bluuebunny/crossref_metadata_2025_split huggingface dataset:
Hyperbilirubinemia: a new diagnostic marker for perpendicular perforation
Authors: Y. B. Ramaswami , H. S. Prakash , T. C. Raghavendra Prabhu , Jabbar Faiyaz Abdul 
Published: August 2017

Background: Appendicitis is one of the commonest causes of abdominal pain requiring emergency surgery. Diagnosing acute appendicitis clinically still remains a common surgical problem as the clinical signs and symptoms of other abdominal pathologic conditions mimic the diagnosis of acute appendicitis. Delay in diagnosis and surgery for this condition may lead to various complications like perforation, abdominal abscess etc. By knowing perforation prior to the exploration, we can manage the condition very effectively in terms explaining the prognosis of disease, morbidity of surgery, wound infection, and requirement of emergent nature of surgery. Aim of the study is to determine of role of hyperbilirubinemia as a new diagnostic marker to predict gangrenous/perforated appendicitis.Methods: It’s a retrospective study was conducted in the department of surgery, MMCRI, Mysore during the period of January 2015 to December 2015 total of 100 patients with clinical as well as ultrasonographic diagnosis of acute appendicitis or appendiceal perforation were made. The serum bilirubin test was carried out in all the patients pre-operatively.Results: In the study, the total 100 patients enrolled for the study, hyperbilirubinemia (> 1.2 mg/dL) in present study was found in 47 patients with 19 acute and 28 patients perforated appendicitis of all the 100 patients while 53 patients had normal bilirubin levels (≤ 1.2 mg/dL) 51 patients acute and 2 patients perforated appendix.Conclusions: Total serum bilirubin appears to be a new promising laboratory marker for diagnosing appendicular perforation. The patients with clinical signs and symptoms of appendicitis and with hyperbilirubinemia without elevation of liver enzymes should be identified as having a higher probability of appendicular perforation, suggesting total serum bilirubin levels have a predictive potential for the diagnosis of appendicular perforation.
Effectiveness of conservative management of acute fissure in ano: a prospective clinical study of 165 patients
Authors: S. M. Sajith Babu , Gupta Rachna , Singh Lalmani 
Published: August 2017

Background: Fissure-in-ano is a common yet troublesome condition; if acute, the severity of patient discomfort and extent of disability far exceed that would be expected from a seemingly trivial lesion. The present study was carried out to study the effectiveness of conservative management in symptom relief in acute fissure in ano.Methods: The study was conducted in 165 patients with acute fissure in ano attending Surgery OPD and/or admitted in surgical wards of Sanjay Gandhi Memorial Hospital associated with Shyam Shah Medical College, Rewa during the period from 1st August 2015 to 31st July 2016. It was a prospective clinical study. All the study subjects underwent extensive clinical examination and were prescribed conservative treatment regime. Follow up was done at the end of 2 weeks, 4 weeks and 6 weeks and the data was analyzed. 165 patients diagnosed as having acute fissure in ano. The outcome was assessed based on the following parameters; symptomatic relief, pain relief based on visual analogue scale and healing of ulcer.Results: Most of the patients were young adults with a slight female dominance. Pain during defecation and bleeding per rectum were the major presenting complaints. 73.94% of patients achieved symptom relief within 2 weeks of conservative treatment. At 6 weeks follow up after giving conservative line of management, 97.58% achieved symptom relief with healing of ulcer. Mean pain score was reduced from 9.5±0.71 at the start of therapy to 1.33±0.69 at the end of 6 weeks of conservative therapy.Conclusions: Acute fissure in ano can be easily cured with systematic usage of conservative treatment regime. A proper follow up along with patient education can help to achieve good remission and avoid unnecessary surgical intervention.
Comparison of conventional closure versus “re-modified Smead Jones” technique of single layer mass closure with Polypropylene (prolene) loop suture after midline laparotomy in emergency cases
Authors: Sringeri Raxith , Vasudeviah Thulasi 
Published: August 2017

Background: The occurrence of sudden disruption of the abdominal laparotomy wound is a major disaster in the life of a patient who has undergone an abdominal operation and a major psychological blow to the patient as well as the surgeon.Methods: 100 consecutively enrolled patients who underwent emergency midline laparotomies were enrolled in the study who were admitted in Department of Surgery, JSS University, Mysore and intra-operatively randomized into two groups in 1:1 pattern.Results: The total number of patients who underwent laparotomy for generalized peritonitis in 2 years was 100. The post-operative wound infection rate in Group A was 32.4% and in Group B was 12.3% (p = 0.03) and 95% CI (1.083-7.326).Conclusions: Present study concluded that the modified version of Smead-Jones techniques of laparotomy closure with prolene loop had very low incidence of early and may reduce the late complications. It was superior to other conventional methods of closure.
Skin stapler versus sutures in abdominal wound closure
Authors: Varghese Fobin , Gamalial Jose , Kurien John S. 
Published: August 2017

Background: Wound closure is as important as any other action performed by the surgeon. Apart from the need for producing a healthy and strong scar, it is the surgeon’s responsibility to ensure its aesthetically pleasing physical appearance. Skin staples are an alternative to regular sutures in offering this advantage. The present study has helped to highlight the benefits of skin stapler.Methods: Out of the 120 participants, 60 underwent skin closure with Stainless steel skin staples and the remaining 60 with non-absorbable Polyamide mattress sutures randomly. They all received one mandatory dose of pre-operative parenteral antibiotic 1 hour prior to the incision. On the 3rd postoperative day, the wound was evaluated for inflammation, infection and wound gape. Participants were re-evaluated for infection/gape/inflammation during follow-up on 7th day. The wounds were evaluated at 1 months follow up which were rated for cosmesis by Visual Analogue Score. The data was coded and entered in Microsoft excel and then analysed using statistical software SSPS.Results: Study population consisted of 79 males (65.8%) and 41 females (34.2%). Mean age of the study population was 49.35 with an SD 16.739. Wound infection was found to be higher in stapler group (30%) when compared to conventional suture group (11.7%)which was found to be statistically significant with chi-square value 6.114 and p value 0.013. Mean time for closure was significantly shorter in stapler group 4.55 minutes, when compared to suture group (11.22 minutes). Better cosmetic outcome was observed in conventional suture group.Conclusions: Preventing wound infection, especially in abdominal wounds, is of importance as it may lead to wound gaping. Incidence of post-operative wound infection was more with skin staples. Cosmesis is essential and important aspect in this day and age. A cosmetic scar not only gives satisfaction to the patient but also mental ease to the surgeon. Conventional sutures provided better cosmetic result when compared with skin staplers.
Etiology and management of perforation peritonitis: perspective from developing world
Authors: Bali Rajandeep Singh , Sharma Ashok Kumar , Soni Rajesh Kumar 
Published: August 2017

Background: Gastrointestinal perforation peritonitis is one of the commonest surgical emergencies encountered by surgeons all over the world.Methods: Present study was a retrospective study conducted at Lok-Nayak Hospital by analyzing the case records of 246 patients of perforation peritonitis presenting to the Emergency Department from January 2012 to December 2015.Results: A total of 246 patients were analyzed retrospectively. Mean age of present study group was 38.6 years, with male to female ratio of 2:1. The commonest etiology was gastro-duodenal ulcers followed by (in order of decreasing frequency) appendicitis, typhoid, trauma, tuberculosis, malignancy, bowel strangulation, amoebiasis, diverticulitis and unknown etiology. Mortality was 20 (8.13%) cases in the present study group.Conclusions: The spectrum of etiology of perforation peritonitis in the developing world differs markedly from that in the developed world. Early and aggressive fluid and electrolyte correction followed by prompt surgical intervention to address the cause under the cover of broad spectrum antibiotics are the cornerstones in achieving a favourable and good outcome.
Role of minimal invasive surgeries in gastric neoplastic diseases; how far we have come: an experience at tertiary centre
Authors: P. Pote Maroti , Rafe Abdul 
Published: August 2017

Background: Minimal invasive surgery (MIS) is a means of performing major operations through small incision, often using miniaturized, high tech imaging systems, to minimize the trauma of surgical exposure without compromising the quality of the surgical procedure. Upper gastro intestinal (GI) diseases constitute majority of gastro intestinal pathologies. With improved diagnostic and screening modalities, even in fatal diseases like carcinoma stomach (Ca stomach), MIS offers not only complete treatment but also improved quality of life by decreasing morbidity and mortality. This study attempts to explain our experience with MIS being performed at our institute.Methods: This study is hospital based, non-randomized prospective study carried out in the Department of Surgery, Govt. Cancer Hospital, Aurangabad from August 2014 to December 2016. Total 30 patients were included in study. All gastric neoplastic diseases operated by minimal invasive surgeries in patients of all age groups were included. All patients were operated under general anaesthesia. Post-operative pain scoring was done according to VAS scale. All patients were kept in ICU in immediate post-operative period for 2-3 days. Then patients were shifted to general ward once patients were clinically stable. Patients were discharged according to recovery. Hospital stay was prolonged in cases having complications. Patients were followed up post operatively after 1, 3 and 6 months and assessed on basis of symptoms.Results: Maximum patients belonged to the age group of 41-60 years. Mean age of patients operated for Gastrointestinal stromal tumours (GIST) was 57.5 years and Ca Stomach was 56.6 years. Mean operative time for laparoscopic gastrojejunostomy in our study was 150 min, for laparoscopic gastrectomy with gastro jejunal anastomosis was 230 min and for benign gastric tumours including GIST was 112 min. Type of anastomosis: Among 16 anastomoses, 2 oesophago - jejunal, 7 gastro - jejunal and 7 cases of gastro - gastric anastomosis were done. Jejuno - jejunal anastomoses are not included in this series. Both the oesophago - jejunal anastomoses were done by stapler method.Conclusions: It can be concluded that, minimal invasive surgeries for gastric diseases are feasible to perform. Blood loss, post-operative analgesia and hospital stay are less in laparoscopic procedures so it decreases over all hospital cost. Early post-operative recovery, decreased post-operative morbidity and avoiding unnecessary laparotomies are some of the other advantages of MIS. So, MIS should be considered as an alternative for open procedures in gastric disorders, for betterment of patient care.
Caracterização botânica-agronômica e do óleo essencial de acessos de manjericão
Authors: Castro Henrique Guilhon de , Veloso Ronice Alves , Cardoso Dione Pereira , Chagas Júnior Aloísio Freitas , Chagas Lillian França Borges 
Published: August 2017

Objetivou-se realizar a caracterização de quatro acessos e duas cultivares de manjericão por características fitoquímicas do óleo essencial e botânico-agronômicas em diferentes épocas de colheita. O experimento foi instalado utilizando-se um delineamento inteiramente casualizado em esquema de parcela subdivida, com quatro repetições. As parcelas consistiram de quatro acessos e duas cultivares de manjericão e as subparcelas por cinco épocas de amostragem. A análise de agrupamento por meio do método Tocher, utilizando as características botânico-agronômicas e fitoquímicas do óleo essencial, promoveu o agrupamento dos acessos silvestres no mesmo grupo evidenciando similaridade entre eles. Os acessos coletados na mesma região formaram grupo conjuntos. Observou-se variação na constituição dos grupos pelos acessos nas diferentes épocas de avaliação por características botânico-agronômicas. A divergência genética entre acessos e cultivares de manjericão, avaliada por características botânico-agronômicas, foi influenciada pelo estádio de desenvolvimento da espécie. A localização geográfica teve influência na caracterização e avaliação da divergência genética entre os acessos. Os constituintes majoritários presentes no óleo essencial das amostras avaliadas foram o linalol, nas cultivares, e o (E)- cinamato de metila, nos acessos silvestres. Characterization botanical-agronomic and essential oil of basil accessionsAbstract: The objective of this study was to characterize four accessions and two basil cultivars by phytochemical characteristics of essential oil and botanical-agronomic in different harvest times. The experiment was installed in a completely randomized design in a subdivided plot scheme with four repetitions. The plots consisted of four accessions and two basil cultivars and the subplots for five sampling times. The grouping analysis by the method Tocher use botanical-agronomic and phytochemicals of essential oil traits, was efficient in the evaluation of genetic divergence between the accessions and cultivars of basil, as promoted the grouping of the wild accessions in the same group evidencing similarity between them. The accessions collected in the same region formed group together. Variation was observed for the group constitutions by accessions in the different sampling times by botanical-agronomical traits. The genetic divergence among basil accessions and cultivars, evaluated by botanical-agronomical traits, was influenced by development stage of specie. The geographical location influenced the characterization and evaluation of genetic divergence among accessions. The major constituents present in the essential oil of the samples were linalool, in cultivars, and (E) - methyl cinnamate in wild accessions.
Métodos de inoculação de Rhizoctonia bataticola (taub.) (Macrophomina phaseolina (tassi) goid) em sementes de feijão
Authors: Silva Raimunda Nonata Oliveira da , Migliorini Patricia , Junges Emanuele , Nunes Anita de Farias , Tunes Lilian Vanussa Madruga de 
Published: August 2017

A utilização de métodos de inoculação constitui uma ferramenta essencial no manejo de doenças, estudo de resistência, seleção e aplicação de produtos. O estudo teve como objetivo avaliar a eficiência de diferentes métodos de inoculação de Rhizoctonia bataticola em sementes de feijão. Os tratamentos constituíram de diferentes métodos de inoculação: suspensão de hifas, contato com restrição hídrica, inoculação do substrato com discos de BDA contendo micélio do fungo e um tratamento controle. Após a inoculação das sementes, foram feitas avaliações de emergência, comprimento de parte aérea, massa seca de parte aérea e incidência de doença na folha e no caule. O delineamento experimental foi inteiramente casualizado, com oito repetições, sendo os dados foram submetidos à análise de variância, sendo as médias comparadas pelo teste a Tukey 5% de probabilidade. O método de inoculação por suspensão de hifas é o mais adequado para inoculação de Rhizoctonia bataticola em sementes de feijão, visto que proporcionou uma maior incidência de plântulas infectadas sem afetar a emergência. Rhizoctonia inoculation methods bataticola (taub.) (Phaseolina Macrophomina (tassi) goid) in bean seeds Abstract: The use of inoculation methods is an essential tool in the management of diseases, study of resistance, selection and application products. The study aimed to evaluate the efficiency of different Rhizoctonia inoculation methods bataticola in bean seeds. The treatments consisted of different methods of inoculation: hyphae suspension, contact with water restriction, inoculation of the substrate with BDA discs containing fungal mycelium and a control treatment. After inoculation of the seeds were made emergency assessments, shoot length, dry weight of shoot and incidence of disease in the leaf and stem. The experimental design was completely randomized with eight repetitions, the data and were subjected to analysis of variance and the averages were compared by Tukey test at 5% probability. The hyphal suspension for inoculation method is best suited for inoculation of Rhizoctonia bataticola bean seeds, as they provided a higher incidence of infected seedlings without affecting the emergency.
STUDI EMPIRIS FAKTOR-FAKTOR YANG MEMPENGARUHI PENGUNGKAPAN SOSIAL DAN LINGKUNGAN PERUSAHAAN MANUFAKTUR DENGAN MEKANISME CORPORATE GOVERNANCE SEBAGAI VARIABEL PEMODERASI
Authors: Kurniawan Putu Sukma 
Published: August 2017

Tujuan penelitian ini adalah untuk mengetahui pengaruh profitabilitas perusahaan, struktur modal perusahaan, ukuran perusahaan, dan manajemen laba terhadap pengungkapan sosial dan lingkungan perusahaan pada perusahaan manufaktur yang terdaftar di Bursa Efek Indonesia dan melihat peran mekanisme corporate governance sebagai variabel pemoderasi dalam pengaruh tersebut.Populasi dalam penelitian ini sebanyak 74 perusahaan. Periode pengamatan dimulai pada tahun 2008-2012. Pengukuran mekanisme corporate governance menggunakan analisis faktor. Metode statistik yang digunakan adalah analisis regresi moderasi (MRA).Hasil penelitian menunjukkan bahwa profitabilitas perusahaan dan ukuran perusahaan berpengaruh positif terhadap pengungkapan sosial dan lingkungan perusahaan, struktur modal perusahaan berpengaruh negatif terhadap pengungkapan sosial dan lingkungan perusahaan, dan manajemen laba tidak berpengaruh terhadap pengungkapan sosial dan lingkungan perusahaan. Penelitian ini menunjukkan bahwa mekanisme corporate governance sebagai variabel moderasi tidak mampu memperkuat pengaruh profitabilitas perusahaan, struktur modal perusahaan, ukuran perusahaan, dan manajemen laba terhadap pengungkapan sosial dan lingkungan perusahaan. Kata kunci: profitabilitas perusahaan, struktur modal perusahaan, ukuran perusahaan, manajemen laba, mekanisme corporate governance, pengungkapan sosial dan lingkungan perusahaan
TEKNIK MENGUNGKAP TAX FRAUD
Authors: Hermansyah Wawan 
Published: August 2017

Fraud is an array of irregularities and illegal act characterized by intention deception. The purpose of this study is to formulate revealed techniques of tax fraud using indirect and direct technique. 1). Indirect technique use vertical analysis, horisontal analysis, and ratio analysis technique, and 2). Direct technique use physics test. The development of this issue can be a solution for tax fraud’s problem in Indonesia. Otherwise, the study is only concerned to find sales transactions without value added tax and sales transactions that only paid a part to treasury find.This study is qualitative research with the Source of research data are balance, income statement, and cash flows statement. The method of collecting data use participation of observation. And then analysis of research data use hermeneutics. These result indicate that vertical test analysis technique and horizontal analysis technique have significant percentage and ratio analysis techniques showed indications of fraud with score M > 5,24. Besides, based on the result of physical tests showed that PT. NN less deposit the tax obligatios and hasn’t paid value added tax to treasury fund. Keywords: Tax fraud, vertical analysis techniques, horisontal analysis techniques, Beneish’s Model techniques, and physical examination.
EDUCAÇÃO EM COMUNIDADES REMANESCENTES DE QUILOMBOS: IMPLICAÇÕES POLÍTICAS E CURRICULARES
Authors: Cruz Ana Cristina , Cosentino Tatiane 
Published: August 2017

<p>Reduzido ao contexto dos conflitos fundiários, é assim, que, cotidianamente, nos veículos hegemônicos de comunicação, as comunidades quilombolas no Brasil têm visibilidade. Pouco se sabe sobre a história, as formas de organização, os conhecimentos, as culturas, a localização e as condições de vida dessas comunidades. Esta temática, por muito tempo, ficou circunscrita a pensadoras e pensadores que se dedicaram a retirar o quilombo de sua relação histórica com o período da escravidão e redimensioná-lo como um espaço de recriação cultural e política. Neste texto a intenção é analisar alguns aspectos no qual se insere a educação em comunidades quilombolas e discutir as implicações políticas e curriculares acerca desta temática. </p>
A CONSTRUÇÃO DO DIREITO À EDUCAÇÃO INFANTIL: AVANÇOS E DESAFIOS NO CONTEXTO DOS 20 ANOS DA LDBEN
Authors: Flores Maria Luiza Rodrigues 
Published: August 2017

<p>O artigo tem como objetivo analisar avanços e desafios para a consolidação da educação infantil como primeira etapa da Educação Básica no contexto dos 20 anos da Lei de Diretrizes e Bases da Educação Nacional, resgatando aspectos importantes da trajetória recente desta etapa do ponto de vista de seu reconhecimento legal e conceitual e destacando desafios no sentido da garantia do direito educacional para todas as crianças. O conteúdo dos dois últimos Planos Nacionais de Educação é tomado como indicador para esta avaliação, concluindo-se que o Brasil, além de não alcançar metas previstas em termos de percentuais de atendimento para esta faixa etária, ainda apresenta acesso desigual em termos de idade, localização de moradia e renda familiar, descumprindo padrões de qualidade existentes.</p><p></p>
EDUCAÇÃO INFANTIL 20 ANOS DE PRIMEIRA ETAPA DA EDUCAÇÃO BÁSICA E OS DESAFIOS DO FINANCIAMENTO
Authors: Dos Santos Joedson Brito , Junior Luiz De Sousa Junior 
Published: August 2017

<p>O presente texto discute avanços e desafios da Educação Infantil no contexto dos 20 anos da Lei de Diretrizes e Bases da Educação Nacional (LBD), momento em que foi constituída como primeira etapa da educação básica. Parte-se, neste artigo, do pressuposto de que o financiamento público para esse segmento, de modo a assegurar expansão com qualidade, é um dos principais desafios para os próximos anos. O estudo tem como objetivo evidenciar que, para o reconhecimento e a garantia do direito a educação para as crianças pequenas seja assegurado, é imprescindível a presença e a elevação dos recursos públicos para seu provimento. </p><p> </p>
POLÍTICAS PARA CRIANÇAS DE 0 A 3 ANOS: CONCEPÇÕES E DISPUTAS
Authors: Castro e Souza Marina , Pérez Beatriz Corsino 
Published: August 2017

<p>No Brasil, as políticas de Educação Infantil têm avançado significativamente nos últimos anos. Contudo, o campo continua repleto de tensões e disputas, com propostas dissonantes para as crianças pequenas. Esse trabalho tem como objetivo discutir concepções divergentes presentes na política destinada às crianças de 0 a 3 anos, que muitas vezes são litigantes, enfatizando os diferentes atores que se dedicam ao tema e a sua militância. Apresentaremos um breve histórico da Creche no Brasil, evidenciando as tensões em torno desse atendimento. E por fim, discutimos as diferentes concepções presentes nas políticas de Educação Infantil, e como o argumento que a educação precoce das crianças pobres, como possibilidade para combater a pobreza e os baixos resultados educacionais, vem ganhando força, tendo a neurociência como pressuposto epistemológico. </p><p><strong>Palavras-chave:</strong> Políticas; Educação Infantil; Concepções.</p>