bluuebunny/crossref_metadata_2025 huggingface dataset:
The Aerodynamic Performance of the Small-Scale Wind Turbine Blade with NACA0012 Airfoil
Authors: Siti Amni Husna Roslan  , Zainudin A. rasid  , Ahmad Kamal Arifin Mohd Ehsan
Published: October 2022

Small-scale wind turbine (SSWT) has been the subject of intensive research to complement its large-scale counterpart especially for usage in low wind speed regions. Two important issues that plague the development of the SSWT are its low in power coefficient especially due to the low Reynold’s number () condition that it’s operating in and the start-up difficulty that it faces. In this paper, the blade element momentum theory (BEMT) has been used to analyse a small-scale wind turbine having 3 m diameter. The airfoil used is the NACA 0012. The simplified experimental based equations have been used to determine the coefficient of lift, and coefficient of drag, of the airfoil. A developed MATLAB’s code applying the basic BEMT method is used. The results of aerodynamic performances including power coefficient, power and thrust are given as a function of wind speed, tip speed ratio (TSR) and Reynold’s number. It shows that at the minimum wind speed of 3 m/s, the wind turbine can have power coefficient of 43% but to produce 600 W of power that is required for total needs of electrical consumption of a household, the wind speed needed is 5m/s which is reachable for low wind speed region.
Efficacy of chemical and electrical cautery (Comparison) in management of Anterior Epistaxis
Authors: Ikram Tahira , Asim Muhammad Umar , Masood Sundas , Fatima Aeiman , Akash Haitham , Shahan Zaimal , Yaqoob Samina
Published: October 2022

Objective: To compare the efficacy of chemical versus electrical cautery in the management of patients presenting with anterior epistaxis in terms of frequency of bleeding. Materials and Methods: Study Design = Randomized Control Trial (RCT)Study Setting = ENT Department Benazir Bhutto Hospital, RawalpindiDuration = 6 monthsSampling Technique = Consecutive (Non Probability) A Randomized Control Trial (RCT) of six months was done after the approval of the Ethical Committee. A total of 90 cases of anterior epistaxis were randomly divided into two groups: A (electrical cautery) and B (chemical cautery) using a random number trial with 45 in each group respectively. Informed consent was taken from all patients. Patients were explained about the procedure and its risk-benefit ratio. A detailed history was taken about epistaxis from patients presenting in an emergency. The site of bleeding was assessed. Pulse and blood pressure of patients were monitored. Patients were treated on an emergency basis. The nasal cavity was inspected with the help of a nasal speculum and suction of any blood clots was done. Bleeding points were identified and sprayed with lidocaine. The bleeding area was cauterized with a silver nitrate stick or electrical cautery for a few seconds. Antibiotic ointment was applied at the site of cautery to both groups. The patient was discharged on cessation of bleeding. A Performa was given to patients to fill 48 hours, 1 week, and 2 weeks after the procedure containing questions regarding relief of symptoms. Recurrent bleed was diagnosed on a history of separate bleed from nose post-procedure that was sudden in onset, with an identifiable bleeding point on inspection by speculum, total duration of all episodes in previous 24 hours less than 30 minutes.Results: A total of 90 cases (45 in each group) were taken. The mean age was calculated and found 34.42±8.70 in Group-A and 34.29+8.94 years for group B., The male patients were 32 (71.11%) in Group-A and 30 (66.67%) in Group-B while females were 13 (28.89%) in Group-A and 15 (33.33%) in Group-B, efficacy between chemical and electrical cautery in patients with reference to frequency of bleeding was 42 (93.33%) in Group-A and 35 (77.78%) in Group-B, the p value was calculated as 0.03 which shows a significant difference. Conclusion: This study concluded that the efficacy of electrical cautery is significantly higher than chemical cautery in the management of epistaxis. However, some other trials on larger sample size are required to validate the findings of this study.
Correlation of Serum Alpha-Fetoprotein (AFP) Levels with the size of Hepatocellular carcinoma on Triphasic CT scan: A study in patients with the heterotrophic viral infection
Authors: Khan Javeria , Khaliq Maria , Saeed Tayyub , Imran Muhammad , Majeed Nasir , Khan Rabia , Umar Muhammad , Khaar Bushra , Hussain Tanveer , Ahmed Sadia , Noureen Misbah , Ambreen Saima
Published: October 2022

Objective: To determine the association between serum Alpha-Fetoprotein (AFP) levels with different variables including Hepatocellular tumor size.Materials and Methods: This cross-sectional study was conducted in the Center of Liver and Digestive Diseases, Holy Family Hospital, Rawalpindi. Three hundred and thirty-four liver cirrhosis patients complicated with HCC were participants. Different variables such as diabetes, hypertension, ischemic heart disease, smoking, jaundice, fever, lethargy, weight loss, anorexia, pain right hypochondrium, abdominal distention, ascites, encephalopathy, biochemical tests (Bilirubin levels, serum albumin levels, prothrombin time(PT) (<4 /4-6 / >6 sec prolonged), child Turcotte class ( A, Band C), PST(performance status), Barcelona Clinic liver cancer staging system (0/A/B/C/D) and tumor size in 3 Groups (Group I size <3 cm, Group II size 3-5cm, and Group size III >5cm size) were compared with serum Alpha Feto Proteins (AFP) levels( Group I AFP level >20 and <200ng/mL, Group II AFP level 200-400 ng/mL, while Group III AFP level was >400ng/mL). Data were analyzed through SPSS Statistics version 23.0 (IBM, Armonk, NY), Spearman’s rank is used for P-value.Results: The AFP (Group-I/II/III )association with diabetes (P 0.121), HTN (P 0.811), IHD (P 0.546), HBsAg positive patients (all P 0.186), HCV positive patients (all P 0.131), pain right hypochondrium (P 0.599), fever (P 0.065), lethargy (P 0.388) and Encephalopathy (all P 0.075) were identified as non-significant association while biochemical levels such as Bilirubin (P 0.000), Albumin (P 0.000), Prothrombin Time (P 0.038) creatinine ( all P 0.001) , Child Turcotte Class A, B and C (P 0.000),smoking (P 0.023), weight Loss (P 0.002), Anorexia (P 0.007), Jaundice (P 0.012), Ascites (P value 0.000), ECOG (P 0.000), Barcelona Clinic for liver cancer (BCLC) staging system (P 0.000), lesion I (P 0.000) and lesions II (P 0.006) on CECT had significant association. Conclusion: We hereby, conclude that there is a noteworthy correlation between Alpha Feto Proteins with different variables including an increase in the size of the tumor. Hence Alfa Feto protein is not only helpful for the diagnosis of HCC but also has a pivotal role in predicting tumor burden and disease level.
“Early detection of breast cancer in tertiary care hospital in Pakistan: Impact of a dedicated breast unit”
Authors: Tehniyat Wajiha
Published: October 2022

Introduction:  Pakistan is second in Asia, harbouring people with breast cancer. Over the last 20 years, it has been on an alarming rise. Despite this fact, breast cancer hasn't been addressed the way it demands. There is no proper nationwide screening programme that might prove fruitful in early detection and treatment. In the last decade, few steps have been undertaken to lead to an increase in the early detection of breast cancer. Hence, this study has been designed to assess the impact of a dedicated breast service in the early detection of breast cancer.

Materials and Methods:  This study was done in Holy Family Hospital, Rawalpindi, which is a 300 bedded public hospital in Pakistan. The establishment of an active and dedicated breast unit at the Hospital took place in 2010. The total number of patients registered with breast outpatient clinics, diagnosed with breast cancer, and the stage they presented in a year have been compared over the last 10 years in the tertiary care hospital.

Results: According to the data, a total of over 6000 patients were seen in the breast unit of Holy Family Hospital, between 2008-2017. Of the total, about 88.7% of patients have been diagnosed as having benign issues, while about 12.3% of the patients were diagnosed with malignant breast problems. In comparison, between 2008- 2012, 36.44% presented early while, between 2013-2017, 65.54% presented with early disease.

Conclusion: In conclusion, a specialized breast unit has been deeply impacted by changing trends, so steps should be taken to enhance efforts, and collaboration with international breast centres to get standardized guidelines for screening can be helpful for the cause.
Assessment of Knowledge among Dental Patients regarding Second wave of Corona virus Disease
Authors: Zulfiqar Kanwal , Zia Syed Hamza , Rizwan Ghina , Rizwan Zarnab , Iqbal Naeema , Zulfiqar Mobina Fatima
Published: October 2022

Objective The objective of this study was to assess the dental patients' knowledge and perspectives with respect to the second wave of COVID-19.

Materials and methods A self-designed questionnaire was sent as a google forms link via WhatsApp and a few patients who had no access to WhatsApp, were asked to fill out a hand printed form. The completed questionnaires were then analyzed using the statistical package for social sciences (IBM version 22).

Results: A total of 350 participants were included in the study, out of which 38% were male and 62% were female. Result was calculated using binary logistic regression analysis for different variables to predict the confidence level based on their knowledge, attitude and practice regarding second wave of COVID-19.

Conclusion: Our study concluded that there is more than satisfactory level of knowledge regarding COVID-19 and People are aware of the basic protocols which help in protection against the virus owing to easy access of information.
A Clinical Audit of blood component transfusion practices in Paediatric intensive care unit of a Tertiary Care Hospital, Rawalpindi
Authors: Zafar Anam , Sarosh Nadia , Saeed Tariq , Bashir Saba
Published: October 2022

Background: To audit the practices involved in blood component transfusion in the management of patients in paediatric intensive care unit of our hospital and to determine the appropriateness of transfusion after comparing them with clinical practice guidelines recommended by Royal Children Hospital (RCH).

Methods: All patients admitted in pediatric intensive care which were managed with blood component transfusions were retrospectively audited for 8 weeks. Management details including indications of transfusion and its appropriateness were recorded. Clinical practice guidelines recommended by Royal Children Hospital (RCH) were used as standards.

Results: One hundred and ninety-two transfusions were done during the study period out of which 58 percent were done to males and 41 percent to females. Majority of transfusions were done in infants (44%) and O Positive blood group was found rampant among blood groups of all recipients (33.3%). Red cell concentrates were predominantly (55.7%) and appropriately (72%) transfusion among all blood components. Platelet concentrates were most inappropriately transfused (57%) followed by fresh frozen plasma (54%) and red cell concentrates (27%). There was significant percentage of inappropriate transfusion of all blood components (p=0.00).

Conclusion: All blood components were significantly found inappropriately transfused, commonest component being platelet concentrates.
Outcome of Subtrochanteric Femur Fractures Treated by Proximal Femoral Nail in a Tertiary Care Hospital
Authors: Rahman Rasool Akhtar, Riaz Ahmed, Omair Ashraf Rahman Rasool Akhtar, Riaz Ahmed, Omair Ashraf
Published: October 2022

Background: Subtrochanteric femoral fractures are challenging for surgeons, as it has strong collapsing forces at fracture site.The management of sub-trochanteric fractures, especially nonunion is challenging.Proximal Femoral Nail can be helpful in achieving high success rate. But there was a lack of local evidence.

Objective: To determine the Outcome of Subtrochanteric Femur Fractures Treated by Proximal Femoral Nail in a Tertiary Care Hospital.

Material and methods: This prospective study was conducted from 1stJuly 2017 to 30th June 2019. The inclusion criteria were all the patients of both genders above 16 years of age presented to emergency department with subtrochanteric fractures of the femur. Exclusion criteria included pathological fractures, fractures in children, old neglected fractures and multiple fractures. Radiographs were taken and all the patients were classified according to Seinshemers classification. All the patients underwent internal fixation with Proximal Femoral Nail. The outcome of all patients were assessed by using Modified Harris Hip Score.

Results: A total of 110 patients were included in the study. Mean age of patients was 30.05±8.59 years. 81 (73.63 %) patients were males and 29 (26.36%) were females. According to Seinshemers classification, we had 54 patients with Type II fracture, 35 patients with Type III fracture, 19 patients with Type IV fracture and 02 patients with Type V fracture. Mean duration of hospital stay was 06 days and mean time of full weight bearing was 12 weeks. In our study, excellent results were found in 71 patients (64.5%), good results in 28 patients (25.4%), fair results in 06 patients (5.4%) and poor results in 03 patients (2.7%).02 patients were lost in follow up. The mean Harris Hip score was 93.5± 5.42. 14 patients (12.7%) had minor complications including 06 patients with Superficial wound infections, 03 patients with Deep infection, 01 patient with Deep vein thrombosis and 04 patients had Fracture from distal tip of nail. All the fractures unite within 6 months period and no implant failure was observed.

Conclusion: Proximal Femoral Nail is a good choice implant for the fixation of subtrochanteric femur fractures leading to high rate of union, fewer implant related complications and excellent functional outcome.

Key words: Subtrochanteric, Femur fracture, Proximal Femoral Nail, Modified Harris Hip Score, Seinshemers classification, Complications
Comparison of Efficacy of Halstead and Vazirani Akinosi Block Technique in Achieving Mandibular Anesthesia
Authors: Shuja Eruj , Daaniyal Sadia , Mushtaq Osama , Ahmed Naseer , Afreen Ammarah , Afreen Zarah
Published: October 2022

OBJECTIVE: To compare the efficacy of Halstead and Vasirani Akinosi block techniques in achieving mandibular anesthesia during exodontia among subjects reporting to Watim Teaching Hospital.

STUDY DESIGN: Randomized controlled trial.

PLACE AND DURATION OF STUDY: This study was conducted in the department of Maxillofacial Surgery, Watim Dental Hospital, Rawalpindi from July 2019 to January2020.

MATERIALS AND METHODS: This is a randomized control trail of 60 patients. Duration of onset of anesthesia, pain during injection, incidence of aspiration, success and failure of Halstead and Vasirani Akinosi techniques and their mean doses were analyzed and compared by using SPSS version 17.Comparison of categorical variables was done by Chi-square test. Comparison of non-categorical variables was done by independent sample t-test. p value of less than 0.05 was considered significant.

RESULTS: 28(93.3%) experienced moderate while 2(6.7%) experienced severe pain in Halstead group, while 30(100%) experienced mild pain in Vasirani Akinosi group. Halstead technique was successful in 22(73.3%) while unsuccessful in 8(26.7%) patients. Vasirani Akinosi technique was successful in 29(96.7%) and unsuccessful in 1(3.3%) patients.

CONCLUSION: It may be concluded from analysis in the present study that Vasirani Akinosi technique was statistically superior in all parameters such as duration of onset, pain during injection, aspiration and success rate as compared to the conventional Halstead block technique.

KEY WORDS: Extraction tooth, local anesthesia, Vasirani-Akinosi technique, nerve block.
Impact of Body Weight on Self-Esteem among Undergraduate Young Adult Students of Doctor of Physiotherapy, Karachi
Authors: Naz Anum , Ishaque Farhan , Yasmeen Samreen , Naz Erum , Afzal Rida , Khan Fazila
Published: October 2022

Objectives: To determine the recurrence of body disappointment, loss of control and self- related wellbeing in interpose the relationship among body weight and impairments in self-esteem among students of Doctor of Physiotherapy (DPT) in both campuses of IPMR of DUHS, Karachi.

Material and Methods: The research was among youthful understudies of the two sexes (boys and girls) of Doctor of Physiotherapy in both campuses of IPMR of Dow University of Health Sciences (DUHS), Karachi. Concluded an overview through the questionnaire (Rosenberg Self-Esteem Scale according to the sample size of 298 computed through online programming Open Epi. The survey was acknowledged globally and it was standardized questionnaire. The data was assembled by figuring the BMI among body weight understudies of (DPT) and to check the level of self-esteem by Rosenberg Self-Esteem Scale. The survey conducted from January 2019 to February 2019.

Results: Normal weight was adjusted to 18.50 till 24.90 – a total of 81 respondents, Overweight was adjusted to 25.00 till 29.90 of 35 respondents, obese category was adjusted to 30.00 or more a total of 17 respondents were adjudged to be in this category as per weigh ranges BMI. After analyzing the Chi-Square tabulation, it was found that the highest self-esteem was found in the normal weight BMI category respondents followed by the overweight category and the lowest self-esteem was found in obese category. As the table shows that girls have more self-esteem as compared to the boys, although the girl’s respondents are more so than boys are.

Conclusion: It has been conclude that the proportion of the highest self-esteem were found in the normal weight BMI category respondents followed by the overweight category and the lowest self-esteem was found in obese category.

Keywords: Body Mass Index, Stress, Obesity, Body image, Depression and Self-esteem.
Relationship between empathy and personality traits in students of a Public Sector Medical University
Authors: Naeem Liaqat, Maria Ata, Nida -e- Haider Naeem Liaqat, Maria Ata, Nida -e- Haider
Published: October 2022

Introduction: Empathy among medical students and doctors, is rather unexplored part of medical flora and fauna which may vary with each personality.

Objective: to determine the correlation between empathy and personality traits of final year medical students.

Materials and Methods: This cross-sectional study was conducted at Rawalpindi Medical University, Pakistan. A total of 144 medical students were included in the study. For personality traits assessment and empathy assessment, Big Five Inventory and Interpersonal Reactivity Index were used. All the data was analyzed using SPSS version 20.

Results: The mean score for empathy scale was found to be 61.25 ± 10.0. Females were more empathetic than males in all subscales but pointedly so in empathetic concern scale. Overall empathy scale was strongly correlated with Agreeableness and Neuroticism (P<0.001). Perspective taking scale was positively related with Agreeableness and openness, Empathy concern scale was positively related with Agreeableness, and Personal Distress was positively related with Conscientiousness and Neuroticism. The demographic factors of age and gender explained only 1.7%, 6.8%, 2.4% and 2.0% of the variance in the four scales of empathy. After adjustment for age and gender, perspective taking was positively associated with Agreeableness and Openness and Personal distress was associated with Agreeableness, Neuroticism and Openness.

Conclusion:

We conclude that personality traits have a substantial correlation with empathy and its subscales. So we need to evaluate the personality of a medical student and tailor a set of rules for each individual consistent with their persona to develop empathy in them.

Keywords:

Big Five; Personality; Empathy; Medical students; Pakistan
Comparison of frequency of diagnosis, induction of labour and caesarean section in patients with isolated oligohydramnios diagnosed by amniotic fluid index versus single deepest vertical pocket
Authors: Rehman Saleema , Rizwan Humera , Akram Ayesha , Kousar Shermeen , Irshad Samina
Published: October 2022

Objective: To compare the frequency of diagnosis, induction of labour and caesarean section in patients with isolated oligohydramnios diagnosed by amniotic fluid index versus single deepest vertical pocket.

Study design: Randomized controlled trial

Place and duration of study: Department of Obstetrics and Gynecology, Holy Family hospital, Rawalpindi from March 2020 to August 2020.

Materials & Methods: A total of 110 (55 in each group), 18 to 35 years of age of parity <5 were included. Group A females were evaluated by using AFI and group B females were evaluated by using SDVP. Patients were managed according to standard protocol practiced in the department. Caesarean section was performed in case of fetal distress, in presence of meconium stained liquor or in case of failure to progress of labour.

Results: In my study, oligohydramnios was recorded in 19/55 (34.50%) in group A (amniotic fluid index) versus 11/55 (20.0%) in group B (single deepest vertical pocket) (p-value = 0.086). Similarly induction of labour was recorded in 19/55

(34.50%) in group A (amniotic fluid index) versus 11/55 (20.0%) in group B (single deepest vertical pocket) (p-value = 0.086) and caesarean section was recorded in 16/55 (29.09%) in group A (amniotic fluid index) versus 07/55 (12.73%) in group B (single deepest vertical pocket) (p-value = 0.035).

Conclusion: This study concluded that frequency of diagnosis, induction of labour and caesarean section in patients with isolated oligohydramnios diagnosed by amniotic fluid index is higher as compared to single deepest vertical pocket. 

Keywords: Oligohydramnios, Amniotic fluid index, Single deepest vertical pocket
Evaluation and Susceptibility Pattern of Staphylococci Isolated From Clinical Specimens in POF Hospital, Wah Cantt.
Authors: Ghazal Lubna , Mushtaq Saba , Ashraf Sohail , Rafique Saima , Bilal Muhammad , Iqbal Naila
Published: October 2022

Objective: To determine the frequency and antibiotic susceptibility pattern of Staphylococcus aureus and coagulase negative staphylococci isolated from clinical specimens as a result of culture and sensitivity.

Materials & Methods: This cross sectional study was carried out in POF Hospital Microbiology laboratory from January 2019 to September 2020. One hundred and eighty four staphylococci isolated from clinical specimens were processed as per standard methodology.

Results: Out of 148, methicillin resistant S.aureus and methicillin resistant coagulase negative staphylococci were 38.04% and13.04% respectively. Infections caused by Methicillin resistant staphylococcal isolates were higher among the age group 31-40 years (71.4%, OR=2.68). Out of thirty expired patients, 53.3% had been infected with methicillin resistant staphylococcal infections. The methicillin resistant staphylococci were most frequent in miscellaneous category of clinical specimens (80.0%, OR=4.63). The susceptibility analysis revealed that methicillin resistant staphylococci are 100% resistant to penicillin, meropenem and amoxycillin-clavulanate (p=0.000).  A significant association of methicillin resistance was also noticed against amikacin (p=0.002), ciprofloxacin (p=0.001), clindamycin (p=0.005) and erythromycin (p=0.000). Moxifloxacin, linezolid and vancomycin are the most effective choice for infections caused by methicillin resistant staphylococci.

Conclusions: The methicillin-resistant staphylococci are highly resistant to commonly prescribed oral as well as injectable antibiotics. Establishment and implementation of infection control policies are required to combat the grave situation of increasing antibiotic resistance.
To determine the frequency of Group B Streptococcal colonization of vagina in women at 35-37 week pregnancy
Authors: Azmat Sadia , Iqbal Faiza , Tahir Shabnam , Khalid Mariam , Mustafa Sadia , Alvi Wajeeha Asghar
Published: October 2022

Introduction: Group B streptococci (GBS) is usually present in a vaginal canal in micro-flora, which usually do not exhibit any symptoms. Instead, in pregnancy, there are certain situations in GBS colonization in the vagina, which may lead to several complications. Objective: To determine the frequency of Group B Streptococcal colonization of the vagina in women at 35-37 weeks of pregnancy.Study Design: Cross-sectional surveySetting: Antenatal clinic, Shalamar Hospital Lahore Study duration: 6 month i.e. From: 05-09-2014 to 06-03-2015Materials and Methods: 350 Booked Patients attending antenatal clinic at Shalamar hospital at 35-37 weeks of pregnancy for routine antenatal checkups were included. Lower vaginal swabs were taken without speculum using sterilized disposable cotton swab and transported to Amies Agar jell and transported to microbiology lab within 24 hours. Laboratory report was collected and reviewed by researcher regarding positive or negative culture for GBS. Patients with positive GBS culture were given intrapartum antibiotics. Results: In our study, out of 350 cases, with the mean age of 26.92+4.84 years. Frequency of GBS colonization of vagina in women at 35-37 week pregnancy was recorded in 12.29% while remaining 87.71% had no findings of the morbidity. Conclusion: It was concluded that the frequency of GBS colonization of vagina in women at 35-37 week of pregnancy is not very higher.
Fungal Species Detection in Onychomycosis by Culture and Direct Microscopy at Tertiary Care Hospital, Bahawalpur, Pakistan
Authors: Sipra Muhammad Wajid Khurshid , Raziq Muhammad Abdul , Ullah Zia
Published: October 2022

Objective: This study aimed to detect the common organisms by culture and KOH mount microscopy of nail infections.Setting: It was cross sectional study. Three hundred sixty clinically diagnosed cases were collected from 1st July 2018 to 31st July 2021 from Dermatology OPD of Bahawal Victoria Hospital and clinics. The samples were processed in the Microbiology section of the Pathology department of Quaid-e-Azam Medical College Bahawalpur, Pakistan. Method: The nail specimen was directly inoculated on SDA culture media and aerobically incubate at 25 Ć to 30 Ć for 3 to 4 weeks. The growth was identified in colony characteristics by using cotton blue stains. Whereas the nail is immersed in 20% KOH solution. The microscopic study revealed the hyphae or spores and that is considered a positive for the test. Result: out of three hundred sixty cases the culture positivity was 56.94% of the specimen while KOH mount was positive in 60.83% of specimens and the combination of Culture with KOH was 66.67%.Conclusion: The fungal culture and KOH mount microscopy combination are subtle laboratory methods for the detection of organisms causing onychomycosis. The species detection and precise usage of anti-mycological agents to prevent the complications raised public health considerably.
Health Education Workshops with AFIU Staff in the Context of COVID-19 Pandemic
Authors: Rana Sumbal , Munir Ali Arsalan , Zafar Rafiq , Wahid Faisal , Rizvi Syed Ehtesham Haider , Mirza Zahoor Iqbal
Published: October 2022

Objective: To describe the experience of educational activities in the prevention and management of COVID-19 with a staff of AFIU.

Materials and Methods: Experience report of lectures and hands-on approach to COVID-19 Pandemic.

Results: It was carried out as two hand sanitizing, donning, and doffing workshops preceded by lectures on the prevention of COVID-19 with 323 participants attending from AFIU.

Conclusion: the hybrid approach of lectures with hands-on training was effective in building up and refreshing the knowledge of staff in the wake of the COVID-19 pandemic.
Comparison of Tzanakis and Alvarado scoring system in diagnosis of acute appendicitis, with Histopathology as gold standard
Authors: Iqbal Muhammad Zafar , Ahmed Malik Irfan , Malik Naveed Akhtar , Kamran Ali , Qaiser Muhammad Umar , Riaz Samra
Published: October 2022

Objective: To determine the diagnostic accuracy of Tzanakis and Alvarado score for the diagnosis of acute appendicitis taking histopathology as the gold standard.

Materials and Methods: It was a Cross-sectional validation study The study was carried out at the emergency department of RMC allied hospital Rawalpindi. The study was completed in eighteen months from 1st May 2016 till 30th Nov 2017. After approval from the ethical committee total of 420 patients fulfilling inclusion criteria from the emergency department of District head Quarter hospital, Rawalpindi was taken. Informed consent was taken from patients or their attendants, and their demographic information like name, age, sex, and address was obtained. Alvarado score and Tzanakis score were calculated (as per operational definition) at the time of admission of the patients. After surgery, the specimen appendix was sent for histopathology in the hospital lab.  The diagnosis of the acute appendix was based on a positive histological report which was verified by a pathologist. All the data was entered by a researcher who will collect the data by himself.

Results: The mean age of patients in this study was 20.15±7.13 years with 218 (51.9%) males and 202 (48.1%) females. The mean Alvardo score was recorded as 7.22±1.58 with the mean Tzanakis score being 9.64±3.13. The histopathology for diagnosing appendicitis showed positive for 367 (87.4%) patients and negative for 53 (12.6%) patients. The sensitivity of Alvarado score for diagnosing appendicitis, keeping histopathology as the gold standard was 86.92%, specificity was 92.45%, Positive Predictive Value was 98.76%, and Negative Predictive Value was 50.52% and overall diagnostic accuracy was 87.62%. The sensitivity of the Tzanakis score for diagnosing appendicitis, keeping histopathology as the gold standard was 88.83%, specificity was 88.6%, Positive Predictive Value was 98.19%, Negative Predictive Value was 53.41% and overall diagnostic accuracy was 88.81%.

Conclusion: The sensitivity of the Tzanakis score was high when compared to the Alvarado score. And specificity was high in the Alvarado score when compared to the Tzanakis score. Moreover, the overall diagnostic accuracy of the Tzanakis score was high when compared to the Alvarado score. SoTzanakis score can be utilized to predict appendix and in the future, we can avoid negative appendectomies.
Constitucionalismos, neoconstitucionalismo e perspectivas para o direito civil-constitucional contemporâneo
Authors: Cabral Marcelo Marques
Published: October 2022

O presente artigo tem por escopo estudar a mitigação e a majoração do valor da reparação civil dos danos a partir da leitura do Direito Civil Constitucional. Para tanto percorreu-se as teorias do constitucionalismo até se chegar ao melhor do significado do termo “neoconstitucionalismo” na contemporânea doutrina do Direito, imprimindo-se, com isso, uma leitura funcionalizada do instituto da reparação civil, do princípio da reparação integral e de algumas de suas exceções legais.
“Raça desgraçada” – Danos morais e discurso de ódio contra a comunidade LGBTQIAP+
Authors: Silva Netto Manuel Camelo Ferreira , Henrique Félix Dantas Carlos
Published: October 2022

O presente artigo visa investigar se houve ou não exercício legitimo do direito constitucional à Liberdade de Expressão, consoante compreendido pelo acórdão da apelação cível n. 1026872-31.2020.8.26.0100, julgada pelo Tribunal de Justiça de São Paulo, em que se perquiria a ocorrência de dano moral por parte do apresentador Sikêra Júnior ao referir-se à autora da ação e aos membros da população LGBTQIAP+ como “raça desgraçada”, dentre outras considerações, durante a transmissão, ao vivo, do programa Alerta Nacional no dia 14/02/2020 e, também, postado no canal do youtube do apresentador. A esse respeito, levanta-se a problemática: está toda e qualquer emissão de opinião albergada pelo direito constitucional à Liberdade de Expressão ou tal garantia comporta limitações, dentre as quais se poderia enquadrar o discurso de ódio? Para tanto, utilizou-se o método de raciocínio analítico-dedutivo, com abordagem qualitativa, e emprego das técnicas da pesquisa bibliográfica, documental e estudo de caso, chegando-se à conclusão que o direito à Liberdade de Expressão comporta ressalvas na sua proteção, dentre as quais se verifica a constatação de prática de discurso de ódio, situações nas quais o Estado deve intervir para sancionar aqueles que dele se utilizarem, a fim de tutelar as pessoas humanas por ele atingidas.
Analisis Konsep Teodisi Wahyu 13: 16-18 Pada Polemik Vaksinasi Covid-19
Authors: Sirait Samuel Lambok , Nainggolan Bartholomeus Diaz , Hutagalung Stimson , Ferinia Rolyana
Published: October 2022

Pandemi Covid-19 sejak awalmembangkitkan munculnya sejumlahteori, yaitu salah satu secara teologismengaitkan Covid-19 dengan konsepapokaliptik Kristiani dan mendugawajib vaksin menjadi penggenapandalam nubuatan Kitab Wahyu 13:16-18.Penelitian ini akan memberikan analisatentang pandangan anggota GerejaMasehi Adevent Hari Ketujuh jemaatPancur Batu terhadap vaksin Covid-19 dan memberikan penjelasan doktrinalyang beredar berdasarkan penafsiransecara teologi dan Alkitab mengenaiKitab Wahyu 13:16-18. Metode yang digunakan dalam penelitian ini adalahpendekatan kualitatif denganmenggunakan metode deskriptif dan analisa literatur yang bertujuanmemberikan analisa tentang kontroversivaksin Covid-19 dihubungkan denganpenanaman microchip 666 dan antiKristus yang disampaikan dalam Kitab Wahyu 13:16-18 yang beredardikalangan Umat Gereja Masehi Advent Hari Ketujuh. Teknik pengumpulan data melalui Alkitab, sumber buku-buku, artikel digital, jurnal-jurnal, wawancaradan dokumen lain yang berkaitandengan objek kajian. Hasil penelitian iniadalah kandungan yang terdapat dalamvaksin Covid-19 yaitu virus yang dilemahkan atau di inaktivasi tidak adakorelasi terhadap penggenapannubuatan yang terdapat dalam Wahyu 13: 16-18. Tanda binatang 666 dalamWahyu 13:16-18 bukan suatu objekyang ditanamkan, dimasukkan, maupundisuntikkan dalam tubuh manusia.Tanda pada dahi dan tangan merupakansimbol dari akal budi maupun pikirandan perilaku yang mencerminkanlambang dari Setan. Sedangkan vaksinCovid-19 merupakan alat medis yang digunakan untuk meningkatkan sistemimun dalam melawan virus Covid-19dan vaksin merupakan objek yang dapatdilihat yang digunakan untukmeningkatkan antibody tubuh.
Misi Gereja Dalam Pengembangan Praktek Penginjilan Pribadi Dan Pemuridan Generasi Z
Authors: Gultom Joni Manumpak Parulian
Published: October 2022

Generation Z has a low spiritual index of 3.50 compared to the national index of 3.79. It emphasizes the church doing faith deepening and mentoring because they feel alien to spirituality and begin leaving the church. The cause of the low index lies in private practice, namely personal and private loyalty. The index of devotional time and Bible meditation is only 3.0, and compassion-based discipleship evangelism for the lost is very low at 2.63. The question is, how is the church's mission in developing personal practice and evangelism - generation Z discipline? What strategies can take? Objectives [1] Describe the church mission developing personal's practice and evangelism - generation Z discipleship. [2] Describe strategies and methods of outreach to the digital generation. The research method is descriptive qualitative. Contribution of this research to [1] pastors of church missions in outreach to generation Z. [2] Christian teachers in school discipleship [3] For College of Theology as a reference in mission and outreach to the younger generation.
Pemeliharaan Allah Di Masa Pandemi COVID-19: Sebuah Refleksi Teologis Berdasarkan Kitab Ester
Authors: Prianto Robi , Tampubolon Yohanes Hasiholan
Published: October 2022

The Covid-19 pandemic has resulted in the presence of various theological reflections. One of the topics discussed was about God's providence. This paper will present a theological reflection based on the book of Esther on God's providence. This study uses a qualitative approach with a descriptive exegesis approach by focusing on the structure of the book of Esther. This study found that although there is no name "God" in the book of Esther, God still shows His providence. The absence of the name Allah shows that human actions are not in a different domain. God chose Esther, a woman who came from an “ordinary” background. So that during the pandemic, we are required to actively participate in caring for others as a form of God's care.
“Ibuku Adalah Guruku” : Model Pola Asuh Yokhebed
Authors: Muryati Muryati Muryati
Published: October 2022

Education is a legacy of parents that needs to be accepted by everyone since childhood to live a successful and successful life in the future. The parties who play an important role as teachers or educators first and foremost for children are parents, especially mothers. However, the problem is that some mothers do not carry out these responsibilities so that their children become victims. This is what underlies the purpose of this study to explain one of the parenting styles of a mother named Jochebed who succeeded in becoming a teacher for Harun, Miriam, and Musa so that today's mothers can imitate him. The method used in this research is qualitatively based on a literature study. The results showed that Jochebed instilled faith and wisdom in them from an early age. This faith and wisdom were obtained by Jochebed from God because of his God-fearing attitude so that all his children, especially Moses, could become individuals of faith and wisdom in leading their people for the exodus from Egypt
Kisah Nuh Dan Terjadinya Air Bah Di Bumi: Tindakan Kasih Karunia Allah Berdasarkan Kejadian 6-9KEJADIAN 6-9
Authors: Pane Erixson , Sagala Rudolf Weindra , Pane Exson , Sinaga Janes
Published: October 2022

The purpose of the study is for everyone to understand the meaning of why God sent down the flood in the days of Noah's life, so that everyone can live righteously in this day and age. The story of Noah and the occurrence of the flood is to tell how God saved life on earth when the people who lived in it grew evil from time to time. God told Noah to build the Ark according to the details that God gave as a means of salvation when the flood destroyed life on earth. The flood was God's way of reconstructing the earth and life on it without re-creating, by saving Noah and his family as pious people at that time. This research was conducted with a qualitative method by collecting data from various bibliography such as Bibles, books and journal manuscripts. Through this research, it is hoped that everyone will understand God's love and plan for His people, even in the event of a disaster.
UPAYA PENDAMPINGAN, PELAPORAN SURAT PEMBERITAHUAN MELALUI E-FILLING DAN LAYANAN PUSAT PANGGILAN GUNA MENDORONG KEPATUHAN PAJAK
Authors: Fawaid Manarul , Niswah Nurin , Rohma Frida Fanani
Published: October 2022

Kepatuhan pajak merupakan salah satu permasalahan utama dari aspek perpajakan di Indonesia. Rendahnya rasio kepatuhan wajib pajak dalam melapor dan membayar pajak merupakan indikator rendahnya tingkat kepatuhan pajak. Oleh karena itu, perlu upaya memberikan edukasi terkait pentingnya peranan pelaporan dan pembayaran dengan sistem roadshow. Pelaksanaan edukasi juga diperkuat dengan kegiatan pendampingan pelaporan dan pengisian SPT tahunan pajak tahun 2022 di wilayah KPP Pratama Bangkalan. Lebih dari itu, upaya fasilitas layanan pusat panggilan juga dilakukan untuk mendorong tingkat kepatuhan pajak. Metode kegiatan ini dilaksanakan dengan edukasi, pendampingan, konsultasi dan layanan pusat panggilan selama 7 Februari sampai 24 Juni 2022. Kegiatan ini dilaksanakan dan terintegrasi dengan program magang Industri Internal di KPP Pratama Bangkalan dari program studi Akuntansi, Fakultas Ekonomi dan Bisnis, Universitas Trunojoyo Madura. Hasil kegiatan ini adalah para wajib pajak dapat mengisi dan melaporkan SPT Tahunan dengan benar dan tepat waktu. Selain itu, aktivitas pendampingan dan layanan pusat panggilan sebagai upaya memberikan edukasi dan meningkatkan kepatuhan wajib pajak di wilayah KPP Pratama Bangkalan, sehingga pengisian dan pelaporan SPT Tahunan dapat terlaksana tepat waktu.
DIVERSIFIKASI DAN INOVASI PRODUK BERBAHAN DASAR KOLANG-KALING DI KELURAHAN JATIREJO, KECAMATAN GUNUNGPATI, KOTA SEMARANG
Authors: Gunawan William Ben , Sari Dyah Kartika , Nashera Auliana
Published: October 2022

Community service needs to be based on a sense of sincerity since it has become an obligation for students to serve the community by helping and providing services to the community. As is known that one of the functions of Tri Dharma needs to be achieved by every university in Indonesia. Students from Diponegoro University were moved to conduct a service activity on the topic "Diversification of Kolang-Kaling Processed Products in Jatirejo Village, Gunungpati District, Semarang". Diversification of the use of kolang-kaling aims to maximize the potential of Jatirejo Village as a tourist village known for the production of kolang-kaling. The service activities were held from June 2021 to August 2021, for 45 days of active implementation. The location of service is in Jatirejo Village and Kandri Village located in Gunungpati District, Semarang City. The service is carried out both online and offline. The implementation of service is divided into 2 stages, namely the Preparatory Stage and the Implementation Stage. The main result of this service activity is the diversification of kolang-kaling-based products such as KOLAKA, GELALING, BOBALING, Kolang-Kaling Soap, and Briquettes from Kolang-Kaling Skin Waste. Based on the results of the implementation of activities, the partners welcomed the idea of diversifying kolang-kaling products outside of food products. This is expected to be adopted by the people of Jatirejo to maximize the potential of the village as a producer of kolang-kaling as well as a producer of various products based on kolang-kaling, so that economic activities in Jatirejo's small-medium enterprises (SMEs) are expected to increase, especially after the COVID-19 pandemic has passed.
EFFORTS TO INCREASE COFFEE STORE BUSINESS INCOME THROUGH FINANCIAL LITERATURE DURING THE COVID-19 PANDEMIC
Authors: Rahmawati Christina Heti Tri , Rubiyatno Rubiyatno , Sutadi Theodorus
Published: October 2022

The existence of a coffee shop (warkop) as a business option for the community is very easy to find where it serves coffee of various types. The ease of entering the coffee shop market has an impact on the competition between coffee shops in obtaining increasingly fierce consumers. The COVID-19 pandemic also has an impact on the sustainability of coffee shops because income has decreased and cannot finance business operations. Micro, Small and Medium Enterprises (MSMEs) coffee shops who have good financial literacy will be able to manage finances and increase business income. This community service aims to provide assistance to coffee shop business actors, especially in Omak Kopi SMEs regarding financial literacy and financial management. The results of this assistance are MSME actors Omak Kopi (1) have financial literacy in the medium category including financial institution service products to invest by saving, making loans, and insurance; and (2) able to perform financial management by making good financial records. This assistance has implications for increasing financial literacy and managing business finances which in turn increases the income of MSME actors during the COVID-19 pandemic.

 

 

 

Financial Literacy; Business Income; Coffee Shop
PENGEMBANGAN SISTEM MANAJEMEN STRATEGI DENGAN PELATIHAN SIMULASI ESTIMASI SAHAM PERUSAHAAN DI PT. INDO DYNAMIC TECHNOLOGY
Authors: Katias Puspandam , Herlambang Teguh , Anshori Mohamad Yusak
Published: October 2022

Bursa Efek Indonesia adalah salah satu inisiatif pemerintah untuk mendorong pertumbuhan jumlah investor pasar modal Indonesia karena pada dasarnya investor dalam negeri memiliki peranan penting untuk memperkuat dan menjaga stabilitas pasar modal Indonesia. Pertumbuhan jumlah investor dalam dan luar negeri yang diiringi dengan peningkatan jumlah transaksi diharapkan dapat memberikan manfaat ekonomi secara langsung kepada masyarakat Indonesia. Dalam pemilihan investasi yang aman pada saham sebuah perusahaan, investor memerlukan cara untuk menilai harga saham yang yang akan dibeli ataupun kemampuan saham tersebut memberikan deviden dimasa datang, sehingga bisa memaksimalkan keuntungan dengan meningkatkan kinerja perusahaan. Cara yang benar dalam analisa akan mengurangi risiko bagi investor dalam berinvestasi. Pada kegiatan pengabdian masyarakat ini kami mensinergikan ilmu manajemen dengan ilmu komputasi sehingga dapat digunakan dengan lebih mudah, akurat, efektif dan efisien didalam pengelolaan perusahaan. Di dalam kegiatan ini dilakukan Sosialisasi simulasi atau perhitungan numerik terkait estimasi saham perusahaan di PT. Indo Dynamic Technology. Simulasi dan perhitungan numeric diperkenalkan penggunaan software Mathematica dan matlab sebagai software utama dalam sosialisasi di PT Indo Dynamic Technology
The Rhetoric of Inner Freedom: Possibilities and Impossibilities for Dissent in Post-1989 Romania
Authors: Dronsfield Jonathan Lahey
Published: October 2022

The well-known “resistance through culture” practiced by the philosophers of the so-called Păltiniş school in the last decade of communism sought to educate a group of men (and they were all men) in the cultural values necessary for the “regeneration” of Romanian society. The remembrance of these values was premised on the notion of “inner freedom,” an undertheorized yet familiar appeal of dissidents under conditions of repression, as it is even today. But politically, the ontology of “inner freedom” is questionable. It presupposes a metaphysics of the autonomous subject which is problematic for dissent, in that it contends that freedom of thought is possible without freedom of expression, an argument which favours quietism and may perhaps induce self-censorship or even complicity. Indeed, Herta Müller charges Gabriel Liiceanu, a leading member of the Păltiniş school, with not speaking out in order to maintain an advantageous position within the system of repression. Jean-Paul Sartre goes further in his critique of “inner freedom”: he calls it a “hoax.” George Orwell calls it a “fallacy.” For Hannah Arendt, it is derivative. I am in broad agreement with these positions. Furthermore, I argue that a conception of culture premised on the values of inner freedom and “‘not speaking out” is a conception of culture in which corruption is harbored within the concept. “Not speaking out” is conducive to and constitutive of corruption, so rife in Romania and other ex-communist societies after 1989, and hence part of the problem rather than of the solution, in ways which I demonstrate. However, I wish to put forward another conception of inner freedom, a non-metaphysical one, a positive conception for dissent today. Namely inner freedom as a rhetorical construct. Not an immaterial space which is presupposed in order to found dissent, but one which is materially formed by dissent. Arguing for inner freedom to be seen as a rhetorical response rather than a metaphysical presupposition involves showing that inner freedom is dependent on language. This I seek to do.
Ion Luca Caragiale on Intellectuals and Identity (1899, 1909)
Authors: Drace-Francis Alex
Published: October 2022

Ion Luca Caragiale (1852–1912) is best known as the leading Romanian dramatist from the nation-building period at the end of the nineteenth century. Caragiale also wrote satirical sketches on social issues of his day, capturing the appearance of new social types and issues of identity and alterity. The following two sketches, published in the Bucharest newspaper
Universul
in 1899 and 1909 respectively, not only offer entertaining snapshots of cultural formations but also anticipate more formal analyses of modern Romanian society in the making.