bluuebunny/crossref_metadata_2025 huggingface dataset:
Development and analysis of employee health reformation strategy to manage occupational stress
Authors: Kharkar Ruchira Vishwas
Published: September 2022

The global employer challenge today is to maintain the work-life balance of employees. Employees are the backbone of any organization. Employees are striving for their excellence in both work and life front but stress is the culprit of health, which creates obstacles. Many times, a person is unaware of health symptoms caused by stress. Emotional imbalance, anger and depression lead to physical health degradation like blood pressure fluctuations, blood sugar level imbalance, upset liver functions, etc. In this paper, 200 male and female respondents as a sample were chosen from multi-national companies from Pune. The new Burnout Sculptor strategy is developed to lower the health impact due to stress. Results show that pre-and post burnout sculptor strategy provides positive health impact to employees.
Assessing the efficacy of spironolactone on adult acne in subjects with polycystic ovary syndrome
Authors: Dewangan Bhuvaneshwari , Yadav Brijesh , Mishra Pratiksha , Kulmi Mohit
Published: September 2022

Aim: The present prospective clinical study was conducted to assess the long‑term spironolactone therapy and its effect with and without dietary‑induced weight‑loss, on insulin levels, lipid profile, and clinical features in females with PCOS (polycystic ovary syndrome). Methods: The present study included 22 females 12 normal weight and 10 obese within the age of 17-32 years having symptoms of PCOS including hyperandrogenism with clinical or biochemical evidence with amenorrhea and/or oligomenorrhea. These subjects were assessed before spironolactone therapy and after 100mg/day spironolactone orally for 12 months. Lifestyle modification was advised for obese females. Before starting and following antiandrogen therapy, metabolic, endocrine, and clinical parameters were assessed. Results: Spironolactone orally resulted in a significant reduction of triglycerides in overweight females and an increase in HDL (high-density lipoproteins) in subjects who were lean and have normal weight. After 12 months of oral spironolactone therapy, the area under the curve of insulin, insulin resistance with hemostasis model, and levels of insulin during OGTT at 60 minutes were significantly reduced in obese females. In females with PCOS following therapy, no negative change in insulin sensitivity and secretion and weight loss was seen after pharmacologic treatment.
Impact of positive word-of-mouth on purchase intentions and post purchase satisfaction among female customers in Pakistan
Authors: Ahmad Muhammad Ali , Hartini Sri , Premananto Gancar Candra , Putra Riyan Sisiawan , Utomo Priyo
Published: September 2022

The purpose of this research is to investigate the relationship between positive word-of-mouth, purchase intention, and post purchase Satisfaction. Primary data was collected from 240 respondents through questionnaire in which Likert and ranking scale was used. The reliability of the scale was checked through cronbach’s alpha which was found .847 which proves the constructed scale reliable. All the analysis of data was made through SPSS and different statistical techniques like descriptive statistics, correlation, and regression analysis were applied to draw the results. The outcomes of our study are shows that positive word-of-mouth has significant impact on purchase intentions and post purchases satisfaction of clothing brand.
An intertextual analysis of English and Arabic selected poems
Authors: Abed M. A. Shahad Mohsen , Al-Azzawi Qasim Obayes Doaim
Published: September 2022

Recently, the concept of intertextuality has become one of the important issues in modern linguistic studies. This study tackles a contrastive discoursal analysis of intertextuality in William Blake and Ahmed Matar’s selected poems. This study attempts to present an intertextual analysis of two poems which are: (Jearusalem) by William Blake and (Lived-Fall down (عاش-يسقطby Ahmed Matar.  This study aims at: finding out the techniques of intertextuality that are used in these selected poems, then pointing out the levels of intertextuality and reconextualisation of these poems and finally revealing the most frequent technique of intertextuality that is used in the selected data. It is hypothesized that an indirect quotation is more used in English selected poems, whereas the direct quotation is more used in the Arabic ones.To investigate this hypothesis and reach the aim, the next procedures are followed: presenting a theoretical background of discourse analysis and intertextuality. Analyzing the two selected poems according to an adopted model of Bazerman (2004).Following both quantitative and qualitative method. In the conclusion of the study, the contrastive intertextual analysis shows that Blake in his poem “Jearsalem”was influenced by the following texts or documents:The Holy Bible and the Greek mythology.
In vitro antifungal activity of alcohol and aqueous extract of stachys sp on fusarium solani
Authors: AL-Khazraji Enas H. A. , Hanawi Mohammed J.
Published: September 2022

The genus Stachys L. (Lamiaceae) includes about 300 species as annual or perennial herbs or small shrubs, spread in temperate regions of Mediterranean, Asia, America and southern Africa. Stachys sp has antioxidant activity and destroys free radicals. Antifungal effects of methanolic extracts of four different types of Stachys on several bacteria and yeasts were recorded.  This  study was conducted to evaluate the effect of the alcoholic and aqueous extract of Stachys sp. on the growth  and spore viability of Fusarium solani and the results revealed that the extract affect the daily growth of  Fusarium solani  and the effect was increased with the increasing the concentration. The lowest rate of daily growth was recorded in the case alcohol extract which was 0.203cm at the concentration 25% while the highest one was 0.537cm at the concentration 6.25% as compared with the control 1.00cm. The aqueous and alcohol extract of Stachys sp suppressed the spore production (sporogenesis) of Fusarium significantly as compared with the control and the effect increased with the increasing of concentration.
Histological and chronological study of myostatin (MSTN) role on muscles growth in domestic broiler chicken
Authors: Zegyer Esraa Abdul Khaliq , Mutlag Ali Mahdi
Published: September 2022

Chicken meat have a low-cholesterol levels, low-fat with a high unsaturation amount of fatty acids, which moreover be considered as functional foods, which provide bioactive ingredients with advantageous effects on human health like vitamins and antioxidants. Therefore, this project was designed to focusing on the relationship between increased the growth curve of skeletal muscles and the role of Myostatin (MSTN) in local domestic broiler chicken. The 50 birds of male domestic broiler chicken were collected from commercial field of Al -Kut, and according ages, the birds were divided into five groups (1day, 8 day, 15 day, 22day, and 30day). The samples of skeletal muscles were taken from the breast and leg areas. All samples were exposed to histological investigation by H&E stains, as well as immunohistochemical technique by a primary and secondary antibody of MSTN through paraffin-embedded sections. Histological results apparent a general structure of skeletal muscles at different ages through synchronous growth development of chicken.  Immunohistochemical investigation appeared the different attribution of MSTN reactive in the skeletal muscle sections at sequence ages of chicken.
Life skills education management of Muslimah Islamic Boarding School in Sleman Yogyakarta during COVID-19 pandemic
Authors: Nasrulloh Rifqi Syarif , Sutiyono Sutiyono
Published: September 2022

‘Pondok Pesantren’ or Islamic boarding schools are one form of the development of the education system in Indonesia. Islamic boarding schools have been available for a long time and become an indigenous culture in Indonesia. The Covid-19 pandemic has presented new challenges for Islamic boarding schools to adjust to increasingly difficult environmental changes. Islamic Boarding School do not only provide students with religious studies but also transform into modern organizations by teaching modern life skills education. This study focuses on the management of life skills education in Islamic boarding schools for girls in Sleman Yogyakarta, which is one of the Islamic boarding schools based on life skills education. The study used the qualitative method. The sample was determined using the purposive sampling technique. This study used primary data obtained from observation and interviews. Data were analyzed in three stages, namely 1) data reduction, 2) data presentation, and 3) conclusion. It used triangulation techniques for checking the data validity. The results of the study showed that the planning of an organization required written records to fulfill the objectives in which the written records can be a reference in carrying out management functions.
Health literacy in preventing the spread of COVID-19 based on community
Authors: Suriah Suriah , Anwar Arif
Published: September 2022

Health literacy is not only a concept that provides an understanding of health to the public, but has become a strategic approach to promote and improve the quality of health and encourage health related decision-making in a broad sense. The aim of this study was to provide a brief overview of efforts to prevent the spread of community-based COVID-19 in the context of health literacy. It not only promotes the concepts of health literacy and education; it also describes the importance of health literacy in community-based efforts. An example is its application in the efforts to prevent the spread of COVID-19.
Bacteriological profile of bloodstream infections at a tertiary care hospital in New Delhi
Authors: Kumari Anuradha , Khatri Himanshu Bhim , Tiwari Manish Kumar
Published: September 2022

Invasion of the blood stream by microorganisms constitutes one of the most serious situations in infectious disease. Aim: The aim of this study was to identify the bacteria that caused blood stream infections. Methods: This six months prospective and observational study was performed in the department of microbiology at All India institute of Medical Science (AIIMS), New Delhi, India, on 280 blood samples of patients admitted in wards and various ICUs. Microbial detection and identification were done by fully automated BacT/Alert 3D and VITEK 2 systems, respectively. Results: Of the 280 suspected cases, blood culture was positive in 186 (66.4%) cases. Of the 186 isolates, 123 (66.12%) were Gram negative bacterial isolates of which the predominant were Klebsiella pneumoniae (27.64%), Pseudomonas aeruginosa (16.26%), and Escherchia coli (15.44%). Of the positive isolates, 63 (33.87%) were Gram positive bacteria of which MRSA (36.50%) was the predominant organism followed by MSSA (31.74%) and MRCoNS (17.46%). Conclusion: In this study, blood culture was positive in a relatively high proportion of suspected cases of blood stream infections. Automation has higher sensitivity and specificity than conventional methods and can help in significantly reducing mortality and morbidity of blood stream infections.
Understanding the efficiency of technological transformation in the public health service act
Authors: Bangkara B. M. A. S. Anaconda , Maruf Irma Rachmawati , Sipayung Baren , Rohayati Yeti , Indah Diani
Published: September 2022

This study examines several scientific pieces of evidence to understand the effectiveness of digital transformation in health services in Indonesia based on the law. For this reason, we have conducted a series of data searches, examining them to obtain relevant and valid answers. Our search is done electronically. This data is designed in descriptive qualitative under the phenomenological approach. Based on the study results, we understood that technological transformation had provided effectiveness in public services, especially the health sector, based on the institution's mandate. The government truth this technology as they believe it can innovate how medical work is effective and productive in service community health. Thus, these findings become valuable inputs for the development of mass studies.
Surgical site infection in emergency and elective patients and it’s major risk factor in resource limited tertiary care center
Authors: Ray Saugata , Kumar Anil , Kundu Sharbori , Gupta Umesh Kumar
Published: September 2022

Postoperative surgical site infection (SSI) is major threat for surgeons. In this study, we measure the incidence of SSI in emergency and elective surgical patients and evaluation of any significant relation to anemia, hypoalbuminemia, Diabetes mellites, alcohol and tobacco user. This study was a prospective comparative study of 200 patients, studied during a twelve-month duration who were admitted and operated in our departments. Data collected including demographic profile and presence of SSI up to 30 postoperative days. In this prospective study of 200 patients (100 patients in each emergency and elective surgical case) surgical site infection was present in 17% (n=34) of patients, out of 34 SSI patients 64.7% (22 Patients) were male and 35.3% (12 Patients) were female. SSI was present in 73.5% and 26.5% of emergency and elective surgical cases respectively. Emergency and elective surgical cases were compared in SSI and non SSI cases and data showed a statistically significant difference (X2= 9.0716, P value .00256). Patients having SSI were compared with non SSI for anemia, hypoalbuminemia and diabetes mellites data showed statistically significant difference (X2=66.6, P value< 0.00001, X2=78.5, P value< 0.00001 and X2 =61.7, P value< 0.00001 respectively).
Clinico – pathological assessment of Neck lesions in a tertiary care teaching center of Patna District, Bihar
Authors: Kumar Vijay , Rahman Asfia , Anand Rohit , Ayub Arshad
Published: September 2022

Introduction: Neck swelling is a common presentation seen in clinical practice. A wide spectrum of pathological lesions can be presented in this form. It ranges from simple benign lesions to highly malignant ones. An attempt was made to correlate clinical presentation, sociodemographic factors and histopathological diagnosis of such masses. Aims and objectives: To know the incidence of various types of masses of the Neck region & to understand the sociodemographic pattern in different neck masses. Methodology: This was a cross-sectional study and was carried out in the ENT department of tertiary care teaching hospital at Patna. Each patient attending the OPD ENT with complaints of neck swelling underwent a complete examination that included a Otorhinolaryngological evaluation in addition to a full history, socio-demographic details and physical examination. Results: A total of 105 patients were enrolled in the study out of which 60% were females and 40 % were males. Among total cases maximum (31.4%) were cancerous, 25.7% were thyroid lesions, 22.8% were benign and 20% were tuberculous. Young age, female gender and middle socioeconomic class was found to be associated with all the neck masses.
Relation between asthma clinical presentation and diet patterns among adolescents living in Saudi Arabia: Evidence from national school-based study
Authors: Aljishi Hala Riyad , Al-Osaimi Majed , Al-Mugti Hani Saad , Althagafi Wael Abdulaziz , Adam Izzeldin Fadel , Al-Amari Bander K , Al-Roqy Ammar , Khouja Jumana Hamed , Almuqati Malik Saad , Alotaybi Moteab Sayer
Published: September 2022

Background: Dietary intervention based on evidence-based guidelines should be introduced into the clinical management of Asthmatic patients to promote overall health benefits and disease control. However, there is limited evidence in the Saudi medical literature.  Objective of the study: To assess the association between diet patterns and asthma symptoms in Saudi adolescents. Subjects and Methods:  In total, 4086 Saudi adolescents were recruited for the study. Data for this study were sourced from a national survey conducted by the Saudi Ministry of health.  Results: 13.3% (n=543) of adolescents reported current wheeze in the past 12 months. The results showed that almost half of all adolescents reported unhealthy diet consumption on most or all days and a healthy diet was consumed at least twice per week in a third of them. The most important clinically relevant finding was a positive association between high weekly consumption of an unhealthy diet with asthma symptoms. Conclusion: Our findings suggest that the positive impact of diet on asthma control is encouraging. A healthy diet including fruits, vegetables, and fish, is implicated in the mitigation of asthma symptoms and severity.
A comparative study of effectiveness of microneedling with and without topical corticosteroids in post-burn hypertrophic scars of face and neck
Authors: Shehata Mostafa , Elshazly Mohamed Mahmoud , Bebars Shaimaa Mohamed Mouneer , Eloteify Mohamed Mahmoud
Published: September 2022

Background: The standard treatment of post-burns scars has unsatisfactory outcomes and required several treatments. Objective: To evaluate efficacy of the microneedling with or without topical steroids on treatment of post-burn hypertrophic scars in face and neck. Patients and Methods: We included patients with post-burn hypertrophic scar of face and neck, caused by burn within the 1st year after burn, we excluded patients with coagulation defects. Patients were divided into 3 groups; Group A: microneedling once/month for 5 months, Group B: microneedling with topical steroids once/month for 5 months, and Group C: control group for just conservative treatment. Histopathological study was used for evaluation. Results: we included 60 participants; the mean age was 20 ± 9 years. After 3 & 6 months microneedling significantly decrease the Vancouver scar scale (VSS), and adding steroids significantly improve the results. Microneedling group significantly decreased the VSS after 3 and 6 months. Moreover, adding steroids significantly improved the results.  Histopathologicaly, after 6 months, there was statistically difference between the three groups in thickness (p= <0.001), Nodules (p= 0.02) and inflammation (p= 0.02) of the scar. Conclusion: Microneedling with or without topical steroids found to improve the outcomes of post-burn hypertrophic scars.
Burden of Anxiety and Electronic Screen Syndrome in children during COVID-19 quarantine
Authors: Osman Wafaa Goma Mohamed , Abdellateef Wafaa Mohamed , Mohamed Yasmin Gabr , Khedr Engy , Khashana Abdelmoneim
Published: September 2022

Background: Quarantine is a state of enforced isolation of people with exposure to a contagious disease to prevent the spread of illness. Quarantine and isolation have been used as disease containment measures more recently in COVID-19, in this review we aimed to present the impact of quarantine on mental health of children and adolescents, and proposes measures to improve psychological outcomes of isolation, Summary: Overall, this review suggests that quarantine is associated with far reaching and significant negative impact on psychological wellbeing of children and adolescents. Of more concern is the finding that this negative psychological effect can still be detected months or years later. Stigma has also been rife in children and families who underwent quarantine. As quarantine is essential to contain diseases in many cases, it is important that steps and measures are taken to make this experience less traumatic for vulnerable young people. These strategies may ensure that the physical and mental health impact of quarantine on children and adolescents are kept minimal. Further research to examine long term impact of quarantine and prolonged school closures on children are urgently needed to guide policies.
Feasibility and ability of laparoscopy to predict respectability in ovarian cancer: Review article
Authors: Rahman Mohammed Abd El , Mahmoud Ahmed Magdy , Ali Abd El Naser Abd El Gaber , Fayed Hanan Mahmoud , Khodary Mostafa Mohammed
Published: September 2022

Background: Epithelial ovarian cancer is one of the leading causes of death in gynecological malignancies and the seventh most common cancer in the world among women. Aim and objectives: The main aim of this study was to study the feasibility and ability of laparoscopy in predicting optimum respectability in cases of ovarian cancer. Conclusion: Laparoscopy has an effective feasibility and ability in predicting optimum respectability in cases of ovarian cancer. As laparoscopy before starting treatment was a reliable additional diagnostic tool in predicting result of PDS, this can prevent laparotomies. This will optimize treatment for the individual patient.
study on effect of eWOM information on purchase intention for electric vehicles
Authors: Reddy P. Rajasekhar , Pandey Mithilesh Kumar , Gulati Shabnam
Published: September 2022

Purpose- Today, customers play an active role in creating, generating, and sharing the electronic Word of mouth (eWOM). As a result, attracting customers through recommendations and WOM has become an important goal for businesses. In addition, Social Networking Sites (SNSs) have created valuable opportunities for eWOM. As a result, the development of Electric Vehicles (EVs) is essential. This study shows how eWOM information affects customers' purchase intention for EVs on social networking sites. Design/methodology/approach- This study employed the Information Adoption Model (IAM). Data was collected using a self-administered questionnaire from 266 respondents in Hyderabad and Secunderabad to evaluate the proposed model using SmartPLS software. Findings –The findings show that information quality and Credibility positively affect the usefulness of the information. Furthermore, information adoption determines purchasing intentions, with information usefulness as a predictor for adoption.  Research limitations/implications- This study aims to fill a gap in the research on SNSs, specifically in the context of eWOM information. The study proposes the IAM model and statistically confirms the hypothesized relationship. This study can be used as a platform for further studies. Practical implications-
Influence of child’s autism on relationships
Authors: Johnson Akhila , Kumar S. Sampath
Published: September 2022

Background: Although the world has been witnessing a steady increase in the autism population, there is a paucity of research on the maternal experiences of caregiving a child with autism. Aim: The rationale of this study is to explore the maternal experiences of children with autism in Kerala, India. Materials and Methods: Ten mothers of children with autism were interviewed and the transcripts were analyzed using interpretative phenomenological analysis. Findings: Two superordinate themes were identified in the analysis: a) deteriorating marriage, and b) deteriorating social relations. Mothers in the study were affected by their child’s autism, as it reflected on their personal, marital and social aspects of life. Mothers had conspicuous marital strain due to the increasing demands of caregiving and child’s autism influenced their family planning decision-making. Mothers were blamed for their child’s autism and discriminative and judgmental behaviours from the public restricted their social participation. The findings provide an understanding of the maternal experiences in raising a child with autism in Kerala. Conclusion: These findings can be useful for researchers, healthcare providers and policy makers to provide support and address the issues faced by the mothers in raising children with autism.
Medicinal plants: A promising breakthrough in the management of Alzheimer's disease progression compared to than NSAID
Authors: Sugianto Paulus , Ferriastuti Widiana , Ritarwan Kiking , Tampubolon Dwi Putri Rahayu
Published: September 2022

Treatment of Alzheimer's Disease is currently limited only to slowing the severity of the symptoms felt by patients, not curing Alzheimer's itself. Current FDA-approved therapies such as Donepezil, Tacrine, Galantamine, Rivastigmine, and Memantine have quite disturbing side effects for Alzheimer's sufferers, as well as the mechanism of action of these drugs which is dominated by working as AChE inhibitors. On the other hand, the hypothesis for Alzheimer's causes is varied. Another study also states that the Non-Steroid Anti-Inflammatory Drugs (NSAIDs) can be given to people with Alzheimer's, this is pro and cons because in one study NSAIDs can reduce the risk of Alzheimer's progression through inhibiting inflammatory process on AD pathogenesis; on the contrary, other studies have argued that giving NSAIDs to Alzheimer's sufferers is not necessary. Despite administering Alzheimer's drugs and NSAIDs which have adverse side effects on long-term use as well as high doses, the administration of traditional medicines and medicinal plants can be a good solution due to lower side effects than common drugs, less risk, easy access and affordable. These medicinal plants have several mechanisms to counter the hypothesis that causes Alzheimer's disease.
Association between ABO blood groups genotype variation and sever infection of COVID-19 in Iraqi patients
Authors: Razaq Zahraa , Alkufi Suad Gazi Jaafer
Published: September 2022

Coronavirus disease (COVID-19) is a pandemic caused by new beta-coronavirus SARS-CoV-2.  Recently, several studies provided evidences to confirm that factors such as blood group type and the genetic variations play a significant role in severe infection. The current study focused on ABO blood group type and genetic suitability. 100 (male & female) sample were collected. The number of infected males was higher than female number (60% male), while the females were (40 %), the highest number of patients within age group 25-35 cases in male. while female showed the highest percentage infection in the age group 15-25. The blood group A among patients with was significantly higher 34 %. While the lowest proportion of blood group AB. We applied Sanger sequencing method to identify the genetic variation distribution patterns of single nucleotide polymorphisms regions of the ABO genetic locus rs657152 at the 9q34.2c. Initially, genomic DNA was extracted successfully for all cases followed amplification ABO gene locus, further alignment of sequences samples against a Homo sapiens in the NCBI showed two mutants type SNPs for mostly A/C and C/C associated sever infection corresponding the sequence the control A/A.
Independent isolation of infectious waste management in the COVID-19 era
Authors: Wahyuningsih Endang , Sutaryono Sutaryono , Widada Jaka , Kasjono Heru Subaris
Published: September 2022

The COVID-19 pandemic is not over yet, it has a global impact on all sectors of people's lives. Of the various problems that arise but we are not aware of is the generation of infectious waste originating from self-isolation. Therefore, this study was intended to explore the management of infectious waste generation from self-isolation activities carried out at the regional level in Java and Bali. Observational research design in 1979 respondents were sanitarian workers in the working area of ​​the Puskesmas and the Health Office in 7 provinces of Java and Bali. The study was conducted for the period from June to the end of August 2021 using an online survey of members of the Association of Environmental Health Experts whose assessment was carried out using a qualitative method based on respondents' responses. The findings of this study indicate that the highest incidence of COVID-19 cases is DKI Jakarta (29.6%) followed by Central Java (22.5%) and West Java (20.3%). 48%, the most widely used isolation places are special buildings 27.5% and 34.5% there are no special places or at home.
Differences in emotional mental disorders of junior high school students and college students during online learning
Authors: Azni Anisa Yulvi , Keliat Budi Anna , Susanti Nethania Citra
Published: September 2022

Online learning during the COVID-19 pandemic has an impact on junior high school students and college students; one of the impacts is increased stress, which can cause emotional mental disorders in junior high school students and college students. Purpose:  This study aims to determine differences in mental and emotional disorders of junior high school students and college students during online learning. Method: This study employed a quantitative method with a cross-sectional design approach. This study involved 240 respondents, consisting of 120 college students and 120 junior high school students. The data were collected using the respondent characteristics questionnaire, the Self-Reporting-20 (SRQ-20) questionnaire for students, and the Strength and Difficulties Questionnaire (SDQ) for junior high school students. The data were analyzed using the univariate test and bivariate test with an independent t-test. Results: The results show significant differences in emotional mental disorders of junior high school students and college students during online learning (p = 0.000). Junior high school students have a significantly higher average value of emotional mental disorder (p_value <0.05) than college students do. Conclusion:  Promotive and preventive efforts can be applied to prevent emotional mental disorders.
effect of acrreditation status and health insurance on satisfaction of community health centres service quality in Ngawi, East Java, Indonesia
Authors: Duarsa Artha Budi Susila , Widiyanto Aris , Kurniawan Hendra Dwi , Anulus Ayu , Halimah Trisakti , Atmojo Joko Tri
Published: September 2022

Indonesia's healthcare system is in progress, and has tried to make many improvements in its healthcare delivery system and has brought out many reforms. Several studies show the relationship between patient satisfaction and quality of health services, but none sufficiently analyze the association between acrreditation status and health insurance with satisfaction among patients. This study aimed to investigate the effect of acrreditation status and health insurance on satisfaction of quality in Community Health Care services (PUSKESMAS) in Ngawi, East Java. We conducted a cross-sectional study in all community health care services in Ngawi, East Java. A total 200 outpatients selected by simple random sampling. We analyze the association of community health care accreditation status, and health insurance adjusted with age, education level, and income of respondents with the satisfaction of quality of care from community health care services using multivariate logistic regression by STATA 16. Respondents visited accredited community health care (aOR= 1.60; 95% CI= 1.13 to 2.27; p<0.07) have higher odds of satisfaction with the quality of care in community health care services compared to respondents visited non-accredited community health care and with age less than 35 years, respectively.
Relationship between hypertension and pulsatility index in acute ischemic stroke patients
Authors: Indriyani Yurima , Yahya Yahya , Setyowatie Sita , Sani Achmad Firdaus
Published: September 2022

Hypertension is one of the risk factors for stroke. In the United States, stroke is the third leading cause of death, with a death rate of 146,664 people. Pulsatility index (PI) examination on transcranial Doppler is a value generated by blood flow velocity and blood viscosity. Methods: Retrospective analytic observational study with a cross-sectional study design in patients with acute thrombotic stroke with hypertension according to JNC VIII criteria. Data were obtained from secondary data from medical records of patients treated in the nervous room of Dr RSUD. Soetomo, in the period from February 2019 to February 2022, met the inclusion criteria, namely being over 18 years old, undergoing a TCD examination and having a stroke for the first time. Statistical analysis using Spearman correlation test with a significance value <0.05. Results: A total of 46 subjects met the inclusion and exclusion criteria. Tension with a mean of 152.00 ± 20.87 and a mean value of PI 1.08 ± 0.73. The Spearman statistical test showed a positive correlation with a substantial and statistically significant relationship level (rho = 0.712, p=0.002). Conclusion: there is a strong significant relationship between hypertension and the pulsatility index in patients with acute thrombotic stroke
Establishing an association between pregnancy-induced hypertension changes in the fundus and fetal outcomes
Authors: Verma Asha , Verma Kritika , Shastri Ankita
Published: September 2022

Background: Involvement of the ocular system in pregnancy is a common finding in females having PIH (pregnancy-induced hypertension). Aim: To judge the association between pregnancy-induced hypertension changes in the fundus and fetal outcomes. Methods: In 306 pregnant females with a confirmed diagnosis of pregnancy-induced hypertension, fundus changes were assessed along with fetal outcomes. The fetal outcomes included neonatal death, stillbirth, 1-minute Apgar scores, birth weight, and gestational age. Collected data were subjected to an ANOVA test and SPSS software to assess any association. Results: Among 306 subjects, 42 subjects had fundus changes and 264 subjects had no fundus changes. Mean systolic blood pressure (BP) was 182.88±33.62 in subjects with fundus changes and 150.74±12.84 mmHg in subjects without any fundus changes which was significantly higher in fundus changes. Diastolic pressure was also significantly higher, 125.26±21.34 mmHg in subjects with fundus changes compared to 100.09±9.49 mmHg in subjects without fundus changes. Fetal outcomes were comparable in subjects with or without fundus changes. A significant association was seen between optic nerve head and retinal changes with low birth weight (p<0.05). Conclusion: Low birth weight has an association with changes in the optic nerve head and retina.
The impact of globalization on culture in Vietnam
Authors: Thanh Nguyen Viet , Tri Nguyen Minh
Published: September 2022

Globalization is an inevitable and objective trend, strongly attracting the participation of all countries and regions in the world. With its vast and complex nature, globalization has strongly affected all countries, all areas of social life, especially culture. For Vietnam, globalization has been bringing opportunities and opportunities, while also creating real challenges and dangers in the preservation and development of culture. Therefore, the urgent issue now is to fully and deeply define and have a reasonable strategy, both taking advantage of opportunities and overcoming threats to promote the role of culture in society. The process of globalization has important theoretical and practical implications.
Infección por Klebsiella pneumoniae Productora de Carbapenemasa en Receptores de Transplante Renal
Authors: Campos Júnior Salmito de Almeida , Foresto Renato D. , Viana Laila Almeida , Requião-Moura Lúcio Roberto , Tedesco-Silva Junior Helio , Medina-Pestana Jose Osmar
Published: September 2022

Resumen: Existe una tendencia de aumento del número de casos de infección por bacterias multi-resistentes, teniendo en vista el uso indiscriminado y, a veces, excesivo de antibióticos de amplio espectro en el ambiente hospitalario. Esas infecciones generaron un gran impacto, principalmente en pacientes inmunosuprimidos sometidos al transplante de órganos sólidos. Datos nacionales revelaron un aumento significativo de las tasas de infecciones por bacterias multi-resistentes. El presente estudio tuvo como objetivo evaluar la incidencia y demografía de las infecciones relacionadas a la asistencia a la salud por Klebsiella pneumoniae productora de carbapenemasa (KPC). Este es un estudio observacional, retrospectivo, descriptivo, realizado en centro único (Hospital del Riñón) con evaluación de los resultados de receptores de transplante renal con infección por KPC entre noviembre del 2009 y diciembre del 2015. En nuestro centro, infección de corriente sanguínea por KPC tuvo mayor prevalencia, seguida de infección del aparato urinario. La mortalidad general en 30 días fue del 36%, semejante a la encontrada en la literatura internacional. La infección por bacterias multi-resistentes es una condición clínica grave en pacientes transplantados y constituye un desafío terapéutico.
Infection by Carbapenemase-Producing Klebsiella pneumoniae in Renal Transplant Recipients
Authors: Campos Júnior Salmito de Almeida , Foresto Renato D. , Viana Laila Almeida , Requião-Moura Lúcio Roberto , Tedesco-Silva Junior Helio , Medina-Pestana Jose Osmar
Published: September 2022

Abstract: There is a tendency to increase the number of cases of infection by multidrug-resistant bacteria, in view of the indiscriminate and sometimes excessive use of broad-spectrum antibiotics in the hospital environment. These infections have generated great impact, especially in immunosuppressed patients undergoing solid organ transplantation. National data revealed a significant increase in the rates of infections by multidrug-resistant bacteria. The present study aimed to evaluate the incidence and demographics of health care-related infections by carbapenemase-producing K. pneumoniae (KPC). This is an observational, retrospective, descriptive study conducted at a single center (Kidney Hospital) with evaluation of the outcomes of kidney transplant recipients with KPC infection between November 2009 and December 2015. In our center, KPC bloodstream infection had the highest prevalence, followed by urinary tract infection. The overall 30-day mortality was 36%, similar to that found in the international literature. Infection with multidrug-resistant bacteria is a serious clinical condition in transplant patients and poses a therapeutic challenge.
Infecção por Klebsiella pneumoniae Produtora de Carbapenemase em Receptores de Transplante Renal
Authors: Campos Júnior Salmito de Almeida , Foresto Renato D. , Viana Laila Almeida , Requião-Moura Lúcio Roberto , Tedesco-Silva Junior Helio , Medina-Pestana Jose Osmar
Published: September 2022

Existe tendência de aumento do número de casos de infecção por bactérias multirresistentes, tendo em vista o uso indiscriminado e, por vezes, excessivo de antibióticos de amplo espectro no ambiente hospitalar. Essas infecções geraram grande impacto, principalmente em pacientes imunossuprimidos submetidos ao transplante de órgãos sólidos. Dados nacionais revelaram aumento significativo das taxas de infecções por bactérias multirresistentes. O presente estudo teve como objetivo avaliar a incidência e demografia das infecções relacionadas à assistência à saúde por Klebsiella pneumoniae produtora de carbapenemase (KPC). Este é um estudo observacional, retrospectivo, descritivo, realizado em centro único (Hospital do Rim) com avaliação dos desfechos de receptores de transplante renal com infecção por KPC entre novembro de 2009 e dezembro de 2015. Em nosso centro, infecção de corrente sanguínea por KPC teve maior prevalência, seguida de infecção do trato urinário. A mortalidade geral em 30 dias foi de 36%, semelhante à encontrada na literatura internacional. A infecção por bactérias multirresistentes é uma condição clínica grave em pacientes transplantados e constitui um desafio terapêutico.
Impact of the Covid-19 Pandemic on Organ Donation and Transplants at Hospital de Base and in the State of São Paulo, Brazil
Authors: Adriano Vitória Vieira , Westin Lana Gonçalves , Castro Yago Amaral , Oliveira João Fernando Picollo de
Published: September 2022

Abstract: The Covid-19 pandemic had severe impacts on various sectors of society, especially in the area of medicine. In this area, one segment of activity that was greatly impacted was transplantation, which at first had to be halted in numerous centers, for various reasons. The objective of this article was to analyze, in a comparative way between the years 2019 and 2020, the impact of the Covid-19 pandemic in the numbers of transplantations in a district hospital (DH), a national reference in transplantations, and in the state of São Paulo, as well as in the number of donations from these locations. The method used in this work was the comparative analysis using data obtained from the Brazilian Transplant Registry, the Brazilian Association of Organ Transplantation and the State Transplant System. The following organs were analyzed in the DH and in the state of São Paulo: heart, liver, lung and kidney. Pancreas was analyzed only in the state. Through the analyses, it was observed that in the DH there was a decrease in the numbers of transplantations for all organs analyzed, and in the state of São Paulo, in the numbers of lung and kidney transplantations, maintaining the number of pancreas transplantations and increasing the numbers of heart and liver transplantations. Regarding donors, there was a decrease in the number of potential donors, but an increase in the number of actual donors, due to a decrease in the family refusal rate.
Impacto da Pandemia de Covid-19 na Doação e nos Transplantes de Órgãos no Hospital de Base e no Estado de São Paulo
Authors: Adriano Vitória Vieira , Westin Lana Gonçalves , Castro Yago Amaral , Oliveira João Fernando Picollo de
Published: September 2022

A pandemia de Covid-19 apresentou impactos severos em diversos setores da sociedade, principalmente na área da medicina. Nesta, uma área de atuação muito impactada foi a de transplantes, que no começo teve de ser paralisada em inúmeros centros, por variadas razões. O objetivo deste artigo foi analisar, de forma comparativa entre os anos de 2019 e 2020, o impacto da pandemia de Covid-19 nos números de transplante do Hospital de Base (HB), referência nacional em transplantes, e no estado de São Paulo, bem como no número de doações dessas localidades.Ométodo utilizado neste trabalho foi a análise comparativa por meio de dados obtidos pelo Registro Brasileiro de Transplantes, pela Associação Brasileira de Transplante de Órgãos e pelo Sistema Estadual de Transplantes. Foram analisados os seguintes órgãos no HB e no estado de São Paulo: coração, fígado, pulmão e rim. Pâncreas foi analisado apenas no estado. Por meio das análises, observou-se que no HB houve queda nos números de transplante de todos os órgãos analisados, e no estado de São Paulo, nos números de transplante de pulmão e rim, mantendo-se o número de transplante de pâncreas e aumentando os números de transplante de coração e fígado. Com relação aos doadores, observou-se queda nas notificações de potenciais doadores, mas aumento do número de doadores efetivos, por causa da diminuição da taxa de recusa familiar.
The Cross-Cultural Academic Adaptation of Chinese Students in an American University: Academic Challenges, Influential Factors and Coping Strategies
Authors: Wang Dianjian
Published: September 2022

Most of the studies on international students’ cross-cultural adaptation focused on their sociocultural and psychological adaptation, few studies have specifically addressed international students’ experiences with academic adaptation. This study examines the academic challenges, influential factors and coping strategies of the Chinese students on an American university campus. The research was based on the responses of 122 Chinese students to a cross-cultural academic adaptation questionnaire and interviews with 14 Chinese students at the same American university. The results show that the main academic challenges that Chinese students had were English language proficiency, American university classroom culture and policies, different learning strategies and ways of thinking, and academic writing. Both male students and female students had difficulties in cross-cultural academic adaptation, with no statistical significant gender difference in cross-cultural academic adaptation; graduate students outperformed undergraduates in cross-cultural academic adaptation; length of stay in U.S was positively correlated with Chinese students’ cross-cultural adaptation. Specific coping strategies were also identified.
The Exasperating Economic Misery in Nigeria: Can we Depend on Monetary Policy?
Authors: Effiong Ubong Edem , Okon Joel Isaac , Arinze Nnaemeka Peter
Published: September 2022

The core objective of this study was to detect the influence of monetary policy on economic misery in Nigeria from 1991 to 2021. The study employed the Granger causality test, autoregressive lag (ARDL) bounds test for cointegration, the fully modified ordinary least squares, impulse response function, and the variance decomposition in analyzing the data. From the Granger causality test, it was realized that a one-way causality flows from the monetary policy rate to economic growth. The ARDL bounds test for cointegration validated the existence of a long-run relationship between monetary policy rate and economic misery in Nigeria. From the long-run estimates, it was observed that the effect of monetary policy rate on economic misery is positive and significant. Furthermore, it was realized that the effect of monetary policy rate on inflation has been positive and significant, while the effect on unemployment has been negative but insignificant. The impulse response function portrayed that economic misery responded positively to shocks in monetary policy in the short-run but such response is being decomposed in the long-run. These findings therefore justify the Central Bank of Nigeria’s stance of increasing the monetary policy rate to tackle inflation, which will hitherto reduce the economic misery in Nigeria.
Structural analysis of a Guadua bamboo bridge in Colombia
Authors:   College of Civil Engineering, Nanjing Forestry University, Alejandro Méndez Quintero Mario , Patricia Takeuchi Tam Caori ,   Universidad Nacional de Colombia, Li Haitao ,   College of Civil Engineering, Nanjing Forestry University,   Joint International Research Laboratory for Bio‑composite Building Materials and Structures, Nanjing Forestry University
Published: September 2022

In recent years, scientists have focused their attention in developing sustainable materials that can boost the construction industry without causing damage to the environment. In South and Central American forests grows a tropical species of bamboo known as Guadua angustifolia Kunth, which has been widely used for construction purposes since ancient times. Offering advantages such as: environmental friendliness, fast-growing and high strength-to-weight ratio. This paper analyzes the structural behavior of an existing multi-culm Guadua bamboo truss type footbridge located in Colombia, according to national regulations NSR-10. A model of the structure is implemented using a commercial finite element software, details for an accurate description of the structure’s behavior through the proposed model are offered. Furthermore, an exhaustive description of the structure’s load transfer and its materials mechanical properties is performed, as well as a review on connections and immunization process. Finally, improvement opportunities for the building codes used for the analysis and investigation opportunities are identified. The purpose of this paper is stepping into the right direction thus, one day Guadua angustifolia Kunth and bamboo in general can be fully exploited in the construction industry.