bluuebunny/crossref_metadata_2025 huggingface dataset:
Plasma Fibrinogen and Echocardiography as Diagnostic Tool for Left Ventricular Hypertrophy among CKD Patients
Authors: Hussain Huma , Saeed Muniza , Lodhi Hifza Noor , Khaliq Shagufta
Published: March 2023

Background: Left ventricular hypertrophy is the most common cardiac event associated with chronic kidney disease. Aim: To detect LVH by echocardiography among CKD patients and co-relationship between plasma fibrinogen and left ventricular mass index. Study Design: Observational study. Methodology: It was an observational study with total of 62 CKD patients enrolled through convenience sampling. Patient’s age ranged from 35-65 years. Almost 3ml of blood was taken for measuring serum creatinine and fibrinogen. Blood was centrifuged for plasma separation than stored at -20°C. ECG findings were confirmed by echo in all enrolled patients. Data was evaluated by SPSS v.24. The results were presented as counts (percentage), means and standard deviation as appropriate. Spearman correlation was applied to check the correlation of variables. Results: Echo confirmed that LVH was found in 41 (66.1%) patients with systolic dysfunction. There was a high level of plasma fibrinogen in 73% of enrolled participants. No correlation between plasma fibrinogen and LVMI was found. Practical Implication: Current project helped health providers to diagnose cardiac event at an early stage among patients of kidney fail¬ure on echo findings along-with plasma fibrinogen levels thus the adverse outcomes could be prevented or delayed. Conclusion: It was concluded that echocardiography is a helpful diagnostic tool as it confirms ECG abnormalities seen in hospitalized CKD patients. All CKD patients should have their echocardiography done. Plasma fibrinogen levels were raised with declining renal function. Thus combination of both echo and fibrinogen levels among CKD are handful investigations for LVH. Keywords: Echocardiography, Chronic Kidney Disease, Left Ventricular Hypertrophy and Plasma Fibrinogen.
Frequency of Preterm Birth in Pregnant Female Residents and Impact of Working Hours on Preterm Birth
Authors: Nadeem Sumaira , Fatima Madiha , Rafique Samia , Sattar Ayesha Abdul
Published: March 2023

Background: Varying work schedules are suspected of increasing risks to pregnant women and fetal wellbeing. Aim: To compare mean working hours in females residents with preterm birth and full term birth. Methodology: It was a descriptive cross sectional study. Female residents (n=163) were enrolled through non-probability consecutive sampling. All pregnant female residents meeting inclusion criteria were enrolled after informed consent. Their basic information like age, parity; gestational age at delivery was recorded. Their working hours per week were noted. They all were followed till their delivery. Data was evaluated by using SPSS v.24. Chi square was applied with P-value of <0.05 was considered as significant. Quantitative variables were presented as mean±SD while categorical data was presented as percentage. Results: Mean age of female doctors was 29.22±1.81 years. A total of 28(17.18%) females had preterm birth while 135(82.82%) had term deliveries. The mean working hours were statistically higher in doctors having preterm birth i.e. 67.11±1.97 hours / week with p-value < 0.05. Practical Implication: As there is a high incidence of preterm births among our pregnant females residents and there is lack of local data that specifically addresses this health issue thus current study was planned. This study highlighted relationship of duty hours and adverse birth events during pregnancy like preterm bith, pre-maturity thus established the significance of duty stress because of long duty hours as a poor prognostic indicator for pregnancy outcome. Conclusion: It was concluded that frequency of preterm birth in female residents having long duty hours was considerably high i.e. 17.18%. Hence pregnant doctors must be given relaxation in their duty hours especially in their 3rd trimester to minimize the risk of poor fetal and maternal outcome. Keywords: Preterm Births, Duty Hours, Pregnant Residents and Parity.
BIST BANKA ENDEKSİ (XBANK) İLE GELİŞMİŞ ÜLKE BANKACILIK ENDEKSLERİ ARASINDAKİ VOLATİLİTE ETKİLEŞİMİNİN DCC-GARCH MODELİ İLE ANALİZİ
Authors: DOĞRU Ercüment , MEDETOĞLU Batuhan
Published: March 2023

Bilgi teknolojilerinin gelişimi ile yatırımcıların farklı ülke piyasalarında işlem yapabileceği finansal varlık sayısında büyük artış meydana gelmiştir. İşlemlerin maliyetlerinde ve gerçekleşme süresindeki düşüş, yatırımcıların piyasalar arasındaki geçiş hızını artırmıştır. Yatırımların farklı piyasalara dağılması nedeniyle ortaya çıkan şoklar, diğer piyasaları da etkilemektedir. Portföy riskinin azaltılması, uluslararası portföy çeşitlendirmesinin yapılması ve riskten korunma oranının belirlenmesi aşamasında piyasalar arasındaki bu etkileşimin bilinmesi yatırımdan beklenen faydayı artıracaktır. Bu çalışmada, Borsa İstanbul (BIST) Banka Endeksi (XBANK) ile ABD (NASDAQ IXBX), Almanya (DAX CXPBX), İngiltere (FTSE 350 FTNMX) ve Fransa (CAC FRFIN) Banka Endeksleri arasındaki volatilite ilişkisi DCC-GARCH modeli ile incelenmiştir. Çalışma kapsamında beş endeksin 01.01.2015–20.07.2022 dönemi günlük kapanış fiyatları kullanılmıştır. Analiz sonucunda; DAX CXPBX ve FTSE 350 FTNMX endeksleri ile XBANK arasında karşılıklı volatilite yayılımının olduğu, XBANK’tan ise CAC FRFIN endeksine tek yönlü volatilite yayılımının olduğu belirlenmiştir. Ayrıca, incelenen banka endeksleri ile XBANK arasında zamana bağlı değişen, pozitif yönlü korelasyon ilişkinin olduğu tespit edilmiştir.
TÜRKİYE CUMHURİYETİ’NDE PARLAMENTODA KADIN TEMSİLİ
Authors: ÇAKIR Melike , KARAKOÇ Rıfat
Published: March 2023

Türk parlamento hayatı Osmanlı Devleti döneminde başlayan tarihsel bir süreci içermektedir. Osmanlı Devleti’nde başlayan bu parlamento hayatı Cumhuriyet döneminde varlığını güçlendirerek korumaya devam etmiştir. Türkiye’de parlamentolu hayat ilk olarak erkeklerin temsil edildiği bir alan olarak ortaya çıkmış olsa da Cumhuriyet’in ilanının sonrasında kadınlar da parlamentoda temsil edilmeye başlanmıştır. Kadınların parlamentoda temsil edilmeye başlandığı ilk dönem, 18 kadın milletvekili parlamentoya girmeyi başarmıştır. Ancak o günden günümüze kadar olan süreçte kadınların temsil oranları erkeklerden her zaman düşük düzeyde kalmıştır. Bir diğer yönden diğer ülkelerin kadınlarından daha önce siyasi haklarını kazanan Türk kadınının parlamentoda temsil açısından geri planda kaldığı açık biçimde görülmektedir. Bu çalışmada Türkiye Cumhuriyeti’nde kadın parlamenter oranının belirlenmesi ve bu oranın tarafımızca eksik bulunması nedeniyle bu duruma yönelik çözüm önerilerinde bulunmak amaçlanmaktadır.
INTERNATIONAL POLITICS AND ETHICS: POSITIVE, NEGATIVE AND RECIPROCAL DUTIES ON GLOBAL POVERTY
Authors: BAŞKAN Burak
Published: March 2023

Global poverty has been an issue at the centre of ethical debates, because it has devastating effects on human life and it is the main source of various inequalities in society. This paper, which deals with the moral duties of humanity to reduce global poverty, argues that humanity has both positive duties to help the existing poor and negative duties to prevent the emergence of new poor and to find a permanent solution to poverty. The argument that ensures paper’s originality is that the poor, who claim positive rights for themselves, are obliged to fulfil their ‘reciprocal negative and positive duties’ towards the benefactors in return. By defending the opinion that a hierarchy should be determined for the interpersonal distribution of negative and positive duties, the paper also contributes to a fair distribution of duties between both those who request aid and those who aid.
THE ROLE OF AUTHENTIC LEADERSHIP IN ENHANCING ORGANIZATIONAL COMMITMENT: EVIDENCE FROM EGYPT
Authors: H. Manaa Youssef
Published: March 2023

The purpose of this paper is to explore the effect of toxic leadership on organizational commitment from the point of view of employees in cement sector companies in Egypt. The study used a survey questionnaire. Respondents were 310, The descriptive analytical approach was applied. The study used regression analysis to determine the relationship between the independent variable on the dependent variables. The results of the regression analysis proved that authentic leadership dimensions (Self-awareness, Balanced Processing, Internalized Moral Perspective, and Relational Transparency) has a positive and significant effect on organizational commitment dimensions from the point of view of employees in cement sector companies
RISK FACTOR FOR GOUT AND PREVENTION : A SYSTEMATIC REVIEW
Authors: Rossiyah Nella
Published: March 2023

Due to the supersaturation of uric acid, monosodium urate monohydrate crystals accumulate in the tissues, causing gout. Gout is characterized by elevated serum urate levels, acute gouty arthritic episodes, the production of tophi, gouty nephropathy, and uric acid stones. Until now there is no definite percentage/number of people with gout arthritis in the world, due to differences in research sampling methods in determining the number of sufferers of this disease. However, especially in America, there has been a significant increase in cases of gouty arthritis in the last 10 years. Uric acid is a waste product created by the body when renewing cells of gout patients produce more uric acid in the body and the body is unable to eliminate uric acid through urine, causing uric acid to accumulate in the blood. Significant roles are played by genetics, gender, and diet (alcohol intake, obesity) in the development of gout. The underlying cause of hyperuricemia determines the elements that lead to the development of gout. A diet heavy in purines can precipitate gout episodes in individuals with congenital defects in purine metabolism that result in elevated uric acid generation. Many risk factors for gout have been identified via research, including alcohol risk behavior (only in males), body mass index, estimated glomerular filtration rate, triglycerides, and triglyceride levels. Gout sufferers should avoid uric acid-raising meals and beverages. The patient drinks plenty of water. Gout sufferers should exercise regularly. To maintain weight, walk 150 minutes per week or 30 minutes each day. Avoid uric acid-raising medications like hydrochlorothiazide, aspirin, and cyclosporine.
ASSOCIATION OF VITAMIN D DEFICIENCY TO SEVERITY OF COVID-19 : A SYSTEMATIC REVIEW
Authors: Rossiyah Nella
Published: March 2023

As a pathogen invades, phagocytes quickly respond, but the adaptive immune response is more specific. Antigen-recognizing cytotoxic T cells control this immunological response. Cytotoxic T cells kill infection. These cells participate in humoral, antiparasitic, and antiviral immune responses. Balanced nutrition helps the immune system fight infections and neoplastic cells. Research describes how the immune system and defensive mechanisms defend the body from invaders, especially with optimal diet. Respiratory tract infections can worsen chronic diseases, increasing mortality. Vitamin D reduces respiratory infections, including pneumonia, through numerous mechanisms. UVB exposure converts 7-dehydrocholesterol into fat-soluble vitamin D. The liver converts it to 25(OH)D, which the kidneys or other organs convert to calcitriol 1, 25(OHD). Bones and teeth need vitamin D. Vitamin D aids bone metabolism, gastrointestinal calcium and phosphorus absorption, and the immune system, according to in vitro research. Most studies indicate COVID-19 severity with vitamin D levels below 12. Vitamin D pills benefit COVID-19 patients.
ASSOCIATION OF NUTRITIONAL STATUS WITH MENARCHE : A SYSTEMATIC REVIEW
Authors: Juliana Mutia , Tegar Perbawa Prayudha
Published: March 2023

Menarche is the process that takes place when the hypothalamic-pituitary-ovarian (HPO) axis matures. This maturation is dependent on adequate hypothalamic and pituitary function, normal female reproductive anatomy, normal nutrition, and the absence of other long-term disorders. When a woman's reproductive health and overall wellbeing are normal, it is a sign that they are not abnormal. However, the substantial decline in the age at menarche that occurred between the early 19th century and the middle of the 20th century was associated with a significant improvement in nutrition and living conditions brought about by the process of modern civilization. Although genetic factors are responsible for approximately 50–80% of the variation in puberty onset age and milestones, environmental factors also play a role. This article demonstrates that individuals with a poor dietary level reach menarche at a later age. Girls have a greater chance of gaining weight if the foods they consume are high in fat and the nutrients that originate from animal products. It is possible for it to enhance levels of the hormone estrogen, which then supports elevated levels of cholesterol. This cycle continues until the desired effect is achieved.
THE ROLE OF DIETARY SUPPLEMENTS IN INFLAMMATORY BOWEL DISEASE: A SYSTEMATIC REVIEW
Authors: Rossiyah Nella
Published: March 2023

Recurrent episodes of gastrointestinal inflammation induced by an inappropriate immune response to gut bacteria characterize inflammatory bowel disease (IBD). The phrase "inflammatory bowel disease" refers to two distinct forms of idiopathic intestinal disease distinguished by their location and degree of gut wall involvement. Although Crohn disease is substantially more common in women than in men, ulcerative colitis appears to be equally common in both sexes. IBD is often frequent in affluent countries and cooler regions. It occurs when an excessively powerful immune response is generated in response to a normal stimulus, such as food or intestinal flora, in individuals who are genetically predisposed to developing the disorder. Diet significantly influences intestinal inflammation. Unbalanced meals can result in dysbiosis, which impairs the immune system of the host. The Mediterranean Diet is renowned for being anti-inflammatory and dysbiosis-preventing. Probiotics, butyrate, phosphatidylcholine, lactoferrin, palmitoylethanolamide, silymarin, and omega 3 should be introduced to the diet of the patient in order to stabilize the intestinal microbial population and reinforce the mucosal barrier, hence preventing or alleviating IBD symptoms. Intestinal inflammation is usually associated with vitamin D levels and gut flora. Constant study has demonstrated their link, therefore the prescription of probiotics and vitamin D is beneficial for IBD patients.
PHARMACOTHERAPY AND LUNG FUNCTION DECLINE IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE : A SYSTEMATIC REVIEW
Authors: Radityo Prabowo Galih
Published: March 2023

Chronic obstructive pulmonary disease (COPD) is a long-term condition that affects millions of individuals all over the world and is a major contributor to the rise in hospital admission rates. According to projections made by the World Health Organization (WHO), COPD would become the third greatest cause of mortality worldwide by the year 2020. These patients are also very substantial consumers of the resources made available by the health and social care systems. Because there is now no treatment that can reverse the effects of COPD, patients are responsible for their own healthcare and the management of their condition. There is a correlation between the amount of cigarettes smoked and the degree to which COPD is present. The pathophysiology of COPD is intimately tied to the impact that cigarette smoke has on the lungs. Pharmacological trials that were carried out more than three decades ago with the use of short-acting bronchodilators or inhaled glucocorticoids did not succeed in demonstrating a statistically significant slower rate of FEV1 decline in comparison to the placebo group in their intention-to-treat populations. In light of these equivocal data, the belief that smoking cessation is the only treatment that can delay the course of COPD became widespread. Unfortunately, this pessimism has had a negative impact on how the general public views COPD and has decreased interest in alternative therapeutic techniques. Tiotropium had a greater FEV1 than the placebo, and it also reduced the annual reduction in FEV1 after bronchodilator usage in individuals with COPD who were in the GOLD stage 1 or 2 range. FEV1 drop might be stopped by FF or VI. The patients expressed satisfaction with the treatment, which resulted in fewer exacerbations. It seems like fluticasone furoate or vilanterol could slow down the drop in FEV1 levels.
ASSOCIATION BETWEEN THE AGE OF PREGNANT WOMEN AND PARITY WITH THE INCIDENCE OF PLACENTA PREVIA : SYSTEMATIC REVIEW
Authors: Tegar Perbawa Prayudha , Juliana Mutia
Published: March 2023

Placenta previa is associated with an increased risk of premature birth, fetal death during intrauterine development, and asphyxia in neonates. Vaginal bleeding that is not unpleasant is one of the telltale signs of placenta previa. It is estimated that 5.2% of pregnancies would be affected by the common obstetric condition known as placenta previa. Sometimes there are no symptoms associated with placenta previa. During the second half of pregnancy, the primary symptom is vaginal bleeding that is brilliant red and completely painless. Moreover, this syndrome can cause excessive bleeding prior to or throughout the labor process. The uterus should have some scars on it as a result of a surgery or procedure that was performed in the past. a previous pregnancy in which you experienced placenta previa is considered to be a risk factor. Having a previous cesarean section (CS), having an abortion, being older than 35 years old, having more than one child, and using assisted reproductive technologies (ART) such in vitro fertilization are all variables that can increase the likelihood of developing placenta previa (IVF). It appears that the risk of placenta previa increases with both the mother's age and the number of previous pregnancies. Despite the fact that research has shown that the association is not consistent at all.
THE SAFETY OF GLUCOCORTICOIDS IN THE TREATMENT OF INFAMMATORY RHEUMATIC DISEASE : A SYSTEMATIC REVIEW
Authors: Rossiyah Nella
Published: March 2023

Glucocorticoids have been utilized as a component of the treatment for rheumatoid arthritis ever since their introduction some decades ago. It has been established that glucocorticoids are effective in lowering the inflammatory activity induced by this condition and in slowing the course of erosive joint degradation. Both of these benefits can be attained by taking the medication. Unfortunately, they also have a wide variety of potentially adverse consequences, the severity of which may vary depending on the dosage and the length of the therapy. Nevertheless, the benefits of these medications far outweigh the risks associated with them. As a result of the rise in popularity of many alternative therapy alternatives, the use of glucocorticoids as a treatment method is currently being debated (such as biologic and targeted synthetic disease-modifying antirheumatic medicines). It is possible to provide corticosteroids by injecting them directly into the joint. Many people are opposed to the use of glucocorticoids because of the dose-dependent adverse effects that they can have, despite the fact that they continue to be an essential component in the treatment of a wide variety of inflammatory rheumatic diseases. The usage of glucocorticoids for an extended period of time is connected with a greater risk of experiencing adverse consequences. These problems are associated with an increased chance of developing cardiovascular disease, diabetes, and possibly mortality.
Lessons Learned from an International and Interdisciplinary Virtual Mobility Module between Albania, Slovenia, and Germany
Authors: Altmann Mattis , Ukhova Nelli , Hilse Laura
Published: March 2023

Purpose: After piloting an international and interdisciplinary Virtual Mobility module with eight participating institutions, the experiences will be processed as pedagogical patterns in OER format to facilitate future implementation.

Study design/methodology/approach: The lessons learned from the executing institution's perspective will be presented from the perspective of the module supervisor as well as two experienced e-tutors who were involved in the design, implementation and evaluation and were generated through their reflections of them.

Findings: The lessons learned focus on improving the organization of international e-tutor teams, the dropout management in group work with several institutions, and adapting the e-tutor qualification to enable adequate and qualitative equal support of all participants.

Originality/value: Based on the findings of the Albanian needs report, Virtual Mobility modules have been implemented marginally in the Albanian HEI landscape so far. Thus, the experiences from the pilot are of particular importance for the further multiplication and improvement of the internationalization of Albanian HEIs.
Assessing Virtual Collaborative Learning (VCL) as an Innovative Teaching and Learning Approach.: A Case Application in Albania
Authors: Demaj Esmir , Alushllari Griselda
Published: March 2023

Purpose: The purpose of this research is to assess the implementation of a Virtual Collaborative Learning model (VCL) applied at a university level course/module with students of the bachelor cycle in a HEI in Albania.
Study design/methodology/approach: A single descriptive case study design has been used. At the end of the pilot VCL-based course activity deployment, an open-ended survey was conducted, and the response transcripts were analysed and elaborated. Course instructor and E-tutor first-hand observation has been also utilized.
Findings: Data obtained from the survey shows that the implementation of the VCL model alongside its challenges, is generally well-acknowledged and considered a positive experience. The majority of respondents, 93% of the students who participated in the survey highly recommend VCL as a new approach in learning. Communication issues are noticed particularly at first when students are trying to get accustomed to this model.
Originality/value: The expected novelty of this pilot project was the development of the teaching and learning processes through alternative innovative approaches such as through virtual collaborative learning.
Iron deficiency: a public health problem in children
Authors: Nogueira Arcanjo Francisco Plácido , Costa Arcanjo Caio Plácido , Costa Arcanjo Freire Cecília , Conceição de Albuquerque Carneiro Keylla , Tomais Parente Kelle Maria , De Sousa Justino Jeferson , De Andrade Teles Lizandro
Published: March 2023

Iron deficiency exists when the body's iron stores are insufficient to meet metabolic needs. It is estimated that 33% of the world's population has anemia, with 273 million preschoolers, 43% of all children, the majority due to iron deficiency. Of the markers of iron deficiency, ferritin is a good marker of iron stores and should be used for the diagnosis of iron deficiency in healthy individuals. In the absence of inflammation, serum ferritin concentration in plasma is positively correlated with the size of iron stores in the body. The WHO recommends that in healthy children under 5 years old, ferritin levels <12 (µg/L) be considered iron deficiency, and in case of an inflammatory or infectious process, the Cut off becomes less than 30 (µg/L). For other age groups, levels of 15 and 70 (µg/L) of ferritin are considered, respectively, for healthy individuals or those with infection/inflammation. The WHO recommends that where infection or inflammation occurs, serum ferritin should be evaluated concomitantly with two markers of the acute phase, preferably C-reactive protein (CRP) and α-1 acid glycoprotein.
Cuidados de enfermagem a pacientes com feridas oncológicas
Authors: Barreto Cunha dos Santos Saulo , Maria Tomais Parente Kelle , Plácido Nogueira Arcanjo Francisco , Portela de Almeida Rianelly , Machado de Aguiar Barbosa Eveline , Daiane Silva Marques . Daiane
Published: March 2023

Introdução: A estomaterapia atua no atendimento a ostomias, feridas, fístulas, drenos, cateteres e incontinências, com foco na prevenção, terapêutica e reabilitação, tendo em vista promover uma melhor qualidade de vida, principalmente quando as feridas são de origem neoplásica. Objetivo: Identificar através da literatura os cuidados de enfermagem aos pacientes com feridas oncológicas. Método: Trata-se de uma revisão integrativa da literatura, com abordagem quantitativa, realizada no período de janeiro a março de 2022. A busca de artigos ocorreu no Portal Regional da Biblioteca Virtual em Saúde. Como critérios de inclusão, estudos em português, inglês e espanhol, publicados entre 2017 e 2022, com o texto disponível na íntegra, sendo excluídos anais de eventos, relatos de experiência, dissertações e teses. Ao cruzar os descritores, foram encontrados 59 artigos e após a leitura e análise crítica, restaram 4 para compor a amostra. Resultados: Por meio de uma abordagem clinicamente especializada da equipe multiprofissional, é possível desempenhar atividades com foco no controle dos sinais e sintomas da ferida oncológica, tais como o odor, que é o principal causador do distanciamento com a sociedade; a dor, que possui aspectos psicológicos e físicos que permeiam a estadia da doença; e prurido, onde primeiramente deve-se investigar sua etiologia. Conclusão: A assistência não foca apenas nos sinais vitais, pois a relação construída nesse ambiente vai além do controle da dor e os protocolos. Conversas, visitas frequentes, auxílio com limpeza e higiene, atendimento familiar são algumas das atividades que fazem parte das atribuições do enfermeiro, oferecendo sempre atenção e conforto.
Aleitamento materno: benefícios para lactentes e nutrizes
Authors: Tomais Parente Kelle Maria , Plácido  Nogueira Arcanjo Francisco , Leonardo Teixeira de Sousa Francisco , Dos Santos Liberato de Sousa Raíssa , Bezerra Soares Emanuela , Tomais de Souza Kelvia Maria , Albuquerque Mendes Lia , Barreto Cunha dos Santos Saulo
Published: March 2023

A Organização Mundial de Saúde e o Ministério da Saúde recomendam o leite materno durante os seis primeiros meses, de forma exclusiva e complementar por dois anos de idade ou mais. Todavia a prática da amamentação é influenciada por diversos fatores correlacionados, que podem favorecer a manutenção ou não do aleitamento. O leite materno além dos benefícios imunológicos presentes em sua composição ele proporciona uma menor probabilidade de óbitos infantis e consequentemente diminuição de internações hospitalares, redução das manifestações alérgicas. Proporciona uma melhor nutrição por conter todos os nutrientes essenciais para a criança, evitando deficiências. O aleitamento materno exclusivo tem se destacado como uma importante estratégia de promoção da saúde e prevenção de agravos para a nutriz, familiares e principalmente para o lactente, por ser um alimento considerado completo, padrão ouro e de baixo custo proporcionando um crescimento adequado para a criança. Já no que se refere aos benefícios para a nutriz, o aleitamento materno reduz a incidência de câncer de mama e colo do útero, atua como método contraceptivo, promove a perda de peso pós parto, aumenta o vínculo entre a mãe e a criança.
Suco fortificada com ferro para prevenir e tratar anemia em pré-escolares
Authors: Moura Janayna , Arcanjo Francisco , Arcanjo Caio , Freire Cecília
Published: March 2023

Introdução: A anemia ferropriva é a carência nutricional de maior magnitude mundial. Objetivo: Avaliar a efetividade do suco fortificado com ferro na prevenção e no tratamento da anemia ferropriva em pré-escolares. Métodos: Ensaio clínico randomizado realizado em dois centros de educação infantil. Foram submetidas ao estudo 110 crianças de 36 a 48 meses de idade, durante 16 semanas, 50 alunos da Escola receberam suco fortificado com 15mg de ferro elementar de segunda a sexta (grupo Intervenção) e 60 crianças da escola B receberam o mesmo suco não fortificado. Resultados: Na escola A, a concentração inicial de Hb aumentou de 11,61 ± 1,49 g/dL, para 12,09 g/dL± 1,01, após a intervenção com suco fortificado, com p = 0,0314; 12 crianças estavam anêmicas no início do estudo, e após a intervenção 7, na escola B, grupo controle, a concentração de Hb foi de 11,66 g/dL± 0,741, para 11,81 g/dL± 0,822, com p = 0,32; nesse grupo, 6 participantes estavam anêmicos no início do estudo aumentando para 9 no final. Conclusão: Em nosso estudo, a fortificação de suco com ferro aumentou a concentração de hemoglobina de modo significativo e diminuiu a prevalência de anemia.
A caminhabilidade em ruas de Florianópolis (SC)
Authors: Debatin Neto Arnoldo , De Mello Zabot Camila
Published: March 2023

Essa pesquisa considerou a caminhada como uma opção ou etapa no deslocamento urbano.  O objetivo foi considerar critérios de caminhabilidade em vias urbanas, e o local escolhido situa-se na cidade de Florianópolis, em Santa Catarina.  O estudo utilizou uma Planilha de Pesquisa de Campo, que conduziu a um Índice de Caminhabilidade. Contagem de Pedestres e Índice de Entropia foram, também, utilizados. Os resultados mostraram que infraestruturas adequadas tendem a atrair caminhantes, mas a diversidade de uso do solo, por si, não garante uma maior caminhabilidade.
MENINGKATKAN AKTIFITAS DAN HASIL BELAJAR MATEMATIKA MELALUI PENERAPAN STRATEGI PEMBELAJARAN BEACH BALL
Authors: Maarif Safiil , Maulana Aditya
Published: March 2023

Penelitian ini dimulai dari observasi awal peneliti terhadap aktivitas dan hasil belajar matematika siswa kelas V SD Negeri Jombatan IV. Peneliti menemukan beberapa masalah dalam pengamatan tersebut diantaranya beberapa siswa masih mengalami kesulitan pada materi menghitung volume kubus dan balok dan siswa tidak dapat menyelesaikan soal apabila diberikan soal yang sedikit berbeda dari yang dipelajari. Peneliti mencoba melakukan pembelajaran dengan penerapan strategi pembelajaran Beach Ball (Bola Pantai) untuk mengatasi hal tersebut. Penelitian ini bertujuan untuk mendeskripsikan penerapan strategi pembelajaran Beach Ball (Bola Pantai) dalam meningkatkan aktivitas dan hasil belajar matematika materi volume kubus dan balok tahun pelajaran 2019/2020. Jenis penelitian ini adalah penelitian tindakan kelas. Rancangan penelitian tindakan kelas yang digunakan dalam penelitian ini adalah model yang dikembangkan oleh Kemmis dan Mc Taggart. Penelitian dilaksanakan dalam 2 siklus, siklus pertama terdiri dari 2 pertemuan dan siklus kedua terdiri dari 2 pertemuan. Peneliti melakukan pengumpulan data dengan cara observasi, dan tes. Subjek dalam penelitian ini adalah siswa kelas V SD Negeri Jombatan IV tahun pelajaran 2019/2020. Hasil penelitian menunjukkan bahwa penerapan strategi pembelajaran Beach Ball (Bola Pantai) dalam pembelajaran matematika materi volume kubus dan balok pada siswa kelas V SD Negeri Jombatan IV dapat meningkatkan aktivitas siswa, dan hasil belajar siswa. Aktivitas siswa pada siklus 1 mencapai 60,62% dengan kriteria cukup menjadi 81,4% pada siklus 2 dengan kriteria baik. Hasil belajar siswa pada siklus 1 mencapai ketuntasan klasikal sebesar 62,85% menjadi 82,85% pada siklus 2
Role of investigation in diagnosis of granulomatous pleural effusion
Authors: Kulkarni Harish
Published: March 2023

Background: Tuberculosis is second most common cause of pleural effusion. Chest pain, dyspnea, x-ray findings and clinical examination draw a suspicion oftuberculosis but clinicians need reliable and low cost tests todiagnose tuberculosis in pleural effusion. Method: 41 samples of clinically known tuberculous pleural effusion were taken in one year. All samples were tested by ziehlneelsen staining, adenosine deaminase, routine microscopy, and polymerase chain reaction. Results are analysed. Conclusion: It has been found, although PCR is highest sensitive and specific tool but due to high cost and unavailability at many facilities, combination of ADA and R/M can be doneto diagnose tuberculous pleural effusion, which will decrease the cost and time for diagnostic tests.
Neuropsychological evaluation of dementia and depression
Authors: Tiwari Ashitabh
Published: March 2023

Three-hundred-and-thirty-four cognitive profiles from neuropsychological examinations assessed during a 2-year period from geriatric patients of a day clinic in the U.P were analyzed. For this purpose, the profiles were divided into the following subgroups: (1) Mild Cognitive Impairment, no depression (2) Onset or mild dementia, no depression (3) No cognitive deficit, depression (4) cognitively impaired (MCI, dementia) and depression. Subgroups were be compared using analysis of variance (independent variable IV: diagnostic groups, dependent variable DV: cognitive functions) to reveal specific differences that will allow a differential diagnosis. Post-hoc comparisons and a graphical representation of the cognitive profiles were also investigated. All cognitive profiles with a Mini-Mental-State-Examination (MMSE) score of 25 or more points were selected for analysis if they had complete data from the following testing procedures: MMSE, clock drawing test, Geriatric Depression Scale (GDS), Syndrom-Kurztest (SKT), Nuremberg Aging Inventory (NAI) maze test, Wechsler Adult Intelligence Scale (WAIS) similarities, Rivermead Be- havioral Memory Test (RBMT) story immediate and delayed.
Role of cefpodoxime in the treatment of ear infections
Authors: Bansal Chitrak
Published: March 2023

Background: Acute otitis media (AOM) is a community-acquired respiratory tract infection in childhood frequently encountered by primary-care physicians and can cause a significant morbidity. Increasing bacterial resistance has led to concern about the current options for empirical antibiotic treatment and has prompted a search for effective treatments. Objectives: To evaluate the clinical efficacy and safety of  cefpodoxime proxetil in the treatment of children with acute otitis media. Patients and methods: A prospective, multicenter study was conducted on 1380 children aged from 1 to 13 years with AOM who were prescribed a 5–10 day course of cefpodoxime proxetil (8 mg/kg/day). Patients were followed-up after 7–14 days from baseline visit. Efficacy was assessed by the percentage of patients with clinical cure, improvement or failure at the follow-up visit. Safety was evaluated by recording the occurrence and severity of any adverse events and by the physicians’ and patients’ assessment of overall tolerability. Results: Clinically, 82.5% of patients were cured, 16.4% were improved and there was failure of therapy in 1.1% of the patients. The overall combined cure and improvement rate of all related signs and symptoms was 98.9%. Adverse events, diarrhea and skin rash, were reported by only 16 patients (1.2%).
Assessment of lung cancer patient’s satisfaction with universal health insurance at Port Said Governorate
Authors: Ismail Salma Salem Yousef , Mohsen Afaf Salah Abd El , Sebea Mayada Taha
Published: March 2023

Background: Lung cancer is a type of cancer that begins in the lung. Assessing the level of satisfaction provides actionable insights to improve the healthcare system. Egypt is embarking on a new Universal Health Insurance system (UHIS) to cover all Egyptians by 2032. Aim of the study: The present study aimed to assess lung cancer patient’s satisfaction with universal health Insurance at Port Said Governorate. Design: A descriptive research design was utilized to conduct this study. Sample: A purposive sample used in this study. Sample size: 136 lung cancer patients. Setting: Study conducted at oncology outpatient clinic El Tadamon Specialized Hospital at Port Said Governorate. Tool: An interviewing questionnaire tool divided to two parts, Part1: Consists of A- Socio-demographic characteristics of lung cancer patients, B- Universal health insurance utilization of lung cancer patients, Part II: Patients’ satisfaction adopted tool which contain 7 domains obtained from (Phaswana et al.,2011). Results: The study results revealed that 48.5% of studied lung cancer patients were had moderate level of satisfaction related to their total patient satisfaction. While, 33.8% of them were had high level of satisfaction & 17.7% of studied sample were had low level of satisfaction related their total patient satisfaction.
Properties of sandy soil and allelochemical compounds of heath forest in Rantau Abang, Terengganu, Malaysia: Implication for ecological sustainability and biodiversity conservation
Authors: Kamoona Suhair , Ramya Razanah , Daud Wan Masyitah Wan , Hatta Farah Ayuni Mohd , Othman Rashidi
Published: March 2023

Kerangas or heath forests are found on podzolised siliceous sands (spodosols), where gradually decomposing organic matter occurs on the soil’s surface. Changes in the extent of podzol development, soil consistency, and poor nutrient contents signify the unique properties of sandy soil in the heath forest at Rantau Abang, Terengganu, Malaysia. Unfortunately, the sandy soil’s chemical and physical properties are in critical condition due to human activities such as cutting and burning, impacting the sustainability of this ecosystem and its ground cover of shrubs, sparse grass and sedge. Therefore, it is crucial to study the properties of sandy soils in heath forests before their extinction. This analyzed the physical and chemical attributes of heath forest sandy soils regarding heavy metal toxicity, pH, concentrations of carbon, nitrogen, available phosphorus, cation exchange capacity (CEC), allelochemical compounds, total phenolic content in the soil, soil colour, and soil texture. The solid was found to be nutrient-deprived due to its extreme acidity and toxicity. The results showed that allelochemical matters were higher in plants but not in the soil attributes and the water bodies, along with a highly active response in young plant tissues due to their sources of phenolic content. Remarkably, the overall phenolic content was observed to be considerably high in the semi-mature phase of vegetation.
Impact of social capital on entrepreneurial intention of polytechnic students: The mediating role of innovativeness
Authors: Bhunia Anish Kumar , Shome Mihir Kumar
Published: March 2023

Entrepreneurship is seen as a crucial component of any nation's economic progress. The most significant predictor of entrepreneurship is thought to be the entrepreneurial intention. Therefore, it is crucial to understand the variables that shape entrepreneurial intent. The purpose of this study is to investigate how social capital and innovativeness, two significant predictors of entrepreneurial intention, interact to determine the entrepreneurial intention of polytechnic students from the Indian state of Arunachal Pradesh. A questionnaire based on a 5-point Likert scale was completed by 261 polytechnic students (214 male,47 female) from six polytechnic (5 Govt,1 Private) colleges across Arunachal Pradesh. The structure model was examined using structural equation modelling (SEM) analysis in SPSS AMOS (Analysis of Moment Structure), and bootstrap confidence intervals were computed to test the mediating role. The findings showed that both social capital and innovativeness have a significant positive impact on entrepreneurial intention, and innovativeness partially mediates the association between social capital and entrepreneurial intention. Our study's findings have significant ramifications for vocational educators because they show that emphasizing the importance of social capital and innovativeness might increase polytechnic students' likelihood to become entrepreneurs.
Diffuse and Massive Endocardial Sarcocystosis in a Lamb
Authors:   Department of Pathobiology, Faculty of Veterinary Medicine, Ferdowsi University of Mashhad, Mashhad, Iran, Nourani Hossein , Sadr S ,   Department of Pathobiology, Faculty of Veterinary Medicine, Ferdowsi University of Mashhad, Mashhad, Iran
Published: March 2023

Sarcocystosis is a critical parasitic zoonosis caused by Sarcocystis species, an intracellular protozoan parasite of the Apicomplexa phylum and one of the most prevalent parasitic diseases among wild and domestic animals all around the world. Infection in the definitive host is mainly characterized by the formation of cysts in muscle tissue. In intermediate host skeletal muscles, the diaphragm and heart are the favored locations for Sarcocystis spp. While we were examining the heart of a three-month-old dead lamb, we incidentally observed striking, white, and discrete spots, measuring 2–3 mm, that were diffusely distributed in the endocardium. Microscopically, numerous Sarcocystis were seen within cardiomyocytes and Purkinje fibers. No different pathological modifications had been found in inflamed muscle fibers or the surrounding interstitium. To the best of our knowledge, there is no case report about diffuse involvement of endocardium by Sarcocystis spp., and this unique form of sarcocystosis prompted us to place the current case on record.
Cardiovascular Compromise in Pediatrics in the Times of COVID-19: SARS-CoV-2 Infection and Kawasaki Disease
Authors:   Pediatric Cardiologist, Instituto Nacional de Salud del Niño Breña, MINSA- Perú, Vigo Carlos Mariño , Taipe F ,   Pediatric Cardiologist, Instituto Nacional de Salud del Niño Breña, MINSA- Perú, Nario V ,   Pediatric Cardiologist, Instituto Nacional de Salud del Niño Breña, MINSA- Perú, Culqui K ,   Pediatric Cardiologist, Hospital Alberto Sabogal Sologuren, ESSALUD- Perú
Published: March 2023

Introduction: The pandemic caused by the new SARS-CoV-2 virus has reported an increase in morbidity and mortality worldwide during the years 2020 to 2022. Many pediatric infections have been reported as mild. The cardiovascular complications due to COVID-19 described in the literature are mainly in adults, however, reports in the pediatric population have been less frequent. Objective: To describe the clinical characteristics and evolution of patients treated in two centers with cardio-pediatric care services who presented cardiovascular involvement during the COVID-19 pandemic related to the presence of SARS-CoV-2 infection and Kawasaki disease (KD). Materials and Methods: Through a descriptive, retrospective study, the medical records, electrocardiographic and echocardiographic studies were reviewed in both groups of patients between May 2020 and May 2022 at the National Institute of Child Health and Alberto Sabogal Hospital. None of the cases had a history of previous structural heart disease. Results: The patients studied were 31 in total, with 21 cases of COVID-19 (SARS-CoV-2 infection) and 10 of KD. The female sex predominated, with an average age of 6.2 years (COVID-19) and 2.9 years (Kawasaki). In the echocardiogram, mild pericardial effusion was the most common finding. Coronary alterations were found in 60% of patients with KD and in only 18% of COVID-19 cases. We found 15 patients who met the criteria for the so-called multisystem syndrome (MIS-C) among COVID-19 cases, 5 of them with hemodynamic compromise. Conclusion: During the COVID-19 pandemic, the clinical picture in both groups: SARS-CoV-2 infection and KD presented some similar characteristics, mainly in relation to coronary involvement (greater involvement in KD), and in the evolution, a greater hemodynamic compromise was evidenced in cases of SARS-CoV-2 infection but without associated mortality.
Systolic Heart Failure and Optimization of Medical Therapy: A Quality Improvement Study
Authors:   Dayton Veterans Affairs Medical Center, Dayton, Ohio, USA, Lantz Rebekah
Published: March 2023

Introduction: Congestive heart failure (CHF) accounts for significant medical costs and patient mortality. There are ways to mitigate these parameters by providing patient and provider education, optimizing medications, and applying life-saving devices with a referral for a left ventricular assist device (LVAD) when appropriate. We retrospectively observed the charts of 40 patients at our Dayton Veterans Affairs Medical Center (VAMC) for areas of improvement. Methods: Charts were manually reviewed over 2019 for ejection fraction (EF) at the time of diagnosis and ischemic cardiomyopathy (ICM) vs. nonischemic cardiomyopathy (NICM) etiology of heart failure. Information on the titration of beta-blockers (BB), angiotensin-converting enzyme inhibitors (ACE-I), angiotensin receptor blockers (ARBs), and advanced heart failure medications was collected. Readmission rates and heart failure follow-up appointment rates were gathered, and further details were investigated regarding the application of a life vest and automatic implantable cardioverter-defibrillator (AICD) when clinically appropriate. Results: Median EF for patients was 34%, consistent with systolic heart failure. 65% of patients had ICM. For medications, BB was maximally titrated for 85% of patients within a wide data range. ACE-I/ARBs titration was appropriate in 75% of patients. An average of 4.7 dose adjustments for BB and 3.6 dose adjustments for ACE-I/ARBs occurred. Advanced CHF medications were rarely prescribed. Exacerbation rates were 60%, from 1–5 readmissions and an average of 1.07 readmissions. 98% of patients received CHF-specific follow-up after each CHF admission. 60% were eligible for advanced life support devices, 25% were offered life vests, and 62% were offered AICD. No patient was referred to a tertiary center for LVAD. Conclusion: We should work towards 100% medication titration to improve outcomes, especially BB which is known to have morbidity value. We can continue to reduce heart failure readmission rates by providing patient and provider education and continuing to do well at heart failure follow-up appointments. Life vest and AICD should be offered more consistently, and tertiary referral to receive LVAD should remain offered per standard of care.
A PSYCHOANALYTIC ANALYSIS OF THE CHARACTER OF THEO FABER IN ALEX MICHAELIDES NOVEL SILENT PATIENT
Authors: Shoukat Laila , Arshad Khushnood , Azam Sana
Published: March 2023

This research study aims to analyze the main character Theo Faber in the novel "The Silent Patient" written by Alex MichaelIdes through the perspective of Freud's (1923) theory of personality, discussed in his book, The Id and The Ego. Therefore, the researchers have examined the changes in the personality Theo Faber via Id and Ego at different stages. Moreover, this research study has examined the aforementioned character by analyzing it through Id including life (sexual) and death (aggression) instincts, which indicates the impulsive urges of Theo Faber. On the other hand, Ego is used to illustrate the rational decisions and acts of Theo Faber regarding the turmoil he has created due to his Id. Furthermore, the researchers have used qualitative method to get the desired objectives.
DISASTER RISK REDUCTION KNOWLEDGE AMONG FILIPINO SENIOR HIGH SCHOOL STUDENTS
Authors: Lapada Aris
Published: March 2023

Difficult times can happen anywhere and anytime. When calamities occur in a place where people are not ready to respond, the subsequent damage can lead to mortality, loss, and suffering. The school is an example of such communities where many vulnerable children are susceptible to the negative impact of natural or manmade hazards. This study aimed to determine the disaster-related knowledge, adaptation, preparedness and readiness, risk perception, and awareness of 503 students from the senior high school department of Eastern Samar State University, Philippines. Students' understanding of disaster risk reduction knowledge was gathered using an adapted questionnaire and analyzed with descriptive statistics and non-parametric tests. Survey results revealed that despite the school is situated in a rural area, senior high school students are ready, aware adapted, and prepared from the risks inflicted by disasters. Moreover, the sex of the respondents has significant differences with disaster preparedness and readiness, adaptation, and disaster-related knowledge. Likewise, the respondents' grade level, only the disaster-related knowledge, showed a significant difference among all categories. Also, all of the categories of disaster risk reduction have a significant difference with the respondents' academic strands. However, the family monthly income shows no differences in all categories of their perceptions of disaster risk reduction. Furthermore, disaster risk reduction education and initiatives in schools should be enhanced to reduce student's susceptibility to disasters.