bluuebunny/crossref_metadata_2025 huggingface dataset:
Predictors of Emotional Intelligence among Preschool Children in Kuala Lumpur, Malaysia
Authors: Ern Tun Ju , Arshat Zarinah , Ismail Nellie
Published: December 2020

Emotional intelligence is emerging as a relatively important and growing area of behavioural investigation in education, psychology, learning and development. Negative effects may arise and affect children's lives when emotional intelligence deficits. Nowadays, electronic devices have become common and hence it is undeniable that screen time of electronic devices among preschool children is gradually increasing because they have more opportunities to use it in anywhere and anytime. Playfulness is an essential element of childhood that could promote children's emotional intelligence and future mental health. Besides, parents play the main roles in monitoring their children's screen time, in forming children's playfulness traits and in promoting their emotional intelligence. Certain previous researches revealed that the frequency of electronic device usage or screen time was higher for children with lower socioeconomic status families (Dashti & Yateem, 2018; Certain & Kahn, 2002). Low socioeconomic status would affect parenting practices like monitoring and also parental investment (Dashti & Yateem, 2018). This could be supported by previous studies which mentioned parents from low SES families would engage in less responsive ways when interacting or playing with their kids (Conger & Donnellan, 2007; Grant et al., 2003). Moreover, financial difficulties would affect children's socio-emotional development and also parenting strategies like monitoring because low-income parents preferred to use restrictive strategies when monitoring their kids (Hosokawa & Katsura, 2017; Nikken & Jansz, 2006; Conger & Conger, 2002). Nevertheless, higher SES families would use more active and involved interaction style with their kids (Fujioka & Austin, 2002; Linver, Brooks-Gunn & Kohen, 2002; Mayer, 1997). This study sought to determine the relationship between mother's characteristics (age, mothers' education level and employment status), child's characteristics (age), family characteristics (family total monthly income and number of children), screen time, playfulness and parental monitoring with emotional intelligence among Chinese preschool children. Next, the research aims to determine the unique predictors of EI.

Keywords: Emotional intelligence, Parental monitoring, Playfulness, Preschool children, Screen time
Evolution, Middle Knowledge, and Theodicy
Authors: Spencer Daniel
Published: December 2020

In this paper, I investigate the relationship between a nonlapsarian, evolutionary account of the origin of sin and the potential ramifications this might have for theodicy. I begin by reviving an early twentieth century evolutionary model of the origin of sin before discussing the most prominent objection which it elicits, namely, that if sin is merely the misuse of natural animal passions and habits, then God is ultimately answerable for the existence of sin in the human sphere (the “Responsibility Argument”). Though I suggest that this argument likely misfires, my main concern lies elsewhere. For the proponent of the Responsibi- lity Argument will customarily reject an evolutionary account of sin’s origin and instead endorse something like the traditional Fall account—the doctrine of Origi- nal Sin. I argue, however, that the Fall theory is also clearly subject to a parallel Responsibility Argument, so long as we take God to possess (minimally) Molina’s scientia media. While I will not pretend to have solved every issue in my discus- sion of Molinism, still the desired conclusion should emerge unscathed: if the Responsibility Argument is a problem for an evolutionary account of the origin of sin, then it is a problem for the Fall doctrine, too.
Threats, Coercion, and Willingness to Damn
Authors: R Gillham Alex
Published: December 2020

In this paper, I develop and evaluate three new objections to the Un- populated Hell View (UHV). First, I consider whether UHV is false because it presupposes that God makes threats, which a perfect being would not do. Second, I evaluate the argument that UHV is false because it entails that God coerces us and therefore limits our freedom to an objectionable degree. Third, I consider whether UHV is false because it implies that God is willing to damn some individuals to Hell. I conclude that none of these objections defeats UHV. First, even if God’s creation or allowance of Hell constitutes a threat, a perfect God might choose to threaten us when doing so is in our best interest. Second, God’s creation or allowance of Hell is not coercive and does not limit our freedom to an objectionable degree. Third, although damnation in Hell is possible, God is unwilling to actualize it. In light of these findings, I stand by the conclusion from my initial article: UHV merits further consideration as a solution to the Problem of Hell.
Ternary-source vapor-phase deposition of CH3NH3PbI3 polycrystalline thin films using CH3NH2 and HI gas sources with PbI2 solid source
Authors: Nakamura Yuiga , Matsushita Tomonori , Kondo Takashi
Published: December 2020

We have investigated reaction processes of vacuum deposition of CH3NH3PbI3 using CH3NH3I and PbI2 solid sources. CH3NH3I decomposes to CH3NH2 and HI at around 100 °C under usual vacuum deposition conditions. Therefore, CH3NH3I solid source can be replaced with CH3NH2 and HI gas sources. We have demonstrated that high-quality CH3NH3PbI3 polycrystalline thin films can be fabricated by ternary-source vacuum deposition using CH3NH2 and HI gas sources combined with PbI2 solid source. The newly developed ternary-source vapor-phase deposition technique is useful because of its high stability and controllability in deposition rates.
Measurement of electron temperature and density of atmospheric-pressure non-equilibrium argon plasma examined with optical emission spectroscopy
Authors: Onishi Hiroshi , Yamazaki Fuminori , Hakozaki Yoshiro , Takemura Masaki , Nezu Atsushi , Akatsuka Hiroshi
Published: December 2020

The electron temperature T
e and density N
e of atmospheric-pressure non-equilibrium dielectric barrier discharge argon (Ar) plasma are measured with optical emission spectroscopy. Continuum emission due to bremsstrahlung is applied to the analysis of the electron temperature and density with the spectrometric system in the visible wavelength range calibrated absolutely. The assumption of the Maxwellian electron energy distribution function (EEDF) results in T
e ≃ 0.29 eV and N
e ≃ 1.1 × 1016 cm−3, whereas the Druyvesteyn EEDF leads to the result T
e ≃ 0.79 eV and N
e ≃ 1.4 × 1014 cm−3. To confirm the validity of these values, several line intensities of the excited states of the Ar atom are observed experimentally and compared with the theoretical population densities calculated by the Ar collisional–radiative (CR) model that includes atomic collisional processes. It is confirmed that the order of the observed excited-state number densities agrees well with that calculated numerically by the CR model with the Druyvesteyn EEDF, while the Maxwellian EEDF gives poor results.
SOCIO-CULTURAL AND ECONOMIC SPHERES OF LIFE OF THE SOLDIERS OF THE THIRD HAYDAMAK REGIMENT IN 1918 (ACCORDING TO THE MEMORIES OF VOLODYMYR SIKEVYCH)
Authors: Hromik O.
Published: December 2020

The article, based on the information provided in the memoirs of V. Sikevych, highlights various aspects of the daily life of the soldiers of the Third Haydamak Regiment, the relationships between them, reveals their mental features and examines the festive leisure and ceremonial culture of the regiment.
SISTEM INFORMASI GEOGRAFIS LOKASI DESA TANGGUH BENCANA (DESTANA) BERBASIS ANDROID PADA BADAN PENANGGULANGAN BENCANA DAERAH KABUPATEN GORONTALO
Authors: Pakaya Arya
Published: December 2020

Tangguh Disaster Village is a village that has a self-reliant ability to adapt and face disaster threats and recover immediately from adverse catastrophic impacts. The problem in designing this system is that there is no geographical information system based on Android in the process of searching the data location of Tangguh disaster Village (DESTANA) in Gorontalo district. This research aims to design an Android-based geographic information system that can be used to locate the Tangguh Disaster village (DESTANA) data location in Gorontalo District to help local people and migrants with Use Android mobile devices that provide information about the Tangguh disaster Village (DESTANA) data location and know the location of an area presented with digital map facilities.  The results of the study concluded that the test results to search for the location information of disaster Tangguh Village (DESTANA) and display the appropriate and valid view so that the application can be used effectively and efficiently.
PENGEMBANGAN SISTEM INFORMASI DATA ALUMNI SISWA PADA SMK NEGERI 1 GORONTALO BERBASIS ANDROID
Authors: Karim Jorry
Published: December 2020

Every educational institution annually graduates its alumni after undergoing a 3-year school period. From year to year, every new student acceptance will be the release of alumni to proceed to a higher level or jump to the world of work. Communication with alumni is not easy, usually, after graduating from school, alumni will be busy with their new activities. Until now, SMK Negeri 1 Gorontalo has not utilized the use of information systems in the collection and search of alumni. The method used in this research is the waterfall method, which is a systematic classical model to build software. The research was concluded that the information system that developed can be a solution to the problem of alumni data difficulties and save space in archive storage because alumni data is stored in the database.
Pengenalan Gerak Manusia Menggunakan Algoritma Relevance Vector Machine pada MSRC-12 Dataset
Authors: Ayumi Vina , Dwika Putra Erwin
Published: December 2020

Relevance vector machine is a popular machine learning technique that is motivated by statistical learning theory. RVM can be used for gesture recognition which is one of the communication tools used by humans. This study proposes an experiment using the Relevance Vector Machine (RVM) algorithm on gesture data from Microsoft Research Cambridge-12 (MSRC-12) as a proposed solution to overcome unbalanced problems in data processing. The results of the study are the accuracy for 1-person motion model reaches 100% and the lowest accuracy with 5 people the motion model reaches 96%. Graphically, the more people or models, the lower the algorithm's accuracy.
APLIKASI MOBILE LEARNING BAHASA INGGRIS DI SEKOLAH ALAM MAHIRA KOTA BENGKULU
Authors: Sonita Anisya , Apriance Cici
Published: December 2020

Mempelajari bahasa inggris merupakan sesuatu yang baik untuk dilakukan sedini mungkin, mengingat fungsinya sebagai ilmu dapat menghubungkan antar negara. Pelajaran bahasa inggris diperlukan dalam berbagai bidang pendidikan. Sekolah Alam Mahira merupakan lembaga pendidikan yang menghasilkan lulusan yang diharapkan siap berkompetisi di sekolah lanjutan tingkat pertama berdasarakan kurikulum nasional KTSP 2003, maka lulusannya dituntut tidak hanya memiliki hard skill, akan tetapi juga soft skill. Manfaat penelitian ini adalah menghasilkan aplikasi yang dapat membantu pengguna dalam upaya pembelajaran bahasa  inggris yang dapat diakses secara praktis kapanpun dan dimanapun melalui smartphone. Diharapkan pengembangan aplikasi ini dapat menjadi referensi bukan hanya dunia pendidikan khususnya pelajaran bahasa inggris melainkan juga untuk semua pelajaran dan semua kalangan sebagai perkembangan informasi teknologi.
SISTEM RESPON LAMPU LALU LINTAS TERHADAP PELANGGARAN PENGENDARA MENGGUNAKAN ULTRASONIK
Authors: Rifqo Muhammad Husni , Aprianti Heni
Published: December 2020

Abstrak – Angka kecelakaan lalu lintas dalam beberapa tahun ini sangat tinggi. Pada tahun 2013 majalah Gatra mencatat sebanyak 93.578 kasus kecelakaan lalu lintas di Indonesia dengan jumlah korban tewas mencapai 23.385 orang. Faktor penyebab terjadinya kecelakaan lalu lintas di Indonesia adalah: aggressive driving (67%), over speed (60%), penggunaan HP saat mengemudi (37%), perilaku berbahaya yang tidak lazim (45%), unsafe passing (43%), drive just for fun (12%), menerobos lampu pengatur lalu lintas (72%). Sistem pemantauan pelanggaran lalu lintas pada traffic light menggunakan sensor ultrasonik, berbais Arduino Uno adalah suatu alat yang dirancang untuk mempermudah polisi lalu lintas dalam mendeteksi pelanggaran lalu lintas di area traffic light. Tujuan pembuatan alat ini adalah meminimalkan kecelakaan yang sering terjadi dikarenakan banyak pengendara kendaraan yang menerobos disaat lampu merah. Penelitian ini mendiskusikan tentang perancangan cara kerja sensor ultrasonik, cara kerja alat ini yaitu pada saat lampu merah menyala maka sensor ultrasonik on, sehingga ketika ada kendaraan yang melintasi garis batas lampu merah maka sensor ultrasonik tersebut akan mengirimkan perintah kepada Arduino Uno memerintahkan buzzer untuk mengeluarkan suara, suara yang dikeuarkan berupa suara beep.Kata kunci : Arduino Uno, Ultrasonik, Buzzer
PEMILIHAN KUALITAS KAYU TERBAIK PADA PT. RUMAH KAYU KITA DENGAN METODE WEIGHTED PRODUCT
Authors: Kristiana Titin -
Published: December 2020

Sistem Pendukung Keputusan ditujukan untuk keputusan yang memerlukan penilaian atau untuk keputusan yang sama sekali tidak dapat didukung oleh algoritma. Sistem Pendukung Keputusan meluas dengan cepat, dari sekedar alat pendukung personal menjadi komoditas yang dipakai bersama. Dengan terus berkurangnya produksi kayu hutan alam maka kayu olahan menjadi alternatif bagi masyarakat untuk memasok kebutuhan kayu. Pada PT. RUMAH KAYU KITA kualitas kayu menjadi salah satu kebutuhan utama dalam pemilihan kayu terbaik untuk digunakan dalam berbagai kebutuhan. Metode Weighted Product yang memanfaatkan beberapa pilihan alternatif yang ada, khususnya Fuzzy Multi Attribut Decision Making (MADM) sebagai dasar perhitungan yang berguna untuk pengambil keputusan.
CHANNEL BOT TELEGRAM SIMLITABMAS SECARA OTOMATIS DENGAN MEMANFAATKAN WEB CRAWLER
Authors: Fahri Muhammad Ullil
Published: December 2020

Saat ini masih terdapat dosen yang sering terlambat dalam mendapatkan informasi terbaru dari simlitabmas. Sehingga banyak dosen di Indonesia yang tidak mendapat dana hibah. Dikarenakan kurang updatenya dari dosen. Penelitian bertujuan memberikan kemudahan untuk dosen di indonesia dalam mendapatkan informasi dari website simlitabmas. Pengujian dan implementasi telah dilakukan pada penelitian ini, dan berjalan dengan sangat baik. Dengan memanfaatkan web crawler dalam mendapatkan informasi tentang web simlitabmas secara berkala, ketika ada update dari web simlitabmas secara otomatis memberikan notifikasi telegram ke dosen.
PENERPAN ALGORITMA BINARY SEARCH DALAM PENCARIAN DATA POTENSI INVESTASI DI KABUPATEN SELUMA DENGAN SMARTPHONE
Authors: Onsardi Onsardi , Muntahanah Muntahanah , Toyib Rozali
Published: December 2020

Seluma Regency has several attractive investment sectors to develop, such as coal mining, shrimp ponds, oil palm plantations, weaving and tourism, the Seluma Government has tried to collect this potential data and package it in the form of a regional book and the limited costs do not allow to produce the book en masse so that digitalization of the data is needed but the data is large, difficult to access with keywords. Search Algorithm In general, search is defined as looking for data by tracing where the data is stored, Searching is the process of searching or searching, Binary search is a method of searching data that has been ordered. In this method all ordered data elements will be tested one by one until the desired element is found. Searching for sorted data will result in a fast search. This algorithm is used for fast search times. The test results are the largest potential area in Seluma Regency is the agriculture and animal husbandry sector (fisheries), then followed by mining and tourism sectors. Efficient and faster Binary Search Algorithm if looking for a value in a large amount of data, Because these data have been sorted first first and the complexity of the algorithm is smaller, the first drawback of Binary Search is that data must be sorted first so that the search process can run well and is more complicated.
FACTORS AFFECTING THE RECEDING AGE OF ONSET OF MENARCHE IN YOUNG GIRLS – AN OBSERVATIONAL STUDY
Authors: H Ramesh , M Spoorthi S , B Mounika , B Ashok
Published: December 2020

Background: The time of first menarche is an important milestone in female sexual maturation. Studies have shown trends of decreasing age of menarche in most Indian states. Objective: To trace the factors associated with receding age at menarche and to evaluate the strength of association between those factors with receding age at menarche. Materials and methods: An observational study was done in the schools in Davangere from July 2018 to June 2019. 372 menstruating girls between the age of 9–15 years were included in the study. The participants data regarding chronological age, age of menarche, socioeconomic status, physical activity and diet were collected using a questionnaire. The anthropometric measurements were taken using standard techniques and general physical examination was done for all the participants. Results: The mean age of attainment of menarche was 11.94 ± 1.02 years. The study had a strong association between age at menarche and socioeconomic status (p<0.001). Body mass index (BMI) and waist circumference (WC) was inversely and significantly associated with age of menarche (p<0.01). Conclusion: The world wide trends of declining age of menarche were seen in our study too. The factors affecting being mother’s age of menarche, BMI, Waist circumference and higher socioeconomic status. This underline that further evaluation of factors associated with it and studying future implications of lower age at menarche is important.
Clinical Efficacy Of Hyperbaric Bupivacaine With Clonidine In Two Different Doses With Respect To Sensory Characteristics, Motor Characteristics And Recovery Characteristics In Patients Undergoing Lower Limb Orthopaedic Surgeries
Authors: HN Preethi , NV Santhosh , BM Ravishankar
Published: December 2020

Background: Intrathecal opiods as adjuvant to local anaesthetics, when administered intrathecally, act synergistically to overcome the property of reduced duration of postoperative analgesia.. Clonidine a selective partial α2 adrenergic agonist administered intrathecally with bupivacaine improved the quality and duration of postoperative analgesia. Methods: In this Randomised comparative study, 60 patients aged between 20 years and 60 years belonging to ASA I and II undergoing lower limb Orthopaedic surgeries were selected. Sample size was calculated by keeping the confidence interval at 95% and power of study at 80%. Results: The mean time of onset of sensory, motor blockade and the time to achieve maximum sensory level and sedation scores was compared in both the groups. The mean duration of effective analgesia in Group BC30 and in Group BC60 was 357.33±6.915 and 425.33±27.131 minutes respectively. Conclusion: In conclusion , the addition of clonidine 60 µg to hypaerbaric bupivacaine intrathecally prolonged both sensory and motor blocked with higher duration of sensory block when compared to motor block of spinal anaesthesia and hence the duration of analgesia when comared to clonidine 30µg .
QUALITY OF LIFE DURING ONE YEAR FOLLOW UPAFTER INTENSIVE CARE DISCHARGE
Authors: Pandey Praveen , Mishra L. D.
Published: December 2020

Patient treated in an Intensive care unit (ICU) are seriously ill. Have a high co‐morbidity, morbidity and mortality. ICUs are resource – demanding as they consume significant hospital resources for a minority of patients. The development of new medical procedures for critical care patients has over the years led to survival of large numbers with more complex illnesses and extensive injuries. Improved survival rates lead to needs for outcome measures other than survival. (1)Death and full recovery are two main and contrary outcomes of intensive care. As survivors often suffer from post intensive care unit (post‐ ICU) consequences, they cannot be regarded as fully recovered.
Post‐ICU consequences are caused by an illness itself, organ dysfunction developed before ICU admission or acquired during the stay in the ICU, and/or prolonged intensive care support of failed organ(s). Organ failure in intensive care may have an impact on the life of ICU survivors long after their discharge from the ICU. To evaluate the quality of health and life in such patients as a whole, mere objective clinical or laboratory analyses are not enough.
Subjective perception of the physical and mental quality of life by patients themselves becomes more and more important for the evaluation of post‐ICU outcomes.(2) As initial care advances and ICU mortality decreases number of survivors of critical illness is increasing. These survivors frequently experience longlasting complications of critical care. The purpose of this study is to understand these complications & implement evidence based practices to minimize them.
FINGER RIDGE PATTERNS IN PSORIASIS PATIENTS
Authors: P D Varghese , George Leelamma A , K.S Lekha , Mathew Anjali K , P R Varghese
Published: December 2020

Psoriasis is a chronic inflammatory disorder of the skin. In India the prevalence of psoriasis varies from 0.44 to 2.8%, it is twice more common in males compared to females. Beyond the physical dimensions of disease, psoriasis has an extensive emotional and psychosocial effects on patients. Dermatoglyphics is the study of epidermal ridges and grooves on palm and sole which is formed during the third or fourth month of foetal life which remain unchanged till death. The present study is an attempt to correlate the differences in fingertip patterns of psoriasis patients with controls. In this study 54 male patients and 100 controls are included from a tertiary care teaching institution in North Kerala. There were 46.12% whorls, 48.31% ulnar loops, 1.66% radial loops and 3.91% arches among the patients. Among the controls it was 42.8%, 51.2%, 2.4% and 3.6% respectively. When the fingers are individually considered thumb and second and fourth fingers have more whorls in both cases and controls. Of these the increase of whorls on the fourth finger (ring finger) on right side among patients is statistically significant. Pattern intensity index, Dankmeijer’s index and Furuhata’s index are reported. The findings of the study are suggestive of a possible trend and an association of finger print patterns with patients suffering from psoriasis.
AS WE SAY “PREVENTION IS ALWAYS BETTER THAN CURE”
Authors: Prasad Guru , Vasudevan Anjana , Bala Vivek , Subbaramiah Prabhakaran , Prakasam Nithyaraj , Senguttuvan K.
Published: December 2020

Background and Objectives: Gastric cancer remains one of the most common and deadly cancers worldwide. Based on GLOBOCAN 2018 data, stomach cancer is the 5th most common neoplasm and the 3rd most deadly cancer, with an estimated 783,000 deaths in 2018. Gastric cancer incidence and mortality are highly variable by region and highly dependent on diet and Helicobacter pylori infection. Hence the aim of this study was to analyze the benefits of upper gastrointestinal endoscopy (UGI Scopy) among patients with Gastro Esophageal Reflux Disease symptoms (GERD) and analyze the results of the same, in an attempt to find and diagnose patients with early stage gastric cancer.
Materials and Methods: A cross-sectional study of all patients attending general surgical outpatient department for dyspepsia, GERD and associated symptoms during the year 2019-2020. After institutional ethical clearance, patients written informed consent was obtained after explaining the procedure to them. A through history and examination was done and following this UGI scopy was performed and the findings recorded.
Results: there were a total of 2038 cases. Among these patients 95.78% of them had significant findings. Reflux esophagitis was found in 13.7%, Antral gastritis in 26.4% and Pangastritis in 39.6%, Duodenitis was found in 10.69%, esophageal varices in 4.31% and esophageal candidiasis was 3.72%. 7.2% of the patients were diagnosed with malignancies.
Conclusion: Upper GI endoscopy is therefore an effective tool to facilitate earlier diagnosis and treatment in patients with GERD like symptoms.
AN OBSERVATIONAL STUDY OF HEARING IMPAIRMENT IN CHILDREN BELOW 12 YEARS OF AGE AT A TERTIARY CARE CENTRE
Authors: Patadia Jigisha , Subhadarsini Santoshi
Published: December 2020

Background: Hearing is the key to learning spoken language and is important for the cognitive development of children. Without suitable interventions, hearing loss is a barrier to both education and social integration. Untreated hearing loss also affects social and economic development in communities and countries. Objectives: 1. To identify the proportion of different etiologies of hearing impairment in children below 12 years of age. 2. To evaluate association of perinatal, early and late childhood factors with hearing impairment in children below 12 years of age. Methods: A descriptive cross-sectional study conducted in children younger than 12 years of age attending tertiary care center of South Gujarat for hearing impairment. Total 214 patient’s records out of them 34 patients were lost to follow-up and 15 patients did not give consent for the study. So total 165 patients included in study. Results: Total 165 patients out of them 69.2% had Sensorineural hearing loss and 30.8% had conductive hearing loss. Most common cause of hearing impairment are ear infection followed by prematurity, chromosomal defect and history of NICU stay. Conclusion: Most common type of hearing loss is Sensorineural hearing loss and most common cause of hearing impairment is ear infection followed by prematurity, chromosomal defect and history of NICU stay.
A CROSS-SECTIONAL SURVEY TO ASSESS THE STATUS OF BMI AND ATTITUDE OF SELF CARE AMONG MEDICAL STUDENTS OF PRIVATE AYURVEDA MEDICAL COLLEGE KERALA
Authors: V Aswathy , K N Umadevi , K K Vivek Unni , K P Nivil
Published: December 2020

Health care profession is considered as most stressful and difficult profession that demands compromises. Health professionals are prone to lifestyle disorders and early aging owing to their work load, untimely food, inadequate sleep and sedentary work. Unfortunately, self-care among health care professionals and students are very less. It’s important to develop self-care attitude among the medical students along with medical education they receive. Self-care maintenance should develop as one’s habit and to develop such habit, health status assessment and self-care measures should be periodically encouraged in every medical colleges. Present study took place as a part of National Service Scheme campaign to assess the health status of our medical students and a short assessment of their attitude towards self- care.
A CLINICO-PATHOLOGICAL STUDY ON CYTOLOGICAL SCREENING OF BRONCHOALVEOLAR LAVAGE AND SUBSEQUENT CORRELATION WITH ADENOSINE DEAMINASE, GENEXPERT MTB IN SUSPECTED SPUTUM NEGATIVE PULMONARY TUBERCULOSIS
Authors: Nandi Ankan , Jana Debarshi
Published: December 2020

BACKGROUND: Sputum negative pulmonary tuberculosis is a world-wide burden on health budget. Clinico- radiologically suspected sputum negative pulmonary tuberculosis needs to be diagnosed using cytopathology along with ADA levels and GeneXpert MTB tests of BAL fluid obtained through bronchoscopy.
AIM: To interpret the cytological screening of bronchoalveolar lavage and subsequent correlation with adenosine deaminase, genexpert mtb in suspected sputum negative pulmonary tuberculosis.
METHODS: Patients visiting Pulmonary Medicine outdoor of R.GKAR Medical College Hospital, who are clinico radiologically being suspected as pulmonary tuberculosis but are sputum smear AFB negative on two consecutive samples. The study group includes these patients who are willing to undergo bronchoscopy, in whom there are neither any medical contraindications nor other miscellaneous restraints i.e. the study group contains cases of pulmonary TB as well as other infectious malignant non-infectious lung diseases.
RESULT: Of the 61 patients, 41(67.2%) patients were male and 20(32.8%) patients were female. The average age of male patients was 51.71years and the average age of female patients was 39.35years.The mean ADA level of BAL fluid in patients with Pulmonary Tuberculosis was 22.54 U/L (Normal level – less than 30 U/L) and mean ADA level of BAL fluid in patients without Pulmonary Tuberculosis was 4.76 U/L (Normal level – less than 30 U/L).
CONCLUSION: Cytology of bronchoalveolar lavage along with adenosine deaminase and GeneXpert MTB are important diagnostic and screening tools in suspected sputum negative pulmonary tuberculosis. As it can detect different kinds of inflammatory and other types of cells, it can also help in choosing the appropriate therapeutic procedure / modality for a disease.
A COMPARATIVE STUDY OF WIDAL TEST WITH BLOOD CULTURE IN THE DIAGNOSIS OF TYPHOID FEVER IN FEBRILE PATIENTS ATTENDING GGH, ANANTHAPURAMU.
Authors: Sekhar B.R.Chandra , Latha G. Swarna , Sailaja M. , Prabhakar M S
Published: December 2020

Introduction
Typhoid fever is a systemic prolonged febrile illness caused by certain Salmonella serotypes including Salmonella typhi, S. paratyphi A, S. paratyphi B and S. paratyphi C. 1 Human beings are the only reservoir host for typhoid fever. It is transmitted is by feco-oral contamination of water and food in endemic areas especially by carriers handling food. The World Health Organization (WHO) estimates about 21 million cases of typhoid fever with >600,000 deaths annually. 2 The cases are more likely to be seen because of rapid population growth, increased urbanization, and limited safe water, limited infrastructure and health systems.
Aims & Objectives
The main aim of this study is to compare the result of Widal test and blood culture in the diagnosis of typhoid fever in febrile patients.
Material & Methods: This is a prospective study conducted in the GGH Anantapuramu, for a period of 18 months .i.e. from May 2018 to Oct 2019. Blood samples were collected from 542 febrile patients with symptoms clinically similar to typhoid fever. Blood culture was used to isolate S.typhi and S.paratyphi. Slide agglutination test and tube agglutination tests were used for the determination of antibody titer. An antibody titer of ≥1:80 for anti TO and ≥1:160 for anti TH were taken as a cut of value to indicate recent infection of typhoid fever.
Results: A total of the 542 patients were the study population, among which 384 (70.8%) were females, and 158 (29.1%) were males. Widal and blood culture was performed, 11 (2.02%) cases of S. typhi and 5 (0.9%) cases of S. paratyphi were identified using blood culture. The total prevalence of typhoid fever is 2.95%. The specificity, sensitivity, Positive Predictive Value, and Negative Predictive Value of the Widal test with O Ag is 70%, 81.25%, 10.93%, and 96%, respectively, and with H Ag is 40%, 96%, 18.1%, 98.8% respectively.
A PATHOLOGIST'S EXPERIENCE WITH THE HEAVIEST RENAL TUMOR EXCISED TILL DATE
Authors: Gadgil Nitin M , Anitha Padmanabhan , Kale Kshitija , Singh Gagan Pratap
Published: December 2020

Mixed epithelial and stromal tumor (MEST) was described in 1973 by Block et al. It was introduced in WHO in 2002 and was defined as a complex renal neoplasm composed of a mixture of stromal and epithelial elements. Microscopically it shows abundant stroma that is thrown into broad papillae with microcysts embedded within. This gives it a phyllodes-like appearance. The tumor is benign. There are no reported recurrences of MEST. We here report the histological finding of the heaviest renal mass excised to date and emphasize on the role of careful histological examination to not miss out rare benign conditions like MEST.
PREVALENCE OF IRREGULAR RED CELLANTIBODIES IN HEALTHY BLOOD DONORS ATTENDING A TERTIARY CARE HOSPITAL IN SOUTH INDIA
Authors: C Keerthi , Rajendran Arun , B Suresh Babu , D Praveen , G Sandhya , C Ravikanth , KV Sreedhar Babu
Published: December 2020

Introduction: Red cell antibodies that are found normally in human serum are considered naturally occurring and those are anti A and anti B. All other antibodies directed against RBC antigens are considered “unexpected or irregular".
Aim: This study is aimed to evaluate the prevalence of the anti-red blood cell antibodies among healthy blood donors.
Material and Methods: Antibody screening and identification was done using commercially available 3 cell and 11 cell reagent cells (0.8% Surgiscreen, Ortho Clinical Diagnostics Limited, USA and Low ionic Strength Saline Ortho Bliss with AHG Cassettes) in antihuman globulin phase.
Results: A total of 36,684 donors were screened for the presence of irregular erythrocyte antibodies. Among these donors, twenty donors showed presence of alloantibodies in their serum (0.054%). Most frequent alloantibodies identified were from Lewis blood group system. The results showed statistically a higher prevalence of RBC alloantibodies in males than in females.
Conclusion: Screening for presence of alloantibodies in donor blood is important to provide compatible blood products and to avoid transfusion reactions.
DELAYED DIAGNOSIS OF EXTRAPULMONARY TUBERCULOSIS PRESENTING AS FEVER OF UNKNOWN ORIGIN IN BIHAR
Authors: Kumar Sant , Sinha Prabhat Kumar , Jana Debarshi
Published: December 2020

Background: Tuberculosis (TB), especially extrapulmonary tuberculosis (EPTB), is an important cause of fever of unknown origin (FUO) in Bihar. Little information is known about patients with EPTB with clinical features presenting as FUO and about the factor of delaying the diagnosis.
Material and Methods: We retrospectively analyzed EPTB patients at DMCH, Laheriasarai, Bihar, who were referred with FUO fromMithilanchal area around like; Darbhanga, Madhubani, Samsatipur and other places. The subjects were assigned to groups of early diagnosis and delayed diagnosis within3 days of an initial comprehensive evaluation from the referral. Clinical and laboratory variables were compared between the groups.
Results: A total of 95 patients with febrile EPTB were included. Localizing symptoms and/or signs suggestive of anatomy were identified in 62.1% of the patients. Concurrent lung involvement by TB was presented by 49.5% (47/95) of the patients, and only 23.4% of them showed typical findings of pulmonary TB on simple chest X-ray. Most of the patients showed abnormal lesions on cross-sectional CT (98.9%) and MRI (100%). The clinical variables and blood test results of patients were not significantly different between the two groups. The less typical imaging finding of EPTB on CT (38.5% vs. 79.0%) and MRI (37.5% vs. 79.0%) in the delayed diagnosis group was a risk factor for delayed diagnosis.
Conclusion: Febrile EPTB referred as FUO showed nonspecific clinical manifestations. The active application of cross-sectional imaging tests according to clinical clues or randomly in the absence of local manifestations, combined with invasive diagnostic approaches even for atypical presentations may lead to an earlier diagnosis of febrile EPTB.
COMPARATIVE STUDY BETWEEN BISAP SCORE AND RANSON SCORE IN PREDICTING SEVERITY OF ACUTE PANCREATITIS
Authors: Pallavi Kumari , Nathani M. K. , Narayan C. M. , Jana Debarshi
Published: December 2020

Background: Acute pancreatitis has widely variable clinical and systemic manifestations spanning the spectrum from a mild, self-limiting episode of epigastric pain to severe, life-threatening, multiorgan failure. Since the morbidity and mortality of Acute Pancreatitis differ markedly between mild and severe disease (mild < 5% vs severe 20–25%), it is very important to assess severity as early as possible. Various scoring systems like APACHE II scoring, RANSON scoring and BISAP have been used to asses Severity in Acute Pancreatitis.
Aim and objective: To assess the accuracy of BISAP scoring system vs RANSON scoring system in predicting Severity in an attack of acute pancreatitis.
Materials and methods: In this study, 60 in-patients presenting with features of acute pancreatitis at Department of Surgery, Govt. Medical College and Hospital, Bettiah, W. Champaran, Bihar from April 2019 to March 2020 had been studied. It was a perspective and a retro prospective study. BISAP score and Ranson’s score was calculated in all such patients based on data obtained within 48 hours of hospitalization.
Results: According to Atlanta Revised criteria, 30 patients had mild pancreatitis, 20 patients had moderately severe pancreatitis, 10 patients had severe pancreatitis. Of the 60 patients, 37 patients had Ranson's score less than or equal to 3. 23 patients had a score of more than 3.Of the 60 patients, 39 patients had a BISAP score less than or equal to 3, 21 patients had a score more than 3.
Conclusion: From this study, we can conclude that the BISAP scoring system is not inferior to Ranson’s scoring system in predicting the severity of acute pancreatitis. BISAP scoring system is very simple, cheap, easy to remember and calculate. BISAP scoring system accurately predicts the outcome in patients with acute pancreatitis. Moreover, the values in BISAP score are instantaneous and there is no time delay. Ranson’s score takes a minimum of 24 hours.
A COMPARATIVE STUDY OF COMBINED MICRONEEDLING WITH PLATELET RICH PLASMA VERSUS MICRONEEDLING ALONE IN ACNE SCAR
Authors: Patel Yogesh , Parmar Brijesh , Umrigar D. D.
Published: December 2020

Background: Scarring is common complication of acne. Microneedling is well accepted modality of treatment for atrophic acne scar. Platelet rich plasma (PRP) is newer option in acne scar management.
Aim: To compare efficacy of combined microneedling and PRP with microneedling atrophic acne scar.
Materials and Method: A total of 34 patients of atrophic acne scar were included in study. Right side of face was treated with combined microneedling and PRP and left side of face treated with microneedling alone. Total three sitting of treatment given at monthly interval. Final assessment was done using physician satisfaction score and Goodman and Baron acne scar grading one month after last sitting.
Result: A total of 34 patients enrolled out of which 2 were dropped out 32 patients had included in final analysis.
The baseline mean Goodman and Baron Score of both side of face was 2.72±0.45 which was reduced to 2.2 ±0.4 and 2.37 ±0.5 on right side and left side of face respectively. The mean physician satisfaction score was 2.16±0.79 and 1.91±0.8 on right side and left side of face respectively.
Conclusion: Combined approach using microneedling with PRP is a better option than microneedling alone in acne scar management clinically.
COMPARATIVE STUDY OF SITAGLIPTINAND PIOGLITAZONE AS ADDONTHERAPY OVER PLASMA GLUCOSE LEVEL IN TYPE 2 DIABETES MELLITUS PATIENTS : AN OBSERVATIONAL COHORT STUDY
Authors: Das Ravindra Kumar , Sinha Rahul Kumar , Jana Debarshi
Published: December 2020

Background: Type 2 diabetes mellitus (DM) is a progressive chronic disorder and sustained control of plasma glucose is essential to prevent complications. Pioglitazoneofthiazolidinedionesand sitagliptin of Dipeptidyl peptidase-4 inhibitors (DPP4I) have recently been used as add-on therapy to control type 2 DM. The aim of this study was to compare the plasma glucose and glycocelatedHb% level of both the group who had poor glycemic control with Metformin and sulfonylurea.
MATERIAL AND METHODS: In this observational cohort study, 100 patients with uncontrolled type 2 DM on 2000 mg/day of Metformin and 4 mg/day of Glimepiride were enrolled. The patients were randomly allocated into two groups with fifty each. One group received two divided doses of pioglitazone (30 mg/day) and the other received two divided doses of sitagliptin (100 mg/day) as the third medication. Plasma glucose fasting and 2 hours after drug and meal along with HbA1c were assessed before and after three months of treatment.
Results: Fasting plasma glucose level in the sitagliptin group was higher than the pioglitazone group; however, this difference was not statistically significant (130.30 ± 30.29 versus 124.58 ± 46.84, p=0.212). Significantdifferences were not observed in HbA1c (7.20±0.96 versus 7.43±0.99, p=0.563) and plasma glucose 2 hours after meal (194.56±66.22 versus 198.58±51.5, p=0.946) after treatment withsitagliptin and pioglitazone among the two groups. Mean weight in the sitagliptin group was lower compared to the pioglitazone group after treatment, however, this difference was not statistically significant (p=0.824).
Conclusion: Both the molecule as third agent had similar efficacy in glycemic control. Sitagliptin is better choice to add-on therapy in obese overweight patients.
Las escrituras legales del fondo “Vaca de Castro” en el Sacromonte. En los entresijos del poder metropolitano del siglo XVI
Authors: Roy Hélène
Published: December 2020

El propósito de este trabajo es ofrecer un análisis crítico de ciertas escrituras legales conservadas en el Sacromonte, en especial la ejecutoria del pleito fi scal contra un ofi cial de la Monarquía Hispánica en Perú, Cristóbal Vaca de Castro. Las estrategias desplegadas por ambas partes querellantes en este caso son reveladoras de dinámicas de poder: ante un representante cuyo ejercicio de sus jurisdicciones en las Indias lo convertía en una amenaza para los intereses –económicos sobre todo y políticos– de la Corona, ésta despliega un arsenal judicial implacable pero no sin fallos. Así es como el ejemplo brindado por esta documentación reafi rma un postulado bastante reciente en la historia colonial de América según el cual gobernar desde la Metrópoli, en otras palabras “vencer la distancia”, entrañaba el recurso a la justicia.
Cultural Tourism Destination Elements and Attributes: An Interpretive Planning
Authors: Malik Younis Mohammad
Published: December 2020

Tourism destinations involve a diverse of key components, elements and attributes that allure tourists to visit the destinations which fulfill their needs on arrival. The facilities and service quality of these key components and elements influences the traveler’s decision-making process in choosing a destination to travel. The purpose of this research paper is to study the key elements and attributes of cultural tourism destinations and to understand the interpretive planning process of cultural tourism destinations.
Estratégias resolutivas de operações do campo aditivo: uma experiência com estudantes do 6º ano
Authors: Carmo Cleverton Eugênio do , Etcheverria Teresa Cristina
Published: December 2020

Este artigo tem como propósito trazer para discussão o relato de uma experiência de ensino de estratégias resolutivas para operações do campo aditivo realizada com estudantes do 6º ano do Ensino Fundamental. O aporte teórico apoia-se nas ideias de Vergnaud para abordar sobre o Campo Conceitual Aditivo e de Humphreys e Parker para discussão das estratégias resolutivas. A discussão usa dados relacionados às estratégias de resolução empregadas por 21 estudantes de uma escola municipal de um povoado do interior do Estado de Sergipe. A experiência de ensino mostrou-nos que os estudantes se sentem mais à vontade ao fazerem uso do algoritmo no formato da “conta armada”, e que as estratégias escolhidas por eles para a adição foram: arredondamento, decomposição de uma parcela e decomposição de ambas as parcelas; e para a subtração usaram somente a estratégia da decomposição do subtraendo.
Algumas considerações teóricas sobre o ensino de matemática por atividades
Authors: Fossa John A.
Published: December 2020

Investiga-se sete das principais tendências da Educação Matemática a partir do conceito unificador de ensino por atividades. O referido conceito é então considerado do ponto de vista teórico do construtivismo radical, complementado e corrigido pelo construtivismo social. Desta forma, depois de desmentir alguns mitos sobre as atividades, obtêm-se o delineamento das principais fases de atividades, a identificação de importantes características cognitivas e não-cognitivas delas e a constatação de importantes consequências para a sua implementação na sala de aula. Conclui-se que há duas principais abordagens para o ensino de matemática, uma em que o aluno é um agente ativo na construção do conhecimento através da sua participação em atividades e uma em que o aluno é um recipiente passivo na suposta transferência de conhecimento do professor.
As atividades experimentais no ensino de matemática
Authors: Sá Pedro Franco de
Published: December 2020

Este trabalho apresenta os resultados de uma pesquisa sobre o ensino de matemática por meio de atividades tendo como base a Teoria da Atividade que objetivou distinguir as atividades utilizadas no ensino de matemática no Brasil. Os resultados indicam que as atuais Tendências em Educação Matemática: Resolução de Problemas, Etnomatemática, Modelagem, Uso de Jogos, Uso de Tecnologias, Uso da História e Investigação Matemática, realizam procedimentos que podem ser caracterizados como atividades no sentido da Teoria da Atividade e que é a organização do trabalho didático, o produto obtido e a forma de participação discente/docente de cada tendência que legitima cada uma delas. Foi também possível concluir a existência de uma outra tendência ainda não registrada na literatura, apesar de já praticada em muitas situações, que foi denominada de Ensino de Matemática por Atividades Experimentais. Além disso, foi possível concluir a existência de oito tipos de gerais de atividade para o ensino de matemática, cada uma com a possibilidade de subtipos.
Habilidades na resolução de problemas fundamentada na teoria da atividade em estudantes da licenciatura em matemática
Authors: Soares da Silva Oliveira Naralina Viana , García Mendoza Héctor José
Published: December 2020

O presente artigo mostra resultados de um estudo cujo objetivo foi caracterizar a base orientadora das ações relacionadas às habilidades em resolução de problemas, fundamenta na Teoria da Atividade, na disciplina de Cálculo I em estudantes da licenciatura em matemática da Universidade Federal de Pernambuco. Cada estudante possui uma base que orienta suas novas ações. Assim, é fundamental que esta base seja identificada, mapeada e caracterizada, pois durante o processo, o estudante mobilizará elementos de sua base orientadora para agir na assimilação de conceitos e formação/atualização de habilidades. Para isso, utilizou-se uma Prova Pedagógica. As respostas dos acadêmicos foram analisadas e comparadas com o sistema de operações que compõe o Esquema da Base de Orientação Completa da Ação estabelecida pelo professor. Nos resultados foi constatado que os acadêmicos apresentaram uma orientação da ação de resolver problemas discentes em função de forma fragmentada e incompleta. Dentre os entraves, destacam-se o de representar a função em sua forma gráfica, algébrica e na forma verbal. Além disso, ficou bem evidente a dificuldade em converter a função de um tipo de representação para outro. Conclui-se que os licenciandos apresentam habilidades em resolução de problema no conteúdo de funções de forma fragmentada e incompleta, portanto, se faz necessário reelaborar a Base Orientadora da Ação.