bluuebunny/crossref_metadata_2025 huggingface dataset:
Arthroscopic correlation of clinical and M.R.I. findings in anterior cruciate ligament and meniscal tear
Authors: Mander Harsh , Brar Bhupinder S. , Ashraf Arshad , Verma Sandeep , Sharma Sanjeev
Published: April 2022

ACL and meniscal tears are common among individuals with knee injuries. MRI is a good non-invasive method for diagnosing soft tissue injuries of the Knee, but an Orthopaedic surgeon can diagnose an ACL or meniscal tear safely with the help of a careful physical examination, and MRI may not be required in such cases. The progression of arthroscopy has encouraged its use for diagnosing knee injuries. 1. Correlate clinical and MRI findings with arthroscopic findings in cases of anterior cruciate ligament and meniscal tear. 2. Find out the specificity, sensitivity, negative and positive predictive values of these methods compared to arthroscopy. 3. Justify whether MRI can be omitted as a definitive investigation and reserved only for complex cases. Study was conducted on patients presenting with a knee injury with features of instability in the Orthopaedics outpatient department over two years. Patients between the ages 18 and 65 who were suspected of having an ACL and meniscus tear were included. A thorough clinical examination, MRI, and arthroscopy were performed on the affected Knee joint. The clinical, MRI, and arthroscopic findings were recorded and compared.
study to compare efficacy of sit-stand test and victory stand test against 6 minute walk test in patients of respiratory and cardiac diseases
Authors: Kundu Ajay , Kishan Jai , Yadav Satya Prakash , Yadav Ajit
Published: April 2022

To compare efficacy of sit-stand test and victory stand test against 6 minute walk test in patients of respiratory and cardiac diseases. Materials and Methods: The present comparative study was carried out by the department of Pulmonary Medicine, MMIMSR (deemed to be university), Mullana, Ambala, Haryana, India. Total 44 patients who fulfilled the eligibility criteria were included from the OPD of the hospital. The patient’s BMI, Spirometery, Breath holding time was done at the OPD before the real 6MWT and the victory stand & sit stand test. All the patients were then subjected to 6MWT first and the vitals (pulse rate and spo2) were recorded Pre and post-test using a pulse oximeter. The patients were instructed to walk for 6 minutes and the patient would return back to the OPD for the reading of the vitals. After giving adequate rest to the patient when the vitals returned to baseline, the patients were subjected to Sit and stand test in which the patient was instructed to sit and stand on patient stool inside the OPD in front of the clinician.
AI to automate brain tumor classification using visual geometric group (VGG) 16
Authors: Raja K. , Duela Shiny J. , Kundra Ishant , Bhatt Prakrati , Kagot Aneesh
Published: April 2022

A brain is the most important part of our body, which authorize the center capacities which attributes inside actual body and predictable with the National mind tumor Society, around 700,000 individuals acknowledge a cerebrum tumor, and in this manner, the figure will ascend to 787,000 by the peak point of 2020. Clinical imaging for medical diagnosis of a variety of disorders has benefited from ongoing advancements in the field of deep understanding. Task CNN is the most common and widely used AI computation for visual learning and image identification. Essentially, we show the Convolutional Neural Network (CNN) strategy, together with Data Augmentation and Image Processing, to sort cerebrum MRI examination images into carcinogenic and non-harmful categories in our hypothesis. A programmable mind tumour layout based on deep learning-based Visual Geometric Group (VGG) 16 is shown in this study. The model (VGG-16) has a 96 percent and 96 percent accuracy for both training and testing photos respectively.
Supportive care patterns in children with autism spectrum disorder
Authors: Toghyani Raheleh , Hosseini Seyed Mojtaba , Alimohammadzadeh Khalil , Bahadori Mohammad Karim , Jafari Mehrnoosh
Published: April 2022

The incidence of autism is increasing day to day and it has increased significantly in the last decade. There have been many studies on the treatment of Autism Spectrum Disorder (ASD) in children.  The objective of this review study is to have a comprehensive look at the existing patterns. This review was performed based on the Preferred Reporting Items for Systematic Reviews (PRISMA) protocol. The databases of ISI, Scopus, Science Direct, Medline, Google Scholar, Magiran, SID, Iranmedex, pubmed and Cochran databases were independently searched by two researchers using MeSH keywords. We included the studies published in different regions of Iran from 2010-2019. The obtained data were analyzed using the meta-analysis technique. Then we extracted reference number, chronological order, sex, age in  database. The type of study, the method of implementation, the type of treatment, the outcome and the level of parental involvement have been studied. A total of 35 articles were collected from which 22 articles were related to treatment patterns. The collected results were assessed in the intervention. In general, treatment models were structured and unstructured these models was used  to specific age groups, or all age groups.
Early recognition and treatment of TC II deficiency
Authors: Alamri Asim , AlMutairi Zaid , AlQahtani I. , Sharaf Fawzia A.
Published: April 2022

Transcobalamin (TC) is a carrier protein and it delivers vitamin B12 to the cellular TC receptor. TC II deficiency is a very rare disease and is life-threatening if left untreated. It is an Autosomal recessive disease and needs lifelong treatment. The clinical presentations are variable, started at early infancy, and sometimes mimic severe combined immunodeficiency or acute leukemia. It includes failure to thrive, diarrhea, anemia and or pancytopenia, hypotonia, developmental delay, and recurrent infection. Diagnosis of TC II deficiency is suspected based on clinical presentations with megaloblastic anemia, the elevation of plasma homocysteine, and urine methylmalonic acid level with a normal level of vitamin B12 and folate. Molecular analysis of the TCN 2 gene is needed for confirmation of the diagnosis. We present a case of 2 years old Saudi boy who was admitted to the hospital with a history of fever, recurrent chest infection, failure to thrive with diarrhea, and hypotonia, and his complete blood counts showed Pancytopenia. Though, normal vitamin B12 level and folate level, homocysteine, and urine methylmalonic acid lever were elevated. Peripheral smear and bone marrow aspiration and biopsy revealed Hypersegmented neutrophils and megaloblastic change.
Antioxidant activity of the aqueous and ethanol extract of mentha and guggul plant by DPPH method
Authors: Yadav Vivek Kumar , Singh A. P.
Published: April 2022

Free radicals are atoms or molecules that have one or more unpaired electrons on their outer orbital, are highly reactive, and could damage cells inside the human body. The human body produces antioxidants to neutralize free radicals, but human aging and stress oxidative conditions would increase the formation of free radicals, therefore an exogenous antioxidant is needed. The Plantae family is the largest family in the plant kingdom therefore it has great potential as a source of exogenous antioxidants. The objectives of this research were to determine the antioxidant activities of Mentha and Guggul leaves Aqueous and ethanol extract respectively. Antioxidant activity was determined by the DPPH method and observed results for future research.
Osteochondritis Dissecans: Ten Years After Autologous Chondrocyte Transplantation
Authors: Buesa Eduardo González
Published: April 2022

Osteochondritis dissecans is defined as a necrosis that affects the bone and cartilage of the joints. It is located in a segment of the bone tissue adjacent to the joint. The joint fragment may not consolidate correctly, resulting in a free fragment that can lead to premature osteoarthritis. It most often occurs in the knee, elbow, or ankle of the school-age child or adolescent. It usually presents with pain that worsens with exercise. There may be crepitus, contracture, or locking of the joint in advanced cases, especially if there is a loose piece of bone or cartilage in the joint. This article presents a clinical case of a 32-year-old male patient who underwent autologous chondrocyte auto transplantation 10 years ago and currently presents with pain and functional limitation of the knee.
Atypical foreign body aspiration in a pediatric palliative care patient: case report
Authors: AYAR Ganime , BOSTANCI Süleyman Arif , DEMİRKAYA Şükrüye
Published: April 2022

The foreign body aspiration into the respiratory system is an emergency situation with a high mortality rate, when diagnosis and treatment are delayed which can cause complications and repeated hospitalizations. Although it is especially common in children under the age of five, it can be seen at any age in chronically ill children with neurological problems. However, it is rarely seen in pediatric patients with tracheostomy and dependent on a home mechanical ventilator due to their nutritional style and severe neurological retardation. In this study, foreign body aspiration that developed in a pediatric patient with tracheostomy who was followed up with a home mechanical ventilator and fed from gastrostomy was presented.
Analysis of Prognostic Factors in Sudden Idiopatic Sensorineural Hearing Loss
Authors: YÜKSEL Fatih , TUNCER Erkun , YÜCEL Hilal , ÖZSÖZ Ekrem , KIR Sinan
Published: April 2022

Objective: Sudden idiopathic sensorineural hearing loss (SISHL) is defined as an audiological emergency and although many studies have been conducted on the factors affecting prognosis, there is no consensus yet. The aim of this study is to analyze the prognostic value of clinical and audiological factors in patients with SISHL.
Patients and Methods: The data of 210 patients, 118 male and 92 female, who were treated for SISHL, were analyzed retrospectively. Demographic data, audiometry findings, additional symptoms and diseases of the patients were recorded. Degree of hearing loss; were classified as mild (26-40 dB), moderate (41-55 dB), moderate-severe (56-70 dB), severe (71-90 dB) and deep (> 90 dB) according to pure tone audiometry test. The type of hearing loss was determined as descending type, ascending type, midfrequency type and flat type. The patients were divided into three groups as those who started treatment in the first 3 days, between 3-10 days and after 10 days. The effects of age, gender, audiometric findings, additional symptoms and diseases on pre-treatment hearing level, post-treatment hearing level and hearing gain levels were evaluated.
Results: The median age of the patients was 46.0 (18.0) years. The most common flat audiogram (54.8%) was seen in the patients. It was observed that patients with flat type audiograms had more hearing loss and less hearing gain. It was determined that hearing gain was higher in patients with severe hearing loss (p < 0.05). There was no significant difference in the pre-treatment and post-treatment hearing levels (p; 0.051 and 0.409, respectively) according to the treatment initiation time, but there was a significant difference in the hearing gain levels (p = 0.005). In patients who started treatment in the first 3 days, the gain was higher than those who started after 4-10 days and 10 days. It was observed that there was no significant difference in pre-treatment and post-treatment hearing levels and hearing gain levels according to gender, affected ear direction, additional findings and presence of diseases.
Conclusion: Early initiation of treatment was found to be the most important prognostic factor in SISHL. Raising public awareness for early diagnosis and treatment will reduce the sequelae that may occur due to SISHL.
Comparison of the Results of Sodium, Potassium, and Chlorine Measured Through Ion Selective Electrode (ISE) Method in Different Devices
Authors: AKDAĞ Turan , KADER Saadet , DOST Hüseyin , ÜNLÜ Ali
Published: April 2022

Objective: The measurements of electrolytes are an indispensable part of the routine tests performed in clinical biochemistry laboratories. In the present study, we aimed to measure serum sodium (Na), potassium (K), and chlorine (Cl) electrolytes via the ion-selective electrode (ISE) method and evaluated in terms of linearity, precision, repeatability, and accuracy levels in the Mindray BS-800M and Beckman Coulter AU5800 devices.

Material and methods: The serum samples were obtained from the healthy volunteers admitted to the Karapınar State Hospital for control purposes between January and April 2021. The sample probe was conducted using the same indirect method in the Mindray BS-800M and Beckman Coulter AU5800 devices, which is an individual sample probe for the ISE method.

Results: While the comparative measurements were performed on different devices, the correlations between the electrolytes were found as follows: Na [r=0.964, 95% CI (0.52-0.90)], K [r=0.995, 95% CI (0.09-0.12)], and Cl [r=0.972, 95% CI (0.69-1.12)]. Moreover, a correlation was also found between these results.

Conclusion: A consistency between the measured Na, K, and Cl electrolytes was determined on the different analyzers. Also, a positive correlation was determined between those electrolytes. We consider that further and comprehensive studies are needed to elucidate these results.
Elevated Serum Uric Acid to HDL-Cholesterol Ratio is Related to Cardiovascular Risk in Patients Receiving Hemodialysis
Authors: CİZMECİOGLU Ahmet , GÖKTEPE Mevlüt Hakan , AKAY ÇİZMECİOGLU Hilal , BIYIK Zeynep , COŞKUN YAVUZ Yasemin , ALTINTEPE Lütfullah
Published: April 2022

Aim: Chronic kidney disease (CKD) is a progressive disease in which frequent cardiovascular (CV) comorbidities. High uric acid to HDL-cholesterol ratio (UHR) results were quite notable in patients receiving peritoneal dialysis. Thus, in this study, we aimed to evaluate the UHR results in dialysis patients.

Materials and Methods: This retrospective, multicenter, cross-sectional study was conducted with CKD patients, and the control group consisted of hypertensive patients with a normal glomerular filtration rate (GFR). Patients’ laboratory, ambulatory blood pressure monitoring, and demographic records were obtained from the follow-up cases of two university hospitals’ internal medicine and nephrology departments. The patients' group then were divided into five subsets according to GFR.

Results: A total of 124 CKD patients and 127 control participated in this study. All CKD patients were also identified as pre-dialysis and dialysis. The cases of UHR, non-dipper blood pressure pattern, and nocturnal heart rate (HR) were increased in CKD compared to the control group. Per disease progression, the non-dipper HR and nocturnal HR were more significant in patients receiving dialysis with high UHR than in the pre-dialysis subset. In diabetic patients with an on-targeted HbA1c, those with high UHRs still had nocturnal diastolic BP elevations. Finally, there was not an exact stage-specific result for pulse wave velocity.

Conclusions: Based on our results, dialysis patients with high UHRs have higher non-dipper PR, nocturnal heart rate, and nocturnal diastole blood pressure, associated with CV risk. Moreover, effective diabetic management might not prevent CV risk in dialysis patients with high UHRs.
Examination of theses on anatomy in the field of basic medical sciences (2016-2020)
Authors: KUNDAKCI Yunus Emre , ÜNVER Nadire
Published: April 2022

Objective: The aim of this study was to reveal descriptive data about postgraduate theses on anatomy and to determine their general trends.
Material and Methods: Between the years 2016-2020 National Thesis Center of basic medical sciences, published in the department of anatomy thesis full text of 390; each of the thesis, name, type, year of publication, systematic and topographical anatomy class, study design, keywords, the situation of receiving budget support, the academic advisor, the title, the author's gender, bachelor degree and the publication of a thesis at the University of recorded and investigated. Frequency and percentage values were used for descriptive statistics and categorical variables.
Results: Of the thesis, 237 (60.8%) were written by women, 242 (62.1%) were master's theses, 254 (65.1%) thesis advisor were professor, 113 (29%) received budget support, and 169 (43.3%) used radiological methods. The bachelor degree of the thesis authors was ranked as physiotherapy and rehabilitation (n=167, 42.8%), biology (n=64, 16.4%), nursing (n=58, 14.9%) and medicine (n=57, 14.6%). Of the thesis, 126 (32.3%) were from the head region and 174 (44.9%) were from the movement system. The most used keywords; computed tomography (n=58), morphometry (n=41), anthropometry (n=30), anatomy (n=27) and magnetic resonance imaging (n=25) were detected.
Conclusion: In this study, bibliometric data about theses on anatomy were invastigated and a wide range of information was presented to the researchers in anatomy field. In recent years, it has been seen that female researchers and physiotherapists have come to the fore in anatomy postgraduate education. It can be said that especially studies involving the movement and nervous system or the head, lower and upper extremities attract the attention of researchers. In addition, radiological, experimental animal and anthropometric methods are frequently used in study designs. The result of the study is expected to shed light on anatomy graduate students, clinicians and researchers who carry out/will carry out their academic study.
Evaluation of the Usefuness of Youtube Videos as Sources Related to Vitrectomy in Vitreous Hemorrhage
Authors: SONGUR Murat Serkan , ÇITIRIK Mehmet
Published: April 2022

Objective: To evaluate the usefulness of YouTube videos about vitrectomy in vitreous hemorrhage surgery as a resource.
Methods: The first 100 videos were evaluated when they were scanned by typing "vitreous hemorrhage vitrectomy" in the YouTube search engine. These videos were also analyzed and scored using DISCERN, Journal of the American Medical Association (JAMA) and Global Quality (GQ) scoring systems.
Results: The DISCERN score of the evaluated videos was 37.2 ±6.5; JAMA score 1.9 ± 0.5; The GQ score was 2.0 ± 0.5. According to the results, vitrectomy in vitreous hemorrhage surgery videos, DISCERN score is weak; The JAMA score was evaluated as low quality and poor quality in the GQ score.
Conclusion: Although there are enough videos on YouTube with vitrectomy in vitreous hemorrhage, its usefulness as a resource is low and its quality is poor.
Sull’identità civica di Apollonia di Cirenaica
Authors: Struffolino Stefano
Published: April 2022

Si vuole dimostrare che Apollonia di Cirenaica non fu né una fondazione indipendente, né una vera e propria subcolonia, piuttosto uno scalo marittimo: “il porto di Cirene”, dove trovavano sede installazioni portuali e militari; abitata fra l’età arcaica e quella ellenistica da mercanti e artigiani, guarnigioni e personale marittimo. Seguire il suo sviluppo civico è di estremo interesse: frequentata dai membri della corte alessandrina, diviene polis autonoma con proprie istituzioni col passaggio alla dominazione romana, poi capitale della Libya superior a metà del IV sec. d.C., e in quanto tale oggetto della munificenza imperiale. Nonostante momenti di dissidio non perderà mai del tutto il legame privilegiato con Cirene.
Morphological Variation of Poplar Clones under Sub-Tropical and Sub-Temperate Conditions
Authors: Sharma Jaipal , Khurana D.
Published: April 2022

Clonal variation in morphological growth parameters of Populus deltoides and P. ciliata were studied in the nursery stages in Sub-tropical (Naganji) and Sub-temperate (Shilli) regions to assess their planting success and growth potential in their climatic zones. P. deltoides clones planted in Sub-tropical nursery recorded highest average height (298.70cm), basal diameter (21.75mm) and leaf area (175.40cm2) with clone ‘PD-1’ sharing maximum height (350.00± 26.07cm) and leaf area (193.70±6.86cm2). Whereas, basal diameter was recorded maximum in the clone ‘G-48’ (25.05±3.77mm). Among P. ciliata clones planted under Sub-temperate condition clone ‘Chhachpur’ recorded maximum height (159.00±24.54 cm) and leaf area (104.25±26.40 cm2) growth, whereas, basal diameter of 12.48±0.55 mm was found maximum in P. deltoides clone ‘90-2’. Standing fresh leaf biomass significantly decreased with advancement in month. Dry leaf biomass increased significantly from September to October. While, significant variation between sites having maximum fresh as well as dry leaf biomass was observed in sub-tropical nursery. It was observed that average height, diameter, leaf area and leaf biomass were almost double in the clones at Sub-tropical (Naganji) nursery as compared to Sub-temperate (Shilli).
Religious and Sociocultural Values and Their Role in Self-Identity Construction
Authors: Al Areqih Rashad Mohammed Moqbel
Published: April 2022

Religious and sociocultural values play a significant role in constructing a person’s self-identity and influencing their choices. This paper explores the religious and sociocultural values depicted in Akwaeke Emezi’s The Death of Vivek Oji (2020) and the impact of those values on Vivek's life decisions. Vivek's self-identity construction is highlighted, as well as how religious and sociocultural values influence his decisions and isolate him from the world of adults in favor of spending time with peers he trusts and who show more tolerance and openness toward his choices. Through a sociocultural and textual lens, this study traces Vivek's transformation, and how his lifestyle choices impact both his appearance and the discovery of himself. This paper outlines why the choices Vivek makes do not match the sociocultural and religious values of his community, which leads him to isolate himself and choose a life he prefers, away from his family and the world of adults. His choices lead him to a tragic end, with his bewildered mother finding her son dead, rolled in colorful fabric, at her front door. Vivek's disorienting blackouts distract his parents from recognizing the shifts taking place in their son's life, beginning with changes to his appearance: long hair, interest in makeup, and women's dresses. His parents find out after his death about the life Vivek led as a homosexual, which the religious and sociocultural values of the community could not appreciate or approve of.
Case Report of a Patient Who Underwent Supercharge end-to-side (SETS) Transfer for Proximal Ulnar Nerve Injury Using AIN (Anterior Interosseous Nerve) Motor Branch
Authors: Kütük Emir , Baysal Özgür , Msangi Waziri Juma
Published: April 2022

If proximal ulnar nerve injuries are not intervened, it usually leads to irreversible and negative consequences. It results in motor and sensory defects in the areas innervated by the ulnar nerve and weakness in the intrinsic muscles of the hand. In patients with irreversible ulnar nerve damage due to cubital tunnel syndrome that have been left untreated for a long time, or proximal ulnar nerve injuries due to other reasons, the SETS method can restore especially the intrinsic functions of the hand.
In this article, a patient with ulnar nerve damage that developed after benign tumor resection in the vicinity of the ulnar nerve, and the SETS operation and its results, which was performed for a patient whose ulnar functions did not return despite being followed with EMG for 1.5 years, are presented.
The Effects of Dexamethasone Used in the Treatment of Chronic Subdural Hematoma
Authors: Navruz Yüksel , Öztürk Erek , İplikçioğlu Ahmet Celal
Published: April 2022

Aim: In this study, we aimed to analyze the properties of drained subdural fluid and post-operative follow-up of patients with chronic subdural hematoma subdivided randomly into two groups according to presence or absence of dexamethasone treatment.
Material and Methods: 42 patients with chronic subdural hematoma were involved in this study. The patients were divided into two groups according to dexamethasone treatment. 21 of the patients were treated with dexamethasone. All patients underwent burr hole craniotomy and a closed system drainage was constructed. The amount and properties of per-operative versus post-operative drained subdural fluid (hemoglobin, total protein and albumin levels) were analyzed. Cranial computerized tomography scans were used for follow-up and presence of fluid collection in subdural space was controlled.
Results: When compared to per-operative laboratory results, statistically significant decrease was observed in both groups. However, the decrease in dexamethasone group was more significant compared to none-dexamethasone group. Follow-up computerized tomography results showed rare new subdural fluid collection development in dexamethasone group.
Conclusion: As a result, Our findings suggest that surgery with dexamethasone treatment in chronic subdural hematoma patients has a more favourable clinic result compared to surgery without dexamethasone treatment.
The Effect of Debt to Equity Ratio and Current Ratio on Return on Assets
Authors: Susilawati Deti , Agusetiawan Shavab Firli , Mustika Meri
Published: April 2022

The purpose of this study is to see how the Debt To Equity Ratio and Current Ratio affect the Return On Assets in pharmaceutical sub-sector manufacturing companies listed on the IDX from 2015 to 2019. Purposive sampling was used to determine the sample size in this study. Verificative and descriptive approaches were used in this study. Quantitative data analysis was used in this study. Based on the results of the partial test, it shows that the Debt To Equity Ratio has a significant negative effect on Return On Assets, and the Current Ratio has a significant positive effect on Return On Assets in Pharmaceutical Sub-Sector Manufacturing Companies Listed on the IDX in 2015-2019. Simultaneously, the Debt To Equity Ratio and Current Ratio have a significant positive effect on Profitability (ROA) in Pharmaceutical Sub-Sector Manufacturing Companies Listed on the Indonesia Stock Exchange in 2015-2019. The percentage contribution of the influence of Debt To Equity Ratio and Current Ratio to Return On Assets is 25%, while the remaining 75% can be explained by other factors not examined in this study.
Implementation of Innovation Strategy, Intellectual Capital in Efforts to Increase Financial Performance
Authors: Lintang Prakoso Renan , Uzliawati Lia , Lestari Tri
Published: April 2022

The purpose of this study is to analyse the influence of innovation strategy and intellectual capital on organizational performance in the context of developing countries. The sample consists of 41 managers of manufacturing companies in the steel industry in the province of Banten, Indonesia. Data were analysed by partial least squares–structural equation modelling. This study provides empirical evidence that the three components of intellectual capital produce a positive and significant effect on firm performance. Structural capital is the component that has the most influence on performance. It also shows a positive and significant relationship between innovation strategy and intellectual capital. Structural capital is also the component most influenced by the innovation strategy. This research uncovers limitations for the future. First, the work uses as the only source of information, consulting at the highest level of the company. Second, this study only covers manufacturing industry companies. The results may have important practical implications for stakeholders and managers and offer a vision of the influence of intellectual capital on the innovative capacity of organizations. The value of work lies in the importance of intellectual capital in a developing country like Indonesia, given the low level of knowledge in this field.
Transformation Financial Services Authority in the Digitalization Era
Authors: Irfan Ibrahim Master , Yunia Dabella
Published: April 2022

Research aim for analyze policies and regulations and Steps _ develop Financial Services Industry , strengthening institutional Financial Services Authority , the role of OJK as part from Committee Stability System Finance . Method research used in research _ is method descriptive . Researcher analyze based on source reference as Regulation Government , Laws and Regulations from Financial Services Authority . Research results consist on Policies and regulations and Steps _ develop Financial Services Industry has regulated by law Number 21 of 2011 which can be applied with a number of stage , that is Step preparation , implementation and evaluation . Strengthening institutional Financial Services Authority performed on various aspect , that is aspect services , resources people and budget institution . OJK's role as part from Committee Stability System Finance done with guard stability system finance could done with response and synergy policy .
Investigation of Gastrointestinal Complications in Patients Given Enteral Nutrition
Authors: Gönderen Kamil , Er Döngel Hilal , Öztoprak Kol Elif
Published: April 2022

Objective: While deciding on the route of nutritional support therapy, the cost-effective enteral route that preserves the integrity of the gastrointestinal system and supports immune functions should be the first choice. During enteral nutrition, many complications that may lead to the interruption of nutrition may develop. This study was conducted to examine the gastrointestinal complications that developed in patients who received enteral nutrition.
Methods: 300 enterally fed patients who were treated in intensive care unit and wards were included in the study. Patients’ age, gender, concomitant disease, diet, duration, type and amount of product, energy value, feeding route and developing gastrointestinal complications were recorded. Gastrointestinal complications and related factors in patients were investigated.
Results: Of the patients included in the study, 53.7% (n=161) were male, 35.7% (n=107) were between the ages of 66-79 years, and 92% (n=276) had at least one diagnosed disease. 77.7% (n=233) of the patients were fed by nasogastric (NG) tube, 50.6% (n=152) were fed by continuous infusion. It was determined that gastrointestinal complications developed in 40.7% (n=122) of the patients during the enteral feeding process, and diarrhea and high gastric residual volume were the most common complications. Aspiration and ileus did not develop in any of the patients. A significant difference was found between feeding time, daily amount, route of administration and infusion method, and gastrointestinal complications (P < .001; P = .041; P = .003; P = .005). No relationship was found between gastrointestinal complications and gender, age group, comorbid disease status, and the type of nutritional product according to energy content.
Conclusion: Gastrointestinal complications may frequently develop while patients are given enteral nutrition, which should be the first choice of nutritional support. The most common gastrointestinal complications encountered in this study were diarrhea and high gastric residual volume. It is thought that the duration of feeding, the amount, the route of administration and the infusion method may affect the development of gastrointestinal complications. Patients should be followed closely for complications.
Malnutrition Prevalence Increased During the COVID-19 Pandemic in Patients with Dementia: A Retrospective Study from the Geriatric Outpatient Clinic
Authors: Güner Oytun Merve , Ceylan Serdar , Öztürk Yelda , Koca Meltem , Okyar Baş Arzu , Balcı Cafer , Balam Doğu Burcu , Cankurtaran Mustafa , Halil Meltem Gülhan
Published: April 2022

Objective: Individuals who are clinically vulnerable and older are more susceptible to severe consequences, either directly from the coronavirus disease 2019 (COVID-19) infection or indirectly from the rigorous social isolation policies. Increased frailty, reduced quality of life, high level of stress, and increased depressive symptoms were observed during the social isolation period. Patients with dementia are more vulnerable to the direct and indirect effects of COVID-19. In this study, we have explored the impact of the COVID-19 pandemic on nutrition in patients with dementia who were followed up in our outpatient clinic.
Methods: Patients with a diagnosis of dementia who were followed up in the geriatric outpatient clinic at our university hospital were included in the study. The risk of malnutrition was evaluated using the Mini-Nutritional Assessment-Short Form (MNASF). An MNA-SF score between 8 and 11 was defined as risk of malnutrition, and scores < 8 were accepted as malnutrition. A retrospective study was performed using the identified electronic records of 121 patients who were admitted to the hospital between March 11, 2020, and March 31, 2021.
Results: The mean age of the study population was 80.12 ± 7.12 years, and 60.3% of the patients were female. The MNA-SF scores decreased and malnutrition prevalence increased as the dementia worsened, and the difference before and during the pandemic was statistically significant (P < .05).
Conclusion: For patients living with dementia, COVID-19 restrictions, particularly those related to social isolation like social distancing and lockdowns, might not only have mental and cognitive implications but also disturb their already vulnerable nutritional status.
Shakespeare in Japanese Pop Culture
Authors: Yoshihara Yukari
Published: April 2022

Adapting Shakespeare’s literary works for introduction into Japanese popular culture has been an act of intercultural translation. Shakespeare and Japanese popular culture, particularly manga [Japanese graphic novels] could be seen as cultural polarities: the West vs. the East, as represented by Japan, a contrast between high culture and pop culture, the canonical vs. the lowbrow. Yet Shakespeare’s works as adapted in manga format do, as this article argues, problematize such hierarchical distinctions. Shakespeare found in manga can be both a challenge and a tribute to his authority, giving him a global and intercultural after-life. The first group of Japanese manga with Shakespearean motifs dates back to the early 20th century. Similar efforts have since continued through to the early 21st century, making manga with Shakespearean motifs a conspicuous, widespread phenomenon as part of Japanese pop culture. The greatest recent contribution in this regard is Manga Shakespeare Series. Published by a British publishing house, it helped to turn manga into an important vehicle for the intercultural translation of Shakespeare.
This article aims at placing into perspective Shakespeare and his presence in Japanese pop culture in general and in Japanese manga in particular. Specifically, efforts will be made to introduce Japanese manga with Shakespearean motifs as a genre and show how it has become a representative intercultural art collaboration form. Western graphic novels with Shakespeare incorporated will be contrasted with Japanese manga, including Classics Illustrated, to see different levels of faithfulness to one of the world’s greatest writers.
The findings indicate that while Western graphic novels tend to show a higher levels of faithfulness to the original works, Japanese manga takes greater liberty with Shakespeare. This suggests that manga with Shakespearean motifs should be viewed not as debasement of his literary authority but as creative innovation. Rather than trying to remain strictly faithful to Shakespeare’s original works, efforts should be made to identify previously overlooked aspects of Shakespeare’s works and expand the possibility of making the most of his legacy in enriching the human culture through hybridization and glocalization.
Constructions of ‘Indonesian-ness’ in Modern Art and Artistic Identity in a Politically Fraught Terrain during the 1950s
Authors: Rath Amanda
Published: April 2022

After four years of physical struggle and diplomacy, Indonesia’s independence was officially recognized, and its sovereignty transferred on 27 December 1949. While protracted struggle and sacrifice to obtain independence had galvanised the people around an idea of Indonesia, this shared experience and political victory could not provide the sole points of reference for the social and cultural transformation necessary to engender national unity. In this article, I engage three conflicting yet ultimately overlapping arguments and positions, each one positing a modern artistic subjectivity and perspectives of an Indonesian modern art. At stake was not only participation in constructing a national identity, and giving meaning and expression to an amorphous keIndonesiaan (Indonesian-ness), but also related issues of creative freedom and the role art and artists would play in its formation.
Regardless of their ideological differences, the positions discussed here share a common commitment to the nation and its future, and the conviction that the revolution remained incomplete—having achieved its political but not its social and cultural aims. This includes arguments of a complex figure of a new man/humanity. Here, I argue a construct of artistic subjectivity in which connotations of truth and authenticity are posited as aspects of a specific aesthetic identification within the discourse and construction of Indonesianness.The intellectual horizons under discussion were simultaneously egalitarian and elitist. Media and mediation played key roles in the dissemination of such arguments of modern artistic subjectivity.
I keep my case studies specific to ideas put forward by artists and writers publicized roughly between the years 1950 to 1955. During this brief period, just prior to the first national elections, the arts experienced a kind of democratization, and can be considered among the freest and most dynamic in terms of the relationship between art, politics and nationalism, between artists and the state.
Role of Interculturalism in the Time of the COVID-19 Pandemic
Authors: Kim Sangsoo
Published: April 2022

This article reports on the results of online discussions held in February-March 2022 to share different perspectives on the impact of the COVID-19 pandemic crisis upon interculturalism. Organized under the title “The Role of Interculturalism in the Time of the COVID-19 Pandemic”, the editors of INContext invited scholars from various academic backgrounds. The aim of this discussion was not to provide practical solutions nor to draw a coherent picture of the current crisis provoked by the pandemic. Rather, it endeavored to test the possibility of analyzing this crisis in terms of interculturalism, thereby seeking the possibility of broadening the approach in general. There has been a large amount of scholarly research on the impact of the COVID-19 pandemic upon global community in various academic fields. In order for intercultural studies to make a contribution to this task, it is urgent to encourage active exchange of opinions among those whose academic interests lie in cultural communications and interactions.
This article first summarizes some notable academic discussions on intercultural studies, including politics, education, art, and  iterature. Comparing the opinions submitted for the discussions is the basis of the present research before drawing any significant academic implications. Among those who provided their opinions through various channels, five scholars were chosen to represent different aspects of the topic: the psychological aspect of the COVID-19 crisis; the implications of cyber literature access for youtheducation; the efforts of a regional community to maintain its creative spirit in arts and culture; and the crisis of liberalism in international relations. The contribution from these five scholars provided the basis for the case studies presented here and analyzed through an intercultural lens for the impact of the COVID-19 pandemic on humanity.
Just as the scope of intercultural studies is shaped and enriched by contributions from many academic fields, the participants in the online discussions cited here also entertain the hope that this article will help INContext shape the agenda in the field of interculturalism and thereby spearhead academic endeavors to include divergent perspectives in the quest to understand humankind and the diverse cultural manifestations which are its reflection.
Practitioners’ Understanding Of Sociological And Medical Models Of Mental Illness When Working With Ethnic Minority Victims/Survivors Of Child Sexual Abuse (CSA)
Authors: Sawrikar Pooja
Published: April 2022

Being unaware of the pros and cons of a sociological versus medical approach to the treatment of mental illness as a result of child sexual abuse (CSA) risks abuse of gendered power in the clinical setting and disengagement from ethnic minority clients who already traverse steep barriers to help-seeking. To address this, an education/training program was developed, delivered, and evaluated in Australia over six months using mixed-methods (T1 n=112, T2 n=44). At T1 and T2, hardly any participants thought a sociological approach – which squarely names sexism – was not useful or effective. However, they were mostly social workers and counsellors, and therefore centrally aware of social justice issues. Replication with medical practitioners is required to see how findings compare. The results also speak of ethnic minority practitioners becoming feminists against highly valued traditional gender roles in collectivist cultures, and of Anglo practitioners not judging highly patriarchal societies to demonstrate respect for difference. The results contribute new and innovative data, including about practitioners’ commitment to social justice when faced with forced choice questions about it. This study provides a platform for future participatory research with victims/survivors and medicos, so patriarchy outside the clinical context is held to professional account and not repeated within it.
Improving Ability in Reading the Qur’an for Students at Hidayatullah TPA Bogor Through the Art of Learning the Qur’an with the Tilawati Method
Authors: Rustamaji
Published: April 2022

This research will be carried out to know how to implement the tilawati method for students at TPA Hidayatullah Bogor in studying the Qur’an and various factors that influence this implementation process. This research was carried out using various data obtained from various research results and previous studies related to this research. The results of this study indicate that the implementation of the increased learning of the Qur’an through the tilawati method for the students at the Hidayatullah TPA went quite smoothly. This success is due to the good understanding possessed by the teachers in implementing this tilawati method, sufficient supporting facilities and infrastructure, adequate time allocation, and a fairly conducive environment for learning so that the students possess a spirit to be able to learn Al-Qur’an well through this tilawati method.
Relationship between Anxiety Rate with the Improvement of Blood Pressure in Patients of Elektif Properation are Surgery
Authors: Barreiro Pablo
Published: April 2022

Preoperative nursing action is an action performed by the nurse in order to prepare the patient for surgical measures in order to ensure the safety of intraoperative patients. When faced with surgery actions that are not hypertensive patients may increase their blood pressure temporarily due to the two most common factors of pain, and anxiety. This study aims to determine the relationship of anxiety levels with increased blood pressure in elective preoperative patients. This research using cross sectional approach, accidental sampling sampling method. The sample of this study were 30 elective preoperative patients with no history of hypertension. Measurement of anxiety using Hamilton Anxiety Rating Scale and blood pressure using Spymomanometer. Chi square test results showed that there is a significant relationship between anxiety levels with an increase in blood pressure (pvalue = 0.023).
Fattening practices of beef cattle for quality meat production at Rangpur district of Bangladesh
Authors: Hasan MM , Hashem MA , Azad MAK , Billah MM , MM Rahman
Published: April 2022

The study was aimed to assess the ongoing beef cattle fattening practices at some selected areas of Rangpur district of Bangladesh. The survey was carried out through a structured questionnaire among 45 selected farmers during February to June, 2020. Parameters studied were the roughage and concentrate feeding practices, treatment of straw or green grass, ration formulation, introduction of steroids for fattening, cost return analysis of cattle fattening practices. It was found from the study that the respondents were About 55.55% farmers used own capital for fattening, while 33.33, 6.67 and 4.44% farmers got money from NGO, other people and bank loan respectively. Most of the farmers (44.44%) reared indigenous bulls compared to crossbred (24.44%) and mixture of both (31.11%). A significant number of farmers reared uncastrated bulls (88.89%) and nobody reared cows or heifers for fattening. Majority of the farmers’ fattened cattle only before Eid-ul-Adha (57.78%) and only 24.48% farmer fattened cattle round the year and the rest of the farmers practiced seasonal fattening. Majority of the farmers supplied roadside grass (55.56%) as the source of forages compared to straw (17.78%) and cultivated fodder (26.67%). In case of concentrate feeding, only 20% farmers supplied commercial pellet feed, 35.56% supplied local hand mixed feed and 44.44% supplied both pellet and hand mix feed. Among the cattle fattened farmers only 5% farmers administered steroids as a growth promoter and 95% of them did not use any kinds of growth promoter at the period of fattening. Therefore, beef would be safe for human consumption without any health hazard.
Effect of storage periods on the quality and shelf life of beef liver at refrigerated temperature
Authors: MS Akhter  , H Khatun  , MA Hashem  , MM Rahman  , M Khan
Published: April 2022

The current study investigated the quality and shelf life of beef liver storage under refrigerated temperature (4°C). For this purpose, raw beef liver sample was divided into five treatments groups as T1 (day 1or control), T2 (day 2), T3 (day 3), T4 (day 4) and T5 (day 5). Sensory attributes, proximate composition, pH value, cooking loss, free fatty acids (FFA), peroxide value (POV) and microbial load such as total viable count (TVC), total coliform count (TCC) and total yeast mould count (TYMC) analysis were carried out for each treatment. The results show that color, odor, juiciness, and tenderness were significantly (P<0.05) decreased with increase the storage periods. Dry matter and ash contents were significantly (P<0.05) increased, whereas, crude protein and either extract were decreased with increase storage periods. Consequently, the cooking loss (%), FFA and POV values were significantly (P<0.05) increased, while pH value was significantly (P<0.05) decreased with the increase of storage periods. Moreover, TVC (log CFU/g), TCC (log CFU/g), and TYMC (log CFU/g) were also showed significantly (P<0.05) higher value for T3 and T5 compared to T1 . These findings suggest that shelf life of raw beef liver at refrigeration temperature (4°C) may be maximum three days with minor changes of quality.