bluuebunny/crossref_metadata_2025 huggingface dataset:
GAMBARAN KUALITAS TIDUR PADA REMAJA DI ASRAMA PUTRI EMAUS SURABAYA
Authors: Hemas Astrid Makrina Reyaan , Widianingtyas Sisilia Indriasari , Silalahi Veronica
Published: January 2023

Tidur merupakan kebutuhan dasar manusia dan suatu proses biologis yang umum terjadi pada setiap individu. Masalah yang terjadi pada remaja di Asrama Putri Emaus Surabaya yaitu mereka rata-rata tidur diatas jam 22.00 WIB, durasi tidur 3-5 jam, sibuk bercerita dengan teman kamar, bermain handphone serta mengerjakan tugas sehingga tidak memperhatikan jam tidur mereka. Tujuan penelitian ini untuk mengidentifikasi gambaran kualitas tidur pada remaja di Asrama Putri Emaus Surabaya. Desain penelitian yang digunakan yaitu deskriptif. Variabel penelitian ini adalah kualitas tidur remaja di asrama putri, jumlah sampel sebanyak 30 responden, teknik sampling yang digunakan adalah sampling jenuh. Instrumen yang digunakan adalah kuesioner PSQI untuk mengukur kulitas tidur remaja. Analisis yang digunakan analisis statistik deskriptif proposional prosentase (ASDPP). Hasil penelitian menunjukan dari 30 responden, terdapat 19 responden (63%) mengalami kualitas tidur kurang, 6 responden (20%) mengalami kualitas tidur baik, 4 responden (13%) mengalami kualitas tidur sangat baik serta 1 responden (3%) mengalami kualitas tidur sangat buruk. Kualitas tidur dipengaruhi oleh beberapa faktor yaitu faktor lingkungan dan faktor mengonsumsi kopi atau minuman lain dimalam hari dimana faktor tersebut bisa menyebabkan atau mempengaruhi kualitas tidur maka kualitas tidur yang baik dapat meningkatkan kesehatan tubuh remaja.
PENGARUH PEMBERIAN INTERMITTEN DAN CONTINUOUS ULTRASOUND DALAM PENGURANGAN NYERI PADA ANKLE SPRAINS
Authors: Heri Ignatius Heri Dwianto
Published: January 2023

Abstrak: Secara fungsional, ankle merupakan area yang menerima beban dari seluruh tubuh baik saat berdiri maupun berjalan, sehingga area ankle cenderung mengalami gangguan akibat trauma mekanis. Sprain ankle adalah kondisi peregangan berlebihan pada ligamen lateral kompleks ankle yang disebabkan oleh inversi mendadak dan fleksi plantar. Kondisi ini menyebabkan nyeri dan pembengkakan pada sisi lateral ankle serta penurunan fungsi berjalan. Sprain ankle umumnya diberikan sebagai modalitas ultrasound untuk mengurangi rasa sakit dan pembengkakan pada sisi lateral ankle. Penelitian ini menggunakan desain penelitian two group pretest posttest design yang melibatkan 30 pasien dari Visic (Vincetius Sport Injury Clinic), berusia 18-42 tahun, laki-laki dan perempuan dan menjadi subyek dalam 2 kelompok perlakuan yaitu kelompok yang mendapat USG intermitten dan kelompok yang mendapat pemeriksaan USG continuous. USG selama 1 bulan (10 x), 2-3 x dalam 1 minggu. Data dikumpulkan kemudian dianalisis secara statistik. Nilai rata-rata dan standar deviasi dari perbedaan (delta) AS intermiten VAS pada kedua kelompok adalah 46,00±5,071 milimeter dan uji beda antar kelompok menghasilkan nilai p 0,000. Nilai p > 0,05 menunjukkan bahwa ada pengaruh yang signifikan antara USG intermitten dan continuous. Sedangkan nilai mean dan standar deviasi selisih (delta) pemberian USG continuous pada kedua kelompok adalah 30,67±5.936 milimeter dan uji beda antar kelompok diperoleh nilai p = 0,000 Nilai p<0,05 menunjukkan adanya pengaruh yang signifikan antara USG intermitten dan continuous. Tidak ada perbedaan antara penggunaan ultrasound intermitten dan continuous dalam mengurangi rasa sakit pada sprain ankle.
KEPATUHAN PERAWAT MELAKSANAKAN PRINSIP DUA BELAS BENAR PEMBERIAN OBAT
Authors: Yuliati Ignata , Setyawati Emiliana Indah Eko , Wahyuni Sri
Published: January 2023

The behavior of nurses in giving drugs to patients must be in accordance with Standard Operational Procedures (SPO) so that patients are safe from drug-administration errors. There is still a lack of knowledge of nurses about the 12 correct principles of giving drugs to patients, not double checking with other nurses when giving drugs and there are still nurses who do not wait for patients to take their drugs and leave drugs on the patient's table. This study aims to identify the compliance of nurses in implementing the 12 correct principles of drug administration. This research design uses a descriptive study. The number of samples was 40 implementing nurses who were selected using simple random sampling. The measuring instrument used is a knowledge and compliance questionnaire of nurses about the twelve correct principles of drug administration. Data were analyzed using Descriptive Statistical Proportion Percentage Analysis (ASDPP). The results showed that most of the more than 50% (65%) of the respondents had an obedient attitude. Nurses more often do double checks before giving drugs. The Head of the Division of Nursing can provide updates on the 12 correct principles of drug administration.
ANALISIS PREVALENSI LOW BACK PAIN PADA PERAWAT DI DUNIA : LITERATURE REVIEW
Authors: Astuti Martha Sri
Published: January 2023

Low Back Pain (LBP) is a condition presenting sustain pain in area between waist and gluteal fold.  The prime cause of LBP is ergonomic position.  Nurse does a lot of bending, twisting, lifting patients or in a certain position for along time.  This positions are ergonomically bad.  Some interventions are done on researches gave positive result for one year.  On another hand prevalence of LBP on nurses in the world is not changing for 12 years (2008-2019), between 50-70%.  This prevalence is consistent whether in the poor countries, developing countries or developed countries.  Psychological factors, deficiency of health allied sources and time management of the health human resource also interference the LBP prevalence on nurses.  It is need to do ergonomic intervention and time human management for nurses in the workplace to know its efficiency towards decreasing LBP prevalence
PENGARUH KOMPRES PANAS TERHADAP PENURUNAN INTENSITAS DISMENORE PRIMER
Authors: Monica Laily Prima , Ulfa Maria , Wibisono Wahyu
Published: January 2023

Menstruasi merupakan peristiwa yang wajar terjadi pada setiap wanita. Namun terkadang menstruasi menimbulkan masalah yaitu adanya keluhan nyeri haid atau yang disebut dengan dismenore. Dismenore terkadang sampai tidak tertahankan sehingga memerlukan suatu managemen nyeri. Ada 2 macam managemen nyeri yaitu secara farmakologis dan nonfarmakologis. Dari berbagai macam managemen nyeri secara nonfarmakologis salah satunya dengan menggunakan kompres panas yang dinilai efektif untuk mengurangi nyeri. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh kompres panas dalam menurunkan intensitas dismenore primer. Penelitian ini menggunakan desain penelitian One Group Pre Post test Design, sedangkan teknik sampling yang digunakan adalah purposive sampling dengan uji statistic Wilcoxon Match Pairs Test dengan signifikasi 5%. Pengambilan data dilakukan dengan menggunakan lembar analog visual dari skala nyeri. Hasil penelitian menunjukkan bahwa 17 responden mengalami penurunan intensitas dismenore primer setelah diberikan kompres panas. Sehingga diketahui bahwa ada pengaruh antara pemberian kompres panas terhadap penurunan intensitas dismenore primer.
Correlation studies in turmeric (Curcuma longa L.)
Authors: Nandhini Devi H. , Chezhiyan N.
Published: January 2023

In order to study the impact of gamma irradiation in Turmeric (Curcuma longa L.), experiments were carried out during the year 2000-2003 in the Department of Spices and Plantation Crops, Horticultural College and Research Institute, Tamil Nadu Agricultural University, Coimbatore. The experiment was laid out in Factorial Randomized Block Design with two replications using three genotypes namely Salem local - G1 (CL144), Alleppy finger turmeric - G2 (CL146) and PTS 43 - G3 (CL147). The treatments consisted of seven doses of gamma rays (1.0, 1.5, 2.0, 2.5, 3.0, 3.5 and 4.0 kR) along with a control. The study revealed that lower doses of gamma rays were favourable for the yield contributing characters. The correlation study established that the weight of mother rhizomes, number, length and girth of primary rhizomes and number of secondary rhizomes expressed positive correlation with yield per plant in vMo generation. Similarly, the number, weight, length and girth of primary rhizomes, number, weight and length of secondary rhizomes and curing per cent were positively correlated with yield per plant in vM1 generation.
A note on some ethnomedicinal plants found effective in the treatment of typhoid used BY Bhil tribe of Ratlam district (Madhya Pradesh)
Authors: Jadhav Dinesh
Published: January 2023

The paper provides information on the use of plant crude drugs the treatment of typhoid by Bhil tribe of Ratlam District (M.P.). It deals with 17 plants species under 17 genera belonging to 13 families for the treatment of typhoid. The Bhil tribe of the area totally depend on the herbal drug for their primary health care which is attributed partly to their socio-economic and cultural conditions.
Bilingual Palestinians' Attitudes towards Code-Switching
Authors: Abu-Aisheh Rahaf N. , Melhem Nada S. , Farrah Mohammed
Published: January 2023

Prestige is a matter that concerns everyone as an attempt to follow the high class. The way people speak is one of the most noticeable factors that are used to determine if they are prestigious or not. Code-switching helps to create a new level of prestigious speech which is what we are trying to test in this study in the community of Hebron-Palestine. The purpose of this study is to investigate participants’ attitudes towards Code-switching (whether it is prestigious or not) and what reasons led to these attitudes. Data were collected from 80 members of the society from different educational levels and different age categories using a questionnaire that was sent to participants online. The study revealed that that code-switching is considered prestigious and it reflects the level of education of people in the society. Society turns out to believe that code-switching is a sign of prestige after the dramatic growth of the use of social networking. The data was analyzed using SPSS version 24. Theoretical and practical implications were discussed. Researchers hope that this study will help other linguists who are trying to search in this field.
Major clinical outcomes of cellular and molecular regulation in maxillofacial bone regeneration: a systematic review
Authors: Anjos Bruna Maria Vital dos , Alves Leandro Gotardello , Idalgo Fabio Alarcon , Pereira Silvio Antonio dos Santos , Nunes Alexandre Gomes , Kassis Elias Naim , Cicareli Alvaro José , Beneti Igor Mariotto
Published: January 2023

Introduction: The importance of knowing the constitution of this epithelium is because these hair cells play a fundamental role in the physiology of the maxillary sinus. When a dental element is lost in the posterior region of the maxilla, there is natural reabsorption of the alveolar process and, at the same time, pneumatization of the maxillary sinus will occur. Objective: It was to demonstrate, through a systematic review, the main clinical outcomes of cellular and molecular regulation in maxillofacial bone regeneration. Methods: The systematic review rules of the PRISMA Platform were followed. The research was carried out from September to October 2022 in Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. A total of 110 articles were found, 41 articles were evaluated and 31 were included in this systematic review. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 31 studies at high risk of bias and 25 studies that did not meet the GRADE. Most studies showed homogeneity in their results, with I2 =98.9% >50%. Results and Conclusion: It was found that the search for a solution to large bone defects guided the studies for regeneration therapy tissue or bone regeneration. These studies can promote the use of fillers and epithelial barriers that help in the treatment as an adjuvant to bone graft techniques, favoring greater predictability in alveolar and peri-implant reconstructions and with a good prognosis. The main filler biomaterials can be fibrin-rich plasma (FRP), Bio-Oss®. It is necessary to understand the chemical, physical and biological processes of both the biological material and the biological niche of the host. Crossing compatible information between microenvironments allows cell recognition and signaling cascades for neovascularization and regeneration and bone filling.
Dosing and efﬁcacy of extracorporeal shockwave therapy for diabetic foot ulcer healing: a systematic review protocol
Authors: Hitchman L , Mesri M , Smith GE , Twiddy M , Iglesias C , Russell D , Chetter IC
Published: January 2023

Background: Effective interventions to improve diabetic foot ulcer (DFU) healing are urgently required. Extracorporeal shockwave therapy (ESWT) has the potential to transform DFU care, but is limited by uncertainties around clinical effectiveness and optimal dosing regimen. This protocol outlines the methodology of a systematic review that will address these unknowns. Methods: Databases and the grey literature will be searched for randomised controlled trials (RCTs) comparing ESWT plus standard ulcer care to standard ulcer care ± sham ESWT in patients with a DFU. The primary outcome of the review is time to ulcer healing. Two independent reviewers will screen search results against pre-determined eligibility criteria and extract data onto a pre-piloted spreadsheet. A meta-analysis is planned to compare time to healing for ESWT versus standard care and different doses of ESWT. The Risk of Bias 2 and GRADE tool will be used to assess the quality of the evidence. Outputs, dissemination, impact: The review will provide an estimate of the effect of ESWT on DFU healing and the impact of the ESWT dose on DFU healing. The systematic review will be submitted for publication in a peer-reviewed journal. A plain English summary will be produced. Outputs from the review will guide patient care and research.
Management of Protracted Social Conflicts in a Multi Cultural Society: The Nigerian Example
Authors: Odey Akah Pius , Ugar Akah Augustine
Published: January 2023

The literature on conflicts in Nigeria largely implicates socio-economic, political and governmental deficits as the major causes of violent conflicts in Nigeria. The paper interrogates the challenges and prospects of managing protracted social conflicts in Nigeria by examining the socio-economic and political dynamics of the Nigerian State within the framework of the current security challenges in Nigeria. A careful evaluation of data from the field was supplemented with a desk review of secondary sources and integrated into the content analysis of the issues that arose from the subject matter under study. Findings indicates that the root causes of conflicts in Nigeria are located ethno-religious intolerance, struggle for power and scarce resources, bad governance, insincerity and haphazard approach towards the resolution of these conflicts. The paper concludes that there is no alternative to good governance in the fight against violent conflicts in Nigeria. Good governance is congenial to the promotion, reign and sustenance of peace. Therefore, it is the contention of this paper that to effectively manage protracted social conflict, strategic approaches anchored on good governance that will guarantee sustainable peace and security in Nigeria must be evolved.
Gendering in Music: An Autoethnographic-Phenomenological Tale
Authors: Olobia Leoncio Peralta
Published: January 2023

Gendering in music in my autoethnographic-phenomenological tale is drawn heavily from my personal experiences highlighting music composition and performance, deciphering gender norms through musical utterances illuminated in my mother’s lullabies and my grandmother’s lamentations as musical rhetoric. While the foregoing forms part of my creative space, reflexivity borders the self as located within cultural praxis. Result of the study reveals that vignettes of my musical journey create socio-cultural representations rooted with phenomenological nuances that are magnified through entrainment and association, forming ideological patterns articulated through uniform and regular rhythmic pulse, for instance, as mirrored in the narratives of people’s common ideologies and struggles for emancipation that are illuminated in melodic kundiman songs, depicting gendering in music as a social-construct viewed from the lens of critical discourse. In conclusion, this tale foregrounds self-culture relationship and understanding where patterns of meanings utter gendered norms in musical tales affecting thoughts, emotions, and forming socio-cultural resonances and representations.
POPULAÇÃO INDÍGENA TAPEBA
Authors: dos Santos Maria Lourdes , Paiva dos Santos Artur , De Oliveira Moraes Luna Morgana , Socorro Martins Maria Iara , Araújo de Carvalho Jéssica , Franco Moreira Francisco Jadson , Dayane Paiva de Abreu Leidy
Published: January 2023

Descrever os aspectos metodológicos relacionados ao desenvolvimento da base de dados referente à saúde na população indígena Tapeba do município de Caucaia-Ceará. Estudo documental, descritivo com abordagem qualitativa sobre um plano de gestão de dados desenvolvido para a coleta de dados referentes à ocorrência de doenças crônicas registradas em fichas de cadastro, na população indígena Tapeba de Caucaia, Ceará, realizado de julho de 2021 até outubro de 2022. Estruturou-se seis fases para gerenciamento dos dados: I busca das informações; II ficha de cadastro como fonte de dados; III seleção das variáveis; IV coleta com dupla entrada dos dados; V compilação das informações em planilha única; VI estruturação do banco de dados, com avaliação da completude e posterior análise. A seleção da fonte de informação e gerenciamento de dados são partes fundamentais de toda pesquisa, interferindo diretamente nos resultados, fazendo-se necessário um processo bem delineado.
CADERNOS ESP COMO SUJEITO DA EXPERIÊNCIA, ABERTA A SUA PRÓPRIA TRANSFORMAÇÃO
Authors: Franco Moreira Francisco Jadson
Published: January 2023

Quando nos referimos ao termo “caminhar”, suscitamos a reflexão sobre lugar, espaço, caminho, estrada e território, o lugar de onde se fala a experiência vivenciada. Jorge Larrosa Bondía (2002, p. 24)1, destacado nas linhas introdutórias desta escrita, nos conduz a refletir sobre caminho como a experiência e a possibilidade de que algo nos aconteça ou nos toque, um olhar para o que nos ocorre, um parar para pensar, parar para olhar, parar para escutar, pensar mais devagar, olhar mais devagar e escutar mais devagar, parar para sentir, sentir mais devagar. E nos sugere ainda, o autor, um demorar-se nos detalhes, para que nesse parar ocorra uma suspensão do automatismo da ação, de forma que abrir os olhos e os ouvidos e falar sobre o que nos acontece seja um cultivar a atenção e a delicadeza em cada experiência. [Trecho do Editorial]
INSTRUMENTO PARA AVALIAÇÃO DO PÉ DIABÉTICO: CONSTRUÇÃO E VALIDAÇÃO
Authors: Aguiar da Silva Beatriz , Mourão Pereira Beatriz
Published: January 2023

Desenvolver uma ferramenta de avaliação do pé diabético na Atenção Primaria à Saúde em uma unidade de saúde do leste maranhense. Trata-se de um estudo metodológico, realizado na Estratégia de Saúde da Família (ESF), desenvolvido em três etapas: 1) Construção com base na revisão bibliográfica; 2) Aplicação do instrumento para o pré-teste com o público-alvo; 3) Aplicação do conteúdo pelos profissionais de nível superior, o pós-teste. Na fase pré-teste, identificou-se 53 pacientes; a primeira versão do instrumento foi constituída de 8 itens, e ao final do pré-teste, adaptou-se os itens de identificação, avaliação dos fatores de risco, estratificação de risco e capacidade de autocuidado; a última etapa de construção e validação desse instrumento foi a aplicação pelos profissionais de nível superior da ESF Pirajá. O uso de uma tecnologia nos serviços de saúde contribui para adequação e aprimoramento da assistência prestada.
SÍNDROME INFLAMATÓRIA PEDIÁTRICA ASSOCIADA AO COVID-19
Authors: Dantas Soares Simone , Cardoso Façanha Mônica
Published: January 2023

Analisar na literatura científica o que vem sendo produzido sobre Síndrome Inflamatória Multissistêmica Pediátrica associada à COVID-19 (SIM-P). Trata-se de uma revisão integrativa, na qual foram buscadas publicações nas bases: Scientific Electronic Library Online (SciELO), Web of Science e National Library of Medicine (PubMed/Medline), Biblioteca Virtual em Saúde (BVS), no período entre 2020 e 2021. A estratégia de busca utilizou dois descritores, que foram combinados utilizando-se do operador booleano AND, da seguinte forma: “síndrome inflamatória multissistêmica pediátrica AND covid-19”. Foram analisadas 10 publicações. Contribuíram para a compreensão dos sinais de gravidade da Síndrome Temporalmente Associada à COVID-19, diante dos quais se recomenda assistência com participação conjunta de equipes multiprofissionais, tratamento oportuno e seguimento das crianças e adolescentes para detecção precoce de possíveis sequelas. As evidências científicas colaboraram para subsidiar a assistência ao paciente com SIM-P.
(TRANS)FORMAÇÃO DOS ESTAGIÁRIOS DE NUTRIÇÃO CLÍNICA PELO PROENSINO
Authors: Rocha Yatagan Moreira da , Falcão Rebecca Alves , Gomes Layanne Cavalcante , Melo Angela Nirlene Monteiro Vieira , Bezerra Alane Nogueira
Published: January 2023

Relatar atividades, vivências e aprendizados no estágio de nutrição clínica do PROENSINO em uma unidade hospitalar terciária de Fortaleza-CE. Relato de experiência, descritivo, acerca das vivências de estagiários de nutrição do PROENSINO em um hospital especializado em cardiologia e pneumologia de Fortaleza-CE entre 2018 e 2020. Os estagiários desenvolveram e participaram de diversas atividades, como na assistência à saúde em Unidades de Terapia Intensiva com equipe multiprofissional. Durante o estágio, além da aquisição de competências técnicas da área de nutrição foi aprendida a importância da multiprofissionalidade no cuidado ao paciente e o exercício da interdisciplinaridade enquanto acadêmicos da saúde. O PROENSINO se configura como importante mecanismo na transformação e formação acadêmico-profissional, permitindo o desenvolvimento de autonomia e segurança no exercício da profissão, promovendo novos saberes e contribuindo na formação diferenciada e humanizada na área da saúde.
PROCESSO TRANSEXUALIZADOR NO ESTADO DO CEARÁ
Authors: De Oliveira Silva Felipe , Cortês Barcelos Suzyane , Almeida Melo Ana Luísa , José Soares Pontes Ricardo , De Oliveira Cardoso Rebeca
Published: January 2023

Analisar a implementação do processo transexualizador no Estado do Ceará, contextos, condicionantes e desafios. Trata-se de uma pesquisa qualitativa com abordagem fenomenológica. Foram entrevistados cinco sujeitos estratégicos (gestores e profissionais) com técnica de profundidade individual. O processo transexualizador no Estado do Ceará foi implementado de acordo com a demanda da população transgênera, inicialmente questões gerais relacionadas à sexualidade. Os desafios apontam falta de recursos humanos e financeiros, vulnerabilidades, falta de acesso e acessibilidade aos serviços de saúde, desconhecimento acerca da população transgênera e preconceitos em geral. Os avanços na legitimação do processo transexualizador são notórios, porém a ideia da transexualidade como patologia e a inserção do ambulatório nas instalações de um hospital psiquiátrico podem sustentar a estigmatização às pessoas Trans. O processo transexualizador está assegurado por políticas públicas no Ceará, entretanto a implementação integral das ações ainda é limitadas.
A PERCEPÇÃO DOS RESPONSÁVEIS SOBRE A CADERNETA DA CRIANÇA
Authors: Gomes Araújo Mariana , Fernandes Maranhão Mayara , Rodrigues da Silva Júnior Edivaldo , Mota Buges Naiana
Published: January 2023

A Caderneta caracteriza-se como o principal documento de registro de saúde da criança desde o nascimento até os 10 anos de idade e é utilizada pelos profissionais que atuam em diferentes locais da assistência. Conhecer a percepção dos responsáveis de crianças acompanhadas na Atenção Primária à Saúde sobre a Caderneta da Criança. Trata-se de um estudo descritivo e exploratório com abordagem qualitativa, com responsáveis por crianças de 0 a 10 anos.  Todos os responsáveis consideram a caderneta importante e relataram utilizar principalmente para vacinação e acompanhamento das medidas antropométricas. Alguns responsáveis afirmaram usar no meio sociale todos os participantes salientaram levar a caderneta para consulta de puericultura. As participantes conhecem parcialmente o conteúdo da caderneta destinado ao cuidador. É necessária ação de educação em saúde sobre o uso da caderneta para os responsáveis, olhar atento da gestão sobre a distribuição da caderneta.
Obstetric Telephone Triage
Authors:   , Engeltjes Bernice
Published: January 2023

The aim of this thesis was to develop a valid, reliable, and nationwide usable obstetric telephone triage system for unplanned care requests of pregnant women. Also, we wanted to evaluate the use of the system by healthcare professionals within different hospital settings and patients’ experiences of the system.

This thesis contributes to the improvement of current obstetric care processes. This is necessary in view of the increased volume per obstetric emergency care department, the pursuit of high-quality interpretation and documentation of unplanned obstetric care consultations. A telephone triage system adds to this need. As stated in the main findings it can be said that The Dutch Obstetric Telephone Triage System (DOTTS) achieved consensus of healthcare professionals after its development with relevant stakeholders (chapter 2). DOTTS consists of five presenting symptoms: fluid loss, vaginal bleeding, abdominal pain, concerned pregnant/non somatic symptoms and other physical symptoms. DOTTS consists also of five urgency levels: resuscitation & life threatening, emergency, urgent, non-urgent and self-care advice. This thesis showed that a valid (chapter 3) and reliable (chapter 4) estimate of the urgency levels can be made by using DOTTS and that the use of DOTTS can be safely encouraged in obstetric practice. Further, that the use of a valid and reliable telephone triage system contributes to the correct distribution of human and financial resources. In chapter 5 addition, insight into professionals experiences provided valuable information regarding the aspects that support implementation of DOTTS (chapter 5) in practice. Lastly, in an examination of patients’ experience we found that patients perceived that professionals use DOTTS without losing the human touch (chapter 6).

In the general discussion three subjects will be discussed: 1) DOTTS as an example of a successful health care transformation, 2) Aspects of successful innovations that contribute to transformation and, 3) Theoretical concepts of multidisciplinary stakeholder engagement and multidisciplinary learning.
Unraveling leadership potential
Authors:   , Bouland-van Dam Sophie Ingrid Maria
Published: January 2023

As leaders have a significant impact on organizational performance, the identification and development of (potential) leaders in organizations is of utmost importance to gain competitive advantage. However, current leadership potential research deals with conceptual and measurement issues such as the conflation of constructs and the confusion of current performance and future potential. Similar issues refer to learning agility research. This is problematic, as learning agility is considered an important determinant of leader potential and performance, specifically in today’s complex and unpredictable business context. Therefore, this dissertation sheds light on the difficulties concerning leadership potential research by proposing a novel conceptualization of leadership potential in which a long-term approach is pivotal, and by applying a subsequent measurement approach in the different studies in this dissertation. Moreover, learning agility is reconceptualized and its role as a long-term predictor of growth in effective leader behaviors is examined.
Clinical meaningfulness of the Oxford Foot Model to assess foot deformity during gait
Authors:   , McCahill Jennifer Leigh
Published: January 2023

AIM of THESIS
The primary aim of this thesis was to establish the clinical role of the Oxford Foot Model to assess foot deformity during gait. To achieve this, we evaluated the OFM’s clinimetric properties and created and tested a new outcome measure based on the OFM kinematics: the Foot Profile Score. A secondary aim was to explore a potential relationship between altered foot structure/ function during gait and perceived disability in a clinical population.

CHAPTER OUTLINES
The following chapters culminate to address the overall aims of this thesis.

Chapter II is a repeatability study to justify the use of the OFM in populations with known foot deformity. Intra and inter-rater repeatability of marker placement was assessed in children with clubfoot and in children with hemiplegia cerebral palsy and compared to a typically developing population. This study was completed at the Oxford Gait Laboratory in Oxford, UK.

Chapter III builds on previous research completed in Oxford evaluating the repeatability of the hindfoot marker in the OFM. Two jigs were created to improve the repeatability of the heel marker placement. Two gait analysts (one beginner and one experienced with the foot model) completed this repeatability study comparing the two jigs to the traditional method of eyeballing marker placement on 10 healthy adult subjects. This study was completed at VU Medical Centre in Amsterdam, Netherlands.

Chapter IV is a validation study of a new summary score of dynamic foot motion during gait based on the OFM kinematics- the Foot Profile Score (FPS). THE FPS was defined, then studied for its properties and design, and analysed against a clinical assessment of foot deformity. This study was completed at the Oxford Gait Laboratory in Oxford, UK.

Chapter V defines a minimal clinically important difference (MCID) for the Foot Profile Score based on the regression of the FPS on the Clinical Foot Deformity Scale (CFDS) presented in Chapter IV. The FPS was then assessed for its responsiveness in children with hemiplegia, cerebral palsy who underwent gait analysis pre-and post-surgery for correction of their foot deformities.

Chapter VI utilises the FPS to analyse recurrent foot deformities in children previously treated for clubfoot deformity, presenting at the Oxford Gait Laboratory for consideration of further treatment due to ongoing symptoms. Foot function was assessed by the OFM kinematics and plantar pressure and correlated with parent-reported outcome measures including the Oxford Ankle Foot Questionnaire, the Disease Specific Index for clubfoot and the Pediatric Quality of Life Inventory 4.0.

Chapter VII discusses the overall aim of this thesis and considerations for future research are given.
The endothelium as target to restore vascular leakage and microcirculatory perfusion after hemorrhagic shock
Authors:   , van Leeuwen Anoek Laura Inge
Published: January 2023

Hemorrhagic shock causes an immediate decrease in microcirculatory perfusion, which cannot be restored by standard therapy with fluids and blood products. The disturbance in microcirculatory perfusion is suggested to be the underlying cause of multiple organ failure, leading to increased mortality. To date, additional treatment strategies to restore microcirculatory perfusion following hemorrhagic shock are lacking.
The endothelium is a semi-permeable barrier that covers the inner layer of the microvasculature, where it tightly regulates the exchange of fluids, nutrients and waste products between blood and tissue. In this thesis, we propose the microvascular endothelium as central regulator of hemorrhagic shock-induced microcirculatory perfusion disturbances. We investigated the effect of hemorrhagic shock and fluid resuscitation on endothelial barrier function and microcirculatory perfusion. Subsequently, we investigated which molecular mechanisms are of interest as target to reduce microvascular leakage and restore microcirculatory perfusion following hemorrhagic shock.
Due to the central role of the endothelium, we propose the endothelial angiopoietin/Tie2 system, a key regulator of endothelial barrier function, as target to reduce microvascular leakage following hemorrhagic shock. The angiopoietin/Tie2 system consists of several components, of which the ligands angiopoietin-1 and angiopoietin-2 and the Tie2 receptor are mostly investigated. Under healthy conditions, angiopoietin-1 binds to the Tie2 receptor which subsequently leads to activation of the downstream pathway, thereby maintaining endothelial barrier function. A stress response, such as inflammation, excessively releases angiopoietin-2 which competitively binds the Tie2 receptor, blocking activation of the Tie2 receptor and disrupting endothelial barrier function. In this thesis, we investigated the effect of dysregulation of the angiopoietin/Tie2 system on microvascular integrity in mice. Subsequently, with the use of a rat model representing hemorrhagic shock and fluid resuscitation, we investigated whether restoring the imbalance in the angiopoietin/Tie2 system could reduce microvascular leakage and thereby restore microcirculatory perfusion following hemorrhagic shock and fluid resuscitation. Finally, we investigated whether there are sex-related differences in the regulation of the angiopoietin/Tie2 system.
Quantitative Assessment of Oil Palm Pollen After 23 Years Of Cryobanking
Authors: Sorokhaibam Sachin , Tandon Rajesh , Agrawal Anuradha , Shivanna K.R.
Published: January 2023

Cryopreservation of pollen grains is an effective means of conserving desired germplasm of crop plants. Cryoconserved pollen are expected to be long-lived and thus can be suitably retrieved to overcome hybridization constraints imposed by a variety of reasons. We ascertained the performance
of oil palm pollen grains (Tenera hybrids) that were cryobanked 23 years ago using liquid nitrogen (196°C). Cryostored pollen were assessed for viability, in-vitro germinability and vigour. Our analysis showed a marginal decline in viability, assessed through fluorochromatic reaction
test, of cryopreserved pollen as compared to fresh ones (pre-storage assessment); however, the viability did not decline in the cryostate since it was last tested 15 years back. On the other hand, germinability and vigour of cryopreserved pollen were maintained to the levels of fresh pollen.
Our study, for the first time, demonstrates the amenability of pollen grains for cryopreservation of any plant species beyond a period of two decades in general, and that for oil palm in particular.
Cryoprotective Effects of Longan Honey on Preantral Follicle Integrity of Rat Ovary Post Vitrification
Authors: Anita Nova , Abinawanto  , Jusuf Ahmad Aulia , Bowolaksono Anom , Saoemi Huriyah Adani , Safrina Aisyah
Published: January 2023

BACKGROUND: Longan honey (LH) has the potential as a natural extracellular cryoprotectant to maintain the integrity of intact preantral follicles against the cryoinjury during ovarian vitrification. OBJECTIVE: This research determined the cryoprotective effects of logan
honey on preantral follicles integrity of rat ovary post-vitrification. MATERIALS AND METHODS: After vitrification, the follicle index was determined by observing the ovarian histological sections made using the paraffin method with hematoxylin-eosin staining and analyzed using Optilab
3.0 and Image Raster software. RESULTS: The results showed that the combination of ethylene glycol (EG) with LH and a dose variation of 7.5%-15% (KP1-KP4) increased the density of follicles, the number of intact follicles in G2 and G3, with a decrease in the atretic follicles in G1
better compared to the use of EG only (KKP1-KKP2). The differences in the histological structur e of preantral follicles affected the doses of LH needed by each type of follicle to maintain the integrity of the follicular structure from cryoinjury effects. The comparison of the G2 total follicle
index values were KKP1 (90.7±18.3), KKP2 (115.6±9.9) < KP1 (193.6±10.7), KP2 (189.3±10.5), KP3 (182.2±27.1) and KP4 (169.4±8.8). Among the variations in the dose of LH 7.5%-15%, the highest increase in the G3 index value was found in primary (51.653±9.791),
tertiary (43.119±8.786), secondary (33.885±4.745), and primordial (28.670±2.516) follicles of KP3 (7.5% of LH). CONCLUSION: The primary and tertiary follicular stages maintain the best integrity and can be used after the vitrification of rat ovaries.
Identification of Aquatic Macro-invertebrates and Determination of E. coli and Heavy Metals in Rawal Lake, Pakistan
Authors: Ayub Mehak , Joshua Gaitee , Nadeem Shamaila Inayat , Awan Sana Javaid , Mirza Zahid Baig , Anis-ur-Rahman
Published: January 2023

Water is an important constituent of life’s support system. However, industrial growth, urbanization and anthropogenic activities have affected the quality of water bodies mostly in the world. The aim of the study was to assess the water quality of Rawal Lake, Pakistan, which is source of drinking water for the residents of Islamabad and Rawalpindi, using macro-invertebrates as pollution indicators, and through microbial and heavy metal analysis. For this purpose, macro-invertebrates and water samples were collected from Rawal Lake (Korang Nala Entrance), Rawal Lake (Centre) and from Rawal Lake (Spillway) points. The collected samples were preserved and transported to the Kinnaird College laboratory, where macro-invertebrates like caddisfly, water boatman, water bugs, gilled snails, mayflies etc. were identified with the help of identification guides and keys, while the presence of E. coli and heavy metals: Cadmium, Copper, Chromium, Cobalt, Nickel, Manganese and Zinc in the water samples was assessed. The results showed that pollution sensitive macro-invertebrates were mostly found in Rawal Lake (Centre), indicating that the water undergoes a self-cleaning process, whereas, water samples of Rawal Lake (Korang Nala Entrance), Rawal Lake (Spillway) had mostly pollution tolerant species, which signified that the water of these areas was moderately polluted. Simpsons’ Index of Diversity for Rawal Lake indicated a high level of diversity in the area (0.85). Microbial analysis indicated the presence of E. coli in all the three sampling points of the lake. The levels of Cadmium (Korang Nala 0.007 ppm, Spillway 0.014 ppm) were found toexceed the World Health Organization permissible limits (0.005 ppm), in the water samples, however, the concentration values of other metals were within the permissible limits. Thus, it was concluded that the water of Rawal Lake was considered fit for drinking and other purposes in residential and commercial areas after being processed through a treatment plant.
Effect of Plant based Antimicrobial finishes on Polyester fabric
Authors: Sadaf Shama , Naz Shagufta , Salamat Wajeeha , Saeed Ayesha , Sharif Saima , Hassan Komal , Ahmad Zeeshan
Published: January 2023

Microorganisms are present everywhere in the environment and can be helpful for mankind in number of ways. Their harmful effects on cloths can be prevented by using a simple antimicrobial finish in fabrics. In this cross-sectional study, an eco-friendly antimicrobial finisher were extracted from leaves of Azadirachata indica, Butea monosperma and Litchi chinensis plants and applied on 100% polyester. The plant leaves were extracted, grinded, soaked and filtered by Whatman filter paper. It was concentrated by rotatory evaporator. The antimicrobial finish was applied on polyester fabric by the pad dry cure method and fixed by using polyurethane binder. The presence of antimicrobial finish on fabric was checked by ASTEM E2149 shake flask method. There was no microbial growth, even after 22 hours or after 6 days interval in experimental group. The eco-friendly antimicrobial finishes made 89% reduction in microbial growth. All three experimental group do not allow any microbial colony to grow while eight colonies were observed in control group. Extract obtained from L chinensis may cause little damage in surface of fabric. So, it was concluded Antimicrobial finishes are suitable to provide protection against microorganisms and can be used for the medical industry, paramedical staff, sportswear, home furnishing as well as for use of common people.
Correlation of Conjunctival Impression Cytology and Clinical Examination in University Students at Lahore during the COVID-19
Authors: Khan Muhammad Saaed Zafar , Qazi Javaid Iqbal , Aslam Asad , Kamal Zahid , Rasheed Ummara
Published: January 2023

During COVID 19 pandemic every home-bound school, college, and university student was using computers and electronic gadgets for social networking and online education. To assess the effects of these gadgets on ocular and vision-related problems, very little research had been done on the Pakistani population, especially among university students. An analytical cross-sectional study was carried out on 355 students of University of the Punjab. Questionnaire-based data were collected by measurement of tearfilm breakup time(TBUT), the number of corneal dry spots, Schirmer’s test, and conjunctival impression cytology(CIC). Pearson correlation analysis was done on CIC score versus TBUT, Schirmer’s test and Goblet Cell Density (GCD). Analysis of variance (ANOVA) was used for mean comparison of visual acuity, TBUT, cornea spots, and Schirmer’s test to see the significance of the results. P-value≤0.05 was considered statistically significant. Out ofthe 355 students, 65% were females. The mean age of the students was 22.30 ± 6.8 years. At each level of visual acuity, there was no statistically  significant difference between the meansof the different levels of visual acuity (F=0.488, p=0.614). A statistically significant meandifference was found between CIC score and TBUT (F=208.45p=<0.001), CIC score andcornea spot (F=39.31, p=<0.001), CIC score and Schirmer’s test (F=5.83, p=0.001). Forthe early diagnosis and management of CVS, in addition to applying the validated questionnaire and clinical dry eye tests, the Conjunctival impression cytology can be tested on a larger population to be proven as a gold slandered test.
Antibiotic resistant bacteria in diverse ecological water samples are a threat to Human Food security
Authors: Hashmi Hafiza Jawairia , Jamil Nazia
Published: January 2023

Antibiotic resistance is increasing with every passing day globally and it has become common not only in clinical settings but also in different environments. Aquatic systems are major reservoirs of antibiotic resistance genes in the environment. In this study, we have isolated the antibiotic resistance bacteria from aquatic systems including river Ravi, fish farm and underground drinking water source. Physical, chemical and microbiological parameters were studied, bacteria were isolated, gram staining and genus identification was done by following the Burgey’s manual of systematic bacteriology. While, antibiotic susceptibility testing was done by following the disk diffusion method and CLSI guidelines. Multiple antibiotic resistant indexes were calculated. There was no significant discrepancy in physical and chemical parameters of water samples whereas in microbiological parameters, a variable number of bacteria were found in all 3 water samples indicating the presence of microbial contamination. A total of 33 bacterial strains were identified including Enterobacteriaceae, Pseudomonas, Bacillus, Lactobacillus and Staphylococcus species. Out of 10 classes of antibiotics, resistant against 8 classes were identified. Organisms isolated from river Ravi were the most resistant isolates. Most of the organisms were resistant to Penicillins, Carbapenems and Cephalosporins. MAR index of isolated strains ranges from 0.43 to 0.88. AMR is common in all environmental water samples indicating a threat to human food safety
Prevalence of Intrauterine Growth Retardation on Antenatal Ultrasound Scan in Lahore, Pakistan
Authors: Naeem Muhammad Ahmad , Humaira Rauf  , Sayeda Kiran Aftab  , Fatima Mahrukh  , Akash John  , Warda Kiran
Published: January 2023

Fetal growth retardation is described as infants whose weights are much less than expected. Population based norms are used to categorize abnormal growths. The objective of the study was to determine the frequency of intrauterine growth retardation on antenatal ultrasound scan. It was an observational descriptive study conducted at the Radiology Department of Fatima Memorial Hospital, Shadman Lahore. Patients visited the Ultrasound Department for Obstetric scan. The study was conducted in 6 months from January to June in 2022. The sample size of 87 was calculated for study with expected rate of 9% of pregnancies resulted in intrauterine growth retardation at 5% level of significance at 5% margin of error. The study included pregnant females in third trimesters of pregnancy. The data was analyzed using SPSS version 20. A total of 87 obstetric ultrasounds were performed during the study period. The mean age of the patients was 28.69 ±4.46 years with age range 20-42. The 87 included patients showed mean gestational age 35.29 ±2.50 weeks. The mean biparietal diameter was 8.69±0.57 cm and abdominal circumference was 29.72±3.03 cm. The mean fetal body weight is 2.52±0.59 kg. The frequency of intrauterine growth retardation was 10.3%. Fetal biometry, biophysical profile and Doppler studies were helpful in the diagnosis of intrauterine growth retardation and evaluation of ultrasound parameters in third trimester.
O IMPACTO DA PERSONALIDADE DO LÍDER NOS LIDERADOS: REFLEXÕES A PARTIR DA OBSERVAÇÃO DE UM GRUPO
Authors: Albrecht Luana , Sgari Rosani
Published: January 2023

De natureza qualitativa e exploratória, o presente trabalho tem o objetivo de analisar, discorrer e refletir sobre o impacto da personalidade do líder nos seus liderados a partir do trabalho de observação de um grupo pertinente a uma atividade da disciplina de Processos Grupais, no ano de 2016. As observações foram realizadas em um setor da rede pública de um município do interior do estado do Rio Grande do Sul e possibilitou a realização de um estudo e análise sobre a personalidade do líder na perspectiva dos oito tipos psicológicos da Teoria Analítica de Carl Gustav Jung. Pode-se concluir que o tipo psicológico predominante no líder é o Extroversão Pensamento de Jung, associado ao estilo de liderança autocrático. O impacto vivido pelos liderados gera mal-estar em função de traços/características mal dosadas. Sua atenção está focada na realização de tarefas em detrimento das relações socioemocionais. A sua liderança está ancorada no poder do seu cargo e no estatuto que o ocupa no grupo.
DROGAS, DITADURA E REPRESSÃO NO BRASIL: O MODELO BÉLICO DE POLÍTICA CRIMINAL DE DROGAS
Authors: De Carvalho Robson Augusto Mata , Alencar Ítalo Coelho , Souza Kariny Anselmo
Published: January 2023

O artigo analisa a Política Criminal de Drogas no Brasil durante o período da Ditadura Militar. Ao longo de 21 anos, os militares permaneceram no poder, alternando a presidência entre si através de eleições indiretas. Este período ficou marcado na história do país em razão da prática de uma série de atos institucionais que representaram o ataque à democracia, a censura, a supressão de direitos constitucionais, a perseguição política e a repressão aos homens e às mulheres que criticavam e resistiam ao regime militar. O golpe de 1964 favoreceu o surgimento do modelo bélico de política criminal. Estabeleceu-se, a partir de então, um modelo militarizado e repressivo de enfrentamento do “problema da droga”. Na esteira das diretrizes proibicionistas internacionais, o Brasil alterou a sua legislação. Em 1968, ano da promulgação do Ato Institucional nº 5, houve uma significativa modificação na legislação de drogas com a publicação do Decreto Lei 385/68. A compreensão de que a droga representava um perigo e que deveria ser controlada e reprimida ganhou força. Em 1971, foi aprovada a Lei nº 5.726/71. A alteração legislativa foi justificada com o argumento de que havia necessidade de defender o interesse coletivo e individual em face do perigo que representava o consumo de drogas. De natureza interdisciplinar, as análises no presente artigo contemplam autores dos campos das Ciências Sociais e do Direito; em especial, da Criminologia Crítica.