Friday, February 15, 2019

JUNIPER PUBLISHERS- Journal of Gynecology and Women’s Health


Medicine's "Future": Pilot Data from a US Sample Shows Surgeons More Likely to Encourage Children to Pursue Medicine


Authored by Irene Dimitriadis

Objective: A survey was conducted to ascertain knowledge on when doctors start having children and the likelihood of them encouraging their children to follow in their footsteps.
Methods
Design: Nationwide electronic survey (4/18/2013-7/18/2013), cross-sectional study
Setting: USA
Participants/Interventions: Physician recipients of a survey titled "Knowing what you know, would you encourage your children to become physicians?”, with active affiliations to ACGME accredited residency programs
Statistics: Chi-square test, used as appropriate. P<0.05, considered statistically significant. All data analysis was performed using SAS v9.3 (SAS Institute, Cary, North Carolina).
Results: Of 801 responses received, 85.2%, 60% and 30.3% of attendings, fellows and residents have children, respectively. Male residents are more likely to have children than females (42.2% vs 20.2%, p<0.0001). This gender difference vanished among attendings and fellows.
Across all training levels, surgical specialties are more likely to encourage their children to become physicians compared to non-surgical specialties (64.3% vs 45.5%; p<0.0001, respectively). Amongst physicians with sons and daughters, 21.2% of responders report a gender bias in regards to encouraging their children to become doctors, of which almost twice as many parents report that they would encourage their son compared to their daughter to pursue medicine (14% vs 7.2%, p=0.08).
Over 80% of physicians who would encourage their children to go into medicine would encourage them to pursue their specialty.
Conclusion: Surgical specialties are more likely to encourage their children to follow in their footsteps.


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Saturday, February 9, 2019

JUNIPER PUBLISHERS- Journal of Forensic Sciences & Criminal Investigation


Active Search for Perpetrators of Most Serious Criminal Offences - the Croatian Model

Authored by Ksenija Butorac

Number of cases in which search for perpetrators is conducted is on the rise. Conditions in which borders are open and free flow of people, goods and capital is allowed are favored by fugitives. They keep up with the times and keep track of new developments in technology. This requires adaptation of work methodology of competent services whose search for the perpetrators of criminal offences represents one of their fundamental obligations. When doing so, it is necessary to acquire new knowledge and develop tactical, technical and human capacities in a timely matter. Croatian police follows current trends and is on a good path to satisfy actual needs and to achieve maximum success in the area of active search for perpetrators of most serious criminal offences. The Fugitives Unit was founded in 2008 - a unit dedicated to search for fugitives and which operates within the Police National Office for Suppression of Corruption and Organized Crime. Since 2012, the SIReNE Section has been operational within the International Police Cooperation Service of the Criminal Police Directorate as the central point for searches in cases where the SIS II System is used. Since 27th June 2017, all searches in the second-generation Schengen Information System (SIS. II) of the Schengen Area member countries have been available to the Republic of Croatia. Since that day Croatian authorities have also had the possibility of issuing their own searches within the SIS II System. Complementary work of the Fugitives Unit and the SIReNE Section created the preconditions for quality and coordinated proceedings when undertaking measures for fugitive active search.

Thursday, February 7, 2019

JUNIPER PUBLISHERS- JOJ Nursing & Health Care



Nurses as Role Models in Disease Prevention

Authored by Dirk Nelson

The number of citizens in the United States over 65 years of age is anticipated to more than double during the next 25 years (at that time there will be approximately 75,000,000 Americans over the age of 65; this will represent over 20% of the population). This “graying of America” will elicit profound opportunities and challenges. Life expectancy in developed countries like the United States currently ranges from 76 to 80 years. With an aging population, there is a concomitant increase in chronic diseases, disabilities, injuries, health care costs and concerns for caregivers. Approximately 80 percent of all seniors have at least one chronic condition and 50 percent have at least two (Centers for Disease Control and Prevention). However, life expectancy is not necessarily synonymous with living better. esults of literally thousands of studies indicate that simple lifestyle changes can maintain, slow down and may even reverse physical declines related to the aging process. While there are no guarantees, heart disease, cancers, Alzheimer’s disease, stroke, diabetes, osteoporosis, and depression may be managed and/or even prevented via one’s lifestyle. These phenomena (along with others) can create a great deal of angst for not only individuals, but their significant others as well. The Centers for Disease Control and Prevention has reported that one’s health need not inevitably decline due to aging. The reality is that anyone can improve his/her wellbeing by adopting healthy lifestyle behaviors. 



Wednesday, February 6, 2019

JUNIPER PUBLISHERS-International Journal of Environmental Sciences & Natural Resources


Integration of a Solar Thermal System for the Heating of an Office Space

Authored by R Kharchi

Given its geographical location, Algeria lends itself favorable to solar applications. The global solar radiation varies between 1700 and 2650 kWh/m2/year, for a duration of sunshine which is close to 3500 hours/year. This clean and in exhaustible energy can cover the heating demand of the office space. Our project consists of the integration of a solar thermal system controlled and controlled by a solar controller that will ensure optimal use of the solar heating system. Office heating is provided by low temperature radiators. Given its geographical location, Algeria lends itself favorably to solar applications. The global solar radiation varies between 1700 and 2650 kWh / m2 / year, for a duration of sunshine which is close to 3500 hours/year [1,2]. It is with this in mind that our project is to take advantage of this energy to cover the heating needs in the building. A solar collection field is installed on the terrace, the heated water is stored in a solar tank, which supplies the radiators for the heat distribution in the building. The building housing offices located in Bouzareah, Algiers (36°47’24” north, 3°01’04” east). The climate is warm and temperate.

Tuesday, February 5, 2019

JUNIPER PUBLISHERS-Anatomy Physiology & Biochemistry International Journal


Association of Hyperuricemia and Raised Atherogenic Index of Plasma with Hypertension


Authored by Rumana Ahmed

Background: Among the non-communicable disease, CVD is one of the major reasons of mortality all over the world. Hypertension is an important contributor to cardiovascular disease, stroke and kidney disease.
Objective: To evaluate the association of serum uric acid and atherogenic index of plasma with hypertension.
Method: A total of 100 individuals were selected as study subjects based on predefined enrollment criteria. Among them 50 diagnosed cases of hypertension were selected as cases and 50 normotensive healthy individuals as controls. Serum uric acid and serum lipid profile were measured in all study subjects. Atherogenic index of plasma was calculated by the formula log (TG/HDL-C).
Result: The study population mostly belonged to 36 to 45 years of age group. The mean age of hypertensive patients was 40.78±4.00 years and that of controls was 39.58±4.12 years. The study found that the mean levels of serum TG (205.24±56.74mg/dl) in hypertensive patients were significantly higher than those of controls whereas mean level of HDL-C (42.10±12.27 mg/dl) in hypertensive patients were lower than those of controls. The mean AIP in the hypertensive patients was (0.68±0.19) significantly higher (p <0.001) than that of controls (0.43±0.22). In the study 70% of the hypertensive subjects were found to be hyperurecemic whereas 08% of the normotensive subjects were hyperurecemic which was statistically significant. The hypertensive subjects showed a positive significant (r= 0.437 p= 0.002) correlation between AIP and SUA.


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Monday, February 4, 2019

JUNIPER PUBLISHERS-Biostatistics and Biometrics Open Access Journal


Limits and Inferences for Alpha-Stable Variables

Authored by DR Jensen

Distributions having excessive tails are modeled in various venues via a-stable sequences deficit in moments of various orders. Essential statistics are examined under independent vs spherically dependent cases. The former exhibits such critical pathologies as inconsistent sample means. The latter support versions of some classical procedures even without moments as conventionally required. In particular, despite heavy tails, Student's tests for means nonetheless remain exact in level and power. etc. AMS Subject Classification: 62E15, 62H15, 62J20. Classical statistics rest heavily on means, variances, correlations, skewness and kurtosis, requiring moments to fourth order. To the contrary, probability distributions having excessive tails, often void of first or second moments, arise in a variety of circumstances. These encompass radar tracking, image processing, acoustics, risk management, portfolios in finance, biometrics, and other venues. Supporting references include Bonato & Matteo, Cheng & Rachev, Kim et al., Kuruoglu & Zerubia, Qiou et al., Tsionas & Efthymios. Salient monographs are Arce, Chernobai & Rachev, Ibragimov et al. and Samorodnitsky & Taqqu. In these settings the classical foundations accordingly must be reworked.



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Tuesday, January 29, 2019

Juniper Publishers- Journal of Cardiology


Fibrinolytic Therapy with tPA Failed Because it was Based on a Flawed Concept


Authored by Victor Gurewich

Fibrinolytic therapy has become synonymous with tPA based on the belief that tPA alone was responsible for natural fibrinolysis. Although this assumption was belied from the outset by disappointing clinical results, it persisted, eventually causing fibrinolysis to be discredited and replaced by an endovascular procedure. Since time to reperfusion is the critical determinant of outcome, which in acute myocardial infarction (AMI) means within two hours, a time-consuming hospital procedure is ill-suited as first line treatment. For this purpose, fibrinolysis is better suited. The assumption that tPA is responsible for fibrinolysis is contradicted by published findings. Instead, tPA initiates fibrinolysis which is continued by urokinase plasminogen activator (uPA) which has the dominant effect. tPA and uPA gene deletion and clot lysis studies showed the activators to have complementary functions, requiring both for a full effect at fibrin-specific doses. They are also synergistic in combination thereby requiring much lower doses. A clinical proof of concept study in 101AMI patients was published. Each received a mini IV bolus of tPA followed by a 90 minute infusion of pro-uPA, the native form of uPA. A near doubling of the 24h TIMI-3 infarct artery patency rate compared to tPA was obtained. In further contrast to tPA, there were no reocclusions and the mortality was only 1%. A sequential combination of both activators, mimicking natural fibrinolysis, holds promise to significantly improve the efficacy and safety of therapeutic fibrinolysis.


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Friday, January 25, 2019

The Ameliorating Effect of Uncooked beans Diet in Cd-1 Mice


Authored by Aduema W

Beans contain serotonin and its precursor, 5-Hydroxytryptophan which have neurobehavioral actions on memory, anxiety, mood and pain. This study was therefore, designed to investigate the ameliorating effect of uncooked beans on pain sensation using three groups of Swiss white mice (control and test) weighing 18g-35g (n=10 each).The control group received normal rodent chow, while the test group received 50g of uncooked beans in 50g of rodent chow per day and serotonin precursor (5HTP) (0.2mg/50g w/w) diet. Water was given adlibitum while daily food and water intake, as well as body weight changes, were monitored during the 30-day study. The formalin tests were used to assess pain sensation. The results showed that in the formalin test, the frequency and duration of paw attention in both phases of the test was significantly lower (P<0.05) compared to the control group. The duration and frequency of paw licks (P<0.05) was also significantly lower in the uncooked beans diet and serotonin precursor group compared to the control. Therefore, consumption of uncooked beans diet may decrease pain sensation.

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Thursday, January 24, 2019

Comparative Evaluation of the Effects of Soil and Fertilizer Treatment on Winter Wheat Cultivation


Authored by Rae ZH Aliyev

The article gives the results of studies of the effect of soil and fertilizer treatment on the productivity of winter wheat in the Ganja-Gazakh zone of Azerbaijan. The positive effect of fertilizers on plants of winter wheat is manifested only in well-cultivated soils with a reaction of the environment close to neutral. At the same time it is proved that between the intensity of the application of mineral fertilizers and the productivity of grain crops around the world, a close direct dependence is established. Consequently, the highest yield of grain here was obtained in the variant of dung 10t/ha + N90P90K60 57.1 c/ha, an increase of 24.3c/ha or 74.1%, where the yield increase by 40-50% is due to the application of fertilizers.

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Wednesday, January 23, 2019

Classification System of Drugs-Risk during Pregnancy


Authored by Stephanie Viroga

The exposure to medicines during pregnancy have a potential risk of teratogenic effects, to facilitate prescription classifications have been created to advice prescribers. The most popular internationally used is the Food and Drugs Administration one. This classification was based in five categories based on evidence of risk, or no risk in pregnancy controlled and animal studies. Multiple limitations have been described for this classification so in 2015 the FDA stated that regulations for information on risks in pregnancy would be modified with narrative descriptions of drug usage during pregnancy and lactation, adding as a new section the potential reproductive risks for both men and women.

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Tuesday, January 22, 2019

"Symbiotic" Hemofiltration Opens Fundamentally New Opportunities for Chronic Renal Failure Compensation


Authored by EA Yumatov

Widely used nowadays hemodialysis and hémofiltration cannot replace completely the excretory function of human kidneys in natural conditions of physiological regulation. Healthy human kidneys are capable to purify patient's blood from uremic substances better than any artificial device with no doubt. Previously, we proposed a "method of "symbiotic” compensation of chronic renal failure (CRF) in humans”, based on the use of healthy human kidneys natural physiological function to purge patient's blood plasma from waste substances subjected to be excreted. In the method, the clearance of blood plasma from metabolites in CRF patients is based on the temporary association of healthy human and patient's circulations. The disadvantage of this method is to mix the blood of a patient and a healthy person. Therefore, this method has certain limitations associated with the necessity of a careful partners selection with the absolute blood type compatibility.


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Friday, January 18, 2019

Review Article on Impact of ATM Service on Customer Satisfaction


Authored by Benyam Tadesse


In banking industry, e-services are revolutionizing the way business is conducted. Electronic based business models are replacing conventional banking system and most banks are rethinking business process designs and customer relationship management strategies. It is also known as e-banking, online banking which provides various alternative e-channels to using banking services i.e. ATM, credit card, debit card, internet banking, mobile banking, electronic fund transfer, electronic clearing services etc. however, as per e-banking scenario ATM and mobile banking are most acknowledged than other e-channels [1]. Automated Teller Machine (ATM) refers to a machine that acts as a bank teller by receiving and issuing money to and from the ATM account holders/users. ATM means neither "avoids traveling with money” nor "any time money,” but certainly implies both. ATM cards are fast replacing confounding withdrawal forms as a convenient way of getting your money from banks. In a way, they are rewriting the rules of financial transaction. A smart person no longer needs to carry a wallet- full of paper money; rather, what he/she needs to do is to fish out an Automated Teller Machine (ATM) card from his/ her pocket, insert it in the slot of the machine, punch in a few details and go home with hard cash [1].

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General Advantages and Disadvantages of the NIK Narcotic Test


Authored by Andrea E Holmes

The NIK Narcotic test is a commercially available colorimetric test kit that is used in law enforcement and in the correction system. Not many validation studies are available in the literature. Therefore, the test has been questioned by various authors who demonstrated that the NIK tests produce false positives. The NIK test was studied in our laboratories and we determined that there are several advantages and disadvantages of the test. Positive aspects include ease of use and the quick turnaround time for the results. Negative points include the high probability of using the incorrect sample size and the subjective nature of color changes that are interpreted by the operator.



Thursday, January 17, 2019

Oxidative Stress in Bacteria Measured by Flow Cytometry



Authored by Daniel Manoil

The CellROX® Deep Red flow cytometry kit (Life technologies) has been developed for the detection of oxidative stress in mammalian cells. It combines a ROS sensitive fluorophore (CellROX® Deep Red) and a "viability” dye (SYTOX® Blue) to allow the detection of non-oxidized, oxidized and damaged cells. The present study investigated the application of these markers to Enterococcus faecalis and Fusobacterium nucleatum subjected to oxidative stress. An optimal concentration of CellROX® has been determined on Enterococcus faecalis and Fusobacterium nucleatum exposed to oxidative stress (H2O2). Bacteria have been exposed to various H2O2 concentrations and labeled with CellROX® to verify that fluorescence increased along with oxidative stress. Also, bacteria exposed to H2O2 were double stained with CellROX® and SYTOX® Blue and analyzed by flow cytometry. The optimal concentration of CellROX® Deep Red was 4^M for both strains. Fluorescence of bacteria labeled with 4^M of CellROX® Deep Red increased accordingly with the oxidative stress applied. Flow cytometry analysis of double stained samples showed bacteria subpopulations with increased CellROX® signal when stressed, and higher SYTOX® Blue uptake under higher oxidative stress. Results indicate that CellROX® Deep Red can be applied to measure oxidative stress in E. faecalis and F. nucleatum. The combination of CellROX® and SYTOX® Blue allowed the discrimination of non-oxidized, oxidized and damaged bacteria.


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Wednesday, January 16, 2019

Evaluation of Pre-Transplant Risk Factors as Independent Predictors on the New Onset of Diabetes after Renal Transplants (NODAT)


Authored by Debmalya Sanyal

One of the most potential complications in renal allograft recipients is post- operative impaired glucose tolerance leading to frank de novo Diabetes Mellitus known as New Onset Diabetes after Transplant (NODAT). It is multifactorial and is pathogenically similar to Type 2 Diabetes Mellitus. Having a variable incidence, it is usually associated with an increased risk of infection, cardiovascular morbidity, and graft dysfunction which can eventually cause mortality or loss of the allograft. In this study we aimed at comparing pre-operative risk factors namely age, sex, gender, insulin resistance (estimated by HOMA-IR), ß cell function (estimated by HOMA-ß), pre-operative fasting plasma glucose, post-operative fasting plasma glucose, tacrolimus level, induction ATG and hepatitis C virus status as an implicating factor for those who developed NODAT in post-operative period versus those who maintained an euglycemic status throughout the study period (non-NODAT). The study was carried out at the renal transplant unit of NHRTIICS, Kolkata between Jan 2013 to Feb 2014.


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JUNIPER PUBLISHERS- Journal of Gynecology and Women’s Health Medicine's "Future": Pilot Data from a US Sample Shows S...