bluuebunny/crossref_metadata_2025 huggingface dataset:
Intervenciones de enfermería en los trastornos de la personalidad en el ámbito de la atención primaria
Authors: Pérez Murillo Crescencio , Moreno Tobías Gonzalo , Iruela Sánchez Simón
Published: November 2017

Introducción: La personalidad se define como el conjunto dinámico de características emocionales y de conducta que son únicas a cada persona. Según la American Psychiatric Association (APA), los trastornos de la personalidad corresponde a un conjunto de signos que producen una serie de alteraciones conductuales en las esferas emocional y afectiva que provocan problemas para la adaptación social y alteraciones en el comportamiento que se aparta de las expectativas de la cultura del sujeto.Objetivo: Conocer y determinar el papel de los cuidados de enfermería en los trastornos de la personalidad.Metodología: Se realizó una revisión de la literatura científica publicada en las bases de datos PUBMED y SCIELO en enero y febrero del año 2017 con las palabras clave “personality disorder”, “nursing care”, “personality” y “primary care”.Resultados: Los estudios analizados ponen de manifiesto que los cuidados de enfermería se orientarán en función de si la persona presenta una situación de crisis o presenta la estabilidad suficiente para adquirir conocimientos y habilidades que le ayuden con el manejo de su enfermedad. En el caso de una situación de urgencia se deberá de valorar el riesgo vital y el grado de agresividad y se deberá de realizar una valoración por parte de psicología. En el caso de un paciente estable, se deberá de realizar un proceso de valoración más extenso en las que las intervenciones irán encaminadas a realizar cambios en el estilo de vida.Conclusiones: La consulta de enfermería de atención primaria capacita al paciente a resolver problemas y complicaciones que se presenten en aquellos pacientes en los que hay estabilidad emocional.¸ ya que permite el desarrollo de estrategias efectivas de afrontamiento de la enfermedad y de disminución de la ansiedad. En este sentido se abre ante los profesionales nuevas estrategias y posibilidades de intervención para cubrir las necesidades emocionales y terapéuticas.
Análisis de diferencias en el uso, conocimiento y actitudes hacia las nuevas tecnologías entre personas con y sin enfermedad mental grave
Authors: Casiano Yanicelli Carla Natalia , Lozano Segura María Carmen , Aguilera Ruiz Cristian , Manzano León Ana
Published: November 2017

En este artículo se comparan personas con y sin enfermedad mental grave respecto al uso, conocimiento, interés y actitudes hacia las nuevas tecnologías de la información (TIC). En el estudio han participado siete personas con enfermedad mental grave y siete sin enfermedad mental. Los resultados muestran que existen diferencias significativas intergrupos en relación al uso, conocimiento, interés y actitudes hacia las nuevas tecnologías de la información.
Prevalencia del síndrome de burnout y la asociación con variables sociodemográficas y laborales en una provincia de Ecuador
Authors: Ramírez Marina R.
Published: November 2017

Uno de los grupos con mayor riesgo de desarrollar síndrome de burnout es el constituido por los trabajadores de la salud. El objetivo de este estudio fue determinar la prevalencia del síndrome de burnout y sus dimensiones, así como los factores relacionados, en enfermeras y médicos de instituciones médicas de salud en una provincia de Ecuador. Se seleccionó una muestra de 166 profesionales de la salud (69,49% mujeres, edad media = 38,0 años). Se utilizaron diversos instrumentos para recopilar información sobre el síndrome de burnout y variables sociodemográficas y laborales. Se encontró una prevalencia del 4,2% para el síndrome de burnout. En cuanto a las dimensiones de burnout, se encontró una prevalencia del 26,5% para el agotamiento emocional 25,9% para la despersonalización y 42,2% para la baja realización personal. Los profesionales con mayor burnout eran aquellos con experiencia superior a 12 años como personal médico, que realizaban jornadas laborales superiores a las 8 horas diarias, y que atendían a más de 18 pacientes al día. Los resultados de esta investigación permitirán desarrollar una mejora en las normativas sanitarias con la finalidad de velar por la salud ocupacional de estos profesionales.
El modelo Flipped Classroom
Authors: Aguilera-Ruiz Cristian , Manzano-León Ana , Martínez-Moreno Inés , Lozano-Segura Mª Carmen , Casiano Yanicelli Carla
Published: November 2017

El modelo de clase tradicional, donde el alumnado permanece con una actitud pasiva, y sentado en sus pupitres escuchando la lección, está siendo sustituido por nuevas metodologías de enseñanza- aprendizaje, por un amplio sector de profesionales. Cada vez son más aquellas personas que ponen en duda su eficacia y opinan que se precisan metodologías innovadoras, que resulten más motivadoras al alumnado, donde participe activamente en la construcción del conocimiento y constituya un modelo que atienda a las necesidades particulares de cada individuo. En esta investigación nos centraremos en un nuevo e innovador modelo: El modelo Flipped Classroom, o “aula invertida”. Dicho modelo es cada vez más usado por aquellos docentes que atribuyen al modelo tradicional de enseñanza muchos déficits y que han dado el salto a una total “inversión” o cambio de esencia a sus clases.
Género en el discurso: discriminación. Maltrato a la mujer
Authors: Torres López Nuria Del Mar , Díaz-López Mª Pilar
Published: November 2017

A través del presente trabajo se ofrece una visión generalizada sobre uno de los temas, desgraciadamente, de mayor actualidad y vital relevancia como es el tema del maltrato a la mujer en distintos ámbitos. Hemos seleccionado este tema para contrastarlo con diversos datos, fruto de una breve investigación, y serán relacionados con algunas de las referencias con las que la Doctora Encarnación Hidalgo obsequió a los asistentes durante las sesiones que impartió en el Máster en estudios de género en la Universidad de Almería, como es el caso de la discriminación de la mujer a través del discurso.
Ansiedad ante los exámenes moderada por la participación en actividades físicas y deportivas
Authors: Lorenzo Torrecillas José Javier , Lozano Segura Mª Carmen
Published: November 2017

La ansiedad ante los exámenes produce en algunos estudiantes una serie de emociones negativas que pueden inhibir la ejecución de los alumnos de acuerdo con su potencial académico. Esta elevada activación no sólo repercute negativamente en el rendimiento ante los exámenes, sino que puede llegar a desequilibrar la salud de los estudiantes. Así, antes de que comiencen los exámenes, el alumnado con ansiedad, comienza a padecer trastornos físicos muy diversos (insomnio, dolor de cabeza, náuseas, vómitos, etc.), agravándose conforme se van acercando los días de examen. Está ampliamente estudiada y demostrada la relación existente entre la práctica de actividad física y la salud mental y física de las personas, reflejándose en sus niveles de ansiedad y estrés. Igualmente, he hecho constatado que la gran mayoría de los estudios sobre el tema, muestran una relación positiva entre el rendimiento académico de los estudiantes y la práctica de actividad física y deporte. No obstante, los estudios sobre la influencia de la actividad física y la ansiedad ante los exámenes son limitados y no ofrecen resultados esclarecedores.
Relación entre clima motivacional hacia el deporte y adherencia a la dieta mediterránea en estudiantes universitarios de educación física
Authors: González Valero Gabriel , Padial Ruz Rosario , Espejo Garcés Tamara , Chacón Cuberos Ramón , Puertas Molero Pilar , Pérez Cortés Antonio José
Published: November 2017

El clima motivacional hacia el deporte (Teoría de las Metas de Logro) como factor psicosocial y la adherencia a la dieta mediterránea como factor saludable, son clave en la práctica deportiva y en la docencia de la Educación Física, pues determinadas orientaciones podrán constituir estilos de vida más saludables. Este estudio de carácter descriptivo y corte transversal, realizado en una muestra de 490 estudiantes universitarios, tiene como objetivo establecer las posibles relaciones entre el clima motivacional hacia el deporte y la adherencia a la dieta mediterránea, usando como principales instrumentos los cuestionarios PMCSQ-2 y KIDMED. Los resultados revelaron datos estadísticamente significativos para clima motivacional según el grado de adherencia a la dieta mediterránea en los factores de aprendizaje cooperativos y castigo por errores. Los participantes presentaron unos valores medios más elevados en la dieta óptima con respecto al aprendizaje cooperativo, en cuanto al castigo por errores, se relaciona positivamente con una dieta de muy baja calidad. Se concluye que los universitarios con metas de logro en el deporte orientadas a la Tarea, pueden presentar mejores patrones dietéticos y los orientados al Ego, presentan una dieta de muy baja calidad respecto al factor de castigo por errores.
Aplicación de la realidad virtual. Agente de neurorecuperador psíquico-físico y deportivo
Authors: Ortega Caballero Manuel , Pedrosa de Lima Margarida , Ortega Caballero Antonia
Published: November 2017

No existen muchos estudios sobre como incidir directamente sobre las emociones y la educación de las personas a través la realidad virtual (VR3D) y sus efectos positivos cardiovasculares tras el ejercicio. El vídeo educativo es un medio didáctico que facilita el descubrimiento de conocimientos y la asimilación de éstos, por consiguiente debemos también comprobar la eficacia de realidad virtual, y concretamente sobre nuestro estado físico y psíquico. También es motivador para el sujeto ya que la imagen en 3D y el sonido HQ captan la atención con gran facilidad. El presente estudio se ha realizado con 120 sujetos de diferentes edades. Se establecieron 120 intervenciones y evaluaciones personales. Para acopiar la información y su posterior transcripción, a través de la visualización de películas de realidad virtual. Ejercicio positivo pues descubrimos numerosos parámetros entre ellos la efectividad sobre el estrés fisiológico. Ésta intervención psíquica y metodológica (VR3D) en futuros profesionales nos subraya la importancia de la formación en tecnologías novedosas y su provecho a nivel cardiovascular y emocional de los sujetos en su actividad física.
Interacción social y comunicación temprana en hermanos de niños con diagnóstico de trastorno del espectro autista: una revisión de la literatura
Authors: Montagut Asunción Maite , D'Ocon Giménez Ana , Pastor Cerezuela Gemma
Published: November 2017

Los hermanos de niños con trastorno del espectro autista (TEA) tienen un mayor riesgo que la media de la población infantil, entre un 5 y un 10%, de ser después diagnosticados con el trastorno. Por otra parte, algunos de estos hermanos han mostrado, independientemente de ser más tarde diagnosticados, tener dificultades en las interacciones sociales tempranas. ¿Son habituales este tipo de conductas, no necesariamente vinculadas al trastorno, en hermanos de niños con TEA? En el presente trabajo se plantea una revisión bibliográfica para explorar los hallazgos más recientes en respuesta a este interrogante. Las principales conclusiones apuntan a un patrón de comunicación temprana diferente, o con la presencia de dificultades en áreas como la atención conjunta, el lenguaje, la gestualidad o el juego, observable ya a partir del segundo trimestre de vida. Este perfil comunicativo se conoce con el nombre de “fenotipo amplio de autismo” (Broader Autism Phenotype, BAP).
Aspectos del crédito hipotecario en el bienestar de las personas trabajadoras. El caso de la banca comercial y el INFONAVIT en México
Authors: Salmerón-Zapata Absalón José , García-Santillán Arturo , Moreno-García Elena , Texon-Dorantes Eyla Jeannete
Published: November 2017

Más allá de presentar un estudio comparativo en donde se muestre en términos financieros el mayor beneficio posible para el trabajador, derivado de algún esquema de crédito hipotecario para la adquisición de una vivienda,  el objetivo de este trabajo se centra en mostrar dos opciones de crédito para tal fin: una de estas opciones es el crédito hipotecario que ofrece la banca comercial de primer piso y otra opción es el crédito hipotecario a través del Instituto del Fondo Nacional para la Vivienda de los Trabajadores (INFONAVIT). Para ello fue necesario realizar un análisis financiero mediante el uso de modelos de amortización en su modalidad vencida. Los resultados indican que el financiamiento por parte de la banca de primer piso es la más conveniente, porque comparativamente, el monto de la mensualidad es más bajo y la vida del crédito hipotecario es más corta, asimismo la tasa de interés es más baja en la banca de primer piso. Sin embargo para quienes no puedan obtener un crédito por parte de la Banca comercial, las instituciones de seguridad social como el INFONAVIT resultan ser un escenario viable para adquirir dicha vivienda. Ambas opciones tienen sus beneficios, lo que lleva a pensar que la selección de la opción de crédito dependerá de la situación económica y laboral de la persona que solicite el crédito.
Immunofluorescence for free-floating brain sections v1
Authors: R. Crittenden Jill , Yoshida Tomoko , I. Davis Margaret , M. Graybiel Ann
Published: November 2017

This protocol describes how to prepare fixed brain sections and process them for immunofluorescence.
untitled protocol v1
Authors: Han Yeji , Jung Kim Hyun , Ae Kong Kyoung , Jung Kim Soo , Hwan Lee Su , Ju Ryu Yon , Hwa Lee Jin , Kim Yookyoung , Shine Shim Sung , Hyun Chang Jung
Published: November 2017

Background Advances in bronchoscopy and CT-guided lung biopsy have improved the approach to small pulmonary lesions (PLs), leading to an increase in preoperative histological diagnosis. We aimed to evaluate the efficacy and safety of transbronchial lung biopsy using radial endobronchial ultrasound, virtual bronchoscopic navigation (TBLB-rEBUS&VBN) and CT-guided transthoracic needle biopsy (CT-TNB). Method A systematic search for relevant studies was performed in May 2016 using five electronic databases: MEDLINE, EMBASE, Cochrane Library Central Register of Controlled Trials, Web of Science, and Scopus; the selected papers were assessed using meta-analysis. The papers were limited to those published since 2000 that studied small pulmonary lesions ≤ 3 cm in diameter. Result From 7345 records, 9 papers on the bronchoscopic (BR) approach and 15 papers on the percutaneous (PC) approach were selected. The pooled diagnostic yield was 75% (95% confidence interval [CI], 69-80) in the BR approach and 93% (95% CI, 90-96) in the PC approach. For PLs ≤ 2 cm, the PC approach was confidently superior to the BR approach. However, for PLs > 2 cm but ≤ 3 cm, the yield in the BR approach improved to 81% (95% CI, 75-85). Complications of pneumothorax and hemorrhage were rare in the BR approach and quite common in the PC approach. Conclusion CT-TNB was superior to TBLB-rEBUS&VBN for the evaluation of small PLs. However, for lesions greater than 2 cm, the BR approach was quite valuable when considering its diagnostic yield of over 80% with its low risk of procedure-related complications.
untitled protocol v2
Authors: Jung Kim Hyun , Ae Kong Kyoung , Jung Kim Soo , Hwan Lee Su , Ju Ryu Yon , Hwa Lee Jin , Kim Yookyoung , Shine Shim Sung , Hyun Chang Jung , Han Yeji
Published: November 2017

Background Advances in bronchoscopy and CT-guided lung biopsy have improved the approach to small pulmonary lesions (PLs), leading to an increase in preoperative histological diagnosis. We aimed to evaluate the efficacy and safety of transbronchial lung biopsy using radial endobronchial ultrasound, virtual bronchoscopic navigation (TBLB-rEBUS&VBN) and CT-guided transthoracic needle biopsy (CT-TNB). Method A systematic search for relevant studies was performed in May 2016 using five electronic databases: MEDLINE, EMBASE, Cochrane Library Central Register of Controlled Trials, Web of Science, and Scopus; the selected papers were assessed using meta-analysis. The papers were limited to those published since 2000 that studied small pulmonary lesions ≤ 3 cm in diameter. Result From 7345 records, 9 papers on the bronchoscopic (BR) approach and 15 papers on the percutaneous (PC) approach were selected. The pooled diagnostic yield was 75% (95% confidence interval [CI], 69-80) in the BR approach and 93% (95% CI, 90-96) in the PC approach. For PLs ≤ 2 cm, the PC approach was confidently superior to the BR approach. However, for PLs > 2 cm but ≤ 3 cm, the yield in the BR approach improved to 81% (95% CI, 75-85). Complications of pneumothorax and hemorrhage were rare in the BR approach and quite common in the PC approach. Conclusion CT-TNB was superior to TBLB-rEBUS&VBN for the evaluation of small PLs. However, for lesions greater than 2 cm, the BR approach was quite valuable when considering its diagnostic yield of over 80% with its low risk of procedure-related complications.
Diagnosis of small pulmonary lesions by transbronchial lung biopsy with radial endobronchial ultrasound and virtual bronchoscopic navigation versus CT-guided transthoracic needle biopsy: a systematic review and meta-analysis v3
Authors: Han Yeji , Jung Kim Hyun , Ae Kong Kyoung , Jung Kim Soo , Hwan Lee Su , Ju Ryu Yon , Hwa Lee Jin , Kim Yookyoung , Shine Shim Sung , Hyun Chang Jung
Published: November 2017

Background Advances in bronchoscopy and CT-guided lung biopsy have improved the approach to small pulmonary lesions (PLs), leading to an increase in preoperative histological diagnosis. We aimed to evaluate the efficacy and safety of transbronchial lung biopsy using radial endobronchial ultrasound, virtual bronchoscopic navigation (TBLB-rEBUS&VBN) and CT-guided transthoracic needle biopsy (CT-TNB). Method A systematic search for relevant studies was performed in May 2016 using five electronic databases: MEDLINE, EMBASE, Cochrane Library Central Register of Controlled Trials, Web of Science, and Scopus; the selected papers were assessed using meta-analysis. The papers were limited to those published since 2000 that studied small pulmonary lesions ≤ 3 cm in diameter. Result From 7345 records, 9 papers on the bronchoscopic (BR) approach and 15 papers on the percutaneous (PC) approach were selected. The pooled diagnostic yield was 75% (95% confidence interval [CI], 69-80) in the BR approach and 93% (95% CI, 90-96) in the PC approach. For PLs ≤ 2 cm, the PC approach was confidently superior to the BR approach. However, for PLs > 2 cm but ≤ 3 cm, the yield in the BR approach improved to 81% (95% CI, 75-85). Complications of pneumothorax and hemorrhage were rare in the BR approach and quite common in the PC approach. Conclusion CT-TNB was superior to TBLB-rEBUS&VBN for the evaluation of small PLs. However, for lesions greater than 2 cm, the BR approach was quite valuable when considering its diagnostic yield of over 80% with its low risk of procedure-related complications.
Prescription pattern of patients admitted in the intensive care unit of a tertiary care hospital in Puducherry, India: a cross sectional study
Authors: Maharani B. , Jafrin A. Lourdu , Prakash M. , Priyadarshini P.
Published: November 2017

Background: Patients with varied demographic characteristics, admission criteria and heterogeneous group are admitted to medical Intensive Care Unit (ICU) and are usually associated with co-morbid illnesses. Instituting rational pharmacotherapy is the need of the hour for saving the life of critically-ill patients while irrational drug use may be life threatening. Drug use patterns and prescribing behaviour are the essential tools to measure drug use in health care facilities.Methods: A record based, cross-sectional, observational study was done at medical ICU, IGMC and RI, Puducherry after obtaining IEC approval. Systemic random sampling was followed and data was collected for a period of one year. Data were analysed based on demographic characteristics, prescribing pattern and WHO drug use indicators.Results: The data of 151 patients were analysed. Mean age of the patients admitted in ICU was 52.9±17.7 years. Percentage of male patients (57.6) admitted in ICU were more when compared to female patients (42.4). Infective etiology was the most common factor for ICU admission followed by cardiac disorders. Diabetes mellitus and hypertension were the most common co-morbidities. The average length of stay in ICU was 4.11±2.99 days. Duration of stay in ICU ranged from 1-5 days (78.8% patients) to 15-20 days (0.1% patients). On an average 10.6±4.3 drugs were prescribed for each patient. Percentage of drugs prescribed by generic name was 45.8%. Majority of the drugs (87.4%) were from essential medicine list. Antibiotics in the prescription was 13.8% and 44.4% of drugs were administered in parenteral route. The prescription was complete in 145 case sheets (96%). Majority of the patients (68.9%) were discharged with improvement in the condition for which they were admitted.Conclusions: This drug utilization study has highlighted the strengths and shortcomings of the prescription pattern of patients who were admitted in the critical care setup. The information derived from this research work will be transmitted to the stakeholders for implementing the modifications wherever applicable for the betterment of the patient and the community.
A study of the wound performance following subcutaneous infiltration and topical instillation of ceftriaxone before primary closure of skin in laparotomy for peritonitis due to non-traumatic perforation of small intestine
Authors: S. Sudhir , Telkar Kanmani G.
Published: November 2017

Background: Surgical site infection (SSI) continues to be a baffling problem since time immemorial. It is one of the major causes for postoperative morbidity and mortality. Many methods have been evolved to combat wound infection, but the rate of wound infection has been more or less static over past few years. The search for alternative modes of management is going on and one of the methods is intra incisional subcutaneous infiltration of antibiotics.Methods: This is a prospective study comprising of control and study groups of 25 patients each. Control group patients did not receive subcutaneous infiltration of 1gm (diluted with 10 cc of distilled water) of ceftriaxone whereas study group received the infiltration. Precise examination of wound was done from post-operative day 3 up to day 10 for the presence of pus discharge or any subcutaneous collection.Results: Wound infection rate was 48% in control group and 32% in study group that is 12 out of 25 patients wound were infected in control and 8 out of 25 were infected in study group and 13 out of 25 had no infection in control and 17 out of 25 had no wound infection in study group.Conclusions: The incidence of SSI in the group which received subcutaneous infiltration of antibiotic was less than the group of patients, which did not receive ceftriaxone, showing that the use of subcutaneous infiltration of ceftriaxone injection at the time of wound closure may be more effective in reducing SSI.
Ergonomics in laparoscopy: a questionnaire survey of physical discomfort and symptoms in surgeons following laparoscopic surgery
Authors: K. C. Madhu Shankar , K. Manjunath , Krishnappa Rohit
Published: November 2017

Background: The prolonged and frequent use of laparoscopic equipment raises ergonomic risks that may cause physical distress for surgeons. We aimed to assess the prevalence of laparoscopic surgeons’ physical distress associated with ergonomic problems in the operating room (OR) and their awareness of the ergonomic guidelines in laparoscopy.Methods: A sample of 150 laparoscopic surgeons was assessed using a questionnaire on demographic information, ergonomic issues in the OR, musculoskeletal symptoms, and awareness of the ergonomic guidelines for the OR.Results: There were 112 survey respondents (74.3%) with valid questionnaires. Among the respondents 50% had completed laparoscopic training programs while 39.2% had no laparoscopic training. 61.5% respondents placed the operating table at umbilicus height during the actual operation. The majority of the respondents used only one monitor during the procedure. Only 4.3% placed the monitor below the eye level. 3% of the respondents attributed pain due to foot pedal design. The respondents experienced discomfort in the following regions in descending order: right shoulder (87.2%), left shoulder (78.3%), neck (67.4%), back (46.8%), hand (30.3%), leg (21.6%), and wrist (15.8%). The respondents with more than 5yrs of experience complained less discomfort than those with less than 5yrs. Only 54.6% of respondents were aware of the ergonomic guidelines. However, almost all of the respondents (100%) regarded the ergonomic guidelines to be important in the OR.Conclusions: Most of the laparoscopic surgeons were not aware of the ergonomic guidelines for the laproscopic OR; especially, junior laparoscopic surgeons and surgeons with <5 years of laparoscopic surgical experience were more affected. They have been suffering from varying degrees of physical discomfort caused by ergonomic issues. There is an urgent need for education regarding ergonomic guidelines in the OR for laparoscopic surgeons.
Control of cystic artery during laparoscopic cholecystectomy: clips versus ultrasonic energy devices which is better?
Authors: Venkatapuram Mahidhar Reddy , Sateesh Sreeram
Published: November 2017

Background: This study was undertaken to know whether clip usage or ultrasonic energy application, obtains better haemostasis of cystic artery during laparoscopic cholecystectomy.Methods: About 80 patients undergoing laparoscopic cholecystectomy were selected on a prospective basis and divided into two equal groups- A and B. a comparative study was done between the two group. Clips were used to control cystic artery in group A patients and ultrasonic energy device was used for the same in group B.Results: In group A, 2 patients had clip slippage intraoperatively which was dealt by reapplication of clips.in group B,1 patient had intraoperative bleeding from cystic artery few minutes after application of ultrasonic energy which was dealt by bipolar cauterization. In both the groups no, postoperative bleeding was encountered.Conclusions: During laparoscopic cholecystectomy, clip usage and ultrasonic energy application are equally competent in achieving haemostasis of cystic artery.
VAAFT versus fistulectomy in the management of anorectal fistulae: a comparative study?
Authors: Venkatapuram Mahidhar Reddy , Sateesh Sreeram
Published: November 2017

Background: Among the perianal diseases Fistula in ano is a very common condition bringing lot of discomfort to the patient with a high rate of recurrence as well. Conventionally fistulectomy has been the treatment of choice for fistula-in-ano. But the procedure is associated with lot of recurrence, morbidity and sphincter incontinence. Among several recent procedures VAAFT-video assisted anal fistula treatment is gaining popularity. So, we conducted this study to know the effectiveness of VAAFT over conventional fistulectomy.Methods: This prospective comparative study was undertaken to compare VAAFT and fistulectomy in the management of fistula-in-ano. A one-year study was carried out on 50 patients from mid-2015 to 2016. A visual analogue scale (VAS) was used to assess pain in the postoperative period. All patients were observed for one-year period for any recurrence of disease. Results were statistically analysed by SPSS 15.0 software.Results: two groups were formed among the 50 patients selected for study. There was male preponderance in both the groups. majority of patients belonged to 31-40 years of age group. Majority of the patients had low anal fistulae followed by patients with high anal fistulae and anorectal fistulae in that order. There was recurrence of disease in 12% of people operated by fistulectomy whereas it was only 1% in group who underwent VAAFT.Conclusions: VAAFT procedure offered significantly less recurrence rates in comparison with fistulectomy. There was less postoperative pain and nil complications after surgery. Patient satisfaction was high. Our study concluded VAAFT as a safe and effective procedure alternative to conventional fistulectomy.
Clinical profile and outcome of neonates with suspected sepsis form a rural medical college hospital of South India
Authors: Iyer Chandrakala R. , G. Naveen , R. Suma H. , Kumarguru B. N. , K. Swetha , Janakiraman .
Published: November 2017

Background: Sepsis is an important cause of neonatal mortality and morbidity. Nonspecific and subtle clinical features coupled with expensive, time consuming and unavailable definite laboratory tests challenges its accurate diagnosis in clinical practice. Sepsis is traditionally suspected in neonates based on clinical features, maternal and neonatal risk factors and is treated by empirical antibiotics. These risk factors and clinical features are variable depending on geographical, cultural and socio-economic background. We studied the clinical and bacteriological profile of high risk neonates for sepsis development in our Neonatal Intensive Care Unit (NICU), to make the precise clinical diagnosis and prevent inadvertent use of antibiotics.Methods: A prospective observational study was conducted on 200 neonates with suspected sepsis either by high risk factors and /or clinical features admitted to NICU for a period of nine months. After clinical examination, septic screen including blood culture was done and antibiotics were started as per the NICU protocol.Results: Of the 200 neonates studied, 20.5% had positive blood culture with Coagulase negative staphylococci (CoNS) and contaminants. 89.5% had early onset of sepsis (EOS). Neonatal profile showed 60.5% males, 55% inborn, 37.5% premature, 49.5% low birth weight babies. Maternal profile showed 49.5% Primigravida, 73% aged above 20 years at delivery and 97.5% literates. Outcome of admitted neonates showed, 72% were discharged after improvement, 10.5% died and 17.5% discharged against medical advice. Death due to respiratory distress syndrome was common in preterm and male neonates.Conclusions: EOS was common in our NICU. Blood culture showed more CoNS and contaminants necessitating the need for better blood sampling and hand wash technique.
Dengue: awareness, preventive practices and water storage behaviour in an urban community of Delhi
Authors: Arora Priya , Arora Manisha , Sharma Vishal , Kotwal Atul
Published: November 2017

Background: Dengue, an arboviral disease transmitted by Aedes egypti mosquito, has become an important public health problem, with almost half the population of the world being at risk. Community awareness and involvement for vector control is an important aspect of disease prevention and control. The aims and objective was to assess awareness and preventive practices used for dengue and related water storage behaviour in an urban area of Delhi. Methods: Observational, descriptive, cross sectional study. Results: Awareness about dengue fever and its mode of spread is quite high but the participants are not aware about the practices that are putting their surroundings at risk of vector breeding; especially when it comes to water storage behaviour. Conclusions: Behaviour change at individual and community level is essential for vector and hence dengue control, adoption of proper preventive practices and water storage behaviour needs to be emphasized at the community level.
Is fibromyalgia the most common diagnosis amongst female out-patients?
Authors: Jilumudi Adithya Kumar , Ram Ganesan G.
Published: November 2017

Background: The objectives of this study were to determine the prevalence of fibromyalgia syndrome (FMS) among women coming to outpatient department.

Methods: A total of 68,625 female patients were evaluated out of which 47,901 were in the inclusion criteria. The screening protocol included interview items that have been defined as components of FMS using the 1990 American College of Rheumatology (ACR) classification criteria. Data was entered in mx excel sheet and results were analyzed. The socio-demographic data was expressed in proportions.

Results: Out of 47,901 female patients, about 40.7% of the patients were diagnosed to have fibromyalgia syndrome (FMS). Out of which the major group of patients belong to married, unskilled women aged between 40-60 years of age.

Conclusions: Fibromyalgia syndrome is the commonest diagnosis among the female patients coming to orthopedic outpatient department.
FORMACIÓN DOCENTE EN AMÉRICA DEL SUR: ASPECTOS REGULADORES
Authors: Ayala Zuluaga Carlos Federico , Iaochite Roberto Tadeu , Souza Neto Samuel
Published: November 2017

O artigo derivado da pesquisa de doutorado intitulada “Orientações Pedagógicas no Estágio Supervisionado de Educação Física na Colômbia, Brasil, Argentina e Chile”. Especificamente, ele teve como objetivo apresentar e discutir em linhas gerais, os aspectos regulatórios de formação de professores nesses países. É uma pesquisa qualitativa e utilizo a Análise Documental como procedimentos metodológicos. Como resultado, verificou-se que há aspectos intrínsecos regionais e culturais utilizados para argumentar a favor da política de formação de professores em cada país. No entanto, estes aspectos convergem em termos de que: a) a preparação profissional dos professores deve ser orientada pela perspectiva da ação-reflexão-ação; b) conhecimento e uso da Tecnologia Digital da Informação e Comunicação deve ser parte deste processo; c) desenvolvimento da identidade do professor e o compromisso com o ensino. As conclusões foram feitas considerando-se que a literatura recente tem apontado para programas de formação de professores.
Environmental Accounting as a Cornerstone of Corporate Sustainability Reporting
Authors: Sekerez Vojislav
Published: November 2017

The major objective of this paper is to stress a role of environmental accounting in developing management’s strategic initiatives in the field of environmental protection. The socially responsible behavior of a company implies undertaking various activities for prevention, removal and minimizing the harmful effects on the environment. Such a responsible strategic approach ultimately leads to numerous cost savings, improvement in profitability and reputation and finally enables corporate sustainable development. In order to achieve its goal, this research will be methodologically based on the qualitative approach of published articles’ content analysis and the analysis of corporate practice in designing environmental accounting systems that allow better identification and control of costs and benefits related to environmental protection activities. Analysis of different accounting practices in producing financial and nonfinancial environmental information requires distinction between environmental financial and management accounting, given the fact that they create different types of information intended for internal and external users. Management needs such information for the purposes of identification and control of environmental protection costs, making decisions about the more efficient use of resources, projecting costs and benefits of further activities and attempts to increase company’s value through a socially responsible behavior. The expected results of this research should confirm the premise that increased awareness of the need of environmental protection and achieving sustainable development motivates companies for more frequently producing obligatory and voluntary external and internal reports about their environmental activities. At the same time, environmental accounting is supporting these initiatives, but we expect that in future new tools will be developed that will improve the quality and scope of its informational offer, which may be the area of potential for further research.
Reducing Social Loafing Tendency Through Achievement Motivation Training
Authors: Novliadi Ferry , Eliana Rika
Published: November 2017

This study aims to find the right strategy that a way of reducing the social loafing tendency among the students. The results showed the higher of achievement motivation will impact the lower social loafing tendency, and affected to student’s academic achievement. We conducted a study involving 91 students of Psychology Faculty of the University of Sumatera Utara and divided into 2 groups: the experimental group and the control group. The experimental groups were given a brief achievement motivation training, while the control group did not receive any treatment. The effectiveness of interventions seen through decreasing score in social loafing tendency in the experimental group. Application of achievement motivation training in more details could be one strategy to reduce social loafing tendency.
Cryptocurrency Framework Diagnostics from Islamic Finance Perspective: A New Insight of Bitcoin System Transaction
Authors: Abu Bakar Nashirah , Rosbi Sofian , Uzaki Kiyotaka
Published: November 2017

This paper analyses the operation of cryptocurrency system in perspective of Islamic finance. The purpose of this study is to evaluate the cryptocurrency framework whether it is meet the Islamic Finance rule. In addition, this study performed in providing the Islamic minded investor a proper information regarding investment in Bitcoin. Cryptocurrency is a digital currency in which encryption techniques that implement to regulate the generation of units of currency and verify the transfer of funds, operating independently of a central bank. A transaction is a transfer of Bitcoin value that is broadcast to the network and collected into blocks. A transaction typically references previous transaction outputs as new transaction inputs and dedicates all input Bitcoin values to new outputs. This cryptocurrency has no physical form and exists only in the network. Bitcoin also has no intrinsic value in that it is not redeemable for another commodity, namely gold. Then, this study evaluates the framework according to Islamic Finance rule. The bitcoin account holder is anonymous. Therefore, it is difficult to track the real account holder if any suspicious activity occurs. In addition, the value of Bitcoin is unstable because of high volatility. Bitcoin also suffers variance in perceptions of Bitcoin’s store of value and method of value. All of these three conditions contribute to uncertainty in transaction framework of Bitcoin. As a conclusion, Bitcoin transaction is classified as a transaction with high uncertainty (gharar).
Can Small Banks Lead the Way Out of the Crisis in the OECD Area?
Authors: Syvertsen Carsten Martin
Published: November 2017

The economic shock of 2008, and the Great Recession that followed, created uncertainty of the direction of the global economy. With slow economic growth in the OECD area, political unrest and lack of a clear direction from academics there is a need for new organizational models helping executives out of the financial crisis. The article illustrates how small banks can achieve a competitive advantage by focusing on economic growth through radical innovations by using tacit knowledge in a marketing context. Such an entrepreneurial orientation will, in turn, lead to tailoring of services which will, we argue, lead to growth in the banking industry in the OECD area. We claim that small banks are leading the way in the race for innovation and an entrepreneurial orientation.
The Correlation of the Level of Anxiety of Nulliparous Women to the Length of the First Stage of Spontaneous Labor at Private Maternity Clinics in the Working Area of Delitua Puskesmas, Deli Serdang District in 2013
Authors: Lubis Namora Lumongga , Sinambela Megawati
Published: November 2017

Abnormal length of the first stage of labor in nulliparous women (first pregnancy) can be related to severe anxiety during labor. Based on the preliminary survey in several private maternity clinics at the working area of Delta Puskesmas, Deli Serdang District, it was found that there was a prolonged first stage of labor (27.65%) in nulliparous women. The purpose of this study was to analyze the influence of anxiety level to the length of the first stage of labor. The type of this study was an analytic survey with explanatory research type. The samples comprised 40 childbearing women in private maternity clinics of Kasih Ibu, Kurnia, Tanjung, Wanda, and Mayana which were located in the working area of Delitua Puskesmas, Deli Serdang District, using accidental sampling technique. The data were gathered by using questionnaires and analyzed in the univariate analysis by using frequency distribution form, and bivariate analysis using Chi-Square test. The result of this study showed that the level of anxiety (p = 0.001) significantly related the length of the first stage of labor in which mothers who had severe anxiety. It is recommended that health providers should provide standardized services to childbearing women, especially to nulliparous women, so that their level of anxiety can be decreased facing the first stage of the labor process. It is also recommended that the husbands should support their wifes by positive behaviors so they will not think about negative things on their babies and on themselves.
Caka E-Learning Model
Authors: Gorsev Gonca , Türkmen Uğur , Aşkın Cihat
Published: November 2017

In today's world, in order to obtain the information in education, various approaches, methods and devices have been developed. Like many developing countries, e-learning and distance learning (internet based learning) are used today in many areas of education in Turkey. This research aims to contribute to education systems and develop a 'Cihat AÅŸkÄ±n and Little Friends' e-learning model in order to improve the project. 'Cihat AÅŸkÄ±n and Little Friends' is an education system project by worldwide by Turkish violin virtuoso Cihat AÅŸkÄ±n. The aim of this system is to encourage people to play violin and disseminate playing violin as an instrument. In this project, individuals   are accepted into the 'Cihat AÅŸkÄ±n and Little Friends' program regardless of their age and talent. In 2001, Cihat AÅŸkÄ±nâ€™s project has started in Bursa and today it proceeds in twelve different cities of Turkey. Thanks to this education system of 'Cihat AÅŸkÄ±n and Little Friends', hundreds of children without musical foreknowledge have started to play violin in Turkey.  This paper aims to evaluate teachersâ€™ thoughts and opinions about e-learning technology use for 'Cihat AÅŸkÄ±n and Little Friends' Project. Survey method was used and educatorsâ€™ attitude towards 'Cihat AÅŸkÄ±n and Little Friends' e-learning model was analyzed.  The results reveal that   teachers in the project have positive feelings and opinions about the e-learning model. It is believed that by teachers of the project, e-learning technology use will improve in violin education thanks to the project to a great extent. Moreover, it is thought that this study contributes to violin education in Turkey and related researches in the future. 

Keywords: E-learning, CAKA (Cihat AÅŸkÄ±n and Little Friends), violin education.
Can we use Facebook groups to establish social presence in online courses?
Authors: Izmirli Serkan
Published: November 2017

In this research, the potential of Facebook groups used in an online course in order to establish social presence was examined. Qualitative research methodology was used in this study. The participants of the study were 12 senior undergraduate students taking the School Experience course online over a period of 12 weeks. A Facebook group where announcements and deep discussions were made and files were shared was used. Facebook group posts as document data; and student interviews as interview data were collected. According to the results, it was found that Facebook groups established social presence. Social presence involves three categories; affective expression, open communication and group cohesion. Paralanguage, emotion, humor and self-disclosure emerged as indicators in the affective expression category.  Acknowledgement, agreement, invitation and continuing a thread were found as indicators in the open communication category. Greetings and salutations, vocatives, group reference, social sharing and collaboration were found as indicators in the group cohesion category.  A similar study can be conducted by collecting quantitative data from a large number of participants using the social presence scale. Other social networksâ€™ potentials to establish social presence can be examined. Since Facebook groups establish social presence, they can be used to support online or face-to-face courses.

Keywords: community of inquiry; Facebook; Facebook group; online course; social presence
Determining candidate teachers' tendency to the use of technology
Authors: Hursen Cigdem
Published: November 2017

This study aimed to determine candidate teachers' tendency to the use of technology. A total of 293 candidate teachers participated in this study in which a quantitative method was used. The findings obtained from the research indicated that the candidate teachers' tendency to the use of technology was high. Another finding in a different research revealed that sex and the departments the candidate teachers studying in did not indicate any significant difference related to the use of technology. However, their level of age showed a significant difference in their behavioral tendency to the use of technology.
Keywords: Candidate teachers, technology, higher education.
Attitudes and opinions of special education candidate teachers regarding digital technology
Authors: Ozdamli Fezile
Published: November 2017

Parallel to the rapid development of information and communication technology, the demand for its use in schools and classroom is increasing. So, the purpose of this study is to determine the attitudes and views of students who will be special education teachers in the future regarding digital technology on the use in education. A mixed method, qualitative and quantitative, was used to collect data. Attitude Scale for Digital Technology was used as a quantitative data collection tool and a semi-structured interview form was used to collect qualitative data. A total of 275 students studying at Special Education teaching department of Near East University participated in this study. The findings indicated that the candidate teachers had a positive attitude towards the use of technologies. The findings obtained from the qualitative dimensions of the study showed that the candidate teachers had positive views about the use of technology by the special education students in their learning process.

Keywords: Special education, teacher candidates, digital technology, attitudes.
EKSTRAK ETANOL AKAR DAN DAUN DARI TANAMAN Calotropis gigantea AKTIF MENGHAMBAT PERTUMBUHAN SEL KANKER KOLON WiDr SECARA IN VITRO
Authors: Mutiah Roihatul , Widyawaruyanti Aty , Sukardiman Sukardiman
Published: November 2017

Penelitian ini bertujuan untuk mengetahui perbandingan aktivitas antikanker ekstrak etanol bagian akar, daun dan bunga dari tanaman Calotropis gigantea terhadap sel kanker kolon WiDr. Pengujian efek penghambatan pertumbuhan antikanker dilakukan dengan metode MTT. Hasil menunjukkan bahwa ekstrak etanol bagian akar dan daun  Calotropis gigantea  mempunyai aktivitas antikanker terhadap sel kanker kolon WiDr yang lebih tinggi berturut turut dengan IC50 44.20 μg/ml; 48.50 μg/ml dibanding bagian bunga (IC50 3576 μg/ml) sehingga bagian akar dan daun dapat direkomendasikan untuk uji lebih lanjut dalam pengembangan fitofarmaka.
Kata kunci: Calotropis gigantea, WiDr cell line, anti kanker
COMPARATIVE GENOME OF TWO STRAIN MORAXELLA CATARRHALIS USING IN SILICO ANALYSIS
Authors: Aji Oktira Roka
Published: November 2017

Moraxella catarrhalis can cause otitis media and exacerbations of chronic obstructive pulmonary disease in human. Here we describe the comparison between two publicly available genomes of two strain of M.catarrhalis using computational analysis to obtain genomic features between them. Comparative genomic analysis were carried out using available tools in public domain websites. The aim of this study was to investigate the differences and similarities between two strains by comparing their genomic sequences. The results indicated that may be used to offer better understanding M.catarrhalis lifestyle.

 

Keywords: Moraxella catarrhalis; In Silico; Comparative genome analysis