bluuebunny/crossref_metadata_2025 huggingface dataset:
PARTY COMPETITION AND EUROPEAN INTEGRATION: A COMPARISON OF WEST-EAST AND CANDIDATE COUNTRIES
Authors: BULUT Alper
Published: October 2019

How
does the domestic structure of party competition affect parties’ political
support for European integration? Is it possible to estimate a party’s position
about European integration by looking at its political stance in domestic
politics? Previous research has proved that the answer to the above questions
is “yes”. This article aims to explore whether these findings travel to the
candidate countries that are going to join the European family in a near
future. Our findings show that this model is applicable to candidate countries.
The results, on the other hand, suggest that the four candidate countries Serbia,
Bosnia Herzegovina, and Macedonia introduce similar patterns with East European
countries whereas Turkey is more similar to West Europe in terms of the
structure of party competition.
TÜRKİYE’DE E-FATURA BAŞVURU SÜRECİ VE KULLANIMI
Authors: KEFE İlker , KANARIĞ Zozan
Published: October 2019

Teknolojik
gelişme ve değişim, ticari faaliyetlerini sürdüren işletmelerin iş süreçlerini
daha hızlı, güvenli şekilde yürütmelerine katkı sağlamaktadır. Muhasebe
açısından ele alındığında ise elektronik uygulama ve işlemlerin sayısının artış
gösterdiği söylenebilir. Muhasebe süreci ve kayıtları günümüz iş dünyasında
bilgisayarlar aracılığı ile yürütülmektedir. Elektronik fatura (E-fatura) kullanımı
da bu gelişimin bir sonucu olmuştur. Tüm dünyada birçok ülke E-fatura
standartları oluşturmakta ve ülkelerinde faaliyet gösteren işletmeleri E-fatura
kullanımına teşvik etmektedir. Bu çalışmada; öncelikle E-fatura uygulamalarının
ortaya çıkış nedeni ve gösterdiği gelişimden bahsedilmektedir. Çalışmanın devam
eden bölümünde, Türkiye’de faaliyet gösteren işletmelerin E-fatura kullanımı
için izledikleri yol ve E-fatura kullanımını ne şekilde yaptıkları örnek olay
üzerinden açıklanmaktadır. Bu kapsamda çalışmada işletmeler tarafından
kullanılan E-fatura başvuru ve düzenleme süreci açıklanmakta olup, E-fatura
örneklerine yer verilmiştir.
Retinopathy of prematurity in India: incidence, risk factors, outcome and the applicability of current screening criteria
Authors: Patel Sujit S. , Shendurnikar Niranjan
Published: October 2019

Background: To study the incidence, risk factors and outcome of retinopathy of prematurity (ROP) in at-risk newborns at tertiary care hospital in Vadodara.Methods: Preterm infants with birth weight ≤2000 gm and gestation ≤34 weeks were screened for ROP at 4 weeks of birth for first screening or if <28 week or <1200 grams then at 3 weeks after delivery. Infants with birth weight >2000 gm and gestation >34 weeks were screened only if they had additional risk factors. Those found to have high risk ROP were treated.Results: The incidence of ROP in 286 infants who were screened was 24.1%, 12 ROP positive cases were having birth weight >2000 gm. On multivariate analysis risk factors predisposing to ROP (P<0.05) were birth asphyxia, Sepsis, multiple blood transfusion, respiratory distress syndrome, multiple birth, antenatal steroid use and Phototherapy. Out of 69 infants who developed ROP, 6(8.7%) needed invasive management.Conclusions: Risk factors predisposing to ROP were gestational age and birth weight alone and along with the various risk factors like birth asphyxia, sepsis, multiple blood transfusion, respiratory distress syndrome, multiple birth, antenatal steroid use and phototherapy. The occurrence of ROP is trending towards a rise including newborns with higher birth weight and gestational age in developing countries; hence necessitating to use different guideline for Screening of Newborns in these developing countries.
Anthropometric outcome of extremely low birth weight and very low birth weight newborn at 12 months of corrected age associated with prenatal risk factors
Authors: Karmakar Balai Ch. , Kalder Ramesh Ch.
Published: October 2019

Background: Advancement of skill, technology and perinatal medicine has led to improve survival of low birth weight babies during the last few decades but they have reported high incidence of growth failure during infancy and early childhood. The objective of the study was to find out the influence of perinatal risk factors on anthropometric outcome.Methods: A prospective cohort study conducted on 143 ELBW and VLBW babies admitted in Sick Newborn Care Unit (SNCU and PICU) of North Bengal Medical College and Hospital (NBMC), Darjeeling, West Bengal from 2016 to 2017 and discharged babies were followed up.Results: Total 143 neonates were studied at NBMC among male 82(57.3%) and female 61(42.7%), 95 were AGA and 48 were SGA babies. Significant positive correlations were found among birth weight, gestational age, perinatal infection (p<0.001). The mean weight for age (Mean±SD) was 7.615±1.1092 kg with median 7.8 kg. The mean length for age (Mean±SD) was 72.6±3.74 cm with median 73 cm. The mean head circumference for age (Mean±SD) was 42.5±2.12 cm median 43 cm. Adverse neonatal outcome associated with CRIB II score ≥10. Total CRIB II score with parameters of growth (<-2 Z score) like weight for age, length for age, weight for length and head circumference for age shows significant correlation (p<0.001).Conclusions: Perinatal risk factors are important determinant for future anthropometric outcome in very low and extremely low birth weight babies. They should be identified, and appropriate measures should be taken to achieve good outcome.
Determinants of severe acute malnutrition in children between six months to five year of age enrolled in nutritional rehabilitation centre at a tertiary care level
Authors: Pathak Gargi H. , Chauhan Anuya V. , Beniwal Sunita O.
Published: October 2019

Background: Indicators showing levels of nutritional status in children are often regarded as representative of the health and general well-being of a society at large. Malnutrition stands as a consequence of several key social and economic factors such as lack of education, inadequate health care services and ill-informed cultural behaviors.  In order to holistically address the issues surrounding malnutrition, a comprehensive understanding of the multi-dimensional complexities at play in society is crucial. Objective was to identify determinants of severe acute malnutrition among children with severe acute malnutrition under 5 years (between 6 months to 60 months) of age. Methods: A cross sectional study design involving 64 patients with severe acute malnutrition between 6 to 60 month of age was employed to identify the risk factors of severe acute malnutrition among children admitted in pediatric wards and nutritional rehabilitation centers, Civil hospital Ahmedabad, from April 2018 to march 2019. A detailed history of all the patients were taken and data collected using structured interviewer-administered questionnaire.Results: Thus, from the above study, it is clear  that age of the child <2 years, female gender, bigger family size, poverty, illiteracy in mother, poor feeding practices, improper complementary feed introduction, poor nutritional status of mother whose child were breastfed, acute or chronic illness in child and narrow birth spacing were the chief determinants of SAM in under five children.Conclusions: Socio demographic characters, nutrition and child caring practices, infection and other childhood illness as well as obstetric history of mother are important determinants of severe acute malnutrition in children under five years of age. As a result, collaborative efforts should be organized to improve promotion of better child caring practices through appropriate age specific child and maternal feeding practices, prevention and early treatment of acute childhood illnesses and promotion of family planning.
Referral profile of child guidance clinic of a tertiary care hospital in central Maharashtra: a retrospective observational study
Authors: Mundada Smita M. , Pawar Shilpa Y. , Suryavanshi Amol R. , Khaire Prabha , Prasad Prajit
Published: October 2019

Background: Developmental disabilities occur in approximately 5-10% of the childhood population. The paucity of data regarding the burden and risk factors slows down the programs and policymaking actions for these highly prevalent conditions in developing countries.Methods: A retrospective review of records of 264 children below 12 years referred to CGC of a Tertiary Care Hospital from November 2016 to December 2018 was done. Data was analysed using SPSS software and is described in terms of frequency and mean.    Results: 264 new cases that were referred to the CGC were enrolled. The mean age of referral was 2.54 yrs. (±1.00) with M: F ratio being 1.4:1. In religion, Hindu predominance (56.4%) was found.76.5% hailed from urban area. 39% of all cases showed Consanguinity.37% belonged to Class IV(Upper Lower) and 89% had chronic malnutrition. 46.2% of cases had NICU stay of which perinatal asphyxia(PA) was found in 40%.Majority of children (45.7%) had Global developmental delay (GDD)/Mental Retardation (MR), 37.7% had various forms of CP, Attention Deficit Hyperactivity Disorder(ADHD) was seen in 13%, 3.4% had Autism, 4.5% had specific language disorder, Learning disability  was seen in 2.7% and only 2.7% had Isolated motor delay.Conclusions: Early Intervention services for children lag behind in developing countries and the proportion of children referred to CGC with severe disabling conditions is high. This study provides baseline data for further planning of services and interventions for these children in Maharashtra.
Study on acute encephalitis syndrome in children and their correlation with clinical parameters and etiological factors
Authors: Reddy Maram Nagarjuna , Belavadi Gangadhar , Priyanka Vaka Hari
Published: October 2019

Background: Acute encephalitis is the clinical diagnosis of children with acute onset of symptoms and signs of inflammatory lesions in the brain. It must be diagnosed promptly for saving life and preserving brain functions.Authors objectives was to determine the profile and outcome of children admitted with Acute Encephalitis Syndrome (AES) and to identify etiological factors.Methods: Study consist of a retrospective analysis of hospital records of children up to 15 years of age admitted with a diagnosis of AES in the pediatric ward, Narayana medical college, Nellore from January 2018 to June 2019.Results: In a total of 30 patients of AES, clinical features like fever (100%), altered sensorium (100%), convulsion (40%), headache (45%) and neuro deficit (40%) and vomiting (50%). The average Glasgow coma scale at admission was 8. There are 55% of cases in the 5 to15 yr age group (p>0.05). Both Encephalitis (56.6%) and meningitis (43.3%) were documented significantly more in males as compared to females (p<0.01). Twenty-one cases are discharged, eight expired, and 1 case was referred (p<0.001). JE IgM positive cases contributed to 36.6%, of which eight males and three females recorded between 5-15 years. Male children are more likely to play outdoors where the mosquito vector of the disease is abundant.Conclusions: JE has significant morbidity and mortality, can be prevented by immunization, and reduced if supportive interventions are provided in time. Preventive measures must be taken for 5-15 years of age group those playing outdoors, going to school or agriculture fields predisposing them to vector mosquito bite.
Pattern of clinical manifestation and antibiotics sensitivity of Burkholderia Cepacia sepsis in Neonatal Intensive Care Unit of tertiary care centre of North India
Authors: Bansal Sharad , Sharma Rambabu , Jangir Narendra
Published: October 2019

Background: Neonatal sepsis is a major cause of morbidity and mortality worldwide. Now a days, neonatal sepsis due to Burkholderia cepacia is on rise. This study was conducted to delineate clinical presentation and antibiotic sensitivity pattern from blood culture proven Burkholderia sepsis. Methods: In this retrospective analytical study, thirty-six neonates admitted to Neonatal Intensive Care Unit of a tertiary care hospital with blood culture proven Burkholderia sepsis were included. Clinical manifestation, laboratory findings and antibiotic sensitivity patterns of blood culture proven Burkholderia sepsis were analyzed.Results: : All neonates were inborn and were admitted within 24 hours of birth. Difficulty in breathing was most common presenting symptom and seizure was second in number. There was no association with mode of delivery. Male to female ratio is 1.4:1. Progressive thrombocytopenia was the most consistent feature and in 6 patients also associated with anaemia. Average hospital stay was increased and more in preterm neonates. In this setup piperacillin + tazobactem was found to be most sensitive against Burkholderia cepacia and cotrimoxazole was 2nd in sensitivity.Conclusions: Proper and timely identification of Non Fermentative Gram Negative Bacilli (NFGNB) other than Pseudomonas can help confine morbidity due to such infections. High degree of suspicion helps in early recognition. Efficient housekeeping is necessary to prevent nosocomial infections due to these pathogens.
Sirenomelia, the Mermaid syndrome: a case report
Authors: Korday Charusheela , Bhaisara Baraturam , Jadhav Rupali , Rathi Suraj , Shaikh Ubaidulla , Rao Avinash
Published: October 2019

Sirenomelia, also known as mermaid syndrome, is a rare congenital anomaly characterized by a single lower extremity which is associated with abnormalities in other organ systems, commonly affecting the gastrointestinal and the urogenital systems. It is sporadic with no increased risk in subsequent pregnancies. In almost all the cases of sirenomelia, a single umbilical artery (SUA) is present which arises from the abdominal aorta. The exact etiology of sirenomelia is unknown. Sirenomelia can be confidently diagnosed in the 1st trimester while the diagnosis in the 2nd and 3rd trimesters is difficult due to the lack of amniotic fluid in the later gestation. Antenatal diagnosis of this universally lethal condition is desirable so that possible termination of pregnancy can be offered at the earliest.
A rare form of domestic accident: blast abdominal injury with evisceration of abdominal viscus
Authors: Basak Aniruddha , Ghosh Arindam , Mishra Prafulla Kumar
Published: October 2019

Evisceration of abdominal viscus following “Flowerpot firecracker” (tubri) blast injury to the abdomen is a rare but dangerous form of domestic accident. Lack of knowledge and non-compliance of safety measures is the major reason for firecracker eventualities. A 10-year male child presented three hours post-injury with a wound over the upper abdomen. On examination there was evisceration of part of stomach along with colon through supraumbilical abdominal wound. Resuscitation and repair following exploratory laparotomy performed. Patient recovered well postoperatively. Public awareness and safety measures need to be taken to prevent the fatal outcomes of firecracker misuse.
Newborn with multiple congenital anomalies in newborn, intensive care unit suggestive of joubert syndrome and related disorder with an atypical presentation
Authors: Goyal Garima , Arya Ajay
Published: October 2019

Joubert syndrome (JS) is a rare autosomal recessive disorder with key finding of cerebellar vermis hypoplasia with a complex brainstem malformation that comprises the molar tooth sign on axial magnetic resonance images. This syndrome is difficult to diagnose clinically because of its variable phenotype. Molar tooth sign is not specific for JS. Another entity is termed as Joubert syndrome and related disorders (JSRD). Although the molar tooth sign and other important clinical features of the JS may be seen in these syndromes, they usually have supplementary prominent features. Author present a case of Joubert syndrome and related disorder in a term newborn delivered in the hospital of Government Medical College, Haldwani with multiple congenital anomalies. Macrocephaly, facial dysmorphism, polydactyly left hand and bilateral ballotable lumbar lump (multicystic dysplastic kidney). MRI showed molar tooth configuration of superior cerebellar peduncles, dilatation of lateral and third ventricles with aqueductal stenosis with arachnoid cyst (unusual association).
Congenital tuberculosis: a review article
Authors: Kumari Nisha , Khatri Anuj
Published: October 2019

TB remains a leading cause of morbidity and mortality in developing countries. The incidence of congenital TB is underestimated. Current recommendations regarding the management of neonates of mothers with tuberculosis are variable and no tangible guidelines have been advised. Congenital TB is fatal if untreated, moreover the mortality and morbidity is increased if the diagnosis and treatment is delayed. Therefore, the treating clinician should be aware of the unusual presentation of congenital TB. A high suspicion and good screening of mothers and neonates is of paramount importance. Congenital tuberculosis is diagnosed by Cantwell criteria. Isoniazid prophylaxis for 6 months is recommended in neonates born to mothers with TB who are infectious. Breastfeeding should be continued, and isolation is recommended only in certain circumstances such as mother is infectious, has multidrug resistant tuberculosis or non-adherent to treatment. BCG vaccine is recommended in all neonates however, the timing of administration varies according to various guidelines. Neonate diagnosed with congenital TB should be treated with anti-tubercular drug regimen.
Complications of fractional ablative carbon dioxide laser in various aesthetic procedures: a retrospective study
Authors: Kaur Jasleen , Sharma Saurabh , Kaur Tanreet , Bassi Roopam
Published: October 2019

Background: Though fractionated CO2 laser technology resurface patients with a lower rate of complications than non-fractionated ablative laser treatment, adverse effects can still occur even with the best technology.

Methods: In this retrospective study we evaluated 65 patients for early and delayed complications after laser treatment with Sellas Cis-Fl™ fractional CO2 laser system of wavelength 106400 nm for various aesthetic indications over the period of 12 months from October 2017 to September 2018. Follow up was done for the period of 2 months after the last session to determine the nature and frequency of various complications. Patient’s subjective assessment of the complications was recorded in the form of patient subjective score (PSS) which ranged from 1 to 10.

Results: In the current study, the most common aesthetic indication for fractional CO2 laser was post acne scarring (38.4%). The most common early side effects reported were erythema (95.38%) and burning sensation (92.30%) after the procedure. Post procedural dryness and edema was seen in 72.3% and 69.23% patients. Among the delayed complications most frequently observed was persistent erythema (46.15%) followed by post inflammatory hyperpigmentation (44.61%).

Conclusions: Though fractional CO2 laser is relatively a safe procedure, undesirable sequelae may still occur as a result of inappropriate selection of laser parameter, injudicious patient selection, inadequate preoperative counselling and suboptimal postoperative care. Dermatologist should keep the possibility of all the side effects that can occur after fractional CO2 laser and must take appropriate precautions during the procedure to avoid them.
A prospective study on the prevalence of neurally mediated hypotension in systemic lupus erythematosus
Authors: Kannan Rajkumar , Vijayananth Jayakalyani , Venu Sridhar , Chandrasekar Muthusubramanian
Published: October 2019

Background: Systemic lupus erythematosus (SLE) is a chronic autoimmune inflammatory disease which affects skin and organ systems. Cardiovascular manifestations are one of the important cause for mortality and morbidity in SLE. Neurally mediated hypotension (NMH) caused by autonomic neuropathy is found to be associated with fibromyalgia responsible for chronic fatigue syndrome in SLE. Our study aims to find the prevalence of NMH in SLE.

Methods: This is a prospective study conducted in the Department of Dermatology, Chengalpattu Medical College from May 2017 to December 2018. All SLE patients who attended the Dermatology OPD were included in the study. The diagnosis of SLE was made based on the ARA criteria. After obtaining informed consent, baseline blood pressure of all patients included in the study were recorded. In patients with low blood pressure other causes of hypotension were ruled out. Patients with no discernible cause of hypotension were subjected to the two stage tilt table test. A drop in systolic BP of >20 mm of Hg or diastolic BP of >10 mm of Hg is considered to be positive.

Results: A total of 20 patients were included in the study, of which 19 were female and one male. The mean age was 31.7 years. 70% of the SLE patients included in our study were found to have NMH.

Conclusions: Neurally Mediated Hypotension was found to be highly prevalent in SLE.
A prospective study of pattern of keloid and number of intralesional triamcinolone acetonide injections in a community based dermatology clinic in Lagos, Nigeria
Authors: Anaba Ehiaghe L. , Akwara Irene , Johnson Omobolanle
Published: October 2019

Background: Keloid a benign tumor of the skin is said to be common in Africans, Hispanics and Asians. Triamcinolone acetonide is a known treatment for keloid and patients come to the clinic asking how many times they need to come in for treatment. The number of times patients need to be injected is not clearly documented. The aim of this study was to document the socio-demographic factors, symptoms, clinical characteristics and determine how many times patients need to be injected with triamcinolone acetonide.

Methods: This was a prospective descriptive study over a one year period in the outpatient Dermatology clinic of the General Hospital Lagos. Eighty six (86) patients were studied. Patients were clinically evaluated for keloid, a structured questionnaire for socio-demographic variables was administered to the patients. Patients were treated mainly with intralesional triamcinolone (40 mg/ml) every six weeks. Data was analyzed using the Epi-info 7.

Results: There were 47 men and 39 women. The mean age of the patients was 33.18±13.37 years. Keloid was found to occur mainly in people aged 20-29 years (45.88%). The commonest anatomical location was the head and neck (45.88%) with multiple keloids in 44.70%. Patients were injected on the average 4 times irrespective of the length of keloid.

Conclusions: Keloids are common, occur mostly in the third decade of life and require 3-5 injections of triamcinolone acetonide.
Palmoplantar psoriasis: a comparative therapeutic study
Authors: Rajendran Sathya Narayanan , Gurusamy Sukanya Mathupal
Published: October 2019

Background: Psoriasis is an immunologically mediated inflammatory dermatosis presenting with extremely variable clinical manifestations ranging from indolent lesions to life threatening forms of pustular and erythrodermic psoriasis. Palmoplantar psoriasis present as hyperkeratotic scaly plaques with fissures and can be managed with different treatment forms. This study was done to compare the efficacy between topical and systemic treatment options.

Methods: The study was conducted in a tertiary level teaching hospital after ethical committee clearance. Fifty patients with palmoplantar psoriasis were allocated into the two groups using simple random sampling. PPPASI scoring was calculated to assess the extent of involvement. Patients in Group A were prescribed calcipotriol with clobetasol propionate ointment. Group B patients were given tablet methotrexate.

Results: Twenty eight patients were males M: F of 1.27: 1. Mean age was 36. Mean duration of illness was eleven months. Most of these patients were manual laborers. 32 patients had lesions over both palms and soles, 9 over palms alone and 9 involving soles alone. Mean PASI reduction at 16 weeks was seen maximum with methotrexate. Compliance was comparatively good with methotrexate than topical. Though mean PASI reduction and compliance was good, relapse rates were higher with methotrexate in our study.

Conclusions: There was no significant change in clinico-epidemiology and presentation of palmoplantar psoriasis. Methotrexate was observed to be the more efficacious modality in treating palmoplantar psoriasis.
Efficacy and tolerability of Arnophyte cream for herpes infection, in subjects with early signs and symptoms of recurrent HSV-2
Authors: Salkar Kavita S. , Chotalia Chetna S. , Salvi Rajiv Y. , Mehta Nimesh D. , Tripathi Anirudh T.
Published: October 2019

Background: Arnophyte® cream developed from Ficus arnottiana plant extract showed strong potential as an Anti-viral agent. The objective of the study was to evaluate the efficacy and tolerability of Arnophyte® cream in subjects with early signs and symptoms of recurrent HSV-2.

Methods: The treatment was given for a period of 14 days. The study outcomes measured were assessment of reduction in pain using the visual analogue score (VAS), the changes in the quality of life index for recurrent genital herpes (GHQoLr); physician’s and patient’s global assessment of the therapy, signs and symptoms associated with HSV-2 and healing of the target lesion on baseline, day 2, day 4, day 7 and day 15.

Results: Arnophyte® cream showed significant reduction in the signs and symptoms of herpes infection. The cream was well tolerated with no serious adverse events observed.

Conclusions: Arnophyte® cream can be considered as a possible therapeutic option for the treatment of recurrent herpes infections in both HSV-1 and HSV-2.
Role of different topical modalities in improvement of facial hyperpigmentation and skin rejuvenation
Authors: Kumar Kunwar Manoj , Pandey Amit Kumar , Mohan Aayushi , Ojha Surya Kant
Published: October 2019

Background: Facial hypermelanosis is a psychologically stressful condition for modern men and women who are cosmetically more conscious than their ancestors. There are various lightening agent used for several months before effect becomes apparent and are much more effective when pigment is epidermal. these topical agents include hydroquinone, liquorice derivatives niacinamide, glycolic acid, arbutin and deoxyarbutin, ascorbic acid, 4-n-butyl resorcinol, retinoids topical steroids mequinol, kojic acid, azelaic acid, 5% tranexmic acid, glutathione cream etc.

Methods: A randomized, controlled study was done. 220 patients were given either treatment will be given depending upon the physician choice after taking well informed consent from the patient. Patients' assessment regarding the degree of improvement of complexion since the beginning of therapy was evaluated.

Results: The percentage satisfactory response for different modalities was as follow kojic acid 2% cream- 55.55%, 20% azelaic acid cream- 53.12%, 4-n-butyl resorcinol 0.3% cream- 57.89%, 5% tranexmic acid lotion- 48.83% and glutathione cream- 55.76%.

Conclusions: Out 220 patients post inflammatory hyperpigmentation was the most common facial condition. Total 61 patients of PIH were there in the present study including 26 males and 35 females followed by melasma. All The modalities were effective in the treatment of different types- pigmentary conditions. 
Bilaterally occurring lipogranuloma affecting the periorbital regions
Authors: Thomas Vipul Paul , S. Sivaramakrishnan , Thomas Jayakar
Published: October 2019

Lipogranulomas are the result of an uncommon inflammatory reaction occurring in the dermis due to exogenous or endogenous lipids. Lipogranulomas present as asymptomatic swellings usually at the site of trauma or medical intervention. 
HEMŞİRELERDE İŞ DOYUMU, MESLEKİ TÜKENMİŞLİK VE YAŞAM KALİTESİ ARASINDAKİ İLİŞKİLER
Authors: Çelik Yasemin , Kılıç İbrahim
Published: October 2019

AMAÇ: Bu araştırmada, hemşirelerin iş doyumu, mesleki tükenmişlik düzeyleri ve yaşam kalitelerinin belirlenerek, aralarındaki ilişkinin değerlendirilmesi amaçlanmıştır.GEREÇ VE YÖNTEM: Bu çalışmanın evreni Afyon Kocatepe Üniversitesi Araştırma ve Uygulama Hastanesi’nde görev yapan hemşirelerden oluşmakta olup, dört bölümden oluşan anket, örneklem grubunu oluşturan 171 hemşireye uygulanmıştır. Ölçeklerde Minnesota İş Doyum ölçeği, Maslach Tükenmişlik Ölçeği ve Dünya Sağlık Örgütü Yaşam Kalitesi Ölçeği- Kısa Formu (WHOQOL-BREF) yer almaktadır. Verilerin analizinde betimsel istatistiklerin yanı sıra parametrik testler (bağımsız örneklemler için t testi, tek faktörlü varyans analizi) ve Pearson Korelasyon analizi kullanılmıştır.BULGULAR: Hemşirelerin genel iş doyum düzeyi ortalaması x=3.15 olup, mesleki tükenmişlik düzeyleri ortalaması x=2.60 ve yaşam kalitesi ortalaması ise x=3.47 olarak hesaplanmıştır. Ayrıca, hemşirelerin genel iş doyumu ve mesleki tükenmişlik düzeyi; medeni durum, yaş, çalışma süresi, çalışma şekli ve çalışılan yere göre anlamlı farklılıklar göstermiştir.SONUÇ: Yapılan çalışmada, iş doyumu arttıkça mesleki tükenmişliğin düştüğü, iş doyumu arttıkça yaşam kalitesinin arttığı ve mesleki tükenmişlik arttıkça yaşam kalitesinin azaldığı sonucuna ulaşılmıştır.
5. SINIF TIP FAKÜLTESİ ÖĞRENCİLERİNDE RADYASYON FARKINDALIĞI
Authors: Gündoğdu Elif , Kebapçı Mahmut
Published: October 2019

AMAÇ: Bu çalışmada, yakın geleceğin hekim adayları olan 5. sınıf tıp fakültesi öğrencilerinde radyasyon farkındalığını değerlendirmek ve bu konuya ilgi çekmek amaçlandı.GEREÇ VE YÖNTEM: Eskişehir Osmangazi Üniversitesi Tıp Fakültesi 5. sınıf 50 öğrenciye radyasyon kaynakları, radyolojik tetkikler, radyasyondan korunma ile ilgili toplam 10 çoktan seçmeli sorudan oluşan anket gözlem altında uygulandı. Anketten elde edilen sonuçlar doğru ve yanlış cevapların dağılımı şeklinde değerlendirildi.BULGULAR: Çalışmaya 23 kadın (22-24 yaş, ortalama yaş 23.08), 27 erkek (22-30 yaş, ortalama yaş 23.11) toplam 50 öğrenci katıldı. Katılımcıların tüm sorulara verdikleri doğru cevap oranı % 70.4, yanlış cevap oranı % 29.6 idi. En yüksek oranda doğru cevap verilen soru gama ışınlarının iyonlaştırıcı radyasyon kaynağı olduğudur. En fazla yanlış cevap verilen soru ise gelişmiş ülkelerde maruz kalınan iyonizan radyasyonun en büyük kaynağının doğal radyasyon olduğudur.SONUÇ: Radyasyon kaynakları, biyolojik etkileri, radyasyondan korunma yöntemleri ve radyolojik algoritma tıp fakültesi eğitiminde daha fazla önem verilmesi gereken konulardır.
THE RELATIONSHIP BETWEEN THE MORPHOMETRIC PARAMETERS OF SCAPULA AND SUPRASPINATUS TENDONITIS
Authors: Gönen Aydın Canan
Published: October 2019

OBJECTIVE: Tendonitis is one of the most frequent
shoulder lesions. The aim of this study is to evaluate the correlation of the
radiological parameters including critical shoulder angle (CSA), glenoid
inclination (GI) and  acromion index  (AI) with supraspinatus tendonitis.MATERIALS AND METHODS
: Seventy-four  patients [47 men, 27 women, mean age 29±5.2
(range 18-40)] were included in the study. Two groups were formed as Group I
(n=33) and Group II (n=41) according to supraspinatus tendon intensity revealed
by shoulder magnetic resonance images. Critical shoulder angle, glenoid
inclination and  acromion index
parameters were measured on shoulder radiographs obtained in neutral position.
The relationship of the radiologic parameters and the presence of supraspinatus
tendonitis was evaluated.  RESULTS: The mean CSA was  37.9°, the mean GI was 17.2°, and the mean AI
was 0.8 in Group I. The mean CSA was 38.3°, the mean GI was 17.1°, and the mean
AI was 0.8 in Group II. No statistically significant difference was found between
the groups. The CSA values of the women were statistically significantly higher
than that of the men (p=0.04).

CONCLUSIONS: Higher CSA values are found to be
associated with the risk of rotator cuff tear and lower CSA values with
osteoarthritis. Higher angles are associated with increased risk of supraspinatus
tendonitis tear. Supraspinatus tendonitis is not associated with the
morphometric parameters including CSA, AI and GI. New morphometric parameters
should be identified and their relation with supraspinatus tendonitis should be
investigated for early diagnosis.
OBEZ HASTADA ANESTEZİ KABAKULAĞI; OLGU SUNUMU
Authors: Doğan Bakı Elif , Okursoy Özge , Özkul Serdar , Gül Sıvacı Remziye
Published: October 2019

Anestezi kabakulağı, sekonder parotit ya da postoperatif parotit, genel anesteziden sonra tükrük bezlerinin şişmesi ile karakterize nadir görülen bir durumdur. Postoperatif parotit benign ve genelde noninfeksiyöz bir durumdur ve cerrahiden dakikalar sonrası ortaya çıkabildiği gibi günler sonrada görülebilir. Kesin mekanizma bilinmemekle birlikte, ağız içinde basınç artışı, kas gevşetici kullanımına bağlı Stensen kanalı orifisinin kas tonusunun kaybı, tükürük bezi kanallarının tıkanmasına sebep olan sekresyon birikmesi, dehidratasyon, cerrahi sırasındaki hasta pozisyonu gibi nedenlere bağlı oluşabilir. Çoğunlukla semptomatik tedaviyle kendiliğinden iyileşir. Biz üretreskopi (URS) ameliyatı olan 57 yaşındaki obez bayanda ameliyattan 8 saat sonra gelişen akut iki taraflı parotit olgusunu literatür eşliğinde sunduk.
Perfil da formação complementar do curso Conservação e Restauração (UFPel)
Authors: Augustin Raquel França Garcia , Fernandes Ana Carolina , Teixeira Clara Ribeiro do Vale
Published: October 2019

Em 2018 a graduação em Conservação e Restauração de Bens Culturais Móveis completou uma década de instaurada na Universidade Federal de Pelotas. A partir disso, buscou-se elencar os projetos desenvolvidos no âmbito do curso nas vertentes ensino, pesquisa e extensão por meio de consulta aos portais da universidade e aos cadastros na Plataforma Lattes. Tendo tais dados como base elencou-se uma análise quanto à proporcionalidade dos projetos nas três vertentes supracitadas, seu tempo de duração e categoria temática. Assim, foi possível obter um perfil do curso de graduação na instância de formação complementar durante a sua primeira década de atuação na universidade mencionada.
Ônus municipal, bônus federal: a crise das finanças públicas, cultura e direito da assistência social em Porto Alegre/RS
Authors: De Lima Mario Jaime Gomes
Published: October 2019

A Assistência Social é um direito, mesmo que  ainda mantenha um constante conflito com uma cultura conservadora, que a enxerga como um instrumento clientelista e assistencialista, de dever do Estado. Logo, a Assistência Social tornou-se um direito da sociedade brasileira, a partir da Constituição Federal de 1988. Está estruturada pelo Sistema Único de Assistência Social, que possui uma gestão com participação social e um Fundo Nacional de Assistência Social, que de forma transversal realiza a implementação e execução dessas políticas entre a União, os Estados e os Municípios. As capitais brasileiras são os municípios que recebem valores insuficientes da União para a execução da Assistência Social. No caso de Porto Alegre, capital do Estado do Rio Grande do Sul, 94,91% destas políticas são financiadas com recursos livres do Tesouro Municipal. Atualmente, Porto Alegre passa por sucessivos déficits no Tesouro Municipal, o que traz dificuldades no financiamento dos bens e serviços públicos, especialmente da Assistência Social, que tem um comportamento crescente tanto nos atendimento de beneficiários, quanto nos recursos dispendidos para seu financiamento. O objetivo do artigo foi observar a relação do financiamento da Assistência Social com a crise das finanças públicas municipais de Porto Alegre, onde surgiram elementos suficientes para observar que a Assistência Social é um direito à sociedade brasileira, mediante um bônus para União e um ônus para os Municípios, diante da restrição orçamentária das finanças públicas destes últimos, especialmente, em Porto Alegre. Isso exigirá a melhoria na qualidade e na eficiência dos limitados recursos livres do Tesouro Municipal.
Vida líquida, teatro y narración en las propuestas escénicas de Mariano Pensotti
Authors: Pontoriero Andrea
Published: October 2019

Zygmunt Bauman define la sociedad “moderna líquida” como aquella en que“las condiciones de actuación de sus miembros cambian antes de que las formas de actuarse consoliden en unos hábitos […] La vida líquida, como la sociedad moderna líquida, nopuede mantener su forma ni su rumbo” (Bauman: 9) En este ensayo trabajaremos sobrela puesta en escena de El pasado es un animal grotesco de Mariano Pensotti, estrenada enel Teatro Sarmiento en febrero de 2010. El interés de esta obra radica en la intencionalidad del dramaturgo director de construir una meganarración “a la manera de las “novelasmundo” o los desmesurados relatos del siglo XIX, donde una ficción desatada es contenidapor un marco histórico y temporal preciso” pero utilizando recursos escénicos mínimos:“la obra es actuada por sólo cuatro actores. Encerrados en un disco giratorio que se muevepermanentemente ellos solos emprenden la heroica tarea de narrar y representar esa multiplicidad de historias, dando vida a docenas de personajes y situaciones” (Pensotti, 2011).El trabajo intentará realizar un cruce entre las diversas interacciones, dispositivos escénicosque se conjugan para armar una propuesta que intenta trabajar el concepto de narraciónen un espectáculo teatral realizando cruces entre la realidad, lo cotidiano, el contexto histórico reciente, todo en un constante discurrir del eje temporal en el que el presente se diluye,se escapa se vuelve líquido, imposible de ordenar y clasificar en una estructura rígida.
Gestión cultural 3.0
Authors: Barenboim Leila
Published: October 2019

La tecnología es hoy un elemento transformador que promueve nuevos modos de lenguaje y de percepción. Mirando el actual ecosistema cultural, la gestión cultural ingresó en otra dimensión. El nuevo modo de producir, ineludiblemente inscripto a un nuevo modo de comunicar, y por ende vinculado a la innovación, invita al mundo cultural a estar atento en estos nuevos comportamientos y en plantear los nuevos modos de gestionar.Instalados en el “rediseño” y considerando los desafíos del espacio cultural, se indagará en las herramientas que corresponde asumir para estos retos, tales como trazar los usos de la tecnología dentro del espacio cultural, como la coexistencia del gestor en el mundo tanto real como virtual y por el cual le permite potenciar su actuación.
La resignificación del término “producto” en el ámbito cultural
Authors: Lázaro Yoska
Published: October 2019

El concepto de producto parece tener un significado negativo cuando entra enel mundo del arte. Éste prejuicio históricamente ha generado polémica entre artistas, repercutiendo negativamente al desarrollo y permanencia de los propios realizadores. Loeconómico con lo artístico no sólo no es incompatible sino que es necesario. Ésta escisióndebilita al propio arte. La concientización de éste hecho genera para el artista un cambio depanorama y de posibilidades. Éste cambio de paradigma supondría la apertura y profundización del campo artístico y, en consecuencia, una notable elevación de calidad del mismo.
Control de Micro-Redes de Energía Renovable a través de estructuras LFCS Reconfigurables en VHDL
Authors: Sandoval-Ruiz Cecilia E
Published: October 2019

Esta investigación presenta el diseño de un control basado en arquitectura LFCS (Linear Feedback Concurrent Structure), sobre hardware configurable en VHDL, para soluciones en el área de ingeniería sostenible. El modelo cuenta con la capacidad de ajustar sus parámetros de control de acuerdo a las condiciones dinámicas de un sistema reconfigurable de conversión de energía renovable. El método de diseño consiste en el modelado para hardware del elemento de procesamiento LFCS, obteniendo como resultado las ecuaciones descriptivas del modelo de control reconfigurable. Lo que permite concluir que este nuevo modelo de control presta grandes ventajas en control avanzado, integrando las bondades de las nuevas tecnologías. Uno de los aspectos de interés es que este modelo de control está diseñado en correspondencia para el control eficiente de sistemas de conversión de energía reconfigurables, con el propósito de promover el diseño sostenible de producción de energía alternativa, con responsabilidad ambiental y esquemas con capacidad de adaptación que superan la obsolescencia programada, siendo más ecológicos y con alta capacidad de cómputo.
FUNCTIONAL MODEL OF ORGANIZATION OF REMOTE CARDIOLOGICAL REHABILITATION ON THE BASIS OF INTERNET- AND MOBILE TECHNOLOGIES
Authors: Kotel’Nikova Elena V. , Posnenkova O. M.
Published: October 2019

The development and introduction of modern technologies of cardiac rehabilitation (CR) and secondary prevention, implementing the principles of patient-orientation, suggest a certain organizational transformation, the purpose of which is to increase the role of the patient. Modern communications linking different levels of rehabilitation observation (early inpatient, specialized inpatient, outpatient) increase the availability of specialized observation as a whole. Objective study: to develop a functional model of the organization of an outpatient hospital using electronic and mobile health care tools. Material and methods. The design used the PDCA methodology (Deming cycle) with the implementation of a step-by-step algorithm for doctor-patient interactions: «Plan - Do - Chec - Akt». The conceptual model is built on the principles of the patient’s “managed self-help”. The main elements of the functional model are: office computerized counseling, remote monitoring based on home registration devices with the function of feedback and decision-making of the doctor and patient in the system of remote cardiac rehabilitation (DKR). Results. The step-by-step PDCA algorithm is implemented as a block (modular) type of grouping of elements. The modular structure of the DKR organization is presented with a description of the functionality, execution tools and results of the model stages. Discussion. In the described model, the DKR organization attempted to combine 1) traditional CR methods with proven safety and efficiency; 2) principles of organization of patient-oriented care; 3) the methodology for continuous quality improvement of PDCA; 4) remote patient monitoring technology. Conclusion. The results of the presented development were correlated with the capabilities of modern information and communication technologies and evidence-based knowledge in the field of the Kyrgyz Republic and are proposed as a potential method of overcoming organizational barriers and the development of modern methods of providing rehabilitation assistance.
COMPLEX ASSESSMENT OF SANITARY AND HYGIENIC WELFARE IN EDUCATIONAL ORGANIZATIONS WITH A HEALTH SAVING POSITION
Authors: Novichkova Nadezhda I. , Ershova T. N. , Sobolevskaya O. V. , Kutakova N. S.
Published: October 2019

Introduction. The deterioration in the health of children and adolescents in the dynamics of education in general education organizations dictates the need to minimize the risk factors for the development of school-related diseases based on the development of a methodology for calculating the level of hygienic well-being of these organizations, taking into account existing health care opportunities (preserving and improving the health of students). The purpose of the study is to develop a comprehensive indicator for assessing the sanitary and hygienic well-being of educational institutions from the standpoint of health and safety. Material and methods. The methodology for the integrated assessment of the educational environment includes: a) defining a list of the most significant hygienic indicators from the standpoint of health preservation; b) an assessment of the weight of each of them; c) the development of a comprehensive indicator of sanitary and epidemiological well-being, combining individual indicators into one with its translation into a qualitative assessment. Results. Based on the materials of the research, a rationale for a comprehensive assessment of sanitary and hygienic well-being in educational organizations from the standpoint of health care has been proposed, that is, a technique is proposed, the use of which will help determine the full use of opportunities for maintaining and improving health in an educational organization. Discussion. Developed as a result of the conducted research, the algorithm for constructing a comprehensive indicator for assessing sanitary and hygienic well-being allows objectively characterizing the conditions and modes of education in educational institutions from the standpoint of health and safety, determining the risk factors of the educational environment and predicting the likelihood of school-related diseases. The construction of a complex indicator is proposed to be used as an additional assessment of the educational organization’s capacity to preserve the health of students in the dynamics of learning. Conclusion. The proposed model of an integrated assessment of the educational environment, which is based on quantitative (scoring) and qualitative assessments, identifying the resources for maintaining and promoting health in general education organizations, determines: risk factors of the educational environment; definition and prediction of the probability of changes in the students’ health status (positive and negative); justification of the system of management decisions to minimize risk factors and prevent violations in students’ health.
NATURAL REPRODUCTION OF THE POPULATION SIBERIAN FEDERAL DISTRICT AT THE BEGINNING OF THE SECOND WAVE OF DEPOPULATION (PECULIARITIES AND PREDICTION)
Authors: Filimonov S. N. , Baran Olga I. , Ryabov V. A.
Published: October 2019

Since 2017, a new stage of depopulation has begun in Russia related to a reduction in the birth rate. The consequences of the “demographic gap” of the 1990s have reached the present time and there has been a sharp decrease in the number of women of active reproductive age, especially from 25 to 29 years old. Objective. The aim is the analysis of the dynamics and prediction of natural reproduction of the population in the Siberian Federal District and its individual administrative territories at the beginning of the second wave of depopulation. Material and methods. Data on the birth rate, mortality and natural increase (decrease) per 1000 population of the Russian Federation, the Siberian Federal District and of individual territories of the Siberian Federal District are obtained on the website of the Federal Service of State Statistics. To analyze the dynamics of natural reproduction of the population of the Siberian Federal District for 2000-2018 and for a short-term prediction of indices, the capabilities of the Microsoft Office application (MS Excel) were used and several variants of approximation of birth rate, mortality rate and natural increase (decrease) in the population were considered using the following trends: linear, logarithmic, and degree (third degree polynomial). Results. A short-term prediction based on the trends indicates a continuation of the emerging trend: the birth rate in the Siberian Federal District will decrease, and the natural decline in the population will increase. With this approximation, the mortality rate of the population will increase. Conclusion. In the coming years, the containment of depopulation in the Siberian Federal District is possible due to the favorable ratio of birth rate and mortality rate in the Republics of Tyva, Altai, Buryatia, and Khakassia. Of particular concern is the significant natural decline in the population in the Kemerovo Region and the Altai Territory. The problem of reducing mortality and, accordingly, increasing life expectancy can be solved only with an increase in the level of culture, education, medical care and with a wide spread of healthy lifestyles.