bluuebunny/crossref_metadata_2025 huggingface dataset:
PERBEDAAN BERKUMUR MENGGUNAKAN AIR REBUSAN DAUN SIRIH DENGAN FORMULA PROTECTOR CITRUS MINT TERHADAP PENURUNAN INDEKS PLAK PADA SISWA/I KELAS IV SD NEGERI NO. 066428 MEDAN TUNTUNGAN
Authors: Nainggolan Sri Junita , Simaremare Asnita Bungaria
Published: April 2021

Sirih merupakan tumbuhan obat yang mengandung zat antiseptik pada seluruh bagiannya, dan termasukdalam kelompok obat kesehatan gigi dan mulut. Obat kumur formula protector citrus mint bebas alkohol danmampu membunuh kuman penyebab bau mulut. Jenis penelitian ini adalah penelitian analitik menggunakaneksperimen semu dengan rancangan pre-test dan post- test kontrol group desain dengan memakai air putihsebagai kelompok kontrol dan menggunakan uji t-Test. Penelitian ini menggunakan replikasi sebanyak tigakali.. Sampel penelitian berjumlah 45 siswa.. Penelitian ini bertujuan untuk mengetahui perbandinganberkumur dengan air rebusan daun sirih dan formula protector citrus mint terhadap penurunan indeks plak.Hasil penelitian ini menunjukkan indeks plak rata-rata sebelum berkumur dengan air putih, air rebusan daunsirih dan formula protector citrus mint 100 % menunjukkan kriteria indeks plak buruk dan indeks plaksesudah berkumur dengan, indeks plak sesudah berkumur air rebusan daun sirih yaitu 66,7 dengan kriteriabaik dan 33,3 % dengan kriteria sedang, indeks plak sesudah berkumur dengan formula protector citrus mintyaitu 100% sedangkan indeks plak sesudah berkumur air putih yaitu 6,7 % dengan kriteria baik, 93,3 %dengan kriteria sedang dengan kriteria baik. Kesimpulan uji t-Test dependent yaitu ada pengaruh antaraberkumur air putih, air rebusan daun sirih dan formula protector citrus mint terhadap penurunan indeks plak,sedangkan uji t-Test Independent yaitu berkumur dengan formula protector citrus mint lebih efektif untukmenurunkan indeks plak dibandingkan dengan air putih dan air rebusan daun sirih.
FAKTOR-FAKTOR YANG MEMPENGARUHI PRESENTASI BOKONG PADA IBU HAMIL DI RUMAH SAKIT UMUM KOTA PADANGSIDIMPUAN TAHUN 2013
Authors: Suluhbara Setiawaty
Published: April 2021

Pengawasan Antenatal Care penting bagi wanita hamil mulai dari trimester I sampai trimester III agarkomplikasi dalam kehamilan seperti Presentasi Bokong dapat dikenali secara dini, dalam 11% kematianperinatal disebabkan oleh Presentasi Bokong. Diketahuinya faktor-faktor presentasi bokong pada ibu hamildi rumah sakit umum daerah kota padangsidimpuan. Metode Penelitian Kuantitatif dengan menggunakandata sekunder dari Medical Record di RSUD Kota Padangsidimpuan dengan sampel total 43 ibu hamil.Jumlah Presentasi Bokong 43 dari 1081 ibu hamil pada tahun 2013,berdasarkan paritas mayoritas padamultipara sebanyak 24 ibu hamil (55,81%).Berdasarkan Faktor Ibu Presentasi Bokong mayoritas dengankeadaan panggul sempit sebanyak 30 ibu hamil (69,77%),berdasarkan Faktor Janin Presentasi Bokongmayoritas pada keadaan Hidramnion atau Oligohidramnion sebanyak 18 ibu hamil (41,86%),berdasarkanlilitan tali pusat sebanyak 23 ibu hamil (53,49%),berdasarkan kelainan uterus sebanyak 9 ibu hamil (20,93%)dan berdasarkan Kunjungan ANC mayoritas pada kunjungan 2 kali sebanyak 13 ibu hamil (30,23%).Terdapat kesenjangan karakteristik variabel paritas, ibu hamil dengan Multipara lebih besar kemungkinanterjadinya Presentasi Bokong
FAKTOR-FAKTOR PENYEBAB TERJADINYA HIPERTENSI PADA LANSIA DI UPT PELAYANAN SOSIAL LANJUT USIA ANAK DAN BALITA BINJAI DAN MEDAN TAHUN 2014
Authors: Siregar Abdul Hanif , Yahya Syarif Zen , Ginting Surita
Published: April 2021

Hipertensi atau tekanan darah tinggi adalah suatu kondisi tekanan darah seseorang berada diatas angkanormal yang ditandai dengan peningkatan tekanan darah sistol diatas 140 mmHg dan diastole diatas 90mmHg.Prevalensi angka kejadian hipertensi di dunia cukup tinggi yaitu 10% dari populasi dunia, sedangkandi Indonesia sebesar 6-15% dari jumlah penduduk Indonesia.Dan prevalensi yang menderita hipertensi diUPT Pelayanan Sosial Lanjut Usia dan Anak Balita Wilayah Binjai dan Medan sebanyak 105 orang(65,6%). Faktor-faktor penyebab terjadinya hipertensi yaitu faktor genetik, riwayat merokok terdahulu dankurangnya olahraga. Penelitian ini merupakan penelitian Deskriptif dengan desain cross sectional yangdisajikan dalam bentuk tabel distribusi frekuensi. Hasil penelitian yang dilakukan pada 51 Lansia di UPTPelayanan Sosial Lanjut Usia dan Anak Balita Wilayah Binjai dan Medan yang diambil secara RandomSampling. Mayoritas Lansia yang menderita Hipertensi mempunyai riwayat Hipertensi pada anggotakeluarganya sebanyak 29 orang (56,9%), dan riwayat merokok sebanyak 24 orang (47,1%), yang memilikikebiasaan olahraga sebanyak 35 oran (68,6%). Faktor kurangnya olahraga tidak menjadi mayoritas penyebabterjadinya Hipertensi pada Lansia di UPT Pelayanan Sosial Lanjut Usia & Anak Balita Wilayah Binjai danMedan. Oleh karena itu, diharapkan kepada Lansia yang menderita Hipertensi agar memeriksakan tekanandarah secara berkala dan menjaga pola hidup sehat dalam kehidupan sehari-hari.
EFEKTIFITAS PENYULUHAN DENGAN MEDIA POSTER TERHADAP PENINGKATAN PENGETAHUAN TENTANG KEBERSIHAN GIGI PADA SISWA/I KELAS III DAN IV DI SDN 104186 TANJUNG SELAMAT KECAMATAN SUNGGAL TAHUN 2014
Authors: Siregar Rawati , Sondang Sondang
Published: April 2021

Umumnya pendidikan kesehatan gigi dan mulut diperoleh melalui penyuluhan. Kelompok masyarakatyang sering dituju adalah anak-anak sekolah dasar, karena usia 6-14 tahun merupakan usia transisiatau pergantian gigi permanen (masa gigi bercampur) . Penyuluhan yang diberikan adalah penyuluhandengan media poster yang bertujuan untuk meningkatkan pengetahuan tentang kebersihan gigi padasisiwa/i kelas III dan IV di SDN 104186 Tanjung Selamat kecamatan Sunggal.Penelitian ini besifatdeskriptif, sampel adalah seluruh siswa/i kelas III dan IV SDN 104186 tanjung Selamat KecamatanSunggal yang berjumlah 50 orang.Dari hasil penelitian yang didapatkan dengan cara pengisiankuisioner maka hasilnya adalah sebagai berikut : yang berpengetahuan baik pada kelas III sesudahpenyuluhan berjumlah 19 orang (76%), dan yang berpengetahuan baik pada kelas IV berjumlah 22orang (88%).Dapat ditarik kesimpulan bahwa penyuluhan yang diberikan dengan media poster dapatmeningkatkan pengetahuan siswa/i tentang kebersihan gigi.
FAKTOR-FAKTOR DOMINAN YANG MEMPENGARUHI KEPATUHANI ORANGTUA YANG MEMPUNYAI ANAK DENGAN LEUKEMIA DALAM MENJALANI TERAPI KEMOTERAPI DI RB4 RSUP H.A.MALIK MEDAN TAHUN 2014
Authors: Doloksaribu Tiurlan Mariasima , Manurung Risma Dumiri
Published: April 2021

Leukemia adalah jenis kanker darah, dimana sel darah putih diproduksi melebihi yang seharusnya ada.Leukemia adalah keganasan yang mewakili hampir sepertiga dari semua kanker pada anak, ditandai denganpucat, kelelahan, memar dan ptekie, nyeri tulang, demam, hepatosplenomegali, limfadenopati, anemia,neutropenia, dan trombositopenia. Terapi paling efektif untuk penyembuhannya adalah kemoterapi. Tujuanpenelitian untuk mengetahui faktor-faktor dominan yang mempengaruhi orangtua sebagai support sistemutama bagi anak dalam kepatuhan menjalani kemoterapi. Jenis penelitian deskriptif dengan desain crosssectional. Instrumen penelitian menggunakan kuesioner dengan analisis univariat dan bivariat dengan ujichi-square. Jumlah sampel 18 responden. Hasil penelitian dengan analisis univariat menunjukkan, tingkatsosial ekonomi responden mayoritas adalah keluarga sejahtera III sebanyak 8 responden (44,4 %), tingkatpengetahuan baik sebanyak 10 responden (55,6%) dan berdasarkan kelompok umur, sebanyak 7 responden(38,88%) kelompok umur 40-49 tahun, 6 responden (33.3%) kelompok umur 30-39 tahun. Analisis bivariat,menurut tingkat sosial ekonomi dari keluarga sejahtera III sebanyak 7 responden (38,8%) patuh, sedangkanyang tidak patuh pada keluarga sejahtera I dan II masing-masing sebanyak 2 responden (11,11%).Responden yang berpengetahuan baik dan patuh mengikuti kemoterapi sebanyak 8 orang (44,4%)sedangkan yang berpengetahuan kurang dan tidak patuh sebanyak 2 responden (11,1%). Berdasarkankelompok umur 30-39 tahun, dari 6 responden sebanyak 5 responden (83,3%) patuh, kelompok usia 50-59tahun dari 2 responden sebanyak 1 responden (50%) tidak patuh. Berdasarkan hasil penelitian, pengetahuanmerupakan faktor paling dominan yang mempengaruhi kepatuhan orangtua dalam menjalankan kemoterapibagi anaknya, sehingga disarankan bagi petugas kesehatan untuk memberikan seluas-luasnya informasitentang penyakit leukemia dan pengobatan yang efektif (kemoterapi) kepada orangtua dengan anak penderitaleukemia dalam menjalankan kemoterapi.
IMPLEMENTATION OF MUROTTAL AL-FATIHAH AGAINST CLIENTS RISK OF VIOLENCE AT THE CLENDER HOSPITAL, EAST JAKARTA
Authors: Amrullah Amrullah , Minarningtyas Asih , Fauziah Hani
Published: April 2021

Data from the World Health Organization (WHO) (2009) estimates that 450 million people worldwide experience mental disorders, about 10% of adults experience mental disorders and  25% of the population is estimated to experience mental disorders at a certain age during their life. This age usually occurs in young adults between the ages of 18-21 years. Other data from the National Institute of Mental Health shows that the rate of mental disorders reaches 13% of the disease as a whole and is expected to grow to 25% in 2030. The highest prevalence of mental disorders in Indonesia is in the province of the Special Capital Region (DKI) Jakarta (24, 3%), followed by Nagroe Aceh Darussalam (18.5%), West Sumatra (17.7%), NTB (10.9%), South Sumatra (9.2%), and Central Java (6.8%). while based on data Basic Health Research (2007). It shows that the national prevalence of mental disorders reaches 5.6% of the population, four to five people are suffering from mental illnesses. Based on these data, Indonesia's annual data that experience mental disorders is always increasing (MOH (2008). The increase in the proportion of mental disorders in the data obtained in Riskesdas 2018 is quite significant compared to Riskesdas in 2013, increasing from 1.7% to 7% of Indonesia's population (Riskesdas, 2018). In our country, there are approximately 2,400,000 children with mental disorders.
HOLY QURAN RECITATION OF SURAH AL-MULK AND AL-HASYR ON DECREASING ANXIETY IN MEDICAL STUDENTS
Authors: Ishmata Kaima , Septadina Indri Seta , Arryotantri Bintang
Published: April 2021

Anxiety is a feeling of discomfort, worry about something unclear and accompanied by autonomic symptoms. Murottal Al-Quran therapy is a complementary therapy with the most widely used Al-Qur'an media. This study aims to analyze the effect of the murottal Al-Qur'an Surah Al-Mulk and Al-Hasyr on the anxiety of medical students of Universitas Sriwijaya. This research is a quasi-experimental study with a cross-sectional approach with one group pre-post test design which was conducted from July to December 2020 at homes through Zoom meeting application. Sampling using simple random sampling technique. Data in the form of primary data using the Beck Anxiety Inventory (BAI) questionnaire.Primary data were collected using the Beck Anxiety Inventory (BAI) questionnaire before and after receiving the Murottal Al-Qur'an Surah Al-Mulk and Al-Hasyr for 7 consecutive days. The Shapiro-Wilk normality test was performed on the data, then analyzed with Paired t-test or Wilcoxon test using SPSS device. The Wilcoxon test results showed significant results of murottal Al-Qur'an Surah Al-Mulk and Al-Hasyr on anxiety (p = 0.000) in medical students. There is an effect of murottal Al-Qur’an surah Al-Mulk and Al-Hasyr on anxiety among medical students of Universitas Sriwijaya.
THE IMPACT OF CAREER MANAGEMENT ON TURNOVER INTENTION AT CONSTRUCTION COMPANIES: THE MEDIATION ROLE OF CAREER SATISFACTION
Authors: Baskoro Bimmo Dwi
Published: April 2021

Penelitian ini bertujuan untuk menguji pengaruh manajemen karir terhadap intensi keluar. Peran mediasi kepuasan karir antara manajemen karir dan intensi keluar juga dinilai. Data dikumpulkan dari para profesional konstruksi Indonesia. Subjek penelitian ini adalah perusahaan konstruksi yang berdomisili di Provinsi DKI Jakarta, Indonesia. Data diperoleh dengan menggunakan kuesioner. Unit analisis penelitian ini adalah 1.718 perusahaan konstruksi di Jakarta dengan perwakilan perusahaan sebagai unit observasi, yaitu populasi 1.718 perwakilan dan sampel sebanyak 315 perwakilan. Partial least squares - pemodelan persamaan struktural (PLS-SEM) dilakukan untuk menguji hubungan yang dihipotesiskan. Hasil penelitian menunjukkan bahwa kepuasan karir mampu memediasi hubungan antara manajemen karir dengan intensi keluar. Intensi keluar dapat diminimalkan melalui peningkatan kepuasan karir pada jenjang tertentu. Selain itu, upaya perusahaan dilakukan melalui perencanaan manajemen karir jangka panjang sehingga karyawan dapat memprediksi karirnya di perusahaan pada masa yang akan datang. Penelitian ini meningkatkan pemahaman kami tentang pentingnya manajemen karir dengan kepuasan karir dan hubungannya dengan intensi keluar pada perusahaan konstruksi di Jakarta, Indonesia.
DAMPAK CAREER PLATEAU TERHADAP JOB SATISFACTION KARYAWAN GERAI MINIMARKET DI PALEMBANG
Authors: LEOVANNI EGA
Published: April 2021

Various things are done by companies to provide job satisfaction to their employees, one of which is a career path in the company, but not all positions can reach career paths in the company, there are several positions that experience career plates. This study aims to determine the impact of career plateau on job satisfaction of minimarket outlet employees in the city of Palembang. This study uses the independent variable Career Plateau (X), and Job Satisfaction (Y). The data used in this study are primary data. Data collection in this study used a questionnaire method distributed to 150 employees of minimarket outlets in the city of Palembang with a purposive sampling method. While the analysis is done by processing data using SPSS 19.0 for windows. The results of this study indicate that the independent variable Career Plateau (X) has an influence on Job Satisfaction (Y) employees of minimarket outlets in Palembang.
Social Considerations For Women's Participation
Authors:   Senior Lecturer Department Of “Methods Of Socio-Economic Sciences”, Regional Centre Of Professional Development And Retraining Of Public Educators In Surkhandarya Region, Uzbekistan, Teshaboyeva Sh.
Published: April 2021

The article examines the issues of protecting the rights and interests of women, creating decent working and living conditions for them, the rule of law in realizing their abilities and potential.
Improvement Of Patriotic Education Of Young Generation In Modern Conditions
Authors:   Assistant Professor, National Institute Of Art And Design Named After Kamoliddin Behzod, Uzbekistan, Saidova Sayyora
Published: April 2021

In this article, we write about the formation of students of high patriotic consciousness, a sense of pride in their homeland, as well as patriotism on the side of justice, humanism and democracy, mobilizing pupils – young citizens of the republic to solve the problems facing the society.
About Enclaves And Exclusive Countries Of The World
Authors:   Candidate Of Economic Sciences, Senior Lecturer, Department Of Geography Teaching Methods, Jizzakh State Pedagogical Institute, Uzbekistan, Normatovich Kamolov Meliboy , Dilmurod Normatov ,   Jizzakh City 10 Schools, Uzbekistan
Published: April 2021

The article examines the geographical location of the countries that are the main objects of the political map of the world, the enclaves and exclave areas, as well as the characteristics of their formation on the basis of social and economic factors.
The Right To Use Biological Resources
Authors:   Acting Professor, Doctor In Law, Tashkent State University Of Law, Department Of Ecological Law, Uzbekistan, Narzullaev Olim
Published: April 2021

In the sustainable development of the world, the issues of protection and legal regulation of biological resources are becoming increasingly global and topical. Issues related to biodiversity, flora and fauna, forest use and environmental security, environmental policy, rational use of natural resources are reflected. An analysis of international documents and national legislation has shown that biological resources are an integral part of natural resources. Issues related to cultured and uncultured biological resources have been explored in the context of the legal literature and new legislation.
Use Of Internet Service For Creating Didactic Games In Professional Activity Of A Teacher Of Foreign Languages
Authors:   Independent Researcher, Institute Of Pedagogical Innovations, Vocational Education Management And Retraining And Advanced Training Of Teachers, Tashkent, Uzbekistan, Sobirova Guli
Published: April 2021

In this article, the author reveals the purpose of Internet services for creating didactic games, their advantages and disadvantages. In addition, the author describes the possibilities of two Internet services for creating didactic games in training.
Development Of Small Business And Entrepreneurship In Industry And Its Influence On Employment Of Population
Authors:   Associate Professor, Department Of Social-Economic Geography, Samarkand State University, Uzbekistan, Ibragimov Lutfullo Ziyadullayevich , Khamroyeva Feruza Asrarovna ,   Associate Professor, Department Of Geography And Natural Resources, Samarkand State University, Uzbekistan
Published: April 2021

This article highlights the priorities for increasing employment through the development of small business and private entrepreneurship in industry. It analyzes the development of small business and private entrepreneurship in Samarkand, one of the regions of the country, its role in socio-economic development and employment.
The Role Of Discourse As A Phenomenon Of Language In Studying Internet-Mediated Communication
Authors:   Lecturer, Ferghana State University, Uzbekistan, Porubay Igor Felixovich , Khakimov Erkin Tuychiyevich ,   Candidate Of Philosophical Sciences, Associate Professor, Ferghana State University, Uzbekistan
Published: April 2021

This article is dedicated to the role of discourse and discourse analysis in the process of the linguistic study of Internet-mediated communication. The article analyses the meaning of the concept of "discourse" in linguistics and modern approaches to this phenomenon. The main properties of the Internet discourse and the boundaries of its discursive space are described.
The Role Of Islamic Values In The Formation And Development Of Civil Society
Authors:   Senior Lecturer Department Of National Ideology And Legal Education Namangan State University, Uzbekistan, Abdullaev Akmal Nasriddinovich
Published: April 2021

The article analyzes one of the most pressing problems of the third millennium from a socio-philosophical point of view: the importance of religious values in the formation of civil society, dialectical relationships, compatibility and problems of Islamic values and values of civil society.
Linguopoetic Features Of The Category Of Respect In English And Uzbek
Authors:   Lecturer Department Of World Languages And Literature Uzbekistan State Institute Of Arts And Culture, Uzbekistan, Burievna Kadirova Marguba
Published: April 2021

In this article, linguopoetic features of the category of respect in English and Uzbek languages have been considered theoretically. In particular, it examines the category of respect in a specific place of poetry, and its linguistic and poetic significance in the poetry of English And Uzbek. Based on the examples, the author analyzes the services of syntactic repetition in the field of linguopoetics, artistic and stylistic possibilities, syntactic function, the contribution of the work to the content of expression, and its role in ensuring the individual style of the writer.
Associative Relations Between Lexical Units Of The Uzbek Language
Authors:   Professor, Doctor Of Philology, Fergana State University, Fergana City, Uzbekistan, Iskandarova Sharifa Madalievna , Rakhmatullaeva Dilafruzkhon Shukhratovna ,   Lecturer, Doctor Of Philosophy In Philology, Kokand State Pedagogical Institute, Kokand City, Uzbekistan
Published: April 2021

This article discusses associative relations, their study in Uzbek linguistics, associative relations between certain lexical units, their peculiarities.
The Importance Of Morals In The Spiritual System Of Morality
Authors:   Second Course Of Master In Specialty “Methods Of Teaching Social Sciences (Basics Of Spirituality)” Of Andizhan State University, Andizhan Region, Republic Of Uzbekistan, Abdurakhimova Tursunoy Abduvokhid Kizi
Published: April 2021

This article discusses in detail the issue of morality, which is a system of rules governing a person’s ethics in society, its role in society and public administration, and the interrelationship between spirituality and morality as well. In the research also investigated the ideologies that try to bypass morality from history or to live by disguising it as immorality and falsifying morality.
Online research, new languages and symbolism of digital activism: A systematic review
Authors: Rodríguez-Suárez Julio , Morán-Neches Lorena , Herrero-Olaizola Juan-Bautista
Published: April 2021

In recent years, digital networks have given rise to new spaces for socialization, action and protest, favouring the emergence of new forms of social participation that generate their own languages and new symbolic strategies. In order to analyze online mobilization within the Spanish context and in order to explore these realities in more depth, a systematic review of empirical articles with their own methodology was carried out. It includes those manuscripts published over the last decade by Spanish Sociology journals with the highest impact factor. After identifying 101 general studies that met the initial inclusion criteria, 34 were chosen whose subject of study included online social mobilization and/or used virtual ethnography as a research technique. The final sample for analysis was drawn from these, comprising the 16 publications that addressed this issue as the central topic. Among the main results obtained we have the scarcity of publications on the virtual dimension of social mobilization, as well as the growing use and adaptation of virtual ethnography as a research methodology for studying this field of knowledge. Likewise, the potential of the Internet to amplify the impact of demands, the need to break the online-offline dichotomy, the creation of new narratives and the transformation of the symbolic production of contemporary social movements are noteworthy.

En los últimos años, las redes digitales han dado lugar a nuevos espacios de socialización, acción y protesta, favoreciendo la aparición de nuevas formas de participación social que generan lenguajes propios y nuevas estrategias simbólicas. A fin de analizar la movilización online en el contexto español y de profundizar en estas realidades, se ha llevado a cabo una revisión sistemática de los artículos empíricos, con metodología propia, publicados en la última década por las revistas españolas de Sociología de mayor índice de impacto. Tras identificar 101 estudios generales que cumplían los criterios de inclusión iniciales, se seleccionaron los 34 que tenían entre su objeto de estudio la movilización social online y/o utilizaban la etnografía virtual como técnica de investigación; de ellos se derivó la muestra de análisis final, compuesta por los 16 que abordaban esta cuestión de forma central. Entre los principales resultados obtenidos se encuentra la escasez de publicaciones sobre la dimensión virtual de la movilización, así como el creciente uso y adecuación de la etnografía virtual como metodología de investigación para el estudio de este campo de conocimiento. Así mismo, destaca la potencialidad de la red para ampliar el impacto de las reivindicaciones, la necesidad de romper la dicotomía online-offline, la creación de nuevas narrativas y la transformación de la producción simbólica de los movimientos sociales contemporáneos.
« Monet. Ah ! les cathédrales ! »
Authors: Coutagne Denis
Published: April 2021

Résumé Monet s’est attaché à peindre la cathédrale de Rouen avec une rare persévérance. Quel est le sens d’un tel intérêt où perce le dévouement ?
Mon grand-père
Authors: Laading Camille
Published: April 2021

Souvenirs de moments partagés à la ferme entre une jeune femme et son grand-père, et l’évolution de leur relation.
La musique, un art de l’excellence entre les générations
Authors: Grosléziat Chantal
Published: April 2021

À travers son expérience professionnelle et personnelle, Chantal Grosléziat relate des situations d’échange et de création individuelles et collectives, où les grands-parents occupent une place privilégiée et jouent un rôle précieux dans la transmission culturelle à travers l’expression musicale.
African organisational coaching practice: Exploring approaches used, and the factors influencing coaches’ fees
Authors: Terblanche Nicky , Passmore Jonathan , Myburgh Jacques
Published: April 2021

Purpose: More context-specific research regarding the praxis of organisational coaching was needed for increased understanding of this emerging profession. Whilst progress was being made internationally, African coaching practice research was sparse, leading to potentially false assumptions about local praxis based on international trends. The aim of this research was to gain a context-specific perspective on the coaching approaches used by organisational coaches in Africa and the factors that influence the rates they charge.Design/methodology/approach: Snowball sampling was used to collect survey data from organisational coaches practicing in Africa (n = 299). Data were analysed using descriptive and inferential statistics.Findings/results: Organisational coaches in Africa predominantly use the Behavioural or Goal-focussed or GROW approach, but employ more sophisticated approaches in more complex situations. They charge a mean rate of R1761 ($1041) per hour (R1573 [$93] in South Africa) with higher qualified, more experienced and older coaches charging a higher rate. Receiving supervision plays no role in rates charged; however, belonging to a coaching body correlates to higher rates. Male and female coaches charge similar rates, suggesting a level of gender equality in the African coaching profession.Practical implications: Organisational coaches should ensure they have a wide repertoire of approaches to cater for the complexity of organisational situations. Coaches could increase their rates by obtaining high quality coaching education and join coaching regulatory bodies. Coaches in Africa could expand their market internationally given that they charge significantly lower rates, especially given the acceptance of virtual coaching in recent times.Originality/value: This is the first study to our knowledge that investigates pan-African coaching praxis.
Optimal Dosing of Lasmiditan in the Management of Acute Migraine Attack
Authors: Basutkar Roopa Satyanarayan , Vinod Chris Elizabeth , Saju Shruthi Jaya , Chebrolu Bhavya , Ponnusankar Sivasankaran
Published: April 2021

Background:

The current target of migraine treatment is focused on Triptans. Lasmiditan, a non-vasoconstrictive and highly selective 5HT1F receptor agonist is a novel therapeutic discovery for migraine for patients with cardiovascular (CV) risk factors or stable cardiovascular diseases and who fail to respond to the existing treatment.

Objective:

To identify an optimal dosing of Lasmiditan 100 mg versus 200 mg for the treatment of acute migraine attacks in adult patients with cardiovascular risk factors.

Methods:

Systematic searches were run in databases such as Cochrane Central Register of Controlled Trials (CENTRAL), Scopus, Google scholar, and PUBMED. Out of 83 study records identified, two studies were included for quantitative analysis.

Results:

There was a significant headache pain freedom at 2 h [Odds Ratio (OR): 0.77; 95% Confidence interval (CI): 0.64–0.92] and sustained pain freedom at 24 h (OR): 0.75; 95% CI: 0.61–0.93] in patients taking Lasmiditan 200 mg compared to those taking Lasmiditan 100 mg. The results were statistically insignificant for parameters like most bothersome symptoms (MBS) free at 2 h, headache relief at 2 h, disability level at 2 h, and global impression of change at 2 h. A combined analysis of these parameters showed a remarkable difference between both the groups favoring Lasmiditan 200 mg [OR: 0.88; 95% CI: 0.81–0.95].

Conclusion:

An oral dosing of Lasmiditan 200 mg is ideal for the treatment of acute migraine in adult patients with CV risk factors for attaining headache pain freedom at 2 h and sustained pain freedom at 24 compared to Lasmiditan 100 mg.
Patient blood management in India - Review of current practices and feasibility of applying appropriate standard of care guidelines. A position paper by an interdisciplinary expert group
Authors: Gandhi Ajay , Görlinger Klaus , Nair Sukesh C. , Kapoor Poonam M. , Trikha Anjan , Mehta Yatin , Handoo Anil , Karlekar Anil , Kotwal Jyoti , John Joseph , Apte Shashikant , Vohra Vijay , Gupta Gajendra , Tiwari Aseem K. , Rani Anjali , Singh Shweta A.
Published: April 2021

In a developing country like India, with limited resources and access to healthcare facilities, dealing with massive hemorrhage is a major challenge. This challenge gets compounded by pre-existing anemia, hemostatic disorders, and logistic issues of timely transfer of such patients from peripheral hospitals to centers with adequate resources and management expertise. Despite the awareness amongst healthcare providers regarding management modalities of bleeding patients, no uniform Patient Blood Management (PBM) or perioperative bleeding management protocols have been implemented in India, yet. In light of this, an interdisciplinary expert group came together, comprising of experts working in transfusion medicine, hematology, obstetrics, anesthesiology and intensive care, to review current practices in management of bleeding in Indian healthcare institutions and evaluating the feasibility of implementing uniform PBM guidelines. The specific intent was to perform a gap analysis between the ideal and the current status in terms of practices and resources. The expert group identified interdisciplinary education in PBM and bleeding management, bleeding history, viscoelastic and platelet function testing, and the implementation of validated, setting-specific bleeding management protocols (algorithms) as important tools in PBM and perioperative bleeding management. Here, trauma, major surgery, postpartum hemorrhage, cardiac and liver surgery are the most common clinical settings associated with massive blood loss. Accordingly, PBM should be implemented as a multidisciplinary and practically applicable concept in India in a timely manner in order to optimize the use the precious resource blood and to increase patients' safety.
Artificial Intelligence and technology in COVID Era
Authors: Ahuja Vanita , Nair Lekshmi V.
Published: April 2021

Application of artificial intelligence (AI) in the medical field during the coronavirus disease 2019 (COVID-19) era is being explored further due to its beneficial aspects such as self-reported data analysis, X-ray interpretation, computed tomography (CT) image recognition, and patient management. This narrative review article included published articles from MEDLINE/PubMed, Google Scholar and National Informatics Center egov mobile apps. The database was searched for “Artificial intelligence” and “COVID-19” and “respiratory care unit” written in the English language during a period of one year 2019-2020. The relevance of AI for patients is in hands of people with digital health tools, Aarogya setu app and Smartphone technology. AI shows about 95% accuracy in detecting COVID-19-specific chest findings. Robots with AI are being used for patient assessment and drug delivery to patients to avoid the spread of infection. The pandemic outbreak has replaced the classroom method of teaching with the online execution of teaching practices and simulators. AI algorithms have been used to develop major organ tissue characterization and intelligent pain management techniques for patients. The Blue-dot AI-based algorithm helps in providing early warning signs. The AI model automatically identifies a patient in respiratory distress based on face detection, face recognition, facial action unit detection, expression recognition, posture, extremity movement analysis, visitation frequency detection sound pressure, and light level detection. There is now no looking back as AI and machine learning are to stay in the field of training, teaching, patient care, and research in the future.
The incidence of anosmia in patients with laboratory-confirmed COVID 19 infection in India
Authors: Kumar Vinod , Singla Sapna , Gupta Nishkarsh , Bharati Sachidanand Jee , Garg Rakesh , Pandit Anuja , Vig Saurabh , Mishra Seema , Bhatnagar Sushma
Published: April 2021

Background and Aims:

Acute loss of smell or anosmia is a common and sometimes the only symptom observed in patients with coronavirus disease-2019 (COVID-19). The objective of the study was to determine the prevalence, time of onset, and duration of anosmia in patients with COVID-19 infection and the association of anosmia with other symptoms and eosinophil count.

Material and Methods:

Two hundred patients with laboratory-confirmed COVID-19 infection, who were asymptomatic or mildly symptomatic were assessed for olfaction with a nonirritant odor. The presence of anosmia was recorded, and a questionnaire integrating the anosmia reporting tool was filled. Patients with anosmia/hyposmia were followed telephonically at 7 and 14 days for resolution of anosmia and other symptoms. The presence of anosmia was correlated with eosinophil count.

Results:

Of the 200 COVID-19 patients, 87% were symptomatic. More than half of the patients had fever (56%). Anosmia was observed in 30% of the patients and hyposmia in 4% of patients. In 41% of the patients, olfactory loss was reported before diagnosis. The mean duration of anosmia was 7.8 (± 5) days; 97% of patients recovered with a resolution of symptoms within 2 weeks. Ageusia was the most commonly and significantly associated symptom with anosmia (66%, n = 45) followed by sore throat (41%), and rhinorrhea (28%). The symptoms in both the sexes were comparable. Absolute eosinophil count of <40/μL was observed in 59 patients (29.5%) and an absolute eosinophil count of 0 in 17 patients (8.5%). Among the 68 anosmic patients, 36 (47%) patients had eosinopenia, which was statistically significant.

Conclusion:

Anosmia is an early and sometimes the only symptom in approximately one-third of the patients with COVID-19 infection. Eosinophil count should be checked in anosomic patient with suspicion of COVID-19 infection. Objective tools for olfactory and gustatory assessment should be brought into practice for early and prompt diagnosis to control the spread of the disease.
Correlation between Central Venous Pressure and Peripheral Venous Pressure in Medical Intensive Care Unit Patients
Authors: Hamedh Mohamed A. I. , Al Shaari Abdelaziz A.
Published: April 2021

Introduction:

Central venous pressure (CVP) is a hemodynamic variable commonly used in the intensive care setting to estimate right arterial pressure for evaluation and monitoring a patient's volume status. Risks such as infection, arterial puncture, hematoma, and pneumothorax associated with central venous cannulation can outweigh its benefits. This study was undertaken to determine if peripheral venous pressure (PVP) predicts CVP in medical intensive care unit (ICU) patients.

Materials and Methods:

This study was conducted on patients admitted to the medical ICU at AlJamhoriya Teaching Hospital in the period from January to September 2009. Sixty-six patients (aged 40–70 years) who were required a central venous line (CVL) were included prospectively in the study. CVP measured through internal jugular vein or subclavian vein by three ways CVL set insertion; and CVL placement was confirmed by chest X-ray. We used the manometers for the measurement of PVP; and 66 paired recordings of CVP and PVP were made. The correlation and Bland-Altman analysis of agreement were performed.

Results:

The mean (standard deviation [SD]; range) CVP was 11.3778 cmH2O (±5.6; −1.0–27.0); the mean PVP was 15.80 cmH2O (±5.9; 0.0–33.0); offset (bias) of PVP > CVP was 4.42 cmH2O with SD ± 3.62. The correlation of PVP on CVP was r = 0.8059, (r
2 = 0.65), P < 0.0001. The 95% confidence intervals for the bias were 3.5352–5.3133 cmH2O. In the Bland-Altman analysis, lower and upper limits of agreement (95% LOA) were 2.7 (4.43–−7.20) and 11.63 (4.4–7.2) cmH2O. Four out of 66 points were outside the LOA. The dashed zero lies between the LOA.

Conclusion:

Measurement of PVP from both antecubital area and dorsum of the hand correlated with CVP measurement with acceptable agreement. PVP measurement may be a noninvasive alternative way for estimating CVP.
Cancer Incidence in Southern Libya
Authors: Gusbi Eman , Eltaib Farag I. , Abrahem Abrahem F. , Benbubaker Walid M. , Alhudiri Inas M. , Al-dabea Sameera Ahmad , Alemam Hafsa A. , Elgriw Nada , Elshukri Adel M , Hamil Ahmed O , bettamer Latifa , Enattah Nabil , Elzagheid Adam
Published: April 2021

Background/Aim:

Cancer is a major public health problem worldwide with significant association with deaths and disabilities. Monitoring the cancer incidence is important, but it has never been assessed prospectively in southern part of Libya. The aim of this study was to estimate the cancer incidence and incidence rates in southern part of Libya as part of the monitoring of the cancer incidence in Libya.

Materials and Methods:

This was a retrospective study based on data collected between January 2016 and December 2018, the total number of cases diagnosed with different types of cancer reported to the Sabha Cancer Center was 665. All Libyan males and females who were diagnosed with any type of cancer were included in this study.

Results:

Overall cancer was more among female than male; it affected 414 (62.3%) females and 251 (37.7%) males. With 374 (56.2%) of all recorded cases being found in Sabha, the city documented the highest percentage of all cases found in these regions. According to the study analysis, the most diagnosed type of cancer in southern Libya was breast cancer, with 318 (47.8%) cases, followed by colorectal cancer (118, 17.7%), prostate cancer (60, 9%), leukemia (31, 4.7), lung cancer (23, 3.5), ovarian cancer (18, 2.7%), and lymphoma (17, 2.6%). Among females, breast cancer remained the most reported cancer site, with a decrease in the incidence rate from 146 (45.9%) in 2016 – 73 (23%) cases in 2018. Colorectal cancer was the second most common cancer with a slight increase in the incidence rate from 34 (28.8%) in 2016 to 43 (36.4%) cases in 2018. Leukemia and ovarian cancer ranked third and fourth most-reported cancer sites, respectively. For males, colorectal cancer remained the most reported cancer site during the study period with a slight increase in the incidence rate from 23 (9.16%) in 2016 to 32 (12.7%) cases in 2018. Prostate cancer was the second most common cancer and decreased in the incidence rate from 34 (13.5%) in 2016 to 14 (5.57%) cases in 2018, followed by leukemia and lymphoma. The elderly age groups of ≥70 years account for 17% of the cancer cases. There was a steady rise in incidence rate of all cancers from age <14 years to 69 years and was greater in women. In elderly people (≥70 years), cancer rate was higher in male than female.

Conclusion:

The results of this study suggest the importance of further epidemiological and etiological studies to further reveal factors contributing to the cancer incidence trends in Libya.
Coeliac Disease Etiology and Pathogenesis
Authors: Elmdaah Ali Khalifa A.
Published: April 2021

Coeliac disease is a chronic inflammatory autoimmune enteropathy that affects around 1% of people worldwide. It is caused by ingestion of gluten products in people who are genetically predisposed. The pathogenesis involves multifactorial factors of genetic, gluten exposure, and environmental triggers. HLA-DQ2 and HLA-DQ8 are the main responsible genes that contribute to the development of coeliac disease. Both innate and adaptive immune plays role in the pathogenesis. In this article, we will review the causes and pathogenesis of coeliac disease development.
Evaluation of 68Ga-DOTA-Ubiquicidin (29–41) for imaging Staphylococcus aureus (Staph A) infection and turpentine-induced inflammation in a preclinical setting
Authors: Boddeti Dilip Kumar , Kumar Vijay
Published: April 2021

Synthetic antimicrobial peptide fragment, 99mTc-Ubiquicidin 29–41, is shown to be sensitive and also specific for imaging bacterial infections. We undertook this study to explore the advantage of using a positron emission agent, 68Ga-DOTA-Ubiquicidin 29–41 (68Ga-DOTA-UBI), for detecting Staph-A infection in an animal model, and also evaluated its ability to distinguish a turpentine-induced sterile inflammation in an animal model. Pure Ga-68 was freshly eluted from a 68Ge/68Ga generator (IGG-100). DOTA-UBI (50 μg) was ra diolabeled with pure Ga-68 (500MBq) by incubating the reaction mixture at pH 4.5 for 10 min, 95°C. Rats were infected with Staph-A at the hind leg joint of rats to form bacterial abscess. Sterile inflammation was induced in the right thigh muscle by injecting 200 μl of 100% turpentine oil. Rats were injected intravenously with 10–15 MBq of tracer, and images were acquired at different time intervals with Siemens (Biograph mCT) positron emission tomography computed tomography scanner. The early images at 6 min postinjection clearly indicated mild uptake of the agent corresponding to the infection site, which increased dramatically at 20, 30, and 60 min postinjection. The target to background ratio (T/B) increased significantly over the same time period of study (1.6, 4.2, and 6.1, respectively). There was a mild uptake of 68Ga-DOTA-UBI at the site corresponding to sterile inflammation at 6 min postinjection, which was rapidly washed off as seen at 25 and 45 min images. The images indicated fast clearance of the agent from liver and soft tissues within 6 min. Control rats showed similar biodistribution of activity. The mild uptake of 68Ga-DOTA-UBI at the corresponding Staph-A infection lesion and very fast kinetics of clearance from the blood pool and soft tissues suggested a very high clinical potential for this agent. The absence of uptake of the agent at sterile inflammation site suggests that the agent may be useful in distinguishing infection from inflammation.
Implementing Interdisciplinary Team Rounding to Reduce External Ventricular Drain-Associated Infections
Authors:   , Reiter Laura
Published: April 2021

External ventricular drains (EVD) are a common intervention in critical care areas for the management of hydrocephalus. The most common complication of this life-saving intervention is infection, which negatively impacts patient outcomes and overall healthcare costs. Current evidence shows that interdisciplinary team rounding improves compliance with evidence-based practice and reduces hospital-associated infection rates. The PICOT question that guided this project is: For patients with an external ventricular drain (EVD), what is the effect of interdisciplinary team rounding compared with the current practice of informal rounding, on compliance with an EVD care bundle and EVD-associated cerebrospinal fluid infections over two months? This paper will discuss how interdisciplinary team rounding was implemented in four critical care units at a level I trauma center located in Southwest Virginia. The implementation of this rounding process has resulted in zero infections at the practice site for the duration of the intervention and for a total of eight months to date. Despite the sample size for the project being much smaller than anticipated, the paper will show both clinical significance as well as anecdotal evidence to support this intervention as a successful part of a multifaceted approach to infection prevention.
Patient Satisfaction With Noise
Authors:   , Kentner Robert W., II
Published: April 2021

Practice Problem: Noise on hospital units can interfere with patient rest, timely recovery, and statisfacton with care. Improvements in the reduction of hospital noise levels lead to improved patient satisfaction and improved rest. Patients were surveyed on their satisfaction with noise during the day and at night. PICOT: In Acute Care Patients (P), does the implementation of a noise reduction program (I) compared to no noise reduction program (C), affect patient satisfaction with noise (O) over a six-week period (T)? Evidence: Studies show that many hospitals have noise levels that exceed the World Health Organization’s recommended standards for noise levels. Evidence showed that implementing a noise reduction program that included quiet times and sleep menus produced an increase in patient satisfaction with noise. Intervention: Implementation of a noise reduction program and establishing a two-hour quiet time during the day. The program also established a sleep menu to identify and support patient bedtime rituals. Outcome: The implementation of a noise reduction program showed a statistical decrease in measurable noise levels. The project produced a clinically significant increase in patient satisfaction during the day and a clinically significant improvement in patient satisfaction with sleep quality and quantity. Conclusion: The goal of the noise reduction project was to improve the patients’ overall satisfaction with hospital noise during the day and overnight. This project showed that a noise reduction program could decrease noise levels and improve patient satisfaction with noise.
Congenital retroperitoneal large size neuroblastoma
Authors:   Pediatric Surgeon, Ministry of Health, Palestine, Amro Wael , Shaltaf Ahmad ,   Pediatric Surgeon, Ministry of Health, Palestine, Shalalfa Neveen ,   Epidemiologist, Family Medicine Specialist, Ministry of Health, Palestine
Published: April 2021

We experienced a rare case of 9-months-old girl with an abdominal neuroblastoma that exhibited radiographic evidence of tumor extension into the mesenteric artery. Imaging studies were suggestive of neuroblastoma which also confirmed by the histologic analysis that show a diagnosis of neuroblastoma too. The patient never underwent initial chemotherapy for the treatment of neuroblastoma but experienced operation for tumor and resection was successfully achieved. This case and the treatment strategy are discussed in this paper.
Pengaruh Cahaya Lampu Terhadap Peforma Atlet Bolavoli Uniba Cup II Se-Karesidenan Besuki
Authors: Rendi Nuriawan  , Danang Ari Santoso  , Puji Setyaningsih  , Edi Irwanto
Published: April 2021

Dalam permainan bolavoli salah satu hal yang paling berpengaruh terhadap prestasi ialah peforma. Peforma atlet dapat dipengarui oleh faktor eksternal seperti intensitas pencahayaan pada lapangan olahrga. pencahayaan dapat memberikan efek bersemangat. Tujuan dari peneltian ini adalah Untuk mengetahui pengaruh cahaya terhadap peforma atlet bolavoli. Metode yang digunakan dalam penelitian ini adalah metode penelitian eksperimen dengan pendekatan kuantitatif. Desain penelitian yang digunakan dalam penelitian ini yaitu bentuk desain studi kasus bentuk tunggal (One Shot Case Study). Populasi dalam penelitian ini adalah SMA/SMK/MA Se-Karesidenan Besuki. Teknik pengambilan sampel dalam penelitian ini adalah purposive sampling, dengan jumlah 12 tim yaitu 8 (delapan) tim putra dan 4 (empat) tim putri.  Hasil penelitian menunjukan bahwa intensitas cahaya lapangan bolavoli Uniba rata-rata sebesar 365 lux. Hal ini sudah sesuia dengan Standart pencahayaan pada lapangan olahraga pada saat latihan sebesar 200 lux dan untuk pertandingan 300-600 luk. Peforma atlit peserta kejuaraan dalam kategori tinggi dengan presentase 79, 383%. Hal ini dikarenakan pencahayaan dapat memberikan efek bersemangat, depresi, membangkitkan gairah, menyejukan, mengintimidasi, memperingati, bahkan membantu merasa aman dan telindungi.