bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Dewan Komisaris Independen dan Komite Audit terhadap Manajemen Laba pada Perusahaan Manufaktur yang Terdaftar di Bursa Efek Indonesia Tahun 2015-2017
Authors: Ananda Anton Ferry , Andriani Santi
Published: December 2020

This study aims to determine the effect of independent commissioners and audit committees on earnings management. This research uses quantitative methods. The data used in this study are secondary data, i.e. data obtained through existing sources and do not need to be collected by the researcher themselves. The data is in the form of an annual report issued by companies listed in the 2015-2017 period which are listed on the Indonesia Stock Exchange. The population in this study are manufacturing companies listed on the Indonesia Stock Exchange in the 2015-2017 period. The results showed that the independent board of commissioners and the audit committee had no simultaneous effect on earnings management. This is consistent with the results of the simultaneous regression coefficient test (Test F) which shows the calculated F value is smaller than the F table, and with a determinant value of 3.1%. Partially the independent board of comissioners and audit committee has no effect on earnings management. Based on the results of the partial regression coefficient test (t test) on the variable independent commissioners and the audit committee showed a significance value greater than 0.05, so it was concluded that the two variables in this study had no effect on earnings management.Keywords: Audit Committee, Independent Board of Commissioners, Profit Management, Finance
PENSAMENTO GEOPOLÍTICO BRASILEIRO
Authors: Carmona Ronaldo Gomes
Published: December 2020

Por ocasião dos 70 anos de fundação da Escola Superior de Guerra (ESG), estetrabalho propõe-se a analisar a trajetória do pensamento geopolítico brasileiro,seus grandes temas e autores, visando a uma reflexão sobre uma agenda depesquisa, tendo em vista sua atualização. Para isso, o texto percorre as bases deformação do território, do Estado nacional e da nacionalidade e apresenta umconjunto de ideias que permitiu grandes transformações no Brasil ao longo doséculo XX. Nesse contexto, examina-se a trajetória da ESG no que diz respeitoà geopolítica brasileira. Avalia os impasses relativos à renovação do projetonacional, após sua crise e óbices, que se defrontam para o desenvolvimento doprojeto de Brasil-potência. Por fim, o estudo apresenta reflexões sobre agenda depesquisa para o próximo período.
ESCOLA SUPERIOR DE GUERRA COMO O MAIS IMPORTANTE CENTRO DE ESTUDOS ESTRATÉGICOS DO BRASIL
Authors: Canazio Pedro Paulo Levi Mateus
Published: December 2020

Este artigo é um extrato da monografia, apresentada em 2012, como requisitopara conclusão do Curso de Altos Estudos de Política e Estratégia (CAEPE) eaborda a questão da revitalização da Escola Superior de Guerra (ESG) e desua utilização efetiva pelo Estado Brasileiro como orientadora da aplicaçãodo Poder Nacional no futuro de curto, médio e longo prazos, voltado para ofortalecimento da Nação com o fim específico de converter seu poder potencialem poder efetivo. O objetivo final do trabalho consistie em apresentar umconjunto de propostas para a atuação da Escola Superior de Guerra (ESG) nofuturo, de modo que possa voltar e ter um papel predominante na orientaçãoda aplicação do Poder Nacional e a assumir novos papéis necessários parasubsidiar a atuação do Governo Federal na condução do Estado Brasileiro nadireção do atingimento e da consolidação do status do País como potênciacentral no concerto das nações.
Flight Profile Analysis: Finding Correlations using Scatter Plot Method and Evaluation of Scatter Plot
Authors: Harridon Mohd , Rizal Mohd
Published: December 2020

This paper analyzed flight profiles where parameters of the trajectory of the airplane were found to be correlated in some way. The Scatter Plot Method was used to find these correlations but somehow the degree of correlations was mixed. We proceeded by evaluating the usage of Scatter Plot where Scatter Plot seems to have a good prospect
Optimizations of Aircraft Parking Capacity (Apron) in Minangkabau International Airport Padang
Authors: . Irfan
Published: December 2020

Minangkabau International Airport has one apron and one hangar. Apron has 7 parking stands with number of parking stand are 1, 2, 3, 4, 5, 6A, and 7. Parking stands 1 and 7 are dedicated to light aircraft. Parking stand 2 is devoted to International flights. The existence of parking 1 and 7 is less than optimal because the type of light aircraft rarely operates. If there is a peak hour the number of aircraft that will be parked in the apron is less able to be served based on the available parking stand so that the aircraft is often held at the alpha taxiway, this affects the passenger's time value and the cost value for the airline. The purpose of this research is to analyze the optimum apron capacity at Minangkabau International Airport, Padang. The research method is done through parking stand analysis on traffic arrangement in movement area through description of parking index analysis, parking duration, and parking accumulation at peak hour compared to available apron capacity and determined slot time. Optimization of aircraft parking (apron) Minangkabau international airport in Padang can be done with the reduction of parking booth from 7 to 6 with the dimensions of medium aircraft, and emphasize the airline operators to remain consistent on the slot time set or propose revision of slot time at spare tim
The Development of a Model for Complaint Delivery on Aviation Industry in Indonesia Based on SMS Gateway to Promote Flight Safety
Authors: Nurdin Riani , Poerwanto Eko , Sajati Haruno
Published: December 2020

The variety of complaints appearing on Aviation Industry in Indonesia actually indicates the existence of problems on aviation system in Indonesia. The number of complaints may serve as an early detection in a system before the occurrence of an accident in a flight. Increasing numbers of flight service users in Indonesia had not been supported with an adequate complaint delivery, whether it is for internal complaints or external ones. One of available solutions is to detect whether all system components on Aviation Industry in Indonesia is good or not. In an effort to enhance system performance, a model for integrated complaint delivery is developed on Aviation Industry based on SMS Gateway in Indonesia. The model is expected to become a data bank on Aviation Industry to ease controlling, evaluating and improving condition performance on flight systems. This research used comparative and descriptive methods. It also results in applied product hence it is expected that the output can be used to complement the current product/program operated by Directorate General of Civil Aviation (DGCA). The development of a model for complaint delivery is conducted to make cellular phone numbers inputs for all stakeholders on aviation industry. This strategy activates all stakeholders to provide information regarding the current conditions for all subsystems in flight system in Indonesia
Pregnancy after embolization for arteriovenous malformation: an uncommon successful outcome
Authors: Javed Arshia , Sana Sheikh  , Admin
Published: December 2020

Abstract
Uterine arteriovenous malformation (AVM) is an uncommon but fatal condition and cause bleeding from abnormal connection between artery and vein. Pregnancy after embolization of uterine AVM is very uncommon, and there are increased risks of spontaneous abortion and growth retardation. We report a case of pregnancy after bilateral uterine artery embolization for AVM and its successful outcome.
Keywords: Uterine artery embolization, conception, Continuous...
The Local Government Efforts in Promoting the Development of Tourism Area of Pari Island, DKI Jakarta
Authors: Banyudoyo Andrey , Anugrahini Triyanti
Published: December 2020

As one of the countries that has rich natural potential, Indonesia is an archipelago country that has extraordinary natural potential. Therefore, to ensure maximum efforts from the implementation of these efforts, a regulation was formed whereby the Central Government authorizes the Regional Government to maximize its potential. the. . The development of national tourism which is quite good in the last five years provides opportunities for each region that has the potential to further develop and maximize all the potential of its region. This then provides an opportunity for the government to build concrete steps in developing an area that originally had potential in the end. can be used to encourage the area to become a tourist area, where these conditions have an impact on the community in the area. The purpose of writing this article is to find out the efforts of the local government in building community welfare through the development of tourist areas on Pari Island. The method used in this writing is a qualitative descriptive type. Data collection techniques in the form of documentation study, observation and in-depth interviews. By taking informants using purposive sampling. The results obtained are that the government has made various efforts to develop the tourism area on Pari Island.
The Structural Inequalities, Anti-Oppressive and Anti-Discriminatory Approaches Associated with the Marginalization of Asylum Seekers in Australian Historical Context: An Overview
Authors: Paudel Niket
Published: December 2020

Asylum seekers still endure a lot of oppression and alienation, with many erroneous assumptions about them circulating not only in Australia but throughout the world. Asylum seekers are deemed illegal due to the lack of their legitimate visas and are overlooked. The anti-oppressive theory seeks to oppose the underlying institutional and structural challenges in society and power to maintain power balance among minorities. The approach is focused on social justice. Social justice is attained by improving not only the quality of life but also the wellbeing of micro, macro, and mezzo levels with this approach. The fundamental value of diversity is also maintained. The abuse of power among the members of the society with regards to asylum seekers strengthens the notion of oppression; hence the approach strives for the power redistribution by not only defying the structures but also by advocating for the rights of the oppressed. The oppression can arise because of the traditional functioning ways of the systems or individuals’ bigotry. Asylum seekers in Australia are marginalized by the structure through their stern policies and by individual’s bigotry through their hate and sense of threat.
Enhancing academic skills appointments through a new booking system
Authors: Morris Laurence , McDermott Lindsey
Published: December 2020

This case study examines the introduction of a centrally managed booking system for academic skills appointments conducted by the Library Academic Support Team at Leeds Beckett University, showing how staff-student communication channels can scaffold effective student support. The new system was introduced in order to manage a large number of requests for skills appointments across all academic levels, to ensure an equitable experience for all learners, and to frame staff-student encounters more effectively at the formative stage. Further benefits included provision of more focused tuition, additional data on learner requirements, greater capacity to re-route appointment requests, and more efficient use of student and staff time, while retaining the option of human intervention in the system as required. This paper demonstrates a transferrable means of enhancing institutional processes whilst retaining the traditional strengths of one-to-one encounters in order to improve the overall student experience.
The moral conduct. Ethical dilemmas, the role of the deontological code in social work
Authors: Nina Stănescu
Published: December 2020

The most acute symptom of modernity is the ethical component of society, the so-called spiritual crisis. The essence of moral crisis consists in reducing religiosity; the major effects of diminishing religiosity are: blind obsession for money, selfishness, proliferation of the lack of honesty, decline of the family as a social institution, public proliferation of sexuality, increase of discord, amplification of conflicts of all kinds (between individuals, between the individual and society, between social groups, between generations). The real world alienated itself and even broke away entirely from the world of spiritual, social and moral life. Nowadays, we talk about science, politics, religion, culture, economics, as if they were different fields, as if the involvement of a problem from one field into another field would not be allowed. In this sense, culture should not be involved in matters of science, morality cannot be compatible with business; and in politics we cannot guide ourselves by moral principles. Such attitudes lead to antisocial and deviant patterns of behavior: lying, violence, discrimination, corruption, tax evasion, crime etc.
Outcome Of Surgical Treatment Of Tuberculosis Of The Spine In Patients With Motor Deficits
Authors: Flamerz Bassam Mahmood
Published: December 2020

Background: Significant numbers of patients with spinal tuberculosis (TB), especially in developing countries, still present late after disease onset with severe neurological deficits.

Objective:This study was conducted to assess the outcome of surgery in patients with tuberculosis of the spine with motor deficits.

Type of the study: Retrospective study.

Methods: We retrospectively analyzed data obtained in all the patients with severe motor deficits due to spinal TB admitted to and surgically treated in four hospitals in Baghdad/Iraq during the period from January 2012 to January 2014. History, examination, imaging, histological, postoperative, and follow-up data were retrospectively culled from hospitals records and then analyzed.  Data obtained in 48 patients with 6-24 months of follow up (mean follow-up period 12.8 months) were analyzed. The disease in 34 patients was characterized by Frankel Grade A/B and in 14 patients by Frankel Grade C at admission.

Results: Thirty (88%) of the 34 patients with Frankel Grade A/B status and 13 (92.8%) of the 14 patients with Frankel Grade C status at admission experienced improvement to Frankel Grade D/E (walking with or without support) at the last follow-up examination after surgery. The degree of improvement exhibited by patients with a Frankel Grade A/B spinal cord injury was comparable to that shown by patients with Frankel Grade C status. Even patients with flaccid paraplegia, gross sensory deficit, prolonged weakness, spinal cord signal changes demonstrated on magnetic resonance imaging, and bladder involvement have experienced dramatic improvement in motor function since surgery. A significant number of the patients have shown remarkable improvement in other symptoms such as pain (91.6%), spasticity (88%), and bladder symptoms (88%).

Conclusions: A significant proportion of patients with spinal TB and severe motor deficits experience remarkable improvement after surgical decompression and hence should undergo surgery even though they may be suffering from paraplegia of considerable duration
Bacterial Profile and Antimicrobial Susceptibility in Neonatal sepses, Al -Alwyia Pediatric Teaching Hospital in Baghdad
Authors: Raham Tareef Fadhil , Abood Assad Muhsen
Published: December 2020

Background: Neonatal septicemia is a major health problem in developing countries furthermore data on bacteriological profile in early onst sepses (EOS) and late neonatal sepsis (LOS) are lacking in context of  continuous change in bacteriological profile and increasing resistant strains. Objectives: The study done to determine the pattern of organisms implicated in neonatal septicemia in a neonatal care unit and to measure the degree of bacterial resistance to some antibiotics.

Type of the study : cross –sectional study.

Methods: Confirmed cases of neonatal septicemia admitted at Al-Alwyia pediatric teaching hospital for the period from January 2011- January 2012 were included which constitute 107 case. Blood samples were obtained, incubated and Subculture was done on blood agar and MacConkey Agar routinely after 48 hours and 7 days and in between if visible turbidity appeared. Bacterial isolates and antibiotic sensitivity   were identified by standard conventional methods.

Results EOS constituted  29.9%(32 case) of  confirmed neonatal sepsis , while LOS constituted 70.1% (75case) .Eescehrichia coli (E. coli) constitutes 37% of EOS followed by Klebsella pneumonia and Staphylocoocus species (which constitute 12.5% for each of them ) were the most common microorganisms, while for LOS: E.coli constituted 38.7 % of LOS followed by Staphylocoocus species 17.3% and Klebsella pneumonia 10.7%. Gram negative (G negative) bacteria predominated over gram positive (G positive) bacteria in both EOS (81.2%) and LOS (74.7%) .  Staphylocoocus species predominates G positive   sepsis in both EOS and LOS. Group B streptococci are not identified in the study sample. Microorganisms tested shows highly resistant to amoxicillin or ampicillin and to gentamycin.For amoxicillin or ampicillin higher resistant (100%) were encourted with pseudomonas, proteus and Enterobacter. For cefotaxime high rate of resistance encountered with klebsella (71.4%) compared to 40% resistant in pseudomonas. Amikacin also shows varied degree of resistant for E. coli(22% ) and klebsella (41%) , pseudomonas(10%)  ,and  Enterobacter (16.7%) .for Staphylococcus aureus, proteus and citrobacter no resistance was encountered to amikacin and the  sensitivity was 100% in tested isolates .

Conclusions:   G negative bacteria is more common in EOS and LOS with predominant of E. coli in two categories .Resistant strains to commonly used antibiotics is a common finding.  Guidelines in treatment of neonatal sepsis should be frequently reviewed taking in consideration antimicrobial resistance .  Due to magnitude of problem, preventive measures for EOS and LOS should be considered.
Role of MRI diffusion weighted imaging in differentiation between benign and malignant ovarian masses
Authors: Kadhim Mohammed Abd , Jaafer Lina Saad
Published: December 2020

Background: Characterization of the ovarian masses preoperatively is important to inform the surgeon about the possible management strategies. MRI may be of great help in identifying malignant lesion before surgery. Diffusion Weighted Imaging (DWI) is a sensitive method for changes in proton of water mobility caused by pathological alteration of tissue cellularity, cellular membrane integrity, extracellular space perfusion, and fluid viscosity.

Objective: to study the diagnostic accuracy of DWI in differentiation between benign and malignant ovarian masses.

Type of the study:Cross-sectional study.

Methods: this study included  53with complex ovarian mass or masses ,Diffusion Weighted Imaging was obtained to all these patient with correlation to the histopathological results; the Signal Intensity (SI) of the solid and cystic part of the lesions was evaluated on T2 and Diffusion Weighted Imaging  ,with Apparent Diffusion Coefficient (ADC) values were also obtained .

Results: 22 masses out of the total 53 were malignant and 31 were benign .On DWI the high SI intensity observed more frequently in the malignant lesions than the benign lesions (p value 0.0293) .There was significant difference between the mean ADC value of the malignant and benign ovarian lesions, with the mean ADC value for the benign lesions solid component =1.05 x10 -3, and the mean ADC value for the malignant lesions solid component =0.91 x10-3. The ROC study reveals that 0.926 x 10 -3  may be the optimal cutoff value  with sensitivity 54.8 %, specificity 59.1%, NPV 48.15 %, PPV 63.39%  , Accuracy 56.6%. With exclusion of the teratoma and endometriomas from statistical analysis the ROC reveals that 0.99 x10 -3  may be the optimal cut off value with sensitivity 76.9 % , specificity 77.3% , PPV 66.67% , NPP 85% and  accuracy 77.14% Conclusions: Combined with conventional pelvic MRI, DWI is a helpful tool in differentiation between benign and malignant ovarian masses, with high signal intensity on DWI more frequently observed in the malignant than benign ovarian lesions.
Correlation of Serum Lipoproteins with the Activity of Acute Lymphoblastic Leukaemia
Authors: Al-Zubaidy Azher Sebieh
Published: December 2020

Background: the activity of acute lymphoblastic leukemia had been observed to correlate with levels of serum lipoproteins

Objective: to evaluate the correlation of serum levels of different types of lipoproteins with activity of the disease in patients with acute lymphoblastic leukemia.

Type of the study: A prospective study.

Methods: A study included patients diagnosed as acute lymphoblastic leukemia, their serum levels of lipoproteins at time of diagnosis, and on relapse were obtained for comparison.

Results: there is significant inverse correlation of activity of acute lymphoblastic leukemia with serum total cholesterol, serum low density cholesterol levels, and serum high density lipoprotein level, but not with serum triglycerides level.

Conclusion:. The level of lipid profile is inversely correlated with activity of acute leukemia, and lipid profile assessment is recommended in evaluation of patients with acute leukemia .
Echocardiographic assessment of Left Ventricular Dyssynchrony in Hypertensive Patients with Normal Systolic Function
Authors: Mohammed Marwa Tareq
Published: December 2020

Background: Normal Left Ventricular systolic function is present in nearly 50% of patients with congestive heart failure, the majority of such patients have systemic hypertension. Recent studies have demonstrated Left Ventricular dyssynchrony among patients with heart failure and normal systolic function. The co-existence between Left Ventricular dyssynchrony and hypertension with normal systolic function (with no clinical evidence of heart failure) is less well understood.

Objective:

To assess the Left Ventricular dyssynchrony among hypertensive patients with normal systolic function by using Tissue doppler imaging.To find out the associations between the LV dyssynchrony and other global echocardiographic findings like (LA volume index, LVmassindex , LV sephericity and LV filling pressure E/E`)

Type of the study: Prospective case- control study

 Methods:  The study conducted in Baghdad Teaching Hospital from 1st of June 2015 to 30th of May 2016 .Study included two groups of people, 40 patients, age_ matched healthy (control) group (group1) and 60 patients with established hypertension (group 2). A Complete 2-D and TDI echocardiography studies with simultaneous ECG were performed for all patients. Examination involved LV septal and posterior wall thicknesses, internal dimensions, left atrial size, ejection fraction and tissue doppler derived waves velocities E', E/E.' Dyssynchrony was determined by measuring T-P max ( the maximal time difference from the onset of QRS to peak systolic velocity on TDI between any opposing LV wall in 3 apical views) .

Results: The study included 40 age –matched control people, 27males (67.5%) and 13 females (32.5%) with a male to female ratio was 1.8 :1, ranging from (42.4-58y) with mean age was (50.2 ±7.8y ) (group 1) and 60 hypertensive patients, 38 males (63.3%) and 22 females (36.7%) with a male to female ratio was 1.7 :1, ranging from (48.5- 66.5y) with mean age of (57.5± 9.0 y) (group 2) . Left Ventricular dyssynchrony was identified in 20 of 60 patients (33.3%) .Dyssynchrony had no significant association with age and BSA. But it  was significantly associated with LA volume index (r = 0.61, p=0.001), LV mass index(r=0.52 ,p=0.001) , LV sphericity index (r= 0.5, p = 0.003) ) and LV filling pressure(r=0.6 , p value=0.001) . Dyssynchrony had significant negative correlation with ( E`) velocity (r= - 0.7 ,P =0.001) .

Conclusion: Left Ventricular dyssynchrony is frequent among hypertensive patients with normal LV systolic function .The Left Ventricular dyssynchrony is significantly related to LA volume, LV mass, LV sphericity and LV filling pressure.
Low Back Pain and Obesity (Review Article)
Authors: Al- Edanni Mohammed Sh. , Al- Edanni Mohammed Sh.
Published: December 2020

Low back pain a major causes of morbidity throughout the world and it is a most debilitating condition ,and can lead to decreased physical function ,compromised quality of life, and psychological distress.

Obesity is nowadays a pandemic condition. Obese subjects are commonly characterized by musculoskeletal disorders and particularly by non-specific LBP. However, the relationship between obesity and LBP remain to date unsupported by objective measurements of mechanical behavior of spine and it is morphology in obese subjects.                                    

Key words: obesity, low back pain,
Evaluation of Ultrasonography in the Diagnosis of Acute Appendicitis with Histopathology as Gold Standard
Authors: Manea Ahmed N. , Mohammad Tawfeeq J. , Shehatha Sarmad j.
Published: December 2020

Background: Acute appendicitis is the most common surgical abdominal emergency with a life time prevalence of 1 to 7 individuals. Because the clinical diagnosis of acute appendicitis remains a challenge to surgeons, so different aids were introduced like different scoring systems, computer aided programs, ultrasonography, computerized tomography, Magnetic resonance imaging, Gastrointestinal tract contrast studies and laparoscopy to improve the diagnostic accuracy.

Objective: To evaluate ultrasound in the diagnosis of acute appendicitis in those patients clinically diagnosed with histopathology as gold standard.

Methods: A cross sectional study carried in Al-kindy Teaching Hospital through one year duration from 1st of may2015 to1st of May 2016. All included patients were subjected to ultrasonographic examination to assess the vermiform appendix with a graded compression technique. The Ultrasonography findings were recorded as positive and negative for acute appendicitis.

All the appendices removed from the study patients were sent for histopathological study. Statistical analysis done using (SPSS) version 21, Chi-sequare test used for categorical variables and t-test was used to compare between two means. Level of significance (P value) set at ≤ 0.05.

Results: A total of 215 patients with suspected appendicitis, males 112 (52.09%) and females 103(47.9%) were included in present study. The validity results of ultrasound in comparison with histopathology findings were as following; accuracy 86.5%, sensitivity 86.5%, specificity 86.6%, positive predictive value 99.8% and negative predictive value 32.5%.

Conclusion: The ultrasonography has a good accuracy, sensitivity and specificity in diagnosing acute appendicitis.
Toll like receptor 2(TLR2) in acne vulgaris patients before and after oral isotretinion therapy
Authors: Mahmood Wakas Saadi
Published: December 2020

Background: Acne vulgaris is one of the top three most commonly encountered dermatological problems worldwide in both primary and secondary care. Human keratinocytes express functional TLR2 heterodimers. An increased expression of TLR2 was detected in the epidermis of inflammatory acne lesions, as observed in normal skin; the expression level increased with the degree of differentiation of the keratinocytes. TLR2 expression is upregulated in inflammatory acne lesions and induced by C. acnes. The current study conducted to assess the oral isotretinion treatment effect on the acne vulgaris patients by  evaluated the Toll Like Receptor 2 as a major  immune system marker in Acne vulgaris immune response.

 Methods: 50 patients with acne vulgaris seen in  outpatient clinic of dermatology centre(Al-Baidhaa out clinic center) in Baghdad during the period 1/9/2017 to 1/8/2018. The  diagnosis of patients were done by the specialist dermatologist only sever and moderate acne cases were chosen. Fifty serum  samples were collected before oral isotretinion therapy, only forty-five serum samples were collected after 8 weeks of oral isotretinion therapy. All patients have received 0.5mg-1mg/kg/day of oral isotretinoin. The mean ages was 22 years(range, 16-36 years). A total of 50 patients, 36(72%) of patients were females and 14(28%) were males. Furthermore 43(86%) of cases have heredity history. Also control serum samples were collected from people without acne and they chose with the same mean ages. The serum samples were stored at -70°C for up to six months. ELISA test for quantitative determination of TLR2 human was done. Statistical analysis was done using T-test.

Results: Highly significant statistical difference were noticed (p<0.001) when we compare study group after therapy with control group, also highly significant statistical difference was noticed (p<0.01) when we compare study group before therapy with control group.

Conclusion: Significant decrease of TLR-2 level was noticed in study group after isotretinoin therapy in comparison with same group before therapy and also with the control group. Pronouncedly the effects of oral isotretinion suggest a path towards importance of this therapy as an anti-acne agent
Accuracy of Fine Needle Aspiration Biopsy (F.N.A.B) in Diagnosis of Breast Lump
Authors: Abedalrahman Sarab K.
Published: December 2020

Background: Breast cancer is the first one among Iraqi females. Most of them present later for diagnosis. Early detection center in tertiary hospital practice uses FNAB for early diagnosis. Publications on accuracy of this detection are scarce.

Objective:  To test the accuracy of FNAB in breast lump diagnosis.

Methods: Diagnostic test accuracy study, on 204 women with breast lump, attending the oncology department in 2017.

Results: Fine-needle aspiration biopsy diagnosis of histologically malignant cases were, malignant in 89 (87.3%), suspicious of malignancy in 5 (4.9%), and benign in 4 (3.9%). Complete sensitivity was 87.3%, and specificity was 100%, with 12.7% false negative results and no false positive cases. The accuracy was 94%.
Chronic Tennis Elbow Treated by Platelet-Rich Plasma Versus Steroid Injections: A Comparative Study
Authors: Al-Edanni Mohammed Sh.
Published: December 2020

Background: Painful elbow joint over the lateral epicondyle especially with resisted wrist extension are common signs of lateral epicondyle tendinopathy, also called tennis elbow.

Objective: To evaluate the clinical outcome of local platelet rich plasma (PRP) injection in patients with chronic tennis elbow compared with a steroid (Depomedrol 40 mg) injection.

Methods: A total of 88 patients with chronic tennis elbow were treated at Al-Kindy Teaching Hospital and private clinics. All patients had chronic pain for about 24 weeks or more and had failed first line treatment. The patients dividing into two groups, Group A injected with PRP (n = 44), and group B injected with depomedrol 40 mg (n = 44). A good clinical result was demarcated as 25% or more progress on the visual analog scale for pain. All patients followed for 6 months in both group for clinical successful result.

Results: At three months (n = 44), in group A reported a perfection of 58.2% in their pain scores while 49.3% in the group B (N = 44). At 6 months follow up, the group A informed a perfection of 74.3% in their pain scores while 58.4 % in the group B. The local elbow tenderness recording at three months was 37.4% in the group A, while in the group B was 48.4%. At six months, 16.1% versus 30.2%   recounted major elbow tenderness (P = .009) in groups (A and B) respectively.

The clinical improvement rates at three months revealed no changes between both groups while it showed more significant clinically changes in group A ( 87.1%) than in group B (70.1 %) with P value = 0.008 after six months follow up.

Conclusion: No important changes were found at 3 months in both groups, but at 6months, clinical significant perfections in patients treated with PRP group (group A)
Comorbidity and Risk Factors for COVID-19 Confirmed Patients in Wasit Province, IRAQ
Authors: Taher Taqi M , Sarray Firas T , Farhan Al-Badri Saad A , Ghazi Hasanain Fl
Published: December 2020

Background: Coronavirus disease 2019 (COVID-19) isone of the updated challenges facing the whole world.Objective: To identify the characteristics risk factors thatpresent in humans to be more liable to get an infectionthan others.Methods: A cross-sectional study was conducted forpositively confirmed 35 patients with polymerase chainreaction in Wasit province at AL-Zahraa TeachingHospital from the period of March 13th till April 20th. Allof them full a questionnaire regarded by risk factors andother comorbidities. Data were analyzed by SPSS version23 using frequency tables and percentage. For numericaldata, the median, and interquartile range (IQR) were used.Differences between categorical groups were performed byfissure exact test.Results: The median age of the patients was 43 years oldand interquartile range (25-56 years). Majority of thepatients were female (60%) and (51%) of them were fromthe same region (AL-ezza). The dominant blood groupamong patients was (O) (40%). About 11.4% of patientshad a travel history especially to Islamic Republic of Iran,while (77.1%) had contact with positive cases. The highestpercentage of comorbidities among patients washypertension (40%), and the most presenting symptomswere cough and fever. About 51% of patients were withmild symptoms. Diabetes, coronary heart diseases, andchronic renal diseases were significantly related to diseaseseverity (P-value=0.02, 0.001, 0.01 respectively).Conclusion: Being a female, overweight or obese, andwith blood group (O) are the major risk factors amongpatients. Comorbidities can play an important role in theseverity of disease especially hypertension, diabetes,coronary heart diseases, and chronic renal diseases.
Peningkatan Kemampuan Menghafal Al-Qur’an dengan Metode Sima’i pada siswa kelas II Madrasah Ibtidaiyyah Negeri 2 Tanjab Timur Talang Rimbo Kec. Muara Sabak Barat
Authors: Arfah M. Arfah
Published: December 2020

Salah satu mata pelajaran yang relatif sulit diajarkan oleh guru dan kurang menarik bagi para siswa di madrasah adalah al-Qur’an Hadis, terutama pada tingkat ibtidaiyah. Sedangkan tujuan utama mata pelajaran al-Qur’an Hadis di MI adalah Memberikan kemampuan dasar kepada peserta didik dalam membiasakan, dan menggemari membaca al-Qur'an dan hadis serta hafalan terhadap surat-surat pendek dalam al-Qur’an. Maka untuk meningkatkan kreativitas belajar siswa dan hasil belajar al-Qur’an Hadis perlu diterapkan metode sima’i. Pemilihan metode ini selain didasarkan pada pertimbangan kelebihannya, juga metode ini merupakan salah satu cara yang sangat tepat diterapkan bagi orang yang daya tangkapnya kuat seperti anak-anak dan tunanetra. Dengan metode ini diharapkan akan diperoleh hasil sesuai yang diinginkan.
Calidad bromatológica y fisicoquímica de Moringa (Moringa oleifera Lam) producidas en la zona centro de Veracruz
Authors: Dávila Lezama María del Rosario , Ramírez Hernández Teresita , Rojas Avelizapa Luz Irene , Juárez Juárez María Antonieta Rocío , Ruvalcaba Vidal Enríquez
Published: December 2020

Moringa oleifera Lam es un árbol originario del Himalaya, desde el noreste de Pakistán hasta el norte de Bengala del oeste en la India, es conocido como el árbol milagroso o el árbol de la vida. Se evaluó la calidad bromatológica y fisicoquímica de las hojas en fresco y deshidratadas de dos municipios de la zona centro del Estado de Veracruz, Tierra Blanca y Tepatlaxco incluyendo un análisis edafológico del suelo de las dos zonas. Los resultados obtenidos con respecto a los bromatológicos fueron: La moringa de Tierra Blanca reportó alto contenido de proteínas 23.62% con respecto a la moringa de Tepatlaxco 1.75% y la comercial 8.31%, de cenizas la moringa de Tepatlaxco reportó un 3.81%, contenido mayor que la de Tierra Blanca 3.69% y menor con la comercial 6.92%, de fibra la moringa de Tierra Blanca reporto valores cercanos a la comercial con 16.19% y15.24%, para el contenido de grasa se obtuvo valores de 2.87%, 2.36% y 3.40% en Tepatlaxco, Tierra Blanca y comercial respectivamente. los análisis fisicoquímicos los resultados de pH de 5.85% acidez de 12.8% y grados brix de 0.9% de la moringa de Tepatlaxco reporta valores que son sugeridos para un manejo poscosecha de conservación: deshidratación. El análisis edafológico reportó que el suelo de Tepatlaxco tiene un contenido de materia orgánica de 8.56% y un suelo arcilloso que favorece la retención de agua sugerido para el cultivo de la moringa. Se concluye que la moringa puede ser alternativa de una alimento funcional y se recomienda determinar los contenidos de algunos minerales que reportan contiene la moringa producida en las zonas de estudio.
AN EFFICIENT THREE STEP ALGORITHM FOR FAST MOTION ESTIMATION IN MOBILE DOMAIN
Authors: CHHOTRAY SANTOSH KU. , PANDA MANOJIT , DASH SWAPNILA S.
Published: December 2020

The goal of this work is to find a fast method for motion estimation and motion segmentation using proposed model. Recent day Communication between ends is facilitated by the development in the area of wired and wireless networks. Block matching algorithms are very useful in achieving the efficient and acceptable compression. Block matching algorithm defines the total computation cost and effective bit budget. Recently fast search algorithm for video coding using Orthogonal Logarithmic Search Algorithm (OSA) has been proposed. Motion estimation is the most time consuming operation in a typical video encoder. This paper presents a novel method using three step algorithm with modified search pattern based on dead cell for the block based motion estimation. It has been found that from the original Three step Search (3SS/TSS ) method, the PSNR value has increased and the computations and thus computation time (faster) has been reduced significantly .The experimental results based on the number of video sequences were presented to demonstrate the advantages of proposed motion estimation technique.
SELF-MANAGING PERFORMANCE IN APPLICATION SERVERS – MODELLING AND DATA ARCHITECTURE
Authors: G RAVI KUMAR , MUTHUSAMY C. , BABU A.VINAYA
Published: December 2020

High performance is always a desired objective in computing systems. Managing performance through manual intervention is a well-known and obvious mechanism. The attempts to self-manage performance with minimal human intervention are predominant in the recent advances of research. Control Systems theory is playing a significant role in building such intelligent and autonomic computing systems. We are investigating in building Intelligent Application Servers by enabling control system as a first class feature in component software, at design time and runtime. In this direction, it is important to build efficient data access mechanisms that capture the control system models, performance data, analyze the data efficiently, identify patterns and build a knowledge base. In this paper we propose a data organization and architecture as a building block of developing Intelligent Application Servers.
AN EFFICIENT MULTI-CONSTRAINED FEASIBLE PATH SELECTION FOR MANET
Authors: BASKARAN S. , TAMIZHARASU K.
Published: December 2020

Quality-of-service (QoS) routing in an Ad-Hoc network is difficult because the network topology may change constantly and the available state information for routing is inherently imprecise. This paper proposes a method for multiconstrained feasible path selection for MANET. We introduce the composite function which allows OLSR to find the feasible path in case of multiple routes are available to reach the same destination. Combinations of additive and non additive QoS metrics are considered to find the best path. Our simulation results show that the QoS version of the OLSR do improve the Packet Delivery Ratio, Throughput, Normalized control overhead, End-to-End delay and Packet loss but with the increased time complexity.
False Data Detection in Wireless Sensor Network with Secure
communication
Authors: S. Fulare Priyanka , Chavhan Nikita
Published: December 2020

The security of wireless sensor networks is a challenging problem in the process of data aggregation. As data are send though sensor network confidentiality plays and important role between sink and destination. An efficient secure data aggregation is proposed to enhance the data security of wireless sensor networks. In wireless sensor networks, compromised sensor nodes can inject false data during both data aggregation and data forwarding. The existing false data detection techniques consider false data injections during data forwarding only and do not allow any change on the data by data aggregation. However, In this paper we can see how the data is being remain confidential between sink and destination by using Data authentication method for securing the
data in wireless sensor network.
Action Taken in Managing Dental Health of Children due to Mother’s Oral Health Literacy Level
Authors: Sabdho Wening Gilang R. , Nurensa Karunia , Bramantoro Taufan , Kartikasari Fidelia , Faisal Muhammad
Published: December 2020

Background. The index of dental care needs of children from year to year tend to increase as shown in the results of the National Basic Health Research (Riskesdas). Children are individuals who still need the involvement of parents, especially mothers, in determining the attitudes and actions they will take to manage their dental health.

Methods. This study is a cross-sectional research in which a total of 108 women of childbearing age were randomly selected. An assessment was carried out on the actions taken by the mother in managing her child’s dental health using the HU-DBI instrument (Hiroshima University Dental Behavioral Inventory), and Health Literacy in Dentistry (HeLD), to see the relationship with the level of dental health literacy they have.

Results. There was a significant difference in the aspect of understanding, in different decision making (p=0.044) between the group of mothers who had a low HeLD score (3.52±0.77) and the group of mothers who had a high HeLD score (3.70±0.46).

Conclusion. The results showed that the aspects of understanding, ability to receive-treat-translate dental health information, and literacy level would lead to different actions in managing children’s dental health.
Oral Surgery Management in Asperger Syndrome: A Case Report
Authors: Gunardi Olivia Jennifer , Prasetio Okky , Kamadjaja David Buntoro
Published: December 2020

Asperger syndrome is a developmental disorder characterized by difficulties in social interaction and communication. Dental treatment of patients with Asperger syndrome could be challenging due to lack of communication and compliance. This case report described the dental treatment of a patient with Asperger syndrome. A surgeon should be aware of the problems associated with patients with Asperger syndrome and how these can interfere in the surgical treatment. Communication is the key to successful dental treatment in a patient with Asperger syndrome.
Management of Recurrent Aphthous Stomatitis Major in a Bipolar Affective Disorder Patient with Food Allergy
Authors: Ayuningtyas Nurina Febriyanti , Karimah Azimatul , Parmadiati Adiastuti Endah , Hendarti Hening Tuti
Published: December 2020

This is the case of a 35-year-old female diagnosed by medical and psychiatric examinations as suffering from bipolar affective disorder and food allergy. Evident characteristic included mood swings. Her main complaint was extensive painful ulcer on the palate and lower lip. Current condition had caused her weight loss. Management included anamnesis, clinical and laboratory examinations, psychometrics, and referral to a psychiatrist. The dentist played an important role in identifying recurrent aphthous stomatitis and in the optimal and comprehensive treatment of the patient through multidisciplinary assessment.
The Application of the ADDIE Model and the Training Cycle in the Development, Implementation and Evaluation of Training Program on Data Use for Decision-making among End-users of Electronic Health Information System
Authors: Guevarra Jonathan P. , Ongkeko Jr. Arturo M. , Antonio Carl Abelardo T. , Bermudez Amiel Nazer C. , Fernandez–Marcelo Portia H.
Published: December 2020

Objective. This paper describes the process utilized in developing a training program on data use for decision making tailored for real-time monitoring of maternal and child health indicators through Community Health Information Tracking System (rCHITS) end-users in selected areas in the Philippines.

Methods. Guided by the ADDIE (Analysis, Design, Development, Implementation and Evaluation) model and the training cycle, existing records and reports lodged with the National Telehealth Center (NTHC) pertaining to rCHITS were reviewed, supplemented by interviews with the technical staff of the NTHC and discussion with healthcare workers. Training design was developed, training modules and materials were prepared, critiqued, revised and finalized. The training was implemented and evaluated using an evaluation tool designed for this specific capability-building endeavor.

Results. A tailored training program on data use for decision-making was designed for rCHITS end-users in select areas in the Philippines. The process of developing the training program was guided by the ADDIE Model and the Training Cycle. Training was delivered to a total of 128 public health workers. Majority of the participants gave high evaluation on the clarity and relevance of objectives, discussion of topics, methods of delivery, and time devoted in addressing issues (range 3.5-3.8 out of highest possible score of 4).

Conclusion. This paper demonstrates the utility of the ADDIE Model and the Training Cycle in developing a training program aimed at enhancing the capability of the field personnel in utilizing the data generated from rCHITS in decision-making. Training participants must also be monitored and evaluated in their workplace setting in order to determine if the concepts and principles covered during the training program are put into practice.
İngilizlere Başkaldırı: Sipahi İsyanında Bengal Ordusunu İsyana Götüren Sebepler
Authors: GÜNARSLAN Hüseyin
Published: December 2020

Bu çalışma İngiliz Doğu Hindistan Şirketi tarafından kurulan Bengal ordusu askerlerini ele almaktadır. Hintli askerlerden oluşan bu ordunun 1857 yılında isyan etmesinin altında yatan sebeplerin tespit edilmesi amaçlanmaktadır. Çalışma ile Bengal ordusunda görev almış Hindu ve Müslüman askerlerinin yetiştikleri toplum, kast sistemi içindeki sınıfları, dini inanış ve yaşamlarının isyana etkileri tespit edilmeye çalışılmıştır. İsyanın en büyük sebebinin, yerel askerler ile İngiliz komutanlar arasında olması gereken güvene dayalı iyi ilişkilerin ortadan kalktığı ve orduda İngilizlere karşı nefret dalgasının önü alınamaz şekilde artmış olduğu belirlenmiştir. Bengal ordusu askerlerinin aldıkları maaşlardan, ordu içindeki terfilerine kadar İngilizler tarafından haksızlığa uğratıldıklarına inandıkları ortaya çıkarılmıştır. Askerlerin İngilizlerin kendilerini dini inançlarından yavaş yavaş kopararak onları Hıristiyanlaştırmak istedikleri fikrine kapıldıklarına dikkat çekilmiştir.