bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Kualitas Pelayanan dan Fasilitas Terhadap Kepuasan Nasabah di Pt Bank Central Asia TBK KCU Kelapa Gading Jakarta Utara
Authors: B. Say Alfonsus
Published: February 2022

Pendahuluan: Saat ini kepuasan nasabah menjadi fokus perhatian oleh hampir semua pihak, baik pemerintah, pelaku bisnis, konsumen dan sebagainya. Hal ini disebabkan semakin baiknya pemahaman mereka atas konsep kepuasan nasabah sebagai strategi untuk memenangkan persaingan di dunia bisnis. Kepuasan nasabah merupakan hal yang penting bagi penyelenggara jasa.
Tujuan: Penelitian? ?ini? ?bertujuan? ?untuk? ?mengetahui? ?apakah? ada? ?pengaruh? ?kualitas? ?pelayanan? ?dan? ?fasilitas? ?terhadap? ?kepuasan? ?nasabah? ?pada? ?PT? Bank? ?Central? ?Asia? ?Tbk? ?KCU? ?Kelapa? ?Gading? ?Jakarta? ?Utara.? ?Penelitian? ?ini? ?dilakukan? pada? ?bulan? ?Januari? ?2021? ?melalui? ?bantuan? ?google? ?form? ?(kuesioner? ?online).? ?Populasi? dalam? ?penelitian? ?ini? ?adalah?? konsumen? ?Bank? ?Central??Asia? ?cabang? ?KCU? ?Kelapa? ?Gading? ?Jakarta? ?Utara.? ?Pengambilan? ?sampel? ?menggunakan? ?teknik? ?non-probability? sampling.? ?Sampel? ?yang? ?digunakan? ?dalam? ?penelitian? ?ini? ?adalah? ?sampel? ?jenuh.? ?Seluruh? populasi? ?sebanyak? ?100? ?orang? ?diambil? ?sebagai? ?sampel? ?dalam? ?penelitian? ?ini.?
Metode: ?Metode? pengujian? ?instrumen? yang? ?digunakan? ?adalah? ?uji? ?validitas? ?dan? ?uji? ?reliabilitas.? ?Teknik? analisis? ?data? ?yang? ?digunakan? ?adalah? ?teknik? ?deskriptif? ?kuantitatif,? ?analisis? ?regresi? linier? ?berganda,? ?uji? ?t,? ?uji? ?f.?
Hasil: Hasil? ?penelitian? ?menunjukkan? ?bahwa? ?terdapat? ?pengaruh? kualitas? ?pelayanan? ?dan? ?fasilitas? ?terhadap? ?kepuasan? ?pelanggan?.
Kesimpulan: Berdasarkan hasil penelitian maka diperoleh kesimpulan bahwa variabel kualitas layanan memengaruhi kepuasan nasabah PT Bank Central Asia Tbk KCU Kelapa Gading Jakarta Utara. Hal ini ditunjukkan melalui nilai t hitung variable   fasilitas yaitu sebesar 5,809 lebih  besar dari t table 1,984. Variabel Fasilitas memengaruhi kepuasan nasabah PT Bank Central Asia Tbk KCU Kelapa Gading Jakarta Utara. Hal ini ditunjukkan melalui nilai t hitung variable   layanan yaitu sebesar 3,511 lebih  besar  dari  t  table 1,984. Variabel kualitas pelayanan dan fasilitas secara simultan memengaruhi kepuasan nasabah PT Bank Central Asia Tbk KCU Kelapa Gading Jakarta Utara. Dengan nilai sig 0,000<0,050 dan nilai F hitung 58,566 > 3,09 F tabel.
Farms and gardens everywhere but not a bite to eat? A critical geographic approach to food apartheid in Salt Lake City
Authors: Joyner Leah , Yagüe Blanca , Cachelin Adrienne , Rose Jeffrey
Published: February 2022

Through community-engaged research, we investi­gate how political and economic practices have cre­ated food apartheid and the ways in which this legacy complicates efforts toward equitable urban agriculture in Salt Lake City (SLC). The study takes place in SLC’s Westside, where an ample number of farms and gardens exist, yet food insecurity is a persistent issue. We partner with a small urban CSA farm operating in a USDA-designated food desert in SLC’s Westside to explore the farmers’ own questions about whom their farm is serving and the farms’ potential to contribute to food jus­tice in their community. Specifically, we examine (1) the member distribution of this urban CSA farm and (2) the underlying socio-political, eco­nomic, and geographic factors, such as inequitable access to land, housing, urban agriculture, food, and transportation, that contribute to this distribu­tion. GIS analyses, developed with community partners, reveal spatial patterns between contempo­rary food insecurity and ongoing socioeconomic disparities matching 1930s residential redlining maps. These data resonate with a critical geo­graphic approach to food apartheid and inform a need for deeper and more holistic strategies for food sovereignty through urban agriculture in SLC. While resource constraints may prevent some small farmers from attending to these issues, partner­ships in praxis can build capacity and engender opportunities to investigate and disrupt the racial hierarchies enmeshed in federal agricultural policy, municipal zoning, and residential homeownership programs that perpetuate food apartheid.
THE ROLE OF DYSCIRCULATORY PROCESSES IN THE development OF CEREBRAL DISORDERS IN ADOLESCENTS WITH TYPE 1 DIABETES MELLITUS
Authors: Пузикова О.З. , Бережанская С.Б. , Созаева Д.И. , Попова В.А. , Кравченко Л.В.
Published: February 2022

Целью исследования явилось определение патогенетического значения дисциркуляторных процессов в мозге в развитии церебральных дисфункций при сахарном диабете типа 1 типа у подростков. Обследовано 88 подростков больных СД 1-го типа (СД) от 12 до 17 лет и 35 подростков того же возраста без нарушений углеводного обмена. Проводилось клинико-неврологическое, нейропсихологическое обследование, исследование мозговой гемодинамики при помощи транскраниальной ультразвуковой допплерографии, изучалось содержание белка S-100В в сыворотке крови. Установлено, что параметры мозговой гемодинамики у пациентов с СД характеризовалась различной степенью снижения кровенаполнения и повышением индекса резистентности артериального русла, которые коррелировали с длительностью заболевания, а также с наличием микроциркуляторных осложнений на глазном дне. Выявленная достоверная отрицательная корреляция уровня S-100В со средней скоростью кровотока в изучаемых мозговых артериях указывает на активацию реактивного глиоза сосудистого генеза при сахарном диабете.

The aim of the study was to determine the pathogenetic significance of dyscirculatory processes in the brain in the development of cerebral disfunctions in adolescents with type 1 diabetes mellitus (DM). 88 adolescents with type 1 diabetes from 12 to 17 years old and 35 adolescents of the same age without metabolism disorders were examined. Clinical, neurological and neuropsychological examinations were performed, as well as a study of brain hemodynamic using transcranial ultrasound dopplerography, and also the content of S-100B protein in blood serum was studied. It was found that the parameters of cerebral hemodynamics in patients with DM were characterized by decrease in blood filling and an increase in the arterial resistance index, which correlated with the duration of the disease, as well as with the presence of microcirculatory complications on the fundus. The revealed significant negative correlation of the level of S-100B with the average blood flow rate in the studied cerebral arteries indicates the activation of reactive gliosis of vascular genesis in diabetes mellitus.
BIOCONTROL: CHARACTERISTICS OF OPERATING MODES. (Literature review)
Authors: Сраилова К.Б. , Танат З.Х. , Раимкулов Б.Н. , Бхат Н.А.
Published: February 2022

В данной статье представлен обзор литературы по биоуправлению в различных режимах БОС тренинга с учетом современных исследований.

This article presents a review of the literature on biofeedback in various modes of biofeedback training, taking into account modern research
ASSESSMENT OF THE IMPACT OF SOYUZ LAUNCH VEHICLES ON THE SOIL OF SETTLEMENTS NEAR THE BAIKONUR COSMODROME
Authors: Аскаров Д.М. , Амрин М.К. , Изекенова А.К.
Published: February 2022

Пуски ракет космического назначения (РКН) с космодрома «Байконур» в определенной мере оказывают воздействие на экологическую ситуацию, особенно при авариях. В зоне воздействия ракетно-космической деятельности (РКД) основная масса поступающего загрязнителя, как правило, находится в приземном слое атмосферы, в поверхностных водах и в почвенной среде (включая почвенный воздух и почвенно-грунтовые воды). Через данные компоненты экосистемы основная масса загрязнителя поступает в биоту. В связи с этим, для экспертной оценки эколого-гигиенической ситуации на территориях, прилегающих к объектам РКД, необходим сбор многочисленной территориально-распределенной информации о среде обитания до пусков и после пусков ракет-носителей. Целью исследований является оценка и мониторинг объектов среды обитания (почвы) в близлежащих населенных пунктах к космодрому «Байконур» в Кармакшинском районе Кызылординской области. В статье предоставлены результаты количественно химического анализа почвы 5 лет наблюдения в п. Торетам, с. Акай, г. Байконыр Кармакшинского района Кызылординской области до и после пусков ракет-носителей (РН). Пробы почвы анализировались на содержание нефтепродуктов, нитрат и нитрит-ионов и определен рН. Результаты проб почвы до пуска являлись контрольными.

Launches of space rockets from the Baikonur cosmodrome to a certain extent have an impact on the environmental situation, especially in case of accidents. In the zone of impact of rocket and space activities, the bulk of the incoming pollutant is usually located in the surface layer of the atmosphere, in surface waters, and the soil environment (including soil air and soil-groundwater). Through these components of the ecosystem, pollutant enters the biota. In this regard, for an expert assessment of the ecological and hygienic situation in the territories adjacent to the rocket space activity facilities is necessary to collect numerous geographically distributed information about the habitat before and after launches of launch vehicles. The purpose of the research is to assess and monitor environmental objects (soil) in nearby settlements to the Baikonur cosmodrome in the Karmakshy district of the Kyzylorda region. The article presents the results of a quantitative chemical analysis of the soil for 5 years of observation in the Toretam, Akai village, and Baikonur city before and after the launch of launch vehicles. Soil samples were analyzed for the content of petroleum products, nitrate, and nitrite ions, and the pH was determined. The results of soil samples before the launch are taken as control.
STAGE-BY-STAGE MEDICAL REHABILITATION OF PATIENTS WITH SPINAL CORD INJURY IN A MID-MOUNTAIN SPECIALIZED HOSPITAL
Authors: Дженбаев Е.С.
Published: February 2022

Позвоночно-спинномозговая травма в настоящее время является одной из актуальных проблем современной медицины, в связи с чем нами был разработан новый комплекс реабилитационных мероприятий больным в раннем и промежуточном периодах позвоночно-спинномозговой травмы. Наш клинический опыт показывает, что у больных, получивших комплекс физио-бальнео факторов в условиях среднегорного специализированного стационара, в динамике отмечался положительный результат.

Vertebro-spinocerebral injure is one the most urgent problems of the modern medicine nowadays, therefore, a new complex of rehabilitation activities was developed for patients at early and intermediate periods of vertebro-spinocerebral injure. our clinical experience shows that patients received a complex of physio-balneo factors under conditions of a medium-mountain specialized hospital have had a positive dynamics.
Mental health of medics working during the COVID-19 pandemic
Authors: Джарбусынова Б.Б. , Худаир Ж.Р. , Айбарова А. , Арысбаева А.М. , Каренеева Г. , Тлеуханова Г.
Published: February 2022

В статье «Психическое здоровье медиков, работающих в период пандемии COVID-19» описываются результаты исследования тяжести и распространённости тревоги, депрессии и эмоционального выгорания среди работников здравоохранения участвующих в борьбе с COVID-19 в Казахстане. Рассматриваются отличия между описанным в литературных источниках данными и тем, что удалось выявить при исследовании самостоятельно. В результате онлайн-анкетирования выявлено значительное повышение тревожно-депрессивных расстройств и эмоционального выгорания среди медицинских работников во время пандемии. Следовательно, психиатры столкнутся с ростом разного рода психических проблем не только среди общего населения, но и среди медицинских работников, что в свою очередь требует особого внимания.

The article "Mental Health of Medical Workers During the COVID-19 Pandemic" describes the results of a study on the severity and prevalence of anxiety, depression and burnout among healthcare workers involved in the fight against COVID-19 in Kazakhstan. The article examines the differences between the data described in the literature and what it was possible to identify during the research independently. An online survey revealed a significant increase in anxiety and depressive disorders and emotional burnout among healthcare workers during the pandemic. Consequently, psychiatrists will be faced with the growth of various kinds of mental problems not only among the general population, but also among medical workers, which in turn requires special attention.
Clinical and psychopathological analysis of the protagonist of the film «Beautiful Mind» (as a didactic innovation in conducting online psychiatry classes during during the COVID-19 pandemic)
Authors: Нашкенова А.М. , Аблезжан Д.К. , Сабитова А.С. , Умарбек А.М.
Published: February 2022

В статье студентами КазНМУ им.С.Д.Асфендиярова под руководством научного руководителя проведён тщательный клинико-психопатологический анализ психического состояния главного героя фильма «Игры разума». Предпринятая работа имеет инновационную и практическую значимость для учебного процесса в медицинских вузах, особенно в период пандемии COVID-19, когда студенты были вынуждены перейти на формат онлайн обучения, и может быть внедрена в учебную программу по предмету «психиатрия».

In the article, students of S.D.AsfendiyarovKazNMU under the guidance of their supervisor carried out a thorough clinical and psychopathological analysis of the mental state of the protagonist of the film «Beautiful Mind». The work undertaken has an innovative and practical significance for the educational process in medical universities, especially during the COVID-19 pandemic, when students were forced to switch to the online learning format, and can be introduced into the curriculum on the subject of «Psychiatry».
MONOCLONAL ANTIBODIES IN THE STUDY OF THE VASCULAR COMPARTMENT OF THE HUMAN SPLEEN
Authors: Досаев Т.М. , Ахмад Н.С. , Байгамысова Д.С. , Шакенов Б.Ш. , Балапанова А.А. , Алжанбекова Г.Т. , Пернебекова С.П. , Курбаниязова С.С.
Published: February 2022

Сравнительный иммуногистохимический анализ маркеров CD31, CD34, Ki67, ERG (ETS-related gene) показал, что наиболее высокоспецифичным маркером для морфологического исследования микроциркуляторного русла селезенки человека является ERG (ETS-related gene).

Comparative immunohistochemical analysis of markers CD31, CD34, Ki67, ERG (ETS-related gene) showed that ERG (ETS-related gene) is the most highly specific marker for morphological study of the human spleen microvasculature.
CKD AS A RISK FACTOR FOR MORTALITY IN COVID-19
Authors: Рустамова Ф.Е. , Мухамбетова Р.У. , Абугалиева Н.С. , Айтмаганбет Б.А. , Тореханова Ж.Ж.
Published: February 2022

Новая коронавирусная инфекция (СOVID-19) - серьезная медицинская и социальная проблема. Несмотря на достижение определенных успехов в лечении больных COVID-19, существует необходимость отработки особых клинических и организационных подходов у пациентов с хронической болезнью почек (ХБП), входящих в группу особого риска в силу течения основного заболевания и сопутствующей патологии. Целью нашего исследования было ретроспективно исследовать факторы риска смертности при COVID-19 у больных с ХБП. Средний возраст составил 68 лет, 59 % из них мужчины. Результаты этого исследования показали, что по сравнению с населением в целом, пациенты с ХБП подвержены более тяжелой форме COVID-19 и более высокому уровню смертности. Тем не менее, по данным нашего исследования выраженное снижение уровня СКФ и терминальная стадия ХБП не были связаны с объемом поражения легких.

A coronavirus disease COVID-19 became a serious medical and social concern worldwide. The patients with chronic kidney diseases (CKD) are under a particular risk due to the course of the underlying disease and comorbidities they have. Despite the achievement of some success in the treatment of patients with COVID-19, special clinical and organizational approaches are to be developed in the threatening the patients with CKD. The goal of our study was to research the risk factors for mortality rate from COVID-19 of patients who have diagnosed CKD. The average age was 68 and the 59% of patients are male. The results of this study showed that the patients with low GFR are prone to more severe COVID-19 and higher mortality rates compared to the general population. However, according to our research severe glomerular filtration rate decrease and end-stage of CKD are not associated with more extensive lung involvement.
CLINICAL AND NEUROLOGICAL CHARACTERISTICS OF PATIENTS WITH HEMISPHERIC ISCHEMIC STROKE DEPENDING ON LATERALIZATION OF THE FOCUS
Authors: Рузиев Ш.С.
Published: February 2022

Наиболее частым и последствиям и инсульта являются двигательные расстройства в виде параличей и парезов. Гемипарез в остром периоде инсульт, а выявляется у 80-90 % больных (3,4). Гемипарез значительно изменяет моторику пациента, полностью перестраивая двигательный стереотип. Считается, что реабилитационные мероприятия могут быть эффективны у 80% лиц, перенесших инсульт (у 10% отмечается полное самостоятельное восстановление двигательного дефекта, а у 10% реабилитационные мероприятия являются бесперспективными) . Частичной или полной независимости в повседневной жизни можно достигнут ь в 47-76% случаев (1,2).

The most frequent consequences and stroke are movement disorders in the form of paralysis and paresis. Hemiparesis in the acute period of stroke is detected in 80-90% of patients (3,4). Hemiparesis significantly alters the patient's motor skills, completely rebuilding the motor stereotype. It is believed that rehabilitation measures can be effective in 80% of people who have suffered a stroke (10% have complete independent recovery of a motor defect, and 10% have no prospects for rehabilitation). Partial or complete independence in everyday life can be achieved in 47-76% of cases (1,2).
MENTAL DISORDERS IN COVID-19 SURVIVORS AND METHODS OF THERAPY
Authors: Распопова Н.И. , Ешимбетова С.З. , Джамантаева М.Ш. , Сулейменова А.А. , Аймакова И.М. , Куламкадырова Н.С.
Published: February 2022

В работе представлен анализ 30 клинических наблюдений пациентов с психическими расстройствами, связанными с перенесенным COVID-19. Изучение синдромальной структуры постковидных психических расстройств позволило выделить их некоторые клинические варианты: астенический, тревожно-фобический, депрессивный и инсомнический. Уточнение этиологических факторов, участвующих в возникновении данных психических расстройств, показало сложность их этиопатогенеза, включающего как элементы органического поражения головного мозга, так и психогенные стрессовые факторы, непосредственно связанные с перенесенным тяжелым вирусным заболеванием. Сложность патогенеза и полиморфность клинической картины постковидных психических расстройств определяют комплексный подход к подбору терапии этих состояний, включающий как препараты, улучшающие обменные процессы и гемодинамику в структурах головного мозга, антидепрессивную и противотревожнуюпсихофармакотерапию, так и психотерапевтическую коррекцию.

The paper presents an analysis of 30 clinical observations of patients with mental disorders associated with COVID-19. The study of the syndromic structure of post-covid mental disorders made it possible to identify some of their clinical variants: asthenic, anxiety-phobic, depressive and insomnia. Clarification of the etiological factors involved in the occurrence of these mental disorders has shown the complexity of their etiopathogenesis, which includes both elements of organic brain damage and psychogenic stress factors directly related to a severe viral illness. The complexity of the pathogenesis and the polymorphism of the clinical picture of post-covid mental disorders determine an integrated approach to the selection of therapy for these conditions, including both drugs that improve metabolic processes and hemodynamics in brain structures, antidepressant and anti-anxiety psychopharmacotherapy, and psychotherapeutic correction.
An Analysis Model of Potential Topics in English Essays Based on Semantic Space
Authors: Guimin Huang Guimin Huang , Guimin Huang Xiaowei Zhang
Published: February 2022

With the reform of English examination in China in recent years, the automatic evaluation of English essays as subjective questions has always been the focus and difficulty of research. The existing automatic essay evaluation system (AEE) has obtained good feedback on the vocabulary, syntactic and other features of English essays, but there is still a problem of low accuracy in the analysis of potential topic in English essay. In order to solve this problem, this paper takes relational triples as the carrier to analyze the potential topics of English essays. By constructing the hierarchical topic trees hybrid semantic spaces to carry out topic clustering, distributed representation of topic relational triples and topic set extension in English essays. Then, based on the improved on-topic analysis algorithm in this paper, the paper analyzes the topic of English essay in multiple dimensions to obtain more abundant potential on-topic semantic information. The experiment results show that the proposed model can reduce the noise caused by non-topic words effectively, and improve the fine-grained topic semantic space in English essays, and the proposed model has better performance than the current methods of on-topic analysis in English esssays.

 
Multiple Scene Sentiment Analysis Based on Chinese Speech and Text
Authors: Haiyuan Guo Haiyuan Guo , Haiyuan Guo Xuegang Zhan , Xuegang Zhan Chengying Chi
Published: February 2022

This paper proposes a multi-scene sentiment analysis model for Chinese speech and text based on CNN-BiGRU-CTC + ERNIE-BiLSTM. The model is applied to the intelligent customer service scenario. While conducting voice interaction, intelligent customer service can obtain the user’s current emotion, to give a more humane answer and improve the user experience. All the training data sets in this paper adopted public data sets such as Aishell-1 and NLPCC 2014, etc.We have been able to achieve a testing accuracy of about 94.5%. The accuracy is improved by 5.24% compared to the latest speech sentiment analysis model that uses audio as a feature. The advantage of this paper is that it adopts the ERNIE language pre-training model to conduct sentiment analysis on speech signals, which still has a good classification accuracy in the case of individual wrong words in speech recognition.

 
Bone Marrow Aspiration Findings in Hematological Disorders in Children
Authors: Sodhi Manpreet
Published: February 2022

Background: Primary objective was to study bone marrow aspiration(BMA) findings in hematological disorders in children with secondary objective to find correlation between peripheral blood film (PBF) findings with BMA.Material & Methods:It was observational and cross-sectional study conducted on 65 children in age group of 1-18 yrs admitted to Pediatrics Department of Government Medical College, Patiala over period of 1 yr. Inclusion criteria was based on clinical and laboratory parameters. Children were of anaemia, leucopenia and pancytopenia. Complete hemogram, reticulocyte count, PBF smear and bone marrow aspiration were done. The data was analyzed using IBM Statistical Packages for Social Sciences SPSS software version 22.Results:The mean age of study population was 10.39±6.29yrs. 93.8% children presented with pallor followed by fever in 84.6% and lethargy in 66.2%. 62 children were severely anaemic, 33 had bicytopenia, 23 children had pancytopenia. Bone marrow was hypercellular in 59 (90.8%) children. 40 (61.5%) children had megaloblastic anaemia on BMA followed by dimorphic anaemia in 8, Idiopathic thrombocytopenic purpura in 6 children. 4 children each had Megaloblastic anaemia with gelatinous transformation and micronormoblastic anaemia. 2 children had acute lymphatic leukemia and one had aplastic anaemia. The predominant PBF was dimorphic in 30 children, out of whom 22 had megaloblastic anaemia and 8 had dimorphic anaemia on BMA. Conclusions:Bone marrow was megaloblastic in majority (61.5%) of children. There was no significant association found between PBF findings and bone marrow diagnosis.
To Evaluate the Feasibility of Flip Technique in Dissection of Gall Bladder from the Liver Bed in Laparoscopic Cholecystectomy and Its Comparison with Standard Laparoscopic Cholecystectomy
Authors: Garg Vikram
Published: February 2022

Background: Laparascopic cholecystectomy is one of the commonly performed surgery and is the procedure of choice for gall bladder disease. Time to time advancements are being made in this procedure to ease this surgery and also decrease its complication rate. And with the same purpose, a special technique named as “Flip Technique” has been introduced in which, in order to make the dissection of gall bladder easier near the fundus, the gall bladder is flipped over the liver surface after initial dissection of the gall bladder from the liver bed. The study to find out the feasibility of this flip technique of gall bladder removal in laparoscopic cholecystectomy was done in 100 patients admitted in department of general surgery, Govt Medical College and Rajindra Hospital, Patiala. Aim: This study aims to evaluate the feasibility of Flip technique for dissection of gall bladder from the liver bed in laparoscopic cholecystectomy with regard to operative time, intraoperative bleeding, bile duct injury, liver bed injury, injury to gall bladder wall, duration of hospital stay and mortality (if any).Methods:The present study was prospective, observational and comparative trial and was conducted on 100 patients of either sex diagnosed as case of GBD and planned for laparoscopic cholecystectomy, admitted in surgical ward of Rajindra Hospital, Patiala.Results:Latrogenic GB rupture occurred in 2% of patients in group A (cases) and 12% of patients in group B (control). The difference was statistically significant (p value 0.05). Site of rupture in group A is fundus of gall bladder in 2% of patients and none of gall bladder rupture is seen at body or Hartman’s pouch. In group B gall bladder rupture was found at fundus in 6% of patients, at body in 4% patients and Hartman’s pouch in 2% of patients.Conclusions:The use of Flip technique was more advantageous as compared to standard method of gall bladder dissection from liver bed in laparoscopic cholecystectomy with the mean duration of surgery being shorter in Flip technique.
Tube Thoracostomy Surgery among COVID-19 Positive Patients in a Tertiary Care Hospital in Bangladesh
Authors: Saha Heemel
Published: February 2022

Background: Acute respiratory distress syndrome requiring invasive mechanical ventilation may occur in COVID-19 patients. Barotrauma causes clinically severe pneumothorax, necessitating a chest tube thoracostomy. Acute respiratory syndrome coronavirus 2 is aerosolized during the process, hence specific precautions must be taken to minimize exposure risks to health care workers. Objectives: The objective of the study to diagnosis of Tube thoracostomy during the COVID-19 pandemic to detect and diagnose patients who are positive with the virus.Material & Methods:In Bangladesh, researchers from a tertiary care hospital’s thoracic surgery section did a retrospective analysis. In total, we had 34 participants. All COVID-19 cases requiring thoracic surgery consultation and management that were admitted to the ICU between July 2020 and January 2022 were included in this study. Iatrogenic pneumothorax and other critical cases not associated with COVID-19 were also eliminated.Results:Thirty-four individuals sought thoracic surgery consultation. Pneumothorax (29.4%), traumatic hemothorax (8.8%), hydropneumothorax (5.9%) and extensive pleural effusion were the causes (55.9%). No post-thoracostomy complications. 6 patients died 3 days after tube thoracostomy who were on artificial breathing and both had more than 81 percent lung involvement (fibrosis) confirmed by CT scan of chest. Surviving patients with thoracostomy tube insertion had better survival than those treated conservatively.Conclusions:In COVID-19 disease, non-iatrogenic pneumothorax, subcutaneous and mediastinal emphysema are associated with worse prognosis and outcomes. Pneumothorax may have a better prognosis and outcome than surgical and mediastinal emphysema.
A Comparative Study between E-TEP vs IPOM Hernia Repair
Authors: Paul Deb Prosad
Published: February 2022

Background: A ventral hernia is a hernia which can be occur at any location along the midline (vertical center) of the abdomen wall. It can be classified as spontaneous (primary) or acquired (secondary). Also, there are basically 3 types of ventral hernia and these are: Epigastric or stomach area hernia, Umbilical or belly button hernia and the Incisional hernia.Material & Methods:This was a prospective observational comparative study. The total sample size for this study 38 and among these 18 cases were from e-TEP and 20 cases were from IPOM. The study period was from December 2019- December 2021. The stratified sampling method was followed for this study as an eligibility criterion for age of the respondents was set for this study.Results:The presence of co-morbidities was found in both e-TEP and IPOM. High blood pressure was seen in 7(38.89%) cases in e-TEP and 8(40%) cases in IPOM and followed by stroke in 4(22.22%) and 5(25%), Hypothyroidism in 1(5.56%) and 1(5%), Cancer in 2(11.11%) and 2(10%), Diabetes in 4(22.225) and 4(20%). Location of Hernia in right 7(38.89%) and 8(40%) and in left side was 11(61.11%) and 12(60%). In assessing the condition of disease, it was found that ventral hernia was in 4(22.22%) and 5(25%), Umbilical hernia in 6(33.33%) and 6(30%), Epigastric hernia 8(44.44%) and 9(45%). The Mean and SD of Defect size of lesion 71.4±47.1 and 76±53.2.Conclusions:The above study showed that the e-TEP repair had shown promising results and was being widely accepted. It results less presence of co-morbidities and less complications when compared to IPOM repair.
The Outcome of Covid-19 Positive Patients in a Covid Dedicated ICU, Associated with Comorbid Diseases: A Cross-Sectional Study
Authors: Arefin Muhammad Shamsul
Published: February 2022

Background: Patients with Coronavirus Disease (COVID-19) have a significant death rate due to comorbid diseases. As a result, identifying risk factors associated with poor outcomes in COVID-19 patients is important. Objective: The aim of this study was to evaluate the admission and outcome status of the patients confirmed with Covid-19.Material & Methods:This cross-sectional study was conducted at Mugda Medical College & Hospital, Dhaka, Bangladesh during the period from April 2020 to September 2020. Total 205 patients with covid-19 were included in this study. Collection of data were checked and cleaned. After cleaning, the data were entered into computer and statistical analysis of the results being obtained by using windows-based computer software devised with Statistical Packages for Social Sciences version 24.Results:In this study among 205 patients. Most of the study people 41(20.0%) confirmed with covid-19 were admitted in September 2020. Followed by 20(9.76%) in April 2020, 33(16.09%) in May 2020, 35(17.07%) in June 2020, 38(18.53%) in July 2020, 37(18.04%) in August 2020 and 41(20.0%) in September. 23(11.21%) highest death with covid-19 were admitted in July 2020. Most of the patients 104(50.73%) were discharged with advice and 101(49.26%) patients had expired. Out of 101 expired patients 92 (91%) had comorbidities. The most common comorbidity amongst ICU admitted patients was respiratory syndrome (55 in number) and least common was hypertension (6 in number).Conclusions:The death rate for COVID-19 hospitalized patients is 49.26%. The most prevalent comorbidities in individuals who died as a result of COVID-19 were respiratory syndrome, chronic kidney disease, hypertension, cardiovascular disease, and diabetes.
Acute Phase Response and its Effect on Short Term Outcome of Bangladeshi patients after On-Pump Cardiac Surgery
Authors: Khan Omar Sadeque
Published: February 2022

Background: Throughout any surgical procedure, the immune system is generally activated as a physiological response to the surgical trauma. Cardiopulmonary bypass can trigger the inflammatory response in three ways: direct contact activation of the immune system due to exposer of blood to foreign surfaces, ischaemia-reperfusion injury to vital organs as a result of aortic cross clamping, and splanchnic hypoperfusion. Objective: The aim of the study was to observe the acute phase response variables in Bangladeshi patients and to assess the acute phase response and morbidity of the patients after prolonged bypass surgery.Methods:This cross sectional study was conducted in the Department of Cardiac Surgery, BSMMU from January 2009 to December 2010. Fifty patients were selected for the study and were divided into 2 groups on the basis of cardiopulmonary bypass time. Group I was cardiopulmonary bypass time less than 90 minutes and Group II was more than 90 minutes. Data were stored and analyzed with standard computer software (SPSS-15). P < 0.05 was considered statistically significant.Results:The mean duration of cardiopulmonary bypass (CPB) time (55.76±10.8 in group I, 131±31.35 in group II; P<0.001) and Aortic cross clamp time (28.48±8.31 in group I, 83.48±30.99 in group II; P<0.001) was higher in group II than group I. Analysis of outcome variables showed that mean postoperative ventilation time was 6.24±1.20 in group I and 9.16±2.33 in group II. There was significant difference in the ventilation time between two groups (P<0.001). This study showed that there is a definite relationship of wound infection with the prolonged cardiopulmonary bypass time (P<0.001) and also persistently rising CRP increases the chance of wound infection.Conclusions:We may conclude that prolonged cardiopulmonary bypass time is associated with increased acute phase response and morbidity of Bangladeshi patients.
Insulino Mimetic Selenium in Type II Diabetes: Correlation with Blood Glucose
Authors: Nahar Quamrun
Published: February 2022

Background: Selenium has been reported to be insulinomimetic and to reduce blood glucose level in type 2 diabetes.Material & Methods:This study describes an inverse correlation of serum selenium with blood glucose level. This is a case control study conducted among 30 low BMI and 70 normal BMI diabetes and 50 low BMI non-diabetic controls. Serum selenium concentration was determined by atomic absorption graphite spectrophotometry.Results:Serum selenium concentration was estimated to be 44±16µg/L, 48±15µg/L and 59±33µg/L respectively in low BMI (<18.5) and normal BMI (18.5-24.9) diabetics and low BMI non-diabetics controls. A trend of inverse correlation was found between serum selenium and blood glucose levels. Serum selenium level at > 40 (41-60) µg/L was found to be inversely correlated (p<0.05) with blood glucose level.Conclusions:Lower serum selenium was observed in the diabetic patients and it was inversely correlated with blood glucose level.
Novel biomarkers for Diagnosis of Pulmonary Tuberculosis and Tuberculous Pleural Effusion
Authors: Alsayed Abouahmed Eman
Published: February 2022

Background: The present study aimed to evaluate the importance of serum, pleural adenosine deaminase (ADA), and Gene Xpert in Diagnosis of TB and TB Pleural Effusion (TB-PLE.).Material & Methods:The study was done with 75 TB cases, 50 cases of them were diagnosed as Pulmonary TB and 25 cases as TB pleural effusion, collecting also 50 non-TB pleural effusion, Malignant and acute bacterial infection comprise 21 and 29 cases respectively. Cases with transudative pleural effusion were excluded from the study. Finally, 75 were healthy control group.Results:There was a highly significant difference between the mean age of TB-PE Patients and Patients non-TB-PLE (P-value <0.001), while there was a non-significant difference with patients with P-TB (P-value >0.05). Mean of Serum ADA level were highest 53.16 U/L in TB-PE cases, shown to be statistically significant when compared to 43.2 U/L in P-TB and 25.4 U/L in non TBpleural effusion. With p-value of 0.02 and 0.001respectively.Conclusions:We concluded that GeneXpert can be a useful diagnostic method in patients with suspected pulmonary tuberculosis. Serum and pleural fluid ADA level is a very helpful test to rule out a TB and can help differentiate tubercular etiology from non-tubercular.
In-silico investigation of oxoaporphine alkaloids of Xylopia aethiopica against SARS-COV-2 main protease
Authors: Ogunyemi Babatunde Temitope , Oderinlo Ogunyemi Olajide
Published: February 2022

Background: The ongoing coronavirus pandemic poses a significant social, economic, and health threat worldwide. The situation is exacerbated further by vaccine hesitancy and the ongoing development of mutant strains that could lead to drug resistance. It is therefore critical to find new anti-viral chemotherapeutic agents to reduce or end the epidemic. This study aimed to investigate the antiprotease activity of the oxoaporphine alkaloids in Xylopia aethiopica. Methods: Computational techniques such as molecular docking were used to probe the oxoaporphine alkaloids in the plant for their ability to inhibit the main protease of Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). The docking score calculations which quantifies the predictive binding affinity of both ligand and target was carried out using Auto-Dock Vina software. Results: The results showed that oxoaporphine alkaloids had a better binding affinity than hydroxychloroquine sulfate (standard). Similarly, the values of the chemical descriptors obtained for these alkaloids revealed notable profiles, and these alkaloids also have good oral bioavailability according to rule of five. Conclusion: These findings imply that these plant-based alkaloids could be investigated further as prospective leads against SARS-CoV-2 main protease. Furthermore, structural-activity relationships on these compounds could be an effective way to mitigate the predicted side effects
Students’ Perception in Learning English through Communicative English Club (CEC) at IAIN Salatiga
Authors: Eni Suriyah  , Mazulfah
Published: February 2022

The purposes of this study were (1) to know how is perceptions of student in learning English through Communicative English Club (CEC) IAIN Salatiga and (2) to know how is the student’s perception of the stimulus for the English material given by the Communicative English Club (CEC) IAIN Salatiga. This study uses qualitative research to find out the purposes. Sample is chosen by the researcher or called a purposive sample. Six students who joined in Communicative English Club (CEC) were interviewed. From the results of this study, it is concluded that students who join the Communicative English Club (CEC) Student Activity Unit (UKM) had a positive perception of learning English at CEC and the materials that were given. CEC activities or work programs improve their English language skills, especially speaking skills. Although not aiming to learn English, students got an experience of learning English at CEC that is different from learning in the classroom. They got the opportunity to practice English more often. In addition, CEC provides environmental and mental support for learning English. Students consider English material to be not just written grammar material, but English material can be obtained through an environment, discussion, and experience that can improve their English language skills.
Keywords: students’ perception, learning, English, English club
Peranan Supervisi Kepala Sekolah dalam Meningkatkan Kinerja Guru di SMP Tawakkal Denpasar Tahun Pelajaran 2019-2020
Authors: Wibowo Didik Budi , Qosim Achmad , Hidayat Tauhid
Published: February 2022

Peningkatan kinerja guru dipengaruhi oleh peran supervisi Kepala Sekolah antara lain memperbaiki mutu mengajar guru, membina pertumbuhan profesi guru, peningkatkan mutu pengetahuan dan ketrampilan guru, pemberian bimbingan serta pemilihan dan penggunaan metode mengajar seperti alat-alat pelajaran, prosedur dan tehnik evaluasi pengajaran.Adapun fokus penelitian dalam penelitian ini adalah: 1) Bagaimana Peran Supervisi Kepala Sekolah dalam meningkatkan Kinerja Guru di SMP Tawakkal Denpasar Tahun Pelajaran 2019/2020?, 2) Apa hambatan dan solosinya dalam meningkatkan kinerja guru di SMP Tawakkal Denpasar Tahun Pelajaran 2019/2020?Sedangkan tujuan penelitian ini adalah untuk mengetahui: 1) Peran Supervisi Kepala Sekolah Dalam Meningkatkan Kinerja Guru Di SMP Tawakkal Denpasar Tahun Pelajaran 2019/2020, 2) Hambatan Dan Solosi Dalam Meningkatkan Kinerja Guru Di SMP Tawakkal Denpasar Tahun Pelajaran 2019/2020. Penelitian ini merupakan penelitian lapangan yang betujuan mempelajari secara intensif tentang latar belakang keadaan sekarang, interaksi sosial atau individu, kelompok, lembaga dan masyarakat.Adapun jenis penelitian ini menggunakan pendekatan kualitatif yang bersifat deskriptif. Narasumber dalam penelitian ini adalah kepala sekolah, wakil kepala sekolah, pegawai tata usaha, guru dan komite SMP Tawakkal Denpasar yang berjumlah 5 orang. Teknik pengumpulan data yang digunakan adalah wawancara, observasi, dan dokumentasi. Analisis data dilakukan secara interaktif yaitu mulai dari reduksi data, penyajian data, dan penarikan kesimpulan.Berdasarkan hasil penelitian ditemukan: 1) Peran supervisi kepala sekolah dalam meningkatkan kinerja guru di SMP Tawakkal Denpasar sudah berjalan dengan baik 2) Hambatan dan solusi dalam meningkatkan kinerja guru sudah sesuai dengan standar kinerja guru yang berlaku.
Pendayagunaan Zakat, Infaq dan Sedekah (ZIS) untuk Anak Yatim dan Fakir Miskin Melalui Program Rintisan Sebar Da'i Membangun Negeri di Baitul Maal Hidayatullah (BMH) Denpasar Bali
Authors: Maryamin Sofian , Mansur Ely , Gunawan Agus Hendra
Published: February 2022

Tujuan penelitian adalah untuk mengetahui : 1) Pendayagunaan ZIS di BMH Denpasar Bali.2) Program rintisan sebar da’i membangun negeri di BMH Denpasar Bali. 3) Kendala yang dihadapi oleh BMH Denpasar Bali dalam pendayagunaan ZIS melalui program rintisan sebar da’i membangun negeri. Metode penelitian ini deskriptif-kualitatif. Informan 6 orang yang dipilih secara purposive. Pengumpulan data melalui observasi, wawancara, dan dokumentasi. Teknik analisisis data meliputi reduksi data, penyajian data, dan penarikan kesimpulan. Berdasarkan hasil penelitian, dalam pendayagunaan ZIS di Baitul Maal Hidayatullah (BMH) Denpasar Bali memiliki 3 nilai, yaitu : pengalokasian, sasaran dan pendistribusian. Sedangkan untuk program sebar da’i membangun negeri memiliki 3 nilai yaitu : sosial, pendidikan dan dakwah. faktor penghambat dalam pendayagunaan ZIS melalui program rintisan sebar da’i adalah : perolehan dana ZIS yang menurun diakibatkan pandemi covid-19, kurangnya SDM baik yang ada di Baitul Maal Hidayatullah (BMH) Denpasar Bali dan kurangnya SDM di pondok sebagai tenaga pendidik, lingkungan yang masih dimayoritasi masyarakat hindu sehingga proses pendidikan melalui program ini kurang maksimal, jauhnya dari pusat perkotaan sehingga mempersulit layanan kesehatan dan kurangnya sarana dan prasarana yang ada di pondok.
Analisis Penggunaan Metode Tilawati dalam Mengoptimalkan Kemampuan Baca Tulis Al-Quran pada Siswa di MI Insan Mulia Tahun Pelajaran 2020-2021
Authors: Amala Gushaini Ikhsaniafi , Mahrusun Mahrusun , Dinansyah Dinansyah
Published: February 2022

Penggunaan metode dalam pembelajaran Alquran merupakan salah satu usaha dalam mengoptimalkan pembelajaran Alquran bagi para siswa. Sehingga pihak Sekolah perlu memilih metode yang tepat. Yang mana pemilihan metode yang tepat dapat mengoptimalkan hasil belajar baca tulis Alquran pada siswa. Tujuan penelitian ini adalah untuk mengetahui: (1) Kemampuan siswa dalam pembelajaran baca tulis Alquran di MI Insan Mulia, Jimbaran (2) Model penerapan metode Tilawati yang digunakan dalam upaya mengoptimalkan kemampuan baca tulis Alquran pada siswa di MI Insan Mulia, Jimbaran (3) faktor pendukung dan penghambat selama menerapkan metode Tilawati dalam mengoptimalkan pembelajaran baca tulis Alquran pada siswa di MI Insan Mulia, Jimbaran Tahun Pelajaran 2020/2021. Jenis penelitian ini kualitatif. Teknik pengumpulan data yang digunakan dalam penelitian ini adalah observasi, wawancara, dan dokumentasi. Hasil penelitian mengungkapkan bahwa: (1) Hasil pembelajaran Alquran siswa sedikit menurun di semester ganjil dan mulai meningkat di semester genap tahun pelajaran 2020/2021 (2) Penggunaan metode tilawati dapat mengoptimalkan kemampuan baca tulis Alquran pada siswa (3) Faktor pendukung dari optimalisasi pembelajaran Alquran metode tilawati di MI Insan Mulia yaitu sarana prasarana Madrasah yang memadai serta metode yang efektif. Sedangkan faktor penghambatnya yaitu sebagian guru belum bersertifikasi sebagai guru tilawati.
Efektivitas Program Beasiswa Satu Keluarga Satu Sarjana (SKSS) BAZNAS Provinsi Bali dalam Meningkatkan Prestasi Akademik di STAI Denpasar Bali
Authors: Adniyah Azizaturrohmi , Agrosamdhyo Raden , Iswahyuni Iswahyuni
Published: February 2022

Tujuan penelitian ini untuk mengetahui:1. Prestasi akademik mahasiswa sebelum dan setelah pemberian beasiswa SKSS Baznas Provinsi Bali, 2. Efektivitas program beasiswa SKSS Baznas Provinsi Bali dalam meningkatkan prestasi akademik mahasiswa, 3. Usaha mahasiswa dalam meningkatkan prestasi akademik dan hambatan yang dihadapi. Metode penelitian ini deskriptif-kualitatif. Informan 8 orang yang dipilih secara purposive. Pengumpulan data melalui wawancara dan dokumentasi. Teknik analisis data meliputi reduksi data, penyajian data, dan penarikan kesimpulan. Berdasarkan hasil penelitian, Efektivitas program beasiswa Satu Keluarga Satu Sarjana (SKSS) dalam meningkatkan prestasi akademik mahasiswa dapat dikatakan efektif. Karena sudah sesuai dengan tahapan yang meliputi pemahaman program, tepat waktu, tepat sasaran, tercapainya tujuan dan perubahan nyata untuk mengukur ke efektivitasan suatu program. Selama pemberian beasiswa nilai akademis mahasiswa menunjukkan kenaikan dan juga penurunan nilai yang masih memenuhi batas minimum. Usaha yang dilakukan dalam meningkatkan nilai yaitu mau belajar, mengerjakan dan mengumpulkan tugas tepat waktu, manajemen waktu yang baik, berdoa. Sedangkan hambatannya dikarenakan rasa malas, permasalahan dalam keuangan, atau bahkan bekerja sehingga fokus menjadi terbagi.
A Study on the Effect of a Non Hormonal Homeopathic Growth Promoter on the Growth and Flowering of Rainbow Ginger (Curcuma Aurantiaca Zijp.)
Authors: Nair Bavana , Kumar K.M. , Sabu M. , Mohanan K.
Published: February 2022

The present study is an effort to analyze the effect of Agrogreen, one such formulation on the growth and flowering of Rainbow Ginger (Curcuma aurantiaca Zijp.), an important potential ornamental ginger that is common in South and South East Asia. Agrogreen treatment resulted in healthy and uniform growth of the plants. The treated plants showed reduced plant height and compact habit making them dwarfer, healthier and more attractive. Flowering started earlier producing inflorescences with more compactly arranged bracts and flowers. The plants became more vigorous with uniform flowering.
Studies on important plant characters of Poplar (Populus deltoides) for Agroforestry system of Central Uttar Pradesh
Authors: Khan Md. , Kumar Ashwani , Khan S.
Published: February 2022

Poplar is a fast growing tree being recommended for Agroforestry System. Studies indicated that the Poplar based Agroforestry System is not getting momentum in Central part of Uttar Pradesh. Realizing the necessity of growing population the present investigation was conducted during the year, 2004 and 2005 at Forest Research Institute, Kanpur, Uttar Pradesh. It is revealed from experimental finding that the Poplar clone S7C4 showed the highest plant height closely followed by S7C2 whereas highest collar diameter with Poplar clone S7C2 closely followed by S7C4. The highest number of branches in main shoot was recorded by S7C15 followed by G-48 and Udai whereas it was lowest with G-3 followed by L-52. The Pant Poplar-5 possesses the highest leaf area index followed by S7C2 and G-48 and it was lowest with D-121. The poplar clone G-48 showed the longest leafless period whereas lowest duration was with Pant Poplar-5. The lowest crown diameter was recorded with G-3 followed by S7C2 while it was highest with G-48 followed by Udai.