bluuebunny/crossref_metadata_2025 huggingface dataset:
Analisis Strategi Pemasaran untuk Meningkatkan Jumlah Iklan (Studi Kasus pada Radio Kanjuruhan FM)
Authors: Ratnasari Ike , Wijayanti Anggraini
Published: December 2020

The large amount of competition makes radio stations provide innovation as a form of marketing strategy to attract listeners and advertisers. In order to maintain the viability of its business, an effective marketing strategy is needed. One effort to find out the right marketing strategy for the company is to use a SWOT analysis. The purpose of this research is to find out the marketing strategies used and what should have been used Radio Kanjuruhan FM so far in increasing the number of advertisements. The marketing strategy carried out by Radio Kanjuruhan FM is a marketing mix that includes 4 components, namely, product, price, place, promotion. These 4 components provide an important role in supporting the progress of Radio Kanjuruhan FM. Based on the SWOT Radio Analysis Kanjuruhan FM can increase promotions, collaborate with local radio, increase the number of employees, utilize technology, and provide competitive prices. Whereas from the marketing strategy which includes, market segmentation, setting the target market (market targeting) and positioning (positioning) of Kanjuruhan FM Radio can find out which market segments have been listening to Radio Kanjuruhan FM.
Analisis Model Altman Z-Score, Springate, dan Zmijewski Sebagai Metode dalam Memprediksi Kondisi Kebangkrutan pada PT. Garuda Indonesia, Tbk Periode 2014-2018
Authors: Bilondatu Desyah Natalia , Dungga Meriyana Franssisca , Selvi Selvi
Published: December 2020

This study aims to find out, describe and explain the results of the application of analysis from the prediction method of bankruptcy of the Altman Z-Score, Springate, and Zmijewski models used in assessing and predicting the potential for bankruptcy with the object of research at PT. Garuda Indonesia (Persero) Tbk 2014-2018. The method used in this research is descriptive research method using a quantitative approach, and the operationalization of the variables used is the independent variable, namely the bankruptcy prediction model with the dependent variable is financial ratios. The data used are secondary data in the form of annual financial reports (annual reports) PT. Garuda Indonesia (Persero) Tbk for the period 2014 to 2018. The results of this study indicate that the Altman Z-Score, Springate and Zmijewski methods are able to measure and predict bankruptcy of companies with different portions according to the calculations applied in each of these analyzes.Keywords: Altman Z-Score, Springate, Zmijewski, and Bankruptcy
Pengaruh Gaya Kepemimpinan dan Kompensasi terhadap Kinerja Karyawan PT. Sumber Bening Lestari
Authors: Said Alfiah , Astutik Widi
Published: December 2020

PT Sumber Bening Lestari is an attractive bottled mineral water company for various community needs, the company is located in Pandaan, East Java. This study aims to examine and provide empirical evidence about the analysis of the influence of leadership style and compensation on employee performance at PT Sumber Bening Lestari. The research instrument used was a questionnaire distributed to 70 employees of the production department taken using purposive sampling techniques. Furthermore, the collected data was analyzed using statistical analysis, namely descriptive statistical analysis and inferential statistical analysis. The results of this study indicate the results of the study found that leadership style variables influence employee performance, compensation variables affect employee performance and simultaneously leadership style variables and compensation affect the performance of employees of PT Sumber Bening Lestari Pandaan
Pengaruh Gaji dan Insentif terhadap Kinerja Karyawan bagian produksi PT. Uniplastindo Interbuana Pandaan
Authors: Ratnasari Ike , Mahmud Ashadi
Published: December 2020

This study aims to describe the effect of salary and incentives on the performance of employees of PT. Unilastindo Interbuana Pandaan simultaneously, partially and most dominantly. The method used in this study is a descriptive method with a quantitative approach, data analysis techniques that are validity, reliability, multiple linear regression with F test and t test. The validity test results obtained by the calculated r value of the variable salary, incentives and employee performance is greater than the value of r proven valid tables and the reliability test results obtained a reliable value of salary, incentives and proven reliable employee performance. Based on the results of the F test (Simultaneous), known the value of sig. F count is 0.00 because the significance value of F is less than 0.05, the regression analysis model is significant. T test results explain, that the salary and incentive variables significantly influence employee performance variables, because the salary is significant 0.018 <0.05 and the incentive is significant 0.012 <0.05. The most dominant incentive variable influences employee performance, this is indicated by the value of Standardized Coefficients Beta incentive variable is greater than the salary variable. Influenced by indicators include: performance, length of work, seniority, needs, fairness and eligibility, job evaluation.
Pengaruh Produk, Harga, Distribusi, dan Promosi Terhadap Volume Penjualan pada PT. Sari Jaya Kharisma Abadi di Jombang
Authors: Afif Muhammad , Krisdianto Krisdianto
Published: December 2020

This study aims to determine the effect of product, price, distribution, and promotion on the sales volume of PT. Sari Jaya Kharisma Abadi in Jombang. The method used is quantitative, namely by collecting, presenting and analyzing data from consumers using a questionnaire to 30 respondents. The data analysis technique in this study is multiple linear regression to determine the effect simultaneously, partially and dominantly. Based on the results of the research simultaneously the effect of product, price, distribution, and promotion on sales volume is significant (0.00). From the research results partially the effect of product is significant (0.05), significant price (0.00), significant distribution (0.02), and significant promotion (0.03) on sales volume. Among the influence of product, price, distribution, and promotion on sales volume of PT. Sari Jaya Kharisma Abadi in Jombang, the most dominant is the price which is influenced by indicators including: price and discount.
Pengaruh Promosi, Harga dan Citra Merek Terhadap Minat Pemakaian Jasa Fotografi
Authors: Illa Mas Totok , Nugraha Septian Adi
Published: December 2020

This research was conducted to test the influence of promotion, price and brand image towards the use of service interest Bamita Java Studio Wagir Malang Regency, to know the customer's response to the promotion, price and brand image of interest in service usage in Bamita Java Studio, and to know how much the influence of promotion, price and brand image of interest in the use of services in Bamita Java Studio. The research used is a quantitative with a survey method. This type of research is explanatory. The population in this research is the consumer of Bamita Java Studio who visited within three months from October to December 2019. The data used is data managed by the Administration section of Bamita Java Studio. Sampling techniques used are accidental sampling. The analytical techniques used in this study are multiple linear regression to obtain a thorough picture of the relationship between the Variabel or the other variables. The t test result indicates that the significance value of each free variable is 0.036 for the promotion variable, 0.000 for the price Variable, and 0.004 for the brand image variable. While T values can be said to be significant when (T < 0.05), and from the statistical test results, the promotion variable has a signification value T 0.036 which means < 0.05, then Ha in the received and Ho rejected, so it can be said that the promotional Vatican is positive and significant to the interest in the service usage, for the price variable has a significance value of 0.000, which means that the Ha 0.05 Ho Interest in using the service, while the brand image variable has a signification value of T 0.004 meaning < 0.05, then Ha in the received and Ho rejected, and also can be said that the brand's variable effect is positive and significant to the interest in service usage.
CAPACIDADE EM DEFESA ALIMENTAR NAS FORÇAS ARMADAS BRASILEIRAS
Authors: Peixoto Fernanda Carvalho , De Melo Cristiano Barros
Published: December 2020

O presente trabalho discute o sistema de Defesa Alimentar e subsistemas,pontuando elementos da logística, da segurança em saúde1 humana e animal,do comportamento e da inteligência estratégica resultado de busca retrospectivae descritiva sobre a ocorrência de surtos e catástrofes alimentares em diferentescontextos com reflexos na redução da capacidade militar e do poder de combate.Ao abordar questões sobre a percepção do risco com relação à vulnerabilidadedas reservas militares de água e alimentos e os reflexos no estado de prontidão daforça militar desdobrada, este texto busca projetar a inserção do presente tema emdiscussões afetas à defesa nacional intrinsicamente relacionada à operacionalidadeda tropa. Trata-se de tema transversal que dialoga com diferentes setores securitáriose estratégicos de interesse da soberania brasileira. A contaminação das reservasde água e alimentos pode levar ao desabastecimento e colapso de sua oferta e,desta maneira, pode ser utilizada como meio de dissuasão e desestabilização deuma força militar representando ameaça à defesa nacional. O desenho do presenteestudo é majoritariamente qualitativo, exploratório-descritivo e de caráteranalítico. A técnica de pesquisa pode ser utilizada foi revisão bibliográfica e análisede documentos. Este artigo faz parte do trabalho de tese de doutorado da autorano Curso de Pós-graduação em Ciências Animais da Universidade de Brasília, emandamento.
Relationship of natural occlusal plane with different anatomical landmarks
Authors: Mehwish Khan  , Syed Murtaza Raza Kazmi  , Farhan Raza Khan  , Sameer Quraeshi  , Admin
Published: December 2020

Abstract
Objectives: To evaluate the parallelism of natural maxillary occlusal plane with inter-pupillary line and ala-tragus line among dentate subjects.
To evaluate anatomic relationship of natural mandibular occlusal plane with retromolar pad among dentate subjects
Methodology: Front and profile photographs of 109 students of Fatima Jinnah Dental College with age ranging from 20 to 28 years were taken while holding the camper’s plane against the maxillary occlusal plane. The study was completed in six months. Photographs were imported in software AutoCAD(2017). An interpupillary line was drawn and angle with Camper’s plane was measured. On both profile pictures, line were drawn from base of the ala to the three different points on tragus (superior, middle and inferior). The angle between ala-tragus line and camper’s plane were measured. Intra-orally, height of the mandibular occlusal plane in relation to the retromolar pad was evaluated using a stainless steel scale. Data was analyzed using SPSS Version 23. Student’s paired sample t test and Pearson’s correlation coefficient were applied.
Results: Horizontal parallelism of occlusal plane with inter-pupillary line was observed (mean angle 1.17 ±1.27). The angle between the occlusal plane and the inferior ala-tragus line was 4.25 and 4.50 degrees on right and left side, respectively. Intraorally, mandibular occlusal plane coincided with inferior (44%)  and middle third (44%)  of the retromolar pad.
Conclusions: Inter-pupillary line and retromolar pad area (middle & inferior third) should be used as a guide in determination of plane of occlusion. Continuous...
Contraception as a Risk Factor of Trichomonas vaginalis Infection Among Women Attending Outpatient of Al-Batool Teaching Hospital for Maternity and Children-Baqubah-Iraq
Authors: Salman Sawsan Talib
Published: December 2020

Background:The effects of contraception on Trichomonas vaginalis have important implications for women who suffer from infections associated with disruptions in the vaginal ecology, such as bacterial vaginitis and urinary tract infections.

Objective: To find the association of the common types of contraceptions with the Trichomonasvaginalis infection in women admitted to the Al-BatoolTeaching Hospital for Maternity and Children in Baqubah city.

Type of study: Cross-sectional study

Methods: This study consist of 75 women with contraception use and71 apparently healthy non contraception user women  admitted to outpatient in Al-Batool Teaching Hospital for Maternity and Children in Baqubah City, Diyala. Iraq during the period from 1st January 2016 till 31th December  2016. After full history and clinical examination, high vaginal swab took from posterior fornix of vagina and general urine examination, all samples were examined by wet mount preparation under the microscope for the presence of Trichomonas vaginalis and gram-stained smears for the presence of Candida albicans, then all results were recorded.

Results:. Minimum age was 18 year and maximum was 47 year, infection rate of Trichomonas vaginalis  was 41(45.66%) among contraception user and 6(8.45%) among contraception non- user while Candida albicans was 18(24%) and 1(1.40%) respectively, the highest frequency of infection  23 cases was diagnosed in the age group (29-39 year) among contraception user while 4 cases in age group (18-28) contraception non-user. On the other hand there was no significant correlation between age, parity, duration of marriage and infection and using of contraception. Marginal significant correlation between the type of contraception and infection with Trichomonas vaginalis.  While no significant correlation between types of contraception, infection and duration of contraception use. 

Conclusion: Infection with Trichomonas vaginalis significantly correlated to use of intrauterine contraceptive device and combined oral contraceptive pills, so great attention should be paid to those women for diagnosis and treatment.
Harmonic Knife New Haemostatic Procedure In Thyroid Surgery
Authors: Al-Ali Thamer T.
Published: December 2020

Background: Thyroid operation needs very meticulous haemostasis to have minimal morbidity and mortality.

Objectives: Assessment of harmonic knife in open thyroid surgery as anew haemostatic procedure .

Type of the study: Cross-sectional study.

Methods: This study had been conducted at Alkindy teaching hospital in Baghdad city from the 1st of May 2013 to the 1st of January 2017  on 229  goiterous patients who needs thyroidectomy(36 males,193 females),divided in 2 groups according to the haemostatic procedure used during their operations, Group A (15 males,85females)using the usual conventional surgery(pick, tie &cut), Group B (21males,108 females) using harmonic knife as haemostatic procedure and compare the results according to time of surgery, amount of discharge in the drain during the first 24 hours post operatively ,the incidence of recurrent nerve palsy and the remote post operative hypocalcaemia (3months post operation) .

Results: It shows that thyroid surgery (thyroidectomy) by using harmonic knife as haemostatic procedure is shorter in duration [mean67.22 minutes] with less blood loss in the

drain [mean 64.96cc] and less incidence of hypocalcaemia in remote post operative period [3.8%] in comparison to the results of the usual conventional thyroidectomy procedures (mean duration 82.02 minutes, mean blood loss in the drain 111.13cc & incidence of hypocalcaemia is 7%}.

Conclusions: Harmonic knife is very safe & beneficial haemostatic device in thyroid surgery.
Comparative study of anterior knee pain after patelloplasty with and without circumferential denervation in a total knee arthroplasty
Authors: Al-Shamari Ahmed Latteef
Published: December 2020

Background: The anterior knee pain is an important chief complaint of the patients with knee osteoarthritis due to patellofemoral pathology. The pain receptors denervation can be achieved by circumferential denervation of the patellar area by a process of electrocautery.

Objectives: The aim of current study is to assess the pain after total knee arthroplasty (TKA) by patelloplastywith and without circumferential denervation via electrocautery at a minimum follow up with 1 year separately for each patient.

Type of the study:Cross- sectional study.

Methods: Thirty five patients,with mean age of about (62.8) years, were enrolled in this prospective, hospital based study that was held at Al-Yarmouk Teaching Hospital in Baghdad from October 2012 to November 2016. These patients were divided into 2 groups, first group was composed of 19 patients who have TKA with patellar circumferential denervation by electrocautery with  patelloplasty  by removing peripheral osteophytes of patella , the second group of 16 patients were undergone TKA without denervation, but only patelloplasty. The second group was considered as the control group. Visual analogue scale (VAS) was used to evaluate pain pre and post operatively. The patient’s functional ability was assessed by knee society score (KSS) also before and after TKA for both groups and pain killer was given according to patients need.

 

Results: All of the patients were followed for 12 months period. No drugs were used other than occasional use of pain killers in first month after operation for all patients in group one of study. On VAS scale, significant statistical difference in pre and post-operative scales were noticed between both groups of study.  The Knee Society Scale (KSS) was showing a non- significant statistical significance between both study groups before and after TKA. ConclusionA: nterior knee pain can be reduced through the use of patelloplasty with circumferential denervation of patella byelectrocautery, compared with non- denervated procedure. Good clinical outcome was also present.
Primary Hydatid Cyst of Parotid Gland: A Rare Case Diagnosed by Computed Tomography
Authors: Hassan Qays A.
Published: December 2020

Hydatid disease is a zoonotic infection caused by Echinococcus species. The cystic form of this infection mostly involves liver and lung. Hydatid disease of the parotid gland even in endemic regions is a very rare entity that may be easily overlooked in daily practice. Herein, I present a case report of a 60-year-old Iraqi female patient who presented with a progressively painless mass in her right parotid. It was diagnosed radiologically as a hydatid cyst and was excised successfully. Histopathologic examination of the resected specimen confirmed the hydatid cyst. This case emphasizes the importance of considering hydatidosis in the differential diagnosis of any parotid mass, especially in endemic countries.
Assessment of efficacy and safety of dapsone gel 5% in the treatment of acne vulgaris
Authors: Al-Ani Yasir mansour
Published: December 2020

ABSTRACTBackground : Acne vulgaris is acommon skin disease, affecting more than 85% ofadolescents and often continuing into adulthood.People between 11 and 30 years of age and up to5% of older adults. For most patients acne remainsa nuisance with occasional flares of unsightlycomedones, pustules and nodules. For other lessfortunate persons, the sever inflammatory responseto Propionibacterium acnes (P.acnes) results inpermanentMethods: Disfiguring scars. (1, 2) Stigmata of severacne cane lead to social ostracism, withdrawalfrom society and severe psychologicdepression (1-4).Result Pathogenesis of acne Traditionally, acnehas been thought of as a multifactorial disease ofthe folliculosebaceous unit, involving excesssebum production, abnormal follicularhyperkeratinization, overgrowth ofPropionibacterium acnes, and inflammation (Fig2). Recent laboratory and clinical investigationsinto the roles of the innate immune system andextracellular matrix remodeling proteins have shedadditional light on this pathogenetic process (5-7).Role of androgens: Activity of type 1 5areductaseenzyme was shown to predominate inhuman sebaceous glands and epidermis. Thisenzyme is responsible for the conversion oftestosterone to the more potent androgen,dihydrotestosterone (DHT). DHT in turn is thoughtto mediate androgen dependent skin diseases suchas acne, hirsutism and androgenetic alopecia (13)The enzyme 5a-reductase type 1 has been studiedin those with and without acne and it has beenhypothesized that those with acne might have moreactive 5a-reductase type 1 .(2)Conclusion : The prominent role of hormones inthe pathophysiology of acne has long beenrecognized and corroborated by clinical andexperimental observations and therapeuticexperience (14). Although acne is not considered aprimary endocrine disorder, androgens, such asdihydrotestosterone, dehydroepiandrosteronesulfate, and testosterone, and growth hormone andinsulin-like growth factors, have all beenimplicated in the pathogenesis of acne (15).Corresponding address to :Dr. Yasir Mansour Mohamed Al-AniIslam Mohammad Nabil El Helou
Review Article Blastocystosis
Authors: Abd AL-Khaliq Israa Mohammad
Published: December 2020

Blastocystosis is symptomatic infection caused by the protozoal parasite Blastocystis , which resides in the intestinal tract of its hosts and it is one of the most common parasites reported in humans. It’s prevalence ranges between (30 - 50%) of the population in developing countries. This genus has a worldwide distribution and often the most commonly reported human intestinal protozoan in children and adults, even infect infants
Knowledge, attitude and practice regarding osteoarthritis management among physicians of primary health care centers; Al-rusafa/ Baghdad/2017
Authors: Tawfeeq Aseel Kareem
Published: December 2020

Background:-Osteoarthritis (OA) is the most common form of arthritis and the leading source of physical disability in elderly people. The Prevalence of OA is increasing and will continue to do so as the population gets older. The OA is predominantly managed in primary care centers by primary health care physicians and much can be done to alleviate symptoms from osteoarthritis by combinations of therapeutic options including pharmacological and non-pharmacological treatments.

Objectives of study :- To assess the knowledge, attitude and practice of Iraqi PHCC physicians in Baghdad, AL-Rusafa, regarding the management of osteoarthritis patient, and it's association with sociodemographic data.

Methods:- A descriptive cross sectional study with some analytic elements has been conducted from the 1st of January to 1st of June 2017, in primary health care centers of six sectors selected randomly from Al Rusafa health directorate; in Baghdad. The data was collected by self-administered questionnaire regarding demographic characteristics, knowledge, attitude, and practices of physicians regarding

 

management of osteoarthritis. Data analysis was done by (frequency, percentage), Chi square test (Fisher exact test). P value less than 0.05 was considered significant .

Results: The total study sample was 204 enrolled  physicians, their age ranged from (25-58) years, The correct answers regarding etiology, diagnosis, imaging findings etc. ranged from 64.2-83.3% which reflect good knowledge of physicians regarding OA disease as well as that highly qualified physician showed good knowledge, about half of enrolled physicians showed good attitude and their practices regarding osteoarthritis and its management are good in general.

Conclusion; -The knowledge, attitude and practice regarding osteoarthritis managent among primary health care physicians are good in general.
The outcome of newborn admitted in neonatal care unit, center teaching hospital of pediatric , Baghdad Al-krakh, 2015
Authors: Ibrahim Riyadh Mraweh , Hashem Bushra Jabbar
Published: December 2020

Background: Neonatal period is a very vulnerable period of life due to many problems, In spite of advances in perinatal and neonatal care still, the mortality rate of neonate high especially in developing country The World Health Organization estimates that globally four million neonatal deaths per year, Developing countries account for around 99% of the neonatal mortality in the world, In Iraq. Neonatal mortality rate about 19 per 1000 live births which represent 56% of child death below 5 years age in 2012. The hospital in the study represents the larger pediatric hospital in Iraq. It contains 400 children's beds and 24 neonatal incubators.

Aims of the study: are to determine the institutional new-born case fatality rate and the cause of death in the neonatal care unit.

Method; The study is cross-section study of the population sample of neonatal care unit of central teaching hospital of pediatric in Baghdad Al-krakh health directorate

Result: Study appear total neonate admission during 2015 was 1977 neonates mortality rate 9% Four main causes of death were Respiratory related condition, Bacterial sepsis, Disorder related to short gestational and low birth weight not relayed to elsewhere classification and congenital malformation 37.5%, 33.3%, 7.1% and 7.1% respectively while the main primary cause of morbidity were Neonatal jaundice, Respiratory related condition, Bacterial sepsis and 37.5%, 35.2%. 14.1% respectively Conclusions: The majority of morbidity and mortality can prevent by appropriate intervention
Reliability of fine needle aspiration biopsy in diagnosis of breast lump
Authors: Abedalrahman Sarab K.
Published: December 2020

Background: breast cancer is commonest cancer globally and the 1st cancer in Iraq among females, its management and prognosis depend on early diagnosis, the traditional method was excisional biopsy which is expensive and invasive leading to delayed diagnosis, FNAB is cheap nom invasive more acceptable to women, Aim of the study: to test the reliability of FNAB in preoperative diagnosis of breast lump.

Methodology: This is a retrospective study of 204 cases, 102 breast cancer cases and 102 benign breast lesions, taken between Jan. 2017 – Nov. 2017. The sample taken from the breast cancer early detection center in  Al-Alwiyaa maternity teaching hospital, during the year 2017

Results: Invasive ductal carcinoma (IDC) was found among  82(80.4%) of malignant cases, ILC was 14(13.7%) , fibroadenoma was the most common  benign lesions 51(50%), The absolute sensitivity was 96% , specificity 100%, with 4% false negative the accuracy was 98%. The complete sensitivity was 96%, and specificity was 83%, with 4% false negative and 17% false positive cases, the accuracy was 90%,

Conclusion and recommendation: fine-needle aspiration biopsy (FNAB) is accurate for breast lump diagnosis. With high sensitivity and specificity. FNAB is a good screening method and help in an improvement of treatment planning
Outcome of surgical untethering of tethered cord syndrome in adults due to spina bifida occulta
Authors: Arkawazi Bassam Mahmood Flamerz
Published: December 2020

Background:. Children with spina bifida occulta require early surgery to prevent neurological deficits. The treatment of patients with a congenitally tethered cord who present in adulthood remains controversial.

Objective: The aim of this study is to describe the outcome obtained in 61 adult patients with congenital TCS and no prior surgical treatment who underwent surgical untethering.

Methods: This prospective study was conducted on 61 adult patients who underwent surgical untethering for spina bifida occulta at four neurosurgical centers in Baghdad / Iraq  between March 2000 and January 2018. Patients who had undergone prior myelomeningocele repair or tethered cord release surgery were excluded.

The most common intraoperative findings were lipomyelomeningocele (41%) and a tight terminal filum (36%). The follow-up duration ranged from 10.8 to 149.5 months (mean 20.9 months). Of the 34 patients with back pain, status improved in 65%, worsened in 3%, remained unchanged in 18%, and improved and later recurred in 15%. Lower-extremity pain improved in 16 patients (53%), remained unchanged in 23%, improved and then recurred in 17%, and worsened in 7%. Lower-extremity weakness improved in 47%, remained unchanged in 47%, and improved and then recurred in 5%. Finally, of the 17 patients with lower-extremity sensory changes,

status improved in 35%, remained unchanged in 35%, and the information on five patients was unavailable. Surgical complications included three wound infections, one cerebrospinal fluid leak, and two pseudomeningoceles requiring surgical revision. One patient developed acute respiratory distress syndrome and sepsis postoperatively and died several days later.

Conclusions: Adult-age presentation of a congenital tethered cord is unusual. Despite a slight increase in postoperative neurological injury in adults, surgery has relatively low risk and offers good potential for neurological improvement or stabilization. As in children, we recommend early surgery in adults with this disorder. The decision to undertake surgery, however, should be modulated by other factors such as a patient’s general medical condition and risk posed by anesthesia.
Step-up protocol gonadotrophin versus laparoscopic ovarian drilling in clomiphene citrate resistant PCOS infertile women in two Iraqi hospitals
Authors: Abdull Thikra N
Published: December 2020

Background: Polycystic ovarian syndrome is a common endocrine disorder affecting 6-10% of women of reproductive age and the most common cause of anovulatory infertility.

Objective: The aim of the study was to compare the effectiveness, side effects and outcomes of step-up gonadotrophin protocol versus laparoscopic ovarian diathermy (LOD) in infertile patients with clomiphene citrate resistant polycystic ovary syndrome.

Methods:  The sample included women who attended our infertility clinic at Al-Elwiya Maternity Teaching Hospital and Kamal Al-Samarraee for Infertility and IVF Hospital in Baghdad/ Iraq from November 2013 to November 2014.    Eighty cases of infertile women with polycystic ovarian syndrome who failed to ovulate with clomiphene citrate for six months where collected, forty women treated with step-up protocol with low dose recombinant FSH gonadotrophin which increased gradually according to ovulation response, another forty women treated with LOD. Ovulation monitoring in each group was done with transvaginal ultrasound to exclude monofollicullar, bifollicular ovulation, ovarian hyperstimulation syndrome, multiple pregnancy and pregnancy rate in each cycle for 6 cycles.

Results: Higher unifollicular ovulation and pregnancy rate in LOD than step-up protocol (91.4% & 25% versus 75% & 10%) respectively, while multifollicular and hyperstimulation rate were higher in gonadotrophin group (24.3% & 0.1% versus 8.50% & nil) respectively.

Conclusion: Ovulation induction and pregnancy rate per cycle was higher with LOD group, not time consuming, also there was no risk of hyperstimulation of the ovary or twin pregnancy as compared to the step-up protocol with gonadotrophin
A Case Report -Bilateral Giant Achilles Tendon Xanthomas Resection with a Tendon transverse Technique
Authors: Al-Shara Mohamed Baqir
Published: December 2020

Background : Xanthomatosis is a disease in which large tendon tumors can occur, especially in the Achilles tendon. This disease is a rare interesting orthopaedic condition.

Case Report:A case of a twenty eight year old girl patient with giant bilateral Achilles tendon xanthomas in which both tumors were resected.

There was no ulceration on the both sides. The patient was treated by total resection of the lesion and reconstruction using tendon transfer of the Peroneus brevis and Flexor hallusis longus. Postoperative treatment consisted of six weeks lower leg cast immobilization followed by partial weight bearing. After 4 months the patient was able to walk pain free without any difficulties. It has been suggested that total resection with augmentation had associated with fewer complication of recurrent as compare with a subtotal resection. 10 months after surgery our patient had no signs of recurrence of Achilles tendon swelling.

Conclusion: Complete excision of the lesion is needed to reduce recurrence. Reconstruction of the defect is a challenge due to the large defect. Tendon transfer augmentation results in good functional outcome of the patient even in large defects.
The importance of anatomical zonal classification in the early management of penetrating neck injuries
Authors: Al-Assal Khalid D. , A Thuhabat Jawad , A Al-Khafaji Ahmed
Published: December 2020

Background: Penetrating neck injuries are common problem in our country due to increasing violence, terrorist bombing and military operations.These injuries are potentially life threating and need great attention and proper management.Objective: The aim of this study is to focus on the importance of anatomical zonal classification of the neck in the management of penetrating injuries of the visceral compartment of the Neck.Methods :70 patients with various injuries who were managed at causality unit and Otolaryngology department in Al-Kindy Teaching Hospital during aperiod from January 1st 2015 to October 31st 2015.The study carried on those patient depending on proper clinical examination and their urgent management.Results : Both civilian and military patients were admitted to the hospital, 34 patients (47.2%) in their 20s age group, while only 2 (2.8%) in 60s.High percentage of penetrating neck injuries in zone , 48 patient (68.6%) and lowest in zone , 6 patients (8.5%).40 patients (57.1%) presented with tracheal and laryngeal injuries and 12 patients (17.5%) were with pharyngeal injuries, 4 patients (5.7) were with recurrent laryngeal nerve injury and 13 patients (18.5%) presented with vascular injuries.Radiological examination done for 53 patients (75%) and we found foreign bodies in 30 patients (56.6%), tracheal deviation in 4 patients (7.5%) and emphysema in 19 patients (35.8%).Tracheostomy done in 51 patients (72.8%) neck, exploration in 20 patients (28.5%) and a 9 patients (12.8%) treated conservatively.Conclusion: Zonal classification of penetrating neck injuries was helpful in the management. Our study explains demographics and location of the injuries. Young men involved in violence and bombing was at high risk.Zone with involvement of trachea, larynx and pharynx were most common areas of injuries.RecommendationsAnatomical zone classification should be used as a guideline in management of penetrating neck injuries. (Trauma lifesaving guideline).Tracheostory should be practiced by every doctor in casualty unit. Team of surgeons and anaesthiologist should be always ready for any intervention with patient present to the casualty unite with a penetrating neck injury. Emergency medicine medical practice must be presents in every casualty unit to deal with insults.Aim of the study1.To recognize penetrating injuries of the neck according to the anatomic neck zones.2.Identify the outcome of their treatment
Serum Ferritin and Body Mass Index in Chronic Telogen Effluvium among women attending the main dermatological outpatient clinics in BaghdadSerum Ferritin and Body Mass Index in Chronic Telogen Effluvium among women attending the main dermatological
Authors: H Al-Nakash Ali Abdulrazak , Abdul Raheem Yousif
Published: December 2020

Background: Hair loss is a common distressing disease and challenging problem for many dermatologist. Telogen effluvium is the most common hair loss disease in which nutritional deficiencies may precipitate the disease through their effect on hair structure and growth.

Study Aim : Validating role of serum ferritin level and body mass index in Chronic Telogen Effluvium and analyzing association between these factors with socioeconomic, demographic, gynecological factors and weight loss effect. Establishing a nutritional preventive advice to improve treatment successfulness and decrease the disease occurrence.

               Methods :  A case series study on 327 chronic telogen effluvium patients (15-65 years old) main teaching dermatological outpatients' clinics in Baghdad. Data were collected by direct interview and questionnaire filling to analyze the associations between variables set in the data collection tool with serum ferritin level and body mass, which in turn may precipitate chronic telogen effluvium.

Results :Mean patients' age was 39±9 years, 93.6% of patients had serum ferritin below normal for hair cycle requirement (≤70μg/l). Serum ferritin significantly associated with age (p value= 0.002) and 41.1% of poor socioeconomic patients had serum ferritin ≤20μg/l.

 Nearly half of the patients with ≥3 pregnancies, 43.9% of patients on weight-losing diet and 52.7% of those who actually lost weight had low ferritin levels with statistically significant associations. Being obese is a risk factor for having low serum ferritin (OR= 0.297).

Conclusion : Serum ferritin found to be ≤ 70μg/l in the majority of chronic telogen effluvium patients, which is significantly associated with patients' socioeconomic status, age, and weight status.
Management of COVID-19 in Children and Adolescents -A Practical Up-to Date Guideline
Authors: Al-Momen Hayder , Al-Tamimi Wisam Younis , Hussein Hussein khudhair , Raham Tareef Fadhil
Published: December 2020

Sufficient high-quality data are unavailable to describe the management approach and guideline of COVID-19 disease in pediatric and adolescent population which may be due to mild presentation in most of cases and less severe complications than older ages.

World Health Organization was concerned with the establishment of an approved guideline to manage the increasing number of COVID-19 patients worldwide aiming to prevent or lessen COVID-19 global burden.

The clinical features have a wide spectrum starting from uncomplicated mild illness, mild-moderate pneumonia, severe pneumonia, acute respiratory distress syndrome, sepsis, septic shock, and multisystem inflammatory syndrome in children.

Many important definitions were developed to identify the COVID-19 case status including confirmed, suspected, and probable case.

Many laboratory tests may be beneficially done but reverse transcriptase – polymerase chain reaction (RT-PCR) for SARS-CoV-2 RNA is diagnostic.

Patient isolation and adequate intake of fluid and calories, antipyretics (preferably paracetamol), antibiotics (in secondary bacterial infections), and bed rest are the mainstay of approved supportive treatment. While oxygen supplementation may be added in moderate to severe cases; anticoagulation prophylaxis (enoxaparin) is strongly advised in children with certain situations where hypercoagulability state is identified, and therapy should be evaluated based on risk factors.

New approaches, drugs, and therapies are currently under research to manage COVID-19 pediatric and adolescent patients including antivirals (lopinavir/ritonavir, and favipiravir), remdesivir, tocilizumab, dexamethasone, convalescent plasma, and specific treatment of multisystem inflammatory syndrome in children (immunoglobulin, steroids, tocilizumab, anakinra, and aspirin).

The practical approach was summarized in a flow chart scheme to assist health care professionals to manage COVID-19 in children and adolescents within a rapid look though details are given in the text.
IMPROVED NEAR DUPLICATE MATCHING SCHEME FOR E-MAIL SPAM DETECTION
Authors: REDDY M. SIVA KUMAR , SAGAR B. KRISHNA
Published: December 2020

Today the major problem that the people are facing is spam mails or e-mail spam. In recent years there are so many schemes are developed to detect the spam emails. Here the primary idea of the similarity matching scheme for spam detection is to maintain a known spam database, formed by user’s feedback, to block the subsequent near-duplicate spam’s. We propose a novel e-mail abstraction scheme, which considers e-mail layout structure to represent e-mails. We present a procedure to generate the e-mail abstraction using HTML content in e-mail, and this newly devised abstraction can more effectively capture the near-duplicate phenomenon of spams. Moreover, we design a complete spam detection system Cosdes (standing for Collaborative Spam Detection System), which possesses an efficient near-duplicate matching scheme and a progressive update scheme. To detect fastly near duplicates and duplicate spam mails in Cosdes, we propose a new approach SimHash.
O que é a Geografia Ambiental?
Authors: Lopes de Souza Marcelo
Published: December 2020

A Geografia Ambiental possui raízes muito antigas: a tradição de pesquisa e estudo dos vínculos entre sociedade e natureza constitui, na verdade, uma das mais populares e distintivas da Geografia. No en­tanto, o desprestígio de que passou a padecer essa tradição no interior da disciplina, especialmente entre as décadas de 1970 e 1990, faz com que a Geografia Ambiental contemporânea, que vem emergindo nos últimos quinze ou vinte anos como uma tentativa de revitalizar aquela tradição em novas bases, possa ser vista como um fenômeno, de certo modo, relativamente recente. Seus desafios são múltiplos, entre os quais destacam-se os seguintes: 1) promover uma compreensão ampla do que seja o “ambiente”, não o limitando à “natureza primeira” e nem reduzindo a sociedade a um abstrato “fator antrópico”; 2) rea­tualizar o projeto epistemológico geográfico de um “diálogo de saberes” sem resvalar para o empirismo que caracterizou o discurso geográfico clássico, e entendendo a Geografia Ambiental antes como um enfoque que como um “novo ramo” da Geografia; 3) fomentar uma maior aproximação da Geografia com o campo interdisciplinar da Ecologia Política; 4) valorizar, para além da interlocução com outras disciplinas (e com a Filosofia), também o diálogo entre saber científico e saberes vernaculares ou populares.
Rompimento de barragens em Mariana e Brumadinho (MG): Desastres como meio de acumulação por despossessão
Authors: Laschefski Klemens Augustinus
Published: December 2020

A ruptura de duas barragens em Minas Gerais - em Mariana (2015) e em Brumadinho (2019) - custou centenas de vidas e destruiu a maior parte das bacias do Rio Doce e do Rio Paraopeba. Esses eventos são o auge dos desastres, que começaram com o licenciamento ambiental e continuaram com uma ineficiente gestão de reparação de danos, causando ainda mais sofrimento social. Após os desastres, as instituições públicas, além de não fortalecerem o marco regulatório, aceleraram sua flexibilização. Como resultado, as empresas de mineração puderam introduzir a cultura do neocoronelismo nos sistemas de governança, ou seja, não somente fortaleceram seus interesses frente às demandas das vítimas, como também au­mentaram o controle territorial das áreas afetadas pelos desastres por meio de "grilagem oculta de ter­ras" (hidden landgrabbing).
HUBUNGAN PENGETAHUAN MAHASISWI DAN DUKUNGAN ORANG TUA DENGAN PERILAKU MAHASISWI UNTUK MELAKUKAN KEBERSIHAN ORGAN REPRODUKSI DI AKADEMI KEPERAWATAN HERMINA MANGGALA HUSADA TAHUN 2019
Authors: Ria Anugrahwati Junita Maratur Silitonga,
Published: December 2020

Adolescent reproductive health depends on adolescent knowledge about how to care for the reproductive organs, the participation of parents in providing information about cleanliness of the reproductive organs, this study aims to relate the knowledge of adolescent girls and support parents with student behavior to perform hygiene of reproductive organs at the Hermina Nursing Academy Manggala Husada. This study uses a descriptive correlation research design that is research conducted to see the relationship between the independent and dependent variables. This study uses a non-experimental quantitative method with a cross-sectional approach. The sample in this study were 67 first-rate female students. Data collection using a questionnaire. Analysis of the data used chi-square test. The result showed that respondents who had good knowledge were 47 respondents (70.1%), good parental support as many as 44 respondents (65.7%), and the behavior of adolescent girls to clean the reproductive organs well was 49 respondents ( 73.1%) Indicating that there was a relationship between knowledge and the behavior of adolescent girls to clean the reproductive organs (p value < ?),  means that there was the relationship between parental support and the behavior of adolescent girls to clean the reproductive organs. It is expected that parents who have teenage girls can play an active role in providing information and education on how to maintain the cleanliness of the reproductive organs
Speaking Activities in English Debating Club: a Case Study at English Conversation and Debating Club of SMKN 1 Pandeglang
Authors:   Universitas Sultan Ageng Tirtayasa, Suharsih Siti , Supriatna Yanna
Published: December 2020

The purposes of the research is aimed at knowing how speaking activities and speaking difficulties are practiced in English Debating Club. The method used in this research was a case study. The instruments used to collect the data were observation, questionnaire, and interview. The respondents were 15 students of English Conversation and Debating Club at SMKN 1 Pandeglang. The result of the research confirms that by joining English Conversation and Debating club, students are able to (1) speak English fluently because they have more practice; (2) they can speak English quietly accurate; (3) the students are custom to speak English; and (4) they also speak with few grammatical errors, few long pauses, and only few clarifications for the beginners debaters (junior members) than the experienced debaters (senior members). On the other side, the difficulties of speaking found when they selecting the data and evidences, making argument, and making rebuttal due to the various resources.
Das ilusões do real às verdades da fantasia: configurações da psicologia infantil em A bicicleta que tinha bigodes, de Ondjaki
Authors: Simeão Fabio Gustavo Romero , Pinheiro Vanessa Riambau
Published: December 2020

Pretendemos, no presente artigo, realizar uma leitura de A bicicleta que tinha bigodes (2013), romance infanto-juvenil de Ondjaki. Confrontadas, por um lado, com problemas “externos”, relativos à precária situação socioeconômica do seu país, que, na altura dos eventos narrados na obra em questão, encontrava-se em meio a uma violenta guerra civil, e, por outro, com problemas “internos”, de ordem mais psicológica e afetiva, as crianças imaginadas por Ondjaki conseguem representar a complexa psicologia infantil. É precisamente esse último aspecto que a nossa análise irá privilegiar, ao escolher como chave de leitura a construção psicológica de algumas das personagens principais. Pretendemos, dessa forma, examinar a representação do universo psicológico infantil no referido romance, em especial quando este é confrontado com a psicologia adulta. Para tanto, recorremos, principalmente, ao aparato teórico da psicanálise, mas também nos servimos de algumas considerações de ordem socio-histórica, imprescindíveis para compreensão integral do corpus elencado.