bluuebunny/crossref_metadata_2025 huggingface dataset:
VESICOURETERAL REFLUX
Authors: Irshad Muhammad Rameez , Ali Arslan , Riaz Shujat Ahmed , Furqan Aamir
Published: August 2021

Objectives: The objective of our study is to compare the extravesical andintravesical ureteric reimplantation for the treatment of bilateral vesicoureteral reflux in children.Period: April 2013 and July 2016. Setting: Urology Department of Mayo Hospital, Lahore.Methodology: 66 children diagnosed with primary vesicoureteral reflux and undergoingureteric reimplantation. The Cohen cross-trigonal reimplantation (intravesical) and modifiedLich-Gregoir procedure (extravesical) were performed on two separate groups Group IRand group ER. The following parameters were compared: postoperative duration of stay inthe hospital, hematuria and bladder spasm. Frequency of hematuria, bladder spasm andaverage duration of stay in the hospital were compared in both group. Mean and standarddeviation was calculated for age, gender and duration of surgery in both groups.). Chi squaretest was applied to check the association of outcome variables with demographical variablesand duration of surgery. Results: These 100% (n=66) patients were divided into 2 groupsequally, 33 in each, i.e. group ER and group IR. The mean age and duration of surgery ofthe patients of group ER were 13.78±2.83 years, 102.45±4.13 minutes respectively. Whilethe mean age and duration of surgery of the patients of group IR was 30.33±4.58 years and119.7±10.70 minutes respectively (Table-II).The main outcome variables of this study werethe hospital stay, postoperative bladder spasm and hematuria. The mean hospital stay of thepatients of group ER and group IR was 4.30±1.35 days and 5.84±1.0 respectively (Table-II).It was observed that bladder spasm in group ER and group IR was 39.4% (n=13) and 54.5%(n=18) respectively (Figure-1). It was also observed that hematuria in group ER and group IRwas 36.4% (n=12) and 48.5% (n=16) respectively (Figure-2). Conclusion: The observation ofthis study concludes that extravesical ureteric reimplantation has an edge over conventionalprocedure of intravesical ureteric approach. Intravesical procedure has disadvantages of morefrequency of postoperative complications like, hospital stay, bladder spasms and hematuria.
NEEDLE STICK INJURIES
Authors: Khalid Huda , Siddique Muhammad Khalid , Khalid Hamna , Aftab Aimon , Anwar Humaira , Iftikhar Kinza
Published: August 2021

Objective: The aim of our study is to access the knowledge, attitude, practiceand prevalence of needle-stick injuries among dental practitioners including both dentists andstudents of Islamic International Dental Hospital, Islamabad. Study Design: Cross sectional.Setting: Islamic International Dental College and Hospital. Period: June to July 2016. Samplesize was 200 (111 dentists and 89 students). Materials and Methods: Questionnaires havingquestions regarding knowledge and attitude of students and dentists towards NSI weredistributed. For the interpretation of results, frequencies and percentages were calculated andrepresented as bar graph and pie charts. Chi square test was applied to compare results ofdentists and students and P values were calculated in order to check the significance of results.Results: The results showed that dentists (59.3%), at IIDH, were at a higher risk of needle stickinjuries as compared to students (40.6%). They had sufficient knowledge regarding NSI. Amongall the other departments, the prevalence of NSI was highest in the oral surgery department.Majority of the incidents occurred during needle recapping and disposal. Only about half ofthe students (51.4%) and dentists (50%) reported their injuries, the major reasons for whichwere carelessness and not considering it too important. Conclusions: Needle stick injuries areresponsible for a number of blood borne diseases and are prevalent more among the dentistsof IIDH as compared to dental students. NSI are mainly associated with recapping needles,while administering injections and cleaning instruments.
MAXILLARY INTER CANINE WIDTHS
Authors: Azeem Muhammad , Haq Arfan ul , Qadir Samina
Published: August 2021

Introduction: Intercanine and intermolar width are key measurements fordiagnosis and orthodontic treatment planning. The aim of current study was to determine themean maxillary intercanine arch width (ICW) of untreated normal arch Pakistani patients and tocompare it with other populations. Study Design: Cross sectional study. Setting: Orthodonticdepartment, Faisalabad Medical University. Period: 1/12/2016 to 1/11/2017. Materialand Methods: ICW measurements on dental casts of 60 normal occlusion patients. ICW wasmeasured using digital caliper between the maxillary canine cusp tips. The Non probabilityconsecutive sampling technique was used in this study. All the data collected was analyzeby using SPSS software (version 21.0.0). Results: In our study the mean age of the patientswas 19.11±3.13 years. The mean value of maxillary ICW of the normal occlusion orthodonticpatients was 35.21±3.31 mm. Conclusion: Our study results concluded that well alignedarches and ideal occlusions can be achieved in Pakistanis with maxillary intercanine width asnarrow as 35.21±3.31 mm.
CENTRAL CORNEAL THICKNESS
Authors: Ahmad Muhammad Ijaz , Qureshi Manzoor Ahmad , Ahmad Muhammad Shakeel , Aldebasi Yousef Homood
Published: August 2021

Objectives: To compare central corneal thickness in myopic and keratoconuseyes by ultrasound pachymetry and pentacam HR. Study Design: Cross sectional study.Setting: Qassim University, Optometry Clinics, Kingdom of Saudi Arabia. Period: October2016 to April 2017. Methodology: One hundred myopic and keratoconus participants. CentralCorneal Thickness (CCT) were measured with two techniques by ultrasonic pachymetry andpentacam HR in two groups. Group one consisted of 80 myopic participants and group two of 20Keratoconuspatients.Pentacamreadings were recorded first. CCT were compared and analyzedstatistically using unpaired t-test and histogram. Results: One hundred participants (100) wereincluded in which 80 participants were myopic and 20 with keratoconus. Both eyes (200) of allthe participants were examined. Age of the myopics ranged from 18-30 years (Mean=23.03).The mean value with ultrasound pachymetery was 555μm (SD±32.021) and with pentacam566μm (SD±37.367). We observed a tendency of overestimation of CCT measurements withpentacam. Statistically a significant difference of reading between two devices (P<0.001) wasfound. In keratoconus participants, the mean age was 23.7 years (21- 26). The mean CCT takenwith Pentacam HR and US Pachymetry was 476μm (SD± 16.980) and 465μm (SD± 35.868)respectively. The t-test showed no statistical difference between thepentacam HR andultrasound pachymetry (p>0.214). Conclusion: Measurements of central corneal thicknessdone with Ultrasound Pachymeter and Pentacam HR are closely related to each other andare interchangeable when used in normal refractive error cases. While in Keratonus patientsultrasound pachymetry is preferred because of its reliability.
HEART FAILURE
Authors: Ilyas Aneeqa , Zafar Muhammad Hassan , Amin Sana
Published: August 2021

Objectives: To observe the function of left ventricular contractile and its pairingwith failure preserved ejection fraction. Study Design: Observational longitudinal study.Setting: Punjab institute of Cardiology. Period: Jan 2017 to June 2017. Methods: Four Hundredtwenty one Heart failure patients (mean age 51 ± 7 years, 56% females, left ventricular ejectionfraction 55±5%) undergo Left ventricular investigation through echocardiography and left heartcatheterization of 191 patients. Through tricuspid annular plane systolic excursion (TAPSE),Patients were sorting out and data collect. Mean TAPSE score were 15.03±4.06 cm without anygender differences. Body surface presents strong relation with TAPSE values (r=0.74). Manydifferent pattern consistently found within same patients leading to heart failure, but patientswith HFpEFin which each component is operative behave differently. Results: Transformationof different evidences in clinical practice needs proper level of proofs regarding evidences. Outof four hundred twenty one heart failure patients, patients with prolonged heart failure symptomsand high rate of ejection fraction due to adaptive changes by the human body, whereas patientswith aggressive mode of work have high mortality ratio. Out of all physiological derangementswere strongly link with the TAPSE. Different biomarker-based strategies are much required toimplement for excellent patient outcome in heart diseases. Conclusion: Using most commonclinical features, we listed four major features with mark differences acts in remodeling andmaintain in heart failure. Patients with decreases ejection fraction have more advanced heartfailure. Therapeutic treatment specifically targeting main components of heart failure havebetter pathophysiological changes in less time. HFpEF patients are more chances to developadaptive cardiac changes.
ACUTE ISCHEMIC STROKE
Authors: Badshah Lal , Khan Asim , Malik Shahida
Published: August 2021

Objectives: Objective of this study is to assess the correlation between severityof ischemic stroke on NIHSS and calcium level in patients presented with acute ischemic stroke.Study Design: Descriptive case series and non-probability purposive sampling technique wasused in this study. Setting: South Medical ward& East Medical Ward, Department of Medicine,Mayo hospital, Lahore. Period: One year from 5th January 2015 to 4th January 2016. Material &Methods: Informed consent was taken from all the patients. Patients of both genders between35-70 years of age were included in this study. Demographic record (name, age, sex, contact)were also obtained. Then patients were admitted in ward and were followed up there. Meanwhileno calcium supplement was advised. Then after 72 hours of admission, blood sample weredrawn by using 5cc BD syringe and were sent to the laboratory of the hospital to assess serumcalcium level. NIHSS score after 72 hours of admission were assessed and noted. Pearsoncorrelation coefficient was calculated to measure the correlation between calcium level andNIHSS score. P-value≤0.05 were considered as significant. Results: In this present studythe mean age of the patients was noted as 51.47±9.653 years, the male patients were 76%whereas female patients were 24%. The mean serum calcium level after 72 hours of the patientswas noted as 7.26±1.41 mg/dl, while the man NIHSS was noted as 23.01±10.38.There wasnegative and Significant correlation was found between the serum calcium level (mg/dl) after72 hours and NIHSS after 72 hours of the patients i.e. r=-0.899 (P<0.05). Conclusion: Ourstudy results showed the negative correlation between the serum calcium level and NIHSS ofischemic stroke patients which showed that more decrease in calcium level will lead to moresevere condition of stroke.
EVALUATION OF SERUM ZINC LEVEL
Authors: Alhassan Thiga Mohammed Mohammed Osman , Abdalla Abdelmula Mohamed , Alhassan Eshtiag Mohammed Mohammed Osman , Ahmed Suhair Abdelrahman
Published: August 2021

Back ground: Acne vulgaris is a common chronic inflammatory disease ofthe skin. Zinc is a trace element, exists in high amounts within the skin and especially theepidermis. Its importance for human metabolism has been noted by the dramatic improvementof acrodermatitis enteropathica following zinc supplementation. Objectives: To evaluate theserum zinc level among patients with acne vulgaris, and to correlate age, grade and durationof acne vulgaris with serum zinc level. Study Design: Case- control hospital base study.Setting: Khartoum state at Khartoum Dermatology & Venerology Hospital. Period: February toSeptember 2017. Materials Methods: 100 samples were collected from patients attending toKhartoum Dermatology & Venerology hospital suffering from acne vulgaris. Acne severity wasclassified according to Global Acne Grading System (GAGS). In addition to other 100 samplescollected from healthy individuals (students and nurse) sex and age matched as control. Thelevels of serum zinc was measured in each group by atomic absorption spectroscopy. Results:The study showed significant decrease in the zinc concentrations in acne vulgaris patientswhen compared with the reference group (0.207±0.04 mg/l versus 0.788 ± 0.14 mg/l) (p=0.000). The study observed decreased serum zinc level with advancedgrade of acne; mild47 patients (47%) (0.247 ± 0.05), moderate 33 (33%) (0.1925 ± 0.04) and severe in 20 (20%)(0.180 ± 0.03), based on the anova test analysis mean serum zinc levels were significantlylower in patients with mild to moderate and to severe acne vulgaris when compared betweenacne vulgairs grades and with reference group(p ≤ 0.001, p ≤ 0.01, p ≤ 0.05 respectively).The present study showed no correlation between zinc level (mg/l) and age in patient with acnevulgaris (years) (r=0.032, P =0.827). On the other hand significant correlation was recordedbetween serum zinc level (mg/l) and duration of the acne vulgaris in the study group (r=-0.311,p = 0.028). Conclusion: Study revealed that serum zinc levels is significantly decreased inpatients with acne vulgaris, and prescribing zinc supplement treatments help increasing thesuccess rate of acne treatment.
HUMAN POISONING
Authors: Sadia Summyia , Qasim Altaf Pervez , Siddiqui Bashir Ahmad , Qasim Junaid Altaf
Published: August 2021

Objectives: To determine the prevalence of poisoning in local population ofDistrict Sargodha. Study Design: A retrospective study. Setting & Duration: The study wasconducted in District Head Quarter (DHQ) Teaching Hospital, Sargodha for the period of onecalendar year from 1st January, 2016 to 31st December, 2016. Methodology: One hundred indoorpatients of poisoning were studied for the role of age, gender, residential background, maritalstatus, type of poison / drug taken, method of intake, time of the intake of poison, duration of stayin the hospital, treatment and the outcome. Results: Males had a preponderance over females(3:2), rural to urban (3.5:1), married over unmarried (1.63:1), the most affected age group was21-30 years involving (45%) victims, thirty five cases of wheat pill poisoning outnumbered allother. The poisoning cases commonly reported in the months of February, March, April andJuly. Suicide was the commonest manner of death, the usual route of poisoning was oral (83%),patients hospital stay was one day in majority (75%) cases, whereas combined treatment wasgiven in (56%) cases which lead to a recovery rate in 73% victims. Conclusion: Effectivelegislation & strict control for sale of dangerous drugs and poisons, awareness amongst thesociety and vigorous efforts by the trained medical staff can save precious lives from poisoning.
HEPATITIS C
Authors: Nouman Muhammad Khuram , Zaidi Bushra , Mohiuddin Ghulam , Asif Faryal , Malik Muhammad Khan
Published: August 2021

Background: Hepatitis C virus (HCV) is the most communal source of non-A,non-B viral hepatitis in the world. The disease is illusory, and the majority of patients do notacquire jaundice at its onset. Treatment of hepatitis C with interferon attained a sustainedvirological response (SVR) in almost 50% of the patients with HCV infection. Viral genotype isimportant to determine the response. The present study aims to provide the incidence of relapseof HCV in patients taking interferon therapy and to identify the predictors for relapse. StudyDesign: Retrospective observational study. Setting: Department of Medicine, DHQ TeachingHospital, Sargodha. Period: Two years. Methods: A total of 60 patients were retrospectivelyevaluated for this study. The exclusion criteria include the patients co- infected with hepatitisB virus or HIV. All the patients were monitored 2, 4, 8, 12, 16, and 24 weeks after the endof treatment with interferon alpha. Results: We observed that the patients with relapse weresignificantly older and heavier (P value < 0.05). At the start of treatment, viral load was higherin relapsed patients (P value < 0.04). Conclusion: On the bases of our study findings, we canconclude that low incidence of relapse occurred with interferon therapy. High ALT level, viralloads, older age and obesity were some of strong predictors of relapse among HCV patients.
ORAL CLEFTS
Authors: Shah Syed Yousif Ali , Mirani Shahid Ali , Khatoon Safia , Shaikh Mohammad Ilyas , Sahito Muhammad Amin
Published: August 2021

Objectives: The present study was carried out in Malaysia to explore satisfactionof non-syndrome cleft lip and plate (CLP) patients and their parents with treatment outcome.Study Design: Descriptive cross sectional study. Setting: This study was carried out in twotertiary care hospitals of Malaysia, namely Universityof Malaya Medical Centre (UMMC) andHospital Kota Bharu/ Hospital Raja Perumpuan Zainab II (HKB/ HRPZII) during August 2007to March 2009. Materials and Methods: Total eighty three CLP patients (age > 10 years) andeighty three parents were included. The Cleft Profile Evaluation Proforma designed by RoyalCollege of surgeons Cleft Lip and Palate Audit Group was used to assess satisfaction with oralcleft related features. It consisted of an eight item list speech, hearing, lip, nose, teeth, bite,breathing and facial profile. Results: The results of present study revealed that majority of thepatients (89.8%) and parents (86.7%) were satisfied with the care and attention provided by theoral cleft team overall. Moreover, It was found that (90.3%) of CLP patients and (83%) parentswere satisfied with the overall treatment results. After treatment, speech was very satisfactoryfor (57.8%) and very unsatisfactory for (8.40%) patients. The hearing after treatment, was verysatisfactory for (62.7%), and very unsatisfactory for (7.2%) patients. Out of total 83 patients,appearance of nose was very satisfactory for (36.1%) patients and for (15.7%) patients it wasvery unsatisfactory. The speech of their child after treatment was very satisfactory for (48.2%) parents, satisfactory for (37.3%) of the parents, unsatisfactory for (7.4%) parents and veryunsatisfactory for (6.0%) parents. The hearing of their child after treatment was very satisfactoryfor (65.1 %) parents, satisfactory for (30.1%) of the parents, unsatisfactory for (2.4%) parentsand very unsatisfactory for (2.4%) parents. It may be concluded that most of patients andparents were satisfied with the treatment provided. There was complete agreement betweenthe patients and parents with regard to their satisfaction about facial appearance.
INADEQUACY OF DIALYSIS
Authors: Afzal Aurangzeb , Shabbir Adnan , Malik Maira Iqbal
Published: August 2021

Background: Objectives: In patients with end stage renal disease, inadequatedialysis can lead to increased morbidity and mortality. We conducted a study to analyze effectsof increasing dialysate flow rate (DFR) and blood flow rate (BFR) on adequacy of dialysis.URR was used as an indicator of dialysis adequacy. Study Design: Prospective comparativestudy. Period: 02 months (February 2017 to March 2017). Setting: Department of Nephrology,Lahore General Hospital. Method: 40 patients on maintenance hemodialysis were included.We divided study in three phases. First phase with blood flow 300mL/min dialysate flow 500mL/min. Second phase blood flow 350mL/min dialysate flow 500mL/min. Third phase blood flow300mL/min dialysate flow rate 800mL/min. Blood samples were collected before and after eachdialysis session. Urea reduction ratio (URR) was used to measure delivered dose of dialysis andwas assessed at the two levels of dialysate flow rate and two blood flow rates. Statistical analysiswas done by using SPSS 23.0 software package. P values <0.05 was taken as statisticallysignificant. Result: After statistical analysis we reached the conclusion that enhancing bloodflow rate from 300 to 350 is associated with an increase of URR of 6.9 % as compared toincreasing dialysate flow rate from 500 to 800 of 4.6%. In both settings increase in URR wasclinically significant. We can also deduce that increase in dialysate flow will allow us to achievea substantial increase in dialysis dose as assessed by urea reduction ratio for a given amountof dialysis time when we are unable to achieve a high blood flow rate. Difference in increasein URR for two groups one with increased blood flow and other with increased dialysate flowwas statistically insignificant (p value >0.05). Conclusion: Our study shows that if we increaseblood flow rate to 350 mL/min from 300 mL/min and dialysate flow rate to 800 mL/min from usual500 mL/min there is significant increase in URR and adequacy of dialysis. We can decreasemortality and morbidity by increasing adequacy to optimal level using both methods accordingto patient feasibility and clinical status.
Asociación entre los rasgos de personalidad y la ocurrencia de accidentes de trabajo de riesgo biológico del personal de enfermería en el Hospital Universitario de Santander (HUS): estudio de casos y controles
Authors: Arenas-Sánchez Adriana , Pinzón-Amaya Alexander
Published: August 2021

Introducción. Los accidentes de trabajo por exposición al riesgo biológico (ATBIO) son causas potenciales de enfermedades infecciosas relacionadas con alta morbilidad y mortalidad. La identificación de las causas que generan dicha accidentalidad permitirá establecer estrategias que controlen y disminuyan la siniestralidad laboral. El objetivo del presente manuscrito fue establecer la asociación entre los rasgos de personalidad, principalmente el rasgo de personalidad de despreocupación y la ocurrencia de ATBIO en el personal de enfermería del Hospital Universitario de Santander entre el periodo 2008 y 2009. Metodología. Estudio de casos y controles. Resultados. Se incluyeron 68 (18%) casos con historia de ATBIO y 290 controles, para una razón caso: control de 1:4. En el análisis multivariado se encontraron las siguientes variables asociadas a la accidentalidad laboral de riesgo biológico: percibir el riesgo de presentar un ATBIO en el servicio como alta OR: 0.42 (IC 95% 0.23 – 0.75), trabajar 24 o más horas adicionales a la semana OR: 2.66 (IC 95% 1.34 – 5.28), laborar en el servicio de urgencias OR:2.72 (IC 95% 1.38 – 5.35) , no disponer de guantes cuando se requieren durante su labor  OR:2.05 (IC 95% 1.10 – 3.79), y percibir el riesgo como alto disminuye el riesgo en el 60%. Conclusión. Se identificaron variables significativas relacionadas con la ocurrencia de accidentes de trabajo, las cuales facilitarán la planeación, ejecución e implementación de programas de salud ocupacional dirigidos al control de la accidentalidad laboral de riesgo biológico. No se evidenció relación entre rasgos de personalidad y la ocurrencia de ATBIO.
Secuelas del COVID-19, ¿qué viene ahora?
Authors: Jáuregui-Buitrago María Teresa
Published: August 2021

Señor editor.

Desde que empezó la pandemia causada por el coronavirus COVID-19, hemos estado en un constante aprendizaje. Los países se han visto obligados a responder con sus mejores estrategias, para intentar que los sistemas de salud no colapsen y resguardar la vida de las poblaciones. Con este propósito, se han establecido medidas de contención y servicios de hospitalización organizados, además del papel fundamental de las unidades de cuidados intensivos para tratar las infecciones de gravedad, con lo cual se han evitado miles de muertes.  

A fecha de 11 de junio de 2021, en Colombia se habían reportado 3,724,705 casos, de los cuales 3,457,117 corresponden a los recuperados, lo cual es asimilable a quienes no perdieron la vida. Sin embargo, desconocemos cuántos de ellos tendrán consecuencias físicas y emocionales derivadas de la infección por COVID-19 (1).
Prática de biblioterapia no Brasil e no exterior: principais experiências com a terapia pela leitura a partir da década de 1980
Authors: Santos Andréa Pereira , Rocha Natália , Cavalcanti Larissa Andrade Batista
Published: August 2021

O presente estudo tem como objetivo conhecer as principais experiências com a biblioterapia voltadas para pessoas acometidas com doenças variadas sejam físicas e/ou mentais, ou sociais no Brasil e no exterior. Justifica-se por apresentar a função terapêutica da leitura. Tem como base os conceitos teóricos e históricos da biblioterapia, o conhecimento das principais experiências com a biblioterapia no Brasil e comparativo com entre a realidade nacional e internacional quanto a utilização dessa terapia. Para tanto, trata-se de uma pesquisa exploratória, qualitativa e bibliográfica, que buscou em bases de dados nacionais e internacional (LISA) com material publicado sobre experiências que utilizassem a biblioterapia para o bem-estar do indivíduo. Desse modo, observa-se que o Brasil caminha para ampliação da utilização da terapia, enquanto que outros países a utilizam em variados nichos sejam hospitalar, escolar, prisional, entre outros. O que permite concluir que a biblioterapia proporciona saúde e bem-estar aos que dela fazem uso.
Informação de perícias médicas para subsidiar ações de vigilância e promoção da saúde dos servidores públicos: o caso de uma universidade pública federal do Brasil
Authors: Krölls Tirze Barbalho , Presser Nadi Helena , Sánchez-Tarragó Nancy
Published: August 2021

O estudo apresentado neste artigo teve como objetivo geral propor ações de vigilância e promoção da saúde dos servidores da Universidade Federal Rural de Pernambuco (UFRPE), com base nas informações de perícias médicas registradas, no período de 2016 a 2018, no prontuário eletrônico do Subsistema Integrado de Atenção à Saúde do Servidor (SIASS). Para isso, o estudo descreve o perfil de morbidade dos servidores que buscaram a perícia médica, analisa os principais fatores de risco no ambiente de trabalho e sua relação com o perfil de morbidade revelado, de modo a estabelecer prioridades para ações de educação e promoção da saúde. As ações propostas abrangem estudos ergonômicos, avaliação e acompanhamento psicológicos, capacitação, entre outras, para intervir nas principais doenças identificadas (psíquicas e osteomusculares). As informações registradas no módulo de Perícias Médicas do SIASS, até então subutilizadas, revelaram suas potencialidades, pois permitiram identificar os problemas e propor a tomada de decisões gerenciais em prol da prevenção de doenças e da melhoria da saúde dos servidores.
Avaliação da qualidade dos vídeos sobre câncer de mama mais visualizados no YouTube: relevância para promoção da saúde da mulher
Authors: Villa Larissa Silveira Carvalho , Mello Alex Del Cerro , Gonçalves José Vicente , Gomes da Silva Tânia Maria , Bernuci Marcelo Picinin
Published: August 2021

O câncer de mama é uma das principais enfermidades que acomete a saúde das mulheres no mundo e as estratégias destinadas à melhoria do acesso das mulheres às informações sobre prevenção são fundamentais. O objetivo do estudo apresentado neste artigo foi avaliar a qualidade de vídeos relacionados ao tema do câncer de mama. A busca dos vídeos ocorreu a partir da palavra-chave ‘câncer de mama’ na plataforma YouTube. Os dados referentes às informações de cunho técnico foram obtidos por meio da análise das informações contidas na descrição dos vídeos e, posteriormente, foi realizada sua análise de conteúdo. Para serem analisados, foram extraídos os 200 primeiros vídeos mais vistos. A maioria (72%) e aqueles com intuito de divulgar conteúdo informativo ao leigo (73%) e com foco na prevenção secundária (71,5%) são considerados ruins ou péssimos (53%). Conclui-se, que o YouTube se apresenta como uma ferramenta limitada a ser utilizada no processo de educação de mulheres visando ao controle do câncer de mama.
Dampak Pembelajaran Daring Terhadap Kemampuan Anak Usia Sekolah Dasar
Authors: Gularso Dhiniaty , Suryantari Hadna , Rigianti Henry Aditia , Martono
Published: August 2021

Penelitian ini bertujuan untuk mendeskripsikan dampak pembelajaran selama pandemi COVID-19 terhadap kemampuan anak berusia sekolah dasar. Penelitian ini dilakukan di SD Negeri Rejodadi. Penelitian ini menggunakan pendekatan kuantitatif survey dengan desain penelitian deskriptif. Teknik pengumpulan data dilakukan dengan pengisian kuesioner daring melalui Google Form. Data yang terkumpul berjumlah 124 dari 178 orang tua siswa dari kelas satu sampai kelas enam. Analisis data yang digunakan adalah pengumpulan data, reduksi, penyajian data, dan penarikan kesimpulan. Teknik analisis data yang digunakan adalah modus dan persentase. Hasil penelitian mengungkapkan bahwa pembelajaran online selama pandemi COVID-19 berdampak pada peningkatan dan penurunan kemampuan anak seperti kemampuan berpikir, bahasa, matematika, teknologi, komunikasi, fisik, dan kemampuan berdoa. Peningkatan terbesar pada kemampuan anak terdapat pada kemampuan teknologi (36%) dan kemampuan berpikir (17%), sedangkan penurunan terbesar pada kemampuan anak terjadi pada kemampuan berpikir (33%) dan kemampuan fisik (19%).
Analisis Aspek Keterampilan Proses Sains Dasar Pada Buku Teks IPA Siswa Sekolah Dasar Kelas VI
Authors: Darmayanti N.W.S , Wijaya I.K.M. Wisnu Budi , Sanjayanti N.P.A.H , Janawati Dsk. Pt. Anom
Published: August 2021

Tujuan penelitian ini adalah untuk mendeskripsikan sajian aspek keterampilan proses sains dasar pada buku teks IPA Bupena Sekolah Dasar (SD) kelas VI.  Jenis penelitian ini adalah penelitian deskriptif dengan pendekatan kualitatif. Buku teks IPA Bupena SD kelas VI A adalah sumber data dalam penelitian. Instrumen yang digunakan dalam penelitian ini adalah berupa chek-list atau daftar cocok. Teknik pengumpulan datanya dengan studi dokumentasi, di mana data diperoleh dari menelaah dokumen berupa buku teks IPA Bupena SD kelas VI A. Proses pengumpulan data dengan memberikan cek –list pada setiap aspek keterampilan proses sains dasar yang terdapat pada setiap tema dari buku buku teks IPA Bupena. Teknik pengolahan data dilakukan dengan cara menghitung persentase sajian buku teks pelajaran IPA Bupena SD kelas VI A yang memfasilitasi keterampilan proses sains dasar. Hasil penelitian menunjukkan bahwa persentase sajian aspek keterampilan proses sains dasar pada buku teks IPA Bupena tema 1 yaitu sebesar 83% dengan kategori sangat memfasilitasi. Selanjutnya tema 2 persentase sajian sebesar 67% dengan kategori cukup memfasilitasi. Persentase sajian pada tema 3, yaitu sebesar 83%.  Namun secara keseluruhan buku teks IPA Bupena sudah menyajikan materi yang memfasilitasi keterampilan proses sains dasar. Jumlah kegiatan yang menyajikan atau memuat aspek –aspek keterampilan proses sains dasar pada buku teks IPA Bupena berbeda-beda, di mana jumlah kegiatan yang tertinggi terdapat pada aspek mengamati, yaitu 19 kegiatan. Untuk aspek mengukur belum termuat pada buku teks IPA Bupena karena tidak ada materi IPA yang terkait dengan kegiatan mengukur.
Pengembangan Bahan Ajar Mata Kuliah Belajar Dan Pembelajaran Berbasis Tri Ciri Tentara Pelajar (Patriotisme, Kepeloporan Dan Kemandirian) Pada Mahasiswa UTP Surakarta
Authors: Beny Asfuri Ninda , Ambarsari Rika Yuni
Published: August 2021

Bahan ajar merupakan salah satu faktor penting dalam keefektifan sebuah pembelajaran terlebih di tingkat Perguruan Tinggi. Kurangnya bahan ajar tentunya dapat mempengaruhi kualitas pembelajaran atau perkuliahan. Tujuan dari pengembangan modul ini yaitu 1) untuk menambah pemahaman mahasiswa mengenai tri ciri tentara pelajar yang mana akan dikembangkan di dalam mata kuliah belajar pembelajaran sehingga mahasiswa benar-benar menjiwai, memaknai dan bisa mengimplementasikan dalam kehidupan sehari-hari di kampus dan diluar kampus, 2) untuk mengetahui tingkat kelayakan bahan ajar yang dikembangkan.

 Jenis penelitian ini adalah penelitian pengembangan atau researh and development. Pengembangan mengacu pada model pengembangan ADDIE (analysis, design, development, impementasi and evaluation). Berdasarkan keseluruhan penilaian produk oleh ahli materi dan pembelajaran diperoleh skor X = 265, yang termasuk dalam kriteria nilai “Sangat Baik”. Sedangkan keseluruhan penilaian produk oleh ahli media diperoleh skor X = 167, yang termasuk dalam kriteria nilai “Sangat Baik”.
Leadership Style of Head Nurses against Job Satisfaction and Organizational Commitment of Staff Nurses
Authors: Amaliah Lili , Castigador Iluminada Fajardo , Yngente Benjamin , Buhat Maria Linda , Salcedo Theofile , Octaviano Eufemia F , Yngente Allan
Published: August 2021

The leadership and motivation styleis an essential factor in supporting the performance of nurses. The study was undertaken to determine the correlation between the leadership style to the job satisfaction, and organizational commitment among the head nurses and staff nurses from the government and private hospitals in Serang, Banten, Indonesia. The study used descriptive corelational design. The samples were limited, involving 289 respondents from dr. Drajat Prawiranegara Hospital, Serang (18 head nurses and 183 staff nurses) and Sari Asih Hospital, Serang (6 head nurses and 82 staff nurses). The study found a low positive relationship of the head nurses' transformational leadership style and transactional leadership style against the staff nurses' job satisfaction, r-coefficients of 0.370 and 0.485, respectively. Also, a moderate positive correlation was found on transformational leadership style and transactional leadership style of the head nurses against the organizational commitment of the staff nurses, rcoefficient of 0.606 and 0.609, respectively. It suggested that the staff nurses should be more responsive to the duty inseparable from the rights and obligations as an employee while the head nurse needs to pay attention to physical readiness, mental and psychological of subordinates.
Examination of Self-Efficacy and Quality of Life of Patients with Type 2 Diabetes Regarding Diabetes Management
Authors: ÇAĞAN Özlem , YEŞİLAYDIN Gözde , KOCA Bennur
Published: August 2021

Purpose: Good self-management in patients with diabetes will help them to maintain their well-being and quality of life, and the control of risk factors will make it possible to manage disease symptoms and to prevent complications. This study was carried out to determine the self-efficacy levels of patients with type 2 diabetes regarding their care and the factors affecting them and to examine the relationship between patients’ self-efficacy and quality of life. Methods: This study used a cross-sectional design and was carried out with a total of 342 patients with type 2 diabetes. The Diabetes Management Self-Efficacy Scale (SES) was employed to evaluate diabetes self-efficacy levels of the patients, and the WHO Quality of Life Scale-Brief Form was used to evaluate their quality of life. Results: The mean of the scores that the patients obtained from the SES scale was 64.16 ± 12.09. Diabetes self-efficacy was higher in patients who were married, were university graduates, had received training/information related to the disease, did not have any other chronic diseases, and did not exhibit any complications (p
Free gas content of the rocks of the silvinite and silvinite-carnallite zones at the Upper Kama Districts
Authors: Andreyko S.S. , Ivanov O.V. , Lyalina T.A. , Nesterov E.A.
Published: August 2021

The results of the mine and the laboratory studies of the free gas content of the sylvinite and sylvinite-carnallite zones of the Upper Kama districts are presented. In the process of the experimental studies, the quantitative characteristics of the free gas content were obtained for sylvinite, carnallite and rock salt layers. In the process of the laboratory studies by the gas chromatography of the natural gas samples, the component composition of the free gases was assessed. Based on the geological structure analysis and the gas content study, the assessment of the composition, the volume, the location and the intensity of the natural gases release is given. Based on the experimental studies results of the free gas content, and an analysis of the locations, the volume and the intensity of the gas emissions, the probable places of the free gases accumulation are installed. The main which are the anticlinal folds inflection the rupture and the crushing, the fractures, the tectonic disturbances, the transition of the sylvinites into the carnallite and the composition changes of the layers.
Digital past, present, and future of mining industry
Authors: Lukichev S.V.
Published: August 2021

The process of introducing digital technologies in mining has an evolutionary character and began with the appearance of electronic computing machines at large enterprises, design and scientific organizations. At the initial stage, solving the tasks of mining technology with the use of computers was mainly of demonstration character. Development of works in this branch has led to differentiation of the general task into separate areas: mining-geological information systems (MGIS); geomechanical safety ensuring systems; dispatching systems; programs for solving individual tasks of mining technology. One of the most important directions of digital transformation is mining-geological information systems (MGIS), the development of which went, as a rule, from solving tasks of deposit reserves estimation to modeling of mining technology objects, tools for solving surveying tasks, design and planning of mining works. Evaluating the functionality of MGIS known in the Russian market, we can state that the achieved development level generally meets the requirements of a Digital Mine - the way of representation of objects and processes of mining technology as digital models describing the properties and behaviour of real objects in a single digital space of the enterprise. The next stage of digital transformation is a Digital Twin, which can be characterized as a Digital Mine that has on-line communication links between real equipment units and their digital models. Creation of the Digital twin implies real-time reproduction of the natural-engineering system functioning, reflecting its actual or forecasted state.
KORUNMASI GEREKEN BİR YERLEŞİM: MİSİS
Authors: DİKMEN Çiğdem , TORUK Ferruh
Published: August 2021

Bu çalışmada Adana ili Yüreğir ilçesi sınırları içerisinde Misis (Yakapınar) antik yerleşiminin tarihsel süreç içerisinde fiziksel ve mekânsal dokusunun oluşum, gelişim ve değişim sürecine yer verilmiştir. Misis antik kentinin (günümüzde Yakapınar yerleşiminin) büyük bir bölümünü kapsayacak şekilde 176 hektarlık bölümü Kültür Bakanlığı Adana Kültür ve Tabiat Varlıklarını Koruma Bölge Kurulu’nun 15.07.1992 tarih ve 1256 sayılı kararı ile 1. Derece Arkeolojik Sit Alanı; 18.09.1996 tarih ve 2593 sayılı kararı ile yaklaşık 1.8 hektar alan 2. Derece Arkeolojik Sit Alanı ve 338 hektar alan ise 3. Derece Arkeolojik Sit Alanı olarak belirlenmiştir. Bu alanlarda tek yapı olarak korunması önerilen Antik Misis Köprüsü, Misis Havraniye Kervansarayı (27 pafta 706, 708, 709, 710 ve 713 parseller), Misis Havraniye Cami (27 pafta 1003 parsel), tonozlu yapı kalıntısı (28 pafta 662 parsel), tonozlu yapı (cinlik) (26 pafta 652-653 parsel) ve antik sur kalıntısının da taşınmaz kültür varlığı olarak 3386 sayılı kanuna değişik 2863 sayılı Kültür ve Tabiat Varlıkları Koruma Kanunu uyarınca tesciline ve parsellerine kültür varlığı şerhinin konulmasına karar verilmiştir. Çalışmanın amacı Misis antik yerleşiminde gerçekleştirilen yüzey araştırmaları ve kazı çalışmaları kapsamında kentin mekânsal yapısını oluşturan anıtsal yapıları sınıflandırılarak incelemek, hazırlanan Koruma Amaçlı İmar Planı’nı değerlendirmek ve antik kentin içerisindeki anıtsal yapılarla birlikte bütünsel boyutlu ve bilinçli bir şekilde korunması için öneriler geliştirmektir.
Clinical and functional outcomes of tarsal coalition resection to correct rigid flat foot
Authors: Guimarães Huyer Rodrigo , Cillo Mário Sérgio Paulillo , Castro Filho Carlos Daniel Cândido , Bertelli Hallan Douglas , Girondo Marcelo Morelli , Bortolatto Neto Armando
Published: August 2021

Objective: This study used the AOFAS score to assess the clinical functional results of patients who underwent tarsal coalition resection. Methods: This was a retrospective case series of patients who underwent tarsal coalition resection to correct rigid flat foot. Clinical and functional assessment was performed with the AOFAS score before and 6 months after surgical treatment. Descriptive analysis was performed for 7 patients (11 operated feet) using measurements of position and dispersion (mean, standard deviation, minimum, median and maximum value) for continuous variables and frequency tables (absolute and relative) for categorical variables. Results: The mean patient age was 10 years, 7 months, and the majority (71.43%) were male. The most affected joint was the calcaneonavicular. The right side was affected in 54.55% of the cases. The most frequent type of coalition was osseous (81.82% of the cases). The mean pre- and postoperative AOFAS scores were 32.7 and 70.2 points, respectively, which was a significant increase. Conclusion: The increased scores after coalition resection was considered the main change between the two assessments. Thus, it can be concluded that in rigid flat feet without severe hind- or forefoot deformities for which conservative treatment failed, bar resection should be the surgical procedure of choice. Level of Evidence IV; Therapeutic Studies; Case Series.
Epidemiological study of ankle fractures
Authors: Mizusaki Jorge , Santos Prata Sérgio Damião , Rizzo Marco , Gonzaga Filho Luiz Augusto Sampaio , Carneiro Leandro
Published: August 2021

Objective: To evaluate the epidemiological characteristics of patients with fractures in the ankle region. Methods: This prospective, observational, descriptive, and epidemiological study included ankle fractures treated at our service from March 1, 2017 to March 1, 2018. Data were obtained from 150 patients through a detailed questionnaire. Results: The sample, which included 61.33% men, aged mainly between 20 to 30 years; 46.68% were of mixed race, and 41.33% had only completed elementary school. A total of 33.66% of the ankle fractures occurred in the afternoon. According to the Weber classification system, 46.66% were type B fractures.Conclusion: Ankle fractures were more common in men of working age, and were mostly closed fractures in the right lower limb. Level of Evidence IV; Prognostic Studies; Case Series.
Functional evaluation of patients undergoing endoscopic calcaneoplasty for Haglund deformity
Authors: Bertelli Hallan Douglas , Michelin Bruno Arvatti , Perucci Isabela Ferreira , Cillo Mário Sérgio Paulillo de , Candido Castro Filho Carlos Daniel , Huyer Rodrigo Guimarães
Published: August 2021

Objective: To analyze the functional outcomes of patients undergoing endoscopic calcaneoplasty for the treatment of Haglund deformity. Methods: This study consists of a case series of patients undergoing endoscopic calcaneoplasty. The American Orthopaedic Foot and Ankle Society ankle-hindfoot scale, was used to evaluate patients before and 12 months after the procedure, providing preoperative and postoperative scores. Results: Nineteen patients were evaluated for a total of 24 endoscopic calcaneoplasties. The American Orthopaedic Foot and Ankle Society scale provided a mean preoperative score of 31.4 and a mean postoperative score of 93.3, which shows a significantly increased score after surgery. The mean patient age was 52 years, and the youngest patient was 25 years old and the oldest patient was 73 years old. However, no significant relationship was found between age and change in the American Orthopaedic Foot and Ankle Society score. No complications were observed in the immediate or late postoperative periods. Conclusion: Arthroscopic resection is efficient in the treatment of Haglund deformity given the significant improvement in the American Orthopaedic Foot and Ankle Society score observed after the procedure. Also, no postoperative complications were seen in patients who underwent endoscopic calcaneoplasty. Level of Evidence: IV; Therapeutic Studies; Case series.
VIR collecting missions in 2020
Authors: Ozerskaya T. M. , Ukhatova Yu. V.
Published: August 2021

The article presents a brief overview of expeditionary surveys of the territory of Russia by VIR scientists in 2020 within the framework of the State Assignment for the research project No. 0481-2020-0001 “Ensuring the preservation and replenishment of the collection of plant genetic resources”. In 2020, with the support from budgetary and non-budgetary sources, VIR scientists participated in 8 collecting missions to various regions of Russia (Krasnodar Territory, Adygea, Karelia, including Valaam Island, Murmansk and Arkhangelsk provinces, the Solovetsky Islands, Yakutia, and Khabarovsk Territory). The seeds, cuttings, live plants, and herbarium specimens collected in 2020 for replenishing the VIR collection totaled 580 samples.
Magnificat
Authors: Kuhnau Johann
Published: August 2021

Kuhnau's Magnificat is written in the form of a typical Leipzig festival cantata of the late seventeenth century and is scored for four soloists, a five-voice choir, and orchestra. Although Kuhnau is remembered today chiefly for his keyboard works, notably the Biblische Historien, he also wrote numerous sacred vocal works during his tenure at the St. Thomas Church in Leipzig. The Magnificat is Kuhnau's largest extant vocal work, and this publication is its first appearance in print.
Selected Magnificats
Authors: Stadlmayr Johann
Published: August 2021

The numerous works of this Bavarian composer are almost exclusively liturgical. His Magnificats, of which this edition includes a representative and exemplary sample, are notable for their masterful use of polychoral Venetian style. Four of the seven works in the edition are parody compositions, and three others are based on canticle tones. Stadlmayr was recognized by his contemporaries as a distinguished contrapuntist and an unusually gifted church musician. Basso continuo realization and commentary by Marilyn Barnes-Ostrander.
Madrigals, Part 5
Authors: Gagliano Marco da
Published: August 2021

Marco da Gagliano's Quinto libro de madrigali a cinque voci was published in October 1608, a little less than two years after his previous book. It contains fourteen madrigals for five voices and one for seven, all composed by Gagliano. The poets represented include Giambattista Marino, Giovanbattista Strozzi, both the older and the younger, Cosimo Galletti, and Ottavio Rinuccini. The madrigals of book 5 are quite varied in their style and their treatment of text. Many are light and remarkably concise, like the canzonetta-influenced madrigals of the Quarto libro, and most often set text syllabically to shorter rhythmic values in motives that alternate between homophony (or near homophony) and polyphony, imitative or nonimitative. Some, however, set poetry very differently. A three-part setting of a Marino sonnet, for instance, is filled with virtuoso melisma, probably intended for the professional singers of the Medici court. Book 5 also includes a concertato madrigal for seven singers and basso continuo that bears the prescriptive direction “per cantare e sonare” (for voices and instruments) in the basso partbook. Although there is no notational indication of instruments, the basso part lacks text for several measures, and it is likely that it was performed with improvised chords on an instrument. The book also contains two threnodies for Count Cammillo della Gheradesca that are in a somber and more traditional polyphony and contrast with the rest of the book's contents.