bluuebunny/crossref_metadata_2025 huggingface dataset:
An in-depth multidimensional review of hypertension in adolescents in relation to obesity: Risk approach management is the solution
Authors: Fadl Azza Abul- , Al-Jawaldeh Ayoub
Published: November 2021

Background: The emergence of isolated high blood pressure (HBP) among adolescents and its relation to obesity needs to be investigated. Aim: This study aims to assess prevalence, underlying risk factors, and consequences of HBP among adolescents in Egypt. Methods: We consolidated findings from three studies. The first one examined 150 adolescents (age: 16–18 years) for HBP and obesity using body mass index (BMI); the second one studied 150 adolescents for the lifestyle risk factors in relation to depression, anxiety, general health score, and suicidal score (SS) using relevant tools; the third one was a nested case–control study of 60 obese versus 60 non-obese adolescents examined for HBP, BMI, lifestyles and dietary habits, biochemical markers as lipid profile, fasting blood sugar (FBS), insulin, and homeostatic model assessment for insulin resistance (HOMA-IR). Results: In Stage I, the prevalence of HBP was 8% of whom, 58.3% were obese. Stage II: Dietary risk behavior as junk foods (high in salt) and soft drinks was 75.3% and 80%, respectively, and was linked with a high SS. Smoking was associated with a high anxiety score (p<0.05) and not playing sports with a higher depression score (p<0.05). The nested case–control study for obese versus non-obese showed that HBP (both systolic and diastolic) was significantly higher in the obese. Consumption of junk foods, sugary drinks, and inactivity was significantly higher in the obese (p<0.05). Lipid profile, FBS, fasting insulin, and HOMA-IR were significantly higher in the obese group versus non-obese control group (p<0.05). Conclusion: Lifestyle and unhealthy diet are the underlying cause of HBP, obesity, and mental health problems including SS, atherosclerosis, and high FBS. Increasing awareness about risk factors and using them in clinical practice for early detection of HBP is recommended.
Vomiting in a toddler – An unsuspected cause
Authors: Rashmi N , Yerrapragada Devesh Bhaskar , Kumar M G Anil
Published: November 2021

Vomiting in young children can be due to a varied etiology ranging from gastritis, urinary tract infection, and metabolic problems to serious life-threatening conditions such as myocarditis, intracranial space occupying lesions, and acute surgical conditions such as intussusception, malrotation, and torsion testis. However, intractable vomiting in a toddler as presented here was due to an unexpected cause as the history was not initially forthcoming for the same. Here, we presented the case of a 21-month-old girl who was admitted with vomiting and low-grade fever, initially suspected to have viral fever/urinary tract infection. All relevant investigations were within normal limits, ruling out metabolic causes. However, on day 3, she showed features of intestinal obstruction for which imaging was done which revealed a mass in the distal ileum, and she was taken up for immediate laparotomy and the ileal mass was excised, which turned out to be a foreign body, that is, three rubber balls. The child recovered completely post-surgery and was discharged three days later. Hence, the lessons learnt from this case would be that, there is no short cut to detailed history taking and meticulous clinical examination; using imaging at the appropriate time helps in timely intervention and life-saving management.
Child sex ratio - declining trend: Reasons and consequences
Authors: George Neethu , Britto Rock , Abhinaya R , Archana M , Aruna A S , Narayan M Ashwin
Published: November 2021

Child sex ratio (CSR) and over all sex ratio have found to be the important indicator to examine the social commitment against female child. According to census 2011, CSR has been decreased from 927 to 919 in 2011. Many researchers have reported that the sex ratio at birth is in favor of males and the low sex ratio is found to be due to the sex selection strategies of the parents. Despite the higher mortality preponderance for male child, the females were having a decreased ratio during childhood years. Gender discrimination and female infanticide have found to be the important factor responsible for the low CSR. This article tries to shed light into the issue among the states of India, giving a special attention to the state of Tamil Nadu and proposes few remedial measures.
СТВОРЕННЯ ТА РОЗВИТОК ВІТЧИЗНЯНОГО СОЦІАЛЬНОГО БІЗНЕСУ
Authors: Слободянюк Ольга , Шостак Людмила
Published: November 2021

Стаття присвячена проблемам та особливостям формування вітчизняного соціального бізнесу. Авторами зосереджено увагу на тому що саме соціальне підприємництво спроможне вирішити не лише економічні але значні мірі і соціальні негаразди суспільства. В контексті дослідження було визначено можливості розвитку вітчизняного соціального бізнесу та окреслено ймовірні наслідки. На основі узагальнення теоретичного матеріалу авторами виділено основні форми соціального підприємництва. Аналітична інформація свідчить про збільшення чисельності соціальних підприємств в Україні, проте існують і певні проблеми, які були виокремлені авторами. Зосередивши увагу на питанні становлення та розвитку соціального підприємництва було окреслено ефективні шляхи розвитку даної сфери економіки в сучасних умовах господарювання.
СУЧАСНІ ВИКЛИКИ ТА ПРОБЛЕМИ ІДЕНТИФІКАЦІЇ СІЛЬСЬКИХ ТЕРИТОРІЙ У НЕСПРИЯТЛИВИХ УМОВАХ В УКРАЇНІ
Authors: Сторонянська Ірина , Залуцький Іван , Патицька Христина
Published: November 2021

Стаття присвячена актуальним питанням ідентифікації сільських територій у несприятливих умовах в Україні. Проаналізовано підхід до визначення сільських територій у несприятливих умовах, застосований у Державній стратегії регіонального розвитку на 2021-2027 роки. Аргументовано і доведено доцільність врахування економічного чинника, поруч із демографічними та просторовими, для охоплення ширшого кола проблем, з якими стикаються територіальні громади в процесі свого розвитку. Здійснено аналіз диспропорцій соціально-економічного та демографічного розвитку сільських територій. На основі отриманих результатів доведено потребу узгодження адміністративно-територіального рівня, на якому ідентифікація сільських територій у несприятливих умовах повинна здійснюватися з метою врахування внутрішньорегіональних відмінностей та особливостей розвитку територій.
Simulation of Arctic Cascade Natural Gas Liquefaction Process
Authors:   Far Eastern Federal University, Ten V. Ch. , Lunkova L. G. ,   Far Eastern Federal University, Melnikov G. S. ,   Far Eastern Federal University
Published: November 2021

The aim of the work is to study the energy efficiency of the «Arctic Cascade» technology used in the Russian project «Yamal-LNG». The company uses the reserves of the Yuzhno-Tambeyskoye field as a resource base. The relevance of the study is due to the imperfection of technological schemes in terms of the energy efficiency of liquefaction processes, as well as the lack of experience in operating LNG projects in Arctic conditions. This work presents the calculation of energy costs in the production of liquefied natural gas using the «Arctic cascade» technology using the example of the operating conditions of the Yamal-LNG plant, based on the model built in the Aspen Hysys. Modeling the technological scheme made it possible to apply the obtained data for the calculation, as a result of which the specific energy consumption of 230,78 kWh/t per ton of product was determined. It turned out that the technological solution has a significant drawback: a fairly high boil-off gas yield of 15.72% was revealed. This fact reduces the efficiency of the plant and leads to the need to re-feed it into the liquefaction cycle.
Thermal Exposure Methods Intensification by the Use of Catalysts
Authors:   Kazan (Volga region) Federal University, Mukhamatdinov I. I. , Salih I. Sh. S. ,   Kazan (Volga region) Federal University, Vakhin A. V. ,   Kazan (Volga region) Federal University
Published: November 2021

The article reviewed the catalysts used for upgrading high-viscosity oil in the reservoir. It is concluded that the most widespread and effective catalysts are oil-soluble complexes based on transition metals.
Efficiency of Working Fluids for Rankine Cycle in Energy-Saving Gas Transport Systems
Authors:   Mendeleev Russian Chemical and Technological University, Naletov V. A. , Glebov M. B. ,   Mendeleev Russian Chemical and Technological University, Naletov A.Yu. ,   Mendeleev Russian Chemical and Technological University
Published: November 2021

In this paper, the application of various non-ozone-depleting low-boiling working fluids for the Rankine cycle is analyzed based on exergy efficiency. The Rankine cycle is used for high-efficiency waste heat recovery from flue gases generated in gas transport systems at natural gas compressor stations. The system was modelled based on calculations using the CHEMCAD software in conjunction with the “Energy unit” module compatible with the main program interface, which was used for assessing system energy efficiency. It was concluded that the neopentane Rankine cycle with a regenerator is more efficient. Preliminary economic analysis has shown that the proposed system has an acceptable payback period (up to 6 years).
Linguistic Intervention in Making Fiscal and Monetary Policy
Authors: Siregar Iskandarsyah , Rahmadiyah Firlii , Siregar Alisha Firiska Qatrunnada
Published: November 2021

Linguistics is a branch of science that can maneuver to solve various problems. Linguistics began to succeed in canceling the predicate given to laypeople, namely as a linguistic science. Linguistics can even be a solution for various other disciplines, including fiscal and monetary policy issues. Fiscal and monetary policies that require analysis of the past, present, and future phenomena can be answered immediately with a linguistic analysis knife. Critical discourse analysis is confidently taking action as a solution to this problem. The holistic interpretative approach used in this study tries to analyze the text by relating and relevant to the context and then abstracting it into a complete picture. This study succeeded in finding that critical discourse analysis can play a role in 3 things related to fiscal and monetary policy, namely: (1) text analysis is an analysis of linguistic elements in sentence construction used in formulating policies, (2) analysis of discourse practice is a background analysis behind the decision-makers who formulate policies and other situations and conditions behind the birth of business economic policies, and (3) analysis of socio-cultural and political is an analysis that is identifying the changes that occur as a result of these policies. This proves the effectiveness of Linguistics in studying fiscal and monetary policy issues.
Conversion of Palm Oil (CPO) into Fuel Biogasoline through Thermal Cracking Using a Catalyst Based Na-Bentonite and Limestone of Soil Limestone NTT
Authors: Silalahi Daniel , Supeno Minto , Taufik Muhammad
Published: November 2021

Cracking catalytic palm oil (CPO) into hydrocarbon fuel by saponification pretreatment has been carried out with bentonite and limestone-based catalysts. The catalysts used were Na-bentonite and Limestone NTT which were first analyzed using XRF, XRD, and SEM. Saponification pretreatment was carried out on CPO to facilitate the cracking process using a catalyst. The saponification product in the form of a mixture of soap and glycerol was then analyzed by DSC to determine the degradation temperature. Catalytic cracking is carried out in two stages, namely, the first stage hydrocracking at a temperature of 250-350°C using a stainless steel reactor is the source of catalyst Fe / Cr. The resulting distillate was then cracked again using a Na-bentonite catalyst and a TKNTT catalyst. The resulting fuel is a hydrocarbon fuel which is confirmed from the FT-IR results which indicate the presence of long-chain hydrocarbon compounds. This data is also supported by the results of the GC-MS analysis which shows that the fuel fraction produced is mostly biogasoline. Where cracking using a Na-bentonite catalyst produces a biogasoline fraction of 61.36% and a biodiesel fraction of 38.63%, THAT produces a biogasoline fraction of 88.88% and a biodiesel fraction of 11.11%. The characteristics of the hydrocarbon fuels that have been analyzed show that the calorific value of combustion is 6101 cal/g which is determined using a bomb calorimeter, and the cetane index is 62 which is analyzed using CCI. Both types of hydrocarbon fuels have met the physical requirements that must be possessed by biogasoline fuel based on SNI standards.
THE CORRELATION BETWEEN LIFESTYLE AND INCREASED URIC ACID LEVELS IN THE ELDERLY
Authors: Wijayanti Lono , Wahyudi Agus , Septianingrum Yurike
Published: November 2021

Background: Increased serum uric acid levels are the strong predictors of death due to cardiovascular damage. The sedentary lifestyle tends to make physical inactivity and less attention to nutrition in eating. There has been a lifestyle shifting, whether we realize it or not.
Objective: The purpose of this study was to analyze the correlation between lifestyle and the incidence of uric acid in the elderly at nursing home (Griya Werdha) Jambangan Surabaya.
Methods: This study was an analytic study with a cross-sectional approach. The population was 150 elders. A total sample was 109 respondents which taken used Simple Random Sampling.  The independent variable was lifestyle and the dependent variable was the incidence of uric acid in the elderly. The research instrument used a questionnaire and observation. This research test used Fisher's exact test = 0.05.
Results: The results showed that some respondents (78.9%) experienced a bad lifestyle and some respondents (81.7%) increased uric acid. There was a correlation between lifestyle and increased of uric acid levels (p=0.000).
Conclusion: The worse a person's lifestyle, the higher risk of increased uric acid levels. It is expected that the elderly able to perform a healthy lifestyle to prevent elevated uric acid levels
Pola Pencarian Pengobatan Masyarakat pada Masa Pandemi Covid 19 di Kelurahan Minasa Upa Kecamatan Rappocini Kota Makassar
Authors: Nurlena  , Andi Multazam  , Muchlis Nurmiati
Published: November 2021

Salah satu yang di hadapi oleh masyarakat dalam mengakses pelayanan kesehatan adalah keengganan untuk berkunjung ke tempat-tempat keramaian salah satunya adalah fasilitas pelayanan Kesehatan. Masyarakat merasa cemas jika harus berkontak langsung dengan orang banyak serta dengan petugas kesehatan, hal ini dikarenakan banyaknya berita mengenai Covid, penyebaran Covid, serta banyaknya korban Covid yang di rawat maupun yang meninggal dunia. Tujuan penelitian untuk mendapatkan informasi secara mendalam mengenai pola pencarian pengobatan masyarakat di masapandemi Covid-19 di Kelurahan Minasa Upa Kecamatan Rappocini Kota Makassar. Metode penelitian ini merupakan penelitian kualitatif yang mengeksplorasi secara mendalam dengan pendekatan studi naratif yang berfokus pada narasi dan cerita tentang pola pencarian pengobatan masyarakat di masa pandemi Covid-19, melalui wawancara mendalam (Indepth Interview), dan dokumentasi secara terus menerus selama penelitian berlangsung.Jumlah informan biasa sebanyak 10 orang, namun yang peneliti dalami 4 orang. Kesimpulannya pemilihan pengobatan masyarakat Kelurahan Minasa Upa berpola, sebagian besar masyarakat cenderung memilih melakukan pengobatan sendiri. Hal ini disebabkan karena masyarakat takut untuk ke pelayanan kesehatan karena jika memeriksakan ke rumah sakit lebih beresiko di masa pandemi, sehingga masyarakat memilih pengobatan yang bisa masyarakat tangani sendiri dengan membeli obat yang banyak orang konsumsi yaitu paracetamol. Adapun yang memilih pelayanan kesehatan, serta ada yang memanggil tenaga kesehatan ke rumahnya. Motivasi masyarakat ingin sembuh dan keyakinan bahwa meminum obat dari apotek dapat mengobati penyakit yang di derita. Begitupun dengan informan yang melakukan pengobatan ke pelayanan kesehatan serta informan yang memanggil tenaga kesehatan ke rumahnya yang ingin kesembuhan lebih maksimal. Sikap masyarakat Kelurahan Minasa Upa sudah merasa bahwa pengobatan yang dilakukan aman dan efektif dan mereka memilih pengobatan yang menurut mereka baik untuk dilakukan. Hal ini dapat dilihat dari kebiasaan masyarakat ketika sakit langsung mengobati dirinya sendiri dengan membeli obat di apotek selain itu dipengaruhi juga oleh pengalaman sakit sebelumnya sehingga sudah mengerti apa yang seharusnya dilakukan untuk mengobati sakit yang dialami.
Hubungan Kepesertaan dan Sumber Daya Manusia dengan Kepuasan Peserta BPJS Kesehatan di Klinik Lacasino Makassar
Authors: Bakhtiar Nurhaeny , Nurgahayu  , Arifin Nurbaety
Published: November 2021

Ketidakpuasan pasien BPJS kesehatan adalah pasien yang mendapatkan informasi dari BPJS kesehatan kurang akurat sehingga pemahaman terkait kebijakan BPJS kesehatan masih rendah. Secara umum penelitian ini bertujuan untuk mendapatkan informasi mendalam tentang untuk mengetahui hubungan BPJS kesehatan terhadap kepuasan pasien di klinik Lacasino Makassar tahun 2020. Jenis Penelitian ini merupakan penelitian kuantitatif analitik dengan desain cross sectional dengan dengan menggunakan teknik pengambilan sampel yaitu teknik Accidental samplingsebanyak 60 sampel. Dari hasil penelitian diperoleh bahwa variabel kepesertaan dan SDM tidak terdapat hubungan terhadap kepuasan peserta BPJS kesehatan pada klinik Lacasino Makassar tahun 2020. Diharapkan pada peneliti selanjutnya sebaiknya meneliti faktor lain mengenai penentuan kelas iuran BPJS.
Assessment on Performance-properties of Asymmetric Nanofiltration Membranes from Polyethersulfone/n-Methyl-2-pyrrolidone/water Blends with Poly(vinyl pyrrolidone) as Additive
Authors: Rozali Sabariah , Safari Nurul Hannan Mohd , Hassan Abdul Rahman , Ahmad Musa , Yunus Rosli Mohd
Published: November 2021

In this study, the effect of poly(vinyl pyrrolidone) (PVP) additive on the fabrication of asymmetric nanofiltration (NF) membranes was investigated in terms of performance, structural details and key properties. On addition of PVP ranging from 2 to 10 wt% into the dope solution, the fabricated NF membranes exhibited significantly different in properties and improved performance. In particular, the membranes made from 2 wt% PVP had the highest water flux and salt rejection of about 3.61 × 10–6 m3/m2s and 44.49 %, respectively. Modeling results revealed that small amount of PVP (2–4 wt%) produced finer structural properties. Moreover, the key properties (rp, ∆x/Ak and ζ) of the fabricated NF membranes were found to be within the range of that of commercial NF membranes.
The Role of Regional Airports in Connectivity and Regional Development
Authors: Díaz Olariaga Oscar
Published: November 2021

This article analyzes the contribution of regional airports in Colombia to the development of the domestic air transport network, and with it, to the connectivity of the regions and their social and economic development. The growth and evolution of Colombian regional airports are supported and driven by a set of public and investment policies, designed exclusively for the air sector and implemented, almost continuously, since the liberalization of the air transport industry in the country in the early 1990s and are still in development. Having said this, this work analyzes how the network of regional airports have been able to develop in two and a half decades through public policies, and later, how these airports have positively impacted connectivity and socioeconomic development in the territories. All this is done through the presentation and analysis of related indicators.
Cardiovascular events in patients treated with chimeric antigen receptor T-cell therapy for aggressive B-cell lymphoma
Authors: Steiner Raphael E. , Banchs Jose , Koutroumpakis Efstratios , Becnel Melody , Gutierrez Cristina , Strati Paolo , Pinnix Chelsea C. , Feng Lei , Rondon Gabriela , Claussen Catherine , Palaskas Nicolas , Karimzad Kaveh , Ahmed Sairah , Neelapu Sattva S. , Shpall Elizabeth , Wang Michael , Vega Francisco , Westin Jason , Nastoupil Loretta J. , Deswal Anita
Published: November 2021

Standard of care (SOC) chimeric antigen receptor (CAR) T-cell therapies such as axicabtagene ciloleucel (axi-cel) and tisagenlecleucel (tisa-cel) are associated with multisystem toxicities. There is limited information available about cardiovascular (CV) events associated with SOC axi-cel or tisa-cel. Patients with CV comorbidities, organ dysfunction, or lower performance status were often excluded in the clinical trials leading to their Food and Drug Adminsitration approval. An improved understanding of CV toxicities in the real-world setting will better inform therapy selection and management of patients receiving these cellular therapies. Here, we retrospectively reviewed the characteristics and outcomes of adult patients with relapsed/refractory large B-cell lymphoma treated with SOC axi-cel or tisa-cel. Among the 165 patients evaluated, 27 (16%) developed at least one 30-day (30-d) major adverse CV event (MACE). Cumulatively, these patients experienced 21 arrhythmias, four exacerbations of heart failure/cardiomyopathy, four cerebrovascular accidents, three myocardial infarctions, and one patient died due to myocardial infaction. Factors significantly associated with an increased risk of 30-d MACE included age ≥60 years, an earlier start of cytokine release syndrome (CRS), CRS ≥ grade 3, long duration of CRS, and use of tocilizumab. After a median follow-up time of 16.2 months (range, 14.3-19.1), the occurrence of 30-d MACE was not significantly associated with progression-free survival or with overall survival. Our results suggest that the occurrence of 30-d MACE is more frequent among patients who are elderly, with early, severe, and prolonged CRS. However, with limited follow-up, larger prospective studies are needed, and multidisciplinary management of these patients is recommended.
Gobierno corporativo: Mayores exigencias de los partícipes sociales
Authors: Bacho Ulises
Published: November 2021

El impacto de las mayores exigencias de los partícipes sociales sobre el gobierno corporativo de la empresa es analizado en el presente artículo. Mediante una revisión de la literatura pertinente, se describe el concepto de partícipes sociales. Se contrasta el modelo de la empresa basado en el accionista con el modelo de partícipes sociales. Posteriormente se analiza el periodo pasivo y activo que dichos modelos han tenido. Se concluye con un conjunto de desafíos que el gobierno corporativo de la empresa deberá abordar para obtener y mantener una ventaja competitiva.
Space Closure Rate in Mandibular Canine Retraction by Elastomeric Power Chain: A Clinical Trial
Authors: Hasan Md Kamrul , Hassan Gazi Shamim , Rahman Samira , Ali Sher , Rahman Md Azizur , Hasan Mahfuj , Tani Rokeya Rahman
Published: November 2021

Background : On a daily basis, orthodontic patients present with malocclusions and orofacial imbalance. Often times, teeth must be extracted in order to obtain proper esthetics, occlusion, and stability as well as extraction of teeth is often a need to close residual space, after the initial decrowding and aligning. Pre adjusted fixed orthodontic appliances commonly utilize sliding mechanics for space closure with different types of force delivery systems. A variety of materials have been used as force delivery systems to close spaces between teeth as in the case of canine retraction after the extraction of premolars. Elastomeric auxiliaries are relatively consistent in producing tooth movements. The purpose of the study to evaluate the rate of mandibular canine retraction by elastomeric power chain.

Materials and methods : This obervational study was designed as split mouth study. A total number of 20 patients (40 quadrants),who required canine retraction into first premolar extraction sites as part of their orthodontic treatment in the Department of Orthodontics, BSMMU as study population. The quadrants were affixed by elastomeric power chain (Dentaurum) with 200gm force measured by Correx Tension Gauge. Space closure was measured by means of direct measurement from the mesial surface of mesial wing of the 2nd premolar bracket and the distal surface of distal wing of the canine bracket with digital Vernier Calipers.

Results: Mean space closer rate in mandibular canine retraction was 0.99 ± 0.08 mm/month in elastomeric power chain method with p value<0.001.

Conclusion : This study revealed that space closer rate in mandibular canine retraction was 0.99 ± 0.08 mm/month by elastomeric power chain.

Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 28-31
Incidence and indications of LSCS among Doctors Community of Chattogram
Authors: Malik Adiba , Nessa Kamrun , Begum Yasmin Ara , Uddin M Jalal , Sultana Aklima , Ferdous Nasrin , Bardhan Purabi
Published: November 2021

Background: Lower segment caesarean section (LSCS) is a surgical intervention, which is carried out to ensure the safety of mother and baby when vaginal delivery is not possible or when danger to mother and baby would be greater with vaginal delivery. This study is designed to identify indication of LSCS and detect complications if any among the respondents.

Materials and methods: Cross sectional descriptive study where 95 female doctors of Chattogram were selected by convenient sampling without knowing their mode of delivery and if it is LSCS then indication of LSCS , maternal and neonatal complications were noted.

Results: Age of the respondents at the time of interview were noted and most of them were between 31- 40 years 52 (55%), regarding income most of them between 100000 -200000 42(44%) most of the delivery occurred in the private clinics 92 (70%) regarding mode of delivery, LSCS was 92 (70%) vaginal delivery 40 (30%) regarding indications of LSCS most common was repeat caesarean section 27 (29%) and second common was LSCS due to maternal interest 18 (20%) and others were severe preeclampsia 10 (11%) fetal distress 08(09%) placenta previa, Diabetes with big baby, cephalopelvic disproportion, PROM with non progression of labour. PPH was the most common complication 05 (63%), next was paralytic ileus 02 (25%) and left ventricular failure 01 (12%). Common neonatal comoplications were low birth weight baby 904 (40%), prematurity 03 (30%) and birth asphyxia 03 (03%).

Conclusion: LSCS is a major surgical procedure for delivery. Inspite of its low maternal morbidity and mortality due to improved surgical technique, modern aneasthetic skill and availability of blood and blood products, still it carries a slightly greater risk in subsequent pregnancy, so we should be rational in doing primary caesarean section.

Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 37-40
Neurodevelopmental Status of Moderate to Late Preterm Infants at 6 Months Corrected Age
Authors: Hoq Tanjina , Chowdhury Pranab Kumar , Ahmed Farid Uddin , Datta Mitra , Hafiz Promugdha , Das Rita
Published: November 2021

Background: Moderate Preterm (MP) and Late Preterm (LP) infants together comprise more than 80% of all prematurely born infants. Since last decade, there has been growing concern about Neurodevelopmental Abnormality (NDA) in these infants. This study was aimed to assess neurodevelopmental status of moderate to late preterm born neonates and to determine factors associated with adverse neurodevelopmental outcome in a tertiary hospital in Bangladesh.

Materials and methods: In this prospective observational study 215 preterm (32 to <37 completed weeks gestation at birth) infants (107 MP and 108 LP) were enrolled from the Special Care Neonatal Unit (SCANU) Chittagong Medical College Hospital from June 2018 to May 2019. Neurodevelopmental assessment was done by Rapid Neurodevelopmental Assessment (RNDA) at 1, 3 and 6 months of Corrected Age (CA).

Results: Of the 215 enrolled children, 63 (29.3%) attended all the 3 follow-up, 123 (57.2%) had incomplete follow-up or lost and 29 (13.5%) died. At final follow-up out of 63 infants 43 (68.3%) had no abnormality in all 8 domains of RNDA. Seven infants (11.1%) had abnormality in one domain and 13 (20.6%) had abnormality in more than one domain. Gross motor abnormality was most common abnormality (28.6%), followed by cognition (14.3%), vision (12.7%) and behavior (12.7%). Small for gestational age and lower birth weight were found to be independent predictive factors for NDA in moderate to late preterm infants.

Conclusion: Study has shown that NDA persist till 6 months of CA in moderate to late preterm infants. It is important to closely monitor the neurodevelopmental status and provide early intervention in referred cases.

Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 50-54
Clinico-Pathological Profile of Cutaneous Lupus Erythematosus Patients: A Report from A Tertiary Care Center of Chattogram
Authors: Mowla Mohammad Rafiqul , Barua Deva Pratim , Zaman Shakila , Hossain Chowdhury Mohammad Ismail , Dutta Papri , Ali Mridha Md Wazed
Published: November 2021

Background : Nearly all epidemiologic studies have involved patients with Systemic Lupus Erythematosus (SLE). Few authors have investigated the characteristics of patients with Cutaneous Lupus Erythematosus (CLE). We aim to describe the epidemiologic, clinical, and immunologic characteristics of a series of patients diagnosed with CLE.

Materials and methods : This is a descriptive retrospective cross-sectional study carried out using the register records of total 218 patients attending the ‘Lupus Clinic’ in Chittagong Medical College Hospital during the period 2010 and 2020. The disease activity and damage of CLE were assessed according to the Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI).

Results : There were 187 females (86%) and 31 males (14%) with the female: male ratio being 6.1:1. The mean age was 28 ± 10.06 (mean ± SD) ranging between 11 and 65 years. The Chronic Cutaneous Lupus Erythematosus (CCLE) patients accounted 154 (71%) followed by Acute Cutaneous Lupus Erythematosus (ACLE) 46 (21%) and Subacute Cutaneous Lupus Erythematosus (SCLE) 18 (8%). On the basis of CLASI score, 91 (42%) patients were in mild form, 85 (39%) in moderate form and 42 (19%) in severe state. In LE specific skin lesions, common manifestation was photosensitivity 198 (91%) followed by discoid rash 154 (71%) and maculo-papular lupus rash 55 (25%). Oral ulcer was seen in 49 (22%) patients and malar rash in 46 (21%) patients. Other observed LE specific skin manifestations were papulo squamous rash 11 (5%), Toxic epidermal necrolysis like lesions 7 (3%) and lichenoid lesions 6 (3%). Among LE nonspecific skin lesions, common manifestation was nonscarring alopecia 123 (56%) followed by Raynaud’s phenomenon 17 (8%) livedo reticularis 17 (8%) Vasculitis 15 (7%) Periungual telangiectasia 7 (3%) erythema multiforme 6 (3%) and leg Ulcer 5 (2%). Antinuclear Antibody (ANA) 132 (61%) was the most common autoantibody followed by anti-ds DNA 91 (42%) anti-Sm antibody 2 (1%) anti-phospholipid antibodies 9 (4%) and anti-RNP 3 (1%). Hematological manifestations were seen in 161 (73.85%) where erythrocyte sedimentation rate was the most common hematological abnormality 161(73.85%) followed by lymphopenia 126 (57.80%) leucopenia 113 (51.80%) thrombocytopenia 107 (49.10%) anemia 92 (42%) monocytopenia 37 (16.97%). Conclusions: CCLE was the most common subtypes of CLE. Patients with different subtypes of CLE have distinct clinical and pathological characteristics. The onset or concurrence of SLE mandates the involvement of other disciplines depending on organ involvement. In the absence of consensus on a definition that makes it possible to differentiate cutaneous forms of LE from SLE, the dermatologist’s role in the correct diagnosis and classification of such patients is fundamental.

Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 79-84
Placental Polyp : A Rare Case Report
Authors: Yeasmin Most Sabina , Nourin Nishat Anjum , Begum Tahera , Mabud Farah Naz , Surovi Farjana Ahmed
Published: November 2021

Placental polyp is the retained fragment of placental tissue which presents as a polypoidal or pedunculated mass within the uterus. It is a rare entity and has an incidence of less than 0.25 % of all pregnancies. There are also very few reported cases of the clinical placental polyp. Here,we report a case of 22-year-old P1 woman presenting with vaginal bleeding and something coming down into vagina.Her last pregnancy had occurred one year ago.Laboratory investigation revealed slightly elevated serum b-hCG. Ultrasonography revealed thick endometrium, broad cervix (5.2cm) and a hyperechoic mass within the cervix. Extraction of the placental polyp followed by endometrial curettage were done and tissue sent for histopathology. Definite diagnosis was made by histopathological examination and which was a placental polyp.

Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 85-88
Kirlilik Sığınağı Hipotezi: BRIC ve MIST Ülkeleri için Dinamik Panel Veri Analizi
Authors: PEHLİVANOĞLU Ferhat , SOLMAZ Ali Rıza
Published: November 2021

Gelişmekte olan ülkeler daha hızlı ekonomik büyüme amacıyla yeni yatırımlara yönelik cazip imkânlar oluşturmaya çalışmaktadır. Birincil amacın ekonomik büyüme olduğu bu gibi ülkelerde çevresel faktörler gelişmiş ülkelere göre arka planda kalabilmektedir. Gelişmekte olan bazı ülkeler, gelişmiş ülkelere kıyasla nispeten esnek çevre politikaları nedeniyle kirlilik yoğun endüstriler için kirlilik sığınağı haline gelmektedir. Bu çalışmada Brezilya, Rusya, Hindistan, Çin (BRIC) ve Meksika, Endonezya, Güney Kore, Türkiye (MIST) ülkeleri için kirlilik sığınağı hipotezinin geçerliliği araştırılmıştır. 1990-2015 dönemine ait kişi başı karbondioksit emisyonu, ihracat, doğrudan yabancı yatırım girişi, kişi başına gayri safi yurtiçi hasıla ve Çevre Politikası Sıkılığı Endeksi verileri arasındaki ilişki genelleştirilmiş momentler metodu kullanılarak araştırılmıştır. Çalışmada iki model kurulmuş; ilk modelin analizinde elde edilen bulgulara göre, doğrudan yabancı yatırımların ve GSYİH’nın BRIC ve MIST ülkelerinde karbondioksit emisyonunu arttırdığı ve kişi başına GSYİH’nın karesi ile karbondioksit emisyonu arasında ters yönlü bir ilişki olduğu tespit edilmiştir. İkinci modelin bulgularına göre ise çevre politikasının sıkılaşmasının doğrudan yabancı yatırım girişlerini azalttığı sonucuna ulaşılmıştır.
Desafios enfrentados por pedagogas na utilização de uma nova plataforma: aulas remotas em tempos de pandemia da COVID-19
Authors: Rossi Mayara , Braun Paula Daniella Leão , Carvalho José Wilson Pires , Miranda Anderson Fernandes de , Mello Geison Jader
Published: November 2021

Diversos foram os impactos, os estudos e as discussões a respeito dos desafios enfrentados exclusivamente por professoras que atuam nos anos iniciais do ensino fundamental em tempos de pandemia da COVID-19. Da relevância destes impactos surge a motivação para a presente pesquisa que teve como objetivo compreender e discutir as dificuldades didáticas pedagógicas encontradas pelas professoras dos anos iniciais do ensino fundamental de uma Escola Estadual Pública em Juína-MT, ao utilizar a plataforma Microsoft Teams® para ministrar aulas durante a pandemia do COVID-19, em 2020. A investigação pode ser caracterizada como um estudo de caso de abordagem qualitativa. Para a produção de dados foi utilizado questionário com perguntas abertas e observação, direcionada as professoras de 1º ao 5º ano de uma escola pública, em Juína-MT. A análise dos dados foi realizada segundo a análise de conteúdo de Laurence Bardin. Os resultados apontam que a plataforma Microsoft Teams® era desconhecida por todas as professoras envolvidas na pesquisa, surgindo então como um desafio no que tange ao desenvolvimento das aulas. Os principais desafios evidenciados pelas participantes foram: dificuldades com o manuseio da nova plataforma, rede de internet precária, escassa participação dos estudantes e falta de interesse, pouco envolvimento da família no processo escolar dos filhos, além da falta de recursos tecnológicos por parte dos alunos, mostrando grande desigualdade social de acesso. Soma-se também momento de insegurança no uso da referida plataforma devido ser algo novo para todos e muitas vezes o novo traz a insegurança manifestada nas palavras dos participantes. Portanto, durante o ano de 2020 no contexto da pandemia da COVID-19 os participantes precisaram conviver e superar desafios de natureza tecnológica, formativa e de acesso aos recursos tecnológicos essenciais ao bom andamento do ensino remoto.
Importância de tecnologia educacional para usuários submetidos a cineangiocoronariografia
Authors: Sant'Anna Rosana Moreira , Souza Vitória Meireles Felipe de , Silva Rafael Pires da , Menezes Harlon França de , Camacho Alessandra Conceição Leite Funchal , Silva Marina Sant'Anna
Published: November 2021

Objetivo: refletir sobre a importância de estratégia educativa no processo de construção de tecnologia educacional para orientação na assistência de usuários submetidos ao exame de cineangiocoronariografia. Conteúdo: entre as diversas competências da Enfermagem, a educação em saúde se mostra como prática efetiva nas diversas atribuições a ela destinada, de forma holística reconhece o assistir dentro da concepção de integralidade onde se propõe um cuidado centrado na dimensão física, mental, emocional e espiritual. As fontes principais para este estudo foram as relações estabelecidas entre doenças crônicas não transmissíveis, tecnologia educativa e processo dialógico-reflexivo em educação em saúde. Conclusão: o processo de educação em saúde requer que seja levado em conta as interpretações ou apreensões do contexto e estas envolvem as crenças, valores, experiências, classe social, religião e cultura de cada usuário. A intervenção educativa na assistência promove melhor qualidade à clientela a ser assistida, oferecendo possibilidade esclarecedora sobre o exame.
Parâmetro microbiológico de queijos produzidos e comercializados no Brasil: revisão sistemática
Authors: Oliveira Magnólia Carneiro de , Chaves Maria Juciene Lima , Lima Felipe Kairo de Sousa , Monte Antônia Lucivânia de Sousa , Mendes Luana Guabiraba
Published: November 2021

Leite e derivados são alimentos muito suscetíveis a ataques de microrganismos. Sua fiscalização no Brasil está a cargo das Inspeções Municipais, Estaduais ou Federais, sendo a verificação da qualidade higiênico-sanitária dos alimentos uma atividade de extrema importância. A contaminação microbiológica em processamento de alimentos aumenta consideravelmente o risco de doenças de origem alimentar por contaminação cruzada. Portanto, a segurança na produção, embalagem e armazenamento de queijos, pode ser avaliada através da avaliação da qualidade microbiológica. O presente artigo tem como objetivo propor uma revisão sistemática dos parâmetros microbiológicos de queijos produzidos e comercializados no Brasil, observando a qualidade microbiológica, tendo como base de dados os artigos publicados entre os meses de janeiro de 2014 e agosto de 2021 nas plataformas de busca do Google Acadêmico, Scielo e Periódicos CAPES. Diante de análises avaliadas, constatou-se que em parâmetros primários evidencia-se a direta correlação entre as boas práticas de higiene, juntamente com o manuseio correto da matéria-prima e aplicação das normas sanitárias, com uma menor carga microbiológica presente nas amostras. Com base nos trabalhos analisados, confere-se a eficiência que a implementação das práticas corretas de higiene promove na diminuição dos riscos de surtos alimentares. Ressalta-se que, mesmo a existência da flora bacteriana a presença de agentes externos patógenos se constitui como um grande problema.
Evidências científicas sobre os impactos da parentabilidade e da influência mídiática no comportamento alimentar infantil
Authors: Machado Joyce Lopes , Santos Deborah Laís Carvalho , Oliveira Tatiele Castelo de , Landim Liejy Agnes dos Santos Raposo
Published: November 2021

Introdução: As propagandas de produtos influenciam a formação de novos consumidores, utilizando-se da mobilização de suas fantasias, forjando uma sensação de felicidade ao adquirir determinado produto, se tornando fundamental no processo de convencimento dos pais, que são os encarregados pela compra.Objetivo:Analisar as evidências científicas da relação parental e da influência midiática sobre o comportamento alimentar infantil. Metodologia: Trata-se de uma de revisão narrativa da literatura, com abordagem teórica. A busca dos artigos foi realizada nas seguintes bases de dados eletrônicas: Scientific Electronic Library Online (SciELO), National Library of Medicine (PubMED) e Literatura Latino-Americana e do Caribe de Informações em Ciências da Saúde (LILACS), através dos descritores em português e inglês: “Comportamento alimentar”, “criança”, “alimentos”, devidamente cadastrados nos Descritores em Ciência da Saúde (DeCS) num recorte temporal proposto, entre os anos de 2011 a 2021. Resultados: A pesquisa foi subdividida em duas categorias que compuseram o corpo discursivo do texto: Relação parental e o comportamento alimentar em crianças e Implicações da mídia no comportamento alimentar infantil. Considerações finais: Portanto, a parentabilidade e a influência da mídia, apresentam grande impacto na vida das crianças, que estão em processo de aprendizagem e se tornam mais frágeis em relação a esses fatores.
Growth and survival dynamics of mesophotic coral juveniles in shallow reefs
Authors: Kramer N , Eyal G , Tamir R , Loya Y
Published: November 2021

As many degrading shallow reefs suffer from recruitment failure, mesophotic coral ecosystems have been suggested as a potential source of coral propagules promoting the recolonization of these reefs. However, whether mesophotic coral populations can repopulate shallower reefs is currently debatable. Here, we compared the response of corals settled on mesophotic (50 m) tiles and transplanted to the shallow reef (10 m), at a Nature Reserve and an unprotected site in the northern Gulf of Eilat/Aqaba, Red Sea. Mortality was substantially higher for the transplanted corals, as compared with their shallow counterparts living on the tiles, with over half of the transplanted juveniles dying 1 yr post-transplantation. Transplanted corals exhibited a 24% higher survivorship at the MPA site. We further explored the survival and growth rates of the 4 most common transplanted coral genera (Cyphastrea, Porites, Psammocora, and Stylophora). An inverse relationship between survival and growth was evident among the transplanted coral genera; Porites and Stylophora demonstrated similar net growth rates to those of their shallow-water counterparts but lower post-transplantation survivorship, while Cyphastrea and Psammocora showed the opposite trend. Although this study demonstrates the reduced plasticity of mesophotic coral juveniles to cope with shallow-water conditions, it nonetheless offers some potential to facilitate shallow-reef recovery.
Carrying capacity analysis of nature tourism at Selabintana, Gunung Gede Pangrango National Park, West Java
Authors: Sofiyudin Andriyatno , Rosadi Rosadi , Priatna Dolly
Published: November 2021

Selabintana management area is one of the nature tourism areas in the Gunung Gede Pangrango National Park (GGPNP) which located in Sukabumi District, West Java. Within the management area which covers 2,547.93 ha, there is a camping ground and waterfall which both are the most attracted for visitors. Efforts are needed to harmonize nature tourism activities with conservation mission, so that visitors can enjoy but the natural environment is maintained. The objective of this research is to determine the carrying capacity for daily tourism and camping activities by considering the aspect of physical, environmental and management aspects. The survey conducted through interviews and questionnaires to 62 tourists, traders and managers of the national park area. The data were analyzed using the carrying capacity assessment method developed by Cifuentes, i.e. calculating the Physical Carrying Capacity (PCC), Real Carrying Capacity (RCC), and Effective Carrying Capacity (ECC). As a result, EEC for daily tourism is 84 visitors/day  (PCC RCC ECC with a score of 3,269 98 84), while EEC for camping is 60 visitors/day (PCC RCC with a score of 2,155 69 60). Thus, carrying capacity of nature tourism activities in conservation areas can be calculated based on physical carrying capacity, real carrying capacity, and effective carrying capacity.Kawasan pengelolaan Selabintana merupakan salah satu areal wisata alam yang ada di Taman Nasional Gunung Gede Pangrango (TNGGP) yang terletak di Kabupaten Sukabumi, Jawa Barat. Di dalam areal pengelolaan yang luasnya 2.547,93 ha terdapat camping ground dan air terjun yang merupakan daya tarik utama yang bagi para pengunjung.  Diperlukan adanya upaya untuk menyelarasakan kegiatan wisata alam dengan misi konservasi, agar pengunjung  dapat menikmati  namun lingkungan alam tetap terjaga. Tujuan dari penelitian ini adalah menentukan carrying capacity untuk kegiatan wisata harian dan berkemah dengan mempertimbangkan aspek fisik, lingkungan dan manajemen. Survey dilakukan melalui interview dan kuisioner terhadap 62 wisatawan, pedagang dan pengelola kawasan taman nasional. Data dianalisis dengan metode penilaian carrying capacity yang dikembangkan oleh Cifuentes, yaitu menghitung Daya Dukung Fisik (PCC), Daya Dukung Ril (RCC), serta Daya Dukung Efektif (ECC). Sebagai hasil, EEC untuk wisata harian adalah 84 pengunjung/hari (PCC RCC ECC dengan skor 3.269 98 84), sedangkan EEC untuk berkemah adalah 60 pengunjung/hari (PCC RCC dengan skor 2.155 69 60). Jadi, carrying capacity dalam kegiatan wisata alam di dalam kawasan konservasi dapat ditentukan berdasarkan daya dukung fisik, daya dukung riil, dan daya dukung efektif.
Correlation between the willingness to compromise and effectiveness of regional regulations with green consumer behaviour
Authors: Lina Lina , Retnowati Rita , Istiadi Yossa
Published: November 2021

The objective of this study is to find the correlation between the effectiveness level of regional regulations and willingness to compromise with green consumer behaviour. This research applied use correlational surveys with 100 samples housewives in Bogor city. The data analysis technique used is multiple regression. The result of this research shows that there is a very significant positive relationship that has a local regulation permit with green consumer behaviour, with a variable contribution of 56.2%. There is a very significant positive relationship between willingness to compromise with green consumer behaviour, with the variable contribution being 38.3%. There is a very significant positive relationship between the application of local regulations and the willingness to compromise together with green consumer behaviour, with the variable contribution being 57.9%. The functional relationship between the application of local regulations and willingness to compromise with the green consumer behaviour variable fulfills the regression equation Ŷ12 = 21.866 + 0.404X1 + 0.214X2  and this relationship is significant.Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara tingkat efektivitas peraturan daerah dan kemauan berkompromi dengan perilaku konsumen hijau. Penelitian ini menggunakan metode survei korelasional dengan sampel 100 ibu rumah tangga di kota Bogor. Teknik analisis data yang digunakan adalah regresi berganda. Hasil penelitian menunjukkan bahwa terdapat hubungan positif yang sangat signifikan antara izin peraturan daerah dengan perilaku konsumen hijau, dengan kontribusi variabel sebesar 56,2%. Terdapat hubungan positif yang sangat signifikan antara kesediaan berkompromi dengan perilaku konsumen hijau, dengan kontribusi variabel sebesar 38,3%. Terdapat hubungan positif yang sangat signifikan antara penerapan peraturan daerah dengan kemauan berkompromi dengan perilaku konsumen hijau, dengan kontribusi variabel sebesar 57,9%. Hubungan fungsional antara penerapan peraturan daerah dan kemauan berkompromi dengan variabel perilaku konsumen hijau memenuhi persamaan regresi 12 = 21,866 + 0,404X1 + 0,214X2 dan hubungan ini signifikan.