bluuebunny/crossref_metadata_2025 huggingface dataset:
The impact of development and application of soft material and novel actuators in soft robotics technology on future biomedical engineering
Authors: Wang Jue
Published: March 2023

The goal of the robotics industry has been to build devices that mirror the remarkable powers of the human body ever since it was founded. In an attempt to emulate the compliance and deformability of genuine biological tissue, efforts have been made to construct actuators and electronics out of elastomers, textiles, and other soft materials as early as the 1940s. Since then, the field of soft robotics has advanced extraordinarily, with recent work concentrating on actuation, sensing, and application. In this review, recent advancement in the soft robotically field from the perspective of soft actuators, soft material, and biomedical application is highlighted. Soft actuators had gone decent development along with different advantages and setbacks. The need for chemistry and material science has been increasingly large in recent years and the material for 4D printing manufacturing is a major focus. Biomedical applications can be advanced by introducing soft robotics combined with existing technology. The biocompatibility issue is a major challenge to be faced, and perspectives on such regard will be discussed.
Equality Means Business: Factors Affecting Indian Women-Owned Small Business’s Scalability & Impact of Entrepreneurship On Financial Independence
Authors: Singh Maanya
Published: March 2023

The lack of women’s economic participation and financial independence is a major contributor to gender inequality in India. The creation of women-owned MSME businesses in the  cottage and F&B  industry  not  only provides women with job opportunities, but also empowers them in the sense that they no longer need to be socioeconomically subordinate to their male representatives.   Towards this need, the aim of this study was to understand the factors that impact the financial independence of India’s urban-based women entrepreneurs owning small F&B businesses, as well as evaluate the impact of entrepreneurship on their social and economic empowerment. The sample set of the data were 21 urban India-based female entrepreneurs, between the ages of 20-60 years of age, owning small (less than 10 employees) businesses. The interviews and surveys were conducted in English. The results of this research study have established that the creation of MSME enterprises results in a significant increase in Indian women’s financial independence and social empowerment. While the 95% entrepreneurs aspire to upscale their business ventures, they are being held back by a lack of access to mentorship from experienced entrepreneurs and financial support. Qualitative analysis evidenced the ability of entrepreneurship to socially empower Indian women, through the formation of a professional identity, as well as newfound economic self-sufficiency. These findings imply that entrepreneurship is a tool that can be leveraged by government and non-profit organizations to radically increase Indian women’s financial independence and economic participation, leading to an increase in social empowerment as well.
Comparing and Reviewing Modern Primality Tests
Authors: Ganti Ishaan
Published: March 2023

Primality tests refer to algorithms that determine whether a number is prime or composite. These tests are essential to modern encryption algorithms, including the widely used RSA public key encryption algorithm. However, with so many different primality tests out there, choosing the correct one for a given application can be challenging. This paper provides an overview of modern primality tests, detailing the differences between different types of tests and when one test may be preferable to another. Furthermore, implementations of popular primality tests are written and compared to one another graphically to better understand their differing performances. Lastly, we look at next steps for the field of primality tests due to the rise of quantum computing, which could serve as a means of creating even better primality tests.
ARTIFICIAL INTELLIGENCE IN EDUCATION: TRENDS, OPPORTUNITIES AND PITFALLS FOR INSTITUTES OF HIGHER EDUCATION IN GHANA
Authors: A. Nsoh Atarah Michael , Joseph Toateba , Adablanu Selorm
Published: March 2023

The emergence of innovative technologies has an immense impact on the methods of teaching and learning. With the rapid development of artificial intelligence (AI) technology in recent years, using AI in education has become more and more apparent. This study first outlines the application of AI in the field of education, such as adaptive learning, teaching evaluation, virtual classroom, etc. And then analyses its impact on teaching and learning, which has a positive meaning for improving teachers' teaching levels and students' learning quality. Finally, it puts forward the challenges that AI applications may face in education in the future and provides references for AI to promote education reform.
Automation of Quantifying Security Risk Level on Injection Attacks Based on Common Vulnerability Scoring System Metric
Authors: Kurniawan Aditya , Darus Mohamad Yusof , Mohd Ariffin Muhammad Azizi , Muliono Yohan , Pardomuan Chrisando Ryan
Published: March 2023

An injection attack is a cyber-attack that is one of The Open Web Application Security Project Top 10 Vulnerabilities. These attacks take advantage of insufficient user input validation into the system through the input surface of a Web application as that user in the browser. The company’s cyber security team must filter thousands of attacks to prioritize which attacks are considered the most dangerous to be mitigated first. This activity of filtering thousands of attacks takes much time because you have to check these attacks one by one. Therefore, a method is needed to assess how dangerous a cyber-attack is that enters an organization’s or company’s server. Injection attack detection can be done by analyzing the request data in the web server log. Our research attempts to perform quantification modeling of the variations of two types of injection attacks, SQL Injection (SQLi) and Cross-Site Scripting (XSS), using Common Vulnerability Scoring System Metrics (CVSS). CVSS metrics are generally used to calculate the level of dangerous weakness in the system. This metric is never used to calculate the level of how dangerous an attack is. The modeling that we have made shows that SQLi and XSS attacks have many variations in levels ranging from low to high levels. We discovered that when classified with Common Weakness Enumeration Database, SQLi and XSS attacks CVE values would have high-level congruence with almost 94% value between one another vector on CVSS.
Evaluation of Digital’s Role in Sustainable Built Environment
Authors: Wayne Theodore , Chai Chang Saar , Ling Wong Shirly Siew , Lee Lim Fang , Chen Goh Kai , Abidin Nur IzieAdiana
Published: March 2023

The construction industry has been evolving, embracing the delicate balance between the Fourth Industry Revolution and sustainable construction to create a sustainable and resilient built environment. Integrating digital tools and technologies in a renowned conventional construction industry is challenging, mainly due to the complex interaction between heterogeneous but heuristic construction processes, building systems, and workflows in achieving a common goal. This study took the initiative to review digital tool adoption and its role in the sustainable built environment by examining the impact of digital adoption in a sustainable built environment in terms of societal and industry impacts. A quantitative analysis is conducted, collecting 63 industry practitioners analysed through regression analysis. The result reveals that energy conservation is the most significant element in the sustainable built environment, which brought the greatest impact on both society and industry in Malaysia. Based on the results, it is found that the digital adoption level in the Malaysian construction industry is still at a minimal level. Through the introduction of Indutry4wrd, National 4IR and Construction 4.0 Strategic Plan (2021–2025), the importance of digital tools and technologies is slowly being acknowledged. The result of the study is significant to benchmark the current digital tools adoption in the Malaysian sustainable built environment. Moreover, the contribution could be made in terms of better understanding and facilitating, where relevant, greater usage of digital tools in the construction industry to promote efficiency.
Server-side Cross-site Scripting Detection Powered by HTML Semantic Parsing Inspired by XSS Auditor
Authors: Pardomuan Chrisando Ryan , Kurniawan Aditya , Darus Mohamad Yusof , Mohd Ariffin Muhammad Azizi , Muliono Yohan
Published: March 2023

Cross-site Scripting attacks have been a perennial threat to web applications for many years. Conventional practices to prevent cross-site scripting attacks revolve around secure programming and client-side prevention techniques. However, client-side preventions are still prone to bypasses as the inspection is done on the user’s browser, so an adversary can alter the inspection algorithm to come up with the bypasses or even manipulate the victim to turn off the security measures. This decreases the effectiveness of the protection and leads to many web applications are still vulnerable to cross-site scripting attacks. We believe that XSS Auditor, which was pre-installed in Google Chrome browser for more than 9 years, is a great approach in combating and preventing XSS attacks. Hence, in this paper, we proposed a novel approach to thoroughly identify two types of cross-site scripting attacks through server-side filter implementation. Our proposed approach follows the original XSS Auditor mechanism implemented in Google Chrome. However, instead of placing the detection system on the client side, we design a detection mechanism that checks HTTP requests and responses as well as database responses for possible XSS attacks from the server side. From 500 payloads used to evaluate the proposed method, 442 payloads were classified correctly, thus showing that the proposed method was able to reach 88.4% accuracy. This work showed that the proposed approach is very promising in protecting users from devastating Cross-site Scripting attacks.
Discovery of Mycobacterium tuberculosis CYP121 New Inhibitor via Structure-based Drug Repurposing
Authors: El Moudaka Tarek , Murugan Priya , Abdul Rahman Mohd Basyaruddin , Ario Tejo Bimo
Published: March 2023

Tuberculosis (TB) remains a serious threat to human health with the advent of multi-drug resistant tuberculosis (MDR-TB) and extensively drug-resistant tuberculosis (XDR-TB). The urge to find novel drugs to deal with the appearance of drug-resistant TB and its variants is highly needed. This study aims to find new CYP121 inhibitors by screening 8,773 compounds from the drug repositioning database RepoDB. The selection of CYP121 potential inhibitors was based on two criteria: the new inhibitor should bind to CYP121 with higher affinity than its original ligand and interact with catalytically important residues for the function of CYP121. The ligands were docked onto CYP121 using AutoDock Vina, and the molecular dynamics simulation of the selected ligand was conducted using YASARA Structure. We found that antrafenine, an anti-inflammatory and analgesic agent with high CYP inhibitory promiscuity, was bound to CYP121 with a binding affinity of -12.6 kcal/mol and interacted with important residues at the CYP121 binding site. Molecular dynamics analysis of CYP121 bound to the original ligand and antrafenine showed that both ligands affected the dynamics of residues located distantly from the active site. Antrafenine caused more structural changes to CYP121 than the original ligand, as indicated by a significantly higher number of affected residues and rigid body movements caused by the binding of antrafenine to CYP121.
Anthropometric Study of the Nasal Index of Adult Native of Ikwerre of Rivers State, Nigeria.
Authors: Agburum G. C , Horsfall A. U , Victor P.D , Ajie P.C , Okpara P. E , Reuben Reuben, E , Nkpurukwe C.I. , Otto B.J. , George B.O
Published: March 2023

Background: The human nose differs in its anatomy and morphology among different ethnic groups. The nasal index is a vital measurement for classifying the ethnic groups and sex of an individual. The study aims at determine the nasal index of adult male and female Ikwerre natives in relation to age and to show its interest in forensic anthropology.

Materials and methods: Three hundred and thirty subjects (160 males and 170 females) aged 20–59 years were recruited for this study. Nasal height and width were measured using a digital Vernier caliper. The nasal index was calculated as nasal width/nasal height ×100. 

Results: The mean nasal index of females aged 20-29, 30-39, 40-49, and 50-59 years were 87.45±0.85, 94.69±1.30, 93.90±1.71, and 93.94±1.39 respectively. The mean nasal index of males aged 20-29, 30-39, 40-49, and 50-59 years were 94.22±0.8, 90.46±1.45, 90.24±1.10, and 99.46±1.68 respectively. The nasal index of overall males and females was 77.22±2.11 and 94.23±0.90 respectively. The higher nasal index was observed in males within the age groups 20–29 and 50–59 years, as compared to the females, who had a higher nasal index within the age groups 30-39 and 40–49 years. The result revealed sexual dimorphism. 

Conclusion: This study showed that males in the Ikwerre ethnicity fall within the Mesorrhine nose type while females have the Platyrrhine nose type.
PENGARUH KEMAMPUAN DAN MOTIVASI TERHADAP KINERJA PEGAWAI PADA KANTOR CAMAT KELUANG KABUPATEN MUSI BANYUASIN
Authors: Jusrizal Jusrizal , Rakhmat Rakhmat , Afrika Didi , Edi Herman , Suhendra Suhendra
Published: March 2023

Judul penelitian ini adalah “Pengaruh Kemampuan dan Motivasi terhadap Kinerja Pegawai pada Kantor Camat Keluang Kabupaten Musi Banyuasin”. Adapun rumusan masalah dalam penelitian ini adalah bagaimanakah tanggung jawab aparatur dalam pelayanan publik di Kantor Camat Suak Tapeh Kabupaten Banyuasin?. Tujuannya 1)Untuk mendeskripsikan dan menganalisis profesionalitas aparatur Kecamatan Suak Tapeh Kabupaten Banyuasin dalam menjalankan tugas dan fungsi organisasi secara profesional terutama dari aspek responsifitas dan inovasi. 2)Menganalisis faktor-faktor apa saja yang dihadapi Camat Suak Tapeh Kabupaten Banyuasin dalam mengembangkan aparat yang bertanggung jawab dan berinovasi. Penelitian ini akan menggunakan metode penelitian kualitatif yaitu menekankan unsur manusia sebagai instrumen penelitian, dengan menekankan unsur manusia sebagai instrumen penelitian maka akan mempermudah penyesuaian-penyesuaian dengan kenyataan yang terjadi dilapangan. Sumber data yang digunakan dalam penelitian ini adalah data primer dan data sekunder. Data primer diperoleh dari data-data yang dikumpulkan penulis dari sumber data di lokasi penelitian, sedangkan data sekunder diolah dari hasil dokumentasi yang dilakukan penulis dari hasil wawancara, studi dokumentasi dan pengamatan lapangan. Hasil analisa adalah 1)Responsifitas aparatur Kecamatan Suak Tapeh baik dalam rangka pelayanan kepada masyarakat maupun dalam pelaksanaan tugas-tugas yang lain dinilai masih kurang, sehingga tujuan mulia organisasi   dan pemberian pelayanan terbaik bagi masyarakat belum dapat tercapai. Peningkatan profesionalitas aparatur belum dapat tercapai sesuai yang diharapkan. 2)Wewenang dan tanggung jawab masing-masing aparatur Kecamatan Suak Tapeh telah dipahami dan dilaksanakan dengan baik dari pimpinan puncak (Camat), pejabat menengah (Sekcam dan Kepala Seksi) sampai staf pelaksana meskipun masih menggunakan sistem hirarki dalam   pelaksanaan tugas dan pengambilan keputusan.Berdasarkan hasil penelitian maka dapat direkomendasikan beberapa hal yaitu 1)Upaya yang dapat dilakukan untuk menumbuhkan responsifitas aparatur adalah dengan membuat program kerja jangka panjang, jangka menengah dan jangka pendek serta menetapkan skala prioritas kegiatan mana sajakah yang akan dilakukan terlebih dulu. Program kerja dan skala prioritas tersebut dapat dipajang sehingga dapat dibaca oleh seluruh pegawai dan adanya control untuk saling mengingatkan antar karyawan. 2)Memberikan motivasi dan kesempatan seluas-luasnya kepada para pegawai untuk menambah  pengetahuan dan peningkatan ketrampilan baik dari inisiatif dan biaya pribadi atau biaya dinas dalam rangka menyikapi kemajuan ilmu dan teknologi diharapkan dapat meningkatkan kepercayaan diri aparatur dalam menumbuhkan semangat berkembang dan mengembangkan diri.
Assessment of Air Pollution Associated Self-Reported Symptoms on General Population of Rawalpindi and Islamabad
Authors: Hisam Aliya , Mashhadi Syed Fawad , . Laiba , Riaz Zoya , Suleiman Muhammad , Amjad Sameer , Bashir Hamza
Published: March 2023

Objectives: To assess the air pollution-associated self-reported symptoms among the general population of Rawalpindi and Islamabad.

Study Design: Analytical cross-sectional study.

Place and Duration of Study: Study was conducted at Pak Emirates Military Hospital & Combined Military Hospital,Rawalpindi Pakistan, from Nov 2021 to Apr 2022.

Methodology: The data was collected using a pre-formed questionnaire and was distributed among the general population that reported to Pak Emirates Military Hospital and Combined Military Hospital OPD, Rawalpindi Pakistan and the students of varying colleges of Islamabad and Rawalpindi Pakistan. People were thoroughly explained about the content and the purpose of our study. The data was collected after their consent and were told about their right to fill whole or part of the form and that they can withdraw or drop out of the study at any point. Data were analyzed in SPSS version 23.

Results: Mean age of the population was 29.41±12.41 years. The physical effects were categorized according to their scores as mild 54(21.3%), moderate 122(48.2%) and severe 77(30.4%). About 150(50.8%) participants reported positive behavioral and psychological effects of air pollution. About 160(63.4%) people reported that they’ve been using preventive measures to avoid the air pollution associated health effects. While 174(68.8%) people had sufficient awareness regarding air pollution and its effects (p<0.05).

Conclusion: The general population of Rawalpindi and Islamabad reported significant physical, and psychological, behavioral effects of air pollution. An association was found between occupation and physical effects of air pollution. Psychological effects like aggressive behavior and anxiety were found to have association with occupation. Facemask was found the most prevalent preventive measure. Participants had sufficient knowledge about air pollution and effects.
Content Page
Authors: . Pafmj
Published: March 2023

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Frequency of Hyperuricemia in Type-2 Diabetes Mellites and its Relation with Diabetic Nephropathy
Authors: Ali Gulzar , Kamran Muhammad Asif , Amir Muhammad , Mumtaz Babar , Khan Imran , Tariq Muhammad
Published: March 2023

Objectives: To determine the frequency of Hyperuricemia in patients with type-2 Diabetes Mellitus and to compare frequency of Diabetic Nephropathy in Hypouricemic vs Normouricemic patients with type-2 Diabetes.

Study Design: Cross-sectional analytical study.

Duration and Place of Study: Medicine Department Combined Military Hospital Peshawar, from Dec 2018 to May 2019.

Methodology: Patients from both genders with type 2 Diabetes having glycosylated hemoglobin (HbA1c) ≥6.5%, Fasting Blood glucose ≥ to 7.0 mmol/L or random blood glucose ≥11.1 mmol/L were recruited from out Patient department.Participants were tested for serum uric acid, fasting blood glucose, Glycosylated hemoglobin (HbA1c) and Spot Urine Albumin Creatinine Ratio after 8 hours fasting.

Results: Out of 111 patients enrolled Hyperuricemia was present in 40 (36.04%) patients of which 21 (52.50%) were male and 19 (47.50%) were female. Diabetic Nephropathy was present in 43(38.74%). Out of 43 patients having diabetic nephropathy, 25 (58.14%) were having hyperuricemia. The study observed a linear relationship between serum uric acid and type-2 diabetes duration, fasting blood glucose levels, glycosylated hemoglobin (HbA1c) and urinary Albumin creatinine ratio.

Conclusion: Hyperuricemia is positively linked with diabetic complications in majority of patients with type-2 diabetes. Serum uric acid levels can be used as an early diagnostic parameter and can prognosticate diabetic nephropathy.Keywords: Diabetes mellitus, Diabetic nephropathy, Hyperuricemia, Microalbuminuria
Diagnostic Accuracy and Agreement between Magnetic Resonance Imaging and Ultrasound Finding for the Diagnosis of Rotator Cuff Tears
Authors: . Shabana , Akhtar Muhammed , Noor Asma , Ashfaq Mohammed , Ashfaq Tayyaba , Shah Zahid Raza
Published: March 2023

Objective: To determine the diagnostic accuracy and agreement between ultrasound and magnetic resonance (MR) imaging in determining rotator cuff tears.

Study Design: Cross-sectional study.

Place and Duration of the Study: Armed Forces Institute of Radiology and Imaging, Pak Emirates Military Hospital,Rawalpindi Pakistan, from Jul 2018 to Jan 2019.

Methodology: Patients of either gender with a traumatic shoulder injury duration of less than 15 days were consecutively included. Rotator cuff tear on ultrasonography was diagnosed on the presence of a hypoechoic discontinuity in the tendon and accentuation of cartilage shadow, giving a 'double cortex' view while on MRI, the hyper-intense signal area within the tendon on T2W, fat-suppressed and GRE sequences, corresponding to fluid signal seen.

Results: Of 88 patients, the mean age was 54.022±5.19 years. Ultrasound diagnosed rotator cuff tears in 42(47.7%) patients, and MRI diagnosed rotator cuff tears in 44(50.0%) patients. Diagnostic accuracy of ultrasound taking MR imaging as the gold standard showed sensitivity as 81.82%, specificity as 77.27%, negative predicted value as 78.26%, positive predicted value as 80.95%, and overall diagnostic accuracy as 79.55%. A moderate agreement was found between ultrasound and MRI findings (p-value=0.591).

Conclusion: The findings of the current study showed significant moderate agreement between ultrasound and MR imaging in the determination of rotator-cuff tears.
Effectiveness of 17-Alpha-Hydroxyprogesterone in the Prevention of Preterm Labour
Authors: Urooj Uzma , Khan Sumaira , Parveen Shakeela , Shah Sajid Ali
Published: March 2023

Objective: To compare the effectiveness of 17-Alpha- Hydroxyprogesterone in preventing preterm labour.

Study Design: Prospective longitudinal study.

Place and Duration of Study: Department of Obstetrics and Gynecology, Combined Military Hospital, Sakardu Pakistan, from Jun to Dec 2019.

Methodology: A total of 208 patients (104 in each group) were recruited in this study. Group-A 17-alpha-hydroxyprogesterone (250mg) intramuscular injection was given weekly from 20-36 weeks of gestation or delivery, whichever occurred first. GroupB (Control Group) received no treatment except routine antenatal care but was treated actively with tocolytic drugs and corticosteroids if they presented with preterm labour.

Results: Mean age of the patients was 26.1±4.9 and 25.7±4.5 in Group-A and B, respectively. In Group-A (17-alphahydroxyprogesterone), the mean gestational age at delivery was 36.8±3.8; in Group-B (control), the mean gestational age was 35.7±1.3. Treatment was efficacious in 82 patients (78.8%) in Group-A and 65(62.5%) in Group-B. The difference was statistically significant between the two groups (p=0.009).

Conclusion: 17 Alpha-Hydroxyprogesterone caproate preventive therapy likely plays an important role in reducing the risk of recurrent preterm birth.
Anatomical Variation of Olfactory Fossa on Computed Tomography of Paranasal Sinuses
Authors: Shahid Madeeha , Mahmood Rashid , Ullah Hidayat , Sheraz Muhammad Atif , Ibrahim Muhammad Imran , Ali Farzana Zulfiqar
Published: March 2023

Objective: To determine the frequency of anatomical variation of olfactory fossa among the adult Pakistani population by Keros classification on computed tomography (CT) of paranasal sinuses.

Study Design: Cross-sectional study

Place and Duration of Study: Department of Radiology, Combined Military Hospital, Rawalpindi Pakistan, from May 2019 to Mar 2020.

Methodology: A total of 65 patients of either gender were included. Patients with previous trauma or surgery of the skull base or paranasal sinuses, malignant diseases of the sinuses and congenital anomalies were excluded. All the included patients in the study underwent CT paranasal sinuses. Measurements of the olfactory fossae followed by grouping as per Kero’s classification were done, and CT findings were recorded.

Results: The patients included in the study ranged from 18 to 65 years, with a mean age of 33.09±10.86 years and 72.3% of patients 18 to 40 years of age. Of 65 patients, 36(55.4%) were males, and 29(44.6%) were females. The mean CT depth of the olfactory fossa was 6.34 ±4.03mm. Type-I olfactory fossa by Keros classification was found in 17(26.2%), Type-II in 35(53.8%) and Type-III in 13(20%) of patients.

Conclusion: This study concluded that Keros Type-II is the most common anatomical variation of olfactory fossa among the adult Pakistani population on CT of paranasal sinuses with an intermsediate risk of intracranial complications during endoscopic sinus surgery involving this region.
Clinicopathological Spectrum of COVID-19
Authors: Ali Syed Salman , Shaukat Javeria , Zubair Muhammad , Khan Muhammad Hassan , Hashaam Muhammad
Published: March 2023

Objective: To analyse the clinicopathological spectrum of COVID-19 among 2000 patients.

Study Design: Cross-sectional study.

Place and Duration of Study: Combined Military Hospital, Abbottabad Pakistan, from Apr to Jun 2020.

Methodology: The study included 2000 patients who came to CMH Abbottabad to seek medical attention during the first wave of the COVID-19 pandemic. Age, gender, contact history, history of foreign travel, clinical features, comorbid conditions and results of SARS-CoV-2 PCR were observed.

Results: From 2000 cases, 1442(72%) were males, and 558(28%) were females. The mean age was 35.02±13.00 years, and 1275(63.8%) cases were from the 3rd to fourth decade of life. 900(45%) of the cases had a contact history with a COVID-19 patient, whereas only 4(0.2%) had a history of foreign travel. 1854(93.0%) of the cases were asymptomatic, whereas only 48(2.4%) presented with fever and cough, the most common symptoms. Only 26(1.3%) cases had associated comorbid conditions, and 263(13.0%) cases showed positive PCR results. The statistical association was found to be significant among age groups, gender, contact history and results of SARS-CoV-2 PCR,(p-value< 0.001).

Conclusion: This study provides an overall view of the COVID-19 pandemic, which has grasped the globe within no time.Efficient preventive and control measures are mandatory, in addition to early identification and diagnosis, to overcome the infection.
Diagnostic Accuracy of CHROMagar Orientation for Identification of Uropathogens
Authors: Ali Nayab , Hussain Wajid , Mirza Irfan , Niazi Asima , Rubab Fatima , Salim Saira
Published: March 2023

Objective: To determine the diagnostic accuracy of CHROMagar Orientation for its ability to support the growth and identification of uropathogens by keeping API 20E/20NE as a gold standard.

Study Design: Cross-sectional study.

Place and Duration of Study: Department of Microbiology, Armed Forces Institute of Pathology, Rawalpindi Pakistan, from Jun to Nov 2019.

Methodology: A total of 470 midstream specimen of urine from patients suspected of UTIs were analyzed. Urine specimens were inoculated by 1µL calibrated sterilized loop each on CLED Agar, Blood agar and CHROMagar Orientation media plates.Culture plates were incubated at 35.00±2.00ºC for 18 to 24 hours. As per standard protocols, isolates were identified by colony morphology, Gram stain, catalase, oxidase, DNAase, coagulase, and API 20E/20NE. In addition, the appearance of microorganism on CHROMagar Orientation media were identified according to the manufacturer’s instructions.

Results: Out of 470 samples, 211 showed no growth, 90 were classified as mix growth (polymicrobial), and 169 samples were positive (unimicrobial) for the growth of uropathogens. All the samples positive for bacterial growth on conventional media were also positive on CHROMagar orientation and vice versa. The sensitivity and specificity of CHROMagar Orientation for differentiation of uropathogens were 99% and 100%, respectively.

Conclusion: The overall findings of our study suggested that CHROMagar supports the growth of all uropathogens. It provided the rapid identification of organisms based on their colour morphology, even in a mixed bacterial culture, growth within 24 hours easily.
Uterine Artery Doppler Pulsatility Index in the First Trimester as a Forecaster of Pre-Eclampsia in Primary Gravida
Authors: Humayun Pareesae Artemis , Aziz Sadaf , Arif Ayesha , Afsheen Afeera , Arif Nadia , Batool Sadiqa
Published: March 2023

Objective: To uncover a correlation between a high uterine artery pulsatility index on Doppler ultrasound and the early onset of pre-eclampsia to reduce maternal and fetal morbidity and mortality.

Study Design: Quasi-experimental study.

Place and Duration of Study: Department of Gynecology and Obstetrics, Combined Military Hospital, Multan Pakistan, from Jun 2020 to Dec 2021.

Methodology: After Ethical Approval and informed consent, the umbilical artery pulsatility (UAPI) of the patients was measured by a transabdominal scan(TAS) between 75 and 100 days. Raised UAPI was correlated with early onset preeclampsia.

Results: One hundred and sixty pregnant women were included in the study, out of which 34(21.3%) women developed preeclampsia, and 126(78.8%) were normal patients. Maternal weight (p=0.001), maternal BMI (p=0.002), gestational age and weight at delivery (p=0.001), and uterine artery doppler pulsatility index (p=0.001) had statistically significant differences with pre-eclampsia and regular patients among the target population.

Conclusion: First-trimester uterine artery pulsatility index on Doppler ultrasound is a beneficial technique to recognize the women by risk status and target them to prevent pre-eclampsia.
Celiac Disease and its Association with Socio-Demographic Parameters in Patients with Diabetes Mellitus Type-1
Authors: Imran Paras , Qasim Saeeda Fouzia , Latif Saba , Yahya Mohammad , Shaikh Saima Athar , Masood Shazia
Published: March 2023

Objective: To determine the frequency of Celiac disease in patients with Type-1 Diabetes Mellitus (DM) and its association with socio-demographic parameters.

Study Design: Cross-sectional study.

Place and Duration: Medical Departments of Dr Ruth K. M. Pfau, Civil Hospital, Karachi Pakistan, from Apr to Sep 2019.

Methodology: Patients diagnosed with type-1 DM were enrolled in the study. Patients underwent blood testing for Celiac Serology. IgA level greater than 10U/m1 was taken as positive for celiac disease. If IgA levels were low, then Anti-tTG IgG was tested.

Results: One hundred seventy-seven patients diagnosed with type-1 diabetes mellitus were included in this study. The average age of patients was 36.39±6.81 years. There were 109(61.58%) males and 68(38.2%) females. The frequency of celiac disease in patients with type-1 DM was observed at 8.47%. The frequency of celiac disease was not statistically significant among different age groups (p=0.644), gender and disease duration (p>0.05). However, celiac disease was more frequent in patients with a family history, but it was not statistically significant (25% vs 7.7%; p=0.086).

Conclusion: This study showed a higher frequency of celiac disease in patients with T1DM than in the general population in our country, and the data lend support to recommend regular screening for Celiac disease in all patients with Type-1 DM.
THỰC TRẠNG CHẤT LƯỢNG GHI CHÉP HỒ SƠ BỆNH ÁN TẠI BỆNH VIỆN ĐA KHOA ĐỐNG ĐA – HÀ NỘI NĂM 2022
Authors: Phan Văn Ký , Lê Thanh Hải , Mai Xuân Hà , Lê Thúy Hòa , Dương Thị Thúy Hà
Published: March 2023

Đặt vấn đề: Hồ sơ bệnh án (HSBA) là một phương tiện quan trọng để trao đổi thông tin điều trị, tài liệu khoa học về chuyên môn kỹ thuật, chứng từ tài chính và cũng là tài liệu pháp y. Thời gian qua Bệnh viện Đa Khoa Đống Đa chưa có nhiều nghiên cứu sâu đánh giá chất lượng HSBA, do vậy chúng tôi thực hiện nghiên cứu. Số liệu và phương pháp nghiên cứu: Toàn bộ HSBA nội trú đã ra viện từ tháng 4 đến tháng 6/2022 được kiểm tra và lưu tại KHTH theo qui định. Xây dựng công cụ thu thập thông tin theo Quyết định số 1895 /1997/QĐ-BYT ngày 19/9/1997 năm 2001 về “Quy chế bệnh viện”. 45 tiểu mục được đánh giá tiêu chí đạt và không đạt. Số liệu được xử lý bằng google sheet và SPSS 22.0. Kết quả: Kết quả nghiên cứu trên 245 HSBA cho thấy có 29/ 39 nội dung có tỷ lệ ghi chép đạt 90% trở lên, có 09 nội dung đạt tuyệt đối (100%). Những nội dung ghi chép có tỷ lệ đạt thấp: Bác sĩ trưởng khoa đi buồng thăm khám bệnh và ghi hồ sơ (52,6%); Người bệnh phẫu thuật/ thủ thuật hoàn thiện đủ các biểu mẫu liên quan và các biểu mẫu phải có đầy đủ chữ ký theo quy định (67,2%); Ghi dặn dò người bệnh khi ra viện (72,8%); Sơ kết 15 ngày điều trị (67,8%). Kết quả chung chất lượng chi chép HSBA đạt 81%, không đạt 19%. Kết luận và khuyến nghị: Từ kết quả nghiên cứu chúng tôi thấy còn gần 20% chưa đạt yêu cầu chất lượng ghi chép HSBA, do vậy khuyến nghị với khoa Ngoại và Bệnh viện đẩy mạnh công tác quản lý, kiểm tra, giám sát, ghi chép HSBA thời gian tới.
Relações de Agência e Governança em Instituições de Ensino Superior Sem Fins Lucrativos
Authors: Moreira Evelter Silva , Macedo Roberta de Cassia
Published: March 2023

Objetivo: O presente ensaio teórico tem por objetivo identificar como ocorre as relações de agência, envolvendo os stakeholders em instituições de educação superior sem fins lucrativos, bem como o papel da governança corporativa nesse contexto. Abordagem teórica: Discute-se a Teoria da Agência, a Teoria dos Stakeholders e a Governança Corporativa a partir de seus fundamentos, história e evolução até os dias atuais e as especificidades das instituições de educação sem fins lucrativos. As teorias são concatenadas em uma perspectiva de múltiplos principais e agentes envolvendo os stakeholders e a governança como moduladora de conflitos em relação ao propósito da organização. Resultados: Apresenta-se como resultado um modelo teórico evidenciando as relações de agência, das quais podem emergir riscos de conflitos, quando os objetivos institucionais da organização são desconsiderados e o papel da governança na mitigação destes riscos. Para pesquisas futuras sugere-se o aprofundamento prático, com uma investigação empírica em organizações sem fins lucrativos. Originalidade/Relevância: O trabalho tem originalidade por propor uma abordagem integrada das teorias, mostrando-se também relevante para o campo dos estudos do terceiro setor.   Contribuições teóricas: Traz contribuições teóricas na medida que traça uma nova perspectiva de abordagem das teorias e do propósito das organizações. Contribuições sociais: Apresenta também contribuições sociais por discutir o tema no contexto das instituições de educação superior sem fins lucrativos, contribuindo para que este tipo de organização possa compreender melhor a configuração e os riscos envolvendo as relações de agência.
Information hygiene in the Internet as a stress resistance factor of the penitentiary system future employees
Authors: Мадоян М.А. , Мадоян С.М.
Published: March 2023

В статье обобщены и проанализированы новейшие научные данные о неблагоприятных эффектах информационного воздействия интернет-среды применительно к будущим сотрудникам пенитенциарной системы, которые являются, с одной стороны, представителями силовой структуры, с другой – частью поколения, никогда не жившего без интернета. Рекомендованы способы соблюдения информационной гигиены, препятствующие негативному влиянию интернет-контента. Предложены мероприятия по формированию и закреплению навыков информационной гигиены у курсантов пенитенциарных вузов. Положения статьи могут быть использованы в учебно-воспитательном процессе подготовки сотрудников пенитенциарной системы.

In the article the authors summarize and analyze the latest scientific data on the adverse effects of the information impact of the Internet environment in relation to future employees of the penitentiary system, who, on the one hand, are representatives of the security forces, on the other, part of a generation that has never lived without the Internet. Methods for maintaining information hygiene are recommended to prevent the negative impact of Internet content. Measures for the formation and consolidation of information hygiene skills among cadets of penitentiary universities are proposed. The provisions of the article can be used in the educational process of training employees of the penitentiary system.
Brolucizumab (Beovu)
Authors: CADTH
Published: March 2023

CADTH reimbursement reviews are comprehensive assessments of the clinical effectiveness and cost-effectiveness, as well as patient and clinician perspectives, of a drug or drug class.

The assessments inform non-binding recommendations that help guide the reimbursement decisions of Canada's federal, provincial, and territorial governments, with the exception of Quebec.

This review assesses brolucizumab (Beovu), 6 mg (6 mg/0.05 mL solution) for intravitreal injection.

Indication: For the treatment of diabetic macular edema.
CONFORTO AMBIENTAL APLICADO À ARQUITETURA
Authors: Keroly Bezerra Alexandrino Letícia , Iury Alves Lira Carlos , Gonzaga Lapa Junior Luiz
Published: March 2023

A pesquisa propôs analisar como a temática sobre conforto ambiental vem sendo discutida em projetos de arquitetura nos últimos 5 anos. Para alcançar esse objetivo, elencou-se 3 objetivos específicos: entender o que é conforto ambiental; caracterizar os aspectos de conforto ambiental em projetos de arquitetura; e identificar como cada aspecto que compõe a temática de conforto ambiental vem sendo discutida na literatura. Foi realizada uma revisão bibliográfica e sistemática sobre a temática nos últimos 5 anos, em língua portuguesa por meio da base de dados Google Acadêmico. As análises de dados foram realizadas por meio do software Interface de R pour lês Analyses Multidimensionnelles de Textes et de Questionnaires (IRaMuTeQ) com a técnica da Nuvem de Palavras. Os resultados apontaram a prevalência do conforto térmico para as análises de conforto ambiental e sobre a importância da resiliência para as edificações, ou seja, a capacidade do ambiente de resistir e de se adaptar às diversas mudanças.
الأسلوب الدعوي الحسي من خلال القصص القرآني والنبوي
Authors: عبد العزيز بن عبد الله القرني
Published: March 2023

تعد الأساليب الدعوية الحسية من أكثر الأساليب الدعوية تأثيرًا، وتأتي في مقدمتها القصص لما لها من أثر بالغ في النفوس، وقد حفل القرآن الكريم والسنة النبوية بعشرات القصص المتنوعة ذات الخصائص المتميزة، وهدف هذا البحث إلى بيان أغراض القصص القرآني والنبوي، واستخلاص الأسلوب الدعوي الحسي من خلالهما، واستخدم الباحث المنهج الاستقرائي الوصفي والمنهج التحليلي الاستنباطي، ومن أبرز نتائجه:1. مما يميز القصة؛ وجود عنصر التشويق الذي يلازم أسلوب القصة، وإشباع لرغبة الإنسان الفطرية في حب الاستطلاع، واستكشاف المجهول، وتعاقب أحداث القصة الذي يدعو إلى التركيز والانتباه، والنتائج الباهرة التي لها الأثر الفعال في النفوس.2. التالي للقرآن الكريم وكتب السنة النبوية يلاحظ زخمًا في إيراد القصص المليئة بالعبر والعظات التي لا تخفى على ذوي الألباب والتي وظفها الرسول ﷺ في الدعوة والبلاغ والتأثير والتربية.3. من أهم أغراض القصص القرآني والنبوي؛ الموعظة والدعوة والتأثير على المدعوين، وتقويم الخلق والسلوك الفردي والجماعي، وتعزيز القيم الأخلاقية.4. من معالم الأثر الدعوي الحسي للقصص القرآني والنبوي؛ ملامسة القلب والروح، والانجذاب للاستماع بشغف، وسرعة التأثر والاستجابة، والتعزيز السلوكي.وأوصى الباحث الدعاة والمتخصصين بالدراسات الدعوية من أساتذة الجامعات وطلاب الدراسات العليا، رصد وتتبع كافة الأساليب الدعوية الحسية ودراستها وتنزيلها للواقع.
المدرسة العقلية الحديثة وموقفها من السنة النبوية
Authors: ريم عبد الله العواد
Published: March 2023

يتناول هذا البحث المدرسة العقلية الحديثة وموقفها من السنة النبوية.وقد طرح فيه مجموعة من الدراسات الهامة ومنها: المراد بالمدرسة العقلية الحديثة وكونه التوجه الفكري للتوفيق بين نصوص الشرع والحضارة والفكر الغربي المعاصر، ونشأتها ومنهجها وتأثرها بالاستشراق وانحرافها عن السنة الصحيحة، وتظهر أهمية الموضوع: كونه قضية معاصرة انتشرت في العالم الإسلامي للتشكيك في السنة النبوية وموقف أهل السنة للدفاع عن سنة الرسول ﷺ، فكان من المهم الوقوف على مناهج المدرسة العقلية الحديثة والتعرف على موقفها من السنة وردّ أهل السنة الصحيحة عليهم، وهذا يعد من أهم أهداف هذا البحث، ويظهر ذلك من خلال تقسيم البحث إلى ثلاث مباحث: نشأة المدرسة العقلية الحديثة، ومنهجها، وموقف السنة النبوية منها.
التمثلات الثقافية والحضارية للهُوية في روايتي "مدينة الله وجسر بنات يعقوب" لحسن حميد
Authors: حازم سالم ذنون  , فاتن عبد الجبار جواد
Published: March 2023

تعدّ الهُوية الثقافية تعبيرا عن وجود الفرد والجماعات واثبات لخصوصيتهم، إذْ تتجلى في صورة أنماط الكلام وأساليب الأكل والملابس والأزياء إلى أفكار وقيم وتقاليد وأعراف ومعتقدات، فمثلًا يمكن تحديد الهُوية الثقافية للفرد أو الجماعة في الأزياء أو الملابس أو اللغة، إذْ يعدّ هذا تعبيرا مميزا لذات الفرد أو الجماعة، فالثقافة هي الحصيلة التي تعلمها الفرد في مجتمعه وبيئته.
Redes y rutas de Rosa Chacel en Argentina: testimonio autobiográfico y contexto ficcional
Authors: Nieva-de la Paz Pilar
Published: March 2023

Se aborda en este ensayo la aportación de la exiliada republicana Rosa Chacel (1898-1994) a las redes literarias argentinas. El caso de Chacel, escritora de la Generación del 27 que repartió su exilio durante dieciocho años entre Río de Janeiro y Buenos Aires, resulta paradigmático de la tensión entre las potencialidades y los obstáculos que la sociedad argentina ofrecía entonces al exilio literario español. Argentina fue el lugar escogido por ella, por su hegemonía editorial en el mundo hispánico y sus contactos previos con prestigiosos editores como Guillermo de Torre y Victoria Ocampo. A pesar de las dificultades que la escritora afirmó haber encontrado para su total integración en la sociedad literaria del país, las décadas del exilio americano fueron claves en el desarrollo de su carrera. Para profundizar en esta cuestión resulta de especial interés el testimonio personal de su actividad en Buenos Aires (años 40 y 50) aportado en el primer volumen de sus diarios, Alcancía. Ida (1982), y en su novela argentina, La sinrazón (1960).
Una nueva Lesbos: La aldea de las viudas
Authors: Naranjo Ruiz María Inmaculada
Published: March 2023

En el presente artículo se llevará a cabo un acercamiento a los elementos más representativos de la obra La aldea de las viudas de James Cañón. Para ello, se revisarán sus aspectos compositivos fundamentales: desde la estructura y organización textual hasta los personajes e hitos fundacionales. Todo ello será abordado desde los preceptos de la narrativa de carácter mítico, atendiendo especialmente a la utopía feminista latinoamericana, corriente en la cual se encuadra La aldea de las viudas, y a la narrativa de tema lésbico, cuestión fundamental para el análisis del texto y el presente artículo. Con ello se pretende ejemplificar cómo las autoras y autores contemporáneos latinoamericanos han buscado la renovación de los modelos clásicos, ofreciendo nuevas perspectivas del pasado reciente y atendiendo a cuestiones, debates sociales, de enorme actualidad. La obra de James Cañón, apenas examinada por los estudios críticos, se presenta como un modelo ideal en este sentido, testimonio efectivo de la convivencia entre el pasado y el presente literario y social.
Poética del fuego en Rayuela de Julio Cortázar
Authors: Batres Izara , Sevilla-Vallejo Santiago
Published: March 2023

En Rayuela, la obra capital de Cortázar, resulta sumamente importante el fuego como metáfora, pues se convierte en la expresión de diversos aspectos fundamentales para comprender la obra, desde la búsqueda que se propone el protagonista Horacio Oliveira, o el recorrido de un personaje esencial en el mensaje de la obra, como Morelli, hasta las propias bases de la teoría literaria de Cortázar, vinculadas a su vez con características que definen los principales rasgos del surrealismo, como la subversión, la relevancia de la poesía, la experimentación con el lenguaje o la reflexión sobre el tiempo, reflejadas también en los múltiples prismas de la ciudad en Rayuela
The Challenges of a Judicial Employment Contracting Approach in Fiji
Authors: Sikivou Peni , Appana Subhash , Moceisuva Auta
Published: March 2023

This study examines the Government of Fiji's new public management (NPM) employment contracting system and its legal challenges. The article raises the question of whether Section 97 of Fiji's 2013 Constitution of the courts and all judicial officers being independent of the legislative and executive branches of government and the law is applied without fear, favor, or bias, is guaranteed under a contracting mode of employment for judicial officials. This paper investigates whether three-year performance contracts ensure the independence of Fiji's judiciary. After extensive analysis, the authors propose that permanent tenure provides greater protections for Fiji's magistrate court judges, high court judges, and judicial officials by allowing them to exercise their independent roles as stipulated in Section 97 of the 2013 Fiji Constitution.
ERGONOMIA: impacto nas atividades de manutenção industrial
Authors: Kroll Bruno , Sachetto João Paulo , Bressianini Matheus
Published: March 2023

Este estudo objetivou levantar os impactos das doenças de trabalho causadas pela negligência ergonômica dos gerentes de manutenção com sua equipe de trabalho. Foram realizadas entrevistas com dois profissionais da área de manutenção que foram afastados pelos motivos mencionados anteriormente, e, após levantadas as suas informações, como renda e tempo de afastamento, estimou-se o custo que a empresa teria se mantivesse o profissional empregado no tempo que ele esteve afastado aplicando pausas para descanso e tempo correto para vestir os equipamentos de proteção individual, e posteriormente estimou-se o custo que a empresa e o estado tiveram com o afastamento do profissional. Ao final, mesmo com o funcionário afastado por 7 anos, o custo que a empresa teria ao manter o profissional empregado seria menos que a metade do custo que ela teve com o afastamento, isso sem considerar os custos consequentes da súbita diminuição da equipe de manutenção.
Expresiones del self en torno a la marca Zumba
Authors: Cordelier Benoit , Allard Marie-Claude
Published: March 2023

La popularidad de las redes sociales ha transformado las relaciones entre las personas, especialmente en torno a marcas comerciales. Esto juega tanto en las modalidades de su autopresentación como en su sentimiento de pertenencia a las comunidades online que son uno de los espacios de expresión de las comunidades de marca. Nuestra investigación tiene como objetivo principal averigüar la importancia de estas dos nociones heredadas del interaccionismo simbólico durante las interacciones en línea. A través de un estudio de caso sobre la interacción de los participantes e instructores de Zumba en la plataforma de Facebook, analizamos sus interacciones y sus motivaciones en su relación con la actividad de Zumba.