bluuebunny/crossref_metadata_2025 huggingface dataset:
Microsurgical clipping of middle cerebral artery aneurysms: preoperative planning using virtual reality to reduce procedure time
Authors: Steineke Thomas C. , Barbery Daniela
Published: August 2021

OBJECTIVE

The authors sought to evaluate the impact of virtual reality (VR) applications for preoperative planning and rehearsal on the total procedure time of microsurgical clipping of middle cerebral artery (MCA) ruptured and unruptured aneurysms compared with standard surgical planning.

METHODS

A retrospective review of 21 patients from 2016 to 2019 was conducted to determine the impact on the procedure time of MCA aneurysm clipping after implementing VR for preoperative planning and rehearsal. The control group consisted of patients whose procedures were planned with standard CTA and DSA scans (n = 11). The VR group consisted of patients whose procedures were planned with a patient-specific 360° VR (360VR) model (n = 10). The 360VR model was rendered using CTA and DSA data when available. Each patient was analyzed and scored with a case complexity (CC) 5-point grading scale accounting for aneurysm size, incorporation of M2 branches, and aspect ratio, with 1 being the least complex and 5 being the most complex. The mean procedure times were compared between the VR group and the control group, as were the mean CC score between the groups. Comorbidities and aneurysm conduction (ruptured vs unruptured) were also taken into consideration for the comparison.

RESULTS

The mean CC scores for the control group and VR group were 2.45 ± 1.13 and 2.30 ± 0.48, respectively. CC was not significantly different between the two groups (p = 0.69). The mean procedure time was significantly lower for the VR group compared with the control group (247.80 minutes vs 328.27 minutes; p = 0.0115), particularly for the patients with a CC score of 2 (95% CI, p = 0.0064). A Charlson Comorbidity Index score was also calculated for each group, but no statistical significance was found (VR group, 2.8 vs control group, 1.8, p = 0.14).

CONCLUSIONS

In this study, usage of 360VR models for planning the craniotomy and rehearsing with various clip sizes and configurations resulted in an 80-minute decrease in procedure time. These findings have suggested the potential of VR technology in improving surgical efficiency for aneurysm clipping procedures regardless of complexity, while making the procedure faster and safer.
Experience of a Final Year Medical Student: Pre- and Post-COVID-19 Era
Authors: Shrestha Prinsa
Published: August 2021

Medical education provides both knowledge and clinical skills to students. Clinical skills program including bedside teaching is considered an irreplaceable part of the undergraduate medical curriculum. COVID-19 pandemic has halted the delivery of effective clinical skills to medical students which has especially affected the final year students. So, we need to find an alternate approach to teach clinical skills to medical students in this era of COVID-19. This public health crisis has also demonstrated the significance of resilience and adaptability in the medical education system and the need to inculcate these values in our generation of medical students. This will help the students to complete their transition from a ‘student’ to a ‘doctor’. This article highlights the experience of a final year medical student in the pre- and post-COVID-19 period, problems faced by final year medical students during this crisis, and effective ways to cope up with them.
Knowledge of Impacted Teeth among the Undergraduate Dental Students of a Medical College: A Descriptive Cross-Sectional Study
Authors: Twyana Rajesh , Khanal Pranaya , Chaudhary Bikash , Sagtani Alok , Gupta Sujaya
Published: August 2021

Introduction: Third molar impaction is a common patient complaint in dentistry. Common symptoms are localized pain, swelling, bleeding, and difficulty in mouth opening. Since dental students deal with patients early in their education, for better skill, they should have knowledge of various teeth impactions. Hence, the objective was to find out the knowledge of impacted teeth among undergraduate dental students of a medical college.
Methods: A descriptive cross-sectional study was conducted among bachelor in dental surgery students of a medical college from November 30, 2020 to April 3, 2021. Data collection was done by convenience sampling after receiving ethical clearance from Institutional Review Committee (Reference 1208202006). A structured questionnaire in Google Forms was sent to 221 participants via Viber. Out of 213 responses received, 144 were analyzed in Excel after discarding for duplication and other errors. Descriptive statistics such as mean, standard deviation, frequency, and percentage were analyzed.
Results: Out of the total of 144 participants, only 81 (56.3%) (47.89-91.4 at 95% Confidence Interval) had known about the term ‘impacted teeth’ before joining Bachelor in Dental Surgery course. The source of information was mostly the internet 27 (18.8%) followed by dentist 23 (16%). Most students 116 (80.6%) were familiar with third molar impactions, 62 (43.1%) knew about types of impacted teeth/impaction, and 100 (69.4%) were aware of the complications of not removing impacted teeth.
Conclusions: Dental students should be provided with appropriate ‘impacted teeth’ education supported by practical experience. More detailed information regarding impacted teeth should be included in the curriculum for better understanding.
Non-neoplastic Lesions among Lateral Neck Mass Specimens in a Tertiary Care Center: A Descriptive Cross-sectional Study
Authors: Dhakal Rachana , Makaju Ramesh , Pokharel Monika , Basnet Dipika , Singh Bhandari Mukta
Published: August 2021

Introduction: Lateral neck masses present clinically as neoplastic or non-neoplastic lesions of lymph nodes, salivary glands, and thyroid. Non-neoplastic lesions, if evaluated timely, may not transform into malignancy thus reducing clinical burden. A cytomorphological study using fine needle aspiration is a reliable method for the diagnosis of such masses. The aim of this study was to find out the prevalence of non-neoplastic lesions of lateral neck mass specimens received in the Department of Pathology in a tertiary care center.
Methods: This descriptive cross-sectional study was carried out in the Department of Pathology among lateral neck mass specimens of a tertiary care center from January 2019 to December 2020 after obtaining ethical approval from the Institutional Review Committee (Reference no: 155/19). A convenience sampling method was used and data analysis was done in Microsoft Excel 2019. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data.
Results: Out of 300 lateral neck mass specimens, non-neoplastic lesions were found in 246 (82%) (77.7-86.3 at 95% Confidence Interval). The involvement of lymph nodes in 117 (47.6%) was the most common finding followed by thyroid 112 (45.5%). Among non-neoplastic lesions, the cytomorphological features of benign nodular goiter 93 (37.8%) was the most common lesion followed by reactive lymphoid hyperplasia 73 (29.7%).
Conclusions: The study showed that the prevalence of non-neoplastic lesions was similar to that of other national and international studies.
Gospel Stories in the Works of V. V. Vereshchagin
Authors: Дружинин Алексей Александрович
Published: August 2021

В наследии русских реалистов второй половины XIX в. существует большая группа произведений на евангельский сюжет, решенных по законам станковой картины, в принципах исторического жанра и предназначавшихся для светских выставок. Уникальность этого явления заключается в том, что художники, в отличие от предыдущего времени, создавали их не только по заказу, но и из внутренней потребности, по личной инициативе. Это произведения Г. Ге, В. Г. Перова, И. Н. Крамского, В. И. Сурикова, И. Е. Репина, В. Д. Поленова, В. Е. Маковского, Г. Г. Мясоедова, К. А. Савицкого и, конечно же, В. В. Верещагина.

In the heritage of Russian realists of the second half of the XIX century there is a large group of works on an evangelical plot, solved according to the laws of easel painting, in the principles of historical genre and intended for secular exhibitions. The uniqueness of this phenomenon lies in the fact that artists, in contrast to the previous time, created them not only by order, but also from inner need, on personal initiative. This is the work of N. G. Ge, V. G. Perova, N. Kramskoy, V. I. Surikov, I. E. Repin, V. D. Polenova, V. E. Makovsky, G. G. Myasoedova, K. A. Savitsky and, of course, V. V. Vereshchagin.
The Horka Litter Raking Incident: On Foresters and Peasants in Nineteenth-Century Moravia
Authors: Szabó Péter
Published: August 2021

Litter raking was a traditional forest use representing an interface between forestry and agriculture. In forest history, it has usually been presented as the harmful removal by peasants of biomass, which was gradually eliminated by foresters, leading to better forest preservation. Based on the example of an exceptionally well-documented case of illegal litter raking in Moravia in 1845, in this paper I argue that juxtaposing foresters and peasants in connection with litter raking masks a much more complicated reality. Neither foresters nor peasants can be interpreted as homogeneous groups because there were significant differences in the opinions and agendas of various representatives within these groups. In addition, opinions were not static on either side but could change in a discursive pattern. In a wider context, the environmental historical analysis of the Horka litter raking incident facilitates the understanding of larger societal processes that influenced past woodland management in Central Europe, and therefore current ecosystems too.
KOMUNIKASI KRISIS PT. JOUSKA FINANSIAL INDONESIA DALAM PEMULIHAN CITRA PERUSAHAAN
Authors: Siregar Isyraqi Khairy , Haeirina Kurniati Putri
Published: August 2021

Jouska is an independent financial advisory company that provides offline and online consulting services that recently went viral in social media and had a strong brand image as a financial consultant related to today's needs. In July 2020, social media was outraged by the complaint, which claimed to have been harmed by them, because Jouska allegedly directed their clients to determine an Investor Fund Account Management Contract (RDI) with PT Mahesa Strategies Indonesia, whose shares are affiliated with Jouska. However, during the development, the client experienced a significant loss in the shares. This situation turned out to be similar complaints from other clients until Jouska underwent a crisis that led to the government's blocking, and the case ended in the realm of law. This study aims to analyze the communication that presents Image Restoration Theory through a lens. The method used in this research is descriptive qualitative, and it was found that Jouska did not yet have a clear SOP for communication with clients and had not implemented crisis management appropriately. There are several recommendations that Jouska can achieve to restore public trust, including collaborative action with various parties, building a communication strategy, and optimal media relations.
ANALISIS FRAMING PEMBERITAAN KOMPAS.COM TENTANG COVID-19 DI DKI JAKARTA
Authors: Simatupang Rosida
Published: August 2021

Handling the Covid-19 virus outbreak in Indonesia since its emergence in March 2020 requires targeted policies both at the national and regional levels. The spread and handlers of the Covid-19 virus are a concern because the number is increasing dramatically. Jakarta as the capital of the country becomes a parameter for other regions in the handling of Covid-19. The outbreak of global pandemic status certainly attracted the attention of the mass media, including online media. With the ability to construct reality, online media has the power to process facts and data in such a way, in accordance with its interests. Researchers will analyze the news with framing analysis to find out the construction of Kompas.com in the news of COVID-19 in DKI Jakarta.This study aims to analyze how framing Kompas.com news about COVID-19 in DKI Jakarta. The research method used is qualitative with framing analysis of Pan and Kosicki models. The results of the study suggest that Kompas.com tends to support governor Anis Baswedan's policy of quarantine the DKI Jakarta area, then Kompas.com does not meet the principle of accuracy in running disaster journalism because it does not verify data.
MODEL PENGAWASAN ORANG TUA TERHADAP PENGGUNAAN MEDIA DIGITAL ANAK
Authors: Mazdalifah Mazdalifah , Moulita Moulita
Published: August 2021

Children nowdays have easely access to information technology, especially smartphones, tablets and personal computers. Therefore, parents take an important role in monitoring their children’s digital media use. The problem that will be explored in depth is how parents supervise the use of children's digital media. This study used a survey method, using a questionnaire as a means of capturing data. The number of respondents is 150 people who have the characteristics of the elderly (father or mother) who have school children at the kindergarten, elementary, junior high, high school and university levels, and use digital media. Respondents were scattered in several sub-districts, namely Medan Johor, Medan Amplas, Medan Selayang, Medan Denai, Medan Polonia and Medan Deli. The results showed that most of the parents perform passive supervision, namely limiting the time the child uses the media and monitoring what sites the child visits. A small proportion of them conduct active supervision such as teaching and directing children to use digital media, especially the internet, and using the internet together with children. The parental supervision model of the effective use of children's digital media is an active supervision model, where parents are actively involved in supervising, not just supervising it.
MANAJEMEN KAMPANYE PUBLIC RELATIONS DALAM SOSIALISASI PROGRAM TANGGAP COVID-19
Authors: Saifulloh Muhammad , Lazuardi Muhammad Fikri
Published: August 2021

This research focuses on the activities of the PT Pelabuhan Tanjung Priok Public Relations Campaign on Covid-19 Response in the Tanjung Priok Port Area. The purpose of this study was to determine the planning of the Covid-19 Response Campaign carried out by the Public Relations of PT Pelabuhan Tanjung Priok and what media were used in the campaign process. The theory used in this research is the 4 Steps Of Public Relations from Cutlip and also the concept of 10 Stages Of Campaign Planning. The research approach uses descriptive qualitative with a constructivist paradigm. Data collection in this study was carried out by means of observation and in-depth interviews with informants who were involved in the process of implementing the Covid-19 Response Campaign with the object of PT Pelabuhan Tanjung Priok. The results of research from the Covid-19 Response Campaign carried out several stages in a comprehensive manner by forming a Covid Management Team together with the K3L and HR divisions. Considering the situation during the pandemic which limited activities outside the home, the Covid-19 Response Campaign was carried out by utilizing digital media such as Websites, Social Media, and the company's main internal channel, namely E-Office.
APLIKASI PEDULILINDUNGI MITIGASI BENCANA COVID-19 DI INDONESIA
Authors: Putri Citra Eka , Hamzah Radja Erland
Published: August 2021

In addition to adequate information about the potential for the Covid-19 disaster that has hit the world, especially Indonesia, mistakes in communicating information can cause uncertainty that worsens the situation. This study aims to analyze the disaster analysis model in the protected care application created by the government as a form of disaster mitigation in this country. This study uses a qualitative descriptive method. The object of the research is the disaster communication model in the Pedulilindung application launched by KOMINFO. The subjects of this research are parties involved in making the idea of a protected application, namely the head of the Public Relations Bureau of KOMINFO Mr. Ferdinandu Setu and also the users of the application. Methods of data collection using in-depth interviews and observations. as a result, KOMINFO conducts disaster response with a disaster communication model which includes, among others, information, communication, coordination, disaster mitigation and the media. media involvement ensures messages and information conveyed are accurate, fast and precise, targeting the use of social media in Indonesia to the fifth largest in the world, but the result is that many Indonesians are reluctant to use the application because it is not effective.
AKOMODASI KOMUNIKASI ETNIS TIONGHOA DAN SUNDA DI SURYA KENCANA BOGOR
Authors: Pratiwi Aprilyanti , Nurlatif Regiant Fachturahman , Madanacaragni M. Girindra
Published: August 2021

The purpose of this study was to identify the communication accommodation process carried out by ethnic Chinese and Sundanese in Surya Kencana, Bogor. The theory used in this study is Howard Giles' Accommodation Communication Theory (CAT). The results showed that the Chinese ethnic Surya Kencana initially made communication accommodations due to compulsion. However, over time and the positive feedback given by the Sundanese Surya Kencana, the Chinese finally made communication accommodations naturally. In the process of communication accommodation, the two ethnics converged, diverged and over-accomodated. The convergence carried out by Chinese is to use Indonesian mixed with Sundanese when communicating with Sundanese. The convergence carried out by the Sundanese is addressing the Chinese with ethnic greetings, (ko ko and ci ci). The divergence made by the Chinese is to be proud if they are called according to their ethnic origin. Meanwhile, the divergence made by Sundanese is to use Sundanese in a larger portion when interacting with ethnic Chinese. The over-accommodation made by the Chinese ethnic group is saying the word Alhamdulillah when interacting with the Sundanese group so that it seems forced. The over-accommodation made by the Sundanese is to greet the Chinese with a greeting according to their ethnicity but not according to the age context, so it seems impolite.
STRATEGI BERTAHAN CAFE MELALUI PENDEKATAN INTEGRATED MARKETING COMMUNICATION DI MASA PANDEMI COVID-19
Authors: Sari Jihan Indah , Susilo Joko
Published: August 2021

Covid-19 Pandemic  affects all sectors around the world, including economic sector especially in culinary bussines field. The impact of covid-19 is felt directly by bingsoo cafe, such as income has dropped  and there is no customer that comes by due to government's policy which forces people to stay at home. The purpose of this research is  to describe the  defensive strategy by bingsoo cafe through the approach of integrated marketing communications (IMC), so that it can continue to defense and adapt  to the bussines situation of Covid-19 pandemic. The method of this research is qualitative with observation technique and deep interview. The result of this research indicates that bingsoo cafe applies the strategy of Integrated Marketing Communications (IMC) by combining 9 out of 12 elements of promotion. Those elements are Advertising, Social Media And Website/Internet Marketing, Personal Selling, Public Relations, Sales Promotion, Point Of Sale And Merchandising, Corporate Identity, Packaging, And Word Of Mouth.
Abnormalitas Morfologi Fetus Mencit Mus Musculus L. setelah Pemberian Ekstrak Etanol Suruhan Peperomia Pellucida L. Kunth
Authors: Busman Hendri , Nurcahyani Nuning , Widiastuti Endang Linirin , Nurkholiza Nurkholiza , Salsabila Qotrunnada
Published: August 2021

Tanaman suruhan memiliki kandungan metabolit sekunder yaitu saponin, flavonoid, dan alkaloid yang diduga berpotensi mengakibatkan sitotoksik. Penelitian ini dilakukan untuk mengetahui keamanan dalam mengonksumsi tanaman suruhan, terutama apabila dikonsumsi oleh ibu hamil. Tujuan dari penelitian ini adalah untuk mengetahui perubahan berat badan, panjang fetus, panjang ekstremitas depan dan belakang fetus mencit setelah pemberian ekstrak etanol suruhan.  Penelitian ini menggunakan 20 ekor mencit betina yang sudah bunting dibagi dalam 4 kelompok yaitu kelompok K yang merupakan kelompok kontrol, P1 yang diberi ekstrak etanol suruhan 1,68 mg/30 g BB, P2 yang diberi ekstrak etanol suruhan 3,36 mg/30 g BB, dan P3 yang diberi ekstrak etanol suruhan 6,72 mg/30 g BB. Semua kelompok mencit betina diberi ekstrak suruhan secara oral dimulai hari ke-6 kebuntingan sampai hari ke-17.  Data yang diperoleh dianalisis menggunakan uji Anova dengan taraf signifikasi α = 5% dan dilanjutkan dengan uji BNT dengan taraf signifikasi α = 5%. Hasil penelitian menunjukkan bahwa pemberian ekstrak etanol suruhan meningkatkan berat badan, panjang badan, panjang ekstremitas depan dan belakang fetus mencit. Berdasarkan analisis statistik One Way Anova taraf α = 5%, tidak terdapat perbedaan yang signifikan (p > 0,05) terhadap berat badan fetus mencit, namun terdapat perbedaan yang signifikan (p < 0,05) terhadap panjang badan, panjang ekstremitas depan dan belakang fetus mencit.
Social Life of Senior Citizens: A Review of Therapeutic Effects of Gardening for Wellbeing in Urban Nepal
Authors: Khadka Gita , Dangal Megh Raj
Published: August 2021

This paper provides the insights for a better understanding of individual, familiar, and social factors of loneliness that influence wellbeing of people in later life. The review offers a thematic analysis on loneliness in elderly people and the therapeutic effects of gardening activities for healthy ageing. Five key themes related to loneliness of elderly people emerged across the papers: loneliness-an issue for wellbeing in life after retirement; the effects of gardening and plants on loneliness; gardening – a therapeutic tool to combat loneliness; elderly’s loneliness during the pandemic and home gardening; and national and international initiatives to decrease loneliness in the elderly population. The review found a significant gap in literature directly connecting loneliness in the elderly with gardening activities for happy and healthy life ageing. The review found that there is a limited number of literatures on the loneliness situation of elderly people during the pandemic, where gardening plays a vital role to reduce the psychological problem while maintaining the social distancing and isolation.
Diagnostic accuracy of ultrasound in detection of pregnancy associated breast cancer
Authors: Mehmood Zainab , Shahzad Rafia , Fatima Ismat , Shahid Abubaker
Published: August 2021

Introduction: Some unique physiological changes occur in breast volume and water content during pregnancy which makes the radiological evaluation of the breast difficult.  As a result, diagnosis of Pregnancy Associated Breast Cancer.  is often delayed.

Objective: To find out the diagnostic accuracy of ultrasonography in detection of pregnancy associated breast cancer taking histopathology as gold standard.

Methodology: Present Cross-sectional study was carried out at INMOL Hospital, Lahore. Ultrasound of 200 women was performed. The patient was laid supine and then turned slightly in oblique position to scan the breast with high frequency linear probe (7.5-10 MHz). The contra-lateral breast and both axillae were also scanned in the same way. Findings were categorized on the basis of Breast Imaging Reporting and Data System (BI-RADS) assessment categories. Subsequently the breast tissue was sent to histopathology laboratory for tissue diagnosis. The pathologist was blinded of the results of ultrasonography.

Results: Mean age was 34 ± 11.36 years. Twenty-eight percent patients were primi-para while 72% patients were multi-para. Diagnostic accuracy of ultrasonography taking histopathology as gold standard was analyzed and ultrasonography had sensitivity 84.78%, specificity 98.05%, positive predictive value 92.85%, negative predictive value 95.56% and diagnostic accuracy was 95%. Invasive ductal carcinoma was most commonly observed (P<0.001) malignant histopathology. On the other hand, significantly high (P = 0.033) number of benign lesions were Fibroadenomas.

Conclusion: The high sensitivity and specificity along with easy availability, and non-invasive nature makes ultrasonography a very useful technique for the diagnosis of Pregnancy Associated Breast Cancer.
Critical thinking dispositions of baccalaureate nursing students and their educators: A cross-sectional analytical study
Authors: Sultana Nuzhat , Gul Raisa Begum
Published: August 2021

Background: Critical thinking is an imperative outcome of nursing education. However, several factors contribute to the development of critical being including critical thinking dispositions (CTDs).

Objective: This study aimed to assess the critical thinking dispositions and factors affecting critical thinking dispositions of BScN students and their educators in twin city Rawalpindi and Islamabad, Pakistan.

Methodology: A cross- sectional analytical design was used in this study. A consecutive sample of 215 BScN students and 63 educators participated in the study. Data were collected via Pakistan-Critical Thinking Dispositions Scale (P-CTDS) comprising 54 items under the seven constructs; responses were measured on 5-points Likert scale. Data were analyzed with SPSS version 22.

Results: The findings showed that 52% of the educators were at the developed level of CTDs and nearly 48% at the developing level; whereas 76% students were inclined towards CTD and only 23% were found at the developed level of CTDs. Although with considerable difference in the scores of the 7 constructs, both, students and educators obtained highest scores on inquisitiveness and contextual perspective. Similarly, students and educators obtained low score on open-mindedness. The difference between students and their teachers was statistically significant for the total scores of CTDs as well as for the scores of six of seven constructs.

Conclusion: Although educators exhibited stronger CTDs than their students, both have room for improvement, specifically their open mindedness. If educators are willing to challenge their personal assumptions, students will also emulate them.
Ischemic stroke is a rare finding in COVID-19 infected patients: A case report
Authors: Ashfaq Anum , Beg Muhammad Atif , Khan Irshad , Hussain Tariq , Batool Uzma
Published: August 2021

Coronavirus has become a global pandemic and causing huge number of mortalities due to variety of complications. Presentations from COVID-19 infection vary from mild respiratory symptoms, fever, pulmonary embolism, heart attacks and neurological manifestations to deadly acute respiratory distress syndrome. A case of elderly patient who was diagnosed as having COVID-19 infection with mild symptoms who was then admitted in hospital for the treatment of COVID-19 infection and then developed a massive ischemic stroke during the hospital stay. Coronavirus disease can present with atypical features for which clinicians should be aware of; so that the diagnosis and treatment should not be delayed and patient can receive maximum benefit with special emphasis on anticoagulant therapy in minimal symptomatic infection.
Recommendations for management of burn patients in context of COVID-19 pandemic
Authors: Rashid Sajid
Published: August 2021

It has been reported from china that burn centers have the highest risk of COVID-19 infection. The virus is highly contagious and damaging and mortality rate as high as 61.5% has been reported. Burn patients have low level of immunity, lack skin barrier and are prone to infections. Due to these facts, they have less ability to fight against the corona virus, so surgical practices for management of burn patients should be modified to prevent the spread of infection and decrease mortality. Keeping these facts in mind, we adopted certain changes in the protocols for management of burn patients at Rawalian burn center, Rawalpindi Pakistan. We are presenting new recommendations which were followed at the burn center during COVID-19 pandemic. These are the first ever recommendations from any burn center of Pakistan since the start of recent pandemic. With help of literature search we identified risk factors for infection during the course of treatment of burn patients. These recommendations include alterations in structural layout, administration procedures, burn patient care like the introduction of telemedicine, online appointment system and use of online messaging applications i.e., WhatsApp, staff training and strategies like online learning system to provide new knowledge regarding COVID-19 continuously. Issues of staff like over work, availability of personal protective equipment (PPEs), and their health-related anxiety and fear should be addressed properly for the prevention of burn out syndrome in them.
Influence of various demographic factors on nutritional status of children under five years of age
Authors: Aaraj Sahira , Halim Alia , Rehman Syed Kaleem ur , Zaman Iffat Fatima , Ahmed Sameera
Published: August 2021

Background: Malnutrition in under five children is prevalent in our country.  It makes them prone to infections and increases child mortality. This can be controlled by identifying and modifying the predisposing factors.

Objective: To assess nutritional status and to analyze the influence of various demographic factors on nutritional status of under five children.

Methodology: This cross-sectional study was conducted in Shifa Falahi and Community Health center in Islamabad. Children under five years of age were included. Information was collected from mothers on a self-designed questionnaire. Weight and height of children was recorded and classified according to WHO Z score. Data was evaluated on SPSS 20. Univariate analysis was done to determine independent effect of each predictor on outcome.

Results: Total of 280 patients were enrolled. 162 (57. 9%) of them were malnourished. Stunting was seen in 24.6% cases, while 26.1% were underweight. Wasting was seen in 19.6% cases. More males were stunted (27.9%) and underweight (27.27%) as compared to females (21.2%) and (24.8%) respectively. Low household income (p value 0.014), poor maternal education (p value 0.018), joint family system (0.002), unboiled drinking water (0.008) and repeated diarrheas (0.02) were found significantly associated with malnutrition. Most of the mothers (>75%) had adequate knowledge of breast feeding, vaccination, seeking medical advice for their babies.

Conclusion: All forms of childhood malnutrition are prevalent. Poor socioeconomic status and maternal illiteracy are strong contributors towards malnutrition. Unboiled drinking water and diarrheas are further aggravating the nutritional status of children.
Effects of Surah Al-Rehman on pain, oxygen-saturation, and vital signs in post CABG patients: A Pilot Study
Authors: Imran Muhammad , Gul Raisa Begum , Batool Shumaila
Published: August 2021

Objective: The main objective of the study was to determine the effects of Surah Al-Rehman on post CABG patients’ pain level, oxygen saturation, and vital signs.

Methodology: A quasi-experimental pre and post-test design was used with a sample size of 60 patients in two tertiary care Hospitals, from July 2018 to September 2018. A non-probability convenient sampling method was used to recruit the participants. Post CABG adult Muslim patients were the study participants. Surah Al-Rehman’s recitation in the voice of the Qari Abdul Basit was the intervention for the current study. At a significance level of p-value ≤ 0.05, a repeated measure ANOVA was applied to determine the effects of Surah Al-Rehman on the outcome variables, which were patient’s pain level, oxygen saturation level, and vital signs including heart rate [HR], respiratory rate [RR], systolic and diastolic blood pressure.

Results: Overall, Surah Al Rehman had shown statistically significant effects on the participants’ pain level (p<0.001), oxygen saturation level (p=0.01), respiratory rate (p<0.001), and diastole blood pressure (DBP, p=0.04). A minimum change in the pre and post values of HR and systolic blood pressure (SBP) was also observed, but statistically, this change was insignificant (HR, p=0.13 & SBP, p=0.47).

Conclusion: Findings of the current study demonstrated that listening to the recitation of Surah Al-Rehman could decrease pain level, RR, DBP and enhance oxygen-saturation in post CABG patients.
Cardiac implantable electronic device related chest pain: A focused review
Authors: Malik Jahanzeb , Khan Kashif
Published: August 2021

More than 600,000 patients undergo cardiac implantable electronic device (CIED) implantation in a year, which comprise of pacemakers, implantable cardioverter defibrillators, and cardiac resynchronization therapy devices (CRT). The most common symptom experienced after a CIED implantation is chest pain. In this review, we describe CIED implantation and associated complications causing chest pain.
Effect of parental relationships on stress levels of students in a medical college
Authors: Hussain Ashraf , Khan Hamza Mustufa , Ahmer Hania , Zafar Shahmeer , Altaf Saad Bin , Ahmed Sajjeel , Awais Safura
Published: August 2021

Introduction: Multiple studies have been conducted on the theme of stress faced by medical students due to the load of medical education and lack of adequate stress coping skills which may affect the students variedly.

Objective: To critically assess stress levels in medical students of Shifa College of Medicine (a private medical college in Islamabad, Pakistan) and the quality of relationship between students and parents, thereby studying a relationship between the two.

Methodology: A cross-sectional study was conducted among the students of Shifa College of Medicine. A sample size of 315 students filled a pretested student stress questionnaire, which was made using the student life stress inventory survey consisting of 34 questions. Data was then analyzed using SPSS version 23.

Results: Increased levels of stress were found to be common among medical students with a prevalence of 53.3% among our study group. A total of 65.7% students face stress due to the increased expectations of their parents. There was a positive correlation (p<0.05) between stress faced by medical students and their relationship with parents. Academics, lack of recreational time and high self-expectations were also major contributors to student stress.

Conclusion: It can be concluded that there is a positive relationship between parental involvement and medical student stress at Shifa College of Medicine, which manifested in the form of excessively high parental aspirations, leading to adverse effects on the academic, social and personal life of a medical student.
Impact of breast cancer awareness health campaigns on knowledge of female educationalists of Islamabad and Rawalpindi; an interventional study
Authors: Naeem Zahid , Nadeem Mahrukh , Kamil Musa , Ayub Aiman , Nawaz Kalsoom , Karim Sabiha , Hassan Ali
Published: August 2021

Introduction: Breast carcinoma is the leading cause of cancer in women worldwide. WHO statistics show 1.2 million new cases every year. Pakistan reports nearly 40,000 lives from Breast Cancer annually.

Objective: To evaluate existing awareness levels regarding breast cancer among female educationalists in twin cities and to counsel the participants about diagnostic tools such as mammographic-screening and breast self-examination

Methodology: The study design was an interventional community trial and was conducted on female teachers aged 30-60 years. Data was collected by a questionnaire, given before and after the interactive session to evaluate its impacts. SPSS Version 23 was used for data entry analysis. Descriptive statistics were used to calculate the quantitative and qualitative variables. McNemar’s test was applied for this. P values less than 0.05 were considered significant.

Results: Total number of participants was 106 women with a median age of 43.3 years (range of age 31-54 years). Before intervening, 67 (63.2%) participants had no knowledge of mammographic-screening and 15 (14.2%) participants didn’t know the definitive way of diagnosing it. 2 After intervention, mammogram was selected to be the definitive way of diagnosing breast cancer by 91 (85.8%) participants. 91(85.8%) participants would encourage close family and friends to get screened. 104 (98.1%) of women had become familiar with technique of self-examination, as compared to 63 (59.4%) before.

Conclusion: Misconceptions about risk factors, screening methods and diagnostic procedures were identified and elucidated. This encouraged participants to start performing regular self-exams and get mammograms.
DISTRIBUTION OF SUBSURFACE QUATERNARY SEDIMENT IN SOUTH BINTAN ISLAND WATERS AS A POTENTIAL HEAVY MINERAL PLACER OR RARE EARTH ELEMENT DEPOSIT BASED ON SEISMIC INTERPRETATION
Authors: Zulfikar Muhammad , Nurdin Nazar , Aryanto Noor Cahyo Dwi , Syafri Ildrem , Muljana Budi , Nur Andi Agus
Published: August 2021

Bintan Island is one of the areas traversed by the Southeast Asian granitoid belt which is known to have the potential for heavy mineral placer deposits. Due to the dwindling presence of heavy mineral placer deposits in land areas, it is necessary to look for the potential presence of heavy mineral placer deposits in water areas. Searching for placer heavy mineral deposits accomodation in these waters requires subsurface mapping.The method used in this subsurface mapping is a single channel seismic method with a total of 179 lines in the direction of northeast – southwest and west – east. The results of this seismic recording are then interpreted the boundaries of the seismic facies unit and distributed using the kriging method. Furthermore, the thickness calculates by using the assumption velocity 1600 m/s.Based on the facies unit boundaries that have been interpreted, the quaternary sediments that formed in the study area are divided into 2 types of units, namely: Unit 2 which is estimated to be fluvial – transitional sediment, and Unit 1 which is estimated to be transitional sediment – shallow sea. There is also a difference in thickness patterns in these two units, where unit 2 shows a pattern of sediment thickening that resembles a paleochannel trending northeast – southwest, while unit 1 is relatively uniform.From the results of this study, it can be said that the area that has potential for heavy mineral placer  deposits is in the west - center of the southern waters of Bintan Island. Where the potential for heavy mineral placer deposits should be in the paleochannel deposits that are part of Unit 2.
Students' social representations of risks in interacting with the Internet: cross-cultural aspect (Russia, Brazil, Romania)
Authors:   Psychological Institute of the Russian Academy of Education, Panov Victor I. , Patrakov Eduard V. ,   Ural Federal University, Batourina Lioudmila I. ,   Independent researcher, Frogeri Rodrigo F. ,   University Center of South of Minas Gerais, Claudiu Coman ,   Transilvania University of Brasov
Published: August 2021

Problem and purpose. Along with the obvious benefits, the digitalization of society carries its own risks. At the same time, in modern psychology there is not enough information about the differences in representations of such risks in different cultures. The purpose of the article is to empirically verify the assumption about the dependence of risk perceptions on the socio-cultural context. Methodology. The empirical part of the study was carried out through questionnaires, collected in different universities in three countries during academic and scientific visits (Russia: n = 112, Romania: n = 94, Brazil: n = 98) and drafting the evaluation reports of social risks perceptions (Abric coefficient). During the translation of the questionnaires, we used the focus group method and the method of translation of psychodiagnostic tools and questionnaires (S.V. Kudrya). Results. The data obtained showed that perceptions of risks depend on general perceptions of risks in the culture of a given country, legislation in the field of Internet security, as well as the duration and experience of interaction in social networks of the Internet. Thus, the" core " of the social representation of Russian and Romanian students about the results of risky behavior on the Internet are unproductive behavior in the information environment (TCP-92); demonstration of indifference (TCP-78) or aggressiveness (TCP-75), and for the Brazilian sample, the demonstration of psychological affliction is more typical (TCP-65). In addition, the lexical-semantic analysis of terms and concepts in the field of riskology used for empirical survey of students showed the presence of semantic cross-cultural differences in their understanding. Discussion and conclusion. The data obtained allow us to say that social perceptions of risks are influenced by socio-cultural and legislative peculiarities: the empirical part of the study showed a clear difference between the “core” and “periphery” both in the cross-cultural dimension and within the country samples. The lexico-semantic analysis of risk-generating behavioral patterns and ideas about risks showed cultural (linguistic) differences in this area and the need not only for adaptation and verification of diagnostic tools, but also for clarifying the meaning of various risk factors in the verbal plan.
Formation of future teachers’ pedagogical resilience in modern conditions
Authors:   South Ural State Humanitarian and Pedagogical University, Baronenko Elena A. , Bystrai Elena B. ,   South Ural State Humanitarian and Pedagogical University, Raisvikh Yulia A. ,   South Ural State Humanitarian and Pedagogical University, Shtykova Tatiana V. ,   South Ural State Humanitarian and Pedagogical University, Belova Larisa A. ,   South Ural State Humanitarian and Pedagogical University
Published: August 2021

Introduction. The social order of modern society sets the task of training a specialist who would be able not only to organize effective communication with all subjects of the educational process, but would also be able to overcome certain crises in the professional activity, confidently go towards the goal, quickly recover from possible pedagogical failures, realistically assess the current situation and the prospects for getting out of it with minimal losses. This actualizes the need for the formation of pedagogical resilience in future teachers, which is possible by introducing a specially developed module into the educational process. The research purpose is to analyze the optimal ways of forming pedagogical resilience through the development and introduction of special training, business games, a project method, a case method in the educational process. Materials and methods. The pedagogical experiment was attended by 58 bachelor students of the Faculty of Foreign Languages, studying in the field of study “Pedagogical Education” at the South Ural State Humanitarian and Pedagogical University (Russian Federation). Research methods: a test for diagnosing the level of pedagogical resilience formation; χ2-Pearson statistical test. Research results. A module “Resilient teacher” has been developed and introduced into the educational process, implemented within the framework of the academic discipline “Methods of teaching a second foreign language”. The results of diagnostics at the final stage of the formative experiment showed an increase in the level of pedagogical resilience formation, which indicates the need to include the module in the educational process of training future teachers (χ2 = 5.9; p <0.1). Conclusion. It is concluded that pedagogical resilience is not only an important trait of a teacher’s personality, but it also serves as a fundamental component of successful pedagogical activity in the future.
Adaptation of non-linguistic students to online foreign language learning
Authors:   Petrozavodsk State University, Abramova Irina E. , Shishmolina Elena P. ,   Petrozavodsk State University
Published: August 2021

Introduction. Accelerated transition to online learning takes place in the context of transformations in economics, introduction of digital technologies, as well as the emergence of new professions. This requires a timely response to labor market trends both in terms of training content and the use of new pedagogical technologies. This study examines the strengths and weaknesses of integrating online learning into higher education. The aim of the article is to analyze the peculiarities of nonlinguistic students' adaptation to digital format of foreign language learning in one of the regional universities of Russia. Materials and methods. The methodology includes a comparative analysis of the data, formalized open and closed questionnaire surveys (April, 2020 and January, 2021). A survey was conducted among 400 students of Petrozavodsk State University. Methods of mathematical statistics: r-Pearson correlation coefficient, Student's t-test. Results. The study found that the majority of respondents (81,9%) highly rated their level of adaptation to online learning, their stress tolerance (55.6%), self-organization (61.2%), self-motivation (54.4%), and degree of time management (58.7%). The academic achievements of students who learn a foreign language online and offline were compared. Students' level of adaptation correlated with their level of stress and academic performance (r= 0.54; p < 0,01 and r=0.55; p < 0,01). Discussion and conclusion. The conducted research proved the universality and effectiveness of professionally integrated project methods and blended learning technologies in both online and offline formats.