bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical efficacy of ultrasound-guided injection in the treatment of olecranon subcutaneous bursitis
Authors: Wu Yanyan , Chen Qin , Chen Kai , He Fanding , Quan Jierong , Chen Shiyin , Guo Xuanyan 
Published: October 2019

BACKGROUND: Recent studies have shown that ultrasound-guided injection of glucocorticoids is superior to blind puncture methods. OBJECTIVE: To evaluate clinical efficacy of ultrasound-guided drug injection in the treatment of olecranon subcutaneous bursitis. METHODS: From June 2016 to September 2018, 45 patients diagnosed with obvious synovial effusion and treated with ultrasound-guided injection therapy for olecranon bursitis were included in this study. Under the guidance of ultrasound, the synovial effusion aspiration was performed and 2 ml of the compound betamethasone mixture was injected into the bursae and dressed under pressure. Ultrasound examination was performed 2 weeks after operation and the secondary fluid aspiration and drug injection treatment were performed. The depth of synovial effusion, the thickness of synovial hyperplasia and the blood flow signal were measured 4 weeks after operation to evaluate the therapeutic effect. RESULTS: After first treatment, the recurrence rate of the olecranon mass were 40%. After secondary treatment, recurrence of olecranon mass occurred in 6 of the 45 patients with a recurrence rate of 13.3%. After 4 weeks of follow-up, the depth of olecranon synovial effusion, the average thickness of synovial hyperplasia and the blood flow signal decreased significantly after treatment ( P < 0.05). CONCLUSIONS: Ultrasound-guided drug injection is safe and effective in treating olecranon subcutaneous bursitis. Although the recurrence rate is high after the first treatment, the second treatment is simple and can reduce the recurrence rate. The patients have a high acceptance rate, which is worthy of clinical promotion.
Adolescent and young adult oncology—past, present, and future
Authors: Close Allison G. , Dreyzin Alexandra , Miller Kimberly D. , Seynnaeve Brittani K.N. , Rapkin Louis B. 
Published: October 2019

AbstractThere are nearly 70,000 new cancer diagnoses made annually in adolescents and young adults (AYAs) in the United States. Historically, AYA patients with cancer, aged 15 to 39 years, have not shown the same improved survival as older or younger cohorts. This article reviews the contemporary cancer incidence and survival data through 2015 for the AYA patient population based on the National Cancer Institute's Surveillance, Epidemiology, and End Results registry program and the North American Association of Central Cancer Registries. Mortality data through 2016 from the Centers for Disease Control and Prevention's National Center for Health Statistics are also described. Encouragingly, absolute and relative increases in 5‐year survival for AYA cancers have paralleled those of childhood cancers since the year 2000. There has been increasing attention to these vulnerable patients and improved partnerships and collaboration between adult and pediatric oncology; however, obstacles to the care of this population still occur at multiple levels. These vulnerabilities fall into 3 significant categories: research efforts and trial enrollment directed toward AYA malignancies, access to care and insurance coverage, and AYA‐specific psychosocial support. It is critical for providers and health care delivery systems to recognize that the AYA population remains vulnerable to provider and societal complacency.
Withholding and Withdrawal of Life-Sustaining Treatments in critically ill ICU patients: A study on attitude of Physicians of Bangladesh
Authors: Faruq Mohammad Omar , Nooruzzaman ARM , Tamanna Rownak Jahan , Sultana Amina , Mallick Uzzwal Kumar , Asaduzzaman Mohammad , Islam Mohammad Motiul , Islam Md Sirajul , Khanam Rawshan Arra , Habib Samira Humaira , Choudhury Ashiq Haider 
Published: October 2019

Background : This study is a sub analysis of data submitted on behalf of Bangladesh in an International study ( ACME 2012) involving physicians working in Asian ICUs.
Objective : To describe attitude of physicians of ICUs of Bangladesh toward withholding and withdrawal of life sustaining treatments in end of life care, to assess factors associated with these observations and to compare the findings especially with those of physicians of low – middle income Asian ICUs.
Method : Self-administered pre-set structured and scenario based survey conducted among 101 physicians working in 38 ICUs of Bangladesh.
Results : For patients with no real chance of recovering a meaningful life, 20 of 101 respondents reported that they almost always or often withheld life-sustaining treatments and 18 of 101 respondents almost always or often withdrew life-sustaining treatments.44 respondents in our study reported that they almost always or often withheld life sustaining treatments whereas 10 respondents almost always or often withdrew life sustaining treatments. 72% of all our respondents would implement DNR orders. In Bangladesh, religion (Islam) does not influence decision of complying with DNR order requested by family. Our study showed 71% of physicians were more likely to “do everything” if a patient with hypoxic-ischaemic encephalopathy developed septic shock. In our study, physicians were more ready to withdraw vasopressors and hemo dialysis than enteral feeding and intravenous fluids. Physicians from Bangladesh generally perceived more legal risk with limitation of life sustaining treatments because of lack of legislation for such practices. When it comes to limit aggressive lifesaving treatments, Bangladeshi physicians were less likely accede to families request to withdraw them on financial ground.
Conclusion : Like physicians of low-middle income countries of Asia, Bangladeshi ICU physicians’ self-reported practice of limiting life sustaining treatments, role of families and surrogates and perception of legal rights were significantly different than physicians of high income countries of Asia. However unlike physicians from other low income Asian countries, physicians from Bangladesh were less likely to accede to families request to withdraw life sustaining treatments on financial ground.
Bangladesh Crit Care J September 2019; 7(2): 66-72
FNAC of Hepatic Malignancy and it’s Clinical Correlation.
Authors: Manik Abul Hayat , Ekram Rezaul , Mallik Pranab Kumar , Mahzabeen Moushumi , Islam Md. Rafikul , Amin Md. Robed 
Published: October 2019

Background: Hepatic malignancy is an important clinical condition which is associated with poor outcome. Clinicalassessment of a patient with hepatic malignancy is crucial to sort out the primary and secondary, and so biochemicaland radiological investigations are needed. Hence fine needle aspiration cytology (FNAC) of the lesion is essentialwhich is a minimal invasive procedure to combat a deadly disease.
Objective: The aim of this prospective cross sectional observational study was clinical assessment of primary andsecondary hepatic malignancy and its co-relation with FNAC of hepatic malignancy.
Methods: Patients admitted in Medicine Department, Dhaka medical College, with hepatic malignancy from January2013 to June 2014 and then confirmed by FNAC (USG guided) of liver mass were included in the study. A total 100patients were enrolled in the study in a non-random convenient sampling method.
Result: In this study 42 patients were found having primary Hepatocellular Carcinoma (HCC) and 58 patients hadsecondary hepatic malignancy. FNAC confirmed secondary hepatic malignancy (n=58) as metastatic adenocarcinoma43(74.1%), metastatic small cell carcinoma 9(15.5%), Gastro Intestinal Stromal Tumour (GIST) 2(3.4%), squamouscell carcinoma 2(3.4%) & Non Hodgkins lymphoma 2(3.4%). Most of the patients of primary hepatic malignancybetween 20-40 years 18(42.9%) and secondary hepatic malignancy between 40-60 years 35(60.3%). Incidence in maleis more in both primary 31(73.8%) and secondary 38(65.5%) hepatic malignancy. Both HCC and secondariespredominantly presents with abdominal pain, 39(92.9%) cases of HCC and 47(81.0%) of secondaries. Incidence ofmultiple lesion in ultrasonogram is more in both primary 30(71.4%) and secondary 47(81.0%) hepatic malignancy.Positive HBsAg, Positive Anti HBc (total), Positive Anti HCV were found in 15(35.7%), 11(26.2%) and 9(21.4%) casesof HCC respectively. Positive Alpha Feto Protein (AFP) was found insignificant in this study.
Conclusion: Fine Needle Aspiration (FNA) is a useful diagnostic test for evaluating patients with discrete hepaticmasses. Correlation with clinical, radiological and cytological findings is helpful in arriving at the correct diagnosisand therefore increases overall accuracy and cost-effectiveness of the procedure.
Bangladesh Crit Care J September 2019; 7(2): 81-85
Rrefractory Metabolic Acidosis in a Diabetic Patient : A case of Unsuspected Methanol Intoxication
Authors: Mallick Uzzwal Kumar , Shahid S M Hossain , Faruq Mohammad Omar , Asaduzzaman Mohammad , Sultana Amina , Asha Aflatun 
Published: October 2019

We present a case of a 45 years old male, diabetic and hypertensive who was admited into hospital with a history ofrestlessness, blurring of vision and breathlessness for one day. Inspite of conservative treatment for 10 hours, hisgeneral condition gradually detoriated and he was shifted to ICU. He was kept on mechanical ventilator. Hislaboratory results showed severe high anion gap metabolic acidosis not corrected by sodibicarb and adequate fluidresuscitation. MRI of brain showed bilateral putamenal lesion suspecting methanol intoxication. His acidosis persistedand after giving 3 sessions of Sustained Low Efficiency Dialysis (SLED), metabolic acidosis was corrected withnormalization of renal function. After six months in a follow-up, patient complained of total blindness and fundalphotography showed bilateral optic atrophy.
Bangladesh Crit Care J September 2019; 7(2): 111-112
O TRABALHO DO MOTORISTA DE UBER – UMA ALTERNATIVA AO DESEMPREGO ?
Authors: Bezerra Lina Elisabeth Rodrigues 
Published: October 2019

Esta pesquisa teve por objetivo descrever e analisar o sentido e as relações de trabalho para os motoristas do Uber, na cidade de Belo Horizonte, verificando se e até que ponto esta atividade pode representar uma alternativa para o desemprego. Realizou-se uma pesquisa qualitativa com nove motoristas, que se cadastraram na empresa após a vivência do desemprego. Efetuou-se entrevistas abertas e semiestruturadas que foram transcritas e posteriormente analisadas. Constatou-se que a atividade no Uber atendeu às necessidades mais urgentes dos motoristas, como a de obter uma renda imediata ou ocupar o tempo ocioso, reduzindo a auto cobrança e a pressão familiar, além de aliviar os impactos negativos ocasionados pela vivência do desemprego. Percebeu-se também a preocupação dos motoristas com a ausência de amparos legais e trabalhistas, fator que juntamente com a exploração da mão de obra e dos próprios recursos dos motoristas, parece aumentar os lucros da empresa. Os resultados apontaram que o Uber é, de fato, uma alternativa para o desemprego, mas de forma mais imediata e provisória, necessitando de uma regulação para este novo tipo de atividade, a fim de proteger os trabalhadores da precarização. Os resultados apresentados nesta pesquisa podem servir de subsídios para formulação de políticas de regulação deste novo tipo de atividade, bem como contribuir para novos estudos sobre o tema.Palavras-Chave: Trabalho. Desemprego. Motoristas. Uber. UBER DRIVERS WORK – AN ALTERNATIVE FOR UNEMPLOYMENT?Abstract: This research purpose was to describe and to analyse the meaning and the work relations for the Uber’s drivers in Belo Horizonte city, verifying if and to what extent this activity represents an alternative for unemployment. Nine drivers who enrolled in the business after experiencing unemployment underwent a qualitative research. Open and semi-structured interviews were conducted, transcribed and subsequently analyzed. It was determined that the Uber activity attended the driver’s urgent needs, such as the possibility of immediate income and time occupation, relieving the pressure of self and family’s expectations, reducing the negatives impacts occasioned by the struggle as an unemployed. The drivers worry about the lack of labor legal support was also noticed, factor that combined with the labor exploration and the driver’s own resources, seems to increase the company’s profit. The results demonstrated that the Uber is, in fact, an alternative for unemployment, however as in an immediate and temporary manner and there is a demand for a regulation for this new type of activity in order to protect the workers from labor conditions increasingly precarious. The results presented in the research can serve as subsidies for the formulation of politics regulation for this new type of activity, as well as to contribute for new studies about the theme.Keywords: Work. Unemployment. Drivers. Uber.
MEMAHAMI RELIEF-RELIEF PADA CANDI-CANDI KERAJAAN-KERAJAAN KEDIRI, SINGASARI DAN MAJAPAHIT DI JAWA TIMUR
Authors: Eni Sri Pare 
Published: October 2019

Architecture of the ancient kingdoms of Kediri, Singasari and Majapahit, have the same religion that is Hindu and Buddhist shrines, which requires either a temple. Each temple has a good difference in the environment, culture technology, function, and form of the building.The method of the description will be used here to be able to give you an idea of the temple reliefs in details.Each temple has a different relief and can be found on the head / body / foot which tells about the life story or series, or legend of a moral message containing the story.
PENINGKATAN KOMITMEN PROFESI GURU MELALUI PENGEMBANGAN KEPRIBADIAN DAN PEMBERDAYAAN
Authors: Fitriyanti Irma , Hardhienata Soewarto , Muharam Hari 
Published: October 2019

Penelitian ini dilakukan dengan menggunakan metode statistik korelasi untuk menentukan apakah variabel lain, yaitu pengembangan kepribadian dan pemberdayaan guru, memiliki hubungan positif dengan komitmen guru terhadap profesi. Berdasarkan hasil ini, analisis dilakukan menggunakan Metode Sitorem untuk membuat rekomendasi dan menentukan urutan prioritas perbaikan yang perlu dibuat. Penelitian dilakukan pada Guru Honor Sekolah Dasar di Kecamatan Bogor Selatan, Kota Bogor dengan populasi penelitian 173 guru dan sampel 121 guru. Hasil penelitian menunjukkan bahwa ada hubungan positif antara pengembangan kepribadian dan komitmen guru terhadap profesi dengan kekuatan hubungan ry1 = 0,686 dan ada hubungan positif antara pemberdayaan guru dan komitmen guru dengan profesi dengan kekuatan hubungan ry2 = 0,651 . Ini menunjukkan bahwa komitmen guru terhadap profesi dapat ditingkatkan melalui pengembangan kepribadian dan dari komponen pemberdayaan guru itu sendiri. Hasil Analisis Sitorem menunjukkan bahwa komponen pengembangan kepribadian, pemberdayaan guru dan komitmen guru untuk profesi menemukan 6 indikator yang terdefinisi dengan baik dan dipertahankan yaitu: 1) Kesadaran, 2) Kecemasan, 3) Pembimbingan Guru, 4) Keterlibatan perasaan, 5) Dorongan berkarir, dan 6) Penerimaan nilai organisasi . Sementara komponen yang perlu ditingkatkan adalah 10 komponen dalam urutan perbaikan prioritas sebagai berikut: 1) Kepatuhan, 2) Keterbukaan, 3) Keramahan, 4) Peningkatan kemampuan guru, 5) Pemotivasian dan dukungan, 6) Penyediaan fasilitas, 7) Kerjasama, 8) Keyakinan pada profesi, 9) Kewajiban terhadap profesi, 10) Perhitungan biaya alih/efek profesi. Kata Kunci: Komitmen Guru Terhadap profesi, Pengembangan Keprbadian, Pemberdayaan Guru, Analisis Sitorem..
La statistique des causes de mortinatalité
Authors: Aubenque Maurice 
Published: October 2019

Dans la présente note on décrit la perte d'information sur la mortalité fœto-infantile (ensemble des mort-nés et des enfants morts au cours de la première année de vie) qui résulte de l'absence d'une statistique des causes de décès des « enfants sans vie » (enfants nés morts ou décédés avant la déclaration de leur naissance à l'état civil). Par suite de la réduction plus importante de la mortalité infantile que de la mortinatalité, le défaut de statistique des cause» de mortinatalité (y compris les enfants déclarés sans vie) concerne maintenant la moitié de la mortalité fœto-infantile. Cette énorme lacune justifie l'organisation d'une statistique des causes de mortinatalité venant compléter la statistique générale des causes de décès et plus particulièrement des causes de mortalité infantile. Une enquête-pilote organisée dans les maternités de l'Assistance publique à Paris a montré qu'il est possible d'obtenir des renseignements sur ces causes de mortalité fœtale et post-natale immédiate, dans les limites d'une information sommaire.
Cette note se base essentiellement sur un rapport préparé par l'I.N.S.E.E. pour la « Commission nationale pour l'étude des problèmes statistiques intéressant la santé publique ».
Nouveaux résultats des enquêtes sur les vacances des français
Authors: Goguel Claude 
Published: October 2019

On trouvera ici les résultats complémentaires et comparés de quatre enquêtes par sondage effectuées par l'I.N.S.E.E. en 1961, 1964, avril et octobre 1965. Il est recommandé de se reporter à l'article de juin 1965 cité en référence où sont exposés la définition des concepts et les principaux résultats de ces enquêtes.
Les vacances d'hiver représentent 15 % de la durée totale des vacances des Français. Les vacances de sports d'hiver 1,5 % seulement : mais leur développement est très rapide. Un million de personnes ont été aux sports d'hiver en 1964-1965. Au total, il y aurait environ deux millions de skieurs en France.
La concentration des départs en vacances d'été est restée pratiquement la même de 1961 à 1965.
Le nombre de séjours de vacances à l'étranger augmente d'environ 15 % par an. En 1964, il y a eu quatre millions de séjours de vacances de Français à l'étranger.
Trois millions de Français ont campé en 1964, mais il arrive de camper à environ cinq millions de personnes distinctes.
En 1970, la moitié environ des Français partiraient en vacances (44 % sont partis en 1964).
Les dépenses de vacances représentent une part à peu près constante du budget familial des ménages qui partent en vacances.
Professores de Cursos de Administração: Fatores que Qualificam o Ensino em uma Escola de Negócios
Authors: Fontanini Carlos Augusto Candêo , Filipak Sirley  Filipak Terezinha , Krast Jakeline , Ens Romilda Teodora 
Published: October 2019

O presente tem por objetivo identificar os fatores que qualificam o ensino de professores de cursos de administração de uma escola de negócios. No campo da administração, a formação continuada de professores com ênfase nos aspectos pedagógicos e didáticos não tem acontecido. Essa pesquisa delineada como estudo de caso, realizado por meio de entrevista em profundidade, com 14 (quatorze) professores dos quarenta contratados e que atuam no curso de administração da Escola de Negócios de uma instituição de educação superior privada de grande porte. Os professores são graduados em administração. Possuem mestrado e doutorado também em administração atuando na educação superior há mais de oito anos. Os resultados revelam que dentre os fatores que qualificam o ensino dos professores para melhoria das suas aulas, estão: os fóruns de discussão em sala de aula; sala invertida, que é a técnica em que os alunos interagem um com os outros a partir das suas experências profissionais; peer tutoring; o estímulo à participação dos alunos; a própria motivação do professor emsala de aula. Nesse protagonismo, os professores desenvolvem e utilizam estratégias para fomentar o contato aluno-professor; encorajar a cooperação entre os alunos; incentivar e respeitar os estilos de aprendizagem ativa e mediar feedback imediato aos alunos.Palavras-chave: Formação de Professores de Cursos de Administração. Formação do administrador. Estratégias de Ensino-Aprendizagem.
Relação Teoria e Prática na Formação Inicial e Continuada da Docência em História – uma Experiência de Pesquisa
Authors: Da Cunha Jorge Luiz , Da Rosa Juliano de Melo , Marin Marilú Favarin 
Published: October 2019

Uma vez que a Educação, hoje, ainda se pauta em condições instrumentais mínimas requeridas pelo contexto mundial, que condições seriam necessárias para que cidadãos e cidadãs possam desejar, participar e atuar para transformar este contexto? Ou, quais são os novos paradigmas científicos mais adequados a uma prática mais condizente com os atuais modelos teóricos, especialmente os vinculados ao ensino de história? Ou ainda, quais seriam as novas propostas educacionais que poderiam apontar para mudanças significativas nesse novo cenário social, político e culturais? Na busca de respostas para estas questões foi desenvolvido o projeto de pesquisa. A relação teoria e prática na formação inicial e continuada de docentes em história: o caso da UFSM e escolas da educação básica, na região central do Rio Grande do Sul, à luz da concepção de didática da história e educação histórica, entre os anos de 2011 e 2013, pelos participantes dos grupos de pesquisa JANUS -Grupo de Investigação e Produção em Educação Histórica, História e Educação e CLIO - Núcleo de Estudos sobre Memória e Educação, vinculados a unidades de ensino da Universidade Federal de Santa Maria – UFSM, cujo desenvolvimento e resultados são uma contribuição para o ensino da história na América Latina.Palavras-chave: Ensino de história. Docência em História. Pesquisa sobre teoria e prática.
Empatia Pedagógica como Possibilidade Metodológica para o Trabalho com a Temporalidade em Sala de Aula
Authors: Santos Anilton Diogo , Cainelli Marlene Rosa 
Published: October 2019

Este artigo apresenta uma discussão inicial sobre o conceito de “empatia pedagógica” proposto por nós como um modelo de explicação sobre a metodologia do ensino de conteúdos históricos durante as aulas de História. Partimos de Cainelli (2008) e de sua concepção de atrativo pedagógico, na qual, ela aponta a existência durante as aulas de História de uma espécie de desconstrução dos conteúdos históricos a fim de facilitar o acesso dos alunos, que estão no presente, a esse conteúdo. Aliamos e relacionamos a proposta de Cainelli ao conceito de empatia proposto por Lee (2003; 2006) e o processo de construção de sentido advogado por Rüsen (2015) para aferir que, muitas vezes, a dinâmica da aprendizagem histórica passa pela utilização por parte do(a) professor(a) do conteúdo histórico como fomentador de um processo empático, transformando o próprio conteúdo em uma possibilidade pedagógica, sendo essa prática metodológica de uso do conteúdo como provocador de um espaço de experiência condicionante para aprendizagem, o que chamamos de “empatia pedagógica”. Para chegar a essa conclusão apresentamos eventos de aulas, obtidos por nós, através do uso do caderno de campo.Palavras-chave: Empatia Pedagógica. Ensino de História. Educação Histórica.