bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Kualitas Produk Dan Harga Terhadap Keputusan Pembelian Jam Tangan Merek Lorenzo
Authors: Mulyani Sri
Published: July 2022

This study aims to: 1) To determine the effect of product quality on purchasing decisions at Mutiara Arloji store in Lubuk Alung market. 2) To determine the effect of price on purchasing decisions at Mutiara Arloji store in Lubuk Alung market. 3) To determine the effect of product quality and price on purchasing decisions at Mutiara Arloji shop in Lubuk Alung market.

This research is a descriptive and quantitative research on the purchasing decisions of Lorenzo brand watches at Mutiara Arloji store in Lubuk Alung market. Data were collected using a questionnaire and analyzed using SPSS version 16 for window . The sample in this study were 30 people and determined using Accidental Sampling .

Based on the results of the study, it can be concluded: 1) Product quality has a positive effect on purchasing decisions at the Mutiara Arloji store in the Lubuk Alung market. 2) Price has a positive effect on purchasing decisions at the Mutiara Arloji store in the Lubuk Alung market. 3) Product quality and price have a positive effect on purchasing decisions at Mutiara Arloji shop in Lubuk Alung market. With R = 0.750 and Adjusted R Square = 0.562 or 56.20%. With the regression equation Y= 0.616 + 0.335 X1 + 0.537 X2. Suggestions in this study are: 1) Mutiara Arloji Shop to provide Lorenzo brand watches with good durability. 2) Pearl Watch Shops must provide affordable prices in order to compete with the prices of other brands of watches. 3) Pearl Watch Shops must offer Lorenzo brand watches with different variants.
Pengaruh Keputusan Investasi, Keputusan Pendanaan, Dan Kebijakan Deviden Terhadap Nilai Perusahaan Pada Perusahaan Manufaktur Yang Terdaftar Di Bursa Efek Indonesia (BEI) Periode 2016-2020
Authors: Ezizwita Ezizwita , Nurazizah Ratna
Published: July 2022

This study aims to prove and analyze the effect of investment decisions, funding decisions and dividend policies on firm value in manufacturing companies on the Indonesia Stock Exchange for the period 2016 to 2020. This study uses data from several manufacturing companies selected using the purposive sampling method. The data used is secondary data obtained through the information contained in the annual financial statements of the sample companies which can be accessed and downloaded through www.idx.go.id. The data used is from 2016 to 2020. The data analysis method is carried out using panel data regression analysis while hypothesis testing is carried out by t-statistical test and F-statistical test. The stages of data processing are carried out with the help of SPSS version 25. In accordance with the results of testing the first hypothesis, it is found that investment decisions have a positive effect on firm value in manufacturing companies on the Indonesia Stock Exchange. will further increase firm value, while other results find funding decisions and dividend policy have no significant effect on firm value. The findings obtained show that changes in firm value are not only influenced by funding decisions and dividend policies but are also influenced by other variables such as the company's liquidity position, company size or factors originating from outside the company.
Implementasi Program Keluarga Harapan (PKH) Dalam Menanggulangi Kemiskinan (Studi Kasus Di Kecamatan Pariaman Timur Kota Pariaman
Authors: Syahrial Syahrial , Desrina Thazilla
Published: July 2022

The Family of Hope Program (PKH) is a program for providing conditional social assistance to families and someone who is poor and vulnerable who are registered in the integrated data program for handling the poor and processed by the Center for Social Welfare Data and Information which is designated as Beneficiary Families (KPM). This study aims to analyze the implementation of the Family Hope Program (PKH) in overcoming poverty in the East Pariaman District, Pariaman City. This type of research is a descriptive study using a qualitative analysis approach. The data collection technique was carried out by direct observation to the research location and interviewing predetermined research respondents. Respondents of this study were the Social Service, Coordinator of PKH in Pariaman City, PKH Facilitator in East Pariaman District. Based on the results of the research, the implementation of the Family Hope Program (PKH) in reducing poverty in Kota Pariaman has been running well, but has not been on target. When viewed from the condition of PKH beneficiaries, they use it to help with health, education and social costs and make PKH participants aware of the importance of education and health services.
Kepemimpinan Autentik Dan Perilaku Inovatif: Keterikatan Kerja Sebagai Mediasi Studi Pada Sekretariat Dewan Provinsi Riau
Authors: Nugroho Agung , Handayani Ririn , Abdillah M. Rasyid
Published: July 2022

This research was conducted at the Civil Servants of the Riau Provincial Council Secretariat with the aim of examining the role of work engagement in mediating the relationship between authentic leadership and employee innovative behavior. The population of this study amounted to 196 employees. As for the research sample size, the authors use a table from Krejcie & Morgan, 1970 of 132 which was taken using systematic sampling. Analysis of the research data using descriptive statistics and verification analysis, as an analytical tool used Structural Equational Model which is processed with SmartPLS2 Software. The results of the analysis prove that at the Secretariat of the Riau Provincial Council, the more effective the authentic leadership, the more likely it is to increase the innovative behavior of employees; and an increase in the authentic leadership behavior of the leader accompanied by better employee engagement and innovative behavior.
Hubungan Antara Loneliness Dengan Fear Of MissingOut Pada Remaja Yang Menggunakan Instagram Di SMA Pertiwi 1 Kota Padang
Authors: Fenia Selvi Zola , Nastasia Krisnova
Published: July 2022

The purpose of this study was to determine whether there is an influence between loneliness (loneliness) and fear of missing out among teenage students who use Instagram at SMA Pertiwi 1 Kota Padang. The variables in this study consisted of two variables, namely the loneliness tool and the fear of missing out. The research method used in this research is quantitative research methods. The measuring instrument used is a Likert scale questionnaire based on the loneliness scale and the fear of missing out scale. The sampling technique used is random sampling, with a total of 90 people, namely teenage students who use Instagram in high school. Pertiwi 1 Padang City The results of the study found that 16% of the loneliess level  was low and 70% was moderate, meanwhile 17% of the teenage students had a high level ofloneliness.
A Study of Evaluation of Platelets as a Predictive Parameters in Severe Dengue Fever
Authors: Bochiwal Sumit Kumar , Vinod Vishakha , Shukla Deepak
Published: July 2022

Introduction: Dengue fever is a common arthropod borne viral fever presenting with thrombocytopenia. There are number of study on thrombocytopenia and its correlation with severity of dengue fever, but results are conflicting. We want to study level of platelet count and its correlation with various complications of dengue like bleeding, DIC, hepatitis, shock etc. We would also like to evaluate platelet trends (increasing or decreasing) with various complication and outcome. Methods: It was prospective observational study over the period of one year. 90 Indoor patients with dengue with thrombocytopenia were studied after inclusion and exclusion criteria. Data entry and analysis was done in Microsoft excel through Descriptive statistic,’t’ test and chi-square tests. Results: In uncomplicated cases the mean platelet count was 54077± 42277 and in complicated cases the mean platelet count was 29500± 23197. This signifies platelet count were low in complicated dengue fever. This suggests that platelet count is surrogate marker of severity of dengue fever. With improving platelet count, most of patients survived, while patients with decreasing trend suggested poor outcome (p: less than 0.01) with 53 time higher chances of expiring as compared to patient with increasing trend of platelet(odd ratio:53.64). Severe thrombocytopenia was related with high mortality rate. Conclusion: From this study, we recommend that absolute platelet count and more specifically change in platelet count trend (increasing or decreasing) should be monitored closely as it can be used as a predictor of severity of dengue fever.
Covid-19 Vaccination among Adolescent Population of a Hilly District in North India: Experience Sharing With Impeding and Facilitating Factors
Authors: Kumar Jitender , Gupta Atul , Kumar Rajesh
Published: July 2022

India in its fight against COVID-19 pandemic launched its mass vaccination campaign on 16th January, 2021. Adolescent vaccination for 15-18 year age group was started from 3rd January 2022 onwards with COVAXIN only. In addition to challenges during adult vaccination of 18+ populations, there were added challenges pertaining to adolescent vaccination. This article briefly describes the planning and execution of adolescent vaccination at a district level in a hilly state of North India. Also enlisted are challenges faced and the facilitating factors those contributed in achievement of near 90% vaccination coverage among targeted group in a time of less than one week.
Socio-Demographic Profile and Treatment Outcomes of Tuberculosis Patients Diagnosed In a Government Civil Hospital of Northern India: A Cross-Sectional Study
Authors: Chadha Rishabh , Kumar Jeevan
Published: July 2022

Background: Tuberculosis remain a worldwide public health problem and is one of the top 10 causes of death globally. Millions of people continue to fall sick with TB each year. We conducted the present study to evaluate the Socio-demographic Profile and treatment outcomes of Tuberculosis Patients Diagnosed in a Government Civil Hospital of Northern India. Material and Methods: This cross-sectional record-based study was conducted at Civil Hospital Jogindernagar of Himachal Pradesh. We collected information using a self-designed, structured questionnaire containing information regarding various sociodemographic and clinical variables. Information was collected from Tuberculosis (TB) notification register kept at DOTS centre. Statistical analysis was done using statistical software Epi Info v7.2.2. Results: There were total 74 patients of tuberculosis were registered from Jan 2020 to June 2020 at DOTS center in Civil Hospital, Jogindernagar, Himachal Pradesh Among the total, 54 27(73%%) were 21-60 years of age. Mean age of patients were 44.78±17.01 years. Majority of patients, 56(75.7%) were male and 51(68.9%) belong to lower middle class. 46 (62.25) were pulmonary TB cases while 28 (37.8%) were extra pulmonary cases. Among the total, 26(35.1%) cases were clinically diagnosed, 11(14.9%) cases were Clinically diagnosed or Diagnosed by FNAC while 37(50.0%) cases Microbiological confirmed cases. 29( 39.2%) cases were Contact of TB/DRTB Cases , 29(39.2%) were tobacco user while 16(21.6%) had other risk factors. None of the case Reactive HIV status, 8(10.8%) had Diabetes while 27(35.5%) had associated Cervical lymphadenopathy. 71(95.8%) were cured after completing ATT, 1(1.4%) were become defaulter , 1(1.4%) Shifted to MDR Treatment and (1.4%) was died. Conclusion: Study concluded that most of the patients were males, belonged to lower socioeconomic status , in productive age group and of pulmonary TB. Treatment success rate is good but still need to improve, to make it 100 percent.
Limberg Flap for Pilonidal Sinus: Feasibility and Outcomes at Secondary Health Care Level
Authors: Sharma Manish , Sharma Uma
Published: July 2022

Pilonidal sinus is a common disease in adults of 15-40 years of age hirsute males, jeep and truck drivers. Limberg flap has been recommended as the first line treatment for primary and recurrent disease. There is reluctance of general surgeons to perform the procedure at secondary health care level. This study was undertaken to check feasibility of flap surgery and compare outcomes at secondary health care level. In our study Limberg flap was done for all patients (total 10) of Pilonidal Sinus from December 2020 to November 2021.One case was associated with flap edema and two cases with persistent discharge from tip which subsided by 3 weeks. All patients were successfully treated and returned to work in 4 weeks. There was no recurrence. Limberg flap for Pilonidal sinus is a simple and easy to perform transposition flap even at district level hospital with a very low complication and recurrence rate.
Self-Inserted Urethral Foreign Body
Authors: Sharma Manish , Sharma Uma
Published: July 2022

Self insertion of foreign body in a male urethra is rare. Foreign bodies are mostly inserted by intoxicated, confused, and sexually curious individuals. In addition to a suitable method of surgical removal, counseling and psychiatric evaluation are often necessary to prevent recurrences.
A Cross Sectional Study to Assess the Profile and Knowledge Levels and Stigma among Tuberculosis Patients in a Medical College in North India
Authors: R Singh , . Priyanka , D Dhadhwal , A Mahajan , V Barwal
Published: July 2022

Introduction: Globally, Tuberculosis (TB) remains a major public health problem. It is one of the top 10 causes of death worldwide.According to World Health Organization (WHO) TB report 2019, globally, an estimated 10 million people fell ill with TB in 2018. Material and Methods: A cross-sectional study was conducted among the patients of tuberculosis diagnosed at I.G.M.C. Shimla to assess the profile of T.B patients and assess the knowledge levels and stigma among the patients. Results: Among all the participants enrolled for study (52.38%) were males. Only 19 % were educated up to university level. Among all the participants, 47.6% were unemployed.Among all the patients included in the study, extra pulmonary tuberculosis was diagnosed in 54.3% patients visited I.G.M.C Shimla.27.6% of participants were exposed to TB patients at home or workplace. Conclusion: There is high proportion of extra pulmonary tuberculosis among study participants. Diabetes mellitus, HIV and COPD were detected as co-morbidities in participants.Social stigma was present in study participants for seeking treatment.
Determining the Factors Responsible For the Delay in Diagnosing and Seeking Medical Care in Patients Infected With Tuberculosis: A Critical Analysis
Authors: R Singh , G Singh
Published: July 2022

Tuberculosis is a lethal disease, which is caused by bacteria Mycobacterium tuberculosis complex, is one of the oldest diseases known to affect humans and a major cause of death worldwide. Tuberculosis continues to be a huge burden of disease against the human population and it is a major killer of the human population after HIV/AIDS. Tuberculosis is highly prevalent among the low socioeconomic section of the population and marginalized sections of the community. Through this article we wish to review the factors responsible for the delay in diagnosing and seeking medical care in patients affected with tuberculosis.
The Effect of Whatsapp Group-Based Health Media on Knowledge, Attitudes and Behavior of Breast Cancer Early Detection of Health Students
Authors: Sarasmika Ni Putu , Parwati Ni Wayan Manik , Teja Ni Made Ayu Yulia Raswati , Haryati Ni Putu Sri
Published: July 2022

Background: Breast cancer is a malignancy that develops from breast tissue that arises in the lining cells (epithelium) of the ducts or lobules. Breast cancer is one of the burdens of non-communicable diseases globally, increasing every year. Breast cancer is one of the most common cancers globally with 2,089 million new cases. One of the preventions of breast cancer that every woman can do is Breast Self-Examination (BSE). The objective of this study was to determine the effect of Whatsapp Group-based health promotion on the knowledge, attitudes, and behavior of early detection of breast cancer in health students in Badung Regency. Method:This study uses a cross-sectional research design with a total sample of 54 respondents. The study was conducted in one of the private universities in Badung Regency. Data were analyzed using SPSS, including univariate and bivariate analysis with the Wilcoxon signed-rank test. Result: The results found that the Whatsapp Group-based health promotion affected health students’ knowledge, attitudes, and behavior in Breast Self-Examination (BSE). This can be seen from the p-value of each variable, including knowledge (less than 0.001), attitude (less than 0.001), and behavior (less than 0.001).Conclusion: Counseling about BSE with health promotion media through Whatsapp Group is useful in increasing the knowledge, attitudes and behavior of health students
Profile of clients attending a Non Communicable Diseases clinic of a tertiary care Institute: A Cross sectional Study
Authors: Ali Darakshan , Farooq Uroosa , Nazir Muzamil
Published: July 2022

Introduction: Non communicable diseases (NCDs) kill 41 million people each year, equivalent to 71% of all deaths globally. Each year, 15 million people die from a NCD between the ages of 30 and 69 years; over 85% of these "premature" deaths occur in low- and middle-income countries. Objective: The objective of this study was to assess the profile of clients attending NCD Clinic of a tertiary care institute. Methodology: Opportunistic screening of patients and attendants above 30 years of age attending different clinics of the department of community medicine for various risk factors of NCDs including Obesity, smoking and physical activity. Blood pressure and blood sugar measurements were also taken. A total of 148 people were screened. All those screened received counseling on healthy lifestyle and prevention of NCDs. Results: 89.2% had a sedentary lifestyle and 7.4% were current smokers and 12.8% were obese. 2.7% has raised blood pressure and 4.1% had raised blood sugar at the time of screening and were referred for further investigations. Out of the 148 people screened 20 were known hypertensives, 10 were diabetics and 4 had both hypertension and diabetes and 2 had other comorbidities. Conclusion: A considerable proportion of people screened were found to be at risk of NCDs. Proper counseling at the appropriate time would help in preventing NCDs among such people. Also many of the people screened were found to have high blood pressure or raised blood sugars and needed to be referred for further management.
Ebola Virus Disease-Induced Teenage Pregnancy and the Health Support System in the Masuba Community, Bombali District, Sierra Leone
Authors: Kargbo Maurice Baimba , Kamara Idris Ortameson
Published: July 2022

Teenage pregnancy continues to be one of the social barriers to the human resource development of Sierra Leone. It limits the educational progress of the girl child. The situation was a national concern in the year 2015 immediately after the Ebola Virus Disease (EVD) out-break as teenage pregnancy of school going children reached its record highest in Sierra Leone, and demanded a change in the Education policy to encourage their class attendance and sitting to public examinations. This research was, therefore, conducted in one worst-hit community in the Bombali District, the Masuba community which has a Government supported Maternal and Child Health Center that could recount better for the mishap so that useful information to support Government to respond to the menace would be generated. To ensure this, the research employed a desk research in which information contained in the records of the Masuba Health Center, which was the only functioning health facility in the Masuba Community that responded to the affairs of pregnant and lactating mothers was collected. The research sought to ascertain the surge in teenage pregnancies, number delivering at the health facility complications at their deliveries, Government’s intervention on family planning in the health facility occasioned by the EVD outbreak in the Masuba community. The research found out that there was a marked increase in the number of teenage pregnancies in the Masuba community, with such reduced complications in the middle period of the outbreak; teenage mother deliveries were overwhelmingly safe with only a few referrals; Government Family Planning interventions during the EVD outbreak were the non-injectables, non-invasive, and sensitization, while that the pre and post-EVD outbreak period were counseling, pregnancy test, alongside with the injectable, pills, condoms, and invasive methods.
Mechanical Ventilation and Its Association with Ocular Surface Disorders among Patients Admitted In Adult Intensive Care Unit of a Tertiary Care Hospital
Authors: Sharma Ankush , Tuli Rajeev , Sharma R. K. , Kumari Usha , Singh Devender Pal
Published: July 2022

Background: Present study was done to evaluate the Mechanical ventilation and its association with Ocular Surface Disorders among Patients admitted in Adult Intensive Care Unit. Material and Methods: It was a prospective observational study carried in AICU over period of one year by Department of Ophthalmology, Dr. RPGMC Kangra at Tanda. All the patients who were admitted in AICU greater than 48 hours between ages of 18-65 years were included and evaluated for socio-demographic information like age, gender, Mechanical ventilation etc. Thorough ophthalmic examination was also done for ocular surface disorders and analysed using epi info v7 software. Results: A total of 126 patients were included in the study. Mean age of the study participants was 41.8 years. Maximum patients, 23.8% of the patients were in age group of 51 and 60 years followed by 23% between 21 and 30 years and 41 and 50 years each. 64.3% of the patients were males while 35.7% were females. 74 (58.7%) of the patients had ocular surface disorders. In the present study, 66.7% of the patients were on mechanical ventilation at 48 hours. At the end of first week, 63% patients were on mechanical ventilation while at the end of second week, 54.5% patients were on mechanical ventilation. At the end of fourth and fifth week, none of the patients was on mechanical ventilation. In the present study, the association between presence of mechanical ventilation and ocular surface disorders was statistically significant. Conclusion: The present study concluded that the patients who were on mechanical ventilation had significantly higher number of ocular surface disorders.
Analysis of Balanced Nutrition Consumption Behavior During the Covid-19 Pandemic At Binatama Health Vocational School, Yogyakarta
Authors: Djannah Sitti Nur , Suryani Dyah , Hastuti Nuri
Published: July 2022

Teenagers’ food consumption patterns during the COVID-19 pandemic are very important, to keep the body healthy and avoid infectious diseases such as Covid-19. This study aims to analyze the consumption behavior of balanced nutrition that still needs attention from the students of SMK Kesehatan Binatama so that it can be used to produce health promotion programs for students. This research is a qualitative descriptive study. Secondary data from the results of previous studies. Both closed behavior (such as knowledge, attitudes) and open behavior of students in consuming balanced nutrition, where students' understanding still answered incorrectly, or their attitude negative. It is presented and concluded. The results showed that the knowledge, attitudes, and roles of teachers towards students regarding balanced nutrition during the covid 19 pandemic were mostly good, only in terms of behavior that required attention, namely about the lack of action in terms of 1) maintaining regular weight gain during the covid-19 pandemic for normal weight (54 out of 84); 2) eat fruit at least 2 times a day during the covid-19 pandemic (47 out of 84); 3). reducing consumption of sweet, salty and fatty foods during the covid-19 pandemic (52 out of 84); and 4). do physical activity/sports for at least 30 minutes a day during the covid-19 pandemic (59 out of 84). Then the role of parents is mostly good, the only thing that needs attention is regarding excessive consumption of snacks during the COVID-19 pandemic has not received the attention of parents (43 out of 84).
Role of Haemocytometry in Early Predicting COVID 19 Infections, a Comparison Study Between Non Vaccinated and Vaccinated Cases
Authors: Alshabkhoon Sadeel Osama Taha , Taher Hiba Rafea , Mahmood Esraa Adel
Published: July 2022

Although the novel pandemic COVID-19 a primary respiratory tract infection, it is a multi-systemic illness, and has an important impact on the haemopoeitic cells. The purposes of this study is to concentrate on the possibility of utilizing the haemocytometric results in predicting the infected cases during epidemic periods. Methods: A total 220 cases included in this study, (118 males, 102 females), divided into 3 groups, 1st group represent those of second wave of pandemic COVID-19 in Iraq, 2nd group during period of third wave , and 3d group includes post vaccine infection. Using the 5 diff sysmex autonalayzer for complete blood count as a rapid, informative, cheap test. Results: About 1/3d of group 1 and 2 (37%, 33%) respectively are presented with leukocytosis while no one of vaccinated group, in opposite to leucopenia, more common in 3d group (25%),while in group 1and 2only few (8%, 11%) cases respectively. Thrombocytopenia is infrequent in all three groups. The differential white blood cell count is symmetrical in 1st and 2nd group, all patients presented with eosinopenia followed by high N/L ratio (84%, 92%) -whether due to neutrophilia and/or lymphopenia, or both within normal range-, this is not the finding in post-vaccinated group, eosinopenia presented in 25%, of cases and neutropenia is the most common finding 31% in 3d group, while lymphopenia is rare in third group.
A Case of Pleural Effusion and Ascites Associated With Acute Hepatitis A
Authors: Sharma Shubham , Shad Roha
Published: July 2022

Hepatitis A virus (HAV) infection is common in developing countries, including India. It can be accompanied by extra-hepatic complications such as renal failure, arthritis, and vasculitis. Pleural effusion is a very rare complication of HAV infection, which has been reported usually in children, and has benign clinical courses. Here we report a case of pleural effusion with ascites which occurred in an adult hepatitis A patient. A 26-year-old-man presented with generalized myalgia and fever and was diagnosed as acute hepatitis A. Despite of the improvement of laboratory findings, fever and cough persisted. Pleural effusion newly appeared on the serial chest radiologic images. After the fever settled down, the pleural effusion resolved spontaneously at 2nd week of admission.
Motor Neuron Disease: A Case Report with Review of Literature
Authors: Sharma Shubham , Chauhan Nidhi
Published: July 2022

Motor neurone disease (MND) is an uncommon neurodegenerative disease that affects the brain and nerves. It causes weakness that gets worse over time. There's no cure for MND, but there are treatments to help reduce the impact it has on a person's daily life.
Occurrence of Type 1 Diabetes Mellitus Two Years after Diagnosis of Graves’Disease in A Child
Authors: Akinola Ibironke , Akinyosoye Gbenga , Ademokoya Olufemi , Okoro Bertha
Published: July 2022

Graves’ disease (GD) and type 1 diabetes mellitus (T1DM) are auto-immune conditions that are frequently encountered independently in the practice of endocrinology. Both endocrinopathies can however be encountered in the same patient. In children, T1DM has been severally reported to develop first with onset of GD after many years. We report the case of a -9- year old girl with GD who developed T1DM shortly afterwards.
Co-Morbidities and Post-Operative Complications in Patients of Acute Intestinal Obstruction at Tertiary Care Institute of North India
Authors: Sharma Rohit , Chandel U. K. , Kaundal Ashok
Published: July 2022

Background: There is limited information on the post operative complications and associated co-morbidities for bowel obstruction. Present study was done to evaluate the Co-Morbidities and Post operative complications in Patients of acute intestinal obstruction at IGMC Shimla. Material and Methodology: This cross sectional study was done among total of 50 patients admitted with features of acute intestinal obstruction in the general surgery department of Indira Gandhi Medical College Shimla, randomly selected during the period from 15 June 2019 to 15 June 2020. Data regarding Socio-demographic Characteristics, Co-Morbidities and Post operative complications was extracted and analysed using Epi Info Software v7. Results: The study showed the peak incidence of Intestinal obstruction in the age group 51-60 (11) and 61-70(10) years .Mean age in our current study was 53 years and male to female ratio was 3:1. In present study diabetes (18%) was the most common co-morbidity followed by hypertension (10%). Surgical site infection (SSI) was the most common post-operative complication (33%) followed by respiratory tract infection (17%) and septicemia (7%). This study shows that major complications occurred in patients having both hypertension and diabetes. Patients with diabetes are more liable to complications than hypertension. Conclusion: Our study concluded that diabetes and hypertension were the most common co-morbidities while Surgical site infection, respiratory tract infection and septicemia (SSI) were the most common post-operative complication among patients of Acute Intestinal Obstruction.
Management and Outcomes among Acute Intestinal Obstruction Patients Admitted At Tertiary Care Institute of North India
Authors: Sharma Rohit , Chandel U. K. , Kaundal Ashok
Published: July 2022

Background: Acute intestinal obstruction continues to be one of the commonest surgical emergencies. Present study was done to evaluate the Management and outcomes among acute intestinal obstruction patients admitted at IGMC Shimla. Material and Methodology: This cross sectional study was done among total of 50 patients admitted with features of acute intestinal obstruction in the general surgery department of Indira Gandhi Medical College Shimla, randomly selected during the period from 15 June 2019 to 15 June 2020. Data regarding Socio-demographic Characteristics, Management and outcomes was extracted and analysed using Epi Info Software v7. Results: The study showed the peak incidence of Intestinal obstruction in the age group 51-60 (11) and 61-70(10) years .Mean age in our current study was 53 years and male to female ratio was 3:1. In our study patients of intestinal obstruction were managed more commonly surgically 30 (60%) than conservative 20 (40%). Among the 30 patients managed surgically, Adhesiolysis was done in 8 patients, Resection and anastomosis in 7 patients, Resection anastomosis and stoma creation in 5 patients, Hemicolectomy in 6 patients, Appendicectomy in 2 patients, Transverse loop Colostomy in 1 patient and De-rotation with sigmoidopexy in 1 patient. In the present study of 50 patients, 2 patients died. All death were due to Septicaemia and ARDS. Conclusion: Our study concluded that most of cases of Acute Intestinal Obstruction were managed surgically. Adhesiolysis, Resection and anastomosis, Resection anastomosis and stoma creation and Hemicolectomy were the common mode of surgical management. All death occurred due to Septicaemia and ARDS.
Screening for Intercellular Adhesion Gene Cluster Genes Staphylococcus aureus Isolated from UTI Cases
Authors: Farhan Faten Othman , Köksal Fatih , Nijris Osama  Nahdom , Farhan Aliah Othman , Ahmed Waleed Khalid , Alantake Hasan
Published: July 2022

144 urine samples were collected from persons suspected of urinary tract infections, their ages ranged from 7 to 60 years. Some pathogens of urinary tract infections were investigated, diagnosed, and antibiotic sensitivity tested. The percentage of patients with diabetes and pregnant women was also investigated, in addition to comparing patients between age and gender. The results showed the results of isolation and diagnosis of Staphylococcus aureus showed 15.27% of the number of (22) samples and were divided into age groups. The present study evaluated the ability of biofilm formation and the presence of (icaA) and (icaD) genes among strains of staphylococci isolated from patients with urinary tract infection. The presence of (icaA) and (icaD) gene was also determined by PCR technique the Biofilm development is common among Staphylococcus aureus isolated from urinary tract infections .The sensitivity of Staphylococcus aureus bacteria was tested to 10 antibiotics, and the highest sensitivity was to an antibiotic Methicillin 91%, and 86.3% towards Amoxicillin. It also gave an 81%percentage to an antibiotic Levofloxacin and Gentamicin. It is also being less sensitive to an antibiotic Ethromycin. The bacteria showed moderate sensitivity to an antibiotic Rifampicin 86.36% and to an antibiotic vancomycin 81.81% and it was less moderate sensitivity to an antibiotic Methicillin and Ethromycin 4.54%. The bacteria showed a high resistance to an antibiotic Ethromycin 90.90% and also to an antibiotic Tetracycline 81.81%, While there was no resistance to an antibiotic Rifampicin 0.0%. Through the study of the statistical analysis, it was shown that there are significant differences, that is, that there are differences in the effect of antibiotics on bacteria, and it was the best four antibiotics and had an effect on the sensitivity of bacteria it is Methicillin, Gentamicin, Levofloxacin and Ciprofloxacin.
Evaluation of Serum Lactate, pH and Procalcitonin Level as a Prognostic Indicator for Mortality among Secondary Peritonitis Patients in a Tertiary Care Hospital
Authors: Thakur Preet , Chandel U.  K. , Kaundal A. K.
Published: July 2022

Background: The present study was carried out to evaluate the serum lactate, pH and procalcitonin level as a prognostic indicator for mortality among secondary peritonitis patients. Material and Methods: This cross sectional study was conducted by Department of Surgery, IGMC, Shimla over a period of twelve months from January 2021 – December 2021 among patients with a diagnosis of secondary peritonitis after fulfilling the inclusion and exclusion criteria. Relevant information was collected and further analysed by using IBM SPSS Statistics. Results: A total of 250 individuals with a diagnosis of perforation peritonitis were assessed. Of the total, 32 (12.80%) passed away while 218 (87.20%) were discharged. Mean Pre (AL1), Postoperative (AL24) lactate level and Absolute lactate clearance (AL1 - AL24) was 2.48±1.42 and 1.74±1.52 and 0.74 mmol/L respectively. There was significant difference in the AL1 and AL24. Mean AL1 in expired patients was 3.78±2.24 mmol/L while among discharged patients it was 2.29 ±1.15 mmol/L and its increased level was significantly associated with mortality. The mean AL24 in expired patients was 3.67±3.18 mmol/L while among discharged patients it was 1.45 ±0.76 mmol/L and its increased level was significantly associated with mortality. The mean AL1 - AL24 in expired patients was 0.11±2.79 mmol/L while among discharged patients it was 0.84 ±1.1- mmol/L and its decreased level was significantly associated with mortality. Mean Pre (pH1), Postoperative (pH24) pH level and Procalcitonin was 7.33±0.10 and 7.35±0.11 and 0.88±0.80 ng/ml respectively. Mean pH1 in expired patients was 7.16±0.09 while among discharged patients it was 7.36 ±0.08 and its decreased level was significantly associated with mortality. The mean pH24 in expired patients was 7.17±0.13 mmol/L while among discharged patients it was 7.38 ±0.07 and its decreased level was significantly associated with mortality. The mean Procalcitonin level in expired patients was 2.58 ±1.26 ng/ml while among discharged patients it was 0.63 ±0.18 ng/ml and its increased level was significantly associated with mortality. Conclusion: The study concluded that increased Pre (AL1), Postoperative (AL24) lactate and Procalcitonin level while decreased Absolute lactate clearance (AL1 - AL24) , Pre (pH1) and Postoperative (pH24) pH level was significantly associated with mortality.
Socio-demographic Characteristics of Idiopathic Dilated Cardiomyopathy Patients
Authors: Verma Vikant , Chauhan Shailja
Published: July 2022

Background: Idiopathic Dilated Cardiomyopathy(DCM) is generally an irreversible heart muscle disease with approximate prevalence of 1:2500 and amongst the most frequent cause of heart transplantation. This study was conducted to evaluate the socio-demographic characteristics of Idiopathic Dilated Cardiomyopathy patients in a tertiary care hospital.Material and Methods: This was a cross sectional study carried out in the Department of Cardiology at PGIMER, Chandigarh. A total of 34 patients aged between 20-60 years, diagnosed with idiopathic dilated cardiomyopathy from outpatient departments and inpatient wards scrutinized following protocoled set exclusion criteria were evaluated.Results: Among the total 34 patients 25 (73.5%) were males and 9 (26.5%) were females (M:F=2.7:1). Among them 23 (67.6%) were less than 40 years old while 11 (32.4%) were >40 years old. The mean age of the patients was 40.44 (S.D.± 10.42). Total patients with LVEF less than 25% were 18, out of which 3 (16.7%) were female and 15 were male (83.3%). Among these 3 (16.7%) were >40 years and 15 were less than 40 years (83.3%). Total patients with LVEF>25% were 16, out of which 10 males (62.5%) and 6 females (37.5%).Among these 8 (50%) were >40 years and 8 were less than 40 years (50%). Total patients with RVEF less than35% were 11, out of which 2 (18.2%) were female and 9 were male (81.8%). Among these 3 (27.3%) were >40 years and 8 were less than 40 years (72.7%). Total patients with RVEF>35% were 23, out of which 16 males (69.6%) and 7 females (30.4%). Among these 8 (34.8%) were >40 years and 15 were less than 40 years (65.2%).Conclusion:Present study concluded that most of patients ofIdiopathic Dilated Cardiomyopathy patients were males and less than 40 years old.
A Cross-Sectional Study to Evaluate the Knowledge Regarding Menopausal Phenomenon among Menopausal Women in a Hilly State of Northern India
Authors: Sharma Pallavi , Kumar Mohinder
Published: July 2022

Background:Women all over the world now have to spend almost 1/3rd of their lives in menopausal years. Therefore, menopause now is a concerning matter to maintain and improve women’s health. This study was done to evaluate the knowledge regarding Menopausal Phenomenonamong menopausal women in a hilly state of Northern India. Methods:This cross sectional survey was conducted amongst themenopausal women residing in the state of Himachal Pradesh, using Google forms. The questionnaire was circulated among both rural and urban residents of the state for responses using online modes like e-mail and social media platforms like Whatsapp groups, Facebook, Instagram and Linkedin till the 400 responses were collected. Data was analyzed using Epi info V7 Software. Results: Among the total 400 participants, 150(37.5%) from urban area while 250(62.5%) were from rural area. Among the participants, majority 240(60.0%) were between 51-60 years, 165(41.25%) were Middle pass, 366 (91.5%) were employee, 380(95.0%) were married and 383 (95.75%) were Hindu. In the present study 16(4%) Menopausal women had very good knowledge (16-20 marks) towards Menopausal phenomenon, 156(39%) had good knowledge (12-15 marks), 192(48%) having fair knowledge(8-11 marks) and 36(9%) having poor knowledge (less than 8 marks). Conclusion: This showed that majority of menopausal women had inadequate knowledge regarding Menopausal phenomenon. The awareness towards menopause should be increased by IEC (information, education, and counseling), so as to help these women to live their postmenopausal years more healthy and active.
Knowledge Regarding Breast Feeding as Well as Complementary Feeding Among Postnatal Mothers in A Hilly State of Northern India: A Cross-Sectional Study
Authors: Kumar Mohinder , Sharma Pallavi
Published: July 2022

Background: Breast milk provides the newborn with all of the nutrients they require in the appropriate amounts and contributes to their overall health, whereas complementary feeding is required to deliver the energy and crucial nutrients for sustained growth and development. Present study was carried out to evaluate the knowledge towards breast feeding as well as complementary feeding among postnatal mothers of Himachal Pradesh. Methodology:This cross sectional survey was conducted among the postnatal mothersresiding in the state of Himachal Pradesh, using Google forms. The questionnaire was circulated among all over the state for responses using online modes like e-mail and social media platforms like Whatsapp groups, Facebook, Instagram and Linkedin till the 400 responses were collected. Data was analyzed using Epi info V7 Software. Results:Among the total 400 Post Natal Mothers, maximum 238(59.5%) were having age between 26-30 years, educated up to Matric and Senior Secondary 185(46.25%) , Hindu 382(95.5%), Housewife 298(74.5%), Multigravida 281(70.25%) and delivered in government hospitals 290(72.5%).In the present study 66(16.5%) postnatal mothers’ had very good knowledge (16-20 marks) towards breast feeding , 259(64.75%) having good knowledge (12-15 marks), 70(17.5%) having fair knowledge (8-11 marks) and 5(1.25%) having poor knowledge (less than 8 marks) towards breast feeding.Similarly, 39(9.75%) postnatal mothers’ had very good knowledge (16-20 marks) towards complementary feeding , 288(72%) having good knowledge (12-15 marks), 54(13.5%) having fair knowledge (8-11 marks) and 19 (4.75%) having poor knowledge (less than 8 marks) towards complementary feeding. Conclusion: During the antenatal period, every Postnatal Mother should receive proper breastfeeding assistance and education in addition to complementary feeding information, and all of their myths should be appropriately debunked.
Marine Actinomycetes: A Review
Authors: Balaji R. , Devika R. , Sathya A. B.
Published: July 2022

The marine environment is a prolific resource for the isolation of less exploited microorganisms, and as a matter of fact in the sea, untapped habitats exist with unique characteristics. This is partly caused by the lack of effort spent in exploring marine actinomycetes, whereas terrestrial actinomycetes have been, until recently, a successful source of novel bioactive metabolites. Furthermore, scepticism regarding the existence of indigenous population of marine actinomycetes arises from the fact that the terrestrial bacteria produce resistant spores that are known to be transported from land into sea, where they remain available but dormant for many years. Thus, it has been frequently assumed that actinomycetes isolated from marine samples are merely of terrestrial origin. It may be better to seek evidence instead that marine derived actinomycetes are metabolically active or capable of growing in the marine environment. Other useful characteristics include the display of specific marine adaptations, the formation of associations with plants or invertebrates and the demonstration of a role in nutrient cycling, all of which provide an indication that these bacteria are not merely present as dormant spores. When coupled with phylogenetic novelty, evidence for any of the above traits provides a strong case that the specific population under study can be considered as marine. As marine organisms live in a significantly different environment from those of the terrestrial organisms, it is reasonable to expect that their metabolites will differ considerably. Although actinomycetes can be readily isolated from marine sediments using appropriate selective isolation techniques, it is only through the use of molecular phylogenetics, a clear picture of the diversity, distributions and taxonomic uniqueness of certain populations can be obtained. Once recognized as unique, this population can then be selected as the focal point for intensive natural product studies. Clearly, actinomycetes have the potential to continue to play a major role in microbial drug discovery, and the recent observations on significant population of marine-adapted actinomycetes occur in ocean sediments, could certainly emphasize the potential importance of these strains in future drug discovery efforts.
Process Optimization for the Development of Shelf Stable Ready to Eat Tomato Curry in See through Retort Pouch
Authors: Dinakaran Ammu , Babu Ninisha , Raman Maya , Ravindran Akshaya , Sankar T. V. , Gopal T.  K Srinivasa
Published: July 2022

Ready to eat tomato curry in see through retort pouches was developed using steam air retort. The product was found to be commercially sterile after retorting to an F0 value of 7.34 minutes. The heat penetration characteristics of the product was studied and revealed a total process time of 30.38 minutes to attain the above F0 value and the cook value was 66.03 minutes. The characteristics of the see through retort pouch used for the study was analysed and our results showed that it had good barrier properties and is suitable for food contact applications. Tomato is known as a rich source of lycopene, thus in this study the ready to eat tomato curry was also analysed to determine the changes that occurred in the lycopene content during processing. Shelf life studies conducted revealed a shelf life of one year at ambient temperature (26 to 28°C).
Development, Physiochemical characterization and Histopathological studies of Pasteurized Bilimbi (Averrhoa bilimbi L.) Syrup
Authors: Dinakaran Ammu , Babu Ninisha , Vijayan Divya K , Raman Maya , Gopal T. K.Srinivasa
Published: July 2022

Averrhoa bilimbi commonly known as bilimbi, is starchy and nutritious fruit rich in ascorbic acid and minerals. The study was aimed for the development of pasteurized bilimbi syrup, a value added and shelf stable product from bilimbi and thereby increase its market value. The heat penetration characteristics during pasteurization of the syrup packed in polypropylene bottles were studied. 29% of bilimbi syrup diluted using potable water to a concentration of 21ºBrix was selected by the sensory panel to serve as ready to drink after dilution. Animal studies to detect histological changes in cardiac, renal and hepatic tissues of experimental rats fed with bilimbi syrup did not show any changes in morphology. Shelf life of the product at ambient conditions (25 to 28ºC) was determined by analyzing the physiochemical changes in the product during storage for a period of 10 months. pH increased from 3.23 to 3.75, titratable acidity decreased from 2.54 to 1.07% of oxalic acid, total sugar increased from 59.59 to 65.07g/100g and ascorbic acid decreased from 44.61 to 34.25mg/100g on the eleventh month. The color of the product showed a rapid change affecting the L* value which decreased from 49.19 to 28.25. The sensory acceptability of the product also decreased which was below the acceptable level on the 11th month. Hence shelf life of pasteurized bilimbi syrup was estimated as ten months at ambient conditions.
Improving The Storage Characteristics Of Sheep Meat By Using The Remnants Of The Pomegranate Juice Industry: A Review
Authors: Al-perkhdri Adnan Shakor Ahmed
Published: July 2022

The use of synthetic antitoxins in food has been reduced due to their suspected carcinogenic effect, as well as to the general consumer rejection of synthetic food additives. Several studies have indicated that the use of synthetic toxicants is beginning to be restricted due to their health risks and toxicity. Therefore, the importance of replacing synthetic toxicants with natural ingredients in spices and other plant materials has increased significantly. Tanning agents have been widely used in folk medicine of many cultures. Recently, tanning and even fermented materials have been shown to have a high percentage of antioxidant auctivity. Tanning materials are an important food sources of the antioxidant phenolic compounds. Tanning agents are known for their many health-promoting and visible wound-healing properties. Antimicrobial auctivity, anticancer property, antisclerotic and antioxidant.