bluuebunny/crossref_metadata_2025 huggingface dataset:
Tình hình nhiễm Chlamydia trachomatis ở bệnh nhân đến khám tại Bệnh viện Phụ sản - Nhi Đà Nẵng năm 2018 - 2019
Authors: Trần Đình Vinh , Phạm Chí Kông , Huỳnh Minh Nhật , Lê Hà Yến Chi
Published: November 2020

Mở đầu: Các nhiễm khuẩn lây truyền qua đường tình dục, trong đó có nhiễm Chlamydia trachomatis với tỷ lệ mắc tăng dần, đang trở thành một gánh nặng bệnh tật và tử vong quan trọng, ảnh hưởng lớn đến chất lượng cuộc sống cũng như sức khỏe tình dục, sức khỏe sinh sản của phụ nữ và sức khỏe trẻ sơ sinh.

Mục đích: Khảo sát đặc điểm lâm sàng và một số yếu tố liên quan với tỷ lệ nhiễm Chlamydia trachomatis ở bệnh nhân đến khám tại Bệnh viện Phụ sản – Nhi Đà Nẵng.

Đối tượng và phương pháp nghiên cứu: Mô tả cắt ngang các phụ nữ đến khám tại Bệnh viện Phụ sản – Nhi Đà Nẵng (tháng 10/2018 đến tháng 6/2019) đồng ý tham gia nghiên cứu. Tất cả bệnh nhân được phỏng vấn theo bảng câu hỏi xác định các đặc điểm kinh tế - xã hội và các đặc điểm lâm sàng. Tiến hành thăm khám lâm sàng và chẩn đoán nhiễm C.trachomatis bằng kỹ thuật ELISA tìm kháng thể IgM và IgG trong mẫu huyết thanh. Phép kiểm chi-bình phương và phân tích hồi quy đa biến được sử dụng để tìm các yếu tố liên quan đến nhiễm C.trachomatis.

Kết quả: Có 600 phụ nữ tham gia nghiên cứu. Tỷ lệ nhiễm C.trachomatis là 15,6%, trong đó kháng thể IgG dương tính là 70,5%, kháng thể IgM dương tính là 41,6%, 12,1% dương tính với cả hai kháng thể IgM và IgG. Có 49,3% số bệnh nhân có từ ba triệu chứng cơ năng. Các biểu hiện lâm sàng và cận lâm sàng thường gặp nhất là dịch tiết âm đạo bất thường (88,5%) (50,7% dịch tiết lượng vừa, 34,8% dịch trắng kem, 25,4% dịch tiết có mùi hôi), viêm âm đạo (75,0%), viêm cổ tử cung (65,4%), đồng nhiễm Candida (14,7%).

Nguy cơ nhiễm C.trachomatis liên quan đến các yếu tố lao động tay chân (OR = 2,1, 95%CI 1,4 – 3,2, p = 0,0004), quan hệ tình dục đầu tiên < 18 tuổi (OR = 1,9, 95%CI 1,2 – 2,7, p = 0,0023), đau bụng dưới đau vùng chậu (OR = 2,1, 95%CI 1,4 – 3,4, p = 0,0007), viêm âm đạo (OR = 2,0, 95%CI 1,2 – 3,2, p = 0,0076), viêm cổ tử cung (OR = 2,2, 95%CI 1,5 – 3,3, p = 0,0001).

Kết luận: Nhiễm Chlamydia trachomatis chiếm tỷ lệ cao ở phụ nữ trong độ tuổi sinh sản đến khám tại Bệnh viện Phụ sản – Nhi Đà Nẵng. Qua các yếu tố liên quan đã được khảo sát, các nhà lâm sàng cần lưu ý những bệnh nhân nguy cơ cao để tăng độ nhạy trong tư vấn sàng lọc bệnh, tăng khả năng phát hiện và chẩn đoán kịp thời trước khi có các biến chứng sinh sản do Chlamydia trachomatis.
Nghiên cứu tình trạng rối loạn tâm lý ở bệnh nhân vô sinh bằng thang điểm Beck Depression Inventory (BDI)
Authors: Lê Minh Tâm , Nguyễn Thị Ni
Published: November 2020

Đặt vấn đề: Vô sinh có thể gây ra cảm giác xấu hổ, tội lỗi và tự ti cho người phụ nữ. Những cảm xúc tiêu cực này có thể dẫn đến các mức độ trầm cảm, lo âu, đau khổ và chất lượng sống kém khác nhau. Áp lực từ gia đình và xã hội làm nặng nề thêm tình trạng rối loạn tâm lý của bệnh nhân.

Mục tiêu: (1) Khảo sát tình trạng rối loạn tâm lý ở bệnh nhân vô sinh bằng thang điểm BDI trước và sau điều trị vô sinh. (2) Tìm hiểu một số yếu tố liên quan đến rối loạn tâm lý bệnh nhân vô sinh.

Phương pháp nghiên cứu:Nghiên cứu mô tả cắt ngang, sử dụng bộ câu hỏi đánh giá mức độ trầm cảm của Beck Depression Inventory (BDI) cho 339 bệnh nhân nữ đến khám và điều trị vô sinh tại Trung tâm Nội tiết sinh sản và vô sinh Bệnh viện Trường Đại học Y Dược Huế từ tháng 09/2017 đến tháng 05/2018. Bệnh nhân được chia thành 2 nhóm: chưa từng điều trị và đã điều trị tại trung tâm ít nhất 3 tháng. Đối với nhóm chưa điều trị, đánh giá mức độ trầm cảm sau khi được chẩn đoán là vô sinh ở lần khám đầu tiên; nhóm còn lại được đánh giá tại thời điểm họ tái khám sau khi điều trị tại trung tâm ít nhất 3 tháng.

Kết quả: Điểm BDI trung bình của các bệnh nhân nữ vô sinh là 9,60 ± 7,98; trong đó nhóm chưa điều trị là 11,02 ± 8,44; nhóm đã điều trị là 7,94 ± 7,09. Tỷ lệ bệnh nhân có rối loạn tâm lý ở nhóm chưa điều trị là 33,5% và nhóm đã điều trị là 19,7%. Có sự khác biệt về rối loạn tâm lý giữa hai nhóm bệnh nhân trước và sau điều trị, sự khác biệt có ý nghĩa thống kê với p = 0,001. Có sự khác biệt về rối loạn tâm lý giữa hai nhóm bệnh nhân có và không có chịu áp lực từ gia đình và áp lực từ xã hội, sự khác biệt có ý nghĩa thống kê với p = 0,001. Có sự khác biệt về rối loạn tâm lý giữa nhóm bệnh nhân có trình độ học vấn phổ thông và nhóm cao đẳng – đại học, sự khác biệt có ý nghĩa thống kê với p = 0,049. Sự khác biệt về rối loạn tâm lý giữa các nhóm bệnh nhân đánh giá trên các phương diện: loại vô sinh, nguyên nhân vô sinh, thời gian vô sinh hay tình trạng kinh tế là không có ý nghĩa thống kê với p > 0,05.

Kết luận: Tình trạng rối loạn tâm lý của bệnh nhân vô sinh sau quá trình điều trị thấp hơn so với nhóm trước điều trị, liên quan đến áp lực từ gia đình và xã hội, trình độ học vấn.
Nghiên cứu tình hình viêm nhiễm đường sinh dục dưới và một số đặc điểm liên quan ở phụ nữ mang thai ba tháng cuối
Authors: Nguyễn Thị Kim Anh , Trương Quang Vinh , Nguyễn Thị Lê Na , Nguyễn Thị Châu Anh
Published: November 2020

Đặt vấn đề: Viêm nhiễm đường sinh dục dưới là một trong những rối loạn thường gặp nhất khiến bệnh nhân tìm đến bác sỹ sản phụ khoa. Tỷ lệ viêm nhiễm đường sinh dục dưới ở phụ nữ mang thai được báo cáo rất cao.

Mục tiêu:Mô tả tình hình viêm nhiễm đường sinh dục dưới ở phụ nữ mang thai ba tháng cuối và tìm hiểu một số đặc điểm liên quan viêm nhiễm đường sinh dục dưới ở phụ nữ mang thai ba tháng cuối.

Phương pháp nghiên cứu: Thiết kế nghiên cứu mô tả cắt ngang. Sử dụng kỹ thuật nhuộm Gram và nuôi cấy định danh vi khuẩn dịch âm đạo.

Kết quả: Nghiên cứu trên 103 phụ nữ mang thai từ 28 tuần trở lên có tiết dịch âm đạo bất thường. Tỷ lệ viêm nhiễm đường sinh dục dưới là 46,6%. Các tác nhân gồm 32,0% nhiễm nấm Candida âm đạo; 13,6% nhiễm khuẩn (kỵ khí) âm đạo và 15,5% viêm hiếu khí âm đạo. Có 13 sản phụ (12,5%) nhiễm kết hợp các tác nhân. Tỷ lệ sản phụ nhiễm Liên cầu nhóm B đường sinh dục dưới là 4,9%. Tỷ lệ nhiễm trùng sơ sinh sớm của trẻ sinh ra từ sản phụ có nhiễm Liên cầu nhóm B đường sinh dục dưới cao hơn trẻ sinh ra từ sản phụ không nhiễm (p<0,05).

Kết luận: Viêm nhiễm đường sinh dục dưới ở phụ nữ mang thai ba tháng cuối cao. Các tác nhân thường gặp theo thứ tự là nấm Candida, vi khuẩn hiếu khí và vi khuẩn kỵ khí. Có mối liên quan có ý nghĩa thống kê giữa tình hình nhiễm Liên cầu nhóm B đường sinh dục dưới của sản phụ với tình hình nhiễm trùng sơ sinh sớm của trẻ.
Corporate culture reengineering strategy of a multinational logistics company
Authors: Hryhorak Maria , Leha Viktoriia
Published: November 2020

The article substantiates the role of strategic re-engineering of corporate culture in increasing the level of competitiveness of a multinational logistics company and optimizing the efficiency of its activities. The main processes, principles and features of corporate culture transformation as one of the stages of re-engineering of the company's business processes are considered. The main concepts of corporate culture, management innovations, and re-engineering, which are effective tools for improving the efficiency of enterprise management, are defined. An algorithm for creating a corporate culture is proposed, including its positioning at the strategic level, as well as ensuring appropriate financial results. Corporate culture management is considered as an intangible asset that has value and creates conditions for generating income for the enterprise. In addition, it gives the company advantages by reducing conflicts, improving business relationships, reducing non-production time costs, and increasing the economic efficiency of the business. The factors influencing the level of employee involvement in work and transformation of employee behavior in accordance with the leader's strategic vision for company development and in accordance with his decisions on business re-engineering are identified. The main tasks of business process re-engineering are revealed, key directions and necessary tools for implementing the transformation of corporate culture are highlighted. The research methodology is based on methods of theoretical analysis and generalization of scientific literature and periodicals on the research topic, statistical analysis, classification and analytical method and methods for determining economic efficiency. The approach to scenario modeling of the process of managing the development of corporate culture of an enterprise based on a combination of components of culture, methods of managing it, basic values and strategies of enterprise management as a whole has been further developed, which allows taking into account the multidirectional interests of stakeholders and harmonizing them in the process of managing a multinational logistics company.
RATIONAL USE OF MEDICINES AMONGST ELDERLY DIABETIC PATIENTS IN A TERTIARY HOSPITAL IN SOUTHERN NIGERIA
Authors: OJIEABU Winifred Aitalegbe , ERAH Patrick O. M.
Published: November 2020

International Diabetes Foundation puts Nigeria's national diabetes prevalence rate at 3.9% in year 2013. Number of drugs per patient is the main factor associated with adverse reactions among elderly patients. Objective was to evaluate prescription pattern for elderly diabetic patients. This was descriptive prospective study of 150 case files of older patients diagnosed with type 2 diabetes and receiving treatment in the endocrinology clinic of Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State. Data collected included socio-demographic characteristics and pattern of prescribed medications. Data were analyzed with SPSS version 16. P  0.05 was considered significant. Mean age of the group was 65.8±10.0 years. Metformin was the most frequently prescribed (81.3%) and in combination of other antidiabetics, the highest being that with Metformin+Pioglitazone+ Glimepiride (18%). The most commonly prescribed anti hypertensives was  lisinopril/Ramipril (50.0%). Mean number of drugs per prescription was 6.0. Patients mostly encountered a range of 5-7 drugs per prescription (63.3%). Drugs prescribed in generics and from essential drug list were significantly lower than the recommended WHO values (p >0.05). The findings indicate that the prescribing pattern could be said to be in compliant with our treatment guidelines although not in line with WHO's recommendations.
CO-FERMENTION OF MAIZE (Zea mays L.) AND AFRICAN BREAD FRUIT SEED (Treculia africana Dec'ne) FOR THE PRODUCTION OF IMPROVED PAP (OGI)
Authors: Oyeyipo Funmilayo Mujidat , Taiwo Olugbenga Samson , Obafemi Yemisi Dorcas
Published: November 2020

Cereals such as maize are generally having low essential amino acid contents which may cause protein malnutrition. The high essential amino acid in African breadfruit could make it suitable for supplementation of grains/cereals. The microbiological, sensory and nutritional evaluation of cofermented maize (70%) /African breadfruit seed (30%) was carried out. Characterization of isolates were by macroscopic, microscopic and biochemical tests. Standard Methods according to AOAC (1990) were used for proximate compositions and pH determination. Viscosity was measured using Rotational Viscometer. The pH of the co-fermented sample decreased from 6.2±0.01 to 4.2±0.01. Microbial isolates included Coryne bacterium spp., Lactobacillus spp., Escherichia coli, Staphylococcus aureus, Aspergillus niger and Saccharomyces cerevisae in fermenting samples. Escherichia coli was inhibited with increase in fermentation time. Higher microbial counts occurred in maize-African breadfruit ogi (MABO) than maize ogi (MOGI) during primary and secondary -1fermentations. The viscosity of the co-fermented sample was 1.990±0.12 pas . Proximate composition shows that MOGI had lower crude protein content (2.14±0.2) than MABO (9.83±0.3). In contrast, MOGI had higher crude carbohydrate (82.12±0.1 vs 72.59±0.2). Ash, moisture and lipid contents were not significantly different in both samples. Sensory evaluation revealed that MABO recorded higher scores (7±0.02 and 7±0.01) in taste and aroma as against (6±0.01 and 6±0.02) for MOGI. Although consumers accepted both samples, overall, MOGI was more acceptable. MABO oflour kept well and retained their original viscosity after 27 days of storage at (30±2C). MABO gave a dual advantage in that protein content was increased and enteropathogens were inhibited and is therefore recommended for consumption in areas where protein intake is inadequate and food safety is an issue.
INVESTIGATION OF GROUNDWATER POTENTIALS IN IMAKUN OMI COMMUNITY USING ELECTRICAL RESISTIVITY METHOD
Authors: Coker Joseph Olakunle , Agbelemoge Akindamola Julius , Ariyo Stephen Oluwafemi , Makinde Victor , Alabi Aderemi Amidu , Emida Adesola Adesina
Published: November 2020

Groundwater is described as the water found beneath the surface of the earth in underground streams and aquifers and has become popular as a source of drinking potable water in Nigeria due to its quality when compared to other water sources. The Electrical resistivity method was employed in Imakun Omi Community, a coastal town in Ogun Waterside Local government area of  Ogun State with the aim of determining the groundwater potential of the area. A total of twenty (20) Vertical Electrical Soundings (VES) points were carried out in the area using the Schlumberger configuration with maximum current electrode separation (AB) of 300m using the ABEM SAS 1000 Terrameter. The results obtained were interpreted quantitatively and qualitatively using partial curve matching and computer iteration programs WINRESIST and SURFER 11 for the interpretation from which the reflection coefficient was computed. The groundwater potential of the rock units were evaluated and  40% of the stations show  high yield, 50% of the stations show medium yield and 10% of the stations was observed to have low yield. The aquifer thicknesses are very thick with values ranging from 6.9 m to 79.3 m, hence an average of 43.1mand overburden thicknesses ranging from 9.7m to 96.5 m, with an average of 53.1m
MODIFIED NONLINEAR DYNAMICAL EQUATIONS FOR RELATIONSHIP IN MARRIAGES
Authors: Talabi Adetoro Temitope , Chukwuma Victor Uzodinma , Odunaike Rasaki Kolawole
Published: November 2020

Love-stories are characterized by temporal fluctuations, experiment in the area of relationship are difficult to design but mathematical models play vital role in studying the dynamics of relationships and their behavioural features. The paper examines relationship between different couples who are living together as ideal couple or fragile couple and the divorcee. A modified nonlinear coupled dynamic model was used to predict and interpret the feature of the union of different individuals and it is adapted to local environment where the data collection is carried out. We also investigated several measures affecting marriages, different challenges in marriage were considered by the use of questionnaires, analyzed and the results were applied as parameters in the model. In other words, only few of the behaviour of the couples to each other are taken into account while the rest of the answers were kept frozen, results were used to confirm if the behaviour of certain number of individuals observed in real life can be explained through the answers provided by individuals in the survey which was included in the theory. Numerical simulations are also presented to show the effectiveness of the survey results.
PHYLOGENETIC GROUP OF ESCHERICHIA COLI IN URINE OF CHILDREN ATTENDING A MATERNAL AND CHILD CENTRE, LAGOS
Authors: Deji-Agboola Anotu Mopelola , Utomwen Esther Abieyuwa , Osinupebi Olubunmi Adetokunbo
Published: November 2020

Urinary tract infection (UTI) is one of the most common bacterial infections causing significant morbidity in children. This study determines the phylogenetic group of Escherichia coli  isolated from the urine of children attending Maternal and Child Centre,  Amuwo-Odofin, Lagos State. Clean voided midstream urine sample collected  from 215 children aged five years and below . The urine samples were culture on Mac Conkey and blood agar, bacterial 5counts greater than or equal to 1 x 10CFU/ml were regarded as positive for UTI. Identification of isolates and antibiotic susceptibility test was performed using standard methods. Polymerase Chain Reaction was used to classify the isolated E. coli into A, B1, B2 and D phylogenetic groups using presence or absence of ChuA, Yja A and TspE4C2. The prevalence of UTI was 51.2% with preponderance in male 62.7% aged 24 – 35months 75.0%. Staphylococcus aureus 19.1% followed by Pseudomonas aeruginosa 12.7% and Escherichia coli10.0% were common bacterial isolates. The isolates were highly resistant to Augmentin (71.8%) and Ampicillin 91.8%; the Escherichia coli were resistant to Augmentin 54.5% and Ampicillin 100%. The E. coli were classed into B1,A, and D phylogenetic groups with percentages of 54.5%27.3% and 18.2% respectively. , The prevalence of bacteria UTI among children in this study was very high, the isolates were highly resistant to the antibiotics tested, the E.coli belong to phylogenetic groups A, B1 and D and all were resistant to Ampicillin.
Effectiveness of Traditional and Competency Based Curricula: Perspective of Graduates, Trainers and Employers
Authors: Siddique Ghazal Khalid , Lodhi Huma , Anwer Muhammad , Zubair Muhammad Khalid
Published: November 2020

Traditional training system of TVET sector is focusing on traditional procedures of learning and is based on the numbering system. Such old fashioned procedures and the numbering system are producing certificate holders who do not have proper skills to complete the tasks independently in a professional manner as per the requirements of the industry. Traditional training is not paying focus on the competency oriented workforce in Pakistan. To meet rapid technological changes and need of modern era, the approach of the TVET sector is now shifting from traditional training to Competency Based Training (CBT). The purpose of this study is to make an innovative effort in the Pakistani context, identify the perceptions of employers and graduates about traditional training and CBT programs. This study falls in the interpretivism paradigm. Phenomenological research design was utilized to conduct this study. 10 TVET trainers, 10 TVET graduates of traditional training, 10 TVET graduates of CBT and 10 employers selected through convenient sampling. Semi structured interviews were conducted from employers, trainers and both types of graduates. Thematic analysis was used for to draw the results. Results showed that graduates of competency based training programs are more competent than that of traditional training program and the employers are comparatively more satisfied with graduates of the CBT program. TVET sector should develop the curriculum according to the current demand of the industry and implement the curriculum effectively by updating the labs for the TVET graduates for better job opportunities in the industry. It is also proposed that TVET sector should shift its educational institutes from traditional training to CBT approach to meet the needs of the labour market for employers’ satisfaction. Furthermore, research should be conducted to explore the challenges and their solutions of training provided in TVET sector and its assessment to meet the level of competency satisfaction to meet labour market needs.
Factors Affecting the Socio-Economic Status of Households in Southern Punjab
Authors: Shah Salyha Zulfiqar Ali , Chaudhry Imran Sharif , Farooq Fatima
Published: November 2020

The Households having low socio-economic status possess less resource in term of wealth and income to resist against any kind of external shocks. Apart from heath shocks (physical and mental disabilities) there are numerous other factors that force them to follow subsistence life style having low per capita income. A primary level data has been collected to examine the socio economic status of households in Southern Punjab for the year 2019.The findings show that household size, occupation, dependency ratio, mental disability and physical disability are negatively affecting economic development across the region. However, age, education of the household head, own house, spouse ‘s participation, remittances, number of earners in the household and value of physical assets are increasing economic development in Southern Punjab. Developing strategies, adequate planning and their timely implementation is very crucial for the government to pursue the process of economic growth and development of the poor countries like Pakistan.
Antimicrobial Stewardship — Do we need it in Pakistan?
Authors: Ali Faisal Saleem  , Asma Pethani
Published: November 2020

Abstract

In order to identify the literature and research available on development and implementation of Antimicrobial Stewardship Programme (ASP) in Pakistan, a systematic search of various electronic databases such as PubMed, Cochrane, CINAHL and PakMedinet from  January 1, 2008 till November 2018 was conducted. Studies were included if they were focused around the development and implementation of the ASP within Pakistan. The search revealed that a significant knowledge gap exists regarding antimicrobial/antibiotic stewardship within Pakistan and not much is known about the current status of the development and implementation of antimicrobial stewardship programme. Only two research studies were found to be significant. Antimicrobial Stewardship Programme’s development and implementation is highly essential and important. Currently, there exists a huge knowledge and systematic gap regarding ASP implementation at healthcare institutions.

Keyword: Antimicrobial Stewardship Programme; Continuous...
An atypical presentation of small bowel adenocarcinoma; a case report
Authors: Warda Khalid  , Danish Ali  , Abdul Rehman  , Muhammad Adeel Kaiser  , Tausief Fatima  , Muhammad Farooq Afzal
Published: November 2020

Abstract

Small bowel malignancy (SBM) is a rare malignancy in the gastrointestinal tract. Duodenum is the most commonly involved segment and the most common histological subtype is adenocarcinoma (40%). Due to a lack of screening tools and vague symptoms, its clinical detection is very challenging.

A 27-year-old man presented at the surgical emergency of Lahore General Hospital in February 2019 with non-specific gastrointestinal symptoms (vomiting, abdominal pain), for which he had previously visited the hospital multiple times. Later, on further workup, he had been diagnosed as a case of intussusception on CT scan. On exploration, he had an impassable stricture in the jejunum. Resection anastomosis of the jejunum was done, but later, on histopathology it turned out to be adenocarcinoma.

Adenocarcinoma of the small bowel is a rare entity, and, particularly in Pakistan, Continuous...
Management of difficult airway in a pregnant patient with severely reduced mouth opening
Authors: Faisal Shamim  , Aly Bahadur  , Dinaz Gandhi  , Anum Aijaz
Published: November 2020

Abstract

Pregnancy is associated with a wide variety of oral and dental changes ranging from gingivitis to odontogenic infections. If left untreated, severe dental abscess can progress to Ludwig’s angina, which is a potentially lethal cellulitis that rapidly extends to the neck region and may lead to life-threatening upper airway obstruction. We report the case of a pregnant woman who presented with intense throbbing pain, trismus and severely reduced mouth opening due to dental abscess for the last one week. She required incision and drainage of abscess with extraction of third molar under general anaesthesia. There are some significant challenges to anaesthesiologist like the risk of aspiration and failed intubation in patients with pregnancy and anticipated difficult airway. With counselling and proper preparation, we were able to manage this case with awake intubation.  Continuous...
Effects of biodex balance training on symptomatic knee osteoarthritis in Rawalpindi: a randomized control trial
Authors: Samina Javed  , Huma Riaz  , Aruba Saeed  , Ruqia Begum
Published: November 2020

Abstract

Objective: To determine the effect of Biodex training on lower limb functional performance, balance, pain and properioception in symptomatic knee osteoarthritis patients.

Methods: It was a Randomized control study conducted in Armed forces Institute of Rehabilitation Medicine (AFIRM) from February to June 2018. Ethical approval from Riphah research ethical committee was taken. Study included 48 patients of both genders with age between 35-65 years and grade II, III bilateral knee osteoarthritis (Kellgren-Osteoarthritis classification). Patients with Past Knee surgery, knee injury, Recent Intra articular injection and with Rheumatoid Arthritis were excluded. Purposive sampling technique was used for sample selection. Patients were randomly allocated through sealed envelope method into Control group (n=24) and Experimental group (n=24). Control group received traditional exercise program while Experimental group received balance training on biodex & traditional exercise program. Assessment was taken at baseline and post intervention. Pain was assessed through Numeric pain rating scale (NPRS), Functional performance was assessed through Western Ontario and McMaster Universities Osteoarthritis index (WOMAC) and Time up and Go test (TUG), Balance was assessed through Biodex stability system this assessment include overall stability index, AP stability, ML stability, overall sway, AP sway and ML sway. Data was analyzed on SPSS version 21.

Results: Participants of experimental group shows statically significant improvement in NPRS (P<0.005), Overall stability index (p=0.49) and in Anteroposterior stability index (p=0.046). Improvement in Mediolateral stability index (p=0.047) and overall sway index was (p=.049).  Stability index improved in all direction except in Anteroposterior index in experimental group. Continuous...
Factors associated with the compliance of standard precaution; review article
Authors: Shah Zeb  , Tazeen Saeed Ali
Published: November 2020

Abstract

Compliance with standard precautions is very important for healthcare workers because studies have shown that it helps in minimising the transmission of infectious diseases and healthcare-associated infections which is directly proportional to the patient cost and stay of the patient in hospitals. As healthcare associated infections increase, the cost and the stay of the patient will increase. Researchers suggest that all healthcare workers need to follow the standard precautions guideline and it can be possible with the help of health education, training, provision of equipment and supervision by the management. Barriers to the compliance identified are lack of education, heavy workload, unavailability of equipment, lack of resources and lack of access to supplies. The lack of education and heavy workload are the major factors faced by the nurses.

Key Words: Healthcare workers, Universal precautions, Standard precautions
From professionalism to commercialism in healthcare: a phenomenological study
Authors: Muhammad Hanif Malik  , Usman Mahboob
Published: November 2020

Abstract

Objective: To explore the perceptions of doctors holding dual jobs regarding professionalism in public and private healthcare sectors.

Methods: The qualitative phenomenological study was conducted from January to June 2016 in a tertiary care teaching hospital affiliated with Sheikh Zayed Medical College, Rahim Yar Khan, Pakistan, and comprised 10 doctors holding dual jobs. Data was collected through video-recorded interviews which were transcribed verbatim and analysed for themes using interpretative phenomenological analysis.

Results: There were 10 doctors in the study. Monetary benefit was the main motive behind holding dual jobs. Contented and internally motivated practitioners with faith in Almighty and a sense of accountability before Him were likely to behave much more professionally, and a virtue-based medical education could play a vital role in this regard.

Conclusion: Overall lack of faith and internal motivation has shifted the focus of sustenance to material resources. Continuous...
Ruínas que inspiram
Authors: Augusto Michele
Published: November 2020

O artigo apresenta um projeto artístico de performance virtual de moda/figurino, tendo como cenário e objeto de estudo as Ruínas do Convento do Carmo de Lisboa. Utilizando a fotografia e sofwares de edição de imagem como agentes mediadores do processo criativo, promovendo maior conexão entre a criação e os objetos de pesquisa. Buscando resultados de produção de sentido, observando as alterações da composição e significados, a fim de analisar os resultados das experimentações e realizar reflexões teóricas.
Arte-Mídia-Ciência-Tecnologia
Authors: Guimarães Ernandes Zanon
Published: November 2020

Hoje, cada vez mais, os artistas visuais lançam mão de equipamentos tecnológicos como câmeras e computadores para produzir imagens. O artigo investiga a relação arte-mídia-ciência-tecnologia que se coloca como a forma mais atual da criação artística. Os dispositivos, as técnicas e os efeitos utilizados pelos artistas para produzir e exibir seus trabalhos não são apenas equipamentos inertes, ao contrário, eles estão carregados de significados, e colocam os artistas diante do desafio de ultrapassar o determinismo tecnológico embutido nas máquinas e aparelhos.
Recoding Art
Authors: Moreschi Bruno , Pereira Gabriel
Published: November 2020

When Varèse lived in that street sixty years earlier, he was creating Poème Electronique, a commission from the Philips company. The eight-minutes song would become the soundtrack of the pavilion created by Le Corbusier at the 1958 Brussels World's Fair. For this composition, Varèse gathered trivial sounds from Eindhoven, noises that would only be the disposable sounds of everyday life for many. But not the composer who, exhibiting keen attention and sensitivity, saw poetic power in these sounds and produced a striking composition. [...]
Avenida Brasília Formosa
Authors: Mello Christine , Riato Katrin
Published: November 2020

Em Avenida Brasília Formosa (2010) o diretor Gabriel Mascaro realiza uma série de tensionamentos relacionados ao cinema contemporâneo por meio de atravessamentos artísticos e midiáticos, linguagens em trânsito, processos e contaminações entre tecnologia, arte e vida.  Como uma forma de reflexão sobre a cena contemporânea, esse artigo busca analisar os processos do cinema acerca das produções colaborativas (brodagem), a produção de subjetividade através da mediação da câmera com o corpo, a performance, as hibridizações entre linguagens, os novos modos de produção de presença e as ações micropolíticas no cotidiano.
Recoding Art
Authors: Moreschi Bruno , Pereira Gabriel
Published: November 2020

Quando Varèse morou naquela rua sessenta anos antes, ele criou o Poème Electronique, uma obra comissionada pela empresa Philips. A música de oito minutos se tornaria a trilha sonora do pavilhão criado por Le Corbusier para a Feira Mundial de Bruxelas de 1958. Para essa composição, Varèse reuniu sons triviais de Eindhoven –– para muitos, ruídos que seriam apenas sons descartáveis ​​da vida cotidiana. Esbanjando muita atenção e sensibilidade, o compositor enxergou algo poético nesses sons e produziu uma composição impressionante. Nesta pesquisa, seguimos um caminho semelhante: avaliar o que parece insignificante para muitos. No primeiro dia em Eindhoven, o simpático coordenador de tecnologia do Van Abbemuseum Peter Classen entregou a Moreschi um pen drive com 654 imagens das obras da coleção do museu que estavam em exibição (nas mostras The Making Of Modern Art e The Way Beyond Art). Via internet, as imagens foram enviadas para Pereira, que já sabia exatamente o que fazer com elas, assim que as recebeu. [...]
Identificação dos aspectos antropotecnológicos no Plano de Auxílio Mútuo (PAM)
Authors: Bail Rosângela de França , Kovaleski João Luiz , Pagani Regina Negri
Published: November 2020

Anthropotechnology studies the adaptation of the individual to the production process, emphasizing the complexity of the relationship between man, machine and technology, relating it to the well-being of the human being. This work aims to study how the anthropotechnological aspects are inserted in the Mutual Assistance Plan (PAM), compared to the North American Disaster Mutual Assistance (DMA), which works similar to the Brazilian project. WFP is a non-profit institution that seeks to establish and maintain interpersonal relationships and member interaction with federal, state, and municipal authorities responsible for responding to emergencies. The present study has as specific objectives: to identify the characteristics of anthropotechnology and the transfer of knowledge and technology (TCT), to describe the origin of the MAP, to establish a comparison between the MAP and the MAP and to look for the anthropotechnological evidences in the MAP. To reach these objectives, an exploratory bibliographical research was carried out, which adopted the strategy of systematic literature review. For the field research, data were collected from the PAM of Brazil and the State of Paraná, aiming to observe its origin, its evolutionary process and its main results. In the final field research, the case of PAM, in Ponta Grossa - PR, was studied in more detail. And the results show that anthropotechnology is linked to all the activities of WFP, be it in the industrial work environment, the training offered to employees, in interpersonal relationships, in the transfer of knowledge and technology in the actions of WFP, with partner companies and other participants.
Microalbuminuria in Ischaemic Stroke and its Relationship with Neurological Defects
Authors: Chowdhury S S , Mehdi T , Alam F , Ishrat R , Parveen S , Khan S
Published: November 2020

Stroke is Me third common cause of death in developed countries. Ischaernic stroke accounts for about 83 percent of all cases. For ischaemic stroke, besides modifiable and nononodifiable risk factors. there are some potential nosy risk factors which include mieroalbuminuria. Site objective of this study was to observe the association of microalbuminuria with isehaemic stroke and as well as consequent neurological deficits. This cross sectional study was done among 100 diagnosed patients of ischaeoric stroke of both sexes. A structured questionnaire and checklist was used to collect data through face to face interview. Urinary microalbuminuria was mesured in all study subjects and assessment of necrological defects was done by modified Ranakin scale. The study revealed that the frequency of presence of microallmminteria was significantly high in ischaernic stroke. Higher the level of mieroalburninuria higher was the necrological deficit. So, microalbunrinuria may be a marker for the process to develop the ischamnic stroke.
الجهود المُعاصرة للمدرسة المالكيّة الإماراتية في خدمة السُّنّة النّبوية
The contemporary efforts of the UAE Malikis in the service of the Sunnah
Authors: Abed Alrahman Maria Basssam Mohammed
Published: November 2020

جاءت هذه الدّراسة؛ محاولةً لإبراز الجهود المعاصرة للمدرسة المالكية الإماراتية في خدمة السُّنّة النّبوية من خلال أبرز أعلامها، (أحمد نور سيف المهيري)، بهدف التّعرف على جهوده في خدمة السُّنّة النبوية وأنواعها، وذلك باستقرائها ووصفها.
وقدّمت هذه الدّراسة تعريفًا بالمدرسة المالكيّة الإماراتية ببيان نشأتها وأبرز أعلامها على العموم، والتّعريف بالمهيري بوصفه أنموذجًا بارزًا في هذه المدرسة، وكشفت عن أهم جهوده المبذولة في السُّنّة النّبوية وأهم ملامح منهجه، والتنّوع في إنتاجه العلمي، مع حيازة السّبق في كثير من موضوعات السُّنّة النّبوية.
الكلمات المفتاحيّة: المدرسة المالكية، الإمارات، السُّنّة النبوية، الجهود المعاصرة، المهيري.
This study is an attempt to highlight the contemporary efforts of the
UAE Malikis School in serving the Prophetic Sunnah through its most prominent flags, Dr. Ahmed Noor Saif Al Muhairi, in order to identify his efforts in
serving the Prophetic Sunnah and its
types. The study presented a definition
of the Malikian school of the UAE with
a statement of its origin and the most
prominent of its flags in general, and the
introduction of Al-Muhairi as a prominent model in this school and revealed
its most important efforts in the Prophetic Sunnah and the most important
features of its methodology.
Keywords: Malik School, Emirates,
Sunnah, Contemporary Efforts, Muhairi
Survey of E-Governance Systems with focus on Development Approaches and Interface Quality
Authors: Rani G. , Chakraverty S.
Published: November 2020

There has been a significant growth of e-governance systems in general and online voting systems in particular. Various models have been proposed to conceptualise and develop these systems. Attention is currently on developing adaptive interfaces that respond intelligently to changes in user profiles. These models differ in many aspects, but no formal classification or comparative study is available as yet which may be used as a reference for researchers engaged in this area. This paper surveys the plethora of existing approaches and models for e-governance and presents a comparative evaluation based on certain qualitative parameters. These parameters have been selected based upon their criticality in e-governance applications. They include security, interoperability, authentication, flexibility, extensibility, privacy, adaptability, transparency, verifiability and robustness. The classification provides a common platform to glean knowledge about the strengths and weaknesses of different models, gain a quality-based comparative evaluation and build upon specific research directions.
Environment And Sustainable Development
Authors: Singh Shalini , Kumar Amit
Published: November 2020

With the dawn of the 21st century, we are confronted with two conflicting scenarios for the future of man kind. On the one hand, there are possibilities of a bright future with press button living, space shuttles, information technology, genetic engineering and such other advances in science and technology. On the other hand, a grim scenario is looming large with burgeoning population starved of resources and choked by pollution. Faced with such crucial situation wherein we stand at the crossroads in choosing between environment and development we feel the need of ‘Sustainable Development’. The concept of sustainable development means that the rate of consumption or use of natural resources should approximate the rate at which these resources can be substituted or replaced. It further requires that a nation or society is able to satisfy its requirements- social, economic or others without jeopardising the interest of future generations. The paper broadly tries to outline the basic concept of sustainable development, the world-wide activities initiated to deal with environmental problems and the major strategies that can be adopted by nations for sustainable development.
Management Practices with Indian Work Culture: Towards New Frontiers in Management Thinking
Authors: Shrivastava Roopal , Shrivastava Sangya
Published: November 2020

Globalization has brought a new set of challenges and issues that organizations today have to deal with, in order to remain competitive and become successful. In the changeable scenario, optimizing human and intellectual capital in the major challenge for all organizations. If globalization is the business of mindset and behavioral change then the role of management practices becomes integral to the growth of business. The world is becoming smaller and flatter primary to the new market expansion and opportunities for multinationals .Goldman Sachs, a full service global investment banking and securities firms reports that rising middle class in the four nations known as BRIC( Brazil, Russia, India and China) will quadruple in coming decade and contribute more than 70%of global growth by 2040.Economic policy and liberalization of reforms in India have opened up the flood gates of cheap imports ,foreign direct investment and accessibility of global markets for exports. All these have created competition among the players in the industry including service sectors. The challenge organizations facing for want of latest technology, infrastructure facilities, strong work force, and management is becoming more complex with the liberalization, globalization and changing technology. The problem is becoming more acute since organizational needs to manage workforce diverse in characters which calls for new skills knowledge and adaptability .Competitive pressures have forced a change on organization in the areas of strategies, structures and culture .The entry of MNC’s players has highlighted the need for a proper succession plan for achieving success.
REVIEW OF INDIAN WORK CULTURE AND CHALLENGES FACED BY INDIANS IN THE ERA OF GLOBALISATION
Authors: Jhunjhunwala Soniya
Published: November 2020

WORK CULTURE may be defined as the rules/regulations, policies, Practices, traditions/rituals and values/beliefs of the organisation. The business culture of India is a reflection of the various norms and standards followed by its people . In the United States, the work environment is professional and causal . Today’s companies have a world of opportunities. The challenge lies in accessing them. Technology has made it possible for companies to expand into international markets. The advent of globalization made business enterprises and employees to work across the borders of various countries, thus providing exposure to cross cultural working environment to both the organizations and employees. This eliminated the huge gap between the work culture of India and other countries to some extent. This paper is outcome of a review of Indian work culture and work culture in U.S.A. This paper examines some differences between Indian work environment and American work environment .There are differences in working hours, work- life balance, relationship between Boss and subordinates, performance appraisals, accepting changes etc. It raises challenges that are being faced by Indian offshore teams in working with Americans- language barrier, hierarchy in Indian organisations , indirect communication style, time orientation, hard work vis-à-vis smart work etc.
Performance of e-Governance in Indian Economy
Authors: Swapna N.
Published: November 2020

E-Governance or “electronic governance” is defined as the delivery of Government services and information to the public, using the electronic means including the dissemination of information to the people and the agencies. In India the concept ‘e-governance’ began with National Informatics Center’s efforts to connect all district headquarters though computers in 1980s. In 2002 it further proposed the setting up an Indian portal for public access to information on various aspects of government functioning. e-governance promotes the efficiency, enforces accountability, brings transparency in the working of the government system and reduces time delays; All important government policies are useful to people, e-governance also beneficial to the citizens. It involves technology, policies and infrastructure. This paper reveals the performance of e-governance in India in the context of its role in Agriculture sector, rural development and promoting social welfare.
Identifying Critical Issues Relating to Environmental Audit of Solid Waste Management in Large Educational Institutions; A case study of Ravenshaw University, Cuttack, Odisha
Authors: Samantsinghar Lekhasri
Published: November 2020

Of the entire problems related to environmental audit that have come into focus, institutional solid waste management has been the slowest to develop either in direction or regulatory mechanisms. In the absence of any specific regulatory directive, the institutions and especially the Universities have left waste management to the lower staff. There is no environmental management programme in any of the Universities in Odisha, India unlike most of the Universities abroad. This study examines the critical gaps in management through an audit of the solid waste of Ravenshaw University, Odisha. Results show that there is no framework in place for compliance of environmental laws. The top management of the University is not actively involved in directing the efforts. Even though the University generates 100.5 tons of waste per month only 37.5% of it is collected through regular municipality channels. Biodegradable waste constitute 82% of the total waste but is not used for energy recovery. There is no awareness among the students and faculty regarding sound practices. This paper attempts to provide a framework for policy and planning strategies relating to solid waste management in public and private educational institutions within the framework of Sustainable Integrated Solid Waste Management practices.
GÜZEL SANATLAR LİSESİ 10. SINIF BİREYSEL SES EĞİTİMİ DERS KİTABINDA YER ALAN ESERLERİN İNCELENMESİ
Authors: LAÇİN Gülay , BARAN Mustafa
Published: November 2020

Yapılan bu çalışmada, MEB tarafından hazırlanan 2019 yılında baskısı yapılan “Güzel Sanatlar Lisesi Bireysel Ses Eğitimi 10. Sınıf” isimli ders kitabında yer alan tür, makam/ton, ses aralığı, usul/ ölçü yapısı, sözel içerik analizi yönünden incelenmesi ve mevcut durumun ortaya konulması amaçlanmıştır. Kaynak olarak ilgili kitap kullanılmıştır.
Araştırmada doküman analizi yöntemi kullanılmıştır. Araştırmanın örneklemini Güzel Sanatlar Lisesi Bireysel Ses Eğitimi 10. Sınıf ders kitabında bulunan 31 eser oluşturmaktadır. Kitapta yer alan 31 eser incelenmiş, analiz edilmiş ve tablolaştırılmıştır. İncelenen eserlerin dört ayrı türden oluştuğu, Hüseyni, Hicaz Nihavent, Buselik makamlarında türkü ve şarkıların ve Fa Majör, Re Majör, Mi Bemol Majör, Re Minör tonalitelerinin kullanıldığı görülmüştür. Usul ve ölçü bakımından incelendiğinde Halk Türkülerinde ve TSM eserlerinde kullanılan usullerin çeşitlilik gösterdiği, Marşlarda ve yabancı eserlerde ise basit ve birleşik ölçülerin kullanıldığı tespit edilmiştir. Eserlerin ses aralıklarına bakıldığında TSM eserlerinin ve marşların ses aralığı olarak geniş olduğu, o yaş grubu gençlerin okumasının zor olacağı için uygun olmadığı düşünülmektedir. Eserlerin sözel yapısı için de içerik analizi yapılmıştır.
HISTÓRIA DA NOÇÃO DE MATRIZ: UMA RELEITURA SOB A LUZ DE NOVAS ABORDAGENS HISTORIOGRÁFICAS
Authors: Bernardes Aline , Roque Tatiana
Published: November 2020

Apresentamos a metodologia dos objetos e técnicas epistêmicas para a análise de fontes matemáticas. Esta metodologia foi adaptada da historiografia das ciências por Moritz Epple e possibilita explicitar e diferenciar os papéis que uma determinada noção matemática adquire em um ou mais episódios de pesquisa. Utilizaremos esta abordagem para investigar os diferentes papéis que a noção de matriz adquiriu em duas práticas elaboradas nos anos 1850 pelos matemáticos James Joseph Sylvester e Arthur Cayley, analisadas inicialmente por Frédéric Brechenmacher.
O GRAU DE DOUTOR NO INÍCIO DO SÉCULO XIX NO BRASIL: UM BREVE RELATO
Authors: Martines Mônica de Cássia Siqueira
Published: November 2020

Neste artigo pretendemos relatar parte da pesquisa de doutorado realizada entre 2010 e 2014, nele trataremos da concessão do grau de doutor em Medicina, em Ciências Matemáticas e em Ciências Jurídicas e Sociais. Apresentaremos a exigência mínima para ingressar nesses cursos e o que era exigido para se obter o referido grau.
O CONCEITO DE LIMITE E O CONCEITO DE LIMITE SEGUNDO BERTRAND RUSSELL
Authors: Guimarães Santiago Douglas Frederico , Oliveira Michely Santos , Sapunaru Raquel Anna
Published: November 2020

Este artigo propõe-se explorar o entendimento do conceito de limite, numa abordagem original, a partir de dois pontos de vista distintos: o de Cauchy e o de Russell. Também é feita uma análise do conceito de existência ou não do limite de uma função analítica, com o foco no conceito de limite de Russell, considerandoos conceitos de seção inferior, seção superior, seção inferior extrema, seção superior extrema e oscilação extrema.
FRANCISCO ANTONIO LACAZ NETTO (1911-1991): BREVE BIOGRAFIA
Authors: Raiz Calabria Angelica
Published: November 2020

O presente trabalho tem como objetivo acrescentar informaçãoes à História da Matemática e apresentar uma breve biografia do professor Francisco Antonio Lacaz Netto, descrevendo sua formação, sua carreira docente, suas principais obras e homenagens, privilegiando a sua trajetória no Instituto Tecnológico de Aeronáutica (ITA) e a sua dedicação como professor, a qual o torna, segundo nossas perspectivas, um educador matemático. A fim de alcançar tal objetivo, analisamos seu acervo pessoal e realizamos entrevistas com amigos e familiares.