bluuebunny/crossref_metadata_2025 huggingface dataset:
Ranula
Authors: Abdullahi Mohammed , Taiwo Abdurrazaq Olanrewaju , Iseh Kurfre Roberts , Amutta Stanley Baba
Published: April 2021

Background:

Ranula may grow into a considerable size as to cause obstructive symptoms, especially in infants when neglected. The aim is to describe the clinical presentation, treatment, and outcome of ranulas.

Methods:

This is a retrospective study of patients with ranulas that presented during the periods of January 2000 to December 2019 in the Department of Otorhinolaryngology, Dental and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Northwest, Nigeria.

Results:

A total of 29 patients were seen during the review period: twelve (41.4%) males and 17 (58.6%) females. Age ranged from 3 days to 48 years (median 3 years). Most of the patients 19 (65.5%) were below the age of 10 years. Twenty-one (72.4%) patients had simple oral ranulas: 8 (38.1.6%) patients were congenital ranulas characterized by tongue protrusion and dysphagia. Plunging ranulas were seen in 8 (27.5%) patients, and 2 (25%) of these patients were HIV infected. Simple marsupialization was done for 10 (34.5%) patients, and one of these patients had an elective tracheostomy for difficult intubation. Sublingual gland excision and with the evacuation of the cyst were done for 16 (55.2%) patients. One of the patients with plunging ranula opted for conservative management. Only 12 (41.4%) patients came for follow up: a patient had recurrence 2 years after excision of plunging ranula.

Conclusion:

Ranula, when neglected can cause obstructive symptoms presenting as tongue protrusion in children. Inadequate follow up was seen in the majority of the patients. Adequate follow up to determine the recurrence, especially those who had marsupialization, is most desirable.
Torsion of suprahepatic gall bladder
Authors: Nho Woo Young , Kim Jae Oh , Nam Soon Young , Kee Se Kook
Published: April 2021

Suprahepatic gall bladder is rare, and torsion of the ectopic gall bladder is extremely rare. We report a patient of acute suprahepatic cholecystitis with torsion. A 69-year-old Korean male was admitted to our hospital for sudden-onset, severe epigastric pain. Abdominal computed tomography and ultrasonography showed a distended gall bladder with diffuse wall thickening and scanty pericholecystic fluid, which was located in ectopic suprahepatic position, accompanied by S4 hypotrophy of the liver without gallstones. Emergency laparoscopic cholecystectomy was performed, and intraoperative findings revealed a distended and ischaemic gall bladder that was located in the suprahepatic position and had twisted along the cystic duct and artery pedicle in a clockwise manner. Detorsion was done and the gall bladder was resected. Unfortunately, the pre-operative diagnosis of gall bladder torsion was missed, and a definite diagnosis was made at the time of surgery. The patient was discharged on the 4th post-operative day.
Pulmonary Artery Hypertension
Authors: Bhagwati Mohit , Mehrotra Rahul
Published: April 2021

Pulmonary artery hypertension (PAH) is a rare progressive disease affecting pulmonary arterial vasculature and the right side of the heart. The disease is notorious for its ominous course and high accelerated rates of mortality. Due to its varied etiology, it requires stepwise evaluation to differentiate various causes of PAH. With the advent of new drugs and improved registry-based data, there has been a global effort to reduce the morbidity and mortality of this disease. Therefore, all efforts should be made for quick diagnosis and uniform workup to reach the etiologic and hemodynamic diagnosis. There is a need of specialized PAH clinics and PAH specialists to cater to the needs of these patients who require multidisciplinary clinical care. This review aims to discuss the important aspects of the disease and its management in a ward round scenario as a case-based discussion format to put emphasis on the recent guidelines and classification.
Double Whammy
Authors: Banerji Antara , Tiwari Pradyot
Published: April 2021

We present a rare case of a 48 year old man, coming with Rheumatic heart disease, mitral regurgitation, aortic regurgitation and LV non compaction. This is a very rare combination of diseases.
Hydroxychloroquine and Azithromycin Use in COVID-19 Era and Cardiovascular Concerns
Authors: Kapoor Aditya , Sahu Ankit Kumar
Published: April 2021

In the present era of coronavirus disease 2019 (COVID-19) pandemic, lack of an established and effective targeted therapy sans a vaccine is proving to be a major hurdle in containing the contagion. Hydroxychloroquine (HCQ), a widely used antimalarial and anti-inflammatory drug, has been proposed for coronavirus infection management by various drug regulatory authorities for emergency use including Indian Council of Medical Research. However, clinical safety concerns primarily regarding cardiovascular issues have been raised against HCQ usage, especially in relatively higher dosage in conjunction with azithromycin (AZM) coprescription. HCQ and to some extent, AZM have proven to be effective against COVID-19. Barring a small at-risk population for cardiovascular adverse effects, their clinical use in the treatment and prevention of COVID-19 was deemed to be beneficial and even recommended by various national and international representative societies including the World Health Organization, especially in high-risk individuals such as health-care workers and exposed contacts of coronavirus positive patients under due medical supervision. Multiple studies evaluating the anticoronaviral efficacy for prevention as well as for treatment prospect were conducted, but none could convincingly demonstrate a beneficial effect of HCQ with or without AZM on alleviating symptoms, shortening hospitalization, improving survival, or preventing disease transmission.
One Year Outcomes Following Orthotopic Heart Transplantation at a Tertiary Care Center in India
Authors: Rabbani Syed Shamayal , Singh Sarvesh Pal , Seth Sandeep , Goyal Anurag , Sahu Manoj Kumar , Hote Milind P
Published: April 2021

Introduction:

Cardiac transplantation remains the gold standard for end stage heart failure. Even after 25 years, the progress of heart transplants in India has not been as expected, especially in the public sector. Till recently, ours was the only government hospital in India with a successfully running heart transplant program. This study's primary objective was to evaluate the 1-year survival of heart recipients in the past 5 years at our center and risk factors associated with early mortality. The secondary objective was to assess the correlation between per capita income and quality of life (QOL).

Methodology:

A retrospective analysis of records of 40 transplant patients, performed between June 2014 and June 2019 at our center, was done to calculate 1-year survival and evaluate risk factors for mortality. The following risk factors were analyzed for a significant correlation with mortality-infections, primary graft dysfunction (PGD), allograft rejection, ischemia time, and Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) score. Adults (>18 years of age) who are in the current follow-up (n = 21) were interviewed for the evaluation of their per capita income and QOL. A correlation was sought for between per capita income and QOL.

Results:

The mean age of patients was 31.2 ± 12.7 years. The 1-year survival of patients transplanted during 2014–2015 and 2016–2019 was 65% and 85%, respectively. None of the risk factors studied correlated with mortality. The most common cause of death in the 1st year following transplant was an infection. A total ischemia time of more than 240 min, higher preoperative PA pressures, and INTERMACS score ≤2 are significant risk factors for developing PGD. The mean monthly per capita income of the 21 patients, interviewed for QOL, is 7142 ± 3050. The cost of heart transplant for the first 2 years (including surgical expenses) is 997,760 ± 104,751 rupees at our institute, and the current mean monthly spending for medicines is 15,214 ± 5041.

Conclusion:

The 1-year survival of patients transplanted during 2014–2015 and 2016–2019 was 65% and 85%, respectively. There was no correlation between infections, PGD, allograft rejection, ischemia time, INTERMACS score, and mortality. The QOL of heart recipients, from economically weaker sections, is similar to that of India's general population. There is no correlation between per capita income and QOL after a heart transplant.
An Unusual Case Report of Two Cases with Coexisting Type I Aortopulmonary Window with Tetralogy of Fallot with Pulmonary Atresia
Authors: Vaswani Prateek , Rajashekar Palleti , Devagourou Velayoudam
Published: April 2021

Aortopulmonary window is an uncommon truncal anomaly. Its coexistence with tetralogy of Fallot (TOF) with pulmonary atresia is rare. This rare complex association is always a surgical challenge due to lack of an established surgical approach. The association with TOF makes the interventional approach unlikely. In the two cases summarized below, we have addressed the investigation strategy reaching the final diagnosis. The surgical interventions and our decision-making in the final adopted technique have been highlighted. The relevant surgical outcome with postoperative follow-up has been discussed. The rarity of this association without a standard management algorithm mandates the relevance of this presentation.
Congenital isolated unilateral hypoplasia of the left pulmonary artery
Authors: Jariwala Pankaj , Giragani Suresh , Maturu Venkata Nagarjuna
Published: April 2021

Congenital isolated unilateral hypoplasia of the pulmonary artery (CIUPAH) can have late presentation in the adulthood, mostly diagnosed incidentally, as in our case. They may have symptoms such as exertional dyspnea, recurrent lung infections, and hemoptysis. Although the surgical management is a definitive treatment modality, it depends on the presence of reversible pulmonary hypertension and size of the pulmonary arteries; interventional and medical management can be attempted as a palliative therapy in cases where definitive surgical management is not feasible. We have discussed a rare case of isolated unilateral pulmonary artery hypoplasia which is a congenital anomaly of the lung vasculature without associated congenital heart disease manifested in adulthood.
Co-existing obstructive sleep apnea among patients with chronic obstructive pulmonary disease
Authors: Nattusami Loganathan , Hadda Vijay , Khilnani Gopi C , Madan Karan , Mittal Saurabh , Tiwari Pawan , Mohan Anant , Khan Maroof Ahmad , Guleria Randeep
Published: April 2021

Background and Objectives:

Chronic obstructive pulmonary disease (COPD) is a common airway disease that is frequently associated with comorbidities. In this study, we assessed the co-existence of obstructive sleep apnea (OSA) among patients with stable COPD.

Methodology:

This cross-sectional study included patients with stable COPD who were screened with Epworth's Sleepiness Scale (ESS). Those with ESS score of >10 were subjected to in-lab polysomnography (PSG). PSG was manually analyzed and reported. Patients with apnea–hypopnea index of >5/h were diagnosed as OSA.

Results:

This study included 301 patients (78.1% male, 76.4% smokers, age 59.6 ± 10 years) with stable COPD. ESS score of >10 was observed in 47 (15.6%) patients. Among patients with ESS score of >10, OSA was observed in 34 (72.3%) patients. The overall prevalence of OSA among patients with COPD was 10.9%. Patients with co-existing OSA were older and had thicker neck and higher body mass index (BMI) as compared to COPD alone. In addition, patients with associated OSA had worse health-related quality of life (QOL) as shown by higher St. George's Respiratory Questionnaire score (42.42 ± 7.22 vs. 25.22 ± 8.66; P < 0.001).

Conclusions:

Co-existing OSA is common among patients with COPD and has a significant adverse effect on the QOL. Among COPD patients, older age, thick neck, and high BMI may predict co-existing OSA and require PSG for the confirmation.
Study of respiratory viruses and their coinfection with bacterial and fungal pathogens in acute exacerbation of chronic obstructive pulmonary diseases
Authors: Jahan Rahat , Mishra Baijayantimala , Behera Bijayini , Mohapatra Prasanta Raghab , Praharaj Ashok Kumar
Published: April 2021

Background:

Patients with chronic obstructive pulmonary disease (COPD) develop acute exacerbations (AE), with varying natural history. The exacerbation is triggered by infection, leading to increased morbidity and mortality. The study on infectious aetiology of AECOPD is largely restricted to only viral or only bacterial aetiology. There are no studies from India that have investigated multiple viral, bacterial, and fungal associations from the same group of patients. This prospective study was conducted over 2 years to estimate the incidence and profile of viral infections in AECOPD patients, their coinfection with other bacterial and fungal agents, and association of the type and pattern of infective agent with the clinical severity.

Materials and Methods:

Seventy-four AECOPD cases were included in the study. Multiplex polymerase chain reaction was performed from nasopharyngeal swab using Fast Track Diagnostics Respiratory Pathogens 21 Plus Kit. Ziehl–Neelsen (ZN) stain, Modified ZN, and potassium hydroxide (KOH) mount were performed for Mycobacteria, Nocardia, and fungal elements. Bacterial cultures and fungal cultures were done as per the standard techniques. Serum samples were tested for Mycoplasma and Chlamydia pneumoniae immunoglobulin M enzyme-linked immunosorbent assay.

Results:

The number of AECOPD events involving only viral infection, only bacterial infection, bacterial–viral coinfection, and no infection were 43 (58.1%), 32 (43.2%), 20 (27%), and 19 (25.7%), respectively. Influenza A virus was the most common virus (22/43, 51%) identified. In 26 patients, monoviral infections were found, and in 17 patients, polyviral infections were identified, the most common pattern being influenza A and B virus, followed by human rhinovirus and human parainfluenza. The most common bacteria isolated were Pseudomonas aeruginosa (9/32,28%) followed by Acinetobacter baumanii and Klebsiella pneumoniae (7/32, 21%). Among the viral–bacterial coinfection, human coronavirus NL63 infection was always associated with a bacterial infection.

Conclusion:

This information on the various viral and bacterial etiologies of respiratory infections in AECOPD in this part of India will improve the understanding of the management of AECOPD using a timely institution of antivirals and reduce the overuse of antibiotics and the implementation of routine influenza vaccination.
Percutaneous core needle biopsy in the diagnosis of lung lesions
Authors: Parigi Madhavi , Hui Monalisa , Uppin Shantveer G , Kapoor Anu , Kumar N Narendra , Bhaskar K , Stalin Bala Joseph , Sadashivudu G , Paramjyothi GK
Published: April 2021

Context:

Percutaneous needle biopsy of lung (PCNBL) is advantageous over bronchoscopic biopsies to obtain adequate sample for peripheral lung lesions.

Objective:

The objective was to evaluate the diagnostic yield of image-guided PCNBL in the diagnosis of lung lesions and to classify lung carcinomas as per the recently proposed International Association for the Study of Lung Cancer (IASLC)/American Thoracic Society/European Respiratory Society classification for small biopsies modified and adopted by the World Health Organization, 2015.

Materials and Methods:

A total of 280 image-guided PCNBL were analyzed. The radiological findings and routine hematoxylin and eosin (H&E)-stained sections along with immunohistochemistry (IHC) were analyzed in all the cases. Molecular testing was done depending on tissue diagnosis and availability.

Results:

Majority (81%) were diagnosed as malignant lesions, with adenocarcinoma (ADC) being the most common. More than 70% were diagnosed on H&E morphology alone, with thirty cases requiring IHC to categorize as ADC. Nearly 60% were categorized as squamous cell carcinoma on morphology alone and the rest required IHC. Though TTF1 showed higher sensitivity than napsin A, the latter is more specific. Both p63 and p40 were found to be highly sensitive for squamous cell carcinoma, but p40 was more specific than p63. Epidermal growth factor receptor could be evaluated on 94.4% of ADC samples, indicating good yield for molecular testing.

Conclusion:

PCNBL yields adequate sampling for tissue diagnosis and ancillary testing with minimal complications. The use of IHC markers reduces the number of non-small-cell not otherwise specified cases significantly.
Bilateral meandering pulmonary vein complex and unusual associated cardiovascular anomalies and shunt
Authors: Arwikar Dev , Baxi Ameya , Restrepo Carlos , Bhat Ambarish , Rajiah Prabhakar , Saboo Sachin S
Published: April 2021

Meandering pulmonary vein (MPV) is a rare entity that can be associated with an additional cardiac and pulmonary venous variations, including left-to-right shunts. Clinicians should consider further workup with dedicated cardiac imaging to evaluate for associated cardiovascular abnormalities after an abnormal pulmonary vein draining is initially identified on routine computed tomography or echocardiogram. Pulmonary venous variations in MPV represent a spectrum of disorders, and no consistent nomenclature has been established.
A systematic review of utility of urine lipoarabinomannan in detecting tuberculosis among HIV-positive tuberculosis suspects
Authors: Chatla Chakrapani , Mishra Neetu , Jojula Malathi , Adepu Rajesham , Puttala Mallikarjun
Published: April 2021

Sputum smear microscopy (SSM), though regarded as an inexpensive and popular method for detecting tuberculosis (TB), lacks adequate sensitivity, specifically in adult people living with HIV/AIDS (PLHIV). Urine lipoarabinomannan (LAM) is a promising diagnostic tool among PLHIV with CD4 cell count < 200 cells/μl. We attempted to review all the studies undertaken in identifying the utility of urine LAM in diagnosing TB, especially among PLHIV. We searched PubMed, Google Scholar, and MEDLINE databases for studies reporting diagnostic utility of urine LAM status in PLHIV, published in the last 20 years till December 2019. The keywords used for searching were “Tuberculosis,” “HIV/AIDS,” “Diagnosis,” “Screening” “Lipoarabinomannan,” and “Urine.” Our search resulted in 137 shortlisted citations, of which 67 related manuscripts were identified for detailed study. Based on inclusion and exclusion criteria, 37 studies were reviewed in detail. Average sample size of these studies was 464 (range = 81–2528; SD = 427). Crude average sensitivity of urine LAM in culture-confirmed TB cases was 44.1% (range = 8.3–93) while that of SSM was 38.6% (range = 14–65). However, sensitivity of urine LAM + SSM was 60.4% (range = 38.3–92.7), demonstrating the utility of SSM + urine LAM combination for detecting TB. Specificity was similar between urine LAM and SSM with 92.7% (range = 76–100) and 97.9% (range = 93.9–100), respectively. Majority of the studies demonstrated higher sensitivity of urine LAM in those with lesser the CD4 count, with immunocompromised and with debilitation who cannot produce self-expectorated sputum. We conclude that urine LAM is a potential diagnostic test in the algorithms involving immunocompromised, debilitated patients and specifically in PLHIV whose CD4 count is ≤100 cells/μl.
Farklı Alüminyum Alaşımlarının Tornalanmasında Alaşım Cinsinin Kesici Takım Davranışı, Talaş Biçimi Ve Yüzey Pürüzlülüğüne Etkisi
Authors: BİCAN Osman , PUL Muharrem
Published: April 2021

Bu çalışmada endüstride yaygın olarak kullanılan Al2024, Al6061 ve Al7075 alüminyum alaşımının tornalanmasında, kesici takım aşınma davranışları, talaş şekilleri ve yüzeylerin pürüzlülüklerinin karşılaştırılması yapılmıştır. İşleme deneyleri sonucunda; neredeyse tüm kesici takımlarda yığıntı talaş (YT) meydana gelmiştir. YT miktarları olarak bakıldığında en fazla YT Al2024 alüminyum alaşımında meydana gelirken, en az YT oluşumu Al7075 alüminyum alaşımında gözlenmiştir. Artan kesme hızı ile YT miktarlarında azalma görülmüştür. Kesici takımlarda az miktarda yan yüzey aşınması tespit edilmiştir. İşleme deneylerinde genel olarak uzun helisel, kısa helisel, kavisli bitişik ve dolaşık olmak üzere dört çeşit talaş tipi oluşmuştur. Kesme hızının artmasıyla Al2024 alüminyum alaşımında yüzey pürüzlülük değerleri azalırken, Al6061 alaşımında pürüzlülük değerleri yükselmiştir. Kullanılan kesme parametrelerine göre işlenebilirlik açısından değerlendirme yapıldığında, Al 7075 alüminyum alaşımının diğerlerine göre daha uygun olduğu sonucuna varılmıştır.
Sistem Informasi Pendataan Prestasi Pelajar Di Dinas Pendidikan Kabupaten Gayo Lues
Authors: Ardiata Ardiata , J. Prayoga J. Prayoga , Elyas Ananda Hadi
Published: April 2021

Abstrak- Dinas Pendidikan Kabupaten Gayo Lues mendata pelajar di setiap sekolah yang berada di lingkup kabupaten Gayo Lues. Setiap pelajar tercatat di dalam basis data Dinas Pendidikan Kabupaten Gayo Lues diantaranya biodata pelajar, nilai-nilai pelajar dan kelulusan pelajar. Dinas Pendidikan Kabupaten Gayo Lues menyediakan dana kuliah gratis untuk melanjutkan ke jenjang sarjana. Oleh karena itu Dinas Pendidikan Kabupaten Gayo Lues menunggu setiap sekolah mengajukan data pelajar berprestasi untuk rekomendasi dana kuliah gratis. Akan tetapi pendataan prestasi pelajar di dalam Dinas Pendidikan Kabupaten Gayo Lues menggunakan aplikasi MS. Excel sehingga untuk penyimpanan data menjadi lebih memerlukan banyak kapasitas data. Penelitian ini membuat sebuah sistem yang dapat mempermudah pendataan prestasi pelajar di Dinas Pendidikan Kabupaten Gayo Lues. Dengan adanya sistem informasi pendataan prestasi pelajar maka Dinas Pendidikan Kabupaten Gayo Lues dapat dengan mudah mengelola data prestasi pelajar.Kata Kunci- Sistem Informasi, Pendataan, Dinas Pendidikan, HTML, PHP, MySQL.
SISTEM INFORMASI PENDATAAN HASIL PENJUALAN BBM PADA SPBU KSO 14.202.1119 SUTOMO MEDAN
Authors: Triaulia Eli , Zulham Zulham , Rusydi Ibnu
Published: April 2021

Abstrak - SPBU KSO 14.202.1119 menyajikan informasi secara cepat, tepat serta akurat kepada pihak-pihak pekerja. SPBU KSO 14.202.1119 Sutomo Medan begerak dalam bidang pelayanan, penjualan dan jasa. Selama melakukan penelitian di SPBU KSO 14.202.1119 Sutomo Medan, peneliti menemukan masalah sistem pada bagaian pendataan hasil penjualan, masalah yang terjadi yaitu pendataan hasil penjualan masih ditulis dalam bentuk dokumen sehingga pekerja sulit untuk menyajikan laporan, dan pekerja untuk mencari hasil laporan data menjadi rumit. Oleh karena itu penelitian ini membuat sebuah sistem informasi yang dapat mendata dan menghasilkan laporan penjualan BBM berdasarkan penjualan BBM setiap harinya. Sistem dibuat menggunakan pemrograman web yang menggunakan bahasa pemrograman HTML, PHP dan basis data MySQL. Penelitian ini bertujuan untuk mempermudah administrasi pengelola data hasil penjualan BBM dalam pembuatan laporan penjualan. Kata Kunci : Sistem Informasi, Basis Data, Data Flow Diagram, Entity Relationship Diagram, Flowchart, HTML, PHP, MySQL.
Availability of ICT Facilities and Teachers’ Competence in the Use of ICT among Public Secondary Schools in Ngara District, Tanzania
Authors: Fidelis Faith , Oduor Onyango Daniel
Published: April 2021

This study sought to establish the availability of ICT facilities and teachers competence in the use of ICT among public secondary schools in Ngara, Tanzania. The study employed a mixed research approach in that interview schedule and questionnaire were employed as sources of data. The population of the study was 525 stakeholders from 31 secondary schools, including the DEO, the WEO, the Heads of schools, ICT manager and teachers. Simple random sampling and purposive sampling were used to determine the sample of 84 respondents from four randomly selected schools. Qualitative data was analyzed based on themes while quantitative data was analyzed descriptively. The study revealed that the schools faced non availability of ICT facilities and internet connection. They also faced limited electricity supply and limited funds for maintenance of facilities. Furthermore, a significant number of teachers did not have competence in any of the aspects of computer. Very few could use internet while another few had some competence in hardware and programming. Therefore, it was recommended that the government and other education stakeholders should organize for seminars and workshop for capacity building so that teachers may gain knowledge and competence in the use of ICT facilities. The Ministry of Education should allocate funds for buying ICT facilities and devices and for maintenances.
Pengaruh Gaya Kepemimpinan, Komunikasi, dan Insentif terhadap Kinerja Karyawan pada PT. Romi Violeta Sidoarjo
Authors: Rahmadani Kurnia , Widyaningrum Mahmudah Enny , Noviandari Indah
Published: April 2021

Tujuan penelitian ini adalah untuk mengetahui tentang pengaruh gaya kepemimpinan, komunikasi, dan insentif terhadap kinerja karyawan pada PT. Romi Violeta Sidoarjo. PT. Romi Violeta Sidoarjo merupakan salah satu perusahaan manufaktur dan pengekspor furniture terbesar di Indonesia, dengan spesialisasi produk di bidang rotan dan kayu. Dari beberapa faktor kinerja karyawan peneliti memilih gaya kepemimpinan, komunikasi, dan insentif karena dirasa ketiga variabel terdapat masalah pada PT. Romi Violeta Sidoarjo. Dalam penelitian ini yang menjadi responden adalah karyawan PT. Romi Violeta Sidoarjo dengan jumlah populasi 120 orang dan 92 responden dari jumlah populasi peneliti menggunakannya sebagai sampel penelitian diambil dengan metode proportionate stratified random sampling. Data yang digunakan dalam penelitian ini adalah data primer yang diperoleh dengan menyebarkan kuisioner kepada seluruh karyawan.Teknik analisis data yang digunakan adalah analisis regresi linier berganda dengan menggunakan uji F, uji T, serta melihat pengaruh dominan dengan taraf signifikan 5%. Hasil pengujian terbukti bahwa variabel Gaya Kepemimpinan, Komunikasi, dan Insentif berpengaruh secara simultan dan signifikan terhadap Kinerja Karyawan dengan hasil regresi linier berganda dalam uji F diperleh nilai Fhitung 73,277 lebih besar dari Ftabel 2,71 dan nilai signifikan yang dihasilkan sebesar 0,000 lebih kecil dari α sebesar 0.05. Sedangkan pengaruh secara parsial dan signifikan melalui uji T diperoleh Thitung untuk masing-masing variabel bebas yaitu variabel Gaya Kepemimpinan (X1) sebesar 3,887, Komunikasi (X2) sebesar 2,963, dan Insentif (X3) sebesar 4,253 lebih besar dari Ttabel sebesar 1,991, maka variabel Gaya Kepemimpinan, Komunikasi, dan Insentif berpengaruh secara parsial dan signifikan terhadap variabel Kinerja Karyawan. Sedangkan variabel Insentif berpengaruh dominan terhadap Kinerja Karyawan pada PT. Romi Violeta Sidoarjo dengan dengan koefisien β (beta) terbesar yaitu 0,378.
Analisis SWOT sebagai Perencanaan Strategi Pengembangan Usaha pada Aspek Operasional Perusahaan Cargo PT. Power Express Indonesia
Authors: Ningrum Mila Priwanti , Pribadiyono Pribadiyono , Istanti Enny
Published: April 2021

PT. Power Express Indonesia merupakan sebuah perusahaan yang bergerak di bidang jasa pengiriman barang melalui udara (cargo). Tujuan dari penelitian ini adalah melakukan analisis SWOT terhadap PT. Power Express Indonesia untuk mengetahui posisi perusahaan. Melalui analisis SWOT perusahaan mampu melihat kondisi bisnisnya secara keseluruan. PT. Power Express Indonesia berada di kuadran I, posisi ini menandakan perusahaan di posisi kuat dan berpeluang maka strategi yang harus diterapkan adalah SO: Adanya pelatihan bagi karyawan untuk meningkatkan tenaga kerja yang berkualitas memenuhi standart untuk menjaga hubungan baik dengan pelanggan, Keramahan Customer Service dalam bekerja sesuai dengan standart pelayanan yang membuat pelanggan tetap banyak. Dan untuk menghadapi pesaing strategi yang di gunakan perusahaan Matrik Internal-Eksternal yaitu : Meningkatkan kualitas tenaga kerja untuk menghadapi pesaing baru, Meningkatkan pelayanan yang terbaik, Menanggapi komplain pelanggan dengan baik, Meningkatkan jenis usaha yang dikelola sesuai dengan keinginan konsumen, Memberikan harga yang terjangkau dengan kualitas pengiriman yang terbaik.
Analisis SWOT untuk Mengetahui Positioning Perusahaan dalam Menentukan Strategi Perusahaan PT. Piramid Mas Perdana Divisi Airport Sidoarjo
Authors: Santoso Dicky Zulyanzah , Pribadiyono Pribadiyono , Rapitasri Diana
Published: April 2021

Penelitian dengan judul “Analisis SWOT Untuk Mengetahui PositioningPerusahaan Dalam Menentukan Strategi Perusahaan Pada PT. Piramid Mas Perdana Divisi Airport Sidoarjo, ini dibuat dengan mempertimbangkan semakin meningkatnya intensitas persaingan yang terjadi dalam bisnis perindustrian. Melalui analisis SWOT perusahaan mampu melihat kondisi bisnisnya secara keseluruhan. PT. Piramid Mas Perdana Divisi Airport Sidoarjo berada dikuadran I, posisi ini menandakan yang kuat dan berpeluang maka strategi yang harus diterapkan adalah SO: Meningkatkan kualitas produk agar lebih memuaskan pelanggan, Mempertahankan kesesuaian harga yang diharapkan pelanggan, Memberikan pelayanan dan hasil yang memuaskan, Meningktakan sistem pemasaran yang lebih luas. Adapun strategi bersaing menggunakan Matrik Internal-Eksternal yaitu: Menciptakan pelayanan yang lebih baik agar dapat memuaskan pelanggan, Menjaga kualitas produk agar citra baik perusahaan tetap terjaga, Memanfaatkan teknologi modern, Memanfaatkan teknologi modern, Memberikan harga yang terjangkau dengan kualitas prodak yang baik, Meningkatkan sistem pemasaran yang lebih luas.
Pengaruh Kualitas Produk Pelayanan dan Persepsi Harga terhadap Kepuasan Pelanggan di PT. Supravisual Mandiri Surabaya
Authors: Renald Vandy , Rosyafah Siti , Noviandari Indah
Published: April 2021

Penelitian ini bertujuan untuk mengetahui dan menguji Pengaruh kualitas produk terhadap kepuasan pelanggan PT. Supravisual Mandiri di Surabaya. Populasi dalam penelitian ini adalah pelangganPT. Supravisual Mandiri di Surabaya. Penelitian ini merupakan penelitian kuantitatif, Sampel yang digunakan dalam penelitian ini ditentukan dengan teknik sensus atau jenuh yaitu sebanyak 100 orang. Teknik analisis pada penelitian ini hanya menggunakan metode analisis regresi linear berganda, koefisien determinasi, uji F (simultan), uji t (parsial), dan uji dominan. Hasil penelitian menunjukkan bahwakualitas produkberpengaruh signifikan terhadap kepuasan pelanggan, pelayanan berpengaruh terhadap kepuasan pelanggan dan persepsi harga berpengaruh signifikan terhadap kepuasan pelanggan. Secaradominan variabel yang mencapai nilai dominan adalah kualitas produk.
Pengaruh Gaya Kepemimpinan, Komunikasi dan Disiplin Kerja terhadap Kinerja Karyawan pada CV. Bintang Tex Indonesia
Authors: Firdailla Wardha , Widyaningrum Enny , Rahmasari Anggraeni
Published: April 2021

The purpose of this study was to determine and analyze whether the variables of leadership style, communication, and work discipline simultaneously and partially affect the performance of employees of CV. Bintang Tex Indonesia. And to find out which variables of leadership style, communication and work discipline that influence dominantly on the performance of employees of CV. Bintang Tex Indonesia. Hypothesis testing is done based on quantitative tests with statistical test equipment, measuring variables using a Likert scale type by distributing questionnaires. The population in this study were the employees of CV. Bintang Tex Indonesia. The sampling technique is done by using the saturation sampling technique. The sample of this study was 60 people. The data technique uses multiple linear regression. After conducting research and analysis it can be concluded that the leadership style, communication and work discipline variables have a significant and partial effect on employee performance on the CV. Bintang Tex Indonesia. While the dominant results are based on the beta coefficient value of each leadership style variable (X1) 0.181, communication (X2) 0.509, and work discipline (X3) 0.296. Then the communication variable (X2) dominant effect on employee performance CV. Bintang Tex Indonesia.
ĐÁNH GIÁ ẢNH HƯỞNG CỦA YẾU TỐ ĐẤT ĐAI ĐẾN THU NHẬP CỦA NÔNG HỘ TRÊN ĐỊA BÀN THỊ XÃ HƯƠNG TRÀ, TỈNH THỪA THIÊN HUẾ
Authors: Hoàng Hồ Việt , Hóa Nguyễn Gia , Hà Trịnh Ngân
Published: April 2021

Thu nhập của hộ gia đình ở khu vực nông nghiệp vẫn là một vấn đề nan giải tại Việt Nam nói chung và ở thị xã Hương Trà nói riêng. Nghiên cứu nhằm xác định mối quan hệ và mức độ tác động của yếu tố đất đai đến thu nhập của nông hộ, từ đó đề xuất giải pháp tăng thu nhập cho nông hộ dựa vào mở rộng quy mô đất nông nghiệp tại thị xã Hương Trà. Để đạt được mục tiêu đề ra, nghiên cứu đã tiến hành khảo sát 90 nông hộ tại 02 phường và 01 xã có diện tích đất nông nghiệp nhiều nhất tại địa bàn nghiên cứu là phường Hương Vân, phường Hương Xuân và xã Hải Dương. Số liệu sau khi thu thập được nhập liệu vào phần mềm SPSS 20 để tiến hành phân tích thống kê mô tả, phân tích tương quan và phân tích hồi quy nhằm xác định các yếu tố ảnh hưởng chủ yếu cũng như mức độ ảnh hưởng của các yếu tố này đến thu nhập của nông hộ. Kết quả nghiên cứu cho thấy yếu tố diện tích đất nông nghiệp có mức độ ảnh hưởng lớn nhất đến thu nhập của các nông hộ với giá trị hồi quy lớn nhất với β5 = 0,282, tiếp đến lần lượt là các yếu tố trình độ học vấn (β1 = 0,273), nghề nghiệp chính (β4 = 0,273), khoảng cách đến thị trường tiêu thụ (β3 = -0,257) và khả năng áp dụng kỹ thuật canh tác (β2 = 0,196). Dựa vào đó, nghiên cứu đã đưa ra hai giải pháp cụ thể góp phần nâng cao thu nhập của nông hộ tại thị xã Hương Trà trong thời gian tới, bao gồm: giải pháp cho thuê đất nông nghiệp và góp vốn quyền sử dụng đất.

ABSTRACT

Household income in the agricultural sector has been a troubling issue in Vietnam in general and in Huong Tra town in particular. The study aimed to determine the relationship and the degree of the impact of the land element on farmers’ income, thereby proposing solutions to increase household incomes based on the expansion of agricultural land in Huong Tra town. To achieve the proposed target, the study surveyed 90 households in two wards and one commune with the largest agricultural land in the study area, which was Huong Van ward, Huong Xuan ward, and Hai Duong commune. The collected data was entered into SPSS software version 20 to conduct descriptive statistical analysis, correlation analysis, and regression analysis to identify the main influential factors as well as the impact levels on farmers’ income. The research results showed that the agricultural land area has the biggest influence on the income of households with the largest regression value with β5 = 0,282, followed by the educational level factors (β1 = 0,273), main occupation (β4 = 0,273), distance to the consumer market (β3 = -0,257) and applicability of farming techniques (β2 = 0,196). Therefore, the study has given two specific solutions that contribute to raising the income of farmers, including solutions for leasing agricultural land and contribution to land use rights capital.
Global Social Witnessing: An Educational Tool for Awareness-Based Systems Change in the Era of Global Humanitarian and Planetary Crisis
Authors: Matoba Kazuma
Published: April 2021

‘Global social witnessing’ was originally proposed by Hübl and Ury (2017) and was developed as a practice of “contemplative social cognition” (Singer et al., 2015). Though ‘global social witnessing’ is applied in various contexts by group facilitators of contemplative practice (Cmind, 2014), the concept has not yet been subjected to thorough research and has not yet arrived at a common scientific understanding and definition, which needs to be addressed throughout the research methodology of applying this concept. This paper aims to propose ‘global social witnessing’ as an educational tool for awareness-based systems change by highlighting its philosophical and psychological foundations in search of its ethical implications for bearing witness, a term often used in psychotherapy (Orange, 2017). This body of work draws on Emmanuel Levinas’s philosophy of relational responsibility, and focuses on transformative, systemic learning. As a consequence, this exploration will hopefully generate further research questions that can serve as focal points for interdisciplinary projects of awareness-based systems change (e.g., philosophy, sociology, psychology, education, neuroscience, and physics).
Phraseological Units of the Concept of “Happiness” in Modern Chinese (On Material “中华五福古祥图典”)
Authors:   PhD student Tashkent State University of Oriental Studies, Republic of Uzbekistan, Valieva Noiba Abbaskhonovna
Published: April 2021

The article provides a semantic analysis of phraseological units with the concept of “happiness” on the basis of lexicographic data “中华五福古祥图典”. The analysis of the concepts of “happiness”, represented by such components as 福, 禄, 寿, 喜 in the phraseological units of the concept sphere “happiness” is carried out.
Post Covid-19 Effects on the Future of Students in Higher Education
Authors:   Independent Academic Scholar, Somani Dr. Parin
Published: April 2021

Societies have been affected socially, politically, and economically due to the coronavirus pandemic. Education systems have been disrupted, impacting the future of students and global and consequently societal prospects over time. The aim of this study is to identify the effects of the covid-19 pandemic on the future of students in higher education. This study is carried out by means of a systematic literature review via a thorough literature search. The covid-19 pandemic has had a vast number of effects on students, particularly resulting from the implementation of lockdown measures and social distancing regulations. Mental health, teaching pedagogies, communication and financial stability have all been identified as factors affecting the future of students in higher education. This study had deduced that students face long-term effects as a consequence of the covid-19 pandemic. Thus, carefully devised strategies are required to progress students towards a prosperous future and through them societies at large with benefit.
Barriers to Entry for New Entrants into Kandahar Industrial Park
Authors:   Department of Entrepreneurship, Faculty of Economics-Kandahar University, Afghanistan, Mudasir Najibullah
Published: April 2021

Entry barriers are one of the dangerous powers that helps with incumbent firms in terms of competitive advantage over new participants and helps to promote the oligopoly market structure. The objective of this study is to consider barriers to entry of new entrants into Kandahar industrial park and to recognize some remedial business strategies where it’s application make the entry easy into Kandahar industrial park. To conduct this study a mixed method research design is used. The qualitative technique is completed over semiorganized interviews where prepared questions are used (Saunders and Lewis, 2012). To obtain quantitative data a 5-point Likert scale questionnaire is utilized, which was sent out to senior and middle workers, managers and owners. Results shows that there are entry barriers into Kandahar industrial park which influence new entrants negatively. And the importance level of the entry barriers to new entrants is significantly different. Yet, there are economics strategies that helps entrepreneurs to enter Kandahar industrial park.
Menstrual Hygiene Management- A Study among Adolescent Girls in Five Schools in Bo District, Sierra Leone
Authors:   Department of Biological Sciences, Njala University, Njala, Sierra Leone, Osborne Augustus , Koroma Bashiru Mohamed ,   Deputy Vice Chancellor Njala University, (Njala Campus), Pro-Vice Chancellor Njala University, Sierra Leone, Bangura Camilla M ,   Institute of Geography and Development Studies, Njala University, Njala, Sierra Leone
Published: April 2021

Menstruation can place significant impacts on girl’s health and education if they are not properly informed about effective menstrual hygiene management. The present study was undertaken to assess the knowledge and practices of menstrual hygiene among adolescent girls in five schools in Bo district, Sierra Leone and to assess the restrictions practiced by them during menstruation. A cross sectional study design was carried out among 103 in November 2019. A self-administered structured questionnaire at schools was used for data collection. Data was collected regarding their knowledge about menstruation, from where they get information and practices followed to maintain menstrual hygiene, problems faced while attending school during menstruation and facilities available in school, etc. The analysis part was done with the help of SPSS version 25. Age of respondents varied between 12-21 years with the mean age of 16.5. 69.9% of the girls don’t know from were menstrual bleeding occurs. Majority of the girls are using sanitary pads as absorbent during menstruation. 42.7% of the girls said they have been restricted from praying when seeing their menses and 49.5% of the girls said they feel their school is uncomfortable to keep hygiene during menstruation. The findings led to the conclusion that the girls have deficient knowledge and inadequate practices regarding menstruation and its management.
Reversible Aggravation of Neurological Deficits after Transforaminal Epidural Steroid Injection in a Patient with Undiagnosed Spinal Dural Arteriovenous Fistula
Authors:   Department of Anesthesiology, Division of Pain, Medstar Georgetown University Medical Center, Washington, DC, Go Ramon , Lantos Joshua ,   Department of Radiology, Division of Neuroradiology, New York Presbyterian Hospital Weill Cornell Medical Center, New York, NY, Ngeow Jeffrey ,   Department of Anesthesiology and Pain Medicine, Hospital for Special Surgery, New York, NY
Published: April 2021

Here we present a case of a 77-year-old man who underwent an epidural steroid injection complicated by delayed monoplegia and urinary incontinence. An MRI showed T2 hyperintensity at the conus along with small serpentine vessels surrounding the spinal cord. An angiogram was performed which showed a spinal dural arteriovenous fistula (SDAVF) with prominent draining vein at the right L3 level. The patient underwent repeat laminectomy and disconnection of spinal dural fistula after failed endovascular repair. His symptoms slowly improved after the lumbar decompression and physical therapy. SDAVF remains a diagnostic challenge. Epidural injection is contraindicated in these patients due to venous hypertension resulting in possible conus ischemia. SDAVF must be considered in the differential diagnosis when unexpected neurological complications occur after epidural steroid injection.
Clinical Study of Patients With Prostatitis in Basrah and Missan Governments: A Case –Control Study
Authors:   Department of surgery, University of Basrah ,College of medicine , Basrah, Iraq, AlSaimary Ihsan E , AlDhaheri Hussein N ,   Department of Microbiology, University of Basrah ,College of medicine , Basrah, Iraq, ALMusafer Murtadha M ,   Department of surgery, University of Basrah ,College of medicine , Basrah, Iraq
Published: April 2021

The Aim of this study was to determine Immunogenetic expression of Toll-like receptor gene clusters related to prostatitis, to give acknowledge about Role of TLR in prostatitis immunity in men from Basrah and Maysan provinces. A case–control study included 135 confirmed prostatitis patients And 50 persons as a control group. Data about age, marital status, working, infertility, family history and personal information like (Infection, Allergy, Steroid therapy, Residency, Smoking, Alcohol Drinking, Blood group, Body max index (BMI) and the clinical finding for all patients of Prostatitis were collected. From total number of (135) patients with prostatitis were taken from two provinces (Basrah and Missan) from the Basrah teaching hospital and Missan teaching hospital that included in the present study , In the clinical study found that patients presented with irritative symptoms with P-value <0.0001. The study also found that patients presented with Obstructive symptoms with P-value <0.0001. The study also found patients presented with Other symptoms with P-value <0.0001. And present study found that patients with Suprapubic Tenderness with P-value <0.0001. And in clinical symptoms show that the age group 40-49 years with P-value <0.0001. Age group 50-59 years found with P-value <0.0001. The third age group 60-69 years and the final age group >70 years with P-value <0.0001.
A Case of Altered Mental Status and Severe Frontal Headaches in Patient with Imaging Confirmed Pneumocephalus and a Review of Previous Cases
Authors:   MedStar Georgetown University Hospital, Washington DC, USA, Sacino Mathew , Lubinsky Kathleen Sheridan ,   MedStar Georgetown University Hospital, Washington DC, USA, Holton Elizabeth ,   MedStar Georgetown University Hospital, Washington DC, USA
Published: April 2021

Neuraxial anesthetic technique is a common and safe method of providing labor analgesia and anesthesia for cesarean section (CS). Pneumocephalus (PC) is a known rare complication from neuraxial anesthesia. Here we present a case of a high risk parturient for planned CS via spinal anesthesia with catheter technique who experienced altered mental status (AMS) and severe headaches due to PC confirmed by head computed tomography (CT). Additionally, we review and discuss the body of literature of pneumocephalus resulting from neuraxial technique.
ATIVIDADE ANSIOLÍTICA DE EXTRATO DAS FOLHAS DE MICONIA ALBICANS
Authors: Arbos Kettelin , Nader José Kenio Souza , Camelo Erika Nicole Luna
Published: April 2021

Miconia albicans conhecida popularmente como canela de velho é uma espécie arbórea, pertencente à família Melastomaceae, com distribuição nas regiões tropicais e com efeitos antioxidante e anti-inflamatórios descritos. Embora de uso popular, não existe informações a respeito do potencial ansiolítico dessa espécie vegetal. Assim, o objetivo do trabalho foi avaliar o potencial ansiolítico de extratos hidroalcoólicos das partes aéreas de M.albicans em um modelo animal. Três concentrações diferentes do extrato bruto de M. albicans foram administrados intraperitonealmente e os efeitos sobre o sistema nervoso central foram analisados através do teste do labirinto em cruz elevado, teste do campo aberto e teste claro-escuro. No teste de campo aberto foi observado maior deslocamentos dos animais com o aumento das concentrações dos extratos e suspensão do comportamento de auto limpeza corporal. Animais tratados com extrato da miconia exploraram mais os braços abertos no teste em cruz elevada e tiveram maior tempo de latência no teste claro escuro. Diante destes resultados foi possível verificar efeitos ansiolíticos nos animais tratados com M. albicans e que novos estudos devem ser realizados no sentido de identificar a substancia responsável pelos efeitos observados neste trabalho.
A CRITICAL APPRAISAL ON THE APPLICATION OF THE DOCTRINE OF INDOOR MANAGEMENT TO MEMORANDUM AND ARTICLES OF ASSOCIATION UNDER COMPANIES AND ALLIED MATTERS ACT (CAMA), LAWS OF THE FEDERATION OF NIGERIA, (LFN), 1990 (AS AMENDED)
Authors:   Department of General Studies Mai Idriss Alooma Polytechnic Geidam, Yobe State Nigeria, Muhammad Yakubu
Published: April 2021

This study examined the Doctrine of Indoor Management in relation to Memorandum and Articles of Association under Companies and Allied Matters Act, (CAMA). In the study the researcher discussed the origin of the doctrine of indoor management and its subsequent application to Nigerian corporate law with particular reference to companies’ memorandum and articles of association. The methodology adopted in this study is doctrinal method whereby primary and secondary sources forming part of related literatures and judicial decisions are used. The researcher identified the legal problems associated with the doctrine which consequently, gave rise to statutory and judicial differences. The main findings in this study therefore were the two conflicting positions of the Act and that of the judicial decision on the doctrine. Accordingly, while the Act relieved persons from making inquiries on the powers of a company, courts have however, maintained a contrary position. Consequently, the researcher recommended for amending the provision of CAMA as regard the doctrine so that there would be conformity between the statute and judicial pronouncements.