bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluation of Student Learning Motivation Based on Parenting Style: A Qualitative Study
Authors: Zahara Cut Ita , Azwarni
Published: June 2022

Learning motivation encourages the desire to learn so that students achieve success in school and in the future. The success achieved by students in learning cannot be separated from the role of parents in nurturing. This study was an evaluation of student learning motivation based on the parenting style conducted at SMPN 1 Matangkuli, North Aceh. This research is an observational study with a qualitative approach. The participants in this study were students of SMP Negeri 1 Matangkuli, North Aceh district, and their parents. A total of six students and their parents participated in this study. Data were collected through observation, interviews, and documentation. Interviews were conducted in a semi-structured manner with children and parents about the parenting style used in the family. The results showed that children with democratic parenting have a strong learning motivation. In this study, it was also found that all aspects of learning motivation were owned and experienced by the six participants. In conclusion, students' learning motivation is related to the parenting style they experience in their families. There are three parenting styles applied by parents, namely, authoritarian, democratic, and permissive parenting.
Counseling on the Function of Vitamins in Increasing Body Endurance and Training on Hand Washing Movements, Wearing Masks, and Keeping Distance to the Marching Band Genta Bhuwana Ganeswara
Authors: Ananta I Gusti Bagus Teguh , Anjasmara Dewa Gede Anom , Indrayoni Putu
Published: June 2022

Various preventive measures in tackling the increase in COVID-19 cases must be carried out, both by the government and the community. Preventive efforts are so far the best practice to reduce the impact of the COVID-19 pandemic, given that there is no treatment that is considered effective against the SARS-CoV-2 virus. One of the government's efforts to overcome the impact of the COVID-19 pandemic is by implementing the 3M movement, namely washing hands, wearing masks, and maintaining distance.

Marching band is one of the art and sports learning activities that have been the impacted by the COVID-19 pandemic. Music learning methods in the classroom can be done online, but in practice mastery of musical instruments needs to be done offline. The offline training process needs to get more attention by implementing the 3M protocol, namely maintaining distance, using masks, and washing hands. Based on this, counseling activities on the function of vitamins were carried out in increasing endurance as well as training in washing hands, wearing masks, and keeping a distance. The implementation was carried out by conducting counseling and training which was attended by 25 participants. The results of the activity showed that there was an increase in the knowledge of the training participants regarding the COVID-19 pandemic and the movement to wash hands, wear masks and keep a distance, >80% of Marching Band members Genta Bhuwana Ganeswara had good knowledge.
Screening and Monitoring of Non-Communicable Diseases as an Effort to Implement Posbindu in Banjar Dukuh, Kesiman Petilan Village
Authors: Nuryanto I Kadek , Dewi Ni Nyoman Ari Kundari
Published: June 2022

Non-communicable disease is a disease with a high incidence and increase every years. Non-communicable diseases often occur without symptoms and clinical signs so must beware. Insufficient awareness from the community regarding the early detection of non-communicable diseases must be immediately addressed, so that there is a need for efforts to implement Posbindu. The solution offered is by conducting community service activities in the form of screening and monitoring non-communicable diseases as an effort to implement Posbindu at Banjar Dukuh Desa Kesiman Petilan. The results of this activity are: (1) Implementation of counseling activities on non-communicable diseases, thereby increasing the knowledge of teachers at Banjar Dukuh Desa Kesiman Petilan about non- communicable diseases, (2) Implementation of Posbindu activities through checks to detect non-communicable diseases early can be a model for other Posbindu in early detection, monitoring, follow-up of non-communicable diseases and referral of non-communicable diseases.
PENINGKATAN KESEHATAN KELUARGA MELALUI PEMBERDAYAAN PKK DALAM PEMANFAATAN PEKARANGAN DENGAN TANAMAN OBAT KELUARGA (TOGA) DI DESA KESIMAN PETILAN
Authors: Garbhani Anak Agung Istri Hiranya , Wicaksana I Gusti Agung Tresna , Nuryanto I Kadek
Published: June 2022

Pemanfaatan pekarangan sebagai sarana budidaya tanaman obat telah lama diketahui dalam konsep Tanaman Obat Keluarga (TOGA). TOGA adalah tanaman hasil budidaya rumahan yang berkhasiat sebagai obat. Pekarangan sebagai salah satu bentuk usaha budidaya tanaman belum mendapatkan perhatian dari masyarakat, meskipun secara sadar telah dirasakan manfaatnyaBerdasarkan hasil survey yang dilakukan mahasiswa Profesi Ners ITEKES BALI di Desa Kesiman Petilan diperoleh data bahwa pemanfaatan tanaman obat keluarga sebagai upaya primer dalam pengobatan penyakit dikeluarga masih sangat rendah. Sementara disisi lain keluarga di Desa Kesiman Petilan banyak memiliki pekarangan yang belum dimanfaatkan secara tepat guna. Pemberdayaan PKK didesa kesiman petilan dalam pemberdayaan tanaman obat keluarga akan memberikan dampak yang signifikan dalam peningkatan kesehatan keluarga.
Modified Standard Penetration Test for Illinois Weak Fine-Grained Rocks
Authors: Stark Timothy
Published: June 2022

Drilled shafts socketed in weak fine-grained rocks, such as, weak shales, mudstones, and siltstones, i.e., unconfined compressive strength (UCS) of 0.48 to 4.8 MPa (10 ksf to 100 ksf), are increasingly used to support structural loads from bridges and other transportation structures. The design of a drilled shaft requires knowledge of strength and compressibility parameters of the weak fine-grained rocks. However, the weathered nature and fragility of weak fine-grained rock limits recovery of intact core samples for laboratory triaxial compression testing. As a result, in situ tests are preferred to measure design parameters for weak fine-grained rocks. The standard penetration test (SPT) was modified and calibrated to assess the in situ UCSUCS and Young’s modulus of weak fine-grained rocks for design. This new procedure is termed the Modified SPT (MSPT) and uses the penetration rate (cm or inches per blow), not the sum of blow counts for the last 30 cm (12 inches) of penetration, to estimate UCS. A correlation between penetration rate and UCS was developed based on a subsurface investigation at twenty-one (21) weak fine-grained rock sites throughout Illinois. The proposed correlation can be used to foundation design parameters weak fine-grained rocks.
Fibre-Reinforced Grout for Micropile Construction
Authors: Abdlrahem Maged
Published: June 2022

Hollow bar micropiles (HBMP) are increasingly used to support heavy structures owing to their ability to carry considerable axial loads. However, their lateral capacity is relatively small due to their small flexural strength, which could limit their application for structures subjected to large lateral loads. Enhancing the micropile flexural strength by utilizing fibre-reinforced grout in its construction can thus improve its lateral performance. This study investigates the use of four types of fibers in grout mixture with different dosages to enhance the strength of grout used for micropile construction. Plastic, basalt, steel and micro-steel fibers were applied with dosages of 1%, 1.5% and 2%. Based on the obtained results, steel fibers were selected for further investigation. Nine model micropiles 1000 mm long and 76 mm in diameter were casted and tested in a laboratory environment with two different types of steel fibers. The micropiles were subjected to pure bending tests and the moment – curvature curves were extracted. The moment – curvature results indicated that the micropiles moment capacity increased and their post-cracking behaviour improved by adding steel fibers to the grout mix. As part of a large-scale study of lateral performance of single and grouped micropiles installed in cohesionless soil, one micropile was constructed with 1% micro-steel fiber to investigate its effect on its lateral performance. The lateral load test results indicated that the lateral capacity of the reinforced micropile improved by 10% over that of the non-reinforced micropile.
Editorial Note - Vol. 16, No. 1, 2022
Authors: Lemnitzer Anne
Published: June 2022

We are very excited to share with you Issue 1 of the DFI Journal for 2022. This Issue is all about deep foundations – auger cast-in-place piles, drilled shafts, micropiles, and press-in-place piles. The DFI is fortunate to have an active membership that are so willing to share their experiences and the Journal editorial staff is grateful to have such an excellent array of authors.
Numerical Simulation of Solitary Waves Propagating on Stepped Slopes Beaches
Authors: Chergui Fayçal , Bouzit Mohamed
Published: June 2022

The objective of the current paper is to study the propagating and breaking of solitary waves on stepped slopes beaches, to simulate the shoaling and breaking, specifically the location of breaking point Xb, and solitary wave height at breaking Hb of solitary waves on the different stepped slopes. Ansys Fluent is used to implement the simulation, a two-dimensional volume of fluid (VOF) which is based on the Reynolds-Averaged Navier–Stokes (RANS) equations and the k–ε turbulence closure solver. The obtained results were firstly validated with existing empirical formulas for solitary wave run-up on the slope without stepped structure and are compared with the experimental and numerical results. The numerical computation has been carried out for several, configurations of beach slopes with tan ß= 1:15, 1:20, 1:25, wave height H0= 0.04, 0.06, 0.08m, water depth h0= 0.15, 0.2, 0.25m, and step height Sh= 0.025, 0.05, 0.075m. A set of numerical simulations were implemented to analyze shoaling and breaking of solitary waves, wave reflection, wave transmission, and wave run-up with various parameters wave heights, water depth, beach slopes, and Sh step height.
Design of an Artificial Neural Network-Based Model for Prediction Solar Radiation Utilizing Measured Weather Datasets
Authors: Mohammad Garybeh , Othman Alsmadi
Published: June 2022

Forecasting solar radiation plays an important role in the field of energy meteorology, as it provides the energy value expected to be produced by the solar plants on a specific day and time of the year. In this paper, a new and reliable artificial intelligence-based model for solar radiation prediction is presented using Artificial Neural Network (ANN). The proposed model is built utilizing real atmospheric affecting measured values according to their locational weather station. In the training process, the Levenberg–Marquardt (LM), Bayesian Regularization (BR), and Scaled Conjugate Gradient (SCG) are used. The mean absolute error (MAE) and the root mean square error (RMSE) are used to evaluate the model accuracy. Results of the investigation show that the proposed model provides the lowest error rate when using the (BR) training algorithm for predicting the average daily solar radiation.
Self-Adaptation Feature Attention Network with Multi-Step Fusion for Single Image Dehazing
Authors: Zhang Jiawei , Liu Xiaochen , Zhao Donghua , , Wang Chenguang , Shen Chong , Tang Jun , Liu Jun
Published: June 2022

Although single image dehazing has been widely studied as a common low-level computer vision task, it still faces serious challenges such as limited ability to dehaze real foggy pictures. We propose an efficient end-to-end self-adaptation feature attention (SAFA) network with multi-step fusion for this purpose. The proposed SAFA module can adaptively expand the receptive field to obtain the key structure information in space and extract more comprehensive and accurate features. In addition, considering the lack of connection between features acquired at low and high levels in the network, we also implement a multi-step fusion module, which makes the features of different layers in the network complementary effectively in the process of image recovery. The network structure is simplified, and the required computing resources are significantly reduced by decreasing network parameters. For multiple datasets and photographs with real haze, our method demonstrates better efficiency and availability, both quantitatively and qualitatively.
Research on Heartbeat Detection Method of Ballistocardiogram Based on Bidirectional Long Short-term Memory Network
Authors: Pang Geng , Geng Duyan
Published: June 2022

In order to improve the accuracy and generalization ability of extracting successive heartbeat cycle based on ballistocardiogram (BCG), this paper proposed a general method for detecting J peak of BCG signals by using bidirectional long short-term memory network. First, the clustering method is used to establish the sequence feature set of BCG signals in different sleeping positions, and the data set used contains a variety of different forms of BCG signals. Then, according to the Bidirectional LSTM (BiLSTM) many-to-many recognition model, the number of J peaks in the output sequence is counted to achieve real-time heartbeat detection. The results showed that the deviation rate of BCG heart rate detection was 0.27%, and there was no significant difference between BCG and ECG in the detection of heartbeat interval. Compared with other methods, this method has higher robustness and accuracy in detection effect, which provides a new idea for realizing high-precision unconstrained heartbeat detection.
Children’s Literature in Transcarpathian Schools for Teaching English as a Foreign Language
Authors: Nagy-Kolozsvári Enikő , Gordon Győri János
Published: June 2022

Since the origins of formal foreign language teaching, literature has always played an important role. Currently, modern language teaching trends suggest starting foreign language learning as early as possible; thus, the use of children’s literature in foreign language teaching is undergoing a revolution. This situation encouraged us to examine the use of children’s literature and the attitude of foreign language teachers to it. This article focuses on primary and secondary school English language teachers in a western county of Ukraine (N = 118). The results of the qualitative research revealed that the teachers’ general attitude to the use of children’s literature is positive; they are aware of their advantages but still avoid using these materials. Most teachers do not apply children’s literature in their foreign language teaching because the school curriculum is too congested and fast-paced, they do not have access to appropriate authentic children’s literature, or they were not taught how to utilize authentic children’s literature during their university years. Results suggest that teachers should be encouraged to use children’s literature, though there is no universal solution. The first suggestion is for schools themselves to support teachers, but it would be a significant step forward if this approach were also to be taken in in-service training.
Tools Supporting the Measurement of Fair Play in Sport
Authors: Hideg Gabriella
Published: June 2022

In the course of our work so far, we have repeatedly emphasized the loss of morality and value in societies, which has an impact on all areas of life (including sport). Today, we are far from the original values of sport and the ideals of Baron Coubertin; fair play as pure play. Among the ethical issues of sport, special attention should be given to two extremes: fair play and doping. In our study, we aimed to review the available literature related to the topic of fair play in both the domestic and international setting. In selecting the processed research, our main goal was to present results that are useful for Hungarian educational science, including specific, internationally validated fair play attitude surveys and educational programs. Our current study is the first theoretical partial result of a larger-scale research, which includes the Hungarian adaptation of the presented tests.
“Narrating” Bodies. Physical “Reflexive” Activities between Gender Images and Socio-pedagogical Processes - Research on the Yoga’s Representations
Authors: Russo Giovanna , Rossetti Francesca
Published: June 2022

This article intends to offer a reflection on how reflexive physical activities can support a socio-pedagogical approach to educating about gender diversity through media communication. We use the term “reflexive” to refer to all those activities aimed at enhancing the person and his relationships, self-realization, selfknowledge, and self-improvement: in other terms, a circuit of bodily experiences that determine bodily knowledge as a social construction (as described by Connel, 2005). These activities focus mainly on ethical purposes, rather than on performative ones. An example of such disciplines can be considered the practice of yoga which is a currently growing phenomenon both in Europe and in the United States. Yoga is practiced today in the USA by 35.2 million adults, by over 2.5 million people in Italy, and is garnering scientific interest in its contributions to balanced, healthy growth of children and adults. The World Health Organization, in its global action plan on physical activity 2018-2030: More Active People for a Healthier World, calls it a means to improve health. The diffusion of these disciplines responds to a personal and social search for meaning that weighs especially heavily on highly secularized Western culture. This diffusion also portrays a media phenomenon, whose images and messages validate and reinforce capitalist ethics. From this point of view, the “mediated” representation of sports bodies appears to apply to the world of consumers. The images of women practicing yoga, oriented toward alternative values rather than beauty and sexuality, are above all confirmed by the purchase of goods and services that are not related to outward personal appearance. Using the results of an analysis carried out in 2021 of two main international yoga magazines, we are going to discuss the role of yoga as a “reflexive” physical activity and its pedagogical potential oriented to the body as a “primary place of experience”, not just a consumer item, but also a tool for education about gender diversity.
Inquiry into the Correlations between Sports Activity and Value Preference among Students in the Northern Great Plain Region as Regards the Role of Everyday Physical Education
Authors: Moravecz Marianna
Published: June 2022

The vision of society can be influenced by the values young people hold regarding their way of life and physical well-being. Today, we are experiencing a crisis of these value preferences (Perényi, 2010). The aim of our study is to examine the effect of transferred sports values on the lifestyles of physically active and inactive students in light of the role of everyday physical education. In our research, 1521 students of the University of Debrecen and Nyíregyháza filled out the online questionnaire. Two-variable analyses and a multivariate principal component analysis were used, and the data were processed using SPSS. Regarding the relationship between sports activity and value orientation, the students included in the sample mostly focused on the “open” or post-material value dimension representing individual autonomy. This is in agreement with previous research data (Kovács, 2013; Perényi, 2010). Since this is a complex mechanism of action, we are unable to show causal relationships in our analysis. However, with regard to our research sample, it can be said that in the period since the introduction of everyday physical education, it has not yet had a demonstrable role in the physical activity and value system of students. Thus, promotion of an active lifestyle will, in the future, be critical in the lives of everyone. It will also prove essential in shaping the physical condition and mental well-being of the future’s society, not to mention it will help save the national economy. The first step in this process is the actual participating in physical education.
Clinical Evaluation of Depression and Anxiety in Pregnancy and their Impact on Maternal and Fetal Outcome
Authors: Aisha Salma
Published: June 2022

Background: Anxiety and depression are more likely to occur during pregnancy. Anxiety during pregnancy is associatedwith negative outcomes in mothers and babies. Unfortunately, because anxiety is frequently used interchangeably withdepression, research focused purely on anxiety during pregnancy are not as extensive as those focusing on depression.Objectives: To evaluate the depression and anxiety during pregnancy and post pregnancy up to 3 months and also tostudy its impact on maternal health and foetal outcomes.Methods: All women presenting to antenatal outpatient are included in this study with standard questionnaire method.All those are followed up further for 3 months, post-pregnancy to evaluate the maternal and foetal health. A standardquestionnaire of depression and anxiety using Hospital anxiety and depression scale-HADS is given and the women atrisk are further evaluated with Edinburg post-natal depression scale-EPDS. Follow up is done to check foetal growth,any pre-term delivery, mode of delivery, birth weight and maternal complications to additionally evaluate maternal andfoetal outcomes.Results: According to HADS Score , Overall Anxiety was reported in 26% of the cases, in 8% it was borderline andin 18% it was severe anxiety. Overall Depression according to HADS was 30%, It was borderline in 8% and in 22% ofthe cases it was severe depression. The EPDS score in comparision with Gravida, Depression, HADS score for Anxietyand depression, Maternal and neonatal complications was statistically significant. HADS and EPDS reported similarpercentage of depression.Conclusion: Properly identifying the women who are at risk of developing prenatal anxiety and depression would allowus to target those who might benefit from preventative and supportive measures. Furthermore, identifying the women atrisk would allow us to monitor them throughout their pregnancy and recognise early signs of depression and anxiety asthey develop, allowing us to intervene therapeutically if necessary.Keywords: Antepartum, Post-partum, Anxiety, Depression, EPDS
Effectiveness of Structure Teaching Programme on Knowledge Regarding Genetic Disorders and Attitude Towards Preventive Measures for Genetic Disorders among Undergraduates at Higher Educational Institute.
Authors: Ajay Kolage  , Yogita Autade  , Krishnali Garje
Published: June 2022

AbstractGenetic disorders may be hereditary or non-hereditary meaning that they are transfers from the parent’s genes. But insome genetic disorder’s defects may be caused by new mutations, altered phenotype or changes to the DNA. A changemay occur that brings about changes in the number or position of any or more genes. This changing of the structure ofparticular chromosomes is also called chromosomal mutation or chromosomal rearrangement. An evaluative approachwith simple random sampling technique were used for the study. The study sample consisted of (n=54) in selected highereducational institute. Pre-test were taken on first and total 2 hours intervention programme was administered on thegenetic disorders. Post -test was conducted after completion of intervention programme.Findings of StudyIn the present study it was found that all students ( 100 %) are in the age group of 18-21 years. Gender of students are50% male and 50% female. Study shows the student had average knowledge regarding genetic disorders and strongpositive attitude towards preventive measures for genetic disorders and after implementing intervention programme theknowledge level is increased and the very strong positive attitude was developed. There is a significant association ofattitude score with demographic variables such as previous history of genetic counseling. Study shows there is significantdifference in knowledge score between males and females. About attitude part After implementing interventionprogrammed. It shows males had more positive attitude than females about preventive measures for genetic disordersand there was no any significant difference in attitude score between males and females.
Control at the sewers to curb the COVID-19 pandemic in India- is the negligence perilous?
Authors: Anu V F  , Nagarathna J  , S K Srinath
Published: June 2022

AbstractCOVID 19 PANDEMIC has stricken in multiple waves, crippling the nation with each strike. Attempts at curbing itsspread has been focused on a few established modes of transmission. Current literature evidence suggests possibilityof Feco-oral transmission, detection of viable virus in stools of covid infected individuals, viral shedding several weekspost recovery and potential persistence of viable virus in sewage. Guidelines and protocols laid down have not includedthis potentially dangerous mode of spread. Many countries including Australia, Finland etc have utilized waste waterepidemiology as a tool in surveillance. This can be used as a warning signal for early detection and control. This reviewarticle proposes the addition of new guidelines in this spectre to aid in curbing the spread of pandemic as well as adoptingsewage surveillance as a tool in primary prevention.
KAP Study on Social Distancing and Utility Sharing among Students of Bhadrak Autonomous College, Odisha, India during the First COVID-19 Wave: Implications for Policy Decisions in Subsequent Waves
Authors: Asima Tripathy
Published: June 2022

been closed since March 2020 till January 2021 and could just be reopened for higher classes for only three monthsin phases till April 2021. This has precipitated an unprecedented crisis in the lives of students and of educationalorganizations and institutions and the biggest headache for the ministries of higher education and the HRD ministry too.We conducted a KAP survey during the first COVID wave on March to May 2020 to analyze the risk factors involvedin case of reopening of educational institutions. Accordingly we discuss the implications for policy decisions for such ahighly sensitive group based on a study on over 500 students of the semi-urban locality of Bhadrak in Odisha, India. Aquestionnaire was prepared keeping in view the objectives of such a study by randomly picking students on campus,both boarders and day scholars, to collect the KAP-data from among the nearly 6000 students of the College. We findthat most of the students are vulnerable to catch an infection and have the highest potential to spread it to many in notime. The appropriate measures before the final opening of schools and colleges would be (a) to have enough space forensuring social distancing (b) sensitization and awareness drives through all means among students to inhibit spread ofthe infection and (c) the required increase in manpower to ensure the successful implementation of the above two.
Acromegaly with Predisposition towards Cardiac Failure
Authors: Bhardwaj CM
Published: June 2022

Acromegaly is a rare disease caused by excess secretion of growth hormone. Most cases are due to pituitary macro ormicroadenoma. It usually occurs sporadically but some can be familial due to AIP gene mutation1. We report a case of45 year old gentleman with chief complaints of breathlessness since 15 days, increase shoe size, large hands and feet,protruded jaw, which eventually turned out to be acromegaly based on typical clinical appearance, hormonal featureswith chest xray showing features of cardiomegaly. Patient was managed conservatively, and discharged with stablevitals. Prompt and early intervention in such cases can prevent further progression of disease.
A study to assess the effectiveness of Self-Instructional Module on knowledge regarding Multi Drug Resistance Tuberculosis among staff nurses in selected hospital of Gurugram Knowledge regarding Multi Drug Resistance Tuberculosis
Authors: Bharti Sachdeva  , Nisha  , Nidhi
Published: June 2022

Objective: To assess the effectiveness of self-instructional module on knowledge regarding multi drug resistancetuberculosis among staff nurses in SGT hospital’’.Material and Methods: An evaluative approach with one group pre-test, post-test design was used for the study. Thepurposive sampling technique was used to select 50 staff nurses as the sample. A structure knowledge questionnaire wasused to assess the knowledge and SIM was administered to find its effectiveness. The collected data was analyzed byusing descriptive and inferential statistics.Result: The mean percentage of post-test knowledge score (16.48) was higher than the mean percentage of pre-testknowledge score (7.4). The calculated ‘t’ value is greater than the table value (0.05, 49df) i.e. 2.67. It showed a significantdifference between mean pre and post-test knowledge scores. Calculated x2 values showed significant association betweenEducation and area of residence of respondents with their post-test knowledge scores.Conclusion: The findings of the study showed that staff nurses had inadequate knowledge regarding multi drug resistancetuberculosis before administration of SIM. The results indicated that the SIM is effective in increasing the knowledge ofstaff nurses on multi drug resistance tuberculosis.
Factors Influencing the use of Antenatal Care Service among Pregnant women in Nasarawa Local Government Area, Kano State, Nigeria
Authors: Bilkisu Yakubu Indabo  , Deepak Vishwakarma  , Rejoice P. Ravi
Published: June 2022

Background: Utilization of antenatal care in Nigeria remains a big health challenge. Aim of the study was to find out thefactors influencing the use of antenatal care service among pregnant women.Methods: Cross-sectional study was carried out during the period of 10th February to 31st March 2021. Total of 143pregnant women were attended antenatal clinic in Sir Muhammadu Sunusi Specialist Hospital Kano State Nigeria andsample of 104 pregnant women was chosen by using Krejcie and Morgan table.Results: More than 58 (55.8%) of the respondents didn’t attend antenatal care clinic regularly during their pregnancyperiod. Only 28 (26.9%) of the respondents completed 4 antenatal care visits because 33 (11.5%) of respondents said thatdistance was main reason to reach clinic on time. One third 34 (32.7%) of the respondents had complications duringpregnancy because of lack of sufficient antenatal visit during pregnancy period.Conclusion: Poor women may not have the financial assets required to either get registered at antenatal clinics or pay forthe services rendered during the pregnancy period. Place of residence was another factor which influences the utilizationof antenatal care. This may lead to women where they would partially attend the antenatal clinics.
Effects of Traditional Way of Fish Consumption in Sri Lanka on Cardiovascular Risk Profiles
Authors: C.G. Devadason
Published: June 2022

The influence of type of fish consumption on cardiovascular risk profiles was studied in Sri Lankan community. Achallenge experiment was set up to do a research on the influence of omega-3 fatty acid content in fish on cardiovascularrisk profiles of healthy people. Hundred healthy undergraduates (subjects) who were between the ages of 23 to 30 yearsand full time resident in the hostels in Sri Lanka, were randomly selected for this study. The students were fed with fishcurry and fried fish for the amount of 80.41±9.43 g of fish curry or 62.50 ± 11.04 g of fried fish for five days per week. Initialand after 24 weeks and after one year the lipid profiles of the subjects [total cholesterol (TC), triglyceride(TG), low densitylipoprotein (LDL-C), high density lipoprotein (HDL-C),and very low density lipoprotein (VLDL-C)] were estimated inserum samples collected at commencement and end of the experiment, using automatic biochemical analyzer and theturbidometric method respectively. The fish consumption showed direct effect on the cardio vascular risk profiles bydecreasing LDL-C and increasing HDL-C and decreasing LDL: HDL ratio and TC: HDL ratio and revealed the decreaseof TG in serum.
Comparisons of Transdermal Buprenorphine Patch versus Transdermal Fentanyl patch for postoperative analgesia in lower limb orthopedic surgery
Authors: Dilshad Kauser  , Deepraj Singh
Published: June 2022

Background: Postoperative pain are acute, moderate to severe type. Lower limb orthopedic surgeries are subset of surgerywhich requires multimodal analgesia postoperatively as it requires excellent postoperative analgesia for early orthopedicrehabilitation as well. Transdermal opioid patches is a part of this multimodal analgesia regimen for postoperative painrelief.Material and method: The study was conducted after Institutional Ethical committee approval, and informed writtenconsent taken from all participants. 60 patients enrolled for this study of ASA 1 and ASA 2 grade, either gender postedfor lower limb orthopedic procedure. The patients were assessed preoperatively and patches applied 6hrs prior surgery.All patients received paracetamol 1gm as rescue analgesic. Total duration of analgesia, requirement additional analgesicnoted, panic evaluated with VAS and any side effects also noted for 3 days .Results: The visual analogue scale shows significant values in the fourth [Group B] and eight hours [Group F] hours of thepost-operative period. 0.0005 is the p-value. Pruritus was more common in group F which was statistically significant ascompared to the group a. Pruritus was seen in six patients in group F but only two patients in Group B. Group F showedmore incidence of nausea/vomiting as well as more requirement of antiemetic as compared to other groups, but it wasnot statistically significant.Conclusion: In lower limb arthroscopic procedures, buprenorphine patch was shown to be more effective than fentanylpatch for postoperative pain, with no increased hemodynamic instability or side effects.
Role of usg in Ectopics: Recent Update
Authors: Arzoo Ralhan  , Muskan Sodhi
Published: June 2022

This study is undertaken to emphasize the role of ultrasonography in the diagnosis of ectopic pregnancy and clinicalanalysis of the same in a tertiary care referral hospital.MethodologyOne hundred patients with provisional diagnosis of ectopic pregnancy were studied. Physical examination, urinepregnancy test, transabdominal scan using 5 MHz transducer or transvaginal ultrasonography of 7 MHz was done. Thediagnosis of ectopic pregnancy was confirmed by direct observation by laparotomy or laparoscopy (which was taken asgold standard).ResultsThe study showed ectopic pregnancy was most common in gravida 2 and in age group 26–30 years with most of themhaving married life <10 years. One or more risk factors were found in 66 % of cases. 54 % of cases presented with acutesymptoms, 14 % of cases in shock. Among clinical presentation pain abdomen, history of amenorrhea, bleeding pervaginum, abdominal tenderness, and cervical motion tenderness was most common. In ultrasonography, complex massin adnexa was present in 60 % of cases and hemoperitoneum in 50 %. 96 % of cases were tubal pregnancy with most ofthem tubal rupture. In 98 % of cases, radical surgery was done. Salpingectomy was the most common surgery done (90%). There was no negative laparotomy in this study. There was no maternal mortality in this series.ConclusionsIn all the 100 cases of ectopic pregnancy studied, the ultrasonography provided definitive diagnosis resulting in 100 %sensitivity and 100 % specificity, predictive value of positive test being 100 %. Ultrasonography done in earlier weeks ofgestation had sensitivity of 96 % and false negative 4 %
Knowledge Towards the Impact of Indoor Environment and Lifestyle on Dry Eye
Authors: Eman Abdollah Aboulqasim Gaber  , Mohd Zaki Awg Isa  , Asma Ali Budalal
Published: June 2022

This research aims to measure the level of Knowledge (symptoms, complications, prevention, potential indoorenvironmental risk factors, the 20-20-20 rule) of dry eye syndrome DES among adults in Malaysia. Data were gatheredfrom a random sample of 315 Malaysian adults in Klang Valley. The study participants were 18 to 60 years [mean (±SD) age = 34 ± 8]. Females represented a slightly higher percentage of the sample (55.66%). Of the 318 participants,most respondents (65.5%, n = 208) had a bad knowledge about dry eye syndrome. Only 86 adults had good Knowledgeabout the impact of the indoor environment and lifestyle on dry eye syndrome during the COVID-19 pandemic. Findingsrevealed that, MAs’ knowledge significantly differ by participant’s qualification (χ2 = 27.6, p=0.002), age (χ2 = 15.4,p=0.018). Education level and age were associated with Knowledge (p< 0.05). Results revealed significant determinantsof good Knowledge about the DES in the age group 29-39 years with (OR: 1.647, 95%CI: 1.097-2.471, P =0.016). Adultswho are living in Kuala Lumpur, Gombak. And Klang & Petaling have similar odds of good Knowledge compared toother living areas. Finally, the health sector was a potential predictor of good Knowledge (OR: 4.246,95%CI: 1.781-10.124,P=0.001). Nevertheless, none of the other demographical variables had a potential predictor of good Knowledge aboutdry eye syndrome. Therefore, healthcare professionals should raise public awareness regarding dry eye illness problems,especially on potential indoor environmental risk factors.
Study of Efficacy and Outcome of Nasal Cpap in Preterm Neonates with Hyaline Membrane Disease
Authors: G Karthik Raj  , Bolishetti Kalyan Kumar  , M. C. Vennela
Published: June 2022

Background: In the quest to bring down the neonatal mortality rate, the challenge is to develop low cost technology thatcan be used in remote settings. It is known that early use of continuous positive airway pressure (CPAP) reduces theincidence of respiratory distress and it may be used as an alternative to intubation and ventilation is some casesObjectives: To study the efficacy and outcome of Nasal CPAP in preterm neonates with Hyaline membrane disease.Methods: 50 preterm newborns with respiratory distress (Silverman"s score 3-6) admitted in NICU were included in thestudy. All study population were connected to CPAP variables like gestational age, birth weight, antenatal steroids,Downes Score, Age of start of CPAP, initial FiO2, initial PEEP , max FiO2, max PEEP, duration of CPAP, duration of O2administration, acute complications like sepsis, pneumothorax, septal damage and duration of hospital stay are comparedbetween CPAP success and CPAP failure groups.Results: Preterm New-borns between 31-34 wks of gestational age had a success of 96.5% as compared to gestationalage of 28-30 wks had success of 76.1% and p value 0.02. Preterm New-borns with birth weight > 1000 gms had success of89% when compared to <1000gms had success rate of 50% which is statistically significant. Preterms New-borns born tomothers who received antenatal steroids had better outcome (CPAP success rate of (87.7%) as compared to babies born tomothers who had not received antenatal steroidsConclusion: Early use of bubble CPAP is associated with lesser need for mechanical ventilation as well as reducedhospital stay. Bubble CPAP in pre-term neonates is efficient in decreasing respiratory distress, and associated with lessercomplications as well as mortality rate.
Vascular and Pathological Complications in Diagnosed Type 2 Diabetes Mellitus in Ent Patients
Authors: Harsimrat Singh  , Hitesh Marwaha
Published: June 2022

Background and ObjectivesIndia is claimed to be the diabetes capital of the world. Many studies had proven that persistent hyperglycemia andassociated metabolic syndrome features like hypertension, dyslipidemia and obesity contribute to the development ofvascular complications.The present study aims to study the prevalence and clinical profile of microvascular and macrovascular complications innewly diagnosed type 2 diabetes mellitus patients.Methods: The study is a clinical, prospective and observational study of 100 newly detected type 2 diabetics attendingmedicine department outpatient/ inpatient, hospital, dehradun, form the subject for the study August 2018 to July 2020(24 months) who matched the inclusion criteria.Results: In this, 62 were males and 38 were females and the mean age was 54.05±13.24 years. 44% were detected whenthey presented with multiple complications due to diabetes. Common complications which they presented werecoronary artery disease (15%), infection (12%), stroke (6%), ulcers (4%), neuropathy (4%) and diabetic ketoacidosis(1%). The prevalence of macrovascular complications CAD, CVD and PAD was 26.0%, 8.0% and 11.0% respectively andmicrovascular complications retinopathy, nephropathy and neuropathy was 20.0%, 34.0% and 16.0% respectively.Highincidence of complications especially microvascular and CAD occur with HbA1c of range >6.5. The correlation coefficientof FBS and PPBS in relation to HbA1c was 0.56 and 0.57 respectively.Conclusion: Smoking, increased BMI and waist circumference is associated with increased prevalence of diabetes.There is high prevalence of coronary artery disease, retinopathy and nephropathy at diagnosis.HbA1c levels predict theprevalence of complications.
Role of Delayed Primary Skin Closure in Preventing Superficial Abdominal Wound Infections in Peritonitis Patients
Authors: Jadhav Parthasarathi  , D Ravisundar  , M Praveen  , Santhosh Babu Chintakindi
Published: June 2022

Background: The commonest complication encountered postoperatively is wound infection despite the use ofprophylactic antibiotics and following meticulous surgical techniques. The rate of surgical site infection is higher in caseof contaminated surgeries as compared to elective surgeries.Objectives: To determine whether delayed primary skin closure of contaminated and dirty abdominal incisions reducesthe rate of surgical site infections (SSI)(superficial abdominal) compared with primary skin closure.Methods: 50 patients who were above 18 years of age, admitted to our hospital through the emergency department andunderwent exploratory laparotomy for perforated viscera, and the intraabdominal collection was included in this study.Results: The cause of perforation was, 8(32%) cases of perforated appendicitis, traumatic perforation(8), ileal perforation(5)and duodenal perforation(4). In group A 17(68%) patients had wound infection and 10 (40%) had wound infection ingroup B. The distribution of wound infection in each respective subgroup with p-value. There was significant differencein stitch abscess formation and wound discharge between two groups (p-value< 0.05) i.e., 7(28%) patients of group A,developed stitch abscess while 6 patients developed wound discharge. However, no patient in group B developed stitchabscess and wound discharge. 1(4%) patient developed erythema in group A, while it was none in any patients of group B.Conclusion: Delayed primary closure is better than primary closure in minimizing wound infection. But all patients whowere grouped in delayed primary closure who underwent secondary closure had to stay more in hospital which is notcost-effective
Role of Radiology in Mucormycosis: Recent Update
Authors: Kushpreet Kaur  , Sandeep Singh  , Harsimrat Singh  , Mandeep Kour
Published: June 2022

The purpose of this study was to describe common radiographic patterns that may be useful in predicting the diagnosisof rhinocerebral mucormycosis. Methods: We retrospectively evaluated the imaging and clinical data of four males andone female, 3 to 72 years old, with rhinocerebral mucormycosis. Results: All the patients presented with sinusitis andophthalmological symptoms. Most of the patients (80%) had isointense lesions relative to brain in T1-weighted images.The signal intensity in T2-weighted images was more variable, with only one (20%) patient showing hyperintensity. Apattern of anatomic involvement affecting the nasal cavity, maxillary sinus, orbit, and ethmoid cells was consistentlyobserved in all five patients (100%). Our series demonstrated a mortality rate of 60%. Conclusion: Progressive and rapidinvolvement of the cavernous sinus, vascular structures and intracranial contents is the usual evolution of rhinocerebralmucormycosis. In the context of immunosupression, a pattern of nasal cavity, maxillary sinus, ethmoid cells, and orbitinflammatory lesions should prompt the diagnosis of mucormycosis. Multiplanar magnetic resonance imaging showsanatomic involvement, helping in surgery planning. However, the prognosis is grave despite radical surgery andantifungals.
Water, Sanitation and Hygiene Status in the Schools of a District in Karnataka
Authors: Malingu  , Pallavi Sarji Uthkarsh  , Gangaboraiah
Published: June 2022

Background: Safe water, Sanitation and hygiene practices is one of the cost effective way to prevent diseases but opendefecation is one of the major public health challenge in India in order to create healthy environment and awarenessregarding safe sanitation and hygiene practices at primary school level Government of India implemented WASH(water,sanitation and hygiene) programme throughout the country. Methods: A cross sectional study was conducted at 80schools of Tumakuru district where schools were selected based on multistage sampling technique to assess the WASHactivities. Data was analyzed using SPSS version 20. Conclusion:Majority of the schools had gender based toilet facilityand hand washing facility but lacked soaps for hand wash. Less than one third of school displayed sanitation and hygienecharts and provided filtered water for drinking purposes. Majority of the schools had satisfactory WASH facilities butin terms of monitoring and supervision of hygiene activities but behavioural change activities were found to be average.
Breast Symptoms Among Women Attendant’s to Early Detection Breast Clinic
Authors: May Abdul Salam  , Jawad K. Al-Diwan
Published: June 2022

Background: Breast cancer is the most commonly diagnosed cancer in women. Breast cancer early detection is a programthat combines early diagnosis for symptomatic patients with opportunistic breast clinical examination screening. Thisstudy was conducted to demonstrate the drawback of opportunistic screening.Methodology: A group of 200 symptomatic patients were consulted at the women’s health center at AL-Elweiya maternityteaching hospital in Baghdad between January 2021 and June 2021.Breast physical exam, imaging tests (ultrasound andmammographic examination), and fine-needle aspiration cytology analysis (FNAC) were done. All cases are categorizedaccording to ACR/BI-RADS atlas lexicon.Results:Only 18 percent of those who went to the breast clinics with the purpose of getting screened showed up. Of thosewho had clinical breast examinations, 94(35.7%) and 169(64.3%) were subjected either to mammograms, ultrasound, ormammograms.Thirty-five (94.8%) patients were under BI-RADS 1 and 2 (no malignant), while BI-RADS 4 (suspicious ofmalignancy) was noticed in 21 (18.7%) patients using mammograms and 91 (81.3%) using U/S. BI-RADS 5 was noticedin 1 (100%) using a mammogram.Conclusion: This study showed that opportunistic screening is essential in breast cancer screening.