bluuebunny/crossref_metadata_2025 huggingface dataset:
A.E. Mosher (2004) Capital’s Utopia: Vandergrift, Pennsylvania C. Parrott
Authors: Parrott Charles
Published: October 2022

Review of the book [A.E. Mosher (2004) Capital’s Utopia: Vandergrift, Pennsylvania C. ParrottA.E. Mosher (2004) Capital’s Utopia: Vandergrift, Pennsylvania C. Parrott]
[Book notes, PDF]
Authors: Urbanform
Published: October 2022

Booknotes
BEST PRACTICE PEMBELAJARAN WRITING YANG MENYENANGKAN DENGAN E-KOMIK UNTUK MENINGKATKAN PRESTASI BELAJAR SISWA KELAS XI SMAN I BODEH
Authors: WAHYUNINGSIH INDAH
Published: October 2022

This Best Practice is an activity of implementing learning with e-comics so that the atmosphere in the class is fun and to improve the learning achievement of class XI students of SMAN I Bodeh. The learning media used in this best practice are mobile phones, internet (for access to information related to the material and access to web pixton), and some photos. The use of the Pixton application to make electronic comics on students' writing skills is very effective and attracts students' interest in learning. So that the process of teaching and learning activities becomes more fun and easy to understand. Composing short conversational texts using expressions of giving or receiving suggestions, offering help and responding by using comics that contain features or characters that can be determined according to students' choices will make the classroom atmosphere more active and interesting. Students are very enthusiastic and motivated. They not only use knowledge skills but also skills in character selection, background settings, background situations and others, so that they get a pleasant experience.
ABSTRAKBest Practice ini merupakan kegiatan pelaksanaan pembelajaran dengan e-komik agar suasana dalam kelas menyenangan dan untuk meningkatkan prestasi belajar siswa kelas XI SMAN I Bodeh. Media pembelajaran yang digunakan dalam best practice ini adalah handphone, internet (untuk akses informasi terkait dengan materi dan akses ke web pixton), dan beberapa foto. Penggunaan aplikasi Pixton untuik membuat komik elektronik pada kemampuan writing siswa sangat efektif dan menarik minat siswa dalam belajar. Sehingga proses kegiatan Belajar Mengajar menjadi lebih menyenangkan dan mudah dipahami. Menyusun teks percakapan pendek dengan menggunakan ungkapan memberi atau menerima saran, menawarkan bantuan dan respon nya dengan menggunakan komik yang berisi fitur atau karakter yang dapat ditentukan sesuai dengan pilihan siswa akan membuat suasana kelas lebih aktif dan menarik. Siswa sangat antusias dan termotivasi. Meraka tidak hanya menggunakan kemampuan pengetahuan tetapi juga kemampuan keterampilan dalam pemilihan karakter, setting background, latar belakang situasi dan lain-lain, sehingga mereka mendapatkan pengalaman yang menyenangkan
UPAYA MENINGKATKAN MINAT BELAJAR IPA PADA MASA PANDEMI MELALUI PENERAPAN PRAKTIKUM SEDERHANA DI KELAS 7C MTs N 4 KLATEN
Authors: NASHIROTUN BINTI
Published: October 2022

This study aims to determine (1) the simple science practicum process (2) whether the simple science practicum can increase interest in learning science on acid-base materials. The research was carried out at MTs N 4 Klaten class 7C for the academic year 2020/2021 with research subjects science teachers and students in class 7C, consisting of 28 students. This research, classified as classroom action research, consists of two cycles, each cycle consists of two meetings, and each meeting consists of 4 stages (1) planning (2) action (3) observation (4) reflection. The results of the study were processed by triangulation techniques of data from practicum results, daily tasks, and questionnaires to increase interest in learning science after students carried out science experiments on acid-base materials independently at home using simple materials and tools taken from the environment. The increase in interest in learning can be seen from the increase in student craftsmanship in sending daily assignments during learning during the pandemic. From the results of the study, it was proven that the application of a simple practicum in science learning on acid-base material could increase students' interest in learning. 90% of 7C graders send daily assignments on time, and better answer quality.
ABSTRAKPenelitian ini bertujuan untuk mengetahui (1) proses praktikum IPA sederhana (2) apakah praktikum IPA sederhana dapat meningkatkan minat belajar IPA materi asam-basa. Penelitian dilaksanakan di MTs N 4 Klaten kelas 7C tahun pelajaran 2020/2021dengan subyek penelitian guru IPA dan siswa kelas 7C, terdiri dari 28 siswa. Penelitian ini, tergolong jenis penelitian tindakan kelas, terdiri dua siklus, masing-masing siklus terdiri dari dua pertemuan, dan setiap pertemuan terdiri dari 4 tahap (1) perencanaan (2) tindakan (3) obsevasi (4) refleksi. Hasil penelitian diolah dengan teknik triangulasi data hasil praktikum, tugas- tugas harian, dan angket peningkatan minat belajar IPA setelah siswa melakukan praktikum IPA materi asam-basa secara mandiri di rumah menggunakan bahan dan alat sederhana, yang diambil dari lingkungan. Peningkatan minat belajar dilihat dari peningkatan kerajinan siswa dalam mengirim tugas –tugas harian selama pemebelajaran dimasa pandemi. Dari hasil penelitian terbukti bahwa penerapan praktikum sederhana dalam pembelajaran IPA materi asam-basa, dapat meningkatkan minat belajar siswa. 90% siswa kelas 7C mengirim tugas harian tepat waktu, dan kualitas jawaban yang lebih baik.
A SPATIO-TEMPORAL VISUAL ANALYTICS TOOL FOR SIMULATED TRANSPORT ORIENTED-LAND USE URBAN PLANNING DATA
Authors: Merchan Zorro L. , Vivas Meza A. A. , Bautista Acosta O. D. , Castro Barrera H. E. , Peña J. R. , Guzman L. A. , Hernandez J. T.
Published: October 2022

Abstract. This article presents a proposal framed in urban visual analytics, which aims to facilitate the exploration and analysis of zonal spatial indicators over time for a case of a large city-region. The context in which this exploration is carried out is the evaluation of the impact of interventions in land use and transportation, based on data produced by an integrated simulation system. The large amount of data to evaluate a scenario makes urgent the effort to design new interactive analysis environments. The resulting prototype (VIZ-BUS: Visual Analytics for Bogota Urban Simulator) has, for its design, an analyst-centric approach to the analysis task. Our first web deployment has been very well received by urban planning specialists in order to evaluate scenarios for a sustainable and smart city-region.
IMPACTS OF THE COVID-19 PANDEMIC ON DEMAND OF PUBLIC BIKE SYSTEM AND ITS CORRELATION WITH URBAN LIFE
Authors: Lee E. , Son B. , Lee J. B.
Published: October 2022

Abstract. Public bike systems provide the flexibility of bike-usage that users can rent and return a bike freely at any station. The convenience of the bike-travel system, however, may turn into a disadvantage of demand-supply imbalance in the bike inventory. The recent spread of the COVID-19 pandemic has changed the mobility demands due to the lockdowns which restrict the business operating hours and transit services. Therefore, investigating the impacts of the pandemic on the urban social life patterns with the bike usage is an important issue for the bike demand prediction and the improvement of the public bike system service.This research aims to investigate the correlation between the public bike demand and social environment factors during the pandemic applying a multivariate linear regression model to public bike usage data in Seoul, Korea. The results show some promising findings to further promote shared mobility services through policy and marketing strategies. It is noteworthy that the transport disruptions during the pandemic have made a spillover effect from taxi and public transit to bike as an alternative transport mode. The lockdown has restricted the range of activity and resulted in the decrease of the taxi demand, so the number of taxis. On the other hand, the correlations of the geography, meteorology, and date with the bike demand have shown consistency. Therefore, supply of extra bike facilities to improve the system service should be determined based on more accurate demand prediction considering lifecycle-related factors.
Dynamics of the structure of trees within the scientiphical reservation ”plaiul fagului” during the year 1996-2019
Authors:   State Agrarian University of Moldova, Chetrean Alexandru
Published: October 2022

The current article highlights the current state and dynamics of the forest fund structure within the Scientific Reservation ”Plaiul Fagului” for the period 1996-2019. Indications of the structure of the forest fund in dynamics are presented (current composition and target composition, volume of wood mass, distribution by age classes, origin, vitality, consistency categories and the current character of the forest type). In order to increase the structural indices of the forest fund within the Reservation. The need to apply intensive management in order to bring the structural indices closer to the optimal ones planned by Arrangement 2019 - drafted for this reservation.
The collection of the genus Berberis L. from the ”Alexandru Ciubotaru” National Botanical Garden (Institute)
Authors:   ", Tanachi Tatiana ,   Alexandru Ciubotaru",   National Botanical Garden (Institute), Republic of Moldova, Rosca Ion ,   "Alexandru Ciubotaru" National Botanical Garden (Institute), Republic of Moldova, Onica Elisaveta ,   "Alexandru Ciubotaru" National Botanical Garden (Institute), Republic of Moldova, Cutcovschii-Mustuc Alina ,   "Alexandru Ciubotaru" National Botanical Garden (Institute), Republic of Moldova
Published: October 2022

The collection of the genus Berberis L. includes 5 species and 24 ornamental non-native taxa. The introduced taxa of Berberis thunbergii DC. are: 'Kobold', 'Erecta', 'Red Pillar' and 'Silver Pillar', they are resistant to drought, frost and noxious substances, do not require special care, only pruning and shaping according to the agrotechnical norms, throughout the growing season. The studied shrubs are particularly showy in early spring, due to the beautiful yellow colour of the flowers, the abundance of flowering, the density of flowers per 20-cm-long shoot, as well as in early summer – due to the shade of the foliage, the shape and size of the plant and fruit and the various colors of the fruits (red, light red, red-purple), the abundance of fruiting, the long period of flowering and fruiting. It is recommended to be used in landscaping in green spaces, in the foreground, in small groups, mixed with other species at the edge of parks and for hedges of different heights.
The collection of Mammillaria Haw. in the “Alexandru Ciubotaru” National Botanical Garden (Institute)
Authors:   ", Todirash Natalia ,   Alexandru Ciubotaru",   National Botanical Garden (Institute), Republic of Moldova, Poleacov Anton ,   "Alexandru Ciubotaru" National Botanical Garden (Institute), Republic of Moldova
Published: October 2022

The article presents the characteristics of the genus Mammillaria Haw. in the light of the classification proposed by D.Hunt. It also describes the dynamics of development of the collection of representatives of the genus Mammillaria in the “Alexandru Ciubotaru” National Botanical Garden (Institute). The results of the systematization, revision and identification of the species genului Mammillaria from the collection are presented below.
Understanding Parent's Knowledge and Perception About Autism Spectrum Disorder (ASD) in the City of Jeddah, Kingdom of Saudi Arabia
Authors: Babakr Reem A. , Alhazmi Alyaa S. , Alammari Raghad H. , Yamani Essam A. , Alharbi Rahaf A. , Salim Bilal A.
Published: October 2022

Background Autism spectrum disorder (ASD) has shown a dramatic rise in the past few years. It is one of the most common chronic neurodevelopmental disorders with strong genetic basis. As patients’ outcomes are implicated by their parents’ knowledge and perception about ASD. This study aimed to assess the knowledge and perception of childhood autism among parents in Jeddah, Saudi Arabia. Methodology This is a descriptive cross-sectional study that targeted all parents with at least one child in Jeddah, Saudi Arabia in 2020. An electronic self-administered questionnaire was distributed online. A total of 413 participants were included. To describe our study participants, we used frequencies for the categorical variables. Chi-square test was used to determine the presence of associations. Results A total of 413 respondents were included, most of them were females. The mean age of the sample was (41±11.35). After assessing the knowledge about ASD among our sample of patients, most of the participants showed good level of knowledge asthe majority were able to identify ASDs’ early symptoms and believe that early identification of the disease will improve the therapeutic outcome. The perception was also acceptable in our sample since more than half of the participants were able to define ASD and were aware of the possibility of early diagnosis. It was also remarkable that most of the participants in our sample were able to identify the features of a child with ASD. Conclusion The study demonstrates an acceptable fund of knowledge and perception among parents regarding facts and myths about ASD among parents in Jeddah, Saudi Arabia. Males answered better in both sections covering knowledge and perception about ASD. We also found out that the level of education had a significant positive influence on the level of knowledge and perception.
Pemanfaatan Batu Sungai Karawa Kabupaten Pinrang Sebagai Agregat Campuran Laston Lapis Antara
Authors: Buli Egipto , Alpius  , Radjawane Louise Elizabeth
Published: October 2022

Penggunaan bahan lokal untuk material penyusun jalan perlu belum dioptimalkan, terutama di sekitar wilayah Karawa, sehingga saat ini material penyusun jalan masih menggunakan material dari daerah lain. Penelitian ini bertujuan untuk mengetahui karakteristik batu Sungai Karawa, karakteristik aspal, berat jenis filler dan untuk mendapatkan komposisi campuran, serta karakteristik campuran melalui  uji marshall konvensional dan uji marshall immersion digunakan untuk mengetahui stabilitas sisa marshall menggunakan kadar aspal optimal. Hasil penelitian menunjukkan bahwa karateristik material perkerasan berupa batu sungai dari Sungai Karawa di Kabupaten Pinrang sebagai agregat campuran lapis antara memenuhi persyaratan untuk material lapisan perkerasan jalan. Karakteristik campuran lapisan antara dengan kadar aspal 5,0%, 5,5 %, 6,0 %, 6,5 %, dan 7,0 % ditentukan dengan menggunakan uji marshall. Stabilitas marshall yang tersisa sebesar 97,47 % memenuhi standar Bina Marga tahun 2018, yaitu minimal 90 %, melalui hasil uji marshall immersion untuk lapisan antara campuran aspal dengan kadar aspal optimum 6,0 %.
Microbiological quality of ready–to–eat vegetables salads served at meat restaurants under the COVID-19 in Turkey
Authors: Baran Alper , Adigüzel Mehmet Cemal , Aydin Hakan
Published: October 2022

In Turkish cuisine, ready–to–eat vegetable salads (REVS) served with pide/lahmacun, kebab types, and tantuni from animal source in meat restaurants were evaluated since they have the potential to carry risks in terms of Public Health. The microbiological properties of REVS were investigated using agar plate method. Antimicrobial resistance of foodborne pathogens including Escherichia coli and Staphylococcus aureus was tested using Kirby–Bauer disc diffusion method. Moreover, the presence of important enteric viruses was detected by Polymerase Chain Reaction (PCR). The number of total aerobic bacteria, coliform bacteria, yeast and molds and, Staphylococcus and Micrococcus spp. ranged from less than 1 to 6.40, 1 to 6.26, less than 1–5.82 and less than 1–5.66 log10 colony forming units·grams-1 (CFU·g–1) in REVS samples, respectively. None of the REVS tested in this study contained Salmonella spp., whereas E. coli and S. aureus were isolated in 38.1% (16/42) and 2.4% (1/42), respectively. S. aureus was resistant to gentamicin, kanamycin, aztreonam, and ciprofloxacin in the disc diffusion assay, however, it was not harboring the mecA gene. E. coli strains (n=16) were resistant (100%) to aminoglycoside antibiotics and 35.7% (6/16) of the isolates were extended spectrum beta lactamase (ESBL) producing. blaTEM and blaCTXM8/25 were detected in two isolates, whereas one isolate carried blaCTXM–1 and blaTEM together by PCR. Of the REVS, two were evaluated as positive for rotavirus (4.8%), six for hepatitis A (14%), and hepatitis E virus (14%). These results indicate the high microorganism load, presence of ESBL E. coli, and viral enteric pathogens in REVS, hence it is important to perform routine hygiene practices.
Further study of stress-strain deformation of some structural reinforcement steel rods with different diameters from a mini mill in Nigeria using theoretical and regression analysis
Authors: Joy N Ogbodo  , Aondona P. Ihom  , Philip T Aondona
Published: October 2022

Further study of stress-strain deformation of some structural reinforcement steel rods with different diameters from a mini mill in Nigeria using theoretical and regression analysis has been undertaken. The work utilized result test of mechanical testing carried out on different sizes of reinforcement steel bars for concrete reinforcement ranging from 10 mm to 28mm in diameter. The deformation pattern of the work was highlighted using stress-strain graph and subjected to theoretical analysis, where the result showed that it is a ductile material with all the deformation regions associated with a ductile material. It equally has an elongation % of 9.36 at the point of failure during the test. Values of % elongation, ultimate tensile strength generated with different sizes of reinforcement steel bar were subjected to different regression models to establish their relationship, and to also find out which model best fit the relationship between the diameter variation of the steel rod and the % elongation, and the diameter variation of the steel rod and the ultimate tensile strength. The result showed that the relationship was linear, and linear regression model was better than hyperbolic curve model, and exponential function model. Therefore linear regression model was used to develop prediction model equations to estimate the values of % elongation and ultimate tensile strength. These models were evaluated using coefficient of determination r2, standard error of regression, confidence limits, standard errors of the intercept (a) and the gradient (b), confidence interval for intercept and gradient, and finally significance test was carried out on the intercept and the gradient. The standard error of regression for model equation Y1 was very small; 0.37, and that of model equation Y2 was 60.18. The coefficient of determination r2 was 21% for model equation Y1 and 1.49% for model equation Y2. The results also show that the general confidence interval has a narrower range than the individual confidence interval. The rank correlation coefficient has indicated that the association of the diameter variation of the steel rod was in perfect negative to the % elongation at failure and ultimate tensile strength. In conclusion this work has further thrown light to the stress-strain deformation of different diameters of structural reinforcement steel rods.
Praktik Pembelajaran Inovatif Guru Penggerak di SDN Inpres Tenga
Authors: Novita Esa
Published: October 2022

Penelitian kualitatif yang didesain dengan bentuk naratif ini bertujuan menceritakan pelaksanaan praktik pembelajaran inovatif Guru Penggerak Angkatan 1 Kabupaten Bima di SDN Inpres Tenga. Dalam pembelajaran inovatif tersebut, peneliti memanfaatkan metode pembelajaran blended learning, dimana pembelajaran dikombinasi dengan antara moda tatap muka atau offline dan daring atau online. Pembelajaran model ini diterapkan dengan tujuan mengembangkan lingkungan belajar yang student-centered sehingga tercipta merdeka belajar. Siswa diharapkan lebih aktif dan mandiri dalam memperoleh pengetahuan melalui fasilitasi guru. Sebelum pembelajaran inovatif ini diterapkan, guru sebagai fasilitator pembelajaran telah dilatih dan dibekali ilmu dan keterampilan dalam mengelola pembelajaran yang merdeka dalam Program Guru Penggerak dengan berbagai bentuk pelatihan dan pendampingan (individu maupun kelompok). Selama dan setelah pelatihan, guru merancang aksi nyata untuk diterapkan di sekolah masing-masing. Dalam hal ini, guru merancang aksi nyata yang berkaitan dengan pemanfaatan IT dalam proses pembelajaran seperti mencari sumber belajar secara mandiri, yaitu sumber belajar selain buku teks dalam bentuk tertulis, gambar maupun video. Dalam pelaksanaanya di SDN Inpres Tenga, model pembelajaran blended learning masih adalah tahap awal, dimana pelatihan siswa masih sederhana, seperti latihan untuk menerima soal dan tugas-tugas melalui aplikasi online khususnya WA sekaligus mengirim kembali jawabannya secara online. Model pembelajaran ini juga pada akhirnya ikut andil dalam meningkatkan kemampuan literasi siswa dalam menggunakan segenap potensi dan keterampilan yang dimiliki dalam hidupnya.
Comparative Laparoscopic Cholecystectomy in Acute Cholecystitis in DHQ Abbottabad, KP-Pakistan
Authors: Ahmed Ibrar , Khan Ajmal , Saeed Faryal , Khan Kamran , Khurshid Marium , Israf Saa
Published: October 2022

Background: Early laparoscopic cholecystectomy before 72 hours is ideal for the treatment of acute cholecystitis after 72 hours, acute or ongoing fibrosis presents careful issues. Aim: To compare the results of an acute cholecystitis blood pressure monitoring center and a specialist acute surgical service 72 hours after symptoms. Study design: Cross-sectional study. Place and duration of study: Department of General Surgery Benazir Bhutto Shaheed Hospital, (DHQ) Abbottabad from 1st October 2021 to 30th March 2022. Methodology: One hundred and eighty acute cholecystectomy patients who went through CEL were enrolled. Record was gathered which included postoperative confusions, length of medical clinic stay, and season of a medical procedure. To get comparable outcomes, subgroup examination of older patients was performed. Results: Eighty operations were performed within 72 hours of symptoms and 100 operations were performed after 72 hours, Patients who received early laparoscopic cholecystectomy for more than 72 hours had longer complication-free time” (125.4 vs. 116 minutes, P=0.035) and hospital stay (4.59 vs. 3.09 days, P=0.001). Postoperative sampling was higher in patients older than 75 years (P < 0.001). Conclusion: Acute cholecystitis patients going through CLE in a careful unit might accomplish improved results even following 72 hours of side effects. In a subset of older patients, extensive hemostasis ought to be performed. Keywords: Acute cholecystitis, early laparoscopic cholecystectomy (ELC)
Frequency of Left Ventricular Thrombus after Acute Anterior Wall Myocardial Infarction at Karachi
Authors: Mallah Fiyaz Hussain , Tariq Muhammad , Hussain Waqar , Shaikh Javed Khurshed , Butt Muhammad Hassan , Baloch M. Ismail
Published: October 2022

Background: The left ventricular problem is a prominent acute myocardial infarction (AMI) complication. It has been demonstrated that rapid reperfusion reduces mortality and improves left ventricular (LV) function. There is a dearth of information on left ventricular thrombus (LVT) in the current era of primary percutaneous coronary intervention (PPCI). Aim: To estimate the frequency of left ventricular thrombus in patients who have experienced an acute anterior wall myocardial infarction at Karachi's leading cardiac hospital. Study design: Cross-sectional study Place and duration of study: Department of Cardiology, National Institute of Cardiovascular Disease, Karachi from 1st July 2021 to 31st December 2021. Methodology: Three hundred and fifty five patients of both genders age between 40 and 80 years were diagnosed with acute anterior wall myocardial infarction and underwent purcutaneous coronary intervention were enrolled. Results: There were 286 (80.6%) males and 69 (19.4%) females. The mean age was 56.29±11.04 years. Two patients (6%) experienced in-hospital mortality, while 56 patients (15.8%) had left ventricular thrombus. Conclusion: Acute ST-elevation myocardial infarction frequently results in the development of left ventricular thrombus. Keywords: Myocardial infarction, Left ventricular thrombus, Frequency
A prospective study of the Various Categories of Crown to Root Ratio of Premolars by Using Cone Beam CT Images
Authors: Ahmad Haseeb , Nasir Umar , Zeb Mahwish , Ali Asma , Qureshi Asfandyar , Naeem Sana
Published: October 2022

Background: Cone beam computed tomography (CBCT) has gained worldwide acceptance in the field of dentistry, because it provides definite images in the form of slices of single roots which can accurately measure the crown and root lengths of all the teeth including premolars. Crown and root lengths have its applications in surgical extrusion and crown lengthening in cases of tooth wear. Aim: To document the frequency of crown-root ratio (using CBCT images) in longitudinal section of the premolar teeth. Study design: Descriptive cross-sectional study. Place and duration of study: Department of Radiology, Khyber College of Dentistry and Hospital, Peshawar and Department of Radiology, Sardar Begum Dental College and Hospital Peshawar from 1st January 2020 to 30th June 2020. Methodology: One hundred and thirty five patients of both the genders were selected by obtaining there CBCT images. A written informed consent was taken from the patients or their attendants through concerned dentist who advised CBCT. Data of crown root ratio of premolar teeth were recorded in the form of categorical variables (crown and root length). Results: The mean age was 29.64±4.47 years. The highest frequency of patients was of 28(14.8%) years and 29(17%) years. There were 87(64.4%) males while 48(35.5%) females. Conclusion: There is significant difference of crown root ratio between the premolars of maxilla and mandible and the right and left quadrants of both arches. Key words: Cone beam computed tomography (CBCT), crown-to-root ratio (CRR), Premolar
Intracranial Otogenic Complications in Adults: New Factors That Influence its Onset
Authors: Nasir Mohammad Qamar , Saadat Ruqqiya , Iftikhar Syed Umair , Shakoor Abdul , Humza Ameer , Bhatti Hassan Majid
Published: October 2022

Aim: To investigate new factors which influence intracranial otogenic complications in adults. Study Design: Retrospective study Place and duration of study: Department of ENT, Services Hospital Lahore from 1st October 2021 to 31st March 2022. Methodology: Fifty patients were analyzed in COVID times (2020-2021) with intracranial otogenic complications for determination of new factors for the onset of this disease complication. Hundred patients were assessed from the time period of 2014-2018. The diagnosis was confirmed on the basis of MRI or MRV imaging with intracranial complications. Reverse Transcriptase PCR was also performed on each patient through naso-pharyngeal swab test. The patients age, gender, clinical and comorbidity history, neurological state, immobility, prophylaxis and coagulopathy risks were documented. Result: The mean age of the patients was 62.3±5.5 years during COVID times and 50.2±6.1 years before COVID-19. The Pre-COVID-19 period had all males reported with intracranial otogenic complications. While in COVID times 12% females were reported with intracranial otogenic complications such as meningitis, brain abscess as well as Lateral/venous sinus thrombosis. Lateral/venous sinus thrombosis among IOC was more commonly observed in the COVID time. Conclusion: Cerebral lateral/venous-sinus thrombosis is appeared to be the rare factor that can be linked with COVID-19. Keywords: Complications, Otitis media, COVID-19, Adult, Intracranial otitis
Neurological and Mental Health Responses to Pandemic Covid-19
Authors: Chhutto Mumtaz Ali , Samo Jawed Akhtar , Awan Inayatullah , Rehman Mujeeb-Ul- , Ali Muhammad Munwar , Arain Safdar Hussain
Published: October 2022

Aim: To assess the neurological and mental health responses to pandemic Covid-19. Study design: Cohort study Place and duration of study: Department of Medicine, Chandka Medical College Hospital Larkana and Department of Medicine, Khairpur Medical College Hospital Khairpur Mir’s from 1st October 2021 to 31st March 2022. Methodology: Two hundred patients who suffered Covid-19 infection and 200 who had any other life event except Covid-19 were enrolled. All patients who were above 18 years of age and were positive for Covid-19 through reverse transcriptase PCR were included in the study.Global Psych trauma Screening was done by enlisting twenty-two items which assessed trauma related symptoms while five items only assessed the factors increasing risks. Results: There were 112 (56%) females and 88 (44%) males in Covid-19 patients and 150 (75%) females and 50 (25%) males in non-Covid patients. The mean age of the Covid-19 patients was 49.65±15.5 year while of non Covid patients was 39.02±12.01 years. A significant increase in post-traumatic stress disorder (PTSD) cases probability was noted in the Covid-19 cases than non Covid-19 related events. Neurological responses showed that patients who had suffered from Covid 19 infections had a generalized weakness with hyposmia formation. Conclusion: Covid-19 is related with high level of depression, anxiety, hyposmia and other mental and neurological responses. Keywords: Neurological health, Mental health, Response, Covid-19
Prevalence of Fungal Rhinosinusitis in Patients Presenting with Nasal Polyps
Authors: Shinwari Wajih-Ud-Din , Mustafa Sadaf Raffat , Qamer Nighat , Mushahid Uzair , Khan Azmatullah , Ali Amjad
Published: October 2022

Aim: To see the prevalence of fungal rhino sinusitis in patients presenting with nasal polyposis. Study design: Cross-sectional study. Place and duration of study: Department of Otorhinolaryngology and Head and Neck surgery, PIMS, Islamabad from 1st October 2021 to 31st March 2022. Methodology: Patients presenting with nasal polyps fulfilling our inclusion criterion in ENT Department in PIMS. Eighty patients presenting with nasal polyps for surgery after admitting them and the specimen was sent for fungal culture. Results: Sixty nine patients showed positive culture for fungal rhino sinusitis and only 11 patients were negative for fungal growth. Among 69 patients 51 patients were males and 18 were females. Eighty five percent male patients showed fungal growth while 90% females showed fungal growth. Conclusion: The nasal polyps is closely related to fungal infection, so all patients presenting with nasal polyps are suggested to undergo fungal culture and work-up should be done for fungal rhino sinusitis to rule fungal infection is suggested, so that early diagnosis is made and earliest treatment is started for the disease. Key words: Nasal polyps, Fungal culture, Fungal rhino sinusitis
Technical Considerations in Plastibell Circumcision in Neonates and Infants
Authors: Ghani Muhammad Tahir , Ali Muhammad Tahir , Lashari Azad Ali , Ijaz-Ul-Haq Hafiz Muhammad
Published: October 2022

Aim: To find out efficacy of plastibell circumcision and to establish certain technical considerations to minimize complications. Study design: Cross-sectional Descriptive study Place and duration of study: Department of Surgery, Aero Hospital Hassan Abdal from 1st September 2016 to 31st August 2020. Method: Total of 400 infants and neonates were included in present study. Children was taken upto six months of age and 1% lignocaine was used as a source of local anesthesia. Plastibell was used for circumcision under strict aseptic conditions. Parents were allowed to take child home after half hour of retention in the hospital and follow up done after one week of circumcision. Parents were given telephonic access to surgeon during this week. During follow up baby was examined, results recorded and complications were treated if any. Results: Ring block using 1% lignocaine provided adequate pain relief in neonates and infants. There were 345 boys were brought for circumcision during first month of their life while 55 were infants between one to six months of age. Six patients had post-operative bleeding during immediate post op period and two patients presented after 12 hours with bleeding which needed removal of plastibell and maintenance of hemostasis. The mean time of plastibell detachment was 06 days (range 03-12 days). Plastibell was ctuck in few patients which needs to be removed early. Paracetamol was also used post-operatively as an oral analgesia and provided adequate pain relief. Two patients presented with infection after plastibell detachment. The foreskin was removed in every boy except one. Handling of the babies was easy for mothers. Conclusion: Plastibell proved to be an effective method of circumcision provided few technical points like size of plastibell, use of bipolarcautery, hemostasis of frenular area, and threading around plastibell are properly taken care off. Keywords: Circumcision, Plastibell, Neonate, Infant, Lignocaine, Frenular, Foreskin
Impact of the Covid-19 Pandemic on Medical Education among Students of Lahore, Pakistan: Medical Students’ Knowledge, Attitudes, and Response Regarding Online Learning
Authors: Sarwar M Usman , Arshad Usama , Qureshi Sumair Nasim , Tufail Tayaba , Rehman Manqoosh ur , Rabbani Shaukat , Sajjad Urooj
Published: October 2022

Background: COVID-19 was announced as a pandemic issue globally on 11th March, 2020. In response to this situation, all educational activities including medical and clinical education in various colleges across the country were suspended on the 15th of March. So, online education emerged as an alternative method of teaching & learning to maintain continuity of education Aim: To evaluate the use of online learning modalities and to find their feasibility and usability in medical education. Methods: A cross-sectional study was performed across the government and private medical colleges of Lahore. Eligible participants were undergraduate medical students from 10 medical colleges of Lahore. A questionnaire linked to a Google form was distributed to the medical students across 10 government and private medical colleges through different social platforms. Results: A total of 439 valid questionnaires were collected. 31.7% of students disagreed that interaction between students and teachers was possible through online teaching. Only 7.7% of students agreed that online learning can be used for clinical teaching of medical sciences, as compared to 35.8% who disagreed with this answer and 12.8% who were neutral. 23% of the students agreed that online learning was more convenient and flexible than traditional learning, while 24% disagreed and 21.4% were neutral in this regard. Only 19.8% of students had problems with poor internet services. Conclusion: As Pakistan has faced four waves of the COVID-19 which is not over yet due to the emergence of new strains. Due to vaccination of medical students medical education is back to conventional physical learning but online learning has gained importance as an effective alternate to continue learning processes in exceptional situations like COVID-19 pandemic. Keywords: Covid-19 pandemic, online education
Comparison of the Outcome of Gentamycin Lavage Versus Normal Saline Lavage for Axillary Dissection in Modified Radical Mastectomy
Authors: Salamat Nabila , Khawaja Muhammad Asadullah , Amir Wajahat
Published: October 2022

Aim: To compare the gentamycin lavage with normal saline lavage after axillary dissection in modified radical mastectomy in terms of mean postoperative wound drainage was the objective of this study. Material: This Randomized controlled trial was conducted at Department of Surgery, Jinnah Hospital Lahore form July, 2018 to June, 2019. Total 100 female patients with 30 to 60 years of age, who underwent modified radical mastectomy for breast cancer. The patients were divided into two groups; group A (operative wound washed with 500ml normal saline) and B (wound washed with 500ml of gentamycin solution (240mg) in addition to the 500ml of normal saline). Results: Mean age and BMI of patients were 49.60±5.83 vs. 49.50±6.723 years (p=0.937) and 27.02±2.90 vs. 27.12±3.33 kg/m2 (p=0.873), in group A and B, respectively. Mean wound drainage were 356.46 ± 59.11 vs. 317.42 ± 51.92 ml (p=0.001), in group A and B, respectively. Conclusions: Gentamycin lavage reduces the postoperative axillary wound drainage after modified radical mastectomy as compared to normal saline lavage. Keywords: Gentamycin Lavage; Axillary Dissection; Modified Radical Mastectomy
Unveiling the concealed: Variation of Condyle, Coronoid & Sigmoid Notch in the local population of Pakistan
Authors: Ahmed Sufyan , Ain Qurat Ul , Butt Zainab Qasim , Gilani Saqlain Bin Syed , Malik Faisal Shafiq , . Muhammad
Published: October 2022

Aim: The objective of this study was to evaluate different morphological variations of coronoid, condyle and sigmoid notch using digital panoramic radiographs. Methods: The study comprised of 409 orthopantomograms (OPG). The different shapes of condyle, coronoid and sigmoid notch was traced and recorded. Both sides were recorded. The data was then subjected to statistical analysis using SPSS 21. Results: The most common variation for condylar process was angled, whereas for coronoid process it was round. Wide shape sigmoid notch was the most common type reported. No statistical difference in right and left coronoid and sigmoid notch was present. Conclusion: The variation in shape of condyle, coronoid and sigmoid notch was found different when compared with different ethnicities. Further studies using a larger group of population can give a further evidence if these OPG’s can be used as a mean of personal identification. Keywords: Forensic odontology, condyle, coronoid, mandible.
Assessment of Diagnostic accuracy of Platelet Distribution Width as predictor of Preelampsia
Authors: Saeed Hifza , Iqbal Saima , Tehseen Saema , Aziz Moizza
Published: October 2022

Aim: Assessment of diagnostic accuracy of platelet distribution width in prediction of preeclampsia in females presenting with singleton pregnancy Study Design: A Descriptive case series study. Setting: Department of Obstetrics & Gynecology, Unit II, DHQ Teaching Hospital Gujranwala. Duration of Study: Seven months from 1st March 2019 till 30st September 2019. Methods: Total 170 pregnant females with age ranging between 18-40 years and gestational age from 16-20 weeks having less than 5 children were admitted from OPD of Department of Obstetrics & Gynecology, DHQ hospital, Gujranwala. Females with multiple pregnancy (on ultrasound), those diagnosed with chronic hypertension (BP≥140/90mmHg or taking anti-hypertensive) and those with Liver disease (ALT>40IU, AST>40IU), renal impairment (creatinine > 1.2mg/dl), chronic or gestational diabetes (BSR > 200mg/dl) were excluded. After taking informed consent, patient’s biodata including name, age, BMI, gestational age and parity was noted. At baseline, blood sample was collected in 5cc disposable syringe. Results: All patients were followed-up in OPD till term whereby they were evaluated for blood pressure and presence of proteinuria and preeclampsia was confirmed as positive or negative in accordance with operational definition. Quantitative variables like BMI, age of the patient and gestational age were presented in the form of mean and standard deviation whereas qualitative variables including preeclampsia (on PDW and actual event) were presented in the form of percentage and frequency. Presenting parity as frequency we generated 2x2 table for calculation of NPV, PPV specificity, sensitivity and diagnostic accuracy of PDW taking actual clinical occurrence of preeclampsia as gold standard. Data was stratified for age, parity, BMI of the patient and gestational age calculated in weeks. Conclusion: On the basis of this study we concluded that the PDW is a useful tool for prediction of preeclampsia in females presenting with singleton pregnancy but less had low sensitivity. Keywords: Preeclampsia, Platelet Distribution Width, blood pressure, proteinuria
Combining Complete Blood Count with Differential Count; C-Reactive Protein and Band Neutrophils in Diagnosis of Early onset Neonatal Sepsis
Authors: Ahmed Khawaja Abrar , Khan Manzoor Ali , Naqvi Syed Zakir , Mughal Ishtiaq Ahmed , Zia Mohsna Saeed , Idrees Arzoo
Published: October 2022

Aim: To assess the diagnostic accuracy of complete blood count with band versus total neutrophil ratio and C-reactive proteins as an efficient analytical procedure for determining early onset sepsis in neonates. Study design: Cross sectional analytical study Place and duration of study: Department of Paediatric Medicine, Abbas Institute of Medical Sciences Muzafarabad, AJ Kashmir from 01-02-2022 to 31-07-2022. Methodology: Fifty patients were enrolled. Coulter counter was used for analyzing leucocytes of the neonates. Thin film-smears were generated by the laboratory scientist for identifying band neutrophils separately from mature neutrophils. C-reactive proteins level <5mg/dl was considered as negative. Thio-glycate-oxide in liquid form was used for 2ml neonatal blood culture analysis mixed in the 20ml medium at 36 degree celsius. Results: There were 28 (56%) males and 22 (44%) females. The mean age of the neonates was 1.6± 0.77 days. The mean weight of the neonates was 2.4±0.51kg with a range of 4-1.2kg. A variance of band versus total neutrophil ratio was significantly higher in cultures which were positive than negative such as 70% vs 25%. There was also significant percentage of C-reactive proteins positive in positive sepsis cultures in comparison to negative blood culture. Conclusion: A combination of complete blood count with differential count, white blood cell analysis with band versus total neutrophil ratio and c-reactive proteins is an efficient early analytical procedure for determining early onset sepsis in neonates as gold standard test blood culture is time taking. Key Words: Complete blood count, C-reactive protein, Total neutrophils ratio, Early onset neonatal sepsis.
Frequency and Pattern of presentation of Oral Squamous Cell Carcinoma and its predisposing Factors in patients presented to Nishtar Institute of Dentistry
Authors: Zahra Tauseef , Jawa Zehra , Zahra Tehzeeb , Nazeer Asif , Raza Hassan
Published: October 2022

Aim: To determine the Frequency and Pattern of Presentation of Oral Squamous Cell Carcinoma and its Predisposing Factors in Patients Presented to Nishtar Institute of Dentistry. Study design: Cross sectional study. Place and Duration of Study: Study was conducted from Aug 2021 to Jan 2022 at Nishtar Institute of Dentistry. Methodology: A total of 100 patients were included. Patients aged between18-80 years males and females were included whom were presented with oral squamous cell carcinoma. Detailed history and biopsy was taken along with CT scan or MRI. Radiological findings and TNM staging was observed of the patients. Results: Among those 100 patients 60 (60%) males and 40 (40%) females, 67 % of patients were in between 41-60 years. 35 patients (35%) had a lesion in buccal mucosa, 24 patients (24%) were presented with eythroplakia while histopathological reports of 100 showed 44 patients (44%) had grade 1 (well differentiated squamous cell carcinoma. TNM showed 49 patients (49%) were placed in T1, 42 patients (42%) were in N2b and 13 patients (13%) had metastatic disease on presentation. Conclusion: Result shows that OSCC was present more in male population. Smoking was recorded as common risk factor. Buccal mucosa was common site of involvement followed by tongue. Ulceration was the frequent presenting feature while majority cases had moderately differentiated squamous cell carcinoma. Key words: oral squamous cell carcinoma, smoking, TNM
Use of Bubble Continuous Positive Airway Pressure (BCPAP) in Management of Neonatal Respiratory Distress Syndrome in Resource Limited Settings
Authors: Idrees Arzoo , Khan Manzoor Ali , Mughal Ishtiaq Ahmed , Zia Mohsna Saeed , Shah Syed Zakir Hussain , Ahmed Khawaja Abrar
Published: October 2022

Aim: To determine the efficacy of use of bubble continuous positive airway pressure in management of neonatal respiratory distress syndrome. Study design: Prospective study. Place and duration of study: Paediatric Medicine, Abbas Institute of Medical Sciences (AIMS) Muzafarabad, AJ Kashmir from 01-02-2022 to 31-07-2022. Methodology: Fifty new born who were admitted with respiratory distress syndrome was enrolled. On clinical examination their shake test was found positive for respiratory distress syndrome or in other cases the chest x-ray imaging was suggestive towards respiratory distress syndrome symptoms. Oxygen flow-meter was prepared and nasal-pong were closed for bubble prior attachment with neonate. Appearance, pulse, grimace, activity and respiration scoring at five min, primigravida, child temperature, vital signs, oxygen saturation rate, complications, post and pre-bubble continuous positive airway pressure were recorded. Results: The mean age of the neonates was 2.7±1.1 days. There were more male children than female new born who were suffering from respiratory distress syndrome. The mean maternal age was 32.3±3.5 years with 70% of the births to be in singleton Antenatal steroids were received by 66.7% of new born and the 5 minutes appearance, pulse, grimace, activity and respiration score presented 64% new born within a range of 8-10 points. There were 76.2% respiratory distress syndromes new born who were successfully weaned off from bubble continuous positive airway pressure. Conclusion: Bubble continuous positive airway pressure is a cost-effective technique in resource limited regions for reducing and treating respiratory distress syndrome cases and decreasing mortality. Keywords: Management, Respiratory distress syndrome, Management
Comparison of Outcomes of PHILOS for Proximal Humerus Fracture in Middle Aged Patients Based on Early Surgery vs Late Surgery
Authors: Uppal Khalil Muhammad Salman , Bajwa Affan Zia , Sikandar Mirza Zeeshan , Siddiq Umair Abu Bakar , Khan Bilal , Bakar Muhammad Abu
Published: October 2022

Background: Proximal humeral fractures are third most commonly occurring fractures of old age. PHILOS plate gives maximum fracture stabilization in the treatment of proximal humeral fractures of old age. Aim: To assess the effect of PHILOS in the management of proximal fractures of humerus and its effect on DASH scores. Methodology: A comparative cross-sectional analytical study was carried out from February to July 2022. Healing and functional outcome was assessed at 24 weeks using quick Disabilities of Arm, Shoulder and Hand score ranging from 0 to 100 where <65 reflects excellent prognosis, 65-79 means good prognosis, 80-89 satisfactory and 90-100 reflects poor prognosis. Results: A total of 106 patients volunteered in this research, with the mean age of 53.92±5.28 years, among those 92(86.79%) were males & rest 14(13.21%) were females. The patients who reported earlier have excellent prognosis when compared with those who reported after 5 days with p value .007, among those who had good response majority reported before 5 days with p value .06. Conclusion: Early presentation and prompt management of proximal humoral fractures can have better prognosis and can prevent disability. MeSh Words: Fracture, PHILOS, proximal humerus, DASH.