bluuebunny/crossref_metadata_2025 huggingface dataset:
Gambaran Pembelajaran Berbasis Developmentally Appropriate Practice (DAP) di Sekolah Dasar
Authors: Sari Ganda , Silitonga Bertha Natalina
Published: January 2024

Peserta didik adalah masyarakat yang berusaha mengembangkan dirinya melalui proses pendidikan. Dimasa depan mereka adalah generasi penerus bangsa yang akan menjalankan roda pemerintahan sebagai pemimpin. Sehingga fokus utama dalam pengajaran di dalam kelas seharusnya menolong siswa berkembang dan belajar sesuai dengan perkembangannya. Tujuan dari penelitian ini adalah memberikan gambaran mengenai pembelajaran berbasis Developmentally Apropriate Practices (DAP) di salah satu sekolah dasar swasta Binong, Tangerang. Untuk menggambarkan pembelajaran tsb digunakan 2 indikator yaitu keyakinan (believe) guru tentang peserta didik dan praktek pembelajaran di dalam kelas. Metode penelitian menggunakan studi kasus yang berfokus di kelas 1 SD dengan subyek wali kelas. Instrumen yang digunakan yaitu angket, panduan wawancara, lembar ceklish dan lembar observasi kegiatan kelas berbasis DAP. Hasil didapati kesesuaian antara keyakinan guru tentang siswa dengan prinsip DAP, namun dalam prakteknya, guru belum optimal untuk mempraktekan DAP dalam proses pembelajaran. Saran bagi guru yaitu diperlukan usaha untuk meningkatkan kompetensi prosesional sebagai guru untuk mencari pengetahuan mengenai karakteristik perkembangan anak, pendekatan atau metode mengajar yang sesuai dengan konteks, dsb. Saran bagi sekolah memberikan fasilitas yang memadai baik bagi guru maupun siswa, memberikan pembinaan bagi dan juga mengatifkan peran sebagai pengawas di sekolah.
A Comparison of Glide Scope Video Laryngoscopy to Direct Laryngoscopy for Nasotracheal Intubation
Authors: Khan Taimur Azam , Shah Syed Qasim Ali , Beg Mirza Hamid , Mateen Osama Abdul , Sharif Muhammad Huzaifa , Hashmi Syed Rafat Ali
Published: January 2024

Objective: To compare the ease of intubation using glide scope video laryngoscope versus direct laryngoscopy for nasotracheal intubation.
Study Design: Quasi experimental study.
Place and Duration of Study: Combined Military Hospital, Rawalpindi Pakistan, Aug 2022 to Feb 2023.
Methodology: Patients of either gender with age greater than 18 years with American Society of Anesthesiologists (ASA) Grade I or Grade II planned for elective dental or maxillofacial procedures requiring nasotracheal intubation were included. A total of 60 patients were included, with 30 patients in each group. Recorded variables were time to intubate, glottic grade, use of Magill forceps, first attempt success, failure to intubate and postoperative sore throat.
Results: With 60 patients after randomised allocation, 30 were allocated to Group-DL (Direct laryngoscopy) and Group-VL(Video laryngoscopy). The success rate in the first attempt was 27(90%) in Group-DL vs 30 (100%) in Group-VL, and the number of patients who could not be intubated was 1(3.3%) vs 0(0%) in both groups. The glottic grade recorded by the operator under vision, time to intubation, use of Magill forceps and post-operative sore throat in both groups was significant with a p-value of <0.05.
Conclusion: Glide scope video laryngoscopy provides a better view of the vocal cords with less time to intubation, greater chances of successful intubation, and fewer post-operative chances of sore throat than direct laryngoscopy.
Comparison of the Mean Post-Operative Pain Score with Ultrasound Guided Transversus Abdominis Plane (TAP) Block and Wound Infiltration with Local an Aesthetic Agent in Abdominal Surgeries
Authors: Sadique Abubakar , Sharif Asjad , Gulrez Amna
Published: January 2024

Objectives: To compare the mean post-operative pain score with ultrasound-guided transversus abdominis plane block and wound infiltration with local anaesthetic agents in abdominal surgeries.
Study design: Comparative prospective study
Place and Duration of Study: Department of Anaesthesia, Intensive Care and Pain Management, Combined Military Hospital, Bahawalpur Pakistan, from Oct 2018 to Apr 2019.
Methodology: Sixty patients undergoing abdominal surgery aged 18-60 years were included. The patients in Group-A received transverses abdominis plane block with 20 ml of 0.25% Bupivacaine bilaterally, while those in Group-B received 20 ml of 0.25% Bupivacaine as local wound infiltration. Each patient was followed till 6 hours post-operatively.
Results: Out of 60 patients, 35(58.33%) were male, and 25(41.67%) were females. In our study, the Visual analogue score was 1.63±0.85 in Group-A (ultrasound-guided TAP block) compared with 4.47±1.07 in patients with Group-B (wound infiltration with a local anaesthetic agent) with a p-value of 0.001, which was statistically significant.
Conclusion: The study concluded that the mean pain score in patients with ultrasound-guided Transversus abdominis plane block is less compared to wound infiltration with local anaesthetic agents in abdominal surgeries.
Post-Burn Sceptic Limb in Epileptic Sudani Young Man
Authors: Khan Abdul Waheed , Hassan Jaffar  , Tarique Ahmad Maka
Published: January 2024

Burns in epileptic patients are not uncommon, but it is difficult to manage in remote areas of third-world countries. Despite the reduction in burn injuries secondary to a seizure, such injuries still lead to significant morbidity and mortality. In Darfur, Sudan, we managed such an epileptic patient having a full-thickness burn endangering the limb and life. Since these patients should adhere to a specific medication, controlling it remains to be difficult. The patient was managed with serial debridement, dressings, antibiotics, anti-epileptics and a protein diet. Therefore, preparation for preventive strategies consists of lifestyle modification and patient education that is further warranted.
Diagnostic Utility of Beta-Catenin in Poorly Differentiated Colorectal Carcinoma
Authors: Farukh Mir Muhammad  , Farhan Akhtar  , Nighat Jamal  , Rabia Ahmed  , Muhammad Asif  , Fatima Wahan
Published: January 2024

Objective: To determine the diagnostic ability of Beta-catenin in poorly differentiated colorectal carcinomas.
Study Design: Cross-sectional study
Place and Duration of Study: Department of Histopathology PNS Shifa Hospital, Karachi Pakistan from Jun 2019 to Jun 2020
Methodology: After ethical approval from the Institutional Review Board, 60 patients of both gender and all age group, diagnosed with a case of colorectal carcinoma on biopsy and resection specimens analyzed on histopathology on H & E staining at PNS SHIFA were included in the study. The resection specimens of CRC included those obtained from hemicolectomy, abdominoperineal resection and biopsies. Beta-catenin was interpreted using immunohistochemistry as cytoplasmic and nuclear staining with varying intensity. The scoring method was 0 as negative, 1+ as weakly positive, 2+ as moderate positive, and 3+ as strongly positive.
Results: Among the 60 patients with resection specimens included from hemicolectomy, abdominoperineal resection and colorectal biopsies, strong nuclear positive results were observed in 30(50 %) patients, moderate nuclear positivity in 12 (20 %), weak nuclear positivity in 6(10 %) and positive cytoplasmic staining in 12(20 %) patients.
Conclusion: Beta-catenin can be used successfully as a diagnostic utility in poorly differentiated colorectal carcinoma patients.
Intravenous Ondansetron Efficacy in Preventing Post Spinal Shivering during Lower Segment Caesarean Section
Authors: Abid Komail , Iqbal Rashid , Shah Syed Ali Raza , Tariq Sana
Published: January 2024

Objective: To determine IV Ondansetron efficacy in preventing post-spinal shivering during LSCS.
Study Design: Quasi-experimental study.
Place and Duration of Study: Department of Anaesthesiology, Combined Military Hospital, Rawalpindi Pakistan, from Sep 2018 to Mar 2019.
Methodology: A total of 60 women undergoing LSCS under spinal anaesthesia were included. Group-A was given 8 mg/4 ml Ondansetron, while Group-B was given 4 ml Normal Saline 0.9% IV immediately before induction of spinal anaesthesia. Body temperature, level of sensory block, and shivering scores during the peri-operative period were recorded. After surgery, patients were shifted to Post Anaesthesia Care Unit (PACU). Shivering was graded using Crossley and Mahajan 5-item scale. Injection Tramadol 1mg/kg intravenously was used as a rescue anti-shivering drug.
Results: The majority of the patients 33(55.0%) were between 18-25 years of age. Efficacy of Intravenous Ondansetron in preventing post-operative shivering during spinal anaesthesia in patients undergoing caesarean section was seen in 26 86(67%) patients (Group-A) as compared to 17(56.67%) patients in the Control Group (Group-B) (p-value=0.010).
Conclusion: The study concluded that there was less post-operative shivering with intravenous Ondansetron during spinal anaesthesia in patients undergoing caesarean section as compared to the Control Group.
Functional Outcome of Unilateral Peroneus Longus Autograft in Arthroscopic Anterior Cruciate Ligament Reconstruction
Authors: Munir Shahid , Wajahat Ali Nadeem  , Ahmed Nadeem , Raza Ali , Malik Ahmed Tariq , Siddique Zeeshan
Published: January 2024

Objective: To evaluate the functional outcome of unilateral peroneus longus autograft in arthroscopic anterior cruciate ligament reconstruction
Study Design: Cross-sectional study.
Place and Duration of Study: Orthopedic Department, Combined Military Hospital, Lahore Pakistan, from Jul 2020 to Jun2021.
Methodology: We included all the patients who underwent ipsilateral peroneus longus autograft for anterior cruciate ligament reconstruction. Fixation was achieved with a bio-absorbable screw on the tibial side and an endobutton on the femoral side. Lateral or medial menisectomy was performed according to the requirement. Post-op X-rays were done to assess the position of the endobutton and tibial tunnel. Eight millimetres tunnels were drilled, and the tendon was tailored accordingly. Results were assessed for pain, infection, range of motion and instability after three months of surgical procedure.
Results: A total of 52 patients were included in the final analysis. The mean age of the study participants was 33.36±6.353 years. At the end of three months, pain 6(11.5%) and restricted range of motion 6(11.5%) were the common untoward outcomes reported by the patients. High body mass index and lack of engagement in physiotherapy had a statistically significant relationship with the presence of untoward outcomes in our study (p-value<0.05).
Conclusion: Peroneus longus is a strong, robust autograft for anterior cruciate ligament reconstruction with excellent functional results. Very few patients had untoward effects, and those, too, were of mild intensity. Patients with high body mass index and those not engaging in physiotherapy emerged as high-risk patients for having untoward effects after the surgery.
Comparison of Quality of Life among Adolescents with and without Diabetes in Gujrat, Pakistan
Authors: Iqbal Sonia , Ayaz Saeed Bin , Rahman Fawad , Ejaz Saman , Waheed Laiba , Amjad Ayesha
Published: January 2024

Objective: To compare the quality of life among adolescents with and without diabetes and explore the association of age and gender with diabetes.
Study Design: Cross-sectional comparative study.
Place and Duration of Study: Different Clinics and Hospitals, of District, Gujrat Pakistan, from Sep 2020 to Mar 2021.
Methodology: Adolescents with diabetes who had an HbA1C level of ≥6.5%, and age-matched, healthy adolescents as controls were included. The adolescents with diabetes were sub-grouped into early and late adolescents based on age (10-14 years and 15-19 years, respectively). Youth Quality of Life Questionnaire was used as the investigative tool.
Results: Twenty-nine adolescents (mean age: 14.2±2.9 years) were in the Diabetes-Group, and 356 adolescents (mean age: 14.8±2.7 years) were in the Control-Group. The Control-Group had significantly better mean scores in each domain than the Diabetes-Group (p<0.001). Early adolescents with diabetes had better scores in the self-care domain (p=0.014) than late adolescents. The scores remained uninfluenced by gender in adolescents with diabetes (p=0.118, 0.284, 0.185, 0.419, and 0.169, respectively).
Conclusion: The quality of life scores among our study adolescents with diabetes was poor as compared to the age-matched healthy adolescents. Age appeared to be a negative factor for the quality of life parameters among adolescents with diabetes.
Efficacy (In Terms of Avoiding Hysterectomy) of the Triple P Procedure in Managing Morbidly Adherent Placenta
Authors: Mumtaz Sadaf , Nighat Afridi  , Salma Nisar  , Hira Shafqat  , Waseem Yousaf  , Nafeesa Hiba
Published: January 2024

Objective: To determine the efficacy (in terms of avoiding hysterectomy) of the Triple P procedure in managing morbidly adherent placenta.
Study Design: Case series.
Place and Duration of the Study: Department of Obstetrics & Gynaecology, Combined Military Hospital, Peshawar Pakistan, from Dec 2018 to Mar 2020.
Methodology: A total of 56 pregnant women of gestational age ≥32 weeks with the morbidly adherent placenta were included. Caesarean section was done in each patient by the consultant gynaecologist, and then the Triple P procedure was done. Efficacy in each patient was noted.
Results: The mean age of the study participants was 30.79±4.42 years. In our analysis, the mean parity was 3.05±0.88. The mean number of caesarean sections was 2.00±1.11. The Triple P procedure was effective (in avoiding hysterectomy) in managing morbidly adherent placentas in 53(94.64 %) participants.
Conclusion: This study concluded that the Triple P procedure's efficacy (in terms of avoiding hysterectomy) in managing morbidly adherent placenta is very high.
Evaluation of Students’ Perception of E-Learning Education Atmosphere (EEAM) in a Private Dental College in Pakistan
Authors: Akbar Zainab , Gul Khaula , Nasir Falahat , Hameed Waqas , Durrani Mushyyada , Ullah Hidayat
Published: January 2024

Objective: To assess the e-learning educational environment of our institute using a tool called the E-learning educational atmosphere measure (EEAM).
Study design: Cross-sectional study.
Place and Duration of Study: Rehman College of Dentistry, Peshawar Pakistan, from Oct 2020 to Mar 2021.
Methodology: A pre-validated EEAM questionnaire comprising seven domains was used as a data collection tool. The questionnaire was distributed among all the Rehman College of Dentistry students, Peshawar and the response was obtained. All questions were assessed on a five-point Likert scale ranging between one and five.
Results: A total of 161 students were included, with a response rate of 80.1%. The mean age of the students was 21.54±1.38 years, (range: 21-23 years). Responses to questions of all first five domains of awareness of rules, safety and convenience, teaching quality, learner support, ethics, and professionalism mostly were towards agreement and strongly agreement side. The responses to questions 41 and 42 of the program effectiveness domain and 44 and 45 of the knowledge, affective and psychomotor domain were mainly towards the disagreement side.
Conclusion: The colleges should concentrate on introducing new strategies to improvise the program's effectiveness along with better teaching of affective and psychomotor skills. They should target the senior classes and the female tutees by educating them about the pros and cons of online learning and its dynamics to achieve better outcomes and results.
Frequency of Gall Bladder Carcinoma after Cholecystectomy for Symptomatic Gallstone Disease in Tertiary Care Hospital, Peshawar
Authors: Ullah Zia , Tahir Ahmad Arsalan , Muhammad Tayyab  , Muhammad Ishfaq  , Nasir Sabeen , Rubab Naseer
Published: January 2024

Objective: To determine the frequency of gall bladder carcinoma after cholecystectomy for symptomatic gallstone disease and to determine the most commonly affected age group and its gender-based predominance in our population.
Study Design: Cross sectional study.
Place and Duration of Study: Histopathology Lab, Tertiary Care Teaching Hospital, Peshawar Pakistan, from Jan 2015 to Jan2021.
Methodology: A total of 995 patients of all age groups and of either gender were included in our study. The demographics, clinical data of the patient (signs, symptoms and ultrasound report), and histopathology findings were recorded.
Results: The mean age of our study participants was 41.5±15 years. Cholecystitis was found in 807(81.1%) patients, acute cholecystitis in 101(10.2%) patients, and chronic cholecystitis with cholesterols in 72(7.2%) patients. Benign polyps were found in 6(0.6%) patients, while carcinoma gall bladder was found in 9(0.9%) patients. The frequency of gall bladder carcinoma was high in females (n=774, 66.7%). The most commonly affected age group affected by gall bladder carcinoma was 51 to 60 years.
Conclusion: Routine histopathology of all grossly looking normal gall bladder specimens after cholecystectomy should be done as it is the only measure to detect carcinoma gall bladder at early stages.
Evaluation of Key Performance Indicators in the Pre-analytical Phase of Testing in a Clinical Chemistry Laboratory of a Reference Institute
Authors: Ghauri Ahsan Ahmad , Munir Muhammad Usman , Haroon Zujaja Hina , Younas Muhammad , Anwar Muhammad , Kirmani Sobia Irum
Published: January 2024

Objectives: To check the performance in the pre-analytical phase of testing in the clinical chemistry laboratory of a reference institute using five key performance indicators and to compare these indicators between the morning and night shifts to ascertain the most probable source of pre-analytical errors.
Study Design: Comparative cross-sectional study
Place and Duration of Study: Department of Chemical Pathology & Endocrinology, Armed Forces Institute of Pathology (AFIP), Rawalpindi Pakistan, from Apr to Sep 2021.
Methodology: Defined key performance indicators (KPIs) were observed for a period of six months. The frequency and percentage of each KPI were calculated. Defects per Million were calculated for deriving Six Sigma (σ) values. KPIs were alsocompared between the morning and night shifts.
Results: A total of 272,731 samples were observed in which 2306(0.84%) were found haemolysed (σ=3.5), 604 samples (0.22%) were not received in the Department due to various pre-analytic reasons (σ=4.0), 260 samples (0.09 %) were found having insufficient sample volume for analysis (σ=4.5), 181(0.06%) samples were found having improper/ wrong labelling or bar code errors (σ=4.5) and 161(0.05%) samples were delivered in wrong tubes (σ=4.5). KPI-1, KPI-2, and KPI-3 were found to be significantly higher during the night shift than the morning shift.
Conclusion: Haemolysed samples and lost-not-received samples were the main causes of pre-analytical errors Key performance indicators aided as an instrument to screen and improve process execution in the laboratory.
Correlation of Body Mass Index with Inflammatory Markers in Rheumatoid Arthritis Patients
Authors: Tayyab Yusra , Amir Rashid  , Muhammad Javed Yousaf  , Adnan Manzar  , Asifa Majeed
Published: January 2024

Objective: To study the correlation of body mass index with inflammatory markers among rheumatoid arthritis patients.
Study Design: Comparative cross-sectional study.
Place and Duration of Study: Department of Biochemistry and Molecular Biology, Army Medical College, RawalpindiPakistan, in collaboration with the Rheumatology Department and laboratory of Pak Arab Emirates Military Hospital (PEMH), Rawalpindi Pakistan from Jan 2020 to Jan 2021.
Methodology: The study sample was sixty in number and was divided into two groups. Diagnosed Rheumatoid Arthritis (RA) patients on modifying rheumatic Drugs (DMARDs) therapy constituted Group-I. At the same time, Group-II consisted of 30 healthy individuals. BMI, C reactive proteins (CRP) and erythrocyte sedimentation rate (ESR) of both groups were assessed and compared. The correlation of BMI with inflammatory markers was also assessed in both groups.
Results: Sixty subjects with a mean age of 44.90±10 years were distributed evenly among two groups. Mean inflammatory markers for ESR and CRP, were 30.70±16.46 and 11.65±12.97, respectively, of Group-I. There was a significant difference in CRP and ESR (p ≤ 0.05) among the two groups. The mean BMI was 25.20±4.65, which was also raised for Group-I. BMI was positively correlated with inflammatory markers in both groups. Group-I showed a more positive correlation of BMI with ESR (r=0.23) than Group-II (r= 0.143).
Conclusion: BMI is positively correlated with inflammatory status among RA patients.
Post Banding Ulcer Haemorrhage: a Contributor to Morality in Patients with Liver Cirrhosis
Authors: Perveen Shahida , Ahsan Omar , Butt Batool , Abbas Atif , Asif Sehrish Jahan , Hassan Syeda Fatima
Published: January 2024

Objectives: To evaluate the frequency, risk factors and mortality of post-banding bleeding in cirrhosis.
Study Design: Retrospective longitudinal Study.
Place and Duration of Study: Department of Medicine, Fauji Foundation Hospital, Rawalpindi Pakistan, from Feb to Jul 2021.
Methodology: Esophageal variceal band ligation (EVBL) was done in 123 patients. The study cohort was divided into two groups: Group-1 without re-bleed and Group-2 with re-bleed. Blood chemistry, Child-Pugh and MELD score, including the indications of EVBL and risk factors, were also analysed. Regression analysis was performed.
Results: Re-bleed occurred in 10.6% (n=13) of patients. The mean duration between ligation and re-bleed was 8.75±2.8 days. Oesophageal ulcers were the most common cause of re-bleeding (38.5%). Mortality rates among the two groups were 21.8 %( n=24) and 30.8 %( n=4), respectively. The model for end-stage liver disease score (OR 2.177, CI 1.069-4.43, p .03), APTT (OR 0.593, CI 0.397-0.887, p .01) and Sodium (OR 1.345, CI 1.07-1.69, p<0.01) were detected as the predictors of re-bleed.
Conclusion: Although re-bleeding after banding occurs in a trivial number of patients, it contributes to mortality. Coagulopathy, high sodium and MELD score are major predictors.
Comparison of Outcomes of Pneumatic Ballistic Lithotripsy, Holmium Laser Lithotripsy, and Combined Electromagnetic with Ultrasonic Lithotripsy during Percutaneous Nephrolithotomy
Authors: Ejaz Mansoor , Saulat Sherjeel , Qadri Syed Saeed Uddin , Ayub Awais
Published: January 2024

Objective: To compare outcomes of combined electromagnetic with ultrasonic lithotripter, pneumatic ballistic lithotripter, and holmium laser lithotripter among patients at a Tertiary Care Hospital.
Study Design: Prospective comparartieve study.
Place and Duration of Study: Department of Urology at Tabba Kidney Institute, Karachi Pakistan, from May 2020 to Jun 2021.
Methodology: Ninety patients were divided into three groups of lithotripsy energies. Group-A (n=30) patients got pneumatic lithotripsy, Group-B (n=30) patients got laser lithotripsy, while Group-C (n=30) patients got trilogy lithotripsy technique. Outcomes such as post-operative pain, post-operative complications, and stone clearance were evaluated in all groups.
Results: The overall mean age of the patients was 50.23±9.24 years, ranging from 33-74 years. The majority of the participants were males (n=52,57.8%), and 38(35.6%) of the participants were females. The intra-operative time, severity of post-operative pain, fever and UTI were the same between the three groups. However, the proportion of hematuria (p=0.001) and stone clearance (p=0.025) significantly differed between the three groups.
Conclusion: Laser and pneumatic lithotripter were more effective in complete stone clearance than trilogy lithotripter. While laser lithotripter significantly decreases the occurrence of hematuria.
SAPHO (Synovitis, Acne, Pustulosis, Hyperostosis, Osteitis Synovitis, Acne, Pustulosis, Hyperostosis, Osteitis); A Case of Backache in an Adolescent in Pakistan
Authors: Dar Abdul Rehman Azeem , Maira Aleem  , Ali Akhtar  , Muhammad Zahid Hussain
Published: January 2024

SAPHO (Synovitis, Acne, Pustulosis, Hyperostosis, Osteitis) syndrome is a group of rare auto-inflammatory disorders with a wide range of dermatological and osteoarticular manifestations. Different nomenclatures, like Chronic Recurrent Multifocal Osteoarthritis (CRMO) and Chronic Non-Bacterial Osteomyelitis (CNO), have been used in the past for the same disease, but SAPHO Syndrome has been the accepted terminology since 1990. An adolescent, 17 years of age, with a six-month history of inflammatory backache and fatigue, reported to a rheumatology clinic. His health assessment questionnaire- disability indexcame out to be two. Acne on physical examination raised inflammatory markers, and characteristic findings of SAPHO syndrome on bone scan suggest the disease. The patient was treated with an excellent response to bisphosphonates. The report highlights the importance of the evaluation of inflammatory backache in adolescents. SAPHO syndrome is an underdiagnosed disease. Therefore, more awareness of this disease among healthcare physicians is required.
An Uncommon Clinical Presentation of a Rare Disease-Alkaptonuria: Case Report
Authors: Qureshi Umar Abdul Ali , Malik Naveed Akhtar
Published: January 2024

Palmoplantar pigmentation is a rare clinical presentation of alkaptonuria, a rare inborn error of phenylalanine and tyrosine metabolism. Alkaptonuria occurs owing to a deficiency of an enzyme homogentisic acid oxidase inherited as an autosomal recessive disorder. We report a case of alkaptonuria, which presented with palmoplantar pigment pigmentary nail changes and the involvement of the spine and joints. He was advised of ascorbic acid along with symptomatic management and detailed counselling.
Role of Inflammatory Markers in Early Diagnosis of Neonatal Sepsis; C-Reactive Protein or Procalcitonin or Red Cell Distribution Width; A Hospital-Based Study
Authors: Bai Prinka , Rais Heena , Asif Rabia , Anwar Tayyaba , Kumari Sandhiya , Azeem Masab
Published: January 2024

Objective: To find out the utilization of C-reactive protein (CRP), Procalcitonin (PCT) and red cell distribution width (RDW) in diagnosing neonatal sepsis considering blood culture findings as gold standard.
Study Design: Cross-sectional validation study.
Place and Duration of Study: Neonatal Intensive Care Unit (NICU) of Dr Ziauddin Medical University, Karachi Pakistan, from Feb to Jul 2022.
Methodology: A total of 42 neonates of either gender with the clinical diagnosis of neonatal sepsis were enrolled. Demographical and clinical characteristics of all neonates were noted at the time of enrollment. A blood sample of 5 ml was withdrawn for the evaluation of CRP, PCT and RDS. The association of different inflammatory markers with the outcome (neonatal sepsis) was assessed.
Results: In 42 neonates, the mean age was 7.24±9.24 days, and 26 (61.9%) neonates were boys. Respiratory distress, reluctance to feed and hypoglycemia were the most frequent clinical presentations observed (19,45.2%), (14,33.3%) and (8,19.0%) neonates, respectively. Mean CRP levels among blood culture positive and negative neonates were 40.02±57.84mg/dl and 7.57±13.34 mg/dl, respectively, while the difference was statistically significant (p=0.0068). RDW (p=0.6488) and procalcitonin (0.9021) levels were not statistically significant differences among positive and negative neonates of blood culture.
Conclusion: The CRP was a significant predictor of neonatal sepsis, while RDW and procalcitonin did not have a significant relationship with early prediction of neonatal sepsis.
Relationship of Body Composition with Height and Weight in Attendants of Cancer Patients
Authors: Nadeem Muhammad Sohaib , Ali Ujala , Riaz Bushra , Noreen Tallat , Wahid Mansoor , Gohar Lubna
Published: January 2024

Objective: To discern the relationship of height and weight with body composition in healthy attendants of cancer patients.
Study Design: Cross-sectional study.
Place and Duration of Study: Combined Military Hospital, Rawalpindi Pakistan, from Oct to Dec 2022.
Methodology: A total of 226 healthy adults aged 19-47 years having similar daily physical activity levels were included. The body composition of study participants was evaluated using a bioelectric impedance analysis (BIA) machine. The weight of all participants was recorded with the help of a weighing machine. The participants' height was measured using a Harpenden Stadiometer and recorded.
Results: Our study showed that weight had a significant positive correlation with body fat mass (rs value=0.83), skeletal muscle mass (rs value=0.763), total body water (rs value=0.704), fat-free mass (rs value=0.75) and per cent body fat (rs value 0.716). On the other hand, height had a negative but non-significant association with fat mass (rs value= 0.025) and a negative significant association with per cent body fat (rs value=-0.16). Height had a positive and significant association with fat-free mass (rs value=0.553), total body water (rs value=0.501) and skeletal muscle mass (rs value=0.505).
Conclusion: Weight, if used alone, is not a good indicator of obesity or emaciation, and height has a negative association with fat mass.
Violence behind the Closed Door: Depression, Suicidal Ideation and Future Concerns Among its Spectators
Authors: Khurshid Saba , Toor Hafsa Khalil , Pervaiz Farrah
Published: January 2024

Objective: To determine the depression, suicidal ideation, and future concerns among domestic violence spectators.
Study Design: Exploratory study design.
Place and Duration of Study: Shelter Homes and Community Centres, in Rawalpindi/Islamabad Pakistan, from Aug to Nov2022.
Methodology: In-depth interviews with 30 participants aged 12 to 17 years were conducted to assess the future apprehensions and worries of domestic violence spectators. Interviews were recorded and transcribed for thematic analysis. Transcribed data were critically reviewed, and themes were identified. Inter-rater reliability was calculated with the help of Cohen Kappa and was found to be in substantial agreement.
Results: The study findings identified major themes related to psychological issues and future apprehensions among participants who witnessed domestic violence. Maladaptive relationships with parents and intensification of social problems such as isolation, self-harm, social withdrawal, suicidal ideation, difficulty in making friends, and apprehensions about the future relationship with a partner were also perceived as serious future concerns among domestic violence spectators.
Conclusion: Domestic violence takes a toll on the mental and physical well-being of not only its victims but also its spectators. Early detection and prevention of violent exposure are essential to mitigate its long-term psychological impact.
Pandangan Hukum Islam Terhadap Fenomena Flexing di Media Sosial
Authors: Shine Al Anjuwi  , Vensy Alaisyahda  , Tira Novita Sari
Published: January 2024

Fenomena flexing atau pamer saat ini marak terjadi terutama di media sosial. Flexing ini kerap dilakukan oleh sejumlah publik figur, selebritis, artis, bahkan pejabat negara yang memamerkan barang-barang mewah atau kehidupan mewah yang mereka rasakan untuk mendapatkan pengakuan. Fenomena flexing ini dianggap sebagai bentuk riya yang tidak sesuai dengan akhlak dalam ajaran Islam, riya adalah perbuatan memperlihatkan  sesuatu dengan maksud dan tujuan agar dilihat orang lain dan mendapat pujian. Kekayaan atau kesenangan yang kita alami saat ini sebenarnya hanyalah anugerah dari Allah SWT. yang nantinya harus dipertanggungjawabkan. Hendaknya kita bisa menempatkan harta yang kita miliki sebagai sarana kita beribadah kepada Allah SWT. Flexing bahkan dijadikan modus penipuan kriminal. Penelitain ini bertujuan untuk membahas fenomena flexing di media sosial dalam perspektif hukum islam dan bagaimana hukum islam memandang fenomena flexing yang terjadi di media sosial. Agama islam memang memberikan kebebasan berekspresi secara bebas di media sosial, namun sebagai pengguna media sosial kita harus bijak dalam menggunakannya dalam kehidupan sehari-hari. Saat ini dan harus tetap menjunjung tinggi etika dan moral dalam ajaran Islam.
Sosialisasi Anti Narkoba di SMA Islam Yakin Kecamatan Tutur Kabupaten Pasuruan
Authors: Hufron  , Gatut Setiadi  , Rindra Risdiantoro  , Khoirul Anwar
Published: January 2024

Masa remaja merupakan suatu masa yang penuh dengan tantangan dan dinamika, yang dapat berdampak pada munculnya perilaku negatif pada diri remaja. Bentuk perilaku negatif pada remaja yaitu penggunaan narkoba yang dilakukan oleh remaja di Kecamatan Tutur. Diperlukan edukasi sebagai upaya pencegahan dan penanggulangan penyalahgunaan narkoba melaui lembaga pendidikan formal. Salah satu lembaga pendidikan formal yang mempunyai banyak jumlah siswa yaitu SMA Yakin Tutur. Pengabdian masyarakat dalam bentuk sosialisasi anti narkoba ini dilakukan dengan tujuan yaitu 1) mendeskripsikan proses sosialisasi anti narkoba di SMA Yakin Tutur dan 2) menjelaskan hasil sosialisasi anti narkoba di SMA Yakin Tutur. Metode yang digunakan dalam pengabdian masyarakat ini yaitu sosialisasi, dengan teknik pengumpulan data observasi dan dokumentasi. Hasil pengabdian kepada masyarakat yang dilakukan diperoleh hasil sebagai berikut: 1) Kegiatan sosialisasi bahaya penyalahgunaan narkoba di SMA Yakin Tutur dilakukan melalui proses yaitu koordinasi ketua MUI bersama Forkopimcam Kecamatan Tutur, pembentukan tim teknis pelaksanaan yang dilakukan oleh MUI Kecamatan Tutur, koordinasi tim dengan sekolah tentang teknis pelaksanaan, evaluasi sebelum pelaksanaan, pelaksanaan kegiatan dan evaluasi setelah pelaksanaan, 2) Kegiatan sosialisasi bahaya penyalahgunaan narkoba di SMA Yakin Tutur dapat meningkatkan pemahaman peserta didik mengenai jenis-jenis narkotika, bahaya dari penyalahgunaan narkoba dari aspek fisik, psikis, pendidikan, sosial dan ekonomi serta siswa memahami cara pencegahan penyalahgunaan narkoba dikalangan remaja.
Wirabimbel sebagai Rumah Belajar untuk Meningkatkan Pendidikan di Desa Sukorame
Authors: Rohibni  , Hamzah Mohamad Rifqi , Jakaria Umro  , Shima Putri Firdausi
Published: January 2024

Pendidikan merupakan hal penting untuk menigkatkan Sumber Daya Manusia, namun kesadaran untuk menimba ilmu masih dirasa kurang terutama ke jenjang yang lebih tinggi. Salah satu penyebabnya adalah kurangnya motivasi. Disisi lain, dukungan dari pemerintah berupa sarana dan prasarana juga menentukan kualitas Pendidikan. Kondisi Pendidikan di Desa Sukorame bisa dikatakan masih minim. Dari hal tersebut Mahasiswa KKN berinisiatif mendirikan “Wirabimbel” yaitu rumah belajar dengan tujuan meningkatkan minat belajar bagi anak-anak di Desa Sukorame dari jenjang SD, SMP, dan SMK atau sederajat, hal ini dilakukan dengan memberdayakan SDM pemuda setempat yang dirasa mampu untuk membantu anak-anak belajar. Metode yang kami lakukan adalah service learning dengan tahap; perizinan, Praktik, Sosialisasi, dan Pendidikan Masyarakat. Salah satu dampak yang terlihat dari kegiatan “Wirabimbel” bagi anak-anak dan remaja di Desa Sukorame ialah Meningkatnya kesadaran anak – anak dan remaja Dusun Kaliputih akan pentingnya pendidikan dan memperdalam ilmu pengetahuan untuk masa depan
Pendampingan Implementasi Fun Learning Al-Qur’an dalam 3T (Tahsin, Tahfiz, Tafsir) di Pondok Pesantren Fatahillah Ibnu Nizar Gending Probolinggo
Authors: Rifqatul Husna  , Muflihatul Maqfiroh
Published: January 2024

Pondok Pesantren Fatahillah Ibnu Nizar yang berada di desa Sumberkerang kecamatan Gending kabupaten Probolinggo, merupakan salah satu pesantren salaf yang selain pada kitab klasik, fokus utamanya adalah menghafal Al-Qur’an. Metode yag digunakan merupakan metode klasik dengan dibentuk kelompok klasikal dan muraja’ah, setoran hafalan satu persatu pada mu’allimah. Permasalahan yang dihadapi oleh para santri penghafal Al-Qur’an adalah sebagian santri menjadikan hafalan Al-Qur’an sebagai beban yang cukup memberatkan. Selain itu, mereka menghafal tanpa mengetahui makna atau maksud bacaan. Oleh karenanya, di pesantren ini akan dilakukan pengabdian berupa pendampingan pada pengurus dan santri yang konsen memperdalam dan menghafal Al-Qur’an. Metode yang digunakan pada pengabdian ini, dengan PAR (Participatory Action Research). Yakni, dengan tahapan observasi, pengumpulan data, monitoring, aksi dan evaluasi. Tujuan pendampingan metode fun learning dalam 3T (tahsin, tahfiz, tafsir) adalah, untuk memperbaiki bacaan Al-Qur’an bagi mereka yang akan fokus pada menghafal Al-Qur’an, meningkatkan minat para santri dalam menghafal Al-Qur’an, serta mengetahui makna dari beberapa ayat yang dihafal, dengan lebih menyenangkan.  Beberapa hasil pengabdian yang dilaksanakan yakni, pertama; meningkatkan pengetahuan seputar ilmu tajwid dengan metode fun learning, kedua; memahami cara menghafal Al-Quran dengan mudah, dan ketiga; memahami makna dan penafsiran ayat. Pendampingan yang dilakukan pada santri tahfiz pondok pesantren Fatahillah, Sumber Kerang Gending, bertujuan agar para santri hafiz selalu meningkatkan kualitas bacaan Al-Qur’an dan melakukan setoran tidak hanya karena kewajiban semata. Lebih dari itu mereka dapat meningkatkan konsentrasi dan semangat menghafal, dengan mengetahui makna ayat-ayat Al-Qur’an yang dihafalkan
Faktor-Faktor Yang Mempengaruhi Profit Distribution Management Bank Umum Syariah Di Indonesia Periode 2016-2020
Authors: Khairul Fahmi  , M. Wakhid Musthofa
Published: January 2024

Penelitian ini dilatarbelakangi oleh rendahnya pengelolaan distribusi keuntungan Bank Umum Syariah dibandingkan dengan tingkat suku bunga Bank Umum Syariah, yang mengakibatkan penurunan jumlah nasabah. Sejauh ini, masih terdapat kekosongan penelitian mengenai faktor-faktor yang mempengaruhi pengelolaan distribusi keuntungan. Penelitian ini mencoba menganalisis pengaruh dari variabel dana pihak ketiga (DPK) atau financing to deposit ratio (FDR), non performing financing (NPF), serta rasio biaya operasional terhadap pendapatan operasional (BOPO) terhadap profit distribution management di Bank Umum Syariah di Indonesia. Objek penelitian adalah laporan keuangan Bank Umum Syariah. Populasi penelitian terdiri dari 11 Bank Umum Syariah yang terdaftar di Bank Indonesia. Teknik pengumpulan data yang digunakan adalah dokumentasi dan studi pustaka. Penelitian ini menggunakan metode penelitian kausal komparatif dengan pendekatan kuantitatif. Analisis data dilakukan menggunakan analisis regresi linier berganda. Hasil penelitian menunjukkan bahwa DPK memiliki pengaruh negatif dan signifikan terhadap pengelolaan distribusi keuntungan, dengan nilai t hitung -0,068 dan signifikansi 0,000. FDR memiliki pengaruh positif dan signifikan terhadap pengelolaan distribusi keuntungan, dengan t hitung 3,221 dan signifikansi 0,002. BOPO tidak memiliki pengaruh terhadap pengelolaan distribusi keuntungan, dengan t hitung 0,078 dan signifikansi 0,938. NPF juga tidak memiliki pengaruh terhadap pengelolaan distribusi keuntungan, dengan t hitung -0,758 dan signifikansi 0,452.
Pembiayaan Murabahah Untuk Pembangunan Rumah BMTT Griya Sakinah Perspektif Maqashid Syariah
Authors: Saifullah Ulinnuha , Muh. Nashirudin
Published: January 2024

Akad murabahah adalah akad yang paling sering digunakan dalam pembiayaan. Namun, akad murabahah memiliki keterbatasan jangkauan objek. Karena itu, penggunaan akad murabahah harus memperhatikan keterbatasan tersebut. Artikel ini bertujuan untuk mengkaji pembiayaan murabahah pada produk pembiayaan BMTT Griya Sakinah di BMT Tumang, Boyolali. Artikel ini adalah penelitian kualitatif dengan sumber data dari lapangan. Hasil kajian menunjukkan bahwa penggunaan akad murabahah pada pembiayaan pembangunan rumah BMTT Griya Sakinah menimbulkan persoalan terkait objek akad. Namun, dari perspektif maqashid syariah dapat dibenarkan, sebab mengandung maslahat bagi penerima pembiayaan. Aspek-aspek maqashid syariah pada produk BMTT Griya Sakinah adalah bahwa produk pembiayaan tersebut merupakan usaha memenuhi kebutuhan daruriyat, penjagaan aktif terhadap dana simpanan masyarakat dan usaha untuk mengedarkan harta yang dapat menciptakan kesejahteraan bersama.
Tenocytes do not just lie in a vacuum: the role of lipids, glycemic metabolism and thyroid hormones in tendinopathy and tendon rupture. A narrative review
Authors: Via Alessio Giai , Discalzo Giuseppe , Pipino Gennaro , Oliva Francesco , Cuozzo Francesco , Marsilio Emanuela , Maffulli Nicola
Published: January 2024

Purpose: Tendinopathies and tendon ruptures are a common cause of pain and disabilities. The pathogenesis is considered multifactorial, and currently described as the failed healing response. Traditionally, tendon injuries have been mostly referred
to age, overuse or mechanical factors. Recently, some authors have focused their attention on the influence of metabolic diseases and hormones on tendon homeostasis, opening new perspectives. There are even more studies which show how systemic condition and pathologies are able to influence the proliferation of tenocytes, the synthesis of extracellular matrix proteins, and the organization and properties of the extra cellular matrix of the tendons.
Methods: In this article, we reviewed the current knowledge about the influence of lipids, glucose and thyroid hormones on the pathogenesis of tendinopathy.
Results: Beside the traditional extrinsic and mechanical risk factors, this article showed the importance of metabolism and hormones of tendon health, reinforcing the idea of their great influence on the pathogenesis of tendinopathy. Current literature indicates that hypercholesterolemia, obesity, diabetes mellitus and hypothyroidism are all risk factors for tendinopathies and tendon ruptures.
Conclusions: The precise role of each predisposing factor remains incompletely understood, and further epidemiology and laboratory studies should be performed to establish the strength of the association with tendon pathologies and their pathogenetic mechanism.
Keywords: inertial measurement unit; acceleration; max speed; metrics; team sports.
Relative age effect presence among swimmers within Youth Olympic Games
Authors: Cular Drazen , Granic Ivan , Babić Matej
Published: January 2024

Purpose: Swimming is one of the oldest activities known to man. In the context of sports performance, swimmers became a subject of admiration due to their superior technique and untouchable records. However, such a tendency toward the absolute results increases the danger of Relative Age effect (RAE) occurrence within swimming.
Methods: Therefore, the authors of this research aimed to enlighten the possible existence of RAE in swimming during the Youth Olympic Games (YOG) in 2018. Data were retrieved through the web source, and afterward analyzed through the Chisquare
test.
Results: Results revealed there is an unequal distribution of four generations within the same competition age (youth) category The great value of the Chi-square test (χ2= 289.869; P= .000) indicates the (enormous) magnitude of the effect occurring within the analyzed competition. The youngest 2003 generation was present at less than 10% (7.15%) while the oldest one (2000) represents almost half (42.55%) of the overall sample.
Conclusions: Managers of competitive sports events should pay attention to this issue because there is up to four years of difference between some competitors, and that system may include both pre-pubertal and post-pubertal competitors in the
same age category. Youth categories, especially cadets in early pubertal stages are being affected. The authors suggest that the separation of this youth category into more than one would be of much help for athletes and sports organizations to ensure more fair competition system.
Keywords: talent identification, youth Olympics, RAE, swimming, YOG.
How defense performance affects the outcome of matches in elite futsal
Authors: Sivric Hrvoje , Milic Mirjana , Radja Ante
Published: January 2024

Purpose: To identify and explain the connection between futsal players’ situational efficiency in the defense phase and game outcome.
Methods: 111 elite male futsal players (age 25.5 [4.7] y, start of training 16.9 [4.8] y, experience in playing competitively 5.2 [4.1] y from all 10 clubs of the 1st Croatian Minifootball Division took part in the research and were observed in all 45 games
in the first half of the 2020/2021 season. The participants sample is based on players who met the criteria of 600 seconds successive play. Therefore 90.24% of players were observed (11.1 [1.66] per club). With situational efficiency, the used pattern, defined as the game’s outcome, is the club’s competitive performance, goal difference. Predictor variables notated as performance indicators are defense phase variables: knocking the ball away, taking away the ball and intercepting the ball, all with regard to the outcome: successful/failed.
Results: The results show a significant correlation between futsal players’ situational efficiency in defense phase and the game outcome. The correlation between predictor variables and the criteria variable of club competitive performance, goal difference in this research is a significant 0.40 (P= .022). Of all things determining goal difference in every game, in this case with 6 predictor variables, is explained with 16%.
Conclusions: Performance indicators in the defense phase, whose manifestation leads to a positive result, are unsuccessful ball interception and a successful action of knocking the ball away. This helps to conclude that the preparation of players
with regards to efficient ball possession by reading the ball passing and intercepting the ball and temporarily stopping the opponent’s offense by knocking away the ball is of great importance because its quality can be connect to performance.

Keywords: Futsal, game efficiency, game strategy, performance; strategy game; team sport.
The Impact of Training Load on Running Gait Variability: A Pilot Study
Authors: Padulo Johnny , Manenti Giacomo , Esposito Fabio
Published: January 2024

Purpose: Running gait variability appears to be a new metric related to fatigue in long-distance runners. However, no study has verified the changes in gait variability over a longitudinal study involving well-experienced runners. Therefore, the aim of this study was to investigate the changes in gait variability in distance runner before and after a 9-week endurance training program.
Methods: A male runner (age 23 years; body mass 58 kg; stature 1.70 m, BMI 20 kg·m−2) completed two critical speed (CS) test and six trial at different speeds (calculated by CS) with 9-week of training in-between. At the same time heart rate (HR) was continuously recorded and normalized as a percentage of the maximal heart rate (220 - age) %HRmax, serving as a proxy for metabolic expenditure. Additionally, kinematic (contact time (CT), flight time (FT), step length (SL), step rate (SR)) and kinetic measurements (leg (kvert) and vertical (kleg) stiffness), were recorded. While the running gait variability was calculated as phase coordination index (PCI).
Results: CS and HR were 16.40/18.00 km·h-1 and 93.19±1.23/93.81±2.38 %HRmax in baseline and after the training, respectively. The kinematic and kinetic variables studied at different speeds (13.80-14.40-15.00-15.70-16.40-17.10 km·h-1) showed a significative training effect vs baseline conditions for CT (P= .010), FT (P= .010), SL (P= .002), SR (P= .002), kvert (P=.003), kleg (P= .0001). At the same way the metabolic demand and PCI changed significantly after the training compared to the baseline condition for average/maximum HR (P= .009 – 0.024, respectively) and PCI (P= .009).
Conclusions: These results suggest that gait variability is one mechanical determinant that demonstrates the adaptation of training load when neuromuscular output related to physiological efforts is under stress conditions, such as running training.
Therefore, PCI could be a useful tool for monitoring the impact of running training load on bilateral running coordination.
Keywords: human locomotion; footstep pattern coordination; running performance; endurance runners.