bluuebunny/crossref_metadata_2025 huggingface dataset:
Patients’ Satisfaction on Services of Border Guard Hospital, Guimara, Bangladesh
Authors: Wahab Md Abdul , Zafreen Farzana , Ahmed Mohsen Uddin , Rahman Md Habibur , Razzak Md Abdur
Published: October 2020

Introduction: Patients’ satisfaction is one of the established yard sticks to measure success of the hospitals. To improve the quality of services, health organizations use patient satisfaction survey to evaluate their processes delivered. A satisfied patient is more likely to develop a deeper and longer lasting relationship with their medical service providers, leading to improved compliance, continuity of care, and ultimately better outcomes.

Objectives: To assess the patients satisfaction with services provided and the infrastructure facilities of Border Guard Hospital, Guimara (BGHG), of Khagrachari district Bangladesh.

Materials and Methods: This descriptive cross sectional study was conducted among the patients who attended the outpatient department of BGHG from January to December 2017. Total 1340 patients aged more than 18 years, irrespective of sex, having no serious complications and willing to participate were selected by convenient sampling. Data were collected by semi-structured questionnaire by face to face interview and analyzed by SPSS 21.0.

Results: Out of 1340 respondents 53.7% were serving BGB members, 18.3% were BGB families and 28.0% respondents were local residents. Majority of the patients stated that the general basic facilities at the hospital were adequate. Regarding cleanliness 94.7%, waiting room sitting facilities 91.9%, drinking water availability 88.4%, lighting arrangement 96.7%, ventilation arrangement 88.1% and toilet facilities 91.1% respondents reported that the hospital facilities were adequate. Most of the respondents were satisfied with the quality of professional services by all type of staffs of the hospital. Highest 84.9% of the respondents were satisfied with doctors’ attitude, behavior and cooperation. About other staffs; 72.9% respondents were satisfied with attitude, behavior and cooperation of nurses, 71.9% with pharmacists, 71.1% with registration clerk, 75.3%, with information desk, 70.2% with guards and 73.8% with supporting staffs.

Conclusion: Patients attended at BGHG was highly satisfied about the infrastructure and the services provided the hospital. But few percentages of patients expressed their dissatisfaction. BGHG authority should keep it up and try to improve further.

Journal of Armed Forces Medical College Bangladesh Vol.15 (1) 2019: 13-15
Post-Traumatic Stress Disorder among Burn Patients in a Tertiary Hospital
Authors: Hasan Md Iqbal , Rahman Md Shafiqur , Shaheen Rukhsana
Published: October 2020

Introduction: Imbalance in multi-factorial components of human ecology plays a role in developing post-traumatic stress disorder hampering economical productivity and normal social life.

Objectives: To find out the interplay of issues that are conducive to the outcome of the disorder among hospital admitted burn patients.

Materials and Methods: This unobtrusive qualitative behavioral health research by in-depth interview was conducted among conveniently selected 35 burn patients in Dhaka Medical College Hospital of Bangladesh from July 2013 to June 2014. The data were analyzed to draw conclusion through etic and/or emic interpretation. All ethical issues were taken care of.

Results: The highest 80% burn patients were married, 71% were male, and 80% were Muslim. Majority 37.14% were day laborer, 28.57% had completed primary education, 34.29% belonged to the age group 21-30 years, and 43% had monthly family income up to Tk. 10000. Of 41% burn occurring at home, majority 27% occurred during rice cooking, affecting the upper limb in 29% cases. Social dislocation was the major phenomena leading to burn injury in 22.86% of the patients. Lack of harmonious relationship and in-laws poking in conjugal life sometime led to deliberate infliction of burn.

Conclusion: The study concluded with the suggestions for prevention of neoteric entry in the domain of post-traumatic stress disorder through social movement and psychotherapy of burn patients. Study also hinted for further probing of the phenomenon of the disorder.

Journal of Armed Forces Medical College Bangladesh Vol.15 (1) 2019: 27-31
Demography of Lung Cancer Patients: A Retrospective Study in Military Hospital, Dhaka
Authors: Elahi Md Quadrat E , Razzak Md Abdur , Islam Md Azizul , Alam Md Ashraful
Published: October 2020

Introduction: The habit of smoking bidis and cigarettes is of long standing and widely prevalent in the southern part of Asia and largely in Bangladesh. Currently there are limited data on the lung cancer patients of Bangladesh.

Objectives: To determine the correlation of smoking and lung cancer patients of CMH, Dhaka and to review their demographic profile.

Materials and Methods: This retrospective hospital based study was conducted at Cancer Center, CMH, Dhaka. A total of 128 patients of lung cancer were enrolled those who were admitted to CMH Dhaka from January 2011 to December 2014. Data were collected in a predesigned format from old documents.

Results: Age range of 128 lung cancer patients were from 28 to 80 years. Most of the patients 114(89.06%) belonged to >50 years age group, male 105(82.03%), 106(82.8%) smoker, 14(10.94%) were non-smoker and in 8 (6.25%) cases the smoking habit was not mentioned in documents. Most of the patients 60(47.24%) were from Dhaka district and belonged to lower middle class background 110(85.93%). Common coexisting diseases were COPD 30(23.43%), HTN 32(25%) and DM 25(19.53%). Maximum lung cancer cases were squamous cell subtype 38(29.69%) and adenocarcinoma 35(27.43%). TNM stage group IIIA were 25(19.53%), IIIB 40(31.25%) and IV were 35(27.34%). Large majority of patients were treated with chemotherapy alone 89(66.42%) and concurrent chemotherapy and radiotherapy 31(24.13%). Most of the patients of lung cancer 123(96%) died within 2 years of diagnosis.

Conclusion: In this study, there was a strong correlation between smoking and lung cancer. Majority were diagnosed late in advanced stage and treated with chemotherapy alone or chemotherapy and radiotherapy combined. Prognosis was poor in this series and 96% died within 2 years of diagnosis.

Journal of Armed Forces Medical College Bangladesh Vol.15 (1) 2019: 32-34
Pattern of Common Inherited Coagulation Disorders: Evaluation of 100 Cases
Authors: Bhuiyan Mohammed Nuruzzaman , Giti Maj Gen Susane , Uddin Mohammed Mosleh , Tarek Monwar , Khan Lutfunnahar
Published: October 2020

Introduction: The bleeding disorders having inherited abnormality of haemostasis may present with significant difficulties in diagnosis and management. The overall frequency of these disorders in the general population is low.

Objectives: To study the frequency of inherited coagulation disorders and their prevalent clinical manifestations.

Materials and Methods: A prospective cross sectional study of one hundred patients of all age group and both sexes was organized as both in-patient and out-patient based in the Department of haematology, Armed Forces Institute of Pathology (AFIP) from July 2012 to June 2013.

Results: In this study, out of 100 patients, haemophilia A, diagnosed in 75% patients, was the most common disorder. Age group ranging from 5-15 years constituted 48% of total patients. Male to female ratio of patients having hereditary coagulation defect was 73:2 in haemophilia A whereas 2:3 in vWD. Consanguinity was documented in 60% of vWD and 24% of haemophilia A. The most common clinical symptom in hereditary coagulation defect (HCD) was echymosis (60%). The most common presenting feature of haemophilia was haematoma (57.95%) whereas menorrhagia was the most common presentation of female patients with vWD. Among 97 patients of haemophilia and vWD, 59(60.82%) cases were in mild form and 04(4.12%) cases were found to have severe coagulation defect. Fresh frozen plasma (FFP) is the most common modality of treatment in HCD.

Conclusion: It has become the need of the time to find out such a cost effective diagnostic parameter to make an early diagnosis of inherited coagulation disorders.

Journal of Armed Forces Medical College Bangladesh Vol.15 (1) 2019: 64-66
Sero-prevalence of Blood Borne Agents among Voluntary Blood Donors
Authors: Rahman AKM Shafiqur , Md Arifuzzaman - , Shourov Md Mehedhi Hasan , Zafreen Farzana
Published: October 2020

Introduction: Blood transfusion is a significant life-saving intervention in the present era of patient management system. As the blood and blood products are a potential source of infections and the necessity of transfusion is increasing day by day, transfusion transmissible infections have become a major threat to the system of ensuring safe transfusion.

Objectives: To find out the sero-prevalence of Hepatitis B, Hepatitis C, HIV, Syphilis and Malaria parasite among the blood donors and to ascertain risk behaviour of the blood donors.

Materials and Methods: This descriptive cross-sectional study was conducted on purposively selected 115 blood donors at Armed Forces Institute of Pathology (AFIP) during the period of 1st September to 31st December 2011.

Results: The study revealed among 115 blood donors 7.8% were HBsAg positive. More than half of the HBsAg positive cases 66.67% were from civilian. None of the respondents was found positive for anti-HCV, VDRL, Malaria and anti-HIV. All of the donors in this study were voluntary donors. The sample studied had a mean age of 28.03 ± 6.79 years and 90.5% of donors were belongs to age group 18-37 years and female was only 6.1%. Most of the donors (49.5%) were military personnel,86%above SSC educated and 22.6% had visited abroad. Regarding risk behaviour 38.3% had the history of undertaking dental procedure, 0.9% were found undertaking blood transfusion, 2.6% had the history of illicit sex and 29.6% had the history of suffering from jaundice and among them only 1.7% were found HBsAg positive.

Conclusion: The study finding demands motivation against unnecessary blood transfusion. It also emphasize health education programme among peoples having risk behaviour.

Journal of Armed Forces Medical College Bangladesh Vol.15 (1) 2019: 71-74
Role of Ultrasonography in Evaluation of Pelvic Mass in Female
Authors: Perveen Rosy , Islam AFMS , Rahman Habibur , Khan Ruksana P
Published: October 2020

Introduction: Ultrasonography is one of the best non-iinvasive diagnostic tool to evaluate the size, consistency and gross structure of a pelvic mass. In very difficult situation when the pelvic examination cannot reach any specific diagnosis, ultrasonography can help by both functional and morphological information reliability of ultrasonography in various pelvic masses in female.  Objectives: To observe the role of ultrasonography (USG) in evaluation of pelvic mass.

Materials and Methods: This observational study was carried out on 110 patients over a period of 2 years from January 2014 to January 2016 who reported to surgical and Gynae out patient department (OPD) in Medical College for Women and Hospital (MCWH), Dhakaand Catharsis Hospital, Pubail, Dhaka.All patients underwent pelvic ultrasonography and findings were compared with actual status of the patients and finally confirmed by hystopathology after operation.

Results: Total 110 patients of pelvic masses were evaluated out of which 88 patients were found to be ultrasonographically positive and the remaining 22 were negative and out of these 88 patients 84 were hystopathologically confirmed. Out of 22 ultrasonographically negative patients, 08 cases were found to be hystologically confirmed.

Conclusion: Pelvic masses is one of the common complaints in gynaecological cases. Proper clinical assessment is the mainstay of diagnosis and addition of routine abdominal ultrasound by graded compression technique can improve the diagnostic accuracy and adverse outcome.

Journal of Armed Forces Medical College Bangladesh Vol.15 (1) 2019: 87-89
Long Term Survivor of Vaginal Primary Malignant Melanoma
Authors: Kalam Farhana , Pervin Shahana
Published: October 2020

Primary malignant melanoma of the vagina is a rare entity which constitutes less than 3% of vaginal cancer and only 0.3-0.8% of all melanomas in women. It has a high risk of local recurrence and distant metastasis. Once a recurrence is noted, survival is extremely poor. This article reports a case of primary vaginal melanoma with longer survival. As long-time survival of stage II vaginal melanoma is a rare phenomenon, this case is a unique one in Bangladesh; emphasizing on both importance of routine gynaecological examination for any suspicious pigmented lesions in the vagina as well as the necessity of further research on validating treatment protocols.

Journal of Armed Forces Medical College Bangladesh Vol.15 (1) 2019: 114-115
Paraneoplastic Polymyositis in a Patient of Myelofibrosis
Authors: Razzak Md Abdur , Khandker Jesmin , Islam Sk Md Jaynul
Published: October 2020

Polymyositis is a rare rheumatologic disorder. Exact cause is unknown but autoimmunity, genetic and environmental factors like infection and drugs may be responsible. It may be a primary autoimmune disease, associated with other autoimmune diseases or underlying malignancy. There is two-way relationship between polymyositis and malignancy. Patients with polymyositis and dermatomyositis has increased chance of various malignancies. On the other hand polymyositis and dermatomyositis may be a paraneoplastic manifestation of some malignancies like carcinoma lung, ovary, breast, pancreas, colon, lymphoma, MDS and myeloproliferative disorders. We have diagnosed a case of polymyositis in a patient of Myelofibrosis (MF). The patient presented with inflammatory myopathy affecting proximal muscles of the limbs, neck muscles, laryngeal and pharyngeal muscles. Muscle enzymes were markedly elevated, EMG and MRI were in favour of inflammatory myopathy. Muscle biopsy showed inflammatory infiltrates in muscles mostly by T- cells with myonecrosis, degeneration and regeneration without vasculopathy and perivascular change. Primary polymyositis and other autoimmune diseases were excluded by absence of relevant autoantibodies. So he was diagnosed as a case of paraneoplastic polymyositis.

Journal of Armed Forces Medical College Bangladesh Vol.15 (1) 2019: 116-118
Effect of Cement on Strength Properties of Recycled Construction and Demolition Materials
Authors: Riyad ASM , Asha Md Zakir Hasan
Published: October 2020

Evaluation of innovative ways is necessary to use a huge amount of recycled construction and demolition materials generated in Bangladesh and require satisfaction considering environmental, economic and engineering perspectives. In that sense, this study evaluates the outcomes when stabilized with locally available ordinary Portland cement. Furthermore, this study evaluates the research laboratory characterization of physical, geotechnical, and strength properties of unbound construction and demolition materials, for example, reclaimed asphalt from the pavement (RAP), recycled crushed concrete (RCA) and crushed brick (CB). The results advocated that cement can be a feasible alternative for the stabilization of unbound construction and demolition materials. Based on the test outcomes, RAP, CB, and RCA were found to require 2% of cement to meet the requirements for stabilization with a curing duration of 7 days.

Journal of Engineering Science 11(1), 2020, 09-17
Aikuiskasvatuksen sosiologinen tutkimus
Authors: Vaherva Tapio
Published: October 2020

Aikuiskasvatussosiologia määritellään välitieteeksi, joka tutkii aikuiskasvatuksen ja -opetuksien ongelmia sosiologian viitekehyksestä. Sosiologisten koulukuntien tarkastelun avulla jäsennetään aikuiskasvatustutkimuksen kehittämistä, sekä sosiaalisten perusprosessien ja tietoteoreettisten näkökulmien yhdistämisen avulla nähdään voitavan perustaa sellainen teoreettinen pohja, jolta perustalta voidaan selvittää aikuiskasvatuksellisia pulmakysymyksiä.
Työelämän koulutuksen kehittäminen ja tutkimus
Authors: Tuomisto Jukka
Published: October 2020

Artikkelissa todetaan, että työelämän koulutuksen tutkiminen on ollut toistaiseksi vähäistä ja teoreettisesti vaatimatonta. Kiinnostus sitä kohtaan on kuitenkin viime vuosina selvästi lisääntynyt. Kirjoittajan mielestä työelämän koulutuksen kokonaisvaltainen hahmottaminen edellyttää koulutuksen historiallisten kehityslinjojen tutkimista. Samanaikaisesti alan tutkijoiden tulisi selvittää, mikä on työelämän koulutuksen asema ja tehtävät nykyisessä teknologisessa kehitysvaiheessa ja miten koulutusta voitaisiin käyttää hyväksi työelämän demokraattisessa uudistamisessa
Asumir el conflicto: mediación cultural y gobernanza compartida. El (no tan) extraordinario caso de Harinera ZGZ
Authors: Garulo Osés Diego
Published: October 2020

A día de hoy, nadie se atreve ya a negar que el principal mandato de las instituciones culturales públicas es garantizar el pleno derecho de acceso a la cultura de cualquier persona. Sin embargo, las dificultades se multiplican cuando dichas instituciones, lastradas por la rigidez, el vértigo ante lo incierto o la falta de mecanismos, tratan de ponerlo en práctica. ¿Qué condiciones deberían darse en ellas para que puedan llegar a abrir nuevos espacios reales para la participación y la gobernanza compartida?

Entre las múltiples respuestas posibles, una interpela directamente a los gestores culturales públicos: una reconversión hacia un ejercicio basado en la mediación, facilitando espacios y procesos desde los que explorar modelos de gobernanza compartida que doten de agencia a las comunidades en la producción y la toma de decisiones en cultura.

En ese contexto, la experiencia de Harinera ZGZ se presenta como una práctica real dirigida a materializar ese derecho de acceso. Un equipamiento cultural público dedicado a la cultura comunitaria en el que administración, tejido vecinal y agentes culturales comparten su gestión, a través de un modelo asambleario que en sus cuatro años de andadura se ha consolidado como un éxito. Una institución que se ha repensado, ofreciendo un marco replicable desde el que abrir nuevos espacios a la participación, la democracia cultural y la accesibilidad.
Especies de procesos y especies de espacios
Authors: Parramon Arimany Ramon
Published: October 2020

Este texto analiza, desde la perspectiva del espacio, una serie de conceptos, planteamientos y maneras de hacer interrelacionadas mediante las prácticas artísticas, los espacios sociales y las prácticas colaborativas. Lo hace a través de experiencias concretas impulsadas por Idensitat, que con una larga trayectoria (iniciada entre finales del siglo pasado e inicios del actual), ha tratado de darles forma y sentido a partir de la activación de procesos donde confluyen lo artístico, lo social y lo colaborativo. Se han seleccionado tres proyectos recientes que, más allá de ilustrar la metodología en que confluyen conceptos, planteamientos y maneras de hacer, nos permiten tratar cada uno de ellos como entes autónomos y partes enriquecedoras de un glosario evolutivo común. Un glosario donde los procesos toman forma a partir de la creación de otros espacios de encuentro entre lo artístico, lo social y lo colaborativo.
Huerta Bizarra: El caso de una naturocultura
Authors: Abellán Alarcón Antonio , Nieto Fernández Enrique
Published: October 2020

En este artículo y a modo de entrevista, se desbrozan las líneas principales de trabajo de Huerta Bizarra, una vía de investigación práctica en torno a los futuros posibles del diseño y la arquitectura a partir de un entorno tan sensible como es la Huerta de Murcia. A partir de aspectos como la fragilidad, el paso del tiempo o el desajuste con los criterios de valor propios de la ciudad contemporánea, así como de la presencia de entidades no humanas como el clima, animales o plantas, el trabajo de huerta Bizarra explora la posibilidad del disfrute, la ligera o la dimensión relacional en el despliegue de futuros posibles y alternativas viables para nuestros paisajes y territorios.
El patrimonio cultural en la teoría de los bienes comunes ¿De lo público “institucional” a lo público “común”?
Authors: D'Orsogna Domenico , Iacopino Annarita
Published: October 2020

El artículo reflexiona sobre la relación que existe entre el patrimonio cultural y los bienes comunes y sobre "luces y sombras” de la administración "compartida" del patrimonio cultural. La dimensión de lo "común" ya está presente en el sistema jurídico dentro de los esquemas "institucionales" y, por lo tanto, dentro de los modelos de organización y de la actividad administrativa cuyo centro de gravedad está marcado, más que por un régimen de propiedad (pública o privada), por el ejercicio de funciones y deberes públicos de gobernanza de los diversos sectores a los que acceden los bienes.
El procomún y los bienes comunes
Authors: Cruz Molina Sergio
Published: October 2020

Los bienes comunes y la forma de tratarlos de una manera que beneficie a un grupo, a través de una vía independiente de las leyes mercantiles y los gerentes públicos, es lo que propone la obra. Es una forma de gestión que se centra en el bien para una sociedad y no en el beneficio del mercado, dejando a la economía al servicio del ser humano y no viceversa como ocurre actualmente.
Bem viver, una alternativa a la idea de desarrollo
Authors: Turino Célio
Published: October 2020

Bem Viver no es una alternativa al desarrollo, sino una alternativa a la idea misma de desarrollo. La forma de pensar occidental, especialmente en la etapa del capitalismo, organizó la sociedad en base a tres ideas básicas: explotación, acumulación y separación. Para la forma de pensar amerindia, la buena forma de vivir en el planeta, o en casa (del idioma guaraní: Teko Porã, la buena forma de vivir en casa; o Sumak Kawsay, buen vivir, en quechua) también se basa en tres ideas , pero muy diferentes, las llamadas tres armonías de Bem Viver: armonía del individuo consigo mismo, armonía del individuo con la comunidad, armonía de la comunidad con los demás seres que habitan el planeta. En este artículo, que forma parte de un libro del autor (All the way-points of culture in Latin America), se presenta esta forma milenaria de pensar, ser y estar en el planeta a partir de relatos y experiencias con los pueblos andinos.
Gestión Comunitaria de la Cultura en Barcelona. Valores, retos y propuestas
Authors: Quito Fernández Silvia Isabel
Published: October 2020

Esta publicación aborda la forma de hacer cultura desde las comunidades locales implicadas activamente en la producción y gestión de contenidos, que se expanden en la ciudad de Barcelona y participan en la gobernanza de las prácticas y los espacios culturales.
De los objetos a los sujetos: transiciones del patrimonio cultural. Reconceptualizaciones y reinstitucionalizaciones
Authors: Burgos Barrantes Benito
Published: October 2020

Este texto propone diversas intersecciones y contrastes entre la evolución de los escenarios epistemológicos y sociales más o menos recientes y su incidencia en el sentido y alcance de la noción de patrimonio cultural, dentro y fuera de las a menudo rígidas e impermeables categorías jurídicas y académicas que lo definen y acotan. A partir de ahí pretende indagar y profundizar en las distintas transiciones hacia el sujeto que afectan y tensan esa noción –tradicionalmente objetivo-material- de patrimonio cultural, que aparece aquejada de ciertas contradicciones y adherencias históricas que cuestionan en cierto modo su legitimidad para representar plena y fidedignamente el clima y las nuevas sensibilidades sociales e intelectuales de esta época. Las reconceptualizaciones y resemantizaciones del patrimonio repercuten naturalmente en sus actuales modos de gobierno y gestión y en sus dispositivos de institucionalización.
PENGEMBANGAN LKPD BERORIENTASI REACT STRATEGY PADA MATERI MOMENTUM DAN IMPULS
Authors: Wulandari Winda Tri , Hamdani Dedy , Sutarno Sutarno
Published: October 2020

ABSTRAK Penilitian ini bertujuan untuk : 1) menghasilkan LKPD berorientasi REACT strategy yang layak dan dapat digunakan pada materi momentum dan impuls; 2) mendeskripsikan karakteristik LKPD berorientasi REACT strategy yang telah dikembangkan pada materi momentum dan impuls. Metode penelitian yang akan digunakan untuk pengembangan LKPD berorientasi REACT strategy. Penelitian ini merupakan penelitian dan pengembangan (research and development) dengan model 4-D, dimana pada penelitian hanya dilakukan sampai tahap Develop. Berdasarkan hasil uji validasi produk oleh ahli didapatkan skor rata-rata dengan persentase sebesar 73,3% pada aspek media, 84,5% pada aspek materi, dan 80% pada aspek bahasa. Berdasarkan hasil tersebut, dapat disimpulkan bahwa LKPD beorientasi REACT strategy yang dihasilkan sudah valid dengan persentase rata-rata sebesar 79,3%. Adapun karakteristik LKPD yang dikembangkan terdapat tahapan-tahapan dari REACT strategy. Kata kunci: Penelitian dan Pengembangan, LKPD, REACT strategy, momentum dan impuls. ABSTRACT The research aimed to: 1) produce LKPD  with suitable REACT strategy orientation and can use for momentum and impulses materials; 2) describe LKPD characteristics with REACT strategy orientation that have developed in momentum and impulse materials. This research was a research and development (research and development) with a 4-D model, which was only carried out until the develop stage. Based on the results of the product validation test by experts obtained an avarage score 73,3% for media aspects, 84,5% for material aspects, and 80% for language aspects. Based on these results obtained conclusions that LKPD with REACT strategy orientation that produced is valid with percentage about 79,3%. As for LKPD characteristics that developed discoverd several steps in REACT strategy. Keywords: Research and Development, LKPD, REACT Strategy, Momentum and Impulses
Sistematização da assistência, teorias e processo de enfermagem – uma revisão de literatura
Authors: Siqueira Patrícia Lopes de Freitas
Published: October 2020

Objetivou-se com o presente estudo identificar os trabalhos publicados na literatura nacional que descrevam suas experiências na Sistematização da Assistência de Enfermagem através da execução do Processo de Enfermagem na assistência prestada e a teoria de enfermagem utilizada para embasar a operacionalização do Processo de Enfermagem. Realizou-se um estudo exploratório, descritivo, de abordagem quantitativa, utilizando dois descritores e um termo da Biblioteca Virtual em Saúde, de modo associado, nas bases de dados LILACS, BDENF e SCIELO, no período de 2009 a 2019. Após análise prévia dos resumos e metodologia, foram inclusos na pesquisa, os trabalhos de relato de caso, que retratavam em seu assunto principal os descritivos e termo, “Processo de Enfermagem”, “Teoria de Enfermagem” e “Sistematização de Enfermagem”.  Foram selecionados 9 estudos, para elaboração da pesquisa. As teorias mais utilizadas pelos autores foram a teoria das necessidades humanas básicas de Wanda Aguiar Horta e a teoria do autocuidado de Dorothea Elizabeth Orem. Houve uma conformidade no que se refere à importância da realização do processo de enfermagem no cuidado de enfermagem, que precisa ser incorporado de maneira definitiva na assistência de enfermagem. Apesar da conformidade dos autores na importância da sistematização da assistência de enfermagem e do processo de enfermagem, foi levantada a necessidade de conscientização e treinamentos para os profissionais acerca do tema.
Análise dos serviços de um restaurante universitário na perspectiva dos usuários
Authors: Vieira Valéria Gonçalves , Cavalcanti Elmano Pontes
Published: October 2020

O setor de serviços desempenha um papel importante na economia. Estando presente em diversas organizações, sejam elas públicas ou privadas, de pequeno ou grande porte, todas atuam em serviços, seja em maior ou menor grau. Sendo assim, este trabalho tem como objetivo avaliar a qualidade do serviço prestado por um Restaurante Universitário, de acordo com a percepção dos usuários. Foi utilizada uma abordagem quantitativa de caráter descritivo, onde os dados obtidos foram analisados estatisticamente. O público-alvo foi composto pelos estudantes universitários frequentadores do Restaurante em questão. A pesquisa foi conduzida por amostragem probabilística aleatória simples, obtendo 200 respondentes. Realizou-se uma adaptação do modelo SERVQUAL, um questionário foi aplicado aos usuários do restaurante, buscando avaliar suas expectativas e percepções a respeito dos serviços. No geral, as expectativas dos usuários superaram o desempenho dos serviços, demonstrando a existência de lacunas para todos os itens analisadas. Assim, diante dos resultados da avaliação do Restaurante Universitário existem evidencias de que os usuários não possuem uma boa percepção quanto à qualidade dos serviços. Sendo necessário o desenvolvimento de estratégias por parte da gestão do estabelecimento para melhor atender as necessidades de seus usuários.
Educação Física, formação de professores e inclusão
Authors: Silva Neto Antenor de Oliveira , Souza Lúcio Marques Vieira , Lima Júnior Cássio Murilo Almeida , Pinto Daniel Neves , Santos Jorge Rollemberg dos , Amorim Simone Silveira
Published: October 2020

O presente artigo de reflexão trata da Educação Física e a sua importância para a inclusão de pessoas com deficiência na escola. Tem por objetivo compreender a Educação Física junto à educação inclusiva e ao processo de formação de professores no contexto da inclusão. É necessária uma melhor preparação dos professores de Educação Física para a educação inclusiva. A Educação Física no âmbito escolar possui um forte potencial para a inclusão de alunos independentemente do nível e do tipo de deficiência. A Educação Física tem uma função clara ao utilizar o jogo, a dança, o esporte, as lutas, as ginásticas, na promoção da aprendizagem dos gestos motores, através da vivência e experiência motora em qualquer conteúdo trabalhado. Desse modo, é essencial que a formação do professor de Educação Física o conduza a uma ação reflexiva e o estimule para o contexto social que a escola está inserida, despertando-os constantemente sobre a sua prática e, consequentemente, as contribuições na formação do aluno.
Diferentes metodologias de ensino em aula de controle de qualidade
Authors: Tombini Caroline , Machado Junior Francisco Roberto da Silva , Dalcanton Francieli
Published: October 2020

Utilizar metodologias diferenciadas pode trazer benefícios para o aprendizado dos discentes, promovendo transformações no método de ensino, sendo este o grande desafio atual. Nesse sentido, apresentam-se as metodologias ativas como uma ferramenta de promoção do processo de ensino-aprendizagem, que insere o aluno como autônomo na sua busca pelo conhecimento. Assim, o objetivo deste estudo foi avaliar a percepção dos acadêmicos de cursos de Engenharia Química e Engenharia de Alimentos perante à utilização de metodologias diferenciadas de ensino em duas aulas ministradas. Para isso, utilizaram-se vídeos, jogos de perguntas e respostas e notícias atuais vinculadas com o tema de estudo para promover a participação ativa dos acadêmicos que foram avaliadas com a aplicação de um questionário online. Como resultado, observou-se que a maioria dos acadêmicos julgaram necessária a utilização de diferentes metodologias, como as que foram utilizadas na aula em questão, e que isso promoveu maior entendimento e motivação em relação ao conteúdo estudado, mostrando que os estudantes anseiam por mudanças para favorecer o ensino-aprendizagem.
Eixos estruturantes da atenção primária na saúde da criança: revisão integrativa
Authors: Branquinho Isabella Duarte , Lanza Fernanda Moura
Published: October 2020

Objetivo: Sintetizar as evidências da presença e extensão dos atributos da atenção primária na saúde da criança no Brasil. Método: Revisão Integrativa da literatura utilizando-se das bases de dados PubMed, Lilacs e SciELO. Buscou-se artigos originais disponíveis gratuitamente na íntegra, publicados a partir de 2002 nos idiomas português, inglês e espanhol, que utilizaram o Primary Care Assessment Tool com usuários cuidadores de crianças até 09 anos. Os nove artigos selecionados foram analisados mediante formulário previamente elaborado. Resultados: Dentre os artigos selecionados, todos foram publicados em periódicos brasileiros e são provenientes de pesquisas realizadas no Brasil. Dos sete artigos que apresentaram o escore geral da atenção primária à saúde na saúde da criança, encontrou-se apenas um cenário com forte orientação, mas com pontuação limítrofe (6,6). Conclusão: A avaliação da atenção primária à saúde com base em seus atributos ordenadores é uma preciosa ferramenta para a gestão dos serviços de saúde, no entanto, os trabalhos analisados demonstram que, sob o ponto de vista do usuário (cuidador), os serviços que prestam assistência à criança, sobretudo, no cenário brasileiro, não estão orientados para a atenção primária. Desta forma, fica evidente a necessidade de se repensar a estrutura e os processos envolvidos neste campo.
Effect of Bellamya purificata on organic matter degradation in surface sediment as revealed by amino acids
Authors: Hou Y , Li B , Luo J , Zhang C , He J , Zhu J
Published: October 2020

The accumulation of organic matter (OM) in the sediment of aquaculture ponds is a potential threat for aquaculture ecosystems and the surrounding environment. The snailBellamya purificatais a potential bioremediation species which may solve this problem. To investigate the effects ofB. purificataon OM degradation in surface sediment, an 84 d experiment was carried out. The experimental setup entailed 6 glass tanks which were divided intoB. purificatatreatment (BPT) and control (CON). At the end of the experiment, a significantly lower degradation index (DI), reactivity index (RI), and carbon-normalized yield of amino acids were observed in BPT compared to CON, with mean ± SD values of -0.47 ± 0.43, 1.24 ± 0.01, and 6.24 ± 0.44, respectively. BPT showed higher oxidation-reduction potential and bacterial 16S rRNA gene copies than CON. Total organic carbon, total nitrogen, and total hydrolysable amino acid concentrations in the BPT treatment were 1.83 ± 0.10%, 0.07 ± 0.01%, and 22.38 ± 0.53 µmol g-1, respectively, all of which were significantly lower than in CON. A clustered heat-map of different indexes related to OM degradation in sediments showed the final BPT as one separate category, which was different from the initial samples and the final CON. Overall,B. purificatacould effectively facilitate OM degradation by promoting oxidation-reduction potential and bacterial populations, and ultimately by inhibiting the OM accumulation in sediment. Our results therefore provide support for the application ofB. purificatato reduce the risk of endogenous pollution caused by OM accumulation in aquaculture ponds.
Prospects for manipulating peripheral defocus in hyperopic children: a literature review
Authors: Markova E. Yu. , Myagkov A. V. , Avakyants G. V.
Published: October 2020

In recent years, the use of contact lenses (CL) in pediatric ophthalmology practice has become increasingly relevant. It is, on the one hand, associated with an increasing compliance with guidelines for using contact lenses and the improvement of lenses’ capabilities, on the other hand. Currently, the indications to contact lens wear in children are the same as for the adults, although with certain specific limitations. In addition, there is also a number of specific indications for using contact lenses in children. In this regard, the purpose of this review was to study the effect of using hyperopic defocus inducing CLs in young children with moderate and high hyperopia.

Conflict of interest: Elena Yu. Markova and Alexander V. Myagkov, being members of the editorial board of the journal, were excluded from the process of peer review and making a decision on the acceptance of this article.
Exocytosis and Endocytosis: Yin-Yang Crosstalk for Sculpting a Dynamic Growing Pollen Tube Tip
Authors: Zhao Lifeng , Rehmani Muhammad Saad , Wang Hao
Published: October 2020

The growing pollen tube has become one of the most fascinating model cell systems for investigations into cell polarity and polar cell growth in plants. Rapidly growing pollen tubes achieve tip-focused cell expansion by vigorous anterograde exocytosis, through which various newly synthesized macromolecules are directionally transported and deposited at the cell apex. Meanwhile, active retrograde endocytosis counter balances the exocytosis at the tip which is believed to recycle the excessive exocytic components for multiple rounds of secretion. Therefore, apical exocytosis and endocytosis are the frontline cellular processes which drive the polar growth of pollen tubes, although they represent opposite vesicular trafficking events with distinct underpinning mechanisms. Nevertheless, the molecular basis governing the spatiotemporal crosstalk and counterbalance of exocytosis and endocytosis during pollen tube polarization and growth remains elusive. Here we discuss recent insight into exocytosis and endocytosis in sculpturing high rates of polarized pollen tube growth. In addition, we especially introduce the novel integration of mathematical modeling in uncovering the mysteries of cell polarity and polar cell growth.
High-Resolution COSMO-CLM Modeling and an Assessment of Mesoscale Features Caused by Coastal Parameters at Near-Shore Arctic Zones (Kara Sea)
Authors: Platonov Vladimir , Kislov Alexander
Published: October 2020

Coastal Arctic regions are characterized by severe mesoscale weather events that include extreme wind speeds, and the rugged shore conditions, islands, and mountain ranges contribute to mesoscale event formation. High-resolution atmospheric modeling is a suitable tool to reproduce and estimate some of these events, and so the regional non-hydrostatic climate atmospheric model COSMO-CLM (Consortium for Small-scale Modeling developed within the framework of the international science group CLM-Community) was used to reproduce mesoscale circulation in the Arctic coast zone under various surface conditions. Mid-term experiments were run over the Arctic domain, especially over the Kara Sea region, using the downscaling approach, with ≈12 km and ≈3 km horizontal grid sizes. The best model configuration was determined using standard verification methods; however, the model run verification process raised questions over its quality and aptness based on the high level of small-scale coastline diversity and associated relief properties. Modeling case studies for high wind speeds were used to study hydrodynamic mesoscale circulation reproduction, and we found that although the model could not describe the associated wind dynamic features at all scales using ≈3 km resolution, it could simulate different scales of island wind shadow effects, tip jets, downslope winds, vortex chains, and so on, quite realistically. This initial success indicated that further research could reveal more about the detailed properties of mesoscale circulations and extreme winds by applying finer resolution modeling.
Testis Sparing Surgery in Pediatric Testicular Tumors
Authors: Kooij Cezanne D. , Hulsker Caroline C.C. , Kranendonk Mariëtte E.G. , Zsiros József , Littooij Annemieke S. , Looijenga Leendert H.J. , Klijn Aart J. , Mavinkurve-Groothuis Annelies M.C.
Published: October 2020

Objective: The purpose of this review is to evaluate the outcomes of testis sparing surgery (TSS) and to investigate under which circumstances TSS can be considered a safe treatment option in pediatric patients with testicular tumors. Methods: A database search was performed in Cochrane, Pubmed, and Embase for studies that focused on TSS as treatment for testicular tumors in the pediatric population, excluding reviews and single case reports. Results: Twenty studies, describing the surgical treatment of 777 patients with testicular tumors, were included in the analysis. The majority of pediatric patients with benign germ cell tumors (GCTs) (mean age: 3.7 years) and sex cord-stromal tumors (SCSTs) (mean age: 6.6 years) were treated with TSS, 61.9% and 61.2%, respectively. No cases of testicular atrophy occurred. Four of the benign GCTs, i.e., three teratomas and one epidermoid cyst, recurred. No cases of recurrence were reported in patients with SCSTs. Of the 243 malignant GCTs (mean age: 4.2 years), only one patient had TSS (0.4%). Conclusion: TSS is a safe treatment option for prepubertal patients less than 12 years of age with benign GCTs and low grade SCSTs.
A Zebrafish Model of Retinitis Pigmentosa Shows Continuous Degeneration and Regeneration of Rod Photoreceptors
Authors: Santhanam Abirami , Shihabeddin Eyad , Atkinson Joshua A. , Nguyen Duc , Lin Ya-Ping , O’Brien John
Published: October 2020

More than 1.5 million people suffer from Retinitis Pigmentosa, with many experiencing partial to complete vision loss. Regenerative therapies offer some hope, but their development is challenged by the limited regenerative capacity of mammalian model systems. As a step toward investigating regenerative therapies, we developed a zebrafish model of Retinitis Pigmentosa that displays ongoing regeneration. We used Tol2 transgenesis to express mouse rhodopsin carrying the P23H mutation and an epitope tag in zebrafish rod photoreceptors. Adult and juvenile fish were examined by immunofluorescence, TUNEL and BrdU incorporation assays. P23H transgenic fish expressed the transgene in rods from 3 days post fertilization onward. Rods expressing the mutant rhodopsin formed very small or no outer segments and the mutant protein was delocalized over the entire cell. Adult fish displayed thinning of the outer nuclear layer (ONL) and loss of rod outer segments, but retained a single, sparse row of rods. Adult fish displayed ongoing apoptotic cell death in the ONL and an abundance of proliferating cells, predominantly in the ONL. There was a modest remodeling of bipolar and Müller glial cells. This transgenic fish will provide a useful model system to study rod photoreceptor regeneration and integration.
Long-Term Low-Dose Delta-9-Tetrahydrocannbinol (THC) Administration to Simian Immunodeficiency Virus (SIV) Infected Rhesus Macaques Stimulates the Release of Bioactive Blood Extracellular Vesicles (EVs) that Induce Divergent Structural Adaptations and Signaling Cues
Authors: Lyu Yuan , Kopcho Steven , Mohan Mahesh , Okeoma Chioma M.
Published: October 2020

Blood extracellular vesicles (BEVs) carry bioactive cargo (proteins, genetic materials, lipids, licit, and illicit drugs) that regulate diverse functions in target cells. The cannabinoid drug delta-9-tetrahydrocannabinol (THC) is FDA approved for the treatment of anorexia and weight loss in people living with HIV. However, the effect of THC on BEV characteristics in the setting of HIV/SIV infection needs to be determined. Here, we used the SIV-infected rhesus macaque model of AIDS to evaluate the longitudinal effects of THC (THC/SIV) or vehicle (VEH/SIV) treatment in HIV/SIV infection on the properties of BEVs. While BEV concentrations increased longitudinally (pre-SIV (0), 30, and 150 days post-SIV infection (DPI)) in VEH/SIV macaques, the opposite trend was observed with THC/SIV macaques. SIV infection altered BEV membrane properties and cargo composition late in infection, since i) the electrostatic surface properties (zeta potential, ζ potential) showed that RM BEVs carried negative surface charge, but at 150 DPI, SIV infection significantly changed BEV ζ potential; ii) BEVs from the VEH/SIV group altered tetraspanin CD9 and CD81 levels compared to the THC/SIV group. Furthermore, VEH/SIV and THC/SIV BEVs mediated divergent changes in monocyte gene expression, morphometrics, signaling, and function. These include altered tetraspanin and integrin β1 expression; altered levels and distribution of polymerized actin, FAK/pY397 FAK, pERK1/2, cleaved caspase 3, proapoptotic Bid and truncated tBid; and altered adhesion of monocytes to collagen I. These data indicate that HIV/SIV infection and THC treatment result in the release of bioactive BEVs with potential to induce distinct structural adaptations and signaling cues to instruct divergent cellular responses to infection.
Diatom Diversity on the Skin of Frozen Historic Loggerhead Sea Turtle Specimens
Authors: Kanjer Lucija , Majewska Roksana , Van de Vijver Bart , Gračan Romana , Lazar Bojan , Bosak Sunčica
Published: October 2020

In recent years, biofilm-forming diatoms have received increased attention as sea turtle epibionts. However, most of the research has focused on carapace-associated taxa and communities, while less is known about diatoms growing on sea turtle skin. The current study investigated diatom diversity on the skin of loggerhead sea turtle heads detached from the carcasses found along the Adriatic coast between 1995 and 2004 and stored frozen for a prolonged period of time. By using both light and scanning electron microscopy we have found diatom frustules in 7 out of 14 analysed sea turtle samples. Altogether, 113 diatom taxa were recorded, with a minimum of seven and a maximum of 35 taxa per sample. Eight taxa, Achnanthes elongata, Berkeleya cf. fennica, Chelonicola sp., Licmophora hyalina, Nagumoea sp., Navicula sp., Nitzschia cf. lanceolata, and Poulinea lepidochelicola exceeded 5% of relative abundance in any one sample. The presumably obligately epizoic diatom taxa, A. elongata, Chelonicola sp., and P. lepidochelicola, dominated in six loggerhead samples, contributing up to 97.1% of the total diatom abundance. These observations suggest that on the sea turtle skin highly specialised taxa gain even greater ecological advantage and dominance over the co-occurring benthic forms than in the carapace biofilms. The suitability of frozen sea turtle skin specimens for diatom analysis and limitations of this approach are discussed.
Spatiotemporal Evaluation of PM10 Concentrations within the Greater Athens Area, Greece. Trends, Variability and Analysis of a 19 Years Data Series
Authors: Moustris Konstantinos P. , Petraki Ermioni , Ntourou Kleopatra , Priniotakis Georgios , Nikolopoulos Dimitrios
Published: October 2020

This work investigates the spatiotemporal variation of suspended particles with aerodynamic diameter less than or equal to 10 μm (PM10) during a nineteen years period. Mean daily PM10 concentrations between 2001 and 2018, from five monitoring stations within the greater Athens area (GAA) are used. The aim is to investigate the impact of the economic crisis and the actions taken by the Greek state over the past decade on the distribution of PM10 within the GAA. Seasonality, intraweek, intraday and spatial variations of the PM10 concentrations as well as trends of data, are statistically studied. The work may assist the formation of PM10 forecasting models of hourly, daily, weekly, monthly and annual horizon. Innovations are alternative ways of statistical treatment and the extended period of data, which, importantly, includes major economic and social events for the GAA. Significant decreasing trend in PM10 series concentrations at all examined stations were found. This may be due to economic and social reasons but also due to measures taken by the state so as to be harmonised with the European Directives concerning the protection of public health and the atmospheric environment of the European Union (EU) members.