bluuebunny/crossref_metadata_2025 huggingface dataset:
Pemberdayaan Rema Muda Dalam Membangun Desa Mandiri dan Berjiwa Usaha Melalui Pos Pintar Dalam Meningkatkan Ekonomi
Authors: Suleman Dajani , Rivai Samsiar
Published: July 2021

Pemuda merupakan bagian dari masyarakat yang menjadi sendi-sendi bangsa juga perlu untuk dibenahi dengan segala persoalan yang ada. Kegitan pemberdayaan merupakan implikasi dari strategi pembangunan yang berbasis pada masyarakat, termasuk pemuda. Secara sederhana, adanya kegiatan pemberdayaan adalah bagaimana membuat individu yang tidak berdaya menjadi lebih berdaya, artinya pemberdayaan memberikan suatu proses individu untuk mengembangkan kemampuannya supaya lebih berdaya atau berkemampuan. Sehingga upaya pemberdayaan sangat cocok dan potensial diberikan pada kaum muda. Dengan potensi yang dimiliki pemuda, maka pemuda perlu ikut diberdayakan agar lebih mampu dan mandiri mengembangkan dirinya dan bangsanya. Dengan dilakukan pemberdayaan terhadap remamuda desa sehingganya akan mengurangi kesenjangan yang akan muncul terutama kesenjangan social.
Pemberdayaan Masyarakat Melalui Program Blue Carbon Sebagai Aksi Mitigasi Iklim Guna Membangun Ketahanan Blue Economy Di Masyarakat Pesisir
Authors: Pembengo Wawan , Purnomo Sutrisno Hadi , Dude Suyono
Published: July 2021

Indonesia berada pada peringkat 9 dari 10 negara yang paling rentan terhadap ancaman keamanan pangan akibat dampak perubahan iklim. Temuan ilmiah terbaru mengenai dampak perubahan iklim di lautan, seperti pemanasan laut, pengasaman, deoksigenasi, kenaikan permukaan air laut dan meningkatnya aktivitas badai, serta bagaimana dampak ini membuat orang lebih rentan terhadap migrasi dan pemindahan. Upaya program Blue Carbon dan Blue Economy  dapat terintegrasi dengan kegiatan pengelolaan lingkungan yang telah dilaksanakan masyarakat di tingkat lokal dengan memperhatikan faktor risiko iklim dan dampak perubahan iklim yang mungkin terjadi.  Tempat pelaksanaan KKN Tematik UNG  ini di desa Panca Karsa 2 kecamatan Taluditi kabupaten Pohuwato propinsi Gorontalo. Waktu pelaksanaan mulai 3 September 2020  hingga 18 Oktober 2020.  Jumlah mahasiswa yang terlibat dalam kegiatan KKN tematik ini berjumlah 29 mahasiswa dari berbagai program studi yang ada di UNG yang dibawah bimbingan 3 dosen pembimbing lapangan. Bentuk program yang akan dilaksanakan oleh peserta KKN adalah  pelatihan dan pembinaan meliputi Program Blue Carbon seperti restorasi dan pelestarian ekosistem mangrove, penanaman dan pelestarian ekosistem lamun sedang Program Blue Economy seperti teknik hidroponik dari sampah plastik dan teknik vertikultur. Hasil yang dicapai dari program KKN Tematik UNG 2020 ini yakni penerapan program  Blue Economy dibutuhkan guna peningkatan ketahanan ekonomi masyarakat dengan total keuntungan program sebesar Rp 4.975.000. Program hidroponik dan vertikultur berperan dalam memacu semangat masyarakat dalam mengefektifkan dan mengurangi sampah plastik yang nantinya banyak digunakan untuk teknologi hidroponik dan vertiultur. Terukurnya potensi dan kontribusi masyarakat desa melalui aksi-aksi lokal yang spesifik dalam hal upaya mitigasi iklim.
Pemanfaatan Potensi Desa Berbasis Bioekonomi Melalui Peningkatan Ketahanan Pangan Untuk Mencegah Stunting Di Desa Ilomangga Kecamatan Tolinggula Kabupaten Gorontalo Utara
Authors: Ansar Ansar , Hasanuddin Hasanuddin
Published: July 2021

Stunting adalah terjadinya kekurangan gizi secara kronis apalagi saat pandemi covid 19 membuat adanya kekwatiran masyarakat akan beraktifitas lebih jauh atau berkeliaran dalam memenuhi kebutuhan pokoknya, maka dari itu perlunya pencegahan stunting sedini mungkin melalui ketahanan pangan dengan melihat potensi lokal daerah dengan menerapkan bioekonomi. Bioekonomi merupakan suatu sistem ekonomi dalam pengelolaan dan pengolahan sumber daya alam, yaitu pemanfaatan secara biologi dan ekonomi untuk pemenuhan kebutuhan dasar masyarakat. Untuk menunjang hal tersebut, maka pada pengabdian ini akan dilakukan proses pengolahan dan pengelolaan dengan memanfaatkan lahan pekarangan sebagai media tanam hortikultura. Metode ini secara sistematis dilakukan untuk meningkatkan nilai gizi pada tanaman hortikultura dimana menggunakan pupuk organik  sehingga aman untuk dikonsumsi terutama bagi ibu – ibu rumah tangga atau ibu hamil. Pencengahan stunting dapat dilakukan. Kemudian juga pemanfaatan lahan pekarangan dan pupuk organik yang diolah sendiri oleh masyarakat melalui pendampingan mahasiswa diharapkan akan mengurangi biaya pupuk dan juga masyarakat tidak banyak bepergian hanya untuk belanja keperluan sehari –hari. Hasil kegiatan yaitu tersosialisasi Pencegahan Stunting. Program sosialisasi Pencegahan Stunting ini merupakan salah satu program inti mahasiswa KKN yang dilatar belakangi oleh masalah stunting nasional dengan pemaparan materi singkat, sesi tanya jawab, dan pembagian leaflet kesehatan mengenai pencegahan stunting.Tujuan dari kegiatan ini diharapkanmasyarakat dapat mengetahui dan melakukan pencegahan sedini mungkin mengenai stunting yang sekarang termasuk dalam kelompok penyakit tidak menular (PTM) dengan prevalensi cukup tinggi di Indonesia.
Pemberdayaan Masyarakat Dimasa Pandemi Melalu Pelatihan Pembuatan Handsanitizer Dan Pelatihan Pembuatan Coklat Desa Tamaila Utara
Authors: Arifin Yayu Indriati , Djafar Abdi Gunawan
Published: July 2021

Desa tamaila utara merupakan salah satu desa yang menjadi desa binaan Universitas negeri gorontalo  sehingganya sekitar 35 mahasiswa/i  UNG di turunkan didesa ini untuk melaksanakan program KKN GEF-SGP UNG. Program inti yang dilaksanakan didesa ini dilakukan dengan menggunakan metode pelatihan. Program pelatihan pembuatan  handsanitizer dan pelatihan pembuatan coklat ini diikuti oleh staf pemerintah desa tamaila utara, pemuda dan masyarakat desa tamaila utara , program yang di jalankan selama satu hari ini mendapatkan respon baik dan antusias dari masyarakat desa tamaila utara. Bahan yang digunakan untuk program pelatihan pembuatan handsanitizer yaitu daun sirih dan perasan jeruk, bahan ini sangat mudah didapat dan pembuatannya juga sangat mudah. Untuk bahan pelatihan coklat menggunakan buah kakao yang diambil langsung dari  salah satu dusun dari desa tamaila utara yakni dusun tumba. TAMANTIS menjadi produk handsanitizer yang dihasilkan dari pelatihan Handsanitizer dan CHOCO TUMBA menjadi  produk dari pelatihan coklat yang dilaksanakan oleh mahasiswa KKN GEF-SGP desa tamaila utara.
Peningkatan Ekonomi Kreatif dan Kewirausahaan Masyarakat Desa di Tengah Pandemi COVID 19
Authors: Amali Lanto Ningrayati , Suhada Sitti , Katili Muhammad Rifai
Published: July 2021

The coronavirus pandemic or COVID 19 resulted in the disruption of almost all sectors of human life, ranging from the health, social, and economic life of the community. The goal that this activity wants to achieve is to increase the creativity and economy of the community in the mids of the spread of the COVID 19 outbreak. Special targets that want to be achieved are: (1) increasing the role of the community in creating entrepreneurship in the midst the COVID 19 outbreak, (2) improving people's ability to innovate by creating business ideas that suit the conditions amid during in the COVID 19 outbreak, and (3) the formation of a resilient society against the COVID 19 pandemic. To achieve these specific goals and targets the method used is by transferring science and technology based on information technology through the implementation of socialization, education, and training to the community as well as more accurate reports of public circumstances.
Restorasi Embung Sebagai Ekowisata dan Inovasi Olahan Anti Covid-19 “Biluluhe” Sebagai Upaya Memulihkan Stabilitas Ekonomi Desa
Authors: Yantu Irwan , Bokingo Agus Hakri
Published: July 2021

This activity aims to (1) educate the community regarding the potential of the village that is owned and can be used as a source of income in encouraging the community's economy, (2) Developing the potential of an embung to become an ecotourism location, (3) Providing training on innovative processing of cassava and freshwater fish to be utilized a traditional anti-Covid-19 "Biluluhe" snack. The activity was carried out for 45 days by involving the community in Hutada'a Village and Buhu Village, Telaga Jaya District, Gorontalo District, Gorontalo Province. The output of this activity is the embung ecotourism location and Biluluhe food products.
Sosialisasi dan Pengembangan Potensi Desa melalui Pelaksanaan Perilaku Hidup Bersih dan Sehat sebagai Upaya Pencegahan Penyebaran Virus COVID-19
Authors: Tarigan Sylva Flora , Maksum Tri Septian
Published: July 2021

Kasus COVID-19 di Provinsi Gorontalo khususnya di Kabupaten Gorontalo Utara masih terus mengalami peningkatan dan belum mencapai puncak pandemi, sehingga upaya yang paling efektif dilakukan saat ini adalah menerapkan Perilaku Hidup Bersih dan Sehat (PHBS). Kegiatan pengabdian kepada masyarakat dilakukan di Desa Tudi Kecamatan Monano Kabupaten Gorontalo Utara, dengan tujuan untuk: (1) menciptakan kepedulian masyarakat dalam mencegah penyebaran virus COVID-19 dengan cara sosialisasi penerapan PHBS, dan (2) mengembangkan potensi desa melalui pelatihan penerapan PHBS, meliputi pembuatan masker kain dan hand sanitizer alami. Target yang hendak dicapai adalah meningkatnya partisipasi masyarakat dalam ber-PHBS, dimana masyarakat sudah tahu, mau, dan mampu membuat masker kain dan hand sanitizer alami secara mandiri. Tahapan kegiatan meliputi persiapan dan pembekalan, serta pelaksanaannya di lapangan. Hasil pelaksanaan kegiatan pengabdian kepada masyarakat ini adalah: (1) meningkatnya pemahaman masyarakat tentang upaya PHBS, dan (2) masyarakat telah memiliki keterampilan dan kemandirian dalam membuat masker kain dan hand sanitizer alami, sehingga menjadi upaya dalam menekan/mengendalikan kasus kesakitan dan kematian akibat COVID-19.
Pemanfaatan Limbah Kelapa dalam Meningkatkan Ekonomi Masyarakat Desa untuk Mendukung Pelestarian Lingkungan Ditengah Pandemi COVID-19
Authors: Junus Nirwan , Mandjo Julius , Mamu Karlin Z
Published: July 2021

Tingginya produksi kelapa di Kabupaten Pohuwato khususnya di Kecamatan Patilanggio kiranya dapat dikembangkan sebagai potensi desa. Namun kurangnya inovasi dan keterampilan masyarakat dalam pemanfaatan limbah kelapa menjadi produk yang bernilai jual menyebabkan limbah kelapa tidak mempunyai nilai bahkan nilai jualnya sangat murah, sehingga mempengaruhi pendapatan masyarakatdi masa Pandemi Covid-19.Target dari program ini yakni 1) mengidentifikasi potensi desa dan permasalahan desa khususnya terkait pemanfaatan limbah kelapa, 2) melakukan sosialisasi pentingnya menjaga kelestarian lingkungan, penyuluhan pentingnya pengembangan potensi desa di masa Pandemi Covid-19 serta penyuluhan tentang cara mencegah penyebaran Covid-19 dan cara mencegah stunting pada anak. 3) melakukan pelatihan dan pendampingan kepada masyarakat Desa Ilohelumo dalam memanfaatkan potensi desa dengan cara mengolah limbah kelapa menjadi berbagai produk yang bernilai jual sehingga dapat meningkatkan ekonomi masyarakat desa untuk mendukung pelestarian lingkungan. Metode yang digunakan dalam kegiatan ini adalah memberikan sosialisasi, edukasi serta pelatihan dan pendampingan kepada masyarakat desa.
Peningkatan Potensi Ekonomi Masyarakat di Kawasan Teluk Tomini Melalui Pelatihan Kreativitas Bagi Ibu Rumah Tangga
Authors: Wantu Tuti , Idris Idriani
Published: July 2021

Kreativitas yang dimiliki oleh setiap orang bervariasi sehingga perlu distimulir dan dikembangkan untuk menjadikan mereka sebagai pribadi yang kreatif. Meski begitu, para ibu rumah tangga kreatif ini tak selalu memiliki bekal pengetahuan untuk membuka usaha tanpa ada bantuan dari berbagai pihak baik pemerintah maupun perguruan tinggi yang berwenang. Sehubungan dengan hal tersebut KKN Tematik ini bertujuan: (1) Meningkatkan potensi ekonomi masyarakat di Kawasan Teluk Tomini melalui pelatihan kreativitas untuk ibu-ibu rumah tangga. (2) Meningkatkan kompetensi kreativitas ibu-ibu rumah tangga di Kawasan Teluk Tomini dalam meningkatkan kualitas kesejahteraan keluarganya. (3) Terbentuknya kelompok-kelompok  ibu rumah tangga dalam  membuat sebuah usaha dari hasil kreativitasnya. Metode pelaksanaan pelatihan 25% Teori dan 75% Praktek materi pelatihan sesuai dengan kebutuhan yaitu peningkatan kreativitas kegiatan usaha dengan memberikan materi pengolahan limbah laut dan hasil tanaman jagung, media dan alat mendukung, evaluasi pelatihan melalui penilaian dan pendampingan. Hasil pelaksanaan pengabdian masyarakat melalui program kegiatan pelatihan kreativitas “pembuatan tempat tissue menggunakan limbah laut (kerang) dan pembuatan cemilan jasuke yang berbahan dasar jagung mampu meningkatkan potensi ekonomi masyarakat terutama ibu-ibu rumah tangga di Desa Koluwoka Kecamatan Sumalata Timur Kabupaten Gorontalo Utara sehingga mampu menumbuhkan jiwa kewirausahaan masyarakat terutama ibu-ibu rumah tangga untuk mendirikan usaha secara mandiri.
The InBIO Barcoding Initiative Database: DNA barcodes of Portuguese Hemiptera 01
Authors: Sousa Pedro , Grosso-Silva José , Andrade Rui , Chaves Cátia , Pinto Joana , Paupério Joana , Beja Pedro , Ferreira Sónia
Published: July 2021

The InBIO Barcoding Initiative (IBI) Hemiptera 01 dataset contains records of 131 specimens of Hemiptera. Most specimens have been morphologically identified to species or subspecies level and represent 88 species in total. The species of this dataset correspond to about 7.3% of continental Portuguese hemipteran species diversity. All specimens were collected in continental Portugal. Sampling took place from 2015 to 2019 and specimens are deposited in the IBI collection at CIBIO, Research Center in Biodiversity and Genetic Resources.

This dataset increases the knowledge on the DNA barcodes and distribution of 88 species of Hemiptera from Portugal. Six species, from five different families, were new additions to the Barcode of Life Data System (BOLD), with another twenty five species barcodes' added from under-represented taxa in BOLD. All specimens have their DNA barcodes publicly accessible through BOLD online database and the distribution data can be accessed through the Global Biodiversity Information Facility (GBIF).Eutettix variabilisandFieberiella floriiare recorded for the first time for Portugal andSiphanta acuta, an invasive species, previously reported from the Portuguese Azores archipelago, is recorded for the first time for continental Portugal.
Economic costs of invasive species in Germany
Authors: Haubrock Phillip J. , Cuthbert Ross N. , Sundermann Andrea , Diagne Christophe , Golivets Marina , Courchamp Franck
Published: July 2021

Invasive alien species are a well-known and pervasive threat to global biodiversity and human well-being. Despite substantial impacts of invasive alien species, quantitative syntheses of monetary costs incurred from invasions in national economies are often missing. As a consequence, adequate resource allocation for management responses to invasions has been inhibited, because cost-benefit analysis of management actions cannot be derived. To determine the economic cost of invasions in Germany, a Central European country with the 4th largest GDP in the world, we analysed published data collected from the first global assessment of economic costs of invasive alien species. Overall, economic costs were estimated at US$ 9.8 billion between 1960 and 2020, including US$ 8.9 billion in potential costs. The potential costs were mostly linked to extrapolated costs of the American bullfrog Lithobates catesbeianus, the black cherry Prunus serotina and two mammals: the muskrat Ondatra zibethicus and the American mink Neovison vison. Observed costs were driven by a broad range of taxa and mostly associated with control-related spending and resource damages or losses. We identified a considerable increase in costs relative to previous estimates and through time. Importantly, of the 2,249 alien and 181 invasive species reported in Germany, only 28 species had recorded economic costs. Therefore, total quantifications of invasive species costs here should be seen as very conservative. Our findings highlight a distinct lack of information in the openly-accessible literature and governmental sources on invasion costs at the national level, masking the highly-probable existence of much greater costs of invasions in Germany. In addition, given that invasion rates are increasing, economic costs are expected to further increase. The evaluation and reporting of economic costs need to be improved in order to deliver a basis for effective mitigation and management of invasions on national and international economies.
Biological invasions in Singapore and Southeast Asia: data gaps fail to mask potentially massive economic costs
Authors: Haubrock Phillip J. , Cuthbert Ross N. , Yeo Darren C. J. , Banerjee Achyut Kumar , Liu Chunlong , Diagne Christophe , Courchamp Franck
Published: July 2021

The impacts of invasive alien species are well-known and are categorised as a leading contributor to biodiversity loss globally. However, relatively little is known about the monetary costs incurred from invasions on national economies, hampering management responses. In this study, we used published data to describe the economic cost of invasions in Southeast Asia, with a focus on Singapore – a biodiversity-rich, tropical island city state with small size, high human density and high trade volume, three factors likely to increase invasions. In this country, as well as in others in Southeast Asia, cost data were scarce, with recorded costs available for only a small fraction of the species known to be invasive. Yet, the overall available economic costs to Singapore were estimated to be ~ US$ 1.72 billion in total since 1975 (after accounting for inflation), which is approximately one tenth of the total cost recorded in all of Southeast Asia (US$ 16.9 billion). These costs, in Singapore and Southeast Asia, were mostly linked to insects in the family Culicidae (principally Aedes spp.) and associated with damage, resource loss, healthcare and control-related spending. Projections for 11 additional species known to be invasive in Singapore, but with recorded costs only from abroad, amounted to an additional US$ 893.13 million, showing the potential huge gap between recorded and actual costs (cost records remain missing for over 90% of invasive species). No costs within the database for Singapore – or for other Southeast Asian countries – were exclusively associated with proactive management, highlighting that a shortage of reporting on the costs of invasions is mirrored by a lack of investment in management. Moreover, invasion cost entries in Singapore were under-reported relative to import levels, but total costs exceeded expectations, based on land area and population size, and to a greater extent than in other Southeast Asian countries. Therefore, the evaluation and reporting of economic costs of invasions need to be improved in this region to provide efficient data-based support for mitigation and management of their impacts.
There Will Be Blood: Oil Curse, Fossil Dependency and Petro-Addiction
Authors: Watts Michael
Published: July 2021

There is an active academic and policy debate over whether and how oil producers – as exemplars of a larger set of Global South development problems associated with 'resource dependency' – can be associated with a number of 'pathologies' or deficits (corruption, poor economic
growth, conflict) that are seen as expressions of a much-wider global addiction to petroleum and natural gas. Equally, there is a vibrant set of regulatory and policy interventions designed to render the oil and gas sector more transparent and accountable through modalities like the extractive
industries transparency initiative (EITI). In both cases, the language of dependency and addiction is endemic. The socalled 'resource curse' and oil's commodity status as 'the devil's excrement' are exemplary expressions of oil's apparently seductive yet catastrophic properties. Oil dependency
and oil addiction have become central to the discourse – a planetary discourse in effect, of the Anthropocene and forms of life within it. This article explores how discourses of dependency and addiction have been put to work, and with what effect, in the debate around the oil and gas
global assemblage. It shows how in the case of dependency (and here it is largely the dependency associated with oil-producing or petro-states such as Saudi Arabia or Nigeria) there are often unacknowledged and deep registrations of the word's meanings which are embedded in liberal governance.
Much of this dependency talk, I will argue, locates the problem in a series of failings (which oil both overdetermines and facilitates) associated with liberal views of the self, of political economy and the state. In the case of oil dependency as an addiction, I attempt to draw out how an
understanding of addiction as a social (and systemic) issue, rather than a property of individual consumers or the pathological-addictive character of particular commodities, sheds light on how oil is built into hydrocarbon capitalism, and what it will take to, as it were, break the habit
of large-scale oil consumption.
Impact of a Digital Intervention on Perceived Stress, Resiliency, Social Support, and Intention to Leave Among Newly Licensed Graduate Nurses: A Randomized Controlled Trial
Authors: Concilio Lisa , Lockhart Joan Such , Kronk Rebecca , Oermann Marilyn , Brannan Jane , Schreiber James B.
Published: July 2021

Background:

The nursing shortage has been deemed a public health crisis as the turnover rate of newly licensed graduate nurses (NLGNs) continues to grow. One of five NLGNs are leaving the profession due to work dissatisfaction and feelings of inadequacy, risking patient safety.

Method:

A prospective, randomized controlled trial evaluated the impact of a 6-week digital intervention (text messaging) on NLGNs' self-reported stress, resiliency, sense of support, and intention to leave their jobs, organization, and profession. Messages to the experimental group (
n
= 10) conveyed emotional, esteem, and networking support, and messages to the control group (
n
= 11) were medical facts.

Results:

The digital intervention in the form of medical facts increased the control group's sense of social support. Stress, resilience, and intention to leave their jobs, organizations, or profession did not change for either the control or experimental group.

Conclusion:

A digital intervention, such as text messaging, potentially can increase NLGNs' sense of support during their first year of hire.

[
J Contin Educ Nurs
. 2021;52(8):367–374.]
The hybrid power mean of some special character sums of polynomials and two-term exponential sums modulo $ p $
Authors: Zhang Wenpeng ,   School of Science, Xi'an Technological University, Xi'an, Shaanxi, China, Zhang Jiafan ,   School of Mathematics, Northwest University, Xi'an, Shaanxi, China
Published: July 2021

We consider the calculation problem of one kind hybrid power mean involving the character sums of polynomials and two-term exponential sums modulo $ p $, an odd prime, and use the analytic method and the properties of classical Gauss sums to give some identities and asymptotic formulas for them.
Cloud Computing
Authors: Omurgonulsen Mine , Ibis Merve , Kazancoglu Yigit , Singla Pretty
Published: July 2021

The global competition have extended the scope of trade and extended the supply chains causing the information management to be an essential part of the businesses. Many new technologies have recently been adapted by organizations in the era of digitalization. Cloud computing had an important place in these technologies and has been integrated widely to organizations. In recent days unexpected and risky periods such as the global pandemic increased the interest towards cloud computing topic in both academically and practically. The purpose of this study is to analyze and classify the contributions of the studies published in cloud computing field. The cloud literature is analyzed systematically from the management and business point of view. The review is limited with journal articles and papers published between 2014 and 2019. This research summarizes the current research attempts, discovers the research gaps and provides a research agenda for the future research on cloud computing within the context of information management in business and management by a global perspective.
Menisco-ligamentous injuries of knee joint: Can ultrasonography serve as an effective screening modality?
Authors: Mir Farooq , Raina Zahoor , Shah Omair , Gojwari Tariq , Robbani Irfan , Shera Tahleel
Published: July 2021

The aim is to calculate sensitivity, specificity and diagnostic accuracy of Ultrasonography (USG) as a screening modality in evaluation of Menisco- Ligamentous injuries of knee joint with Magnetic Resonance Imaging (MRI)as gold standard for comparison.Patients with clinically suspected Menisco-Ligamentous injurieswere evaluated by USG initially followed by MRI on the same day. A total of 60 patients (50 males, 10 females) underwent USG and MRI. USG was done using high frequency probe (9-14 Hz) and all the injuries noted. USG of the normal knee was done for comparison. MRI with trauma protocol sequences was done on the same day. The accuracy of USG and MRI in diagnosis of menisco-ligamentous injuries was compared. Majority of the patients (50%) belonged to age group of 21-40 years. Most common injuries seen were medial meniscal tear followed by medial collateral ligament injury. The strength of agreement between USG and MRI was good with Diagnostic accuracy of USG ranging from 83.3% to 95% for different meniscal/ligamentous injuries.USG is an effective imaging modality with high accuracy in diagnosing menisco-ligamentous injuries. USG can act as an effective screening modality in closed knee trauma for evaluation of menisco- ligamentous injuries especially in resource constrained regions owing to its easy availability, portability and lower cost. MRI can be reserved for patients with suspicious USG and clinical findings.
Morphological evaluation of bulb and distal duodenal biopsies in pediatric celiac disease with clinical and serological correlation
Authors: Singaravel Saranya , Tandon Rajesh , Vohra Pankaj
Published: July 2021

Background and Aims:

An early correct diagnosis of celiac disease (CD) is fundamental to reversal of symptoms and prevention of complications in pediatric patients. Our aim was to evaluate the role of duodenal bulb biopsy by studying the degree of mucosal damage in the duodenal bulb (D1) and second part of the duodenum (D2) and correlating the findings with serum IgA anti-tTG levels.

Settings and Design:

Pediatric patients (age <18 years) with clinical suspicion of CD and positive IgA anti-tTG titers were consecutively enrolled over a period of one year. Demographic variables, anthropometry, clinical history, laboratory values and endoscopic findings were studied. Endoscopic biopsies obtained from D1 and D2 were evaluated and assigned histopathologic grades that were correlated with serology.

Statistical Analysis Used:

Descriptive statistics were employed.

Results:

A total of 37 clinically suspected cases of pediatric CD were studied. The mean age was 6.7 years and the M:F ratio was 1:1.3. Thirty-two (32) children had varying degrees of growth impairment. Eight (8) children had only extra-intestinal symptoms. Thirty (30) children were anemic, hypoalbuminemia was seen in five (5) children while transaminitis was seen in two (2) children. IgA anti-tTG >300 U/ml was associated with Marsh-Oberhuber Grade 3 morphology at atleast one site.

Conclusions:

Low positive serology values should be confirmed by histopathology. Biopsies should be taken even in the absence of endoscopic abnormality. Additional D1 biopsies placed in a separate container can increase the diagnostic yield.
Expression of CD44 and CD133 stem cell markers in squamous cell carcinoma of esophagus
Authors: Gupta Parul , Rizvi Sania Z. , Lal Nirupma , Gupta Vishal , Srivastav Anand N. , Musa Osman
Published: July 2021

Context:

Role of cancer stem cells in the esophageal carcinogenesis is not clear.

Aim:

To assess the expression of CD44 and CD133 cancer stem cell markers in esophageal squamous cell carcinoma (ESCC) and its predisposing lesions by immunohistochemistry.

Setting and Design:

Prospective study as a part of an intramural research project.

Materials and Methods:

Tissues samples were obtained with endoscopic biopsy and from surgically resected esophageal specimens. Fifty cases each of histopathologically diagnosed cases of esophageal squamous cell carcinoma and its predisposing lesions (mild, moderate, and severe dysplasia and esophagitis) were evaluated for stem cell marker CD44 and C133 by immunohistochemistry using a scoring system.

Statistical Analysis:

Chi-square test, analysis of variance (ANOVA), post-hoc tests (Tukey-HSD) were used as appropriate for data analysis. Two sided P < 0.05 was considered as significant.

Results:

CD44 expression was significantly higher in ESCC as compared to dysplasia and esophagitis (mean IS 7.92 ± 1.45 vs. 6.34 ± 0.80 vs 5.15 ± 0.86 respectively, P< 0.001). CD133 expression was also significantly higher in ESCC as compared to dysplasia (mean IS 6.82 ± 1.57 vs. 1.00 ± 0.00 respectively, P <0.001) while esophagitis showed no expression. CD44 and CD133 expressions were significantly higher in poorly differentiated ESCC than moderately differentiated and well differentiated lesions (CD44 mean IS 6.94 ± 1.44 vs 8.17 ± 1.38 vs. 8.63 ± 1.02 respectively, P <0.001 and CD 133 mean IRS 5.63 ± 0.81 vs 6.00 ± 00 vs. 9.0 ± 00 respectively, P <0.001).

Conclusion:

Significantly higher expression of CD44 and CD133 cancer stem cell markers in ESCC as compared to its predisposing lesions (esophagitis and dysplasia) suggests its role in esophageal carcinogenesis.
Parents attitudes toward the human papilloma virus (HPV) vaccine
Authors: Hendaus Mohamed A. , Hassan Manasik , Alsulaiti Moza , Mohamed Tasabeh , Mohamed Reem , Yasrab Dure , Mahjoob Hadeel , Alhammadi Ahmed H.
Published: July 2021

Background:

Human papillomavirus (HPV) is one of the leading causes of cervical and genital cancer in both genders.

Purpose:

To delineate parental attitude regarding HPV in Qatar.

Methods:

A cross-sectional study using a questionnaire was conducted at Sidra Medicine, Qatar.

Results:

A total of 334 questioners were completed. More than 60% of the parents were not aware that HPV can cause cervical and genital cancer. When asked about the level of comfort in giving their children a vaccine that would prevent them from getting genital cancer, 77% of the participants answered “very comfortable.” Interestingly, less than 4% of the parents stated that their children's primary care physicians ever mentioned that such a vaccine exists. When asked about the most preferable mode of receiving information regarding the HPV vaccine, 54% preferred the clinician's office, followed by 34% of whom preferred social media. In terms of the preferred age to receive the vaccine, 45% of the participants preferred to administer the vaccine to their children before they were mature enough to understand sexual relations, while 22% recommended vaccination right before marriage and 15% preferred to wait till they were grown up and decide for themselves. Furthermore, only 42% of the caregivers agreed that it is important to explain to their children that the vaccine can protect against some of the sexually transmitted infections. Finally, approximately 20% of the participants were not convinced about the HPV vaccine.

Conclusion:

A large proportion of parents residing in Qatar have a positive perception regarding the HPV vaccine. TheParents’ attitudes and perceptions are considered indispensable targets for community health intervention. We will share the result of our study with the ministry of public health in Qatar with a goal to incorporate the HPV vaccine in the National Immunization Schedule.
Schoolteacher's knowledge, attitudes, and practice toward student with epilepsy in Taif, Saudi Arabia
Authors: Alzhrani Sarah Hasan , AlSufyani Maram Hassan , Abdullah Rehab Ismail , Almalki Sultan
Published: July 2021

Background:

Globally, teachers have misconceptions about epilepsy and its management. Little is known about Saudi Teachers’ knowledge about epilepsy in Taif City.

Method:

Descriptive questionnaire-based cross-sectional survey of a sample of schoolteachers in Taif Governate.

Results:

The study included (n = 420) schoolteachers. All heard about epilepsy and (n = 116, 27.6%) knew about epilepsy from an afflicted individual, and (n = 102, 24.3%) from social media outlets. Most teachers believed that an epileptic fit constitutes seizures (n = 370, 88.1%). Some (n = 330, 78.6%) were not satisfied with their knowledge level. Attitudes were positively associated with years of experience, but, generally, were only modest with 50.2% fearful of having an epileptic child in class. The mean practice score was 6.9 (out of 15). Practice was improved by having a pupil with epilepsy in class.

Discussion and Conclusion:

Schoolteachers in Taif showed excellent crude knowledge about epilepsy. However, knowledge of crucial details of the disorder were poor. This could be due to reliance on social media for information. There was high level of insight among schoolteachers regarding their sub-optimum knowledge levels. Knowledge was much better among experienced schoolteachers. Witnessing an epileptic fit improved knowledge. Teachers’ attitudes toward epilepsy were negative, likely because of significant epilepsy-related stigma. Years of experience were significantly associated with increased attitude score. Schoolteachers’ actual practice in handling epilepsy cases was below-expectation. There is pressing need for high-quality workshops to address knowledge and practice deficits.
COVID-19 pandemic and death anxiety among intensive care nurses working at the Hospitals Affiliated to Tehran University of Medical Science
Authors: Belash Iran , Barzagar Fateme , Mousavi Gohar , Janbazian Kosar , Aghasi Zahra , Ladari Arezoo Taheri , Taghizadeh Maryam , Jahanbakhsh Fateme , Saripour Elnaz , Gholami Fateme , Rahnamaei Kosar
Published: July 2021

Introduction:

The unpredictable challenges and conditions of COVID-19 can cause mental health problems. In such a situation, one of the most important psychological problems is the fear and anxiety of death. Death anxiety can affect the quality of patient care services and the job satisfaction and mental health of nurses.

Methods:

This is a descriptive cross-sectional study in which 110 nurses working in the intensive care units of hospitals affiliated to the Tehran University of Medical Sciences were selected by the convenience sampling method from April to September 2016. The data collection tools used in the study include a demographic questionnaire and a Templer death-anxiety questionnaire.

Findings:

The results showed that the level of death anxiety in nurses working at COVID-19 intensive care units is associated with age, working hours per week, childbearing, several patients needing end-of-life care, cases of direct participation in resuscitation operations, cases of patient death observations, and satisfaction with personal protective equipment (P < o.o5).

Conclusion:

Increasing the nurses’ awareness of the critical situations of COVID-19, management measures, improving the working environment, social support, and increasing personal protective equipment seem to be the effective factors in protecting the intensive care unit nurses against COVID-19 and reducing death anxiety.
Sociodemographic features associated with Hepatitis C Virus (HCV) in pregnant females
Authors: Jindal Neerja , Goyal Lajya D. , Singh Charu
Published: July 2021

Background:

Hepatitis C virus (HCV) infection is high in state of Punjab, however very few studies have been done till date. We all know that pregnant females are a most important section of our community and are usually screened for HCV, HIV, and Hepatitis B at time of presentation. HCV is capable of causing chronic infections and having long-term implications on a person's health. Vertical transmission of HCV can be one of the major route of transmission of this virus to the neonate and there have been various sociodemographic factors like age, literacy, socioeconomic status, occupational status, associated with the disease causation and transmission.

Methods:

All pregnant females attending Obstetrics and gynecology department of our institute were included in study. All the sociodemographic characters and socioeconomic records were retrieved and analyzed.

Results:

In our study also a lower socioeconomic status, illiteracy have been significantly associated with the HCV-positive group, thus emphasizing the role of education so as to impart education to the masses as regard to mode of transmission and its effects on the disease. Higher age of conceiving is also significant associated with the increased maternal risk.

Conclusions:

The more involvement of health care officials and even persons not related to health care set up is required who can educate masses so as to protect the community.
A case report on umbilical endometriosis
Authors: Newme Kewithinwangbo , Hajong Ranendra , Newme Raguangjienlungle , Newme Keyikawangbo
Published: July 2021

Endometriosis is generally common benign disease manifested by the presence of uterine tissue outside the uterus. Umbilical endometriosis as such is rare entity but many a time it may go unnoticed to general physician if no symptoms arises from it. The documented case of umbilical endometriosis case is below 100 as per the case reports research. Here, in the case report we present an umbilical endometriosis arises after a laparoscopic and umbilical hernia repair procedure.
An observational study to estimate the level of essential trace elements and its implications in type 2 diabetes mellitus patients
Authors: Sonkar Satyendra Kumar , Parmar Krishnapal Singh , Ahmad Mohammad Kaleem , Sonkar Gyanendra Kumar , Gautam Medhavi
Published: July 2021

Background and Objectives:

Insulin action of reducing blood glucose has been found to be enhanced by trace elements.

Material and Methods:

This was a cross sectional study including 150 patients with Type 2 Diabetes Mellitus (T2DM) and 50 controls. Serum concentrations of zinc, copper, chromium, selenium and magnesium was measured by colorimetric kit. Fasting Blood Glucose and Glycated Haemoglobin (HbA1c) were assayed using the standard kit.

Results:

Out of 150 patients, 85.4% (n = 128) of the cases had uncontrolled blood sugar with HbA1c ≥7 and only 14.6% (n = 22) had good control of blood sugar with HbA1c <7%. Hypertension (42%) and hypothyroidism (14%) were the most commonly associated comorbidities among patients with T2DM. Following percentage of diabetic patients had complications such as peripheral neuropathy (45.3%), diabetic retinopathy (36.7%), coronary artery disease (20.7%), diabetic nephropathy (17.3%), peripheral vascular disease (8.7%), and cerebrovascular accident (6%) respectively. The mean level of zinc, copper, selenium and magnesium was significantly lower in patients with T2DM than the control cases (62.89 vs. 74.95 μg/dL, P < 0.05; 116.30 vs. 150.39 μg/dL, P < 0.001; 8.57 vs. 16.16 μg/dL, P < 0.001; 1.92 vs. 2.31 mg/dL, P < 0.05, respectively). Multivariate analysis showed that there was a significant trend between levels of zinc, copper, selenium, and magnesium and the prevalence of T2DM.

Conclusions:

The levels of selenium, zinc, copper, and magnesium were significantly lower in patients with T2DM when compared to healthy counterparts.
Consumption of fruits, vegetables and salt in the context of control of type 2 diabetes and hypertension in Kerala, India
Authors: Thulaseedharan Jissa V. , Sarma P. Sankara , Thankappan Kavumpurath R. , Soman Biju , Varma Ravi P. , Srinivasan Kannan , Nair Manju R. , Jeemon Panniyammakkal , Kutty V. Raman
Published: July 2021

Background:

Proper diet is necessary to control hypertension and diabetes. This paper describes the combined fruit and vegetable, and salt intake of adults (>=18 years) who were detected to have hypertension or diabetes.

Methods:

We analysed the data from a state-wide survey of 12012 adults using the World Health Organization STEPs for NCD risk factor surveillance. We evaluated the recommended intake of fruit and vegetable (>=5 servings/day) and salt (<5 gm/day) across participants divided into four strata, and the probabilities were also estimated using the fitted multiple binary logistic regression models.

Results:

Overall, 13.9% (95%CI: 12.2%-15.9%) and 29.4% (95%CI: 28%-30.8%) of participants consumed the recommended level of fruit and vegetable, and salt, respectively. Adjusted odds ratios were not significantly different across the four strata based on the status of treatment and control of diabetes or hypertension. The likelihood of following the recommended fruit and vegetable intake was highest for 50-69-year-old females with above high school education, obese, under treatment for diabetes or hypertension, and had normal values of FBS and BP (0.28). The likelihood for recommended salt intake was highest for 50-69-year-old males with above high school education and had normal BMI, under treatment for diabetes or hypertension, and had normal values of FBS and BP (0.69).

Conclusion:

The status of diabetes or hypertension did not show considerable influence in the fruit, vegetable, and salt intake of adults in general. A detailed exploration of the accessibility and acceptability of such recommended intakes in the Kerala context is warranted.
A Practical Tip for Intraoperative Perforator Vessel Selection
Authors: Dagdelen Daghan , Aksoy Alper , Benlier Erol
Published: July 2021

In planning of free-style free perforator flaps, relying on defined anatomical landmarks and preoperative imaging technologies is difficult to locate the perforating arteries. Situation gets more complicated when encountered multiple perforating arteries enter the small skin paddle. In these situations, the ideal perforator has to be selected mostly by clinical inspection. We would like to share our method for selecting the ideal perforating vessel in free-style perforator flaps by utilizing portable thermal camera, which may be a reliable intraoperative adjunct. An index digit soft-tissue reconstruction was planned with a free posterior interosseous artery flap. Preoperatively, two perforators were marked on intermuscular septum. After the skin island is elevated totally, both of the arteries were found to be of similar by means of caliber (<0.8 mm) and pulsation. A cold challenge test was applied to flap and a continuous video record with thermal camera was taken for 1 min. Video record shows that the dominant perforator is the distal one. Thus, the flap was raised based on distal perforator. Postoperative follow-up was uneventful. The portable thermal imaging is a low cost and readily accessible intraoperative adjunct for selecting the dominant perforator in free-style perforator free flaps.
Comparison of Effectiveness of Four Facial Masks used during the COVID-19 Pandemic using Indocyanine Green and Fluorescent Angiography Device
Authors: Deniz Erkan , Sibar Serhat , Kiliç Ozgun , Ayhan Suhan
Published: July 2021

Background:

The pandemic caused by the new type of coronavirus (coronavirus disease 2019) has led to a serious increase in the demand for personal protective equipment, especially the mask. Depending on the increasing demand, many types of masks have been used in the pandemic process between health-care professionals and the community.

Aims and Objectives:

In our study, it was planned to evaluate N95, green, white surgical, and fabric woven masks with a fluorescent angiography (SPY®) device for protection.

Materials and Methods:

To evaluate the effectiveness of the masks, models with and without mannequins are used. In both study models, indocyanine green was squeezed from the masks at a distance of 50 cm and the staining values of masks and mannequin faces were evaluated with fluorescent angiography (SPY®) device.

Results:

The most dyeing fabric was observed in the woven mask, while the least dyeing was observed in the N95 mask. In the model without mannequin, it was observed that the highest protection was in the N95 mask and the least protection was in the fabric woven mask. The most dyeing on the face was observed on the mannequin in which the woven mask was removed, and the least dyeing on the face was observed on the mannequin in which the N95 mask was removed. Green and white surgical masks were found to have similar protective rates.

Conclusion:

According to the results of this study, where the effectiveness of the mask was evaluated for the first time by using a fluorescent angiography (SPY®) device from a plastic surgery perspective, it was found that the N95 mask had the highest protection, the green and white surgical masks were similar, and the fabric woven mask had the least protection.
Viability and Durability of Diced Cartilage Graft Combined and Formed with Autologous Blood Fibrin (Experimental Study)
Authors: Aksan Tolga , Öztürk Muhammed Besir , Özer Mehmet , Mansuroglu Ilknur , Akan Mithat
Published: July 2021

Introduction:

Rhinoplasty constitutes an example wherein the various types of filling materials are used for nasal dorsal deformities. In this study, we took the advantage of a simplified procedure and used fibrin isolated from the coagulated peripheral blood of the experimental animal. Durability and viability of diced autologous cartilage grafts adhered to each other and formed using fibrin extracts were assessed experimentally in a rabbit model.

Subjects and Methods:

Diced cartilage graft (Group 1), block cartilage (Group 2), and fibrin adhered 0.5 mm diced cartilage graft (Group 3) were placed into subcutaneous pockets in the frontoparietal region of the same experimental animal. The grafts were excised at the end of 16 weeks. The excised grafts were macroscopically evaluated, and the final volumes and weights were measured. These measurements were compared to the initial values before implantation. Finally, the specimens were evaluated the histopathological examination.

Results:

In Group 1, 165% increase in weight and 56% increase in volume; in Group 2, 131% increase in weight and 81% increase in volume; finally in Group 3, 184% increase in weight and 68% increase in volume were seen. Although histological examination did not reveal any difference with regard to chondroid matrix score, metachromasia, vascularization, fibrosis, and inflammation we observed significantly higher cartilage proliferation score in Group 3.

Conclusion:

The results indicate that these grafts can be used efficiently, particularly in rhinoplasty procedures to correct nasal deformities.