bluuebunny/crossref_metadata_2025 huggingface dataset:
TO STUDY PARAMETERS CO-RELATING OUTCOME OF NON-INVASIVE VENTILATION IN ACUTE RESPIRATORY FAILURE
Authors: Mohan Sanchit , Pujari Vishwanath , Meshram Priti
Published: July 2022

Background: Respiratory failure is a condition in which the respiratory system fails in one or both of its
gas-exchanging functions- oxygenation of pulmonary arterial blood and carbon dioxide elimination
from mixed venous blood. NIV is used as a replacement for invasive ventilation in a few conditions, and its exibility also allows
it to be a valuable component in patient management. Its use in acute respiratory failure is well accepted and widespread. AIM:
This study was conducted to study various parameters such as baseline PCO2 levels, pH, PO2 levels, Heart rate, respiratory
rate, and their correlation with the outcome of Non-invasive Ventilation. This is a prospective observational studyMethods:
conducted on 100 patients admitted with either Type-I or Type -II respiratory failure. Results: Respiratory rate <30, Heart rate
<130, PCO2 45-70 are associated with good outcomes of Non-invasive ventilation. Type of respiratory failure, sputum aerobic
culture are not predictors of NIV outcomes. NIV in acute respiratory failure, irrespective of the type of respiratoryConclusion:
failure helps in improving gas exchange, reduces intubation and length of hospital stay hence, its use as the rst modality of
treatment in patients without overt contraindications is recommended. Overall, NIV is safe and effective in patients with acute
respiratory failure as there are no major complications associated with its use.
ALTERATIONS IN UNITS OF CENTRAL DOGMA UNDER ARSENIC EXPOSURE DURING PREPARATORY PHASE OF TESTICULAR CYCLE OF Mystus (M.) vittatus (Bl.)
Authors: Shukla Anuradha , Kumar Payasi Yogendra , Shukla J.P.
Published: July 2022

Central dogma units comprise of DNA, RNA and synthesis of protein. Reproductive cycle in shes is
always dynamic and the units of central dogma are always changing in different phases of testicular and
ovarian cycle which constitute reproductive cycle in shes. The adult specimens of Mystus (M.) vittatus, a tropical siluroid, when
exposed for 30 days to sublethal concentration of trivalent arsenic (11.24 mg/l) revealed signicant decline in DNA, RNA and
consequently protein in the ovary of Mystus (M.) vittatus during its preparatory phase of Testicular cycle. However, 15 days
exposure revealed less signicant alterations. Causes for declining in various units of central dogma and consequently protein
synthesis is discussed in this paper.
A CROSS SECTIONAL STUDY: RISK FACTORS FOR MYOCARDIAL INFARCTION IN YOUNG ADULT
Authors: Saxena Piyush , Kumar Patel Nitesh , Kumar Sujit
Published: July 2022

Aims: This study was done to study the risk factors in young patients presenting with acute myocardial
infarction (AMI). One hundred and forty one consecutive patients of less than 45Materials And Methods:
years male and less than 50 years female and above 18 years presenting with AMI were studied for the conventional risk factors.
Patients of MI were selected from cardiology departments in MLN Medical College Prayagraj. Major conventional riskResults:
factors were found to be smoking 51.8% (73), followed by hypertension 45.4% (64), alcohol 33.3% (47), obesity 14.9% (21) and
diabetes mellitus in 14.2% (20). Family history of cardiac disease present in 19.1% (27). On an isolated level, the most commonly
deranged parameter was serum TGs, 39.7% had elevated TGs, 38.4% had borderline TGs. HDL-C decreased in 36.2%, 62.4%
had borderline HDL-C, LDL-C was elevated in 14.2% studied population and 14.2% had borderline LDL-C and total cholesterol
was found to be elevated in 29.1% and borderline in 13.5% of patients. The most prevalent risk factor in youngConclusion:
patients is smoking, followed by hypertension. The most prevalent lipid prole derangement is triglycerides followed by HDL-C.
A COMPARATIVE PROSPECTIVE STUDY OF DYNAMIC HIP SCREW AND PROXIMAL FEMORAL NAIL IN TREATMENT OF SUBTROCHANTERIC FRACTURE FEMUR
Authors: Dombale Ajay , Waghmare Pravin , Bagale Anil , Wadhokar Pratik
Published: July 2022

Subtrochanteric fractures are relatively rare, accounting for 10 - 34% of all hip fractures1,2,3. They may be very difficult to
fix, and the risk of failure has been high with loss of the lesser trochanter and the medial buttresses 3,4, Various
intramedullary and extramedullary devices have been developed in an attempt to address potential complications of
device failure, mal- or non-union and deformities. In our prospective case series 29 subtrochanteric fractures were
involved. The aim of this study is to assess fracture union and functional outcome in subtrochanteric fracture femur
treated with proximal femoral nailing and dynamic hip screw, and also to evaluate advantages, disadvantages and major
postoperative complications associated with the proximal femoral nailing and dynamic hip screw. Conclusion: The
average functional scores for the PFN group at 6 months was 31.5 (excellent) which was significantly greater than the
DHS group 27.1(good) (p = 0.03). There was no significant difference in time to union in both groups (average 5.7 months
for DHS group and 5.2 months for PFN group) (p = 0.26). The intraoperative complication rate for the PFN group was 36%
which was significantly higher than the DHS group (0%) (p =0.001). The PFN had a significantly better functional
outcome than DHS plating at 6 months. Long term studies may be needed to observe whether the difference persists on
further follow ups. The PFN had a significant advantage over the DHS with side plate in subtrochanteric fractures with
regards to less blood loss, less requirement for transfusions, better functional scores, less shortening and fewer
incidences of postoperative complications. From the study, we consider PFN as better alternative to DHS in the treatment
of subtrochanteric fracture femur but is technically difficult procedure and requires more expertise compared to DHS.
EPIDEMIOLOGY OF ANTERIOR CRUCIATE LIGAMENT INJURIES IN CENTRAL INDIA
Authors: Gupta Anuraag , Gupta S.
Published: July 2022

Aim: To describe the epidemiological profile of Anterior Cruciate Ligament (ACL) injuries at a centre in Central India.
Methods: The present study was a retrospective record review of patients with ACL injuries over the last three years.
Demographic data, mode of injury, body mass index and clinical presentation was noted. Extent of disability was
assessed using Tegner score categorized as severe (<5), moderate (6-8) and mild (>8) respectively. Time delay between
injury and clinical presentation was also noted. Pain was measured on a 10-point VAS scale. SPSS 17.0 was used to analyse
the data. Chi-square and Independent samples 't'-tests were used to compare the data. Age of patients rangedResults:
from 18 to 54 years. Maximum patients (44.3%) were aged 18-25 years. Mean age was 29.18±8.64 years. Majority of
patients were males (78.7%), had moderate disability (60.6%), unilateral (91%) involvement and moderate pain
(93.4%). Sports injuries (73%) were the major cause. Mean time gap between injury and clinical presentation was
11.24±8.21 months. Females as compared to males had significantly lower age (p=0.023), lower BMI (p=0.025), non-
sports injuries (p=0.044), longer time gap between injury and clinical presentation (p<0.001) and lower mean VAS
scores for pain (p=0.003). Sports as compared to non-sports injuries occurred in significantly younger (p<0.001),
women (p=0.045) and lower BMI (p=0.005) patients and had significant association with severe disability (p=0.014),
bilateral involvement (p=0.034) and early presentation (p=0.021). Sports injuries in young populationConclusion:
were the most common cause with differences in epidemiology affected by gender and mode of injury.
CORRELATION OF CARDIAC MANIFESTATIONS IN DENGUE
Authors: Thirumurugan P. , Rafiq Babu Mohamed , kavitha K.
Published: July 2022

Objectives: This study was done to study the prevalence of cardiac manifestations of dengue fever in patients
presenting to our hospital and to find out the correlation of cardiac manifestations with the warning signs of dengue
infection The study was conducted at Government Villupuram Medical College and Hospital,a tertiary careMethods:
hospital in the month of July to December 2021. One hundred consecutive patients aged 15 years or more with positive
dengue serology were interviewed and examined. ECG was done for all patients and selected patients underwent echo
evaluation and troponin testing. The data was analyzed using statistical significance tests Thirty-three patientsResults:
had no warning signs, 59 patients had one warning sign or the other. Eight patients had severe dengue. The minimum
pulse rate was 32/ minute. The most common cardiac abnormalities noted were rhythm abnormalities of which the
commonest was sinus bradycardia, found in 34 percent. There was statistically significant correlation between cardiac
manifestations and all the warning signs except persistent vomiting. Among severe dengue, fluid accumulation causing
respiratory distress was found to have a significant correlation with the cardiac manifestations The mostConclusions:
common cardiac manifestations noted were transient rhythm abnormalities, of which sinus bradycardia was the
commonest. There was no evidence of Myocarditis in any of the patients .There was statistically significant correlation
between cardiac manifestations and all the warning signs except persistent vomiting. Among severe dengue, fluid
accumulation causing respiratory distress was found to have a significant correlation with the cardiac manifestations.
A STUDY TO COMPARE THE CLINICO- EPIDEMIOLOGIC PROFILE OF OSTEOARTHRITIS OF KNEE OF MIDDLE AGED WITH ELDERLY PERSONS IN JODHPUR CITY
Authors: Mathur Nikhil , Mandora Manish , Agarwal Harish , Jain Arvind , N Sengupta Gowri
Published: July 2022

Osteoarthritis (OA) is the most prevalent form of arthritis in India, affecting over 15 million adults every year. One in two
adults will develop symptoms of knee OA, while one in four adults will development symptoms of hip OA by the age 85
and one in 12 people above 60 years or older have hand OA. Although OA occurs in people of all ages, osteoarthritis is
most common in people older than 65. The prevalence of knee osteoarthritis is 22% - 32% in India; commonly females
are more affected than males as the age progress. 5 More than half of those with arthritis are under 65 years of age. OA
knee increases with age (older than 50 years), especially in women. According to a survey, anywhere from 6% to over
13% of men, but between 7% and 19% of women, resulting in a 45% less risk of incidence in men. According to Kallgren
Lawrence scale, knee joints symptoms, it states that middle-aged individual feel less pain as compared to elderly age
individual and knee joint examination shows inflammation, swelling, scar, shape alteration, muscle wasting present in
lesser individual among middle age group as compared to elderly age group. Lastly 15% of middle age screened
participants were having hypokalaemia(<6.7%mg/dl), as compared to 18% of elderly age group and 42% of middle-
aged participants were having vit. D3 deficiency as compared to 45% of elderly age group participants, which shows that
as the age progresses the participants of hypokalaemia increased and with the age increase, vit. D3 deficiency also
increases, and which play major role in severity and complication of OA. 411 patients (<60 year = 201; >60 year = 210)
were studied for osteoarthritis of knee joint symptoms, signs, investigation at Shri Shivram Nathu Ji Tak Government
Satellite Hospital Mandore, AGH: Dr S N Medical Collage, Jodhpur (Raj.) during January 2019 to October 2019.
Osteoarthritis is more prevalent in females (58%). Osteoarthritis is more common in active physical worker, especially in
females due to their job profile like prolong standing and squatting (for doing household moping etc).Vitamin D3 level
and deficiency not significantly similar in both groups due to the regular supplementation. Left knee of both age group
was found more common, we cannot find any explanation for this, further studies to be done upon this
EPIDEMIOLOGICAL PROFILE OF SHOULDER PAIN PATIENTS AT A TERTIARY CARE CENTRE IN CENTRAL INDIA
Authors: Gupta Anuraag , Gupta S.
Published: July 2022

Background/Aim: Shoulder pain is a common yet etiologically diversified complaint amongst patients presenting to
an orthopaedic facility. In present study we describe the epidemiology and profile of shoulder pain patients.
Methodology: This study was carried out over a period of three months at a tertiary care facility in Central India and
included a total of 72 adult patients (>18 years) presenting with shoulder pain. Demographic profile, mode of injury,
comorbidities, duration of pain, side involved, pain intensity (VAS) and Disability level (DASH) scores were noted. All the
patients underwent clinical evaluation followed by radiological/MRI evaluation. Final diagnosis was based on MRI with
clinical correlation. Mean age of patients was 47.88±12.56 years (range 23-69 years), majority were womenResults:
(51.4%) with involvement of right side (55.6%). Mean duration of pain was 9.49±5.74 months. A total of 31 (43.1%)
patients had no history of injury, Trauma (27.8%) and occupational injury (25%) were the most common modes. Diabetic
history was positive in 37.5% patients. Mean pain and DASH scores were 7.36±70.88 and 54.40±14.80 respectively.
Periarthritis shoulder (40.3%), rotator cuff injury (25%) and subacromial impingement (15.3%) were the most common
diagnoses followed by ACJ and glenohumeral arthritis (8.3% each). There was 1 (1.4%) case each of calcific tendinitis
and instable shoulder respectively. Shoulder pain patients presented with moderate to severe pain and aConclusion:
high level of disability. Periarthritis shoulder and rotator cuff injury were the most common diagnoses.
Pengaruh Model Pembelajaran Berbasis Problem Solving Terhadap Hasil Belajar Mahasiswa
Authors: Damayanti Mesra , Fausan Muhammad Mifta
Published: July 2022

Penelitian ini bertujuan untuk mengetahui ada tidaknya pengaruh model pembelajaran berbasis problem solving terhadap hasil belajar mahasiswa biologi Universitas Sulawesi Barat. Penelitian ini merupakan penelitian eksperimen dengan menggunakan desain penelitian posttest only control group desaign, terdiri dari dua variabel yaitu model pembelajaran berbasis problem solving dengan pembelajaran langsung sebagai variabel bebas dan hasil belajar mahasiswa sebagai variabel terikat. Populasi penelitian ini adalah semua mahasiswa biologi Universitas Sulawesi Barat tahun ajaran 2017/2018 sebanyak 4 kelas dengan jumlah keseluruhan 112, pengambilan sampel secara random terpilih kelas  biologi A dan C. Setelah pemberian tes hasil belajar, data yang diperoleh dianalisis dengan statistik deskriptif dan inferensial dengan tingkat kesalahan 5% (α = 0,05). Hasil analisis statistik deskriptif diperoleh nilai rata-rata hasil belajar peserta didik yang diajar dengan pembelajaran berbasis problem solving lebih tinggi dibandingkan dengan model pembelajaran langsung. Hasil analisis statistik inferensial menujukkan bahwa model pembelajaran berbasis problem solving berpengaruh terhadap hasil belajar mahasiswa biologi Universitas Sulawesi Barat.
Pengaruh Umur terhadap Penghasilan Pegawai Dinas Pendidikan Kabupaten Bone
Authors: Quraisy Andi , Ikramuddin Ikramuddin
Published: July 2022

Penelitian ini dilakukan di Dinas Pendidikan Kabupaten Bone dengan tujuan untuk mengetahui pengaruh umur terhadap penghasilan Pegawai Negeri Sipil Dinas Pendidikan Kabupaten bone. Analisis regresi digunakan untuk mengetahui hubungan linear antara variabel bebas terhadap variabel terikat. Populasi pada penelitian ini adalah Pegawai Negeri Sipil Dinas Pendidikan Kabupaten Bone sedangkan sampelnya adalah seluruh Pegawai di Dinas Pendidikan Kabupaten Bone yang terdiri atas 37 orang. Pemilihan sampel pada penelitian ini menggunakan metode purposive sampling. Metode analisis yang digunakan adalah analisis regresi linear sederhana. Berdasarkan hasil analisis data melalui analisis regresi diperoleh terdapat pengaruh umur terhadap penghasilan pegawai Dinas Pendidikan Kabupaten Bone. Besar pengaruh umur terhadap penghasilan yaitu hanya 29,8% dan berada pada kategori lemah.
Analisis Subjective Well-being Pasien Penyakit Ginjal Kronik yang Menjalani Hemodialisis
Authors: Haerianti Masyita , Warsini Sri , Pangastuti Heny Suseani
Published: July 2022

Tujuan penelitian ini  adalah untuk mengetahui faktor-faktor yang berhubungan dengan subjective well-being pasien penyakit ginjal kronik yang menjalani hemodialisis di RSUP Dr. Sardjito Yogyakarta. Metode penelitian yang digunakan adalah  cross sectional. Jumlah sampel 110 orang. Penelitian dilakukan di Unit Hemodialisis RSUP Dr.Sarjito Yogyakarta. Teknik pengambilan sampel dengan consecutive sampling. Pengambilan data menggunakan lima kuesioner yakni kuesioner data demografi, kuesioner Personal Wellbeing Index-Adult (PWI-A), kuesioner Rosenberg Self-Esteem Scale (RSES), kuesioner Sarason’s Social Support Questioner (SSQ) dan kuesioner nilai-nilai agama dengan analisa data chi-square dan uji regresi logistic berganda dengan metode backward. Mayoritas pasien memiliki subjective well-being yang tinggi. Faktor yang berhubungan dan paling dominan memengaruhi subjective well-being hanya harga diri (p=0,010). Faktor yang berhubungan dengan subjective well-being yakni jenis penyakit dan harga diri. Faktor yang paling berhubungan adalah harga diri. Berbagai tindakan yang dapat meningkatkan harga diri pasien hemodialisa penting untuk dilakukan untuk meningkatkan subjective well-being pasien
Pengaruh Penyuluhan terhadap Tingkat Pengetahuan dan Sikap Remaja tentang Pernikahan Dini
Authors: Irfan Irfan , Harmawati Harmawati
Published: July 2022

Remaja yang berada di SMP Negeri 6 Majene rata-rata pengetahuan tentang pernikahan dini sangat rendah. Penyuluhan tentang pernikahn dini di SMP Negeri 6 Majene menjadi hal yang penting diberikan kepada para remaja agar dapat meningkatkan pengetahuan tentang pernikahan dini. Tujuan penelitian ini untuk mengetahui pengaruh penyuluhan terhadap tingkat pengetahuan dan sikap remaja tentang pernikahan dini di SMP Negeri 6 Majene Tahun 2018. Rancangan penelitian ini dengan metode Pre-Eksperimental dengan One group pre-test and post-test design. Tekhnik pengambilan sampel Cluster random sampling alat ukur yang digunakan adalah kuesioner. Sampel dalam penelitian ini adalah siswa kelas VIII SMP Negeri 6 Majene sebanyak 90 sampel. Analisa data menggunakan program SPSS 20. Uji statistic yang digunakan adalah Wilcoxon Tests dengan tingkat signifikansi ɑ < 0,05. Terdapat pengaruh penyuluhan terhadap tingkat pengetahuan dan sikap remaja tentang pernikahan dini dengan nilai signifikan P = 0,000 < ɑ = 0,05. Diharapkan petugas kesehatan melakukan penyuluhan tentang pernikahan dini agar pengetahuan remaja meningkat tentang pernikahan dini
The Relationship between Mother's Knowledge and Repeated Fever Seizures in Seruni Nursing Room at Majene in Regional Hospital
Authors: Raehan Raehan
Published: July 2022

Kejang demam merupakan kejang yang paling sering terjadi pada anak sebanyak 2% sampai 5% anak yang berumur kurang dari 5 tahun pernah mengalami kejang disertai demam. Tujuan dari penelitian ini adalah untuk mengetahui hubungan pengetahuan ibu dengan kejadian kejang demam berulang di ruang perawatan seruni RSUD Majene tahun 2017. Desain penelitian yang digunakan yaitu analitik observational dengan pendekatan cross sectional study. Populasi dalam penelitian ini yaitu ibu yang anaknya mengalami kejang demam sebanyak 39 orang. Teknik pengambilan sampel yang digunakan yaitu accidental sampling dengan jumlah sampel sebanyak 22 anak. Data dikumpulkan dengan menggunakan kuesioner. Analisis data menggunakan analisis person chi-square dengan α = 0.05. Pengetahuan ibu tentang kejadian kejang demam berulang, sama besar antara pengetahuan cukup dan pengetahuan kurang, kejadian kejang demam berulang lebih banyak pada kategori kejang demam berulang. Kesimpulan: hasil analisis menunjukkan bahwa ada hubungan antara pengetahuan ibu dengan kejadian kejang demam berulang di ruang perawatan seruni RSUD Majene tahun 2017. Saran: merencanakan kebutuhan pendidikan kesehatan bagi ibu khususnya dengan anak penderita kejang demam, sehingga dapat mengontrol kejadian kejang demam berulang
Influence of ROM (Range Of Motion) on Muscle Strength in Elderly in Adolang Dhua village
Authors: AR Irmayanti , Irfan Irfan
Published: July 2022

ROM merupakan gerak atau (Range Of Motion) jumlah pergerakan maksimum yang dapat di lakukan pada sendi. Kekuatan otot adalah kemampuan otot menahan beban baik berupa beban eksternal maupun beban internal. Tujuan dari penelitian ini untuk mengetahui pengaruh ROM (Range Of Motion) terhadap kekuatan otot pada lansia di Desa Adolang Dhua Kecamatan Pamboang Kabupaten Majene. Rancangan penelitian yang digunakan yaitu Quasi Eksperimen dengan pendekatan Pra-Eksperimen dalam satu kelompok One-Group Pre-test-posttest Design. Jumlah sampel 37 orang dipilih secara Consecutive Sampling dari seluruh lansia yang ada di Desa Adolang Dhua. Pengambilan data dengan menggunakan lembar observasi derajat kekuatan otot. Data dianalisis dengan menggunakan Wilcoxon Signed Rank Test. Hasil penelitian ekstremitas atas dan ekstremitas bawah menunjukkan P: 0.000 yang artinya nilai P value lebih rendah dari nilai α sehingga disimpulkan penelitian ini ada pengaruh ROM (Range Of Motion) terhadap kekuatan otot pada lansia di Desa Adolang Dhua Kecamatan Pamboang Kabupaten Majene. Saran kepada responden agar melakukan latihan ROM 1 kali dalam sehari agar meningkatkan kekuatan otot pada lansia dan meningkatkan kesehatan lansia dan disarankan kepada petugas kesehatan setempat agar meningkatkan pendidikan kesehatan mengenai penanganan kekuatan otot pada lansia.
Penggunaan Perintah Suara Sebagai Sistem Kontrol Pengganti Kunci Kendaraan Bermotor Roda Dua
Authors: S Asmawati , Sari Dian Megah
Published: July 2022

Semakin banyaknya penggunaan sepeda motor saat ini memicu adanya tingkat kejahatan seperti pencurian motor yang membuat resah warga masyarakat, dikarenakan kurangnya sistem penguncian kendaraan konvensional sehingga sangat mudah dibobol atau menduplikat kuncinya, dari permasalahan itulah sehingga peneliti ingin merancang sebuah alat dengan menggunakan Perintah suara dimana sebelumnya direkam melalui smartphone android yang terhubung pada bluetooth dan dikendalikan oleh sebuah mikrokontroller sebagai pengganti kunci kontak konvensional yang diharapkan dapat mengurangi pembobolan kendaraan ataupun kecerobohan para pemilik kendaraan roda dua. Dengan demikian rangkaian alat ini akan menggantikan kunci kontak konvensional, sehingga dapat pula menghindarkan pengguna kendaraan bermotor ketinggalan kuncinya.
Faktor-Faktor yang Berhubungan dengan Persalinan Seksio Sesarea di RSUD Kabupaten Mamuju
Authors: Parwati Dewi
Published: July 2022

Penelitian ini dilaksanakan untuk mengetahui faktor-faktor yang berhubungan dengan persalinan seksio sesarea. Penelitian ini menggunakan metode deskriptif analitik desain cross sectional study dengan jumlah sampel 30 orang ibu  yang melahirkan sesuai dengan kriteria inklusi di ruang perawatan edelweis RSUD Kabupaten Mamuju. Data diperoleh dengan tehnik wawancara menggunakan kuesioner. Dilakukan uji statistik dan analisis univariat dan analisis bivariat pada. Hasil penelitian menunjukan bahwa   ada hubungan usia ibu dengan persalinan seksio sesarea  dengan, tidak ada hubungan  paritas dengan persalinan seksio sesarea, tidak ada hubungan tinggi badan  dengan persalinan seksio sesarea, dan ada  hubungan ketuban pecah dini dengan persalinan seksio sesarea. Berdasarkan hasil penelitian tersebut maka dianjurkan pada petugas kesehatan RSUD Kabupate Mamuju  untuk meningkatkan penyuluhan  khususnya tentang faktor penyebab dilakukan tindakan persalinan seksio sesarea
The Relevance of Motivation on Productivity of Health Workers; a Case Study of Karu General Hospital, Abuja
Authors: O Ajobiewe J. , O Oguntayo, G. , F Ajobiewe, H. , N Yashim, A. , A Adigun, K. , N Ogakwu, M. , K Alau, K. , A Udefuna, P. , C Umeji, L. , O Salami, A. , A Ogundeji, A. , C Aniakor, G. , A Dangana,
Published: July 2022

The main purpose of this study was to examine the enormous role of motivation on the performance of health workers using the case of Karu general hospital, Nigeria. Our sample size for this study was fifty employees from this organization. Simple random sampling techniques were used to select the respondents to the questionnaires. Well-structured self-administered questionnaires were used as the main tool for data collection and were administered to fifty respondents out of which forty seven were retrieved and appropriately filled. Findings from the study revealed that job satisfaction, logistic provision, and an enabling work environment were intrinsic motivating factors that affected work performance of the health workers in this study: while extrinsic factors such as financial reward, accommodation, and transportation also impacted work performance. Furthermore, motivation was key to the work performance of nurses. In conclusion we recommended that staff development and training scheme should be given more emphasis by management to further achieve higher output from its employees.
A Case of Mounier Kuhn Syndrome with Bronchial Asthma
Authors: Kechnaoui S. , Ouakil N. , Aitbatahar S. , Amro L.
Published: July 2022

Tracheobronchomegaly (Mounier–Kuhn syndrome) is a rare disease characterized by dilatation of the trachea and major bronchi because of atrophy or absence of elastic fibers and smooth muscle cells. The clinical signs are diverse and not very specific. Imaging provides a positive diagnosis. We present a case of 40 year old male who presented with intermittent episodes of cough with productive sputum, wheezing and breathing difficulty since last 35 years and he was treated for Bronchial Asthma since last 25 years. He was later diagnosed with Mounier–Kuhn syndrome with Bronchial Asthma by clinical history supported by Radiological evidences.
Laryngeal Schwannoma: A Case Report and Literature Review
Authors: Ouattassi Naouar , Ghoul Salma El Alaoui El , Hammas Nawal , Benmansour Najib , Alami Mohamed Nouredine El Amine El
Published: July 2022

Background: Schwannoma is a benign nerve tumor whose laryngeal location is very rare, diagnosis is relatively easy as it presented as benign tumor. However, recurrence after surgery happens quite often. Case Presentation: We report the case of a 50-year-old male patient with chronic dysphonia, nasofibroscopy examination showed a pedunculated mass of the left arytenoid suggesting a benign tumor. The patient underwent CO2 laser resection of the tumor under general anaesthesia on direct laryngoscopy. Histopathology examination revealed a schwannoma. Two years later, the patient is symptom-free with no evidence of recurrence on laryngeal endoscopy. Conclusion: The purpose of the present case report is to highlight this rare entity and to emphasize technical considerations in order to allow a perfect removal of the disease and to avoid recurrence.
Segmental Hypokinetic Cardiomyopathy in Churg Strauss Syndrome: A Case Report and Review of a Spectacular Evolution
Authors: El Qadi Dr. Chaima Ait , Zaridi Dr. Ilyas , Bourzeg Dr. Khaoula , Bouzerda Professor Abdelmajid , Qacif Professor Hassan
Published: July 2022

Eosinophilic granulomatosis with polyangiitis (EGPA, formerly Churg-Strauss syndrome) is a necrotizing systemic vasculitis of small vessels, associated with late-onset asthma, blood and tissue hypereosinophilia. Cardiac involvement is a major concern and has been described as the leading cause of mortality. In this context, we report the case of a 48-year-old woman with Churg Strauss syndrome, suffering from late-onset asthma, pansinusitis, hypereosinophilia, and cardiac damage, consisting of segmental hypokinetic cardiomyopathy with an altered ejection fraction and healthy coronary artery, complicated by a flutter treated by electric cardioversion. The combination of bolus corticosteroid therapy with Azathioprine, as well as the reduction of the rhythm disorder, led to an improvement of the contractile function and the ejection fraction in this patient's case. This observation illustrates a particular and exceptional form of myocardial damage due to Churg-Strauss syndrome and its spectacular evolution under background treatment and rhythm control.
Low Penetration Rate in South African Financial Co-Operatives: Reasons from Supplier Perspective
Authors: Ismaila Dr. Bouba , Gamede Dr. Vangeli
Published: July 2022

Background: The Co-operative Financial Institutions sector in South Africa is small compared to many African countries. Despite the important role that financial co-operatives play in poverty reduction and financial inclusion that is recognised by governments globally, no study has been conducted in South Africa in an attempt to find the reason behind this sector very low penetration rate. This study sought to investigate the possible reasons for the low penetration rate in the sector, focusing on supplier perspective. Aim/Purpose: The purpose of the study is to determine the reasons for low penetration rate in South African CFIs from their own perspective, reflecting on their entrepreneurial and innovative actions or strategies. Setting: The study considered all 28 registered CFIs and Co-operative Banks in South Africa. Twenty of them participated in the study. Method: The study used quantitative design to evaluate objective data. A structured questionnaire was used to collect data from 20 registered CFI representatives around the country. SPSS software was used to analyse data. Results: The study revealed that the low penetration rate in the CFI sector is due to consumer lack of knowledge and awareness about them, their products and their actions. Conclusion: The study concludes that the South African CFI sector needs to adapt and implement a systematic program that will enable them to reach out to more consumers. The findings may also give other stakeholders like the government, a better idea on what they should do to assist the sector.
Role of Subcutaneous Drainage Can Reduce Such Complications in Patients Undergoing Elective and Emergency Abdominal Surgery
Authors: Akter Mariam , Zubyra Sarwat Jahan , Begum Jebunness , Haque Zeenat Ara
Published: July 2022

Prophylactic drainage of wounds is aimed to reduce the wound complications and thereby morbidity. Obese patients are at more risk. Wound management is a basic practice in surgery, especially after an elective abdominal surgery. Our task after surgery is to avoid and thereby to reduce the adverse effects of wound complications. Objective: To determine whether subcutaneous drainage can reduce such complications in patients undergoing elective and emergency abdominal surgery. Materials and Methods: It is a prospective open comparative study carried out Department of obstetrics and gynecology, in two hospitals Al-Hera Hospital, Mawna, Chowrasta, Sreepur, Gazipur and Shaheed Tajuddin Ahmad Medical College Hospital, Gazipur, Bangladesh over a period of six (6) months August 2021 to January 2022. Patients were randomized before surgery and divided into two groups by systemic random sampling. Total sample size 150 with 75 in each group. All patients will receive same preparations. Results: Wound complications observed in 2 patients with subcutaneous drain which forms 8% of the total patients with subcutaneous drain. Wound complications observed in 25 patients without subcutaneous drain which forms 33.3% of the total patients without subcutaneous drain. Comparing these two data found to be statistically significant with P value < 0.05. Thus the incidence of wound complication is low in those with subcutaneous drain than those without drain. Conclusion: Subcutaneous drain when kept in obese individuals with more subcutaneous fat thickness who undergo elective abdominal surgeries had lesser incidence of local wound complications and lesser hospital stay when compared to those patients without subcutaneous drain.
Mechanistic Insights an Anti-Inflammatory Potential of Quercetin by Molecular Docking
Authors: Mourya Brijendra , Shrivastava Niyati
Published: July 2022

Background: Inflammation is a biological response to a series of chemical reactions whose major function is protection from infection and the resolution of tissue damage caused by injury. There are several mediators released during the process of inflammation. Flavonoids are universal in photosynthesizing cells and are often found in vegetables, fruit, nuts, seeds, stems, tea, flowers, honey and wine preparations. This class of natural products is becoming the subject of anti-infective research, and many groups have isolated and identified the structures of flavonoids possessing, antiviral, antifungal antibacterial activity and anti-inflammatory activity. This study has been carried out to rationally design quercetin was assayed for anti-inflammatory potential by using in-silico molecular docking approach. Methods: Molecular docking of Phosphodiesterase 4 (PDE4) with quercetin was carried out by AutoDock. Result: The molecular docking result revealed that quercetin showed encouraging docking score. The docking score found to be -7.67 kcal mol–1 respectively.
Evaluating the ability of the National Agency for Financial Investigation of Cameroon and the Nigerian Economic and Financial Crimes Commission in combating Money Laundering
Authors: Nyingchia Dr. Kwei Haliday
Published: July 2022

Illicit financial flows remain a serious problem to both developed and developing countries with tremendous negative impact on the economy. Although the police is there to investigate offences, certain offences are more sophisticated in nature thereby, necessitating the establishment of specialized agencies to investigate such offences. Nigeria and Cameroon have very common similarities when it comes to corruption and efforts to eliminate it led to the creation of the Economic and Financial Crimes Commission (EFCC) and the National Agency for Financial Investigation (ANIF). These agencies have the mandate to fight against money laundering and terrorist financing but the mandate of the EFCC is more extended with tremendous powers to investigate and directly prosecute offenders. ANIF does not have such powers and only report to the prosecution after investigation. This is attributed to the fact it is Financial Intelligence Unit (FIU) whose functions are usually limited to collection, analysis and dissemination of information related to money laundering, associated predicate offences and the financing of terrorism. Cameroon has opted for the administrative model lodged within the Ministry of Finance. The objective of this paper is that it seeks to make a comparative study of the EFCC and ANIF in the fight against financial crimes and to draw a line as to the model that is more efficient. To achieve this, a qualitative research approach was adopted. Accordingly, the doctrinal method was used which enabled us to do an on desk analysis of the available secondary and primary data on the EFCC and ANIF. This paper recommends that more sophisticated means should be given to the EFCC and that the CEMAC sub region should adopt the Nigerian model which has proven to be more successful in combating illicit financial flows.
The Contrastive Analysis of “Laugh” Verbs in English and Chinese
Authors: Jing Shang , , Yuan Li
Published: July 2022

“Laugh” verbs rank almost first when people express their emotions. There are many “laugh” verbs in English, for learners with a relatively low proficiency level, it is quite difficult to choose the appropriate one to describe their states of mind. Due to their subtle differences, it is more difficult for learners to grasp their usage and meanings. This present paper aims to analyze the differences of some widely used “laugh” verbs through componential analysis.
The Causes of Post-Partum Hemorrhage in Patients Attending in a Tertiary Care Hospital
Authors: S Nahar, , S Roy, J.
Published: July 2022

Background: Post-partum hemorrhage is defined as excessive bleeding following a vaginal delivery or cesarean section of more than 500ml and 1000ml respectively. Post-partum hemorrhage is a potentially life-threatening complication of vaginal and cesarean delivery. The aim of the study was to identify the causes of PPH cases and find out modalities and maternal outcomes of PPH cases and different presentations of PPH patients, to identify the causes of primary & secondary PPH. Methods: This cross-sectional study was conducted at Dhaka Medical College & Hospital, Dhaka, Bangladesh during the period from July 2011 to December 2011. The total number of patients in the present study was 200. Patients were selected from those who developed PPH after vaginal delivery or LSCS or instrumental delivery. Patients who were admitted as cases of PPH after home or other institutional delivery. The data were entered into a computer and statistical analysis of the results was obtained by using windows-based computer software devised with Statistical Packages for Social Sciences version 24. Results: During the study period, 407 PPH cases were admitted and the incidence of PPH was 5.72% of the total obstetric cases. Out of 407 cases, 317 (77.89%) were primary PPH cases and 90 (22.11%) were secondary PPH. Among the study people, 89% of patients developed primary PPH, and only 11% developed secondary PPH, 77% of the patients developed no complications other than PPH. 0.5% of patients expired remaining 23% of the patients developed some kind of complication following PPH. Conclusion: Maternal mortality has been used traditionally as a measure of the quality of health care. Recently maternal mortality is being taken into account to assess the burden of the disease. Safe motherhood policies, systematic evaluation, aggressive and appropriate treatment, prompt resuscitation, and volume replacement minimize the potentially serious outcomes associated with PPH. Most of the patients can be managed at the upazilla level by properly trained personnel. Only one-tenth of the patients require surgical management with active management of third-stage labor. So detecting the complications as early as possible and early referred to the tertiary level hospital would be able to reduce the complications and will improve the maternal outcome.
“Impact of Yoga in Daily Life”-A Literature Review
Authors: Kambi Mrs. Rajeshwari , Nalatwadmath Mr. Mahendrakumar , Awati Ms. Samarin J.
Published: July 2022

Yoga is a way to achieve complete balance between the body, mind, and soul. The Sanskrit word yuj, which implies union, is where the word yoga first appeared. Fusion of the individual and the collective mind. Practicing yoga can help you keep your equilibrium. Avoiding various health issues requires proper equilibrium. Your body gains a lot from yoga. Your ability to focus and how you approach problems both increase. It's a lifetime choice rather than just an activity. Your mind, body, and spirit will all benefit from it in various ways.
Assessment of Knowledge and Attitude about Sexually Transmitted Infections among Medical Students of Dhaka City, Bangladesh
Authors: N Mahboob, , H Iqbal, , S Afrin, , Z Abedin, F. , M Ahmed,
Published: July 2022

Background: Sexually transmitted infections (STIs) are major public health problem in both developing and developed countries. Medical students should have adequate knowledge about STI as they will be dealing with patients in future. The objective of this study was to evaluate the knowledge and attitude about STIs among medical students. Materials and Methods: This descriptive cross-sectional study was conducted among the 184 medical third year students of private medical colleges of Dhaka. Data were collected using a structured questionnaire on sociodemographic information, knowledge of STIs and attitude towards it. The response format was based on a 3-point Likert scale. Frequency distribution was calculated for statistical analysis. Results: One hundred and eighty-four students participated in this study of which 76 (41%) were males and 108 (59%) were females. All of the respondents had ever heard about STIs. Internet was the most frequently source of information for STIs. Most of the students had fair knowledge about the sign and symptoms, transmission, complication and prevention methods of STIs but there were also students who didn’t knew and had misconceptions. Attitude of the students towards STIs was variable. Conclusion: This study indicates the gaps in the knowledge of medical students about STIs. Further research should be performed to investigate the reason behind this gap. Moreover, additional emphasis on the knowledge of STIs and prevention should be implemented into the curriculums.
Pengaruh Obat Kumur Povidon Iodin 1% terhadap Kekerasan Semen Ionomer Kaca Diperkuat Zirkonia
Authors: Primasari Monica Brenda Christy , Wibowo Gustantyo Wahyu , Muniroh Muflihatul , Purbaningrum Diah Ajeng
Published: July 2022

LATAR BELAKANG : Semen ionomer kaca diperkuat zirkonia adalah bahan restorasi generasi baru yang memiliki kekuatan setara amalgam sekaligus mempertahankan kemampuan pelepasan fluorida. Kekerasan restorasi dapat dipengaruhi oleh berbagai faktor, termasuk penggunaan obat kumur. Obat kumur yang direkomendasikan selama pandemi COVID-19 adalah povidon iodin 1%. Penelitian terbaru membuktikan obat kumur povidon iodin 1% dapat menurunkan kekerasan resin komposit nanohibrid.TUJUAN : Untuk mengetahui pengaruh obat kumur povidon iodin 1% terhadap kekerasan semen ionomer kaca diperkuat zirkonia.METODE : Penelitian ini merupakan penelitian true experimental laboratories dengan rancangan penelitian pre-test and post-test control group design. Sampel penelitian terdiri dari 36 sampel semen ionomer kaca diperkuat zirkonia dengan diameter 6 mm dan tinggi 2 mm. Sampel dibagi menjadi dua kelompok yaitu kelompok kontrol yang direndam dalam saliva buatan dan kelompok perlakuan direndam dalam obat kumur povidon iodin 1% selama 24 jam. Uji kekerasan menggunakan alat Vickers Hardness Tester. Data dianalisis menggunakan uji Paired T-Test dan Independent T-Test.HASIL : Hasil uji Paired T-Test menunjukkan bahwa terdapat perbedaan yang tidak signifikan pada kelompok kontrol sebelum dan sesudah perendaman dengan nilai p>0,05 dan terdapat perbedaan yang signifikan pada kelompok perlakuan sebelum dan sesudah perendaman dengan nilai p<0,05. Hasil uji Independent T-Test menunjukkan bahwa terdapat perbedaan kekerasan yang signifikan pada kelompok kontrol dan kelompok perlakuan dengan nilai p<0,05.KESIMPULAN : Obat kumur povidon iodin 1% berpengaruh terhadap penurunan kekerasan semen ionomer kaca diperkuat zirkonia.Kata Kunci : kekerasan, obat kumur povidon iodin 1%, semen ionomer kaca diperkuat zirkonia.
Korelasi antara Indeks Massa Tubuh, Jenis Kelamin, Usia dan Hipermobilitas Sendi pada Anak Usia Sekolah Dasar
Authors: Tri Sudaryanto Wahyu , Repisalta Yuni Sandra , Bintari Nur Juniarti
Published: July 2022

Latar belakang : Hipermobilitas sendi (joint hypermobility) merupakan suatu faktor risiko yang mendasari berbagai jenis gangguan muskuloskeletal pada anak-anak. Keterlambatan dalam diagnosis pada hipermobilitas sendi berisiko terhadap rasa nyeri dan gangguan fungsional dan kemampuan akademis anak di sekolah. Penelitian ini bertujuan untuk menganalisis hubungan antara indeks massa tubuh, jenis kelamin, dan usia, terhadap hipermobilitas sendi pada Anak Usia Sekolah Dasar.
Metode : Penelitian cross-sectional dilakukan di Sekolah Dasar Kleco 1, Surakarta, Jawa Tengah, Indonesia. Subjek penelitian sebanyak 261 siswa sekolah dasar dipilih dengan purposive sampling. Variabel dependen adalah hipermobilitas sendi. Variabel independen adalah indeks massa tubuh, jenis kelamin, dan usia. Hipermobilitas sendi diukur dengan skor Beighton. Data dianalisis dengan regresi logitik ganda dengan software Stata 13.
Hasil : Analisis regresi logistik ganda menunjukkan bahwa jenis kelamin laki-laki memiliki risiko lebih rendah mengalami hipermobilitas sendi daripada perempuan, tetapi secara statistik tidak signifikan (OR= 0,89; CI 95%= 0,53 hingga 1,48; p= 0,656). Usia anak yang lebih tua (≥9 tahun) memiliki risiko lebih rendah mengalami hipermobilitas sendi daripada daripada anak dengan usia lebih muda dan secara statistik signifikan (<9 tahun) (OR= 0,52; CI 95%= 0,31 hingga 0,89; p= 0,016). Anak dengan berat badan lebih (overweight) menurunkan risiko hipermobilitas sendi daripada anak dengan berat badan normal, dan secara statistik mendekati signifikan (OR= 0,78; CI 95%= 0,60 hingga 0,89; p= 0,066).
Simpulan : Tidak ada hubungan signifikan antara jenis kelamin dengan hipermobilitas sendi. Usia dan indeks massa tubuh mempengaruhi hipermobilitas sendi pada anak usia sekolah dasar.
Analisis Aspek Komorbid dan Demografis dengan Waktu Kematian dan Tingkat Severitas pada Pasien COVID-19 yang Meninggal di Rumah Sakit Saiful Anwar
Authors: Munthe Indra , Astuti Triwahju , Sartono Teguh Rahayu
Published: July 2022

Latar belakang : Pandemi COVID-19 pada tahun 2020 menyebabkan kematian di seluruh dunia. Hingga bulan Februari 2022, didapatkan 5,84 juta kematian akibat infeksi COVID-19. Sejumlah 1,1% kematian didapatkan pada kasus ringan-sedang, dan 32,5% pada kasus berat-kritikal. Penelitian ini dilakukan untuk mengetahui hubungan antara usia, merokok, pendidikan, pekerjaan, dan komorbid dengan tingkat severitas (ringan, sedang, berat dan kritis) dan waktu kematian (<48 jam dan >48 jam ) pada infeksi COVID-19, serta hubungan antara tingkat severitas penyakit dengan waktu kematian (<48 jam dan >48 jam) pada infeksi COVID-19.
Metode : Penelitian dilakukan secara retrospektif dengan 300 sampel di RSSA pada bulan April 2020 hingga bulan September 2021, dengan subjek pasien berusia 18 tahun ke atas yang dirawat karena COVID-19. Data mengenai epidemiologis, klinis, dan komorbid diambil dari rekam medis. Data kategorik dua variabel dianalisis dengan menggunakan Chi Square dan uji Fischer untuk data yang tidak memenuhi kriteria Chi Square. Batas kemaknaan dinyatakan pada p<0,05 dengan interval kepercayaan 95%. Statistik dikerjakan dengan SPSS versi 26.
Hasil : Analisis statistik menunjukkan terdapat hubungan yang signifikan antara: usia, merokok, komorbid, tingkat severitas COVID-19 dengan waktu kematian (p<0,001). Tidak terdapat hubungan yang signifikan antara pendidikan dan pekerjaan dengan derajat awal dari COVID-19 dengan waktu kematian (p>0,001).
Pembahasan : Pasien dengan usia tua berisiko mengalami mortalitas lebih tinggi diduga terkait dengan fungsi sel T dan sel B, produksi sitokin tipe 2 berlebihan yang menyebabkan terjadinya respon proinflamasi yang berkepanjangan. Penelitian lain menyebutkan bahwa usia, pasien laki-laki, dan perokok aktif merupakan faktor prognosis mortalitas. Gejala berat-kritikal COVID-19 merupakan prediktor independen terjadinya mortalitas. Gejala berat seperti sesak napas dan distres pernapasan berat terkait dengan mortalitas yang lebih tinggi.
Simpulan : Terdapat hubungan yang signifikan antara usia, merokok, komorbid dan tingkat severitas dengan waktu kematian. Didapatkan juga tidak adanya hubungan signifikan antara pekerjaan dan pendidikan dengan waktu kematian