bluuebunny/crossref_metadata_2025_split huggingface dataset:
Hidrolisis Pati dari Batang Kelapa Sawit dengan Kombinasi Perlakuan Asam Sitrat dan Steam Explosion Terhadap Sifat Fisiko Kimia Dekstrin
Authors: Yusra Syarifah , Pranoto Yudi , Anwar Chairil , Hidayat Chusnul 
Published: February 2020

Modifikasi pati dilakukan untuk memperbaiki sifat fungsional pati dan memperluas penggunaan pati dalam produk pangan. Modifikasi pati menjadi dekstin dapat dilakukan baik secara fisik, kimiawi, atau kombinasi fisiko-kimia. Pada penelitian ini dilakukan modifikasi pati dengan kombinasi pregelatinisasi-steam explosion (Pregel-SE), dan kombinasi pregelatinisasi-asam sitrat-steam explosion pada pH 4 (pregel-pH-SE4) dan pH 3 (pregel-pH-SE3) untuk produksi dekstrin. Tujuan dari penelitian ini adalah untuk memperoleh metode hidrolisis terbaik dalam pembuatan dekstrin. Produk yang dihasilkan diamati tingkat kelarutan, berat molekul (Mw), dextrose equivalent (DE), Spectra Fourier Transform Infrared (FTIR), SEM, dan viskositas pasta. Hasil menunjukkan bahwa kondisi terbaik modifikasi pati menjadi dekstrin diperoleh pada perlakuan pregel-pH3-SE. Pada perlakuan ini diperoleh kelarutan 75,94 %, berat molekul 60100 g/mol dan DE 15,92%. Pita vibrasi baru terlihat di wilayah bilangan gelombang 1717 cm-1 pada analisis FTIR. Hasil SEM menunjukkan bahwa bentuk granula pati yang bulat sudah tidak terlihat setelah kombinasi perlakuan. Pengujian RVA menunjukkan penurunan viskositas berkorelasi positif terhadap penurunan berat molekul, peningkatan kelarutan dan DE setelah kombinasi perlakuan ditingkatkan. Starch modification is performed to improve the functional properties of starch and starch utilization in food products. Modification of starch, such as dextrin, can be performed by physical and chemical methods, or a combination method, such as physico-chemical. In this research, starch modification was carried out by a combination between pregelatinization and steam explosion (Pregel-SE), a combination between pregelatinization, citric acid and steam explosion at pH 4 (Pregel-pH-SE4) and at pH 3 (Pregel-pH-SE3) for the production of dextrin. The objective of this research was to obtain the best method for dextrin production. The results were observed, such as levels of solubility, molecular weight (Mw), dextrose equivalent (DE), Spectra Fourier Transform Infrared (FTIR), SEM, and pasting properties (RVA). The results showed that the best condition of starch modification for dextrin production was obtained by Pregel-pH3-SE. Solubility, molecular weight, and DE of dextrin were 75.94%, 60100 g/mol, and 15.92%, respectively. A new peak was observed in the region of the wavenumber 1.717 cm-1 at FTIR analysis. SEM analysis indicated that the round form of starch granules did not observed after the treatments. RVA analysis showed that the decrease in viscosity was correlated with a decrease in molecular weight, an increase in solubility, and DE after the treatments.
Impact of gum chewing on recovery of bowel activity after caesarean section
Authors: . Manisha , Duhan Nirmala 
Published: February 2020

Background: Childbirth is a memorable part in every woman’s life. Each labour experience is unique and calls for a celebration. Objective of this study was to evaluate the effect of gum chewing on recovery of bowel motility after caesarean section.Methods: This prospective randomized controlled trial was conducted on 220 women who had undergone cesarean section and were further sub-divided into two groups of 110 women each Group I (Study group, n=110) in whom chewing gum was advised postoperatively and Group II (Control group, n=110) who were managed as per standard departmental postoperative feeding protocol.Results: Mean age in Group A women was 24.86±3.89 years and 25.28±3.34 years in Group B. There was no statistically significant difference between the study and control group regarding their age, parity, occupation, LSCS/previous abdominal surgery, type of cesarean section, indications of cesarean section, skin incision, intraperitoneal adhesions. The mean time of bowel sound appearance in Group A was 3.27±0.95 and it was 8.22±2.0 hours in Group B. The mean time of passage of flatus was found to be 9.77±3.21 hours in Group A and 7.15±3.07 hours in Group B. In Group A, the mean time of passage of stools was 18.79±4.23 hours and it was 39.12±6.56 hours in Group B. Mean duration of hospital stay was significantly lesser (3.23±0.60 days) in gum chewing group than in the non-gum chewing group (4.18±1.28 days). Seventy-six (69.09%) women of Group A needed only one chewing gum before appearance of bowel sound / flatus / feces. Only three women required three chewing gums. Out of 31 cases, who required two chewing gums, five were of previous 1 LSCS and 12 were previous 2 LSCS, thus suggesting delayed return of gut motility in women with > 1 previous LSCS.Conclusions: It was evident that gum chewing, a form of sham feeding is considered as an effective and inexpensive method which hastens the return of gut motility after caesarean section.
Clinical and microbiological profile of type 2 diabetic patients with urinary tract infections
Authors: Deepa Sandinti , Lakshmaiah V. , Natarajan Arvind , K. Prabhakar , A. Raveesha 
Published: February 2020

Background: Diabetes Mellitus is reported to increase the risk of Urinary Tract Infection (UTI) with higher probability of drug resistant organisms. Understanding the burden, microbiological profile and antibiotic sensitivity pattern is vital for effective prevention and management. To assess the microbiological profile and antibiotic sensitivity pattern of Urinary Tract infections among type 2 diabetes mellitus patients.Methods: The study was A prospective observational study done on 117 type 2 diabetic subjects aged above 18 years presenting with symptoms of UTI in a tertiary care hospital Urine was analyzed for urine routine examination, culture and antibiotic sensitivity using standard testing methods on a midstream urine sample. Descriptive analysis was carried out by mean and standard deviation for quantitative variables, frequency and proportion for categorical variables.Results: The mean age of the study population was 57 years. Females constituted 62.39% of participants. Burning micturition (52.99%) was the most common presenting symptom. The prevalence of culture positive UTI was 51.28%. Among gram-negative bacilli, Escherichia coli (20.51%), Klebsiella (6.85%) dominated the culture reports. Enterococcus (4.27%) and Staphylococcus aureus (2.6%) were the common gram-positive organisms isolated. Meropenem was the most effective antibiotic against E. coli (87.5%) and Klebsiella (95%) Vancomycin had 100% sensitivity against Enterococci and S. aureus.Conclusions: More than half of diabetic patients presenting with symptoms of UTI had culture positive UTI, predominantly caused by gram negative organisms. There is a need for comparative studies of Diabetes and controls to explore the key differences in the pattern of UTI.
Palestinian emergency nurses’ knowledge and role perception about disaster management: a need for immediate actions
Authors: Saidam Mohammed N. , Eljedi Ashraf Y. 
Published: February 2020

Background: Preventing, preparing for, responding to, and recovering from disasters have become a priority for everyone. Gaza Strip in Palestine is constantly exposed to wars and disasters. One of the most prominent respondents to disasters in the health care system is emergency nurses. This study aimed to identify the role perception of Palestinian emergency nurses in Gaza Strip during disaster and their level of knowledge about disaster management.Methods: The analytical descriptive cross-sectional approach was used. The study sample consisted of all nurses working in emergency departments at the governmental hospitals in Gaza Strip. The eligible nurses were 180; only 162 filled the questionnaire with response rate 90% after signing the consent form. Data were analyzed using mean, t test and ANOVA.Results: The findings indicated that 75.9% of emergency nurses were male. About 53% were 20-29 years old. Most of them hold bachelor degree (73.5%) while only 4.3% had a master degree. The study found that the level of “role perception of nurses during disasters” was 81.5% (e.g., ability to participate in an emergency plan, provide psychosocial support, have high confidence during emergencies, etc.), followed by field of “nurses’ knowledge of disasters” with 78.03% (e.g., past experience, updated information, etc.).Conclusions: Although the Palestinian emergency nurses have an acceptable level of knowledge and role perception during disasters, they still need to raise their level of knowledge, preparedness and skills by integrating clearly defined theoretical and training sessions on disaster management in nursing curricula and through in-service activities for employees.
Effects of hypothyroidism in Indian women of reproductive age group – A review article
Authors: Kotur Pushpa , Kumar Selvi 
Published: February 2020

Thyroid diseases are the commonest endocrine disorders worldwide. Thyroid dysfunction is 10 times more common in women than in men. Hypothyroidism among women of reproductive age group is linked to menstrual irregularities, polycystic ovaries, recurrent pregnancy loss and infertilityThe aim of the present review is to provide a comprehensive view of the literature regarding the association of hypothyroidism in reproductive age group women 15-45 years.: A literature search was performed using electronic databases like Pubmed/ Medline to identify from 2000 to 201 8. The search yielded around 18 original research articles.In Correlation of Hypothyroidism with Reproductive Health Problem, the various studies results show that menorrghia is the commonest menstrual irregularity in 27%-72%, next common menstrual irregularity is oligomenorrhea varying from 5 - 26 %. As reviewed from various other studies on association of hypothyroidism with PCOS was found to be between 21% - 32%, Hypothyroidism with Infertility was 22% - 32% and hypothyroidism with recurrent pregnancy loss was found to be 4-15%.In reproductive age women with hypothyroidism have reproductive health problems like menstrual irregularities, polycystic ovarian syndrome, miscarriages and infertility. Hence thyroid function test should be routinely recommended for all women in reproductive age as it helps in early detection of hypothyr oidism that can be treated medically with hormones and is cost-effective. Unnecessary surgery can be avoided in menstrual irregularities like menorrhagia and complications of pregnancy can be prevented which will reduce burden on the health system and society.
Analysis of cesarean sections using Robsons classification system in a tertiary hospital in New Delhi
Authors: De Arpita , Tripathi Reva , Gupta Neha 
Published: February 2020

To analyze cesarean section rates using Robsons 10 group classification system in a tertiary hospital over a period of five years (July 2014-Dec 2018). To analyze the main contributors of cesarean sections based on the ten groups under Robsons classification and to further analyze the main indications of cesareans in the relevant groups. All women with one or more previous cesareans with cephalic presentation (group V) contributed to the maximum number of cesareans, (32.5%), closely followed by group I (22.86%) and group IIA (10.25%). 31.65% of the total cesareans were elective cases, 17.23% were in women with inductions and 51.1% of the cesareans were in spontaneously laboring women.Robsons Ten Group Classification system (TGCS) found to be easy to understand, clear, mutually exclusive, reproducible system for classifying cesareans in all levels of Institutions. Among women who had elective cesareans, maximum were done in those in Group V who were not willing for TOLAC or those who has previous two cesareans. In spontaneously laboring women, 34% were due to meconium stained liquor and 32.9% were due to fetal distress, thus leaving a huge scope for reduction in cesarean rates. All institutions should routinely monitor cesareans based on Robsons TGCS to monitor time trends and for interinstitutional comparisons. Interventions should be targeted at maximizing normal deliveries, reducing primary cesareans and offering TOLAC where possible. There should be institutional protocols for defining indications like fetal distress, nonprogress of labour, failed induction and protocols for their managements.
A study to assess the use oftranexamic acid intraoperative & post cesarean section to reduce blood loss
Authors: Jahangir Juveria , Zahra Shaik Mohd Fatima 
Published: February 2020

The connection between cesarean bleeding is comprehended both during and after C. section. The post-partum bleeding remains the principle reason of maternal complications. This investigation was directed to assess the impact and wellbeing of tranexamic acid to de crease cesarean blood loss (LSCS) and any reactions. Normal 100 women planned cesarean were analyzed somewhere in the range of 37 and 40 weeks. They were partitioned into two groups. The main group 50 individuals received 1 gm IV of tranexamic acid before 15 min of caesarean and the control set of 50 individuals didn't get tranexamic acid. The patient age, tallness, weight, gestational age in the two gatherings were comparative, measurably same. Haemoglobin fell marginally after labour in the two gatherings, however no measurable distinction between the two gatherings was watched. There were no thrombosis events in the investigation. Tranexamic acid drops the blood loss from the minute the placenta was conveyed to 2 hours after labour (P &#60;0.001) and from the finish of the LSCS to 2 hours after labour (P &#60;0.001). Tranexamic acid assumes a powerful job in diminishing blood loss during LSCS without making an unfavourable response. Hence, it tends to be utilized viably to diminish maternal bleeding during LSCS.
Novel management of fibroid with Ulipristal
Authors: Hephzibah Kirubamani N 
Published: February 2020

Fibroid with heavy menstrual bleeding and pain in pre and perimenopause women to reduce it, in reproductive women to relieve sympt oms in infertility and in preoperative conditions to reduce size of fibroid, now a days medical therapy is available. To determine effectiveness and safety of Ulipristal in symptomatic fibroid by assessing reduction in heavy menstrual bleeding, pain, reduction in size of the fibroid and improvement in activity score: This is a Prospective study. Women between 20- 45years both unmarried and married attending gynaec OPD of Saveetha Medical College and hospital with fibroid with symptoms of heavy menstrual bleeding, pain abdomen during period, with Infertility were recruited after ethical Clarence and informed consent. Study was conducted from September 2018 to Dec 2018 first week. Menstrual blood loss was assessed with pictorial blood loss chart (PBAC) and pain was assessed with short form Mc Gill pain questionnaire pain score. After routine investigation including LFT, USG abdomen and Pelvis were done for all subject and mapping of fibroid were done pretreatment and every month and at the end of treatment. Women were given10 mgs Ulipristal once daily for 13 weeks. Post treatment investigations and USG were repeated. Women age group between 30-40 years were 86.5%, 20-25 were 6. 66% and Nulliparous were 6. 66%.Pretreatent 66.66% had PBAC score of 130 and above. None of the women had PBAC &#60;100 before treatment. After 13 weeks treatment Perimenopause women 13.33 % developed amenorrhea. 20% women had PBAC score &#60; 100, PBAC score 100-110, in 63.33% of women, PBAC between 111 -120 score in 3.33% PABC score between 120 and above were Nil. Fibroid volume reduced between &#62;25 to &#60; 50% in 53.33% of size and volume and 10% fibroid disappeared. There is considerable improvement in pain score with p value of 0.0001 and activity score significantly improved with p value of 0.0001. In all age groups commonest gynaec condition is Fibroid. In the study Ulipristal resulted in, improvement in heavy men strual bleeding ,pain and considerable reduction in size of the fibroid and thereby improved quality of life
Evaluation of urinary oxidative stress markers, inflammatory sialoproteins and neopterin in pregnant women with intrauterine growth restriction
Authors: Maithilikarpagaselvi Nachimuthu , Shyamsundar Muskan Agrawal , Pallavee Palai , Sathish Babu Murugaigaiyan , sathiya Ramasamy 
Published: February 2020

Intrauterine growth restriction (IUGR) represents major cause for perinatal morbidity and mortality. Oxidative stress and altered inflammatory response may contribute to the pathogenesis of IUGR. The present study was aimed to investigate the urinary and blood levels of inflammatory and oxidative stress markers in women with IUGR. 23 pregnant women with intrauterine growth restriction and 30 healthy pregnant women were included in the present study. Detailed demographic data were collected. Total protein, albumin, total anti-oxidant status ( TAS), total oxidant status (TOS), oxidative stress index (OSI), malondialdehyde (MDA), neopterin and protein bound sialic acid (PBSA) were estimated in the blood. TOS, TAS and neopterin were measured in urine samples of women with IUGR. Serum MDA (16.2 ± 1.8) and Sialic acid (2.5 ± 0.8) levels were significantly elevated in women with IUGR. Urinary TOS (20.4 ± 4.4) and OSI (5.4 ± 1.2) were significantly increased in pregnant women with IUGR. The cut off value in ROC analysis for urinary oxidative stress index was 4.6 for the diagnosis of IUGR. Oxidative stress in maternal blood is positively associated with the development of IUGR in pregnant women. Estimation of these parameters in serum and urine could serve as screening tool for the early prediction and diagnosis of IUGR which will further aid in the better management of neonatal health.
Clinicopathological analysis of abnormal uterine bleeding in reproductive and post menopausal women in a tertiary care centre of south eastern part of India
Authors: Samal Rupal , Vaithy Anandraj , Shanmugasamy  , Habeebullah Syed 
Published: February 2020

Abnormal uterine bleeding (AUB) is a common presentation of gynecologic disorder in Tropical countries like India. Though various underlying causes exists, endometrial pathology is the major reason for AUB and histopathological evaluation of endometrial biopsy samples remains main stay for diagnosis. To analyse the clinico-pathological spectrum of abnormal uterine bleeding with associated endometrial lesions in patients presenting to a tertiary care hospital in south eastern part of India Patients presenting to gynaecology OPD with AUB as presenting complaints were evaluated with Dilatation & curettage and the endometrial samples obtained were analysed for histopathological evaluation Among 153 cases studied for a period of 2 years duration, majority of cases were non-neoplastic lesions (n=93) followed neoplastic lesions (n=60). Proliferative and secretory endometrium was the common condition among reproductive age group. Malignancy was predominantly noted among post menopausal age group and adenocarcinoma (TypeI) was the common endometrial malignancy noted The incidence of Abnormal uterine bleeding was higher than assumed among the study population and histopathological evaluation of endometrial biopsy samples serves as a mainstay in diagnosis and also in categorizing the underlying etiology.
CONTRIBUIÇÕES DA TECNOLOGIA INFORMATIZADA PARA A FORMAÇÃO ACADÊMICA EM LÍNGUA ESPANHOLA
Authors: Prates Luciana Pitwak Machado Silva 
Published: February 2020

Esta pesquisa, ainda em desenvolvimento, visa refletir sobre as possibilidades de aproximar mais o acadêmico de licenciatura em língua espanhola, à língua-cultura a que deseja sua formação, para isto, o uso de tecnologias pode ser um aliado valioso, propiciando-lhe uma oportunidade ímpar de projetar-se para diferentes ambientes linguísticos onde este idioma é realizado, ampliando assim, o seu amadurecimento sobre os aspectos socioculturais da língua estudada e, reconhecendo algumas especificidades dessa língua, de modo que, ao atuarem efetivamente em sua profissão, consigam transmitir com maior eficiência os conhecimentos adquiridos ao longo de sua formação.
CAUSATIVE ASPECTS OF TRADE TURNOVER: A MANAGERS AND EMPLOYEES’ PERCEPTION
Authors: Felix Júnior Luiz Antonio , Santos Geraldo Luiz Valle dos , Souza Gustavo Henrique Costa , Guimarães Luciana Gondim de Almeida , Feitosa Wlly Karen Meira 
Published: February 2020

The objective of this study was to identify the causes of the turnover process in the city of Viçosa-AL. For this, it was held a descriptive and qualitative study aiming to identify, by means of the perception of managers and contributors, the reasons for process of turnover of micro and small businesses in the commercial sector. It was identified that elements of professional qualification, existence of new job opportunities, quality of life at work, perception of success in the career and the process of recruitment and selection influence on the process of turnover. The age element has demonstrated not to be an influencer on this process. Findings of the study also identified that the satisfaction at work, dissatisfaction with the manager, bad resourcefulness as a professional and discontinuity in the rhythm of work also contribute to the turnover process. A managers' contribution to this study was helping to elencare the main flaws of controlling the process of turnover in trade in a vision from collaborators and managers, showing both sides of the working relationship. From an academic point of view, this study collaborates with the understanding of the turnover process, offering two visions - supposedly antagonistic -, besides conducting a research in trade without restriction of business branches. As a contribution to future studies, there is a suggestion of deeping the question embracing other sectors to verify if there is a difference in the managers and employees’ perception from different sectors.
Activation of Invariant Natural Killer T Cell Subsets in C57BL/6J Mice by Different Injection Modes of α-galactosylceramide
Authors: Meng Ming , Chen Shengde , Gao Xiang , Liu Huifang , Zhao Huijuan , Zhang Jingnan , Zhang Jinku , Chen Dongzhi 
Published: February 2020

Whether different injection modes of α-galactosylceramide (α-GalCer) affect the activation of different subsets of invariant natural killer T (iNKT) cells in different tissues and organs of mice is unclear.
This study included healthy control, subcutaneous injection, and intraperitoneal injection groups (n=10 in each group). The subcutaneous and intraperitoneal injection groups were injected with α-Galcer (0.1 mg/kg weight), and then the changes in thymus, spleen, and liver iNKT cell frequencies and subsets were observed.
The intraperitoneal injection of α-GalCer could increase the frequency of splenic iNKT cells, but the subcutaneous injection did not affect the frequency. Neither injection had any effect on the frequency of iNKT cells in the thymus and liver. The subcutaneous injection of α-GalCer increased the rate of iNKT2 subsets in the thymus but did not affect the rate of iNKT1 subsets. However, the intraperitoneal injection of α-GalCer did not affect thymus iNKT1 and iNKT2 subsets. Interestingly, the subcutaneous injection of α-GalCer significantly increased the proportion of iNKT1 in the spleen and liver but did not significantly change the proportion of iNKT2. The intraperitoneal injection of α-GalCer significantly increased the rate of iNKT2 in spleen and liver but decreased the rate of iNKT1.
Subsets of iNKT1 or iNKT2 cells in the spleen and liver were selectively activated by the subcutaneous or intraperitoneal injection of α-GalCer. It provides a valuable means for treating tumors and certain autoimmune diseases. Further exploration of the activation mechanism may provide new ideas about the development of related vaccines.