bluuebunny/crossref_metadata_2025 huggingface dataset:
Validez factorial de una escala de generatividad en español: ¿otra escala con efectos de método?
Authors: García-Romero Dinorah Altagracia , Fernández Irene , Tomás José Manuel , Cerviño Vásquez Consuelo , Georgieva Sylvia
Published: August 2018

Introducción: Erikson (1950) utilizó el término “generatividad” por primera vez y se refiere al estado de adultez en el ciclo de vida, lo que implica procreatividad, productividad y creatividad e impulsa el desarrollo de la propia identidad. Existen varias formas de medir la generatividad como las entrevistas, la observación directa, los estudios de caso o los cuestionarios de autoinforme. El método más utilizado es el autoinforme y, entre las escalas disponibles, una de las más destacadas es la Escala de Generatividad de Loyola (EGL). La EGL es una medida de autoinforme que consta de veinte ítems que miden un factor general de generatividad.Objetivo: este estudio examinó la validez factorial y la consistencia interna de la Escala de Generatividad de Loyola adaptada al español para su uso con profesores dominicanos.Método: se probaron dos modelos de factores competitivos con base en la literatura existente y se añadió un tercer modelo con efectos de método asociados a ítems negativos con el fin de encontrar la mejor solución de ajuste para esta muestra. Para examinar la validez factorial de los tres modelos, se realizaron tres Análisis Factoriales Confirmatorios(AFC) y también se calcularon los índices de consistencia interna y de fiabilidad compuesta.Resultados: en general, los tres modelos mostraron buenas propiedades psicométricas. Sin embargo, el tercer modelo que tuvo en cuenta un factor general de generatividad junto con un factor de efecto de método mostró el mejor ajuste para esta muestra.Conclusión: se discuten las implicaciones para una medición adecuada de la generatividad. Se necesitan más investigaciones para examinar si estas propiedades son estables en diferentes muestras de diferentes poblaciones.
No Ritmo de um Silêncio: a Música como Produtora de Processos Psicológicos
Authors: Monteiro Ribeiro Ana Rita , Gonçalves Carlos Manuel
Published: August 2018

Introdução: uma revisão teórica alargada em diversas áreas do saber fez antever a possibilidade de a música poder constituir um dispositivo privilegiado para a compreensão do desenvolvimento de estruturas psicológicas humanas e um motor propulsionador de mudanças. Objetivo: essa possibilidade permitiu configurar o seguinte objeto de estudo: compreender de que forma a música, enquanto arte, poderá possuir elementos potenciadores do desenvolvimento psicológico e emocional.Método: assim, desenhou-se um estudo que assumiu uma metodologia quantitativa a fim de avaliar o impacto da formação mu­sical em três processos psicológicos: o processamento empático, a ca­pacidade de diferenciação e a regulação emocional. Administraram-se três instrumentos a uma amostra de 237 sujeitos: o Índice de Rea­tividade Interpessoal, a Escala de Avaliação do Repertório e da Capa­cidade de Diferenciação Emocional, e o Questionário de Regulação Emocional.Resultados: embora não se tenham verificado diferenças significativas entre ouvintes e performers, o presente estudo permitiu uma compreensão aprofundada sobre a forma como: o género pode determinar o processamento empático e o uso de estratégias adaptati­vas de regulação emocional; a progressão académica pode influenciar a forma de interpretar e agir sobre o meio envolvente.Conclusão: o envolvimento com a música, seja de que forma for, pode ser, por si só, suficiente para a promoção de determinados processos psicológicos.
Prueba de un modelo integrador de conflicto y enriquecimiento trabajo-estudio
Authors: Andrade Cláudia
Published: August 2018

Objetivo: el artículo tiene el propósito de probar, utilizando ecuaciones estructurales, un modelo de antecedentes del conflicto y el enriquecimiento de la relación trabajo-estudio.Método: participaron 87 estudiantes-trabajadores de una licenciatura, de ambos sexos (24 hombres y 63 mujeres).Resultados: el número de horas de trabajo y la autoeficacia académica presentan relaciones con el conflicto trabajo-estudio. El apoyo brindado por compañeros y la autoeficacia académica surgen relacionados al enriquecimiento trabajo-estudio. Como era de esperarse, tanto el conflicto como el enriquecimiento trabajo-estudio presentan relaciones con la satisfación con el desarrollo académico.Conclusión: teniendo en cuenta que las instituciones de educación superior pretenden proporcionar el aprendizaje a lo largo de la vida, de forma creciente, a una población estudiantil que concilia los estudios con el trabajo, es importante profundizar el conocimiento del modo como el trabajo puede influir negativa y positivamente el estudio con el fin de orientar decisiones informadas para los estudiantes y promover prácticaseducativas cada vez más incluyentes.
Radiofrequency thermal destruction in current treatment of liver malignancies. Literature review
Authors: Dolgushin B. I. , Kosyrev V. Yu. , Virshke E. R. , Sholokhov V. N. , Martynkov D. V.
Published: August 2018

Radiofrequency thermal destruction (thermoablation) remains one of the most popular methods of local destruction of liver tumors. There are perennial international experience in oncology, numerous trials and practical issues are rarely discussed. However, there are still strategic questions: when, to whom, in what cases. In fact, specialists recognizing effective impact do not always sure when thermoablation potential will be realized as much as possible. In this review the authors summarized world experience of liver malignancies thermoablation and tried to identify key positions in determining treatment strategy using this approach. Interdisciplinary approach is an absolute priority in optimal treatment of these patients.
Abstracts of current foreign publications
Authors: Akhaladze G. G. , Akhaladze D. G.
Published: August 2018

.
Cryoablation for locally advanced pancreatic cancer
Authors: Ionkin D. A. , Karelskaya N. A. , Stepanova Yu. A. , Zemskov V. M. , Kozlova M. N. , Zhavoronkova O. A. , Chzhao A. V.
Published: August 2018

Aim. To improve quality and duration of life in patients with locally advanced pancreatic cancer. Material and methods. Cryosurgery through laparotomy has been performed in 36 patients with locally advanced pancreatic cancer since 2012. There were 14 (38.9%) men and 22 (61.1%) women (mean age 58 ± 6.8 years). Dimensions of pancreatic tumors were from 4 to 10 cm. Domestic devices “CRYO-MT”, “CRYO-01”, “ELAMED” and cryoapplicators with a diameter 2–5 cm were applied. Target temperature was about 186 °С, time of exposure – 3–5 min. There were 1–5 sessions of cryoablation (mean 2.4) and their number depended on tumor dimensions. Local cryodestruction was supplemented by bypass anastomoses in 18 patients (50%). All patients subsequently underwent adjuvant chemotherapy with additional regional chemoembolization in 10 of them. Results. There were no lethal outcomes during cryodestruction and in postoperative period. Early postoperative complications occurred in 14 (38.8%) patients, severe complications – in 13.6%. Cryodestruction was followed by complete regression (39.2%) or significant improvement (41.6%) of pain syndrome. 6-, 12-, 24- and 36-month survival was 92%, 84%, 48% and 14%, respectively. Median survival was 18.2 months. Conclusion. Cryodestruction is able to improve patients’ quality of life due to reduced pain syndrome in case of locally advanced pancreatic cancer. Certain increase of survival was observed in additional chemotherapy.
ISOLATION OF PHYTOPATHOGENIC FUNGI v2
Authors: Perez-Brito Daisy
Published: August 2018

To control a disease it is essential to know its causal agent. A correct diagnosis provides a considerable amount of basic information to select correct control methods. An accurate diagnosis always starts with a representative sample of the damaged tissue, from which a portion is taken, to isolate the causal agent. In the case of phytopathogenic fungi, there are several isolation methods, depending on the tissue or substrate in which they are found. This protocol describes the isolation and purification of phytopathogenic fungi from leaves and fruits of different tropical crops.
Transcutaneous oxegen measurement in the area of soft tissue radiation-induced fibrosis in patients with breast cancer
Authors: Topuzov E E , Agishev T T , Fedorov K A , Krasnozhon D A , Vats A B , Romanovsky D V , Dashyan G A , Sidikov A A , Ovsyannikov A A , Sadygova S N , Prikhod’ko E V , Kasyanova M H
Published: August 2018

Late radiation injury in the form of radiation-induced fibrosis is one of the many complications of radiation therapy.In current literature, pathogenesis of radiation-induced fibrosis is considered from several angles. According to one of the hypotheses, the main cause of pathogenesis of radiation-induced fibrosis is damage of the blood vessels caused by radiation. Another hypothesis insists that radiation causes depletion of specific cell populations in the irradiated area, reducing the number of stem cells (mostly, fibroblasts). (For citation: Topuzov EE, Agishev TT, Fedorov КА, et al. Transcutaneous oxegen measurement in the area of soft tissue radiation-induced fibrosis in patients with breast cancer. Herald of North-Western State Medical University named after I.I. Mechnikov. 2018;10(2):58-63. doi: 10.17816/mechnikov201810258-63).
What factors need to be considered when assessing the financial costs of medicines
Authors: Fedorenko A S , Burbello A T , Pokladova M V , Ivanova M A
Published: August 2018

The article presents possible approaches to assessing the financial costs of medicines. The results of the ABC/VEN and ATC DDD analyzes recommended by the Ministry of Health of the Russian Federation and the World Health Organization (WHO) in assessing the financial costs of medicines in a large multidisciplinary hospital are described. The evaluation of ABC/VEN and ATC/DDD analyzes, their advantages and disadvantages is given. It is shown that the ABC/VEN analysis gives only a general idea of planning financial expenditures and ATC/DDD about real drug consumption in the treatment of one patient. The financial costs of treating one patient vary significantly and depend on many factors: disease nosology, severity, division profile, etc. It was determined which factors should be taken into account both in estimating the cost of medicines and in planning financial expenditures for the next year. (For citation: Fedorenko AS, Burbello AT, Pokladova MV, Ivanova MA. What factors need to be considered when assessing the financial costs of medicines. Herald of North-Western State Medical University named after I.I. Mechnikov. 2018;10(2):64-72. doi: 10.17816/mechnikov201810264-72).
Gender peculiarities of nutrition in students and their relationship with quality of life
Authors: Gonchar N V , Kalinicheva E O , Mustafaev E H , Dobrenko V A , Sokolova M I
Published: August 2018

Objective. Nutritional peculiarities and their relationship with the quality of life’s (QoL) values were estimated in 38 students. Materials and methods. We evaluated the dietary peculiarities according to the results of our special questionnaire. The students used ten-point scale for answer questions. We have formed the two subgroups of the respondents according to the results of their answers: subgroup A (students whose answers were 5 points or less) and subgroup B (students whose answers were more than 5). We estimated QoL according to the SF-36 questionnaire. Results. Most of the respondents eat regularly the food containing plant fibers (76.3%) and the food with animal proteins (81.6%). Above mentioned dietary peculiarities correlates reliably with such QoL values as SF and BP in men and VT in women. 36,8% of respondents have breakfast irregularly, this nutritional peculiarity reduces reliably such QoL values as PF, GH and VT. The regularity of breakfasts correlates reliably with VT in men, and PF and GH in women. Dietary restriction of spicy, fatty, fried, smoked foods is observed in 36.8% of respondents; a negative reliable correlation of this nutritional peculiarity with RP has been revealed in women; possible positive effect of such kind of food on the QoL can be suggested. Conclusion. It is shown that there is a correlation between students’ eating habits and the quality of life. (For citation: Gonchar NV, Kalinicheva EO, Mustafaev EH, et al. Gender peculiarities of nutrition in students and their relationship with quality of life. Herald of North-Western State Medical University named after I.I. Mechnikov. 2018;10(2):73-78. doi: 10.17816/mechnikov201810273-78).
The effects of epidural analgesia in normal labour
Authors: Reddy Vallur Swetha , Sabitha U. S. , Krishna L. , . Vimala
Published: August 2018

Background: Epidural analgesia is considered to be gold standard technique for labour analgesia but is claimed to prolong labour. Previous studies have evaluated epidural analgesia versus systemic opioids to no analgesia. The present study evaluated the effect of epidural analgesia on duration of labour compared to no analgesia.Methods: Sixty primigravida with full term-singleton, vertex presentation in spontaneous labour were included in the study. Parturient willing for epidural analgesia were allocated as epidural group (n=30), rest served as control. The intervention in active stage of labour included 10 ml of Inj. Bupivacaine 0.125% and Inj. Fentanyl 100μg and maintenance with infusion of Inj. Bupivacaine 0.125% and Inj. Fentanyl 2μg/ml added at a rate of 6-8 ml/hr. Duration of the first two stages of labour, patient satisfaction, side effects, number of instrumental vaginal/ vacuum-assisted deliveries, and neonatal APGAR score were recorded.Results: The mean duration of first stage of labour was shorter in epidural group (250.17±106.33 minutes) compared with control (302.00±111.99 minutes), (p= 0.071). The mean duration of second stage in epidural group was (18.73±6.82 minutes) compared with control (18.33±14.53 minutes) was not significant (p= 0.892). Although instrumental vaginal delivery rate was greater in the epidural group (6.7%) as compared to control (3.3%), (p=1.000). Pain score (VAPS) varied between1-3 and 4-10 in epidural group and control respectively (p< 0.001). The APGAR scores at 5 min and neonatal ICU admissions were statistically comparable.Conclusions: Epidural analgesia with Bupivacaine and Fentanyl results in good pain relief with undue prolongation of labour.
Effect of prophylactic tranexamic acid on blood conservation in Indian women undergoing abdominal hysterectomy
Authors: P. Nivedhana Arthi , B. Jalakandan , S. Gunaseelan
Published: August 2018

Background: The prevalence of anemia in India is so high that majority of women presenting for hysterectomy are already with borderline hemoglobin status and the perioperative blood loss puts them at risk of death and prolongs recovery. Antifibrinolytic agents, mainly Tranexamic acid (TXA) have been demonstrated to reduce blood loss and transfusion requirements in various surgeries. The present study was done to assess the efficacy of TXA in effectively reducing intraoperative blood loss and the need for transfusion in Indian population undergoing abdominal hysterectomy for benign indications.Methods: This randomized, double-blind, placebo-controlled study was conducted on hundred patients undergoing abdominal hysterectomy. Group T (n = 50)- received TXA 15 mg/kg in 100 ml Normal saline and Group N (n = 50)-received the same volume of Normal saline infused over 15 minutes. Estimated blood loss need for blood transfusion, duration of surgery, postoperative hemoglobin and incidence of adverse events were noted.Results: There was statistically significant reduction in mean blood loss in group T when compared to group N (360 ml versus 540 ml). Accordingly, there was significant difference in the number of patients requiring blood transfusion (12% versus 42%) and also the postoperative hemoglobin levels. The group T patients had a significantly shorter operating time (127.86 versus 148.64 minutes). None of the patients developed any major adverse events.Conclusions: The prophylactic TXA safely and effectively reduces the blood loss and transfusion requirements in Indian patients undergoing abdominal hysterectomy for benign indications.
Attitudes and Practices from People of a Mayan Community of Mexico, Related to Tick-Borne Diseases: Implications for the Design of Prevention Programs
Authors: Dzul-Rosado Karla , Lugo-Caballero Cesar , Arias-Leon Juan Jose , Pacheco-Tucuch Freddy , Peniche-Lara Gaspar , Zavala-Castro Jorge
Published: August 2018

Background: Tick-borne diseases are caused by several pathogens whose transmission could be associated to the life conditions of communities settled in endemic areas. We aimed to determine the knowledge, attitudes, and prac­tices related to the exposition and prevention of tick-borne diseases among people living in a typical Mayan commu­nity of Yucatan, Mexico between Dec 2012 and May 2013.
Methods: A directed survey was applied to 212 (100%) householders (women and men) from Teabo, Yucatan, Mex­ico. Answers and field notes were recorded and analyzed with central statistics.
Results: People have been bitten at least once in the community, but the majority of them consider those bites innoc­uous. In addition, people do not consider prevention measures, and only a few mentioned the use of some chemicals on their backyards.
Conclusion: This study found little awareness among the participants regarding the importance and the transmission of these diseases even though they possess a vast knowledge regarding ticks. Therefore, educational strategies and prevention programs that include these habits for its modification are required to minimize the exposition to the vec­tors.
Molecular Identification of Agents of Human Cutaneous Leishmaniasis and Canine Visceral Leishmaniasis in Different Areas of Iran Using Internal Transcribed Spacer 1 PCR-RFLP
Authors: Teimouri Aref , Mohebali Mehdi , Kazemirad Elham , Hajjaran Homa
Published: August 2018

Background: Leishmaniasis is a major medical health problem and distributes in nearly half of 31 provinces of Iran. We aimed to identify cutaneous and visceral Leishmania spp. isolated from infected humans and domestic dogs in various regions of Iran, 2010‒2013.
Methods: DNA was extracted from 108 lesion exudate samples of suspected patients to cutaneous leishmaniasis and nine liver and spleen aspirates of infected dogs cultured in RPMI-1640 and amplified using partial sequence of ITS1 gene. The PCR amplicons were digested using HaeIII endonuclease enzyme and used in restriction fragment length polymorphism (RFLP) assay. Then, 48 amplicons representing various hosts were sequenced and compared to se­quences from GenBank databases using BLAST.
Results: PCR-RFLP analysis showed that 60 and 48 CL patients were infected by Leishmania tropica and L. major, respectively. From nine canine visceral leishmaniasis (CVL) isolates, eight isolates were identified as L. infantum and one as L. tropica. The greatest similarity of 95.7% in ITS1 region was seen between L. infantum and L. major. Furthermore, the lowest similarity with 65.7% was seen between L. tropica and L. major. Intra-species comparison of ITS1 region in L. infantum, L. major and L. tropica isolates were showed 100%, 98.2% and 72.4 % similarities, respectively.
Conclusion: PCR-RFLP based on ITS1 region is an appropriate method to distinguish three Leishmania spp. of L. major, L. tropica, and L. infantum. In intra-species comparison of ITS1 region, genotypic variations showed that L. tropica isolates were more heterogeneous than L. major and L. infantum isolates.
Tıp Fakültesi 5. ve 6. Sınıf Öğrencilerinde Flört Şiddetinin Değerlendirilmesi
Authors: AÇIKGÖZ Bilgehan , AÇIKGÖZ Banu , KARAKOYUN Ali Rıza , ASLAN YÜKSEL Nehir , AKCA Fatih , Demir Akca Ayşe Semra , Ayoğlu Ferruh Niyazi
Published: August 2018

Giriş:Şiddet, yaşamımızın gerçeklerinden
biridir ve en önemli sosyal sorunların başında gelmektedir. Şiddet fiziksel,
cinsel veya duygusal özellikte olabilmektedir. Şiddet, flört ilişkisinde
tecavüz, dövme, tehdit etme, cinsel taciz ve duygusal kötüye kullanma gibi
farklı şekillerde gerçekleşebilir.  Flört
şiddeti de üzerinde yeterince araştırılma yapılmamış bir alandır. Bu çalışmada
Tıp Fakültesi 5. ve 6. sınıf öğrencileri arasında flört şiddetinin sıklığı ve
türünün belirlenmesi amaçlanmıştır.Gereç: Tanımlayıcı
özellikteki bu araştırmada; Mayıs-Haziran 2014 tarihleri arasında Bülent Ecevit
Üniversitesi Tıp Fakültesi’nde öğrenim gören dönem 5 ve 6 sınıf öğrencisi 105
kişiden çalışmaya katılmayı kabul eden 88(%83,8)’inde yapılmıştır.
Araştırmacılar tarafından hazırlanan anket formuyla öğrencilerin
sosyo-demografik özellikleri, flört içinde şiddet uygulama ve maruz kalma
durumları sorgulanmıştır. Bulgular:Çalışmaya katılan 88 kişinin yaş ortancası 24 yıl ve
33(%37,5)’ü erkektir. Öğrencilerin 69 (%78.4)’unun daha önce veya şimdi flört
ilişkisi olmuştur. İlk flört yaş ortancası 17 (min:10, max:24)’dir. Daha önce
flört yaşayanların 15(%22)’i flört şiddetine maruz kalmamış ve
uygulamamıştır. Fiziksel 10(% 14,7)’u, 51(%75.0)’i duygusal, 9(%13.2)’u cinsel
flört şiddetine maruz kalmıştır. Şiddet uygulayanların ise 16(%20,6)’sı
fiziksel, 45(%66,2)’i duygusal, 5(%7,4)’i cinsel şiddet uygulamıştır. En sık maruz kalınan (%33,0) ve uygulanan (%28,4) şiddet
şekli ise sesini yükselterek konuşmadır. Sonuç:

Bu çalışmada en sık uygulanan ve maruz kalınan şiddet şeklinin
partnerine karşı sesini yükseltmek, en sık görülen şiddet tipinin duygusal
şiddet olduğu belirlenmiştir.  Şiddet ve
şiddeti etkileyen faktörlerin ortaya konulabilmesi için daha detaylı, uzun
süreli ve değişik gruplarda yapılan çalışmalara gereksinim vardır ve şiddetin
niteliksel ve niceliksel boyutunun birlikte değerlendirilmesi gerekmektedir.
Amiodaron Kullanımına Bağlı Gelişen Hipotiroidi Tablosu
Authors: Sivritepe Rıdvan , Uçak Basat Sema , Yiğit Ece , Aktaş Hanife Şerife
Published: August 2018

Günümüzde ventriküler aritmi, paroksismal supraventriküler taşikardi,
atriyal fibrilasyon, atriyal flutter gibi aritmilerin tedavisinde sıklıkla
kullanılan bir antiaritmik olan amiodoronun en sık ve en önemli yan
etkilerinden biri tiroid disfonksiyonuna sebep olmasıdır. Hastaların büyük
çoğunluğu ötiroid kalmakla birlikte bazılarında tirotoksikoz bazılarında ise
hipotiroidi tablosu ortaya çıkmaktadır. Amiodorona bağlı tirotoksikoz insidansı
%1-23 arasında, hipotiroidi insidansı ise %1-32 arasında değişmektedir.
Vakamızda amiodoron kullanımına bağlı hipotiroidi gelişen bir hastayı sunduk.
Meram Tıp Fakültesi Hastanesi Aile Hekimliği Polikliniğine Başvuran Hastaların D Vitamini Düzeylerinin Değerlendirilmesi
Authors: ÖKSÜZ Ahmet , KUTLU Ruhuşen
Published: August 2018

Amaç:
Bu çalışmada bir yıl süresince aile hekimliği polikliniğine başvuran on sekiz
yaş ve üzeri hastaların D vitamini düzeylerinin cinsiyete, yaşa, aylara ve
mevsimlere göre dağılımının incelenmesi amaçlandı.Gereç
ve Yöntem: Tanımlayıcı tipte olan bu çalışma Necmettin Erbakan
Üniversitesi Meram Tıp Fakültesi Aile Hekimliği polikliniğine
01.01.2015-01.01.2016 tarihleri arasında herhangi bir nedenle başvuran ve D
vitamini düzeyleri ölçülen hastaların dosyaları retrospektif olarak taranarak
yapıldı. Hastalar yaşlarına, örneklerin alındığı aylara ve mevsimlere göre
gruplandırıldı. Verilerin değerlendirilmesinde SPSS 20.00 paket programı
kullanıldı, p<0.05 değeri anlamlı kabul edildi.Bulgular:
Çalışmamızda yer alan 716 kişinin %76.3’ü (n=546) kadın, %23.7’si (n=170)
erkekti. Hastanemize başvuran hastalarda; %76.1 (n=545) sıklıkta vita­min D
eksikliği ve %12.3 (n=88) D vitamini yetersizliği tespit edilirken, sadece
%11.6 (n=83) hastada D vitamini seviyesi normal olarak bulundu. Cinsiyetlere
göre D vitamini düzeylerinin dağılımları incelendiğinde kadınlarda D vitamini
düzeyleri erkeklere göre istatistiksel olarak anlamlı derecede eksik bulundu (p=0.008). Mevsimler ile D vitamini
düzeyleri arasında istatistiksel olarak anlamlı bir farklılık saptandı (p=0.006). Sonbaharda eksiklik %30.1
(n=164) olup en düşük seviyede idi. D vitamini düzeyleri %28.9 (n=24) sıklıkta
en çok yaz mevsiminde normal idi. Aylara göre D vitamini düzeyleri arasında
istatistiksel olarak anlamlı bir fark vardı (p<0.001). En fazla eksiklik %12.7 (n=69) olarak aralık ayında
görülmekte iken, temmuz ayında D vitamini değerleri %15.7 (n=13) sıklıkta
normal aralıktaydı. 

Sonuç: Bu çalışmada %88.4 gibi çok yüksek sıklıkta D vitamini eksiklik ve
yetersizliği tespit edilmiştir. Çalışmamızda D vitamini düzeylerinin cinsiyete,
aylara ve mevsimlere bağlı değiştiği görüldü.
The Relationship between the Situation of Being Exposed to Violence and the Burnout in Security Guards Working in the Hospital
Authors: ARDİC Cuneyt , ZEREN OZTURK Guzin , USTA Oguzer
Published: August 2018

Objective: Burn-out affect was
shown every occupational groups. Security guards at hospitals
are at more risk because of their exposure to violence and their workload. The
aim of this study was to investigate the relationship between the situation of
being exposed to violence and the burnout in security guards at hospitals.Methods: Study was performed between April and June 2017 at 6 hospitals
from 3 different cities in Turkey. A self-report questionnaire was performed
and filled by participants with face-to-face interaction. Questionnaire was
consisting of 15 items towards variables that might
cause burn-out syndrome and sociodemographic variables. Maslach Burnout
Inventory was used to measure burn-out level of the participants. Statistical
analyses were performed using SPSS. P < 0.05 was statistically significant.Results: Participants were 215 security guards. 65.5 % (n=141) were exposed to verbally violent and 40.9 % (n=88) were
exposed to physically violent acts during the past 12 months three times or
more. There was statistically significant relation between exposure to verbal
or physical violence in last year and Maslach
emotional exhaustion scores. There was significant relation between Maslach
depersonalization scores of the security guards who exposed to physical
violence in last year, but it was not significantly at whom exposed to verbal violence in last year.

Conclusions: We found that as
burn-out increased with exposure to violence. Therefore we suggest that
security guards need to be educated about coping with violence and
communication; also should evaluated physiologically
within periodic examination.
Analysis of the Type 2 Diabetic Patients Followed in a University Clinic
Authors: KOCAK Mehmet Zahid , AKTAS Gulali , ERKUS Edip , T. DUMAN Tuba , ATAK Burcin M. , SAVLİ Haluk
Published: August 2018

Objective:  The aim of present study was to determine the effects
of factors to diabetic regulation; such as, awareness of the disease,
compliance with treatment, awareness of HbA1c target, in T2DM patients whom
followed up in our clinic.

Methods: Patients with T2DM were enrolled to this retrospective study. Patient’s
data were obtained and recorded from institutional database. As well as blood
pressure, anthropometric measurements, physical examination signs, and
laboratory parameters were recorded. Study population grouped into two
according to HbA1c level; well-regulated T2DM group with a HbA1c lower than 8%
and poorly-controlled T2DM group with a HbA1c 8% or greater.

Results: A total of 150 patients with T2DM (72 men and 78 women) enrolled. Waist
circumference, body mass index, duration of diabetes, LDL-cholesterol , total
cholesterol, triglyceride and serum creatinine were significantly lower in
well-controlled compared to poorly-controlled diabetic subjects (all p<0.05).
Rate of well-regulated subjects was higher in patients living in urban compared
to subjects living in rural area (p=0.01). Diabetic regulation rate was
significantly higher in patients acknowledge the diabetic medications, in self-monitoring
blood glucose, in subjects aware of HbA1c target, and free of diabetic
complications; neuropathy, nephropathy, and diabetic foot (all p<0.05).

Conclusion: Striking result of present
study is that most important factors associated with better diabetic control
were self monitoring of blood glucose, awareness of treatment target and
acknowledgement of the diabetic medications; which all could be achieved by
education and participation of the patient to the therapeutic process.
The Histopathological Findings of Adenoid Tissue After Topical Mometasone Furoate Implementation
Authors: AKCAN Fatih Alper , Bayram Akcan Hümeyra , Dundar Yusuf , Uluat Ahmet , Karakuş Esra
Published: August 2018

Objective: Pediatric sleep disordered breathing
(SDB) is a common childhood disease with a potential risk of several
comorbidities. The most common cause of SDB in childhood is upper
airway obstruction due to adenotonsillar hypertrophy and the classical treatment is
adenotonsillectomy. However, it carries a risk of many complications and
persistent apnea. Topical nasal steroid treatment may be an alternative to
surgery in the treatment of pediatric SDB. However, histopathological effects
of topical nasal steroids are mostly understudied.

Methods: A retrospective controlled clinical
study in an academic tertiary referral center. A total of 110 children were
involved in the study who underwent adenoidectomy for the treatment of SDB. The
study group (51-children) was treated with topical nasal mometasone furoate
monohydrate 100 mcg/day. The control group (59-children) was selected randomly
and all had no history of topical nasal steroid pre-operatively. Post-operative
adenoidectomy specimens were reviewed according to acute/chronic inflammation
findings, follicular hyperplasia, goblet cell hyperplasia, squamous metaplasia,
fibrosis, atrophy, ulcer and hemorrhage. The findings were scored
semiquantitatively for statistical analysis.

Results: Chronic inflammation findings,
follicular hyperplasia and goblet cell hyperplasia were significantly decreased
in the study group in addition fibrosis, atrophy and ulcer findings were
significantly increased in the study group. However, there was no statistical
difference between the groups according to acute inflammation and hemorrhage.

Conclusion: 
Topical nasal corticosteroids significantly suppress the nasopharyngeal
inflammatory process in SDB. This treatment may be an alternative to surgery at
least in patients with mild and moderate disease.
Serum Sistatin-C Düzeyleri Diyastolik Kalp Yetmezliğinde Öngördürücü Olabilir
Authors: KAYAPINAR Osman , ÖZDE Cem , KAYA Adnan
Published: August 2018

Özet :Amaç: Önceden diyastolik kalp yetmezliği
sistolik kalp yetmezliğinin gibi değerlendirilirken günümüzde bunların
birbirinden ayrı patofizyolojik mekanizmalarla ilerlediği bilinmektedir. Biz bu
çalışmada serum Sistatin C konsantrasyonu ile kalbin diyastolik fonksiyonları
arasındaki ilişkiyi göstermeyi denedik. Yöntem: Bu çalısmaya Mayıs 2010 ve Eylül
2010 tarihleri arasında Düzce Universitesi Tıp Fakültesi  Hastanesi Kardiyoloji polikliniğine başvuran
bireyler dahil edildi. Deneklerin diyastolik parametreleri değerlendirildi ve
Sistatin C düzeyleri çalışıldı.Denekler diyastolik fonksiyonlarına göre normal
,grade 1, grade 2 olarak üç gruba ayrıldı ve serum sistain-c düzeyi ile bu
gruplar arasında ilişki araştırıldı. Bulgular: Bu çalışmada, Grade I ve Grade II
diyastolik disfonksiyonu olan denekler ile diyastolik fonksiyonu olmayan
denekler serum Sistatin C seviyelerine göre karşılaştırıldı. Diyastolik
disfonksiyon olan gruplarda Sistatin C düzeyinde anlamlı düzeyde artmış olduğu
gösterildi (normal -grade 1:p<0,0001,Normal-grade 2: P<0,004). Sistatin C
değeri için cutof değerini 0,997 ng/ml olarak bulduk. Bu noktada  sistatin C nin diyastolik disfonsiyonu
göstermede spesifitesi  % 80,
sensitivitesi % 78.95 bulundu . 

Sonuç: Serum sistain C düzeyi diyastolik
disfonksiyonun erken tespitinde ve takibinde faydalı olabilir.Abstract:Aim: Formerly diastolic heart failure
eveluated as sistolic heart failure but nowadays we know their distinc
patophisyolojical mechanism.In this study we tried to Show the relations
between diastolic dysfunction and serum cyctatin C consantrations.  Methods : We included the individuals  who admitted to cardiology clinic of Düzce
University Medical Faculty between May 2010 and September 2010. We evaluate the
serum cystatin C consantrations and 
diastolic dysfunction among 88 person. we evoluated the diastolic parameters
with 2D echocardiography , TDI and PW doppler mesuraments.The 88 study
participants were categorized according to their diastolic parameters into
three groups normal ,grade 1 and grade 2. We made cystatistical analysis in
each groups and parameters. Results: İn this study the participants
who has grade 1 and grade 2 diastolic disfunction were compaired with normal
participants (who has normal Diastolic function) according to their serum
cycstatin C consentrations.We shown the sytatisticly significant incrise of
serum cycstatin C levels in the group of diastolic disfunction Grade 1 and
Grade 2.(nomal-grade 1:p<0,0001,normal-grade 2:p<0,004). And we find that
the cut off ratio for Cystatin C was 0,997 ng/ml . On this point Cystatin c was
%80 specific and %78.95 sensitive for diastolic disfunction.

Conclusion: Serum Cystatin C levels may be
useful in the early detection and monitoring of diastolic dysfunction.
Impacts of Childbirth on the Subsequent Risk of Stress Urinary Incontinence
Authors: Ozdurak İbrahim , Goymen Abdullah , Simsek Yavuz , Ozakin Ekrem , Akpak Yaşam Kemal , ŞIK Aytek , Sarı Oktay
Published: August 2018

Objectives:
The aim of the current study was to investigate the role of childbirth
parameters on the development of stress urinary incontinence (SUI).

Methods:
One hundred-one healthy women (control group) and 98 patients with SUI (study
group) were included in this study between March 2008 and April 2009. Obstetric
history of participants was taken and labor parameters were compared between
the groups.

Results:
The prevalence of SUI reported in the study period was 17.2%. Gravidity and
parity was significantly higher in study group (P<0.001). Vaginal delivery,
Kristeller manauver, operative delivery by vacuum or forceps extraction and
delivery of macrosomic fetus was found to be significant risk factors for SUI
(P<0.05).

Conclusions:
Mode of delivery and obstetric history have significant impact on subsequent
SUI. Timely cesarean section in women with obstructed labor may prevent the
later occurrence of SUI.
Stratejik Aile Danişmanliği: Bir Vaka İncelemesi
Authors: Taştan Kenan
Published: August 2018

Aile Danışmanlığı; bir aileyi oluşturan bireylerden oluşan
bir gruba verilen psikolojik danışmanlıktır. Aile danışmanı,
evlilik, ayrılık ve boşanma sırasında ilişkiler açısından sorunları olan
insanların; çocuklarıyla ilgili sorunlarının ve/veya aile ile ilgili kişisel
veya kişiler arasındaki sorunlarının üstesinden daha rahat bir şekilde
gelmelerine yardımcı olur. Aile
danışmanlığı, bir bütün olarak aile sistemi üzerine odaklandığı için diğer
danışmanlık türlerinden farklıdır. Birey sorunlu olarak tanımlanmaz, bunun
yerine aile sisteminin sorunu tespit edilir. Bu tespit edilen sorun aile
bireylerinin tamamının dâhil olduğu görüşmelerle çözümlenmeye çalışılırken,
aile danışmanı görüşmeleri yönlendiren bir yönetici konumundadır. Aile
hekimleri görev tanımları gereği “kişiye yönelik koruyucu sağlık hizmetleri ile
birinci basamak teşhis, tedavi ve rehabilite edici sağlık hizmetlerini yaş,
cinsiyet ve hastalık ayrımı yapmaksızın, her bireye, kapsamlı ve devamlı olarak
vermekle yükümlüdür.” aile danışmanlığı uygulamalarında etkin rol almalıdırlar.
Aile danışmanlığı alanında üstlenecekleri görev aile ilişkilerinin işlevselliği
ve toplum sağlığı açısından da önemli bir rol olacaktır.

Bu
olgu sunumunda aile içinde yaşadıkları sorunları çözmek için Atatürk
Üniversitesi Aile Hekimliği ve Aile Danışmanlığı polikliniğimize başvuran bir
aile incelenmiştir.
EDITORIAL
Authors: Riul Sueli Da Silva , Simões Ana Lúcia De Assis , Tavares Darlene Mara dos Santos
Published: August 2018

Editorial
EXPERIÊNCIAS DE ACOLHIMENTO SEGUNDO PROFISSIONAIS DE UM CENTRO DE ATENÇÃO PSICOSSOCIAL
Authors: Pegoraro Renata Fabiana , Bastos Ludmilla Suelen Nunes
Published: August 2018

Objetivos: Este artigo teve como objetivo identificar as concepções sobre o processo de acolhimento realizado em um Centro de Atenção Psicossocial segundo seus profissionais. Método: A pesquisa realizada foi qualitativa, de natureza descritiva, e fez uso de um roteiro de entrevistas, aplicado em quatro profissionais, sobre o funcionamento do CAPS e os cuidados prestados, além de observação participante. As entrevistas foram transcritas e submetidas à análise de conteúdo. Resultados: Os participantes destacaram mudanças na forma de realizar o acolhimento a partir de mudanças na demanda do CAPS, bem como apresentaram pontos positivos e dificuldades da realização de um grupo de acolhimento. Conclusão: Destaca-se a aproximação de familiares-usuários-equipe a partir do grupo de acolhimento, pelo desenvolvimento de escuta e vínculo, bem como o funcionamento deste grupo como forma de minimizar dificuldades advindas de falhas na rede de saúde mental local.
FATORES ASSOCIADOS À INCONTINÊNCIA URINÁRIA ENTRE IDOSOS DA ZONA RURAL
Authors: Ribeiro Camila Romanato , Tavares Darlene Mara dos Santos , Ferreira Pollyana Cristina Dos Santos , Dias Flavia Aparecida , Ferreira Lúcia Aparecida
Published: August 2018

Os objetivos foram descrever características socioeconômicas dos idosos residentes na zona rural de um município do interior de MG e verificar fatores associados à IU nesses idosos. Participaram 96 idosos com IU e 754 sem IU. Utilizou-se como instrumentos: Questionário Brasileiro de Avaliação Funcional Multidimensional e a Escala de Depressão Geriátrica Abreviada. Dentre os idosos com IU verificou-se maior percentual do sexo feminino e, entre aqueles sem IU, houve predomínio do sexo masculino. Em ambos os grupos, o maior percentual de idosos apresentavam 60-70 anos, eram casados ou moravam com companheiro, com 4├ 8 anos de estudo, renda individual mensal de 1 salário mínimo e que residiam apenas com o cônjuge. Como preditores para IU, a obesidade (β= 3,06; p<0,001) e a depressão (β= 2,31; p<0,001). A equipe de enfermagem deve orientar sobre os malefícios da obesidade incentivando hábitos saudáveis e encaminhar aqueles com indicativo de depressão para tratamento. Aprovação pelo Comitê de Ética em Pesquisa da Universidade Federal do Triângulo Mineiro, protocolo n° 1477.
EGRESSOS DE INTERNAÇÃO PSIQUIÁTRICA ACOMPANHADOS NA REDE DE SERVIÇOS DE SAÚDE
Authors: Castro Sueli Aparecida de , Furegato Antonia Regina Ferreira , Santos Jair Licio Ferreira
Published: August 2018

Objetivo: Acompanhar e avaliar a adesão do portador de transtorno mental aos tratamentos após sua alta hospitalar. Método: Estudo descritivo, transversal, baseado em dados primários e secundários. Variáveis sociodemográficas e clínicas, informadas e registradas nos retornos aos serviços, coletadas durante 21 meses e analisadas. Resultados: Dos 875 egressos, 71 atenderam aos critérios de inclusão do estudo. Maioria branca, entre 40 e 49 anos, sexo masculino, solteiros, sem companheiro, nível fundamental incompleto, internações anteriores e prevalência dos diagnósticos F20-F29 e F30-F39. O estado mental, prevalente na alta, foi calmo, associado a vários diagnósticos, sem proposta terapêutica para o pós-alta. Maioria compareceu aos retornos agendados, com pouca adesão aos tratamentos oferecidos, segundo Teste Morisky-Green. Acolhimentos realizados principalmente pela equipe de enfermagem. O atendimento das equipes não está centrado na reabilitação psicossocial. Conclusão: O portador de transtorno mental comparece aos serviços de saúde mental, porém não se observam resultados significativos na sua reabilitação.
O PROCESSO DE ENFERMAGEM NA ATENÇÃO BÁSICA EM UM MUNICÍPIO DE ALAGOAS, BRASIL
Authors: Costa Aline Santos , Dias Renise Bastos Farias , Cerqueira José César De Oliveira , Peixoto Rita de Cássia Batista de Oliveira
Published: August 2018

Objetivo: analisar a aplicação do Processo de Enfermagem por enfermeiros que atuam na atenção básica de um município do agreste alagoano. Método: Trata-se de um estudo descritivo de abordagem qualitativa, com base na Análise de Conteúdo de Bardin. Foram entrevistados 14 enfermeiros e os dados qualitativos foram agrupados pela tendência de conteúdos, dos quais se originaram três macros categorias. Resultado: O estudo evidenciou que não há uma efetivação do Processo de Enfermagem no cuidado realizado pelos enfermeiros da atenção primária à saúde do município em questão. Conclusão: Os resultados desse estudo mostram que os enfermeiros que atuam na atenção básica possuem dificuldades para aplicar o método científico em sua prática clínica, desenvolvendo o Processo de Enfermagem de forma parcial, e consequentemente pautados em um processo de trabalho assistematizado do cuidado individual e coletivo na atenção básica.
La Psicología a Contraluz: Debate Epistemológico y Estatus Disciplinar
Authors: Villalobos Kirmayr Mario
Published: August 2018

A través de nociones epistemológicas clásicas como falsación, paradigma y ciencia normal, se examina el estatus científico de la disciplina psicológica tanto en sus niveles de lógica investigativa como de desarrollo institucional. Asimismo, bajo la noción de determinismo estructural maturaniana, se analiza la posibilidad de entender lo mental como objeto de estudio científico. El examen muestra las dificultades de enmarcar a la psicología dentro del campo de las ciencias, sea por la lógica no falsacionista de su investigación, por el carácter preparadigmático de su institucionalidad, o por la imposibilidad de constituir su objeto de estudio como una unidad con determinación estructural.
Resentimiento y Psiquismo (Primera Parte)
Authors: Droste Klaus
Published: August 2018

El tema del resentimiento no es un tema común en psicología. En el ámbito de los problemas psíquicos no es el resentimiento un elemento considerado con frecuencia como causa de malestar y dolor en una persona. Cuando se está con alguien que manifiesta tener dificultades en algunas áreas de su vida; vivir una vida triste, amarga, con alteraciones importantes, incapacidad de disfrutar las cosas que debieran ser fuente de gozo y alegría, no es el resentimiento un concepto conocido como para ayudar a explicar lo que sucede. El concepto de resentimiento que buscamos precisar es de útil conocimiento para cualquier psicólogo. Es un concepto que puede ayudar a conocer mejor al hombre y su psicología, y permite explicar algunos fenómenos interesantes que se dan en la vida de algunas personas.[...]
Las estrategias de afrontamiento frente a la percepción de apoyo social: Estudio Descriptivo-Comparativo con adultos mayores institucionalizados y no institucionalizados de la Región Metropolitana, considerando la variable género
Authors: Reyes Rasse Carolina , Rojas Arellano Paz
Published: August 2018

La presente investigación estudió las estrategias de afrontamiento frente a la percepción de apoyo social en adultos mayores institucionalizados y no institucionalizados, considerando la variable género. Se utilizó una metodología de tipo descriptivo-comparativo de carácter cuantitativo. La muestra comprendió 100 adultos mayores, 25 hombres institucionalizados y no institucionalizados, 25mujeres institucionalizadas y no institucionalizadas. Los resultados señalan que las mujeres adultas mayores perciben mayor apoyo social familiar y de las amistades que los hombres; de igual manera, los no institucionalizados perciben mayor apoyo social que los institucionalizados. Comparando ambas escalas de apoyo social, los adultos mayores perciben mayor apoyo familiar que de las amistades. Con respecto a las estrategias de afrontamiento, entre hombres y mujeres adultos mayores existen diferencias significativas en la utilización de las estrategias: reinterpretación positiva y crecimiento, focalización y ventilación de emociones, siendo las mujeres quienes las despliegan más. Los hombres utilizan más las estrategias: afrontamiento activo, aceptación de responsabilidad y autocontrol, y las mujeres reinterpretación positiva y crecimiento, aceptación de responsabilidad y autocontrol. Los adultos mayores institucionalizados despliegan menos estrategias de afrontamiento que los no institucionalizados, existiendo diferencias significativas en las estrategias: planificación, búsqueda de apoyo social por motivos instrumentales, búsqueda de apoyo social por motivos afectivos y reinterpretación positiva y crecimiento. Las principales estrategias utilizadas por los adultos mayores institucionalizados son: afrontamiento activo, aceptación de la responsabilidad y autocontrol. Los no institucionalizados utilizan más las estrategias: afrontamiento activo, planificación, reinterpretación positiva y crecimiento y de autocontrol.
Acerca de las creencias, actitudes y visión ecológica del mundo en estudiantes chilenos. Un estudio preliminar enmarcado en la educación para sustentabilidad
Authors: Zambra Araneda Enrique , Cáceres Palavecino Ana , Menzel Susanne
Published: August 2018

La Organización de las Naciones Unidas ha realizado un interesante llamado a la comunidad mundial parala celebración del decenio 2005-2014, declarado como "Década de la educación para el desarrollo sostenible".Este llamado surge ante la evidencia de que hoy en día vivimos una situación de auténtica emergenciaplanetaria: contaminación y degradación de los ecosistemas, crecimiento demográfico desmedido,sobreexplotación de recursos, desequilibrios insostenibles, pérdida de la diversidad cultural y biológica, etc.En Chile, específicamente, ya poseemos un documento borrador Na4 que data dcl31 de enero de 2006 sobrePolítica Nacional de Educación para el Desarrollo Sustentable, donde se destaca la educación como uninstrumento de gestión ambiental, además de los principios y objetivos sobresalientes que permitirán laemergencia de una nueva visión de nuestro mundo. Se trata entonces de generar en las comunidades escolaresy ciudadana un compromiso por una educación para la sustentabilidad donde jueguen un papel significativolos valores, creencias, actitudes y comportamientos a .nivcl individual y social
Revisión de las habilidades socio-cognitivas en la infancia temprana
Authors: Farkas Chamarrita , Grothusen Sandra , Josee Muñoz Marie , Von Freeden Patricia
Published: August 2018

La infancia temprana le genera al niño una serie de necesidades nuevas; su mundo social se amplía, aumentansus necesidades y las personas y contextos con los que interactúa, así como las exigencias que le planteael ambiente social. A la vez, la interacción con los demás es fuente de crecimiento y desarrollo, siendo portanto las habilidades sociales y el ajuste social, temas de gran relevancia a esta edad.En esta área son de suma importancia las habilidades socio-cognitivas, las cuales mediatizan la adaptaciónsocial del niño a su entorno. En este artículo se revisan aquellas habilidades que han recibido mayor apoyoteórico y empírico en esta etapa del desarrollo - resolución de problemas intcrpcrsonales, atribución decausalidad, atribución de intcncionalidad y toma de perspectiva- así como el nivel de logro esperado encada una de ellas.
Análisis Psicosocial Jurídico con Perspectiva de Género: Campaña Publicitaria de la tienda FES
Authors: Venegas Ahumada Cristián
Published: August 2018

El objetivo es describir con perspectiva de género la campaña publicitaria Otoño-Invierno 2005 de la tienda de ropa FES. Se usó un análisis semiótico crítico de discurso aplicado a 6 fotografías de anuncios publicitarios. Estos inducen a un sentido obtuso / abyecto. El objetivo del publicista es persuadir con el impacto. El discurso publicitario tiene Condiciones de Producción (cultura patriarcal) y Condiciones de Reconocimiento (género, muerte de mujeres víctimas de violencia, el Código Chileno de Ética Publicitaria, la Constitución Chilena, Convenciones que protegen a la Mujer y Derechos Humanos). La campaña publicitaria produce violencia simbólica contra la Mujer y el Hombre por sus contenidos: Agresión hostil, sexismo, prejuicio, discriminación, estereotipo y violencia de género.