bluuebunny/crossref_metadata_2025 huggingface dataset:
Role of Faith-Based Organizations in Supporting Efforts to Reintegrate Residents Returning from Prison
Authors: Watson Donnie W. , Tsai Winnie , Chu Victoria S. , Williams Eugene , Mouttapa Michele , Asghar Aliya , Shaw Michael E.
Published: July 2019

California is experiencing an unprecedented influx of recently released ex-offenders from the penal system. Nowhere is this public health burden felt more than in Alameda County, where 16,800 adult parolees preside. The public health impact of ex-offenders has potentially serious social, political, economic and health implications. Faith-based communities in Oakland are an untapped resource that can assist in reentry efforts for ex-offenders and their families. In 2008, the Alameda County Public Health Department (ACPHD) commissioned Regional Congregations and Neighborhood Organizations Training Center (RCNO) and its local affiliate, Bay Area Action Council (BAAC), to survey 50 Alameda County African American faith-based organizations. The purpose of this study was to obtain baseline information regarding the feasibility of utilizing faith-based community assets to develop new public health strategies. The results of this descriptive key informant study indicates that faith-based organizations in Oakland have the potential to establish partnerships to improve the public health and safety of residents returning from prison, their families, and the communities that receive them from prison. Our findings indicate that 13 (27.1%) of the 48 faith-based organizations in the study have transitional housing capacity. The resources available and the challenges of maximizing faith-based organizational capacity are presented.
Factors Related to Youth Living with HIV Delaying Access to Care
Authors: Jones Patricia L. , Modest Naomi N. , Montgomery Susanne B. , Wilson Colwick M. , Batterham Philip
Published: July 2019

To explore factors related to youths’ delay in seeking care after an HIV diagnosis. Multivariate analyses were performed on 347 participants who were selected from a sample of 351 adolescents participating in a 1994-1996 survey among youth in four U.S. metropolitan cities. Key findings were that participants with prosocial peer behaviors took longer (34 days) to seek care than youth with poorer social engagement and excessive fibbing delayed seeking care (23 days). Potentially important findings suggest being female, older, having close peer networks, conduct problems, and certain housing settings may delay seeking care. Multivariate regression analyses indicate that later entry into medical care was observed among those with close social networks and behavioral characteristics related to delinquency.
Prevalence of Fruit and Vegetable Consumption and Physical Activity by Gender and Race/Ethnicity - California, 2005-2006
Authors: Faith Epstein Joan , Sugerman Sharon , Mitchell Patrick , Induni Marta
Published: July 2019

Diets high in fruits and vegetables and participation in regular physical activity are associated with a lower risk for several chronic diseases and conditions. The present study analyzed the combined prevalence of these two activities by race/ethnicity and gender among adults in California and among adults in California at or below 130% of the federal poverty level (FPL), using self-reported data from the 2005 and 2006 California Behavioral Risk Factor Surveillance System (BRFSS). Findings for California were similar to findings for the nation, showing gender and racial/ethnic differences for each of these variables, singly and in combination. Also, low-income men had a significantly lower prevalence of goal-level fruit and vegetable consumption than did low-income women. Although some demographic disparities are evident among Californians, the prevalence of achievement of two key healthy lifestyle behaviors concurrently remains quite low. These results emphasize the need for promoting diets high in fruits and vegetables and regular physical activity among all Californians.
Effectiveness of a Pilot Community Physical Activity and Nutrition Intervention in American Samoa
Authors: Afele-Fa’amuli Salei’a , Katirai Whitney , Dignan Mark
Published: July 2019

Background: The addition of Western foods to the Samoan diet has greatly affected the health of the American Samoan people. The purpose of this study was to test the effectiveness of culturally tailored exercise and nutrition interventions for adults living in Tutuila, American Samoa. Method: Villages in the eastern, central, and western parts of the island of Tutuila were recruited to participate in this study. Villages were randomly assigned to one of three culturally tailored interventions: 46 individuals in one village participated in an exercise intervention, 27 individuals in another village participated in a nutrition-education intervention, and 22 individuals in a third village participated in a combined exercise and nutrition-education intervention. Participants’ nutrition knowledge was measured at pre- and post-intervention stages through a questionnaire. Body Mass Index (BMI), height, and weight were assessed at baseline and again at weeks 4, 8, and 12. Differences in mean BMI over time by group, were assessed using repeated measures ANOVA with baseline BMI as a covariate. To test for differences in nutrition knowledge over time by group, pair-wise comparisons were used for the percent of correct answers at baseline and at week 12. Results: All three groups realized a significant decrease in BMI, from 1.35 in the nutrition only group to 2.27 in the exercise and nutrition group. The exercise and nutrition group also showed significant gains in ability to identify foods high in fiber and fat. Implications: This study demonstrates that decreases in BMI and increases in nutritional knowledge can be obtained through a culturally-tailored intervention, especially one that combines nutrition education and exercise.
Weight Stigmatization Among Hispanic American Children
Authors: Wigginton Melissa L. , Wiersma Lenny D. , Sherman Clay P. , Rubin Daniela
Published: July 2019

This study was designed to examine weight stigmatization among Hispanic American children. Fifty-five fifth grade students from a large, urban school district in Southern California were asked to rank six samesex drawings of children with various physical characteristics (related to weight or disability) in order of friend preference (1 = the most preferred, and 6 = the least preferred friend). Positive and negative adjectives were then assigned to the average-weight and obese drawings using the Adjective Checklist (ACL). The majority of the participants (60%) chose the average-weight child as the most preferred and 46% identified the obese child as the least preferred friend. In addition, the average-weight child was assigned more positive and fewer negative adjectives compared to the obese child. Significant differences in ACL composite scores between normal weight and overweight drawings were also found (p = 0.00). It appears that weight stigmatization is present in the current sample, which suggests that Hispanic children living in the U.S. may adopt negative attitudes about weight that are similar to American culture.
Interrelationships of Health Related Behaviors among Young Adults
Authors: Scioli Erica R. , Biller Henry , Rossi Joseph , Riebe Deborah , Scioli Anthony
Published: July 2019

Obesity and smoking continue to be some of the nation’s top health concerns. This study explored the interrelationships among exercise, nutrition and smoking behaviors among young college adults. Undergraduate psychology students (N=612) completed an internet survey that included measures of exercise, nutrition and smoking behaviors. Analyses revealed that more males were exercising while more females were eating nutritiously. The Transtheoretical Model constructs stage of change for exercise and eating nutritiously were significantly related. There were no significant differences found for smoking behavior across the stages of change for exercise or nutrition. Health professionals and researchers should not assume that regular exercise is associated with a non-smoking status or that a non-smoking status is associated with consuming a more nutritious diet. Further research and intervention is strongly urged targeted towards both men and women among the young college adult population.
Assessing the Effectiveness of Educational Workshops for Breast Cancer Prevention and Early Detection among Samoan and Pacific Islander Women in Southern California
Authors: Schmidt-Vaivao Dorothy Etimani , Lutu Genesis , Tulua-Tata Alisi , Hannemann Marion , Tisnado Diana M.
Published: July 2019

Background: Samoans experience among the worst five-year breast cancer survival rates in the U.S., largely due to late stage diagnosis. There is great potential for screening interventions to reduce cancer mortality among Samoans. This paper examines the effectiveness of a culturally and linguistically tailored breast cancer education workshop for Samoan and other Pacific Islander women in Southern California. Methods: Educational workshops were conducted in churches, homes, and the Samoan National Nurses Association office to Pacific Islander women. Effectiveness was assessed using pre- and post-tests. Selfadministered questionnaires queried participants about demographics, access, personal or family breast cancer history, screening knowledge and behaviors, and plans to obtain screening (n=495). Results: Participants were predominantly Samoan, with 57% reporting they were ≥40 years of age. At pre-test, half of the participants did not know how to perform Breast Self Examination (BSE), 40% never had a Clinical Breast Examination (CBE), and 30% never had a mammogram. Less than 40% reported having a mammogram in the past two years. At post-test, 98% reported increased knowledge. Older women were more likely to report plans for screening at post-test. Conclusions: Health educators in Samoan and other Pacific Islander communities must recognize and appropriately address screening barriers such as cultural beliefs and lack of knowledge, and should consider working with important institutions such as the church.
Factors Related to the Likelihood of Hiring a Health Advocate
Authors: Carlson Jordan A. , Imberi Jenny E. , Cronan Terry A. , Villodas Miguel T. , Brown Kimberly C. , Talavera Gregory A.
Published: July 2019

This study was designed to explore factors related to the likelihood of hiring a health advocate. Independent variables were selected from the health service use model to capture predisposing, enabling, and illness-level factors. Participants were 889 adults (M age = 50.9 years, SD = 17.9 years, 52% female) recruited from a large cultural park in San Diego, California during the spring and summer of 2008. Participants read a description of a health advocate and completed a brief set of questions on age, gender, confidence in health care, effort maintaining health, self-rated health, and the likelihood of hiring a health advocate. Hierarchical regression analysis revealed that participants age 40-64 , non-Caucasians , participants who exerted more effort maintaining their health , and participants 65 and older who were less satisfied with their social support reported greater likelihood of hiring a health advocate. Findings were similar to those of studies that applied the health service use model to predict use of other health services, such as medical visits. These findings suggest factors that health care organizations offering health advocacy services could consider when targeting potential clients.
Discrepancies Among Student School Lunch Preferences, Menu Options, and Consumption Patterns in a Low-Income Northern California High-School
Authors: Fiori Kelly , Wolff Cindy , Goto Keiko , Frigaard Martin , Chan Kenny , Bianco-Simeral Stephanie
Published: July 2019

USDA Nutrient Standard Menu Planning option, one of two National School Lunch Program options for school meal planning, has no requirements for fruit/vegetable servings and enables foodservice to serve nutrient-poor foods while remaining compliant with nutrition requirements. The objective of this research was to compare student reported preferences, meals offered, and meals selected over nine days. A preference survey was administered to 151 ninth grade students attending a low-income northern California high school. School lunch observations were conducted daily for an average of 418 to 584 students by trained researchers. Observation data demonstrated that 66% of students chose no servings of fruit or vegetables over the nine day period. In addition, 37% consistently selected the same one or two meals out of the 32 meals offered daily over a five day period. There was a discrepancy between reported meal preferences and observed meal selections. While 10% selected pizza as their most preferred entrée, pizza comprised almost 30% of all daily entrée sales. This discrepancy is possibly due to the increased availability of pizza and/or limited availability of the more preferred entrees that either contain or are served with a fruit/vegetable. Findings indicate that a significant proportion of students may complete high school without ever selecting a serving of fruit or vegetables. A considerable gap between available food items and student preferences resulted in nutrient-poor food selection practices among 9th graders.
KONSEKUENSI JOB INSECURITY PADA KARYAWAN ENTRY LEVEL
Authors: Pusalia Retno , Prihatini Dewi , Priyono Agus , Ekowati Dian
Published: July 2019

The existence of job insecurity (JIS) cannot be avoided by every individual, including employees. Competition in the tight working world requires a variety of qualifications that must be fulfilled by every employee, particularly in maintaining their existence in the working world, including entry level employees. As the lowest position in the corporate structure hierarchy, entry levels are vulnerable to JIS. This is because entry level at the early stages of career. However, generally, entry level is the spearhead of the company, thus directly or indirectly it will affect performance both individually and a whole of company. The aim of this study is to explain the influence of JIS on employees, particularly entry level. The census method was used in this study. The results of the study shows that JIS has a significant negatif effect on work performance and organizational commitment. Besides that the results also shows that there is no significant influence between JIS on satisfaction and intention to quit the employee. One of the implications of this study is to become a referral for managers, especially in managing JIS in the organization as a whole.
ANALISIS PERMINTAAN DAGING SAPI POTONG DI PROVINSI SUMATERA SELATAN
Authors: Oktariani Lisna
Published: July 2019

This research aims are to analyze production growth of beef in South Sumatra, to analyze behavior description of demand factors of beef in South Sumatra, to analyze response of factors that affect demand of beef in South Sumatra. This research used historical method. The data are analyzed in the model of econometrics and are processed with 2 SLS mode and followed by elasticity analyze. The results indicated that : 1) the development of beef production in South Sumatera continues to increase, despite it has not been able to fulfill all of beef demand in South Sumatera, 2) the factors that affect the demand of beef in South Sumatra are price of chicken meat, income in South Sumatera, and lagged demand of beef in South Sumatera, 3) In short-term, income is inelastic where the change in income is not responsive to the beef demand. This is due increase in income has not been able to increase their purchasing power. In long-term changes in income are responsive. Population changes in both the short-term and long-term are responsive to beef demand. It is because beef is not a staple food therefore population growth will cause the population to reduce the demand for food thatis not a staple food.
UPAYA PENYULUH PERTANIAN DALAM PENERAPAN TEKNOLOGI IRIGASI TETES (DRIP IRRIGATION) KABUPATEN BANYUASIN (STUDI KASUS KELOMPOK TANI RUKUN MAKMUR DESA BUDI MULYA KECAMATAN AIR KUMBANG) Agricultural Development Effort in Irrigation Technology Implementation (Drip Irrigation) Banyuasin District (Case Study of Rukun Makmur farmer Group Budi Mulya Village Air Kumbang Regency)
Authors: Andrian Andrian , H. Anang Rahidin , Kurniawan Rahmat
Published: July 2019

The purpose of this research is to know Agricultural counselor effort to convince farmer group in applying drip irrigation technology in Regency of Banyuasin And the obstacles of farmer in applying drip irrigation technology in Regency of Banyuasin. This research was conducted in the Budi Mulya Village of the district Air Kumbang Banyuasin Regency. In March until May 2017. The research method used is case study method. The sampling method that used in this research are purposive sampling and systematic sampling. Data methods of collection used in this study are observation and interviews directly to the respondents who have been determined using the tools of quisionary aids that have been prepared previously and documentation and secondary data. Data processing is done using descriptive-qualitative method. The results of the study showed that the efforts of Agricultural counselor in applying drip irrigation technology include: drip irrigation technology socialization, selection of extension method, the procedures for the use of drip irrigation, the application of drip irrigation. And obstacles faced by farmers in the process of applying drip irrigation technology is a problem: capital for the purchase of equipment for drip irrigation such as drip hoses and Water source caused the dry season farmers getting difficulty water supply to watering and fertilizing plants.
STUDI PENGENDALIAN PERSEDIAAN BAHAN BAKU BERAS (Kasus di PT. Buyung Putra Pangan PP Buyung Kabupaten Banyuasin) Study inventories control of rice s raw material (Case in Buyung Putra Pangan Ltd. PP Buyung Banyuasin Regency)
Authors: Saputra Andrik , H. Anang Rahidin , Iswarini Harniatun
Published: July 2019

ABSTRACT This research aims to study of inventories contol of rice raw materials at Buyung Putra Pangan Ltd. PP Buyung Banyuasin Regency and to examine the problems in inventories of rice raw materials at Buyung Putra Pangan Ltd. PP Buyung Banyuasin Regency.  This research has been conducted at Buyung Putra Pangan Ltd. PP Buyung Banyuasin Regency, time data taking over conducted in May – July 2017.  The research method used was the case study method, the sample method used was the purposive sampling, collection data method used is the observation, interviews and documentation.  Process method and analysis data used to answer the problem first and second is a qualitative-descriptive, to know the princely safety stock using the formula safety.  Our results indicate that of inventories control of rice raw material at Buyung Putra Pangan Ltd. PP Buyung Banyuasin Regency use by way to perform, own production to need meet raw material as long production, to perform to do stock rice the Silo GSI used was the formula safety stock in the amount of 6,596.27 tons every month of rice raw material available permanent. And obstacles faced by trade in inventories rice raw material is no yet available raw material to do collectors every time and great less kapacitas stock the raw material (Rice Silo GSI).
Identify Factors Affecting Foreign Direct Investment Capital In The Southern Key Economic Region
Authors: Dao Tran Thi Kim , Luan Nguyen Van
Published: July 2019

This paper focuses on building research model and analyzing the main factors influencing foreign direct investment (FDI) attraction in the Southern Key Economic Region during the period of 2005 - 2016. Based on theories and empirical studies, the authors identified the key factors that affect FDI attraction in that area. Through the development of hypotheses, a quantitative research mode l with Stata software help ed to select an estimation method with reliable and effective test results. The selected research method was the estimation method according to 3 approaches: OLS (P OOLED Regress Model) the least estimation method, Fix Effect Model (FEM), and Random Effect Model (REM). The research model used was the Panel Data model. The author performed the test hypotheses for the factors affecting FDI attraction in the Southern Key Economic Region. After regression with 3 methods (POOLED, FEM, and REM), and using F-Test and Breusch Pagan Test, the aim was to estimate the efficiency of the model and consider the simultaneous effects of independent variables on the dependent variable. These include d the following factors: market size, infrastructure, labor force, quality of human resources, market openness, trade openness, and institutional quality. Examining the relationship between market size, infrastructure development, labor force, quality of human resources, trade openness and institutional quality of FDI attraction into the Southern Key Economic Region, the authors select ed the Pooled Regression Model. The results of this paper may partly help policymakers to have an overall vision and may contribute to the development of appropriate solutions and strategies to attract and effectively use foreign direct investment capital to promote the socio-economic development of the region. Furthermore, the findings may contribute to guidelines to attract and make better use of these funds in the future, better serving the economic development of this region.
CLINICAL SIGNIFICANCE AND CORRELATION OF INTRA-ABDOMINAL PRESSURE WITH THE OUTCOME OF PERFORATION PERITONITIS
Authors: Gupta Naveen , Gupta Shilpi
Published: July 2019

Background: A progressive increase in intra-abdominal pressure (IAP) may cause abdominal compartment syndrome (ACS) with organ dysfunction.  However, it remains strangely underdiagnosed.

Objective: To correlate Intra-abdominal pressure with the outcome in perforation peritonitis patients.

Methods: An Observational study was done on 50 patients with perforation peritonitis and patients undergoing intervention in the form of either emergency laparotomy or drain placement. The abdominal pressures were indirectly determined by measuring urinary bladder pressure with a Foley's catheter. Pearson correlation was used to see relation between intra- abdominal pressure and outcome of peritonitis. SPSS version 16 (trial) was used for analysis.

Results: Mean intra-abdominal pressure during time of presentation to the hospital was 26.4±3.8cm H2O. Among various morbidities following operation, surgical site infection was most common (36%) followed by wound dehiscence (30%). There was strong linear correlation between intra-abdominal pressure and factors determining morbidity such as surgical site infection, wound dehiscence, burst abdomen.

Conclusions: There is a strong correlation of various co morbidities with increased intra-abdominal pressure in patients with perforation peritonitis which was significant statistically.

Keywords: Intra- Abdominal Pressure, Intravescical pressure, perforation peritonitis, Abdominal Compartment Syndrome.
ROLE OF PREOPERATIVE ASSESSMENT OF SERUM CHOLESTEROL AND ALBUMIN IN SURGICAL SITE INFECTION.
Authors: Sodavadiya Dr. Kirankumar B. , Singh Dr. Sunita , Agrawal Dr. BK
Published: July 2019

INTRODUCTION:Surgical site infection (SSI) is defined as infection occurring in an incisional wound within 30 days of the procedure or within 1 year if a prosthesis is implanted. A few studies have reported a relationship between low serum albumin level and low cholesterol level in surgical site infection, length of hospital stay and death and is reported to be one of the major causes of morbidity and mortality among hospitalized patients.

METHOD:1 year prospective cohort study was conducted in Tertiary Health care Centre, Indore. A study population of 248 patients from hospital admitted in Department of General Surgery for elective operation.

RESULT:From Total Patients - 172 (69.4%) were male patients and 76 (30.6%) were female patients. The frequency of patients developed SSI in hypoalbuminemia was 25(44.6%) in number compare to n=18(10.7%) in normal and to n= 03(12.5%) in hyper albuminemia. The Relative Risk between Hypoalbuminemia and SSI is 4.17 with CI (2.46  to 7) (P = <0.001). There is a significant association between cholesterol levels and the occurrence of SSI, with majority of the people with SSI had Hypocholesterolemia and it was found to be statistically significant with Relative risk(RR=3.98, CI= 2.28 to 6.95) (P = <0.001).

CONCLUSION:Low blood cholesterol and albumin level are the important factors which is usually can lead to significant decrease in this preventable post operative complications especially in a malnourished population presenting in a government setup.
SEXUAL ASSAULTS AND MEDICAL APPROACH
Authors: Kaya Kenan
Published: July 2019

Sexual abuse can be accompanied with physical force, threatening, horrifying, drugging and / or misuse of the consents such as the unable ones to give consent because of their underage and / or mental disease. It is a major problem in all over the world as well as our country.    Most of the sexual assault victims are actually also child abuse cases. This study aims to contribute to the solution of these abuses and assaults as well as to increase the awareness of the clinical examiners. We designed this study to present the data and increase the benefit for to prevent these abuses.

154 cases had been evaluated at our department in between the dates of October 2012 and January 2014. The ages varied as in groups such as 0-12, 12-15, 15-18 and over the age of 18. The majority of the cases (46.7%) were in the 12 – 15 age group. 25.9% were aged as 15 – 18 and 15.6% were over the age of 18. Only 11.8% were under 12 years of age. The youngest victim was seven years old while the oldest one was 27 years old. 135 cases (87.7%) were female and only 19 of the cases (12.3%) were male. 66 cases (42.8%) had been examined for second time while 88 cases (57.2%) had come to our unit for the first time. 60 cases (39%) have been abused repetitively. 94 cases (61%) defined that they have been abused for the first time. Way of the abuse is evaluated via history taken from victim and demand letter sent to us by facilities. It is claimed that 94 cases (61%) had been abused vaginally while 40 cases (26%) had been abused anally, and 20 cases (13%) had been abused both vaginally and anally.

When we analyze the abusers’ profiles in majority of the cases (87%), the victim knows the perpetrator long before the event happens. Violent findings accompanied with sexual abuse in 14 cases (9.1%).

The sexual assault victims should not be traumatized repeatedly by clinicians as well as the official authorities. The major point should be the victim’s higher benefit and it should always be protected.

Key words: Sexual Abuse, Examination, Clinical Legal Medicine
TO STUDY THE ASSOCIATION OF SERUM LEVELS OF CA-125 AND IL-6 WITH EXTENT OF THE DISEASE AND POOR CLINICAL OUTCOMES
Authors: Jain Dr. Shalini , Bhambani Dr. Pawan
Published: July 2019

Background & Method: The present study has been conducted in pathology department study is based on serological correlation of CA -125 and Interleukin-6 in patient with ovarian mass lesion attending.  Patient’s details regarding their inpatient number, age, parity, marital life, family history, menstrual status, clinical history including presenting symptoms and signs, radiological data whenever possible will be noted.

Result: Among 40 neoplastic lesions, right sided cases found in 20 (50%), and left sided lesion found in 12 cases (30%). 08 cases (20%) of lesions are observed to be bilateral. There is significant correlation (p-value=.000) in rise of levels of CA-125 and Interleukin-6 levels in patients with benign and malignant ovarian lesion.

Conclusion: Our study of 40 ovarian lesions at a Index Medical College Hospital and Research Centre, Indore aimed to find out the serological correlation of CA 125 and Intetleukin-6 as diagnostic marker in patient with ovarian mass lesion and it’s histopathological correlation. The results of present study are comparable to other series of studies regarding levels of these serological markers with histopathological type gross features and microscopy.

Keywords: Serum Levels, CA-125, IL-6 & Clinical & Outcome.
Seaweeds of the Greek coasts
Authors: Tsiamis Konstantinos , Panayotidis Panayotis
Published: July 2019

An updated checklist of the red seaweeds (Rhodophyta), excluding the order Ceramiales, of the Greek coasts is provided, based on literature records, critically reviewed from present-day taxonomic and nomenclatural aspects. The total number of genera, species and infraspecific taxa currently accepted is 78, 138 and 4 respectively. The occurrence of each taxon in the North Aegean, South Aegean and Ionian Seas is given. Knowledge gaps are pointed, with 57 taxa pending confirmation of their presence marked. Moreover, 13 excludenda and 12 inquirenda taxa are briefly discussed. In overall, a solid updated baseline of the Rhodophyta (excluding Ceramiales) taxa occurence in Greece is provided, critical for future tailor-targeting seaweed studies.
Isparta’da Kesilen Sığırlarda Distomatozis’in Yayılışı
Authors: ACIÖZ Mehmet
Published: July 2019

Karaciğer trematod enfeksiyonları,
hayvan yetiştiriciliğinde önemli verim kayıplarına neden olmaktadır. Bu
çalışma, Isparta yöresinde kesilen sığırlarda karaciğer trematodlarının
yaygınlığının belirlenmesi amacıyla yapılmıştır. Bu amaçla, 5192 sığır
karaciğeri ve safra kesesi incelenmiş ve gözlenen enfeksiyon oranları üzerine
trematod türü, cinsiyet, yaş, ve mevsimin etkisi araştırılmıştır. İnceleme
sonucunda, sığırlarda sadece Fasciola
hepatica görülme oranı %0.9 iken bu oran Dicrocoelium dendriticum için %1.4 olarak belirlenmiştir. Heriki
parazitin bir arada olduğu miks enfeksiyon oranı ise  %0.2 olarak saptanmıştır. Genel trematod
enfeksiyonu, dişi hayvanlarda daha fazla saptanmış olup istatiksel olarak
aradaki fark önemli bulunmuştur (P<0.05).  Yapılan çalışmada, üç yaşından büyük
sığırlarda, 1-3 yaş arası sığırlara göre 15.52 kat daha fazla karaciğer
trematodu saptanmış olup, bu farklılık istatistiksel olarak anlamlı bulunmuştur
(P<0.05). Sonuç olarak, Isparta yöresi sığırlarda karaciğer trematodu görülme
oranı % 2.2 olarak belirlenmiştir.
Promoção do uso racional de medicamentos dispensados na farmácia da 2ª Regional de Saúde do Paraná
Authors: Portugal Jessica Luy , Germano Jaqueline Lima , Cardoso Luid Henrique Ferreira , Cezak Stephanie
Published: July 2019

A Atenção Farmacêutica é a interação direta do farmacêutico com o usuário, visando uma farmacoterapia racional e a obtenção de resultados definidos e mensuráveis, voltados para a melhoria da qualidade de vida. Diante do número de devoluções de medicamentos ocorridos na farmácia da 2ª Regional de Saúde (subordinada à Secretaria de Saúde do Estado do Paraná – SESA/PR), foi realizada uma pesquisa descritiva e documental com abordagem quantitativa para coletar os motivos das devoluções. Posteriormente, foi produzido um folder educativo e sugerida uma modificação na ficha técnica para melhorar a coleta de dados atualmente realizada. Por meio dessas atitudes se espera reduzir o número de devoluções, promovendo o uso racional de medicamentos e estimulando o contato direto com o farmacêutico. Além disso, pretende-se promover também o correto descarte de medicamentos vencidos/inutilizados nos casos em que não for possível evitar a devolução.
Percepção dos enfermeiros sobre estratificação de risco em saúde mental e as ações de enfermagem
Authors: Paiano Marcelle , Lopes Fernanda Pedersoli , Miguel Maria Emília Grassi Busto , Salci Maria Aparecida
Published: July 2019

O presente estudo objetivou conhecer a percepção do enfermeiro sobre o instrumento de estratificação de risco em saúde mental e quais ações de enfermagem são ofertadas ao paciente classificado como baixo risco. Trata-se de estudo qualitativo, descritivo-exploratório, realizado em quatorze Unidades Básicas, de município do Noroeste do Paraná. Para a coleta de dados, utilizou-se entrevista aberta, com vinte e cinco entrevistados. Foram elencadas três categorias: Ações em saúde mental realizadas pelos enfermeiros da ESF; Instrumento de estratificação de risco em saúde mental: potencialidades e fragilidades e Dificuldades das Equipes da ESF em saúde mental. Conclui-se que as ações desenvolvidas envolvem grupos de escuta e acolhimento, convivência, atividades de leitura e apoio matricial do NASF e como fragilidades destaca-se a dificuldade da aplicação do instrumento de estratificação de risco, excesso de encaminhamentos para especialistas e falta de tempo e afinidade em saúde mental.
The influence of osteopathic correction on the rate of various rhythms of the body
Authors: Chernikova A. E. , Potekhina Yu. P.
Published: July 2019

Introduction.An osteopathic examination determines the rate, the amplitude and the strength of the main rhythms (cardiac, respiratory and cranial). However, there are relatively few studies in the available literature dedicated to the influence of osteopathic correction (OC) on the characteristics of these rhythms.

Goal of research— to study the influence of OC on the rate characteristics of various rhythms of the human body.

Materials and methods.88 adult osteopathic patients aged from 18 to 81 years were examined, among them 30 men and 58 women. All patients received general osteopathic examination. The rate of the cranial rhythm (RCR), respiratory rate (RR) heart rate (HR), the mobility of the nervous processes (MNP) and the connective tissue mobility (CTM) were assessed before and after the OC session.

Results.Since age varied greatly in the examined group, a correlation analysis of age-related changes of the assessed rhythms was carried out. Only the CTM correlated with age (r=–0,28; p<0,05) in a statistically significant way. The rank dispersion analysis of Kruskal–Wallis also showed statistically significant difference in this indicator in different age groups (p=0,043). With the increase of years, the CTM decreases gradually. After the OC, the CTM, increased in a statistically significant way (p<0,0001). The RCR varied from 5 to 12 cycles/min in the examined group, which corresponded to the norm. After the OC, the RCR has increased in a statistically significant way (p<0,0001), the MNP has also increased (p<0,0001). The initial heart rate in the subjects varied from 56 to 94 beats/min, and in 15 % it exceeded the norm. After the OC the heart rate corresponded to the norm in all patients. The heart rate and the respiratory rate significantly decreased after the OC (р<0,0001).

Conclusion.The described biorhythm changes after the OC session may be indicative of the improvement of the nervous regulation, of the normalization of the autonomic balance, of the improvement of the biomechanical properties of body tissues and of the increase of their mobility. The assessed parameters can be measured quickly without any additional equipment and can be used in order to study the results of the OC.
The influence of osteopathic correction on the viscoelastic characteristics of the lower leg muscles
Authors: Timanin E. M. , Sydneva N. S. , Zakharova A. A.
Published: July 2019

Introduction.To date there is a lack of studies dedicated to the objectification of the palpation data obtained by a specialist during the osteopathic examination. The issue of the evidence of the results of osteopathic correction still remains important. Search for instrumental methods allowing to register and to measure various palpation phenomena and manifestations of somatic dysfunctions is very relevant for the development of osteopathy as a science. It is also very important to find objective characteristics of these methods.

Goal of research— to study viscoelastic characteristics of the soft tissues of the lower legs by palpation and instrumental methods before and after osteopathic correction.

Materials and methods.22 volunteers (12 women and 10 men) aged 18–23 years without complaints of the musculoskeletal system were examined. Osteopathic diagnostics and measurement of the viscoelastic properties of muscles were carried out by the method of vibration viscoelastometry before and after osteopathic correction.

Results.Correlation analysis by Spearman showed that the subjective assessment of an osteopath positively correlated with both elasticity (r=0,43, p<0,05) and viscosity of soft issues (r=0,29, p<0,05). For the gastrocnemius muscle, this pattern was even more pronounced — for elasticity r=0,51, p<0,05, for viscosity =0,34, p<0,05. After osteopathic correction no changes in the elasticity of the soft tissues were observed. The viscosity of the tissues reduced, but in the projection of the gastrocnemius muscle, these changes were not statistically significant (p=0,12), whereas in the projection of the soleus muscle statistically significant changes (p=0,034) were observed.

Conclusion.Changes in the viscoelastic properties of tissues demonstrated that the effects of osteopathic correction with the use of myofascial mobilization techniques, articulation mobilization techniques, and lymphatic drainage techniques were not obvious. The elasticity of soft tissues of the lower legs did not change, while the viscosity decreased, especially in the projection of the soleus muscles. This effect of the osteopathic correction can be associated with the effect of thixotropy — the transformation of gel-like intercellular substance into sol. Thus, the research showed that vibration viscoelastometry can be used for the objectifi cation of the condition of soft tissues and of the effects of osteopathic correction.
Transcatheter aortic valve replacement in Bicuspid Aortic Valve Disease: An Insight
Authors: Mehta Varshil , Nalluri Nikhil , Kumar Varun , Patel Nileshkumar , Atti Varunsiri , Narula Arvin , Cohen Mauricio
Published: July 2019

As per the current scenario, role of Transcatheter aortic valve replacement (TAVI) is controversial in bicuspid aortic valve stenosis. All the randomized clinical trials comparing outcomes of TAVI with surgery till date, have excluded patients with bicuspid aortic valve. Some of the observational studies have reported outcomes of TAVI in bicuspid aortic valve stenosis patients who are not surgical candidate. The recent advances in TAVI and its expansion into intermediate groups, which includes younger age groups sparks a debate on the efficacy and safety of TAVI in Bicsuspid aortic valve (BAV). The purpose of the present article is to review the available literature regarding the feasibility, safety and outcomes of TAVI in bicuspid aortic valve stenosis.
Determinación de pH por colorimetría en muestras pequeñas de lágrima. Método simple para medición en enfermedades oftalmológicas de la superficie ocular anterior
Authors: Barba-Gallardo Luis Fernando , Muñoz-Ortega Martín Humberto , Díaz-Parra Guillermo Andrés , Garzón de la Mora Pedro , Ramírez-García Sergio Alberto , Villafán-Berna José Rafael
Published: July 2019

No existen métodos sencillos en la práctica clínica para cuantificar el pH de lágrima. El objetivo fue estandarizar un método para la determinación del pH en pequeñas muestras de lágrima de pacientes. Se construyó una escala colorimétrica en un rango de pH de 6 a 8.0 utilizando como indicador azul de bromotimol, con KH2PO4 0.1M (constante) y volúmenes ascendentes de NaOH 0.1M. El método se validó en 20 uL de lágrima de 73 sujetos, en quienes permitió distinguir cambios en el pH de 0.2 en 0.2 en un rango de 6.0 a 8.0 con un coeficiente de variación intrasujeto de 0.8 a 4.0%. El método aquí presentado, es preciso, con baja variación interensayo. Esto, aunado a su simpleza, bajo costo y poco volumen de muestra necesario, lo convierten en una alterativa para el monitoreo del pH de la lágrima, ya sea en la cama del paciente o el consultorio.
Determinantes de la oferta de frijol por tipo de tecnología en México
Authors: Guzmán-Soria Eugenio , De la Garza-Carranza María Teresa , García-Salazar José Alberto , Rebollar-Rebollar Samuel , Hernández-Martínez Juvencio
Published: July 2019

Con el objetivo de evaluar el cambio en los factores que determinan la oferta de frijol en México, diferenciándola en riego y temporal, se formuló un modelo de ecuaciones simultáneas compuesto por dos de oferta, tres de transmisión de los precios y una identidad; usando datos anuales de 1980 a 2016 y el método de mínimos cuadros en dos etapas (MC2E). Los resultados indican que la oferta total de frijol, responde inelásticamente ante cambios en su precio, producido bajo riego (0.2814) y temporal (0.2575); el precio del bien competitivo que más le impacta es el del garbanzo producido en temporal (-0.4594). Por tipo de tecnología las elasticidades precio-propias de la oferta de frijol en riego y temporal, fueron de 0.9087 y 0.3730; los cambios en los bienes competitivos que más impactan sobre los dos tipos de ofertas, son los registrados en el precio del arroz (-0.4498) y del garbanzo (-0.6654).
Reconocimiento del derecho a la educación en las constituciones de México 1812 a 1917
Authors: Barba-Casillas José Bonifacio
Published: July 2019

México vive una exigencia social creciente de realización del derecho a la educación, el cual tiene una historia constitucional vinculada a la definición e la estructura y fines del Estado mexicano. Este trabajo expone la construcción normativa de este derecho enmarcándolo en una visión de las dimensiones de la cultura. Tomando como aspecto central la dimensión jurídica, se analiza la historia constitucional del país para identificar las fases de la organización del Estado y exponer la construcción paulatina del derecho a la educación, tanto en las constituciones como en la legislación secundaria derivada de ellas. Se concluye que México se ha formado con fundamento en el proyecto de Estado democrático de derechos y que en las transiciones del país el reconocimiento del derecho a la educación es una constante preocupación social y política que lo hace un elemento clave del proyecto jurídico de nación y de formación ciudadana.
Chronic pancreatitis: some modern provisions indicated classifications of the last years
Authors: Hristich T.N. , Fediv O.I. , Hontsariuk D.O.
Published: July 2019

The article provides information about classifications of pancreatitis (both chronic and acute) close to clinical practice. The issue directly related to medical practice is highlighted, such as classification of diseases and causes of death (ICD-11), with appropriate headings for pancreatic diseases.The analysis of the general provisions indicated in the M-ANNHEIM classification (2007) and in the Marseilles-Rome classification with amendmentsbyYa. S. Tsimmerman and N. B. Gubergrits (2002), used by the Ukrainian physicians, is analyzed. The authors drew attention of gastroenterologists, therapists, family doctors to the need for predictionof the development of complications that threaten patients’ life.
Сlinical case of pancreatic cancer
Authors: Kankia M. , Jikia I. , Mtskherashvili G. , Cucxubaia G.
Published: July 2019

Description of a rare case of pancreas body tumor, which was grown into celiac trunk, is presented. The patient was saved due toanftomy of right hepatic artery, which was a branch of superior mesenteric artery.

Patient Z.V, 60 years old, came to the clinic with such complaints as pain, heaviness in abdomen and waist area,weakness.4–5 cm tumor of pancreas body was detectedduring surgery. The tumor had grown into celiac trunk and into left adrenal gland.

The friable tissue of hepato-duodenal ligament was dissected duringthe surgery.Thesurgeons mobilized duodenum usingKoxertechnique. As a result of this manipulation, the followingblood vesselswere visualized:inferior vena cava and abdominal aorta, celiac trunk, superior mesentericartery. Surgical team opened ligament of Treitz and excisedpancreas body2.5 cm away from thetumor proximally. The stump was sewed with “mattress stich”, celiac trunk was sectioned and entangled, surgeons also dissected common hepatic artery. After section they checked blood supply of liver. The pressure of blood flowing from gastro-duodenal and pancreato-duodenal artery was enough for providing normal blood flow in the left hepatic artery.

Morphological result of the excisedtissue — Ductal adenocarcinoma (No 672).

The patient’sstate was satisfactory when he left the clinic. He underwent medical check-up three times next year. He feels well, his state of health is normal. Patient is capable of working.

This case is interesting due to the anatomy of right hepatic artery (which was a branch of superior mesenteric artery) that saved patient’s life.
Problematic issues of chronic gastritis studies
Authors: Tsimmerman Y. S. , Zakharova Yu. A.
Published: July 2019

The article defines chronic gastritis as a polyetiological and polypathogenetic stomach disease with a chronic, slowly progressing course, which is based on a specific inflammatory process with lymphoplasmocytic infiltration of its mucosa and neutrophilic component indicating its activity, and with development of disregenerative, dystrophic changes, leading to its secretory insufficiency, manifested hypo- and achlorhydria and gastric achilia.

The history of studying chronic gastritis from the beginning of the 19th century till present days is briefly described.

It is proposed to distinguish between causal (Helicobacter pylori, etc.) and predisposing (alcohol, smoking, coarse food, etc.) factors in the development of chronic gastritis. The analysis of various classifications of gastritis is carried out: based on etiology, pathogenesis, functional features, clinic, endoscopic and histological characteristics. The Sydney, Houston classifications, the OLGA system are described. Particular attention is paid to diagnosis, biopsy technique of the gastric mucosa, ratio of diagnoses of chronic gastritis and functional dyspepsia, as well as the role of gastric microflora in development of gastritis. It is revealed that gastric microflora in chronic gastritis is represented by numerous types of bacteria (more often in the form of bacterial associations), moreover, Helicobacter pylori is not the dominant microorganism colonizing the stomach, and the mucosal microflora found in the stomach has adhesiveness, invasiveness and pathogenic properties, including its urease activity.
Hygienic assessment of the nutritional status of patients with multi-drug-resistant pulmonary tuberculosis
Authors: Mamedsakhatova S.Ch.
Published: July 2019

Introduction. The priority direction of hygienic science at the present stage is the study of the nutritional status of patients with multi-drug-resistant tuberculosis (MDR-TB) of the lungs.

The aim of study is to identify the basic patterns of formation of the structure of the nutritional status of patients with MDR-TBof the lungs in order to adopt a reasonable system of measures for their optimization(from a hygienic point of view).

Materials and research methods. The actual nutrition of 103 patients with MDR-TBof the lungs was studied using a specially prepared standardized questionnaire, which included information on previous and yesterday nutrition. Nutritional status was determined by evaluating anthropometric indices (height, body mass, chest circumference), on the basis of which the Quetelet index was calculated. Surveyed control group included 20 relatively healthy patients. Bioimpedancemetrywas a special research method.

Results and discussion. In the case of multiple correlation analysis, a high direct correlation of the total protein level with the indicator of fat mass according to bioimpedancemetry (r=0.63; p<0.01)was found in patients with MDR-TB of the lungs.

Conclusion. There is a need for prevention and correction of excess fatty tissue and a lack of muscle mass, which can be achieved with the help of physical exercise, rational nutrition and nutritional support.