Miracle-dz/UniFAR-FTUs huggingface dataset:
Effectiveness of an intensive lifestyle modification program in reducing the weight of obese children aged 12-18 years

Objective : To find out the effectiveness of an intensive lifestyle modification program in reducing the weight of obese children aged 12-18 years. Material and Methods : Quasi-experimental single group pre-test/post-test study was conducted for 1 year in the outpatient unit of a tertiary care hospital. Obese children aged 12-18 years who gave consent to participate in the study were included as the study subjects. Obesity was diagnosed based on revised Indian Academy of Pediatrics (IAP) 2015 reference percentiles that have been proposed for Asian Indian children with a body mass index (BMI) >27 kg/m2 adult equivalent cut-off taken as obesity. Intervention done was lifestyle modification including diet and moderate aerobic exercises under supervision thrice a week, 1 h each day. Results : A total of 72 children were initially enrolled, and final analysis was performed on 58 children. After completing the 6 months program, the mean BMI reduced from 29.31±4.83 kg/m2 to 27.27±4.46 kg/m2. The mean weight of the study participants decreased to 70.82±16.43 kg from 76.1±17.98 kg, both of which were statistically significant. Conclusion : Study shows the effectiveness of an intensive lifestyle modification program of diet and exercise in reducing the weight of obese children.
Susceptibility Patterns of Some Enteric Bacteria to Crude and Purified Bark Extracts of Annona muricata L.

Aims: This research was carried out to evaluate the susceptibility pattern of some enteric bacteria to crude and purified extracts of Annona muricata bark. Study Design: Experimental design. Place and Duration of Study: Department of Microbiology, Federal University of Technology, Akure, Ondo State, Nigeria. Between January, 2019 and May, 2019. Methodology: Extraction of bioactive components of bark was done by maceration and phytochemical screening was carried out on the bark extracts to determine the bioactive components present. The bacteria isolates were subjected to antibiotic sensitivity test using standard methods while the antibacterial activity of the plant extracts on human enteric bacteria was determined using agar well dilution method. A. muricata bark extracts were purified using column chromatography method. The minimum inhibitory and minimum bactericidal concentrations (MIC/MBC) of the extracts were performed using tube dilution technique. Original Research Article Dada and Akinde; JAMPS, 22(2): 21-33, 2020; Article no.JAMPS. 55123 22 Results: The quantitative phytochemical screening for bark extract revealed that glycosides (7.06±0.04, 34.67±0.02 and 19.35±0.01) extracted with aqueous, ethanol and methanol respectively is the most abundant phytochemical constituents. The antibacterial activities of the bark extracts revealed that aqueous showed no inhibition to none while ethanol and methanol inhibited all the test organisms. The highest value of minimum inhibitory concentration (MIC) and minimum bactericidal concentrations (MBC) for both ethanol and methanol bark extracts was 50 mg/ml and 100 mg/ml respectively. Conclusion: This research revealed that A. muricata bark extracts possesses antibacterial activity against human enteric bacteria isolates used in this study. The purified extracts of A. muricata bark showed higher zones of inhibition which indicates that it can compete well with standard antibiotics and it may also serve as a substitute to the commercially available antibiotics that can be used for the treatment of infections caused by enteric bacteria.
Citizen science reveals the current distribution of the new plant pest Aphis nerii in Slovakia

This paper presents the first record of the oleander aphid (Aphis nerii Boyer de Fonscolombe, 1841; Hemiptera: Aphididae) in Slovakia, and also one of the most northern record of this natural pest on the invasive common milkweed (Asclepias syriaca Linnaeus.; Apocynaceae) in Central Europe. Modern social media crowdsourcing has achieved comprehensive distribution data in the horticultural community, and a total of 35 new distribution sites were discovered in 28 Slovak settlements, one new site in Austria, and one in the Czech Republic. It was further established that the oleander aphid could survive in anthropogenic refuges during the winter months.
Assessment of Range Hoods based on Exposure

Cooking can be a major source of exposure to particulate matter. Range hoods can be used to reduce odours, moisture and contaminants resulting from cooking. The capture efficiency with regard to these contaminants is determined by the thermal plume and the aerodynamic properties of the range hood. There is a new ASTM (an international standards organization) test method: ASTM E3087. It measures capture efficiency under specific conditions that permits standardized comparison of range hoods under controlled laboratory conditions. The results of the ASTM test method depend on exhaust flow rate, range hood geometry, thermal properties of the sources, and the number of burners in use. This study investigates and quantifies different aspects not included in the ASTM test method but have impact on the exposure of the occupant. An example of an exposure approach is given in this paper whereby the residence time averaged PM2,5 exposure for person in a typical Dutch dwelling has been calculated using a 2-zone model. The model was used to identify the additional key factors beyond capture efficiency that influence occupant exposure. We propose a methodology to calculate exposure based on these factors that could be the basis of a future European standard.
Evaluation of Facilitators and Barriers to Implementing Evidence-Based Practice in the Health Services: A Systematic Review

Background: Evidence-based practice (EBP) is an ambition for health service administrators. We aimed to systematically review the major relevant articles in case of barriers and facilitators to implementing evidence-based practice in health services. Materials and Methods: The type of study was a systematic review. We searched the libraries and online sources such as PubMed, MEDLINE, Wiley, EMBASE, ISI Web of Knowledge, Scopus, Science Direct, Cochrane Library, and Google scholar. We used keywords included "Evidence-Based Practice", "Evidence-Based Management", "Healthcare", "Care Management, Evidence-Based Healthcare Management", "Health Care", Health", "Barrier", "Facilitator", policy and "Evidence-Based Healthcare". Results: In total, 12 studies were included. Several barriers and facilitators were recognized through the included papers, the factors such as organization support and a helpful education system improved skills, knowledge, and confidence to EBP. The outcomes of studies were identified as the employ of the internet as a highest-rated skill for increasing EBP quality. Conclusion: Generally, the results showed health service administrators should first identify barriers of EBP then transferred them to facilitators to the implementation of proper and efficient EBP.
Metabolic syndrome in psychiatric patients (comparative study)

Background It is generally estimated that metabolic syndrome (MetS) is especially common in patients with severe mental illness, with a high prevalence ranging from 30 to 60% for schizophrenic and bipolar disorders, which predispose them to further medical complications up to premature death. Objective The aim of this study was to compare the prevalence of MetS in patients with major depressive disorder (MDD), schizophrenic patients, and healthy general individuals, and to assess the relation between cortisol levels and presence of MetS. Patients and methods The study included 120 participants (40 patients with drug-naive MDD, 40 patients with drug-naive schizophrenia, and 40 healthy individuals who served as the control group). Full history was taken. Blood pressure and waist circumference (WC) were measured and BMI was calculated. Laboratory investigations were carried out, including fasting blood glucose (FBG), serum triglycerides, serum high-density lipoprotein, and a morning level of serum cortisol. Results The study revealed a similar prevalence of MetS in the MDD and the schizophrenic group (27.5%) compared with a prevalence of 22.5% in the control group. The WC and the BMI were significantly higher in the MetS patients of the MDD and the schizophrenic group compared with those of the control group. FBG was significantly higher among MetS patients in the MDD group as compared with those in the schizophrenic and the control group. Cortisol level was significantly higher in MetS patients in the MDD and the schizophrenic group as compared with those in the control group. Conclusion The prevalence of MetS is higher in MDD and schizophrenic patients than in the general population, and is related to high WC, BMI, FBG, and serum cortisol. Hence, screening of such patients for metabolic disturbances is recommended.
Effect of Performance and Financial Risks Banking on State Income in Indonesia Stock Exchange

The purpose of this study to prove ROE, ROA, DER, PBV have partially and simultant a significant effect on tax. The population in this study were 17 banking companies listed on the Indonesia Stock Exchange with using a purposive sampling technique, for five years from 2014 to 2018. Secondary information was taken from financial reports using regression analysis Eviews 10. The results showed that 1) Empirically and partially ROE has a significant effect on taxes with probability 0, 0029 <0.05, 2) ROA has no significant effect on tax of 0, 6417> 0.05, 3) DER has a significant effect on tax with value 0, 0090 <0.05, 4) PBV has no significant effect with value 0, 5053> 0.05, 5) Simultaneously ROE, ROA, DER and PBV have significant effect on taxes with an R Square value of 95.3790%, meaning that there are 4.621% influence outside the variables researched. The adjusted R Square value is 0.225736, while the standard error value of the regression model 0.613272 is indicated by S.E. of regression is smaller than the standard deviation value of the S.D response variable dependent var "that is 2,395616 means that the regression model is valid as a predictor model.
60 Cardiogoniometry vs the 12-lead electrocardiogram at identifying the culprit lesion in patients with with non-st segment elevation myocardial infarction: the cognition study

Introduction Cardiogoniometry (CGM) is a method of 3-dimensional electrocardiographic assessment which provides detailed spatial and temporal information about cardiac electrical activity. The 12-lead electrocardiogram (ECG) is instrumental at localising ischaemia in patients with ST-elevation myocardial infarction, however ECG changes in non-ST elevation myocardial infarction (NSTEMI) are often non-specific for an ischaemic territory. The aim our our study was to evaluate the ability of CGM to identify the culprit lesion in patients with NSTEMI Methods At a tertiary cardiology centre, patients with a diagnosis of NSTEMI were consecutively recruited in a prospective, double blind, observational study. CGM and 12-lead ECG recordings were performed prior to coronary angiography and were interpreted by independent investigators, with the location of the culprit lesion indicated by each recording recorded. Based on coronary angiography, the site of the culprit lesion was then determined by the operating interventionist. Measures of diagnostic performance were than calculated for CGM and the 12-lead ECG for each lesion site: left anterior descending (LAD), left circumflex (LCx) and right coronary (RCA). Kappa statistic for agreement was calculated between CGM, 12-lead ECG and coronary angiography. Results Thirty patients (aged 67.5±10.8; 76.9% male) were recruited. Markers of diagnostic performance are shown in the table. Both CGM and the 12-lead ECG were able to provide ischaemia localising information in 57.7% of participants. Conclusion Although CGM is superior to the 12-lead ECG at accurately locating the culprit lesion site in patients with NSTEMI, it is only able to provide ischaemia localising information in a similar number of patients as the 12-lead ECG.Abstract 60 Table 1
Polycystic ovarian syndrome in women with acne

Background Acne is a common manifestation of hyperandrogenemia. Polycystic ovarian syndrome (PCOS) is a common endocrine abnormality affecting reproductive aged women . In the female, the most common cause of hyperandrogenemia is PCOS. The purpose of our study was to determine the PCOS in women with acne. Patients and methods In this observational, cross sectional study, 40 females, aged 15-40 years, with various degree of acne who had not received hormonal treatment, including hormonal contraceptive and antiandrogen therapy, for at least 3 months prior to study and 30 female volunteers (aged 15-40 years) without acne or acne scars were enrolled as controls. The severity of acne was graded as mild, moderate or severe. Clinical data including age, weight, height, body mass index (BMI), menstrual history and androgenic sign (hirsutism, alopecia, acanthosis nigricans) were recorded and hormonal assays and pelvic ultrasonography were done. Clinical parameters (acne with menstrual irregularity) accompanied by other features of hyperandrogenism and/or elevated level of luteinizing hormone (LH ) to follicle-stimulating hormone (FSH) ratio and/or ultrasound picture based upon the presence of multiple small subcapsular cysts (diameter 2-8 mm) with dense echogenic stroma, were used to diagnose PCOS. Results 7.5% patients were obese in case group, which was statistically significant. No statistically significant differences were observed in hormonal profiles (serum LH and serum FSH) but significant differences seen in serum testosterone level and pelvic ultrasound to visualize the polycystic ovary in women with acne. There were 11 (27.5%) women with PCOS among the 40 women with acne; 8 showed PCO picture on ultrasound. 10 cases with elevated LH to FSH ratio. Out of 11 women with PCOS, 1 case was diagnosed only clinically. Control group had also one PCOS (3.3%). Prevalence of PCOS with acne was higher in studied cases than control group, which is statistically significant in our population. Conclusion All women with acne should be considered for underlying PCOS and asked about their menstrual patterns and examined for other sign of hyperandrogenism. Those who have menstrual disturbances should have hormonal profile determination as well as pelvic ultrasonography for ovarian visualization. Early diagnoses and treatment can avoid the possible complications.
Neural Sensitivities in Disruptive Mood Dysregulation Disorder (DMDD): Using the Reinforcement Sensitivity Theory of Personality and Selected Research Domain Criteria in Order to Understand DMDD

This paper provides a theoretical and empirical analysis of a recently conceptualized childhood disorder; disruptive mood dysregulation disorder (DMDD). The reinforcement sensitivity theory of personality (RST) is presented as a model for understanding DMDD. Model overlap with the research domain criteria (RDoC), a contemporary framework for research in the field of psychology, is noted, specifically in the domains of threat, reward and cognition. A differential diagnostic analysis compares DMDD to bipolar disorder, ADHD, oppositional defiant disorder, anxiety and depression. In line with the RST, DMDD is proposed to be a disorder of combined neural bottom-up sensitivity, which may compromise top-down control. Research proposals for how to further the understanding of DMDD in line with the RST model, is provided. Results from neuropsychological testing are mixed, showing both deficits and normative performance compared to other clinical groups and healthy controls. fMRI, however, shows increased bottom-up reactivity and compensatory prefrontal control. The anterior cingulate cortex (ACC) is suggested as a switchboard between RST system, and an ACC-mediated visual attention deficit is hypothesized. Furthermore, more ecologically relevant studies, studies on tasks requiring both hot and cool cognition, larger and more DMDD-specific experimental groups and the use of sophisticated fMRI technology, are essential in further delineating the specific features of DMDD and the possible interplay between RST dimensions in childhood irritability.
Collaborative virtual reality application for interior design

Virtual Reality (VR) is currently popular technology that has been used by people in various areas such as architecture, medical, training and many more. In this paper, the researcher proposed collaborative VR for interior design that allows customer and designer work together at different location. Commonly, the designer draw their design in two-dimensional (2D) graphics at the drawing paper and presents to the customer. However, 2D drawings led to an ambiguity, indistrinct and uncertainty on the design. In addition, redesign any changes lead to re-build the prototype. These will be costly and wasting time, therefore, researcher proposed collaborative VR application which provide an intense feelings about the design which is presented in form of three-dimensional (3D) graphics. Additionally, proposed application would allow the designer and customer to work in real-time. In conclusion, collaborative VR will give the benefits for interior design manufacturing to prosper along with current technology.
Poverty Measurement by Fuzzy MADM Approach

Poverty in a rural area is and is a leading problem to be evaluated. During the process of traditional evaluation, the consideration of the attributes and assuming their nature affect the algorithmic structure. It is not easy to mathematically represent them. A significant number of attempts have been proposed towards this problem. In this paper, a new approach is provided based on Multi Attribute Decision Making solution. A case study is also demonstrated to support the method’s applicability.
Filtering And Forwarding Approach: For Feature Reduction And Classification For Anomaly Detection In Iot Environment

: Internet of Things (IoT) is rapidly evolving concept with some ability to change physical interaction amongst organizations and individuals. IoT attempts to swap ―things‖ in reliable and secure manner. IoT has acquired application in numerous fields like learning, training, healthcare, resource management, information processing and so on. Moreover, real time implementation of IoT technology is to fulfil numerous privacy and security that are to be alleviated for large scale deployment. Prevention approach is anticipated to improve IoT device security and network against DoS attack which takes huge bandwidth in present IoT devices. As networks are self-configuring and wireless and it does not require pre-existing infrastructure and possess changeable node movements, security turns to be a most crucial crisis to be resolved. The anticipated model is sourced on investigations and analysis of bandwidth attacks that significantly concentrates on DoS which is considered to be significant challenge and complexity to identify; as well it reduces network performance. DoS comprise of set of malicious/vulnerable nodes and target certain node to stop users from accessing resources and services. Intrusion prevention devices are approaches considered as Add-ons‘ to aggressively identify and avoid it for IDS detection process. Here, 3-tier (3T) intrusion prevention model, that is, at first, features dimensionality has to be reduced. Subsequently, Linear Discriminate Analysis (LDA) is for linear computation of intrusion features in order to carry out effectual classification. Thirdly, Linear filtering and forwarding (LFF) is to block unnecessary data that influences IoT devices. Simulation is carried out in MATLAB environment, performance metrics like accuracy, sensitivity, specificity, recall is computed for evaluation.
Regulatory capital requirement for supplementary health insurance: a solvency perspective

This thesis investigates how a solvency regulatory capital requirement, like that in Solvency q, affects the risk load of a supplementary health insurance product. Motivated by a credit risk model, we introduce a static structural model in which the latent variable represents an individual’s severity of a certain illness. In this model, we include the effects on an individual’s health from common shock, systematic risk and idiosyncratic risk. We derive the asymptotic distribution of the aggregate supplementary health claims, based on which the minimum risk load can be calculated in order to meet the solvency regulatory capital requirement. The main contributions of this thesis are first proposing an appropriate model for the aggregate supplementary health claims, and then finding the lower bound of the risk load from the solvency perspective.
Padi merupakan bahan makanan pokok bagi masyarakat dunia dan sering digunakan dalam pengolahan makanan, selain itu padi juga dapat digunakan dalam bidang farmasi sebagai bahan

Rice is a staple good for the world community and is often used in food processing, but rice can also be used in the pharmaceutical field as filler, binder and crusher by the way it is takken. Because it is formulated the following problem, how is the fragillity level of rice starch granules with wet granulation method. The purpose to Determine the level of fragility of rice starch granules with wet granulation method. The first stage of making rice starch granules is rice grinding into ricee. The second stage is followed by making rice into starch. The third stage is followed by the making of starch granules. After grain starch granules are obtained, the next step is to test the fragility of rice starch granules is by granules the have been made weighed as much as 100 grams. The weighed granules where inserted into a sieve, and played ten times. Then calculate the number of granules that fall and calculated the percentage. The smaller the percentage of granule fragility, the resulting granules will be better. The result of gray starch granules fragrance test with wet granulation method is 0,54%. The results show that the fragility of rice starch granules is good because of the percentage of fragility of 1%. The results of this study are expected to provide and alternative source of additional pharmaceutical ingradients from lokal natural materials that are widely available.
LARVICIDAL EFFECT OF SELECTED PLANT EXTRACTS ON AEDES AEGYPTI L. AND CULEX QUINQUEFASCIATUS SAY

Usage of photochemical may serve as suitable alternative to synthetic insecticides, which causes various environmental consequences and resulted in development of resistance in insects. The larvicidal activity of leaf extracts of Adhatoda vasica , Centella asiatica , Holarrhena antidysentrica, Hugonia mystax , Mentha spicata on 3 rd instra larvae of Aedes agypti L. and Culex quinquefacsiatus Say were determined in the resent study. Methanol leaf extracts were used for the study and after 24 hours mortality were recorded and compared to find out the most active plant extracts. M.spicata leaf extract had shown more activity as compared with other plant extracts. The phytochemical screening was also done to find out the active compounds present in the methanolic extracts of M.spicata . The findings of the present study suggest that further purification and isolation of active principle could lead development of more potent and ecofriendly biocontrol agents against mosquitoes.
severe acidosis, a factor that is well known to aggravate bupivacaine cardiac toxicity. Local anesthetic toxicity should be considered in the differential diagnosis of intractable cardiac dysfunction after bupivacaine-based regional anesthesia. Reports of fatal local anesthetic cardiac toxicity

cardiac toxicity. Local anesthetic toxicity should be considered in the differential diagnosis of intractable cardiac dysfunction after bupivacaine-based regional anesthesia. Reports of fatal local anesthetic cardiac toxicity are rare. This case suggests that in the presence of confounding factors or an atypical presentation, such toxicity can go unrecognized and therefore unreported. Local anesthetic cardiac toxicity (6) and its treatment (7) have recently been reviewed elsewhere.