bluuebunny/crossref_metadata_2025 huggingface dataset:
Prospective study of propellar flaps vs. traditional local flaps in lower limb trauma reconstruction
Authors: Reddy Praveen Kumar C. V. , Mucherla Naga Teja
Published: January 2022

Background: Adequate coverage of traumatic complex lower extremity wounds is often challenging for reconstructive surgeons. Propeller perforator flaps have gained wide acceptance as an alternative in soft tissue coverage of complex lower extremity defects over the last decade. We report our experience with distal lower extremity reconstructions performed either with traditional local flaps vs. propeller perforator flaps. our aim here was to compare non-microvascular flaps with traditional local flaps for coverage of traumatic lower extremity wounds.Methods: 30 patients operated for lower extremity defects and reconstructed either with traditional local flaps or propeller perforator flaps between November 2016 to December 2020 were included in the study.Results: There were 22 male and 8 female patients. Mean age was 43.00±14.85 (range: 24 to 66 years) in the local flap group and mean age was 42.11±12.05 (range: 23 to 65 years) in the propeller perforator flap group. Hospital stays and overall operation time was significantly higher in the propeller flap group. There was no statistically significant difference in complication rates between either group.Conclusions: Concerning many advantages, like decreased operative time, avoiding micro anastomosis, reconstruction with like tissues, we suggest that propeller perforator flaps can be first-line reconstructive choice. These flaps can be used successfully by reconstructive surgeons in small clinics to prevent unnecessary tertiary medical center referrals as well as extended hospitalizations, long operation times, and increased costs. However, propeller flaps do hold more complications compared to local flaps and do require technical expertise.
Colonic perforation during percutaneous nephrolithotomy: can we predict it
Authors: Swami Yogesh Kumar , Rana Y. P. S.
Published: January 2022

Background: Colonic perforation though rare but is one of the most dangerous complications of Percutaneous nephrolithotomy (PCNL) which may lead to increase significant post operative morbidity in worldwide, therefore, the aim of this study was to explore colonic perforation during percutaneous nephrolithotomy- Can we predict it.Methods: We reviewed retrospectively the data of 1270 PCNL procedures performed between April 2013 and April 2019 at Ayushyaman kidney hospital, Palanpur, North Gujarat, India. All parameters including demography, history, stone parameters, site of skin puncture and punctured calyx, were reviewed in all these patients.Results: Colonic perforation was found in 10 patients (7 males and 3 females) and the mean age was 40.5±20.0. The left side was affected in 4 patients and the right side was injured in 6 cases. Conservative administration was the treatment planned for all patients. It included withdrawal of the nephrostomy tube outside the kidney to the colon as a percutaneous colostomy, insertion of a double-J ureteral stent, intravenous broad-spectrum antibiotics, bowel rest and total parenteral nutrition. Under this conservative management, entire healing of the colon was achieved in all cases.Conclusions: Colonic perforation is rare complication in PCNL. High degree of suspicion, early diagnosis and timely management can prevent sepsis and peritonitis and minimize patient morbidity and mortality.
The diagnostic value of total leucocytes count, C-reactive protein and total bilirubin in acute appendicitis: a prospective study
Authors: Judal Hiren , Ganatra Vasant , Choudhary Prema ram
Published: January 2022

Background: The diagnostic like history, clinical examination and prejudiced role of white cell count and C-reactive protein (CRP) in acute appendicitis has been studied widely but still remains controversial. Therefore, the purpose of this study was to evaluate the diagnostic value of CRP, Total leucocytes count, bilirubin levels individually in cases of acute appendicitis and its complications. Methods: This randomized prospective study was conducted in department of Surgery and our surgical hospital, Palanpur Gujarat. Total included 50 cases of clinically and radiologically diagnosed of acute appendicitis. The diagnostic value of these markers was predicted for the all groups in terms of sensitivity, specificity, PPVs and NPVs using sensitivity analysis and the diagnostic accuracy assessed. Results: Acute appendicitis is the most common in female predominance with age group of 20-29 years and <20 years. The Inflamed appendix was diagnosed in 35 (70%) patients, Gangrenous appendix in 5 (10%) patients and Perforated appendix 4 (8%) patients. Patients with Perforated appendicitis had higher total bilirubin, TLC and CRP levels as compared to patients with normal and inflamed appendix (p<0.001) or a normal appendix (p<0.001). The CRP has highest sensitivity and specificity (74%, 52%) followed by bilirubin (65%, 70%), WBC count (60.2%, 89.5%). Conclusions: TLC, CPR and bilirubin can be helpful in the diagnosis and decision-making of patients with suspected acute appendicitis.
Clinico-sonological and histopathology findings in patients with right iliac fossa pain who underwent appendectomy: a retrospective observational study in a tertiary care hospital
Authors: Lakshman Kumar , Shekar Shilpashree Channasandra , Narayan Naveen , Gowda Suhas Narayana Swamy , Raghavendra Pallavi Hosadurga , Janardan Rakshitha , Singh Shantala
Published: January 2022

Background: Appendicitis being the one the most common cause of right iliac fossa pain that leads to emergency abdominal surgery. The existence of non-perforating or non-acute forms of appendicitis is doubted to this day despite clinical, intraoperative, radiological and histo-pathological findings. Appendectomy though being curative, yet the decision on its timing is still controversial especially in non-acute variants of appendicitis.Methods: A retrospective observational study on 200 consecutive cases of suspected appendicitis who underwent appendectomy in department of General surgery, Adichunchangiri Hospital and Research Centre during a period between January 2020 and January 2021. The data was accrued from patient data base retrospectively and analysed.Results: We found in our study that the ultrasonographic findings had a sensitivity of 100% and a specificity of 44.44% as compared to the clinical diagnosis of appendicitis. The histopathological studies revealed chronic inflammatory cells in 63% of the resected specimens, suggestive of chronic appendicitis and acute inflammatory cells in 37% of the specimens, suggestive of acute appendicitis.Conclusions: We conclude that the clinical findings, ultrasonological findings and the histopathological findings correlate with one another (p<0.001). The diagnostic accuracy of ultrasonogram was reported to range from 71 to 97% when used in the right setting (acute forms) and it is user dependent. When clinical findings compliments radiology, the existence and diagnostic accuracy of such conditions (acute and non-acute) increase drastically and can be confirmed on histopathology.
A clinical study on efficacy of peri-lesional autologous platelet-rich plasma in non-healing ulcers
Authors: Gogineni Raghuveer Chakravarthy , Bommareddy Ratta Reddy , Naresh Babu Ede , Subhashini Mayanam , Jaya Krishnah Akula V. S.
Published: January 2022

Background: Non-healing ulcers are a major health problem worldwide and have a great impact at personal, professional, and social levels. They are a major cause of non-traumatic lower limb amputations. The application of autologous Platelet Rich Plasma (PRP) has been a breakthrough in the treatment of non-healing ulcers, as it is an easy and cost-effective procedure, and provides the necessary growth factors that enhance tissue healing. The aim and objective of the study was to test the effectiveness of peri-ulcer autologous platelet-rich plasma injection in chronic non-healing ulcers and to assess the time taken for wound closure.Methods: This study was conducted on 50 patients during the period of November 2020 to October 2021 from the in-patients of the surgical unit in Dr. PSIMS and RF. Autologous PRP was prepared from whole blood utilizing a rapid, point-of-care system that works on the principle of density gradient centrifugation. Fifty (50) patients with non-healing ulcers of different etiologies, who met the inclusion criteria, were treated with peri-ulcer autologous PRP injections once weekly.Results: Of the 50 cases 29 were male and 21 were female, the mean age of the patients is 54.48±10.79 years. All the patients showed signs of wound healing with a reduction in wound size, and the mean time duration of ulcer healing was 6.75±1.47 weeks.Conclusions: This prospective study has demonstrated the potential safety and efficacy of autologous platelet-rich plasma injection for the treatment of chronic non-healing ulcers.
A comparative study of use of polypropylene and composite mesh in inguinal hernia repair
Authors: Singh Amandeep , Khichy Sudhir , Sinha Shourabh , Singh Sonam , Kaur Haramritpal , Singh Jaskaran , Kumar Sunil
Published: January 2022

Background: Hernia most probably has been a disease ever since mankind existed. Repair of inguinal hernia is one of the commonest surgical procedures worldwide. Currently, about one million meshes are used per year world-wide for hernia repair. Therefore, surgical repair of hernia is a hot area of research for keeping the recurrence rates low with few complications using an ideal mesh material. The aim of the study was to compare the use of Polypropylene mesh and Composite mesh in patients undergoing inguinal hernia repair.Methods: A total of 60 patients of either gender were enrolled in the study and followed upto8 weeks. Out of 60, 30 patients were offered Polypropylene mesh hernioplasty and in rest 30 patients Lichtenstein hernioplasty with composite mesh was done. Postoperative analysis was made in terms of postoperative pain, complications and recurrence.Results: Both the groups were comparable in terms of age and gender. Post-operative pain at 24 hours was considerably lower in patients undergoing hernia repair using Composite mesh than with Polypropylene mesh group. However, most of the post-operative complications were comparable in early post-operative period and on subsequent follow up visits in both groups.Conclusions: Polypropylene mesh and composite mesh were comparable in terms of ease of mesh placement and post-operative complications in patients of inguinal hernia repair.
A comparative study of laparotomy closure in peritonitis with and without intraabdominal drainage
Authors: Ganatra Vasant K. , Dinkar Sunita
Published: January 2022

Background: Purpose of this study was to investigate whether the use of abdominal drainage after laparotomy for peritonitis can prevent or significantly reduce post-operative complications such as intra-peritoneal abscess formation or wound infection.Methods: A prospective randomized study was done of one hundred and one (101) cases who underwent emergency laparotomy at General Hospital Palanpur and Sushrut Surgical Hospital, Palanpur. After completion of operation for peritonitis peritoneal cavity was either drained or not drained. Drained group of cases was termed as group A and non-drained group of cases was termed as group B. Parameters noted in group A were daily drain output, character and culture sensitivity of the fluid. Surgical outcomes in form of hospital stay and postoperative complications like wound infection, wound dehiscence, residual abscess within month of operation were compared between two groups.Results: Significant difference was observed between drained group and non-drained groups in terms of length of hospital stay, wound infection, wound dehiscence, residual abscess and overall postoperative complicationConclusions: From the present study we deduce that prophylactic abdominal drain in each case is unnecessary, as it stops functioning latest by 72 hours if not draining. On the contrary it invites infection from outside. This may delay convalescence. Drain should be kept when leak from suture line is anticipated or when there is lot of necrotic tissue within peritoneal cavity, and kept till it functions; otherwise it should be removed earliest.
Risk factors and surgical outcomes of conversion of minimally invasive surgery to open procedure
Authors: Srinivas Raghavendra Y. , Gupta Komal , Rathore Yashvant Singh , Chumber Sunil , Moin Baig Khaja Abdul , Ramana Prasanna
Published: January 2022

Background: Majority of laparoscopic procedures can be performed on day-care surgery basis, unexpected conversion to open surgery requires overnight or longer admission in these patients and can have additional financial and psychological impact on the patient. The aim of our study is to study the risk factors associated with conversion and the surgical outcomes in patients who underwent conversion of minimally invasive surgery to open procedure.Methods: It was a prospective observational study. All the patients who were planned for minimally invasive surgery but had intraoperative conversion to open surgeries were included.Results: A total of 41 patients were recruited in the study. Mean age of the patients was 44.7 years. Male patients had more frequent conversion (24 patients, 58.5%). 11 patients (26.8%) had history of previous surgery. Most common cause of conversion to open procedure was dense intra operative adhesions (24 patients, 58.5%); followed by iatrogenic injury to surrounding visceral organs or uncontrolled bleeding (11 patients, 26.8%). The average recovery time (duration till return to work) was 12 days. As per Clavien-Dindo classification, 28 patients (68.29%) had grade I, 9 patients (21.95%) had grade II, 3 (7.31%) had grade III, and one patient (2.43%) had grade IV complication.Conclusions: History of previous surgery and presence of intraoperative adhesions were frequently present in patients who underwent conversion of minimally invasive procedure. These patients required long period for recovery from the surgery and had frequent minor surgical complications.
Comparative evaluation of BISAP score and computed tomography severity index as a predictor for severity of acute pancreatitis
Authors: Jingoniya Narottam K. , Yadav Bhanwar L. , Verma Pradeep K. , Bansal Somendra , Gupta Shalu
Published: January 2022

Background: Acute severe pancreatitis is life threatening condition with organ failure, pancreatic necrosis, infections, and death. Multiple factor scoring systems are used for triage decision to manage of acute pancreatitis according to severity. Our purpose of this study was to assess the efficiency of the bedside index of severity in acute pancreatitis (BISAP) score and computed tomography severity index (CTSI) scoring system to predict severity of acute pancreatitis.Methods: This hospital based observational, prospective study was conducted from 01 March 2019 to May 2020. An inclusion criterion was patients admitted with diagnosis of acute pancreatitis. Comparative analysis was done for BISAP and CTSI in terms of severity and mortality.Results: The mean age was 44.7±16.2 years and male to female ratio was 1.9:1. BISAP score had 91.7% sensitivity and 51.4% specificity in predicting severity of acute pancreatitis with 38.6% positive predictive value (PPV) and 94.9% negative predictive value (NPV). CTSI score had 95.8% sensitivity and 44.4% specificity in predicting severity of acute pancreatitis with 36.5% PPV and 96.9% NPV. The area under curve (AUC) for BISAP and CTSI was 0.853 (95% CI: 0.769–0.937) and 0.901 (95% CI: 0.831– 0.97) respectively.Conclusions: We conclude that BISAP score is better predictor of severity and mortality in acute pancreatitis and can safely be utilized to predict severity of acute pancreatitis in situations where use of CT is limited due to cost factor or availability, especially in rural areas. BISAP score is a scoring system that can be easily calculated with available clinical data even in small hospital setups.
Comparison of stented versus non-stented patients of ureteric calculi after intracorporeal lithotripsy
Authors: Khan Azhar A. , Khan Suhail M. , Kanth Anzeen N. , Khan Aymen M. , Wani Owais Ahmad
Published: January 2022

Background:  A ureteric stent is a tube that is inserted into the ureter to treat and prevent urinary blockage. Stenting is most commonly used to treat stone disease in the ureter during definitive procedures such as ureteroscopy and extracorporeal shock wave lithotripsy. The stent that remains in place frequently causes urinary tract infection and discomfort in the suprapubic area. We report results of our study which attempted to assess stent-related complaints following semirigid ureteroscopy and intracorporeal lithotripsy.Methods: A total of 70 individuals were randomised to stented(n=35) and non-stented group (n=35) between September 2017 and March 2020. Under spinal anaesthesia URSL was performed. Patients' success, operation time, postoperative pain score, analgesic demand, stent-related symptoms, and risk of ureteral stricture development were all evaluated.Results: There was no statistically significant difference between the two treatment groups in terms of ureteral dilation, intracorporeal lithotripsy, or the incidence of intraoperative and postoperative problems. It was found that non-stented group was cost effective as compared to stented group, Furthermore, removal of the stent using local anaesthesia was more painful than the initial ureteroscopy procedure using regional (spinal) anaesthesia. Postoperative pain in non-stented group (n=6) was less than stented group (n=17).Conclusions: Routine placement of ureteral stent is not necessary in uncomplicated cases of ureteric calculi following ureteroscopy, the decision being made on the basis of intra operative findings, where the risks clearly outweigh the benefits offered by stenting.
Reconstruction sequence and microsurgery in ectrodactyly-ectodermal dysplasia-cleft lip/palate syndrome: a case report
Authors: Gaviria-Pinzon Jorge , Jhon Gutierrez Q. , R. Luis Bermudez , R. Luis Nieto
Published: January 2022

Ectrodactyly-ectodermal dysplasia-cleft lip/palate syndrome (EEC), is a rare entity characterized by alterations in the skin, hair, nails, apocrine glands and teeth, associated with dimorphisms in extremities and midface dysplasia. It is attributed to a mutation in the p63 gene. These patients require multiple surgical procedures to achieve functional goals. We present the surgical sequence of the interdisciplinary management performed on a patient diagnosed with this syndrome and the functional results obtained. A 5 months old female patient presented to our service with a suspected EEC syndrome. We present the case and the surgical procedures performed to achieve functional results. EEC syndrome is a low frequency patology which requires specialized surgical procedures of different kinds. Different surgical methods and techniques should be considered, due to the number and complexity of the malformations, which is why all human and technical resources must be available for its proper treatment.
Hypopharyngeal carcinoma with skeletal muscle metastases: a rare clinical entity
Authors: Sharudin Nurafiqah , Jeet Kaur Malinda , Sai Guan Lum , Hitam Shahrul , Anuar Khairullah , Hassan Eyzawiah , Yusuf Rosna
Published: January 2022

The common sites of distant metastatic spread of head and neck malignant tumor are lungs, liver, and bones. Skeletal muscles metastases are extremely rare. We present a case of 61-year-old man who was previously treated with radical chemo radiotherapy for hypopharyngeal squamous cell carcinoma, stage T4bN2cM0. During surveillance follow up 21 months post treatment, he developed a right proximal arm mass. There were no neurological or vascular deficit. MRI revealed an irregular enhancing intramuscular soft tissue mass within the right triceps muscle, with widespread nodal and skeletal muscle metastases. Tissue biopsy revealed a metastatic carcinoma favoring poorly differentiated squamous cell carcinoma. He received palliative chemotherapy but died 4 months later. Skeletal muscle metastases must be high in the list of differential diagnosis in a head and neck cancer patient presented with a muscle mass, even though it is rather rare. Radiological imaging and tissue biopsy helped in the diagnosis and prompt management.
Pure squamous cell carcinoma of the gallbladder in a patient with perforated calculus cholecystitis
Authors: Nicol Alice V. , Y. S. N. Jessica , Colbran Rachel
Published: January 2022

Gallbladder carcinoma is one of the most common and aggressive malignancies to arise from the biliary tract. However, pure squamous cell carcinoma (SCC) originating from the gallbladder is exceptionally rare, reported to represent less than 1% of all malignancies. An 89-year-old Australian male presented with symptoms and imaging consistent with acute calculus cholecystitis. After failed conservative management he underwent a subtotal cholecystectomy. Diagnosis on histopathological examination demonstrated SCC of the gallbladder. This case highlights the importance of considering gallbladder malignancy including rare histological subtypes such as SCC in patients presenting with symptoms consistent with benign gallbladder disease particularly in the elderly population.
Intestinal herniation through anterior abdominal wall-sequalae of coffee machine burst: a rare case report and review of literature
Authors: Chand Amar , Rajdev Vivek , Sharma Ankit , Chauhan Arun , Sharma Subhash
Published: January 2022

Evisceration of gut loops following blunt trauma abdomen leading to abdominal wall disruption is a rare entity. These injuries come under umbrella term of traumatic abdominal wall hernia (TAWH). The most common mode of trauma has been road side accidents. Many case reports of bicycle handle injuries leading to evisceration have been reported. But, TAWH occurring after injury due to explosion of household accessories has not been reported. The present case describes such condition and the management that followed.
A rare case of postpartum parietal abscess in the right lower abdomen after full term normal vaginal delivery
Authors: Gopal Vaibhav Raj , Srivastava Rohit , Bhat Sanjay Kumar , Pankaj Harendra
Published: January 2022

Postpartum period is a crucial time both for the mother and baby. Complications during this phase can cause a lot of mental trauma and economic loss. A 36-year-old P5+0 lady presented with pain in the abdomen with fever in the second week postpartum. She had superficial right lower abdominal tenderness. Her normal vaginal delivery was uneventful. CT scan revealed a collection between the parietal layer and rectus muscle extending up to the pelvis with no intraperitoneal extension. She was managed successfully by incision and drainage with appropriate antibiotic coverage. Finally, she was discharged with no fresh complains and stable vitals. Such an unusual complication following normal vaginal delivery is very rare and seldomly reported.
A case of Madura foot
Authors: Khandhedia Parth , Desai Shashank
Published: January 2022

Madura foot is a chronic infection caused by bacteria actinomycetes or by fungi eumycetes and is endemic in tropical and subtropical areas. The cases have been reported from the other areas as well. Foot is the primary involved organ. A 50-year-old male presented with multiple small swellings over right foot who was already diagnosed as Madura foot for which the patient was on the medications from several years with no effect. The infection tends to recur after the medications were stopped. He took penicillin injections till it was banned few years ago without any benefit. He visited the surgical outpatient department (OPD) and managed by below knee amputation from tibial tuberosity preserving 15 cm of proximal leg as stump. There was no complication post-operatively and patient was discharged in a stable condition with clean wound. The diagnostic and therapeutic challenges along with the epidemiological data emphasize the need of raising the awareness of physicians to this devastating condition.
Idiopathic granulomatous mastitis: diagnostic dilemma
Authors: K. Akhila , V. Ravikumar , P. Panchami
Published: January 2022

We report a case of Idiopathic granulomatous mastitis in a 21 years old female who came to our hospital with complaints of painful lump in her left breast because the results of initial excision of fibroadenoma, when re-exploration was done to rule out any foreign body – excision biopsy was done. However, the final histopathological diagnosis was granulomatous mastitis with suture granuloma, no evidence of malignancy. A review of literature revealed that idiopathic granulomatous mastitis has a tendency to affect young women. Clinical diagnosis and imaging has often been difficult. Complete resection or corticosteroid therapy can be recommended as appropriate treatment. Since recurrence rate is as high as 50%, long term follow up is indicated in such patients.
Desarda repair versus other inguinal hernia repairs: a review of global data of 35578 patients
Authors: Desarda Mohan P.
Published: January 2022

The aim of the present review study was to compare the outcomes of non-mesh Desarda technique with open mesh, Bassini and Lap repairs for inguinal hernia over a period of last 20 years. An internet search for RCTs/comparative studies comparing outcomes between Desarda and other repairs like open mesh, Bassini and Lap repairs were done. Search for individual studies was also conducted. RCT/comparative studies and individual non comparative studies comprising 35578 patients were found in search. All those published articles were downloaded from the internet. Some articles were directly obtained from the authors. Outcomes of these articles were evaluated and compared for recurrence, chronic pain, complications, free mobility, return to normal work and cost. A total number of 80 RCTs/comparative studies and 53 individual studies were included in this review with total number of 35578 patients. Recurrence 0.87% versus 5.6%, chronic pain 1.8% versus 22.5%, complications 6.87% versus 20.6%, free mobility 37.6 hours versus 77.2 hours, return to normal work 10.2 days versus 16.7 days and cost $40.8 versus $68.5 was seen in Desarda versus other repairs, respectively. Desarda repair showed much superior results over other repairs like open mesh, Bassini or Lap repairs in terms of recurrence, chronic pain, complications, free mobility, return to normal work and the cost.
Actinomycotic Osteomyelitis of the Maxilla in a Patient on Phenytoin
Authors: Aghahosseini Farzaneh , Ghasemzadeh Hoseini Elaheh , Mahdavi Nazanin
Published: January 2022

Actinomycosis is caused by Actinomyces species and is relatively rare in humans. Because of the special collateral blood flow, osteomyelitis is less common in the maxilla than the mandible. Although there are few case reports for jaw osteomyelitis, actinomycotic osteomyelitis associated with phenytoin therapy has not been reported before. The data show that antiepileptic drugs induce suppression of the immune system. This report presents a rare case of a 58-year-old man on phenytoin with actinomycotic osteomyelitis, and reviews the relevant literature.
Perspectives and Preferences of Preschoolers and Their Parents Regarding Dentist’s Attire and Gender
Authors: Mohebbi Simin Zahra , Razeghi Samaneh , Mizanian Farin , Kharazifard Mohammad Javad
Published: January 2022

Objectives: For decades, the white coat has been the uniform of medical professionals. Recently, medical professionals show interest to use alternatives. We aimed to evaluate the perspectives and preferences of children and their parents regarding dentists’ attire and gender.
Materials and Methods: This cross-sectional study was performed on 4-to 6-year-olds and their parents referred to dental clinics of Tehran School of Dentistry in 2018. Parents completed a questionnaire on demographics and dental fear, and both parents and children were asked about their preferences regarding the gender of dentist and the color of the dentist’s attire. Statistical analysis was performed by the logistic regression model.
Results: Totally, 148 children (mean age of 5.42±0.71 years, 48% girls) and their parents participated in the study. Most of the participants (81.2% of the children and 68.0% of the parents) preferred colored coats compared with white coat. More than half of the parents preferred a female dentist for their children (56.5%) while most children preferred a male dentist (54.8%). Boys preferred a male dentist as well (P=0.01). The children were reluctant to go for a dental visit and preferred to be visited by a dentist of the same gender as themselves (P=0.041).
Conclusion: Wearing colored coats by dentists and giving a chance to choose the gender of dentist in polyclinics may increase the children’s cooperation in pediatric settings.
Comparison of Infants with Low Birth Weight and Normal Weight Regarding Anemia at the Age of 12 Months in Yazd
Authors: Gholshan Tafti Mohammad , Ghahvechi Farideh
Published: January 2022

Introduction: Anemia is common in both age groups of 9-24 months and adolescence. Considering the fact that anemia in children is associated with various complications such as stunted growth, activity intolerance, behavioral changes, inattention, irritability and changes in the immune response, the aim of this study was to compare the frequency of anemia in infants with normal birth weight and LBW at 12 months of age.
Methods: This was an analytical study using the historical cohort method with a parallel design from February 2017 to July 2016. The study population was all the infants referred to health centers of Yazd at the age of 12 months for vaccination, who were monitored. 100 infants were selected and divided into two groups of 50 with normal birth weight (more than 2500 g) and the birth weight less than 2500 g by simple random sampling, and CBC and ferritin tests were run for them. In this study, the hemoglobin less than 11 was considered anemia, and finally, the data were analyzed by SPSS software.
Results: The results showed that the two groups of the LBW and the normal weight were not different in terms of sex, but the type of feeding was different, and infants of LBW group used more powdered milk. 22% of LBW infants and 38% of normal weight infants were anemic.
Conclusion: According to the results of the study, it seems that the rate of anemia is due to the use of powdered milk,  iron supplements with higher doses for LBW infants early on, and better and constant care compared to infants with normal weight. However, more comprehensive studies with larger sample sizes can be effective in explaining these anemia-related factors in LBW infants.
Investigating the Relationship between Psychosocial–Social health and Academic Achievement of the Students in North Khorasan University of Medical Sciences
Authors: Poorbarat Salar , Rajabzadeh Rezvan , Jafari Yasaman , Mohaddes Hakkak Hamidreza , Gangi Reza , Ahmadi Mojtaba , Hosseini Seyed Hamid
Published: January 2022

Introduction: In this study, the relationship between psychosocial-social status and the academic achievement of the students from North Khorasan University of Medical Sciences was investigated in order to take steps in providing more effective services to the students.
Methods: This was a cross-sectional study, conducted on 423 students from North Khorasan University of Medical Sciences, who were selected by a multistage sampling method (stratified and systematic random). Data were collected using a demographic information questionnaire, general health questionnaire (GHQ-12), Rosenberg self-esteem scale, the multidimensional scale of perceived social support (MSPSS), social health scale, and the life satisfaction scale. Data were analyzed using SPSS18 18 and descriptive-statistical tests.
Results: The mean of the subjects’ age was 21/65±3/52, the mean of their GPA was 16/2±1/47, and the mean of their mental health was 23/46 ± 6/08. There was no significant relationship between the students' GPA and their mental health. However, there was a significant relationship between mental health and life satisfaction, social support, self-esteem, and social health. Girls' life satisfaction was higher than that of the boys (P=0/027). The girls’ perceived social support was lower than the boys' (P=0/025). The singles' level of life satisfaction was lower than that of the married couples (P>0/100). There was a significant difference in life satisfaction of the students with different majors (P=0/500). Their perceived social support also showed a significant difference (P=0/10).
Conclusion: According to the results of the study, in general, different dimensions of psychological and social status such as self-esteem, self-confidence, social support, social health, life satisfaction can affect the students' educational status. This relationship is usually reciprocal, meaning that social and psychological indicators affect the educational status, and the educational status is also effective in improving or deteriorating mental and social health.
Evaluation of Knowledge, Attitude and Performance of Breastfeeding Women in Abarkooh City towards Heavy Metals Transferred from Breast Milk
Authors: Marzban Ameneh , Afkhami Aghda Mohammad , Servat Farokh-legha , Dolatabadi Maryam , Emami Payam
Published: January 2022

Introduction: Breast milk is the best, most useful and most effective food for the baby. On the other hand, contamination of milk with various toxic elements can have adverse effects on children's health. The aim of this study was to investigate the knowledge, attitude and performance of breastfeeding women referring to Abarkooh health centers regarding heavy metals transferred from breast milk.
Methods: This was a descriptive cross-sectional study conducted in October ,2019, in which 250 breastfeeding women referred to health centers in Abarkooh were selected by cluster sampling. Data were collected through a 4-part questionnaire(demographic, knowledge, attitude, performance) used in a similar study. Finally, data were coded using SPSS 24 software and descriptive statistics, t-test, analysis of variance, and Pearson correlation coefficient.
Results: The mean scores of knowledge, attitude and performance of the women were 5.24 ± 3.18, 16.25 ± 5.28 and 15.17 ± 5.39, respectively. There was a significant difference between the mean and standard deviation of the variables of knowledge, attitude and performance in the women under the study regarding demographic variables. There was only a significant difference between knowledge and education level of women (P = 0.01). There was also a significant positive correlation between women's knowledge, attitude and performance.
Conclusion: Low awareness of heavy metals transferred from breast milk, can increase the  risks associated with various types of breast milk poisoning in infants; therefore, educational programs ,such as programs and workshops related to proper nutrition, lifestyle and health behaviors for breastfeeding mothers can be effective in increasing the level of awareness in women. It should be noted that training programs should be designed to lead to appropriate attitudes and performances.
Understanding Manitoba Inuit’s Social Programs Utilization and Needs: Methodological Innovations
Authors: Lavoie Josée , McDonnell Leah , Nickel Nathan , Clark Wayne , Anawak Caroline , Anawak Jack , Brown Levinia , Clark Grace , Evaluardjuk-Palmer Maata , Ford Frederick , Dutton Rachel , Katz Alan , Wong Sabrina
Published: January 2022

Manitoba is home to approximately 1,500 Inuit, and sees 16,000 consults yearly from the Kivalliq region of Nunavut to access services. The purpose of our study was to develop detailed profiles of Inuit accessing services in Manitoba, by using administrative data routinely collected by Manitoban agencies, to support the development of Inuit-centric services. This study was conducted in partnership with the Manitoba Inuit Association, and Inuit Elders from Nunavut and Manitoba. Findings shows that the Inuit community living in Manitoba is fairly stable, with only approximately 5 percent of Inuit moving in and out of Manitoba on any given year. Inuit settle primarily in Winnipeg, and a significant proportion depend on social programs such as Income Assistance and housing support. A significant number of Inuit children have contact with the Child Welfare System. Our results support the need for more Inuit-centric programming, including family support and language programs.
The Effect of Workplace Bullying and Job Satisfaction on Turnover Intention of Employee
Authors: Nurdiana Ilfi , Elyatin Leny , Safitri Rini
Published: February 2022

A good environment can be formed through relationships between employees. The relationship between these employees will later have an effect on employee performance, it can be concluded that the relationship between employees is very important to be in the scope of a company organization. Workplace bullying is an act that should not exist in a company or organization. However, it cannot be denied that workplace bullying is now a phenomenon and a problem  for companies. The existence of workplace bullying against employees will cause an employee to feel threatened and if there is constant eating it will cause the employee to have the intention to change jobs (turnover intention ) and looking for a new workplace out there, besides that workplace bullying also causes dissatisfaction dan decrease employee performance which will also disrupted company operations. This research uses quantitative research. Data analysis in this study used the PLS (Partial Least Square) analysis test. The population in this study were employees of the Amaris Hotel Surabaya and data collected using a questionnaire and the sample used in this study was a saturated sampling method. The results of this study indicate that workplace bullying has a positive and significant effect on turnover intention. And job satisfaction cannot moderate the relationship workplace bullying to turnover intention.
Compensation, Competency and Motivation as Determiners of The Performance of Financial Administrative Officers
Authors: Purwanto Arief , Nirma Nirma , Mas Nasharuddin
Published: February 2022

This study explains the effect of compensation, competency, and motivation on employee performance directly and indirectly. The method used is quantitative - explanatory. The sample is 33 Financial Administration Officers (PPK) in Pasuruan City. Data analysis using SEM-PLS. The results showed that compensation can increase motivation. However, it has not been able to improve performance. Furthermore, competence can increase motivation and be able to improve performance. On the other hand, motivation can improve performance. Other results, indirectly it is known that motivation has not been able to mediate the relationship between compensation and performance. In addition, motivation is able to mediate the relationship between competence and performance
16. ASIR OSMANLI ŞAİRLERİNDEN HARÎMÎ’YE AİT OLDUĞU TAHMİN EDİLEN BİR ESER: KIRK HADİS TERCÜMESİ
Authors: CEYHAN Adem , YILMAZ Hasan
Published: January 2022

Kırk hadis ezberlemenin uhrevi mükâfatı hakkındaki İslami rivayetlerden ötürü Hz. Peygamber’e ait belirtilen sayıda veciz sözü derleme, tercüme ve şerh faaliyetleri Arap, Fars ve Türk gibi Müslüman milletlerin edebiyatında asırlar boyunca çok rağbet görmüştür. Türk Edebiyatı tarihinde en eski örneğinin 14. asırda meydana getirildiği bilinen kırk hadis tercüme ve şerhi, 16. yüzyılda kat kat artmış; bu türde otuz dolayında eser yazılmıştır. Anılan asırda bazı edebî şahsiyetlerin birden fazla kırk hadisi çevirdiği bilinmektedir. Kırk hadis tercümesi konusunda eser(ler)i bulunan 16. asır şairlerinden biri de Harîmî mahlasını kullanmış Bosnalı Ali bin Mustafa’dır. Son zamanlarda yapılan ilmî araştırma ve yayınlar, “Türbe Şeyhi” namıyla meşhur Bosnalı Ali Dede’nin (ö. 1598) 17. asır biyografi ve tarih kitaplarında anılanlardan daha çok eserinin olduğunu göstermektedir. Umumiyetle dinî, ahlaki ve irfani konularda yazmayı tercih eden Harîmî’nin Türkçe eserleri mevlid, Hz. Ali vecizeleri, hikmet sözleri, bazı tasavvuf terimleri, nefis terbiyesi, Kur’an’ın faziletleri, nasihatname, mersiye, silsilename gibi tür yahut mevzulara aittir. Onun Arapça, Türkçe, büyüklü-küçüklü yirmi beş dolayında eserinden ikisi kırk hadis tercümesi türündendir. Bu çalışmada Bosnalı Ali Dede’nin hayatı ve eserleri hakkında bilgi verildikten sonra meydana getirdiği tahmin edilen bir kırk hadis tercümesi ele alınıp incelenmiş; nihayet söz konusu kitapçığın Latin harflerine ve günümüz Türkçesine aktarılan metni okuyucuların incelemesine arz edilmiştir.
SARS in Cars: Carbon Dioxide Levels Provide a Simple Means to Assess Ventilation in Motor Vehicles
Authors: Haq Muhammed , Cadnum Jennifer , Carlisle Matthew , Hecker Michelle , Donskey Curtis
Published: February 2022

Background: Poorly ventilated enclosed spaces pose a risk for airborne transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and other respiratory viruses. Limited information is available on ventilation in motor vehicles under differing driving conditions.
Methods: We conducted carbon dioxide measurements to assess ventilation in motor vehicles under varying driving conditions with 2 to 3 vehicle occupants. During routine driving, carbon dioxide produced by the breathing of vehicle occupants was measured inside 5 cars and a van under a variety of driving conditions with or without the ventilation fan on and with windows open or closed. Carbon dioxide readings above 800 parts per million (ppm) were considered an indicator of suboptimal ventilation.
Results: Carbon dioxide levels remained below 800 ppm in all vehicles if the ventilation fan was on and/or the windows were open while parked or during city or highway driving. With the ventilation system set on non-recirculation mode, carbon dioxide levels rose above 800 ppm in all vehicles when the fan was off and the windows were closed while parked and during city driving, and in 2 of the 6 vehicles during highway driving. With the ventilation system set on recirculation mode, carbon dioxide rose above 800 ppm within 10 minutes in all vehicles tested.
Conclusion: Carbon dioxide measurements could provide a practical and rapid method to assess ventilation in motor vehicles. Simple measures such as opening windows, turning on the fan, and avoiding the recirculation mode greatly improve ventilation.
LTE/GNSS IOT TECHNOLOGY AS A BACKBONE FOR AIRPORT GROUND HANDLING OPERATIONS
Authors: PIECH Adam , KWAPIŃSKI Maciej , MICKIEWICZ Maciej , KANAWKA Krzysztof
Published: February 2022

The necessity of a positioning service for various ground handling assets is key to improving airport performance. Reported in this article is a system named “Ground Eye”, designed to be a test of a possible implementation of the independent LTE-based communication system and GNSS-based location services. The test campaign used a total of nine prototype devices for a period of one month at Gdańsk airport (Poland). The main goal of this demonstration was to verify the possibility of using the GNSS/LTE system as a fast-deployment option in the airport environment, as well as to evaluate its positioning and communication capabilities in conjunction with React.JS/Deck.GL/Node.JS dedicated application. The test campaign verified that even with simple processing and relatively simple single-frequency measurements, multi-constellation GNSS receivers, it is possible to obtain location with precision reaching better than 2.5 metres. This precision should be good enough for all ground handling operations at modern airports, without the need for additional fixed infrastructure.
Salvadoreñas divinas en Ciudad Juárez
Authors: Castorena Sáenz Nithia
Published: February 2022

Se presenta la historia de vida de una mujer trans migrante centroamericana que, junto con otras, busca llegar a Estados Unidos, pero debió establecerse temporalmente en Juárez por la pandemia. Para el análisis se plantea tanto un modelo de exclusiones titulado Orden de Vitruvio, que implica la operación múltiple e interseccional de distintos criterios que derivan en formas de exclusión agudas, así como una propuesta de análisis localizado, con la historia reciente de El Salvador. Finalmente, el texto concluye que es la colectividad una apuesta política y estratégica de resistencia frente a la operación del orden de Vitruvio.
PEMBELAJARAN BAHASA INDONESIA MAU DIBAWA KE MANA?
Authors: Hanna Hanna
Published: January 2022

AbstrakTulisan ini diilhami oleh dua orang pakar bahasa yakni pakar dialektologi Prof. Mahsun, mencoba menawarkan fase pembelajaran bahasa sedangkan pakar linguistik fungsional Prof. Amrin Saragih menawarkan pentingnya linguistik fungsional. Makalah ini menawarkan kepada kita tentang konsep pembelajaran bahasa untuk mewujudkan tujuan pendidikan yakni pembentukan karakter yang terwujud dalam kesatuan esensial si subyek dengan bahasa dan perilaku serta sikap hidup yang dimilikinya dengan mengacu pada teori Foerster. Bagi Foerster, karakter merupakan sesuatu yang mengualifikasi seorang pribadi. Karakter menjadi identitas yang mengatasi pengalaman kontingen yang selalu berubah. Dari kematangan karakter inilah, kualitas seorang pribadi diukur.
PENINGKATAN KEMAMPUAN BERBICARA BAHASA INGGRIS MELALUI MEDIA GAMBAR BERSERI
Authors: B La Ode Muhammad Idrus Hamid
Published: January 2022

AbstrakTujuan daripenelitian ini adalah untuk meningkatkan kemampuan berbicara bahasa Inggris siswa melalui media gambar berseri. Penelitian ini merupakan penelitian campuran dengan metode penelitian tindakan di SMA Negeri 5 Kendari, Sulawesi Tenggara. Data penelitian inidiambil pada semester kedua di kelas XI IA 2 yang beranggotan 42 orang siswa dan dianalisis secara kualitadf dan kuantitatif. Secara kuantitatif, ditemukan bahwa kemampuan berbicara siswa meningkat dengan signifikan dari siklus pertama hingga siklus ketiga. Oleh sebab itu, dapat disimpulkan bahwa kemampuan berbicara siswa dapat ditingkatkan dengan menggunakan media gambar berseri. Bagi guru sangat disarankan agar menggunakan mediagambar berseri sebagai salah satu teknik dalam mengajarkan kemampuan berbicara bahasa Inggris. Selain itu, juga direkomendasikan kepada peneliti lain agar menggunakan penelitian ini untuk penelitian selanjutnya.
SATIRE ANALYSIS IN FOUR LIONS FILM THROUGH SAUSSUREAN SEMIOTICS
Authors: Denisa Nia , Rusmana Dadan , Sakinah R. Myrna Nur
Published: January 2022

This study intends to reveal the satire about Jihad concept misunderstanding which causes negative image for Islam that caused by irresponsible British Moslems. They act without sufficient religious understanding and only out of lust to get rid of the unjust infidels towards minority Moslems. So, with the analysis of the signifier-signified of Saussure's semiotic theory, it’s hoped that satire can be conveyed, understood and aware by the parties who become the targets of satire. This study has a significance for eliminating misunderstandings about Islam which are always associated with terrorism, namely stupid acts that only harm fellow Moslems. This study will use a qualitative method because it related to phenomena in society. In this study, film as the object where the data are collected and supported by literature studies. The results from 20 data contain signifier and signified of radical Moslem’s act who misunderstanding about Jihad then satire that is intended to prove those who deviate are not acting in the name of Islam, terrorism is a stupid act and British government must be more fair to minorities. It’s recommended for further studies to examine Islamophobia in Asia with poster as the object the uses qualitative method and Peircean semiotics.