bluuebunny/crossref_metadata_2025 huggingface dataset:
Phytochemical analysis and Invitro antioxidant activity of silver nanoparticle synthesized Crateva religiosa bark extract
Authors:   Department of Biochemistry,Navarasam Arts and Science College for Women,Arachalur,Erode, VJ Biotech, Coimbatore, India., Prabha. V Charu , Prabha Dr. K. Chandra ,   Department of Biochemistry,Navarasam Arts and Science College for Women,Arachalur,Erode, VJ Biotech, Coimbatore, India., kumar Dr.S.Vijaya ,   Department of Biochemistry,Navarasam Arts and Science College for Women,Arachalur,Erode, VJ Biotech, Coimbatore, India.
Published: May 2021

The aim of the study is to determine the phytochemical analysis and antioxidant activity of silver nanoparticle synthesized aqueous bark extract of Crateva religiosa. The aqueous extract of Crateva religiosa barks are prepared by maceration method. The qualitative phytochemical and quantitative phytochemical analysis was carried out using standard procedures. Silver nanoparticle was synthesized for the aqueous extract. Then the antioxidant activity was determined by DPPH scavenging activity and FRAP assay. The qualitative phytochemical analysis shows the presence of alkaloids, flavonoids, phenols, tannins, saponins. Total phenol content of bark extract was found to be 1.423mg/g. Total flavonoid content was found to be 1.6mg/g.UV spectrophotometry peak confirms the presence of silver nanoparticle. The extract shows effective antioxidant property with IC50 value 42.32 µg/ml for DPPH assay and IC50 value 45 µg/ml for FRAP. The Crateva religiosa bark extract could be a novel source of antioxidant.
An Overview of Biochar Production and Biochar Producing Stoves in Bangladesh
Authors: Rahman Md. Sadekur , Haque Md. Enamul , Noman Md. Rubayet Al Ferdous
Published: May 2021

Biochar is not a newly invented technology; rather its relevance and efficacy have recently come to the front burner. Naturally, it is deposited in the soil through forest and grassland fires. Interestingly, biochar is also produced from biomass by zero or low oxygen environment. However, biochar has gained an international research interest and offers ample scope for further investigations on biochar and biochar producing cooking stove. The present review paper mainly focuses on the status of biochar production and biochar producing stoves with specific emphasis on the status of biochar production technology and the perception, knowledge, and attitude towards biochar production and utilization; use and performance of biochar producing cooking stoves; and problems encountered in biochar production and utilization. Having observed positive perception, and attitude as well as an appreciable knowledge of rural farmers in biochar production and utilization the paper emphasizes the incorporation of a policy framework, training and enhanced access to information for higher agriculture use of biochar and sustainable environment.
Air Pollution Tolerance Index (APTI) Selected Plant Species in Puerto Princesa City for Strategic Urban Forest Planning
Authors: S. Caabay Jessa Marie
Published: May 2021

Air pollution gives negative effects to humans as well as to plants which are exposed all throughout the day in these pollutants. Assessment of plants' response to air pollutants may serve as a fundamental method in terms of environmental monitoring and management. Sensitive group of plants can serve as an indicator of air quality while the tolerant ones can be sinks. TheAir Pollution Tolerance Index (APTI) of selected plant species in Puerto Princesa City, namely: Bougainvillea (Bougainvillea spectabilis), Santan (Ixoracoccinea), Fire Tree (Delonixregia), Golden Bush (Durantarepens), and Acacia tree (Samaneasaman)were evaluatedusing relative water content, ascorbic acid content, leaf extract pH, and total leaf chlorophyll content.It was found out that B. spectabiliswas the most tolerant species, followed by S. samanwhile D. regiahas an intermediate index. D. repensand I. coccineaon the other hand were found to be sensitive plant species. Plants with high APTI values are the tolerant ones and are recommended to be planted in urban areas to absorb and off certain harmful gaseous pollutants while the sensitive ones have the potential to serve as bio-indicators for evaluation and monitoring.
What Type of Investment Does Digital Finance Promote: Speculative or Non- Speculative?
Authors: Okoyeuzu Dr Chinwe , Isa KabiruDandago
Published: May 2021

This study was set to investigate the elasticity of digital finance to foreign investment correlates in Nigeria. The quest was triggered by the need to determine whether or not foreign flows act as enablers for the development of digital finance. To determine the order of integration and ensure the stationarity of the variables used, we performed the traditional Augmented Dickey-Fuller (ADF).Using web-based transaction value as a proxy for digital finance, the baseline ARDL estimates show that foreign investment flows proxied by FDI, FPI and Loans act as drivers for digital finance. Web based transaction was found to be a positively significant function of foreign portfolio and foreign loans with different coefficient of elasticity. Foreign direct investment on the other handdid not significantly affect the dependent variable over the studied period. We established co-integration following Pesaran, Shin and Smith (2001) test for co integration by using the Bound Test results. The coefficient of the Error Correction Mechanism (-0.22) is negatively significant, which implies that 22 percent of the errors in the model are corrected annually. The ECM suggests that web-based transactions adjust to the speed and dynamics of investment drivers in Nigeria within the studied period. FPI and Loans were significant. Digital finance is promoting FPI and not FDI which is not healthy. Government should review her policies on investments and pay attention to essential ingredients for boosting investments in Nigeria like ease of doing business, security and corruption.
A Bridge Dual-Character Time-Perceptive Traditionalized synergic Ranking Design for POI Proposal
Authors: K.M.Priya Mrs. , V.Gnanasekar Mr. , C.Suresh Mr.
Published: May 2021

Tourism has become an important domain for most of the economies, especially for non-industrialized countries where it represent the main source of income. Recommendation systems are the techniques which predict the rating of users interest with item based or society based entity. These items can be places, books, movies, restaurants and things on which individuals have different preferences. These preferences are analyzed and processed using two approaches first content-based filtering which involves distinctiveness of an item and second collaborative filtering approaches which takes into account user's precedent activities to make choice. Point of interest recommendation engine provides a feasible method for personalized recommendation of various places to its users.POI systems are generally more tedious in its operation comparatively to the already existing merchandise recommendation engines. The reason being the amount of time it takes for the services involved. When we consider the online services, designing a prominent approach for efficient and effective recommendation is very important. Generally, in the already existing services for searching and recommending the services are done by the keyword-based search which leads to the poor recommendation performance and leads to vast dependence on complex queries from the user. This proposal has advantage of functionality and competence, and thus possible for the realistic and good result with effective cost benefits.
Examine Relationship of Soft Skills, Hard Skills, Innovation and Performance: the Mediation Effect of Organizational Learning
Authors: Putra Arman Syah , Novitasari Dewiana , Asbari Masduki , Purwanto Agus , Iskandar Joni , Hutagalung Dhaniel , o Suros , Cahyono Yoyok
Published: May 2021

The purpose of this research was to measure the effect of hard skills and soft skills towards teachers’ innovation capability which was mediated by an organizational learning and to measure the effect of teachers’ innovation capability towards their performance. Data collection was done by simple random sampling to 251 population of the teachers in five private senior high schools di Tangerang. The returned and valid questionnaire results were 211 samples. SEM method with Smart PLS 3.0 software is used for data processing. Hard skills and soft skills are concluded as a result of research that has a positive and significant effect on the capability of teachers’ innovation, both directly and indirectly through mediation of the organizational learning. As well as the capability of teachers’ innovation has a positive and significant effect on their performance. A model for building innovation capability and teacher performance among teachers in Tangerang through enhancing hard and soft skills with organizational learning as a mediator was proposed as new research. To improve teacher readiness in facing the era of education 4.0 this study was pave.
Exploring the Impact of Knowledge Sharing and Organizational Culture on Teacher Innovation Capability
Authors: Agistiawati Eva , Asbari Masduki , Basuki Sucipto , Yuwono Teguh , Chidir Gusli , a Mustof , Silitonga Nelson , Sutardi Didi , Novitasari Dewiana
Published: May 2021

This research aims to measure the effect of tacit and explicit knowledge on teacher innovation capability in Indonesia mediated by organizational culture. Data collection was carried out by simple random sampling to 1080 population of teachers in Kecamatan Panongan Tangerang Indonesia. The returned and valid questionnaire results were 453 samples. Data processing was using SEM method with Smart PLS 3.0 software. The results of this research are tacit knowledge sharing has a positive and significant effect on teacher innovation capability, both directly and through mediating organizational culture. While explicit knowledge sharing only has a positive and significant effect on teacher innovation capability through organizational culture mediation. This novel research is proposing a model to build teacher innovation capability among teachers through tacit & explicit knowledge sharing with organizational culture as mediation. This research can pave the way to improve teacher readiness in facing the education 4.0. era.
Smart Lab with Automated Access
Authors: Vishnoi Milan , Saxena Kshitiz , Anas Mohammad , Singh Sachin , Agarwal Navita
Published: May 2021

This paper deals with the idea of smart labs with automated access utilizing IOT for door unlocking systems and automating the process of switching ON the appliances to provide smartness and automation to our computer labs. It uses a picture capturing technique in an embedded system based on Raspberry Pi. RPi (Raspberry pi) controls the camera for capturing the image and for door unlocking. The camera captures the facial picture and RPi processes the image to the service which recognises the face in the image by comparing it with the images which are stored in the database. If the picture is found in the database then the door lock opens and a node is assigned to the person, the node and nearby fan and light are provided power. The person will be informed by an audio announcement about the assigned node.
Achieving Universal Assured Fine-Grained Query Result Verification for Secure Search Scheme over Encrypted Cloud Data
Authors: preethi Mrs.N.Hari , sekar Mr.V.Gnana , Sathish Mr.K.
Published: May 2021

Secure pursuit strategies over encoded cloud information enable an approved client to inquiry information documents of enthusiasm by submitting scrambled question catchphrases to the cloud server in a protection safeguarding way. In any case, practically speaking, the returned question might be mistaken or deficient in the exploitative cloud condition. For instance, the cloud server may deliberately preclude some qualified outcomes to spare computational assets and correspondence overhead. In this manner, a well-working secure inquiry framework need to provide a question comes about check system that permits the knowledge client to verify comes about. In this paper we outline a protected, efficiently included, and fine-grained question comes about corroboration instrument, by which, given an prearranged inquiry comes about set, the query client not wholly can check the rightness of every in order record in the set yet in addition can as well check what number of or which qualified information documents are not returned if the set is inadequate before unscrambling. The check plot is free coupling to concrete secure inquiry procedures and may be effectively coordinated into any safe question conspire. We accomplish the target by building secure check question for scrambled cloud information. Moreover, a short mark strategy with greatly little stockpiling cost is proposed to ensure the credibility of confirmation protest and a check question ask for method is introduced to enable the inquiry client to safely get the coveted check protest. Execution assessment demonstrates that the proposed plans are down to earth and proficient.
Employee Engagement and Organizational Performance among Multigenerational Workforce in a Private Non-Sectarian School
Authors: D. Juevesa Roel , P. Castino John Michael
Published: May 2021

This study determined the relationship of employee engagement and organizational performance among multigenerational workforce in a private non-sectarian school. The findings of the study served as the basis in the formulation of human resource development plan. The descriptive survey and correlational research design was used employing quantitative method. The data were gathered through the survey questionnaire and administered to the one hundred fifty (150) respondents composed of employees from teaching and non-teaching personnel. The data gathered were analyzed through frequency, percentage, weighted mean and pearson correlation. The findings of the study revealed that Baby Boomers, Generation X, and Generation Y “agreed” that their employee engagement has positive correlation to organizational performance. Therefore, the null hypothesis (Ho1) which states that there is no significant relationship between employee engagement when grouped by generations and organizational performance is rejected. On the overall results, the study recommends that human resource development plan which is formulated based on the findings of the study should be adopted by a private non-sectarian school in General Santos City.
Effects of Bank Credits on the Manufacturing Sector Output in Nigeria (1981-2018)
Authors: Peter.A Okere , Cletus O Okere, , Ugonma Nwaneto
Published: May 2021

This study investigated the effects of bank credits on the manufacturing sector output in Nigeria from 1981-2018. The data for this study were sourced from Central Bank of Nigeria (CBN) statistical bulletin. The study adopted the Auto-Regressive Distributed Lag (ARDL) bound cointegration test approach and error correction. In the bound test following the ARDL, it investigated that the variables of interest put in the model are bound together in the long-run and error correction term displayed a negative and statistically significant. The negative value shows that there exists an modification speed from short-run disequilibrium towards the long-run balance. Given the error correction instrument outcome, the study revealed that bank credits exhibited a optimistic and significant relationship with the presentation of manufacturing sector in Nigeria. The study therefore recommends that policies geared towards deepening the financial sector and enhancing the healthy and soundness of banks should be vigorously pursued. Also the Central Bank of Nigeria should as a matter of urgency review downwards the lending interest rate in view of this COVID-19 pandemic threatening the whole world.
Does Knowledge Sharing Increase Innovation Capability? Answer from Indonesian Company
Authors: Novitasari Dewiana
Published: May 2021

Nowadays, there are a lot of innovations being discussed, conducted in a seminar, written, and explained in a small to a large classroom and also a meeting room. Innovation is related with the essentials of surviving in the middle of industrial era 4.0. Innovation is unable to be separated with the personal knowledge, in which both of them need a good and continuous management. This research aimed to measure the tacit influence and explicit knowledge towards innovation capability as well as answering research questions regarding the impact of knowledge sharing to improve innovation capability in the manufacturing industry. Data collection is done through a simple random sampling technique given to 610 employees in packaging industries in Indonesia. The questionnaire results that were given back and were valid have a number of 393 samples. Data processing was used SEM method with SmartPLS 3.0 software. The result of this research concluded that explicit and tacit knowledge have positive impact towards innovation capability. This new research proposed a model for building innovation capability in packaging industries through tacit and explicit knowledge transfer. This research could pave the way to improve readiness index to packaging industries in facing the era of industrial revolution 4.0.
Linking Leadership to Performance: The Mediating Role of Lecturer Engagement
Authors: Novitasari Dewiana
Published: May 2021

This study aimed to measure the effect of authentic leadership on performance of private higher education lecturers in Tangerang which are mediated by lecturer engagement. Data collection was done by simple random sampling to the private higher education lecturer population in Tangerang. The returned and valid questionnaire results were 231 samples. Data processing was used SEM method with SmartPLS 3.0 software. The results of this study concluded that authentic leadership have a positive and significant effect on the lecturer performance, both directly and indirectly through mediating lecturer engagement. This new research proposed a model for building the lecturer performance among the private higher education lecturers in Tangerang through enhancing authentic leadership with lecturer engagement as a mediator. This research could pave the way to improve lecturer readiness in facing the era of education 4.0.
Authentic Leadership and Innovation: What is the Role of Psychological Capital?
Authors: Novitasari Dewiana , Cahya Kumoro Dwi Ferdiyatmoko , Yuwono Teguh , Asbari Masduki
Published: May 2021

This research aims to measure the effect of authentic leadership style and psychological capital on the innovative work behavior of a manufacturing company in Indonesia. Psychological capital also plays a role as a mediation between the relationship between authentic leadership and innovative work behavior. Data collection was carried out by simple random sampling to the 303 population. The returned and valid questionnaire results were 231 samples. Data processing was using the SEM method with SmartPLS 3.0 software. The results of this research are authentic leadership style and psychological capital have a positive and significant effect on innovative work behavior. Psychological capital as a mediator for the relationship between authentic leadership style and innovative work behavior. This novel research is proposing a model to enhance innovative work behavior among employees of a manufacturing company in Indonesia through authentic leadership practice and psychological capital. This research can pave the way to improve employee readiness in facing global business competition.
НАСЛЕДОВАНИЕ КОЛИЧЕСТВЕННЫХ ПРИЗНАКОВ ГИБРИДОВ ЯРОВОЙ МЯГКОЙ ПШЕНИЦЫ
Authors: Зотова Л.П.  , Джатаев С.А.  , Шамамбаева Н.Е.
Published: May 2021

РезюмеНа основе полевых испытаний, анализа наследования количественных признаков и молекулярно-генетического скрининга выделены наиболее удачные гибридные комбинации. В качестве лучших по степени доминирования над родительскими формами выделены комбинации♀Акмола 2 ×♂Омская 30, ♀H 749-4× ♂Акмола 2, ♀Br.LineZ2 × ♂Саратовская 60, ♀Br.LineZ2× ♂Карагандинская 31,♀Алтайская жница × ♂Br.LineZ2, ♀MMF 177 × ♂Алтайская жница. У данных гибридов, за исключением неполного доминирования у комбинации ♀Br.Line-Z2 × ♂Карагандинская 31, проявлено 100% сверхдоминирование по массе 1000 зерен и количеству зерен в колосе над родительскими формами. В результате изучения трансгрессивного расщепления, выявлены гибриды F2: ♀Карагандинская 70 × ♂ Line-20, ♀Шортандинская 95 × ♂Омская 30. Положительную трансгрессию по слабо наследуемому показателю продуктивной кустистости проявили две комбинации гибридов F2: у комбинации ♀Карагандинская 70 × ♂ Line-20 положительная трансгрессия над родительскими формами составила 12,5%, у гибрида ♀Карабалыкская 92 × ♂Br.Line-S27 100%.Слабый характер наследования признаков продуктивности выявлен у комбинации Актюбинка × H1142. Трансгрессивное расщепление по показателям озерненности и массы зерна с колоса проходило практически идентично во всех комбинациях. Наиболее удачными гибридными комбинациями в обоих случаях оказались ♀Карабалыкская 92 × ♂Br.Line-S27 с более высокой трансгрессией по озерненности колоса (52,9%), и ♀Карагандинская 70 × ♂Line-20 странсгрессией по массе зерна с колоса в 69,3%. В результате скрининга по маркеру KATU W-51, разработанному для гена TaDr1, выделены комбинации Терция × Br.Line-Z3, Шортандинская 95 ул. × Br.Line-F45, Шортандинская 95 × H1142-1.В ходе комплексного отбора с помощью гибридологического, селекционно-генетического анализа и молекулярного скрининга удалось выявить наиболее удачный гибрид ♀Карабалыкская 92 × ♂Br. Line-S27 с положительной трансгрессией по основным показателям продуктивности. Ключевые слова: Селекция, яровая пшеница, ген, гибрид, засуха, сверхдоминирование, трансгрессивное расщепление, генотипирование, отбор.
High- versus low-dose proton pump inhibitors post endoscopic hemostasis in hemodialysis cases with peptic ulcer bleeding
Authors: Salman AA , Salman MA , Sarhan MD , El-Din Shaaban H , Yousef M , Ibrahim A , Tourky M , Youssef A , El Sherbiny M
Published: May 2021

Post-endoscopic hemostasis treatment is not adequately addressed in high-risk patients on regular hemodialysis (HD) with emergency peptic ulcer bleeding. This study aimed to compare post-endoscopic high- versus low-dose proton pump inhibitors (PPIs) for peptic ulcer bleeding in patients undergoing regular HD. This prospective study comprised 200 patients on regular hemodialysis having emergency peptic ulcer bleeding confirmed at endoscopy and managed with endoscopic hemostasis. Half of the patients received high-dose intensive regimen and the other half received the standard regimen. Patients who were suspected to have recurrent bleeding underwent a second endoscopy for bleeding control. The primary outcome measure was rate of recurrent bleeding during period of hospitalization that was detected through second endoscopy. Rebleeding occurred in 32 patients ; 15 in the High-Dose Cohort and 17 in the Low-Dose Control (p = 0.700). No significant differences between the two dose cohorts regarding the time of rebleeding (p = 0.243), endoscopic hemostasis mode (p = 1.000), and need for surgery (p = 0.306). The high-dose regimen In-hospital mortality in high-dose group was 9.0% compared to 8.0% in the low-dose group (p = 0.800). Apart from the pre-hemostatic Forrest classification of ulcers, there were no significant differences between patients with re-bleeding ulcers (n=32) and those with non-rebleeding (n=168). Rebleeding was more common in class Ia, i.e. spurting bleeders (p < 0.001). Endoscopic hemostasis followed by the standard low-dose PPI regimen of 40 mg daily IV boluses is safe and effective option for bleeding peptic ulcers in the high-risk patients under regular hemodialysis.
Social Media Use and Its Association with Sexual Practices among Undergraduate Students in a Private Medical University at Solan, Himachal Pradesh
Authors: Kumar Arjit
Published: May 2021

Introduction: Social networking has become integral to the intellectual and social lives of the young populace. Their often unrestricted access to sexually explicit content and associated adverse sexual health constitute key outcomes in public health research. Objectives: To determine the association between social media use and various sexual practices among undergraduate students in a private medical university at Solan, Himachal Pradesh. Methods: We enrolled 300 undergraduates, using random sampling technique in the present cross sectional study. Data were collected using semi-structured questionnaire and data analysis employed statistical package for social sciences version 22.0. Chi-square test was used to determine association between variables and p value<0.05 was considered as statistically significant. Results: The mean age of respondents was 21.85+ 2.63 years. Majority of the respondents have heard about social media (n=299, 99.7%) and majority have received information from friends/peers (79%). The commonest reason for non-use of social media for sexually explicit content was lack of interest (54.3%). The mean age at sexual debut was 17.44 + 2.63 years. There was statistically significant association between use of social media for sexually explicit content and being sexually active (p=0.000), type of sexual acts practiced (p=0.003) and number of sexual partners (p=0.000). Conclusion: There is need for improved multi- sectoral measures (formal comprehensive sex education, peer education programs, school mini-media clubs and targeted behavior change intervention), Media and internet literacy education to control viewing of social media for sexually explicit content, while ensuring that young people’s access to sexual health educational content is not compromised.
An Epidemiological Study to Assess Prevalence and Risk factors Associated with Diabetes Among Adolescents in Urban Areas of Udaipur
Authors: Parmar Mitin , Goyal Gourav Kumar , Gupta Kalika , Chaudhary Milan
Published: May 2021

Introduction: Adolescents constitute 20% of world’s total population. Adolescents have become quite vulnerable to various non-communicable diseases (NCDs) like hypertension and diabetes mellitus, especially due to the tremendous changes in their lifestyle over the last few decades. The age of onset of Type 2 diabetes in India has been shifting towards ever younger people. Among Indians in their late teens [15-19 years], Type 2 diabetes already manifests itself more often than Type 1 diabetes does. Objective: To study prevalence and risk factors for Type 2 diabetes and pre diabetes among male and female adolescents in Udaipur city. Method: It was a Community based cross sectional study conducted in three urban areas of Udaipur for 6 months. A total of 1005 adolescents were included in the study. A Pretested and predesigned questionnaire was used. Results: Prevalence of diabetes was 2.9% in males and 4.4% in females adolescents. Prevalence of smoking, alcoholism, non-vegetarian diet and hypertension was higher among males. Conclusion: Diabetes type 2 is a growing problem among adolescents. We need active involvement of health care workers for educating adolescents about risk factors for diabetes.
Proportion of Osteoarthritis Knee among Older Adults Presenting with Knee Complaints as Assessed Using American College of Rheumatology (ACR) Criteria at A Tertiary Care Hospital, Kollam
Authors: D Indu , K P Asha , S Manoj Kumar , U Anuja
Published: May 2021

Introduction: Osteoarthritis is one of the most prevalent musculoskeletal disorders seen as age increases. Among older individuals it leads to persistent complaints, disability and health care consultations. Objective: To estimate the proportion of osteoarthritis knee using American College Of Rheumatology (ACR) criteria among older individuals presenting with history of persistent knee complaints in a tertiary care setting. Method: A hospital based cross-sectional study was conducted to assess the proportion of osteoarthritis knee among older patients presenting with persistent knee complaints in orthopedic OP of Government Medical College Kollam. A semi-structured questionnaire was used to collect data regarding socio-demographic profile. Assessment of osteoarthritis knee was done Using American College Of Rheumatology (ACR) Criteria. Results: The proportion of osteoarthritis in any knee among older adults was found to be 72%, with bilateral osteoarthritis knee seen in 38.5%. Among those affected, 84% were women. Knee pain, presence of crepitus and bony tenderness were the most common findings among those with OA knee. Conclusion: The proportion of OA knee was found to be higher among the study population. Older age group and females were more prone to osteoarthritis of knee. An estimate of the burden of OA in older patients will help policy makers in planning public health programs to improve their health condition and quality of life.
Overweight and Obesity among Primary School Going Children in Urban Agra
Authors: Khan Iqbal Aqeel , Singh Geetu , Singh Kunver Viresh
Published: May 2021

Introduction: Childhood obesity is global nutritional concern. It is precursor of various non- communicable diseases and metabolic disorders in adulthood. Objective: To determine the prevalence of overweight and obesity among primary school students in urban Agra. Method: This cross-sectional study was done among 200 children studying in grades 1st to 5th in government and private school of Agra. List of all schools in Agra city having 1 to 5 classes was obtained from official website of Agra District Authorities. One government and one private school were selected. 100 students were selected from each selected school. A pre-designed and pre-tested administered questionnaire was used to collect information and anthropometric measurement; height and weight of the student measured to calculate Basal Metabolic Index (BMI). Overweight/obesity was defined using age and sex specific body mass index cut off points. Result: Prevalence of overweight and obesity was 16.5% and 7% respectively. Prevalence of overweight and obesity was more in boys as compared to girls. Obesity is seen only in private school students. Conclusion:In the present study, the magnitude of overweight and obesity is high among boys and children studying in private school. Health education should be given in the schools so as to educate children as well as parents regarding risk factors, preventive measures and the consequences of overweight and obesity.
A Study on Socio Demographic, Clinical Profile and Outcome of Breast Cancer Patients Attending Tertiary Cancer Care Centre in Gujarat State
Authors: Shah Anand , Patel Ravi , Solanki Jayesh , Ravani Vaishali
Published: May 2021

Introduction: Breast cancer is second most common cancer all over the world. Majority of breast cancer cases are registered to hospital at a later stage of cancer presentation. Objective: To study socio-demographic, clinical presentation and outcome of Breast cancer patients attending tertiary care centre of Gujarat state. Method: This was a retrospective study made up of 5774 patients registered in tertiary care centre of Gujarat state. Data including patient’s socio-demographic information like age, marital status, education level and clinical diagnosis including clinical presentation at time of registration, treatment history etc was collected. The data was analysed using MS office 2010 and Epi Info software version 7.0. Result: The age ranged between 17-99 years, with a median of 50 years and interquartile range of 42-58 years. There were 62.07% patients presented with locally advanced breast cancer, while 17.57% patients had distant metastasis at diagnosis. Significant association (p<0.05) was found between presentation of disease and literacy status. The overall Kaplan-Meier survival rate at 5 years was 35.8% + 5.0%. Survival rate was consistently declining with increase in clinical extension of disease. Conclusion: Majority of patients were in early advanced stage during their first hospital visit which was associated with poor survival. This information may help authorities to focus on early diagnosis of breast cancer.
Communication in Health - A Challenge
Authors: Mazumdar Vihang
Published: May 2021

The recent discussion nationally on vaccine hesitancy and reluctance to follow Covid appropriate behaviour has once again brought focus on how communication in health has remained a challenge after all these years.Why haven't we convinced mothers to wash hands and use fluids available at home for diarrhoea prevention? Why do doctors fail to give proper advice to patients even for their own prescription? Why aren't proper instructions given while dispensing IFA? Why are the four key messages not given by health workers during vaccination? One common thread runs through all these: lack of communication.
AMSTAR-2: herramienta de evaluación crítica de revisiones sistemáticas de estudios de intervenciones de salud
Authors: Ciapponi Agustin
Published: May 2021

El número de revisiones sistemáticas (RS) de estudios de intervenciones sanitarias publicadas ha aumentado rápidamente.

Estos documentos de síntesis son ampliamente utilizados para la toma de decisiones clínicas y de políticas de salud, pero están sujetos a una serie de sesgos y es importante que los usuarios pueden identificar las RS de mejor calidad. Considerando la relevancia de la actualización de la herramienta Ameasurement Tool to Assess Systematic Reviews (AMSTAR) para la valoración crítica de RS de estudios de intervenciones en salud, el autor resume los aspectos más relevantes de la publicación de Shea y col, traduce el instrumento y su guía de aplicación, y comenta los aspectos salientes del instrumento AMSTAR-2 junto con sus potenciales implicancias en el desarrollo y reporte de RS.
Uso de pregabalina en el tratamiento de la ciática
Authors: Sguiglia Schutz Sebastian Andres
Published: May 2021

La lumbociatalgia es un problema clínico común, que en la mayoría de los casos se autolimita y se puede tratar 

conservadora, usando medidas no farmacológicas y analgésicos como paracetamol o los antiinflamatorios no esteroideos. Otro medicamento muy utilizado en nuestro medio es la pregabalina, a pesar de que no se encuentra aprobada para dicha indicación. En este trabajo, el autor se pregunta acerca de la utilidad clínica de la pregabalina y luego de hacer una búsqueda bibliográfica sobre la evidencia más actualizada y de mejor calidad acerca del tema, concluye que no es efectiva para lumbociatalgia y que se acompaña de efectos adversos significativos. Esto coincide con las recomendaciones de las guías internacionales, que en su mayoría desaconsejan el uso de anticonvulsivantes para la lumbalgia.
Cigarrillo electrónico: ¿otra herramienta para ayudar a dejar de fumar o una nueva estrategia para promover la adicción a la nicotina?
Authors: Cubas Malen , Deluca Bisurgi Gabriela , Seeber Mercedes , Sffaeir Silvina , Maturi Agustina , Terrasa Sergio
Published: May 2021

Los autores de este artículo describen las principales características del cigarrillo electrónico y sus componentes, anali- zan la controversia sobre su potencial uso como terapia de sustitución del tabaco y describen las experiencias regulato- rias de Argentina y de otros países.
Introducción a la mentoría en investigación y principales marcos teóricos para comprender y explicar sus procesos
Authors: Terrasa Sergio , Roni Carolina , Rosli Natalia , Durante Eduardo
Published: May 2021

En este artículo, los autores explican el origen y el uso actual del término mentoría y describen algunos marcos teóricos que ayudan a comprender los procesos y la repercusión de la mentoría en investigación: el del aprendizaje cognitivo, el del aprendizaje no formal, el del aprendizaje sociocultural en el contexto de comunidades de práctica, el de la mentoría como una forma de acumulación de capital social, el de la mentoría como un medio para el desarrollo de la identidad como científico, y las miradas desde la teoría social y cognitiva de la carrera.
¿Qué entendemos por inseguridad alimentaria? La impactante situación en Argentina
Authors: Bulgach Gabriel
Published: May 2021

En esta editorial se analiza el concepto de seguridad alimentaria y se desarrollan tres de sus dimensiones (disponibilidad, acceso y utilización). Se destaca que la dimensión de disponibilidad (producción) está en una curva creciente, al tiempo que se plantea la duda sobre el impacto en la salud por los sistemas de producción actual. Esclarece acerca de la situación de inseguridad alimentaria creciente en las dimensiones de acceso (vinculadas fuertemente a las condiciones ) y de utilización (indicadores de epidemia de sobrepeso y obesidad). Por último, aporta información relevada para Argentina y la contradicción de que su población atraviese situaciones de falta de acceso, siendo este país uno de los mayores productores de alimentos a nivel mundial.
Salud e Internet: nuevo escenario para la práctica médica
Authors: Garcia Federico
Published: May 2021

El autor desarrolla y reflexiona sobre el uso de Internet como fuente de información médica, analizando los beneficios y potenciales perjuicios de este nuevo escenario de práctica médica al que nos enfrentamos los profesionales de la salud.
Controversias sobre el tamizaje de cáncer mamario con mamografía
Authors: Doval Maria Belen , Volij Camila , Weisbrot Mariela , Terrasa Sergio
Published: May 2021

Al igual en otras partes del mundo, en Argentina la mortalidad específica por cáncer mamario disminuyó de forma sostenida entre 1996 y 2017. Es probable que en la actualidad la mamografía sea la herramienta más importante para detectar precozmente, evaluar y llevar un seguimiento de las personas con esta patología. Sin embargo existe mucha controversia acerca de los beneficios del tamizaje poblacional y la realización de diagnósticos precoces de cáncer de mama. El propósito de esta revisión narrativa es brindar una mirada contraintuitiva, cuestionadora de los beneficios de esta práctica, ponderando también sus riesgos, escasamente visibilizados mediante las estrategias comunicacionales concordantes con el modelo de prevenir es mejor que curar y la lucha contra la historia natural del cáncer.
Expectativas de los pacientes respecto de la consulta con un médico de familia: estudio de corte transversal
Authors: Nusfaumer Marcos , Terrasa Sergio
Published: May 2021

Antecedentes. El modelo biopsicosocial propone que la atención de la salud se centre en las necesidades de las personas. Sin embargo, no siempre los profesionales de la salud conocen adecuadamente lo que esperan de los encuentros clínicos sus pacientes.

Objetivo. Explorar las expectativas respecto de sus encuentros clínicos de los/as pacientes atendidos por médicos de familia en un Centro de Salud de Atención Primaria del Conurbano Bonaerense (Buenos Aires, Argentina).

Métodos. Estudio observacional descriptivo de corte transversal llevado a cabo sobre una muestra consecutiva de pacientes que acudieron a las consultas médicas de un centro de salud. Se les pidió a los pacientes que de un listado de diez potenciales expectativas, valoraran y priorizaran las más importantes para esa consulta.

Resultados. Fueron entrevistadas 146 personas (91 % mujeres) con una mediana de edad de 30 años.

Las expectativas más mencionadas (94 % de las personas encuestadas) fueron que el médico demuestre interés y escuche a sus pacientes, y que les brinde explicaciones sobre sus problemas y dudas.

Conclusiones. Hemos podido documentar que las expectativas de nuestros pacientes respecto de sus entrevistas clínicas están muy vinculadas a su componente actitudinal (predisposición a escuchar con interés sus problemas) y al de las habilidades comunicacionales del profesional de la salud (explicaciones).
La evidencia en tiempos de coronavirus (COVID-19)
Authors: Cañás Martin , Urtasun Martin A
Published: May 2021

La pandemia de COVID-19 está generando información epidemiológica y clínica en una escala sin precedentes para una enfermedad de reciente aparición. Aunque ya se han iniciado numerosos ensayos clínicos de fármacos antiguos y nuevos como potenciales antivirales específicos, la mayor parte de la información publicada hasta ahora carece de los controles básicos para la evaluación de la eficacia de un medicamento. Los medios de comunicación amplifican estos resultados preliminares y suman presión a los médicos asistenciales y a los decisores de políticas públicas. Este artículo revisa las pruebas disponibles sobre los cuatro tratamientos antivirales específicos más prometedores: hidroxicloroquina, lopinavir/ritonavir, remdesvir e interferones alfa y beta. Se comprueba en todos ellos que no hay demostración suficiente de eficacia como para recomendar su uso fuera de una investigación experimental adecuadamente controlada. En el uso individual de un medicamento no hay forma de saber si está beneficiando o perjudicando al paciente. Es erróneo asumir que la eventual curación se debe al fármaco y un mal desenlace debe atribuirse a la enfermedad. Sólo la comparación entre grupos de pacientes asignados al tratamiento experimental o a un control adecuado permite conocer la eficacia y seguridad de las intervenciones. El desafío es conciliar la urgencia de actuar con la generación de nuevos conocimientos. Aunque no resulta sencillo organizar ensayos clínicos en este contexto, las instituciones pueden sumarse a los proyectos en marcha a nivel nacional e internacional. El uso de estos fármacos debe considerarse experimental, por lo que es necesario obtener el consentimiento informado del paciente.
La administración de ondansetrón no mejora la evolución de los niños con gastroenteritis aguda sin deshidratación
Authors: Kemnitz Mauricio Pablo
Published: May 2021

Sobre la base de una viñeta clínica de un niño con gastroenteritis aguda sin deshidratación, el autor de este artículo realiza una búsqueda bibliográfica para revisar la evidencia que avala el uso de ondansetrón para tratar sus vómitos, práctica bastante común en instituciones con acceso a este fármaco en sus centrales de emergencia.

Luego de dicha búsqueda, el autor concluye que en niños con gastroenteritis aguda sin deshidratación, la administración de ondansetrón no reduce la necesidad de hidratación intravenosa ni la frecuencia ni la severidad de los vómitos.
Eficacia de la miel para el tratamiento de la tos aguda en niños atendidos en forma ambulatoria
Authors: Angeletti Eros Miguel
Published: May 2021

A partir de una consulta en la central de emergencias de un niño con tos aguda, el autor del artículo realiza una búsqueda bibliográfica para revisar la evidencia sobre el uso de la miel para aliviar este síntoma. Luego de la lectura crítica de una revisión sistemática, el autor concluye que ésta podría ser una alternativa elegible frente a los jarabes para la tos, por su perfil de seguridad y su posible beneficio en el alivio de la tos.
Conocimientos sobre Síndrome de X Frágil de los maestros de audición y lenguaje y los logopedas de la Región de Murcia
Authors: Peñalver-García Dolores María , García-Sánchez Francisco Alberto
Published: May 2021

El síndrome de X Frágil (SXF) es la primera causa de discapacidad intelectual de origen hereditario y la segunda de origen genético después del síndrome de Down. Se produce por una mutación en el gen FMR1 en el brazo largo del cromosoma X. Su fenotipo es muy variado, presentando rasgos físicos característicos, junto con problemas de conducta, relacionados con hiperactividad y ansiedad social. Un área habitualmente afectada durante el desarrollo del niño es el lenguaje, en todas sus dimensiones, mostrándose rasgos propios en cada una de ellas. Por ello, estos niños siempre son atendidos por logopedas y maestros de audición y lenguaje, en los que sería deseable un amplio conocimiento de las características del síndrome. En este trabajo se analiza si los profesionales del lenguaje poseen esos conocimientos. Para ello se diseñó un instrumento para recabar información sobre formación y experiencia con SXF y evaluar el conocimiento del profesional en algunas de sus características más habituales. El instrumento lo cumplimentaron, voluntariamente vía online, 35 maestros de audición y lenguaje y 49 logopedas. Se compararon los resultados de ambos grupos profesionales en función de variables como experiencia previa con el SXF o formación sobre él. Ambos grupos de profesionales presentan carencias importantes en sus conocimientos sobre esas características del SXF, no encontrándose diferencias significativas entre maestros y logopedas. Además, se constata que la formación recibida mejora el conocimiento sobre el SXF.
Cavernomas cerebrales en la infancia y desarrollo atípico de la comunicación y el lenguaje
Authors: Álvarez Carlos G. , Torres Morales Felipe , Culcay Laura C. , Bascuñán Vidal Javiera Amapola
Published: May 2021

Los cavernomas cerebrales corresponden a malformaciones vasculares del sistema nervioso central, con baja prevalencia en la población pediátrica. Estas malformaciones pueden aparecer como lesiones únicas o múltiples. La manifestación sintomatológica de los cavernomas se ha asociado, principalmente, a la ubicación topográfica de las lesiones. En este artículo se reportan las habilidades de comunicación y lenguaje de un niño de 3 años 10 meses, diagnosticado con cavernomatosis cerebral múltiple, y se discute la posible relación entre las habilidades evidenciadas y el cuadro neurológico de base. La indagatoria se efectuó mediante la aplicación de los siguientes tres procedimientos: 1. compilación y análisis de antecedentes clínicos en ficha médica, 2. elaboración y análisis de muestra naturalista de comunicación y lenguaje, 3. aplicación y análisis de instrumento Inventario de Desarrollo Comunicativo MacArthur. El análisis cualitativo de los antecedentes recabados permite sugerir una asociación entre las habilidades atípicas de comunicación y lenguaje observadas y el diagnóstico de cavernomatosis cerebral múltiple, en particular, debido a la ubicación topográfica de las lesiones. A nuestro entender, este artículo representa la primera descripción de habilidades atípicas de comunicación y lenguaje, asociadas al diagnóstico de cavernomatosis cerebral múltiple en edad pediátrica.
Logopedia y el derecho a la comunicación
Authors: Teira Serrano Celia
Published: May 2021

¿Somos conscientes de que la comunicación es un derecho humano fundamental? ¿Somos conscientes de la violación sistemática del mismo al no proporcionar un sistema alternativo o aumentativo de comunicación? ¿Hemos pensado alguna vez en los derechos de las personas con las que interactuamos? No tener que pensar en los derechos de una misma en torno a determinados conceptos por los que se puede sufrir discriminación (ej. accesibilidad comunicativa, capacidades, etc.), es una cuestión de privilegios asociados a una supuesta normalidad que nos afecta a la mayoría de la población. Entender la logopedia desde un enfoque de derechos supone conocer los orígenes del concepto “derecho a la comunicación” y el marco legal que actualmente lo ampara. Asimismo, resulta imprescindible analizar el término “accesibilidad” resultante de las barreras comunicativas que impiden ejercerlo. En este artículo se plantea la necesidad de entender la comunicación como un derecho humano fundamental en la formación logopédica.