bluuebunny/crossref_metadata_2025 huggingface dataset:
Hubungan Latihan Senam Hamil Dan Paritas Dengan Lama Waktu Persalinan Kala I Fase Aktif Pada Ibu Bersalin Di RS Karya Medika 1 Cikarang Barat Tahun 2023
Authors: Sherly Risda Butar Butar  , Herlina Simanjuntak
Published: August 2024

According to WHO, the incidence of prolonged labor in the world is currently estimated to occur at 17% of total births. The Indonesian Demographic and Health Survey or abbreviated (SDKI) by the National Population and Family Planning Agency reported that the majority of birth complications are long labor (30%) to facilitate the normal birth process, so pregnancy exercises are carried out to reduce the occurrence of long labor. The aim of this study was to determine the relationship between pregnancy exercise and parity with the length of labor in the first stage of labor in the active phase of women giving birth at Karya Medika 1 Hospital, West Cikarang, 2023. This type of research is quantitative analytical using a cross-sectional study design approach. Mothers giving birth at Karya Medika 1 Hospital, West Cikarang in the period January – August 2023. The population of women giving birth is 80 people. The instruments used in this research are primary data and secondary data. Data were analyzed using the chi-square test. The results show that the variables that are related to the length of labor in the first active phase of labor for women giving birth at Karya Medika 1 Hospital, West Cikarang 2023 are pregnancy exercise (p=0.002) with an OR of 10,000, and parity (p=0.039) with an OR of 0.255. The conclusion is that the variables studied (pregnancy exercise, and parity) are all related to the length of labor in the first active phase of labor in women giving birth at Karya Medika 1 Hospital, West Cikarang 2023.Researchers advise pregnant women to take care of their pregnancy and are advised to take part in a pregnancy exercise program so that the birth process runs normally. And, Karya Medika 1 Hospital Cikarang Barat is advised to continue the pregnancy exercise program in the future.
Efektifitas Tindakan Frenektomy Pada Bayi Tongue Tie Dengan Kemampuan Menyusu
Authors: Hesty Tri Kurniasari  , Kristina Maharani  , Siti Juwariyah
Published: August 2024

Tongue tie cases at the Columbia Asia Surgical Hospital in Semarang in the last two years have experienced an increase, where in 2021 there were 438 cases and in 2022 there were 447 cases. Tongue tie babies have a poor breastfeeding mechanism, this is caused by limited tongue movement, so tongue tie babies cannot attach properly when breastfeeding. These conditions result in the maximum intake of breast milk not being obtained and the mother feeling uncomfortable due to sore nipples which can cause premature cessation of breastfeeding. This study aims to analyze the effectiveness of frenectomy in tongue tie babies with breastfeeding ability. This research is a type of quasi-experimental research with a one group pretest-posttest design. The population in this study were tongue-tie babies without complications who were still being hospitalized at the Columbia Asia Surgical Hospital in Semarang. Using a purposive sampling technique, a sample of 30 babies was obtained. The instruments used in this study were LATCH and ATLFF scores. Data analysis was performed using univariate analysis and bivariate analysis. The results of the study showed that the Frenectomy procedure was effective in increasing the ability to suckle in tongue tie babies, the Wilcoxon test results were obtained (pvalue 0.000 <0.05), where all (100%) tongue tie babies experienced an increase in the ability to suckle after a frenectomy. The action of a frenectomy is effective in increasing the ability to suckle, this can be due to the fact that with a frenectomy the mobility of the tongue increases, so that the baby can latch on properly, can swallow milk well, the mother feels comfortable while breastfeeding because the nipples are not painful.
Hubungan Mekanisme Koping Dengan Tingkat Stres Pada Tahanan Di Rumah Tahanan Direktorat Tahanan Dan Barang Bukti Polda Kalteng
Authors: Septian Mugi Rahayu  , Dian Mitra D.S  , Rony Lukmansyah
Published: August 2024

Coping mechanisms are an individual's ability to solve problems and respond to threatening situations. Stress is any situation that causes changes in a person's life so that  forced to make adjustments to overcome it. The most important factor in resolving stress is the use of good coping mechanisms. Every prisoner has different levels of stress. This is caused by coping skills and the way of looking at the conditions of the problems faced, whether it is considered as a challenge or as a threat that has an impact on stress. This study aims to determine the relationship between coping mechanisms and stress levels in detainees in the detention house of the directorate of detention and evidence of the Central Kalimantan Regional Police. The research method is a quantitative design with a cross-sectional approach, the population is 54 prisoners, total sampling 54 respondents. Data were collected using a questionnaire. Data analysis using chi square test. The results showed that the statistical test obtained a value of ρ-value = 0.000 (<0.005) means that there is a relationship between coping mechanisms and stress levels in detainees at the detention center of the Central Kalimantan Regional Police detention and evidence directorate. It can be concluded, respondents with adaptive coping mechanisms were 34 prisoners (63%) while respondents with maladaptive coping mechanisms were 20 prisoners (37%), for respondents who had normal stress levels as many as 26 people (48.1%), mild stress levels 9 people (16.7%), moderate stress levels 13 people (24.1%) and severe stress levels 6 people (11.1%).
Faktor-Faktor Yang Mempengaruhi Konsumsi Tablet Tambah Darah Pada Ibu Hamil di Puskesmas Buaran
Authors: Desi Soraya  , Watiah Watiah  , Qomariyah Qomariyah
Published: August 2024

Anaemia is a global problem for pregnant women. The WHO states that the incidence of anaemia in pregnant women is 48.9%. Central Java's anaemia rate is 57.7%, while Brebes Regency's anaemia rate is 50%. According to the Brebes District Health Office, this problem lies in pregnant women's adherence to taking iron supplement tablets. The study aimed to determine the factors influencing the consumption of blood-supplemented tablets by pregnant women at the Buaran Health Center. This research method was a quantitative analytic survey with a cross-sectional design, with a population of 96 third-trimester pregnant women. The sampling technique was purposive sampling with 49 respondents. The instrument used is a questionnaire. Data analysis was performed univariately and bivariately (using chi-square statistics). The results showed that the factors associated with the consumption of iron tablets were knowledge (p-value=0.013), motivation (p-value=0.037), family support (p-value= 0.019), ANC visits (p-value=0.000), and compliance (p-value=0.002). The suggestion is that pregnant women at the Buaran Health Centre increase awareness about consuming blood-supplemented tablets to maintain the health of the mother and baby and that advice from health workers is needed every time pregnant women carry out an ANC examination at a health facility.
Hubungan Faktor Predisposisi dan Enabling Kepala Keluarga Dengan Perilaku Penggunaan Jamban Sehat di Dusun Aster Desa Piru Kabupaten Seram Bagian Barat Provinsi Maluku
Authors: Elvans Soumokil  , Asrijun Juhanto  , Rahmawati Azis
Published: August 2024

Healthy latrines are an important sanitation facility that aims to maintain environmental health and improve public health in general. However, in Aster Hamlet ownership of healthy latrines is still low. Of the 345 families in Aster Hamlet, only 73 have healthy toilets, leaving 272 other families who do not. The habit of defecating into the river is a common practice there, considering that most of the houses are located near the river The aim was to identify factors related to the behavior of using healthy toilets in Aster Hamlet. This research used a cross-sectional design. The research population was 345 heads of families. The research sample was taken from 73 heads of families who had healthy latrines using total sampling technique. The analysis carried out included univariate, bivariate and multivariate analysis to gain a comprehensive understanding of the factors that influence healthy latrine use behavior. The results showed that all the variables studied, namely knowledge (p = 0.003), attitudes (p = 0.000), facilities and infrastructure (p = 0.002), and water availability (p = 0.000), had a significant relationship with latrine use behavior. Healthy. In particular, the most related variable is water availability, with the highest Exp(B) value of 2.505. This shows the importance of the water availability factor in influencing the behavior of using healthy latrines in Aster Hamlet, Village
Marxist Perspective In “Caged Bird” By Maya Angelou
Authors: I Made Satria Bayu Temaja  , Novita Mulyana  , I Nyoman Tri Ediwan  , Gek Wulan Novi Utami
Published: August 2024

Literature and social life have a close relationship. Many writers express ambiguous emotions when observing their surroundings. Society is a mixture of the upper and lower classes. Due to the imbalance of wealth, the lower classes often experience different fates in life, while the upper classes enjoy the benefits. Karl Marx has pointed out this social injustice in his theory. This research is an attempts to find elements of Marxism related to social inequalities in the poem "Caged Bird" by Maya Angelou. This study uses the text analysis method through the lens of Karl Marx's propositions about the behavior of the lower or marginalized social class in facing the severity of life. This research is a qualitative research that uses descriptive text analysis methods to explore the social and economic dimensions hidden in the text. In this study, Using a Marxist approach, this research seeks to uncover the layers of meaning contained in each line of the poem, highlighting the sharp contrast between the upper class and the marginalized class. Thus, this view states that how economic forces create inequalities and make life difficult for the lower classes. The poem challenges readers to consider the impact
Efektivitas Penggunaan Bahasa Indonesia dalam Presentasi dan Seminar Mahasiswa: Analisis Kesalahan Bahasa dan Dampaknya Terhadap Pemahaman Audiens
Authors: Alvian Maranalom Siregar  , Queen Helen Br. Bukit  , Tirza Grace Simamora  , Lili Tansliova
Published: August 2024

This research aims to explore the effectiveness of using Indonesian in student presentations and seminars. The method used in this research is the Quantitative Method using a Questionnaire. Questionnaires were distributed to 23 students who had attended seminars or student presentations. Research findings show that students still often make errors in grammar, spelling and word choice in talks and seminars. These grammatical errors can affect how well the audience understands the presentation or seminar material; Audiences who are distracted by grammatical errors will have a hard time following along. Therefore, so that students can use Indonesian in presentations and seminars well, they need to be guided and trained.
The Use of Youtube as an English Learning Media at Management Program Study of Universitas Mahkota Tricom Unggul
Authors: Roni Juliansyah  , Masniati Murni Ritonga
Published: August 2024

The demanding situations of the arena of training in assembly the wishes of the internet era are pretty large. This is because of their extraordinary existence experiences, particularly their enjoy in the usage of technology. The internet itself opens up many possibilities for integrating technology in classroom learning. Youtube is one of the getting to know media that may be incorporated in getting to know publications which can be taken into consideration hard with the aid of using students.. The purpose of this research is to be able to find out the benefits that can be taken from youtube for English learning media in English courses. This research is a qualitative research in which the author uses observation, question and answer (interview) and questionnaire.  The results of the study show that videos on Youtube can be used as one of the learning media.
Exploring the Representation of Schizophrenia in the Main Character of the Black Swan Script
Authors: Yoana Gita Pradnya Lengari  , Ade Daniel Patty
Published: August 2024

This study explores the portrayal of mental illness, particularly paranoid schizophrenia, in the film script “Black Swan.” Library research method is adopted for this study. The primary source material is the “Black Swan” script, and the secondary sources include theoretical reference books that provide supporting evidence for the analysis. Utilizing a psychological approach, the analysis explores the character of Nina Sayers and her descent into a mental breakdown. The paper examines how the script depicts symptoms of schizophrenia, including hallucinations, delusions, and emotional instability. Additionally, the analysis investigates potential contributing factors such as neuropsychological vulnerabilities, immense pressure from ballet world, and a strained family dynamic. The Black Swan script serves as a valuable case study for understanding the complex interplay between internal and external forces that can trigger a mental illness. By examining Nina’s character, the study shed light on the challenges faced by individuals with schizophrenia and the importance of recognizing the diverse range of symptoms with the disorder.
Implementasi Media Sosial Sebagai Media Pembelajaran Untuk Meningkatkan Keterampilan Berbicara Teks Tanggapan Mengenai Buku Fiksi di SMP Negeri 4 Madiun
Authors: Elysa Nurfarahana  , Eni Winarsih  , Sri Andayani
Published: August 2024

An incident that often happens nowadays is that students prefer to play on their cellphones to watch videos. Especially in applications like TikTok which are not specifically for education. Many of the videos on the app are not filtered, so there is a possibility that underage students are watching inappropriate content. Therefore, an understanding of this application is necessary in order to achieve learning objectives. This article aims to provide knowledge about the use of TikTok and YouTube to improve students' speaking skills through the use of these applications. This type of research is Classroom Action Research (PTK) which covers pre-cycle, cycle I and cycle II. There are four research procedures, namely planning, implementation, observation and finally reflection. This research was carried out at SMP Negeri 4 Madiun with research subjects in class VII B which had a total of 32 students. The data analysis technique used is qualitative data. The results of this research contain: 1) the learning outcomes in the Pre-cycle were that class VII B students had a knowledge score of 25% while the attitude score was 12.5%; 2) the learning results in Cycle I of students experienced an increase in the percentage of complete knowledge values ​​by 46% while the attitude values ​​were 50%; 3) learning outcomes in Cycle II experienced a better improvement than the previous stage with a completeness percentage of knowledge scores of 100% and attitude scores reaching 97%.
Analisis Sosiologi Sastra Cerpen Penthouse 2601 Karya Djenar Maesa Ayu dan Implikasi Pembelajaran Bahasa Indonesia
Authors: Resvya Noer Fauzy  , Diena San Fauziya
Published: August 2024

Short stories are part of a literary genre that describes the environment. One of the important things in short stories is how the author's events and thoughts can be expressed well so that they can be understood and enjoyed well by readers. To find information contained in short stories in more depth, research can be done in the form of analysis. The aim of this research is to examine the content of the short story entitled "Penthouse 2601" by Djenar Maesa Ayu using a literary sociology approach. In literary sociology, literary works are considered as a reflection of society's life which cannot be separated from consideration of fictional elements and social aspects of society's life. The research method used in this research is a qualitative descriptive research method. By using listening and taking notes as a data collection technique. The results of this research show that in the short story entitled "Penthouse 2601" there are social aspects and cultural aspects. This research can have implications for Indonesian language learning, especially at the Senior High School (SMA) level
The Effects of Social Media on Motivating Second Language Learners
Authors: Nanda Finka Sabila  , Lusiana Suciati Dewi
Published: August 2024

The research aims to explore the effects of using social media in second language learning. In today’s digital era, social media has become a significant tool in various aspect of life, including education. This research uses qualitative  methods with in-depth interviews and observations to collect data from 30 high school (high school) student who are learning a second language through social media platforms such as Instagram, twitter, ticktock, and YouTube.The result of the study showed that the use of social media in second language learning had a positive impact on the participants communication skills. Social media allows access to a variety of authentic sources and the opportunity to interact with native speakers, which in turn improves language skills significantly. In addition, participants increased motivating and confidence in using the second language.
Perbandingan Tema dan Gaya Dalam Syair Melayu Riau dan Syair Melayu Lainnya
Authors: Melani Putri  , Muhammad Akbar  , Nur’almaydaniati Hamid  , Riska Sari  Putri  , Wilidia Nanda Agustina  , Herlinda Herlinda
Published: August 2024

Poetry is one of the old literary genres that developed in the archipelago, including in the Malay region of Riau. This study aims to analyze and compare the themes and writing styles contained in Riau Malay poems with Malay poems from other regions. Using a content analysis approach, this study examines a number of Riau Malay poetry and Malay poetry from other regions to explore the themes raised and the writing style used. The results of the study show that Riau Malay poetry and other Malay poetry have similarities in raising certain themes such as advice, heroic stories, and love. However, there are differences in the emphasis on themes and the use of language styles. Riau Malay poetry tends to emphasize more on the aspect of Islamic advice and values, while other Malay poetry explores more themes of love and heroism. In terms of writing style, Riau Malay poems tend to use a simpler and more understandable language, while other Malay poems often use a more poetic and metaphorical language style. This research contributes to enriching the understanding of the richness of the archipelago's old literary treasures, especially Malay poetry, as well as the differences and uniqueness of poems from various regions.
Parámetro de atenuación ultrasonográfica por elastografía transitoria 1D en pacientes con hepatopatía crónica
Authors: Guzman Amador , León Robert , Fernández Bermúdez Saturnino , Romero Jenny , De Andrade Yuraima
Published: August 2024

Introducción: La Elastografia Transitoria 1D (ET) permite la determinación no invasiva de la severidad de la fibrosis hepática y es capaz de estimar el grado de esteatosis hepática a través de la determinación del Parámetro de Atenuación Ultrasonografica (UAP por sus siglas en ingles). Objetivo: correlacionar el UAP con Índice de Masa Corporal (IMC) y la severidad de la fibrosis. Materiales y Métodos: estudio descriptivo, corte transversal, en pacientes que acudieron a la UHG, entre abril 2022 a agosto 2023, para realización de ET (iLivTouch FT-100), considerando IMC, Rigidez Hepática (kPa), correlacionándose con fibrosis según la etiología y UAP (dB/m). Resultados: 463 ET con estadio de fibrosis en todos y con IMC disponible en 328 (71%). distribuyéndose. Discusión: 48% presentaron algún grado de esteatosis, de los cuales 22,7%, 48,3% y 66,9% se presentaron sin sobrepeso, sobrepeso y obesidad respectivamente. El 50% fueron estadios avanzados, con ausencia de esteatosis en 53,68%. El 41% de los estadios iniciales de fibrosis presentaron esteatosis de algún grado. Conclusión: el PAU permitió detectar esteatosis en pacientes sin sobrepeso, evidenciándose a mayor fibrosis menor esteatosis.
Síndrome Febril Icterohemorrágico por leptospira. Presentación de un caso y revisión de la literatura
Authors: Perazzo Rosalía , Leon Kira , Sandoval Castro Anny
Published: August 2024

Introducción: La leptospirosis es una enfermedad zoonótica de potencial epidémico, principalmente después de lluvias fuertes, causada por la bacteria Leptospira. Leptospira interrogans es patogénica para los hombres y los animales, con más de 200 variedades serológicas o serovar. Los seres humanos generalmente adquieren la leptospirosis por contacto directo con la orina de animales infectados o con un ambiente contaminado por orina. La transmisión de humano a humano ocurre muy raramente. La leptospirosis puede presentarse con una amplia variedad de manifestaciones clínicas, desde una forma leve a una enfermedad grave y a veces fatal. Sus síntomas pueden parecerse a varias enfermedades, como influenza, dengue y otras enfermedades hemorrágicas de origen viral. Presentación de Caso: paciente femenino de 18 años, con evolución de 5 días de fiebre, dolor abdominal e ictericia, concomitante prurito, acolia y coluria; abdomen doloroso a la palpación en hipocondrio derecho, hepatomegalia. Reporte de laboratorios: anemia severa, leucocitosis moderada, hiperbilirrubinemia a expensa de la directa, hipertransaminasemia, elevación de GGT y ALP, serología para VHA, VHB y VHC, CMV, EB: negativos. ANA positivo 1/20, C3 y C4 negativos, Cuantificación de inmunoglobulina IgG, igM, igA dentro del rango normal, a la ecografía se evidencia trastorno difuso del parénquima hepático, hepatoesplenomegalia. RMN con efecto colangiográfico sin alteraciones. Se recibe microaglutinación de antígenos que reporta Leptospira spp serovar castellonis título 300. Recibió tratamiento con cefalosporina de tercera generación con mejoría clínica. Discusión: La Leptospira spp es una espiroqueta,que produce lesión hepatocelular asociada a necrosis centrolobulillar con proliferación de células de kupffer condicionando la presentación ictérica, con hiperbilirrubinemia conjugada, como presentación grave y poco frecuente, observándose en un 5-40% de los casos. Recibir antibioticoterapia adecuada en los primeros días de instauración de la enfermedad acorta la progresión. Conclusión: el síndrome icterohemorrágico por Leptospirosis es una forma infrecuente de presentación, que requiere diagnóstico temprano y tratamiento antimicrobiano para reducir la progresión y avance a formas complicadas de la enfermedad.
Tumor neuroendocrino hepático primario: a propósito de un caso
Authors: León Kira , Pinto Libia , Perazzo Rosalía , Sandoval-Castro Anny
Published: August 2024

Introducción: El Tumor neuroendocrino hepático primario, es una lesión rara del hígado, con incidencia de 1/500.000, representado menos del 1% de los tumores malignos, ligeramente frecuente en mujeres, de etiología aún desconocida. Puede manifestarse con dolor abdominal o plenitud, diarrea y pérdida de peso, 90%son asintomáticos, en casos raros se presenta como un síndrome carcinoide. Presentación de caso: Femenino de 66 años, hipertensa, con evolución de 1 año, dado por pérdida de peso significativa, evacuaciones líquidas, aumento de volumen en hipocondrio derecho. Abdomen globoso, se palpa masa que abarca epigastrio, hipocondrio derecho y flanco derecho de 20x13 cm, duro, fijo, doloroso a la palpación. Laboratorios: anemia leve, hipokalemia leve. Ecografía abdominal: hepatomegalia, LOE hepático, hígado MT, derrame pleural bilateral. Citología líquido pleural negativo para malignidad. Biopsia hepática: Tumor maligno de células redondas pequeñas. Inmunohistoquímica: Cromogranina (+++) Positiva, Citoqueratinas 7 y 20 Negativas, CA negativo, Heppart Negativo, Antígeno leucocitario negativo, compatibles con tumor neuroendocrino hepático primario. Discusión: el carcinoma neuroendocrino hepático primario, es raro, puede cursar con síntomas inespecíficos, asintomáticos o con sensación de plenitud y evacuaciones líquidas. El diagnóstico se basa en AFP, ca 125 y ca 19-9 negativos, TC con evidencia de masa de baja densidad de componente quístico y estudio inmunohistoquímico. Conclusiones: En vista de tratarse de una lesión primaria y rara es primordial realizar diagnóstico diferencial con hepatocarcinoma, colangiocarcinoma o metástasis. El pronóstico depende de la detección y tratamiento a tiempo, dependiendo del tipo histológico, tamaño de la lesión y presencia de metástasis.
Középkori magyar királyi vadászatok és vadászházak
Authors: Veszprémy László
Published: August 2024

Jól tudjuk, hogy a vadászat hozzátartozott a középkori elit, s különösen a királyi udvarok mindennapjaihoz. Jelentőségük egyszerre volt személytelenül adminisztratív, személyes és szimbolikus. A vadászterületek megszerzése hatalmas lakatlan vagy ritkán lakott területek igazgatását biztosították, az onnan a kincstárba befolyó szolgáltatásokkal és haszonnal együtt. A személyes jelleg a kapcsolaterősítés a király és hívei, illetve a vadászatba bevont szolgálók és előkelők közönségére vonatkozik. Végül szimbolikus értéke a királyi hatalom presztízsének a növelésében nyilvánult meg. A személyes kapcsolat révén az uralkodó híveivel együtt gyakorolhatta a tényleges harcban hasznosítható képességeket (ami persze Xenophón óta nem újdonság), valamint a közös élmények a hűség és lojalitás szálait erősíthették. A személyes kapcsolatot mélyítette el, hogy királyi ajándékként a vadak, a húsuk és bőrük, illetve a vadászati joguk fontos szerepet játszottak, bár éppen erre hazai példánk alig van.
IRMÃS MISSIONÁRIAS DE SÃO CARLOS, SCALABRINIANAS 1934 – 1971 Volume II
Authors:   Centro Scalabriniano de Estudos Migratórios, Signor Lice Maria
Published: August 2024

Este livro, o segundo de três volumes de história da congregação das irmãs missionárias de são Carlos, scalabrinianas, narra uma seqüência de acontecimentos que marcaram a vida religioso-apostólica do instituto no tempo compreendido entre 1934 e 1971. O primeiro volume ateve-se ao processo de fundação da congregação mscs iniciado em 1895 e à evolução histórica da instituição no Brasil até 1934 ano em que, já consolidada, a nova fundação foi favorecida por decreto do papa Pio XI de 13 de janeiro desse ano, que a reconheceu como instituto de direito pontifício. Abordagem do terceiro volume será, por sua vez, a sucessão de fatos ocorridos entre 1971 e 2001, tempo pós Capítulo Geral Especial quando a congregação scalabriniana feminina pôs em ato um processo de renovação proposto pelo concílio ecumênico Vaticano II a todos os institutos religiosos e orientado para o retorno ao espírito dos respectivos fundadores e à intenção fundacional de cada família religiosa.
Secure Cloud Storage with a Sanitizable Access Control System Again Malicious Data Publisher
Authors: R.M. Alfiya Khanum , K. Chitra , Md Yasin Noor Zuhaili
Published: August 2024

A novel encryption mechanism known as Ciphertext Policy of topic has been developed. Attribute Based Encryption (CPABE) was developed as an alternative to password-based systems to address the challenges associated with secure data sharing, where users are required to know the password for each file they need. This research work proposes a CPABE-based approach where just one secret key is required per user. A strategy has been implemented to establish precise document access control in a typical academic environment. Only users with the specified attribute similar to public key cryptography, can be encrypted many times to satisfy the access structure defined and allowing different users to decode the contents for secret retrieval. CP-ABE only necessitates a single encryption for each document due to its encoding. The idea of CPABE, which stands for Ciphertext-Policy Attribute-Based Encryption and analyses it in relation to other types of ABE, which stands for attribute-based encryption is developed here.
Impact of Country Governance and Financial Development on Corporate Fraud Cases: A Cross Country Perspective
Authors: Subhan Muhammad , Ahmed Tofail , Ullah Wali , Ullah Hamid , Jan Shahid
Published: August 2024

This study aims to examine the impact of country governance and financial development on corporate fraud cases across countries' perspectives from the year 2012-2018 by using country- wise data. This study runs different statistical models like descriptive, correlations, Random effect model, fixed effect model. This study chooses a fixed effect model based on the Hausman test and used Quantile regression for robustness and interquartile 0.25 to 0.75 difference regression models to find out the difference that the effect of variables are significant or insignificant at different quartile. The results of the different models show that country governance having a significant impact on corporate fraud cases and the association is negative thus improvement in country governance would expectedly reduce the corporate fraud cases. while financial development in terms of the financial market has a significant impact on corporate fraud cases and association is positive thus the development of a financial market where different financial products and instruments with less knowledge have the probability to be easily used for fraud. whereas financial development in terms of financial institutions having a significant effect on corporate fraud cases and the relationship is negative thus improvement in financial institutions like the security exchange commission of Pakistan and state bank would certainly minimize the corporate fraud cases.
Role of Time Management in Developing Self- Regulating Study Habits among Students at University Level
Authors: Kanwal Maliha , Abbasi Sadaf , Kiran Sidra , Quratulain
Published: August 2024

The research work conducted on the topic of role of time management in developing self-regulating study habits among students at University level. In order to achieve the objectives, this study used descriptive survey design. Total population was 792 students from public sector universities of okara region. 70% sample of total population was selected. Consequently, 167 male and 217 female students were selected from University of Okara. Whereas, 91 male 80 female students were selected from the University of Agriculture Faisalabad ( sub campus Depalpur Okara). All of these students were selected from various departments (Statistics, Islamic Studies, Physics, Mathematics, Education, Biology, English, Zoology, Chemistry, and Computer Science). A self-structured questionnaire was used to collect data for the students. It was a 5-point scale type consisting 40 statements along with 2 questions as open ended to assess the role of time management in developing self-regulating study habits among students at university level. Systematic random sampling method was used to select sample size of 555 students. The purpose of this study was to achieve the following objectives, 1 assess the effect of time management on self-regulating study habits of students at university level, 2 to analyze the important factors that affect the study habits of students at university level, 3 to compare the effect of time management techniques on the basis of gender, locality, university and departments (science and arts). Present study was aimed to answer the following questions, 1) how the time management effect self-regulating study habits of students at university level? 2) What are the factors that affect the study habits of students at university level? 3) What is the effect of time management techniques on the basis of gender, locality, university and departments (science and arts)? The results help in the field of education specially and for the bright future of students generally. The major findings of this study indicate that majority of the students have agreed about the importance of time management for achieving high ranks at university level. They feel stressed due to over work and try to minimize interruptions. Most of the students have reported that they share their academic issues with family and home environment affect the students grades. Students also reported that class environment also affects student learning. The study concluded that importance of time management can never be neglected. It indicates that time management is a key to success and is very important for the development of self-regulating study habits among students at university level. The study also concluded that there is no significant difference between the students on the basis of gender, locality, university and science and arts departments regarding the role of time management in developing self-regulating study habits among students at university level.
Investigation of metabolic parameters of women of reproductive age
Authors: Mete Yıldırım Aslıhan , Datlı Yakaryılmaz Funda
Published: August 2024

Aim: Fertility rates are decreasing every year, mainly due to socioeconomic and medical reasons. In this study it was aimed to investigate the incidence of metabolic disorders that may negatively affect reproduction.
Methods: Glucose parameters of 5892 patients, lipid parameters of 2491 patients and thyroid function tests of 457 patients were retrospectively examined. Patients divided into two groups in terms of age. Each age groups were divided into subgroups as diabetic, prediabetic, non-diabetic and euthyroidism, overt hypothyroidism, subclinical hypothyroidism and hyperthyroidism.
Results: The rate of euthyroidism was 85.8%, overt hypothyroidism was 4.2%, subclinical hypothyroidism was 3.5%, and hyperthyroidism (subclinical+overt) was 6.5% in all ages. There was no significant difference in ft3, ft4 and TSH values according to age (p values 0.051; 0.195; 0.585, respectively). The rate of diabetes was 4.7%, non-diabetes 83.7% and prediabetes was 11.6%. There was a significant difference between diabetic, prediabetic, and non-diabetic according to age (p
TRAITEMENT CHIRURGICAL DES VARICES DES MEMBRES INFERIEURS A DAKAR : ETUDE RETROSPECTIVE DE 91 CAS
Authors: DIENG, et al... Papa Adama
Published: August 2024

Summary: This is a retrospective study from January 2004 to December 2010 assessing indications and outcomes of varicose veins surgery. During this period, 91 cases were done with a mean age of 35.45 years. Surgical indications were taken considering the symptoms of venous insufficiency (32%), cosmetic concern (44%), and complications (24%). Varicose veins were located at the Great Saphenous vein (53.8%), the Small Saphenous vein (25.3%), an accessory saphenous vein (7.7%), the perforating veins (2.2%), and in 11 were without systematic topography. Saphenous ablations with ligations were done in the majority of cases. In 92% of cases the postoperative period was eventless and no death reported. Key words: varicose veins,surgery, complications
LES FISTULES URETERO- VAGINALES: ASPECTS EPIDEMIOLOGIQUES, DIAGNOSTIQUES ET THERAPEUTIQUES
Authors: Ze Ondo, et al... Cyrille
Published: August 2024

Aims: Describe epidemiological, diagnostic and therapeutic aspects of uretero- vaginal fistula (UVF). Materials and Methods: Descriptive retrospective study of 5 patients supported for UVF in a hospital in Senegal from january 2008 to december 2012. The parameters studied were: age, etiology, consultation period, reasons for consultation, physical examination, additional tests, cure and treatment outcomes of the UVF. Results: Mean age of patients was 31, 4 ± 7, 9 years. UVF were the result of a gynecological or obstetric surgery. The average consultation time was 6 ± 3, 1 months. All patients had consulted for permanent leak, involuntary urine through the vagina with preservation of voiding need evolving since the last surgery. Physical examination was normal in all patients. The urine culture had put in evidence a urinary infection by Escherichia coli in a patient. Intravenous urography revealed stenosis of the pelvic ureter in all patients. Surgical treatment consisted of 4 ureteral reimplantation according bladder Leadbeter Politano and 1 ureteral resection followed by end-to-end anastomosis. The therapeutic results were satisfactory in all patients. Conclusion: UVF were noted in patients with a young age. The ureteral reimplantation according Leadbeter Politano has been a satisfactory cure UVF. Keys words: uretero- vaginal fistula, pelvic surgery, ureteral reimplantation
LES SEQUELLES ESTHETIQUES DU TRAITEMENT CONSERVATEUR DES CANCERS DU SEIN : A PROPOS DE 35 CAS A L’INSTITUT DU CANCER DE DAKAR
Authors: DIENG, et al... Mamadou Moustapha
Published: August 2024

Introduction: Conservative treatment of breast cancers is dominant in early stages and exposes to modifications named esthetical effects after conservative treatment. There importances are variable. Patients and Methods: It is a prospective study concerning 35 patients who had a conservative surgery associated with an external radiotherapy with Co 60. Results: The mean age of our patients was of 47,5 years, with extremes from 28 to 72 years. 57% of the patients presented a tumor of the left breast. Tumors of ESQ in 54,3%, then at the level of the ISQ and in retro areolar in 14,3 % and 11,4 % respectively. The localizations in the IEQ, IIQ and the USQ were 8,6%. Nine patients presented SETC of G I 25,7%, 10 of the SETC rank G II 28,6%; 6 patients or 17,1 % of the SETC of rank III, 8 of the SETC of rank IV 22,9 % n=8) and 2 patients of SETC of rank V or 5,7%. Conclusion: The unsightly sections, wide excision, the insufficiency of the reshaping of the gland; and the dose of radiotherapy are aggravating factors of esthetical effects after conservative treatment of breast cancers.
LA PATHOLOGIE APPENDICULAIRE CHEZ LA PERSONNE AGEE : LES DIFFICULTES DE LA PRISE EN CHARGE
Authors: THIAM, et al Ousmane
Published: August 2024

Introduction : Appendiceal pathology is rare in the elderly. Its frequency is estimated between 5 and 10%. Diagnostic difficulties are related to the fear of ileocecal cancer and clinical polymorphism which results in a late diagnosis and a mutiplication of imaging examinations. Comorbidities are common and are responsible for a high mortality. The aim of our study was to assess the difficulties of management. Patients and method : It was a retrospective study from January 1th 2010 to April 31th 2015. Were included in this study all patients showed appendiceal pathology whatever life stage, age greater than or equal to 60 years and usable records. The parameters studied were epidemiological, diagnostic and therapeutic aspects. Results : During the study period, 283 appendiceal pathology records were collected. Among them, there were 31 patients ≥ 60 years. Four files were excluded because they were unusable. It was retained 27 files. The incidence of appendiceal pathology in the elderly was 10.9%. The sex ratio was 1.5. Comorbidities were dominated by high blood pressure in 9 patients (33%). The mean duration of clinical signs was 7 days. Abdominal pain was located at the right iliac fossa in 20 cases (74%). Fever ≥ 38 ° C was found in 7 cases (26%). Rebound pain and tenderness of the right iliac fossa were found in 15 cases (52%). Leukocytosis> 10,000 elements / mm3 was found in 14 cases (52%). The abdominal-pelvic ultrasound performed in 18 cases (67%) showed a cecal tumor in 1 case (6%). The abdominopelvic CT scan performed in 6 patients showed a cecal tumor in 2 cases. Preoperative diagnosis were dominated by acute appendicitis in 13 cases (48%). Mc Burney incision was performed in 16 cases ( 64%). At the surgery, acute appendicitis was 11 cases ( 41%). Morbidity was 33% . Mortality was 3.7%. Conclusion : Appendiceal pathology in the elderly is characterized by a long delay of consultation, a difficulty of the diagnosis and a high rate of morbidity and mortality associated with comorbidities. Keywords: elderly, acute appendicitis , peritonitis, mortality
RESULTATS ET ÉVALUATION DE LA QUALITÉ DE VIE APRÈS REMPLACEMENT VALVULAIRE CARDIAQUE
Authors: Diagne, et al... Papa Amath
Published: August 2024

Objectives: To evaluate the quality of life and the factors influencing after cardiac valve replacement. Material and methods: After consent, the files of 119 patients, operated in Dakar over a period of 8 years and benefiting from a mechanical prosthesis were analyzed. Clinical, ultrasound and quality of life (modified SF 36), before and after surgery were collected. Results: The median age was 30 years (range 11-59), 69 % were women. Of the 119 patients, (including), 19 % were aortic and 71 % were mitral valve and 10% were double valves replacements. After a mean follow-up of 78 months, 6 patients had any oral anticoagulation. There were 24 % minor accidents and 2.5 % major accidents in patients treated by oral anticoagulants. Eight patients /82 had at least one pregnancy (10 %) of which 7 were completed. During postoperative follow-up, a significant decrease in left ventricular dimensions (p = 0.01) and pulmonary arterial pressures (p = 0.06) as well as decreased tricuspid valve regurgitation were observed (IT > II: 50 % before surgery, 26 % after surgery). Mean quality of life score before surgery was 52/80 points versus 72/80 points after. The improvement of the score was better marked for the MVR (51 before surgery, 72 after surgery) than for the AVR (55 before surgery, 71 after surgery). Persistence of ACFA, IT ≥ II and PAPS ≥ 40 mmHg negatively influenced the quality of life score. Conclusion: This study on the Senegalese population makes it possible to see the influence of mechanical heart valve replacement on the quality of life of the patients and factors that can affect it. Key words: quality of life, heart surgery
HERNIES INGUINALES NON COMPLIQUEES DANS L’UNITE DE CHIRURGIE GENERALE DU CENTRE DE SANTE DE REFERENCE DE LA COMMUNE VI DE BAMAKO : ASPECTS CLINIQUES ET THERAPEUTIQUES.
Authors: Diallo, et al... Mamadou
Published: August 2024

Objective: To study uncomplicated inguinal hernia within the general surgical unit of CS Réf CVI. Methodology: A retrospective and prospective study from February 2007 to June 2012 has been carried out so as to study uncomplicated inguinal hernias with 310 patients at CS Réf CVI. Inclusion standards were all patients received and operated complicated nay according to inguinal hernia within the general surgical unit of CS Réf CVI. Result: Uncomplicated inguinal hernia has represented 4,12% of surgical consult and uncomplicated hernia cure has represented 31,76% of surgical interventions. The male sex has been the most represented with a ratio of 12,72. The average age of our patients has been about 43,60 years old, farmers have been majoritarian with 80 cases (26,13%). Recurrence hernia has represented 37 cases (11,93%). The hernia has sieged on the right in 190 cases (61, 29%); it has sieged on the left in 91 cases (29, 35%) and it has been bilateral in 29 cases (9,35%). The local anesthesia has been used with 223 patients (71, 94%), general anesthesia with 69 patients (22,26%), and locoregional anesthesia with 18 patients (5,8%). External oblique hernia has represented 230 cases (74,19%). Shouldice’s technique has been used with 159 patients (51, 29%); Bassini’s one with 86 patients (27,74%) and the treatment of the bag with 65 patients (20,96%). The surgery rooms have been simple with 304 patients with an early post-surgery morbidity rate of 1,93 (6 cases) and 1 cases of post-surgery death. One case of recurrence (0,30 %). Conclusion: The uncomplicated inguinal is frequency at the CSRéfCVI. The Classical technique of hernia cure has permitted us to have encouraging results. Key words: inguinal hernia, surgery, CS Réf CVI.
PRISE EN CHARGE INITIALE DES BRULURES GRAVES EN REANIMATION EN MILIEU TROPICAL
Authors:   Service d’Anesthésie-Réanimation Hôpital Aristide Le Dantec, NDIAYE, et al... Papa Ibrahima
Published: August 2024

Introduction: Severe burn is the destruction of the skin that engages the vital and functional prognosis. They constitute a real problem, due to their heavy management and their consequences with invalidating sequellea. Our objective was to evaluate the management of severe burn in our African tropical environment. Methodology: A retrospective study was conducted at the intensive care unit of A. Le Dantec University teaching hospital in Dakar, over 10 years (May 1999 to April 2009), involving all patients admitted in the intensive care unit for severe burn. Data on: age, sex, time lapse before admission, clinical and paraclinical evaluation, management and outcome were collected. Results: 72 patients were selected over a total of 101 patients admitted for burn. We noted a male predominance with a sex ratio of 1.4. The average age was 21.8 years. The average time before admission was 11.3 hours. Domestic accidents accounted for 75 %, accidents at work accounted for 18.1% and suicide accounted for 5.6% of cases. Thermal burns accounted for 80.6 % and electric burns accounted for 19.4 %. The depth was mostly of second degree, with an average width of 34.9%. The average score of BAUX was 56.7% and the ABSI average score was 6. The vascular loading was adequate in 75 % of cases, and vasopressors were used in 41.7 % of cases. Mechanical ventilation after tracheal intubation was performed in 41.7 % of cases. Surgery was performed in 54.2 % of cases. No graff was performed in any case. A multi organ failure was noted in 22.2% of cases, a septic shock was noted in 30.6 % of cases and an hypovolemic shock was noted in 5.6 % of cases. The average time of stay in the ICU was 3.8 days with a mortality rate of 62.5%. Keywords: severe burn, tropical environment, intensive care unit.
GANGLIONEUROME MEDIASTINAL SyPTOMATIQUE : A PROPOS D’UNE OBSERVATION
Authors: Diatta, et al... Souleymane
Published: August 2024

The authors report a case of mediastinal ganglioneuroma discovered in a 9 old year girl during surgical exploration of an intrathoracic tumor compressing the superior vena cava, the right lung and right trachea-bronchial sector. Surgical resection was allowed regression of symptoms and histological examination of the surgical specimen found a ganglioneuroma. The immediate postoperative course was marked by the occurrence of Claude Bernard Horner’ssyndrome. After a12 month follow up is not founding tumor recurrence, however ptosis persisted Key-words: ganglioneuroma, intra thoracic tumor, child, surgery
INDICATIONS ET RESULTATS D’AMYGDALECTOMIE CHEZ L’AD ULTE AU SERVICE D’ORL DE L’HOPITAL GENERAL DE GRAND –YOFF (HOGGY) DE DAKA R .A PROPOS DE 70 CAS.
Authors: TALL, et al... Hady
Published: August 2024

Abstract: our study aimed to determine the most common indications and complications of tonsillectomy in adults. Material and Method: we conducted a 5-year retrospective study (May 2008 to May 2013) including adult patients who underwent a dissecting tonsillectomy at the Hospital of Grand-Yoff (HOGGY). The following data (age, sex, history, clinical signs, operating indications, type of intervention and postoperative operations) were collected from the department's clinical observation sheets. These data were processed by Excel 10 software and then analyzed by IBM SPSS Statistics (Statistical Package for Social Sciences) version 20. All the patients were operated on for a tonsillectomy by dissection under general anesthesia and orotracheal intubation. We had 70 patients. The average age of our series was 28 years with a sex ratio of 0.23 (13 men for 57 women). Chronic cryptic and caseous tonsillitis was the most frequent indication (55.8%) followed by recurrent angina (40%). Conclusion: tonsillectomy remains the radical treatment of recurrent angina, their loco-regional complications (abscess, phlegmon), and prevents all complications at a distance (articular, renal and cardiac). Key words: recurrent angina, chronic tonsillitis, tonsillectomy, complication