bluuebunny/crossref_metadata_2025 huggingface dataset:
Paraganglioma of External Auditory Canal
Authors: Athavale Aakriti Sanjay , Singh Roohie , Sahu Pankaj Kumar
Published: November 2022

Paragangliomas (PGLs) are benign tumors of neuroectodermal origin. In the ear, they are commonly found in the middle ear or jugular bulb. PGL of external auditory canal (EAC) is extremely rare. To date, only a few cases of PGL of EAC have been reported. Here, we present a case of a 52-year-old female, who presented with complaints of decreased hearing and painful left ear discharge. On evaluation, she was found to have a soft-tissue mass arising from the posterosuperior wall of the left EAC, which was excised under general anesthesia and histopathologically confirmed to be EAC PGL. At 1 year of follow-up, the patient has a patent EAC and is disease-free. Although rare, PGL should be considered in the differential diagnosis of soft-tissue mass in EAC.
The Anterior Wall Sign
Authors: Merino-Galvez Esteban , Merino-Coy Gabriela , Gomez-Hervas Javier
Published: November 2022

Diagnosis of temporomandibular disorder (TMD) in patients with otalgia is based on the medical history and physical examination, which is based on deep palpation of the joint area, however, palpation will often cause discomfort in healthy patients. Ninety-nine patients with otological symptoms in relationship with TMD were studied. We palpated with a blunt curette, the skin lining the anterior wall of the bony auditory canal located above the temporomandibular joint. We only consider a positive sign if palpation unequivocally evokes pain or discomfort identical to what the patient feels or has felt before. The positivity of the anterior wall sign was 99% in the TMD group. We found a significant difference between the control and TMD groups regarding the sign of the anterior wall (P < 0.005). The anterior wall sign could be an effective tool to detect temporomandibular dysfunction.
The New Staging System for Computed Tomography Evaluation of Chronic Otitis Media And Mastoiditis
Authors: Nguyen Nguyen , Ta Quyen Le
Published: November 2022

Objective:

To predict risks for complications and determine the type of operation, several studies developed the grading system based on clinical assessment. However, there is no evidence regarding the score for tomographic opacification and bone erosion of temporal bone on computed tomography (CT) scan. Therefore, the aim of this study was primarily to design a new computerized tomography staging system for the evaluation of chronic otitis media (COM) and mastoiditis.

Materials and Methods:

Between August 1, 2020, and December 30, 2021, 40 patients with the clinical diagnosis of COM (males and females) have received temporal bone CT scans at medical institutions. The patients were retrospectively evaluated and verified the correlation of the score of CT imaging in preoperative evaluation with the clinical picture and surgical planning. Descriptive statistics, one-way ANOVA analysis, and Spearman's correlation test were employed to evaluate the accumulated data. The P values were calculated for all tests and its outcome <0.05 was considered statistically significant.

Results:

There are significant correlations between the total score and the size of perforation, the type of surgical intervention, and low-frequency air-bone gap (ABG) (P < 0.05) while no correlation between the total score and high-frequency ABG was revealed.

Conclusion:

The abnormal landmarks of the temporal bone are presented, and scored systematically and there is an excellent way to analyze and make a decision not only in diagnosis but also in the choice of surgical intervention.
Status of the Mastoid Antrum and the Eustachian Tube Function in Cases of Chronic Otitis Media
Authors: Khan Farhat , Deshmukh Prasad T , Gaurkar Sagar
Published: November 2022

Introduction:

Chronic otitis media (COM) is now synonymous with chronic suppurative otitis media, which is not actively used since COM is seldom associated with “the collection of pus.” Acute suppuration of the ear which transcends 6 weeks is considered to be COM which suggests an abnormality of the ear drum. With a prevalence incidence of 1%, Eustachian tube (ET) dysfunction is among the most important factors in the development of COM. Recently, mastoid air cells have been acknowledged as an essential compounding factor for the pathogenesis of middle ear disease. Since ET, mastoid air cell system, and nasopharyngeal mass like adenoids can play a pivotal role in the causation and persistence of COM, the current study will be taken to observe the status of ET, mastoid air cells system, nasopharynx in general, and adenoids in particular in patients of COM.

Aim:

This study aims to study the status of the mastoid antrum on surgical exploration, the status of ET, and nasopharynx for adenoids in patients of large, subtotal perforation, and posterosuperior retraction pockets (PSRPs).

Study Design:

This study was an observational, cross-sectional study.

Study Setting:

All the patients with large, subtotal perforation, and PSRPs visiting the Outpatient Department and Inpatient Department of ENT in Acharya Vinoba Bhave Rural Hospital (AVBRH) between 2022 and 2023 will be studied.

Methods:

All the selected patients of large, subtotal perforation, and posterosuperior retraction pocket (PSRP) in the age bracket of 15–65 years and satisfying the inclusion criteria will be considered and accrued in this study. We plan to look at a sample size of 50 patients (50 ears). Diagnostic nasal video endoscopy to get insight into ET function, size, and grade of adenoids by grading system given by Cassano et al. and pure-tone audiometry by ALPS AD2000 to know the type and amount of hearing loss will be carried out. Status of the mastoid antrum, the extent of the disease, status of ossicles, and associated abnormalities of temporal bone along with any other incidental findings will be noted intraoperatively.

Expected Results:

The data will be tabulated, analyzed statistically, and will be discussed in the context of existing research.

Conclusion:

The purpose of the present study is to help the surgeon have a better insight into the status of the mastoid antrum, ET in cases of large and subtotal perforation, and PSRP and nasopharynx in general with significance to adenoids in patients of COM in rural area.
Impacted Eustachian Tube Foreign Body Mimicking Chronic Otitis Media
Authors: Chaudhary Rohit , Khanna Vishwani , Nayak Pradeepti , Pathak Vivek Kumar
Published: November 2022

Foreign bodies in the ear are a common occurrence in medical practice. This is true for both adults and children. It is one of the most common causes of trauma to the external auditory canal, tympanic membrane, and middle ear. However, an impacted foreign body in the eustachian tube (ET) has been reported very rarely. Due to the anatomical orientation of the ET, entry of a foreign body in it is very improbable. After an extensive research, we found only 14 reported cases of foreign body in the ET. A high degree of suspicion, incisive clinical evaluation, appropriate radiological evaluation, and diligent preoperative planning are imperative to extract an artifact from the ET. Herein, we present a case of a forgotten, impacted foreign body in the ET of a 52-year-old woman presenting with recurrent, intermittent foul-smelling discharge, and decreased hearing on the left ear for 2 years. To our knowledge, our case is the first, presenting with a foreign body in the ET after an inadvertent self-inflicted trauma.
Trichilemmal Carcinoma of Pinna
Authors: Dosemane Deviprasad , Khadilkar Meera Niranjan , Ventakataramana Chaithra G. , Bajpai Sanchit , Samanth Rakshitha
Published: November 2022

Trichilemmal carcinoma is a rare malignancy of hair follicles affecting sun-exposed and hair-bearing skin; occurrence over pinna is unusual. This case report describes one such uncommon presentation in a 71-year-old man who came with a pinna swelling clinically mimicking basal cell carcinoma. Diagnosis is an arduous task due to its close resemblance with more common cutaneous tumors. Misdiagnosis or delay in intervention may lead to recurrence and local metastasis.
Relationship between Blood Pressure Variables (Systolic Blood Pressure, Diastolic Blood Pressure, Pulse Pressure, and Mean Arterial Pressure) and Left Atrial Measurements Among Hypertensive Subjects in a Tertiary Hospital in South-South Nigeria
Authors: Henry Aiwuyo Osarume , Umuerri Ejiroghene Martha , Ogbomo Aisosa , Osarenkhoe John Osaretin , Obasohan Austine Osemwegie
Published: November 2022

Background:

Hypertension is known to impact significant changes on the heart causing left ventricle diastolic dysfunction which precedes a sequel of anatomical and functional changes in the left atrium. Since hypertension remains the leading cause of diastolic dysfunction in the heart, it is expedient to determine how changes in the blood pressure of patients relate to measures of left atrial (LA) indices.

Aims and Objectives:

to determine how changes in blood pressure parameters relate to measures in LA indices.

Materials and Methods:

The study was a descriptive cross-sectional appraisal of 200 hypertensive patients and 100 normotensive controls (matched for age and sex in a 2:1 ratio) using electrocardiography and echocardiography. Participants were recruited from the cardiology clinics in Delta State University Teaching Hospital (DELSUTH), Oghara.

Results:

The mean age of the study population was 58.7 ± 13.96 (58.42 ± 13.29 for hypertensives and 59.26 ± 15.27 for controls) years, while the median age was 59 years. The female-to-male ratio was 1.06 among cases and 1.27 among the controls. The LA size (volumes and linear diameter) was significantly larger in the hypertensive group compared to the control arm. LA maximum volume correlated significantly with average systolic blood pressure, pulse pressure, and mean arterial pressure. LA pre A wave volume and LA minimum volume correlated significantly with average systolic blood pressure and pulse pressures.

Conclusion:

Hypertensive patients have larger LA volumes than normotensive controls. The size of the left atrium relates positively with blood pressure variables.
Prognostic Significance of Serum Cholinesterase in Acute Myocardial Infarction
Authors: Reddy Parvathareddy Krishna Mala Konda , Balla Raghava Naga Venkata , Nagula Praveen , Ravi Srinivas , Maale Saitej Reddy , Rayapu Monica Rachana
Published: November 2022

Background:

Autonomic dysfunction has a prognostic significance in various cardiovascular (CV) disorders, particularly atherosclerotic coronary artery disease (CAD). Previous studies are few, regarding the association of parasympathetic dysfunction with increased complications in patients with the acute coronary syndrome, a subset of CAD. We aimed to study the correlation of trends in the serum cholinesterase (sChE) levels, the marker of parasympathetic activity, with the occurrence of major adverse cardiovascular events (MACEs) in ST-segment elevation myocardial infarction (STEMI) patients.

Methodology:

We prospectively observed the levels of sChE in patients with STEMI on the day of admission, day 3, and day 5 along with routine biochemical profile, electrocardiogram, echocardiography, and coronary angiography. The patients were monitored during the hospital stay and were followed up at 1 month for the occurrence of any MACE. The MACE monitored was cardiac death, complete heart block, arrhythmias, and heart failure. The sChE levels are laboratory dependent and a value between 4000 and 14000 IU/L was considered normal in our laboratory. A value <4000 IU/L is noted as a low sChE level. The receiver operating characteristic curve was plotted for the cut off value of the sChE levels to predict the outcomes of patients.

Results:

Of the 100 STEMI patients studied, the sChE levels were persistently lower in patients who had MACE compared to those without MACE during the hospital stay and at month follow-up, which was statistically significant. A sChE <3745 IU/l on day 5 predicted an increased MACE with a sensitivity of 93.55% and specificity of 92.11%.

Conclusion:

A persistently low sChE levels from the day of admission can predict MACE in STEMI patients. Larger studies with prolonged follow-up are required for the causal association in the future.
Cardiac Surgery-Associated Acute Kidney Injury
Authors: Karathanasis Dimitrios C , Karathanasis Christos-Rafail D , Karaolia Androula C
Published: November 2022

Cardiac surgery-associated acute kidney injury (CS-AKI) is a very serious and common complication after heart surgery. Standard knowledge of the etiology, treatment, and prognosis is a prerequisite for effective therapy. The etiology includes a set of predisposing pre-, intra-, and postoperative factors with varying incidence and severity. Although not specified yet, the treatment involves standard and modern modalities based on medication, nutrition, and dialysis as well as on alleviative measures. CS-AKI enhances the incidence of infections and hospitalization leading to increased morbidity and overall mortality. Early diagnosis and treatment reduce the risk of transition to a more severe stage of AKI or chronic kidney disease.
Drug-Induced Liver Injury
Authors: Choudhary Narendra Singh , Saraf Neeraj , Kumar Vinod , Bansal Manish , Kasliwal Ravi R
Published: November 2022

Although drug-induced liver injury (DILI) is an uncommon diagnosis, it is an important cause of morbidity and mortality in hepatology practice. A timely diagnosis of DILI is important to stop causative drugs and keeping a high index of suspicion is important. There is no gold standard single test to diagnosed DILI, causality scores help in establishing a diagnosis. DILI presenting as acute liver failure is associated with poor prognosis in natural course. The association of nonalcoholic fatty liver disease with cardiac disease makes it more important to think of DILI in a patient with liver dysfunction. We discuss various aspects of DILI in cardiology context in the current review.
Eruptive Pseudoangiomatosis: An Outbreak in the Third Wave of COVID-19
Authors: Oberoi Bhavni , Agarwal Reetu , Rajput Gopalsing Rameshsing
Published: November 2022

A range of skin manifestations has been reported since the beginning of the COVID-19 pandemic. These findings earlier thought to be due to direct cytopathic effects of the virus are now predominantly known to be paraviral eruptions due to an immune reaction to the virus. Eruptive pseudoangiomatosis is one such paraviral eruption which has been scarcely reported to be associated with COVID-19 vaccination or infection. We did not find any such association during the first two waves of COVID; however, we found a phenomenal increase in cases of eruptive pseudoangiomatosis with the third wave of COVID-19 in India which coincided with the spread of the Omicron variant. Hereby, we report a case series of ten such cases. All these cases had a temporal correlation with COVID-19 infection and resolved spontaneously without recurrence within 14 days.
The impact of adherence to the American College of Critical Care Medicine 2017 guidelines in the management of septic shock in pediatric intensive care units
Authors: Kochar Gunjan , Tripathi Praveen Kumar , Rai Preeti Lata , Prasad Prem Lochan
Published: November 2022

Background:

Despite tremendous advances and new guidelines for the management of pediatric septic shock, the mortality and morbidity associated with it remain unacceptably high. This study was conducted to evaluate the impact of adherence to the American College of Critical Care Medicine (ACCM) guidelines in the management of septic shock in pediatric intensive care units (PICU).

Subjects and Methods:

This was a hospital-based prospective observational study conducted in the 15-bedded PICU of a tertiary care hospital in Utter Pradesh, India. Children from 1 month to 18 years of age admitted to the PICU with septic shock were included in the study as per definitions given by ACCM guidelines. The children who were managed strictly adhering to ACCM guidelines were labeled as the adherent group and those who were managed with any deviation from these guidelines were considered as the nonadherent group. The two groups were compared with respect to outcome.

Results:

In this study, the prevalence of septic shock was 54.4% in PICU. Out of 124 cases of septic shock, 93 were from the adherent group and 31 were from the nonadherent group. Recovery was significantly higher (p-0.012) in children among the adherent group (56 [60.21%] vs. 11 [35.48%]) than in the nonadherent group. The hemodynamic stability achieved within 48 h among the adherent group was higher in comparison to the nonadherent group (39 [56%] vs. 6 [8.5%]) making this a significant (P = 0.007) observation.

Conclusions:

Strict adherence to the ACCM guidelines was associated with favorable outcomes in the management of septic shock in children.
Unusual presentation of organophosphate poisoning
Authors: Sharma Ravi , Pandey Swati , Agarwala Pooja , Bansal Rajiv Kumar
Published: November 2022

Misuse of organophosphate insecticides, even in case of domestic application, can be life threatening. We report a case of accidental consumption of organophosphorus substance by a 3-year-old female child presented to us with unconsciousness and nicotinic manifestation of organophosphate poisoning unlike classical toxidrome of muscarinic manifestation.
An unusual presentation of Cor-triatriatum as respiratory distress in adolescent male
Authors: Pandey Swati , Sharma Ravi , Sharma Ajay , Sharma Praveen , Bansal Rajiv Kumar
Published: November 2022

Cor triatriatum is a rare congenital heart disease (0.1% of all congenital cardiac defects). Most patients are identified shortly after birth with the evaluation of a distressed or cyanotic neonate. However, when the presentation is delayed, primary symptoms may mimic reactive airway disease. We present an 11-year-old adolescent male who presented with obstructive sleep apnea-like features initially, on further evaluation showed features of severe pneumonia. There was clinical and radiological dissociation with the findings.
Acute kidney injury following multiple wasp stings
Authors: Meher Bijay Kumar , Pati Siddhartha Shankar , Panda Isha , Naik Sarthak
Published: November 2022

Wasp and bees are venomous arthropods belonging to the order Hymenoptera, group Vespoidea. Most wasp sting victims do not seek medical attention due to the minor self-limiting and localizing nature of symptoms. Fatal anaphylaxis is rare. However, it is a common indication for emergency room visit. Acute kidney injury is the most serious complication with a mortality rate of 20%. Herein, we report the case of a 3-year 4-month-old female child, who presented with acute renal failure, after being stung by a swarm of wasps. She was managed successfully in the intensive care unit with renal replacement therapy.
A Case Report of Methylmalonic Acidemia Associated with CYBT Gene Mutation
Authors: Islam Rumana , Rahman Mizanur , Fatema Kanij
Published: November 2022

Mutation in mitochondrial cytochrome b (CYTB) gene is associated with severely impaired complex III activity and oxidative phosphorylation and commonly presents with mitochondrial myopathy, exercise intolerance, and often multisystem involvement. We report a rare case of Methylmalonic acidemia who was finally found to have a pathogenic novel missense mutation (m.14766C>T, p.Thr7IIe) in the CYTB gene.
Correlation of Serum Phosphate with Carotid Intimal-Medial Thickness in Children with Chronic Kidney Disease
Authors: Rahman Farhana , Sultana Jakia , Hossain Mir Shahadat , Mamun Abdullah-Al , Jesmin Tahmina , Rahman Md Habibur , Roy Ranjit Ranjon , Uddin Golam Muin , Begum Afroza
Published: November 2022

Background:

Hyperphosphatemia is a complication of advanced chronic kidney disease (CKD). Increased serum phosphate concentration is a significant risk factor for vascular calcification, which is an advanced form of atherosclerosis. Medial deposition of calcium and phosphorus and the resulting increase in vascular stiffness further contribute to the high prevalence of hypertension. Carotid ultrasound imaging is a useful adjunct for assessment of arterial wall thickness in patients with CKD.

Objective:

To assess the correlation of serum phosphate with carotid intimal-medial thickness in children with CKD.

Materials and Methods:

This cross sectional study was carried out in the Department of Pediatric Nephrology and Department of Radiology and Imaging, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh, from July 2018 to December 2019. All the CKD patients with stage III-V aged 2–18 years of both sexes attending the Out-patient and Inpatient Department, BSMMU were enrolled in this study. Patients were diagnosed by history, clinical examination and relevant investigations. The glomerular filtration rate (GFR) was calculated from serum creatinine using Revised Schwartz formula. All participants underwent measurement of carotid intimal- medial thickness(CIMT) by using B mode ultrasonography (Philips, Affiniti 30; USA) with 7.5MHz transducer.

Results:

Total 43 patients were studied (26 male, 17 female). Mean phosphorous level significantly increased with the advancement of disease. As the stage of CKD increases the mean CIMT also increases. There were moderate positive correlation between serum inorganic phosphate and CIMT in stage III CKD (r = 0.500) and stage V(ND) CKD (r = 0.511) and strong positive correlation in stage IV CKD (r = 0.719) and negligible negative correlation in stage V(D) CKD (r = - 0.057). In multiple regression analysis, serum phosphate was significant(β= 0.673, p= <0.0001) and independent risk factor for increased CIMT in addition to other independent risk factors, including serum calcium and serum PTH.

Conclusion:

Higher serum phosphate level was one of the significant and independent factor associated with increased CIMT in children with advanced stages of CKD.
Acute Kidney Injury Following Rhabdomyolysis Due to Multiple Wasp Stings
Authors: Jesmin Tahmina , Biswas Rina , Mamun Abdullah-Al , Sharmim Mst Shanjida , Huque Syed Saimul , Begum Afroza , Roy Ranjit Ranjan
Published: November 2022

Wasp stings are a common form of envenomation in tropical countries. Multiple wasp stings may cause fatal complications such as anaphylactic reactions, intravascular hemolysis, rhabdomyolysis, acute kidney injury (AKI), or even death also. Here we report a 9-year-old boy who was admitted to a tertiary care hospital in Bangladesh with complaints of multiple wasp stings all over the body 15 days back. He had oliguria and generalized edema for 7 days. The urine test was negative for red blood cells and his renal function was gradually deteriorating. His serum creatinine phosphokinase was gradually rising. Intermittent hemodialysis through a central venous catheter was started immediately. Renal biopsy revealed myoglobin cast nephropathy. On the basis of history, clinical manifestations, and laboratory investigation, he was diagnosed as AKI following rhabdomyolysis due to multiple wasp stings. Clinical and biochemical picture started to improve including urine output was normalized on seventh day of post-admission. Timely initiation of dialysis and supporting therapy can improve renal survival in case of AKI due to wasp stings.
Efficacy and Short Term Outcome of Intravenous Cyclophosphamide Therapy in Children with Lupus Nephritis
Authors: Islam Mohammad Imnul , Ali Asif , Ahmed Mousumi
Published: November 2022

Background:

Renal involvement is one of the most common and severe manifestations of paediatric systemic lupus erythematosus patients. Intravenous pulse cyclophosphamide (CYC) therapy is effective for lupus nephritis patients observed in different studies.

Objective:

To evaluate the efficacy and short term outcome of intravenous CYC therapy in renal involvement among paediatric SLE cases.

Materials and Methods:

This retrospective study was conducted at the department of Paediatrics, Bangabandhu Sheikh Mujib Medical University from January 2018 to December 2021. Sixty-two pSLE patients with renal involvement who met ACR revised classification criteria and completed their follow-up were enrolled in the study. All patients received intravenous CYC monthly for six months along with initially intravenous pulse methylprednisolone followed by oral prednisolone. During the study period, patients were monitored clinically and laboratory evaluations were done at baseline, 3rd and after 6th months of follow-up.

Results:

Among the cases, the female:male ratio was 5.9:1 and mean age was found 12.42 ± 2.13 years. After 3 months of CYC therapy, most patients were clinically improved in haematuria, hypertension, oedema, SLEDAI score and biochemically by ESR, C3, C4, S, Creatinine, Anti-ds-DNA titers, 24-hour urine protein. These initial improvements were further enhanced after 6 months of therapy. Short term outcomes demonstrated that 50%, 38.7% and 11.3% of patients had complete, partial and no responses respectively at the last follow-up.

Conclusion:

Intravenous CYC therapy effectively treated lupus nephritis patients observed in this study. Around 88% of pSLE patients had complete and partial responses according to EULAR criteria. Hypertension, ant-ds-DNA titers, proteinuria and serum complements were identified as a predictor of remission.
Cystinosis and Kidney
Authors: Qader Md Abdul , Huque Syed Saimul , Hanif Mohammed
Published: November 2022

Cystinosis is the most common cause of renal Fanconi syndrome caused by defective CTNS gene resulting accumulation of cystine in the lysosomes of multiple organs of the body. Although Cystinosis can affect multiple organs, but kidney is the primary organ affected. After kidney, it affects eyes and can cause retinopathy and blindness. Patients can have hypothyroidism, diabetes mellitus and gonadal dysfunction in males secondary to cystine crystal deposition in thyroid, pancreas, and gonads respectively. The most common form is the infantile nephropathic cystinosis may presents with features of Fanconi syndrome. Other rare forms include juvenile form which have mild Fanconi syndrome and adult-onset ocular form of cystinosis. Diagnosis of cystinosis can be confirmed by a slit lamp examination to find corneal cystine crystal deposition, genetic tests for CTNS gene and leukocyte cystine level both for diagnosis and monitoring of the therapy. Children with cystinosis need specific therapy to delay the progression of the disease with the advancement of clinical research, newer therapies are under clinical trial and hematopoietic stem cell transplantation shows promising results including improvement of kidney structure and Fanconi syndrome.
Lung ultrasound for evaluation of dyspnea: a pictorial review
Authors: Murali Aparna , Prakash Anjali , Dixit Rashmi , Juneja Monica , Kumar Naresh
Published: November 2022

Lung ultrasound is based on the analysis of ultrasound artifacts generated by the pleura and air within the lungs. In recent years, lung ultrasound has emerged as an important alternative for quick evaluation of the patient at the bedside. Several techniques and protocols for performing lung ultrasound have been described in the literature, with the most popular one being the BLUE (Bedside Lung Ultrasound Examination) protocol developed by Lichtenstein et al, which can be utilized to diagnose the cause of acute dyspnea at the bedside. We attempt to provide a simplified approach to understanding the physics behind the artifacts used in lung ultrasound, the imaging techniques, and the application of the BLUE-protocol to diagnose the commonly presenting causes of acute dyspnea.
Demographic and Clinical Factors Affecting Pediatric Survival in South Kivu, the Democratic Republic of the Congo
Authors: Tshimbombu Tshibambe Nathanael , Fefe Mapendo N. , Shin Minkyung , Kanter John H. , Crockett Sarah C. , Richard Bahizire R. , Muyembe Tamfum Jean-Jacques
Published: November 2022

Promoting children’s health is challenging in underresourced regions, with worse outcomes in areas of sociopolitical instabilities. This encapsulates the difficulties faced by the Panzi General Referral Hospital (PGRH) in South Kivu, the Democratic Republic of the Congo. In this retrospective, cross-sectional study of 456 children ≤ 18 years who presented to the pediatric emergency department of PGRH between December 2018 and May 2019, we present demographic and clinical predictors that affect pediatric survival. We note that referrals from external clinics (odds ratio [OR], 0.37; 95% CI, 0.18–0.75), poor maternal education (OR, 0.21; 95% CI, 0.07–0.67), diagnoses of meningitis (OR, 0.37; 95% CI, 0.18–0.75) or malnutrition (OR, 0.21; 95% CI, 0.07–0.67) are risk factors hindering pediatric survival. Paternal unemployment or longer durations of hospital stay, on the other hand, are protective toward survival. These predictors confirm the importance of accessibility and availability of medical resources and knowledge as levers to establish an effective, robust network of pediatric care delivery capable of withstanding South Kivu’s unresolved political tumult.
Strategia mitu w marketingu filmowych profili facebookowych
Authors: Le Viet-Błaszczyk Milena
Published: November 2022

Myth Strategy in Social Media Film Marketing

Nowadays, many marketing activities involve the implementation of modern solutions. One of these may be the use of social media. Concomitantly, marketing can also use well-known techniques that have been working for years in many different areas – such as those that refer to the attributes of myth.

The aim of this paper is to present the results of research on the use of myth strategy in social media marketing in the Polish film market. In order to achieve this goal, a literature review has been conducted and research of the best film-related Facebook profiles has been carried out. The study identified multiple ways to implement the myth strategy using the strategies of monomyth, bricolage, and counter-intuitiveness.
Znaczenie mitu w budowaniu marki osobistej hollywoodzkiego aktora
Authors: Bieńkowska Jolanta
Published: November 2022

The Relevance of Myth in the Personal Branding of a Hollywood Actor A hundred years ago, Hollywood became the cradle of the American film industry. It soon began to dictate standards and canons, including the shaping of actors’ personal brands. Back in that time, their profession was the exclusive domain of a ‘selected’ few who were granted the status of goddesses and heroes, with the fans idolizing their cinematic and private image. With the passage of time and the concomitant social and legal changes, the brand strategy of screen celebrities has evolved. The moral revolution in the second half of the twentieth century brought the trend of displaying one’s sexuality, generating new myths of the sex bomb and the playboy. These, in turn, were refuted with an appeal to the archetype of professionalism by inscribing mastery of the craft in the core brand message and significantly reducing non-professional content. The purpose of the article is to present the evolutionary direction of a Hollywood actor’s mythbased personal brand strategy. By demonstrating the process of altering the strategies of image creation, the paper draws conclusions regarding the identity change of Hollywood actors. It shows their path of gradually freeing themselves from the constraints imposed by their idealization and simultaneously emphasizing the work put into improving their vocational skills, which allows them to strengthen their professional position.
Mitologizacja występów ulicznych: dyskurs, autonarracja i autokreacja
Authors: Połeć Marta , Grygier Ewelina
Published: November 2022

Mythologizing Busking: Discourse, Self-Narration, and Self-Creation

The article deals with the phenomenon of mythologizing the activity of buskers. The purpose of the paper is to demonstrate that street performers, despite their rich and varied history, both diachronically and synchronically, continue to be represented in a simplistic, stereotypical way. The intention of the authors was to show the real, more complex image and identity of buskers. The research problem concerns the mythologization of street performances in terms of discourse, self-narration, and self-creation. The article relates to three research questions: (1) How are the activity of buskers and the performers themselves being described? (2) How do buskers create and explain their own stories in terms of performing in the street? (3) How do they create and interpret their image? The article is the result of a joint analysis of the outcomes of ethnographic fieldworks conducted independently by two researchers in 2011–2019 in various cities, mainly in Poland but also abroad. The results show that the activity of buskers is subject to mythologization, which impacts the discourse on their activity as well as the formation of their identity and image.
Zagrożenie dziedzictwa kulturowego przestępczością – analiza wydarzeń w 2020 roku (początek pandemii COVID-19)
Authors: Jakubowski Olgierd
Published: November 2022

Criminal threats to national heritage – an analysis of the events of 2020 (the beginning of the COVID-19 pandemic)

There are a variety of methods that may be used in the analysis of crimes against cultural heritage which allow us to determine the level of risk that is posed. A comprehensive study covering all instances of crime against cultural goods during the space of one year allows us to note tendencies in criminals’ behaviour and helps develop methods to counteract similar crimes in the future. The threat of crime to cultural heritage is influenced by specific events that affect the level of security in the state. Certain factors that should be taken into account when analyzing the phenomenon of crime against cultural heritage in 2020 include threats arising from the COVID-19 pandemic or social unrest.

Badając zjawisko przestępczości przeciwko dziedzictwu kulturowemu, można stosować różne metody w celu zdiagnozowania poziomu zagrożenia. Studium konkretnych przypadków przestępstw, których ofiarą padają dobra kultury, w ujęciu rocznym pozwala dostrzec tendencje w działaniach sprawców oraz pomaga wypracować metody przeciwdziałania przyszłym zdarzeniom. Na zagrożenie dziedzictwa kulturowego przestępczością mają wpływ szczególne wydarzenia, które oddziałują na poziom bezpieczeństwa w państwie. Wśród czynników, które trzeba wziąć pod uwagę, analizując zjawisko przestępczości przeciwko dziedzictwu kulturowemu w 2020 r., należy wskazać takie zagrożenia jak pandemia COVID-19 czy też niepokoje społeczne.
Lista krajowa Programu UNESCO „Pamięć świata” jako narzędzie ochrony dziedzictwa dokumentacyjnego, autor Katarzyna Zalasińska
Authors: Zalasińska Katarzyna
Published: November 2022

The Polish MOW Register as a tool for preserving documentary heritage

The most recognized means of sharing and disseminating knowledge of documentary heritage elements are the registers (lists) operating under UNESCO’s Memory of the World Program. Material and procedural conditions, in conjunction with the values underlying the UNESCO Memory of the World Program, determine the degree to which the goal of ensuring accessibility, as well as the promotion and dissemination of elements of documentary heritage, is achieved. In this regard, an important role is played by lists operating at the national level, providing the widest access to information on documentary heritage. The purpose of the article is also to consider the legal nature and to refer to the current discussion on the legitimacy of the introduction and shape of the procedure for entry on the national list.
Niveles de sedentarismo en población universitaria colombiana a través del cuestionario SIT-Q-7d-S
Authors: Grajales Toro Sebastián , Betancur Bedoya Silvia Patricia , Valencia valencia Juan Sebastián , Lopera Muñetón Catalina , Chaves García Marco Antonio
Published: November 2022

Introducción. El sedentarismo es un problema de salud pública, al ser factor de riesgo para ocho de las diez primeras causas de muerte en el mundo. Evaluar los niveles de sedentarismo con instrumentos óptimos se vuelve imprescindible para su correcto diagnóstico e intervención.
Objetivo. Evaluar los niveles de sedentarismo en población universitaria colombiana a través del cuestionario Sit Q7d-S y determinar su nivel de confiabilidad.
Metodología. Se condujo un estudio cuantitativo, con aplicación tipo test re-test, con una muestra de 304 personas, con un error máximo de 5% y con 95% de confianza. La muestra estuvo conformada por 103 hombres (33,9%) y 201 mujeres (66,1%), estudiantes de una universidad colombiana con sede en cuatro ciudades diferentes (Cali, Neiva, Popayán y Medellín).
Resultados. La población evaluada es sedentaria. Tienen comportamientos que indican que pasan más de dos horas de tiempo en posiciones sedentes, aumentado el riesgo de sufrir enfermedades crónicas no transmisibles. Se obtuvo un alfa de Cronbach 0,64 para todos los ítems del cuestionario SIT-Q-7d-S, demostrando valores moderadamente aceptables para el uso del cuestionario.
Conclusión. El cuestionario SIT-Q-7d-S es un instrumento con una fiabilidad de regular a moderada para evaluar niveles de sedentarismo en población universitaria. Así mismo, se evidencia que los niveles de inactividad en la población colombiana universitaria indican que es una población sedentaria, lo que se relaciona con que pasan más de dos horas de tiempo en pantalla y pasan entre una, dos o más de tres horas sentados realizando su ocupación.
Optimalisasi Promosi Dinas Pariwisata Badung Terhadap Daya Tarik Wisata Badung Di Era Pandemi Covid-19
Authors: Selamet I Wayan Agus , Novi Wulandari Ni Luh Gede
Published: November 2022

Penelitian ini mengambil judul tentang Peran Dinas Pariwisata Badung Dalam Mempromosikan Daya Tarik Wisata Badung Di Era Covid-19. Tujuan dari penelitian ini adalah untuk mengetahui seberapa penting peran yang dilakukan oleh tim Dinas Pariwisata dalam mempromosikan daya tarik wisata di Kabupaten Badung selama pandemi Covid-19 yang masih menimpa pariwisata Bali. Jenis penelitian yang dilakukan adalah kualitatif. Penelitian ini mengambil studi kasus pada peran Dinas Pariwisata Badung yakni di bidang pemasaran atau promosi pariwisata yang ada di Badung. Sumber data yang diperoleh yaitu melalui sumber data primer dan sumber data sekunder. Teknik pengumpulan data yang dilakukan peneliti menggunakan observasi, wawancara, dokumentasi, dan studi pustaka. Dinas Pariwisata Badung telah melakukan berbagai cara untuk mempromosikan daya tarik wisata di Badung guna menarik kunjungan wisatawan ke Badung Bali salah satu nya melakukan promosi pariwisata di dalam maupun luar negeri melalui sosial media dan meningkatkan SDM dengan melakukan pelatihan-pelatihan di bidang pariwisata.

Kata Kunci: Optimalisasi, Mempromosikan, Covid-19
Lawar Kuliner Bairawa Menuju Kuliner Pariwisata Khas Bali
Authors: Margaretha Esther Lia , Sulistyawati Anastasia
Published: November 2022

Bali memiliki sejumlah keunggulan yang pantas untuk diperkenalkan ke kancah dunia, salah satunya adalah segi kuliner. Keunikan Bali sebagai destinasi wisata kuliner unggulan karena memiliki sejarah dan budaya kuliner yang cukup kental. Salah satu kuliner bali yang kental akan sejarah dan budaya bali adalah lawar. Lawar, salah satu makanan khas Bali yang biasanya terbuat dari parutan kelapa, daging cincang, basa genep, dan darah segar atau setengah matang sebagai pewarnanya, ditetapkan sebagai salah satu Warisan Budaya Tak Benda Dunia (WBTB ICH UNESCO). Selain merupakan hidangan favorit dalam setiap kegiatan upacara adat Hindu di Bali, lawar ternyata memiliki filosofi tersendiri dan berkaitan dengan persebaran suatu ajaran sekta agama (Bairawa). Tujuan penelitian ini adalah untuk mengetahui jenis kuliner lawar serta filosofinya sebagai sarana upakara umat Hindu di Bali, serta mengetahui proses komodifikasi kuliner lawar dalam kaitan pengembangan kuliner pariwisata khas Bali saat ini. Penelitian ini merupakan penelitian deskriptif analitis, dengan menggunakan metode kualitatif. Hasil penelitian menunjukkan lawar awalnya berasal dari peninggalan kuliner sekta Bairawa yang berhasil mempengaruhi paham Siwa Sidhanta Hindu di Bali, namun sifat kreatif masyarakat Bali yang begitu tinggi menyebabkan lahirnya berbagai jenis lawar tradisional khas lainnya. Lawar, masakan khas bali mengandung filosofi keseimbangan dan keselarasan atau keharmonisan dalam hidup. Adaptasi menu lawar yang disesuaikan dengan kebutuhan wisatawan diperlukan untuk membangun paradigma kuliner pariwisata khas Bali yang toleran, sehingga bisa menjadikan kuliner lawar mendunia.

Kata Kunci: Lawar, Kuliner Bairawa, Pariwisata, Bali
Dampak Implementasi Corporate Social Responsiblity (CSR) Terhadap Citra Merek (Studi Kasus Adopsi Beruang Madu Oleh Hotel Four Points by Sheraton Balikpapan)
Authors: Franita Georgiana , Lukitasari Rimalinda , Damayanti Luh Sri
Published: November 2022

Membangun citra merek dipercaya sebagai kunci keberhasilan memenangkan persaingan. Praktik CSR adopsi beruang madu ditempuh oleh Hotel Four Points by Sheraton Balikpapan sebagai strategi alternatif pembangunan citra merek. Beruang madu yang merupakan maskot Kota Balikpapan kini populasinya masuk dalam kategori hewan langka yang harus dilestarikan. Penelitian ini bermaksud untuk mengkaji mekanisme adopsi beruang madu serta dampaknya bagi citra merek hotel. Penelitian ini merupakan penelitian kualitatif dengan berlandaskan teori citra merek. Data dikumpulkan melalui observasi, wawancara, dan dokumentasi. Setelah data terkumpul kemudian dilakukan teknik triangulasi data. Hasil penelitian menunjukkan bahwa dampak CSR ini terhadap citra merek Hotel Four Points by Sheraton Balikpapan adalah berdampak positif. Hal ini didukung oleh hasil wawancara dari beberapa informan yang menggangap Hotel Four Points by Sheraton sebagai hotel yang memiliki kepedulian lingkungan. Sebagian besar informan juga merasa terdorong untuk berkontribusi dalam program CSR ini.

Kata Kunci: CSR, Citra Merek, Adopsi Beruang Madu
DİJİTALLEŞMENİN MUHASEBE MESLEK MENSUPLARINA ETKİLERİ: ŞIRNAK İLİ ÖRNEĞİ
Authors: UZUN Erkan , SEZER İsa , KUYTAN Elif
Published: November 2022

Dünya genelinde yaşanan ve insan hayatını doğrudan etkileyen değişimler bulunmaktadır. Bu değişimler teknolojik, ekonomik, siyasi, sosyal ve kültürel değişimler olarak sınıflandırılmaktadır. Birçok iş kolu bu değişimlerden etkilenmiş ve uygulamalarında köklü değişimlere yönelmeye karar vermişlerdir. Bu değişimleri benimseyen ve uygulamalarına yansıtan iş kollarından birisi de muhasebe mesleğidir. Muhasebe mesleğinde dijital uygulamalara yönelme Covid 19 pandemisi ile hız kazanmıştır. Dijitalleşme ile yer ve zaman kaybı önlenmiş ve daha verimli ve şeffaf uygulamalar ortaya çıkmıştır.
Çalışma Şırnak ilinde faaliyet gösteren muhasebe meslek mensupları üzerinde gerçekleştirilmiştir. 77 muhasebe meslek mensubuna yani Ana kütlenin tamamına Google formlar aracılığıyla anket formu gönderilmiş ve 53 muhasebe meslek mensubundan geri dönüş sağlanmıştır. Muhasebe meslek mensuplarına dijitalleşme ile ilgili 26 ifade yöneltilmiş ve 5’li likert ölçeği kullanılarak cevaplaması istenmiştir. Çalışmanın temel amacı dijitalleşme ile gelen yeniliklerin muhasebe meslek mensuplarını nasıl etkilediğini ortaya koymaktır. Bu amacı gerçekleştirebilmek amacıyla dijitalleşme etkisini katılımcıların demografik özelliklerine göre ölçen 6 adet hipotez belirlenmiştir.
Çalışmada dijitalleşmenin etkisini ortaya koymak amacıyla cinsiyet, yaş, eğitim, unvan, çalışma şekli ve çalışma yılları olarak tanımlanan demografik özellikler açısından farkındalık analizleri yapılmıştır. Bu farkındalık analizinde dijitalleşmenin cinsiyet, yaş, eğitim, unvan, çalışma şekli ve çalışma yıllarına göre bazı ifadelerde anlamlı bir farklılık oluştuğu ortaya konmuştur. Bu nedenle çalışmanın başında tanımlanan 6 hipotez kısmen de olsa kabul edilmiştir.
An Influence of Topical Treatment Lavender Essential Oil on Wound Healing Process Through Enhanced Collagen Synthesis and Anti-Microbial Effects: A Literature Review
Authors:   General Practitioner, Hasanuddin University, Makassar, Indonesia, Pratama Andi Muh. Octavian , Palinrungi Andhini Laila Ramadhani ,   Surgical Department, Primaya Hospital, Makassar Indonesia
Published: November 2022

Aromatherapy, that employs essential oils extracted from numerous plants and herbs, is wide used and is turning into a significant complementary and alternative medicines. Among numerous complementary and various medicines, inhalation aromatherapy has particularly received attention principally for its effects of relaxation and improvement of emotional or psychological conditions, and a few clinical trials have recommended the potential of aromatherapy for anxiety, insomnia, stress, and pain. In in vitro and in vivo experiments, some essential oils were recommended to act as anti-inflammatory drug, anti-viral, anti-tumor, anti-hyperglycemic, anti-carcinogenic agents, support treatment of wounds, and facilitate healing. Lavender volatile oil is anticipated to possess a useful result on wound healing as a result of some evidences for its result were already rumored. The last study rumored that topical treatment with lavender oil on aphthous ulceration showed a big ulcer size reduction as compared to control in both an animal experiment and a clinical study.
Synthesis of manganese nanoparticles of Oolong tea extract by sonication method for a natural oral contrast media on magnetic resonance cholangiopancreatography
Authors:   Doctoral Program of Medical and Health Sciences, Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia, Fatimah Fatimah
Published: November 2022

Introduction: Magnetic resonance cholangio-pancreatography examination using natural contrast media has not provided an optimal image of gastroduodenal suppression that covers the image of the biliary system. Natural materials used as contrast media continue to be developed with various previous studies, but not many have been associated with using, nanoparticles as natural contrast media materials. This study aims to make manganese nanoparticles in oolong tea extract is used as an oral contrast medium.
Phytochemical screening, stability test formulation and physical gel ethanol extract of Jatropha leaves (Jatropha curcas L.) as a gel compress preparation for post-ischemic stroke patients
Authors:   Health Polytechnic of the Health Ministry of Surabaya, Indonesia, Widarti Luluk
Published: November 2022

Introduction: Stroke is one of the diseases that cause death and impact serious health problems. The inflammatory response that appears in ischemic stroke will affect the progression of the stroke. This study examines the ethanol extract of Jatropha leaves (Jatropha curcas L.) as a gel compress preparation in post-ischemic stroke patients. Methods: The research design was experimental with a randomized post-test-only control group design. The sample was extracted with 96 % ethanol as solvent. Jatropha leaf samples (Jathropa curcas L.) were blended until smooth and weighed as much as 500 g in a 1 000 mL glass beaker. After that, 96 % ethanol was added to the procedure and poured into the extraction vessel. This study used a phytochemical screening test.
Relationship between exclusive breastfeeding and stunting among children aged 2-5 years in Indonesia
Authors:   Student Doctoral Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia, Safaah Nurus
Published: November 2022

Introduction: Stunting is a national and global problem that needs attention. Stunting can cause growth and development problems in children. Nutrition is an aspect that is closely related to the incidence of stunting in children. This study aimed to determine the relationship between exclusive breastfeeding and the incidence of stunting in children aged 2-5 years.
The relationship of skin integrity picture in stroke patients with the use of anti-decubitus mats at Hospital
Authors:   Nursing Diploma Program, Universitas Negeri Padang, Indonesia, Asman Aulia
Published: November 2022

Introduction: Stroke is one of the non-communicable diseases which is the concern health problem in the community. Stroke is more common in various countries, both developed and developing countries, such as Indonesia. This study aimed to determine the skin integrity in stroke patients using anti-decubitus mattresses at the hospital.