bluuebunny/crossref_metadata_2025 huggingface dataset:
Fire load survey in multi-storey wholesale premise – a case study
Authors: S. S. Nurud , I. Abdullah , M Saari , A. NorMariah , B Rafee
Published: August 2021

A combustible material is one of fire hazard where the amount of combustible materials or fire load could affect the heat release and fire severity in enclosure. The fire severity in the context of fire load is related to intensity and duration of fire in enclosure. Fire load survey is conducted in this study to estimate the amount of combustible materials in wholesale premise since it become threat to life safety and property loss. The determinations of fire load in 3-storey wholesale premise in Kuantan city is conducted by using combination fire load survey method; weighing and inventory method. Result from fire load survey can help to determine the sufficient requirements of fire suppression in premise as well as fire fighters intervention strategy. An extension of this study, the data could be used as an important input to design fire for deterministic analysis in fire risk assessment to quantify the level of fire risk towards life, property and environment.
Techno-Economic Study for Hybrid Renewable Energy System for Coastal Residential Application in Pekan, Pahang
Authors: Zailan Roziah , Zaini Siti Nurzalikha , Mohd Rashid Muhammad Ikram , Razak A.A
Published: August 2021

Techno-economic study is needful to optimize the usage of renewable energy components that targeting low cost of electricity generation system. The selected case study area is coastal area in Pekan, Pahang, Malaysia. The autonomous system designed in this study is hybrid standalone PV-wind-diesel energy system to fulfil a 20.1 kWh/day demand for a coastal housing. Such power system was designed and optimized further to meet the power demand at a minimum cost of energy using energy optimization software, Hybrid Optimization Model for Electric Renewables (HOMER). The analysis was focused on the operational characteristics, economics and environmental. The standalone PV-wind-diesel energy system has total net present cost about $61, 911 with cost of energy $0.66/kWh. Apparently, the generation of electricity from both wind turbine and PV was inflated with the diesel generator system. From the payback period calculation, time taken to recover full capital invested through the installation of hybrid PV-wind-diesel is six years. Moreover, the installation of diesel generator should be optimizing in order to mitigate the environmental emissions
Development and Characterization of a Theranostic Micelles System using TPGS with Docetaxel and Coumarin-6: A Dual Polymeric Nanocarrier System
Authors: Ching L.H. , Mahmood S. , Edros R. , Kutty R.V.
Published: August 2021

Theranostic micelles and polymeric nanocarrier-based drug delivery system are well known techniques that involve a diagnostic agent in polymeric micelles for a combination of therapy by using a co-delivery approach which can help in detection of a cancer cell in an early stage, increase killing effect and suppress multi-drug resistance (MDS) for better therapeutic effectiveness. The aim of this study is to develop a dual modality micellar system using D-α-tocopheryl polyethylene glycol 1000 succinate (TPGS) as a nanocarrier for co-delivery of docetaxel as a model chemotherapeutic drug and coumarin-6 as a model fluorescence imaging agent for simultaneous cancer imaging and therapy in an early stage. The theranostic micelles were prepared by a solvent casting method and characterized by their particle size, drug loading, drug encapsulation efficiency (EE) and in-vitro drug release profile. These dual modality micellar system TPDC6 micelles were successfully developed with average particle size of 79.59±0.57 nm in diameter and drug loading up to 15.46±1.02 % (EE of 78.99±1.26%) and 9.83±0.76 % (EE of 36.20±0.89%) for docetaxel and coumarin-6 respectively. Besides, the in-vitro drug release profile of the micelles revealed a desired sustained and controlled drug release manner for both docetaxel (21.62±0.36%) and coumarin-6 (10.70±0.46%). In conclusion, the micelles size obtained is in the favourable range for passive targeting through enhanced permeability and retention (EPR) effect and the drug loading and encapsulation efficiency attained are adequate for therapy and diagnosis purposes on cancer cells. This dual modality system is taking great advantages for tumour imaging and inhibition of tumour growth which is very important for early cancer detection.
Forecasting Unsafe Level of Work Stations with Injuries Frequency Measurement Criterion: A Fuzzy Logic Approach
Authors: O. Adeyemi Hezekiah , A. Yusuf Taofeek , O. Osifeko Martins
Published: August 2021

In this study, a fuzzy-based expert system called Accident Prone Workstations Prediction Expert System (APWAPES) was developed to forecast unsafe level of work stations. APWAPES used fuzzy set theory to make decisions based on the “Total-hours-worked” and “Injury-Count” as inputs and “Workstation-unsafe-ratings” as the output. Data collected from subjects in 20 workstations were run with APWAPES. The results were compared with an Existing Mathematical Model (EME). The validation result showed that there was a strong positive relationship between the EME and the developed APWAPES with a correlation coefficient of 0.710. The t-test result for mean difference showed that EME had a statistically significantly higher level of rating (0.60 ± 0.30, SEM=0.004) compared to APWAPES (0.50 ± 0.02, SEM= 0.007), t(38) = 1.613, p = 0.115. With a significance level of 0.001 at 95% confidence, the APWAPES and the EME predicted values were not significantly different. The study developed an expert system, APWAPES, which can find its applications in any work place where hazards occur and capable of helping managers of industries, to measure work places and/or activities disposed to accidents.
Prediction of low flow at ungauged sites
Authors: Rosman Puteri Shazlia
Published: August 2021

Low flow prediction at the ungauged site area is important for planning the development water resources management especially that related to power supply or navigation, reservoir design, irrigation, drinking water supply and aquaculture farming. However, the sequent data collection must be collected to able to see the pattern of low flow in future. The purpose of the study to determine low flow at various locations within the tributaries of Sg. Sawak and Sg. Rompin catchment area. Low flow was estimated using 7Q10 equation (estimate the lowest 7 day average flow that occurred on average once every 10 years. The result indicate the 7Q10 in Sg Sawak Catchment and Sg. Pontian Catchment were 0.0179 m3/s in and 0.0067 m3/s respectively.
The Development of Rainfall Temporal Pattern for Kuantan River Basin
Authors: Samat S.R. , Othman N. , Zaidi N.F.M.
Published: August 2021

One of the design rainfall event used in flood estimation is rainfall temporal pattern that gives the proportion of total rainfall in different periods within a given duration. The study focuses on developing a temporal rainfall pattern for the Kuantan River Basin in Pahang. According to Urban Stormwater Manual Second Edition (MSMA 2) that used as guideline for designing stormwater in Malaysia, rainfall temporal patterns are divided by region. In this study, the developments of rainfall temporal pattern in Kuantan River Basin are based specifically on rainfall station in this river basin. The Average Variability Method (AVM) that used in MSMA 2 and recommended by the Australian Rainfall and Runoff were used in developing rainfall temporal pattern for this study. The rainfall data of every 5 minutes for 16 years starting from 2000 to 2015 were gathered from Department of Irrigation and Drainage (DID) for purpose of study. In this study, the rainfall temporal pattern is deriving for 15 minutes, 30 minutes, 60 minutes, 120 minutes, 180 minutes and 360 minutes. The results show the significance differences of the rainfall temporal patterns between the results from this study and available value in MSMA 2 for the region of Pahang (Region 2). Therefore, each specific rainfall station has its own reliable rainfall temporal pattern that crucially important for flood estimation in Kuantan River Basin for future development plan
Helminth Infection in Primary School Children and Characteristics of Settlement in The Coastal Village of Kusan Hilir Subdistrict Tanah Bumbu District, South Kalimantan Province, Indonesia
Authors: Hairani Budi
Published: August 2021

Environmental factors are very influential in the transmission of helminthiasis. This study aimed to determine the prevalence of helminthiasis in primary school-aged children living in villages with coastal ecosystem types in Kusan Hilir Sub-district, Tanah Bumbu District. Furthermore, we ought to identify and compare the characteristics of settlement areas that may increase the risk of transmission. This cross-sectional study was conducted in February of 2016 with three sampling areas selected purposively (Sepunggur, Juku Eja, and Sungai Lembu Village). Prevalence of helminthiasis was determined by examination of stool samples from primary school-age children (6-15 years old in Indonesia) in selected villages. Characteristics of settlements observed were settlement density, permanence of buildings, availability of public toilets, and the physical environmental characteristics of soil types. Prevalence of helminth infection were as follows: Juku Eja Village (82.93%), Sungai Lembu Village (24.44%), and Sepunggur Village (6.04%). Helminth species found were varies from Soil Transmitted Helminth (STH) to non-STH groups. Juku Eja Village has the most settlement characteristics that support the transmission of helminth. In order to decrease the risk of transmission, it is crucial to improve the infrastructure of villages such as paving, providing public hand-wash facilities, warning sign persuading not to defecate on the beach, and construction of clean green open space as a playground for children. Mass drug administration for the population needs to be done along with health monitoring (especially helminth infection in children) on an ongoing basis.
Removal of methyl orange (MO) using carbon quantum dots (CQDs) derived from watermelon rinds
Authors: Abd Aziz Azrina , Ramzilah U.R.
Published: August 2021

In this study, carbon quantum dots (CQDs) was prepared via a facile hydrothermal method. The objective for this study is to assess the performance of CQDs in photocatalytic degradation activity of methyl orange (MO) under artificial visible light source. For that reason, the prepared photocatalyst undergo further characterization by scanning electron microscope (SEM), energy dispersive X-ray spectroscope (EDX) and UV- Vis spectrophotometer (UV-VIS) to verify the morphology structure of the photocatalyst, elemental composition as well as the absorbance intensity, respectively. The results indicates that the prepared photocatalyst possess irregular porous shape with nanometre (nm) dimensions that can escalate the surface area for photocatalytic degradation activity. The elements of the photocatalyst mainly consist of carbon and oxygen as the major constituents in which necessary for photocatalytic activity with intense peak of absorbance intensity. The prepared CQDs also shows an excellent photocatalytic performance over the MO with degradation rate of 68.9% within 120 minutes.
Effect of Reaction Parameters on the Production of Cyclodextrin using Cyclodextrin Glucanotransferase from Bacillus licheniformis
Authors: Che Man Rohaida , Md. Shaarani@Nawi Shalyda , Mohd Arshad Zatul Iffah , Abdul Mudalip Siti Kholijah , Sulaiman Siti Zubaidah , Ramli Aizi Nor Mazila
Published: August 2021

Cyclodextrin glucanotransferase (CGTase) is an industrial enzyme that converts starch into cyclodextrin (CD). CD has many potential applications in wide range of industries including food, cosmetic, pharmaceutical and plastic industries. Production of CD from CGTase is based on a few process parameters such as concentration of substrate, types of substrate, reaction time, pH and temperature. In this present study, the effect of types of substrate (corn, potato, wheat, rice and tapioca starch), concentration of substrate (1, 2, 3, 4, 5, 6, 7, 8 and 9%) and reaction time (1, 2, 3, 4 and 5 hr) on the CD production using commercial CGTase from Bacillus licheniformis were studied. Among the five types of substrate tested, the potato starch was the most suitable substrate for the production of CD with 10.24 mg/ml of CD. In addition, by using 6% (w/v) of potato starch, the production of CD was 15.16 mg/ml. The optimal reaction time was found to be 4 hr with 12.41 mg/ml of CD. Therefore, the best reaction parameters proved to be valuable for the highest CD production. Hence, CGTase from Bacillus licheniformis was demonstrated to produce high CD at optimum reaction conditions and it has potential to be used in large scale production for the industrial purposes.
Effects of Enzyme Loading, Incubation Time and Incubation Temperature on Sawdust Hydrolysis by Locally Produced Bacterial Xylanase
Authors: M. Shaarani S. , Min L. Y. , C. Man R. , A. Mudalip S. K. , Sulaiman S. Z. , M. Arshad Z. I.
Published: August 2021

The present study aims to investigate the enzymatic hydrolysis conditions of bacterial xylanase on alternative cheaper substrate which is hardwood sawdust (SD) in order to produce reducing sugars (xylose). The bacterial xylanase was produced and secreted from the Bacillus sp. The wood industry in Malaysia has become a major source of foreign exchange across the globe for developing the countries. Therefore, more wood residues (sawdust) are produced during the logging and processing of wood. Most of the sawdust will be disposed into the landfills. In actual, the sawdust can be utilised into more valuable products such as in producing reducing sugars. Thus, previous researches have studied on xylose production from wooden sawdust using commercial xylanases, but only few with the bacterial xylanase. Therefore, a study on the best conditions of enzymatic hydrolysis in producing xylose from sawdust using bacterial xylanase is essential. Prior to the enzymatic hydrolysis, the hardwood sawdust was pre-treated by autoclave at 121°C for 20 min in order to breakdown the lignin linkage and obtain the hemicellulosic xylan (delignification). The enzymatic hydrolysis conditions such as enzyme loading, incubation time and incubation temperature were experimented by One-Factor-At-Time (OFAT) method. Based on the experiment, the fifth cycle pre-treated autoclaved sawdust showed 5.5-fold higher than the untreated sawdust. The best enzymatic hydrolysis conditions for xylose production were enzyme loading of 1.4%, incubation time of 30 min, and incubation temperature of 56.9 °C. These conditions also succeeded in producing 2.5-fold higher xylose than the one without the enzymatic hydrolysis.
An Evaluation of Different Fast Fourier Transform - Transfer Learning Pipelines for the Classification of Wink-based EEG Signals
Authors: Mahendra Kumar Jothi Letchumy , Rashid Mamunur , Musa Rabiu Muazu , Mohd Razman Mohd Azraai , Sulaiman Norizam , Jailani Rozita , PP Abdul Majeed Anwar
Published: August 2021

Brain Computer-Interfaces (BCI) offers a means of controlling prostheses for neurological disorder patients, primarily owing to their inability to control such devices due to their inherent physical limitations. More often than not, the control of such devices exploits the use of Electroencephalogram (EEG) signals. Nonetheless, it is worth noting that the extraction of the features is often a laborious undertaking. The use of Transfer Learning (TL) has been demonstrated to be able to mitigate the issue. However, the employment of such a method towards BCI applications, particularly with regards to EEG signals are limited. The present study aims to assess the effectiveness of a number of DenseNet TL models, viz. DenseNet169, DenseNet121 and DenseNet201 in extracting features for the classification of wink-based EEG signals. The extracted features are then classified through an optimised Random Forest (RF) classifier. The raw EEG signals are transformed into a spectrogram image via Fast Fourier Transform (FFT) before it was fed into selected TL models. The dataset was split with a stratified ratio of 60:20:20 into train, test, and validation datasets, respectively. The hyperparameters of the RF model was optimised through the grid search approach that utilises the five-fold cross-validation technique. It was established from the study that amongst the DenseNet pipelines evaluated, the DenseNet169 performed the best with an overall validation and test accuracy of 89%. The findings of the present investigation could facilitate BCI applications, e.g., for a grasping exoskeleton.
Quality management of medical devices. ISO 13485 Implementation Guide
Authors: Ramos Ramos Javier , Cañaveral Rodríguez Alix Fernanda , Camacho Camacho Hernando
Published: August 2021

This research was aimed at creating a methodological guide for the implementation of the quality management system based on the NT ISO 13485: 2016 for medical devices manufacturers, which seeks to share with its readers the parameters necessary for implementing regulatory purposes and convey a perspective on how organizations should apply the standard requirements. The research considered the needs and expectations of organizations in Colombia producing medical devices, evaluated their ability to provide products and services that meet requirements and promote customer satisfaction through continuous improvement. The research starts from a theoretical base that analyzes the application of ISO 13485: 2016 and the requirement of good manufacturing practices in different countries, and the competitive advantages present by exploring the existing literature and the standard requirements. This article results have a mixed approach: quantitative, through the development of a self-diagnosis tool; and qualitative, through a methodological guide development. In each section of the standard, an exposition structure was adopted to facilitate content consultation and compression, thus fulfilling the purpose and applicability aiming to guide a clear and simple implementation.
Criterios para la evaluación de los costos en la seguridad y salud en el trabajo: una revisión bibliográfica
Authors: Ortiz Méndez Giovanni Andrés
Published: August 2021

La finalidad de este artículo es presentar los resultados de una revisión de la literatura para identificar los referentes teóricos que aporten a la construcción de una metodología de la evaluación de costos en seguridad y salud en el trabajo. La revisión se hizo a 26 publicaciones de 3 bases de datos, incluyendo los artículos encontrados a través de la búsqueda iterativa. Para el análisis de la información se elaboró una matriz de resumen analítico especializado. Este estudio permitió identificar que actualmente se están realizando en el mundo estudios sobre seguridad y salud en el trabajo que incluyen evaluaciones de costos. Además, se pudo determinar los referentes teóricos que aportaran a la construcción de una metodología de evaluación de costos en seguridad y salud en el trabajo: los costos directos, los costos indirectos y los indicadores (evaluaciones económicas); y los análisis que se han realizado a los diferentes criterios que establece cada uno.
Modelos de sistemas integrados de gestión para pequeñas, medianas y grandes empresas
Authors: Quintero Becerra Luz Evely , Rodríguez Díaz Camila Andrea , Monroy Silva Magda Viviana
Published: August 2021

El presente artículo de revisión sistemática de literatura se desarrolló con el objetivo de identificar los principales modelos de sistemas integrados de gestión (SIG) para pequeñas, medianas y grandes empresas; esto por medio de un análisis bibliométrico que permitió determinar cuáles son los modelos utilizados para la integración de sistemas en cada uno de los tipos de empresas analizados. Se entienden los SIG como un conjunto único de procesos interconectados que incluyen dos o más sistemas de gestión; estos fueron explorados a través de investigación de tipo cualitativo y descriptivo, en la búsqueda, recolección, depuración y análisis de información de las bases de datos Science Direct, Scopus, Redalyc y Google Scholar. Con base en los resultados, se encontró que las estrategias de integración se diseñan de forma general y no enfocadas en tamaños de organizaciones, es decir, que estas son implementadas para cualquier tamaño de empresa. Como conclusiones se evidenció que se enfocan en sectores como energía, combustibles, cerámica, alimentos, medicamentos, metalmecánico, entre otros.
“I Drive Well, the Problem is the Other Driver”: A Study About the Self-Assessment of the Ability to Drive
Authors: Bannach Eduarda Lehmann , Bianchi Alessandra Sant´Anna
Published: August 2021

This study aims to verify the self-evaluation that people make about their ability to drive and investigate whether there is a difference between self-evaluation and evaluation about their friends’ abilities. To this end, 151 people answered three different questionnaires, one questionnaire about driving abilities (self-evaluation and evaluation of friends), the Driver’s Behavior Questionnaire and a socio-demographic questionnaire The sample consisted of 50.3% of males with a mean age of 25.32 years (sd = 1.66). As a result, self-evaluation was positively correlated with age, evaluation of friend, weekly driving hours, Common Violations, and Aggressive Violations. In addition, there was significant difference between evaluation by sex: males carry out self-assessments in a more positive way. It was also found that people evaluate themselves better than they evaluate their friends. From this research, it is possible to think the target audience that would most benefit from an intervention to reduce self-evaluation, that is, men, people over 24 years old, and people who have more driving experience.
Repeated Suicide Attempts Among Service Users of An Emergency Service in Northern Colombia: Characteristics, Associated Factors, And Management
Authors: Aristizabal Diaz-Granados Edith T , Chamorro Coneo Ana M , Rodriguez Acosta Sandra M
Published: August 2021

Suicide has increased close to 60% in the last four decades worldwide. In Colombia, during the year 2019, 10,9% of violent deaths were due to suicide. This study aimed to identify risk factors predicting repeated suicide attempts. It also aimed to describe the management of suicidal behaviour within an emergency department of Northern Colombia. Dataset comprised 336 medical records of individuals seeking medical assistance for intentional selfharm between 2008-2019; 136 medical records were associated with previously reported suicide attempts. Results from a multivariate logistic regression showed that suicide ideation and having a history of psychiatric disorders significantly predicted repeated suicide attempts. Furthermore, repeated attempts were more likely in underaged individuals and young adults. Management of patients engaging in suicidal behaviour involved hospitalization and outpatient mental health services. However, a few patients were sent home with recommendations or were noncompliant. Findings from this study highlight the importance to develop evidence-based screening and monitoring protocols that prevent repeated suicide attempts.
 
How to cite this article: Aristizabal-Diazgranados, E. T., Chamorro-Coneo, A. M., & Rodriguez-Acosta, S. (2021). Repeated Suicide Attempts Among Service Users of An Emergency Service in Northern Colombia: Characteristics, Associated Factors, And Management. Revista Colombiana de Psicología, 30(2), 41-54. https://doi.org/10.15446/rcp.v30n2.88942
Relação entre os casos de COVID-19 e indicadores econômicos
Authors: Dos Santos Portugal Júnior Pedro , Franklin Frogeri Rodrigo , Ferreira Alves Alessandro , Pelloso Piurcosky Fabrício , Antônio da Silva Renan
Published: August 2021

O presente estudo tem como objetivo verificar e analisar a relação existente entre os números de casos e óbitos de COVID-19 com indicadores econômicos e população dos municípios componentes da Microrregião de Varginha no Sul de Minas Gerais. Este intento foi conseguido mediante um levantamento dos casos e óbitos por COVID-19 no período de 23 de março a 26 de maio de 2020 de acordo com a Secretaria Estadual de Saúde de Minas Gerais, bem como dados de população, Produto Interno Bruto (PIB) e participação dos setores na economia dos municípios. Foram utilizadas análises estatísticas descritivas, correlação, regressão e agrupamentos. As análises e os resultados permitiram verificar que municípios mais populosos, com maior PIB e participação mais efetiva do setor de serviços e comércio tendem a apresentar maior número de casos e óbitos por COVID-19. Já as localidades menos populosas, com menor PIB e participação maior da agropecuária e administração pública na economia apresentam menor ocorrência de casos e óbitos desta doença.
Palavras-chave: COVID-19; indicadores econômicos; incidência; Microrregião de Varginha.
I. L'Homme et le Cosmos dans L'Espoir et Les Noyers de l'Altenburg d'André Malraux
Authors: Girard Par René
Published: August 2021

L'Espoir et Les Noyers de l'Altenburg, les deux derniers romans d'André Malraux, sont écrits dans un style qui présente avec celui des œuvres précédentes des différences importantes.

Le lecteur a l'impression que l'auteur hausse souvent le ton et qu'il vise a Vampleur la ou il se contentait naguere de violence. Gaetan Picon a remarque que Malraux ecrivait plus “grand” et plus “large” qu'auparavant. Le but du present article est de montrer que, loin de constituer des metaphores, ces remarques definissent le caractere essentiel de ce qu'on pourrait appeler le “style cosmique” de Malraux.
Joyce, Nietzsche, and Hauptmann in James Joyce's “A Painful Case”
Authors: Magalaner Marvin
Published: August 2021

One of the most powerful stories in James Joyce's Dubliners is “A Painful Case.” Much of its strength lies in its deep concern with two basic human experiences, love and death. Yet Joyce seems somehow less concerned with these in themselves than with the personality of his main character, James Duffy. The author's intense analysis of the intellectual and emotional life of this protagonist has made possible the assumption that Joyce himself is Mr. Duffy. Events in the author's life are seemingly paralleled by occurrences in Duffy's life. Both men enjoy, and yet suffer from, the exile which they have imposed upon themselves: “Duffy … wished to live as far as possible from the city of which he was a citizen.”
The Modern Language Association of America in World War II
Authors: Long Percy W.
Published: August 2021

The Modern Language Association of America as a chartered and incorporated learned society, national in scope and partly international in membership, engaged primarily in scholarly interchange, is necessarily averse to war as being inimical to its primary concerns. The Utopia of the Association requires peace on earth, good will among men. Its membership, however, is made up almost wholly of patriotic American citizens, bound together by a special interest and proficiency in modern languages, and sharing with similar bodies in the techniques of research.
Actitud frente a los Acuerdos de Paz: escepticismo en jóvenes universitarios
Authors: Pérez-Montero Eilen , Camacho-Coy Hipólito
Published: August 2021

Objetivo: Valorar las actitudes en estudiantes universitarios de dos instituciones de educación superior, pública y privada, frente a los acuerdos firmados en el proceso de paz entre el gobierno nacional y las Fuerzas Armadas Revolucionarias de Colombia. Método: Es un enfoque empírico-analítico, con diseño cuantitativo y se aplicó una entrevista tipo Likert a 511 estudiantes, para determinar las actitudes de los estudiantes desde tres dimensiones: cognitiva, conductual y afectivo. Resultados: muestran que los dos grupos de jóvenes perciben el acuerdo de paz con una actitud negativa. El desconocimiento de los puntos firmados y su proceso de implementación  genera poca aceptación hacia la integración de los desmovilizados en la vida civil. El rechazo a establecer relaciones afectivas con los desmovilizados se ubica entre 1 y 2 en una escala de 1 a 5 puntos para las dos instituciones. Discusión y Conclusiones: Los estudiantes universitarios consultados durante la investigación piensan que los excombatientes de las Fuerzas Armadas Revolucionarias de Colombia no tendrán una vida armónica al integrarse a las comunidades y en alguna medida continuarán usando prácticas relacionadas con el uso de armas y la extorsión. Así mismo, no muestran una actitud favorable hacia la vinculación de los desmovilizados a su familia y la realización de actividades laborales o comerciales con ellos. Se deben establecer escenarios transformadores de las dinámicas psicosociales, para construir una lógica no violenta de reconciliación, perdón y no repetición.
AĞIR COVID-19 PNÖMONİSİNDE PULSE STEROİD TEDAVİSİNİN MORTALİTE ÜZERİNE ETKİSİ
Authors: BİNDAL Ahmet
Published: August 2021

COVID-19 hastalığının süreci esnasında ortaya çıkan

hiperinflamatuar fazda kullanılan pulse steroid tedavisinin

hastaların inflamatuar belirteçlerine ve klinik

durumlarına etkisini gözlemlemeyi amaçladık.

Gereç ve Yöntem

Bu çalışmada hiperinflamatuar faz nedeniyle pulse

steroid (yüksek doz metilprednizolon) ile tedavi edilen,

COVID-19 PCR (polimeraz zincir reaksiyonu)

testi pozitif olan 30 hasta değerlendirildi. Hastaların

klinik durumları ve inflamatuar belirteçleri retrospektif

olarak incelendi. Hastalar; yaş, cinsiyet, entübasyon

durumu, klinik düzelme, taburculuk, mortalite oranı,

tedavi başlangıcından 24-48-72. saat ve 7. günde ölçülen;

C-reaktif protein (CRP), prokalsitonin, ferritin,

oksijen saturasyon değeri ve lenfosit sayısı açısından

değerlendirildi.

Bulgular

Toplamda pulse steroid tedavisi alan 21 erkek, 9 kadın

olmak üzere 30 hasta incelendi. Ortanca yaş 66

[31-88] olarak hesaplandı. Çalışmada 15 (%50) hasta

vefat etmiş olup, bunun 11’i erkek, 4’ü kadın hastaydı.

Yaşayan ve ölen hastalar karşılaştırıldıklarında; pulse

steroid tedavisi sonrası 72. saat ve 7. günde ölçülen

ferritin, CRP, prokalsitonin değerlerinin yaşayan hasta

grubunda anlamlı olarak azaldığı görüldü. (sırasıyla

72. saat p= 0,01; 0,08 ;
Equipo Médico para Clínicas de Mama una Mirada Desde la Práctica de la Ingeniería Clínica
Authors:   , Martínez-Chávez G. A.
Published: August 2021

El presente trabajo describe la experiencia que involucró la gestión tecnológica de equipo de médico para el esta- blecimiento de la primera y tercera clínica de mama en la delegación CDMX, Sur, del Instituto Mexicano del Seguro Social (IMSS) como una estrategia para el desarrollo de un programa nacional de detección temprana, diagnóstico oportuno y tratamiento con calidad óptima, trato cordial y respeto a los derechos de las pacientes. En este sentido, se exponen los principales argumentos referentes a los lineamientos utilizados para la evaluación de la tecnología medica en el desempeño de los mastógrafos digitales por ser este el equipos más representativo del proyecto, para lo cual se elaboro una cedula de descripción que fue aplicada en seis equipos de mastografía en la cual se vierten los conceptos que intervienen en el análisis de especificaciones técnicas, destacando la respuesta de los detectores, dosimetría, contraste y calidad de la imagen entre los principales aspectos. Teniendo como premisa el compartir las experiencias obtenidas en la creación de dichas clínicas, y el rol del ingeniero biomédico como parte del equipo multidisciplinario, considerado como un gestor del conocimiento respecto a la optimización de los equipos de ima- genologia en cada una de las unidades médicas.
Okullarda Yaşanan Örgütsel Sessizliğe İlişkin Öğretmen Görüşlerinin Nitel Analizi
Authors: KAZAK Ender , KARACA GÜZEL Fatma
Published: August 2021

Bu araştırmanın amacı, ortaöğretim kurumlarında görev yapmakta olan öğretmenlerin örgütsel sessizliğe ilişkin görüşlerini tespit etmeye çalışmaktır. Bu amaç doğrultusunda, öğretmenlerin çalıştıkları kurumda sessiz kalma nedenleri, yaşanan sessizliğin bireysel, örgütsel, eğitimsel açıdan etkileri ve okullarda yaşanan sessizliğin önlenmesine yönelik öneriler belirlenmeye çalışılmıştır. Araştırmanın çalışma grubunu, Düzce ili ortaöğretim kurumlarında görev yapmakta olan 12 öğretmen oluşturmaktadır Araştırmada nitel araştırma yöntemlerinden biri olan durum çalışması deseni kullanılmıştır. Araştırmanın verileri, yarı yapılandırılmış görüşme soruları aracılığı ile toplanmıştır. Araştırma sonuçlarına göre öğretmenlerin sessiz kalma nedenleri; dışlanma, kötü muamele görme; düzenli ders programına sahip olma niyeti ya da izin alma gibi çıkarlarını koruma düşüncesi ve bir şeyleri değiştiremeyeceği düşüncesi olarak tespit edilmiştir. Sessizliğin etkilerine ilişkin sonuçlar, olumsuz bir okul ikliminin oluşması, verimin düşmesi ve disiplin problemlerinin artması olarak tespit edilmiştir. Okullarda sessizliğin önlenmesine yönelik öğretmen önerileri, demokratik bir ortamın oluşturulması, öğretmenlere bilgilendirme programlarının yapılması ve öğretmenlerin görüşlerini açıkça ve özgürce ifade edebilecekleri ortamların oluşturulması şeklinde tespit edilmiştir. Ayrıca, araştırma sonuçları bağlamında önerilerde bulunulmuştur.
Spectrum of anxiety and depression reported in reproductive-aged women diagnosed with gynaecological disorders at a tertiary healthcare facility in Ghana
Authors: Oppong Esther Eshun , Obese Ernest , Biney Robert Peter , Agbalekpor Pearlmond , Hanson Priscilla A. , Aboagye Maame Y. A. , Adakudugu Emmanuel A. , Adanusa Madison , Pinkrah Richard , Adomah Anasthasia O. , Osei Silas A. , Oge Elizabeth N. , Agbenyeku Mary A. , Ameyaw Elvis O.
Published: August 2021

Background: Patients with gynaecological disorders often suffer from psychological disorders including anxiety and depression. Although depression and anxiety have been studied in Ghana, data regarding the prevalence of these disorders in patients with gynaecological disorders is non-existent. The aim of the study was to investigate the prevalence of anxiety and depression in reproductive-aged women diagnosed with gynaecological disorders.Methods: Cross-sectional observational study was conducted at the Gynaecology Clinic of Korle-Bu Teaching Hospital, a tertiary health facility in Accra, Ghana. Patients of reproductive age seeking gynaecological care at the facility from December 2018 to January 2019 were assessed for anxiety and depression using the Generalized anxiety disorder (GAD) questionnaire and the Beck depression inventory (BDI) respectively. Sociodemographic and clinical information was gathered as well.Results: Of the 120 patients interviewed (mean age 34.33±0.66), 36.7% were depressed while 51.6% were reported anxiety disorders. Patients aged 35-45 years had the highest prevalence of anxiety (24.58%) and depression (29.18%). Again, prevalence rates were highest among respondents with senior high school as the highest educational qualification, (anxiety (22.15%); depression (24.20%). Patients suffering from pelvic floor disorder recorded the highest prevalence of anxiety (11.40%) and depression (13.77%). There was a significant association between depression and gynaecological disorders [χ2(25) =53.915, p=0.001, CI=95%], but there was not enough evidence of an association between anxiety and gynaecological disorders [χ2(15) =22.791, p=0.089, CI=95%].Conclusions: Anxiety and depression are prevalent amongst women in their reproductive age diagnosed presenting with gynaecological disorders and there is a significant association between gynaecological disorders and the prevalence of depression.
A comparative study of efficacy of oral pregabalin and clonidine for attenuation of pressor response to intubation
Authors: Kaur Haramritpal , Gupta Jatin , Singh Amandeep , Singh Gurpreet , Dahuja Anshul , Rajora Parveen , Rana Rubina , Baghla Naresh
Published: August 2021

Background: Endotracheal intubation is associated with hemodynamic stress responses. Various drugs have been used in the past to attenuate the pressor response; however, none has been proved to be ideal. Present study was planned to evaluate the oral pregabalin 150 mg and clonidine 200 µg for attenuation of pressor response to intubation.Methods: The study was conducted on 100 adult patients of either gender scheduled to undergo elective surgeries under general anaesthesia (GA). The patients were randomly allocated into 2 groups. In group A patients received pregabalin 150mg and in group B patients received clonidine 200µg orally. The hemodynamic parameters were recorded until 10 minutes after intubation. The sedation, anxiety and side effects were also assessed.Results: In clonidine group, the mean HR remained below the baseline value at all the time intervals. In pregabalin group, the mean HR remained below the baseline value at most of the time intervals but increased above baseline just after intubation (T0i) and 1 minute after intubation (T1i) where increase was only 1.488±1.20% and 0.45±1.16% respectively from baseline. In both pregabalin and clonidine groups, the mean SBP and MAP remained below the baseline value (Tb) at all the time intervals from T0.5 to T10i. Both clonidine and pregabalin provided adequate anxiolysis and sedation with pregabalin providing more pronounced sedation and anxiolysis than clonidine.Conclusions: Both clonidine and pregabalin are effective oral premedication drugs for attenuation of the pressor response to laryngoscopy and endotracheal intubation.
A profile of poisoning in pediatric population in rural hospital in Jammu
Authors: Kumar Niraj , Gupta Shallini , Sharma Sanjeev , Gupta Vikram
Published: August 2021

Background: Acute poisoning is one of the commonest Pediatric emergencies and an important cause of morbidity and mortality. This study is aimed at understanding the incidence, aetiology and manner of poisoning, outcome among children less than 18 years reporting to Pediatric department at sub district Hospital level in Jammu region.Methods: All the children between one month and eighteen years of age reporting to the Pediatric Emergency of SDH Akhnoor, Jammu over a period of one year as a case of acute poisoning were included in the study. The information obtained from subjects/parents/guardians and examinations of subjects was recorded on a pretested proforma and analyzed.Results: A total of 150 patients were admitted as a case of poisoning over a study period of one year. Male: Female ratio was 1.41:1. Total incidence rate was 2.94/100 0 population over a period of one year. Majority of the cases were accidental (94.67%) while suicidal attempt cases were 5.33%. Most the cases (49.33%) were due to accidental ingestion of household products followed by drug ingestion (21.33%), food poisoning (14%) and then agricultural/industrial products (8%). Maximum patients (86.6%) recovered while 2% referred to higher centre and rest 11.3% either absconded or lost to follow up.Conclusions: Acute poisoning in children is usually accidental with favourable outcome. Death can happen depending upon nature of poison and the stage at which the patient is brought to the hospital. Poisoning can be prevented by increasing public awareness, counselling and right guidance to the parents.
Study of adverse drug reactions associated with antiepileptic drugs: a pharmacovigilance study using spontaneous reporting system
Authors: Mukhyaprana Sudha K. , Devipriya Siddiraju , Thirumalaiappan Meenakshi
Published: August 2021

Background: More than 25 antiepileptic drugs (AEDs) are available in the Indian market to treat epilepsy of which many have similar efficacy but differ in their tolerability and are associated with many adverse drug reactions (ADRs). ADRs are one of the most common causes of death and clinical trials are not sufficient to uncover all the ADRs, hence post-marketing surveillance or pharmacovigilance is necessary. The aim of the study was to analyze the ADRs of AEDs by spontaneous reporting system under Pharmacovigilance Program of India (PvPI).Methods: Suspected ADR reporting forms provided by PvPI were used to collect the data from healthcare professionals of Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai.Results: A total of 77 ADRs from 61 reports were analysed of which 34 were male and 27 were female patients and maximum were in the middle-aged adult group (N=44). Majority of the ADRs were related to skin and subcutaneous disorders (N=55) and most implicated ADR was found to be maculopapular rash (N=12) associated with phenytoin. Most of the ADRs were non-serious (N=42) and were probable category (N=45) as per WHO-UMC scale.Conclusions: Monitoring ADRs in patients using antiepileptic drugs is a matter of importance; hence a robust pharmacovigilance practice is essential.
Assessment of knowledge, attitude and practice of insulin injection among subjects with diabetes mellitus
Authors: Shravani Bezawada , V. Anuradha H. , Kalra Pramila
Published: August 2021

Background: Diabetes mellitus (DM) is a spectrum of common metabolic disorders whose management mainly lies in treating the patients with oral hypoglycemic drugs and insulin along with the dietary and lifestyle modifications. Insulin is administered most subcutaneously. As the insulin injection sites are relatively painless, patients tend to inject in the same area repeatedly rather than moving to a newer site and increase risk for development of injection site reactions like lipodystrophy and impairment of glycemic control. Hence, it is utmost important for every diabetic patient and their relatives who would inject the insulin injection to be aware of appropriate manner of insulin injection. This helps in maintaining adequate glycemic control in diabetic patients. The main objective of this study was to assess the knowledge, attitude and practice of insulin injection technique among the diabetic patients.Methods: A cross-sectional study was conducted in the department of Endocrinology on 250 diabetic patients taking insulin injections based on inclusion and exclusion criteria. A validated questionnaire was administered to patients to answer in order to assess their knowledge, attitude and practice about technique of insulin injection.Results: In this study, it was found that 90% of the patients were aware of rotating the injection site, whereas only 40% of the patients were aware of appropriate time duration (5-10 sec for syringes/counting 1-15 for releasing the pen) required for resting the syringe/pen needle inside the skin. Only 48% of the patients used to remove the air bubble prior to injection, 57% pinched the injection site before injecting, 20% rubbed the injection site after injection and 30% used to wash hands prior to injection. Hypoglycemia was the most common adverse effect noted in 54% of patients.Conclusions: It can be concluded from the present study that every patient and his/her attendant needs to be educated and trained appropriately regarding technique of injecting insulin injection for betterment of their health.
The multifaceted use of Lactobacillus reuteri DSM 17938 in a pediatric clinic: a retrospective observational study
Authors: Kesavelu Dhanasekhar
Published: August 2021

Background: Lactobacillus reuteri DSM 17938 is a well-studied probiotic which colonizes many mammals. In humans, L. reuteri is found in various body sites including the gastrointestinal tract, urinary tract, skin and breast milk. It fulfills all the prerequisites of being a good probiotic as described by the world gastroenterology organization.Methods: This was a retrospective observational study, where a nutritional supplement L. reuteri DSM 17938 was given to 197 children, aged 0-16 years, along with normal diet. The participants were having complains of diarrhea, stomach pain and frequent hospitalization. Various parameters were recorded such as sex, age, anthropometry-weight and height (every visit), diagnosis, reason for outpatient visits and various demography including but not limited to- birthplace, current location, year in school, reason for hospital admission (if any). Paired t test was used to find difference in weight and height between each visit.Results: A total of 118 subjects were included in the analysis. Five drops of nutritional supplement L. reuteri DSM 17938 was given. Supplementation of L. reuteri reduced the need for hospital admissions. 96% children did not require hospital admission. It improved the overall health of the children. There was a statistical significance in the height and weight between first and second visits (p<0.001). A 7.65% weight increase was noted in between first and second visit. A 2.32% height increase was seen between first and second visit.Conclusions: L. reuteri DSM 17938 given as a nutritional supplement improved the health of the children and reduced the need for hospital admissions.
Assessment of multisystem inflammatory syndrome in children related to COVID-19
Authors: Anwar Sayeeda , Khan Zohora Jameela , Akhter Naznin , Farzana Fatema , Shormin Zannatul , Kabir Farzana
Published: August 2021

Background: The COVID-19 pandemic has caused devastating diseases worldwide both in children and adults. Subsequently, a serious and novel pediatric condition called children's multisystem inflammatory syndrome (MIS-C) has emerged and it is important to understand the temporal association between MIS-C and COVID-19. In hyper inflammation syndrome following COVID-19, MIS-C, and multi-organ involvement were documented in the pediatric population. The main goal of this study was to assess the relation of the MIS-C with COVID-19.Methods: This single-center case-control study was conducted at Dhaka medical college hospital (DMCH), Dhaka, Bangladesh. Among 1715 studied population, 227 COVID-19 positive pediatric patients were included in this study. Among them 103 had features of MIS-C in the case group and 124 were in the control group without MIS-C.Results: There were 6% MIS-C patients with COVID-19. The prevalence of male patients was observed in this study. The mean age of the patient group with MIS-C was 7.8±3.12 years. The frequencies of fever 93.3 vs 67.7%, p=0.045; conjunctivitis 75.6% vs 53.2%, p=0.039; rash 47.3% vs 16.1%; arterial hypotension 71.3 vs 12.9%, p=0.058 hypoxemia 80.4% vs 57.2%, p=0.049 and other features were significantly higher in MIS-C patients than the patients without MIS-C. More patients with MIS-C had cardiac abnormalities in our study.Conclusions: MIS-C is an emerging clinical entity and this study was focused on the cases of MIS-C in the pediatric population withCOVID-19. In patients with atypical clinical findings and complaints about COVID-19, MIS-C-like illnesses should be considered.