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Prevalence, Risk Factors, and Pediatrician Awareness of Infant Dyschezia in Indonesia

  • Muzal Kadim;Ucha Merendar Putri;Hartono Gunardi;HF Wulandari;Pustika Amalia Wahidiyat;Sudung O Pardede;Wahyuni Indawati
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.26 no.2
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    • pp.116-126
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    • 2023
  • Purpose: This study aimed to evaluate the prevalence and risk factors of infant dyschezia as well as pediatrician awareness regarding this disease in Indonesia. Methods: This is a two-part cross-sectional study, which was divided into study A and B. Study A: Parents whose infants were under 9 months old and attended well-baby clinics were recruited at two randomly selected primary health centers. Parents also provided information on the infant's previous medical history, and socio-demographic and family details. The Rome IV criteria was translated and validated to be used for diagnosis of infant dyschezia. Study B: Randomly selected pediatricians were surveyed by using a questionnaire to evaluate their knowledge regarding infant dyschezia. Results: The prevalence of infant dyschezia based on the result of this study was 11.8%. Three risk factors had a significant relationship with infant dyschezia i.e., the number of children in the family (odds ratio [OR], 5.619; 95% confidence interval [CI], 2.194-14.390; p<0.001), complementary food diet (OR, 4.238; 95% CI, 1.902-9.443; p<0.001), and social-emotional disturbance (OR, 5.670; 95% CI, 2.550-12.609; p<0.001). The percentage of pediatricians correctly diagnosed infant dyschezia was 71.5%. Most pediatricians agreed that they did not perform any diagnostic testing (79.7%) and only provided education in cases of infant dyschezia (58.5%). Conclusion: The prevalence of infant dyschezia identified in our study was higher than that in other neighboring Asian countries, with the highest prevalence observed in infants 7-9 months old. Being an only child, receiving complementary food diet, and sociao-emotional disturbances were significant risk factors of infant dyschezia.

Sol-Gel Synthesis, Crystal Structure, Magnetic and Optical Properties in ZnCo2O3 Oxide

  • Das, Bidhu Bhusan;Barman, Bittesh
    • Journal of the Korean Chemical Society
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    • v.63 no.6
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    • pp.453-458
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    • 2019
  • Synthesis of ZnCo2O3 oxide is performed by sol-gel method via nitrate-citrate route. Powder X-ray diffraction (XRD) study shows monoclinic unit cell having lattice parameters: a = 5.721(1) Å, b = 8.073(2) Å, c = 5.670(1) Å, β = 93.221(8)°, space group P2/m and Z = 4. Average crystallite sizes determined by Scherrer equation are the range ~14-32 nm, whereas SEM micrographs show nano-micro meter size particles formed in ZnCo2O3. Endothermic peak at ~798 K in the Differential scanning calorimetric (DSC) trace without weight loss could be due to structural transformation and the endothermic peak ~1143 K with weight loss is due to reversible loss of O2 in air atmosphere. Energy Dispersive X-ray (EDX) analysis profile shows the presence of elements Zn, Co and O which indicates the purity of the sample. Magnetic measurements in the range of +12 kOe to -12 kOe at 10 K, 77 K, 120 K and at 300 K by PPMS-II Physical Property Measurement System (PPMS) shows hysteresis loops having very low values of the coercivity and retentivity which indicates the weakly ferromagnetic nature of the oxide. Observed X-band EPR isotropic lineshapes at 300 K and 77 K show positive g-shift at giso ~2.230 and giso ~2.217, respectively which is in agreement with the presence of paramagnetic site Co2+(3d7) in the oxide. DC conductivity value of 2.875 ×10-8 S/cm indicates very weakly semiconducting nature of ZnCo2O3 at 300 K. DRS absorption bands ~357 nm, ~572 nm, ~619 nm and ~654 nm are due to the d-d transitions 4T1g(4F)→2Eg(2G), 4T1g(4F)→4T1g(4P), 4T1g(4F)→4A2g(4F), 4T1g(4F)→4T2g(4F), respectively in octahedral ligand field around Co2+ ions. Direct band gap energy, Eg~ 1.5 eV in the oxide is obtained by extrapolating the linear part of the Tauc plot to the energy axis indicates fairly strong semiconducting nature of ZnCo2O3.

Effects of Supplements with Different Protein Contents on Nutritional Performance of Grazing Cattle During the Rainy Season

  • Figueiras, J.F.;Detmann, E.;Franco, M.O.;Batista, E.D.;Reis, W.L.S.;Paulino, M.F.;Valadares Filho, S.C.
    • Asian-Australasian Journal of Animal Sciences
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    • v.29 no.12
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    • pp.1710-1718
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    • 2016
  • The objective of this study was to evaluate the effects of supplements with different crude protein (CP) contents on grazing cattle intake, digestibility, ruminal fermentation pattern, and nitrogen (N) metabolism characteristics during the rainy season. Five ruminal and abomasal cannulated Holstein${\times}$Zebu steers (296 kg body weight, BW) were used in a $5{\times}5$ Latin square design. The animals grazed five signal grass paddocks (0.34 ha). The five treatments evaluated were: Control (no supplement) and 1.0 g of supplement/kg BW with 0, 330, 660, and 1,000 g of CP/kg as-fed. The supplement was composed of starch, soybean meal, urea, and ammonium sulphate. There was a positive linear effect ($p{\leq}0.033$) of the CP content in the supplements on the organic matter (OM), CP, and digested OM intakes. The provision of supplements did not increase ($p{\geq}0.158$), on average, total and ruminal digestibilities of OM and CP. However, the increase in CP content in the supplements caused a positive linear effect ($p{\leq}0.018$) on ruminal digestibilities of OM and CP. Additionally, a quadratic effect of the CP contents of the supplements were observed (p = 0.041) for the ruminal digestibility of neutral detergent fiber corrected for ash and protein, with the highest estimate obtained with the CP content of 670 g/kg. The supply of supplements increased (p<0.001) the ruminal ammonia N concentration, which also changed linearly and positively (p<0.001) according to increase in CP content in the supplements. The apparent N balance and relative N balance (g/g N intake) were not, on average, changed ($p{\geq}0.164$) by the supplements supply. However, both showed a tendency of a linear increase ($p{\leq}0.099$) with increasing supplement CP content. The supplements increased (p = 0.007) microbial N production in the rumen, which also changed linearly and positively (p = 0.016) with increasing supplement CP content. In conclusion, protein supplementation in grazing cattle during the rainy season, while stimulating voluntary forage intake, results in higher efficiency of N utilization when compared to energy supplementation. This is a possible response to increased microbial protein synthesis in the rumen and improved N status in the animal body.

The Construction of Multiform User Profiles Based on Transaction for Effective Recommendation and Segmentation (효과적인 추천과 세분화를 위한 트랜잭션 기반 여러 형태 사용자 프로파일의 구축)

  • Koh, Jae-Jin;An, Hyoung-Keun
    • The KIPS Transactions:PartD
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    • v.13D no.5 s.108
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    • pp.661-670
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    • 2006
  • With the development of e-Commerce and the proliferation of easily accessible information, information filtering systems such as recommender and SDI systems have become popular to prune large information spaces so that users are directed toward those items that best meet their needs and preferences. Until now, many information filtering methods have been proposed to support filtering systems. XML is emerging as a new standard for information. Recently, filtering systems need new approaches in dealing with XML documents. So, in this paper our system suggests a method to create multiform user profiles with XML's ability to represent structure. This system consists of two parts; one is an administrator profile definition part that an administrator defines to analyze users purchase pattern before a transaction such as purchase happens directly. an other is a user profile creation part module which is applied by the defined profile. Administrator profiles are made from DTD information and it is supposed to point the specific part of a document conforming to the DTD. Proposed system builds user's profile more accurately to get adaptability for user's behavior of buying and provide useful product information without inefficient searching based on such user's profile.

Antioxidant activity of partially purified extracts isolated from Acanthopanax sessiliflorum Seeman (오가피 분획 추출물의 항산화효과)

  • Im, Kyung-Ran;Kim, Mi-Jin;Jung, Teak-Kyu;Yoon, Kyung-Sup
    • KSBB Journal
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    • v.23 no.4
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    • pp.329-334
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    • 2008
  • The antioxidant activity and the qualitative analysis of Acanthopanax sessiliflorum Seeman were studied by partially purified extract using various methods: extraction by using ethanol solutions and temperatures, and absorption to Diaion HP20 column chromatography using 10%, 20%, 40%, 60% ethanol solutions. Major constituents, chlorogenic acid, caffeic acid, eleutheroside E, was determinated by HPLC method in Acanthopanax sessiliflorum S. 10% and 20% ethanol solutions contain chlorogenic acid (3.020$\pm$0.080%, 20.500$\pm$1.150%, respectively). 40% ethanol solution contains caffeic acid and eleutheroside E (12.270$\pm$0.360%, 1.670$\pm$0.140%, respectively). Diaion HP20 fractions (10%, 20%, 40%, 60% ethanol solutions) showed the scavenging activity of radicals and reactive oxygen species with the $IC_{50}$ values of $81.534{\pm}0.992{\mu}g/ml$, $1.748{\pm}0.098{\mu}g/ml$, $11.487{\pm}1.768{\mu}g/ml$, $21.960{\pm}0.547{\mu}g/ml$ against 1,1-diphenyl-2-picrylhydrazly radical and $1713.548{\pm}34.565{\mu}g/ml$, $131.419{\pm}2.235{\mu}g/ml$, $200.681{\pm}2.444{\mu}g/ml$, $757.897{\pm}6.868{\mu}g/ml$ against superoxide radicals in the xanthine/xanthine oxidase system, respectively. Especially, 20% and 40% ethanol fractions showed more antioxidant activity than dl-$\alpha$-tocopherol. These results suggest that Acanthopanax sessiliflorum S. extract and Diaion HP20 fractions may be useful as a potential source of nutraceutical and cosmetic products.

Establishing Tree Ring δ18O Chronologies for Principle Tree Species (T. cuspidata, P. koraiensis, A. koreana, Q. mongolica) at Subalpine Zone in Mt. Jiri National Park and Their Correlations with The Corresponding Climate (지리산국립공원 아고산대 주요 수종(주목, 잣나무, 구상나무, 신갈나무)에 대한 산소동위원소연대기 작성 및 기후와의 관계 분석)

  • Seo, Jeong-Wook;Jeong, Hyun-Min;Sano, Masaki;Choi, En-Bi;Park, Jun-Hui;Lee, Kwang-Hee;Kim, Yo-Jung;Park, Hong-Chul
    • Journal of the Korean Wood Science and Technology
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    • v.45 no.5
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    • pp.661-670
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    • 2017
  • 50-year tree-ring ${\delta}^{18}O$ chronologies (1966~2015) for principle conifer tree species (Taxus cuspidata, Pinus koraiensis, Abies koreana) and Quercus mongolica at subalpine zone in Mt. Jiri were established. The establishing of tree-ring ${\delta}^{18}O$ chronologies for each tree species were fulfilled using four trees, which showed the good result in cross-dating. In the comparisons between tree-ring ${\delta}^{18}O$ chronologies within the same tree species all tree species showed reliable results statistically (p < 0.001), and they also showed EPS higher than 0.85. In addition to, the reliable correlations (p < 0.001) were verified between tree-ring ${\delta}^{18}O$ chronologies of four tree species, as well. In the response function analysis in order to investigate the relationships between tree-ring ${\delta}^{18}O$ chronologies and corresponding climatic factors, i.e., monthly precipitation and mean temperature, T. cuspidata showed a negative correlation with May precipitation (p < 0.05) and A. koreana showed a negative correlation with April precipitation (p < 0.05). If long tree-ring ${\delta}^{18}O$ chronologies of T. cuspidata and A. koreana will be established, it will be possible to reconstruct April and May precipitation in the past when we have no the meteorological data.