bluuebunny/crossref_metadata_2025 huggingface dataset:
Clinical correlation between serum uric acid level and tophus involmente of tendon: a descriptive study
Authors: Soni Susheel , Mantri Deepak , Agrawal Penosh
Published: December 2018

Background: Clinical correlation between serum uric acid level and tophus involvement of tendon.

Methods: This is a non randomised multicetric prospective study carried out from December 2015 to May 2018. This is a descriptive study comprising 108 patients with diagnosis of gout according to the American College of Rheumatology (ACR) criteria. US examination included the quadriceps tendons, the patellar Tendon, peroneus tendon and the Achilles tendon. All tendons were evaluated bilaterally according to the EULAR guidelines for performing US in rheumatology.

Results: We included the patients aged between 20-60 year. In this study male patients was 86 (79.63% ) and 22 (20.37%) patient were female. In this study 108 patients with serum uric acid level between 5.5 -9.0 mg/dl with age from 20 yr to 60 yr were studied. Uric acid level between 7 - 9 mg/dl found in 68.48% and it was in age between 30–45 yr of age. 73 patiens (67.59%) had pain at enthesis for at least once before inclusion in the study. Intra-tendinous tophi and hyperechoic aggregates were the most frequent lesions at the tendon in US examinations. In our study Patellar tendon is the most frequently involved tendon followed by quadriceps, Achilles and peroneus tendon.

Conclusions: Tophius involvement of tendon in the lower limbs in gout is very frequent, particularly at the patellar tendon, Quadriceps tendon and Achilles tendon.
Trousseau’s sign in orthopedic: a rare sequelae of inadequate postoperative pain management
Authors: Acharya Hriday P. , Patel Zulfikar M. , Mungalpara Nirav K. , Mehta Meet S.
Published: December 2018

Background: Pain management in orthopedic is very crucial matter to handle, which is many a times not managed properly and that leads to various medical complications to the patients. Trousseau sign of latent tetany is a medical sign observed in patients with low calcium. This is the first and one of a kind case series describing the development and pathogenesis of Trousseau sign in orthopedics.

Methods: This is a case series of 5 patients with lower limb fractures who underwent surgery. All these patients developed Trousseau's sign in immediate postoperative period. All the patients were investigated and were diagnosed with respiratory alkalosis. They were managed with closed bag ventilation which relieved the symptoms.

Results: Here we put forward a direct physiological and psychological relation between a low pain threshold and associated hyperventilation with lead to development of Trousseau's sign in our patients. So, next time in postoperative round, if we see patient hyperventilating and complaining about fixed hand’s position, do not start calcium gluconate drip immediately, it may be due to respiratory alkalosis, then closed bag ventilation would be suffice.

Conclusions: Trousseau’s sign seen postoperatively in Orthopedics may be commonly due to inadequate pain management rather than altered calcium metabolism.

 
Calcar buttressed screw fixation for femoral neck fracture
Authors: Manoj K. K. Arvind , Karthik R. , Sankar A. Vishnu
Published: December 2018

Background: The incidence of neck of femur fracture among elderly population is increasing day by day. Femoral neck fracture has always been an unsolved fracture as far as treatment and results are concerned. There are different views regarding the optimal method of internal ﬁxation in femoral neck fractures. Biomechanical data from literature suggest that calcar ﬁxation is superior to central screws placement. This study aims to analyse the functional and radiological outcome of femoral neck fractures treated by calcar buttressed screw fixation described by Filipov as biplane double supported screw fixation.

Methods: This is a prospective study conducted in our institution from May 2015 to May 2018.The study included 43 patients (31 male, 12 female) with femoral neck fracture. Three 6.5-mm cannulated screws were laid in two medially diverging oblique planes. The distal and the middle screws were supported on the calcar. The distal screw had additional support on the posterior neck cortex. Patients were followed up for average period of 2 years. Functional outcome was evaluated using Harris Hip score.

Results: Bone union occurred in 40 patients (93%) with average period of 3-4 months. 51.2% of cases had excellent outcome. 23.2% of cases had good and 16.3% of cases had fair outcome. 9.3% of cases ended with poor outcome. Non union was reported in 3 patients (7%) and AVN in one patient. Various factors like age, Garden and Pauwel fracture types, time of presentation and time of surgery were statistically significant to the final functional outcome in our study.

Conclusions: By providing additional calcar buttress compared to conventional method, this technique of screw fixation enhances femoral neck fracture fixation strength and reduces the fixation failure. 
Treatment of stable and unstable intertrochanteric fractures using proximal femoral nail and their functional assessment using modified Harris hip score
Authors: Rathore Lakshya P. , Gupta Lokesh , Thakur Sanjay , Vaidya Sandeep , Sharma Devender , Sharma Anurag
Published: December 2018

Background: Intertrochanteric fracture is common injury and is found in both elderly and the young. Proximal femoral nail (PFN) has been in widespread use for the same in the recent past. There are advocates both for and against this implant. The aim was to study the results of PFN in the treatment of intertrochanteric fractures and their functional evaluation using the modified Harris hip score.

Methods: A prospective study done on 104 patients operated for intertrochanteric fractures with PFN. Patients were followed up at 6 weekly intervals and evaluated at each visit using the modified Harris hip score (HHS).

Results: The study consisted of 104 patients aged from 36 to 96 years with average age of 67.8 years. Most patients belonged to 60-80 years category. Malunion was observed in three patients (2.8%) and non union was not seen in any patient. Excellent to good results were seen in 73% patients 18% patients had a fair outcome, 7.7% had poor and 2% patients had very poor outcome.

Conclusions: PFN is a good implant for intertrochanteric fracture treatment that demands a sound technique and a good reduction prior to insertion. The assessment of results using HHS has been too similar to those obtained using Kyle’s criteria in the previous studies, proving its role in the same.

 
Arthroscopic reattachment of tibial avulsion fractures of the posterior cruciate ligament using ABS button and tightrope (Mohandas Jagsun technique)
Authors: P. C. Jagadeesh , Vallabhaneni Sampath Kumar , Vennamaneni Prathish Rao , Bhathia Musthafa
Published: December 2018

Background: Avulsion fractures of tibial insertion of the posterior cruciate ligament are rare among the knee injuries. Purpose of this study is to determine the functional outcome of arthroscopic reattachment of tibial avulsion of the Posterior cruciate ligament by ABS button (Arthrex) and tight rope.

Methods: 15 Patients with PCL avulsion fracture were included. The Inclusion criteria were: 1) Displaced avulsion fractures (type-2 and type-3). They were followed at regular intervals using IKDC score, Lysholm score and subjective questionnaire.

Results: All cases showed complete osseous union during follow up. All knees are stable on examination by posterior sag sign and posterior drawer test. Two patients had loss of about 100 flexion. According to the IKDC form assessment 13 patients classified as normal and 2 were classified as near normal.

Conclusions: Arthroscopic reattachment of tibial avulsion fractures of the posterior cruciate ligament using ABS button and tightrope gives fairly good clinical outcomes. 
A study on management of congenital clubfoot by Ponsetti technique in a rural medical college in India
Authors: Jan Wazir Fahad , Jahan Alamgir , Dar Mohd Yahya , Bangroo Firdous Ahmad
Published: December 2018

Background: Congenital clubfoot also known as CTEV (congenital talipus equinovarus) is a common and debilitating congenital musculoskeletal anamoly affecting the children across the world with a slight preponderence in third world countries. The Ponseti technique of casting has now become the mainstay of treatment of this condition. This method is especially effective in rural and underdeveloped areas with limited health care facilities. The purpose of this study was to evaluate the effectiveness of the Ponsetti technique in the correction of this deformity, thorough the assessment of modified Pirani score.

Methods: This was a prospective observational study conducted on 75 patients of either sex with 100 feet, with an average age of 3.6 months presenting to the Orthopaedic OPD of SHKM Government Medical College Hospital, Nalhar, Nuh, Haryana between September 2015 and September 2017, with a diagnosis of congenital clubfoot. All the patients were treated with Ponsetti technique and the results were analysed through the assessment of modified Pirani score. The patients were followed up for a peroid of 1 year after attainment of correction.

Results: Majority of the patients obtained full correction with this method. The mean value of the modified Pirani score improved from the pre-treatment value of 5.30 to 0.36 at the final follow up. The average number of casts required for full correction was 7.32.

Conclusions: Thus results of our study demonstrate that the Ponsetti method is a safe and effective method of treatment for congenital clubfoot, especially in rural and underdeveloped regions. 
Functional outcome of acetabular fracture fixation by modified Stoppa’s approach
Authors: Kadam Rahul , Dagar Preetam Singh , Challani Abhay , Jadhav Ashutosh , Pestonji Jehangir
Published: December 2018

Background: We analysed the clinical and functional outcome of acetabular fracture treated by Modified Stoppa approach. In this study, we also analysis Intraoperative and post-complications of fractures treated by the modified Stoppa apprpoach.

Methods: All of the, 20 patients  who needed the anterior approach for the treatment of acetabular fracture at our hospital  from May 2016 To May 2018, were subjected to surgery via modified Stoppa approach. Pre-operative Anterior posterior (AP) view and Judet and CT scan were done to classify the fracture. Functional  outcome was assessed by using the  modified  Merle D’ Aubigne  Postel clinical grading system, radiological outcome by Matta et al and perioperative complication were assessed by retrospectively analyzing medical records and radiographics examination.

Results: The clinical results were excellent in 12 cases , very  good  2 in  cases  and  good in  1 cases , fair in 1 case and  poor in 4  cases. Athough the radiological 12 cases had anatomical reduction, 5 imperfect reduction and 3 poor reduction.

Conclusions: It can be concluded that the modified Stoppa approach could be used as an alternative to the ilioinguinal approach. It’s provides excellent access and visulaistion to the anterior column and quadrilateral surface and the rates of complication were less as compare to ilioinguinal approach.
Osteochondroma of femoral neck: a rare cause of sciatic nerve compression
Authors: Chandewar Mangesh M. , Yadav Sanjay
Published: December 2018

Osteochondroma is most common primary benign bone tumor and comprising of more than one-third of primary benign bone tumors. Osteochondromas are usually extra-articular lesions secondary to their common origin from metaphysis of long bones. Osteochondroma of the femoral neck is atypical as they represent an intra-articular lesion. They are mostly asymptomatic depending on their size and location. We are describing a rare cause of sciatic nerve compression in an adult which turned out to be solitary osteochondroma of femoral neck. 18 years old man reported to us with complains of pain in left groin region, mass in buttock region associated with tingling sensations in left lower limb since 8 months. Patient complains of difficulty in sitting on hard surface. Sensation was decreased on plantar and dorsal aspect of left foot. A sessile mass measuring 6 x 4 cm on posterior femoral neck was seen on plain radiographs and CT. Electromyography showed moderate sciatic neuropathy of the peroneal and tibial branches. Surgical en-bloc resection was performed through posterior approach. The final pathological report indicated the tumor was an osteochondroma. Post-operatively symptoms resolved dramatically. At follow up, he had full resolution of neurologic findings. Postoperatively, the patient reported improvement in numbness and tingling in the leg. So we should have awareness and high index of suspicion of rare entities such as proximal femur osteochondroma during diagnosis and treatement of sciatic neuropathy along with other more common etiology. 
Transient Macular Damage during Smartphone Usage
Authors: Yamauchi Kodai , Nakazawa Mitsuru , Kato Chihiro , Takahashi Daisuke
Published: December 2018

A woman in her twenties experienced a central scotoma in her left eye while she was gazing at the visual display of a Smartphone. Her Best Corrected Visual Acuity (BCVA) the following day was 20/15 OD and 20/60 OS. A ringshaped yellowish reflex surrounding the central fovea was observed in the left eye on a fundus photograph, and the inner segment Ellipsoid and Interdigitation Zones (EZ and IZ, respectively) were defective at the foveola on Optical Coherence Tomography (OCT). Ten days later, her BCVA became 20/25 OS. Although defects in the EZ and IZ remained, the fundus abnormality became obscured. Forty days later, her BCVA returned to 20/20 OS, her fundus findings appeared normal, and both EZ and IZ demonstrated nearly normal appearances. Although transient macular damage has been reported in young Patients after prolonged gazing at a computer game display, to our knowledge, this is the first report presenting similar OCT-detectable macular damage that is likely related to Smartphone usage. Since Smartphone’s have become exclusively popular all over the world among not only adults but also younger population, ophthalmologists should be aware that macular damage can occur in Smartphone users, particularly after gazing at the display under dim background illumination. Although such cases are rare, the damage is usually transient and spontaneously recovers after reducing the duration of Smartphone usage.
Autonomic Regulation of the Function of the Vitreous Body and Retina
Authors: Edward Lychkova Alla , Eugine Severin Alexander , Ivanovich Torshin Vladimir , Vladilenovna Sdobnikova Svetlana , Ashrafovich Ashrafov Rauf , Yuri Golubev Yuri , Petrovich Starshinov Yuri , Yuri Golubeva Galina , Raufovna Ashrafova Sabina , Michael Puzikov Alexander
Published: December 2018

The data of the literature on the structure and physiology of the vitreous body and the retina in normal and pathological conditions are presented. The mechanism of vitreous detachment and its role in the development of vitreoretinal proliferation are described. Described adren-choline-peptide and NO-ergic mechanisms in signal transduction of the vitreous body and retina. Pharmacological and surgical methods of treatment of vitreoretinal proliferation are briefly described.
Preferences and Trends in Practices Caring Premature Infants for Retinopathy of Prematurity (ROP): A Web-based Survey
Authors: Agarwal-Sinha Swati , Amin Sarina , Way Amanda
Published: December 2018

Objectives: To study preferences in treatment, follow-up and conclusion of examination in infants treated with and without bevacizumab (IVB) and/or laser photocoagulation for retinopathy of prematurity (ROP).Methods: A 22 question web survey was administered to physicians to understand practice patterns for treatment of type1 ROP, determine timeframe of conclusion of examinations with and without IVB/laser, and to approximate incidence of ROP recurrence post-treatment.Results: The survey revealed that 73% pediatric ophthalmologists reported not personally performing injections and 54.1% reported not performing laser. In infants with persistent avascular retina without pre-threshold disease, 54.2% continued examination > 50 weeks PMA, 23.3% discontinued at 50 weeks PMA, 3.2% preferred prophylactic laser and 5.1% fluorescein angiography and laser prior to concluding exams. 46.3% of physicians preferred IVB as primary monotherapy, 37.3% laser, and 16.4% both IVB and laser in type 1 ROP. Of those who preferred IVB, 20.4% concluded examination at ? 55 weeks PMA, whereas 79.6% continued evaluation >55 weeks PMA (60 to ? 80 weeks). Of those who preferred both IVB and laser, 50.6% concluded examination at ? 50 weeks PMA, whereas 49.4% continued > 50 weeks (60 to ? 80 weeks). 21.1 % of respondents reported recurrence with IVB and 8.8% with dual therapyConclusions: Treatment preferences and conclusion of examination in ROP varies considerably without and with treatment. Though a longer follow-up is recommended with IVB, this survey reveals extended examinations beyond 50 weeks PMA in infants with persistent avascular retina requiring no treatment and in the laser treated subgroup. The survey highlights low rates of performing treatments personally by pediatric ophthalmologists, and distinctlyvariable practice patterns in ROP care
Accidental Hijab Pin Ingestion: 10 Years Experience from a Tertiary Care Centre
Authors: Abu Freha Naim , Abu Tailakh Muhammad , Schwartz Doron , Etzion Ohad , Rosenthal Alex , Dizengof Vitaly , Munteanu Daniela , Elkirnawi Jabir , Nevo-Shor Anat , Fich Alexander
Published: December 2018

Background and Aim: Hijab pins ingestion is increasing. Some women hold the pin between their teeth while arranging the Hijab and the inadvertent ingestion of the pin can be the result of any careless movements. The aims of our study were to investigate the clinical outcomes of patients who underwent endoscopic pin removal via gastroscopy as opposed to patients who were treated conservatively with clinical observation, and to compare clinical and endoscopic data pertaining to patients who underwent early versus late gastroscopy.Methods: Muslim women hospitalized in a tertiary hospital from 2005-2015 due to ingestion of Hijab pin ingestion were included. Patients who underwent gastroscopy during 12 hours from the time of admission to Emergency Room (ER) were included in the “early” gastroscopy group, while endoscopy performed at a later time defined the “late” gastroscopy group.Results: During the study period 37 women were included. Twenty four patients (65%, mean age 20 ± 8.9) underwent gastroscopy; and thirteen (35%, mean age 19.9 ± 1.6) were hospitalized for observation. Six patients (25%) had normal gastroscopy; by 8 patients (33%) the pin was located in the antrum, 6 (25%) body, 2 (8.3%) and 1 (4.1%) in the duodenum. Fifteen patients underwent early gastroscopy and nine underwent late gastroscopy. The Duration of hospitalization was significantly shorter among patients who underwent early gastroscopy 1-day (1, 1) median, (IQR) compared with 2 days (1, 3) p < 0.02. Severe complications were found in one patient (2.7%) with stomach perforation which required surgery.Conclusion: Most pins will pass spontaneously, however severe complication may arise inadvertent Hijab pin ingestion. Early gastroscopy shortens the hospital stay.
Enhanced Role for Apoptosis in a Hepatic Ischaemia-Reperfusion Injury Model
Authors: Alzaraa Ahmed , Megson Matthew , Zayyan Kassim , Morgan Bruno , West Kevin
Published: December 2018

Background:Prior to reperfusion, a variable period of ischaemia occurs in transplanted donor organs  There is growing evidence that apoptosis contributes to the ischaemia-reperfusion injury conundrum that follows, but its extent has not been precisely quantified. Understanding its extent and effects can help find ways to mitigate or counteract such an injury in the liver. We therefore evaluated the extent of apoptosis semi-quantitatively from the expression of Caspase-3 and M30 in a porcine ex-vivo hepatic ischaemia-reperfusion injury model and correlated the timing of expression of M30 antibody with that of Caspase-3.Method:Livers were harvested from three healthy white Landrace Cross pigs and perfused for six hours using oxygenated extracorporeal circuits with heparinized autologous blood at 380C as described in our previous work [1]. A 2-hour delay prior to perfusion represented the period of ischaemia.   All the livers were uniformly perfused.  Three biopsies were taken for each of 7 time points (total 21); before dissection of the liver (BD) of the livers, after dissection (AD), after connection (AC) to the circuit, at one hour perfused (1hrP) & non-perfused (1hrNP), at 4 hours perfused (4hrP) and non-perfused (4hrNP).  Samples were stained with standard Haematoxylin–Eosin (HE) and   immunohistochemically with Caspase-3 and M30 monoclonal antibodies. Positive cells were quantified using an ocular grid and expressed as number per square area. Cells   positive for Caspase-3 & M30 antibodies were counted on the whole section. Data were expressed as median number per square millimetre. Statistical analysis was done using AVOVA and t-test.Results: After four hours of perfusion, multiple areas of perfusion defects appeared macroscopically in all 3 livers. HE staining confirmed that these non-perfused areas were ischaemic. There was a gradual increase in Caspase-3 expression over time in all samples. There was no statistically significant difference in the Capase-3 and M30 between the 9 specimens at 1hrP (P=0.06) but there was a highly significant difference between Caspase-3 and M30 at 1hrNP (0.001). Caspase-3 expression peaked at 4hrP (P=0.001) and 4hrNP (P=0.03). A similar pattern was noted with M30 which peaked at 1hrP (P=0.001) and maintained a non-significant expression at 4hrP (P=0.07) and 4hNP (P=0.1).Conclusion: The significant expression of Caspase-3 and M30 confirms that apoptosis plays an important part in tissue loss in this model of liver ischemia-reperfusion injury. Inhibiting both Caspase-3 and M30 might be useful in alleviating hepatic reperfusion injury.?
Política de drogas no Brasil no cenário de violações aos direitos humanos / Drug policy in Brazil against the background of human rights violations
Authors: Alvarenga Rodrigo , Silveira Jucimeri Isolda , Teixeira Digiany da Silva Godoy
Published: December 2018

Diante da ineficácia da lógica repressiva que intensificou a violência, o encarceramento e às violações de direitos humanos, o artigo se propõe analisar a política de droga no país, a partir das experiências internacionais, considerando a última sessão especial da assembleia geral da ONU (UNGASS), e as mudanças na política nacional de saúde mental dos últimos anos. Trata-se de demonstrar os efeitos da implementação do regime internacional de controle de drogas e os retrocessos no enfrentamento das violações de direitos humanos dos usuários do sistema de atenção psicossocial, bem como da população habitante das zonas periféricas onde ocorre a distribuição de drogas.
Editorial
Authors: Bernardes Franciani , Denadai Mirian Cátia Vieira Basílio
Published: December 2018

Editorial sobre a conjuntura de retrocessos na saúde mental.
RESPON MAHASISWA TERHADAP TAYANGAN DAKWAH ISLAMIYAH KHAZANAH (TRANS 7) DAN DAMAI INDONESIAKU (TV ONE)
Authors: Muchtar Khoiruddin , Ghalia Faula Rahma
Published: December 2018

This study wanted to find out how the attention, acceptance, and understanding of journalistic students of the 2013 UIN Bandung class were on the shows of Islamic propaganda (TRANS7) and peace in Indonesia (TV One). Through survey methods with quantitative approaches that are partially analyzed, namely by Pearson product moment correlation analysis, coefficient of determination, and t test and analyzed by hypothesis testing. The results show that my attention to Indonesian peace shows is low, understanding of the response to treasure shows is 18% and the remaining 82% is determined by variables or other factors. As for the understanding of the response to my Indonesian peace shows by 0.1% and the remaining 99.9% determined by variables or other factors. The acceptance of journalistic students in the class of 2013 on the shows of the existence of a relationship between the response of students to the shows of treasures. Whereas for the 2013 journalistic student acceptance of Indonesian peace shows there is no significant relationship. AbstrakPenelitian ini ingin mengetahui bagaimana perhatian, penerimaan, dan pemahaman mahasiswa jurnalistik angkatan 2013 UIN Bandung terhadap tayangan dakwah islamiyah khazanah (TRANS7) dan damai Indonesiaku (TV One). Melalui metode survey dengan pendekatan kuantitatif yang dianalisis secara parsial yaitu dengan analisis korelasi pearson product moment, koefisien determinasi, dan uji t serta dianalisis secara uji hipotesis. Hasilnya menunjukan bahwa perhatian terhadap tayangan damai Indonesiaku rendah, pemahaman terhadap respon pada tayangan khazanah sebesar 18% dan sisanya 82% ditentukan oleh variabel atau faktor lain. Sedangkan untuk pemahaman terhadap respon pada tayangan damai Indonesiaku sebesar 0,1% dan sisanya 99,9% ditentukan oleh variabel atau faktor lain. Penerimaan mahasiswa jurnalistik angkatan 2013 terhadap tayangan khazanah adanya hubungan antara respon mahasiswa dengan tayangan khazanah . Sedangkan untuk penerimaan mahasiswa jurnalistik angkatan 2013 terhadap tayangan damai Indonesiaku tidak adanya hubungan yang signifikan.
REPRESENTASI BERITA PENISTAAAN AGAMA DALAM MEDIA MASSA DI INDONESIA
Authors: Fahmi Muhamad
Published: December 2018

This article wants to see how the representation of mass media in Surakarta, namely Solopos and Joglosemar, in the case of the establishment of Religion by Basuki Cahaya Purnama (Ahok). The method used is Theo van Leuwen's critical discourse analysis which focuses on how actors are inclusion and exclusion in media news. The results of this study explain that: (1) Pos Solo sided with Ahok. Ahok is excluded (omitted, blurred from narrative text) when it comes to negative information and vice versa, inclusion (made clear) if positive news information for Ahok. (2) Joglosemar also seems to support Ahok. Joglosemar uses exclusion and passivation techniques. The use of these two techniques is done while giving "profit" to Ahok. (3) there are three factors that influence framing, construction and media representation that make the media appear to support Ahok, namely: 1). The Surakarta factor as the basis of the nationalist party, Factor Joko Widodo (Jokowi), Factor of media owners. These factors ultimately impacted on the news related to the blasphemy case carried out by Ahok where the media tended to defend Ahok. AbstrakArtikel ini ingin melihat bagaimana representasi media massa di Surakarta, yaitu Solopos dan Joglosemar, pada kasus peninstaan Agama oleh Basuki Cahaya Purnama (Ahok). Metode yang digunakan adalah analisis wacana kritis Theo van Leuwen yang fokus pada bagaimana para aktor di-inklusi dan eksklusi dalam berita media. Hasil penelitian ini menjelaskan bahwa: (1) Solo Pos berpihak pada Ahok. Ahok di-eksklusi (dihilangkan, diburamkan dari teks naratif) ketika menyangkut informasi negatif dan sebaliknya, di-inklusi (dibuat terang) jika informasi berita positif untuk Ahok. (2) Joglosemar terlihat juga mendukung Ahok. Joglosemar menggunakan teknik eksklusi dan passivasi. Penggunaan kedua teknik ini dilakukan selama memberikan "keuntungan" kepada Ahok. (3) ada tiga faktor yang mempengaruhi framing, konstruksi dan representasi media yang membuat media terlihat mendukung Ahok, yaitu: 1). Faktor Surakarta sebagai basis partai nasionalis, Faktor Joko Widodo (Jokowi), Faktor pemilik media. Faktor-faktor ini pada akhirnya berdampak pada berita yang terkait dengan kasus penodaan agama yang dilakukan oleh Ahok dimana media cendrung membela Ahok.
IDEOLOGI RADIKALISME DALAM ISLAM TENTANG WACANA HOMOSEKSUAL DI MEDIA MASSA
Authors: Fathurokhmah Fita
Published: December 2018

This article wants to examine how the media ideology about the concept of radicalism in Islam in the mass media of Republika and Koran Tempo. The Republika newspaper supports and agrees to the Islamic Defenders Front (FPI) both with an understanding of the prohibition of homosexuality and the appointment of news of FPI's violence against homosexuals. The Tempo newspaper is more about renewing ideas such as reporting on the views of the Liberal Islam Network (JIL) in respect of homosexuals. Homosexuality is the same sex lover or the choice of sexuality abnormalities is normal as a human being, it does not need to be criticized but must be respected as individual freedom. There is a fundamental ideological difference between Republika and Koran Tempo by renewing the concept of homosexuality with thinking radicalism on the basis of Islamic teachings. The homosexual issue, FPI applies the meaning of Islamic radicalism from the right-wing side which promotes violence as resistance, while JIL applies the meaning of radicalism from the left-wing side which prioritizes the radicalism of thought and law in the Koran.  AbstrakArtikel ini ingin mengkaji bagaimana ideologi media tentang konsep radikalisme dalam Islam di media massa Republika dan Koran Tempo. Surat kabar Republika mendukung dan setuju pada Front Pembela Islam (FPI) baik dengan pemahaman pelarangan homoseksual dan pengangkatan berita tindak kekerasan FPI melawan homoseksual. Koran Tempo lebih pada pembaharuan pemikiran seperti pemberitaan pandangan Jaringan Islam Liberal (JIL) terkait menghormatinya kaum homoseksual. Homoseksual adalah penyuka sesama jenis atau pilihan kelainan seksualitas itu normal sebagai manusia, tidak perlu dicela tapi harus dihargai sebagai kebebasan individu. Terdapat perbedaan ideologi yang mendasar antara Republika dan Koran Tempo dengan melakukan pembaharuan konsep homoseksual dengan radikalisme berpikir dengan pijakan ajaran Islam. Persoalan homoseksual, FPI menerapkan makna radikalisme Islam dari sisi sayap kanan yang mengedepankan kekerasan sebagai perlawanan, sedangkan JIL menerapkan makna radikalisme dari sisi sayap kiri yang mengutamakan keradikalan pemikiran dan hukum dalam al-Quran.
KONSEP MENEJEMEN SUMBER DAYA MANUSIA DALAM KELEMBAGAAN ISLAM
Authors: Rokhmiyati Sri
Published: December 2018

Management could be defined as the art for organizing matters and the way for managing institution, agency, work or community who involve in it, this aims to accommodate the work conducted. Human Resources have become part of the strategic planning process and part of developing organizational policy, design for the expansion of organizational lines, merger process and organizational acquisition. The importance of human resource management and their role in Islamic Institutions, it is depending on the management, if it is not organized well, the development of Islamic Institutions will face challenges due to managerial weakness. The implementation of Islamic Institutional management comprehensively will develop the quality of the institutions, including Islamic schools, madrasah and Islamic boarding schools. The human resource continues to grow in all existing institutions. Thus, the effort to develop a successful institution depends on the significant changes in human resource management. AbstrakMenejemen merupakan suatu seni untuk mengatur sesuatu dan salah satu cara untuk mengelola suatu lembaga, instansi, pekerjaan ataupun orang orang yang berada didalamnya, dengan tujuan mempermudah pekerjaan yang di laksanakan. Sumber Daya Manusia yaitu bagian proses perencanaan strategis dan menjadi bagian pengembangan kebijaksanaan organisasi, perencanaan perluasan lini organisasi, proses marger dan akuisisi organisasi. Pentingnya manajemen sumber daya manusia dan fungsi sumber daya manusia dalam Kelembagaan Islam, hal tersebut dikarenakan jika manajemennya tidak tertata dengan baik, maka perkembangan Kelembagaan Islam akan mengalami hambatan yang datang karena lemahnya manajerial. Implementasi manajemen Kelembagaan Islam secara komprehensif akan mampu meningkatkan mutu di lembaga tersebut, baik sekolah Islam, madrasah maupun pondok pesantren. Sumber Daya Manusia terus berkembang pada seluruh lembaga yang ada saat ini. Segala upaya yang diperlukan untuk menciptakan suatu lembaga yang berhasil tergantung pada perubahan yang signifikan dalam Manajemen Sumber Daya Manusia.
MORTALIDADE MATERNA NO ESTADO DO AMAZONAS: ESTUDO EPIDEMIOLÓGICO
Authors: Medeiros Lidiane Tavares , Sousa António Manuel , Arinana Leudson Oliveira , Inácio Antônio Sávio , Prata Maria do Livramento Coelho , Vasconcelos Milaine Nunes Gomes
Published: December 2018

Objetivo: analisar o perfil epidemiológico da mortalidade materna no estado do Amazonas, Brasil. Método: estudo epidemiológico, descritivo e ecológico, baseado em dados secundários do Sistema de Informação Sobre Mortalidade e Sistema de Informação Sobre Nascidos Vivos do Ministério da Saúde, gerados pelo Departamento de Análise e Tabulação de Dados do Sistema Único de Saúde. Utilizou-se os dados dos óbitos maternos e suas causas, além dos dados dos nascidos vivos do Amazonas, Brasil, do período de 2006-2015, sendo estes coletados em 2017. Resultados: ocorreram 564 óbitos maternos, sendo 329 na capital e 235 no interior, resultando um coeficiente de mortalidade materna de 73,45 óbitos/100.000 nascidos vivos. As principais causas de óbitos maternos foram: infecção puerperal, eclâmpsia e hemorragia pós-parto. Conclusão: as mulheres solteiras, entre 20-29 anos, pardas e baixa escolaridade apresentaram maior prevalência de óbito materno. Entre os óbitos, a infecção puerperal foi a mais evidenciada entre as causas obstétricas diretas.

Descritores: Mortalidade Materna. Perfil de Saúde. Infecção Puerperal. Eclâmpsia. Hemorragia Pós-parto.
The Culturogenesis of the Historical Turns
Authors: Kondakov I V
Published: December 2018

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Representation of Western and Eastern Culture in Hayao Miyazaki Animation
Authors: Kuzmina E V
Published: December 2018

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Red Golem: Criticism of Industrial Civilization in Soviet Culture and Misticism During the Civil War
Authors: Rabinovich E I
Published: December 2018

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Bolshevik Discursive Practices: The Emergence of the Genre of Communist Biography (Based on the Materials of the Ural Periodicals Published During the Russian Civil War)
Authors: Kushnirenko E P
Published: December 2018

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Rationalism and Decorativeness in a Search for Social Foundation of Soviet Avant-Garde Architecture
Authors: Roslov N A
Published: December 2018

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Practical Aspects of Cultural Policy in Ethnic Administrative Territorial Units
Authors: Luzan V S
Published: December 2018

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The Voice of the Culture of Silent Majority: Naive Art and Literature
Authors: Bobrikhin A A
Published: December 2018

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Art Education in the Regions: Modernization Perspectives
Authors: Tsuckerman G V
Published: December 2018

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Relationship between Smoking and Hearing Impairment of Automotive Industry Workers Exposed to Noise
Authors: Alimohammadi Iraj , Kanrash Fakhradin Ahmadi , Rahmani(MSc) Kazem
Published: December 2018

Introduction: Working in noisy environments may cause hearing loss. Studies have shown that some factors along with noise are independently involved in hearing loss, one of which is cigarette smoking. The aim of this study was to evaluate the effects of smoking on hearing loss in workers exposed to occupational noise.
Materials and Methods: The workers’ hearing loss was measured through a tonal hearing test (air-conduction). Their demographic information was also recorded and evaluated using some checklists.
Results: A total of 250 people were enrolled in this study, of whom 133 were smokers and 117 were non-smokers. The mean age of the participants was 36.07 ± 3.66 years, and there was no significant difference between the two groups in terms of age. The mean sound pressure level in the work environment was 86 dB based on the ISO standard. There was a significant difference between the hearing loss levels in the right ears and the left ears of the two groups of smokers and non-smokers (P value <0.001).
Conclusion: In general, smoking plays a significant role in hearing loss along with other factors, such as noise in the workplace, and conducting periodic audiometry tests to identify smokers with hearing impairment can be effective in primary or secondary prevention of occupational hearing impairment.
Keywords: Hearing Loss, Smoking, Noise, Occupational
Biochemical Confirmation of Anti-Inflammatory Activity of Oxicam-Based Pharmaceutical Compositions
Authors: SYROVA Ganna , TİSHAKOVA Tetyana , LEVASHOVA Olga , SAVELİEVA Olena
Published: December 2018

Biochemical
confirmation of anti-inflammatory activity of oxicam-based pharmaceutical
compositions was performed by the determination of the level of one of the main
markers of inflammation-C-reactive protein. Biochemical studies were carried
out on laboratory animals (white WAG rats) to study the anti-inflammatory
effects of meloxicam, piroxicam, caffeine, and
pharmaceutical compositions consisting of meloxicam and caffeine, piroxicam and
caffeine compared to the reference drug - sodium diclofenac. The content of CRP
in serum of rats was determined using the CRP latex test kit (State
registration number 1248/2002, Kharkiv, Ukraine). It was shown that composition of meloxicam and caffeine reduced the
content of CRP by 16 times compared with formalin-induced
edema, and by 2 times in comparison with the reference drug diclofenac sodium, which is statistically
significantly different from the control, i.e. caffeine increases and potentiates anti-inflammatory action of
meloxicam.
Histerectomía por laparoscopia en un transexual masculino: reporte de caso y revisión de la literatura
Authors: Rivera Contreras Oscar Eduardo , Sepúlveda-Agudelo Janer , Wandurraga-Barón Néstor
Published: December 2018

Objetivo: reportar un caso de histerectomía por laparoscopia convencional en cambio de sexo female-to-male en Colombia, en un paciente diagnosticado como transexual, y realizar una revisión de la literatura respecto a las distintas alternativas de histerectomía en el contexto de esta condición.Materiales y métodos: paciente de 35 años, transexual, en tratamiento hormonal con undecanoato de testosterona, sometido a histerectomía laparoscópica como parte de reasignación de sexo, en una institución de III nivel de complejidad, con evolución posoperatoria favorable. Se realizó búsqueda en las bases de datos de Medline vía PubMed, Embase y Lilacs, con los términos MESH: “hysterectomy”, “laparoscopy”, “transsexualism”, en inglés, español y checo, sin limitación de tiempo.Resultados: la investigación incluyó 11 estudios: 3 estudios de serie de casos, 6 cohortes, 1 ensayo clínico controlado y 1 reporte de caso. La histerectomía laparoscópica es la más utilizada para la reasignación de sexo en transexuales masculinos. La histerectomía vaginal es una alternativa por considerar si se requiere musculatura abdominal para futura faloplastia.Conclusiones: la histerectomía por laparoscopia surge como una alternativa a la histerectomía vaginal en pacientes transexuales masculinos sometidos a cirugía de reasignación de sexo. Se requieren ensayos controlados aleatorizados para una mejor evaluación comparativa de las alternativas quirúrgicas disponibles.
Prevalencia de autoinmunidad tiroidea en una población de gestantes de Santa Marta, Magdalena (Colombia)
Authors: Macchia de Sánchez Carla Lorena , Sánchez Flórez Javier Augusto
Published: December 2018

Objetivo: describir la prevalencia de autoinmunidad tiroidea en una población de gestantes de base hospitalaria, y hacer una exploración a la frecuencia en pacientes eutiroideas o hipotiroideas, y de la asociación entre autoinmunidad y la presencia de complicaciones obstétricas.Materiales y métodos: estudio de corte transversal, descriptivo. Población accesible: gestantes atendidas en Centros Hospitalarios del Caribe (CEHOCA), de la ciudad de Santa Marta, Magdalena (Colombia), entre el 1 de agosto y el 31 de octubre de 2017. Muestreo por conveniencia. Tamaño muestral: 120 sujetos. Se determinó hormona tiroestimulante (TSH), T4 libre, T3 libre, anticuerpos antitiroglobulina (ATG) y antiperoxidasa (ATPO). Se utilizó estadística descriptiva. La prevalencia se calculó como número de mujeres con anticuerpos ATG o ATPO positivos/número de mujeres encuestadas, además se categorizó por tipo de anticuerpo positivo y función tiroidea (normal o hipotiroidismo).Resultados: en las gestantes con embarazo sin mención de complicación la frecuencia de autoinmunidad tiroidea fue del 14,29 %. Cinco pacientes (4,5 %) presentaron anticuerpos ATPO positivos, 14 pacientes (12,61 %) anticuerpos ATG positivos, en tanto que 3 embarazadas mostraron positividad para ambos tipos de anticuerpos. Los anticuerpos antitiroglobulina fueron los más frecuentes. Se halló autoinmunidad en el 13,5 % de las gestantes eutiroideas, y en el 18,2 % de las pacientes con hipotiroidismo subclínico. No se encontró asociación entre la presencia de anticuerpos y la presencia de aborto, hipertensión asociada al embarazo o parto pretérmino.Conclusiones: una de cada 7 gestantes mostró presencia de anticuerpos antitiroideos como signo de autoinmunidad. Son necesarias más observaciones a fin de poder establecer frecuencias y rangos de normalidad en la población local y el significado clínico de esta autoinmunidad tiroidea.
Indications and Pattern of Limb Amputation: A Tertiary Hospital Experience, South-South, Nigeria
Authors: Abang Innocent E. , Asuquo Joseph E. , Anisi Chukwuemeka O. , Agweye Pius U. , Essiet Inimfon , Ikpeme Ikpeme A. ,   Department of Orthopaedics and Traumatology, University of Calabar, Calabar, Nigeria.,   Department of Orthopaedics and Traumatology, University of Calabar, Calabar, Nigeria.,   Department of Orthopaedics and Traumatology, University of Calabar, Calabar, Nigeria.,   Department of Orthopaedics and Traumatology, University of Calabar, Calabar, Nigeria.,   Department of Orthopaedics and Traumatology, University of Calabar, Calabar, Nigeria.,   Department of Orthopaedics and Traumatology, University of Calabar, Calabar, Nigeria.
Published: December 2018

The aim of this paper was to study the indications and patterns of limb amputations in the University of Calabar Teaching Hospital, a retrospective study of 142 limb amputations performed in patients admitted to the University of Calabar Teaching Hospital, South-South, Nigeria. Data was obtained from theater records and the medical record department of the hospital after due ethical approval. The data spanned a period of 10 years (from January 2004 to December 2014). A total of 142 patients were seen. The age ranged from 8 to 87 years with a mean age of 46 years ± SD 17.9 years and a male to female ratio of 2.3:1. Adults accounted for 95.8% while 4.2% were children. Emergency procedures accounted for 47.9% of the amputations. Diabetic foot gangrene was the major cause of lower limb amputation 91 (64.1%), trauma accounted for 27 (19%) of these, 15.5% were due to road traffic accidents, and 3.5% were cases of gunshot injuries. Tumors and limb ischemia accounted for 9.2 and 2.8%, respectively. Electrical injury, industrial accidents, and ischemic limbs from tight tourniquet splints by traditional bonesetters were the common causes of upper limb amputations. Most of the amputations were on the lower limb (83.7%) with the left lower limb accounting for 47.8% and the right lower limb accounting for 35.9% .Upper limb amputations accounted for 15.4% with right and left upper limbs being 8.4 and 7.0%, respectively .Only one patient had bilateral lower limb amputation(0.7%). For the levels of amputation, the majority were below knee 54 (38%) followed by above elbow 38 (26.8%) amputations (Figure 1); others were ray amputation of the foot and hand as 28 (19.7%) and 8 (5.6%), respectively. The least was below elbow amputation 6 (4.2%). The study showed that 96% of the causes were potentially preventable, and that establishment of a prosthetic-orthotic center is needed in this part of the country.
'Bana Arkadaşını Söyle, Sana Yenilikçi Olup Olmadığını Söyleyeyim’ Akran Sosyalleşmesinin Tüketici Yenilikçiliğindeki Rolü
Authors: Kılıçer Tuğba , Paç Çelik Eda
Published: December 2018

Bu
araştırmanın amacı, akran sosyalleşmesinin genç tüketicilerin moda yenilikçilik
eğilimlerinde nasıl bir rol oynadığını incelemektir. Veriler bir devlet
üniversitesindeki öğrencilerden kolayda örnekleme yoluyla anket tekniği ile
toplanmıştır. Verilerin analizinde açıklayıcı faktör analizi, kümeleme analizi
ve tek yönlü Varyans analizinden yararlanılmıştır. Katılımcılar akran
sosyalleşmesi açısından düşük, orta ve yüksek eğilimlilerin yer aldığı üç
farklı kümede toplanmıştır. Bu kümeler, arkadaş tutkunları, arada kalanlar ve bağımsızlar
olarak adlandırılmıştır. Kümeler içerisinde moda yenilikçilik eğilimi en yüksek
küme arkadaş tutkunları iken, moda yenilikçilik eğilimi en düşük küme bağımsızlardır.
Elde edilen sonuçlar doğrultusunda uygulamacılara ve gelecekte yapılacak
araştırmalara yönelik öneriler tartışılmıştır.
Benford Yasasının Veri Doğruluğunun Değerlendirilmesi Amaçlı Kullanımı: Hastane Verileri İçin Bir Uygulama
Authors: Yıldız Mustafa Said
Published: December 2018

Bu
çalışmanın amacı literatürde daha sıklıkla hile denetiminde kullanılan Benford
Yasası’nın veri doğrulaması için kullanımını bir uygulama ile göstermektir.
Sağlık planlaması, kaynak tahsisi ve performans değerlendirmesinde kullanılan
hastane yönetsel verilerinden üçünün (poliklinik sayısı, acil servise başvuru
sayısı ve röntgen çekim sayısı) Benford Yasasına uygunluğu ki-kare analizi ile
belirlenmiştir. Uygulaması kolay bu analizin veri doğruluğunun değerlendirilmesi
amacıyla, daha yüksek kalitede veri için kullanılmasının fayda sağlayacağı
tespit edilmiştir.
Test Of Structure-Conduct-Performance And EfficientStructure Hypotheses In Sugar Industry Of Pakistan
Authors: Begum Samina
Published: December 2018

In this study the validity of
Structure-Conduct-Performance (SCP) and efficient-structure (ES) hypotheses is
empirically tested in the sugar industry of Pakistan. The data set consists of
the 29 sugar mills registered at the Karachi Stock Exchange (KSE) for the
financial year 2011. To test the relation of market power, efficiency and
performance, we used market concentration and market share as the measurement
of market power. In addition, the DEA method to measure firm’s efficiency,
while ROE is used as an indicator of performance and three control variables.
The result of this study support the traditional SCP hypothesis and indicates
that there is positive and significant relation between market concentration
and performance, while Reject the ES hypothesis.
Girişimcilik Motivasyonu İle Girişimcilik Eğitimi Arasındaki İlişkiler
Authors: Uygun Mutlu , Mete Sinan , Güner Ebru
Published: December 2018

Bu araştırmanın temel amacı, bir üniversitede okuyan genç girişimci
adayların eğitim öncesi durumları da dikkate alınarak, aldıkları girişimcilik
eğitimi ile girişimcilik motivasyonları arasındaki ilişkileri incelemektir.
Nicel yaklaşımla yürütülen araştırmada, “ön-deneysel” araştırma deseninin “tek
gruplu ön-test son-test” türünden yararlanılmıştır. Araştırmada, Aksaray
Üniversitesi’nde girişimcilik dersi alan öğrencilerden kolayda örnekleme ile eğitim
öncesi ve sonrası bir anketle veri toplanmıştır. Toplanan 1340 kullanılabilir
katılımcı verisi, faktör analizi, ilişkili örneklem t-testi ve ANCOVA ile
analiz edilmiştir. Sonuçlar, girişimcilik motivasyonunun duygusal ve akılcı
olmak üzere iki alt boyutta toplandığını ve alınan girişimcilik eğitimi ile
girişimcilik motivasyonunun alt boyutları arasında istatistiksel olarak anlamlı
ilişkiler olduğunu ortaya koymuştur. Eğitim sonrasında, her iki motivasyon
boyutunda da daha çok olumluya evrilme olduğu ve bazı kişisel özelliklere göre
farklılaştığı da belirlenmiştir.