bluuebunny/crossref_metadata_2025 huggingface dataset:
Knowledge of Clinical Pathway for Children Undergoing Congenital Cardiac Surgeries
Authors: Saranya
Published: December 2022

In recent past, clinical pathway has emerged as an important modality to document progress of the patient with congestine heart disease. The present quasi-experimental pre-test post-test study had a sample size of 40 nuses (20 each in experimental and control groups) and 50 children (30 in experimental and 20 in control group). Demographic variable proforma was administered to nurses and demographic clinical variable proforma to children. Knowledge level of nurses regarding clinical pathway was assessed using structured questionnaire. The analysis showed that clinical pathways can be used for providing high quality care in a timely and cost effective manner in children with congenital heart disease.
Several Documents About Isa-Bey’s Tekke In Sarajevo (I)
Authors: Oruç Hatice
Published: December 2022

The historical literature generally agrees that the zawiya built by Gazi Isa-bey in Sarajevo in 1462 on the right bank of the Miljacka river was a Mevlevi tekke from its inception. This thesis, however, cannot be supported by any clear historical evidence. According to the archives, the first documents linking Isa-bey’s zawiya to the Mevlevi tariqat date from a much later period than its founding. These documents originate from the last quarter of the 18th and the beginning of the 19th century. They discuss the efforts and activities of Sheikh Osman Dede to establish a waqf for Isa Bey’s tekke in order to present it as Mevlevi. These documents contain important information regarding Isa-bey’s tekke in Sarajevo and the waqf that Osman Dede left to the zawiya, as well as the Mevlevi zawiya established by Haci Mahmud on the land of the waqf of Isa-bey and the Mevlevi order in Sarajevo.
Contemporary Revolution in the Arab Novel: Tristes Tropiques of the Arab Spring
Authors: Sarajkić Mirza
Published: December 2022

The Arab Spring is the last revolution and, at the same time, one of the most critical events in the Arab world. The paper analyzes the literary representations of this current social phenomenon. The focus is on the narratives written immediately before, during, and after the revolutions in Egypt, Tunisia, and Syria. The revolution has become a significant theme of Arab literature, so its reflections in the novel are plural and divergent. The perspectives of the Arab Spring vary from the optimism of Nawal al-Sa’dawi and Abu Bakr al-Ayadi to the dystopian image in the novels of Khalid Khalifa and the insightful discovery of the revolution as a void by Izzudin Fishayr.
A Study on Adventure Tourism in Kerala with Special Reference to Calicut District
Authors: Merin Joseph  , Krishna Chand P. B  , Shibi Gopi  , Mintu Mathew  , Jagadeesh Chandran
Published: December 2022

As an adventure destination, Kerala offers its visitors umpteen opportunities to unleash their enthusiastic selves. Adventure tourism is the best way to earn more without destroying nature. And not just that at time when natural disasters are occurring in Kerala As part of adventure activities numerous rescue operations this can be done. This present study is done in Kozhikode. Kakkadampoyi (Kozhikode) is one of the most important growing up adventure tourism centre in the state, Thusharagiri and Vellari Mala all with their picturesque locations and thriving wildlife which are ideal adventure spots for picnicking as well as trekking. The presence of the Western Ghats and the Arabian Sea increase the potential for adventure tourism in Kozhikode. The work aims to evaluate Kerala’s achievement through adventure tourism and to assess the potential of adventure tourism in Kozhikode.
Projeto “12&30”: um relato de experiência integrando karaokê e saúde mental na universidade
Authors: Buss Ziliani da Silva , Oliveira Hingrid Cristine Arruda de , Soares Janeisa , Metello Maria Julia Medeiros , Seben Vitória Maria Canton , Canno Yasser Mathews Nadaf
Published: December 2022

Objetivos: relatar a experiência vivenciada no projeto de extensão universitária "12 & 30". Método: A proposta foi criar um espaço que proporcionasse a expressão por meio do canto e a manutenção dos aspectos relacionados à saúde  dos estudantes e funcionários da Universidade Federal do Mato Grosso (UFMT), bem como da comunidade geral. O projeto aconteceu de 2017 a 2020 semanalmente às quartas-feiras, às 12 horas e 30 minutos, na Faculdade de Medicina da UFMT (FM-UFMT). Os integrantes do Programa de Educação Tutorial (PET) Medicina foram responsáveis pela organização dos eventos. Resultados: Realizaram-se cerca de setenta edições, o público participante foram alunos de diversos cursos, técnicos e docentes. Como método de identificação de como o projeto impactou o ambiente e de que forma poderia ser aperfeiçoado, foi aplicado, em 2020, um questionário online composto por 9 perguntas, o qual foi divulgado nas redes sociais do PET-Medicina e destinado a todos os participantes do projeto "12 & 30", especialmente os alunos e funcionários da UFMT. Houve 70 respostas nesta pesquisa. Conclusões: o projeto propiciou um ambiente de bem-estar, no qual muitas pessoas acessaram livre e espontaneamente para aliviar um pouco do estresse diário.
Práticas de alfabetização e letramento com pessoas idosas
Authors: Dias Júlia Terena de Souza Lima , Santos Francine Cerqueira dos , Xavier Gabriela Barbosa Souza , Moreira Jefferson da Silva , Pacheco Lílian Miranda Bastos
Published: December 2022

Este artigo objetiva promover análise qualitativa da mediação didática desenvolvida remotamente em tempos da pandemia de covid-19, com pessoas idosas cadastradas no Programa Universidade Aberta à Terceira Idade (UATI), vinculado à Pró-Reitoria de Extensão (Proex) da Universidade Estadual de Feira de Santana (UEFS).  Foi proposta oficina de alfabetização com o objetivo de, a partir dos conceitos de alfabetização, consciência fonológica, letramento e maturidade, fomentar nos participantes uma maior interação, domínio da escrita e leitura, além de fortalecer o uso e contato com as Tecnologias da Informação e Comunicação (TICs), visando conferir mais autonomia aos sujeitos. As atividades foram elaboradas e propostas por meio do WhatsApp. Infelizmente, em virtude das disparidades socioeconômicas, nem todas as pessoas idosas dispõem de acesso digital. Mas aqueles poucos que tiveram acesso às mídias conseguiram interagir, aprender e trocar saberes entre si e com as monitoras. O processo de mediação didática provocou interações sociais, buscando desconstruir concepções estereotipadas sobre o envelhecer, que em nossa sociedade é muitas vezes visto como fase da vida limitante, fomentando a horizontalização de conhecimentos e valores com o idoso.
Usefulness and easiness to use technological resources by nurses managers
Authors: Vaz Ivo , Lumini Maria José
Published: December 2022

Introduction: In the health area, information and communication technologies (ICTs) are a crucial element for the management of services, as they allow storing and sharing of information, being intrinsic to most activities of nurse managers. Objectives: Identify the strategies that nurse managers use in the management process using ICTs; to analyze the usefulness and ease of use of ICTs by nurse managers in the management process. Material and Methods: Descriptive study constituted of 74 nurse managers. A self-completed questionnaire was used as a data collection instrument and descriptive statistics to describe the variables under study. Results: Electronic mail (98.6%), intranet (95.9%), and discussion groups (94.6%) were considered the technological resources that can be used in nursing management. The technologies that are most frequently available in health institutions are electronic mail (97.3%), intranet (87.,8%) and S-Clínico (74.3%). In the exercise of nursing management, video conferencing (63.5%) and electronic mail (56.8%) are the most technological resources used. Technologies such as electronic mail and S-Clínico are useful in Clínico practice and information management, while video conferencing is useful in information management and formation. On the other hand, electronic mail and intranet are the easiest technologies to use in human resources management. Conclusion: ICTs allow nurse managers to have updated information at the right time, which allows them to guide Clínico practice, maximizing productivity through the proper use of available resources.
Age estimation using Demirjian’s and Willems’ methods: preliminary study in the portuguese population
Authors: Navalho-Oliveira Ana Margarida , Teixeira Alexandra , Morais Caldas Inês
Published: December 2022

Introduction: Demirjian’s and Willems’ methods have been studied in different juvenile populations to assess their accuracy and suitability for each population in chronological age estimation. The Willems method seems to be more suitable for age estimation in different populations when compared to the Demirjian method, which, despite this, is still the most widely used. However, to date, there are no studies on the Portuguese population to address this question. Objectives: Evaluate the differences in chronological age estimation with Demirjian’s and Willems’ dental methods to determine which is the most suitable for the Portuguese population. Material and Methods: In 120 orthopantomograms of Portuguese individuals, 64 females, 56 males, aged between 6 and 16 years, the maturation stage of the first 7 teeth of the third quadrant was classified and Demirjian’s and Willems’ methods were applied. Results: In males, both methods overestimated age, with statistically significant differences between estimated age and chronological age. In females, the Demirjian method overestimated age, and the difference was statistically significant. Willems’ method underestimated age, without statistical significance. Conclusions: While in males there seems to be no difference regarding the choice of an age estimation method, in females the use of the Willems method should be preferred.
EPIGALOCATEQUINA-3-GALATO DO CHÁ VERDE EM MODELOS EXPERIMENTAIS DE DEMÊNCIA VASCULAR
Authors: Huebra Matheus Soti , Teixeira Débora Amorim , Boroni Moreira Ana Paula
Published: December 2022

Introdução: A Demência Vascular (DV) representa uma das principais causas de demência em humanos, sua fisiopatologia está relacionada ao acúmulo de metabólitos oxidativos. A Epigalocatequina-3-galato (EGCG) é um polifenol com alta capacidade antioxidante, frequentemente utilizado em estudos referentes à neuropatias. Objetivo: O objetivo deste trabalho é discutir a utilização de modelos animais experimentais de demência vascular sob o efeito da epigalocatequina-3-galato. Metodologia: Os artigos foram selecionados e revisados qualitativamente, utilizando as premissas metodológicas pertinentes a uma revisão de literatura. Resultados e Discussão: A espécie mais utilizada foi o rato Sprague-Dawley e as variações interespécies podem influenciar na amostra de dados obtidos. As formas de indução da doença variaram entre neurotoxinas (estreptozotocina, homocisteína e D-galactose) e oclusão arterial, sendo a última a mais frequente, além disso, foram observadas variáveis referentes à cinética da EGCG relacionada ao tempo, administração e dosagem. Os parâmetros bioquímicos utilizados variaram entre enzimas e marcadores de estresse oxidativo como malondialdeído, acetilcolinesterase, superoxidodismutase, catalase, glutationa, glutationa peroxidase, além de proteínas pró apoptóticas Bax e Bcl-2, a via de sinalização proteica antioxidante PI3K/Akt/Nrf2, e as citocinas pró inflamatórias IL-1β e TNFα. A avaliação destes parâmetros mostrou resultados efetivos após a administração do polifenol, assim como resultados inconclusivos. Conclusão: Analisar os modelos experimentais é de grande importância para compreensão farmacocinética da EGCG e seu efeito sobre a doença, além de agregar informações metodológicas sobre a DV.
Verslaggeving door Europese Special Purpose Acquisition Companies (SPACs)
Authors: Brouwer Arjan , Hijink Steven , Westerduin Peter
Published: December 2022

In 2021 hebben veel Special Purpose Acquisition Companies (‘SPACs’) een beursnotering verkregen. De verslaggeving van SPACs staat volop in de belangstelling, onder andere bij de IFRS Interpretations Committee (IFRIC). In dit artikel doen wij verslag van ons onderzoek naar de jaarverslaggeving 2021 van SPACs die in 2020 of 2021 een beursnotering in Nederland, het Verenigd Koninkrijk of Frankrijk hebben verkregen. De verantwoording van (oprichters)aandelen, (oprichters)warrants, escrow-rekeningen en underwriting fees blijkt diffuus. Ook verschilt in sterke mate de transparantie omtrent oordeelsvorming en risico’s. De verschillen in de verslaggeving worden enerzijds verklaard door verschillen in het toepasselijke vennootschapsrecht en de daarmee samenhangende aandeelhoudersrechten en de rapportagevereisten tussen landen en anderzijds door verschillen in oordeelsvorming bij vergelijkbare omstandigheden en vereisten. Dat de verslaggeving van SPACs bij standard setters in de belangstelling staat, is dus niet onterecht.
PERSISTENT INTERMITTENT EDEMA AFTER FACIAL FILLER WITH HYALURONIC ACID
Authors: Carvalho Vasconcelos Paula , Vitorino Felipe
Published: December 2022

Objective: The study portrays the case of a patient who presented episodes of persistent intermittent edema after facial filling with hyaluronic acid. Method: Information was obtained through medical record analysis, pacient anamnesis, image analysis and literature review. Final considerations: The case reported and publications discussion the importance of patient follow-up after procedures, correct diagnosis of adverse events, as well as the management and solution of cases in the initial periods.
Diffused Myocardial Inflammation in COVID-19 Associated Myocarditis Detected by Cardiac Magnetic Resonance Imaging in Post-COVID Patients
Authors: Jokhio Abdul Rehman , Khan Muhammad Nadir , Saeed Nazish , Jokhio Mehtab , Ali Jahanzab , Tariq Muhammad Naeem , Siddiqui Abdul Hameed , Maken Ghulam Rasool , Saif Mohsin , Shahzad Syed Khurram
Published: December 2022

Objective: To determine the frequency of myocarditis in patients recovered from COVID-19 infection.

Study Design: Analytical Cross-sectional study.

Place and Duration of Study: Cardiac Magnetic Resonance Imaging Department, Armed Forces Institute of Cardiology/National Institute of Heart Disease, Rawalpindi Pakistan from Jul 2020 till Apr 2022.

Methodology: All patients who underwent Cardiac Magnetic Resonance Imaging after recovery from COVID-19 were enrolled. Non-probability consecutive sampling technique was used for sample selection and was calculated on the basis of Gpower. Data of patients fulfilling the inclusion criteria was selected. All PCR positive cases of COVID-19 who recovered from COVID-19 and completed their 12 days of isolation not exceeding 60 days of 1st Polymerase chain reaction positive, and who have any symptoms of shortness of breath, fatigue and chest pain with reduced left ventricular ejection fraction (LVEF) on 2Dechocardiogram were included in the study. Data was recorded, stored, and analyzed by using SPSS version-21. Quantitative data was reported as Mean±SD. Categorical variables were reported as frequency and percentage. To determine theassociation between different variables Chi square test was used.

Results: Total 83 patients were included in this study who recovered from COVID-19 and underwent Cardiovascular magnetic resonance. Mean age of the patients was 39.17±12.9 years. 67(80.72%) were male while 16(19.28%) were females.50(60%) had myocarditis after recovery from COVID-19. This study showed statistically significant association of all the Cardiovascular magnetic resonance imaging findings with Myocarditis (p<0.05) at 95% confidence interval and 5% margin of error.

Conclusion: Early detection of COVID-19 related myocarditis will help in better management of patient. In such patients,cardiac Magnetic Resonance Imaging is the modality of choice, since it allows for noninvasive assessment of myocardial edema and fibrosis, as well as therapeutic guidance and improved patient outcomes.
Left Main Coronary Artery Bifurcation Lesions: Two Stents vs One Stent Strategy-Comparison of Major Adverse Cardiac Events (MACE) at 2 years
Authors: Shafique Hafiz Muhammad , Nasir Mubarra , Samore Naseer Ahmad , Farahe Ali , Tariq Muhammad Naeem , Abbasi Muhammad Amad , Shabbir Sadaf , Kamran Javeria , Khan Aleena , Azad Naseem
Published: December 2022

Objective: To evaluate the long-term clinical results for a one-stent (1S) strategy compared to a two-stent (2S) strategy in distal unprotected left main coronary artery (ULMCA) bifurcation disease.

Study Design: Comparative Cross-sectional study.

Place and Duration of Study: Armed Forces Institute of Cardiology, Rawalpindi Pakistan, from Jan 2019 to Apr 2020.

Methodology: 1-S approach was defined as stenting of the main vessel only and 2-S approach as stenting side branch and main vessel. Individual undergoing LMCA intervention were included via consecutive sampling in the study. Stent Crossover approach was used in 1-S technique; whereas, DK crush, culotte, and T-stenting approaches were employed in individuals who were treated with a 2-S approach. A composite of major adverse cardiovascular event (MACE) i.e., myocardial infarction, stroke or death and target lesion revascularization (TLR) were considered as primary end-point.

Results: A sum of 110 individuals were inducted, 74 of them had stenting of left main bifurcation using a 1-S approach; and 36 patients underwent a 2-S PCI. Average age of the patients included in the study was 63.9±10.8 years. In 1 stent subset, the success rate of procedure was 99% whereas 100% success rate was seen in 2-S group. During the 2-year duration of follow up,frequency of MACE in single stent subset was (5.4%) whereas it was (13.8%, p=0.253) in the 2-S subset.

Conclusion: When compared to 2-S approach of distal left main stenting, a 1-S strategy appears to demonstrate optimal clinical results and 2-year survival free of MACE. Choosing appropriate interventional strategy has proven prognostically significant; so, it demands mindful approach selection.
Frequency of Respiratory Complications in Post COVID-19 Patients After Coronary Artery Bypass Grafting
Authors: Shah Syed Ali Raza Ali , Hasan Kirmani Syed Muzaffar , Hussain Syed Aqeel , Naqvi Syeda Sarah , Khalil Hafsa , Kirmani Syed Ali Hadi , Javaid Rehana
Published: December 2022

Objective: To determine the frequency of post-operative pulmonary complications after (coronary artery bypass grafting)CABG surgery and to compare the respiratory complications of post COVID and comparison group

Study Design: Analytical Cross- sectional study

Study Place and Duration: Study was conducted in Adult Intensive Care Unit, Armed Forces Institute of Cardiology,Rawalpindi Pakistan, from Sep 2021 to Mar 2022.

Methodology: 40 patients were selected, and divided into two groups using Non-Probability consecutive sampling. Group-A had history of COVID-19 infection and Group-B was a comparison group and had no history of COVID-19 infection. Patients presenting for elective On-Pump (coronary artery bypass grafting) CABG surgery and known history of COVID-19 were included in our study. Patients of age ranging 30 to 70 years irrespective of gender were included in the study. Any patient who had cardiopulmonary bypass time of more than 120 min, respiratory illness like asthma or Chronic Obstructive Pulmonary Disease (COPD), history of smoking, or requiring post-operative re-ventilation due to cardiac or neurological complication, were excluded from the study. After patients were received from Operation theatre, they were monitored for the respiratory complications and both groups were compared.

Results: A total of 40 patients were included in this study having mean age 57.9±7.62 years. Most of the patient population was male 31(77.5%) and only 09(22.5%) were female patients. Study population was equally divided into two groups i.e.20(50%) in comparison group and 20(50%) in post COVID-19 group. There was no significant difference in age (p=0.714), ventilation time (p=0.068), gender (p=1.000), and re-ventilation (p=0.451) of both groups. While Intensive Care Unit stay(p=<0.0001) and non-invasive ventilation (NIV) were found to be significant (p=0.007).
Association of CHA2DS2-VASc Score with Post Cardiac Surgery Atrial Fibrillation: A Single Centre Study
Authors: Alam Waqas , Hussain Syed Aqeel , Masroor Rehan , Hasan Kirmani Syed Muzaffar , Ali Muhammad , Rehman Fahd Ur , Javaid Rehana , Khalil Hafsa
Published: December 2022

Objective: To find out the association of CHA2DS2-VASc score with postoperative atrial fibrillation in cardiac surgery patients.

Study Design: Analytical Cross-Sectional study.

Place and Duration of Study: Cardiothoracic Anaesthesia and Adult Cardiac Critical Care department, Armed Forces Institute of Cardiology and National Institute of Heart Diseases (AFIC/NIHD), Rawalpindi Pakistan, from Feb 2022 to Apr 2022.

Methodology: After IERB approval, 186 adult patients of POAF with the prevalence of 9.7%undergoing CABG surgery were included in the study. Their demographic data and CHA2DS2-VASc score, originally used to find the risk of stroke in patients with atrial fibrillation, was calculated pre-operatively. They were followed for 48 hours postoperatively for any episode of post op atrial fibrillation (POAF). Data including pre op drugs, type of surgery, number of grafts, inotropic support and POAF timing after surgery was recorded and analysed by SPSS v 21.0.

Results: Incidence of POAF in our study patients was 17.2 %( n=32). Mean time of onset of POAF was 24.75±16.05 hours.Patients who developed POAF had higher CHA2DS2-VASc score 3.06±1.21 compared with those who did not develop POAF 2.61±0.97. This association was statistically significant (p-value=0.023). Among the variables of CHA2DS2-VASc score, age had significant association with POAF (p-value= 0.001). No difference was found between on pump vs off pump surgery in terms of POAF (p-value=0.539).

Conclusion: This study found that CHA2DS2-VASc score has significant association with POAF after CABG surgery. It is a simple and easy scoring system which can be calculated in preoperative period. Patients at increased risk of POAF can be identified and given prophylactic treatment to reduce morbidity and mortality.
Variations in Electrolytes Level After Del-Nido Cardioplegia Administration in Patients Undergoing Congenital Heart Defects Surgery
Authors: Noor Mah , Asghar Muhammad Imran , Umer Muhammad Shoaib , Azad Naseem , Khalil Hafsa , Chachar Zara
Published: December 2022

Objective: To evaluate the variation (increase or decrease) in Electrolytes level after del-nido cardioplegia administration in patients undergoing on pump congenital heart defect surgery.

Study Design: The design used in this study was descriptive cross-sectional.

Place and Duration of Study: The study was carried out at Pediatric Cardiac Surgery Department of Armed Forces Institute of Cardiology in Rawalpindi, Pakistan from Oct 2021 to Dec 2021.

Methodology: Patients undergoing congenital heart surgery were the subject of interest in this study. The sample size was 147.Non-probability consecutive sampling technique was used. Patients undergoing on pump Congenital Heart Surgery, patients with age < 30 years, patients of both gender were included in our study. Patients with surgery of multiple stages (abdominal surgery, palliative surgery), Emergency patients, Chronic renal failure patients, Re-do operations were excluded from our study.

Results: Sample size was 147 with anticipated percentage 10.7% having 78(53.1%) males and 69(46.9%) females who underwent congenital cardiac surgery. Statistical test was applied and results are significant. There was significant difference in the means of electrolyte levels after administration of Del-Nido Cardioplegia (p-value <0.05).

Conclusion: Our study concluded that after Del-Nido Cardioplegia administration, imbalance in electrolytes levels (Sodium,Potassium, and Calcium) occur which causes hyperkalemia, hypernatremia and hypercalcemia. Prolonged cardiopulmonary bypass time and cross clamp time are risk factors for increased del-nido cardioplegia administration.
A Case Report on Holt Oram Syndrome
Authors: Khan Ali Nawaz , Malik Erum Shahzadi , Anwar Syed Onaiz , Mahmood Amjad , Khan Jamal Azfar
Published: December 2022

Holt Oram Syndrome (HOS) falls in rare prevalence category with probability of 0.7 in 100,000 live births. It is a rare autosomal dominant multiple malformation syndrome characterized by abnormalities affecting hands, wrists, arms,congenital heart defects and/or conduction problems. Genetic mutations observed in TBX5 gene is attributed as the main cause of HOS. Our patient in his late 40s was diagnosed with Holt Oram Syndrome. He presented with typical conditions of congenital heart abnormalities (ASD) and upper limb malformations.
Assessment of Clinical and Echocardiographic Findings of Pregnant Women with Dyspnea
Authors: Muzaffar Tabassum , Fatima Sadia , Akbar Hajira , Shafique Nighat , Riaz Tahira , Shahid Rozina
Published: December 2022

Objective: To measure the frequency of dyspnea in pregnant patients and to evaluate the clinical and echocardiographic findings of pregnant women had dyspnea.

Study Design: Analytical descriptive cross-sectional.

Place and duration of study: Gynae and Obstetric Department of Tertiary Care Facility from Feb 2022 to Apr 2022.

Methodology: It was an analytical cross sectional study conducted during three months. Consecutive pregnant females through non-probability consecutive sampling were included in the study. Patients who had diagnosed history of cardiac disease, respiratory illness, anemic and had covid-19 infection history of 3 months were excluded. The calculated sample size was 323. The pregnant females were assessed for dyspnea (shortness of breath) during pregnancy. Those patients who had dyspnea were referred to cardiac facility for 2D-ECHO (Echocardiography) to determine the cause of dyspnea. Frequency & percentage and mean ± SD were calculated for qualitative and quantitative data respectively. Chi square test was applied to find association between categorical variables. Student t-test was applied for continuous data.

Results:A total of 323 pregnant females of age more than 18 years were included in the study. Out of 87(26.9%) pregnant females who had dyspnea during their pregnancy, 2(2.1%) females were from 1st trimester, 26(23.2%) of 2nd trimester and 59(50.8%) of 3rd trimester. ECHO showed that mean left ventricle end-diastolic diameter (LVEDd) was 46±8mm, LVEF 58.8±7%, sPAP 25.40±3.5mmHg and LVESd 29.33±8.8mm. As compared to the normal range sPAP, LVESd were in lower range, while LVEDd value was higher than the normal range (27.2 mm). Study population who had dyspnea and hypertension (HTN) were (n=13)15.4% (p=1.000) and (n=7)7.7% were had Diabetes (DM) (p=1.000). Cardiac disease was found to be higher in females who had dyspnea i.e.(n=67) 76.9% (p=<0.0001)

Conclusion: The left ventricular end-diastolic diameter (LVEDd), left ventricle end-systolic diameter (LVESd), and systolic pulmonary artery pressure (sPAP) of pregnant women with dyspnea were all outside of the normal range. So that the cardiac causes of dyspnea can be clinically identified, we advise ladies with dyspnea to visit a cardiologist and have an echocardiography test.
In Vitro Efficacy of Tetracyclines Against Multi Drug Resistant Acinetobacter Baumannii Amongst Intensive Care Patients
Authors: Fayyaz Muhammad , Khalil Hafsa , Mirza Irfan Ali , Meral Uzma , Zafar Humaira , Hussain Wajid
Published: December 2022

Objective: To determine the anti-microbial susceptibility and frequency of A.baumannii, especially focusing the efficacy of Doxycycline and Minocycline against multi drug resistant (MDR) and extremely drug resist ant (XDR) A.baumannii in atertiary care hospital.

Study Design: It was a descriptive cross sectional study.

Place and Duration of Study: Study conducted at the department of Pathology, Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD), Rawalpindi Pakistan from Jan 2020 to Dec 2021.

Methodology: It was a descriptive cross sectional study conducted at the department of Pathology Armed Forces Institute of Cardiology (AFIC) and National Institute of Heart Diseases, Rawalpindi (NIHD) from Jan 2020 to Dec 2021. Data was collected by non-probability consecutive sampling. Antimicrobial susceptibility was assessed for A.baumanni isolated from hospital setting.

Results: 6239 culture specimens were received from different wards of AFIC. Out of these 1439 (23 %) yielded growth of different pathogens. Amongst 1439 positive cultures, 167 (11.6 %) were A.baumannii. Multi drug resistant (MDR) A.baumannii were 9(5.4%), extremely drug resistant (XDR) 152(91%) and pan drug resistant (PDR) were 6(3.6%). Antibiotic susceptibility of A. baumannii revealed highest resistance for cephalosporins and carbapenems about 162(97%), ampicillin and beta lactamase inhibitor combinations about 157(94%), quinolones 152(91%), aminoglycosides 134(80%) and Trimethoprim+sulfamethoxazole 131(78%). The least resistance observed from tetracyclines group of antibiotics which was 34(20%) from Minocycline and 54(32%) from Doxycycline.

Conclusion: A high resistant pattern was observed for A.baumanni against cephalosporins, carbapenems, ampicillin, beta lactamase inhibitor combinations, quinolones, aminoglycosides and Trimethoprim+sulfamethoxazole. Comparatively tetracycline antimicrobials i.e. minocycline and doxycycline were found to be less resistant than others to manage MDR and XDR cases.
In Vitro Susceptibility of Colistin Against Multidrug Resistant Klebsiella Pneumoniae Clinical Isolates
Authors: Fayyaz Muhammad , Zafar Humaira , Mirza Irfan Ali , Meral Uzma , Hussain Aamir , Khalil Hafsa
Published: December 2022

Objectives: To determine in-vitro efficacy of colistin against resistant Klebsiella Pneumoniae clinical isolates.

Study Design: Cross-sectional study.

Place and Duration of Study: Microbiology Department of Pathology Lab, Armed Forces Institute of Cardiology & National Institute of Heart Diseases, Rawalpindi, Pakistan, from Jan 2021 to Dec 2021.

Methodology: This cross-sectional study was carried out at the microbiology department of pathology lab, Armed Forces institute of Cardiology & National Institute of Heart Diseases, Rawalpindi through Jan 2021 to Dec 2021. Sampling was done by nonprobability consecutive technique. Antimicrobial susceptibility testing was done for all clinical isolates of KP.

Results: A total of 3066 culture and sensitivity requests were received, out of these 663(21.6%) specimens revealed growth of different microorganisms. Amongst 663 culture positive isolates, 150(22.6 %) were identified as KP. Antibiotic susceptibility of KP showed >90% isolates resistant to 3rd & 4th generation cephalosporins, cotrimoxazole, ampicillin+salbactum and coamoxiclav. Aminoglycosides, quinolones, meropenem, aztreonam and tazobactum+pipracillin were found resistant in >80% isolates and doxycycline and imipenem in >70% isolates. Resistance to minocycline was 58%, chloramphenicol 40.7% and Tigecycline 38.7%. The least resistance was noted in Colistin 16%.

Conclusion: A very high antimicrobial resistance was observed in KP isolates against penicillins, cephalosporins, ampicillin beta lactamase inhibitor combinations, quinolones, aminoglycosides, carbapenems and cotrimoxazole. Comparatively tigecyclines and chloramphenicol were found to be less resistant than other antimicrobials to manage MDR and XDR cases. Colistin has excellent efficacy against MDR and XDR KP isolates.
An Assessment of Door to Consultation Time in Outpatient Department (OPD) of a Tertiary Care Cardiac Hospital: A Clinical Quality Improvement Project (QIP)
Authors: Khan Aleena , Javaid Rehana , Pervaiz Farrah , Asad Muhammad , Chaudhry Imtiaz Ahmed , Muzaffar Tabassum , Sana Ayesha , Rehman Fahd Ur
Published: December 2022

Objective: To assess door to consultation time in cardiac OPD of a tertiary care hospital and to recommend strategies to reduce patients waiting time.

Study Design: Cross sectional study

Place and Duration of Study: Surgical Out-Patient Department, Armed Force Institute of Cardiology, National Institute AFIC/NIHD, Rawalpindi Pakistan, from Aug 2020 to Sep 2020.

Methodology: This quality improvement project (QIP) was conducted for a period of 4 weeks from 15th, Aug-15th, Sep 2020 in the surgical out-patient department of Armed Force Institute of Cardiology, National Institute/National Institute of Heart Disease (AFIC/NIHD). Time for registration, waiting time pre-consultation and consultation times were recorded on a patient survey proforma. A non-probability consecutive sampling technique was used to recruit study participants.

Results: Data was collected from a total of 278 respondents. The results showed that 142(51%) participants had the total door to consultation time of 30 minutes and 86(31%) participants had the door to consultation time of 30-60 minutes 86(31%), respondents reported the actual consultation time to be 11-20 minutes and an equal percentage of participants 86(31%) responded that it was 6-10 minutes. Sixty-six percent 183(66%) participants reported that the doctors were aware of theirmedical history which helped in shorter consultation time.

Conclusion: In this QIP we concluded that patients who had shorter waiting time lead to a significantly shorter door to consultation time. A few areas of concern identified in the QIP of note were; less number of registration counters and patients presenting on same day without appointments. Recommendations were made to reduce waiting times in outpatient department (OPD) which would in turn increase patient satisfaction.
ՄԱՔՍ ՖՐԻՇԻ «ՕՐԱԳՐԱՅԻՆ» ԱՐՁԱԿԻ ԿԱՌՈՒՑՎԱԾՔԻ ԵՎ ՇԱՐԱԴՐՄԱՆ ՈՃԻ ԱՌԱՆՁՆԱՀԱՏԿՈՒԹՅՈՒՆՆԵՐԸ / THE PECULIARITIES OF STRUCTURE AND STYLE OF NARRATION OF MAX FRISCH’S “DIARY” PROSE
Authors: NAVASARDYAN SYUZANNA
Published: December 2022

Owing to the novels and narratives of Swiss writer Max Frisch, based on the
material of autobiographical diary records, the “diary” prose finally took its
firm place in European fiction as a equivalent literary genre.
The aim of this article – is the analysis of the dynamics of development of the
“diary” prose in the German-language literature from the traditional diary to
the literary genre, which can be best of all followed namely in the works of
Max Frisch. In contrast to traditional diary, which doesn’t have a definite
structural composition and one common plot-line, the prose works of the
author, based on the biographical facts, have a deep idea content, well
organized structure, a strict sequence of plot, cause and effect relationship.
This research work is stated in principle of historical-comparative and
literary-critical analysis of Max Frisch’s prose fiction. Here is also analysed the
connection between the "diary" prose of author and the philosophy of Soren
Kierkegaard, which can be observed as the theoretical base of present
research.
EFEKTIVITAS PROGRAM DISABILITY AWARENESS DALAM MENINGKATKAN PENGETAHUAN GURU SD REGULER TENTANG SISWA BERKEBUTUHAN KHUSUS
Authors: Murti Rindya Ayu , Malay Elok Dianike
Published: December 2022

ABSTRAKPengetahuan yang memadai tentang disabilitas merupakan hal penting bagi guru terutama ketika mereka menghadapi siswa berkebutuhan khusus. Salah satu cara untuk membekali pengetahuan tersebut ialah melalui disability awareness. Penelitian ini bertujuan untuk melihat efektivitas program disability awareness dalam meningkatkan pengetahuan guru SD reguler mengenai siswa berkebutuhan khusus. Dua belas orang guru diuji dengan tes pengetahuan tentang siswa berkebutuhan khusus sebelum dan sesudah program disability awareness. Dengan analisis statistik paired-sample t-test, diketahui bahwa terjadi peningkatan pengetahuan guru tentang siswa berkebutuhan khusus yang signifikan setelah diberikan program disability awareness (t=4,244; df=11; p=0,001). Penerapan dari program ini dapat diberikan kepada guru-guru di SD reguler yang mengajar siswa berkebutuhan khusus.Kata kunci : siswa berkebutuhan khusus, anak berkebutuhan khusus, disability awareness, sekolah dasar, guru ABSTRACTTeacher’s knowledge about disability is crucial to handle special needs student. Disability awareness program can be applied to equip that knowledge among teachers. The primary aim of this study was to evaluate the effectiveness of disability awareness program to increase knowledge about special needs students among teachers in regular elementary school. Twelve teachers completed test about special needs students before and after the program is delivered. Based on statistical analysis using paired-sample t-test, it revealed a significant increase about special needs students among teachers after disability awareness program is given (t=4,244; df=11  p=0,001). This program can be applied to regular school teachers who teach special needs student.Keywords: special needs students, special needs children, disability awareness, elementary school, teacher
PENERAPAN ART THERAPY UNTUK MENGURANGI PERILAKU MENYAKITI DIRI SENDIRI (SELF-INJURIOUS BEHAVIOR) PADA DEWASA MUDA YANG MENGALAMI DISTRESS PSIKOLOGIS
Authors: Saputra Dinar
Published: December 2022

The aim of this research is to identify the decline of Self-Injurious Behavior of young adults who experience psychological distress after participating in art therapy intervention. Self-injurious behaviour (SIB) is a problem that often occurs to some individuals who because they are unable to manage their stress and express it in positive ways. SIB is a direct and intentional behavior to create destructive conduct to themselves without having any intention to commit suicide, but usually it is used as a negative coping of individual’s emotional problem (Walsh, 2007). The pressure can be influence by the their psychological distress. To avoid and address any posibility of the negative impacts that will occur to SIB patient, an appropriate psychological intervention is necessary being implemented. In this research art therapy is being used as one of thesecured media for emotional catharsis. The design of the research is single subject experiment using the combination of qualitative and quantitative methods on three participants. Data collection was conducted by, interviews and observations. Subjective Unit Distress (SUDS) was utilized to obtain quantitative measurement. Result based on The Self-Injury Questionnaire-Treatment Related (SIQ-TR) and Self-Injury Behavior Scale (SIB) indicate that the SIB of the three participants were reduced after participating in art therapy.
INTERVENSI FEEDBACK PESAN NORMA SOSIAL UNTUK MENINGKATKAN AKTIVITAS FISIK REMAJA
Authors: Hamid Muflih Wahid , Takwin Bagus
Published: December 2022

Penelitian ini berupaya untuk meningkatkan perilaku aktivitas fisik pada remaja di Kabupaten Pangkajene dan Kepulauan. Penelitian ini dilakukan melalui dua tahap. Pada tahap awal peneliti melakukan studi baseline dan dilanjutkan dengan tahapan intervensi. Focus theory of normative conduct, yang menyatakan ada dua jenis norma yakni norma deskriptif dan norma injungtif, digunakan sebagai kerangka teoretik. Aktivitas fisik dalam penelitian ini didefinisikan sebagai jumlah langkah kaki individu menggunakan aplikasi dalam ponsel pintar. Partisipan adalah remaja yang berusia 15-18 tahun (N = 64)  yang tinggal di Pangkajene dan Kepulauan. Dalam 14 hari, setiap partisipan diminta untuk melaporkan jumlah langkah kakinya setiap hari, kemudian akan mendapatkan umpan-balik berupa pesan norma sosial. Penelitian ini dianalisis dengan One-way repeated measures ANOVA untuk melihat efektivitas pemberian umpan balik norma sosial yang diberikan setiap hari sesuai dengan kelompok mereka. Hasil penelitian ini mengindikasikan bahwa kelompok yang mendapatkan intervensi umpan balik berisi pesan norma deskriptif dan norma injungtif tercatat memiliki jumlah langkah kaki yang lebih banyak dibandingkan dengan kelompok yang hanya mendapatkan umpan balik berisi pesan norma deskriptif dan kelompok kontrol (p < .05).
DUKUNGAN SOSIAL ORANGTUA, DUKUNGAN SOSIAL TEMAN SEBAYA DAN KECERDASAN EMOSIONAL SEBAGAI PREDIKTOR STRES AKADEMIK SISWA SMK NEGERI 1 KEDUNG
Authors: Nugroho Baskoro Arie , Soetjiningsih Christiana Hari , Setiawan Adi
Published: December 2022

Academic stress can now be found among vocational students, but this can be overcome by facilitating Parental Social Support, Peer Social Support and Emotional Intelligence. The purpose of this study is to prove Parental Social Support, Peer Social Support with Emotional Intelligence as a predictor of Academic Stress. The subjects in this study were 150 students of SMK Negeri 1 Kedung and the method of data collection in this study was psychological scale. Data analysis using multiple linear regression statistical techniques, all calculations using SPSS version 20.0. The results of data analysis obtained the simultaneous value of R between Parental Social Support, Peer Social Support and Emotional Intelligence towards Academic Stress was 0.321 and F value = 12.420 with a significance value of 0.000 (p <0.05). This shows that there is a simultaneous influence between parental social support, peer social support and emotional intelligence on academic stress and also obtained R Square value of 0.103, which means that parental social support, peer social support and emotional intelligence together contribute 10.3% academic stress, the rest is influenced by other factors
GAMBARAN BUDAYA ORGANISASI SMPN 4 SUMEDANG.
Authors: Tiarga Rizki Ananda , Kadiyono Anissa Lestari , Sulistiobudi Rezki Ashriyana
Published: December 2022

Sekolah adalah tempat untuk belajar, tempat untuk mengembangka karakter, tempat untuk belajar memahami orang lain, tempat untuk merasakan perbedaan, tempat untuk saling menolong dan menguatkan. Terdapat arah, fungsi dan tugas yang perlu ditempuh oleh sekolah sebagai organisasi. Upaya untuk meningkatkan efektivitas organisasi sekolah dapat dilakukan dengan mengaktivasi budaya organisasi. Penelitian ini dilakukan untuk mengidentifikasi dan menafsirkan profil budaya organisasi menggunakan instrumen assesment organisasi (OCAI) sebagai kunci sukses dalam meningkatkan efektivitas dan kinerja organisasi SMPN 4 Sumedang. Responden adalah Guru di SMPN 4 Sumedang. Penelitian ini menggunakan konsep competing values framework (Cameron dan Quinn, 2006) dengan kuesioner OCAI yang kemudian diolah dan dianalisis. Hasil penelitian menemukan bahwa tipe budaya organisasi saat ini didominasi oleh tipe clan, sementara tipe budaya yang diinginkan didominasi bertahan oleh tipe clan.
PROGRAM SERASI (SEKOLAH RAMAH INKLUSI) DALAM MENINGKATKAN PENGETAHUAN SAKSI SEBAYA (PEER BYSTANDER) TENTANG DISABILITAS DAN PERUNDUNGAN (BULLYING).
Authors: Purba Rany Monika , Mangunson Frieda
Published: December 2022

This study aims to investigate the effectiveness of SERASI (Sekolah Ramah Inklusi) programme as bullying prevention programme to increase knowledge on the topic of disability and bullying. Improvement in knowledge of disability is expected to increase student acceptance on special needs students. Improvement in knowledge of bullying is expected to increase student’s helping intention as peer bystanders in bullying situation. The SERASI programme consists of disability awareness part and bullying awareness part. Nineteen participants participated for three days in six sessions. Training material covered topics about inclusive education, disabilities, simulations, bullying, role in bullying situations, the importance of bystander roles, and strategies to support bullying victims. This research is a quasi-experimental research with a within-subject design. Measurement carried three times, at before (pre-test), immediately after (post-test), and three months after (post post-test) implementation of SERASI programme. Results of statistical analysis using paired sample t-test showed significant improvement in students' knowledge on topic of disability and bullying after participated in the SERASI programme (M pre-test = 6.68; M post-test = 10.26; t = 6,026; df = 18; p = 0.000). Results of statistical analysis using paired sample t-test also showed students' knowledge on topic of disability and bullying was decreased after three months in the SERASI programme and there were no delayed effects (M post-test = 10.26; M post post-test = 8.11; t = -3.060; df = 18; p = 0.007).
POTENSI MENJADI PELAKU KEJAHATAN SEKSUAL KAITANNYA DENGAN HARGA DIRI REMAJA LAKI-LAKI
Authors: Erica Stefanni Lucky , Nuqul Fathul Lubabin , Priyanggasari Al Thuba Septa
Published: December 2022

Penelitian ini bertujuan untuk mengetahui pengaruh harga diri terhadap potensi menjadi pelaku kejahatan seksual pada remaja laki-laki di Kota Malang. Penelitian ini menggunakan pendekatan kuantitatif dengan dua variabel yang menggunakan skala harga diri dan skala potensi menjadi pelaku kejahatan seksual. Sampel dari penelitian ini adalah sebanyak 384 remaja laki-laki yang tersebar di Kota Malang yang berusia 16-20 Tahun.Teknikpengambilan sampel yang digunakanpenelitiadalahaccidental sampling. Instrumen penelitian yang digunakan adalah  Skala harga diri  dan skala tentang asesmen resiko menjadi pelaku kejahatan seksual. Hasil perhitungan dan analisis data diperoleh koefisien determinan (R-Square) yang diperoleh dari harga diri terhadap potensi menjadi pelaku kejahatan seksual pada remaja laki-laki sebesar 0,284. Kesimpulannya adalah adanya pengaruh negatif variabel harga diri terhadap variabel potensi menjadi pelaku kejahatan seksual dengan sumbangan efektif sebesar 28,4%.
PENCAHAYAAN BAIK UNTUK EMOSI YANG POSITIF: ANALISIS EMOSI SAAT MALAM HARI BERDASARKAN PENILAIAN TERHADAP PENCAHAYAAN LOKASI
Authors: Lestari Selfiyani , Takwin Bagus , Kusumawardhani Dianti Endang
Published: December 2022

Penelitian ini bertujuan mengeksplorasi emosi individu yang muncul saat malam hari dengan adanya pencahayan di suatu lokasi dan menganalisis hubungan antara emosi yang muncul dengan penilaian terhadap pencahayaan di lokasi tersebut saat malam hari. Penelitian dilakukan secara cross-sectional kepada 56 responden dengan memberikan open-ended question melalui survei daring.  Pengujian dilakukan dengan menggunakan analisis deskriptif, kendall-tau b, dan rank biserial melalui program analisis statistik JAMOVI. Hasil menunjukkan bahwa lebih banyak partisipan yang melaporkan emosi positif (n=37) dibandingkan emosi negatif (n=18) dan netral (n=1) dengan adanya pencahayaan di lokasi target saat malam hari. Munculnya emosi positif tersebut berkorelasi dengan adanya penilaian positif terhadap pencahayaan yang ada di lokasi terkait, begitu pula sebaliknya untuk emosi negatif (r=.276, p<.05). Berdasarkan hasil penelitian ini, pencahayaan dengan desain yang dinilai positif oleh masyarakat perlu diaplikasikan khususnya pada lokasi yang memunculkan emosi negatif saat malam hari agar dapat mendukung aktivitas masyarakat saat malam hari di lokasi tersebut.
Efektivitas Intervensi Psikoterapi ILHAM terhadap Tingkat Stres yang Dialami Mahasiswa di Universitas Paramadina
Authors: Priyanti Dwita , Saputra Dinar , Haryanto Handrix Chris , Ghozali Ghozali
Published: December 2022

Mahasiswa merupakan salah satu kelompok yang memiliki faktor resiko untuk mengalami stres. Tuntutan akademis dan kehidupan menjadi faktor penyebab stres pada mahasiswa. Stres yang dialami mahasiswa akan berdampak negatif jika tidak ditangani dengan baik.  Salah satu aspek penting yang diperhitungkan dalam penangan stres adalah spiritualitas. Salah satu psikoterapi yang mengutamakan aspek spiritual dalam prosesnya adalah Psikoterapi ILHAM. Psikoterapi ILHAM dikembangkan berdasarkan teori yang dikemukakan oleh tokoh Sufis islam Al-Ghazali. Penelitian ini bertujuan untuk melihat efektivitas psikoterapi ilham terhadap tingkat stres yang dialami mahasiswa di Universitas Paramadina. Penelitian ini menggunakan desain penelitian single subject experiment. Hasil penelitian menunjukkan responden mengalami penurunan tingkat stres setelah menjalani intervensi Psikoterapi ILHAM. Hasil wawancara juga menemukan responden merasa lebih tenang dan tidak tertekan setelah menjalani psikoterapi.