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71.
We aimed to estimate metabolic bone profile in a large cohort of healthy, adult Indian population to generate reference standards of serum calcium, phosphate and alkaline phosphatase (ALP), 25 (OH) Vitamin D and iPTH, and also to find out the prevalence of Vitamin D deficiency in healthy population. Apparently healthy people in the age group of 20–80 years, residing in the union territory of Chandigarh were chosen. Fasting samples for serum calcium, phosphate, albumin, alkaline phosphatase (ALP), 25 (OH) D and iPTH were collected and were processed on the same day. We recruited 930 healthy subjects from different subsectors of Chandigarh. Final analysis was done for 915 subjects. Out of this, 530 (58%) were women and 385 (42%) were men. The study participants were divided into two groups, less than and more than 50 years for the men and pre and post-menopausal for the women. The serum calcium, phosphate, ALP and iPTH were significantly higher in the post-menopausal women compared to the pre-menopausal women. The median plasma 25 (OH) D in men and women was 12.5 ng/mL and 14.3 ng/mL, respectively. 25 (OH) D deficiency was seen in 65.4% of individuals. 25 (OH) D levels co-related negatively with iPTH levels (r = − 0.4, p < 0.0001), and showed an increasing trend with age. We have thus presented metabolic bone profile of healthy, adult north Indian population. These reference values can be used for diagnosis and monitoring of various MBDs. Vitamin D deficiency is still rampant in our population in spite of increasing awareness.  相似文献   
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Serum lipid profile, apolipoprotein-B (apo-B), malondialdehyde levels(MDA) and superoxide dismutase (SOD) activity were assessed in 12 cases of xanthelasma with and without coronary artery disease (CAD)/hypertension (HTN) and results are compared with healthy controls. Dyslipidemia was found in 65% cases of xanthelasma as compared to 20% healthy controls. Xanthelasma patients had significantly high malondialdehyde (MDA) levels (p<0.01) and significantly decreased (p<0.05) SOD activity as compared to controls. Among xanthelasma patients, xanthelasma with CAD/HTN showed higher total cholesterol (236±32.7 vs 188±24.7 mg/dl), low density lipoprotein cholesterol (157±35.5 vs 113±16 mg/dl) and Apo-B (120.5±9.4 vs 114±19.2 mg/dl) levels as compared to xanthelasma without CAD/HTN. Results of our study indicate that xanthelasma patients with increased apo-B, MDA and decreased SOD need cardiovascular monitoring.  相似文献   
73.
The authors analyzed data from 5,528 American Counseling Association members to examine advocacy beliefs and behavior regarding Medicare reimbursement and advocacy for counselors. Nearly half (49.3%) of the respondents had participated in one or more forms of Medicare reimbursement advocacy. Advocacy participation differed significantly by professional status.  相似文献   
74.
Over the series of articles on circadian rhythms, we saw that living organisms exhibit daily rhythms in multiple behaviours and physiological processes. Although some rhythms may be passive responses to 24 h environmental cycles, many are regulated by endogenous-rhythmgenerating machinery called circadian clocks. We have introduced the concept of circadian clocks, their organization and the underlying molecular mechanisms. In this article, we will dwell upon one of the most fundamental questions pertaining to circadian clocks, ‘Why do we have them?’. The aim of this article is not to provide answers, but to discuss the efforts and strategies used to address this question and critically evaluate explanations proposed till date.  相似文献   
75.
The growth of Smartphone usage, increased acceptance of electronic learning (E-learning), the availability of high reliability mobile networks and need for flexibility in learning have resulted in the growth of mobile learning (M-learning). This has led to a tremendous interest in the acceptance behaviors related to M-learning users among the information systems researchers. Despite a large amount of significant research in the field of M-learning, the measurement of user acceptance of M-learning has not received attention. This research study intends to develop and validate a survey that measures users’ acceptance of M-learning. A total sample of 806 university and higher college students from different institutes in Oman participated in this study. This research study was conducted in two stages. The first stage using a sample size of 388 students initiated a generic questionnaire, and examined factorial validity and reliability. The second stage that was conducted using different sample of 418 students employed confirmatory factor analysis to establish factorial validity and measurement invariance. A correlated six-factor model (Flexibility, Suitability, Enjoyment, Efficiency, Economic and Social) was fit using maximum likelihood estimation. The internal consistency and item reliability of Mobile Learning Acceptance Measure was found to be at acceptable level for both samples.  相似文献   
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Education and Information Technologies - Context-aware mobile learning applications provide learning materials to suit the needs of individual learners. Despite several applications developed,...  相似文献   
77.
Reflective learning can assist a learner’s purposeful and conscious manipulation of ideas toward meaningful learning and knowledge integration. Blogs have been used to support reflection, but Blogs usually do not provide overt mechanisms for students to make connections between different parts of an experience, which is integral to reflective activity. A blogging-mapping tool was designed to support the reflective learning process. The tool allowed students to write blog posts, attach up to five keywords to each post, and link the keywords on a concept map. This study aimed to seek patterns of participants’ use of the tool, including evidence of reflective learning, identified as integration between concept maps and blogs. Nine graduate students participated in the study for a semester. Data analysis included examining concept maps for knowledge integration over time. Participants’ various mapping activities implied different levels of thinking. Some participants’ final concept maps showed signs that they tried to integrate knowledge around the content area. Yet, the inconsistent and inconclusive patterns of participants’ concept mapping activities signaled that more strategies were needed to sustain their commitment.  相似文献   
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Rapid extinction of species is one of the most serious ecological problems faced by humanity today. Species are disappearing at a pace unprecedented in the history of the planet putting the very future of life at risk. The irony is that the root of the crisis is another species, Homo sapiens rather than some physical events that is poised to threaten its own survival. This article gives a brief introduction to the crisis, its consequences and possible mitigation strategies.  相似文献   
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