bluuebunny/crossref_metadata_2025 huggingface dataset:
Understanding the Importance of Drag Coefficient Assessment for a Deeper Insight into the Hydrodynamic Profile of Swimmers
Authors: Morais Jorge , Marinho Daniel , Bartolomeu Raúl , Barbosa Tiago
Published: January 2024

The main objective of this study was to confirm that the passive drag coefficient is less dependent on swimming speed than the passive drag, Froude, and Reynolds numbers, even as swimming speed increases. The sample consisted of 12 young proficient non-competitive swimmers (seven males and five females: 20.4 ± 1.9 years). Passive drag was measured with a low-voltage isokinetic engine at 1.2, 1.4, 1.6 and 1.8 m/s. The frontal surface area was measured using digital photogrammetry. Passive drag showed significant differences with a strong effect size over the four towing speeds measured (F = 116.84, p < 0.001, η2 = 0.91) with a quadratic relationship with speed. The Froude and Reynolds numbers had similar trends, but with linear relationships. Conversely, the passive drag coefficient showed non-significant differences across the four towing speeds (F = 3.50, p = 0.062, η2 = 0.33). This strongly suggests that the passive drag coefficient should be the variable of choice for monitoring the hydrodynamic profile of swimmers rather than the absolute value of passive drag.
Texture analysis on routine MRI sequences to differentiate between focal nodular hyperplasia and hepatocellular adenoma
Authors: Salahshour Faeze , Ghamari Khameneh Afshar , Darban Hosseini Amirkhiz Gisoo , Yazdi Niloofar Ayoobi , Shafiekhani Sajad
Published: January 2024

Introduction

We investigated the diagnostic power of texture analysis (TA) performed on MRI (T2-weighted, gadolinium-enhanced, and diffusion-weighted images) to differentiate between focal nodular hyperplasia (FNH) and hepatocellular adenoma (HCA).

Material and methods

This was a retrospective single-centre study. Patients referred for liver lesion characterization, who had a definitive pathological diagnosis, were included. MRI images were taken by a 3-Tesla scanner. The values of TA parameters were obtained using the ImageJ platform by an observer blinded to the clinical and pathology judgments. A non-parametric Mann-Whitney U test was applied to compare parameters between the 2 groups. With receiver operating characteristic (ROC) analysis, the area under the curve (AUC), sensitivity, and specificity were calculated. Finally, we performed a binary logistic regression analysis. A p-value <0.05 was reported as statistically significant.

Results

A total of 62 patients with 106 lesions were enrolled. T2 hyperintensity, Atoll sign, and intralesional fat were encountered more in HCAs, and central scars were more frequent in FNHs. Multiple TA features showed statistically significant differences between FNHs and HCAs, including skewness on T2W and entropy on all sequences. Skewness on T2W revealed the most significant AUC (0.841, good, p < 0.0001). The resultant model from binary logistic regression was statistically significant (p < 0.0001) and correctly predicted 84.1% of lesions. The corresponding AUC was 0.942 (excellent, 95% CI: 0.892-0.992, p < 0.0001).

Conclusions

Multiple first-order TA parameters significantly differ between these lesions and have almost fair to good diagnostic power. They have differentiation potential and can add diagnostic value to routine MRI evaluations.
Studi Literatur Dampak Penggunaan Gadget Bagi Perkembangan Kognitif Anak Usia Sekolah
Authors: Rahayu Ni Komang Suri , Suarni Ni Ketut , Margunayasa I Gede
Published: January 2024

Gadget merupakan alat komunikasi yang digunakan berbagai kalangan baik dewasa maupun anak-anak. Anak usia sekolah akan mengalami pertumbuhan dan perkembangan, dimana salah satunya akan mengalami perkembangan kognitif. Penggunaan gadget pada anak secara berlebihan akan berdampak bagi perkembangan kognitif anak. Tujuan dari penelitian ini untuk mengetahui bagaimana dampak penggunaan gadget bagi perkembangan kognitif anak usia sekolah. Penelitian ini menggunakan metode studi literatur atau literature review dengan kata kunci dampak penggunaan gadget dan perkembangan kognitif anak usia sekolah. Proses pencarian dilakukan melalui elektronik based yang terindeks seperti Google Scholer. Terdapat 7 artikel yang relevan dengan dampak penggunaan gadget dan 5 artikel yang relevan dengan dampak penggunaan gadget bagi perkembangan kognitif anak usia sekolah. Hasil dari kajian studi literatur ini adalah gadget sangat mempengaruhi perkembangan kognitif anak usia sekolah baik dari sisi positif maupun sisi negatif. Kurangnya pengawasan dari orang tua akan memberikan dampak negatif pada perkembangan kognitif anak namun jika gadget digunakan dengan tepat maka akan memberikan dampak positif yakni meningkatkan kemampuan kognitif anak usia sekolah.
Measuring The Effectiveness of U-Dictionary in Increasing The Interest in Learning English Language Student At Madrasah Ibtidaiyah
Authors: Fedora Feren , Hasan Moh. Ferdi
Published: January 2024

In the current era of disruption, the need to learn English is very important, therefore several digital applications have been created to make learning English easier, especially for students. U-Dictionary is a popular English learning application that can be used as an option, therefore this research aims to analyze the effectiveness of using the U-Dictionary application in increasing students' interest in learning at Madrasah Ibtidaiyah and what students' perceptions are regarding the use of U-Dictionary in increasing interest in learning languages. English at Madrasah Ibtidaiyah. This research uses mixed methods. The data collection technique used in this research is a questionnaire. Data analysis used the paired t-test data analysis technique with the Shapiro-Wilk normality test. Meanwhile, the qualitative analysis uses content analysis. Based on the results of data analysis, it can be seen that the U-Dictionary application is effective in increasing students' interest in learning at Madrasah Ibtidaiyah with a significance value (<0.001). The results of the questionnaire regarding students' perceptions of using U-Dictionary, the majority of respondents had a fairly high level of use, a fairly high level of self-confidence, the ability to understand good English vocabulary, a fairly high level of interest in learning English, and felt that learning English is quite effective or very effective.
Penerapan Fungsi Manajemen POAC (Planning, Organizing, Actuating, And Controlling) dalam Layanan Bimbingan Dan Konseling Di Sekolah
Authors: Asni Asni , Dasalinda Dwi , Chairunnisa Dini
Published: January 2024

Keberhasilan layanan bimbingan dan konseling di sekolah dapat dilihat dari berbagai faktor salah satunya adalah penerapan manajemen Bimbingan dan Konseling di sekolah. Tujuan penelitian ini adalah menganalisis fungsi manajemen Planning, Organizing, Actuating, dan Controlling (POAC) dalam pelaksanaan layanan Bimbingan dan Konseling di Sekolah. Metode dalam penelitian ini menggunakan metode deskriptif kuantitatif. Populasi dalam penelitian ini adalah guru Bimbingan dan Konseling di Jakarta Selatan. Teknik sampling dalam penelitian ini menggunakan nonprobability sampling, karena sampel yang digunakan mengambil seluruh anggota populasi yang akan dijadikan sampel dengan jumlah 150 orang. Hasil penelitian juga menunjukkan bahwa penerapan fungsi manajemen POAC pada layanan Bimbingan dan Konseling di sekolah berada pada kategori sedang dan juga terjadi pada data partialnya, dimana terdapat berbagai faktor yang harus dikembangkan oleh guru Bimbingan dan Konseling dalam melaksanakan layanan Bimbingan dan Konseling di sekolah.
Penggunaan Video Animasi untuk Meningkatkan Pengetahuan dan Kesadaran Siswa Sekolah Dasar Terhadap Perundungan
Authors: Karimah Anisa Fiola , Julia Julia , Iswara Prana Dwija , Ismail Ali , Gusrayani Diah , Isrokatun Isrokatun
Published: January 2024

Perundungan adalah masalah yang dapat terjadi di lingkungan pendidikan. Adanya tindakan perundungan di pendidikan dasar bisa menjadi benih bentuk kekerasan lainnya. Peran pendidik di sekolah diperlukan dalam upaya menekan angka perundungan melalui berbagai strategi. Penelitian ini bertujuan untuk mengetahui pengaruh penggunaan video animasi berbasis pendidikan karakter terhadap pemahaman siswa berdasarkan dua aspek yaitu pengetahuan dan kesadaran tentang perundungan. Subjek penelitian merupakan siswa kelas tinggi sekolah dasar di Kabupaten Sumedang. Penelitian ini menggunakan pendekan kuantitatif dengan desain prates-pascates yang dilaksanakan pada satu kelompok (one group pretest-posttest design). Instrumen pengumpulan data berupa tes yang diadministrasikan kepada 96 siswa untuk mengukur tingkat pengetahuan dan kesadaran tentang perundungan. Hasil uji-t berpasangan (paired) menunjukkan bahwa aspek pengetahuan memperoleh nilai p<0,05 (0,00<0,05) dan aspek kesadaran memperoleh nilai p<0,05 (0,00<0,05), artinya ada perbedaan antara rata-rata skor prates dan skor pascates dari aspek pengetahuan dan kesadaran. Penggunaan video animasi berbasis pendidikan karakter secara signifikan meningkatkan kemampuan pengetahuan dan kesadaran siswa kelas tinggi terhadap perilaku perundungan.
Implementasi Pembelajaran dengan Kurikulum Merdeka pada Siswa SD Ditinjau dari Teori Konstruktivisme
Authors: Prabawati Putu Lely Somya , Suarni Ni Ketut , Margunayasa I Gede
Published: January 2024

Penelitian ini dimaksudkan guna memahami implementasi kurikulum merdeka pada proses pembelajaran ditinjau dari teori konstruktivisme. bentuk penelitian ini yaitu bibliografi, data yang rangkai pada penelitian ini ada dua bentuk data yakni data primer serta data sekunder. Data diperoleh melalui penelitian kepustakaan dengan memperoleh beragam pustaka dari media daring seperti Google Scholar. Metode pengumpulan data yang diterapkan adalah melalui penelitian pustaka. Analisis data dalam penelitian ini dilakukan dengan menerapkan metode analisis kualitatif menggunakan pendekatan deduktif. Temuan dari penelitian menunjukkan bahwa implementasi kurikulum merdeka mempengaruhi proses pembelajaran. Hal ini ditinjau dari berubahnya proses Pembelajaran yang memberi peluang kepada murid untuk memaksimalkan. pendalaman konsep dan menguatkan kompetensi. Pelaksanaan kurikulum merdeka memberikan dampak penguatan karakter siswa dan perdalaman keterampilan melalui proses konstruksi pengetahuan yang sejalan dengan teori konstruktivisme.
Dampak Teknologi sebagai Dasar Pengembangan Media Pembelajaran terhadap Prestasi Siswa Ditinjau dari Teori Belajar Humanistik
Authors: Noviarini Ni Putu , Suarni Ni Ketut , Margunayasa I Gede
Published: January 2024

Perkembangan teknologi informasi dan komunikasi telah mengubah lanskap pendidikan dengan memberikan dasar yang kuat untuk pengembangan media pembelajaran yang inovatif. Artikel ini bertujuan untuk menganalisis dampak teknologi sebagai dasar pengembangan media pembelajaran terhadap prestasi siswa, dengan merujuk pada teori belajar humanistik. Metode penelitian yang digunakan adalah library research, yang melibatkan pengumpulan data dari berbagai sumber literatur yang relevan. Hasil analisis menunjukkan bahwa penggunaan teknologi dalam pembelajaran telah memberikan manfaat signifikan dalam meningkatkan prestasi siswa. Media pembelajaran yang didasarkan pada teknologi, seperti multimedia interaktif dan pembelajaran online, memfasilitasi pengalaman belajar yang lebih menarik dan relevan bagi siswa. Dalam konteks teori belajar humanistik, teknologi dapat membantu menciptakan lingkungan pembelajaran yang lebih personal, di mana siswa memiliki kontrol lebih besar atas proses belajar mereka. Dengan demikian, artikel ini menggarisbawahi pentingnya pemanfaatan teknologi sebagai alat untuk meningkatkan prestasi siswa melalui pendekatan pembelajaran yang lebih manusiawi dan terfokus pada individu.
PENGLIBATAN KOMUNITI DALAM PROGRAM HOMESTAY BERASASKAN EKOPELANCONGAN KAJIAN KES KAMPUNG PINAGON BARU, ULU KULU, TUARAN, SABAH.
Authors: Galib Siti Rahmah , Md Shah Jalihah
Published: January 2024

Penulisan artikel ini adalah berasaskan penglibatan ahli komuniti dalam homestay berasaskan ekopelancongan di kampung Pinagon Baru Ulu Kiuli Tuaran Sabah. Pelaksanaan homestay di kampung Pinagon Baru Ulu Kiuli Tuaran Sabah merupakan salah satu pusat pelancongan untuk menarik pelancong dari dalam dan luar negara. Penglibatan ahli komuniti dalam homestay Ekopelancongan bukan sahaja dapat menjana pendapatan, malah dapat membuka peluang pekerjaan kepada komuniti terutama sekali kepada komuniti setempat.  Secara umum, pelaksanaan homestay di kampung Pinagon Baru dapat menarik minat komuniti setempat untuk terlibat. Hal ini demikian kerana, penglibatan komuniti merupakan salah satu penyumbang kepada ekonomi negara. Oleh itu, dalam setiap pembangunan yang dilakukan memerlukan penglibatan komuniti secara holistik. Selain itu, kaedah yang digunakan dalam memperoleh data adalah kualitatif. Seterusnya, dalam dapatan kajian mendapati terdapat pelbagai faktor yang mendorong ahli komuniti untuk terlibat dalam homestay berasaskan ekopelancongan. Secara keseluruhan, penulisan artikel ini cuba untuk memahami tahap penglibatan ahli komuniti dalam homestay berasaskan ekopelancongan di kampung Pinagon Baru, Ulu Kiuli, Tuaran Sabah yang mempunyai tahap penglibatan komuniti yang sangat menyeluruh. Meskipun terdapat cabaran yang dihadapi namun perkara tersebut tidak menjadi halangan kepada pelaksanaan homestay di kampung Pinagon Baru Ulu Kiuli, Tuaran Sabah Dengan penglibatan dalam ekopelancongan, komuniti tempatan akan menerima faedah dari segi ekonomi dan sosial. Dalam aspek ekonomi, ekopelancongan akan meningkatkan peluang pekerjaan dan pendapatan masyarakat setempat. Melalui penglibatan komuniti dalam aktiviti pelancongan, komuniti tempatan akan menerima faedah dari segi ekonomi dan sosial.
Frequency and Antimicrobial Susceptibility Profile of Acinetobacter baumannii Isolated at a Tertiary Care Diagnostic Facility
Authors: Hussain Aamir , Ihsan Ullah Khan  , Muhammad Qammar Saeed
Published: January 2024

Objective: To evaluate the frequency and antimicrobial susceptibility pattern of Acinetobacter baumannii isolated at a tertiary care setting.
Study Design: Cross sectional study.
Place and Duration of Study: Department of Microbiology, Armed Forces Institute of Pathology, Rawalpindi Pakistan, from July to Dec 2018.
Methodology: All the specimens submitted, which yielded the growth of Acinetobacter baumannii, were included in the study. Isolates were confirmed biochemically by using api 20NE. Antimicrobial susceptibility was done using standard procedures and as per CLSI's latest guidelines.
Results: Nine thousand nine hundred thirty-one specimens were submitted to the Microbiology Department AFIP for culture and antimicrobial susceptibility testing during the study period. Amongst these, 1633(16.5%) specimens yielded the growth of different pathogens. Of 1633 culture-positive isolates, 101(6.2%) were identified as Acinetobacter baumannii. Among these,34.6% of the isolates were recovered from respiratory specimens, while 29.7% from pus and pus swab specimens. Minocycline was the most sensitive antibiotic with 59.4% sensitivity, followed by Doxycycline, to which 48.5% of isolates were susceptible. Sensitivity to all other antimicrobials was 24% or less. In vitro, sensitivity to Carbapenems is very low.Conclusion: Acinetobacter baumannii was isolated from 6.2% of specimens submitted for culture and susceptibility testing. Minocycline was the most sensitive antibiotic, followed by Doxycycline. Sensitivity to most of the other antimicrobials was 24% or less. An alarming resistant pattern demands strict infection control practices and judicious use of antibiotics.
Comparison Between Caudal and Combined Caudal with Spinal Anesthesia in Paediatric Bilateral Inguinal Hernia Surgery
Authors: Ali Hashmi Syed Rafat , Ali Shah Syed Qasim , Tariq Waqas , Sarfaraz Ahmed , Hassam bhalli Hafiz Ahmed , Khan Taimur Azam
Published: January 2024

Objective: To compare the analgesic efficacy and adverse effect profile of using caudal anaesthesia versus caudal combined with spinal anaesthesia for paediatric patients undergoing bilateral inguinal hernia surgery.
Study Design: Prospective longitudinal study.
Place and Duration of Study: Anaesthesia Department of Combined Military Hospital, Rawalpindi Pakistan, from Mar to Aug 2022.
Methodology: Eighty paediatric patients between ages 5-10 years requiring bilateral inguinal hernia repair were included in the study. The Caudal Group received 0.25% Bupivacaine per the Armitage regime at a 1 ml/kg volume to reach an effective sensory level of T10. The Combined Group received spinal anaesthesia at a dose of 0.3 mg/kg for >15 kg patients and 0.4 mg/kg for 5-15 kg patients in the L4-L5 epidural space for an effective spinal level of T10. Once the spinal was administered, the same caudal dose as per the caudal Group's Armitage regime.
Results: The total duration of block and subsequent reversal to the S1 level was 326.2±12.6 minutes in the Caudal Group versus 441.22±31.8 minutes in the Combined Group (p<0.001). The mean time for the first dose of analgesia for pain was required after 5.27±0.24 hours in the caudal versus 7.03±0.20 hours in the Combined Group.
Conclusion: We conclude that the combined caudal spinal approach offers better and superior pain control, resulting in less IV analgesic requirement and less hospital stay, offering a good alternative to general anaesthesia in paediatric surgeries.
An Innovative Approach for the Prediction of Future Arrhythmia through T-wave Alternans on Surface Electrocardiogram (ECG)
Authors: Farhan Ali , Ijaz Rasul, Sahar Fazal  , Hayat Azmat , Masood Nayyer , Alam Shah  , Hassan Ali , Ali Ghulam , Munir Usama
Published: January 2024

Objective: To explore the techniques for predicting risk-causing arrhythmia in cardiac patients.
Study Design: Prospective longitudinal Study
Place and Duration of Study: Armed Forces Institute of Cardiology, Rawalpindi Pakistan, and Government College University, Faisalabad from Jul to Oct 2017.
Methodology: The Electrocardiograms of 24-hour Holter monitoring were collected from the Electrophysiology Department. Electrocardiogram data was collected in the portable document format that was further transformed into Image format for computational analysis. Administrative data were analysed in multiple episodes of cardiac arrhythmogenesis. Data were classified by using a Convolutional Neural Network (CNN) based on computing the results of selected T-waves in three consecutive peaks within each cardiac cycle of patients.
Results: One hundred twenty-six patients diagnosed with arrhythmia were selected. The mean episode of premature ventricular contractions in participants was 21.5±30. The mean duration of significant ECG episodes was 3.33±9.65 (seconds). The accuracy and precision rate of the classifier was about 81% for the overall significance of data that exhibited the risk of causing future life-threatening arrhythmia.
Conclusion: This study introduces an innovative approach based on clinical paradigms that may help prevent the upcoming cardiac arrhythmogenesis events.
Comparison of Dexmedetomidine with Tramadol for Treatment of Shivering Post Spinal Anaesthesia
Authors: Ranjha Chaudhry Raheel , Saeed Muhammad , Mehmood Basit , Hayat Umer , Sana Abbas  , Terrence Arona
Published: January 2024

Objective: To compare the efficacy of Dexmedetomidine with Tramadol for shivering post-spinal anaesthesia.
Study Design: Quasi-experimental study.
Place and Duration of Study: Department of Anaesthesia, Combined Military Hospital, Rawalpindi Pakistan, from Jul to Dec 2020.
Methodology: A total of 158 patients who underwent gynaecological, orthopaedic and general surgical procedures under spinal anaesthesia using 0.5% hyperbaric Bupivacaine 12-15 mg were included in the study. Out of these 158 patients, 64% (102 patients) developed shivering after spinal anaesthesia. These 102 patients were divided into two equal groups, i.e., Group-D (n=51), who received 0.5 μg/kg Dexmedetomidine and Group-T (n=51), who received 0.5 mg/kg tramadol. The response in the next 15 mins was evaluated objectively as “effective” or “non-effective” by the treating Anesthesiologist.
Results: Dexmedetomidine and Tramadol were effective in treating shivering following spinal anaesthesia. Our study showed that Dexmedetomidine was more effective than Tramadol in treating shivering, with an effectiveness of 88.2 % shivering relief in Group-D and an effectiveness of 51 % shivering relief in Group-T. The effectiveness was significant in both groups, with statistical significance in Group-D compared to Group-T (p<0.05).
Conclusion: Shivering relief was more responsive in patients who received Dexmedetomidine than Tramadol after spinal anaesthesia.
Correlation between Mechanism of Carbapenem Resistance and in vitro Efficacy of Ceftazidime-Avibactam and Meropenem-Vaborbactam on Carbapenem-Resistant Enterobacterales and Pseudomonas Aeruginosa
Authors: Ali Fatima , Mirza Irfan Ali , Waseem Hafsa , Zafar Humaira
Published: January 2024

Objective: To determine the mechanism of Carbapenem resistance, type of Carbapenemase produced and in vitro efficacy of Ceftazidime-Avibactam (CAZ-AVI) and Meropenem-Vaborbactam (MEV) against Carbapenem-resistant Enterobacterales and in vitro efficacy of Ceftazidime-Avibactam against Carbapenem-resistant Pseudomonas aeruginosa.
Study Design: Cross-sectional study.
Place and Duration of Study: Microbiology Department, Armed Forces Institute of Pathology, Rawalpindi Pakistan, from Mar to Aug 2020.
Methodology: The mechanism of Carbapenem resistance in Enterobacterales and P.aeruginosa was determined by mCIM and eCIM methods. In vitro, the susceptibility of isolates to Ceftazidime-Avibactam and Meropenem-Vaborbactam was determined by disk diffusion technique according to CLSI 2020 guidelines.
Results: Out of 249 Carbapenem -resistant isolates, there were 192(77.1%) Enterobacterales and 57(22.9%) P.aeruginosa. From 192 Enterobacterales, 174(90.6%) were Carbapenemase producers while 18(9.4%) used ‘other mechanisms. From 174 Carbapenemase producers, metallo-β-lactamases were produced by 141(73.4%) while serine Carbapenemases by 33(17.2%). Out of 33 serine Carbapenemase producers,19(57.6%) were sensitive to CAZ-AVI and 6(18.2%) to MEV. Out of 141 MBL producers, 31(22%) were sensitive to CAZ-AVI and 18(12.8%) to MEV. Out of 57 P.aeruginosa, 30(52.6%) were Carbapenemase producers and 1(3.4%) were sensitive to CAZ-AVI while 27(47.4%) were non-Carbapenemase producers and 13(48%) were sensitive to CAZ-AVI. MBL production predominated.
Conclusion: The in vitro efficacy of these antibiotics against MBL producers and serine Carbapenemase producers was not satisfactory.
Role of Calcium Levels in Pregnant Women with Pre-Eclampsia and Severe Pre-Eclampsia
Authors: Sara Khan  , Nusrat Noor  , Rabiya  Akbar  , Urooj Uzma , Sadaf Zohra  , Tooba Khan
Published: January 2024

Objective: To determine the association between hypocalcemia and pre-eclampsia.
Study Design: Case-control study.
Place and Duration of Study: Department of Obstetrics Gynaecology, Pak Emirates Military Hospital, Rawalpindi Pakistan, from Jan to Jul 2019.
Methodology: A total of 90 women, (45 with pre-eclampsia and 45 with normotensive) aged 18-40 years, were included. In all patients, 5ml of venous blood was collected and sent to an institutional pathology laboratory for serum calcium level measurement. Hypocalcemia was noted in the patients.
Results: The mean gestational age in the Case-Group was 31.40±1.64 weeks, and in the Control-Group was 31.51±1.69 weeks. The mean BMI in the Case-Group was 24.94±4.39 kg/m2, and in the Control-Group was 24.24±4.61 kg/m2. The mean serum calcium levels in the Case-Group were 5328.73±2638.70 ng/ml, and in the Control-Group were 8630.03±1099.26 ng/ml. In our study, the frequency of hypocalcemia in women with pre-eclampsia (Case Group) was found to be 16(36.56%) compared to only 04(8.89%) in normotensive (Control Group) women with a p-value of 005 and Odds ratio of 5.66 which shows a positive association of hypocalcemia with pre-eclampsia.
Conclusion: This study concluded that the frequency of hypocalcemia in pre-eclampsia women is very high, which shows a positive association between hypocalcemia and pre-eclampsia.
The role of Tranexamic acid in the Reduction of Bleeding in Abdominal Aortic Aneurysm Surgery
Authors: Yaqub Khan Muhammad , Saeed Muhammad , Yasin Bilal , Ameer Khalid , Noor Nusrat
Published: January 2024

Objective: To determine the effects of Tranexamic acid on intraoperative blood loss.
Study Design: Quasi-experimental study.
Place and Duration of Study: Combined Military Hospital, Rawalpindi Pakistan, from Jun to Oct 2021.
Methodology: A total of 96 patients from both genders undergoing elective open abdominal aortic aneurysm surgery under general anaesthesia enrolled in the study after random distribution to Drug and Control Groups. The primary determinant was intraoperative blood loss. Additionally, determining variables were intraoperative and postoperative blood transfusions, thromboembolic episodes, and postoperative mortality rate.
Results: A total of 96 patients enrolled in the study, out of which 90(93%) were males, whereas 6(7%) were females, with a mean age of 65.37±7.01 (55–75 years). Of 96 participants, 52(54%) patients were from ASA Class II and 44(46%) were from ASA Class III. There was no significant correlation between surgical time (p-value 0.45), clamping time (p-value 0.34), and intraoperative and postoperative transfusions (p-value 0.56 and 0.28, respectively). However, a statistically significant reduction in intraoperative and postoperative blood loss was recorded (p-value <0.001).
Conclusion: Tranexamic acid significantly impacts the reduction of intraoperative and postoperative bleeding in elective open abdominal aortic aneurysm surgeries under general anaesthesia.
Validation of “TOPRS” Score to Predict Outcome in Paediatric Patients in a Tertiary Care Hospital of Pakistan
Authors: Awan Aamir Aslam , Nadeem Muhammad Tariq , Babar Bushra , Iftikhar Ammara , Wahab Abdul , Quddus Abdul
Published: January 2024

Objective: To validate a clinical scoring system for defining the severity of ailment that will assist in developing strategies for management prioritisation.
Study Design: Cross-sectional analytical study.
Place and Duration of Study: Paediatric Department, Combined Military Hospital Lahore, Pakistan, form Jan 2020 to Jul 2021.
Methodology: The paediatric patients who reported to the Medical Reception Centre and were admitted to an Inpatient Facility were enrolled. Demographic profile, temperature, oxygen saturation, pulse, respiratory rate, seizures, and sensorium labelled as “TOPRS” score was recorded with “0 – Normal” and “1 – Abnormal” and scores calculated for each patient with the incorporation of systemic inflammatory response and advanced paediatric life support criteria.
Results: A total of 300 paediatric patients with an age range of 1-18 years (mean: 3.86±5.43) were included. Of 300 patients, 237(79%) were discharged after improvement, and the mortality rate was 63(21%). A significant association with the mortality rate was deciphered with temperature, oxygen saturation, and respiratory rate variables. In contrast, pulse rate, sensorium, and seizures were concluded to have an insignificant association. Score “0” mortality was associated with the 4.4% mortality, whereas score “5” enumerated an 80% death rate.
Conclusion: The TOPRS clinical scoring system has significant value in the diagnosis of mortality and morbidity of paediatric patients and, hence, can assist in early recognition and triage of patients, consequently aiding in the provision of prioritisation protocols and management in a befitting manner.
Incidental Paranasal Sinus Abnormalities on MRI Brain and Association with Symptomatic and Asymptomatic Patients
Authors: Ahmed Nisar , Khan Yasir , Kubra Khadija tul , Iftikhar Ammara , Waheed Sara , Fatima Khushboo
Published: January 2024

Objective: To evaluate the incidental paranasal sinus findings on magnetic resonance imaging Brain and the association of these findings to the presence of any sinus-related symptoms at the time of scan.
Study Design: Comparative cross-sectional study.
Place and Duration of Study: Combined Military Hospital, Lahore Pakistan, from Jan to May 2021.
Methodology: A total of 135 patients who underwent magnetic resonance imaging of the brain were evaluated for the presence of incidental paranasal sinus abnormalities. The frequency of these abnormalities and their relation with the presence or absence of symptoms was evaluated.
Results: One hundred and thirty-two (97.7%) had one or more paranasal sinus abnormalities. Mucosal thickening of 4 mm or more and the presence of polyps are significantly related to the presence of sinus-related symptoms (p-value=0.02).
Conclusion: Incidental paranasal sinus abnormalities are a frequent finding on MRI Brain. Mucosal thickening of 4 mm and the presence of polyps appear to be significantly related to the presence of relevant symptoms, while mucosal thickening of less than 3 mm and mucus retention cysts are insignificant.
An Experience in Managing an open Fracture Shaft of the Femur Due to a Gunshot with Intramedullary Interlocking Nailing
Authors: Fayyaz Ahmed Orfi  , Hussain Shafqat , Shafaan Orfi  , Ali Arslan Munir  , Sumbal Rana  , Nida Maryam
Published: January 2024

Objective: To evaluate functional outcomes and complications in gunshot femur shaft fractures treated with intramedullary nailing primarily.
Study Design: Prospective longitudinal study
Place and Duration of Study: Department of Orthopaedic Combined Military Hospital, Nowshera, Combined Military Hospital Sialkot, Combined Military Hospital, Rawalpindi Pakistan, from Jan 2016 to Dec 2021.
Methodology: A total number of 53 cases of open fracture of the femur shaft due to gunshot were included in the study. After initial wound debridement, an X-ray was taken, and fractures were classified according to the Gustilo–Anderson classification. All fractures were fixed with titanium I/M I/L Nail in static mode by the same orthopaedic surgeon. Rehabilitation was instituted immediately after the operation, and the outcome was assessed in regards to infection, range of motion at the knee, full weight bearing and radiological union achieved.
Results: Thirty-four (64.15%) patients had Type-1 fractures of the femur shaft, and 19(35.8%) patients had Type-2 fractures. Fracture union was observed in 47(88.67%) patients after three months and 6(11.32%) over the next five months. Complications were wound infections 5(9.44%), leg length discrepancy 4(7.53%), and non-union 2(3.77%) at six months. In these two cases, bone grafting was done, and union was achieved.
Conclusion: Primary intramedullary (IM) is the preferred mode of treatment of Type 1 and 2 shafts of femur fractures if early good debridement is done. It avoids secondary procedures, has fewer complications and helps in early mobilization.
Balance scorecard (BSC): Incorporating "Key performance indicators" (KPI) in the Evaluation of the Healthcare System
Authors: Khan Sikandar Hayat , Kureshi Nadeem , Aslam Muhammad Sohail , Rafique Sibtain
Published: January 2024

Using the balanced scorecard approach, Strategic Management Initiative (SMI) driven Key Performance Indicators (KPIs) have allowed measurable data regarding various clinical, medical, patient and logistic outputs for healthcare leadership to managean ongoing improvement system in real-time. We underwent a comprehensive search to have 168 articles with the keywords "Balanced Scorecard in healthcare". We applied filters for the last ten years only. We shortlisted 14 studies. The study highlighted various KPIs utilised in different healthcare settings, with most authors favouring BSC methodology as a comprehensive strategy to deal with multi-dimensional hospital processes. The most utilised KPIs included service quality, patient safety, increased healthcare literacy, empowering patients, developing the empathic attitude and social skills in medical staff, professional human resource management and financial management and interests of stakeholders. In short, the BSC strategy is suggested for implementation to improve healthcare-related processes.
Comparison of Treatment Outcome of Humeral Shaft Fractures Treated with Functional Cast Brace and "U" Slab
Authors: Amaar Talib  , Ahmed Naveed , Omer Fraz  , M. Omer Aziz  , Fahad Javid  , Neha Waqas
Published: January 2024

Objective: To compare the outcome of humeral shaft fractures treated by functional cast brace versus "U" slab in terms of union.
Study Design: Quasi-experimental study
Place and Duration of Study: Department of Orthopaedic Surgery/Traumatology Unit-II, Mayo Hospital, Lahore, Pakistanfrom Jul to Dec 2018.
Methodology: One hundred and four patients fulfilling inclusion criteria were included. Patients were randomised into two groups by random tables. Group-A patients were treated with a "U" slab outdoors, and Group-B patients were treated with a customised functional brace from the Orthopaedic workshop as indoor cases.
Results: The mean age of patients was 47.99±14.15 years, with minimum and maximum ages of 16 and 65 years, respectively. According to the operational definition, the union was achieved in 88(84.6%) patients. In Group-A, 38(73.1%) patients and in Group-B, 50(96.2%) patients had union. A significant association between union and study Groups was noted, i.e. Group B had a high union rate when compared to Group A, with a p-value of 0.001.
Conclusion: To conclude, in patients with humeral shaft fracture, a functional cast brace is a better choice for achieving union as it reduces the burden of non-union, and patients recover early, assessed by callous formation.
Internal versus External Corporate Social Responsibility: Company Age and Size Moderate CSR Efficacy
Authors: Pittman Matthew , Read Glenna
Published: January 2024

Corporate social responsibility (CSR) efforts by established legacy brands are often seen as inauthentic. What can brands do to genuinely engage in CSR efforts? This study investigates internal CSR as a potential solution. CSR type (internal and external) and extrinsic cues (brand size and age) interact to affect congruence, authenticity, and subsequent purchase intention for companies that communicate these efforts on social media. Through a series of three experiments, we compare the effectiveness of internal and external CSR in influencing consumer perceptions. Results confirm that CSR is not a one-size-fits-all solution for brands. We find that Internal CSR is more effective for legacy (older, larger) brands, while external CSR is more effective for novel (newer, smaller) brands. This paper is among the first to conceptualize internal CSR as a potential strategy for legacy brands that often struggle for authentic ways to get involved with social issues. Results indicate that consumers want to see larger, older brands try to "fix" themselves before they attempt to fix the world.
Tinjauan Etika terhadap Konten Podcast Deddy Corbuzier Episode Bersama Agung Karmalogy
Authors: Ratnasari Evita , Anugrahni Sisilia , Syakira Aliyah , Junaedi Fajar
Published: January 2024

Abstrak. Podcast berbentuk audio visual kini semakin populer. Hal tersebut membuat para pembuat konten semakin bebas dalam mengekspresikan obrolan mereka dan disebarkan ke publik. Adanya perkembangan tersebut tak lepas dari pelanggaran-pelanggaran etika yang terjadi dalam media sosial. Penelitian ini bertujuan untuk mengeksplorasi pelanggaran etika komunikasi dalam media sosial di konten Podcast Deddy Corbuzier episode bersama Agung Karmalogy. Penelitian dilakukan melalui pendekatan kualitatif dengan teknik analisis konten. Peneliti menyelidiki terkait pelanggaran etika yang terjadi dalam konten Podcast Deddy Corbuzier episode bersama Agung Karmalogy. Hasil penelitian menunjukkan bahwa adanya bentuk pelanggaran terhadap etika moralitas sosial. Temuan ini memberikan wawasan tentang pentingnya etika moralitas sosial dalam kehidupan bermasyarakat.

Kata kunci : Etika Komunikasi, Youtube, Media Sosial, Podcast

 

Abstract. Audio-visual Podcasts are now increasingly popular. It gives content creators more freedom to express and distribute their chats to the public. This development cannot be separated from ethical violations that occur on social media. This research explores violations of communication ethics in social media in Deddy Corbuzier's Podcast episode with Agung Karmalogy. The study was conducted using a qualitative approach with content analysis techniques. Researchers are investigating ethical violations in the Deddy Corbuzier Podcast episode with Agung Karmalogy. The research results show some forms of violations of social morality and ethics. These findings provide insight into the importance of social morality ethics in social life.

Keywords: Communication Ethics, YouTube, Social Media, Podcast
Representasi Kecantikan Perempuan Indonesia pada Iklan Media Sosial
Authors: Bella Nadira Salsa , Valentina Meida Ardita Maharani  , Ali Nurdin
Published: January 2024

Perempuan yang ditampilkan pada iklan di Media sosial dapat memengaruhi masyarakat dalam menentukan standar ataupun persepsi tentang kecantikan perempuan. Tujuan dari penelitian ini adalah untuk menjelaskan representasi kecantikan perempuan Indonesia pada iklan media sosial. Penelitian ini dilakukan dengan cara menganilisis adegan atau dialog pada berbagai video iklan produk kecantikan di media sosial Instagram. Hasil dari penelitian menunjukkan masih ada iklan kecantikan di media sosial yang tidak sesuai dengan level realitas yang menunjukkan penampilan pemeran iklan, dan level representasi yang menampilkan penataan angle dan audio , dan level ideologi supremasi yang menekankan bahwa kulit putih dan glowing menjadi standar kecantikan perempuan Indonesia.
Meningkatkan Efisiensi Sekolah Melalui Pendampingan Manajemen Keuangan di SMP Sunan Kalijogo Jabung
Authors: Tyasmaning Endang , Sutiyo
Published: January 2024

Artikel ini bertujuan untuk menggambarkan pentingnya pendampingan dalam meningkatkan efisiensi manajemen keuangan di sekolah. Melalui pendampingan yang tepat, sekolah dapat mengoptimalkan penggunaan sumber daya keuangan mereka, mengidentifikasi dan mengatasi hambatan dalam pengelolaan keuangan, serta meningkatkan transparansi dan akuntabilitas dalam proses keuangan. Pendampingan manajemen keuangan juga memberikan kesempatan bagi administrator sekolah untuk memperoleh pengetahuan dan keterampilan yang diperlukan dalam pengambilan keputusan keuangan yang bijaksana. Dengan demikian, artikel ini mendorong pendekatan kolaboratif antara pihak-pihak terkait, seperti pendidik, pemerintah, dan ahli keuangan, untuk memastikan kesuksesan dalam manajemen keuangan sekolah.
PKM Edukasi Praktik Transaksi Online Shop Sistem Dropship Dalam Perspektif Hukum Islam Di Pondok Pesantren Rofiatul Islam Desa Sentong Kecamatan Krejengan Kabupaten Probolinggo
Authors: Fathony Alvan , Faizah Nur , Andriani Putri Lailatun , Maryam Siti , Ummah Syifa’ul Khairiyatil
Published: January 2024

Sistem drophip marketing merupakan sebuah kajian kontemporer dalam jual beli terutama di dunia digital yang bertujuan untuk kemudahan dalam bermuamalah antara penjual dan pembeli. Ketercapaian ini diwujudkan dalam memanfaatkan media modern yang praktis yaitu sistem e-commerce. Akan tetapi dalam praktik dilapangansering ditemukan beberapa kendala pada sistem ini yang mempertanyakan kemanfaatan bersama antara penjual dan pembeli. Permasalahan ini berupa penjual tidak perlu lagi harus memiliki barang tersebut dalam melakukan transaksi. Padahal adanya barang dagangan yang dimiliki merupakan salah satu unsur rukun dan syarat yang wajib dipenuhi dalam bermuamalah ini agar supaya terhindar dari unsur ketidakjelasan (gharar). Kurangnya pengetahuan masyarakat terhadap hal ini yang menjadi pembahasan yang menarik dan sangat penting bagi pelaku ekonomi syariah dalam mensosialisasi dan memberikan dampingan dan ilmu tentang praktik transaksi online shop sistem dropship. Maksud dari pengabdian ini untuk mengedukasi pentingnya memahami transaksi online shop sistem dropship khususnya pada santri di Pondok Pesantren Rofiatul Islam Desa Sentong Kecamatan Krejengan Kabupaten Probolinggo. Metode pelaksanaan dilakukan dala dua tahap yang meliputi 1) membuat materi dengan bahasa yang mudah dipahami oleh santri, 2) membuat permainan berhadiah. Hasil kegiatan santri di Pondok Pesantren Rofiatul Islam Desa Sentong Kecamatan Krejengan
Pelatihan Baca Tulis Qur'an Santri Menggunakan Metode Peer Teaching (Tutor Sebaya) berbasis Halaqah di Madrasah Diniyah Taklimiyah Awaliyah (MDTA) Nurul Haq Kota Padang
Authors: Asnur Latifah , Martin Kustati  , Rezki Amelia
Published: January 2024

Pelatihan ini bertujuan untuk meningkatkan kemampuan para santri MDTA Nurul Haq dalam baca tulis Qur'an. Hal ini didasarkan atas masih kurang baik dan benar baca tulis Qur'an Santri MDTA. Maka dari itu untuk mengatasi hal yang demikian dilaksanakan pelatihan dengan menggunakan metode Peer Teaching berbasis Halaqah, dimana para santri duduk membentuk lingkaran dan saling mendengarkan bacaan Al-Qur’an teman sebayanya setelah itu santri memberikan komentar atas bacaan Al-Qur’an teman sebayanya. Metode Peer Teaching adalah suatu pendekatan untuk belajar bersama-sama di mana orang menghargai satu sama lain dan berbagi pengetahuan dengan teman sebayanya atau mengajar teman sebayanya, Metode Halaqah adalah metode belajar di mana siswa duduk mengelilingi guru mereka dan mendengarkan penjelasan guru mereka. Fokus dari kegiatan pengabdian masyarakat ini adalah mengajar siswa di Madrasah Diniyah Taklimiyah Awaliyah Nurul Haq Parupuk Tabing Padang. Fokusnya adalah membaca dan menulis Al-Qur'an, tujuan dari pengabdian ini adalah untuk meningkatkan kemampuan seseorang untuk membaca dan menulis Alquran. akan bermanfaat bagi santri Madrasah Diniyah Taklimiyah Awaliyah Nurul Haq. Hasilnya, program pendidikan dan pelatihan Madrasah Diniyah Taklimiyah Awaliyah Nurul Haq mengajarkan santri membaca dan menulis Al-Qur'an. Dengan pelatihan dan pengajaran ini, santri Madrasah Diniyah Taklimiyah Awaliyah Nurul Haq diharapkan dapat menulis dan membaca Al-Qur'an dengan lebih baik. Hasil pelatihan ini diperoleh bahwa para santri senang dan nyaman ketika belajar, pelatihan ini juga dapat meningkatkan kemampuan anak dalam Baca Tulis Al-Qur’an menjadi lebih baik.
Praktik Semi Bank pada Koperasi-Baitul Maal Wa Tamwil (BMT) Muamalah Syariah Tebuireng Jombang
Authors: Haryanti Peni , Septia Nanda Dewi
Published: January 2024

Penelitian ini bertujuan untuk mengetahui praktik akad mudharabah yang diterapkan oleh koperasi syariah, dengan fokus pada Baitul Maal wa Tamwil yang dianggap sebagai miniatur Bank Syariah Indonesia. Penelitian ini menggunakan metode kualitatif dengan pendekatan studi kasus yang telah dimodifikasi berdasarkan pendekatan yang dikembangkan oleh Robert K. Yin, yang sejalan dengan prinsip-prinsip ajaran al-Qur'an dan Hadits. Hasil temuan penelitian menunjukkan bahwa Baitul Maal wa Tamwil menerapkan praktik yang menyerupai bank atau disebut juga sebagai praktik semi bank, terutama dalam produk pembiayaan mudharabah. Dalam pelayanan yang diberikan, tidak terdapat perbedaan yang substansial antara anggota dan nasabah yang telah atau akan melakukan pembiayaan. Keadaan ini memberikan kemudahan bagi masyarakat, terutama bagi mereka yang berada dalam kelas ekonomi menengah ke bawah, yang berminat untuk memperoleh pembiayaan tanpa harus menjadi anggota. Hal ini tentunya tidak sama dengan prinsip yang diterapkan oleh koperasi, yang mana hanya beroperasi pada anggotanya saja. Dan dalam hal ini Baitu Maal wa Tamwil telah menerapkan praktik semi bank, yang tidak hanya menyasar pada anggota saja namun juga melebarkan pasar merambah ke masyarakat umum juga. Hal tersebut juga menjadi keuntungan tersendiri bagi para nasabah yang dapat melakukan pembiayaan di Baitul Maal wa Tamwil karena bisa melakukan praktik simpan-pinjam di Koperasi Syariah tanpa adanya keharusan menjadi anggota.
Macroregional Differences in Cardiorespiratory Fitness in Croatian Primary School Children
Authors: Roca Leona , Badric Marko , Prskalo Ivan
Published: January 2024

Purpose: Cardiorespiratory fitness (CRF) is an important indicator of health. Previous studies have shown that regional affiliation and the socioeconomic development of the area significantly influence the development of CRF. The aim of this research was to identify whether there are any differences in CRF among primary school children based on the macroregion in which they live.
Methods: The study in-cluded 651 fourth-grade students from primary schools in the Republic of Croatia, aged 10.30±0.47 years. The sample of children was divided into three macro-regions of the Republic of Croatia (Continental, City of Zagreb, Adriatic). The CRF was assessed using the 20-meter shuttle run test.
Results: The results indicate that children living in the region encompassing the city of Zagreb have significantly better results (45.77) in terms of maximal oxygen uptake (VO2max), which is used to assess CRF, compared to students coming from the Continental region (44.31). Students from the Adriatic macro-region have significantly
better results (45.34) compared to those from the Conti-nental macro-region. There was no statistically significant difference observed between students from the city of Zagreb and the Adriatic macro-region.
Conclusions: There is a great need to introduce physical exercise programs that affect the development of cardiorespiratory capacity in the Continental part of the Republic of Croatia, where it has been observed that students have a significantly lower level of cardiorespiratory fitness. There is a need to continue research that evaluates
aerobic capacity in children and young people, and it should be based on direct measurements of aerobic capacity, by means of which more relevant data would be obtained, primarily on the values of maximum oxygen intake.
Keywords: exercise physiology; physical fitness; relative age effects; students; young people.
The Relationship Between Posture and Dynamic Balance In 10-12 Age Group Wrestlers
Authors: ARSLAN-KABASAKAL Sema , KESKİN Burçak , KAYA Selman
Published: January 2024

Purpose: Posture and balance control is based on a complex set of interrelated mechanisms. Coordination between the musculoskeletal system and the nervous system and receptors that provide this coordination, and the balance organ are
needed to ensure postural regularity. This study aimed to determine the relationship between postural problems and dynamic balance.
Methods: The study included 31 wrestling athletes aged 10-12 years. The participants were evaluated for posture analysis and dynamic balance in the study. Posture assessments of the participants were performed with the Posture Screen Mobile
application and dynamic balance assessments were performed with the Y-Balance Balance test (YBT). Descriptive statistics, the Shapiro-Wilk test, and Pearson correlation analysis were used to analyze the data. The significance level was fixed as P ≤ .05.
Results: In the study, a significant negative correlation was found between the forward head angulation of the participants and right and left YBT.
Conclusions: In conclusion, forward head posture negatively affects dynamic balance in wrestling athletes aged 10-12 years.
In addition to balance exercises for the development of dynamic balance, head posture should be evaluated, and the existing postural problem should be improved.
Keywords: Children, dynamic balance, motor control; sports, posture.