bluuebunny/crossref_metadata_2025_split huggingface dataset:
Physiology of Geriatrics
Authors: Matadial Christina M. 
Published: January 2021

The aging population is growing and life expectancy is prolonged. The elderly population is able to enjoy prolonged life with good management of their chronic conditions. Many elderly do not have medical conditions but we still see a decline in their organ function and physiologic reserve that weighs in on their daily living. As well these changes in anatomy, physiology and chemistry puts them at risk of developing medical conditions and experience adverse outcomes during surgery and anesthesia. The central nervous, cardiovascular, respiratory, hepatic and renal systems all work together and are affected as a whole with aging causing physiologic changes but also compensatory mechanisms. In this review we will study the aging physiology of the body and touch on its implications in anesthesia.
This review contains 5 figures, 3 tables, and 55 references.
Keywords: Healthy aging, age-related changes, Postoperative cognitive dysfunction, diastolic dysfunction, vascular stiffening, ventricular arterial coupling, Chronic obstructive pulmonary disease, Spirometry, Glomerular Filtration Rate, hallmarks of aging
Preoperative Assessment of the Patient with Diabetes Mellitus
Authors: Josephs Sean A. , Lemmink Gretchen A. 
Published: January 2021

Diabetes mellitus is a major cause of morbidity and mortality. Nearly 30 million Americans have diabetes, more than 25% of which are undiagnosed. Patients with diabetes have multiple problems that should be addressed prior to surgery. They often have uncontrolled glucose levels that should be treated preoperatively. Current studies suggest that outcomes may be improved if perioperative glycemic control is optimized. Patients with diabetes develop end-organ dysfunction that can complicate perioperative management. Preoperative assessment of cardiac, neurologic, vascular, and renal function is necessary for all patients with diabetes that undergo major surgery. Optimization of cardiac disease in particular can reduce major adverse cardiac events for patients with risk factors such as diabetes. Diabetic patients can occasionally present for major surgery with hyperglycemic emergencies such as diabetic ketoacidosis and hyperglycemic hyperosmolar state. These conditions require urgent treatment to prevent mortality regardless of the need for surgery. This article reviews the preoperative assessment and management of these issues.
This review contains 1 figure, 4 tables, and 37 references.
Key Words: diabetes mellitus (DM), end-organ damage, hyperglycemia, polyuria, polydipsia, polyphagia, perioperative glycemic management, diabetic ketoacidosis (DKA), hyperglycemic hyperosmolar state (HHS), perioperative cardiac risk factors
Medullary Thyroid Cancer
Authors: Lal Geeta 
Published: January 2021

Medullary thyroid cancer (MTC) arises from the thyroid C-cells and accounts for 1 to 2% of thyroid cancers in the United States. Most tumors are sporadic but may occur as a part of the familial syndromes multiple endocrine neoplasia (MEN) 2A, MEN2B, and familial MTC. Surgery is the mainstay of treatment of these tumors, although recent advances in molecular genetics have enabled the development and use of targeted therapies such as tyrosine kinase inhibitors to treat patients with symptomatic metastatic disease.
This review contains 2 figures, 3 tables and 34 references
Key Words: genetics, management, medullary thyroid cancer, MEN2A, MEN2B, targeted therapies
Sarcoidosis
Authors: Baughman Robert P , Scholand Mary Beth 
Published: January 2021

Sarcoidosis is a systemic disease characterized by the presence of noncaseating granulomas, which accumulate in affected organs. The incidence, organ involvement, and disease severity depend on environmental exposures and host factors. The cause of sarcoidosis remains unknown. Any organ can be affected; however, involvement of the lung, heart, and nervous system contributes most to morbidity and mortality. This review discusses the epidemiology, etiology, genetics, pathogenesis, diagnosis (including clinical manifestations), differential diagnosis, management, complications, and prognosis of sarcoidosis. Figures depict the pathogenesis of sarcoidosis, radiographic stages of sarcoidosis, contrast-enhanced magnetic resonance imaging of a patient with neurosarcoidosis, noncaseating granuloma from a tissue biopsy of a patient with sarcoidosis, various manifestations of sarcoidosis, approach to the use of anti-inflammatory therapy for sarcoidosis, and an algorithm for symptomatic disease.
This review contains 7 highly rendered figures, 7 tables, and 127 references
Keywords: cardiac sarcoidosis, hilar lymphadenopathy, Löfgren syndrome, neurosarcoidosis, noncaseating granuloma, sarcoidosis, uveitis
Uterine Fibroids
Authors: Plewniak Kari , Hur Hye-Chun 
Published: January 2021

Uterine fibroids may be present in up to 80% of women and are the most common benign indication for hysterectomy. Symptoms related to fibroids can vary tremendously and depend on the number, size, and location of fibroids, as well as the patient’s hormonal status. Several different treatment options are available for fibroids. A variety of factors, such as a patient’s symptoms, age, reproductive goals, and medical comorbidities, help determine which treatment is best for each patient.
This review contains 11 figures, 4 tables and 55 references
Key Words: abnormal uterine bleeding, fibroids, FIGO fibroid classification, hysterectomy, leiomyoma, myomectomy, uterine artery embolization
Excavation of History and Narration of Subaltern Orality in the Short Stories of Mahasweta Devi
Authors: K Anuranj C 
Published: January 2021

In 1979 Mahasweta Devi had written and published a short story collection in Bengali language. Later, the short story collection had been translated into English by Ipsita Chanda and published in 1998 under the title of Bitter Soil. This paper studies two short stories from this collection of translation, which entitled as Little Ones and Salt respectively. Mahasweta Devi made tremendous contribution to literary, social and cultural studies in this country and she always believed that the real history is made by the ordinary people as she is also a political activist. Both these short stories represent the history of post independent India. Mahasweta Devi’s empirical research into oral history and haunting tales of exploitation and struggle as it lives in the cultures and reminiscences of tribal communities is highly relevant today.
Peer assessments of research advisors and effects on investments in teaching
Authors: Eckhaus Eyal , Davidovitch Nitza 
Published: January 2021

In recent years, research on faculty performance measures has increased. Although peer reviews are an integral part of faculty’s work and require time investment, they are typically not considered in measuring faculty performance. The aim of this research was to investigate associations between evaluations of peers’ performance as research advisors, and teaching perceptions. We employed Exploratory Factor Analysis, followed by Structural Equation Modeling, to test our model’s goodness-of-fit. Results show that the stronger the satisfaction from assessing peers’ performance as advisors, the greater the perceived significance of teaching. Excellence in teaching also effects teaching perceptions. Furthermore, female faculty members gained more satisfaction from assessing peers than did males. It has been argued that there is no association between teaching and assessing peers’ performance as research advisors. The findings of this study address the literature gap regarding the link between teaching quality and research, by employing the Projection theory.
Effectiveness of Saline Washout Technique in the Management of Chemotherapy Extravasations Among Cancer Patients
Authors: Parimala L  , Nivitha W  
Published: January 2021

Cancer cells display uncontrolled growth invasion and sometimes metastatic spread to other location in the body via lymph nodes or blood. Cancer affects people are mostly in elder ages peoples with risk for most type increasing with age cancer caused about 13% of all human death 2008(7.6million). While improved the cancer patients first important for administer the chemotherapy. But they may cause many of side effects in main side effects is “EXTRAVASATION in” extravasations is infiltration or leakage of intravenous chemotherapeutic agents. It mostly affected in extremities, into the local tissue surrounding the administration site may result of local tissue damage or extravasations. Drugs that is associated with severe necroes is when extravasations are known as vesicants. Whereas those associated with less severe burning or inflammation are known as irritation. The aim of the present study was conducted to assess the effect of saline washout technique in the management of chemotherapy extravasation among cancer patients. A pre-experimental design was chosen to assess the effectiveness of saline washout technique on chemotherapy extravasations. The present was conducted at SMCH with 100 male and female who come under inclusion criteria and they were selected by non-probability convenience sampling technique. The demographical variables was collected by using Semi-structured questionnaire and extravasations was assessed by INS (Infusion nurses society) infiltration and extravasation scale. The result revealed the pretest results show that 30% had mild stage, 31% had moderate stage, 24% had severe stage and 15% had very severe stage on chemotherapy extravasation among cancer patients. The post-test data revealed that 35% had normal stage, 24%hadmildstage,21%hadmoderatestage, 14% had severe stage and 6% had very severe stage on chemotherapy extravasation among cancer patients. The result revealed that saline washout technique was more effective in the management of chemotherapy extravasation among cancer patients.
Effectiveness of breast milk application on sore nipples among postnatal mothers
Authors: Varalakshmi E  , Jayabharathi K  
Published: January 2021

Breast feeding is very important for the health and well-being of infants and mothers. It has been traditional way of feeding newborn in our country and is one of the most natural and beneficial acts a mother can do for her child. Areola irritation is regular in breastfeeding ladies during the initial not many days after conveyance. Most of the sore and broke areolas are the aftereffect of wrong situating and connection of the infant at the breast. The present study aims to assess the effectiveness of breast milk application on sore nipples among postnatal mothers in a Saveetha Medical College and Hospital, Chennai. A quantitative pre-experimental one group pretest and post-test research configuration was embraced and the examination was directed with 30 postnatal moms who were chosen by utilizing non-likelihood purposive inspecting method. The organized meeting was utilized to gather segment information and Nipple Trauma Checklist was utilized to survey the sensitive areola. Pretest was directed prior to overseeing the bosom milk by surveying the areola utilizing Nipple Trauma Checklist. Investigator expressed the mother’s breast milk into a sterile gauze piece and gently rubbed over the nipples, allowing it to air dry for 10-15 minutes. Intervention was given for thrice a day for two days and posttest was done on the third day. The study finding shows that critical improvement was seen which unmistakably derives that use of expressed breast milk over areola was discovered to be compelling in the administration of areola irritation among postnatal moms.
Hydroclave - A newer method of sterilisation - Review
Authors: Karishma Desai  , Geetha R. V.  , Leslie Rani S  
Published: January 2021

Hydroclave is a recently introduced technique in the methods of sterilisation. It is a simple method that is affordable by most. This system uses steam to indirectly heat the vessel and dehydrate the waste that is fed into it. It has a variety of features. It has a higher and better degree of sterilisation. The holding time of this vessel is 15 minutes for a cycle. The advantages of using this Hydroclave is that it reduces waste by volume and size. The waste is reduced easily and hence it facilitates easy disposal. A systematic search strategy was employed and articles were found using keywords. Literature was taken from databases like PubMed and Google Scholar. Articles that discussed the newer techniques of sterilisation were included. Other articles which had data regarding Hydroclave, its benefits, structure and its applications were also included. A total of about 70 articles were collected initially. Multiple articles were added later from other sources. After eliminating articles that did not meet the inclusion criteria, more than 30 studies were finally obtained to carry out the research. This review summarized the use of Hydroclave for sterilisation. Other techniques, uses of Hydroclave, Process of sterilisation were also discussed in detail in this review article.
Pengukuran Kinerja Pustaka OpenALPR untuk Mengidentifikasi Secara Otomatis Citra Real-time Plat Nomor Kendaraan Indonesia
Authors: Fadllullah Arif , Harto Dedy , Kurniawati Ani 
Published: January 2021

OpenALPR adalah sebuah pustaka berlisensi opensource yang dapat digunakan untuk mengidentifikasi jenis plat nomor kendaraan di berbagai wilayah dan negara secara otomatis. Pustaka ini tidak hanya mampu menganalisis objek citra diam plat nomor kendaraan, tetapi juga mampu menganalisis objek citra bergerak/video secara real-time dari plat nomor kendaraan. Penelitian ini mengusulkan untuk dilakukan pengukuran sampai sejauh mana kinerja pustaka OpenALPR dalam merekognisi citra real-time plat nomor kendaraan Indonesia berdasarkan akurasi dan jarak. Berdasarkan hasil uji coba terhadap pengambilan data primer citra real-time kendaraan bermotor roda dua sebanyak 30 data, diperoleh bahwa rata-rata hasil akurasi OpenALPR untuk mengubah citra real-time ke dalam data string plat nomor sebesar 73,3%, sedangkan rata-rata jarak kamera standar dalam melakukan screenshoot ke data citra plat nomor sebesar 87,8 cm. Hasil simulasi menunjukkan bahwa pustaka OpenALPR akurat dan efektif digunakan sebagai analisis pra-processing objek citra real-time plat nomor kendaraan, sebelum masuk ketahapan klasifikasi dan pengolahan informasi lebih lanjut.
Extracción y caracterización de un ácido húmico, y su evaluación fisicoquímica de coagulación en presencia de Fe3+ y Al3+
Authors: Villagrán-Manilla Abril , Ibarra-Coria Eduardo D. , Guevara-Lara Alfredo , Nieto-Velázquez Silvia 
Published: January 2021

En esta investigación se realizó la extracción de un ácido húmico (AH) de un suelo de Tolcayuca (estado de Hidalgo), empleando Na2P2O7.10H2O e NaOH como agentes extractantes.
El análisis fisicoquímico de los AHs en estudio (comercial CHEMAPEX AH-CH y extraído en el laboratorio AH-To) mostraron características poliácidas y alta estabilidad química, lo cual se corrobora con su capacidad de coagulación con los metales trivalentes por medio de lecturas de potencial zeta. Los datos obtenidos evidenciaron que existe una rápida interacción AH-Metal en un tiempo menor a 5 min y sobre todo al incrementar la concentración del metal (1, 2 y 3 mM) a un pH de 5, debido principalmente a la desprotonación de los grupos carboxílicos (-COOH), que bajo estas condiciones pueden coordinarse, reduciendo la carga neta negativa y permitiendo así que tales complejos se aproximen e interactúen a través de puentes de hidrógeno.
Análisis de la Logística Inversa de Productos Perecederos en México
Authors: Lezama León Evangelina , Lezama León Myrna H. , Galindo Alonso Ernesto Solis , Figueroa Urrea Héctor 
Published: January 2021

El crecimiento demográfico conlleva ciertos problemas sociales, uno de ellos es el aumento en la demanda de productos perecederos. La atención a una de las necesidades básicas como la alimentación se torna insostenible en la mayoría de los países en vías de desarrollo (México, países de centro y Sudamérica, entre otros), ya que estadísticamente la población crece más rápido que la producción de recursos alimenticios disponibles. Una de las estrategias que se está llevando a cabo por la industria alimenticia es optimizar el uso de los alimentos evitando el desperdicio por tiempo de caducidad o por excedente preparado. En esta investigación se presenta un estudio exploratorio a través de la revisión de la literatura actual en bases de datos como Scopus, Elsevier, y publicaciones de sitios de Instituciones, para aclarar y delimitar el estado del arte en este tema. El resultado de esta investigación son los estudios sobre las técnicas del proceso de Logística Inversa (LI) aplicadas a la recuperación de los productos perecederos en México, específicamente alimentos, presentando una tabla de clasificación sobre los tipos de residuos.
Diseño de materiales didácticos digitales para la asignatura: Diseña la red LAN de acuerdo a las condiciones y requerimientos de la organización, en 5to Semestre del CBTIS 179 en Tulancingo, Hidalgo
Authors: Bolaños Rodríguez Ernesto , Vega Cano Gaby Yolanda , Lezama León Evangelina 
Published: January 2021

En la presente investigación se diseñan 27 materiales didácticos digitales con el uso de las Tecnologías de la Información y la Comunicación (TIC) con las cuales es posible producir medios integrando texto, imagen, audio, animación, video, voz grabada y elementos de software, almacenarlos en equipos de cómputo o llevarlos a internet para ser leídos desde éstos o en un dispositivo móvil.
Las principales herramientas utilizadas para el diseño de los materiales didácticos digitales del trabajo son Calaméo, FlipSnack, Easel.ly, eXeLearning, VideoScribe y Mindomo. Para ello se consideran las características técnicas y la intención pedagógica que permiten su aplicación en la asignatura: Diseña la Red LAN de Acuerdo a las Condiciones y Requerimientos en la Organización que se imparte en el 5to Semestre del CBTIS 179 en Tulancingo, Hidalgo.
Las conclusiones fundamentales obtenidas evidencian que con el uso de los materiales didácticos digitales diseñados para la asignatura objeto de estudio se ofrecen una serie de tareas que pueden ser utilizadas para guiar al estudiante en su trabajo independiente, así como con el apoyo de éstos se pueden ejercitar contenidos, que por su carácter interactivo, facilitan el desarrollo de actividades intelectuales de observación, interpretación, comparación, esquematización, pensamento crítico, flexible, reflexivo y desplegar la imaginación, fantasía y creatividad en lo que se hace.
Pengaruh Pemberian Tepung Maggot (Hermetia illucens) pada Pakan Terhadap Kualitas Eksterior Telur Burung Puyuh (Cortunix cortunix japonica)
Authors: Setia Muhammad Andi , Badriyah Nuril , Wahyuni Wahyuni 
Published: January 2021

Penelitian ini dilaksanakan bulan Februari hingga April 2019. Lokasi bertempat di UPT. Agri Science Technopark Universitas Islam Lamongan. Tujuan penelitian ini ialah untuk melihat adakah pengaruh pemberian tepung maggot (Hermetia illucens) pada pakan terhadap kualitas eksterior telur burung puyuh (Cortunix-cortunix japonica). Kegunaan dari penelitian ini diharapkan dapat bermanfaat bagi para peternak burung puyuh sehingga dapat mengetahui kualitas eksterior telur burung puyuh. Materi menggunakan ternak burung puyuh petelur (Coturnix coturnix japonica) sebanyak 108 ekor umur 6 minggu. Metode yang dipergunakan ialah Rancangan Acak Lengkap, yang terdiri dari 4 perlakuan dan 3 pengulangan. 4 perlakuan tersebut meliputi P0: pakan komersial 100% tanpa penambahan tepung maggot, P1: Pakan komersial 98% + 2% tepung maggot, P2: Pakan komersial 97% + 3% tepung maggot, P3: Pakan komersial 96% + 4% tepung maggot. Setiap taraf perlakuan mendapat 3 ulangan dengan setiap ulangan terdiri dari 9 ekor burung puyuh. Variabel yang diamati ialah berat telur, indeks telur, tebal kerabang pada telur burung puyuh. Analisis data menggunakan metode statistik Rancangan Acak Lengkap. Penimbangan telur puyuh dilakukan 1 hari sekali setiap sore. Berdasarkan hasil analisis ragam dapat diketahui bahwa pemberian tepung maggot dalam pakan tidak berpengaruh nyata (P>0.05) pada berat telur, indeks telur, dan tebal kerabang. Pemberian tepung maggot dalam pakan tidak memberikan hasil yang lebih baik dibandingkan pakan kontrol. Dikarenakan komposisi nutrisi pakan perlakuan tidak jauh berbeda dengan pakan kontrol, sehingga tidak berpengaruh nyata (P>0.05) terhadap berat telur, indeks telur dan tebal kerabang.
PRODUCT ATTRIBUTES DETERMINE THE PREFERENCE OF HERBAL MEDICINE CONSUMERS
Authors: Himmatul Miftah  , Novita Ita , Tsuwaibah H , Sunaryo M. A. 
Published: January 2021

Abstract: The emergence of a wide variety of herbal medicinal products requires marketers to better understand consumer behavior. The various brands offered make consumers tend to have certain preferences before making a purchase decision. This study aims to determine the attributes of herbal medicinal products that determine the level of consumer preference in the purchasing process and the closeness of the attributes to consumer preferences. The method used is interviews with consumers which are then processed with conjoint analysis to determine the attributes that are most important to consumers in making a purchase. The research concludes that the most important attributes in purchasing herbal medicine in order from the most important are the properties, price, expiration time and packaging. There is a close relationship between the combination of attributes studied and consumer preferences for herbal medicine. This study is limited to four attributes and does not use ranking ratings on the stimulus or combination of attributes, consumer behavior. The uniqueness of this study is to analyze the attributes simultaneously.

Keywords: Herbal medicine product attributes, consumer preferences, conjoin analysis, level of importance
Prevalence of lower urinary tract symptoms (LUTS) among young age medical population
Authors: N Zalina , N Aruku , N Azura , N Shahida , N Akhmarina , F Dian 
Published: January 2021

Introduction: Frequency of lower urinary tract symptoms (LUTS) in young age women is not well studied. It is said to be common among female elderly and multiparous population. The aim of this study is to obtain the prevalence of LUTS among nulliparous students in relation to their personal hygiene. Materials and methods: This is a prospective cross-sectional study conducted among 200 nulliparous medical and nursing students aged between 18-28 years using standardized questionnaires. Urine samples were also collected from students to detect urinary tract infections. Results: The complete data sets of 146 students were analyzed. All of them were nulliparous, single and not sexually active. The prevalence of LUTS was 52.7% consist of over-active bladder, urinary incontinence (UI) and voiding difficulty respectively (51.3%, 34.9% and 45.2%). The most common type of UI was stress urinary incontinence which was 21.9% followed by 11.6% of urgency incontinence. Conclusion: The prevalence of LUTS among young age population is high at 52.7%. Public awareness regarding LUTS and availability of treatment is needed.