bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sistemas de producción competitivos mediante la implementación de la herramienta Lean Manufacturing
Authors: Vargas-Hernández José G. , Jiménez Castillo María Teresa , Muratalla-Bautista Gabriela 
Published: January 2018

El presente proyecto de investigación tiene la finalidad de analizar el impacto en la mejora continua y la optimización de un sistema de producción mediante la implementación de la herramienta Lean Manufacturing, así como los cambios que se generan en distintas compañías mediante un instrumento; esto se logra usando diferentes métodos y técnicas de investigación, como lo es la revisión documental de diferente literatura, el análisis documental y la recolección de datos. Dentro de los resultados se obtienen tablas y figuras que muestran la eficiencia de esta herramienta, lo cual comprueba su validez mediante casos de éxito donde se implementó, además información relevante que podría ser utilizada como base en las empresas que no hayan optado por su aplicación.
Nutritional status of children in a remote village of desert region Tharparkar Sindh, Pakistan
Authors: Rani Fayza 
Published: January 2018

Background and Introduction: An increasing number of deaths have accused at Tharparkar desert region of Sindh. Hence, a nutrition relief camp was set up at two remote villages named Haryar and Bhorilo. Visiting team consisted of nutritionists, dietitians, pediatricians and logistic support providers. Objective: To determine the prevalence of malnutrition among children (0-10 yrs) and its association with their living conditions. Methods: A cross sectional survey was conducted. Mothers with children aged 1 month to 10 years were invited to visit the camp.200 children were screened for malnutrition using anthropometric measurements including height, weight and Mid Upper Arm Circumference (MUAC). Dietary intake data was collected from mother including information about feeding practices, vaccination, disease history, and living conditions. Data was analyzed through SPSS 17. Inc using descriptive statistics. Results: Out of 200 children, 191 questionnaires were completed. Mean age was 3.6 Â± 2.8 SD years. There were 101(52.9%) males and 90(47%) females. Results showed that 42.4 % (n=81) were affected by severe malnutrition (lower than 3rd percentile). Children less than 5 years were severely wasted as per WHO diagnostic criteria for Severe Acute Malnutrition (SAM) as indicated by 79(51%) children had a z score of -4 SD (for height & weight). Further analysis of children under 5 years into the mild acute (â‰¤13.5 cm), moderate Acute (11.5-12.5 cm) and severe acute malnutrition (<11.5 cm) was carried out. The data demonstrated that 33.7 % (n=32) children had mild malnutrition, 37.7 % (n=58) suffered from moderate malnutrition and 15 % (n=23) had severe malnutrition. Food intake includes roti (Pakistani bread) and chatni (green chilies paste). There was no consumption of fruit, vegetable and milk due to no availability. Infants were breast fed and vaccinated but inappropriate and delayed weaning practices were reported by the mothers. Nearest medical facility/hospital was located at a distance of 15-30 miles. Conclusion: Major non nutrition related factors found to be contributing towards malnutrition were lack of education, water scarcity, non-availability of food, drinking water and lack of basic health facilities. There should be a provision of basic health facilities at community level. Health education and nutrition counseling should be included in their basic health initiatives.
Effect of pomegranate juice on traumatic brain injury patients
Authors: Daradkeh Ghazi 
Published: January 2018

Pomegranate has characteristically high content of antioxidant substances. Free radicals such as ROS, NOS, O2, H2O2, OH. and nitric oxide can be scavenged effectively by pomegranate juice. A synergic positive relationship was found between phenolic contents and total antioxidant capacity, indicating that phenolic is dominant antioxidant components of pomegranate. Objectives: To evaluate the effect of pomegranate juice supplementation on nutritional and behavioral outcomes after TBI. Methods: 75 patients were enrolled in the study. Those with low behavioral scores were going to the intervention phase. i.e. supplemented with 250ml/day of pomegranate juice and followed every 3 months for one-year period. Results: Vitamin E was the most deficient 95.9%, Vitamin D and Vitamin A deficiency were 83.7% and 61.2% respectively. Deficient minerals were magnesium 79. %, potassium 67.3%, zinc 53.1%. Vitamin A, D and E in TBI patients were significantly lower than in normal patients p=0.008,0.001, 0.03 respectively. Tau protein and GSH were lower in TBI patients than in normal group p=0.57 and 0.13 respectively. Conclusion: Pomegranate Juice may improve behavioral outcomes.
Performance of PRISM score III in predicting the outcome of patients admitted in tertiary care pediatric intensive care unit (P.I.C.U.): A pilot study
Authors: Malik Laraib 
Published: January 2018

Introduction: P.I.C.U is a unit that provides care to the critically ill patients with purpose of reducing the rate of mortality and morbidity. Various scoring systems are used to assess and compare the standards of care of different P.I.C.U.s. Among them, PRISM III scoring has shown promising results, especially in developing countries. In Pakistan, these studies are fewer in numbers with conflicting results in different hospital settings (private and public sector). Since our hospital is also a tertiary care hospital, we planned a pilot study to evaluate PRISM III score in our P.I.C.U. Objective: To evaluate the performance of PRISM III score in predicting the outcome of patients admitted in P.I.C.U of tertiary care hospital of Karachi. Method: PRISM III is Pediatric Risk of Mortality Scoring system consisting of clinical assessment (Glasgow Coma Scale, pupillary reflex, temperature, heart rate, systolic blood pressure) and lab parameters (arterial blood gas, urea, nitrogen, creatnine, blood sugar, potassium, white cell count, platelets, PT/APTT). It is a cross-sectional study and data was collected from admitted patients in P.I.C.U, Unit II of Abbasi Shaheed Hospital during 1st October to 31st December 2016. PRISM score is being calculated from all the patients within 24 hours of admission. Result: Total of 70 patients of which 51(72%) survived and 19(27%) expired. 49 were males and 21 females. Age range of non-survivors was 2 to 18 months. Duration of PI.C.U stay was 72 hours for survivors. Patients who were referred, had malnutrition, depressed mental status, deranged renal functions and required mechanical ventilation during first hour of admission had poor outcome. Out of 19 non-survivors, PRISM III predicted mortality in 15 patients (78.9%). Conclusion: High total PRISM III score was significantly associated with poor outcome i.e. death in this pilot study. Thus PRISM III score was found to be a valid predictor of outcome in our P.I.C.U. There is no conflict of interest keywords: P.I.C.U, Mortality, PRISM III score, Outcome.
Is zinc deficiency a worldwide problem and is there a silent epidemic in Saudi Arabia?
Authors: Ahmed Ziauddin 
Published: January 2018

Background: Zinc is an important trace mineral for our body, the deficiency of which can cause many complications like inadequate or stunted growth, immune deficiency with increased morbidity, etc. As per literature, in more severe cases, zinc deficiency causes hair loss, diarrhea, delayed sexual maturation, impotence, hypogonadism in males, and eye and skin lesions. Weight loss, delayed healing of wounds, taste abnormalities, and mental lethargy can also occur. Therefore, it is important that Zinc levels should be done especially when even any of the above nonspecific symptoms and signs are present. Zinc absorption is inhibited by phytates (seen in cereals, rice, corn, etc), cadmium (from environment), etc and this is an important factor to be considered apart from Zinc intake ,etc. A "best-estimate" model, comprised of zinc and phytate data from a composite nutrient database and International Zinc Nutrition Consultative Group physiological requirements for absorbed zinc, estimated the global prevalence of inadequate zinc intake to be 17.3%. Range varied from 12-66 % with different methodologies. Aim: To determine the prevalence of Zinc deficiency in the MEDICAL PROTOCOL DEPARTMENT- OUT-PATIENT CLINIC at King Fahad Hospital-National Guard Health Affairs-Riyadh, KSA. Methods: About 1000 patients of both genders between the ages of 15 -90 & above over a period of 6 months (in 2013) of our regular out-patient clinic were tested for Zinc deficiency irrespective of any signs or symptoms. Results: Out of 1000 patients about 440 (44%) patients were low in Zinc levels and treated for Zinc deficiency Conclusions: 1. There is a high prevalence of Zinc deficiency (44 %) in our outpatient clinic population at King Fahad Hospital. So, there is probably Zinc deficiency in greater numbers in the general population which should be addressed before it becomes an epidemic if there is not one already. 2. Most of the women with Zinc deficiency complained of hair loss. 3. Factors especially phytates that inhibit Zinc absorption should be considered and lower dietary phytates introduced in the foods we eat , especially for children.
Trend of ill-defined causes of death in Egypt (2000-2013) in comparison to selected Eastern Mediterranean Countries
Authors: Aly Eman 
Published: January 2018

Introduction: The morbidity statistics are considered more adequate to understand the health and disease process in the population, especially the incidence measures, as they reflect the dynamics of diseases/health injuries. it is one of the most valuable sources of information in PH, being useful for the assessment of the population health status, allowing the identification of higher-risk groups andmore important causes of death. Objectives: Identify the trend of ill-defined death rates in Egypt from 2000 to 2013; compare ill-defined causes of death for Egypt 2013 with KSA and Kuwait the same year. Methods: Secondary data; Egypt cause-specific mortality data as well as the data from other countries of Eastern Mediterranean region for the years 2000-2013.The ill-defined causes, and the level over time will be presented and compared with other countries. The ill-defined causes of death are defined as; deaths coded symptoms, signs and event of undetermined intent from the ICD-10. Results: Percentage of ill-defined causes of deaths (COD) in Egypt ranges 47 to 49 % during the period of 2000â€”2013. By conducting analytical study of Egypt mortality data 2013 we found that deaths diagnosed as symptoms and signs is 23 % followed by the mode of dying heart failure in 10%, higher rates among age groups 20-59 and 60+. There is a significant relationship between percentage of ill-defined causes of death and years; p value < 0.01 (95% CI: 0.986, 0.987). Ill-defined COD, 2013 in KSA and Kuwait are 11% and 2.5% respectively compared to 47% in Egypt with statistical significant relationship p value < 0.01 (95% CI: 0.56, 0.57). Conclusion and Recommendation: Egypt is one of the countries regularly report mortality data using ICD-10 coding system to WHO heath statistics department since 2000, with high level of completeness up to 100% however the data is of low usability due high percentage of garbage codes up to 50%Egypt, mortality data, ill-defined causes of death.
School age nutrition facts and challenges!
Authors: Alghamdi Zainab S. 
Published: January 2018

Developing effective strategies in schools that shall provide the needed macro and micronutrients for our generation, one of the main objectives is to tackle obesity in children is urgently required. School canteen, physical education curriculum need to be redesigned to meet our community health need and approach. Nutritional surveys highly needed to evaluate, assess and act on public health major issues that has a significant impact on our community, ignored childhood morbidity will be carried out up to adulthood and serious health cost on geriatric. My presentation will highlight major nutrition deficiencies at school age. Highlight also our school's canteen and physical activity curriculum, mentioning our pilot study on Government school in Riyadh region.
Effect of twelve week training program in blood pressure and heart rate at rest in older hypertensive and normotensive women
Authors: Vllasolli Teuta Osmani 
Published: January 2018

Introduction: Epidemiological studies suggest that non-pharmacological interventions such as exercise may be beneficial for treatment of hypertension. However the potential benefits of exercises especially resistance training on arterial blood pressure and resting heart rate in older adults without hypertension remain controversial. Objective: To analyze the effect of twelve weeks of training program on systolic blood pressure (SBP) diastolic blood pressure (DBP) mean arterial pressure (MAP) and heart rate (HR) in older women with and without hypertension. Methods: Seventeen hypertensive women (HW) and 10 normotensive women (NW) were included in training program selected by pre-exercise evaluation of the cardiovascular status and other risks factors (smoking dislipidemia and diabetes). Training program three times per week was consisted from10 minutes of stretching exercises; 45 minutes of aerobic endurance (gait) and 10 min with five minutes of relaxation while two times per week were included dynamic resistance exercises (involving the major muscle groups) The training sessions of resistance exercises were performed in three sets of 8 to 10 repetition of maximum (RM) with rest interval between sets and exercises of 90 seconds. These days aerobic exercises last only 30minutes.Hemodynamic parameters at rest were evaluated by auscultatory method (mercury sphygmomanometer) and HR by Pulsioxymeter monitor (Polar) before and after twelve weeks of experimental period. Results: The HW group (age 66.8 آ± 5.4 years) and the NW (65.2 آ± 4.8years). In HW was found a reduction of SBP (-10.6mmHgp <0.01) and DBP (-1.94 p=0.043). Although significant reduction were observed in SBP (- 6.7mmHg p<0.05) of NW group there were no significant reduce in DBP after exercises (p=0.0 32). Mean arterial pressure (MAP) and resting HR also didn’t show important changes. Conclusion: Twelve weeks training program consisted of aerobic exercises and dynamic resistance exercises is shown to be an effective training in reduction of resting SBP in older women with hypertension and also to promote adaptations in the cardiovascular system of normotensive older women without. Keywords: older women blood pressure hypertension normotension heart rate exercise.
Maternal anthropometry and weight gain as risk factors for low birth weight in singleton uncomplicated pregnancies
Authors: Bano Rafia 
Published: January 2018

Objectives: The present cross sectional study was done to investigate the maternal anthropometry and weight gain in relation to pregnancy outcomes of mothers in Hail city of Saudi Arabia. Methods: The study was carried out in two maternity hospitals of Hail, Saudi Arabia. Sample size of 522 mothers who delivered single live baby without any congenital abnormality were selected to be included in the present study. Mother’s and infant’s anthropometric measurements were taken with standard techniques. Hemoglobin, blood sugar and blood pressure were recorded using electronic devices. Information regarding the demographic characteristics, health status of mothers, antenatal checkups and health related habits were accessed through structured questionnaire. Data was entered and analyzed through the Statistical Package for Social Sciences (SPSS) 17.0 Software. Odds Ratios, Means, Pearson’s correlation, Analysis of Variance were done to find out the risk factors associated with poor pregnancy outcome. Results: The mean birth weight of the infants was 3.16 kg ranging from 1.7 kg to 5.4 kg. Male babies tend to be heavier, whereas 100% of the very low birth weight deliveries were only females. Other factors like maternal Body mass Index before pregnancy, Weight gain in pregnancy, Maternal anemia, presence of chronic illnesses like diabetes, Hypertension and hypo/hyperthyroidism had effected the birth weight of newborn infants. Conclusion: The present study provides some useful data to promote healthy pregnancy outcomes. Maternal factors like nutritional status, poor pregnancy weight gain and unhealthy obstetric history are found to be the major risk factors.
Pelatihan dan Workshop Pendekatan dan Teknik Konseling Expressive Therapy bagi Guru BK SLTP/ MTs.N Kota Padang
Authors: Syahniar Syahniar , Putriani Lisa 
Published: January 2018

Kegiatan pelatihan dan workshop ini dijalankan berdasarkan banyaknya fenomena siswa yang tidak mampu menyampaikan perasaan dan pemikirannya dalam proses konseling.Â Hal ini berkemungkinan terjadi karena dampak psikologis dari berbagai kejadian, salah satu contohnya adalah ketakutan terhadap ujian nasional. Dampak psikologis ini, seharusnya bisa diminimalkan dan/atau dihilangkan apabila siswa mau menyampaikan permasalahannya kepada guru BK/Konselor. Untuk itu guru BK/konselor harus memiliki wawasan dan keterampilan tentang berbagai pendekatan dan teknik dalam konseling. Salah satunya adalah teknik konseling expressive therapy. Para ahli terapi ekspressif meyakini bahwa individu berbeda dalam mengekspresikan apa yang ada dalam dirinya, ada individu yang lebih terbuka mengungkapkan apa yag terasa dalam dirinya, termasuk mengkomunikasikan kecemasan yang dirasakannya. Sebaliknya ada individu lainnya agak tertutup tidak bisa mengkomunikasikan secara langsung apa yang terasa dan menjadi beban pikirannya, termasuk mengkomunikasikan kecemasan yang dirasakannya. Untuk itu konselor perlu memiliki metode yang bervariasi dalam kegiatan pelayanan konseling, sehingga konselor dapat mengembangkan kemampuan klien untuk mengkomunikasikan secara efektif dan otentik apa yang ada dalam dirinya dan apa yang menjadi beban pikirannya, serta yang menjadi obyek kecemasannya. Pelatihan dan workshop ini diberikan kepada guru BK/Konselor tingkat SLTP/MTsN se Kota Padang dalam pertemuan MGBK Kota Padang.
al-Akhtha' as-Sya'i'ah Fi Istai'mal al-Lughah al-'Arabiyah Bi Indonesia
Authors: Patriani Yenni 
Published: January 2018

The importance of Arabic is also reflected in the fact that it is the key to Islamic and Arab culture, As it allows the learner to see how much civilized and intellectual nation has been raised on the throne of the world for several centuries, And left a great cultural legacy in various arts and various sciences. There have been many mistakes in the use of the Arabic language in Indonesia, countless. And the most important reasons that led to the prevalence of this disturbing number of errors in the language of Hadad, the language of the last messages of God - the Almighty - the status of the Seal of the prophets and messengers to inform the worshipers of God.
Accreting Black Hole Binaries in Globular Clusters
Authors: Kremer Kyle , Chatterjee Sourav , Rodriguez Carl L. , Rasio Frederic A. 
Published: January 2018

Abstract
We explore the formation of mass-transferring binary systems containing black holes (BHs) within globular clusters (GC). We show that it is possible to form mass-transferring BH binaries with main sequence, giant, and white dwarf companions with a variety of orbital parameters in GCs spanning a large range in present-day properties. All mass-transferring BH binaries found in our models at late times are dynamically created. The BHs in these systems experienced a median of ∼30 dynamical encounters within the cluster before and after acquiring the donor. Furthermore, we show that the presence of mass-transferring BH systems has little correlation with the total number of BHs within the cluster at any time. This is because the net rate of formation of BH–non-BH binaries in a cluster is largely independent of the total number of retained BHs. Our results suggest that the detection of a mass-transferring BH binary in a GC does not necessarily indicate that the host cluster contains a large BH population.
A Statistical Study of Photospheric Magnetic Field Changes During 75 Solar Flares
Authors: Castellanos Durán J. S. , Kleint L. , Calvo-Mozo B. 
Published: January 2018

Abstract
Abrupt and permanent changes of photospheric magnetic fields have been observed during solar flares. The changes seem to be linked to the reconfiguration of magnetic fields, but their origin is still unclear. We carried out a statistical analysis of permanent line-of-sight magnetic field (

) changes during 18 X-, 37 M-, 19 C-, and 1 B-class flares using data from the Solar Dynamics Observatory/Helioseismic and Magnetic Imager. We investigated the properties of permanent changes, such as frequency, areas, and locations. We detected changes of

in 59/75 flares. We find that strong flares are more likely to show changes, with all flares ≥M1.6 exhibiting them. For weaker flares, permanent changes are observed in 6/17 C-flares. 34.3% of the permanent changes occurred in the penumbra and 18.9% in the umbra. Parts of the penumbra appeared or disappeared in 23/75 flares. The area where permanent changes occur is larger for stronger flares. Strong flares also show a larger change of flux, but there is no dependence of the magnetic flux change on the heliocentric angle. The mean rate of change of flare-related magnetic field changes is 20.7 Mx cm−2 min−1. The number of permanent changes decays exponentially with distance from the polarity inversion line. The frequency of the strength of permanent changes decreases exponentially, and permanent changes up to 750 Mx cm−2 were observed. We conclude that permanent magnetic field changes are a common phenomenon during flares, and future studies will clarify their relation to accelerated electrons, white-light emission, and sunquakes to further investigate their origin.
La evaluación del trabajo por proyectos por los estudiantes: un estudio a partir de un proyecto de innovación docente universitario
Authors: Crismán Pérez Rafael , Cardeñoso José Mª , García-González Esther 
Published: January 2018

<p>Este artículo versa sobre un proyecto de innovación docente llevado a cabo en la Universidad de Cádiz durante el curso 2014/15. El proyecto consistió en aplicar una metodología de trabajo por proyectos (Pujol, 1991; Martín, 2006) a todos los grupos de tercer curso del Grado de Maestro de Educación Infantil. De este modo, a partir de una muestra de 123 participantes, se midieron dos factores mediante escalas Likert: la programación de contenidos y competencias clave en Educación Infantil a partir de proyectos, llevada a cabo por el alumnado universitario y la innovación docente del profesorado universitario como factor clave en el aprendizaje del alumnado de enseñanza superior. Los resultados obtenidos mostraron una valoración positiva por parte de los participantes hacia los factores medidos mediante escalas Likert. Además, los alumnos destacaron positivamente las estrategias de aprendizaje cooperativo aprendidas (Sancho; Barandián; Apodaca; Lobato; San José y Zubimendi, 2010; Pegalajar y Colmenero, 2013). Asimismo, los participantes demostraron la relevancia de la retroalimentación del proceso de enseña y aprendizaje, así como la autonomía para la autogestión de las tareas. Por otro lado, la investigación también demostró la necesidad de una adecuada coordinación docente universitaria para la realización de este tipo de proyectos de innovación docente y los beneficios de la autoevaluación del alumnado, tanto para los estudiantes participantes de los grupos de trabajo, como para los evaluadores externos constituidos por los profesores supervisores de esta metodología docente.</p>