Circumference Research Articles

Pathology-Related Influences on the VEM: Three Years' Experience since Implementation of a New Parameter in Phoniatric Voice Diagnostics.

The vocal extent measure (VEM) represents a new diagnostic tool to express vocal capacity by quantifying the dynamic performance and frequency range of voice range profiles (VRPs). For VEM calculation, the VRP area is multiplied by the quotient of the theoretical perimeter of a circle with equal VRP area and the actual VRP perimeter. Since different diseases affect voice function to varying degrees, pathology-related influences on the VEM should be investigated more detailed in this retrospective study, three years after VEM implementation. Data was obtained in a standardized voice assessment comprising videolaryngostroboscopy, voice handicap index (VHI-9i), and acoustic-aerodynamic analysis with automatic calculation of VEM and dysphonia severity index (DSI). The complete dataset comprised 1030 subjects, from which 994 adults (376 male, 618 female; 18-86 years) were analyzed more detailed. The VEM differed significantly between pathology subgroups (p < 0.001) and correlated with the corresponding DSI values. Regarding VHI-9i, the VEM reflected the subjective impairment better than the DSI. We conclude that the VEM proved to be a comprehensible and easy-to-use interval-scaled parameter for objective VRP evaluation in all pathology subgroups. As expected, exclusive consideration of the measured pathology-related influences on the VEM does not allow conclusions regarding the specific underlying diagnosis.

PREVALENCE OF MASKED HYPERTENSION AMONG PATIENTS WITH METABOLIC SYNDROME IN A TERITIARY CARE CENTRE

Background: There is strong correlation between masked hypertension and metabolic syndrome. Presence of masked hypertension increases the risk of end organ damage, cardiovascular and cerebrovascular events and hence prevalence of masked hypertension among metabolic syndrome patients and its association with various components of metabolic syndrome needs to be defined. Aim: The aim of our study is to estimate the prevalence of masked hypertension among patients with metabolic syndrome. To assess the correlation between masked hypertension and various components of metabolic syndrome. Materials and Methods: 120 patients of age group 18-65 years, who were admitted in Sree Mookambika Institute of Medical Sciences from January 2020 to October 2020, who had metabolic syndrome were included. Inclusion Criteria included patients with waist line circumference > 102 cm in men and >88 cm in females. Triglyceride level > 150mg/dl, HDL , 40 mg/dl in men and 100mg/dl and pre hypertensive range of BP, systolic 130-139 mmHg and diastolic 85-89mmHg.d Chronic hypertensive patients with evidence of end organ damage and patients with severe uncontrolled hypertension were excluded. Relevant data were obtained, Ambulatory BP recordings were taken to identify masked Hypertension. Descriptive and Analytical statistics was performed by SPSS version 20.0. Results: Out of the 120 patients included in our study, 75 percent had masked hypertension. Our study proved positive correlation between masked hypertension and waist line circumference, elevated FBS, triglyceride, HDL Conclusion: Our study shows significant prevalence of masked hypertension among patients with metabolic syndrome. Thus early detection of masked hypertension helps in early diagnosis of metabolic syndrome and its better management. Key words: Masked hypertension, metabolic syndrome.

Modernizing Archimedes’ Construction of π

In his famous work, “Measurement of a Circle,” Archimedes described a procedure for measuring both the circumference of a circle and the area it bounds. Implicit in his work is the idea that his procedure defines these quantities. Modern approaches for defining π eschew his method and instead use arguments that are easier to justify, but they involve ideas that are not elementary. This paper makes Archimedes’ measurement procedure rigorous from a modern perspective. In so doing, it brings a rigorous and geometric treatment of the differential properties of the trigonometric functions into the purview of an introductory calculus course.

The internal and external validity of the latent vocational interest circumplex: Structure, relationships with self-concepts, and robustness against item-order effects

The vocational interest circumplex implies a pattern of correlations that can be represented by the interest domains' locations on the circumference of a circle. In addition, the circumplex can be extended by placing external covariates into the two-dimensional interest structure. Results that simultaneously support the circumplex as a model for the interest scales' internal structure and for their external relationships with covariates provide a more comprehensive account of the circumplex's validity than isolated analyses of just one kind of validity evidence. In this article, we outline a latent variable framework that makes it possible to simultaneously examine both validity aspects and that enables researchers to study the robustness of such validity evidence across groups. We applied this framework to the eight basic interest scales of the Personal Globe Inventory (PGI; Tracey, 2002) and their relationships with nine measures of domain-specific self-concepts. Participants were randomly assigned to groups in which the interest items were presented in different orders with the goal of eliciting either cross-domain or within-domain comparisons. Our results suggest that the circumplex structure was remarkably similar (although not fully invariant) across conditions and that the relationships between the PGI scales and the self-concept domains were in good agreement with the circumplex regardless of item order. Interestingly, most self-concept scales occupied positions along the People-Things axis of the circumplex, thereby replicating previous results on the relationships of vocational interests and ability-related constructs. Taken together, our results provide strong support for the internal and external validity of the interest circumplex as an integrative map for representing complex construct relationships.

Fetal malnutrition assessment program

Objective To study the application of ponderal index (PI), body mass index (BMI), mid-arm circumference/head circumference (MAC/HC), and Clinical Assessment of Nutritional Status (CANS) score in assessing the nutritional status of neonates at birth, and to find a simple and reliable scheme for the assessment of fetal nutritional status. Methods PI, BMI, MAC/HC, and CANS were used to assess the nutritional status of full-term infants and preterm infants shortly after birth. The assessment results of these methods were analyzed. Results Among the 678 full-term infants, 61, 102, 47, and 131 were diagnosed with malnutrition by PI, BMI, MAC/HC, and CANS respectively. Among the 140 preterm infants, 30, 87, 9, and 112 were diagnosed with malnutrition by PI, BMI, MAC/HC, and CANS respectively. The combination of BMI and CANS had a detection rate of 99.3% in full-term infants and 100% in preterm infants. Compared with the single method, the combination significantly improved the detection rate of malnutrition (P 0.05). Conclusions The combination of BMI+CANS can reduce the rate of missed diagnosis of fetal malnutrition. It is therefore a simple and reliable method for the assessment of fetal malnutrition.

Vitamin D in obesity and obesity-related diseases: an overview

Hypovitaminosis D and obesity represent two pandemic conditions sometimes associated with each other. Although it is known that there is a close relationship between these two health problems, the underlying pathophysiological mechanism has not yet been fully clarified. In fact, on the one hand, obesity per se seems to involve low circulating levels of vitamin D due to low sun exposure, physical activity, and intake of foods rich in vitamin D, volumetric dilution and sequestration in the adipose tissue. Conversely, since preadipocytes and adipocytes express the receptors and are involved in the metabolism of vitamin D it would seem that low levels of this vitamin may be involved in adipogenesis and therefore in the development of obesity. This connection is extremely important when considering obesity-related diseases. In fact, low vitamin D levels and severe obesity are significantly associated with some cardio-metabolic risk factors, including high Body Mass Index, waist circumference, blood pressure, impaired lipid and glycemic profile and insulin resistance, as they would seem associated with worse cardiovascular outcomes and higher cancer incidence and mortality. Therefore, the purpose of this review was to examine the recent evidence linking low vitamin D status, obesity and obesity-related diseases, highlighting the scientific achievements and the gaps to be filled with further investigations.

Effect of maternal mental health during pregnancy on infant growth at six months of age in Suburban communities in South of Iran.

Background: Due to the controversial effects of mental health disorders during pregnancy on infant health, the present study aimed to evaluate the effect of gestational depression, stress, and anxiety on the growth of offspring at six months of age in disadvantaged communities in South of Iran. Methods: The sample comprised of 470 pregnant women (response rate=98%) who are participated in the Bandar Abbas Pregnancy Cohort study. Maternal mental health was measured by the DASS-21 questionnaire during pregnancy. Data on infant growth was collected based on infant`s growth chart at six months of age. The relative risk of suboptimal infant growth was calculated by Modified Poisson regression models at 5% significant level. Results: The prevalence of depression, anxiety, and stress was 19.0%, 26.1% and 6.5%, respectively. At six months of age, the mean (SD) of infant`s weight (gram), height (cm) and head circumference (cm) were 7287.30 (1019.85), 63.23 (5.62) and 41.39 (2.70), respectively. Compared to normal mothers, the risk of suboptimal weight at six months of age significantly increased by 71% in mothers who were classified as having depression (Adjusted RR: 1.71, 95% CI: 1.07, 2.09). The presence of anxiety significantly increased the risk of suboptimal height at six months of age by 43% (ARR: 1.43, 95% CI: 1.07, 1.92). There were no statistically significant effects of either depression anxiety or stress on the suboptimal head circumference at six months of age. Conclusion: Our results showed that mental health disorders of pregnant women might adversely influence the weight and height growth of offspring within the first six months of age. Screening protocols to early diagnose of mental health disorders during pregnancy, and to strict follow up of diagnosed cases postpartum are proposed.

Anthropometric characteristics of male rink hockey goalkeeper’s according to their competitive level

Objective: Evaluate the anthropometric characteristics of male rink hockey goalkeepers, and to compare the variation according to their competitive level (international vs. non-international).&#x0D; Methods: Body mass, stature, sitting height, arm span, waist and hip circumferences and four skinfold measurements (triceps, medial calf, subscapular and supraspinale) of international (n = 12) and non-international (n = 23) goalkeepers were taken. Body mass index (BMI, weight/height2), the sum of four skinfolds, the sitting height/stature ratio, waist/hip ratio and the relative arm span were also calculated.&#x0D; Results: International rink hockey goalkeepers have lower values of subcutaneous adiposity for the sum of the four skinfolds (P = 0.042; d = 0.76) particularly in the triceps (P = 0.016; d = 0.87) and are taller than non-international goalkeepers (+3.8 cm [2.2%]; 180.5 ± 7.0 vs. 176.6 ± 4.8 cm; t = 1.920; P = 0.064; d = 0.65).&#x0D; Conclusion: The findings could indicate that stature and body fat may have important implications for scouts regarding the selection process and coaches that work with players on developing performance. Future research should investigate the extent to which different anthropometric measures influence performance in rink hockey goalkeepers.

Analysis on the age of menarche and associated factors of Han, Zhuang and Yao nationality female students in Guangxi

Objective To explore age of menarche and associated factors of Han nationality, Zhuang nationality and Yao nation ality girl in Guangxi, and to provide reference for the development of adolescent health education in schools. Methods The 7-, 10- and 13-year-old girls of Han, Zhuang, Yao nationality were chosed from three counties of Guangxi, and height, weight and other physical indicators were measured for three consecutive years, and age of menarche was inquired. 448 cases of with compete data in the three consecutive years of monitoring. The influencing factors were investigated through questionnaire. Results Age of menarche of the whole sample was 11.83 (95% CI = 11.69—11.96) years old, and that of the Han, Zhuang, Yao nationality was 11.87 (95% CI =11.64-12.09), 11.44(95% CI = 11.25-11.64) and 12.42(95% CI = 12.14-12.70)years old respectively, the difference was statistically significant ( P <0.05). Height, sitting height, weight of menarche group in 12 and 13 years old were significantly higher those of the group without menarche ( P <0.05) . Logistic regression analysis primary sitting height, the chest circumference, intake of seafood, duration of sleep in the night and school exercise time were the primary factors for age at menarche ( P <0.01). Conclusion There are ethnic differences in age of menarche among girls in Guangxi, and it is related to sleep, physical activity and dietary structure. Puberty recated health education for girls might start at the fourth grade of primary school, focusing on the education of health life patten, balanced dietary habits, regularly routine, with the goal of growth and development promotion. 【摘要】 目的 探索广西汉族、壮族、瑶族女生月经初潮年龄的影响因素, 为开展学校青春期健康教育工作提供参考依 据。 方法 运用序列研究法, 在广西 3 县分别抽取汉族、壮族、瑶族 7, 10, 13 岁女生, 连续 3 年进行身髙、体重等体格指标 的测量, 并询问月经来潮情况, 最终选取 3 年连续监测的相同有效样本 448 例。使用生长发育影响因素调査表进行调査。 结果 女生的月经初潮半数年龄为 11.83(95% CI = 11.69~11.96) 岁, 汉族、壮族、瑶族依次为11.87(95% CI = 11.64~12.09)、11.44 (95% CI =11.25~11.64) 和 12.42 岁 (95% CI = 12.14~12.70), 差异有统计学意义 ( P <0.05)。12, 13 岁组月经已 来潮女生的身髙、坐髙、体重等均髙于未来潮组, 差异均有统计学意义 ( P 值均<0.05) 。二分类 Logistic 回归分析显示, 月经 初潮年龄的影响因素主要为坐髙、胸围、海产品的摄人、夜间睡眠时长和在校运动时间 ( P 值均<0.01)。 结论 广西女生月 经初潮半数年龄有民族差异, 与运动情况和膳食结构有关。应在小学四年级开始进行女生青春期健康教育, 可侧重于健康 生活模式的教育, 培养学生均衡的膳食习惯和作息的规律, 促进学生的健康生长。

Prevalence of Diabetes Mellitus and Associated Risk Factors among Adult Individuals in Selected Areas of Bangladesh

Objective: To assess the prevalence of diabetes mellitus and its risk factors among individuals aged 18 years and above. Study design: cross-sectional. Methods: This study was conducted among 400 adults aged 18 to 93 years old from Dhaka, Mymensing, Sylhet and Khulna District in Bangladesh. A multistage sampling technique was used to select study participants. We carried out frequency tabulation, bivariate and multivariate regression analyses to achieve the study objective. Result: The prevalence of DM was 9.75%. Study participants with high waist circumference were 2.57 times more likely to be DM positive compared to those whose waist circumference was normal (OR = 2.57). Respondents who were overweight (OR = 2.587) and obese (OR = 4.17) were more at risk of having DM than those who had normal weight. Individuals with smoking habit were about 1.253 times more likely to have DM compared to participants who never smoked in their lifetime. Respondents who were inactive were 5.587 times at more risk of being DM positive than those were active. Female respondents were more (OR = 1.568) at risk of having DM than male respondents. Respondents aged 36-50 years old, 51-65 years old and 66-93 years old were 1.475 times, 2.136 times and 2.563 times more risk of having DM than 18-35 years old respondents. Conclusion: Health care system in Bangladesh urgently needs policy guidelines to monitor prevalence and associated factors regarding DM.

Relación del índice de la forma del cuerpo con indicadores de análisis de composición corporal en pa-cientes obesos adultos

Introducción: El índice de la forma del cuerpo (ABSI) se basa en que la circunferencia de cintura (CC) es independiente de la estatura, el peso y el índice de masa corporal (IMC); donde un resultado alto del ABSI indica que la circunferencia de cintura es mayor de la esperada para un cierto peso y estatura, correspondiendo con mayor concentración del volumen corporal a nivel abdominal. La bioimpedancia (BIA) es un buen método para determinar el agua corporal y la masa libre de grasa, esta se basa en la estrecha relación que hay entre las propiedades eléctricas del cuerpo humano, la composición corporal de los diferentes tejidos y del contenido total de agua en el cuerpo.&#x0D; Objetivo: Establecer una relación estadística entre el ABSI e indicadores de composición corporal en adultos con obesidad.&#x0D; Material y Métodos: Estudio descriptivo transversal. Se evaluaron a 173 pacientes que asistieron a consulta privada entre 20 – 60 años, con diagnóstico definido de obesidad según el IMC ≥ 30 kg/m2 . Se tomaron medidas antropométricas peso, talla, CC y se realizó una BIA para el análisis de composición corporal.&#x0D; Resultados: La edad media de los pacientes fue de 36,7 ± 9,7 años. Se calculó el ABSI resultando una media global de 0,075 ± 0,004, en hombres 0,079 ±0,05y mujeres 0,075 ± 0,04. Se realizó análisis bivariado entre el ABSI y variables de composición corporal globales sin encontrar relación estadísticamente significativa. El ABSI vs peso (kg) correlación 0,201 valor de P: 0, 008; ABSI vs ACT (L) correlación 0,229 valor de P 0,002; ABSI vs MG (kg) correlación -0,083 valor de P 0,276; ABSI vs MME (kg) correlación 0,219 valor de P 0,004.&#x0D; Conclusiòn: Se establece que el ABSI no se relaciona directamente con variables de análisis de composición corporal total. No se comprobó una relación positiva con la variable de masa grasa total o una relación negativa con la variable masa músculo esquelética.

Relationship between selected body composition components and self-efficacy among 12-14-year-old rural adolescents in the Eastern Cape Province of South Africa

Adolescence is a crucial developmental stage of growing and development. This stage is characterised by physiological and psychological changes, such as changes in body composition and self-efficacy. The aim of this study was to investigate the relationship between certain body composition components and self-efficacy among 12- to 14-year-old rural boys (n=49) and girls (n=43). The anthropometrical measurements included body mass, body stature, three skinfold sites, waist and hip circumferences and were used to determine Body Mass Index (BMI), fat percentages and waist-to-hip ratio (WHR). The Self-Efficacy Questionnaire for Children (SEQ-C) was used to measure general self-efficacy. Descriptive statistics and the Pearson product-moment practical correlation for analysis of data was performed. Only girls presented significantly high practical correlations between BMI and emotional self-efficacy (r=0.33, p=0.02), total self-efficacy and WHR (r=0.44, p=0.00), social self-efficacy and WHR (r=0.39, p=0.01), and emotional self-efficacy and WHR (r=0.33, p=0.02). The boys presented significant and positive practical correlations between social self-efficacy and body mass (r=0.31, p=0.02) and body stature (r=0.39, p=0.00). The findings seem to suggest that the practical correlations between body composition and self-efficacy could be specific to certain cultures and specific countries. Keywords: Self-efficacy; Body composition; Rural children; Body Mass Index; Fat percentage; Waist-to-hip ratio.

The relationship between the type of nutrition and anthropometric indices of infants during the first year of birth

Background: Considering the importance of proper infant nutrition, especially in the first two years of life, and also the effect of cultural subjects on the type of infant's nutrition, this study aimed to investigate the type of nutrition and anthropometric indices of infants during the first year of birth in Bushehr, Iran. Methods and materials: This cross-sectional study carried out on 546 delivered mothers. The data of mothers and their children were collected through Integrated Health System (SIB). Five centers of comprehensive health care centers were randomly selected. Required information included maternal demographic characteristics and anthropometric indices of infants at birth, 6 and 12 months. The collected data were analyzed using SPSS 19 with appropriate statistical tests at a significance level of p Results: The frequency of exclusive breastfeeding, formula feeding and also both feeding methods (combined) were 56.8%, 25.1%, and 18.1%, respectively. The results showed that 6-month weight gain compared to birth time did not differ between the three groups. The increase in height and head circumference in the first six months in the formula feeding group was less than the exclusive breastfeeding group and the combined group (p <0.05). In the second six months, weight gain and height in formula feeding group were less than the other two groups (P <0.01). Conclusion: This study showed that the prevalence of exclusive breastfeeding in Bushehr is desirable with good condition compared to the whole country of Iran. The growth trend in breastfed infants is either similar or better than formula-fed infants. Use of formula with breast milk compared to formula alone has better growth outcomes.

Pengajaran Persiapan Ujian Nasional Mata Pelajaran Matematika di SMP Negeri 37 Samarinda

Community Service conducted at SMP 37 is teaching national math preparation tests for class IX. The method of community service in Samarinda 37 State Junior High School is by teaching using the junior high school national exam practice module. Activities carried out through the stage of providing material operations of fractions, value comparisons and reversals of values, ranks and roots, calculation of loan and savings interest rates, arithmetic sequences and sequences and geometry, linear and quadratic equations, sets, linear functions, line equations, line gradients, flat circumference and shape area, congruent and congruent triangles, circle angle, circle circumference, circle elements, prism and pyramid elements, volume and surface area of ​​prism and pyramid, statistics, sample space, and opportunity. After all the material has been submitted, it is continued with the prediction of the national mathematics exams in 2013, 2014, 2015, 2016, 2017, and 2018 with the development of the developed training modules. From the results of community service in Samarinda 37 Public Middle School, the level of student satisfaction found using modules was 41.52% very satisfied, 57.40% satisfied, 1.07% quite satisfied, and 0.00% dissatisfied. On the other hand, students also find it easier to understand learning if the teacher uses modules as teaching material in class

Evaluation of microvascular changes in retinal zones and optic disc in pediatric patients with type 1 diabetes mellitus.

The objective of this study was to evaluate the vascular parameters of the retinal zones and the optic disc (OD) with the use of optical coherence tomography angiography (OCTA) in pediatric patients with type 1 diabetes mellitus (T1DM). This study enrolled 60 patients with T1DM without clinically detectable diabetic retinopathy (DR), along with 59 age-, gender-, and pubertal stage-matched controls. The ages of the participants in both groups were < 18 years. Retinal and OD measurements were carried out with OCTA. Foveal avascular zone (FAZ) area, non-flow area (NFA), FAZ perimeter (PERIM), acircularity index of FAZ (AI, the rate of the perimeter of FAZ and the perimeter of a circle with equal area), foveal density (FD), superficial (SCP), and the deep capillary plexus (DCP) were analyzed in the macular region. SCP and DCP were also scanned centered on the OD. Correlations between the OCTA parameters with duration of DM, glycated hemoglobin (HbA1c) levels, and microalbuminuria were evaluated among patients with T1DM. The mean values for NFA were significantly higher and mean FD were significantly lower in the diabetic group compared with the controls (p = 0.02 and p = 0.01, respectively). The mean values for SCP and DCP were significantly lower in diabetic group (p < 0.05). The mean values for capillary density in the OD were also significantly lower in diabetic group (p < 0.05). There were correlations between the duration of T1DM, HbA1c levels and microalbuminuria, and the investigated parameters of OCTA. The presence of microvascular changes in both retinal zones and the OD in children with T1DM without retinopathy is an important data. OCTA can be used for the early detection of DR in children.

Impacto do videogame ativo na autopercepção da imagem corporal e no desenvolvimento de comportamentos de risco para compulsão alimentar em adolescentes com excesso de peso

Objetivo: este estudo buscou avaliar o impacto do uso de videogame ativo na autopercepção da imagem corporal e no desenvolvimento de comportamentos de risco para compulsão alimentar em adolescentes com excesso de peso. Métodos: estudo quase-experimental com intervenção através do uso de exergame durante 50 minutos, 3 vezes por semana, por 8 semanas. A coleta de dados ocorreu entre abril e dezembro de 2016, com 55 adolescentes estudantes de escolas públicas de 15 a 19 anos. Os dados foram coletados através de formulário para caracterização dos adolescentes, questionários BSQ-34 e ECAP e realizada a aferição de peso, estatura e circunferência abdominal. No SPSS 22.0 foram realizados os testes t de Student pareado e McNemar para avaliar o efeito do exercício sobre as variáveis estudadas. Adotou-se intervalo de confiança de 95%. Resultados: 58,2% dos participantes era do sexo feminino, 74,5% apresentavam sobrepeso, e 56,4% relatou preocupação com a imagem corporal no início do estudo. Após intervenção, 38,2% (p=0,028) relatou preocupação e houve uma redução de 8 pontos na média do escore para autopercepção da imagem corporal. Conclusão: Diante dos efeitos positivos da intervenção ressalta-se a importância da implementação do uso de videogame ativo na infância e adolescência.

Growth standard curves of birth weight, length and head circumference of Chinese newborns of different gestation

Objective: To study and formulate the growth standards for birth weight, length and head circumference of Chinese newborns of different gestation. Methods: A cross-sectional survey was carried out by the stratified cluster sampling method from June 2015 to November 2018 in 13 cities including Beijing, Harbin, Xi'an, Shanghai, Nanjing, Wuhan, Guangzhou, Fuzhou, Kunming, Tianjin, Shenyang, Changsha and Shenzhen. A total of 24 375 newborns with gestational age between 24 to 42 weeks were included. The standard percentile-curves of birth weight, length and head circumference for newborn boys and girls in gestational weeks 24 to 42 were established by the generalized additive model for location, scale and shape (GAMLSS). The new reference standard developed in this study was compared with the reference values of China in 1988 and the international Fenton 2013. Results: Among the 24 375 newborns (13 197 males (54.1%),11 178 females (45.9%)), 12 264 were preterm infants and 12 111 were full term infants. The 3(rd), 10(th), 25(th), 50(th), 75(th), 90(th) and 97(th) percentile reference values and curves of birth weight, length and head circumference were obtained for male and female newborns from 24 to 42 gestation weeks. The data showed that birth weight, length and head circumference increased rapidly with the gestational age, but the growth velocity decreased slightly from 37 weeks. For example, the median birth weight for males at 28 weeks, 32 weeks, 37 weeks and 40 weeks was 1 154, 1 805, 2 943 and 3 455 g, respectively. The birth weight, length and head circumference of males at all gestational ages were 87-133 g, 0.2-0.9 cm and 0.3-0.6 cm higher than those of females, respectively. Compared with the percentile curves of birth weight of Chinese reference in 1988, there were significant differences regarding the percentile lines of males and females, especially the 10(th), 50(th), and 90(th) percentile values of birth weight were significantly higher than the reference values in 1988 from 37 to 42 gestation weeks. For example, the median birth weight at 40 weeks in the study was 115-242 g higher than that in 1988. Compared with the standard reference of Fenton 2013, the reference curve at 50(th) percentile of birth weight in this study was 13-81 g slightly higher than that of Fenton 2013 before 33 weeks, and then it was gradually lower than that of Fenton 2013 and the difference was 148-367 g at 41 to 42 weeks of gestation. The 10(th) percentile curve of Fenton 2013 was 11-64 g lower than that of this study in both males and females before 40 weeks. Conclusions: This study created a new national growth standard of birth weight, body length and head circumference for Chinese neonates at 24 to 42 weeks of gestation, which can be used for the growth and nutrition evaluation of newborns at birth and preterm infants in the early postnatal period. The 10(th) percentile and the 3(rd) percentile of growth standards could be suggested as the cut-off point for identifying small for gestational age and severe small for gestational age, respectively.

Associação entre o fator inflamatório dietético com indicadores de obesidade em homens com câncer de próstata

Objetivou-se avaliar a associação entre o fator inflamatório da dieta com indicadores de obesidade em homens com câncer de próstata. Trata-se de um estudo transversal que utiliza dados de 42 homens diagnosticados com câncer de próstata em acompanhamento no Instituto do Câncer do Ceará. Foram avaliados os dados referentes ao consumo alimentar, antropométricos, e de composição corporal. O consumo alimentar foi obtido através da aplicação de um questionário de frequência alimentar. Foram obtidos índice de massa corporal (IMC), circunferência da cintura (CC), relação cintura-quadril (RCQ) e o percentual de gordura corporal (%GC) determinado por bioimpedância. O fator inflamatório da dieta foi determinado de acordo com protocolo especifico. As associações foram avaliadas pelos testes de Pearson e Spearman. As análises estatísticas foram realizadas no SPSS versão 20.0 e valores de p&lt;0,05 foram considerados como estatisticamente significativos. A amostra apresentou idade média de 70,5 ± 7,3 anos. A maioria apresentou excesso de peso (64,3%) e excesso de gordura corporal (97,6%). Além disso, 92,9% apresentaram dieta fortemente inflamatória. Não foram encontradas associações entre o fator inflamatório da dieta com IMC (p=0,763), CC (p=0,549), RCQ (p=0,137) e %GC (p=0,733). Como conclusão, observamos que a dieta dos pacientes avaliados foi fortemente inflamatória e apesar de não ter sido associada aos indicadores de obesidade, sinaliza a pobre qualidade da dieta dos homens avaliados.

Efficiency of alfalfa granulated feed additive in balanced ration of Ukrainian Riding Horse

We established positive influence of granulated alfalfa feed on the growth, development intensity, and sport qualities of the race horses. We registered the increase in live weight of young horses, which consumed the full granulated alfalfa feed by 8.0-9.8%. These animals had a more pronounced constitutional breed type. Thus, at the age of 18 months, they outclassed their peers in main linear dimensions: they had higher values of thoracic development (by 4.6%), higher thoracic diameter (by 4.5%), higher body length (by 5.7%). At the age of 24 months, these advantages were 6.4, 8.2, and 6.0% respectively. We found that the colts and fillies in the experimental group at the age of 12 months outperformed the same year horses from the control group by 1.1% by the index of format. Further, at the age of 18 and 24 months, the animals of the experimental group outperformed their counterparts from the control group by 0.2 and 0.4%, respectively. In terms of breast circumference index, the advantage of the exerimentary group animals at the age of 12 months was 0.1%, at the age of 18 months - 1.7%, at the age of 24 months - 1.8%, respectively. Similar results were recorded for the compactness index, where the advantage at the age of 12 months was 1.2%, at 18 months - 1.9%, at 24 months - 2.3% respectively. The effective use of environmentally friendly feed is confirmed by the results of hematological blood tests. It was found that for the vast majority of indicators they correspond to the physiological norm. This blood composition naturally characterizes changes in horses during the whole period of research. The received hematological profile is the basic characteristic of the state of health of horses in the research enterprise.

Ten-year risk assessment for type 2 diabetes mellitus using the Finnish Diabetes Risk Score in family medicine.

Aim To assess ten-year risk of diabetes mellitus type 2 (T2DM) using the Finnish Diabetes Risk Score (FINDRISC) in respondents over 18, in Primary Health Centre in Banja Luka. Methods A prospective study was conducted using data from a population with undiagnosed T2DM in Primary Health Centre in Banja Luka. Eligible respondents were those aged 18 to 70 years. Sociodemographic, behavioural and anthropometric variables were those related to the risk models evaluated by FINDRISC. Results Data were collected from 520 individuals, 58.8% female and 41.2% male (p=0.005). A very high risk of developing T2DM in the next ten years was found in 5.6% females and 3.7% males. A high risk was found in 12.4% females and 15.9% males, 34.2% respondents ≥ 65 years, 28.8% with body mass index >30 kg/m2 , 26.6% who were not practicing physical activity (p=0.000), 24.0% who took antihypertensive drugs, 42.3% who were diagnosed with impaired glycaemia, 30.4% and 22.9% respondents whose parents and distant relatives, respectively, had T2DM. A moderate risk occurred in 31.4% females with waist circumference >88 cm. Half (50%) males with waist circumference >102 cm and 33.2% respondents who were not eating fruits and vegetables every day had a slightly increased risk of developing T2DM (p<0.05). Conclusion The FINDRISC may be used as a tool which would help general practitioners in everyday work, to detect patients with T2DM risk factors and to encourage them to change life style towards healthy habits.