bluuebunny/crossref_metadata_2025 huggingface dataset:
HASTA MERKEZLİ İLETİŞİM VE HİZMET KALİTESİ İLİŞKİSİ: HİZMET SUNUCUYA GÜVENİN ARACI ETKİSİ
Authors: ÇAKMAK Cuma , UĞURLUOĞLU Özgür
Published: May 2022

Hasta merkezli iletişim, hasta merkezli bakımın temelinde yer alan önemli bir kavramdır. Hasta merkezli iletişim, hekimin hastaların ihtiyaçlarını anlamasını, hastalara yeterli bilgi vermeyi ve hastalar ile hekim arasında güven oluşturmayı amaçlayan önemli bir iletişim tarzıdır. Hasta merkezli iletişimin; hasta memnuniyeti, hastanın kalite algısı, hastanın tedaviye katılımı, hasta ve hekim arasında güvenin tesis edilmesi ve klinik sonuçlar üzerinde olumlu etkilerinin olduğu ortaya koyulmuştur. Bu çalışmada, hasta merkezli iletişim ve hizmet kalitesi algısı arasındaki ilişkide sağlık hizmet sunucusuna olan güvenin aracı rolü incelenmiştir. Bu doğrultuda 261 hastadan elde edilen veriler değerlendirilmiştir. Verilerin analizinde hiyerarşik regresyon analizi yöntemi kullanılmıştır. Elde edilen sonuçlara göre hasta merkezli iletişim hekime güven ve hizmet kalitesini olumlu yönde etkilemektedir. Ayrıca hasta merkezli iletişim ve hizmet kalitesi ilişkisinde hizmet sunucuya olan güvenin kısmi aracı rolünün olduğu tespit edilmiştir.
Different Theoretical Perspectives to Secularization and the Impact of Migration on Future Religiosity of Europe
Authors: Gürçel Akdemir Tuğba
Published: May 2022

Secularization versus religious revival debate has been shifted to another dimension with the mass migration targeting Europe because of the conflicts in the Middle East. The literature concerning secularism was expecting a linear trend in line with the modernization and Europe was considered to be the nexus of both. This study delineates the secularization debate for evaluating the recent trend of migration within this rather neglected scope. The main argument is that among the secularization theories, religious market model and existential security paradigm have a greater explanatory power for the future state-religion relations in Europe. They indicate that as a result of migration, contrary to the expectation of classical secularism theories, the overall religiosity might increase in Europe due to the pluralization of the religious realm as well as the fact that Muslim migrants who are more religious also have higher fertility rate than Europeans. In that sense, Europe, which seemed to settle the dispute concerning religious realm for years now might be faced with a new challenge due to the migration phenomenon.
The Effect of the Strategies of Multiple-Intelligences and Six Hats Strategies and Problem Solving in the Development of Eighth Grader's Scientific Thinking Skills in Jordan.
Authors: Al Sulaiti Feras , Mifdy Khaled
Published: May 2022

This study aimed to reveal the impact of the strategies of multiple intelligences, problem solving, and the six hats on the development of scientific thinking skills among students in eighth grade in Jordan. The study took place in the first semester 2010-2011. The sample consisted of (217) students who were divided into three groups for boys and three for girls. The sample was a stratified random sample. The first group was taught according to the strategy of multiple intelligence, and the second group according to the strategy of problem-solving, while the third was taught according to the strategy of the six hats. Researchers prepared a test to measure the level of scientific thinking among members of the study. The instrument included five areas. The results of the study were: There were statistically significant differences between the average score of students who studied according to the six hats and the average score of students who studied according to the multiple intelligence, and problem solving in favor of the former group. Females outscored males (p ≤ .05) There was no significant interaction effect between teaching strategy and gender at (p ≤ 0.05).
Application of Statistic Methods and ICT for Representation of a Dominant Personality Type
Authors:   Alexander Georgiev-Kodzhakafaliyata Primary School, Dimitrova Polina
Published: May 2022

The article presents a lesson, which main purpose was to present data by tables and diagrams using computer program Excel. A test for defining the personality type of each student was made in advance by the school psychologist. On the basis of the collected data, the students had to make tables with the personality types of the class and also fill in the results during the lesson. The students also had to prepare column diagram using the information from the table deciding the design on their own. The purpose of this exercise was to check the ability of the students to use in practice their knowledge about the type of diagram they had already learned in previous lessons. The second type of diagram that they had to prepare was the pie. They had to use a format that shows the percentage of each sector. The goal of this exercise was to bind their knowledge from 5th grade with a future material they will learn in 6th grade about the pie diagram, and how to draw it. At the end of this exercise the students had to check if the percentage of the sectors coincides with the real number of people with that personality type and to conclude by themselves if the percentage was rounded or not.
Easter Holidays – a Common Goal for European Educators in the eTwinning Community to Share and Collaborate
Authors:   “Happy Childhood” Kindergarten, Ilieva Tsvetoslava
Published: May 2022

The author shares experience about the work of the team at the “Happy Childhood” kindergarten in Pleven (Bulgaria) – as an equal participant in the eTwinning community of schools in Europe and active participant in a project focusing on the traditions of the Easter holidays. The text describes the cooperation between teachers, children, parents and local authorities to organise activities that enrich the life and professional experience of its members.
Interest of the Sharia Insurance Community in Prudential Syariah Binjai
Authors: Simanjuntak Indah , Lubis Fauzi Arif
Published: May 2022

Sharia insurance is one form of Islam's role in building community welfare by providing diversity and forms of cooperation in financing and financial management. Islamic insurance which is in line with the teachings of Islam. There are also new innovations that cannot be separated from maysir gharar and usury.
A Study of Judicial Responses relating to Human Rights in India
Authors: Ramesh Kumar  , Dr. Janardan Kumar Tiwari
Published: May 2022

India is one of the largest democratic & sovereign countries in the world in which the Indian judiciary is also the integral foundation & structural pillar along with its unification & independency in the democratic system. Indian judiciary has the responsibility to deliver the fair & satisfactory justice to the people concerned in according to the provisions of Constitution of India as a protector of human rights which have been guaranteed as justiciable fundamental rights under Indian Constitutional Law by way of judicial responses but the Indian judiciary & judicial responses are subject to the exception and criticisms because both the same create the deepest effects & consequences on person individual & our society in the presence of rule of law for the purposes of the largest interest of public peace & fulfillment of the long cherished dream of welfare state with a view to accomplish the spirit of Constitutional Law of India and intention of the legislators. The responsibility for the enforcement of fundamental rights as human rights has only been furnished to the highest Court of India (Supreme Court under article-32) & High Courts in States (under article-226) of the Constitution of India. The People of our society repose the exclusive believe on the judiciary but the same is not free from the exclusions & exceptions it is absolutely relevant to place over here that delayed justice denied justice it has rightly said therefore due these reasons, in today’s scenario, in the world of globalization, people somewhere are losing their confidence and credibility because of the disadvantages exclusions & exceptions with the inclusion of other connected things which are not the good results for us, society, nation & the world. Corollary with regard to this, in according to the need of hour, the judicial accountability has not only become essential but also compulsory & mandatory in order to the answerability towards the paramount of transparent democracy under the Constitution of India where any person, society or system can never be free from the exceptions in the interest & welfare of world human, living creatures & creation.
Comparison of oral health care practices among the tobacco chewers and nonchewers
Authors: Kaur Arshpreet
Published: May 2022

Background: Tobacco is chewed, smoked, sucked, sniffed and is the one product which is detrimental to the population when it is used entirely as intended. The present study was conducted to compare the oral health care practices among the tobacco chewers and nonchewers. Materials & Methods: 80 subjects of both genders were divided into 2 groups. Group I comprised of tobacco chewer and group II non- chewer. A closed-ended questionnaire namely, the National Youth Tobacco Survey Questionnaire and the WHO Oral Health Questionnaire for Adults was recorded which consisted of demographic information, oral health care practices, and information regarding smokeless tobacco habit. Results: Out of 80 subjects, males were 65 and females were 15. Tooth brush material used was tooth brush in 5 and 32, finger in 15 and 6 and neem stick in 20 and 2. Tooth cleaning material was tooth paste in 12 and 35, tooth powder in 28 and 5, frequency of brushing was once in 11 and 10, twice in 4 and 27 and occasionally in 25 and 3. Frequency of snack consumption was sometimes  in 17 and 33 and mostly in 23 and 7.
CLIL for the undergraduate students of engineering in teaching business English
Authors: Shirley Abisak Iswarya D , Sundarsingh J
Published: May 2022

The present study is an experiment on the effectiveness of CLIL methodology for teaching Business English to undergraduate students. The experimental classroom adopted CLIL learning strategy at tertiary level so as to enable the learners to achieve proficiency in both subject knowledge and communication skills simultaneously. The aim is to facilitate the learners’ global carrier opportunities and internationalized higher studies gateways which can be achieved by concentrating on the content specific knowledge and communicative competency. A group of 60 students are taken into consideration and divided into two groups as control group and experimental group. The experimental group students are taught with CLIL methodology and the speaking skill of the learners are assessed after the periodical 5 hours of teaching. The speaking skills of both the groups were assessed based on their language production. It is found that CLIL students showed more interest in learning the subject and had an improved language style, fluency and high deliverance potential along with confidence.
Design and characterization of delavirdine ethosomal drug delivery to enhance the bioavailability via topical drug delivery
Authors: Meesa Rajendar , Srinivas A. , Chandrasekhar K. B.
Published: May 2022

The increasing demand for efficient administration and delivery of pharmaceutical dosage forms possessing the attributes namely minimum side effects, improved patient compliance has resulted in the formulation of novel drug delivery system. Ethosomes are very effective since they enhance the penetration of drugs via skin to several times whose compound to the simple creams, elixirs and liposomal carriers. Hence, there is an absolute necessity to formulate ethosomes of the selected drugs, In the presant work ethosomal formulations of, delaviridine, was prepared for obtaining the objective of improving skin permeability and bioavailability. The prepared formulations gave good percentage yield and size distribution. The best formulation of ethosomes of each respected drug were incorporated into carbopol based gel systems for controlled release and the invitro studies proven that the formulations followed zero order release mechanisms. Compatability studies were performed for the materials selected and results are observed o be possitive. Stability studies indicated that the formulations were stable at low temperatures but can undergo rapid deformation at higher temperatures.
Estrogen and progesterone receptor expression
Authors: Manjani S. , Vijayamalathi M. , Ranjini S. Sree , Janaki C. S. , Arulparithi C. S.
Published: May 2022

Background:  The common gynaecological complaints encountered is dysfunctional uterine bleeding .Pipelle aspiration & Dilatation and curettage is done to find out the Histomorphological and its immunohistochemical alterations . Objective : This study  aims to bring out the expression of  Estrogen and Progesterone receptor in perimenopausal women  of  non-malignant and malignant endometrium presenting with menorrhagia. Result: Endometrial samples of 41 Perimenopausal women with AUB were also subjected to immunohistochemical staining to find out the Estrogen and Progesterone receptor status. Immunohistochemistry revealed the mean of PI values for ER and PR were highest in the proliferative endometrium (91.64% for ER; 94.38% for PR) followed by simple hyperplasia, complex hyperplasia, atypical hyperplasia and endometrial carcinoma (27.5% for ER; 27% for PR). Conclusion: Immunohistochemistry results in perimenopausal women show that the estrogen and progesterone receptor expression decreases progressively from proliferative endometrium to hyperplasias to endometrial carcinoma.
Transcatheter closure of perimembranous ventricular septal defects by using the amplatzer ductal occluder type I
Authors: Hussein Ammar Ali , Abusuda Ahmed Farhan , Rashid Emad Jabour
Published: May 2022

Background: - A ventricular septal defect is a hole or a defect in the septum that divides the 2 lower chambers of the heart, resulting in communication between the left and right ventricular cavities. Objectives: -To evaluate the efficacy and safety of percutaneous transcatheter closure of perimembranous VSD by using Amplatzer Ductal Occluder type I. Method: This is a prospective study. Total numbers of 216 patients with perimembranous VSD were enrolled for transcatheter closure of the defect by using Amplatzer Ductal Occluder type I (ADO I). The inclusion criteria of the study were: the VSD diameter ranged from 4mm to 12 mm, the VSD distance (rim) at least 2mm from atrioventricular and semilunar valves, and the systolic pulmonary atrial pressure ranged (20-75 mm Hg) with mean pulmonary atrial pressure (40 mm Hg). The patients with malalignment type of VSD were excluded from the study.
Rising above (S) exploitation
Authors: Ghosh Priyanka , Challa Venkata Ramani
Published: May 2022

Empowering the women in literary context has always taken the academia on storm. The latent desire of authors and scholars to see an egalitarian world has been channelised in contextualising the female self-sureness in their authors characterisation. However, women characters of mainstream society have gained acclaimed acknowledgement way before than the ones belonging to the marginal communities. The belief that Tribal women are less participative and contributively less active in tribal ecriture has reigned the scholastic views. Such perception has changed its course in post-colonial era and the tribal women have found their voice in their characterisation. The present article challenges the resigned perceivability of the Santhal women and maps on how they have been empowered by the sole Santhal writer writing in English, Hansda Sowvendra Shekhar. He aces up to bring them to the frontier. Wide array of women characters from various socio-economic framework, within the Santhal community, form the content of his discussion. The concerned Santhal community has never seen such textual presentation of their women in broader platform and the Anglophone contemporary writer, Hansda, is instrumental in his competence of writing his texts in English to reach out to the vast range of audience
Community-based interventions and willingness for screen prostate cancer in the elderly based on the health belief model
Authors: Ahmadvand Massoud , Heydari Heshmatolah , Novinmehr Nasser , Ebrahimzadeh Farzad
Published: May 2022

Prostate cancer is one of the most common malignant cancers among men worldwide. One way to control this disease is screening. One of the models that can be used to identify and change the beliefs and attitudes of the elderly and their families is the health belief model. Considering the lack of similar studies, this study was performed to determine the effect of community-based intention to perform screening behaviors on prostate cancer screening in the elderly based on the Health Belief Model. Methods: This study was a randomized field trial. The statistical population included all older men over 60 years of age with electronic files in comprehensive health service centers in Malayer in 2020-2021. The samples were 250 eligible elderlies who were divided into control and intervention groups by stratified random sampling. For the intervention group, training based on the health belief model was performed. The data collection tool was a standard questionnaire, which consisted of two sections: demographic information and intention to perform screening behaviors for cancer prostate-based health belief model. Questionnaires were given to both groups before and after the intervention. Data were analyzed using SPSS software version 22 and statistical tests, MANOVA, chi-square, and Fisher's exact test.
La planificación de la evaluación de los aprendizajes en el área de ciencias sociales de educación secundaria: unos antecedentes
Authors: Matus Gómez Odderey José
Published: May 2022

La evaluación del aprendizaje es un tema apasionante, complejo y a veces controversial en el ámbito educativo, por ser una pieza clave del éxito educativo. Por esta razón, la planificación de la misma se supone como elemento fundamental de este proceso. No obstante, para poder llegar a tener una comprensión de base sobre su importancia, se ha realizado la construcción de sus antecedentes sobre tesis e investigaciones en el ámbito iberoamericano y anglosajón, lo cual ha consistido en un recorrido histórico-conceptual que parte del concepto de evaluación en el contexto educativo; se explora el surgimiento y etapas de los modelos de evaluación (enfoques cuantitativos, de transición y cualitativos); revisa el énfasis de la evaluación en el contexto escolar (su diseño, centrado en el aprendizaje, la planificación), y finalmente se concentra sobre la evaluación didáctica en el área de ciencias sociales en el contexto nicaragüense. La investigación bibliográfica ha mostrado que la planificación de la evaluación es un proceso muy poco explorado y desarrollado, razón que justifica las acciones para profundizar en su estudio, así como el establecimiento de propuestas que contribuyan a mejorar su concepción y práctica.
Impact of Podcasts and Video Marketing Strategy on Growth of Businesses in the Private Sector: Perspective from the United States
Authors:   Northern Kentucky University, Yaymond Ernest Morisson , Clerk Alice Saunders ,   University of Southern California, Smith Michael McCain ,   University of Pennsylvania
Published: May 2022

A growing business is one that is expanding in one or more ways, and there is no single metric used to measure growth. Instead, several data points can be highlighted to show a company is growing. These include: revenue, sales, company value, profits, number of employees, and number of customers. Over the past few years, the popularity of podcasts has grown enormously. A Podcast can be understood as a series of episodes, digitally programmed and formatted, focusing on a specific theme or topics like technology, start-ups, or anything else, it can be said that it is a radio in digital form. This study sought to understand the impact of podcasts and video marketing on growth of businesses in the private sector in the United States. This was a literature based study in which relevant literature was reviewed to derive study themes. The study found that in the US, Podcasts are going mainstream, and since the brand name goes online with the Podcasts on many platforms, it increases the brand’s visibility, and there are many tricks and hacks that businesses can use to enhance brand visibility through Podcasts. The study established that podcasts and videos offer individuals and organizations in the private sector alike the ability to effectively and affordably attract, convert, and transform consumers and grow their businesses. It has also been established that Podcast listening numbers have increased by 42% in the US since the start of the COVID-19 crisis, and more and more Americans are discovering content via this medium, it is thus a great place for advertisers to reach a more tech-savvy, educated consumer. The study concludes that many businesses in the United States use podcasts to attract their target customer to their business. By talking about things that their target customer is interested in, they then gain a captive audience to promote their products or services to. Keywords: Podcasts and Video, Marketing strategy, Business growth, Private Sector, United States
Autonomies/Monotonies: Teaching Languages before and after the Covid Era
Authors: Hrebackova Monika , Štefl Martin
Published: May 2022

In search for a constructive response to the Covid pandemic, which exacerbated rather than caused the current crisis of university education, this article reports an implementation process of student-oriented teaching practices into an ESP curriculum of management-oriented study at a technological university, i.e., in an interdisciplinary environment, which, perhaps paradoxically, struggles with interdisciplinary approaches, deindividuation, compartmentalization of learning, and, consequently, with varying degrees of student engagement. Exploring students’ (in-)ability and (un-)willingness to become autonomous learners in the Covid era and beyond, the authors rethink students’ exposure to pedagogical tools and methods designed to foster student autonomy and combat instructional monotony including networking, telecollaboration, language coaching, alternative assessment methods, and discuss consumption of online education in general. Face to face with the volatile dynamics of technologically mediated interactions and evolving teacher/student roles, the article critically assesses the growing emphasis on students’ autonomy which is – much like the ability to cope without social contact – often taken for granted rather than systematically trained.
“A Wikivoyage to…” Making the most of Emergency Remote Teaching for the development of transversal skills
Authors: Gatto Maristella , Meledandri Francesco
Published: May 2022

In the context of a growing tendency towards teaching practices based on digital innovation, which the Covid-19 outbreak has further accelerated, experimenting with cooperative writing/translation projects based on Wiki technology has started to attract the attention of university scholars. A number of projects have thus emerged that exploit the Wikimedia ecosystem as a multilingual working environment for online authentic tasks, which are particularly appropriate for a new generation of “digital natives” who have been facing (forced) distant learning activities. Indeed, experience shows that the very myth of the digital natives’ fluency in the use of ICT is to be questioned, and the need for the development of ICT literacy and related transversal competences is strongly advocated. Against this background, the article reports on a project completed with distance learning-based activities at the University of Bari: “Transl/Editathon@Uniba. A Wikivoyage To Puglia”. The project had a twofold aim: it channelled resources with different expertise and knowledge backgrounds to offer a multi-disciplinary approach to tourism discourse, translation skills and IT competence; it aimed at raising awareness in students that a cooperation-based approach in a digital environment can enhance their transversal skills. The students’ ability in narrating their territory via Wikivoyage, and their feeling part of a virtual community, was the project’s added value in a time when distance(s) in geographical and interpersonal terms seem to have been loosening any sense of belonging.
Gli zoomanti: insegnare la letteratura americana ai tempi del Covid-19
Authors: Della Marca Manlio
Published: May 2022

Nel maggio 2020, Giorgio Agamben, uno dei filosofi italiani più influenti della sua generazione, scriveva in un post pubblicato sul sito dell’Istituto Italiano per gli Studi Filosofici che i professori che avessero accettato di “sottoporsi alla nuova dittatura telematica e di tenere i loro corsi solamente online” erano “il perfetto equivalente dei docenti universitari che nel 1931 avevano giurato fedeltà al regime fascista”. I filosofi, si sa, sin dai tempi di Zenone, amano coltivare l’arte del paradosso. Con tonalità meno apocalittiche rispetto ad Agamben, in questo contributo, suggerisco, con un pizzico di ironia, che docenti e studenti che accettano l’uso massiccio della didattica online non rischiano di trasformarsi in pericolose camicie nere digitali, ma, tutt’al più in zoomanti: anime sospese nei nuovi purgatori digitali del terzo millennio. Ripercorrendo tre semestri di didattica online della Letteratura americana presso l’Università di Monaco, questo saggio riflette sulle opportunità e i pericoli creati dalla radicale riconfigurazione del rapporto fra produzione del sapere e tecnologia causata dalla pandemia.
Saidiya Hartman, Perdi la madre. Un viaggio lungo la rotta atlantica degli schiavi
Authors: Vallorani Nicoletta
Published: May 2022

Saidiya Hartman, Perdi la madre. Un viaggio  lungo la rotta atlantica degli schiavi (Napoli, Tamu Edizioni, 2021, 336 pp. ISBN 979-12-80195-05-0)

di Nicoletta Vallorani
A Mini-Review of the Application of Nanotechnology in Fishery for the Detection and Control of Diseases: An Emerging Tool
Authors:   Institute of Home and Food Sciences, Faculty of Life Sciences, Government College University, Faisalabad-38000, Pakistan, Wahab Abdul , Ahmad Nazir ,   Institute of Home and Food Sciences, Faculty of Life Sciences, Government College University, Faisalabad-38000, Pakistan, Hassan Sadia ,   Department of Nutrition and Dietetics, The University of Faisalabad, Faisalabad-38000, Pakistan, Mazhar Syed Saad ,   National University of Medical Sciences, The Mall, 46000, Punjab, Pakistan
Published: May 2022

The application of nanotechnology has emerged as an extensive approach in the research field of medicine. Thus, the use of nanoparticles as a diagnostic method is now developing. Nanoparticles are considered a sensitive tool and have a vast range of applications in different areas like vaccination, drug delivery, medicines, and disease diagnosis. In this regard, this review focused on the various areas of nanoparticle applications in fisheries.
Frenyó Zoltán (szerk.): Konzervatív arcképek. L’Harmattan Kiadó – TIT Kossuth Klub Egyesület, Budapest, 2021. 520. old.
Authors: Sármási Zoltán
Published: May 2022

Frenyó Zoltán Konzervatív arcképek című kötete 74 hazai és külföldi gondolkodó rövid életrajzán, illetve politikai, filozófiai, eszmetörténeti profiljuk megrajzolásán keresztül mutatja be a konzervativizmus eszmerendszerét és annak változásait a XVIII. század végétől a XX. század végéig.
Imre Sándor látlelete „a magyarság belső állapotáról” (1914) s „a közös munka lelki akadályairól” (1923)
Authors: Donáth Péter
Published: May 2022

A közlemény Imre Sándor magyar pedagógus, művelődéspedagógus két előadását adja közre rövidített formában. Imre Sándor alapgondolata a társadalmi megosztottság orvoslása érdekében a nemzettudatra nevelés volt.
Vaccines Associated Cardiac Adverse Events, Including SARS-Cov-2 Myocarditis, Elevated Histamine Etiology Hypothesis
Authors: Ricke Darrell O
Published: May 2022

Background: Rare cardiac adverse events are reported post vaccinations. For the SARS-CoV-2 mRNA Spike vaccines, higher numbers of these cardiac adverse events are being reported with myocarditis disproportionately occurring in younger males. The etiology of these cardiac adverse events associated with vaccines including SARS-CoV-2 is unknown. The etiology of the higher frequency of these cardiac adverse events temporally associated with SARS-CoV-2 mRNA Spike vaccines is also unknown. Aim: Data mine vaccine associated cardiac adverse events to gain insights into COVID-19 mRNA associated myocarditis and pericarditis adverse events. Methods: All adverse events, with a focus on cardiac adverse events, were summarized from the Vaccine Adverse Event Reporting System (VAERS) for all vaccines from 1990 to April 1, 2022. Results: Analogous patterns of cardiac adverse events were observed for multiple unrelated vaccines with occurrences proportional to vaccine reactogenicity level defined all adverse events. This article proposes the hypothesis that innate immune responses to vaccines cause elevated histamine levels post vaccination; the histamine level reached may exceed the vaccinees’ histamine tolerance level for several days, with the histamine level likely correlating with the vaccine reactogenicity level. Further, it is proposed that the elevated histamine level is causative for the reported cardiac adverse events. For myocarditis and pericarditis reported adverse events, the elevated histamine levels may induce cardiac capillary pericyte vasoconstrictions followed by localized ischemia and anoxia; this is followed by the release of troponin from myocyte cells affected by anoxia. This hypothesis is supported by the temporal onset timing of adverse events reported following SARS-CoV-2 mRNA Spike vaccinations in VAERS. Conclusion: Onset of cardiac adverse events immediately following vaccinations for multiple unrelated vaccines may implicate elevated histamine levels from immune responses as causative for these adverse events. Relevance for patients. An etiology model for cardiac adverse events temporally associated with vaccination is proposed. If validated, this model identifies possible candidate treatments for evaluation with the potential to reduce the severity and frequencies of these cardiac adverse events for vaccinees.
The Representation of the Car as a Social Space in Laila Halaby’s Once in a Promised Land
Authors: Qaoud Hanan , Amrieh Yousef Abu
Published: May 2022

The purpose of this study is to examine the representation of the car as a social space in Laila Halaby’s novel Once in a Promised Land (2007) and explore its interrelationship with issues of literary chronotope, counter discourse, and identity formation. The analysis of this study is interdisciplinary in nature; it tackles the car across social, psychological, and literary domains. Though the article takes Bakhtin’s theory of chronotope as a point of departure; it puts forth Henri Lefebvre’s theory of the production of social space to explicate how Halaby’s characters utilize their cars to incessantly produce social relationships with people from underclasses. In view of these two theories, it is found that Halaby transposes the semiotic function of the car, propelling it from the realm of conformity and nationalism to the realm of resistance and socialism. Halaby’s characters are depicted struggling to unshackle themselves from the stereotyping images imposed on them. By presenting the car as a medium and means for socializing with people from distinct social and ethnic backgrounds, Halaby generates a holistic humanistic narrative that deconstructs the racist and binaries thinking that pervaded the official discourse in post 9/11 America.
anatomy of bad decision making and the role of neuroscience and the Second Track in improving decision making
Authors: Fritz Peter , Mallory Nicholas
Published: May 2022

Any poor decision can be blamed on insufficient information, but the paralysis provoked by too much data can be as damaging as snap decisions based on too little. Human judgement must find the right balance between analysis and action, prudence and reform. Entrepreneur Peter Fritz AO and writer Nicholas Mallory discuss the individual and organisational factors behind bad decision making and how it can be improved in business and government today.
Cauda Equina Syndrome Outcome: Early V/S Late Surgery
Authors: Kumar Ramesh , Faaiq Ali Muhammad , Ghouri Shiraz Ahmed , Zulfiqar Farrukh , Zeeshan Qazi Muhammad , Rehmani Muhammad Asim Khan
Published: May 2022

There is no reservation that the superlative result for Cauda Equina Syndrome (CES) requires decompression by surgery. Objective: The goal of our study was to determine the effect of surgical procedure, with relation to time, on bladder and bowel symptoms. Methods: A retrospective analysis of patients undergoing surgical decompression by CES was done. The subjects with persistent symptoms were surveyed for at least two-years. BASS criteria were applied to classify CES: painless urinary retention (CESR), incomplete (CESI) and CES suspicious (CESS). The resolution of presenting autonomic symptoms was assessed following surgery. Results: A total of 120 patients were confirmed with CES and referred for surgery. Surgical treatment included all cases of laminectomy or lumbar discectomy. 60 patients reported CESR, 24cases of CESI and 36 cases of CESS. No statistical alteration in sex, age, alcohol comorbidities score and smoking by the time of surgery was noted. All patients with CESR and CESI showed a positive response in bladder and bowel dysfunction following surgery. There was no substantial change in the recovery of autonomic dysfunction associated with the time of surgery. Conclusions: Surgical decompression is an operative method of treatment that suggestively alleviates the symptoms of CES involved autonomic system. Early decompression by surgery 24 hours after start of symptoms does not seems to improve resolving of bladder or bowel dysfunction significantly
The Morbidity Patterns of Children with Severe Malnutrition
Authors: Farrukh Riffat , Masood Shaheen , Rizvi Qamar , Shakoor Ibrahim , Sultana Sarwat , Mustafa Sultan
Published: May 2022

Malnutrition is a widespread problem worldwide Objective: To identify the morbidity patterns of children with severe acute malnutrition Methods: A cross-sectional study was conducted in the Pediatric Unit-II of Abbasi Shaheed Hospital for a six-month duration from July 2021 to December 2021. Children aged 1 to 60 months with severe acute malnutrition (WHZ score <-3 SD) were selected. All patients were assessed for clinical symptoms, various disease states such as metabolic abnormalities, infections, congenital/hereditary anomalies, and outcomes such as left against medical advice (LAMA), stabilization, or death on discharge. Data was analyzed and collected using descriptive statistics in SPSS version 17. Results: A total of 150 children were admitted according to the admission criteria. The number of males was 85 (56.7%) and females 65 (43.3%), and the male to female ratio was 1.4: 1. 120 (80%) had severe wasting without edema and 30 (20%) had malnutrition with edema. The average length of stay was 10 + 3.6 days. The main incidence in children with MAS are diarrhea (46.7%), pneumonia (18.7%), sepsis (15.3%), and other diseases such as meningitis 5(3.3 %), severe skin infections, 7(4.7%), urinary tract infections 9(6%), and eye lesions due to vitamin A deficiency 2(1.3%). 13 (8.7%) patients had measles with diarrhea and pneumonia. Acute watery diarrhea was observed in 68(45.3%) of diarrhea cases. 21 (14%) children had congenital or hereditary defects. 9 (6%) had central nervous system disorders. Conclusions: The spectrum of incidence in hospitalized children with severe malnutrition includes both congenital or hereditary defects and infections. The sepsis and diarrhea with metabolic disturbances mainly contributed to the mortality.
Role of Computed Tomography in The Evaluation of Focal Liver Lesions
Authors: Arif Amina , Latif Aruj , Ishaq Asif , Fatima Mehreen , Yousaf Farooq Syed Muhammad , Abbas Malik Awon , Saleem Manahil , Abbas Rifat , Farooq Bhatti Umair
Published: May 2022

The liver lesions have marked differences across geographic regions and ethnic groups. In order to avoid inappropriate diagnosis and unnecessary surgery, Computed Tomography  (CT) being a non-invasive imaging modality and with high sensitivity, provides better detection and distinguishing benign from malignant focal liver tumor lesions. Objective: To determine the role of Computed Tomography in the evaluation of focal liver lesions. Methods: A descriptive study was conducted at Government Kot Khawaja Saeed Teaching Hospital, Lahore, Pakistan. A sample size of 124 patients of both genders, age ranging from 22-90 years were enrolled in this study with a convenient sampling technique. Pregnant females and patients having renal insufficiency were excluded. The variables used to obtain data were: Age, Gender, Presenting complex clinical risk factors, CT findings, and other diagnoses. Toshiba Aquilion 16 CT scanner with KV 80-135 and MAs 500 was used. Injections of 1.5ml/kg IV contrast were given to patients, with a total dosage of 80-100ml at 4.5ml/sec through an 18G intravenous catheter. After contrast injection liver was scanned at 3 different time points or phases. All of the factors mentioned above were documented and kept in each patient's individual case record form (CRF). Data was gathered during the time frame specified. To examine the acquired data and arrange and compile the results, the statistical tool SPSS version 24 was used. Descriptive statistics and a Chi-square test was applied to check the comparison. Results: Among 124 individuals, 77 (62.1%) individuals were males, and 47 (37.9%) individuals were female. Average age of patients was 53.85±13.50 years. Multiple lesions were observed in 79 (63.7%) individuals had multiple lesions while 45 (36.3%) individuals had a single lesion. 94 (75.8%) individuals had malignant lesions while 30 (24.2%) had benign lesions. Lesions were more common in males than in females. The most common presenting complex clinic risk factor was hepatitis C virus with 45 individuals (36.3%) with Hepatitis C +ve. The most common CT finding was Hepatocellular Carcinoma with 41(33.1%). Conclusions: The study concluded that Computed Tomography being a non-invasive imaging modality and with high sensitivity, provides better detection and differentiation between benign and malignant focal liver lesions.
Financial Education Development and Planning For Children's Education Funds in Bengkong Permai Batam
Authors: Efriyenty Dian , Hikmah  , Kahdijah
Published: May 2022

Based on the results of a survey in the field, Bengkong Permai housing mothers experienced financial difficulties, so that many errors occurred in paying debts for their children's education needs in the future. Difficulties in financial management so that mistakes are often made in recording personal finances for Bengkong Permai Housing women, the lack of community skills regarding the products and quality of services provided by the bank, lack of capital in the business can result in stress and reduce trust. The method used is socialization and training. Residents of the Bengkong Permai housing estate have learned the importance of planning early on for their child's education. The more expensive the cost of education from kindergarten, elementary school to undergraduate level, which makes parents have to save their finances. It is hoped that these women will be able to manage their personal finances and increase their income.
Pengaruh CAR, NPF dan TBH Terhadap Pembiayaan Bagi Hasil Dengan Profitabilitas Variabel Moderasi
Authors: Amalia Azka Ika , Zamzami R. Mohd
Published: May 2022

Mudharabah and musyarakah profit-sharing financing are trademarks of Islamic banks. In addition, profit-sharing financing is considered appropriate to move the real sector where later from this financing a direct relationship will be formed between the bank and the customer in terms of capital and the risks borne, so that people who want to open a business can benefit from profit-sharing financing. This study aims to determine the effect of capital adequacy, non-performing financing, and the level of profit sharing on profit sharing financing with profitability as a moderating variable. The population and sample used in this study are Islamic commercial banks with annual financial statements for the 2015- 2019 period. This study uses a quantitative approach with purposive sampling in sampling. The total sample selected was 40 samples. The analytical technique used in this study uses the statistical application of Eviews 9. From the results of the t-test analysis (partially) shows the results that capital adequacy, financing problems, the level of profit sharing do not affect profit sharing financing. From the results of the analysis of the F test (simultaneously) shows the results that together capital adequacy, non-performing financing, and the level of profit sharing affect profit sharing financing. From the results of the MRA test (moderated regression analysis) it shows that profitability does not moderate the relationship between capital adequacy and profitsharing rates with profit-sharing financing, while profitability moderates (weakens) the relationship between non-performing financing and profit-sharing financing.
Strategi Distribusi Apollo Audio Dalam Mengatasi Kerusakan Dan Layanan Untuk Meningkatkan Kepuasan Konsumen
Authors: Wicaksono Indarto Andre
Published: May 2022

Buying and selling activities are activities that become a means to meet human needs, be it the needs of clothing, food, and housing. Because these three things are basic needs that must be met by each individual. UD Apollo must always think that every object of sale and purchase must be in good condition and quality, so that consumers are not disappointed or feel disadvantaged. Buying and selling does not only apply between regions, but between regions. In the distribution process of Apollo audio sending goods to various cities in Indonesia, Apollo audio has risks that arise in the distribution process, namely goods that are damaged due to shipping when the goods arrive to consumers and this problem has also often occurred in the distribution process of Apollo audio. The background above explains that selling used audio online has a high risk of damage due to shipping and it is related to customer satisfaction, but there are still many consumers who are still active in shopping for used audio. The aim of the research is to find out what distribution strategies are appropriate in overcoming damage and services to increase customer satisfaction. This type of research is qualitative research. The population of this study are all consumers who have purchased products at Apollo audio. The research method used in this research is to use interviews. The number of respondents used in this study were 5 respondents. The data collection technique used in this research is triangulation. The results of this study obtained that there are several distribution strategies of Apollo audio in overcoming damage and services to increase customer satisfaction, namely: (1) Strategy in distribution selection. (2) Packaging procedure strategy. (3) Good and effective complaint handling strategy
Correlation of Multiple Choice Examination Scores with Oral Examination Scores of the Second Year Undergraduate Program Faculty of Medicine Universitas Padjadjaran in Academic Year 2019/2020
Authors: Tika Maharani Chyntia , Halleyana Adrikni Rahman Putri , Gradia Dwiwina Resti
Published: May 2022

Background: COVID-19 pandemic causes several changes in daily activities, one of them is medical students’ online lectures and examinations. Educational evaluation of college students from the Medical Undergraduate Study Program, Faculty of Medicine, Universitas Padjadjaran in each lesson, is done by two kinds of assessments, such as multiple choices written online examination and oral online examination. Each of them has its own advantages and disadvantages. Evaluation in Problem Based Learning (PBL) educational system is important to push the medical student’s ability in learning, evaluate the effectiveness of learning and test student’s ability in their medical knowledge. Aim: To determine the correlation between multiple-choice examination scores with oral examination scores of Second Year Undergraduate Program in Faculty of Medicine Universitas Padjadjaran Academic Year 2019/2020. Method: This research is a quantitative analytic study using a cross-sectional design. The test used is the Spearman correlation statistical test to determine the correlation between multiple-choice examination and oral examination. Result: The results of the Spearman correlation test found a correlation coefficient value of 0.307 and a p-value of 0.000 which indicates that there is a significant relationship. Conclusion: There is a weak correlation of multiple-choice examination scores with oral examination scores of Second Year Undergraduate Program in Faculty of Medicine Universitas Padjadjaran Academic Year 2019/2020
The Relationship of Myofascial Trigger Points (MTrPs) Pain to Headache: Type, Location, and Intensity of Headache
Authors: Nurul K Novita , Rakhmawati E. Dessy , Maulana Reza , Musadir Nasrul , Sofia Sofia
Published: May 2022

Headaches are one of the most common nervous system disorders with a major impact on public health. They can be caused by various etiologies, and some of them are symptoms of serious pathology. The location and intensity of the headache are related to the etiology of the headache. In some cases, headaches can be accompanied by pain due to myofascial trigger points (MTrPs), which are small hyper-irritating spots located centrally within bands that have been injured or overworked. The purpose of this study was to determine the relationship between Myofascial Trigger Points (MTrPs) Pain and the Type, Location, and Intensity of Headaches. This type of research is analytic observational with a cross-sectional design. Data were collected in October and December of 2014, and a sample of 50 people was drawn using a consecutive sampling technique.Data were gathered through neurologists' history-taking and physical examinations, as well as interviews using a numerical pain scale (NPS), and then analyzed using Fisher and Mann Whitney.The results showed that MTrPs were positive for M. sternocleidomastoid in 38 people, M. trapezius in 36 people, M. temporalis in 31 people, M. masseter superficialis in 20 people, M. suboccipital in 18 people, M. levator scapulae in 34 people, and M. obliquus superior in 20 people. The highest number of active MTrPs was 4 in 15 people, and referred pain from MTrPs was present in only 5 people. It can be concluded that there is no relationship between Myofascial Trigger Points (MTrPs) pain and the type of headache, but there is a relationship between Myofascial Trigger Points (MTrPs) pain and the location and intensity of the headache.