bluuebunny/crossref_metadata_2025 huggingface dataset:
A Study of Left Ventricular Dysfunction in Patients with Severe Iron Deficiency in a Tertiary Care Hospital, Nandyal
Authors: Pogula Nagarjuna Reddy
Published: October 2021

Background: Anaemia is one of the major public health
problems worldwide. Commonest nutritional deficiency
affecting more than 1.2 billion individuals worldwide 1. Iron
deficiency anaemia is associated with a reduction in physical
well being and decreased exercise capacity. The prevalence of
anaemia is 30% in stable heart failure and 50% in hospitalized
heart failure patients, compared with less than 10% in the
general population 2.In iron deficiency anaemia, to maintain
adequate oxygen delivery, cardiac output can increase by the
compensatory increase in blood volume, preload, heart rate,
and stroke volume, and decrease in afterload.If severe iron
deficiency anaemia left untreated, it could cause secondary
organ damage. Chronic severe iron deficiency anaemia causes
cardiac remodelling, cardiomegaly, arrhythmia, left ventricular
hypertrophy, and heart failure.
Aim: To study the left ventricular dysfunction in patients with
severe iron deficiency admitted in a tertiary care hospital.
Materials and Methods: A Hospital-based Prospective study
was conducted in the Department of Medicine, Santhiram
medical college & general hospital for a 2 year period. Universal
Sampling Technique was used for the selection of study
subjects. All the patients coming to the medicine department
during the study period with age > 18years with informed
written consent taken from the patient,Hemoglobin< 6gm/dl
(according to WHO criteria) and Red cell indices suggestive of
iron deficiency anaemia The final sample size was 100 subjects.
Results: Out of 100 patients, 62% were females, and 38% were
males in the study group. The mean age in the study population
was 40.68±12.5 years, with the minimum age being 18 years
and maximum age is 70 years. The prevalence of LV dysfunction
in the study group was 61%.51% of the total population had
systolic dysfunction and 10% had diastolic dysfunction.39% of
the total population had normal LV function. In patients with
systolic dysfunction, 72.5% were females, and 27.5% were
males. In diastolic dysfunction, 50% were males, and 50% were
females.
Conclusion: As iron deficiency anaemia is more prevalent
globally, its consequences on the cardiovascular system were
studied. Iron deficiency anaemia is a major public health
problem in developing countries, and it causes major
cardiovascular morbidity and mortality. Severe iron deficiency
anaemia causes structural changes in the left ventricle leading
to eccentric or concentric hypertrophy, which predisposes the
patients to develop left ventricular dysfunction. Hence, early
diagnosis and management of iron deficiency anaemia can
reverse remodelling and prevent left ventricular dysfunction.
Thus, reducing major cardiovascular morbidity and mortality.
Dynamics Characteristics Analysis on Shaft Sprocket Assembly of Rake Conveyor
Authors: Marliana Eka , Ismail Ismail
Published: October 2021

Every year, the Ngadirejo sugar factory encounters the same issue: The sprocket shaft of the eastern C2 rake conveyor at the boiler station fails. This conveyor is used to transfer bagasse from the mill to the kettle. As a result, when one of these components fails, the manufacturing process will be delayed. Static analysis was performed on a failing shaft in prior research, but the life cycle of the shaft was still relatively long. In this research, by employing HQ705 shaft materials, the modal and random vibration on the sprocket shaft was analyzed to determine the cause of this failure further. The analysis was carried out by using Ansys to implement the finite element method. This model used 8523 nodes and 4118 elements in the mesh. For modal analysis, as the number of orders increased, so did the frequency. The fourth and fifth-order vibrations included torsional vibration, with the most complex form, among others, with frequencies of 3061.6 and 3283.1 Hz. Maximum equivalent stress and maximum shear stress occurred at the exact location for static and random vibration analysis. The analysis is relevant to the actual failure that happened in reality.
HIGHLIGHTS

One of the common problem in the sugar company rake conveyor is failure in the sprocket shaft of the eastern C2 rake conveyor at the boiler station
Modal and vibration analysis conducted in order to find the dynamic behaviour of the sprocket shaft rake conveyor
Maximum equivalent stress and maximum shear stress occur on the same location for static, modal and random vibration analysis. Those analysis is relevant with the real failure that has been occur in the reality

GRAPHICAL ABSTRACT
Enterprise Architecture Landscape using Zachman Framework and Ward Peppard Analysis for Electrical Equipment Export Import Company
Authors: Andry Johanes Fernandes , Liliana Lydia , Chakir Aziza
Published: October 2021

Companies have begun to use Information Technology (IT) to fulfill the demands of technology and business development as IT has progressed in terms of data processing and distribution. The largest electrical equipment export-import firm in Indonesia is one of the enterprises that uses information technology. The current business processes have not widely implemented strategic Information Technology/Information Systems (IT/IS) and integrated systems with each other. Enterprise Architecture Landscape is also needed for the application of information technology and information systems. The goal of this research is to develop an enterprise architectural landscape utilizing the Zachman framework in conjunction with the Ward and Peppard framework. The research method used involved literature studies, data collection, internal business analysis using Value Chain and Critical Success Factor (CSF), external business analysis using Political, Economic, Social, and Technological (PEST) and the Five Force Model, resulting in IT/IS. The strategy used in the mapping of enterprise architecture and IT portfolio proposals is McFarlan Strategic Grid. The research yielded an enterprise architectural landscape based on the Zachman framework, which has been translated into its appropriate lines and comprises of business-oriented (considerations, visions, outlines) and information technology (IT) focused components (standards, landscapes, designs). These results can help electric trading firms create and deploy information technology and information systems that will help them accomplish their vision and purpose.
Green Synthesis and Characterization of CuO@SiO2 Nanocomposite using Gum Arabic (Acacia senegalensis) (L) against Malaria Vectors
Authors: Abba Ezra , Shehu Zaccheus , Haruna Rabiu Muhammad
Published: October 2021

The nanocomposite CuO@SiO2 was synthesized through green pathway using Gum Arabic. The green synthesized nanocomposite was characterized using Scanning Electron Microscopy (SEM), Energy Diffraction X-Ray (EDX), Ultra-Violet/Visible spectroscopy, and Fourier Transform Infra-Red (FTIR). These techniques confirmed the formation of CuO@SiO2 nanocomposite. The toxicity studies were conducted for 24 h on 1st, 2nd, 3rd, and 4th instars of malaria vectors at various concentrations of 10, 20, and 25 Mg/L. The LC50 for the 1st, 2nd, 3rd, and 4th instars were found to be 7.525, 7.980, 8.026 and 9.741 Mg/L, respectively, whilst the LC90 for the 1st, 2nd, 3rd and 4th instars were found to be 14.839, 24.937, 57.77 and 48.5 Mg/L, respectively. The correlation coefficient values between concentrations and mortality for instars were obtained in the range of 0.944 - 0.984. These correlation coefficient values indicate that mortality rates increases with the increase in concentrations. The CuO@SiO2 nanocomposite could be a new nanolarvicide for malaria vector control in tropical countries.
HIGHLIGHTS

Nanocomposite was synthesized through green Sol gel method using gum Arabic and characterized by Scanning Electron Microscopy (SEM), Energy Diffraction X-Ray (EDX), Ultra-Violet/Visible spectroscopy, and Fourier Transform Infra-Red (FTIR)
Larvicidal activity of nanocomposite against Anopheles gambiaecomplex was carried following World Health Organization protocol
Probit analysis was conducted to evaluate lethal concentrations (LC50 and LC90) of the nanoparticles against the malaria vectors
The CuO@SiO2 nanocomposites could be a potential nanolarvicide for larval source management of malaria vectors

GRAPHICAL ABSTRACT
Electrical Conductivity of Bone Marrow Cell Cultures and Their Connection with Proliferative Activity: Age Aspect
Authors: Kozheshkurt Valentyn , Bozhkov Anatoly , Ohiienko Svetlana , Bondar Anastasia , Katrych Victor , Novikova Anna , Antonenko Yevhenii , Haiovyi Stanislav , Kot Yurii
Published: October 2021

Functional activity is a basic concept of biology; however, instrumental methods of its determination are absent. The interrelation between bone marrow cell proliferative activity, as one of the functional activity parameters, the content of calcium, copper, and reactive oxygen species (ROS) in the cells, and the electrical conductivity of the cell culture was studied in young and old Wistar rats aged 3 and 20 months. We determined the electrical conductivity of the bone marrow cell cultures and parameters of bone marrow cells (proliferative activity and calcium, copper and ROS content). The bone marrow cells of old intact animals had higher proliferative activity in the primary culture as compared to that of young animals. The content of the 8 main morphological cell types in the young and old animals were similar, while the lymphocyte content was larger in the old animals. Content of ions in the bone marrow cell cultures of old animals as compared with that in young animals varied as follows: Content of calcium was 75 % higher, copper was 5 times lower, and ROS was 2.5 times lower. It was found that the conductivities of the pure culture medium and of that after the cultivation of the bone marrow cells in the nutrient medium were significantly different. It has been suggested that the electrical conductivity of biological media could be used as an integral characteristic of the ionic composition and structural organization of biological media.
HIGHLIGHTS

Electrical conductivity of bone marrow cells suspension of young animals was decrease to compared with this indicator of old animals
Proliferative activity is correlated with electrical conductivity
Electrical conductivity of biological media is influenced both the composition, and macromolecules and their state of aggregation
Effectiveness of Salty Sand in Improving the Adobe’s Thermomechanical Properties: Adrar Case Study (South Algeria)
Authors: Bassoud Abdelkader , Khelafi Hamid , Mokhtari Abderrahmane Mejedoub , Bada Abdelmalek
Published: October 2021

Adobe constructions have always existed, particularly in the Sahara’s dry and scorching regions. This material has a high thermal inertia and can protect buildings from inclement weather. Its mechanical resistance, on the other hand, is still low and has to be increased. The current research, thus, investigated the effect of sand salinity on the thermal and mechanical properties of adobe. The sand needed to create adobe blocks was purchased from 2 distinct locations. The first one was normal sand while the other one was salty sand rich in SO4- sulfate. We considered different ratios of each sand from 10, 20 up to 90 %. The results showed that the adobe made from the sulfate-containing sand improved the compressive strength by about 36 % from 1.91 to 2.58 MPa, and flexural strength by about 71 %, from 0.35 to 0.60 MPa, and reduced the thermal conductivity by 14 % from 0.86 to 0.72 w/mk.
HIGHLIGHTS

Improving the compressive strength by about 36 %
Improving the flexural strength by about 71 %
Improving its thermal behaviour and inertia by about 3 %
Testing more of 90 samples
Studying two different locations
Analyse Mineral and physical Analyse of clay and sands from the arid zone

GRAPHICAL ABSTRACT
Adsorption of Indigo Carmine Dye onto Porous Adsorbent Derived from Banaba Peels Waste
Authors: Channei Duangdao , Jannoey Panatda
Published: October 2021

This study investigated the preparation method and adsorption efficiency of porous adsorbents prepared from banana peels (BP) waste. The BP waste was acquired from banana fried chip factories in Sukhothai province. Chemical activation by sulfuric acid was used to activate the raw material, followed by carbonization at 500 °C. The activated BP adsorbent has been characterized by energy dispersive X-ray spectrometer (EDXRF), N2 adsorption-desorption isotherms (BET), scanning electron microscopy (SEM), and zeta potential measurements. The analysis of chemical properties showed that it mainly contained 70.39 % K matter. The specific surface area of the BP sample reached 215.05 m2/g under acid activation and thermal treatment. The SEM images showed the morphologies of the BP adsorbent before and after activation. There was a significant change in the morphology and in the dried BP and activated BP. The pHPZC value of the activated BP obtained under optimal conditions was 4.13. Adsorption of indigo carmine (IC) onto porous activated BP at different initial IC concentrations (10 - 100 mg/L) and contact times (30 - 120 min) was investigated using batch experiments (0.1 g/50 mL). At an optimum contact time of 60 min, maximum adsorption capacity was determined at 56.18 mg/g. The Freundlich isotherm model with a high correlation coefficient was used to describe multilayer adsorption. The kinetic study fit well with a pseudo second-order kinetic model that represented chemisorption. The negative deltaG° value of –14.64 kJ/mol indicated that adsorption of IC onto the BP adsorbent was spontaneous in nature at 305.15 K.
HIGHLIGHTS

Increase the value of the biomass resources was produced form banana peels as high surface area adsorbent
The qmaxfor indigo carmine (IC) adsorption was 56.18 mg/g under optimized conditions
The adsorption of the IC follows the Freundlich model and pseudo-second order kinetic model
Negative deltaG° value indicated the possibility of IC adsorption process

GRAPHICAL ABSTRACT
Psychological Experiences with Gambling
Authors: Zafra Alvin Josh , Sweeny Kate
Published: October 2021

According to the 2021 Worldwide Gambling Statistics website, more than a quarter of the population gambles, which means literally billions of people gamble at least once a year (Casino.org, 2021). However, despite the vast number of people gambling per year, there is a lack of research on how emotion regulation affects their perceptions and experiences of gambling. Thus, the aim of this study was to better understand the role of emotion regulation deficits in gambling. A survey was conducted to assess the relationship between frequency and type of gambling behavior and emotion regulation difficulties. The participants were gathered from the UCR Psychology Subject Pool (N = 195; after attention checks, N = 162). These participants were directed to a survey that assessed personal experiences and beliefs about gambling and their emotion regulation strategies and difficulties. Results from correlational analyses indicated that people who tend to use cognitive reappraisal (thinking differently to change their emotions), but not expressive suppression (hiding their emotions), gambled in a more controlled way. Suppression tendencies did not predict any gambling experience or belief. In addition, people who generally had greater difficulty regulating their emotions reported gambling less frequently and gambling in a more enjoyable and focused but also stressful way. The findings suggest that cognitive reappraisal may provide a benefit for individuals who gamble in moderation. Furthermore, those who struggle with regulating their emotions may experience gambling in different ways compared to those who struggle less with emotion regulation.
Well-Being in the Age of COVID-19: The Role of Social Distancing
Authors: Dik Darian , Rivera-Ramirez Idalis , Hirulkar Sneha , Sweeny Kate
Published: October 2021

In March of 2020, the World Health Organization declared COVID-19 an international public health emergency. In an attempt to slow the spread of COVID-19, the CDC recommended implementing social distancing practices. In this study (N = 732), we examined self-reported indicators of social distancing (e.g., avoiding physical contact, declining social gatherings), duration of social distancing (in days), and the number of times participants went outside in the past week as simultaneous predictors of various measures of well-being (i.e., loneliness, emotional states). When controlling for overall satisfaction of life, findings suggested that individuals who reported higher levels of social distancing also reported more negative emotions, less positive emotions, and more anxiety symptoms. Surprisingly, individuals who reported higher levels of social distancing reported less loneliness. Individuals who reported going outside more often also indicated less loneliness, fewer depressive symptoms, and fewer anxiety symptoms. These findings suggest that social distancing practices play a substantial but nuanced role in well-being in the context of the COVID-19 pandemic.
MỘT SỐ HƯỚNG PHÂN TÍCH ĐỂ TÌM LỜI GIẢI CHO BÀI TOÁN CHUYỂN ĐỘNG Ở BẬC TIỂU HỌC
Authors: Khổng Chí Nguyện
Published: October 2021

Trong chương trình Toán lớp 4 và 5, bậc Tiểu học các dạng toán chuyển động thuộc loại toán khó đối với học sinh. Phân tích để tìm lời giải phù hợp đối tượng, đồng thời giúp học sinh phát triển năng lực tư duy là yêu cầu cần thiết của giáo viên. Nội dung bài báo này sẽ giới thiệu một số hướng phân tích để tìm lời giải cho bài toán chuyển động thông qua những vị trí cụ thể.
AN EVALUATION OF AFRICA UNIVERSITY’S STRATEGIC FACILITIES MANAGEMENT
Authors: Bigirimana Stanislas , Jagero Nelson , Murowe Hatina
Published: October 2021

Facilities Management is an integrated function in which management issues pre-dominate over technical issues. Through examination of documents and participant observation, this study aimed at assessing the strategic direction and specific strategies that Africa University is pursing in managing its facilities. This study concluded that Africa University is pursuing a growth strategy given the ongoing increase of student numbers. Whereas the performance of the Facilities Management function was over-all above average and adequate for the current status of the University, the growth strategy will lead to inevitable need for changes in the facilities management strategies and procedures in order to match the increasing students population.
►A NOVEL SALES PREDICTION APPROACH: Competing vs Supporting Networks
Authors: Chen Kun , Xie Dejun , Wang Huaiqing
Published: October 2021

Modelling and predicting online sales based on the publicly available data from the online user community are important. In order to improve the accuracy of existing predicting model, we propose a weighted related networks approach to account for the contributions from related products in the same brand (supporting) and category (competing), plus other factors including the claimed past purchases by the user members, the number of reviewers and the relative prices. Three scenarios of such an approach are implemented, compared and tested with a baseline model that is developed based on a traditional approach in literature. The results show that categorical relationship impacts the online sales more significantly in general.
CAPABILITIES AND ENTREPRENUERIAL BEHAVIOUR OF EMPLOYEES IN NIGERIAN BEVERAGE INDUSTRY
Authors: Jonathan Oyedokun Akintunde , Ademola Adele Hasimiyu , Oyerinde Adewoye Jonathan
Published: October 2021

The relationship between capabilities and the entrepreneurial behaviour of employees in the Nigeria beverage industry was examined to determine if individual are at the heart of corporate entrepreneurship in the beverage industry. Eight hypothesis were advance in the study to capture the relationship between each identified capabilities and the innovative and risk taking attitudes of entrepreneurial behaviour of the employees. Structural equation model was deployed to analyse the data collected for the study because of its ability to validate propounded theory and show the multiple relationship among construct following their reliability and validation. The confirmatory factor analysis model displayed good fit following the assessment by three indices – absolute, incremental, parsimony. The result confirmed the test that individual are at the heart of corporate entrepreneurship in the beverage industry and all capabilities are found to have influenced the entrepreneurial behaviour of firms while learning and networking capabilities recorded the highest influence on entrepreneurial behaviour. Managers were therefore recommended to identify and promote capabilities that can stimulate entrepreneurial behaviour of employees. Risk taking behaviour of employees should also be properly managed to avoid demoralization of employees.
ТРАСОЛОГИЧЕСКИЙ АНАЛИЗ АРТЕФАКТОВ из КОСТИ и РОГА ГОРОДИЩА КУЛЬТОБЕ (предварительные данные)
Authors: Саргизова Гульзада Балтабековна
Published: October 2021

Археологический памятник городище Культобе является частью старого города Туркестан (Ескі Түркістан) и расположено в буферной зоне объекта Всемирного наследия – мавзолей Ходжи Ахмеда Ясави (в 350 м от него). В 2020–2021 гг. на территории городища Культобе проведены раскопочные работы на нескольких объектах. В статье представлены типологические и трасологические исследования костяных орудий и изделий, найденных на территории городище Культобе. В текущем году для проведения трасологического анализа отобрано 22 образца из коллекции костяных и роговых предметов. Для изучения изделий и орудий применялась методика С.А. Семенова. Поверхность артефактов была изучена с помощью цифрового микроскопа Levenhuk DTX 700 LCD. В результате анализа выявлено наличие следов от работы на отдельных орудиях, определены их характерные особенности. Произведен осмотр костяных артефактов; выполнено выявление образцов со следами рукотворных и иных видоизменений; проделана систематизация полученных материалов – изделий, заготовок и отходов производства; определены морфологические данные предметов. Население средневекового Култобе эффективно использовало имеющееся сырье. Они питались мясом забитых животных, обрабатывали их кости и использовали в последующем для собственных нужд в повседневной жизни.
КОЛЛЕКЦИИ КАМЕННЫХ ИЗДЕЛИЙ с АРХЕОЛОГИЧЕСКОГО КОМПЛЕКСА КАЗДЫАРАЛ 1 в ЗАПАДНОМ КАЗАХСТАНЕ (предварительное сообщение)
Authors: Куандык Самрат Русланулы , Мамедов Аслан Маликович
Published: October 2021

В статье рассматриваются коллекции каменных изделий с археологического комплекса Каздыарал 1 (эпоха камня – средневековье), полученные в ходе исследований в 2016, 2020 гг. Памятник расположен в 2–2,3 км к юго-западу от поселка Каратал (Уилский р-н, Актюбинская обл.) на левобережье р. Уил и представляет собой скопление артефактов на трех небольших песчаных массивах, расположенных по направлению СЗ–ЮВ. Впервые памятник был обнаружен в 2012 г. Это разновременный комплекс, где на сравнительно небольшом участке сосредоточены артефакты от эпохи камня до средневековья. Раскопки 2020 г. позволили выявить грунтовые погребения эпохи бронзы, раннего железа и средневековья. Эпоха камня представлена артефактами, собранными с современной дневной поверхности в котловинах выдувания. Археологический комплекс Каздыарал 1 относится к памятникам с «поверхностным культурным горизонтом», что существенно затрудняет анализ археологического материала, определение хронологии отдельных индустриальных комплексов, их периодизацию и культурные корреляции. Единственным достоверным источником информации при таких обстоятельствах являются каменные орудия, с помощью которых можно получить данные об относительном возрасте памятника и его культурной принадлежности.
HIPERSENSIBILIDADE AO AMÁLGAMA DE PRATA: RELATO DE CASO
Authors: Sabetzki Caroline Martins , Araujo Luciane , Ceranto Daniela de Cassia Faglioni Boleta , Fosquiera Eliana Cristina
Published: October 2021

O objetivo deste trabalho é relatar o caso clínico de uma paciente de 29 anos de idade, feminino, leucoderma, atendida na Clínica Odontológica da Unipar- Campus Cascavel no ano de 2014, queixando-se de lesão na língua há aproximadamente oito anos, sintomas de “queimações e ardências” na alimentação ácida e com chocolates. A partir do exame clínico intrabucal, observou-se lesão em borda lateral direita da língua, halo esbranquiçado e interior eritematoso, de aproximadamente 5 cm de comprimento. Pela história da doença atual e características clínicas da lesão, sugeriu-se a hipótese de diagnóstico de Eritroleucoplasia ou líquen plano erosivo. Sendo a eritroleucoplasia uma lesão cancerizável, efetuou-se a biópsia incisional e exame anatomopatológico. O laudo do exame anatomopatológico relatou um processo inflamatório liquenóide, grau intenso, compatível com Líquen Plano. Diante deste resultado foi instituído o tratamento com fármaco corticosteróide local (Decadron® Elixir) durante 7 dias através de bochechos três vezes ao dia. O acompanhamento de uma semana apresentou resultado inócuo, sugerindo a necessidade de um novo diagnóstico. Diante do quadro, suspeitouse de uma possível hipersensibilidade aos componentes do amálgama de prata dental presentes nos dentes (46 e 47) adjacentes à lesão. A conduta seguinte foi a remoção das restaurações de amálgama de prata das faces linguais, oclusais e interproximais dos dentes 46 e 47. Após 2 meses, a paciente retornou à Unipar para uma reavaliação, onde se constatou a regressão da lesão. Após um ano de acompanhamento constatou-se remissão total da lesão.
AVALIAÇÃO DA CONTAMINAÇÃO APICAL EM DENTES COM PINOS PRÉFABRICADOS FIXADOS COM DIFERENTES CIMENTOS ODONTOLÓGICOS
Authors: Machado Carlos Vinícius Pagani Vieira , Silveira Frank Ferreira , Alves Florença Pereira de Castro , Seraidarian Paulo Isaías
Published: October 2021

O objetivo deste estudo foi pesquisar capacidade de selamento de diferentes cimentos odontológicos quanto à contaminação apical em dentes que apresentam pinos pré-fabricados. Quarenta e oito dentes foram selecionados e depois de removida a parte coronária, foi executada a limpeza e preparo endodôntico. O espaço para pino recebeu preparo com a broca de largo nº 3 com valor padrão de 7 mm. Foram divididos os grupos: Grupo I - pino intracanal pré-fabricado em fibra de vidro nº 1 cimentado com cimento fosfato de zinco (n=12); Grupo II - pino intracanal pré-fabricado em fibra de vidro nº1 cimentado com cimento ionômero de vidro convencional (n=12); Grupo III - pino intracanal pré-fabricado em fibra de vidro nº 1 cimentado com cimento resinoso de ação química (n=12). Foram ainda incluídos dois grupos controle positivo e negativo. Após a cimentação, os dentes foram submetidos a teste através de modelo experimental de câmara dupla, pesquisa de meio de cultura e contaminação apical para Enterococcusfaecalis. O Grupo 1 apresentou contaminação em todos os espécimes em até 29 dias (100%). O Grupo II e o Grupo III apresentaram contaminação de 50 e 49 espécimes, respectivamente, (83,33% e 75%) no período pesquisado. Após tabulação e análise estatística por Long – Rank (MantelCox) foi considerada significativa à diferença encontrada no Grupo I se comparado ao Grupo II (0.0417) e ao III (0.0006). Entretanto, não foi significativo quando comparados os Grupos II e III (0.4107).
Fear of COVID-19 Infection and its Relationship with Health-Related Preventive Practices among Patients Having Chronic Ailments
Authors: Ahmed Aashi , Nisar Nadia , Gul Ambreen , Javed Ambreen , Abbas Hussan Burair , Yasmin Raheela
Published: October 2021

Background: SARS-CoV-2 infection (COVID-19) is clinical threat to healthy individuals around the world. Risk of disease and related complications are high among immunocompromised individuals and those with pre-existing chronic diseases. Aim: To assess the fear of Covid-19 among patients having chronic diseases and to determine its relationship with preventive practices among them. Study Design: Cross-sectional study Place and Duration of Study: Department of Community Medicine, HITEC Hospital Taxila from 1st September2020 to 31st March 2021. Methodology: Three hundred and seventeen patients having chronic diseases were included. Fear of Covid-19 scale used to assess the fear level and questions related to preventive practices. Results: Fear of Covid-19 was high among females, hypertensive, diabetics and those having cardiovascular disease. Fear was found among 133 (42%) participants. Regarding Covid-19 preventive practices, 8(2.5%) had unsatisfactory, 115 (36.3%) had satisfactory and 194(61.2%) had good preventive practices. Covid precautions were significantly practiced among those having fear. Statistically significant positive correlation was found between mean Covid fear and practices scores (r=.30, p=.001) Conclusion: Fear of Covid is a recognized risk factor for anxiety and depression among people. However, fear is found to promote risk perception and health related preventive behaviors among chronic patients that can positively ensure safety, decrease the risk of infection and serious complications among chronic patients. Keywords: SARS-CoV-19, Fear for Covid-19, Preventive Practices, Chronic diseases.
Compare the Outcomes of Underlay and Onlay Myringoplasty
Authors: Fawad Khan Sahibzada , Manan Khan Abdul , Achakzai Asmatullah , Wali Kakar Shah
Published: October 2021

Objective: To determine the outcomes between underlay and onlay techniques underwent myringoplasty. Study Design: Quasi-experimental study. Place and Duration of Study: Department of ENT, Nowshera medical College/Qazi Hussain Ahmad Medical Complex, Nowshera from 1st July 2018 to 30th June 2020. Methodology: One hundred patients with age ranges 12-55 years were enrolled. Patients details demographics age, sex and body mass index were recorded after taking informed written consent. Patients suffered with tympanic membrane perforation related to chronic otitis media and/or trauma were included. They were divided into two groups, I and II. Group I had 50 patients and received underlay myringoplasty and group II had 50 patients underwent for onlay myringoplasty. Outcomes among both groups were assessed in terms of graft success rate. Complete follow-up among both groups was taken in duration of 4 months. Results: There were 35 (70%) males and 15 (30%) females in group I while in group II 30 (60%) males and 20 (40%) females. Mean age in group I was 24.15±8.41 years with mean BMI 25.17±6.53 kg/m2 and in group II mean age was 25.15±8.41 years with mean BMI 25.21±6.14 kg/m2. In group I graft success rate was 48 (96%) and in group II 45 (90%) graft success found. Medialization in group I was 2 (4%) and in group II was 4 (8%) and no any lateralization was found in both groups. Hearing was improved in group I, mean air bone gap closure was 9.8±6.45dB and in group II 11.8±4.54 dB. Conclusion: The underlay technique for myringoplasty was more effective in terms of graft success and hearing improvement. Overall success rate among both groups was 93% among both groups. Keywords: Underlay technique, Overlay technique, Myringoplasty
Treatment Evaluation for Developmental Dysplasia of Hip Joint in Young Adults
Authors: Noor Fraz , Saeed Kamran , Saleem Akhtar Muhammad , Iqbal Junaid , Mehmood Mughal Naeem , Naveed Amir
Published: October 2021

Background: Developmental dysplasia of the hip is a crucial condition of hip joint demobilizing the patient. If left untreated can cripple and cause premature arthritis at adulthood. Objective: To assess and compare the various methods of treatment, for patients suffering from developmental dysplasia of hip joint. Study Design: Prospective study Place and Duration of Study: Department of Orthopaedic, Sahara Medical College, Narowal from 1st July 2019 to 31st December 2020. Methodology: Forty five patients between 20-37 years of age were enrolled in the study having developmental dysplasia of hip. After complete radiological, physical and clinical examination the diagnosis of developmental dysplasia of hip joint was made. Demographic information was taken on well structured questionnaire. In a cohort study design patient were divided into three groups in accordance with their administered surgical protocol post their consent. Each group had 15 cases. Three various surgical procedures were performed keeping complete quality performance and recovery was followed up to six months of time. Results: The mean age was 33±1.2 years. The maximum number of patients was admitted between 26-31 years of age. A total of 45 patients were admitted (46 hips). Within which 35 patients (77.7%) were females and 5 (22.3%) were males. There were 27 hip having developmental dysplasia of hip joint at left side including one with be the left and right side involved. 94.1% treatment success rate of periacetabular osteotomy followed by hip arthroscopy. Conclusion: Periacetabular osteotomy is best surgical procedure for developmental dysplasia of hip in young adults. Key words: Developmental dypslasia, Hip joint, Treatment, Dislocation
Spontaneous Pneumothorax Complicating COVID-19 Pneumonia: AMulticenter Analysis
Authors: Hashmi Mubashar Sultan , Asim Rana Muhammad , Mahmood Waqas , Hasan Siddiqui Mujtaba , Ali Naqvi Syed Mazhar , Javed Muhammad , Hafeez M. Mansoor
Published: October 2021

Background: Spontaneous pneumothorax is a rare complication seen in patients of COVID-19 pneumonia. The risk factors associated with this complication and its incidence remain unknown largely. We herein, review and present the incidence, clinical characteristics and outcomes of spontaneous pneumothorax in 1767 patients admitted in three COVID treatment tertiary care centers in Lahore. Study Design: Retrospective study Place and Duration of Study: Services Institute of Medical Sciences Lahore and Bahria International Hospital Lahore from 15thApril 2020 to 15thMay 2021. Methodology: One thousandseven hundred and sixty-seven patients who were diagnosed with a spontaneous pneumothorax were enrolled. Clinical characteristics of these cases were also reviewed and recorded. Results: One thousand and five hundred patients had positive RT PCR from nasopharyngeal swab. Eleven (.62%) cases of COVID-19 patients who developed spontaneous pneumothorax were identified. The initial HRCT imaging showed typical and diffuse bilateral ground-glass opacities and consolidations, mainly in their peripheral, posterior and basal lung regions. Three patients had pneumothorax late in the course of disease after they were discharged home. We had only one mortality among those (11) cases and that was also not related to the pneumothorax directly but to development of sepsis and multi-organ failure. Conclusion: Spontaneous pneumothorax is a rare complication seen in COVID-19 pneumonia. Keywords: Pneumothorax, COVID-19, Spontaneous pneumothorax, Lung injury, Barotrauma, Pneumomediastinum
Diagnosis, Management and Repair of Tracheal Stenosis
Authors: Manan Khan Abdul , Din Najam-ud- , Baloch Munir Ahmad
Published: October 2021

Background: Tracheal stenosis is the obstruction of airway and need a proper diagnosis, management and treatment approach. Objective: To diagnose manage and repair tracheal stenosis. Study Design: Comparative analytical study Place and Duration of Study: Department of Thoracic Surgery, Sandeman Provincial Hospital Quetta from 1st July 2020 to 30th June 2021. Methodology: Forty seven patients were divided into two groups for management and repair of tracheal stenosis. After informed consent patients were underwent various procedure depending upon their diagnosis and comorbidity presentation. Their demography and other related information were entered in well-structured questionnaire. Data was analyzed by SPSS tool using t test and chi square. Results: The mean age of patients was 49.5±2.99 years. There were 57.4% of males in the study. Twenty five cases under went brocnhoscopic procedure while surgical repair was conducted on 22 cases. The success rate of surgical procedure was far more evident than bronchoscopic. Conclusion: Multidisciplinary approach is required in management and repair of tracheal stenosis related to clinical history and diagnosis. Key words: Tracheal stenosis, brochoscopy, tracheal repair
Dyslipidemia in Chronic Kidney Disease
Authors: Sainani Pardeep , Das Bhagwan , Kumar Santosh , Manan Junejo Abdul , Memon Rafia , Bai Sapna
Published: October 2021

Objective: To determine the frequency for pattern of dyslipidemia in patients with chronic kidney disease. Study Design: Descriptive, cross-sectional Place and Duration of Study: Department of Nephrology, Jinnah Postgraduate Medical Centre (JPMC) from 26th December 2018to 28thJune 2019. Methodology: One hundred and thirty-two patients were enrolled. Blood sample of 5 ml of each patient was taken and sent to the institutional pathology laboratory for measurement of lipid profile and pattern of dyslipidemia i.e. high cholesterol, low HDL, high LDL, hypertriglyceridemia was noted. Results: The mean age was 44.68±9.39 years and mean of duration of chronic kidney disease was 5.13±2.19 months. Seventy eight (59%) were males and 54 (41%) were females. Pattern of dyslipidemia i.e. high cholesterol, low HDL, high LDL and hypertriglyceridemia were documented in 89 (67.4%), 61 (46.2%), 65 (49.2%) and 37 (28.0%) patients respectively. Conclusion: Dyslipidemia is common among patients with chronic kidney disease is considerable. Regular evaluation of all chronic kidney disease patients for dyslipidemia and treatment need to be instituted. Key words: Dyslipidemia, Chronic kidney disease (CKD), Cholesterol, Low density lipoprotein (LDL), High density lipoprotein (HDL), Hypertriglyceridemia
Ramazan Altıntaş, Gençler İnançtan Soruyor
Authors: MENEKŞE Aslı
Published: October 2021

İnsanın gençlik çağı, zihinsel gelişiminin belki de en önemli sürecinin başlangıcı sayılabilir. Çünkü insan ergenlik çağında kendi ontolojik yapısını keşfetmeye başlar. Gençlik döneminde ise düşünce yapısı şekillenir. Gençlik, sorgulamanın ilk etabı olmakla birlikte neyi nasıl sorgulamak gerektiğinin düşünülmeye başlandığı bir süreçtir. Sorgulama sürecinde sağlıklı kaynakların bulunması gençleri doğru değerlendirme yapmaya yöneltecektir. Bu açıdan Prof. Dr. Ramazan Altıntaş, toplumun geleceğini şekillendirecek olan genç nesli bilgilendirmek amacıyla inanca yönelik sorgulanacak konular hakkında rehber olacak bilgiler ihtiva eden ‘Gençler İnançtan Soruyor’ adlı eserini kaleme almıştır. Bu çalışma gençlerin zihninde şekillenen sorulara cevaplar içermektedir.
Epidemiology, clinical features, and management of hypertriglyceridemia-induced pancreatitis: A case series
Authors: Khatib Mohamad Y. , Peediyakkal Mohamed Z. , Kannappilly Nevin , Elshafei Moustafa S. , Shaik Karimulla S. , Tot Amer A. , Nashwan Abdulqadir J.
Published: October 2021

Background: Hypertriglyceridemia-induced pancreatitis accounts for up to 15 % of all acute pancreatitis admitted to hospitals. It is important to diagnose the etiology to provide adequate and timely management of the case and reduce complications. Epidemiological and clinical data on hypertriglyceridemia-induced pancreatitis in the Intensive Care Unit (ICU) are scarce, especially in Middle Eastern countries. We are reporting a case series of 18 patients admitted managed in the ICU over a period of 10 months. Methods: All patients above 18 years of age were diagnosed with hypertriglyceridemia-induced pancreatitis admitted to the ICU and High Dependency Unit (HDU), were included. Our objectives were to characterize the clinical and epidemiological features of hypertriglyceridemia-induced pancreatitis (HTG-AP) and calculate the number of insulin infusion days required to manage HIP. Results: Patients were mostly middle-aged males from different ethnicity. Most of the patients presented with abdominal pain elevated pancreatic enzymes, and triglyceride. The mean triglyceride level on admission was 15.68 mmol/L. Most clinical findings were resolved when the triglyceride level dropped to below 5.6 mmol/L within 3.5 days. All patients presented with mild forms of pancreatitis without major complications. Fifty percent of our patients showed radiological features of acute pancreatitis, but no one developed local complications. Conclusion: Our case series showed that hypertriglyceridemia is a common cause of acute pancreatitis in Qatar. Upon admission, the mean triglyceride level was 15.68 mmol/L and the cause of the hypertriglyceridemia was unclear but could be related to ethnicity. Patients were primarily managed with insulin therapy and supportive care. None of the patients developed any local complications such as necrotizing pancreatitis or abscess formation. Around 16% of the patients had systemic complications, which were managed successfully.
PENGARUH KUALITAS LAYANAN TERHADAP KEPUASAN KONSUMEN DITINJAU DARI PERSPEKTIF EKONOMI ISLAM (Studi Kasus di UD. Ardian Kabupaten Nganjuk)
Authors: Marsono Adi , Musthofa Moh. Saiful , Pransiska Dewi Anggi
Published: October 2021

Tujuan dari penelitian ini adalah 1.Untuk mengetahui tingkat kualitas pelayanan di UD. Ardian; 2. Untuk mengetahui tingkat kepuasan konsumen di UD. Ardian; 3. Untuk mengetahui pengaruh kualitas pelayanan terhadap kepuasan konsumen di UD. Ardian.

Metode penelitian: Pola penelitian deskripsi dan komparatif dengan pendekatan kuantitatif. Variabel penelitian ada dua yakni variabel indenpenden adalah kualitas pelayanan dan variabel dependen adalah kepuasan pelanggan. Sumber data: 1. Data primer: kuesioner pelanggan; 2. Sekunder: dokumentasi. Populasi: jumlah pembeli selama 3 bulan terakhir di periode 2021 berjumlah 106 pembeli. Sampling: Non-probability-Sampling Insidental. Sampel: 84 responden. Metode dan instrumen pengumpulan data: observasi, angket, dan dokumentasi. Analisis data: Data teoritis dianalisis dengan deduksi dan komparasi. Data empiris dianalisis dengan metode induksi dan analisis statistik menggunakan analisis regresi sederhana.

Hasil penelitian dan analisis data dari responden menunjukkan bahwa: 1.UD. Ardian memiliki respon kualitas pelayanan dengan level tinggi sebanyak 34.5%; 2. UD. Ardian memiliki respon kepuasan konsumen dengan level tinggi sebanyak 41.7%; dan 3. Terdapat pengaruh signifikan kualitas pelayanan terhadap kepuasan konsumen di UD. Ardian dengan besarnya koefisien determinasi sebesar 94.1%.
IMPLEMENTATION OF MASLAHAH IN MODERN BUSINESS PRACTICES
Authors: Iswanto Juni , Mas'ut Mas'ut , Dianto Alfin Yuli
Published: October 2021

Islam is a religion that governs all aspects of life, including economics. The Islamic economy is an integral part of the teachings of Islam. All of his guidance and teachings aim to encourage all people to be safe both in this world and in the hereafter. In an increasingly advanced age, islamic teachings and guidance will still be relevant. Digitalization of business in the modern era, Islamic teachings should bring up a legal model in accordance with the principles of sharia economy. Keeping a modern business on the right path requires extra manpower for the culprit. Products sold, promotions, payment systems that do not violate religious prohibitions (riba, gharar, maysir and haram), become a new challenge for those who still maintain Maslahah. Nevertheless, the implementation of maslahah can continue to be maintained in accordance with the relevance of Islamic teachings in any era. Modern businesses (online businesses, Small Medium Enterprise, Startups) can continue to run profitable businesses, although it still maintains Islamic sharia as a foundation in the maslahah economy. But, the rampant practice of riba, illegal buying and selling, became a new problem for the establishment of the Islamic economy. Using studies to Islamic Entrepreneurs as a method of solving in order to stay upright maslahah can be the right choice.
ONLINE LEARNING TOWARDS ECONOMIC STUDENTS A CASE STUDY: EFFECTIVENESS VS PSYCHOLOGICAL IMPACT
Authors: Khusnul Farizal , Tohawi Agus
Published: October 2021

This purpose of conveying this study is to determine the effectiveness of onlinelearning and its psychological impact. This article is trying to look at the learning activity thatutilized by students and their interaction pattern during remote to the online learning. Thisresearch applied a qualitative with a case study approach, the data were carried out byobservation, interviews, and documentation. The data were analyzed descriptively usingMiles and Huberman analysis model, namely data condensation, data presentation, anddrawing conclusions, and testing the validity of the data using triangulation as a way toincrease the degree of trust in the research conducted. The research results showed that thereare several factors that influence the effectiveness of this online learning, such as a). Lowmastery of technology, b). Lack of infrastructure suggestions, c). Lectures delivered are lessthan optimal, d). Educators / lecturers are required to be proficient in using online learningtechnology. Meanwhile, some of the factors above have a psychological impact on manystudents who complain caused of limited infrastructure and lack of readiness and experience,as well as the number of assignments given with a short time, so students tend to be stresscaused by several of the factors above. Moreover, in general online learning is consideredless effective. However, in the midst of the COVID-19 pandemic, this policy is a goodstrategy to break the chain of the virus.
Modern concepts in making of individual abutment
Authors:   USMF ‘‘N. Testemițanu” Department of Orthopedic dentistry ‘‘Ilarion Postolachi”, Republic of Moldova, Rusu Vasile , Oineagra Vasile ,   USMF ‘‘N. Testemițanu” Department of Orthopedic dentistry ‘‘Ilarion Postolachi”, Republic of Moldova, Oineagra Vadim ,   USMF ‘‘N. Testemițanu” Department of Orthopedic dentistry ‘‘Ilarion Postolachi”, Republic of Moldova, Rusu Andrei ,   USMF ‘‘N. Testemițanu” Department of Orthopedic dentistry ‘‘Ilarion Postolachi”, Republic of Moldova, Fachira Andrei ,   Nicolae Testemitanu State University of Medicine and Pharmacy, Replublic of Moldova
Published: October 2021

The concept design of the individual abutment with internal conical Morse taper 1.5 ° and hexagon 1.2 anti–rotational connection using the ExoCad three–dimensional modeling software is presented. The design was based on the study of the CBCT of the patient where measurements were made in cross section of the neighboring teeth in the mirror, vestibule–palatal and mesial–distal measurements. The individual abutment was manufactured of zirconium on the Ti–Base CS K3Pro Argon support.
Allergy to loco-regional anesthetics used in dentistry. Statistica l data
Authors:   Nicolae Testemitanu State University of Medicine and Pharmacy, Replublic of Moldova, Stavila Vadim , Zanoaga Oleg ,   Nicolae Testemitanu State University of Medicine and Pharmacy, Replublic of Moldova
Published: October 2021

The aim of the study was to perform a retrospective analysis of the morbidity of patients with allergic reactions hospitalized in the department of oral and maxillofacial surgery of the Institute of Emergency Medicine in Chisinau during 2015—2019. To achieve the aim, the medical records of 263 patients, hospitalized during the evaluated period, were studied. It was revealed that the frequency of patients with drug allergies accounted for 3% of the total number of patients hospitalized in the department of oral and maxillofacial surgery during 2015—2019. The analysis of statistical data found an increased incidence of drug allergy in women, most of them with various chronic diseases and allergy to a single drug. A higher frequency of hypersensitivity to local anesthetics was recorded in the group of amidine derivatives (72%).