bluuebunny/crossref_metadata_2025 huggingface dataset:
Penerapan Eco Airport Pada Bandar Udara Internasional I Gusti Ngurah Rai
Authors: I Komang Yasa Pastika  , Dr. Ir. Putu Gde Ery Suardana, M.Erg.
Published: October 2023

Meningkatnya aktifitas di bandar udara berpengaruh terhadap meningkatnya lalu lintas udara yang dapat berpengaruh terhadap kualitas udara lokal yang dapat menggangu kesehatan masyarakat, ini karena berdasarkan Intergoernmental panel on climate change (IPCC) tahun 1992, transportasi udara menyumbang sekitar 3,5% dari total anthroponegic radiative forcing, di indonesia sendiri telah di atur di dalam peraturan pemerintah nomor 40 tahun 2012 tentang pembangunan dan kelestarian lingkungan hidup Bandar Udara. Untuk penerapan eco airpot, dimana eco airport merupakan bandar udara yang telah menjalani pengukuran yang terukur terhadap aspek-aspek yang berpotensi menyebabkan dampak lingkungan. Tujuan dari penelitian ini untuk mengetahui penerapan eco airport pada bandar udara I Gusti Ngurah Rai,  Di Indonesia terdapat lima bandar udara yang telah menerapkan eco airport di antaranya Soekarno Hatta (jakarta), Ngurah Rai (Denpasar), Hang Nadim (Batam), Juanda (Surabaya), dan Sultan Mahmud Badarudin II (Palembang), dalam penerapan eco airport terdapat dua langkah yang di lakukan di antaranya Pembentukan eco airport council dan Penyusunan airport environment plan (AEvP). Dalam penentuan penyusunan AEvP terdapat Konsep dasar yang menjadi penentu diantaranya adalah udara, energi, kebisingan/getaran, air, limbah, lingkungan alamiah, di bandar Udara I Gusti Ngurah Rai sendiri telah menerapkan komponen-komponen pendukung dalam terlaksananya eco airport di antaranya telah menggunakan penggunaan kendaraan listrik, pemanfaatan energi alami,  pemanfaatan air hujan, pengelolaan limbah, dan penanaman pohon
Cambios de peso corporal, hábitos dietéticos y molestias auto-percibidas asociadas a ortodoncia: revisión de la literatura
Authors: Fajardo Quezada Sandro Israel , Pulgarín Fernandez Celia María
Published: October 2023

En la literatura ortodóncica actual, se han establecido conexiones significativas entre la ortodoncia y aspectos relacionados con el peso corporal, patrones alimentarios y la percepción subjetiva de molestias en pacientes. Uno de los hallazgos notables es la pérdida de peso inicial que experimentan muchos pacientes al inicio del tratamiento ortodóncico, posiblemente debido a dificultades en la masticación de alimentos sólidos causadas por los aparatos ortodóncicos; destacando la importancia de investigar y supervisar los patrones dietéticos de los pacientes durante esta etapa crítica, así como proporcionar orientación dietética para promover hábitos alimenticios más saludables. Se ha observado que la adaptación de los pacientes a los aparatos ortodóncicos conduce a una recuperación gradual del peso perdido. Además, con la información proporcionada por los pacientes sobre sus hábitos dietéticos, se promueve una diferencia en los hábitos diarios de alimentación debido a las molestias asociadas con la masticación de diferentes texturas de alimentos; estas molestias, aunque subjetivas y variadas, tienden a disminuir con el tiempo a medida que los pacientes se adaptan a sus aparatos ortodóncicos.
Cantorův diagonální důkaz
Authors: Vlasáková Marta
Published: October 2023

Cantor's diagonal proof is sig­nificant both because the central method of proof used in it has been subsequently applied in a number of other proofs, and because it is considered to confirm the existence of infinite sets whose size fun­ damentally and by an order of magnitude exceeds the size of the "classical" infinite set represented by all natural numbers, while their size can theoretically exceed every conceivable limit. Although Can­tor's proof is generally accepted by the scientific community, some experts are somewhat reserved about it. The aim of this paper is to present Cantor's proof in an accessible way, while pointing out its (hidden) assumptions and possible problematic points, and pointing out that some of its underlying assumptions are not indisputable mathematical truths, but rather postulated propositions that may or may not be accepted.
Phenological and Pomological Characteristics of Rosa canina L. Species Cultivated and Naturally Distributed in Amasya Province
Authors: DURAN Ferhat , KILIÇ Dudu Duygu
Published: October 2023

The aim of this study was to investigate the phenological and pomological characteristics of R. canina species cultivated and naturally distributed in Amasya province. Rosa canina is one of the important plants distributed worldwide and used in food, medicine, raw materials, and landscaping. The research was carried out in 2022 using cultivated and naturally growing rosehip plants and their fruits in Suluova (Bayırlı Village and Yüzbeyi Village) and Taşova (Esençay Village and Kırkharman Village) districts of Amasya province. The phenological characteristics of the species were observed between April and December. The height (cm), average crown width (cm), and number of branches were measured from north-south and east-west directions of the natural and cultivated rosehip species; the number of fruits and fruit weight of the fruits sampled from 10 individuals were measured by weighing them on a precision balance. The thorniness of the natural and cultivated rosehip plants selected in each location in the study was scored as Very; 3, Moderate; 7, Less; 10. According to the findings, the most significant difference between naturally grown rosehip and cultivated rosehip plants in terms of phenological periods is the ripening time of the fruits. Plant height varied between 180.10±11.94 -78.00±8.45 in cultivated R. canina species and between 119.50±56.34 and 89.00±50.43 in wild species. Crown width ranged between 288.90±12.35 cm and 89.40±2.23 cm in cultivated individuals and between 146.10±7.38 cm and 123.20±7.30 cm in wild species. The number of branches was found between 14.70±4.39 and 6.20±1.22 in cultivated individuals and between 11.20±4.36 and 8.70±5.81 in wild individuals. The study, it was observed that the thorniness was low or moderate in all cultivated rosehip plants. Fruit weight, fruit diameter, and fruit length ranged between 2.29±0.18 and 1.97±0.28; 14.27±0.64 and 12.93±0.59; 20.27±0.80 and 20.10±1.42 in wild R. canina individuals, respectively. In cultivated R. canina species, fruit weight, fruit diameter, and fruit length ranged from 3.48±0.12 to 2.61±0.28; 17.21±0.85 to 15.53±0.97; 26.65±0.85 to 20.16±0.72, respectively. Fruit weight and fruit diameter of cultivated and wild rose hips were statistically different in different locations.
Personal Income Tax and Provisions of Education and Road Infrastructures in Lagos State, Nigeria
Authors:   Department of Accounting, College of Social and Management Science, Afe Babalola University, Ado Ekiti (ABUAD) Ekiti, Nigeria, Ade (Ph.D) Olugbade Julius , Odunayo (Ph.D) Akinlade Olayinka ,   Department of Accounting, College of Social and Management Science, Afe Babalola University, Ado Ekiti (ABUAD) Ekiti, Nigeria, Kolawole (Ph.D) Hassan Abdullai ,   Department of Accounting, College of Social and Management Science, Afe Babalola University, Ado Ekiti (ABUAD) Ekiti, Nigeria
Published: October 2023

Infrastructural provision has been the major point of concern to governments in all states of the federation in Nigeria. Government of Lagos State without exception has been facing serious challenges in provision of infrastructure to Lagosians. The state has been witnessing infrastructural deficit despite huge revenues accruing to the government monthly and this is actually affecting the standard of living of the citizens. Since the advent of civilian government in the state, internally generated revenue has been on the increase, yet the state is still witnessing many infrastructural deficits. This study examined the effect of personal income tax revenue on infrastructural provisions in Lagos state with respect to Education and Road Infrastructures. The study adopted ex-post facto research design. The study covered Personal Income Tax and Infrastructures provisions on Education and Road by the government of Lagos State from 1997 to 2018. Data were obtained from Lagos State Internal Revenue Services (LIRS), Lagos State Ministry of budget and planning and Lagos State Ministry of Finance. The validity of data was premised on the statutory audit of the financial statements by the office of the Auditor General of Lagos State. Data were analyzed using descriptive and inferential statistics. The study found that Personal Income Tax has significant effect on infrastructural provision by the government of the state. On IFED, Adjusted R2 = 0.372, Prob(F-stat) = 4.753, at 5% significance level [β = -0.815; P – value = 0.036]. Also on IFDR, Adjusted R2 = 0.315, F-stat = 3.915, Prob(F-stat) = 0.028), at 5% significance level [β = 0.352; P – value = 0.154]. The study concluded that Personal income tax has impacts that are significant on infrastructural provisions of the state. The study recommended that, government should make it a top priority, the provisions of infrastructures on education to guarantee quality education of the pupils in the state. Also, government should embark on massive road network construction with proper maintenance of the existing ones so as to avoid frequent occurrence of carnage on the roads and government should make more effort to widen the tax net especially among the rural dwellers so that more revenues can be collected as personal income tax in the state.
Supply chain in the food industry in the meat sector
Authors: Acosta-Balseca Belen Sarahi , Jimenez-Soto Luis Javier , Valencia-Naranjo Debbie Leandra , Villacreces-Larrea Daniela , Viteri-Mesias Fabian Nicolas , Zeledón-Estrada Amanda Cecilia
Published: October 2023

The meat industry is one of the largest and most important today due to its high consumption, especially in meat from animals such as cows and the derivatives obtained from their processing. This is why it is of utmost importance to design a supply chain that ensures the flow of raw materials efficiently, safely, and humanely. This is how, in this document, the simulation of the beef slaughter and processing process is generated in the FlexSim software to obtain process performance dashboards. In addition, a cleaner production proposal has been included that contains wastewater treatment and the system's energy optimization. This will not only help reduce waste and the use of energy and water but is also intended to ensure the quality of the products and the conservation of the environment.
Perlindungan Hukum Hak Cipta Terhadap Pencipta Lagu Yang Lagunya Digunakan Tanpa Izin Di Aplikasi Tiktok
Authors: PRATAMA I PUTU ANDIKA , Brata Ni Luh Gede Putri Laksmi , Lestari Ni Ketut Putri Sri Ayu
Published: October 2023

Tiktok merupakan salah satu aplikasi yang paling terpopuler dan diminati di dunia, Tiktok ini mengambil lagu yang telah terpotong secara otomatis, yang dibuat menarik dengan suara dan gaya yang lucu, kemudian lagu tersebut dapat dibagikan oleh orang lain dengan gayanya masing-masing. Adapun rumusan masalah dalam penelitian ini yaitu : (1) Bagaimana bentuk perlindungan hukum terhadap pemilik lagu yang lagunya digunakan tanpa izin dan (2)Apa akibat hukum dari pengguna aplikasi TikTok yang menggunakan lagu tanpa izin.Penelitian ini merupakan penelitian doktrinal dengan menggunakan bahan hukum primer, sekunder dan tersier. Teknik pengumpulan bahan hukum dilakukan dengan pendekatan perundang-undangan.Hasil dari penelitian ini yaitu, pertama pada aplikasi Tiktok sendiri sudah terdapat Term of Services atau syarat penggunaan yang berhubungan dengan konten yang diunggah pada aplikasi yang terdapat pada UserGenerated Content. Kedua terkait dengan penggunaan lagu tanpa izin yang diunggah oleh pengguna aplikasi Tiktok dapat digugat oleh pihak pemegang hak cipta, karena lagu yang diunggah oleh pengguna aplikasi Tiktok menjadi terpotong Pada aplikasi tiktok sendiri telah terdapat Ketentuan Layanan yang terdapat pada bagian Konten Buatan Pengguna.
PENGARUH ON STREET PARKING PADA RUAS JALAN PASAR KABUPATEN ENDE
Authors: A. S Thomas Aquino Aquino , Ferdy Pota Yuvensius , X. Ndale Fransiskus , Kota Ireneus
Published: October 2023

Abstrak–. Parkir di badan jalan (on street parking) menjadi salah satu masalah transportasi di wilayah perkotaan. Pengaruh parkir pada badan jalan memberikan pengaruh siginifikan terhadap kondisi kinerja jalan Pasar Mbangawani. Kinerja Segmen I Jalan Pasar untuk kondisi eksisting, kapasitasnya sebesar 1168,992 smp/jam, derajat kejenuhan sebesar 0,592 dan kecepatan  arus bebas sebesar 41,94 km/jam. Sedangkan kapasitas untuk kondisi tanpa on street parking sebesar 1427,382 smp/jam atau meningkat 22,10%, derajat kejenuhan mengalami penurunan positif sebesar 32,09% menjadi 0,402 dan kecepatan arus bebas meningkat sebesar 21,75% menjadi 51,06 km/jam. Tingkat pelayanan ruas Jalan Pasar secara keseluruhan berada pada level C untuk kondisi adanya on street parking. Sedangkan pada kondisi tanpa on street parking, tingkat pelayanan ruas Jalan Pasar termasuk level B. Oleh karena itu perlu upaya penanganan segera melalui penyediaan fasilitas parkir yang memadai di area sekitar Pasar Mbongawani.
Het aantal en de aard van de aanmeldingen bij de psychiatrische crisiszorg tijdens de COVID-19-pandemie: een retrospectieve observationele studie
Authors: Van Steen L. , Wijnants J. , Lemmens G. , Heylens G.
Published: October 2023

The number and nature of admissions to psychiatric crisis care during the COVID-19 pandemic: a retrospective observational study.

Aim: The aim of this study is to describe and evaluate the admissions to the University Psychiatric Emergency Unit of University Hospital Ghent (UPSIE) and the Mobile Crisis Team (MCT) of the Gent-Eeklo-Vlaamse Ardennen region during the COVID-19-pandemic.

Method: A retrospective observational study was conducted, analyzing data from UPSIE and MCT from 2018 to 2021. We compared the clinical and socio-demographic characteristics of admission in 2020 and 2021 with those in 2018 and 2019.

Results: During the COVID-19 pandemic, we observed a decrease in admissions at UPSIE. There was an increase in suicidality and requests for involuntary hospitalization in 2020 and 2021. The proportion of female admissions increased during the COVID-19 pandemic.

As for MCT, we observed an increase in admissions in 2021, with a rise in the proportion of anxiety disorders in 2020 and mood disorders in 2021.

Conclusion: We found changes in the number and nature of admissions to UPSIE and MCT during the COVID-19 pandemic. Further research is needed to clarify the impact of COVID on psychiatric crisis care.
A Case of Orbital Rhabdomyosarcoma with Intracranial Extension in an Adult: Diagnostic and Management Challenges
Authors: Ugboaku (MBBS) Oduware Gloria , Folusho (MD) Edema, Temituoyo , Aimebelomo Ikhile Emmanuel , Oghomwenoyemwen (MBBS) Eghobamien Mine , Tolutope Edema Omolabake
Published: October 2023

Purpose: To report a rare case of orbital rhabdomyosarcoma with intracranial extension in an adult and the challenges in managing this case.

Methodology: Research design was through a case report, while data was collected through observation, analysis of medical records and individual interviews. Interpretation of data was through the qualitative method of data analysis.

Findings: A 34-year-old female meat seller was referred to our center with a rapidly progressive protrusion of the right eye of one month duration. She had a previous history of a penetrating injury to the right globe with bone fragment retention. She had had evisceration. Two weeks post-surgery, she noticed pain and a progressively worsening swelling around the right orbit. In our center, an initial diagnosis of orbital cellulitis post-evisceration was entertained. Orbito-cranial CT scan and MRI done showed a large homogenous irregular soft tissue mass occupying the right orbital cavity with extension to the right lateral rectus, lacrimal gland, cavernous sinus, optic nerve and brain parenchyma; findings were suggestive of orbital rhabdomyosarcoma with intracranial extension. The patient was discharged against medical advice. She re-presented 7 weeks later with a much larger mass which had multiple friable bleeding sites. With much assurance by the oncologists, she had several blood transfusions and 6 courses of chemotherapy. Tumour regression was very impressive. Incisional biopsy and histology confirmed rhabdomyosarcoma with chemotherapeutic changes. The patient was stable and so referred to another tertiary center for External Beam Radiation Therapy (EBRT), but this was delayed due to financial constraints. Two months from her referral for EBRT, colleagues reported she died of intractable seizures

Recommendations: This study is based on suggestions that therapeutic success for rhabdomyosarcoma is better in children with survival rates reaching 75% unlike in adults where prognosis is poor.1 In this report, remission was observed soon after commencement of treatment. Therefore, it is recommended that early diagnosis be done to improve outcomes. Secondly, combination drugs should be used in all rhabdomyosarcoma cases.  Lastly, government policies geared towards universal health coverage should be made and implemented.
Assessment of Lumbosacral Angle Variation Among Middle Adults with Chronic Low Back Pain
Authors: Zain Muhammad , Kousar Raheela , Shahzadi Rafia , Islam Farooq , Raza Asim
Published: October 2023

Purpose: To Assess Assessment of lumbosacral angle variation in middle adults with chronic low back pain.

Methodology: A cross sectional study was conducted with sample size of 267 individuals from middle adults of Sikandar Medical complex Gujranwala, District Headquarter hospital Gujranwala, Gujranwala medical complex, Gujranwala. The population was Middle Adults (45-65) of both genders. Angle was measured by Measuring scale and Protractor using X-ray of lateral view of lumbosacral spine. Obtained data were analyzed using statistical package of social sciences (SPSS).

Findings:  The data has been obtained from 267 chronic low back pain patient in which 143 were male and 124 were female. Data was collected using lateral radiograph. The results show significant relation between chronic low back pain and lumbosacral angle with p-value ˂0.5. The result further shows that 32 male and 27 female were hypo lordotic while 89 male and 92 female were hyper lordotic.

Conclusion: The study concluded that lumbosacral angle increases with chronic low back pain among middle adults. The study also concludes that age, gender also associated with lumbosacral angle variation.

Recommendations: Future study needs a through physical examination. This study focuses on radiographs only but future study needs to focus on MRI and CT scan also for better understanding of pain causes. Awareness program should be conducted on causes, prevention, complication and treatment of chronic low back pain among middle adults
Effects of High Teacher Turnover on Student Academic Performance: A Case of Sekyere Afram Plains District of Ashanti Region, Ghana
Authors: Tawiah Robert Sefah , Asare Nana Afia Opoku , Ampofo Martin Gyekye
Published: October 2023

The study examined the effects of high teacher turnover on academic performance of students in the Sekyere Afram Plains district of Ghana as a case study. To understand the causal factors of turnover among teachers in Sekyere Afram Plains district, we employed the quantitative research design to gather descriptive data on teacher turnover from a purposive sample of 100 teachers, 10 school heads and Ghana Education Service officials in the district. Data analysis was done using the Statistical Package for the Social Sciences, and M-S Excel. The findings of the study depicted high teacher turnover due mainly to the “hard-to-reach” nature of Sekyere Afram Plains district, and general dissatisfaction with the environment and working conditions. This results in early requests for reposting and notable drops in Junior High School students’ academic performance in BECE. The study acknowledged the high turnover rate among teachers in Sekyere Afram Plains district and its negative effect on students’ academic performance. It recommended that strategic measures suitable and applicable to the Sekyere Afram Plains district should be implemented to retain teachers.
Body image perception and self-esteem among undergraduate medical students in Nanded, Maharashtra
Authors: Padmakumar Devi , Inamdar I.F , Gattani P L , Gadekar R.D
Published: October 2023

Introduction: Body image is the perception and attitude one holds toward one’s own body, especially, but not exclusively, one’s physical appearance. The promotion of positive body image improves people’s quality of life and behaviors related to health. Social factors, sociocultural influences, media pressure, and the pursuit of an ideal body, associated with accomplishments and happiness are among the causes of changes in the perception of body image, leading to dissatisfaction. There is very less literature on these topics among males and also medical students. Objectives: To assess body image perception and the influence of sociocultural factors on it and self-esteem among undergraduate students of a medical college. Methods: A cross-sectional study was carried out among 192 undergraduate medical students of a medical college from June 2021 to September 2021 using a predesigned pretested self-administered questionnaire in English. Results: Out of 200 students included in the study the mean age of study subjects was 19.78 ± 1.39 years, of which,107(56%) were males and 85(44%) were females. The 192 students were classified as Underweight (27(14%)), Normal weight (78(41%)), Overweight (43(22%)) and Obese I (44(23%)) according to Asian WHO BMI classification. BISS scores (which measure body image satisfaction) were the median of the six items after reverse-scoring the three positive-to-negative items which were found to be 5.5(4-7) and 53% of students showed body image dissatisfaction. 33% (63 students) of students have thin/low body fat internalization and about 77(40%) have muscular/athletic internalization.54(28%) students mostly agree about family pressure to attain the ideal appearance, 53(28%) feel pressure from peers and 75(39%) mostly agree with influence of media to attain ideal appearance. Out of the 192 students,124(64%) showed normal self-esteem, 63(33%) with low self-esteem, and 5(3%) with high self-esteem as per Rosenberg’s self-esteem score. A statistically significant association was found between BMI and body image perception and also between Body image perception with sociocultural attitudes toward the appearance and self-esteem of students. Conclusion: Body image dissatisfaction affects young students. In this study, about 53% of the students showed body image dissatisfaction. This perception of self has mainly been influenced by media (39%), family pressure (28%), and peer pressure (28%). Also, 33% of the students have low esteem with a significant association between Body image perception and self-esteem.
Imaging in Covid-19 associated mucormycosis: a case series
Authors: Prashanth Shailaja , Handi Prakash , Prathap Nisha , Shoorshetty Manohar Rudresh , Bhaskarn Karthik
Published: October 2023

Introduction: Mucormycosis is a very rare saprophytic, opportunistic fungal infection with high morbidity and mortality. With the Covid-19 pandemic, there is a sudden increase in the incidence of this disease due to causes not clearly known.

Methods: Retrospective clinic-radiological analysis of a series of seven microbiologically confirmed cases of Covid-19 associated mucormycosis (CAM) treated at our tertiary care center in 2021 was done.

Results: All patients were middle-aged with a mean age of 47 years. All patients had poor glycemic control. Three patients were on oxygen support and were given steroids during Covid-19 treatment. Symptoms were facial pain, swelling, headache, eyelid swelling, and nasal block. All patients underwent contrast MRI to study the extent of tissue involvement. MRI helped in complete surgical debridement with minimal deformity.

Conclusion: Judicious use of immunosuppressants and strict glycemic control vital during covid-19 treatment. Contrast MRI is the investigation of choice to identify the extent of involvement in surgical planning.
Assessment of coverage and compliance of mass drug administration for lymphatic filariasis in Medak District-2021
Authors: Sayyad Tajmul , Md Mustafa Ahmed , Khaja Azizuddin Junaidi , Bhayya S
Published: October 2023

Abstract

In India Mass Drug Administration (MDA) drive is undertaken every year. In mass drug administration DEC and Albendazole combination is used. For the strategy to be effective, more than 85% of those living in endemic areas must be covered by MDA. Methods: This is a cross-sectional study in which family clusters were selected from rural and urban areas. Information about coverage, compliance with MDA and knowledge of filariasis was obtained using a questionnaire. Data were analysed using percentages and proportions. Results: In this study, about 92.51% of the study participants received DEC and ABZ tablets during MDA, of which 95.14 % of participants consumed the drugs. The most common cause of noncompliance was fear of side effects. Conclusion: Coverage of the population with DEC and albendazole combination was good but compliance needs to be improved. IEC activities should be intensified. Local leaders should be involved in the programme to increase compliance.
Examining congenital renal abnormalities in adult cadavers: an observational study
Authors: Gadade Varsha , Hiroli Wasim , Mathew Sunil
Published: October 2023

To know the percentages of incidences of various types of congenital anomalies of the renal system, an observational study was conducted at Departments of Anatomy of three medical colleges by dissection method and observation was made on dissected specimens for the presence of morphological anomalies in kidneys and the anatomical locations of kidneys and ureters. We found various types of renal anomalies like agenesis of kidney, nodular kidney and constricted (small) kidney location, ectopic kidneys bilateral polycystic kidneys.

Conclusion: Various abnormalities were found in this study and so, knowledge of such anomalies of kidneys not only to anatomists but to all clinicians especially to urologists and nephrologists and radiologists.
A Cross sectional study on Students’ Attitude towards Communication Pharmacology in Medical Education
Authors: Patnaik Prashanth Kumar , Koyagura Narendar , Ganga Sreedhar , Vedula Prasanna , Prakash Konda Jaya , Kumar Ksheerasagar Vinay
Published: October 2023

Background:
Effective communication between doctor-patient is essential to provide high-quality health care. The introduction of communication skills is a promising step at an undergraduate level by National Medical Commission (NMC) that improve students’ attitude towards patient care.

Objectives: The study objective was to assess the student’s attitude and their perception towards learning communication skills.

Methods:
A total of 122 students participated in the study who were pursuing second-year MBBS in a Medical college located in Telangana State. A Questionnaire related to attitude towards Communication Pharmacology (Communication Skills Attitude Scale), their interest in the topic of choice and reason for their interest in communication pharmacology was given. Using the Likert scale, scores were given ranging from 13 to 65 and the median values of responses were taken for positive and negative attitudes.

Results: The study results showed that the median value of positive response for girls was 56 and for boys was 52 whereas for a negative response was 25 and 27 respectively. There was no significant (p>0.05) difference was observed in the tested groups. The majority of the students opted for empathy-related communication skills as their interest (30.33%) and opined that it will help to build future communication skills (31.33%).

Conclusion: It was concluded that students have a more positive attitude towards communication pharmacology and girls have shown more interest in these types of skills.
Colonizer to Pathogen: A review on Enterococcal urinary tract infections
Authors: Saha Rituparna , Khandait Manisha , Sardar Moumita , Sharma Mukesh
Published: October 2023

Abstract

Enterococcus species has been historically known as part of the commensal flora of the normal human alimentary tract. Implicated in a wide array of illnesses encompassing bloodstream infections, urinary tract infections, wound infections as well as intra-abdominal infections, it has been rapidly emerging as a pathogen of interest owing to its propensity to acquire multidrug resistance. Due to the high antibiotic pressure in healthcare settings and salient intrinsic resistance to commonly used classes of antimicrobials, Enterococcus selectively proliferates in nosocomial settings. Their hardy nature and ability to resist a wide array of disinfectants enable them to proliferate on surfaces as well as provide for efficient transmission in hospital settings. Since Urinary tract infection (UTI) is one of the commonest infections caused by Enterococcus species. We attempt to comprehensively overview the paradigm shift of this erstwhile colonizer to one of the common uropathogen in hospital and community settings.
The relationship of hypertension and dementia in the elderly: A comparative cross-sectional Study
Authors: Gehlawat Mamta , Thumati Goutham
Published: October 2023

Abstract

Background: Ageing and vascular factors are the dominating causes for the onset and progression of dementia. Memory declines with age and such declines can be especially worrisome to older individuals concerned about the potential onset of dementia.

Objectives: In the hypertensive and normotensive, elderly medicine OPD participants, of a tertiary care centre in Siddipet, Telangana; to find out: the prevalence of dementia and mild cognitive impairment (MCI); the relation between hypertension and dementia; and memory mistakes committed.

Methodology: A comparative cross-sectional study was done in 2020-21 at Siddipet GGH, Telangana State. 80 Hypertensive and 80 normotensive participants were recruited and assessed on socio-demographic factors like age, occupation, behavioral risk factors; along with measures like BMI and blood pressure. Participants were evaluated for cognitive functioning and memory failures with the help of HMSE and MMQ-ability questionnaires respectively.

Results: The prevalence of severe cognitive impairment/dementia was found to be 3.75% in our study participants. A statistically significant difference was found in the distribution of the HMSE as well as memory mistakes scores (p-value <0.001) when compared between hypertensive and normotensive participants. Memory mistakes/memory failures were seen in all the participants. The highest and lowest scores obtained in the MMQ-Ability questionnaire were 73 and 18 respectively.

Conclusion: This study throws light on the cognitive and memory related problems prevalent in the elderly population. More studies need to be conducted to capture the bigger picture on how these problems affect the day-to-day life of elderly.
Study of reasons for discarding whole blood and its components in a blood bank in a rural tertiary care teaching hospital in Maharashtra
Authors: Lubna Syeda , Murtuza Shaikh , Fatima Tooba , Syed Jawwad Hashmi
Published: October 2023

Abstract

Introduction: Each unit of blood is valuable; thus, it must be used as efficiently as possible with the least amount of waste. Supply of blood in an emergency requires stringent storage conditions with quality checked and should be available at the time of demand to the needy. So blood banks play a vital role in this demand-supply process. On the other hand, because of the biological nature of blood, it is very vulnerable to contamination by infections, early expiry and hemolysis. The purpose of this study was to determine the reasons for the wastage of blood and blood components.

Materials and Methods: At our tertiary care teaching hospital blood bank we conducted a retrospective analysis of data of all whole blood and blood component samples collected from January 2013 to December 2020.

Results: 391 (9%) of the 4022 entire blood bags collected were discarded 132 (32%) of them were eliminated due to hemolysis and lipolysis and the same 32% expired due to completion of the life span of RBC. Sero-reactivity for TTI or transfusion-transmitted diseases was 22.4% and only 13% were rejected for use because of some leakage or inadequate quantity of blood in the bag.

Conclusion: An adequately conducted donor screening, notification and counseling of permanently deferred donors will help in discarding less number of bags that are positive for different TTI. Properly implemented blood transfusion policies will help to utilize the blood components in a proper way resulting in discarding the number of blood bags due to expiry.
Assessment of peripheral lymph node tuberculosis: a prospective study of 24 cases
Authors: Bhavyasri Mothiki , Prasad Chenimilla Nagender , Madire Ramulu
Published: October 2023

Abstract

Introduction: Tubercular lymphadenitis which comes under Extra-pulmonary Tuberculosis (EPTB) has been affecting mankind since ancient times. Peripheral lymph node involvement is the commonest form of EPTB among which cervical lymph nodes are most frequently affected.

Objectives: The aim of this study was to evaluate the demographic, clinical characteristics and treatment outcomes of peripheral lymph node Tuberculosis cases in a rural tertiary health care centre.

Methods: The study was conducted prospectively at Prathima Institute of Medical Sciences, Nagunur, Karimnagar between January 2021 to August 2022. Pathologically confirmed cases of lymph node Tuberculosis were assessed and followed up.

Results: 24 cases of lymph node TB were included with 83.3% females and 16.6% males (p=0.02) with a mean age of 32.6 ± 15.24 years. The mean age among males was 37 ± 15.59 years and among females was 31.75 ± 15.24 years. 58.3% were from rural areas. All of them presented with a history of swelling, 37.5% had a fever, 50% had a loss of appetite and 54.1% had a loss of weight. 8% had a past history of tuberculosis. 79.1% had cervical swelling and 20.8% had axillary swelling. 83.3% had multiple lymph nodes and 33.3% had lymph node matting. Three cases were lost to follow-up, 79% improved with standard anti-Tuberculosis treatment (ATT) and one case died during treatment.

Conclusion: Lymph node TB is still prevalent in TB endemic countries and has to be considered first in the differential diagnosis of peripheral lymph node swellings.
ATENDIMENTO PRÉ HOSPÍTALAR EM COMBATE - APHC - PROTOCOLO MARC1- UMA FERRAMENTA VITAL AOS OPERADORES DA SEGURANÇA PÚBLICA
Authors: Cristo Piske Anderson
Published: October 2023

O presente artigo aborda como tema o atendimento pré-hospitalar em combate, protocolo MARC-1. O objetivo é demonstrar como esse tipo de atendimento representa uma ferramenta de exímia importância, em prol dos profissionais que atuam na segurança pública. A metodologia adotada foi a pesquisa de cunho bibliográfico. A fundamentação abordou alguns itens que abordam o que esse protocolo MARC -1 representa e como ele vem a ser colocado em prática. O artigo visa demonstrar como existe todo um viés para que o atendimento ocorra de uma maneira satisfatória, antes de encaminhar o profissional para o hospital, um atendimento que por sinal, tende a salvar a vida desses operadores da segurança pública em diversos casos. Nas considerações finais, os leitores podem observar como se trata de uma necessidade compreender a sequência de ações que culminam em uma prestação de socorro proficiente aos profissionais que combatem a criminalidade no dia a dia.
Relationship Between Human Rights Sensitivity and Rights-Respecting Childcare Practices of Childcare Teachers'
Authors:   The K Association of Education Research, Byon Kil-Hee
Published: October 2023

The purpose of this study is to examine the relationship between childcare teachers' human rights sensitivity and rights-respecting childcare practices. To this end, data were collected and analyzed for 322 teachers who participated in education for childcare teachers in Chungbuk in 2023. First, the level of human rights sensitivity of childcare teachers was not high, and the perception of results was the highest by sub-factors. In terms of human rights-related items by episode, the right to freedom and safety of the body was the highest, and the right to education of the disabled was the lowest. Second, the overall level of childcare teachers' respect for infant rights was relatively high. By sub-area, toilet visits (basic needs) were the highest in daily work and respect, and special activities were the lowest. Among the best interests of children, respect for intention was the highest and information provision was the lowest. Third, the higher the human rights sensitivity of childcare teachers, the higher the level of child care that respects rights. By sub-area, going to the bathroom (basic desire) showed the highest correlation. Through these research results, it is necessary to prepare and practice measures to improve the human rights sensitivity of childcare teachers in order to have a high level of respect for rights and continuously implement them in the childcare field. This study is meaningful in providing implications for preparing various support measures to improve human rights sensitivity in order to implement childcare with respect for rights.
A Comparative Study of Coordinative Skills and Psychological Factors Between Navodaya Vidyalaya and Government School Girls Students
Authors: Kayum Sahid Bepari  , Md. Imran Ali
Published: October 2023

In the present study, an attempt has been made to compare coordinative ability and personality profiles. The main purpose of the study was to measure the coordinative ability and personality profile of Navodaya Vidyalaya and Govt. school girl’s students and the differences of the students to find out the status in the district of Nadia under the state of West Bengal. The present study was conducted to observe the coordinative abilities and personality profile of Navodaya Vidyalaya and Govt. school’s girl’s students. The subject of the present study was taken from Nadia WB (India), and Jawahar Navodaya Vidyalaya, Nadia, WB (India). A total of fifty (50) female students were selected for the present study. Age was ranged between 14 to 16 years. A medicine ball test was taken the measure orientation ability, differentiation ability was measured by backward medicine ball throw test, reaction ability was measured by scale drop test and personality profile was measured by Cattle 16 pf questionnaire. To collect information for the present study following tools are used measuring tape, cones, markers, and white dust prouder, for field marking. Chair, table, scale for reaction time, and 16 pf questionnaire for personality test to collect data. She concludes that the girls of Govt. school had better performance in orientation ability, differentiation ability, and personality factor. She also observed in the case of reaction abilities the girls of Navodaya Vidyalaya are quite better than Govt. school’s girl’s students
Social Media as Tourism Marketing Tool: Evaluation on Tourist Perspective
Authors: Rubiea. Arroyo  , Ae Agnes Danielle H. Lerias  , Christine A. Maliza  , Shaira Nica Jane R. Odvina  , Ezra Gesu G. Deiparine  , Liza T. Roquero
Published: October 2023

This study explores the utilization of social media as a tourism marketing tool, focusing on the perspectives of tourists. In an era where tourists play a pivotal role in shaping travel destination narratives through information dissemination and reviews, the tourism industry increasingly leverages social media for enhancement and growth. Technological advancements have revolutionized the presentation of tourism products to consumers, leading to an evolving landscape driven by heightened tourist demands and expectations. The power dynamics between individual tourists and the tourism sector have shifted, primarily benefiting the customer due to the pervasive use of social media.
Data was collected through a simple random sample of 100 participants among tourists in Valencia City, Bukidnon. This quantitative research aimed to quantify the extent to which tourists employ social media as a marketing tool and its potential influence on tourist destinations.
The study's findings shed light on the evolving dynamics of tourism product marketing, revealing a significant reliance on social media among tourists. These platforms play a crucial role in influencing tourists' decisions and perceptions of travel destinations.
As tourists wield increasing influence in the digital age, the tourism industry must adapt to the changing landscape by harnessing the power of social media for effective marketing. The study underscores the importance of recognizing and responding to the evolving relationship between tourists and the tourism sector, emphasizing the need to prioritize customer engagement and satisfaction.
Statistics: An Indispensable Tool in the Field of Research
Authors: Solomon Chukwu Ohiri  , Dr. Ihebom Chidinma Nnennaya
Published: October 2023

This paper highlighted statistics as an essential tool in research making, be it in education, health, engineering, agriculture, industry, science and technology for the betterment of the society. It revealed that statistics helps us to analyze data, to identify and probe trends and relations, to develop generalization, to revise and improve our theories. The paper recommended, among others, that academic institutions should ensure that research teachers are well grounded in the field of statistics
P-selectin glycoprotein ligand-1 variable number of tandem repeats polymorphism in young myocardial infarction patients
Authors: Caglar Fatma Nihan Turhan , Biyik İsmail , Isiksacan Nilgun , Hançer Veysel Sabri , Akturk Ibrahim Faruk , Ciftci Serkan , Ungan Ismail , Sahin Alparslan , Uzun Fatih
Published: October 2023

Introduction: The prevalence of acute myocardial infarction (AMI) among young patients is increasing. Although the risk factors of AMI are well defined in the middle aged population, they are not clearly elucidated in young patients. Alternative risk factors such as genetic factors are being investigated. The P-selectin ligand gene, encoding P-selectin glycoprotein ligand-1 (PSGL-1), plays a role in atherosclerosis. In this study, we aimed to investigate whether there is an association between the PSGL-1 variable numbers of tandem repeats (VNTR) polymorphism and AMI in a young Turkish population.

Material and methods: We examined 119 young patients, less than 40 years old, presenting ST elevation AMI and undergoing percutaneous coronary intervention, and 53 sex and age matched controls with a normal coronary angiogram. Genomic DNAs were collected from whole blood samples by standard methods. The PSGL-1 was amplified by polymerase chain reaction.

Results:  Ninety four (78.9%) showed AA, 15 (12.6%) showed AB, 4 (3.3%) showed BB, 4 (3.3%) showed AC and 2 (1.7%) showed BC genotype in the young AMI group, and 40 (75.4%) showed AA, 9 (16.9%) showed AB, 3 (5.6%) showed BB, 0 (0%) showed AC and 1 (1.8%) showed BC genotype in the control group. PSGL-1 VNTR genotype frequencies were similar between groups (p = 0.64). Smoking was significantly higher in the young AMI group (p = 0.025).

Conclusions: In this study, we found no significant difference between the PSGL-1 variable numbers of tandem repeats polymorphism and AMI in a young Turkish population. Further studies with additional polymorphisms are needed for further information about the genetic influences on premature myocardial infarction.
The relation between smoking and smoker timing and diabetic complications in type 2 diabetes mellitus patients
Authors: Cetin Huseyin , Agin Mehmet , Kayar Yusuf , Ekinci Iskender , Borlu Fatih , Altuntas Yuksel
Published: October 2023

Introduction

Active and passive smoking are the main causes of preventable diseases and deaths worldwide, and pose a serious public health problem. In many studies, it has been shown that smoking increases the risk of type 2 diabetes mellitus (DM) development and is associated with bad glycemic control and development of diabetic complications in diabetic patients. Our aim in the present study was to examine the relation between smoking and diabetic complications in type 2 DM patients.

Material and methods

A total of 757 patients who were followed up with type 2 DM diagnosis were included in the present study. The demographic and anthropometric features, diabetic complications, smoking history and when the patients quit smoking were recorded. The relation between smoking and diabetic complications was also investigated.

Results

A total of 54.8% (415 patients) of the patients did not smoke; 12% (91 patients) had quit smoking; and 33.2% (251 patients) were still smoking. There was a statistically significant relation between smoking and male gender, waist circumference, glycated hemoglobin (HbA1c) level, lifestyle, drug compliance, hypertension and diabetic complications. There was a statistically significant relation between smoking quitting period and male gender, HbA1c level, waist circumference, lifestyle, drug compliance and diabetic complications.

Conclusions

A significant relation was observed between smoking and microvascular and macrovascular complications. It was shown that after quitting smoking, bad glycemic control and complications diminished in time. Smoking in diabetic patients is the most important risk factor that may be changed.
Mortality in Patients Undergoing Emergency Laparotomy and its comparison with Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity Scoring
Authors: Akhtar Muhammad Talha , Akhtar Muhammad Usama , Ammad-ud-din Nasir  , Hussain Syed Mukarram , Abbas Tanveer
Published: October 2023

Objective: To evaluate the role of physiological and operative severity score for the enumeration of mortality and morbidity in predicting mortality in patients undergoing emergency laparotomy.
Study Design: Prospective Comparative study.
Place and Duration of Study: General Surgical Ward 1 and 2, Combined Military Hospital, Rawalpindi, from Jan to Aug, 2018.
Methodology: Adult patients between 12 and 60 years of age admitted from Emergency Department in Surgical ward who underwent emergency laparotomy within 48 hours of admission were enrolled in the study. Physiological and operative scores were measured for Physiological and Operative Severity Score for the enumeration of Mortality and Morbidity and predicted mortality calculated. Patients were stratified into three groups according to the predicted mortality. Patients were then followed up 30 days post-operatively and mortality noted. Observed to predicted (O:P) mortality was calculated.
Results: A total of 94 patients were enrolled out of which 85 were followed up. All patients were male with a mean age of 56.5±16 years. Most common indication for surgery was intestinal obstruction and gut perforation. Mean duration of admission was 7.97±3.5 days. Out of 85 patients 13 patients died within 30 days of surgery which equals a crude mortality rate of 15.2%. Observed to predicted mortality ratio (O:P) was 0.65.
Conclusion: Physiological and Operative Severity Score for the enumeration of Mortality and Morbidity slightly overpredicted the mortality in or study. Still it is a useful tool in risk stratification of patients according to expected outcome and...