bluuebunny/crossref_metadata_2025 huggingface dataset:
Echocardiographic Assessment of Right Ventricular Function in First Myocardial Infarction
Authors: Prabhudesai Amar , Varghese Kiron
Published: March 2021

Aim:

The aim is to study the right ventricular (RV) function in patients of first myocardial infarction (MI).

Methods:

This study compared 25 patients of inferior wall MI (IWMI) with or without RVMI and 20 patients of anterior wall MI (AWMI) with 25 healthy age-matched controls. RV function was assessed using Tei index, tricuspid annular plane systolic excursion (TAPSE), tricuspid annular systolic (S'), early diastolic (E'), and late diastolic (A') velocities using tissue Doppler imaging (TDI) at first presentation and after 24 h.

Results:

In patients with IWMI, the Tei index was significantly increased (0.44 ± 0.09 vs. 0.22 ± 0.05; P < 0.001), TAPSE was reduced (1.25 ± 0.32 cm vs. 2.09 ± 0.26 cm; P < 0.001) and tricuspid annular S'(12.04 ± 1.74 cm/s vs. 16.48 ± 3.38 cm/s; P < 0.001) and E' (10.16 ± 2.23 cm/s vs. 12.32 ± 3.74 cm/s; P = 0.006) significantly decreased on TDI, compared to controls. Interestingly, patients with AWMI also had significantly increased Tei index (0.45 ± 0.16 vs. 0.22 ± 0.05; P < 0.001) and reduced TAPSE (1.52 ± 0.35 cm vs. 2.09 ± 0.26 cm; P < 0.001) and tricuspid annular S' (13.4 ± 2.5 cm/s vs. 16.48 ± 3.38 cm/s; P = 0.001) compared to controls. IWMI patients with associated RVMI had significantly reduced TAPSE (1.01 ± 0.24 cm vs. 1.43 ± 0.25 cm; P < 0.001) but did not differ with respect to the Tei index (0.42 ± 0.09 vs. 0.44 ± 0.09; P = 0.56) compared to those without ECG evidence of RVMI. Serial echocardiography showed significant improvements in measures of RV function.

Conclusion:

RV function is affected in all cases of MI, including AWMI, due to ventricular interaction and interdependence. Furthermore, RV function improves rapidly on follow-up.
A Rare and Curable Cause of Cyanosis – Congenital Portosystemic Shunts
Authors: Ganesh Balasubramaniyan Amirtha , Aashish Arumugam , Karthikeyan Selvaraj , Giridharan Srinivasan
Published: March 2021

Congenital portosystemic shunts (CPSSs) are rare developmental vascular anomalies which are classified into extrahepatic and intrahepatic malformations. Here, we report a 7-year-old girl who presented with a history of progressive dyspnea, pandigital cyanosis, and clubbing. On evaluation, she was found to have a rare combination of both type II extrahepatic and intrahepatic portosystemic shunts which were closed endovascularly in the same setting. Diagnosis of CPSS needs a very high index of clinical suspicion. Timely diagnosis with specific imaging modalities will help in deciding the treatment strategy and may prevent long-term complications.
Electrocardiography Indices in Healthy Metabolic Syndrome Patients
Authors: Agarwal Khushboo , Thakur Dhruv , Gupta Alok , Gupta Rajat
Published: March 2021

Background:

Metabolic syndrome is a constellation of cardiovascular risk factors characterized by insulin resistance, prothrombotic and pro-inflammatory state. This study was an attempt to evaluate ECG changes as markers for metabolic syndrome before development of overt cardiovascular disease. Aims: We evaluated association between metabolic syndrome and ECG indices: QT dispersion, QTc dispersion, TpTe interval and TpTe/QT ratio.

Settings and Design:

Cross-sectional study Methods and Material: The study was conducted on 108 patients with metabolic syndrome and compared with age and sex matched 50 controls. Indices were measured from 12 lead ECG and data was compared.

Statistical analysis used:

SPSS

Results:

Metabolic syndrome was more common in females with most common criteria present being waist circumference followed by hypertriglyceridemia Metabolic syndrome group had higher levels of BMI, waist circumference, fat percentage, serum triglycerides and fasting glucose, systolic and diastolic pressure as well as lower HDL levels than control subjects. The QTc dispersion, QT dispersion, TpTe intervals and TpTe/QT ratio were significantly increased in Metabolic syndrome group compared to the control group. Increased Odd's ratio of the ECG parameters in comparison with the control group was also calculated. ROC curve revealed that QTc dispersion and TpTe/ QT ratio were better predictors for future metabolic syndrome.

Conclusions:

Hence ECG indices (QT dispersion, QTc dispersion, TpTe interval and TpTe/ QT ratio) can be used to predict cardiovascular risk in such patients.
Hypertension in Sub-Saharan Africa
Authors: Joubert Jacques , Lacroix Philippe , Preux Pierre-Marie , Dumas Michel
Published: March 2021

Like much of the developing world, sub-Saharan Africa (SSA) is facing a major challenge. This challenge is due to noncommunicable diseases (NCDs) whose rates are rising dramatically in SSA. Two conditions that frequently coexist head the list of NCDs as either established disease entities or risk factors for NCDs. These are hypertension and diabetes. Hypertension is the foremost cardiovascular condition. The objective of this scoping review is to examine peer-reviewed publications for the period 2009–2019 related to the detection and management of hypertension in SSA. We seek to define the issues confronted in managing hypertension in SSA, what measures have been implemented and evaluated, and what barriers and facilitators have been found. By mapping the complex, heterogeneous literature, we aim to identify the key concepts that underpin a major public health issue in SSA. The central question that this review addresses is how to control hypertension in SSA.
Single-Staged Buccal Reconstruction with Facial Artery-Based Bilateral Nasolabial Flaps for the Management of Severe Trismus in Oral Submucous Fibrosis
Authors: Kaur Amrita , Ete Geley , Paul M Kingsly , Barreto Elvino , Chaturvedi Gaurav
Published: March 2021

Background:

Oral submucous fibrosis (OSMF) is a chronic disease of insidious onset predominant in the Asian subcontinent. It is a progressive condition resulting in forced closure of mouth and inability to take solid oral feeds. Having a multifactorial etiology, it is a well-known premalignant condition. Measures such as forcing the mouth open and releasing the fibrotic bands have resulted in aggravated fibrosis and disability.

Aim:

The aim was to evaluate the outcomes of bilateral inferiorly based nasolabial flaps in the management of severe trismus in patients with submucous fibrosis.

Materials and Methods:

The study included patients with progressive trismus presenting to the department of plastic surgery who underwent release and cover with nasolabial flap during the period from August 2014 to July 2018 (4 years). A total of eight patients were studied for their offending agents, the progression of the disease, the preoperative and postflap transfer, and inter-incisal distance, and this was followed up for a period of 1 year. Patients were studied for their improvement in mouth opening, flap status, and donor-site scar acceptability.

Results:

A total of eight patients of submucous fibrosis with severe trismus were treated with nasolabial flaps and followed for an average of 1 year from 2014 to 2018. The mean preoperative inter-incisal opening of 2 mm was treated by the bilateral release of mucosal fibrous bands and covered with tunneled facial artery-based nasolabial flaps. All patients received postoperative mouth-opening physiotherapy. Their inter-incisal opening improved from a mean of 2 mm to a mean of 30.8 mm.

Conclusion:

Bilateral pedicled nasolabial flaps can be successfully used for long-term relief of severe trismus in OSMF. Our study showed easy elevation of bilateral flaps, adequate postoperative mouth opening, with no recurrence of disease, and no flap contracture. This small-sized flap gives good coverage of the buccal mucosa without flap redundancy and cosmetically acceptable donor site.
Trapeziectomy and Ligament Reconstruction Tendon Interposition Technique Experience for the First Carpometacarpal Joint Arthrosis
Authors: Yildiran Gokce , Tosun Zekeriya
Published: March 2021

Osteoarthritis of the hand is rare; however, the most retained joint after the distal interphalangeal joint is the first carpometacarpal (1. CMC) joint. Pain in the rest and increased pain with opposition is the most serious symptom, which significantly decreases the quality of life. The aim of these patients is to obtain a painless and stable thumb. Experience of trapeziectomy and ligament reconstruction tendon interposition technique for a Stage III patient was shared and diagnosis and treatment were discussed through the relevant literature. A 53-year-old female patient was admitted with complaints of pain in the right hand thumb root and unable to open the jar lid. In direct radiography, narrowing in the 1. CMC joint space and osteophytes were detected. After the trapeziectomy, 1st and 2nd metacarpals were fixed with K wire. Flexor carpi radialis tendon was passed from the first metacarpal base to the second metacarpal base in the form of a distal-based tendon flap to mimic the beak ligament. There was no pain at the postoperative 6th month, and the Kapandji opposition score was 10. When diagnosing 1. CMC osteoarthritis, pain during opposition and circumduction movements that is not relieved with analgesics and rest is the most important symptom for a clinician to look for. Many treatment principles have been defined according to the staging for the postdiagnosis period, despite the diagnosis is a challenging process.
Tensor Fascia Lata Flap
Authors: Mahakalkar Sameer Sharad , Mago Vishal , Rijhwani Ashok , Gupta Manish
Published: March 2021

Bladder exstrophy is a rare lower urinary tract malformation that occurs less frequently in women than in men. A case of 11-year girl, who presented with the residual bladder exstrophy along with lower abdominal defect secondary to previously operated bladder exstrophy. Anterior osteotomy and abdominal rectus muscle and musculocutaneous flaps are commonly used options for closure of the defect. Due to extensive scarring and atrophic abdominal recti and late presentation, local reconstructive options were exhausted. Hence, the tensor fascia lata flap was used for the defect closure. In the following report, we discuss our experience with this procedure.
Multistage Management of Complex Maxillofacial Defects Due to Gunshot Injury
Authors: Erkol Erden Erkut , Isik Cemil , Sutcu Mustafa , Akdag Osman
Published: March 2021

Background and Aim:

The injuries due to gunshot can form extensive defects. The management of these defects is required in multistage procedures, and the treatment achievement should be evaluated in many aspects. In this study, a methodology was tried to be developed to reveal the path to be followed in the management of maxillofacial defects caused by high-energy close-range gunshot injury. In addition, similar cases were analyzed retrospectively, and the functional and social successes of the treatment were evaluated.

Subjects and Methods:

Five patients with high-energy gunshot injuries were retrospectively analyzed. The tissue requirements of the patients were identified. The technical and quantitative details of the treatment were recorded. The facial disability index was used to evaluate the patient's social and motor functions in the 1st year after the operations were completed.

Results:

The patients' mean age was 31 (17–45), and all of them were male. The mean follow-up time was 25 months (14–26), and the mean operation amount was 7.6 (3–11). Four mandibular, one maxillary, and five soft-tissue defects were detected. It was detected that these defects were managed in basic four steps. Satisfactory, functional, and social results were obtained in four patients in the postoperative 1 year.

Conclusions:

The management of this group of patients comprises complicated procedures. First, the patient should be stabilized vitally. Definitive reconstruction should be carried out after the wound is stabilized. To increase treatment success, the patient's mental status should be stabilized during the treatment period. Providing social function is important along with physical function.
2020: A Record Year for Drug Approvals
Authors: Losben Nancy L.
Published: March 2021

In 2020 The United States Food and Drug Administration's (FDA) Center for Drug Evaluation and Research (CDER) approved 53 novel drugs, five more than in 2019, but still an aggressive number when compared with 2015 when only 45 new drugs were released to the market. CDER, the largest department within the FDA, has robustly approved a rising number of generic drugs in the last several years, increasing their accessibility and reducing patient and payor costs.
Non-formality in PIN(2)-monopole Floer homology
Authors: Lin Francesco
Published: March 2021

In previous work, we introduced a natural

\mathcal{A}_{\infty}

-structure on the Pin(2)-monopole Floer chain complex of a closed, oriented three-manifold

Y

, and showed that it is non-formal in the simplest case in which

Y

is the three-sphere

S^3

. In this paper, we explore further this non-formality phenomenon. Specifically, we provide explicit descriptions of several Massey products induced on homology, and discuss applications to the computation of the Pin(2)-monopole Floer homology of connected sums.
Pancytopenia of Unknown Cause in Adult Patients Admitted to a Tertiary Hospital in Ethiopia: Case series
Authors: Gudina Esayas Kebede , Amare Hiwot , Benti Kasahun , Ibrahim Shoba , Mekonnen Gashahun
Published: March 2021

BACKGROUND: Over the past few years, we have witnessed a dramatic increase in the number of patients presenting with severe pancytopenia to Jimma University Hospital. We now present sociodemographic and clinical characteristics of adult patients admitted with pancytopenia of unknown cause to Jimma University Hospital during the period of March 2015 to June 2016. Complete blood count and other diagnostic tests were done for all patients to uncover underlying causes.RESULT: Out of 65 cases admitted with pancytopenia during the specified period, 40 were excluded for various reasons. The rest 25 patients were included in this review. The mean age was 32.1 years (SD=14.9); 14 were younger than 30 years of age. The mean hemoglobin level, white cell count and platelet count were 48.6 g/L (SD=1.9), 1,918 /μL (SD=879.8) and 36,200 /μL (SD=26,131) respectively. The major presenting symptoms were generalized malaise and fever. No geographic or seasonal clustering of the caseswas seen.CONCLUSION: The number of cases with pancytopenia of unidentified cause seen at the hospital over the specified period is alarmingly high and deserves great attention. The hematologic alteration in most of the patients was found to be severe with poor clinical outcome. This calls for large scale community based investigation to uncover the root cause of the problem.KEYWORDS: Aplastic anemia, Pancytopenia, Ethiopia, Jimma
Acceptance of HIV Counseling and Testing among Antenatal Clinic Attendees in Southern Ethiopia
Authors: Gizaw Rahel , Gebremdhin Samson
Published: March 2021

BACKGROUND: Counseling and testing for Human Immunodeficiency Virus (HIV) (HCT) during antenatal care (ANC) is a critical entry point for the prevention of mother-to-childtransmission (PMTCT) of HIV. However, in Ethiopia limited evidence exists regarding the extent of acceptance of the service. The study aimed to assess the level and factors associated with acceptance of HCT in Hawassa city, Southern Ethiopia.METHODS: Cross-sectional study was conducted in four public health facilities found in the city. Five hundred and four ANC clients were selected using multistage sampling technique. Data were collected via interviewer administered questionnaire and analyzed using multivariable binary logistic regression analysis. The outputs are presented using adjusted odds ratio (AOR) with 95% confidence interval (CI).RESULTS: The vast majority, 84.1% (95% CI: 80.6-87.2%), of the respondents accepted the HCT. Acceptance was positively associated with being married [AOR=5.60 (95% CI: 1.87-16.50)], having two or more ANC visits [4.93 (95% CI: 2.40-10.07)], history of prior HIV testing [4.23 (95% CI: 1.90-9.74)], having good knowledge about MTCT [4.91 (95% CI: 2.07-11.6)] and PMTCT [6.22 (95% CI: 2.87-13.50)] and having no fear of stigma anddiscrimination [3.32 (95% CI: 1.57-7.02)].CONCLUSION: Acceptance of HCT can be further improved by enhancing the knowledge of mother about PMTCT and combating stigma and discrimination.KEYWORDS: HIV testing acceptance, antenatal care, stigma and discrimination, prevention of mother-to-child transmission of HIV, Hawassa, Ethiopia.
Physicians’ Burnout and Factors Affecting it in Southern Ethiopia
Authors: Lrago Taju , Asefa Fekadu , Yitbarek Kiddus
Published: March 2021

BACKGROUND: Burnout is a common syndrome seen in healthcare workers, particularly physicians who are exposed to a high level of stress at work. Therefore, this study assessed the level of burnout and its associated factors among physicians working in public hospitals of Southern Ethiopia.METHODS: Institution based cross–sectional study was conducted using structured self administered questionnaire from March 13 to April 11, 2017. Maslach’s Burnout Inventory Human Services Survey was used to measure burnout level of physicians. Data were entered in to Epi Data version 3.1 and exported to SPSS version 21 software. Descriptive statistics, bi-variate and multivariable linear regression analysis were performed. P-value less than 0.05 was used to determine association between independent and dependentvariables.RESULT: Burnout level was measured in three dimensions: emotional exhaustion, depersonalization and personal accomplishment with mean scores of 27.2, 12.93 and 25.06, respectively. Age, receiving recognition from hospital managers and monthly salary were negatively associated; and number of patients observed per week was positively associated with emotional exhaustion. Age, working in primary hospital, having support from family and organization, monthly salary and professional training were negatively associated with depersonalization. Monthly salary was positively associated and working in primary hospital was negatively associated with personal accomplishment.CONCLUSION: Burnout was found in a high level among physicians in this study. Receiving recognition from hospital managers, age, working in primary hospital, monthly salary,having support from family and organization, professional training and the number of patients observed per week can possibly affect the level of burnout.
Barriers, Facilitators, Process and Sources of Evidence for Evidence- Based Management among Health Care Managers: A Qualitative Systematic Review
Authors: Hasanpoor Edris , Hajebrahimi Sakineh , Janati Ali , Abedini Zahra , Haghgoshayie Elaheh
Published: March 2021

BACKGROUND: Evidence-based management (EBMgt) improves managerial decisions as a bridge from theory to practice. For reason that it has a critical impact on organization performance. The purpose of this study was to identify factors affecting EBMgtamong managers.METHODS: The following electronic databases were used: PubMed, Web of Science, Cochrane, ProQuest, Embase and Scopus. In addition, we searched Google Scholar, Emerald, Academy of Management (AOM), and the website for the Center nfor Evidence-Based Management (CEBMa) for articles related to EBMgt. We used data sources published up to September 2017, without language restriction. We appraised the methodologicalquality of studies using the checklists of SRQR and MMAT. The synthesis involved interpretative analysis based on the principles of meta-synthesis.RESULTS: Of 26,011 identified studies, 26 met the full inclusion criteria. Of the 26 studies assessed, the frequency of qualitative studies and mixed-methods were 20 and 6, respectively, and the quality of 3 studies was weak. A total of 23 studies from 7 countries were included: Canada (n=8), USA (n=6), Australia (n=4), UK (n=3), Iran (n=1, Brazil (n=1); none were from Africa. Meta-synthesis findings of 23 studies identified four main factors: facilitators (5 main themes), barriers (5 main themes), sources of evidence (4 main themes), and the process of decision making in EBMgt (1 main theme).CONCLUSIONS: EBMgt is crucial to improve the quality of management decisions, and hence, to improve service delivery, effectiveness and efficiency. Furthermore, to increase the benefit and utilization of EBMgt, training organizations and research institutes must more actively involve managers in setting research plans.
Rabies Outbreak among Livestock in a Pastoralist Community, Southern Ethiopia
Authors: Gumi Balako , Girma Sisay , Mohamed Hussein , Deresa Asefa
Published: March 2021

BACKGROUND: Rabies still poses a significant health problem in most of African countries, where the majority of the cases result from dog bites. The situations in the marginalized pastoral areas were not well documented.CASE: In September 2015, rabid wild fox entered the pastoralist village and bit a domestic dog. The victim dog had turned rabid after four months and bit livestock, and rabies outbreak occurred in the family livestock. Consequently, one bull, one lactating cow, one calf, two donkeys and one heifer died of outbreak. The head of one heifer was removed and transported within 24 hours to the Rabies Referral Laboratory of Ethiopian Public Health Institute in Addis Ababa. The sample was confirmed as strong positive for lyssa virus antigen by Direct Fluorescent Anti-Body Test. This was the first confirmed case report from southern Oromia pastoralists. The occurrence of rabies cases across the district was also reported by veterinary and human health officers.CONCLUSION: Integrated intervention strategy and collaboration of animal health, human health and wildlife authority is needed. To halt the ongoing outbreak in the district, immediate response from the Government is recommended.
Correlation between Dermatoglyphics, Dental Caries and Salivary pH: An Invivo Study
Authors: Veeresh Tegginmani , Mujahid Ahmed , Deepu Patil , Sivaprakash Reddy
Published: March 2021

BACKGROUND: Dermatoglyphic patterns that are often utilized in judicial and legal investigations are valuable in diagnosis of many diseases related to genetic disorders. Caries, being infectious in origin, might be related to genetics as well. Hence, these patterns are of significance in predicting caries development.MATERIALS AND METHODS: DMFT (decayed, missing, filled teeth) score of 300 female subjects within the age group 0f 18-25 years were recorded and accordingly divided into 3 groups of 100 each; group 1 (DMFT score=0), group 2 (DMFT score < 5) and group 3 (DMFT score ≥ 5). Dermatoglyphic patterns were recorded using Cummins and Midlo method. pH meter was used for recording salivary pH accurately. Fingerprint patterns and salivary pH recorded were correlated with DMFT scores of subject and control groups. Statistical analysis was performed using ANOVA and Chi-square tests (P < 0.05).RESULTS: The mean salivary pH was least in group 3. The predominant dermatoglyphic pattern observed in groups 1 and 2 was loop pattern whereas, in group 3, whorl pattern was predominant. The TFRC (total finger ridge count) was higher in group 3 compared to the other two groups.CONCLUSION: Caries-free people showed inflated frequency of loops, whereas subjects with high decay score had additional share of whorls. The TFRC was higher in individuals with high DMFT score, and salivary pH was inversely proportional to the DMFT score.
Is Albumin-based Resuscitation in Severe Sepsis and Septic Shock Justifiable? An Evidence from a Cost-effectiveness Evaluation
Authors: Tigabu Bereket , Davari Majid , Kebriaeezadeh Abbas , Mojtahedzadeh Mojtaba , Sadeghi Kourosh , Jahangard-Rafsanjani Zahra
Published: March 2021

BACKGROUND: Fluid and antimicrobial therapy are the essential parts of sepsis management. The type of fluid to resuscitate with is an unsettled issue in the treatment of severe sepsis and septic shock. The objective of this study was to evaluate the cost effectiveness of albumin-based resuscitation over crystalloids.METHODS: A cost-effectiveness analysis was conducted by extracting data from a database of Sina Hospital, Islamic Republic of Iran. A decision tree was constructed by using Tree Age Pro2011. The patients were grouped based on the types of fluids used for resuscitation into crystalloid alone or crystalloid + albumin groups at the initial decision node. The patients were followed from the onset of severe sepsis and septic shock upto 28 days. The healthcare payers’ perspective was considered in constructing the model. The cost was measured in US dollars and the effectiveness was measured by life years gained.RESULTS: The addition of albumin during resuscitation of patients with severe sepsis and septic shock has an effectiveness gain of 0.09 life years and cost increment of 495.00 USD. The estimated ICER for this analysis was 5500.00 USD per life year gained. The probability that albumin is cost-effective at one GDP per capita is 49.5%.CONCLUSION: Albumin-based resuscitation is not cost-effective in Iran when a GDP per capita was considered for a life year gain. The cost-effectiveness was insensitive to the cost of standard care. We recomend the caustious use albumin as per the Surviving Sepsis Campaign guideline.
Exposure to Sexually Explicit Materials and Its Association with Sexual Behaviors of Ambo University Undergraduate Students, 2018
Authors: Ahmed Shallo Seifadin , Willi Mengesha Wakeshi
Published: March 2021

BACKGROUND: Among the number of reasons that expose the youth to reproductive health risks, lack of adequate information on sexual and reproductive health issues is of prior concern. Given the lack of readily available information about sexual activity to teens, they turn to media for information about sexual norms and may also use the media as a sexual super-peer that encourages them to be sexually active. Therefore, this study was aimed to assess the association between exposure to sexually explicit materials and sexually risky behaviors among undergraduate students of Ambo University, Ethiopia.METHODS: Institutional based cross-sectional study was conducted among 403 university students in 2018. Study participants were selected by systematic random sampling technique. Self- administered questionnaire was used to collect data. Data were analyzed using SPSS statistical software version 20. Uni-variate, bivariate and multiple logistic regression analyses were done. With 95% CI, the p-value of less than 0.05 was taken as the level of significance.RESULTS: About 55% and 52% of the university students were exposed to sexually explicit electronic materials throughout their life and in the last 12 months prior to data collection period respectively. Searching for sex information was the top reason for why university students resorted to watching sexually explicit materials. Sexually active students, senior students and male students were more likely to engage in watching sexually explicit electronic materials compared to their counterparts.CONCLUSION: A high numbers of university students were being exposed to sexually explicit electronic materials for the sake of searching about sexual and related information. This exposure has a significant association with risky sexual behaviors specifically. We highly recommend that university organize awareness creation forum on the area of sexual health, HIV/AIDS and STI, and related matters.
Parental Verbal Communication and Sexual Knowledge of Senior Secondary School Students in South East, Nigeria
Authors: Orji CJ , Arinze-Onyia SU , Obionu CN.
Published: March 2021

BACKGROUND: Parental verbal communication may influence the sexual knowledge of senior secondary school students in Enugu State, Nigeria.METHODS: This study utilized a school based cross-sectional study design and was conducted across the six education zones of Enugu State using three-stage sampling technique. A total of 400 respondents completed the interviewer administered questionnaires on their socio-demographics, sexual knowledge and parents’ information on verbal communication skills. Obtainable knowledge scores for sexuality ranged between 0-10; scores of 1-5 were classified as poor and 6-10 as good. Data analysis for the quantitative data was done using IBM SPSS; version 22. Chi square test of statistical significance and multivariate analysis using binary logistic regression were used in the analysis, and the level of significance was set at a p value of less than 0.05.RESULTS: Out of the 400 respondents, 55.5% were girls. The mean age (SD) of the respondents was 15.9 ± 1.3 years. Although 15.5% and 8.8% of the respondents were very comfortable discussing sexually related matters with their mothers and fathers only 34.8% and 16.0% of mothers and fathers were comfortable discussing such matters with the respondents. Less than half of the respondents (42.5%) had good sexual knowledge. Verbal sexual communication between parents and respondents and age above 16 years were found to be predictors of good sexual knowledge.CONCLUSIONS: Poor parental verbal communication led to the poor knowledge of sexuality among the respondents. Parents should be encouraged to discuss sexuality matters with their children.
Modeling and dynamic simulation of propulsion plant for ocean-going fishing vessel
Authors: Ren Li , Peng Yun , Guo Zijian
Published: March 2021

Considering the complexity of propulsion plant and the multiple operating conditions for fishing vessel, the modeling and simulation of ship engine propeller and net for the ocean-going fishing vessel are investigated. According to the matching theory of ship engine propeller and net, the relationships of them are analyzed. Furthermore, the motion balance equation and dynamic equilibrium equation are built for the translation system and rotation system of fishing vessel which can indicate the changing trends of propeller rotational speed or ship speed and propeller torque of thrust. Based on this, by setting up the simulation models of various subsystems, the simulation model of propulsion plant are built for the ocean-going fishing vessel. A trawler is considered to perform simulation tests in which start-up condition, normal navigation condition and trawling condition are taken into account. The simulation results illustrate the correctness and validity of modeling and simulation for propulsion plant system.
A Recursive Frame Analysis of Satir through the Biopsychosocial Lens
Authors: Pelak Daniel
Published: March 2021

This study attempts to add to the understanding and metatheory of the therapeutic process through the analysis of a therapeutic session through the lens of the biopsychosocial model. The study examines which interventions were utilized, in what system, and during which stage of therapy. In order to accomplish this goal, a recursive frame analysis was utilized to track the different frames and interventions of Virginia Satir’s “Of Rocks and Flowers” training session. Results indicated that Satir operated at all three levels of the biopsychosocial system and utilized exploratory questions to assess the vicious cycle in Act I, in Act II she has the family work on communication patterns and reframing their perceptions, and helps them change their interactional patterns and connect with each other differently through sensory based exercises. This study shows the importance of utilizing qualitative methodologies like RFA to help develop a comprehensive theory as quantitative methodologies offer advantages in viewing the broad strokes of the picture, qualitative methodologies and specifically RFA, are essential in developing the fine detail of the picture.
People Centric Governance Model: Conceptualizing the Pillars of Significance
Authors: Othman Zaleha , Melville Rob
Published: March 2021

This article explores corporate governance issue from the perspective of peoples’ governance. Using qualitative research approach, specifically, a grounded theory method, the paper explores the role of the pillar of significance in corporate governance practices. Interview was used as primary data, although document was also analysed. Analysis of the data revealed people centric governance is essential. Findings suggest that there are several pillar of significance in the corporations that provide strength to the corporate governance practices. Emerging theory suggests that the core of corporate governance lies on the people rather that the structure. The finding is useful as it impacted governance problem in such a way that the findings provides information that would enhance governance effectiveness in corporations. This study unlocked the perception that corporate governance flaws relate with corporate governance structure. This article offers originality and new insights in understudy of governance concept that commonly relate with economic perspective.
From Interview to Transcript to Story: Elucidating the Construction of Journalistic Narrative As Qualitative Research
Authors: Jeppesen Jørgen
Published: March 2021

There is a call to narrative investigators to be more explicit about their ways of working methodologically, in particular concerning dialogic/performative analysis. The purpose of this study was to examine how journalistic storytelling used as qualitative health research transformed, assembled and sequenced interview into transcripts, scenes, digressions, and other language products. A published story from a socio-narratological study of living with the terminal disease Amyotrophic Lateral Sclerosis was selected. Distribution and sequence of modes of transcription, versions of dialogue, transformation of observation and memory to scenes, and conversion of the researcher’s reflection to digression, were identified and calculated. Spots in the story conveying the researcher’s imaginations were identified. Three modes of transcription were found. Differences between recorded and published dialogue were demonstrated. The construction of a scene and a digression from notes and transcript was shown. Sequencing of narrative techniques was illustrated. Twenty-two spots of imagination were highlighted. The full, published story itself served as discussion by elucidating how selected parts of interview and context became a story through varying narrative constructions. The highlighted imaginations composed a poetic conclusion resonating the intellectual and bodily experience of the interview.
“Can’t Put my Finger on It”: A Research Report on the Non-Existence and Meaninglessness of Sin
Authors: Sumerau J. , Mathers Lain , Cragun Ryan
Published: March 2021

This paper presents findings from an exploratory study of sin. Based on nine in-depth interviews with self-identified religious people, we demonstrate that respondents define sin as (1) nonconformity, (2) relative to other social realities, and (3) taught by moral authorities. In so doing, respondents’ definitions reveal that sin, despite its use to justify all types of social policies, is a social construction that has no established concrete meaning in daily life. In conclusion, we argue that social scientists would benefit greatly from systematic analyses of the meaning (lessness) and significance of sin in people’s lives as well as within existing social scientific literature, and propose avenues for research concerning this term.
An Investigation into English Language Instructors' and Students’ Intercultural Awareness
Authors: Yılmaz Burcu , Özkan Yonca
Published: March 2021

The role of English as a global language has been increasing greatly in importance for the past few decades, giving rise to different varieties of English spoken by native and non-native English speakers all around the world. It has pointed to the need to raise intercultural awareness in English language classes. This study aims to reveal teacher and student perspectives of intercultural awareness regarding ownership of English and cultural integration in English language classes in Turkey. A mixed method research investigation was used in this descriptive case study. Questionnaires were employed to collect data from 45 English language instructors and 92 English language students. Semi-structured interviews were conducted with eight English language instructors, and focus group interviews were conducted with 24 English language students. The quantitative data was analyzed via SPSS 20 and the qualitative data was analyzed via NVivo 10.0 qualitative data software. The findings revealed that while both instructors and students seemed to be aware of the importance of intercultural awareness in English language teaching, their perspectives didn’t indicate a thorough intercultural point of view. The findings yielded several significant implications including the need to develop an intercultural curriculum, textbook, and teacher training programs to enhance intercultural awareness in English language teaching and learning process.
Using Lenses to Make Sense of Research: A Review of Sharon M. Ravitch and Matthew Riggan’s Reason & Rigor: How Conceptual Frameworks Guide Research
Authors: Rogers Richard
Published: March 2021

Have you or your students ever had questions about conceptual frameworks or found that you used different verbiage when discussing conceptual frameworks? This book succinctly explains conceptual frameworks and how they inform all parts of the research process. Ravitch and Riggan include exemplar empirical studies as models to help readers see the new knowledge in action. They also challenge your thinking and verbiage with conceptual frameworks. If you are a current doctoral student or if you are a researcher about to begin an empirical study, this book will help you create a more rigorous study that links all parts of the study with the conceptual framework.
Hubungan Menggantung Pakaian Dan Memasang Kawat Kasa Dengan Kejadian Demam Berdarah Dengue Di Kabupaten Langkat
Authors: Fadrina Syarifah , Marsaulina Irnawati , Nurmaini Nurmaini
Published: March 2021

Demam Berdarah Dengue adalah penyakit menular yang sangat berbahaya dimana penularannya melalui gigitan nyamuk Aedes aegypti dan bisa mengakibatkan kematian akibat perdarahan yang disebabkan oleh virus dengue. Kabupaten langkat merupakan salah satu wilayah endemis DBD dengan urutan ketiga di Sumatera Utara. Penelitian ini bertujuan untuk menganalisis hubungan antara menggantung pakaian di dalam rumah dan memasang kawat kasa dengan kejadian DBD. Jenis Penelitian ini deskriptif dengan desain kasus kontrol. Populasi penelitian adalah masyarakat yang menderita DBD dan bertempat tinggal di Kecamatan Padang Tualang sejumlah 62 orang. Pengumpulan data melalui observasi dan kuesioner. Metode analisis data meliputi analisis univariat dan bivariat dengan menggunakan uji chi-square. Hasil analisis univariat menunjukkan bahwa kasus demam berdarah dengue lebih dominan terjadi pada umur < 40 Tahun sebanyak (64%) dan berjenis kelamin laki-laki lebih banyak terjadi sebanyak (52%). Hasil analisis bivariat menunjukkan bahwa ada hubungan antara menggantung pakaian di dalam rumah (p= 0,002) dan memasang kawat kasa dengan nilai (p= 0,010) dengan kejadian DBD. Ada hubungan antara menggantung pakaian di dalam rumah dan memasang kawat kasa dengan kejadian demam berdarah dengue.
Faktor-Faktor Yang Memengaruhi Gangguan Fungsi Paru Pada Petugas Parkir Di Kota Medan
Authors: Purba Novika Haryanti , Nurmaini Nurmaini , Marsaulina Irnawati
Published: March 2021

Hidup manusia sangat bergantung dari lingkungannya seperti halnya udara buat pernapasan, air bersih buat minum, serta keperluan sehari-hari dan lainnya. Udara salah satu komponen lingkungan, sehingga kualitasnya mesti terjaga, di udara mengandung seluruh besar oksigen merupakan komponen terpenting untuk perkembangan hidup manusia. Makhluk hidup tanpa udara selama dua menit saja tidak akan dapat bertahan hidup.Tujuan penelitian ini untuk menganalisis faktor-faktor yang memengaruhi gangguan fungsi paru pada petugas parkir di kota medan. Jenis penelitian ini adalah penelitian observasional analitik dengan desain cross sectional. Populasi penelitan sebanyak 30 orang petugas parkir di kota Medan. Sampel penelitian ini adalah seluruh petugas parkir di Kota Medan. Hasil sebanyak 60% pekerja mengalami gangguan fungsi paru  dan sebanyak 40% tidak mengalami gangguan fungsi paru, berdasarkan analisis menunjukkan ada hubungan antara umur ( p = 0,001), masa kerja  (p = 0,011), dan APD (p = 0,010) dengan gangguan fungsi paru pada petugas parkir di Kota Medan. Kesimpulan umur, masa kerja, dan penggunaan APD dapat menyebabkan gangguan fungsi paru di Kota Medan
Karakteristik Peningkatan Kemampuan Lelah AISI 1045 terhadap Proses Hardening
Authors: Junaida Rizky Sulistyawan Sofian
Published: March 2021

Baja memiliki peran penting dalam industri di mana banyak desain komponen mesin menggunakan bahan ini. Sifat mekanis bahan cukup mampu melakukan berbagai aplikasi lapangan dalam berbagai aplikasi. Efisiensi dan efektivitas baja itu sendiri selalu menjadi pertimbangan dalam memilih bahan sesuai dengan pertimbangannya. Hal ini untuk menentukan proses pengerasan yang terjadi pada bahan baja AISI 1045. Membandingkan sifat bahan baja AISI 1045 dengan sebelum dan sesudah proses perlakuan panas. Metodologi penelitian dilakukan dengan menggunakan perbandingan data literatur di media jurnal internasional mengenai perbandingan proses perlakuan panas AISI 1045 Steel dan mendapatkan data dari hasil tes yang terkandung dalam jurnal, yaitu Hardening, Holding Time, Quenching membandingkan hasil data yang diperoleh dari data sekunder. Dari hasil penelitian yang telah dilakukan dapat dilihat bahwa waktu penahanan yang lama dalam proses pengerasan tidak selalu memengaruhi kekerasan baja AISI 1045. Dapur memancarkan panas, suhu di ruang pemanas tidak selalu stabil selama waktu penahanan yang lama, karbon tidak rata karena menyebar ke dalam spesimen selama proses pengerasan. Hasil penelitian baja AISI 1045 terlihat dari tes kekerasan sebelum dan sesudahnya.
Merancang Strategi Bersaing PT. Victory Rottanindo
Authors: Arthamin Shader Mubarak , Shabrina Anisa , Toalu Ananda Aldrin
Published: March 2021

PT. Victory Rottanindo adalah perusahaan manufaktur yang mengolah bahan baku rotan menjadi furniture. Perusahaan bekerja sama dengan tiga distributor di negara itu untuk mengekspor produknya ke Inggris. Namun seiring berjalannya waktu, penjualan perseroan pada 2016 menurun. Melalui analisis faktor eksternal dan internal, faktor-faktor tersebut dirancang dengan menggunakan PEST, kekuatan porter lima dan rantai nilai menentukan posisi kompetitif perusahaan dapat diringkas di kuadran matriks IE bahwa PT. VR memiliki posisi pada koordinat 2.718; 2.27 atau baterai V. yaitu pada kondisi Hold dan Maintan. Dalam hal ini, disarankan agar perusahaan melakukannya strategi market penetration dan product development. Tujuan dari penelitian ini yaitu: menganalisis lingkungan persaingan industri secara internal dan eksternal, menganalisis posisi perusahaan dalam matriks internal deeheksternal, dan menyusun formulasi strategi bersaing yang tepat PT. Victory Rottanindo.
The Building of Character Nation Based on Islamic Religion Education in School
Authors: Abbas Aries , Marhamah Marhamah , Rifa’i Ahmad
Published: March 2021

The character of a nation is a benchmark of the success of education in a nation and state. Because in essence the main purpose of education is to make humans mature. Meanwhile, Islam is a religion that emphasizes the importance of the formation of the character, because the Prophet Muhammad actually said I was sent to perfect morals. The purpose of this research is to find out about how to build the character of a nation based on Islamic education. Implementation of Islamic learning in schools in Jakarta. The focus of the application of Islamic religious education materials that can improve the character of the nation. The research methodology used is a descriptive qualitative research method using data sources from the literature review and field research directly to the school. Research finding that the  quality of Islamic education that is integrated with all existing lessons will have an impact on the nation's character. National education is realized in creating people who have faith and are dedicated to God who is almighty, independent, honest, healthy, able to keep up with the times and be responsible.
INVESTIGATION OF THE RELATIONSHIP BETWEEN THE INTOLERANCE OF UNCERTAINTY AND LEVELS OF HEALTH PERCEPTION FACULTY OF SPORTS SCIENCES STUDENTS DURING THE PANDEMIC PROCESS
Authors: Ulukan Hasan
Published: March 2021

The purpose of this research examining the relationship between the level of intolerance to uncertainty and health perceptions during distance education university students and explaining whether intolerance to uncertainty predicts perception of health. This study is descriptive research in the relational survey model. The sample group consisted of 276 students, 138 (50%) of whom were female, and 138 (50%) of whom were male, studying distance education in the spring term of 2019-2020. Personal information form prepared by the researchers, the "Intolerance of Uncertainty Scale (IUS-12)" and "Perception of Health Scale" were used to collect data. Research data were analyzed using SPSS 25.00 statistical package program. Descriptive statistics, correlation, and statistical regression techniques were used in the analysis of the data. The significance level was determined as .05. As a result of the research, it was determined that the students' intolerance level of uncertainty was at a medium level. Their perception of health was above the medium level. It was observed that there was a low-level negative relationship between the students' intolerance to uncertainty and their perception of health. It has been determined that intolerance to uncertainty is also a low predictor of perception of health.

 Article visualizations:
Impacto laboral de la pandemia por SARS-COV-2 en reumatólogos argentinos
Authors: Scarafia Santiago , Martire María Victoria , Buschiazzo Emilio , Graf César , García-Salinas Rodrigo
Published: March 2021

El nuevo coronavirus SARS2-COV-2 tuvo un fuerte impacto en los trabajadores de la salud. El objetivo del presente estudio fue describir las condiciones laborales actuales de los reumatólogos argentinos. Métodos: Se realizó una encuesta voluntaria a miembros de la Sociedad Argentina de Reumatología durante el aislamiento preventivo obligatorio establecido en Argentina, estudio transversal y se realizó estadística descriptiva. Resultado: Se invitó a mil cuarenta y cuatro médicos registrados en SAR, solo 272 encuestas tuvieron datos completos. En total, el 96% de los médicos tuvo contacto virtual con los pacientes, el motivo de consulta más frecuente fue la prescripción de medicamentos (81,8%). Los médicos recibieron el pago de solo el 5% (RIC 0-40) de un gran número de consultas virtuales. Noventa y cinco reumatólogos (34%) informaron algún tipo de cambio en sus funciones laborales y el 30% fueron asignados a la atención de pacientes COVID-19. Alrededor del 40% de la población del país vive en el área metropolitana de Buenos Aires (AMBA), donde se observan importantes diferencias con el resto de Argentina. Conclusión: La pandemia afectó negativamente la situación laboral de los reumatólogos en Argentina.