bluuebunny/crossref_metadata_2025 huggingface dataset:
Assessment of Nutritional Knowledge and Dietary Patterns of Patients with Pancreatitis in South India
Authors: Sunil Julia , Pranavi A. R. , Mohsina Subair , Thulasingam Mahalakshmy , Kumar Sathasivam Suresh , Kate Vikram
Published: July 2021

Background:

Pancreatitis is common in South India, with a 20-fold higher incidence than the West.

Objectives:

This study was carried out to assess the nutritional knowledge and dietary pattern of patients with pancreatitis in South India.

Materials and Methods:

A validated food frequency questionnaire was used to assess the dietary pattern. An authorial questionnaire (98 questions) was used to assess nutritional knowledge, attitude, and adherence to advice. The data were entered in Microsoft Excel and analyzed in SPSS version 20.

Results:

A total of 86 patients with pancreatitis (acute: 50, chronic: 36) were included. Of them, 13%, 45%, and 42% of the patients had <25%, 25%–50%, and >50% scores, respectively, in nutritional knowledge assessment. Fifty-nine patients perceived their nutritional knowledge to be average (46%) or above average (22%). Restricted food items were avoided by majority, such as fried snacks (34%), raw chilly (67%), garlic (88%), and coffee (48%). Intake of recommended food items like cooked vegetables (94%) was practiced, but frequencies of consuming low-fat milk (0%), egg (8%), etc., were not adequate. Seventy-three percent of the patients knew high-fat/oil consumption was detrimental. Doctor was the source of dietary advice in 92% of patients. Only 32% were satisfied with the dietary advice received. There were no significant correlations between nutritional knowledge, adherence, and factors such as age, gender, education, type of pancreatitis, and disease duration.

Conclusion:

The dietary pattern, nutritional knowledge, and adherence to recommendations in patients with pancreatitis are insufficient, irrespective of demographic/clinicopathological factors.
Omega Sign
Authors: Gosavi Shilpa Nandkishor , Garud Rajendra Somnath
Published: July 2021

Introduction:

With advances in the field of technology microneurosurgery is performed with the use of transcisternal, transfissural, and transsulcul approaches, where sulci present on brain are used as fundamental landmarks. Detailed knowledge of various cerebral sulci and gyri is also essential for neuroimaging techniques. Often neurosurgeons need to work in the central lobe to approach the cortical or subcortical lesions. The aim of the study was to identify and locate omega sign on the precentral gyrus as an indicator of hand area and to provide anatomical basis for the surgical landmark on the cortical surface.

Material and Methods:

Fifty-five cerebral hemispheres were studied in the Department of Anatomy. On the superolateral surface, the central sulcus, pre- and post-central gyri were identified. On the precentral gyrus, the presence of omega sign was observed. When present the height of the omega sign, width at the base, its distance from superior and inferior Rolandic point was noted. Data collected were statistically analyzed using SPSS version 25.0 software.

Results:

We observed the presence of omega sign in 26 hemispheres (47.27%). The average height of omega was 9.31 ± 2.94 mm, average width at base was 16.03 ± 3.34 mm. Distance from the superior Rolandic point was 27.53 ± 7.05 mm, while from inferior Rolandic point, it was 52.55 ± 7.8 mm.

Discussion and Conclusions:

Although technology offers modern intraoperative localization tools such as MRI and neuronavigation, anatomical knowledge is important for the surgical planning.
A New Method in Anatomical Education of Medical Faculty
Authors: Colak Tuncay , Orha Ayla Tekin , Tavas Ozan , Aksu Elif , Guzelordu Dilsat , Sivri Ismail , Bamac Belgin , Colak Serap
Published: July 2021

Introduction:

The difficulty to learn anatomy makes it crucial to find the best way to effectively transfer the anatomic knowledge from educators to students. Stories can be used as an advantageous tool, which makes information more rememberable by stimulating cognitive behavior.

Material and Methods:

In order to determine the efficiency of the storytelling technique on the effects of grade point average in the anatomy session, stories were told to term II medical students (n = 132) at the end of the theoretical neurological lesson. A questionnaire with 12 questions was distributed to the students belonging to the pilot study. Grade point average, as well as gender and age (mean: 19.95 ± 0.995) of the students was the other parameters.

Results:

More than 90% of the students agreed that storytelling helps them to understand the subject and more than 70% of the students agreed that storytelling helps them to gather their attention. Furthermore, the statistical comparison with the previous 2 years demonstrated that the grade point average of the storytelling years was higher than the others.

Discussion and Conclusion:

Therefore, we believe that incorporating a storytelling learning style into the traditional anatomy curriculum, will be advantageous for education and will have a positive effect on the grade average. If we are able to revive the story in the minds of the students, we think that the lessons will be more permanent in their memory.
A Cadaveric Study on Subclavius Posticus Muscle
Authors: Bhavya B. S. , Myageri Maheshwari , Smitha M. , Eligar Rajeshwari C.
Published: July 2021

Introduction:

Subclavius posticus muscle (SPM) is a rare anomalous muscle that traverses from costal cartilage of first rib posterolaterally to superior border of scapula. The aim of the study was to study the prevalence of SPM in adult cadavers.

Material and Methods:

Fifty upper limbs from embalmed cadavers allotted for routine dissection practical for first MBBS students were used for the study. There were twenty male and five female cadavers, with ages ranging from 60 to 80 years, specimens of both sides were used.

Results:

The SPM was found in seven cases out of fifty cases, two on left, and five on the right side of pectoral region.

Discussion and Conclusion:

The presence of variant SPM could be a predisposing causative factor of thoracic outlet syndrome.
Comparison of Maceration Techniques for Retrieval Of Bones
Authors: Soni Anshu , Kumar Ajay , Sharma Anu , Vohra Hitant
Published: July 2021

Introduction:

Learning osteology is an essential part of anatomy curriculum. However, recently, there has been a scarcity in the availability of bones for teaching in India. The present study was conducted to compare four different maceration techniques and find the most suitable method to procure bones from an embalmed cadaver. The present study was conducted on dissected human cadavers made available from the department of anatomy.

Material and Methods:

For the first three methods, after dissection, the cadavers were buried in the burial section of the department for 2 years. The bones were washed after excavation. In the first method, detergent was used; in the second, quick lime was used; and in the third, hydrogen peroxide was used. In the fourth method, parts were not buried. The dissected parts were defleshed manually. The bones were freed from the joint. A paste was made using baking soda and 30% hydrogen peroxide. This was applied and bones were kept covered for 24 h. All four methods were compared.

Results:

Based on time required to macerate, ease of soft-tissue removal and complete procurement with minimal damage, the method using 30% H2O2 was the best. For smaller specimens, the new method of applying a paste of baking soda and H2O2 was very effective. The time consumed was very less.

Discussion and Conclusion:

Maceration using 30% H2O2 gave the best result. New method tried is time-saving and useful for small specimens. Soft tissue was removed easily with no/minimal damage to the bone.
An Analysis of Arches of the Foot
Authors: Vijayakumar K. , Senthilkumar S. , Chandratre Soham G. , Bharambe Vaishaly
Published: July 2021

Introduction:

The aim of this study was to establish a new grading system of pesplanus (PP) and pescavus (PC) based on the severity by a newly proposed parameter plantar surface area (PSA) using a newly designed podoscope device.

Material and Methods:

A total number of 416 healthy participants; 208 men and 208 women aged 21–50 years were included in this study. Plantar surface images were obtained from the podoscope and measurements were made by using the newly proposed parameter and existing parameter. Statistical analysis was conducted using the SPSS Statistical software (version 16.0) and executed at 95% confidence interval. Mean and standard deviations were observed by using the descriptive analysis. The Chi-square test has been performed to find the association, dependency, and validity.

Results:

The analysis of the present study encompasses the grading system of “PP and PC” and also developed a classification system with three grades in PP and PC. This grading system will be a substantiate assessment tool for the diagnosis and also to record the prognosis during the treatment of PP and PC.

Discussion and Conclusion:

The present study has developed a newly designed podoscope and established a newly proposed parameters PSA index and analyzed the prevalence of normal, PP and PC. In this study, gender wise normative value for new parameters PSA index was proposed under the influence of height and foot length. According to our knowledge, this is the first study to grade the PP and PC in a proper scientific morphometric analysis using a newly designed podoscope with a PSA index.
Effect of Fasting Therapy and Low-Calorie Diet on Anthropometric and Serum Lipids in Obese Females
Authors: Honnegowda Thittamarnahalli , Shetty Prashant , Shashikiran H , Nandeesh N , Arun P , Thayyil Joysna
Published: July 2021

Background: Preclinical and clinical studies have shown the importance of calorie restriction diet in weight reduction and cardiovascular risk factors. In this study, our objective is to compare the naturopathic-based short-term fasting therapy with low-calorie diet (LCD) on anthropometric and lipid profile among obese and overweight persons. A total number of subjects (n = 100) with body mass index (BMI) ≥25 were randomly allocated into either fasting therapy intervention (n = 48) or a LCD (n = 52). Materials and Methods: Participants underwent very LCD (288–904 kcal) in fasting therapy and a LCD (1234 kcal) in the other group respectively for 10 days. Individuals in both the groups were assessed with anthropometric parameters such as BMI, weight, waist circumference, hip circumference and waist-hip ratio, serum lipid profile, and serum leptin levels at the baseline and after 10 days. Results: The anthropometric measurements were decreased significantly in the fasting group when compared with the LCD group (P < 0.05). The decrease in mean serum total cholesterol (TC) (−27.43%), triglycerides (TGs) (−13.05%), and low-density lipoprotein (LDL) (−20.9%) in the treated group were statistically significant (P < 0.001), whereas serum high density lipoprotein (2.32%) was increased but insignificantly (P > 0.001) when compared with the nontreated group. Conclusions: Our findings support that short-term fasting therapy is beneficial in anthropometric measures and reducing leptin level among obese or overweight person compared to LCD. However, long-term adherence of weight loss with these interventions should be tested in future studies with bigger sample size.
Lack of knowledge about hypoglycemia among adult patients with diabetes in Saudi Arabia: A cross-sectional study
Authors: Al Zahrani Abdullah , Al-Zaidi Sarah , Al Shaikh Adnan , Alghamdi Abdulrahman , Farahat Fayssal
Published: July 2021

Background: Hypoglycemia has a significant impact on an individual's quality of life. This study aimed to assess knowledge of adult patients with diabetes on hypoglycemia and its management. Methods: A cross-sectional study using a newly developed self-administered questionnaire was conducted from April to May 2017, at National Guard Primary Health Care Centers, Jeddah, Saudi Arabia. Simple descriptive statistics were used. Inferential statistics was performed in the form of Student's t-test and one-way ANOVA. Regarding knowledge questions, a score of (1) was given to the right answer, and summation of scores was computed (the total score was 42). Knowledge scores were categorized into good, moderate, and poor based on the mean score. Results: A total of 361 adult patients with diabetes were involved (208 (57.6%) women; 153 (42.4%)). The majority (341; 94.5%) were Type 2 diabetes patients. Mean knowledge score was 32.0 (±8.2), and a score of ≥31.5 represented good knowledge, while a score between 21 and 31.5 represented a moderate level of knowledge, and a score below 21 represented poor knowledge. The majority (92.2%) had poor level of knowledge. Factors associated with better knowledge were male sex, younger age, being a student, or holding a bachelor degree, being single, receiving high monthly income, Type 1 diabetes, and having previous hypoglycemia experience. Regarding hypoglycemia management, 66.8% identified the right management, which was “eating 15 g of fast-acting carbohydrate.” Conclusion: Most participants showed poor knowledge regarding hypoglycemia. More efforts and time should be made during regular visits to provide the necessary health education about hypoglycemia signs for all patients with diabetes.
Clinical study on the application of acupoint injection therapy with vitamin B1 in patients with diabetic peripheral neuropathy
Authors: Kang Ran-Hui , Kwang-Chun O
Published: July 2021

Context: Acupoint injection therapy with Vitamin B1is very effective in the management of diabetic peripheral neuropathy (DPN), and there are few adverse side effects. Aims: The overall purposes of our study are to determine the specific methods of acupoint injection therapy with Vitamin B1for patients with DPN and to demonstrate the effectiveness of this therapy for DPN patients. Settings and Design: The enrolled patients were divided into two groups – the experimental group (75 patients) and the control group (51 patients). Subjects and Methods: We used four main acupoints in our study – EX-B3, ST36, GB39, and GB34. We compared the changes of DPN symptoms, days of pain loss, changes of tendon reflexes, and electromyographic (EMG) parameters between two groups after 15 days of treatment. Statistical Analysis Used: T-test was used to compare the characteristics between different treatments. Results: The best acupoint set for performing the acupoint injection therapy with 5% Vitamin B1, includes EX-B3, ST36, GB34, and GB39. The mean efficiency rate in terms of changes of DPN symptoms was 84.5% that is significantly lower compared with 61.9% of control group. Furthermore, the day of the pain loss of experimental group was significant lower than that of control group and the efficiency rates in terms of patellar reflex and Achilles tendon reflex were 90.0% and 89.1%, respectively (P < 0.05). In the experimental group, EMG parameters were improved significantly. Conclusions: Our study suggests that the acupoint injection therapy with Vitamin B1is preferable, easier, and cost-effective approach in terms of DPN treatment.
Stress Echocardiography Audit
Authors: Vyas Harin Kamleshbhai , Shah Mitul Abhaykumar , More Neha Vijay
Published: July 2021

Background:

Stress echocardiography is a very useful diagnostic and prognostic test in the evaluation of significant coronary artery disease (CAD) causing inducible myocardial ischemia. Stress echocardiography has higher sensitivity and specificity as compared to exercise stress electrocardiography, and therefore, the guidelines recommend opting for the former modality over the latter. There are data suggesting that the incidence of major cardiac events is <1% within 12 months of a negative stress echocardiogram showing no reversible ischemia. The present audit was performed to assess the predictive accuracy of stress echocardiography at our center for major cardiac events during the first year of the test.

Methods:

Data for all patients referred for stress echocardiography between March 10, 2015 and December 31, 2018 were captured. All patients were contacted after 1 year to evaluate for any cardiac event (cardiac death, nonfatal myocardial infarction, need for revascularization or hospital admission related to acute coronary syndrome, and/or heart failure). Analysis was performed using the standard statistical definitions.

Results:

Baseline information was available for 1205 patients (mean age 59 years, 60% males). Of these, 416 (34.4%) had documented CAD; 223 (18.4%) underwent stress echocardiography for chest pain evaluation, whereas 273 (22.6%) underwent the test for preoperative assessment before a noncardiac surgery. Dobutamine stress echocardiography was the modality in 1145 (95.0%) patients; ultrasound contrast was used in 1154 (95.8%) patients. One-year event rates were available for 1024 patients. Stress echocardiography was normal in 1009 (98.5%) of these patients, eight of whom had a cardiac event during the subsequent year, yielding a negative predictive value (NPV) of 99.2%. The test was abnormal in 15 (1.5%) patients, but two of them were later found to have normal coronary arteries, yielding a positive predictive value (PPV) of 86.7%. The NPV and PPV were thus both at par or even higher than most other centers. The incidence of complications during stress echocardiography was extremely low.

Conclusions:

This audit shows that stress echocardiography at our center has an excellent safety as well as accuracy for predicting major adverse cardiac events during the subsequent year. Stress echocardiography could thus obviate the need for coronary angiogram and even revascularization in many patients. Our findings also reinforce the value of stress echocardiography as a greatly useful preoperative test for cardiac fitness in patients undergoing a major noncardiac surgery.
Role of Imaging in the Diagnosis of Arrhythmogenic Right Ventricular Cardiomyopathy in Presence of Congenital Heart Disease
Authors: Singhi Anil Kumar , Bhargava Anup , Mukherjee Sanjeev S. , Mohapatra Soumya Kanti , Chakraborty Rabin
Published: July 2021

Arrhythmogenic right ventricular cardiomyopathy (ARVC) is an underdiagnosed entity manifesting with arrhythmia, heart failure and sometimes with sudden cardiac death. Rarely, congenital heart disease (CHD) can co-exist with ARVC which creates a diagnostic challenge. The presence of ARVC in a known case of CHD changes the management plan. We describe three patients with CHD having additional features of ARVC based on proposed criteria in the last 5 years in our institution. The mean age of the patients was 43 years. Two patients had atrial septal defect and one had Ebsteins's anomaly. Cardiac magnetic resonance imaging was done in two patients which showed characteristic features of ARVC and fulfilled the criteria of diagnosis. One patient was labeled as probable ARVC. Medical therapy helped the patients with symptoms of arrhythmia and heart failure. On short-term follow-up, they were doing well. Diagnosis of ARVC in a known case of CHD requires a high index of suspicion. The proposed imaging criteria and holistic approach may help with early diagnosis and appropriate management.
Technique of robotic right donor hepatectomy
Authors: Chandran Biju , Varghese Christi Titus , Balakrishnan Dinesh , Nair Krishnanunni , Mallick Shweta , Mathew Johns Shaji , Amma Binoj Sivasankara Pillai Thankamony , Menon Ramachandran Narayana , Gopalakrishnan Unnikrishnan , Sudheer Othiyil Vayoth , Sudhindran S
Published: July 2021

Background:

Although minimally invasive right donor hepatectomy (RDH) has been reported, this innovation is yet to be widely accepted by transplant community. Bleeding during transection, division of right hepatic duct (RHD), suturing of donor duct as well as retrieval with minimal warm ischemia are the primary concerns of most donor surgeons. We describe our simplified technique of robotic RDH evolved over 144 cases.

Patients and Methods:

Right lobe mobilization is performed in a clockwise manner from right triangular ligament over inferior vena cavae up to hepatocaval ligament. Transection is initiated using a combination of bipolar diathermy and monopolar shears controlled by console surgeon working in tandem with lap CUSA operated by assistant surgeon. With the guidance of indocyanine green cholangiography, RHD is divided with robotic endowrist scissors (Potts), and remnant duct is sutured with 6-0 PDS. Final posterior liver transection is completed caudocranial without hanging manoeuvre. Right lobe with intact vascular pedicle is placed in a bag, vascular structures then divided, and retrieved through Pfannenstiel incision.

Conclusion:

Our technique may be easy to adapt with the available robotic instruments. Further innovation of robotic platform with liver friendly devices could make robotic RDH the standard of care in future.
Direct Molecular Characterization of Acid-Fast Bacilli Smear of Nontuberculosis Mycobacterium Species Causing Pulmonary Tuberculosis in Guna Yala Region, Panama
Authors: López Arístides , Acosta Fermin , Sambrano Dilcia , Tarajia Musharaf , Navajas Sophia , Arias Florentino , Escobar Baudilio , Ortis Porfirio , Adames Fidel , Goodridge Amador
Published: July 2021

Mycobacterium tuberculosis (MTB) stands out as the main causative agent of pulmonary tuberculosis (TB). However, nontuberculous mycobacteria (NTM) species also have the potential to infect and cause TB in susceptible individuals. The objective of this study was to identify NTM species that cause public health problems in remote areas. The study was carried out using 105 sputum smears obtained from patients from the Guna Yala Region of Panama with clinical signs suggestive of TB. DNA was extracted from sputum smears. Nontuberculous mycobacteria and MTB were characterized using polymerase chain reaction restriction analysis (hsp65, rpob) and an evaluation of 24-mycobacterial interspersed repetitive units–variable number of tandem repeats loci. Twenty-six Mycobacterium species were characterized; 19 (18%) were identified as MTB, and 7 (6.7%) were identified as NTM (four M. avium complex, two M. haemophilum, one M. tusciae). These results suggest that at least one in five cases of pulmonary TB among this population is caused by an NTM. Thus, identifying the bacteria causing pulmonary disease is key even in remote regions of the world where standard diagnosis and culture are not available. Strengthening the laboratory capacity within the Guna Yala Region is needed to identify NTM infections promptly.
Stakeholders’ Awareness of Quality and Quality Management Systems in Zimbabwean Hotels
Authors: Basera Vitalis , Mwenje Judy
Published: July 2021

The aim of the study was to investigate the stakeholder’s awareness of quality and quality management systems (QMS) in the Zimbabwe hotel industry. This study sought to investigate the stakeholder’s awareness of quality and quality management systems (QMS) in the Zimbabwe hotel industry by (1) establishing the definition of quality, (2) exposing dimension of service quality, (3) identifying how customer satisfaction is measured and (4) identifying quality management systems and quality philosophy used in hotels. Appreciation of quality and QMS in the hotel industry can assist stakeholders to employ holistic measures to improve adoption of quality management systems in hotels and improve the operations of the hotels. The study followed a multi case study approach, with 9 hotels from Harare chosen purposively to represent the hotel industry in Zimbabwe. Managers and key stakeholders were interviewed and focus group interviews were conducted. Key questions on quality definition, dimensions of service quality and customer satisfaction measurement were asked and the data was analysed using thematic analysis -directed content analysis. The results showed that stakeholder in the hotel industry are very much aware of QMS, though in abstract. There is greater awareness of quality and QMS among group chain hotels than in independent hotels. There is need to upgrade on quality training in the hotel industry from collaborative perspective so that the stakeholders appreciate quality and QMS fully so that the industry remains competitive.
ПЛЕМИЋИ НИКОЛИЋ ОД РУДНЕ. ПОРОДИЧНА ИСТОРИЈА У ЈЕДНОМ ДОКУМЕНТУ ИЗ ЗБИРКЕ НАРОДНОГ МУЗЕЈА БАНАТА У ТЕМИШВАРУ
Authors: Марков Зоран , Главан Ћипријан
Published: July 2021

The family Nikolić of Rudna was one of the most important families of Serbian descent from Hungary. The history of this noble family is largely unknown, as it didn’t receive much attention in the historiography. The present document was written by a member of the Nikolić family and addressed to the adopted son of baron Mihajlo Nikolić, Jovan Tirfelder. The document is an excellent information source about the history of the family. The document was written in German in the first decades of the 20th century. It comprises six pages and nowadays it is preserved, in a good state of conservation, in the document collection of the History department of the National Museum of Banat from Timișoara. The document comprises five short chapters: 1. General data about the Serbians in Hungar, 2. Sources about the history of our family, 3. The name of our family and its notation, 4. The history of our family end 5. Remarks regarding the use of the genealogical charts. The original documents regarding the history of the family before 1848 were lost during a fire, which occurred in Rudna during the 1848-1849 revolution. That is why it was necessary to use other sources in order to write the present document: e.g.: National Archives of Hungary in Budapest or the Archives of the Timiș County. A short history of the family, which contains previously unpublished aspects, constitutes the most significant part of this document and of the present article. Another part of the article is dedicated to the baron Fedor Nikolić of Rudna. He was the most important member of the family and a notability in Banat in the second half of the XIXth century. As a deputy, he represented various districts of Banat in the Hungarian parliament. He had an important position in the governing body of Bosnia and Herzegovina (1882-1886). Additionally he led several associations and commercial companies from Banat and Hungary and received various titles and medals.
ВОДЕНИЧКА ТЕРМИНОЛОГИЈА И ВОДЕНИЧАРСКА ЛЕКСИКА У СРПСКОМ ГОВОРУ КАРАШЕВА
Authors: Н. Радан Михај , Радан Ускату Миљана-Радмила
Published: July 2021

Овај рад јесте један у низу наших радова насталих у оквиру личног мини пројекта аутора чији је циљ испитивање оних области сеоског живота Карашевака, тачније оних занимања и заната који су у условима све убрзаније глобализације пред издисајем или су већ нестали3. Након неколико уводних напомена о теренској анкети и казивачима, о воденицама и воденичарству у Карашеву, истиче се да је основни циљ рада да се прибележи и на тај начин конзервише воденичка терминологија и лексика воденичарског заната који је у Карашеву изумро. Садржај рада састоји се у приказу прикупљене грађе и њеној анализи која има за циљ да укаже на порекло термина и лексема из овог домена људске активности и да установи у којој мери су други језици утицали на овај сегмент лексике.
ЕПИСКОП ТЕМИШВАРСКИ ДР ГЕОРГИЈЕ ЛЕТИЋ (1904–1935) И ЊЕГОВ ДОПРИНОС СРПСКОЈ КУЛТУРИ У РУМУНИЈИ
Authors: М. (игуман Јустин) Стојановић Иван
Published: July 2021

Bishop of Timișoara dr Georgije Letić (⁎1872†1935) was one of the most prominent dignitaries of our Serbian Orthodox Church of his time. He marked his era as a respectable hierarch, man of letters, a good and skilled organizer of church life in the dioceses that have been permanently or temporarily entrusted to him. Bishop dr Georgije Letić led the Diocese of Timișoara for many years, between 1904-1931 as a diocese bishop, and between 1931-1935 as administrator. The change of state administration (Austro-Hungarian Monarchy, Kingdom of Romania - Kingdom of Serbs, Croats and Slovenes) over Banat (which was later split between Romania and Yugoslavia), as well as the difficult and irregular times during the First World War left heavy marks on the entire territory of the Serbian Orthodox Diocese of Timișoara, as well as consequences on the life of the Serbian Church in Romania. Bishop dr Georgije managed, as a skilled organizer, despite of current conditions, not only to successfully organize the diocesan life, but also to build new foundations for the upcoming generations.
О ЈЕДНОМ НАЧИНУ ПРЕДБРАЧНОГ ПРОРИЦАЊА МЕЂУ СРБИМА У РУМУНИЈИ
Authors: M. Трубарац Матић Ђорђина
Published: July 2021

During the fieldwork expeditions carried out in Romanian part of Banat, in the regions of Klisura (June 2017) and Poljadija (June 2019) two testimonies were taken from elder Serbian women, in which they described how, when they were still not married, their mothers had taught them the way to predict the name of their future husband by using a rod of the warp beam. The transcriptions of these testimonies are compared by focusing on their common key elements (time, actions, objects, the manifestation of the expected result), which are analysed from the semiotic perspective and within a broader context of South-Slavic ethnographic material and folklore related to weaving, the loom and its parts, especially their use in magic. A special attention is put on a analysis of a variant of the same type of prenuptial predicting recorded among Krashovani in the second half of the 20th century.
Bunăstarea psiho-emoțională a adolescenților în contextul noilor realități
Authors: Racu Iulia , Melniciuc Galina
Published: July 2021

One of the most important and resonant themes in contemporary psychology is psycho-emotional well-being. The new social realities in which we live affects in a negative way mental health and causes anxiety, depression, stress and a deterioration of psycho-emotional well-being. The article presents an experimental study of psycho-emotional well-being in adolescence in the context of new social realities. As results we established that a large number of adolescents are living a continuous state of unhappiness
(57,50%). For boys is more characteristic unhappiness than for girls. For early and middle adolescence are particular a high level of unhappiness.
Технология проектной деятельности детей дошкольного возраста в условиях доу
Authors: Мардарова И.К.
Published: July 2021

The article deals with notions "technology of project" and "project activities". Features of the organization of project activities of pre-school children are described in it: project types were analyzed, an indicative plan for the organization of children's project activities in the context of pre-school institutions was presented, and the stages of children's work on a collective project and the criteria for evaluating the results of their project activities were presented.
Повышение стрессоустойчивости и преодоление эмоционального выгорания у педагогов
Authors: Раку Жанна
Published: July 2021

The article describes the strategies that increases stress resistance and diminishing emotional burnout of teachers. The specific of phenomena of stress and emotional burnout and the importance of taking into account some factors for their prevention are analyzed. The theoretical foundations of training program for stress resistance development are presents. The principles of organizing the work of a psychologist in this direction and the structure and content of the training program elaborated are
described.
Standar Kompetensi Lulusan Pendidikan Agama Kristen Berdasarkan Injil Yohanes
Authors: Surahmiyoto Triyono
Published: July 2021

Graduate competency standards have been implemented by the government through relevant regulations for all subjects courses at all levels of education. It is necessary to make efforts so that Christian religious education can be organized without losing its essence. One form is his efforts to investigate the competency standards of Graduates of Christian religious education based on the Gospel of John. The goal is to uncover the essence of the standard of competence of Graduates of Christian education. This effort is carried out using hermeneutic methods. As a result, two standard models of competency of religious education graduates were found, namely the standard of competence of religious graduates in the Jewish perspective and the standard of competence of religious graduates in perspective. The implication for the learning of Christian education in Indonesia is to maintain the essence of the substance of Christian religious education, develop proficiency in the presentation of materials especially related to the use of terms and languages, sharpen the skill in observing the environment to create learning opportunities and increase the contribution and active role of educators, learners, parents and the church.Standar kompetensi lulusan sudah diberlakukan oleh pemerintah melalui peraturan yang terkait untuk semua untuk semua mata pelajaran/kuliah pada semua jenjang pendidikan. Perlu upaya agar Pendidikan Agama Kristen dapat diselenggarakan dengan tidak kehilangan esensinya. Salah satu bentuk adalah upayanya menelisik standar kompetensi lulusan Pendidikan Agama Kristen berdasarkan Injil Yohanes. Tujuannya adalah untuk mengungkap esensi standar kompetensi lulusan Pendidikan Agama Kristen. Upaya ini dilakukan dengan menggunakan metode hermeneutik. Hasilnya, ditemukan dua model standar kompetensi lulusan pendidikan agama, yaitu standar kompetensi lulusan agama dalam perspektif Yahudi dan standar  kompetensi lulusan agama dalam perspektif. Implikasinya bagi pembelajaran Pendidikan Agama Kristen di Indonesia  adalah perlu tetap mempertahankan esensi substansi Pendidikan Agama Kristen, mengembangkan kecakapan dalam penyajian materi khususnya berkaitan dengan penggunaan istilah dan bahasa, mempertajam kejelian dalam mengamati lingkungan untuk menciptakan peluang pembelajaran dan meningkatkan kontribusi serta peran aktif pendidik, peserta didik, orang tua dan gereja.
Cryptosporidiosis among HIV/AIDS Patients with Diarrhoea and Associated Risk Factors in Jos, North-Central Nigeria
Authors: Dahal A S , Okolo O M , Daam KC , Nanma D , Obishakin O F , Waziri H S , Maktep Y D , Banwat B E , Egah Z D
Published: July 2021

Cryptosporidiosis is an opportunistic, parasitic infection caused by Cryptosporidium parvum. It is transmitted via faecal-oral route and causes life-threatening, cholera-like diarrhoea in immunocompromised individuals such as HIV/AIDS patients. This study aimed to determine the prevalence of cryptosporidiosis and associated risk factors among HIV/AIDS patients with diarrhoea. This was a cross-sectional study of 100 HIV/AIDS patients with diarrhoea in a tertiary health institution in Jos, North-central Nigeria between April and November 2019. Fifteen millilitres (15ml) of stool samples were collected from each patient after signing a consent form and filling a well-structured questionnaire. The oocytes of Cryptosporidium parvum were identiﬁed in the stool samples using modified Ziehl-Neelsen stain and polymerase chain reaction (PCR). The results obtained were computed using SPSS version 21. The mean age (standard deviation) of the study participants was 37.0 (± SD9.6), with a minimum age of 20years and a maximum age of 63 years. The study comprises of 53(53.0%) males and 47(47.0%) females. Fifty-four (54) of the participants were on antiretroviral (ARV) drugs while 46 were ARV drug naïve. The prevalence of cryptosporidiosis among the study population was 13.0%. Cryptosporidiosis was found in 10(21.7%) of the 46 ARV drugs naïve participants and in 3(5.6%) of the 54 participants on antiretroviral therapy. This was statistically significant at p = 0.016. There was also a significant relationship (p = 0.012) between the prevalence of cryptosporidiosis and the level of CD4+ T-lymphocytes count of the study participants. The infection was more among participants with CD4+ T-lymphocytes count less than 200 cells/μl. This stress the need for good personal hygiene, sanitation and compliance to antiretroviral treatment among HIV/AIDS patients to reduce the risk of opportunistic infections such as cryptosporidiosis.
PENEGAKAN HUKUM DAN HAK ASASI MANUSIA DENGAN PARADIGMA PANCASILA TERHADAP TINDAKAN PENOLAKAN PEMAKAMAN JENAZAH KORBAN COVID – 19
Authors: Manihuruk Marthin Fransisco
Published: July 2021

This study discusses the influence of law enforcement with the paradigm of Pancasila in addressing the action of the funeral of the dead bodies exposed to Covid-19. Rejection of the funeral of the body of the victim Covid-19 is contrary to the perspective of the law and also Pancasila. Law No. 4 of 1984 on the infectious disease outbreak clearly said that the act of disrupting the plague prevention efforts was contrary to the law and imposed criminal sanctions. While from the perspective of Pancasila, it can be seen that the funeral rejection Act Covid – 19, including into acts contrary to the values of Pancasila. Apart from being an ideology of state, Pancasila is also the source of any source of law of the country as listed in article 2 of the Law number 12 year 2011 concerning the establishment of legislation. The disapproval of the funeral of the Covid-19 bodies is contrary to the law and human rights as contained in Indonesia's legislation as in the Universal Declaration of Human Rights, the International Covenant on Civil and Political Rights. The influence of law enforcement is certainly a very important factor in the enforcement and strengthening of values that correspond to the paradigm of PancasilaBAHASA INDONESIA ABSTRACT: Penelitian ini membahas tentang Pengaruh Penegakan Hukum dengan Paradigma Pancasila dalam menyikapi tindak penolakan Pemakaman Jenazah yang terpapar Covid -19. Tindakan penolakan Pemakaman jenazah dari korban Covid - 19 merupakan hal yang bertentangan dari perspektif hukum dan juga Pancasila. Undang-undang Nomor 4 tahun 1984 tentang Wabah Penyakit Menular jelas mengatakan bahwa tindakan yang mengganggu upaya penanggulangan wabah adalah bertentangan dengan hukum dan dikenakan sanksi Pidana. Sedangkan dari perspektif  Pancasila dapat dilihat bahwa Tindakan Penolakan Pemakaman Jenazah Covid – 19, termasuk ke dalam perbuatan yang bertentangan dengan nilai-nilai Pancasila. Selain sebagai Ideologi negara, Pancasila juga merupakan sumber dari segala sumber Hukum negara seperti yang tercantum di dalam pasal 2 Undang-undang Nomor 12 Tahun 2011 tentang Pembentukan Peraturan Perundang-undangan. Tindakan penolakan pemakaman jenazah Covid -19 merupakan perbuatan yang bertentangan dengan Hukum dan Hak Asasi manusia sebagaimana yang terdapat di dalam Peraturan Perundang-undangan di Indonesia seperti di dalam Deklarasi Universal Hak Asasi Manusia, Kovenan Internasional Hak-hak Sipil dan Politik. Pengaruh penegakan Hukum tentunya menjadi faktor yang sangat penting dalam penegakan dan penguatan kembali nilai-nilai yang sesuai dengan paradigma Pancasila.
Presepsi Mahasiswa : Pemotivasian Belajar Melalui Repositori Dengan Hasil Belajar Pada Masa Pandemik COVID-19
Authors: Pasaribu Andar Gunawan
Published: July 2021

This study aims to develop strategies learning motivational from the repository for student learning outcomes.  . This research was conducted on IAKN Tarutung students by using the development research method. Development is carried out through stages, namely symbol, development tools, ease of accessing the repository.  completeness of lecture materials, and the Effective repository.   The results of testing the use of applications repository with an average value of 88%.
GAMBARAN STRES KERJA PADA PERAWAT RAWAT JALAN DI RUMAH SAKIT UMUM HOLISTIC PURWAKARTA TAHUN 2020
Authors: Khoirunnisa Giri Arum , Nurmawaty Dwi , Handayani Rini , Vionalita Gisely
Published: July 2021

Stres kerja merupakan beban kerja yang berlebihan, perasaan susah dan ketegangan emosional yang menghambat performance individu. Stres kerja dapat dipengaruhi oleh kondisi organisasi seperti penetapan arah dan kebijaksanaan organisasi, perubahan strategi organisasi, keuangan, tuntutan kerja, tanggung jawab atas orang lain, perubahan waktu kerja, perubahan yang kurang baik antar kelompok kerja dan konflik peran. Penelitian ini bertujuan untuk mengetahui gambaran stres kerja pada perawat rawat jalan di Rumah Sakit Umum Holistic Purwakarta tahun 2020. Penelitian ini menggunakan metode kuantitatif dengan desain penelitian cross sectional. Populasi penelitian ini adalah seluruh perawat rawat jalan sebanyak 25 perawat. Sampel pada penelitian ini berjumlah 20 perawat rawat jalan di Rumah Sakit Umum Holistic Purwakarta dengan teknik sampling total sampling. Metode pengumpulan data sumber informasi yang digunakan yaitu berupa data primer dengan menggunakan alat ukur berupa kuisioner. Hasil penelitian menunjukkan bahwa perawat rawat jalan yang memiliki tingkat stres ringan sebanyak 55%, tingkat stres sedang sebanyak 40%, dan tingkat stres berat 5%. Beban kerja pada perawat rawat jalan menunjukkan bahwa 50% mengalami beban kerja ringan dan 50% perawat mengalami beban kerja berat. Jenis kelamin perawat rawat jalan laki-laki sebanyak 55% dan perempuan sebanyak 45%. Masa kerja perawat rawat jalan 80% memiliki masa kerja lebih dari 5 tahun dan 20% memiliki masa kerja kurang dari sama dengan 5 tahun. Kesimpulannya terdapat 11 perawat yang mengalami stres kerja ringan, dari 11 perawat yang mengalami stres kerja ringan terdapat 6 perawat yang memiliki beban kera ringan dan 5 perawat memiliki beban kerja sedang. Dari 11 perawat yang mengalami stres ringan terdapat 8 perawat berjenis kelamin laki-laki dan 3 perawat berjenis kelamin perempuan, serta dari 11 perawat tersebut terdapat 4 perawat memiliki masa kerja kurang dari sama dengan 5 tahun dan 7 perawat memiliki masa kerja lebih dari 5 tahun. Untuk mencegah terjadinya stres pada perawat rawat jalan maka peneliti menyarankan untuk membuat program pengendalian stres seperti mengadakan sharing ke perawat lain atau refreshing secara bergantian serta melakukan penambahan SDM pada unit yang kekurangan SDM.
Reproductive Performance Of Bali Cattle Cross Breed Brahman Cattle Through Improving The Genetic Quality Of Local Livestock In Special Effort for Cows to be Pregnant Program
Authors: Irwansyah  , Junaedi  , Suparman
Published: July 2021

One of the problems that exist in the community is the lack of identification of the reproductive performance of prospective brooders of Bali cattle that are artificially inseminated. The researcher conducted a research to determine the reproductive performance of Bali Cattle inseminated with Brahman Cattle Semen in SECP (Special Effort for Cows to be Pregnant Program) Program in Kolaka Regency. The parameters observed in this study were; artificial insemination's first age (Years), How many times the artificial insemination (AI) was pregnant (S/C), Length of pregnancy (months), Calving Interval (CI) (months), Birth weight (Kilograms), Correlation of AI's first age with birth weight. Sources of date used in this study are primary and secondary data. Data collection techniques carried out in this study were observation and interviews. The date obtained was analyzed descriptively, analysis of variance, average, and to calculate the relationship between variables was analyzed by correlation. Reproductive performance of Bali Cattle inseminated with Brahman Cattle Semen in SECP Program in Kolaka district include; first age AI 23.63±1.99 months, Service per Conception (S/C) 1.56±0.55, gestational age 9.03±0.38 months, Calving Interval (CI) 12.24±0 .52 months, birth weight 27.85 ± 2.96 and the correlation between AI prime age and birth spacing was 0.77.
Reproductive Performance Of Bali Cattle Cross Breed Brahman Cattle Through Improving the Genetic Quality of Local Livestock in Special Effort for Cows to be Pregnant Program
Authors: Irwansyah  , Junaedi  , Suparman
Published: July 2021

One of the problems that exist in the community is the lack of identification of the reproductive performance of prospective brooders of Bali cattle that are artificially inseminated. The researcher conducted a research to determine the reproductive performance of Bali Cattle inseminated with Brahman Cattle Semen in SECP (Special Effort for Cows to be Pregnant Program) Program in Kolaka Regency. The parameters observed in this study were; artificial insemination's first age (Years), How many times the artificial insemination (AI) was pregnant (S/C), Length of pregnancy (months), Calving Interval (CI) (months), Birth weight (Kilograms), Correlation of AI's first age with birth weight. Sources of date used in this study are primary and secondary data. Data collection techniques carried out in this study were observation and interviews. The date obtained was analyzed descriptively, analysis of variance, average, and to calculate the relationship between variables was analyzed by correlation. Reproductive performance of Bali Cattle inseminated with Brahman Cattle Semen in SECP Program in Kolaka district include; first age AI 23.63±1.99 months, Service per Conception (S/C) 1.56±0.55, gestational age 9.03±0.38 months, Calving Interval (CI) 12.24±0 .52 months, birth weight 27.85 ± 2.96 and the correlation between AI prime age and birth spacing was 0.77.
The Contribution of Sugarcane Partnership for the Livelihood Structure and the Development of Rural Areas in Lampung Province of Indonesia
Authors:   Department of Communication and Community Development Sciences, Faculty of Human Ecology, IPB University, Dramaga Bogor, Indonesia, Dharmawan Arya Hadi
Published: July 2021

Sugarcane is a mainstay commodity crop as raw materials for sugar. Therefore, increasing domestic production through partnerships is an effort to suppress the high value of imports. The purposes of this study are to identify the farmer’s household land use, to analyze the income structure and livelihood strategies, and then to conduct an economic dependency analysis on the sugarcane industry in relation to rural area development. The research method used a survey approach of 131 households and interviews with the head of village and the heads of farmer groups. For data analysis, descriptive statistics and analysis of farm income were used. The results show that farmers use land for sugarcane partnership with a choice of Kerjasama Operasional (KSO) or operational cooperation, the Independence (Mandiri), and Hutan Tanaman Industri (HTI) or industrial forest plantation partnership. The sources of livelihood structure of farmers are from non-sugarcane agriculture, sugarcane farming, Non-Timber Forest Products (HHNK), and non-farm. Engaging in sugarcane partnership is a new livelihood strategy for the rural communities surrounding the plantations with benefits that are affected by the area of owned land. While farmers who do not own land, they earn a living by becoming plantation laborers. Farmer involvement in sugarcane partnership contributes to the household income, the existence of uneven welfare, and the emergence of household economic dependence on sugarcane plantations. The sugarcane partnership is a source of income and an engine of rural economic growth; however, the realization of sustainable rural development has not yet emerged.