bluuebunny/crossref_metadata_2025 huggingface dataset:
Allende HRTEM study v1
Authors: I. Cruz-Rosas H. , Riquelme F. , Santiago P. , Rendón L. , Buhse T. , Ortega-Gutiérrez F. , Borja-Urby R. , Mendoza D. , Gaona C. , Miramontes P. , Cocho. G.
Published: May 2019

SAMPLES. We used a meteorite specimen of 297.8 g in weight, register number IG-A7, from the Colección Nacional de Meteoritas of the Instituto de Geología, Universidad Nacional Autónoma de México (UNAM), Mexico City (figure). For transmission electron microscopy (TEM), a ~ 4 cm long fragment of the large specimen were freshly fractured and cut by using a diamond knife in a clean room. Later, smaller clean fragments (~ 50 mg in total) were extracted from the interior, avoiding contamination from the fusion crust or surface areas. The resulting crude sample were powdered in an agate mortar and suspended in high-purity ethanol to achieve homogeneous dispersion without agglomerates. For HRTEM analysis, a 5µl pipette was add a portion of that suspension to a lacey carbon grid coated with formvar. Before being used, the TEM grid was carefully inspected in order to rule out any possible contamination. HRTEM. High Resolution TEM imaging of chondrite samples was conducted using an Aberration Corrected Cold Field Emission Scanning Transmission Electron Microscope Jeol JEM-ARM200CF at the Centro de Nanociencias y Micro y Nanotecnologías, Instituto Politécnico Nacional, Mexico City. The TEM microscope is equipped with cold field emission gun, Cs-corrector, and high angle annular dark field (HAADF) detector and has ultra-high resolution of 0.72 Å. We utilized an electron beam spot with a condenser aperture of 60 nm at 200 kV for less than 30 seconds. Several locations on individual samples were analyzed. Fast Fourier Transform (FFT) analysis and image processing were applied using the freely available Digital Micrograph (GATAN) software attached at the microscope.
Machine Learning Techniques for Detecting Identifying Linguistic Patterns in the News Media v1
Authors: S Pottinger A
Published: May 2019

Proposing and comparing multiple neural network-based techniques in order to choose an optimized configuration, the described method can train a classifier to predict the publisher of news articles given a short snippet of text. This classifier's scores can then help in creation of a exemplar-based news search engine. Specifically, this model can be used to compare linguistic patterns between different news organizations and to identify prototypical articles for a news source that most "exemplify" a publisher’s coverage. Finally, these "exemplars" are made searchable through an open source browser-based application.
A Corpus-based Study of Valency Sentence Patterns of English Verbs
Authors: Liu Guobing , Du Yaping
Published: May 2019

Based on the COCA, this paper investigates valency sentence patterns of the English verb APPOINT from the perspective of syntactic valency. And it analyzes the dominated components of verbs with the corpus linguistic method of collocation. It has been found: (1) The verb APPOINT has seven valency sentence patterns identified in the active sentences and fifteen patterns in the passive sentences. (2) The complement types associated with the verb APPOINT include subject complement, object complement, nominal complement with or without as, verbal complement with an infinitive or with to-be followed by a noun or a noun phrase, prepositional complement with the preposition to, by or for. (3) There is regularity existing in the complements. This present study describes valency sentence patterns of verbs, taking the sentence as the smallest research unit and verbs as the core of the sentence. The research results provide a new sight for second language teaching, especially for English vocabulary teaching.
A Comparative Study of Novel Translation under Feminist Translation Theory: A Case Study of the Two Chinese Versions of To the Lighthouse
Authors: Qiu Qing
Published: May 2019

With the increasing relevance of feminism and translation studies, how to embody female discourse in translation has become an important issue in feminist translation and in reflecting the translator’s subjectivity. Based on the feminist translation theory, this study will explore how female translators use translation strategies and methods to highlight female discourse through a comparative analysis of the two Chinese versions of To the Lighthouse, aiming to reveal the differences between female’s translation and male’s as a result of their gender consciousness, thus bringing beneficial inspiration to translation studies and translation work.
TRATAMIENTO DE UN QUISTE RESIDUAL LOCALIZADO EN EL MAXILAR SUPERIOR. REPORTE DE UN CASO.
Authors: Romero Blanquicett Andres Antonio , Martínez Martínez Adel , Diaz Caballero Antonio José
Published: May 2019

Los quistes odontogénicos suelen ser intraóseos y se clasifican en quistes del desarrollo e inflamatorios. Los quistes residuales son de tipo inflamatorio y resultan de la extracción de un diente con un quiste radicular, pero sin remover los remanentes de la lesión en el mismo procedimiento quirúrgico. Se localizan principalmente en el maxilar, muestran ligera predilección por los hombres y generalmente son asintomáticos. Se presenta el caso de un hombre de 64 años de edad, quien consulta por presentar un aumento de volumen en la zona edéntula anterior del maxilar, años después de la exodoncia de los órganos dentarios 11 y 12. El tratamiento realizado consistió en osteotomía de la pared vestibular, enucleación y curetaje del quiste residual, usando un colgajo de Newman de los dientes 13 a 23. Se realizaron controles posoperatorios periódicamente y se observó buena cicatrización.
TECTONICS OF CRYSTAL DOMES AND COVERS AND FACTORS DEFINING THEIR VOLUME AND SPACE COMPOSITION
Authors: GOGOLEVA Natalia A.
Published: May 2019

The article provides a brief history of the geodesic crystal dome structures. A set of factors that are determining conditions in the formation of the tectonics of the volume-spatial composition of dome structures is considered. The issues of plastic processing and plastic expressiveness of dome structures with diff erent structural scheme of the geometric breakdown of the surface are considered. A comprehensive assessment of the initial design conditions and the consideration of formative factors allowing the creation of expressive volume-spatial compositions of structures of various functional purposes using crystal dome shells are given.
DESIGN OF A SINGLE-PHASE POWER AUTOTRANSFORMER TANK OF ELECTRIC POWER SYSTEMS AND CALCULATION OF ITS SURFACES TEMPERATURE
Authors: VAKHNINA Vera V. , KUZNETSOV Vladimir N. , SHAPOVALOV Vladimir A. , GOROKHOV Ilya V. , CHERNENKO Alexey N.
Published: May 2019

A mathematical model has been developed that adequately describes the complex profi le of a high-power single-phase autotransformer tank over 100 MVA. The tangential components of the magnetic fi eld of dispersion on the surfaces of the tank and additional losses of active power from eddy currents in the walls of the tank are determined when the magnetic system of the autotransformer is saturated with direct current fl owing through grounded windings. Many of the hott est points of the tank autotransformer are found. The dependence of the maximum values of the rate of change in the temperature of the most heated points on the surface of the tank of the autotransformer AODTSTN-267000/500/220 on the magnitude of the direct current was established.
DESIGN AND STUDY OF EXCHANGERS WITH PRESSURE GRADIENT HEAT INTENSIFIERS
Authors: PETROVA Nadezhda P. , TSYNAEVA Anna A.
Published: May 2019

This paper is presented the numerical study of local heat transfer in the turbulent boundary layer with longitudinal pressure gradient. The study is based to free software with open source code (Salome and Code_Saturne) has been based by RANS approach and empirical models of turbulence. Validation of mathematical models and software is based by collation numerical results with the results of experimental study of fl ow characteristics in a turbulent boundary layer of longitudinal pressure gradient and high turbulence intensity (Epik E. Ya., NASc of Ukraine). The validation had a high qualitative coincidence of the fl ow characteristics determined as a result of the simulation with experimental data. We designed two constructive schemes of heat exchangers for air. This study presents a calculation plan for these heat exchangers. Results of the study are showed that the use of gradient heat exchange intensifi ers leads to an increase in the heat transfer coeffi cient from air to 17 %.
OPTIMIZATION OF HEAT-SHIELDING CHARACTERISTICS OF THE EXTERIOR WALLS OF COUNTRY COTTAGES, INSULATED WITH MONOLITHIC FOAM CONCRETE
Authors: VYTCHIKOV Yury S. , SAPAREV Mikhail Ye. , GOLIKOV Vladislav A.
Published: May 2019

The heat-shielding properties of three-layer external walls insulated with monolithic foam concrete are considered in the article. The temperature is given in rooms operated in intermitt ent heating conditions. An optimal exterior wall design is proposed using monolithic foam concrete for the construction of country cott ages. For this design, the results of heat engineering calculations are presented using the analytical dependence of determining the heat transfer resistance, which ensures the minimum warm-up time of the wall. The results of the calculation are presented in tabular form for a given heating time and density of foam concrete. Also a relationship is described to determine the maximum allowable resistance to heat transfer of the outer wall at diff erent densities of monolithic foam concrete.
CHARACTERISTICS OF THE CONFESSIONAL SECTION OF ZHYTOMYR REGION RELIGIOUS COMMUNITY
Authors: Ryabtseva Nataliya
Published: May 2019

Purpose. In order to analyze the confessional section of the religious community of Zhytomyr region, the state and development dynamics of registered church and religious institutions totality have been investigated. Methods. The solution of these tasks was carried out using a wide range of general scientific and special methods: dialectical and logical, analysis and synthesis, analytical groups, systems approach, etc. The theoretical basis of the study was the materials of reports about the community of churches and religious organizations in Ukraine. Results. Based on the analyzed data, the confessional structure of religious communities registered in the Zhytomyr region was obtained. The dominant confessions were singled out and the diversity of religious movements, independent of the canonical Church, on the basis of which religious organizations are created in the region, were considered. The digital display shows the problem of Orthodoxy, which today is in a split state. The scientific novelty of the research lies in the analysis of the causes and consequences of Zhytomyr region religious community’s diversity. It is shown that the consequence of religious pluralism in Ukraine is a spiritual crisis in which modern Ukrainian society is located. The practical significance of the study is to obtain a regional section of the problem of complex political and religious relations that occur in our state.
Análisis bibliométrico del impacto de la investigación educativa en diversidad funcional y competencia digital: Web of Science y Scopus
Authors: Delgado Vázquez Ángel , Vázquez-Cano Esteban , Belando Montoro María R. , López Meneses Eloy
Published: May 2019

Este estudio bibliométrico pretende conocer el grado de interés que despierta en la comunidad académica internacional la investigación en la interacción entre la diversidad funcional mediada por la tecnología y la competencia digital en la serie histórica (1982-2019). Para ello se conduce un análisis de la literatura científica en los dos principales índices de citas usados a nivel global para medir la producción investigadora: Web of Science y Scopus. Se han identificado 263 trabajos sobre la temática en ambas bases de datos. Los resultados del análisis bibliométrico indicaron que la productividad se ha incrementado considerablemente desde el año 2006. Los principales medios de difusión, además de las revistas científicas, son las colecciones temáticas de libros y las publicaciones de las actas de congresos. Entre los países con mayor producción se encuentran: Estados Unidos, España y Gran Bretaña. Por último, el análisis de los nodos relacionales temáticos muestra que existen tres tendencias principales: (1) la interacción de la tecnología con las personas con diversidad funcional. (2) La relación de la tecnología con la comunicación en personas con diversidad funcional y (3) observar la relación entre e-inclusión y competencia digital.
Comparative efficiency of intravenous and oral iron preparations in anemic pregnant women
Authors: Atajanyan Аnna S. , Zaynulina Marina S. , Malakhovskaya Elena A.
Published: May 2019

Hypothesis/aims of study. The article is devoted to assessing the effectiveness of intravenous iron preparations in the treatment of anemia in pregnant women. The relevance of improving the treatment of pregnant women with iron deficiency anemia (IDA) is due to an increase in morbidity and adverse effects on the course and outcome of the gestational process, the state of the fetus and newborn. The aim of this comparative study was to assess the efficiency of intravenous and oral iron preparations in pregnant women with IDA.

Study design, materials and methods. The study included 131 pregnant women. The mean age of the patients was 31.75 (19; 49) years.

Results. The intravenous preparation of iron carboxymaltosate, after a single administration, has a more pronounced dynamics of hematological and ferrokinetical blood parameters compared to the oral preparation of iron (III) hydroxide polymaltosate after one month of treatment.

Conclusion. As a result of clinical and laboratory research, the expediency of the use of intravenous iron (III) preparations in the 2nd and 3rd trimester of pregnancy has been substantiated. Iron carboxymaltose exhibits high clinical efficiency, quickly replenishing iron stores in the body. The absence of side effects and ease of use (single administration) allow recommending iron carboxymaltose for the treatment of IDA.
Possibilities of applying antigestagens in therapy
Authors: Lebedeva Yanina A. , Troik Evgeniа B. , Molchanov Oleg L. , Fedotov Yuri N.
Published: May 2019

In the modern medical practice, anti-progestogen therapy is widely used where RU-486 (mifepristone) is one of its variants. However, the potential of this therapy in the treatment of various pathologies is far from exhausted. In the general medical practice, it is possible to use mifepristone (RU486 metabolite) to control hyperglycemia in patients with Cushing’s syndrome, in the treatment of endogenous hypercorticism syndrome and metastatic cancer (melanoma, breast cancer, meningioma and other localizations). In the gynecological practice, it is used for contraception and early termination of pregnancy. Of particular interest is the use of antigestagens in the therapy of uterine leiomyoma. In recent years, the conservative treatment of uterine leiomyoma, aimed at the restoration and preservation of women’s reproductive health, has become a priority task for specialists. Therapy with antigestagens, in particular mifepristone, is seen as a possible worthy alternative to invasive methods of treating uterine fibroids, in which there are still many “white spots” that need to be studied.
Skin microbiota in women of reproductive age in norm and androgen-dependent dermatoses
Authors: Vorobyova Nadezda E. , Shipitsyna Elena V. , Savicheva Alevtina M.
Published: May 2019

The skin is the largest organ of the human body and is colonized by divergent microorganisms, with a majority of them being harmless and even helpful for humans. The development of molecular methods for the identification of microorganisms has led to a conception that the skin microflora is greatly diverse and variable. Innate and adaptive immune responses can change the microbiota, and, on the other hand, the microbiota is involved in an immune response. The degree of colonization of the skin by different microorganisms varies greatly depending on the body sites, as well as endogenous and exogenous factors. There are significant gender differences in skin structure and physiology, which is substantially influenced by sex hormones. The investigation of the skin microbial component in androgen-dependent dermatoses, such as acne and seborrheic dermatitis, will contribute to understanding the pathogenic mechanisms of these diseases and to developing effective methods of therapy.
Ready to Move: A Unique University Worksite Wellness Initiative
Authors: Deinhart Mariah , Kennedy-Armbruster Carol
Published: May 2019

Background: Ready to Move (RTM), a university worksite wellness program, was implemented to get employees moving more and sitting less by combining student health coaching and activity trackers (AT’s).Aim: This article provides program specifics and survey data outcomes to facilitate ideas for university faculty, staff and student collaboration. The intent of the article is to provide an example of how academic classes can contribute to employee worksite wellness programming within a university.Methods: Twelve cohorts (2015 - 2017) comprised of 295 university employees received Fitbit Flex ATs and health coaching from students enrolled in a physical activity (PA) behavioral interventions class during a 10-week program. The employees met with their student coach eight times to learn how to use their AT and set movement goals. Employee’s completed self-reported surveys on average PA days and PA confidence pre/post program.Results: Findings revealed RTM significantly impacted employees average number of PA days and their confidence in ability to sustain PA. Employee qualitative comments revealed RTM instilled the importance of utilizing ATs combined with student engagement made the experience enjoyable and effective.Conclusion: RTM’s combination improved employee movement outcomes and provided additional programming ideas for the employee wellness program at a large Midwestern university.
Editorial Advisory Board
Authors: BHAC Journal Building Healthy Academic Communities
Published: May 2019

No abstract available.
Editorial: New Year's Resolutions
Authors: Kazer Meredith Wallace
Published: May 2019

No abstract available.
Psychological impact of cancer on patients in a tertiary care centre: a prospective study
Authors: Shafi Saba , SShah Manan , Shafi Junaid , Shah Momin , Khan A. W.
Published: May 2019

Background: Diagnosis of cancer, although physical in nature, has far reaching emotional impact on the person. The study aimed to analyse the psychological impact of cancer on patients with a focus on levels of distress and psychiatric comorbidity.Methods: It was a prospective study conducted on 169 consenting individuals in the department of radiation oncology, SKIMS, Jammu and Kashmir, India, in collaboration with the department of psychiatry, SKIMS medical college, Jammu and Kashmir, India, from November 2013 to January 2015. The NCCN distress thermometer was used to observe the temporal variations in the levels of distress over a period of time.Results: Anxiety disorders (panic disorder, generalized anxiety disorder and post-traumatic stress disorder) were the most common psychiatric disorders diagnosed constituting 59%, followed by depression in 29%. About 12% patients were not diagnosed with any psychiatric ailment. One female patient with anxiety disorder developed acute psychosis. Counselling and psychotherapy provided improvement in 45% patients with cancer. In all, 86.4% required medication during the course of treatment and majority had improvement with it. A mean distress score of 7.73 was seen before, 8.29 during and 7.66 after treatment.Conclusions: Cancer bore a significant impact on the psychological bearing of patients, ranging from anxiety disorder, post-traumatic stress disorder, depression to psychosis. Hence there is a need for monitoring psychological symptoms in cancer patients and development of appropriate psycho-oncology services.
Fetomaternal outcomes of mothers with detectable cytomegalo virus (CMV)-specific IgM antibodies
Authors: Wani Saima , Ajaz Shaheera , Qayoom Tashaffi
Published: May 2019

Background: Human cytomegalovirus (CMV) infection is the most common cause of perinatal viral infection. congenital CMV infection can produce varying degrees of neurodevelopmental disabilities. Aims and objectives were to study the fetomaternal outcome in CMV-Specific IgM antibodies.Methods: The study was prospective for a period of one and a half year. Hundred high risk patients with hundred controls were screened for CMV serology IgM. Maternal & fetal outcomes were noted.Results: Out of 100 cases in study group 27(27%) were positive for CMV IgM while in control group 6(6%) were positive(p<0.05). Primary CMV infection in mothers led to abortion in 2(7.4%) patients, pre-term labour in 5(18.5%), Postpartum hemorrhage in 6 (22.2%), fetal distress in 11(40.7%) while 37% had uneventful outcome. Among CMV positive cases 48.1% were born term live, 6(22.2%) were preterm, 1(3.7%) had IUD, Intrauterine growth restriction in 10 (37%), 6(22.2%) with congenital defect and 4(14.8%) with neonatal manifestations.Conclusions: CMV remains a significant public health concern. Education of young women in our community regarding hygienic and behavioral approaches that can help prevent CMV transmission is mandatory.
Ambulatory blood pressure pattern in overweight and obese subjects: a prospective, cross-sectional study
Authors: Singh Shuchi , Lohakare Akash C.
Published: May 2019

Background: Obesity is widely described as a leading cause of morbidity and mortality and is a known risk factor of many cardiovascular and non-cardiovascular diseases including hypertension. The aim of this study was to analyze the pattern of ambulatory blood pressure in overweight and obese subjects.Methods: This was a prospective, cross-sectional study performed over a period of 1 year in 95 subjects attending the Department of Medicine of tertiary care teaching institute. Anthropometric measures such as weight, height, body mass index (BMI), and waist circumference (WC) were recorded. Ambulatory blood pressure monitoring over a period of 24-hrs was performed in each individual and values were recorded. Comparison between normal subjects and overweight and/or obese subjects was done in terms of various ambulatory BP parameters.Results: Based on BMI, significantly higher proportion of females were obese (p-value = 0.020), as compared to males. Based on both BMI and WC, significant proportion of overweight and obese subjects had higher 24-hr SBP (p-value < 0.001) and 24-hr DBP (p-value = 0.001); higher day-time SBP (p-value < 0.001); higher night-time SBP (p-value < 0.001); and widening of 24-hr pulse pressure (> 50 mmHg) (p-value < 0.001) as compared to normal subjects. However, among various abnormal ABPM parameters, majority of the parameters revealed more incidence of BP abnormalities with increased BMI than with increased WC. Thus, BMI appeared to be a better anthropometric parameter than WC.Conclusions: The findings of the present study confirm that obesity in apparently non-hypertensive subjects leads to rise in both SBP and DBP. Moreover, it is the systolic part of ABPM which probably predicts the cardiovascular morbidity in overweight and obese subjects.
A prospective study of complications in newly diagnosed type 2 diabetes mellitus patients of lower socioeconomic group with special reference to microvascular complication and metabolic syndrome
Authors: Anand K. Satya , . Ruksana , Acharya Anand
Published: May 2019

Background: All these metabolic derangements exist for many years in the asymptomatic phase of type 2 diabetes and they predispose to development of complications even before clinical diagnosis. Metabolic syndrome is considered to be a precursor of type 2 diabetes. Present study is primarily aimed to study the prevalence of micro vascular complications and metabolic syndrome in newly diagnosed type 2 diabetes mellitus patients of low socio-economic group.Methods: This is a cross sectional prospective study conducted in the dept. of general medicine Konaseema institute of medical science Amalapuram, Andhra Pradesh, India from November 2016 to October 2018. Based on exclusion and inclusion criteria 103 patients were enrolled for this study. Various parameters like age, sex, body mass index, waist circumference, lipid profile, systolic and diastolic blood pressure, neuropathy, nephropathy and retinopathy was measured.Results: The mean age of the patient was 48±10.0 years. Fasting and 2 hours OGTT was 174.6±46.8 mg/dl and 255.6±75.6 mg/dl. The mean of total cholesterol was 204.7±41.9 (mg/dl), Triglycerides was 218±83.4 (mg/dl) and HDL was 44±5.3 (mg/dl). Symptomatic neuropathy constituted 35.6% in 51-60 age group and 27.1% in 31-40 and 41-50 age groups. Objective neuropathy constituted highest (36.6%) in 51-60 age group. Retinopathy constituted highest (60%) in 51-60 age group and nephropathy constituted 26.3 % in 21-30 and 51-60 age groups.Conclusions: Prevalence of microvascular complications in newly diagnosed diabetics of low socioeconomic group were as follows: symptomatic neuropathy-57.3%, objective neuropathy-39.8%, retinopathy-4.9%, nephropathy-18.4%. These were similar to published studies from general population from the same geographical area.
Interobserver reliability on landmark-guided sacroiliac joint injection among 5th year residency in Orthopedic and Traumatology Department Faculty of Medicine Brawijaya University Malang, Indonesia
Authors: Adipranoto Gladys , Yudistira Andhika
Published: May 2019

Background: The most common misdiagnosed low backpain is result from the sacroiliac joint. There are a lot of methods we can use to treat it such as steroid injection. This method can be done by using landmark-guided technique or image-guided. Unfortunately, not all hospital in this country has the same facility to do image-guided technique using fluoroscopy to do the injection. Therefore, landmark-guided technique still could be used for the treatment of choice.Methods: In this research, authors did injection on sacroiliac joint of 7 preserved cadavers, on both sacroiliac joint, injection were done by 2 operators, which both are 5th- year residents of Orthopedic and Traumatology Department using 2 coloring markers, therefore each of operator got 14 injection spots. Operator  1 uses methyl red, and operator 2 uses methylene blue. The success of the injection evaluated visually. If operator 1 achieved the injection, the sacroiliac joint would be bright red coloured. If operator 2 achieved the injection, the sacroiliac joint would be blue coloured. If both operator achieved the injection on the same joint, the mixture of both will be dark green coloured.Results: The result shown the success of both operator in doing injection for the sacroiliac joint is 9 joints (32.14%). There were 5  joints (17.86%) done by operator 1, and  4 joints (14.28%) done by operator 2. Operator 1 failed on 9 (32.14%) joints and operator 2 failed on 10 (35.72%) . The data was statistically analysed using Fisher Exact Test, result in p value 0.500 (p >0.05).Conclusions: In conclusion there is no significantly different the success of the injection between operator 1 and 2. The failure of the injection on sacroiliac joint could be affected by many factors such as injection technique, and anatomy variations of the sample.
Utility of Chedoke arm hand activity inventory in the Indian population: mixed method research sequential explanatory
Authors: Zaucha Hmingsangi , Thomas Annie
Published: May 2019

Background: One of the most common manifestations of stroke is hand function affectation. This can have a negative impact on daily, social and leisure activities. A formal evaluation protocol will be able to identify specific needs of a patient. The objective was to find out the stability of the Chedoke arm hand activity inventory in sub-acute and chronic stroke patients in India Method.Methods: This was an observational study with sample size 29 and the sampling was convenience sampling. Participant criteria were sub-acute and chronic stroke patients, male and female, patients who follow commands, stable vitals, CMSA score of hand and leg function with stage 3, foot with stage 2, postural control with 6 or 7 and ability to walk 25 meters indoor. Recurrent stroke and hand dysfunction due to any reason other than stroke were excluded. Twenty-nine stroke patients, sub-acute and chronic where CMSA score taken prior to administration of CAHAI. A score of 1-7 for each task in CAHAI 13, total score of minimum 13 and maximum 91 with other considerations where “unsafe for the patient” was considered as score 1. Data analysis were done using SPSS version 22.0 and Pearson’s correlation coefficient.Results: A total of 29 participants included where the test retest reliability was r=0.98 with significance <0.001.Conclusions: CAHAI found to be a highly reliable outcome measure.
A study of fasting lipid profile in chronic kidney disease patients
Authors: Singh Sandeep , Pathak A. K. , Parappanavar Neelakanth U.
Published: May 2019

Background: Dyslipidemia is very much common in chronic kidney disease patients and is responsible for cardiovascular disease (CKD) which is most common cause of mortality in them. So, it is necessary to study the lipid profile in CKD patients to prevent morbidity and mortality.Methods: Subjects each of 50 in number are grouped into healthy controls (group-1), CKD patients without hemodialysis (group-2), CKD patients with hemodialysis (group-3). After fasting of 12 hours, lipid profile is assessed in all cases.Results: In this study, there is increase in Total cholesterol (TC), Low Density lipoprotein (LDL), very Low-Density lipoprotein (VLDL) and Triglycerides (TG) and decrease in High Density Lipoprotein (HDL) in all CKD patients compared to healthy controls (p-value for each parameter <0.001). There is increase in TC, TG and VLDL in diabetic CKD patients compare to non-diabetic CKD patients and p-value for each parameter is <0.05. It was found that TG and VLDL increase and HDL decrease in group-3 compare to group-2 is statistically significant (p-value for each <0.05) and no significant variation in TC and LDL in these groups.Conclusions: Present study demonstrated that there is dyslipidemia in CKD patients irrespective of mode of management, but the derangement is much more common and significant in CKD with hemodialysis group and they are at risk of cardiovascular disease. It is better to start lipid lowering drugs which decreases disease progression and dyslipidemia.
Status of vitamin D, lipid profile and carotid artery intima media thickness in patients with chronic kidney disease stage III to V
Authors: Behera Kamal Lochan , Varma BH. V. K. Praveen , Raju D. S. S. K. , Sayana Suresh Babu
Published: May 2019

Background: Chronic Kidney Disease (CKD) is characterized by irreversible sclerosis and loss of nephrons. The renal mass progressively declines over a prolonged period, depending on the underlying etiology. In CKD the most common feature is hypovitaminosis D which alter the vascular smooth muscle cell proliferation and reprogram the osteoblastic changes, finally leading to increase arterial wall thickness.Methods: A cross sectional study carried out over a 2-year period in Department Nephrology and General Medicine OPD, MIMS, Vizianagaram, Andhra Pradesh, India. 120 in which 60 are normal healthy individuals and 60 are CKD patients with stage 3 to 5. In all the participants serum creatinine, blood urea, serum triglycerides serum total cholesterol, HDL cholesterol estimated and serum 25 OH vitamin D are estimated.Results: The diagnostic criteria for CKD like blood urea, serum creatinine and eGFR were significantly higher in CKD when compared to control. In the present study, systolic and diastolic blood pressure was significantly increased in CKD compared with control. The Carotid Intima Media Thickness (CIMT) both left and right side were significant higher in CKD when compared with control. There is a significantly decreased levels of serum vitamin D in CKD (14.53 ng/mL±6.88) when compared with control (28.87 ng/mL±6.28).Conclusions: Present study finding suggested that there is a raised value of CIMT in CKD patients. High triglycerides, cholesterol and decreased HDL and declined vitamin D low hemoglobin, decreased eGFR, increased systolic blood pressure, raised CIMT value were found to be significantly increased in CKD patients.
Role of neurosonography in neonates with clinically suspected intracranial pathology
Authors: Gahlot Abhishek , Joshi Anil
Published: May 2019

Background: Preterm neonates have a higher mortality and morbidity because of their greater risk for intracranial hemorrhage (ICH), hypoxic ischemic encephalopathy(HIE) which can lead to poor neurodevelopmental outcomes. The present study was conducted to evaluate neonates with clinically suspected intracranial pathology by neurosonography.Methods: Included neonates were those with clinically suspected intracranial pathology admitted to neonatal intensive care unit of the Bharati Vidyapeeth Medical College and Hospital (Deemed to be University), Sangli from October 2018 till December 2018. First cranial neurosonography was done between first and third day, second between 7th and 10th day of birth. HIE also known as Periventricular leukomalacia (PVL) grading was done using the De Varies et al, grading. Severity of ICH was graded according to Papile and Burstein classification(1978).Results: Of the total 60 neonates, 61.7% were preterm and rest at term. Mean APGAR score at 1 minute was 8.6 (range 5 to 10) and at 5 minutes was 9.58 (range 8 to 10). Mean ventricular index at the first assessment was 26.78% and 26.89% at the second assessment. Grade 1 HIE was found in 17 neonates on first assessment, and two had grade 2 HIE. Second assessment revealed grade 1 HIE in 20 neonates and grade 2 in two. First assessment revealed two neonates with grade 1 and grade 2 ICH, out of which one grade 2 ICH worsened to grade 3. Two neonates were found to have corpus callosal agenesis.Conclusions: Transcranial neurosonography stands as an excellent and reliable investigation of choice for neonates to detect HIE,ICH and intracranial congenital anomalies.
Prevalence of vitamin D deficiency among doctors in a tertiary care centre in north India
Authors: Chodhary Ishfaq , Mala Tariq Ahmed , Arif Tasleem
Published: May 2019

Background: Vitamin D is unique among vitamins as it can be synthesized from the action of ultra-violet radiation (UVR) upon the skin of human beings. This study was done to investigate the prevalence of vitamin D deficiency among health care professionals.Methods: This was institution based study conducted over a period of two years at Govt. Medical College Hospital. The study was conducted on 200 healthy doctors working in different departments of Govt. Medical College and Associated Hospitals, Jammu for a period of two years. Data regarding demographic characteristics, lifestyle assessment, exposure to sunshine on workdays and weekends, type of clothing, use of sunscreen, subjective general health, dietary assessment and use of calcium or vitamin D supplements was collected using a structured questionnaire.Results: Mean value of age of study subjects was 26.18±2.09 years. Results showed that 50% were male and 50% were females. In this study, 65.50% of the study subjects were Hindu and 30% of study subjects were Muslim. Majority of the study subjects had exposure to sunlight for less than 20 minutes and only 10 out of 200 study subjects had exposure to sunlight for more than 30 minutes. In this study, 97% of the study subjects were vitamin D deficient and only 3% were vitamin D sufficient. Among 196 study subjects with vitamin D deficiency, severe deficiency was present in 30.41% (59 out of 194) of study subjects, moderate deficiency was present in 60.82% (118 out of 194) of study subjects and very few study subjects had mild vitamin D deficiency.Conclusions: Vitamin D deficiency is highly prevalent among healthy medical college students. Lack of awareness regarding importance of vitamin D requirement, inadequate exposure to sunlight, changes in lifestyle and food habits contribute to low vitamin D levels in young population.
Hemorrhoidectomy versus rubber band ligation in treatment of second and third degree hemorrhoids: a comparative study
Authors: Thakkar Nimesh B.
Published: May 2019

Background: Optimum surgical intervention for low-grade haemorrhoids is unknown. Haemorrhoidal artery ligation (HAL) has been proposed as an efficacious, safe therapy while rubber band ligation (RBL) is a commonly used Out patient treatment.Methods: We compared recurrence after HAL versus RBL in patients with grade II-III haemorrhoids. The diagnosis of hemorrhoids is primarily based on the proctoscopic  examination. The study evaluates comparative results of rubber band ligation (RBL) and hemorrhoidectomy. This study was conducted over a period of 1 year from January 2017 to December 2017. It includes 50 patients having second- or third-degree primary hemorrhoids who attended surgical OPD of Tertiary Care Hospital in Gujarat. These 50 patients were selected randomly and divided into two groups of 25 patients each (hemorrhoidectomy group and RBL group). Patients of fissure, fistulae, and malignancy were excluded. All parameters were recorded and finally analysed.Results: Hemorrhoidectomy and RBL are equally effective especially in second-degree hemorrhoids. However, RBL should be considered the first-line treatment in second-degree hemorrhoids because being an outpatient procedure, it is cost effective for the patients, saves many hospital beds for more sick patients, and takes the pressure off the surgical waiting list. Although RBL is not as effective as hemorrhoidectomy in third-degree hemorrhoid, it does improve bleeding and prolapse and is highly recommended for patients who are unfit for surgery.Conclusions: RBL should be considered as the first-line treatment for second-degree hemorrhoid. However, in the third-degree hemorrhoids, hemorrhoidectomy achieves better results, and RBL is recommend as the first-line treatment for those patients in whom there is contraindication for surgery or anesthesia.
Normative data of liver size in Kashmiri adult population using ultra-sonography, India
Authors: Gul Snobar , Itoo Mohammad Saleem , Nisa Gousia
Published: May 2019

Background: A number of disorders are accompanied by altered size of various abdominal organs like liver including infective, infestation, infiltrative, immunological and malignant conditions. Medical imaging has played an important role in helping physicians for taking normal anatomical dimensions and establishing diagnosis. This study was carried out to determine the normal standards of liver size and its relationship with body weight, height and body mass index.Methods: A cross sectional study was done in GMC Srinagar, Jammu and Kashmir, India for a period of 18 months. 300 staff members in the age group of 19 to 55 years took part in this study.Results: The mean craniocaudal length of liver was 13.08±1.04cms. Authors found a significant correlation of liver size with body weight and body mass index.Conclusions: Body weight and BMI are important determining factors for liver size. Nomograms from this study can be beneficial for diagnosing pathological enlargement or reduction of liver in Kashmiri ethnic population.
Versatility of the estlander flap: upper lip, lower lip and comissure reconstruction due to a dog bite
Authors: Alvarez Natalia Haro , Grados Jose de Jesus Orozco , Serna Enrique Chavez , Garibay Alejandro Lopez , Barquin David Navarro , Carrillo Andrea Romero , Delgado Laura Andrade
Published: May 2019

Background: Dog bites continue to be a frequent cause for plastic and reconstructive services in the world. The grand majority of these cases affect the head and neck area; and more often than not they involve the commissure and the lips. The latter leading to an increased level of difficulty and a substantial decrease on the posibilities for a successful reconstruction. This case report focuses on the exploration of the Abbe-Estlander flap as an efficient alternative in most of these cases.Methods: We present two clinical cases involving dog bites where the affected area of both patients was estimated to be one third of the total volume of the lip. Both patients required emergency reconstructive surgery. An Estlander flap was successfully performed in both instances. The purpose of the article is to share the results and motivate the medical community to continue to use this method as a strong avenue for an effective recovery.Results: After two months of the surgery, the team followed up with both patients and they were satisfied with the results. Patient A presented adequate healing of the wound; a lack of alignment of the mucocutaneous rim and rounding of the commissure was observed. Phonation, oral continence without any leakage and complete closure of the lip were also part of the recovery assessment. Patient B presented adequate healing of the wound, phonation and medium oral continence with occasional leakage of liquids and incomplete closure.Conclusions: The Abbe-Estlander flap is still an excellent reconstructive alternative for upper and lower lip reconstruction where the affected area is up to one third of the total volume. As long as the commissure involvement represents minimum difficulty, both aesthetic and functional objectives can be successfully attained using this flap.
ISLAMIC ACCOUNTING INFORMATION SYSTEM IN HOSPITAL, AN URGENT DESIRE
Authors: Marina Anna , Imam Wahjono Sentot , Sya’ban Maruf , . Zeni
Published: May 2019

Purpose of Study: The purpose of this paper is to report research findings of the urgency of the application of AIS Islam in hospitals. Key informants in this study were employees, supervisors, patient families and top executives as many as 80 people. Expert informant consists of Muhammadiyah leaders who understand the health problems of 4 people. This study focuses on seeking answers to "Why hospitals need to practice Islamic AIS", and "How to practice Islamic AIS". By using Content Analysis, the research found evidence that the majority of key informants at RSML and RSUAP answered the "Why" question with the criteria of "Regulation Compliance", while the majority of key informants in RSMS were under the "Marketing purposes" criteria, while the majority of expert informants answered "Effectiveness of Goals". Overall the three Muhammadiyah hospitals based the reason for implementing Islamic AIS is "Marketing purposes". Methodology: This research was conducted with a qualitative approach using phenomenology technique. Data were collected through Focus Group Discussion, In-depth Interview, and Outside Observation. Research location in three hospitals owned by Muhammadiyah. Results: The implementation of Islamic AIS at the Muhammadiyah hospital in East Java, Indonesia is a necessity no longer a desire. The research found evidence that the overall reason for the implementation of Islamic AIS in all three hospitals studied was marketing purposes for business continuity. This means that if the hospital does not implement Islamic AIS it will have an impact on the continuity of the hospital business because it is not friendly to consumer and market considerations. Implications/Applications: Implications for this finding are to show different orientations in each hospital. For urban hospitals, the orientation is marketing, while the district hospital's orientation is regulatory compliance.
COMPARATIVE ANALYSIS OF ENFORCEMENT OF CONTRACTS IN LITHUANIA AND KAZAKHSTAN
Authors: Saktaganova Indira , Ormanova Sholpan , Ashimova Elnara , Zhumanova Maira
Published: May 2019

Purpose of Study: The aim of the study is to investigate the comparative analysis of the enforcement of contracts in Lithuania and Kazakhstan. Methodology: Comparative qualitative research methods. Results: The enforcement by arbitration or mediation is not permitted in Kazakhstan. Even now, Kazakhstan fails to rely on the institutions of arbitration or mediation and neither their awards are enforceable by the civil courts. Implications/Applications: Enforcement of contracts is still developing in Kazakhstan while it has been developed and fully adopted as per international standards in Lithuania.
EDUCATION OF PATIENTS WITH STAGE I CHOLELITHIASIS AT THE HEALTH SCHOOL
Authors: Khokhlacheva N. A. , Mikhaylova O. D. , Bystrova A. V.
Published: May 2019

The education of patients at the health school with the objective to improve the effectiveness of treatment of cholelithiasis and to prevent the gallstone formation was organized.

Material and methods. 210 patients with cholelithiasis, stage I, were examined: 123 patients (the follow up group) received therapy due to medical and economic standards and were educated in the health school; 87 patients (the comparison group) received only standard therapy. The examined groups of patients were balanced by gender and age. In verification of the diagnosis, in addition to general clinical data, the results of ultrasound examination of the gallbladder were used. The study of psycho-emotional state, health literacy and medical activity dynamics was performed during treatment. The criteria for evaluating of the effectiveness of education at health school were the results of responses to tests and questionnaires.

Results. All patients had abdominal pain and dyspeptic syndromes. The study of psychoemotional status revealed significant increasing of state and trait anxiety and the level of depression. The inclusion of health education in the treatment regimen contributed to a distinct decrease of anxiety, that indicates the normalization of the psycho-emotional status, and leads to the more significant positive dynamics of clinical signs. Gaining additional knowledge about cholelithiasis and its prevention contributed to the  increase of patient’s motivation to follow the recommended procedures, diet and rational physical activity.

Conclusion. The use of the developed structured program of active education of patients with the cholelithiasis, stage I, as part of complex therapy contributes to the improvement of the therapeutic effect, i.e. the earlier decrease of pain and dyspeptic syndrome, and restoring of psycho-emotional balance. After educational classes, the increase of health literacy, medical activity, motivation to maintain health-preserving behavior was revealed, which lasted for 1 year. Thus, the therapeutic education of patients at the early stage of cholelithiasis in health school is clinically confirmed and promising for the prevention of this disease.
Assessing the New Normal: Dangers Related to the Internet Use and Risks Facing Vulnerable Psychiatric Populations
Authors: Antisdel J’Andra
Published: May 2019

Background: Despite the social and cultural changes surrounding the immergence of social media and the risks related to internet use for adolescents, mental health screenings have not changed to assess the psycho-social implications of social media and internet use in general as social supportPurpose: Mental health professionals who assess patient use of social media and internet will be informed of dangerous online support groups promoting negative coping behaviors and risk or occurrence of psychological, physical or sexual abuse arising from dangerous internet use.Method: The following databases were searched: Academic Search Premier, CINAHL Plus with Full Text, Health Source: Nursing/Academic Edition, MEDLINE, PsycARTICLES, PsycINFO, and SocINDEX with Full Text, using a combination of search terms self-harm, and Internet with Boolean phrase and, and limiters including publication years between 2010-2018.Conclusion: During the screening process, mental health professionals can begin to address this emergent concern by asking internet specific questions designed to inform the professional about patient risk concerning social media and internet use. It is important to continue to assess and evaluate screening methods to ensure mental health screenings are adapting to the changing technological world. Social media and internet use have changed the way humans communicate and form social connections. It is imperative mental health professionals assess the implications of dangerous social media and internet use concerning mental health.