bluuebunny/crossref_metadata_2025 huggingface dataset:
The trajectory as the basis of tactics: Basic work on red courts
Authors: Miranda Miguel
Published: August 2021

This article discusses the great success of the ITF Play and Stay initiative while also reflecting on some technical and methodological issues noticed in its practical application. After defining such issues, potential solutions are suggested in regards to the contents and targets set for this fundamental phase of the game. Finally, ideas and suggestions are provided to further enhance the beginner player ́s tennis experience.
The emotional competencies of the tennis coach
Authors: Campos Josep , Crespo Miguel , Sebastiani Enric
Published: August 2021

Professional and personal competencies are valid indicators to evaluate productive and human processes. Competencies are also a reference for the development of individuals, groups and organisations that are developed before and during the professional working commitments. This article discusses the main concepts related to the emotional competencies of a tennis coach and stresses their importance in daily work.
Coaching “change” while keeping the coach/player relationship strong
Authors: Di Carlo Federico
Published: August 2021

Modern neuroscience is proposing time models on how changes in brain neuro-patterns change human cognition, emotion and behaviour. Indeed the word “change” is very often used by coaches at any grade and level to elicit different behaviours from athletes and tennis players. However, in an individual sport like tennis in which self-esteem and confidence are paramount, the word, concept and image of “change” may shake the player’s self-esteem and jeopardise the overall coach-player relationship.
Student Nurses' Perception about Nursing Profession: A Comparative Approach
Authors: Kumar Anil , Kaur Sumandeep , Singh Harjeet
Published: August 2021

Background: Perception is a belief or opinion of people to interpret things. Perception plays a key role in molding the shape of an individual as a person and as a professional. As perception affects the working capacity of nurses, it is imperative to know about the current trends of perceived image of profession among future professionals.
Methods: A quantitative comparative study was conducted involving 200 student nurses in order to assess and compare the perceived image of the nursing profession among freshers (B.Sc. nursing first year students) and outgoing batches (B.Sc. Nursing final year students), using convenient sampling technique. The study was conducted in both selected public and private institutions located within the Faridkot district of Punjab state. A five-point self- structured Likert scale was used to collect data from study subjects. Data was collected using the online mode via google forms after written informed consent from participants.
Results: Perceived image of nursing profession was significantly more positive (p= 0.026) among freshers when compared with final year students. A highly significant association (p=0.000) was found in the perceived image of the nursing profession with the type of institution. Student nurses from private institutions had significantly higher positive perception about the profession. Most of the final year students felt that nurses don’t get due respect in the society.
Conclusion: It is concluded that first year nursing students were more positive and enthusiastic about the nursing profession as compared to the outgoing batches. Students from government institutions had a drastically less favorable perceived image of the nursing profession in comparison to those studying in private institutions.

Keywords: Nursing Profession, Perception, Undergraduate students, Freshers.
The Effect of Implementing Occupational Health and Safety Programs on Suspected COVID-19 Incidents in PT. Maruki International Employees
Authors: Muis Abdul , Rifai Muhammad , Azis Rahmawati
Published: August 2021

World Health Organization (WHO) has shown Corona Virus Disease 2019 as a pandemic. The spread of COVID-19 in Indonesia has now spread across locations and across countries, accompanied by an increase in the number of problems and/or the number of deaths. To overcome the spread of Covid-19, both the government and business actors have made various efforts so that the spread of the Covid-19 virus can be prevented and overcome, especially the spread of the Covid-19 virus in office areas by implementing new normal rules in the workplace through the Occupational Safety and Health program. Based on the results of observations from one of the lead managers of PT Maruki International Indonesia, who said that there had been cases against some of his employees who were suspected of being suspected of having COVID-19, we as authors consider it necessary to raise this issue to be investigated for input for the company so that it can be used to implement the implementation. Occupational Health and Safety program against suspected cases of the Covid-19 virus among PT Maruki International Indonesia employees. The purpose of this study was to determine the effect of the implementation of the Occupational Health and Safety Program on the incidence of suspected Covid-19 virus among employees of PT Maruki International Indonesia. This type of research is quantitative research with a design approach cross sectional study. The sample used is 150 employees from a population of 241 employees. Collecting quantitative data using a checklist and analyzed by univariate, bivariate. Thus, it can be said that the Behavioral Improving Body Immunity variable affects the variable incidence of suspected covid-19. It is hoped that with the results of this study the government and related company management can provide a policy to deal with the spread of the corona virus in the workplace.

Keywords: Activities of wearing masks; hand washing habits; efforts to maintain distance and suspected cases of covid-19.
Factor Analysis of Knowledge Level and Cultural Background on Health Care for Hypertension Patients in Bengkalis Regency in 2021
Authors: Azmi Nur , Andayani Lita Sri , Rochadi R. Kintoko
Published: August 2021

Hypertension is a degenerative disease that greatly affects a person's productivity and quality of life, is a silent killer with the highest prevalence rate in Indonesia. Untreated hypertension will cause complications. This study aims to determine the level of knowledge and cultural background factors on the health maintenance of hypertension patients in Bengkalis Regency in 2021. This type of research is quantitative analytic with a cross sectional design. The total population in this study was 5,938 with a total sample of 101 obtained using purposive sampling. The instrument in this study used a questionnaire used in the form of a google form. The data obtained in this study were analyzed by bivariate analysis. The results showed that there was no correlation between knowledge level factors (p=0.828) and cultural background factors (p=0.001) on health care for hypertension sufferers and the most dominant cultural background factors related to health care for hypertension sufferers (p=0.001).

Keywords: Knowledge Level, Cultural Background, Health Care, Hypertension.
Reproductive Health Services in Owerri West Local Government Area, Imo State, Nigeria: Youths and Providers’ Perspective
Authors: J.E. Ibebuike, , U.J. Onyeneke, , P. Chinedu-Eleonu,
Published: August 2021

Reproductive health is central to human identity and imperative for health and well-being. This study was carried out in Owerri West Local Government Area of Imo State, Nigeria to investigate the perspective of youths and providers of reproductive health services toward its utilization and challenges. The study was a descriptive cross sectional study of which the multistage sampling technique was adopted to select samples for the study. A well-structured questionnaire was used to interview the subjects all of gave an informed consent to be part of the study. Results showed that the youth’s view on impending factors of RHS include attitude of RHS workers, cost of provision of RHS, poor keeping of secret about one’s health, lack of confidentiality among workers, parental influence, poor environment and poor road accessibility and lack of confidentiality. The providers generally identified the role RHS play in terms of family planning, antenatal care services, treatment of unsafe abortion, referral services, treatment and prevention of sexually transmitted infections, etc. They were of the view that some of the impediments affecting quality RHS in their communities were poor environment, lack of privacy, poor maintenance of the buildings for health care, fear of the elderly, poor attitude of some of the health workers, lack of accessible roads leading to health centers, poor availability of equipment and product supplies, treatment cost, etc. It was recommended that health awareness campaigns concerning RHS and its associating risk factors should be made more pronounced in the society especially among youths.

Keywords: Reproductive Health Services, Sexual and Reproductive Health, Youths, Providers, Sexually Transmitted Infections.
Comparing Time Taken for Cannulating Internal Jugular Vein by USG Guided Approach: Short Axis versus Long Axis Technique
Authors: Chaudhary Shallu , Dogra Ravikant , Atwal Major Amit
Published: August 2021

We have conducted our study in 80 patients admitted in the general ICU, requiring internal jugular vein cannulation. We formed 2 groups of 40 patients each that is:- Group 1 (short axis) and Group 2 (long axis). Under USG guidance, we cannulated the internal jugular vein with short axis view in group 1 and long axis view in group 2. Meanwhile the time taken to perform these cannulations was noted and then compared. After the study, we found that the internal jugular vein was cannulated much faster in short axis group as compared to the long axis group.

Keywords: Central venous cannulation, internal jugular vein, USG guided approach, short axis versus long axis technique.
An Experience Survey Report on Post Caesarean Complications among Young Women
Authors: Jose Saumya P , Joseph Tobin
Published: August 2021

Aim: To assess the post caesarean complications among young women through a survey study.
Background: Caesarean section delivery has many adverse effects in the post natal period and later including pain, muscle weakness, reduced endurance, adverse reactions from anaesthesia and difficulty in breast feeding. There are several studies reported the health-related complications following caesarean section. However it is not been fully understood the various complications and its reasons.
Design: An explorative cross sectional survey study.
Method: participants were identified based on the inclusion criteria. Information on caesarean section delivery related complications and experience were gathered.
Conclusion: The complications following the caesarean survey may increase the risk of physical difficulties, incidence of lower back pain, reduced abdominal strength, and difficulty in selfcare activities.

Keywords: caesarean delivery, complications, child labour, Postpartum period pain.
COVID-19 statistical report - 9 June 2021
Authors:   Public Health Scotland
Published: August 2021

This report provides a range of analyses relating to COVID-19 with a specific focus on patterns associated with the age, sex and deprivation of people affected by the virus.
Radiation therapy services during the COVID-19 pandemic
Authors: Ishkinin Y. I. , Ibrayev R. Z. , Raimbekov R. B. , Datbayev K. D. , Akhunova R. U. , Raimzhanov K. B. , Goncharova A. A. , Kaldarbekova G. M. , Turlybek Zh. G.
Published: August 2021

Relevance: The outbreak of a new respiratory disease SARS CoV-2 (COVID-19), reported by China in December 2019,
significantly impacted cancer treatment. However, modern radiotherapy techniques remain in use during the COVID-19
pandemics. They include intensive modulated radiation therapy (IMRT, VMAT), image-guided radiation therapy (IGRT),
stereotactic radiosurgery, and radiotherapy (SRS and SRT).
The research aimed to compare the techniques used and the throughput of the linear accelerator before and during
the COVID-19 pandemics.
Results: The results were measured during nine months of operation of Almaty Oncology Center before the pandemic
(April-December 2019) and the similar period during the pandemic in 2020. The amount of high-tech radiotherapy services
provided before and during the COVID-19 pandemic equaled to (amount of sessions/ number of patients): conformal
(3D) radiotherapy – 6510/335 vs. 6005/286; IGRT – 9171/524 and 8977/551; IMRT and VMAT – 4208/190 vs. 5992/287.
The share of more complex methods of radiation therapy (IMRT, VMAT) has increased from 39.3% of sessions before
the COVID-19 pandemic to 49.9% during the pandemic. The number of SRS and SRT procedures performed/patients
served has also increased from 14/6 to 47/13.
The average amount of services per patient before and during the COVID-19 pandemic has changed as follows:
conformal radiation therapy – from 19.4 sessions to 21.0, IMRT and VMAT – from 22.1 to 20.9, IGRT – from 17.5 to 16.3.
Conclusion: During the COVID-19 pandemic, there was no decrease in the amount of radiotherapy services provided;
the use of more high-tech radiotherapy techniques has increased 1.4 times.
Study of danazol active agent effect on Mcf10a breast cells redox phosphorylation
Authors: Yeszhan B. G. , Ossikbayeva S. O.
Published: August 2021

Fibrocystic mastopathy is one of the most complex breast pathologies, occurring in about 60% of women. The causes and molecular mechanisms of cyst formation in fibrocystic mastopathy are not fully understood, and effective treatment methods are not widely implemented. However, there is evidence of the fibrocystic mastopathy malignization risk. We studied the molecular effect of the active agent danazol on the respiratory complex in mitochondria, which occur in various concentrations and are considered the cell energy center.
A method of permeation with special agents was developed to improve the cell membrane permeability in the intracellular
proteins and nucleic acids analysis. The scientists aimed to study the Mcf10a cell line mitochondrial respiratory complex using the permeabilization method.
Purpose: To study the effect of different danazol concentrations on Mcf10a breast cells redox phosphorylation in women
with fibrocystic mastopathy.
Results: Monitoring the redox phosphorylation process using complex respiratory substrates affecting the Msf10A breast
cells respiratory chain showed the danazol 30 μM effect on the respiratory complex I.
Conclusions: According to oxygraphic records, 10 minutes’ exposure to danazol 30 μM after permeabilization with digitonin increased the Msf10A cells’ oxidative phosphorylation compared with the control. The respiratory rate decreased by 45% ten minutes after treatment with digitonin.
Радикальный ислам в современной Европе: антисистемы в структуре постмодерна
Authors: Медведев Виталий Николаевич , Резник Сергей Васильевич
Published: August 2021

Рассмотрен процесс проникновения религии ислама в страны Западной Европы, исследованы причины исламизации Европы. Авторы отмечают, что процесс исламизации Европы, начавшийся в эпоху Средневековья, продолжается и в наши дни. Исламский фактор по-прежнему оказывает серьезное влияние на политическую, социальную, культурную и ментальную сферы жизни европейского общества. Анализ последних событий в странах Западной Европы, связанных с атаками исламских террористов, приводит авторов к выводу о том, что в современной Европе действует глобальная антисистема в лице международного исламского терроризма. Опираясь на исследования Л.Н. Гумилева, В.М. Корявцева, В.Л. Махнача и др., посвященных проблематике роли антисистем в духовной и социальной жизни общества, авторы исследуют специфику современных глобальных антисистем, а также взаимосвязь сетевых структур международного исламского терроризма и новых глобальных атисистем.
Специальные конституционно-правовые гарантии реализации принципов судебной власти
Authors: Тресков Алексей Павлович
Published: August 2021

Представлено обоснование программно-целевого метода в качестве разновидности конституционно-правовых гарантий реализации принципов судебной власти. Осуществлен анализ современных нормативных правовых актов, содержащих нормы, обладающие заявленным гарантным потенциалом. Установлено, что с самого начала централизованного применения в России программно-целевого метода его действие распространяется и на судебную власть. Данное подтверждено самостоятельными федеральными целевыми программами развития судебной системы России, а также институциональным включением Судебного департамента при Верховном Суде Российской Федерации. В серии федеральных целевых программ развития судебной системы России с 2002 года традиционным стало сопряжение показателей эффективности запланированных мероприятий с принципами судебной власти. В качестве предложения, связанного с укреплением специальных конституционно-правовых гарантий реализации принципов судебной власти, автором высказан тезис о рекомендательной преемственности специальных федеральных целевых программ, а также специализации в рамках ведомственных разновидностей.
Management of breast cancer patients leptomeningeal carcinomatosis: experience with Ommaya catheter
Authors: De Lacerda Pereira Felipe , Assad Maia Sandoval Letícia , Bernardes Ferreira Luiza , Teixeira Leite Ana Paula , Moreira Batista Juliana , Strava Corrêa Tatiana
Published: August 2021

Leptomeningeal Carcinomatosis is a recurrent complication in different types of tumors with systemic involvement, especially breast cancers. Thus, given the different forms of treatment for this disease, this article presents the effectiveness of using Ommaya catheter as a way of administering chemotherapy. Two cases of breast cancer were studied and their therapeutic evolution reported. Despite the poor prognosis associated with meningeal carcinomatosis, these cases had a disease response and control for a longer period than the expected median.
ENTRETIENS AVEC CINQ ÉCRIVAINES ROUMAINES DE LANGUE FRANÇAISE
Authors:   Critique littéraire français d’origine roumaine, dmburcea@gmail.com, BURCEA Dan
Published: August 2021

Cristiana Eso is a Franco-Romanian poet and artist born in Constanta, Romania and emigrated at the age of fifteen to France. After earning a master’s degree in French literature at the Faculty of Letters of Nancy, she studied classical singing at the Lorraine Conservatory. She has published several collections of poetry in Romanian or in bilingual editions and she is a member of the Writers’ Union of Romania. This chapter contains two interviews with her.
SCURTĂ INCURSIUNE ÎN LUMEA LITERARĂ A SCRIITORILOR CONTEMPORANI ROMÂNI DE EXPRESIE SPANIOLĂ
Authors:   Lector dr. al Facultăţii de Limbi şi Literaturi Străine, Universitatea Creştină Dimitrie Cantemir, ioana.cecovniuc@ucdc.ro, CECOVNIUC Ioana
Published: August 2021

The aim of this paper is to briefly review the work of three contemporary Romanian poets from an ectopic point of view. Consequently, the starting point will be from Tomás Albaladejo Mayordomo’s definition of “ectopic literature” (2011), seen as the literature that is produced by an author who changes his usual topos (physical, socio-cultural and linguistic background) for an initially odd or peculiar one. Distinctive features of “ectopic literature” as well as significant factors - such as autobiographical data and main themes - are earmarked to be applied to the work for subsequent analysis.
CONNECTIVITY BEYOND BORDERS IN DOMNICA RĂDULESCU’S TRAIN TO TRIESTE
Authors:   Assistant professor, PhD., Bucharest University of Economic Studies, Email adriana.stoican@rei.ase.ro, STOICAN Adriana Elena
Published: August 2021

The novel Train to Trieste by Domnica Rădulescu features the role played by transnational channels of communication in maintaining connections across physical and temporal borders between Romania and America. The discussion will focus on the particular networks employed by the protagonist Mona Manoliu (letters, phone calls, radio/TV transmissions) in order to transcend the alienating effects of exile in America. The argument combines a cultural studies approach with a close reading of the text, seeking to establish the manner in which contemporary fiction of migration presents the impact of linear transnationalism upon Romanian political refugees and their families.
FICTION AND CULTURAL MEMORY: WRITING FROM CEAUSESCU’S ROMANIA
Authors:   Romanian-American novelist and literary critic, postromanticism@gmail.com, MOSCOVICI Claudia
Published: August 2021

To write about the history of totalitarianism, be it through nonfiction or fiction, as I have in my novel Velvet Totalitarianism, means to undertake the task of preserving for future generations a cultural memory of social change, of trials and tribulations and of unspeakable human suffering. It means to pay homage to those who sacrificed, or were sacrificed, by the totalitarian machine. Writing the history of totalitarianism is simultaneously a discovery of the suppressed truth; a eulogy to the victims; an homage to those who had the courage to fight against it and a cautionary tale to those who never want to experience it.
Impact of Modernization on Socio-economic Development of Manipuri Communities: A Sociological Studies
Authors: Chowdhury Mitu
Published: August 2021

The Manipuri communities are very industrious. Very rich or extremely poor families are rare among them. So they do not work as day labourer or rickshaw puller. This is the expression of their modernism. This study was conducted an informative research work on the effects of modernization on the socio-economic development of Manipuri people. Five sampling areas were selected purposively – Kewa para, Sibganj, Noya bazar, Lama bazar and Sagar dighir par Manipuri para of Sylhet city in Bangladesh. Following a systematic sampling, a total number of 100 Manipuris participants were selected from the 20 families from each of the 5 sampling. This study also revealed that most of the respondents 73% have educational qualification between SSC to Master Degree. Above 28% respondents are slight modern and 24% respondents are modern. So it proved that impact of modernization on profession. The observed that the Manipuri people are suffering from various diseases like diarrhoea, dysentery, gastric, coughing, rheumatic fever. Around highest 60% respondents are took allopathic treatment. It was a positive response to modernization. The finding of the current research might be helpful to future national policies of Bangladesh.
Contribution of the smartphone in medical practice
Authors: F Bennaoui  , Karim Mohammed Nabil  , N El Idrissi Slitine  , FMR Maoulainine
Published: August 2021

Purpose to determine the place of the smartphone by evaluating the possession and the use of medical applications in the practice of the professionals at the Mohamed VI University Hospital of Marrakech and hospital “Moulay Youssef Rabat” This is a prospective descriptive and mono-centric analytical study on health professionals working or performing their training at hospital structures during the 6 months of the study using a smartphone. Our study took place over a period of 6 months, from August 1, 2018 to January 31, 2019, is carried out on two sites. Within the Moulay Youssef Hospital Rabat CHR, Hospital mother and child Mohamed VI Hospital Marrakech hospital. A clear predominance of female 131 (65%) , with a sex ratio F / H of 0.51.with an average age of 34.4 years, with extreme ages between 60 and 18 years. We found that 149 (74.5%) were hospital professionals, 86 (43%) were medical students, 191 (95.57%) used French as their main language. - 142 (71%) use a smartphone and 125 (62.5%) use it in the medical prescription. Of the 200 professionals, 81% were convinced of the benefit of using Smartphones. The overflow of professional boundaries was highlighted as a disadvantage by 47% of the professionals.130 (65%) want more APPS communications and more than 50% were willing to pay between 50 and 200 MAD for medical APPS. In our study There is a statistically significant linear correlation between the age and the number of smartphone users during these 6 months (p = 0.023).There is a statistically significant linear correlation between professional status and number of smartphone uses during these 6months (p <0.001). Our study joins the data of the literature with an average of the number of use during these 6 months which is not statistically different according to the sex (p = 0.27). There is a statistically significant linear correlation between the average number of smartphone uses for medical purposes and the number of Smartphone usage during these 6 months (p <0.001). In our study, the average number of uses during these 6months is statistically different depending on the professionals we judge that it is beneficial (p = <0.01). The smartphone is a real tool in the practice of health professionals for optimal care of the patient. It would be interesting to develop formal assessment strategies and training in these medical applications for use with confidence in our context.
A review on salivary biomarkers in carcinoma diagnosis
Authors: Meena Rakesh Kumar  , Pabri Reena  , Singh Prashant  , Rani Priya  , Raj Shobhit  , Verma Navneet Kumar
Published: August 2021

Carcinoma is the 2nd leading mortality in the U.S. Signs & symptoms include typically unspecific until the tumours metastasize. Hence, an urgency is there for quick, precise, and non-invasive carcinoma diagnosis, rapid detection, diagnosis, stage surveys, & forecasts. Saliva is a multi-structural fluid, found in the oral region, containing secretions from primary and minor salivary glands. Species can even be found in blood-present molecules including Deoxyribo Nucleic Acids, RNAs, hormones, metabolites, and microbiota. Recently, saliva testing received considerable interest in identifying specific biomarkers as sample collection and processing is quick, cost-effective, accurate and doesn’t put any distress on the patient. We examine recent salivary biomarkers of systemic carcinoma by separating them into genomically, transcriptomically, proteomically, metabolomic and microbially dependent forms.
Predicting population status of gum and resin bearing plant species from size distributions in Benishangul Gumuz Regional State, Ethiopia: Inferences for their sustainable management
Authors: Dereje Mosissa  , Girum Faris  , Sisay Aman
Published: August 2021

Diversity, population structures and regeneration status of gum- and resin- producing woody species, were assessed in 116 sample plots, each measuring 400 m2 and established along line transects. The data were collected in two selected districts, namely, Sherkole and Kurmuk in Benishangul-Gumuz National Regional State, one of the gum and resin belts in western Ethiopia. The gum- and resin-producing woody species had 1.04 and 0.7 diversity and 0.576 and 0.49 evenness values at Kurmuk and Sherkole districts, respectively. They accounted for 26% and 46% of the density, 51% and 58% of the basal area and 32% and 53% of the Importance Value Index of all the woody species, respectively. The gum- and resin- bearing woody species exhibited three patterns of population structure. The first pattern suggests good reproduction abilities of the species coupled with good recruitment of seedlings and their subsequent continuous growth to replace older individuals over time, indicating stable regeneration. About 61% of the gum- and resin- bearing woody species fall under this category. The other two patterns indicate hampered regeneration status of the woody species. Heavy grazing, conversion to crop land by small scale farming, gold mining, recurrent fire and climate change were mentioned as major bottlenecks of natural regeneration and recruitment. Policy, extension and research recommendations are discussed.
The Analysis of Missing Cases on the Treatment of Rifampicin-Resistant Tuberculosis
Authors: Simarmata Oster Suriani , Lolong Dina Bisara , Tobing Kristina L , Sitorus Nikson , Novianti  , Kusrini Ina , Perwitasari Dian , Pangaribuan Lamria
Published: August 2021

To describe the follow-up treatment of Resistant Rifampicin in health care facilities based on the results of the gene-Xpert examination. The study design was cross-sectional using data from "Evaluation study of detection of TB cases with the rapid molecular test in Indonesia in 2018". The data resources were from 42 hospitals and two primary health care facilities having conducted the gene-Xpert examination at least six months in 42 districts, 26 provinces in Indonesia. The number of TB diagnoses with gene-Xpert from health facilities was 33,630 cases, 31.6% of those cases were TB positive, namely rifampicin sensitivity of 89% (9,456) and rifampicin-resistant of 11% (1,171). 29% of resistant rifampicin tuberculosis cases were missing cases consisting of the untreated and unknown follow-up treatment of 18% and 11%, respectively. Missing cases were mostly found in males of 66.1%. Based on the age, 76.9% of the missing cases were in productive age, such as 15 to 54 years. Moreover, according to the TB treatment history and origin of the case, missing cases were found in new cases, 54.4%, and the existing health facility 51.2%. The most reason for missing the RR-TB case in the follow-up treatment was the refusal of treatment 40.3%. The high non-compliance to TB treatment was caused by inadequate general knowledge about TB, lack of social support, medication side effects, and long treatment period, which were posed as barriers to adherence to treatment.
Frequency of Helicobacter Pylori Infection in the Local Population Presenting with Dyspeptic Symptom
Authors: Zarrar Muhammad , Memon Shahzad , Ali Kashif , Badar Arsalan , Muhammad Yar , Sahito Rozina Mujeeb
Published: August 2021

Objectives: To determine the frequency of Helicobacter pylori infection in the local population presenting with dyspeptic symptom report to a tertiary care hospital of Nawabshah. Methodology: This cross-sectional study took place at department of medicine, Peoples Medical College and Hospital Nawabshah; during six months, form August 2015 to February 2016. A total of 115 patients with dyspeptic symptoms with upper abdominal disorders such as discomfort and pain, nausea, fullness, bloating, heartburn, anorexia, belching and regurgitation were included. After conducting detailed clinical examination and history, patients were subjected to relevant examinations, i.e. Blood antibody test (IgA antibody test), for H. pylori and venous blood was drawn. All the information was collected in the proforma. Results: The patients’ average age was 30.92±6.10 years. There were 66(57.4%) male cases and 49(42.6%) female cases. Helicobacter pylori (H. pylori) infection was observed to be frequent (60% cases) among both genders. Conclusion: In conclusion, the present results confirm that the frequency of patients suffering from helicobacter pylori infection was quite high in local population at tertiary care hospital, Nawabshah. Strategies could be developed at an earlier stage and prompt treatment may reduce the morbidity. Key Words: Dyspepsia, Helicobacter pylori, IgA antibody test
Examining the relationship between the NUTRIC 2002 score and the complications and mortality up to 48 hours after the discharge of multiple trauma patients admitted to the ICU of Alzahra Hospital in Isfahan (2018-2019)
Authors: Kiaii Babak Ali , Hashemi Seyed Taghi , Mousavi Sara , SAFIAN NAFISEH
Published: August 2021

Introduction: Eating disorders are among the most common problems in patients suffering from multiple trauma admitted to the ICU. They have a considerable impact on the increase of mortality risk. The present study aimed to determine the relationship between the Nutrition Risk in Critically ill (NUTRIC) score and the complications and mortality up to 48 hours after the discharge of multiple trauma patients admitted to the ICU of Alzahra Hospital in Isfahan between 2018 and 2019. Methodology: This study was descriptive-analytical research on 68 multiple trauma patients admitted to the ICU of Alzahra Hospital. The NUTRIC 2002 scores of the said patients were calculated by evaluating the parameters of age, APACHE II, SOFA Score, days in the hospital to ICU admission, and the number of comorbidities. Two different study groups were compared in terms of the said parameters, one composed of living and the other of deceased subjects. Findings: The mean NUTRIC 2002 Score was 3.5±0.03 in all studied patients. Out of the said patients, 67.6% and 32.4% of them were exposed to a low-risk eating disorder and a high-risk eating disorder, respectively. The mean of NUTRIC Scores in living and deceased patients were 2.82±3 and 1.19±5.83, respectively; which indicated that the deceased subjects had a higher NUTRIC Score (p<0.001). Conclusion: The 2002 NUTRIC Score was higher in the deceased subjects than in the living patients. Thus, this score seems to be a valuable and usable criterion for determining the eating disorder and the risk of mortality in multi-trauma patients admitted to the ICU. Keywords: NUTRIC, Multiple Trauma, Intensive Care, Death
Preparation and evaluation of antibacterial properties of Pexiganan, a Magainin analogue with Broadly-Spectrum Antimicrobial Activity
Authors: Ghazvini Kiarash , Neshani Alireza , Farsiani Hadi
Published: August 2021

Introduction: Pexiganan is one of the most popular Maganin-2 analogues, which has broadly- spectrum bactericidal effects against both gram-positive and gram-negative bacteria. In this study, the effects of temperature, pH, and in vitro resistant analysis were evaluated on the antibacterial activity of this peptide. Materials and Methods: Pexiganan recombinant was expressed in P. pastoris GS115, and after its characterization, the cell cytotoxicity characteristics, effects of temperature on antibacterial activity, as well as the emergence of resistance to pexiganan in continuous sub-cultures and MIC of this peptide were investigated against 12 bacterial pathogens. Results: Pexiganan was not cytotoxic to HeLa cell lines. Increasing the temperature had no effect on the zone of inhibition, but increasing the pH caused a significant increase in MIC against S. aureus ATCC 29213 strain. In addition, Pexiganan had inhibitory properties against all the 12 human pathogens (MIC range: 1-32 /g / ml), and no resistance was observed even after 28 sub- cultures. Conclusion: Pexiganan is an AMP with antimicrobial properties against a wide range of susceptible and drug-resistant human pathogens with a very low rate of resistance compared to available antibiotics and is a reliable candidate for further investigation on therapeutic applications. Keywords: Pexiganan; Antimicrobial Peptides; Resistance; Minimum Inhibitory Concentration
Prevalence and factors contributing to medication errors in a referral hospital in Iran: A retrospective study
Authors: Moezzi Meisam , Afshari Golshan , Rahim Fakher
Published: August 2021

Background: A medication error is defined as any inappropriate drug administration that can harm the patient while being preventable and equally occurring under the supervision of a medical team. Objectives: The current study was conducted to clarify the error status, evaluate the regularity of medical mistakes in a referral hospital in the South West of Iran. Methods: Data were gathered from multiple wards at various shift works based on an optional error reporting form, either self-reporting or colleague-reporting, and then it has been made available to the "Quality Improvement Office" experts. Since the current study was retrospective, the samples were calculated from 2017 to 2019. The average and standard deviations were implemented to describe qualitative variables, and ANOVA to determine any statistically significant differences between groups. Results: Of 305 medication errors reported to the Quality Improvement Office, the "Administering the wrong drug" rate was 32.5%, and it has dedicated the most significant percentage of mistake types. The most-reported medication errors occurred in the general ward, and there was no significant difference in the number of mistakes in other shifts. Conclusion: Results suggest there is an association between the incidence of medication errors and the therapeutic ward. Although the most prevalent medication error in this study was "Administering the wrong drug. Keywords: medical error, error reporting, drug administration, mistakes, hospital
Psychotic experiences in patients with obsessive compulsive disorder. A cross sectional clinical study
Authors: Ghoreishizadeh Mohammad Ali , Herizchi Sepideh , Farhang Sara
Published: August 2021

Background: Obsessive-compulsive disorder (OCD) is associated with heterogeneous and diverse symptoms. A diagnosis is challenging when patients experience psychotic symptoms. This study aimed to evaluate the pattern of psychotic symptoms in patients with OCD. Methods: Using semi-structured clinical interviews, 185 patients meeting the DSM-IV diagnostic criteria for OCD were selected. The Yale-Brown Obsessive Compulsive Scale (Y-BOCS) and the Scale for the Assessment of Positive/Negative Symptoms (SAPS/SANS) were used to measure the OCD severity and insight levels and the pattern of psychotic symptoms, respectively. Characteristics of patients with and without psychotic experiences were compared. Results: A total of 38 patients (20.5%) displayed psychotic symptoms. Delusions were observed in 63.2% of these patients, while in 13.2% of them, delusions were accompanied with negative symptoms. Men, those aged between 18 and 34 years, less educated, and singles displayed significantly higher rates of psychotic symptoms. The mean Y-BOCS score (26.42±5.07) was significantly higher in patients with psychotic symptoms than in those without (24.97±6.38). Conclusion: The results showed that in OCD patients, psychotic symptoms are more common in young (<30 years), single, less educated, and those with severe OCD. Keywords: obsessive-compulsive disorder; psychosis; insight.
The Mother’s Role in Improving the Oral and Dental Health of their Children: Application of Planned Behavior Theory
Authors: Kabiri Bahareh , Hidarnia Ali Reza , Alavijeh Mehdi Mirzaei
Published: August 2021

Introduction: It is necessary to identify the factors affecting the behaviors of the parents, especially mothers, in improving children's oral and dental health according to the theories of behavior change. This research aimed at determining the role of mothers in improving the oral and dental health of the children on the basis of the planned behavior theory. Materials & Methods: This was a descriptive-analytical, cross-sectional study. The research population included 240 subjects selected through the stratified random sampling from the mothers in the city of Ilam, Iran. The data collection tool was a questionnaire, which consisted of two sections: seven demographic and background questions, five items about attitude, four items about subjective norms, and five items concerning behavioral intention, which were completed as self-report. The collected data were analyzed using SPSS-21 software through descriptive and analytical tests such as independent t-test, linear regression, and Pearson correlation coefficient that were examined and had a significant level of 0.05. Findings: The participants’ age ranged from 20 to 44 (mean=5.67±31.8). The linear regression test indicated the structure of attitude (B=0.135, P<0.001), perceived behavioral control (B= 0.398, P<0.001), subjective norms (B= 0.236, P<0.001), and explained the 46% of the behavioral intention variance. Conclusion: Taking into account the impact of the attitude structure on the behavioral intention predicting, therefore, this structure should be employed in designing the preventive training programs in the framework of the theory of the planned behavior. Keywords: Attitude, Theory of Planned Behavior, Mothers, Dental Health.
Effectiveness of Ponseti Versus Kite Method for the Management of Club Foot- A Quasi Experimental Trial
Authors: Sharif Shabana , Khan Rehan Ramzan , Riaz Saima , Rashid Sajid , Athar Zaigham Rasool , Aamir Tausif , Khan M. M.
Published: August 2021

Objective: To determine the effectiveness of ponseti versus kite method for the management of club foot among children. Methods: A quasi experimental trial was conducted to determine the most effective conservative method for managing idiopathic club foot. This study was carried out in District Head Quarter Hospital, Layyah. A total of 46 children (60 Feet) aged less than six months of both genders were included in this study using convenience sampling technique. The study sample was divided into Group A (Ponseti) and Group B (Kite). Each treatment group comprises of 30 feet. Patients were called for weekly follow up till ten weeks consecutively. At every follow-up visit, patients were assessed to check the improvement of deformity with the help of the Pirani scoring system for the foot. Pirani score difference was measured in both treatment groups from the baseline until the last follow-up interval until the 10th Week. Pirani score difference was measured in both treatment groups from the baseline until the last follow-up interval until the 10th Week. A greater negative value signified better correction. SPSS 23 was used for data entry and analysis. Results: Children's mean age in both treatment groups (A and B) was 10.83±4.59 and 10.20±4.75 weeks. At presentation mean Pirani score in both treatment groups (A and B) was 5.85±0.67 and 5.86±0.45, respectively, while at 10th follow up it was 1.42±0.39 and 2.35±0.54 for group A and group B, respectively. Conclusion: This study demonstrates that the Ponseti technique significantly improved the management of club foot as that of the Kites method. Ponseti's method is more effective in terms of rapid improvement in the involved group. Key words: Non operative Management, Idiopathic Club foot, Kites method, Ponseti method.
Effects of Structured Resisted Exercises on Cognition Level Among Patients with Mild Cognitive Impairment
Authors: Hassan Muhammad , Rashid Sajid , Khan Rehan Ramzan , Khalid Muhammad Usman , Mansha Haroon , Khalid Hayatullah
Published: August 2021

Objective: To evaluate the effects of structured resistance exercises on cognition level among patients with mild cognitive impairment. Methods: A quasi experimental trial was conducted on thirty patients with mild cognitive impairment (MCI) from September 2020 to February 2021 at Ibn e Siena hospital, Multan. The total sample was randomly divided into two equal groups containing fifteen patients each; Group-A (Conventional pharmacological treatment) and Group-B (Resisted exercises). Group-A participants were treated with conventional pharmacological treatment cholinesterase inhibitors along with regular physical exercise while Group-B participants were treated with resistance exercises along with conventional pharmacological treatment. The standardized tools were used for data collection including Standardized mini mental state examination (SMMSE), Montreal cognitive assessment (MOCA), Trial making test A (TMT-A) and Trial making test B (TMT-B). Data was entered and analyzed by using SPSS 21. Results: Independent samples T-test showed statistically significant difference after intervention for measures of cognitive performance. There was significant difference (p<0.01) between pre and post intervention score of SMMSE (20.60 ± 1.75 and 23.20 ± 1.69) and MOCA (17.60 ± 1.35 and 21.93 ± 1.57). There was also significant difference between (p<0.01) pre and post intervention score of TMT-A (1.47 ± 0.34 & 1.23 ± 0.04) and TMT-B (2.51 ± 0.04 and 2.08 ± 0.04). Conclusion: Resistance exercises increases the cognitive levels of Mild Cognitive impairment patients. Key Words: Cognitive dysfunction, Exercises, Dementia.
Influence of Aging, Poisoning and Residual Charges on the Gasochromic Behavior of WO3 Thin Films
Authors: Shanak Hussein
Published: August 2021

Thin films of WO3 were deposited in a mixed atmosphere of O2 and Ar gas from a high purity target of 99.99 % tungsten using reactive DC-sputtering technique. Pt catalyst was sputtered on top of the WO3 films from a high purity target of 99.99 % platinum in Ar atmosphere. Coloration takes place in hydrogen gas and bleaching in oxygen gas. During the  Coloration/bleaching process several optical and electrical parameters were determined. The influence of the aging time and poisoning in air was investigated, and the residual charges resulting from the coloring/bleaching processes were discussed. It was found that gasochromic coloration velocity decreases with increasing aging time.
A Brief Outline of Infectious Diseases of Olive
Authors: P. Martelli Giovanni
Published: August 2021

Abstract: Virus infections of olive (Olea europaea), to which littte attention has been paid up to a relatively recent past, are surprisingly widespread, as shown by: (i) the very high presence (above 50% in average) of double-stranded ribonucleic acids (dsRNAs) in the plants analysed in the course of field surveys carried out especially in the Mediterranean and Middle Eastern countries; (ii) the identification in these plants of 15 different viruses with diverse taxonomic allocation. Infections are generally symptomless. When shown, symptoms consist of deformations of fruits and leaves and of foliar discolourations ranging from chlorosis to bright yellowing. “Bumpy fruits” and the “Leaf yellowing complex” are the only two diseases whose viral aetiology seems to be convincingly ascertained. Virus identification is not based on biotests (mechanical transmission to herbaceous hosts is unreliable and there are no differential woody indicators available) nor on immunoenzymatic assays (ELISA), which are also unreliable, but on nucleic acid-based techniques (various RT-PCR protocols). The economic impact of infections has not been determined although recent reports indicate that some viruses seem to affect the yield and the quality of the oil. For an ultimate answer, a comparison needs to be done between selected and sanitazied accessions and their infected counterparts. Equally scanty is the information on the epidemiology of olive-infecting viruses, except for three necroviruses (OLV-1, TNV-D and OMMV), whose transmission through soil, direct or mediated by Olpidium brassicae, has been experimentally ascertained. Olive latent virus 1 (OLV-1) and Cherry leafroll virus (CLRV) are transmitted through seeds and seedlings and, like all the other viruses, with propagating material (nursery productions), which is the major responsible for their worldwide distribution. Viral infections have been detected in 22 countries in the five continents. Preventive control through certification schemes is desirable. One of such schemes designed and implemented in Italy, is based on the pomological and sanitary selection and sanitation of mother stocks.
Investigation of the presence of halogenated bi-products formation in the drinking water network in Tulkarm District / Palestine
Authors: Khayat Saed , Martinez Lladó Xavier , Natsheh Basel , Sayara Tahseen , Abu-Khalaf Nawaf
Published: August 2021

The problem of pollutants in drinking water networks is neglected in many places all over the developing countries. This problem is normally caused by either direct pollution source such as organic carbon, or from the maceration pollutants of network materials. The heavy metals in the network facilities and the DOC from the wastewater leakage on the formation of toxic by-product in the water network and the rate of halogenated hydrocarbons formation in the drinking water network was studied. Results showed that water has the same constituents of pollutants similar to that before its being stored for relatively long periods. The results showed also that the trend of halogenated hydrocarbons formation is correlated, but not restricted, to the availability of total organic carbons. The amount of CCl2Br and CClBr2 were the highest, which indicate that most of the halogens are originated from natural sources. The Strontium values where the most dominant in all sampling points followed by Barium and Boron, which are the most abundant trace metals normally found in the groundwater in Tulkarm area