bluuebunny/crossref_metadata_2025 huggingface dataset:
MEDICAMENTOS POTENCIALMENTE PERIGOSOS: IDENTIFICAÇÃO DE RISCOS E BARREIRAS DE PREVENÇÃO DE ERROS EM TERAPIA INTENSIVA
Authors: Reis Marcos Aurélio Seixas dos , Gabriel Carmen Silvia , Zanetti Ariane Cristina Barboza , Bernardes Andrea , Laus Ana Maria , Pereira Leonardo Régis Leira
Published: June 2018

RESUMO Objetivo: investigar o conhecimento dos profissionais de enfermagem e farmacêuticos em relação à identificação de medicamentos potencialmente perigosos, bem como verificar o reconhecimento das barreiras de prevenção de erros nas instituições hospitalares. Método: estudo transversal, tipo inquérito, realizado em unidades de terapia intensiva de quatro hospitais. Um questionário construído e validado com base nas informações disponibilizadas pelo Instituto para Práticas Seguras no Uso de Medicamentos foi utilizado para coleta de dados. Para análise dos dados utilizou-se o software Statistical Package for the Social Sciences, versão 22.0 e o teste de Kruskal-Wallis para investigar diferença dos resultados entre as categorias profissionais. Adotou-se o nível significância de 0,05. Resultados: foram incluídos 126 profissionais, entre os elegíveis para participação. Dentre os 33 medicamentos potencialmente perigosos indicados no instrumento, nenhum foi identificado como tal pela totalidade de respondentes, embora 17 fossem utilizados por mais de 95% dos entrevistados. Não foi observada diferença estatisticamente significante nas respostas das diferentes categorias profissionais quanto à identificação desses medicamentos. Em relação às medidas de prevenção de erros, os enfermeiros constituíram a categoria profissional que distinguiu em maior número a existência de barreiras. Conclusão: este estudo apontou importantes lacunas no reconhecimento dos medicamentos potencialmente perigosos e adoção incipiente de barreiras para prevenção de incidentes, caracterizando situações de fragilidade nos hospitais por implicar na ruptura inicial das barreiras, especialmente quando os profissionais de saúde estão inseridos em um ambiente de alta complexidade.
Use of adductor pollicis muscle thickness in hospitalized or ambulatory patients: a systematic review
Authors: Soares Brunna Gabrielly Ferreira da Silva , Vicentini Andréa Pereira
Published: June 2018

ABSTRACT Objective: to analyze the use of the Adductor Pollicis Muscle Thickness (APMT) as an anthropometric parameter and prognostic indicator in hospitalized or ambulatory patients. Method: systematic review carried out the Web of Science, SCOPUS and Lilacs databases. Results: Twenty-three studies were performed on critical, surgical, oncological, nephropathic and hepatopathic patients, collecting data on bibliographic reference, study site, objectives, number of patients, age group, methodology, main results and conclusion. APMT proved to be a good anthropometric parameter for evaluation of nutritional status in critical patients without edema, and surgical, oncological and nephropathic patients, but presented poor performance for diagnosis of malnutrition in hepatopathic patients. It was a good prognostic indicator for mortality in critical, nephropathic and oncological patients, and also a good predictor of hospitalization in nephropathic patients. There was an association with neurological complications in Hepatic Encephalopathy (HE) in the case of hepatophatic patients, but it was not a predictor of postoperative complications in surgical patients. Conclusion: APTM was considered a good anthropometric parameter in most clinical conditions, except in patients with liver disease and a good prognostic indicator for mortality in critical, oncological and nephropathic patients, and a predictor of neurological complications in HE. Further prognostic investigation, standardization of cutoff points and evaluation of sensitivity and specificity are required.
Mulheres na cirurgia vascular: uma breve análise do perfil brasileiro
Authors: Silva Fernanda Costa Sampaio , Cerqueira Monique Magnavita Borba da Fonseca , Ruivo Bárbara Beatriz Couto , Rautenfeld Marita von
Published: June 2018

Resumo Contexto O aumento da participação feminina no contingente médico brasileiro e mundial tem sido notório; entretanto, o número de mulheres cirurgiãs não acompanha a mesma tendência. Além da análise quantitativa, os fatores determinantes da escolha pela especialidade cirúrgica e as características da atuação profissional necessitam de mais estudos. Objetivos Delinear o perfil das cirurgiãs vasculares brasileiras no que diz respeito às características demográficas, grau de qualificação, engajamento científico e integração ao mercado de trabalho. Métodos Um questionário eletrônico foi disponibilizado on-line durante 30 dias e teve seu link amplamente divulgado entre cirurgiãs vasculares. Após coleta, retornaram 101 questionários válidos, cujos dados foram tabulados em planilhas do Microsoft Excel para análise descritiva simples. Resultados O perfil encontrado foi de mulheres com até 45 anos de idade que atuam na área por no máximo 10 anos. A formação foi predominantemente por meio de residência médica ou estágio reconhecido pela sociedade da especialidade. Cirurgia venosa, flebologia estética e ecografia vascular mostraram-se como principais campos de atuação para cirurgiãs vasculares. Apesar de possuírem titulação e publicações científicas, a sua representatividade nos cargos de liderança permanece baixa. Mais de 64% das participantes referiram sentimento de desvalorização profissional devido ao fato de serem mulheres. Conclusões Apesar das limitações da população estudada, este estudo preliminar corrobora com a ideia de que as cirurgiãs vasculares demonstram uma contínua dedicação à especialidade e abre um precedente para que novas pesquisas acessem os pormenores dessa atuação profissional, fomentando a discussão sobre as desigualdades entre os gêneros no exercício da medicina.
Solitary functioning kidney in children: clinical implications
Authors: Radhakrishna Veerbhadra , Govindarajan Krishna Kumar , Sambandan Kumaravel , Jindal Bibekanand , Naredi BikashKumar
Published: June 2018

ABSTRACT Introduction: Children with solitary functioning kidney (SFK) are prone to develop long term problems, which are not well represented in the literature. The extent to which the presence of associated congenital anomalies of kidney and urinary tract (CAKUT) further de-stabilize renal function is to be addressed. Objective: This study was conducted to evaluate the etiology, presentation, presence of CAKUT, and renal damage in children with SFK. Methods: All children with SFK who presented to the department of pediatric surgery from March 2014 to May 2016 were included in the study. Children with malignancy were excluded from the study. Results: Of the 20 patients with SFK, 14 (70%) had primary SFK (8 with agenesis and 6 with multicystic dysplastic kidney), 6 (30%) belonged to secondary SFK group, among them 3 had pelviureteric junction obstruction, 2 had posterior urethral valves and 1 had vesicoureteric reflux. Eight (40%) had associated CAKUT, 4 (20%) were asymptomatic while 8 (40%) had UTI and 6 (30%) had hypertension. Ten (50%) patients had reduced glomerular filtration rate (GFR) suggesting compromised renal function. Conclusion: Children with SFK have high morbidity especially when associated with ipsilateral CAKUT. Long-term periodical follow up is essential in these patients to improve clinical outcome.
Dimensão ideológica da emoção na gestão de vendedoras de cosméticos em uma empresa multinacional
Authors: Jost Rossana Cristine Floriano , Bulgacov Yára Lucia Mazziotti , Camargo Denise de
Published: June 2018

Resumo O propósito deste artigo é revelar a dimensão ideológica da emoção na prática de gestão de vendedoras de cosméticos informais em uma organização multinacional, presente em Curitiba-PR, a partir de uma análise situada. A emoção é compreendida como algo essencial à subjetividade humana, ligada ao pensamento, à atividade e à linguagem compartilhada culturalmente, como uma situação social com valor. As análises dos dados, a partir de entrevistas em profundidade, observação participante e análise documental, foram orientadas pela técnica dos núcleos de significação do discurso. Os resultados demonstram que as emoções são produções socioculturais utilizadas como instrumento gerenciável na organização, por meio de símbolos ideológicos que constituem os sujeitos. A emoção está inserida na experiência individual da atividade (histórica, processual e complexa) com sentido e significado, servindo como sofisticado instrumento de reprodução da ideologia da empresa; tal ideologia é sustentada pela identificação das vendedoras com as práticas sociais e as relações com o mundo, constituídas por sua atividade.
Experiência de formação docente na pós-graduação e pesquisa em educação: projeto Capes Pró-Ensino na Saúde da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Brasil
Authors: Troncon Luiz Ernesto de Almeida , Pazin-Filho Antonio , Bollela Valdes Roberto , Borges Marcos de Carvalho , Panúncio-Pinto Maria Paula
Published: June 2018

Este artigo descreve a experiência do projeto Pró-Ensino na Saúde (Capes-Edital 024/2010) da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo. Entre 2011 e 2016 o projeto formou quatro mestres e cinco doutores, além de criar disciplinas abordando tópicos de ensino-aprendizagem na saúde. Nesse período, consolidou-se grupo de pesquisa em educação na saúde, que vem desenvolvendo projetos específicos e publicando artigos inéditos e revisões sobre temas relevantes à docência na saúde. Todos os objetivos do edital Capes foram alcançados, apesar das dificuldades enfrentadas, como a pouca flexibilidade da pós-graduação na universidade, o que restringiu a admissão de pós-graduandos e o credenciamento de novos orientadores. Mesmo após o término do projeto, manteve-se o grupo de ensino e pesquisa, que continua contribuindo para a valorização da formação docente na pós-graduação e da pesquisa na área de ensino na saúde.
Comportamento antissocial nos jovens como sequela da privação: contribuições da clínica winnicottiana para as políticas públicas
Authors: Onocko-Campos Rosana
Published: June 2018

Este artigo, trilhando uma rota entre a Psicanálise e a Saúde Pública, utiliza várias categorias da clínica winnicottiana para repensar as abordagens das políticas públicas brasileiras para jovens infratores e suas famílias. Há muitos jovens que lidam com problemas de violência no Brasil de hoje. Para a abordagem clínica psicanalítica baseada nas contribuições de D. W. Winnicott, esse problema surge de uma falha na fase inicial, durante o desenvolvimento narcísico. O artigo também analisa os obstáculos dessas políticas no contexto atual e busca fornecer informações para obter a eficácia desejada dessas práticas e para projetar processos educacionais adequados para trabalhadores sociais e de saúde. Espera-se contribuir para um entrecruzamento incipiente, mas fértil, de campos disciplinares diferentes, colocando a Psicanálise de Winnicott em contato com questões urgentes de nosso tempo, como tem se visto em algumas publicações internacionais recentes no campo.
Habitar invisível: produção de vida e cuidado na experiência urbana
Authors: Silva Junior Diogo Vaz da , Belloc Márcio Mariath
Published: June 2018

Este trabalho discute as relações de produção de vida no espaço urbano, e sua potência para ensinar a pensar, planejar e produzir saúde. É um espaço que se constitui pelas relações do viver e habitar nele, por um sistema de valores político-econômico-sociais; transcende a linearidade, questiona a contraposição dual lar-rua, dentro-fora. Mas também é exposição a vulnerabilidades sociais e econômicas, que sobrecarregam a existência com estigma, preconceito e invisibilidade. Produz-se uma reflexão sobre a atenção às pessoas em situação de rua para além da estrutura física e das normas e protocolos convencionais das unidades de saúde. O encontro com o outro, trabalho vivo em ato, passa a ser a tecnologia fundamental. Um fazer em Saúde Coletiva vinculado a compreender as relações de viver na experiência urbana, pela produção de espaços relacionais de cuidado.
The impact of surgical intervention on renal function in cystinuria
Authors: Döven Serra Sürmeli , Delibaş Ali , Taşkınlar Hakan , Naycı Ali
Published: June 2018

ABSTRACT Introduction: Cystinuria is an autosomal recessive disorder due to intestinal and renal transport defects in cystine and dibasic amino acids, which result in recurrent urolithiasis and surgical interventions. This study aimed to assess the impact of surgical interventions on renal function by analyzing estimated glomerular filtration rates. Methods: Thirteen pediatric patients with cystinuria, who were followed-up in a single tertiary institution between 2004 and 2016, were included in the study. Medical records were reviewed to collect data on clinical presentation of patients, urine parameters, stone formation, medical treatment, surgical intervention, stone recurrence after surgical procedure, stone analysis, ultrasonography, 99m-technetium dimercaptosuccinic acid (99mTc-DMSA) radionuclide imaging results, and follow-up time. Creatinine clearances estimated by modified Schwartz (eGFR) formula before and after surgery were used to assess renal function and compared statistically. Results: Nine patients (69.2%) had renal scarring which were detected with 99mTc-DMSA radionuclide imaging. In ten patients (76.9%), open surgical intervention for stones were needed during follow-up. Significant difference was not detected between eGFR before and after surgical intervention (mean 92 versus 106, p = 0.36). Nine of the patients (69.2%) were stone free in the last ultrasonographic examination. Relapses of stone after surgery were seen in 66.6% of patients who underwent surgical intervention. Conclusions: Surgical interventions for urinary stones are commonly required in patients with cystinuria. Renal scarring is a prevalent finding in cystinuric patients. Surgical interventions have no negative impact on eGFR in patients with cystinuria according to the present study.
Soil variables as auxiliary information in spatial prediction of shallow water table levels for estimating recovered water volume
Authors: Santarosa Lucas Vituri , Manzione Rodrigo Lilla
Published: June 2018

ABSTRACT Spatial data became increasingly utilized in many scientific fields due to the accessibility of monitoring data from different sources. In the case of hydrological mapping, measurements of external environmental conditions, such as soil, climate, vegetation, are often available in addition to the measurements of water characteristics. An integrated modelling approach capable to incorporate multiple input data sets that may have heterogeneous geometries and other error characteristics can be achieved using geostatistical techniques. In this study, different physical hydric properties of soils extensively sampled and topography were used as auxiliary information for making optimal, point-level inferences of water table depths in forest areas. We used data from 48 wells in the Bauru Aquifer System in the Santa Bárbara Ecological Station (EEcSB), in the municipality of Aguas de Santa Bárbara in São Paulo State, Brazil. Using the resistance of soil to penetration and topography as auxiliary variables helped reduce prediction errors. With the generated maps, it was possible to estimate the volumes of water recovered from the water table in two periods during the monitoring period. These values showed that 30% of the recovered volume would be sufficient for a three-month supply of water for a population of 30,000 inhabitants. Therefore, this raises the possibility of using areas such as the EEcSB as strategic supplies in artificial recharging management.
CIÊNCIA E PROCESSO DECISÓRIO: A INFLUÊNCIA DOS EXPERTS NO LICENCIAMENTO AMBIENTAL DE UM EMPREENDIMENTO PETROLÍFERO NO LITORAL PAULISTA
Authors: Viglio José Eduardo , Monteiro Marko Synésio Alves , Ferreira Lúcia da Costa
Published: June 2018

O papel e a influência dos experts no processo político ainda é um debate em aberto na literatura, sendo ainda pouco estudado nos casos de licenciamento ambiental. Esse artigo analisa a atuação e a influência dos experts mobilizados por diferentes atores em arenas do licenciamento ligadas a empreendimentos tecnológicos. O artigo foca o Projeto Mexilhão da Petrobras, que foi instalado no Litoral Norte do Estado de São Paulo e no Vale do Paraíba para extração de petróleo e gás. O artigo identifica e analisa três fatores principais que condicionaram a influência dos experts no licenciamento ambiental: i) limites no poder de decisão na arena do de licenciamento; ii) assimetria de informação e expertise entre atores; iii) interpretações divergentes entre os experts. O trabalho argumenta em favor de abordagens multiatores e multiníveis do processo decisório, como proporcionadas pelo conceito de arena, para compreendera atuação e influência dos experts na política ambiental.
Immunotherapy-induced pneumonitis: cases report
Authors: Helber Henrique Alkalay , Hada Aline Lury , Pio Raquel Baptista , Moraes Pedro Henrique Zavarize de , Gomes Diogo Bugano Diniz
Published: June 2018

ABSTRACT Immunotherapy-induced pneumonitis is a rare complication with incidence estimated around 3%. This disease is difficult to diagnose and has great morbidity. For this reason, it became a challenge for oncologists and emergencists. We reviewed the case of five patients who used anti-PD1 (program cell death receptor antagonist 1) for antineoplastic treatment and developed treatment-induced pneumonitis. All patients had respiratory problems because of immunotherapy and presence of ground-glass radiologic change. Among all patients, only one had grade 5 pneumonitis, and delaying to begin corticosteroid therapy and worsening in clinical picture led to patient death. Other four patients with symptomatic grade 2 pneumonitis underwent corticosteroid therapy and had improvement in clinical and radiologic picture. Two patients were treated after an episode of pneumonitis, and no new pulmonary complications were observed until the end of this study. Immunotherapy-induced pneumonitis, although uncommon, can be potentially fatal. Medical team has the responsibility to pay attention for most common symptoms of the disease such as cough and dyspnea and conduct an early diagnosis and effective early treatment with corticosteroids.
Effects of unsaturated properties on stability of slope covered with Caesalpinia crista in Singapore
Authors: Rahardjo Harianto , Satyanaga Alfrendo , Wang Chien Looi , Wong Johnny Liang Heng , Lim Vincent Han
Published: June 2018

Rainfall plays an important role in affecting the slope stability in a tropical country such as Singapore. The soil in Singapore is mainly residual soil with a deep groundwater table that is commonly found in the unsaturated condition in the presence of matric suction. This paper presents the unsaturated properties of soil with roots of Caesalpinia crista and their effects on slope stability during rainfall. Laboratory tests were carried out to obtain the index properties, saturated properties (i.e. permeability and shear strength) and unsaturated properties (i.e. unsaturated shear strength and soil–water characteristic curve) of soil with and without roots of C. crista. Seepage analyses were performed to obtain the variations in pore-water pressures during and after rainfall. Slope stability analyses were conducted to obtain variations in the factor of safety during and after rainfall. The results indicated that soil with roots of C. crista had a higher saturated volumetric water content, a higher air entry value, a lower saturated permeability and a higher shear strength compared with soil without roots. In addition, the soil with roots of C. crista was effective in reducing the water infiltration into the slope during rainfall. Hence, slope stability can be maintained during rainfall.
Sand response to a large number of loading cycles under zero-lateral-strain conditions: evolution of void ratio and small-strain stiffness
Authors: Park J. , Santamarina J. C.
Published: June 2018

Geotechnical structures often experience a large number of repetitive loading cycles. This research examines the quasi-static mechanical response of sands subjected to repetitive loads under zero-lateral-strain boundary conditions. The experimental study uses an automatic repetitive loading frame operated with pneumatic pistons. Both vertical deformation and shear wave velocity are continuously monitored during 10 000 repetitive loading cycles. The void ratio evolves towards the terminal void ratio eTas the number of load cycles increases. The terminal void ratio eTis a function of the initial void ratio e0and the stress amplitude ratio Δσ/σ0. The number of cycles N* required to reach half of the final volume contraction ranges from N*→1 for densely packed sands (e0→emin) to N→103for loosely packed sands (e0→emax). As the soil approaches terminal density at a large number of cycles, peak-to-peak strains are dominated by elastic deformations, and the minute plastic strains that remain in every cycle reflect local and sequential contact events. The shear wave velocity increases during cyclic loading with data suggesting a gradual increase in the coefficient of earth pressure K0during repetitive loading. Changes in shear wave velocity track the evolution of the constrained modulus M; in fact, the constrained modulus can be estimated from the shear wave velocity to compute soil deformation in a given cycle. A simple procedure is suggested to estimate the potential settlement a layer may experience when subjected to repetitive mechanical loads.
Cumhuriyet Halk Partisi Hükümetlerinin Propaganda Aracı Olarak Öğrenci Faaliyetleri (1945-1950)
Authors: DUMAN Melih
Published: June 2018

Bu çalışma 1945-1950 yılları arasında Cumhuriyet Halk Partisi hükümetlerinin yurtdışında ve yurt içinde gerçekleştirdiği öğrenci faaliyetlerini, propaganda/kamu diplomasisiörneği olarak ele almaktadır. II. Dünya Savaşı ertesinde Sovyet Sosyalist CumhuriyetBirliği’nden (SSCB) algılanan tehdit üzerine Türkiye’nin, değişen dış politikasıdoğrultusunda, iki yönde propaganda izlediği görülmüştür. Bunlardan ilki ülke içerisindeizlenen Milli Birlik propagandasıdır. İkincisi ise yurt dışında, Sovyetlere karşı Batılıülkelerin desteğini almak üzere gerçekleştirilen tanıtıcı propagandadır. Çalışmamız, heriki propaganda çalışmasıyla bağlantılı olan ve aynı zamanda 1945-1950 dönemi için istisnaisayılabilecek kültürel-diplomatik propaganda örneği açısından eğitim ve öğrencifaaliyetlerini değerlendirmektedir.
Afif Damadı Hattat Osman Efendi (?-1806)
Authors: MERT Talip
Published: June 2018

XVIII. asır hattatlarındandır. İyi derecede bir hattat olduğu yazılarından anlaşılmaktadır.Afif Damadı Osman Efendi yine VXIII. Asır hattatlarından Afif İbrahim (?-1768)Efendinin kızı Emetullah Hanımla (?-1770) evli olduğundan imzalarında hep kayın pederininismini kullanmış, bu sebeple de hat dünyasında o hep “Afif Damadı Osman Efendiveya Afif Damadı Deli Osman” diye meşhur olmuştur. Yayımlanan bu belgeler ile DeliOsman Efendi hakkında yeni bazı bilgiler ortaya çıkmış bulunmaktadır. Emetullah Hanımlane kadar evli kaldıkları bilinmiyor. Fakat Emetullah Hanım kendisinden 36 seneönce vefat ettiğine göre çok uzun süren bir evlilik hayatları da her halde olmamıştı. Bunarağmen Osman Efendi belki eşinden dolayı, belki de kayın pederine olan aşırı sevgi vesaygısından dolayı Afif İbrahim Efendi’yi imzalarında hep yaşatmıştır.
Örgütsel Adaletin İş Tatmini Üzerindeki Etkisinde Örgütsel Bağlılığın Aracılık Etkisi
Authors: ASTAR Melek , BAHADIR Erdi , UMUTLU Fatma
Published: June 2018

Örgütsel bağlılık ve örgütsel adalet, çalışma hayatında verimi ve performansı etkileyenönemli unsurlardır. Bu nedenle iş tatmini ile doğrudan ilişkileri bulunmaktadır. Literatürdebu ilişkiler karşılıklı olarak incelenmiş ve ilişki yönleri belirlenmeye çalışılmıştır.Bu çalışmanın amacı ise değişkenler arası ilişkilerin yanı sıra örgütsel adaletin iş tatmininiyordamasında, örgütsel bağlılığın aracılık rolünün de incelenmesidir. Çalışmaya,187’si kadın ve 13’ü erkek olmak üzere toplam 200 hemşire katılmıştır. Veri toplamaaracı olarak, kişisel bilgi formu, Örgütsel Adalet Ölçeği, Örgütsel Bağlılık Ölçeği ve Minnesotaİş Tatmini Ölçeği’nin bulunduğu anket formu kullanılmıştır. Analizler sonucunda;örgütsel adalet, örgütsel bağlılık ve iş tatmini arasında doğrusal ve anlamlı ilişki olduğugörülmüştür. Ayrıca anlamlı ilişkiler ile birlikte örgütsel bağlılık ve örgütsel adalet düzey-lerin e göre iş tatmini puan ortalamaları anlamlı farklılık gözlendiğinden, örgütsel bağlılığınaracılık etkisine sahip olup olmadığının incelenmesi için basit ve çoklu doğrusalregresyon modelleri tahmin edilmiştir. Bu modellerden elde edilen katsayılar ve standarthatalar ile Sobel testi uygulanmış ve iş tatminini yordamasında örgütsel bağlılığın aracılıketkisi olduğu görülmüştür.
Ahmet Oktay’ın Gözünden 1960’larda Türk Basınında Siyasi Kamplaşma
Authors: FEDAİ Celâl
Published: June 2018

Ahmet Oktay, Cumhuriyet devri Türk edebiyatında şiirleriyle olduğu kadar, şiir veroman üzerine yazmış olduğu eleştirileriyle dikkat çekmiş; popüler kültür, toplumsaldeğişme ve Türk basını üzerine kaleme aldığı araştırma ve incelemeleriyle de tanınmışbir yazardır. Oktay, uzun yıllar TRT’de ve çeşitli gazetelerde çalışmış; bu esnada Türkbasınının gelişim sürecine bizzat şahitlik etmiş; çalışmalarıyla bu gelişim sürecinin geçmişineve geleceğine ilişkin eleştirel değerlendirmelerde de bulunmuştur. EleştirilerindeMarksist düşünceden istifade eden Oktay, geniş bir ilgi alanına sahiptir. Bu sayede farklıolguları birbirleriyle ilişkileri açısından değerlendirebilmektedir.Bu çalışmada Ahmet Oktay’ın Toplumsal Değişme ve Basın adlı kitabından yola çıkılarakTürk toplumunda 1960’lı yıllarda meydana gelen siyasî kamplaşmanın Türk basınınayansıyan boyutları ele alınmaya çalışılacaktır. Türk siyasî hayatının pek çok çatışmayasahne olan bu dönemi, Ahmet Oktay’ın titiz araştırmacılığı ve eleştirel bakışı üzerindengözler önüne serilmeye gayret edilecektir.
جماليّةُ اتِّساعِ المعنى في أُسلوب الحَذْف “دراسةٌ بلاغيّةٌ في ضوءِ التّفاسيرِ القُرآنيّةِ‟
Authors: ALOMİRAT Suliman
Published: June 2018

درسَ البحث بلاغة أسلوب الحذف في القرآن الكريم من جهة أنّه يجعل المعاني واسعة، فكان البحثينظرُ بعينِ بلاغيٍّ يقرأُ كتبَ التّفسير؛ بهدف بيان جهود المفسّرين في استخراج النكت البلاغية من أسلوبالحذف في القرآن الكريم، وإظهار رؤية الباحث في هذه المسألة.واهتم البحث بحذف المسنَد إليه، والمفعول به، والمضاف، والمضاف إليه، والصّفة أو الموصوف،والجملة المعطوفة، وجملة الخبر، وجملة جواب الشَّرط. وأكّد تقديرَ المحذوف تَبَعًا للمعنى القرآنيّ، وأكّدأثر القرينة في تحديد المحذوف، وتكلّم على حذف أكثر مِن جُملةٍ، وحذف الحرف، والاحتباك في القرآنالكريم.
Arzu Terzi, Bezmiâlem Valide Sultan
Authors: ŞAFAK Nurdan
Published: June 2018

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Published: June 2018

شاع بعد سقوط الخلافة العُثمانيَّةِ مصطلحُ الدولة
المدنيَّة بين الباحثين العرب ـ إسلاميين وعلمانيين ـ وزادت حدَّة النقاش حول هذا
المصطلح بعد ما جرى في السنوات الأخيرة من تغيرات مفاجئة في عالمنا العربي، وأودُّ
في هذا المقال عرض أهمِّ مقوِّمات هذه الدولة في الفكر الغربي والعربي، وتحديد
الموقف الإسلاميِّ منها، لأصل من خلال ذلك إلى نتيجة تحكم على هذا المفهوم ومكانه
من السياسة الشرعيَّة الإسلاميَّة. وسأمهِّد لذلك ببيان معنى الدولة وتطورها في
الفكر الغربي، ثم سأستعرض أهمَّ مقومات الدولة المدنيَّة التي يكاد يجمع عليها
الباحثون، لأبيِّن أين تتفق وأين تختلف مع الرؤية الإسلاميَّة.
İlköğretim Matematik Öğretmen Adaylarının Matematiksel Zihin Alışkanlıklarının Problem Çözme Sürecinde İncelenmesi
Authors: ÜNVEREN BİLGİÇ Emine Nur
Published: June 2018

Araştırmanın amacı;

öğretmen adaylarının Analiz III dersi kapsamında problem çözme süreçlerindeki

matematiksel zihin alışkanlıklarının etkisinin incelenmesidir. Bu amaç

doğrultusunda çalışma nitel paradigma takip edilerek gerçekleştirilmiştir. Eylem

araştırması deseninde gerçekleştirilen çalışmanın katılımcılarını 79 öğretmen

adayı oluşturmaktadır. Katılımcıların seçiminde amaçlı örnekleme yöntemi

kullanılmıştır. Öğretmen adaylarına matematiksel zihin alışkanlıklarını tecrübe

edebilecekleri yedi haftalık bir eğitim verilmiştir. Eğitim öncesinde ve

sonrasında öğrencilere birer problem vererek problem çözme süreçlerinde

matematiksel zihin alışkanlıkları incelenmiştir.  Öğretmen adaylarının çözümleri betimsel

analizin aşamalarına uygun olarak analiz edilmiştir. Araştırma; öğretmen adaylarının

yüksek öğrenim sürecinde aldıkları alan derslerinin kavranmasında teorik

düzeyde kaldıklarını ve bu eğitimin bilgiyi pratikte kullanmalarına izin

verdiğini ifade ettiklerini ve matematiksel zihin alışkanlıklarının

geliştirilmesinin öğretmen adaylarının problem çözme süreçlerine olumlu bir

katkısının olduğunu  ortaya çıkarmıştır.
Kesir İşlemlerinde Model Kullanma: Bir Durum Çalışması
Authors: YAVUZ MUMCU Hayal
Published: June 2018

Bu çalışmanın amacı öğretmen

adaylarının kesir işlemlerinde matematiksel model kullanma performanslarının

incelenmesidir. Çalışma nitel olarak desenlenmiş bir durum çalışmasıdır.

Çalışma grubunu bir devlet üniversitesinin ilköğretim matematik öğretmenliği

programında öğrenim görmekte olan ve matematiksel

modelleme seçmeli dersini almış olan 29 öğretmen adayı oluşturmaktadır.

Çalışmada veri toplama aracı olarak araştırmacı tarafından oluşturulmuş ve 12

adet açık uçlu sorudan oluşan Başarı Testi kullanılmıştır. Çalışma sonucunda

öğretmen adaylarının toplama ve çıkarma işlemleri söz konusu olduğunda tüm

modelleri başarı ile kullanabiliyorken, çarpma ve bölme işlemlerinde söz konusu

modelleri kullanmakta güçlük çektikleri gözlenmiştir. Özellikle çarpma ve bölme

işlemlerinde öğretmen adaylarının kesir işlemlerinin algoritmasını/anlamını ve

kesirlerin gösteriminde bütün ile kesirsel parçaların ilişkisini model

kullanarak ifade etmekte zorlandıkları görülmüştür. Çalışma sonuçları ile

ilgili olarak matematik öğretmenliği lisans öğretim programlarında, alanı

öğretme bilgisini içerecek spesifik derslerin daha fazla yer alması ve öğretim programlarına

matematikte öğrencilerin öğrenme güçlüğü çektiği özel kavramların nasıl öğretileceği

bilgisini içeren yeni ve farklı derslerin eklenmesi önerilmiştir.
Китайский юань: дорога в тысячу ли начинается с первого шага
Authors: Шотина Анна Владимировна
Published: June 2018

Статья посвящена вопросу появления китайского юаня в корзине специальных прав заимствования Международного валютного фонда. В статье отражены причины включения юаня МВФ в корзину СПЗ, а также последствия, которые могут иметь место в будущем.
Сознательное и бессознательное в политике (Платон и «пещерные люди»)
Authors: Буренко Владимир Иванович
Published: June 2018

В статье на материалах «символа пещеры» Платона  представлена трактовка сознательного и бессознательного в политике.

Текст доклада автора на Всероссийской научной конференции «Культура между Логосом и Мифом: к проблеме бессознательного (к 80-летию А. Э. Воскобойникова)», которая прошла в Московском гуманитарном университете 26–27 октября 2017 года.
MAESTRO, J. G. (2018). La filosofía de los poetas. Madrid: Editorial Verbum, 241 pp., ISBN: 978-84-9074-590-8.
Authors: Maire Bobes Jesús
Published: June 2018

MAESTRO, J. G. (2018). La filosofía de los poetas. Madrid: Editorial Verbum, 241 pp., ISBN: 978-84-9074-590-8.
Knowledge, attitude, and practices about contraceptive in Western Rajasthan, India
Authors: Aseri Gayatri , Agrawal Sudesh
Published: June 2018

Background: This study was carried out to assess the knowledge, attitude, and practice of contraceptive methods among women attending a tertiary care hospital in Western Rajasthan.Methods: This cross-sectional study was conducted in the department of obstetrics and gynecology, PBM and the associated group of hospitals, attached to Sardar Patel Medical College, Bikaner, Rajasthan, India. Total 500 married women between age group 15-49 yrs were included. These all women interviewed using a structured questionnaire after approval of the hospital’s ethical committee.Results: Total 500 women interviewed for their knowledge, attitude, and practices about contraception. Out of which, 402 (80.4%) women had some knowledge of at least one contraception method at the time of the study.  The most common sources of information about contraception were husband and family member. Amongst the various contraceptives most commonly known was condom (78.4%). Only 265 (53%) women were practicing contraception at present. Most commonly used contraceptive was condom (40.8%). The most common reason for the non-practice of contraception was need of more child or male child in 34.8% families followed by opposition from in-laws (12.4%).Conclusions: Literacy was positively associated with family planning related knowledge and practices. Preconception knowledge and practices about contraception are poor in our study population. Many of the women were getting MTP pills over the counter without consulting to health care persons and then later presents with complications.
Assessment of knowledge and practices of menstrual hygiene among urban adolescent girls in North India
Authors: Gandotra Nikita , Pal Reena , Maheshwari Sonam
Published: June 2018

Background: Menstruation and menstrual practices are still associated with   socio-cultural restriction and taboos which results lack of knowledge and awareness in adolescent girls and remain ignore of scientific facts and hygienic practices during menstruation leads to severe reproductive health problems. The aim of the study is to assess the knowledge and menstrual hygiene practices among urban adolescent girls.Methods: A cross sectional observational study conducted. Total 120 adolescent girls enrolled in this study who were attended in gynaecological OPD. A structured questionnaire was used for data collection. Data was collected regarding menstrual cycle, knowledge about menstruation, practices during menstruation and menstrual hygiene. Data entry and analysis was carried out in Microsoft excel and analysis done by using frequency.Results: All participants were doing schooling, most of them they have done their high school study (47.5%) and 52.5% of adolescent girls were attended menarche between 10-13 yrs of age. Majority of participants were knowing about the menstruation before menarche (62.5%). Friends followed by mothers were the major sources of knowledge i.e.35% and 27.5% respectively. 22.5% of adolescent girls still using cloth as menstrual absorbent.Conclusions: All adolescent girls should be educated about the menstruation, physiological implications, its significance and proper hygienic practices during menstruation. Incorrect restrictions, myths and beliefs associated with menstruation can be removed by the help of parents, teachers, trained school nurses/ health personnel.
An audit of hysterectomies at a tertiary care teaching hospital
Authors: Rajora Parveen , Bhatti Seema Grover
Published: June 2018

Background: Hysterectomy is the second most common major surgical procedure performed on women all over the world next to caesarean section. Emergence of effective medical and conservative treatment for benign conditions in the uterus is now posing a question mark regarding the justification of hysterectomy. It has been realized that uterus should not be considered as a vestigial organ after child bearing. Apart from few population based studies, there is no national level survey done in India which give us the prevalence and indications for hysterectomy in India.Methods: Present study involved all patients who underwent Hysterectomy at Guru Gobind Singh Medical College Faridkot in a span of one year from 1st January 2017 to 31st December 2017.Results: In the year 2017, 250 hysterectomies were done, most common age group was 40-49 years (36.8%) and most common indication was fibroid uterus (40%) followed by ca ovary (19.6%), Abdominal route was most commonly preferred.Conclusions: Hysterectomy was justified in 98% women in our series based on post operative histopathological report of the specimen. However we hypothesize that 20 cases of DUB, 5 cases of CIN and 10 cases of endometriosis and 3 cases of chronic cervicitis could have been managed conservatively. 10 cases of obstetric hysterectomies could have been avoided by disseminating awareness among peripheral centres for early referral and by attempting a rather conservative approach of uterine artery embolizations. As the incidence of carcinoma is increasing in the Malwa region of Punjab people prefer hysterectomies instead of conservative treatment. Hysterectomy is used commonly to improve the quality of life and sometime it is life saving procedure. However it should be justified before taking a direct decision of sacrificing uterus.
Effectiveness of ligation of uterine vessels prior to uterine incision for major placenta previa on reducing maternal morbidity without increasing neonatal morbidity
Authors: V. K. Shantha , M. Priyadarshini , Dharshini A. Priya , Jacob Litty Mariyam
Published: June 2018

Background: Placenta previa causes massive obstetric haemorrhage and severe maternal morbidity. The objective is to analyse the effectiveness of uterine vessels (artery and vein) ligation before uterine incision in reducing blood loss and hysterectomy during caesarean section for major placenta previa without increasing morbidity in the newborn.Methods: A retrospective analysis of caesarean section for major placenta previa from 2002 to 2017 was done.  Uterine vessels ligation before uterine incision was done in 52 patients. In 19 patients unilateral and in 33 patients bilateral uterine vessels ligation was done before uterine incision. In control group, 12 patients with major placenta previa uterine vessels were ligated after the removal of the placenta. The blood loss, blood transfusion, maternal morbidity and NICU admission of the newborns were compared.Results: The mean blood loss was 1002 ml in unilateral, 793 ml in bilateral uterine vessels ligation group, compared to 2191 ml in the control group. The mean blood transfusion volume 0.89 units in unilateral 0.60 units in bilateral ligation group while 2.33 units in the control group. The difference in blood loss and blood transfusion were statistically significant. Out of 52 babies, only 6 babies were admitted in NICU for mild depression with stay less than 3 days.Conclusions: Uterine vessels ligation before uterine incision reduces blood loss and hysterectomy during caesarean section for placenta previa without increasing the morbidity in the newborns.
Study of outcome of obstetric emergencies admitted to intensive care unit
Authors: Bahadur B. Rao , Kodey Prabhadevi , Tanniru Jeevitha , Tirumala Suhasini
Published: June 2018

Background: Critically ill obstetric patients pose challenges to the intensive care unit team due to their altered physiology as well as due the presence of the foetus and safety of both the mother and the foetus is of paramount importance.Methods: All antenatal and postnatal cases within 42days of delivery requiring ICU admission from October 2014 to September 2016. Detailed history taken and outcome noted. Results were subjected to statistical evaluation using SSP software.Results: (n=75): obstetric reasons (n=51, 68%) of which 21(28%) had PPH and 17(22.6) had hypertensive disorders of pregnancy. Non-obstetric reasons (n=24, 32%) of which 7(9.3%) cases had jaundice and 4(5.3%) had malaria. Mechanical ventilation was needed in the majority of cases (n=44, 58.7%) followed by inotropic support (n=30, 40%).Maternal mortality was 16%. Mortality was higher (n=8, 66.6%) among patients admitted for obstetric reasons as opposed to non-obstetric indications (n=4, 33.3%).Conclusions: Early detection and prompt referral to the tertiary centre with intensive care facilities should be promoted among the medical fraternity to reduce the incidence of ICU admissions and maternal mortality. All residents of obstetrics and gynaecology should have short mandatory training phase in critical care. Multicentre randomised studies are required for formulating evidence-based national guidelines.
Demographic parameters of women with uterine fibroids presenting as abnormal uterine bleeding
Authors: R. Podder Manjiri , Podder Rahul , V. Shivkumar Poonam
Published: June 2018

Background: Uterine fibroids are commonest benign uterine tumors. Only about 25% women with fibroids are symptomatic. Around 70-80% are discovered incidentally during routine pelvic examination. Using ultrasonography screening, some authors have estimated a cumulative incidence of 70% in all women by age 50. Symptoms attributable to fibroids are mainly abnormal uterine bleeding (AUB), pelvic pressure, pain, and reproductive dysfunction. Heavy and/or prolonged menses is the typical bleeding pattern with myomas. Uterine fibroids are a leading cause of hysterectomy in perimenopausal women, thus, this study was done to find out its prevalence and demography in women presenting with AUB. The objectives of the present investigation were to find out the prevalence of uterine fibroid in women with AUB and to find out the various demographic features of womenMethods: The study was done for 2 years in the Dept of Obstetrics and Gynecology of a rural tertiary institute after taking clearance from institutional ethical committee. All the women presenting with AUB were included in the study. History and demographic features was enquired and entered in a predesigned proforma. All women were clinically examined after consent. Women with suspicion of fibroid were subjected to diagnostic modalities and the reports were followed and correlated.Results: Total 11,841 patients came to Gynaeological OPD during the study period. Out of these 3,878 (32.75%) presented with AUB, 2,126 were diagnosed as having fibroids after examination and investigations. Hence, the prevalence of fibroids amongst the women with AUB was 54.82% and 17.95% amongst all gynaecological patients. Maximum women were between 31-40 years, (64.78% rural and 62.73% urban). Majority were having parity between 1-2 (40.73% in urban, 38.96% in rural).Conclusions: Uterine fibroids are the commonest reason of AUB in reproductive age group with the prevalence of 54.82%. The trends in age incidence have remained the same over the years, commonly affecting women in third decade. There is no difference in incidence of fibroids amongst various socioeconomic classes.
Pentology of Cantrell: a rare case report with review of literature
Authors: Tile Rajesh , Jamkhandi Supriya
Published: June 2018

Pentology of Cantrell a rare congenital disorder of unknown etiology consists of pentad of: defect in the diaphragm, abdominal wall defect, deficiency of the pericardium and intracardiac defects. The hallmark diagnostic findings being ectopia cordis and omphalocoele. The exact pathogenesis is not clear, and the prognosis of this lethal condition depends on the severity of anterior abdominal wall defect and associated cardiac anamoly. Antenatal ultrasonography is a reliable tool of diagnosis and allow for termination of pregnancy if done before 20weeks of pregnancy. First described by Cantrell in 1958, very few cases have been reported till now in the literature. Authors describe here a case of a neonate delivered at 32weeks of gestation weighing 2.3kg at their hospital with typical features of Cantrells’ Pentology associated with a rare interesting finding of absent external genitalia and presence of lumbar meningocoele.
Fracture humerus during caesarean section: a case report
Authors: Kumar Rakesh , Mundhra Rajlaxmi
Published: June 2018

Caesarean section is considered safer than vaginal delivery in risks involved for birth injury. Birth injury is more common in vaginal breech deliveries but are also encountered in caesarean section. Authors hereby report a case of long bone fracture in a neonate which occurred during caesarean section. The neonate presented with erb’s palsy and wrist drop. Baby was admitted and was managed with a U slab (pop slab) with physiotherapy which was later replaced by arm body strapping. Obstetricians and Paediatricians should remain vigilant for the rare chance occurrence of birth injuries during caesarean section also so that cases are not missed and managed timely for prevention of disability and deformities later.
Varied clinical presentations of scar endometriosis: case reports
Authors: Gupta Nidhi , Mazhari Farhat , Varun Neha , Tripathi Reva
Published: June 2018

Endometriosis is the second most prevalent benign gynaecological condition, in reproductive age women, defined as the presence of functioning endometrial tissue outside uterine cavity. Scar endometriosis is a rare entity with an incidence of 0.3-1% among reproductive age women following obstetric and gynaecologic surgeries. Complaints of pain, tender mass, cyclical association with menstrual cycle is almost pathognomonic. Here we present two case reports of scar endometriosis recently encountered at our institute – caesarean scar endometriosis and episiotomy scar endometriosis. The quoted episiotomy scar endometriosis incidence is about 0.06 - 0.07% while that of caesarean scar endometriosis is 0.03-0.4%.
A rare presentation of benign Brenner tumor of ovary: a case report
Authors: Periasamy Sumathi , Sengodan Subha Sivagami , . Devipriya , Pandian Anbarasi
Published: June 2018

Brenner tumors are rare ovarian tumors accounting for 2-3% of all ovarian neoplasms and about 2% of these tumors are borderline (proliferating) or malignant. These tumors are commonly seen in 4th-8th decades of life with a peak in late 40s and early 50s. Benign Brenner tumors are usually small, <2cm in diameter and often detected incidentally during surgery or on pathological examination. Authors report a case of a large, calcified benign Brenner tumor in a 55-year-old postmenopausal woman who presented with complaint of abdominal pain and mass in abdomen. Imaging revealed large complex solid cystic pelvic mass -peritoneal fibrosarcoma. She underwent laparotomy which revealed huge Brenner tumor weighing 9kg arising from left uterine cornual end extending up to epigastric region. Myomectomy and hysterectomy with bilateral salphingo oophorectomy, omentectomy done and the specimen was sent for histopathological and immunohistochemistry study which revealed benign Brenner tumor. Brenner tumors are rare ovarian neoplasms accounting for 2-3% of all ovarian tumors. Benign Brenner tumors are usually small and solid whereas borderline and malignant Brenner tumors are usually larger and cystic with solid areas. But it is possible to have a completely benign large Brenner tumor. Therefore, benign nature of the lesion should not be excluded even when the ovarian tumor is very large.
A successful obstetric outcome in pregnancy complicated with cor pulmonale, pulmonary hypertension secondary to pulmonary tuberculosis: a case report
Authors: Venkatachala Rao Preethi , Sheela C. N. , G. Shobha , Devaraj Uma , Kedlaya Arpana , Varghese Kiron
Published: June 2018

Pregnancy in patients with pulmonary hypertension and cor pulmonale is associated with high morbidity and mortality. The timing of termination of pregnancy, mode of delivery, labour analgesia and anaesthesia and management during puerperium are challenging issues which need to be resolved. Authors report a case of a 30-year-old primigravida with cor pulmonale and severe pulmonary artery hypertension secondary to past pulmonary tuberculosis, who delivered a healthy baby vaginally, due to its rarity and good outcome. Early diagnosis, effective management of aggravating factors like anaemia and hypertension, informed choice by the couple regarding route of delivery and multidisciplinary approach are the keys to successful outcomes in patients with cor pulmonale.