bluuebunny/crossref_metadata_2025 huggingface dataset:
Estrategias de gestión del talento humano en pequeñas y medianas empresas peruanas
Authors: Solano-Castro Valia Vanessa , Cavero Aybar Hugo Neptalí , Chalco Vargas Fredy Toribio , Nuñez Lira Luis Alberto
Published: December 2023

Es conocido que las pymes suelen enfrentar limitaciones de recursos financieros, tecnológicos y de personal, lo que puede dificultar la implementación de prácticas de gestión del talento más sofisticadas. En este sentido, debido a su tamaño y estructura organizativa más plana, las pymes pueden carecer de departamentos de recursos humanos formales o profesionales dedicados a la gestión del talento. Esto puede llevar a una falta de procesos estructurados y estrategias claras para la atracción, desarrollo y retención del talento. De esta manera, el objetivo de la presente investigación es describir las estrategias de gestión del talento utilizadas en las PYMES peruanas y su impacto en el desempeño organizacional y el crecimiento de estas empresas. El enfoque de investigación utilizado fue de naturaleza cuantitativa, se utilizó la técnica de recolección de datos mediante encuestas, para lo cual se diseñó un instrumento estructurado con cinco alternativas de respuesta en una escala de actitud tipo Likert. Se pudo confirmar que las estrategias enfocadas en el desarrollo de planes de carrera y sucesión, así como en la gestión del desempeño y la retroalimentación continua, están presentes en estas organizaciones. Sin embargo, se observó que las estrategias relacionadas con la creación de programas de aprendizaje y desarrollo, la gestión del talento basada en competencias y la promoción de una cultura organizacional orientada al talento son escasas en las políticas empresariales. Muchas pymes del sector comercio también están reconociendo la importancia de la gestión del talento y están implementando medidas para mejorar en esta área. Estas empresas están adoptando enfoques más proactivos, como la identificación y desarrollo de competencias clave, la implementación de programas de capacitación y desarrollo, y la creación de una cultura organizacional que valore y promueva el talento.
Gestión de la salud y calidad de vida en mujeres peruana
Authors: Bustinza Vargas Juana Victoria , Lacuta Sapayo Lourdes , Zegarra Ugarte Soledad Jackeline
Published: December 2023

El fenómeno de la violencia a la mujer, viene acrecentándose con el pasar de las décadas; es por eso que esta investigación tuvo como objetivo determinar la influencia de la gestión del Centro de Emergencia Mujer (CEM) del Distrito del Puno en la calidad de vida de las mujeres peruanas víctimas de violencia durante el año 2022. Metodológicamente la investigación fue trabajada con el enfoque cuantitativo sustentada en el análisis teórico con diseño de investigación no experimental. El instrumento de recolección de información fue el cuestionario aplicado a una muestra de 164 mujeres usuarias del CEM. Los resultados revelan que las mujeres víctimas de violencia reconoce el impacto de la gestión del CEM en su calidad de vida principalmente en la dimensión del bienestar emocional, seguida por el bienestar social y el desarrollo personal. Se concluye que el papel institucional del CEM del Puno y los principios organizativos que guían a este tipo de instituciones determinan el reconocimiento como una instancia clave en la atención de la salud de las mujeres peruanas.
Impact of fishing ban on socioeconomic status of Hilsa fishers in Bangladesh
Authors: YASMIN MT. SHAMIMA , ALOM MD. ZAHANGIR , SHAHJAHAN MD. , ALAM MD. SAMSUL
Published: December 2023

Fishing ban is a useful regulatory measure for sustainable management and conservation of hilsa shad (Tenualosailisha) in Bangladesh. This study investigated the socioeconomic status of hilsa fishers, as well as their perceptions regarding the performance of fishing bans and coping strategies. Data were collected from 300 fishers residing in the three study areas by using semi-structured questionnaire to collect data related to the livelihood and socioeconomic variables of the fishers. Besides, fishers’ perceptions regarding the performance of the ban as well as income generated from other activities during the fishing ban were also incorporated. Focus Group Discussions (FGD), Crosscheck Interviews (CI) with key informants’ interview was also conducted to collect general information and to justify the collected information.  The majority of the fishers feel the bans have resulted in positive socioeconomic impacts which enhance their income and livelihood status from fishing. However, its impact on loss of income and level of unemployment during ban forced some fishers to drive away the ban. In contrast, diversified alternative livelihood options have been adopted by fishers to cope with the ban that not only pull them out from dependency solely on hilsa fishing but also reduce the fishing pressure on the hilsa fishery as well as fish biodiversity. The study showed a positive correlation between fishing ban and resources’ sustainability. In spite of the difficulties faced by fishers during ban, majority of the fishers support the ban for the long-term conservation of hilsa as it is their basic sustenance.
Importy włoskie w architekturze dziewiętnastowiecznych kościołów warszawskich
Authors: Majdowski Andrzej
Published: December 2023

--
Mała prehistoria zakopiańskiej parafii
Authors: Kracik Jan
Published: December 2023

--
Ewolucja ideałów cystersów polskich
Authors: Borkowska Małgorzata
Published: December 2023

--
Z badań nad studiami uniwersyteckimi polskich cystersów w średniowieczu
Authors: Kaczmarek Krzysztof
Published: December 2023

--
Proces o znieważenie hostii przez Żydów we Lwowie z roku 1636
Authors: Gąsiorowski Stefan
Published: December 2023

--
Związki starosty generalnego Wielkopolski Wierzbięty z klasztorem cystersów w Lądzie (1352-1369)
Authors: Możejko-Chimiak Beata
Published: December 2023

--
Okoliczności i motywy fundacji klasztoru cystersów w Sulejowie
Authors: Dobosz Józef
Published: December 2023

--
Cysterska architektura na Śląsku w latach 1200-1330
Authors: Kutzner Marian
Published: December 2023

--
Święty Chrystian - cysters - misyjny biskup Prus (próba nowego spojrzenia)
Authors: Zielińska-Melkowska Krystyna
Published: December 2023

--
Z zagadnień trzynastowiecznej plastyki architektonicznej małopolskiej grupy klasztorów cysterskich. Nowe źródło do badań nad warsztatem średniowiecznego rzeźbiarza
Authors: Białoskórska Krystyna
Published: December 2023

--
Romańska i wczesnogotycka architektura kościoła pocysterskiego w Oliwie (XII-XIIIw.)
Authors: Wetesko Leszek
Published: December 2023

--
Ceza Muhakemesinde Hakimin Tarafsızlığını Şüpheye Düşürecek Sebeplerden Dolayı Reddi Usulüne İlişkin CMK Hükümlerinin Doktrin ve Uygulama Işığında Eleştirel Bir Değerlendirmesi
Authors: TURHAN Faruk
Published: December 2023

Muhakemeye katılanlarca hakimin reddi talebinin kötüye kullanılarak davaların uzamasını önlemek amacıyla ret talebinde bulunmaya süre yönünden sınırlama getirilmiş, ret talebinin reddedilen hakim tarafından geri çevrilmesi kabul edilmiş, ret talebinin yapılmasından bu konuda karar verilinceye kadar mahkemenin hangi işlemleri yapabileceği ve ret talebinin kabulü ve reddinin sonuçları Kanunda detaylı bir şekilde düzenlenmiştir. Ancak adil yargılanma hakkı kapsamındaki en önemli haklardan olan karar verecek hakimlerin tarafsızlığını sağlamak için öngörülen söz konusu hükümlere uygulamada yeterince uyulmadığı ve muhakemeye katılanlarca ret usulüne ilişkin detaylarının yeterince bilinmediği görülmektedir. Uygulamada ret sebeplerinin bulunup bulunmadığı detaylı bir şekilde incelenmeden ret talebinin reddedilen hakim veya onun katılımı ile geri çevrildiği görülmektedir.

Bu çalışmada, hakimin tarafsızlığından şüphe duymayı haklı gösterebilecek hallerde reddine ilişkin Ceza Muhakemesi Kanunu md. 24 ve devamındaki düzenlemeler kaynak Alman Ceza Muhakemesi Kanunu ve Alman uygulaması da dikkate alınarak eleştirel bir şekilde incelenmekte, tespit edilen hatalı düzenleme ve uygulamaya ilişkin önerilerde bulunulmaktadır. Bu kapsamda önce kimlerin ret talebinde bulunma hakkı olduğu ve ret talebinin ne zamana kadar ileri sürülebileceği incelenmekte, arkasından ret talebinin reddedilen hakim tarafından kabul edilmez bulunarak geri çevrilmesine ilişkin şartlar ve bu konudaki sorunlu düzenlemeler ele alınmaktadır. Yine ret talebinin esası hakkında karar verecek olan mahkeme ve bu mahkemenin kararına karşı başvurulabilecek kanun yolları açıklanarak, bu konudaki sorunlara ilişkin detaylı değerlendirmeler yapılmaktadır.
Mesin Pencacah Pakan Serbaguna untuk Peternak Kambing di Desa Telaga Sari Kecamatan Sunggal
Authors: Manurung Nelson , Hutabarat Hutabarat , Panjaitan Berman P , Situngkir Anggiat
Published: December 2023

Hijauan makanan ternak (forages) merupakan bahan makanan atau pakan utama bagi kehidupan ternak serta merupakan dasar dalam usaha pengembangan peternakan. Untuk meningkatkan produktivitas ternak, salah satu faktor yang harus di perhatikan adalah penyediaan pakan hijauan sepanjang tahun baik kualitas maupun kuantitas yang cukup agar pemenuhan kebutuhan zat-zat makanan ternak untuk mempertahankan kelestarian hidup, keutuhan alat tubuh ternak dan tujuan produksi dapat berkesinambungan. Desa Telaga Sari, yang memiliki luas wilayah 2,63 km2, sebagian besar penduduknya hidup dari pertanian dan peternakan, khususnya ternak kambing. Peternak termasuk mitra pengabdian umumnya masih menggunakan cara tradisional dalam penyiapan makanan ternaknya dengan peralatan pisau arit dalam mencari dan memberi rumput sebagai pakan kambing tanpa dicacah sehingga banyak pakan yang tersisa. Untuk mengatasi masalah tersebut tim pelaksana menyediakan mesin pencacah rumput dan sekaligus memberikan pelatihan untuk pengoperasian mesin tersebut. Hasil demonstrasi di lapangan menunjukkan mesin dapat mencacah 300 kg/jam  dan hasil cacahan yang awalnya kurang diminati kambing akhirnya semakin terbiasa dengan pakan hasil cacahan dan pakan yang terbuang dari celah kandang jauh berkurang jumlahnya.
Upaya Pencegahan Stunting dengan Melakukan Sosialisasi Literasi Digital dan Demo Masak Puding Jagung Sehat di Kelurahan Beji, Kecamatan Taman, Kabupaten Pemalang
Authors: Hambali Imam , Cahyo Duwik Nur , Humairoh Siti Hazar , Fadhillah Anindita Alya F. , Andari Rachma Yuni , Hafani Ana , Fadhila Lestari Nur , Elly Suhail , Dami Nur Anisa , A. Jannah Ayu Fitrah , Mubarrok Muhammad Najib
Published: December 2023

Stunting merupakan permasalahan serius yang mempengaruhi pertumbuhan dan perkembangan anak pada usia dini . Berdasarkan data ePPGBM, angka stunting di Pemalang tahun 2021 sebesar 10,35 persen, pada tahun 2022 menjadi 9,84 persen.Sedangkan, berdasarkan data SSGI pada tahun 2021 sebesar 24,7 persen, dan pada tahun 2022 mengalami penurunan menjadi 19,8 persen. Sehingga, Pemerintah Kabupaten Pemalang pada tahun 2024 siap menyambut zero stunting. Khususnya di Kelurahan Beji yang menjadi objek utama Mahasiswa KKN-T Universitas Alma Ata untuk melakukan penyuluhan stunting bahwa data stunting di Kelurahan Beji pun zero stunting Sosialisasi ini bertujuan untuk menggambarkan dan menganalisis hasil dari dua kegiatan yang diadakan di Kelurahan Beji, Kecamatan Taman, Kabupaten Pemalang, Jawa Tengah.Metode yang digunakan pada sosialiasi ini melalui tiga tahap yaitu koordinasi ,pelaksanaan,dan evaluasi.  Hasil dari penelitian ini akan memberikan gambaran tentang efektivitas kedua kegiatan tersebut dalam meningkatkan literasi digital masyarakat serta kesadaran akan pentingnya gizi yang baik untuk mencegah stunting.
Edukasi Pengurusan Izin Produksi Industri Rumah Tangga (PIRT) UMKM Desa Belendung, Kecamatan Cibogo, Subang Melalui Kegiatan Workshop
Authors: Sangadah Hanik Atus , Safitri Laras Sirly , Fathurohman Ferdi , Mukminah Nurul , Destiana Irna Dwi , Rahayu Wiwik Endah , Baharta Ridwan
Published: December 2023

UMKM di Kecamatan Cibogo, Subang terus mengalami peningkatan diantaranya di Desa Belendung. Pelaku UMKM Desa Belendung banyak memproduksi makanan ringan seperti aneka keripik dan opak. Beberapa produk masih belum berkembang dengan optimal, diantaranya disebabkan belum terpenuhi perizinan usaha (NIB) ataupun perizinan produk (izin PIRT). Izin PIRT merupakan salah satu jenis perizinan yang perlu dimiliki oleh suatu produk untuk meningkatkan nilai jual produk dan memperluas area pemasaran. Salah satu upaya awal yang dapat dilakukan ialah dengan melaksanakan kegiatan workshop pengurusan izin PIRT yang dapat dilanjutkan dengan program pendampingan. Kegiatan workshop dilakukan dengan diisi langsung oleh pemateri yang berpengalaman di bidang pendampingan UMKM yaitu berkolaborasi dengan Pusat Layanan Usaha Terpadu (PLUT) Kabupaten Subang. Hasil pelaksanaan kegiatan workshop pengurusan izin PIRT kepada pelaku UMKM Desa Belendung menunjukkan adanya peningkatan pengetahuan sebesar 17%. Selain itu, pelaku UMKM memberikan penilaian bahwa pelaksanaan workshop ini sangat bermanfaat bagi mereka dan diperlukan pendampingan untuk pengurusan dokumen izin PIRT.
An atypical location for Malignant Triton Tumor – a case report
Authors: Baía Catarina , Martins Pedro , Serralva Mário , Pinto Paula , Marques Mariana , Silva José Carlos , Cardoso Maria João , Costa João , Afonso Mariana , Videira José Flávio , Moreira Augusto , Sousa Joaquim Abreu de
Published: December 2023

The authors report a case of a 52-years-old female patient, without personal or family history of genetic diseases, referred to our institution after an atypical gastrectomy with R2 resection for a gastric tumor suspected to be a GIST. Histopathological review was performed and a diagnosis of a high-grade soft tissue neoplasm with rhabdomyoblastic differentiation, compatible with malignant Triton tumor was rendered. After excluding residual disease, the patient was proposed to adjuvant chemotherapy. Two months later, a follow-up CT-scan showed a local recurrence, with no metastatic spread. After multidisciplinary team decision, she was submitted to R0 resection of the tumor consisting on total gastrectomy and splenectomy. Histopathological examination confirmed the recurrence of the malignant Triton tumor of gastric wall, with free margins. The patient was proposed for surveillance and currently there is no evidence of recurrent disease after 18-months.

This case highlights the importance of referral to a specialized sarcoma center in order to achieve a precise preoperative diagnosis and then a R0 resection. In our case, an R0 resection has resulted in the absence of disease recurrence during the 18-month. Furthermore, to the best of our knowledge, no malignant Triton tumor arising in the stomach has been published so far.
In-vivo Evaluation of Anticonvulsant activity of Juglans regia fruit extract
Authors: Satish Vyawahare Samruddhi , Mandade Rajesh , Uplenchwar Pranay
Published: December 2023

Epilepsy is a chronic disorder of the brain that affect people worldwide. Nearly about 50-80% of the patients with epilepsy are controlled with currently available antiepileptic drugs. But these drugs cannot able to control seizures effectively in about 10-20% of the patients. The treatment of epilepsy still remains inadequate even though new anticonvulsants are being developed. The present study was undertaken to investigate effect of J.regia in management of seizures.100 mg fruit extract was administered in seperate groups of animal. The J.regia fruit extract shows the anticonvulsant activity in animal model.
Post-COVID Symptoms and Multisystem Inflammatory Syndrome in Children (MIS-C) in India: A Review
Authors: Santhoshkumar R. , Sathyaramanan K. R , Venkateswaramurthy N.
Published: December 2023

This review article focuses on the post-COVID symptoms and Multisystem Inflammatory Syndrome in Children (MIS-C) observed in India. The study sheds light on the various clinical characteristics and outcomes associated with these conditions by examining available literature and data. The findings highlight the diverse range of symptoms experienced by children, including fever, gastrointestinal and respiratory manifestations, and skin rash. Additionally, rare observations such as HSP-like rash, gangrene, and arthritis were noted. The severity of MIS-C is evident, with a significant proportion of children experiencing shock and requiring mechanical ventilation. However, the review also emphasizes the favorable outcomes observed among children without preexisting comorbidities, indicating the potential for recovery in these cases. The review also provides reassuring findings regarding coronary outcomes during follow-up. This review underscores the urgent need for ongoing research, surveillance, and effective management strategies to address the long-term implications of post-COVID symptoms and MIS-C in Indian children. The insights presented in this article contribute to a better understanding of the impact of MIS-C and inform future strategies to mitigate its effects on the health and well-being of affected children in India.
Sex-based Differences in the Pharmacokinetic and Pharmacodynamic activity of different Drugs
Authors: Pal Rohan , Ghosh Ritam , Acharyya Banibrata , Subhra Saha Rajat , Dey Sudipta , Nandy Arpita , Bhattacharjee Arin
Published: December 2023

The precise effects of sex on the effects of various drugs are still unknown, even though sex-specific variations in various medications are well documented. It is not uncommon for women and men to react differently to different medications due to differences in their body composition, physiology, and drug pharmacokinetics (A, D, M, E), as well as pharmacodynamics. These differences include hormonal effects during the menstrual cycle, pregnancy, and menopause. The underrepresentation of women in clinical trials, which is a significant obstacle to the optimisation of medicines for women of all ages, directly contributes to the underuse of evidence-based medications. As an added bonus, women experience greater side effects from drugs than men do. Thus, the majority of trials that were performed on middle-aged men were used to develop current recommendations for disease prevention, diagnosis, and medical treatment. To improve the safety and effectiveness of different medications as well as to create appropriate, individualized treatment plans for both males and females, it is greatly essential to understand the sex-related differences. In order to better understand the gender-based variations in the efficacy and safety of various medicines, this review gives a brief summary of the pharmacokinetics and pharmacodynamics of many drugs, organized by gender.
Examining Various Forms of Advertising and Effect on Consumer Decision-Making
Authors: Dr. Niket Shukla Kiran Mishra,
Published: December 2023

Marketers invest in a range of media channels to sway consumers' decisions on what to buy. Every media platform's advertising has a distinct composition that, depending on the medium, attracts viewers in a different way. The goal of this study is to identify five different forms of advertising and how they affect customers' decisions to buy at particular unorganised retail establishments in Chhattisgarh. The researcher uses a quantitative method to analyse the data that was collected. Customers of retailer outlets have been given the survey by the researcher, who has collected their replies. A questionnaire was used by the researcher to collect data for the current investigation. The sampling procedure will use a random sampling method, meaning that nearly all customers at disorganised retail stores in Chhattisgarh will have an equal chance of being chosen for the study. The results showed that all five advertisements will significantly and positively influence the products that consumers choose to buy, but online advertising is the most efficient and effective way to draw customers' attention when they are choosing a brand or product for their daily, weekly, or monthly shopping. According to the report, retail establishments should see effectively marketing their items as a need in order to get a competitive edge over rivals.
Implementation and development of Management studies in the Spanish university
Authors:   Universidad Complutense de Madrid, Suárez Andrés
Published: December 2023

La Economía de la Empresa es una parcela o rama del saber de la Ciencia Económica, cuya finalidad es la de estudiar y dar respuesta a los problemas concretos que se plantean en el seno de la empresa. Su configuración como disciplina autónoma o sustantiva, si bien experimentó un considerable avance durante la segunda mitad del siglo XIX, no se produce en realidad hasta bien avanzado el siglo XX. Este trabajo pretende, en memoria y homenaje al Profesor Emilio Soldevilla, esbozar la presencia y evolución de la Economía de la Empresa en los planes de estudio de las universidades españolas.
The Doctor-Patient relationship: A bibliometric analysis
Authors: Konda Meghana , Gould Murdoc , Mangal Rohan , Daniel Anjali , Stead Thor , Ganti Latha
Published: December 2023

Objective

Doctor-patient communication is an essential clinical practice necessary to improve overall patient experience and their adherence to treatment. This form of communication involves first, listening without interruptions and then, conveying information in a clear and concise manner.

Methods

A bibliometric analysis was conducted on publications extracted from the Web of Science database related to doctor-patient communication from 2012 to 2022 using the VOSviewer 1.6.15 software to visualize trends.

Results

20,376 articles were from 2012 to 2022 met the inclusion criteria of being recognized by the search phrase “physician-patient communication.” Throughout the defined time period, USA, Canada, and Germany consistently took the top three positions in terms of publishing the most articles regarding the topic. Additionally, the Patient Education and Counseling Journal was the journal with the most publications regarding the topic.

Innovation

A bibliometric analysis is a relatively novel way to frame research in a given area. It allows researchers to analyze trends in publication, and capture data from multiple disciplines.

Conclusion

The number of articles published annually regarding doctor-patient communication has constantly been increasing from 2012-2022, demonstrating its importance as a crucial component of effective health care.
Optimasi Regenerator 15R-103/104 Dengan Variasi Water Supply Pada Catalys Cooler System di Residue Catalityc Cracker Unit PT. AAA
Authors: Irawan Rahmat Aldi , Annasit Annasit
Published: December 2023

Residue Catalytic Cracking (RCC) merupakan sebuah unit pada PT. AAA yang memiliki peran sebagai mengonversi feed residue. Residue yang berupa atsmospheric residu yang berasal dari kolom distilasi dan Demetalisations atmospheric residue yang merupakan residue dengan kandungan metal yang rendah menjadi produk yang memiliki kualitas tinggi serta memiliki nilai jualyang cukup fantastis untuk secondary proses dengan menggunakan teknologi Catalytic Cracking. Unit ini memiliki kapasitas 83 MBSD dengan kata lain sebanyak 505 ton /jam serta menggunakan UOP sebagai lisensor. Umpan residue yang merupakan bottom produk dari CDU dikonversi dalam reaktor menggunakan katalis zeolit terdiri atas silika dan alumina. Proses konversi ini berlangsung di reactor, Katalis yang telah digunakan dalam proses konversi kemudian disebut sebagai spent catalyst. Catalyst ini akan mengalir menuju regenerator dengan 2 stage pembakaran, yaitu upper dan lower. Proses pengaturan temperatur antara upper dan lower memakai catalys cooller system, terdapat 4 buah catalyst cooler dengan 2 tipe, yaitu 2 buah flowthrough catalyst cooler pada bagian lower dan 2 buah Backmix Catalys cooler untuk bagian upper. Berasumsi pada hasil kalkulasi yang diperoleh, maka didapatkan ?H remove terhadap Regenerator mempunyai dampak besar terhadap effesiensi regen sehingga dapat disimpulkan bahwa dapat dilakukan pengoptimasian pada besarnya jumlah steam yang dihasilkan serta suplai air pada catalyst cooler di Regenerator agar dapat meningkatkan effesiensi regen hingga mendekati efisiensi desainnya. Pada perhitungan yang dilakukan dibatasi pada temperatur regenerator, aliran produksi steam serta sampai dengan suplai air di sistem catalyst cooler. Pada hasil kalkulasi terhadap proses pengoptimalan yang menggunakan variasi jumlah produksi steam serta suplai air di catalyst cooler sehingga didapatkan kinerja maksimal/optimal dari regenerator 15R-103/104 sebesar 58,84% batas maksimum dan dengan jumlah keseluruhan suplai air sebesar 3933,22 ton/hr. Dimana kinerja regenerator meningkat sebesar 2,29% dari kinerja maksimum pada bulan Desember.
THE ECONOMIC PAMPHLETEER: Sustainability: The defining question of the 21st century
Authors: Ikerd John
Published: December 2023

First paragraph: My purpose in sharing my long-run perspec­tives on farms, foods, and communities is not to dwell on the past—neither what was nor what could have been. The past is important only in so far as it helps us understand the realities of the present and possibilities for the future. There is a basic tendency for everything on earth to operate in cycles—physical, chemical, biological, economic, and social. Life on Earth is made possible by the biological recycling of finite quantities of chemical elements. Even the universe is thought to be circu­lar so that if we traveled far enough in one direc­tion we would eventually return to where we started. Whatever goes around eventually comes back around. So, the past provides potentially valuable insights into the future. . . .
Assessment of the Nurses Practices Toward Care the Child with Clubfoot at the Orthopedic Units at Baghdad City
Authors: Kshaish Raad Hassan , Mansur Khalida A.
Published: December 2023

Objective(s): To improve the nurses' practice who working in the orthopedic units towards care the child with clubfoot and to find the relationship between the nurses' practices and their demographic characteristics. Methodology: A descriptive study was conducted at three teaching hospitals (Al-Kindi Teaching Hospital, Al-Wasiti Teaching Hospital and the Child welfare Teaching Hospital for the period from 17th of February to 2th of March of 2023. A non-probability sample had (60) nurses who working at the orthopedic units (included outpatient clinics, orthopedic wards and braces units). The pilot study performed for the period from 5th to 15th of February to 2023 on 6 nurses to test the reliability and applicability of the study tool and to determine the time consuming for doing it. The study tool constructed based on previous literatures related to the current study which included a nurses' socio demographic characteristics in part one while the second part as observational checklists in four domains. The data analyze through the spss program version (26) to interpret and explain the results of the study. Results: The results of the study showed the most (75%) of the nurses' practices in all domains were at low level (M.S less than 0.33) In regarding their demographic characteristics; the most (70%) of them were females, (40%) of them were within the age group (30-40 years) and 57.4% of them had a diploma in nursing. Conclusions: The study concluded that the studied nurses had an adequate practice regarding care of a child with clubfoot at the orthopedic units. While there on statistically significant relationship between the socio-demographic characteristics of the nurses and their nurses' practice. Keywords: Effectiveness, Clinical pathway program, Clubfoot, Child, Nurses’ Practices, Orthopedic units.
Investigating the Dynamic Relationship between Exercise and Cardiovascular Disease Risk Reduction
Authors: Mumtaz Muhammad Talha , Khan Shanaiz , Ikram Usama , Khan Mohammad Mustafa Farooq , , Khan Maliha Aslam , Salman Ali
Published: December 2023

Objective: to investigate the dynamic relationship between exercise and cardiovascular disease (CVD) risk reduction. Methodology; in this cross sectional survey sample of 500 patients from different hospitals of Lahore was included in the study between October 2021 and February 2022. Participants who exercised at least three times a week for an average of 30 minutes or more were considered as physically active. Data was entered and analyzed using SPSS 26. Odds ratio were computed. Results: The demographic characteristics of the participants show that 64.2% of the participants were females with a mean age of 46.2 years. The study results suggest that exercise is significantly associated with a lower risk of CVD. Participants who exercised had a 76% lower risk of CVD compared to those who did not exercise. Additionally, the study demonstrated that longer duration and higher frequency of exercise were associated with lower CVD risk. Implication: Assessing the existing professional exercise recommendations for hypertension, Healthcare professionals can use the findings to guide patients on the benefits of exercise and promote a healthy lifestyle. Conclusion: The findings emphasize the importance of regular physical activity for the prevention of CVD. Future research should explore the most effective types of exercises for risk reduction in different sub-groups. We recommend targeted interventions aimed at promoting an active and healthy lifestyle and raising awareness on the importance of exercise for the prevention of CVD. Keywords: Exercise, Cardiovascular, Risk factors, Physical inactive
Analysis of Complications of Laparoscopic Procedures in Urology
Authors: Mehmood Malik Adil , . Rafiullah , Ullah Rizwan , Alam Numan , Shaikh Nadeem Ahmed , Anwar Kausar , Ahsan Muhammad
Published: December 2023

Introduction: Laparoscopic procedures have revolutionized the field of urology by offering minimally invasive alternatives to traditional open surgeries. Objectives: The main objective of the study is to find the complications of laparoscopic procedures in urology Material and methods: This retrospective observational study was conducted at institute of kidney disease Hayatabad Peshawar, to comprehensively analyze the complications arising from laparoscopic procedures in urology conducted between the years 2022 and 2023. Results: A total of 320 patients who underwent laparoscopic urological procedures between 2022 and 2023 were included in the study. The mean age of the cohort was 54.8 years (± 10.2), with a range of 28 to 76 years. Of the participants, 215 (67.2%) were male and 105 (32.8%) were female.Postoperative complications occurred in 92 patients (28.8%). The Clavien-Dindo classification was utilized to categorize the severity of complications. Grade I complications, defined as any deviation from the normal postoperative course without the need for pharmacological treatment or surgical intervention, were observed in 34 cases (10.6%). Practical Implication: This study will help in intraoperative and postoperative issues emphasize the need for precise techniques and vigilant postoperative care. Conclusion: It is concluded that varying rates of intraoperative and postoperative issues emphasize the need for precise techniques and vigilant postoperative care. Tailored approaches based on surgical techniques and patient age can enhance outcomes, reinforcing the importance of thorough evaluation and comprehensive management. Keywords: Postoperative, Patients, Laparoscopic, Urology, Procedures, Operative
An Analysis of the Occurrence of Bone Erosion on Computerized Tomography Scans in Allergic Fungal Rhinosinusitis
Authors: Khan Muhammad Arif , Saleem Muhammad , Umar Adnan Saleem , Sheikh Ali Husnain , Iqbal Andleeb , Javed Rabia , Shahzad Khurram
Published: December 2023

Objective: Bone erosion on a CT scan may be an indication of osteoarthritis, rheumatoid arthritis, or bone infections, among other diseases. Tumors and other bone conditions may also be to blame. A doctor would need to analyze the CT scan and maybe do other tests or imaging investigations to identify the source of bone degradation. The study's goal is to examine the prevalence and locations of bone erosion on computed tomography scans in Pakistani patients with allergic fungus rhinosinusitis. Methods: This retrospective observational study was conducted at The study was conducted in PAC Hospital Kamra, Pakistan, between January 2013 and December 2022. 85 of the patients who had bone erosions on a computed tomography scan out of a total of 230 instances of allergic fungal rhinosinusitis were included in the research. Evaluation of bone erosion in various paranasal sinuses and their sub-sites. Patients were categorized into three groups based on how much bone erosion they had: mild, moderate, and severe. Mild instances were those with erosion at a single site, moderate cases had erosion at two subsites, and severe cases had erosion at more than two subsites. Results: In 85 (36.9%) of the patients, bone erosion was discovered after a thorough analysis of the computed tomography scan of the paranasal sinuses. The average impacted age was 23.96 ± 12.71. There were 33 women and 52 men, or 61.1% of the total. The ethmoid sinus was the sinus that had bone erosions the most often. Frontal sinus 24 (16.6%), maxillary sinus 55 (38.19%), sphenoid sinus 27 (18.75%), and maxillary sinus 38 (26.38%) are listed in that order. Out of 85 patients, 15 (17.6%) had a severe illness, 22 (25.8%) had moderate disease, and 48 (56.1%) had mild disease. Implication: The radiological evaluation of illness, regardless of the method and scoring system employed, is crucial because it allows the otolaryngologist and the radiologist to stratify the severity of the disease in instances of AFRS and aids in clinical evaluation and the avoidance of problems Conclusions: Bone erosion occurs frequently in allergic fungal rhinosinusitis. The ethmoid sinus is the most frequently affected paranasal sinus in terms of bone erosion, and computerized tomography (CT) scan is a crucial and efficient inquiry in detecting these erosions. Keywords: rhinosinusitis, bone erosion, sinusitis, radiological evaluation
Iron Status Assessment in Chronic Kidney Disease Patients Preceding Dialysis: An Exploration of Anemia and Iron Deficiency
Authors: Naeem Aqsa , Zahid Nouman , Safir Fahad Nauman , Anwar Adeel , Soomro Abdul Karim , Alyas Zahwa , Shahzad Khurram
Published: December 2023

Objective: The most common kind of anemia, iron deficiency anemia (IDA), is very burdensome for those with chronic kidney disease (CKD). The incidence of IDA rises as renal function deteriorates. The incidence of IDA in CKD patients before the need for dialysis has not been well documented in Pakistan, even though the major cause of anemia in CKD individuals is a shortage of erythrocyte a hormone generated by the kidneys that stimulates red blood cell synthesis. This study's goal is to identify the incidence of IDA in people with kidney failure who are still not receiving dialysis. Methods: We included 188 pre-dialysis CKD patients, ages 18 to 75, of both sexes. Patients with apparent anemia-related reasons were eliminated. During OPD follow-up, it was then established what proportion of patients had IDA in their pre-dialysis CKD. Results: The patients who participated in the research had an average age of 46.03 years, with a standard deviation of 12.24 years. There were 188 patients in all, and 102 of them were men, making up around 54.26% of the sample. The study's 1.2 to 1 male-to-female ratio indicates that men were overrepresented. 73 people, or around 38.83% of the total patients in the research, were found to have iron deficiency anemia (IDA) among people with chronic kidney disease (CKD) who had not yet begun dialysis. Practical Implication: The causes of iron shortage in those with CKD are complicated by several variables, chief among them being decreased nutritional iron consumption and poor gastrointestinal absorption of iron, blood losses brought on by uremia-induced platelet disorder, and persistent inflammation related to CKD. As a result, owing to chronic inflammation causing a reactive rise in ferritin, individuals with CKD have much higher ferritin threshold levels for the absolute iron shortage. As a result, it is advised that patients with CKD before starting dialysis have blood ferritin levels below 100 µg/ml and over 200 µg/ml for those who are already receiving it Conclusions: According to the study, IDA occurs often in pre-dialysis CKD patients. By paying strict attention to the sources of IDA and replacing it, patients' outcomes may be improved. Keywords: anemia, dialysis, chronic kidney disease, erythrocyte, iron deficiency, hormone
Surgical Audit of Common Bile Duct Injury During Laparoscopic Cholecystectomy in Tertiary Care Center
Authors: Haris Muhammad , Bilal Hazrat , . Rizwan , Qadoos Abdul , . Hadees , Zahoor Daniyal , . Mahak
Published: December 2023

Objective: The current study conducted a surgical evaluation of laparoscopic cholecystectomy in a tertiary care hospital. Methods: A descriptive retrospective study was conducted at the department of surgery, JPMC between dates. All cases of patients who were above 18 years, had cholecystitis or cholelithiasis, and underwent cholecystectomy between 1st January 2013 and 31 December 2014 at Jinnah Postgraduate Medical Center were included. Only cases with complete history, examination and investigations were included. Cases with incomplete information were excluded. Sociodemographic information such as age and gender, clinical information related to biliary duct injury (BDI), causes of BDI, and risk factors for BDI were included in the study. Data was entered and analyzed using SPSS version 21. The findings were narrated in tabulated form. Result: A cumulative count of 21 bile duct injuries (BDIs) was documented, leading to an overall occurrence rate of 3.1%. Most patients (76.2% or 16 individuals) had significant injuries that affected the common bile duct (CBD), main biliary confluence, or main bile ducts. A total of 5 patients, accounting for 23.8% of the cases, had modest injuries that specifically impacted the cystic duct or smaller peripheral or Luschka ducts. The cause of the BDI was diagnosed in 71.4% of instances. Inadequate identification of anatomical features associated with the hepatic pedicle, comprising 33.3% of reported cases, was the most frequently cited cause. Subsequently, it was observed that inflammatory alterations in the gallbladder constituted 26.7% of the cases, while anatomical anomalies accounted for 13.3%. Similarly, the inappropriate application of monopolar coagulation was responsible for an additional 13.3% of the cases. Furthermore, undefined technical errors and challenges encountered during intraoperative hemorrhage management were each attributed to 6.7% of the cases. Conclusion: The present study revealed bile duct injury to be a serious and prevalent complication of laparoscopic cholecystectomy in our center. Therefore, further assessment should be taken in order to avoid occurrence of BDI in patients presenting to the public tertiary care hospitals. Keywords: Surgical audit, minimal invasive surgery, laparoscopic cholecystectomy, preoperative complications, postoperative complications, conversion to open cholecystectomy.
Neonatal Outcomes in Women with Pre-Eclampsia in a Tertiary Care Hospital
Authors: Ali Mazhar , Badshah Fazal , Farid Saad , Khan Sumbal Afzal
Published: December 2023

Objective: To determine the frequency of adverse neonatal outcomes in women with pre-eclampsia. Methods: This case series containing 100 patients with diagnosis of pre-eclampsia was conducted in Saidu teaching hospital Swat from April-2022 to January-2023. The women were followed till delivery of baby. The primary study endpoint was neonatal outcomes, which were labelled in-terms of pre-mature birth, birth status, APGAR score at 5 minutes, NICU admission, and in-hospital death. Results: Mean age was 31.2±3.5 years, majority of patients; 44% were multiparous. Cesarean section was performed in 66% patients. Regarding neonatal outcomes, pre-term birth rate was 53%, still birth occurred in 12% patients. 46% neonates had normal birthweight, 35% were of low birthweight and 19% were of very low birthweight. NICU admission was needed in 58% neonates and 16% neonates died before discharge. Conclusion: There is a high frequency of adverse neonatal outcomes in women with pre-eclampsia. Optimizing obstetric and neonatal care can help to reduce these adverse outcomes. Keywords: pre-eclampsia, still birth, low birthweight, APGAR score, mortality.
Research Performance in Anesthesiology and Pain Medicine by Saudi Arabia
Authors: Fouzan Rakan Khalid Al , Haq Ikram Ul
Published: December 2023

Aim: A medical practice known as anesthesia, prevents patients from feeling pain before, during and after surgical procedure. The present study aims to present the bibliometric evaluation of the Saudi Arabian research in Anesthesiology and Pain Medicine (APM) during the last 40 years from 1983 to 2022. Method: The meta-data was retrieved on 31st August 2023 from the Scopus database for conducting bibliometric research. An advance search option was used, and selected the sub-category “Anesthesiology and Pain Medicine” from the major subject area of Medicine. We excluded the documents published after 31st December 2022. We downloaded the global summary of publications on APM and later selected the Saudi Arabia from the country filter and downloaded the bibliographic information of the documents. Microsoft Excel and VOSviewer software were used for data analysis. Results: A total of 207,683 documents were found on APM worldwide and the highest number of documents has been contributed by the United States (39%). About 41% of the documents were published in the last five years (2018-2022). Saudi Arabian authors produced 1,085 (0.52%) documents in 40 years from 1983 to 2022. More than half of the documents were published in the last five years and the ratio of open-accessed documents was found higher as compared to subscription-based documents. Saudi authors collaborated with authors from 109 countries but most of the research was performed with Egypt and the United States. Saudi Journal of Anaesthesia was the most frequent source of publication. The major funding sources and most occurred keywords were also analyzed. Conclusion: The current study has examined the research growth on APM produced by Saudi Arabia for 40 years. Overall, the share of Saudi Arabia in APM research at the global level was recorded at 0.52 percent, but the share was a bit increased and reached on 0.70 percent during the last five years of study. This increase has been strongly correlated with government investment in human resources and the development of healthcare and educational infrastructure. Keywords: Bibliometric, Anesthesia, Research productivity,
Obesity in Pregnancy Maternal and Fetal Outcome
Authors: Siddique Sajida Munir , Ahuja Kanta Bai , Sahito Rozina Mujeeb , Baloch Sanobar , Jan Mir Mehrab
Published: December 2023

Background: The presence of excessive weight in mothers during pregnancy and childbirth can result in significant issues in different stages of pregnancy, delivery, postpartum and also newborn health. The aim of the present study was to examine the influence of maternal obesity on diverse consequences for both the mother and the developing baby. The main objective was to contrast the effects of obesity on outcomes during pregnancy and childbirth for overweight expectant mothers versus those with a healthy weight. Material and Methods: The investigation was carried out on pregnant women who attended the antenatal clinic at Indus Medical College Tando Muhammad Khan. The investigators utilized a sequential sampling technique and handpicked 56 cases and 56 controls. The data was analyzed using IBM SPSS 22.0 software. The chi-square test was used to identify discrepancies in proportions, while the independent t-test and ANOVA were utilized to contrast the means. They also conducted Pearson's correlation to investigate the connection between maternal BMI and birth weight. Results: There were a total of 112 patients included in the study. There were 56 cases (patients) and 56 controls (healthy individuals). Women with gestational diabetes mellitus had a significantly higher proportion of complications compared to those without gestational diabetes mellitus (32.1% vs. 7.14%, p-value=0.02). Regarding the mode of delivery, women who underwent caesarean section had a significantly higher proportion of complications compared to those who had a vaginal delivery (37.5% vs. 62.5%, p-value=0.02). For post-partum complications, the proportion of women with postpartum fever and wound infection was very low, and no statistical comparison was made. Conclusions: The current research provided clear evidence that maternal obesity can result in negative outcomes for both the mother and fetus. In addition, the study showed that there was an increased need for induction of labor and operative interventions in women who were obese. Keywords: Fetal outcome, Maternal outcome, obesity in pregnancy
Confecção de um mapa tátil da cidade de Bagé-RS
Authors: Nunes Alexandre , Ferreira Cristiano , Fonseca Daniel
Published: December 2023

O artigo faz uma investigação sobre a cartografia escolar inclusiva e está estruturado na apresentação de uma proposta cartográfica para a cidade de Bagé-RS. O objetivo geral da ação é desenvolver um mapa tátil, utilizando uma máquina CNC de corte a laser, para promover a inclusão e acessibilidade de informações geográficas para pessoas com e sem deficiência visual. Dessa forma, pretende-se também discorrer sobre a geografia inclusiva; contextualizar o município escolhido para a produção do mapa tátil e analisar a eficácia do uso de materiais didáticos táteis no ensino de Geografia. A produção do mapa tátil da geomorfologia da área urbana do município de Bagé-RS foi realizada em etapas distintas, envolvendo aquisição de dados, processamento e utilização de ferramentas de geoprocessamento e corte a laser CNC. Espera-se que o mapa tátil possibilite às pessoas com deficiência visual a capacidade de "sentir" e compreender a paisagem de forma tátil, contribuindo, dessa forma, para a igualdade de oportunidades no ensino de Geografia.
IMPLEMENTASI METODE GAUSSIAN FILTERING DALAM MENGURANGI NOISE PADA PENGOLAHAN CITRA DIGITAL
Authors: Sugandi Febri
Published: December 2023

Penghalusan citra merupakan variasi intensitas suatu piksel yang tidak berkorelasi dengan piksel tetangga yang mudah dilihat oleh mata karena terlihat berbeda. Dengan melakukan penghalusan citra diharapkan citra menjadi lebih terlihat. Dalam kasus tertentu, penghalusan gambar memang dilakukan untuk memperhalus permukaan gambar, seperti menghilangkan detail-detail kecil. Filter Gaussian merupakan mask yang juga sering digunakan untuk penghalusan citra yaitu masker penghalus gaussian. Adanya peningkatan kualitas pada citra dapat memperbaiki citra yang memiliki kualitas sangat rendah dengan adanya filter gaussian.