bluuebunny/crossref_metadata_2025 huggingface dataset:
STUDY OF PERFORMANCE OF CEILING SWIRL DIFFUSER PLACEMENT IN INDOOR ENVIRONMENT
Authors: Korde Paresh , Dwivedi Shailendra
Published: July 2022

An air diffuser while placing in an indoor office space has been the most important consideration for human thermal comfort.To obtain a maximum thermal comfort in an open indoor space the velocity of air and swirl produced by diffuser also has a huge impact.In this thesis we have worked to obtain a better temperature distributed in an indoor space as well as to get a better effect of swirl. We have observed the performance of placing a ceiling swirl diffuser by placing it on a diffuser angle of 9⁰,10⁰,11 in an indoor space. Swirl produce by diffuser depends on it angle and proper swirl mixing with air produce better temperature distribution inside the room to obtain thermal comfort so by this experimental work we just want to evaluate and analysis the proper flow of air by swirl diffuser to design more angle validated ceiling diffusers.
Penatalaksanaan Fisioterapi Dada dan Pemberian Rebusan Jahe Merah Dengan Masalah Keperawatan Ketidakefektifan Bersihan Jalan Nafas Pada Pasien Asma Bronkiale Di Desa Singodutan
Authors: Resti Oriza Tiarismi Qufita , Dermawan Deden
Published: July 2022

Asma adalah kondisi dimana saluran pernafasan mengalami penyempitan karena hiperaktivitas terhadap rangsangan tertentu dengan gejala yang dirasakan sesak nafas, batuk berdahak yang sulit dikeluarkan sehingga bersihan jalan nafas tidak efektif. Upaya yang dapat dilakukan untuk mengatasi masalah ketidakefektifan bersihan jalan nafas dengan fisioterapi dada dan pemberian rebusan jahe merah. Penelitian ini bertujuan mendeskripsikan fisioterapi dada dan pemberian rebusan jahe merah dengan masalah keperawatan ketidakefektifan bersihan jalan nafas pasien asma bronkiale. Jjenis penelitian adalah penelitian kualitatif dengan studi kasus pendekatan proses keperawatan. Teknik pengambilan subjek penelitian dengan non probality sampling pendekatan purposive sampling. Data pengkajian pada subjek diperoleh sesak nafas dan batuk berdahak yang sulit dikeluarkan, gelisah, cemas, dan sputum sulit dikeluarkan, irama nafas tidak teratur, kedalaman napas cepat dan dangkal, menggunakan otot bantu pernapasan, ekspansi dada tidak maksimal, terdengar suara pekak, terdapat penumpukan sekret pada bronkus kanan dan kiri, dan terdapat bunyi tambahan ronchi. Diagnosa keperawatan adalah ketidakefektifan bersihan jalan nafas. Rencana tindakan pemberian fisioterapi dada dan rebusan jahe merah. Implementasi keperawatan dengan pemberian fisioterapi dada dan rebusan jahe merah selama enam kali tindakan. Evaluasi ketiga subjek mengatakan sesak nafas berkurang dan sekret dapat dikeluarkan. Jumlah sekret sekitar 7 – 8 cc dan sekret berwarna putih bening, Pernafasan: 20 kali per menit. Fisioterapi dada dan pemberian rebusan jahe merah efektif untuk mengatasi masalah ketidakefektifan bersihan jalan  nafas.
Formulasi dan penentuan Nilai SPF Ekstrak Etanol Daun Kemangi (Ocimum sanctum L.) Sediaan Krim Tabir Surya
Authors: Endahsari Fahmi Nur , Endrawati Susi , Wahyuningsih Sri Saptuti
Published: July 2022

Daun kemangi (Ocimum santum L.) merupakan tanaman yang umum bagi masyarakat. Biasanya daun kemangi digunakan sebagai lalapan. Daun kemangi mengandung senyawa flavonoid dan tanin yang mempunyai potensi sebagai tabir surya. Penelitian ini bertujuan untuk mengetahui nilai SPF dan formulasi krim ekstrak etanol daun (kemangi sebagai tabir surya. Penelitian ini merupakan penelitian eksperimental dengan melakukan uji nilai SPF ekstrak etanol daun kemangi sebagai tabir surya dengan cara mengesktraksi daun kemangi dengan metode remaserasi dengan menggunakan etanol 96% dan diuji menggunakan  metode spektrofotometri UV-Vis. Uji sediaan meliputi : uji organoleptis, pengukuran pH, uji homogenitas krim, uji daya sebar, uji daya lekat, uji daya proteksi. Hasil uji evaluasi sediaan dihitung rata-rata dan dianalisis dengan uji ANOVA. Hasil penetapan nilai SPF ekstrak Etanol Daun Kemangi pada konsentrasi 800 ppm, 1000 ppm, 1200 ppm, 1400 ppm,  dan 1600 diperoleh nilai SPF  berturut-turut :  17,73 ± 0,90; 21,17 ± 0,06; 25,59 ± 0,35; 30,54 ± 0,22; 62,56 ± 0,15. ekstrak etanol daun kemangi dengan konsentrasi ekstrak 1600 ppm adalah 62,56 ± 0,15. Berdasarkan Food and Drug Administrastion  (FDA) nilai SPF tersebut termasuk kategori perlindungan tinggi karena memiliki nilai SPF diatas 30. Ekstrak etanol daun kemangi berpotensi sebagai tabir surya.
Analisa Kandungan Boraks Pada Makanan Menggunakan Indikator Kubis Ungu (Brassica Oleracea L)
Authors: Christina Odilia Dea , Supriyadi Movi Yoga
Published: July 2022

Spesies Brassica oleracea L dikenal sebagai kubis atau kol. Kubis ungu ini mempunyai warna yang khas yaitu warna ungu. Warna ungu tersebut disebabkan oleh adanya pigmen warna yaitu zat antosianin, dan zat inilah yang akan digunakan sebagai indikator boraks. Boraks sering kali disalah gunakan untuk dicampurkan ke dalam makanan dimaksudkan agar mendapatkan makanan yang gurih, kenyal, dan tahan lama, walaupun sebenarnya senyawa boraks berbahaya untuk dikonsumsi. Penelitian ini bertujuan untuk mengetahui apakah kubis ungu (Brasicca oleracea L) efektif digunakan sebagai identifikasi senyawa boraks. Ekstrak kubis ungu dapat digunakan sebagai uji kualitatif untuk mengidentifikasi senyawa boraks, dapat ditandai dengan berubahnya warna ungu menjadi warna hijau. Hasil uji warna stik sebagai indikator boraks pada perendaman 12 jam dan 16 jam. Hasil uji warna tisu sebagai indikator boraks pada perendaman.
Analisis Elemen Dukungan Orang Tua terhadap Anak SD Kelas 1-2 dalam Tingkat Kefokusan Menerima Pembelajaran Daring di SDN Pasiraman 03 Kabupaten Blitar
Authors: Ekasari Dily , Yunita Astri , Putri Khetrina Anisa
Published: July 2022

Dukungan orang tua dalam kefokusan anak adalah segala bentuk bantuan atau sokongan dari orang tua yang berupa dukungan emosional, instrumental, informasional dan penilaian atau penghargaan. Tujuan penelitian ini adalah untuk mengetahui hubungan elemen dukungan orang tua terhadap anak SD kelas 1-2 dalam tingkat kefokusan menerima pembelajaran daring di masa pandemi COVID-19. Metode penelitian yang digunakan adalah metode kuantitatif dengan pendekatan cross sectional. sampel diambil dengan tenik purposive sampling sebanyak 30 responden. Data dikumpulkan menggunakan kuesioner dan dianalisis dengan uji Pearson Product Moment. Hasil penelitian menunjukkan bahwa dukungan orang tua yaitu dukungan emosional dengan nilai p =0.013 dan r (0.446), dukungan instrumental dengan nilai p =(0.013) dan r (0.448), dukungan informasional dengan nilai p =0.031 dan r (0.394), dan dukungan penilaian atau penghargaan dengan nilai p =(0.012) dan r (0.453) terhadap anak SD kelas 1-2 sebagian besar dari responden mempunyai dukungan orang tua baik. Kesimpulan penelitian ini menunjukkan ada hubungan antara dukungan orang tua terhadap tingkat kefokusan anak selama pembelajaran daring. Dukungan orang tua di era pandemi COVID-19 sangatlah penting untuk dapat meningkatkan tingkat kefokusan anak dalam menerima pembelajaran daring.
"MARKETING STRATEGIES OF INDIAN TELECOM SERVICES IN TUMKUR, KARNATAKA, INDIA"
Authors: H N Charan , Devaru Dr. Susheela Devi B
Published: July 2022

The Indian telecommunication services is one of the fastest growing in the world and India is expected to become the 2nd larg est telecom market in the world by 2023 and has turned into the second biggest after China. Telecom Sector has remarkable growth in India because large proportion of population does not have wireless connections. Marketing strategies are important for development and profitability of organizations as there is fierce battle for subscriber service providers This paper analyses the marketing strategies of Indian Telecom. Services in Tumkur, Karnataka,India. The responses are collected using structured questionnaire and the collected data is presented in the form of graph, charts, tables and they are analyzed through statistical tools like Co-relation, Chi-square, and ANOVA. Most of the customers are expecting quality in service, majority of the respondents are experienced call drops or network loss so telecom services need to overcome from that problem and telecom service provider should maintain quality in service. This paper specifies that differentiate their offerings and build enduring relationships with their consumers, which improves customer loyalty, it enables the business to differentiate their customers.
PRODUCTION OF FUNGAL CELLULASE ENZYMES AND THEIR APPLICATIONS
Authors: Tandel TilakKumar , Patel Sweta
Published: July 2022

Cellulose is the most common organic polymer. The enzyme cellulase may break it into smaller sugar components, such as glucose subunits, which can be utilized to make ethanol, organic acids, and other compounds. Cellulases are a set of enzymes that have applications in various industries, including food, textiles, pharmaceutical, detergent, biofuels, and paper, making them the third-largest industrial enzyme utilized worldwide with rising demand. Cellulolytic fungi were first screened by exposing them to Carboxyl Methyl Cellulose agar (CMC), a selective media for cellulolytic bacteria. Further testing can be done on Czapek-Dox agar medium supplemented with 1% CMC. The cellulase production was significantly improved by optimizing many parameters such as pH, temperature, and substrate concentration.
The Non-Required by Law Measures by Deposit Guarantee Schemes to Protect Bank Accounts: The Case of Italian FITD
Authors: Celli Massimiliano
Published: July 2022

This article aims at giving a contribution to the issue of protecting bank accounts and deposits by national deposit guarantee schemes through financial assistance interventions of an optional and voluntary nature, instead of the reimbursement of only legally protected deposits in case of bankruptcy of the depository bank. Firstly, we investigate the EU framework for bank crisis resolutions. Specifically, we briefly analyze the EU rules on both prevention and resolution of banking crises pointing out the economic rationale behind the “bail-in” principle, and then identify the characteristics of the third “pillar” of the Banking Union, the EU Deposit Guarantee Schemes. Subsequently, we examine the operating procedures of the Italian Guarantee Scheme (FITD) focusing on the non-required by law interventions carried out by the latter to protect bank accounts and deposits and at the same time prevent or resolve the crises of Italian banks. Finally, some conclusions on the topic at stake will be drawn.
The Paradox of Technology Adoption: Exploring the Effect of Cyber Usage and its Effect on Dependence
Authors: Alduaij Manal Y.
Published: July 2022

This paper examines student’s cyber usage and its effect on dependence. Cybers technology relates to any computer enabled device and internet use where users communicate on various communication networks. Cyber Overall users throughout the world have highly relied on the Internet, it provides them many benefits, while at the same time dependent on cyber technologies and unable to regulate their use with negative impacts.

Method: The study is dependent on a quantitative method based on random distribution of a questionnaire. The study sample consisted of 438 participants, 196 males and 242 females. The study outcomes highlighted vital impacts of internet use on users. Evidence indicates users have high reliance on the internet, which affected their wellbeing. Results show cyber dependence was more evident with females than males, where males are more likely to engage in behaviors that have a direct impact on their wellbeing. In terms of college students’ perception in relation to their major of study and cyber activity. In terms of major, art students experienced higher cyber dependence than users in other majors. It also been evident that “arts” students spend more time using cyber technology than "tech" students. In addition, "arts" students admit that the cyber dependency is negatively impacting their wellbeing and causing them various health issues.

Conclusion: Cyber dependence has a negative impact on student’s health. Health Decision makers must address this issue and highlight to users the dangers of cyber dependence. Awareness campaigns are required to address this rapidly growing issue that has escalated recently.
Underperforming Teams in Organizational Transformations: Specific Hand-Holding Required
Authors: de Poll Jan van , Chen Li , Yong Yang , Miller Marissa
Published: July 2022

Organizational transformation refers to the actions where a company or business changes a major component of its organization, which in turn influences organizational performance. In the literature, there is an abundance of study on underperforming teams in organizational transformation. However, little is known on the parameters of an organizational transformation processes in those teams. In an earlier study, we divided teams performance-wise into Green (best), Amber (caution), and Red (worst) teams to signify different scale ratings. Herein, we compare what transformational parameters the red teams differed from the amber and green teams. We analyzed 3,133 teams in 454 different transformations. Our research findings show that the red team members seemed much less aware and informed about the transformation having unrealistic ambitions about improving their situation. After a management target had been set, the Red teams had (expectedly) more items to work on than Green and Amber. However, this extra work was focused on a much smaller group of team members. Finally, this study may help to focus management attention in an organizational transformation further.
Teaching Complex Sentences in ESL Reading: Structural Analysis
Authors: Cai Yufei , Yao Xiaoguang
Published: July 2022

Informed by the reading ability of English complex sentences, as well as the syntactic acquisition and cognition, this empirical study, based on a structural analysis approach, investigated 32 Chinese high school students in their ESL (English as Second Language) reading course. The results indicated that: (1) the differences between students’ pre- and post-test are significant; (2) structural analysis approach was found to have independent positive predictive effects on Chinese high school students’ syntactic proficiency. The findings can generate implications for TESL (Teaching English as Second Language) and provide insights to theoretical conceptualization of L2 (Second Language) reading.
Reviewer Acknowledgements for Journal of Sustainable Development, Vol. 15, No. 4
Authors: Sun Sherry
Published: July 2022

Reviewer Acknowledgements for Journal of Sustainable Development, Vol. 15, No. 4, 2022
ROLE OF LUNG ULTRASOUND DURING WEANING IN PATIENT WITH MITRAL REGURGITATION POST ANGIOPLASTY
Authors: Hassan Mujtaba , Ansari Muhammad Imran , Abubaker Jawed , Umair Madiha , Baloch Komal , Karim Musa , Salahuddin Nawal
Published: July 2022

Background: We hypothesize that a change in lung ultrasound score (LUS) can assist in the early diagnosis of weaning-induced respiratory failure (RF). The objective of this study was to determine the utility of LUS in weaning patients with mitral regurgitation (MR) from mechanical ventilation (MV). Methods: This prospective observational study included patients with acute coronary syndrome (ACS) who required invasive MV after angiography/angioplasty. Echocardiography was performed and MR was recorded. When the patient was considered ready for extubation, a spontaneous breathing trial (SBT) was performed and pre- and post-SBT LUS was calculated. Patients who successfully passed the SBT were extubated and followed up for 48 hours for the signs of RF and outcomes. Results: We enrolled 215 patients, out of which MR occurred in 51(23.7%) patients. On post-SBT lung ultrasound, patients with MR were more likely to have B2 lines compared to those without MR; 15.7% vs. 3.7%; p=0.002 and mean LUS was significantly higher for patients with MR as compared to patients without MR; 2.75±3.21 vs. 1.37± 2.02; p<0.001. Post-extubation RF and mean CCU stay were significantly higher in MR patients, 49.0% (25) vs. 32.3% (53); p=0.030 and 3.53±1.54 days vs. 2.41±1.1 days; p<0.001 respectively. However, re-intubation and coronary care unit (CCU) mortality rate were not significantly different between patients with and without MR; 7.8% (4/51) vs. 3.7% (6/164); p=0.215, and 5.9% (3/51) vs. 3% (5/164); p=0.35 respectively. Conclusions: Bedside LU is a convenient tool to detect changes in cardiopulmonary interactions during weaning for patients with MR post-ACS.
SURFACE MICROHARDNESS OF MICROHYBRID AND NANOCOMPOSITE AFTER STORAGE IN MOUTH WASHES
Authors: Manzoor Sadia , Arooj Zartashia , Waqas Mohammad Abi , Irshad Nadia , Saeed Asfia , Malik Aeeza , Sarfaraz Zenab , Shaukat Malik Saleem
Published: July 2022

Background: Dental composites are aesthetic direct restorative material. However, the effect of mouthwashes on the durability of the material is controversial. This study evaluated and compared the influence of mouthwash composition on the surface hardness of nanofilled (Z350XT) and microhybrid (P60) resin composites. Methods: Comparative in-vitro study was conducted over 6 months at Multan Medical & Dental College. Sixty-four disc-shape specimens of each {nanofilled (Z350XT) and microhybrid (P60)} resin composite were prepared and stored in distilled water at 37°C for 24 hours. The baseline microhardness reading (To) was recorded by Vickers micro-hardness tester. Samples were then randomly divided into four groups (n=16) and stored in Listerine Cool Mint, Colgate Plax, Clinica and distilled water (control). The hardness test was repeated after 12 hours and 24 hours of storage. Results: Nanocomposite (Z350XT) had statistically (p<0.01) higher surface hardness. A significant reduction (p≤0.05) in microhardness was observed after immersion of samples in mouthwashes. The reduction in surface hardness was dependent on the immersion time and composition of mouthwashes. Listerine Cool Mint (alcohol-based mouthwash) had greatest degradation effect. Conclusion: Mouth rinses negatively impacted the surface microhardness of the tested resin-based materials. Alcohol-based mouthwashes had greater potential for reducing microhardness. Microhybrid composite appears to be a more suitable material for restoring teeth in patients accustomed to using regular mouthwashes.
AN INNOVATIVE USE OF LARYNGEAL MASK AIRWAY IN PATIENTS UNDERGOING FOR NASAL SURGERY
Authors: Kumar Dileep
Published: July 2022

Emergence from general anaesthesia after nasal surgery offers several challenges, especially if there is presence of blood and secretion in pharynx. This may provoke bucking, coughing and laryngospasm. Some of these patients may require high concentration of oxygen through the anaesthesia mask, however, this may be difficult due to presence of nasal packs and/or splints (1). Various methods have been advocated to overcome emergence challenges in these patients for example patient involvement by recalling mouth breathing at the time of extubation, avoidance of nasal splints and packing and allowing deep endotracheal tube extubation (2). Nevertheless, post-operative minor respiratory insults leading to development of negative pressure pulmonary oedema are still reported in 8% surgical patients undergoing nasal surgery (3).   

Author suggest an alternative approach in patients who undergo nasal surgery for therapeutic and cosmetic indications. This approach will overcome issues associated with nasal obstruction, nasal packing and use of nasal splints. It also attenuates the sympathetic surge associated with extubation and other respiratory complications. Moreover, it prevents the mechanical pressure on nose and may favour better nasal surgical cosmetic outcome.

Author suggest the use of Laryngeal Mask Airway (LMA) at the end of nasal surgeries (septoplasty, rhinoplasty, functional endoscopic sinus surgery and repair of nasal laceration) as a face mask. Once the surgery ends, the effect of muscle relaxant is reversed while maintaining anaesthesia MAC at a deeper level (Isoflurane MAC 1.2 or Sevoflurane MAC 1.8 in 100% oxygen) and applying a 15-degree head down tilt. This is followed by the removal of throat pack and suctioning of oral cavity. Next step is to remove endotracheal tube from patient’s trachea followed by insertion of an appropriately sized oropharyngeal (Guedel) airway (Fig-Ia). Last step is to place an LMA over the patient’s lips and hold with both hands (Fig-Ib-Ic) to maintain an air tight seal. The patient breathes through the LMA and is allowed to wake up on the operating table. Positive pressure ventilation can also be applied if patient holds his breath or goes into laryngospasm without forcing any pressure over the nose. This approach avoids the direct mechanical pressure on operated nose. We have used this technique in our patients, and it was found useful approach.
THE ROLE OF IL-6 IN THE MANAGEMENT OF MEDICAL TREATMENT OF PATIENTS WITH COVID-19-ASSOCIATED ACUTE RESPIRATORY DISTRESS SYNDROME
Authors: Şimşek Meltem , Yıldırım Fatma , Tayşi Muhammed Rıdvan , Karaman Irem , Bağrıyanık Zübeyde Lale , Dura Halil Ibrahim
Published: July 2022

Background: Many cytokines propose to play a role in the pathogenesis of Severe Acute Respiratory Syndrome Coronavirus type 2 (SARS-CoV-2) associated COVID-19 disease. High interleukin-6 (IL-6) levels are associated with mortality and other poor clinical outcomes in COVID-19. Methods: In this retrospective study, the correlation of IL-6 level with clinical and other inflammatory parameters, its role in treatment change and its relationship with mortality in COVID-19 patients developing acute respiratory distress syndrome (ARDS) were investigated. Results: Totally 76 patients were included in the study; Thirty-four (44.7%) patients were female and 42 (55.3%) patients were male. All patients had IL-6 levels above the upper reference value (>5.9 pg/mL). Overall, 48 patients (63.1%) had a severe clinical presentation (tachypnoea, tachycardia, fever) that was clinically compatible with IL-6 values, and medical treatment was changed for COVID-19 in this group. A positive correlation was detected between IL-6 and CRP on the day of the change in treatment (p=0.035, r=0.76). There was no decrement observed in IL-6 level on the 3rd day in patients that was clinically thought to have cytokine storm and whose treatment was changed. Mortality was higher in the group whose treatment was changed. Conclusion: We believe that IL-6 level alone is insufficient to decide on a change in treatment, and correlation of IL-6 with the patient's clinical status is more significant in such decision.
PATTERN OF THE ORO-FACIAL INFECTIONS IN PATIENTS PRESENTING TO AYUB MEDICAL INSTITUTE, ABBOTTABAD.
Authors: Alamgir  , Rehman Abdur , Ambreen Khurshid Haider  , Haris Hameed  , Wajahat Hameed  , Babar Saeed
Published: July 2022

Background: Orofacial space infections are commonly odontogenic in origin and the anatomical locations along with mode of spread to critical areas (e.g., orbit, brain, mediastinum) can result in morbidly and mortality if not diagnosed and treated well in time. This study was aimed to analyzing the incidence and pattern of oro-facial infections. Methods: This Descriptive case series was carried out at Oral Surgery unit (Ayub Medical College) Abbottabad from January 2016 - May 2017. The sample was collected using purposive, consecutive non-probability sampling. The demographic data, infection site and clinical features were recorded. The data was analyzed by using SPSS version 21. All the descriptive variables were analyzed for percentages & frequencies. Results: Thirty-six patients were included in the study. The male (23) to female (13) ratio was (1.7:1). Right Submandibular space was most common site. In one case each, there was involvement of retropharyngeal and retromandibular space. Majority of the patients presented with swelling (88.89%). Diabetes mellitus was the most commonly found systemic disorder in the patients affecting aggressiveness of infection. Conclusion: The most common source of odontogenic facial space infections is mandibular molars resulting spread to submandibular space. Diabetes Mellitus was the most common systemic disorder affecting host immunity. The proximity of oro-facial spaces with the critical areas makes it crucial for clinicians to identify the condition promptly and provide pertinent treatment in order to avoid the fatal complications as the rate of spread of facial space infection is very rapid.
A WIDE-BASE POPULATION PYRAMID AND OTHER FACTORS EXPLAIN LOW MORTALITY IN PAKISTAN DURING COVID-19 PANDEMIC
Authors: Khan Farhan , Siddiqui Humayun
Published: July 2022

World is experiencing an unprecedented pandemic of COVID-19 for over a year.  This viral infection outbreak originated in December 2019 at Wuhan, China and within three months became a global pandemic. The outbreak has affected over 200 countries and territories of the world. Despite of having well-established health care system, countries such as China, Italy, Iran, Spain, France, Germany and USA have experienced a high death toll in this pandemic. Pakistan although being geographic neighbor of China and Iran, is somehow protected from the otherwise expected high case-fatality of COVID-19. This papers explains what factors have protected Pakistan from a high mortality in this pandemic.
COMPARISON OF HEPATITIS C ANTIBODY ASSAYS AND EVALUATION OF AGREEMENT BETWEEN HEPATITIS C ANTIGEN AND PCR RESULTS
Authors: Iqbal Sahar , Baig Samina , Naseem Saima , Naeem Syed Talha , Fatima Ambreen , Khan Saeed
Published: July 2022

Background: Hepatitis C is associated with a wide range of health repercussions. Pakistan is one of the highly prevalent countries of Hepatitis C Virus (HCV) infection. The availability of cost-effective, robust, and reliable screening and diagnostic tests for hepatitis C is important to address the disease burden. Standardization of screening and diagnostic assays in clinical laboratories is crucial for achieving big goals. Objectives of this study are to correlate the results of two different HCV antibody (HCV Ab) assays and to examine the correlation of HCV core antigen (HCV c Ag) results with HCV PCR for HCV infection diagnosis. Methods: This descriptive cross-sectional study was carried out from November to December 2020 at Dow University of Health Sciences. Total number of 40 HCV Ab samples were analysed by both chemiluminescence (CMIA) and electrochemiluminescence (ECLIA) immunoassays. Tests for HCV RNA PCR and HCV c Ag were performed on all samples. Results of screening and diagnostic assays were correlated and agreements were examined.  Statistical analysis for agreement was carried out by using R software version 3.6.3 through AC1 Gwetz Statistic. The study was approved by the institutional ethical review committee. Results: An agreement of 0.73 and 0.95 was found between two different HCV Ab immunoassays and HCV c Ag and HCV PCR, respectively. Conclusion: We found a good correlation between CMIA and ECLIA for HCV Ab.  An excellent correlation was found between HCV c Ag and HCV PCR. Based on our study findings, HCV c Ag is a candidate test for the diagnosis of active HCV infection.
EFFICACY OF CONSERVATIVE MANAGEMENT OF EARLY POST-TRAUMATIC CEREBROSPINAL FLUID RHINORRHEA
Authors: Shahbaz Ali Khan  , Bilal Ahmad  , Sajjad Muhammad , Mushtaq Ahmed  , Arshad Khan  , Adil Ahsan  , Attiya Nasir Siddique  , Abdul Aziz Khan
Published: July 2022

Background: The incidence of Post-traumatic Cerebrospinal Fluid Rhinorrhoea (PCSFR) has been decreased due to advanced therapeutic measures. The current investigative study has been arranged to assess the efficacy of conservative management of early PCSFR. Methods: This cross-sectional study was conducted at departmental of Neurosurgery, Ayub Medical Institute, Abbottabad. Patients with traumatic brain injury having Cerebrospinal fluid rhinorrhoea with either gender having age 5-50 year and presenting within seven days of traumatic brain injury were included. Moreover, those with nasal fractures, penetrating head injuries having fever and neck stiffness were also included in the study. Results: A total number of 120 patients having male dominancy, i.e., 86 (72%) were included in the study with the mean age of 27 years ± 8.741 in which 77 (92%) patients were in the age range of 2nd to 4th decades. The commonest cause was trauma due to Road Traffic Accidents (RTA) having 65 (54%) patients. Conservative treatment was effective in 62 (52%) patients predominantly in the patients of 3rd decade, i.e., 31 (50%), in which the effectiveness in male gender was revealed to be 52.32% (45) and effectiveness in RTA patients was recorded to be 54.83%. Similarly, the Chi-Square value was calculated for the PCSFR patients for four groups of patients (5-20, 21-30, 31-40, 41-50) to be 48.27 having critical value of 7.81 with the p-value of 1.87e-10, which completely rejects the Null-hypothesis for the patients of various ages. Conclusion: Based on the current investigative study, it may be concluded that PCSFR is common in middle age population with slight male dominancy. It may also be inferred that RTA is the leading cause of PCSFR in our set up and majority of the patients shows improvement after conservative management. Moreover, the effectiveness of conservative management of PCSFR could be predominantly observed in the patients of 3rd decade.
SHORT-TERM EFFICACY OF INTRAVITREAL PATIZRA® (RANIBIZUMAB) IN TREATMENT NAIVE PATIENTS- REAL WORLD EVIDENCE IN PAKISTAN
Authors: Malik Hajra Arshad , Sabih Rayyan , Khan Hina , Muhammad Umair  , Muhammad Asif  , Asrar Aamir , Asrar Maha
Published: July 2022

Background: Macular oedema is a final common pathway of a multitude of both ocular and systemic insults. This study was conducted to evaluate the short-term efficacy and safety of intraocular Ranibizumab in patients with macular oedema in a '˜real-world' setting in Pakistan. Methods: A prospective multicenter study conducted at Amanat Eye Hospitals in Islamabad and Rawalpindi from 1st August 2018 to 1st November 2019. Forty-four eyes of 34 patients with macular oedema were treated with monthly intravitreal Ranibizumab (Patizra®) injections for three consecutive months. Best-corrected visual acuity (BCVA), and optical coherence tomography (OCT) parameters including central retinal thickness (CRT) and macular volume were assessed prior to the injections and then 4 weeks post the final injection and compared. Results: BCVA improved from logMAR 0.61±0.40 at baseline to 0.27±0.35 four weeks after the third intravitreal injection. CRT decreased from 428.54±187.06Î¼m at baseline to 364.50±170.49 Î¼m. Macular volume showed a non-significant decrease from 9.97±3.19 mm3 at baseline to 9.22±2.68 mm3 four weeks after the third intravitreal injection. No systemic or ocular complications were observed during the course of the study. Conclusion: Treatment with intravitreal Patizra® injections was found safe and resulted in clinically and statistically significant improvement in visual acuity and the SD-OCT parameter of central retinal thickness in patients with macular edema secondary to various retinal pathologies. There was no significant decrease in the macular volume.
Study on Quality Control of Forensic Toxicology Identification
Authors: Shi Xiang-Dong , Zhang Hai-Qian , Ma Hai-Yun , Song Yan-Hui , Wang Hai-Li
Published: July 2022

Forensic toxicology evaluation is an important content of judicial appraisal, the appraisal result directly affects the quality and the accuracy of case detection and justice, but the current domestic forensic toxicology evaluation in terms of quality control, is still in use the old rules and regulations, and alcohol appraisal, despite its relatively mature and perfect system, but also there are some problems in terms of technology and institution. Alcohol judge professionalism is uneven, these reasons led to the forensic identification of quality control, the low efficiency of poison, for this reason, this paper proposes perfecting the forensic identification of alcohol quality control specification, enhance the level of forensic alcohol identification technology and strengthening construction personnel appraisal of the three ways to improve the level of the quality control of forensic toxicology evaluation, We should give full play to the practical role of forensic toxicology identification and promote the construction of socialist rule of law.
Research on 5E Teaching Mode Based on BL Theory
Authors: Wang Xiao , Yin Ya-lin
Published: July 2022

The rapid development of Internet and mobile technology makes education show new characteristics, and provides an effective way for the intelligent reform of classroom teaching in Colleges and universities. Based on BL theory, this study starts from analyzing the concepts of BL theory and 5E teaching mode, explores the framework and ideas of 5E smart classroom teaching mode based on BL theory, and takes the application of College English classroom teaching as an example, designs a specific implementation plan of teaching activities. The research conclusion is that under the 5E smart classroom teaching mode based on BL theory, students' autonomous learning ability, scientific inquiry ability and communication and cooperation ability can be significantly improved.
A Review of the Last Two Decades of Research on Deep Learning From the Perspective of Education in China
Authors: Guo Jing-shu
Published: July 2022

In recent years, deep learning has gradually become a hot topic in the field of education. This paper summarizes the research on deep learning in education in the past two decades. The relevant academic journals and dissertations published at home and abroad are statistically analyzed. The annual distribution of literature, literature sources, and research hotspots are interpreted in turn, with a view to summarizing the current status of research on deep learning in China, identifying problems and making a conclusion.
MUDANÇA DE PARADIGMA DA REGRA DO OCTETO: PROPOSTA DA “REGRA DO NOVO OLHAR” SOBRE AS LIGAÇÕES QUÍMICAS
Authors: Paralovo José Luiz , Martins Renata Luz , Alves Andrea Aparecida Ribeiro
Published: July 2022

Este trabalho aborda um assunto de grande importância na vida acadêmica, as Ligações Químicas Interatômicas (L.Q.I.). Com base nos preceitos de Kuhn, que fala sobre a quebra de paradigmas, quando esta não mais satisfaz os problemas ou situações, pautou-se nas inúmeras exceções da Regra do Octeto e então propôs-se a “Regra do Novo Olhar”. Essa perspectiva propõe a observância dos subníveis “p”. Para atingirem a estabilidade energética, os átomos necessitam completarem seus subníveis “p” em seus últimos níveis de energia, ou seus subníveis “s”, quando apresentarem apenas um nível de energia. Aplicou-se em uma turma a “Regra do Novo Olhar” e obtiveram-se bons resultados no que tange a compreensão e a execução de novos exemplos de ligações químicas. Assim, este novo olhar deu aos estudantes melhor mobilidade para entendimento e execução das L.Q.I. Esta proposta é o início de uma mudança mais profunda que se faz necessária para se atingir um aprendizado mais eficaz e compreensivo das L.Q.I.
ZICUNATI, XIKUNAHITY, JIKONAHATI: O JOGO HALITI-PARESI NA CULTURA CONTEMPORÂNEA
Authors: Martins Elias , Rodrigues Francisco Xavier Freire
Published: July 2022

Este artigo aborda parte de uma pesquisa em andamento no Programa de Pós-Graduação Stricto Senso em Estudos de Cultura Contemporânea da Universidade Federal de Mato Grosso. Busca-se identificar os elementos culturais do Jikonahati praticado pelos Haliti-Paresi no jogo cultural da sociedade contemporânea. O Jikonahati enquanto um jogo desportivo não fora secularizado pelas referencias esportiva contemporâneo. Essa pesquisa de cunho qualitativa descritiva envolve várias etapas, a saber: aproximação e contato com as lideranças do grupo étnico indígena Haliti-Paresi, revisão de literatura histórica sobre os Haliti-Paresi, estudos de teorias críticas, sociais e culturais, metodológicas e preparação de um protocolo de pesquisa etnográfica conforme normas e pareceres da Comissão Nacional de Ética em Pesquisas. Neste artigo, apresentamos alguns caminhos percorridos até o momento e o estado da arte sobre o Jikonahati e algumas informações históricas sobre os indígenas Haliti-Paresi.
Pengaruh Bauran Pemasaran Terhadap Kepuasan Pembeli Rumah Di Cluster Fruitville
Authors: Amzul Teuku Alexander Azwani
Published: July 2022

Penelitian ini bertujuan untuk mengetahui pengaruh product, price, place dan promotion secara simultan maupun parsial terhadap kepuasan konsumen dalam pembelian rumah di Cluster Fruitville, Kabupaten Bekasi. Penelitian ini menggunakan metode analisis Uji Validitas, Uji Reliabilitas, Uji Asumsi Klasik, Uji Heterokedatisitas, Uji Normalitas, Analisis Regresi Liner Sederhana, Analisis Koefisien Korelasi, Analisis Koefisien Determinasi, Hasil Uji Hipotesis (Uji t) dengan bantuan program SPSS. Berdasarkan hasil pengujian menunjukkan bahwa variabel bauran pemasaran berpengaruh terhadap kepuasan konsumen , hal ini dapat dilihat dari hasil uji regresi liner sederhana yaitu Y = 13,183 + 0,665X artinya bahwa bauran pemasaran adalah 0, maka kepuasan konsumen  hanya sebesar 13,183. Apabila terjadi kenaikan dalam bauran pemasaran sebesar 1 satuan (X=1), olah karena itu akan mempengaruhi peningkatan kinerja (Y) sebesar 0,665. Berdasarkan dari nilai koefisien korelasi r = 0,671 dapat diketahui bawah hubungan variabel bauran pemasaran (X) terhadap kepuasan konsumen  (Y) pada Cluster Fruitville Kabupaten Bekasi adalah kuat, dikatakan kuat dikarenakan pada tabel interpretasi koefisien korelasi nilai r (0,671) berada pada taraf 0,60 - 0,799. Distribusi dari bauran pemasaran terhadap kepuasan konsumen  pada Cluster Fruitville Kabupaten Bekasi sebesar 45% (hasil dari perhitungan koefisien determinasi) dan sebesar 55% dipengaruhi oleh variabel lain yang tidak dijelaskan dalam penelitian ini. Dan dari hasil uji t dimana hasil thitung > ttabel (6,267 >  2,011), maka Ho ditolak dan Ha diterima, disimpulkan maka terdapat pengaruh bauran pemasaran terhadap kepuasan konsumen  pada  Cluster Fruitville Kabupaten Bekasi.
Pemanfaatan Sistem Informasi dalam Pemesanan serta Digitalisasi Tiket Bus Berbasis Website
Authors: Batubara Ismail Hanif , Raihan Elza Ahmad , Tanjung Muhammad Iqbal , Fadlurohman Dimas , Can Alvita
Published: July 2022

Dalam dunia bisinis , umumnya pengguna serta pemilik dari perusahaan memerlukan suatu hal yang inovatif untuk membantu menunjang kinerja serta mempermudah penggunaan ataupun pencarian tentang data sebuah produk. Hadirnya internet berbasis website ini akan mempermudah seluruh kalangan untuk dapat mengakses segala bentuk informasi termasuk memanfaatkan media tersebut untuk dapat menghubungkan hubungan antara pelanngan serta produik perusahaan tersebut yaitu salah satunya pemesenan tiket bus. Berdasarkan berbagai kemudahan dan kegunaanya yang dimilki oleh internet tersebut maka dikembangkan sebuah “Pemanfataan Sistem Informasi dalam Pemesenan serta Digitalisasi Tiekt Bus Berbasis Website”. System ini dibuat dengan perangkat lunak PHP, MySQL dan Bootstrap. Sistem Informasi ini dirancang agar dapat memberikan kemudahan dalam hal pelayanan pemesanan tiket dan memperoleh informasi lain yang dibutuhkan oleh pelanggan
Penerapan Telenursing dalam meningkatkan pelayanan keperawatan pada pasien Homecare dengan Stroke: Literatur review
Authors: Idha Nurfallah
Published: July 2022

Pendahuluan: Telenursing merupakan salah satu jenis pelayanan keperawatan homecare sebagai dampak dari perkembangan teknologi kesehatan. Stroke adalah kondisi yang terjadi ketika pasokan darah ke otak terganggu akibat penyumbatan (stroke iskemik) atau pecahnya pembuluh darah (stroke hemoragik), Kondisi ini menyebabkan bagian tubuh yang dikendalikan oleh area otak yang rusak, tidak dapat berfungsi dengan baik. Pada kondisi New Normal  ini masih banyak kekhawatiran akan terpaparnya covid, jarak jauh dengan Fasilitas Kesehatan serta kesulitan membawa saat konsultasi ke Rumah Sakit, sehingga banyak pasien stroke yang tidak terkontrol dan terjadinya readmisi perawatan. Penelitan ini bertujuan untuk mengidentifikasi keefektifan penerapan telenursing dalam peningkatan pelayanan keperawatan homecare pada pasien Stroke.

Metode: Penelitian ini dilakukan secara kajian literature pencarian database dari google scholar ada 899 artikel,  proquest ada 197 artikel , scopus ada  4 artikel, setelah melalui seleksi didapatkan  9 artikel  yang sesuai dengan judul. Hasil: Telenursing dapat digunakan pada pasien stroke yang memerlukan perawatan yang lama (Homecare) serta dengan gangguan degeneratif. Pelayanan telenursing untuk monitoring, konsultasi, edukasi, dan pengkajian. Perawat, pasien dan keluarga dapat berinteraksi, berkonsultasi dengan nyaman meskipun secara jarak jauh dan dapat mengurangi pembiayaan. Kesimpulan: Telenursing efektif dalam peningkatan pelayanan keperawatan homecare pada pasien stroke. Klien dapat menghemat biaya dan waktu perjalanan ke pelayanan kesehatan.
Supervision Effectiveness DPS Deep Sharia Governance and Guarantee in Sharia Banking in Indonesia
Authors: Azhar M. Elfi , Fela Yudha Syuhada , Sugianto  , Muda Iskandar
Published: July 2022

Islamic banking, an indicator of the development of the Islamic economy in Indonesia, where if the Indonesian people are asked about the Islamic economy, then the first thing to highlight is Islamic banking. Currently, the increase in Islamic financial institutions such as Islamic banks has increased significantly. Banuak people who are currently starting to believe in sharia mining lemabags, even so Islamic banks must continue to supervise products in Islamic banks. In the development of Islamic financial institutions, it is certainly inseparable from the Sharia Supervisory Board, which is one of the characteristics compared to conventional banks. Sayriah financial institutions have DPS in governance, where this DPS has a function to supervise the application of sharia principles in each product, besides that DPS must also supervise sharia guarantees, both from the guarantee mechanism to the execution of guarantee collection carried out by Islamic financial institutions.
Aging in India: From Family to Institutional Care
Authors: C. Menezes Deborah
Published: July 2022

This paper has two parts—the first reviews literature on institutional care in the world, in India, and in Goa; the second presents a case study of care homes in Goa. The study was carried out in three phases: scoping study for first two months, following which we applied participant observation for a month each in three homes, the three months following that, we conducted in-depth interviews on a sample of 24 residents, 12 employees and managerial staff distributed across the three homes. The review highlights transitions in the Indian socioeconomic, cultural and value systems which espouse the need for quality institutional care for the elderly. The case study explores the decision-making dynamics of admission into a care home as well as the process of moving into a care home.
Internet Addiction and Psychosocial Factors: An Empirical Perspective
Authors: Sharma Manoj Kumar , Thamilselvan P.  , Vishwakarma Akash
Published: July 2022

Addiction can come in various forms, and its current definition has been expanded. Investigators converge on the understanding that internet addiction involves ‘problematic computer usage’, consumes ‘excessive time’ and brings out distress or impairs functioning in various areas of life. The addictive use of internet has a wide range of adverse consequences affecting many domains of the individual’s life. This paper reviews these with evidence from literature as well as trends observed in the clinical setup.
An Interdisciplinary Perspective for Health Psychology: Bridging Gaps and Transcending Boundaries
Authors: Misra Girishwar
Published: July 2022

The concept of health and well-being provides it such broad scope that it is difficult to confine it to narrow disciplinary boundaries. The complexity of the concept of health and its existential reality, demand an interdisciplinary orientation that attempts at ‘integration’ in order to provide a coherent understanding of holistic health. Though the discipline of Psychology has magnificent contribution in the wide range of health-related domains, it may not be an exaggeration to state that it has had a western inscription to a large extent. The psychological perspective on health requires focusing on the cultural nuances of the contemporary world. It has been proved by research in the field of cross-cultural, cultural psychology and anthropology that many assumptions of western psychology do not hold true in many parts of the world. Contrarily, the Indian perspective offers an explanation throwing light on theideal state of human functioning that constitutes health and well-being as a state of a peaceful, interactions between the body, mind and spirit.
Love Attitude, Friendship Dimensions as Correlates of Health and Adjustment
Authors: Mohini  , Hooda Deepti , Sharma Nov Rattan
Published: July 2022

The link between social relationships (parental, romantic, friendships, acquaintances) and one’s psychological well-being has been investigated deeply in the area of adult psychological adjustment. With respect to this, there has been an increasing emphasis on adolescents and their interpersonal relationships lately. Adolescence, a developmental phase characterized by broadening social networks and changing interpersonal requirements, is a domain of research in which theintricacies of interpersonal attachments is becoming common. It is important to better understand these interpersonal intricacies to contribute to the evolution of attachment theory. Two important aspects of interpersonal relationship during adolescent stage are love and friendship, which may affect overall psychological wellbeing. As adolescents make the transition into young adulthood; love and friendshipattitudes are especially important sources of support and even at times, act as a buffer from stress. The paper aimed to examine the love attitude and friendship dimensions of adolescents in relation to their health andadjustment. Datawas collectedfrom 300 school going adolescents, attending classes 11thand 12th;boys (n=150) and girls (n= 150) in the age group of 16-18 years from Rohtak district of Haryana, India. The results highlighted the significant role of love attitude and different dimensions of friendship in shaping the health & adjustment of school going adolescents.
Evolution of the Construct of Resilience: Challenges in Measurement
Authors: Rajendran Aarthi
Published: July 2022

Resilience as a concept was understood as ‘not being vulnerable to life adversities’ or ‘performance amidst disadvantages. Resilience as a construct had undergone changes with different waves of research. From being defined as an innate ‘trait’ to being recognised as a multifactorial functional process, the construct has undergone mutation. The outcome of being the subject of research for more than four decades now, the characteristics of resilience can be crystallised to being dynamic, multidimensional, multifactorial, and multilevel. This posed a challenge to arriving at a holistic measurement of the construct. This article attempts to chronicle the efforts at measuring the construct and identifying the gaps in the existing resilience tools. The article in conclusion, highlightsthe Synergy Model of Resilience in evolving a holistic approach to measure resilience.It also describes the Resilience Test Battery (REST Battery) that successfully tested the Synergy model by measuring resilience as a multidimensional construct.