bluuebunny/crossref_metadata_2025 huggingface dataset:
Testicular Tumor Presenting as Scrotal Abscess
Authors: Arora Gagandeep Singh
Published: January 2021

We present a case of an 18-year-old male with a scrotal swelling which initially appeared to be a ruptured scrotal abscess but rapidly grew into a fungating mass after initial exploration. Investigations revealed Embryonal Carcinoma of testis with paraaortic and inguinal lymph nodal involvement. High inguinal orchidectomy and local excision of scrotum was followed by chemotherapy. Later the patient made complete recovery. Involvement of skin in case of testicular cancer is rare.
Teoria de Enfermagem de Reabilitação como processo emancipatório: nota prévia
Authors: Porcelis Vargas Caroline , Amorim Zuchetto Milena , Dornelles Schoeller Soraia , Martins Maria Manuela
Published: January 2021

Introdução: O cuidado de enfermagem de reabilitação tem sua prática delineada no cenário internacional, constituindo-se de uma assistência baseada em evidência que pretende acrescentar qualidade de vida e, para tal, é necessário que teorias de enfermagem sustentem cientificamente a prática realizada. É sabido que muitas teorias de saúde e enfermagem compõem o escopo prático da assistência desta especialidade, entretanto é hora de refletir teoricamente o que podemos fazer diferente. Objetivos: Construir um modelo teórico acerca da enfermagem de reabilitação enquanto processo emancipatório, assim como validar internamente o conteúdo e apliá-lo como teoria na realidade de reabilitação. Método: Estudo metodológico de construção de teoria em enfermagem. Resultados: Espera-se construir uma Teoria de Enfermagem de Reabilitação à luz da Teoria do Reconhecimento de Axel Honneth, através de um fluxo metodológico ortodóxo e fundamentação literária e experiência prática. Conclusão: Faz-se necessário mais estudos que aprofundem o cuidado de enfermagem de reabilitação enquanto ciência. Isto posto, o presente estudo propoe a construção de uma Teoria de Enfermagem de Reabilitação.
Palavras-chave: enfermagem de reabilitação; teorias de enfermagem; teoria do reconhecimento
Educação postural em crianças em idade escolar: revisão integrativa da literatura
Authors: Dos Santos Carvalho Ana Maria , Clemente Pereira Claúdia Sofia , Ribeiro Catarina , Marques Goreti
Published: January 2021

Enquadramento: A educação postural é essencial para promover uma postura corporal adequada e prevenir a adoção de posturas incorretas, das quais podem resultar dor e lesões musculosqueléticas (1,2,3,4,5). A implementação de programas a nível escolar tem uma forte influência na saúde e na qualidade de vida das crianças(6,7) . Objetivo: Analisar a evidência existente relativa aos programas de educação postural implementados a nível escolar. Metodologia: Através da realização de uma revisão integrativa da literatura, utilizou-se a metodologia PEO (participantes, exposição e resultados). A colheita de dados foi realizada em abril de 2020, nas bases de dados CINAHL e PubMed. Resultados: A análise dos artigos incluídos permitiu identificar que os programas de educação postural apresentam benefícios ao nível do conhecimento, dos parâmetros posturais estáticos e dinâmicos, da redução do peso das mochilas, do nível de dor musculosquelética e do desalinhamento do ombro. Conclusão: A evidência demonstra que a implementação de programas de educação postural, a nível escolar, tem resultados positivos na promoção da saúde das crianças.
Palavras-chave: postura; serviços de saúde escolar; criança; enfermagem de reabilitação
Impacte da pandemia por COVID-19 nos Enfermeiros de Reabilitação portugueses
Authors: Dos Santos Castro Padilha José Miguel , Marques da Silva Rui Pedro
Published: January 2021

Introdução: A pandemia por COVID-19 tem causado um impacte mundial significativo ao nível da saúde e ao nível socioeconómico. Paralelamente, tem causado uma sobrecarga nos sistemas de saúde e nos seus profissionais, entre os quais os enfermeiros de reabilitação. A real expressão desse impacte ao nível dos enfermeiros de reabilitação é desconhecida. Objetivo: Avaliar o impacte da pandemia por COVID19 nos enfermeiros de reabilitação portugueses. Método: Estudo observacional, descritivo e transversal, com uma amostra não probabilística de enfermeiros de reabilitação portugueses com desempenho de funções em qualquer tipologia de serviço nos três meses anteriores à recolha de dados. A recolha de dados realizou-se no início do terceiro trimestre de 2020 através de um questionário online disponibilizado por email. Resultados: Amostra constituída por 146 enfermeiros especialistas em Enfermagem de reabilitação (EEER), dos quais 31% (n=45) teve de cessar a prestação de cuidados especializados durante a pandemia (aumento de 2,7x). Relativamente à satisfação com a qualidade dos cuidados prestados, a média antes do início da pandemia situava-se em 3,95 (SD±0,75) e durante a pandemia desceu para 2,9 (SD±1,11) (escala de Likert de 5 pontos). Dos participantes. 73,3% (n=107) referem que tiveram de seguir, em algum momento, orientações institucionais em desacordo com os seus princípios éticos e deontológicos, havendo 69,9% (n=102) que refere ter tido necessidade, em pelo menos uma situação, de priorizar a que pessoas doentes prestar cuidados. Durante a pandemia os EEER recorreram a colegas peritos e a recursos online para aumentar conhecimentos e capacidades em relação aos cuidados inerentes à pandemia. Conclusão: Durante o primeiro pico pandémico por COVID 19 uma parte significativa dos EEER teve de assegurar apenas cuidados gerais. Os principais desafios enfrentados pelos EEER foram no domínio da organização e gestão dos cuidados devido à maior complexidade dos doentes, à maior carga burocrática, às mudanças no relacionamento com os colegas de trabalhos e à necessidade de balanço entre a vida profissional e pessoal. Verificou-se diminuição da satisfação com a qualidade dos cuidados prestados, bem como uma elevada percentagem de EEER que vivenciou desafios éticos e deontológicos. De forma a assegurar a sua formação contínua e para atualizar as competências e garantir a qualidade e segurança dos cuidados de enfermagem, os EEER revelaram dinamismo e apetência para a utilização das tecnologias da informação e comunicação.
Palavras-chave: enfermagem de reabilitação; enfermeiros de reabilitação; COVID-19; pandemia; impacte
E-Banking Technology Characteristics and Performance of Micro and Small Enterprise in Kenya
Authors: Kitigin Beatrice , Korir Michael , Chepkwony Kefa
Published: January 2021

Purpose- The study investigated the indirect effect of innovative behavior on the relationship between e-banking technology characteristics and micro and small enterprises (MSE) performance through e-banking technology adoption in Kenya.
Design/methodology: The study employed an explanatory research design and a multistage sampling technique to collect cross-sectional data using a self-administered questionnaire. The sample size of 455 MSEs was drawn from a target population of 5915 in Vihiga County, Kenya.
Findings-The study findings showed a complementary mediation of e-banking technology adoption on the relationship between e-banking technology characteristics and MSE performance. Additionally, innovative behavior moderated the association between e-banking technology adoption and MSE performance but did not moderate the relationship between e-banking technology characteristics and e-banking technology adoption. Further, innovative behavior moderates the indirect relationship between e-banking technology characteristics and MSE performance via e-banking technology adoption. This effect was much more substantial, with a higher level of innovative behavior.
Practical Implications- These findings underscored the need for policy reviews for government, county, and private sector on e-banking technology adoption and MSE performance in Kenya.
Originality/value- The study's findings bring vital knowledge concerning the indirect effect of e-banking technology adoption and innovative behavior on the study variables.
Processing of Iraqi Attapulgite For Using as Drilling Muds: A Comparison Study
Authors: Hussein Ahmed Flayyih , H. Abd Al Khalaq F. , AL Wassity Asswer A.
Published: January 2021

Clay mineral processing is in charge on quality, quantity and functional properties of final produced clay. In this work, Iraqi attapulgite (Palygorskite) clay was processed with dry sieving, dispersing agent and wet sieving processes to make it suitable in oil and gas wells drilling fluids preparation. Yield of clay (quality) and yield of process (quantity) were taken as preferring criteria in choosing the proper process of Iraqi attapulgite clay preparation. XRD and FESEM tests were used for mineralogical and morphological identification respectively. OFITE viscometer was used to measure the rheological properties of the drilling fluids prepared with the produced attapulgite from the investigated processes. The results of this work showed that dry sieving process was failed in attapulgite separation. Moreover, dry grinding was a destructive process of the attapulgite crystalline structure which reduced the rheological properties up to 80%. The results showed that the dispersing agents process produces attapulgite clay with higher quality (101.94 and 89.87 barrle/ton) with fresh and salt water respectively and at low quantity of about 7%. While wet sieving process produces attapulgite clay with quality equals to (94.21 and 79.93barrel/ton) with fresh and salt water respectively and quantity reaching 40%. It follows that wet sieving was the recommended process in preparing Iraqi attapulgite to be suitable for oil and gas wells drilling fluid
The Optimal Heights of Multi Families High Density Urban Housing (Case Study: Al-Ayadi Residential Complex in Baghdad)
Authors: Taha Ahmed Nameer , Dhumad Kadhim Faris
Published: January 2021

This research dealt with the optimum heights of multi-family urban housing in the city of Baghdad. The research problem was represented by the lack of clarity of the relationship between housing density and the high-density multi-family housing heights, which led to some negative effects on the environmental, social, and physical levels. The aim of the research is to find suitable heights limits for multi-family housing buildings, to recommend their adoption within the framework of planning and design determinants and standards. For the purpose of solving the research problem and achieving its goals, a hypothesis has been developed stating that: The optimum height of the dense multi-family residential building is achieved in light of a balanced outcome of the impact factors produced by the density. By adopting the analytical descriptive approach, the research began by analyzing the type of multi-family housing, then studying the relationship between housing density as an independent variable, and height as a dependent variable. Then study the height in light of the effects produced by density, I mean the economic, social, environmental, and physical influences. From that, it was possible to extract indicators in the form (relative weights) to determine the optimization of heights, within the range specified by the densities. The practical study involved the application of the obtained indicators to determine the optimum heights of the residential buildings of the Al-Ayadi residential complex in the city of Baghdad. The results of the application showed that the economic influencer supports the high heights, and the social influencer supports the medium heights, while the environmental and physical influence support the lower ones. In total, the optimal rate of height in the complex, according to the study, is determined by a height of (5-8 floors), while the actual height reached (10) floors
The Scaling Associated with The Shape Dimension of Architecture: Practical Study of Mosul Housing Facades
Authors: Al-Araji Fatima Ehsin , Al-muqramm Assmaa Muhammed
Published: January 2021

The concept of Scaling has received attention in many different fields, including the fields (fractional geometry, biology, physics, shape, function, architecture). The Scaling is considered one of the shape characteristics of the forms in nature and has a fixed hierarchical scaling coefficient (2.7). The previous knowledge pointed to its importance because it is related to the degree of cohesion of the formations of these forms and the degree of human perception of them. But, there is a need to study the scaling of the shape aspect of the architectural facades in general and the facades of the Mosul architecture in particular.Thus, the research problem is defined as "there is a need to determine the scaling within the shapes in architecture in general and in the facades of mosul architecture in particular." The research have a basic hypothesis that states "The traditional architecture facades have number of scaling more than modern architecture facades"and secondary hypothesis stating "The scaling of traditional Mosul housing are more numerous and coherent and closer to nature than the scaling in modern housing." Thus, the research used the quantitative approach consisting of three stages, the first stage is creating a theoretical framework on the characteristic of the scaling within the shapes in architecture, and the second stage is determining the method of measurement and method of data analysis, where 9 samples were selected for facades of housing in Mosul city distributed within four Periods,  each period include three samples.The third stage was to discuss the results and determine the conclusions. The research found that the houses facades of traditional period  focused on small scales while the transitional period focused on the big scales. The modern and contemporary period was characterized by a balance between those scales, as well as the houses of the transitional and modern period were characterized by the small number of Scaling in its facades unlike the contemporary and traditional heritage period
Proposed Method For Improving The Performance Of Wireless Optical Link FSO Using The Center Of Balance With a Laser Fog Sensor
Authors: Abdullatif Mazen , Haji Ali Mohammed , Khal Rami
Published: January 2021

In this research, the problem of the optical link in different fog cases was solved through the use of the proposed center balance with the RF link, where this center adjusts the power of the laser transmitter according to the damping of the optical link, where the length of the transmitted signal is increased which leads to overcome dispersion. Measurements are carried out by three fog laser sensors located at the beginning, middle and end of the optical link. These sensors generate voltage proportional to the amount of fog and then send these values ​​using radio waves RF to the equilibrium center, which calculates the average damping value and adjusts the power value of the laser transmitter according to the damping coefficient value. Simulated using OPTISYSTE programming environment and MATLAB environment, MIE dispersion was adopted in wireless optical link and transmitted signal wavelength 1550nm where quality coefficient was improved from 3.6% to 44.45% in moderate, light and very light fog
Improved Model-Free Sliding Mode Control Algorithm for Control Non-Linear Systems
Authors: Wasouf Hasnaa , Diab Jomana
Published: January 2021

When testing the performance of the model-free sliding mode control algorithm, it was found that it could not maintain good performance when the system was exposed to noise. this research suggests designing a noise-resistant model-free sliding mode control algorithm. The importance of this algorithm is that it takes into account the effect of the noise, where the noise value is implemented in the model-free algorithm. The sliding surface of the controller is designed based on the improved relationship and to ensure the stability of the system in the closed-loop the control signal was derived based on the direct Lyapunov method. To minimize the effects of chattering in the control signal, the control law was reconfigured using a boundary layer. The improved algorithm was implemented to a second-order non-linear system and the simulation results showed the system's ability to track the desired signal in spite of the presence of the noise as well as its ability to maintain the stability of the controlled system
Double Vision in Architecture
Authors: Al-Eqapy Ahmed Hashim , Al-Majidi Basim Hashim , Al-Shukri Noor Ameer
Published: January 2021

The architecture and its outputs are one of  the most relevant fields of knowledge with human beings and their daily life, and the fact that the architectural product represents the architectural vision that which is trying to deliver to the society through the architectural images of various projects, which should be perceived by the eye and trying to interpret them, so the research aims to study the vision generated by the recipient, whether the vision of the designer himself when he sees his work as an architect, another designer acting as a critic, or those who are outside of architecture field, and how that vision that the designer wants to deliver can be transformed from single vision to a double vision about the architectural product. The problem of research was the lack of clear knowledge about the role of different intellectual visions of architectural schools in the compatibility and differing visions between the designer and the other designer or the designer and the recipient to produce a double vision in architecture. The research deals with the concept of vision in general in order to extraction a set of concepts that link the vision with the architecture, whether single or double, which can be reflected by the following elements: (the concept intended by the designer – the form and its treatments - the architectural reading). In other words, it starts with the designer vision or concept and depends on what he wants to deliver, and this leads the research to study the sources of ideas and architectural images which reflect the vision of the designer, which depends mainly on architectural schools and their role in the formulation of the designer thought, and then this will be applied to elected architectural projects belonging to different schools to reach  that there is a strong duplication of vision between the other designer and the product versus a partial duplication of vision between the designer and the  product  and between the recipient and the  product
Study hardness and wear resistance for plastic flooring of urea formaldehyde
Authors: Abbass Rula Abdul Khider , Almousawi Doaa Mousa Imran , Suhail Khaleda Farhana
Published: January 2021

In this study, urea formaldehyde resins were prepared Laboratory  and the composite materials were prepared by addition of the powder of Quercus sawdust to each of ( Pear, Tectona , Fagus , Jew , spruce and medium density wood panels (MDF), with a particle sieve size  (<212μm, %) Using thermal piston. This study included the study of surface hardness Shore-D and the wear rate of the Hybrid Systems  of polymer Matrix  composite that were prepared in this study. The results showed the role of Quercus wood  by raising the characteristics of the other wood added to it. Both hardness and wear resistance values ​​were observed in conjunction with the hybridization process which improved the properties of the plastic composites
The pollution of GroundWater With Nitrogen Fertilizers in Al-Mazraa/ Homs/ Syria
Authors: Aldeeb Safaa , Abdallah Ihab , Mohmmad Aber
Published: January 2021

This study was conducted in Al-Mazraa/ Homs/ Syria, which is an agricultural area with high population. Most farmers there use Nitrogen as a fertilizer, which leads to pollute the underground water with Nitrates, and consequently the wells which are used for drinking.   Data of water chemical tests for 10 years was gathered and analyzed, the research showed that using Nitrogen fertilizer is the responsible for underground water pollution. The results confirmed the importance of analyzing the soil before fertilizing and to define the Nitrate in it. The soil in the area is very permeable, as the Nitrate is a quick soluble, so it is not preferable to be used as a fertilizer and other fertilizers must be used. as a result, depending on new irrigation methods are preferable for fertilizing.The research recommends growing crops that do not need Nitrogen fertilizers to save the prevent the pollution of underground water.
Adoption of the Trombe Walls as an Environmentally Sustainable Technology To Achieve The Concept Of Energy Efficiency In Hot_ Arid Regions
Authors: Aliwi Abdullah Emad , Kamoo Ghada Mohammed Ismael
Published: January 2021

Trombe walls are one of the sustainable technologies because of their importance and effective rol in interior spaces by making use of solar energy to control the temperature of the interior spaces and thus achieve thermal comfort without the need to use cooling devices to reduce the energy used, the Trombe wall is an important element in solar design Passive. To save heat in indoor spaces, the main advantage of trombe walls is that they can be constructed virtually from locally available materials. These walls also reduce the need for heating and cooling the building. It is even considered a vital technology for sustainable architecture that effectively contributes to hot-arid environments like Iraq. The research will discuss the most important types of Trombe Walls, the characteristics of Trombe Walls, including the Trombe Wall formations, and the Trombe Wall technology, and the feasibility of realizing the concept of energy efficiency in Iraq using the trombe wall
Study of fasting blood glucose, glycated hemoglobin and lipid profile in male and female type 2 diabetic patients
Authors: Islam Md Shajedul , Mishu Farzana Akonjee , Khatun Mahbuba , Islam Mohammad Amirul
Published: January 2021

Background: Lipid abnormalities are more common in type 2 diabetes mellitus and are aggravated with poor glycaemic control. Lipid abnormalities play an important role in atherosclerosis, a leading cause of mortality in patients with diabetes mellitus. Thus there is a need to evaluate lipid profile and glycemic status in type 2 diabetes mellitus population and determine the major lipid risk factors for coronary artery disease. Present study focuses on the dyslipidemic pattern and glycemic status of male and female with type 2 diabetes mellitus.

Methods: Total 270 patients with type 2 diabetes,age 30-60 years, both genderwere included for this crosssectional study which was carried out from January 2019 to December 2019at Bogura Diabetic Hospital, Bogura. A Structured questionnaire was prepared for each study subject after taking informed written consent. Detail personal, medical, family and socioeconomic history of study subjects were collected through history taking and review of clinical and biochemical records from the participants. Diabetic patients were diagnosed depending on history, clinical features and American Diabetes Association(ADA) criteria (2018). Fasting blood glucose, glycatedhaemoglobin (HbA1c)), fasting lipid profile were estimated in all study subjects by standard laboratory methods. Appropriate statistical tests were done.

Results: Type 2 male diabetes mellitus participants showed mean fasting blood glucose, HbA1c, total cholesterol, triglyceride and low density lipoprotein cholesterol and high density lipoprotein cholesterol were 8.64 ± 3.38(mmol/L),7.86 ± 2.36(%), 233.09 ± 73.71, 198.19 ± 61.38, 152.98 ± 57.33 and 40.41 ± 5.44 (mg/ dl)respectively. Incase of female patients,fasting blood glucose, HbA1c, total cholesterol, triglyceride and low density lipoprotein cholesterol and high density lipoprotein cholesterol 8.59 ± 3.62(mmol/L),7.88 ± 2.496(%),215.899 ± 83.01, 186.18 ± 67.595, 139.10 ± 65.59 and 40.28 ± 5.66 mg/dlrespectively. There were statistically significant difference (p <0.05) of fasting blood glucose, fasting blood glucose, total cholesterol, triglyceride and low density lipoprotein cholesterol between male and female type 2 diabetic patients.

Conclusion: Our study had shown that total cholesterol, triglycerides, and low-density lipoprotein levels were significantly increased in male type 2 diabetes mellitus patients, compared with female type 2 diabetes mellitus patients, while high-density lipoprotein had shown a statistically non-significant difference.This study demonstrated the existence of dyslipidemia in male diabetic population than female which is major risk factor for atherosclerosis and coronary artery disease.

Birdem Med J 2021; 11(1): 17-21
Knowledge of stroke risk factors among the patients with previous stroke or transient ischemic attack in a tertiary care hospital of Bangladesh
Authors: Islam Md Rashedul , Rahman Tanbin , Islam Rafi Nazrul , Khan Mohammad Sakhawat Hossen , Islam Mofizul , Habib Rumana
Published: January 2021

Background: Patients of stroke or transient ischaemic attacks (TIA) are at risk of further stroke. Our objective was to study patients admitted with stroke/TIA regarding their knowledge about risk factors for having anew event of stroke/TIA, possible associations between patient characteristics and patients’ knowledge about risk factors, and patients’ knowledge about their preventive treatment for stroke/TIA.

Methods: A questionnaire was used for 200 patients with stroke/TIA diagnoses. We asked 13 questions about diseases/conditions and lifestyle factors known to be risk factors and four questions regarding other diseases/ conditions (“distractors”). Additional questions concerned with the patients’ social and functional status and their drug use were asked. Categorical variables were analyzed using chi square test, while one-way analysis of variance and univariate analysis of variance were used for continuous variables. Logistic regression was employed to describe risk. A p value of, p < 0.05 was considered statistically significant.

Results: The risk factors that were most often identified by the patients were Diabetes(75.9%), hypertension(83.3%), previous stroke or TIA(81.5%), smoking (85.2%), regular exercise(75.9%), older age(83.3%), overweight (75.9%) and patients with ischemic heart disease (70.4%). Atrial fibrillation and carotid stenosis were identified by less than 50% of the patients. 44.5% of the patients could identify 10 or more stroke/TIA risk factors. We observed that higher age, having a diagnosis of cerebral infarction/TIA, patients residing in urban area, high income group, businessman/retired service holder, family history of cardiovascular disease, past history of stroke / TIA were related to better knowledge of stroke/TIA risk factors. Anticoagulants and antiplatelets are important drugs for stroke/TIA prevention but only 20(9.3%) of the patients who reported anticoagulants and 76(35.2%) of the patients taking these drugs marked them as intended for prevention.

Conclusion: Knowledge about diabetes, hypertension and smoking as risk factors was good, and patients who suffered from atrial fibrillation or carotid stenosis seemed to be less informed about these conditions as risk factors. The knowledge level was low regarding the use of anticoagulants and antiplatelets for stroke/TIA prevention. Better patient educational strategies for stroke/TIA patients should be developed. Furthermore, individuals with less knowledge should be given special consideration when developing strategies and programmes thus improving awareness of stroke risk factors.

Birdem Med J 2021; 11(1): 22-29
Outcome of critically ill patients with non-thyroidal illness
Authors: Afsana Faria , Fatema Kaniz , Ahsan ASM Areef , Bhowmik Bishwajit , Siddique Tasnima
Published: January 2021

Background: During period of critical illness, there are diverse alterations in the hypothalamus-pituitarythyroid (HPT) axis. This diversity in critically ill patients and the etiological relationship between underlying disease and non-thyroidal illness (NTI) is poorly understood. The aims of this study were to examine the features of NTI and outcomes in critically ill patients admitted in Critical Care Medicine (CCM) Department, BIRDEM General Hospital.

Methods: A total of 86 patients admitted to CCM department, BIRDEM General Hospital during the period of July to December 2015 , having nonthyroidal illness, detected by thyroid function tests during ICU stay were enrolled in this study. All patients discharged from hospital were followed up for a period of 6 months. Patients with known thyroid diseases or taking medications that affect thyroid function were excluded. Condition at hospital discharge and mortality in the ICU or later at home after discharge within next 6 months was assessed as outcomes.

Results: Mean age of the study subjects was 63.87(±13.5)years and 45(52.3%)of the study subjects were female. Most of the study subjects had diabetes (84.88%) and hypertension (82.55%).Mean (±SD) of FT3 (pmol/l), FT4(pmol/l), TSH (uIU/ml) were 2.85(±1.35),12.74(±8.17) and 2.81(±8.57)respectively. Among the total study subjects 44.18% patients died in ICU and 2.32% patients after shifting to ward. Among the patients having pneumonia, Myocardial Infarction(MI) /Arrhythmia, Stroke, Sepsis and Gastrointestinal disease, 50.94% 51.02%, 56.0%,53.85%,37.50% died in hospital (ICU or after shifting toward).The 46 patients ,who were discharged from hospital were followed up for next 6 months.

Conclusion: NTI is a transient adaptive response affecting individuals with acute and chronic illness and is more common among patients admitted in intensive care unit (ICU). The prognosis of patients having NTI depends on severity of thyroid dysfunction.

Birdem Med J 2021; 11(1): 47-51
Heerfordt’s syndrome: an uncommon manifestation of sarcoidosis
Authors: Ahmed Syed Mohaimeen , Hossain Anika , Azad Md Rihan , Khan Mohammad Sakhawat Hossen , Islam Md Rashedul
Published: January 2021

Heerfordt’s syndrome – the combination of facial palsy, parotid swelling, anterior uveitis and fever, is a rare manifestation of sarcoidosis. Here, we present case history of a patient with bilateral lower motor neuron facial nerve palsy, who was found to have bilateral parotid gland swelling and bilateral hilar lymphadenopathy. Computed tomography guided fine needle aspiration cytology from hilar lymph node findings were consistent with sarcoidosis. Subsequently, based on clinical features and cytological findings, the case was diagnosed as incomplete Heerfordt’s syndrome.

Birdem Med J 2021; 11(1): 67-69
Acute kidney injury secondary to hypothyroidism induced rhabdomyolysis: a case report
Authors: Ullah Md Amirul Islam Kudrat , Ghosh Rahul Prasad , Khanam Fatisha , Jahan Ishrat , Chowdhury Tufayel Ahmed , Rahim Muhammad Abdur , Ananna Mehruba Alam , Iqbal Sarwar
Published: January 2021

Renal impairment is occasionally reported in association with hypothyroidism. We report a case of a middle aged man, who presented with features of rhabdomyolysis and acute kidney injury which was ascribed to underlying undiagnosed hypothyroidism. The etiology is presumed to be multifactorial; hemodynamic effects and a direct effect of thyroid hormone on the kidney play important role. This case enlivens the necessity of assessing thyroid function in cases of unexplained renal failure. Awareness about this rare presentation of a common disease would alert the physician to effectively treat this dreaded yet reversible complication.

Birdem Med J 2021; 11(1): 72-74
Answer to medical quiz: images Vol. 11(1)
Authors: Uddin Khwaja Nazim
Published: January 2021

Abstract Not Available

Birdem Med J 2021; 11(1): 77
THE RISK PERCEPTION OF COVID-19 IN INDONESIA
Authors: Fatmawati Atikah , Hendrayani Sylvia Yunike
Published: January 2021

The COVID-19 pandemic was a surprising event in early 2020. Patients were confirmed positive and patients died increasingly showing an increasing trend. Good knowledge and perception from the community are needed to break the chain of distribution of COVID-19. The purpose of this study was to determine the description of public perceptions about the risk of COVID-19 in Indonesia. This research is a descriptive study and used 134 respondents from several regions in Indonesia and taken used an accidental sampling technique. Data collection using a questionnaire consisting of 19 statements to measure people's perceptions about the risk of COVID-19. The results showed that the level of public perception in this study was 85.8%. The results of this study can be used as a basis for relevant parties in planning actions and also in formulating policies to break the chain of COVID-19 distribution in Indonesia.
RELATIONSHIP OF OBESITY AND STRESS WITH HYPERTENSION EVENTS IN WOMEN IN NADGALO PADANG HEALTH CENTER
Authors: Alisa Fitria
Published: January 2021

This research uses descriptive analytic cross sectional design. Data collection was conducted at Nanggalo Public Health Center in Padang with a sample of 57 people, with accidental sampling technique. Retrieval of data using primary data collected through questionnaires and weighing BMI and secondary data obtained from the documentation study at Padang Nanggalo Public Health Center. Data were processed with SPSS using univariate analysis of frequency distribution and bivariate chi- square test.The results of the study are known from 57 respondents 66.7% who suffer from hypertension, 78.4%  respondents  who  are  obese,  80%  respondents  are  stressed  Bivariate analysis showed that there was a relationship between.  The relationship between obesity and hypertension (p= 0.024 ? 0.05). The relationship between stress and hypertension (p=0.030 ? 0.05). From the results of this study the incidence of hypertension in women is related to the use obesity and stress. Suggestions for health workers to further improve counseling about healthy eating and exercise to prevent hypertension.
FACTORS RELATED TO FALLING RISK PREVENTION OF PATIENTS AT RSUD ENCIK MARIYAM DAIK LINGGA IN 2020
Authors: Ramayana Zurva
Published: January 2021

Patients’risk  of  falling  in  is  an  increased  susceptibility  to  falls  which  can  cause physical harm. Fall prevention done by assess, the use of the yellow bracelets for the high risk; and a constant monitoring andevaluating. External factorthat affect the implementation of fall risk prevention is organization and management factor, work   environmental, work   team, the   attendant,   assignment, patients,   and communication. Observation on the ward the nurse had been giving education the fall risk prevention, somebedrailwere not elevated and the patients’ with highfall risk  who  do  not  wear  the yellow bracelet. As  suchit  can  be concludethat  the nurse had been carrying out assessment of thefall risk but the implementation of the fall prevention stillnot  optimal.The  purpose  of the research  is  to  determine the factors that relate to theact of fall risk prevention by nurses in Encik Mariyam State  Hospital  of  Daik  Lingga  Year  2019.  Research  is  using  the  methods  of descriptive  analytic and  across  sectionalas  the  time  approach, the  sampling method used is total sampling, totaling 32 respondents as sample. The results of the  study is  analyzed  using  the  Chi-square  test  and  showed  thecorrelation between the relating factors such as knowledge, attitudes and motivation of nurses with patients’ risk fallprevention by nurses in Encik Mariyam State Hospitals of DaikLingga Year 2019. Based on the study result to improve the implementation of the risk fall prevention hospital management and the nurse practitioner should improve the knowledge of the fall risk prevention,and improve the motivation in doing the correct fall risk prevention implementation.
FACTORS AFFECTING HYPERCOLESTEROLEMIA IN LANSIA IN THE WORKING AREA OF PUSKESMAS DAIK 2020
Authors: Rubiah Rubiah
Published: January 2021

Hypercholesterolemia is one of the causes of metabolic disorders that cause coronary heart disease, blood vessels and diseases related to blockage of blood vessels. WHO data in 2015 states that more than 17 million people worldwide die from coronary heart disease and blood vessels. The results of screening for the elderly in the Daik Community Health Center Work Area in 2019, of the 398 elderly who were examined, there were 283 elderly who had hypercholesterolemia, namely 71.1% of the elderly with cholesterol> 200 mg / dl. One of the factors that affect hypercholesterolemia, among others: Diet and Physical Activity. The purpose of this study was to determine the factors that influence hypercholesterolemia in the elderly in the Daik Community Health Center Work Area in 2020. This research is a quantitative study with a cross sectional design. The study population was 283 elderly people aged> 60 years who had hypercholesterolemia. The sample in this study were 165 people with purposive sampling technique. Data were collected using a Diet questionnaire and a Physical Activity questionnaire. which was carried out on the elderly aged 60-75 years with hypercholesterolemia .. Data analysis for bivariate with chi-square test at degree ? = 0.05. The results showed that the eating habits of the most respondents were eating foods containing cholesterol, the results of statistical tests were obtained by using Chi-Square analysis x2 count 52.5 ? x2` Table 5.991. The most respondents physical activity was light physical activity with the number of Metabolic <600 (MET), the results of the Chi-Square test x2 count 182.94 ? x2` Table 5.991. There is a significant influence between dietary habits and physical activity with hypercholesterolemia in the elderly in the Daik Community Health Center Work Area. Keywords: Elderly, Hypercholesterolemia, Daik Community Health Center
THE EFFECT OF MUSIC THERAPY ON PAIN LEVEL IN INFUSION IN CHILDREN 6-12 YEARS OF AGE AT HARAPAN DAN DOA HOSPITAL
Authors: Fusfitasari Yenni
Published: January 2021

Infusion is an invasive medical procedure that is often performed and causes acute pain and fear in children. Non-pharmacological pain management can be through distraction, one of which is music therapy. The problem in this study is that there are still many complaints of pain in the infusion procedure at Harapan dan Doa Hospital. The purpose of this study was to determine the effect of music therapy on the pain level of infusion in children aged 6-12 years in the Harapan dan Doa Hospital. This type of research is a type of Quasi-Experimental research with a one group design research design. The population is 1305 people and the research sample is 10 people. The type of data used in this research is primary data. Data analysis in this study used univariate and bivariate data analysis with the statistical method of paried sample t test at the 0.05 significance level. The results of this study were the average pain level of patients before being given music therapy was 7.70 and the average pain level of patients after being given music therapy was 5.80. Bivariate Results There is an effect of the effect of music therapy on the pain level of infusion in children aged 6-12 years at Harapan dan Doa Hospital. For officers, it is necessary to improve overall health services, especially regarding non-pharmacological pain intensity management, namely music therapy.
SELF CARE MANAGEMENT EVALUATION IN HYPERTENSION PATIENTS
Authors: Aprilatutini, S.Kep.,M.Pd Titin , Sihotang Raja , Utama Tut Anggriani , Yustisia Nova
Published: January 2021

Hypertension is a health problem that needs attention because of its high morbidity and mortality. hypertension must be treated properly because it causes various kinds of complications. Compliance becomes a form of independence in the management of patients, especially those with hypertension, in the form of a framework that focuses on selfcare. The purpose of this study is to review the literature to determine the percentage of self care management of hypertensive patients. The literature search method was carried out through the CINAHL, DOAJ, and Pubmed database and obtained 30 research articles and then examined the completeness of the menus in the research articles with a total of 15 articles. After that, the criteria  and  stages of  critical  review were  carried out  using the  Joanna Briggs Institute (JBI) format with a total of 10 articles that were reviewed by literature. The results showed that hypertension self management was in the good category. Further research is needed to provide an intervention strategy for hypertensive patients to improve self-care practices and control of related factors.
SOSIALISASI METODE BELAJAR MENYENANGKAN (FUN LEARNING) UNTUK MENINGKATKAN PEMAHAMAN KOSA KATA BAHASA INGGRIS PADA ANAK USIA DINI
Authors: Safnidar Safnidar , Putri Aulia , Dewi Desi Surlitasari
Published: January 2021

Kegiatan layanan ini dalam bentuk sosialisasi dan pembelajaran dengan metode yang menyenangkan bagi anak-anak usia dini untuk meningkatkan pemahaman kosakata bahasa Inggris. Dengan menggunakan metode ini diharapkan memberikan pengetahuan tentang kebutuhan penguasaan kosakata, maka jika anak melanjutkan pendidikan ke jenjang yang lebih tinggi mereka tidak akan mengalami kesulitan. Kegiatan ini dilakukan di RW 03 Desa Sungai binti, Kecamatan Sagulung. Metode yang digunakan adalah Pengajaran Bahasa Inggris dengan menggunakan lagu. Ini adalah salah satu metode / cara untuk mengajar bahasa Inggris menggunakan lagu sebagai medianya. Belajar dilakukan dengan metode belajar yang menyenangkan dan santai. Hasil pengajaran bahasa Inggris yang dilakukan memberikan beberapa kemajuan, pertama; anak-anak di RW 03, Desa Sei Binti, Kecamatan Sagulung, Batam, mulai mengenali metode menghafal 10 kata sehari dalam belajar bahasa Inggris, kedua; anak-anak tertarik untuk belajar bahasa Inggris dan berlomba menghafal kosa kata yang diuji, yang terakhir; anak-anak di RW 03, Desa Sei Binti, Kecamatan Sagulung, Batam, dapat mengucapkan kata-kata sederhana dalam bahasa Inggris dengan jelas.
PENGADAAN TEMPAT CUCI TANGAN TANPA SENTUHAN DALAM RANGKA PEMBIASAAN POLA HIDUP BERSIH DAN SEHAT
Authors: Nandika Reza , Gunoto Pamor
Published: January 2021

Peunomonia Corona Virus Disease 2019 (COVID-19) adalah penyakit peradangan paru yang disebabkan oleh Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Pada januari 2020, Organisasi Kesehatan Dunia (WHO) menyatakan bahwa wabah penyakit virus baru yang terjadi di Propinsi Hubei, Cina sebagai Darurat kesehatan masyarakat yang merupakan keprihatinan International. Semenjak Indonesia secara umum dan Kota Batam khususnya terdampak pandemi Covid-19 proses belajar mengajar secara tatap muka telah dihentikan dan digantikan dengan cara pembelajaran daring, kemungkinan belajar dengan tatap muka akan dilakukan jika daerah tersebut sudah menjadi zona hijau. Untuk itu dirasa perlu membuat sebuah regulasi kesehatan yang salah satunya adalah mencuci tangan dengan menggunakan sabun untuk itu dirasa perlu dalam rangka pencegahan penyebaran virus corona dengan cara membuat fasilitas cuci tangan yang dapat dioperasikan tanpa sentuhan. Sebuah media digital dengan memanfaatkan LED matrik dirancang pada alat cuci tangan ini sebagai himbauan dan edukasi ke siswa untuk tetap menjaga pola hidup bersih serta sebagai daya tarik siswa. Alat cuci tangan ini telah berhasil dibuat dan diharapkan dapat membantu pihak sekolah mengatasi penyebaran virus corona.
SOSIALISASI E-COMMERCE UNTUK USAHA MIKRO KECIL DAN MENENGAH (UMKM) DI RW 18 KELURAHAN TEMBESI KECAMATAN SAGULUNG
Authors: Azrianti Seftia
Published: January 2021

Penyelenggaraan sosialisasi dan penerapan e-commerce ini dilakukan untuk membantu meningkatkan hasil penjualan mitra. Berdasarkan hasil survey lapangan di Perumahan Permata Rhabayu terdapat 7 Usaha Mikro Kecil dan Menengah (UMKM) yang bergerak pada bidang menjahit pakaian, produksi makanan kue, kerupuk, dan servis elektronik. Hampir 80 persennya mengalami kendala dalam pemasaran produk dan jasa mereka, diamana hasil penjualan tidak maksimal karena metode pemasaran yang sangat terbatas. Metode kegiatan yang digunakan adalah dengan menggunakan pengamatan langsung serta melakukan pendekatan kepada para pelaku usaha dan melakukan praktek penerapan pemasaran produk melalui e-commerce. Kegiatan e-commerce ini berhasil dilakukan dengan baik, hal ini dibuktikan dengan telah dibuatnya berbagai jenis media sosial kepada para UMKM baik dalam bentuk whatsapp, instagram, facebook dan lain-lain sebagai media promosi produk usaha meraka. Sehingga usaha mereka sudah dikenal luas dan tentunya meningkatkan permintaan.
PEMANFAATAN GALERI VIRTUAL SEBAGAI MEDIA PROMOSI WISATA KABUPATEN LANDAK
Authors: Sulistiowati Sulistiowati , Komari Nurul , Kurniawati Sri , Daud Ilzar
Published: January 2021

Kegiatan Pengabdian Kepada Masyarakat ini dilakukan di Kabupaten Landak, Propinsi Kalimantan Barat. Tujuan dari kegiatan ini adalah membantu masyarakat Kabupaten Landak untuk mengoptimalkan promosi pariwisata agar dapat dikenal oleh masyarakat luas, bahkan sampai ke manca negara. Metode yang digunakan adalah focus group discussion dan pelatihan. Kegiatan ini terdiri dari tiga tahapan, yaitu tahap persiapan, tahap pelaksanaan, dan tahap evaluasi. Hasil kegiatan PkM ini adalah sebuah galeri virtual wisata eksotis Kabupaten Landak yang dapat menginformasikan kepada khalayak luas tentang pariwisata di Kabupaten Landak
PENINGKATAN PENGETAHUAN KESEHATAN GIGI DAN MULUT MELALUI PENYULUHAN MENGGUNAKAN VIDEO ANIMASI SECARA ONLINE PADA SISWI MTS MUHAMMADIYAH PENYASAWAN KABUPATEN KAMPAR
Authors: Yusdiana Yusdiana , Restuastuti Tuti
Published: January 2021

Permasalahan kesehatan gigi dan mulut adalah masalah yang paling sering terjadi pada remaja usia sekolah yang diakibatkan karena rendahnya tingkat pengetahuan. Salah satu upaya dalam meningkatkan pengetahuan adalah dengan melakukan penyuluhan menggunakan metode video animasi secara online yang menarik dan mudah difahami oleh para remaja usia sekolah. Tujuan dari kegiatan ini adalah untuk meningkatkan pengetahuan tentang kesehatan gigi dan mulut. Kegiatan ini melibatkan partisipasi dari 30 orang siswi kelas IX MTs Muhammadiyah Penyasawan Kabupaten Kampar. Hasil kegiatan ini memperlihatkan respon yang positif dan antusiasme yang tinggi dari para siswi dalam mengikuti kegiatan. Hasil monitoring dan evaluasi kegiatan pengabdian yang dilakukan menunjukkan adanya peningkatan pengetahuan siswi terkait kesehatan gigi dan mulut sebesar 11,43% pasca kegiatan pengabdian dilaksanakan.
A utilização da laserterapia na prevenção e tratamento da mucosite bucal: uma revisão da literatura
Authors: Gondim Flávio Murilo Lemos , Souza Breno Estevam Silva de
Published: January 2021

Este trabalho é uma revisão de literatura, realizado entre junho 2019 e junho de 2020, que se dedicou a analisar artigos publicados na última década, sobre a utilização da laserterapia em pacientes acometidos por mucosite bucal, buscando relatar os fundamentos científicos que justifiquem a utilização desta medida terapêutica e as melhorias na qualidade de vida dos pacientes que se submeteram ao tratamento. Método: Busca realizada nas bases de dados Pubmed®, Scielo, Medline e LILACS, sendo descartados os artigos que não eram disponibilizados na íntegra ou cuja abordagem se distanciava do tema proposto. Conclusão: Os autores analisados defendem que houve uma considerável melhoria na qualidade de vida dos pacientes acometidos por mucosite bucal, quando submetidos a laseterapia de baixa intensidade, principalmente diante do controle da dor e dos processos inflamatórios, bem como, no reestabelecimento das funções bucais.  Reforçam ainda a necessidade de capacitação dos profissionais que utilizam a laserterapia e a inclusão dos mesmos na equipe multidisciplinar.