore this wordlist allows foreign learners to understand about a half of the corpus. After reaching the point of 3,500 of the most frequent words, the coverage index grows insignificantly, and this number can be considered to be a target in teaching and learning discipline-specific vocabulary. It is notable that the recommended lexical minimum, comprising 1,000–3,500 of the most frequent words, is only a starting point for reading comprehension of texts for professionals also referred to as ‘special’ texts. Their deeper and effective understanding also involves competence in rhetoric strategies and text structure.
FEMİNİST BAKIŞ AÇISIYLA ÖRGÜTSEL ETNOGRAFİ
Authors: ORUÇ İlke
Published: December 2019

Bu çalışma, erkek egemen çalışma
yaşamında konumlanan kadınların, yasadıkları sorunları farklı bir açıdan görmeyi
sağlayabilecek bir yöntem tartışması yapmayı amaçlamaktadır. Örgütlerde
cinsiyet konusu uzun zamandır tartışılan ve araştırılan bir konu olarak karsımıza
çıkmaktadır. Özellikle çalışma yaşamında kadının yaşadığı ayrımcılık uygulamaları
varlığını sürdürmekte ve konu bu nedenle sürekli araştırılabilecek birçok
unsuru barındırmaktadır. Bu çalışmada, özellikle örgütlerde cinsiyet konusuyla uğraşan
araştırmacılar için kullanabilecekleri örgütsel etnografi yöntemine yönelik
bilgiler verilmeye çalışılacaktır
Efl undergraduate students’ self-regulation in thesis writing: help-seeking and motivation-regulation
Authors: Mbato Concilianus Laos , Cendra Anastasia
Published: December 2019

Type Undergraduate thesis writing necessitates EFL students to self-regulate themselves, particularly in overcoming the difficulties they encounter and maintaining their motivation. To date, there has been little research on EFL undergraduate students’ self-regulation, help-seeking, and motivation-regulation in thesis writing, especially in Asian context. Under explanatory mixed-method framework, this research aimed to investigate how Indonesian EFL undergraduate students self-regulated their thesis writing process and to what extent their self-regulation assisted them to seek help and regulate their motivation. The results showed that the students generally demonstrated a high level of self-regulation, help-seeking, and motivation-regulation. Furthermore, it was revealed that self-regulation had a positive, significant, and moderate correlation with help-seeking (r=.461), and a positive, significant, and high correlation with motivation-regulation (r=.648). The findings suggested that self-regulation, help-seeking, and motivation-regulation were important for students to finish their challenging undergraduate thesis. However, even when the overall measured results were good, the support from other people including from the university staff were needed, especially in cultivating students’ self-regulatory mechanism. This research offers implications for the university and thesis advisors.
APRENDENDO A ORGANIZAÇÃO DA TABELA PERIÓDICA E O USO COTIDIANO DOS ELEMENTOS QUÍMICOS
Authors: Mesquita Ana Flávia Silva , Silva Paola Carollyne Santos Morais e , Gregorio Ruan Victor Teles , Rodrigues Amanda Carolina Resende , Barros Marcelo Diniz Monteiro de
Published: December 2019

A elaboração e aplicação da tabela periódica ocorreram com os alunos licenciandos em Ciências Biológicas da PUC–MG e a professora supervisora do Programa Institucional de Bolsa de Iniciação a Docência - PIBID, na Escola Municipal Clóvis Salgado, com quatro turmas do 9º ano do ensino fundamental. As aulas de ciências que possuem conteúdos de química são consideradas pelos discentes assuntos abstratos, distantes de sua rotina e de difícil entendimento. Diante disso, foi construído um material didático com o objetivo de levar à familiarização dos elementos químicos encontrados na natureza tais como, produtos, objetos, alimentos e também, de modo didático e dinâmico, o aprendizado da lógica organizacional da tabela periódica, a fim de auxiliar os alunos no processo de aprendizagem dos conteúdos mostrados em sala de aula. Pode-se observar com a atividade, que o uso de materiais didáticos diferentes do usual, como jogos, por exemplo, faz com que a aprendizagem, pelos alunos, ocorra de forma mais rápida e eficaz. As cartas com as dicas trouxeram uma maior aproximação destes elementos químicos com a realidade dos alunos, saindo do abstrato, já que a maioria dos elementos químicos está presente no cotidiano e, com isso, é possível agregar significância. Conclui-se, ao final, que a atividade auxiliou na melhor compreensão dos conteúdos de química durante as aulas.
PRÁTICAS PEDAGÓGICAS ENVOLVENDO O ENSINO POR INVESTIGAÇÃO NA EDUCAÇÃO INFANTIL
Authors: Gabriel Aparecida Garcia Pacheco , Silva Jacqueline Silva da Silva da
Published: December 2019

Este artigo apresenta um estudo sobre as práticas pedagógicas envolvendo o ensino por investigação realizadas por duas egressas de uma escola municipal de Educação Infantil em Alta Floresta/MT, com o objetivo de investigar como as egressas do Curso de Pedagogia da Faculdade de Alta Floresta utilizam o ensino por investigação em suas práticas pedagógicas em escolas públicas de Educação Infantil. Fazem parte do referencial teórico autores como Bogdan e Biklen (1994), Creswell (2010), Thiollent (2011), Bardin (2012), Franco (2016), Lino e Niza (2007), Malaguzzi (2001), Rinaldi (2014; 2017). A metodologia utilizada, de abordagem qualitativa, fez uma aproximação com alguns dos pressupostos da pesquisa-ação Thiollent (2011) e, para a análise dos dados, utilizou-se a técnica da análise de conteúdo proposta por Bardin (2012). Os resultados evidenciaram que as egressas em suas práticas pedagógicas, utilizando as estratégias investigativas, fizeram uma aproximação com o princípio da investigação, uma abordagem utilizada nas escolas de Educação Infantil de Reggio Emilia/Itália, e demonstraram que essas práticas pedagógicas contribuíram para o desenvolvimento das crianças em relação às suas aprendizagens investigativas, favorecendo a autonomia e o protagonismo infantil.

Palavras-chave: Práticas pedagógicas investigativas. Estratégias de ensino. Educação infantil.
COMO SE FORMAM LEITORES NA ESCOLA PÚBLICA?
Authors: Rezende Junior Edson Luis
Published: December 2019

Este trabalho surge de uma reflexão acerca das atividades desenvolvidas na disciplina de Leitura ofertada no distrito de Gardênia, município de Rancharia – SP, no ano de 2017. A disciplina atendia a todos os alunos da escola: pré-escola, ensino fundamental I e II. Seu objetivo geral consistia em desenvolver nos alunos o comportamento, a capacidade e o hábito leitor, bem como despertar o gosto por tal processo a partir de diferentes obras previamente selecionadas e que contribuíssem positivamente para seu capital cultural. A partir disso, o presente artigo busca responder a pergunta realizada em seu título “Como se formam leitores na escola pública?”. Para tanto, o trabalho subdivide-se em três partes: (a) concepção de leitura, (b) contexto e desenvolvimento da disciplina e (c) análise das aulas. Por fim, apresentam-se os resultados alcançados e se discute algumas práticas de leitura que na escola são positivas para a formação de leitores, tais como contar histórias, leitura compartilhada e trocas de experiências leitoras em grupo. Também se observa um déficit em ações que envolvam toda a comunidade escolar nessas atividades.
CONSTRUÇÃO DE SALA AMBIENTE COMO METODOLOGIA ALTERNATIVA PARA O ENSINO DE ANATOMIA E FISIOLOGIA DO SISTEMA DIGESTÓRIO HUMANO
Authors: Pereira Carlos Alberto Sanches , Guedes Marcelo Ribeiro de Almeida , Rodrigues Denise Celeste Godoy Andrade , Pereira Ana Paula Cunha , Souza Lidiane De Fátima de Oliveira
Published: December 2019

O atual modelo de ensino nas escolas tem se caracterizado, muitas vezes, por atividades pedagógicas desarticuladas e distanciadas da realidade do educando e, principalmente, baseado na memorização das informações. O uso de estratégias de ensino não convencionais, consideradas como atividades lúdicas, propiciam uma melhor assimilação do conteúdo programático. Nesse contexto, o objetivo deste trabalho foi construir uma sala ambiente para o ensino de Anatomia e Fisiologia do sistema digestório humano. A mesma foi construída em uma sala de um colégio público e simulava todo o sistema supracitado. Para a construção utilizou-se materiais diversos como: TNT, tubos de PVC, argamassa, garrafas pet, dentre outros. Cada aluno antes de entrar para a visitação respondeu um questionário (pré-teste) sobre sistema digestório. Após vivenciar o processo digestivo na sala ambiente, os alunos responderam o mesmo questionário (pós-teste), bem como um questionário de satisfação. Dentre os resultados encontrados destaca-se o aumento do percentual de alunos (82,7%), que acertaram mais questões no pós-teste, em relação ao pré-teste. Nesse contexto, concluiu-se que a sala ambiente é uma metodologia lúdica eficaz para o processo de ensino aprendizagem de anatomia e fisiologia do sistema digestório humano.
ANÁLISE DE PROCESSOS DE CADASTROS UTILIZANDO A FERRAMENTA FLUXOGRAMA E POKA YOKE: ESTUDO DE CASO EM UMA EMPRESA NO TRIANGULO MINEIRO
Authors: Neris Irys Thaynná da Silva , Storti Karolaine Silva , Milan Willyan Wilson
Published: December 2019

Devido aos avanços tecnológicos, a gestão de processos nas empresas está cada vez mais valorizada, sendo possível desenvolver uma comunicação ativa, rápida e precisa das informações. Neste tocante que é possível afirmar que uma empresa moderna busca sempre melhorias para obtenção de resultados positivos, buscando agregar ao produto ou serviço fornecido, qualidade e consequentemente maior valor. Por meio da ferramenta Poka Yoke e Fluxograma é possível proporcionar um maior controle sobre os processos, auxiliando na tomada de decisões. Desta forma, o estudo objetiva propor melhoria na interpretação, esclarecimento de prováveis dúvidas e explicação da importância de cada processo na empresa, minimizando inconformidades nos cadastros. Portanto, foi realizado estudo de caso com abordagem qualitativa precedido de pesquisa bibliográfica, em uma empresa localizada do triângulo mineiro. Para melhor visualização das atividades desempenhadas nos processos por intermédio das ferramentas, foram identificadas inconformidades que necessitavam de análise, podendo ser destacada a necessidade para organização dos processos e atribuições das funções, como suas responsabilidades e compromissos na entrega por cada setor, por meio de avaliações e validações das partes.
RESÍDUOS DA CONSTRUÇÃO CIVIL: CONCEITOS, HISTÓRICO E GERENCIAMENTO
Authors: Santos Amanda Souza , Iselle Fabiana Aparecida , Dias-Silva Leonardo Henrique
Published: December 2019

O presente trabalho tem como tema resíduos sólidos, que por sua vez esta diretamente ligada às questões ambientais na construção civil e a melhor qualidade na vida das pessoas e do ambiente em que elas vivem. Tem por objetivo fazer uma pesquisa bibliográfica e apresentar as formas corretas de tratamento a ser realizada sob as orientações da Resolução CONAMA n° 307, de 2002 que estabelece diretrizes, critérios e procedimentos para a gestão dos resíduos da construção civil, uma vez que os resíduos gerados não recebem o devido tratamento causam diversos problemas com o meio ambiente e transtornos a sociedade, que ao receberem o tratamento correto aumenta a produtividade em diversos campos da produção humana. Os resíduos ao serem descartados podem ser reaproveitados e transformados em matéria prima para outros novos materiais e produtos. A redução de desperdícios, reciclagem e reutilização podem reduzir o uso de recursos naturais e o impacto negativo ocasionado pelo descarte inadequado no meio ambiente culminado em economia de gastos na construção civil. A metodologia utilizada foi baseada em revisão bibliográfica, com avaliação documental em sites acadêmicos, revistas, livros, normas e leis, visando fornecer dados atuais e relevantes relacionados ao tema.
PERÍCIA EXTRAJUDICIAL: AUXILIANDO A RESOLUÇÃO DE DIVERGÊNCIAS SEM INTERVENÇÃO DE UM MAGISTRADO
Authors: Meneses Heloisa Aparecida Freitas , Mariano Lucas Dos Santos , Harano Fernando Takeo
Published: December 2019

O presente trabalho discute a importância e viabilidade das perícias contábeis no âmbito extrajudicial. No decorrer da discussão fica claro que a perícia extrajudicial colabora para a resolução de questões conflituosas sem uma figura arbitrária, viabilizando uma autocomposição entre as partes interessadas. Para tanto, a metodologia de construção de um raciocínio científico se baseou em pesquisas bibliográficas. Em um mercado globalizado e competitivo em que empresas, de qualquer porte, estejam inseridas é recorrente que haja divergências encontradas em seu meio, por isso, é importante que encontrem à sua disposição dispositivos que sejam realmente menos onerosas, eficazes e ágeis na resolução de lides, como se apresenta a perícia contábil extrajudicial. O objetivo é demonstrar a cooperação com a justiça na resolução de questões conflituosas, porém sem a presença de um magistrado. Neste caso, as perícias extrajudiciais são as mais adequadas, sendo divididas entre extrajudicial, semiadministrativa e arbitral. O auxílio na resolução dos litígios se dá na busca de evidenciação e na elaboração de um documento final, o laudo, que contém todas as respostas a todos os quesitos levantados anteriormente pelas partes. Neste caso, a escolha do profissional deverá ser feita em comum acordo entre os litigantes e aceite do resultado final.
DIFERENÇAS TRIBUTÁRIAS ENTRE O LUCRO REAL E PRESUMIDO
Authors: Malheiros Bruno Gustavo
Published: December 2019

O presente estudo tem por objetivo identificar as principais e objetivas diferenças entre os dois Regimes Tributários aqui descritos, sendo eles Lucro Real e o Lucro Presumido, através desta pesquisa foi possível elencar vários fatores que ajudam ao Contribuinte optar por um deles, além de identificar quais obrigações cada Regime Tributário exige, demonstrando as suas determinadas apurações contábeis conforme esfera federal. Diante de uma carga tributária elevada no país é possível de maneira licita reduzir os custos e aumentar os lucros, mediante a um planejamento tributário bem executado, isso demonstrando todo tipo de tributo existente para cada Regime Tributário, na pesquisa foi possível também evidenciar a diferença entre regime cumulativo e não cumulativo. O caráter desta pesquisa é de explanação geral com referencial teórico e tem por objetivo maior contribuir e instruir a todos que tem interesse relacionado ao Regime Tributário Brasileiro, identificando as vantagens e desvantagens de cada um deles, o material pode ser utilizado por contribuintes, contadores e alunos do curso de Ciências Contábeis a fim de auxiliar na compreensão e elaboração de um planejamento tributário tornando a empresa mais lucrativa.
An Education Session Developed in Response to Low Health Professional Awareness of Predatory Journals
Authors: Babb Maureen Nicole , Dingwall Orvie
Published: December 2019

Predatory journals have arisen as a significant problem within scholarly literature and efforts to raise awareness about them have focused on researchers looking to publish their work.  Because health professionals use scholarly literature to inform their practice, develop policy, and conduct their own research, they should be familiar with the harmfulness of predatory journals.  This paper describes an education session delivered to health professionals throughout the province of X.  Developed in response to health professionals’ low awareness of predatory journals, it was designed to raise awareness and to provide tools and techniques to critically appraise the scholarly literature.
Making space for Indigenous knowledge translation activities in Canadian health librarianship
Authors: Staiger-Williams Eleri , Harper Adair
Published: December 2019

Abstract

Introduction: In 2015, the Truth and Reconciliation Commission’s Call to Action 22 called upon “those who can effect change within the Canadian health-care system to recognize the value of Aboriginal healing practices” 1. Given that research has shown that health librarians have this ability to help affect change in the healthcare system, how does the health library literature reflect shifting professional practice that make space for Indigenous peoples and knowledge?

Methods: In this literature review, we searched for keywords and controlled terms, or subject headings, on Indigenous topics within three key North American health library journals: the Journal of the Canadian Health Libraries Association (JCHLA) (indexed in CINAHL); the Journal of the Medical Library Association (JMLA) (Ovid MEDLINE); and Medical Reference Services Quarterly (MSRQ) (Ovid MEDLINE). A modified version of Smylie et al’s2 model of critical self-reflection guided by Indigenous knowledge translation principles was then used to analyse the papers and suggest potential avenues for future research.

Results: Our initial search retrieved 8 articles from JMLA, 2 from MRSQ, and 14 from JCHLA which our exclusion criteria reduced to 5 articles that were then qualitatively analyzed. Of these only two articles reflected a more substantial engagement with Indigenous knowledge translation practices.

Discussion: Most of the articles did not explicitly engage in self-reflection about how their personal, professional or systemic privileges and biases impact their work with Indigenous health topics.
Penerapan Pembelajaran Model Jigsaw Untuk Meningkatkan Minat Dan Hasil Belajar Fisika
Authors: Abbas Muhammad Luqman Hakim
Published: December 2019

This research is a classroom action research which aims to improve learning outcomes physics class in Madrasah Aliyah Al-Ihsan Kalijaring. The sample used in this research is class XI MIPA totaling 31 people, by applying science technology society learning model.ÃÂ  This study is successful if students achieve learning outcomes classical completeness 85% with the value of each student reach Ã¢â°Â¥ 75. Based on the evaluation of the obtained value of the average grade in the first cycle of 77.01 with 74.42% classical completeness. In the second cycle learning outcomes of students has increased, with an average grade of 93.02 and classical completeness amounted to 90.46%. Based on the interest questionnaire that has been distributed to students before and after the action, data is obtained that the student's interest has increased. The indicators that showed an increase were the total score obtained before the administration of action was 1842 with an average of 42.84 increasing to 2326 with an average of 54.86. Based on the results of the study it can be concluded that by applying the Jigsaw cooperative learning model can increase interest and learning outcomes in physics class XI MIPA Madrasah Aliyah Al-Ihsan Kalijaring Tembelang Jombang.ÃÂ
Detection of metallo beta lactamase production in imipenem resistant gram negative bacilli non fermenters isolated in a Tertiary Care Hospital.
Authors: Sajjad Ayesha , Malik Muna , Javed Iffat , Mushtaq Sohaila , Imran Fareeha , Jameel Rabiya
Published: December 2019

Objectives: Metallo-beta lactamase (MBL) producing non fermenter Gram negative bacilli is an emerging warning and cause of worry as they have established as one of the most feared resistance mechanisms and are the foremost cause of nosocomial infections worldwide. Carbapenem, including Imipenem, Meropenem and Doripenem are often used as a last remedy for treatment of infections caused by Pseudomonas aeruginosa, Acinetobacter and other Gram-negative. The present study was designed to explore the distribution of imipenem resistant non-fermenter Gram-negative bacilli isolates in different age groups. Study Design: Cross sectional Descriptive study. Setting: Microbiology laboratory, PGMI, Lahore. Period: January 2015 to December 2015. Material & Methods: 53 imipenem resistant NFGNB that were isolated from appropriate sampling of patients suffering from several infections were analyzed by using different standard microbiological techniques like microscopy, culture methods, biochemical reactions and antibiotic susceptibility using Kirby-Bauer method. MBL recognition was performed by imipenem-2MPA double disc synergy test (DDST). Results: This study shows the frequency of imipenem resistant non-fermenter Gram-negative bacilli isolated from various clinical wards. Maximum NFGNB were recovered from surgery/surgical allied 35.84% followed by ICU 28.3%, medicine /medicine allied 20.75%, pediatrics 9.4% and gynae/obs 5.6% respectively. MBL production was identified among different imipenem resistant non-fermenter Gram-negative bacilli isolates by DDST using 2-MPA. Out of total 53 imipenem resistant non-fermenter Gram Negative Bacilli 37 Pseudomonas aeruginosa 20(54.05%) were MBL positive. Out of 13 Acinetobacter baumannii and 2 Pseudomonas luteola, 11(84.61%) Acinetobacter baumannii and 1(50%) Pseudomonas luteola were positive for MBL production. None of the Acinetobacter junii indicated MBL production. Conclusion: Double disc synergy test is operational for detection of MBL producers among NFGNB. It can be established in our routine clinical microbiology laboratories, for the MBL recognition especially in imipenem resistant isolates as of its cost efficiency.
Oral health related quality of life by means of functional changes in Geriatric Oral Health Assessment Index (GOHAI) before and after insertion of new conventional complete dentures in completely edentulous patients.
Authors: Das Gotam , Qamar Khezran , Rana Muhammad Haseeb , Ahmed Shabir , Chachar Zaheer Hussain , Mushtaque Kinza
Published: December 2019

The oral health-related quality of life determines the quantity to which oral health disrupts the regular life and common functioning of an individual. To evaluate the oral health problems of older adults, Geriatric Oral Health Assessment Index (GOHAI) can be used. GOHAI was developed by Atchinson and Dolan3 before and after complete denture therapy”. Study Design: Cross sectional study. Setting: Department of Prosthodontics, Lahore Medical and Dental College, Lahore. Period: February 18, 2018 to August 17, 2018. Material & Methods: Patients will be selected for the study according to the criteria. Patient history and clinical examination was undertaken. Upper and lower complete dentures was made-up for 30 patients (both male and female) using standardized clinical and laboratory methods. Conventional procedures were applied to complete denture construction. Complete dentures were constructed in the similar dental laboratory within the institution by compression moulding method. Laboratory and clinical remount procedures, beside with occlusal corrections were carried out using a semi-adjustable articulator. The GOHAI questionnaire was completed on two different appointments. First questionnaire was documented before denture insertion and second questionnaire was recorded after complete denture insertion. Results: Before treatment mean GOHAI score was 20.46 ± 2.85 and after treatment mean GOHAI score was improved and was 26.32 ± 2.34. The mean GOHAI score was statistically improved p-value < 0.001. For male patients, before treatment mean GOHAI score was 21.61 ± 2.59 and after treatment mean GOHAI score was improved and was 26.31±2.14. The mean GOHAI score was statistically improved in male patient, p-value < 0.001.  For female, before treatment mean GOHAI score was 19.34 ± 2.70 and after treatment mean GOHAI score was improved and was 26.44 ± 2.49. The mean GOHAI score was statistically improved in female patients, p-value < 0.001. Conclusion: According to patient’s information enhancement in functional changes after placement of complete dentures.
Vesicovaginal Fistula (VVF): Success of primary repair.
Authors: Ali Robina , Niaz Ghazala , Ehsan Riffat
Published: December 2019

Objectives: The main objective of this research is to determine success of primary repair of vesicovaginal fistula at tertiary care hospital. Study Design: Quasi Experimental. Setting: DHQ Hospital, Faisalabad, Obstetrics and Gynaecology Department. Period: From Mar 2015 to Mar 2017. Material & Method: 15 patients were enrolled by consecutive sampling and those having fistulas more than 4cm or involving ureteric orifice, bladder neck or urethra were excluded. After proper history examination, preliminary investigations and EUA, fistula repair was done. All information recorded on proposed proforma for this purpose. Results: Among all 15 patients, 10(66.7%) were having obstetric fistulas and 5(33.3%) were with non obstetric fistula. 07 (46.7%) had home delivery, 3(20%) had delivery at center by untrained persons, 3(20%) had hysterectomy by untrained surgeons i.e. 1(6.7%) for endometriosis, 1(6.7%) for multiple fibroids and 1(6.7%) for ovarian malignancy while 2(13.3%) patients had inducted miscarriages by midwives. 12 (80%) patients had subtrigonal and trigonal fistulas, so underwent transvaginal repair and rest 3(20%) had supratrigonal fistula so transabdominal repair was done. Success of repair was 93.3% (14) and 1 was complicated with failed fistula repair. Conclusion: Most fistulas encountered in this study were caused by obstetrics trauma and are preventable. In existing cases of vesicovaginal fistula, properly trained health professionals with impeccable evaluation, prudent decision about route and technique of repair and good post operative care are key points in success of surgical repair.
Presence of Cirrhosis in newly diagnosed Hepatitis C patients without prior history of Chronic Liver Disease.
Authors: Ahmad Irfan , Majeed Zafar , Iqbal Javed
Published: December 2019

Cirrhosis once established has no treatment except liver transplantation. It is mostly caused by chronic hepatitis C virus which is very common in our region. As many of these hepatitis C patients are asymptomatic or have non-specific symptoms, so these patients seek medical advice late in the course of their disease. Objectives: To find out the presence of cirrhosis in newly diagnosed hepatitis C patients. Study Design: Descriptive Study. Setting: Hepatitis Clinic, Sheikh Zayed Medical College/Hospital, Rahim Yar Khan. Period: From March to September 2018. Material & Methods: All newly diagnosed hepatitis C patients previously not known to have chronic liver disease were included in the study. Their demographics, symptoms, baseline CBC, LFT, PT, albumin and ultrasound findings were noted. Cirrhosis was diagnosed on the basis of clinical, laboratory and ultrasonography findings. Results: Three hundred and seventy three patients met inclusion criteria. Cirrhosis was present in 64 (17.2 %) patients, 52 patients had Child A and 12 has Child B cirrhosis. No patient had Child C cirrhosis. Mean age of non-cirrhotic patients was 36.74 years and of cirrhotic 47.09 years. There was no significant difference regarding gender distribution between the two groups. Seventy nine (25 %) non-cirrhotic and 11 (17 %) cirrhotic were asymptomatic at presentation and were diagnosed incidentally. Conclusion: About one sixth of newly diagnosed hepatitis C patients already had cirrhosis at presentation.
Knowledge of Diabetic patients about Insulin injection technique.
Authors: Mehmood Muhammad Sajid , Munir Muhammad Wajad , Baig Wajahat Sultan , Ansari Abida Mateen , Saddiq Shazia , Farooq Muhammad
Published: December 2019

Diabetes mellitus is leading cause of morbidity and mortality worldwide. Most of them are due to its macro and microvascular complication. Objectives: To determine the accuracy of insulin injection technique in adult diabetic patients between age of 20 to 50 years on insulin therapy for ≥02 years. Study Design: Cross sectional study. Settings: Pakistan Institute of Medical Sciences, Islamabad. Period: From March to August, 2016. Subjects: All diabetic patients between age 20 to 50 years and on insulin therapy for >02 years were enrolled in the current study. Material & Methods: A total of 260 diabetic patients fulfilling the inclusion criteria, visiting the emergency or medical OPD, who gave informed consent were enrolled. The patient′s knowledge was categorized as "Adequate" or "Inadequate" on the basis of his/her score. Data was entered and analyzed by using SPSS version 22 software. Results: The mean (±SD) age of all patients was 36.8 (± 8.5) years. Out of 260 patients, 150 (57.3%) patients were female and 138 (53.1%) lived in urban areas. Majority of patients, 141 (54.2%) received knowledge regarding insulin injection technique from doctors and 98(37.7%) received knowledge from family member or friend. Out of 260, 64 (24.6%) patients had adequate knowledge, while 196 (75.4%) patients had inadequate knowledge score. Conclusions: One quarter of the patients has adequate knowledge about insulin injection techniques. Based on our findings there is a need to conduct awareness campaigns at the community level to impart useful knowledge about diabetes and its various aspects like insulin injections techniques.
Comparison of Vesicovaginal Fistula Repair with Omental transposition versus perivesical fat emplacement.
Authors: Memon Aijaz Hussain , Ali Mumtaz , Qureshi Salman Manzoor , Bhatti Wasim Sarwar , Ahmed Naveed , Rehman Mujeeb ur
Published: December 2019

Objectives: To compare the outcome of Vesicovaginal fistula repair by omental transposition and perivesical fat emplacement in terms of recurrence and maximum bladder capacity. Study Design: Randomized control trial. Setting: Urology department of Peoples University Hospital Nawabshah, Sindh, Pakistan. Period: From January 2018 to December 2018. Material & Method: Overall 40 patients with VVF were added in the research, split into two identical groups, each consisting of 20. In group 1, omental transposition and in group 2, perivesical fat emplacement was done. Adult female patients with Vesicovaginal fistula, resulting from obstetrical and as a complication of surgery was included. This was confirmed by physical examination, IVU, pelvic computerized tomography scan with contrast, retrograde uretherocystogram, ultrasound KUB and cystoscopy. Exclusion criteria were Patients with systemic illness like diabetes mellitus, chronic renal failure and chronic liver disease etc, immunosuppressant therapy like: steroids intake, patient’s undergone irradiation of the pelvis due to any malignant disease. Follow up after 6, 12 and 24 weeks, all the patients were assessed for recurrence. The complications like wound infections, urgency, urge incontinence and paralytic ileus were also noted. The data was collected in a specially designed proforma. Results: In this study 40 patients fulfilling the inclusion criteria were included, 20 patients in each group. The success rate was 95 %( 19 /20) in group 1, only one case had recurrence. While in group 2 all the cases were successful. Chi square analysis was employed for comparison of adequacy of both the techniques, the P value was found to be 0.311 which suggests that the difference between the efficacies was not statistically significant. Conclusion: It is concluded that both the techniques of Vesicovaginal fistula repair, either with omental transposition or perivesical fat emplacement are equally good in terms of recurrence and maximum bladder capacity.
Asthma and Allergic Rhinitis amongst children having Celiac disease.
Authors: Khuhro Asif Ali , Rehman Fazal ur , Ali Waqas , Usman Najmi , Rajper Sanam Bano
Published: December 2019

Objectives: Relationship amongst celiac disease (CD) and lung diseases has been discussed in the past. Studies have documented that CD is linked with lung diseases. CD has also been described to complement asthma. This study was planned to document the prevalence of asthma as well as allergic rhinitis in confirmed cases of CD and conducted pulmonary function testing in children aged 5 to 16 years while comparing them with controls. Study Design: Cross sectional study. Setting: Department of Pediatrics Medicine, Children Hospital Chandka Medical College / Shaheed Mohtarma Benazir Bhutto Medical University, Larkana. Period: From 1st January 2018 to 30th June 2018. Material & Methods: We enrolled 50 confirmed cases of CD along with 100 controls with non specific abdominal pain. All were aged 6 to 16 years, of both genders. Demographics as well as questions related to asthma and allergic rhinitis were noted. Results: Amongst a total of 150 children, 61 (40.7%) male and 89 (59.3%) female. Overall mean age amongst children was 9.80 years with standard deviation of 2.6 years. A total of 40 (26.7%) children who had weight below the 3rd percentile while 36 (24.0%) had height below the 3rd percentile. Most children, 82 (54.7%) had normal BMI. Weight below the 3rd percentile and height below the 3rd percentile were of statistical significance as children with a weight and height below the 3rd percentile were significantly higher in the CD group (P = 0.026 and P = 0.005, respectively). Asthma and allergic rhinitis characteristics were not much different between the two groups (p > 0.05). The Pulmonary function test (PFT) results showed that 7 (14.0%) cases with CD and 12 (12.0%) controls had obstructive pulmonary changes (p > 0.05). Conclusion: Rates of Asthma and allergic rhinitis in children having CD were not significantly higher in comparison to controls. No linkage between asthma and allergic rhinitis symptoms was seen children having CD.
Predictive value of total leucocyte count (TLC), bilirubin and C-reactive protein in the diagnosis of gangrenous and perforated appendicitis.
Authors: Iqbal Muhammad Najam , Ahmad Shahbaz , Saeed Abdullah , Shah Muhammad Imran , Dogar Muhammad Zahid Imtiaz , Mustafa Ghulam
Published: December 2019

Acute appendicitis is the most common cause of acute abdomen. Most of the cases are diagnosed on history, clinical examination and raised TLC but gangrenous and perforated appendicitis are difficult to diagnose. The TLC, Serum bilirubin and C‑reactive protein (CRP) have been shown to indicate perforation in appendicitis. Objectives: The purpose of this study was to evaluate the role of TLC, hyperbilirubinemia and CRP in the diagnosis of perforated appendix and surgery should be planned. Study Design: Prospective study. Setting: Department of Surgery in Sheikh Zayed Medical College Rahim Yar Khan. Period: 12 months from November 2017 to October 2018. Material & Methods: This study consisted of patients admitted with the clinical suspicion of acute appendicitis. ALVARADO score was calculated. 120 patients with ALVARADO score more than 6 and histologically diagnosed appendicitis were finally included in the study. A proforma was filled which included patients name, age, sex, duration of pain, TLC count, C-Reactive protein (CRP) level and serum total bilirubin level and diagnosis of appendicitis (acute appendicitis, gangrenous appendicitis and perforated appendicitis. Patients were divided into 3 groups. Group A comprised of patients with features of simple appendicitis (AA), Group B Gangrenous appendicitis (GA) and group C Perforated appendicitis (PA). Results: There were 81 patients of acute appendicitis, 13 patients of gangrenous appendicitis and 26 patients of perforated appendicitis. TLC was raised in 13 patients of AA, 10 patients of gangrenous appendicitis and 24 patients of perforated appendicitis. Hyperbillirubinemia (>1mg/dl) was present in 9 patients of GA and 20 patients of PA. Raised C-Reactive protein level (>5mg) was present in 10 patients of GA and 21 patients of PA. There was significant correlation of raised TLC, hyperbillirubinemia and C-reactive protein in gangrenous and perforated appendicitis and p value was less than 0.05. Predictive value of bilirubin in GA and PA was 56.25 % and 74.04 %respectively. Predictive value of C Reactive Protein in GA and PA was 41.66 and 60 respectively. Predictive value of TLC in GA and PA was 43.47 and 60.86 respectively. Conclusion: All the patients who present with pain in right iliac fossa, lower abdominal tenderness and rigidity, Alvarado score>7, raised TLC, CRP and hybillirubinemia are the suspected case of perforated appendix and should be aggressively resuscitated and operated.
Patrón altitudinal de la riqueza de especies de aves en la sierra de Velasco, provincia de La Rioja
Authors: Aranda Rickert Adriana , Fracchia Gerónimo
Published: December 2019

Los gradientes de montaña constituyen excelentes sistemas para estudiar los determinantes físicos y biológicos de los patrones de distribución de las especies de aves. En este trabajo estudiamos la distribución altitudinal de la riqueza de aves en la Sierra de Velasco, Provincia de La Rioja, Noroeste de Argentina. Entre 2015 y 2018 registramos mediante conteo por puntos las especies de aves observadas entre 1000 y 3000 m s.n.m, y estimamos variables climáticas y de vegetación con potencial influencia  sobre la distribución observada. Registramos un total de 163 especies (31 familias) a lo largo de todo el gradiente elevacional. La relación entre la riqueza de especies y la elevación mostró un patrón jorobado, con el número más alto de especies en las altitudes intermedias, y una disminución hacia la base y hacia la cima. Este mismo patrón ha sido descripto para montañas de base árida en otras regiones del mundo. Las variables ambientales que se asociaron con más fuerza con la variación altitudinal en la riqueza de especies fueron la temperatura media anual, el tipo de ambiente ecológico y el tipo de hábitat, cuya combinación sería optimizada en las elevaciones intermedias, explicando el patrón jorobado. Nuestro trabajo aporta información acerca del patrón altitudinal de la distribución de la avifauna en una montaña de base árida, y constituye una línea de base para futuros monitoreos en relación con potenciales cambios en la distribución por efecto del cambio climático.