bluuebunny/crossref_metadata_2025 huggingface dataset:
Diagnostic Efficacy of Chest CT Imaging in Diagnosis of COVID-19 Cases Based on Duration of Symptoms
Authors: Trivedi S , Javed NB , Desai RS , Issar P
Published: August 2023

ABSTRACT

Background:

Chest computed tomography (CT) imaging provides results more rapidly and with higher sensitivity than reverse transcription polymerase chain reaction in diagnosis of COVID-19.

Aim:

To evaluate diagnostic efficacy of chest CT imaging in diagnosis of COVID-19 cases based on age and duration of symptoms.

Materials and Methods:

A retrospective study conducted during December 2020 to June 2021 in a tertiary care hospital, India. Total 495 patients with typical clinical symptoms of COVID-19, reverse transcription polymerase chain reaction positive for COVID-19 and had undergone chest CT imaging were included. Descriptive statistical analysis was performed for all the variables. Receiver operating characteristic curve analysis was used to determine threshold value of chest CT severity score (CT_SS) based on duration of symptoms and age to diagnose COVID-19.

Results:

Mean age of patients was 61.86 ± 10.77 years and 367 (71.4%) patients were male. Ground glass opacities were observed in 456 (92.1%) patients and in 332 (67.1%) patients, multilobes were affected. Total CT_SS showed positive correlation with age (r = 0.257) and duration of symptoms (r = 0.625). Total CT_SS >6 after a duration of 2 days of symptoms identified COVID-19 cases with sensitivity 90.8% (95% confidence interval [CI]: 87.5%-93.5%) and specificity 84.6% (95% CI: 76.2%-90.9%). Total CT_SS >11 in patients aged more than 60 years identified COVID-19 cases with sensitivity 47.4% (95% CI: 41.2%-53.6%) and specificity 87.3% (95% CI: 82.3%-91.4%).

Conclusion:

Threshold value of CT_SS determined will help to expedite diagnosis of COVID-19 patients by the clinicians in an early stage especially in India and other developing countries which have a high patient volume and limited health resources.
Aesthetic Rehabilitation for Anterior Teeth of Dental Fluorosis with Direct Composite Veneers
Authors: Değirmenci A , Balousha JKM , Pehlivan İE
Published: August 2023

ABSTRACT

Intrinsic discoloration can be formed due to many reasons, and by clinical evaluation and history from the patient, the exact cause of the discoloration can be known and one of the reasons that can make the intrinsic discoloration is the high level of fluoride intake. Two siblings had come to the Department of Restorative Dentistry clinics; they had the same compliance which is severe dental fluorosis, caries, and malocclusion of their teeth. What is interesting and worrying is that some patients with severe dental fluorosis show higher levels of caries, which can be explained as the enamel becoming porous with severe fluorosis. The possible treatment options were discussed with the patients. According to their financial concern and their desire to get their teeth done as soon as possible, the use of direct composite veneer for the treatment of anterior teeth was decided. Long-term clinical trials are required to assess the efficacy of various treatment options for fluorosis of different severity.
Cyclin D1 Expression, Clinicopathological Characteristics, and 2-Year Survival Rate of Gastric Cancer in Cipto Mangunkusumo General Hospital
Authors: Cahyanur R , Utari AP , Rahadiani N
Published: August 2023

ABSTRACT

Background:

Cyclin D1 is a protein that can increase the proliferation of cancer cells. Its expression has been found in various malignancies, including gastric cancer. Cyclin D1 examinations have not been routinely performed for gastric cancer cases in Indonesia. A recent study of cyclin D1 in gastric cancer was associated with lymph node involvement, metastasis, poor prognosis, and a lack of response to platinum chemotherapy.

Aim:

This study aimed to determine the relationships among cyclin D1 expression, clinicopathological features, and 2-year survival rates in gastric cancer.

Materials and Methods:

This retrospective cohort study used medical records and paraffin blocks of patients suffering from gastric cancer at Cipto Mangunkusumo General Hospital, Jakarta, between 2015 and 2020. Data analysis was performed using Statistical Package for the Social Sciences (SPSS) version 20. The data were collected from 39 subjects, most of whom experienced eating disorder (69.23%), weight loss (76.92%), melena (53.85%), and anemia (51.28%). Tumor location was mostly found in the cardia and corpus of the gaster.

Results:

This study found that the proportion of overexpression of cyclin D1 was 30.77%. Cyclin D1 expression was greater in subjects with liver metastases (50% vs. 14.8%, P = 0.04). Cyclin D1 expression was not associated with tumor location, tumor, node, and metastasis (TNM) stage, or histopathological findings. Analysis of the 2-year survival rate did not find any differences between patients with cyclin D1 overexpression and those with cyclin D1 negative.

Conclusions:

Cyclin D1 expression was associated with liver metastases in patients with gastric cancer.
Analysis of Diagnoses of Chest Injuries in a Nigerian Trauma Center
Authors: Okoye OG , Gwaram UA , Olaomi OO , Adamu YB , Apollo DK
Published: August 2023

ABSTRACT

Background:

Chest injury is one of the most common types of trauma-related injuries accounting for about 10% of trauma admissions in emergency services. The injuries may be immediate, life-threatening, or potentially life-threatening based on diagnosis after initial assessment. This study is intended to analyze the pattern of diagnosis found in chest-injured patients in a trauma center of a developing country.

Methods:

This is a retrospective study carried out in the trauma center of the National Hospital Abuja, Nigeria, between January 2015 and December 2017, as an analysis of the existing trauma registry. Data procession was done using SPSS version 24.0. Results were presented in tables and figures.

Results:

A total of 637 patients’ data was studied, male to female ratio of 3.58 and mean age of 34.18 ± 11.34 years. More patients sustained isolated chest injury (59.5%) and blunt chest injury (78%). The most frequent diagnosis was chest wall soft tissue injury (CWSTI) (46.6%) despite the exclusion of minor chest wall injuries who did not require any form of observation. Haemothorax and rib fractures were the next most common diagnoses after CWSTI constituting 13.5% and 8.7%, respectively, while flail chest and aortic injuries were the least comprising 0.6% and 0.2%, respectively. The commonest associated injuries were traumatic brain injury (11.3%), extremity fractures (11.1%), and abdominal injuries (7.8%). Penetrating injuries were more significantly associated with male gender and isolated chest injuries (P < 0.001).

Conclusion:

Chest wall soft tissue injuries constitute a large proportion of chest injuries seen in our setting. Despite its relatively low importance in the medical literature, it should be given attention in resource-poor settings in order to minimize missed significant injuries in the absence of diagnostic facilities. Therefore, high index of suspicion and low threshold for observation should be practiced in this group of patients.
The Effect of Kinesio Taping on Acute Pain, Breastfeeding behavior and Comfort Level in Women with Cesarean Section: A Randomized Controlled Trial
Authors: Uzunkaya-Öztoprak P , Koç G , Özyüncü Ö
Published: August 2023

ABSTRACT

Background:

Kinesio taping is used to provide rehabilitation after surgical operations.

Aim:

The aim of this study is to determine the effect of kinesio taping (KT) on acute pain, breastfeeding behavior, and comfort level in women with cesarean section.

Subjects and Methods:

This was a randomized, single-blinded study. Women (n = 48) were randomly assigned to KT (n = 24) and control (n = 24) groups. KT was applied to both breasts and rectus abdominis muscles of those in the intervention group at the 8-hour postpartum. VAS (Visual Analogue Scale), LATCH (Breastfeeding Charting System and Documentation Tool), PBSES (Postpartum Breastfeeding Self-Efficacy Scale), and PCS (Postpartum Comfort Scale) were performed on the women in both the intervention and control groups on the 0th, 1st and 2nd postoperative days. Data were analyzed using descriptive statistics, the independent samples t-test, the Chi-square test, and the Friedman test.

Results:

Compared to the control group, the pain level was significantly reduced in the KT group (χ2 = 67,225; P = 0.001), breastfeeding self-efficacy increased (F = 221.940; P = 0.001) and the postpartum comfort level (χ2 = 36.432; P = 0.001) improved.

Conclusion:

In the study, it has been shown that KT has important effects on pain management, breastfeeding success, and increasing comfort level in women with cesarean section compared to the control group and the initial period, and can be used safely.
Optimal Ropivacaine Concentration for Ultrasound-Guided Erector Spinae Plane Block in Patients who underwent Video-Assisted Thoracoscopic Lobectomy Surgery
Authors: Chung HW , Chang H , Hong D , Yun HJ , Chung HS
Published: August 2023

ABSTRACT

Background:

An ultrasound-guided erector spinae plane block (ESPB) has emerged as an effective way to control postoperative pain and may be a good alternative way to an epidural block. However, relevant research on the appropriate concentration of local anesthetics for an ESPB remains scarce.

Aims:

This study aimed to investigate the optimal concentration of ropivacaine for an ESPB in patients undergoing video-assisted thoracoscopic surgery (VATS).

Methods:

A total of 68 patients who underwent a VATS lobectomy were enrolled. An ipsilateral ultrasound-guided ESPB was performed with three different ropivacaine concentrations as a local anesthetic: 0.189% (G1), 0.375% (G2), and 0.556% (G3). The total amount of perioperative remifentanil administered, patient-controlled analgesia (PCA) applied, and rescue drugs for postoperative analgesia during the 24 h after surgery were acquired, and numeric rating scale (NRS) scores were obtained.

Results:

The total amount of intraoperative remifentanil administered was 7.20 ± 3.04 mcg/kg, 5.32 ± 2.70 mcg/kg, and 4.60 ± 1.75 in the G1, G2, and G3 groups, respectively. G2 and G3 had significantly lower amounts of remifentanil administered than the G1 group (P = 0.02 vs. G2; P = 0.003 vs. G3). The G3 group needed more inotropes than the G1 and G2 groups in the perioperative period (P = 0.045). The NRS scores, PCA, and rescue drug were not significantly different in the three groups.

Conclusion:

The optimal concentration of ropivacaine recommended for an ESPB was 0.375%, which was effective in controlling pain and reducing the intraoperative opioid requirements with minimal adverse reactions such as hypotension.
Comparison of Success, Complication and Satisfaction Rates of TOT and TVT-O Surgical Techniques
Authors: Yalçın K
Published: August 2023

ABSTRACT

Background:

Two different surgical techniques “inside-out” and “outside-in” have been described for transobturator tape procedure, one of the most preferred methods for the surgical treatment of stress urinary incontinence in the last ten years. This study aimed to compare the success, complication, and patient satisfaction rates related to both techniques in patients who underwent transobturator tape procedure due to stress urinary incontinence in a 21-month period.

Patients and Method:

A total of 71 patients including 46 patients who underwent transobturator tape operation with “outside-in” technique and 25 patients who underwent tension-free vaginal tape obturator operation with “inside-out” technique were involved in this study. Patients were evaluated in aspect of postoperative complications, pelvic examination results, stress test results, satisfaction, and quality of life scales.

Results:

Patients operated with both techniques were similar in terms of age, body mass index 15, and menopausal status. Considering the complication rates, dyspareunia was found to be higher in the group using the inside-out technique (p = 0.002). Operation success rates were similar in the two surgical techniques both in subjective and objective evaluation. In addition, although there were differences between the two groups in terms of patient satisfaction rate and quality of life score, overall satisfaction rates were found to be high.

Conclusion:

Transobturator tape operation is a procedure that provides high success rates in the treatment of stress urinary incontinence regardless of the used technique. Operation success rates, patient satisfaction rates, and postoperative quality of life scores were found to be almost similar in both surgical techniques.
Fingernail form as a Post-Extraction Guide for Selecting the Maxillary Central Incisor Tooth form in the Saudi Arabian Population: A Novel Application of CAD Software
Authors: Joseph AM , Aldhuwayhi SD , Mustafa MZ , Deeban Y , Thakare AA , Joseph A
Published: August 2023

ABSTRACT

Background:

Human teeth and nails have demonstrated similar factors genetically, embryologically, and morphologically. The fingernail form may be used as a post-extraction guide for selecting the tooth form.

Aim:

To evaluate the correlation between the maxillary left central incisor tooth form with the left index, middle, and ring fingernails in the Saudi Arabian population.

Materials and Methods:

A descriptive cross-sectional study with purposive sampling was done among 200 Saudi participants. The maxillary left central incisor and the left index, middle, and ring fingernail were scanned using an intraoral scanner. The 3D digital images were converted to 3D models. The tooth form (tooth length, tooth width, and tooth shape) and nail form (nail length, nail width, and nail shape) were measured using the CAD software. Pearson’s correlation coefficient and T-test were used for statistical analysis (P < 0.05).

Result:

A significant correlation exists between tooth length and nail length, with a maximum correlation toward index nail length (P = 0.015). A significant correlation exists between tooth width and nail width, with a maximum correlation toward ring nail width (P = 0.002). A significant correlation exists between tooth length and nail length in females with a maximum correlation toward index nail length in females (P = 0.001). The mean percentage of similarity between tooth and nail shape (index, middle, and ring) in males and females shows a highly significant difference between them (P = 0.001). The results indicate that the tooth and nail shape are similar (70 to 90%) based on the criteria set by the software.

Conclusion:

A definite correlation exists between maxillary central incisor tooth form and fingernail form. The fingernail form may be used as a post-extraction guide for selecting the maxillary central incisor tooth form in the Saudi Arabian population.
Efficiency and Clinical Results of Bleomycin Injection in the Treatment of Lymphatic Malformations
Authors: Siki FÖ , Sarikaya M , Gündüz M , Sekmenli T , Köksal Y , Çiftci İ
Published: August 2023

ABSTRACT

Background:

Lymphatic malformations (LMs) are rare congenital anomalies. The traditional treatment is surgical excision, but intralesional sclerosing agent injection is also preferred as the first-choice treatment because of postoperative frequent recurrences, poor cosmetic results, and high complication rate. We aimed to evaluate the efficacy of sclerosing agent injection used in the treatment of LMs in children.

Materials and Methods:

We retrospectively analyzed the children who were treated for LM between January 2011 and January 2022. The lesion sizes of the patients who were injected with sclerosant (Bleomycin) under sedation anesthesia, measured by ultrasound before and after the treatment, were recorded, and the difference between them was statistically evaluated.

Results:

Fifteen patients were retrospectively analyzed. The mean age was 45.2 ± 14.1 months. Of these, ten (66.6%) were male and five (33.3%) were female (F/M = 1/2). The mean age of male patients was 55 ± 20.1 months; the mean age of female patients was 25.8 ± 11. Seven patients had a single dose, two had twice, and six had three and more. The mean measurable size of macrocystic lesions before treatment was 55.2 ± 28.4 mm; after treatment, it was 23.8 ± 18.2 mm. Although no measurable shrinkage was detected in microcystic lesions, it was observed that the lesion shrank to allow surgical resection. With the statistical analysis, it was seen that there was a statistically significant difference between the dimensions before and after the treatment (P < 0.05) and the sclerosant injection had a great effect on the treatment (R: 0.89).

Conclusion:

Intralesional injection of bleomycin is less effective for microcystic or mixed-type LMs, but provides an effective reduction for a safe surgical procedure. It is an effective treatment for macrocystic lesions.
A review on current status of radioactivity monitoring in Indian nonnuclear industries
Authors: Tiwari Mahesh , Sahu Sanjay Kumar , Bhangare Rahul C. , Pulhani Vandana Anilkumar , Kumar A. Vinod
Published: August 2023

The distribution of naturally occurring radioactive materials (NORM) generated/discharged in nonnuclear industries such as coal combustion residuals from different coal-based power plants, fertilizer, construction, tobacco, and other industries into the environment, has not been reviewed in the Indian context. In the present review, systematic survey and analysis of the reported occurrence of U238, Th232, and K40 in these nonnuclear industrial sectors is discussed. Most of the data compiled and described in this review are sourced from major popularly referred, peer-reviewed scientific journal publications since the year 2005. Apart from radioactivity levels in products from nonnuclear industrial sectors different radiological indices such as absorbed dose, dose rate, etc., are also compared and discussed. Overall, this review presents a comprehensive analysis of NORMs in nonnuclear industrial sectors of India.
Development Model of Agriculture + Travel Industry Integration in the Context of Big Data Explore: A case study from Huyi District, Xi'an
Authors: Wang Pei Chao , Kou Xiang Ying , Zheng Yuan
Published: August 2023

INTRODUCTION: The new industrial model of agriculture + tourism has been developed for quite some time, however, in the rapid development of information technology, especially the algorithm is further integrated into the agriculture and tourism industry, this fusion industry has ushered in a new round of development opportunities, but with the development of human society, the traditional model of agriculture and tourism will be gradually eliminated.
OBJECTIVES: This paper is aimed at developing the regional needs of agriculture + tourism industry, using advanced big data technology and algorithmic technology to follow the pace of the times, in-depth understanding of the current social needs of agriculture + tourism, so as to better develop their own industries.
METHODS:Through the algorithmic technology to analyze the agro-tourism model that is currently being developed in Xi'an, to analyze the problems that arise in the process of its development, and to use the background of big data and clustering algorithmic technology to put forward the corresponding targeted improvement strategies.
RESULTS: Utilizing Shuangyi District in Xi'an City as a case study to apply the theory and explore new development paths.
CONCLUSION: Shuangyi District, Xi'an City, is rich in soil and water resources, so it has a high level of agricultural development and a favorable geographic location, and also has a huge potential market in tourism. With the support of big data technology, the analysis of the current market demand and the development of local natural and human resources on the basis of maximizing the preservation of the original ecology can promote the development of the local economy.
PROBLEMAS DEL TURISMO EN PÁTZCUARO, MICHOACÁN. UN ANÁLISIS A PARTIR DE LA GOBERNANZA
Authors: Olaya-Escobedo Sara , Cruz-Jiménez Graciela , Castillo-Nechar Marcelino
Published: August 2023

Este artículo analiza los problemas del turismo en Pátzcuaro, México, su contexto social y vínculo con la conducción pública, a fin de identificar esquemas de cooperación entre los actores gubernamentales y no gubernamentales. La metodología se basó en los postulados teóricos de los problemas retorcidos y la gobernanza e incluyó entrevistas semiestructuradas con actores clave. Los resultados evidenciaron cinco fallas en las estructuras gubernamentales. Se concluye que, dichos problemas están vinculados con las dinámicas histórico-sociales del municipio que, por un lado, han moldeado la actuación del gobierno local y por otro, han delimitado las capacidades de los actores excluidos para intervenir.
CAMINHOS DA RESISTÊNCIA: A RECEPÇÃO DE VISITANTES COMO PRÁTICA SOCIAL DISCURSIVA À VISIBILIDADE DOS POVOS ORIGINÁRIOS NO RIO GRANDE DO NORTE/RN, BRASIL
Authors: Da-Paz-Justino Ana , Nóbrega Wilker R. , Freire-Ferreira Flávio R. , Araújo Carlos E.
Published: August 2023

Compreender a recepção de visitantes como uma prática social que ratifica o discurso de resistência dos povos originários abre espaço para a compreensão do fenômeno turístico por meio de inserção da dimensão política como perspectiva de análise. Assim, este estudo analisa a recepção de visitantes como um elemento de visibilidade e resistência por parte da comunidade Potiguaras do Catu no Estado do Rio Grande do Norte (RN)/Brasil. Para tanto, foi necessário percorrer diversos caminhos indo desde levantamento bibliográfico físico e na World Wide Web (WWW), à observação em mídias sociais e participante in loco por meio da vivência das experiências ofertadas na comunidade. Os resultados apontaram que há uma articulação de alguns grupos residentes locais que traz em seu bojo o discurso da existência de povos originários no RN, contradizendo, inclusive, aos discursos hegemônicos, da promoção institucional do turismo no estado, localizando, portanto, o ato de recepcionar como um discurso político de resistência.
Tumor venéreo transmissível (TVT) metastático em cadela: relato de caso
Authors: Detoni Pietra Malu Franzener , Dahm Vinicius , Ferronato Amália , Smaniotto Crisan , Cheng Arthur Colombari , Pinheiro Lorena Santos , Campagnolo Camila , Viott Aline de Marco
Published: August 2023

O tumor venéreo transmissível canino é uma das neoplasias mais comuns principalmente em cães errantes, sendo classificado morfologicamente como uma neoplasia de células redondas. O presente trabalho tem por objetivo relatar um caso de tumor venéreo transmissível (TVT) metastático em uma cadela adulta sem raça definida (SRD). Na avaliação necroscópica, verificou-se a presença de neoformações na vulva/vagina, no baço e na pleura parietal, nas quais todas exibiam as mesmas características macroscópicas. Para elucidação do caso, realizaram-se exames citológicos e histológicos, com o intuito de observar padrões morfológicos semelhantes nos três tecidos analisados, sendo compatíveis com TVT. A metastização é uma complicação incomum nesse tipo de neoplasma, embora na literatura sejam encontrados relatos evidenciando a capacidade metastática do TVT, a ocorrência é com maior frequência em animais imunossuprimidos e os principais tecidos acometidos são os linfonodos regionais. Os órgãos cavitários, entretanto, também podem ser sítios de metástase, conforme averiguado no presente caso. Embora sejam raras, conclui-se que as metastizações podem ocorrer e realça-se a importância da inclusão do TVT como diagnóstico diferencial de neoplasias intracavitárias.
Farm Business Analysis of Broccoli (Brassica oleracia L.) and Lettuce (Lactuca sativa L.) Intercropping Farming System (a Case Study of a Farmer on Kayu Ambon street, Lembang District, West Bandung Regency)
Authors: Arifin Samsul , Firdaosyah Firda , Yanti Widi
Published: August 2023

Broccoli (Brassica oleracia L.) and lettuce (Lactuca sativa L.) were part of horticultural commodities that can be consumed and contain a lot of vitamins, such as vitamins A, B Complex, C, and essential minerals such as calcium and iron for fulfilling human nutrition. Lettuce plants can also be consumed as salad. The demand for horticultural crops, broccoli and lettuce, was increasing because people awareness on nutritional needs arise. Besides, these plants are also delicious. Intercropping pattern used by farmers on Jalan Kayu Ambon, Lembang District, West Bandung Regency was a form of mixed cropping pattern system that involve two or more types of plants in the same area and the same time. This intercropping pattern can maximize production in a limited land, and the risk of loss can be reduced. The objective of this research was to find out cost, revenue and the R/C ratio of the intercropping system of broccoli and lettuce.The method of the research was the survey method. The data consist of the primary and secondary data. The primary collected directly from the farmer. Meanwhile the secondary data collected from literature and any institutions that related to this research. The farmer was Bapak Jajang. The primary data consisted fix cost, variable cost, and revenue. The data were used to calculate Break Even Point and R/C ratio.Result of the research showed that total cost (TC) used in intercropping broccoli and lettuce system was IDR 5,462,142/planting season, with total revenue (TR) was IDR 5,958,000. The R/C ratio was 1.09. So this Intercropping Farming System was feasible because the R/C ratio more than 1.
THE MODERATING ROLE OF PROCUREMENT GOVERNANCE ON THE RELATIONSHIP BETWEEN SUPPLY CHAIN AGILITY AND SERVICE DELIVERY OF THE PUBLIC HEALTH CARE SECTOR IN THE COUNTY GOVERNMENTS OF WESTERN REGION, KENYA.
Authors: Machuki Mogere Kelvin
Published: August 2023

Supply Chain Management is a crucial activity that entails overseeing the movement of materials form the source, throughput, to the end consumer. However, in this endeavour, there are increased instances of uncertainties i.e. speeds of delivery, flexibility and environmental factors that affect the services rendered to the end consumer. This drives the concept of supply chain agility which focuses on the speeds of response to any changes in the consumer demands. The healthcare sector has undergone significant changes within the past decades. Amidst these changes, attaining efficient and effective healthcare service delivery remains a distant prospect among multiple nations. This study therefore sought to find out the moderating role of procurement governance on the relationship between supply chain agility and service delivery in the Public health care sector in the county governments of the western region. The hypothesis for the study was: - Procurement Governance has no significant influence on the relationship between Supply Chain Agility and Service Delivery of the Public Health care sector in the County Governments of Western Region The study was anchored on three theories, theory of Human Service Delivery, Dynamic Capability Perspectives and Institutional Theory. The study adopted a Positivist research philosophy and a descriptive survey research design and the target population was 284 respondents of the four level 5 county hospitals in the western region. Questionnaires and interview schedules were used for data collection and analyzed using descriptive and inferential statistics. Data was presented using tables, scree plots and scatter plots.  The study is of value to researchers and academicians, County government authorities and residents of the four counties. 258 respondents participated in the study and preliminary data checking, screening and cleaning was done. Validity and reliability statistics were done and they indicated that the research instruments were adequate for their purpose. Diagnostic tests were also conducted and none of the variables violated these assumptions. Regression analysis was done for the Supply Chain Agility and service delivery. Supply chain agility accounted for 44.5% of the changes in Service Delivery, but with the introduction of procurement governance as a moderator, the R2 value rose to 59.4% with p˂0.05. This indicated that Procurement Governance was a significant moderator of the relationship. The study recommended that hospitals to should pay attention to three main aspects of procurement governance. First, they should set rules and policies that describe the authoritative position regarding the standards, principles, and objectives of the procurement process. Such standards include transparency and Accountability.
Quality Improvement Plan for Leather Sandal Products to Reduce Defects
Authors: Mauluddin Yusuf , Rahmawati Dewi , Lutfi Azmi Akmal , Aziz Ripki Abdul
Published: August 2023

CV. Rama Raiders was a home industry engaged in the fashion sector. The business had seven main stages of the production process: selecting materials, making patterns, cutting techniques, sewing processes, gluing processes, finishing/quality control, and packaging in carrying out production activities to achieve the desired quality CV. Rama Raiders still faces several obstacles, one of which is the presence of defective products produced, which causes product quality to decline. This research aims to identify the factors that cause sandals defects in CV. Rama Raiders. The methodology used the Seven tools and FMEA methods to determine the process of controlling leather sandal product defects using qualitative data. Corrective action plans used the 5W+1H concept to address each root cause of the problems. The results were that the most dominant type of defect in leather sandals was a type of glue defect that was not neat. The appearance was because of human and machine factors that didn't work optimally, tools that didn't support it, materials that didn't fit, inadequate environment, and no standard operating procedures. The improvements made by changing the glue, adding a brush, and making SOP improved the quality. From this research, the methods help reduce the problem of product defects experienced by the company
Importance of computational tools and artificial intelligence to improve drying processes for food preservation
Authors: Olivares Julian Cruz , Guerrero Angélica Román , González Juan Gabriel Báez , Silva Rosalva Leal , Pichardo José Francisco Barrera , Alonso César Pérez
Published: August 2023

Computational tools, including mathematical algorithms, specialized software, and artificial neural networks, along with the advancements in artificial intelligence, have brought significant advancements to industrial processes. Specifically, in food drying processes, such as those employed for grains, fruits, and vegetables, these tools have been demonstrated to play a crucial role in preserving the food itself and its nutritional value. This work highlights how artificial intelligence and computational tools have facilitated the automation of industrial processes (Engineering 4.0). Furthermore, it sheds light on the future potential of the man-machine interface, which is expected to give rise to Industry 5.0. The application of artificial intelligence in drying processes has demonstrated its impact on optimizing this unit operation by reducing process times, improving operating conditions, and predicting final quality characteristics of the products with remarkable accuracy, without requiring extensive experimentation or pilot tests.
The Impact of Exam Related Stress on Gastroesophageal Reflux Disease (GERD) Symptoms among High School Students in Bangkok
Authors:   International School, Bangkok, Thailand, Ekamai Matilda Suriyayothin , Angkatavanich Wachirawit ,   Triam Udom Suksa School, Pathum Wan, Bangkok, Thailand, Barrameesangpet Supaporn ,   Triam Udom Suksa School, Pathum Wan, Bangkok, Thailand
Published: August 2023

Gastroesophageal reflux disease (GERD) is a digestive condition where the stomach’s acidic contents consistently flow back up into the esophagus which serves as the conduit linking the throat to the stomach. In most cases, individuals with GERD experience symptoms such as heartburn and regurgitation due to the weakening or improper relaxation of the lower esophageal sphincter. Stress, on the other hand, is an instinctive response that stimulates individuals to address challenges in the environment through adaptations to cope with the situation. Correspondingly, it has been frequently observed that high-stress intensities can significantly affect our bodily functions which could potentially progress to more severe disorders. Thus, we conducted survey research on high school students in Bangkok using an online questionnaire to determine the impact of exam-related stress on an individual’s development of symptoms related to Gastroesophageal reflux disease (GERD). The survey conducted in this research has shown that stress and anxiety from exams are correlated with a person developing GERD symptoms. Albeit it can be concluded that stress from exam expectations influences GERD, further research is required to identify other causes relating to this outcome. Therefore, it is crucial that individuals efficiently manage their stress as it has the potential to prevent the onset of GERD symptoms. Thus, examining the impact of exam-related stress on the development of GERD symptoms among Bangkok high school students can promote awareness about effective stress management to attain healthy well-being.
Analysis of Firm Characteristics on Leverage of Industrial Companies in Nigeria
Authors:   Department of Economics, Plateau State University Bokkos, Nigeria., Vincent (Ph.D) ATAYI Abraham , Sitdang (Ph.D) CHINSHAKA Ayuba ,   Department of Economics, Plateau State University Bokkos, Nigeria., Elijah Adeiza EVINEMI ,   Department of Accounting, University of Nigeria Nsukka, Nigeria., Aishatu Abdullahi ,   Department of Statistics, Central Bank of Nigeria, Nigeria.
Published: August 2023

This study analyzed the effect of firm characteristics on the leverage of industrial companies in Nigeria for a 16 years period covering 2007-2022. This study specifically ascertained the effect of firm characteristics on the debt-to-equity of industrial companies. Panel data was used in the study, obtained from Nigerian Exchange Group Fact Books and related companies’ annual financial reports of sampled industrial goods listed companies. Ex-Post Facto research design was employed and analyzed using a panel regression analysis. Variance inflation factor, Multicollinearity test and heteroskedasticity were applied to test the study’s hypothesis. The result revealed that growth opportunities positively affect the leverage of industrial companies by 135.77%. The study recommends among other things that industrial companies strive to increase sales so as to enhance the profitability of firms which increases their liquidity level, increasing the equity of firms and monitor that leverage acquired is channeled into viable investments.
Human Fossils from the First Quarter of the 21st Century
Authors:   PhD, Anthropology, Bajpai Vibha
Published: August 2023

Significant discoveries have been made from the first quarter of this Century in the field of evolutionary biology to redefine the human evolution. Discoveries present the morphological variability in fossil forms and indicate the valuable role of that particular continent in tracing the human origin. This article presents a general review of the human fossils found so far of this century that force us to rethink about the current concept of human origin. Most of the fossils have been found in East Africa, South Africa, Central Africa, Russia, Israel and Indonesia. Some of these are related to Australopithecus afarensis, some to Aus. africanus while some to Neanderthal. A complete human skeleton remains has been found from Ethiopia (Middle Awash region) and named as Ardipithecus ramidus is believed to be the common ancestor of humans and chimpanzees. Naser Ramla from Israelis considered as an ancestor of Neanderthals because it used stone tool production technology to make tools. Some fossils share features of both Australopithecus and early Homo, such as Orrorin tugenesis and Homo naledi. Australopithecus deyremeda is considered as an extinct species of Australopithecine. Some of these are contemporary of modern humans, such as Homo florensis, whose complete skeleton has been found from the Flores island of Indonesia and it has also been considered as an Asian descendant of Homoerectus. Denisovans found in Russia's Denisova cave is considered as a new species, it belongs to the Lower Middle Palaeolithic period, so it is also considered to be related to Neanderthal, although its fossil remains include only digit bone, 4 tooth, parts of jaw and long bones and parietal part of the cranium.
Strategies to Increase the Degree of Cooperative Participation in the Implementation of Cooperative Empowerment Policies in West Java Province
Authors:   Master of Management Study Program, Indonesian Institute of Cooperative Management, Hajiji Merdi , Gunadi Trida ,   Master of Management Study Program, Indonesian Institute of Cooperative Management
Published: August 2023

This research is based on the main problem, namely the strategy of increasing cooperative participation in the implementation of cooperative empowerment policies which is considered to be still not optimal. This research was conducted using a mixed methods approach, which is a procedure for collecting, analyzing, and mixing qualitative and quantitative methods in a study. The results of this study are a) the participation of cooperatives is in accordance with Arnestein's exposure to the first degree in the theory of the degree of participation, namely non-participation which consists of ladder manipulation and therapy. b) While the measurement results of the implementation of cooperative empowerment policies in West Java Province resulted in: 1) Policy Size and Objectives had not gone well, 2) Resource factors that led to the implementation of cooperative empowerment policies were not effective 3) Communication factors between organization and implementation activities that cause the implementation of cooperative empowerment policies has not been effective. 4) Characteristic factors of implementing institutions that cause the implementation of cooperative empowerment policies have not been effective. 5) The factors of economic, social and political environmental conditions that cause the implementation of cooperative empowerment policies have not been effective. 6) The attitude factor / disposition of the implementer that causes the implementation of the cooperative empowerment policy has not been effective. The results of the analysis of strategies for increasing cooperative participation in the implementation of cooperative empowerment policies obtained the highest value with the most appropriate strategy applied to increase cooperative participation in implementing cooperative empowerment policies in West Java Province.
Digestible methionine + cysteine:digestible lysine ratio in diets for broilers submitted to inflammatory challenge
Authors:   , Borges Samuel Oliveira
Published: August 2023

To estimate the ideal digestible (dig) Methionine (Met) + Cysteine (Cys):dig Lysine (Lys) ratio for broilers submitted or not to lipopolysaccharides (LPS) (E. coli) inflammatory challenge, 384 thirteen-day-old male chickens were distributed in a 4 x 2 (four ratios x with or without challenge) factorial completely randomized design, with eight replicates per treatment and six chickens per experimental unit (EU). The unchallenged birds received an application of saline solution (SS). The experimental diets were formulated to meet nutritional recommendations except for the dig Met + Cys levels, which varied according to the treatments. To obtain the experimental diets, a ration with a ratio of 0.69 dig Met + Cys:dig Lys was initially prepared, and later a diet with a ratio of 0.84. These rations were mixed in the appropriate proportions to obtain diets with ratios of 0.74 and 0.79. Parameters evaluated at 21 days of age included broilers’ performance, specifically weight gain (WG), feed intake (FI), and feed conversion ratio (FCR). Further parameters were jejunum mRNA content of nuclear factor kappa-B (NF-Κb), glutathione peroxidase (GPX), superoxide dismutase (SOD), glutathione synthetase (GSS), methionine adenosyltransferase (MAT2), cystathionine β-synthase (CBS), relative weights of liver and spleen, and dual-energy x-ray absorptiometry (DEXA) estimated fat mass (%) and lean mass (%). The differences were considered significant at an alpha level of 0.05. A linear regression model was used to evaluate the effects of the dig Met + Cys:dig Lys ratio on the evaluated parameters. There was no interaction (P > 0.05) between the inflammatory challenge and the increase of dig Met + Cys: dig Lys ratio for WG, FI, FCR, the relative weight of liver and spleen, and mRNA content of NF-Κb, GPX, SOD, GSS, MAT2, and CBS. The different ratios had no significant effect (P > 0.05) on the same data. However, there were significant differences (P < 0.05) between challenged and unchallenged animals. Chickens that received an intraperitoneal application of LPS all had lower performance parameters, and the liver and spleen had heavier and lower expression of GSS than those that received SS. No significant differences (P > 0.05) were observed concerning DEXA estimated fat and lean mass. Thus, the lowest dig Met + Cys:dig Lys ratio, that is 0.69 (1.193% dig Lys: 0.823% dig Met + Cys), was sufficient to maintain the parameters evaluated. Keywords: Sulfur amino acids. Poultry. LPS. E. coli.
Goal Setting in Medical Rehabilitation: A Narrative Review
Authors: Thorsten Meyer  , Cornelia Weiss2  , Farooq Azam Rathore
Published: August 2023

Goal setting is an integral part of rehabilitation and the rehabilitation process. The aim of rehabilitation is to optimize functioning. Therefore, rehabilitation professionals and patients together have to determine mutually which aspects of functioning they should aim at. From a clinical view, a formal procedure for setting goals should help to motivate patients, ensure cooperation of rehabilitation team members, help to identify relevant blind spots and provide a system to monitor patient changes. Applying goal setting in rehabilitation represents a purpose in its own right, as it serves to strengthen the autonomy of patients and is a valuable tool to integrate personal motives, attitudes, meanings into the rehabilitation process. There is evidence that the introduction of goal setting into rehabilitation practice could enhance health-related quality of life and emotional states, especially self-efficacy. Mixed results have been reported regarding the patient motivation as well as activities and participation outcomes.
Keywords: rehabilitation, patient care planning, care goals, patient-centred care, personal autonomy, shared decisionmaking, multidisciplinary care teams
Burnout and its impact on Nurses and Doctors
Authors: Zahra Tharani  , Abeer Musaddique  , Qutb Syeda Humera
Published: August 2023

Burnout is a highly researched syndrome resulting from job stress. It is an ultimate response that occurs because of chronic exposure to stressors from the job characterised by the magnitudes/key dimensions which are feeling of cynicism, sense of ineffectiveness, detachment from the job, lack of accomplishment and overwhelming exhaustion.1 This implies that burnout characterised by a variety of factors can cause extreme suffering to an individual. Exhaustion is a central quality of burnout and the most obvious manifestation of this complex syndrome. It refers to feelings of being overextended and depleted on one’s emotional and physical resources. The individual feels drained due to perpetual lack of energy as a result of which, the quality of work responsibility is compromised. The major sources of this exhaustion are work overload and personal conflicts at the work place. The cynicism dimension represents the interpersonal context that refers to negative, callous, or excessively detached response to various aspects of the job which results in the loss if idealism and dehumanisation of others. The inefficacy dimension represents the self-evaluation component of burnout that refers to feeling of incompetence and lack of achievement and productivity in work. Burnout is a cumulative reaction on ongoing occupational stressors. Healthcare professionals, especially clinicians seem to be at particular risk for burnout. Additionally nurses, specifically psychiatric nurses are considered as a group at risk for excessive stress and burnout because they are in constant interaction and frequent interpersonal contact with psychiatric clients and their families.2 These reasons and risk factors can be same in between the professions, however, even within the discipline there are gender differences that calls for further discussions.
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Pan drug-resistant Salmonella ser. Typhi septicaemia in a child- a case report
Authors: Safdar Nida , Malik Nasrullah , Nizamuddin Summiya , Rasool Attya
Published: August 2023

Typhoid fever, caused by Salmonella enterica serovar Typhi, is a common cause of febrile illness, especially in lower-middle-income countries. The only known reservoirs of this infection are humans, and it is prevalent in areas with limited availability of clean drinking water and sanitary conditions. Lately, extensively drug-resistant Salmonella ser. Typhi (XDR S. Typhi) has emerged as one of Pakistan's most challenging public health concerns. Here, we report a case of relapsed typhoid fever in a child, in whom the isolate was found to be resistant to meropenem and azithromycin.
Keywords: Salmonella, Antibiotics, typhoid fever, Septicaemia.
DANA DESA DALAM PENGEMBANGAN BADAN USAHA MILIK DESA DI DESA KEUTAPANG, KABUPATEN PIDIE
Authors: Nelliyana Nelliyana , A Gani Rusydi
Published: August 2023

Salah satu upaya pemerintah pusat dalam mempercepat pembangunan di wilayah tertinggal, terdalam dan terluar adalah melalui Kebijakan Dana Desa. Salah satu kewajiban pasca dikeluarkannya UU No 6 Tahun 2014 adalah implementasi BUMDes (Badan Usaha Milik Desa). Penelitian bertujuan untuk menganalisis kontribusi Dana Desa dalam pengembangan BUMDes di Desa Keutapang, Kecamatan Indrajaya, Kabupaten Pidie. Penelitian menggunakan pendekatan deskriptif kualitatif. Pengumpulan data dilakukan melalui wawancara mendalam dengan aparat desa dan pengelola BUMDes dan observasi lapangan. Hasil penelitian ini menunjukkan bahwa dalam dana desa di Desa Keutapang telah berkontribusi dalam pengembangan BUMDes. Pada tahun 2020 Pemerintah Desa Keutapang menganggarkan biaya untuk Kegiatan Pengadaan Sarana Prasarana Produksi Usaha Pertanian/peternakan/perikanan sebesar Rp. 12.265.000,00. Kemudian Anggaran untuk Kegiatan Pengadaan Sarana Prasarana Pemasaran (Pembangunan pertokoan dan Koperasi) sebesar Rp. 104.700.000,00, dan Kegiatan Pendirian dan Pengembangan Usaha Ekonomi Masyarakat (untuk Belanja Modal Peralatan dan Mesin lainnya serta Belanja Modal Hewan dan Ternak) sebesar Rp. 39.999.997,00. Unit usaha yang dimiliki BUMDes Bungong Jumpa meliputi: 1) Pengelolaan Pasar, 2) Unit Produk dan Jasa, 3) Industri Rumah Tangga. Salah satu strategi pemasaran BUMDes adalah melalui penjualan secara online melalui website BUMDes.Kata Kunci : Dana Desa Bumdes Desa Keutapang