bluuebunny/crossref_metadata_2025_split huggingface dataset:
Telemedicine: an ICT based healthcare approach to ensure health service for all
Authors: Akhtar Rasheda , Alam Sazzadul , Siddiquee Noor Kutubul Alam 
Published: August 2019

Background: Despite enormous efforts, healthcare service is still a daunting challenge area of Bangladesh healthcare systems. Bangladesh suffers from both a shortage of and geographic mal-distribution of human resource for health, as well as inadequate resources. Considering the challenges, telemedicine can be a blessing especially to the people living in hard-to-reach and rural areas. The current study was conducted on to measure the outcomes of providing telemedicine service at the field level.Methods: The study was conducted in Nagarkanda Upazilla of Faridpur district. Mixed method approaches including user experience and perception survey, case study and in-depth interview were adopted in order to bring a comprehensive scenario.Results: Around 50% of the users used to visit telemedicine center frequently. For quality of service provided from telemedicine service point, there were few benchmarks like service provider’s behavior, waiting time, accessibility, distance, cost of treatment, willingness to pay and referral mechanism. Telemedicine service centers were found situated within the reach of people (within 1-2 km of 83.30% km). 97% participants rated service provider’s behavior as good. Cost of treatment including diagnosis, prescription and medication was found within 501-3000 BDT for 60% of participants.Conclusions: Although the studied telemedicine service was not comprehensive in nature, it still helped to save time, reduce cost and most of all increased access to healthcare services.
Perception of parents of private school students on measles and rubella vaccination campaign in Sambalpur town
Authors: Mishra Sanjeeb Kumar , Lakra Kulwant , Satapathy Durga Madhab , Panda Sadhucharan , Pradhan Subrat Kumar 
Published: August 2019

Background: In order to eliminate measles and rubella (congenital rubella syndrome) WHO has emphasized on measles and rubella (MR) vaccination campaign and India launched the ambitious MR Campaign with the help of WHO and GAVI. In Odisha the MR campaign was launched on January 29 with a target to cover nearly 1.13 crore children. The objective of the present study is to assess the knowledge of parents regarding measles and rubella infection and to identify the source of information regarding MR campaign. Methods: A cross-sectional study was conducted in Sambalpur City across 10 private schools during February 10 to March 12. Total 440 parents of children aged 5-15 years were given a questionnaire about socio-demographic characteristics, knowledge, attitudes, and behaviors towards MR Campaign. The data were collected subsequently in the next 10 days. Out of 440 parents 408 returned filled up questionnaire. Data were entered into and analyzed by using Microsoft Excel.Results: Out of the 408 respondents 362 (88.7%) parents had knowledge about MR campaign. 156 respondents was aware about importance of rubella vaccine. Parent teacher meeting (PTM) was the leading source of information for these. 388 (95%) respondent’s children had received the vaccine during campaign.Conclusions: Parent-teacher's meeting was the main source of information. However social mobilisation such as street play, miking, rallies by school children and NGOs etc., needs to be taken up for such campaigns in future.
Treatment times in locally advanced oropharyngeal cancer: evolution from 2011 to 2016 in a Portuguese Head and Neck Oncology Centre
Authors: Gomes Patrícia S. , Breda Eduardo , Monteiro Eurico 
Published: August 2019

<p class="abstract"><strong>Background:</strong> Delays in cancer diagnosis and treatment are usually associated with patient anxiety, tumour progression and lower survival. This study aims to analyse the potential impact of rescheduling adjuvant treatments on survival outcome of patients with locally advanced oropharyngeal squamous cell cancer (OPSCC).</p><p class="abstract"><strong>Methods:</strong> A retrospective review of medical records comprising all patients with advanced oropharyngeal cancer who underwent primary surgery and postoperative radiotherapy (PORT) in a Tertiary Oncologic Centre from 2011 to 2016 was performed.</p><p class="abstract"><strong>Results:</strong> 63 patients with a male/female ratio of 8:1 and mean age of 57.5±9.6 years were enrolled. Patients waited a mean of 47.2±18.2 days from diagnosis to surgery and a median of 61 days from surgery to radiotherapy. Median radiotherapy duration was 43 days and the mean package time was 104.5±21.0 days. Analysis of these parameters has shown decreasing intervals from 2011 to 2016, although this was only significant for duration of PORT (p=0.022). Longer time span from surgery to PORT and PORT duration were predictive of superior package times (p&lt;0.001). Five-year overall survival and disease-free survival was 63.8% and 64.8% respectively with no statistically significant impact of waiting times on clinical outcome.</p><p class="abstract"><strong>Conclusions:</strong> Despite presenting favourable long-term outcomes, patients with locally advanced OPSCC have experienced longer waiting times than recommended. Waiting times were not prognostic factors in this condition, although efforts to reduce it might provide superior quality of care. Future studies assessing the factors involved in treatment delays might provide means to offer timely treatments. </p><p class="abstract"> </p><p> </p>
Prevalence of sensorineural hearing loss in type 2 diabetes mellitus
Authors: Chavadaki Jyothi Anand , Malli Mohammed Nadeem Afroze 
Published: August 2019

<p class="abstract"><strong>Background:</strong> The association of sensorineural hearing loss (SNHL) in diabetes mellitus patients is known since decades, yet there is no clear consensus among previous studies, with respect to the prevalence of SNHL in type 2 diabetes patients and the effect of duration and control of diabetes on hearing acuity. Hence the objectives of this study are to find the prevalence of SNHL in type 2 diabetes patients and to find the effect of duration and control of diabetes on hearing loss.</p><p class="abstract"><strong>Methods:</strong> The present study was conducted on 86 type 2 diabetes patients attending Navodaya Medical College Hospital, Raichur and age and gender matched 86 non- diabetic controls in the age group of 30-65 years, selected based on inclusion and exclusion criteria. After detailed history taking and clinical examination, all subjects underwent FBS, PPBS estimation and HbA1c evaluation was done for diabetic patients. All underwent pure tone audiometry and the findings were recorded and analyzed. </p><p class="abstract"><strong>Results:</strong> Diabetes patients had insidious onset, gradually progressive, bilaterally symmetrical SNHL. SNHL is prevalent in 67.44% of type 2 diabetes patients compared to 23.26% of controls. It is aggravated with the increasing age and duration of diabetes. Poor control of diabetes showed increased prevalence of SNHL compared to good control of diabetes.</p><p align="left"><strong>Conclusions:</strong> There is increased prevalence of SNHL in type 2 diabetes patients and it is more evident in patients with long duration of diabetes and more pronounced in patients with poor diabetic control.</p>
A retrospective study on middle ear risk indices in analysing the postoperative outcome following tympanoplasty
Authors: Vignadutt P. , Shaik Ali 
Published: August 2019

<p class="abstract"><strong>Background:</strong> Otitis media is an important and a highly prevalent disease of the middle ear and poses serious health problem worldwide especially in developing countries where large percentage of the population lack specialized medical care. A normally functioning eustachian tube is an equally essential physiologic requirement for a healthy middle ear and normal hearing. In this study we have used the middle ear risk index (MERI) developed by Kartush which generates a numeric indicator of the severity of the middle ear disease to stratify patient groups according to the severity of the disease and to evaluate the efficiency of MERI score in predicting the outcome of tympanoplasty.</p><p class="abstract"><strong>Methods:</strong> Patients who came and got operated for tympanoplasty to the ENT Department in Konaseema Institute of Medical Sciences and RF, Amalapuram during the study period of February 2017 to February 2018. </p><p class="abstract"><strong>Results:</strong> In this study graft was accepted in 22 patients (88%) and rejected in 3 (12%) patients. In patients in the mild MERI risk group n=22, graft was accepted in 21 (95%) patients and rejected in 1 patient (5%). Patient had a residual perforation. In patients in the moderate MERI risk group n=2, graft was accepted in 1 (50%) patients and rejected in 1 patient (50%).In severe risk group none of the grafts were accepted (100%).</p><p><strong>Conclusions:</strong> MERI index is in fact a very useful and honest predictor of the graft uptake and audiological gain in patients undergoing tympanoplasty surgeries for CSOM. Lower the MERI index better the outcome. Positive Belluci criteria were also found to be inversely associated with the graft uptake.</p>
Laryngopharyngeal reflux- diagnosis and management at a tertiary care centre
Authors: Fathima Afshan , A. Vivekanand , Prakash M. D. 
Published: August 2019

<p class="abstract"><strong>Background:</strong> Laryngopharyngeal reflux (LPR) disease is a clinical entity due to the retrograde flow of gastric contents into the pharynx. It can be considered as an extraesophageal syndrome of gastroesophageal reflux disease (GERD). The objective of the present study is to study the clinical profile of LPR and their response to treatment.</p><p class="abstract"><strong>Methods:</strong> 100 consecutive patients attending the outpatient department of ENT, presenting with a clinical profile of LPR were selected in the present study. The patients’ symptoms were evaluated based on the reflux symptom index (RSI) and was followed by an endoscopic examination of larynx and a scoring was made based on reflux finding score (RFS). An RSI score of ≥13 and RFS of &gt;7 were considered for starting patients on LPR treatment. The patients were then put on treatment and followed up for 3 months. </p><p class="abstract"><strong>Results:</strong> In our study population the most common symptom was foreign body sensation in throat (52%). The most common sign noted on endoscopic examination of larynx was hyperemia/erythema of laryngeal tissue particularly bilateral arytenoids. Majority of our patients responded well to combination of pantoprazole (40 mg) and domperidon (30 mg) for 4 weeks. This was evaluated in terms of reduction in the RSI and RFS scores.</p><p class="abstract"><strong>Conclusions:</strong> LPR is more commonly encountered clinical entity and the otorhinolaryngologist should bear it in mind while treating patients for chronic complaints of throat pain, change in voice etc. Appropriate diagnosis and management of LPR can prevent unwarranted use of antibiotics and surgeries in these patients.</p>
Educação integral e em tempo integral como direito humano – as políticas de educação no Brasil e Portugal
Authors: Moura Eliana Perez Gonçalves de , Zucchetti Dinora Thereza , Lacerda Miriam Pires Correia de 
Published: August 2019

Aborda a educação cotejando as políticas de ampliação da jornada escolar no Brasil e em Portugal. O texto resulta de análise de dados secundários, a partir de pesquisa quali-quantitativa, do tipo exploratória e descritiva, realizadas em ambos os países, combinado à análise de legislações especificas. Evidenciando convergências e divergências entre ambas políticas discute-se direito à educação e à proteção social como elementos constitutivas dos direitos humanos.
Os diversos métodos para se chegar ao ‘eu’: análise filosófica do conto Um discurso sobre o método de Sérgio Sant’anna
Authors: Pitt Rafael César 
Published: August 2019

<p>O presente artigo apresenta uma análise filosófica do conto <em>Um discurso sobre o método </em>escrito por Sérgio Sant’Anna. O objetivo da análise é demonstrar que o conto é construído como um esforço de mímesis da filosofia cartesiana. Parte-se do pressuposto que o texto artístico comporta múltiplas interpretações, principalmente quando construído em diálogo com a filosofia. Do tema em destaque, o cartesianismo defende a ideia de que a subjetividade (o ‘eu’) é um dado radical sem ligação com o entorno material, social e cultural. Todavia, o contista contemporâneo discorda deste isolamento e constrói uma narrativa na qual o ‘eu’ é descoberto através de vários métodos. Com isto amplia-se a compreensão hodierna de que o sujeito não está fechado sobre parâmetros científicos estritos, e sim se abre a inúmeras manifestações fenomênicas. Esta análise literária e filosófica vai amparada nos conceitos analíticos de Gerard Genette em <em>O discurso da narrativa, </em>assim como em concepções literárias de Edgar Allan Poe, Júlio Cortázar e Ricardo Piglia além, é claro, de algumas obras de René Descartes. O resultado alcançado é um exercício especulativo que, à primeira vista, parece uma crítica ao puro cartesianismo, mas que, ao contrário, se posiciona como um complemento que reconhece e amplia os caminhos da modernidade para o estudo do ‘eu’. Em acréscimo indicam-se semelhanças entre o conto e a obra de Descartes, o que reforça nossa tese de mímesis e complementariedade entre a obra literária e a filosófica. </p>
John Locke e o direito de resistência
Authors: Ottonicar Flávio Gabriel Capinzaiki 
Published: August 2019

Na sua principal obra política, os <em>Dois Tratados Sobre o Governo</em>, Locke defende o direito do indivíduo de resistir ao soberano. Entretanto, segundo Locke, o ser humano abandona o estado de natureza voluntariamente para criar o Estado político com a esperança de que o poder político amenize as inconveniências do estado de natureza. Se a criação do Estado político foi voluntária, em que circunstâncias se deve resistir às determinações do soberano? Além disso, como fundamentar o direito de resistência ao soberano que foi instituído com a permissão do próprio indivíduo que agora pretende resistir as suas determinações? O objetivo do presente texto é discutir os motivos pelos quais a defesa do direito de resistência se torna necessária no pensamento político de Locke, e de que forma e com quais fundamentos Locke defende tal direito no <em>Segundo Tratado Sobre o Governo</em>. Pretende-se reconstruir o argumento de Locke em defesa do direito de resistência a partir da análise da referida obra e seu contraste com o <em>Patriarcha </em>(obra de Robert Filmer que Locke ataca em <em>Dois Tratados</em>); do contexto histórico e de alguns dos seus principais comentadores.Ainda que, segundo Locke, o Estado tenha surgido para proteger os direitos individuais como a liberdade e a propriedade, o governante está sujeito a se corromper e utilizar sua posição para praticar a injustiça contra seus súditos. O direito de resistência, apoiado na lei da natureza que permanece em vigor mesmo no estado civil, é o último recurso dos indivíduos contra a tirania praticada pelo governante corrompido.
The Proportions, Regulations, and Training Plans of Male Midwives Worldwide: A Descriptive Study of 77 Countries
Authors: Sannomiya Masana , Sasagawa Emi , Hikita Naoko , Yonezawa Kaori , Haruna Megumi 
Published: August 2019

ObjectivesThe proportions of male midwives as well as regulations and training plans targeting male midwives were investigated.MethodsQuestionnaires were sent to 109 United Nations member countries where midwifery associations had opened their e-mail addresses. Respondents were persons in charge of midwifery education or policy recommended by midwifery associations, researchers, or acquaintances. The questionnaire inquired about the number of midwives and obstetrician-gynecologists by gender in the country, as well as regulations and training plans relevant to male ones. For those countries that either failed to respond or provided insufficient information, supplemental Internet searches were conducted.ResultsData from 77 countries were analyzed (57 countries returned the questionnaires, and data on another 20 were obtained through Internet searches). Of the 19 countries without male midwives, five did not allow men to become midwives. In 37 countries with male midwives whose proportion data were available, the median proportion was 0.63%. Respondents in 13 countries described regulations respecting women who unwanted care by male midwives and in other two explained training plans for male midwives considering their specific characteristics.ConclusionThe proportion of male midwives is small, and regulations and training plans for male midwives varied depending on social content in countries.
Contacto y cambios lingüísticos en el pasado: sobre las sibilantes castellanas en el Bilbao del siglo XVII
Authors: Zuloaga Eneko 
Published: August 2019

El presente trabajo ahonda en el estudio de la transición del sistema fonológico castellano medieval al moderno: se trabaja en la descripción del sistema de sibilantes castellanas del siglo XVII en el área de Bilbao, territorio bilingüe vasco-castellano al norte de la Península Ibérica. Para dicho fin se ha analizado el manuscrito de Rafael de Micoleta (1653). En concreto, se pretende dilucidar en qué estado se hallaban los procesos de fricatización y ensordecimiento en el norte peninsular, y la existencia de la interdental /θ/, nueva en aquella época. Se estudia, además, la presencia del seseo, así como su relación distributiva con la /θ/ y la posible influencia del contacto lingüístico vasco-castellano en su creación y desarrollo. En resumen, se describe un estado avanzado para las neutralizaciones mencionadas y se defiende, sin embargo, la inexistencia de la interdental /θ/ en el Bilbao la época, al menos de forma extendida, debido a la existencia bien documentada del seseo. Además, se suma el argumento de la cronología absoluta para descartar una posible influencia de las neutralizaciones ocurridas en lengua vasca en el origen del seseo, si bien dicha influencia no se descarta para épocas y procesos posteriores.
FUNGOS ENDOFÍTICOS ASSOCIADOS À PLANTA MEDICINAL CORAMA (Kalanchoe pinnata [LAM.] PERS.)
Authors: Souza Beatriz dos Santos , Oliveira Dinalva Ribeiro de , Rocha Fabiane Valéria Rêgo da , Canto Eveleise Samira Martins , Oliveira Deyla Paula de , DOS SANTOS TAIDES TAVARES 
Published: August 2019

No presente estudo, é relatado pioneiramente o isolamento e identificação de fungos endofíticos associados às folhas da planta medicinal Corama (Kalanchoe pinnata [Lam.] Pers.). Coletas de material vegetal foram realizadas na Floresta Nacional do Tapajós, no estado do Pará, em período chuvoso e de estiagem. Após desinfecção da superfície, fragmentos (0,25 mm2) das folhas foram inoculados em meio de cultura Batata Dextrose Ágar (BDA) contendo cloranfenicol (0,1 μg/mL-1). Foram obtidos 86 isolados, que puderam ser agrupados em 33 tipos morfológicos (morfotipos). Por meio de taxonomia clássica, foi possível identificar 73,3% dos morfotipos obtidos: Aspergillus (26,7%), Chrysosporium (12,8%), Fusarium (11,6%), Acremonium (10,5%), Aureobasidium (7,0%), Cladosporium (3,5%) e Penicillium (1,2%). Esses grupos taxonômicos de fungos são os representantes mais frequentes da comunidade endofítica da Corama. Observou-se maior riqueza e diversidade de fungos em período chuvoso em relação ao período de estiagem. Além de contribuir para o conhecimento e preservação da biodiversidade de fungos da Amazônia, os espécimes obtidos neste estudo representam uma valiosa oportunidade para futura prospecção de fungos com atividades biológicas de interesse biotecnológico.
Palavras-chave: Interação fungo-planta; Micro-organismos endofíticos; Simbiose.
O ASSENTAMENTO LUAR DO SERTÃO NA CIDADE DE ANANÁS-TO:
Authors: Da Silva Gleison Mourão , Lopes Alberto Pereira 
Published: August 2019

A criação dos assentamentos rurais no Brasil geralmente são frutos de intensas manifestações organizadas por trabalhadores rurais, que lutam pela reforma agrária e para que a constituição brasileira seja respeitada mediante aquelas terras que não estejam cumprindo sua função social, e estas sejam desapropriadas. Dessa forma, o objetivo desse trabalho é mostrar de forma contextualizada a luta dos trabalhadores rurais, e suas novas perspectivas de vida, em conjunto com a Comissão da Pastoral da Terra - CPT em relação á criação do Assentamento Luar do Sertão no município de Ananás. O Assentamento Luar do Sertão teve uma finalidade social ainda maior em relação à reforma agrária, que foi assentar trabalhadores e suas famílias que foram resgatadas vitimas da escravidão por dívida na região do bico do papagaio, destinando-lhes um lugar onde esses pudessem trabalhar e se estabelecer para garantir o sustento familiar.
Palavras Chave: Assentamentos; Trabalho; Futuro.
INFESTAÇÃO POR GALHAS FOLIARES EM Ouratea spectabilis (MART. EX ENGL.) ENGL. (OCHNACEAE) E SUA RELAÇÃO COM OS TEORES DE AÇÚCARES
Authors: Oliveira Francisco Guttemberg dos Santos , Scareli-Santos Claudia 
Published: August 2019

Objetivou-se determinar a infestação por galhas em Ouratea spectabilis (Ochnaceae) e avaliar se os teores de açúcares nas folhas sadias, infestadas e nas galhas apresentam diferenças entre estas partes do vegetal nas estações seca e chuvosa. Foram amostrados 10 indivíduos infestados por galhas localizados na mata de galeria pertencente à EMVZ, UFT campus de Araguaína, foram coletados 50 ramos, medidos e divididos em três regiões, denominadas basal, mediana e apical, seguida da contagem do número total de folhas sadias e infestadas por regiões, e para quantificação dos açúcares. Os maiores percentuais de infestação por galhas foliares foram obtidos na região mediana do ramo, durante a estação seca, e na região apical no período chuvoso; foram observadas diferenças sazonais sendo que a infestação foi expressivamente maior em todas as categorias na estação seca. Os teores de açúcares foram significativamente superiores nas galhas das regiões basal e mediana dos ramos da estação seca e nas folhas sadias da região mediana da estação chuvosa. As folhas infestadas e galhas apresentaram maiores concentrações de açúcares na estação seca para as três regiões dos ramos.
Palavras-chave: Interação inseto-planta, Sazonalidade, Tocantins.
EXPRESSION ANALYSIS OF THE COFFE (Coffea arabica L.) FRIGIDA4-like GENE (CaFRL4)
Authors: Daude Matheus Martins , Lima André Almeida , Chalfun Junior Antonio , Barreto Horllys Gomes 
Published: August 2019

ABSTRACT
Coffee is one of the most economically important commodities. In Brazil, this crop is responsible for generating more than eight million jobs. In the foreign market, Brazil is the largest producer and exporter of coffee. Due to its economic importance, several studies aiming the improvement of coffee are conducted, but there are still problems related to its productivity and quality of the beverage, such as sequential flowering, which causes production losses and a low quality drink. Thus, understanding the molecular mechanisms involved in the flowering process is essential to elucidate how flowering occurs in the coffee crop. The FRI gene is one of the main genes involved in flowering, as it positively regulates the FLC gene at expression levels that inhibit flowering. Thus, the objective of this work was to identify and analyze the expression of the FRIGIDA4-like gene (FRL4) through Bioinformatics and real-time PCR (RT-qPCR). The CaFRL4 gene was identified and showed high expression levels in leaf during flowering, which corroborates with the literature. The results obtained provide the basis for future studies involving genetic transformation in model plants and coffee, permitting the functional characterization of this gene.