bluuebunny/crossref_metadata_2025 huggingface dataset:
Retrospective study of clinico-pathological features of ovarian tumors
Authors: Vedpathak Sachin G. , Nayak Vaishali R. Korde
Published: January 2018

Background: Ovarian masses are a frequent clinical diagnosis in general Gynecology. The aim of the present study was to assess risk factors, clinical features, CA 125 levels, histopathological diagnosis of the patients of all ovarian tumors that underwent surgical management between August 2013 to August 2017.Methods: This was the retrospective study conducted in the department of Obstetrics and Gynecology in MIMER Medical College. We studied 50 patients those who underwent surgical management. Most of the patients 56% were in the reproductive age group, 28% patients were in the perimenopausal age group, 14% were in the postmenopausal age group. 82% patients were parous.Results: Pain abdomen was most common symptom in 50% patients. Bilaterality of the tumor was common in malignant tumors. CA 125 was found to be increased more in malignant tumors. Most common co morbid condition was hypertension found in 12% patients. Most common ovarian tumor found was serous cystadenoma 34% and most common malignant tumors were serous cystadenoma carcinoma 16%.Conclusions: Out of all operated patients 11 (22%) were malignant, 37 (74%) were benign and 2 (%) were borderline tumors. Out of all malignant tumors 8 (72%) were serous cysadenocarcinoma. It is difficult to always differentiate between malignant and benign tumors clinically. Analysis of risk factors and protective factors, thorough abdomino-pelvicbimanual examination, certain features on radiological imaging, presence of ascites and bilaterality, CA125 levels, helps increasing the accuracy of the diagnosis.
Role of Color Doppler in predicting perinatal outcome in preeclampsia
Authors: Roy Anjuri J. , Bhosale Archana A.
Published: January 2018

Background: Preeclampsia is one of the most common complications of pregnancy, which increases both fetal and maternal mortality and morbidity. Since preeclampsia is characterized by abnormal placenta formation leading to inadequate uteroplacental blood flow, Doppler ultrasonography can prove to be a useful tool to assess fetal outcome in PIH patients. Through this study, we sought to determine the perinatal outcome on the basis of Doppler changes seen in Umbilical and Middle Cerebral artery.Methods: This was a prospective study conducted from September 2014 to August 2017 in a tertiary care hospital where 150 singleton pregnant patients with preeclampsia were examined with Doppler ultrasound of the Umbilical artery and Middle cerebral Artery. Serial Doppler examination was performed and the results of the last Doppler examination within 10 days of delivery was considered. Perinatal outcome was studied in the form of perinatal death, mean APGAR at 1 and 5 minutes, birth weight and admission to Neonatal Intensive Care Unit (NICU).Results: Abnormal Doppler velocimetry of the umbilical artery (increased resistance, AEDV, REDV) were significantly associated with poor perinatal outcome in the form of low birth weight, APGAR of ≤7 at five minutes of birth and NICU admission. However, S/D ratio of the Middle cerebral artery could not positively predict poor perinatal outcome in this study.Conclusions: Doppler technology has provided the best opportunity for repetitive non-invasive hemodynamic monitoring in human pregnancy. Umbilical artery Doppler findings are slight better predictor of adverse perinatal outcome than an abnormal MCA.
Comparison of transvaginal sonography with hysteroscopy and correlation with histopathological report in case of abnormal uterine bleeding
Authors: Maiti Gunadhar , Lele Prasad , Borse Dhananjay
Published: January 2018

Background: Abnormal uterine bleeding (AUB) is change in frequency of menses, duration of flow or amount of blood loss. The objectives of the present study were to determine and compare the diagnostic accuracy of TVUS (Transvaginal ultrasonogrphy) with hysteroscopy for diagnosis of endometrial and intramyometrial pathology in case of abnormal uterine bleeding, to study the correlation with histopathological report of endometrial biopsyMethods: It was a prospective comparative study. 200 cases of AUB were selected from June 2010 to May 2012 attending Gynaecology OPD in tertiary care level public sector teaching hospital at Mumbai, meeting the selection criteria were enrolled into the study. Complete history, detail general, systemic and local examination was performed for all patients. Two-dimensional transvaginal ultrasonography was performed to see for endometrial or intramyometrial pathology. Endometrial thickness was noted for all patients. Hysteroscopy and D&C was performed within 48 hours of ultrasonography. After hysteroscopy, curettage was performed and sent for histopathological examination.Results: TVUS detected, 19 polyps (9.5%) and 81 myomas. It was able to differentiate these myomas as 64 interstitials (32%) and 17 submucous (8.5%) hysteroscopy detected 26 submucous myomas (13%), 31 polyps (15.5%), endometrial hyperplasia detected by TVUS, 19 in premenopausal and 06 in postmenopausal age group. Hysteroscopy detected 24 in premenopausal and 06 in post-menopausal age group. Histopathology of endometrial biopsy it came positive for 13 in premenopausal and 08 in postmenopausal age group. Two cases of CA endometrium were diagnosed on HPE out of which one was diagnosed by TVUS and same was diagnosed by hysteroscopy. Conclusions: TVUS has significantly lower sensitivity but comparable specificity with hysteroscopy in diagnosing endometrial polyp and submucous fibroid, comparable sensitivity and specificity in diagnosing endometrial hyperplasia, equivalent sensitivity and specificity in diagnosing endometrial carcinoma, accuracy of TVUS for detecting pathology in AUB is comparable to hysteroscopy, suitable for developing countries as first diagnostic step for AUB.
Clinical study of Rh-isoimmunization in pregnant women
Authors: Bhagat Bhavani , Sitalakshmi V. , Azad K. L. , Banoth Nirmala
Published: January 2018

Background: Iso-immunization has been defined as the process whereby immune antibodies are produced in an individual in response to antigens from another individual of same species. Objective was to study the fetal outcome in immunized and non-immunized women and also to prevent isoimmunization during pregnancy and labour.Methods: A total of 40 patients attending outdoor antenatal clinic or admitted in the indoor wards in obstetric unit of Obstetrics and Gynecology department were included in the present study which was hospital based cross sectional study. The study was carried out for one year at Government Medical College Jagdalpur, Chhattisgarh, India. Permission from Institutional Ethics Committee was obtained. From each and every patient included in the study, initially informed individual consent was taken.Results: Maximum patients (25%) had an income of Rs. 200- 300 per month and minimum patients (10%) had an income of Rs. 500- 600 per month. Maximum cases of Rh – negative patients 87.5% are Hindus and 10 % are Muslims while only 2.5% are Christians. The percentage of patients below 20 years is 2.5, that between 20 to 25 are 67.5, between 26 to 30 is 27.5 and between 31 to 35 is 2.5. Thus, maximum patients belong to the age group 20 to 25 years and above 31 years.. Accordingly, 6 patients had history of abortion, 2 had pre- term deliveries, and 18 had full term deliveries. 4 had history of operation and 1 had history of jaundice in previous children. Cases with presence of Rh- Antibody in Maternal Circulation during Pregnancy. It was found that one out of 40 patients, had Rh- Antibody in titer of 1: 128 and 39 cases, did not show presence of Rh- Antibody in their circulation. Outcome of pregnancy in 40 patients studied. 3 patients had pre- mature labour, 26 had normal vaginal delivery, 10 had caesarean section and one patient was Ante- natal.Conclusions: Present study reveals more than Maximum patients were from low socioeconomic group and minimum cases were from higher socio- economic group. Majority of cases were Hindus, next in order Muslims and then Christians. Age of maximum patients ranged from 20-25 years. Maximum patients had normal full term deliveries. In 65% cases, outcome of pregnancy was normal vaginal delivery.
Peripartum cardiomyopathy in uncorrected tetralogy of fallot: a case report
Authors: Phutane Mukund Vasantrao , Kal Varsha Ansaram , Patil Vishal Vijayrao , Bansal N. O.
Published: January 2018

Tetralogy of Fallot (ToF) is the most common cyanotic congenital heart with incidence about 10% of all congenital heart disease. Natural survival to the fourth decade is extremely rare (only about 3%), but there is a tendency of increasing number of women with cyanotic congenital heart disease living 3 to 4 decades and are becoming pregnant. Because of significant physiology adaptation and changes, pregnancy and delivery process are troublesome for most unhealthy women, including those with uncorrected ToF. For ToF patients, it remains an important cause of maternal morbidity (62.5%), and even mortality (10%) and has significant effects on fetal outcome. Discussed below a case of pregnancy in a 30 year old woman with uncorrected ToF, dyspnoea class II of New York Heart Association, on 36th week pregnancy with complication of postpartum cardiomyopathy. Through dedicated medical care, patient's condition improvement can be seen. Prognosis of pregnancy in patient with uncorrected ToF is poor without optimal obstetrical and medical management.
Green school audit of twenty two schools in Pune city
Authors: Vaidya Varsha , Gothankar Jayashree , Pore Prasad , Patil Reshma , Murarkar Sujata
Published: January 2018

Background: The Green school audit is a tool designed to help school communities to audit their use of natural resources. It provides schools with the methodology to become environmental managers by assessing themselves. Green school audit was part of green games initiatives of commonwealth youth games Pune 2008 with objective to carry out environmental audit of schools involving school children. Methods: The programme was carried out from March 2008 to October 2008 as a part of Green Games initiative of Commonwealth Youth Games. Twenty two schools voluntarily participated in this programme. Four medical students per school and one teacher from the Department of Community Medicine were posted per school to train one school teacher and twenty five school children about the audit. Each school was provided with a Green School manual; a do it yourself (DIY) guide that helped students to assess the five key elements that comprises their school’s environment namely air, water, land, energy and waste. Results: 15 schools were in green zone for air audit, 9 schools were in green zone for water audit, 11 schools were in green zone for land audit, 13 schools were in green zone for waste audit and 10 schools were in green zone for energy audit. Conclusions: This assessment helped each participating school to identify where it currently stood and where it should be with regard to the environmental standards prescribed in the manual. This is a learning programme for students helping them to develop environmentally conscious attitudes and ultimately a responsible behavior.
Parents’ perception on factors of early marriage among the Urhobos in Delta State of Nigeria
Authors: Agege Emmanuel A. , Nwose Ezekiel Uba , Odjimogho Stella
Published: January 2018

Early marriage forces girls into adulthood before they are emotionally and physically matured, and it has harmful effects on their health, educational, economic and social development. In many countries, 18 years is the legal age of marriage and Nigeria has made a constitutional effort to establish same as a minimum age for marriage. This narrative review examined the causes and consequences of early marriage with a view to establish framework to assess the perception on factors among Urhobos in Nigeria. Unpublished stories are appraised alongside news media and published literature to illustrate scenarios that exemplify discussed causes. Several causes of early marriage were noted and gender discrimination, ignorance, and unexpected pregnancy appear salient or are under-discussed. There is evidence that men and women prefer husbands to earn higher wages than wives and females are less ambitious. Although there are public health concerns in the literature, data on perception of parents, especially those in low socioeconomic status, regarding public health is lacking. Critical appraisal posits that early marriage is not only shrouded in legalities, but is also caused by multiple factors. The factors that cause or lead to early marriages need to be identified for each society to appropriately address the associated ramifications. The lack of data on perception of parents suggests that educational intervention needs to start with community needs assessment.
Knowledge and practice of malaria prevention and management among non-medical students of university of Nigeria, Nsukka
Authors: Anene-Okeke Chigozie Gloria , Isah Abdulmuminu , Aluh Deborah Oyine , Ezeme Amuche Linda
Published: January 2018

Background: Inadequate knowledge, misconceptions about the transmission, perception and management of malaria has been reported among various strata of the society and this can adversely affect malaria control measures. This study sought to assess knowledge and prevention practices of malaria among non-medical student in University of Nigeria, Nsukka. Methods: This was a cross-sectional descriptive study carried out among non-medical students. A simple randomized system was adopted for this study in the selection of the three faculties among the several faculties of non-medical students. A well-structured questionnaire which comprised of both open and close ended questions was adopted and used to elicit information from the students. Results: A total of 800 consenting UNN students participated in this study Less than one-tenth of the respondents (5.4%, n=43) reported that Plasmodium falciparum is the most common species that causes malaria. More than half of the respondents (53.5%, n=427) had treated mosquito net in their rooms, however only three hundred and thirty eight (42.3%) of them reported that they sleep under the mosquito treated net. There was a strong evidence of association between knowledge of Malaria and level of academic study (X2=11.01, p=0.015). Conclusions: The study results revealed that non-medical students of University of Nigeria Nsukka campus had an appreciable knowledge on prevention and management of malaria which was however, not translated into practice.
Knowledge and attitudes of family health strategy professionals regarding the bone marrow transplant network
Authors: Borges Ana Maria Machado , Adami Fernando , Alves Beatriz Da Costa Aguiar , Azzalis Ligia Ajaime , Junqueira Virginia Berlanga Campos , Fonseca Fernando Luiz Affonso
Published: January 2018

Background: The bone marrow transplant (BMT) network includes factors from the moment donors sign up to the performance of the transplantation itself in specialized units. The current study aims to analyze the knowledge and attitudes of health professionals regarding this network. Methods: This is a quantitative, exploratory, descriptive study with 63 participants. Data were collected by means of questionnaires that included questions on the profile of the professionals and the bone marrow transplant network. Results: Professionals know what the national registry of bone marrow donors (REDOME) is (60.3%) and where registration can be done (68.3%). However, they were not registered as bone marrow donors (71.4%) and they did not know how to locate where patients' records were stored (77.8%) or the units where BMTs are performed (60.3%). Conclusions: It is of utmost importance to stimulate the knowledge of professionals, particularly on those aspects related to recipients and transplant units.
Effect of primary percutaneous coronary intervention on ventricular repolarization through evaluation of QT dispersion in patient with acute myocardial infarction
Authors: Babapour Behzad , Shahbazzadegan Bita , Khademi Bahareh
Published: January 2018

Background: Cardiovascular disease is the most common cause of death around the world. QT dispersion is one of the parameters that used for evaluation of ventricular arrhythmia. Primary PCI increases probability of coronary artery and reperfusion of the ventricular arrhythmia. The aim of this study was to determine effect of primary percutaneous coronary intervention (PCI) on ventricular repolarization through evaluation of QT dispersion in patient with acute myocardial infarction. Methods: In this pre-post test study, 77 patients with acute ST with elevated myocardial infarction under primary PCI were investigated. The ECG and ST dispersion before PCI and 24 hours after PCI were determined and then the amount of QTd was calculated. The repeated measurement ANOVA was used to compare QTd of pre- PCI treatment and QTd in 24 hours after PCI. Data analysis was performed using statistical software SPSS ver.17. Results: From 77 participants, 60 were male and 17 were female. 43 (55.8%) had a MI position in ANT, PRE, and EXT, 33 (42.9%) had in the INF, and only one person (1.3%) had a MI position in LAT. The results showed that mean QT dispersion in ECG, 24h after primary PCI, for most of measured variables was deceased compare to before primary PCI, but the difference was not significant. Conclusions: The amount of QTd 24 hours after PCI decreased but its decline was not significant. With regards to lack of convenience data, more researches are recommended in this field.
Pattern of ocular morbidity in patients attending ophthalmic OPD at tertiary care hospital, Valsad, Gujarat
Authors: Patel Mitali G. , Mahyavanshi Darshankumar K. , Nayak Sunil , Patel Aayushi , Patel Brijal , Darji Harsh
Published: January 2018

Background: Vision is the most important special sense in human being. Normal vision is essential for normal physical, mental, psychological development and education. Causes of the preventable blindness are often the result of a combination of factors such as poverty, lack of education and inadequate health-care services. The objectives of the study were to determine the pattern of ocular morbidity in patient attending ophthalmic OPD and to find out the association of most common ocular morbidity with different variables. Methods: The cross sectional study was conducted in ophthalmic department at GMERS medical college, Valsad, Gujarat, India. It is a part of the research activity during internship period in Community Medicine department. All patients who attended ophthalmic OPD in third week of April at this hospital were enlisted in this study with their consent. The patients were seen in ophthalmic OPD by ophthalmologist, proper anterior and posterior segment evaluation was done. Data includes registration number, name, gender, education, locality, occupation, H/o systemic illness, refractive error and the diagnosis. Results: In majority of patients attending ophtahlmic OPD were with occular morbidity specifically refractory error and cataract i.e. 54% and 50% respectively. The prevalence of cataract is significantly lesser in <40 years of age, as it is an age related disease. Second most common occular morbidities observed in our study period was conjunctivitis. Cataract has correlation with age, rural locality and female preponderance. Conclusions: Majority of ocular morbidity were either preventable or treatable. Cataract (65 patients out of 130) being the commonest. If detection is early in the course, prevalence of ocular morbidity can be greatly reduced. The leading causes of ocular morbidity in our study were cataract, a conjunctivitis, and refractive error. A large number of OPD patients were constituted by follow up of cataract surgeries.
Frequency and distribution of ABO and rhesus (D) blood groups in district Chamba, Himachal Pradesh: a study from rural tertiary care hospital
Authors: Singh Shairoly , Arora Ishan
Published: January 2018

Background: In 1901, ABO blood group was the first human blood group system to be discovered by Karl Landsteiner. After that Rh blood grouping was discovered by Landsteiner and Weiner 1941. Since then for blood transfusion purposes, these two systems have proved to be the most important systems. Agglutinins are the antibodies against red blood cell antigens and based on presence of these antigens and agglutinins human blood is divided into four major blood groups A, B, AB and O. Methods: A retrospective study was conducted in the Department of Blood Bank of our college. A total of 600 fit donors were selected in the time period of seven months from 1st March 2017 to 30th September, 2017. The blood samples were obtained by standard procedures of venepuncture. Results: From our study, it is observed that blood group B is commonest with 229 donors (38.16%), followed by A with 173 donors (28.82%), O blood group with 131donors (21.82%) and blood group AB contributes minimum of study subjects, 71 donors (11.82%). Rh+ve donors were 93.83% whereas Rh-ve donors were 6.17% according to our study. Conclusions: The present study is useful in providing information on the status of ABO and Rh-D blood group distribution of Chamba and knowledge of it will help in effective management of regional blood transfusion service of the area.
Socio-demographic and obstetric risk factors of anaemia among pregnant women in rural Tamil Nadu
Authors: A. Abiselvi , S. Gopalakrishnan , R. Umadevi , R. Rama
Published: January 2018

Background: Anaemia in pregnant women remains one of the most intractable public health problems in developing countries because of various socio-cultural factors like illiteracy, poverty, lack of awareness, cultural and religious taboos, poor dietary habits, and high prevalence of parasitic infestation. The study was aimed at determining the factors associated with anaemia among rural pregnant women in the field practice area of our medical college in Tamil Nadu. Methods: This is a community based cross sectional study among 270 pregnant women registered at our rural health training centre. Ethical approval and informed consent were obtained prior to the data collection. A pilot tested structured interview schedule was used to elicit questions related to socio-demographic and obstetric factors and hemoglobin levels were recorded from their mother child protection card. Various factors associated with anaemic status of the pregnant mothers were analysed using chi square for significance at 95% confidence interval. Results: Among the study participants, 41.5% were found to be anaemic. Passive smoking [kitchen smoke, cigarette/beedi smoke] (p<0.004 and X2-8.2), dietary habits (p<0.009 and X2-6.8), irregular iron folic acid tablet consumption (p<0.0001 and X2-59.1) and deworming (p<0.0001 and X2-12.4) were found to be significantly associated with anaemia.Conclusions: Anaemia is a social problem, wherein the knowledge and attitudes of the pregnant women deeply influence the disease burden. The results suggest that pregnant women and their family members should be educated to understand the importance of anaemia and its associated risk factors.
Quality of marital relationship, partner violence, psychological distress, and resilience in women with primary infertility
Authors: Satheesan Sisira C. , Satyaranayana Veena A.
Published: January 2018

Background: Primary infertility is an emerging public health problem associated with immense social stigma and adverse mental health consequence. The impact associated with infertility different from culture to culture. There is a paucity of qualitative research in Indian culture. Hence we aimed to explore the quality of marital relationship, psychological distress and resilience in a sample of women with primary infertility.Methods: A cross sectional single group mixed design was used. Sample comprised of 30 adult women, in their late twenties, diagnosed with primary infertility- female factor, by practicing gynaecologist; recruited from a renowned infertility hospital in Bangalore. The participants were assessed on marital quality scale, domestic violence questionnaire, depression anxiety stress scale-21, and Connor Davidson resilience scale after obtaining written informed consent. Data analysis was carried out using descriptive and inferential statistics.Results: Findings indicate high rates of intimate partner violence (47%) in the sample. Poorer quality of marital relationship was associated with higher levels of psychological distress and lower resilience. Women who experienced violence were more likely to report poor quality of marital relationship, higher levels of distress, and lower resilience than women who did not. Experience of at least one form of intimate partner violence emerged as a significant predictor of psychological distress.Conclusions:The need for prevention and intervention service for infertility is at its peak. The findings of the present research have implications in mental health assessment and intervention in this vulnerable group of women.
Knowledge of antimicrobial resistance among undergraduate medical students in a medical college of Gujarat: institution based cross-sectional study
Authors: Brahmbhatt Krutarth R. , Patel Amul B.
Published: January 2018

Background: Antimicrobial-resistant organisms are spreading worldwide, and the pipeline for new antimicrobials remains meager. The next generation of doctors must be better prepared to use antimicrobials more sparingly and appropriately.Methods: A cross-sectional study was conducted among undergraduate medical students of GMERS Medical College Junagadh from January to May 2017. Self-administered structured close ended questionnaire in English was used. Pearson’s correlation co-efficient, t test and ANOVA were used as tests of significance.Results: Total 130 students participated in the study. Participation of females (48.5%) and males (51.5%) was almost equal. Almost 60% participants had adequate knowledge about antimicrobial resistance. The mean antimicrobial resistance knowledge score of participants was 22.7 (SD: ±5.27, min: 8, max: 37).Conclusions:Important finding of the study was that just one forth of the participants agreed that information they have received so far in medical course regarding antimicrobial resistance is adequate. The budding doctors should receive correct, adequate information regarding antimicrobial resistance.
Outcome of vascularised muscle pedicle bone graft for scaphoid non-union
Authors: Charan Rajat , Verma Pankaj Kumar
Published: January 2018

Background: The objective of the study was to assess the outcome of vascularised muscle pedicle bone graft for scaphoid non-union.

Methods: 14 men and 6 women aged 18-45 (mean 25) years with non-union of scaphoid involving proximal pole (n=4), waist (n=14), distal pole (n=2) were randomized to undergo vascularised muscle pedicle bone graft with Herbert screw fixation. The mean duration of non-union was 10 months (range 4-14 months).

Results: The mean follow up duration was 24 months. 17 of 20 achieved union. 12 of 20 achieved correction of both scapholunate and radiolunate angle. 5 of 20 did not achieve full correction of sacpholunate and radiolunate angle. 3 of 20 did not achieve union. 2 of these 3 were associated with proximal pole absorption. There was no hardware failure or any iatrogenic fracture during pedicle dissection.

Conclusions: The use of vascularised bone graft has proved to be an effective method for treating scaphoid non-union, especially non-union with an avascular proximal pole and those that have failed to heal after previous procedure.
The effect of hirsutism on the quality of life of Indian women
Authors: K. C. Kiran , Gupta Arushi , Gupta Mohini
Published: January 2018

Background: Quality of life is an individual perception of physical, psychological and social functioning. Hirsutism is excess male pattern hair growth in females. In women, hirsutism causes significant psychological and social problems. It impacts quality of life negatively. So, this study was undertaken to determine the quality of life of women with hirsutism using dermatology life quality index (DLQI).

Methods: Hirsutism was assessed quantitatively by Ferriman-Gallwey score (F-G score) and qualitatively by self-administered questionnaires of DLQI. Other parameters such as age, occupation, co- morbidities, socio-economic status, marriage status, religion, educational status were assessed.

Results: DLQI of 100 hirsute women, 12% had no effect, 34% had small effect, moderate effect in 37%, had very large effect in 17% and no patients had extremely large affect. Daily activity had highest mean DLQI followed by symptoms and feelings. The mean DLQI score of 100 hirsute women was 6.67±4.57. Mean DLQI score of hirsute women with polycystic ovarian syndrome (PCOS) was 9.96±5.62 which was greater than the patients without PCOS and it was statistically significant (p=0.03). DLQI score was not affected by severity of hirsutism, age, occupation, socio-economic status, marriage status, religion and educational status.
Conclusions: Hirsutism had a moderate effect on the quality of life of Indian women. Impairment of quality of life was greater with the presence of PCOS. Daily activity of the Indian women was affected the most due to the presence of hirsutism.
Patentes y desenvolvimiento tecnológico en México: un comparativo entre la época de industrialización proteccionista y el régimen de apertura
Authors: Campa Navarro Juan Ignacio
Published: January 2018

El trabajo presente caracteriza y evalúa el comportamiento de la actividad de patentamiento en México durante el régimen de proteccionismo industrial de 1940 a 1970 y el régimen de liberalización económica entre 1995 y 2015. Para llevar a cabo el contraste entre etapas los datos de patentes se agrupan por sectores tecnológicos siguiendo la Clasificación Internacional de Patentes (CIP), lo que permite realizar análisis consistentes de manera temporal o espacial. La comparación de la evolución y estructuras del patentamiento entre periodos sugiere, en el ámbito de agregación expuesto, una continuidad en la dirección de la propensión a patentar por parte tanto de los titulares residentes como de los no residentes en los campos tecnológicos determinados. Esto muestra que el desarrollo tecnológico del país ha mantenido un mismo patrón durante ambos regímenes económicos.
ESTUDO DA HIPERTENSÃO ARTERIAL SISTÊMICA: REPERCUSSÕES QUANTO A ADESÃO AO TRATAMENTO
Authors: Oliveira Thiago Rodrigues Pinto de , Gonçalves Rejane Maria Dias de Abreu
Published: January 2018

A Hipertensão Arterial Sistêmica (HAS), quando não tratada, constitui um dos principais fatores de risco para o aparecimento de doenças cardiovasculares (doença cerebrovascular, doença arterial coronariana, insuficiência cardíaca, insuficiência renal crônica e doença vascular de extremidade). O estudo tem os seguintes objetivos: identificar, na literatura, os fatores de risco sócio-econômicos e epidemiológicos que interferem no desenvolvimento da doença, os índices de adesão e os métodos (diretos e indiretos) que avaliam a aderência à prescrição médica; descrever o impacto na não adesão ao tratamento e fatores (relacionados ao paciente, à terapêutica e ao sistema de saúde) que influenciam na adesão. As bases acessadas foram LILACS, BDENF, SCIELO, Portal da CAPES e a V Diretriz Brasileira de Hipertensão Arterial (2006). A busca sistematizada foi realizada por meio dos Descritores em Ciências da Saúde (DECS) “Hipertensão Arterial Sistêmica”; adesão ao tratamento” e “fatores de risco”, recuperando, apenas, os artigos publicados em periódicos disponíveis nessas bases de dados, entre os anos de 1998 a 2008. Foram encontrados 98 artigos, sendo selecionados 11 que atendiam aos critérios definidos no enfoque do estudo da hipertensão arterial e a adesão ao tratamento. A análise das publicações demonstrou que a HAS é uma doença que tem tratamento eficaz, no entanto, continua a gerar altas taxas de morbimortalidade pela falta de adesão e/ou tratamento inadequado. O hipertenso necessita de um tratamento correto, condizente com sua situação social, econômica e cultural, bem como o acesso à medicação associada ao seu estilo de vida para atingir o nível pressórico adequado. É uma doença que precisa ser compreendida pela família, pelo paciente e pela equipe de saúde para melhor controle da pressão arterial e prevenção das complicações. Palavras-chave: Hipertensão Arterial Sistêmica. Adesão ao tratamento. Fatores de risco
INTERDISCIPLINARIDADE, ENVELHECIMENTO E ATIVIDADE FÍSICA: RELATO DE EXPERIÊNCIA
Authors: Silva Sheila Aparecida da , Carneiro Élida Mara , Oliveira Kilce Helena de
Published: January 2018

Trata-se de um relato de experiência de um programa de atividade física para a terceira idade (Envelhecimento Saudável) que integra o Programa de Promoção da Saúde (Pró-Saúde) da Universidade de Uberaba. O subprograma Envelhecimento Saudável foi elaborado e desenvolvido para trabalhar com a noção de envelhecimento na perspectiva de um processo no qual se articulam questões de ordem social, política, cultural, econômica e de saúde de modo a configurar um quadro variado que, por sua vez, interfere na qualidade de vida do idoso. Diante da complexidade dessas questões, o subprograma Envelhecimento Saudável tem buscado desenvolver ações interdisciplinares, contando com a participação de diferentes cursos da Universidade de Uberaba, e também dos dispositivos existentes na comunidade onde o subprograma se desenvolve. No Brasil, o número de idosos, maiores 60 anos de idade, passou de 3 milhões em 1960 para 14 milhões em 2002. As taxas de mortalidade e morbidade entre a população idosa e a baixa aptidão física levam à falta de bem estar funcional. Portanto, a atividade física proporciona aos idosos benefícios biológicos, psicológicos e sociais. Diante desse contexto a interdisciplinaridade se destaca como forma de atuação importante. É necessário ressaltar que o fisioterapeuta na atenção primária atua na prevenção e assistência fisioterápica coletiva e individual, trabalhando de forma interdisciplinar, desenvolvendo atividades físicas e culturais para a terceira idade, melhorando a qualidade de vida do idoso e prevenindo as complicações decorrentes da idade avançada. Os usuários do subprograma relataram que o programa contribui positivamente na melhora da qualidade de suas vidas. Frente a essas informações a equipe multiprofissional julgou necessário relatar as experiências vivenciadas pelo subprograma. Palavras-chave: Idoso. Fisioterapia. Atividade física. Atenção primária
Group Resume Learning through Drama in Instructional Technology Course
Authors: Diniaty Artina , Fauzi'ah Lina
Published: January 2018

ABSTRACT: The implementation of group resume learning through drama in instructional technology subjects aimed to create a pleasant atmosphere and improve student creativity in learning so as to facilitate them in understanding the material being studied. The implementation of the research was conducted in four stages: plan, implementation, observation, and evaluation. The results showed that 1) the assessment of drama on group resume learning through drama in instructional technology course is very good, and 2) student response to group resume learning through drama in instructional technology course is very good.
Alternative of Visual Based Learning (VBL) Method Based on Short Duration Video for The Instrumental Chemistry Subject in Chemistry Department
Authors: Riyanto Riyanto , Febriana Beta Wulan
Published: January 2018

ABSTRACT: There had been done a study of Visual Based Learning (VBL) method based on Short Duration Video for Instrumental Chemicals Subject in Chemistry Study Program of Mathematics and Natural Sciences Faculty (MNSF), Islamic University of Indonesia (Universitas Islam Indonesia—UII). VBL method is carried out by creating a short duration video about an instrument according to the syllabus of instrument 1 subject such as AAS, UV-Vis Spectrophotometer, FTIR, GC-MS, and CV. In order to determine the effect of VBL method using, an analysis of scores obtained between the experimental class and the control class is used. To determine the effect of VBL on psychomotor ability is done by observing directly when students do an experiment or practicum. The influence of VBL method application on student motivation was studied by using questionnaire. The results pointed out that the data of both samples (both classes) is homogeneous. T-test results: Two-Sample Assuming Equal Variances showed that there is a significant difference in the final scores mean between the experimental class and the control class. Based on the mean score it indicates that the VBL method is better while compared to the learning method without VBL. VBL method has a significant effect on students motivation and psychomotor ability when it is viewed from observation of practicum and the score of practicum. The conclusion is that the VBL method is able to increase students' motivation and psychomotor ability in the Instrumental Chemistry subject.
Economic Value Assessment and Optimal Sizing of an Energy Storage System in a Grid-Connected Wind Farm
Authors: Choi Dong Gu , Min Daiki , Ryu Jong-hyun
Published: January 2018

This study identifies the optimal management policy of a given energy storage system (ESS) installed in a grid-connected wind farm for maximizing the monetary benefits and provides guidelines for defining the economic value of the ESS under the optimal management policy and selecting the optimal size of the ESS based on the economic value. Considering stochastic models for wind power and electricity price, we develop a finite-horizon periodic-review Markov decision process (MDP) model to seek the optimal management policy. We also use a simple optimization model to find the optimal storage capacity and charging/discharging capacity of the ESS. By applying our analytic approach to a real-world grid-connected wind farm located in South Korea, we verify the usefulness of this study. Our numerical study shows that the economic value of the ESS is highly dependent on the management policy, wind electricity variability, and the electricity price variability. Thus, the optimal size of ESS should be carefully determined based on the locational characteristics and management policy even with limited investments. Furthermore, this study provides a meaningful policy implication on how much a subsidy the government should provide for installing ESS in a wind farm.
Visual Monocular 3D Reconstruction and Component Identification for Small Spacecraft
Authors: Post Mark , Li Junquan
Published: January 2018

A monocular vision pose estimation and identification algorithm used on a small spacecraft for future orbital servicing is studied in this paper. A tracker spacecraft equipped with a short-range vision system is proposed to recover the 3D structural model of a space target in orbit and automatically identify its solar panels and main body using only visual information from an onboard camera. The proposed reconstruction and identification framework is tested using structure-from-motion and point cloud identification methods. The Efficient Perspective-n-Points (EPnP) descriptor is used for pose estimation. Triangulated points are used for component segmentation by means of orientation histogram descriptors. Experimental results based on laboratory images of a spacecraft model show the effectiveness and robustness of our approach.
Use of an Ultrasonic Bone Curet for the Extraction of a Cervical Artificial Disc: A Novel Application
Authors: Timothy J. , Petralia V. , Wilson J.R.
Published: January 2018

Case:

Eighteen months after implantation of a C6-C7 cervical artificial disc (ProDisc-C; DePuy Synthes), a 44-year-old woman presented with right-sided C7 radiculopathy. Imaging revealed posterior subsidence of the prosthesis, with C7 foraminal stenosis. An ultrasonic curet was used to safely and effectively extract the prosthesis without neurologic complication; safe access for the insertion of an intervertebral cage was facilitated.

Conclusion:

The ultrasonic curet was a safe and effective adjunct for revision artificial cervical disc replacement surgery; this technique may help to reduce potential injury to neural structures in a procedure with a traditionally high complication rate.
Efektivitas Pupuk Hayati Unggulan Nasional Terhadap Pertumbuhan dan Hasil Bawang Merah
Authors: Suwandi NFN , Sopha Gina Aliya , Lukman Liferdi , Yufdy Muhammad Prama
Published: January 2018

Penggunaan pupuk hayati merupakan salah satu cara pengelolaan hara  ramah lingkungan untuk  mengurangi input  pupuk in-organik, meningkatkan produktivitas dan kualitas hasil, serta melestarikan kesuburan tanah.  Penelitian bertujuan untuk mendapatkan pupuk hayati unggulan nasional (PHUN) paling efektif untuk meningkatkan pertumbuhan dan hasil umbi bawang merah di tanah Alluvial. Rancangan percobaan yang digunakan adalah Rancangan Acak Kelompok, dengan 4 ulangan dan 11 perlakuan pengelolaan hara, yaitu kontrol (tanpa pemupukan), pemupukan rekomendasi (2 ton/ha pupuk organik/kompos, 300 kg/ha Urea + 300 kg/ha ZA, 300 kg/ha SP-36, 200 kg/ha KCl), dan 9 PHUN (Beyonic+, Biotrico, PROBIO-New, Super-BIOST, Bio-SRF, Bion-UP, Bio-Padjar, Agrifit, dan BIOPF) dikombinasikan dengan½ pemupukan rekomendasi. Hasil penelitian menunjukkan bahwa pemberian PHUN +  ½ dosis NPK rekomendasi pada bawang merah di lahan Aluvial (ketersediaan P & K tinggi) dapat meningkatkan pertumbuhan tanaman, serapan N&K, serta hasil umbi bawang, tetapi tidak berbeda nyata dibandingkan pemupukan dosis rekomendasi. Perlakuan PHUN - Biotrico, Beyonic+, PROBIO-New dan BioPF mempunyai efektivitas lebih baik terhadap parameter tanaman tersebut dibandingkan jenis PHUN lainnya. Selanjutnya disarankan uji lanjutan PHUN  pada tanah Aluvial yang subur (P & K tinggi) secara parsial tanpa dikombinasikan dengan pupuk NPK dan pemberian pupuk oranik.
Kajian Budidaya Kentang Ramah Lingkungan dengan Teknik Konservasi Tanah di Lahan Kering Berlereng
Authors: Arifin Zainal , Sutrisno Imam , Korlina Eli , Indriana Ratna Dewi
Published: January 2018

Penelitian ini bertujuan memperoleh paket teknologi usahatani konservasi kentang yang dapat mengurangi laju erosi dan ramah lingkungan serta mampu meningkatkan produktivitas dan pendapatan usahatani kentang.  Lokasi penelitian terletak di sentra produksi kentang lahan kering dataran tinggi dengan ketinggian tempat 1.725 m dpl dan kemiringan lahan 40% di Desa Tosari, Kecamatan Tosari, Kabupaten Pasuruan, pada MH 2014/2015. Rancangan percobaan secara acak kelompok dengan 7 perlakuan dan 4 ulangan. Perlakuan teknik konservasi tanah meliputi : (1) teknologi petani A (bedengan searah lereng), 125 kg Urea/ha + 200 kg ZA/ha + 75 kg SP36/ha + 250 kg Ponska/ha + 5 t pupuk organik/ha, (2) teknik konservasi B1 (bedengan kemiringan 30o),  300 kg Urea/ha + 350 kg ZA/ha + 200 kg SP-36/ha + 100 kg KCl/ha + 2,5 t pupuk organik/ha + PHT, (3) teknik konservasi B2 (bedengan kemiringan 30o),  150 kg Urea/ha + 200 kg ZA/ha + 100kg SP-36/ha + 50 kg KCl/ha + 5 t pupuk organik/ha & Trichoderma + PHT,  (4) teknik konservasi C1 (bedengan searah lereng selang seling guludan kontur), 300 kg Urea/ha + 350 kg ZA/ha + 200 kg SP-36/ha + 100 kg KCl /ha + 2,5 t pupuk organik/ha + PHT, (5) teknik konservasi  C2 (bedengan searah lereng selang seling guludan kontur), 150 kg Urea/ha + 200 kg ZA/ha + 100 kg SP-36/ha + 50 kg KCl /ha + 5 t pupuk organik/ha & Trichoderma + PHT, (6) teknik konservasi D1 (teras kredit dengan bedengan searah lereng),  300 kg Urea/ha + 350 kg ZA/ha + 200 kg SP-36/ha + 100 kg KCl/ha + 2,5 t pupuk organik/ha +  PHT, (7) teknik konservasi D2 (teras kredit dengan bedengan searah lereng), 150 kg Urea/ha + 200 kg ZA/ha + 100 kg SP-36/ha + 50 kg KCl/ha + 5 t pupuk organik/ha & Trichoderma + PHT. Hasil penelitian menunjukkan bahwa hasil umbi tertinggi dengan menerapkan teknik konservasi tanah dijumpai perlakuan bedengan searah lereng selang seling guludan kontur dengan ½ dosis pupuk (150 kg Urea/ha + 200 kg ZA/ha + 100 kg SP36/ha + 50 kg KCl/ha + 5 t pupuk organik/ha & Trichoderma) sebesar 37,7 t/ha umbi kentang ditambah hasil bawang prei 1,54 t/ha yang ditanam pada areal guludan kontur. Hasil umbi kentang yang tinggi di dominasi oleh ukuran umbi yang besar (> 200 g). Dengan teknik konservasi tanah ini dapat mengurangi laju erosi menjadi  26,98 t/ha (turun 34,31%) sehingga mengurangi kehilangan pupuk kimia yang terbawa erosi, dibanding  penanaman kentang searah lereng (teknologi petani) yaitu erosi 41,07 t/ha. Selain itu, dengan menerapkan teknik konservasi tanah ini diperoleh keuntungan yang tinggi dan R/C ratio 4,25.
Análisis de la experiencia subjetiva en mujeres con cáncer de mama
Authors: Belber-Gómez Miriam , Valencia-Agudo Fátima , De la Viuda-Suárez María Eugenia
Published: January 2018

En este artículo se analiza la experiencia y necesidades psicológicas presentes en el discurso de las participantes durante una intervención psicoterapéutica grupal dirigida a mujeres con cáncer de mama. Se transcriben las sesiones del grupo y se realiza un análisis del discurso, recogiendo los temas más prevalentes. Las principales dificultades psicológicas recogidas son el cambio en su imagen corporal y su sexualidad, la nueva vivencia de las relaciones interpersonales, las repercusiones del discurso social sobre la importancia de las emociones positivas, el miedo a la recidiva, las relaciones con el personal sanitario y los cambios tras la enfermedad. Se recogen aspectos que las pacientes consideran como factores de ayuda en el grupo (sentirse comprendidas, ver a las compañeras como modelos de afrontamiento o cambiar su relación con la enfermedad). Se apuntan implicaciones clínicas para una mejora en la atención integral a las pacientes con cáncer de mama.
Construcción de instrumento para evaluar factores asociados a la disposición hacia la donación de órganos
Authors: Neira-San Martín Héctor , Navarro-Saldaña Gracia , Jofré-Oliden Ignacio
Published: January 2018

El objetivo de este estudio fue la construcción y estudio piloto de un instrumento para evaluar factores asociados a la disposición hacia la donación de órganos. El Cuestionario sobre Conocimientos, Actitudes y Creencias está conformado por 22 ítems tipo Likert de autoadministración. Fue respondido por 244 personas adultas apoderadas de 10 colegios de la provincia de Concepción, Chile, los cuales pertenecían a los grupos socioeconómicos bajo y medio. Se realizó un Análisis Factorial Exploratorio (AFE) con el método de extracción de máxima verosimilitud y rotación varimax, el cual arrojó cinco factores: a) confianza en el proceso de donación y trasplante, b) comunicación familiar sobre donación de órganos, c) creencias ideológicas alrededor de la donación de órganos, d) conocimientos sobre donación y trasplante de órganos y e) autonomía en la decisión de donar. La confiabilidad fue medida mediante el cálculo del coeficiente Alfa de Cronbach y la relación entre los factores mediante el coeficiente r de Pearson. Se establece que el instrumento es pertinente y confiable y se propone una nueva aplicación con una muestra más grande y que considere personas del grupo socioeconómico alto.
Burnout y bienestar psicológico de funcionarios de unidades de cuidados intensivos
Authors: García Felipe E. , Cova-Solar Félix , Bustos-Torres Flor , Reyes-Pérez Érica
Published: January 2018

El propósito del estudio fue el de evaluar la influencia de la rumiación y el apoyo social sobre el burnout y el bienestar psicológico en funcionarios de una unidad de cuidados intensivos de un hospital de alta complejidad en Chile. Se propuso un modelo de influencia indirecta del brooding sobre el bienestar psicológico, mediado por el apoyo social y el burnout. Para ello, fueron encuestados 136 funcionarios, de los cuales el  81,9% se encontraban entre los 23 y los 59 años de edad, siendo el 85,3% mujeres y el 14,7% hombres. Se empleó el Inventario de Burnout de Maslach (MBI), la Escala de Bienestar Psiclógico de Ryff (PWB), la Escala Multidimensional de Apoyo Social Percibido de Zimet (MSPSS) y la Escala de Respuesta Rumiativa de Treynor, González y Nolen-Hoeksema (RRS). Los resultados muestran relaciones directas entre el apoyo social y el bienestar, y entre el brooding y burnout, así como relaciones inversas entre el apoyo social y el burnout, y entre el brooding y el bienestar. El modelo de mediación propuesto mostró adecuados índices de ajuste.