bluuebunny/crossref_metadata_2025 huggingface dataset:
Intradiaphragmatic abscesses in a wild boar (Sus scrofa): Inspective implications based on anatomopathological evidences
Authors: Piccinini Andrea , Ferri Gianluigi , Olivastri Alberto , Rossi Fabio , Festino Anna Rita , Vergara Alberto
Published: September 2022

The intradiaphragmatic localization of an abscess is rarely described in humans and in other animal domestic and wild species, and can be caused by penetrative traumas (i.e., firearm injuries). Here we describe two intradiaphragmatic abscesses in a hunted adult male wild boar (Sus scrofa) pluck, associated with adhesion phenomena with the contiguous anatomical structures (pleural, phrenic, and glissonian serosas) and observed during the post mortem inspection, in accordance with the Reg. EU 627/2019. One of these lesions also presented a phreno-abdominal fistula. We found in cytopathological evaluation of the neoformations’ content the presence of spheroidal bacterial soma, characterized by linearly concatenated “Streptococcus-like” aggregation pattern. Furthermore, microbiological assays revealed a polymicrobial pattern characterized by the presence of telluric microorganisms, some of which have a marked pyogenic action (Streptococcus suis type I, Sphingomonas paucimobilis, Carnobacterium divergens, and Lactobacillus sakei). Our results and collected evidence demonstrate the pathogenetic hypothesis of bacterial contamination secondary to penetrative trauma caused by a not-mortal projectile’s wound, defining the inspective behaviour according to the cogent legislation. These lesions, in the reason of their potential relation to toxemia, bacteremia and septicemia phenomena, represent a sanitary risk that impose, from a normative point of view, the total condemnation of the carcass. These inspective implications, originating from the observation and interdisciplinary description of the anatomopathological and microbiological features of the lesions, are directly projected on the normative scenario, providing useful elements to guarantee the health of the consumer.
Challenges of eHealth and Current Developments in eHealth Applications: An Overview
Authors: V. Saikumari , A. Arunraj
Published: September 2022

Healthcare sector is moving towards digitalization in every aspect including e-consultations, surveillance of health,and all other services in healthcare industry. eHealth ends in the remodel of conventional methods of imparting specialist healthcare offerings digitally through the use of technology aimed toward both fee-effectiveness and patient satisfaction who are the customers of health offerings. Electronic health records has been maintained by developed countries which makes evaluating patient outcome easier. which makes evaluation of patient outcomes much easier. In the health sector, a variety of new ICTs are implemented to improve the efficiency of all levels of healthcare. eHealth—or digital health—is the use of ICT to improve the ability to treat patients, facilitate behaviour change, and improve health. Advances in information and communication technology (ICT) and the dissemination of network data processing created a new environment of universal access to information and globalization of communications, businesses, and services eHealth applications were analysed to determine the brand new developments in E-health programs. In this paper, the stakeholders are identified who're accountable for contributing to a selected eHealth challenge. By analysing the current scenario of E-health, we identified the challenges faced by eHealth technologies. The factors influencing the challenges were identified and classified. The emerging trends in the field of e-Health was studied and the applications and its benefits towards the patients was also analysed. The paper also elaborates on the role of mHealth in eHealth.
A Study on Aircraft Structure and Application of Static Force
Authors: Saravanan Vimala , Ramachandran M , Raja Chandrasekar
Published: September 2022

In particular, the neural network approach to Demister-Schaefer theory has been demonstrated. Different modulus adherents, so that the adhesive pressures are approximately the same part of the vertical stabilizer was selected and reconstructed using the structure design of the hybrid wing body plane during the preliminary design phase. Due to the high number of design variables and various repairs, adhesive bonded fiber-composite joints or reinforcements are a challenging optimization problem, and this sheet directly affects structurally efficient and minimal damage by lightning strikes on aircraft structures. Parent systems rather than standard repairs. In the first part, the phenomenon of lightning curve connection in aircraft was introduced. Certain bonded joints offer more effective repairs than conventional mechanical joints, which are not fully credited with reducing their performance, and have important needs in most countries of the world. This article focuses on introducing integrated structural features and background, including application for civil aviation and flight qualification requirements, and the main purpose of this study is a computer-assisted materials selection tool. - Reinforced alloy. This paper explores the distribution of dynamic load identification given the unknown but limited uncertainties in aircraft configuration. This is the second of two documents on the structure of the Northwest Pacific Hurricane This sheet describes various structures Thin metal sheets are widely used to create different types of space structures due to its flexibility and ability to easily create any type of structure. Resource based to identify damage this article discusses the use of taxonomies.
Persepsi Pelajar Perokok terhadap Penularan Covid-19 di Kecamatan Cibungbulang
Authors: Yusnita Titien , Lestari Hana , Sunarya Anjar , Harahap Machyudin Agung , Adeni Susri
Published: September 2022

Active smokers and passive smokers are at risk of being infected with COVID-19, causing acute breathing. Existing research results state that smoking habits worsen the health of COVID-19 sufferers so that it affects smoking habits in COVID-19 patients to reduce and even stop smoking (Sabrina & Ichsan, 2021). This study aims to determine how students smoker's perception of the transmission of COVID-19. This research is expected to be able to increase students' knowledge and sense of concern for their own health and the surrounding environment, especially during the COVID-19 pandemic. The research was conducted in Cibungbulang District, Bogor Regency. The research population is students from SMP, SMA and SMK. The sample in this study amounted to 147 students. This study was designed as a survey research using a questionnaire instrument. The design of this study used descriptive quantitative methods with the Pearson Chi-Square correlation test to determine the correlation between variables. The results showed that students' perceptions of COVID-19 transmission in smokers tended to be negative even though the level of student knowledge was categorized as high. This means that students know that COVID-19 can be transmitted to other people including smokers but they do not seek further information about it.

Keywords: covid-19, information, students, smokers, perception,
YAYILMACI POLİTİKADA ARKEOLOJİNİN KULLANIMI DAVID HOGARTH ÖRNEĞİ (1876-1918)
Authors: POLAT Elif Gizem
Published: September 2022

Oryantalizm akımının Avrupa’da yayılması ile birlikte Osmanlı Devleti sınırları içerisinde birçok arkeolojik kazı çalışması başlatılmıştır. Kazılar esnasında ortaya çıkartılan eserlerin birçoğu ise Avrupa’nın köklü bir uygarlık olduğunun göstergesi ve bu köklü uygarlığın diğer medeniyetlerin de koruyuculuğunu ancak kendisinin üstlenebileceği düşüncesi ile Avrupa müzelerinde sergilenmek üzere Osmanlı topraklarından koparılmıştır. Bununla birlikte arkeoloji bir paravan olarak kullanılmış, müze ajanlığının yanı sıra siyasi ajanlık da yapılmış olup petrol, kömür gibi yeraltı zenginlikleri ve ziraat ile etnolojik çalışmalar da yürütülmüştür. Bu bağlamda Osmanlı Devleti’ni parçalayıp sömürgeleştirmek amacı güden söz konusu çalışmalar Birinci Dünya Savaşı sırasında da İtilaf devletlerinden İngiltere’nin casusluk faaliyetlerine temel oluşturmuştur.
The condition of the Baltic Fleet libraries during the first years of the soviet power (based on the materials of the Russian State Naval Archives)
Authors: Novikova Lidiya I.
Published: September 2022

The Bolshevik propaganda was successful among the lower ranks of Russian Empires Navy largely due to either inaction or insufficiently active work of the official bodies responsible for morale building. Considering their predecessors mistakes, the early Soviet leaders paid very close attention to political agitation and propaganda in the Russian Republics Armed Forces from their first days. The article deals with the operation of naval libraries in the context of morale building activities in the Baltic Fleet during 191824.
Special features of the wall paintings in the churches of Uglich during the second half of the 18th and the first half of the 19th centuries
Authors: Ivanova Varvara N.
Published: September 2022

Churches and cathedrals built in Uglich (the Yaroslavl Region of todays Russia) during the second half of the 18th and the first half of the 19th centuries received the status of architectural monuments rather late, so their wall paintings have largely been lost. The study provides a brief overview of the history of the town churches. The author proves that the wall painters used to work in strict accordance with the old canons, yet in a Western academic manner. Future prospects of the study of the eighteenth-nineteenth-century wall paintings in the churches of Uglich are considered.
The impacts of secondary ice production on microphysics and dynamics in tropical convection
Authors: Qu Zhipeng , Korolev Alexei , Milbrandt Jason A. , Heckman Ivan , Huang Yongjie , McFarquhar Greg M. , Morrison Hugh , Wolde Mengistu , Nguyen Cuong
Published: September 2022

Abstract. Secondary ice production (SIP) is an important physical
phenomenon that results in an increase in the ice particle concentration and can
therefore have a significant impact on the evolution of clouds. In this
study, idealized simulations of a mesoscale convective system (MCS) were
conducted using a high-resolution (250 m horizontal grid spacing) mesoscale
model and a detailed bulk microphysics scheme in order to examine the
impacts of SIP on the microphysics and dynamics of a simulated tropical MCS.
The simulations were compared to airborne in situ and remote sensing observations
collected during the “High Altitude Ice Crystals – High Ice Water Content”
(HAIC-HIWC) field campaign in 2015. It was found that the observed high ice
number concentration can only be simulated by models that include SIP
processes. The inclusion of SIP processes in the microphysics scheme is crucial
for the production and maintenance of the high ice water content observed in
tropical convection. It was shown that SIP can enhance the strength of the
existing convective updrafts and result in the initiation of new updrafts
above the melting layer. Agreement between the simulations and observations
highlights the impacts of SIP on the maintenance of tropical MCSs in nature
and the importance of including SIP parameterizations in models.
Extreme precipitation events induce high fluxes of groundwater and associated nutrients to coastal ocean
Authors: Diego-Feliu Marc , Rodellas Valentí , Alorda-Kleinglass Aaron , Saaltink Maarten , Folch Albert , Garcia-Orellana Jordi
Published: September 2022

Abstract. Current studies of submarine groundwater discharge (SGD) are commonly conducted under aquifer baseflow conditions, neglecting the influence of episodic events that can significantly increase the supply of nutrients and water. This limits our understanding of the social, biogeochemical, and ecological impacts of SGD. In this study, we evaluated the influence of an extreme precipitation event (EPE) on the magnitude of SGD. To do so, three seawater sampling campaigns were performed at a Mediterranean ephemeral stream-dominated basin after an EPE (∼ 90 mm in few hours) and in baseflow conditions. Results indicate that the groundwater flows after the EPE were 1 order of magnitude higher than those in baseflow conditions. The SGD induced by EPEs, which only take place a few days per year, represented up to one third of the annual discharge of groundwater and associated nutrients at the study site. This work accentuates the need to account for episodic increases in the supply of water and nutrients when aiming to provide reliable annual SGD estimates, particularly in the current context of climate change, since the occurrence of such events is expected to increase worldwide.
Sensitivity of the Ross Ice Shelf to environmental and glaciological controls
Authors: Baldacchino Francesca , Morlighem Mathieu , Golledge Nicholas R. , Horgan Huw , Malyarenko Alena
Published: September 2022

Abstract. The Ross Ice Shelf (RIS) is currently stable but recent observations have indicated that basal melt rates beneath the ice shelf are expected to increase. It is important to know which areas of the RIS are more sensitive to enhanced basal melting as well as other external forcings or internal material properties of the ice to understand how climate change will influence RIS mass balance. In this paper, we use automatic differentiation and the Ice Sheet and Sea-level System Model to quantify the sensitivity of the RIS to changes in basal friction, ice rigidity, surface mass balance, and basal melting. Using volume above flotation (VAF) as our quantity of interest, we find that the RIS is most sensitive to changes in basal friction and ice rigidity close to grounding lines and along shear margins of the Siple Coast Ice Streams and Transantarctic Mountains Outlet Glaciers. The RIS sensitivity to surface mass balance is uniform over grounded ice, while the sensitivity to basal melting is more spatially variable. Changes in basal melting close to the grounding lines of the Siple Coast Ice Streams and Transantarctic Mountains outlet glaciers have a larger impact on the final VAF compared to elsewhere. Additionally, the pinning points and ice shelf shear margins are highly sensitive to changes in basal melt. Our sensitivity maps allow areas of greatest future vulnerability to be identified.
Observed and modeled moulin heads in the Pâkitsoq region of Greenland suggest subglacial channel network effects
Authors: Trunz Celia , Poinar Kristin , Andrews Lauren C. , Covington Matthew D. , Mejia Jessica , Gulley Jason , Siegel Victoria
Published: September 2022

Abstract. In the ablation zone of land-terminating areas of the Greenland Ice Sheet, water pressures at the bed control seasonal and daily ice motion variability. During the melt season, large amounts of surface meltwater access the bed through moulins, which sustain an efficient channelized subglacial system. Water pressure within these subglacial channels can be inferred by measuring the hydraulic head within moulins. However, moulin head data are rare, and subglacial hydrology models that simulate water pressure fluctuations require water storage in moulins or subglacial channels. Neither the volume nor the location of such water storage is currently well constrained. Here, we use the Moulin Shape (MouSh) model, which quantifies time-evolving englacial storage, coupled with a subglacial channel model to simulate head measurements from a moulin in the Pâkitosq region in Greenland. We force the model with surface meltwater input calculated using field-acquired weather data. Our first-order simulations of moulin hydraulic head either over-predict the diurnal range of oscillation of the moulin head or require an unrealistically large moulin size to produce realistic head oscillation ranges. We find that to accurately match field observations of moulin head, additional subglacial water must be added to the system. We hypothesize that this additional `baseflow' represents strong subglacial network connectivity throughout the channelized system and is ultimately sourced from basal melt and non-local surface water inputs upstream.
The Pros and Cons of Consolidating Rehabilitation Counseling Associations: A Qualitative Analysis of Views From the Field
Authors: Nerlich Andrea Perkins , Levine Allison , Smith Sasha D. , Anderson Catherine A. , Phillips Brian N.
Published: September 2022

The potential for unification of rehabilitation counseling professional associations has been a conceptual debate for the past several decades. In a previous article of this special issue, Phillips et al. (2022) provided quantitative data to capture the opinions of professionals on the issue of consolidation. The present study builds on those findings by providing a qualitative analysis of the rationale provided for each response from not only professional association members, but the broader rehabilitation counseling community. The analysis provides clarity about stakeholders’ rationale regarding their beliefs on rehabilitation counseling professional association consolidation. Responses were analyzed by group according to whether participants were in favor of, opposed to, or uncertain about consolidation. The majority of respondents supportive of consolidation felt it offered a pathway toward internal unity and external validation of the profession, while the main rationale from those opposed to consolidation centered on loss of distinctiveness of individual associations. Overwhelmingly, those who were undecided on consolidation cited lack of familiarity as a barrier to providing a decisive response. Implications for these results are presented.
Community Development dalam Penerapan Nilai-Nilai Moral Kristiani di SMAK Setia Bakti Ruteng, Kabupaten Manggarai
Authors: Dahurandi Keristian , Tolo Paulus , Maigahoaku Fredrikus Djelahu
Published: September 2022

Pendidikan karakter merupakan aksentuasi pendidikan Indonesia sekarang ini. Amanat UUD 1945 alinea ke-4 yang mendorong tujuan pendidikan untuk mencerdaskan kehidupan bangsa, secara operasional diimplementasikan dalam rencana strategis pendidikan formal melalui rancangan kurikulum 2013 yang menekankan “peningkatan akhlak yang mulia”. Ada berbagai nilai karakter yang ingin ditanamkan pada peserta didik. Salah satu nilai karakter yang penting adalah nilai moral religius. SMAK Setia Bhakti Ruteng, Kabupaten Manggarai, Propinsi Nusa Tenggara Timur merupakan salah satu sekolah menengah atas yang fokus pada penanaman nilai karakter religius khususnya nilai moral Kristiani. Sesuai spirit pengelola sekolah, yaitu Para Suster SSpS (Servorum Spiritu Sancto), nilai moral Kristiani/Katolik merupakan pusat perhatian pengembangan karakter di tempat ini. Nilai tersebut meliputi kerja sama, kejujuran, tanggung jawab, iman/percaya, pengorbanan, keserdehanaan dan kasih. Hasil tes awal menunjukkan bahwa tiga nilai yaitu kerja sama, kejujuran dan tanggung jawab dinilai kurang memuaskan dimiliki para peserta didik. Terdorong oleh keprihatinan terhadap kondisi awal ini maka dilakukan suatu tindakan penanaman nilai dengan menerapkan metode penelitian tindakan yang meliputi tahap pra tindakan, tindakan siklus I dan tindakan siklus II dengan berpedoman pada metode penelitian tindakan Kemis dan Mc Stagart. Langkah-langkah setiap tahapan siklus meliputi: perencanaan, pelaksanaan, pengukuran dan refleksi. Isi tindakan yang dilakukan adalah internalisasi nilai moral Kristiani dalam setiap tahap tindakan dengan menggunakan pendekatan community building. Hasil tindakan menunjukkan bahwa pendekatan community building memiliki tren penilaian positif dengan perolehan gain score sebesar 62%. Itu berarti pendekatan community building yang dilakukan dapat mendongkrak kenaikan 62% nilai moral Kristiani peserta didik di SMAK Setia Bhakti Ruteng.
Dating Ibn Aʿtham’s History
Authors: McLaren Andrew
Published: September 2022

This article is an attempt to settle the debate about the floruit of the largely obscure Ibn Aʿtham al-Kūfī and the date of the composition of his history. The standard death date given for him, 314/926–27, was recently revealed to be scholarly guesswork, and more than one scholar has argued in recent decades that the history may have been partially composed as early as 204/819–20. But the revision is mistaken, and this article presents three arguments to show why. First, manuscript evidence undermines the basis for the early dating. Second, the comparative examination of a cluster of isnāds in the history that have often been discarded as unusable reveals Ibn Aʿtham’s connections to authorities active at the end of the third/ninth century. And third, building on the work of Ilkka Lindstedt, I affirm and further specify Ibn Aʿtham’s likely floruit on the basis of a network of biographical connections to Ibn Aʿtham. The conclusion offers a pair of suggestions for locating Ibn Aʿtham’s history within the broader scheme of Islamicate historiography.
Arbeidsrettet behandling ved alvorlig psykisk lidelse i spesialisthelsetjenesten
Authors: Lystad June Ullevoldsæter , Rognli Eline Borger , Moen Ellen Ånestad , Brinchmann Beate , Spjelkavik Øystein , Aamodt Hanne Lorimer
Published: September 2022

Employment is an important focus area in the treatment of severe mental illness and substance use disorders. Health and welfare services are instructed to collaborate closely on implementing evidence-based practices of vocational rehabilitation such as Individual Placement and Support (IPS) in treatment guidelines, clinical pathways and the current national healthcare plan (2020–2023). Although evidence of the effectiveness of IPS continues to grow and there is broad political commitment to finance and implement IPS, challenges remain. System-level cooperation between services and legislative issues on integrating employment specialists in mental health services poses potential implementation barriers that need clarification to allow successful provision of IPS. In this paper, we describe how IPS is integrated in specialized mental health treatment. The empirical and practical basis for the current article comes from five different research groups. New directions, challenges and opportunities in IPS implementation are also discussed in light of new regulations from the Norwegian Directorate of Health.

Keywords: Individual Placement and Support, employment, health and welfare services, integration, employment specialist, implementation
Utilização de resíduos agroindustriais na alimentação de ruminantes
Authors: Fávaro Vanessa Ruiz , Fonseca Rech Ângela
Published: September 2022

Os resíduos agroindustriais, principalmente os inapropriados à alimentação humana, podem ser utilizados para alimentação de ruminantes, devido à sua capacidade de converter alimentos fibrosos em produtos nobres, como o leite e a carne. O emprego de resíduos na alimentação de ruminantes pode contribuir para redução dos custos, diminuição dacompetição por alimentos e mitigação dos impactos ambientais causados pelo descarte incorreto destes. Contudo, o êxito da utilização dos resíduos é muitas vezes limitado ao pouco conhecimento das características nutricionais, forma de conservação e valor econômico. O objetivo deste informativo é apresentar os principais fatores a serem avaliados para escolha de um determinado resíduo agroindustrial na alimentação animal.
Requerimentos agroclimáticos para a cultura do lúpulo
Authors: Leite Gabriel Berenhauser , Pandolfo Cristina
Published: September 2022

O lúpulo é uma nova espécie com interesse de cultivo em Santa Catarina. Poucas são as informações locais a respeito da sua adaptação e de seu desempenho nas condições climáticas do Estado. Apesar de ser uma planta originária de climatemperado e altas latitudes, com invernos frios e fotoperíodo variável ao longo do ano, experiências de cultivo demonstram viabilidade em regiões mais quentes e de latitudes mais baixas. Este fato demonstra que alguns parâmetros agroclimáticos, até agora considerados adequados ao crescimento e desenvolvimento da cultura, são controversos. Este estudo objetiva discutir estes parâmetros à luz dos conhecimentos atualmente existentes.
Effects of COVID-19 Severity on Serum Calcium Levels
Authors: Aslam Umbreen , Bashir Muhammad Kashif , Zafar Nosheen , Ali Niamat , Javed Salman , Saeed Najam-us-Sehar
Published: September 2022

Background: The hypocalcaemia may be a unique biochemical feature of COVID -19 that has the potential to influence disease severity and represents a new potential therapeutic target worth testing in this clinical setting. Because COVID -19 testing has primarily focused on individuals with respiratory symptoms rather than calcium levels, Therefore the objective of current study was to determine the effect of e COVID-19 severity on Serum calcium levels. Methods: After the ethical approval, all the RT-PCR positive patients from the record of corona isolation wards of Ganga Ram hospital Lahore. Demographic details including name, age, gender, complete history & examination serum Calcium level was noted recorded al from hospital files on a predesigned proforma. To assess clinical severity of coronavirus disease, all the enrolled patients’ disease category as mild, moderate, severe & critical was note. Data was analyzed using SPSS-26. Association between age and gender between disease severity was determined by using Chi-square test. Binary logistic regression was applied to find out the effect of disease severity on serum calcium levels. P-value less than 0.05 were considered to be significant. Results: 555 patients were enrolled in the current study. The mean ages of patients were 38.34+14.86. There were 300(54.1) male and 255(45.9) female, the severity of the disease shows that the majority 490(88.3%) of the patients had mild disease and 65(11.7%) had moderate disease. The mean serum calcium level was 8.7+0.34. The majority of patients had mild disease, of which 270 were female and 220 male and 230 among 31-50 years. The results of binary logistic regression show the effect of disease severity (Mild, Moderate) on calcium, age and gender. It was reported that only serum calcium, male gender and age category 30-50 years were a significant predictor of disease severity. Conclusion: It was concluded from current study that majority of patients have mild disease severity and patients have normal serum calcium. The disease severity has no significant impact on the calcium levels as the majority of patient has mild disease. Keywords: COVID-19, Disease Severity, Hypocalcemia
Comparison of Efficacy of Daily Sofosbuvir and Declatasvir with Alternate Day Sofosbuvir and Declatasvir in Hepatitis C Patients on Hemodialysis in Pakistani Population
Authors: Muzammil Muhammad , Tahir Muhammad , Ullah Nadeem , Arif Malik Muhammad , Rasheeq Talha , Ather Muhammad Mumtaz
Published: September 2022

Objective: compare the efficacy of daily Sofosbuvir plus Declatasvir with alternate day Sofosbuvir and Declatasvir in HCV patients on hemodialysis. Study design: Randomized clinical trial Place and duration: department of general medicine Nishtar hospital, Multan from March 2020 to March 2021 in one year duration. Methodology: A total of 260 patients were enrolled in study and divided into two groups (1 and 2) by convenient sampling technique. Non probability consecutive sampling technique was used. Group 1 treated with Sofosbuvir plus Declatasvir daily and group 2 was treated with alternate Sofosbuvir and Declatasvir. SPSS version 23.1 was used for data entry and analysis. Results: The liver enzymes and hematological parameter were noted after 24th weeks. The mean differences at baseline and after 24th weeks within the groups was statistically significant, (p<0.001). Viral load detectable, RVR, ETR, and SVR at 24 weeks was 91.5% vs 88.5%, 98.5% vs 98.5% and 97.7% vs 90.8% respectively. Conclusion: In Pakistani population hepatitis C virus is endemic like some other countries. In hemodialysis patients daily Sofosbuvir with daclatasvir is safe and effective with greater SVR as compare to Sofosbuvir with daclatasvir in alternate days even in genotype 3. Keywords: Sofosbuvir, Daclatasvir, HCV, Hemodialysis, Genotype 1,2,3
Tuberculosis of the Glans Penis: A Case Presentation with Review Literature
Authors: Shaikh Nisar Ahmed , Shaikh Aamir Ali , Bozdar Hameed-ur-Rehman , Hussain Riaz , Rohra Khob Chand , Soomro Muhammad Imran , Abassi Amanullah
Published: September 2022

Background: Tuberculosis of the glans penis is a rare occurrence., even in developing nations. Aim and Object: To review the literature and case presentation of Tb of glans penis Methodology: Pakmedinet, Pubmed and google data were searched for Tb of glans penis. Literature Review: Tuberclosis of the penis can be primary or secondary, and it might look like penile cancer, penile ulcers (granulomatous), genital herpes simplex or HIV infection. Tb of the Penis can develop after a individual who had primary pulmonary Tb and can be spread through ejaculation, contamination of endometerium secretions or clothes, as a result of a previous pulmonary Tb or Tb somewhere else. Tb of the Penis is characterised by a tiny nodule on the penis that is either painless or painful, an ulcer, a mass that progressively increasing and be swelling. Palpation of inguinal lymph nodes and erection problems of the penis can or can not observed. Normally, the patient's voiding is normal. Biopsy or acid fast bacilli in penile discharge or positive Elisa serology or PCR for tuberculosis are used to confirm the diagnosis. Needs 6 months, pulmonary tuberculosis therapy. Conclusions: Tb of the glans penis is an uncommon occurrence. After a biopsy, antitubercular medications are the standard treatment, thus doctors should evaluate the potential of Tb of the penis in instances of penile lesions. Keywords: Tb, penis, presentatation management and review litrarature
Cardiac Status of Patients with Thalassemia Major on Echocardiography
Authors: Soomro Tufail Ahmed , Qureshi Rizwana , Bashir Bela , Zaki Muhammad , Soomro Zuhaib Zahoor , Bouk Masnoor Ahmed
Published: September 2022

Background: Beta-thalassemia is a common genetic disorder in which red blood cell fail to perform normal function due to alterations in structure of red blood cells. Objective: To determine the cardiac status (mean left ventricular end diastolic diameter, left ventricular end systolic diameter and interventricular septal thickness) of patients with thalassemia major on echocardiography. Study Design: Cross-sectional study. Place and Duration of Study: Department of Pediatric Medicine, GMMMC Hospital, Sukkur from 2nd October 2020 to 1stApril 2021. Methodology: Ninety eight patients of both genders with age 2-18 years having thalassemia major. Thalassemia major were assessed and demographic variables including age, gender, family history of cardiac diseases, socio-economic status, other comorbid condition, duration since diagnosis of thalassemia was determined. All patients were also assessed for cardiac status using echocardiography. Results: Mean age of patients was 7.73±5.01 years. Mean duration since diagnosis of thalassemia was 6.12±4.80 years. There were 65 (66.33%) males and 33 (33.67%) female patients. There were 18 (18.37%) patients having low, 52 (53.06%) middle and 28 (28.57%) high status. Family history of cardiac disease was found in 15 (15.31%) patients. Mean left ventricular end diastolic diameter was 38.42±3.75 mm, left ventricular end systolic diameter was 24.45±2.40 mm and interventricular septal thickness was 6.23±1.45 mm. Conclusion: Left ventricular diastolic dysfunction (LVDD) occurs in all studied patients of thalassemia major. There was no systolic dysfunction and intraventricular septal thickening in thalassemia major patients. Keywords: Left ventricular end diastolic diameter, Left ventricular end systolic Diameter, Interventricular septal thickness, Thalassemia major, Echocardiography.
Adherence on Recommended Guidelines for Pre-Operative Routine Investigations in ASA (American Society of Anaesthesiologists) Grade 1 and 2 by Anaesthesiologists working at Tertiary Care Hospitals in the Province of Sindh
Authors: Ayub Hannan , Zaid Muhammad , Siddiqui Muhammad Saeed , Javed Sana
Published: September 2022

Aim: To assess adherence on recommended guidelines for pre-operative routine investigations in ASA grade 1 and 2 by anaesthesiologists. Study Design: Cross-sectional study Place and Duration of Study: Tertiary Care Hospitals in the Province of Sindh from 17th April 2019 to 17th October 2019. Methodology: One hundred anaesthesiologists were enrolled. The laboratory investigations of the patients which were ordered by anaesthesiologists according to ASA Grade I & II and surgical grade I & II depending upon the age (16-60). The investigations were classified into three categories Good, Acceptable and Poor depending upon adherence to NICE guidelines. Results: Sixty six (66%) were males and 34 (34%) were female and the median age was 31 (29-35). Only 16% were positive adherence to the NICE guidelines when ordering pre-operative routine investigations which falls under category of poor adherence while none of positive adherence fall under category of good or acceptable adherence. Traditionally, there is no recommended test for ASA I, surgery grades I & II and ASA II, surgery grade I, but the result indicates that several insignificant tests were requested in these classes. Conclusion: Preoperative biochemical testing is widely used and enhance the effectiveness of surgery but it should be cost effective in range of the patients. Keywords: Tertiary care hospitals, Adherence, Routine investigations, Guidelines
Treatment Modality (Private or Government/Safety Net) Choices for CABG and Factors Involved in Decision Making
Authors: Afzal Saad , Ikram Yousaf , Ahmad Muhammad Masood , Abidin Muhammad Zain Ul , Tariq Muhammad , Usman Muhammad
Published: September 2022

Background: The treatment of cardiovascular disease is an expensive treatment and need expertise also. There are facilities in private setup as well as in government t hospital. At times it becomes difficult to choose between private and government facilities for various reason, cost and safety being the two most important factors. Objective: To assess the choice of patient for treatment of CVD as a private patient or through government/safety nets and see its association with factors involved in decision making. Study Design: Cross-sectional analytical Place and Duration of Study: Faisalabad Institute of Cardiology from 1st January 2020 to 30th June 2020. Methodology: Sixty patients chose private treatment and government/safety net treatment was assessed. Then the frequency of various factors involved was determined and their association was evaluated with choice of treatment. Results: Fifty one (85%) opted government/ safety net treatment and 9 (15%) opted private treatment. Education, Income and cost of treatment were the three major factors associated with choice of treatment having respective p-values 0.015, <0.001 and <0.001. The attitude toward consultation was also found associated with option of treatment. The median waiting time for government/safety net treatment was 129(119–143) days while for private treatment it was 3 (2–4) days. Conclusion: The frequency for choice of private treatment is very low and, those with less education and low on resources opt for government treatment while those who had better income and education and prefer to be treated earlier opt for private treatment but still take the option of government health facilities due to safety and cost concern. Keywords: CABG, Safety nets
MAKNA PERUNTUNGAN KEWIRAUSAHAAN BAGI ETNIS JAWA TIONGHOA, DAN MADURA DI KOTA SEMARANG
Authors: Puspita Puji Rahayu  , Isti Mayasari
Published: September 2022

Setiap wirausahawan memiliki memiliki kearifan lokal tersendiri dalam membangun bisnis. Kaitan budaya dengan kewirausaahaan belum banyak dilakukan penelitian. Di setiap etnis dapat dibedakan dari budaya yang terlibat dalam membangun bisnis. Penelitian ini bertujuan untuk menjelaskan makna kewirausahaan di kota Semarang pada dua etnis yang berbeda yaitu Jawa dan Tionghoa. Penelitian ini menggunakan metodologi kualitatif, dan metode pengambilan sampelnya menggunakan teknik purposive sampling. Wawancara dan observasi merupakan instumen yang digunakan dalam penggalian data yaitu dengan. Alasan peneliti menggunakan instrumen tersebut karena ingin menggali lebih dalam tentang makna kewirausahaan dari setiap etnis bangsa. Hasil penelitian menunjukkan bahwa etnis Jawa memiliki pandangan hidup yang kuat, narimo atau menerima dengan tulus, sabar, mementingkan kekeluargaan dan melakukan yang terbaik dalam berwirausaha. Berbeda dengan etnis Jawa, pada etnis Tionghoa lebih menekankan kredibilitas, ketekunan, menghemat, kepercayaan, pendidikan, solidaritas keluarga, ketelitian, kejujuran, moral dan etika dalam berwirausaha. Etnis Madura memiliki ciri karakter dalam berwirausaha mereka bersemangat, percaya diri, ulet, berambisi, dan bekerja keras.
The Initial Reading Comprehension Profile of EFL Learners
Authors: Afi Normawati
Published: September 2022

Reading is important in EFL learning since it helps learners build their language acquisition as well as obtain knowledge and information. The goal of reading is comprehension. To develop EFL leaners’ reading comprehension, reading strategy used should be carefully chosen; and the strategy should consider the initial comprehension profile of the learners. The paper reports a study at finding out the initial reading comprehension profile of EFL learners. The study was conducted in Universitas Nasional Karangturi involving first semester students of English Education Department taking Engagement Reading class. This is a descriptive research with mixed method design. The data were in the form of students’ scores collected by using reading test taken from Cambridge IELTS Academic Reading test. The data were then analysed by using statistical analysis. The study shows that the students’ mean score is 4, which means they are at A2 level of English according to Common European Framework of Reference for Languages (CEFR). The students at this level are able to comprehend simple texts about issues that are familiar with language related to everyday activities with high-frequency words. Furthemore, based on the students’ performance on each component of IELTS reading test, the study indicates that the students get the highest score on the component of reading for details (33.8%). It means that the students are at the literal level of reading comprehension
Optimizing the Use of Google Classroom as an Integrated Learning Management System in Teaching Writing
Authors: Aziza Restu Febrianto
Published: September 2022

Google Classroom (GC), as one of the learning management systems (LMS), has been widely used by many educators and researched in many studies for its efficacy in assisting both teachers and students in learning a second language. This article presents a report of exploratory research about the possibilities of getting the most out of GC for educators to provide effective scaffoldings that can help their students achieve the goals of learning in writing. Referring to the concept of Zone Proximal Development (ZPD), the teaching and learning cycles (TLC), and the theories of distance learning, this article also attempts to display a model of ideal scaffoldings relevant for teaching writing in an online environment. Besides, through observations and investigations on a range of tools and materials on the internet and those discussed in different studies, this research reveals various types of potential applications that can be integrated with GC to make the lessons of writing more interactive and engaging. By reviewing other studies on the use of GC, this study highlights several technical issues and challenges to face when using the platform, particularly in teaching writing. For this reason, finding out appropriate ways and strategies on how to deal with the issues needs to be seriously considered so that the scaffoldings that have been designed can work as expected for effective online teaching and learning processes.
ANALISIS DAMPAK INFORMASI MASSA PADA NILAI MATA UANG KRIPTO DI INDONESIA
Authors: Priyo Nugroho Adi  , Susana Ayu Handayani
Published: September 2022

Sejak diperkenalkan kepada dunia di tahun 2008 melalui Bitcoin, mata uang kripto terus bertumbuh dan berkembang diseluruh dunia, tidak terkecuali di Indonesia. Mulai mendapat kepercayaan publik Indonesia melalui gagalnya sistemmoneter Yunani tahun 2013, mata uang kripto nilainya relatif mengalami peningkatan terus menerus tiap tahunnya.Namun demikian, masih banyak bagian masyarakat Indonesia yang terjerumus kerugian karena melakukan investasipada mata uang kripto. Hal ini tidak terlepas dari masih minimnya pengetahuan terhadap beragamnya jenis dankarakteristik masing - masing mata uang kripto. Di tahun 2018 saja, tercatat 1800 jenis mata uang kripto yang beredardi seluruh dunia. Di Indonesia sendiri, melalui Peraturan Badan Pengawas Perdagangan Berjangka Komoditi Nomor 7tahun 2020 terdapat 229 mata uang kripto yang diakui peredarannya. Artikel ini disusun untuk melakukan analisapengaruh informasi massa terhadap kekuatan nilai mata uang kripto di Indonesia menggunakan pemodelan AoA danmenyajikan hasil perspektif yang lebih dalam mengenai fundamental dan pembentukan nilai mata uang kripto. Dariasesmen yang dilakukan menggunakan pemodelan ini menunjukkan bahwa nilai mata uang kripto di Indonesia sangatdipengaruhi oleh informasi massa yang beredar, terutama terkait dengan kebijakan dan dukungan Pemerintah Indonesiaterhadap mata uang kripto. Walaupun demikian, jika menilik volatilitasnya mata uang kripto masih layak untukdikategorikan sebagai instrumen investasi dengan risiko dan potensi profit tinggi. Kami berharap hal ini dapatmembantu menambah pengetahuan masyarakat Indonesia dalam melakukan investasi dan transaksi di bidang mata uangkripto.
FORMULASI FOODBAR UNTUK PEMENUHAN KEBUTUHAN ATLET
Authors: Dhanang  , Mangalik Gelora , Kristover Hieskya Chelvin
Published: September 2022

Atlet membutuhkan kalori untung menunjang peformanya. Foodbar bisa menjadi salah satu penyuplai kebutuhan kalori atlet. Penelitian ini bertujuan untuk memformulasikan foodbar yang diperntukan memenuhi kebutuhan kalori. Penelitian ini adalah eksperimental laboratoris dengan tahapan membuat formulasi foodbar kemudian dianalisis dengan data sekunder. Dihasilkan foodbar dengan ukuran 30 gr yang mengandung 146,5 Kkal. Foodbar tersebut bisa menjadi asupan untuk pemenuhan kebutuhan atlit sebelum, saat, dan setelah bertanding.
ANALISIS DAN PERANCANGAN SISTEM INFORMASI DISPOSISI SURAT BERBASIS WEB DI UNIVERSITAS NASIONAL KARANGTURI
Authors: M. Zakki Abdillah  , Lutfina Erba , Nugroho Ahmad
Published: September 2022

Proses mengelola kegiatan surat menyurat merupakan hal yang tidak mudah karena masih dilakukan secara manual. Hal tersebut dikarenakan sering munculnya masalah human error yang tinggi, yang mengakibatkan rendahnya tingkat efisiensi dan efektivitas pengelolaan surat menyurat. Kendala yang sering terjadi mengakibatkan lamanya waktu proses dikeranakan harus menunggu tanggapan dari pihak yang terkait dalam isi surat disposisi. Belum lagi seringnya terdapat kasus surat disposisi yang hilang dikarenakan masalah human error. Tujuan dari penelitian ini adalah menghasilkan sistem informasi diposisi surat di Universitas Nasional Karangturi yang memudahkan administrasi dalam proses surat menyurat. Metode yang digunakan dalam penelitian ini adalah Unified Modelling Language (UML) dimana terdapat beberapa tahap yang dapat digunakan untuk membangun sistem informasi disposisi surat. Berdasarkan hasil penelitian, perancangan sistem informasi surat menyurat dapat melakukan proses penginputan data surat dan disposisi surat secara online dan real time.
Spinal induced hypotension in pre-eclamptic and healthy parturients
Authors: Vashishth Tuhin , Varun Sangeeta , Gupta Anil Kumar , Tiwari Nitin , Kumar Aman
Published: September 2022

Background: Preeclampsia/eclampsia is the third leading cause of maternal morbidity and mortality. This study aimed to evaluate the incidence and severity of spinal-induced hypotension in preeclamptic and healthy parturients. Material & Methods: A total of 60 pregnant patients undergoing a C-Section with spinal anesthesia were randomly allocated into two groups. Group I: Preeclamptic 0.5%, 2.5cc (12.5mg) Hyperbaric Bupivacaine group: 30 patients. Group II: Normotensive 0.5%, 2.5cc (12.5mg) Hyperbaric Bupivacaine group: 30 patients.  The blood pressure values were recorded before spinal anesthesia and 2.5 minutes after a spinal puncture. Results: The mean age of the study group was 25.17+3.61 years (Mean +S.D.) and range is 18-30Years. The BP falls from baseline were significantly greater in the healthy parturients compared to those with preeclampsia (25.8% ± 10.1 vs 18.8% ± 17.0 for SBP, 28.5% ± 8.8 vs 22.5% ± 10.4 for DBP, and 31.2% ± 14.2 vs 18.2% ± 12.6% for MAP, p < 0.05). The incidence rate of hypotension in preeclamptic was 53% compared to 25% in healthy parturients (p < 0.001). Conclusion: The incidence of spinal-induced hypotension associated with patients undergoing C-Section is more in preeclamptic than in healthy parturients.
Attitudes and practices of healthcare workers regarding of medical waste management in hospitals of Al-Najaf Governorate
Authors: Saadoon Naseem B. , Ali Luma H. , Kadum Suha A.
Published: September 2022

Background: Iraq suffers from many pollutants in its environment. One of these pollutants is medical waste (MW) from hospitals, which is considered the second most dangerous waste after radioactive waste and needs to be properly managed by trained healthcare workers. Aims: This study aimed to assess the attitudes and practices of healthcare workers on medical waste management (MWM) and determine the relationship between socio-demographic characteristics of healthcare worker with their attitudes and practices. Instruments and methods: A descriptive; cross sectional study conducted at the government hospitals of Al-Najaf governorate, Iraq. The study include 443 participants (93 medical staff, 310 paramedical staff, and 40 housekeeping staff) collected through period from 2nd January until 31th March 2022 using a structured questionnaire depends on the National Guide to Infection Control in the Iraqi Health Institution and the previous studies. Findings: The study was conducted on 443 participants with the mean ± SD of their ages was 29.18 ±7.68 years. The age group 20-29 years had the highest percentage (69.1%), female were represented (58.9%) of the studied sample compared to (41.1%) male. The highest percentage of the studied sample had Baccalaureate certification (44%) and period of experience (1-5) years (62.98%).