bluuebunny/crossref_metadata_2025 huggingface dataset:
Logistic Regression Analysis To Determine Cardiovascular Diseases Risk Factors A Hospital-Based Case-Control Study, 2019.
Authors: Mustafa Ebtehag , Alnory Ahmed
Published: September 2020

Cardiovascular disease (CVD) is one of the preventable causes of death in the world since the majority of its risk factors are controllable. A hospital-based case-control study was conducted and carried out in Gezira state (Wad Medani heart Centre ), Data collection lasted for almost one year (From 2018 To 2019), via structured face-to-face interviews of 800 patients in Wad Medani heart hospital, A several of risk factors for cardiovascular diseases were measured on 750 patients cases and 50 patients control. A Binary logistic regression model was adopted to examine the multiplicative effects of Pathological, socio-economic and demographic variables as explanatory variables. The study showed that the most important causes leading to cardiovascular diseases are smoking with (9.84) times odds, followed by patients suffering from renal diseases with (6.19) times odds, in addition to drinking alcoholic with (3.62) times odds. The study recommended not smoking, avoiding alcohol and dealing well with chronic diseases.
The Potential of Video Games for Enhancing Teaching History
Authors: Bass Ian
Published: September 2020

This paper reflects on the potential of using video games as a medium to teach medieval history. Building on feedback from students and research around the topic of using video games to teach medieval history, this paper explores how video games can be used to create counterfactual simulations and their potential use as an academic teaching tool.
Rich Pictures: Non Visual use of Visual Tools
Authors: Macintyre Ronald
Published: September 2020

This reflective article explores the use of Soft Systems Methodology (SSM) Rich Pictures within the learning design. It introduces SSM as part of a broader interest in systems within education and positions SSM as part of a broader family of participatory approaches within a range of fields. Based on learning design practice with organisations looking to (re)connect with learners, the paper sets out a scenario where participants are asked to draw of a Rich Picture of the “ideal learner”, where questions of future selves and ideal forms highlight are used to highlight the non-representative nature of representative forms. It reflects on questions of power on deliberative decision-making tools like Rich Pictures and suggests ways of addressing this in practice. It argues that care needs to be taken lest the value of Rich Pictures is the visual representations made rather than the process, and suggests that practitioners should remember that the image is not the outcome.
Using Sketchnotes in PhD Research and Academic Practice
Authors: Baff Deborah
Published: September 2020

This paper is a reflective account of using Sketchnotes both within Academic Practice and as a PhD Student. A brief summary of different types of Sketchnotes is discussed together with details of how these have been used in practice and evolved through practical experience. Examples are shared that highlight how Sketchnotes have been used within PhD studies and scholarly practices. Creating Sketchnotes have enabled an understanding of thought processes and facilitated open communication to others in terms of PhD research. Sketchnotes have also helped with retention of information and engagement and through incorporating Sketchnotes into everyday practice, this has fostered connections with others and enabled communication of complex ideas visually. This reflective piece contributes to insights and deepens understanding in the area of visual representation in learning and teaching.
Seeing Beyond Traditional Measurement: Recognizing the Value of the Experience of the Place, the People, and Their Work
Authors: Martin Bobbi , Balwanaki Chris Anold
Published: September 2020

Seeing beyond traditional measurement means knowing the story behind the outcome. It means recognizing the value of the experience of the place, the people, and their work. The global community recognizes the crucial need to end preventable child deaths, making it an essential part of the Global Strategy for Women, Children, and Adolescent Health (2016–2030) and the third Sustainable Development Goal to ensure healthy lives and promote wellbeing for all people at all ages (World Health Organization, 2019). This article shares statistically significant results of a nursing training initiative at Whispers Magical Children's Hospital (WMCH) in Jinja, Uganda, in sub-Saharan Africa where the region persists with the highest under-five mortality rate in the world. But the richer data yield can be found in the experiences of two in-country visits. Finding ways to create educational efforts for nurses in underserved geographical areas is critical to the improvement of the health status of their communities. Bringing health technology to these areas will improve the delivery of high-quality, evidence-based care by nurses, with a direct effect of positively influencing the health status of women, children, and communities.
Nursing Students Attitude Towards Teenage Pregnancy
Authors: Emanuel-Frith Mickelle , Pitter Cynthia , Agu Chinwendu Felicia
Published: September 2020

BACKGROUND

Teenage pregnancy is a multifaceted problem which is influenced by numerous issues including individual, family, and community characteristics. Its consequences affect the health, social and economic wellbeing of the teenagers and their children. The attitudes and behaviors of maternal healthcare providers were an essential component of quality as they impacted both positively and negatively on how the clients, their partners, and families observed and experienced maternal healthcare. This study was conducted to determine the general attitudes of student nurses towards teenage pregnancy and also to determine whether socio-demographic characteristics of the student nurses affected their attitude towards teenage pregnancy.

METHOD

A quantitative descriptive, cross-sectional study was done in 2018. A total of 87 randomly selected fourth year student nurses completed a self-administered questionnaire. The data were analyzed using SPSS (Statistical Package for the Social Sciences). The study was approved by our local ethical boards and all ethical considerations were adhered to.

RESULTS

The results of the study revealed that majority of the participants (93.1%) were single and attended church (90.8%). The majority of the sample was female (96.6%) between the ages 18–24 years old. The respondents' attitudes towards teen mothers were not affected by their relationship status, their age or gender or church attendance The results further revealed that the nursing students' had a moderately positive attitude towards teenage pregnancy. The only sociodemographic variable that affected attitude was the respondents having a teen mother in the family. The respondents with a teen mother in the family accounted for 29.9%.

CONCLUSION

This study adds to the body of knowledge on the attitudes of nursing students towards teenage pregnancy. The findings support the nursing curriculum that accentuates patient-centered care, reduce bias, and promotes professional values in Jamaica in order to deliver care to this vulnerable group.
Factors Associated With Timely Initiation of Breastfeeding and Prelacteal Feeding in North-Central Nigeria
Authors: Emmanuel Andy , Clow Sheila Elizabeth
Published: September 2020

OBJECTIVE

Delay in initiation of breastfeeding after birth is associated with the introduction of other feeds. It has been recommended that all women should initiate breastfeeding within the first hour after birth. Early initiation of breastfeeding and exclusive breastfeeding could reasonably reduce neonatal deaths. The aim of this study was to assess the initiation of breastfeeding and prelacteal feeding in Plateau State, Nigeria.

MATERIALS AND METHOD

A cross-sectional design was adopted for the study. A total of 763 women drawn equally from the three senatorial zones of the state voluntarily completed a questionnaire. Results were analyzed using chi-squared statistics and regression analysis.

RESULTS

Findings show that 33.1% of women initiated breastfeeding in a timely manner. The relationships between the timely initiation of breastfeeding and the use of pain relief, maternal age, maternal employment, economic status, influence of family and friends, and advertisement were found to be statistically significant. Furthermore, 92% gave breast milk for the first feed, while 8% gave infant formula, glucose, herbs, or water. Inadequate breast milk production, delayed initiation of breastfeeding, and health conditions were factors identified as responsible for prelacteal feeding.

CONCLUSION

The proportion of women who initiated feeding in a timely manner was low, which underscores the need to promote and support early initiation of breastfeeding in the state. There is thus a need for a public education campaign, particularly directed at women receiving antenatal care, and focusing on the need for establishing feeding early. Women with health challenges and those with a history of poor milk production may require additional support to breastfeed as recommended.
The Effect of Capital Structure on Financial Performance with Firm Size as a Moderating Variable of Non-Financial Firms Listed at the Nairobi Securities Exchange
Authors: Meshack Kerongo , Nyamute Winnie , Okiro Kennedy , Duncan Elly
Published: September 2020

This paper examines the effect of capital structure on the financial performance of the non-financial firms listed at the Nairobi Securities Exchange and how this relationship is moderated by firm size. In addition, the paper evaluates the existence of equilibrium and disequilibrium relationship among the variables. The study analyzed unbalanced panel data sourced from across 53 non-financial firms listed at the Nairobi Securities Exchange which covers the period from 2010 to 2017. Total debt to total equity, total equity to total assets, and total debt to total assets were used for assessing capital structure of the listed non-financial firms. Firm size was measured using natural logarithm of total sales. Financial performance attribute was measured by Tobinâ€™s Q. Data was analyzed using descriptive statistics, multiple and simple regression analysis. Regression analysis was used to ascertain the direction and magnitude of the relationships. The study revealed that leverage had a significant positive effect on the financial performance of the NSE listed non-financial firms. Furthermore, firm size has a positive moderating effect on the relationship between capital structure and financial performance. The study concludes that firms should strive to increase their leverage since it has a statistically significant positive effect on financial performance of the nonfinancial firms listed on the NSE. The study further concludes that firms should strive to grow their firm size by increasing their total sales. This is because it has a statistically significant positive effect on the financial performance of NSE listed non-financial firms.
Assessing Key Business-related Indicators for Smart Cities: Case of Tbilisi City
Authors: Khakhishvili Tamar
Published: September 2020

â€œSmart Cityâ€ concept has become more popular in recent years. High interest is derived from the need to implement smart solutions and address the challenges associated with rapid population growth in urban areas. This paper focuses on assessing key business-related indicators that measure Tbilisi performance towards the achievement of smart city solutions. Since there are hundreds of smart city indicators in the world, this paper only focuses on researching business environment (i.e., Smart Economy out of the six (6) smart city characteristics 5 ). The methodology used in this study was based on both theoretical and practical approach. Detailed analysis of scientific papers, especially World Bank (Doing Business) and World Economic Forum (Global Competitiveness Index) reports, made it possible to identify key businessrelated indicators. In-depth analysis revealed five (5) indicators 6 . At the next stage, comparative analysis of Tbilisi and Stockholm was conducted to assess growth rates for each identified ones. Using statistical and historical data study, research results provided the opportunity to elaborate assessment framework that proposed the methodology for assessing the above mentioned indicators. After the analysis (according to the methodology of elaborated assessment framework), the research shows that Tbilisi only fulfills two (2) business-related indicators out of the five (5) identified.
Effect of Credit Risk on Shareholdersâ€™ Wealth of Listed Commercial Banks in Kenya
Authors: Kathini Kinyamasyo Abigail , Ochere Opuodho Gordon
Published: September 2020

The financial managerâ€™s mandate is to maximize shareholdersâ€™ wealth by investing in projects with positive cash flows. Credit risk is the potential loss incurred by a company when counterparties default in their financial obligations. This leads to cash out flow, which in turn affects shareholdersâ€™ wealth. To achieve higher returns, financial managers must take more risk. This paper focuses on determining the effect of credit risk on shareholdersâ€™ wealth of listed commercial banks in Kenya. Secondary data was collected from the annual financial statements of 11 listed commercial banks and the corporation credit ratings publications for the period 2014 to 2018. Through quantitative research design, panel data was analyzed using multiple linear regression model. The study found that capital adequacy had a significant positive effect on shareholders wealth. Non-performing loans, credit liquidity, loan loss provision, and credit ratings had an insignificant effect on shareholders wealth. Based on F statistic results, credit risk had a significant negative effect on shareholders wealth. The study recommends that financial managers should retain more capital based on the risk weighted assets which acts as a buffer if the bank incurs losses arising from credit risk. Commercial banks in Kenya should also fully adopt the Basel III Accord requirements so as to maximize the wealth of the shareholders.
Learner-Centered Teaching: A Case Study of its Implementation in Physics and Chemistry Classes in Moroccan High Schools
Authors: El Hammoumi Mohamed Merouane , Bakkali Said , El Youssfi Safaa
Published: September 2020

Following the international call of the learner-centered approach, the Moroccan educational system has undergone a paradigm shift in teaching methods. Physics and chemistry textbooks used in Moroccan high schools highly valorise learning strategies development, self-directed learning, and discovery learning, which promote the learnerâ€™s autonomy. This study provides an overview of the learner-centeredness principles, and it is based on data collection which is accomplished using a questionnaire administered to 35 physics and chemistry high school teachers. It focuses on analysing the teachersâ€™ attitudes towardsthis approach. The study shows that majority of the teachers are motivated towards implementing the learner-centered approach, but very few of them rely on both teacher and student-centered teaching simultaneously to cater for studentsâ€™ learning needs. This paper recommends the use of active learning to cater for a successful educational system.
Investigating EFL Teachers' Attitudes Towards the Use of Authentic Materials in Teaching English in Iraqi Kurdistan Region
Authors: Omar Fouad Rashid , Mekael Husen Fooad
Published: September 2020

Thisstudy investigates Kurdish EFL teachers' attitudestowardsthe use of authentic materials in EFL classroom. To achieve the goals of this study, a questionnaire is used to elicit the required data. The participants of the study consist of 40 EFL teachers (males and females) from different secondary schools in Akre town, Kurdistan Region of Iraq. The findings of the study reveal that Kurdish EFL teachers have a positive attitude towards introducing and applying authentic materials to learners. Moreover, the findings show that the Kurdish EFL teachers' preferences of using authentic materials in their classes do not differ according to their teaching experience. Finally, the findings of the study are discussed and recommendations for further research are provided.
Gender Inequality on the Uses of the Internet: A Study of Dhaka City of Bangladesh
Authors: Alam Jahangir
Published: September 2020

Nowadays, the internet is considered a basic need, and for this, many researchers and academicians are engrossed by this subject. Very few literary works have been found to show gender inequality on the internet uses. For this reason, this study has been conducted. The main objective of this study is to assess the extent of gender inequalities on the uses of the internet in terms of time spends, money spends, data download, data upload, time spends on Social Networking Sites, time spends per access, and online earnings. For conducting this study, a survey questionnaire has been used for collecting primary data. Six hypotheses are developed and tested at a 5% level of significance. Results of the study indicate that there is significant inequality that exists between males and females in terms of time spends on the internet; money spends on the internet, the volume of data download and upload, time spends on social networking sites. Besides exists, an insignificant inequality between males and females in terms of time spends on the internet per access. The study recommends that female internet users need to be more thoughtful in case of information access, online earnings, and internet-based government and semi-government services. Based on the findings, the paper recommends that women need awareness on online earnings, online-based government services, and how effectively they can use information. This study suggests ensuring proper uses of the internet for both males and females equally to make Bangladesh competent.
Quantifying Semantics Using Statistical Tools: An Empirical Research in Colour Compounds in Modern Greek
Authors: Serakioti Dimitra
Published: September 2020

The present paper attempts an empirical investigation of the semantic impact of colour compounds in Modern Greek interpretation. The study adopted the framework put forward by Berlin and Kay (1969), statistical tools were used for data analysis and Venn diagrams depicted the relationship between the compounding elements. Taking into consideration that the research literature supports the view that colour compounds may be considered as coordinates, and despite the intuition, that native speakers are likely to consider the second constituent as basic one according to the Righthand Head Rule that applies for Greek, the results of our experiments negate our two hypotheses. Specifically, respondentsâ€™ perception regarding colour compounds tends to acknowledge the first constituent as strongest. This might well be attributed to the gradual left-to-right speech processing, as observed at the sentence level. Moreover, the alternate order of the constituents does not lead to different intuitions.
Mondo de J.M.G. Le ClÃ©zio : Ã‰preuves du monde orphelin
Authors: Sayegh Majida
Published: September 2020

Selon une mÃ©thode exploratoire et analytique guidÃ©e par les donnÃ©es thÃ©matiques du rÃ©cit, cet article Ã©tudie le cheminement de Mondo, fils de la nature, un enfant vagabond pas comme les autres. Tout en cherchant une famille adoptive, il apprend des leÃ§ons prÃ©cieuses en compagnie des personnes possÃ©dant des caractÃ¨res spÃ©cifiques qui enrichissent sa vision du monde. Parmi ces personnes, il y a des marginaux, et des autres qui sont dÃ©Ã§ues de ne pas pouvoir rÃ©aliser leurs rÃªves. Lâ€™alphabÃ©tisation se rÃ©alise dans une Ã©cole en plein air qui sâ€™accorde parfaitement avec les dÃ©sirs profonds de Mondo de lire et dâ€™Ã©crire. Le pentagone qui illustre son nom, symbolise lâ€™harmonie et lâ€™Ã©quilibre naturels en suivant un temps circulaire dans le sens de lâ€™aiguille dâ€™une montre. La rÃ©ussite finale de lâ€™adoption non conventionnelle, qui se passe en pleine nature, auprÃ¨s de Thi Chen, prouve la prÃ©dominance des accords dâ€™Ã¢mes avant toute rÃ©glementation. AttrapÃ© par les autoritÃ©s, Mondo qui garde dans son cÅ“ur et pour toujours la valeur de cette adoption libre et sincÃ¨re, prÃ©fÃ¨re sâ€™enfuir de cette civilisation prisonniÃ¨re de ses propres principes.
Using an exploratory and analytical methodology and following the themes of the story, this paper studies the journey of Mondo, nature's unique and vagabond son. While looking for an adoptive family, and accompanied by different characters, he learns valuable lessons and enriches his vision of the world. Some of such characters are marginalized by society, while others are disappointed from not having realized their dreams. Mondo's deep desires to learn to read and to write are perfectly fulfilled in an outdoor school. Illustrating his name with a pentagon creates a clockwise motion where time flows thus symbolizing a harmonious natural equilibrium. The final success in the non-conventional adoption, which happens in the wilderness with Thi Chen, proves the importance of the bonding of the souls before any kind of imposed laws and regulations. Caught by the authorities, and while still carrying in his heart the values of this free and sincere adoption, Mondo prefers to run away from a civilization shackled by its own principles.
State Marriage and Civil Marriage: The Role of State Policy on Interreligious Marriage in Central Java
Authors: Lathifah Anthin
Published: September 2020

This article discusses interreligious marriage in Central Java, especially in Surakarta, Semarang City and Jepara; places where the policies of stakeholders on judicial system, the role of demographic officials and religious leaders heavily influence each other. The policies of the State Court as an institution authorized to determine interreligious marriage vary from one to another area. For example, the Surakarta State Court receives the petition and establishes interreligious marriage, in contrast to the State Court in Semarang and Jepara which deny the petition of interreligious marriage. It is influenced by several things, namely the understanding of the regulation of marriage laws in Indonesia as well as religious understanding and role of its religious leaders. In the context of state and civil society relations, interreligious couples whose petitions are rejected consider it unfair; even those whose petition is accepted also deem it unfair since they regard their marriage as a civil marriage only, not desired by the state.Artikel ini membahas tentang perkawinan beda agama di Jawa Twngah, khususnya di Surakarta, Kota Semarang dan Kabupaten Jepara, tempat-tempat dimana kebijakan para pemangku kepentingan tentang sistem peradilan, peran pejabat demografik dan pemimpin agama saling mempengaruhi satu sama lain. Kebijakan Pengadilan Negeri sebagai lembaga yang berwenang menentukan perkawinan beda agama bervariasi dari satu daerah dengan daerah yang lain. Pengadilan Negeri Surakarta menerima petisi dan menetapkan perkawinan beda agama, berbeda dengan Pengadilan Negeri Kota Semarang dan Kabupaten Jepara yang menolak permohonan perkawinan beda agama. Perbedaan kebijakan tersebut dipengaruhi oleh beberapa hal, yaitu pemahaman tentang peraturan perundang-undangan perkawinan di Indonesia, pemahaman agama  dan peran para pemimpin agama. Dalam konteks hubungan negara dan masyarakat sipil, pasangan antara agama yang permohonannya ditolak menganggapnya tidak adil; bahkan mereka yang permohonannya diterima juga menganggap itu tidak adil karena mereka menganggap merkawinannya hanyalah perkawinan sipil, yang tidak diinginkan oleh negara.
The Implementation of PERMA Number 3 of 2017 Concerning The Guidelines For Dealing With Women's Cases on Laws As an Effort of Women Empowerment In The Judiciary in Madura
Authors: Musawwamah Siti
Published: September 2020

Women empowerment in the judiciary institution had actually been sought for since the moment of rule enforcement on reasons for divorce and implementation of (valid) divorce before a court hearing. This policy is an affirmation of legal renewal in the UUP (marriage law) and KHI (Compilation of Islamic Law) as well as an entry point for the law protection on women through the guarantee of legal certainty and opportunity to fight for their rights in divorce decisions, including right of gaining nafkah māḍiyah (past/indebted), nafkah 'iddah, nafkah mut’ah, shared assets, haḍānah (child custody) and childcare costs. The problem relates to the execution of the judiciary decision as it deals with some problems. One of which is the fact that there found no rule regarding with mechanism/method as well as time limit for the implementation, while the divorce pledge would be expired within 6 months after the decree of pledge permission. Accordingly, the Supreme Court’s policy to issue PERMA number 3 of 2017 concerning the guidelines for adjudicating women's cases in law shows its significance. Using a qualitative research design, this paper aimed at describing the implementation of PERMA number 3 of 2017 in religious courts in Madura, identifying constraints in its implementation, and explaining in detail the solutions to overcome the constraints. The results of this study are expected to be beneficial as an attempt to empower women by removing all barriers they cope with. Furthermore, it also enables them to gain access on justice without any discrimination in the justice system particularly in the religious court system at all levels, namely the first level, appeal, and cassation.
IR spektroskopi kullanılarak in vitro meme kanser kök hücrelerinin araştırılması
Authors: GÜLER Günnur , GÜVEN Ümmü , AÇIKGÖZ Eda , ÖKTEM Gülperi
Published: September 2020

Amaç: Kanser kök hücreleri (KKH), tümör içinde kendi kendilerini yenileme ve diğer hücre tiplerine farklılaşabilme kapasitesi sebebiyle tümörün başlaması, ilerlemesi, nüksetmesi, metastaz ve terapötik dirence yol açmaktadır. Bu nedenle, meme kanser kök hücrelerinin (MKKH) karakteristik özelliklerinin belirlenmesi gerekmektedir. Bu çalışmanın amacı, MKKH‟lerin akış sitometrisi ile izole edildikten sonra Fourier dönüşümlü kızılötesi (FTIR) spektroskopisi kullanarak hücre biyokimyasındaki farklılaşmalarının moleküler seviyede araştırılmasıdır.

Gereç ve Yöntem: MCF-7 meme kanser hücre hattındaki CD44+/CD24- yüzey belirteç özelliği gösteren MKKH‟ler akış sitometrisi ile izole edilmiştir. MCF10A, MCF-7 kanser hücre (KH) hattı ve bu hattan izole edilen CD44+/CD24- yüzey belirteç özelliklerine sahip MKKH‟'ler %0,9 NaCI içerisine resuspanse edildikten sonra FTIR spektrometre ile ölçülmüştür.

Bulgular: MCF-7 içerisindeki CD44+/CD24- yüzey belirteç özelliğine sahip KKH‟lerinin sort oranı %2,0-2,3 olarak belirlenmiştir. Elde edilen FTIR spektrumlarında, MKKH, meme kanser hücreleri (KH, non-KKH, bulk populasyon) ve sağlıklı hücreler arasında spektral benzerlikler ve farklılıklar tespit edilmiştir. MKKH‟lerde lipit ve protein sinyalleri daha güçlü olup hücre zarı akışkanlığı ve dinamiği fazladır. Sağlıklı hücreler ile kıyaslandığında, KH‟lerde α-helikal proteinler ve DNA sinyallerinde azalmaya karşın negatif yüklü karboksil gruplarından kaynaklanan sinyallerde artış gözlenmektedir. Bu veriler, MKKH‟lerin, sağlıklı ve KH‟lere kıyasla yapı, içerik ve dinamiği bakımından oldukça farklı bir profil sergilediğini göstermektedir.

Sonuç: Bu çalışma, MKKH‟lerinin moleküler yapısı ve içeriğindeki değişikliklerin incelemesi vasıtasıyla terapötik hedefli ilaç çalışmaları yapılabileceğini ortaya koymaktadır. FTIR spektroskopisi boyar madde gerektirmeden, hassas ve hızlı ölçüm alınması, örnek hazırlamada kolaylık ve az miktarda örnek gerektirmesi sebebiyle ileri hücre çalışmalarında ve medikal alanda biyolojik örneklerin analizlerinde kullanılabileceği de gösterilmiştir.
Percutaneous repair of Achilles tendon rupture: is it safe and reliable?
Authors: TÜZÜN Harun Yasin , ERŞEN Ömer , TÜRKKAN Selim , ARSENİSHVİLİ Arsen , KÜRKLÜ Mustafa
Published: September 2020

Aim: Achilles tendon rupture is the most common tendon rupture and the best treatment for acute Achilles tendon ruptures remains controversial. Mini open or percutaneous repair techniques offer early recovery and return to daily life, but have some disadvantages such as sural nerve injury and re-rupture. The aim of this study is to determine the safety and reliability of percutaneous repair of Achilles tendon rupture with identifying and retracting the sural nerve on its anatomical location.

Materials and Methods: Twenty-four patients who had undergone percutaneous Achilles tendon repair between November 2013 and February 2017 were included in this study. Wound healing problems, complications, ankle range of motions, and American Foot and Ankle Society score in early postoperative period and at the last follow-up were assessed.

Results: The average follow up period was 23 months. At last follow up injured ankles had 47.9±3.1° plantar flexion and 20.1±2.6° dorsiflexion statistically similar to the uninjured side. The average AOFAS score was 91±9.6.

Conclusion: Percutaneous Achilles tendon repair is safer and more reliable method when the sural nerve was identified at its anatomical location.
Femur boyun kırıklarında kırık lokalizasyonunun instabilite ile ilişkisi: Biyomekanik çalışma
Authors: YARADILMIŞ Yüksel Uğur , OKKAOĞLU Mustafa Caner , HURİ Pınar , EYİDOĞAN Abdullah , DEMİRKALE İsmail , ALTAY Murat
Published: September 2020

Amaç: Femur boyun kırıklarında kırık konfigürasyonu ile instabilite arasında ilişki görülmekte iken kırık lokalizasyonu ile instabilite arasındaki ilişki literatürde yer bulmamıştır. Çalışmamız femur boyun kırıklarında, kırığın femur boyun lokalizasyonu ile instabilite arasındaki ilişkiyi araştırdı. Gereç ve Yöntem: Çalışmamızda 12 adet kompozit sentetik proksimal femur modeline üç farklı lokalizasyondan osteotomi yapıldı. Osteotomi lokalizasyonu; transservikal yerleşim (Grup 2), transservikal yerleşimin 5 mm proksimali (Grup 1=Subkapital), transservikal yerleşimin 5 mm distali (Grup 3=Bazoservikal) olmak üzere üç ayrı lokalizasyondan planlandı. Her femur modeli için Pauwels tip II osteotomi ve iki kanüllü vida ile tespit uygulanarak femur modelleri standardize edildi. Gruplara aksiyel yönde stres (kompresyon) uygulanarak stabilite, biyomekanik parametreler ile incelendi.

Bulgular: Stres/strain eğrileri gruplar içinde paralellik gösterdi (p>0,05). Gruplar arası değerlendirmede stres/strain eğrileri Grup 1’de yüksek gözlenirken, Grup 2 ve Grup 3’te eğrilerde paralel gözlendi. Sentetik kemik modellerinde strain değeri 4 olduğunda basınç ölçümleri; Grup 1’de 500±40 N/mm2, Grup 2’de 370±36 N/mm2, Grup 3’te 380±32 N/mm2 (p=0,000), strain değeri 6 olduğunda basınç ölçümleri; Grup 1’de 700±48 N/mm2, Grup 2’de 520±50 N/mm2, Grup 3’te 510±53 N/mm2 olarak ölçüldü (p=0,000). Grup 1 daha stabil gözlenirken, Grup 2 ile Grup 3 arasında fark gözlenmedi.

Sonuç: Femur boyun kırığı biyomekanik çalışmamızda transservikal ve bazoservikal bölge lokalizasyonlarında benzer stabilite gözlenirken, en proksimaldeki, subkapital bölge kırığının daha stabil olduğu gözlendi.
Tiroit hastalığı olanlarda trigliserit/glikoz indeksi insülin direnci belirteci olarak kullanılabilir mi?
Authors: AKYÜZLÜ Zekiye Nurdan , MUTLU Hacer Hicran
Published: September 2020

Amaç: İnsülin direnci, tip 2 diyabete giden öncül yolağı oluşturur ve diyabet teşhis edilmeden çok önce mevcuttur. Trigliserit/glikoz (TyG) indeksi, son dönemlerde insülin direncinin taranmasında kullanılan basit, güvenilir, kolay ulaşılabilir, maliyet-etkin bir tarama yöntemidir. Çalışmamızın amacı TyG indeksinin, tiroit hastalığı olan kişilerde insülin direnci belirteci olarak kullanılıp kullanılamayacağını araştırmaktır. Gereç ve Yöntem: Çalışmamız retrospektif olarak, 15.04.2016-15.10.2017 arasında Obezite Polikliniğimize başvuran 1280 hastanın dosyası taranarak yapıldı. Açlık kan şekeri, trigliserit ve TSH düzeyi bakılmış ve TSH düzeyi 0,5-10 mU/ml olan hastalar dâhil edildi. Çalışmaya başlamadan önce Girişimsel Olmayan Etik Kurulu onayı alındı. Hastalarda insülin direncinin varlığı Homeostatic Model Assesment of Insulin Resistance (HOMA-IR) düzeyine göre belirlendi. HOMA-IR≥2,5 olan hastalarda insülin direncinin olduğu, HOMA-IR
Tirotoksikoz nedenli erektil disfonksiyon üzerine sildenafil etkisinin histopatolojik olarak değerlendirilmesi
Authors: ÖZDEMİR Murat , TOMRUK Canberk , YİĞİTTÜRK Gürkan , EROL Varlık , ÇETİN Emel Öykü , YILDIRIM ŞİMŞİR Ilgın , YENİSEY Çiğdem , UYANIKGİL Yiğit , ŞİMŞİR Adnan , MAKAY Özer
Published: September 2020

Amaç: Tirotoksikoz, periferik kan ve dokulardaki tiroit hormonu fazlalığından kaynaklı tüm klinik tabloları karşılayan bir çatı terimdir. Tirotoksikoz tablosu birçok organ ve metabolik süreci olumsuz yönde etkilemektedir. Bunlardan biri de erkek üreme sistemidir. Bu deneysel çalışmada tirotoksikoz nedenli erektil disfonksiyonda sildenafil tedavisinin disfonksiyonu önleyebilme etkisinin histopatolojik olarak değerlendirilmesi amaçlanmıştır.

Gereç ve Yöntem: Her biri 8 sıçandan oluşan 4 çalışma grubu oluşturuldu. Bu deneysel gruplar; Kontrol, Tirotoksikoz (Deney grubu), Tirotoksikoz + sildenafil uygulanan grup (Tedavi grubu) ve Tirotoksikoz oluşturulan + sildenafil çözücü solüsyon uygulanan grup (plasebo) grubu şeklindedir. Tirotoksikoz grubu erkek sıçanlara 0,2 mg/kg/gün dozunda ile 7 gün boyunca L-tiroksin enjekte edildi. Tedavi grubuna ise L- tiroksin uygulamasını takiben 10 mg/kg/gün dozda sildenafil, 24 gün boyunca intraperitoneal olarak uygulandı. Deneysel model tamamlanınca penis dokusu histokimyasal ve immünohistokimyasal incelemeler için %4’lük paraformaldehit içine alındı. Rutin immünohistokimyasal takip ve boyamalar yapılarak tüm örnekler ışık mikroskobunda değerlendirildi.

Bulgular: Deney grubuna ait deneklerde kavernöz boşluklarda dejenerasyon, daralma ve endotel hücrelerinde kayıp olduğu saptandı. Fibroelastik bağ doku ve düz kas dağılımı açısından tirotoksikoza maruz kalan sıçanlarda elastik lifler ve düz kaslarda belirgin azalma, kollajen liflerde ise artış olduğu saptandı. Tedavi grubunda tunica albuginea, corpus cavernosum, venöz sinüsler, kavernozal trabeküler düz kas ve ince fibröz bağ doku normal histolojik yapıya yakın olduğu görüldü. Kavernöz cisimlerin çapları istatistiksel olarak anlamlı bulundu (p
Adneksiyal kitleyi taklit eden ileum kökenli gastrointestinal stromal tümör
Authors: HORTU İsmet , KOCAOĞLU Gizem , ALGÜL Feride , SERİN Gürdeniz , AKDEMİR Ali
Published: September 2020

Adneksiyal kitleler genellikle benign yapıda olup kadınlarda her yaş grubunda görülebilen patolojilerdir. Tıbbi özgeçmiş, fizik muayene, tümör belirteçleri ve görüntüleme yöntemleri preoperatif değerlendirme esnasında mutlaka birlikte yapılmalıdır. İnce barsak tümörleri diğer gastrointestinal tümörlerden daha az sıklıkta görülür. Günümüzde yüksek teknolojiye sahip görüntüleme yöntemleri sıkça kullanılıyor olsa da bu tümörler adneksiyal kitlelerle kolayca karışabilmektedir. Bu olgu sunumunda, adneksiyal kitle nedeniyle opere edilen ve gastrointes-tinal stromal tümör (GİST) olduğu ortaya çıkan 60 yaşında bir hasta sunulmuştur.
La realidad de la práctica escolar y el deseo de interculturalidad. La enseñanza de quechua en colegios particulares en Cochabamba, Bolivia
Authors: Sichra Inge
Published: September 2020

Este trabajo tiene como objetivo detectar en qué medida la enseñanza del quechua aporta a la interculturalización de alumnos castellano monolingües de dos colegios particulares que han incorporado la lengua indígena en su currículo. La premisa que sustenta la investigación establece que los procesos pedagógicos son producto de ideología y generan ideología. Para romper el ciclo de reproducción de la posiciones hegemónicas transmitidas como ideología, “las teorías críticas se proponen lograr que los ‘agentes’ tomen conciencia de la coerción oculta, y por ello, tratan de liberarles de dicha coerción y colocarles en una situación que les permita determinar en dónde residen sus verdaderos intereses” (Wodak 2003, p.34). Presentamos a continuación las opiniones de niños y padres de familia de colegios particulares respecto a la importancia del quechua en un contexto de conflictos sociales y las contrastamos con los referentes culturales que los niños reciben en el aula durante las clases de quechua. Las conclusiones apuntan, entre otras, a la sorprendente ideología progresista expresada por los padres de familia y alumnos que favorecería la interculturalización como efecto de la enseñanza de quechua en el colegio, en contraste con la práctica de aula. Esta práctica encasilla la lengua indígena en el mundo rural, la aísla en un mundo estático y alejado de toda actualidad, difundiendo a la vez prejuicios respecto a los hablantes y su cultura.
Trajetórias e construções sociais entre os povos Waiwai da Amazônia Setentrional
Authors: Jr. Carlos Dias
Published: September 2020

O presente texto descreve algumas considerações sobre trajetóriasde vida escolhidas no universo da socialidade Waiwai, circunscritas às últimas seis décadas, período que cobre a história das relações permanentes com agentes diversos da sociedade envolvente iniciadas em 1949 por missionários norte-americanos da Unevangelized Fields Missions. No horizonte das narrativas subscritas uma questão se faz central, orientando a escolha das trajetórias e o roteiro da apresentação, a saber: quem são os Waiwai?
A criança indígena e a educação infantil: as complexas relações entre a cultura e a escola na cidade
Authors: Venere Mario Roberto , Velanga Carmen Tereza
Published: September 2020

O artigo faz uma reflexão sobre a criança indígena no contexto da educação infantil institucionalizada na escola. Busca-se conceituar o que é ser criança indígena; a seguir, uma breve análise do currículo voltado para a educação infantil e a diversidade, encaminhando, por fim, para as vinculações entre a cultura indígena e a escola na cidade de Porto Velho, estado de Rondônia, a forma como recebe e convive com as crianças indígenas oriundas das aldeias da região. Foram coletados depoimentos e entrevistas, além dos registros das próprias vivências dos autores. As reflexões apontam para a necessidade de pesquisas na área e deum currículo multi cultural para atender a diversidade e promover a aprendizagem a partir de conteúdos culturais significativos, bem como para a formação de professores que atendam a estas necessidades.
Conhecer para transformar: os índios do rio Uaupés (Alto Rio Negro) e a educação escolar
Authors: Lasmar Cristiane
Published: September 2020

O objetivo do artigo é analisar o relacionamento dos índios do rio Uaupés com a educação escolar, à luz do sistema conceitual do xamanismo e das teorias indígenas do conhecimento. A hipótese é que esse movimento coletivo em direção à escola mobiliza-se por uma expectativa de apropriação de capacidades vistas pelos índios como cruciais para o processo de reprodução social nos tempos atuais.
Oralidade e prática de ensino entre os professores hup’däh da região do Rio Negro
Authors: Athias Renato
Published: September 2020

A partir de observações realizadas durante o Curso de Magistério Indígena II (formação de professores Hup’däh, Yuhup e Diaw) modular, oferecido pela Secretaria de Educação do Município de São Gabriel da Cachoeira, durante os anos de 2005 a 2008, discutem-se questões centrais para a compreensão da prática de ensino em contextos interculturais. Questões como a língua, a identidade social do professor e a relação desses com a sua comunidade e ainda a representação da escola entre os Hup’däh. Este trabalho é resultado da investigação sobre a formação de docentes indígenas.
"Somos Índios Crentes" dialéticas do contato, alteridade e mediação cultural entre os Xokleng (Jê) de Santa Catarina
Authors: Wiik Flávio Braune
Published: September 2020

Na década de 1950, os Xokleng (Laklanõ), jê meridionais da Terra Indígena de Ibirama (SC) vivenciaram mais um episódio atrelado à sua História de Contato: a conversão em massa ao pentecostalismo. Entretanto, a incorpotação de elementos de um sistema religioso mundial deu lugar a uma versão autóctone do cristianismo a qual responde pela reordenação do universo conceitual e simbólico, das formas e práticas sociopolíticas assoladas pelo contato. As categorias nativas, "Índio Crente" e "Índio Xokleng Puro", são justapostas. Resultam de experiências de alteridade peculiares mediadas pela lógica dual, teorias de corporalidade e parentesco. Elas articulam movimentos concomitantes de replicação interna, de incorporação e recriação do "Outro" e de si mesmos. "Índio", "Crente" e "Branco", são categorias sociorrelacionais e históricas, fruto de processos diléticos estabelecidos entre aspectos sedimentados da cultura, agência e evento. São processos de mediação cultural através dos quais se pode observar ruptiruas e continuidades ao longo da história do grupo.
Desafios e tensões da proteção plural de indígenas/crianças
Authors: Beltrão Jane Felipe , Oliveira Assis da Costa
Published: September 2020

A categoria infância é marcador da concepção moderna de criança, apropriada pelos instrumentos jurídicos para definir o destinatário das normas, fato que repercute na possibilidade de se pensar o lugar dos indígenas/crianças nos novos direitos. Analisa-se a legislação internacional e a nacional pertinentes, nas quais há poucos recursos à garantia da diversidade cultural de crianças devido à universalização da infância ideal que produz a hegemonia de determinada construção social de infância. Propõem-se a re-signifi cação hermenêutico-normativa dos direitos das crianças observando os direitos coletivos de povos indígenas; a diversidade cultural da construção social do corpo, da pessoa e da infância; e a disputa política em torno de medidas legislativas e administrativas que visam incluir os indígenas/crianças nos direitos humanos.
Formas de identificação e autorrepresentação na escrita de professores indígenas
Authors: Scaramuzzi Igor
Published: September 2020

Nas últimas décadas, os cursos de formação de professores indígenas, conhecidos mais comumente como “Magistério Indígena”, desenvolvidos no âmbito das experiências de ensino formal que seguem os preceitos do modelo “específico e diferenciado”, tornaram-se importantes espaços de produção discursiva nas quais professores indígenas estão recriando através da escrita, especialmente na elaboraçãode material didático, as formas de identificação e autorrepresentação dos coletivos dos quais fazem parte. O presente artigo possui o objetivo de descrever e analisar em dez materiais didáticos que tratam da História Indígena, elaborados em cinco experiências de escolarização distintas, as categorias selecionadas para a autorrepresentaçãode coletivos indígenas, assim como as formas que essas categorias influenciam na produção e sistematização dos conhecimentos e narrativas presentes nos materiais didáticos.
Relato sobre o IV Seminário Povos Indígenas e Sustentabilidade
Authors: Nascimento Adir Casaro , Brand Antonio Jaco , Silveira Nádia Heusi , De Sousa Neimar Machado
Published: September 2020

A quarta edição do Seminário Povos Indígenas e Sustentabilidade foi promovida pelo Projeto Rede de Saberes – uma parceria entre a Universidade Católica Dom Bosco (UCDB),a Universidade Estadual de Mato Grosso do Sul (UEMS), a Universidade Federal da Grande Dourados (UFGD) e a Universidade Federal de Mato Grosso do Sul (UFMS), cuja agenda é voltada para ações de apoio aos acadêmicos indígenas – e pelo Núcleo de Estudos e Pesquisas das Populações Indígenas(NEPPI/UCDB). Essa edição do evento, cujo tema proposto foi“Saberes Tradicionais e Formação Acadêmica”, contou coma participação de estudantes, professores e pesquisadores de Mato Grosso do Sul, de outros estados brasileiros e de alguns países da América do Sul, como Colômbia, Peru e Paraguai.
A história da origem espiritual dos povos indígenas do Uaupés
Authors: Dutra Israel Fontes
Published: September 2020

Ao descrever a história de origem dos povos indígenas do Uaupés narrada pelo Tuyuka Avelino Dutra (2007)1, tivemos que omitir alguns termos utilizados em rituais de pajelança,devido a nossa falta de conhecimento mais aprofundado dessa linguagem que denominamos de “clássica”. Essa linguagem é constituída de palavras que não são do senso comum. Mesmo que façamos parte de um povo, existem linguagens, valores e costumes que apenas os mais velhos vivenciam.
Mães relutantes, avós maternais e pais esquecidos: o fazer e desfazer das relações de parentesco em Apiao, Chiloé
Authors: Bacchiddu Giovanna
Published: September 2020

Este artigo ilustra as experiências da maternidade e das relações familiares do povo de Apiao, no sul do Chile. O valor do conceito de maternidade é geralmente diminuído, assim como a noção de vínculo biológico entre mãe e filho. O foco materno passa da mulher que pariu a criança para a mulher que a cria, um papel frequentemente assumido pelas avós, quem geralmente são chamadasde ‘mães’. A relação familiar é encarada como um estado potencial, determinado não só pelos vínculos sanguíneos, mas por ações constantes de amor e carinho. A memória do carinho recebido perpetua as relações e determina os laços de parentesco, por outro lado, a falta de afeto e carinho pode invalidar esses laços. A paternidade depende exclusivamente do reconhecimento público por parte do homem.
Antonio Brand: uma vida dedicada aos povos indígenas
Authors: Ferreira Eva Maria Luiz , Nogueira José Francisco Sarmento , Skowronski Leandro , Colman Rosa S.
Published: September 2020

O professor Antonio Brand iniciou seu trabalho de indigenista em Mato Grosso do Sul, no final da década de 1970, junto aos Kaiowá e Guarani. Ele chegou ao Estado num momento em que famílias das aldeias Rancho Jacaré e Guaimbé (Município de Laguna Caarapã) estavam sendo despejadas e tendo suas casas queimadas de forma arbitrária e com extrema violência. Desde então, Antonio nunca mais se afastou da missão de apoiar esses povos. Na mesma década, fundou o Conselho Indigenista Missionário (CIMI) em Mato Grosso do Sul, e a sua atuação junto aos povos indígenas, por meio dessa instituição, foi fundamental para a recuperação de suas terras em meados de 1978. Quando era Secretário Nacional do CIMI,t eve uma participação de destaque na elaboração do texto da Constituinte de 1988, em que lutou para garantir os direitos indígenas no Brasil no momento em que a Carta Magna Brasileira estava deixando de fora os direitos desses povos.
UM OLHAR ETNOGRÁFICO SOBRE OS DISCURSOS ECUMÊNICOS RELACIONADOS A MISSÕES, DESENVOLVIMENTO E POVOS INDÍGENAS
Authors: Barroso Maria Macedo
Published: September 2020

O artigo aborda os debates dentro do campo ecumênico protestante relacionados à definicação dos povos indígenas como sujeitos de direito na cena política contemporânea, examinando esta temática em sua relação com o campo da cooperação para o desenvolvimento. O argumento é construído a partir da constatação do peso dos aotres religiosos no aparato da cooperação, buscando-se identificar os discursos que têm dado suporte tanto a ações no terreno da advocacy quanto a intervenções voltadas a projetos de desenvolvimento junto aos povos indígenas. Para isto, realiza uma etnografia da Pré-Assembléia Indígena conduzida na X Assembleia do Conselho Mundial de Igrejas na Coréia do Sul, em 2013.
Análise de elementos da etno-história Tapayuna (Kajkhwakratxi-jê)
Authors: Lima Daniela Batista de
Published: September 2020

Os Tapayuna (Kajkhwakratxi-jê) pertencem à família linguística Jê, inserida no tronco Macro-Jê. Habitavam a região do rio Arinos no noroeste mato-grossense e foram transferidos, na época do contato, em 1971, para o Parque Indígena do Xingu. Neste período sofreram uma drástica redução populacional, consequência do processo de etnocídio ao qual foram submetidos. A experiência e percepção desse processo são analisadas no presente artigo a partir dos relatos de duas senhoras tapayuna que sobreviveram aos episódios trágicos que marcaram a história de contato dos Tapayuna com os brancos. Palavras-chave: Tapayuna; etnocídio; contato com os brancos.