bluuebunny/crossref_metadata_2025 huggingface dataset:
Prevalence of Low Back Pain among Physiotherapists Working in Clinics and Hospitals of Islamabad
Authors: Javed Anam , Tariq Saad , Jabeen Tayyaba , Khan Suliman , Naeem Maria , Muhammad Khan Haseeb , Waseem Mehwish
Published: July 2023

Lower back pain (LBP) is a prevailing musculoskeletal condition that affects nearly all individuals at certain point in their lives. Although the majority of individuals with LBP experience temporary pain or disability and rapidly resume normal activities regardless of treatment, a small percentage develop chronic pain and disability. Among those with long-term pain and disability, few return to normal activities after experiencing LBP for more than one year. Despite the lack of discrimination based on gender, race, or work environment, certain professionals, such as physiotherapists, are at a heightened risk of developing LBP. Objective: To determine the prevalence of lower back pain among physiotherapists working in clinics and hospitals of Islamabad. Methods: A descriptive cross-sectional study was performed using demographic data, visual analogue scale (VAS) and OSWESTRY low back disability questionnaire to determine the prevalence of lower back pain among physical therapists working in clinics and hospitals of Islamabad. The study participants were physiotherapists working in Islamabad with age between 23 to 35 years. Data were analyzed by SPSS version-25. Results: A total of 50 physiotherapists participated in the study. Results showed that out of 50 participants, 50% had moderate amount of pain following the mild pain that was 44% and 6% showed no pain measured through Visual analogue pain scale. Conclusions: The present study concludes that low back pain is prevalent among physiotherapists working in clinics and hospitals of Islamabad.
PROBLEMATIKA PEMBELAJARAN BAHASA ARAB DI SEKOLAH DASAR ISLAM PLUS AL-ITTIBA’ JUWIRING KLATEN
Authors: Fahmi Muhammad , Putra Sudarmadi
Published: July 2023

This study aims to describe the process of learning Arabic, the problems encountered, the solutions made to overcome these problems and the curriculum targets at Al-Ittiba'Juwiring Klaten Islamic Elementary School Plus. This study uses a descriptive qualitative approach. Data collection techniques carried out are through observation, interviews and documentation. Data analysis methods are used by collecting data, reducing data, presenting data and drawing conclusions. The results of this study indicate that the implementation of learning Arabic at the Islamic Elementary School Plus Al-Ittiba' Juwiring Klaten begins with the teacher reading and explaining the material, then students are given assignments using an Arabic language textbook published by Pustaka Sofwa. The problem faced in learning Arabic is that Arabic teachers are not graduates of Arabic language education study programs. Then, students are not enthusiastic in learning Arabic because the learning method is monotonous. So on, less time is facilitated and the curriculum uses an old curriculum. The solution is that the Arabic teacher should be a graduate of Arabic language education study program. Then, the teacher should motivate students more often and the methods used should be more varied. Then, the time facilitated in learning is added and the curriculum used should use the latest curriculum. The aim of the curriculum is to foster students to become intelligent, Muslim and noble human beings
METODE JARIMATIKA DAN MUROJA’AH BERSAMA TERHADAP KECEPATAN HAFALAN AL-QUR’AN JUZ 30
Authors: Aly Syukron Aziz Al Mubarok Ahmad , Mufaricha Laylia
Published: July 2023

The Jarimatika method is a method used by prospective hafidz to make it easier to memorize Al-Qur'an, by using the fingers of the hand as a tool. Muroja'ah together is a method used by a prospective hafidz to repeat a rote so that the memorization will stick well in the memory of the brain, and be pronounced fluently orally, done together with friends. Memorization speed includes the time it takes for someone to memorize the Al-Qur'an. The aim is to determine the effect of the Jarimatika method on the speed of memorizing the Al-Qur'an juz 30 students of the tahfidz Islamic boarding school Ma'unatul Qur'an Mojosari Mojokerto. The type of research used is quantitative-associative. Data collection techniques using questionnaires, observation, interviews, and documentation. The data analysis technique used multiple linear regression. The population in this study were 120 santri tahfidz Islamic boarding school Ma'unatul Qur'an Mojosari Mojokerto and the sample taken by the researcher was 36 students. Hypothesis testing shows that there is an effect of the Jarimatika method on the speed of memorizing Al-Qur'an juz 30 tahfidz students of the Ma'unatul Qur'an Mojokerto Islamic boarding school, Mojokerto, because tcount = 4.108> t table 1.688, with probability or asymp. Sig = (2-tailed ) 0.000 <0.05. The linear regression equation obtained is ? = 21.402 + 0.645X, thus Ha is accepted. The results of the research show that it is better to increase the motivation to memorize the Al-Qur'an and increase the love for the Al-Qur'an so that they will continue to be interested in exploring the contents of the Al-Qur'an and practicing it, in order to create a generation of Qur'ani in the Ma'unatul Islamic boarding school. Qur'an Mojosari Mojokerto.
HASTA GÜVENLİĞİ KÜLTÜRÜ: BİR EĞİTİM ARAŞTIRMA HASTANESİ ÖRNEĞİ
Authors: BULUT Arzu , ŞENGÜL Halil , ÇELİK Züleyha
Published: July 2023

Bu çalışmanın amacı bir eğitim araştırma hastanesi sağlık çalışanlarının hasta güvenliği kültürü olumlu algı düzeylerini incelemektir. Bu çalışma kesitsel ve tanımlayıcı türde bir araştırmadır. Araştırma İstanbul ilinde bir eğitim ve araştırma hastanesinde çalışan yaşları 19 ile 63 yaş arasında değişen 326 sağlık çalışanı ile yürütülmüştür. Hastanedeki güvenlik kültürü, Sağlık Araştırma ve Kalite Ajansı (AHRQ) tarafından geliştirilen ve Hasta Güvenliği Kültürü Hastane Anketi Türkçe versiyonu kullanılarak değerlendirilmiştir. Çalışma grubunun seçiminde olasılığa dayalı olmayan kolayda örnekleme yöntemi seçilmiştir. Araştırma öncesinde gerekli örneklem büyüklüğü G*Power (3.1.9.7) programı kullanılarak incelenmiştir. Güç analizinde %95 güven (1-α), 0,05 (α) anlamlılık düzeyinde, %95 test gücü (1-β) ve d=0.56 (orta etki) etki büyüklüğü, çift kuyruklu iki bağımsız ortalamalar arasındaki fark t testi (iki grup) analizine göre en küçük örnek sayısı 104 olarak belirlenmiştir. Eksik veri veya düzensiz yanıt beklentisine dayanarak 326 katılımcıdan veri toplanmıştır. Tüm istatistiksel analizler için Windows için IBM SPSS (Statistical Package for Social Sciences) 24 sürümü paket programı kullanılmıştır. Sonuçlar %95’lik güven aralığında, α=0.05 anlamlılık düzeyinde değerlendirilmiştir. Hasta güvenliği kültürüne ilişkin olumlu algı için genel ortalama puan %50,62±13,3(%95 güven aralığı: 50,62-52,07). 12 boyut arasında tek güçlü yön olarak tanımlayan olumlu yanıt yüzdesinin en yüksek olduğu boyut, hastane ünite içi ekip çalışmasıdır. Zayıf yönler olarak tanımlanan boyutlar ise sırası ile personel sağlama, hataya karşı cezalandırıcı olmayan yanıt, hataların raporlanma sıklığı, iletişimin açık tutulması, hastane müdahaleleri ve değişim ile hatalar hakkında geribildirim ve iletişimdir. Birçok sağlık çalışanı, kurumlarındaki hasta güvenliği kültürüne yönelik olumsuz algılara sahiptir. Hastane yöneticilerinin, hasta güvenliğine en yüksek önceliğin verilmesi ve önleyici yaklaşımların teşvik edilmesi yoluyla karşılıklı güvene dayalı, açık iletişimi esas alan pozitif bir güvenlik kültürü yaratmaları gerekir.
E-SAĞLIK OKURYAZARLIK DÜZEYİNİN SAĞLIK ALGISI ÜZERİNE ETKİSİNİN İNCELENMESİ
Authors: KIBRIS Şerife , KIZILKAYA Selman
Published: July 2023

Bu araştırmanın amacı, e-sağlık okuryazarlık düzeyinin sağlık algısı üzerine etkisinin tespit edilmesidir. Araştırmada veri toplama tekniklerinden anket yöntemine başvurulmuştur. Anket içerisinde, öğrencilerin kişisel özelliklerini ortaya koyan soruların yanında e-sağlık okuryazarlık düzeyi ve sağlık algısını ortaya koyan ifadeler yer almaktadır. Araştırmada, e-sağlık okuryazarlık düzeyinin sağlık algısı üzerine etkisinin tespiti noktasında tarama modeli kullanılmıştır. Modelde, e-sağlık okuryazarlık düzeyi tek boyutta ele alınmış iken sağlık algısı, kontrol merkezi, kesinlik, sağlığın önemi ve öz farkındalık boyutlarında ele alınmıştır. Online ve yüz yüze uygulanan anket sonucunda elde edilen veriler SPSS paket programı ile çözümlenmiştir. Katılımcıların e-sağlık okuryazarlık düzeyinin 28,80 olduğu belirlenmiştir. E-sağlık okuryazarlık düzeyinin sağlık algısı ve alt boyutları ile pozitif ilişkisinin olduğu tespit edilmiştir. Bunun yanında, e-sağlık okuryazarlığın sağlık algısı üzerinde etkisinin pozitif yönde olduğu tespit edilmiştir.
BANKA DENETİM RAPORLARININ YETERLİLİĞİ VE BEKLENTİ BOŞLUĞU
Authors: KARTAL Fikret
Published: July 2023

Ekonomik krizlerin negatif etkilerini azaltmak amacıyla bankacılık otoriteleri bazı tedbirler almakta

ve bankaların görünümü ile doğrudan ilişkili olan kredi sınıflandırması, sorunlu krediler için ayrılan

karşılıklar, sermaye yeterliliği, zorunlu karşılıklar ve likidite konularında raporlama standartlarını

değiştirmektedir. Bu değişiklikler bankaların finansal verileri üzerinde büyük etki doğurmakta ve

bundan dolayı bağımsız denetim raporları daha fazla önem kazanmaktadır. Yatırımcılar denetlenen

hakkında daha fazla bilgi sahibi olmak amacıyla denetim raporlarının ilave bilgi ve analizler içermesini

beklemektedir. Bu çalışma, beklenti boşluğu ve özellikle performans açığı bağlamında, denetim

raporlarının etkinliği ve yeterliliğini değerlendirmektedir. Çalışmanın işaret ettiği sonuçlar, kredi

kalitesi ve risk bileşenleri alanlarında denetim raporlarının denetimin amaçlarını ve yatırımcıların

ihtiyaçlarını karşılayamadığını göstermektedir.
TÜRKİYE’DE İLİŞKİLİ TARAF İŞLEMLERİNİN FİRMA DEĞERİ ÜZERİNE ETKİLERİ
Authors: KUTLUCAN ÖZÜLKEN Ayça , AYANOĞLU Yıldız
Published: July 2023

Günümüzde işletmelerin ilişkili taraflarıyla gerçekleştirdikleri işlemler kurumsal yönetişim ve

şeffaflık konularında önem arz etmektedir. Yakın tarihlerde ABD ve Avrupa’da yaşanan muhasebe

skandalları sonrasında bu işlemlerin firma değerine etkisi güncel yazında önemli bir yer edinmektedir.

Bu bağlamda, bu çalışmanın amacı Türkiye’de şirketlerin ilişkili taraflarla yaptığı işlemlerin firma

değerine etkisini incelemektir. Çalışma kapsamında 2013-2022 yılları arasında kurumsal yönetim

endeksinde yer alan 31 şirket örneklem olarak seçilmiştir. Panel veri analizi yöntemleri kullanılarak

yapılan araştırmada Türkiye’deki şirketlerin gerçekleştirdiği ilişkili taraf işlemlerinin firma değerine

istatistiksel olarak anlamlı bir etki gösterdiği görülmüştür. İlişkili taraf işlemlerinin türü bazında

yapılan analizler sonucunda şirketlerin ilişkili taraflarından yaptıkları alımların firma değerine

olumsuz yansıdığı, öte yandan ilişkili taraflarla girilen borç ve alacak işlemlerinin ise firma değerine

pozitif etki ettiği gözlemlenmiştir. Şirketlerin ilişkili taraflarla yürüttükleri işlemlerin, etkin işlemler

teoremi çerçevesinde, firmaların verimliliğini ve performansını artırdığı, dolayısıyla da firma değerini

artırdığı sonucuna ulaşılmıştır. Çalışmanın bulgularının karar alıcılara ve politika yapıcılara karar

aşamalarında önemli katkılar sağlayacağı öngörülmektedir.
Construir la nación argentina: liberalismo y socialismo en el pensamiento de Mariano Fragueiro
Authors: Vivar García Israel
Published: July 2023

En 1853 se publicaron en Argentina dos obras de Mariano Fragueiro, Cuestiones Argentinas y Organización del crédito. Estos ensayos político-económicos abordaban la problemática central que vivía la nación argentina a ojos de los exiliados políticos. Redactadas y publicadas durante su exilio en Chile, Mariano Fragueiro supo aglutinar un pensamiento que partía de los debates sobre la soberanía y la nación de la etapa revolucionaria, pero incorporaba un nuevo lenguaje surgido en torno a la Generación del 37 y el pensamiento romántico-utópico francés.
Implementation of Secured Server less Communication Scheme for Virtual Systems in 5G Cloud Networks
Authors: Logeshwaran J. , Kiruthiga T.
Published: July 2023

The emergence of virtualization in 5G cloud computing networks puts it at greater risk of cyber-attacks, with a major reliance on the communication between virtual systems. To address these concerns, this paper proposes a secure serverless communication scheme for virtual systems in 5G cloud networks. A system with two roles, sender and receiver, is used to exchange control messages with the sender being responsible for authentication and encryption while the receiver being responsible for decryption and validation. To ensure secure and reliable communication, the proposed scheme uses the Elliptic Curve Cryptography (ECC) method, along with a proposal of a symmetric cryptographic algorithm called AES-CTR. In addition, the proposed scheme also includes a distributed identity base approach to prevent replay and man-in-the-middle attacks. Simulation results demonstrate that the proposed scheme can securely and reliably transfer data between virtual systems in 5G cloud networks and achieve higher efficiency in terms of security as compared to existing schemes. Additionally, the proposed scheme is verified in an NS-3 simulation framework
Concept of Marma in Ayurveda with references to Urdhwajatrugat Marma: A Literary Review”
Authors: Niras A.
Published: July 2023

Ayurveda is the science of life. Ayurveda deals with the prevention as well as principles regarding disease cured. In present era the need of Ayurveda and importance of Ayurveda science is increases day by day. Ayurveda is not only a system of medicine in the conventional sense of curing disease. It is also a way of life that teaches us how to maintain and protect mental and physical health and achieve longevity. In Ayurveda various unique concepts are explained such as Nadi pariksha, Marma, Viddha karma, etc. In which the concept of Marma is unique & as well as important for Chikitsaka. Marma is important for Vyadhi Chikitsa. They are classified in various types according to Panchabhautika dominance and various factors. Every Chikitsaka has knowledge about Marmas for avoidance of injury to them. The marma situated in Urdhwajatrugat are very crucial and need to undersnat its relevanmce in chikitsa. The injuries on these Marma in urdhawajatrugat areas produce temporary or permanent, structural or functional deformity even after best treatment.
On the numerical radius of an upper triangular operator matrix
Authors: Naimi Mehdi , Benharrat Mohammed
Published: July 2023

The main purpose of this paper is to give an improvement of numerical radius inequality for an upper triangular operator matrix.
Variational approach to impulsive Neumann problems with variable exponents and two parameters
Authors: Solimaninia Arezoo , Afrouzi G. A. , Haghshenas Hadi
Published: July 2023

Based on the variational methods and critical-point theory, we are concerned with the existence results for a second-order impulsive boundary value problem involving an ordinary differential equation with $p(x)$-Laplacian operator, and Neumann conditions.
تقدير دالة الانحدار شبه المعلميه في ظل وجود خطأ القياس
Authors: حمود مناف , جابر احمد
Published: July 2023

زاد اهتمام الباحثين في السنوات الاخيرة بنماذج الانحدار شبه المعلميه و ذلك لأنه يمكن من خلالها دمج نماذج الانحدار اللامعلمي و المعلمي في ان واحد و من ثم تكوين انموذج انحدار يتميز بامكانية التعامل مع مشكلة تعدد الابعاد الموجودة في النماذج اللامعلميه و التي تحصل عند زيادة عدد المتغيرات التوضيحية الداخلة في التحليل و من ثم تناقص دقة التقدير. فضلا عن امتياز هذا النوع من النماذج بمرونة في المجال التطبيقي مقارنةً مع النماذج المعلميه التي تتقيد بشروط معينة كمعرفة توزيع الاخطاء او قد تكون النماذج المعلميه لا تمثل الظاهرة المدروسة تمثيلاً صحيحاً.سنستعرض في هذا البحث طرائق شبه معلمية في تقدير دالة الانحدار في ظل وجود أخطاء قياس و هذه الطرائق هي طريقة السيمكس و طريقة المتغيرات المساعدة بالإضافة الى طريقة شبه الإمكان المعدلة وسيتم المقارنة بين هذه الطرائق بأستعمال معيار المقارنة معدل متوسط مربعات الخطأ ( MASE ). اذ تمت المقارنة من خلال استعمال أسلوب المحاكاة بأستعمال النماذج شبه المعلمية واحجام عينات و تباينات مختلفة للتحقق من أداء الطرائق بأستعمال معيار المقارنة أعلاه حيث كانت اهم الاستنتاجات هي ان طريقة المتغيرات المساعدة هي الأفضل بأختلاف حجم العينة المستعملة وقيمة التباين الموضوعة.
مدى إيفاء ديوان الرقابة المالية الاتحادي بمتطلبات جودة تقارير رقابة الاداء على وفق معيار الانتوساي 3000
Authors: عبد الله طالب , محمد صفاء
Published: July 2023

يهدف البحث الى بيان مدى إيفاء ديوان الرقابة المالية الاتحادي بمتطلبات معيار المنظمة الدولية للأجهزة العليا للرقابة والمحاسبة الانتوساي 3000 والخاصة بعملية الرقابة على الاداء وجودة التقارير الصادرة عنها بأعتباره اعلى جهة رقابية في العراق وهو المخول الوحيد للقيام بعملية الرقابة على الاداء للأعمال والانشطة الحكومية. وقد استند البحث في الجانب العملي على تحليل وعرض نتائج استمارة الاستقصاء التي تم اعدادها لمعرفة مدى إيفاء الديوان بمتطلبات المعيار والمتعلقة برقابة جودة العملية الرقابية ورصانة مخرجاتها والمتمثلة بتقارير الرقابة على الاداء.وتوصل الباحث الى مجموعة من الاستنتاجات أهمها يلتزم ديوان الرقابة المالية الاتحادي بالإيفاء بمتطلبات معيار الانتوساي 3000 الى حد ما وهذا ما ينعكس على اداء عملية الرقابة على الاداء وجودة تقاريرها، قلة الكادر وعدم توفر مختلف الاختصاصات والمؤهلات للعاملين في قسم رقابة الجودة كالطبيب والمهندس والكيميائي والفيزيائي وغيرها من الاختصاصات.تمثلت اهم التوصيات ضرورة إيفاء ديوان الرقابة المالية الاتحادي بمتطلبات جودة تقارير رقابة الاداء لمعيار الانتوساي 3000 لما لها من اهمية مباشرة في تنفيذ عملية الرقابة على الاداء وجودتها التي يقوم بها الديوان، ضرورة قيام الديوان بوضع السياسات والاجراءات بخصوص تعزيز ثقافة الجودة وإيصالها لجميع الموظفين وذلك لأهميتها في تعزيز العملية الرقابية ، ضرورة قيام الديوان بإنجاز واصدار التقارير الخاصة بالرقابة على الاداء بالسرعة الممكنة وذلك لأهميتها في اتخاذ القرارات التصحيحية ومعالجة المشاكل ونقاط الضعف للأنشطة والبرامج للجهات الخاضعة للرقابة وعدم فقدانها اهميتها وميزتها في التوقيت المناسب.
استعمال تقنية التكاليف على اساس الانشطة الموجهة بالوقت (TDABC) ودورها في تخفيض التكاليف- دراسة تطبيقية في الشركة العامة للصناعات الكهربائية والإلكترونية / الوزيرية
Authors: عبدالله حنان , فالح حيدر
Published: July 2023

يهدف البحث الى تسليط الضوء والتعرف على تقنية التكاليف على اساس الانشطة الموجهة بالوقت (TDABC) كونها من التقنيات المحاسبية الحديثة وبيان مدى امكانية استعمالها في الوحدات الاقتصادية لتخفيض التكاليف ومساعدة الادارة في الاستغلال الامثل للموارد المتاحة لتلك الوحدات حيث تم طرح مشكلة البحث من خلال السؤال الاتي هل يمكن تخفيض التكاليف في بيئة الاعمال الحالية باستعمال تقنية (TDABC) في الوحدات الاقتصادية؟ ولقد تم تطبيق الدراسة في معمل محركات المبردة التابع للشركة العامة للصناعات الكهربائية والالكترونية.استند البحث الى فرضية رئيسية مفادها (ان استعمال تقنية التكاليف على اساس الانشطة الموجهة بالوقت (TDABC) لها دور في تخفيض التكاليف بالشكل الذي يؤدي الى الاستغلال الامثل للموارد هذا فضلاً عن التأكيد على الطاقة غير المستغلة).وأهم ما تم التوصل اليه من استنتاجات, هو أن تقنية التكاليف على اساس الانشطة الموجهة بالوقت(TDABC) توفر المنافسة للوحدات الاقتصادية من خلال تقديم معلومات اكثر دقة عن التكاليف وتساهم بالتعرف على الطاقة غير المستغلة وتعمل على اعادة تخصيص الموارد المتاحة للوحدات الاقتصادية أن تقنية التكاليف على اساس الانشطة الموجهة بالوقت (TDABC) تحتاج الى معلومتين فقط , الوقت اللازم لتنفيذ الانشطة وتكلفة الوحدة الواحدة للنشاط. كما تم التوصل الى مجموعة من التوصيات أهمها , أنعلى الشركة تبني تقنية (TDABC) من اجل المساعدة في تخفيض تكاليف المنتجات من خلال استخدام معادلات الوقت والتأكيد على الطاقة غير المستغلة التي يمكن تجنبها والمساهمة في توفير معلومات اكثر دقة عن تكاليف العمليات الإنتاجية والتي تعد ضرورية لتحسين العمليات الإنتاجية للشركة عينة البحث .
الالية المقترحة لإعداد كشف التدفقات النقدية المتوقع على وفق النظام المحاسبي الموحد
Authors: عبد الحليم صفوان , عبد الواحد سمر
Published: July 2023

يهدف هذا البحث الى بيان مفهوم كشف التدفقات النقدية و طريقة اعدادها وفق النظام المحاسبي الموحد (ن. م. م.) و توضيح مفهوم واهداف ن. م. م. و امكانية تطوير طريقة اعداد كشف التدفقات النقدية من خلال الاستناد الى البيانات التقديرية التي تكون ذات قدرة تنبؤية عالية مقارنة بالقائمة المعدة وفق البيانات الفعلية ولاعداد هذا الكشف وفق الاساس المتوقع يجب تطوير ن. م. م. ليتلائم ويساهم في المساعدة باعداد القائمة من خلال ادخال عنصر الوقتية لهيكل الدليل المحاسبي, و تركزت مشكلة البحث حول اعداد كشف التدفقات النقدية على وفق المنهج الفعلي دون مراعاة لما يجب ان تكون عليه التدفقات المالية المتوقع يقلل من اهمية هذا الكشف , بالاضافة الى ان ن. م. م. يفتقر الى الية محددة لإعداد كشف التدفقات النقدي المتوقع على الاساس المرحلي . و في ظل فرضيات البحث التي تنص على ان "أن تطوير النظام المحاسبي الموحد من خلال ادخال عنصر الوقتية سيساعد في اعداد كشف التدفقات النقدية المتوقع و سينعكس ذلك على تعزيز القدرة التنبؤية", وايضا "أن اعداد كشف التدفقات النقدية المعياري يتطلب اعادة صياغة ن. م. م. وفقا لهذا للمنهج الوقتي". و لذلك استند البحث الى تطوير النظام المحاسبي الموحد و اعداد كشف التدفقات النقدية المتوقعة لعينة البحث (شركة بيبسي بغداد), بالاضافة الى ذلك تم اعداد دليل استرشادي ليسهل من اعداد كشف التدفقات النقدية من قبل المحاسبين استنادا الى البيانات الفعلية. و قد توصل البحث الى انه على الرغم من ان المعيار المحاسبي الدولي أكد على اهمية الوقتية في اعداد قائمة التدفقات النقدية إلا ان اغلب الوحدات الاقتصادية المحلية لا تعد الكشف على اساس وقتي (فصلي), كما ان ادخال الوقتية في هيكل الدليل المحاسبي للنظام المحاسبي الموحد سيساعد في اعداد كشف التدفقات النقدية على اساس مرحلي (فصلي), لذلك يوصي البحث باعتماد الدليل الاسترشادي المقترح لاعداد كشف التدفقات النقدية من قبل ديوان الرقابة المالية الاتحادي, و ايضا ادخال عنصر الوقتية (المرحلية) كأساس في تطوير ن.م.م. لان ذلك سيساهم في تسهيل مهمة اعداد كشف التدفقات النقدية المرحلية, كما يرى الباحثان ضرورة حث جميع الوحدات الاقتصادية العاملة في البيئة المحلية باعداد كشف التدفقات النقدية على الاسس المعيارية .
تحسين اداء صف الانتظار ذو الاولوية الضبابي في مستشفى بغداد التعليمي
Authors: عياده حسام , العشاري عمر
Published: July 2023

تضمن هذا البحث انشاء دوال انتماء لمقاييس الاداء في نظام صف الانتظار لثلاث اولويات. اذ كل من معدلات الوصول ومعدل الخدمة اعداد ضبابية. تم استعمال خوارزمية DSW (Dong, Shah and Wong) التي تعتمد على نهج α-cuts ومبدأ التمديد لـ(zadeh) للمجموعات الضبابية. حيث تضمنت خوارزمية DSW بدورها قيم ضبابية كحدود عليا ودنيا لكل من مقاييس اداء النظام. باستعمال البرمجة المعلمية الرياضية.ويلخص البحث مجموعة من النتائج والاستنتاجات لوجود مشاكل عديدة بالنسبة لانتظار المرضى في مستشفى بغداد التعليمي - قسم طوارئ الباطنية. اذ تم ايجاد مقاييس اداء النظام من خلال خوارزمية DSW للنموذج (FM/FMi/1):(∞ / FCFS - Priority ordering) وفقاً لترتيب الأولوية.
تقدير معلمة القياس لتوزيع ليندلي - دراسة مقارنة في تحليل أوقات الإنتظار
Authors: عبد الله ثائرة
Published: July 2023

يهتم البحث بتقدير معلمة القياس لتوزيع ليندلي بطريقتي الإمكان الأعظم وبيز القياسية , ومن ثم المقارنة بين مقدري الطريقتين بالإعتماد على متوسط مربعات الخطأ من خلال تجارب المحاكاة المختلفة المفترضة, وقد أثبتت النتائج أفضلية طريقة بيز في حالة أحجام العينات الصغيرة والعكس صحيح في حالة أحجام العينات المتوسطة والكبيرة, وتم إستثمار المقدر الأفضل في دراسة وتحليل أوقات الإنتظار لعملاء مصرف الرشيد / الجامعة المستنصرية
إستخدام بعض الاساليب الهرمية للتحليل العنقودي في تصنيف الأراضي الزراعية حسب المساحة وكمية الإنتاج لبعض محاصيل الخضر في محافظات العراق لعامي (2005) و (2010)
Authors: محمد محمد , الراوي اسماء
Published: July 2023

يهدف البحث الى دراسة مشكلة تصنيف الأراضي الزراعية للمحافظات كافة عدا محافظات إقليم كردستان وفق مدى صلاحيتها لزراعة الخضر لعامي (2005) و(2010) ونظرا لاهمية هذين العامين على الواقع الزراعي العراقي اذ يأتي العام (2005) بعد الانهيار في القطاع الزراعي العراقي نظرا للفراغ السياسي والاقتصادي بعد عام (2003) في حين يشكل العام (2010) بداية النهوض بهذا القطاع من خلال وضع سياسات انتاجية وخطط خمسية وبعيدة المدى من قبل وزارة الزراعة، وايضا يسعى هذا البحث الى التنبؤ بكميات الانتاج لمحاصيل الخضر للسنوات العشر التي تلي عام (2010)، وقد تم استخدام الاساليب الهرمية للتحليل العنقودي في تحليل البيانات واعتمادها في تصنيف الأراضي بناءاً على أساس العناقيد المستخرجة من التحليل، اذ يعد التحليل العنقودي واحدا من الطرائق الاحصائية لمتعددة المتغيرات اذ يتمتع التحليل العنقودي بميزات وخصائص عديدة تسهل عملية التصنيف والتجميع مكونة عناقيد تتشابة مفرداتها ببعض الخصائص وتختلف مع مفردات العناقيد الاخرى بالاضافة الى قدرته على عرض نتائج العنقدة على اساس مخططات شجرية توضح خطوات العنقدة من المرحلة الاولى وصولا الى المرحلة الختامية، وتم التوصل البحث إلى أن أراضي محافظة نينوى ومحافظات المنطقة الوسطى كمحافظات بابل وواسط وكربلاء هي الأفضل زراعياً بعد التصنيف، وايضا ان الزيادة في الانتاج كانت ضعيفة.
دور تقنية اعادة هندسة العمليات في تخفيض التكاليف وتحسين جودة المنتج
Authors: سعد سلمى , عنيد صباح
Published: July 2023

تعد اعادة هندسة العمليات احدى التقنيات المهمة التي تهدف الى توفير حلول جذرية للمشكلات التي تعاني منها الشركات، وتحقيق مستويات فائقة في الأداء بأتجاه تحقيق أهداف تلك الشركات بما يعزز الميزة التنافسية. يهدف البحث الى تسليط الضؤ على ان اعادة هندسة العمليات لها الآثر الكبير في اعادة التنظيم الجذري لعمليات الشركات بما يسهم في تخفيض تكاليفها و تحسين جودة منتجاتها وتحقيق الميزة التنافسية ،كما يهدف البحث الى تطبيق اعادة الهندسة بوساطة تقنية معاصرة اخرى متمثلة بتقنية التكاليف على أساس الأنشطة الموجهة بالوقت(TD-ABC) في الشركة العامة لصناعة البطاريات. ويقوم البحث على فرضية أساسية مفادها(ان تطبيق اعادة هندسة العمليات يسهم في تخفيض التكاليف وتحسين جودة المنتج بما يسهم في تحقيق رضا الزبون وتحقيق الميزة التنافسية).أما أهم الأستنتاجات التي توصل اليها البحث ان تقنية اعادة الهندسة تعد تقنية مناسبة لتحقيق التكامل بين الوظائف المختلفة للشركة من خلال اعادة التصميم الجذري لتلك الوظائف الأمر الذي يتطلب من الشركة التكيف مع التغييرات المتسارعة في بيئة المنافسة. فيما كانت أهم التوصيات تبني أدارة الشركة لتقنية اعادة الهندسة للقيام بتغييرات جوهرية في أقسام الشركة بما يسهم في تحسين وضعها التنافسي وأستقدام خطوط أنتاجية جديدة لأنتاج البطاريات عديمة ألأدامة .
دور مدخل التكلفة على اساس المواصفات في تخفيض تكاليف الجودة
Authors: الدفاعي صفاء , الخلف نضال
Published: July 2023

التطورات الكبيرة والمتسارعة في بيئة الاعمال الحديثة جعلت رغبات الزبون بتقلب مستمر ومتسارع، مما دفع الوحدات الاقتصادية الى النظر لتلك الرغبات على انها هدف متحرك وعليها الاهتمام بتلك الحاجات والرغبات من خلال تبني مداخل معاصرة تؤدى الى اكتساب ميزة تنافسية واستثمار الفرص المتاحة في هذا الاتجاه، ومن هذه المداخل التكلفة على اساس المواصفات ABC11. تتمثل مشكلة البحث في دراسة تأثير مدخل التكلفة على اساس المواصفات في تخفيض تكاليف الجودة من خلال تحليل بيانات الزبائن باستخدام بحوث السوق وكذلك تحليل فئات تكاليف الجودة حسب اهميتها النسبية لكل مواصفة ، ويهدف البحث الى عرض وتحليل استخدام مدخل التكلفة على اساس المواصفات مع بيان اثره في تخفيض تكاليف الجودة، اما اهمية البحث تتمثل ببيان مدى تأثير المداخل التسويقية على الوحدات الاقتصادية في تحقيق اهدافها من خلال الاسس العلمية الحديثة لإدارة العلاقة مع الزبون وتحقيق مكاسب على حساب المنافسين من خلال التحليل المفصل والمستمر لبيانات الزبون باستخدام بحوث السوق وكذلك الاهتمام بالمقاييس غير المالية المتمثلة برضا الزبون والتي يمكن قياسها من خلال درجة استجابة الوحدة الاقتصادية لتوفير المواصفات التي يرغبها او يتوقعها الزبون.ابرز الاستنتاجات التي توصل اليها البحث امكانية قياس جميع تكاليف الجودة المستنفدة لكل مواصفة ، وكذلك تحديد تكاليف كل فئة من تكاليف الجودة لكل مواصفة ،مما يوفر معلومات اكثر فائدة من خلال تتبع وتحليل تكاليف الجودة تبعاً لمواصفات المنتج، مما ينتج فاعلية اكبر لتخفيض التكاليف وتحسين وضمان الجودة وتقويم الاداء .
دور تقنية تحليل القيمة في تخفيض كلفة المنتج - دراسة تطبيقية في الشركة العامة لصناعة البطاريات
Authors: العبيدي ياسر , الخلف نضال
Published: July 2023

يهدف البحث الحالي الى تطبيق احدى التقنيات الكلفوية والادارية المعاصرة والمتمثلة بتقنية تحليل القيمة في ظل المدخل الاستراتيجي لإدارة الكلفة، ولأجل تحقيق ذلك تم اختيار الشركة العامة لصناعة البطاريات بهدف تطبيق تقنية تحليل القيمة وبيان دورها في تخفيض تكلفة منتج البطارية سعة 60A من خلال تحديد المشاكل والاسباب الرئيسية المكونة لها والعمل على حل تلك المشاكل او الحد منها فضلا عن تحديد المزايا والامكانات المتوافرة في هذه الشركة، حيث ساعد البحث الحالي في حساب كلفة الانتاج لمنتج البطارية وحساب مقدار الوفورات في التكلفة فضلا عن اضفاء قيمة معرفية وفكرية حول تطبيق تقنية تحليل القيمة سواء للشركة موضوع البحث او للدراسات الاكاديمية السابقة.
Integrated Usage of System Dynamic Models and Agent-based Modeling for Taking Management Decisions when Introducing Innovative Technology
Authors: Klavsuts D. A.
Published: July 2023

The paper proposes a new methodological approach aimed at developing simulation models of system dynamics and agent-based modeling in case an enterprise introduces an innovative patented technology in new markets. This task requires development of new business models, strategies, and communication processes. The operating models for solving these problems are implemented in the AnyLogic simulation system
On the Need to Clarify the Methods of Evaluating the Tracts Sound Quality Through the Psychoacoustic Criteria Application
Authors: Abrosimova N. O. , Korotchenko A. A. , Shushnov M. S.
Published: July 2023

In this article, the electrical indicators connection of the sound tracts quality used in modern measurement methods and psychoacoustic indicators of the subjective assessment potential are considered. A recommendation on the need to apply psychoacoustic assessment criteria is given as not all of them used in subjective assessment of the sound tracts quality can be measured using objective techniques
Failures of ICs Caused by Dielectric Breakdown
Authors: Shubin V. V.
Published: July 2023

The paper describes some problems of operation failures of integrated circuits (ICs) and corresponding preventative measures by constructive-technological, schematic-topological methods at the early stages of design process. The issues related to the problems of IC failures caused by dielectric breakdown are considered, generalized and systematized. Some examples that can be used in practice when developing ICs to improve their reliability, taking into account current trends in the microelectronics field.
Risk Assessment Method in Decision-making Systems Taking into Account Information Protection
Authors: Selifanov V. V. , Soldatov A. Yu. , Soldatov E. Yu. , Podlegaev A. P. , Skorikov V. S.
Published: July 2023

The article suggests an approach by which it is possible to analyze the impact of information security on the decision management process. The use of the approach in the life cycle of the system will reduce risks and contribute to the identification of "bottlenecks" including information security. The efficiency of the approach is demonstrated by examples
A percepção de uma das firmas de auditoria (big four) em relação à aderência da formação dos seus novos profissionais no Brasil
Authors: Medeiros Luciano , Santiago Sandro Breval , De Oliveira Júnior Manoel Carlos
Published: July 2023

Pretende-se com este artigo investigar a percepção da formação dos profissionais de auditoria contábil quanto ao atendimento das expectativas de uma firma de auditoria, considerando as variáveis latentes: Auditoria, Instituições de Ensino Superior - IES e o Profissional. A metodologia utilizada contempla um método descritivo e explicativo, com revisão da literatura e uso de Survey aplicada em empresa de auditoria (Big Four), identificando 20 indicadores (variáveis mensuráveis), utilizando o modelo de equações estruturais (Partial Least Square). Os resultados evidenciam a importância da formação interna do auditor, ao mesmo tempo que algumas características comportamentais (assiduidade, liderança) indicaram um peso menor, no processo de demanda do mercado (profissional). O modelo apresentado corrobora com informações para o processo de seleção de profissionais, no instante em que sinaliza informações (indicadores) – no binômio Formação x Demanda. A pesquisa tem limitação quanto à sua aplicação no âmbito de uma única firma de auditoria (Big Four) do mercado. O trabalho propicia um modelo de medição para o entendimento da percepção dos requisitos do mercado, das características do futuro profissional e das IES.
PHOSPHORUS BALANCE IN RESERVOIRS OF SEASONAL AND LONG-TERM REGULATION
Authors: Datsenko Yu.S. , Puklakov V.V.
Published: July 2023

The results of model simulation of the phosphorus regime and balance in the Ivankovo, Mozhaisk and Istra reservoirs, which carries out seasonal regulation of the Upper Volga runoff and long-term regulation of the Moskva and Istra rivers, are presented. The components of phosphorus balance were calculated using 2-D box model of heat and mass transfer which provides for day-by-day calculation of spatio-temporal distribution of water quality parameters. Phosphorus balance equation accounts for phosphorus input along the rivers and from the side watershed area, phosphorus regeneration from the bottom sediments, water release to the lower pool, and phosphorus removal through water discharge from the Ivankovo reservoir to the Moscow Canal, as well as the annual increase or decrease of phosphorus mass. Calculations refer to an average water year. A comparative analysis of phosphorus balance components in the Ivankovo reservoir and in the reservoirs near Moscow shows that the processes of sedimentation and regeneration of phosphorus from sediments are more intensive in the Ivankovo reservoir. The main discharge of phosphorus to the lower pool is during the spring flood period in the reservoir of seasonal regulation and during the low-water period in the reservoirs of long-term regulation. Scenario calculations provided graphs of the values of phosphorus retention in a reservoir depending on the increasing external phosphorus load.
FLUORINE IN THE NORTH ATLANTIC WATERS
Authors: Savenko A.V. , Savenko V.S. , Novigatsky A.N.
Published: July 2023

New data on the fluorine content in North Atlantic waters was obtained by the method of direct potenti-ometry with a fluoride ion-selective electrode. The measured fluorine concentration was equal to 1,27 0,03 mg/kg at F/Cl mass ratio of (6,59 0,11) · 10-5, which closely corresponds to the normal fluorine content in seawater. The totality of available data on the F/Cl ratio in different areas of the World Ocean suggests rather low variability of the fluorine content in seawater salts.
MODELING OF STATISTICAL PARAMETERS OF WATER TURBIDITY IN RIVER FLOWS
Authors: Shmakova M.V. , Kondratyev S.A.
Published: July 2023

The economic use of water bodies in many ways relies on the calculation of solid runoff at various scales, from momentary to annual. Estimation of the annual solid runoff and the degree of its reliability, as well as the estimation of statistical parameters of turbidity are extremely difficult in case of irregular and insufficient illumination for different phases of water regime. At the same time, the knowledge of the processes of natural water quality formation and the elaboration of sufficient calculation methods allow reproducing the main indicators of water quality with acceptable accuracy. The statistical analysis of water quality indicators could be expanded through a comprehensive approach to their evaluation using well-established deterministic and stochastic calculation algorithms with arguments that are observed regularly and for a long time. In this case, a composite method can be applied to estimate the parameters of sediment flow or water turbidity distribution. The method allows finding the parameters of the distribution curve of a function through the parameters of the distribution curve of its arguments. The paper presents a deterministic-stochastic modeling system “weather-runoff-sediments”, based on a stochastic weather model, a model of runoff formation in the catchment and a model of annual solid runoff. The system makes it possible to estimate the parameters of the distribution of sediment load and turbidity daily values in case of insufficient observation data and changing conditions of runoff formation within the catchment resulting from natural causes or economic activities. The practical implementation of the modeling system for the Narva River showed a good correspondence between the distribution parameters of observed and calculated series of daily water turbidity values. The presented numerical implementation of the climate forecast showed that a decrease in river flow caused by increasing air temperature will lead to a significant increase in water turbidity.
IODINE AND SELENIUM IN SOILS OF THE BRYANSK REGION (CASE STUDY OF THE TITOVKA RIVER BASIN)
Authors: Berezkin V.Yu. , Korobova E.M. , Danilova V.N.
Published: July 2023

The vertical and lateral distribution of iodine and selenium in the soils on different types of parent material, i. e. loesslike loams and fluvioglacial sands and sandy loams, was studied within associated landscape-geochemical systems of the Titovka River basin (Bryansk region, Russia). It was found that the content of both elements in particular genetic horizons of the studied soils under the contrasting environment varies widely, namely I: 0,22-7,93 mg/kg, n = 93, and Se: 0,001-0,668 mg/kg, n = 93, airdry mass. Gray forest loamy soil on loesslike loams contains 2 times more iodine and almost 4 times more selenium than sodpodzolic sandy loam soil on binary deposits (1,67 / 0,81 mg/kg for I (p < 0,05); 0,453 / 0,120 mg/kg for Se (p < 0,05), respectively).This may be due to both the type of parent material and higher content of organic matter, and the lighter texture of gray forest soils. The content of iodine and selenium in bottom sediments of the Titovka River (0,59 and 0,36 mg/kg of airdry mass) is most comparable with the upper horizon of sodcarbonategley soil sampled a few meters from the sampling site of bottom sediments (I - 0,57 mg/kg; Se - 0,35 mg/kg of airdry mass). At the same time, the elements showed dissimilar differentiation in soil horizons, due to their affinity to geochemical barriers. Iodine is actively fixed on the alkaline-carbonate barrier and is mobile under reducing conditions, while selenium concentrates on the gleyic barrier and is mobile in an oxidizing environment. This should be taken into account when assessing the availability of these biologically significant chemical elements in soils and local food products, particularly in the areas exposed to radioactive isotopes of iodine.
SOIL MAPS IN COMPLEX REGIONAL ATLASES OF THE CONSTITUENT ENTITIES OF THE RUSSIAN FEDERATION
Authors: Bogdanova M.D. , Gerasimova M.I.
Published: July 2023

The content, legends and methods of designing the basic soil maps in complex regional atlases published over the past 60 years were analyzed. The atlases were grouped in accordance with the time of publication and potential users. The main attention was paid to the content and conceptual background of maps, their compliance with the rules and experience of traditional soil mapping in Russia, as well as to the requirements for soil maps, i. e. completeness of information with new knowledge included, visual clarity and readability. The content of maps is assessed in the following aspects: natural soils, presence of human-modified soils, classification used, soil cover composition and pattern, relief, and soil texture. The legends were evaluated in terms of information on soils and presentation of the mapping concepts, namely, legend structure, the number of units and the order of soils in the legend; methods of cartographic presentation were discussed as well. Soil maps in the atlases dating from the second half of the last century were compiled in accordance with the zonality concept; the soils basically corresponded to the USSR soil classification (1977) with some additions. In the atlases of the latest period, there are several maps compiled according to the new classification of soils in Russia. Soil maps in the atlases mostly used standard cartographic techniques; at present a certain deviation from the rules and standards of traditional soil cartography is obvious, which affects the information content and visual clarity of maps
Reticulocyte haemoglobin equivalent (ret-he) as a marker of bioavailability of iron in pregnant female- a study of 75 cases in a tertiary care centre
Authors: Trivedi Dhara , Chavda Alpesh , Savjiyani Divyesh
Published: July 2023

Abstract
Background: Anaemia is the most frequent derailment of physiology in the world throughout the life of a woman. Women in the gestational period have a higher risk of presenting with iron-deficiency anaemia. The anaemia may occur due to inadequate intake of dietary iron, greater foetal demand and haemodilution, a physiological anaemia common in pregnant women in which changes in the maternal organism, such as changes in blood volume and factors associated with haemostasis, decrease haemoglobin concentration. The aim of study is to utilize Ret-He as a marker of bioavailability of iron in pregnant female. Material and Methods: This was a retrospective and prospective study carried out for a duration of 1 years and included total of 75 cases referred to Pathology Department, M. P. Shah Govt. Medical College and Guru Gobind Singh Hospital, Jamnagar- Gujarat. Clinical history, RET-He and other important parameters as well as findings of all the concerned pregnant females were collected. Results:Age of pregnant females varied from 19 years to 42 years. Mean age being 25.2 years. The reference ranges of RET-Hewas between 32.1 and 38.8 pg with a median of 34.17 pg. Hb and/or ferritin level were low in 3 pregnant women in 1st trimester with anaemia, 7 in 2nd and in 16 patients in 3rd trimester. Conclusions: Early diagnosis of iron deficiency anaemia in pregnancy is essential to prevent damage to both maternal and foetal health. In this study, we showed that the RET-He presents an excellent supplementary tool for the diagnosis of iron deficiency in pregnant women.
Keywords: Anaemia, Iron deficiency, Pregnancy diagnosis, Reticulocytes, RET-He.
Comparative Study of Intra-articular Dexmedetomidine Versus Ketamine as an Adjuvant Analgesic after Arthroscopy
Authors: Maheshwari Bhaarat , Patel Ronakkumar , Kapadiya Namrata , Moradiya Meet A.
Published: July 2023

Abstract

Background: The primary aim of this study was to evaluate the analgesic effect and safety of intra-articular Dexmedetomidine versus Ketamine in patients undergoing knee arthroscopic surgeries.
Material and Methods: A total of 100 patients were allocated into two equal groups (n= 50 in each group) using random numbers, in an allocation ratio of 1:1. Syringes were labelled either D (dexmedetomidine) or K (ketamine) and study drugs were injected via intra-articular route after completion of knee arthroscopy. Analgesic effect of study drugs was compared using VAS score at 6 hrs, 12 hrs and 24 hrs. Safety of study drugs was compared using mean HR, mean BP and adverse events observed. Results: Lower VAS score, increased time for first rescue analgesic requirement and decreased need for postoperative analgesics were observed in the dexmedetomidine group as compared to ketamine group. Mean HR and Mean BP were lower in patients receiving dexmedetomine compared to those receiving ketamine. Hypotension was detected in 2 patients receiving dexmedetomedine while 1 patient on ketamine developed delirium. Conclusion: Intra-articular use of dexmedetomidine is superior to ketamine for post-operative analgesia without significant adverse effects.
Key words: Knee arthroscopy, Intra-articular Dexmedetomidine, Intra-articular Ketamine
Chronic Morbidity Pattern and Quality of Life among Geriatric Fisherman Population in Pondicherry-An Explanatory Sequential Mixed Method Study
Authors: S.Kirubakaran S.Kirubakaran , K.Logeswari K.Logeswari , G.Aravind .G.Aravind , M. Janaki M. Janaki , J. Shanmuga Priya J. Shanmuga Priya
Published: July 2023

Abstract
Background: Almost half of the geriatric population in India has chronic morbidity. Health status is an important factor that has a significant impact on the quality of life of an elderly population. Objectives: To find out the pattern of chronic morbidities and to explore the coping skills among the Geriatric Population. Methodology: The study was Explanatory Mixed Methods study design, where a quantitative phase (Survey) followed by the qualitative phase (In depth interviews [IDI]) is used. A total of 450 patients aged 60 and above from the coastal villages were studied and analysed. Socio Demographic details, Morbidity Patten and the treatment taken. Results: For the 5 item General Health Questionnaire among the 254 Young old 92 (36.2%) were positive and among the 216 Older/Oldest population about 88 (40.7%) were positive which is statistically significant (p value 0.0224) comparing the two age categories Regarding Alzheimer’s disease – 8 item questionnaire positive there is statistically very significant (p value 0.0003) difference among the Young old 44 (17.6%) and for Older/Oldest population about 64 (29.6%).Conclusion: Hence it is prudent to screen the elderly population for these General health, Alzheimer’s diseases spread knowledge, awareness and self-care advice to them among the fisherman community though their food pattern and physical activity is on positive note. This will help to create “the society for ages” and to promote the concept of active and healthy ageing.
Keywords: Elderly, Quality of Life, Chronic morbidity, Geriatrics, Fisherman
Comparative Study of Clinical and Audiological Outcome between Autologus and Prosthesis in Ossicular Chain Reconstruction
Authors: Patel Kalpesh B. , Joshi Chinmayee , Modi Vishal D , Patel Brijal , Bamaniya Dipak B. , Gohil Bhavika
Published: July 2023

Abstract
Introduction: Ossiculoplasty is one of the commonly done and challenging surgery in otology and has been done using various graft materials. Materials such as autologous cartilage (tragal or conchal) or allograft (homograft) of the same tissue and synthetic materials like polyethylene TORP, ceramic and hydroxyapatite PORP or Titanium prosthesis have been used. But the latter synthetic materials are expensive and have high extrusion rates. Autologous cartilage grafts are selected for Ossiculoplasty as they are easy to harvest at the same site of operation, non-toxic, has less extrusion rate, minimum shrinkage and lateralization. Aims and Objective: The aim of this study is to know the efficacy of autologous graft and prosthesis in ossicular reconstruction and to evaluate hearing outcome along with extrusion rate among them. Methodology: It is a prospective study done on patients attending ENT outpatient department in civil hospital Ahmedabad affiliated to BJ medical college Ahmedabad. 60 patients were included in the study who underwent ossicular reconstruction either with canal wall up or down mastoidectomy with tympanoplasty. Conclusion: On follow up of 60 patients over six month we followed there is significant air bone gap reduction with prosthesis but there is risk of extrusion which cancel out beneficial effect of prosthesis. Whereas cartilage and incus remodelling give good result in air bone reduction and better take up compare to prosthesis with less extrusion rate. Also, autologous grafting in ossicular chain reconstruction is economical in developing countries like India with disease prevalent among low socioeconomic group.
Keywords: PORP/TORP, Ossicular chain reconstruction, incus remodelling, CSOM, Mastoidectomy
Spurious Outlier in Cell Counter for Total White Blood Cell Count Parameter in Laboratory External Quality Assurance Program
Authors: Rathod Dinesh A , Ninama Nita J , Patel Viral J , Patel Bipin
Published: July 2023

Abstract
Background & Aims: In the External Quality Assessment Program (EQAP), medical laboratories' test results are compared to their peers by statistical analysis. The present study aims to highlight issues related to the root cause for the outliers in EQAP, the factors which lie outside the laboratory operation. Material and Method: Indian Society of Haematology and Blood Transfusion and All India Institute of Medical Science (ISHTM AIIMS) EQAP samples were analyzed in HORIBA Yumizen H 550 and HORIBA Pentra 60 cell counter. Randox international quality assessment scheme hematology (RIQAS) was analyzed on Yumizen H 550 cell counter. Result: All CBC parameters performance except Total WBC were found satisfactory as Z score is below three in ISHTM AIIMS EQAS on Yumizen H 550 in both laboratories. In contrast, Yumizen H 550 cell counter showed unsatisfactory performance as the Z score was more than three in both laboratories. In RIQAS Yumizen H 550 cell, the counter-performance of all CBC parameters is satisfactory for all samples as SDI is less than three. Conclusion: Horiba Yumizen H 550 cell counter gives spurious outlier in the total WBC parameter for ISHTM AIIMS EQAS. Switching to other EQAPs can provide the solution to a constant outlier.
Keywords: Cell counter, External quality assurance, Yumizen H 550, RQAS, Total WBC count