bluuebunny/crossref_metadata_2025_split huggingface dataset:
Study of early neonatal outcomes in babies delivered through meconium-stained amniotic fluid in a rural teaching hospital
Authors: Dhannaram Venkatesh , Kotapuri Sumathi , Chitgupikar Sudharshanraj 
Published: March 2021

Background: When the fetus is in a state of stress meconium is passed presence of meconium in amniotic fluid is potentially a serious Sign of fatal compromise, frequency of meconium strained amniotic fluid ranges from 5-22%. MSAF results in higher rate of cesarean delivery, NICU admission rate, respiratory distress, PPHN and neonatal death. The primary objectives of the study were to estimate the incidence of Meconium aspiration syndrome & Respiratory distress among babies born through meconium-stained amniotic fluid (MSAF) along with studying the outcomes at the end of 7 days.Methods: This was a prospective study undertaken in mediciti institute of medical sciences, Ghanpur Medchal Mandal from Jan 2018 to June 2019. Data was collected in a predetermined proforma after institutional ethical committee clearance and appropriate informed consent.Results: During this period 1972 neonates were delivered of which 216 babies were born through MSAF. 18 were excluded for non-cephalic presentation, multiple gestation or congenital anomalies.198 babies were included in the study (96 male and 102 female). 18 neonates (10.2%) needed resuscitation at birth. 85 (42.9%) had thick MSAF. 43 of them developed respiratory distress (21.7%). 10 babies were ventilated. Seizures, hyperbilirubinemia, thrombocytopenia were more common among babies with thick MSAF. Mortality was 1%.Conclusions: Thick meconium-stained amniotic fluid was associated with low Apgar score, higher rate of emergency cesarean section and meconium aspiration syndrome. Primigravida mothers, maternal hypothyroidism and oligohydramnios were important risk factors associated with MAS.
Comparison of efficacy of eutectic mixture of local anaesthetic with amethocaine on pain during venipuncture among term neonates in a tertiary care hospital, India
Authors: Nair Anagha M. , Prabakaran Vetriselvi , Bethou Adhisivam 
Published: March 2021

Background: Neonates are frequently subjected to painful procedures which can adversely affect future pain perception. Pain control measures during invasive procedures include non-pharmacological and pharmacological methods. One pharmacological intervention that can be used prior to a needle insertion procedure is application of a topical local anaesthetic to numb the skin. Topical anaesthetics prevent nerve impulse transmission, promoting skin analgesia by acting on the free dermal terminations. This study compares the efficacy of eutectic mixture of local anaesthetic with amethocaine on pain during venipuncture among term neonates. Methods: A randomized clinical trial was conducted with 70 term neonates who underwent venepuncture in neonatal intensive care unit of a tertiary care centre. A simple random sampling technique was used to enrol the neonates who met the inclusion criteria. Neonatal infant pain scale was used to collect the data. Descriptive and inferential statistics were used to analyse the data. frequency and percentage were used to describe the clinical and demographic variables of the study participants. The efficacy of topical local anaesthetics was analysed using independent student t test. Chi-square test was used to identify the association of level of pain with clinical and demographic characteristics of the neonate. The analysis was done with SPSS 21st version.Results: Compared to amethocaine group, in eutectic mixture of local anaesthetic (EMLA) group only lesser number of neonates experienced severe level of pain and mild to moderate level of pain. Though mean pain score in EMLA group (3.457±1.633) was lesser than amethocaine group (4.000±1.514) it was not significant (p=0.347).Conclusions: The study revealed the efficacy of topical anaesthetics in relieving pain in term neonates during venipuncture.
Clinico-haematological profile and etiology of bi/pancytopenia in children aged six months to eighteen years
Authors: Venkat Rohan D. , Bharani Sheela A. 
Published: March 2021

Background: Bicytopenia/Pancytopenia is frequently found in our clinical practice having diverse etiologies, and still the optimal diagnostic approach remains undefined. Etiologies of bi/pancytopenia vary with genetic conditions, geographical area and the prevalence of infections and nutritional deficiencies in the community. The objective is to identify clinico-haematological profile and etiologies of bi/pancytopenia in children aged 6 months to 18 years from the region of western India. Methods: A descriptive cross-sectional study was done during May 2016 to April 2018. All patients were investigated for identifying a cause of bi/ pancytopenia. Pancytopenia is defined as haemoglobin of<10 gm%, total leukocyte count<4000/mm3 with or without absolute neutrophil count of<1500/mm3, platelet count<1 lac/mm3. Bicytopenia is defined as any reduction in any two cell lineages. Results: From 6109 hospitalized patients, 95 cases of bicytopenia and 79 of pancytopenia were evaluated. Fever, pallor, mucosal and skin bleeding were the predominant symptoms observed. Pallor was found in 90.8% cases followed by hepatomegaly in 64.8% and splenomegaly in 40.8% cases. From both bi/ pancytopenia groups, infective diseases were the common causes found in 87 (50%) cases, followed by malignancies in 28 (16%) cases and megaloblastic anemia in 22 (12.64%) cases. Aplastic anemia was found in 10 cases. Dengue fever and malaria were two common causes observed in bicytopenia group while megaloblastic anemia and acute lymphoblastic leukaemia were found in pancytopenia group. Conclusions: Infective diseases were common causes giving rise to bi/pancytopenia. Pancytopenia is predominantly noticed in the conditions related to bone marrow production or due to infiltrative disorders.
A study to evaluate the diagnostic value investigations in early diagnosis of septicemia in newborn
Authors: Sreedhar S. V. S. , Qureshi Mohammed Mujtaba 
Published: March 2021

Background: The early diagnosis of neonatal septicemia still poses great difficulties. Early clinical symptomatology of neonatal septicemia is mimicked by a lot of other disorders affecting the newborn. To study the diagnostic value of the combination of CRP, absolute neutrophil count, band form count to the total neutrophil ratio in early diagnosis of neonatal septicemia.Methods: A total 75 babies who got admitted to Mahavir institute of medical sciences between October 2018 to September 2019 (12) months were included in the study medical college hospital in a newborn with age less than 3 days and with well-defined maternal risk factors or clinical evidence of sepsis are included in the study. In all neonates, the blood sample was collected from a peripheral vein with all aseptic precautions, before administration of any antibiotic therapy.Results: A total 20 preterm babies (62.5%) were affected by septicemia.12 full-term babies (37.5%) were affected by septicemia. The sensitivity of a lab test is defined as the proportion of infants with proven sepsis in whom the result is abnormal. Specificity is the proportion of healthy infants in whom the result is normal.Conclusions. When both CRP and band form to mature neutrophil counts were positive the sensitivity and the negative predictive value were high compared to other combinations of two.
Obesidade e as Intervenções Governamentais: análise de macrocontigências e metacontigencias
Authors: De Melo Junior Ivaldo Ferreira , Souza Anna Carolina Gonçalves , Baia Fábio Henrique , Neves Sônia Maria Mello 
Published: March 2021

Resumo: este trabalho apresenta a visão analítico-comportamental nos três níveis de seleção de fatores relacionados à obesidade. São discutidos como cada nível de seleção determina comportamentos que produzem obesidade. A insuficiência da consideração da obesidade de modo individual é destacada. A atual epidemia da obesidade exige a consideração de fenômenos comportamentais no terceiro nível da cultura. Por fim, são discutidos políticas públicas que tentam intervir a partir da alteração de práticas culturais para alterar o atual status da epidemia da obesidade.
Palavras-chave: Obesidade. Políticas Publicas. Práticas Culturais. Macrocontingências. Metacontingências.
Modelo Cognitivo-Comportamental para Tratamento de Crianças Obesas com Compulsão Alimentar Periódica
Authors: Borges Janine De Melo , Neves Sônia Maria Mello 
Published: March 2021

Resumo: objetivou-se adaptar o tratamento Cognitivo-Comportamental à população infantil obesa com Transtorno de Compulsão Alimentar Periódica, verificar a eficácia deste e a redução do peso. Seis crianças participaram de nove sessões em grupo que visaram: modificação dos hábitos alimentares, reestruturação cognitiva, entre outros. Os resultados obtidos confirmam eficácia do tratamento na mudança comportamental, na reestruturação cognitiva e na perda de peso.
Palavras-chave: crianças; obesidade; tratamento cognitivo-comportamental; transtorno de compulsão alimentar periódica; procedimentos e recursos lúdicos.
Avaliação Psicológica e Imagem Corporal no Preparo para Cirurgia Bariátrica
Authors: De Faria Margareth Regina G. Veríssimo , Ferreira Claudia Cezar , Prado Jéssica Inácio De Almeida 
Published: March 2021

Resumo: este artigo tem como objetivo avaliar a imagem corporal de pessoas obesas em preparo para cirurgia bariátrica. A avaliação utilizou aplicação do Desenho da Figura Humana e entrevistas. Os resultados mostraram a dificuldade de enfrentamento da realidade, preocupação com o passado, ansiedade, sentimento de inadequação e frustrações. Analisados de forma contextualizada são coerentes com a história de vida dos pacientes.
Palavras-chave: Paulo. Imagem corporal. Obesidade. Cirurgia bariátrica.
ACOMPANHAMENTO ESPECIALIZADO DE ADOLESCENTES EM SITUAÇÃO DE VIOLÊNCIA SEXUAL NA CIDADE DE MANAUS
Authors: Fernandez Cristiane Bonfim , Silva Susy Ellen Pacheco da 
Published: March 2021

Este artigo faz uma reflexão sobre o acompanhamento especializado de adolescentes em situação de violência sexual considerando a perspectiva de adolescentes e familiares atendidos no Centro de Referência Especializada em Assistência Social (CREAS) na cidade de Manaus. Trata de uma pesquisa empírica cujos sujeitos são quatro adolescentes e quatro mães atendidas pelo Serviço de Proteção e Atendimento Especializado a Famílias e Indivíduos (PAEFI). Os resultados apontam que o CREAS, como unidade especializada, tem cumprido seu papel no enfrentamento da violência sexual contra adolescentes, garantindo à população usuária o direito de um atendimento qualificado que tem contribuído para o fortalecimento das famílias, a redução e a superação dos impactos da violência sexual na vida de adolescentes e de seus familiares.Palavras-chave: Adolescentes. Violência sexual. Família.SPECIALIZED MONITORING OF ADOLESCENTS IN SITUATION OF SEXUAL VIOLENCE IN THE CITY OF MANAUSAbstractThis paper reflects on the specialized monitoring of adolescents in situations of sexual violence considering the perspective of adolescents and family members attended at the Specialized Reference Center for Social Assistance (CREAS) in the city of Manaus. This is an empirical research whose subjects are four adolescents and four mothers attended by the Protection and Specialized Service to Families and Individuals (PAEFI). The results show that CREAS, as a specialized unit, has fulfilled its role in facing sexual violence against adolescents, guaranteeing the user population the right to a qualified servicethat has contributed to the strengthening of families, reducing and overcoming the impacts of violence in the lives of adolescents and their families.Keywords: Adolescents. Sexual violence. Family.
COMITÊS DE FRONTEIRA E A INTEGRAÇÃO TRANSFRONTEIRIÇA: possibilidades e impasses
Authors: Nogueira Vera Maria Ribeiro , Fagundes Helenara Silveira , Kreutz Ineiva Teresinha 
Published: March 2021

Este texto aborda os Comitês de Fronteira, dispositivos legais e orgânicos ministeriais de cada Estado nacional em relação à ação federal nas franjas fronteiriças. Tem como objetivos resgatar os aspectos legais incidentes sobre as comissões de fronteira, a configuração das estruturas organizacionais e o impacto no alcance da proteção social na região. Obtém os dados documentais em banco de dados do Instituto Social do Mercosul sobre cidadania social em cidades gêmeas e realiza entrevistas com gestores das áreas da saúde e assistência social. Os resultados assinalam a diversidade existenteentre as Comissões e o funcionamento distinto em termos de frequência de reuniões, pautas agendadas, relação com níveis hierárquicos. Apontam, ainda, para dificuldade de relação com as demais instâncias nacionais, a reduzida autonomia para acordos formais e reconhecimento regional.Palavras chave: Integração transfronteiriça. Comissões de Fronteira. Proteção social em fronteiras. Paradiplomacia.BORDER COMMITTEES AND CROSS-BORDER INTEGRATION: possibilities and impasses.AbstractThis paper addresses the Border Committees, legal and organic ministerial devices of each state concerned with federal action on border fringes. It aims to retrieve the legal factors impinging on such border commissions, the configuration of their organizational structures and their impact on the reach of social protection in the areas covered. Documentary data was obtained from the Mercosur Social Institute’s database on social citizenship in twin cities. Interviews were also conducted with health and social care managers. The results, point to a diversity between committees, with distinct operations regarding frequency of meetings, scheduled agendas and relationship with hierarchical levels. They also suggest difficult relationships with other national bodies, reduced autonomy with regard to formal agreements and regional recognition.Keywords: Cross-border integration. Border Commissions. Social protection at borders. Paradiplomacy.
SUJEITOS COLETIVOS NA ESTEIRA DA GLOBALIZAÇÃO: a voz da classe trabalhadora brasileira
Authors: Carvalho Pollyanna de Souza 
Published: March 2021

Oriundo de pesquisa bibliográfica, o estudo discute os conflitos e as lutas sociais travadas pela classe trabalhadora no Brasil pós-1970, demonstrando um contexto marcado pelo autoritarismo, violência, repressão, expropriações urbanas, injustiças sociais e militarização das ações coletivas, essencialmente após a reestruturação produtiva e advento de uma economia financeirizada, seguida pelas mercantilizações, privatizações e desmonte dos direitos de cidadania. Por outro lado, salienta a potencialidade de ressignificação dos itinerários de vida pela classe trabalhadora, movimentos sociais eações coletivas, além do uso dos espaços públicos para debates, ampliação de agendas públicas e negociação com o poder público, para não reproduzir o movimento de subalternidade e expropriação dos grupos da política e participação, dos serviços e da socialização da riqueza produzida.Palavras-chave: Capitalismo contemporâneo. Brasil. Estado. Lutas sociais. Direitos.COLLECTIVE SUBJECTS ON THE LINE OF GLOBALIZATION: the voice of Brazilian working classAbstractFrom bibliographic research, the study debates about the conflicts and social struggles fought by the working class in the Brazil post-1970s, demonstrating a scenario marked by authoritarianism, violence, repression, urban expropriations, social injustices and the militarization of collective actions, especially after the productive restructuring and the advent of a financial economy, followed by mercantilizations, privatizations and dismantling of citizenship rights. On the other side, shows the potentiality of resignifying life paths by the working class, social movements and collective actions, in addition to the use ofpublic spaces for debates, expansion of public schedule and negotiation with public power, to not to reproduce the movement of subordination and expropriation of groups of politics and participation, services and the socialization of wealth produced. Keywords: Contemporary capitalism. Brazil. State. Social struggles. Rights.
DO BRASIL PARA MOÇAMBIQUE: transferência e implementação do programa mais alimentos
Authors: Oliveira Letícia Cunha de Andrade , Schor Adriana 
Published: March 2021

O Programa Mais Alimentos Internacional combina a convencional cooperação técnica em agricultura com uma linha de crédito direcionada a pequenos agricultores moçambicanos para aquisição de maquinário brasileiro para o mercado agrícola. O objetivo deste artigo é analisar o processo de implementação do PMAI em Moçambique. Para tanto, realiza cerca de quarenta entrevistas no Brasil e em Moçambique, uma pesquisa de campo de quinze dias em onze municípios de Moçambique, inclusive na zona rural, e análise de comunicação telegráfica entre os governos brasileiro e moçambicano. Acombinação dessas técnicas permitiu concluir que a) o PMAI em Moçambique não impactou significativamente nenhum dos lados envolvidos na cooperação, b) o Brasil pode superar o discurso tradicional da diplomacia e se beneficiar dacooperação sul-sul através de ganhos comerciais e c) o PMAI, embora tenha proporcionado aumento da produtividade dos agricultores moçambicanos de forma geral, esbarrou no problema do acesso ao mercado.Palavras-chave: Programa Mais Alimentos Internacional. Brasil. Moçambique. Transferência. Implementação.FROM BRAZIL TO MOZAMBIQUE: transference and implementation of More Food ProgramAbstractMore Food Program combines the conventional technical cooperation in agriculture with a credit line directed to Mozambican small farmers for acquiring Brazilian agricultural machinery. This article aims at analyzing MFP’s implementation in Mozambique, goal that was fulfilled through the following techniques - almost forty interviews in Brazil and Mozambique, a field research in eleven Mozambican municipalities, including the rural zone, and analysis of telegraphic communication between Brazilian and Mozambican governments. The combination of these techniques showed that a) MFP did not materially impact any of the sides involved in this cooperation, b) Brazil can overcome traditional diplomatic discourse and benefit from south-south cooperation through commercial gains and c) MFP enables Mozambican farmers to increase their productivity but comes into conflict with market access issues.Keywords: More Food International Program. Brazil. Mozambique. Transference. Implementation.
KARAKTERISTIK MORFOLOGI DAN KIMIAWI BEBERAPA VARIETAS UBI KAYU MANIS ASAL KECAMATAN PALAS, KABUPATEN LAMPUNG SELATAN BERDASARKAN UMUR PANEN YANG BERBEDA
Authors: Nurdjanah Siti , Susilawati Susilawati , Hasanudin Udin , Anitasari Ayu 
Published: March 2021

Most of cassava grown in Palas, South Lampung District is sweet type cassava (Manihot esculenta Crantz) utilized as raw materials for cassava-based snack production. However, their characteristic had never been reported. The aims of the research were to determine the effect of varieties, harvesting age, and interaction between varieties and the harvesting age on morphology and chemical characteristics of sweet type cassava planted in Palas District, South Lampung. The experiment was factorial and arranged in a Complete Randomized Block Design (CRBD) with two factors and four replications. The first factor was cassava variety, i.e., manalagi (V1), mentega (V2), and krembi (V3). The second factor was the harvest age (U) i.e., 7-8 months (U1) and 8-9 months (U2). Morphology data were reported descriptively, while data for other characteristics were tested for homogeneity and additivity using Barlett and Tuckey test, then subjected to ANOVA, and further tested using Duncan test at the level of 5%. The results showed that the variety and harvest age significantly affected of water content, starch yield, starch content, amylose, and amylopectin. There was a significant interaction between varieties and age of harvest on moisture content, starch yield, and starch content, but there was no significant interaction effect on amylose and amylopectin. The highest value of moisture content was found in manalagi aged at 7-8 months (67.28% wb), the highest value of starch yield was found in manalagi age at 8-9 months of (16.34%), the highest value of starch content was found in mentega aged at 8-9 of months (17.52 % wb), the highest value of amylose was found in mentega aged at 8-9 of month (10.35% db), the highest value of amylopectin was found in krembi aged at 7-8 of month (92.78% db). Overall, krembi, manalagi, and mentega can be categorized as low-amylose cassava which has potential to be developed as raw material for crispy cassava-based snack.
Keywords: harvesting age, krembi, low-amylose cassava, manalagi, mentega
PENDUGAAN UMUR SIMPAN MAKANAN TRADISIONAL BERBAHAN DASAR BERAS DENGAN METODE ACCELERATED SHELF-LIFE TESTING (ASLT) MELALUI PENDEKATAN ARRHENIUS DAN KADAR AIR KRITIS
Authors: Nuraini Vivi , Widanti Yannie Asrie 
Published: March 2021

The expired date is important information that consumers should know. However, many traditional foods have not written an expiration due date. The purpose of this study was to estimate the shelf life of two (2) types of traditional rice-based foods intip and kembang goyang. Estimation of shelf life was carried out using the Accelerated Shelf-life Testing (ASLT) method using the Arrhenius approach and the critical moisture content approach. The calculation of shelf life in the Arrhenius approach to kembang goyang has been obtained respectively 0.45 months, 0.50 months, and 0.47 months at respective temperatures (25oC, 35oC and 45oC). The results of shelf life kembang goyang through the water content approach obtained 0.43 months at 75% RH. The results of the arrhenius approach to intip showed that shelf life of 0.37 months, 0.45 months, and 0.53 months at each temperature (25oC, 35oC, and 45oC). The critical water content approach for intip has obtained a shelf life of 0.58 months (RH 75%). Intip has a slightly larger shelf life when analyzed using the critical moisture content method.
Keywords: ASLT, intip, kembang goyang, shelf life