bluuebunny/crossref_metadata_2025 huggingface dataset:
Universal and Specific Individual and Psychological Risk Factors for Traffic Accidents among Mentally Healthy People and People with Mental Disorders
Authors: Vasilchenko A.
Published: June 2019

The article presents the results of the research aimed to highlight the individual, psychological and cognitive risk factors of getting into a traffic accident depending on the presence of a mental disorder. 139 people aged from 18 to 59 years old (average age 30.44 years ± 9.56) were examined using a set of methods aimed at assessing the individual and typological features of self-control, individual, psychological and cognitive features of the driver's personality. Analysis of the results allowed identifying the universal individual and psychological risk factors for getting into a traffic accident. Specifically: systemic violations of self-regulation in the form of a violation of the connectedness of its stages, impulsiveness, risk-taking, physical aggression. When assessing the contribution of the parameter “guilty / not guilty in accident”, statistically significant differences in the indicators of cognitive methods were revealed. The convicted drivers were significantly distinguished by a high degree of workability, selectivity and accuracy of attention, providing a reactive response, with low processing speed of visual information and fatigue. Characteristics that significantly distinguish the convicted drivers, depending on the presence or absence of the factor “mental disorder”, were also highlighted. Mentally healthy drivers can be characterized by violations of the activation system, due to the orientation of the reward; low level of selectivity of attention, as well as high rates of dissociative driving style, which is characterized by disregard for the rules on the road; low level of planning and evaluation of the results of their own activities. Drivers with mental disorders were statistically significantly distinguished by high rates of risk-taking in the structure of self-control, low level of conscious planning, situational response conditions combined with suspiciousness, irritability, impulsiveness, and a decrease in criticality of mental activity. Characteristic features of their behavior on the road are high rates of anxious driving style, characterized by a heightened sense of alertness and tension while driving. Fatigue and difficulties in workability can be defined among the cognitive variables.
Projective Test «Congruity and Advantages»
Authors: Shamlikashvili T.A. , Haritonov S.V. , Pchelinceva D.N. , Grafsky V.P.
Published: June 2019

The article presents the results of a pilot study developed by the authors of the projective test “Congruity and Advantages”. The research aims to study the main psychometric attributes of the test. The selection included 68 subjects of both genders at the age over 18. According to the study results, from the point of view of substantive validity, determined by the Delphic method, the “Congruity and Advantages” Test allows assessing the severity of two characteristics of the subjects: 1) subject's possible preferences of behavior aimed at acquiring advantages, 2) subject's preference of behavior aimed at matching one's choice with the interests of other people and/or circumstances. Criterion validity of the test is defined as sufficiently high. On an advantage scale R Spearman = 0,77 (at р<0,0001). On a scale of congruity of their behavior with others Spearman R =0,68 (at р<0,0001). Retest reliability after the study by the methods of rank correlation indicated R Spearman = 0,83 (at р<0,005). In addition, the monitoring results of the parties' tendency to violate agreements already reached reveal a significant correlation between the indicators of the “Congruity and Advantages” Test and the number of violations of agreements reached - Spearman R = 0,69 (at р=0,0001). Thus, the “Congruity and Advantages” Test can be practical in mediation as both to predict the tendency of the parties to harmonize their actions with others or to prefer their advantages, and to predict the probability of preserving agreements already reached.
O odpowiedzialności nieletnich w warunkach określonych w art. 10 § 2 Kodeksu karnego za różne postaci współdziałania przestępnego. Część druga
Authors: Kulik Marek
Published: June 2019

The entire study is devoted to the question of the imputability of criminal responsibility to a minor acting under the conditions set out in Article 10 § 2 of the Criminal Code for acts committed in various phenomenal forms. In the second part of the study, the author justifies his own concept, referring it to the construction of a single entity, in particular using the so-called indirect agency as well as incitement and aiding. The work ends with a concise conclusion combined with a reference to the general rules of interpretation.
Independence of the Judges of the European Court of Human Rights
Authors: Krukowska-Siembida Paulina
Published: June 2019

The authority and credibility of the European Court of Human Rights depend on the independence of its judges. The aim of this article is to present the analysis of the criteria of office, the electoral procedure, the terms of office, as well as privileges and immunities of the ECtHR judges.
Síntomas Osteomusculares Y Factores Individuales Presentes En Los Trabajadores De La Bodega De En Una Empresa De La Industria Textil En Barranquilla
Authors: Plata Tania , Arrazola David Mónica , De León Alberto , Gómez Pacheco Angie , Silvera Sandoval Shirley
Published: June 2019

Introducción: El síntoma osteomuscular se puede presentar en cualquier momento de la vida ya que son algo inmanente al ser humano; sin embargo, estas molestias pueden aumentarse y permanecer por más tiempo en el individuo debido a múltiples factores individuales. Objetivo: Determinar los síntomas osteomusculares y factores individuales presentes en los trabajadores de la bodega de una empresa de industria textil en Barranquilla en el periodo comprendido de febrero a diciembre, 2017. Metodología: El método que se utilizo fue deductivo, con una población de 21 trabajadores en el año 2017. Se recolectaron datos socio-demográficos (sexo, edad y tiempo en el cargo) y factores individuales (IMC). Los síntomas osteomusculares fueron evaluados por medio de una encuesta de síntomas y factores individuales. Resultados: Se observó que el 47,6% de la población presenta sobrepeso y el 19% restante se encuentra en obesidad tipo 1, Se destaca que el 66,66% de los trabajadores encuestados, tienen problemas con su peso. la población estudio se identificó que las edades prevalentes están 85,7% representa por edad adulta, mayores de 26 años y el 14,3% son jóvenes menores a 26 años. Conclusión: A partir de lo mencionado y evidenciado anteriormente escrito se encontró que la frecuencia de los síntomas es baja y prevalece la respuesta casi nunca o nunca. Síntomas específicos como Dolor de cabeza, cuello, muñeca izquierda, abdomen, lumbar y pierna derecha, son los que más variabilidad presentan en cuanto a su frecuencia. En general los trabajadores refieren que lleven un estilo de vida saludable, no fuman, ni consumen bebidas alcohólicas, duermen más de 6 horas diarias y no tienen antecedentes de cáncer. Se observó en particular que el 57,14% consume café diariamente, mientras que el 42,86% no consume café. El 19,05% manifiesta llevar hábitos de vida sedentarios.
CÁLCULO DO DESLOCAMENTO DE UMA BARRA RÍGIDA SUSPENSA CONSTRUÍDA DE DIVERSOS MATERIAIS QUANDO UMA FORÇA É APLICADA UTILIZANDO O SCILAB
Authors: Diogenes Luciana Claudia Martins Ferreira
Published: June 2019

Em projetos de engenharia que envolvem estudo ou construção de máquinas, edificações ou outros sistemas, devem ter as suas estruturas dimensionadas e construídas de materiais resistentes para suportar as cargas que agem sobre elas. O objeto de estudo neste trabalho consiste de um sistema constituído de uma barra rígida suspensa em equilíbrio estático com dois cilindros deformáveis sob ação de um carregamento de 30 kN em um único ponto. Todo o estudo é considerado na região elástica de escoamento. Enquanto um dos cilindros tem o seu material bem definido, sendo constituído de alumínio, no outro, o material é substituído por diversas vezes para se conhecer qual material de uma lista proposta não poderia suportar tal carregamento. Com a ajuda do software Scilab, pode-se construir um código que permite substituir a propriedade dos materiais conhecida como módulo de elasticidade nos cálculos para se obter os deslocamentos provocados pela carga e, também, saber se o material tem a sua tensão dentro do limite da tensão de escoamento, na região elástica, onde os cálculos são válidos.
EFEITOS DA ESTIMULAÇÃO ELÉTRICA NEUROMUSCULAR NO MÚSCULO TRÍCEPS SURAL DE INDIVÍDUOS HEMIPARÉTICOS CRÔNICOS
Authors: Silva Cibele Cristina Andrade , Czegelski Liara de Oliveira , Mendes Izabela Lopes , Neves Marcele Florêncio das , Prado Pamela Lisboa do , Lima Fernanda Pupio Silva , Lima Mario Oliveira , Freitas Sergio Takeshi Tatsukawa de
Published: June 2019

A estimulação Elétrica Neuromuscular (EENM) tem sido utilizada como recurso terapêutico para ganho de força muscular e diminuição da hipertonia espástica. O objetivo do estudo foi verificar os efeitos da EENM aplicado no músculo gastrocnêmio medial dos indivíduos com hemiparesia espástica após AVE e verificar se a EENM promove inibição recíproca. Foi realizado um estudo experimental em seis indivíduos hemiparéticos espásticos após AVE, em que foi aplicado a EENM no músculo gastrocnêmio medial do lado parético. Utilizou a eletromiografia de superfície para obtenção da atividade elétrica do músculo tibial anterior e gastrocnêmio medial durante o movimento de dorsiflexão e flexão plantar do tornozelo. Para a verificação de existência de diferenças estatísticas entre as médias dos dados, utilizou-se a análise de variância – Anova. Os resultados indicam que a EENM aplicado no músculo gastrocnêmio medial pode promover inibição recíproca no movimento de flexão plantar (p=0,005); no entanto, durante o movimento de dorsiflexão, a maioria dos pacientes não apresentou inibição recíproca significativa (p>0,005). Em relação à atividade mioelétrica, o músculo gastrocnêmio medial e tibial anterior foi menor para a maioria dos pacientes. Conclui-se que a EENM quando aplicado no músculo gastrocnêmio medial associado ao alongamento passivo por meio de inibição autógena, pode estimular a inibição recíproca da articulação do tornozelo do membro comprometido, assim como promover a diminuição da atividade mioelétrica do músculo gastrocnêmio medial.
AVALIAÇÃO DO CONSUMO DE PRODUTOS NATURAIS POR USUÁRIOS DE ESTRATÉGIAS DE SAÚDE DA FAMÍLIA DO MUNICÍPIO DE RONDONÓPOLIS – MT
Authors: De Lara Ana Caroline , Oliveira Cristiane Melo , Mendes Vanessa Alves , Stocco Patrícia , Hein Milene Moreno Ferro , Lisboa Helen Cristina Fávero
Published: June 2019

A utilização de plantas em práticas populares é conhecida desde a pré-história, e, atualmente, tem sido denominada como medicina complementar de saúde. Na última década, foi observado um aumento no uso de práticas terapêuticas alternativas apoiadas por políticas no âmbito do Sistema Único de Saúde (SUS); em particular, o uso de plantas medicinais e de fitoterápicos.  Neste contexto, o presente trabalho teve como objetivo avaliar o consumo de plantas medicinais e fitoterápicos por usuários cadastrados nas Estratégias de Saúde da Família do município de Rondonópolis, MT. Trata-se de uma pesquisa de caráter quantitativo, com delineamento transversal, exploratória, não experimental em que foram realizadas entrevistas por meio de questionários. Do total de 71 pessoas entrevistadas, 63% não sabem a diferença entre fitoterápicos e plantas medicinais, 58% conhecem as diferentes formas de uso das plantas, 45% utilizam o chá e a parte da planta preferida pelos consumidores são as folhas (59%).  Aproximadamente 44% não realizaram nenhum tipo de consulta antes do consumo e 48 pessoas fizeram uso concomitante aos medicamentos sintéticos. Considerando os resultados obtidos, verifica-se que pode haver aumento dos riscos de intoxicação e reações adversas e demonstram a necessidade de orientação correta e precisa a respeito do uso dos produtos naturais.
ANÁLISE DA QUALIDADE DE CARDÁPIOS MENSAIS E DA SATISFAÇÃO DOS CLIENTES DE UMA UNIDADE DE ALIMENTAÇÃO E NUTRIÇÃO HOSPITALAR
Authors: Vieira Maria Carolina Henrique , Spinelli Mônica Glória Neumann
Published: June 2019

Introdução: O cardápio oferecido por uma UAN deve apresentar variedade nos alimentos selecionados, nas combinações e nas preparações. O objetivo do presente estudo foi analisar a qualidade do cardápio mensal e a satisfação dos clientes de uma UAN hospitalar. Materiais e métodos: O estudo foi realizado em uma UAN de um hospital público da cidade de Jundiaí. Foram solicitados os cardápios dos meses de fevereiro e março de 2015 para a análise qualitativa por meio do método AQPC. Ficaram à disposição os questionários elaborados pelo hospital no refeitório para a pesquisa de satisfação do cliente. Resultados e discussão: Por meio da aplicação do método AQPC, os cardápios apresentaram verduras e legumes todos os dias, porém teve-se alto fornecimento de doces, como sobremesa (66,1%), em detrimento das frutas (33,89%). Carnes gordurosas e frituras foram oferecidas em 32,2% dos dias e teve-se fornecimento diário de sucos industrializados, fatores prejudiciais à saúde dos funcionários. Quanto à pesquisa de satisfação, teve-se 66,34% de satisfação entre os funcionários que participaram e os três principais motivos de insatisfação foram excesso de sal, falta de tempero e presença de sucos industrializados. Conclusão: A aplicação do método AQPC e a percepção dos clientes em relação às refeições oferecidas são boas maneiras de fornecer informações essenciais para a melhoria do serviço e produtos oferecidos em uma UAN.
The Nephrological Aspects of the Use of Rivaroxaban and Other Direct Peroral Anticoagulants in Non-Valvular Atrial Fibrillation
Authors: Batiushin M. M.
Published: June 2019

Chronic kidney disease (CKD) is a powerful cardiovascular risk factor, its presence is accompanied by an increased risk of hospitalization for exacerbation of chronic heart failure (CHF), adverse outcomes in myocardial infarction, and cardiovascular mortality. Among the adverse events, an increased risk of atrial fibrillation (AF) should be noted. This article contains discussion of current approaches to the treatment of AF in patients with different stages of CKD, data on benefits of certain direct oral anticoagulants, as well as comparative characteristics of therapy with direct oral anticoagulants and warfarin. Pharmacokinetics and pharmacodynamics of direct oral anticoagulants, which determine the features of therapy in CKD, are also considered.
Study on cartridge based nucleic acid amplification test in children with Neurotuberculosis at RNT Medical College, Udaipur, Rajasthan, India
Authors: Bala Shashi , Goyal Suresh
Published: June 2019

Background: The aim was to determine utility of Cartridge based nucleic acid amplification test (CBNAAT) in diagnosis of mycobacterium tuberculosis in children with neurotuberculosis diagnosed on the basis of clinical evaluation, CSF findings and neuroimaging.Methods: A prospective randomized controlled trial was conducted in Pediatric Department of RNT Medical College, Udaipur, Rajasthan, India from July 2017 to June 2018. Total 110 children of age group of 6 months to 18 years with the diagnosis of tubercular meningoencephalitis (TBME) on the basis of clinical evaluation, CSF examination and neuroimaging were included in the study.Results: A total 110 children were enrolled. Maximum number of cases admitted with TBME were among 1-5 years of age group (60.91%). CSF and gastric aspirate were examined by CBNAAT for MTB. 5 (4.55%) children had CBNAAT positivity in CSF. Gastric aspirate was positive among 16 (14.55%) children. None of the patient had CBNAAT positive result both in CSF and gastric aspirate.Conclusions: TBME is a major health problem in children below 5 years. Gene Xpert assay has the potential to significantly improve and escalate the diagnosis of smear-negative body fluid specimens. CBNAAT for mycobacterium tuberculosis was positive in 5 (4.55%) children from CSF and 16 (14.55%) from gastric aspirate. Negative CBNAAT should not prevent any patient with suspected features of TBME from starting anti tubercular treatment (ATT) as sensitivity of this test remains low. Final judgement to start ATT should be based on clinical, biochemical and radiological profile especially in CNS tuberculosis.
Study on etiological organisms in a suspected case of sepsis in the children admitted to paediatric intensive care unit
Authors: M. Chaitra K. , H. Anil , P. Varshini , Agrawal Avinash , Talewad Shruti L.
Published: June 2019

Background: Identifying common etiological organisms among cases of suspected sepsis and their sensitivity pattern for common antibiotics will help in initiating appropriate therapy. Finding association of positive culture with other markers of infection like total leucocyte count, haemoglobin, C-reactive protein.Methods: Descriptive and an observational study conducted in Kempegowda Institute of Medical Sciences, hospital paediatric intensive care unit, Bangalore, Karnataka, India. Data was collected prospectively. Duration of study was for 1 year from February 2018 to February 2019.Results: During the study, 52 cases admitted to paediatric intensive care unit were suspected to have sepsis and 91 samples were sent for culture. Out of these, 46 were blood, 34 were of urine and 11 others (pleural, CSF, ET). Among these samples tested 26% (18) of blood, 23.5% (8) of urine and 45.45% (5) of other samples showed organisms.Conclusions: In this study, author were able to know the common etiological agent involved in sepsis. Author were able to identify the antibiotic sensitivity patterns among various organism which provide valid data for initiation of appropriate treatment.
Outcome and clinical efficacy of bleomycin and doxycycline percutaneous sclerotherapy for treatment of paediatric lymphatic malformations in a limited resource setting
Authors: . Rashi , Basu Kalyani Saha , Ganguly Sankha Subhra , Saha Kaushik , Ahmad Shamshad
Published: June 2019

Background: The aim was to study the role of bleomycin and doxycycline as a cheap and readily available sclero-therapeutic agent in the treatment of lymphatic malformations in paediatric populations of poor resource setting.Methods: It was a longitudinal study. A total of 23 paediatric cases with distinct types of lymphatic malformations were treated with injection sclerotherapy. Bleomycin and doxycycline used for microcystic and macrocystic lesion type respectively. The patient was followed up to complete remission. The level of evidence was Level II and type of evidence was prognosis study.Results: Commonest site of lesion was neck (78.3%), followed by cheeck (8.7%), chest, shoulder and suprapubic region. Only 21.7% of patients had good reduction (50-89%) in their lesion volume on first follow up. Overall 43.4% of patients showed a reasonable reduction in lesion volume during the follow-up period. Almost 3/4th of patients improved symptomatically on the first follow up visit. Macrocystic lesion showed an excellent response to treatment (50-89% volume reduction) in 33.3% of cases while only 16.7% of microcystic ad 12.5% of the mixed lesion showed a similar response to treatment.Conclusions: Doxycycline sclerotherapy can be a primary treatment modality in macrocystic and mixed macrocystic lesions. It is inexpensive and widely available and has minimal side effects. In contrast, bleomycine as a sclero-therapeutic agent showed an inadequate response in size reduction of microcystic lesions.
A retrospective longitudinal study on the effect of ultra short course of steroid therapy on clinical and hematologic parameters of secondary hemophagocytic lymphohistiocytosis in children
Authors: Muduli Jayant K. , Mitra Meenakshi , Ray Swapan K.
Published: June 2019

Background: The aim was to study the effect of ultra-short course of injectable steroid followed by oral steroid therapy for cumulative 14 days on clinical and hematologic parameters of secondary hemophagocytic lymphohistiocytosis in children.Method: A retrospective longitudinal study was conducted by collecting data from case records. Cases diagnosed with secondary hemophagocytic lymphohistiocytosis had been included. The cases with malignancy were excluded. Remaining cases had been given injectable methyprednisolone (30 mg/kg/day) for three days followed by oral prednisolone (1 mg/kg/day) for 11 days. The time  to cessation of fever and organomegaly were noted. The changes in mean hematologic parameters, ferritin and triglycerides were noted at the time of suspicion of HLH or MAS, after therapy and on follow up.Results: About 96% of children were afebrile within five days of therapy. There was regression of hepatospleenomegaly in all 100% surviving children by day seven of therapy. Improvement in hemoglobin (mean value 8.1 mg/dl to 8.7 mg/dl) and platelet count (mean value 0.89 lakh to 1.47 lakh) was seen by day seven of therapy. Fall in serum ferritn (mean value 1419 ng/ml to 298 ng/ml) and serum triglycerides (mean value 307 mg/dl to 176 mg/dl) was seen at one-month follow-up. 96% survival was observed. None of the survivors had any recurrence at 6 months follow up.Conclusion: Ultra short course of injectable methyprednisolone for 3 days followed by oral prednisolone for 11 days was successful in 95% survival in our study. This cost-effective regimen, with use of less toxic drugs leading to a shorter hospital stay maybe helpful in resource limited settings.
An observational study on anaemia in children admitted to a tertiary teaching hospital with first episode of febrile seizures
Authors: Pradhan Ashish , Choudhury Prerna
Published: June 2019

Background: The association between anaemia and iron deficiency anaemia with febrile seizures is still not very well understood. The purpose of this study was to describe the occurrence of anaemia in children admitted with first episode of febrile seizures.Methods: This was a hospital based prospective study conducted at Central Referral Hospital, Gangtok, Sikkim, India from December 2012 to May 2014 on 50 children in the age group of 6 to 60 months admitted with first episode of febrile seizures. Detailed history and physical examination were performed and findings recorded and complete blood count, serum electrolytes and random blood sugar were done in all children. Mentzer Index was calculated from the haematological data.Results: The mean age in this study was 24.88±13.22 months. 74% of the cases were males. Twenty-eight children (56%) had anaemia out of which twenty-seven had Iron deficiency anaemia. The statistical analysis of qualitative data using Chi-square test with Yate’s correction revealed no statistically significant difference between number of children with anaemia and no anaemia (p value=0.1493) and also between number of children with Iron deficiency anaemia and children with no Iron deficiency anaemia (p value=0.4478).Conclusions: This study did not reveal a higher occurrence of anaemia as well as iron deficiency anaemia in children admitted with first episode of febrile seizures.
Parental perception of quality of life in children following cardiac surgery
Authors: Pilankar Neha N. , Jiandani Mariya Prakash , Mehta Amita Anil , Kulkarni D. V.
Published: June 2019

Background: Congenital heart disease (CHD) is one of the major causes of mortality in the pediatric population of both the developing and developed countries. Along with medical and surgical treatment, access to quality care is equally essential in children operated with CHD. This study aims at assessing how the parents perceive quality of life in the child post-operatively and the impact on family.Methods: About 185 parents of children operated for CHD were interviewed using Pediatric Quality of Life Inventory™ 3.0 Cardiac, Paediatric Quality of Life Inventory™ (PedsQL™) Family Impact Module scale and Participation Measure using International Classification of Functioning, Disability and Health-Child Youth by World Health Organization-2007 (ICF-CY) after three months of surgery.Results: CHD was found to be more common among males (57.8%) with commonest surgery being ventricular septal defect (36.8%) followed by tetralogy of fallot and others. Overall 44.8% parents perceived their child had problem following surgery, cognition being the most affected domain. Problems in communication were perceived by 47.6% parents and were worried about the future. Using ICF-CY, 55.1% perceived complains of mild difficulty in mobility and moderate difficulty in self-care and schooling for the child.Conclusions: The overall quality of life of children operated for congenital heart disease was perceived as not affected by parents except for cognitive problems. Parental worry and communication were the most affected domains. As far as schooling and self-care is concerned there was moderate difficulty. There is need for parental counselling and rehabilitation to function for children operated for cardiac surgery post operatively.
Double surface light emitting diode phototherapy versus double surface compact florescent light phototherapy in neonatal non-haemolytic hyperbilirubinemia: a randomized controlled trial
Authors: Lohiya Sham B. , Jindal Tarsem
Published: June 2019

Background: The aim of the study was to evaluate whether light-emitting diode (LED) phototherapy is as efficacious as compact fluorescent tube (CFT) phototherapy for the treatment of non-hemolytic jaundice in healthy term and late preterm neonates.Methods: Study design was open label randomized controlled trial conducted at tertiary care NICU. Healthy term and late preterm neonates with non-haemolytic jaundice included in the present study. Intervention was double-surface LED or CFT phototherapy. Primary outcome variable was duration of phototherapy.Results: A total of 60 neonates were randomized to receive LED (n=30) or CFT (n=30) phototherapy. The baseline demographic and biochemical variables were similar in the two groups. The median duration of phototherapy (Mean±SD) in the two groups was comparable (26.7±7.0) h vs (24.8±6.05) h, P=0.0.241). The rate of fall of serum total bilirubin (STB) during phototherapy in initial 6 hours was significantly more LED group (n=30), 3.43±0.65 versus (n=30) 2.22±0.55 with P-value of <0.001.Conclusions: LED and CFT phototherapy units were equally efficacious in the management of non-haemolytic hyperbilirubinemia in healthy term and late-preterm neonates.  Side effects were rare, comparable in the two groups and included only rash.
Knowledge, attitude and practice regarding diarrhoea and its prevention and the use of oral rehydration therapy among mothers of children under the age of five visiting a tertiary care hospital in Mangalore, India
Authors: N. Radhika Renjith , Saldanha Prakash , S. Sahana K.
Published: June 2019

Background: Diarrheal diseases remain the second most leading cause of mortality and morbidity next to pneumonia among under-five mortality globally, contributing to 1/5th of child deaths.Methods: Cross sectional hospital based questionnaire study conducted among 200 mothers of children within the age group of 6-60 months with diarrhoea attending the paediatric outdoor or treated in the paediatric indoor (OPD) at YMCH hospital using personal interview method. Filled up questionnaires was collected and was attached along with the filled up proforma.Results: Of 200 mothers, 24.3% knew the correct meaning of diarrhoea, with 73.8% of them not knowing the correct cause of diarrhoea. Only 44.3% knew that it could be prevented. Majority 88.7% did not know to look for signs of dehydration. Less than half of the mothers had only heard of ORT. By using c2-test, preparation ORS was found to be associated with the mother’s education (p=0.04) proving that knowledge is better among those mothers with formal education. No association was found between ORS preparation and age of the mother (p=0.229), religion (p=0.342), and gender of the child (p=0.061).Conclusions: The findings of this research indicate that only 73.8% of the mothers had knowledge regarding the cause of the diarrhoea and less than half 11.3% has only heard and used ORT properly.
Study of sexual maturity rating among female adolescents who have attained menarche
Authors: S. Srinivasa , A. R. Nisar Ahamed , S. Bhavya
Published: June 2019

Background: Adolescence is an important stage in the growth and development of girls. There has been a change in sectorial trend in the onset of puberty menarche. Thus, this study is designed to study the change in sectorial trend. In this background the study has been framed with these objectives, to correlate the attainment of menarche among the subjects in relation to their mothers and to study the sexual maturity rating among the study subjects.Methods: This is a cross sectional observation study involving 70 female adolescent girls. Data was collected from study subjects admitted in the department of Pediatrics, KIMS Hospital and those visiting KIMS OPD during September 2018 to February 2019. Study Subjects were examined by the female investigator and data on anthropometry, Tanner SMR staging, and other examination findings were collected using a pretested standardized questionnaire, after taking the consent. Subjects were divided based on the age into six groups.Results: The mean age of attainment of menarche is 12.36 years and mean age at menarche in mothers was 14.18 years. In this study the earliest age of attainment of menarche is 10 years. In our study most of the subjects attained menarche between 12-13 years, which is earlier than the age of attainment of menarche in the mothers which was 14-15 years. All the subjects who attained menarche were in SMR Breast stages 3, 4 and 5 and pubic hair stages 2, 3, 4 and 5.Conclusions: There is a positive correlation between the ages of attainment of menarche in the mothers and the subjects in this study it is found that there is a positive correlation between age, weight, height and SMR Stages.
Clinical and aetiological profile of Pneumonia in age group between 1 month to 1 year: a hospital based prospective study
Authors: Polepalli Vamsee Krishna , Banda Naveen Kumar , Sarma Y. Venu Gopal , Krishna K. V. Siva Rama , Bindu M. Hima
Published: June 2019

Background: Pneumonia is one of the leading causes of morbidity and mortality in children under five years of age across the world. The present study was designed to clinically evaluate the children of age 1 month to 1 year with pneumonia, correlate it with bacteriological, radiological findings and to study the risk factors.Methods: Clinical, bacteriological, radiological features and risk factors of community acquired pneumonia in children of age group 1 month to 1 year were noted and analysed.Results: As per WHO ARI control programme, 72% had pneumonia, 25.3 % had severe pneumonia and 2.6% had very severe pneumonia. Bacterial pneumonia was detected radiologically in 4.6% and viral pneumonia in 88.6% of cases. Chest X-ray was normal in 6.6% of cases. Tachypnoea, chest retractions, crepitations alone and crepitations with rhonchi correlated well with positive radiological findings. Inappropriate immunization for age, lack of breast feeding, preterm birth, smoking in family were significant risk factors for severe Pneumonia. 39.3% had leucocytosis and 24% had positive CRP. Culture was positive in 23 cases (15.3% culture positivity).Conclusions: Radiologically confirmed Pneumonia should be treated with antibiotics because, in clinical practice, it is virtually impossible to distinguish exclusively between viral pneumonia and bacterial pneumonia. As the viruses are most common causative agents of Pneumonia in 1 month to 1 year, PCR kits should be used to identify viral etiological agents. Early and exclusive breast feeding should be promoted to decrease the risk of pneumonia.
A case of diabetic fetopathy: caudal regression syndrome and associated anomalies
Authors: Pal Somnath , Sardar Syamal Kumar
Published: June 2019

Uncontrolled periconceptional diabetes in mother  can give rise to severe malformation in the offspring. Author describe a case of  diabetic fetopathy  presenting as a case of  Caudal regression syndrome along with cardiovascular, gastrointestinal and genitourinary anomaly. Though most cases of Caudal regression syndrome are sporadic, it is the most specific lesion of diabetic fetopathy. Clinical presentation varies depending on the severity of the neurological lesion along with the presence of other anomalies, most commonly genitourinary malformation. The index case described here had a type IV lumbosacral agenesis with severe bilateral motor and sensory deficits along with D-Transposition of great arteries and Pyloric atresia. Such cases arise due to inadequate prenatal care of diabetic mother, which is not uncommon in developing country like India.
Ketogenic diet: a promising alternative nonpharmacology treatment for pediatric epilepsy
Authors: Kurnia Bella
Published: June 2019

Epilepsy is a syndrome of brain dysfunction induced by the aberrant excitability of certain neurons. Despite advances in surgical technique and anti-epileptic drug in recent years, recurrent epileptic seizures remain intractable and lead to a serious morbidity in the world. The ketogenic diet (KD) is a nonpharmacologic treatment that has been used for refractory epilepsy since 1921. The KD is a high-fat, low-carbohydrate, and restricted protein diet, which is calculated and weighed for each individual patient. The goal of the KD treatment is to bring the brain into a state of ketosis to control seizures. Many studies have shown that ketogenic diet was very useful in controlling refractory epilepsy.
Quintais Domésticos e sua Importância na Preservação da Fauna Sinantrópica em Municípios Fluminenses
Authors: Rios Manuellem De Freitas , Mendes Marcos Pires
Published: June 2019

Em ambientes que sofrem degradação ambiental, os animais sinantrópicos, ou que vivem nas cidades, costumam encontrar alimento e moradia em quintais domésticos, que têm sido escassos, mas possuem diversas contribuições para o equilíbrio ecológico. Este estudo objetiva identificar a presença de animais da fauna sinantrópica em quintais urbanos, verificando se existe associação entre a diversidade florística e faunística. Foram realizadas visitas de campo e entrevistas, levantando relatos de animais sinantrópicos. Foram encontradas trinta (30) espécies de animais, com destaque para insetos e aves, influência da permeabilidade dos quintais, espécies que não foram encontradas e incompreensão da população quanto à importância da fauna sinantrópica.
Avaliação da Eficiência das Unidades de Tratamento Simplificado da Água na Região Serrana do Município de Macaé
Authors: Gouvea Patricia Silva Toledo Carvalho , Paes Ferreira Maria Inês
Published: June 2019

Associada ao aumento da poluição dos corpos hídricos, a crescente demanda por água coloca em risco a saúde de seus usuários. Segundo a Organização Mundial de Saúde (OMS), 80% das doenças provêm de água contaminada. Na região serrana do município de Macaé, em 2002, houve ocorrência de doenças de veiculação hídrica (hepatite). Assim, neste trabalho são avaliadas as técnicas de tratamentos da água empregadas e a qualidade da água captada e distribuída para abastecimento público das regiões Bicuda Grande, Óleo e Frade, que possuem sistemas de tratamento simplificado, com vistas a propor alternativas que minimizem os riscos à saúde da população.
Komparasi Pengaruh Langsung dan Tidak Langsung Merek dan Kualitas Produk terhadap Kepercayaan Konsumen dan Loyalitas Pelanggan Produk Tas Elizabeth di Wilayah Kota Jember
Authors: Sari Evrylia Tri Purnama , Suroso Imam , Indraningrat Ketut
Published: June 2019

This study aimed to compare the direct and indirect influence between the brand, the quality of product to consumer confidence and customer loyalty in a bag branded products in the Elizabeth City area is categorized as research Jember.Penelitian explanation (explanatory research). The population in this study quantified by means of indicator multiplied by 15 parameters so that the sample n = 7 × 15 = 105, with a purposive sampling bag subscribers Elizabeth City Regional Jember. Data were collected using a questionnaire while the data analysis by SEM. The results of this study showed that the direct influence of brand on customer loyalty by 0.267 while not directly influence brand loyalty of 0.443 customers through customer confidence. Quality direct influence on customer loyalty by 1.022 while not directly influence the quality of the loyalty of 0.049 through trust. The conclusion in that brand and product quality influence on customer trust and customer loyalty Elizabeth bag products in the city of Jember. Companies need to pay attention to the quality of the product to increase the trust and loyalty of customers. Keywords: Quality Product, Brand, Trust, Loyalty
Pengaruh Pengembangan Karier dan Penilaian Kinerja terhadap Kepuasan Kerja Melalui Komitmen Kerja Karyawan Koperasi Agrobisnis Tarutama Nusantara Jember
Authors: Syaharudin M. , Syah Haikal Auzan , Nurhardjo Budi
Published: June 2019

The articles in this research aims to know the influence of career development and performance assessment against job satisfaction through a work  commitment. The study categorized as  research description (explanatory research).This research is done in cooperative Agribusiness Tarutama Nusantara Jember. The population in this research is the employees remain in the Cooperative Agribusiness Tarutama Nusantara Jember as much as 159 employees. Large samples in this study using multivariate statistics 115 IE rules sample. Data were collected using a questionnaire. Data analysis in this study includes test instruments, test the classical assumptions, test , and an analysis of the Path. The results of the research there is a partial influence and simultaneous development of performance assessment and career I to wards job satisfaction through employee commitment. This suggests that the performance appraisal,job satisfaction and commitment of work has a positive influence to wards the development of a career.

Keywords: Employee Performance, Work Environment, Motivation Work, Work Experience
Engineering Synthetic Microbial Communities through Selective Biofilm Cultivation Device for the Production of Fermented Beverages
Authors: Ly Sokny , BAJOUL KAKAHI F , Phat C , Mith Hasika , Fifani Barbara , Kenne Thierry , Fauconnier Marie-Laure , Delvigne Frank
Published: June 2019

used traditional microbial starters revealed that effective fermentation requires three microbial strains with complementary metabolic activities: filamentous fungi (Rhizopus oryzae), yeast (Saccharomyces cerevisiae), and lactic acid bacteria (Lactobacillus plantarum). Relative to natural communities, modulation of the ratio of these three microorganisms led to significant differences not only in terms of ethanol and organic acid production, but also with the profile of volatile compounds. However, inoculation of an equal ratio of spores/cells of the three aforementioned microbial strains led to a flavor profile and ethanol yield similar to that obtained with natural communities. Compartmentalization of metabolic tasks through the use of a biofilm cultivation device allowed further improvement of the entire fermentation process, notably by increasing the amount of key components of the aroma profile of the fermented beverage (i.e., mainly phenylethyl alcohol, isobutyl alcohol, isoamyl alcohol, and 2-methyl-butanol) and reducing the amount of off-flavor compound. This study represents an initial step toward understanding interkingdom microbial interactions with a strong potential for application in the food biotechnology.
Walkable Urban Environments: An Ergonomic Approach of Evaluation
Authors: Appolloni Letizia , Giretti Alberto , D'Alessandro Daniela
Published: June 2019

Background: The World Health Organization (WHO) stresses the need to create active environments, able to promote physical activity of people, according to their ability. Objective; This paper describes a new tool curried out to meaasure the relationship between the characteristics of urban space and its salutogenicity, intended as its ability to address population toward healthy lifestyles. Salutogenity has been read in terms of ergonomics of urban space. Method: The tool includes a set of 67 parameters, classified in needs, requirements and performance. It focuses on three requirements: usability, wellbeing and safety. The related performances are measured by a set of 29 indicators, divided in 5 categories (natural elements, built environment, mobility, urban furniture and perceived environment). To calibrate the tool, it was applied to 10 neighborhoods of Rieti city. To take into account the relationship between the variables, a causal network (Bayesian network) was applied. Findings: The average value of ergonomics of Rieti city, obtained applying the discrete bayesian model is 44.25%. Using the network, it is evident that by intervening on one node, the information requested expands to all the other nodes to which it is connected directly or indirectly, showing all the possible related factors. Conclusions: By using the tool and the discrete bayesian network it was possible to focus on the realities requiring analysis and to indicate the areas where the first interventions would be useful to increase the value of the analyzed nodes and, consequently, to improve the urban salutogenicity.
Effects of Breast Cancer and Type 2 Diabetes Mellitus on Pulmonary Volumes and Pressures in Adult Women
Authors: Muñoz Cofré Rodrigo , del Sol Mariano , Palma Rozas Gonzalo , Valverde Ampai Washington , Conei Valencia Daniel , Marzuca-Nassr Gabriel Nasri , Medina González Paul , Escobar Cabello Máximo
Published: June 2019

Background and Objective: Type 2 diabetes mellitus (DM2) and breast cancer (BC) are diseases of high prevalence worldwide. Both alter lung function separately. So suffering both tables would increase this decrease in lung function. The objetive was to determine the effects of DM2 and BC on ventilation volumes and pressures in adult women. Material and Methods: Forty-two women patients were recruited, of whom 40 were accepted under the exclusion criteria. They were divided into four groups: control group (CG), DM2, BC and DM2+BC. Body plethysmography was used to measure forced vital capacity, lung volumes, airway resistance and muscle pressures. Finally the normality of the data was determined using Student's t test or the Mann-Whitney U test; the threshold of significance was p<0.05. Results: No significant differences were observed in the anthropometric variables between the control group and the other groups. The ventilation flows showed no significant differences, while the lung volumes presented significant differences in the inspiratory capacity (IC) variables (p<0,002). Maximum inspiratory and expiratory pressures (MIP-MEP) also presented significant diminution (p<0,001; p<0,041, respectively). Conclusions: From the results obtained we can conclude that the combination of type 2 diabetes mellitus with breast cancer caused a diminution in ventilation volumes and pressures, specifically in IC, MIP and MEP.
Effects of Colloidal Silica with Various Particle Sizes on Thermally Expandable Microspheres for Wallpaper Production
Authors: Kim Jae-Chun , Chan Won-Jong , Jo Kang-Jin , Sim Yun-Soo , Kim Ji-Hoo , Moon Myung-Jun
Published: June 2019

This study was conducted to improve the white index (WI) by preparing thermally expandable microspheres (TEMs) for wallpaper. The thermal properties, foam expansion ratio and WI were studied depending on the particle size of colloidal silica in the preparation of TEMs. As a result, the TEMs with small particles of colloidal silica showed the best results for whiteness and yellowing. Additionally, TGA results indicated that it was highly possible that colloidal silica with small particle sizes was physically or chemically attached to the surface of the TEMs that led to an improvement in whiteness at high temperatures.
Lenvatinib as an Initial Treatment in Patients with Intermediate-stage Hepatocellular Carcinoma Beyond up-to-seven Criteria and Child-Pugh A Liver Function: A Proof-of-Concept Study
Authors: Kudo Masatoshi , Ueshima Kazuomi , Chan Stephan , Minami Tomohiro , Chishina Hirokazu , Aoki Tomoko , Takita Masahiro , Hagiwara Satoru , Minami Yasunori , Ida Hiroshi , Takenaka Mamoru , Sakurai Toshiharu , Watanabe Tomohiro , Morita Masahiro , Ogawa Chikara , Wada Yoshiyuki , Ikeda Masafumi , Ishii Hiroshi , Izumi Namiki , Nishida Naoshi
Published: June 2019

Background: Although transcatheter arterial chemoembolisation (TACE) is the standard of care for intermediate-stage hepatocellular carcinoma (HCC), this is a largely heterogeneous disease that includes a subgroup of patients who do not benefit from TACE. The treatment strategy for this subgroup of patients currently remains an unmet need in clinical practice. Here, we performed a proof-of-concept study that lenvatinib may be more favourable treatment option over TACE as an initial treatment in intermediate-stage HCC patients with large or multinodular tumours exceeding the up-to-seven criteria. Methods: This proof-of-concept study included 642 consecutive patients with HCC initially treated with lenvatinib or conventional TACE (cTACE) between January 2006 and December 2018. Of these patients, 176 who received lenvatinib or cTACE as an initial treatment and met the eligibility criteria [unresectable, beyond the up-to-seven criteria, no prior TACE/systemic therapy, no vascular invasion, no extrahepatic spread and Child-Pugh A liver function] were selected for the study. Propensity score matching was used to adjust for patient demographics. Results: After propensity-score matching, outcome of 30 patients prospectively treated with lenvatinib (14 in clinical trials, 1 in early access program and 15 in real world setting) and 60 patients treated with cTACE as the initial treatment was compared. The change of ALBI score from baseline to the end of treatment were -2.61 to -2.61 for 30 patients in lenvatinib group (p = 0.254) and -2.66 to -2.09 in cTACE group (p < 0.01), respectively. The lenvatinib group showed a significantly higher objective response rate (73.3% vs. 33.3%; p < 0.001) and significantly longer median progression-free survival than the cTACE group (16.0 vs. 3.0 months; p < 0.001). Overall survival was significantly longer in the lenvatinib group than in the cTACE group (37.9 vs. 21.3 months; hazard ratio: 0.48, p < 0.01). Conclusion: In patients with large or multinodular intermediate-stage HCC exceeding the up-to-seven criteria with Child-Pugh A liver function, who usually do not benefit from TACE, lenvatinib provides more favorable outcome than TACE.