bluuebunny/crossref_metadata_2025 huggingface dataset:
Adaption and Evaluation of a Self-Efficacy Intervention for Parental Feeding Practices
Authors: Vogel Hannah , Ten Hoor Gill , Mergelsberg Enrique , Mullan Barbara
Published: November 2022

Background: A healthy parental feeding program consisting of six sequential modules was developed to improve parental feeding behaviours. The six modules focusing on various parental feeding behaviours were found to be moderately effective in changing behaviour. In this study, one of those modules (the self-efficacy module) was systematically adapted and evaluated using Intervention Mapping (IM).Methods: In a literature review (Study 1), the relevance of self-efficacy as a determinant for parental feeding habits was examined. In study 2, the behaviour change techniques used in the original healthy parental feeding program were analysed and adapted to fulfil the related parameters of effectiveness. In study 3, the effectiveness of the new module was pilot-tested among parents (N= 27). Parents received either the original self-efficacy module (group 1), the adapted self-efficacy module (group 2), or no additional module (group 3/control-group). Parental self-efficacy was measured at baseline, post-intervention and at one-week follow-up.Results: In study 1, self-efficacy was identified as a relevant (i.e., important and changeable) determinant for parental feeding habits. In study 2, parameters for effectiveness of the used behaviour change techniques were added where necessary, and texts were changed to improve understanding. In study 3, both the original and new module appeared to increase self-efficacy compared to the no-intervention control group.Discussion: This study was an attempt to adapt existing behaviour change programs based on theory and evidence. However, we were not successful in changing self-efficacy more as compared to the original module.
Application of Natural Polymers in Wound Dressings
Authors: Shahzadi Maria , Hassan Taimoor , Saeed Sana
Published: November 2022

Natural polymers because of their biodegradability, biocompatibility and closeness to the extracellular matrix are frequently used in regenerative medicine for burns and wound dressing. By triggering and stimulating the wound healing process, natural polymers aid in the restoration of damaged tissues and, as a result, skin regeneration1. Natural polymers have proven to be effective in a variety of biomedical applications, such as controlled administration of drugs, gene delivery, and regenerative medicine, among others.Plants, animals, and microbial are the major sources responsible for production of natural polymers. Based on their chemistry natural polymers are divided into polysaccharide, protein, polyester, and polyamide-based polymers2. Because of their 3 D cross-link-based networks of polymer, immersed with water or other biological fluids, hydrogels are considered worthwhile in the Biomedical and pharmaceutical industries for wound care, burn dressing, medication administration, tissue engineering and transplantation of organs3. Natural polymers used in wound dressings: Here are several natural polymers which are effectively used in wound management.
Prediction of Radiation-Induced Abnormality in Liver Enzymes from Machine Learning (ML) Algorithms
Authors: Shahid Saman , Ghayyur Aysha , Afraz Muhammad , Masood Khalid
Published: November 2022

Background: Exposure to ionizing radiation from medical radiation equipment during cancer diagnosis and treatment can alter the biochemistry of hospital personnel by triggering the oxidative stress process. Aim: To develop a Simple-Linear-Regression algorithm with supervised learning applied to find the correlation between liver enzymes with the AAED (mSv) in low-dose medical radiation workers. Methodology: Radiology & Nuclear Medicine Radiation workers from INMOLHospital were included. The AAED (annual average effective radiation doses) received from TLDs were measured by Radiation Dosimetry Laboratory. The models were trained and applied to the sample data set. Results: The mean value of AAED was 0.28 mSv. Half of the workers were found with high ALT levels and around 20% were found with altered AST levels. The models were also successfully cross-validated. ALT (R2= 0.025) & AST (R2= 0.00072) were having very weak relationships with AAED. From regression equations, it is inferred that for every unit increase in AAED (mSv), there will be a 12.98 unit decrease in ALT (U/L) and a 0.63 unit increase in AST (U/L) values. Conclusion: Our ML model was successfully implemented to predict the alteration or abnormality in the liver enzymes from radiation exposure. It can assist physicians to detect changes in an individual's biochemistry before exposure to certain toxins. Keywords: Radio-induced liver injury; Annual average effective radiation doses; Liver enzymes; Machine Learning (ML) Model
Cannabidiol Enhances Sunitinib Effect in Human Renal Cell Carcinoma by Inducing Apoptosis and Inhibiting Stat3 Signaling Pathway
Authors: Qadir Abdul , Samad Danish Abdus , Khalid Zurqa , Kashan Fareha , Asif Mahayrookh , Rizvi Fatima
Published: November 2022

Background: Renal cell carcinoma (RCC) is considered to be the most frequent form of kidney cancer affecting both men and women worldwide. Monotherapy is not always effective and often results in resistance. Aim: To evaluate cannabidiol and sunitinib combination in human RCC using 786-O cells as an in vitro model. Study Design: Experimental study Place and duration of study: Dow International Medical College, Karachi from 15th November 2021 to 14th May 2022. Methodology: 786-O cells were culture and treated with sunitinib, cannabidiol and the combination of both and the growth inhibition was evaluated using MTT assay, while cell apoptosis was determine using flowcytometry. qPCR was used to analyze the expression of apoptotic genes and STAT3 in sunitinib and cannabidiol treated cells. Results: Sunitinib, cannabidiol and the combination of both drugs showed a dose dependent inhibition on growth of 786-O cells (p <0.001). The rate of apoptosis was 14.4% and 24.3% when treated with cannabidiol and sunitinib respectively. When the two drugs were combined, apoptosis was significantly increased to 50.3% (p <0.001). qPCR showed that cannabidiol enhanced sunitinib induced apoptosis by downregulating anti-apoptotic gene (Bcl-2) and upregulating pro-apoptotic gene (caspase-3 and -9) (p <0.001). Practical Implication Using single drug for treating RCC is not always effective and often results in resistance. Our study suggests that cannabidiol in combination with sunitinib may be a preferable chemotherapeutic option for treatment of RCC. Conclusion: Cannabidiol enhances sunitinib effect in inhibiting RCC and their combination achieved more strong inhibition than either drug alone. Keywords: Cannabidiol, Renal cell carcinoma, Sunitinib, Apoptosis, STAT3, qPCR
Comparison of Fetomaternal Outcome With/Without Use of Dates in Primigravidae at Term
Authors: Iqbal Saima , Aftab Sana , Tehseen Saema , Mustafa Rozina
Published: November 2022

Background: Effect of dates on pregnancy outcomes is in debate among researchers for optimum results. Aim: To compare the fetomaternal outcome with and without use of dates in primigravidae presenting at 37-38 weeks Main outcome: The outcome was measured as fetal (Apgar score at 5 min) and maternal (onset and induction of labor) parameters. Study design: Randomized controlled trial Setting: Department of Obstetrics and Gynaecology, District Headquarter Hospital, Gujranwala Duration of study: 6 months 1st January 2020 to 30th June 2020 Methods: A total of 110 patients reporting to OPD in their first pregnancy between 18 to 35 years of age at 37 to 38 weeks were included whereas multigravidae and those with previous miscarriage were excluded. Consecutive Non Purposive Sampling technique was used and patients were randomly divided in two groups of 55 each. Group A consumed dates in late pregnancy while Group B was asked not to. Duration of first and second stage of labour and Apgar score at 5 minutes were recorded. SPSS version 21 was used to enter and analyze the data. Quantitative variables Apgar score were presented in the form of mean ± SD. Qualitative variables like spontaneous labour, need for induction and good Apgar score were presented in the form of frequency and percentage. Chi-square test was applied to compare spontaneous labour, need for induction, and good Apgar score in both groups. P-value ≤0.05 was taken as significant. Results: The mean apgar score at five minutes was 8.76±1.157. The analysis of qualitative variables showed that spontaneous labor was started in 75(68.2%) of patients and induction was required in 35 (31.8%) patients. There was successful induction in 1 (9.1%) of patients. At five minutes 101(91.8%) of neonates showed good apgar i.e. >7. Both groups were compared among each other in terms of both quantitative and qualitative variables. The onset of spontaneous labor, success of IOL and good apgar score at 5 minutes were compared among groups. The was significant difference among groups A and B in terms of these parameters except good apgar score i.e. p values of 0.008, 0.021 and 0.297 for spontaneous labor, IOL and good apgar scores Good apgar score at 5 min was not statistically significant among any stratification group. Conclusion: The consumption of dates significantly improves the fetomaternal outcomes in primigravida term pregnancies. The results should be validated in large randomized controlled trials. Keywords: Date fruit, Labour outcomes, Labour progression.
Difference in Dietary Factors in Young Females with and Without Polycystic Ovarian Disease
Authors: Azeem Nida , Riaz Beenish , Afridi Huma , Shadab Wajiha , Afridi Itaat Ullah Khan
Published: November 2022

Background: Although diet has an important role in blood glucose and insulin regulation, there is little study on dietary therapy of “polycystic ovarian syndrome”, abbreviated as PCOS. So this research work was done to look at some particular dietary components, which may predispose development of PCOS. Aim: To compare the mean value of intake of dietary of daily meal in young females with and without PCOS Main outcome measures: Mean white bread and potatoes servings per last 7 days Study design: Case control study Duration of study: 6 months from January 2022 to June 2022 Setting: Study was conducted at Sialkot Medical College Sialkot” affiliated with Imran Idrees Teaching Hospital in Obstetrics /Gynecology department over the period of 6 months from January 2022 to June 2022 Method: Total 84 female were included in the stud and divided in two equal groups i.e. females with PCOS and females without PCOS. They were asked about their dietary pattern and total intake of potatoes and bread they consume per week was noted. SPSS was used to compare both groups for mean dietary intake Results: In case group, the mean intake of white bread was 7.55±1.74 while in control group was 5.5±1.9 (P < 0.05) while mean potato serving in cases was 6.62±2.39 in cases while 3.48 ±1.74 in controls (P < 0.05). Practical implication. All patients with PCOS who are attending the gyne clinics should be counselled about diet and life style modifications that has a crucial role in treating the disease. .A diet low in saturated fat and high in fibre from predominantly low-glycaemic-index-carbohydrate foods is recommended for patients with PCOS. The dietary management of women suffering from PCOS should be carried out by registered dietitians, gynecologists, fertility specialists, and endocrinologists from the time of diagnosis to help patients recognize the role of diet and lifestyle changes how these can be altered through nonpharmacological means to improve prognosis. Conclusions: Thus females having PCOS showed more intake of potatoes and breads. Keywords: Polycystic Ovarian Syndrome, Dietary factors, life style, bread, potatoes
Frequency of Depression, Anxiety and Stress among Medical Students of Rawalpindi and Islamabad
Authors: Khattak Hafsah Gul , Arshad Hafsah , Anwar Kinza , Taj Saeeda , Iftikhar Maliha , Ilyas Saif , Ali Mohammad Qasim
Published: November 2022

Aim: To find out frequency of depression, anxiety and stress among medical undergraduate students. Methodology: A descriptive cross-sectional survey was conducted in medical colleges of Rawalpindi and Islamabad from January 2021 to June 2021. After approval from institutional ethical committee, sample size was calculated by using open epitool and calculated sample size was 356. Non-probability convenient sampling technique was used for data collection. The participants of age 17 and 26 years, healthy adults and both genders were included in the study. Students who were married, with disability, taking any sedatives and diagnosed with psychological disorders or illness were excluded. Written consent was taken from each participant. Data was collected by using semi-structured questionnaire which comprised of two sections, first part included demographic information and second part included DASS-21 questions. Data was analyzed by using SPSS 24. Results: The overall mean age of sample was 21.14 ± 3.6 years with a range: 17-26 years. Majority of the study participant were females 202 (56.7%) while 154 (43.3%) were males. Depression was found in 67.4%, anxiety in 62.6% and stress in 72.5% undergraduate medical students. Depression, anxiety, and stress was more prevalent among females in comparison with male gender. Conclusion: The current study indicates depression, anxiety and stress were highly prevalent among medical students. For better performance in studies there is a need to take early measures to prevent mental health problem among students. Keywords: Anxiety, Depression, Medical students, Stress
Measuring Average Supraspinatus Tendon Thickness on Musculoskeletal Ultrasound: Variation in Young Adults
Authors: Hussain Syed Ali , Khalid Anum , Javed Samina , Hassan Zainab , Khan Nouman , , Afzal Rabia
Published: November 2022

Background: The human shoulder is one of the most mobile joints of the body but it has less stability as compared to the hip joint which is also a ball and socket joint. Aim: To measure average supraspinatus tendon thickness in young adults, and compare the tendon thickness between genders by using musculoskeletal ultrasound. Study design: Cross sectional study. Methodology: A total of 128 healthy young adults were screened for shoulder pathology using Apley scratch test, Empty Can and Full Can test. The measurements were taken in Modified Crass Short Axis View of Supraspinatus Tendon at 5mm, 10mm and 15mm from Bicep Long Head Tendon and Modified Crass Long Axis View of Supraspinatus Tendon at 5mm, 7mm and 10mm from the highest point of humerus. Data was evaluated by using SPSS version 23. All qualitative data was presented in frequency form and quantitative data was in the form of mean ± SD. Results: There was a significant difference in tendon thickness between males and females. In the long axis view males had thicker tendon as compared to females at 5mm and 7mm in the right side whereas in the left side there was difference at 5mm, 7mm and 10mm from the highest point on the humerus. Within gender comparison showed significant difference in tendon thickness measured in short axis as significant tendon thickness difference measured at 5mm, 7mm and 10mm from highest point of humerus. Conclusion: It was concluded that supraspinatus tendon thickness differed significantly in young males and females. Keywords: Musculoskeletal Ultrasound, Supraspinatus Tendon Thickness, Young Adults, Body Mass Index and Rotator Cuff.
Prevalence of Carpal Tunnel Syndrome among Dentists of Faisalabad
Authors: Mubashra Hafiza , Mehmood Mariam , Malik Shomaila , Zahra Hijab , Mehmood Ayesha , Mukhtar Shanzay
Published: November 2022

Background: Dentists in their practice are daily exposed to work-related vibrations. The important cause of work disability is carpal tunnel syndrome. Methods: In this cross-sectional study data from 100 dentists was collected using convenient sampling technique. Prior to data collection consent form was sent to the respective dental section of government hospitals of Faisalabad. The dentists who met the inclusion criterion were invited to participate in the study. The Diagnosis was made according to clinical tests of Phalen and Tinel. Age, sex, years of experience, working hours per week and the type of procedure were then be considered as dependent variables Results: Overall, prevalence rate of 60% of carpal tunnel syndrome among old aged dentists was observed. Conclusion: The risk of carpel tunnel syndrome increases with age. It also concluded that 60% prevalence rate was found in the dentists. Older dentists of age 35-50 year were included in more risk group than younger 20-25 year. Keywords: Carpal tunnel syndrome, Phalen’s sign, Tinel’s sign, endodontic file
Role of Hematological Parameters in Predicting COVID-19 Disease Severity
Authors: Zahra Syeda Bint-E- , Choudry Jawad Zaffar , Iqbal Hamid , Zameer Huda , Rubab Zill-E- , Mehdi Syed Tasadak
Published: November 2022

Background: Nowadays there is a global crises due to the emergence and spread of corona virus (CoV-19). This is a life threatening problem at present as it causes the severe acute respiratory syndrome corona virus (SARS-CoV). Aim: To explore the value of changes in routine hematological parameters for prediction of COVID-19 disease severity among admitted patients. Study design: Experimental study. Methodology: Patients (n=222) having COVID-19 were enrolled. They were divided into two groups depending on the severity of disease. They were admitted into ITC and non-ITC. All patients underwent CBC and inflammatory markers. Various hematological markers were used as prognostic markers. Independent t-test and Chi square were applied and p value of <0.05 was taken significant. Results: Mean age for ITC patients was 49.40±16.26 while the mean age for patients with mild disease was 40.88±15.48. NLR was significantly increased in ITC patients (p value<0.0001). Among biochemical parameters, serum ferritin, CRP and LDH were significantly increased in patients with severe disease (p value<0.001). D-Dimers were elevated in 68.75% patients of group-A and 17% patients in group-B with p-value<0.0001. Conclusion: We concluded that NLR and d-Dimers are the best hematology parameters in order to predict severity of disease. Keywords: Covid-19, d-Dimers, NLR,NLM and Hematological Parameters.
Normal Knee Joint Spaces in Healthy Young Adults; Radiographic Measurement
Authors: Zamin Yad , Billah Motasim , Ahmad Tariq , Haider Nadia , Kamran Ayesha , Hussain Sabika
Published: November 2022

Background: The weight bearing hinge joint which comprises of two condylar joint is named as knee joint. Objective: The study was carried out to find the radiographic measurements in case of normal knee joints of adults. Study design: It is a prospective study conducted at Orthopedic Department, Mardan Medical Complex and Radiology Department, Institute of Kidney Disease (IKD) Peshawar for the duration of six months from October 2021 to March 2022. Material and Methods: The study was conducted on 170 patients (patients/subjects) who visited the radiology (radiology and orthopedic) department of the hospital. The computerized data was plotted from standard radiographs and the monitoring was carried out to see the progression of degenerative conditions of knee. Statistical analysis was done by using SPSS tool and other software like Microsoft excel were also used for this purpose. The data was shown as mean and standard deviations in case of all variables. The ethical and review board committee of the hospital approved the study. Results: The data was taken from 170 patients. Patients were aware of the study and signed the consent willingly. Among these 170 patients, there were 94 females and 76 males. The average age of the patients participating in this study was 48 ± 13 (38± 13) years. In case of women the average right medial space was 0.25±0.07 (it is mm or cm??) right lateral space was 0.45±0.06, left medial was 0.19±0.08 and left lateral space was 0.44±0.0. In case of male patients, the values of right lateral space, right medial space, left lateral space and left medial space were 0.47±0.07, 0.26±0.05, and 0.47±0.06, 0.23±0.01 respectively. (in other studies normal space is 4.44 medial and 5.62 mm lateral and it is 0.45 and 0.25 mm in our study, I think it shoud be comparable) Conclusion: The study was carried out to find the radiographic measurements of normal spaces of normal knee joint in adults. The AP view was used to observe the bilateral knee joints both medial and lateral sides. The knee joint space width was variable. However, width of left and right side joint space compartments have no difference. There was no statistical variation found between both genders as well. Keywords: Bilateral knee joints, radiographic measurements, joint space compartments, condyles and articular surfaces.
Once vs Twice-Daily Administration of Inhaled Budesonide for Mild and Moderate Well Controlled Childhood Asthma
Authors: Mehmood Tahir , Ali Wahid , Ain Qurat-Ul- , Malik Brig Nazir Ahmed , Siddiqa Samayya , But Rabia Waseem
Published: November 2022

Background: Simplifying dose schedules may improve adherence and morbidity associated with asthma. There is limited data on the effects of once-daily budesonide treatment using a metered dosage inhaler (MDI) and a spacer on asthma symptoms and lung function in children, however. Method: This study was conducted in POF Hospital Wah Cantt Pediatrics Department between Jan 2022 to March 2022.This Study compared the impact of inhaled budesonide doses given once daily versus twice daily on asthmatic children's symptoms, lung function, and bronchial hyperresponsiveness. This research uses a randomised, single-blind, parallel clinical trial. Budesonide was administered to individuals using an MDI at a daily dose of either 800 mg or a fractionated dose of 400 mg twice a day for 12 weeks. For the statistical analysis, we employed both independent and paired sample tests. Results: Asthma symptoms significantly decreased in both groups. However, the once-daily group considerably outperformed the twice-daily group in terms of treatment adherence, reduction in BHR, and improvement in asthma symptoms (p <0.05). No significant variations in spirometric characteristics, morning peak expiratory flow, or plasma cortisol levels were discovered between the two groups. Conclusion: It has been shown that treating symptoms and improving BHR with one daily dose of 800g of inhaled budesonide delivered by MDI + spacer is more effective than dividing it into two doses of 400g each. The differences found in this study may have resulted from patients in the once-daily group adhering to their treatment more closely. Keywords: asthma, once, twice budesonide, wheezing
Therapeutic and Diagnostic Analysis of Cadmium Sulfide Quantum Dots Conjugated with Cysteine, Anticancer Drug and Folate
Authors: Fatima Mehreen , Noel Anadil , Abdullah Zeeshan , Bibi Kainat , Yousaf Shumaila , Aziz Muhammad Nouman , Zafar Chaudhry Muhammad Farhan , Lodhi Madiha Shahzad , Khalid Fatima , Ameen Ayesha , Farooq Sana , Mushtaq Qudsia
Published: November 2022

Background: Nanotechnology is evolving in the field of cancer drug design and cancer therapy. The ultrafine nanoparticles that have a size range of 1-10nm are called Quantum Dots. The ability to fluorescence has deemed quantum dots as suitable candidate for diagnostic imaging. Upon proper structural arrangement these quantum dots can be engineered to detect specifically cancer cells and deliver anticancer agents to the targeted site for cancer cell apoptosis. Aim: Cadmium sulfide (CdS) nanoparticles conjugated with cysteine were prepared by wet method under high temperature and pressure Methods: Folic acid receptor has shown overexpression in multiple types of cancers therefore the binding of folate to the composite ensures that only the cancer cells are targeted and normal cells remain unaffected. HeLa cells were opted to check the composite activity. Results: Composite showed 23% cell death in the first 2 hours of delivery. FTIR analysis confirmed conjugation of CdS with cysteine and further conjugation of dacarbazine and folate to cysteine. The molecules of folic acid attached to cysteine could be measured to be 2.545× 1018 molecules which were attached to 0.996× 〖10〗^22 molecules of cysteine that were attached 1.66 x〖 10〗^(20 ) molecules of CdS. Similarly, 2.3103 × 1019 of doxorubicin were attached to 0.996× 〖10〗^22 molecules of of cysteine attached to 1.66 x〖 10〗^(20 ) molecules of CdS. Furthermore, the cytotoxic nature of Cadmium Sulfide also gives an advantage two way cancer cell death. Conclusion: Quantum dots attached to specific ligands that bind to cancer antigens, antibodies, proteins, Receptors etc. can be used for effective diagnosis of cancer. They can act as probe and detect thousands of molecules simultaneously by using only a small quantity of nanoComposite. Keywords: Cadmium sulfide, Cancer, Quantum dots, Dacarbazine
Clinical, Etiological and Neuroimaging Profile in Children with Microcephaly Under Five Years of Age
Authors: Kulsoom Shazia , Soomro Shazia , Anjum Misbah , Majid Erum , Zuberi Bader Faiyaz , Shahid Rimsha
Published: November 2022

Objective: To describe the clinical, etiological and neuroimaging profile of children with microcephaly at a tertiary care children hospital of Karachi Study Design: Cross sectional study Place and Duration of Study: The study was conducted at neurology outpatient department of National institute of child health (NICH) Karachi from 1st December 2020 to 30th November 2021. Methodology: Patients with microcephaly who presented to outpatient department of National Institute of Child Health (NICH) Karachi were included. Clinical history and physical examination findings were recorded in proforma and neuroimaging was done in all patients including computed tomography or magnetic resonance imaging of brain. Data entry and analysis was done in SPSS 25.0. Results: Total 130 children were enrolled with mean age was 7.17 ±7.1 (range 1-41) months of which male were 57(43.5%) and females were 74(56.5%). Mean weight was 7.74 ±2.9 kg. Mean FOC was 40.6 ±3.3 (range 33-49) cm. common clinical symptoms for presentation were seizures 95 (73%) and developmental delay 95 (73%). Most frequent etiology was birth asphyxia 60 (46%), and neuroimaging shows brain atrophy in 32 (24%). Conclusion: In our study common cause of microcephaly was cerebral palsy and was commonly associated with of epilepsy, developmental delay, hearing and vision problems. Further plans are needed for prevention of perinatal asphyxia by regular antenatal checkups and delivery by trained person with co-ordination between pediatrician and obstetrics along with early identification of danger signs, which may improve outcome and prevent lifelong disabilities Keywords: Microcephaly; developmental delay; seizures.
Evaluation of the Efficacy of the Non-Decompressive Single Stage Bilateral Craniotomy in Treatment of Traumatic Brain Injury
Authors: uallah Akram , Khan Sajid , Zubair Muhammad , Ahmad Sahibzada Haseeb , Jamal Tariq
Published: November 2022

Background: Traumatic brain injury is one of the major health care problem around the globe. It is heterogeneous entity. Traumatic lesions including fracture and hematomas typically require surgery. Objective: The study aimed to analyze the Non-Decompressive Single Stage Bilateral Craniotomy in the patients suffering from traumatic brain injury. Study design: This prospective and single center based study was conducted at the neuroscience department of Prime Teaching Hospital/ Peshawar Medical College for the duration of the six months from January 2022 to June 2022. Material and Methods: Out of all the patients visited the neuroscience department of our institute teaching hospital, only 40 were selected for the study after analysis of the computed tomography images. These 40 fulfilled the inclusion criteria. The ethical and review board committee of our hospital approved the study. The patients willingly signed the consent. The bilateral frontal contusectomy was most commonly used surgical procedure. While other used surgical procedures were contralateral contusion and unilateral epidural hematoma. Results: Out of all the patients admitted in the hospital there were 40 that met all the requirements of the study. There were 30 men and 10 women. Most of the cases were reported in the range of 40-59 age. Middle aged men were mostly effected by the disease. The cases were almost in equal number as far as severity of the Traumatic brain injury is concerned. There were some patients that developed ventilator acquired pneumonia and some of the participants suffered from urinary tract infection along with a case of wound infection. There were some death cases reported as well. There were some of the patients who quit medical advice because of their poor financial state. Conclusion: To deal with traumatic brain injury in an effective way, SSBC can prove to be a safe and cost effective procedure, as it has multiple advantages like single incision, single anesthesia and reduced surgical charges, the management of the patient after operation is similar to that of unilateral procedure. Stay in hospital is also reduced and opposite lesion condition can also be avoided this way. Keywords: Traumatic brain, injury, surgical treatment and unilateral procedures.
STUDI LITERATURE REVIEW PENGARUH STRATEGI DIVERISFIKASI TERHADAP KINERJA PERUSAHAAN DAN MANAJEMEN LABA
Authors: Anggreini Muttia , Aldo Ferdinand , Hany Josefin Rondonuwu Kezia , Auliani Vanka , Meiden Carmel
Published: November 2022

This study aims to identify the elements that can be associated with diversification. Diversification, namely the company carries out a strategy by adding new products but having linkages with existing products (concentric diversification). In other words, diversification has the aim of maximizing the size of the business so as to maximize the profits derived from the expansion of the business segments owned so as to improve the company's performance. However, with diversification, there are also opportunities in matters relating to earnings management which can be explained by agency theory.
IMPLEMENTASI SAK EMKM GUNA PENYUSUNAN LAPORAN KEUANGAN PADA UMKM KOICA MILK SHOP KELURAHAN AIR DUKU KECAMATAN SELUPU REJANG
Authors: Meriana  , Fery Fery
Published: November 2022

Financial Accounting Standards for Micro, Small and Medium Entities (SAK EMKM) have been stipulated by Law Number 20 of 2008 as a standard in the preparation of financial reports for Micro, Small and Medium Enterprises (MSMEs). applied in the financial statements of the MSME Koica Milk Shop, Air Duku Village, Selupu Rejang District.
The method used in this research is descriptive qualitative method and data collection techniques are carried out using library research techniques and field studies. The data used are primary data and secondary data. Based on the data obtained, the authors found the problem is that the financial statements have not been prepared. The company only records incoming milk so that it only produces daily recap data.
The results of this study indicate the preparation of financial statements at the MSME Koica Milk Shop, Air Duku Village, Selupu Rejang District which consists of a statement of financial position, income statement and notes to financial statements. The author suggests that the company should immediately implement the financial statements that the author has made based on SAK EMKM in order to assist in future decision making.
Numerical Solution of High-Order Linear Fredholm Integro-Differential Equations by Lucas Collocation Method
Authors: ELMACI Deniz , BAYKUŞ SAVAŞANERİL Nurcan
Published: November 2022

In this paper, a useful matrix approach for high-order linear Fredholm integro-differential equations with initial boundary conditions expressed as Lucas polynomials is proposed. Using a matrix equationwhich is equivalent to a set of linear algebraic equations the method transforms to integro-differential equation. When compared to other methods that have been proposed in the literature, the numerical results from the suggested technique reveal that it is effective and promising. And also, error estimation of the scheme was derived. These results were compared with the exact solutions and the other numerical methods to the tested problems.
Reliability and Validity of Contemporary Bioelectrical Impedance Analysis Devices for Body Composition Assessment
Authors: Merrigan Justin , Stute Nina , Eckerle Jason , Mackowski Nicholas , Walters James , O’Connor Maegan , Barrett Kristyn , Robert Robert , Strang Adam , Hagen Joshua
Published: November 2022

Introduction: The aim was to determine reliability and validity of bioelectrical impedance analysis (BIA) compared to dual energy x-ray absorptiometry (DEXA). Methods:  Participants (n=93) were fasted and euhydrated (confirmed with urine specific gravity, USG) and underwent anthropometrics, DEXA scan (GE Prodigy), and three repeated trials on each BIA device (i.e., InBody 770, SECA mBCA 514, and FitTrack). A subset of participants (n=36) re-tested 12-weeks later to investigate longitudinal changes. Results: All BIA devices had acceptable within-session reliability (coefficient of variation < 2%). Agreement with DEXA was unacceptable, poor, and moderate for FitTrack (Lin’s Concordance Correlation Coefficient, CCC=0.61), InBody (CCC=0.88), and SECA (CCC=0.91). FitTrack did not demonstrate systematic bias but had wide limits of agreement and larger underestimations occurring at higher BF%. InBody showed systematic underestimations with proportionate bias demonstrating more error at lower BF%. SECA demonstrated no bias but tended to underestimate BF% according to Bland-Altman Plots. Errors in BIA BF% estimates were not related with USG but were associated with DEXA measured BF%. The subtle 12-week changes in BF% did not agree between BIA and DEXA. Conclusions: Caution should be taken when using BIA devices to assess BF% as devices demonstrated unacceptable agreement compared to DEXA.
Zašto se zanemaruje obrazovanje odraslih u Bosni i Hercegovini?
Authors: Žiga Jusuf
Published: November 2022

Bosnian and Herzegovinian society has multiple reasons for adult education or rather lifelong learning. There is a large number of unemployed and the question is, how much are their previously acquired knowledge and skills applicable and ''useful'' for new technologies, even though there is currently room to engage those people. On the other hand, the society is affected by the transitional flow in all segments, from the politics, through economics, to education, culture, helathcare... for which we also need new knowledge and skills. While all developed countries maximally respect lifelong learning, including adult education, without which it is difficult to imagine active participation and much less possible to create a super- dynamic society trends, in Bosnia and Herzegovina it is obviously being marginalised, which is actually a feature of neglected communities who are seem to assume indifference to themselves. Who could really convey interest in this issue? In the article we are dealing with a possible answer to this question.
Pengaruh Penerapan Gaya Mengajar Latihan Terhadap Gerak Dasar Smash Dalam Permainan Bulutangkis
Authors: Lengkong Jan , Piri Nolfie , Rau Denis
Published: November 2022

Rumusan masalah penelitian yaitu apakah penerapan gaya mengajar latihan dapat memberikan pengaruh terhadap gerak dasar smash pada permainan bulutangkis pada siswa SMP Negeri 2 Suluun Tareran? Tujuan penelitian untuk mengetahui pengaruh penerapan gaya mengajar latihan terhadap peningkatan gerak dasar smash dalam permainan bulutangkis pada siswa SMP Negeri 2 Suluun Tareran. Hipotesis penelitian yaitu penerapan gaya mengajar latihan dapat memberikan pengaruh signifikan terhadap peningkatan gerak dasar smash dalam permainan bulutangkis pada siswa SMP Negeri 2 Suluun Tareran. Metode penelitian yaitu metode eksperimen dengan memberikan perlakuan dua kali seminggu dalam satu bulan. Sampel penelitian yaitu 30 yang terbagi dua kelompok, yakni kelompok eksperimen dan kontrol masing-masing berjumlah 15 orang. Data hasil dianalisis dengan menggunakan statistik uji – t, diperoleh hasil bahwa  = 2,682. Berdasarkan tabel distribusi t pada α = 0.05 dengan derajat kebebasan  maka diperoleh  senilai 2.048. Kesimpulan penelitian yaitu penerapan gaya mengajar latihan dapat memberikan pengaruh signifikan terhadap peningkatan gerak dasar smash dalam permainan bulutangkis pada siswa SMP Negeri 2 Suluun Tareran.
Uso de aceites comestibles como solventes para la extracción de compuestos bioactivos: Una revisión (parte A)
Authors: Moreno Wilmer , Velásquez Ingrid , Salinas Nancy
Published: November 2022

Los disolventes alternativos ideales deben tener una alta solubilidad, puntos de inflamación elevados, baja toxicidad y no deben acarrear problemas ambientales. La decisión sobre el disolvente ideal siempre será un compromiso en función del proceso, la disponibilidad de recursos y las moléculas objetivo. Una alternativa viable es el uso de aceites vegetales, los cuales pertenecen a los disolventes de base biológica. Esta revisión muestra el potencial de los aceites vegetales como disolventes ecológicos alternativos en la extracción de compuestos naturales, en particular compuestos fenólicos, antioxidantes, pigmentos y otros metabolitos.
THE EFFECT OF GIVING DATE JUICE ON HEMOGLOBIN LEVELS OF PREGNANT WOMEN IN THE THIRD TRIMESTER ANEMIA AT PRATAMA CLINIC HANUM MEDAN 2020
Authors: Maulidanita Riska , Mardiah Ainun
Published: November 2022

Background: Anemia is a state when hemoglobinlevels, hematocrit and erythrocyte amounts fall below normal values. Anemia generally occurs throughout the world, especially in developing countries and in low-income socio-economic groups.   

Purpose: The research method used is a quasi experimental experiment with a pre-experimental form, One Group Pre- Test-Post Test. The research population is all pregnant women in the third trimester at The Pratama Hanum Medan clinic as many as 20 people. Sampling technique using purpose sampling as many as 15 people.                           

Result: Showed that the average hemoglobin level of respondents who were anemic before being given date juice was 9.467 gr / dL. The lowest hemoglobin level is 9.0 gr/dL and the highest is 10.0 gr/dL. The average hemoglobin level of respondents who were anemic after being given date juice was 11.333 gr/dL. The lowest hemoglobin level is 11.0 gr/dL and the highest is 11.8 gr/dL. Based on the results of the T-test test obtained p value = 0.000.                               

Conclusion: This study is that there is an effect of giving date juice on hemoglobin levels in pregnant women in trimester III who have anemia at The Pratama Hanum Medan Clinic in 2021, where hemoglobin levels with a value of p value = 0.000.
The Relationship Of Elderly Exercise With Decrease Rheumatoid Arthritic Pain Scale In The Elderly At UPT PS Elderly Binjai-Province Social Office North Sumatra Year 2021
Authors: Lase Asrianti
Published: November 2022

Elderly is someone who has reached the age of 60 years and over. People who are elderly (elderly) will experience a decrease in the ability of body tissues to repair themselves. In addition, being included in the elderly group can cause various health, psychological, and socio-economic problems. One of the health problems that often occurs in the elderly is rheumatoid arthritis. Rheumatoid arthritis (RA) is a chronic, multisystemic inflammatory immune-mediated disease characterized by articular and extra-articular manifestations along with systemic manifestations in the form of malaise and fatigue leading to pain. One of the efforts to reduce rheumatoid arthritis pain is by giving elderly exercise. The purpose of this study was to determine whether there was a relationship between elderly exercise and a decrease in the rheumatoid arthritis pain scale in the elderly. Methods: This study uses descriptive analytic with a cross sectional approach with the number of respondents as many as 40 people with purposive sampling technique sampling. The instrument or tool used is a questionnaire. Results: The results of statistical tests using the chi-square test showed that there was no relationship between elderly gymnastics and a decrease in the rheumatoid arthritis pain scale in the elderly at UPT Binjai Social Services, North Sumatra Province Social Service in 2021.
Elevating the Small and Medium Enterprises at Bongan Village by Optimizing the Use of Gonda Plant
Authors: I Gusti Ayu Ari Agustini  , Billy Tanius
Published: November 2022

Purpose – This study aimed at exploring the strategies to elevate the small and micro enterprises (SMEs) at Bongan Village by optimizing the use of Gonda Plants as a unique culinary product to support the economic and tourism sector.  The supply of Gonda Plants is commonly overflowing every harvest time as Bongan Village is well known for its rice fields. The oversupply of Gonda Plants becomes waste thrown away at the field by the Bongan people but it is the potential to be processed as a unique culinary product. Methodology – The research was carried out using a descriptive qualitative research method in which the data used were obtained through observation, interviews, and literature studies. The interview process involved the Bongan people who are running Gonda Plant SME. The data were analyzed using SWOT analysis to find out the suitable strategies by considering its strengths, weaknesses, opportunities, & threats. Findings – Based on the results of the analysis, the strategies that can be implemented to elevate the enterprises are increasing the skills, knowledge, and motivation to run the SMES, building branding and doing promotion, creating a hygiene production house, improving the management, and being active in grabbing the opportunies. Besides, the involvement of the government and other parties is needed to supervise and mentor the SMEs run by the Bongan people. Novelty – The sustainability of SMEs run by the Bongan people can be done alone, it needs help from other parties, especially the government in guiding, facilitating, and supervising.
Determinant Factors Toward Bank Syariah Indonesia (BSI) Customer Loyalty: An Empirical Approach
Authors: Sulistyandari Sulistyandari , Kusumah Alum , Nofirda Fitri Ayu
Published: November 2022

This study examines the effect of Determinant Factors on Bank Syariah Indonesia's (BSI) Customer Loyalty and falls into the quantitative research area. The customers of Bank Syariah Indonesia (BSI) Riau are the sample for this study. The number of samples used in this study was 200, which met the standards. The data was gathered through the distribution of questionnaires, and the secondary data consisted of data or documents that supplemented and enhanced the primary data from books, magazines, journals, and other sources. The WarPLS 7.0 program performs data analysis using Structure Equation Modeling (SEM). Loyalty is the dependent variable in this study, while service quality and trust are the independent variables. These variables assess using a Likert scale using a 1-5 scale to evaluate the indicators of each variable. The results reveal no positive and significant effect between service quality and customer loyalty. However, there is a positive and significant effect between customer loyalty and trust. The study results add to the academic literature, mainly by providing new discussions about theories and literature related to the Determinants of Customer Loyalty Factors in Indonesian Islamic Banks (BSI), which is infrequent.
Work Life Balance And Burnout For Sales Target Oriented Employees In Pekanbaru City
Authors: lamin Lamin
Published: November 2022

LAMIN

Sekolah Tinggi Ilmu Ekonomi Riau, Indonesia

Management Doctoral Program Student

Faculty of Economics and Business, University of Riau, Indonesia

E-mail: lamindal782@gmail.com

                                                                                 

 

ABSTRACT

This study aims to determine the impact of work life balance and burnout on the performance of employees who are sales target-oriented in the city of Pekanbaru. In this study, data were collected through questionnaires to 100 employees of the automotive unit sales force in the city of Pekanbaru. The data analysis technique used is simple regression analysis which serves to prove the research hypothesis. Partially, work life balance has a significant effect on employee performance in the city of Pekanbaru. And also burnout has a significant effect on employee performance in the city of Pekanbaru. Based on the results of multiple regression, it can be concluded that the work life balance and burnout variables together have a significant effect on employee performance variables in the city of Pekanbaru.
OS DESAFIOS PARA A GESTÃO MUNICIPAL DO SUAS EM TEMPOS DE PANDEMIA DO NOVO CORONAVIRUS (COVID-19)
Authors: Campos Eliane Christine Santos de , Martins Ana Claudia Vieira
Published: November 2022

o presente artigo tem como proposta responder a seguinte questão: Diante do reconhecimento da essencialidade da Política de Assistência Social no enfrentamento à pandemia do novo coronavírus, quais desafios foram colocados, a partir das medidas de enfrentamentos apresentadas pelo Governo Federal, aos gestores e trabalhadores do SUAS, nos diferentes municípios do país?
O PROGRAMA AUXÍLIO EMERGENCIAL E OS DESAFIOS PARA GESTÃO MUNICIPAL DO SUAS
Authors: Campos Eliane Christine Santos de , Bomfim Jéssica Caroline M. Silva , Martins Ana Claudia Vieira , Fuentes Ana Cristina Góis
Published: November 2022

A partir dos anos 1990, as políticas de transferência de renda, dentre outras políticas sociais, passam a compor o conjunto de medidas públicas para o enfrentamento à pobreza e às desigualdades sociais ao redor do mundo e, particularmente, no Brasil. De acordo com Marins (2017 apud Marins et al., 2021), a compreensão da pobreza como um problema multidimensional impulsionou os organismos internacionais a inserirem em suas agendas a renda como meio de se atingir o desenvolvimento humano. A pobreza e as desigualdades sociais passaram a ser consideradas como impedimentos ao pleno desenvolvimento nacional e regional
Blockchain-based model for Image Encryption in IoT Communication Environment
Authors:   Department of Applied and Computer Sciences, Barleti University, Albania, Kazia Esmeralda
Published: November 2022

Nowadays, the internet of things (IoT) has become increasingly common and finds application in various fields, particularly in the health care industry. However, the development and design of IoT data analysis methods face some problems such as lack of adequate training data, resource constraints, centralized framework, security, and privacy. In contrast, the increase in blockchain techniques provides a decentralized framework. It is promoted to remove centralized control and resolve the problem of AI as well as allow secured distribution of data and resources to the diverse nodes of IoT system. This paper devises a new IoT with Blockchain based Secure Image Encryption with Disease Classification model.