bluuebunny/crossref_metadata_2025 huggingface dataset:
A prospective comparison of perioperative morbidity in advanced epithelial ovarian cancer: Primary versus interval cytoreduction - experience from India
Authors: Ahmad Sheikh Zahoor , Rajanbabu Anupama , Vijaykumar D. K. , Haji Altaf Gauhar , Pavithran K.
Published: January 2016

Objectives: The objective was to compare perioperative morbidity and mortality of patients with advanced epithelial ovarian cancer (EOC) treated with either of the two treatment approaches; neoadjuvant chemotherapy (NACT) followed by interval debulking versus upfront surgery. Design: Prospective comparative observational study. Participants: In total, 51 patients were included in the study. All patients with diagnosed advanced EOC (International Federation of Gynecology and Obstetrics IIIC and IV) presenting for the 1st time were included in the study. Interventions: Patients were either operated upfront (n = 19) if deemed operable or were subjected to NACT followed by interval debulking (n = 32). Primary and Secondary Outcomes: Intra- and postoperative morbidity and mortality were the primary outcome measures. Results: Patients with interval cytoreduction were noted to have significantly lesser operative time, blood loss, and extent of surgery. Their discharge time was also significantly earlier. However, they did not differ from the other group vis. a vis. postoperative complications or mortality. Conclusions: Neoadjuvant chemotherapy although has a positive impact on various intraoperative adverse events, fails to show any impact on immediate postoperative negative outcomes.
An in vivo cytogenetic analysis of human oral squamous cell carcinoma
Authors: Mohanta Abhimanyu , Mohanty Prafulla K. , Parida Gadadhar
Published: January 2016

Background: Oral cancer ranks in the top three of all cancers in India, which accounts for over 30% of all cancers reported in the country. The micronucleus test (MNT) is one of the most widely applied short term tests used in genetic toxicology to evaluate the mutagenicity and carcinogenicity. Aims: The present study aims at an in vivo cytogenetic analysis of human oral squamous cell carcinoma and to assess the applicability of MNT in diagnosing early detection of oral carcinoma. Materials and Methods: Exfoliated scrape smears were collected from the clinically diagnosed 136 patients suffering from oral precancerous and cancerous lesions. The wet fixed smears were stained by adopting Papanicolaou’s staining protocol and counter-stained with Giemsa’s solution. Results: The frequency of micronucleated cells has been observed to be in increasing order with the increase of the age-groups and from control to precancerous to cancerous cases significantly in both sexes. Conclusion: Micronucleus formation in the oral mucosa could be a biomarker of genetic damage and also a potential onco-indicator in the long run of oral carcinogenesis. Therefore, MNT can be applied for the early detection of oral carcinoma in the human being.
Sustained Uptake of a Hospital-Based Handwashing with Soap and Water Treatment Intervention (Cholera-Hospital-Based Intervention for 7 Days [CHoBI7]): A Randomized Controlled Trial
Authors: George Christine Marie , Jung Danielle S. , Saif-Ur-Rahman K. M. , Monira Shirajum , Sack David A. , Rashid Mahamud-ur , Mahmud Toslim , Mustafiz Munshi , Rahman Zillur , Bhuyian Sazzadul Islam , Winch Peter J. , Leontsini Elli , Perin Jamie , Begum Farzana , Zohura Fatema , Biswas Shwapon , Parvin Tahmina , Sack R. Bradley , Alam Munirul
Published: January 2016

Diarrhea is the second leading cause of death in children under 5 years of age globally. The time patients and caregivers spend at a health facility for severe diarrhea presents the opportunity to deliver water, sanitation, and hygiene (WASH) interventions. We recently developed Cholera-Hospital-Based Intervention for 7 days (CHoBI7), a 1-week hospital-based handwashing with soap and water treatment intervention, for household members of cholera patients. To investigate if this intervention could lead to sustained WASH practices, we conducted a follow-up evaluation of 196 intervention household members and 205 control household members enrolled in a randomized controlled trial of the CHoBI7 intervention 6 to 12 months post-intervention. Compared with the control arm, the intervention arm had four times higher odds of household members' handwashing with soap at a key time during 5-hour structured observation (odds ratio [OR]: 4.71, 95% confidence interval [CI]: 2.61, 8.49) (18% versus 50%) and a 41% reduction in households in the World Health Organization very high-risk category for stored drinking water (OR: 0.38, 95% CI: 0.15, 0.96) (58% versus 34%) 6 to 12 months post-intervention. Furthemore, 71% of observed handwashing with soap events in the intervention arm involved the preparation and use of soapy water, which was promoted during the intervention, compared to 9% of control households. These findings demonstrate that the hospital-based CHoBI7 intervention can lead to significant increases in handwashing with soap practices and improved stored drinking water quality 6 to 12 months post-intervention.
Text to Quit China: An mHealth Smoking Cessation Trial
Authors: Augustson Erik , Engelgau Michael M. , Zhang Shu , Cai Ying , Cher Willie , Li Richun , Jiang Yuan , Lynch Krystal , Bromberg Julie E.
Published: January 2016

Purpose.

To assess the feasibility, acceptability, and efficacy of a text message–based smoking cessation intervention in China.

Design.

Study design was a randomized control trial with a 6-month follow-up assessment of smoking status.

Setting.

Zhejiang, Heilongjiang, and Shaanxi provinces in China provided the study setting.

Subjects.

A total of 8000 adult smokers in China who used Nokia Life Tools and participated in phase 2 (smoking education via text message) of the study were included.

Intervention.

The high-frequency text contact (HFTC) group received one to three messages daily containing smoking cessation advice, encouragement, and health education information. The low-frequency text contact (LFTC) group received one weekly message with smoking health effects information.

Measures.

Our primary outcome was smoking status at 0, 1, 3, and 6 months after intervention. Secondary outcomes include participant perceptions of the HFTC intervention, and factors associated with smoking cessation among HFTC participants.

Analysis.

Descriptive and χ2 analyses were conducted to assess smoking status and acceptability. Factors associated with quitting were assessed using multiple logistic regression analyses.

Results.

Quit rates were high in both the HFTC and LFTC groups (HFTC: 0 month, 27.9%; 1 month, 30.5%; 3 months, 26.7%; and 6 months, 27.7%; LFTC: 0 month, 26.7%; 1 month, 30.4%; 3 months, 28.1%; and 6 months, 27.7%), with no significant difference between the two groups in an intent-to-treat analysis. Attitudes toward the HFTC intervention were largely positive.

Conclusion.

Our findings suggest that a text message–based smoking cessation intervention can be successfully delivered in China and is acceptable to Chinese smokers, but further research is needed to assess the potential impact of this type of intervention.
An Integrated Approach to Addressing Chronic Disease Risk Factors in Financially Disadvantaged Women in South Carolina
Authors: Tabung Fred K. , Daguisé Virginie G. , Lydiard Dianna , Steck Susan E.
Published: January 2016

Purpose.

We combined data from the National Breast and Cervical Cancer Early Detection (NBCCEDP) and Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) programs in South Carolina to assess whether cancer screening outcomes in NBCCEDP impacted participation in WISEWOMAN lifestyle interventions, and whether the status of WISEWOMAN baseline risk factors (obesity, diabetes, hypercholesterolemia, hypertension, and smoking) determined subsequent completion of lifestyle interventions.

Design.

Case-control.

Setting.

Three WISEWOMAN implementation sites in South Carolina.

Subjects.

The study comprised 7841 NBCCDEP participants in three WISEWOMAN program sites. The two programs serve financially disadvantaged women.

Measures.

Outcome measures were participation in WISEWOMAN lifestyle interventions and completion of lifestyle interventions. The main predictor measures were cancer screening outcomes and baseline chronic disease risk factors. Covariate measures included age, race, body mass index, smoking status, and education.

Analysis.

We used multivariable logistic regression models to examine the odds of participation in and completion of WISEWOMAN lifestyle interventions.

Results.

The association between cancer screening outcome and participation in WISEWOMAN lifestyle interventions among NBCCEDP participants differed significantly by education and smoking status. Among smokers or highly educated women, having an outcome of cancer or precancerous lesion through the NBCCEDP screening compared to normal screening outcomes was significantly associated with participation in lifestyle interventions, with odds ratios of 2.69 (95% confidence interval [CI], 1.10–6.58) for highly educated women and 1.82 (95% CI, 1.00–3.31) for smokers. Similarly, smokers or diabetics were more likely than nonsmokers or nondiabetics, respectively, to complete lifestyle interventions.

Conclusion.

Nonsmokers and women with lower education in NBCCEDP may need additional navigation to lifestyle interventions in an integrated program implementation approach to improve participation in and completion of WISEWOMAN interventions.
Integrated Approaches to Occupational Health and Safety: A Systematic Review
Authors: Cooklin A. , Joss N. , Husser E. , Oldenburg B.
Published: January 2016

Objective.

The study objective was to conduct a systematic review of the effectiveness of integrated workplace interventions that combine health promotion with occupational health and safety.

Data Source.

Electronic databases (n = 8), including PsychInfo and MEDLINE, were systematically searched.

Study Inclusion and Exclusion Criteria.

Studies included were those that reported on workplace interventions that met the consensus definition of an “integrated approach,” published in English, in the scientific literature since 1990.

Data Extraction.

Data extracted were occupation, worksite, country, sample size, intervention targets, follow-up period, and results reported. Quality was assessed according to American College of Occupational and Environmental Medicine Practice Guidelines.

Data Synthesis.

Heterogeneity precluded formal meta-analyses. Results were classified according to the outcome(s) assessed into five categories (health promotion, injury prevention, occupational health and safety management, psychosocial, and return-on-investment). Narrative synthesis of outcomes was performed.

Results.

A total of 31 eligible studies were identified; 23 (74%) were (quasi-)experimental trials. Effective interventions were most of those aimed at improving employee physical or mental health. Less consistent results were reported from integrated interventions targeting occupational health and safety management, injury prevention, or organizational cost savings.

Conclusion.

Integrated approaches have been posed as comprehensive solutions to complex issues. Empirical evidence, while still emerging, provides some support for this. Continuing investment in, and evaluation of, integrated approaches are worthwhile.
COMUNICAÇÃO, MÍDIA E CIDADANIA NA PRÁTICA PEDAGÓGICA
Authors: Bueno Divino Alves
Published: January 2016

A contemporaneidade, cada vez mais midiática, tem colocado grandes desafios para a educação e comunicação. Um deles é o de compreender as mediações comunicacionais constitutivas dos processos educacionais. Atualmente, torna-se imprescindível para os educadores, mais do que compreender, apropriar-se das novas e dinâmicas linguagens que circulam de modo cada vez mais frequente, no contexto da sala de aula e para além dela. Neste contexto marcado pela cultura digital, refletir, estudar e compreender as interfaces entre educação e comunicação parece um desafio urgente e fundamental para os educadores. Este artigo tem por finalidade empreender um esforço no sentido de explicitar a relação intrínseca existente entre educação, mídia e cidadania no processo educativo.
ENTRE A LINGUAGEM E O SABER-FAZER: UMA PROPOSTA PARA A COMPREENSÃO DO CONHECIMENTO PRÁTICO
Authors: Figueiredo Marina Dantas de
Published: January 2016

O artigo tem como objetivo formular alternativas para transpor as dificuldades de se em pesquisar o fenômeno da aprendizagem na prática, entendido como saber-fazer. Para isso, constroem-se articulações teóricas que colocam em paralelo uma perspectiva fenomenológica, baseada no paradigma da corporeidade, e uma abordagem que reúne linguagem e prática, qual seja a teoria das metáforas incorporadas. Entende-se que tais dificuldades estão orientadas em torno de pressupostos ontológicos da ciência moderna, quais sejam: os limites entre objetividade e subjetividade e as formas de representação e comunicação do conhecimento. Conclui-se que a pesquisa etnográfica desenvolvida segundo modelos fenomenológicos, tais como as categorias da etnografia da experiência é uma proposta metodológica adequada para o estudo do conhecimento prático.
EDUCAR ADULTOS MAIORES NA ÁREA DA EDUCAÇÃO SOCIAL: A INTERGERACIONALIDADE NUMA SOCIEDADE PARA TODAS AS IDADES
Authors: Martins Ernesto Candeias
Published: January 2016

O tema da educação dos adultos e/ou adultos maiores merece uma reflexão epistemológica. Utilizando uma argumentação hermenêutica o autor aborda a necessidade de implementar propostas socioeducativas para os adultos maiores, através de programas intergeracionais, destacando o papel da gerontologia educacional ou gerontagogia, a qual se integra no campo da educação social. Os objetivos que nortearam esta análise fenomenológica são: repensar a educação de adultos maiores, na área da gerontagogia; analisar os aspetos socioeducativos, psicopedagógicos e metodológicos nas ações e nos programas gerontológicos, com a finalidade de promover uma cidadania ativa. Refletiremos epistemologicamente as possibilidades educativas, provenientes da pedagogia social/educação social e a gerontagogia, de modo a dar uma qualidade de vida aos adultos maiores, numa sociedade para todas as gerações.
ENTRE MUNDOS E ENTRE SABERES: OS DESAFIOS EPISTEMOLÓGICOS DOS ALUNOS AKWEN XERENTE NA UNIVERSIDADE FEDERAL DO TOCANTINS
Authors: Da Silva Reijane Pinheiro
Published: January 2016

Como parte dos resultados de uma pesquisa realizada com os alunos indígenas da Universidade Federal do Tocantins (UFT) em 2011, apresentamos neste artigo algumas reflexões acerca da forma como os alunos indígenas Akwen-Xerente, matriculados na Universidade Federal do Tocantins (UFT), vêem os conhecimentos com os quais passam a lidar ao ingressarem na Universidade, como os comparam ao saber da sua sociedade, por eles denominado de “tradicional e natural”, e como escapam criticamente ao cientificismo ainda persistente em muitos setores da academia. Tendo em vista elementos característicos das formas Akwen de ver e interpretar o mundo, problematizamos a falta de abertura da universidade para a tradição espistemológica por eles representada.
CONFLUÊNCIAS DE CAMPOS DE SABER NA ANÁLISE DE RITUAIS NA PRODUÇÃO DO SUJEITO EDUCADO
Authors: Carvalho Rosângela Tenório
Published: January 2016

O artigo tem como objeto a confluência analítica de estudos sobre rituais e performatividade na antropologia contemporânea de Stanley Tambiah e na arqueogenealogia de Michel Foucault. O objetivo é argumentar em defesa de uma correlação funcional entre esses dois campos de saber para a análise de práticas discusivas no campo educacional que operam com seus rituais na produção do sujeito educado. Acercamo-nos das teorizações desses discursos no modo de tratar rituais e destacamos como confluência no tratamento do ritual: a soberania do empírico como abordagem analítica, tratado como práticas discursivas históricas no caso de Michel Foucault e como práticas culturais no caso de Tambiah; o reconhecimento do ritual traduzido como ação performática.
DISCURSOS QUE PRODUZEM A EDUCAÇÃO BILÍNGUE PARA SURDOS NA ATUALIDADE
Authors: Stürmer Ingrid Ertel , Thoma Adriana Da Silva
Published: January 2016

Que discursos vêm produzindo a educação bilíngue para surdos no cenário educacional brasileiro na atualidade? Para problematizar essa questão, olhamos para documentos produzidos pelo Ministério da Educação (MEC) e pela Federação Nacional de Educação e Integração dos Surdos (FENEIS) que tratam da educação bilíngue para surdos, tendo como ferramenta teórico-metodológica a noção de discurso de Michel Foucault (2013), para quem os discursos produzem práticas. Em nossas análises, buscamos dar visibilidade para as relações de saber-poder que estão imbricadas nos discursos que constituem os documentos analisados e os modos específicos de se pensar a escolarização para surdos que vêm sendo produzidos a partir dos significados de educação bilíngue que circulam em tais documentos.
How Job Satisfaction Factors Affects Components of Organizational Commitment: Study on Employees of Star Hotels in Eritrea
Authors: Araya Saba Habtom , Haiyan Ma
Published: January 2016

This study focused on how job satisfaction factors affects components of organizational commitment among the basic employees of star hotels in Eritrea. Besides, the impact of control variables on the relationship between job satisfaction factors and components of organizational commitment were assessed. Job Satisfaction Survey (JSS) by Spector and Organizational Commitment Questionnaire (OCQ) by Mayer and Allen were used to measure the respondents’ job satisfaction and organizational commitment.Pearson Correlation analysis was done to identify the relationship between the independent variables and dependent variable. The results indicates that there is significant relationship between pay satisfaction, satisfaction with promotion, satisfaction with nature of work and satisfaction with communication in the organization  and employees’ organizational commitment, in which each variables is significant at p=.000. Nevertheless, satisfaction with supervision and co-workers found to be insignificant to contribute to basic employees’ commitment with p>0.05. With regard to the degree and direction of relationship, satisfaction with pay has strong and positive relationship, satisfaction with promotion, nature of work and communication possesses a moderate positive relationship with organizational commitment.To identify whether control variables have impact on the relationship b/n job satisfaction factors and components of organizational commitment, a hierarchical stepwise multiple regressions was examined. Though the correlation analysis illustrated that pay, promotion, nature of work and communication can contributes to the basic employees’ affective, continuance and normative commitment, but with the presence of the control variables the result appeared differently. On the presence of control variables, pay, promotion, supervision and communication can contributes to the employees’ affective commitment; pay and promotion can contributes to the employees’ continuance commitment and only pay can contributes to the employees’ normative commitment.
Dieter Falkenhagen (1942–2015): A Multifaceted Scientist
Authors: Stegmayr Bernd , Klinkmann Horst
Published: January 2016

Dieter Falkenhagen was born in 1942 in Dresden, Germany and died in 2015. He specialized in internal medicine and nephrology. Focusing on artificial organ research, he investigated various aspects of the efficacy and safety of hemodialysis and adsorption technologies, including biocompatibility issues related to blood versus surface interactions and the adverse effects of endotoxin contamination. He studied various mathematical models to analyze efficacy and safety, and animal models to help clarify uncertainty issues. Through his studies, adsorbents were developed, resulting in Prometheus, an artificial liver support device. Anticoagulation models, including citrate perfusion, were improved and made safer by his work. He also stepped into bioreactor research to increase efficacy of liver support devices.
Impact of Physical Activity on Pain Perception in an Animal Model of Endometriosis
Authors: Hernandez Siomara , Cruz Myrella L. , Torres-Reveron Annelyn , Appleyard Caroline B.
Published: January 2016

Background

Symptoms of endometriosis, such as pain and infertility, are considered significant sources of stress. In many chronic conditions, exercise can act as a stress buffer and influence pain perception. We tested the impact of swimming exercise on pain perception and pain receptors in an animal model of endometriosis.

Methods

Endometriosis (Endo) was induced in female rats by suturing uterine horn tissue next to the intestinal mesentery. Sham rats received sutures only. Rats were exposed to swimming exercise for 7 consecutive days, while no-exercise rats were left in the home cage. Fecal pellets were counted after swimming as an index of anxiety, and serum corticosterone levels measured. Pain perception was assessed using the hot plate test for hyperalgesia and Von Frey test for allodynia. Mu-opioid receptor (MOR) and neurokinin-1 receptor expression in the spinal cord was measured by immunofluorescence.

Results

Fecal pellet counts were higher in those animals that swam (p<0.05), but no significant difference in corticosterone was found. Although Endo-exercise rats had higher colonic damage (p<0.05) with more cellular infiltration, the lesions were smaller than in Endo–no exercise rats (p<0.05). Exercise did not ameliorate the hyperalgesia, whereas it improved allodynia in both groups. MOR expression was significantly higher in Endo-exercise vs. Endo–no exercise rats (p<0.01), similar to Sham–no exercise levels.

Conclusions

Our results point toward beneficial effects of swimming exercise during endometriosis progression. Physical interventions might be investigated further for their ability to reduce perceived stress and improve outcomes in endometriosis.
CHIRONOMID COMMUNITIES IN THE LITTORAL ZONE ON THE WESTERN COAST OF THE
Authors: Kravtsova Lyubov
Published: January 2016

AbstractThe spatial distribution of chironomidcommunities in the littoral zone (0-20 m) of thewestern coast of the southern Baikal basin isinvestigated. The fauna is composed of 16 speciesand forms of chironomid larvae, comprising 10communities. It has been found that thecommunities are characterized by rather poorspecies diversity; Shannon’s index varies from0.7 to 2.1 bit. Their distribution is affected byhydro-lithodynamic conditions, type of bottomsediments and macrophyte development. Thepeak of maximal biomass of chironomid larvaeon the facies of non-rounded rock debris nearBerezovy Cape is recorded in spring.
NEW RECORDS OF CHIRONOMIDAE (DIPTERA) FROM CONTINENTAL FRANCE
Authors: Moubayed-Breil Joel
Published: January 2016

AbstractMaterial recently collected in Continental Francehas allowed me to generate a list of 83 taxa ofchironomids, including 37 new records to thefauna of France. According to published data onthe chironomid fauna of France 718 chironomidspecies are hitherto known from the Frenchterritories. The nomenclature and taxonomy ofthe species listed are based on the last version ofthe Chironomidae data in Fauna Europaea, onrecent revisions of genera and other recentpublications relevant to taxonomy andnomenclature.
TRENDS AND DEVELOPMENT IN CHIRONOMID PALAEOECOLOGY: SUMMARY FROM THE
Authors: Brodersen Klaus Peter , Velle Gaute , Reuss Nina S.
Published: January 2016

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CHIRONOMID RESEARCH IN NORTHERN PATAGONIA
Authors: Mariano Donato , Massaferro Julieta , Brooks Stephen J.
Published: January 2016

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Current bibliography: 21 Oct. 2009 - 15 Nov. 2010
Authors: Hoffrichter Odwin
Published: January 2016

In addition to supplements to the last two preceding years the publications of the present year are shown: almost one citation per day, which gives the average speed of publishing with regard to chironomids. The compilation was achieved, as usual, from many sources: databases, tables of contents of journals, references and citations of papers, inspection of many periodicals, lists and pdf's provided by authors (thanks to you!). In particular, publisher issued search alerts proved to be rich in results. As a rule, only printed titles are reported here with the occasional, but obviously increasing, exception of online-only journals (PLoS or BioMed Central journals, e.g.). Titles announced "in press", even with available DOI numbers, are not considered before printing. In general, online information should be retrieved elsewhere; best check the chironomid home page for eventual references regularly, or use individual websites with a host of chironomid-related data. Publications using chironomids as prey or food for animals are not treated comprehensively; in particular, studies with frozen midge larvae only for use to feed experimental animals are totally disregarded.
CHIRONOMIDAE TYPES AT THE MUSEUM OF COMPARATIVE ZOOLOGY, BOSTON
Authors: Silva Fabio Laurindo da
Published: January 2016

The Chironomidae (Insecta: Diptera) type collection deposited at the Museum of Comparative Zoology (MCZ) are listed and reviewed. It is represented by 23 primary types, as well as paratypes and paralectotypes for an additional 29 species, mostly resulting from research endeavors of H. Loew and H. K Townes. Notes updating the taxonomic status of several species are provided.
Kiefferulus tainanus (Kieffer, 1912) is a distinct species, not a synonym of Kiefferulus barbatitarsis (Kieffer, 1911)
Authors: Martin Jon
Published: January 2016

Morphological and molecular studies indicate that Kiefferulus tainanus (Kieffer 1912) is quite distinct from K. barbatitarsis (Kieffer 1911), and not a synonym of the latter species, as has previously been suggested.  The suggestion of synonymy seems to have arisen in part from a comparison based on the figures of K. tainanus in Sasa (1979), which depict an unusually thickened male superior volsella.  Other characters, and mitochondrial COI sequence, suggest the two species are not particularly closely related.
New chironomid pupal types from Norway, one with a male pharate adult: Pseudosmittia paraspinispinata n.sp.
Authors: Langton Peter H. , Syrovátka Vít
Published: January 2016

Three new pupal types from Norway are described, one with an associated male: Pseudosmittia parspinispinata n.sp.
Molleriella kaputu n. sp. from the West Usambara Mountains, NE Tanzania (Diptera: Chironomidae)
Authors: Andersen Trond
Published: January 2016

The male and female imago of Molleriella kaputu n. sp. are described and figured based on specimens collected in NE Tanzania in 1990. The new species can be separated from M. calcarella Sæther and Ekrem by having a slightly narrower, parallel sided anal point and weaker setae on the inferior volsella, longer C extension and distinctly shorter tibiae. The specimens were caught in Malaise traps at about 1500 m altitude in the Mazumbai Forest Reserve in the West Usambara Mountains.Article submitted 17. June 2014, accepted 29. November 2014, published 22. December 2014.
A redescription of Zavrelia simantoneoa (Sasa, Suzuki and Sakai, 1998) comb. nov.
Authors: Kobayashi Tadashi
Published: January 2016

Examination of the holotype of Micropsectra simantoneoa Sasa, Suzuki and Sakai, 1998 revealed that the species should be transferred to the genus Zavrelia. The male adult has hairy eyes, antennae with 10 flagellomeres, a costa ending proximal to the tip of M3+4, and a short and flattened superior volsella. This is the second Zavrelia species from Japan, and the 11th in the world.Article submitted 25. September 2014, accepted 16. October 2014, published 22. December 2014.
First records of Buchonomyia thienemanni Fittkau (Diptera: Chironomidae) from the Czech Republic
Authors: Ashe Patrick , Moubayed-Breil Joel , Vondrák Daniel
Published: January 2016

Buchonomyia thienemanni Fittkau is recorded from the Czech Republic for the first time based on specimens collected in samples from a section of the River Dyje in Podyjí National Park (Moravia) and the Litavka River in the Brdy Mountains (Bohemia).
Effects of dialectical behavior therapy skills training on outcomes for mental health staff in a child and adolescent residential setting
Authors: Haynos Ann F. , Fruzzetti Alan E. , Anderson Calli , Briggs David , Walenta Jason
Published: January 2016

Training in Dialectical Behavior Therapy (DBT) skills coaching is desirable for staff in psychiatric settings, due to the efficacy of DBT in treating difficult patient populations. In such settings, training resources are typically limited, and staff turnover is high, necessitating brief training. This study evaluated the effects of a brief training in DBT skills coaching for nursing staff working in a child and adolescent psychiatric residential program. Nursing staff (n = 22) completed assessments of DBT skill knowledge, burnout, and stigma towards patients with borderline personality disorder (BPD) before and after a six-week DBT skills coaching training. Repeated measure ANOVAs were conducted to examine changes on all measures from pre- to post- treatment and hierarchical linear regressions to examine relationships between pre- training DBT knowledge, burnout, and BPD stigma and these same measures post-training. The brief DBT skill coaching training significantly increased DBT knowledge (p = .007) and decreased staff personal (p = .02) and work (p = .03) burnout and stigma towards BPD patients (p = .02). Burnout indices and BPD stigma were highly correlated at both time points (p < .001); however, while pre-training BPD stigma significantly predicted post-training client burnout (p = .04), pre-training burnout did not predict post-training BPD stigma. These findings suggest that brief training of psychiatric nursing staff in DBT skills and coaching techniques can result in significant benefits, including reduced staff burnout and stigma toward patients with BPD-related problems, and that reducing BPD stigma may particularly promote lower burnout.
Analysis of Universal Health Coverage and Equity on Health Care in Kenya
Authors: Okech Timothy Chrispinus , Lelegwe Steve Ltumbesi
Published: January 2016

Kenya has made progress towards universal health coverage as evidenced in the various policy initiatives and reforms that have been implemented in the country since independence. The purpose of this analysis was to critically review the various initiatives that the government of Kenya has over the years initiated towards the realization of Universal Health Care (UHC) and how this has impacted on health equity. The paper relied heavly on secondary sources of information although primary data data was collected. Whereas secondary data was largely collected through critical review of policy documents and commissioned studies by the Ministry of Health and development partners, primary data was collected through interviews with various stakeholders involved in UHC including policy makers, implementers, researchers and health service providers. Key findings include commitment towards UHC; minimal solidarity in health care financing; cases of dysfunctionalilty of health care system; minimal opportunities for continuous medical training; quality concerns in terms of stock-outs of drugs and other medical supplies, dilapidated health infrastructure and inadequqte number of health workers. Other findings include governance concerns at NHIF coupled with, high operational costs, low capitation, fraud at facility levels, low pay out ratio, accreditation of facilities, and narrowness of the benefit package, among others. In lieu of these, various recommendations have been suggested. Among these include promotion of solidarty in health care financing that are reliable and economical in collecting; political will to enhance commitment towards devolution of health care, engagement of various stakeholders at both county and national government in fast tracking the enactment of Health Act; investment in health infrastructure and training of human resources; revamping NHIF into a full-fledged social health insurance scheme, and enhancing capacity of NHIF human resources, enhanced awareness amongst members, enhanced benefit package among other recommendations.
The Value of Pre- and Post-Stenting Fractional Flow Reserve for Predicting Mid-Term Stent Restenosis Following Percutaneous Coronary Intervention (PCI)
Authors: Rai Alireza , Bahremand Mostafa , Saidi Mohammad Reza , Jalili Zahra , Salehi Nahid , Assareh Marzieeh , Abarghoei Gholamreza Amini , Kazerani Hashem
Published: January 2016

Measuring fractional flow reserve (FFR) in percutaneous coronary intervention (PCI) has predictive value for PCI outcome. We decided to examine the utility of pre- and post-stenting FFR as a predictor of 6-month stent restenosis as well as MACE (major adverse cardiac events). Pre- and post-stenting FFR values were measured for 60 PCI patients. Within 6 months after stenting, all patients were followed for assessment of cardiac MACE including myocardial infarction, unstable angina, or positive exercise test. Stent restenosis was also assessed. Cut-off values for pre- and post-stenting FFR measurements were considered respectively as 0.65 and 0.92.Stent restenosis was detected in 4 patients (6.6%). All 4 patients (100%) with restenosis had pre-stenting FFR of < 0.65, while only 26 of 56 patients without restenosis (46.4%) had pre-stenting FFR value of < 0.65 (P= 0.039). Mean pre-stenting FFR in patients with restenosis was significantly lower than in those without restenosis (0.25 ± 0.01 vs. 0.53 ± 0.03, P= 0.022). Although stent restenosis was higher in patients with post-stenting FFR of < 0.92 (2 cases, 9.5%) than in those with FFR value of ≥ 0.92 (2 cases, 5.1%), the difference was not statistically (P= 0.510). Pre-stenting FFR, the use of longer stents, and history of diabetes mellitus can predict stent restenosis, but the value of post-stenting FFR for predicting restenosis was not explicit.
Lived Experiences of Educational Leaders in Iranian Medical Education System: A Qualitative Study
Authors: Sohrabi Zohreh , Kheirkhah Masoomeh , Vanaki Zohreh , Arabshahi Kamran Soltani , Farshad Mohammad Mahdi , Farshad Fatemeh , Farahani Mansoureh Ashgale
Published: January 2016

INTRODUCTION: High quality educational systems are necessary for sustainable development and responding to the needs of society. In the recent decades, concerns have increased on the quality of education and competency of graduates. Since graduates of medical education are directly involved with the health of society, the quality of this system is of high importance. Investigation in the lived experience of educational leaders in the medical education systems can help to promote its quality. The present research examines this issue in Iran.

METHODOLOGY: The study was done using content-analysis qualitative approach and semi-structured interviews. The participants included 26 authorities including university chancellors and vice-chancellors, ministry heads and deputies, deans of medical and basic sciences departments, education expert, graduates, and students of medical fields. Sampling was done using purposive snowball method. Data were analyzed using conventional content analysis.

FINDINGS: Five main categories and 14 sub-categories were extracted from data analysis including: quantity-orientation, ambiguity in the trainings, unsuitable educational environment, personalization of the educational management, and ineffective interpersonal relationship. The final theme was identified as “Education in shadow”.

CONCLUSION: Personalization and inclusion of personal preferences in management styles, lack of suitable grounds, ambiguity in the structure and process of education has pushed medical education toward shadows and it is not the first priority; this can lead to incompetency of medical science graduates.
Sexual Behavior Pattern and Related Factors in Women with Breast Cancer in Iran
Authors: Rashidi Sanaz , Dashti Forouzandeh
Published: January 2016

BACKGROUND: Despite the most of treatment team efforts focused on the maintaining patient's life, attention to sexual issues don’t be considered. This stud is designed to determine the sexual behavior pattern and related factors in women with breast cancer.

METHODS: This descriptive- correlation study was performed on 90 women that diagnosed with breast Cancer that was admitted to sayed-al- shohada hospital of Isfahan in 2010. Sampling method was available (non- random sampling) and Sexual Behavior Pattern determined with 3 domains: sexual identity, sexual role and sexual function. Data collection tools, was a questionnaire that made by the researcher and was used after determining the validity and reliability. For data analysis, was used of Descriptive- analytic statistics, frequency and ANOVA and Pearson correlation analytical tests in the SPSS statistical software (version 16).

RESULTS: Cases had 60% of Desirable sexual identity, 50% of Desirable sexual role, 40% Desirable sexual function and were be able to play 47.61% Desirable sexual behavior. Participants that their husbands had Elementary education had more desirable sexual behavior (p<0.031). Cases that were homemaker had more desirable Sexual behavior than of were working and retired (p<0.023). Non-surgical treatment with chemotherapy, radiotherapy and hormone therapy had a negative impact on sexual behavior (p<0.014).

CONCLUSION: Study of sexual behavior pattern that is one of the important aspects of health, Provide valuable information to nurses and medical team and will be enhance the quality of provided services. Adopt appropriate strategies and interventions to promote sexual health, breast cancer is recommended.
Single-Walled Carbon Nanotubes (SWCNTs), as a Novel Sorbent for Determination of Mercury in Air
Authors: Golbabaei Farideh , Ebrahimi Ali , Shirkhanloo Hamid , Koohpaei Alireza , Faghihi-Zarandi Ali
Published: January 2016

BACKGROUND: Based on the noticeable toxicity and numerous application of mercury in industries, removal of mercury vapor through sorbent is an important environmental challenge.

PURPOSE OF THe STUDY: Due to their highly porous and hollow structure, large specific surface area, light mass density and strong interaction, Single-Walled Carbon Nanotubes (SWCNTs) sorbent were selected for this investigation.

METHODS: In this study, instrumental conditions, method procedure and different effective parameters such as adsorption efficiency, desorption capacity, time, temperature and repeatability as well as retention time of adsorbed mercury were studied and optimized. Also, mercury vapor was determined by cold vapor atomic absorption spectrometry (CV-AAS).Obtained data were analyzed by Independent T- test, Multivariate linear regression and one way–ANOVA finally.

RESULTS: For 80 mg nanotubes, working range of SWCNT were achieved 0.02-0.7 mg with linear range (R2=0.994).Our data revealed that maximum absorption capacity was 0.5 mg g-1 as well as limit of detection (LOD) for studied sorbent was 0.006 mg. Also, optimum time and temperature were reported, 10 min and 250 °C respectively. Retention time of mercury on CNTs for three weeks was over 90%. Results of repeated trials indicated that the CNTs had long life, so that after 30 cycles of experiments, efficiency was determined without performance loss.

CONCLUSION: Results showed that carbon nanotubes have high potential for efficient extraction of mercury from air and can be used for occupational and environmental purposes. The study of adsorption properties of CNTs is recommended.
Relationship between Homesickness and Test Anxiety in Non-Native Students of Shiraz University of Medical Sciences International Branch in the Clinical and Physiopathology Course In 2013
Authors: Azizi Saman
Published: January 2016

INTRODUCTION: Anxiety is an emotional and physiological response to the internal felling of overall danger that is easily resolved. The aim of this study has been to determine the relationship between exam anxiety and the feeling of homesickness among non-native students.

METHODOLOGY: The present study is cross-sectional and the subjects in this study are 80 non-native male and female PhD candidates in clinical and physiopathology majors in 2013 academic year that have been evaluated with the help of Persian homesickness questionnaire and Sarason’s test anxiety questionnaire and the data was analyzed using Pearson’s correlation coefficient.

RESULTS: With regard to the Pearson’s correlation coefficient there is a significant and reverse relationship between the desire to return to home and exam anxiety (r=0.0344, p=0.004) and there is a significant and reverse relationship between the Compatibility and exam anxiety (r=0.428, p<0.0001) and there is a significant and direct relationship between the feeling of alone and exam anxiety (r=0.888, p<0.0001).

DISCUSSION & CONCLUSION: There is a significant relationship between the feeling of homesickness and exam anxiety and the mental health of non-native students will be deteriorated by the feeling of homesickness and anxiety.
Assessment of Quality of Life of Women with Breast Cancer
Authors: Gavric Zivana , Vukovic-Kostic Zivana
Published: January 2016

BACKGROUND: Breast cancer is the most common type of cancer among women in 145 countries worldwide, and the success of healthcare for women with this disease is measured with the quality of life of survivors. The aim of this study was to examine how the breast cancer affects the quality of life and in what dimension of health quality of life is the least accomplished.

METHOD: A pilot research had been performed in the period from June 10 to August 15 2011, on 100 women from Association of women with breast cancer “Iskra” in Banja Luka, aged 20-75. The survey research was based on the EORTC QLQ-C30 version 3.0 and questionnaire for assessment of quality of life of those suffering from breast cancer QLQ-BR23 with 53 questions in total.

RESULTS: The average age of women in research was 51.8 years (±11.23). Statistically important differences (χ24=221.941; p<0.01) are higher mean values of the score for the functional scale, (66.32±17.82) cognitive functions (63.50 ±28.00) in relation to functional role (46.83 ±20.88), social (37.00 ±27.58) and emotional (36.58 ±25.15) functioning. Mean values of the score for the symptoms scale were statistically higher for symptoms such as fatigue, insomnia and pain in relation to other symptoms. Mean values of the score for body image scale are statistically higher in relation to mean values of the score of sexual functions and enjoyment scale, and the scale for grading the future perspectives.

CONCLUSION: Breast cancer affects all the domains of the quality of life, and in our population it is the most prominent in domains of emotional and social functions, as well as role functions. Symptoms of fatigue, insomnia and pain have the most importance influence on these domains.
Bringing X, Y, Z Generations Together to Facilitate School-Based Sexual and Reproductive Health Education
Authors: Akbari Kamrani Mahnaz , Yahya Sharifah Syed
Published: January 2016

This generic qualitative study explores the perspective of Malaysian teachers regarding the constraints of the current school-based sexual and reproductive health education in secondary schools of Klang-Valley Malaysia. For this study, in-depth interviews were conducted with twenty eight science teachers of government schools. The majority of participants named the teaching strategy and capacity of teachers, the lack of co-operation from the school and parents, limited resources in teaching and students themselves as some of the challenges. We concluded that if sexual health education is to be effective, it needs to be provided by people who have some specialized training. The teachers should be trained to teach sexual reproductive health education classes at the basic level, and in-service training for teachers already in the field should be intensified. Local adaptation to culture, language, religion, and so forth is often necessary.
Causes of Death in Children Aged < 15 Years in the Inner Mongolia Region of China, 2008-2012
Authors: Wang Ying , Du Maolin , Hao Zhihui , Zhang Hairong , Zhang Qing , Hao Wenli , Xi Lei , Sun Juan
Published: January 2016

The objective of our study was to identify the causes of death in children <15 years of age in Inner Mongolia and to examine the age-specific causes of death. Study data from 2008–2012 were obtained from the Death Registry System that is maintained by the Inner Mongolia Centers for Disease Control and Prevention. The mortality rate (per 100,000) for children <15 years of age was calculated and stratified by age in different years. We computed the proportion of age-specific causes of death for children <15 years that occurred between 2008 and 2012 across eight monitoring points in Inner Mongolia. We used a log-linear model to analyze the year and age effects on childhood mortality. From 2008-2012, the standardized mortality of children <15 years of age was 42.78/100,000. The mortality rate was not significantly different from 2008 to 2012 (p>0.05); the mortality rate was the highest in the <1-year age group (p<0.05); and the mortality rate of the <1-year age group was higher in 2012 compared to that in 2009 (p<0.05), 2010 (p<0.05), and 2011 (p<0.05). In children aged 1-14 years, the leading cause of death was injuries, among which transport accident injuries were the most prevalent. To reduce the childhood mortality rate in Inner Mongolia, China, we should focus on the prevention of perinatal deaths in infants <1 year of age and on the prevention of transport accident injuries among older children (1-14 years).
The Effect of Stress Management on Occupational Stress and Satisfaction among Midwives in Obstetrics and Gynecology Hospital Wards in Iran
Authors: Karimyar Jahromi Mahdi , Minaei Shahnaz , Abdollahifard Sareh , Maddahfar Majid
Published: January 2016

INTRODUCTION: Occupational stress is one of the major problems of health care staff, substantially affecting their professional and personal performance. This research has been conducted with the aim of determining the effect of stress management on occupational stress and satisfaction among the Midwives in Obstetrics and Gynecology Hospital wards at Motahari Hospital in Jahrom, Iran 2013-2014.

METHODS: This is a Quasi-experimental study of the pre- and post-clinical trials type. The study population included midwives employed in the Obstetrics and Gynecology Hospital wards selected trough census. The samples were categorized into two groups randomly. The intervention group participated in the short-term training workshop of stress management. The studied samples were measured in terms of occupational stress and satisfaction before, right after, and one month after the workshop. Occupational stress measurement was measured by Toft-Anderson occupational stress questionnaire (1981). Similarly, the occupational satisfaction was measured by JDI checklist developed by Stephen Robins (1994). In order to analyze the information, SPSS 16 together with descriptive statistics tests (frequency, percentile, mean, and standard deviation), independent sample t-tests, iterative measurement and Spearman correlation coefficient were used. 

RESULTS: A total of 70 people (two 35-person groups) of midwives participated in this study. The findings revealed that there was a significant difference between the mean of scores of occupational stress between the two groups before and after the workshop (p=0.001). There was, however, no significant difference between the scores of satisfactions across the two groups.

DISCUSSION: Training of skills of coping with stress including stress management can be effective in diminishing level of occupational stress. Mitigation of stress without catering for professional, occupational, organizational, and environmental factors would not lead to development of job satisfaction.