Blastocystis is a unicellular, globally distributed intestinal parasite infecting humans and a wide range of animals. Several studies have demonstrated that Blastocystis isolates from animals were genotypic homology to humans isolates which leads to an assumption that Blastocystis in humans might be of zoonotic origin. This led us to investigate the existence of Blastocystis in Javan rusa (Cervus timorensis) and sika deer (Cervus nippon). The samples of Javan rusa (25) and sika deer (25) were collected from Sungai Jin Deer Farm, Pahang, Malaysia. Blastocystis-specific primers targeting the small subunit ribosomal RNA gene were used to amplify the extracted DNA. Positive Blastocystis were detected in Javan rusa by 28% (7/25), whilst 32% of it were detected (8/25) in sika deer. It was revealed through phylogenetic analysis that these species belong to ST10. To the best of our knowledge, this is the first study in Malaysia that successfully isolates Blastocystis in these animals. Besides, the findings highlighted that Blastocystis is carried by deer, and it can be a potential reservoir for parasites. However, this eliminates the risk of zoonotic transmission amongst this species, as ST10 has never been found infecting humans. Nevertheless, awareness and associated precautions must be taken by the animal handlers to minimize the environmental contamination that may occur from deer to their surroundings.

Astragalus microcephalas have spread in the Nakhchivan AR flora biodifference more widely and have industrial significance as valuable medical-technical plants. Investigations in this field have been put into practice in 2012-2014. These investigations have exact direction and character. Cenology and ontogenetic situation of each type of the Astragalus species in separate populations have been studied separately

The otter (Lontra longicaudis) inhabits rivers, dams, lakes and coastal lagoons from northern Mexico to Uruguay. Otters are tolerant to environmental changes; however, they are endangered species and are listed as threatened in the NOM- 059- SEMARNAT- 2010. Their diet is composed primarily by fish and crustaceans, which are intermediate hosts of various endoparasites. The aim of this study was to carry out fecal analyses studies in neotropical otter populations inhabiting the Alvarado Lagoon System (ALS). Transects were carried out in the ALS, mainly in mangroves, lagoons, and rivers; hence most otter observations were made in those places. Fresh feces were collected and identified by their content, odor and location, and then labeled and stored. Parasites were identified using the fecal analyses of direct smear and the flotation technique. A total of 52 feces samples from 16 sampling sites in nine regions of the ALS were analyzed. Out of the total of feces, 42% were positive for endoparasites. Seven parasites genera were identified and one oocyst could not be identified. The parasites were classified according to their Phylum and frequency: Nematodes: Anisakis sp. 24%, Trichuris sp. 8%, Enterobius sp. 4%, Toxocara sp. 20%, Strongyloides sp. 24%; Trematodes: Opisthorchis sp. 4%, Paragonimus sp. 4%; Apicomplexa: Oocyst Unknown 12%. The site with the highest number of parasitized otters was the Acula River. ALS otters are housing a great variety of endoparasites. These parasites are a threat to the conservation of these species and to public health.

In this paper we present an Adaptive and Smart Assessment Model named (ASAM). The approach employed in ASAM emphasizes the fact that students perceive and process information in very different ways. The preferred ways of students to gain and retrieve information are termed the students learning style. Learning styles has become important factor in the learning process. When learning style considered in teaching and learning process, every student will receive learning materials that fit his/her abilities. This will be improving learning and making it easier for students to understand. Our aim in this paper to develop assessment model that customizes assessment tasks for each student and provides students with assessment tasks that match his/her learning style to ensure that student understand carefully. This will improve assessment result and make assessment more accurately to measure student knowledge level. ASAM determines the students\' abilities, skills and preferable learning style with more accuracy and then generates the appropriate questions in an adaptive way, then presents them in a preferable style of student.

In the present study, hypoglycemic and anti-obesity effects of a mixed Momordica charantia water extract (MC): platycodin (PL) (1:4) formula (MMP) were observed in obese db/db mice at doses of 10, 50, 100 and 200 mg/kg; these effects were also seen with MC alone and PL alone at 200 mg/kg. The effects were compared to those of metformin, which improves insulin resistance and inhibits obesity at 250 mg/kg. The test agents were administered orally, to db/m and db/db mice, once a day for 28 days. Mice were classified into nine groups (7 mice per group) according to body weight and fasting blood glucose level one day before dosing began. After 28 days, changes in body weight, blood glucose, epididymal fat, serum leptin, adiponectin, adipose adiponectin, and liver triglycerides were recorded. Prior to test agent administration, db/db mice showed marked obesity compared to db/m mice (normal littermates) with severe hyperglycemia. Epididymal fat, serum leptin and liver triglycerides in obese controls were significantly increased compared to those of intact controls (p<0.01), whereas serum adiponectin and adipose adiponectin were significantly decreased in the obese group (p<0.01). However, these obesity- and hyperglycemia-related changes were dramatically and dose-dependently inhibited by MMP treatment, and more favorable outcomes were seen in the MMP groups compared to the MC alone and PL alone groups. Furthermore, MMP at 50 mg/kg was associated with similarly beneficial outcomes regarding diabetes and diabetes-related obesity compared to 200 mg/kg MC alone or PL alone, and MMP at 100 mg/kg showed similar efficacy to 250 mg/kg metformin. Based on the present results, MMP has synergic and beneficial effects on diabetes and diabetes-related obesity. Therefore, MMP shows promise as a novel complementary approach for managing diabetes and diabetic obesity at a reasonable dosage.

Objective: To summarize the scientific production nationally and internationally about the triggers of stress and burnout syndrome in nurses in Intensive Care Units, as well as the consequences of these types of wear to the health of nurses and the provision of care. Methodology: It is an integrative review, which answers the guiding question: What are the main factors related to stress and burnout syndrome in nurses in Intensive Care Units? We sought to in SciELO, LILACS and MEDLINE/PUBMED, published between 2008 and 2015, using the descriptors: burnout, nursing and intensive care unit in portuguese, english and spanish. We selected 12 articles, which were subjected to careful reading and critical analysis by pairs, then grouped and organized in tables, summarized and discussed. Results and Discussion: The triggers of stress are the confrontation with suffering, heavy workload and the lack of autonomy, presenting symptoms such as cardiovascular disorders, musculoskeletal and humor. Already the Burnout Syndrome is characterized by the professional exhaustion, depersonalization and low professional achievement. Conclusion: These factors must be evaluated in organizations, in order to establish rational implementations for the satisfaction, quality of care and the minimization of Stress and Burnout Syndrome.

Objective: report the experience lived in the Specialized Service for people living with HIV/AIDS (PLWHA) in order to identify the difficulties surrounding the establishment and maintenance of partnerships for these people. Method: A descriptive study was carried out in a Specialized Attention Service (SAE) of a Brazilian Integrated Health Center from December 2016 to May 2017. The study population consisted of PLHA, adults of both sexes, who has been in a relationship (fixed or casual) in the last 30 days. Results: The activities developed in the service involved the initial approach and approach with the PLHA, and later identification of the interfaces to live with HIV and to be welcomed by an SAE. Next, we determined the living in the context of HIV and the main needs of Health literacy. Conclusion: There is a gap between the care of patients with HIV in a holistic manner and the establishment of safe sex partnerships, strategies implemented by specialized customer service to people with this infection are still incipient.

This study aimed to analyze the meaning of violence against the elderly and to identify the possible factors associated with the occurrence of violence against the elderly from the perspective of nursing students. This is a descriptive and exploratory study with qualitative approach where information was collected from 29 nursing students through interviews using questions based on Ogden Richards\' Representational Theory. It was possible to analyze the use of symbols to analyze the meaning of violence against the elderly, especially those related to taking money, beating and disrespecting. Aspects related to the causes and consequences of this violence, denunciation to the police, to social services and conversation with the family of the elderly were also recognized. These aspects made up the meaning of thought in relation to the role of nurses in cases of violence against the elderly. The findings of this study show the importance of continuing education, so that this may not be carried out only during undergraduate and postgraduate training, but throughout permanent education, so that nurses be able to act in the prevention and care against violence practiced against the elderly in a more effective manner.

The concatenated approach is the combination of feed forward, cascade and feedback control. In\nthis paper these three techniques are implemented to optimize heat exchanger temperature\ncontrol which helps in minimizing the process variance, maximize product quality, and ensures\nenergy efficiency. The proposed model has three controllers where the two controller’s one in\nthe inner loop and outer loop which is implemented with the Smith Predictor that together act as\na Cascade Control and the third is the Feed forward control used for the disturbance rejection.\nFurther the performance of the heat exchanger is studied by using conventional and model\ncontroller. Here in this paper three different process Plate type, Shell & Tube type and Spiral\ntype Heat Exchangers are studied. The reason for selecting the three heat exchangers are, though\nthe working of the process is same, their design, construction and area of applications are\ndifferent and hence the controller performance also varies. So it is important to analyze the\nresponse of controllers and process ability to reach the steady state to sudden changes in process\nand undesirable disturbance. In order to prove the efficiency of the proposed method the\nsimulation results has been manifested.

In order to restore large windows and glades of beech forests of the Greater Caucasus, in 4 quarters of the Kuba and Kusar region 10 plots were established , where the silvicultural works were carried out. Wherein, was selected soil partial preparation method with a planting or sowing of a silvicultural areas. The sowing works were carried out by beds sizes 1x1 and 1x2 and amounts of 120-300 pieces/ha, located across the slope. As a sowing material were used untreated and specially prepared seeds. In sowing works, the best results for the total number of appeared sprout and their safety, including young beech trees were obtained in a fresh herbage type and the worst ones in a herbage-moist forest-growing conditions. In reforestation works with planting were used 3-year-old sapling. Planting was carried out with strips of 6-8 x 24-36 m and a number of 3389-5667 pieces/ha, located cross the slope, according to established tree mixing scheme. In the composition of the plantations besides main species were included secondary valuable and inferior species, as a latter were used hornbeam and maple. After 6-8 years established plantations by sowing (planting) were transferred to the forest-covered areas. During this time, were carried out agrotechnical care in plantations with sowing 10 time, with planting 5 time. In the plantations established with planting the best results were obtained in the fresh herbage forest-growing condition of the mid-mountain belt.

Removal of heavy metals in soil contamination through phytoremediation, especially hyper accumulators, has received wide attention its. Phytoremediation with non-edible plant Jatropha offers an environmental friendly and cost-effective method. The study aimed assessing the potential of Jatropha to remove toxic heavy metals caused by sewage sludge. There were five treatments,T1120kg urea ha -1, T2 rate 30 m3ha-1 gamma irradiated sewage sludge ,T3 15 m3ha-1 gamma irradiated sewage sludge + 60kg urea ha -1, T4 rate 30 m3 ha-1 non-irradiated sewage sludge T5 rate15 m3 ha-1 non-irradiated sewage sludge + 60kg urea ha -1, plants were grows for a period of 21 months under field condition. The application of T3, highest seeds production and oil yield (3.501 and 1.295 ten ha-1). Plants was able to remove heavy metals (Fe, Mn, Cd and Ni) effectively from the medium containing 30 m3ha-1 gamma irradiated sewage sludge . After harvest the contented of Fe, Mn, Ni and Cd in T2 were decreased removal Efficiency (%) of Fe, Mn, Cd and Ni (31.4, 28.9, 41.7 and 22.7%, respectively from the initial values by Jatropha plant. The highest levels of Fe (400 mg kg?1), Mn (115 mg kg?1), Cd (2.12 mg kg-1) and Ni (25.7 mg kg?1) were found in roots. Contents of heavy metals in soil and plant were always higher in gamma irradiated sewage sludge treatment as compared to non-gamma irradiated sewage sludge. The results prove that the gamma irradiated sludge was move effective as compared to non-gamma irradiated sewage sludge.

Objective: Integrating knowledge on the diagnosis of the fragility syndrome in elderly, based on the scientific literature. Method: Integrative review, carried out with documents of the Virtual Health Library database, using these keywords: "old", "weakness" and "syndrome"; and as selection criteria: full text available, study object limit: elderly and language: Portuguese. Results: We count on 10 journals between 2008 and 2012. The prevalence of the method for diagnosis of Fragility Syndrome is proposed by Linda Fied, written by physiotherapists and the most frequent subjects of study pointed out the rehabilitation of the elderly with the already installed syndrome. Conclusion: The phenotype of Linda Fied is recognized as the most viable for the recognition of the fragility syndrome. Despite being an emerging theme, there was little interest of the areas beyond physiotherapy on the subject, as well as the search for prevention.