bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparative Analysis between Monopolar and Bipolar TURP - A Single Institute Prospective Controlled Study
Authors: Patel Prashant , Patel Krunal
Published: November 2021

Background: The ‘gold standard’ surgical treatment of clinically obstructive BPH is TURP, but life-threatening complications such as transurethral resection syndrome are occasionally observed. This has traditionally been provided as monopolar TURP, but morbidity associated with MTURP has led to the introduction of other surgical techniques.
Objectives: To compare the effects of bipolar and monopolar TURP.
Methods: In this prospective comparative study, 50 patients of each group undergo transurethral resection of prostate were enrolled and randomized to surgery by M‑TURP or B-TURP. International Prostate Symptom Score (IPSS), uroflowmetry, ultrasonography, prevoid, postvoid and international prostate symptom score (IPSS), maximum urinary flow rate (Qmax), postvoid residual urine (PVRU) volume, and prostate volume (PV). Complications and sequelae also assessed. Comparisons performed.
Results:No significant differences found in baseline characteristics or operative data, No differences found in IPSS, Qmax or PVRU volume.
Conclusions:Based on this controlled trial, there is not significant variation in effectiveness and safety between M-TURP and Bipolar -TURP for the treatment of BPH. Accordingly, M-TURP continues to be a valid option for the treatment of BPE.

Keywords: Transurethral resection of prostate, Monopolar, Bipolar.
Observational Study to Evaluate the Lipid Profile Abnormalities among Newly Diagnosed Hypertensive Patients
Authors: Kumar Sidhant , Kumar Manish
Published: November 2021

Objective and Aim: Variations from the norm of lipid profile and hypertension frequently coincide. The present study was conducted to evaluate the lipid profile abnormalities among hypertensive patients.
Material and Method: This is a retrospective observational study conducted at a primary diabetes and cardiology clinic OPD among 200 patients whose clinical records are well maintained or fully available at the clinics registry. After getting individual patient consent the data collected and analysed to draw a study conclusion.
Result: 48.4 ± 6.9 years was the mean average age of study group whereas for the control group it was 49.3± 5.9 years. In the age group 40-49 years occurrence of hypertension was seen in extreme as compare to other age group. In study groups total cholesterol, triglyceride, HDL Cholesterol and LDL Cholesterol were significantly higher as compared to control group (p<0.05). Among the hypertensive subjects most frequently occurring abnormality was elevated TC (78%), followed by elevated LDL (66%).
Conclusion: Among newly diagnosed hypertensives lipid variations are highly prevalent as documented in this study. Hypertension is the one of the major risk factor for coronary artery disease and for this biologic interrelations between serum lipids and blood pressure further worsen the condition. Hence to prevent complications early detection and aggressive treatment of dyslipidemia in hypertensive patients should be carried out.

Keywords: Hypertension, Lipid profile, Cardiovascular Diseases.
Analysis of Nurses’ Performance at Royal Prima Medan Hospital Use Analytic Hierarchy Process (AHP) Method and the 2020 Rating Scale Method
Authors: Siregar Lisdawaty , Girsang Ermi , Nasution Ali Napiah
Published: November 2021

Nursing as a service area, is very labor-intensive, making nursing management particularly challenging due to the diverse experiences and educational backgrounds of employees in health care settings. Types of work, as well as workers, challenge nursing managers to create the type of environment that facilitates quality nursing practice. The nurse manager has specific responsibilities for the hospital and the staff. Staffs, in turn, have responsibilities towards both the organization and the manager. The purpose of this study was to analyze the effect of nurses’ performance using the Analytic Hierarchy Process (AHP) method and the Rating Scale method at the Royal Prima Hospital, Medan. This research is a descriptive-analytic study. The study was conducted from April to August 2020 at the Royal Prima Hospital Medan. The number of samples is 50 people. The results showed that there was a significant relationship between the performance of nurses using the Analytic Hierarchy Process (AHP) method and the Rating Scale at the Royal Prima Hospital Medan in 2020. The results of the multivariate test can be seen that the Analytic Hierarchy Process (AHP) method is the most influential. is a quantity. In the Rating Scale method, the most influential is quality. It is hoped that prioritization can be made to conduct a performance review to identify existing weaknesses so that improvements can be made continuously continuous for all services.

Keywords: Royal Prima Hospital; Nurse Performance; AHP; Rating Scale Method;
Correlation of Clinico-Histopathological Findings in Leprosy Patients at Tertiary Care Hospital, Bhilai, CG
Authors: Dewangan Bhuvaneshwari
Published: November 2021

Background: Leprosy continues to be public health problem in India. In India, Chhattisgarh state is having the highest prevalence rate of 2.33 per 10000 populations presently. Leprosy expresses itself in different clinics - histopathological forms depending on the immune system the host. Objective: To find the strength of the relationship between clinically diagnosed leprosy patients with histopathological findings.
Materials & Methods: This was a prospective study was carried out on 42 new cases of leprosy attending the outpatient department of dermatology and venereology of J. L. N. Hospital and Research Centre Bhilai Steel Plant Bhilai from March 2009 to December 2010 & all the patients were included after taking informed consent. All the cases were subjected detailed history and through clinical examination & histopathological examination of skin tissue as per the structured pro forma.
Results: The Male female ratio was 1:1. Majority of the patients were belonged to the age group between 41 to 60 years. Overall positive correlation found between Clinico - histopathological was 0.69. Majority of the patients were found in the borderline tuberculoid leprosy in Clinically & Histopathological findings. The overall agreement was good between clinical spectrum and histopathological findings.
Conclusion: In some early cases, clinical signs and symptoms may precede the presently known characteristic tissue changes or vice versa. If a biopsy is taken at an early stage, there is likely to be discordance between the clinical and histopathological observations.

Keywords: Leprosy, Clinical Examination, Histopathological Examination, Strength of relationship.
Effect of IPD Implementation and Communication between Contractor and Owner on the Success of a Building Project in Jakarta Barat
Authors: Harjono Riko , Gusfa Henni , Kusuma Bintoro Bambang Purwoko
Published: November 2021

The contractual working relationship between the contractor and the assignor in implementing a project is very complex. So that in achieving the success of the project, a project implementation system with integrated delivery and effective communication between organizations is needed. This study aims to analyze project success in terms of integrated project delivery and communication between contractors and task givers. The independent variables used in this study are integrated project delivery (x1) and communication (x2). The dependent variable used is project success (y). The samples in this study were 42 respondents. Data were collected by distributing questionnaires. The collected data were analyzed using structural equation modeling (SEM) with validity, reliability and hypothesis testing. The results showed that the implementation of integrated project delivery and communication had a positive and significant effect on the success of the project between the contractor and the assignor. Meanwhile, influential indicators are: innovative project delivery system (x1.20) and the coordination relationship between the project office and the head office (x2.15).

Keywords: Integrated project delivery, Komunikasi, Kontraktor, Owner, Keberhasilan Proyek.
Nghiên cứu khả năng hấp phụ nước nhiễm phèn tại xã Tân Tiến, huyện Tri Tôn, tỉnh An Giang bằng than sinh học làm từ rơm rạ
Authors: Kiều Đỗ Minh Luân , Huỳnh Minh Luân
Published: November 2021

Mục tiêu của bài báo nhằm sử dụng có hiệu quả nguồn sinh khối từ cây lúa tại An Giang cụ thể là tại xã Tân Tiến, huyện Tri Tôn để góp phần đa dạng các biện pháp xử lý nguồn nước bị nhiễm phèn và góp phần tạo thêm vật liệu mới dựa trên nguồn nguyên liệu sẵn có ở địa phương nhằm mục đích cung cấp nước sạch cho nhu cầu sinh hoạt và sản xuất của người dân tại huyện Tri Tôn.
Biện pháp nâng cao hiệu quả thực hiện công việc cho đội ngũ giảng viên cố vấn học tập Trường Đại học Sư phạm - Đại học Huế
Authors: Nguyễn Thị Hà
Published: November 2021

Cố vấn học tậpcó vai trò đặc biệt quan trọng, không thể thiếu trong việc đảm bảo và nâng cao chất lượng đào tạo của các trường đào tạo theo phương thức tín chỉ. Bài báo đi vào phân tích kết quả nghiên cứu mong đợi của sinh viên đối với việc thực hiện công việc của cố vấn học tập Trường Đại học Sư phạm - Đại học Huế năm học 2016-2017. Từ đó, xác định các biện pháp giúp cố vấn học tập Trường Đại học Sư phạm - Đại học Huế nâng cao hiệu quả thực hiện công việc của mình.
Habitat Types Effect on Diversity, Distribution and Abundance of Dung Beetles
Authors: Noureen Nadia , Hussain Mubashar , Malik Muhammad Faheem , Umar Muhammad , Abbas Zaheer , Munaward Saira
Published: November 2021

Dung beetles are ecologically important taxa to study the assessment of habitat modification and disturbance across the globe. This study was aimed to explore community composition, species richness and abundance of dung beetles in response to Gujrat, Punjab, Pakistan. Dung beetle assemblage were sampled from four habitat (natural rangeland, cropland, roadside and housing colonies) during 2014-2016 by placing pitfall traps baited with cattle dung. A total number of 540 specimens representing 17 species belonging to seven genera and four tribes were collected. We calculated species relative abundance in natural habitat (34.8%), cropland habitat (40.4%) and in road side areas (25.2%) was recorded, whereas no specimens were recorded in urban areas. Aphodius contaminatus (42.96%) was the most abundant species followed by Onitis castaneous (26.29%) and Onitis singhalensis (20.74%). Tunnellers (50.58%) and dwellers (49.01%) were dominant in all habitats, whereas rollers were least abundant (1.37%). The values of Shannon-Wiener (H) diversity and evenness (E) showed variations among different habitats i.e. natural habitat (H=1.20; E=0.55), cropland habitat (H=1.41, E=0.32) and roads-side (H=0.80, E=0.37). The study showed that cropland served as a major habitat for dung beetles due to its uniformity and close association with mammalian fauna. The results emphasized that natural habitats within the agro-ecosystem have become isolated and fragmented habitat with lesser stability and low resources thus resulting into less diverse habitat. Roadside areas are in close proximity with cropland and act as corridors for efficient species flow within ecosystem due to cattle movement through these areas.
Effect of Different Doses of Compost on Growth and Yield of Cotton
Authors: Kolachi Meer Muhammad , Nahiyoon Ashfaque Ahmed , Sehto Ghulam Nabi , Zaman Babar
Published: November 2021

Effect of Different Doses of Compost on Growth and Yield of Cotton

Cotton is main cash crop of Pakistan that is also called "white gold". Majority of farmers from Punjab and Sindh cultivate it and earn high value in market to improve their livelihood. It is very important crop for cotton industry and people because, it provide raw material to industry and job to workers who serve in this sector from sowing to harvesting,ginning to weaving and selling. Cotton sector play important role in National economy as it is also a rich source of edible oil. In current scenario, growing cotton is becoming costly due to use of expensive inputs. To play part in reducing input cost of cotton present study conducted. The study aimed to evaluate efficacy of compost developed from crop refuse at zero cost. For this purpose performance of three cotton varieties MNH 886, FH 142 and IR 901 checked at five doses100 Kg, 200 Kg, 300 Kg, 400 Kg and 500 Kg of compost per acre. Results revealed that MNH 886 performed good among all three varieties on all doses followed by FH 142 and IR 901 respectively. MNH 886 performed good than all others, where maximum seed germination recorded 72.67%, plant height 138.93 cm, root length 35.43 cm, numbers of branches11.56, numbers of bolls 45.78 and yield 1840 Kg per acre on 500 Kg compost per acre recorded.However, minimum seed germination 48.56%, plant height 93.02 cm, root length 25.24 cm, numbers of branches 8.67, numbers of bolls 11.89 and yield was recorded 1042 Kg on 100 Kg compost per acre. Same trend of maximum growth at 500 Kg and minimum at 100 Kg compost observed on FH142 and IR901.
Analysis of Factors Affecting Return Visits: A Study on Religious Tourism of Sunan Ampel Surabaya
Authors: Anshori Mohammad Yusak , Mardhotillah Rachma Rizqina , Salamah Umi
Published: November 2021

Penelitian ini bertujuan menganalisis faktor-faktor yang mempengaruhi minat kunjung kembali pada objek wisata religi Sunan Ampel Surabaya. Pertanyaan dari penelitian ini adalah bagaimana meningkatkan minat kunjung kembali pada objek wisata religi Sunan Ampel Surabaya. Penelitian ini dilakukan dengan cara menguji pengaruh Citra Wisata, Mutu Wisata dan Nilai Pelanggan guna meningkatkan minat kunjung kembali pada obyek wisata Religi Sunan Ampel Surabaya. Daya tarik wisata digunakan sebagai variabel intervening. Populasi dari penelitian ini adalah wisatawan yang berkunjung ke objek wisata Religi Sunan Ampel, dan yang sudah pernah berkunjung sebanyak dua kali. Dengan criteria usia mulai dari 16 sampai 40 tahun di kalangan remaja sampai orang tua. Sampel dari penelitian ini adalah 150 responden yang didapat dengan metode purposive sampling. Metode analisis data pada penelitian ini menggunakan path analysisdengan software smartPLS. Hasil penelitian ini membuktikan tiga hipotesis diterima dan satu hipotesis ditolak. Tiga hipotesis yang diterima mencakup mutu wisata berpengaruh positif dan signifikan terhadap dayatarik wisata, citra wisata berpengaruh positif dan signifikan terhadap dayatarik wisata, dan nilai pelanggan berpengaruh positif dan signifikan dengan minat kunjung kembali. Hipotesis yang ditolak adalah dayatarik wisata berpengaruh negatif terhadap minat kunjung kembali.
Dyrektor jako zarządzający procesem rozwoju zawodowego nauczycieli
Authors: Kuźniar Kinga
Published: November 2021

„Jakie formy wspierania rozwoju kompetencji dydaktycznych nauczycieli deklarują dyrektorzy szkół w trudnych dla edukacji czasach kryzysu?”. Odpowiedź na to pytanie problemowe starano się znaleźć prowadząc badania sondażowe nie podczas rozmów w dyrektorskich szkolnych gabinetach, ale wykorzystując coraz popularniejsze wśród nauczycieli i studentów pedagogiki narzędzia internetowe. Wyniki badań potwierdziły, że mimo trudności życie w szkołach nie zamarło. Nauczyciele są nadal zainteresowani swoim rozwojem zawodowym, a dyrektorzy reprezentujący różne style zarządzania podejmują rozmaite działania, by ich w tym wspierać.
Psychologiczne i medyczne aspekty oddziaływań wobec dziecka przewlekle chorego psychosomatycznie i jego rodziny
Authors: Czuba Barbara
Published: November 2021

Praca lekarza każdej specjalności wymaga nie tylko znajomości określonej dziedziny medycyny, lecz także umiejętności poznawania drugiego człowieka i jego problemów oraz nawiązywania z nim dobrego kontaktu. Umiejętności te nabierają szczególnego znaczenia w sytuacji, gdy pacjentem jest dziecko. W leczeniu małych pacjentów niezbędnymi partnerami są rodzice. Od lekarza zależy, czy będzie potrafił nawiązać z nimi kontakt, zarówno w celu zebrania informacji o samopoczuciu, jak i w celu nawiązania kontaktu. Rodzice często borykają się z poczuciem bezradności oraz samotności, a także z poczuciem winy. Możliwość podzielenia się przez rodziców z lekarzem ukrywanymi negatywnymi uczuciami i tym, jak przeżywają chorobę dziecka, daje im poczucie bycia wspieranym i łagodzi napięcie. Rozmowa i wsparcie muszą być dostosowane do konkretnej rodziny, co oznacza, że niezbędne jest rozeznanie sytuacji i potrzeb członków rodziny oraz wzięcie pod uwagę ich oczekiwań.

Celem niniejszego artykułu jest omówienie najbardziej podstawowych zagadnień dotyczących psychologicznych aspektów sprawowania opieki medycznej nad dzieckiem oraz funkcjonowania dziecka przewlekle chorego psychosomatycznie, jak i jego rodziny.
Actitudes hacia la ciencia y la investigación en miembros de instituciones de educación superior de Bogotá: diferencias por variables demográficas y de rol académico
Authors: Serje Gutierrez Valery , Prieto Patiño Luis Enrique , Riveros Munévar Fernando
Published: November 2021

El objetivo de la presente investigación fue determinar las actitudes hacia la ciencia y hacia la investigación por parte de un grupo de miembros de instituciones universitarias de la ciudad de Bogotá, diferenciados por variables demográficas y de rol dentro de la institución. Se aplicó el Protocolo de Actitudes ante la Ciencia (PAC) y la Escala para la Evaluación de las Actitudes hacia la Investigación (EACIN) a 524 participantes, distribuidos en estudiantes, docentes y directivos de diferentes universidades. Los resultados indican una actitud favorable hacia la ciencia y la investigación por parte de todos los grupos de participantes, sin embargo, cabe mencionar que el grupo con menor actitud favorable fueron los estudiantes. En las comparaciones por sexo se halló una predisposición más favorable por parte de los hombres, y al comparar por áreas hubo mejores actitudes en estudiantes que pertenecen a ingenierías, ciencias sociales y ciencias de la salud, y actitudes desfavorables en estudiantes de comunicación y gastronomía. Finalmente se halló una relación directa entre la edad y las actitudes hacia la ciencia.
Importance of entomofauna found in cadavers for Forensic Entomology
Authors: Carlos Henrique Marchiori
Published: November 2021

The purpose of this paper is to investigate the entomofauna found in cadavers for Forensic Entomology in the following aspects (a) Forensic Entomology in addition to criminal investigation, Medico-Legal Entomology, the entomofauna found in the corpse can provide (b) the identity of the deceased, cause of death, movement body, use of toxins or drugs, in addition to the crime scene, stored products, drug trafficking, ill-treatment, but how Entomology can help to reach the after-death interval. A literature search was carried out containing articles published from 1993 to 2021. The mini review was prepared in Goiânia, Goiás, from September to October 2021, through the. The mini-review was prepared in Goiânia, Goiás, from September to October 2021, through the Online Scientific Library (Scielo), internet, ResearchGate, Academia.edu, Frontiers, Publons, Qeios, Portal of Scientific Journals in Health Sciences, Pubmed, Online Scientific Library (Scielo), internet, ResearchGate, Academia.edu, Frontiers, Biological Abstract, Publons, Qeios, Portal of Scientific Journals in Health Sciences, and Pubmed, Dialnet, World, Wide Science, Springer, RefSeek, Microsoft Academic, Science, ERIC, Science Research.com, SEEK education, Periódicos CAPES, Google Academic, Bioline International, VADLO, Scopus, and Web of Science.
Przestępstwo prania pieniędzy w polskim prawie karnym
Authors: Lebiedowicz Andrzej
Published: November 2021

Przestępczość zorganizowana – nierzadko o charakterze międzynarodowym – generuje potężne zyski z popełniania przestępstw bazowych, które następnie stara
się różnymi kanałami przesyłu wprowadzić do legalnego krwiobiegu finansowego
w ramach zjawiska prania pieniędzy. Celem niniejszej publikacji jest ukazanie mechanizmów stosowanych w trakcie prania pieniędzy, omówienie aspektów prawnych tej aktywności przestępczej, zasygnalizowanie kwestii wykorzystania walut
wirtualnych (kryptowalut) w procesie „oczyszczania” pieniędzy. Nadto opracowanie odnosi się do polskiego modelu przeciwdziałania legalizacji środków pochodzących z prania pieniędzy i finansowania terroryzmu, jak też formułuje uwagi
metodologiczne wobec śledczych prowadzących tego typu postępowania przygotowawcze. Należy podkreślić, że zintensyfikowanie działań ukierunkowanych
na zwalczanie prania pieniędzy jest zbieżne z dbałością o interes ekonomiczny
Rzeczypospolitej Polskiej.
Interpretation of the jurisdictional prerequisites in EU civil and commercial matters in the process of practical application of the Brussels I Regulation in the light of the CJEU jurisprudence
Authors: Jastrzemska Sylwia
Published: November 2021

The possession of national jurisdiction by the court is a condition sine qua non for the possibility to resolve the case. Its lack results in the invalidity of the proceedings in accordance with the disposition of Article 1099 § 2 of the Code of Civil Procedure. After the amendments in 1997 and the doctrine’s acceptance of the division of domestic jurisdiction into jurisdiction in the international legal sense and international jurisdiction, these institutions are no longer included in the concept of a court path. At present, admissibility of a court path and international jurisdiction are treated as two separate procedural institutions which, on their own, constitute prerequisites for proceedings. Do EU cases differ in this respect from cases without a cross-border element? Is the interpretation of EU law different from the traditional interpretation in domestic cases? Should a purpose-oriented interpretation prevail? The author attempts to answer these and other questions in this text.
Glosa do wyroku Sądu Najwyższego z 3 czerwca 2020 r., IV KK 600/19
Authors: Kłak Czesław
Published: November 2021

Glosa dotyczy zagadnienia orzekania środków karnych (a także przepadku
lub środków kompensacyjnych) w postępowaniu nakazowym. Art. 502 § 2 k.p.k.
stanowi, że obok kary orzekanej w wyroku nakazowym (kara ograniczenia wolności lub grzywna w wysokości do 200 stawek dziennych albo 200 000 złotych)
można, w wypadkach przewidzianych w ustawie, orzec środek karny, przepadek
lub środek kompensacyjny. Zdaniem Autora nie oznacza to jednak, że ustawodawca wprowadził fakultatywną możliwość orzekania środków karnych (a także
przepadku lub środków kompensacyjnych) w wyroku nakazowym w tym rozumieniu, że w przypadku, w którym ustawa przewiduje obligatoryjne orzeczenie środka
karnego (a także przepadku lub środka kompensacyjnego) sąd w postępowaniu
nakazowym nie jest do tego zobowiązany. Autor podziela pogląd wyrażony przez
Sąd Najwyższy w glosowanym wyroku, że orzeczenie środka karnego (a także przepadku lub środka kompensacyjnego) jest obligatoryjne, gdy ustawa tak stanowi.
Wynika to jednak nie z orzecznictwa Sądu Najwyższego, lecz z ustawy, gdyż art. 502
§ 2 k.p.k. ma charakter procesowy, nie jest to zatem przepis prawa materialnego
i nie modyfikuje on zasad orzekania środków karnych.
Lettere
Authors:   Medico e Bambino
Published: November 2021

UN NUOVO LIBRO BIANCO PER L’ASSISTENZA PEDIATRICA? - I pediatri delle Cure primarie: compiti e funzioni - Coronavirus e bambini: la dimensione socio-sanitaria - Sanità pubblica e privata in tempo di Covid-19 - La pandemia da Covid-19 e gli insegnamenti per il futuro - Vaccinazioni e ruolo del personale infermieristico - - - - - - Protocolli medici per la riapertura delle scuole - Ancora sulle controversie tra stipsi e intolleranza alle proteine del latte vaccino
Bleeding with Tirofiban During Percutaneous Coronary Intervention
Authors: Waqas Muhammad , Shahzad Azeem Muhammad , Qasim Khan Muhammad
Published: November 2021

Objective: To determine the frequency of bleeding with Tirofiban during percutaneous coronary intervention Methodology: In this case series (Descriptive) at Mayo Hospital, Cardiology Deptt. Lahore during the year 2018 and 2019, we enrolled a total of 385 cases of either gender with acute coronary syndrome(ACS) and undergoing percutaneous coronary intervention(PCI)were included. Preloading with aspirin 300 mg and clopidogrel 600 mg was done. Intravenous Tirofiban was given keeping in mind the current guidelines. Tirofiban was given as I/V bolus of 0.25 mcg/kg over 5 minutes during/before the start of PCI. It was followed by a continuous infusion of 0.125 mcg/kg/min for up to eighteen hours. Bleeding during and within 24 hours of percutaneous coronary intervention was noted according to BARC bleeding type Results: Mean age was 50.750± 5.63years. Male gender was dominant i.e. 85.7% as compare to 14.3% females. Bleeding was observed in 3.9% patients Conclusion: In acute coronary syndrome patients undergoing PCI, Tirofiban use was associated with bleeding. In the modern era of PCI, the judicious use of Tirofiban is safe. Keywords: Percutaneous coronary intervention, Tirofiban, Bleeding, Acute coronary syndrome
Emergence of Colistin Resistance against Multi-Drug Resistance Microorganisms and its Clinical Outcomes
Authors: Mady Ahmed F. , Abdulrahman Basheer , Al Odat Mohammad , Mahmood Waqas , Akhtar Saima , Albayat Hawra H , Alshammary Faisal , Mady Anas , Mhawish Huda , Felemban Rahaf , Alzaaqi Lamia A , Nassan Batulk , Tharwat Waleed
Published: November 2021

Background: Over the past decade, excessive use of Colistin against multidrug-resistant, Gram-negative bacteria have resulted in the evolution of resistance to Colistin. Objective: To evaluate efficacy of Colistin against multidrug-resistant organisms (MDRO), the emergence of Colistin resistance and its effects on clinical outcomes. Study Design: Retrospective study Place and Duration of Study: King Saud Medical City (KSMC) from 1st October 2015 till 31st January 2016. Methodology: Forty-three patients, resistant to Colistin on blood culture and sensitivity were enrolled. Results: Colistin was not effective at breaking the MDRO. The results revealed no significant impact of Colistin on site of infection such as chest, urinary tract or skin (p=0.612), types of organisms (p=0.629), length of hospital stay and the IV Colistin days (p=0.097 and p=0.166 respectively) in the past 12 months. The positive finding was that more than two third (76.7%) of the ICU patients were alive. Conclusion: Emergence of Multi drug resistance organism is matter of global concern that caused the ineffectiveness of many potent antibiotics and led to the drastic clinical outcomes. Collaboration between medical, paramedical, and administrative staff, with strict implementation of preventive protocol can slow down the velocity of microbial multidrug resistance. Keywords: Multi-drug resistant, Colistin, Outbreak, Intensive care unit, critically ill patients
Assessment of Student’s Knowledge, Attitude and Perceptions about Autopsy
Authors: Ali Deedar , Mal Sono , Magsi Inayatullah , Qayyum Sadia Abdul , Imran Shahla , Muhayudin Ghulam , Ahmed Awan Ejaz , samad Abdul
Published: November 2021

Background: The clinical autopsy is a common term used to help in the identification of person’s clinical conditions and causes of deaths, however, the autopsy plays a vital role in the justice and jurisprudence. Objective: To determine the knowledge, beliefs and understanding of medical students regarding the autopsy Study Design: Descriptive, cross-sectional study Place and Duration of Study: Peoples University of Medical & Health Sciences for Women (PUMHSW) Nawabshah (SBA) Sindh Pakistan from 1st March 2021 to 31st August 2021. Methodology: Four hundred and twenty eight female students of 3rd year and 4th year were enrolled. The students were recruited based on random sampling method. Results: There were 221 students between 23 to 24 years followed by 207 students between 20 to 22 years. One hundred and sixty five were attended 3 autopsies. Autopsy is necessary for all unnatural death and the responses were 327 yes and 101 were no. Education of autopsy is mandatory for the career and the responses were 146 yes and 282 were no understanding, videos are helpful for autopsies and the responses were 178 yes and 250 were no. Conclusion: The autopsies and experiences regarding the autopsies was integral part of medical curriculum. The studies of autopsies are helpful to understand the human anatomy and reasons of deaths. The students’ perceptions supported the medical autopsies as important part of curriculum and teaching particular anatomy of human subjects. Key words: Knowledge, Attitude, Perceptions, Autopsy
Hepatocytes Protection by Vitamin E in Alcoholic Liver Injury: A Light Microscopic Study
Authors: Wazir Noman Ullah , Saeed Muhammad , Wazir Ihsan Ullah , Khan Jehanzeb , Ullah Wazir Fida , Huma Zilli
Published: November 2021

Background: Alcohol induces histomorphological changes in the liver and vitamin E has a protective role against these changes. Objective: To observe changes in hepatocytes of rabbits exposed to intragastric administration of alcohol and the protective role of vitamin E against these changes. Study Design: Analytical experimental study Place and Duration of Study: Department of Anatomy, Pathology and Pharmacology of Peshawar Medical College, Peshawar, Pakistan from 1st January 2016 to 30th June 2016. Methodology: Eighteen male rabbits domestic type (Oryctolaguscuniculus) were included. Experimental duration for category E8 animals was 8 weeks while for category E4 animals it was 4 weeks. The groups were, control group A in which animals were given proper food and normal saline as drinking water, experimental group B in which animals were fed on proper diet and 30% ethanol solution (30 ml/kg/day) orally daily with normal saline and experimental group C in which animals were treated with proper diet, 30% ethanol solution (30 ml/kg/day), vitamin E (50 mg/kg/day) orally daily and normal saline as drinking water. Results: The difference in the ALT, hepatocyte count and size and hepatocyte nuclear count and size of control and experimental groups and experimental group B-II and C-II from both category E4 and E8 showed a highly significant P values. Conclusion: Alcohol causes histomorphological changes in the liver even in the short period of 4-8 weeks and these changes can be minimized by the antioxidant action of vitamin E. Keywords: Alcohol, Liver, Histomorphology, Vitamin E, Hepatocyte, ALT
A qualidade ambiental no bairro Bom Retiro de Curitiba (PR)
Authors: Cruz Lavínia , Fonseca da Silva Frederico , Berto Vagner , Albertin Ricardo
Published: November 2021

A urbanização com um crescimento sem se considerar o planejamento da paisagem, gera impactos ambientais e que consequentemente afeta a vida da população. A avaliação da qualidade ambiental urbana é cada vez mais importante e pode contribuir para minimizar, evitar ou solucionar os impactos ambientais urbanos. Foi utilizado o conceito de hemerobia, um método para avaliação da qualidade ambiental e no qual demonstra a dependência energética e tecnológica para o funcionamento das paisagens. Paisagens com baixa hemerobia são as que apresentam capacidade de auto-regulação, sem influência humana e a alta hemerobia são caracterizadas pelo intenso domínio de estruturas e consequentemente com baixa capacidade de auto-regulação. As paisagens predominantes encontradas foram classificadas segundo três classes de hemerobia: baixa (predomínio de vegetação arbórea), média (vegetação herbáceo-arbustiva, solo exposto e/ou indícios de edificações) e alta (edificações). Foram utilizadas imagens de satélite, do ano 2018 e na escala aproximada 1:5.000 obtidas no Google Earth. O objetivo do trabalho foi classificar as paisagens do bairro Bom Retiro de Curitiba/PR. O bairro apresentou 72,40% de sua área com hemerobia alta, 27,59% com hemerobia média a baixa (com cobertura vegetal), a média das edificações está abaixo de 4 pavimentos, o que confere ao bairro uma boa condição de desenvolvimento ambiental, se manter a cobertura vegetal ainda existente, criar mais áreas verdes e conter o aumento do processo de verticalização das edificações. Também teve como objetivo demonstrar como a criação de um parque preservando as áreas verdes existentes no local é adequada a região e poderia ser benéfica a população local, pois há um movimento para a criação de um parque no bairro, denominado “A causa mais bonita da cidade” que inspirou este trabalho.
The Pluralization of Mass Nouns in European and Asian ELF
Authors: Tinkel Isabella , Deissl-O’Meara Marie
Published: November 2021

English has become a global lingua franca unlike any language before. This has led to the increased pragmatic use of English by an increasing number of non-native speakers and, consequently, English as a lingua franca (ELF) has emerged. It has become a contact language between speakers of different mother tongues which has led to the blurring of strict regulatory frameworks formerly established by native English varieties. ELF speakers use English in creative ways and influenced by their native languages and cultures and the imitation of the native speaker has been pushed to the background in favor of successful communication. In order to facilitate the examination of this new type of English, several ELF corpora have been established, two of which are used for this study. The Vienna-Oxford International Corpus of English (VOICE) and the Asian Corpus of English (ACE) are both collections of spoken interactions between ELF speakers that have the same size and rely on the same coding system and search parameters, which make them readily comparable. While these corpora have already aided in the discovery of several common features of ELF in general, this study focuses on the lexico-grammatical feature of the pluralization of mass nouns by either adding the ‘s’ or some type of quantifier in European and Asian ELF. Results show that Asian ELF speakers are less likely to pluralize mass nouns than European ELF speakers. Yet, pluralization can be found in both types of ELF and this, along with other specific, non-standard features, raises questions for English language teaching and the status of native English.
The Future Biology Teachers Training for the Implementation of Sustainable Development Ideas in Ecological Education
Authors: Biletska Halyna , Mironova Nataliia , Yefremova Olha , Barna Liubov , Bloshchynskyi Ihor
Published: November 2021

The article presents the results of the experimental study targeted at the scientific substantiation and experimental verification of the methodology of the future biology teachers’ ecological competence development. It is grounded and proved that ecological education resulting in ecological competence is an integral part of education for sustainable development. In order to integrate sustainable development education into the future biology teachers’ training, the methodology for the ecological competence development has been suggested. The methodology involves the environmentalization of the educational content and the use of a modular object-oriented dynamic learning environment. A pedagogical experiment was conducted in order to determine the effectiveness of the methodology of future biology teachers training for the implementation of sustainable development ideas in ecological education. Four hundred and twenty-seven students participated in the experimental study. Control and experimental groups of students were allocated for conducting the experiment. In experimental groups the author’s methodology was implemented. The experimental data were processed using mathematical statistics. As a result of the generalization of the results of the study, it was found that in the experimental groups, the percentage of students with high and medium levels of ecological competence increased, and with low levels – decreased compared to the control groups. This testifies to the effectiveness of the future biology teachers’ ecological competence development.
GAMIFICAÇÃO COMO ESTRATÉGIA DE APRENDIZAGEM NO ENSINO REMOTO: RELATO DE EXPERIÊNCIA
Authors: ALMEIDA FRANCISCA LARISSA RODRIGUES DE , PINHEIRO MARIA LARA DE ALMEIDA , LIMA GLAUCIA POSSO
Published: November 2021

INTRODUÇÃO: Com a pandemia da Covid-19 e a necessidade do ensino remoto, fez-se uso da gamificação como método de aprendizagem para estudantes da educação superior. Foi utilizado o kahoot!, uma plataforma de aprendizado baseada em elementos de gamificação para criação de quizzes, nos quais podem ser adicionadas perguntas pelo professor e, essas são convertidas em um jogo com pontuação, interação e ranqueamento. OBJETIVO: Descrever a experiência de gamificação com a utilização da ferramenta kahoot! para melhor compreensão e assimilação do conteúdo ministrado. METODOLOGIA: Estudo descritivo, narrativo do tipo relato de experiência, realizado durante o semestre letivo de 2021 pela docente e monitoras da disciplina de Higiene ofertada para alunos do curso de Nutrição da Universidade Estadual do Ceará. Os quizzes foram elaborados em versão gratuita, contendo dois designs para as questões, questões de verdadeiro ou falso e na forma de múltipla escolha. Foram criados quatro quizzes games, com questões sobre quatro temáticas, cada um com 15 questões, com tempo de resposta para cada questão. RESULTADOS: Durante a construção dos jogos percebeu-se algumas limitações e dificuldades na utilização do kahoot! como a limitação de caracteres nas perguntas e respostas, o que restringe um pouco o uso do aplicativo, permitindo somente textos bem diretos e objetivos. No entanto, o uso da ferramenta despertou a competitividade e a interação dos alunos, de forma dinâmica e simples, garantindo grande adesão da turma. Essa ferramenta ainda incentivou a interação entre os alunos e a professora e entre os alunos, e facilitou assim a aprendizagem. CONCLUSÃO: O uso da plataforma foi garantia de participação da turma, sendo aplicada 4 vezes e atingindo níveis elevados de acertos, levando as monitoras juntamente com a professora da disciplina a explorarem cada vez mais seu uso durante as aulas como forma de aprimorar os temas discutidos. PALAVRAS-CHAVE: Aprendizagem, Ensino remoto, Gamificação
סיוע נפשי בסביבה מקוונת
Authors: גילת יצחק
Published: November 2021

כניסתו של האינטרנט לזירת התקשורת הבין־אישית אפשרה להגיש סיוע נפשי בתנאים שונים לחלוטין מאלה הקיימים בסיוע המסורתי. המאמר הנוכחי מציג את מאפייניו של הסיוע הנפשי בסביבה מקוונת, מציג ראיות מחקריות ליעילותו ומאיר את השלכותיו בתחום החינוך.
”עברית בעברית“
Authors: שחורי-רובין צפורה
Published: November 2021

גני הילדים הראשונים בארץ ישראל בתקופת העלייה הראשונה נועדו להקנות את הלשון העברית לילדים על פי עקרונות השיטה "עברית בעברית", בדרך טבעית ובלתי אמצעית. השיטה מבססת את הוראת העברית על הפעלת החושים ומקשרת את הלימוד לתנועה ולפעילות גופנית. הגנים שימשו מפיצי הלשון העברית והולידו תופעה חדשה – ילדי גן שמדברים עברית, והיו גורם מרכזי ביצירת דור חדש דובר עברית בארץ ישראל.
Variation of summer monsoon rainfall over India in El-Ninos
Authors: MOOLEY D.A.
Published: November 2021

ABSTRACT. El Ninos which occurred during 1871-1990 are divided into two categories of events. The first category, EW, consists of the El Ninos in which the equatorial southeast (ESE) Pacific region (0-10° S; 80°W-180°W) experienced a Warn1ing phase as defined by suitable objective criteria, and the second category, E, consists of El Ninos in which the ESE Pacific region did not experience the warming phase. Sea surface temperature rise as well as anomaly over the Pacific region, summer monsoon rainfall over India and over its meteorological sub-divisions, in the categories EW and E are compared.

Area-averaged rainfall of India for the summer monsoon season and for each of the months July and September are significantly (at 0.1 percent level) lower in EW events in comparison to those in E events. The summer monsoon rainfall of each of the 12 sub-divisions, from northwest and central India constituting about 50 per cent of the Indian plains, is significantly lower in EW events than that in E events, the highest rainfall deficiency in EW events being in the westernmost sub-divisions, i.e., West Rajasthan and Saurashtra-Kutch. Possible causes for the same have also been discussed.
Recurving cyclonic storms during 1970-94
Authors: DESAI D.S. , WAIKAR B. D.
Published: November 2021

ABSTRACT. Translation speed and place of recurvature of cyclonic storms during 25 years period 1970-94 are studied. This will help forecasters to predict exact landfall of cyclonic storm.
A study of tides and storm surges in offshore waters of the Meghna estuary using a finite element model
Authors: HENRY R.F. , DUNCALF D. S. , WALTERS R. S. , OSBORNE M. J. , MURTY T. S.
Published: November 2021

Tropical Cyclones which develop in the Andaman Sea and the Bay of Bengal during the inter monsoon months (April-May, October-December), move either westwards affecting the east coast of India or recurve to the north or northeast and eventually cross the coast of Bangladesh or Myanmar. Extensive damage is caused to the life and property by the storm surge as much of  the coastal land around the Bay of Bengal is densely populated. The damage caused by a cyclone induced surge depends to a considerable extent on whether the surge peaks at or close to high tide.

The main purpose of the present study was to develop a combined time-surge model for the off-shore waters in the Meghna estuary.

It seems clear that the strong, predominantly southward current measured at Site A, south of Sandwip Island, has substantial magnifying and delaying effect on tidal elevation and current. But the areal extent of this modification of the tide is unknown at present. Further, it is impossible to say whether the fast southward current forms a narrow jet or a broad current many kilometers wide, but it is important to know which is the case before the effect can be modelled satisfactorily.
The comparison of two parametric wind models for hurricane storm surge prediction
Authors: CHEN JYE
Published: November 2021

The tropical storm surge models depend critically on the maximum surface wind and shape of the wind profile. Since none of them are easy to measure, designing the parametric wind models for the storm surge prediction becomes divergent. Two widely used, but very different, wind models are examined. The study of their parameters showed that their resulting maximum wind and the shape of the wind profiles are similar. This property is a very useful guide for evaluating different surge models.
Research and application of numerical models of typhoon surges in China Seas
Authors: XINIAN WANG , FUJIANG YU , QINGJIANG YIN
Published: November 2021

In this paper, three numerical models of typhoon surge are discussed briefly. The first one is called Five-basin Model (FbM). The second one is called SLOSH (Sea, Lake and Overland Surges from Hurricanes), 5 SLOSH-type basins covering the entire China coastlines were developed in a joint project between authors and Jelesnianski et al. (1992) of U.S.A. The two models have been used in real-time forecasting of typhoon surge. The third one is a new developing model in which inundation using the scheme originated by Flather and Heaps (1975) and astronomical used was included. A multiple nested grid system was developed.
Sumbangan Pemikiran Ian G. Barbour mengenai Relasi Sains dan Agama terhadap Islamisasi Sains
Authors: Meliani Fitri , Fatah Natsir Nanat , Haryanti Erni
Published: November 2021

Hubungan sains dan agama adalah hubungan yang rumit. Keduanya selalu menjadi wacana diskusi yang menarik. Sains dalam kehidupan manusia selalu berkembang dan berubah. Sedangkan agama selalu dianggap tradisi turun temurun yang dipertahankan oleh masyarakat tertentu. Salah satu tokoh yang mengangkat masalah sains dan agama adalah Ian G. Barbour. Barbour berusaha memetakan aspek metodologis, konseptual hingga praktis relasi antara sains dan agama dalam tipologi. Tipologi Barbour terdiri dari empat tingkatan, yaitu konflik, independensi, dialog, dan integrasi. Ketika berbicara tentang agama, perhatian Barbour nyaris terbatas pada teologi, dan ketika berbicara tentang sains, perhatiannya terutama tertumpu pada ada yang disampaikan oleh isi teori-teori paling mutakhir dalam ilmu alam. Dengan adanya integrasi agama dan sain yang Barbour ungkapkan menjadi titik awal pencetusan Islamisasi sains.   Gerakan Islamisasi Ilmu oleh Al-Faruqi dan Syed M. Naquib al-Attas hadir untuk menyelamatkan ilmu pengetahuan dari westernisasi, dan menjawab keresahan psrs ilmuwan Islam yang khawatir dengan kerusakan tauhid dan alam akibat dampak negatif sains Barat. Keduanya menekankan konsep tauhid sebagai dasar ilmu pengetahuan.
Locking Eyes with Strangers
Authors: Kuehl Jackie , Foote Kenitra , Ortt Justin , Larson Allison
Published: November 2021

The topic of reactive body language and eye contact between strangers is necessary research because it differs from typical face to face relational interactions. Stranger interactions among genders and one’s eye contact are often avoided by most people, whether it’s due to the setting, awkward feelings, or one’s vulnerability. It seems like there is a common communicative trend found in Late Generation Y and Early Generation Z, is avoiding eye contact with strangers when outside of one’s comfort zone (Nemko, 2016). The lack of stranger interaction involving eye contact and its effect on society is considered in this study. The researchers chose to investigate how eye contact between strangers differs in today’s society. Specifically, the researchers explored the effect of eye contact in different settings and compared that with race and gender. Participants of the study hailed from a private, faith-based institution of higher education in an urban area in the Midwestern United States. The study thoroughly addressed the relationship between how one averts their eyes because there is an uncomfortable feeling. The lack of eye contact can show a lack of empathy towards the other person; they may go through their day feeling as if they don’t exist.
An Analysis of Females in the Media
Authors: Buckingham Nina , Kucala Kayla
Published: November 2021

In society today, the media plays a major role in our daily lives. With new websites and apps coming out every day, there is continued exposure to social media. With ideal body image being a very relevant topic of discussion and the popularity of social media, it is possible that there could be a correlation. This study explored this possible correlation and went into further detail on the relationship between social media and females and their effect on interpersonal communication.
Gender and Parenting: A Content Analysis of the American Sitcom
Authors: Borer Mollie , Alexander Nicholas
Published: November 2021

The purpose of this study was not only to get a better understanding of what types of gender and parenting norms exist in television sitcoms, but to see if the same gender and parenting norms that were displayed in the 20th century would be displayed in a sitcom created 30 years later. This was done through a content analysis of the television sitcoms All In The Family and Modern Family. The researchers found that traditional gender norms still existed in both sitcoms, but that the gender roles and parenting norms were reversed in Modern Family.
Anonymous Communication on the Internet and Trolling
Authors: Klempka Allison , Stimson Arielle
Published: November 2021

Internet Trolls are an online subculture who participate in posting upsetting or shocking content, harassing users, and spreading false information for their own enjoyment. As of the time of this study, research is limited on the trolling culture, the perception of trolls, and trolling behavior. The researchers have investigated trolling culture, as well as conducted a study in which subjects were asked to relay their emotional reactions to a selection of online comments, and mark the comments they considered to be trolling behavior. The results were meant to discover whether subjects of different age generations differed in their perception and definition of trolls. The results clarified that trolling was frequently associated with poor behavior, although the degree of disapproval and definitions for trolling varied between age groups.