bluuebunny/crossref_metadata_2025 huggingface dataset:
Association of depression, pain, and quality of life among confirmed Covid-19 cases in Bangladesh
Authors: Tangila Marzen  , Moshiur Rahman Khasru  , Fariha Haseen  , Mohamed Sakel  , Abdul Hamid  , Syfunnahar Bristi  , Radia Naz  , Khandaker Mohammad Hossain  , Md Shahdat Hossain  , Moniruzzaman Khan  , Md. Sharfuddin Ahmed
Published: June 2022

The purpose of this cross sectional study was to assess the extent of depression, and the quality of life (QoL) among confirmed Covid-19 Bangladeshi patients tested positive for Covid19 from October 2020 to March 2021. This tele-interview survey included 380 patients. Eligible participants were identified from all available phone numbers of the research population obtained from various RT-PCR labs run by the government of the People's Republic of Bangladesh. The level of depression, pain and QoL was assessed with PHQ-9, Visual analogue scale (VAS), and short form-12 V2 (SF-12v2) survey instrument respectively. Depression was prevalent in 4 out of every 5 patients. More than two-third of participants had worse physical and mental health than the average citizen after being diagnosed as COVID-19 positive case. Around two-third of respondents had mild to severe pain after recovery from COVID-19. Younger participants (aged ≤50 years) had relatively better QoL and less pain intensity compared to those of older participant (aged >50 years). The respondents who had higher intensity of subjective pain, and worse than the average physical health had higher frequency of depression. Individuals having history of covid-19 are especially vulnerable to develop pain which was associated with depression and lower quality of life during the COVID-19 pandemic.
Systemic racism in academic medicine: A systematic review of interventions
Authors: Christopher Steven Martin  , Jasmine Nicole Hanna  , Nicolás Balbi Caruso  , Cheyeon Jenny Kim  , Waguih William IsHak
Published: June 2022

Purpose: The purpose of this systematic review is to identify and evaluate systemic racism interventions in academic medicine. Methods: Studies were identified through the use of the PubMed database, using the keywords ‘systemic racism’ and ‘academic medicine’. Of the 18 publications generated, 6 highlighted systemic racism interventions. Results: Ultimately, 6 studies were selected in this review including multiple interventions: virtual training modules, a department wide cultural competency curriculum, a hospital-wide breastfeeding initiative, and a fellowship program for underrepresented minorities interested in surgery. Conclusion: The findings of this systematic review indicate a dearth of systemic racism interventions. While the data is limited, there is some evidence that department/hospital-wide commitments, virtual curricula, and programming/mentorship directed at underrepresented minorities (URM) in medicine may be effective tools in combating systemic racism.
Effects of dipping tobacco (Tombak) on heart rate variability among adult males
Authors: Sharif Lutfi Ibrahim , Alla Nisreen Daffa
Published: June 2022

Objectives:

Dipping tobacco is highly prevalent worldwide and in Sudan among adult males and is

associated with cardiovascular hazards. The main objective of this study was to determine the effects

of ‘tombak’ (local name for dipping tobacco in Sudan) dipping on heart rate variability and autonomic

functions among adult males.

Methods:

Blood pressure and heart rate variability were recorded in 60 male tombak users (study group)

at least 5 hours before using the tombak and after 30 minutes of use. Forty male non- users of tombak or

any other tobacco products were included as a control group.

Results:

Measurements 5 hours before tombak dipping revealed statistically significant decrease in high

frequency power in tombak users. Acute responses to tombak dipping included statistically significant

increase in diastolic blood pressure, increase mean arterial pressure, decrease mean NN and decreased

square root of the mean squared differences of successive NN intervals.

Conclusions:

the study results indicated disturbances in the sympatho-vagal balance with domination of

sympathetic effects in the regulation of the cardiac activity and peripheral resistance in tombak users.
Global trends in quality assurance in medical education: implications and challenges to medical education in Sudan
Authors: Karrar Zein A
Published: June 2022

The aim of this paper is to overview the concepts and global trends of quality assurance in medical educationthrough accreditation systems based on internationally embraced standards, the efforts to have an oversightprocess of quality at global level while maintaining a frm commitment to the position that accreditation is anational matter requiring adaptation of the generic global standards to the national context. It also providesan update on international registries of medical schoolsIt mainly targets the medical education community in Sudan and the decision-makers in medical educationto create awareness of the challenges of ensuring and sustaining quality in medical education in Sudan inthe face of expanding number of medical schools. Such efforts are empowered by the recognition of SudanMedical Council (SMC) by the World Federation for Medical Education (WFME) as a national accreditingbody after fulflling the WFME requirements in June 2018 .The overview is to alert the decision-makers and medical schools to the basic concepts on which they willbe held accountable to the community and the stakeholders and highlights the challenges to maintain thisglobal recognition.The paper is based on overviewing key publications addressing the concepts and updates of accreditationstandards and the global vision for a robust global oversight on quality of medical education (1-5 &10) andthe need for international registries in an increasingly expanding number of medical education institutionsand globally mobile medical and health task force.
Internet addiction among medical students in three universities (Omdurman Islamic University, University of Science and Technology and Ahfad University for Women). Omdurman Locality - Sudan 2016.
Authors: Altayeb Sondos Mohammed Awadallah , Shumo Bashier Eltayeb , Malik Elfatih Mohammed
Published: June 2022

Background: There has been explosive growth in the use of internet in the last decade. This resultsin serious problems in many areas. The aim is to study patterns and effects of internet addiction amongmedical students in three universities in Omdurman locality, Sudan 2016Method: This cross-sectional study was conducted at 3 medical colleges out of 5 in Omdurman. A standardquestionnaire based on Young’s internet addiction test was used to collect data from 272 medical students.Results: The prevalence of internet addiction was found to be 80.15% (95% CI: 75-85). Most studentsuse internet for chatting and academic purposes. There is no signifcant association between gender andinternet addiction (p=0.360), but there is association between duration of daily internet use and the level ofinternet addiction (p<0.001). Most students have their academic performance affected, and 74.7% (95% CI:69-80) feel depressed when not online. Most students prefer staying on internet than sitting with parents orfriends. The most observed side effects for prolonged use are “blurring of vision”55.9% (95% CI: 50-62)and headache 47.8% (95% CI: 42-54).Conclusion: Incidence of internet use is increasing. Most students have their health affected fromprolonged use of internet, and most of them have their academic, social life and sleep affected. There isa need for motivation of students to participate in social activities, limiting internet use in lecture theatre,limiting access to open Wi-Fi and for awareness raising sessions.
Inclusion of case-based learning within gross anatomy practical sessions
Authors: A Awad Khalid , M Saeed Amal
Published: June 2022

Background The introduction of clinical scenarios or case-based learning within the practical gross anatomy sessions is one way of vertically integrating anatomy into medical curricula. This study presents the overall outcome of including case-based learning within the practical classes of gross anatomy to undergraduate final anatomy students (semester four), in the Faculty of Medicine, University of Khartoum. Methods This descriptive interventional study was implemented during gross anatomy practical sessions for final anatomy students (semester four) at the Faculty of Medicine, University of Khartoum. Case-based learning was added to traditional prosection-based stations. Data concerning the responses of participants to different items of Likert scale questions were collected through a self-administered questionnaire. The questionnaire covered aspects of gross anatomy teaching and learning. In addition, final anatomy examination scores (students who were exposed to case-based learning) were compared to scores of the previous year (not exposed to case-based learning). Data were analyzed using statistical package for social sciences version 20. Results Participants who responded to the questionnaire were 216 (78 males, 136 females and 2 were missing) out of 313, generating a response rate of 69%. The mean age of the participants in the study was 18.9 ± 0.84 years. Students reported increased satisfaction in all sessions where clinical scenarios casebased learning were included. The percentage of students who chose the options ‘strongly agree’ or ‘agree’ in the different questionnaire items were as follows:84.9 % for ‘’help in formulation of intended learning outcomes’, 76.8% for ‘gain of deep knowledge versus superficial knowledge’, 71.3% for ‘increased retention of anatomical facts’, 62.5% for ‘increased interest in anatomy course’, 74.4% for ‘increased understanding of gross anatomy course’, 76.4% for ‘enjoying gross anatomy’ and 72.9% expressed overall student satisfaction. Most of the students (89.7%) recommended continuation of the integrated casebased learning sessions. There was a significant improvement in students` scores in gross anatomy final examination when compared to previous year’s scores of students who were not exposed to case-based learning. The mean scores were 69.7 ± 16.6 and 64.2 ± 17.9, respectively (d=0.317, P<0.001). Conclusion Introduction of case-based learning within prosection-based gross anatomy sessions resulted in better levels of students’ satisfaction and improved students’ performance in the final gross anatomy examination.
Cloning and sequencing of the promoter and terminator regions of the rbcL gene from Gunnera perpensa L.
Authors: Rashid Ismael Hag Ibrahim
Published: June 2022

Primers were designed based on the chloroplast genome sequence from the cotton Gossypium barbadense L. Specificrestriction sites were included in the primers so as to facilitate the process of vector assembly for future chloroplast transformation. Polymerase chain reaction (PCR) was applied to amplify the promoter and terminator regions of the rbcLgene from the chloroplast DNA (cpDNA) of G. perpensa. These promoter and terminator regions of the rbcL gene were around 0.25 and 0.5 kilobase pair (kb) in length, respectively. The amplicons were purified and cloned into pGEM®-T Easy Vector System I, then transformed into DH5α strain of E. coli bacteria. Transformed bacteria were propagated and recombinant plasmids were extracted and sequenced. The resulted sequences were aligned and compared with the sequenced promoter and terminator of rbcL from cotton as the reference plant. The promoter region of rbcL gene from G. perpensa showed 81.5% identity with that of the cotton plant, while the terminator region of rbcL gene expressed 69.9% identity with that of cotton plant. The core sequences at -35 and -10 of the promoter from G. perpensa scored 54.44% of thedefault core sequences
Estimation of the population sex ratio in butterflies infected with bacterial male-killers: a case study
Authors: Idris Eihab , Hassan Sami Saeed M.
Published: June 2022

Female-biased population sex ratios in butterflies arise as a consequence of infection by maternally-transmitted endosymbionts that manipulate host sex ratio in order to maximize their transmission down the generations. A critical step toward understanding the host/male-killer relationship as well as the evolutionary consequences of male-killing is to provide accurate estimations for the population sex ratios in the host species. There are two ways to perform this: first, through counting the numbers of males and females in wild collections, and second, through the molecular screening of collected females for bacterial infection, using the PCR. In this paper, we compare the estimations of the two methods in the case of the queen butterfly Danaus chrysippus at Uganda and Sudan. We concluded that molecular screening is the most accurate approach to assess the population sex ratio. Moreover, a theoretical argument has been presented at the end of this article to explain why the bacterial prevalence approach avoids the inherent collection bias that is suffered by the sex ratio method.
Control of Periplaneta Americana using Boric Acid & Neem Tree leaflets powder
Authors: Mohamed Hadeel A. E. , Elrabaa Fathi Mohamed Ahmed , Baleela Rania M. H.
Published: June 2022

The American cockroach, Periplaneta americana is the largest of house-infesting cockroaches and causes’ public health problems making it an strategic target for control.Different concentrations of Boric acid and neem tree leaflets (old of young developmental stage, OY) powders were used in this study. The powders were incorporated into food mixtures designed here to produce baits and the lethal dose (LD50) was calculated for each treatment.For both treatments, the toxicity was found to relate with the amount ingested by a cockroach (mg/ cockroach). Increased concentrations of Boric acid were found toxic to P. americana and mortality percentage increased in a positive correlation with concentration. LD50 was 2.0889±0.00136 g. On the other hand, two effects were observed for neem OY leaflets: a) a toxic effect and increase in mortality for concentrations up to 3.75g with LD50 =4.345±0.07694 g; and b) a repellent effect as well as a decrease of mortality for baits with concentrations of 5g-6.667g.
Karablands in Sudan: Pedological and Geomorphological Study
Authors: Nasr Ibrahim Saeed
Published: June 2022

Karablands (Typical badlands) which lie along the banks of the River Atbara and its tributaries represent a unique phenomenon in the area, therefore it has been investigated thoroughly well. After a geomorphological and pedological studies, it appeared that, the karablands were a former in-land lake formed by the River Atbara which ended at that time (~ 7000 years approximately), at Goz Rajab village. The river deposited its load in that lake, by time the River Atbara reached The River Nile and made its wayin its former deposits, due to climatic change towards drier periods which enhanced erosional processes that formed the karablands
Molecular Studies of Some Herpetofauna of Sudan
Authors: Hassan Mukhtar M. , Abukashawa Sumaia M.
Published: June 2022

This study aimed to survey and identifies some species of reptiles from various regions in the Sudan using molecular information. Genomic DNA was extracted from the tail tips and amplified by polymerase chain reaction (PCR) using primers for cytochrome-b mitochondrial gene. PCR products were sequenced and the resulting cytochrome-b gene sequences were aligned with homologous sequences obtained from the GenBank database. Phylogenetic trees were constructed to set up relationships of the gecko and lizard species. The phylogenetic relationships were compared to relevant species recorded from different world locations.
Important Anatomical Features In The Taxonomy Of Selected Plant Species From The Genus Ipomoea (Convolvulaceae) In Sudan
Authors: Madani Ikram , Majbour Mohammed
Published: June 2022

This paper investigated transverse sections of stems and leaves of seven species belonging to the genus Ipomoea of the family Convolvulaceae collected from Khartoum state, Sudan. They are Ipomoea cairica (L.) Sweet, Ipomoea aquatica Forssk, Ipomoea pes-caprae (L.) R. Br., Ipomoaeverticillata Forssk., Ipomoea eriocarpa R. Br., Ipomoea triloba L., and Ipomoea carnea Jacq. The study revealed that certain features were of significant importance in separation of these taxa. The vertically arranged rows of secretory canals separated I. pes-caprae from the other species in which they are solitary arranged. Also presence of striated stem cuticle separated I. carnea from the other species which show thin entire cuticle. Hollow pith characterizes I. aquatica while the presence of crystals in the pith characterizes I. triloba. Two species: I. cairica and I. eriocarpa are characterized by the presence of sunken glandular hairs on their leaves. I. cairica and I. eriocarpa were differentiated according to their cambium activity, which was equally active in I. cairica but not in I. eriocarpa. Laterocytic type of stomata is the common feature among all the studied species
PROSEDUR KHUSUS PELAYANANAN TERPADU FORENSIK KLINIK KORBAN KEKERASAN PEREMPUAN DAN ANAK DI RUMAH SAKIT
Authors: Ikhsan Muhammad Kholil , Yudianto Ahmad , Sulistyorini Nily
Published: June 2022

Kementerian Pemberdayaan Perempuan dan Perlindungan Anak (PPPA) Republik Indonesia mencatat terjadinya Kekerasan terhadap Perempuan dan Anak Pada periode 1 (Januari - 9 Juni 2021), terjadi 2.319 kasus kekerasan terhadap perempuan dewasa dengan 2.347 korban dan 3.314 kasus kekerasan terhadap anak dengan 3.683 korban.

Penanganan terhadap korban kekerasan terhadap Perempuan (KtP) dan Korban kekerasan terhadap Anak (KtA) di Rumah sakit dilakukan belum sepenuhnya terpadu dan bersifat seperti layanan pasien umum lainnya. Direktur dan Staff Rumah sakit harus melihat kasus KtP dan KtA sebagai kasus yang sebaiknya ditangani secara khusus agar Korban mendapatkan pelayanan yang Komprehensif baik secara Medis maupun Hukum, penulisan ini diharapkan bisa menjadi acuan prosedur pelayanan Forensik Klinik bagi korban Kekerasan Perempuan dan Anak di Rumah sakit.
Profesionalisme Tenaga Kesehatan dalam Penanganan Kegawatdaruratan COVID-19
Authors: Nur Damayanti Fitriani , Santosa Budi , Ta’adi Ta’adi
Published: June 2022

COVID-19 merupakan suatu keadaan kegawatdaruratan yang harus segera ditangani oleh tenaga medis. Penanganan wabah COVID-19 menjadi tantangan terbesar bagi tenaga kesehatan. Tenaga kesehatan perlu pelatihan untuk penanganan kasus kegawatdaruratan  COVID-19 karena risiko tinggi dalam penanganan kasus kegawatdaruratan. Keselamatan pasien adalah utama dalam penanganan kasus kegawatdaruratan. Metode yang digunakan dalam penulisan ini adalah studi literature review yang bertujuan untuk mengeksplorasi profesionalisme tenaga kesehatan dalam penanganan kegawatdaruratan COVID-19. Profesionalisme tenaga kesehatan dalam penanganan kegawatdaruratan COVID-19 terdiri dari aspek utama yaitu Kepedulian secara professional dalam memberikan pelayanan kesehatan, Tenaga kesehatan kompeten dalam penanganan kegawatdaruratan COVID-19,  Tenaga kesehatan memiliki kearifan profesional untuk penanganan kegawatdaruratan COVID-19, Tenaga kesehatan profesional memiliki kompetensi interpersonal, mampu memberdayakan komunikasi dan kemitraan positif dengan keluarga pasien, Tenaga kesehatan profesional mengembangkan dirinya baik secara pribadi maupun profesional, yang merupakan prasyarat untuk profesionalisme sejati.
GAMBARAN FAKTOR YANG MEMPENGARUHI KEPUTUSAN DO NOT RESUSCITATE (DNR) DAN KONSEKUENSI HUKUMNYA
Authors: Wijilestari Margaretha Indah , Suharso Yohanes Leonard , Pudjo Nugroho Hari
Published: June 2022

Do Not Resuscitate (DNR) merupakan keputusan klinis yang sering menjadi dilema etik, moral, dan hukum bagi para tenaga medis. Penelitian bertujuan untuk memberikan gambaran faktor yang mempengaruhi keputusan DNR dan bagaimana konsekuensi hukumnya di Indonesia ketika keputusan terpaksa dipilih. Penelitian menggunakan metode yuridis empiris berdasarkan rekam medis beberapa pasien dengan masing-masing diagnosis berbeda yang dirawat di Instalasi Gawat Darurat, Intensive Care Unit, Instalasi Rawat Inap, dan Ruang Isolasi Covid-19. Selanjutnya dilakukan analisis secara yuridis normatif dengan menggunakan sumber hukum yang berlaku di Indonesia. Hasil penelitian ini adalah ditemukannya gambaran faktor pasien, faktor keluarga, faktor tenaga profesional pemberi asuhan, faktor sumber daya, dan faktor pemahaman bioetika yang mempengaruhi keputusan DNR. Konsekuensi hukum pidana adalah mungkin, bila DNR dilakukan tanpa alasan klinis yang kuat dan tidak dilakukan dengan prosedur yang benar sebagaimana diatur dalam Peraturan Menteri Kesehatan Nomor 37 Tahun 2014. Oleh karena itu, dokter dan rumah sakit harus memastikan keputusan DNR dilakukan pada pasien yang berada dalam keadaan yang tidak dapat disembuhkan akibat penyakit yang dideritanya (terminal state) dan tindakan kedokteran sudah sia-sia (futile); keputusan melibatkan semua organ rumah sakit terkait (Tim Profesional Pemberi Asuhan, Manajer Pelayanan Pasien, Direktur, Komite Medik, Komite Etik dan Hukum); dan berdasarkan keputusan tertulis keluarga pasien.
PEMERIKSAAN TOKSIKOLOGI PADA KASUS BUNUH DIRI DENGAN ASAM KLORIDA DAN TINJAUAN ASPEK MEDIKOLEGAL
Authors: Tambunan Edwin , Yudianto Ahmad
Published: June 2022

Bunuh diri adalah salah satu cara kematian yang tidak wajar. Prevalensi kejadian bunuh diri masih tinggi di beberapa negara, termasuk Indonesia. Berdasarkan data Kemenkes RI, di Indonesia terdapat lebih dari 16.000 kasus bunuh diri setiap tahunnya. Berikut ini adalah laporan kasus bunuh diri  yang diotopsi di RS Bhayangkara dan dilakukan pemeriksaan toksikologi. Dalam olah TKP ditemukan satu botol plastik berisi cairan berwarna biru keruh di sekitar korban. Hasil pemeriksaan laboratorium terhadap sampel lambung yang diambil saat otopsi serta botol plastik tersebut menunjukkan hasil mengandung asam klorida. Dalam Pasal 133 ayat 1 KUHP dijelaskan bahwa perlunya kerjasama yang baik antara penyidik dengan dokter forensik untuk menentukan penyebab kematian. Pemeriksaan laboratorium forensik sangat membantu dalam menentukan penyebab kematian.

Kata Kunci: Asam Klorida, Medikolegal, Otopsi, Laboratorium Forensik
Impact of powdery mildew and sooty mold diseases on mango by natural fungicide
Authors: Asmaa M Alkolaly  , Rodina A Hassan  , Gehan A Monir
Published: June 2022

An investigation was carried out to determine the efficacy of some organic materials to manage powdery mildew and sooty mold diseases on mango, under natural field condition at Sharqia and Ismaelia governorates in Egypt. PlcoCure natural fungicide applied as foliar spray to find out its efficacy and profitability compared with control (no spray) and chemical fungicides Super sard potassium soap, Malathion, mineral oil to control sooty mold. All the treatments controlled the diseases significantly compared with control. As chemical, the PlcoCure showed significant impact on disease reduction. This natural fungicide gave a higher benefit with minimum production cost and this approach is proposed to the mango growing farmers to control the diseases. So, organic combination might be a better option to control powdery mildew and sooty mold diseases on mango rather than chemical control as it is cost-effective, environment friendly and good yield.
Öğretmenlerin Algıladıkları Örgütsel Güven, Umut ve Motivasyon Düzeyleri Arasındaki İlişkilerin İncelenmesi
Authors: AKPOLAT Tuba , OĞUZ Ebru
Published: June 2022

Bu makalenin amacı öğretmenlerin motivasyonları, algıladıkları örgütsel güven ve umut düzeyleri arasındaki ilişkilerin incelenmesidir. Araştırma nicel araştırma modellerinden ilişkisel tarama modelinde tasarlanmıştır. Araştırmanın örneklemini uygun örnekleme ile belirlenmiş 306 öğretmen oluşturmaktadır. Araştırma verileri Örgütsel Güven Ölçeği, Umut Ölçeği ve Motivasyon Ölçeği ile toplanmıştır. Verilerin analizi SPSS26 istatistik programı yardımıyla yapılmıştır. Araştırmanın sonucunda, bazı demografik değişkenlere göre öğretmenlerin örgütsel güven, umut ve motivasyon düzeyleri arasında anlamlı farklılıklar olduğu görülmüştür. Bununla birlikte öğretmenlerin örgütsel güven ve umut düzeyleri ile motivasyonları arasında pozitif yönde bir ilişki olduğu sonucuna ulaşılmıştır.
Müzik Öğretmeni Adaylarının 2006 ve 2018 Lisans Programlarında Bulunan Piyano Derslerine Yönelik Tutum ve Görüşlerinin İncelenmesi
Authors: ŞAHİN Seçkin , GÜVEN Elif
Published: June 2022

Bu çalışmanın amacı, 2018 yılında uygulamaya konan müzik öğretmenliği lisans programının piyano eğitimi açısından öğrenciler üzerindeki etkilerinin, öğrencilerin derse yönelik tutum ve görüşleri doğrultusunda belirlenmesidir. Bu amaçla öğrencilere öncelikle “Piyano Dersine Yönelik Tutum Ölçeği” (Tufan ve Güdek, 2008) uygulanmıştır. Öğrencilerin piyano dersine yönelik tutumlarının cinsiyet, sınıf düzeyi, mezun oldukları lise türü ve dahil oldukları lisans programı değişkenlerine göre farklılık gösterip göstermediği incelenmiştir. Yapılan analizler sonucunda öğrencilerin derse yönelik tutumları olumlu yönde olup cinsiyete göre anlamlı farklılık göstermemektedir. Sınıf, lise türü ve dahil oldukları lisans programı değişkenlerine göre ise anlamlı farklılık gösterdiği belirlenmiştir. Araştırmanın bir sonraki adımında, müzik öğretmenliği lisans programında bulunan piyano ders saatleri ve programda yapılan düzenlemelere yönelik görüşlerini belirlemek amacıyla çalışma grubu içerisinden seçilen 14 öğrenci ile yarı yapılandırılmış görüşmeler gerçekleştirilmiştir. Görüşmeler içerik analizi yöntemi ile analiz edilmiş ve müzik öğretmenliği lisans programlarında piyano ders saatlerinde yapılan değişikliklerin öğrenciler üzerindeki yansımaları ortaya konmaya çalışılmıştır.
Rezension von: Rathgeb, Sabine, Studio & Vigilantia
Authors: Gerber Helmut , Rathgeb Sabine
Published: June 2022

Sabine Rathgeb: Studio & Vigilantia. Die Kunstakademie an der Hohen Karlsschule in Stuttgart und ihre Vorgängerin Académie des Arts. Veröffentlichungen des Archivs der Stadt Stuttgart, Band 102, Hohenheim Verlag (Kommission), Stuttgart 2009. 616 Seiten mit zahlreichen Abbildungen. Gebunden € 38.–. ISBN 3-89850-157-6
Rezension von: Böttinger, Ute; Braun, Andreas; Huber, Kurt, Wir Württemberger Weingärtner
Authors: Blümcke Martin , Böttinger Ute , Braun Andreas , Huber Kurt
Published: June 2022

Ute Böttinger, Andreas Braun, Kurt Huber: Wir Württemberger Weingärtner. Tradition und Moderne im Land der Weingärtnergenossenschaften. Verlagsbüro v. Brandt, Mannheim 2008. 202 Seiten mit 210 farbigen Fotografien von Roland Bauer, Richard Lenz, Margarethe Pfander, Wolfgang Schmidt u. a. Festeinband mit Schutzumschlag, € 45,–. ISBN 978-3-926260-72-7
Rezension von: Hundsnurscher, Franz (Bearb.), Die Investiturprotokolle der Diözese Konstanz aus dem 16. Jahrhundert
Authors: Wrobbel Sibylle , Hundsnurscher Franz
Published: June 2022

Franz Hundsnurscher (Bearb.): Die Investiturprotokolle der Diözese Konstanz aus dem 16. Jahrhundert. (Veröffentlichungen der Kommission für geschichtliche Landeskunde in Baden-Württemberg, Reihe A: Quellen, Band 48). 2 Bände. W. Kohlhammer Verlag Stuttgart 2008. 1092 Seiten. Pappband, je Band € 45,–. Registerband i. Vb. ISBN 978-3-17-020795-0 und 978-3-17-020796-7
Minimal access endoscopic debridement of right hepatic necrosis
Authors: Nadarajah Arun , Hodgkinson Peter , Fawcett Jonathan
Published: June 2022

Introduction: Hepatic necrosis secondary to hepatic artery injuries can be devastating and will often require surgical debridement. Conventionally this is done as an open laparotomy with washout and debridement. We report the first case of significant hepatic necrosis for which a minimal access hepatic necrosectomy was performed via an endoscopic approach, hence reducing morbidity and mortality for the patient.

Case Report: A 63-year-old female with type 5 choledochal cyst underwent a left hepatectomy and Roux-en-y biliary reconstruction. This was complicated by an arterial injury with pseudoaneurysm requiring radiological embolization and subsequent right hepatic thrombosis leading to hepatic necrosis. She had a prolong intensive care unit (ICU) admission with percutaneous drainage and intravenous antibiotics for two months. A minimal access necrosectomy was eventually required as an elective day surgery procedure. The patient improved significantly and has been well apart from recurrent cholangitis from a possible hepatic duct stenosis from the initial hepatectomy.

Conclusion: Hepatectomies complicated postoperatively by infected hepatic necrosis can be successfully managed via minimal access hepatic necrosectomies. This has multiple benefits such as decreased hospital stay and quicker recovery time.
Education as a Key Factor for Poverty Reduction
Authors: Veleva Ralitsa
Published: June 2022

The article represents an analysis of complex indicators observed by National and European statistics relevant to the relationship between poverty and the level of education of the population. The study covers a 5-year period (2016 – 2020) and all Member States of the European Union. It is upgraded with a correlation analysis of permanent risk of poverty and early school leavers in Bulgaria within the same time span. The aim is to highlight the strength and direction of the relationships and dependencies between them. Based on the investigated indicators, the author's thesis about education as a key factor in reducing poverty in Bulgaria is confirmed. The research uses an analytical approach, which is based on a combination of analysis of literature sources and research of documents, but mainly uses comparative empirical and correlation analysis. For the purpose of the study, three groups of main indicators were adopted: complex, educational and poverty indicators.
Desenvolvimento e construção de um túnel de desinfecção para EPIs de profissionais de saúde antes da desparamentarão
Authors: Rogério Júnior Lúcio , Estevam Lucas de Oliveira , Da Silva Wesley Marques , Santos Rafael Jacinto dos , Alves Guilherme Henrique , Silva Antonio Manoel Batista da , Oliveira Maria Angélica Hueb de Menezes
Published: June 2022

A pandemia da COVID-19 exigiu esforços e elaboração de estratégias a fim de minimizar a transmissão da doença. Os profissionais de saúde, que atuam na linha de frente no combate ao coronavírus têm grande probabilidade de infecção pelo vírus, devido às sucessivas exposições a pacientes infectados e, principalmente, durante a remoção do equipamento de proteção individual (EPI), cuja superfície apresenta alta carga viral. O presente trabalho expõe o projeto e construção de um túnel de desinfecção planejado para uma policlínica odontológica universitária. O equipamento utiliza uma bomba de alta pressão e aspersores do tipo nebulizadores, instalados em várias direções.  Uma solução composta de água e hipoclorito de sódio (NaClO), responsável por promover a desinfecção, foi utilizada para aspersão. O túnel é composto por um módulo de controle eletrônico, sensores, painel de controle, sistema de mensagens de áudio, bomba elétrica e aspersores, operando em modo manual ou automático. Após a fabricação, o equipamento foi devidamente testado e instalado, sendo registrados testes com dezenas de usuários, no qual o equipamento se mostrou funcional, operando de forma satisfatória, totalmente automática e sem falhas.
Ensino da Biotecnologia no Itinerário Formativo de Ciências da Natureza e suas Tecnologias no Novo Ensino Médio
Authors: Pelizzari Adriana , Santos da Silva Ilton , Soares Felipe Maria Sueli
Published: June 2022

O presente artigo é uma revisão bibliográfica que se ancora na produção teórica a respeito das teorias curriculares da educação, Base Nacional Comum Curricular (BNCC) e os conceitos abarcados pelas mesmas. Além disso, procura-se compreender a relevância da área de biotecnologia nas matrizes curriculares do Ensino Médio. Apresenta-se também a possibilidade da utilização da classificação das áreas da biotecnologia por cores, como viável para nortear o trabalho do professor e para o entendimento do estudante nas áreas da biotecnologia. Parte da bibliografia levantada demonstra, também, a formação de professores de Ciências da Natureza e suas Tecnologias que atuam no Ensino Médio, buscando discutir a respeito da qualidade desta. Apresenta-se também a importância do uso de novas tecnologias no ensino da biotecnologia pelo professor, sendo que estas podem ser consideradas como tecnologia social. A biotecnologia, por meio da Tecnologia Social, pode avançar em diversas áreas de pesquisa, bem como na implementação de produtos, processos e serviços, para   o desenvolvimento sustentável, a inclusão social e para o bem comum da sociedade como um todo.
A relação entre a prática docente e a promoção da saúde em educação durante o período da pandemia da COVID-19
Authors: Fernandes Flávia Emília Cavalcante Valença , Souza Janicléia Pereira de , Melo Rosana Alves de
Published: June 2022

O objetivo do artigo, é identificar a relação que existe entre a prática docente e a Promoção da Saúde em educação durante o período da pandemia. Para isso, foi realizada uma revisão bibliográfica, por meio das plataformas Periódicos da CAPES e Scielo. O contexto pandêmico evidenciou desafios vividos cotidianamente pelos professores, especialmente devido às ações para enfrentamento da pandemia, como isolamento social e fechamento das escolas. A relação existente entre a prática docente e a Promoção da Saúde em educação no período pandêmico foi influenciada pela necessidade de adaptações e modificações na sua práxis assim como no seu arcabouço normativo. Uma das estratégias no combate à doença foi por meio da educação em saúde, que pode ser efetivada em espaços formais e não formais. A relação existente entre a prática docente e a Promoção da Saúde em educação durante o período da pandemia do novo coronavírus, foi demonstrada pelas buscas de novos processos formativos para aperfeiçoamento de suas práticas, onde desenvolveram atividades que puderam promover a saúde mental e física durante a pandemia. Todas essas ações foram desenvolvidas de forma remota, devido ao isolamento social.
As consequências do estresse provocado pelo trabalho no profissional em saúde
Authors: Gomes Débora Almeida , Silva Raylton Nascimento Aparecido , Junior Jurandir Xavier de Sá , Madeira Layane Gomes , Ferreira Nair do Carmo , Da Mota Rafael Silveira , Vieira Maurício Aires , De Lima Thiago Oliveira Sabino , Abrao Ruhena Kelber
Published: June 2022

O presente estudo visa avaliar as consequências do estresse provocado pelo trabalho nos profissionais de saúde, com um enfoque maior na enfermagem, um cenário que tem se agravado ainda mais. Com objetivo de Identificar quais os fatores e quais repercussões levam os profissionais de saúde ao estresse provocado pelo trabalho. Metodologicamente trata-se de uma revisão bibliográfica, sendo um estudo realizado por meio de levantamento. Como resultado e discussão demonstrou que os profissionais de enfermagem por serem uma profissão da linha de frente transtornos relacionado a ansiedade são inúmeros dentre eles a depressão tem ganhado cada vez mais notoriedade devido ao constante aumento de casos, os profissionais de saúde tem cada sido cada vez mais acometidos por esse tipo de transtorno que na grande maioria está intimamente ligado a rotina desgastante e a carga horária elevada, problemas interpessoais, cuidados com pacientes em estados críticos, ter que conciliar dois ou mais serviços em uma pequena escala de tempo.
Kompetensi Guru Pendidikan Agama Kristen terhadap Peningkatan Motivasi Belajar Siswa Sekolah Menengah Pertama Negeri 4 Manado
Authors: Lumantow Anatje Ivone Sherly
Published: June 2022

Abstract: This paper examines how the competence of Christian teachers in increasing student learning motivation. The research locus of The State Junior High School 4 Manado was chosen because of the fact that there are teachers who have not tried to develop their competence in their teaching profession. One of the weaknesses found in teachers is the low level of competence, as a result of which it has an impact on increasing student learning. This paper uses qualitative methods with a literature study and observation approach as a primary source in obtaining data. The results of the review on this topic explain that the competencies that a teacher should have to increase the interest in learning students, starting from having knowledge in pedagogics there is personality competence and spiritual competence. In addition, the supporting elements possessed by the teacher in his competence, he must be able to solve problems in learning, have a good attitude. Teachers are encouraged to increase student motivation, because teachers are a call from God.Keyword: Teacher Competence, Christian Religious Education, Student MotivationAbstrak: Tulisan ini mengkaji bagaimana kompetensi guru agama Kristen dalam meningkatkan motivasi belajar siswa. Lokus penelitian Sekolah Menengah Pertama Negeri 4 Manado dipilih karena ditemukan fakta, adanya guru yang belum berusaha mengembangkan kompetensinya terhadap profesi keguruannya. Salah satu kelemahan yang terdapat pada diri guru diantaranya rendahnya tingkat kompetensi, akibatnya berdampak pada peningkatan belajar peserta didik. Tulisan ini menggunakan metode kualitatif dengan pendekatan studi kepustakaan dan observasi sebagai sumber primer dalam memperoleh data. Hasil ulasan pada topik ini menerangkan bahwa kompetensi yang seharusnya dimiliki seorang guru untuk meningkatkan minat belajar nara-didik, dimulai dari memiliki ilmu dalam pedagogik adanya kompetensi kepribadian dan kompetensi spiritual. Selain itu unsur pendukung yang dimiliki oleh guru dalam kompetensinya, ia harus mampu memecahkan masalah dalam pembelajaran, memiliki sikap yang baik. Guru dihimbau dapat meningkatkan motivasi siswa, karena guru merupakan panggilan dari Tuhan.Kata Kunci: Kompetensi Guru, Pendidikan Agama Kristen, Motivasi Siswa
PERSPEKTIF NAZAR DALAM PARENTING ANAK: 5 PRINSIP HANA MEMBESARKAN SAMUEL SEBAGAI MILIK TUHAN (1SAM. 1:11-28;2:18-21)
Authors: Sipayung Gerhard Eliasman
Published: June 2022

AbstrakDalam proses membesarkan seorang anak sejak dari dalam kandungan sampai dewasa seorang ibu perlu memiliki dan menerapkan konsep  pola asuh yang benar agar  kebutuhan anak dapat terpenuhi baik secara jasmani dan spiritual sehingga anak bertumbuh menjadi orang yang berintegritas. Dalam  penelitian ini Peneliti  membahas konsep  parenting/pola asuh  yang dilakukan Hana dalam membesarkan Samuel sebagai nazar kepada Tuhan. Adapun hasil dari penelitian tentang konsep parenting yang  diterapkan oleh Hana dalam membesarkan Samuel adalah;pertama, anak adalah milik TUHAN sejak dalam kandungan; kedua, mempersiapkan anak sebagai pelayan TUHAN seumur hidup; ketiga,mempersiapkan kebutuhan mendasar;keempat, pendampingan bersama pasangan;kelima komitmen mentoring. Dalam  penelitian ini, Peneliti menggunakan metode kualitatif dengan pendekatan deskriptif analisis  Kata Kunci : Pola Asuh, Nazar, Hana, Samuel
Cleaning validation process in pharmaceutical industry
Authors: Singh Kritika , Tamta Bhupendra , Mukopadayay Sayantan
Published: June 2022

Validation is the skill of designing and practicing the designed steps by the documentation. Process validation also highlights the role of objective measures and statistical tools & analyses and emphasizes knowledge, detection, and control of variability, and gives assurance of the consistency of quality and productivity throughout the life cycle of the product. According to GMP, validation studies are an essential part of the GMP; these are mandatory and done according to the predefined protocols. The process validation is established and gives a high degree of assurance that a specific process consistently produced a product meeting its predetermined specifications and quality characteristics. The validation study gives the accuracy, sensitive specificity and reproducibility of the test methods employed by the firm which, which shall be accepted and documented , the validation is an essential part of the quality assurance. Validation is one of the necessary steps in achieving and maintaining the quality of the final product. If all the steps of the production process are validated, we can assure that the final product is of the best quality.
study of effects of vitamin C & vitamin E supplementation in hypertensive & diabetics in tertiary care hospital
Authors: Rastogi Shalini , Bajaj Rajkumar , Moral Anita
Published: June 2022

Background: Antioxidants scavenge free radicals to reduce oxidative stress in diabetes and hypertension. Our aim of our study was use of vit-C and vit-E on blood glucose, glycosylated haemoglobulin, serum lipid levels in diabetic and hypertensive patients. Materials & Methods: This is a prospective interventional study in known Diabetic and Hypertensive subjects. The equal subjects (N=140 each) were divided into two groups, diabetic group (group I) and hypertensive group (group II). Each Group were divided into Control Group who received standard treatment of Diabetes with Oral Hypoglycaemic drugs & anti-hypertensive drugs (n=70) & Test Group which received supplementation with antioxidants tablet Limcee (Vitamin C) of 500 mg & Tablet Evion (Vitamin E) of 400 mg orally in addition to standard treatment for 12 weeks. Blood samples were collected before and after supplementation for 12 weeks, blood sugar, HbA1c, lipid profile and blood pressure were measured. Data collected analyzed by SPSS 22. P values of <0.05 was considered significant. Results: Total Number of subjects was 280, out of which 140 participants 65.7 % were males in test group and 34.2% were females. Maximum number (77.5%) of hypertensives in Test Group 1 & 34.2% were females.
Evaluation of surgical abdomen in pediatric subjects admitted for acute abdomen at our tertiary care centre
Authors: Habada Sunil Kumar , Subudhi B. Swagat Kumar , Sahu Bimal Prasad , Pradhan Swayangprava
Published: June 2022

Acute abdominal pain is one of the most common problems in children admitted to the pediatric emergency department (ED), and often presents a diagnostic dilemma for primary clinicians. Acute abdominal pain in patients presenting to the ED is often diagnosed as a disorder that does not require surgical intervention, such as acute gastroenteritis, functional digestive disorders or constipation. Objectives of our study: to evaluate various etilogies of acute abdomen in children presenting to paediatric emergency department and to estimate the prevalence of surgical abdomen in children presenting to pediatric emergency department. Methodology: Demographic information of the patients was noted down from the hospital case records, which include age, gender. Presenting complaints, clinical signs, etiologies of acute abdomen, laboratory investigations results TLC, DC, CRP, USG findings, CT abdomen findings, time and date of admission, daily progress, time and date of discharge were noted. In traumatic group apart of these observations additional lab investigations like amylase, lipase, ALT, AST, total protein and A:G ratio were noted. Results: We had a total of 132 subjects in non-traumatic group out of which 73% had acute appendicitis, 14% had incarcerated hernia, 7% had instussception, 5% had perforation and 0.75% had torsion.
EWS reservation with special reference to medical admissions in India
Authors: Dhanya C. S. , Balu N.
Published: June 2022

Constitution need to be changed according to the growing demands of the society. The partly rigid and partly flexible Amendment procedure adopted in India enabled it to stand the test of time making it a living document. After seventy-three years of independence, The Constitution (103rd Amendment) Act,2019 introduced the concept of reservation on economic grounds which was debated since the making of the constitution. Initially, the reservation was provided only in public employment and representation in legislatures for persons belonging to SCs,STs and SEBCs. Though initiated with a pious objective of ensuring equal protection for all, this policy had also resulted in many agitations and even violence in many parts of the country. Articles 15(6) and 16(6) were added to provide ten percent reservation for economically weaker sections in the general category. This article analyses the amendment in the light of constituent assembly debates and dialectics in the judicial verdicts. The article also highlights the recent challenges faced during its implementation in Medical admissions and the expert committee appointment to revisit the income criteria.
Evaluation of transdermal nitroglycerine as tocolytic agent in preterm labour
Authors: Alomda Fahd Abd Alaal , Diab Yasser Muhammed Saeed , Ahmed Khaled Ibrahim Sultan
Published: June 2022

Background: Preterm birth continues to be a problem for obstetricians. Preterm birth complicates 8-10% of birth. Although the causes of preterm labor are not well understood, the burden of preterm birth is clear. Aim and objectives: The aim was to study to evaluate the efficacy and safety of transdermal nitroglycerin as tocolytic agent in women with preterm labor. Subjects and methods: This prospective randomized controlled trial was conducted in obstetrics and Gynecology department, AL- HUSSIEN University Hospital. The study was carried out on total of 100 patients with preterm labour. They were randomly assigned to either the nitroglycerine patch or bed rest alone. The duration of the study ranged from 6- 12 months. Results: out of 50 women in the TNG group, a total of 47 (94.0%) women benefited from the GTN patch and the labor pains stopped within the first few hours. Only 3 (6.0%) patients could not go beyond 48 hours. Delivery was deferred for 48 to less than 72 hours, 72 to <96 hours, 96 to < 7days and more than 7 days in 4(8.0%), 11(22.0%), 4(8.0%) and 28(56.0%) respectively. Conclusion: TNG appear to be at least as effective as the commonly used tocolytics today.
Comparative study of oxidative status and some biochemical parameters in subjects suffered of intermediate and major Thalassemia
Authors: Zeidan Moafaq Mutlak , Ahmed Fidan Fikrat , Rija Firas Faris
Published: June 2022

In the β-thalassemia’s, oxidative stress, resulting from chronic hemolysis, globin chain imbalance, iron overload and depleted antioxidant defenses, likely contributes to cell death, organ damage, anemia, hypoxia and inflammation. Between November 2020 and June 2021, the study assessed adults aged (25-35 years) attending to Hiwa Cancer Hospital/ Sulaimaniah Thalassemia and congenital blood disorders center/ Iraq: 60 patients with HbE β-thalassemia, 30 β-thalassemia major, 30 β-thalassemia intermediate and 30 control subjects. ferritin were measured as sources of oxidants; plasma antioxidants: Glutathione Reductase (GR) and Oxidative stress-induced growth inhibitor 2 (OSGIN2) , plasma D-dimer  assessed thrombosis status and serum C-reactive protein assessed inflammation, the results showed increased in the levels of ferritin,  plasma D-dimer  and CRP in both β-thalassemia major and β-thalassemia intermediate  (2789±789 ; 2657±725.8 ng/ml) , (175.4±54.02; 188.7±62.01 ng/ml) and (15.6±2.6; 13.3±3.1 mg/l) compared to control group (178.7±58.9 ng/ml) , (79.8±34.8 ng/ml) and (2.3± 0.7 mg/l) respectively. Whereas decreased in the levels of GR and OSGIN2 (38.4±12.7; 35±8.8 pg/ml) and (58±18.3; 78±20.5 mg/dl) compared to control group (96±17.3 pg/ml) and (156±65.6 mg/dl ) respectively.