bluuebunny/crossref_metadata_2025 huggingface dataset:
PERFIL DOS GRADUANDOS DO CURSO DE CIÊNCIAS CONTÁBEIS DOS CAMPI DA UNIVERSIDADE ESTADUAL DO OESTE DO PARANÁ-UNIOESTE
Authors: Mathias Linda Rose Gimenez Mola , Serafim Jr Valdir , Besen Fabiola Graciele , Araújo Tércio Vieira de , Cezar Gislaine Siebre
Published: November 2019

O objetivo geral desta pesquisa foi identificar o perfil dos graduandos ingressos em 2013 a 2017 no curso de Ciências Contábeis da UNIOESTE Campus de Cascavel, Foz do Iguaçu e Marechal Cândido Rondon. O estudo se enquadra como bibliográfico, descritivo, conduzido pelo método indutivo, sob o enfoque quantitativo. Os dados foram coletados em sua totalidade por meio de questionário semiestruturado com questões fechadas e de múltiplas escolhas e a análise dos dados se deu por meio da técnica de estatística descritiva. O resultado apontou que nos Campi da UNIOESTE, as mulheres com até 24 anos ocupam um número maior de vagas do curso de Ciências Contábeis, haja vista que o estímulo principal na escolha por esse curso é a perspectiva de empregabilidade e a oportunidade gerada para os concursos públicos e o motivo que levou os acadêmicos a optaram em frequentar a instituição é a gratuidade e o ensino de qualidade.Palavras-chave: Acadêmico. Instituição. Qualidade de ensino.
Hypozonal orogenic gold mineralization in the Giyani Goldfield, Northern Kaapvaal Craton/Limpopo Complex
Authors: Smit C.A. , Van Reenen D.D. , McCourt S. , Huizenga J.M. , Belyanin G. , Vafeas N.A.
Published: November 2019

The paper reviews published and unpublished geological data pertaining to the structural and metamorphic controls, rock types, characteristic features, source, and timing of hypozonal orogenic gold mineralization in the Giyani Goldfield. The Giyani Goldfield includes the NW domain of the >3.0 Ga Giyani greenstone belt (GGB) at the northern edge of the Kaapvaal Craton and the southern retrograde hydrated domain of the juxtaposed Southern Marginal Zone (SMZ) of the ca. 2.72 Ga Limpopo Complex (LC). Mineralization at all gold mines and gold prospects of the Giyani Goldfield is structurally controlled and closely associated with the Hout River shear zone (HRSZ) and associated smaller shear zones suggesting a specific tectonic setting. This tectonic setting is the direct consequence of thrusting the SMZ of the LC against and over the adjacent GGB at the position of the steeply north-dipping (south verging) HRSZ during the exhumation stage of the ca. 2.72 to 2.69 Ga Limpopo orogeny followed by regional retrograde hydration of the southern part of the SMZ at ca. 2.68 to 2.62 Ga. This tectonic setting offers an explanation for a deep-seated crustal source for gold and for the concentration of orogenic gold mineralization within specific structural features located within the Giyani Goldfield. This tectonic setting also explains the lithological, structural and metamorphic complexity, metasomatic alteration and post-peak metamorphic timing of gold mineralization. Finally, it provides important clues with regards to a crustal source for gold mineralizing fluids and the identification of new potential targets for gold exploration in the Giyani Goldfield.
Acromegalic Arthropathy
Authors: Cirolia Jason T.
Published: November 2019

A 30-year-old woman was referred to physical therapy for bilateral shoulder and thoracic spine pain concurrent with loss of range of motion. Notable medical history included surgical removal of a pituitary adenoma that had resulted in excessive growth hormone secretion, developing into acromegaly with hallmark physical features. Following examination, radiographs were requested to evaluate the extent of arthropathies associated with acromegaly. Radiographs revealed advanced arthropathies of the bilateral acromioclavicular and glenohumeral joints, along with loss of disc height and anterolisthesis throughout the thoracic spine. J Orthop Sports Phys Ther 2019;49(11):864. doi:10.2519/jospt.2019.8302
Sistematização da Assistência de Enfermagem (SAE) na atenção primária à saúde
Authors: Wanzeler Karina Morais , Bastos Luzia Beatriz Rodrigues , Cruz Alexandre Barbosa da , Silva Nicélia Pereira da , Souza Severa Pereira Carneiro , Bastos Diniz Antonio de Sena , Pinheiro Priscila de Nazaré Quaresma , Costa Fernanda Cristina Costa Souza , Honorato Thayane Aparecida Souza , Pinheiro Gabriela Nunes , Amaral Andréa da Silva Pereira , Vinhas Marciléia dos Santos , Vieira Ingrid Aparecida Rodrigues , Costa Leane dos Reis , Barbosa Samara da Silva
Published: November 2019

Objetivo: Analisar os fatores que interferem na implementação da Sistematização da Assistência de Enfermagem e Processo de Enfermagem, nas práticas de enfermagem na atenção primária à saúde. Método: Trata-se de estudo com abordagem qualitativa, realizada com oito (8) enfermeiros, através de entrevista semiestruturada, ocorrida nos meses de setembro e outubro de 2018, em unidades de saúde. Resultados: Da análise dos dados emergiram as categorias: Formação acadêmica na SAE; Dificuldades na aplicabilidade da SAE; Obrigatoriedade e Importância da SAE na consulta de enfermagem. Há necessidade de reavaliação dos componentes curriculares dos cursos de graduação em enfermagem e dos métodos de ensino, no sentido de promover planejamentos orientados ao destaque da SAE na atenção primária, bem como a superação de dificuldades enfrentadas pelos profissionais de enfermagem em sua aplicabilidade. Conclusão: É importante a preocupação com a formação dos futuros profissionais de enfermagem, considerando que a consolidação e defesa da ciência de enfermagem se estabelecerá concretamente a partir desta e das próximas gerações de enfermeiros.
Impacto da reconstrução mamária na qualidade de vida de mulheres mastectomizadas
Authors: Leite Eliane Patrícia Lemos de Almeida , Silva Josefa Renata da , Moura Suzana Elizabeth Buchegger , Paiva Carina Batista de , Ferreira Themístoclys Thesko Correia
Published: November 2019

Objetivo: Revisar as repercussões da reconstrução mamária na qualidade de vida das mulheres que foram submetidas à mastectomia. Metodologia: Estudo de revisão de literatura do tipo narrativa, realizada entre os meses de fevereiro a junho de 2019, foi incluído estudos de coorte que avaliaram a qualidade de vida em mulheres que foram submetidas à reconstrução mamária através dos instrumentos: EORTC QLQ-C30 e BR23 e WHOQOL-100. Resultados: De acordo com os resultados apresentados nessa revisão, sobre as repercussões da reconstrução mamária na qualidade de vida de mulheres mastectomizadas, foram considerados resultados positivos para a imagem corporal, função sexual, prazer sexual, funcionamento psicológico e perspectivas Conclusão: A cirurgia reconstrutiva de mama proporcionou benefícios as pacientes que realizaram reconstrução mamária, mas, não há evidências suficientes para afirmar que melhora a qualidade de vida, devido a pouca quantidade de amostras e a escassez de estudos com metodologia de ensaio clínico randomizado.
Correlação entre cobertura vacinal e notificações por sarampo no Distrito Federal
Authors: Ferreira Ruan da Silva Barreto , Sousa Jefferson Robert Roque de , Santos Jéssica Larissa Pereira dos , Silva Sheila Maciel da , Rosa Alana Caroline da Silva , Costa Juliana Pires Rodrigues da , Cruz Matos Johnata da
Published: November 2019

Objetivo: correlacionar a cobertura vacinal com os números de notificação por sarampo no Distrito Federal, no período de 2008 a 2018. Método: trata-se de um estudo retrospectivo descritivo, com análise quantitativa, por meio de dados secundários, obtidos através dos sistemas de base de dados nacionais, do período de 2008 a 2018, sendo campo de estudo o Distrito Federal. Resultados: Na pesquisa realizada, evidenciou-se como resultados, a instabilidade dos valores da CV da Tríplice Viral na última década, com picos ora elevados, ora decaídos, e ao correlacionar os dados fornecidos pelos sistemas, pôde-se observar que a interferência pouco se relaciona com as notificações realizadas no período da amostra. Acredita-se que há falhas no processo de notificação ou as taxas de cobertura vacinal estão sendo tabuladas infielmente. Conclusão: conclui-se que há correlação da cobertura vacinal com as notificações de agravos por sarampo, porém esta acontece de forma indireta, uma vez que necessita não somente dos números notificados como também do meio como são notificados.
Kyphosis and canal compromise due to refracturing of an L1 cemented vertebra managed with posterior surgery alone
Authors: Rahimizadeh Abolfazl
Published: November 2019

Background:

An already cemented vertebral body rarely refractures and its occurrence may be signaled by the reappearance of pain and/or significant vertebral collapse/kyphosis resulting in canal compromise and neurological deterioration.

Case Description:

An 81-year-old male originally underwent an L1 kyphoplasty for an osteoporotic compression fracture. Nine months later, he presented with the late onset of recurrent collapse of the cemented vertebral body, leading to pain, kyphosis, and canal compromise. Surgery warranted total L1 corpectomy, reconstruction of the anterior column, and a posterior fixation through a purely posterior approach (posterior vertebral column resection [pVCR]).

Conclusion:

Here, we presented the safety/efficacy of utilizing a purely posterior approach (e.g., including L1 corpectomy, reconstruction of the anterior column, and posterior fusion: pVCR) in the management of a repeated fracture of a cemented L1 vertebra resulting in kyphosis and canal compromise.
Iatrogenic lumbar giant pseudomeningocele: A report of two cases
Authors: Rahimizadeh Abolfazl , Mohsenikabir Nima , Asgari Naser
Published: November 2019

Background:

Iatrogenic lumbar pseudomeningoceles are an uncommon complication of lumbar spinal surgeries. This pathology is an extradural, encapsulated, and cerebrospinal fluid collection which develops as a consequence of an inadvertent, unrepaired dural tear. If a pseudomeningocele grows beyond 8 cm in length, it may be classified as “giant.”

Case Description:

Two adult females with giant pseudomeningoceles due to remote lumbar laminectomy were presented. Both patients were surgically managed.

Conclusion:

Iatrogenic lumbar giant pseudomeningocele is rare. Notably, their surgical management is similar to that utilized to treat routine pseudomeningoceles.
Küresel Terör Örgütü el-Kaide’nin Gelişimi ve Ön Plana Çıkan Liderleri Bağlamında “Cihad” Anlayışının Geçirdiği Değişimler
Authors: ÖZTÜRK Selim
Published: November 2019

Makalede
Usame bin Ladin’in Suudi iktidarı içerisinden en güvenilir aktörlerden biri
iken muhalif bir kişilik kazanmasına giden süreç ve ardından Ladin’in başını
çektiği muhalefet hareketinin uluslararası silahlı bir örgüte dönüşümü
incelenmektedir. Bin Ladin’in siyasal ve eylemsel kimliğini teşkil eden erken
dönem koşulları, eğitimi, sosyal çevresi ve ailesinin genel özellikleri
incelenmiş ardından cihat serüvenine nasıl girdiği üzerinde durulmaya
çalışılmıştır. Ladin’in Mısır cihat ekolü ile tanışması ve el Kaide’nin doğuşu
vakaları incelenerek bahse konu Suudi muhalefet örgütünün süreç içinde küresel
Batıyı hedef alan bir küresel terör mekanizmasına dönüşümü üzerinde detaylıca
durulmuştur. Makalede son dönem küresel cihat hareketleri arasındaki gerginliklere
de değinilmiş olup el Kaide’nin günümüzdeki profili hakkında da bilgi
verilmiştir.
Diskriminasi Pendidikan Masyarakat Terpencil
Authors: Firdaus Firdaus , Sulfasyah Sulfasyah , Nur Hanis
Published: November 2019

The research entitled "Discrimination in remote community education (Case study of Buntu Mondong village in Buntu Batu District, Enrekang District" aims to determine the existence of education discrimination in remote communities in Buntu Mondong village, Buntu Batu District, Enrekang District, with qualitative research methods. This research was conducted by observing the condition of the school which includes the condition of students, teachers and infrastructure as well as the conditions in the surrounding environment which also influence the quality of education.The data has been collected, then analyzed descriptively.The results of the study illustrate the occurrence of educational discrimination in the Gura SDN NO. educators and infrastructure facilities that cause education in the area to be not optimal.The available educators lack excellence in midwives and have low quality so that what is given to their students is also mediocre. a Less quality educator, Infrastructure that supports the learning process teaches very little, so the learning process often experiences obstacles. By that, especially for the government and education implementers should increase attention to education in remote areas, especially in SDN NO 79 Gura. Keywords: Discrimination, Education, Remote Communities
Implementasi Pendidikan Demokrasi Dalam Pembelajaran IPS Study Kasus Sma Negeri 6 Takalar
Authors: Nur Syahban , Sudarsono Sudarsono
Published: November 2019

Tujuan penelitian ini adalah (1) Untuk mengetahui bagaimana implementasi pendidikan demokrasi pada mata pelajaran IPS di SMA Negeri 6 Takalar (2) Untuk mengetahui apakah faktor-faktor penghambat pada implementasi pendidikan demokrasi dalam proses pembelajaran IPS di SMA Negeri 6 Takalar dan (3) Untuk mengetahui faktor-faktor pendukung pada implementasi pendidikan demokrasi dalam proses pembelajaran IPS di SMA Negeri 6 Takalar.Jenis penelitian ini adalah kualitatif dengan pendekatan naturalistik. Penelitian ini dilakukan di SMA Negeri 6 Takalar.Sumber data yang digunakan yaitu sumber data primer berupa hasil wawancara dan sumber data sekunder berupa dokumen-dokumen.Populasi dalam penelitian adalah seluruh siswa kelas X IPS 1 SMA Negeri 6 Takalar. Sampel penelitian ini yaitu kelas X IPS1. Teknik pengumpulan data yang digunakan yaitu teknik wawancara, observasi, dan dokumentasi.Hasil penelitian ini menunjukan bahwa (1) Implementasi Pendidikan Demokrasi Pada Mata Pelajaran IPS di SMA Negeri 6 Takalar sudah terimplementasikan dengan baik dengan nilai-nilai demokrasi yang ditanamkan yaitu toleransi, kerjasama, kebebasan berpendapat, kebebasan berpartisipasi, kebebasan berkelompok, menghormati orang lain, kepercayaan diri dan kesadaran akan perbedaan yang dilaksanakan melalui metode diskusi, ceramah, tanya jawab, Dan penugasan, (2) Faktor-Faktor Pendukung Pada Implementasi Pendidikan Demokrasi Dalam Proses Pembelajaran IPS di SMA Negeri 6 Takalar yaitu Sarana dan Prasarana pendukung yang dimanfaatkan guru antara lain LCD, Laptop, dan beberapa buku referensi pendukung menjadi faktor penunjang keberhasilan proses pembelajaran, dan (3) Faktor-Faktor Penghambat Pada Implementasi Pendidikan Demokrasi Dalam Proses Pembelajaran IPS di SMA Negeri 6 Takalar yaitu Perbedaan individual, perbedaan kemampuan antar siswa menjadi sesuatu yang tidak terhindarkan, karena setiap siswa memiliki kemampuan yang berbeda.Kata kunci : Pendidikan Demokrasi, Mata Pelajaran IPS
The Space Modeling in the Ukrainian Detective Story of the Second Half of the 20th century
Authors: Zhyhun Snizhana
Published: November 2019

The relevance of the study is due to the underestimation of the influence of entertainment literature on the formation of ideas about the world in the reader. Therefore, the purpose of the presented article is to demonstrate how the spatial structures of the Soviet detective determine the creation of values, forming collective strategies. The subject of research is the ratio of the foreign and Soviet spaces, as well as local space and imperial space, which was the Soviet one. The main research method is structuralist analysis, and the interpretation of the results obtained with its help was made in the context of the ideas of postcolonial criticism. It defines the novelty of the study, which is to consider the detective texts of the Soviet period as carriers of not only political ideology but also a colonial view. As a result of the research it is found out that modeling of space in the Ukrainian detective story of the 1950s–1980s is defined by a ratio of world and imperial spaces, provided with ethical estimates as well as imperial and local spaces which create the system of knowledge of the world. At the same time, the space of the Ukrainian detective story of this period is significantly narrowed if compared with the detective of the 1920s or the Russian detective of the 1950s–1980s. The described space is often devoid of national features or they are not focused. Instead, attention is focused on the achievements of the power: construction of new buildings, re-equipment of old ones, industrial facilities. The “entertaining” text fixed the replicated by mass media narrative of the civilization mission of the Soviet power and its successes. The urban space is usually determined by production and trade, often illegal. And it is the trade that becomes the core of the image of Moscow, the capital of the Union. There is a hidden rejection of the metropolis in its representation as a center of stolen things selling to foreigners. But the image of Kyiv as an averaged “regional center demonstrates colonial mimicry and assimilation strategy. The space mystification, characteristic of texts about crimes with ideological mechanics, destroyed the association of responsibility for them with specific cities. Instead, memory places accentuated the losses incurred in the fight against the external enemy, and raised the emotional value of the Ukrainian SSR within the Union. Thus, the analyzed texts demonstrate unambiguous relations between the world and the empire, and complex relations between the empire and the colony. In the prospect of research it is advisable to compare the image of space in Russian detectives (metropolitan and regional authors), as well as in detectives of other republics and countries of the Warsaw Pact.
Pengembangan Sekolah Berbasis Go Green dan Waste Management untuk Mewujudkan Green School di SDI Miftahul Huda Plosokandang Kabupaten Tulungagung
Authors: Chotimah Chusnul
Published: November 2019

In supporting the environmental conservation program, protecting the earth from damage caused by human activities and unfriendly activities, it is necessary to instill early education about preserving the environment and conservation the earth free of garbage while reducing the impact of global warming. One of the schools that was moved to implement the go green was SDI Miftahul Huda Plosokandang Tulungagung Regency. And this issue are green school and waste management was carried out in the empowerment of educational institution communities. The method used in empowerment is Community Based Research (CAR) with the Asset Based Approach (ABA) approach which includes four stages, namely: the division of human resource assets, natural resource assets, physical assets, and social assets. The results of empowerment through excavation of assets owned by the school arises an awareness of environmental stewardship and conservation of the earth to minimize the impact of global warming, declaration of schools as green schools and waste management. The actualization of the green school came the empowerment action programs, namely: 1)Activities for Curriculum Development Based on Environmental and Community-Based Education 2) Development of school management based on environmental; and 3) Improving the quality of school areas and environmentally friendly surroundings through the use of school land as green school, making biotic laboratories, and making compost from waste.
Relationship between serum vitamin D and insulin resistance in normal weight and overweight or obese men.
Authors: Iqbal Sabiha , Ali Shah Syed Imran , Sikandar Mirza Zeeshan
Published: November 2019

Obesity is a common clinical disorder featuring excessive buildup of body fat. The bioavailability of vitamin D in obese subjects is lowered because of its sequestration in the superfluous fat tissue. Hypovitaminosis D itself is associated with glucose intolerance, insulin resistance, dyslipidemia and hypertension, which are also linked to obesity. Objectives: To compare and correlate serum vitamin D and insulin resistance in controls and overweight / obese males. Study Design: Cross Sectional, Comparative Study. Setting: The study was conducted in the Department of Physiology, Post – Graduate Medical Institute (PGMI) in collaboration with Lahore General Hospital and Central Park Medical College. Period: From 7th June 2018 to 10th Oct 2018. Material and Methods: Eighty male subjects (age range 35-50 years) included in this cross-sectional comparative study were divided into two groups on the basis of BMI; Group I: non-obese (control) BMI < 25 Kg/m2 (n=40) and Group II: overweight / obese males with BMI ˃25 Kg/m2 (n=40). Fasting serum vitamin D (25 hydroxy cholecalciferol; 25-OH D, serum insulin and blood glucose levels were measured. Insulin resistance (IR) was estimated from fasting serum glucose levels taken in mmol/l and the fasting serum insulin taken in µIU/ml by using Homeostasis Model Assessment-estimated Insulin Resistance (HOMA-IR index). Results: Group II had lower serum 25-OH vitamin D levels and higher HOMA-IR index than control group. Significant negative correlation was present between serum vitamin D and HOMA-IR. Conclusion: Vitamin D deficiency may promote insulin resistance in overweight or obese individuals.
Analysis of effects of acid suppression therapy on renal tissue using experimental animal.
Authors: Ahmed Shoaib , Naqvi Farwa , Yaqoob Nadeem , Habib Bilal , Rana Nadir Ali , Aziz Rao Salman , Shukat Amal , Akbar Farah Naz , Chaudhury Faiqa , Makhdoom Hassan
Published: November 2019

Objectives: To analyze the effects of acid suppression therapy by proton pump inhibitors on renal tissue by using mice as experimental animal. Study Design: Randomized control trial. Setting: Animal house of University of Sargodha. Period: 6 weeks (From 1st January 2018 to 15th February 2018). Material and Methods: The sample consisted of 60 mice. Simple Random Sampling was the technique which was used for the sampling procedure. The mice were procured from Veterinary University Lahore Punjab. The animals were handled according to the international standards of environmental and ethical conditions. The animals were divided into three groups. One group was labeled as control group for comparison and the other groups served as experimental. The histological study was done to analyze the effects of proton pump inhibitors. Results: Histological analysis of the sections made from the renal tissue revealed that acid suppression therapy given in the form of proton pump inhibitors induced toxic effects on the kidneys. The glomerulus was observed to be congested along with cellular infiltrate in the interstitium.
Comparison of graft uptake in patients undergoing myringoplasty/ tympanoplasty by overlay and underlay procedure.
Authors: Arshad Muhammad , Shahnaz Ambreen , Bashir Madiha , Zaman Akhtar
Published: November 2019

Objectives: To determine which method underlay or overlay has higher results in graft uptake in Tympanoplasty. Study Design: It was experimental study. Setting: it was carried out at ENT Department of Benazir Bhutto Hospital, Rawalpindi. Period: One year from March 2017 to February 2018. Material and Methods: It consisted of a total of 27 patients presenting with chronic otitis media with dry perforation. Two groups of patients were made. Group A had 14 members who undergone underlay technique while the 13 patients in group B undergone overlay technique. Comparison was made on basis of successful graft uptake the main criteria of which was absence of lateralization, atelectasis, blunting or formation of retraction pockets by the end of 6 weeks of follow up. Result: Out of the 27 surgeries, 70.37% of the Myringoplasties were successful. The percent graft uptake came out to be 61.5% with overlay and 78.5% with underlay myringoplasty. In 15 out of the 27 surgeries temporalis fascia was used with a graft uptake rate of 80%, the 12 grafts taken from tragus had a graft uptake rate of 58.33%. Conclusion: Underlay myringoplasty technique has higher results than overlay myringoplasty technique.
Antidiabetic effect of withanolides and liraglutide on serum insulin level and pancreatic histology in diabetic rats.
Authors: Samad Abdul , Sadiq Noman , Ayaz Hira , Rajpoot Noor Nasir
Published: November 2019

Objectives: Type 2 diabetes is characterized by hyperglycemia and occurs as a result of insulin resistance and pancreatic beta cells failure to compensate. Present study was conducted to determine the antidiabetic effect of Withania coagulans and liraglutide on postprandial serum insulin levels and pancreatic histological features in streptozotocin induced diabetic rat. Study Design: This Randomized Control Trial. Setting: At multidisciplinary lab Islamic International Medical College, Rawalpindi in collaboration with Animal House, National Institute of Health, Islamabad. Period: From March 2016 to April 2017. Material and Methods: Forty male Sprague daily rats were randomly divided into normal Control Group A (n=10) and Experimental Group (n=30). Experimental group was given streptozotocin (30mg/kg/day) intraperitoneally for 5 days and diabetes was confirmed in experimental group by measuring fasting blood glucose level (mg/dl). Experimental group was divided further into Group B (Diabetic control), Group C (Withania coagulans treated) and Group D (Liraglutide treated). Group C were given Withania coagulans in addition to normal diet and Group D received Liraglutide besides normal diet for 30 days. Second sampling for evaluating postprandial serum insulin level and pancreatic histology was done after 30 days. Result: Postprandial serum insulin levels of Withania coagulans treated Group C (5.54 + 0.23 μU/ml) and Liraglutide treated Group D (6.06 + 0.17 μU/ml) were significantly raised in comparison with Diabetic control Group B (3.50 + 0.19 μU/ml), whereas islets of Langerhans cell morphology were markedly improved in Group C and D as compared to Group B. Conclusion: Withania coagulans significantly increases postprandial serum insulin level and improves pancreatic beta cells architecture.
Upper GI bleeding: Causes, morbidity and mortality in admitted patients at Tertiary Care Hospital of Karachi.
Authors: Seetlani Naresh Kumar , Imran Khalid , Deepak Pooja , Tariq Fizza , Mirza Daniyal , Abbasi Amanullah , Shams Nadia , Akhtar Tehseen
Published: November 2019

Objectives: Acute upper gastrointestinal bleed is one of the most common emergencies. Despite advancement in the medical field, gastrointestinal bleeding still carries significant mortality and fiscal burden on healthcare system. At present, limited data is available on the predictors of morbidity and mortality associated with acute upper gastrointestinal bleeding in our part of the country. Study Design: Descriptive analytical study. Setting: Medical wards of Civil Hospital Karachi. Period: From January 2018 to June 2018. Material and Methods: 260 patients of 12 years and above with complaint of upper gastrointestinal bleeding. After hemodynamic stabilization, patients were referred to undergo esophago-gastro-duodenoscopy at the endoscopy suite of the hospital. Their personal data and endoscopic findings were recorded after obtaining a written consent. The patients were followed for 2 weeks to document the factors leading to their morbidity and mortality. We used Rockall scoring system to identify risk of patient mortality. Data collected was analyzed using SPSS 22·0. Results: The survey included 260 patients having males (62·3%) more than females (37·7%) with age ranging from 12 to 85 years. Among all, variceal bleed was accounted in 186 (71·5%) patients while remaining 74 (28·4%) patients had non-variceal bleed; peptic ulcer disease being the most common etiology. The overall mortality rate of our study was 5·76%. Some factors influencing mortality of the patients were age > 60 years, comorbid, use of NSAIDS, rebleeding, deranged laboratory tests at the time of presentation- anemia (hemoglobin of < 10 g\dl), grade 3 thrombocytopenia (platelet count of < 50 cells\dl), serum creatinine > 1·5 and serum INR of > 1·6. Additionally, a direct proportion was seen in between Rockall scoring system and patient mortality with a significant p-value (0·000). Conclusion: In this study, variceal bleeding was found as the predominant lesion of upper gastro-intestinal bleeding followed by peptic ulcer disease. Certain factors are found that are strongly related in deteriorating patient’s outcome. Along with it, Rockall score is also a good predictor of outcome of patients.
Complications following use of single rod etonogestrel implant (Implanon).
Authors: Bashir Sadia , Karim Sajilah , Khan Bushra , Faiz Sadia , Riaz Madeeha , Bibi Amna
Published: November 2019

Objectives: To determine the frequency of complications and side effects of single rod etonogestrel implant (implanon). Study Design: Descriptive case series. Setting: At Contraceptive clinic, (Reproductive Health Clinic (Contraception), antenatal clinic of the Department of Obstetrics & Gynaecology, Nishtar Hospital Multan. Period: From November 2014 to November 2016. Material & Methods: The sample included 72 healthy active women. The final outcome in this study was efficacy. Results: Client mean age was 28.07±4.88 years. Usually clients 57 (79.2%) were 1-4 para. 5 (6.9%) clients complain of pain, out of which only 4 had pain at insertion site and 1 had pain at insertion site and also in stomach. No side effects were observed 55 clients (67.4%) main complains about menstrual disturbance like 26 (36.1%) having amenorrhea. Continuous bleeding was the main complain in 9 clients (12.5%), heavy menstruation was found in 7 (9.7%), 10 (13.9%) had irregular bleeding. Prolonged bleeding was present in 2 clients (2.8%), 7 (9.7%) complain of spotting, 10 (13.9%) had no menstruation problem. Conclusion: The results of this study showed that majority of the clients had amenorrhea.
Comparison of distal third forearm fractures in children treated with above elbow verses below elbow cast.
Authors: Manzoor Basharat , Yousaf Waseem , Fareed M Irfan , Iqbal Sajjad , Iqbal Awan M. Javed
Published: November 2019

ABSTRACT: In childhood most common fractures are closed fracture of the distal third of the forearm in children, after closed reduction of the forearm fractures of distal third were immobilized with long arm cast and by some orthopedic surgeon with short arm cast. Objectives: To compare the result of above elbow cast with below elbow cast in the treatment of distal third forearm fractures in children. Study Design: Randomized study. Setting: Department of orthopedics, Allied Hospital, Faisalabad. Period: One year 14-Sep, 2015 to 15-Aug, 2016. Results: 180 Cases fulfilling the inclusion / exclusion criteria were included in the study. In group A38.89% (%35) in our study and group B 45.56% (n=41) were between 1-6 years of age while. In group A 61.11% (n=55) and group B 54.44% (n=49) were 7-12 years of age of the children mean + sd 7.66 + 2.54 and 7.38 + 2.46 years respectively, In group A 58.89 % (n=53) in group B 62.22% (n=56) were male while group –A 41-11% (N37) and in group B 37.78% were females below elbow cast compared with above elbow cast in treating distal one third forearm fracture in children shows that group A 23.33% (n+21) and group B 30% (n=27) and re displacement shows no significant difference between their two groups. Conclusion: We concluded there is no significant difference in outcome of above elbow cast with below elbow cast after reduction treating the fracture of children in distal on third forearm fractures.
Influenza a H1N1 characteristics on hajj occasion 2018 Makkah Region, KSA.
Authors: Ahmad Imran Nazir , Farid Muhammad Ajmal , Chaudhary Hammad Tufail , Imran Iffat , Rasul Khan Rizwan , Saqib Ali , Turkistani Ahmad , Asiri Ahmad , Swida Abdullah
Published: November 2019

Objectives: To see the clinical characteristics and laboratory parameters of influenza A (H1N1) infection on hajj occasion 2018. Introduction: World Health Organization in 2009 declared H1N1 as pandemic, when about 70 countries documented approximately 30,000 cases of H1N1 infection. Saudi Arabia is representing a hot zone for influenza virus epidemics especially during Hajj gathering. Commonly H1N1 infection presents with flue like symptoms. Influenza infection is a major public health threat especially area like Makkah. Study Design: It was observational study. Setting: Done in Security Forces Hospital Makkah. Period: On hajj occasion from July to August 2018. Material and Methods: Total 50 admitted patients in isolation were included in study. Data was collected and analyzed using SPSS version 24. Results: In this study 08% patients had H1N1 +ve out of total patients included in study. Predominantly (75%) were < 14 years with 75% males. The most common presenting symptoms of these patients were Cough (100%), Fever (100%), breathlessness (75%), throat pain (50%), runny nose (75%), headache and lethargy (50%). Twenty five percent patients had hypoxia. Leukopenia was seen in 50% patients and thrombocytopenia was not documented in any patient. Liver Function Tests were deranged in 75% patients and Renal Function Tests were normal in all patients. Number of complications (pneumonia) was 25%. Conclusion: Clinical features and serological markers of influenza A +ve patients were same as reports globally and in KSA.
Development of IoT Based Mobile Robot for Automated Guided Vehicle Application
Authors: Kamarudin Kamarulzaman
Published: November 2019

Mobile robot has been one of the researches focuses in this era due to the demands in automation. Many industry players have been using mobile robot in their industrial plant for the purpose of reducing manual labour as well as ensuring more efficient and systematic process. The mobile robot for industrial usage is typically called as Automated Guided Vehicle (AGV). The advances in the navigation technology allows the AGV to be used for many tasks such as for carrying load to pre-determined locations sent from mobile app, stock management and pallet handling. More recently, the concept of Industry 4.0 has been widely practiced in the industries, where important process data are exchange over the internet for an improved management. This paper will therefore discuss the development of Internet of Things (IoT) bases mobile robot for AGV application. In this project a mobile robot platform is designed and fabricated. The robot is controlled to navigate from one location to another using line following mechanism. Mobile App is designed to communicate with the robot through the Internet of Things (IoT). RFID tags are used to identify the locations predetermined by user. The results show that the prototype is able to follow line and go to any location that was preregistered from the App through the IoT. The mobile robot is also able to avoid collision and any obstacles that exist on its way to perform any task inside the workplace.
Computation Offloading and Scheduling in Edge-Fog Cloud Computing
Authors: Rahbari Dadmehr , Nickray Mohsen
Published: November 2019

Resource allocation and task scheduling in the Cloud environment faces many challenges, such as time delay, energy consumption, and security. Also, executing computation tasks of mobile applications on mobile devices (MDs) requires a lot of resources, so they can offload to the Cloud. But Cloud is far from MDs and has challenges as high delay and power consumption. Edge computing with processing near the Internet of Things (IoT) devices have been able to reduce the delay to some extent, but the problem is distancing itself from the Cloud. The fog computing (FC), with the placement of sensors and Cloud, increase the speed and reduce the energy consumption. Thus, FC is suitable for IoT applications. In this article, we review the resource allocation and task scheduling methods in Cloud, Edge and Fog environments, such as traditional, heuristic, and meta-heuristics. We also categorize the researches related to task offloading in Mobile Cloud Computing (MCC), Mobile Edge Computing (MEC), and Mobile Fog Computing (MFC). Our categorization criteria include the issue, proposed strategy, objectives, framework, and test environment.
Behaviour of Friction Stir Dissimilar Welded Blanks and The Role of Different Tool PIN Profiles
Authors: Nadikudi Bhanodaya Kiran Babu
Published: November 2019

In this study, the forming behaviour of dissimilar welded blanks was studied. Welded blanks were prepared with friction stir welding processwith different types of tool pin profiles. Welded blanks were developed with fixedfriction stir welding process parameters by varying the tool pin profiles. The forming behaviour of welded blanks were analyzed with the limiting dome height test in biaxial stretch forming condition.The results reveal that the formability of welded joints are made with the square pin tool exhibited a better formabilitybehaviour when compared with other profiled tools, this is due to sufficient amount heat generation and high static volume to dynamic volume ratio.
Rheological and Mechanical Performance of Asphalt Binders and Mixtures Incorporating CaCO3 and LLDPE
Authors: Mohd Hasan Mohd Rosli , You Zhanping , Mohd Satar Mohd Khairul Idham , Mohd Warid Muhammad Naqiuddin , Mohd Kamaruddin Nurul Hidayah , Poovaneshvaran Sharvin
Published: November 2019

This study was conducted to assess the performance of modified asphalt binders and engineering properties of mixtures prepared with incorporation 3 vol% and 6 vol% of calcium carbonate (CaCO3), linear low-density polyethylene (LLDPE), and combinations of CaCO3 and LLDPE. The rheological properties of control and modified asphalt binders were evaluated using a series of testing such as rotational viscometer (RV), multiple stress creep recovery (MSCR) and bending beam rheometer (BBR) tests. Meanwhile, four-point beam fatigue test, the dynamic modulus (E*) test and tensile strength ratio (TSR) test were conducted to assess the engineering properties of asphalt mixtures. Based on the findings, the RV and MSCR test result shows that all modified asphalt binders have improved performance in comparison to the neat asphalt binders in terms of higher viscosity and improved permanent deformation resistance. A higher amount of CaCO3 and LLDPE have led modified asphalt binders to better recovery percentage, except the asphalt binders modified using a combination of CaCO3 and LLDPE. However, the inclusion of LLDPE into asphalt binder has lowered the thermal cracking resistance. The incorporation of CaCO3 in asphalt mixtures was found beneficial, especially in improving the ability to resist fatigue cracking of asphalt mixture. In contrast, asphalt mixtures show better moisture sensitivity through the addition of LLDPE. The addition of LLDPE has significantly enhanced the indirect tensile strength values and tensile strength ratio of asphalt mixtures.
The Anneal Temperature Effect on the BTO and NZFO Flims and Their Capacitance - Inductance Integrated Device
Authors: Zheng Zhen , Shi Yuhao , Liang Xinyu , Wang Chunqing
Published: November 2019

In this paper, a novel capacitor-inductor integrated structure was proposed. The dielectric material BaTiO3 (BTO) and ferromagnetic material Ni0.5Zn0.5Fe2O4 (NZFO) was prepared by sol-gel method. Phase composition and morphology of the thin films were characterized by XRD, SEM and AFM. The effect of annealing temperature on film crystallinity, surface morphology, dielectric properties and ferromagnetism were investigated. When the annealing temperature was 700 °C, the BTO film and the NZFO film got the better dielectric properties and ferromagnetic properties. Then the BTO thin film was spin-coated on the substrate, and the NZFO thin film was in-situ sintered on the BTO thin film. The composite film possessed both ferromagnetism and dielectric properties. Finally, an inductive coil was fabricated on the BTO/NZFO composite film to produce a capacitance and inductance integrated device.
PENGGUNAAN TEKNIK PICTURE CUED STORYTELLING UNTUK MENINGKATKAN KEMAMPUAN SPEAKING SISWA KELAS XI-IPA DI MA MIFTAHUL ULUM BETTET PAMEKASAN
Authors: Fujiono Fujiono , Khairuddin Khairuddin
Published: November 2019

Penelitian ini merupakan penelitian tindakan kelas yang bertujuan untukmenemukan peningkatan kemampuan speaking siswa kelas XI IPA-A padasemester genap, tahun pelajaran 2016/2017, dan siswa kelas XI IPA-B dan XIIPA-C pada semester ganjil tahun pelajaran 2017/2018 di MA Miftahul UlumBettet Pamekasan melalui penggunaan teknik Picture Cued Storytelling.Disamping itu, penelitian ini juga menggambarkan proses belajar mengajartentang penggunaan teknik picture cued storytelling di kelas XI IPA MA MiftahulUlum Bettet Pamekasan.Penelitian ini dilakasanakan didalam bentuk pre-riset dan post tes padasiklus dengan mengikuti prosedur penelitian tindakan kelas, seperti tahapperencanaan, tahap implementasi, tahap pengamatan, dan tahap refleksi. Data darihasil penelitian ini dikumpulkan melalui ceklis pengamatan, kuesioner, dan rubrikpenilaian speaking.Dari hasil pengamatan dan kuesioner dapat disimpulkan bahwa siswamengikuti proses belajar mengajar dengan baik, mereka bisa menunjukkan minatdan sikap percaya diri mereka terhadap materi speaking.Hasil dari penelitian ini juga menunjukkan bahwa ada peningkatankemampuan speaking siswa kelas XI IPA, hal ini dapat dilihat pada persentasekesuksesan dan nilai rata-rata pada setiap siklus. Pada tahap pre-riset dijelaskanbahwa nilai rata-rata KKM siswa kelas XI-IPA A adalah 61,44 dengan persentasekesuksean 32%, sedangkan nilai rata-rata KKM siswa kelas XI-IPA B adalah 63,6dengan persentase kesuksesan 36,66%, dan nilai rata-rata KKM siswa kelas XIIPAC adalah 66 dengan persentase kesuksesan 43,75%. Pada tahap siklus 1dijelaskan bahwa nilai rata-rata KKM siswa kelas XI-IPA A adalah 75,04 denganpersentase kesuksesan 76%, sedangkan nilai rata-rata KKM siswa kelas XI-IPA Badalah 76 dengan persentase kesuksesan 76,66%, dan nilai rata-rata KKM siswakelas XI-IPA C adalah 70, 625 dengan persentase kesuksesan 53, 125%. Padatahap siklus 2 dijelaskan bahwa nilai rata-rata KKM siswa kelas XI IPA C adalah76, 875 dengan persentase kesuksesan 84, 375%.Berdasarkan data diatas, peneliti menyimpulkan bahwa penggunaan teknikpicture cued storytelling dapat meningkatkan kemampuan speaking siswa kelasXI-IPA di MA Miftahul Ulum Bettet Pamekasan.
PENERAPAN MODEL PEMBELAJARAN KOOPERATIF TIPE NUMBER HEAD TOGETHER (NHT) PADA MATERI KERUSAKAN LINGKUNGAN DI KELAS IV SEKOLAH DASAR
Authors: Alfiansyah Iqnatia
Published: November 2019

Penelitian ini bertujuan untuk mengetahui hasil belajar dari peserta didik setelahmengiktui pembelajaran NHT, mendeskripsikan kemampuan guru dalam menerapkanpembelajaran dan mengetahui respon peserta didik terhadap pembelajaran NHT. Tujuanpenelitian disesuaikan dengan pemasalahan yang telah ditemukan peneliti yaitu berdasarkan hasil wawancara dengan guru kelas, diantaranya yaitu peserta didik cenderung merasa bosan karena model pembelajaran kurang bervariasi, kurangnya kreatifitas guru dalam proses pembelajaran, pembelajaran masih menekankan kegiatan guru. Penelitian ini menggunakan rancangan penelitian kuantitatif deskriptif, yaitu untuk mendeskripsikan kejadian-kejadian yang telah terjadi, penelitian ini dilakukan selama tiga pertemuan, dua pertemuan pembelajaran dan satu pertemuan untuk melaksanakan tes hasil belajar dan mengisi lembar angket respon peserta didik. Teknik pengumpulan data yang digunakan yaitu dengan melakukan pengamatan kemampuan guru dalam menerapkan pembelajaran, tes hasil belajar untuk mengetahui hasil belajar peserta didik sesudah mengikuti pembelajaran, dan megisi angket respon untuk mengetahui respon peserta didik terhadap pembelajaran NHT. Data yang telah terkumpul dianalisis dengan menggunakan teknik analisis deskriptif. Hasil penelitian menunjukkan bahwa dengan menerapkan model pembelajaran NHT, rata-rata nilai yang diperoleh peserta didik adalah 85,53 dengan prosentase ketuntasan klasikal 93,3% dan dapat dikatakan tuntas. Selain itu, hasil penelitian menunjukkan rata-rata kemampuan guru dalam menerapkan pembelajaran seluruh pertemuan adalah 89,8 dapat dikatakan baik sekali. Respon peserta didik terhadap pembelajaran NHT dapat dikatakan baik dengan rata-rata 96,7%.
On Longitudinal Item Response Theory Models: A Didactic
Authors: Wang Chun , Nydick Steven W.
Published: November 2019

Recent work on measuring growth with categorical outcome variables has combined the item response theory (IRT) measurement model with the latent growth curve model and extended the assessment of growth to multidimensional IRT models and higher order IRT models. However, there is a lack of synthetic studies that clearly evaluate the strength and limitations of different multilevel IRT models for measuring growth. This study aims to introduce the various longitudinal IRT models, including the longitudinal unidimensional IRT model, longitudinal multidimensional IRT model, and longitudinal higher order IRT model, which cover a broad range of applications in education and social science. Following a comparison of the parameterizations, identification constraints, strengths, and weaknesses of the different models, a real data example is provided to illustrate the application of different longitudinal IRT models to model students’ growth trajectories on multiple latent abilities.
Prediction of Heat Transfer Coefficient and Pressure Drop in Wire Heat Exchanger Working with R-134a and R-600a
Authors: Mahdi Louay Abd Al-Azez , Lateif Ahmed Yusef
Published: November 2019

An experimental and theoretical works were carried out to model the wire condenser in the domestic refrigerator by calculating the heat transfer coefficient and pressure drop and finding the optimum performance. The two methods were used for calculation, zone method, and an integral method. The work was conducted by using two wire condensers with equal length but different in tube diameters, two refrigerants, R-134a and R-600a, and two different compressors matching the refrigerant type. In the experimental work, the optimum charge was found for the refrigerator according to ASHRAE recommendation. Then, the tests were done at 32˚C ambient temperature in a closed room with dimension (2m*2m*3m). The results showed that the average heat transfer coefficient for the R-600a was higher than the R-134a, so the length of the wire tube was longer with R-134a than R-600a. The pressure drop for the smaller tube diameter was higher than the other tube. The second law thermodynamic efficiency was higher for R-600a, which reached 41%.  The entropy generation minimization analysis showed that the R-600a refrigerant type and smaller tube diameter are approached the optimum point.