bluuebunny/crossref_metadata_2025_split huggingface dataset:
La investigación de evaluación por perfiles de esl en Colombia... ¿Una necesidad creciente?
Authors: Uribe-Enciso Olga Lucía 
Published: August 2020

Propósito: aumentar la conciencia sobre la importancia especial de la investigación de
evaluación por perfiles.Temas : revistas indexadas, tipos de revisiones y perfiles de inves
tigación. Desarrollo : seleccionar un tema de investigación puede ser una tarea difícil para
los investigadores jóvenes o investigadores experimentados que exploran diferentes temas.
Debido a que los trabajos de investigación esl han incrementado gradualmente durante las
últimas décadas, tratar de tener una visión general de toda la investigación realizada sobre
los diversos temas relacionados es un objetivo utópico. Se han realizado esfuerzos conside
rables tales como manuales, revisiones de literatura y estados del arte para hacer visibles y
organizar diferentes tipos de textos literarios y publicaciones científicas, adoptando cual
quier criterio de selección. No obstante dichos trabajos, aun cuando muy valiosos, sirven a
propósitos muy específicos y por ende, no pueden dar un panorama general de los diferentes
estudios de investigación publicados en un ámbito académico. Los perfiles de investigación
pueden satisfacer dicha necesidad, por supuesto, a través de criterios de inclusión tales como
marcos temporales o contextos geográficos. Asimismo, ayudan a hacer visibles y a clasificar
los trabajos de investigación de acuerdo con cualquier parámetro, de tal manera que se puedan rastrear las líneas de investigación y se puedan reconocer los cuerpos de investigación regionales o nacionales. Además, los perfiles de investigación son el punto de partida de revisiones más sistemáticas y tareas complejas.Conclusiones: los perfiles de investigación sirven para propósitos diferentes, como ayudar a los investigadores a seleccionar temas de investigación, rastrear y reconocer trabajos de investigación, crear líneas de investigación y establecer agendas de investigación en un país
El reto de la educación: perspectivas sociales del profesor
Authors: Pacheco-Gualdrón Jorge Eliécer 
Published: August 2020

Resumen
Propósito: este ensayo reflexiona sobre las finalidades de la educación en la actualidad, el rol del profesor y del estudiante y la importancia de la articulación entre la pedagogía y la sociedad. Temas: para ello, se consideran los conceptos de educación, sociedad, pedagogía, autoridad y liderazgo que deben estar presentes en el acto educativo. Desarrollo: A partir de algunos pasajes de la novela de Miguel de Unamuno: Amor y Pedagogía y tomando como referencia las ideas de Vigotski, Franco Serrano, Bazán, entre otros, se presentan algunas ideas sobre los retos de la educación actual. Conclusiones: esta reflexión sirve para definir los roles que asumen los profesores y los estudiantes en cuanto seres inmersos en una sociedad exigente que plantea nuevos retos.
Impact of condom balloon tamponade on the rate of obstetric hysterectomy: a ten-year study
Authors: Roy Archana , Mishra Nalini , Sai Mamta , Pal Sanjita 
Published: August 2020

Background: The objective of this present study was to assess the efficacy of condom uterine balloon tamponade (C-UBT) in averting the obstetric hysterectomy (OH) in cases of major postpartum haemorrhage (PPH) over a period of 10 years.Methods: A retrospective cohort study from January 2010 to December 2019. A historical cohort was drawn from a group of women who had OH for major PPH between Jan 2010 to December 2014 (Group 1) whereas those from January 2015 to December 2019 were designated as Group 2. Total 305 C-UBT were used in the later period. Women who had OH at <28 weeks were excluded from the study. Primary outcome was to determine the efficacy of C-UBT in averting the risk of OH. Secondary objective was to determine the success rate of C-UBT after five years of useResults: Total 37463 births occurred from January 2010 to December 2014 and 38808 during January 2015 to December 2019. Cases of OH were 33 in the first five years period (Group 1) and 20 in the later (Group 2), p=<05, odds ratio=0.58 with 95% CI 0.335-1.019 favoring C-UBT. After exclusion of rupture uterus and placenta accreta syndrome, OH for uterine atony alone were 22 (66.6%) for Group 1 and 08 (40%) for Group 2, P=0.01 odds ratio=0.350 (95% CI 0.156-0.788). No OH was done in group 2 for placenta previa. Efficacy of C-UBT was 96%.Conclusions: C-UBT is very safe, cheap and effective option for averting OH and associated physical, emotional and psychosocial morbidity.
Response evaluation of locally advanced carcinoma ovary to neoadjuvant chemotherapy at a tertiary care centre
Authors: Shanmugasundaram Sundaram , Shunmugam Deepa , Gandhi Anitha , Velappan Arumugam 
Published: August 2020

Background: Clear cell and mucinous types of epithelial ovarian cancers are relatively chemo resistant and have a poorer prognosis compared to other histologies. Aim of the study was to study the biochemical and histopathological response and surgical outcome of various histologies to standard platin based chemotherapy.Methods: All 42 cases of locally advanced carcinoma ovary who received several cycles of neoadjuvant chemotherapy (NACT) followed by, interval cytoreductive surgery (ICS) were included in this study. Serum CA125 levels before and after neoadjuvant chemotherapy, the ability to achieve optimal cytoreduction and the presence of residual tumour in the surgical specimen were the parameters measured. Continuous variables were compared by one-way ANOVA. Categorical variables were compared by the Pearson chi-square test. Significance was defined by p values less than 0.05. Survival analysis was done using Kaplan-Meier estimation.Results: There was a 95,84% reduction in serum CA125 levels for papillary serous carcinoma compared to clear cell and mucinous varieties, which had 81.2% and 78.5% reduction, respectively. More number of papillary serous tumours were able to achieve optimal cytoreduction (72%) compared to mucinous variety (25%). Residual tumour was present in 68% of serous papillary tumours compared to 87.5% in mucinous and 80% in clear cell histology.Conclusions: Our study concludes that mucinous and clear cell types of EOC are relatively chemo resistant compared to the serous subtype. We recommend more aggressive surgery especially for mucinous tumours. In the case of ovarian cancer, we observed that the mucinous and clear cell types of EOC are relatively chemoresistant compared to the serous subtype. From the results, we recommend the more aggressive strategy of surgery as a preliminary choice of treatment especially for mucinous tumours rather than chemotherapy in patients with EOC.
A prospective study of factors affecting seroma formation after modified radical mastectomy in patients of carcinoma of breast
Authors: Chaudhary Anuradha , Gautam Sonveer 
Published: August 2020

Background: Seroma, a clinically evident subcutaneous collection of serous fluid after breast cancer surgery, developing in approximately 30% of cases. To prevent seroma formation, it is important to estimate individual risk of seroma formation, i.e., the identification of predictive variables will be helpful in designing future trials aimed at reducing the incidence of this seroma. This study intends to find out the association between certain pre-operative, intra-operative, and post-operative factors related to MRM and incidence of seroma formation.Methods: It was an observational prospective on 100 females undergoing MRM at Department of Gandhi Medical College Bhopal, Madhya Pradesh, India. Patients were observed postoperatively for seroma formation and factors affecting it.Results: patients with seroma formation in this study tended to be older age (age, 62.60±10.40 years versus 56.13±10.31 years; p<0.001) and more obese (BMI, 26.95±4.2 versus 24.61±3.61; p<0.001). Higher amount of initial drain volume was directly related to seroma formation. Initiation of arm physiotherapy after surgery (3.14±0.23 days versus 2.17±0.74 days; p=0.043).Conclusions: The incidence of seroma is higher in older and in more obese patients. The incidence is decreased by flap fixation under muscles and early physiotherapy. Furthermore, few interventions in the operative period can help minimize the chances of seroma formation.
Study on 60 cases of common bile duct stone, there different modality of management and its inference
Authors: Ahirwar Sovat Lal 
Published: August 2020

Background: The aim of the study was to determine the best treatment modality for common bile duct stone become more challenging as large number of options available such as endoscopic, laparoscopic or open surgical methods, we need to choose specific therapy according to patient’s clinical conditions, and individual expertise.Methods: It is prospective study including 60 patient having common bile duct stone along with gall bladder stone, its different modality of management and its inference, conducted in Bhopal Memorial Hospital and Research Centre, Bhopal, during period of January 2017 to January 2020.Results: In 60 cases 41 patients undergoes to endoscopic retrograde cholangio pancreatography (ERCP) first, stone successfully removed in 34 patients and stent placed, one patients developed pancreatitis after ERCP, managed conservatively, In 6 patients retained stone after ERCP procedure, one patients developed surgical emphysema after procedure, managed with ICD and conservatively, and one patient had bleeding during sphincterotomy so its procedure abandoned and one of the patient failed to cannulate common bile duct (CBD). 21 patients undergo laparoscopic common bile duct explorations, 2 lap CBD exploration converted to open CBD exploration with cholecystectomy, due to adhesion at hepatocystic triangle. Five patients undergoes open CBD exploration, in one patient hepaticojejunostomy was done as patient was having CBD stone with stricture. No mortality during and after procedure.Conclusions: Management of CBD stone is depends upon individual expertise and available modality. If surgeons are expertise then lap CBD exploration with cholecystectomy without attempting to ERCP guide stone removal is best approach in majority of patients.
Utilization of antenatal care services in a rural area of Nalgonda district, Telangana state, India
Authors: Jahnavi K. , Nagaraj Kondagunta , Nirgude Abhay Subhashrao 
Published: August 2020

Background: Majority of maternal deaths can be prevented through appropriate maternal health services during antenatal, natal and post natal period Reasons for non-utilization of Antenatal health services could be due to various social, cultural and economic factors. Therefore, keeping this in view, this study was conducted to assess the utilization pattern of antenatal services by mothers, the facilitators of utilization of services.Methods: It is a Community based cross sectional study conducted in Cherlapally and villages around, which constitute the rural field practice area of Department of SPM, Kamineni Institute of Medical Sciences, Narketpally telangana. This study was conducted from September 2012-October 2014. A pre-designed and pre-tested questionaire was used to collect the data. The data was compiled and analyzed using SPSS version 19.Results: Majority (91.5%) of the mothers had three or more than three antenatal visits. Antenatal visits less than 3 was seen in only 8.5% of mothers. Mothers who took minimum of 2 tetanus toxoid injections were 93.6%. But only 37.7% of the mothers consumed 100 IFA tablets. Majority (68.6%) of the mothers received antenatal care from doctor and 22.9% of mothers from both doctor and ANM.Conclusions: Majority of the mothers received antenatal care from private health facility followed by government health facilities. Better care and advice from health staff was the prime determinant for utilization.
Clinical indications of penetrating keratoplasty in a tertiary care centre of North India
Authors: Dahiya Monika , Chugh J. P. , Chauhan R. S. , Rathi Ashok 
Published: August 2020

Background: Corneal diseases are one of the major causes of blindness and visual impairment in developing countries. Penetrating keratoplasty is a surgical procedure where a damaged or diseased cornea is replaced by donor corneal tissue. Aim was to determine the indications of penetrating keratoplasty (PK) in a tertiary health care centre of North India.Methods: A retrospective analysis of the records of 288 patients, who underwent penetrating keratoplasty (PK) from January 2016 to December 2018 at Regional Institute of Ophthalmology, PGIMS Rohtak were included in this study. All patients who underwent PK during this time period were included in our study except those who underwent regrafting.Results: A total of 288 patients who underwent penetrating keratoplasty (PK) surgery were included in our study. Out of 288, 184 (63.88%) were males and 104 (36.11%) were females. In our study, 162 (56.25%) patients underwent optical PK, 76 (26.38%) had tectonic PK and 50 (17.36%) underwent therapeutic PK. Most common indication for optical PK was bullous keratopathy followed by corneal opacity. Most common reason for tectonic PK was found to be corneal perforation while for therapeutic PK was sloughing corneal ulcer followed by recalcitrant fungal keratitis.Conclusions: Though bullous keratopathy (BK) was the most common indication for penetrating keratoplasty in North India, but in our study 27% patients had tectonic PK and 17% patients underwent therapeutic PK which is significantly higher than documented data from South India and developed countries. It can be because of low literacy level, lack of awareness and late presentation to ophthalmologist in North India.
Biofilm production and its effects on virulence of MRSA: a study in tertiary care hospital, Delhi
Authors: Khan Amir , Tewari Rachna , . Neetusree , Dudeja Mridu 
Published: August 2020

Background: The aim of this study was to study the prevalence of biofilm formation in MRSA and its effect on virulence and the antimicrobial resistance pattern on MRSA strains from different clinical samples.Methods: A total of 221 isolates of S. aureus isolates were selected from various clinical specimens. Prevalence was estimated according to age, sex, and location. The antibiotic susceptibility test was conducted according to the guidelines of CLSI by the VITEK 2 automated system. 113 strains were identified as MRSA by cefoxitin disc methods which were then subjected to Microtiter plate assay method to confirm phenotypic biofilm formation.Results: 51.13% isolates were resistant to methicillin, and 48.86% isolates were methicillin sensitive. The most common source of MRSA isolation was blood. MRSA isolates were mostly isolated from male. 33.63% MRSA and 19.44% MSSA isolates were strong biofilm producers while 12.38% MRSA and 14.81% were low biofilm producers. The resistance for commonly used antibiotics like benzyle penicillin, ciprofloxacin, cotrimoxazole, and erythromycin was more in MRSA strains and MIC was higher in biofilm producers.Conclusion: Statistical difference was observed between MSSA and MRSA regarding biofilm formation and antimicrobial resistance. A Biofilm producer shows resistance to many antibiotics and also make host immunity in effective. In hospitals Biofilm production should be checked regularly before giving treatment. And research should be done to find out other effective drugs to eradicate biofilms.
Breast cancer knowledge, attitude and self-examination practices of physiotherapy students in India: a cross-sectional study
Authors: Parle Jyoti , Gupta Shivangi 
Published: August 2020

Background: Breast cancer is a major cause of cancer in Indian females. Breast self-examination (BSE) being a low-cost, effortless, and efficient procedure can help early detection in developing countries. Physiotherapists play an active role in community rehabilitation and this study aims to assess their knowledge about breast cancer, BSE as well as explore attitude and self-examination practice among physiotherapy students.Methods: This cross-sectional study was conducted among 380 students in various physiotherapy colleges of Navi Mumbai, using a pre-validated questionnaire. The data collected were analyzed using Statistical Package for the Social Sciences (SPSS) version 24. A chi-square test was applied to find an association between variables. Correlation analysis was used to test the strength of the relationship between numeric variables. Results: The study reported students had moderate knowledge about breast cancer (59.5%) and breast self-examination (BSE) (62.6%). Attitude towards self-examination practice was excellent (94.2%), but only (25.8%) of the respondents reported to perform BSE monthly. There was a significant association between the overall knowledge and practice of BSE (p=0.000). Also, a significant association was found between overall knowledge and attitude towards BSE (p=0.000).Conclusions: Health education strategies and awareness programs are necessary to keep in view the current status of breast cancer, BSE knowledge among health care professionals.
Clinical and epidemiological profile of patients admitted with dengue fever in a tertiary care hospital, Thrissur, Kerala, India
Authors: George Tania , Mankara Valsan Sruthi 
Published: August 2020

Background: Dengue is a fast emerging mosquito borne pandemic prone viral disease affecting many parts of the world. The elucidation of the exact clinical profile is important for patient management and thus crucial for saving life. Dengue is widespread throughout the tropics, with risk factors influenced by local spatial variations of rainfall, temperature, relative humidity, degree of urbanization and quality of vector control.Methods: A descriptive study was undertaken and data was collected by reviewing the records of patients admitted with dengue fever over a period from January 2019 to August 2019. Total 100 records of confirmed cases of dengue were included in the study. The information regarding demographic details, clinical symptoms and complications, and epidemiological details were collected from the records using a questionnaire. Results: Out of 100 patients admitted with dengue, 61% were males and 54% of the total were admitted during June and July month. Most common symptoms reported were fever (99%), headache (91%), muscle & joint pain (71%). The bleeding manifestation was reported in 11% and the most common site of bleeding was gastrointestinal tract.Conclusions: The present study concludes that dengue confirmed cases are seen more among males, and the incidence of disease is more in age groups of less than 30 years. Most of them were residing in the Northern part of Thrissur (56%) and the most common clinical symptoms were fever and headache.
Neoliberalismo, biocomunicabilidad y la producción de ciudadanos salubres e insalubres. Un análisis a partir de las políticas contra la anemia vistas desde la Amazonía Peruana.
Authors: Palma Helen 
Published: August 2020

A partir de un trabajo etnográfico, se realiza una reflexión crítica sobre los procesos de biocomunicabilidad (Briggs y Nichter, 2009) vinculados con las políticas para combatir la anemia, vistos desde una sociedad multiétnica de la Amazonía Peruana con población mayoritariamente awajún y wampis. En ese sentido, se destaca la inserción de estos procesos en una trama de tensiones inter e intraétnicas que los antecede.
El acompañamiento cercano y prolongado de estos procesos permitió identificar aspectos ideológicos y morales, expresados en una visión medicalizante de la anemia, así como la reproducción de un sentido de ciudadanía basado en el rendimiento individualista y funcional a una lógica neoliberal.
Con esto, se espera contribuir al análisis de las políticas oficiales de atención a la población indígena, lo cual se hace relevante en un momento en el que existe una clara demanda del enfoque intercultural y cuando es necesario estar atentos a los posibles procesos de medicalización de la salud indígena.
«VIH/sida awajún: nociones y experiencias de enfermedad y daño en un contexto de epidemia en la Amazonía Peruana
Authors: Flores Rojas María Ximena 
Published: August 2020

Desde el año 2002, de acuerdo con los relatos de algunas familias awajún, empezarona correr los rumores sobre una nueva enfermedad llamada «sida» en el distrito de El Cenepa. Esta condición de origen apách o no indígena se incorporó en la cotidianidad de la población awajún como parte de sus experiencias de enfermedad (jata) y brujería (waweamu), generando las nociones de «jata sida» y “waweamu con síntoma de sida”. La mayoría de los estudios sobre VIH/sida en pueblos indígenas suelen abordar esta condición desde enfoques biomédicos o epidemiológicos. Este artículo presenta otras dimensiones posibles para pensar el VIH/sida en contextos indígenas. Partiendo del complejo conocimiento awajún sobre el cuerpo amazónico y las fuerzas que lo afectan, este artículo busca entender las nociones y experiencias de «enfermedad» y «brujería» que la población awajún usa al hablar de VIH/sida.
An exploration of the experiences of GP registrar supervisors in small rural communities: a qualitative study
Authors: Couch Danielle Lobena , O’Sullivan Belinda , Russell Deborah , McGrail Matthew , Wallace Glen , Bentley Michael 
Published: August 2020

Abstract
Background:
In Australia registrar training to become a general practitioner (GP) involves three to four years of supervised learning with at least 50% of GP registrars training wholly in rural areas. In particular rural over regional GP placements are important for developing future GPs with broader skills because the rural scope of practice is wider. Having enough GP supervisors in smaller rural communities is essential such training. We aimed to explore what makes rural GPs’ based outside of major regional centres, participate in supervising or not, their experiences of supervising, and impact of their practice context.
Methods:
Semi-structured interviews were undertaken with 25 GPs based in rural Tasmania (outside of major regions - Hobart and Launceston), in towns of <25,000 population, to explore the GPs’ professional backgrounds, their experiences of supervising GP registrars, their practice context and their decisions about supervising GP registrars or not. Thematic analysis was undertaken; key ideas, concepts and experiences were identified and then reviewed and further refined to core themes.
Results:
Supervising was perceived to positively impact on quality of clinical care, reduce busy-ness and improve patient access to primary care. It was energising for GPs working in rural contexts. Rural GPs noted business factors impacted the decision to participate in supervision and the experience of participating: including uncertainty and discontinuity of registrar supply (rotational training systems), registrar competence and generating income.
Conclusions:
Supervising is strongly positive for rural GPs and related to job satisfaction but increasing supervision capacity in rural areas may depend on better policies to assure continuity of rural registrars as well as policies and systems that enable viable supervision models tailored to the context.