bluuebunny/crossref_metadata_2025 huggingface dataset:
The prevalence of empiric antibiotic use in an emergency department on children with suspected urinary tract infections: A retrospective study in Saudi Arabia
Authors: Alharbi Ahmed Mohammed Awad , Almutairi Saud Abdulaziz , Alanazi Turki Maeid , Alanazi Abdulkarim Farhan
Published: January 2023

Objectives: The prescription of antibiotics for suspected urinary tract infection (UTI) is common practice and may result in unnecessary antibiotic exposure. Our goal was to review the diagnosis and management of UTI in an emergency department and to determine the goals of antimicrobial stewardship. Methods: This is a single-centre, retrospective study that was conducted among children aged between 12 months and 18 years old who had been discharged from the emergency department with a diagnosis of UTI in the period between January and August 2022. Clinical information, laboratory findings, urine collection methods and urine culture results as well as details of prescribed antibiotics were gathered. The relation between urinalysis characteristics and confirmed UTI was assessed as a secondary outcome of the study. Results: In this study, we were able to collect data for 183 children with a mean age of 4.2 (1.1-7.5) years and 82.5% of them were girls. Almost all children with UTI were discharged to home with prescribed antibiotics (98%) for a median duration of seven days ranging between 7-10 days. Among those who used antibiotics, 46.4% of the patients had negative urine cultures, resulting in 525 unnecessary antibiotic prescriptions. Presence of nitrite in the urine was the strongest and highly specific predictor of UTI (odds ratio of 20.22, P< 0.001). Conclusions: Current practice in the management of suspected pediatric urinary tract infections in the selected emergency department resulted in significant and unnecessary exposure to antibiotics. We set goals to reduce unnecessary antibiotic exposure, including improving the accuracy of UTI diagnosis, establishing a process to discontinue antibiotic consumption for negative cultures, and standardizing the duration of antimicrobials. Keywords: urinary tract infections, pediatrics, children, antimicrobial monitoring, urinalysis, antibiotics, empiric use, E. coli, nitrite, urine culture.
Bleeding associated with new oral anticoagulants: a retrospective study
Authors: Alharb Zeyad G , Balahmar Eman A. , Allihybi Sultan M , Katib Anas T. , Alkishan Kalil M. , Bahati Ammar M. , Babakkor Mohammed
Published: January 2023

Background: Stroke and systemic embolic occurrences have been significantly reduced by novel oral anticoagulants, though theoretically a side effect of this anticoagulant treatment is hemorrhagic stroke. Objectives: to determine bleeding associated with new oral anticoagulants in King Abdullah Medical City (KAMC), Makkah, Saudi Arabia. Methods: A retrospective study was done at King Abdullah Medical City (KAMC), Makkah, Saudi Arabia on patients who used NOAC between January 2013 to June 2019. Data about patients’ demographics, comorbidities, clinical data, NOAC used and subsequent bleeding complications, and antiplatelets use, were collected. Results: This study found that atrial fibrillation (AF) was the most common reason NOACs like Edoxaban and Rivaroxaban were administered. About 71% of patients received antiplatelet therapy, with aspirin and stains being the most popular options. 1.2% of the patients with GIT bleeding, 1.2% with UGIB, and 2.4% with LGIB experienced cerebral haemorrhage following NOAC treatment. However, patients who experienced GIT haemorrhage after taking a NOAC were much more likely to have a history of UGIB or LCIB and to have taken Edoxaban as a NOAC. Conclusion: To demonstrate the safety, efficacy, and effectiveness of NOACs, future multi-center studies with a larger sample size should be conducted. Keywords: bleeding, associated, NOACs, retrospective, KAMC
Awareness and Features of PCOS in Students of AlMaarefa University 2019 – 2020
Authors: AlFadeel Mona A. , AlRabeeah Norah , Mirza Husna , AlOtaibi Wesal , Alhudaib Mayar , AlDossary Amjad , Sharifa Naseem Abu , Alwan Maryam
Published: January 2023

Background: PCOS affects all women of reproductive age, especially adolescents. In KSA, the estimated prevalence of PCOS is 53.7%. The feasibility of conducting such a study justifies the need for providing an opportunity for early detection and prevention of morbidities among adolescents. Objective: The aim of this study is to identify the awareness and features of PCOS in students of AlMaarefa University, Riyadh. Methods: It is an observational descriptive cross-sectional study design of 216 female students based on a questionnaire consisting of 3 sections: demographic data, knowledge and quality of lifestyle. All data was cleaned, coded, and entered using SSPS. Result: It was found that 64% of PCOS cases had positive family history compared to 32% of non- PCOS students and 11% of those who were not tested for PCOS. (p-value: 0.000). Regarding overweight students, most of them are not tested students 11%, coming after 8% with PCOS and 2% with non-PCOS. It was found that 21% of medical students have excellent knowledge of PCOS symptoms compared with 6.5% of other specialties. Conclusion: Students with a positive family history are more likely to get PCOS. Excellent level of knowledge regarding PCOS was highly associated with the medical field of the students. Keywords: PCOS, Awareness, features, students, AlMaarefa University
Driving and using mobile phone among medical students at Al-Majmaah University
Authors: Madani Khalid E. , Alabdulqade Sami S. , Almutairi Mohammad M , Alghyyamah Ahmed M. , Alsubaie Abdulaziz M. , Alfaleh Abdulrahman Y. , Al-Duraywish Abdulmajeed K.
Published: January 2023

Introduction: Driving accidents in Saudi Arabia are very common and the main reason is that it’s the most common transport method in the KSA. Little research has been conducted on the issue. The purpose of our research is to assess the attitude of medical students in our university, while driving. Students use their mobile phone more because of the increased number of applications on smart phones. Methodology: The study design is a across sectional study, based in the medical department in Majmaah university. The sample size comprised 218 students, and data were collected by pre tested questionnaire and analyzed by SPSS. Results: Students who use a mobile phone while driving were 87%. Most of the students use their mobile phone while others are in the car (59.5%). Conclusion: We have observed that 87% of the students said that they use a mobile phone while driving and the majority of those who had negative impacts (74.7%), are still using their mobile phone (81.6%). Keywords: Driving, Mobile, Medical, Students, Al-Majmaah, Saudi
The prevalence of hypertension and diabetes mellitus during the COVID-19 pandemic era: A systematic review
Authors: Banh Abdualziz Ghazi Ahmad , Alotaibi Muqrin Safar , AlHammadi Khalid Saad J , Alosaimi Salman Hejab Faraj , Alosaimi Mohammed Swed M , Altukhays Ibrahim Abdulrahman , Alshalawi Barrak Abdullah Barrak , Elshoubary Amal Atef Abdelfattah
Published: January 2023

Background: The impact of on blood pressure (BP) and incidence of diabetes mellitus has not yet been elucidated. Therefore, the present study aimed to systematically discuss the prevalence of DM and hypertension in the published studies during the COVID-19 pandemic between 2019 and 2022 and compare these results with results reported in previous studies. Methodology: This was a comprehensive electronic systematic review that was time and language restricted. The search was conducted depending on different databases including PubMed, Google Scholar, Web of Science, and Cochrane library, for all studies published in the period between 2019 and 2022. Keywords used included COVID-19 OR SARS-CoV-2 OR Coronavirus OR “Corona virus” OR COVID, AND hypertension OR diabetes mellitus OR prevalence OR metabolic disorders AND cardiovascular conditions. The period of the study was chosen based on the fact that COVID-19 started in the beginning of 2019. Results: The primary search results of the current analysis ended in 875 hits which were reduced to 360 studies after removal of the duplicated studies. From those 360 studies, further evaluation for inclusion and exclusion criteria was conducted ending in 346 excluded studies. The reasons for exclusion included because of title and abstract (216 studies), being not relevant to the subject of the study (86 studies), being replies to authors (17 studies), books (2 topics), and being other reviews (26 studies). Finally , we included 13 studies in the qualitative synthesis of the current review. Conclusion: There was no significant increase in the prevalence of diabetes mellitus and hypertension among the general public in different regions of the world during the period of the COVID-19 pandemic compared with previous studies. Keywords: COVID-19, hypertension, diabetes mellitus
Quality of life among otolaryngology and head and neck surgery residents in Saudi Arabia: A cross-sectional study
Authors: Alhumaidi Almutairi Abdullah , Alhajlah Abdullah A, , Aljurfi Muhamad M, , Alkharashi Abdullah A , Alqahtani Faisal A , Alkhatabi Reema A , Alqahtani Norah Y , Hajr Eman A , Alotaibi Fahad Z
Published: January 2023

Introduction: The surgical residency training programs have the nature of long work hours and a stressful environment that might lead to disturbances in the quality of life of the residents. Surgical residents’ performance might be affected by the poor quality of life. This study aimed to assess the quality of life of otolaryngology and head and neck surgery residents, in Saudi Arabia. Subjects and methods This is a cross-sectional study conducted among otolaryngology and head and neck surgery residents in Saudi Arabia. A self-administered questionnaire was distributed among the targeted residents. The questionnaire is primarily composed of the socio-demographic data and the work-related quality of life (WRQoL) questionnaire. The WRQoL was composed of 6 domains as General Well-Being (GWB), Home-Work Interface (HWI), Job and Career Satisfaction (JCS), Control at Work (CAW), Working Conditions Satisfaction (WCS ), and Stress at Work (SAW). Results: The overall work-related quality of life was good among 43.6% of the residents. Among its domains, WCS showed better results with a 55.3% high level while SAW was the least (25.5%). Older age group (30 years) were observed to have a significantly higher mean score in JCS (p=0.040), CAW (p=0.002) and WRQoL (p=0.027). Smoking residents showed a higher mean score in JCS (p=0.023) and HWI (p=0.001). It is interesting to note that increasing residency levels were more associated with increasing CAW scores (p=0.003). Conclusion: The work-related quality of life among otolaryngology, head and neck surgical residents was adequate. Older residents demonstrated a better quality of life than younger residents. ACGME competencies: Medical knowledge, Patient care, Interpersonal skills communication. Keywords: Quality of life, WRQoL, otolaryngology, head and neck surgery, residents
Factors influencing high school students’ decision in applying to Medical School
Authors: bin Abdulrahman Khalid , Almutairi Abdullah A. , Alrumaih Ibrahim A. , Alqahtani Khalid F. , Alkharashi Abdullah A. , Alsaadi Yazeed M.
Published: January 2023

Background: Many factors influence high school students’ future profession choices, which differ by culture and other variables such as the students’ background, social differences, and financial status, all of which culminate in a student pursuing their higher education in a single field. As a result, the factors that influenced that choice must be addressed in order to achieve better outcomes for both the educational programs and the health system. Methods: A cross-sectional study was conducted in Riyadh city among high school students. Sociodemographic characteristics, preferred study specialties, GPA, and performances were obtained using a self-administered questionnaire. Results: The age of the students was between 16-19 years old. Most selected specialties were medicine, followed by engineering, information technology and Nursing, however, Pharmacy was in the least selected specialty. Findings showed that the top perceived barrier was the high aptitude score required for entry into medicine (23.3%); another group of the students (23.1%) indicated that the English Language competency test/skills were the second obstacle. Offering health care and motivation were the most important factor for the majority of students. The majority had remarkably agreed or strongly agreed to the humanitarian context about studying medicine (90.4%). Conclusion: A higher percentage of high school students choose to attend medical school, with the primary obstacles to admission being the high aptitude score required for admission, followed by English language competency examinations. Finally, there is a considerable disparity between genders when it comes to medical school preferences and reasons. Keywords: Medicine, medical student, Saudi Arabia, healthcare, medical schools
Knowledge and attitude of Princess Nourah University Students Towards Sun Protection
Authors: Albukhari Faten , Alzahrani Nouf , Alamri Raghad M. , Abokhesheim Wejdan T. , Alqahtani Munira S. , Alasiry Abeer A. , Zaini Renad , Alsubki Raghad E.
Published: January 2023

Background: Hyperpigmentation, early skin wrinkling, skin cancer, and many other serious skin problems are caused by the sun’s harmful UV rays. Yet, there are many preventive ways that allow us to enjoy the sun and even take benefits from it without causing any harm to the skin. One very effective and useful way is through applying sunscreen with adequate Sun Protection Factor (SPF) and good coverage. However, the Saudi community lacks education on the importance of applying sunscreen or how to effectively use sunscreens and what could be prevented with its usage. Objectives: This study aims to estimate PNU student’s awareness and knowledge of sun safety, to compare between healthy and non-healthy students in regards to knowledge and practice, to assess the protective behaviors toward sun exposure among PNU students, and to provide the public with information regarding safe sun protection. Methods: This cross-sectional study was conducted among 900 PNU students using convenient sampling. The study was conducted between November 2019 and March 2020. Data was collected by a paper-based questionnaire of 46 questions and all statistical analysis was done by SPSS software. Results: A notable difference was observed among students of health colleges, vs students from non-health colleges. 71.7 % of poor knowledge was correlated with non-health students and 28.3% was associated with health students. However, both groups showed no significant differences when it came to sunscreen use and practice. Conclusion: Sunscreen usage and utilization were substantially low among PNU students. Despite the high knowledge level that health students represented, this did not affect their sunblock application. Awareness of the importance of sun protection was low among PNU students. Keywords: Awareness; Knowledge; Sun safety; Attitudes; Practices; Sunscreen; Sunblock.
Smallholder Maize Farmers Need Better Storage for Food Security: An Exploratory Study over the Storage Types Used in Uganda
Authors: Tibaingana Anthony , Makombe Godswill , Kele Tumo
Published: January 2023

Storage is a crucial link in the food supply chain. It helps to even-out fluctuations in food demand and supply. This ensures food availability during the lean periods. Despite the immense contribution of storage, a knowledge gap exists on the storage types used by smallholder maize farmers, how they are acquired, used, and their cost in Uganda. Storage affects the social and economic well-being of smallholder maize farmers. In this study, smallholder maize farmers in three districts of eastern Uganda (Iganga, Manafwa, and Katakwi) were interviewed during the maize storage season of 2014/2015. The aim was to: describe the different storage types; find out how they were acquired and used; the length of storage and the cost. The findings show that sacks were the most used storage type. Storage types were acquired through purchase; however, some were constructed by the smallholder maize farmers. Affordability and accessibility determined the storage type used. Some storage types were not used across all the districts; for example, the granary was used in two out of the three sampled districts. Thus, the findings show that maize storage is a challenge. We recommend that maize storage facilities should be improved with affordable to the farmers.
Systemic Treatment in Glioblastoma
Authors: Ángeles Vaz María , Del Barco Berrón Sonia , Luque Raquel , Villamayor María , Manuel Sepúlveda Sánchez Juan , Vieito María
Published: January 2023

Glioblastoma is the most common primary brain tumor and the initial treatment with maximal safe resection is not curative. In order to improve the prognosis, surgery is completed with radiotherapy and temozolomide, an oral chemotherapy, but overall survival remains poor. Therefore, new efforts are needed to improve these results. In fact, different systemic treatments have been tested but, nevertheless, few advances have been reached despite the development of large clinical trials. This chapter will review the most important findings, achievements, and main studies in this pathology. Standard of care in newly diagnosed and recurrent glioblastoma will be reassessed with the results of clinical trials with targeted agents and immunotherapy. Ongoing studies are evaluating advanced treatments, with chimeric antigen receptor T-cells, biospecific T-cell antibodies, tumor vaccines, and oncolytic viruses, although results are pending, a wide review of these new-generation agents is important to better understand the advances in glioblastoma in the coming years.
OCD of the Knee in Adolescents
Authors: Semenov Andrey , Vybornov Dmitriy , Tarasov Nikolaj , Krestyashin Vladimir , Isaev Ivan , Koroteev Vladimir
Published: January 2023

Osteochondritis dissecans (OCD) of the knee is a pathological condition of subchondral bone resembling focal osteolysis with subsequent bone resorption, which may lead to osteochondral fragment separation. Several etiological concepts reported for OCD development. The multifactorial theory is commonly adopted for days. Different investigators report OCD lesion healing while using conservative treatment or even “waitful watching” with a healing rate of up to 67%. In spite of these results, there are not any commonly adopted guidelines for conservative treatment. The last stage of OCD is a separation of osteochondral fragment leaving a full-thickness osteochondral defect, which is usually filled with low-quality fibrocartilaginous tissue. This tissue provides a lesser extent of resistance to peak loading forces, which poses at risk subchondral bone for further destruction and early osteoarthritis development. Appropriate treatment method should be chosen for each OCD stage in order to prevent early osteoarthritis development, increase return-to-sport rate, and decrease healing time for OCD lesions. This chapter provides short but comprehensive to date knowledge about OCD on the knee of adolescents and young adults.
Study on Pyrolysis Behaviors of Various Plant Fibers
Authors: Zhang Ke , Zheng Quanxing , Guo Zhongya , Fu Lili , Zhang Qi , Wang Bing
Published: January 2023

Pyrolysis is an effective way to convert plant fibers into high-value-added chemicals and bioenergy. The pyrolysis behavior of plant fibers varies with their compositions. A high-performance anion-exchange chromatography integrated pulse amperometric method was established to detect the composition of arabinose, galactose, glucose, xylose, and mannose in plant fiber hydrolysate. The contents of cellulose, hemicellulose, and lignin in six plant fibers were calculated. Furthermore, the pyrolysis kinetic parameters of the plant fibers and their pyrolysis product distribution depending on chemical compositions were analyzed. The pyrolysis of flax fiber with high cellulose content (92.19%) tended to generate ketones, accounting for about 37.3% of the total product distribution, while coniferous and broadleaf fiber with high hemicellulose contents (13.23 and 15.07%, respectively) was more likely to generate aldehydes and hydrocarbons. Furthermore, the result of pyrolysis of a grass fiber demonstrated the interactions between its chemical components, which had been captured during pyrolysis from the perspective of pyrolysis product distribution that inhibits the pyrolysis to generate CO2, and promoted the generation of furan, phenols, and toluene, to different degrees. The research results are expected to provide basic data and theoretical support for obtaining high-value-added chemicals and biomass energy through the pyrolysis of plant fibers.
The Relationship between Learner Autonomy and Language Learning Strategies among English for Medical Purposes (EMP) Students in Turkey
Authors: Chetin Hatice Kubra , Mede Enisa
Published: January 2023

The purpose of this research was to find out the level of learner autonomy, the use of language learning strategies and examine the relationship between them in the English for Medical Purposes (EMP) program in Turkey. The study also aimed to shed light on EMP learners’ and their instructors’ perceptions regarding ESP instruction. In this mixed-method study, the data were collected from two questionnaires applied to gather information on the level of learner autonomy, and the frequency of the use of learning strategies; a placement test administered at the very beginning of the semester, and semi-structured interviews conducted with the participating learners and their instructors. The findings revealed that the students were moderately autonomous. Social and metacognitive learning strategies were most frequently used by the participants. Additionally, there was a varied relationship between learner autonomy and the use of learning strategies. However, no significant correlation was found in their proficiency level. Finally, both EMP students and their instructors shared positive perceptions of ESP instruction.
Reading "Moral Constructivism" from Mulla Sadra's Philosophy
Authors: Shaminezhad Manouchehr
Published: January 2023

Moral constructivism is a metaethical view of the nature of truth and moral truths and characteristics. From the constructivist point of view, morality is subjective and dependent on human beliefs. In the view of constructivists, moral truths exist, but the existence of these truths arises from human existence and depends on human attitudes and conventions. In their view, moral values are not the product of discovery but the product of creation. By Analysis of Mulla Sadra's intellectual foundations, from his philosophy, the theory of constructivist ethics can be deduced. In Mulla Sadra's view, the human soul is moving towards evolution based on the substantial motion Due to the physical coming-into-being in the world, and in the hereafter, this motion is due to the movement of ardent desire. The human soul is the creator of forms, and at every moment it is placed in a rank of the existential world, and in proportion to that rank, moral possessions are issued from it in gradation. The present article aims to provide an ethical constructivist reading of Mulla Sadra's philosophy by interpreting the important foundations of Mulla Sadra's philosophy.
Braveman Koroghlu and Translation of Epic as a Factor of Cross-lingual and Cross-cultural Transfers
Authors: Isaxanli Hamlet
Published: January 2023

Koroghlu Dastani (The Epic of Koroghlu), common heroic epic of the Turkic peoples, was firstly recorded and then translated into English by Alexander Chodźko in 1834. It became popular in Europe and during short time translated into different languages, such as French, German and Russian. Romantic Koroghlu character inspired writers, such as George Sand and Henry Longfellow. Koroghlu Dastani travelled through the languages and cultures, and following the USA after Europe, Longfellow wrote the poem named The Leap of Roushan Beg based on the motives of Koroghlu Dastani. Two American composers wrote music (ballads) to this poem. Firstly, this poem of Longfellow, then in modern time Koroghlu Dastani itself published by Chodźko in English were translated back into Azerbaijani language. This article put under close scrutiny the Koroghlu Dastani, studying thoroughly how this epic turned to be the source of inspiration in Europe and North America for writers and composers; and triggered translation activities into English, French, Russian, and Azerbaijani languages and further considers its contribution to cultural transfers.
The Impact of an Experiential Social Medicine Curriculum in an Emergency Medicine Residency Training Program: Mixed-methods Curricular Evaluation
Authors: Vongsachang Hurnan , Schneberk Todd , Sprunt Laura , Padilla Gabe , Riddell Jeff
Published: January 2023

n/a
Bir Vakıf Üniversitesi Örneğinde Zirgüle (Zengüle) Makamının Uyku Kalitesi Üzerine Etkisi
Authors: Doğan Kadirhan , Tuğyan Ayhan Deniz , Uçak Hatice
Published: January 2023

Amaç: Bu çalışma bir vakıf üniversitesinde çalışan bireylerin uyku kalitelerini saptamak ve Zirgüle (Zengüle) makamının uyku kalitesine etkisini araştırmak amacıyla yapıldı.
Gereç ve Yöntemler: Araştırmaya dahil edilen 33 katılımcı Pittsburgh Uyku Kalite İndeksi (PUKİ) toplam puanlarına göre ilk olarak iki gruba ayrıldı. PUKİ puanı 0-5 olanlar Grup 1 (kontrol grubu), 6-21 olanlar Grup 2 (müzik grubu) olarak belirlendi. Daha sonra Grup 2 randomize olarak Grup 2A ve Grup 2B olmak üzere ikiye ayrıldı. Grup 2A’da yer alan katılımcılardan Zirgüle (Zengüle) makamındaki eseri, Grup 2B’de yer alan katılımcılardan kendi diledikleri bir müzik türünü haftada 7 gün boyunca her akşam uyumadan önce en az 5 dakika dinlemesi istendi. Kontrol grubunda yer alan katılımcılardan herhangi bir müzik dinlemesi istenmedi. 8. günde tüm gruplara yeniden PUKİ uygulandı, elde edilen önceki ve sonraki veriler karşılaştırıldı.
Bulgular: Grup 1’in uygulama önceki PUKİ puanı 3,00±0,89, sonraki puanı 4,27±3,40; Grup 2A’nın önceki puanı 7,36±1,96, sonraki puanı 6,09±2,38; Grup 2B’nin önceki puanı 9,45±3,22, sonraki puanı 8,09±3,11 olarak bulundu. Grup 2B’nin önceki ve sonraki puanlarında istatistiksel olarak anlamlı değişme tespit edilirken (p=0,006), Grup 2A (p=0,051) ve Grup 1’in (p=0,176) puanlarında istatistiksel olarak anlamlı değişme tespit edilmedi.
Sonuç: Uyumadan önce dinlenen müziğin uyku kalitesini arttırdığı, Zirgüle (Zengüle) makamının herhangi bir müzik türüne göre uyku kalitesini daha fazla arttırıcı etkisinin olmadığı sonucuna varıldı.
Penyuluhan perawatan personal hygiene terhadap kejadian diaper rush pada bayi
Authors: Dewi Ratna Sari , Ningsih Dovi Dwi Mardiyah
Published: January 2023

Salah satu penyakit kulit yang kerap menimpa kulit bayi adalah diaper rush. Disebut ruam popok karena, gangguan kulit ini timbul di daerah yang tertutup popok. Tujuan dari penelitian ini adalah Untuk mengetahui Pengaruh Perawatan Personal Hygiene terhadap Kejadian Diaper Rush pada bayi di Desa Wonosalam Kecamatan Wonosalam Kabupaten Jombang. Metode yang digunakan pada pengabdian masyarakat ini adalah dengan melakukan penyuluhan pada ibu yang memiliki bayi usia 0 – 12 Bulan dilakukan 2 kali pertemuan yaitu pertemuan pertama memberikan penyuluhan perawatan personal hygiene dan pertemuan berikutnya yaitu tentang evaluasi dari penyuluhan. perawatan personal hygiene di laksanakan secara berkesinambungan serta dilanjutkan secara mandiri oleh ibu dirumah. Sehingga tidak ada kejadian diaper rush pada bayi. Hasil yang di dapatkan setelah dilakukan perawatan peronal hygiene hampir setengah responden memiliki perawatan baik sebanyak 12 (40,0%), hampir setengah responden memiliki perawatan cukup sebanyak 13 (43,3%) dan sebagian kecil memiliki perawatan kurang sebanyak 5 (16,7%). Untuk menguji pengaruh 2 variabel digunakan uji chi square didapatkan nilai signifikasi p value =  0,000 < 0,05 sehingga H1 diterima. Kesimpulan ada Pengaruh Perawatan Personal Hygiene terhadap Kejadian Diaper  Rush pada bayi.
KUALITAS ORGANOLEPTIS KULIT CRUST DENGAN PENAMBAHAN NABATI PADA PROSES PASCA TANNING KULIT KAMBING UPPER GLAZE
Authors: Anggriyani Emiliana , Rachmawati Laili
Published: January 2023

Penelitian ini bertujuan untuk mendeskripsikan kualitas kulit crust kambing pada artikel upper. Bahan baku yang digunakan dalam penelitian yaitu kulit wetblue kambing 5 lembar. Bahan kimia yang digunakan diantaranya air, Asam formiat, surfactant (Peramit MLN), Neutrigan (Tanigan PAK), Natrium formiat, Natrium bikarbonat, Resin akrilik (Drasil AMP), Resin melamin (Retingan MLF), Resin diciandiamid (Tsyntan RT12), Penetrating agent (Coralon OT), Tara (Sodatan TVT), Sulfited fish oil (Derminol SPE), Phenolic syntan (Tsyntan TO), Mimosa, Chesnut, Levelling agent (Dermagen GPA), Acid dyestuff, Syntetic oil (Glycermax 52N), Lecitin oil (Sedaflor LC 13), Lanolin oil (Provol 100), Emulsifier (Pellan GLH), Resin kationik (Sincal DRA), Anti jamur (Preventol Cr). Penggunaan bahan retanning 3% Tara, 8% mimosa dan 3% chesnut sebagai dasar pengamatan kualitas organoleptis. Proses pasca tanning dilakukan mulai dari netralisasi, retanning, dyeing, fixing sampai proses mekanik. Hasil yang diperoleh dilakukan uji organoleptis terhadap kerataan warna, kepadatan dan kelentingan kulit. Hasil uji menunjukkan kulit crust kambing upper memiliki kepadatan dan kelentingan yang sesuai dengan peruntukan upper, sedangkan kerataan warna kurang sesuai. Kesimpulan yang diperoleh yakni proses pasca tanning dengan penambahan bahan nabati mampu menghasilkan kulit sesuai dengan artikel yang dituju (upper) dengan memperhatikan bahan kimia yang digunakan.
Peningkatan Kualitas Kulit Biawak Air Asia (Varanus salvator) Wet Blue melalui Proses Pasca Penyamakan
Authors: Laili Rachmawati  , Nais Pinta Adetya  , Fadzkurisma Robbika
Published: January 2023

Intisari

Salah satu jenis kulit reptil yang banyak diperdagangkan di Indonesia adalah kulit Biawak Air Asia (Varanus salvator). Biawak jenis ini memiliki ukuran tubuh yang besar, sehingga berpotensi dimanfaatkan kulitnya untuk dijadikan sebagai bahan baku produk kulit samak. Perdagangan kulit masih didominasi oleh kulit wet blue, yaitu kulit setengah jadi yang belum diproses lebih lanjut dan cenderung berpotensi untuk mengalamai kerusakan. Proses pasca penyamakan merupakan proses yang dibutuhkan untuk meningkatkan kualitas kulit wet blue biawak menjadi kulit yang siap digunakan sebagai bahan baku pembuatan produk. Tahapan utama proses pasca tanning kulit biawak wet blue jenis Air Asia (Varanus salvator) menjadi kulit biawak crust untuk bahan baku dompet adalah netralisasi, retanning, dyeing dan fatliquoring. Hasil penelitian menunjukkan terjadi peningkatan ukuran lebar kulit sebesar 9,79%, kenaikan % cacat kulit sebesar  5,15%, peningkatan daya terima terhadap pegangan kulit dari angka 2,19 menjadi 7,77 serta peningkatan daya terima terhadap warna kulit dari angka 4,13 menjadi 7,61. Disimpulkan bahwa proses pasca penyamakan mampu merubah kulit biawak wet blue menjadi kulit crust sehingga dapat dimanfaatkan sebagai bahan baku pembuatan produk.
ANALISIS CACAT HASIL JAHITAN PADA PRODUKSI	SARUNG TANGAN GOLF MENGGUNAKAN PETA KENDALI P
Authors: Jamila  , Wawan Budi Setyawan  , Ramadhanti Estik Rahayu
Published: January 2023

Salah satu metode yang dapat digunakan untuk melakukan pengendalian kualitas produk adalah peta kendali. Peta kendali adalah metode statistik untuk melihat apakah cacat yang terjadi masih terkendali atau di luar kendali (out of control). Salah satu proses dalam produksi sarung tangan adalah proses perakitan (proses menjahit semua komponen sarung tangan). Pada hasil proses stitching produksi sarung tangan di PT XYZ masih ditemukan beberapa produk cacat. Penelitian ini bertujuan untuk melihat apakah cacat yang terjadi tersebut terkendali atau di luar kendali dengan menggunakan peta kendali P (p-chart) serta memberikan usulan perbaikan. Peta kendali P digunakan untuk banyaknya kesalahan dalam satu unit produk baik untuk jumlah sampel tetap maupun bervariasi/tidak tetap. Berdasarkan dari jumlah sampel yang diamati dan hasil Pareto chart untuk cacat yang paling dominan pada hasil jahitan adalah cacat jahitan meleset (11%) dan jahitan miring (16%). Selanjutnya pada kedua cacat tersebut dilakukan analisis menggunakan peta kendali p dengan hasil yaitu cacat meleset masih terkendali (semua titik cacat berada di bawah batas kendali atas/Upper Control Limit (UCL)) sedangkan untuk cacat jahitan miring ditemukan 1 titik cacat di luar kendali sehingga perlu dilakukan perbaikan. Faktor penyebab jahitan miring dikarenakan teknik menjahit yang kurang tepat dan tidak ada gambar pada Standard Operating Procedure (SOP) proses aradachi. Usulan dalam upaya untuk meminimalisir cacat yang terjadi pada proses stitching yaitu perbaikan teknik proses jahit dan melengkapi SOP proses aradachi.
PENGGUNAAN MESIN CROCKMETER UNTUK UJI GOSOK PADA KULIT PERKAMEN
Authors: Muhammad Ikhwan
Published: January 2023

One of the small industries that survives and needs to be developed is the shadow puppet industry. The shadow puppet industry uses parchment skin as the main raw material. As a laboratory institution, the author tested the quality of parchment skin dye paint for shadow puppet using a crockmeter machine. The test is carried out by adding an auxiliary material in the form of ethylene glycol to the dye paint which is expected to improve the quality of the rubbing resistance of the dye paint on the shadow puppets. In this test the author uses parchment skin from sun-dried buffalo skin with a transparent color and an even thickness of the skin and a large cross-sectional area so that no part is wasted. Furthermore, the parchment skin surface was sanded before staining. This sanding aims to level the parchment skin surface and remove the remaining collagen, protein and fat. The test was carried out using 3 samples. Sample I used coloring materials (mowilex paint, foxputih glue, water and finishing using mowilex clear). Sample II uses coloring materials (mowilex paint, white fox glue, water, Ethylen Glycol and finishing using mowilex clear). Sample III uses dyes (mowilex paint, white fox glue, water, Ethylen Glycol, finishing using mowilex clear and the addition of a clearing process using a sunlight wetting agent. From the experiments and tests carried out, better results were obtained for the use of Ethylen Glycol in the coloring and also the clearing process to improve the color quality of the wayang kulit products produced.
IDENTIFIKASI KELAYAKAN KARET BAN DENGAN MODEL CNN RESNET-50
Authors: Latifah Listyalina
Published: January 2023

In this study, the authors designed an algorithm based on a convolutional neural network that is capable of automatically classifying tire rubber eligibility according to the appearance of the tire on the tire image. The proposed algorithm will be built through several stages as follows. In the first stage, tire image acquisition will be carried out which will be the input of the designed algorithm. Furthermore, the acquired image will be divided into two sets, namely training and testing sets. The training set contains tire images that will be used at the training stage of several convolutional neural network architectures to be able to and classify them to the appropriate level of feasibility. The training phase will be carried out in a number of epohs, and at each epoh, the cross entropy loss function value will be calculated which expresses the performance of the convolutional neural network architecture in classifying tire images.

In this study, the author has designed an algorithm based on deep learning that is capable of automatically classifying tire eligibility. The proposed algorithm has been built through several stages such as tire image acquisition, training of several CNN models, especially ResNet-50. The CNN architecture test is trained to classify tire images from the test set. In addition, the accuracy value has also been calculated which shows the percentage of the number of tire images that are successfully classified correctly to the total number of tire images in the test set, which is an accuracy of 88.31%.
ANALISIS PENGARUH TEMPERATUR MOLD DAN TEMPERATUR MELT TERHADAP FILL TIME DAN QUALITY PREDICTION PRODUK PLASTIK DALAM PROSES INJECTION MOLDING MENGGUNAKAN SOFTWARE AUTODESK MOLDFLOW ADVISER
Authors: Midarto Dwi Wibowo  , Kusumawati Wahyuningsih
Published: January 2023

This  study  aims  to determine the effect of mold temperature and melt temperature on fill time and quality prediction of tablespoon products. This product is made of plastic with Polystyrene (PS) product material and is produced by the injection molding method. This research was conducted using Autodesk Moldflow Advisor software. From the results of this study, it is known that the best parameter setting among the twelve data obtained is at a mold temperature of 55°C and melt temperature of 220°C with a fill time of 0.2169 s and a high quality prediction of 13.80%, a medium value of 86, 20%, and a low value of 0.00%, because the quality of the resulting product is better and the production time is smaller. So that it can make the production process more effective and efficient
ISOLASI DAN IDENTIFIKASI STAPHYLOCOCCUS AUREUS DARI LUKA KULIT SAPI PERAH SECARA IN VITRO
Authors: Naimah Putri  , Eka Legya Frannita  , Mochammad Charis Hidayatullah
Published: January 2023

The skin is the largest organ of the body that can be infection. One of the causes of infections is microorganisms. The presence of Staphylococcus aureus on the skin of dairy cattle can affect the quality of leather. This research was conducted to isolate and identify S. aureus from the skin of injured dairy cattle. The sample was taken from a dairy farm in Surabaya. Isolation of S. aureus was carried out using NA and MSA selective media, while characterization was carried out using gram staining, catalase test, and coagulase test. The research results showed that samples isolated from wounds on the skin of dairy contained S. aureus. Gram staining test showed gram positive bacteria with coccus morphology and clustered arrangement. The catalase test was positive with the formation of H2O and O2. Catalase test was indicated by the formation of coagulation or clots in the blood plasma. These results indicated that the skin with contains S. aureus bacteria which can cause infection so that it can affect the quality of the skin to be tanned.
PEMANFAATAN ENDAPAN LIMBAH CAIR (ELC) INDUSTRI KULIT UNTUK PUPUK TANAMAN CABAI
Authors: Sofwan Siddiq Abdullah
Published: January 2023

The purpose of this study was to utilize solid waste from wastewater treatment sludge for red chili fertilizer by finding the proportion/ratio of solid waste components with soil to obtain the most optimal composition. The materials used are solid waste sediment leather tannery, soil, chili seedlings, pesticides, and water. The tools used are plant pots (pots made of clay with a diameter of ± 25 cm and a height of ± 20 cm). The method used was planting red chili seeds on 6 types of planting media, namely control pots, 1,2,3,4,5 pot which were sequentially controlled (without solid waste), and the ratio of solid waste: soil with a ratio of 1:2, 1: 3, 1:4, 1:5, 1:6. The results of the data obtained were analyzed using a T test and completely random design. furthermore, duncan test was conducted to determine the best dose (ratio) for chili plants if previously (in the unidirectional variance test) there was a ratio effect. The results obtained were pots 1, 2, 4 had a higher plant height than the control. Pots 1,2,3,4 had more leaves than the control. The conclusion that can be obtained is that the solid waste sediment on chili planting media affects height increase, number of chili leaves, and quantitatively not all of them have a significant effect. Giving solid waste sediments with a ratio of 1: 3 showed the fastest increase in height and number of leaves.
PENGARUH KECEPATAN INJEKSI, TEKANAN INJEKSI DAN POSISI MOLD PADA PRODUKSI KURSI SANTAI BERBAHAN DASAR POLYPROPYLENE (PP)
Authors: Wisnu Pambudi  , Muhamad Choirul Mahfudin
Published: January 2023

Injection molding is making products made from plastic materials through melted plastic and then injected into a mold or mold. The plastic lounge chair is made of polypropylene (PP) by injection molding. In the injection molding process, there are parameters of injection speed, pressure, and molding position. This study aims to determine the effect of injection speed, pressure, and mold position. Injection speed, injection pressure, and improper mold position can produce a lounge chair with short-shot defects. Short-shot defects cannot be repaired but must be recycled by chopping them up to be reused as additional material for producing plastic products; this will increase operational costs. Efforts to reduce short shots can be done by changing the speed parameter settings, injection pressure, and mold position. Plastic lounge chairs, according to standards, were obtained by inverted mold position and injection speed settings in zones 1, 2, 3, 4, and 5 of 70, 60, 50, 45, and 30 in mm/s units. The injection pressures are 95, 85, 75, 65, and 55 bar.
KOMBINASI ENZIMATIS DAN KIMIAWI UNTUK MEMINIMALISIR PENGGUNAAN Na2S PADA PROSES UNHAIRING
Authors: Luthfia Zahrotul Jannah  , Mustafidah Udkhiyati  , Winata Wahyu Fajar
Published: January 2023

This research focuses on reducing waste to achieve clean technology by applying a combination of enzymatic and chemicals during the unhairing process. The method applied is to reduce the use of Na2S and NaHS by 0.3% from 2.7% Na2S to 2.4%, 1,5% NaHS to 1.2%, and add a protease enzyme, namely centrobate 1000 LVU by 0.25%. The result based on the trial showed that the addition of an enzyme of 0.25% could remove the hair perfectly and reduce the level of swelling. Moreover, it can produce pickled skin with the same quality. The resulting production waste experienced a significant decrease in COD by 18%, while the BOD was less effective at 1.4%.
Bullous Tinea: Single-Center Retrospective Histopathologic Review of 25 Skin Biopsies
Authors: Drolshagen Helena , Zoumberos Nicholas , Shalin Sara
Published: January 2023

Context.—

Bullous dermatophytosis is a rare blistering disorder resulting from fungal infection. Limited literature describes the clinical and microscopic features of this disease.

Objective.—

To summarize the histopathologic and clinical features of 25 biopsy-proven cases of bullous tinea.

Design.—

The study was a single-center retrospective review of patients diagnosed with bullous dermatophyte infection by skin biopsy.

Results.—

Bullous tinea is rarely suspected clinically in biopsy-proven cases, often mimicking other spongiotic disorders that can vesiculate. In addition to classically taught histopathologic clues, several unique characteristics were observed in our population. The presence of dermal neutrophils as the nonpredominant cell type (85%; n = 17 of 20) can serve as an additional clue to diagnosis. Deep inflammation (25%; n = 5 of 20) does not exclude a superficial diagnosis. The classically taught sandwich sign (32%; n = 8 of 25) may be less relevant in the setting of bullous tinea. Hyphae were most commonly seen within the stratum corneum adjacent to this blister rather than within the blister itself, and special staining was required in a substantial number of cases (40%; n = 10 of 25) to reach the correct diagnosis.

Conclusions.—

Bullous tinea is unusual but should be considered in the differential diagnosis of blistering skin disorders. Hematoxylin and eosin–stained slides frequently lack obvious fungal hyphae; for this reason, periodic acid–Schiff reaction or Gomori/Grocott methenamine silver stains should be routinely considered for biopsies showing intraepidermal and/or subepidermal blister formation and prominent neutrophil infiltration to prevent misdiagnosis.
Radiologia forense: o caso da disciplina que foi transformada em RPG
Authors: Nascimento Sergio Ricardo Rios
Published: January 2023

O poder do conto e de histórias como meios para compartilhar conhecimento é conhecido desde o início da civilização, mas e se você puder fazer parte dessa história, decidindo e alterando o seu rumo? Este é o universo proporcionado por uma prática de jogo conhecida como Role-Playing Game-RPG -, em que você é umpersonagem numa história e, dependendo do seu progresso, pode decidir os rumos que essa história tomará. Ao aplicarmos esta técnica na educação, as possibilidades são infinitas, permitindo ao aluno tornar-se um agente da lei, participando ativamente de investigações e desvendando os mistérios de uma série de crimes interligados, utilizando conhecimentos adquiridos dentro e fora da sala de aula. Assim, por meio deste artigo busca-se relatar o caso de uma unidade curricular de Radiologia Forense, que foi ministrada no formato RPG. Os alunos foram orientados a criar quatro agências de investigação, que foram sediadas em cada um dos distritos de uma ilhafictícia, e eram convocadas a desvendar mistérios e crimes ocorridos na ilha. Ao final da disciplina, os alunos responderam a um questionário de satisfação e 80% aprovaram o formato utilizado, relatando que o jogo incentivou a discussão da disciplina dentro e fora da sala de aula. O método possui ampla aplicabilidade, mas requer um planejamento cuidadoso e, ao mesmo tempo, flexível, pois a direção da história depende do desenvolvimento e das decisões dos próprios jogadores.
Postmarketing assessment of a switchable similar anastrozole product in Brazilian breast cancer patients
Authors: Cardoso Manuela Vasquez , Obadia Renata , Silva Luna , Pentagna Priscila , Linden Rafael , Fernandes Vanessa Câmara , de Melo Andreia Cristina , Suarez-Kurtz Guilherme
Published: January 2023

Several formulations of the aromatase inhibitor anastrozole are available in Brazil. We carried out a postmarketing surveillance of the anastrozole (test) formulation in current use at the Brazilian National Cancer Institute (INCA), by comparing anastrozole through plasma concentrations obtained with the test versus the reference formulation. Thirty-three postmenopausal breast cancer patients participated in an open label, bracketed protocol, comprising 3 successive phases of 8-10 days each. The test formulation was used in phases 1 and 3 and the reference formulation in phase 2. Blood samples were collected in the last 2 days of each phase for LC-MS/MS quantification of anastrozole concentration in plasma. Through anastrozole concentrations ranged between 17.4-86.9ng/ml across the three phases, with median (interquartile ranges) values of 43.7 (37.2-52.7), 41.3 (30.9-50.7) and 43.3 (33.9-55.8) ng/ml in phases 1, 2 and 3, respectively. ANOVA detected no statistically significant difference in anastrozole plasma concentrations across the three phases, consistent with switchability between the reference and test formulations. The genetic component (rGC) of through anastrozole plasma concentrations, estimated using the repeated drug administration procedure across the three phases, was 0.94, suggesting an important component of genetic variability in anastrozole pharmacokinetics.
Portal cavernography during endoscopic retrograde cholangiopancreatography: from bilhemia to hemobilia
Authors: Yared Rawad A. , Gkolfakis Paraskevas , Lemmers Arnaud , Huberty Vincent , Degrez Thierry , Devière Jacques , Blero Daniel
Published: January 2023

Portobiliary fistulas are rare but may lead to life-threatening complications. Biliary plastic stent-induced portobiliary fistulas during endoscopic retrograde cholangiopancreatography have been described. Herein, we present a case of portal cavernography and recurrent hemobilia after endoscopic retrograde cholangiopancreatography in which a portobiliary fistula was detected in a patient with portal biliopathy. This likely indicates a change in clinical presentation (from bilhemia to hemobilia) after biliary drainage that was successfully treated by placement of a fully covered, self-expandable metallic stent.