Miracle-dz/UniFAR-FTUs huggingface dataset:
Time spent on the internet, blood pressure and loneliness in adolescents: a cross-sectional study

30 Erciyes Med J 2020; 42(1): 30–6 • DOI: 10.14744/etd.2019. 68815 ORIGINAL ARTICLE – OPEN ACCESS This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. Orhan Çakır , Aynur Çetinkaya Time Spent on the Internet, Blood Pressure, and Loneliness in Adolescents: A Cross-Sectional Study Objective: The purpose of this study was to examine the relationship among the time spent on the internet, blood pressure values, and loneliness levels in adolescents. Materials and Methods: The study was planned with an analytical cross-sectional approach in the Manisa province, Turkey. The study was conducted in five high schools in a Turkish city in 2016. The study was carried out with 686 high school students in the Manisa province, Turkey. Data collection tools used in the study were “personal information form”, “height and blood pressure measurement form”, and “UCLA loneliness scale. ” Results: According to this study, 34.4% of participants were found to be excessively spending their time on the internet. The prevalence of hypertension and prehypertension in adolescents was found to be 10.3% and 5.4%, respectively. There was no relationship between the time spent on the internet and blood pressure levels of adolescents (p=0.751). However, there is a relationship between the time spent on the internet and loneliness levels of adolescents (p=0.041). Conclusion: Particularly, integrating these dimensions of adolescent health into school guidance and psychological counseling units and primary health care services is considered to be important.
Relationship between ABO, Rh Blood Groups and Diabetes Mellitus, obesity in Namakkal town, Tamilnadu.

The present study was to evaluate the relationship between ABO and Rh blood groups with diabetes mellitus and obesity.This study was conducted at various nursing homesNamakkal ,Tamilnadufrom January to March 2014.A total of890 subjects ( 540 males and 350females)were taken for the present studyAmong them, 509
Etiology and reversibility

Reversal of type 2 diabetes to normal metabolic control by either bariatric surgeryorhypocaloricdietallows for the time sequence of underlying pathophysiologic mechanisms to be observed. In reverse order, the same mechanisms are likelytodeterminetheeventsleadingtothe onset of hyperglycemia and permit insight into the etiology of type 2 diabetes. Within 7 days of instituting a substantial negative calorie balance by either dietary intervention or bariatric surgery, fasting plasma glucose levels can normalize. This rapid changerelatestoasubstantialfallinliverfat content and return of normal hepatic insulin sensitivity. Over 8 weeks, first phase and maximal rates of insulin secretion steadily return to normal, and this change is in step with steadily decreasing pancreatic fat content. The difference in time course of these two processes is striking. Recent information on the intracellular effects of excess lipid intermediaries explains the likely biochemical basis, which simplifies both the basic understanding of the condition and the concepts used to determine appropriate management. Recent large, long-duration population studies on time course
Effectiveness of Tai Chi Qi Qong Program for Thai Women with Breast Cancer: A Randomized Control Trial

Abstract: Despite their increasing cancer survival rate, many women with breast cancer still live with suboptimal health and quality of life. This randomized control trial aimed to determine the effects of Tai Chi Qi Qong program on self-esteem, fatigue, cortisol, and quality of life in Thai women with breast cancer. The sample included 30 Thai women with breast cancer who, after treatment completion, routinely visited the breast clinic in a university hospital, Bangkok, Thailand. The participants meeting eligibility criteria were randomly assigned into an experimental group and received the program, in addition to usual care, and the control group received only usual care (n = 15 per group). Data were collected at baseline (T1), 6th week (T2), and 12th week (T3) after program implementation. Instruments for data collection were the Rosenberg Self-Esteem Scale, the Fatigue Symptom Inventory, cortisol, and the Functional Assessment of Cancer Therapy-Breast. Repeated measures ANOVA and ANCOVA were used to test the program efficacy. The results revealed that the experimental group had statistically significant improvement in self-esteem, fatigue, cortical, and quality of life compared with control group between 6th week and 12th week after baseline data was controlled. The findings indicated that the Tai Chi Qi Qong is a beneficial program for Thai woman with breast cancer. Nurses should integrate this program in their practice to promote health and quality of life in Thai women with breast cancer. However, future studies are required including a randomized control trial with a larger sample size.
Dating and Premarital Sexual Inisiation on Adolescence in Indonesia

Adolescent is the generation that will determine the future of the nation. Indonesia has many adolescents with excellent achievement in national and international level. However, there are still many adolescents who have negative and deviant behavior such as smoking, drinking, using drugs, even to the behavior of free sex. The purpose of this analysis was to examine dating and sexual behavior of adolescents in Indonesia. This analysis was using secondary data from the Survey of Performance Indicators of National Medium Term Development Plan Program of the National Population and Family Planning Year 2015. The survey was conducted in 34 provinces throughout Indonesia. The number of the samples for this analysis were 41.885, who were adolescents aged 15-24 years and have not married yet. The analysis showed that male respondents who had girlfriend were higher than girls who had boyfriends. On average, the first dating age is 15.5 years. The most frequent activities during dating are holding hands, kissing lips, touching and stimulating the sensitive part of body. Boys were more permissive related premarital sex than adolescent girls. Furthermore, boys admitted have had sexual intercourse three times higher than girls. Adolescents who were on dating had higher chances of having premarital sex than those who were not on dating. The chance of premarital sex was likely to increase if the adolescents holding hands, kissing lips, and touching sensitive parts of body while having date.
PREVALANCE AND ANTIMICROBIAL SUSCEPTIBILITY PATTERN OF CLINICALISOLATES OF PSEUDOMONAS AERUGINOSA IN A TERTIARY CARE TEACHINGHOSPITAL

The study was conducted to know the prevalence of Pseudomonas aeruginosa in clinical infections and its antibiotic susceptibility pattern to commonly used antibiotics in a tertiary care teaching hospital. We received 897 relevant clinical isolates among, which 203 was P.aeruginosa. Antibiotic susceptibility was determined by Kirby Bauer’s disc diffusion method with first line and second line antibiotics. Results – Among the first line antibiotics the isolate displayed an increased resistance to Ciprofloxacin (28.57%) followed by Levofloxacin (25.61%), and the least was towards Amikacin (14.77%), whereas most of the second line antibiotics such as Polymyxin B and Colistin exhibited a high sensitivity (99.02 %.). Conclusion-The ability of the opportunistic pathogen P.aeruginosa to rapidly develop resistance to multiple classes of antibiotics during the course of treatment makes it important to determine the antibiotic susceptibility pattern. As the pipeline of new drugs continues to diminish, it is critical that we look for new strategies to combat the threat of antibacterial resistance.
Helpfulness of Formal Services, Family Organizations and Informal Supports

Thirty families, over a period of two years, shared their experiences as they sought services, entered treatment, and remained in or terminated treatment. During those two years, the parents and other caregivers who participated in the FEMHS study were asked in thirteen separate interviews about the helpfulness of formal services and informal supports. The degree to which formal services were helpful to families in this study varied. Caregivers’ perceptions of the degree to which services were benefi cial was based on how well the service met an identifi ed need, as well as the quality of the caregivers’ interactions with specifi c agencies or individuals providing services. However, caregivers consistently identifi ed the following aspects of services as critical variables as to whether services are benefi cial: • The quality of the relationship established between one’s child and his or her therapist(s) or case manager(s); • The accessibility and responsiveness of services and providers to the requests and needs of caregivers; • The degree to which services were coordinated across providers; and,
Primer reporte del registro nacional de acromegalia: Programa «Epiacro»

Karina Acevedo (HGZ IMSS, Tijuana BC), Patricia Eugenia Aguilar-Pacheco (UMAE IMSS, Merida, Yuc), Sara Arellano-Montano (Hospital General de Mexico, SS), Myriam Yolanda Bastidas-Adrian (Hospital Regional 1 IMSS, Culiacan, Sin), Benito Dominguez (Hospital Regional IMSS, Torreon, Coah), Avril Renne Garcia (UMAE IMSS, Puebla, Pue), Graciela Gomez-Martinez (UMAE 25 IMSS, Monterrey, NL), Jorge Gonzalez-Estrada (Hospital Regional ISSSTE, Guadalajara, Jal), Alvaro Hernandez (UMAE 189 IMSS, Veracruz, Ver), Luis Hidalgo, Paola Jervis (Hospital de Especialidades, CMN S.XXI), Rosa Isela Luna-Ceballos (UMAE 189 IMSS, Veracruz, Ver), Maria de Lourdes Maya-Luna (Hospital Regional ISSSTE, Guadalajara, Jal), Moises Mercado (Hospital de Especialidades, CMN S.XXI), Marisela Vidrio (Hospital Regional 110, Guadalajara, Jal), Jorge Arturo Padilla-Retana (Hospital Regional IMSS, Morelia, Mich), Lesly Portocarrero (Instituto Nacional de Neurologia y Neurocirugia), Gabriela Rangel-Sanchez (Hospital de Especialidades, CMO IMSS, Guad, Jal), Alfredo Reza-Albarran (Instituto Nacional de Ciencias Medicas y Nutricion), Aleida de Jesus Rivera (Hospital Ignacio Zaragoza ISSSTE), Cesar Trujillo-Lozoya (Novartis Oncologia), Ana Maria Uribe (UMAE 189 IMSS, Veracruz, Ver), Francisco Javier Velazquez (Hospital de Especialidades, CM La Raza IMSS), Alma Vergara (Centro Hospitalario 20 de Noviembre, ISSSTE).
Comparison of liver function and safety in hepatocellular cancer patients treated with DEB-TACE and cTACE: a multi-center, retrospective cohort study

Background This study aimed to compare the live function change and adverse events (AEs) between drug-eluting beads (DEB) transarterial chemoembolization (TACE) with CalliSpheres® microspheres (CSM) and conventional TACE (cTACE) in treating hepatocellular carcinoma (HCC) patients. Methods Three hundred and thirty-five HCC patients underwent DEB-TACE with CSM (n=171, DEB-TACE group) or cTACE (n=164, cTACE group) were consecutively enrolled in this multi-center, retrospective cohort study. Liver function indexes were reviewed before treatment (W0), at 1 week (W1) and 1 month (M1) post treatment. Moreover, AEs during operation and hospitalization were retrieved as well. Results The changes of albumin (ALB) [–3.55 (–6.25 to –0.43) vs. –2.20 (–4.63–0.00), P=0.043] and total protein (TP) [–4.62 (–10.18–0.43) vs. –2.50 (–7.08–1.08), P=0.013] from W1 to W0 were lower in DEB-TACE group compared to cTACE group, while no difference was observed referring to the change of alanine aminotransferase (ALT) (P=0.494), aspartate aminotransferase (AST) (P=0.747), alkaline phosphatase (ALP) (P=0.895), total bilirubin (TBIL) (P=0.059), total bile acid (TBA) (P=0.491) from W1 to W0. And the changes of these seven indexes from M1 to W0 were all similar between DEB-TACE group and cTACE group (all P>0.05). Besides, the occurrence of pain during treatment (19.3% vs. 11.0%, P=0.034) and the occurrence of fever during hospitalization (18.1% vs. 9.1%, P=0.017) were both increased in DEB-TACE group compared to cTACE group. Conclusions DEB-TACE with CSM is non-inferior to cTACE in terms of liver function change, while DEB-TACE with CSM leads to higher incidences of pain and fever.
KNOWLEDGE ABOUT PREGNANCY DANGER SIGNS AMONG MOTHERS ATTENDING ANTENATAL CARE IN JUGAL HOSPITAL, HARARI REGIONAL STATE, ETHIOPIA, 2019

Background: Every pregnant woman faces the risk of sudden, unpredictable complication that could end in death or injury to mother or infant. Each year, approximately 287,000 women die from complications related to pregnancy and childbirth in developing countries. Maternal mortality ratio (MMR) in developing regions is 15 times (240/100,000 live births) higher than in developed regions (16/100,000live births) Objective: The aim of this study was to determine the knowledge about pregnancy danger signs among mothers attending antenatal care in Jugal Hospital, Harari Regional State, Ethiopia.Methods: Institution based cross-sectional study design was conducted. A systematic random sampling technique was used to select study participants from pregnant mothers attending antenatal care during the time of data collection. Data were collected using a structured questionnaire and it was entered in to EPI Data version 3.1 software program and exported to SPSS version 20 software for analysis.Results: A total of 316 pregnant women were included in the study with a response rate of 86%. The study indicated that 44.67% of the respondents had knowledge on danger signs of pregnancy, and there was a significant association with the knowledge on danger signs of pregnancy and the age of the respondent and educational status of the respondent (P 0.05). Conclusion: The study finding shows that poor awareness about danger signs of pregnancy among antenatal care attendants in Jugal hospital, Harari Regional State. There was a significant association between educational status, the age of the mother and knowledge about pregnancy danger signs among mothers attending antenatal care.
The role of Delayed Cord Clamping in improving the Outcome in Preterm Babies

Objective: Despite significant proposed benefits, delayed umbilical cord clamping (DCC) is not practiced widely in preterm infants largely because of the question of feasibility of the procedure and uncertainty regarding the magnitude of the reported benefits, especially intraventricular hemorrhage (IVH) vs the adverse consequences of delaying the neonatal resuscitation. The objective of this study was to determine whether implementation of the protocol-driven DCC process in Elsahel teaching hospital would improve the outcome in preterm infants without adverse consequences. Study design: We implemented a quality improvement process for DCC for 13 months started in August 2014 in infants born at less than 37 weeks’ gestational age. Eligible infants were left attached to the placenta for 45 seconds after birth. Neonatal process and outcome data were collected until discharge. We compared infants who received DCC with infants who were born for 13 months started at February 2014, but whose cord was clamped immediately after birth, because they were born before the protocol implementation. Results: DCC was performed on 79 infants; and 81 infants were identified as control. Gestational age, birth weight, and other demographic variables were similar between both groups. There were no differences in Apgar scores or admission temperature, but significantly fewer infants in the DCC group were intubated in delivery room, had respiratory distress syndrome, or received red blood cell transfusions in the first week of life compared with the control group. A significant reduction was noted in the incidence of IVH in the DCC compared with the historic control group, after adjustment for gestational age, an association was found between the incidence of IVH and DCC. IVH was significantly lower in the DCC compared with control group. There were no significant differences in deaths and other major morbidities. Conclusion: DCC, as performed in our institution, was associated with significant reduction in IVH and early red blood cell transfusions. DCC in preterm infants appears to be safe, feasible, and effective with no adverse consequences.
RELATIONSHIP BETWEEN PAY FOR PERFORMANCE AND SERVICE QUALITY AT THE HASHEMI NEJAD HOSPITAL TEHRAN

Pay for performance for doctors and health care service providers called as a reward system that aims to improve efficiency policies and reducing costs. Rising costs and a growing imbalance between primary and specialized care, caused payment for health care has a basic need to major reforms. The aim of this study is descriptive and analytical, which cross sectional carried out at Shahid Hashemi Nejad Subspecialty Hospital in Tehran in 2013. Research population consisted of hospitalized patients and health care workers that the sample size for hospitalized patients (n = 120) using the formula for estimating the mean and for health care personnel (n = 120) determined by using Cochran’s formula, data analyzed through a questionnaire of the quality of service and performance-based payment using SPSS 21 software and with the Pearson statistical test. The findings of the quality of services provided at hospital showed that at acceptable levels (55.48 ± 16.03) and status of Pay for performance in a good level is (76.92 ± 6.98). Significant relationship between Pay for performance and selection of service providers, advocacy groups, continuity of service, quality of facilities, respect, timely and immediate attention, safety, prevention, access and trust and there was no significant relationship between Pay for performance and communication aspect and interaction and having option. The results showed that Pay for performance improves the dimensions of services quality, and according to a few studies in the field of performance-based payment in the health sector, there is a need for further studies in the country.
Determinants of Exclusive Breastfeeding Practices in Kandahar, Afghanistan: A Cross-Sectional Analytical Study

Background It is recommended for mothers to start breastfeeding their infants within the first hour after birth and exclusively breastfeed them for the first 6 months of their life. Exclusive breastfeeding (EBF) has both short- and long-term benefits for both mother and infant. Main objective of this study was to establish the determinants of EBF practices among mothers in Kandahar, Afghanistan. Materials and Methods This was a cross-sectional analytical study conducted in Kandahar, Afghanistan. Researcher-made questionnaire was used to collect the data from 1,028 mothers with children (June–November, 2018). Data was analysed using SPSS software version 22.0 Results Among 1,028 mothers, 95.9% were uneducated, 53.9% had low socio-economic status, and 94.2% had ante-natal care (ANC) visits. EBF rate was 51.2% (526/1028). During first 6 months of life, 11.1% of the infants were given foods other than milk while 51.4% used pacifier. Weaning was started in nearly half (49.2%) of the infants before 6 months of age. Main barriers to EBF were living in city, male gender, giving sedative syrup (Promethazine) to infant, breastfeeding the infant ≥8 times in 24 hours, and giving expressed milk. Conclusion EBF rate in Kandahar is better than many parts of the world, but there are still many barriers that need to be removed. Main barriers of EBF rate in Kandahar needs to be decreased by increasing the health education and overall education status of the mothers.
Ethno-medicinal Plants of the Garhwal Himalaya Used to Cure Various Diseases: A Case Study

Garhwal Himalaya has been the reservoir of enormous natural resource including vegetational wealth. Primitive communities and tribes who live in the vicinity of forest due to being close to the nature, possess a deep practical knowledge on indigenous flora, pertaining to curatives, culture, customs, ethos, cults, religion, belief, legends, myths as well as other miscellaneous uses. The people in remote villages and tribal areas depend upon the folk medicines and household remedies to a great extent. The prevalent practice of herbal remedies has descended down from generation to generation and includes the cure from simple ailments to the most complicated one. The present communication pertains to the ethnomedicinal plants used for the treatment of various diseases and ailments like dysentery, cough, asthma, inflammation, body-ache, wound healing, bronchitis, mouth ulcer, cold, smooth delivery, headache, throat sore, constipation, diarrhea, menstrual disorders, malaria, vomiting, jaundice, mental disorder, skin diseases etc. (New York Science Journal 2010;3(12):28-31). (ISSN: 1554-0200).
Oral Health Status and Treatment Needs Among Adult Diabetic and Non Diabetic Patients in Bangalore City (A Comparative Study)

Diabetes Mellitus is one of the major chronic health problems facing the world today. Its implication on oral health is very well documented. Aims and objectives: To determine the prevalence of dental caries, DMFf level and treatment needs; the periodontal status and treatment needs using the CPITN and to plan an appropriate preventive programme feasible, in a group of adult diabetic patients attending out-patient department in the Bangalore Hospital, Bangalore. Materials and methods: The study consisted of diabetics (n = 250, males -150, females-H)()) and a control group, matched by age and sex (n = 250, males-143, females- 107) Examination was conducted as per WHO criteria. Results: DMFT level/scores were high in control group than in diabetics; decay component (DT) and filled component (FI) was lower in diabetics than in control; while missing component (MT) was higher in diabetics than in controls. Regarding CPITN, mean number of missing sextants were higher in diabetics. Pathologic pockets of 6 mm or more were found in 3.9 and 4.1 sextants in 60 years and above, in diabetic and control group respectively. Discussion and conclusion: Oral hygiene instructions were required for all the diabetics and most of the control whereas, scaling was required for most of them in both the groups. In this study 60% of diabetics and 41.2% of control needed complex treatment.
Factors Affecting Physical Growth in Children with Primary Vesicoureteral Reflux: A Single Center Experience

Ad dress for Cor res pon den ce Rabia Miray Kışla Ekinci MD, University of Health Sciences, Dr. Behçet Uz Children’s Training and Research Hospital, Clinic of Pediatrics, İzmir, Turkey Phone: +90 232 411 60 00 E-mail: mir_kisla@hotmail.com ORCID: orcid.org/0000-0001-6234-822X Re cei ved: 13.08. 2018 Ac cep ted: 26.10. 2018 1University of Health Sciences, Dr. Behçet Uz Children’s Training and Research Hospital, Clinic of Pediatrics, İzmir, Turkey 2University of Health Sciences, Dr. Behçet Uz Children’s Training and Research Hospital, Clinic of Pediatric Nephrology, İzmir, Turkey Rabia Miray Kışla Ekinci1, Erkin Serdaroğlu2
Injecting Drug Use Amongst Inmates in Greek Prisons

We present a national cross-sectional comparative study of injecting drug use amongst male inmates in Greek prisons in relation to demographic and penal variables. A representative sample of 1,000 inmates were randomly selected from ten correctional institutions. 861 questionnaires were included in the analysis. 290 inmates (33.6%) reported injecting drugs, of whom 174 (60%) had injected while in prison, and 146 (50.3%) had shared sometime while in prison. Inmate injectors were predominately aged 25 to 34 years; they were incarcerated mostly due to drug offences (54.7%) and offences against property (30.5%); they were characterised by a multiplicity of previous sentences and a long duration of total time in prison. Most of the injectors had been convicted for drug offences in the past. Injectors, compared to non-injectors, were more likely to have had an HIV blood test. Regarding their sexual behaviour during the twelve months prior to imprisonment, injectors were more likely to have multiple female sexua.