bluuebunny/crossref_metadata_2025 huggingface dataset:
TÜRKİYE’DE Kİ ÜNİVERSİTELERDE SAĞLIK YÖNETİMİ YÜKSEK LİSANS EĞİTİMİNDE MUHASEBE VE FİNANSMAN DERSLERİ ÜZERİNE BİR ARAŞTIRMA
Authors: Çil Koçyiğit Seyhan , Şenay Feyza , Dursun Tuğçe Nur , Kahraman Gizem
Published: February 2018

Gün
geçtikçe artan bakım ve tedavi maliyetleri ile artan sağlık hizmeti ihtiyacı,
kaynakların daha etkin ve verimli kullanılmasını sağlayacak yeterliliklere
sahip profesyonel sağlık yöneticilerine olan ihtiyacı artırmaktadır. Profesyonel
sağlık yöneticilerinin yetişmesinde, lisans ve yüksek lisans eğitimi sırasında
gerekli olan muhasebe ve finansman dersinin yeterli ölçüde ve kaliteli olarak
alınması önemlidir. Muhasebe ve finansman dersleri, Türkiye'de sağlık yönetimi
bölümlerinde lisans ve lisansüstü eğitim programlarında öğretilmektedir.
Bununla birlikte, bu derslerin yeterli olup olmadığı tartışma konusudur. Araştırmanın
amacı; Türkiye’deki üniversitelerde yüksek lisans eğitiminde yer alan sağlık
yönetimi programlarının ve bu eğitim programlarında muhasebe ve finansman
dersinin yer alıp almadığının tespit edilmesidir. Araştırma sonucunda muhasebe
ve finansman derslerinin sağlık yönetimi yüksek lisans programlarının
çoğunluğunda var olmasına rağmen, yaklaşık % 20 gibi bir oranda muhasebe ve
finansman derslerinin olmadığı, muhasebe ve finansman derslerinin toplam kredi
içindeki payları ortalamasının % 16,5 ile % 20 arasında olduğu, muhasebe ve
finansman derslerinin çoğunlukla (% 67 - % 86 arası) seçmeli ders olarak
okutulduğu görülmüştür.
Strictly Archimedean copulas with complete association for multivariate dependence based on the Clayton family
Authors: Cooray Kahadawala
Published: February 2018

The family of Clayton copulas is one of the most widely used Archimedean copulas for dependency measurement. A major drawback of this copula is that when it accounts for negative dependence, the copula is nonstrict and its support is dependent on the parameter. The main motivation for this paper is to address this drawback by introducing a new two-parameter family of strict Archimedean copulas to measure exchangeable multivariate dependence. Closed-form formulas for both complete and d−monotonicity parameter regions of the generator and the copula distribution function are derived. In addition, recursive formulas for both copula and radial densities are obtained. Simulation studies are conducted to assess the performance of the maximum likelihood estimators of d−variate copula under known marginals. Furthermore, derivativefree closed-form formulas for Kendall’s distribution function are derived. A real multivariate data example is provided to illustrate the flexibility of the new copula for negative association.
A numerical test of the topographic bias
Authors: Sjöberg L.E. , Joud M.S.S.
Published: February 2018

In 1962 A. Bjerhammar introduced the method of analytical continuation in physical geodesy, implying that surface gravity anomalies are downward continued into the topographic masses down to an internal sphere (the Bjerhammar sphere). The method also includes analytical upward continuation of the potential to the surface of the Earth to obtain the quasigeoid. One can show that also the common remove-compute-restore technique for geoid determination includes an analytical continuation as long as the complete density distribution of the topography is not known. The analytical continuation implies that the downward continued gravity anomaly and/or potential are/is in error by the so-called topographic bias, which was postulated by a simple formula of L E Sjöberg in 2007. Here we will numerically test the postulated formula by comparing it with the bias obtained by analytical downward continuation of the external potential of a homogeneous ellipsoid to an inner sphere. The result shows that the postulated formula holds: At the equator of the ellipsoid, where the external potential is downward continued 21 km, the computed and postulated topographic biases agree to less than a millimetre (when the potential is scaled to the unit of metre).
A landscape of nanomedicine innovations in India
Authors: Bhatia Pooja , Vasaikar Suhas , Wali Anil
Published: February 2018

Nanomedicine is one of the emerging technologies and a branch of nanotechnology finding applications in healthcare. Many countries, including India, are pursuing active research programs in nanomedicine to explore novel healthcare solutions to address specific healthcare needs of the society. At present, the government of India, through its various agencies, is funding nanomedicine research in India. It is anticipated that in the next 5 years or so, several nanomedicine-based products shall reach the market. Thereby, it becomes pertinent to evaluate the extent of India’s involvement in activities related to innovation in nanomedicine. However, a comprehensive landscape of nanomedicine innovation in India is currently lacking. This paper attempts to profile the status of research and innovation in the field of nanomedicine in India. The current study evaluates the innovation on the basis of five indicators: financial ecosystem, technology source, research translation, bibliographic data (patents and publications), and regulation. Public-private partnerships and international collaborations are also discussed in the paper. The landscape elucidates current status of nanomedicine in India and may be relevant for policy-related matters.
Theoretical Models and Specific Communication Situations in Projects
Authors: Pelikan Kristina , Roelcke Thorsten
Published: February 2018

In recent years, numerous proposals have been made with the aim of establishing a systematic hierarchy of relationships for languages for special purposes (LSP), and different approaches have been classified in terms of vertical and horizontal models. Recently, however LSP research has moved more and more towards Applied Linguistics and a segregation has emerged between studies focusing on systematic topics and those based on concrete case studies. While studies in applied LSP research have increased, work on systematic approaches has been neglected. The present study follows a different approach, in that instead of segregating the analysis of concrete case studies from the work on systematic approaches, examples from case studies will be used for testing and revising systematic approaches. In this paper we shall first address the question based on these examples of which long established classifications need to be revised, and consider further whether revising and applying classifications is the way to go in LSP research or whether there is a need for a new typology. In the present paper we shall thus be building on and developing the work on structuring LSP in (Roelcke 2014) and on project-specific terminology (Pelikan & Roelcke 2015).
Rules for Dividing a Disputed Resource in the Context of the
Classical Liberal Argument for Peace
Authors: Garfinkel Michelle R. , Syropoulos Constantinos
Published: February 2018

In this paper, we study alternative forms of conflict resolution, both peaceful
and non-peaceful, between two countries that compete for claims to a resource
used to produce potentially traded goods. Consistent with the classical liberal
argument, peace supports mutually beneficial trade, whereas war preempts it. War
always induces countries to allocate resources into non-contractible arming
(“guns”) for superiority in conflict. Under peaceful settlement,
countries might choose to arm as well for gaining leverage in negotiations, but
arming is typically less than what it is under war. Building on the observation
that arming itself affects the countries’ bargaining sets, we compare the
efficiency properties of division rules generated by three prominent bargaining
solutions – namely, splitting the surplus, equal sacrifice, and Nash
bargaining – and show how they depend on the gains from trade.
Quaestiones Convivales: Plutarch’s Sense of Humour as Evidence of his Platonism
Authors: Nikolaidis Anastasios
Published: February 2018

Given Plutarch’s fragmentary piece on Aristophanes and Menander (Mor. 853A–854D), a piece ofTable Talkon almost the same topic (Mor. 711A–713F) and various attacks on comic poets scattered through theLives, one might believe that Plutarch is a staid, conservative and humourless author. But several other instances in his writings reveal a playful, facetious, witty and humorous Plutarch. This paper will focus on theQuaestiones Convivales, which bear ample witness to this aspect of Plutarch’s personality and authorial technique. It will examine the ways in which he introduces and describes the various interlocutors, discuss certain comments (or arguments) with which he tries to ridicule his philosophical opponents, notably the Stoics and the Epicureans, try to distinguish the various manifestations of Plutarch’s humour (spontaneous reaction, literary device, pleasantry, witticism, irony) and finally suggest that Plutarch’s stance and attitude towards playfulness, comic situations and laughter may ultimately be affected, at least in part, by his allegiance to Plato.
Publicly Funded Objectors
Authors: Burch Elizabeth Chamblee
Published: February 2018

On paper, class actions run like clockwork. But practice suggests the need for tune-ups: sometimes judges still approve settlements rife with red flags, and professional objectors may be more concerned with shaking down class counsel than with improving class member’s outcomes. The lack of data on the number of opt-outs, objectors, and claims rates fuels debates on both sides, for little is known about how well or poorly class members actually fare. This reveals a ubiquitous problem — information barriers confront judges, objectors, and even reformers. Rule 23’s answer is to empower objectors. At best, objectors are a partial fix. They step in as the adversarial process breaks down in an attempt to resurrect the information-generating function that culture creates. And, as the proposed changes to Rule 23’s handling of objectors reflect, turmoil exists over how to encourage noble objectors that benefit class members while staving off those that namely seek rents from class counsel. The U.S. class-action scheme is not the only one that relies on private actors to perform public functions: citizens privately fund political campaigns, and private lobbyists provide research and information to lawmakers about public bills and policies. Across disciplines, the best responses to those challenges have often been to level up, not down. This Article therefore proposes a leveling up approach to address judges’ information deficit such that they can better perform their monitoring role. By relying on public funds to subsidize data collection efforts and nonprofit objectors’ information-gathering function, we can disrupt private class counsel’s disproportionate influence.
Shape-controlled synthesis of three-dimensional zinc oxide nanoflowers for disinfection of food pathogens
Authors: Amna Touseef
Published: February 2018

The antibacterial activity of zinc oxide (ZnO) nanoflowers has been investigated and presented in this article. Classic three-dimensional nanoflowers have been prepared by hydrothermal method using zinc acetate dihydrate Zn(CH3COO)2·2H2O as the sole precursor. The X-ray diffraction and Fourier transform infrared spectra confirm the formation of ZnO crystals. Consequently, on the basis of morphological and chemical observations, the chemical reaction mechanism of ZnO nanoflowers was also proposed. Antibacterial activity was carried out against food-borne pathogen,Escherichia coli, which is ubiquitous in distribution among food-laden wastes. The experimental procedures for the antibacterial test included a spectroscopic method with different concentrations (5–20 μg/mL) of ZnO nanoflowers to unearth the minimum inhibitory concentration. Our investigation suggests that the lowest concentration of ZnO nanoflower solution that can hamper the growth of this microbial strain was 5 μg/mL.
Attitudes About Cognitive Screening: A Survey of Home Care Physical Therapists
Authors: Miles Jean D. , Staples William H. , Lee Daniel J.
Published: February 2018

Background and Purpose:

Home care physical therapists (PTs) are inconsistent regarding cognitive screening, possibly because screening tools were traditionally considered the domain of other home care disciplines, or because therapists perceive their dementia training to be inadequate. A cross sectional study was designed to survey home care therapists' attitudes and beliefs about the management of persons with dementia and to find out whether any specific cognitive tools or measures are currently used.

Methods:

A 5-point Likert-type survey was administered to home care PTs via an online survey. Three state home care associations and individual home care agencies agreed to share the survey link. The survey was also made available to American Physical Therapy Association members through the Home Health and Geriatric Section listservs.

Results and Discussion:

Two hundred fifty-one PTs opened the survey and 233 completed the survey. Respondents included 180 females and 53 males. Seventy-four had a bachelor's degree (BS), 53 held a master's degree (MS), 104 had achieved a doctor of physical therapy (DPT) or doctor of philosophy (PhD) degree, and 2 did not provide this information. Significant differences were found between those with the highest doctoral degrees and those with master's or bachelor's degrees (P = .01) regarding whether they were qualified to screen (strongly agree, agree) for cognitive deficits. Therapists with the highest degrees also attended continuing education for dementia training more than those with less formal education (P = .042.) Gender differences were found in 2 questions regarding positive outcomes (P = .010 and .42); for both questions, males were more likely to believe that dementia has a negative impact. Eighty-seven percent indicated that PTs are qualified (strongly agree, agree), but only 53% said that they possess the necessary skills (strongly agree, agree) to perform cognitive screens. Specialty certification revealed significant differences in several of the questions. No significance was found for any question regarding years of practice or years in home care. The Mini-Mental State Examination and the Clock Drawing Test were most frequently cited among PTs who conduct cognitive screening.

Conclusions:

Physical therapists recognize that they are qualified to perform cognitive screening but may need additional training to utilize cognitive findings to enhance interventions and outcomes in home care. More research is needed to determine which screens are most relevant for therapist use and to examine the effect of cognitive screening on therapy outcomes.
The Psychedelic Book of the Dead
Authors: Davis Erik
Published: February 2018

In 1964, Timothy Leary and a few colleagues published The Psychedelic Experience, a manual for “tripping” explicitly based on The Tibetan Book of the Dead. At the core of the Tibetan materials lies the concept of the bardo, the “in between” realm of the afterlife. While acknowledging the problematic nature of Leary’s radical appropriation, this essay argues that his application of these materials to the orchestration and regulation of psychedelic experience reflected a productive reframing of the phantasmagoria common to strong psychedelic experience. Using tools of comparative religion and secular psychology, Leary constructed a model of psychological transformation that rejected religious or transcendental meaning while creatively expanding the bardo concept already evident in Tibetan Buddhism.
Deliberative Debates in Investors Penetration Area: A Case Study of Village Deliberation by Village Consultative Board (BPD) in Caturtunggal Village, Yogyakarta
Authors: Abd. Hamid Husen Wijaya
Published: February 2018

This study focuses on deliberative democracy practices in Caturtunggal village, specifically in the sub-village (dusun) of Seturan, Karangwuni, and Ambarukmo. The study assesses the quality of deliberation in these dusun by applying the three out of  five indicators of deliberative democracy theory by Fishkin (2009), namely information, subtantantive balance, and equal consideration. This study deploys qualitative descriptive method and case-study approach with in-depth interview as the main data gathering technique. This deliberation has put Village Consultative Board (BPD) period of 2013-2019 as a mediator and to consider arguments and deliberative results. Based on the indicators which proposed by Fishkin, Seturan and Ambarukmo are categorized for having semi-ideal deliberation, meanwhile Karangwuni is categorized as not ideal. The study also finds elite capture practices in Seturan and Karangwuni, but they do not impact significantly. 
Mainstreaming Regional Budget (APBD): Issues and Challenges in Riau Province in 2015
Authors: Yandra Alexsander , Nasution Sri Roserdevi , Harsini Harsini , Wekke Ismail Suardi
Published: February 2018

This research explores issues related to mainstreaming the 2015 Regional Budget (APBD) of Riau Province amounted IDR 10.7 trillion. Based on the data obtained from the Riau Finance and Asset Management Board (BPKAD), Riau could only spend APBD 37.58% of APBD until October 2015. Meanwhile, the Ministry of Home Affairs of the Republic of Indonesia calculated Riau spent only 59.6% throughout 2015 and it wast the lowest regional spending in Indonesia. This poor expenditure rate demonstrates a problem in the implementation of Riau’s APBD which was inneficient and not yet relevant. An assessment by government expenditure theory reveals that these problems indicate a gap in APBD allocation that affect on the non-performance regional development as targeted in mid-term regional development plan (RPJMD). This APBD seems to perform only a budget plan, not an implemented budget policy yet.
A Reassessment of Genes Modulating Aging in Mice Using Demographic Measurements of the Rate of Aging
Authors: Pedro de Magalhães João , Thompson Louise , de Lima Izabella , Gaskill Dale , Li Xiaoyu , Thornton Daniel , Yang Chenhao , Palmer Daniel
Published: February 2018

Many studies have reported genetic interventions that have an effect on mouse life span; however, it is crucial to discriminate between manipulations of aging and aging-independent causes of life extension. Here, we used the Gompertz equation to determine whether previously reported aging-related mouse genes statistically affect the demographic rate of aging. Of 30 genetic manipulations previously reported to extend life span, for only two we found evidence of retarding demographic aging: Cisd2 and hMTH1. Of 24 genetic manipulations reported to shorten life span and induce premature aging features, we found evidence of five accelerating demographic aging: Casp2, Fn1, IKK-β, JunD, and Stub1. Overall, our reassessment found that only 15% of the genetic manipulations analyzed significantly affected the demographic rate of aging as predicted, suggesting that a relatively small proportion of interventions affecting longevity do so by regulating the rate of aging. By contrast, genetic manipulations affecting longevity tend to impact on aging-independent mortality. Our meta-analysis of multiple mouse longevity studies also reveals substantial variation in the controls used across experiments, suggesting that a short life span of controls is a potential source of bias. Overall, the present work leads to a reassessment of genes affecting the aging process in mice, with broad implications for our understanding of the genetics of mammalian aging and which genes may be more promising targets for drug discovery.
The Foaming Window – A New Concept and Mechanism for Biocomposite Foams Processing by Two-Step Sintering
Authors: O. Gingu  , G. Sima  , C. Teisanu  , C. Marinescu  , A. Sofronia  , S. Tanasescu  , P. Rotaru
Published: February 2018

The two steps sintering process provide economical, technological and innovative advantageous aspects to produce biocomposite foams for alloplastic bone grafts applications. The kinetic window mechanism, working during the 2nd TSS step, provides the nanostructured ceramic matrix, respectively improved biocompatibility. Simultaneously, the high porous structure, fitting the trabecular bone tissue, remained an important technical request of such applications up to this research. The porous biocomposite scaffold could be designed using specific foaming agents, like titanium hydride, calcium carbonate and ammonium bicarbonate, by controlling the foaming reactions depending on the foaming agents’ type and content into the chemical composition of the initial biocomposite powder mixture. The new concept of foaming window, working during the 1st TSS step, includes these factors able to provide the specific foam structure fitting the required biocomposite foams porosity. Both windows may work for the benefit of the nanostructured highly porous biocomposite manufacturing by TSS process, in advantageous technical and economical terms.
Impacto de la infraestructura vial y de las exportaciones sobre el crecimiento económico regional: caso de la región Áncash
Authors: De La Cruz Pairazamán Rodas Alejandro
Published: February 2018

Esta investigación evalúa el impacto de la calidad de la infraestructura vial y de las exportaciones sobre el crecimiento económico en la región Áncash en el periodo 2003-2013; estudia cómo la calidad de la infraestructura vial ha impactado sobre la localización territorial de las industrias exportadoras, sobre la bancarización regional, y de qué manera éstas han impactado sobre el crecimiento económico de la región; finalmente analiza el impacto del crecimiento económico sobre el nivel de pobreza en dicha región. Las empresas exportadoras extractivas de la región se ubican donde se localizan sus recursos naturales (yacimientos mineros y anchoveta); las agroexportadoras de frutas y hortalizas se localizan en la costa de la región, mientras que no existe ninguna agroexportadora en el Callejón de Conchucos debido a la carencia de la infraestructura vial mínima que haga rentable el negocio; el estudio revela que la región tiene un sistema financiero primario y desigual debido a que varias provincias no cuentan con oficinas bancarias. A pesar de que el PBI de la región solo creció a una tasa anual del 0,8% en el período 2007-2014, la pobreza total ha tenido una significativa reducción, pero muy desigual.
A conceptual blending analysis of a metaphorical advertisement: applications in elt
Authors: Sá Elisa Mattos de
Published: February 2018

Advances in Cognitive Linguistics have focused on the centrality of meaning and conceptual structure in human language (Evans & Green, 2006; Geeraerts, 2006), placing phenomena such as metaphor as central to human cognition (Lakoff, 2006; Lakoff & Johnson, 1980). This paper analyzes the process of meaning construction of a metaphorical print advertisement in which cognitive operations of conceptual integration (cf. Fauconnier & Turner, 2002) can be mapped through the interplay between verbal and nonverbal language. Seeing that adverts can provide learners with real-life communicative opportunities for language development due to theirup-to-date language, cultural-bound content, and creative discourse techniques (Mishan, 2005; Picken, 2000; 1999), this paper additionally provides four pedagogical applications of the chosen advertisement in English Language Teaching, drawing on the principles of the theoreticalframework presented.
Virtual Learning Environment for Dermatology Education
Authors: Almeida Santos Costa Tiago , Neves Ferreira Velho Paulo Eduardo , Fernandes Eloy da Costa França Andrea , Ávila Ferreira Leonardo , Ferreira Magalhães Renata
Published: February 2018

This article was migrated. The article was not marked as recommended. The electronic resources available for educational use have rapidly developed in recent years, thus increasing the use of new assessment and evaluative pedagogical models. Pre- and post-course testing using a virtual learning environment (VLE) can be useful for analyzing student learning, as well as for evaluating the course itself. This study aimed to identify and evaluate the use by the students of a VLE assessment model as part of a dermatology course at the School of Medical Sciences (SMS) - UNICAMP and to evaluate the course itself.The research sample included 145 students who were enrolled in the medical degree program in 2015 and 2016. The data was obtained using the Modular Object-Oriented Dynamic Learning Environment (MOODLE) platform, an identification tool containing 10 questions called "Knowing You" and a bank of 80 multiple-choice questions with a similar level of difficulty that had been previously analyzed by residents and dermatology professors. Evaluations were conducted before the beginning of the module (pre-test), shortly after the dermatological practicum (post-test) and at the end of the module (final test). Among the students invited to participate in the study, 81.38% responded to the "Knowing You" questionnaire, and the majority of students displayed good or reasonable knowledge of technology and preferred to study alone at night. Only 2.6% of the students used the VLE. During the assessment step, 50.34% of the participants completed all three tests. The post-practicum test scores were higher than those of the final-module test, which in turn were higher than the pre-module test scores. The analysis was adjusted for the groups in regard to the completion time of the partial post-practicum test. Varying time did not influence the test results among different classes (p=0.7456) or among other groups (p=0.9073).The method enabled the creation of tests with a similar degree of difficulty as no significant difference was observed between the groups and students. We observed that few of the students in the medical course at SMS - UNICAMP used the VLE and that the system of assessment was useful for documenting the module learning.The results also induced changes in the learning model used in the discipline of dermatology, with the goal of better knowledge retention by the end of the module. Therefore, it may be beneficial for students, professors, educational institutions, and development agencies to re-examine their use of VLEs in dermatology education. Questions submitted by dermatology professors from other well-recognized medical schools can be added to the question pool. Thus, this method can also allow for an external evaluation of the discipline or the school.
Pantoprazole, an Inhibitor of the Organic Cation Transporter 2, Does Not Ameliorate Cisplatin-Related Ototoxicity or Nephrotoxicity in Children and Adolescents with Newly Diagnosed Osteosarcoma Treated with Methotrexate, Doxorubicin, and Cisplatin
Authors: Fox Elizabeth , Levin Kristin , Zhu Yan , Segers Blair , Balamuth Naomi , Womer Richard , Bagatell Rochelle , Balis Frank
Published: February 2018

Lessons Learned

Using a randomized crossover design and continuous variables such as change in hearing threshold and biomarkers of acute renal injury as short-term endpoints, it was determined that pantoprazole, an organic cation transporter 2 inhibitor, did not ameliorate cisplatin-associated nephrotoxicity or ototoxicity. Cystatin C is a robust method to estimate glomerular filtration rate in patients with cancer. Using a patient-reported outcome survey, all patients identified tinnitus and subjective hearing loss occurring “at least rarely” after cycle 1, prior to objective high-frequency hearing loss measured by audiograms. New therapies that improve outcome with less acute and long-term toxicity are needed.

Background

Organic cation transporter 2 (OCT2), which is a cisplatin uptake transporter expressed on renal tubules and cochlear hair cells but not on osteosarcoma cells, mediates cisplatin uptake. Pantoprazole inhibits OCT2 and could ameliorate cisplatin ototoxicity and nephrotoxicity. Using a randomized crossover design, we evaluated audiograms, urinary acute kidney injury (AKI) biomarkers, and glomerular filtration rate (GFR) estimated from cystatin C (GFRcysC) in patients receiving cisplatin with and without pantoprazole.

Materials and Methods

Cisplatin (60 mg/m2 × 2 days per cycle) was administered concurrently with pantoprazole (intravenous [IV], 1.6 mg/kg over 4 hours) on cycles 1 and 2 or cycles 3 and 4 in 12 patients with osteosarcoma (OS) with a median (range) age of 12.8 (5.6–19) years. Audiograms, urinary AKI biomarkers, and serum cystatin C were monitored during each cycle.

Results

Pantoprazole had no impact on decrements in hearing threshold at 4–8 kHz, post-treatment elevation of urinary AKI biomarkers, or GFRcysC (Fig. 1, Table 1). Histological response (percent necrosis) after two cycles was similar with or without pantoprazole. All eight patients with localized OS at diagnosis are alive and in remission; three of four patients with metastases at diagnosis have died.

Conclusion

Pantoprazole did not ameliorate cisplatin ototoxicity or nephrotoxicity. The decrease in GFRcysC and increase in N-acetyl-ß-glucosaminidase (NAG) and creatinine demonstrate that these biomarkers can quantify cisplatin glomerular and proximal tubular toxicity. OCT2 inhibition by pantoprazole did not appear to alter antitumor response or survival.
A study of prescribing pattern of antihypertensive drugs in hypertensive patients with co morbid diabetes in a tertiary care teaching hospital
Authors: Sharma Jay Kumar , Parmar Shailesh P. , Trivedi Hiren R.
Published: February 2018

Background: Hypertension and diabetes mellitus are among the commonest non-communicable diseases. Co-existence of hypertension and diabetes increases morbidity and mortality. So co-existence of these diseases requires attention and rational management. Studying current prescribing pattern of drugs provide data for recommendations and decisions regarding rational practice. We undertook this study to study prescribing pattern.Methods: It was cross sectional, observational, descriptive study in outdoor patients suffering from hypertension and type 2 diabetes mellitus for duration of one year. Data of 601 patients were analyzed using descriptive statistics to determine prescribing pattern of drugs.Results: In this study, 71.55% patients were above 50 years age. Female patients were 56.57%. Average duration of hypertension was 4.08 years. Commonly prescribed antihypertensive drug groups were angiotensin converting enzyme (ACE) inhibitors (85.36%) followed by β receptor blockers (33.44%) and calcium channel blockers (29.95%). Enalapril (85.36%) followed by amlodipine (29.95%) and atenolol (21.46%) were commonly prescribed antihypertensive drugs. Single antihypertensive drug was prescribed in 292 (48.59%) prescriptions. The most common monotherapy drug was enalapril (82.19%). Two antihypertensive drugs were prescribed in 231 (38.43%) prescriptions. The most common two drug combination was ACE inhibitors + β receptor blockers (40.69%). Four antihypertensive drugs were prescribed in only 1.50% prescriptions.Conclusions: From this study, the results suggest that the prescribing pattern of antihypertensive drugs reflects recommendations of current guidelines and practices. However, β receptor blockers were prescribed more commonly. There is room for improvement in choice of drugs.
Diagnosis and management of radio opaque nasal foreign bodies in children
Authors: P. Satish Kumar , V. J. Vikram , N. Mannarmannan , R. Bhavani
Published: February 2018

Background: Nasal foreign body impaction is a common problem in paediatric population. Children are more affected because they have tendency to put anything in the nose or by their playmates. This study is about the various radio opaque nasal foreign bodies we encountered and their management.

Methods: A retrospective study between January 2013 - January 2015, at Institute of child health/Madras Medical College, Chennai, was done in paediatric patients, who have accidently inserted the radio opaque foreign body in their nostrils. The case record were analysed for the nature of radio opaque nasal foreign body, the symptoms, complications encountered.  

Results: There were 11 patients with radio opaque foreign body in our study. The most common age group was between 1 to 5 years 7 patients were in this age group. The type of foreign was button battery were 5 in number, safety pins 4, marble 1, bolt 1. All the patients were brought to hospital within 4 hours of insertion. We did not encounter any complications while removal of the nasal foreign bodies.

Conclusions: Nasal foreign bodies are a common problem among children’s. The foreign body retrieval can be posing a great challenge to the otorhinolaryngologists. The radio opaque foreign body especially button battery, if not removed may lead to serious complications like septal perforation.

 
Huxian’s Foolish Old Men Create New Scenes: Huxian Peasant Paintings from the Cultural Revolution and their Ideological Discourses
Authors: Ashton Dean
Published: February 2018

Huxian Peasant Paintings are a product of the Chinese Cultural Revolution. Ostensibly painted by peasant amateur artists, they depict idealized peasants in rural China. The paintings were reproduced in large numbers and distributed as posters for the masses. Further evidence has shown that the amateur artists were in fact given detailed training by professional artists under the guidance of the Chinese Communist Party (CCP). This paper seeks to analyze the images as important political texts from the Cultural Revolution because of the influence of the CCP. Using discourse analysis, this paper argues that these posters are an important discursive formation that allowed the CCP to transmit ideology to a largely illiterate or semiliterate rural population.
Medicine for the Masses: The Placebo Effect of Early Modern Medical Frontispieces and the Commercialization of Socialized Medicine
Authors: Church Ryan
Published: February 2018

By focusing on a single case study of Girolamo Ruscelli‟s famous Secreti del reverend donno Alessio Piemontese (1555), I argue that the frontispiece contained in this manuscript transformed the knowledge and practices contained within it through the placebo effect, thus helping to generate and mobilize social power through medical self-sufficiency. This tremendous change undercut the economic power of institutional medicine, thus altering the medical landscape toward a utilitarian model in the Early Modern period.
Humour in Contemporary Indigenous Photography: Re-focusing the Colonial Gaze
Authors: Sugrue Meagan
Published: February 2018

Abstract: Although photography has long been used as a tool of colonial oppression to portray Indigenous peoples as either a “vanishing race” or to confirm their assimilation into the dominant colonial culture, contemporary Indigenous photographers are using humour to turn the colonial gaze back on itself. This article discusses the use of humour as a teaching tool by exploring the role of the “trickster” as a mode of subversion. Five Indigenous artists’ works are analyzed through this lens in order to show how contemporary Indigenous photographers employ elements of irony and satire to reveal the insidious nature of colonial stereotypes.
Mediating Access: The Utilization of Status Evaluation Processes in the Work of Bouncing
Authors: McLennan-Dillabough Sarah
Published: February 2018

Evaluative processes play a central role in our social world. These processes are especially salient in the work of bouncing, the work carried out by security staff at establishments licensed to serve alcohol. Bouncers have the power to admit or deny patrons who seek admittance to bars and nightclubs. Although the continual evaluation of patrons’ statuses (including their social status, race, and age) is common in this line of work, little sociological research has focused on these processes. Using interviews and participant observations, this article provides a grounded theory study that aims to expand the sociological knowledge about evaluative processes in the work of bouncing. This article argues that bouncers rely on socially constructed stereotypes in their evaluations of patron attitude and dress, associating certain attitudes and dress with violent behaviour. Bouncers’ reliance on status characteristic stereotypes systematically excludes classes and races of patrons who are perceived to have characteristics associated with violence.
Musical Connections: A Descriptive Study of Community-Based Choirs for Persons with Dementia and their Caregivers
Authors: Anderson Zach , Sheets Debra
Published: February 2018

This descriptive qualitative study explores the key characteristics, benefits, and lessons learned from community-based choirs for persons with dementia (PwD) and their caregivers based on reports from choir administrators and directors. Although there is growing interest in choirs for PwD, there has been no synthesis of information on these choirs. Semi-structured interviews were conducted between December 2016 and February 2017 with six administrators and/or directors of community-based choirs for PwD and their caregivers. The interviews were audio-recorded and transcribed. Content analyses indicated that choirs had many similarities in membership (e.g., early to mid-stage dementia), establishing formal sections (e.g., soprano, alto, tenor, bass), administration (e.g., leadership, fees), and music programming (e.g., public performance, duration, and length of practice sessions). Benefits of the choir include enjoyment, sense of purpose, empowerment, caregiver support and respite, and increased awareness of dementia by others. In conclusion, this descriptive study suggests that community-based choirs are a cost effective and valuable program that improve quality of life for PwD and caregivers.
Real Time Product Feedback Review and Analysis Using Apache Technologies and NOSQL Database
Authors: Samal BiswaRanjan , Panda Mrutyunjaya
Published: February 2018

Whenever a feedback system comes into mind, it’s always a demand of the e-commerce organizations to get the customer feedbacks in real time and to build some strong dashboards on top of these feedbacks/ratings. So that they can easily know the performance of any product at any point of time as well as they could able to take a decision, on what to do with the products those are getting very poor feedbacks. Which will result in a minimum impact on the tangible and intangible assets of the organizations. For achieving the above goal it is very necessary for these organizations to adopt the right tool and implement the required environment which can deal with the real time big data ingestion, enrichment, indexing and have the power to perform simple as well as complex analysis algorithm on the stored data. In this paper, we have collected Amazon Product Ratings for doing analysis and used Apache NiFi for ingesting real-time data into Apache Solr and have taken help of Banana Dashboard to show the real time analysis results in the form of attractive and user-friendly dashboards.
CONDENZA:A System for Extracting Abstract from a Given Source Document
Authors: .I .J Mgbeafulike , C. I Ejiofor
Published: February 2018

Despite the increasingly availability of documents in electronic form and the availability of desktop publishing software, abstracts continue to be produced manually. The purpose of CONDENZA is to develop a system for abstract extraction from a given source document. CONDENZA describes a system on automatic methods of obtaining abstracts. The rationale of abstracts is to facilitate quick and accurate identification of the topic of published papers. The idea is to save a prospective reader time and effort in finding useful information in a given article or report. The system generates a shorter version of a given sentence while attempting to preserve its meaning. This task is carried out using summarization techniques. CONDENZA implements a method that combines apriori algorithm for keyword frequency detection with clustering based approach for grouping similar sentences together. The result from the system shows that our approach helps in summarizing the text documents efficiently by avoiding redundancy among the words in the document and ensures highest relevance to the input text. The guiding factors of our results are the ratio of input to output sentences after summarization.
Identification and Detection of Missing RFID Tags using RUN Protocol
Authors: Jade Ankita , Bhirud Nikita , Patwari Gauri , Vaste Ankita
Published: February 2018

As human race or human society is growing, the wildlife animals or wild animals are in danger. But as per natures rule, every living creature on this earth is important and has important role ecosystem. The domestic animals get misplaced sometimes and finding them is a tedious task. RFID and sensors have been deployed to detect and identify missing animals by affixing them with cheap passive RFID tag and monitoring them with RFID readers. So the proposed system will help us to detect and find the missing animals using RUN protocol. RUN protocol uses slotted aloha for communication between tags and readers. It execute multiple frame for different seeds to reduce the effect of unexpected tags and also it reduces the time of missing tag detection and identification. To obtain optimal frame sizes and minimum no of times aloha frames should be executed to mitigate the effect of unexpected tags. RUN protocol works with multiple readers with overlapping region. It identifies 100% missing tags in the presence of unexpected tags where as other protocol only identifies 60% of missing tags.
Internet of Things in Vehicle Safety – Obstacle Detection and Alert System
Authors: Umakirthika D. , Pushparani P. , Rajkumar M.Valan
Published: February 2018

Recent development of the Internet of Things (IoT) and Smart Things provides an opportunity for the informationization for the automotive industry. This article describes Obstacle Detection and Alert System (ODAS) both incorporated as a single system for the obstacles such as speed breakers, barricades on the road using Internet of Things. Obstacle detection system uses in-built algorithm to detect an obstacle on the road using minimal vehicle parameters such as vehicle speed, steering angle. Obstacles locations thus marked by the detection system are stored locally and uploaded to cloud from time-to-time. Cloud server processes data from different vehicles and finalizes that there is a real obstacle at the particular location based on its own algorithm. Obstacles locations thus confirmed by the cloud server are downloaded to obstacle alert system from time-to-time, which alerts the driver about the obstacle on the road when the driver is nearing the location of the obstacle. This system also provides option to see obstacles location super-imposed on google maps so that user can plan his efficient route in advance. Existing systems only have road sign indications for obstacles such as speed breakers, barricades which the driver might not notice during driving, especially at night times. Existing google maps data do not have option to find road obstacles such as speed breakers, barricades information on it. The system aims to overcome these short-comings by a dedicated system which provides audible and visual alert about road obstacles.
Bilateral obstetric brachial plexus paralysis: a case report
Authors: Çelik Canan , Kulaklı Fazıl , Erol Asiye Mukaddes , Akçay Yalbuzdağ Şeniz , Hacıoğlu Kadir
Published: February 2018

We aim to report a
case with bilateral obstetric brachial plexus paralysis rarely seen after
cesarean section. A 28-month-old girl was admitted to our outpatient clinic
with weakness in both upper extremities. Shoulders were adducted and
internally rotated, elbows were extended with flexion fingers. The 37-year-old mother, fetal breech presentation, premature birth and
probably traction forces applied at birth were considered among the risk
factors. With this case,
it is emphasized that obstetric brachial plexus paralysis occurs rarely
bilateral and after cesarean section.
Response of sowing dates and bio regulators on yield of clusterbean under current climate in alley cropping system in eastern U.P., India
Authors: Meena Hemraj , Meena Ram Swaroop , Lal Rattan , Yadav Gulab Singh , Mitran Tarik , Layek Jayanta , Patil Somanagouda B. , Kumar Sandeep , Verma Tarun
Published: February 2018

The impacts on yields of cluster bean were assessed for normal (15 July) and late (30 July) sowing environments and foliar spray of thiourea (500, 1000 ppm) and salicylic acid (50, 100 ppm) at 45 and 60 days after sowing (DAS).Significantly higher yield parameters, yield, economics, protein content and nutrient uptake were recorded with foliar spray of thiourea at 500 ppm as compared to all other bio regulator sprays. Similarly, spray of salicylic acid at 100 ppm enhanced yield and other growth parameters which were statistically at par with those for thiourea 500 ppm foliar spray at 45 and 60 DAS. The data show that the foliar application of bio regulators at normal sowing date enhances seed yield of clusterbean by improving the physiological processes. The interaction effects were significant between the sowing date and bio-regulators on the seed yield. The highest seed yield of 993 and 845 kg/ha was obtained with foliar spray of thiourea at 500 ppm in normal and late sowing, respectively, while the lowest yield of 775 and 769 kg/ha was obtained for the water spray control in normal and late sowing, respectively.
Studies on seed production of pea (Pisum sativum L.) varieties with phosphorus levels under Malwa Plateau conditions
Authors: Kanchan K. S.S. Kushwah, S.N. Mishra, I.S. Naruk K. , Kushwah S. S. , Mishra S. N. , Naruka I. S. , Singh P. P.
Published: February 2018

Field investigation was conducted at the Bahadari farm, College of Horticulture, Mandsaur during rabi 2009-10. Eighteen treatment combinations comprising of six varieties viz.,V1-Arkel, V2-Pusa Pragati, V3-Matar Ageta-6, V4-Kashi Nandini, V5- Kashi Shakti V6-Azad Pea-3 and three phosphorus levels P1-60kg P2O5/ha, P2-90 kg P2O5/ha and P3-120kg P2O5/ha were laid out in factorial randomized block design with three replications.Observations were recorded on growth, yield parameters, seed yield and quality. It was concluded that the variety Matar Ageta-6 was superior as indicated through seed yield and quality. Among the phosphorus levels there was increase in growth, yield parameters, yield and seed quality up to P3 (120 kg P2O5/ha) level but significant improvement was only up to P2 (90 kg P2O5/ha). Economic analysis of different treatments revealed that cost of cultivation was increased with increasing dose of phosphorus application irrespective of variety. Gross return, net profit and cost : benefit ratio were realised highest in variety Matar Ageta-6 with P3 (120 kg P2O5/ha) application. It was followed by the same variety under P2 (90 kg P2O5/ha) application.However, there was very marginal increase with P3 (120 kg P2O5/ha) over P2 (90 kg P2O5/ha).