bluuebunny/crossref_metadata_2025 huggingface dataset:
Impact of the Antimicrobial Stewardship Mandate on Multidrug-Resistant Organisms and Clostridioides difficile Infection Among Long-term Care Facility Residents
Authors: Chahine Elias B. , Cook Ryan O. , Carrion Tanya , Sarkissian Robert J.
Published: July 2022

Objective To determine whether the long-term care facility (LTCF) Centers for Medicare & Medicaid Services (CMS) Antimicrobial Stewardship (AMS) mandate was associated with a change in the combined rate of LTCF-acquired multidrug-resistant organism infection or colonization
(MDRO-I/C) and Clostridioides difficile infection (CDI). Design Retrospective quasi-experimental study. Setting A 233-bed community hospital. Participants LTCF residents 75 years of age and older with MDRO-I/C or CDI admitted
to the hospital before the AMS mandate in 2015 through 2016 or after the mandate in 2018 through 2019. Intervention LTCF CMS AMS mandate. Main Outcomes Measures Rates of LTCF-acquired MDRO-I/C and CDI. MDRO-I/C were defined by a culture positive for
methicillin-resistant Staphylococcus aureus or extended-spectrum beta-lactamase-producing Enterobacterales. CDI was defined by a positive test for C. difficile using a multistep algorithm of toxin, glutamate dehydrogenase, and nucleic acid amplification tests. These specimens
must have been collected within 48 hours of hospital admission. Results There were 33 residents with either LTCF-acquired MDRO-I/C or CDI out of a total of 205 hospitalized residents with MDRO-I/C or CDI in 2015 and 2016, resulting in a rate of 16.10%. In comparison, there
were 38 residents with either LTCF-acquired MDRO-I/C or CDI out of a total of 253 hospitalized residents with MDRO-I/C or CDI in 2018 and 2019 resulting in a rate of 15.02%. The difference in the combined rate of LTCF-acquired MDRO-I/C and CDI was -1.08% (P = 0.75). Conclusion
The AMS mandate was not associated with a significant change in the combined rate of LTCF-acquired MDRO-I/C and CDI, suggesting a need for more robust AMS programs in LTCFs.
Evaluation of Diabetes Mellitus Type 2 Control in Home-Based Primary Care Patients Managed by Clinical Pharmacy Specialists
Authors: Starikova Svetlana , Castelvecchi Ashley , Corboy Alexander
Published: July 2022

Purpose To evaluate the impact of pharmacist-led diabetes care in a Home-Based Primary Care (HBPC) setting. Methods This was a single-center, retrospective, cohort chart review in HBPC veterans with diabetes mellitus type 2 (DMII) at Columbia VA Health
Care System. A sample size of 80 patients was calculated to meet power of 80% and a P-value of less than 0.05 was used to determine clinical significance. The primary outcome was mean hemoglobin A1C (HgbA1C) change after up to 18 months of Clinical Pharmacy Specialist (CPS) diabetes-led
care stratified by baseline HgbA1C. Secondary outcomes included change in the number of diabetes medications and doses per day stratified by baseline HgbA1C. Results One hundred twelve patients were included in the final analysis based on inclusion and exclusion criteria.
The mean absolute HgbA1C reduction was 0.51%, 95% CI -0.20 to -0.82 from 8.1% at baseline. For the subgroup analyses, patients with baseline HgbA1C less than 8.5%, had a nonsignificant increase in their HgbA1C, while patients with HgbA1C 8.5% or more showed significant reductions in HgbA1C
(P < 0.05). Patients with baseline HgbA1C less than 6.5% had a significant decrease of 0.52, 95% CI -0.18 to -0.87 and patients with baseline HgbA1C 6.5% or more had a nonsignificant increase in the number of diabetes medications (P > 0.05). Patients with baseline HgbA1C
of less than 7.5% and 9.5% or more had a decrease in the number of diabetes medication doses with results being significant for patients with HgbA1C less than 6.5%, 95% CI -0.58 to -1.89. Conclusion The results of this study suggest that HBPC CPSs are improving glycemic
control in HBPC veterans while simplifying diabetic regimens with attention to hypoglycemic risk reduction.
Interior estimates for the Monge–Ampère type fourth order equations
Authors: Wang Ling , Zhou Bin
Published: July 2022

In this paper, we give several new approaches to study interior estimates for a class of fourth order equations of Monge–Ampère type. First, we prove interior estimates for the homogeneous equation in dimension two by using the partial Legendre transform. As an application, we obtain a new proof of the Bernstein theorem without using Caffarelli–Gutiérrez’s estimate, including the Chern conjecture on affine maximal surfaces. For the inhomogeneous equation, we also obtain a new proof in dimension two by an integral method relying on the Monge–Ampère Sobolev inequality. This proof works even when the right-hand side is singular. In higher dimensions, we obtain the interior regularity in terms of integral bounds on the second derivatives and the inverse of the determinant.
Improved SURF in Color Difference Scale Space for Color Image Matching
Authors: Luo Haifeng , , Han Yue , Kan Jiangming
Published: July 2022

This paper presents an improved SURF (Speeded Up Robust Features) for image matching which considers color information. Firstly, a new color difference scale space is constructed based on color information to detect feature point. Then we extracted a 192-dimensional vector to describe feature point, which includes a 64-dimensional vector representing the brightness information and a 128-dimensional vector representing the color information in a color image. Finally, in the process images matching, a new weighted Murkovski distance is used to measure the distance between two descriptors. From the experiment results, we can know that, compared the other methods, the feature points detection method proposed is more robust. The matching scores and precision of our method are dominant among different methods of color image matching. Compared with SURF, the number of feature points detected by the proposed method increases by 163%, the average matching scores and matching precision increase by 16% and 15.81% respectively.
Effects of Different Superpixel Algorithms on Interactive Segmentations
Authors: Goh Kok Luong , Ng Giap Weng , Hamzah Muzaffar , Chai Soo See
Published: July 2022

Semi-automated segmentation or more commonly known as interactive image segmentation is an algorithm that extracts a region of interest (ROI) from an image based on the input information from the user. The said algorithm will be repetitively fed with such input information until required region of interest is successfully segmented. To accelerate this segmentation procedure as well as enhancing the result, pre-processing steps can be applied. The application of superpixel is an example of such pre-processing step. Superpixel can be defined as a collection of pixels that share common features such as texture and colours. Though employed as pre-processing step in many interactive segmentation algorithms, to date, no study has been conducted to assess the effects of such incorporations on the segmentation algorithms. Thus, this study aims to address this issue. In this study, five different types of superpixels ranging from watershed, density, graph, clustering and energy optimization categories are evaluated. The superpixels generated by these five algorithms will be used on two interactive image segmentation algorithms: i) Maximal Similarity based Region Merging (MSRM) and ii) Graph-Based Manifold Ranking (GBMR) with single and multiple strokes on various images from the Berkeley image dataset. The result of testing had shown that MSRM achieved better result compared to GBMR in both single and multiple input strokes using SEEDS superpixel algorithm. This study summary concluded that at different superpixel algorithms produced different results and that it is not possible to single out one particular superpixel algorithm that can work well for all the interactive segmentation algorithms. As such, the key to achieving a decent segmentation result lies in choosing the right superpixel algorithms for a given interactive segmentation algorithm.
Review of the Butler’s edition of “German Cuisine: Refined, Soulful and Delicious (Mini Recipe-Book)”
Authors: Sarakaeva Elina
Published: July 2022

This work reviews a cookbook published in the Butler series “German cuisine: exquisite, soulful and delicious (mini recipe book)”. Germany: Naumann and Göbel. Volume: 240 pages. Illustrations: 138. Date of publication: December 15, 2010. ISBN: 978-3625126881. Hard cover. Language: German1
İşitme Cihazlarının Doğrudan Bağlantı Özelliğinin Konuşmayı Anlamaya Etkisinin Değerlendirilmesi
Authors: ŞENEL Ezgi , GÜMÜŞ Nebi Mustafa , ÜNSAL Selim
Published: July 2022

Amaç: Bu çalışmanın amacı, unilateral ya da bilateral işitme cihazlarındaki direkt bağlantı özelliğinin gürültülü ortamlarda işitsel anlama becerilerine sağladığı faydayı araştırmaktır.
Gereç ve Yöntem: Çalışmaya 18-85 yaş aralığında, bilişsel, duyusal ve nörolojik bir problemi olmayan, orta dereceli sensörinöral tip işitme kaybına sahip 20 birey katıldı. Gürültülü ortama maruz bırakılmış işitme kayıplı bireylerin konuşmayı ayırt etme skorları direkt bağlantı özelliğine sahip unilateral veya bilateral işitme cihazları kullanma değişkenine göre karşılaştırıldı.
Bulgular: Orta dereceli sensörinöral tipişitme kaybına sahip çift cihaz kullanan bireylerin gürültülü ortamda konuşmayı ayırt etme skorları ile direkt bağlantı özelliğine sahip çift cihaz kullanan bireylerin gürültülü ortamda konuşmayı ayırt etme skorları karşılaştırıldığın da anlamlı bir fark gözlemlenmiştir (z = -3.937, p= 0.000).
Tartışma ve Sonuç: Doğrudan bağlantı özelliği, işitme cihazlarının bluetooth ile tüm cihazlarla eşleşmesini sağlayan bir doğrudan bağlantı özelliğidir. Bu çalışmada işitme cihazı kullanan bireylerin gürültülü ortamda Made For All (MFA) özelliğini kullanarak konuşmayı ayırt etme skorlarının iyileştiği gözlemlendi.
Prospective Comparison of Continuous and Intermittent Intraoperative Nerve Monitoring in Thyroid Surgery
Authors: BOZDAG Emre , YUCESOY Faruk Seckin , AYGUN Nurcihan , ULUDAG Mehmet
Published: July 2022

Amaç: Tıpta teknoloji ilerledikçe intraoperatif sinir monitorizasyonu özellikle tiroid ameliyatları için güçlü bir güvenlik aracı haline gelmiştir. Aralıklı veya sürekli intraoperatif sinir monitörizasyonunun (IONM) rekürren laringeal sinir (RLN) felcini azaltmadaki etkinliği, cerrahın deneyim düzeyi ne olursa olsun RLS'nin hasar görmemesini sağlamak için oldukça tartışılan bir konu olmuştur. Bu prospektif çalışmada, tiro- idektomiye bağlı iyatrojenik RLS felcinin önlenmesi için sürekli intraoperatif sinir monitörizasyonunu (C-IONM) aralıklı intraoperatif sinir monitörizasyonu (I-IONM) ile karşılaştırdık.
Gereç ve Yöntem: Yaşları 18 ile 75 arasında değişen 109 hasta, sırasıyla -IONM veya C-IONM uygulanan 64 ve 45'er kişilik 2 gruba ayrıldı. Minimal invaziv cerrahi için seçilen hastalarda RLS'lerin tam eksplore edilememesi veya sinirde tümör invazyonu bulunması dışlama kriteri olarak kabul edildi.
Bulgular: Grup 2’deki hastaların sinirlerinin %54’ü yüksek risk al- tında olup, bu oran Grup 1’e göre anlamlı derecede yüksek bulundu (p=0.022). Grup 1 ve Grup 2’deki hastalarda kalıcı ve geçici vokal kord paralizlerinin oranları sırasıyla 4,5% - 0,6% ve 2,8% - 0% olarak saptandı. İstatiksel olarak bu oran anlamlı bulunmadı (p>0,05). Yapılan multivaryant analizde ekstra laryngeal sinir dallanmasının varlığının vokal kord paralizi için bağımsız bir risk faktörü olduğu görüldü (p=0.21).

Tartışma ve Sonuç: C-IONM, cerrahın önlenebilir RLS hasarını önce- den tespit edip durdurmasını sağladığı için üstün bir tekniktir. RLS felci vakalarının sayısını en aza indirmek ve bilateral RLS paralizisini önlemek için tiroid ameliyatlarında İONM'nin standart bir yaklaşım olarak kullanılması gerektiğine inanıyoruz.
GREEN ROOFS: MORE THAN JUST A PRETTY FACE
Authors: Jawad Nida , Abidi Dr. Syeda Raaeha Tuz Zahra , Jahangir Dr. Amna Jahangir
Published: July 2022

Green Roof is basically a traditional concept which is revived and executed to focus and improve adverse effects of our urban environment. Benefits and impacts of green roof are not fully understood and valued. This paper reviews and discusses the different benefits of green roofs as solutions in reducing the energy, maintaining indoor temperatures, enhancing sound insulation and  fire resistance, increasing life span of the roof, providing green spaces in concrete jungles, reduction of UHI effects and improved air quality. In addition to all this green roof also increases the aesthetics of buildings and different research have shown that green roof also improves the energy performance of buildings in summers and winters.
Estudio comparativo de conceptos y categorías particulares y del materialismo histórico
Authors: Pérez Juan José
Published: July 2022

OBJETIVO: conocer sí los estudiantes del área común de la Facultad de Ciencias Económicas de la Universidad de San Carlos de Guatemala, al estudiar el materialismo histórico, utilizan alguna metodología conceptual comparativa. MÉTODO: se elaboró un cuestionario con enfoque cualitativo que se distribuyó por medio de un formulario de Google a cada uno de los estudiantes. La muestra se conformó con sesenta y tres estudiantes de las tres carreras que se estudian en la facultad: Economía, Contaduría Pública y Auditoría y Administración de Empresas. RESULTADOS: los principales hallazgos de la investigación demuestran que los estudiantes que participaron del estudio de la teoría materialista, no lo hicieron en una forma inductiva partiendo de conceptos particulares a generales y no acordaron conclusiones que pudieron analizarse en su debido contexto. CONCLUSIÓN: se conoció que la metodología que compara conceptos particulares y del materialismo histórico no la utilizan actualmente los estudiantes en su mayor porcentaje y quienes manifiestan que sí, se refieren a una comparación de conceptos dentro de la misma teoría materialista.
Estrategias didácticas adaptadas a estudiantes con discapacidad visual en la educación superior
Authors: Morán Valenzuela José Fernando
Published: July 2022

OBJETIVO: identificar las estrategias didácticas adaptadas a estudiantes con discapacidad visual en la educación superior. MÉTODO: son encuestas digitales hacia personas con discapacidad visual y a docentes, utilizando una muestra de 25 estudiantes con discapacidad visual de los diferentes planes de estudio de la Facultad de Humanidades de la sede central de la Universidad de San Carlos de Guatemala. Los 20 docentes que intervinieron en el trabajo de campo, actualmente imparten cursos en el semestre final de Licenciatura y otros en Maestría, los cuales ya han tenido algunas experiencias de enseñanza aprendizaje con estudiantes con discapacidad visual. El estudio fue cualitativo debido a que se requería información precisa que abarcó puntos importantes relacionados al proceso de aprendizaje. RESULTADOS: las condiciones sobre estrategias didácticas adaptadas, que faciliten el proceso de enseñanza aprendizaje de los estudiantes con discapacidad visual, deben de aplicarse con carácter de urgencia para cada uno de los docentes ya que la mayoría de docentes no poseen conocimientos sobre que estrategias didácticas adaptadas. CONCLUSIÓN: el mejor recurso didáctico adaptado para estudiantes con discapacidad visual depende en la calidad de explicación del docente estructurando el conocimiento de forma ascendente.
Social, Economic and Environmental Impact ofElectric Vehicles in India
Authors:   Department of EEE, PSG College of Technology, Coimbatore – 641004, Tamil Nadu, India, Palaniswamy Sivakumar , Devi R S Sandhya , Saravanan M , Anand M
Published: July 2022

This study gives a general overview of the social, economic, and environmental impacts of electric vehicles (EVs) in India. The growing threats of global warming, excessive petrol dependence, ever increasing prices of fuel, and driving trends are just a selection of reasons which have accelerated the development of EV since the transport sector also represents a critical percentage of greenhouse gas emission. The aim of this study is to compare and analyze the development of the EV market and the government support in making the trend and accelerating it to save the nation and the world from pollution in India. Electric vehicles have huge potential from a user perspective. In the coming years, EVs will have a very important role in smart transportation and smart cities, along with shared mobility, mass transport, etc. Therefore, more efforts to facilitate the charging process and to improve batteries are needed. In a thrust towards incentivizing new age technologies and reducing its carbon emissions to net-zero by the year 2070, India is aggressively promoting the adoption of EVs. India aims to switch 30% of private cars, 70% of commercial vehicles, and 80%of two and three-wheelers to EVs by the year 2030. Increase percentage of renewable energy in the electricity mix and prevent air pollution caused from battery manufacturing. The recommended policies can be accepted by any market globally for reducing air pollution through increased adoption of electric vehicles. The environmental considerations of electric mobility challenges exist in terms of environmental impacts generated by the rising demand for electric vehicles.
DRY BREWER GRAINS AS REPLACEMENT FOR ALFALFA IN DIETS FOR LACTATING EWES
Authors: Calvillo-Marín Juana María , Álvares-Fuentes Gregorio , García-López Juan Carlos , Rendón Huerta Juan Antonio
Published: July 2022

The settlement of small and medium breweries in cities leads to the production of nutrient-rich organic residues, the quick decomposition of which causes unpleasant odours and attracts large amounts of flies. Under the hypothesis that replacing alfalfa (lucerne) with dry brewer grains (DBG) for lactating ewes would modify their milk production and physicochemical quality. The aim was to determine the effect of the DBG supplementation in the feed of ewes in milk production and quality, as well as in the physical condition of the animals. Fifteen 18-month-old ewes from a cross between Friesian × Rambouillet resulting from a first birth (30 days on milk) were distributed into 3 treatments with 0, 150 or 300 g of DBG. The experiment had a duration of 30 days, in which milk production, feed intake and physicochemical characteristics of the milk (fat, non-fatty solids, density, cryoscopic point, protein, lactose, and salts) were measured and each week the intake of feed in dry mass and the change in body weight were registered. Milk production displayed no differences between treatments and a decrease was observed in the production of milk for all treatments between weeks one (462 mL) and four (162 mL). Physicochemical variables of the milk displayed no differences between treatments, and quality was not affected. The change in body weight was the highest in the 300 g DBG treatment, with a modification of approximately 12.8 ± 0.45 kg (p ≤ 0.05) during the trial time, daily weight gain was 440 ± 0.08 g d-1 (p ≤ 0.05). The implementation of DBG in the feeds of ewes reduced the intake of dry matter, food conversion improved, and the cost of feed per ewe was reduced by up to 33.8 %.
Multi Class Skin Diseases Classification Based On Dermoscopic Skin Images Using Deep Learning
Authors: Patel Manojkumar
Published: July 2022

Skin diseases are the most common types of health illness faced by people of different age groups. The identification and classification of skin disease problems relies on highly expert doctors and high level instruments which is a time consuming process. To avoid this delay in diagnosis, an automated system is required to identify and classify this skin disease. This paper proposes a convolutional neural network based intelligent system for multi-class skin disease categorization. Three pre-trained deep learning based convolutional neural network models, VGG16, MobileNet, and Inception V3, are used in this study to classify skin disease images. The Dermoscopic image dataset HAM10000 is used for training, validating, and testing. The proposed system is designed, implemented, and tested to classify skin lesion image into one of seven categories. The implementation result of these models using HAM10000 Dataset is obtain as MobileNet accuracy 85.72%,VGG16 accuracy 73.63% and Inception V3accuracy 75.80%.
Determinants of Problem-Solving Skills in Natural and Social Subjects of Primary School Students in Vietnam
Authors:   Faculty of Primary Education, Thai Nguyen University of Education,20 Luong Ngoc Quyen Street, Thai Nguyen city, Vietnam
Published: July 2022

One of the important skills of the 21st century is problem solving. This is an important skill in the group of thinking skills and it is indispensable in the life of every human being in the world. In education, problem-solving skills are also one of the necessary and important skills to form and develop for students. The purpose of this study is to explore the factors affecting the problem-solving skills in natural and social subject of primary school students in Vietnam. The exploratory factor analysis method was used to determine the factors and processed data through SPSS software. Research results from 250 primary school students (grades 1 to 3) from different regions living in Vietnam have shown 7 main factors affecting problem-solving capacity through the natural and social subject of primary school students including: student trust and effort; attitude towards the subject; teaching skills of teachers; concentration; perseverance; the need to communicate with the surroundings, and the motivation for academic achievement. This research result provides more theoretical basis for education researchers, from which to have teaching strategies to develop problem-solving capacity for students.
Analysis of the Influence of Work Stress as Moderation between Organizational Culture and Employee Performance
Authors:   Master of Management / University Prima, Indonesia
Published: July 2022

The employee's inability to deal with stress and allow it to drag on results in the mental and emotional state of the employee, which will eventually affect his performance. Organizational culture becomes a part of the life of an organization that affects the attitudes, behavior, and performance of employees in achieving organizational goals. This study aims to analyze the influence of work stress as a moderation between organizational culture and employee performance in medical device companies. The type of research used is descriptive quantitative, and explanatory research. This research was conducted at PT Sumut Jaya Makmur, in April 2022. The total population in this study was 102 people, with sampling techniques using a total sample. Data collection techniques use questionnaires and in-person interviews. The research instrument carried out validity and reliability tests. The data analysis was used using univariate, bivariate, and multivariate analysis, namely multiple regression tests, determinant coefficients, F tests, and T-tests < > >. Organizational Culture partially has a positive and significant effect on the performance of PT Sumut Jaya Makmur. The dominant work stress variable in improving performance at PT Sumut Jaya with a calculated value of > table (6.203 > 2.5) with a significant value of 0.009 < 0.05. In conclusion, work stress and organizational culture simultaneously have a positive and significant effect on employee performance at PT Sumut Jaya Makmur with a coefficient of determination (R2) value of 82%, the remaining 18% is explained by independent variables that are not studied, leadership, motivation, and others.
Editorial
Authors: Santos Ramos Samira dos , Ferreira de Sousa Célia
Published: July 2022

Editorial da Edição da Revista AlembrA V. 4 N° 8
últimos dias de Édith Piaf
Authors: Fragoso Fedro , Valente Heloísa de A. Duarte
Published: July 2022

“Os últimos dias de um ícone – Édith Piaf” (2005), Philippe Pichon retrata um importante nome da canção francesa: mulher de saúde frágil, ao mesmo tempo voluntariosa; momentos de glória na vida pública e solidão, na intimidade. Morbidez e vertigem se intercalam. Imagem contrasta fortemente com representação fixada pela indústria fonográfica, observada nas capas de disco. Considerada no âmbito da canção das mídias (Valente, 2003), este texto analisa aspectos como sua performance (Zumthor, 1986), a persona vocal criada por Piaf (Coli; Valente, 2018), da paisagem sonora particular (Schafer, 2003). Estes parâmetros contribuem para compreender Piaf como elemento constitutivo da memória midiática.
Liberación en los encubiertos del sur
Authors: Rodríguez Milagros Elena , Maestre José Gregorio Lemus
Published: July 2022

En la línea titulada: Paulo Freire: el andariego de la utopía en las transmetodologías, se ubica la investigación para cumplir con objetivo complejo de analizar liberación en los encubiertos del sur en el regreso del legado Paulo Freire a la convivencia con los oprimidos. Se declara en la reconstrucción con la deconstrucción rizomática como transmétodo, y se promueve despertar las mentes, reformar el pensamiento, des-ligarlos de las falsas políticas gubernamentales que los engañan, hablamos de los oprimidos; de los desprotegidos de la vida, es volver con Paulo Freire a la fe y amor por los oprimidos, a la concientización-concienciación que es posible emergen con la educación liberador, con las conversaciones amenas con el dialogo-dialectico a la liberación de sus dolorosas realidades coloniales; es volver a creer en su propio potencial tal cual Paulo Freire lo hizo, e ínsito y dirigió su propia historia y liberación.
Estudio comparado sobre el uso de nuevas tecnologías entre dos facultades de Educación andaluzas
Authors: Úbeda Sánchez Álvaro Manuel , Alvarez Ferrandiz Daniel , Fernández García Valdecasas Borja , De la Cruz Campos Juan Carlos
Published: July 2022

En la actualidad, el incremento e impacto de las nuevas tecnologías en la sociedad ha provocado un aumento del uso de internet, móviles, redes sociales o videojuegos entre la población más joven, además del tiempo de dedicación a estos dispositivos como una forma más de comunicación y entretenimiento. Este estudio comparativo-causal de naturaleza ex post facto pretende mediante un cuestionario ad hoc realizar una comparativa entre estudiantes de los grados de Infantil y Primaria de las universidades españolas de Granada y Almería estableciendo si existen diferencias significativas en el uso de estos dispositivos y detectar posibles signos de adicción a las nuevas tecnologías entre la muestra seleccionada. Las submuestras de estudiantes obtienen valores muy similares en las diferentes categorías de los ítems y aunque, a nivel general, no se dan casos evidentes de adicción o dependencia, en el uso del teléfono móvil sí se pueden apreciar ciertos niveles considerables de tendencia a la nomofobia.
Estudio sobre la animación a la lectura en el alumnado de Educación Primaria en un contexto socialmente desfavorecido
Authors: Ramos Navas-Parejo Magdalena , Cáceres Reche María Pilar , Martínez Domingo José Antonio , Martínez Domingo José Antonio , Berral Ortiz Blanca
Published: July 2022

Adquirir el hábito de la lectura es un aspecto clave para dominar las competencias lecturas fundamentales para el éxito educativo y para la educación integral de la persona. En el caso del alumnado en riesgo de exclusión social, puede suponer el antídoto para evitar el fracaso escolar y su integración social. Sin embargo, no resulta una tarea fácil para los docentes animar a leer, especialmente en este alumnado. Para ello se hacen necesarias intervenciones efectivas que impliquen a las familias y se encuentren dentro de los intereses del mismo. El objetivo de este estudio es analizar la animación a la lectura que realiza con el alumnado de Educación Primaria de una zona socialmente deprimida de Granada. A través del empleo de una metodología de corte cuantitativo con carácter descriptivo y exploratorio, por medio del método de encuesta. Se obtiene como resultado una importante falta de implicación por parte de la familia en los procesos de fomento de lectura, la receptividad positiva del alumnado hacia los libros y las actividades de animación lectora y la falta de uso de recursos TIC motivadores para incentivar la lectura en los centros educativos. Se concluyen confirmando la necesidad urgente de intervenir en estos colegios, a través de actividades que se encuentren dentro delos intereses del alumnado y con la concienciación e implicación de los familiares.
Hepatoprotective Potential of Hydro alcoholic Extract of Passiflora edulis Sims Leaves Extract
Authors: Hegde Karunakar , V Mohammed Afham , B.C Chandini
Published: July 2022

The hepatoprotective potential of hydro-alcoholic extract of Passiflora edulis leaves was evaluated against paracetamol and ethanol induced hepatotoxicity in rats. Two doses 200mg/kg and 400mg/kg, p.o of the extract were subjected for the evaluation of hepatoprotective potential against ethanol (2ml/100g) and PCM (2g/kg) induced liver injury. Silymarin (25mg/kg) was used as a standard drug. The parameters like SGPT, SGOT, ALP and Total Bilirubin (TB) were estimated to assess the liver functions. Liver antioxidant enzyme GSH was evaluated. In addition, histopathological study was also carried out. Both the doses of P. edulis extract showed dose dependent significant decrease of biochemical parameter such as ALP, SGOT, SGPT, TB and increased GSH level. Histopathology of liver showed reduced inflammation, centrilobular and bridging necrosis. It shows normal hepatocytes with significant reduction in areas of necrosis compared to toxic control. The result obtained was comparable with that of the standard drug Silymarin. The findings of the present study revealed that, hydro-alcoholic extract of Passiflora edulis might be beneficial against paracetamol and alcohol induced hepato toxicity.
A Brief Review On: In Vitro Fertilization
Authors: Chaudhari Latesh Y. , chaudhari Saurabh P. , Patil Paresh K.
Published: July 2022

In vitro fertilization (IVF) is the advanced and miraculous process by which the egg is fertilized by the sperm outside the body or a coined as the In-vitro. The advanced clinical treatment for the In-vitro fertilization (IVF) infertility when previously; other methods of assisted reproductive technology had been failed. The first successful birth of the "test tube baby" name was, Louise Brown, was born in 25 July, 1978 in London as the result of the natural cycle In-vitro fertilization (IVF). Robert G. Edwards, the physiologist who was developed the treatment, was awarded the Nobel Prize in Physiology Medicine in 2010. This procedure involves also monitoring and stimulating of woman's ovulatory process to remove the ovum or ova from the woman's ovaries and to let the sperms fertilize those eggs in artificial fluid medium in a laboratory. The fertilized egg or zygote is cultured for 2–6 days in an artificial growth medium and then, it is transferred to the mother's uterus with the intention of the establishing a successful pregnancy as to have the obvious benefit of boosting the odds of getting the pregnant. Especially, in the stressful and unhealthy urban life style In-vitro fertilization (IVF) is very helpful for women with blocked fallopian tubes or for men with have low sperm count and it led to conceiving of babies and in turn, their births with successful as well as expecting of survival rate which are the coined with a colloquial term "test tube babies."
Stability Development Strategies and Impurities Profile Consideration in Pharmaceuticals: A Review
Authors: Alekhacharan Soudamini , Raul Saroj Kumar , Padhy Gopal Krishna
Published: July 2022

The advance progression in the pharmaceuticals brought a new era in human health. These pharmaceutical preparations might serve their envisioned solitary if they're free from impurities and as long as are administered in suitable quantity. With intensifying regulatory stringency on the control of medicines, impurities and their degradation constituents in unadulterated and formulated products, a strong emphasis is being placed on the need of the stability viewing systems/methods to measure the drugs and their impurities by utilizing assortment of common analytical instrumental strategies. Every single procedure has its one unique impact in assessing the pharmaceutical preparations, and investigating their impurities, which could have a hazard to human existence. In the drug manufacturing an impurity is measured, characterized any other organic substances in addition to the drug substance or pharmaceutical ingredients. The impurity can be fashioned in the course of the drug preparation or upon ageing of two APIs in drugs. Stability checking is a fundamental essential part of pharmaceutical improvement. The main reason of stability testing is to provide supportive indication on stability behavior of the pharmaceutical preparations. Stability is the potential of a drug product to remain within conditions established to make sure its strength, identity, purity and quality. This review write-up was for the study of pharmaceutical impurities, stability study and products degradation in pharmaceuticals.
Analysis of Frequency and Reasons of Blood Donor Deferral in Tertiary Care Hospital Blood Bank
Authors: Anchinmane Vyankatesh T. , Sankhe Shilpa Vijay
Published: July 2022

Blood transfusion is lifesaving therapy for many surgical and medical conditions. Blood safety is a major concern in transfusion services. The donor selection criteria are one of the steps ensuring blood safety. However, the selection criteria designed and implemented by regulating authority - The Central Drugs Standard Control Organization (CDSCO) leads to blood donor deferral. There is a geographical variation in donor deferral reasons and rates. The deferral impacts the psycho-social behavior of blood donor also. The objective of the study was to determine the blood donor deferral rate and analyze the reasons of the same. Blood donor data was collected from blood donor registry for the period from January 2017 to December 2021. The data was analyzed for frequency and reasons of deferral rate. Out of total 14530 registered blood donors, 814 were deferred for temporary and permanent reasons. The blood donor deferral rate was 5.60 %. Low hemoglobin (236 cases -28.99%) was the commonest reason of deferral. Blood donor deferral may discourage the potential blood donors and may account for inadequate supply of blood for transfusion services. Mass health education and more awareness in population are needed to avoid blood donor deferrals. Effective measures need to be established to bring back the temporary deferral into blood donation donor pool.
Study on Assessment of Nutritional Status of Pregnant Women Leading to Malnutrition
Authors: Venkataraman Dr. Rajesh , H M. Dr. Manisha , M Dr. Sonakshi. , Manuel Dr. Gloriya Grifth , G K Dr. Puneeth , C Dr. Harsha
Published: July 2022

Background: Pregnancy is a wonderful physiological period to be in. Maternal sustenance and wellbeing are significant variables that influence embryonic development. Maternal malnutrition has a significant, serious and long-term impact on the mother and children which plays an important role in premature birth, still birth condition and also affects their fetus. Consequently, it is important to assess the nourishing status of pregnant women to stay away from complications Objective: To determine the nutritional health of pregnant women who are at risk of malnutrition. Materials and methods: An observational study was directed to evaluate healthful status of pregnant ladies. The wholesome state of 150 pregnant ladies going to ANC in tertiary consideration medical care was evaluated. A fundamental arbitrary system was utilized to pick the subjects. Educated assent and moral endorsement were acquired. Information was acquired by utilizing information assortment structures which included patient demographics, income anthropometric measurements and 24 hr dietary history. The information was analyzed with SPSS programming and genuinely classified utilizing recurrence and rate, just as the chi-square test was utilized. Results: A sum of 150 pregnant ladies were included in the study , of which larger part 67.3% of them were in the age gathering of 20-25 years and few of them 4.0% were <20 years of age.BMI of most of the pregnant women 58.7%(88) was normal, few of them 11.3%(17) were overweight and 30%(45) of them were underweight.BMI had significant relationship with nutritional status (P value=0.000**).Majority of them had mild anemia 72(48.0%), some of them 64(42.7%) had normal hemoglobin and few of them 14(9.3%) had moderate anemia(P value=0.000**). 92%(138) of the pregnant women had high food diversity and 8%(12) of them had medium food diversity (P value=0.002).By assessing the data we found that 62(41.3%) of them were malnourished and 88(58.7%) of them were well nourished. Conclusion: The study's findings demonstrate the general well-being significance of undernutrition among pregnant women in the study area. Wholesome status of pregnant ladies was influenced by variables like Income, Type of family, Hemoglobin levels, their weight record and furthermore their dietary intake.
Formulation and Evaluation of Herbal Lipstics by Using Beta vulgaris
Authors: Sabu Swetha , A Vismaya , C S Chithira , Sasi Sreekutti , Murali Vishnu , A S Bhagyalakshmi , Mahesh Anupriya
Published: July 2022

Lipstick is a type of cosmetic that contains pigments, oils, waxes, and emollients to give the lip colour and texture. The lipstick provides the lips a lovely colour and a lustrous sheen. It also reduces the creation of lip cracks, which can lead to bacterial infections. It has an emollient effect on the lips as well. Lipstick is mostly made up of an oil wax foundation that is hard enough to create a stick dye. The major goal of this project is to create and test natural lipstick utilizing coloured pigments from Beta vulgaris taproot while minimizing the negative impacts of synthetic formulations. The Beet root extract is prepared by using microwave assisted extraction technique. The prepared lipstick is evaluated for solubility, pH, melting point, breaking point etc. The stability studies indicated that the prepared lipstick using beta vulgaris extract was stable throughout the period of study.
Review on Gilbert’s Syndrome
Authors: Joekim Jason Fernandes , Veigas Grinton Josvi , Bose Dr. Noah M , Bhat Ramdas , Nayak Dr. Ravi Kumar
Published: July 2022

Gilbert’s syndrome (GS) is an extensively mild condition characterized by periods of elevated levels of bilirubin in the blood. The bilirubin is an orange yellowish tinted molecule which is produced when red blood cells are broken down and this substance is eliminated from the body only after it undergoes bio-transformation in the liver which converts unconjugated bilirubin to conjugated bilirubin. When the level of unconjugated bilirubin increases beyond a determined point, the bilirubin pigment starts to discolour the cornea of the eyes (making them to appear light yellow) and with higher levels the skin may also turn to yellow (jaundice). Gilbert’s syndrome also known as constitutional hepatic dysfunction and familial non haemolytic jaundice. People with Gilbert’s syndrome have an inherited abnormality that causes reduced production of an enzyme involved in processing of bilirubin. A presumptive diagnosis of Gilbert’s syndrome is made when unconjugated hyperbilirubinemia is noted on several occasions.
Fast-dispersing Tablets (FDT) Based Technology: A Review at A Glance
Authors: Kumar Dr. Vimal , Mehetre Dr. Jaswandi , Chaurey Mayur , Khan Wasim Raza Ali
Published: July 2022

Easy management and quality patient compliance are essential attributes for the development of any drug delivery system, oral drug delivery system, being the most convenient, least expensive and safest method is the preferred route amongst all. “Mouth Dissolving Tablets [MDTs]” have received ever-boosting demand during the last decades. These tablets are made to dissolve in the saliva very quickly, within a few seconds, and are true tablets that disperse quickly. Difficulty in swallowing conventional tablets and capsules problem can be resolved by the new drug delivery system by making “oral tablets” [MDTs]. Fast-dispersing tablets (FDTs), categorized under the umbrella of MDT have become a fast-growing area in the pharmaceutical industry. Fast disintegrating tablets (FDTs) are those dosage forms that are placed on the tongue or in the mouth cavity, dispersed or dissolved immediately, and release the drug, within a few seconds without the need for water. This may be due to the action of superdisintegrant or enlarging the pore structure in the formation etc. Fast disintegrating tablets (FDTs) aim to design dosage forms that are ready to be administered with no side effects, providing an immediate release for the quick action and improved bioavailability, to achieve better patient compliance. The purpose of this review article is to provide a framework for the composition of FDT, the prerequisite for the selection of key ingredients, its desirable features and development challenges, and various technologies developed to achieve fast dissolution/dispersion of tablets in the oral cavity. Besides this, the review also explores the various key mechanism of tablet disintegration techniques used for the formulation of oral mouth dissolving tablets along with its evaluation.
Evaluation of Anxiolytic Activity of Ethanolic Extract of Tubers of Gloriosa superba Linn in Mice
Authors: Shifila A N , Varkey Joyamma
Published: July 2022

The clinical applications of well-known benzodiazepines as anxiolytic agents are limited because of their side effects. Therefore, the development of new pharmacological agents from medicinal plants is well justified. Among medicinal plants, Gloriosa superba Linn (Liliaceae) has been recommended for relief of anxiety in traditional folk medicines. Nevertheless, no pharmacological studies have so far evaluated it in this regard. The purpose of the present study was to investigate the anxiolytic effects of ethanolic extract of the tubers of Gloriosa superba Linn in mice. The ethanolic extract of the tubers of Gloriosa superba Linn (EEGS), after preliminary phytochemical screening was subsequently evaluated for antianxiety activity using Elevated Plus Maze (EPM) model and Rota-Rod Test (RRT) in Swiss albino mice. Diazepam was used as standard drug. Adult Swiss albino male mice were randomly divided into four groups (n = 6). Groups I and II received CMC (1%, w/v, p.o) and diazepam (1mg/kg, i.p), respectively, while groups III and IV received orally 80 and 120 mg/kg doses of the EEGS respectively. The mice were then individually placed in animal anxiety models such as Elevated Plus Maze (EPM) and Rota Rod Test (RRT) and are evaluated for various parameters. In EPM test, 80 and 120 mg/kg doses of the extract significantly increased the percent number of entries and time spent in open arms compared to control. In RRT model both doses of the EEGS significantly reduced (P<0.001) the fall of time of albino mice compared to that of control. The present study clearly demonstrated that the ethanolic extract exerts an anxiolytic effect on mice, and it could serve as a new approach for the treatment of anxiety.
The Effect of Customer Relationship Marketing and Customer Value on Customer Loyalty at Syekh Yusuf Hospital, Gowa Regency
Authors: Suryadi Suryadi , Pasinringi Syahrir A. , Kadir Abdul Rahman
Published: July 2022

A customer's commitment to repeatedly re-subscribe to or re-purchase a certain product or service in the future is an example of loyalty on the part of that consumer. At the Sheikh Yusuf Hospital in Gowa Regency, the purpose of this research is to investigate the impact that customer relationship marketing and customer value have on the level of customer loyalty. This kind of investigation is a quantitative study that takes the form of an observational study and is structured in the form of a cross sectional study. The sampling method used was a total sample, and the number of participants in the study that participated in the sample was 154. According to the findings of the research, there is a connection between Customer Relationship Marketing and Customer Loyalty. There is also a connection between Customer Value and Customer Loyalty. The variable that has the greatest impact on customer loyalty is customer relationship marketing (also known as CRM). It has been suggested to the administration of the hospital that they make more use of techniques derived from promotional tools (promotions mix). In particular, the hospital's public relations strategy, which is implemented by means of the Customer Relationship Management (CRM) software, with the intention of preserving the loyalty of the patients and their families.
The Influence of Educational Mobile Apps Use on Teaching Effectiveness of Lecturers in Public Polytechnics in Ekiti and Ondo states, Nigeria
Authors: Kayode William , O. D. Soyemi , Adedayo E. Ajagunna , Dike Isaruk Ikpoko-Ore-Ebirien
Published: July 2022

The quality of teaching being imparted to students is supposed to be of high quality and effective in this information superhighway age. Teaching effectiveness typified with teaching methodologies, classroom management, assessment procedures and content knowledge is of great unease to any tertiary education institution since it furthers the productivity of the institution. In tertiary institutions, like public polytechnics in Ekiti and Ondo states, teaching effectiveness seems to be of poor quality because of students’ low capacity to analytically think, poor lecturers proficiency. Educational mobile apps use can further the teaching effectiveness in any institution of higher learning. Therefore, this study investigated the influence of educational mobile apps use on teaching effectiveness of lecturers in public polytechnics in Ekiti and Ondo States, Nigeria. The study used survey research design. The population of the study consisted of 116 lecturers and 1,978 students in the three public polytechnics in Ekiti and Ondo states. The lecturers were all enumerated to participate, while Taro Yamane was used to select 333 students’ participants and multistage sampling was used to select the participants from the various faculties, departments and levels. A self-structured validated, and reliable questionnaire was used to gather data. The data collected were analyzed with the use of descriptive statistics, and linear regression. Findings showed that the most used educational mobile apps was Google Apps for education (GAFE) with a mean score of (x̅=1.64).The result also indicated that there was a weak positive but not significant influence of educational mobile apps use on the teaching effectiveness in public polytechnics in Ekiti and Ondo State, (β=0.027, t = 0.270, p-value>0.05). The study concluded that educational mobile apps use contributes to teaching effectiveness of lecturers in public polytechnics in Ekiti and Ondo states, Nigeria. It was therefore recommended that the government of Nigeria, through the ministry in charge of education, and National Board for Technical Examinations (NBTE) should carry out continuous awareness program and training for lecturers in public polytechnics on the use of educational mobile apps.