bluuebunny/crossref_metadata_2025 huggingface dataset:
Management of Arnold‐Chiari type 1 malformation in an obese obstetric patient
Authors: Philpott Douglas , Hosein Wayne
Published: March 2017

We describe the case of a pregnant 21‐yr‐old woman with known Arnold Chiari type 1 malformation (ACM‐1) and a body mass index (BMI) of 48.6 who required a category 2 lower segment caesarean section. The pathophysiology of ACM‐1 and the potential complications are discussed along with the anaesthetic dilemma that ensued.
Posterior reversible encephalopathy syndrome
Authors: Markey Patrick , Kumar Mahesh , Wigglesworth A
Published: March 2017

We describe a case in which a complicated past medical history, combined with lack of knowledge of a condition, led to a delay in diagnosis. A common presentation with multiple differential diagnoses resulted in a delay in treatment of a condition that is actually simple to treat.
Spinal accessory nerve injury after continuous interscalene block for shoulder arthroscopy in the sitting position
Authors: Albrecht Eric , Bloc Sébastien , Cadas Hugues , Kern Christian , Kirkham Kyle
Published: March 2017

Despite the development of ultrasound‐guided techniques in regional anaesthesia, unintentional intraneural injections with neurological complications still occur. We report a case of spinal accessory nerve injury after continuous interscalene block and general anaesthesia for shoulder arthroscopy in the sitting position. Our report alerts the anaesthetist to the potential risk of this injury during ultrasound‐guided interscalene block and encourages them to avoid a high posterior puncture site.
The Terminology Form in Ngerahinin Kuningan of the Perspective Krama Pura Pemaksan Asak Pagutan
Authors: Suarsini Ni Nengah
Published: March 2017

The tradition of ngarahinin Kuningan in Krama temple of Pemaksan Asak Pagutan was a unique than Krama or Banjar around villages Pakramaan of Pagutan, it had some difficulties terminologies which made the witer intrest to analyze of the term to be socialized. Issues discussed also focuses only on the activities and forms of the terms used in that tradition. The research method was the descriptive qualitative approach, the sample of this research was the writer parents-in-law, brother in-law, her nephew, community leaders and elders manners. Information is used as a source of primary data include documentation in the field. The results showed that a series of activities in the tradition ngerahinin Kuningan in Krama Pura Pemaksan Asak Pagutan before a two-day feast of Kuningan, at the time, or the feast of Kuningan, as well as the three and five days after the feast of Kuningan. In addition, the forms of the term in the tradition ngerahinin Brass at Temple Pemaksan Asak Pagutan namely: (a) Monomorfemis consists of eight words that katik, don, nyuh, lekesan, dee, terune, rejang, offerings (b) Polimorfemis be: 1) affixation consists of 15 words that ngatag, ngerejang, ngelawan mepesuan, mesolasan, ngayah, melukat, mebakti, penembek, penyuud, mekidung, megibung, ngelungsur n, ebengin, mlayagin.2) reduplication consists of five words that sambah-sambah, kul- kul, umbul-umbul, nyak-cak, megoak-goakan, 3) the composition consists of five words that were provoking the middle, saye nenem, masang umbul-umbul, masang  lamak, and ngelungsur Amertha.
Asupan Kolesterol dan Tekanan Darah pada WUS Hipertensi Suku Madura di Kota Malang (Cholesterol Intake and Blood Pressure in WRAâ€™s Hypertension of Madurese Ethnic Group in Malang)
Authors: Rahima Dwira , Rahmawati Widya , - Holipah , Wirawan Nia N.
Published: March 2017

AbstrakTekanan darah tinggi atau hipertensi diprediksikan akan meningkat sebesar 60% pada tahun 2025. Wanita Usia Subur (WUS) mempunyai risiko lebih tinggi mengalami hipertensi yang da-pat disebabkan oleh pola makan tinggi energi, protein dan lemak tetapi minim serat. Masyarakat Indonesia yang terdiri dari beragam suku mempunyai pola makan yang berbeda, salah satunya pada suku madura yang pola makannya tinggi sumber kolesterol dan rendah serat. Penelitian ini bertujuan untuk mengetahui hubungan asupan kolesterol dengan tekanan darah pada WUS. Penelitian ini menggunakan pendekatan cross sectional study dengan teknik pengambilan subjek menggunakan purpossive sampling (n=48). Hasil penelitian menunjukkan 93,8% asupan kolesterol sesuai dengan rekomendasi WHO yaitu â‰¤300 mg. Berdasarkan uji statistik, asupan kolesterol tidak berhubungan dengan tekanan darah responden (p=1,000).Â  Kesimpulan dari penelitian ini tidak menunjukkan adanya hubungan antara asupan kolesterol dengan tekanan darah pada WUS tekanan darah tinggi. Perlu dilakukan penelitian lanjutan mengenai hal serupa dengan jumlah responden yang lebih banyak dan jika memungkinkan dilakukan uji laborato-rium untuk mengetahui jangka waktu asupan kolesterol dapat meningkatkan kadar kolesterol darah.Kata kunci: asupan kolesterol, tekanan darah, WUSÂ AbstractHigh blood pressure or hypertension is predicted to increase by 60% in 2025. Women of Reproductive Age (WRA) have a higher risk of hypertension caused by a diet of high energy, high protein, and high fat, but low in fiber. Indonesian is composed of various ethnics that have different diets, one of them is Madurese ethnic whose diets are high in cholesterol but low in fiber. This study aims to determine the relationship of cholesterol intake with blood pressure in WRA. This study used a cross sectional study and purposive sampling technique (n=48). The result showed 93.8% of cholesterol intake is in accordance with the WHO recommendation that is â‰¤300 mg. Based on statistic test, cholesterol intake was not related withÂ  respondents blood pressure (p=1.000). This research concludes that there is no relationship between cholesterol intake and blood pressure in WRA with high blood pressure. Further research is needed on the same subjects with more of respondents and laboratory test, if possible, to find out the duration of cholesterol intake that can increase blood cholesterol level.Keywords: cholesterol intake, blood pressure, women of reproductive age
Evaluación de impactos a la salud del manglar en el municipio Guamá, Santiago de Cuba, Cuba
Authors: Cruz Portorreal Yanet , Pérez Montero Ofelia
Published: March 2017

El objetivo del presente artículo fue caracterizar el estado de salud de los manglares en el municipio Guamá, Santiago de Cuba, Cuba. Se evaluaron aspectos fisonómicos del bosque y su índice de salud. Se realizaron 78 entrevistas a personas en los asentamientos próximos a las áreas estudiadas para evaluar el conocimiento y comportamiento comunitario sobre los manglares. Se identificaron 14 tensores ambientales entre los cuales se documenta por primera vez en los estudios cubanos la sedimentación o acreción de sedimentos además de la construcción de viales, el avance de la frontera agrícola, la ganadería, la extracción de madera y la tala furtiva. Se concluye que, en los nueve manglares estudiados, la salud varió de muy alta a baja de acuerdo con el número de tensores ambientales en cada uno de ellos. De los tensores ambientales en la zona, 85% son de origen antrópico, específicamente relacionado con el desarrollo socioeconómico y 15% relacionado con eventos naturales. De manera general, la salud del ecosistema en el municipio Guamá es baja, a pesar de lo cual mantienen sus servicios ambientales.
Interview with Robin Gregory
Authors: Pandey Abhimanyu
Published: March 2017

Robin Gregory is a devoted wife and mother, and student of mystical teachings. Born in Pensacola, Florida, she grew up in California, accompanied by seven siblings, and surrounded by horses, real cowboys, and the occasional rattlesnake. She has always been drawn to helping others, a trait that began, to her mother's horror, with bringing home swallow chicks stricken from their nests. She has worked as a journalist, lay minister, and infant massage instructor for mothers and babies at risk. Her studies include Literature and Creative Writing at University of California, Santa Cruz and Stanford University's Writer's Workshop. She lives with her husband and son in a Carmel cottage old enough to make you sneeze. The Improbable Wonders of Moojie Littleman, her first published novel, has won 14 awards and is shortlisted for more. More about her is available on her website: www.MadMysticalJourney.com The Improbable Wonders of Moojie Littleman was published in the USA in 2015. The novel depicts how, through kinship with otherworldly beings, a disabled boy masters miraculous powers that his adoptive father refuses to recognise. Moojie Littleman is not just another orphan with extraterrestrial friends; he is not just a kid who falls into a series of magical, mystical adventures involving love and family and watermelons. He is, above all, the most unlikely and powerful hero ever known. Moral allegory, magical realism, and lyrical prose, The Improbable Wonders of Moojie Littleman tells the story of a disabled boy who is sent to St. Isidore's Fainting Goat Dairy, where determination to ‘belong’ stirs up trouble and leads to a surprising destiny – if only he can survive one last terrifying trial.
Investigation of the thermodynamic properties of the binary system vitamin K3/carbon dioxide
Authors: Trupej Nina , Knez-Hrncic Masa , Skerget Mojca , Knez Zeljko
Published: March 2017

The binary system of vitamin K3 and CO2 was investigated at temperatures of 40, 60 and 80 ?C up to a pressure of 40 MPa. Solubility was measured by a static-analytic method. Partial molar volumes were determined by a method involving a vibrating tube densimeter. The solubility of vitamin K3 in CO2 is found as a function of pressure and temperature. The highest solubility (31.16?10-4 mol?mol-1) was attained at a pressure of 25.40 MPa at temperature of 40?C. However, at temperature of 60?C and a pressure of 24.02 MPa, the solubility was 18.79?10-4 mol?mol-1. Solubility was lower at a temperature of 80?C and a pressure of 22.06 MPa (6.48?10-4 mol?mol-1). The partial molar volumes are negative and the dissolved vitamin K3 has a minor impact on the density of the solution of K3 in CO2 compared to the density of the pure CO2.
A possibilistic and probabilistic approach to precautionary saving
Authors: Georgescu Irina , Cristóbal-Campoamor Adolfo , Lucia-Casademunt Ana
Published: March 2017

This paper proposes two mixed models to study a consumer?s optimal saving in the presence of two types of risk: income risk and background risk. In the first model, income risk is represented by a fuzzy number and background risk by a random variable. In the second model, income risk is represented by a random variable and background risk by a fuzzy number. For each model, three notions of precautionary savings are defined as indicators of the extra saving induced by income and background risk on the consumer?s optimal choice. In conclusion, we can characterize the conditions that allow for extra saving relative to optimal saving under certainty, even when a certain component of risk is modelled using fuzzy numbers.
Anatomical and MRI relations of the cerebral aqueduct to the adjacent parts of the brain and calvaria
Authors: Stankovic Gordana , Vitosevic Biljana , Bexheti Dorentina , Davidovic Kristina , Dozic Aleksandra , Zekavica Ana , Curcic Branislava , Vitosevic Zdravko , Milisavljevic Milan
Published: March 2017

Introducton/Objective. Insufficiency of relevant anatomic data and great neurological and neurosurgical significance were the reasons for this study with scientific and practical implications. The purpose was to determine, at the transverse in situ section of the head, the position and relations of the sylvian aqueduct of the mesencephalon by measuring its distances from particular brain and calvaria structures. Also, the aim was to determine the same distances according to axial sections by using MRI. Methods. The material consisted of twenty autopsy human heads. The section of the head was made at the level of the tentorial hiatus and the midbrain. After that, we measured the distances between the cerebral aqueduct and a) posterior border of the optic chiasm, b) upper border of the dorsum sellae, c) terminal bifurcation of the basilar artery, d) beginning of the straight sinus, e) internal occipital protuberance, f) tentorial edge (lateral from the aqueduct), and g) internal surface of the calvaria (lateral to the aqueduct). We determined the same distances by the MRI system. The measurements were made in 37 subjects. Results. The numerical data obtained by this study will be of benefit to neurosurgeons in choosing a surgical approach to the contents of the incisural space, and to neurologists for the exact localization of the lesion and interpretation of certain signs and symptoms. Conclusion. The results of a detailed examination of the sylvian aqueduct position and relations have shown that the use of MRI is the morphometric method of choice, because it is more precise for all the parameters monitored than in situ measurements.
APLIKASI PUPUK KANDANG SAPI DAN AYAM TERHADAP PERTUMBUHAN DAN HASIL TANAMAN JAHE (Zingiber officinale Rosc.) DI MEDIA GAMBUT
Authors: YULIANA YULIANA , RAHMADANI ELFI , PERMANASARI INDAH
Published: March 2017

Research was conducted in march to june 2013 in the experimental farm of agriculture and animal Science faculty of the islamic university of sultan syarif Kasim Riau. The objektives of the research are 1.) to know the influence of chicken and cattle manures on plant grownt and yield of ginger 2.) and to find the best dosage of chicken and cattle manures for growth and yield of ginger.The experimental design was Randomized Complet Block Design Factorial RCBD with 2 factor 3 replications and analized by Duncan’s Multiple Range Test  DMRT. The first Factor was differents of manures (chicken and cattle) and the second factor is doses of manure ( 0, 5, 10, 15, 20, and 25 ton/ha). The data were collected for plant height, amount of plant, leaf width member of tillers/ plant and wet weight of rhizome.Results of the research showed that chicken manure increased plant height at 16 weeks and wet weight of rhizome. Wet weight of rhizome with chicken manure 28,18 % was higher than cattle manure the best dosages of chicken and cattle manures was 5 ton/ha and in word plant height at 16 weeks, number of hears/ plant, number of tillers / plants and height of rhizomes. Aplication of 5 ton/ha of manures in wood number of tillers/ plant and wet weight of rhizome by 96,71% and 163,15 % respectively.
PERUBAHAN SIFAT KIMIA TANDAN KOSONG KELAPA SAWIT YANG DIFERMENTASI DENGAN EM4 PADA DOSIS DAN LAMA PEMERAMAN YANG BERBEDA
Authors: TOIBY ABDUL RAHMAN , RAHMADANI ELFI , Oksana Oksana
Published: March 2017

This study was conducted from March to September 2013 at the Islamic State University of Syarif Kasim Sultan Riau and analysis of the chemical properties of compost made in BPTP Riau. This study aims to determine the dose and the duration of fermentation EM4 right to obtain compost oil palm empty fruit bunches with the best chemical properties. Oil palm empty fruit bunches are used are taken from PTPN V Lubuk Dalam and mixed with manure from cattle feces with ratio of 4:1. The method used was descriptive quantitative method consisting of 12 combinations of treatment and 1 control. The parameters measured were the content of N, P, K, C-Organic and pH. The results of this study indicated that EM4 and long curing compost may improve the chemical properties of oil palm empty fruit bunches, which the administration of 20 mL / L EM4 and curing 10 weeks old that A3B4 sample produces the best chemical properties. The content of N, P, K, and pH of the sample A3B4 respectively: 6,79%, 3,04%, 8,08%, and 9,93 %.
KEANEKARAGAMAN SERANGGA PADA TUMPANGSARI TANAMAN PANGAN SEBAGAI TANAMAN SELA DI PERTANAMAN KELAPA SAWIT BELUM MENGHASILKAN
Authors: ARIFIN LUTFI , IRFAN MOKHAMAD , PERMANASARI INDAH , ANNISAVA AULIA RANI , ARMINUDIN AHMAD TAUFIQ
Published: March 2017

Plant intercropping that interplanted with young palm oil plantation indicated that there was change on ecosystem balance which resulted diversity alteration of insect as bio indicator area. The objective of the research was to obtain information on diversity of insect related to its intercropping system interplanted with young palm oil plantation. The research was conducted from December 2015 to February 2016 at privately-owned oil palm plantation, Kualu district, Kampar regency, Riau province. Descriptive methods by range survey on corn monoculture, soybean monoculture, bera, between corn and soybean intercropping in young palm oil area were used as experimental methods. Insect sampling was conducted by using pitfall trap, sweeping net and hand collection at 16 research units. The result showed that there were ten different insect ordo consisted of 50 families in all intercropping system sampled in this study. Diversity index (H’) reached as high as 3.07 with the best average (E=0.07) that was observed in soybean monoculture. Corn - soybean intercropping posessed the highest point of insect dominance (0.34), which is mean that there was only one kind of insect dominated on the community. The utilization of soybean monoculture system interplanted in young palm oil plantation is best to be used as a reference of ecological indicator on environment utilization, due to the reason that the existence of pest is balanced by the predator.
ANALISA JENIS LIMBAH KAYU PADA INDUSTRI PENGOLAHAN KAYU DI KALIMANTAN SELATAN
Authors: Purwanto Djoko
Published: March 2017

Industri penggergajian kayu menghasilkan limbah sebesar 40,48 %  volume, terdiri atas sebetan (22,32 %), potongan kayu (9,39 %) dan serbuk gergaji (8,77 %). Sedangkan limbah industri kayu lapis sebesar 54,81 % volume dengan rincian potongan dolok (3,69 %), sisa kupasan dolok (18,25 %), venir basah (8,50 %), penyusutan (3,69 %), venir kering (9,60 %), pengurangan tebal (venir kering) (1,90 %), potongan tepi kayu lapis (3,90 %), serbuk gergaji (2,2 %) dan debu kayu lapis (3,07 %). Pemanfaatan pada kedua jenis limbah tersebut antara lain sebagai bahan bakar, inti papan blok, papan blok, papan partikel, dan sambungan venir inti, atau venir belakang kayu lapis.
PERBAIKAN MUTU KAYU KELAS KUAT RENDAH DENGAN CARA FISIK DAN KIMIA
Authors: Suroto Suroto , Arsad Effendi
Published: March 2017

Sebagian kontruksi bangunan perumahan  telah menggunakan jenis-jenis  kayu kelas kuat rendah, hal ini tentu berpengaruh negatif terhadap kualitas bangunan tersebut. Agar tetap tejaga kualitas bangunan maka diperlukan upaya perbaikan mutu  jenis-jenis kayu kelas kuat rendah tersebut.  Perbaikan mutu kayu  kelas kuat rendah dilakukan secara perendaman dan  perebusan dalam  larutan Natrium Hidroksida (NaOH) teknis dengan variasi konsentrasi  0,75%, 1,5%, 2,25%, 3,0%, dan  3,75%  serta pengempaan panas. Sebagai pembanding dilakukan tanpa NaOH.  Penelitian dilakukan terhadap tiga jenis kayu kelas kuat rendah yaitu kayu durian (Durio zibethinus), kayu tarap (Arthocarpus sp) dan kayu kembang (Goniothalamus sp.) parameter uji meliputi kadar air, berat jenis, pengurangan tebal, kuat lentur, kuat tekan tegak lurus serat,  dan kekerasan.  Hasil penelitian menunjukkan bahwa perlakuan perendaman dan  perebusan dalam larutan NaOH teknis konsentrasi 2,25%, serta pengempaan panas menunjukkan peningkatan maksimal terhadap  sifat fisik mekanik kayu kelas kuat rendah yang diteliti. Kelas kuat kayu durian dan kayu kembang dari kelas kuat IV meningkat menjadi kelas kuat II, sedang kayu tarap dari  kelas kuat V meningkat menjadi  kelas kuat IV.
PEMANFAATAN BIOMASSA KAYU SEBAGAI SUMBER ENERGI TERBARUKAN
Authors: Arhamsyah Arhamsyah
Published: March 2017

Sejak lima tahun terakhir Indonesia mengalami penurunan produksi minyak nasional akibat menurunnya secara alamiah cadangan minyak pada sumur-sumur produksi. Untuk mengantisipasi hal tersebut salah satunya dengan cara memanfaatkan biomassa kayu sebagai sumber energi terbarukan. Sumber energi biomassa mempunyai beberapa kelebihan antara lain merupakan sumber energi yang dapat diperbaharui (renewable) sehingga dapat menyediakan sumber energi secara berkesinambungan (suistainable). Sebagai bahan bakar, biomassa perlu dilakukan pengolahan terlebih dahulu agar dapat lebih mudah dipergunakan yang dikenal sebagai konversi biomassa. Teknologi konversi biomassa tentu saja membutuhkan perbedaan pada alat yang digunakan untuk mengkonversi biomassa dan menghasilkan perbedaan bahan bakar. Beberapa teknologi  konversi biomassa yang bisa diterapkan antara lain :biobriket, gasifikasi, pirolisa, liquifikation, biokimia dan karbonisasi. Metode yang paling baik untuk menghasilkan biomassa kayu adalah teknologi konversi gasifikasi.
KARAKTERISASI SIFAT FISIKA DAN KIMIA CUKA KAYU DARI TANDAN KOSONG KELAPA SAWIT
Authors: Karima Rizka
Published: March 2017

There’s so many pal solid waste or palm empty fruit bunches, but the utilization is not maximized, this research its to optimized utilization of palm solid waste to be wood vinegar and want to know the composition physical properties and chemical properties of wood vinegar from palm empty fruit bunches. Total yield of wood vinegar from palm empty fruit bunches its 15,94 % and total yield of charcoal its 64,58 %. GCMS result showing chemical properties from wood vinegar of burning < 100oC its obtained 19 compound and burning >100 oC its obtained 6 compound. The result physichal properties testing from crued wood vinegar its obtained specific gravity 1,0005 and 1,0010, pH value are 3,233 and 3,186, TAT content are 9,36 % and 11,12 %, phenol content its 0,44 %. The result physical properties testing from wood vinegar which has decolorizatin by activated carbon its obtained specific gravity are 0,9987 and 0,999, pH value are 3,036 and 3,012, TAT content are 8,29 % and 9,27 % and phenol content its 0,01 %.Keywords: palm bunches, wood vinegar, liquid smoke
RETENSI DALAM PENGAWETAN KAYU KURANG DIKENAL UNTUK BAHAN BAKU KAPAL TRADISIONAL
Authors: Cahyana Budi Tri
Published: March 2017

The wood stock nowdays is limited, so it is needed the effect to develop the making of boat wood using lesser known wood. In addressing the limited number of wood supply include wood from forest plantations as well as the people that potential is quite large for a variety of purposes. This research aims to make the process less wood preservation is known as the substitution of raw materials manufacture of traditional boats which of wood is jengkol (Pithecellobium jiringa Benth IC Nielsen), kupang (Ormosia sumatrana Prain), tarap (Artocarpus adoratissimus) and Acid (Mangifera applanata Kosterm). The utilization supported by the preservation process, using permethrin, parachem and impralit CKB. Concentration are used 5%, 10% and 15% by length of immersion respectively 10 days and 15 days. The results of the study showed that retention was likely to increase up to a concentration of 10%. The best retention was in kupang wood using 10% concentration parachem by 10 days immersion. Based on the research results of the four types of wood preserved with preservative resistant to all three compounds in marine wood borers.Keywords:  wood of jengkol, kupang, tarap and acid, preservation, traditional boat
PEMANFAATAN CUKA KAYU GALAM (Melaleuca sp.) DENGAN BERBAGAI PERLAKUAN SEBAGAI PENGAWET ALAMI TELUR ASIN
Authors: Nurmilatina Nurmilatina
Published: March 2017

Melaleuca sp. very abundant in South Kalimantan and mostly used as firewood.  Utilization of wood vinegar now it has expanded, including as a food preservative.  This is because it contains with phenolic compounds, carbonyl and acid compounds which useful as antimicrobial, antioxidant, forming smell, flavor and color. This study purpose to know  influence of concentration and soaking time wood vinegar of Melaleuca sp on organoleptic and microbiological salted eggs. This research used randomized block design with two factors,  that is concentration of wood vinegar and soaking time. The best result based on the parameters accordance with SNI 01-2891-1992 about salted egg, obtained in 3 weeks storage at room temperature with a 10% concentration ofand soaking time 1 hour. Results obtained by the value of flavor is 4.00; color 3.90; appearance 3.90; salt 4,500%; negative Salmonella and Staphyloccocus 0 colonies g.Keywords: wood vinegar, Melaleuca Cajuput, food preservative, salted eggs
SIFAT FISIS DAN MEKANIS BATANG KELAPA (Cocos nucifera L.) DENGAN PROSES PEMADATAN
Authors: Harsono Dwi
Published: March 2017

This study aims to determine the physical and mechanical properties of coconut trunks based on 4 factors of acacia bark extract concentrations (0%, 10%, 15%, 20%) and the percentage of reduction in thickness (0%, 30%, 40%, 50%). The results showed that the average value of coconut wood moisture content is not compacted relatively higher compare to the average levels of condensed water. The average value of the coconut wood density was not relatively lower compared to the average density of the compacted. The average value of MOR and MOE coconut wood once compacted experience increased with coconut wood are not compressed. But all the values MOR coconut wood on this study is classified into strong wood class V. From the results of this study concluded that the process of compacting the coconut wood and soaking treatment using the extract of acacia bark may increase the value of physical and mechanical properties of coconut wood. Coconut wood compaction technology can be utilized as a substitute for wood raw materials but can not be used to hold the load.Keywords : coconut wood, physical properties, mechanical properties
“INFLUENCIA DE LAS DESIGUALDADES SOCIOSANITARIAS Y EL CAPITAL SOCIAL EN LA AUTOPERCEPCIÓN DE SALUD DE LOS COLOMBIANOS”. UN ANÁLISIS POR REGIONES
Authors: Molina Rafael Tuesca , Salazar Eustorgio Amed
Published: March 2017

Objetivo: Analizar la autopercepción de salud bajo la influencia del capital social y desigualdades socio-sanitarias para el contexto: regiones de Colombia.Materiales y métodos: descriptivo transversal, por submuestras, a partir de datos de Encuesta Nacional de Salud 2007, cuestionarios Hogar 1 y 2, población con edades de 16 a 65 años, resultando 45.520 sujetos. Se construyó una variable componente para desigualdady capital social. La Dimensión 1 de desigualdad conjugaeducación, trabajo, afiliación a salud; la Dimensión 2 vivienda en riesgo. Capital social 1 relaciona acciones de participación y Capital social 2 con cooperación. El análisis empleó Odds ratio mediante regresión logística y su significancia estadística. Resultados: En términos generales, como factor comúnen las regiones del país, los determinantes para percepción negativa de salud están relacionados con: tener 60 años y más, Caso Atlántica (OR:0,33 [0,23-0,49]), ser mujer, Caso Bogotá (OR: 0,51 [0,41-0,63]); mientras la percepción positiva de salud se relacionó con: tener estudi os de posgrados (OR:5,72[1,92-17,06]) y Universitarios (OR:2,27[1,25-4,13] asícomo la Desigualdad 1 representada por la Afiliación alsistema de salud(OR:1,83[1,45-2,47]).Conclusión: El ser mujer y tener edad avanzada, son elementos comunes y definitivos para percibir peor salud; es prioritario empoderar y fortalecer la construcción de redes y género derechos y educación para reducir brechas con los hombres. En síntesis las desigualdades y capital social de región reflejan la percepción de salud de los colombianos; los hallazgos deben orientar ajustes visibles de política pública con enfoque de género ydiferencial en el Plan Decenal.
Reflections on the Deep Connection Between Problems of Evil and Problems of Divine Hiddenness
Authors: Dougherty Trent
Published: March 2017

In the literature on the subject, it is common to understand the problem of divine hiddenness and the problem of evil as distinct problems. Schellenberg (1993, 2010) and van Inwagen (2002) are representative. Such a sharp distinction is not so obvious to me. In this essay, I explore the relationship between the problem(s) of evil and the problem(s) of divine hiddenness.
Common Core/Diversity Dilemma, Agatheism and the Epistemology of Religious Belief
Authors: Senor Thomas D.
Published: March 2017

The essay “The Common-Core/Diversity Dilemma: Revisions of Humean Thought, New Empirical Research, and the Limits of Rational Religious Belief” is a bold argument for the irrationality of “first-order” religious belief (that is, the belief that adherents to particular religions have). However, unlike those associated with “New Atheism,” the paper’s authors Branden Thornhill-Miller and Peter Millican claim both that there are prospects for rational “second-order” religious belief (a religion-neutral belief in a designer of some sort) and that religious belief and practice can play a positive role in human life. In response to Thornhill-Miller and Millican, Janusz Salamon has argued that first- order religious belief can be rational, although not via the methods that philosophers who have typically defended the reasonability of faith have appealed to. Both papers are fascinating discussions of the epistemology of religious belief in general, and of the rationality of such commitment in light of modern science and religious disagreement in particular. In this paper, I’ll object to a few points made in each essay and argue that neither paper provides good reason to be dubious about the religious belief being rational along traditional lines.
Surgical management of pivot-shift phenomenon in a dog
Authors: Knight Rebekah C. , Thomson David G. , Danielski Alan
Published: March 2017

CASE DESCRIPTION A 6.8-year-old neutered male Labrador Retriever–Poodle mix was evaluated because of continued left pelvic limb lameness unresponsive to conservative management 1 year after undergoing tibial plateau leveling osteotomy (TPLO).

CLINICAL FINDINGS A jerking lateral movement of the left stifle joint was detected during walking. Orthopedic examination revealed a pivot-shift phenomenon (PSP). Palpation elicited no signs of discomfort over the TPLO plate or caudomedial aspect of the stifle joint. Radiography revealed complete bone fusion at the osteotomy site and only mild joint effusion.

TREATMENT AND OUTCOME Arthrotomy was performed at the medial aspect of the stifle joint, revealing no meniscal tears. The previously applied plate was removed, and an extracapsular, synthetic, ligament-like biomaterial was placed to counteract internal tibial rotation, thereby eliminating the PSP. Six weeks later, lameness had improved considerably with no evidence of PSP; 8 weeks after surgery, the dog was assessed for sudden-onset lameness in the right pelvic limb. Cranial cruciate ligament rupture was suspected, and TPLO was performed. The PSP was identified intraoperatively, so an extracapsular implant was placed. Six weeks later, the dog had only mild lameness and no evidence of PSP in either pelvic limb. In a follow-up telephone conversation 1 year later, the owner reported no obvious lameness or gait abnormalities.

CLINICAL RELEVANCE Use of an extracapsular implant effectively eliminated the PSP following TPLO in the dog of this report and can be considered as an intra- or postoperative option for dogs with PSP that responds poorly to conservative management.
Glomerular filtration rate determination by computed tomography in two pet rabbits with renal disease
Authors: Zoller Graham , Langlois Isabelle , Alexander Kate
Published: March 2017

CASE DESCRIPTION A 3-year-old and a 7-year-old spayed female rabbit (Oryctolagus cuniculus) were evaluated because of digestive stasis associated with renal asymmetry.

CLINICAL FINDINGS Neoplasia of the right kidney was diagnosed via cytologic analysis in the 3-year-old rabbit. Ureterolithiasis of the left kidney was diagnosed via abdominal ultrasonography in the 7-year-old rabbit. To evaluate whether unilateral nephrectomy was indicated, evaluation of glomerular filtration rate by dynamic CT (CT-GFR) was performed on both rabbits. On the basis of the functional and morphological CT-GFR results, radical nephrectomy was recommended for the rabbit with renal neoplasia whereas a more conservative approach was recommended for the other rabbit.

TREATMENT AND OUTCOME The rabbit with renal neoplasia underwent radical nephrectomy without complication. The rabbit with ureterolithiasis underwent ureteral stent placement, and the renal pelvic dilatation resolved. Both rabbits maintained unremarkable serum urea and creatinine concentrations after surgery.

CLINICAL RELEVANCE GFR is a highly useful and reliable variable for the evaluation of renal function but is difficult to assess with routine clinical laboratory tests. The CT-GFR technique described here was quickly performed, was technically suitable for rabbits, and provided clinically relevant information. Studies are required to establish reference values for CT-GFR in rabbits.
Effect of Preparation Parameters on Methylene blue number of Activated Carbons Prepared from a Locally Available Material
Authors: Shrestha Rajeshwar Man
Published: March 2017

The adsorption of Methylene blue by the activated carbons prepared from a locally available material Lapsi Seed Stone has been studied. Various activated carbons were prepared by varying the parameters such as ratio of Lapsi seed stone particles to Phosphoric acid, carbonization temperature and carbonization time. Determination of Methylene blue numbers of the activated carbons was done by single point method by batch mode. Methylene blue number is found to be affected by the various preparation conditions like carbonization temperature, carbonization time, ratio of activating agent and Lapsi seed stone particles and the concentration of phosphoric acid. The optimum conditions for the preparation of activated carbon are found to be carbonization temperature 400°C for 4 hours at the ratio of 1:1 Lapsi seed stone particles and Phosphoric acid.Journal of the Institute of Engineering, 2016, 12(1): 169-174
Removal of Fluoride Ions by Adsorption onto Fe2O3 /Areca Nut Activated Carbon Composite
Authors: Joshi Sahira , Adhikari Pradhananga Mandira
Published: March 2017

The possibility of Fe2O3/Areca nut activated carbon composite as an adsorbent for removal of fluoride from water is presented. Activated carbon (AC) was prepared from Areca nut by chemical activation with phosphoric acid at 400°C under nitrogen atmosphere. The resultant AC was characterized by adsorption of methylene blue and iodine. As indicated by iodine and methylene blue adsorption, the AC was highly micro and meso porous in nature. The adsorbent was prepared by compositing the AC with ferric oxide. Batch adsorption experiments were conducted to describe the effect of pH, contact time and adsorbent dose on fluoride removal from water. Percentage removal of fluoride by the adsorbent was ~75 % at contact time of 180 minutes. The maximum adsorption of fluoride was observed at pH 2 with adsorbent dose of 20 gm/L. The adsorption equilibrium data was analyzed by Langmuir and Freundlich adsorption isotherms. The adsorption data was fitted Langmuir better than Freundlich isotherm. The adsorption capacity of the Fe2O3/Areca nut activated carbon composite was found to be 4.8 mg/gm. The composite adsorbent prepared from Areca nut AC could be an efficient adsorbent for removal of fluoride from water.Journal of the Institute of Engineering, 2016, 12(1): 175-183
To Be or Not to Be a Cardiorespiratory Physiotherapist: Factors That Influence Career Choice in a Sample of Canadian Physiotherapists
Authors: Hussey Laura , Sredic Danijel , Bucci Colby , Barrett Ian R. , McLeod Ryan , Janaudis-Ferreira Tania , Brooks Dina
Published: March 2017

Purpose: This study explored the factors that influence choosing or not choosing a career in cardiorespiratory physiotherapy (CRP) from the perspective of a group of currently practising, experienced physiotherapists in Canada. Methods: A modified Dillman approach was used to distribute a cross-sectional, self-administered, online questionnaire to all eligible members of the cardiorespiratory and orthopaedic divisions of the Canadian Physiotherapy Association. A total of 438 participants—21 CRP and 417 non-CRP therapists—completed the survey. The survey response rate was 9.4%. Results: A narrow scope of practice (61.9%) and a lack of interest in CRP subject matter (50.1%) were the most influential factors deterring the respondents from making CRP their career choice. Interest in CRP (81.0%), mentorship (76.2%), access to physical resources (76.2%), and inter-professional practice (71.4%) were the most influential factors in pursuing a career in CRP. Conclusion: Increasing the awareness of the scope of practice for CRP, exposure to positive mentors, and rich practice settings are key factors in promoting physiotherapists' specialisation in CRP.
The effect of wearing high-heeled shoes on the isokinetic strength of ankle muscles
Authors: Park Jae-Wan , Jee Yong-Seok , Eun Denny , Kim Hyun-Sung , Lee Chan-Bok , Kim Kang-Ho , Jang Jeong-Hoon , Kim Min-Su , Park Hye-Yoon , Park Jung-Min
Published: March 2017

BACKGROUND:

There continues to be ongoing debates among researchers as to the positive or negative effects of short-term wearing of high heeled shoes (HH) on ankle muscles.

OBJECTIVE:

To investigate ankle functions among people wearing low-, mid-, and high-heel shoes as well as the effects different heel measurement heights have among the groups.

METHODS:

Seventy-eight female college students who habitually wore heeled shoes at various heights from 2.71 to 10.15 cm for approximately one academic year (40.10 ± 10.13 weeks) took part in this study. Participants were grouped according to their heel heights: low-, mid- and high-heels. Body composition was measured as well as the isokinetic strength of ankle muscles at three different heights: 0 cm, 5 cm and 10 cm, relating to the distance between the standard foot attachment and the foot supporting plate. The isokinetic strength (in Nm) of the ankle dorsiflexor (DF), plantarflexor (PF), evertor (EV), and invertor (IV) muscle groups was recorded for the dominant and non-dominant sides. The total strength of ankle muscles (TSAM), which is the sum of the peak moment of all 4 muscle groups was calculated for both sides for all groups.

RESULTS:

The wearing of HH shoes significantly enhanced the isokinetic strength of all ankle muscles when measured at a height of 0 cm, and some ankle muscles (PF and EV) when measured at a height of 5 cm. However, these effects decreased as the measurement height increased for DF, PF, EV and IV (P< 0.05) for both sides. Moreover, there were no significant differences between high- and low-heels groups at the measurement height of 10 cm. The TSAM for both sides also showed no significant differences between groups when measuring at 10 cm.

CONCLUSIONS:

Wearing of HH shoes for one year may contribute to enhancing the isokinetic strength of ankle muscles when wearing flat or mid-heeled shoes. However, the positive effects that were measured in lower height conditions (0 cm and 5 cm) disappeared when measured using higher heights, indicating that wearing HH shoes yields no benefits for building ankle muscle strength.
The effects of strengthening, neuromuscular and lumbopelvic stabilization exercises on strength, physical function and symptoms in men with mild knee osteoarthritis: A pilot study
Authors: Selistre Luiz Fernando Approbato , Gonçalves Glaucia Helena , Petrella Marina , de Oliveira Sato Tatiana , da Silva Serrão Paula Regina Mendes , Vasilceac Fernando Augusto , Mattiello Stela Marcia
Published: March 2017

OBJECTIVE:

To investigate the effects of strengthening, neuromuscular and lumbopelvic stabilization exercises on strength, symptoms and physical function in men with mild knee osteoarthritis.

METHODS:

A total of 17 men with mild knee osteoarthritis participated in this study. Subjects underwent clinical and radiographic examinations and isokinetic strength evaluations and completed the Western Ontario & McMaster Universities questionnaire before and after an intervention program comprising strengthening, neuromuscular and lumbopelvic stabilization exercises twice per week for eight weeks.

RESULTS:

After the intervention program, subjects exhibited significant reductions in pain (P= 0.009), improvements in physical function(P= 0.015) and quadriceps and hip abductor strength. There was no change in hamstring and hip adductor strength or stiffness after the intervention program.

CONCLUSIONS:

An eight-week supervised exercise therapy program comprising strengthening, neuromuscular and lumbopelvic stabilization exercises may help reduce muscle weakness, pain and disability in men with early knee osteoarthritis.
Multi-material linearization beam hardening correction for computed tomography
Authors: Lifton J.J.
Published: March 2017

Beam hardening causes cupping and streaking artifacts in computed tomographic images, the presence of such artifacts can impair both qualitative and quantitative analysis of the reconstructed data. When the scanned object is composed of a single material, it is possible to correct beam hardening artifacts using the linearization method. However, for multi-material objects, an iterative segmentation-based correction algorithm is needed, which is not only computationally expensive, but may also fail if the initial segmentation result is poor. In this study, a new multi-material linearization beam hardening correction method was proposed and evaluated. The new method is fast and implemented in the same manner as a mono-material linearization. The correction takes approximately 0.02 seconds per projection. Although facing a potential disadvantage of requiring attenuation measurements of one of the object’s constituent materials, applying the new method has demonstrated its capability for a multi-material workpiece with substantial reduction in both cupping and streaking artifacts. For example, the study showed that the absolute cupping artefacts in steel, titanium and aluminum spheres were reduced from 22%, 20% and 20% to 5%, 1% and 0%, respectively.
Melioidosis: An Emerging Infection in Bangladesh
Authors: Uddin Khwaja Nazim
Published: March 2017

Abstract not availableBirdem Med J 2016; 6(2): 63-66
Treating Malignancy: Four-Year Experience in Internal Medicine Department, BIRDEM General Hospital
Authors: Sarker Rene Suzan Claude , Rahman Md Raziur , Afroze Samira Rahat , Rahim Muhammad Abdur , Uddin Khwaja Nazim
Published: March 2017

Background: Cancer prevalence in diabetic patients in Bangladesh seems to be increasing as case detection of both diseases are far more than before. Till date no statistical data of diabetic patients with malignancy is available in Bangladesh. Treating both diabetes and malignancy in the same patient is challenging and sometimes requires multidisciplinary support. For such cases BIRDEM General Hospital offers supportive facilities including intensive care, chemotherapy, surgical intervention and oncology day care.Methods: This cross-sectional, observational study was carried out from January 2012 to June 2016 which included cancer patients irrespective of their diabetic status admitted in Internal Medicine Department of BIRDEM General Hospital. With prior informed consent of the patients, data were collected and statistical analysis was done using professional SPSS version 17.0 windows based program.Results: Total number of cancer patients was 114, whose diagnoses were confirmed by histopathological evidence (biopsy/FNAC), radiology reports and cancer markers, as appropriate. Among them 64 (56.1%) were male and 50 (43.9%) were female patients. Age of most of the patients was between 41-60 years (65, 57%). Mean age was 55.16 years in diabetic group and 44.47 years in non-diabetic group. Glycemic status revealed that most of the patients were diabetic (80, 70.2%). Among other co-morbid conditions, hypertension and ischemic heart disease were predominant (17 and 9 cases respectively). Prevalence of more than one comorbidites were marked in the diabetic group (33 cases, p value >0.001). Twenty one categories of malignancies were diagnosed during this study period. Majority of cases were lymphoma (21,18.4%), carcinoma breast (17,14.9%), carcinoma uterus and/or cervix (13,11.4%) and leukaemia (10,8.8%). Common clinical features included palpable lump (21,18.4%), lymphadenopathy (16,14%), anaemia (9,7.9%) and pain (8,7%). The number of patients presenting with multiple signs/symptoms were also significant (32,28.1%). Most patients were treated with chemotherapy (54,47.4%). Many cases warranted a combined approach (46,40.4%). Treatment response showed good response in 57(50%) cases. In 16 patients (14%) condition deteriorated and death occurred in 8 cases (7%). Even after repeated and empathic counseling we lost follow up of 15 cases (13.2%).Conclusion: The scenario becomes complicated when a diabetic patient develops malignancy and vice versa. Complications can arise from either spectrum of the diseases. Managing such cases are often challenging and require multi-disciplinary support. Management outcome of these cases so far in Internal Medicine Department, BIRDEM General Hospital shows a promising future.Birdem Med J 2016; 6(2): 107-111
Demographic Status and Blood Group of Family Blood Donors with a Focus on Their Rejection
Authors: Dipta Tashmim Farhana , Akter Zakia , Datta Anamika , Nahar Quamrun , Islam Md Ashadul
Published: March 2017

Background: The aim of donor selection should protect donors from any potential harm which may occur as a direct result of the donation process; secondly, shall protect recipients of blood transfusions from adverse effects, such as transmission of infectious diseases or other medical conditions and unwanted effects caused by any medications taken by the donor. Any reason for deferral, whether temporary or permanent, have been explained to the donor and recorded as per National Guideline and Blood Safety Law. Literature search showed there is dearth information on replacement blood donors in Bangladesh. So this study has been done to evaluate replacement family blood donors, exploring their demographic status, occupation, blood groups and why they were rejected during donor selection.Methods: This study was done to assess the demographic profile and blood group among family blood donors during donor selection. Age, weight, occupation, blood group and blood pressure have been explored among randomly selected two hundred ninety one blood donors attending Transfusion Medicine Department of BIRDEM as per Guideline.Results: Among them 261 (89.69%) were male and 30 (10.31%) were female with M±SD age 29±6 and 29±7 (yrs), respectively. Blood group of replacement family donors were, A positive (39.7%), B positive 90(32%), O positive 18 (6%), AB positive 39 (13%) majority (57.04%) were unmarried , 52.58% were doing business, while students were 29.90% and job holders were only 17.53%. Among nine deferred donors females were mainly rejected (89.28%) and the contributing factor was low blood pressure according to guideline. Finally 96.91% successful family blood donors donated blood for the patient party.Conclusion: Our study showed proper selection and following of blood donation guideline help to determine the eligibility to donate blood. Moreover, this pilot study may contribute in evaluation of Bangladeshi family blood donors those had positive blood group and negative serological markers as per WHO (World Health Organization) guideline for Bangladesh.Birdem Med J 2016; 6(2): 112-117
An Experience with Severe Leptospirosis (Weils Disease): A Case Report
Authors: Safa Jinnat Fatema Saira , Mahmood Farhana , Mamun Sheikh Md Hasan , Ferdous Mohammad , Jalaluddin Mohammad
Published: March 2017

Leptospirosis, a zoonotic disease is increasingly being recognized in developing countries. It is often underdiagnosed resulting in significant mortality as the presenting features mimic other commonly prevailing diseases like Malaria, Dengue, Acute hepatitis, Typhoid in developing world. We report a case of 32 yrs old male, sewer worker presented with acute febrile illness with icterus, hemorrhagic manifestation and pulmonary-renal involvement, diagnosed as Severe Leptospirosis (Weils disease) confirmed by ICT method. This experience highlights the importance of considering Leptospirosis early in the diagnosis of acute non specific febrile illness with multi-organ involvement to cutoff mortality from this fatal disease.Chatt Maa Shi Hosp Med Coll J; Vol.15 (2); Jul 2016; Page 61-64