A study on evaluating blood urea and serum creatinine in diabetes mellitus patients

Diabetes is one of the leading causes for end stage renal disease and nephropathy. Increases of blood urea and serum creatinine are due to abnormal renal function and also reduction in glomerular filtration rate. So, Urea and Creatinine are the ideal biomarkers to correlate the progression of diabetic nephropathy. Aim of the study is to evaluate the blood urea & serum creatinine with HbA1C in Diabetes mellitus patients.: A total of 50 cases and 30 controls were selected in our study. Blood samples were collected for blood urea, serum creatinine, HbA1C, Fasting plasma glucose and Post prandial blood sugar with age limit of 35-65 years. Mean ±SD was calculated for all these parameters. Blood urea and Serum creatinine are statistically significant in Diabetic patients when compared to the controls.Our study shows that blood urea and serum creatinine can be used as biomarkers in the early detection of diabetic nephropathy. These parameters help in reducing the severity of renal failure.

PRODUK-PRODUK PEMBAHARUAN HUKUM KELUARGA ISLAM DI TURKI

This article discusses the products of Islamic family law in Turkey with the main focus of this article review is how the history and development of family law in Turkey and what are the products of family law reform in Turkey using literature studies. This paper finds that the development of family law reform in Turkey starting from al-Majallâh (1876), The Ottoman Law of Family Right (1917), Turkish Civil Code (The Turkish Civil Code of 1926) is a response to the influence and changes in social conditions. , politics, and an unstable economy, especially at that time the Turkish people were still experiencing an identity crisis. Then the product of family law reform in Turkey is divided into two scopes, namely munakahat and Mawaris, where part of the munakahat itself includes, khitbah, minimum age limit for marriage, prohibitions in marriage, polygamy, walimah, marriage annulment, marriage that is not legalized, divorce. , compensation in divorce, while in Mawaris includes, wills and the amount of distribution between men and women are equal. Abstrak Artikel ini membahas tentang produk-produk hukum keluarga Islam di Turki dengan fokus utama kajian artikel ini adalah bagaimana sejarah dan perkembangan hukum keluarga di Turki dan apa saja produk dari pembaharuan hukum keluarga di Turki menggunakan studi kepustakaan. Tulisan ini menemukan bahwa perkembangan pembaharuan hukum keluarga di Turki yang dimulai dari al-Majallâh (1876), The Ottoman Law of Family Right (1917), Peraturan Sipil Turki (The Turkish Civil Code of 1926) merupakan sebuah respon atas pengaruh dan perubahan kondisi sosial, politik, dan ekonomi yang tidak stabil apalagi pada masa tersebut masyarakat Turki masih mengalami kondisi krisis identitas. Kemudian produk dari pembaharuan hukum keluarga di Turki dibagi kedalam dua cakupan yakni munakahat dan mawaris, di mana bagian dari munakahat itu sendiri meliputi, khitbah, batas usia minimal menikah, larangan dalam perkawinan, poligami, walimah, pembatalan perkawinan, perkawinan yang tidak disahkan, perceraian, kompensasi dalam perceraian, Sedangkan dalam mawaris meliputi, wasiat dan jumlah pembagian antara laki-laki dan perempuan yang setara.

Juridical and Sociological Considerations of Judges in Granting Marriage Dispensation after Enactment Law No. 16 Of 2019

This research is motivated by many applications for dispensation for Marriage after implementing the latest law related to the age limit for Marriage. This study examines judges' considerations from both normative and social aspects so that this dispensation application can be accepted. This research focuses on 1) how does the Judge review the application for a marriage dispensation after enacting Law Number 16 of 2019 at the Palangkaraya Religious Court? Religion of Palangkaraya?. This empirical research uses a statute approach and Islamic law. The research subjects are 5 (five) judges and 2 (two) informants who are substitute clerks at the Palangkaraya Religious Court. Data were collected through observation, interviews, documentation and analyzed through Islamic Laws and normative. The results of this study indicate that judges in deciding cases of marital dispensation do not only look at the Completeness of the legal administration. But also from a sociological perspective, granting a dispensation application sees aspects of the benefits that must be obtained to avoid more significant damage. The implication is that changes of the law related to marriage dispensation are increasing because it becomes a procedure to complete the marriage administration for underage couples in the provisions of the law.

Factors affecting gestation length in small sized breeds of dogs.

A large variation in the gestation length can be expected when the gestation is calculated from the day of mating to birth. The present study was designed to assess the influence of different factors like litter size, breed, parity and age on gestation length in bitches. A total of 89 small sized bitches of different breeds having different age, parity and body weight, were selected for the study. The mean age, body weight and parity of the animals included in the present study were 3.00 ± 0.15 years (1 to 8 years), 9.9 ± 0.25 Kg (6 to 15kg) and 1.14 ± 0.10 (0-4th parity) respectively. The mean gestation lengths observed in different small sized breeds were 60.68 ± 0.55, 59.82 ± 0.54, 60.78 ± 1.74, 58.83 ± 1.35 and 58.17 ± 0.74 in the Pug, Beagle, Dachshund, French Bulldog and the Spitz, respectively. The mean litter size in the study was 4.34 ± 0.13 with a range of 2-8. The mean gestational length in animals having ? 3 litter size was 60.83 ± 0.64 days and 59.90 ± 0.43 days in animals having >3 litter size. Age limit of the animals ranged from 1 to 8 years with a mean of 3 ± 0.15 years. The mean gestation length in bitches aged ?3 years was 60.21 ± 0.23 days (n=63) and this was 60.15 ± 0.3 (n=26) days in bitches in the >3 years group. Mean gestational length observed in nulliparous bitches was 60.86 ± 0.4 days (n=29), while in multiparous bitches it was 59.90 ± 0.5 days (n=60). From the present investigation it could be concluded that no significant difference exists in gestational length between different breeds, litter size, age group and parity.

Gambling Among Finnish 14–16-Year-Old Adolescents Before (2008–2009), During (2010–2011), and After (2013–2017) Setting the Legal Age Limit of 18 for Gambling and the Role of Socio-Economic Status

Legislation prohibiting minors from engaging in gambling is a gambling policy measure set to protect adolescents from the harmful effects of gambling. The Finnish gambling system is based on a state monopoly, regulated by the Lotteries Act. After an amendment to the Lotteries Act, the new minimum legal gambling age was raised to 18 years old between 2010 and 2011. The main purpose of this study was to discover how the amendment to the act altered adolescents’ gambling (14–16-year-olds) and to examine whether the amendment decreased socio-economic differences. Adolescents gambling was studied before (2008–2009), during (2010–2011), and after (2013–2017) the age limit of gambling was raised in Finland. The study based on five waves (2008–2009, 2010–2011, 2013, 2015, 2017) of the national repeated cross-sectional School Health Promotion Study. Cross-tabulations where gambling was studied by study year and socio-economic status (SES) were formulated, and the statistical differences were studied by using χ2-tests. Percentage change in gambling frequency was also examined by study year and SES. Study years were analyzed separately to model the weekly gambling via logistic regression models. Adolescent gambling significantly decreased over time. It appears that raising the legal gambling age had a permanent effect on under-aged gambling. However, differences in gambling by adolescents’ family’s SES increased during the study period, indicating widening inequalities in gambling among adolescents. Diminishing inequalities in adolescent gambling is likely to require both societal action and consensus on adolescent gambling being a significant social and public health concern.

Penerapan Terapi Rom Terhadap Perubahan Rentang Gerak Pada Klien Lansia Pasca Stroke

Elderly is one who has more than or equal to the age limit of 55 years, and at this age, physical mobility disorders often occur. It is the one's limitation in performing movements independently. One of the symptoms is getting paralysis or muscle weakness in the limbs. This study aims to observe and invesgate changes in range of motion with weakness in the extremities. The method applied on two families of elderly client after stoke was applying ROM therapy. The results shows on the first family, after applying ROM practices 6 times, there is a changes in range of motion. The client could fully practice ROM. The right leg is lighter when walking and the right arm can shake is hands family. Meanwhile, the result obtained from the later family, after practicing ROM 7 times, there is a change in range of motion. The left leg is lighter when walking and the fingers get better, not clenched. Thus, it could be concluded that this therapy can improve the changes in range of motion on the elderly clients after stroke. Furthermore, is expected to the nurses to teach this therapy on their clients. Keywords: Family Nursing Care, Elderly, Post Stroke, ROM AbstrakLanjut usia merupakan usia yang dimiliki seseorang lebih dari atau sama dengan batasan usia 55 tahun. Gangguan mobilitas fisik adalah suatu keterbatasan seseorang dalam melakukan gerakan secara mandiri. Salah satu gejalanya adalah kelumpuhan atau kelemahan otot pada anggota gerak. Tujuan studi kasus ini adalah untuk perubahan rentang gerak yang mengalami kelemahan pada ekstremitas. Metode yang digunakan pada dua keluarga klien lansia pasca stroke dengan memberikan terapi ROM. Hasil studi kasus ini 2 keluarga terjadi perubahan rentang gerak, pada keluarga I setelah dilakukan latihan ROM selama 6x terjadi perubahan rentang gerak dimana klien dapat melakukan ROM secara penuh. Kaki kanan terasa lebih ringan ketika berjalan dan berjabat tangan dengan kuat. Hasil keluarga II setelah dilakukan latihan ROM selama 7x terjadi perubahan rentang gerak. Kaki kiri terasa lebih ringan ketika berjalan dan jari tangan sudah membaik tidak mengepal. Kesimpulannya adalah terapi ROM dapat meningkatkan perubahan rentang gerak pada klien lansia pasca stroke. Saran bagi perawat diharapkan mengajarkan terapi ROM pada klien pasca stroke.Kata kunci: Asuhan Keperawatan Keluarga, Lansia, Pasca Stroke, ROM

Analisis terhadap Penetapan Pengadilan Agama Cibinong tentang Dispensasi Pernikahan di Bawah Umur

Marriage is one thing that is taken seriously, which results in a person being bound for life with his partner. Therefore, marriage requires careful preparation, namely physical maturity and mental maturity. Basically, it is the maturity of the soul that is very meaningful to enter the household gate. Married at a young age when a person is not physically or mentally ready often causes problems later in life. Even though the law has regulated the age limit for marriage, in practice, there are still underage marriages that can be carried out under certain conditions, namely when notifying the KUA by attaching a marriage dispensation. So that marriage is not only legal according to religion, but also legal according to the state. If the marriage is not accompanied by a marriage dispensation, then the marriage cannot be registered.

The Meaning of Age: In a Context of Eldercare and Substance Use

Some people age with substance abuse and social problems and several countries provide members of this population with a type of arrangement referred to as “wet” eldercare facilities. These facilities provide care for people who are judged as unable to become sober, in some cases with a lower age-limit at 50 years. The aim of this study was to investigate the meaning of age for judging the fit between the person and the arrangement. The study was based on interviews with 42 residents, 10 case workers and 21 staff members at five facilities in Sweden. Respondents were asked about the relevance of age and if the facility should include younger people as well. Some staff argued that younger people should be excluded since they could not have the history of multiple failures in treatment that was a prerequisite for admission. Regarding the low age-limit, substance abuse was said to accelerate the process of ageing so that a person aged 50 could be considered 20 years older and in need of eldercare. Residents had a tendency to equate age with activity and argued that people below the age of 50 were active and energetic and the inclusion of younger people would lead to disturbance of the calm pace of the facilities. Given that facilities have been described as “end-stations”, it was puzzling that few respondents linked the question of admitting younger person to the matter of giving up ambitions to make the person sober.

Cohort profile: demographic and clinical characteristics of the MILESTONE longitudinal cohort of young people approaching the upper age limit of their child mental health care service in Europe

PurposeThe presence of distinct child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) impacts continuity of mental health treatment for young people. However, we do not know the extent of discontinuity of care in Europe nor the effects of discontinuity on the mental health of young people. Current research is limited, as the majority of existing studies are retrospective, based on small samples or used non-standardised information from medical records. The MILESTONE prospective cohort study aims to examine associations between service use, mental health and other outcomes over 24 months, using information from self, parent and clinician reports.ParticipantsSeven hundred sixty-three young people from 39 CAMHS in 8 European countries, their parents and CAMHS clinicians who completed interviews and online questionnaires and were followed up for 2 years after reaching the upper age limit of the CAMHS they receive treatment at.Findings to dateThis cohort profile describes the baseline characteristics of the MILESTONE cohort. The mental health of young people reaching the upper age limit of their CAMHS varied greatly in type and severity: 32.8% of young people reported clinical levels of self-reported problems and 18.6% were rated to be ‘markedly ill’, ‘severely ill’ or ‘among the most extremely ill’ by their clinician. Fifty-seven per cent of young people reported psychotropic medication use in the previous half year.Future plansAnalysis of longitudinal data from the MILESTONE cohort will be used to assess relationships between the demographic and clinical characteristics of young people reaching the upper age limit of their CAMHS and the type of care the young person uses over the next 2 years, such as whether the young person transitions to AMHS. At 2 years follow-up, the mental health outcomes of young people following different care pathways will be compared.Trial registration numberNCT03013595.

Conceptualisations of Youth and Implications for Policy: A Study of Four Cases in Aotearoa/New Zealand

<p>What we claim to know and understand about youth has roots in history and culture, and is informed by disciplines within both the natural and the social sciences. Policy and legislation that concern youth draw on all these understandings in their efforts to manage, develop, control and protect young people. Yet there has not been a serious consideration of the fixing of age limits in either historical or current legislation, which means the potential limiting of young people’s rights as citizens and their exposure to learning experiences has not been challenged. Taking a critical approach to contemporary views of youth, this study examined the conceptualisations of youth that have influenced the development of policies and legislation that concern young people in New Zealand/Aotearoa. It reviewed a range of legislation and policies and found that age limits existed in a broad scope of legislation and were applied in an arbitrary fashion. Four case studies were investigated: three cases concerned legislation that set age limits for young people, and one case study where an age limit has not been applied, that of medical consent. I analysed the submissions to Select Committees and the associated Hansard debates and other related documents for the legislation cases, and the relevant legislation and other documents that were associated with the case of medical consent. This exploration of the development of these policies and the critical explication of the constructions of youth that informed them found that views of youth were contradictory and equivocal, and that the justifications for the age limits in these cases were inconsistent. Evidence for the development of principles that might guide policy or legislation concerning age-setting was not available. Instead, it was found that a predominant view of ‘youth as risk’ overwhelmed any rational, evidence-based assessments of young people at various ages and in a range of policy contexts. The explanation for this view of ‘youth as risk’ is found in Ulrich Beck’s ‘Risk Society’ theorising, although he did not specifically refer to or single out young people. This study therefore builds on his work since I argue that because of their life stage and their position in contemporary western societies, young people are particularly exposed to the risks of the ‘risk society’. The study concludes that given that much of the ‘risk’ associated with young people lies in the social context over which they have little control, youth policy should consider more seriously the impact on young people of policy developments across all sectors. It should also take into account the diversity of young people, not just in such differences as gender, ethnicity and disability, but also in their very different roles and activities in families and communities. A focus on ‘inclusion’ rather than ‘participation’ of young people in society would better encourage consideration of young people in policies across all sectors, and would also help promote more positive views of young people. If it is established that an age limit is necessary, then a youth ministry should examine more closely the impact on young people of an age change and provide a more sophisticated analysis of evidence and principles, as well as the competencies required for the activity under discussion. It should also consider whether the motive for an age limit might be the perceived vulnerability or riskiness of young people when in fact the problem the policy is endeavouring to solve is a wider societal one.</p>