bluuebunny/crossref_metadata_2025 huggingface dataset:
Effect of Place of Birth on Knowledge of Neonatal Danger Signs and Associated Factors among Mother's in Meicha District, Northwest Ethiopia: A Community-based Comparative Cross-Sectional Study
Authors: Gebremeskel Teferi Gebru , Tsegaye Adino Tesfahun , Geremew Alehegn Bishaw , Grum Teklit
Published: December 2019

Background: Danger signs in the neonatal period are non-specific and could be a manifestation of almost any newborn disease. Early recognition of these signs by mothers is a pre-request for increasing neonatal care-seeking behavior. There four this study aimed to assess knowledge of neonatal danger signs and associated factors among mothers who gave birth at home and health institutions in Meicha District, Northwest Ethiopia. Methods: A community based comparative cross-sectional study was conducted among Home and Health institutions delivered mothers two months before the survey. A simple random sampling method was used to select the participants. Data was collected by face to face interviews of mothers. Binary logistic regression analysis was used to identify associated factors. The odds ratio with 95% CI was computed to assess the strength of the associations. Result: A total of 650 (325 health institution delivered and 325 home delivered) mothers were interviewed. Among this, 50.7% (AOR=2.19, 95%, CI (1.594-3.003)) of the mother were knowledge of neonatal danger sign in the district. Mother knowledge of neonatal danger sign was higher among mothers who give birth health institution (60.1%) than home (41.1%). Age of the mother (AOR:3.99, 95% CI:(1.45-11.03)), age of new born (AOR:0.53, 95% CI:(0.36-0.78)), parity (AOR:1.27, 95% CI:(1.37-5.31)), postnatal care attendance (AOR=2.42,95% CI: (1.47, 3.96)), distance of health center (AOR:0.46,95% CI:(0.27,0.78)) were significantly associated with overall mother’s knowledge of neonatal danger sign. Whereas, residence (AOR: 3.09, 95% CI:(1.44, 6.64)) and occupational status of husband (AOR:0.23, 95% CI:(0.201,0.67)) were significantly associated with health institution delivered mother. Age of new born (AOR: 0.50, 95% CI:(0.28,0.896)), parity(AOR: 0.29, 95% CI:(0.113,0.74)), antenatal care (AOR: 12.04, 95% CI: (5.9,24.65)) and postnatal care attendance (AOR:0.27,95% CI:(0.138,0.51)) was significantly associated with home delivered mother. Conclusion: The overall mother’s knowledge of neonatal danger signs was low. However, health institutions delivered mother more knowledge about danger signs than home-delivered mothers. Therefore, it is better if the district Health Office should investigate the implementation of educational programs in the community and strengthen the health extension program.
Informal Support for People With Alzheimer’s Disease and Related Dementias in Rural Uganda: A Qualitative Study
Authors: Nankinga Pia Ngoma , Maling Samuel Maling , Chemali Zeina , Wakida Edith K , Obua Celestino , Okello Elialilia S
Published: December 2019

Background: The generation of people getting older has become a public health concern worldwide. People aged 65 and above are the most at risk for Alzheimer’s disease which is associated with physical and behavioral changes. This nurtures informal support needs for people living with dementia where their families together with other community members are the core providers of day to day care for them in the rural setting. Despite global concern around this issue, information is still lacking on informal support delivered to these people with dementia. Objective: Our study aimed at establishing the nature of informal support provided for people with dementia (PWDs) and its perceived usefulness in rural communities in South Western Uganda. Methods: This was a qualitative study that adopted a descriptive design and conducted among 22 caregivers and 8 opinion leaders in rural communities of Kabale, Mbarara and Ibanda districts in South Western Uganda. The study included dementia caregivers who had been in that role for a period of at least six months and opinion leaders in the community. We excluded trained health workers. Results: The study highlights important forms of informal support offered to PWDs such as support in activities of daily living, enabling access to medical attention, recovering misplaced items, provision of herbal remedy, informal counseling, and sourcing carers from other families to offer presence and support in the hope to impact positively on behavioral outbursts and the frustration of living with dementia.Conclusion: The study revealed various forms of informal support that are available for PWDs in South Western Uganda and stressed the role of caregivers and the perceived usefulness of the care provided.
Impact of the World Health Organization Basic Emergency Care Course in Tanzania and Uganda
Authors: Kivlehan Sean , Dixon Julia , Kalanzi Joseph , Sawe Hendry , Chien Emily , Robert Jordan , Wallis Lee , Reynolds Teri
Published: December 2019

Background: There is a pressing need for emergency care training in low-resource settings. We assessed the feasibility and acceptability of training front-line health care providers in emergency care with the WHO-ICRC Basic Emergency Care Course using a training-of-trainers model with local providers.Methods: Observational study of an educational intervention at four first level district hospitals in Tanzania and Uganda. A two-day training-of-trainers course was held in both Tanzania and Uganda. These were immediately followed by a 5-day BEC course, taught by the newly trained trainers, at two district level hospitals in each country. Difference between pre- and post-basic emergency care knowledge assessments and difference in pre- and post-emergency care skill confidence scores were assessed. Secondary outcomes include qualitative feedback on the training from participants and trainers. Results: 59 participants completed the BEC courses. All participants were current health care workers in the selected hospitals. An additional 10 participants completed a training-of-trainers course. Knowledge assessment scores improved significantly at all four sites with an overall 20.7 point (95%CI: 16.8 to 24.6; p <0.0001) absolute increase on a 100-point scale. Confidence scores on emergency care skills also improved significantly at all sites, 0.74 point (95%CI 0.63-0.84; p <0.0001) absolute increase on a 4-point scale. Main qualitative feedback themes were: positive reception of the sessions, especially hands-on skills; request for additional BEC trainings; request for obstetric topics; and need for more allotted training time.Conclusions: Implementation of WHO-ICRC BEC Course by locally trained providers was feasible, acceptable, and well-received at four sites in East Africa. Knowledge assessment scores and trainee confidence increased significantly at all sites. The BEC is a low-cost intervention that can improve knowledge and skill confidence across provider cadres.
Politeness Strategies of the General Practitioners at Community Health Center in Semarang
Authors: Rahayu Kartini , Suryadi Muhammad
Published: December 2019

Communication which occurs between general practitioners and patients is meant to meet the patient's medical needs. In carrying out communication, general practitioners and patients always pay attention to their speech in order to reduce the threat of the face of the hearer and to establish a good relationship. Based on this, this study examines the use of general practitioners' politeness strategies in community health centers and aims to describe the politeness strategies used by general practitioners in establishing communication with patients. This politeness strategy study is a qualitative descriptive research in which data were obtained through the observation method and then were analyzed. The results of data analysis showed that general practitioners used three Brown and Levinson’s politeness strategies, namely Bald on Record strategies, positive politeness strategies, and negative politeness strategies.
Adaptación de la teoría de la información para el régimen de propagación lineal de una red óptica DWDM de próxima generación
Authors: Gómez Agredo Gustavo Adolfo , López Perafán José Giovanny
Published: December 2019

En el desarrollo del presente artículo, se adapta la teoría de la información de Shannon y se propone una ecuación para la medida de la eficiencia espectral con el fin de aplicarla a los nuevos entornos de red ópticos NG-PON (Next Generation Passive Optical Network) propuestos por el grupo de tareas FSAN (Full Service Access Network) de la UIT-T. Este desarrollo permitirá controlar ciertos parámetros y características de configuración de los sistemas basados en fibra óptica para lograr mejoras en la eficiencia espectral, altas capacidades de acceso y grandes anchos de banda; permitiendo entender de una manera más clara los cambios que las arquitecturas de red DWDM (Dense Wavelength Division Multiplexing) han sufrido en los últimos años como una visión del futuro de las telecomunicaciones.
Dicotomías entre la seguridad y los derechos humanos a partir de la justicia transicional en Ecuador
Authors: Peñafiel Valencia Diego
Published: December 2019

Este artículo busca realizar una breve aproximación al régimen de seguridad nacional y su implementación en Ecuador, lo que derivó en crímenes de lesa humanidad. Igualmente se analiza el régimen internacional de derechos humanos y su incidencia en este país, particularmente en la consolidación de la justicia transicional.
Gobernanza del interculturalismo laboral digital en millennials
Authors: García-Lirios Cruz
Published: December 2019

El interculturalismo laboral es considerado un tema central de la gobernanza de los flujos migratorios, pero en la era digital los internautas millennials imprimen un sello distintivo con respecto a otras generaciones en cuanto a las relaciones laborales a través de protocolos electrónicos. El objetivo del presente trabajo es establecer la confiabilidad y la validez de un instrumento que mide el fenómeno. Se considera una aproximación a la estructura factorial exploratoria de ejes principales con rotación promax a una muestra no probabilística de 412 ciberusuarios. Se estableció un modelo que explicó el 70% de la varianza, sugiriendo la inclusión de otras variables e indicadores que incrementarían su poder explicativo.
Diagnosis and treatment of internal hydrocephalus in dogs in relation to our own observations
Authors: TEODOROWSKI OLIWIER , TEODOROWSKI PIOTR , KIONA MICHAŁ , LOSKOT MARTYNA , WINIARCZYK STANISŁAW , WÓJCIK ALICJA , ADASZEK ŁUKASZ
Published: December 2019

Hydrocephalus is a congenital or acquired neurological disorder in dogs, associated with the excessive accumulation of cerebrospinal fluid (CSF). The factors contributing to hydrocephalus development are diverse and not always possible to determine. The aim of this article was to present two cases of the diagnosis and treatment of internal hydrocephalus in dogs. The observations included animals with neurological disorders of unknown origin. Internal hydrocephalus was diagnosed based on the results of magnetic resonance imaging, and the treatment of both patients comprised ventricular brain drainage. The surgical treatment was fully effective for one dog. For the other dog, a short-term improvement was followed by deterioration in condition due to occlusion of the ventriculoperitoneal drain, and the owners decided to euthanize the animal. The analysis of our cases led to the conclusion that congenital hydrocephalus is a disorder that challenges veterinarians in terms of diagnosis and therapy, due to limited access to advanced imaging techniques such as MRI or CT, and from the complicated nature of the surgical treatment. However, it should be noted that if the disorder is correctly diagnosed and ventricular brain drainage is adequate, the chances for successful functioning are significant.
ABORDAGEM HUMANIZADA EM UTIs DOS CURSOS DE FISIOTERAPIA BRASILEIROS: DISPOSIÇÃO DAS DISCIPLINAS E CONSIDERAÇÕES DOCENTES
Authors: Figueiredo Erica de Araújo , Lúcia Leal Ana
Published: December 2019

A Fisioterapia faz parte das ciências da saúde. Destina se à prevenção e ao tratamento de alterações de órgãos e sistemas. Na UTI, o fisioterapeuta intensivista atua na função do sistema respiratório e de outros sistemas, precisando estar preparado para se deparar com a especificidade e complexidade do ambiente hospitalar, não apenas no manejo das técnicas, mas também sendo sensível à necessidade de cultivar uma relação humanizada com seus pacientes. O presente estudo teve por objetivo analisar os Projetos Políticos Curriculares (PPCs) das IES dos Cursos de Fisioterapia de todo o país, disponibilizados em seus respectivos sites, compreendendo a disposição das disciplinas de UTI e Humanização na grade curricular dos Cursos, e verificar se a abordagem humanizada na formação teórica é considerada pelos professores como fator que contribui, efetivamente, para a prática em UTIs. Realizamos uma entrevista semiestruturada em quatro docentes em duas IES da cidade de Recife. Os resultados da análise dos PPCs pesquisados apontaram para uma formação teórica escassa na área da humanização terapeuta-paciente. As entrevistas realizadas com os professores apontaram para um reconhecimento unânime da importância dela, porém nenhum professor mencionou que havia uma disciplina específica para tratar sobre a questão com os alunos nas IE que atuavam.
TENDÊNCIA DE CONSUMO DE ALIMENTOS INDUSTRIALIZADOS POR PORTADORES DE DOENÇAS CRÔNICAS NÃO TRANSMISSÍVEIS
Authors: Matos Cristina Henschel , Da Cruz Franciele Aparecida de Souza , Pereira Joyce Aparecida de Oliveira , Henn Rosana
Published: December 2019

As doenças crônicas não transmissíveis (DCNT) são hoje uma das principais razões de óbitos no Brasil e no mundo e uma das suas principais causas é a má alimentação. Por esse motivo o objetivo deste estudo foi avaliar o conhecimento e tendência de consumo de alimentos industrializados por usuários portadores de DCNT de uma Unidade de Saúde Escola de Itajaí-SC. A população foi constituída por mulheres adultas, portadoras de DCNT, assistidas pela Unidade de Saúde entre os meses de setembro/2017 a março/2018. Os dados foram coletados por meio de entrevista, contendo questões sobre fatores que influenciam a compra e consumo, de alimentos, rotulagem e dificuldades de interpretação das informações das embalagens. Os resultados demonstraram que das 59 mulheres avaliadas, a maioria era adulta de meia idade, com ensino fundamental incompleto e renda per capta inferior a um salário mínimo. Dentre as DCNT mais relatadas estavam a hipertensão arterial a diabetes. Destaca-se que o preço foi fator preponderante para a aquisição dos alimentos (56%), bem como o fato dos mesmos estarem em promoção (54%). Observou-se também que existe uma tendência de compra para os produtos ditos mais saudáveis, entretanto só 61% das mulheres têm o hábito de observar a composição nutricional dos alimentos e destas, 33% apresentam dificuldades na sua interpretação. Diante deste contexto, é possível verificar a necessidade de atividades de educação alimentar e nutricional que levem a reflexão sobre o ato de se alimentar, buscando a desassociação entre alimento industrializado e preço com alimentos saudáveis.
AMAMENTAÇÃO: INFLUÊNCIA DO TEMPO DE TRANSIÇÃO DA SONDA PARA VIA ORAL EM PREMATUROS
Authors: Barbosa Gabriele Kauss , Strassburger Simone Zeni , Gomes Joseila Sonego , Roppa Garcia Maria Cristina , Ferreira Pâmela Fantinel , Vargas Camila Lehnhart
Published: December 2019

OBJETIVO: Este trabalho busca apresentar quais fatores podem influenciar na prática da amamentação em RNPT, e observando de que forma a transição alimentar de sonda para via oral pode intervir no sucesso do aleitamento materno. METODOLOGIA: Estudo do tipo descritivo de caráter observacional e documental transversal. A população é composta RNPT, de ambos os sexos, que estiveram internados em UTIN, aceitando participar da pesquisa, através do TCLE. Foram incluídos os RN menores de 37 semanas, e excluídos aqueles prematuros cujos pais ou responsáveis não aceitaram participar da pesquisa e óbitos. A amostra foi constituída por 28 RNPT. RESULTADOS: A idade gestacional média foi de 32,59±2,95 semanas. Na admissão da UTIN 27 (96,42%) estavam com prescrição de nada por via oral (NPO). As vias utilizadas para a nutrição dos RNPT foram a nutrição parenteral (NPT), e nutrição enteral (NE), com mediana de 10 dias de tempo de uso. Durante a utilização da sonda enteral a estimulação sensório-motora oral foi realizada em 25 (92,60%) dos RNPT, na alta a mãe foi questionada se havia recebido orientações sobre aleitamento materno e 23 (82,14%) confirmaram. CONCLUSÕES: O tempo e a prevalência do uso de SOG sugerem interferência na manutenção da amamentação exclusiva, pois a maioria teve alta com o uso de fórmulas. O BLH do hospital tem influencia muito positiva no fato de grande parte dos RNPT terem iniciado a VO no seio materno. Os resultados quanto à influência do tempo de uso de sonda na amamentação não foram expressivos nesta pequena.
GRUPO OPERATIVO COMO ESTRATÉGIA DE AUTOCUIDADO PARA PORTADORES DE DIABETES MELLITUS TIPO 2
Authors: Silva Tiara Cunha , Leal Davyd Christyan de Menezes Ferreira , Bruno Juliana Ramos
Published: December 2019

Objetivo: Conhecer a percepção dos diabéticos sobre a patologia, o tratamento e o autocuidado antes e após a implementação de um grupo operativo. Métodos: Trata-se de um estudo do tipo descritivo, longitudinal de abordagem qualitativa, realizado com portadores de diabetes mellitus tipo 2 cadastrados na área de abrangência da equipe 07 da Unidade Saúde da Família 712 Sul no município de Palmas-Tocantins, que tiveram adesão a três ou mais encontros do grupo operativo. Foi realizado cinco encontros do grupo no período de maio a agosto de 2015.  A coleta de dados ocorreu através da entrevista semi-estruturada antes e após a implementação do grupo operativo. Este estudo foi aprovado pelo Comitê de Ética e Pesquisa do CEULP-ULBRA sob parecer nº 1063446. Resultados e Discussão: Aceitaram participar da pesquisa dezessete diabéticos, sendo que destes, nove participantes tiveram adesão a três ou mais encontros do grupo operativo. As falas foram analisadas com base na Análise de Conteúdo e originou as seguintes categorias: Conhecimento acerca da doença, Mudança no estilo de vida, Dificuldades encontradas para seguir o tratamento e Sentimentos frente à doença.  Conclusão: Os resultados do estudo demonstraram que a implementação do grupo operativo realizado a partir de abordagens lúdicas, dialógica, participativa, com o favorecimento da escuta reflexão e problematização da realidade do usuário, proporcionaram aos diabéticos uma melhor compreensão acerca do seu processo saúde-doença, incorporando mudanças de comportamento significativas para melhoria da qualidade de vida.
Mercimekte (Lens culinaris M.) Hızlı Islah Teknikleri Kullanılarak Generasyon Süresinin Kısaltılması
Authors: ÇELİK ÖZER Gözde , KARAOĞLU Cuma , AYDOĞAN Abdulkadir , KILINÇ Vildan Havva
Published: December 2019

Bu çalışma 2019 yılında; Tarla Bitkileri Merkez Araştırma Enstitüsü Müdürlüğü Baklagil Islah Birimi ve Biyoteknoloji Araştırma Merkezi işbirliği ile yürütülmüştür. Mercimekte yabancı ot sorununa çözüm bulmak için dayanıklılığı tespit edilmiş hatlar ile ülkemizde en fazla ekimi yapılan kışlık mercimek çeşitleri resiprokal olarak melezlenmiştir. Bu çalışmanın amacı, melezlenen popülasyonlarda genetik ilerlemeyi arttırmak için kontrollü koşullarda mercimeğin günlük ışığa maruz kalma süresini ve ışıklanma yoğunluğunu yükselterek generasyonlar arası süreyi kısaltmaktır. Arazi koşullarındaki klasik mercimek ıslah çalışmaları sonucunda bir yılda bir generasyon ilerleme sağlanabilmektedir. Bu çalışmada bitkilerin hem günlük ışığa maruz kalma süresinin uzatılması hem de erken tohum hasadı gerçekleştirilmesi suretiyle populasyonlar 60 gün içerisinde bir generasyon ilerletilmiştir. Sera ve iklim odasında ışıklandırma yoğunluğu ve süresi farklı tutularak bitkilerdeki morfolojik ve fizyolojik değişimler gözlemlenmiştir. Çalışma ile mercimekte hızlı ıslah teknikleri kullanılmaya başlanmıştır. Bu tekniklerin klasik ıslah çalışmalarına entegre edilmesi ile daha kısa sürede istenilen özellikte mercimek çeşitleri geliştirilecektir.
Penerapan Strategi Brain-Based Learning Berbantuan Geogebra Terhadap Kemampuan Berfikir Kreatif Siswa
Authors: Sari Suci Lupita , Hidayati Destia Wahyu , Wahyuni Arie
Published: December 2019

The purpose of this study is to determine the average mathematical creative thinking ability of students by using Geogebra-assisted Brain-Based Learning strategies more than KKM (70) and to find out the average mathematical creative thinking ability of students using more Brain-Based Learning strategies assisted by Geogebra higher than students' creative mathematical thinking abilities using conventional methods. This research uses quantitative methods. The sample of this study was students of class VIII-A as many as 16 students as the experimental class and class VIII-B as many as 18 students as the control class. The results of this study indicate that students' creative thinking abilities using Geogebra-assisted Brain-Based Learning strategies are more than 70 and there are significant differences between the abilities of students who obtain conventional learning with students who learn with the Geogebra-Aided Brain-Based Learning model.

 
Effectiveness of Bacteriophage Therapy in Field Conditions and Possible Future Applications
Authors: Adhikari Niran , Acharya Krishna P.
Published: December 2019

Background:

Bacteriophages are viruses, which are obligate parasites of specific bacteria for the completion of their lifecycle. Bacteriophages could be the possible alternative to antibioticresistant bacterial diseases. With this objective, extensive research in different fields is published which are discussed in this article.

Results:

After a review of bacteriophage therapy, bacteriophages were found to be effective against the multidrug-resistant bacteria individually or synergistically with antibiotics. They were found to be more effective, even better than the bacteria in the development of a vaccine.

Conclusion:

Thus, bacteriophage therapy offers promising alternatives in the treatment of antibioticresistant bacteria in different fields. However, their effectiveness is determined by a triad of bacteriophages (type & quantity), host (bacteria) and environmental factors.
Microneedle-Assisted Percutaneous Transport of Magnesium Sulfate
Authors: Ghimirey Karna B. , Ita Kevin
Published: December 2019

Objective:

In vitro diffusion experiments were performed to assess the permeation of magnesium
sulfate across pig skin.

Method:

The mean thickness of the dermatomed porcine skin was 648 ± 12 µm. Magnesium concentration
was measured using inductively coupled plasma-optical emission spectroscopy. Transdermal
flux of magnesium sulfate across MN-treated and untreated porcine skin was obtained from the slope of
the steady-state linear portion of cumulative amount versus time curve.

Results:

Statistical analysis of the results was done with Student’s t-test. The transdermal flux of magnesium
sulfate across microneedle-treated porcine skin was 134.19 ± 2.4 µg/cm2/h and transdermal flux
across untreated porcine skin was 4.64 ± 0.05 µg/cm2/h. Confocal microscopy was used to visualize the
microchannels created by a solid microneedle roller (500 µm).

Conclusion:

From our confocal microscopy studies, it was evident that the 500 μm long microneedles
disrupted the stratum corneum and created microchannels measuring 191 ± 37 µm. The increase in
transdermal flux across the microneedle-treated skin was statistically significant compared to that of
controls, i.e., without the application of microneedles. With the application of microneedles, the transdermal
flux of magnesium permeated over 12 h was approximately 33-fold higher in comparison to
passive diffusion across an intact stratum corneum.
Overlapping Versus “Kissing” Plates in Femur: A FEM Study
Authors: Santoro Daniele , Nardi Michele , Lasorella Fabio , Bignardi Cristina
Published: December 2019

Introduction:

The progressively aging population makes higher the probability of operate fractures in patients who have underwent past long bones fixation. Surgeons may consider not to remove the past implant because of poor bone quality and low life expectancy, but attention must be paid to avoid the origin of new dangerous stresses. There is still a lack of evidence in determining which is the best relation between a plate already implanted in the past and a new fixation device.

Objective:

The purpose of this study was to investigate how the bone-implant stress distribution changes with two different plate configurations: overlapped (the tip of new plate covering part of the old one) versus “kissing” (the tips of the plates in close contact).

This study was based on a finite element analysis by means of Rhinoceros® and Ansys Work bench software programs. In order to reduce confusing factors, the femur was considered to be not fractured.

Materials & Methods:

Different features have been tested: bone quality, plate materials, and plate configurations. The study was conducted by evaluating stress values in different femur sections. The same parameters were evaluated in a femur without plates. Three phases of gait were simulated: Heel-strike, midstance, and toe-off.

Results:

Heel-strike phase has shown to reach the highest stresses. In general, stresses are lower in the overlapping plates configuration when compared to the “kissing” plates one.

Conlusion:

The main evidence shown in this study is that, in silico, the overlapped configuration can decrease the stress under the plates intersection, without increasing the stress shielding.
Financial time series forecasting using Artificial Neural Networks
Authors: Gallardo Del Ángel Roberto
Published: December 2019

Este documento contiene una predicción financiera utilizando Redes Neuronales Artificiales. Hacemos nuestro análisis utilizando el algoritmo de Backpropagation tradicional y luego Backpropagation Resiliente para estimar los pesos en las redes. El uso del algorithm de Bacpropagation Resiliente permite resolver el problema de la determinación de la tasa de aprendizaje. Ambos algoritmos son bastante consistentes y arrojan predicciones similares. Analizamos seis índices principales de los mercados bursátiles de Europa, Asia y América del Norte para generar índices de aciertos que puedan compararse entre mercados. Usamos precios de cierre diarios para construir una variable de dependiente para dirigir el aprendizaje (aprendizaje supervisado) y una matriz de variables de características construidas utilizando indicadores de análisis técnico. El rango de datos de la serie de tiempo va desde Enero de 2000 a Junio de 2019, un periodo de grandes fluctuaciones debido a mejoras en la tecnología de la información y una alta movilidad de capital. En lugar de la predicción en sí misma, el objetivo científico es evaluar la importancia relativa de las variables independientes que permiten la predicción. Utilizamos dos medidas de contribución utilizadas en la literatura para evaluar la relevancia de cada variable para los seis mercados financieros analizados. Descubrimos que estas medidas no siempre son consistentes, por lo que construimos una medida de contribución simple que le da a cada peso una interpretación geométrica. Proporcionamos algunas pruebas de que la tasa de cambio (ROC) es la herramienta de predicción más útil para cuatro índices generales, con las excepciones siendo el índice Hang Sheng y EU50, en donde el fastK es el más destacado.
Mobile health interventions for cancer care and support: A systematic literature review (Preprint)
Authors: Dhir Amandeep
Published: December 2019

UNSTRUCTURED

The use of mobile health (mHealth) interventions for improving quality of life (QoL) is increasing. There is a clear surge in the number of mHealth interventions for cancer patients, but the related research findings are fragmented. There is an urgent need to amalgamate the extant findings, particularly those related to reviews of the effects of mHealth interventions on cancer awareness and screening. The current study systematically review the available literature on mHealth interventions for cancer patients and survivors with a view to synthesizing the outcomes and the effects of these interventions on disease management: from awareness to survival. The study utilizes systematic literature review (SLR) and examined of 57 published studies (number of participants = 112,196) that described mHealth interventions for various types of cancer. Most of the studies found that mHealth interventions had positive effects on cancer survivors, caregiver teams, and family members. Several randomized controlled trials (RCTs) suggested that mHealth provides person-centered care in the clinical management of cancer and improves survivorship care. The SLR findings suggest that mHealth interventions should be based on theory and defined frameworks.
Patients’ Experiences of Using Smartphone Apps to Support Self-Management and Improve Medication Adherence in Hypertension: Qualitative Study (Preprint)
Authors: McBride Ciara M , Morrissey Eimear C , Molloy Gerard J
Published: December 2019

BACKGROUND

Worldwide, hypertension control rates remain suboptimal despite clinically effective antihypertensive drug therapy. Patient failure to take medication as prescribed (ie, nonadherence) is the most important factor contributing to poor control. Smartphone apps can facilitate the delivery of evidence-based behavior change techniques to improve adherence and may provide a scalable, usable, and feasible method to deliver self-management support.

OBJECTIVE

The aim of this study is to explore patients’ experiences of the usability and feasibility of smartphone apps to support self-management and improve medication adherence in hypertension.

METHODS

A qualitative descriptive study was conducted. A total of 11 people living with hypertension from the West of Ireland were sampled purposively and interviewed about their experience of using a self-management app for a 4-week period, which included two key functionalities: self-monitoring of blood pressure (BP) and medication reminders. Thematic analysis was carried out on the semistructured interview data.

RESULTS

Participants’ age ranged from 43 to 74 years (mean 62 years, SD 9.13). Three themes were identified: digital empowerment of self-management, human versus digital systems, and digital sustainability. Although patients’ experience of using the technology to self-monitor BP was one of empowerment, characterized by an enhanced insight and understanding into their condition, control, and personal responsibility, the reminder function was only feasible for patients who reported unintentional nonadherence to treatment. Patients experienced the app as a sustainable tool to support self-management and found it easy to use, including those with limited technological competence.

CONCLUSIONS

The study’s findings provide new insights into the experience of using apps to support medication adherence in hypertension. Overall, the data support apps as a usable and feasible method to aid self-management of hypertension and highlight the need for personalized functionality, particularly with regard to medication adherence reminder strategies. The study’s findings challenge the perspective that the use of these technologies to support self-management can inevitably add to the burden of treatment experienced by patients.
Non-Healing Ulcer, managed through Unani Formulation along with Leech Therapy: A Case Study
Authors: Ahmad Minhaj , Zaidi Zehra , Nasir Abdul
Published: December 2019

A male patient aged 43yrs. came to surgery OPD Majeedia Unani Hospital Jamia Hamdard New Delhi, in September 2018 with the complain of ulcer in the right foot posteriorly along the necrosis of Tendon Achilles. He was unable to walk a distance of about 100 meter due severe pain in the ulcer and calf muscle. limping on movement was very prominent. After required investigations and local examination of wounds, patient was planned and treated by local application, and combination of Unani Medicines formulations along with leech therapy as described in texts of Unani System of Medicine. With this Unani treatment non healing ulcer completely healed without any locomotor disturbances. The condition of leg totally resolved without any complications and side effects.

Keywords: Non healing ulcer, Unani medicine, leech therapy.
In Vivo and In Vitro Antidiabetic Activity of Hydroalcoholic Extract of Dactylorhiza Hatagirea Roots: An Evaluation of Possible Phytoconstituents
Authors: Choukarya Rashmi , Choursia Ashish , Rathi Jagdish
Published: December 2019

Diabetes mellitus is one of the most common endocrine disorder which causes microvascular and macrovascular complications. Several synthetic drugs used to treat diabetes have adverse effects on prolonged usage. This has given the impetus to the search for alternative medicines with no or less side effects. The plants of Orchidaceae family have displayed antimicrobial, anti-inflammatory, antioxidant, anticancer and antidiabetic activity. However, their antidiabetic properties are yet to be explored. This study sought to evaluate the antidiabetic potentials of hydroalcoholic extract of root of Dactylorhiza hatagirea (D. hatagirea) in diabetic rats. Qualitative analysis of various phytochemical constituents and quantitative analysis of total flavonoids were determined by the well-known test protocol available in the literature and quercetin was detected in hydroalcoholic extract of root of D. hatagirea under study by using RP-HPLC analysis. Percentage inhibition of α-amylase activity by D. hatagirea root extract was estimated with acarbose as the positive control, D. hatagirea extract show dose dependent activity. IC50 value of acarbose and extract was found to 35.33 and 224.45 µg/ml respectively. Diabetes was induced in wistar albino rats by administration of alloxan monohydrate (120 mg/kg; i.p.). The of hydroalcoholic extract of D. hatagirea at a dose of 100 and 200 mg/kg body weight was administrated at a single dose per day to diabetes-induced rats for a period of 15 day. The effect of hydroalcoholic extract of D. hatagirea root on blood glucose, total cholesterol (TR), triglycerides (TG), total protein and body weight were measured in the diabetic rats. The effect of hydroalcoholic extract of D. hatagirea root elicited significant reduction in blood glucose (p<0.001), (p<0.01), lipid parameters (TC, TG, total protein) (p<0.01) and significantly increased body weight at the dose of 200 mg/kg when compared with the diabetic-induced control. For future studies, phytochemcials responsible for various activities can be isolated and modified for pharmacological purpose.This study, therefore, justifies the use of the plant in the treatment of diabetes mellitus.

Keywords: Dactylorhiza hatagirea, Phytochemical profile, Quercetin,
Formulation and Evaluation of Tacrolimus Transdermal Gel
Authors: Suryakumari CH. , Narender M. , Umasankar K. , Panda Siva Prasad , Koteswara Rao S.N. , Panda Subhranshu
Published: December 2019

The present investigation is concerned with formulation and evaluation of Transdermal gels of Tacrolimus, anti-psoriasis drug, to circumvent the first pass effect and to improve its bioavailability with reduction in dosing frequency and dose related side effects. Twelve formulations were developed with varying concentrations of polymers like Carbopol 934P, HPMCK4M and Sodium CMC. The gels were tested for clarity, Homogeneity, Spreadability, Extrudability, Viscosity, surface pH, drug Content uniformity, in-vitro drug diffusion study and ex-vivo permeation study using rat abdominal skin. FTIR studies showed no evidence on interactions between drug, polymers and excipients. The best in-vitro drug release profile was achieved with the formulation F4 containing 0.5 mg of exhibited 6 hr drug release i.e. 98.68 % with desired therapeutic concentration which contains the drug and Carbopol 934p in the ratio of 1:2. The surface pH, drug content and viscosity of the formulation F4 was found to be 6.27, 101.3% and 3, 10,000cps respectively. The drug permeation from formulation F4 was slow and steady and 0.89gm of tacrolimus could permeate through the rat abdominal skin membrane with a flux of 0.071 gm hr-1 cm-2. The in-vitro release kinetics studies reveal that all formulations fit well with zero order kinetics followed by non-Fickian diffusion mechanism.

Keywords: Transdermal gel, Viscosity, In-vitro drug release, In-vitro drug release kinetics study, Ex-vivo permeation study
Isolation of Phytochemical and Evaluation of Antiasthmatic Potency of Ficus racemosa
Authors: Shinde Suvarna , Rao Priya S , Dighe Santosh B , Dukare T. P.
Published: December 2019

The Present study reports important secondary metabolites present in Ficus racemosa The Ficus racemosa belong to the family Moraceae, it is popularly known as Glomerata, Cluster fig tree as well as ‘Udumbara’ in Marathi. Various plant parts such as bark, root, leaf, fruits are used as astringent, carminative, anti-dysentery, diabetes, leucoderma, antiasthmatic, hepatoprotective, antioxidant. The powdered Bark was subjected for extraction by using ethanol. These extract were evaluated for detection of various secondary metabolites, like Steroids, Glycosides, tannins, Terpenoids, Alkaloids, Flavonoids. This work evaluated the stem bark of this plant for its Phytochemical and Antiasthmatic activity.

Keywords: Ficus racemosa, Steroids, Antiasthmatic, Moraceae
A eleição de Jair Bolsonaro: A construção do medo e ódio na campanha eleitoral de 2018
Authors: Cioccari Deysi , Ezequiel Vanderlei , Mottinha Romer
Published: December 2019

Este trabalho analisa as eleições de 2018 e a construção social dos discursos de ódio e medo durante o pleito. Tendo como protagonista o presidente eleito Jair Bolsonaro, o período eleitoral contou com narrativas dramáticas. O corpus deste trabalho é especificamente o período eleitoral, tendo como ápice o ataque sofrido pelo então candidato no dia 6 de setembro de 2018 e seus desdobramentos no campo político. O referencial teórico baseia-se em Zygmunt Bauman (2007), Christopher Lasch (1983,1986) e Thomas Hobbes (1966, 1998) para analisar o medo, e em Jeremy Waldron e Ronald Dworkin para entendermos o ódio na política brasileira. Concluiu-se que ódio e medo foram primordiais na eleição do candidato vencedor.
Editorial
Authors: Tonezzi José
Published: December 2019

Apresentação do conteúdo
CULTURA E CRIAÇÃO, ARTE E NATUREZA
Authors: Tonezzi José
Published: December 2019

Comentários e apresentação da edição.
Roots
Authors: Mariam Kharatyan
Published: December 2019

Mariam Kharatyan
Chapter 2 of 7: "Roots"
Interpreting Komitas' music
Authors: Mariam Kharatyan
Published: December 2019

Mariam Kharatyan
Chapter 4 of 7: "Interpreting Komitas' music"
Interpreting Khachaturian's music
Authors: Mariam Kharatyan
Published: December 2019

Mariam Kharatyan
Chapter 5 of 7: "Interpreting Khachaturian's music"
A központosított felhasználó azonosítás jelene és jövője: biztonságos infrastruktúra vagy időzített bomba?
Authors: Roskó Tibor
Published: December 2019

Kutatási projektünk célkitűzése a globálisan központosított felhasználó azonosítás bevezetés lehetőségének vizsgálata, támogatási modellek kidolgozása. Hipotézisünk, hogy a globálisan központosított felhasználó azonosítás eredményesen növelheti a biztonságot és hozzájárulhat az adatvédelmi előírások hatékony, gyakorlati implementálásához. Az olvasót, jelen publikációnk keretében, egy úton szeretnénk végigvezetni, melynek célállomása hipotézisünk igazolása, miközben átfogóan megismerheti a közelmúlt adatvédelmi incidenseinek hatásait, iránymutatást kaphat mind felhasználóként, mind szolgáltatóként a biztonság növelésére a személyes adatok megosztásával kapcsolatosan és nem elhanyagolandó, kutatásunk célkitűzéseit.

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The present and future of centralized user authentication: secure infrastructure or a time-bomb?

The goal of our research project is to exam the possibility of using globally centra¬lized user authentication and developing support models. Our hypothesis is that glob¬ally centralized user identification can effectively increase security and contribute to the effective implementation of data protection regulations in practice. In the con¬text of our present publication, the reader would like to be guided along a path, the purpose of which is to prove our hypothesis while gaining a comprehensive under¬standing of the effects of recent data protection incidents, providing guidance both as a user and as a service provider to enhance security in sharing personal information and not neglecting the goals of our research. We will publish more detailed theoretical and implementation descriptions of our models in a separate paper.
Operacija Hrvatske vojske „Vihor” u prosincu 1991. godine
Authors: Štefančić Domagoj
Published: December 2019

Na temelju izvorne dokumentacije vojnih i civilnih ustanova pobunjenih hrvatskih Srba te postrojbi Jugoslavenske narodne armije prikazano je stanje i djelovanje srpskih snaga, uključujući Jugoslavensku narodnu armiju, na okupiranom prostoru općina Glina i Petrinja, na kojem je u prosincu 1991. izvedena operacija Hrvatske vojske „Vihor”. Opisana su i borbena djelovanja hrvatskih snaga u tom dijelu Pokuplja koja su prethodila operaciji. Dan je temeljit uvid u pripremu i tijek protunapada srpskih snaga, iz kojega je očita njihova nadmoć u artiljeriji i oklopu te doprinos starješina Jugoslavenske narodne armije
izvedbi protunapada. Na kraju su izneseni i uspoređeni gubici obiju strana u ljudstvu i borbenim sredstvima, čime su sumirani učinci i posljedice operacije „Vihor”.
Historiografija i popularna historija u vremenu Hrvatskog proljeća
Authors: Branđolica Tomislav , Šimetin Šegvić Filip
Published: December 2019

Razdoblje od 1967. do kraja 1971. obilježeno je rastom broja sve slobodnijih, nedogmatskih i antidogmatskih javnih istupa o raznim pitanjima iz znanosti, kulture, ekonomije i politike. U vrijeme vrhunca hrvatskoga proljeća ti su procesi dodatno intenzivirani. Povijesni kontekst toga vremena polazišna je točka za ispitivanje kolika je bila razina slobode, ali i popularnoga i popularizatorskoga pristupa kada se govorilo o strogo povijesnim temama. Razmotrit će se i u kojoj je mjeri u
javnom diskursu bio zastupljen znanstveni, a u kojoj mjeri popularni historiografski izričaj. Istraživanje će biti ostvareno širokim zahvatom
u suvremene masovne medije, časopise, novine, popularnu publicistiku te
znanstvenu produkciju važnijih onovremenih institucija poput Filozofskoga fakulteta u Zagrebu, Instituta za historiju radničkog pokreta Hrvatske i Matice hrvatske. Za potrebe rada proučit će se onodobne povijesne sinteze i tada publicirani znanstveni radovi. Unoseći
koncept popularne historije, nastojat će se doprinijeti novom shvaćanju
već klasične naracije o povijesti hrvatske historiografije u socijalizmu koja uključuje teme izgradnje istraživačkih institucija, historiografskih škola, poznanstvenjenja i prilaženja politici ili otklona od nje.
Ekonomska povijest u Časopisu za suvremenu povijest (1969. – 2018.)
Authors: Mihaljević Josip
Published: December 2019

U radu se prikazuje kako je u historiografskom časopisu (Časopis za suvremenu povijest)
tretirana gospodarska povijest. U članku se najprije upućuje na moguće definicije pojma gospodarske povijesti te daje kratak osvrt na razvoj te
znanstvene subdiscipline u svjetskoj i hrvatskoj historiografiji. Najveći dio članka posvećen je pregledu sadržaja relevantnih radova na stranicama Časopisa, a nakon toga autor prikazuje i analizira brojčane pokazatelje o broju članaka, tematici koja se obrađivala, kategorijama i autorima radova i priloga objavljivanih u Časopisu
od njegova osnutka 1969. do kraja 2018. godine. Uz nekoliko tabličnih i
grafičkih prikaza autor je kao poseban prilog načinio kompletnu bibliografiju članaka koji se odnose na teme iz gospodarske povijesti.
Improvements of asymptotic approximation formulas for the factorial function
Authors: Buric Tomislav
Published: December 2019

Asymptotic expansions of the gamma function are studied and new accurate
approximations for the factorial function are given.
Relationships between personality traits, negative affectivity and procrastination in high school students
Authors: Randjelovic Dusan , Vujicic Milena , Nikolic Gordana
Published: December 2019

Introduction/Aim. Procrastination includes intentional post-poning of either starting or finalizing a task and is one of the most important aspects of an academic achievement. The aim of this study was to examine the possibility of procrastination prediction based on the values of certain personality traits and negative affective states (anxiety, depression, stress) in high school students. Methods. The research was conducted over a sample of 900 high school students from 9 high schools in Nis attending the 3rd and 4th grade. The research included the following instruments: The Big Five Inventory (BIF), Depression, Anxiety and Stress Scale (DASS-21), as well as the Procrastination Scale. Results. The model consisting of personality traits was a statistically meaningful predictor of procrastination. Prediction variables found to be statistically significant were neuroticism, as a positive correlate of procrastination, and conscientiousness, as a negative correlate. None of the negative affectivity dimensions (anxiety, depressiveness and stress) was partially shown to be a significant predictor. Conclusion. The lack of conscientiousness can be considered to be the core of procrastination, whereas neuroticism, i.e. some of its facets, such as anxiety, may be encouragement to avoid a task. Obtained results may be used as suggestions to psychological institutions in schools as to which factors are significant for perceiving procrastination problems with students.
Kansanterveystieteen ekologinen käänne-Kohti ekososiaalista terveysparadigmaa
Authors: Kuukka Katja , Lehtonen Annastiina , Pulkki Jutta
Published: December 2019

Ilmastonmuutos, biodiversiteettikato, maaperän köyhtyminen ja vesistöjen saastuminen ovat esimerkkejä planeetallamme käynnissä olevista ekosysteemien kriiseistä. Näiden ekokriisien on tunnistettu vaikuttavan suoraan ja epäsuorasti, lyhyellä ja pitkällä tähtäimellä myös ihmiskunnan terveyteen. Ekologinen näkökulma onkin tullut yhä vahvemmin näkyväksi kansainvälisesti myös terveystieteen piirissä. Suomalaiseen kansanterveystieteeseen ja sen sovellusaloihin, kuten terveyden edistämisen politiikkaan, ekologinen näkökulma odottaa kuitenkin kiinnittymistään.

Vertailemme tässä artikkelissa terveystieteissä käytettyjä ekologisesti orientoituneita käsitteitä ja näkökulmia. Näitä ovat One Health, EcoHealth, Planetary Health ja Ecological public health. Näiden lisäksi esittelemme muilta tieteenaloilta tutun ekososiaalisen paradigman. Näiden pohjalta hahmottelemme uuden ekososiaalisen terveysparadigman suuntaviivat. Tarkoituksena on lisätä ekologisesti orientoituneiden käsitteiden tunnettuutta Suomessa sekä punnita niiden mahdollisuuksia ja rajoitteita. Artikkeli perustuu aiempaan kirjallisuuteen, jonka avulla kuvaamme edellä mainittujen käsitteiden yhtäläisyyksiä ja eroja.

Terveystieteiden alalla on käytössä useita ekologisesti orientoituneita käsitteitä, joissa on yhtäläisyyksiä, mutta myös selkeitä eroja. Näiden käsitteiden rajoitteena on, että ne eivät pureudu ekokriisien, ja siten myös ihmisten terveyteen vaikuttaviin juurisyihin, kuten talouskasvun ihanteeseen ja ihmisen tuhoavaan luontosuhteeseen. Hahmottelemamme ekososiaalinen terveysparadigma ottaa huomioon käytössä olevien käsitteiden puutteet. Siinä terveys ymmärretään holistisena kokonaisuutena, ihmisen luontosuhde relationaalisena, ekologiset determinantit keskeisinä kansanterveyden määrittäjinä, ja talouskasvu ekologisten kriisien, niistä aiheutuvien terveyshaittojen sekä terveyden eriarvoisuuden juurisyynä. Esittämämmekin ekososiaalisen terveysparadigman omaksumista vaikuttavamman ekologisen käänteen mahdollistamiseksi niin kansanterveystieteen ajattelussa kuin käytännöissäkin.