bluuebunny/crossref_metadata_2025_split huggingface dataset:
PERFORMATIZANDO A LEITURA DO TEXTO DRAMÁTICO INFANTIL: UMA PROPOSTA PARA SALA DE AULA
Authors: Arruda Aline Oliveira , Tavares Márcia , Araújo Lanaiza do Nascimento Silva 
Published: September 2019

Um determinado modo de ler o texto literário pode oportunizar ao discente um novo direcionamento para compreender a significação de palavras e sentidos, cuja experimentação pode ser viável por meio de outros meios metodológicos, como por exemplo, a performance, uma vez que a leitura se desenvolve de forma oralizada (e em movimento), individual e em grupo. Nessa perspectiva, objetivamos apresentar uma proposta de leitura do texto dramático infantil para a sala de aula por meio da leitura do texto Maria Roupa de Palha, de Lourdes Ramalho (2008), destacando o método performático como instrumento para se ler o texto dramatúrgico. Metodologicamente, discorremos sobre a leitura do texto dramático, traremos informações sobre a autora estudada, bem como a obra corpus de nossa investigação, e apresentamos uma proposta para ser desenvolvida com alunos do Ensino Fundamental. Nossos pressupostos teóricos estão fundamentados principalmente em Kefalás (2010; 2018), Grazioli (2007) e Camaroti (2005), dentre outros.
PENANGGULANGAN STUNTING DAN PEMBERIAN ASUPAN NUTRISI DENGAN KEJADIAN STATUS GIZI PADA ANAK USIA 0-5 TAHUN
Authors: Ana Samiatul Milah  , Dini Nurbaeti Zen  , Nina Rosdiana  
Published: September 2019

Stunting adalah kurang gizi kronis yang disebabkan oleh kurangnya asupan nutrisi (Karbohidrat,Protein, vitamin, mineral, lemak) dalam waktu yang cukup lama, sehingga mengakibatkan gangguan pertumbuhan pada anak dalam usia pertumbuhan yakni tinggi badan anak menjadi lebih rendah atau pendek dari standar usianya. Pola asuh yang benar bisa ditempuh dengan memberikan perhatian yang penuh serta kasih sayang pada anak, memberinya waktu yang cukup untuk menikmati kebersamaan dengan seluruh anggota keluarga. Kejadian ini terjadi di Kabupaten ciamis yang kami teliti pada bulan periode Februari â€“ Juli Tahun 2019. Penelitian ini bertujuan untuk mendapatkan Penanggulangan Stunting dan pemberian asupan nutrisi dengan kejadian status gizi pada anak usia 0-5 tahun di desa baregbeg kabupaten ciamis tahun 2019. Metode yang digunakan dalam penelitian ini adalah dengan metode penelitian deskriptif. Sampel yang digunakan adalah semua ibu yang memiliki balita 0-5 tahun di Desa Baregbeg Kecamatan Baregbeg Kabupaten ciamis sebanyak 74 orang dengan menggunakan teknik simple random sampling.Hasil penelitian ini menunjukan diantaranya status gizi balita adalah kategori gizi kurang sebanyak 43 orang (58,1%), kebiasaan pemberian makan kategori cukup sebanyak 58 orang (91,9%), kebiasaan pengasuhan kategori kurang 35 responden (47,4%), kebiasaan kebersihan kategori cukup sebanyak 39 orang (52,7%), kebiasaan pelayanan kesehatan kategori cukup sebanyak 38 orang (51,3%).Dari hasil penelitian ini dapat disimpulkan bahwa angka status gizi di desa Baregbeg Kecamatan Baregbeg Kabupaten Ciamis tahun 2019 berada dalam kategori kurang sebanyak 43 orang (58,1%). Keimpulan, Dari pengetahuan tentang hasil penelitian ini diharapkan terjadinya Suatu peningkatan peran dan fungsi ibu yang sebenarnya dalam pola pengasuhan balita agar angka status gizi yang diharapkan meningkat menjadi lebih baik demi terciptanya generasi yang lebih baik untuk kemajuan bangsa dan negara Indonesia.
PENGARUH BRIDGING EXERCISE TERHADAP PERUBAHAN KEKUATAN OTOT PADA PASIEN STROKE DI RS BETHESDA YOGYAKARTA
Authors: Ismoyowati Tri Wahyuni 
Published: September 2019

Latar belakang: Stroke merupakan penyebab kecacatan pertama dan penyebab kematian ketiga setelah penyakit jantung coroner dan kanker. Gejala sisa stroke banyak menyebabkan kecacatan permanen (Hinkle & Cheever, 2014). Lewis, et, al (2011) menyatakan bahwa stroke dapat mengakibatkan hilangnya fungsi motorik. Fungsi motorik tersebut dapat ditingkatkan dengan adanya latihan aktif dari pasien (Smith, 2008), salah satu bentuk latihan ini adalah bridging exercise. Tujuan penelitian ini adalah menganalis pengaruh latihan Bridging Exercise terhadap perubahan kekuatan otot pada pasien Stroke. Metode Penelitian: menggunakan quasi eksperimental design dengan pretest-posttest control group design. Populasi dalam penelitian ini adalah 30 pasien Stroke di RS Bethesda yang dirawat pada bulan Oktober 2018, terdiri dari kelompok intervensi Bridging Exercise 15 responden dan kelompok kontrol 15 responden. Hasil Penelitian: uji beda two related samples t-test didapatkan p=0,000 , artinyaBridging Exercise memberikan pengaruh yang lebih baik terhadap perubahan kekuatan otot. Latihan Bridging Exersice (BE) yang dilakukan pada pasien stroke 1 kali sehari dengan 8 kali repetisi dilakukan selama satu minggu. Penelitian ini diharapkan dapat pengembangan pelayanan pada pasien stroke di Indonesia dan menjadi dasar dalam penyusunan Standard Operating Procedure (SOP).
Kata Kunci : Bridging Exercise, stroke, kekuatan otot

ABSTRACT
Background: stroke is the first cause of disability and the third leading cause of death after coronary heart disease and cancer. The sequelae of stroke cause permanent disability. (Hinkle & Cheever, 2014). Lewis, et, al (2011) states that a stroke can result in loss of motor function. Motor function can be improved by active exercise from the patient ( Smith, 2008 ), one form of he exercise is bridging exercise. The goal of this research is to analyze the effect of bridging exercise on changes in muscle strength in stroke patients. Research methods: with quasi eksperimental, pretest-posttest control group design. The population in this research was 30 stroke patients at the Bethesda Hospital who were treated in October 2018, consist of a bridging exercises intervention group of 15 respondents and a control group of 15 respondents. Research result: different test two related samples t-test obtaining p=0,000 , that means bridging exercises give out the better result on changes in muscle strength. Bridging Exercises ( BE ) performed on stroke patients once a day with 8 repetitions performed for a week. This research is expected to be able to develop services in stroke patients in Indonesia and become the basis for the preparation of Standard Operating Procedure.
Keyword: Bridging Exercise, stroke, muscle strength
Anterior Transposition of the Inferior Oblique
Authors: Elliott Richard L , Nankin Sheldon J 
Published: September 2019

Abstract
Modification of the standard recession of the inferior oblique muscle for overacting inferior obliques has been performed by the authors. The inferior oblique has been detached from the globe as in the usual recession procedure, but has been reattached slightly anterior to the temporal border of the insertion of the inferior rectus. The results in 64 anterior transpositions are compared to the results in 90 standard recessions varying from 8 to 14 mm in magnitude. Our analysis shows that anterior transposition appears to be an effective procedure in eliminating inferior oblique overaction. It also produced excellent results in seven cases in which inferior oblique overaction persisted following previous standard recessions. This procedure appears to have excellent applicability in persistent and, possibly, marked cases of overaction of the inferior oblique.
The transformation of demographic structures and the geography of Europeans in Brussels between 2000 and 2018
Authors: Casier Charlotte 
Published: September 2019

In 2018, European Union nationals represented 275 000 individuals in the Brussels-Capital Region, i.e. 23 % of the population domiciled there. This is the result of the continuous increase in the number of people in this group between 2000 and 2018, linked to significant immigration from the new member states, the continued growth in the number of French nationals and the resumption of emigration from southern Europe from 2008 onwards. In geographical terms, the presence of Europeans was strengthened between 2000 and 2015 in the south-east of the inner urban ring, although at the same time, the significant increase in the number of Polish, Romanian and Bulgarian nationals has contributed to increasing the European presence in certain neighbourhoods in the western part of Brussels.
Similar outcome of heart failure with reduced EF patients with and without atrial fibrillation: considerations from the ESC Heart Failure Long-Term Registry
Authors: De Vecchis Renato 
Published: September 2019

Recently, transcatheter ablation of atrial fibrillation (AF) has been validated by international societal guidelines as a technique suitable for both treatment and secondary prevention of paroxysmal, persistent or long-lasting persistent AF in highly symptomatic patients in whom at least one antiarrhythmic drug had been tested.
Statistical approach to mediastinal staging in NSCLC with M.E.S.S.i.a. software
Authors: Galasso Thomas , Corbetta Lorenzo , Mancino Laura , Michieletto Lucio , Ceron Loris 
Published: September 2019

The exclusion of pathological involvement of mediastinal lymph nodes in patients affected by NSCLC plays a central role in assessing their prognosis and operability. Ceron et al. developed a software - called M.E.S.S.i.a (Mediastinal Evaluation with Statistical Support; instant approach) - that allows the calculation of the residual probability of lymph node involvement after a certain number of tests has been done, by integrating every test result with the pre-test prevalence. M.E.S.S.i.a. bridges a gap of current American College of Chest Physicians (ACCP) guidelines, providing probability values of mediastinal metastasis for a correct clinical decision. We conducted a preliminary retrospective study in a series of 108 patients affected by non small cell lung cancer (NSCLC). Pathological staging was compared to the probability of nodal involvement calculated by M.E.S.S.i.a. software. Forty-two out of 108 subjects (39%) had a calculated post-test probability <8%; none of these had proven N2/N3 metastasis at surgical staging (negative predictive value, NPV: 100%). In 12/41 cases M.E.S.S.i.a. was able to avoid invasive procedures. The remaining 66 (61%) patients did not reach the surgical threshold; among these, 11 displayed N2 positivity at pathological staging. Receiving operator curve (ROC) analysis produced an area under curve (AUC) value of 0.773 (p<0.001). These preliminary data show high accuracy of M.E.S.S.i.a. software in excluding N2/N3 lymph node involvement in NSCLC. We have therefore promoted a prospective multicenter study in order to to get a validation of the calculator at different levels of probability of lymph node involvement. The recruitable subjects are potentially operable NSCLC patients; the gold standard for detection of mediastinal disease is the surgical lymph node dissection.
Carpal tunnel syndrome associated with sarcoidosis in identical twin patients
Authors: Yanardag Halil , Tetikkurt Cuneyt , Bilir Muammer 
Published: September 2019

Sarcoidosis is a multisystemic disease that may lead to neurologic complications in 10% of the patients. Carpal tunnel syndrome is very rare in sarcoidosis. We present two identical twin sarcoidosis patients with carpal tunnel syndrome. A number of factors may cause carpal tunnel syndrome like wrist anatomy, occupation, diabetes, rheumatoid arthritis, pregnancy and renal failure. Although the above factors do not directly cause carpal tunnel syndrome, they may increase your chances of developing or aggravate median nerve damage as it is in sarcoidosis. Sarcoidosis relevant neuropathy and granulomas may be the primary mechanism of sarcoidosis associated carpal tunnel syndrome. Although rare, carpal tunnel syndrome may be a feature of sarcoidosis that may lead to irreversible damage in cases of delayed diagnosis. The presence of this syndrome in identical twin patients may shed light into the pathogenesis and the genetic transmission of sarcoidosis with the associated carpal tunnel syndrome.
How Prepared are Hospital Employees for Internal Fire Disasters? A Study of an Indian Hospital
Authors: Shukla Kasturi , Chandrashekhar Priyadarshini , Mehta Shweta 
Published: September 2019

ABSTRACT

Introduction
In case of internal disasters, such as fire in hospitals, health services to the community are severely hampered with the additional morbidity of victims, such as employees and visitors present when the disaster strikes. Risk assessment and fire preparedness are most crucial proactive measures to prevent fire disasters and minimize the loss in a hospital; however, scanty studies are available on this topic.

Materials and methods
This cross-sectional study was conducted at a multispecialty hospital in Mumbai, Maharashtra (India), during March. April 2014. Fire-Safety Preparedness Framework (FSPF) was designed with four domains (risk and vulnerability assessment, response mechanisms and strategies, preparedness plan and information management) for evaluation of fire safety preparedness of hospital employees. Baseline variables were summarized; instrument was tested for reliability using Cronbach's alpha and content validity through review by experts. The number of correct responses for each question was further analyzed across the type of employee.

Results
The instrument showed high reliability (Cronbach's alpha = 0.89, p-value. 0.01) and content validity. A total of 207 employees (mean age 32) 8.3 years, 63% females) consented and participated in the study. Out of 20 questions, awareness was high (90%) only for three questions from Response mechanism and strategies-domain. For the remaining questions, awareness was moderate to low. The awareness varied highly with the type of employee.

Conclusion
The FSPF is a reliable tool for application in the Indian context for hospital employees. Disaster preparedness training and drill need to involve employees from all departments as awareness levels varied highly with type of employee.

How to cite this article
Shukla K, Chandrashekhar P, Mehta S. How Prepared are Hospital Employees for Internal Fire Disasters? A Study of an Indian Hospital. Int J Res Foundation Hospc Health Adm 2016;4(1):20-24.
Does Health Insurance give Us an Assurance? A Study on the Extent of Coverage of Health Insurance at a Tertiary Care Hospital in North India
Authors: Sinha Sujeet K , Kumar Reena 
Published: September 2019

ABSTRACT

Introduction
Health insurance is emerging fast as an important mechanism to finance health care needs of the people. Complexity of the health insurance industry has been much talked about and less understood in the Indian scenario. Hence, it is imperative to assess the level of awareness that the population has with respect to health insurance policies.

Materials and methods
Cross-sectional prospective study conducted over a period of 6 months, at the third-party administrator (TPA) desk of the hospital. The data was collected using a preformed close-ended questionnaire after obtaining consent from all the participants. Only patients admitted in the hospital availing cashless hospitalization were included in the study. The study was undertaken with the objective to determine the level of awareness about insurance policies and procedures among those insured and identify the problems faced by those insured when availing cashless treatment. Responses to the variables in the questionnaire were compiled and tabulated using Excel 2010.

Results
Response rate of 76% was observed. 56% of the study population were planned admissions and 44% were admitted through emergency department. The study showed that about 56% of the principal policy holders were between 30 and 50 years of age. The awareness regarding the terms and conditions of the health care insurance policy and the servicing TPA was found to be 70%. However, on interacting with patients it came to light that despite being appraised by their insurance agent, they faced challenges while availing health care benefits under health care insurance and were ignorant about the procedure involved.
For the current admission, in 78% of the cases, the TPA responded within 24 hours of intimation; however, in 22% cases there were delays in response from the TPA mostly attributed to communication gap between the Insurance Company and the TPA. Preexisting disease was not covered in 14% cases. 82% cases had to wait for more than 2 hours for the final clearance from the TPA. Over the years, as ascertained in 2016 also, the scenario of insurance has not undergone significant change.

Conclusion
Strategies to optimize claims by bringing about a uniformity in the rates being charged by the hospitals for different procedures are needed to increase coverage.

How to cite this article
Jain K, Sinha SK, Jain D, Kumar R. Does Health Insurance give Us an Assurance? A Study on the Extent of Coverage of Health Insurance at a Tertiary Care Hospital in North India. Int J Res Foundation Hospc Health Adm 2016;4(1):25-30.
A Study of Cost incurred in providing Emergency Care Services in an Apex Tertiary Care Hospital
Authors: Garg Neeraj , Lathwal Amit , Gupta Shakti K , Garg Ruchi 
Published: September 2019

ABSTRACT

Introduction
An emergency department (ED), also known as accident and emergency (A8E), emergency room (ER), or casualty department, is a medical treatment facility specializing for acute care of patients who present without prior appointment, either by their own means or by ambulance. In spite of the emergency beds forming only a fraction of the hospital beds, they consume a relatively large proportion of the hospitals resources. There is a requirement to ascertain the cost incurred in providing emergency care treatment to the patients coming to an apex tertiary care center, whose principal mandate is to provide tertiary care treatment. The study will not only help in allocating funds to the ED in an apex tertiary care facility but will also be useful if the hospital authorities decide to outsource the emergency services to a third party.

Aims and objectives
To study the cost incurred in providing emergency care services in an apex tertiary care hospital. To identify the various cost centers pertaining to patient care in the emergency care department and to estimate the cost of rendering patient care in ED and the cost of running the emergency per day.

Materials and methods
Six months’ retrospective data were collected from the ED, accounts section, engineering section, stores department, radiology department, emergency lab, computer facility, etc. The cost was apportioned to per patient as well per hour in rendering emergency care services.

Observations
The total cost incurred in providing emergency care services in the hospital under study was Rs 2034 per patient, while Rs 31,000 are spent per hour in running the emergency care facility.

Discussion
Almost 40 to 50% of the total cost incurred on providing emergency care services goes to the salary head of the staff working in the ED. The next major sources of expenditure are the radiology and lab investigations.

Conclusion
The study suggests that a considerable amount of hospital funds are spent on providing emergency care services in the apex tertiary care facility, whose primary mandate is to provide tertiary care services. The possibility of complete outsourcing or partial outsourcing in the form of radiology investigations and hiring humanpower on a contract basis can be a viable solution, to reduce the cost on providing emergency care, which can better be utilized in providing high-end tertiary care facilities.

How to cite this article
Garg N, Gupta SK, Lathwal A, Garg R. A Study of Cost incurred in providing Emergency Care Services in an Apex Tertiary Care Hospital. Int J Res Foundation Hosp Healthc Adm 2016;4(1):45-50.
Left Ventricular Rupture during Balloon Mitral Valvuloplasty
Authors: Sarguroh Tazeen , Kotwani Dipti , Basantwani Shakuntala , Tendolkar Bharati 
Published: September 2019

ABSTRACT
Balloon mitral valvuloplasty (BMV) is a viable alternative to valve replacement surgery in patients with mitral stenosis. One of the rare complications of the procedure requiring immediate resuscitation and surgical repair is cardiac tamponade due to ventricular rupture. We report the anesthetic management of a 38 year old female with hemopericardium during BMV due to left ventricular rupture.

How to cite this article
Sarguroh T, Kotwani D, Basantwani S, Tendolkar B. Left Ventricular Rupture during Balloon Mitral Valvuloplasty. Res Inno Anaesth 2016;1(1):28-29.
Effects of Combination of Intrathecal Fentanyl Clonidine with Bupivacaine in Patients for Operative Knee Arthroscopic Procedure
Authors: Potdar Meenoti Pramod , Kamat Laxmi Laxman , Save Manjeet Prakash , Jha Tanya R 
Published: September 2019

ABSTRACTIntroductionThe addition of neuraxial fentanyl or clonidine potentiates the effect of local anesthetic and increases the duration of action and quality of intraoperative and postoperative analgesia. We decided to conduct this study to analyze the synergistic effect of clonidine and fentanyl with bupivacaine on the duration of analgesia surgies. The primary aim is to determine the duration of analgesia for a combination of intrathecal clonidine and fentanyl with bupivacaine in knee arthroscopic surgeries.Materials and methodsWe included 100 patients undergoing operative arthroscopio procedure and randomly allocated the patients into four different groups of 25 each.Group S:15 mg 0.5% hyperbaric bupivacaine with 1.0 mL normal saline (NS).Group F:15 mg 0.5% HB with 25 μcg fentanyl citrate and 0.5 mL NS.Group C:15 mg 0.5% HB with 75 μcg clonidine and 0.5 mL NS.Group FC:15 mg 0.5% HB with 25 μcg fentanyl citrate and 75 μcg clonidine.All the patients received the spinal dosage of 4 mL.ResultsThe duration of spinal analgesia was greatest in group FC (458.4 ± 179.96 minutes, p-value 0.001). The rescue analgesic requirement in 24 hours was significantly less in group FC, and the incidence of side effects was comparable.ConclusionThe combination of clonidine and fentanyl with bupivacaine intrathecally does augment its sensory, motor, and analgesic action further, and hence it has an additional advantage with similar side effects.How to cite this articlePotdar MP, Kamat LL, Save MP, Jha TR. Effects of Combination of Intrathecal Fentanyl Clonidine with Bupivacaine in Patients for Operative Knee Arthroscopic Procedure. Res Inno in Anesth 2016;1(2):52-57.
Acute Hyponatremia following Hypotonic Intravenous Fluid in a 4-year-old Child
Authors: Dalvi Naina P , Rustagi Preeti , Tendolkar Bharti A , Kotak Suhas 
Published: September 2019

ABSTRACT
Hyponatremia is the most frequently encountered electrolyte disorder in hospitalized patients. It develops due to either surplus water or decreased sodium in the extracellular fluid. In children, the source of excess water is frequently the administration of hypotonic intravenous fluids. The current recommendations of hypotonic maintenance fluids may be appropriate for a healthy child, but may not apply to hospitalized children who are more likely to have a nonosmotic stimulus for antidiuretic hormone (ADH) production, such as anxiety, stress, pain, etc. Fall in plasma sodium concentration acutely to < 130 mmol/L leads to brain cell swelling and devastating neurological outcome. Previous studies have reported the potential harm with these solutions and the need to reconsider their routine use in children. We present a case report of 4-year-old child, admitted with head injury and normal CT brain, who developed hyponatremic convulsions following administration of Isolyte-P as maintenance fluid as per standard guidelines.

How to cite this article
Rustagi P, Dalvi NP, Tendolkar BA, Kotak S. Acute Hyponatremia following Hypotonic Intravenous Fluid in a 4-year-old. Res Inno in Anesth 2016;1(2):63-64.