bluuebunny/crossref_metadata_2025_split huggingface dataset:
AS MULHERES REPRESENTADAS NOS LIVROS DIDÁTICOS: HISTÓRIA DO BRASIL
Authors: Rambaldi Amália Kelly , Probst Melissa 
Published: July 2017

O presente estudo busca analisar como são representadas as mulheres, nos livros didáticos do ensino de História do Ensino Médio. Enquanto objeto material de pesquisa foram utilizados três livros didáticos publicados nas décadas de 1970, 1980 e no ano de 2006, de modo a compreender as rupturas e permanências nessas representações e, de certo modo, no ensino de História. Este trabalho procurou mostrar como esses discursos foram se modificando e como a questão da (in)visibilidade das mulheres pode ser abordada nas aulas de História. Pode-se observar como a produção historiográfica com a temática sobre as mulheres foi alcançando novos objetos e novas abordagens que antes eram invisíveis na História.
The study of plasma homocysteine level as a risk factor for ischemic strokes in young patients
Authors: Gajbhare Prashant T. , Juvale Nazir I. 
Published: July 2017

Background: According to the WHO, stroke is second leading cause of death for people above the age of 60 years & fifth leading cause in people aged 15 to 59 years old. Each year, nearly six million people worldwide die from stroke. One in six people worldwide will have a stroke in their lifetime. Approximately one-quarter of 45-year-old men will have a stroke before they reach the age of 85. Stroke is also important condition in young people and can occur at any age, including in utero, neonatal period (it is the major cause of cerebral palsy), childhood and young adult life. One-quarter of all strokes occur in people below the age of 65.Methods: This prospective observational case control study was carried on 30 young ischemic stroke patients with 30 control match persons over a period of 20 months, from December 2011 to August 2013 at Tertiary Care Hospital Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India.Results: Total plasma fasting homocysteine level in case group was 30.10±14.8 µmol/L and control group was 13±5.3 µmol/L, (p=0.001). Elevated fasting homocysteine level was found in 76.66. 0% of ischemic stroke cases and in 10% of healthy controls (p=0.001). Serum homocysteine levels were higher in subjects having risk factors such as dyslipidemia (p value <0.001), active lifestyle (p value <0.05) and smoking (p value<0.05). Serum homocysteine did not show any significant relation with age, sex, diabetes mellitus, diet pattern and defective coagulation (p value >1).Conclusions: The present study revealed that hyperhomocysteinemia appears to be an important risk factor for young ischemic strokes. It is therefore important to use serum homocysteine level as an important tool to investigate all cases of young ischemic strokes and also in those who are at risk of developing it. Significant correlation has been found between homocysteine concentration and young ischemic strokes.
Comparison of endoscopic variceal ligation and beta-blocker (carvedilol) plus nitrate for the primary prevention of variceal bleeding
Authors: Singh Yadav Anilesh Kumar , B. P. Priyadarshi , A. C. Gupta , Singh Mahendra , Verma Ashok Kumar , Gupta Vishal 
Published: July 2017

Background: Esophageal variceal bleed is a major problem in patients with cirrhosis. Endoscopic sclerotherapy and variceal ligation are effective in stopping bleeding in up to 90% of patients. Beta-blocker (Carvedilol) + Isosorbide Mononitrate are promising alternative to other nonselective beta blocker or endoscopic band ligation for the prevention of first variceal bleeding of medium to large varices, which needs to be further explored.Methods: The present study was an observational study in 200 patients at LLR and Associated Hospitals PG Department of Medicine GSVM Medical College, Kanpur. After randomization 120 patients underwent for Endoscopic Variceal ligation and 80 patients were put on beta-blocker (Carvedilol) + Isosorbide Mononitrate therapy for the primary prevention of variceal bleeding.Results: Most common cause of portal hypertension was liver cirrhosis (in carvedilol plus isosorbide mononitrate group 70%, and it was 85%. in EVL group. Bleeding in patients of carvedilol plus isosorbide mononitrate was significantly lower (23.75%) than patients of EVL (60%) group. Reduction in bleeding was statistically highly significant (p value < 0.05). Mortality among patients receiving combination therapy with carvedilol plus isosorbide mononitrate was (12.5%) comparison to EVL (21.66%). Reduction in mortality was statistically not significant. (p value >0.05). Adverse effects were significantly lower among patients receiving combination therapy with carvedilol plus isosorbide mononitrate (38.75%) than patients of EVL (86.66%) group.Conclusions: Both EVL and beta-blockers may be considered first-line treatment to prevent first variceal bleeding, whereas beta-blockers (carvedilol) plus isosorbide mononitrate may be the best choice for the prevention of re-bleeding.
Role of depression, anxiety, testosterone and luteinizing hormone levels in disorders of sexual function
Authors: Jakka Nagendar Reddy , Ramesh Jayanthy 
Published: July 2017

Background: Hypogonadism as well as deficiency of testosterone can lead to disorder of sexual function in males. The initial clinical manifestations of this are mostly erectile dysfunction (ED) and hypoactive sexual desire disorder (HSSD). This not only causes the sexual dysfunction but can also lead to many health problems. To study the role of depression, anxiety, testosterone and luteinizing hormone levels in disorders of sexual functionMethods: A hospital based cross sectional study was conducted at department of General Medicine, Kamineni Academy of Medical Sciences, Hyderabad for a period of one year among 60 eligible study subjects to study the role of depression, anxiety, testosterone and luteinizing hormone levels in disorders of sexual function. All male patients aged between 21-60 years, who had stable heterosexual relationship, were included. Patients with severe diseases, users of alcohol and smoking, having marital disharmony were excluded. Informed consent was obtained from all the patients.Results: Testosterone and LH levels are significantly lower in subjects with SD, suggesting that a state of hypogonadotropic hypogonadism prevails in male diabetics with SD. Depression and anxiety are significant factors associated with SD. Premature Ejaculation is significantly associated with Anxiety.Conclusions: Testosterone and LH levels are significantly lower in subjects with SD. Depression and anxiety is significant factors associated with SD. Premature Ejaculation is significantly associated with anxiety.
Study of relationship between WBC count and Diabetic complications
Authors: M. Naredi , D. Jhavar , D. Krishnan 
Published: July 2017

Background: There is plenty of evidence to support the fact that inflammation is a risk factor for atherosclerotic diseases and other lifestyle related diseases like diabetes and obesity. Elevated leukocyte count is associated with insulin resistance and is also associated with macro and micro vascular complications in diabetes. This study aimed to investigate the relation between peripheral total and differential WBC count in diabetes and its complications.Methods: This was a cross sectional observational study. It was carried out in the outpatient wing of Department of Medicine, M. G. M. Medical College and M.Y. Hospital. A total of 130 consecutive consenting diabetic patients (type 2) were selected. Those with any obvious stressful condition like acute illness were excluded. All the participants were screened for retinopathy, neuropathy, cerebrovascular disease and cardiovascular disease by history and clinical examination and had their height, weight, waist circumference, hip circumference and white blood cell counts notedResults: In the present study, most of the patients were middle aged patients (46 out of 130 were in age group 51-60 years) and were obese (60/130 had BMI of 26 to 30) with most of them having abdominal obesity (87% males i.e. 48/55 had waist hip ratio >0.90, 56% females i.e. 42/75 had waist hip ratio >0.85). It was found that, amongst 130 patients with type 2 diabetes 56% have WBC counts on the higher side of the normal range i.e. 7000-11000/cu mm. Polymorphs were also on higher side of the normal range in 47% of patients i.e. PMN= 61-70% and 26% had polymorphs above 70%. About 61% patients had monocyte count >6%. Out of the 130 patients, 35 had retinopathy, 57 had neuropathy and 9 had nephropathy as micro vascular complications while as macro vascular complications, 9 had a history of CVA, 14 had CAD and 4 had PVD. Also, maximum patients having micro and macro vascular complications had WBC counts in the range of 7000-11000.Conclusions: An elevated leukocyte count even within the normal range was associated with chronic complications in type 2 diabetes and can be used to predict development of micro and macro vascular complications in patients diagnosed with type 2 diabetes.
Incidence of cardiac arrhythmias in patients with acute myocardial infarction during the first 48 hours of the onset of chest pain
Authors: Patil Puneet Rajendra , Khatana Pankaj , Patil Dilip Ratan 
Published: July 2017

Background: It is predicted that there will be an increase of 111% in cardiovascular deaths in India by the year 2020 compared to the year 1990. This is much higher than that predicted in any other region both in Asia as well as outside Asia. The objective of this study was to study the incidence of cardiac arrhythmias in acute myocardial infarction during the first 48 hours.Methods: The descriptive study was conducted over a period of two years from April 2016 to January 2017. A total of 102 patients were studied. They were admitted to ICU. Their admission was done as soon as they had chest pain. They were first confirmed to have acute myocardial infarction. All eligible study subjects as per inclusion and exclusion criteria were considered in the present study. Detailed history was taken. A thorough physical examination was done with emphasis on the cardiovascular system.Results: Maximum number of patients was in the age group 51-60 years in both males (37.97%) and females (65.22%). Acute MI observed mostly in the postmenopausal age in all the females. Incidence of myocardial infarction was significantly more in men (77.50%) compared to women (22.50%). 52.90% were smokers. Almost half of the patients had shown anterior wall infarction. The incidence of cardiac arrhythmias was 78.70%. Arrhythmias were more common among elderly female. Maximum arrhythmias were observed in the age group ranging from 50 to 60 years (36.27%).Conclusions: The incidence of cardiac arrhythmia was found to be 78.7% in the present study. The incidence of cardiac arrhythmia was more in the age group 50-60 years (36.27%).
To study the endothelial dysfunction by brachial artery flow mediated dilatation in coronary artery disease patients
Authors: Chouhan Mahendra , Mandloi Sohan Singh , Kansal Archana , Jatav O. P. 
Published: July 2017

Background: Brachial artery flow mediated dilatation (BAFMD), assessed by high resolution ultrasonography, reflects endothelium dependent vasodilator function. BAFMD is diminished in patients with atherosclerosis and with coronary risk factors and improves with risk reduction therapy.Methods: Study was conducted on 50 patients of coronary artery disease from In-patients who were admitted in the Department of Medicine and 25 healthy control without cardiovascular disease risk factors. All patients having established CAD i.e. Acute coronary syndrome and past history of CABG/angioplasty were included in study. Those morbidly ill and patients with evidence of chronic inflammatory or malignant disease were excluded. Doppler ultrasound of brachial artery was performed in all of them to assess baseline lumen diameter and flow mediated dilatation (i.e. percent change in brachial artery diameter after occlusion cuff release). Patients were divided into two groups; first group was classified as those having BAFMD less than 7.5% and the second group consisted patients having BAFMD less than 10%.Results: Flow mediated dilatation in cases was 6.87±5.48% as compared to the control group in which it was 13.08±3.40% and was statistically significant (P value 0.000002). Brachial artery flow mediated dilatation was abnormal in 80% cases at a cut off value <10% significant abnormalities; i.e. BAFMD <7.5% was found in 66% patients.Conclusions: Endothelial function as assessed by FMD is significantly impaired in patient of coronary artery disease. Hence it may be used as an important screening tool in people having cardiovascular disease risk factors and may play as a crucial role in preventive cardiology.
Dermoscopic evaluation of therapeutic response to intralesional triamcinolone acetonide in the treatment of Alopecia areata
Authors: Srivastava Sweksha , Goyal Sheena , Dhillon K. S. , Singh Nishant 
Published: July 2017

Background: Alopecia areata is a common auto-immune condition, characterized by circumscribed, patches of hair loss usually of the scalp. There are various treatment modalities available but no treatment is fully curative or preventive. Also, alopecia areata can have devastating effects on the patient’s quality of life and self-esteem. The aim of this study was to determine dermoscopy findings of alopecia areata that could be used as a clinical indicator of disease and also to evaluate the efficacy of intralesional injection Triamcinolone acetonide in the treatment of alopecia areata.Methods: Seventy patients with alopecia areata, aged between 11 and 56 years were injected with intralesional triamcinolone acetonide at a 4 weeks interval. Treatment response was evaluated using re-growth scale approach. Dermlite DL3 dermoscope was used to assess disease activity, response to treatment and side effects. Using Wilcoxon signed rank test, changes were assessed in the severity of the disease during follow-ups.Results: Baseline mean percentage area of scalp involved was 23.21±10.70. All the patients had black dots, 98.6% had yellow dots, 27.1% had broken hair, 74.3% had tapering hair and only 71.4% had vellus hair. At baseline, 15 (21.4%) patients had Alopecia Grading Score (AGS) 1, 29 (41.4%) had score 2 and 26 (37.1%) had a score of 3. Injection Triamcinolone acetonide (5 mg/ml) was injected at 1 cm intervals with 0.1 ml on each site and the procedure was repeated every 4 weeks for a maximum period of 24 weeks. From baseline level to the last follow up, proportion of patients with black dots reduced from 100% to 4.3%, yellow dots from 98.6% to 0%, broken hair from 17% to 0% and tapering hair from 74.3% to 0%. Vellus hair increased from 71.4% to 100%. Overall success rate in terms of achievement of re-growth Ssore 4 at last follow up was 60%.Conclusions: Dermoscopic characteristics, such as black dots, yellow dots, broken hair, tapering hair and clustered short vellus hair are primary indicators of alopecia areata.
Homicide Rates of Transgender Individuals in the United States: 2010–2014
Authors: Dinno Alexis 
Published: July 2017

Objectives. To estimate homicide rates of transgender US residents and relative risks (RRs) of homicide with respect to cisgender comparators intersected with age, gender, and race/ethnicity. Methods. I estimated homicide rates for transgender residents and transfeminine, Black, Latin@, and young (aged 15–34 years) subpopulations during the period 2010 to 2014 using Transgender Day of Remembrance and National Coalition of Anti-Violence Programs transgender homicide data. I used estimated transgender prevalences to estimate RRs using cisgender comparators. I performed a sensitivity analysis to situate all results within assumptions about underreporting of transgender homicides and assumptions about the prevalence of transgender residents. Results. The overall homicide rate of transgender individuals was likely to be less than that of cisgender individuals, with 8 of 12 RR estimates below 1.0. However, the homicide rates of young transfeminine Black and Latina residents were almost certainly higher than were those of cisfeminine comparators, with all RR estimates above 1.0 for Blacks and all above 1.0 for Latinas. Conclusions. Antiviolence public health programs should identify young and Black or Latina transfeminine women as an especially vulnerable population.
Per Diems in Polio Eradication: Perspectives From Community Health Workers and Officials
Authors: Closser Svea , Rosenthal Anat , Justice Judith , Maes Kenneth , Sultan Marium , Banerji Sarah , Amaha Hailom Banteyerga , Gopinath Ranjani , Omidian Patricia , Nyirazinyoye Laetitia 
Published: July 2017

Nearly all global health initiatives give per diems to community health workers (CHWs) in poor countries for short-term work on disease-specific programs. We interviewed CHWs, supervisors, and high-level officials (n = 95) in 6 study sites across sub-Saharan Africa and South Asia in early 2012 about the per diems given to them by the Global Polio Eradication Initiative. These per diems for CHWs ranged from $1.50 to $2.40 per day. International officials defended per diems for CHWs with an array of arguments, primarily that they were necessary to defray the expenses that workers incurred during campaigns. But high-level ministry of health officials in many countries were concerned that even small per diems were unsustainable. By contrast, CHWs saw per diems as a wage; the very small size of this wage led many to describe per diems as unjust. Per diem polio work existed in the larger context of limited and mostly exploitative options for female labor. Taking the perspectives of CHWs seriously would shift the international conversation about per diems toward questions of labor rights and justice in global health pay structures.
Ферромагнитный резонанс в монокристаллических спиновых вентилях CoFeB/Ta/CoFeB и пленках CoFeB c перпендикулярной магнитной анизотропией
Authors: Таланцев А.Д. , Львова Г.Л. , Коплак О.В. , Дмитриев О.С. , Lu Y. , Mangin S. , Моргунов Р.Б. 
Published: July 2017

В пленке MgO/CoFeB/MgO/Ta с одним ферромагнитным слоем (монослой) и спиновом вентиле MgO/CoFeB/Ta/CoFeB/MgO/Ta, состоящем из двух ферромагнитных слоев CoFeB с монокристаллической структурой, разделенных немагнитным слоем Ta (бислой), исследованы ориентационные зависимости ферромагнитного резонанса. Анализ ориентационных зависимостей структур с перпендикулярной магнитной анизотропией позволил извлечь константы магнитной анизотропии, а также коэффициенты демпфирования. Обсуждаются физические причины различий этих параметров в однослойных и двухслойных структурах. Работа поддержана Министерством образования и науки РФ (грант N 3.1992.2017/ПЧ в рамках конкурса научных проектов, выполняемых научными коллективами исследовательских центров и (или) научных лабораторий образовательных организаций высшего образования), а также грантом N 14.W03.31.0001. DOI: 10.21883/FTT.2017.08.44753.47
Влияние аллотропического перехода в титане на его энергию межатомного взаимодействия
Authors: Бетехтин В.И. , Кадомцев А.Г. , Нарыкова М.В. 
Published: July 2017

Изучение и анализ зависимости долговечности от напряжения и температуры свидетельствуют об изменении энергии межатомного взаимодействия при аллотропическом переходе в титане. Для объемноцентрированного beta-Ti (при температуре T&gt;1155 K) эта энергия &#126;485 kJ/mol, что хорошо совпадает с теплотой сублимации титана, а для гексагонального плотноупакованного alpha-Ti (T&lt;1155 K) &#126;305 kJ/mol. Рассмотрены литературные данные, подтверждающие сделанные в данной работе выводы. DOI: 10.21883/PJTF.2017.15.44870.16753
Stories from the "Real" World: Administering Anti-administratively
Authors: McSwite O.C. 
Published: July 2017

Typical folklore stories of what goes on in the "real world" of public organizations suggest that the official rationalist picture of them is misleading. Acknowledging the lived reality agencies through the development of a literature of administrative folklore might lead both to improved, more accurate understandings and the adoption of a new arational", '"anti-administrative model" model of hesitant action" that could improve the work government and enhance public acceptance of bureaucracies.
The Practice of Feminisms and Public Administration
Authors: Hutchinson Janet R. 
Published: July 2017

The practice of public administration is notably lacking in the practice of feminisms. Beyond claims for equal opportunities for women played out through appeals for affirmative action, the abolition of "glass ceilings" and sexual harassment, in the liberal feminist tradition, little attention has been given to fundamental disparities inherent in public administration discourses. This paper describes several feminist theories in relation to the liberal feminist paradigm, and introduces a postmodern notion of seriality as an alternative conception for the practice of feminisms.
Deciding The Undecidable A Few Things Post-Modernism Might Have to Offer Public Administration
Authors: Stivers Camilla 
Published: July 2017

Despite its irritating apparent refusal to answer public administrators' need for help in understanding complex situations and making tough decisions, post-modem thought actually has some rather practical observations to offer. Using Robert Frosts poem, "Mending Wall," as a catalyst for reflection, this brief essay considers central post-modem questions like the power-knowledge nexus and the impossibility of closure, in order to suggest the possibility that just decisions might be grounded in a recognition of undecidability, that is, the openness that otherness constitutes.
A Chronicle of Higher Education
Authors: Kroll Morton 
Published: July 2017

Harry Birkin's battles with time and timing were evident from early childhood. In postcards, letters and memoranda we trace his development as a child, adolescent, undergraduate student, and his career in academia. We read of Harry's progress through his creative rationalizations for the delays and mishaps that characterized his personal and administrative behavior. He moved up the ladder to positions of increased responsibility, sufficiently admired by his colleagues, his profession and institution, to have had, upon his retirement, a campus building named for him. Harry, so to speak, marched to a different beat.
THE INTEGRATION OF EDUCATION IN MULTI-RACIAL AND MULTI-CULTURAL SOCIETY
Authors: Chamisah Chamisah , M. Daud Ridhwan 
Published: July 2017

This study aims to know the reasons of education ina multi-racial and multi-cultural society demands integration.. The studywhich focuses onMalaysia country typified by three major ethnic groups, namely Malays, Chinese and Indians,foundthat, firstlythe integration of curriculum in creating a holistic education isvital for the society to create a competitive human capital with value laden such as trustworthiness, dedication, creativity, civic awareness and many more. Secondly, integration curriculum emphasizes on the equity and equality of education for all.Through interacting with individuals from a range of religious and ethnic backgrounds, people will learn to understand, accept and embrace differences. Throughsharing experiences and aspirations,a common national identity and ultimately unity can be achieved. Therefore, integrating curriculum is not only to integrate Islamic concepts in the education system but alsoto integrate all the concepts that make one comprehensive curriculum. Thirdly, it is important to integrate the curriculum with a value-laden perspective to encourage solidarity and harmony.
Keywords: Multi-racial; Multi-cultural society; Education; Malaysia