bluuebunny/crossref_metadata_2025 huggingface dataset:
Impact of General Hygiene Behaviors on Oral Hygiene Among Adolescents of Ghaziabad - A Cross-Sectional Study
Authors: Ahsan Iram , Menon Ipseeta , Gupta Ritu , Arora Vikram , Das Dipshikha , Ashraf Asifa
Published: February 2022

Background:

There is the presence of plenty of evidence supporting the unidimensionality of hygiene behaviors inferring oral hygiene and general hygiene is correlated. More than two-third of India's population still lives in rural areas; therefore, this study is also conducted in the rural areas only. Rural areas generally tend to have poor general hygiene behaviors because of sociodemographic and educational factors and that directly affect the oral hygiene behaviors.

Aim:

The aim of this study is to assess the impact of general hygiene behaviors on oral hygiene among adolescents of Ghaziabad district of Uttar Pradesh.

Materials and Methods:

Data were collected from 800 adolescents among 510 households from all the four blocks of Ghaziabad district. A pretested questionnaire was used to assess the demographic variables, oral hygiene, and general hygiene behaviors. Oral hygiene was assessed using oral hygiene simplified index, and general hygiene behaviors were recorded using the four indices related to drinking water index (score 0–3), food index (score 0–3), personal hygiene index (score 0–3), and domestic household hygiene index (score 0–6) and one summary hygiene index (SHI; range 0–15). Statistical analysis was performed using the Statistical Package for the Social Sciences (SPSS) software version 20.0.

Results:

More than 50% of the study participants had a low level of general hygiene. A significant association was observed between general hygiene (SHI) and oral hygiene of the individuals.

Conclusion:

The present study demonstrates significant association between general hygiene and oral hygiene behaviors among adolescents.
Evaluation of General Dentist's and Dental Student's Knowledge About Emergency Management of Dentoalveolar Trauma in Bojnurd, North Khorasan, Iran
Authors: Mahsa Dastpak , Fateme Masoumi , Mina Norozi Khalili , Amir Rajaey
Published: February 2022

Background:

Traumatic dental injuries (TDIs) are one of the most common dental problems among children and adolescents, which usually occur in the anterior parts of the mouth and have great impact on the patient's physical and mental health. Therefore, dentist's knowledge and effective measures in the treatment of TDI are the most important factors in improving the prognosis of these teeth.

Aims:

The aim of this study was to evaluate the knowledge of general dentists working in Bojnurd and also 6th-year dental students about the treatment of such injuries.

Materials and Methods:

In this cross-sectional study, a questionnaire was provided to 70 general dentists and 6th-year dental students, including personal information and questions related to the knowledge of general dentists, on how to deal with various TDIs by available methods. Data were analyzed using t-test, Chi-square test, Kruskal–Wallis test, and analysis of variance, Spearman's, and Pearson's correlation coefficient.

Results:

Regarding general dentists' knowledge about dentoalveolar trauma: 39 (55.7%) were moderate, 28 (40%) were good, and 3 (4.3%) were excellent. The mean value knowledge of dentists and dental students was 8.18 ± 1.98. There was no significant relationship between age, gender, place of work, university of study, desire for education, and self-evaluation of dentists and level of awareness (P = 0.26,P= 0.61,P= 0.47,P= 0.93,P= 0.35, andP= 0.57, respectively).

Conclusions:

The results of our study indicate that majority of the participants are moderately aware of TDIs and the type of treatment, and due to the increasing prevalence of dental trauma and its high complications, especially in children, the need to make appropriate plans to update the level of knowledge of general dentists in the management and treatment of TDI increases.
Impact of COVID on management of urological cases in a tertiary care non-COVID institute
Authors: Chandra Vipin , Bharti Vishrut , Tiwari Rajesh , Kumar Vijoy , Ahmad Ahsan , Upadhyay Rohit , Mahmood Khalid , Ranjan Nikhil
Published: February 2022

Background:

Health-care systems across the globe have been overwhelmed by coronavirus disease-19 (COVID 19). It has affected non-COVID patient management as well. While service, hospital-oriented data on effect of the pandemic on urological diseases have been published, there is scarce data on patient-centered issues in urology, particularly from India. Hence, we planned this study to determine the impact of COVID on management of urological cases.

Materials and Methods:

This is a prospective observational single-center study conducted at Indira Gandhi Institute of Medical Sciences, Patna, from April 2020 to November 2020. Consecutive non-COVID adult patients presenting to the indoor, outdoor, and telemedicine services of the urology department of our institute were included. Patients who were moribund, having altered sensorium, severe cardiorespiratory illness, unable to understand and respond, and those unwilling to participate were excluded from the study. A questionnaire-based data were collected. The same interviewer explained the questionnaire to patients in their own language (English/Hindi/Bhojpuri) either in person or telephonically and recorded the findings.

Results:

Two hundred consecutive patients were screened. One hundred and fifty were included in the study. Mean age of patients was 50 ± 3.2 years. One hundred and five patients were male. Thirty-eight patients had comorbid conditions. One hundred and thirty-seven patients reported delay to consult an urologist since development of the first urological symptom. The average delay was 68 ± 20 days. Thirty-two patients suffered COVID-19 disease during the urological illness. One hundred and twelve were advised for urology consultation after the first evaluation at a local health-care center. The reasons cited for delay by these patients (n = 112) were lock-down and reduced/unavailable public transport (n = 20) and fear of contacting corona infection (n = 10), both (n = 56), suffered COVID-19 (n = 18), and others (n = 8). The distance of patients' residence from the hospital was median 50 km, with interquartile range of 5–254 km. One hundred and three patients received definitive treatment and 47 were still undergoing delays due to various reasons. Sixty-two patients were advised surgery. 25 of these 62 were found to have complications due to delay.

Conclusion:

Delay in all aspects of management of urological illness, including consultation, work up, and definitive treatment was observed. Of all who were advised surgery, about 40% were found to have complications due to delay in surgery.
The clinical and radiological assessment of biplanar and uniplanar distal locking screw in tibia interlocking nail
Authors: Kumar Ashutosh , Kumar Rishabh , Shanker Anand , Kumar Rakesh , Sagar Vidya , Kumar Santosh
Published: February 2022

Background:

The clinical and radiological assessment of biplanar (two coronal and one sagittal) and uniplanar (only two coronal) distal locking screw in tibia interlocking nailing.

Materials and Methods:

Fifty-one patients who had tibial shaft treated with intramedullary nailing were included in this study. Out of 51, 26 fractures were treated with uniplanar two distal interlocking (Group 1) and 25 fractures were treated with biplanar three distal interlocking (Group 2). Patients with closed fractures shaft of tibia treated by closed nailing were included. Fracture unions were evaluated clinically and radiologically.

Results:

Union time was shorter in biplanar (two coronal and one sagittal) distal interlocking group (Group 2) compared to uniplanar (only two coronal) distal interlocking group (Group 1). Mean union time in Groups 1 and 2 were 9.34 and 5.16 months, respectively.

Conclusion:

Biplanar (two coronal and one sagittal) distal interlocking procedure had a significantly shorter union time. Clinically, an average of 5–10' of external rotation of the leg was observed in Group 1, whereas 0–3' of external rotation of the leg was observed in Group 2 patients. Biplanar distal interlocking had more fracture union, probably because of a more stable fixation.
Post-COVID, neurosurgical interventions in rhinocerebral mucormycosis, an institutional experience
Authors: Singh Samrendra Kumar , Kumar Dhananjay , Kumar Brajesh , Kumar Brajesh , Kanaujia Niraj , Gupta O. P. , Jha K. M. , Singh Rakesh Kumar
Published: February 2022

Objective:

Mucormycosis is an opportunistic, fungal infection, often lethal fungal infection which occurs in immunocompromised patients. However, in this second phase of COVID-19, we faced many post-COVID mucormycosis cases at our institution, IGIMS, Patna. We present our experience in eight patients with this condition who underwent neurosurgical interventions.

Patients and Methods:

A prospective study for eight patients underwent neurosurgical interventions for rhinocerebral mucormycosis. All cases were operated by same surgeons from ENT and Neurosurgery.

Results:

Total 42 patients referred for neurosurgical opinion, out of that eight patients taken for neurosurgical interventions. Out of 8, seven patients had COVID reverse transcription-polymerase chain reaction (RT-PCR) positive and treated with steroid and oxygen inhalation and one patient had fever but COVID RT-PCR was negative and treated at home with oxygen cylinder. All of them were treated with either liposomal amphotericin B/amphotericin B or oral posaconazole. Sinus surgery was performed in all eight patients by ENT surgeons, two underwent orbital exenteration by eye surgeon, five patients underwent open craniotomy for cerebral infection while in two patients, cerebral exploration done endoscopically. Six patients survived, while two patients died.

Conclusion:

Patients with rhino-cerebral mucormycosis spreading outside the sinonasal cavity to the base of brain can be treated successfully to some extent by neurosurgical interventions.
Leukoplakia
Authors: Thakur Nidhi
Published: February 2022

Aim:

Leukoplakia is a common premalignant lesion associated with the use of tobacco. This study was carried out to determine the prevalence of leukoplakia in a defined population.

Materials and Methods:

In this study, 300 patients were included who reported to the outpatient dental department of Anugrah Narayan Magadh Medical College and hospital. The age, sex, and prevalence of leukoplakia were assessed in these patients.

Results:

The study revealed a prevalence of 2% in the defined group of populations.

Conclusion:

A high prevalence of leukoplakia needs a closer follow-up of these patients and a generalized screening for all the patients reporting to the dental department is required to reduce the number of premalignant conditions and lesions turning into malignancy.
A meta-analysis of quality assessment reports using prevalidated tool to evaluate the quality of health-care services in three-core domains biomedical waste management, Hospital Infection Control Practices, and Patient Safety Practices in government health-care organizations of U.P.
Authors: Harsvardhan R. , Srivastava Ankita , Mehrotra Ayush , Singh Saurabh , Gupta Gaurav , Kumari Shweta , Alvi Saima
Published: February 2022

Background:

Improper biomedical waste management (BMWM) poses a serious threat not only to health-care providers and patients but also to the community and environment at large; hence, with an aim to promote cleanliness, hygiene, and infection control practices in government health-care facilities, GoI launched “Kayakalp-Swacchta Guidelines for public health facilities.” A meta-analysis of quality assessment reports of five government hospitals of U.P. was done with an aim to evaluate the quality of health-care services in three-core domains (BMWM, Hospital Infection Control Practices [HICPs], and Patient Safety Practices [PSPs]).

Materials and Methods:

Meta-analysis of quality assessment reports pertaining to three domains (BMWM, HICP, and PSP) drawing preidentified parameters from therein was done using purposive sampling technique. Data acquisition was based on record review, patient interview (PI), staff interview, and observation and vendor interview. Parameters were scored for compliance with 2, 1, and 0 score for complete, partial, and noncompliance, respectively.

Results:

The average compliance of five health-care organizations with respect to the conformance with quality parameters was 77.85%. Wherein, domain-specific scores were 81.42% for BMWM, 78.15% for HICP, and 64% for PSP. The individual highest score in the domains observed was 91.2%, 93.6%, and 100%, respectively. The individual lowest score observed was 58.7%, 49.09%, and 14%, respectively.

Conclusion:

It can be safely concluded from the overall average compliance score that quality of health-care services pertaining to the three preidentified domains in the health-care organizations is satisfactory; however, the wide gap in the individual highest and lowest score suggests an eminent need for pragmatic strategy toward improvement.
Three-dimensional laparoscopic treatment of situs inversus totalis combined with gastric cancer: Case report with review of literature
Authors: Huang Shaoxiong , Lin Wei , Qiu Xiantu
Published: March 2022

Situs inversus totalis (SIT) is a rare congenital disease. Due to the abnormal distribution of blood vessels in the organs of SIT patients, the anatomical structure is different from that of normal people, which increases the difficulty of surgery, especially laparoscopic surgery. However, there are few reports on the treatment of SIT combined with gastric cancer surgery by three-dimensional (3D) laparoscopy. Here, we describe a case of SIT combined with gastric cancer who underwent 3D laparoscopy-assisted distal radical gastrectomy in March 2021 and with a brief review of the literature.
Findings in COVID-19 Cases and Protocols to be Followed in Dental Operatories
Authors: Sawhney Anshul , Ralli Megha , Dhar Shishir , Saimbi Charanjit Singh
Published: February 2022

Coronavirus-causing pandemic flu known as COVID-19 originated in Wuhan, China, in December 2019 and since then has spread worldwide. It is a single-stranded RNA virus of betacoronavirus family ranging from 60 to 140 nm in diameter. Its genome is similar to that of SARS and MERS. Patients present with fever, cough, malaise, headache, etc., Various tests such as nucleic acid testing, reverse transcription-polymerase chain reaction, and antibody testing are available. Laboratory tests show leukocytosis with lymphopenia and occasionally thrombocytopenia. Few biomarkers such as ferritin, C-reactive protein, procalcitonin, lactate dehydrogenase, and interleukin-6 are under study to predict the outcome of patients. Mainly, the virus is seen affecting the lungs with hyaline membrane formation, resulting in acute respiratory distress syndrome. Cases affecting kidney and gastrointestinal system are also seen. Self-quarantine and social distancing are effective measures to prevent the spread of this disease. The spread of coronavirus has posed significant challenges for dentistry and medicine. Most of the dental procedures are aerosol producing called as bioaerosols which consist of particles from saliva, blood, dental plaque, calculus, gingival fluid, oronasal secretions and microparticles from tooth preparation. This review gives an insight on the ways to reduce aerosols, standard measures and protocols to be followed to maintain the hygiene levels in the operatory, and the ways to reduce the viral load in this COVID era to prevent the spread of SARS-CoV-2 via human-to-human transmissions.
Standardization of Purisha Pariksha with Special Reference to Jala Nimajjan Vidhi
Authors: Uikey Rajesh , Kar Anukul Chandra
Published: February 2022

Backgroud:

Jala-Nimajjan Purisha Pariksha is an ancient method that has been described in all most all the Samhitas, which was done to assess the presence of Ama (undigested substance) in the stool. Ama is an important factor which is considered generally as the root cause of all the diseases. So, this technique was considered as an important tool to ascertain the presence of Ama in the stool. This is a simple method in which stool mass is dropped on water and observation is being made whether stool floats or sinks. If stool sinks, then it is associated with Ama or otherwise if it floats, then it is Nirama (digested substance).

Aim:

The aim of the study was to standardize the procedure of Jal-Nimajjan Purisha Pariksha.

Materials and Methods:

The present study is broadly divided into two parts: Part-I a pilot study for standardization of Jala-Nimajjan Purisha Pariksha in terms of physical parameters And Part-II: study on features of Jala-Nimajjan Purisha Pariksha in apparently healthy volunteers along with routine and microscopic examination of stool. Thirty apparently healthy volunteers were selected from BHU campus.

Results:

This study showed a significant result in correlation with textual descriptions of Ayurveda regarding Agni and Purisha Pariksha. Statistically, Chi-square test was applied to obtained data and analyzed by SPSS software version 6.

Conclusion:

This method is more important because it can detect the Ama before its manifestation of symptoms in the whole body. Whenever there is abnormality of Agni in the body, it has a direct effect on digestion. If Agni does not work properly, then Ama is produced in the intestine. Stool is the first excretory substance produced as a result of digestion. If any changes occur in the bowel, it will be seen first in stool and can be detected by Jala-Nimajjan Purisha Pariksha.
Health-care Staff Beliefs and Coronavirus Disease 2019 Vaccinations
Authors: Rad Mina Kianmanesh , Fakhri Ahmad , Stein LAR , Araban Marzieh
Published: February 2022

Introduction:

Health-care worker desire to receive coronavirus disease-2019 (COVID-19) vaccination can affect public perception and adoption of vaccination. The present study surveyed the health beliefs of health-care staff regarding COVID-19 vaccination.

Methods:

In this cross-sectional online survey conducted in Iran between May and June 2021, 537 health-care staff (73.8% females) participated. Health-care staff were assessed on the following constructs: health locus of control, trust in the health-care system, subjective norms, fear of COVID-19, attitude and feelings toward vaccination, physical distancing, intention to engage in preventative behaviors, and perceived behavioral control. Multivariate logistic regression models were used to examine the influence of demographic, clinical factors, fear of COVID-19, and health beliefs, in predicting openness toward vaccination.

Results:

About 67.5% of subjects received COVID-19 vaccination (first or second dose), with 57.2% reporting feeling confident in getting vaccinated and 32% expressing hesitancy in getting vaccinated. Trust in the health-care system, fear of COVID-19, and positive attitude toward vaccination were significantly higher in vaccinated participants than unvaccinated ones, P < 0.05.

Conclusion:

Being vaccinated and openness toward vaccination are influenced by health-care professionals' demographic and clinical characteristics, and health perceptions (i.e., fear of COVID-19). Whereas being overwhelmed with fear of COVID-19 is unadvisable, realistic concern balanced with appropriate action (e.g., vaccination) may be reasonable.
Individual Characteristics and Demographics Associated with Mask Wearing During the COVID-19 Pandemic in the United States
Authors: Liu Echu , Arledge Samantha
Published: February 2022

Introduction:

Many scientific studies provide evidence of mask wearing as an effective strategy to reduce the spread of the COVID-19 virus. However, US citizens do not adhere to this prevention practice universally. Although past studies have shown disparities in mask wearing by age, gender, ethnicity, and location, the literature lacks a work that uses large-scale national survey data to understand the mask-wearing resistors' characteristics and demographics. This study's purpose is to fill this gap.

Methods:

We obtained this study's data from the COVID-19 Impact Survey, a nationally representative survey conducted by NORC at the University of Chicago. This survey aims at generating national and regional statistics by surveying representative regional and national samples in three time periods: April 20–26, 2020, May 4–10, 2020, and June 1–8, 2020. Data for our analysis are from the public-use files of these three waves. We performed logistic regressions to estimate the adjusted risk ratio (ARR) of not wearing masks for several personal characteristics and demographics.

Results:

Our results suggest that younger (average ARR = 1.66) and lower-income (average ARR = 1.51) adults are more likely not to wear a face mask to prevent the coronavirus spread. On the other hand, unhealthy (average ARR = 0.81), female (average ARR = 0.68), and minority (average ARR = 0.65) adults are less likely not to wear a mask. Furthermore, residents in the Northeast region (average ARR = 0.34) and urban residents (average ARR = 0.54) are less likely not to wear a face mask.

Conclusion:

Mask-wearing behavior differs by age, income, health status, gender, race, region, and geographical residence in the US.
A Comparison of Cognitive Behavioral Therapy and Acceptance and Commitment Therapy Received by Patients with Major Depressive Disorder Following Traumatic Brain Injury for Emotional Status and Quality of Life of Their Caregivers
Authors: Faghihi Ali , Zanjani Zahra , Omidi Abdollah , Fakharian Esmaeil
Published: February 2022

Introduction:

Caregivers of individuals who sustained a traumatic brain injury (TBI) experience psychological problems that are linked to emotional status of their injured relatives. This study intends to compare the effect of cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT) received by depressed TBI survivors on their caregivers.

Methods:

This was a single-blind, parallel-group, randomized controlled trial conducted between September 2018 and June 2019 at a teaching hospital in Iran. Participants were the 20–60-year-old persons who provide care to TBI survivors for 1–4 years. The survivors were randomized to receive either CBT (n = 24) or ACT (n = 24), or to stay on the waiting list (WL, n = 24). The family caregivers completed Depression Anxiety Stress Scale-21 (DASS-21) and 12-Item Short-Form Health Survey (physical, SF12-PCS; mental, SF12-MCS) before, after, and 3 months following the treatments.

Results:

All caregivers were analyzed (completers = 83.33%). Between-group differences were not significant (Ps > 0.5; small effect sizes) except at follow-up, where the differences on DASS21-Depression (P < 0.05; Glass's Δ = −0.635; 95% confidence interval [CI]: −0.729, 0.296) and SF12-MCS (P < 0.05; Glass's Δ = 0.751; 95% CI: −0.36, 0.807) were significant between caregivers of CBT recipients and WL. Moreover, a medium effect size on SF12-PCS (P > 0.5; Glass's Δ = 0.538; 95% CI: −0.416, 0.731) and SF12-MCS (P > 0.05; Glass's Δ = 0.507; 95% CI: −0.425, 0.772) was observed between caregivers of ACT recipients and WL at follow-up.

Conclusion:

Treating depression in TBI survivors can affect psychological status of their family caregivers. CBT received by TBI survivors is effective for improving caregivers' depression and mental quality of life.
Change of intraocular blood flow during treatment for thyroid eye disease
Authors: Mimura Masashi , Nishikawa Yuko , Inagaki Keiko , Sato Yohei , Fujita Yasushi , Kikkawa Don O.
Published: February 2022

To report a sequential observational study of changes in the retinal and choroidal blood flow during medical and surgical treatments for a thyroid eye disease (TED) patient, using optical coherence tomography angiography (OCTA) and laser speckle flowgraphy (LSFG). A 28-year-old man with a history of Graves’ disease diagnosed 8 months prior was presented in the active phase of TED. His clinical activity score (CAS) was 6, but without diplopia or visual loss. Intraocular pressure measurement was OD 20 mmHg and OS 24 mmHg. Thyrotropin receptor antibody (TRAb) and thyroid-stimulating antibody levels were 18.8 IU/L and 4347%. Magnetic resonance imaging revealed enlargement of both extraocular muscles and fat compartments in both orbits. The patient underwent IV pulsed steroid therapy (1 g/day, 3 days) followed by an oral prednisone for 1 month. His CAS score decreased to 4. Bilateral orbital fat decompression decreased his final CAS score to 1 in both eyes. Intraocular blood flow was measured using laser speckle flowgraphy (LSFG), and OCTA was performed. Retinal blood flow increased slightly, but choroidal blood flow showed a robust increase. Choroidal blood flow measured using both LSFG and OCTA was negatively correlated with the CAS score and TRAb. In our case report, the ocular perfusion, especially choroidal blood flow, may decrease in active TED, which may be reversed by medical and surgical treatment.
Visual outcome of intraocular Iris–Claw lens implantation in Indonesian children with ectopia lentis
Authors: Yulia Dian E. , Barliana Julie D. , Soeharto Diajeng A.
Published: February 2022

PURPOSE:

The purpose of the study was to describe the visual outcomes of anterior chamber iris–claw intraocular lens (IOL) implantation in pediatric ectopia lentis.

MATERIALS AND METHODS:

A retrospective review was conducted on the medical records of children with ectopia lentis who underwent primary anterior iris–claw IOL implantation at a national referral hospital in Indonesia in the years 2013–2020. Primary outcomes include visual acuity (VA) and postoperative complications. Postoperative data were collected at 1-year follow-up.

RESULTS:

A total of 26 eyes of 17 patients were included, the average age at surgery was 9 (5–14) years. Uncorrected VA significantly improved (P = 0.000) from an average of 1.6 ± 0.35 logMAR preoperatively to 0.7 ± 0.33 logMAR postoperatively, best-corrected VA also significantly improved, and 77% of eyes that achieved a postoperative best-corrected VA of 0.3 logMAR. Postoperative complications were reported in three eyes, including elevated intraocular pressure, IOL de-enclavation, severe inflammation, and endophthalmitis; all cases were promptly treated and had good visual outcomes. The mean onset of complications was roughly 3 months (77 ± 129 days) after surgery.

CONCLUSION:

Anterior iris–claw implantation in children with ectopia lentis appear to be effective in achieving good visual outcome. With its relatively simple technique, anterior iris–claw implantation can potentially serve as a favorable option for the treatment of pediatric ectopia lentis. Long-term prospective research with larger sample sizes is needed.
Subcutaneous tocilizumab for active thyroid eye disease refractory to orbital radiation and systemic steroids in tobacco smokers
Authors: Stevens Shanlee M. , Pirakitikulr Nathan , Lee Bradford W.
Published: February 2022

PURPOSE:

Tocilizumab (TCZ) through intravenous infusion has been shown to effectively treat active thyroid eye disease (TED) refractory to systemic steroids. TCZ is also available as a self-administered subcutaneous injection, but data demonstrating the efficacy of this formulation are limited. This study investigated the efficacy and safety of subcutaneous TCZ (SC-TCZ) for the treatment of active, moderate-to-severe TED in smokers.

MATERIALS AND METHODS:

This retrospective clinical case series evaluated the clinical outcomes and adverse effects of SC-TCZ when taken for a minimum of 4 months by patients with moderate-to-severe TED and a current or recent history of cigarette smoking.

RESULTS:

Three patients received SC-TCZ every 1-2 weeks (4.6-11.2 mg/kg/month). The average pre-to-posttreatment clinical activity score reduction was 5.4, and proptosis was reduced by an average of 2.0 mm. No serious adverse effects were reported.

CONCLUSION:

SC-TCZ may be a useful and effective therapy for treating challenging cases of inflammatory TED and offers a safe alternative to office or hospital-based infusions. Further studies are needed to better understand optimal dosing regimens and relative efficacy compared to monthly TCZ infusions and other immunotherapies.
Investigating the secondary care system burden of CRSwNP in sinus surgery patients with clinically relevant comorbidities using the HES database
Authors: Hopkins C. , Conlon S. , Chavda S. , Hudson R. , Rout R.
Published: March 2022

Background: Chronic rhinosinusitis with nasal polyps (CRSwNP) is a chronic condition that can adversely affect quality of life for patients. There is no cure for CRSwNP, and patients may require intermittent systemic corticosteroids (SCS) and surgery in addition to intranasal treatment throughout their lifetime. This places a significant burden on the NHS which can be compounded by comorbid conditions such as asthma or NSAID-exacerbated respiratory disease (NERD). Patients with comorbidities are likely to experience higher rates of surgery and more secondary care visits. The aim of this study was to evaluate revision rates and the associated burden for patients with CRSwNP undergoing surgery and compare this to sub-cohorts of patients with comorbidities. Materials and Methods: This study has utilised the Hospital Episodes Statistics (HES) database across a ten-year time period (April 2010 to March 2020) to investigate the NHS resource use attributable to CRSwNP for all patients with the condition who have undergone sinus surgery, and to examine the burden of clinically relevant sub-groups. Results: Our results showed that 101,054 patients underwent at least one sinus surgery in relation to their nasal polyps, with Kaplan Meier survival analysis estimating that the 10-year probability of revision is between 71-90% for comorbid patients, and 51% for non-comorbid patients. Patients with a relevant comorbid condition in addition to their CRSwNP were up to 4.7 times more likely to undergo at least one revision surgery during the ten-year analytical time window when compared to patients without a comorbidity. Further to this, comorbid patients had a higher tariff associated with their CRSwNP care across the analytical time window and were therefore likely to be more costly to the healthcare system. Conclusions: In conclusion, this study demonstrates that there is a high burden attached to CRSwNP-related sinus surgery and that comorbidities are a key driver of NHS resource use.
Efektifitas Manajemen Penghimpunan Zakat Pada Badan Amil Zakat Nasional (BAZNAS) Kota Ternate
Authors: Sapsuha Maskur , Nainggolan Basaria
Published: March 2022

The Effectiveness of Zakat Collection Management at the National Amil Zakat Agency (BAZNAS) of Ternate City-This study aims to analyze the effectiveness of the management of zakat fund collection carried out by the amil zakat agency. The National Amil Zakat Agency (BAZNAS) is a state institution authorized to administer (collect) zakat, infaq, and shodaqoh. The BAZNAS Ternate collects zakat from Civil Servants in the Ternate City Government. However, the realization of the collection of zakat from civil servants has not been effective, as indicated by the low amount of zakat collected from civil servants. Qualitative field research method with primary data is interviews with BAZNAS Ternate commissioners and secondary data documents relevant to the management of zakat fund collection in BAZNAS Ternate city. The results of the study stated that the management of zakat collection was less effective because of the weakness of the prospective muzakki outreach strategy, inappropriate socialization methods, and lack of publicity.
UJI AKTIVITAS ANTIBAKTERI SEDIAAN SALEP EKSTRAK ETANOL DAUN SENGGANI (Melastoma malabathricum L.) TERHADAP BAKTERI staphylococcus aureus
Authors: Novasella Novasella , Rahmatullah St. , Wirasti Wirasti , Pambudi Dwi Bagus
Published: March 2022

Daun Senggani (Melastoma malabathricum L.) adalah  gulma yang mengadung senyawa kimia flavonoid, saponin, tanin, dan steroid/terpenoid. Penelitian ini bertujuan untuk mengetahui bahwa salep ekstrak etanol daun senggani dapat dibuat menjadi sediaan salep yang memenuhi persyaratan dan untuk meneliti aktivitas antibakteri dari formulasi salep ekstrak etanol daun senggani terhadap bakteri Staphyllococcus aureus. Metode uji aktivitas antibakteri menggunakan difusi sumuran dengan kosentrasi ekstrak 6,8 dan 10% dengan kontrol negatif yaitu salep tanpa ekstrak dan kontrol positif menggunakan salep gentamisi. Hasil penelitian berupa besar diameter zona hambat dari setiap formulasi dan pemenuhan persyaratan fisik sediaan salep meliputi uji organoleptis, homogenitas, pH, daya sebar, daya lekat,viskositas, cyling tes dan uji iritas. Hasil penelitian menunjukkan bahwa ekstrak Daun Senggani dapat diformulasikan  menjadi sediaan salep yang memenuhi persyaratan fisik. Hasil dari uji Aktivitas Antibakteri  terhadap bakteri staphyllococcus aureus termasuk kategori kuat pada setiap kosentrasi  yaitu F1 6%  11,04 mm, F2 8% 11,24 mm dan F3 10% sebesar 11,47mm. terdapat perbedaan yang signifikan pada aktivitas antibakteri masing- masing formula.
APOLOGY STRATEGIES IN CAMEROON FRENCH
Authors: Farenkia Bernard Mulo
Published: March 2022

This article discusses the results of a case study on strategies used by Cameroon French speakers to apologize in situations involving friends and superiors. The data of the study were collected by means of a Discourse completion Task Questionnaire that was administered to two groups of university students. The findings show that the participants used a wide range of direct and indirect apology strategies and that the apology utterances mostly occurred in speech act sets, which generally involved combinations of direct and indirect apologies and supportive acts. The results also reveal the use of nominal address terms, codeswitching and some indigenized patterns of French to modify the illocutionary force of apologies. Overall, the linguistic and pragmatic choices made by the respondents varied according to degree of familiarity and power distance between the interlocutors.
 

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STUDENTS’ COMPETENCES IN MULTI-NOUN LEXICAL UNITS AND THEIR OPINION ON THE LANGUAGE TEST
Authors: Polić Tamara
Published: March 2022

A special feature of English for Specific Purposes (ESP), particularly technical English are multi-noun lexical units (MNLUs) which are syntagms consisting of a string of nouns (noun + noun + noun +…..) appearing in great numbers especially in written specialized texts. Such texts serve as basic ESP teaching materials at institutions of higher education where English is taught as the first foreign language. The aim of this research paper is to establish students’ competences in reception/interpretation and production of MNLUs at the end of the first academic year and at the end of the second academic year, the latter being the final year of institutionalized ESP teaching. The research sought to find out the extent to which students master these competences without targeted teaching and to establish whether the achieved level is satisfactory. A language test was used as the research instrument, followed by an open-ended question seeking to get the insight into students’ opinions regarding the language test and MNLUs. The obtained data were analysed using quantitative and qualitative methods.
QUALITY OF HEALTH CARE SERVICE’S AND PROVIDER’S DETERMINANTS OF HEALTH CARE-SEEKING BEHAVIORS AMONG WOMEN IN KHANA LOCAL GOVERNMENT AREA OF RIVERS STATE, NIGERIA
Authors: Nwiko Kuebari M. , Asogwa Emmanuel U.
Published: March 2022

The study examined the quality of health care services and provider’s determinants of health care seeking behavior among women in Khana local government area of Rivers State. The study adopted a descriptive cross-sectional survey design. Three research questions and two hypotheses guided the study. The sample size for the study was 1,200 women selected using multi-stage sampling procedures. A validated self-structured instrument, titled, “Determinants of Health Care Seeking Behavior Questionnaire”, with a reliability index value of 0.64 was used for data collection. Means and Standard Deviations were used to answer the research questions whole Analysis of Variance was used to test the hypotheses at the 0.05 level of significance. The results of the study showed that the respondents had good health care-seeking behaviors in terms of action on perceived signs and symptoms of disease (= 2.67 + 0.89), test-seeking behavior (= 2.93 + 0.94), choice of health care service’s factors (= 3.36 + 0.76), treatment-seeking behaviors (= 2.86 + 0.95), and treatment-adherent behavior (= 2.87+ 0.85). The results also showed that quality of health care service (= 2.90 + 0.97) were significant determinants, while health care provider’s factors (= 2.43 + 1.05) were not determinants of health care seeking-behavior of the respondents. The study recommended among others that health care services should be health care consumers-centered to sustain and improve on the health care-seeking behavior and proper re-orientation of health care providers should be carried out at every level of health care in order to create friendly relationship between health care providers and consumers or patients.

 

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GREEN HUMAN RESOURCES MANAGEMENT IN HOSPITALITY INDUSTRIES: A SYSTEMATIC LITERATURE REVIEW
Authors: Susanto Eko , Rofaida Rofi , Senen Syamsul Hadi
Published: March 2022

The publication of the Green Human Resources Management (GHRM) review in the hospitality industry still leaves extensive development opportunities. GHRM's strategic role in realizing sustainable tourism needs to be studied from the forming factors, technical application, and its impact on various variables. Through the systematic literature review process, this article seeks to uncover GHRM studies in the hospitality industry from 2016-to 2021. The data sources used come from Science Direct, Sage Journal, and Emerald outlets with multi-region viewpoints. Implementing the PRISMA protocol revealed that the application of GHRM in the hospitality industry is closely related to the AMO Concept, Environmental Management System, and several impact variables, mainly on financial aspects, corporate image, and environmental performance.

JEL: L80; L83; O15

 

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KINSHIP AND POWER RELATIONSHIPS IN COON’S FLESH OF THE WILD OX AND THE RIFFIAN
Authors: Saili Mohamed
Published: March 2022

This study explores two novels titled Flesh of the Wild Ox (1932) and The Riffian (1933) written by Carleton S. Coon about the Moroccan Rif. These roughly unexplored novels are by an ethnographer and derive from an ethnography titled Tribes of the Rif (1931). Indeed, they “boast” themes usually seen as ethnographic in nature: kinship, marriage, polygyny, honour and shame, magic, subsistence pattern and inter-tribal warfare. This study is set within the convergence of literature and ethnography, striving to foreground the ethnographicity within the novels. It brings kinship into focus, notably investigating how kinship works in relation to power. It distinguishes twin kin power relationships: intra-kin and inter-kin. Intra-kin power relationships are domestic, involving individuals of a single kin group while inter-kin power relationships are transdomestic, involving individuals of different descent groups or the groups themselves. In both relationships, kinship operates inclusively as the Riffian characters strive to expand the number of individuals and groupings who, in Schweitzer’s words, can be “made into relatives” (210). The Riffians use inclusive strategies, including polygyny, exogamy and shame compulsion, so they can extend kin ties to non-kin. Those kinship strategies validate the the elasticity of kin boundaries among the Riffians.

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AN EMPIRICAL STUDY ON THE INFLUENCE OF SOCIAL CAPITAL ON THE DIGITAL ENTREPRENEURS’ PERFORMANCE DURING THE OMICRON VARIANT WAVE (SARS-CoV-2: B.1.1.529)
Authors: Kanapathipillai Kumaran , Kumaran Sharvena
Published: March 2022

This study empirically scrutinises the relationship between social capital and entrepreneurial performance during the Omicron variant (SARs-CoV-2: B.1.1.529) spread in Malaysia. This study focused on spousal social support, social network, social media usage, and the digital entrepreneurs' performance. This research applied quantitative methods to yield empirical results and substantiations to answer the research questions. Data was collected using a questionnaire through Google Docs. A total of 313 digital entrepreneurs operating their ventures in West Malaysia contributed the data for this study which led to the discoveries, reasonings, and final judgments. The results attained in this study reveal statistically significant relationships among spousal social support, social network, and social media usage with the digital entrepreneurs' performance during the onslaught of the silent enemy (Omicron variant), which is spreading at an alarming rate. Additionally, this study's breakthrough will undeniably give the digital entrepreneurs assurance to form a formidable relationship with their spouses, create and increase the social networks between all stakeholders of the business, and use social media extensively to gain resources and customers during the Omicron shockwave. Moreover, by improving the relationship with their spouse, optimising the social network, and augmenting social media usage, the digital entrepreneurs can heighten their business performance and endure the challenges that they are subjected to during the assault of the Omicron wave in Malaysia.

JEL: L10; J10

 

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EFFECTIVENESS OF INTERACTIVE MULTIMEDIA COURSEWARE IN TEACHING CARE MANAGEMENT
Authors: Cabaluna Johdel C.
Published: March 2022

The effectiveness of multimedia courseware optimizes teaching care management will provide knowledge in the global world. The progress of students’ rights and civilization is acceptable and is universal and effective in influencing the standard quality of learning among the care management students. The study identifies the effectiveness of interactive multimedia courseware in teaching care management and aims to know its importance, effectiveness and enhancement of students' learning process. The study employed the qualitative and quantitative descriptive approach which is a mixed-method to identify the effectiveness of interactive multimedia courseware in care management practices, using the Focus Group Discussion (FGD) among the Clinical Instructors who have the capacity and ability to analyze the effectiveness of interactive multimedia courseware for the improvement program of the care management students. Purposive sampling is utilized in the study which closely resembled and synthesized the objectives of the study. The study comprised (90) respondents only. Results show that interactive multimedia courseware enhances the difference from teaching traditional to high-tech of teaching which is interesting for the students inside the classroom and it shows that multimedia courseware enhances students in their learning process through exposure to technology, innovation and promotion, concept and control, and its effectiveness in the improved and delivery of course outline and output. Findings show that is a significant correlation on the interactive multimedia courseware in teaching care management as observed by the respondents.
 

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SISTEM INFORMASI LAPORAN PENJUALAN BERBASIS WEBSITE PADA PT. WIDYA WASKITA WIJAYA CABANG CILACAP
Authors:   STIKOM Yos Sudarso, Widjayanti Carolina Ety
Published: February 2022

Widya Waskita Wijaya Cilacap Branch is an official agent of PT. Pertamina (Persero) is headquartered in Semarang. This company is engaged in the sale of non-subsidized fuel for the industrial sector, transportation, contractors, mining, plantations, ships, and so on. The main problems that exist at PT. Widya Waskita Wijaya Cilacap Branch is a fuel sales reporting process that uses a document delivery agent so it takes several days to get to the Semarang head office. With this problem, the Semarang head office wanted a web-based information system that could speed up the reporting process of fuel sales from the Cilacap branch office to the Semarang head office. The system development method used is the waterfall model with system development tools in the form of context diagrams, DFD, normalization, and ERD. Meanwhile, the making of this information system uses the PHP programming language, using Dreamweaver software as the editor and Navicat as the database. By using this information system, the process of making fuel bidding letters and fuel sales receipts is more effective and accelerates the reporting process of fuel sales to the Semarang head office.
ANALISIS SISTEM INFORMASI WEB LSP UAD MENGGUNAKAN USER EXPERIENCE QUESTIONNAIRE (UEQ)
Authors:   Universitas Ahmad Dahlan, Umar Rusydi , Ifani Aulyah Zakilah , Ammatulloh Fathia Irbati , Anggriani Maya
Published: February 2022

The progress of the world has been so fast that workers in various professions have increasingly needed recognition. University and Vocational School graduates need fields to test the ability of the profession they do. Ahmad Dahlan University (UAD) is one of the universities that has a professional testing institution called the UAD Professional Certification Institute (LSP). LSP UAD functions as an institution to test the professions required by prospective UAD graduates themselves. Until now, LSP UAD has ten schemes that can be tested on prospective study program graduates. To simplify the information related to the scheme, students can see on the LSP UAD website, information is also available for other LSPs and accessories. However, the UAD LSP web has not tested the satisfaction of web users such as student users. This paper was created to test user satisfaction or User Experience (UX) for users to improve information services on the web. Analysis on the UAD LSP web used the User Experience Questionnaire (UEQ) method to 15 students who had used the web as respondents. UEQ's assessment refers to six aspects, namely: efficiency, attractiveness, accuracy, clarity, novelty, and stimulation. The results of the analysis showed that the average respondent gave an impression with results above average in the aspects of clarity, accuracy, stimulation, and novelty. Meanwhile, attractiveness and efficiency get good scores.
PREDIKSI TINGKAT KELANCARAN PEMBAYARAN KREDIT BANK DENGAN MENGGUNAKAN ALGORITMA NAÏVE BAYES DAN K-NEAREST NEIGHBOR
Authors:   STMIK Mikroskil, Gultom Farida , Simanjuntak Tober ,   Universitas Efarina
Published: February 2022

Application developers and users are the main keys to the market's impact on application development. In developing applications, it is necessary to predict applications in the market accurately, accurate prediction results are very important in showing the correct rating and decision making in the selection of new prospective debtors. Tests conducted in this test use a dataset of credit customers from Bank Danamon. This study predicts the smooth payment of credit by combining the Naïve Bayes and K-Nearest Neighbor methods. Predicting the smooth level of credit payments is done by combining the Naïve Bayes algorithm and K-Nearest Neighbor in order to predict the smooth payment of credit in the future, this can be seen from the prediction results obtained by 80%.