bluuebunny/crossref_metadata_2025 huggingface dataset:
Ekonomik Politika Belirsizliği ve Politik İstikrarsızlığın Büyüme Üzerindeki Etkisi
Authors: AKKUŞ Arş. Grv. Dr. Ömer
Published: April 2018

İktisat biliminde belirsizlik, teorik olarak gerçekleşen onca gelişmelere rağmen hala üzerinde tartışılan bir kavram olarak yerini korumaktadır. Belirsizliğin bu kadar çok tartışılmasının arkasında yatan unsur ise belirsizlik kavramının soyut iktisadi düşüncede sahip olduğu anlamsal ölçütlerin kavramsallaştırılamaması değil, belirsizlik kavramı ile ilgili bir fikir birliğinin oluşturulamamasından kaynaklanmaktadır. Belirsizlikle ilgili bir fikir birliğinin olmayışı ise bu kavramla ilgi farklı yaklaşımların ortaya çıkmasına neden olmuştur. Bu çalışmada diğer belirsizlik indeksleri ile karşılaştırıldığında daha güçlü ve politik unsurları da içermesi nedeniyle Baker vd. (2015)’in Amerika Birleşik Devletleri için geliştirmiş oldukları ekonomik politika belirsizliği (EPB) indeksi kullanılmaktadır. ABD’deki EPB’nin yanında gelişmekte olan ülkelerdeki politik istikrarsızlık göstergeleri de dikkate alınmaktadır. Çalışmada Keşfedici Faktör Analizi’yle 17 politik istikrarsızlık göstergesi kullanılarak politik istikrarsızlığın üç farklı boyutu ortaya çıkarılmıştır. Bu boyutlar şiddet ve gerilim, hükümet karşıtlığı ve protesto ve rejim içi istikrarsızlıktır. Çalışmada Dinamik Panel Sistem Genelleştirilmiş Momentler Metodu kullanılarak gelişmekte olan ülkelerdeki politik istikrarsızlığın ve ABD’deki EPB’nin gelişmekte olan ülkelerin büyümeleri üzerindeki etkisi incelenmektedir. Çalışmanın bulguları ABD’deki EPB’nin ve gelişmekte olan ülkelerdeki politik istikrarsızlığın üç farklı boyutunun gelişmekte olan ülkelerdeki büyüme oranı üzerinde güçlü ve negatif bir etkiye sahip olduğunu göstermektedir. 
Hisse Senedi Fiyat Tahmininde Genetik Algoritma ile Değişken Seçimi
Authors: ÖZÇALICI Yrd. Doç. Dr. Mehmet
Published: April 2018

Hisse senedi fiyatı yön tahmini, piyasaların sahip olduğu karmaşık yapı itibariyle zor bir problemdir ve bu nedenle de araştırmacıların ilgisini çeken bir konudur. Hisse senedi fiyat tahmininde kullanılan yöntemlerden bir tanesi destek vektör makineleridir (DVM) ve literatürde başarılı bir şekilde kullanıldığı görülmektedir. DVM ile başarılı bir tahmin çalışması gerçekleştirmek için kullanılacak girdi değişkenlerinin dikkatli bir şekilde seçilmesi gerekmektedir. Genetik algoritma, DVM için değişken seçiminde kullanılan yöntemlerden bir tanesidir. Yapılan çalışmalar araştırıldığında genetik algoritma (GA) tabanlı DVM yönteminde farklı kernel fonksiyonlarının performansı ve farklı sayılardaki değişkenlerin tahmin performansının detaylı bir şekilde incelenmediği ortaya çıkmıştır. Bu açığı kapatmak için emtia tabanlı bir fonun tarihi fiyat bilgileri kullanılmış ve GA-DVM yöntemi ile değişken seçimi gerçekleştirilmiştir. En yüksek doğru tahmin oranı, 10 adet değişkenin seçildiği doğrusal kernel fonksiyonuna sahip DVM modelinde gerçekleştiği ortaya çıkmıştır. Aynı zamanda modellerin yarısından fazlasında al ve tut stratejisinden daha yüksek oranda bir getiri sağlamak mümkün olmuştur. Çalışmada elde edilen başarılı sonuçlar, önerilen yöntemin hisse senedi fiyat tahmininde karar destek sistemi olarak kullanılabileceğini göstermektedir. 
Küreselleşen Dünyada Düzensiz Göç ve Türkiye: Adana İli Yabancılar Misafirhanesi Çalışması
Authors: BODUR ÜN Yrd. Doç. Dr. Marella , PAYDAK Uzm. Anış
Published: April 2018

 Küreselleşme ile göç de özellikle son yirmi yıldır ilgi çekmeye başlamış, güvenlikleştirilmiş ve “yüksek politika” konusu olmuştur. Bu çalışma düzensiz göçü Adana ili özelinde ele alarak göçü küreselleşme öncesi yaklaşımlarla yönetme sorunsalını tartışmaktadır. Bu bağlamda, 2011 yazında, Adana Yabancılar Şube Müdürlüğü Misafirhanesi’ne gelen düzensiz göçmenlerle yüz yüze anket çalışması yapılarak, göçmenlerin demografik ve aile yapıları ile göç ve hedef ülkeleri seçme nedenleri araştırılmıştır. Araştırmanın sonunda, göçün sebebinin belirlenmesinin, kısmen gönderen ülkelerdeki siyasi ve ekonomik sebeplerin birbiriyle etkileşmesinden dolayı güç olduğu, bunun da göçmen tipinin belirlenmesini de güçleştirdiği sonucuna ulaşılmıştır. Ayrıca göçün ekonomiler üzerindeki ağır finansal ve insan kaynakları yükü nedeniyle, konunun ulus-devlet seviyesinde ele alınmaması gerektiği, uluslarüstü bir yaklaşımın ve yönetimin, göç yönetimi yükünü üstlenmesi gerektiği görüşü savunulmuştur. Bu yaklaşım, göçün yalnızca güvenlik boyutu üzerine değil, insan hakları boyutu üzerine de odaklanmalıdır. Küreselleşme sürecindeki göç deneyimi “göç veren, göç alan ve transit ülke” olan Türkiye’nin son altı yılda yaşadığı göçmen akını, bu çalışmanın sonucunu destekler niteliktedir. 
Marka Deneyimi ve Tekrar Satın Alma Niyeti Arasındaki İlişkide Müşteri Tatmininin Rolü
Authors: KARA Gülsüm , KİMZAN Yrd. Doç. Dr. Halil Semih
Published: April 2018

Artan rekabet sebebiyle, işletmeler müşterilerini ellerinde tutma konusuna daha fazla odaklanma eğilimindedir. Tüketicilerin değişen doğası, daha uzun ilişkiler için daha fazla çaba harcanmasını gerektirmektedir. İşletmeler bu eğilimlerin farkına vararak tüketicilerin hislerini harekete geçirip, hayat tarzlarıyla bütünleştirmeyi amaçlayacak marka deneyimleri sunmaya başlamaktadır. Bu çalışma, marka deneyimi ve tekrar satın alma niyeti arasındaki ilişkide müşteri tatmininin rolünü incelemek amacıyla yapılmıştır. Çalışma için Bursa ilindeki Ikea markası seçilmiştir ve bu markaya yönelik deneyim yaşamış 440 kişiye ulaşılmıştır. Araştırmada kullanılan anket formundaki sorular yüz yüze anket yöntemi ile katılımcılara yöneltilmiştir. Toplanan verilerin analizi aşamasında faktör analizi ile regresyon analizlerinden faydalanılmıştır. Bu çalışmanın sonuçları, marka deneyimi ve tekrar satın alma niyeti arasında pozitif bir ilişki olduğunu ortaya koymuştur. Böylece marka deneyimi, müşteriler ve işletmeler arasındaki ilişkinin devamlılığı açısından kritik bir role sahiptir. Ayrıca sonuçlar, müşteri tatmininin marka deneyimi ve tekrar satın alma niyeti arasındaki ilişkide bir aracı etkiye sahip olduğunu belirtmiştir. 
Bizans Dönemi Mekân Aydınlatmasında “İslami Tipte” Cam Kandiller
Authors: ÇAKMAKÇI Yrd. Doç. Dr. Zeynep
Published: April 2018

İslami tipte cam kandiller, zarif formu ve işlevsel tasarımıyla pek çok kültürde tercih edilen bir ışık kaynağıdır. Bununla birlikte, bu tip kandillerin İslam kültüründe, özellikle cami aydınlatmasında yaygın kullanımı, onların Cami kandili olarak adlandırılmasına ve İslam camcılığının keşfettiği bir form olarak tanınmasına neden olmuştur. Diğer taraftan, arkeolojik buluntular ve tasvirler, bu kandillerin olasılıkla 4. yüzyıldan itibaren Batı dünyasında kullanıldığını ve Erken Bizans döneminin bilinen bir aydınlatma gereci olduğuna işaret etmektedir. 

Bu makalede, söz konusu kandillerin, Bizans dönemi mekân aydınlatmasındaki yeri ve kullanım şekli, arkeolojik buluntular ve tasvirlere dayalı olarak ele alınmakta, Asya ve Avrupa arasında Haçlı seferleri ve Batılı tüccarlar aracılığıyla artarak gelişen Ortaçağ Akdeniz ticaretinin, bu kandillerin, farklı kültür ve coğrafyalara dağılmasındaki olası etkileri üzerinde durulmaktadır. 
Gıda Sektöründeki Franchise İşletmelerindeki Satış Geliştirme Çabalarının, Tüketici Satın Alma Kararına Etkisi: Aydın İlinde Bir Uygulama
Authors: ACAYIP Öğr. Grv. Esma , ÇAKIR Yrd. Doç. Dr. Fatma
Published: April 2018

Tüm pazarlama ve belki de insan çabalarının hedefi tüketicilere ve onların satın alma kararlarını belirlemeye dönüktür. Günümüz yoğun rekabet ortamında örgüt imajıyla ön plana çıkan franchise işletmelerde uygulanan satış geliştirme çabaları tüketicilerin satın alma kararları üzerinde etkili olmaktadır. Bu çalışmanın amacı gıda sektöründeki franchise işletmelerindeki satış geliştirme çabalarının tüketici satın alma kararı üzerine etkisi ve tüketicilerin işletme tercihlerini ne yönde etkilediği belirlenmeye çalışılmıştır. Araştırma modelinin analizinde veriler, kolayda örneklem yöntemiyle belirlenmiş örneklemden anket yöntemi ile toplanmıştır. Aydın ilinde 18 yaş üzeri tüketiciler üzerinde 397 cevaplayıcıdan elde edilen verilerle belirleyicilerin etkileri ölçülmüştür. Analizlerde tanımlayıcı istatistikler, t-testi, tukey hsd testi, manova analizi ve faktör analizi kullanılmıştır. Araştırma sonucunda tüketicilerin satın alma kararları üzerinde en fazla satış geliştirme faktörünün etkili olduğu görülmektedir. Franchise işletmelerinin uyguladığı satış geliştirme faktör boyutunda “3 al 2 öde”, “1 menü alana 1menü bedava” şeklindeki kampanyaları, ücretsiz ikram servisleri ve menülerdeki avantajlı kampanyaları tüketiciler üzerinde en fazla etkiyi bırakan faaliyetleri olduğu görülmektedir. Satış geliştirme çabaları tüketicilerin medeni durum, eğitim durumu, yaş, meslek grupları ve gelir değişkenlerinde anlamlı farklılıklar yaratırken, cinsiyet değişkeninde anlamlı bir farklılık yaratmadığı gözlenmiştir. 
Muhasebenin Ekonomi Politiği: İç Dinamikler
Authors: KANDEMİR Yrd. Doç. Dr. Canol
Published: April 2018

Ekonomik ve politik düşünce ve sistemlerin bir uzantısı olan muhasebe görünüşte kamunun tümüne hizmet etmekle birlikte, özünde temel olarak ekonomik ve politik iktidarı elinde bulunduran şirketler dünyası ile onun yatırımcı ve alacaklılarının talep ve gereksinimlerini gözetmektedir. Ekonomi ve politikanın muhasebeyi biçimlendirmesi, ekonomik ve politik güçlerin de muhasebe düzenlemelerini yapması olgusu uygulamada en iyi ve belirgin biçimde kural konulması ve standartların oluşumu süreçlerinde gözlenmektedir. Nitekim söz konusu süreçler genellikle üst yönetiminde politik otorite olarak yasama organının, orta yönetiminde gözetimci olarak öz düzenleyici kuruluşların ve alt yönetiminde ise uygulamacı olarak standart oluşturucuların olduğu ekonomik ve politik bir yapı tarafından yönetilmektedir. Standart oluşturma süreci muhasebenin salt normlar ve yöntemlerden ibaret olmadığını, sosyal, ekonomik ve politik faktörleri de veri olarak aldığını ve daha önemlisi söz konusu faktörlerin standart oluşumunun temel belirleyicileri olduğunu göstermektedir. Ulus-devletin son onay ve başvuru makamı olarak varlığı bir olgu olduğuna ve ulus-devlet ekonomik ve politik sistem tarafından biçimlendirildiğine göre, standart oluşturma sürecinin kaçınılmaz olarak ekonomik ve politik çıkar ve baskılara açık kalacağını önceden bilmek, dolayısıyla bu gerçekliği sorunlu bir konu olarak değerlendirmek ve salt standart oluşturma sürecini demokratikleştirmeye odaklanmak yerine eşzamanlı olarak ekonomi ve politikayı daha demokratik bir yapıya kavuşturmak ve standart oluşturma sürecinin böylesi geniş ve demokratik bir ortamda kendi içinde ve teknik olarak da daha demokratik biçimde çalışmasını sağlamak gerekmektedir. 
Nöropazarlama Araştırmalarının Sosyal Bilim Felsefesi Açısından Değerlendirilmesi
Authors: BAYBARS Arş. Grv. Miray
Published: April 2018

Nörobilimsel çalışmaların tüketicileri anlamak, davranışlarını tahminleyebilmek, tüketici davranışını pazarlama araştırmasını gerçekleştiren taraf lehine değiştirebilmek üzere kullanılmaya başlaması son yıllarda pazarlama akademisyenleri ve uygulayıcıları arasında sıklıkla tartışılan bir konu olarak karşımıza çıkmaktadır. Nöropazarlama çalışmalarının pazarlama uygulamaları açısından değerlendirilmesi oldukça önemli olmakla birlikte, bu konunun kapsamlı bir değerlendirmesinin yapılması akademik açıdan da büyük önem arz etmektedir. Bu çalışmada, nöropazarlama araştırmalarının sosyal bilimler açısından önemli olduğu düşünülen yaklaşımlar perspektifinden değerlendirilmesinin yanı sıra, araştırma yönteminin olumlu ve olumsuz yönlerinin de irdelenmesi amaçlanmaktadır. 
Comparative study to identify the safety, effectiveness and ease of obstetric forceps for delivery of floating head in cesarean section
Authors: Ingole Sonali Jitendra , Manwani Saloni
Published: April 2018

Background: Difficulty is frequently encountered in extraction of floating fetal head. This study will focus on comparison of Forceps assisted fetal head extraction during Lower segment caesarean section (LSCS) with manual method of extraction in LSCS.Methods: The ANC patients attending antenatal OPD and admitted for elective caesarean section fulfilling the inclusion criteria were randomly divided into two groups each of 400 patients: Group 1 of patients undergoing manual extraction of fetal head during LSCS; and Group 2 consisting of patients with forceps assisted delivery of fetal head in LSCS. Following factors will be evaluated in patients: maternal blood loss, any extension of uterine incision, difference in pre and post op hemoglobin levels of the patient and Apgar score of baby at 1 and 5 minutes.Results: Patients in both the groups were matched demographically. The demographic variables such as maternal age, weight, parity and MGA (Mean Gestational age) were comparable in both the groups. Blood loss was significant in Group 1 (manual delivery) as compared with Forceps assisted delivery. This is also reflected in difference in pre and post op Hemoglobin levels. Although baby outcome in terms of Apgar score was similar in both groups, however morbidity in terms of uterine artery trauma, extension of uterine incision was much less in group 2 (Forceps assisted LSCS delivery)Conclusions: Although there was no statistically significant difference in outcome of babies (APGAR score), complication(s) were less (blood loss, uterine artery trauma) in Forceps assisted LSCS delivery group. Proper selection of patient(s), early anticipation for application for Forceps can help for better outcome of caesarean delivery.
Digital gangrene in patients with sepsis
Authors: Nema Archana A. , Darshan Jitendra R. , Iyer Saumya
Published: April 2018

Background: Symmetrical peripheral gangrene is a rare condition seen in patients of severe sepsis with hypotension. Gangrene is of dry type, limited to the digits only with all peripheral pulses palpable.  Methods: Seven patients of severe sepsis with various etiologies were admitted in surgical ICU. These patients developed symmetrical peripheral gangrene during their stay in SICU at a variable period. Detailed history and case records were studied, and data was analyzed. Review of literature was done and compared with findings of our cases.  Results: All seven patients had severe sepsis with disseminated intravascular coagulation and all seven required ventillatory support. Administration of inotropes increased the pace of ischemic process.  Conclusions: Anticipation and prompt recognition of this condition can limit the progress of gangrene. Treatment is emphasized on the primary condition with focus on limiting the gangrene by local procedures.
A study to evaluate serum free triiodothyronine levels as a predictive indicator of outcome in critically ill children
Authors: B. H. Muruli , G. Bhavya , K. M. Chaitra
Published: April 2018

Background: Critical illness is a life-threatening multisystem process requiring support of failing vital organ systems without which survival would not be possible. Euthyroid sick syndrome is one of the commonly seen endocrine changes in critically ill patients and is considered to be associated with adverse outcome in ICU patients. Objective of this study was to assess free triiodothyronine (FT3) in critically ill children and to associate it to the disease severity and clinical outcome in comparison to PRISM score.Methods: This was an observational study conducted on 120 critically ill children aged between 1month and 18 years admitted in PICU of a tertiary care hospital. All children who met inclusion and exclusion criteria were subjected to initial evaluation, PRISM III scoring and also FT3 levels was estimated twice in the critically ill patients.Results: In present study, out of 120 subjects studied, 34 succumbed and 86 survived. Low FT3 was seen in 90 (75.00%) children. The mean level of FT3 was significantly lower at admission and discharge in non-survivors than in survivors (P<0.01) and also Compared with survivors, non-survivors had higher PRISM III scores (26.65±9.64vs 15.21±7.38, P<0.001). In survivors there was a significant improvement in the mean levels FT3 from admission to discharge (P<0.01) Where as in non-survivors there was a further decrease in the mean levels of FT3 however it was not statistically significant (P>0.05). Serum FT3 at discharge is a good predictor of mortality with AUC of 0.9175±0.0620.Conclusions: FT3 is good independent predictor of ICU mortality.
Clinical profile, complications, morbidity and outcome of empyema thoracis in children in a tertiary care centre
Authors: Agarwal Neha , Taneja Sunil , Saxena Rachit , Verma Ashish
Published: April 2018

Background: Empyema thoracis, an accumulation of pus in pleural space, occurs in 5-10% of children with bacterial pneumonia. Often cases are referred to the tertiary care hospital late resulting in significant complications, morbidity and mortality. Our aim was to study the clinical profile, associated complications, morbidity and treatment outcome of empyema in children.Methods: A prospective observational study was conducted on 65 children aged 0-12 yrs diagnosed with empyema thoracis admitted in the hospital. After history taking and clinical examination, relevant investigations like chest X-ray, USG chest and pleural fluid analysis including culture and sensitivity were done. All patients were treated with chest tube drainage, antibiotics and intrapleural fibrinolytic therapy.Results: Maximum patients (61.5%) were seen in age group 1-5 yrs, 18.4% below 1 year, 2 were neonates. Pleural fluid culture was positive in 64.6 % of patients. Staphylococcus aureus (58.4%) was the most frequent organism isolated from pleural fluid. Pyopneumothorax (36.9%), broncho-pleural fistula (27.6%) and pneumothorax (18.4%) were common complications. Broncho-pleural fistula was present at admission in 14 patients, developed later in 4 patients and healed with conservative management in 12 patients. Majority of the patients (n=51, 78.4%) had complete resolution of empyema thoracis with re-expansion of lung on conservative management alone. The success rate of medical management in patients who received intrapleural fibrinolytic (streptokinase) within 14 days of symptom onset was 93.3% while it was 71.4% in patients who received intrapleural fibrinolytic after 14 days. 5 (7.6%) patients died, 5 required surgical intervention(decortication/VATS), 4 patients with broncho-pleural fistula not improving on conservative management were referred to higher centre and were lost to follow-up.Conclusions: Empyema in children causes significant morbidity which can be reduced by prompt and adequate treatment of bacterial pneumonia. Antibiotics, chest tube drainage along with intrapleural fibrinolytic therapy is a safe and effective method to facilitate drainage and resolution of empyema even in cases with delayed presentation in resource poor settings and can reduce the need for surgery.
Clinico-epidemiological profile of nutritional anaemia and its impact on developmental outcome in children aged 6 months to 5 years
Authors: Jaiswal Neha , Kalra Naman , Chaudhary Sanjata R. , Mohan Nitesh
Published: April 2018

Background: Anemia is a global public health problem and is a significant contributor to the global health disease. Young children are more vulnerable to the effects of anemia since it retards the physical and mental growth and development. Objective of this study was clinico-epidemiological profile of nutritional anemia and its impact on developmental outcome in children aged 6 months to 5 years.Methods: The study was a prospective observational study. A total of 100 patients with hemoglobin <11g/dl admitted in our hospital were included in the study. Detailed clinical history with developmental assessment was elicited and thorough clinical examination was performed. Complete haemogram with Peripheral smears of these patients were examined. Bone marrow examination was done where ever possible.Results: Maximum numbers of the patients were in the range of 3 to 4 year. Proportions of anemia in males were 68% when compared to females (32%). Iron deficiency anemia (IDA) was the most common in males. The correlation between anemia and developmental delay was 7.9% in iron deficiency anemia and 87.5% in megaloblastic anemia (MBA) which was highly significantt.Conclusions: Anemia poses a biggest challenge in the improvement of primary health care particularly in young children since it is associated with delay in psychomotor development and increased morbidity and mortality. Initial screening and subsequent diagnostic tests enable early diagnosis and appropriate management.
Neurological complications in Dengue fever
Authors: Shokeen Priyanka , Yadav Suman , Verma Chaman Ram , Masand Rupesh
Published: April 2018

Background: Neurological involvement in dengue was previously observed as an encephalopathy mainly due to prolonged shock, hyponatremia and liver failure. Recently, direct neurotropic potential of the virus has been recognized. This study was performed to record the neurological complications in children with dengue infection.Methods: A prospective, cross-sectional study was conducted in 315 consecutive pediatric cases of dengue fever to record the neurological complications and perform detailed clinical evaluation and laboratory assessment. These patients were admitted in the pediatric ward or ICU of the Department of Pediatrics of a tertiary care teaching hospital located 50 km from Jaipur city amidst rural surroundings from 1st January 2016 till 31st October 2017. Appropriate statistical analysis was carried out using SPSS software version 22.0.Results: The neurological complications due to dengue fever was observed in 30 cases (9.5%). The most common symptoms were headache (73.3%, n = 22), altered sensorium (73.3%, n = 22), seizure (73.3%, n = 22), besides fever (100%, n = 30) and vomiting (56.6%, n = 17). The common signs were exaggerated DTR (73.3 %, n = 22), papilloedema (20%, n = 6) and muscle tenderness (13.3%, n = 4) besides hepatomegaly (100%, n = 30), and facial puffiness (66.6%, n = 20). The most commonly observed neurological complications were encephalopathy (53.3%, n = 16), encephalitis (n = 7, 23.3%), myositis (13.3%, n = 4), acute disseminated encephalomyelitis (3.3%, n = 1), hemiplegia with facial palsy (3.3%, n = 1) and intracranial hemorrhage (3.3%, n = 1). Mortality was observed in 3 cases (10%).Conclusions: Neurological complications of dengue in children are relatively uncommon. However, awareness is required for prevention, early recognition, and timely therapeutic intervention to prevent further complications and mortality.
Liver function tests as a prognostic indicator in Pediatric Intensive Care Unit (PICU)
Authors: Mallikarjuna Akshatha , Sood Ashwani K. S
Published: April 2018

Background: Frank liver failure is incompatible with life. Severity of liver disease is reflected in clinical signs or biochemical alterations. Hepatic dysfunction indicates poor outcome in critically ill patients, but no large systematic investigation into its exact incidence and prognostic relevance has been performed in different population groups.Methods: All PICU admissions during the study period were included. Pattern of admission LFT (Liver Function Tests) was reported. Relationship between clinical events and patient outcome with the LFT panel on day 1 and day 3 were reported. Association between final outcome and day 7 LFT was explored.Results: Deranged AST (Aspartate Transaminase), ALT (Alanine Transaminase), Bilirubin, Albumin, PT (Prothrombin time) and INR (International Normalized Ratio) on Day1 and 3 had significant association with increased requirement of inotropic and ventilatory support as well with increased mortality. LFT parameters on day 7 showed significant correlation between normal AST, ALT, bilirubin, PT and INR with improved survival.Conclusions: LFT's should be essential part of biochemical profile and doctors caring for sick patients in peripheral hospitals should consider for early referral of patients to higher centers based on LFT parameters for the advanced care they deserve.
The study of dietary diversity score in children between 6 months to 23 months: a hospital based study
Authors: N. Divya , K. V. Rajanish , J. Malavika , Sharma Aarti
Published: April 2018

Background: Dietary diversity is a qualitative measure of food consumption that reflects household access to a variety of foods and is also a proxy for nutrient adequacy of diet of individual. Breast-feeding and complementary feeding practices are fundamental to children’s survival and development. Feeding practices have an impact on physical growth, which is one of the best indicators of children’s well-being. However, the relation between the quality of feeding practices during early age and nutritional status are difficult to establish, and, depending on the context and overall living conditions, the influence of feeding factors on children’s nutritional status can vary considerably. This study helps us to assess the dietary diversity score by simple food count method which is a good indicator of adequate micronutrient intake.Methods: The study was a retrospective study conducted on babies between 6 months to 23 months of age presenting in Paediatric outpatient Department. Data was collected by 24-hour recall method for 3 days and an average.Results: 30% of subjects had weight for age below 2 SD and 8% had length for age below 2 SD. Dietary diversity Score of 1and 6 in 8%, 2 in 48%, 3 and 5 in 6%, 4 in 24% was noted. The average scoring was low among 6-9 and10-12 months and it increased between 13-23 months. With increase in age there was increase in dietary diversity score and vice versa.Conclusions: Limited diversity in complementary foods is a strong predictor of the nutritional status of children. Inclusion of a variety of food groups may be more essential to improve child’s nutritional status.
Study of thyroid profile in malnourished children (6 months - 5 years) admitted in the nutritional rehabilitation centre and paediatric ward NSCB Medical College Jabalpur, India
Authors: Lazarus Monica , Kashyap Alok Kumar , Borkar Rahul , Ajmariya Manish
Published: April 2018

Background: Globally, PEM continues to be a major health problem in developing countries and the most important risk factor for illnesses and death especially among young children. The research was conducted to study the effect of thyroid profile in malnourished children (6 month-5 years) admitted in tertiary care center in Central India.Methods: A cross sectional hospital based observational study was carried out in tertiary care hospital NSCB MCH Jabalpur. 80 malnourished children were included in the study. The cases were categorized into moderate and severe malnutrition as per WHO classification.  Detailed clinical assessment of nutritional status followed by anthropometric measurement (weight for height) was recorded in predesigned proforma. Triiodothyronine (T3), Thyroxine (T4), thyroid stimulating hormone (TSH), serum total protein and serum albumin were estimated. The parameters were compared among SAM and MAM groups using appropriate tool.Results: Mean serum protein, serum albumin, T3, T4 were significantly low in SAM group, when compared to the MAM group (p <0.001). while level of TSH was not found significant among SAM and MAM groups.Conclusions: Malnutrition is associated with decrease level of thyroid hormone levels and were positively correlated with serum total protein and albumin levels. The decrease level of thyroid hormone may have a contributory role in retarded growth and development.
Prevalence of hypoglycemia in diarrheal dehydration at hospitalization in severe acute malnutrition
Authors: Ninama Rameshwar , Chaudhry Chakshu , Suman Rameshwar Lal , Goyal Suresh , Bairwa Ramprakash Prakash , Singla Sanjay
Published: April 2018

Background: Diarrhea is the major cause of death in children below five years of age. Hypoglycemia has been a potential fatal complication of infectious diarrhea in both well-nourished and poorly nourished children. But prevalence of hypoglycemia in diarrheal dehydration is not exactly known. This study was done to evaluate the glycemic status in children having acute diarrhea with dehydration and specifically associated with severe acute malnutrition (SAM).Methods: This descriptive cross-sectional study was conducted during July 2017 to December 2017 at Bal Chikitsalaya Udaipur, Rajasthan, India. Blood glucose levels were assessed in 150 children of acute diarrhea with dehydration, comprising of 100 SAM and 50 Non SAM children.Results: Average blood glucose of SAM children was 89 mg/dl and of non-SAM, it was 120 mg/dl. Average blood glucose was low in SAM as compared to non-SAM in both some dehydration (116.08±21.26) and severe dehydration (66.69±19.80) as well as with or without ORS intake. Overall 18 (12%) of children had hypoglycemia and all were in severe dehydration and not taking ORS. Blood glucose levels were statistically low in severe dehydration and those who were not taking ORS at the time of hospitalization (p = 0.001). In severe dehydration 25% of children had hypoglycemia means every fourth child had low blood glucose <54 mg/dl.Conclusions: Overall prevalence of hypoglycemia is 12% in diarrheal dehydration and 20% in SAM with dehydration. Twenty five percent of severe dehydration children had hypoglycemia, and all have not started ORS. None of the child started ORS developed hypoglycaemia.
Proximal renal tubular acidosis with primary Fanconi syndrome
Authors: Philip Prijo , Jacob Chinthu Sara
Published: April 2018

Renal tubular acidosis (RTA) is associated with normal or near normal glomerular filtration rate. Proximal RTA is associated with impaired bicarbonate reabsorption. This is manifested as bicarbonate wastage in the urine, and this reflects the defect in proximal tubular transport. Osteopenia or full-blown rickets may develop. Type 2 RTA is rare and occurs in association with conditions such as Fanconi syndrome. This is manifested as glycosuria, aminoaciduria, phosphate wasting and mild proteinuria. The basis of therapy is the continuous administration of appropriate amounts of alkali in the form of either bicarbonate or citrate, as well as the treatment of the cause.
Inguinoscrotal lymphangioma mimicking hydrocele: a case report
Authors: Yadav Sudha , Rattan Kamal Nain , Yadav Pawan , Gavhane Sunil
Published: April 2018

Scrotal lymphangiomas are hamartomata’s lymphatic malformations with no risk of malignant transformation, resulting due to inadequate drainage of lymph from sequestered lymph or lack of continuation between lymphatics and venous channels. Here we report a case of scrotal lymphangioma in a 1.5 years old child who presented with scrotal swelling and misdiagnosed as hydrocele. Child was managed successfully with surgical resection of the mass and doing well now.
Camphor induced status epilepticus: a case report
Authors: Ajeetha Rahumath , Ramakrishnan Anand , Sagayaraj Benjamin
Published: April 2018

Camphor is very toxic compound, which can be fatal for infants and children even if ingested in very small doses. Around 3-5 ml of 20% camphor oil or >30mg/Kg is a potentially lethal dose. Camphor is used very frequently for house hold purposes. The chances of accidental ingestion by children are high particularly in toddlers. Here author report 2 years old previously well child brought with status epilepticus with no apparent trigger. Child required benzodiazipine, phenytoin and levetiracetam loading for seizure control and was ventilated. Complete evaluation for seizure cause was planned post stabilization, but during intubation camphor odour was noticed and parents accepted a possibility of camphor ingestion. Hence seizure was attributed to camphor toxicity. Further evaluation was withheld. Child had no seizure recurrence and AED was stopped prior to discharge after documenting normal neurological examination and EEG. This case highlights the need for considering camphor poisoning as a cause of status epilepticus in the toddler age group and importance of proper enquiry about possible exposure and complete examination including odour in all cases of unprovoked seizures in children which can help us avoid unnecessary investigations searching for the cause of status epilepticus.
Estágio não obrigatório: um estudo com universitários do curso de administração
Authors: Polzin Fernanda Ribeiro , Bernardim Marcio Luiz
Published: April 2018

Este texto apresenta os resultados de um estudo teórico, de legislação e empírico sobre o estágio não obrigatório, que oportuniza aprendizagem e experiência profissional a estudantes universitários. O quadro teórico e os aspectos legais ajudaram a compreender o estágio e suas especificidades. A pesquisa de campo, realizada em maio de 2016, possibilitou a obtenção de dados primários junto a estudantes do Curso de Administração da Unicentro, universidade pública localizada no Estado do Paraná, mediante a utilização de questionário semiestruturado. Os achados apontam para a importância do estágio no processo formativo e na inserção laboral, embora também revelem a necessidade de aperfeiçoamento na sua utilização.
Promotoras Legais Populares: uma análise sobre ação coletiva
Authors: Alves Thaís Da Rosa
Published: April 2018

O presente artigo tem o objetivo de realizar uma análise sobre a ação coletiva de mulheres ativistas de camadas populares localizadas nos bairros da periferia de Porto Alegre: as Promotoras Legais Populares (PLPs), a partir da perspectiva analítica de Alberto Melucci (1989; 2001). Para a análise foram revisitadas entrevistas realizadas com as ativistas que atuavam no Serviço de Informação à Mulher, o SIM Tudo Fácil no ano de 2015. Para analisar a ação das PLPs utilizaram-se as três dimensões analíticas básicas propostas pelo autor: a solidariedade, o conflito e o rompimento dos limites do sistema. Sendo assim, a análise trouxe uma nova luz para pensar a ação dessas mulheres inseridas em uma perspectiva das sociedades complexas.
“Polícia Federal deporta 450 imigrantes ilegais venezuelanos de Roraima”: um estudo sobre remediation, positivismo e pós-positivismo no jornal O Globo
Authors: Georg Uebel Roberto Rodolfo , Ranincheski Sonia Maria
Published: April 2018

As migrações internacionais para o Brasil vêm recebendo destaque da imprensa nacional desde a migração em massa de haitianos e africanos a partir de 2010. Mais recentemente, outro fluxo destacado diariamente é o dos venezuelanos, categorizados entre imigrantes econômicos, refugiados e asilados políticos, que em virtude da crise política, econômica que vive a Venezuela, buscam amparo no Brasil. Assim, este artigo realiza um estudo de caso, analisando por meio de reportagem do jornal de grande circulação O Globo, as percepções dadas pelo jornalismo brasileiro em relação a esta onda migratória. Utilizando-se do conceito de remediation, mostramos que a questão migratória é exibida sob uma ótica positivista e pós-positivista por meio da imprensa brasileira.
IDENTIFICAÇÃO E CLASSIFICAÇÃO DE RISCO FAMILIAR EM UMA UNIDADE DE SAÚDE DA FAMÍLIA EM RECIFE-PE.
Authors: Ferreira Balbino França Erika Pollyany , Mota Duarte Beserra Hebe Janayna , Costa Lima Guerra Curado Jeórgia
Published: April 2018

A família é considerada uma unidade principalmente pelas relações interligadas pelos seus membros. Essa compreensão nos permite observá-la através de contextos como organização, funcionalidade e estrutura, mas mantendo seus laços de emoção e afetividade.  É na família que os primeiros laços de saúde se apresentam através do cuidado. E promover cuidado é essencial para o trabalho da equipe de saúde. Nessa perspectiva este trabalho tem como objetivo identificar as famílias que vivem sob risco familiar e classificá-las por meio de um instrumento de estratificação de risco familiar. Trata-se de estudo transversal, de natureza quantitativa e descritiva, realizado na USF Coelhos I, do município de Recife, PE. Foram utilizadas as Fichas A, cadastradas na primeira visita domiciliar realizada pelos Agentes Comunitários de Saúde e os dados foram analisados após a utilização da Escala de Risco Familiar de Coelho e Savassi. Como resultados, observou-se a predominância de risco familiar máximo no território onde o saneamento básico é quase inexistente, o que comprova a necessidade de maiores investimentos nesse setor pela gestão e também a relação próxima entre saúde e saneamento. Além de proporcionar a priorização das visitas domiciliares, facilitando o trabalho dos profissionais.
O USO DO DISPOSITIVO VESTÍVEL MYO EM JOGOS PARA REABILITAÇÃO DE CRIANÇAS COM DEFICIÊNCIA FÍSICA NOS MEMBROS SUPERIORES
Authors: Fernandes Flávia Gonçalves , Cardoso Alexandre , Lopes Renato de Aquino
Published: April 2018

As características de imersão, envolvimento e motivação têm feito dos jogos sérios uma importante ferramenta utilizada na área médica. Entretanto, existem pessoas que, por alguma deficiência física, não conseguem ou não se sententem motivadas a jogar. Nessa perspectiva, este trabalho apresenta uma estratégia para suportar interação humano-computador de crianças com deficiência nos membros superiores por meio de dispositivo vestível, com o objetivo de melhorar o acesso aos jogos digitais para este público-alvo. Para o desenvolvimento deste trabalho, foi utilizado o dispositivo vestível Myo para controlar um jogo de quebra-cabeça como meio de prover a interação entre o indivíduo e o jogo. Neste contexto, o jogo é controlado pelos movimentos do membro superior do usuário, que apresenta a deficiência, por meio do Myo. Para validação da pesquisa, foi disponibilizado o jogo desenvolvido a indivíduos com deficiência física nos membros superiores, na faixa etária entre oito e quinze anos, da Associação de Assistência à Criança Deficiente (AACD). Logo, observou-se que os participantes da pesquisa conseguiram jogar utilizando o membro com deficiência com apoio do Myo e sentiram-se mais motivados a jogar. A longo prazo, espera-se contribuir na motivação dos pacientes, por meio das inovações tecnológicas, para que o processo de promoção da consciência corporal seja mais interativo, lúdico e atrativo.
An assessment of physics laboratory teaching and learning resources in two Nigerian universities
Authors: Ogunleye Ayodele , Anyaegbuna Benjamin E.
Published: April 2018

It is hard to imagine learning science without doing laboratory or fieldwork. The research work in this paper assessed the state of physics laboratory teaching and learning resources in some selected universities in the South West geopolitical zone of Nigeria. The survey was carried out in five universities namely The University of Lagos, University of Agriculture, Lagos State University, Olabisi Onabanjo University and Covenant University. An 88-item inventory assessment questionnaire was administered and responses were collated for analysis. Descriptive statistics were used to analyse the data derived from the study. Findings revealed that there is dearth of modern and specialised physics laboratory equipment/resources; and the obsolete state of most workshops. Inadequacy of the available resources was also observed where some universities combine physics students from the Faculties of Education and Science for most practical sessions. Based on the findings, the study proffers some recommendation that could improve the resource situations in these universities.

 

Keywords: Physics, laboratory, learning.
Examination of views and suggestions about participation of families of children with special needs in individualised education programme
Authors: Sardohan Yildirim Adile Emel , Akçamete Gönül
Published: April 2018

Individualised education programmes (IEP) will be practiced with children with special needs (CWSN) and their families. The main factor for IEP’s success is the participation of the family and also, their children. In this study, views and suggestions about participation of families of CWSN in their IEP processes are examined. The research is based on qualitative research. Five mothers and a grandmother with CWSN were participated; data are collected via semi-structured interview technique and analysed with inductive analysis technique. This research uncovers that the participants didn’t participate in their children’s diagnosis, assessment, settlement and follow-up processes, and they were not content with the assessment results. Also, the participants who didn’t participate in the IEP weren’t even aware of the legal obligation that they had to and their children’s IEP, they weren’t in cooperation with the teacher in that process, and teachers didn’t show the progress in the children to the families even if they recorded that.

 

Keywords: Children with special needs (CWSN), family, individualised education programmes (IEP).
A New Analytical Procedure to Solve Two Phase Flow in Tubes
Authors: Moschandreou Terry
Published: April 2018

A new formulation for a proposed solution to the 3D Navier-Stokes Equations in cylindrical co-ordinates coupled to the continuity and level set convection equation is presented in terms of an additive solution of the three principle directions in the radial, azimuthal and z directions of flow and a connection between the level set function and composite velocity vector for the additive solution is shown. For the case of a vertical tube configuration with small inclination angle, results are obtained for the level set function defining the interface in both the radial and azimuthal directions. It is found that the curvature dependent part of the problem alone induces sinusoidal azimuthal interfacial waves wheras when the curvature together with the equation for the composite velocity is considered oscillating radial interfacial waves occur. The implications of two extremes indicate the importance of looking at the full equations including curvature.
Mapping Soil Salinity in Western United Arab Emirates (UAE) Using Satellite Data
Authors: Abuelgasim Abdelgadir , Ammad Rubab
Published: April 2018

Soil salinity, whether natural or human induced, is a major geo-hazard in arid and semi-arid landscapes. In agricultural lands, it negatively affects plant growth, crop yields, whereas in semi-arid and arid non-agricultural areas it affects urban structures due to subsidence, corrosion and ground water quality, leading to further soil erosion and land degradation Accurately mapping soil salinity through remote sensing techniques has been an active area of research in the past few decades particularly for agricultural lands. Most of this research has focused on the utilization and development of salinity indices for properly mapping and identifying saline agricultural soils. This research study develops a soil salinity index and model using Landsat 8 OLI image data from the near infra-red and shortwave infra-red spectral information with emphasis on soil salinity mapping and assessment in non-agricultural desert arid and semi-arid surfaces. The developed index when integrated into a semi-empirical model outperformed in its soil salinity mapping overall accuracy (60%) in comparison to other salinity indices (~50%). The newly developed index further outperformed other indices in its accuracy in mapping and identifying high saline soils (67%) and excessively high saline soils (90%).
Recent Advances in Applications of Acidophilic Fungal Microbes for Bio-Chemicals
Authors: Javaid Rehman , Sabir Aqsa , Sheikh Nadeem , Ferhan Muhammad
Published: April 2018

Lignocellulosic feedstock (cellulose, hemicellulose and lignin) has been used for a variety of purposes. Among them, lignin can produce value-added chemicals having phenyl-propanoid subunits known as core lignin, possessing either C-C bonds or ether linkages. It can be depolymerized by microbial activity together with certain enzymes (laccases and peroxidases). Both acetic acid and formic acid production by certain fungi contribute significantly to lignin depolymerization. Natural organic acids production by fungi has many key roles in nature that are strictly dependent upon organic acid producing fungus type. Enzymatic conversion of lignocellulosic is beneficial over other physiochemical processes. Laccases, the copper containing proteins oxidize a broad spectrum of inorganic as well as organic compounds but most specifically phenolic compounds by radical catalyzed mechanism. Similarly, lignin peroxidases (LiP), the heme containing proteins perform a vital part in oxidizing a wide variety of aromatic compounds with H2O2. Lignin depolymerization yields polyaromatics, the important ones are BTX (Benzene, Xylene and Toluene), found in several different configurations. However, most modern aromatics complexes enhance the production of p-xylene, benzene and sometimes o-xylene respectively. Thus, this review will provide a concept that chemical and biological modifications of lignin yield certain value added and environment friendly chemicals.
Planets, Planetary Nebulae, and Intermediate Luminosity Optical Transients (ILOTs)
Authors: Soker Noam
Published: April 2018

I review some aspects related to the influence of planets on the evolution of stars before and beyond the main sequence. Some processes include the tidal destruction of a planet on to a very young main sequence star, on to a low mass main sequence star, and on to a brown dwarf. This process releases gravitational energy that might be observed as a faint intermediate luminosity optical transient (ILOT) event. I then summarize the view that some elliptical planetary nebulae are shaped by planets. When the planet interacts with a low mass upper asymptotic giant branch (AGB) star it both enhances the mass loss rate and shapes the wind to form an elliptical planetary nebula, mainly by spinning up the envelope and by exciting waves in the envelope. If no interaction with a companion, stellar or sub-stellar, takes place beyond the main sequence, the star is termed a Jsolated star, and its mass loss rates on the giant branches are likely to be much lower than what is traditionally assumed.
Identification of Key Proteins Involved in Axon Guidance Related Disorders: A Systems Biology Approach
Authors: Ahammad Ishtiaque
Published: April 2018

Axon guidance is a crucial process for growth of the central and peripheral nervous systems. In this study, 3 axon guidance related disorders, namely- Duane Retraction Syndrome (DRS) , Horizontal Gaze Palsy with Progressive Scoliosis (HGPPS) and Congenital fibrosis of the extraocular muscles type 3 (CFEOM3) were studied using various Systems Biology tools to identify the genes and proteins involved with them to get a better idea about the underlying molecular mechanisms including the regulatory mechanisms. Based on the analyses carried out, 7 significant modules have been identified from the PPI network. Five pathways/processes have been found to be significantly associated with DRS, HGPPS and CFEOM3 associated genes. From the PPI network, 3 have been identified as hub proteins- DRD2, UBC and CUL3.