bluuebunny/crossref_metadata_2025 huggingface dataset:
Out-patient’s satisfaction at the Department of Examination of Phu Nhuan hospital in the first six months of 2020
Authors: Hoang Duc Quyen , To Thi Thu Ha , Le Minh Thi
Published: April 2022

Introduction: The study aims to assess the of out-patient’ssatisfaction at the Department of Examination in the Department of Examination, Phu Nhuan district Hospital in the first six month of 2020. Method: Cross-sectional study applying mix method. Secondary data of patient’s satisfaction in the first six month of 2020. Qualitative study applied in-depth interviews with hospital leaders, hospital quality management team staff, and patients. Quantitative data was analysed and compared with the patient’s satisfaction standards of the Vietnamese Ministry of Health. Qualitative data was coded and interpreted by themes. Results: The majority of people who went to outpatient care at the Faculty of Examination were satisfied with the hospital (90.63%, the mean score of service quality is 4.63). The highest mean score belongs to the dimesion of Behavior, professional capacity of health workers and results of service provision. The lowest mean score belongs to the dimension of infrastructure, facilities and instrument. The mean score between of service quality among the patients using health insurance and not using health insurance has a negligible difference. Recommendations: Phu Nhuan Hospital needs to upgrade and expand the facilities and infrastructure in order to improve patient’s confidence and satisfaction. Keywords: satisfaction, outpatient care, Phu Nhuan Hospital, Ho Chi Minh City
Prevalence of internet addiction and some associated factors in students at University of Medicine and Pharmacy, Hue University in 2018
Authors: Ho Thi Linh Dan , Nguyen Thi Hong Hai , Nguyen Thi Mai , Nguyen Vo Tra Mi , Tran Thi Hoa , Tran Thi Thanh Hong , Vo Ngoc Hong Phuc , Ton Nu Nam Tran , Tran Thi Quynh Tam , Tran Thi My Huyen , Phan Van Thang , Ha Minh Phuong , Nguyen Thi Minh Hoa , Trinh Thi Viet Hang , Vo Thi To Nga , Ho Hoang Nhi , Nguyen Thi Cam Nhi , Chau Nguyen Dan , Pham Thi Thu Ha , Nguyen Duc Dan , Trinh Ngoc Tan , Hoang Tuan Anh , Nguyen Hoang Minh , Vo Ngoc Ha My , Hoang Huu Hai , Nguyen Thanh Gia , Tran Binh Thang , Le Dinh Duong , Tran Anh Quoc , Tran Dinh Trung , Hoang Huu Khoi , Nguyen Minh Tu
Published: April 2022

Background: Internet addiction is a prominent issue in students worldwide, which significantly impacts health, work, and academic results. We conduct this study to determine the proportion of Internet addiction and analyze some related factors among students. Method: A cross-sectional study was conducted on 1098 medical students at University of Medicine and Pharmacy, Hue university in 2018. Short-version of Internet Addiction Test (s-IAT) including 12 questions was used to identify 2 factors: loss of control/time management and craving/social problems. The questions are graded on the Likert scale of 1 (never) to 5 (always), with total scores ranging from 12 to 60 points. The standardized questionnaire is reliable and relevant in Vietnam. Result: 36.9% of students are addicted to the internet, and some associated factors to internet addiction include receiving academic advisor attention receiving the attention of a learning advisor (OR = 0.73; 95% CI: 0.57-0.94); self-study time ≥3 hours/day (OR = 0.46; 95%CI: 0.32-0.66); habit of reading books in free time (OR= 0.60; 95%CI: 0.32-0.65); habit of re-studying only when approaching the exam (OR = 1.46; 95% CI = 1.04-2.06) with p<0.05. Conclusion: To reduce the risk of Internet addiction, students should must receive the attention of academic advisors, be encouraged to spend more time on self-study, develop positivegood habits such as reading in the sparefree time, and regularly study on a regular basis. Keywords: Internet addiction, Medical student, Learning advisor.
Practice on using pesticides by people in Thanh An commune, Dien Bien district, dien bien province, 2019
Authors: Trinh Khanh Linh , Tran Nhu Nguyen , Nguyen Thi Hoang Ngan , Doan Thi Cam Anh , Nguyen Thi Thao , Nguyen Thi Huong , Do Thi Dieu Linh
Published: April 2022

Background: Pesticides are widely used in agricultural production to control pests and diseases and increase crop yield, but if used incorrectly, there will be many consequences. seriously, polluting water sources, residues in agricultural products are toxic to animals, especially to humans. Methodology: A cross-sectional description on 152 people in Thanh An commune, Dien Bien district, Dien Bien province aged 16 years and older, who directly sprayed pesticides in agricultural production. Result: The study subjects are all Thai, with the age group 40-49 years old having the highest share (45.4 per cent), and the group over 60 years old having the lowest (2.0 per cent). The majority of subjects completed lower secondary education (42.1 per cent), only two people have a college/university/intermediate level (1.3 percent), and 10.5 percent are illiterate. The percentage of subjects with successful practice of using pesticides was 67.1%. In the practice of drug selection, 75.0% of subjects did not observe the color line. There were 14.5% of subjects who ate, drank, or smoked while spraying pesticides and 22.1% still hung pesticides next to the house/under the stilts, even one household kept pesticides indoors, 0.8 %. Conclusion: People's practice on pesticide use is still very limited. Localities need to strengthen communication, training, and guide people to use pesticides safely and encourage people to actively seek knowledge, especially about: where to mix chemicals, wash tools, and how to handle chemicals residues, packaging, bottles after spraying. Keywword: Pesticides, HCBVTV, use of pesticides
Status of compliance with guidelines for prevention of acute respiratory infections COVID-19 by outpatients and some related factors at University Medical Center HCMC, 2021
Authors: Le Ngoc Quynh Anh , Truong Phi Hung , Truong Quang Tien , Nguyen Thanh Luan , Do Thi Be Mi , Le Minh Dat
Published: April 2022

Background: Every year, University Medical Center Ho Chi Minh City receives an average of more than 2 million outpatient visits, patients come to hospitals from all over the country, which is one of the potential risks of infection in hospitals. In the face of a complicated epidemic situation, the behavior of people, especially those who come to the hospital for examination, is the decisive factor contributing to controlling and repelling the epidemic. Methodology: A cross-sectional study in 415 patients who were outpatient at University Medicine Center HCMC during the period from July 1, 2020, to July 4, 2021. This study used an 80% cut-off point to classify good and bad practices. Result: The percentage of subjects with good practice on general prevention was 30.4%, of which wearing masks accounted for the highest rate of 97.1%. The lowest is hand washing time (30.4%). Multivariate regression analysis showed that there was a statistically significant relationship between gender and preventive behavior, specifically: Males with preventive behavior reached 1.39 times higher than women with p< 0.05 in the 95% confidence interval (1.01 – 1.91). Conclusion: Outpatient practice on COVID-19 prevention behaviors in the hospital is limited. The hospital needs to strengthen communication and education on COVID-19 prevention for patients. Keywword: Guidance compliance, COVID-19, outpatient, University Medicine Center HCMC.
METODOLOGIAS ATIVAS PARA TREINAMENTO DE CRIANÇAS EM RESSUSCITAÇÃO CARDIOPULMONAR - REVISÃO SISTEMÁTICA
Authors: Marotto Vila Karolyne , Prates Belem Behring Lilian , Bertolossi Marta Cristiano , Carlos Lyra da Silva Roberto , Maruyama Diniz Edson , De Souza Nascimento Monique , Conceição Santoro Batista Deyse , Wilbert Rocha Mayra
Published: April 2022

É crescente e cada vez mais acelerada a inovação tecnológica, colocando à disposição dos profissionais e da população em geral, os mais diversos tipos de tecnologia. Ao passo que as tecnologias vão sendo incorporadas, os jogos têm sido utilizados para exprimir propósitos definidos que transpassam o puro entretenimento. É possível o uso de um aplicativo livre (app) como ferramenta educacional em formato de Jogos Sérios sobre Parada Cardiorrespiratória para capacitação de crianças em idade escolar?  Objetivo: analisar estudos que abordem a utilização de aplicativos móveis como estratégia de aprendizagem para crianças, para Ressuscitação Cardiopulmonar. Metodologia: Trata-se de revisão sistemática, de estudos disponíveis em texto completo; e, que tratassem sobre metodologias ativas e/ou jogos que treinam público leigo em situações de RCP; educação em saúde sobre RCP; utilização de apps para treinamento em RCP de público leigo; publicados nos últimos cinco (5) anos. Resultados: Evidencia-se a prevalência de publicações nos países do hemisfério norte em comparação às publicações dos países emergentes. Segundo o estudo, a revisão sistemática apontou os estudos com as metodologias ativas mais usuais no Brasil e no Mundo, trazendo a simulação realística e o uso das TICs paralelamente, para solidificar o ensino-aprendizado. Os resultados desta pesquisa comprovam que utilizar um app para educação em saúde, contribui como estratégia de aprendizagem de leigos em idade escolar, para o atendimento emergencial de uma parada cardiorrespiratória em ambiente pré hospitalar. Conclusão: Assim, apoia de maneira mais efetiva melhores práticas de capacitação e, inclusive, de disseminação de conteúdo da área da saúde.
A dignidade da vida humana: o envelhecimento e as políticas públicas dos países com iniciativas bem-sucedidas
Authors: Hees Carlos Alexandre , Weber Baia Hees Luciane
Published: April 2022

Objetivou-se analisar as políticas públicas e a legislação específica para  idosos dos países com iniciativas bem-sucedidas apontadas pelos levantamentos do Índice Global AgeWatch para identificar elementos que possam garantir o bem-estar social do idoso, favorecendo os direitos humanos na velhice. Trata-se de uma pesquisa qualitativa, de natureza exploratória. Para coleta de dados foram utilizados os índices divulgados Global AgeWatch, leis, normas e políticas públicas de diferentes países. A análise de dados foi realizada através do método dedutivo. Conclui-se que a mudança do conceito e visão sobre o processo de envelhecimento influencia na elaboração de propostas que atendam às necessidades desse segmento populacional, sendo fundamental que as políticas públicas estejam acessíveis para diálogos com as necessidades locais. Além disso, a exigência dos municípios reportarem seus resultados e implantarem as propostas são fundamentais para garantir a eficiência dos projetos, como ocorre na Suécia. Ressalta-se também a necessidade de o Estado fornecer autonomia financeira e decisória aos municípios e a necessidade de se ampliar leis e normas que se façam valer de forma efetiva, e a partir de iniciativas de outros países.
Ferramentas tecnológicas e o impacto na prática assistencial da enfermagem: revisão integrativa da literatura
Authors: Macêdo José Walter Rocha de , Val Luciane Ferreira do
Published: April 2022

A tecnologia da informação está cada vez mais presente na contemporaneidade e é uma realidade sólida, uma via de mão única. O objetivo desse estudo foi analisar a literatura científica sobre os principais desafios no desenvolvimento de ferramentas computacionais. Foi utilizada uma Revisão Integrativa da Literatura com os descritores: software, cuidado, tecnologia e enfermagem. Da análise surgiram três categorias a seguir: sistemas de informação e a prática assistencial, a informatização e a segurança do paciente e a aplicação da tecnologia e inovação na enfermagem. O treinamento e o aperfeiçoamento contínuo são fundamentais; sistemas devem ser atualizados constantemente e há certa barreira tecnológica que atrapalha o crescimento da enfermagem. Sugere-se que um sistema de informação deve ser capaz de absorver a demanda. A enfermagem precisa evoluir e os estabelecimentos de saúde devem levar isso muito a sério incluindo a Enfermagem no processo. Todo investimento é retornado em menos risco para o paciente e para o profissional e mais tempo para realizar a sua prática laboral. Há uma latente necessidade de um sistema simples e unificado, que vá além do campo da enfermagem, que alie todas as áreas da saúde.
Altas habilidades em conexão: desafios e proposições na escola pública
Authors: Silva Paulo Roberto de Jesus , Silva Thays Nayara Frazão , Braga Kayla Rocha , Braga Ludmila Portela Gondim , Figueredo Ana Zilda dos Santos Cabral , Barros Alessandra Belfort , Araujo Raimundo Inacio Souza , Marques Anizia Araujo Nunes
Published: April 2022

Os índices de matrículas de estudantes com altas habilidades/superdotação (AHSD) ainda são mínimos, se comparados às projeções da população com esse comportamento, revelando limitações na identificação, podendo assim, implicar em restrições no atendimento educacional para essa população “invisível”. Para exemplificar, no Colégio de Aplicação da Universidade Federal do Maranhão – COLUN/UFMA, no início do ano letivo de 2022, foram apontados apenas 02 (dois) estudantes com indicativos de AHSD em um universo de 704 matriculados no referido colégio. Diante de tal realidade, encontra-se em fase inicial, o projeto “Decolando talentos: altas habilidades em conexão”, para fomentar práticas pedagógicas inclusivas para essa parcela estudantil. Este artigo objetiva refletir sobre o referido projeto, suas limitações e possibilidades de contribuição na questão das AHSD. Em termos metodológicos utilizou-se uma abordagem qualitativa, com estudos bibliográficos. Dentre os resultados, apesar de se encontrar em fase inicial, demonstra ousadia em enfrentar a questão da inclusão desses alunos com AHSD.
empirical study on evaluation of fintech industry in Bengaluru
Authors: Haritha M , Ramamurthy B. M , Ravi V
Published: April 2022

Digitalization has brought challenges in all the industries and business sectors (Ryan Randy Suryono et al. 2020). The research in this area reveals clearly that the development of digital transformation has given the way for emergence of fintech initiatives. India is one of the fastest growing fintech markets in the world. India has Asia’s highest fintech investment institutions with a deal value around $647.50 million across 33 deals as compared to China's $284.9 million during the quarter end of June 30, 2020 (RSBA Advisors 2021). As per the MEDICI India FinTech Report 2020 India has witnessed exclusive growth in the number of new ventures launched in the FinTech space. Cumulative investments in India crossed $10 billion by the end of June 2020. The number of fintech startups in India is now almost 2280 with Bengaluru and Mumbai contributing to 42% of the companies (India Ego Medic.com). The first wave of disruptions in Financial services was led by digital payments followed by digital lending, wealth management and insurrect startups. This trend led to the emergence of fintech 2.0 where there are new use cases emerging with completely new models.
observational study to compare the efficacy of Intraperitoneal Ropivacaine with dexmedetomidine versus fentanyl for postoperative analgesia in patients undergoing laparoscopic cholecystectomy
Authors: Thomas Sara Mary , Tailor Richa , Mehta Rishita , Chauhan Dinesh
Published: April 2022

Intraperitoneal instillation of local anaesthetics with adjuvant has been used to control postoperative pain after laproscopic cholecystectomy. Aim: Compare efficacy of intraperitoneal ropivacaine with dexmedetomidine/fentanyl for postoperative analgesia in patients undergoing laparoscopic cholecystectomy. Methods: After obtaining ethical committee approval and informed consent, 62 patients aged 18-60 years, ASA I&II were divided into two groups; Group D: 18ml ropivacaine0.75% with 1µg/kg dexmedetomidine (2ml),Group F: 18ml ropivacaine0.75% with 1µg/kg fentanyl (2ml), instilled intraperitoneally after dissection of gallbladder in gallbladder fossa. Hemodynamic parameters were noted 1minute after instillation and every 15 minutes till 1hour and every hourly till 6hrs. Post-operative analgesia assessed by VAS score 1/2 hourly till 1hr and then hourly till VAS≥4 was reached. Results: Hemodynamic parameters were significantly lower in Group D upto 6hrs after instillation (p<0.05) and  VAS was lower in Group D till 8hrs(p<0.05) post instillation as compared to group F. The duration of postoperative analgesia in Group D was 6.9±1.42 hours which was significantly longer than Group F was 3.41±0.84 hours,(p=0.001). Conclusion: Intraperitoneal instillation of ropivacaine with dexmedetomidine is more effective for post operative analgesia than ropivacaine with fentanyl for patients undergoing laproscopic cholecystectomy.
An observational study to compare the efficacy of dexmedetomidine versus butorphanol for balanced anaesthesia and postoperative analgesia in patients undergoing laparoscopic surgery
Authors: Thomas Sara Mary , Tailor Richa , Chauhan Dinesh , Shah Arpit
Published: April 2022

To compare efficacy of intravenous dexmedetomidine versus butorphanol for balanced anaesthesia and postoperative analgesia in patients undergoing laparoscopic surgery under general anaesthesia. After obtaining institutional ethical committee approval & written informed consent 54 adults of either gender aged 18-60 years, of grade I & II ASA were divided into two equal groups; Group D received Inj. Dexmedetomidine 1 µg/kg i.v. & Group B, Inj. Butorphanol 10 µg/kg i.v., in 100ml NS over 10 minutes before induction. Standard general anaesthesia technique including propofol, succinylcholine/Atracurium, IPPV & Isoflurane/N20 was administered. Heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP) & SPO2 were recorded at - baseline, after-drug administration, induction, at intubation & 1, 3 & 5 minutes after intubation, at  pneumoperitoneum & 15 minutes intervals upto 30 minutes after extubation. Postoperative Visual Analog Scale (VAS) Scores & Ramsay Sedation Score (RSS) were evaluated half hourly till score of >4 & <2 were recorded, respectively.
Menopausal obesity
Authors: Kumar Rupal , Rizvi Moattar Raza
Published: April 2022

This narrative review paper aims at highlighting the menopausal obesity-related health problems in women, their effects on physical and mental health, the mechanism of its development and its impact on the functionality of the female hormones. Furthermore, we also try to understand the lifestyle behaviour patterns that cause deleterious health consequences, thus disrupting the production of estrogen and increasing hyperandrogenaemia (high levels of androgens) in postmenopausal females. Also, we have addressed some healthier lifestyle alternatives and the use of hormonal substitution treatment, if applicable. Menopause is characterized by a change in the hormonal structure in women, wherein, there is a rapid decline in estrogen levels, which is a major contributor to the central abdominal fat accumulation, reduction in subcutaneous fat and increase in total adiposity. Women after menopause are thus thrice as likely as premenopausal women to develop obesity and metabolic syndrome. There is a stark difference in the way the eastern and western societies perceive menopause.
A learner-centred approach to writing education aimed at developing soft skills and a vision for a writing feedback system during the pandemic, crisis of public health
Authors: Kim Ji Yoon , Hwang Young Mee
Published: April 2022

This study discusses the need to cultivate soft skills to avoid being marginalized in a rapidly changing data explosion era and implements new teaching and learning methods that meet digital natives' needs. It investigates the instructional effectiveness of writing education that embodies the innovation of the online writing centers through the case study of the online writing feedback system for university students in Korea. The online writing center was first launched to cope with the situation of COVID-19, but many universities in Korea are trying to make it an official center for new education after the pandemic. This paper utilized the Students Satisfaction Survey, which surveyed the students who participated in online writing counseling programs on the second semester 2020 to determine students' needs and satisfaction and analyzed their soft skills-focused on writing grading rubric used by operating online writing centers. The results were as follows. Writing centers should provide learner-centered and personalized counseling on writing and interpretation rather than mechanical correction to develop soft skills. Writing counseling can deliver mentoring, which is lacking in current university education. Therefore, non-face-to-face learning from online writing centers for soft skills development is suggested.
Industrial Oil Palm Development: Liberia’s Path to Sustained Economic Development and Shared Prosperity? Lessons from the East
Authors: Rhein Matthias
Published: April 2022

The purpose of this paper is to contribute to Liberia’s debate on economic policy, specifically, recent efforts around industrial-scale palm oil development against the context of the wider role of the rural sector in economic development.
Closing the Gap: Strategies and scale needed to secure rights and save forests
Authors:   Rights and Resources Initiative
Published: April 2022

The annual review of the state of rights and resources, 2015-2016. Ten years ago, it was a struggle to make indigenous and community rights part of global discussions on forest conservation and climate change. By the close of 2015, it was clear that the case had been made. There is still much further to go, with millions of Indigenous Peoples and local communities lacking legal rights to the vast majority of their customary lands, putting at risk their livelihoods and the sustainability of hundreds of millions of hectares of forest.
From Rhetoric to Action: Scaling Up Community and Indigenous Peoples' Land and Resource Rights
Authors:   Rights and Resources Initiative
Published: April 2022

The aim of this conference was to take stock of efforts to scale up Indigenous Peoples’ and community land and resource rights worldwide and to develop strategies and actions for moving from rhetoric to action. The conference followed a similar meeting in Interlaken, Switzerland, in 2013, which also aimed to strength This is the final report for a conference held on 30 September – 1 October, 2015 in Bern, Switzerland.
Preregistration of sample sizes in psychological research over time
Authors: Bakker Marjan
Published: April 2022

A preregistration of a study in which we update the study by Marszalek et al. (2011). We look at the development of sample sizes over time and the effect of the reproducibility crisis and journal level policies. The preregistration can be found at: https://osf.io/zsjf4
Dewan Energi Mahasiswa: Organisasi Pemuda Masa Depan Indonesia
Authors: Al Hakim Rosyid , Juandry Robi
Published: April 2022

Student organizations (ormawa, in Indonesian) exist today. Besides improving soft skills competence outside the campus environment, ormawa can be a place to enhance character education. One of the external campus organizations among students to fight for energy in Indonesia is the Student Energy Council (DEM). DEM comes with the educational background of its multidisciplinary and multicultural members to fight for the noble values of the nation. DEM can be a forum for students to contribute to “Indonesia Golden 2045”.
SUICÍDIO: TEMOS QUE TOCAR NESTA FERIDA SOCIAL QUE ASSOLA AS POPULAÇÕES – REVISÃO INTEGRATIVA
Authors: Aparecido Ninditi Angelo
Published: April 2022

As causas violentas de mortalidade caracterizam-se como eventos fatais queacarretam um grande quantitativo de vítimas, especialmente no que concerne aos grupos jovens, além de perpetuar prejuízos físicos, psicológicos, econômicos e sociais a toda a população. o suicídio é compreendido como toda lesão autoprovocada, cuja intenção, mesmo que de forma ambivalente, seja a morte, gerando impactos desestruturantes sobre as pessoas que faziam parte dos vínculos sociais das vítimas. O presente artigo trata-se de uma revisão integrativa baseada na pesquisa bibliográfica formulada através de artigos publicados sobre o conhecimento e atuação dos profissionais da área de concentração “saúde coletiva” sobre o assunto Suicídio. Foram utilizados artigos de plataformas conceituadas como “Bireme, Lilacs, Scielo, Pubmed”; publicados entre 2018 e 2022. A violência autoprovocada pode ser compreendida como aquela que ocorre quando uma pessoa pratica a ação consciente de autodestruição, esta é subdividida em comportamento suicida e autoagressão. O suicídio e, reconhecidamente, um problema de saúde publica no âmbito mundial. Os países de baixa e media renda concentram cerca de 79% das mortes por suicídio. No que se refere a faixa etária, o suicídio e a segunda causa de morte entre jovens de 15 a 29 anos. A formulação de políticas por órgãos privados e governamentais. Além disso, faz-se necessário que os profissionais de saúde atuem de forma interprofissional, interdisciplinar e intersetorial. PALAVRAS-CHAVE: enfermagem, suicídio, automutilação, degradação social, vidas perdidas
IMPLEMENTATION AUGMENTED REALITY INLA GYMNASTICS BASE ON MOBILE
Authors: Cundana Axel Arya Maitri , Pernando Yonky
Published: April 2022

Augmented Reality INLA ((International Nature Loving Association ) ) gymnastics is an application to help people watch performances and performances without having to attend directly to the place of activity. This application is made based on mobile, because it is the most widely used by the general public. This application will display the song gymnastics World One Family with a duration of 3 minutes 28 seconds and the actor as an instructor for the gymnastics movement World One Family. The focus of this research is on the INLA team at the Maitreyawira Elementary School in Batam. So that the process of introducing culture through INLA at Maitreyawira Elementary School Batam becomes more practical and interesting. INLA Gymnastics activities at Maitreyawira Elementary School Batam can be carried out again during the Covid-19 pandemic. Increase interest in INLA culture at Maitreyawira Elementary goe in using the Augmented Reality application.
IMPLEMENTASI SISTEM PAKAR DIAGNOSIS PENYAKIT GANGGUAN SARAF ISKEMIK PADA MANUSIA MENGGUNAKAN METODE CERTAINTY FACTOR
Authors: Saripurna Darjat , Nugroho Nurcahyo Budi , Taufik Faisal , Elfitriani Elfitriani , Maya Widiarti Rista
Published: April 2022

Gangguan saraf iskemik merupakanÂ  salah satu penyakit sarafÂ  yang disebabkanÂ  oleh kurangnya suplai darah ke otak sehingga kebutuhan darah didalam otak tidak terpenuhi. Kondisi ini dapat disebabkan beberapa penyakit komplikasi diantara nya hipertensi. Secara umum gangguan saraf iskemik ini dapat berisifat ringan, sedang dan akut. Kurangnya informasi tentang penyebab dan gejala terkait penyakit ini membuat masyarakat sulit melakukan pencegahan serta lambatnya proses penanganan penyakit gangguan saraf iskemik membuat angka kematian terhadap penyakit ini semakin meningkan.Melihat situasi yang terjadi maka dirancang sebuah Sistem Pakar yang mampu menerapkan metode Certainty Factor untuk mendiagnosa jenis penyakit gangguan saraf iskemik berdasarkan gejala-gejala klinis yang dirasakan oleh pasien, proses penerapan nya dengan terlebih dahulu mengumpulkan basis pengetahuan, kemudiann melakukan penelusurah inferensi Forward Chaining terhadap rule-rule yang ada dan selanjutnya melakukan proses perhitungan metode Certainty Factor untuk mengetahuiÂ  nilai probabilitas dan jenis penyakit Gangguan Saraf Iskemik.Dengan adanya Sistem Pakar ini diharapkan dapat memberikan kemudahan kepada masyarakat maupun dokter untuk berinteraksi dan dalam pengambil kesimpulan penyakit gangguan saraf iskemik dan sebagai diagnosa awal.
DONATILI GAZ BETON PANELLERİN ASİT VE SÜLFAT ETKİSİ ALTINDA EĞİLME DAVRANIŞININ İNCELENMESİ
Authors: BAKBAK Derya
Published: April 2022

Bu çalışmada donatılı gaz beton panellerin asit, sülfat ve normal koşullarda eğilme davranışı incelenmiştir. Bu amaçla özel olarak üretilmiş donatılı gaz beton paneller 6 ay süreyle %5 asit ve %5 sülfat tankında tutulmuş ve daha sonra deplasman kontrollü yükleme cihazı ile yükleme yapılarak eğilme davranışı incelenmiştir. Kontrol numunesi olan donatılı gaz beton panel ise normal koşullarda saklanmış aynı eğilme deney ile mekanik davranışı elde edilmiş ve bu 3 panelin eğilme davranışı karşılaştırılmıştır. Bunun dışında asit ve sülfat etkisi altında donatıların korozyonu da incelenmiştir.
Diet, Life Style and Immunity
Authors: Hasnain Ammarah , Kabir Mahvish , Siddiqui Maria Fareed , Jafferi Aroosa , Rafi Uzma
Published: April 2022

Immunity is a balanced condition in which multicellular organisms have sufficient biological defences to resist infection, illness, or other undesirable biological invasions while also having sufficient tolerance to prevent allergies and autoimmune disorders. Several factors like sleep, diet, stress, hygiene, physical activity and lifestyle can affect the immune system’s performance, and any offsets in these behaviours can cause havoc to immune functions. In this review, will discuss the association of Immunity with autoimmune diseases, and impact of diet, physical activity, aging and lifestyle factors on immunity. We discuss that how diet and Physical activity can help in immunity management, also the significant effect of nutrient, i.e., vitamins and minerals in improving and balancing immunity. 8-10hrs sleep and brisk walking for 20-30min at least and eating organic have been considered very effective.
Association of Hygiene and Hand Washing on Severity of Acute Diarrhea among Children Under Five Years of Age
Authors: Jabeen Shaista , Shafique Tanzeel , Basharat Shahnai , Khalil Anees Ahmed , Ali Muhammad , Saeed Mudasir , Choohan Numan
Published: April 2022

According to World Health Organization (WHO) approximately four million children less than 5 years of age in Asia, Africa, and Latin America die annually from diarrhea; and 80% of these deaths occur in the first year of life. Objective: To evaluate the frequency of hygiene and hand washing among children under the age of five years with acute diarrhea. Methods: A cross-sectional study was conducted in the Department of Pediatrics, Mansora Hospital, Lahore. The duration of the study was 3 months. Children who were suffering from acute diarrhea, aged 1-5 years were selected. A questionnaire was used to take the history of the participants. The results are presented in the form of descriptive and inferential statistics. Results: A total of 176 male and 126 female participants were included in this study. The results of the study showed that 184 out of 302 participants were having a hand wash routine, 188 out of 302 were used to wash their hands with soap and water, and 43 out of 302 were used to wash fruits and vegetables before eating. Conclusions: It is concluded that a majority of the participants were having good hand wash practices while only a few participants used to wash fruits and vegetables before eating which can be a reason for diarrhea among that age group.
Comparison between the dietary practices among females giving birth to normal and low birth weight babies
Authors: Zahoor Mishab , Saeed Saman , Jafri Syeda Uroosa , Arshad Misbah
Published: April 2022

In malnourished people low birth weight is frequent mainly due to intrauterine growth limitation. Low birth weight is linked with high rates of fetal deaths, poor growth in childhood, abnormal brain development and long term illness in adulthood. Maternal poor dietary intake,  habits  and practices are directly associated with low birth weight Objective: To Compare the dietary practices among females giving birth to normal and low birth weight babies Methods: A Comparative cross-sectional study was conducted at Pediatric and Gynea departments of Sir Ganga Ram hospital and the University of Lahore Teaching Hospital, Lahore. Study duration was 4 months and sample size was 100 females and divided into two groups, Group I 50 females giving birth to normal weight babies Group II 50 females giving birth to low birth weight babies. Data collection was carried out by using pre-tested questionnaire/Performa. Data were analyzed with the help of SPSS version 21.0.   Data were compared by applying chi-square test Results: Current result showed that anemia was more common in pregnant females giving low birth weight babies as compared to females with normal weight babies. Analysis revealed that there was a significant association between mothers dietary intake and birth weight of child Conclusions: LBW were more prevalent amongst all the pregnant females, with inadequate dietary practices, inappropriate food choices, myths or restricted diet during pregnancy due to peer pressure leading to low birth weight babies. The rate of LBW were more affected by their food choices as compared to mothers with normal weight babies.
Nutritional Assessment of Liver Cirrhosis Patients Visiting Public Hospital, Lahore
Authors: Fatima Ishrat , Aslam Maria , Asif Hina , Kabir Mahvish , Hayee Sara
Published: April 2022

Cirrhosis is defined as the development of regenerative nodules surrounded by fibrous bands and inflammation of liver, which can cause portal hypertension or hepatic insufficiency that causes jaundice, hepatic encephalopathy or various complications. The important function of liver is to maintain the body metabolic homeostasis. It also helps in protein, carbohydrate, and fat metabolism, due to which the diet of a person is fully affected Objective: To assess the nutritional status of liver cirrhosis patients, visiting Public Hospitals, Lahore Methods: A cross-sectional study was performed at Sir Ganga Ram Hospital Lahore, for a period of 4 months and 100 patients of liver cirrhosis were selected by non-probability convenient sampling to conduct the study. Results: Of total 100 patients, 53% were males and 47% were females. The mean of age, body mass index and calories intake were (53.17±18.414), (19.12±4.743) and (544.88±437.195). Out of 100 patients only 7% of the patients were nourished, 58% are malnourished, and 35% patients were severely malnourished. Mostly patients were malnourished and lost weight due to disease. The mean BMI of patients was19.12±4.743, which shows that mostly patients were malnourished and undernourished. Sarcopenia was common in patients suffering from liver cirrhosis.  Conclusions:  Cirrhosis is complication of liver disease that involves loss of liver cells and irreversible scarring of the liver. It is more prevalent in males as compared to females.
Determinants of Infertility Among Married Women Visiting Public Hospitals of Lahore
Authors: Imran Rabiya , Asif Hina , Ayub Hafsa , Khan Salsabeel , Hassan Syed Bilal
Published: April 2022

Infertility can be explained as unable to get pregnant after a sensible period of time of unprotected intercourse without contraception. Objective: To find out the determinants of infertility among married women visiting public Hospitals, Lahore Methods: A cross-sectional study was conducted by visiting Public Hospitals, Lahore. 100 married women were selected through non-probability convenient sampling technique. Data was collected through pretested questionnaire. All adult married women of infertility from both indoor and outdoor department of medical and gynae units were included. The data were analyzed by SPSS version 21.0. Results: Among the participants, 22% of infertile females were between 20-26 years, 54% infertile females were between 27-32 years, 20% infertile females were between 33-38 years, 3% infertile females were between 39-44 years and 1% infertile females were above 45 years. The prevalence of infertility was high in females aged between 27-32 years. 42% were overweight, underweight were 19%, 13% were normal and obese were 26% Conclusions: Study concluded that obesity, overweight, underweight, poor eating habits, low socioeconomic status, low family income, repeated mumps, stress, smoking, work overload, polycystic ovary syndrome, use of protection to avoid pregnancy and use of contraceptive pills were the risk factors of infertility. Lack of physical activity, inadequate intake of nutrients, dysmenorrhea, stress, bathing too much, exposure to chemicals through work or lifestyle, increasing age, irregular menstrual cycle, pain or cramps during menstrual cycle were also responsible for infertility. Majority of infertile females were not consuming meat, chicken, nuts, eggs, milk, fruits in adeqate amount needed by the body for   proper functioning.
A brief review of the effects of image schema theory on the acquisition of polysemy
Authors: YU Jie
Published: April 2022

Cognitive linguistics can inspire language pedagogy. As one of the core conceptions of cognitive linguistics, image schema theory can be integrated into foreign/second language teaching to facilitate learners’ acquisition of word meanings, especially those polysemous words which have long been difficult points for both learners and instructors. This research conducts a thorough review of the image schema theory and polysemy in cognitive linguistics and discusses the feasibility, and potential benefits of the teaching method based on image schema theory. Also, this research synthesizes the previous empirical studies about the effects of image schema theory on the acquisition of polysemy. It is found that the effectiveness of image-schema-based instruction has been generally recognized; however, the inconsistencies in the previous studies necessitate further exploration. Also, future studies can pay more attention to the effects of image schema theory on the acquisition of polysemous verbs.
Уточненные модели многозвенного манипулятора с упругими элементами и кинематический анализ движений
Authors: Гукасян А. А.
Published: April 2022

Приводятся результаты математического моделирования многозвенных манипуляторов с абсолютно твердыми звеньями, соединенными идеальными шарнирами, а также манипуляторов, звенья которых моделируются как упругие тела. Соединительные шарниры содержат упругие элементы большой жесткости. В рамках линейной теории упругости с применением асимптотических методов малого параметра кинематические соотношения в общем случае представлены в виде суммы трех слагаемых, которые необходимо учитывать при моделировании движений упругих манипуляционных систем. Уточненные модели упругих манипуляторов и методы исследования позволяют представить кинематику упругих манипуляторов в рамках абсолютно жесткой модели путем введения дополнительных величин, обусловленных упругостью конструкции.
ՀՀ զինված ուժերի պետական կառավարման հիմնախնդիրներ
Authors: Սուվարյան Յու. Մ.
Published: April 2022

Պատմական Հայաստանում պահպանվել է զինված ուժերի կազմակերպման գլխավոր սկզբունքը՝ ըստ մակարդակների ուղիղ ենթակայությունը, իսկ պետական մակարդակում՝ թագավոր-սպարապետ-նախարարներ (բդեշխներ, իշխաններ) հրամանների անմիջական շղթան թե՛ խաղաղ տարիներին, թե՛ պատերազմական ժամանակաշրջանում: 2015 թ. ընդունված ՀՀ Սահմանադրությամբ և 2017 թ. կիրառվող «Պաշտպանության մասին» ՀՀ օրենքով նախատեսվող կարգավորումներով զինված ուժերի կառավարման լիազորություններն ապակենտրոնացված են, ինչը հանգեցնում է երկրի պաշտպանության պատասխանատվության ինստիտուտի անորոշության, անվտանգության խնդիրների խաղաղ և պատերազմական իրավիճակների միջև անհարկի տարանջատման: Ըստ այդմ առաջարկվում է զինված ուժերի կառավարման սահմանադրական բարեփոխման տարբերակ, որն ապահովում է բարձրագույն մակարդակով պետության ղեկավար (ՀՀ վարչապետ) – պաշտպանության նախարար զորամիավորումների հրամանատարներ ուղղակի ենթակայության և պատասխանատվության շղթան: Կարևորվում է այնպիսի տնտեսական, գիտատեխնիկական և կրթական քաղաքականության նշանակությունը, որը միտված է տնտեսության նորամուծական և տեխնոլոգիական զարգացմանը, վերջինիս և գիտության միջև կապերի սերտացմանը, քաղաքացիական նշանակության միջազգային շուկայում մրցունակ արտադրանքի հետ մեկտեղ անվտանգային նշանակության, զինված ուժերի մարտունակության բարձրացմանը նպաստող ապրանքատեսակների արտադրությանը:
INFLUENCE OF SCHOOL LOCATION ON TEACHERS’ ACCEPTANCE OF WHATSAPP/TELEGRAM FOR ONLINE INSTRUCTION
Authors: Oteyola Temitope Adetokunbo , Oyeniran Oyetola , Afolabi Omotayo Adebukola , Ireh Salome
Published: April 2022

This study determined the teachers’ level of acceptance of WhatsApp/Telegram for online instructions in secondary schools in Ondo East and Ondo West Local Government Areas of Ondo State. It determined the influence of school location on the teachers’ acceptance of WhatsApp/Telegram for online instructions in the secondary schools. It also investigated the influence of teachers’ characteristics (sex, qualification and years of experience) on the teachers’ level of acceptance of WhatsApp/Telegram for online instructions across the secondary school locations and determined the relationship between the teachers’ attitude towards and acceptance of WhatsApp/Telegram for online instructions in the secondary schools. The study adopted the descriptive survey research design. The population of the study consisted all the secondary school teachers in the local government areas. 299 teachers were selected across the schools using multistage sampling procedure. Teachers’ Acceptance of Telegram/WhatsApp Based Online Classes was used for data gathering. Analysis of data showed that the level of acceptance of WhatsApp/Telegram for online instruction by the teachers is high (82.5%). Also that school location has no significant influence on the teachers’ acceptance of WhatsApp/Telegram for online instructions. Results also revealed that sex has no significant influence on the teachers’ acceptance of the tool (t(194) = 0.67; p > 0.05). Academic qualifications also did not have significant influence on the teachers’ acceptance of WhatsApp/Telegram (F(6,203) = 1.26; p > 0.05). Years of experience as well had no significant influence on the teachers’ acceptance of WhatsApp/Telegram (F(8,209) = 1.52; p > 0.05).
THE ETRUSCANS AN EXTINCT INDO-ARYAN CIVILIZATIONOF ANCIENT EUROPE
Authors: Ivankovic Vrsac Milorad sin Nade Tesla , Serbia
Published: April 2022

Who were the mysterious Ancient Apennine tribe called Etruscans and what was the language they actually used to speak? Despite numerous attempts at decipherment and some claims of success, the Etruscan records still defy translation. Paradoxically, though the Etruscan letters derived from Euboean Greek alphabet are well known and easily readable, the Etruscan language itself still remains an enigma and is only partly understood. There is no literature in Etruscan left behind, but rather several thousand inscriptions, mostly of religious significance, engraved on sarcophagi and cremation urns. The present paper following the authentic Etruscan emphasis on the importance of the religious content of the inscriptions, coupled with the latest genetic studies of the Etruscan population, attempts at decoding anew the real origins of the ancient Etruscan people in the Apennine peninsula.
SIGNIFICANCE OF RURAL CULTURE IN THE SHORT FICTION OF MANOJ DAS
Authors: Rao M.Narasimha , Shiela Mani Prof. K.Ratna
Published: April 2022

A brief survey of Indian Short Fiction in English indicates that there is a wide scope for its study. Manoj Das has presented a serene and simple way of life of rural community in India in his fiction which is rapidly disappearing. He is one of the foremost short story writers in Post-Independent India and an outstanding bilingual writer both in English and Oriya at ease. He depicts very effectively and skillfully the way of life of people living in villages, their values, norms, beliefs, attitudes, traditions, customs, superstitions, religion, etc., in his stories. He is a keen observer of the changing socio-political and cultural scenario in the post independent India. The stories of Manoj Das are so subtle and suggestive that they have a concealed element of didacticism, a zeal for social reform as he is keenly interested in fostering and promoting the qualitative life of the rural people of India. Hence, in this paper I presented my views and opinions from Indian perspective keeping in mind the life of the rural people with all their day to day activities and problems as portrayed by Manoj Das. In spite of their penury, the cultural values and conventional ways are not given up. Thus, the author preserves the rich Indian cultural heritage in spite of his depicting the follies and foibles of human life.
A GLIMPSE ON FEMININE WRITING
Authors: G Dr.Jeyashree
Published: April 2022

The paper attempts to explore the nuances and the influence of socio cultural environment on feminine writing. The paper refers to the select literary works unearthing feminine consciousness. The paper also vividly expounds the theory of Masculine and feminine language in Indian and English literature. Women writers are placed in the peripheral position and the feminist critics like Helen Cixous attempts to deconstruct the male centric discourse by motivating women writers to write more of them. Women no more engage in subservient role and the present scenario witness a considerable rise in their status at the professional level. While perusing the history of women literature the theories on feminist writings are discussed. The language flow in women writings is gauged to affirm the power of women in the realm of language and literature amidst social and cultural pressure. Feminine language reflecting the socio cultural situation and the feminist theories that emerged to propel and motivate feminine writings are explored in the paper. Changes are ineluctable that affects the society and the writings of women mirror the culture of the contemporary society. The mind set and language behavior of the people are interrelated that have a major impact on the society. Hence the paper registers the perceptions of male critics on women literature.
POETRY/MUSIC INTERFACE IN “LONDON:” TOWARDS A MULTIMODAL SEMIOTIC READING
Authors: Tebourski Ines
Published: April 2022

This paper entitled “Poetry/ Music Interface in “London:” Towards a Multimodal Semiotic Reading” aims at examining the way William Blake’s London was “re- written” by being both adopted and adapted for an animated song in 2008. It seeks to show first, that the traditional readings of Blake’s Works which analysed his poetry and visual art separately have failed to articulate their ontological dimensions and did not come to terms with the energetics of Blake’s oeuvre that consists mainly of creating parallel universes. The paper, later, focuses on the interface between the words, the image and the rhythm in Alex Robinson’s “London” (2008) which suggested a new way of understanding Blake’s London and the world in general. The choice of the mode through which to re-introduce what was written is at the crux of the “re-writing” process and music is one of the most persuasive modes in what Gunther Kress and Theo Van Leeuwen refer to as “multimodal communication.” The multimodal discourse accentuates the importance of the different modes of communication including the word, sound, image, rhythm and colour, and stresses the importance of their added meanings; hence my choice of multimodal semiotic analysis for this paper.
FEMALE IDENTITY IN THE PLAYS OF GIRISH KARNAD
Authors: Patra Mintu
Published: April 2022

Feminists have taken a renewed interest in studying the earlier texts of women writers and interpreting them in new ways to determine how women's writings share commonalities with male writing and how much they are part of it. Feminist writers primarily focus on women's perspectives and expressions about their own lives. In the current era of postcolonial literature, women have become the focal point of debate, not only in India but also in Western countries. Amartya Sen mentions two main reasons for gender inequality in his book "more than 100 million women are missing." The first is cultural bias and discrimination while providing nutritious food and general medical treatment. Cultural biases always maintain male dominance at the top. Silvia Wallaby depicts patriarchy as a system of social structures and practises in which men dominate, oppress, and exploit women in her article "theorising patriarch."