bluuebunny/crossref_metadata_2025_split huggingface dataset:
Study of serum Zinc status among type 2 diabetes mellitus patients
Authors: Dasarathan Ramesh , S. Senthil Kumar , V. Ganesh , K. S. Chenthil 
Published: September 2017

Background: Both microvascular and macrovascular complications in diabetes are related to oxidative stress. Zinc which has antioxidant property, delays diabetic complications. The present study was conducted with the objective to study the relationship between serum Zinc level and HbA1C level in newly diagnosed type 2 diabetes mellitus and to compare serum Zinc level with its risk factors.Methods: The present study was a cross sectional study, conducted on 100 patients attending the outpatient department at Rajiv Gandhi Government General Hospital and Madras Medical College, Chennai during the period from May 2015 to October 2015. Of them 50 were newly diagnosed type 2 diabetics and considered as diabetic group and other 50 were considered as controls, who attended the master health check-up. All patients were subjected to thorough general and systemic examination. Under strict aseptic precautions blood sample was collected from all the patients and the serum was investigated for creatinine, urea, zinc, HbA1c, cholesterol, triglycerides and fasting blood glucose. The data obtained were analysed using Microsoft excel software. Correlation was found out in SPSS by using regression equation.Results: The body mass index (BMI) and mean systolic blood pressure (SBP) was significantly higher (p<0.001) in diabetic group as compared to controls. Serum levels of HbA1C and fasting blood glucose (FBG) levels were found to be significantly higher in diabetic group than in controls (p<0.001). Serum zinc levels were significantly higher in control group (p<0.001). Mean zinc value decreases with increase in HbA1c, FBG, BMI, SBP, DBP, triglycerides and cholesterol and the difference was statistically significant (p value <0.01). The relation between Pearson correlation coefficient for zinc and the above parameters were higher in diabetics than controls.Conclusions: Lower serum zinc levels were found to be responsible for the development of macrovascular complications in type-2 diabetics. Hence there is a need for zinc supplementation in diabetic patients to prevent long term complications associated with it.
Electricity generation through a photo sediment microbial fuel cell using algae at the cathode
Authors: Neethu B. , Ghangrekar M. M. 
Published: September 2017

Abstract
Sediment microbial fuel cells (SMFCs) are bio-electrochemical devices generating electricity from redox gradients occurring across the sediment–water interface. Sediment microbial carbon-capture cell (SMCC), a modified SMFC, uses algae grown in the overlying water of sediment and is considered as a promising system for power generation along with algal cultivation. In this study, the performance of SMCC and SMFC was evaluated in terms of power generation, dissolved oxygen variations, sediment organic matter removal and algal growth. SMCC gave a maximum power density of 22.19 mW/m2, which was 3.65 times higher than the SMFC operated under similar conditions. Sediment organic matter removal efficiencies of 77.6 ± 2.1% and 61.0 ± 1.3% were obtained in SMCC and SMFC, respectively. With presence of algae at the cathode, a maximum chemical oxygen demand and total nitrogen removal efficiencies of 63.3 ± 2.3% (8th day) and 81.6 ± 1.2% (10th day), respectively, were observed. The system appears to be favorable from a resources utilization perspective as it does not depend on external aeration or membranes and utilizes algae and organic matter present in sediment for power generation. Thus, SMCC has proven its applicability for installation in an existing oxidation pond for sediment remediation, algae growth, carbon conversion and power generation, simultaneously.
Comparing the Quality of Life of Patients Requesting Dental Implants Before and After Implant
Authors: Sargolzaie Naser , Moeintaghavi Amir , Shojaie Hamid 
Published: September 2017

Background and Objectives:
Tooth loss is a serious life event that impairs two important functions, namely, eating and speaking, and has significant side effects on different aspects of quality of life. These effects are internalized by the individual. The present study aimed to compare the quality of life (QOL) of patients requesting dental implants before and after implant.

Materials and Methods:
This analytical cross-sectional study was conducted on patients referred to the Mashhad faculty of Dentistry and private clinics with dental implants in 2015. Patient Quality Of Life (QOL) was assessed using the Oral Impact on Daily Practice (OIDP) questionnaire. Data were analyzed using SPSS software.

Results:
In this study, the most common problems reported by patients were eating (78%), smiling, laughing, and embarrassment (53%) before surgery. The quality of life associated with eating; speaking clearly; clean teeth or dentures; light physical activities, such as working at home, going out to work or meeting others; smiling; laughing; showing teeth without discomfort and embarrassment; emotional conditions, such as becoming upset quicker than usual, enjoying communication with others (i.e., friends, relatives and neighbors); and job-related activities significantly increased after surgery, but QOL associated with the amount of sleep and resting did not improve. No significant association was noted between quality of life after implantation and place of residence, education and gender.

Conclusion:
In this study, implants had a favorable impact on a patient’s quality of life.
Multidirectional Shoulder Instability: Treatment
Authors: Ruiz Ibán Miguel Angel , Díaz Heredia Jorge , García Navlet Miguel , Serrano Francisco , Santos Oliete María 
Published: September 2017

Background:
The treatment of multidirectional instability of the shoulder is complex. The surgeon should have a clear understanding of the role of hiperlaxity, anatomical variations, muscle misbalance and possible traumatic incidents in each patient.

Methods:
A review of the relevant literature was performed including indexed journals in English and Spanish. The review was focused in both surgical and conservative management of multidirectional shoulder instability.

Results:
Most patients with multidirectional instability will be best served with a period of conservative management with physical therapy; this should focus in restoring strength and balance of the dynamic stabilizers of the shoulder. The presence of a significant traumatic incident, anatomic alterations and psychological problems are widely considered to be poor prognostic factors for conservative treatment. Patients who do not show a favorable response after 3 months of conservative treatment seem to get no benefit from further physical therapy.
When conservative treatment fails, a surgical intervention is warranted. Both open capsular shift and arthroscopic capsular plication are considered to be the treatment of choice in these patients and have similar outcomes. Thermal or laser capsuloraphy is no longer recommended.

Conclusion:
Multidirectional instability is a complex problem. Conservative management with focus on strengthening and balancing of the dynamic shoulder stabilizers is the first alternative. Some patients will fare poorly and require either open or arthroscopic capsular plication.
Controversies In The Surgical Management Of Shoulder Instability: Associated Soft Tissue Procedures
Authors: Marco Santos Moros , Lafuente José Luis Ávila , Ibán Miguel Angel Ruiz , Heredia Jorge Diaz 
Published: September 2017

Background:The glenohumeral joint is a ball-and-socket joint that is inherently unstable and thus, susceptible to dislocation. The traditional and most common anatomic finding is the Bankart lesion (anterior-inferior capsule labral complex avulsion), but there is a wide variety of anatomic alterations that can cause shoulder instability or may be present as a concomitant injury or in combination, including bone loss (glenoid or humeral head), complex capsule-labral tears, rotator cuff tears, Kim´s lesions (injuries to the posterior-inferior labrum) and rotator interval pathology.Methods:A review of articles related to shoulder anatomy and soft tissue procedures that are performed during shoulder instability arthroscopic management was conducted by querying the Pubmed database and conclusions and controversies regarding this injury were exposed.Results:Due to the complex anatomy of the shoulder and the large range of movement of this joint, a wide variety of anatomic injuries and conditions can lead to shoulder instability, specially present in young population. Recognizing and treating all of them including Bankart repair, capsule-labral plicatures, SLAP repair, circumferential approach to pan-labral lesions, rotator interval closure, rotator cuff injuries and HAGL lesion repair is crucial to achieve the goal of a stable, full range of movement and not painful joint.Conclusion:Physicians must be familiarized with all the lesions involved in shoulder instability, and should be able to recognize and subsequently treat them to achieve the goal of a stable non-painful shoulder. Unrecognized or not treated lesions may result in recurrence of instability episodes and pain while overuse of some of the techniques previously described can lead to stiffness, thus the importance of an accurate diagnosis and treatment when facing a shoulder instability.
Extreme skeletal open bite correction with vertical elastics
Authors: Cruz-Escalante Marco Antonio , Aliaga-Del Castillo Aron , Soldevilla Luciano , Janson Guilherme , Yatabe Marilia , Zuazola Ricardo Voss 
Published: September 2017

ABSTRACT
Severe skeletal open bites may be ideally treated with a combined surgical–orthodontic approach. Alternatively, compensations may be planned to camouflage the malocclusion with orthodontics alone. This case report describes the treatment of an 18-year-old man who presented with a severe open bite involving the anterior and posterior teeth up to the first molars, increased vertical dimension, bilateral Class III molar relationship, bilateral posterior crossbite, dental midline deviation, and absence of the maxillary right canine and the mandibular left first premolar. A treatment plan including the extraction of the mandibular right first premolar and based on uprighting and vertical control of the posterior teeth, combined with extrusion of the anterior teeth using multiloop edgewise archwire mechanics and elastics was chosen. After 6 months of alignment and 2 months of multiloop edgewise archwire mechanics, the open bite was significantly reduced. After 24 months of treatment, anterior teeth extrusion, posterior teeth intrusion, and counterclockwise mandibular rotation were accomplished. Satisfactory improvement of the overbite, overjet, sagittal malocclusion, and facial appearance were achieved. The mechanics used in this clinical case demonstrated good and stable results for open-bite correction at the 2-year posttreatment follow-up.
A Construção de Cyberproblemas por Estudantes do 6° ano no Contexto da Educação Financeira <br> The Cyberproblems Construction by 6TH Grade Students in the Context of Financial Education
Authors: Rêgo Luciana Moreira , Rosa Mauricio , Oliveira Ana Teresa de C. C. de 
Published: September 2017

ResumoNesse artigo discutimos alguns resultados de uma pesquisa qualitativa que envolveu o uso de Tecnologias Digitais (TD) e a proposição de problemas por alunos de 6º ano de uma escola no Rio de Janeiro (RJ). Investigamos “Como se mostra o desenvolvimento de possíveis Cyberproblemas à produção do conhecimento matemático de alunos do 6º ano do Ensino Fundamental (EF) em relação à educação financeira?”. Nesse artigo, especificamente, analisamos o que no estudo foi categorizado como Em Agency. Como principais resultados, podemos destacar que a educação financeira pôde ser introduzida no EF como uma forma de dar sentido a cálculos com números decimais, ampliando significativamente os possíveis sentidos atribuídos às taxas cambiais, ao mercado internacional e à matemática subjacente a esses assuntos. AbstractIn this article we discuss some results of a qualitative research that involved the use of Digital Technologies (DT) and the proposition of problems by students from 6th grade at a school in Rio de Janeiro (RJ). We investigate "How is it shown the development of possible Cyberproblems to the production of mathematical knowledge of students of the 6th year of elementary school in relation to financial education?" In this article, specifically, we look at what the study was categorized as in Agency. The main results, we can highlight that financial education through the proposition of possible Cyberproblems could be introduced in the Fundamental School as a way to make sense of calculations with decimal numbers, significantly increasing the possible meanings attributed to foreign exchange rates, the international market, the mathematics behind these issues.
Evaluasi Dampak Pelaksanaan Program Pembinaan dan Pengembangan Industri Kecil dan Menengah di Kabupaten Ponorogo
Authors: Iskandar Dina Trisiana , Sumartono Sumartono , Domai Tjahjanulin 
Published: September 2017

This research is part of thesis that aims to evaluate the impact of the implementation program of development of small and medium industries in Ponorogo Regency, such as the impact of increasing the skills and improving the welfare of SMEs. The method used is descriptive qualitative evaluation. The evaluation results show that the program’s goals include increased skills not optimum. It is evident from the interviews that output of this program to increase the knowledge of SMES. But, because this knowledge is only basic level, where after joining the training, SMEs will find new information and knowledge, so the technical and management skills of SME entrepreneurs not increase properly. However, it should be noted that through the impact evaluation there is improvement of SME’s skills in the product quality. On the other hand, through impact evaluation the welfare improvement is not maximal yet in order to upgrade sales turnover. From the result of this evaluation, the lack of monitoring and evaluation causing the program has not been successful in achieving target. The monitoring and evaluation process are needed to analyze the problems and make some alternative solutions, so the regional development planning can be effective and efficient.Keywords: Impact evaluation, SME development, welfarePenelitian ini merupakan bagian dari tesis yang bertujuan untuk mengevaluasi dampak pelaksanaan program pembinaan dan pengembangan IKM di Kabupaten Ponorogo, berupa dampak peningkatan keterampilan danpeningkatan kesejahteraan IKM. Metode penelitian yang digunakan adalah evaluasi kualitatif deskriptif. Evaluasi hasil menunjukkan bahwa tujuan program berupa peningkatan keterampilan belum sepenuhnya optimal. Hal ini terlihat dari hasil wawancara bahwa output program ini berwujud terhadap peningkatan pengetahuan pengrajin IKM, yang merupakan tahap permulaan, dimana setelah mengikuti pelatihan menjadikan pengrajin IKM mendapatkan informasi dan pengetahuan baru, dan belum menunjukkan peningkatan keterampilan teknis maupun manajerial. Selanjutnya melalui evaluasi dampak terlihat adanya peningkatan keterampilan IKM berupa perbaikan kualitas dan mutu produk yang dihasilkan. Sedangkan melalui evaluasi dampak peningkatan kesejahteraan masih belum maksimal dalam upaya meningkatkan omzet penjualan. Berdasarkan hasil evaluasi tersebut, minimnya monitoring dan evaluasi menyebabkanprogram belum berhasil optimal dalam mencapai target. Perlunya proses monitoring dan evaluasi tersebut agar dapat dianalisis permasalahan dan menghasilkan alternatif solusi, sehingga perencanaan pembangunan daerah dapat berjalan secara efektif dan efisien.Kata Kunci: evaluasi dampak, pengembangan IKM, kesejahteraan
La encrucijada de la descentralización en Colombia: “antecedentes, problemáticas y retos en la implementación de la descentralización en Colombia como alternativa de lucha en contra de la pobreza”
Authors: Casallas Diego Fernando Rodríguez 
Published: September 2017

El presente artículo de reflexión hace parte del proyecto de investigación adelantado por el grupo de investigación, Comunicación Política y Comportamiento Electoral, adelantado en cooperación con el profesor Mario Lozano García de la Facultad de Ciencias Jurídicas y Sociales de la Universidad de Boyacá; en él se plantea cómo la necesidad de descentralización política y administrativa en Colombia incursiona dentro de las agendas legislativas y administrativas desde la década de los 80´s con la elección popular de alcaldes y gobernadores, siendo elevada a rango constitucional en 1991. Dicha implementación fue el resultado de los graves desajustes institucionales que significó: 1) El abandono estatal de los territorios sub nacionales en los cuales grupos ilegales llenaron los vacíos de poder dejados por el Estado; y 2) la incursión del narcotráfico como elemento dinamizador del conflicto interno. La descentralización política y administrativa surge como una alternativa de las comunidades para direccionar sus esquemas de desarrollo desde lo local. Sin embargo, en el contexto del Sistema Clientelista Colombiano para el cual la actividad política se reduce a un ejercicio de apropiación de los bienes y beneficios emanados del Estado, entonces el acceso a los mismos con el esquema de descentralización trasladó su fuente de poder del nivel central al nivel descentralizado; en otras palabras, el poder que otrora tuvieron los partidos tradicionales (Liberal y Conservador) como intermediarios desde el nivel central, entre el poder político y “los clientes” fue reemplazado por una serie de partidos “políticos“ emergentes que desde lo territorial articularon sus maquinarias de apropiación del Estado, trasladando los brotes de corrupción del nivel central al nivel descentralizado. La alternativa es un ejercicio de reconstrucción de cultura cívica y redimensionamiento del concepto de lo público como mecanismo de lucha en contra de la pobreza.
Inspección de la lengua, preferencias y pulsos en corredores chilenos desde la medicina tradicional China
Authors: Droppelmann Dí­az Guillermo , Ley Lee Yuzun 
Published: September 2017

Objetivos. Describir los aspectos de evaluación de la lengua, preferencias y pulsos pertenecientes a la medicina tradicional china en un grupo de sujetos que participaron en la Maratón de Santiago del año 2015. Materiales y métodos. Se realizó un estudio descriptivo de corte transversal, se seleccionaron 101 deportistas corredores chilenos quienes cumplieron con los criterios de inclusión, los cuales fueron asignados de manera aleatoria simple posterior a una inspección de la lengua, preferencias y pulsos por parte de dos acupunturistas certificados. Se utilizaron herramientas de estadística descriptivas. Resultados. La mayoría de los trotadores evaluados posee un color de la lengua rosado, la saburra en los corredores se presenta mayoritariamente como normal. A su vez, tanto la humedad de la lengua como el borde de esta se encuentran también en condiciones normales. Se observa una ligera tendencia de las preferencias de los corredores. La cantidad de latidos por respiración de los corredores se encuentra en un rango de 4 a 5 latidos. Conclusiones. El estado precompetitivo de la evaluación entrega resultados de una lengua y pulsos normales, existe una ligera tendencia de preferencia de los participantes a identificarse con elementos propios del yang, se deben considerar otros aspectos técnicos y metodológicos.
Toxicidad a 90 días del extracto atomizado de rizoma de Curcuma longa (A4R), Flores de cordia lutea (A4F) y hojas de Annona muricata (A4L) en modelo murino
Authors: Arroyo Acevedo Jorge Luis , Franco Quino César Ivanovish , Condorhuamán Figueroa Yovani Martin , Cabanillas Coral José Gonzalo , Chávez Asmat Roberto Jesús , Anampa Guzman Andrea 
Published: September 2017

Objetivos. Determinar la seguridad de la asociación del extracto atomizado del rizoma de Curcuma longa (A4R), flores de Cordia lutea (A4F) y hojas de Annona muricata (A4L) a una dosis repetida durante 90 días por vía oral en ratas. Material y métodos. Diseño experimental, se utilizaron 108 ratas Holtzman (54 machos – 54 hembras) y se administró el extracto atomizado durante 90 días por vía oral, se realizaron las observaciones, registro de signos y evolución cada 30 días del peso corporal de los animales; al final, se extrajo muestra de sangre para estudio hematológico, hepático, lipídico y antioxidante, se aplicó a prueba ANOVA, considerando el valor p<0,05 para la significancia. Resultados. La asociación de extracto atomizado (ALC) evidenció un incremento significativo del peso para el grupo ALC 200 mg/kg; en las ratas macho a partir de los 30 días (p<0,01) y en ratas hembra a partir de los 60 días (p<0,01) manteniendo dicho patrón a los 90 días. Todos los valores hematológicos y bioquímicos durante los 90 días se mantuvieron dentro de parámetros permitidos. Se observó un incremento en la actividad de la superoxido dismutasa (SOD) desde los primeros 30 días y manteniendo el mismo hasta el final, independientemente del género (p<0,05). Conclusión. Los hallazgos demuestran que el extracto atomizado del rizoma de Curcuma longa (A4R), flores de Cordia lutea (A4F) y hojas de Annona muricata (A4L) no produce toxicidad al ser administrado por un periodo de 90 días en ratas.
HUBUNGAN TINGKAT PENGETAHUAN DAN SIKAP IBU PREMENOPAUSE TERHADAP KESIAPAN DALAM MENGHADAPI MASA MENOPAUSE DI DESA PADANGAN KECAMATAN WINONG
Authors: Agustiawati Agustiawati , Sulistiyaningsih Sri Hadi 
Published: September 2017

Premenopause adalah fase yang terjadi pada usia 40 tahun dan dimulainya fase klimakterium, ditandai dengan siklus menstruasi tidak teratur, siklus menstruasi memanjang, jumlah darah lebih banyak, dan nyeri saat menstruasi. Survey pendahuluan yang dilakukan pada 15 responden, sebagian besar tidak siap menghadapi masa menopause dikarenakan tingkat pengetahuan dan sikap ibu kurang tentang menopause. Tujuan penelitian ini mengetahui hubungan tingkat pengetahuan dan sikap ibu premenopause terhadap kesiapan dalam menghadapi masa menopause di Desa Padangan Kecamatan Winong. Jenis penelitian analitik korelatif dengan pendekatan cross sectional.Populasi 376 orang dengan sampel 79, menggunakan tehnik simple random sampling dengan alokasi proporsional. Hasil penelitian menunjukkan bahwa sebagian besar ibu mempunyai tingkat pengetahuan baik 55 orang (69,9%), sikap yang baik dan cukup 30 orang (38,0%) dan siap menghadapi masa menopause sebanyak 58 orang (73,4%). Berdasarkan uji statistik chi squaredidapatkan hasil, ada hubungan antara tingkat pengetahuan terhadap kesiapan dalam menghadapi masa menopause (p value = 0,003), dan ada hubungan antara sikap ibu premenopause terhadap kesiapan dalam menghadapi masa menopause di Desa Padangan Kecamatan Winong (p value = 0,001). Diharapkan tenaga kesehatan meningkatkan pemberian informasi tentang menopause mengenai perubahan fisik yang dialami pada masa menopause dan ibu-ibu premenopause agar lebih siap menghadapi perubahan fisik yang terjadi.