bluuebunny/crossref_metadata_2025 huggingface dataset:
Quantitative indicators of microcirculation of the skin of the lower extremities
Authors: Rusin V. I. , Boldizhar P. O. , Gorlenko F. V. , Lopit M. M.
Published: March 2021

Purpose of the study. To study the quantitative indicators of microcirculation and perfusion of the skin of the lower extremities, taking into account the angiosomal theory.

 

Materials and methods. We studied the microcirculation of the skin of the lower extremities in 31 people, taking into account the angiosomal approach without pathology of the cardiovascular system on the device Easy-LDI company AIMAGO SA (Switzerland).

Results. We found that the highest rates of perfusion units on the thigh were found in the pool of the sciatic and posterior arteries, the lowest – in the pool of the deep femoral artery and popliteal artery. On the shin, the highest rates of microcirculation are found in the pool of the posterior tibial artery, the lowest – on the foot.

Having such an objective quantitative perfusion index, it is easy to determine the occlusion of the arteries corresponding to the angiosomes, areas of the skin of the lower extremity and to quantify the results of the treatment.

Conclusions. The developed indicators of skin perfusion of angiosomes of the lower extremities can normally form the basis for diagnosing the degree of stenosis of the main arteries, serve as an indication for direct and indirect methods of revascularization in obliterating diseases of the arteries of the lower extremities and quantify immediate and long-term treatment.
Rate of detection of endocrine diseases in children in the practice of a family doctor
Authors: Redko I. I. , Chakmazova E. N.
Published: March 2021

Introduction. In the context of the reform of modern medicine, endocrine pathology is encountered not only by pediatric endocrinologists, but also by doctors of other specialties, primarily primary care doctors pediatricians and family doctors. Currently, there is a tendency to increase the prevalence of endocrine pathologists in all age groups of the children's population of Ukraine.

Purpose of the study. Assess the frequency and structure of endocrine pathology in children at the primary stage.

Materials and methods. In the conditions of children's outpatient clinics 4273 children aged from 0 to 18 years were consulted and examined with an expert assessment of maps of individual development of the child. Children were evaluated anthropometric indicators, the state of the thyroid gland and sexual development. Examination of all children for the presence of endocrine pathologists and confirmation of the diagnosis were carried out on the basis of the Order of the Ministry of Health of Ukraine № 254 of 04.27.2006 "On the approved protocol for the medical support of children for the specialty" Child endocrinology ".

Results. Among the total number of children consulted, endocrine pathology was manifested in 36,7 %. The diagnosis of newly diagnosed endocrine pathology was first confirmed in 29,9% of children. Among endocrine pathologists, perovism is occupied by obesity (39,9%), the second – thyroid pathology (36,4%), the third – impaired growth (18,3%), the fourth – impaired sexual development (7,4%). In 40% of cases, a violation of sexual development is combined with a violation of growth. It has been established that primary care doctors in 40–50% of cases do not perform anthropometry for children at all, the state of sexual development is not evaluated in 70% of cases, which leads to an untimely referral to a pediatric endocrinologist and complicates further treatment.

Conclusions. A high percentage of children with first diagnosed endocrine pathology at the stage of primary care and the late delivery by doctors of children to a pediatric endocrinologist was established, which is due to the lack of primary care physicians' assessment of anthropometric indicators of the child’s physical development, thyroid and sexual development.
基于模拟退火算法的通讯网络优化设计
Authors: 陈 婷婷 , 牛 美霞
Published: March 2021

军事通讯网络规划是一项十分复杂的工作，在实际中需要考虑多种约束条件，论文在介绍模拟退火算法的基本思想后，用其解决通讯网络的优化计算问题。计算结果表明：对比模拟退火算法及点群中位中心算法对最小生成树进行优化所确定的“虚拟站”的点数及点位，模拟退火算法能够防止陷入局部最优解且快速收敛于全局最优解，是行之有效的具有概率爬山的组合优化算法。
RANCANG BANGUN SISTEM MANAJEMEN USER AAA (AUTHENTICATION, AUTHORIZATION, ACCOUNTING) DAN MONITORING JARINGAN HOTSPOT BERBASIS WEB
Authors: Fauzi Achmad , Dedy Irawan Joseph , Vendyansyah Nurlaily
Published: March 2021

Pada saat ini pengolahan terhadap koneksi jaringan komputer sudah sangat diperlukan . Dengan pengelohan suatu sistem pada jaringan komputer akan memberikan kemudahan bagi administrator untuk lebih efisien dalam mengolah jaringan. Pada saat ini pengolahan  terhadap user pada laboratorium teknik informatika itn malang yang terkoneksi jaringan wireless yang ter-integrasi dengan server radius eksternal belum diterapkan, terutama untuk pengolahan penambahan user , pengolahan kecepatan bandwidth user , limitasi waktu user terkoneksi , dan kemudian aktifitas memantau user .

Sistem Manajemen User dan Monitoring Jaringan Hotspot Pada Server Radius terdapat 3 bagian . Bagian pertama Authentication dimana user sebelum memasuki jaringan yang akan di akses akan memasukkan username dan password. Bagian kedua Authorize proses ini setelah terjadinya authentication, ketika user memasukkan username dan password yang sesuai, maka user dapat mengakses jaringan tersebut proses ini yang dinamakan authorize. Bagian Ketiga Accounting proses ini dimana administrator dapat mengolah user, dalam hal mengolah bandwidth maupun limit waktu user .

Dari Hasil dari pengujian sistem menunjukkan bahwa fungsi dari manajemen user layanan hotspot, monitoring user layanan hotspot, dan monitoring router mikrotik dapat berjalan sesuai dengan fungsinya, sistem dapat membuat user baru, alokasi bandwidth setiap user, monitoring aktifitas user. Sehingga dapat membantu administrator jaringan dalam mengolah jaringan komputer, terutama dalam pengolahan data user dalam layanan hotspot .
PENERAPAN METODE K-MEANS UNTUK PROSES PENENTUAN GOLONGAN PENERIMA ZAKAT (MUSTAHIQ) DI YAYASAN DANA SOSIAL AL-FALAH MALANG
Authors: Lestari Eka Puji , Mahmudi Ali , Achmadi Sentot
Published: March 2021

Yayasan Dana Sosial Al-Falah Malang atau YDSF merupakan lembaga Pendayagunaan Dana, dan Penghimpun Dana yang memiliki beberapa program bantuan diantaranya yaitu Pendidikan, Soskem, Dakwah, Masjid dan Yatim. Dalam proses penentuan golongan penerima zakat atau mustahiq sampai saat ini masih dilakukam secara manual. Sehingga membutuhkan waktu yang lama dan memiliki kemungkinan terjadi kesalahan saat menentukan golongan penerima zakat atau mustahiq. Sehingga dapat menimbulkan kesenjangan sosial karena perbedaan jumlah zakat yang diterima mustahiq.

Pada penelitian ini, dibuatlah sebuah sistem yang menerapkan metode K-Means untuk proses penentuan golongan penerima zakat (mustahiq) yang tepat sasaran dan cepat. Sehingga dapat memudahkan lembaga dan dapat mempersingkat waktu dalam pengolahan data. Kriteria yang digunakan pada sistem ada 13 kriteria yaitu pekerjaan, pendapatan, pekerjaan istri, pendapatan istri, jumlah anak, tanggungan, kepemilikan rumah, lantai rumah, dinding rumah, elektronik, transportasi, daya listrik dan biaya listrik. Sistem yang dirancang menggunakan bahasa pemograman PHP (Hypertext Preprocessor) dengan Database MySQL.

Hasil pengujian sistem dengan menerapkan metode K-Means untuk proses penentuan golongan penerima zakat (mustahiq), menghasilkan tingkat akurasi 75%. Pengujian algoritma ini dilakukan dengan membandingkan golongan pada data lama dengan golongan hasil perhitungan. Dengan adanya sistem ini diharapkan dapat membantu lembaga YDSF dalam penentukan golongan penerima zakat (mustahiq) dengan cepat dan akurat.

Kata kunci : K-Means, golongan penerima zakat (mustahiq), lembaga zakat, zakat, php, MySQL.
RANCANG BANGUN SISTEM INFORMASI GEOGRAFIS PEMETAAN ZONA RUANG RAWAN BENCANA KOTA PALU BERBASIS WEB
Authors: Tuasikal Nyongpati Rahmat , Faisol Ahmad , Vendyansyah Nurlaily
Published: March 2021

Kota Palu merupakan salah satu daerah di wilayah provinsi Sulawesi Tengah yang masuk kategori sangat rawan terjadi bencana seperti gerakan tanah, likuifaksi, sempadan sesar, tsunami dan banjir. Kasus yang paling parah terjadi pada dua tahun silam tepatnya 28 September 2018 dengan terjadinya gempa bumi diikuti dengan tsunami dan likuifaksi tanah. Kurangnya informasi kepada masyarakat untuk membangun bangunan yang sesuai dengan standar SNI.

Pemetaan zona ruang rawan bencana berbasis Sistem Informasi Geografis dibuat menggunakan software QGIS3 untuk pembuatan peta. pembuatan website menggunakan softaware Visual Studio Code, Database menggunakan MySQL, untuk visualisasi wilayah menggunakan geoJSON dan visualisasi peta menggunakan Leaflet. Pemetaan yang akan dibangun untuk sistem informasi geografis yaitu pemetaan zona ruang rawan bencana meliputi data delapan kecamatan dengan zona pengembangan, zona bersyarat, zona terbatas, zona terlarang dan titik-titik bencana. Titik bencana dalam penelitian ini meliputi bencana Gerakan tanah (G), Liquifaksi (L), Sempadan sesar (S), Tsunami (T) dan Banjir (B).

Hasil dari pemetaan zona ruang rawan bencana berbasis web menampilkan peta jenis - jenis bencana dan kategori zona ruang rawan bencana dengan empat klasifikasi yaitu zona terlarang, zona terbatas, zona bersyarat dan zona pengembangan. Dengan adanya website sistem informasi zona ruang rawan bencana akan sangat memudahkan informasi untuk pembangunan bangunan sesuai standar SNI  pada Kota Palu.
FACTORS INFLUENCING THE CHOICE OF THIRD PARTY LIABILITY MOTOR INSURANCE AMONG ACADEMIC STAFF IN LAGOS STATE, NIGERIA.
Authors: DANSU Sewhenu Francis , ABASS Olufemi Adebowale , OYETAYO Yeside Abiodun
Published: March 2021

The coverage of the Third Party Liability (TPL) motor insurance is limited when compared with the third party liability, fire & theft and comprehensive coverage. Notwithstanding this limitation, vehicle owners seem to still prefer the third party liability motor insurance policy. This study seeks to identify the major factors responsible for this sentiment. 300 academic staff across five tertiary institutions in Lagos were engaged in this study. Data were gathered with the use of structured questionnaire, 146 copies of the questionnaires were duly completed and found useful for the study. The data were analysed by conducting factor analysis and testing three hypotheses using correlation analysis with the aid of Statistical Package for Social Sciences (SPSS), version 20. The study found significant positive relationship existing between family size, price of insurance, number of vehicles owned and marital status and the choice of TPL motor insurance policy among academic staff of higher institutions in Lagos State. The findings of the study reflected that TPL motor insurance is preferred because it is cheap and its purchase will not mainly hinder the attainment of the needs of any family members. It is recommended that safety of life and properties other than price of motor insurance should be considered when making motor insurance policy choice and that there is need to review the law of motor insurance with the aim of expanding the mandatory minimum coverage to cater for the life and properties of the insured.
From Degradation to Deforestation: Historical and Gender Perspectives on the Use of Forestlands in Southwestern Nigeria
Authors: Gbadegesin Adeniyi
Published: March 2021

This study brings historical and gender perspectives to bear upon the debate oh the use and management of natural resources in developing countries, using a part of the forest area of south western Nigeria as a case study. It traces the ways forest resources were used and managed during the precolonial, colonial and postcolonial periods, using data from questionnaire survey of about 200 households as well as oral accounts derived from Focus Group Discussions in the study area. The outcome of the study largely reveals that the failure during the colonial period to heed indigenous valuations and uses of the forest environment accelerated the process of deforestation in the area. In particular, the introduction of individualized land tenure and commercialise agriculture during the colonial period brought about changes in the structure, nature of production and capital accumulation that affected, negatively, the hitherto mutual relations between men and women in the study area. The paper also highlights more general issues that are essential for the formulation of conservation policies in the forest environment of developing countries.
Reducing Nonsentinel Harm Events due to Medication Errors by Using Mini–Root Cause Analysis and Action
Authors: Al Mardawi Ghada Hussain , Rajendram Rajkumar , Alowesie Souzan Mohammed , Alkatheri Mufareh
Published: March 2021

Introduction

A full root cause analysis (RCA) such as that required following a sentinel event is time-consuming, labor-intensive, and expensive. This quality improvement project used a similar but abbreviated process (mini-RCA and action; mini-RCA2) in response to medication errors that caused less serious harm.

Methods

In 2018, all medication errors that caused harm due to system failures but were not sentinel events were investigated by mini-RCA2. The incidence of similar medication errors reported in the year before and in the year after the introduction of mini-RCA2 was compared to determine the impact of this intervention. Similar events were identified by searching the safety reporting system database for reported medication errors by drug name (e.g., Humate® P) and/or event type (e.g., prescribing error—omission of a patient's home medications on admission to hospital). The time and labor costs of this intervention were estimated.

Results

Seven medication errors were investigated by mini-RCA2. More than 48 members of staff from 11 clinical and nonclinical departments contributed to the identification of 39 system failures and made 42 recommendations, of which 22 (52%) were implemented. This reduced the recurrence of reports of similar events from 35 (0.57%) to 21 (0.36%). Although this 0.21% absolute decrease did not achieve statistical significance, recurrence of similar harm events was reduced from 7 (0.11%) to 0 (p = 0.016). Benefits were greatest when the mini-RCA2 recommendations were fully implemented. This reduced the recurrence of similar events from 9 (0.21%) to 0 (p = 0.007). A total of 251 hours (mean ± SD, 35.9 ± 16.6 hours) were required for this intervention. The associated labor cost was Saudi Arabia Riyal (SAR) 34,181 (US $8256; mean SAR ± SD, 4883 ± 1302 [mean US $ ± SD, $2102 ± $561]).

Conclusion

The use of mini-RCA2 to review medication errors provided a structured process to manage reported events, monitor the implementation of recommendations, and assess the effectiveness of implemented actions. The use of this rapid process to investigate errors that cause harm but are not sentinel events reduced recurrence of similar medication errors. Although the time and cost required for this intervention is not insignificant, the cumulative benefit to patients, healthcare professionals, and the organization are greater.
PENGARUH BUDAYA PATRIARKI TERHADAP KETERATURAN PEMERIKSAAN KEHAMILAN PADA IBU HAMIL DI WILAYAH PUSKESMAS BANGKALAN
Authors: Laili Anis Nur , Rodiyatun
Published: March 2021

Antenatal Care (ANC) adalah pemeriksaan kehamilan untuk mengoptimalkan kesehatan mental dan fisik ibu hamil, hingga mampu menghadapi persalinan, kala nifas, dengan frekuensi kunjungan minimal 4 (empat) kali selama kehamilan. Menurut Ditjen Bina Gizi dan KIA, Kemenkes RI tahun 2013, cakupan K1 mengalami penurunan dari 96,84% menjadi 95,25% dan cakupan K4 juga mengalami penurunan dari 90,18% menjadi 86,85% dibandingkan tahun sebelumnya. Secara nasional, indikator kinerja cakupan pelayanan kesehatan ibu hamil K4 padatahun 2013 belum dapat mencapai target Rencana Strategis (Renstra) Kementerian Kesehatan, yakni sebesar 93%.

Jenis penelitian ini merupakan penelitian analitik dengan desain yang digunakan adalah cross sectional yang bertujuan untuk mengetahui pengaruh budaya patriarki terhadap keteraturaan pemeriksaan ANC. Penelitian ini dilaksanakan di wilayah kerja Puskesmas Bangkalan. Populasi dalam penelitian ini 41 ibu hamil. Dalam hal ini peneliti menggunakan jenis Probability Sampling dengan teknik Systematic Random Sampling dimana setiap pasien yang memenuhi kriteria penelitian dimasukkan dalam penelitian sesuai dengan jumlah pasien/ibu hamil pada  register (Kohort) ibu hamil. Analisis data dilakukan menggunakan analisis univariate yang dilakukan terhadap masing-masing variabel dari hasil penelitian dan analisis bivariat dengan tabel silang digunakan untuk melihat gambaran pengaruh variabel independen dan dependen yaitu budaya patriarki dan keteraturan kunjungan pemeriksaan kehamilan. Selanjutnya dilakukan uji Chi-Square dengan tingkat kesalahan 0,5.

Hasil penelitian ini memperlihatkan hasil didapatkan nilai þ: 0,075 > α 0,05 maka tidak ada pengaruh budaya patriarki terhadap keteraturan pemeriksaan kehamilan. Perlu adanya upaya optimalisasi program kesehatan untuk meningkatkan pengetahuan tentang pentingnya pemeriksaan kehamilan (ANC) dengan mempermudah akses layanan ANC, memberikan penyuluhan lapangan secara lebih detail dan informatif tidak hanya kepada ibu hamil tetapi juga suami dan anggota keluarga lainnya, serta menghargai budaya yang dianut masyarakat setempat yang tidak mempengaruhi kesehatan
Teacher Self-Concept and its Association with Willingness to Include Children with Special Needs in Regular Classes: Teacher Empathy as a Mediator
Authors: Nwosu Kingsley Chinaza , Wahl WP , Cassim Hasina , Anierobi Elizabeth Ifeoma , Akuneme Chioma Christiana , Okwuduba Emmanuel Nkemakolam
Published: March 2021

More appealing is the inclusive education practice that recognizes diversity among children than practices that lead to inequality in education. However, there have been implementation challenges including the rejection of children with special needs (CWSNs) in regular classes by teachers. Given this, the study attempted to build an empirical model to explain associations between teacher self-belief system and socio-emotional factors and their willingness to include CWSNs in their classes. The sample size consisted of 316 teachers. Using path analysis, findings showed, among others, that the conceptual model fit the data satisfactorily, and that teacher self-concept had direct effects on teachers’ willingness to include CWSNs in their regular classes. Teacher cognitive self-concept was a better predictor and its impact was significantly mediated by teacher empathy. It was concluded that willingness for inclusion could be influenced by teacher belief system and socio-emotional characteristics.

 

Received: 27 October 2020 / Accepted: 17 December 2020 / Published: 5 March 2021
The Impact of Performance Management on Organizational Excellence in Educational Institutions and How to Strengthen it in Private Schools
Authors: Alsarayrah Amneh Zakariah , Alsarayrah Amal Mohammad
Published: March 2021

The study was designed to measure performance management's impact on organizational excellence in educational institutions and how to support it. It used a descriptive-analytical method to deal with data and its classification, and its tool was designed to collect data from the study sample and then analyze it through the statistical package program (SPSS). The study community determines the educational institutions and how to strengthen them. The inspection unit consisted of all directors, heads of departments, and consultants in educational institutions and how to support them and their number (70). The study found a high level of performance management in its dimensions (performance planning, performance development, performance guidance, and performance evaluation) and a high level of organizational excellence in its dimensions (excellence of leadership, the excellence of strategies, and excellence of operations). It also concluded that there is a significant and statistically significant impact on management (Performance planning, performance development, performance guidance, performance evaluation) on organizational excellence in its dimensions (excellence of leadership, the excellence of strategies, and excellence of processes) in educational institutions and how to support them. To maintain the high level of application of the process of performance management in the organization and recommended the study of the need to strengthen and develop after the development of performance through the support and development of activities and training courses for staff more than it is through the results obtained a positive impact on all dimensions of organizational excellence.

 

Received: 19 December 2020 / Accepted: 8 February 2021 / Published: 5 March 2021
Akurasi dalam Mengidentifikasi Citra Anggrek Menggunakan Backpropagation Artificial Neural Network
Authors: Ovidius Ardia , Gunadi Widi Nurcahyo  , Sumijan  , Roni Salambue
Published: March 2021

Anggrek merupakan tanaman bunga hias dalam Family Orchidaceae yang habitatnya terdistribusi pada hampir seluruh benua didunia, kecuali benua Antartika.  Di Indonesia sendiri, sangat banyak peminat anggrek sehingga menjadikan bunga ini sebagai komoditas yang cukup menjanjikan bagi penggiat tanaman hias.  Dengan ragam jenis anggrek yang mencapai lebih dari 25.000 spesies, identifikasi jenis anggrek menjadi sedikit rumit bagi para pecinta anggrek.  Tujuan penelitian ini adalah untuk menentukan tingkat akurasi pengidentifikasian jenis anggrek melalui pengenalan gambar, sehingga dapat menjadi acuan dalam menentukan kelayakan metode tersebut.  Penelitian ini menggunakan 120 citra anggrek yang terdiri dari 6 spesies.  Citra anggrek tersebut diperoleh dengan melakukan pemotretan pada beberapa lokasi menggunakan kamera.  Foto tersebut kemudian diolah menggunakan software pengolah citra dengan melakukan cropping dan resizing untuk mempercepat waktu komputasi saat pelatihan jaringan.  Selanjutnya software MatLab digunakan untuk melakukan proses ektraksi ciri berupa data warna dan moment invariants. Data hasil ekstraksi ciri dijadikan input untuk melatih jaringan syaraf tiruan dengan metode Back Propagation.  Penghitungan tingkat akurasinya dengan uji coba menggunakan data uji yang sudah disediakan. Hasil uji coba menunjukkan bahwa 26 dari 30 berhasil dikenali sehingga tingkat akurasi dapat dihitung yaitu 86,7%.  Tingkat akurasi sebesar 86,7% dapat dianggap layak dan bisa dijadikan landasan pertimbangan untuk menggunakan metode yang diuji coba ini sebagai metode yang tepat dalam melakukan identifikasi anggrek melalui citra.
Stability of hospital rankings
Authors: Sielska Agata
Published: March 2021

Many hospital rankings are based on algorithms and weights elicited by experts. The paper attempts to build rankings of Polish poviat hospitals using TOPSIS method and to examine the sensitivity of the results to the changes in weights. We considered 11 large and 34 medium-sized hospitals. The criteria set consists of man-days total, profit/loss on sales, contract with the National Health Fund, return on assets (ROA) and return on equity (ROE). Because of this, rankings take into account different spheres in which hospitals perform, including the financial aspect and their main goal, i.e. treating patients. The results show that despite the overall high similarity of rankings, the benchmarking based on rankings should be done with care as the positions of some individual hospitals changed to the great degree.
Evaluation of Local Control in Buccinator Muscle Excision with the Skin Versus Buccinator Muscle Excision without the Skin in Buccal Squamous Cell Carcinoma: A Randomized Clinical Trial
Authors: Ahmed Yousef  , Mohamed Ahmed Farid Shehab  , Sherif Ali  , Hosam Abd El-Kader El-Fol  , Ahmed Mokhtar EL-Mardendly
Published: March 2021

Background: The aim of this study was to compare local control and maximum mouth opening in excisionthe buccinator muscle with the skin versus excision the buccinator muscle without the skin.Methodology: This study was conducted on 40 patients with buccal squamous cell carcinoma (BSCC)without previous treatment, also T1 to T3 and N0 to N2 squamous cell carcinoma was involved in this study.The patients were divided randomly in 2 groups, 20 patients for each group. All patients were assessedfor local recurrence for 1 year. Maximum mouth opening was measured preoperative and compared bypostoperative measuring.Results: The local control was (100%) in the study group and (95%) in the control group, but There were nostatistically significant differences between the two interventions (P value 1). The maximum mouth openingwas decreased postoperatively than preoperatively and in study group than the control one,but there was nostatistically significance difference (P- value 0.22).Conclusions: Excision the buccinator muscle with its associated skin seems to decrease the local recurrenceand seems to decrease the maximum mouth opening, but with no statistically significant differences betweenthe two interventions. Indicating the needs for further studies.
Oral Health Knowledge and Attitude of Students In UAE
Authors: Aysha Rashed Al-Suwaidi  , Shatha Al-Sharbatti  , Sura Ali Al-Bayati
Published: March 2021

Objectives: To assess the oral health knowledge and attitude in school students grade 7-12, in Ajman, UAEand to identify predictors of poor oral knowledge and attitudes and to determine common barriers to oralhealth care.Method: A Cross sectional study among students, grade 7 -12, whose parents signed informed consent fortheir participation. Random selection of schools and participants was done. Validated self-administeredquestionnaire was employed. Knowledge and attitudes were assessed by scoring system. Official ethicalapproval was obtained. Data analyzed by SPSS software. Chi- square test, Fishers’ Exact test, logisticregression analysis and Mann-Whitney test were used.Results: The study included 395 participants,mostly ? 13- year-old, females, UAE national, having familysize <5, with higher levels of education parents. Poor knowledge was identified in 37.2% of respondents.Significant associations were noticed between poor knowledge and gender, family size, and dental insurance(<0.05 for previous variables). Being females compared to males, having large family size, lower educationlevel father, and no dental insurance increase the risk of poor knowledge (OR=4.92, CI:. 2.08-11.63,P<0.0001; OR=11.82, 95%CI:5.48-25.52, P=<0.0001;OR=2.39, 95%CI: 1.38-4.12, P=0.002; OR=5.04, 95%CI:2.11-11.99, P=<0.0001 respectively). Adequateattitude score was identified in 93.7% of respondents. The risk for poor attitude was significantly increasedwith poor knowledge (OR=3.02,.95% CI:1.24-7.32, P=0.01). Discouraging parent opinion on dentist visitswas the most common barrier for oral healthcareConclusions: Poor knowledge is identified in about one third of respondents, and adequate attitude in mostof respondents. Gender, family size and lack of dental insurance were significant predictors of poor oralhealth knowledge. Poor attitudes are determined by poor knowledge. Discouraging parent opinion is themost common barrier
The Study to Assess the Effectiveness of Structured Teaching Programme on Menstrual Blood Stem Cells Banking among Nursing Student at Selected College of Nursing, Uttrakhand
Authors: Ekta Lohani  , Neha Bhatt  , Mamta Rana
Published: March 2021

Background: Menstrual blood banking is a process of banking of menstrual blood for the purpose of celltherapy. The storage of menstruation blood stem cell as a biological insurance for the future Stem. Theypotential fight diseases, grow replacement of body parts. Menstrual blood stem cell has a great potentialfor reducing mortality rate in women. Meaning Menstruation blood stem cell therapy can be beneficialfor donors as well as clients. The main objective of the study is to assess the effectiveness of structure ofteaching programme on menstrual blood stem cell banking among nursing students. Comprehensively, ourresult suggest menstrual blood stem cell may be desired source for clinical application of cell therapy.Objectives: To assess the effectives of structured teaching programme on knowledge regarding menstrualblood stem cell among under graduate students.Design: Quasi experimental one group pre test and post test design adopted regarding this study.Setting: College of Nursing, Jeolikote Nainital. Participants: 60 Graduate students fulfilling the inclusioncriteria were selected by simple random sampling.Method: A pre test was conducted by using self administered questionnaire after pre test,structure teachingprogramme was given again post test was conducted to assess the effectiveness of programme. Collecteddata was analysed by using descriptive and inferential statistics.Results: On analysis, the study revealed that pre test, (20 %) having poor knowledge, (80%) havingadequate knowledge. And in post test Students (7%) having moderate knowledge, 56 Students (93%) havinggood knowledge . The improvements was statistically tested by paired “t” test value and result found to besignificant at 2.00 value.Conclusion: The finding of the study revealed that Assess the Effectiveness Of Structured TeachingProgramme On Menstrual Blood Stem Cells Banking .
Overview of 8-hydroxy-2?-deoxyguanosine (8-ohdg) as DNA Damage Biomarker in Infants Who Live Near Gold Mines, Yogyakarta, Indonesia
Authors: Ernawati  , Adi Heru Sutomo  , Adi Heru Sutomo  , Indwiani Astuti A
Published: March 2021

Background: People living near gold mines have risks of Hg exposure. Hg as free radical will react to bodybiomolecules. Susceptible biomolecules are nucleic acid or DNA. With DNA damage biomarker using8-hydroxy-2?-deoxyguanosine(8-OhdG).Purpose: This research will give an overview of 8-OHdG in mother and infants living near gold mines.Research Method: This Observational Longitudinal research measures Hg level in mothers’ hair and urine,breast milk, cord blood, also infants’ hair and urine. Level of 8-hydroxy-2?-deoxyguanosine (8-OHdG) inurine is measured with Elisa Kit. Mercury Analyzerwas used to measure Hg.Results: Average of Hg in maternal hair and urine, cord blood, breast milk also infants’ hair and urine werehigh above Threshold Limit Value (TLV) by WHO. Showing occurrence of Hg accumulation in mothers.Infant Hg exposure has occurred during prenatal transferred through cord blood and postnatal through breastmilk. Average of 8-OHdG in maternal and infant urine were high above normal average level of peopleunexposed to Hg, i.e 2.28 nm/ml which shows occurrence of DNA damage.Conclusion: Maternal and infant Hg were high above TLV. Level of 8-OHdG in maternal and infant urinewere high above 8-OHdG level of people unexposed to Hg, indicating DNA damage inducted by mercury.
A Cross-Sectional Study on Perspective of People towards the Covid-19 Induced Nationwide Lockdown in the State of Himachal Pradesh, India
Authors: Farah Niazi  , Aanchal Anant Awasthi  , Rajiv Janardhanan
Published: March 2021

Background: Almost one-third to half of the global population is now under some form of COVID-19induced lockdown. The objective of this study was to assess the perspective of people in the state of HimachalPradesh, India towards the COVID-19 induced nation-wide lockdown.Methodology: This cross-sectional study was conducted among 159 residents of the state of HimachalPradesh using snowball technique. The questionnaire was prepared through Google Forms and contained 21perspective based questions.Results: Majority of the participants (96.2%) were found to be fully aware and satisfied (66.7%) with theimplication of the nation-wide lockdown. It was also revealed that only few of the participants were workingfrom home or taking online classes (18%). The percentage of participants facing mental and physical healthissues were 55.3% and 49.7% respectively.Conclusion: The overall findings of the study revealed that even though most of the participants were fullyaware and were satisfied with the implication of the nation-wide lockdown, there were some problems beingfaced by them. However, most of the participants agreed with the necessity of nationwide lockdown for thecontrol of COVID-19.
Impact of Applying Evidence-Based Guidelines for Epileptic Patient on their Knowledge, Self Efficacy, Drug Adherence and Quality of Life
Authors: Fathia Ahmed Mersal  , Shereen Ahmed  , Ahmed Qalawa  , Amany Gamal Algharib
Published: March 2021

Background: Epilepsy is considered as a chronic brain disorder characterized by recurrent derangement ofthe nervous system caused by sudden extreme discharge of the cerebral neurons.Aim: To evaluate the impact of applying evidence-based guidelines for epileptic patient on their knowledge,self efficacy, drug adherence and quality of life.Design: A Quasi-experimental design conducted on 54 epileptic patients underlying three phases;assessment, planning, implementing,and evaluating phase which emphasized on estimating the effect of theevidence based guidelines implementation before (Pre-test) and re-interviewed after one month and fourmonths (follow-up) of implementation for the guidelines.Results: Reflected that there are a significant positive correlation were found between epileptic patient’s selfefficacy and their family history, level of education and between total epileptic patients knowledge and theirmarital status in the posttest phase (Ps = .040, .013, .049) respectively.Conclusion: The majority of epileptic patients had low self efficacy and quality of life levels in the preimplementation of guidelines phase comparing to Post and follow-up guideline implementation phases.Also, the majority of them had high knowledge and perception level in the item related to disease crisis,perception of anticonvulsant drugs and adherence at post and follow-up guidelines implementation phases.Relevance to Clinical Practice: There are obvious needs to activate implementation of epileptic guidelinesmanual in the hospitals.
Prickly Pear Cactus (Opuntia Ficus-Indica) the Beles in Ethiopia: A Review on Nutritional Aspects and Health Benefits
Authors: Gargi Dhar
Published: March 2021

Background: Prickly Pear Cactus (Opuntiaficus-indica) is the cactus species of greatest agronomicimportance, due to its delicious fruits, stems (cladodes), which are used as fodder for livestock as wellas a fruit and vegetable for human consumption. This cactus was introduced in Ethiopia 150 yrs before,locally known as Beles. The chemical, nutritional composition, and health benefits of cactus pears havebeen extensively studied. But the documented research evidence related to the nutrient content of theEthiopian variety is very less and the study on health benefits is almost nil. Climate changes, drought, hightemperatures, and changes in soil productivity are threatening human civilization in terms of food scarcityin Ethiopia. In this context, there is an urgent need to re-explore and promote Ethiopian Prickly Pear, anindigenous cactus as a supportive food for drought-prone areas in Ethiopia with enlightening the potentialhealth benefits of cactus fruit and stem.Method: This work is based on the reports of the United Nations, local Government, and Non-Governmentorganizations, research articles, conference proceedings, books, and unpublished theses.Conclusion: The review identified the gap between the knowledge and the practice in the use of this cactusin Ethiopia. It is recommended that along with administrative and social support; production and utilizationcan be enhanced to address human and livestock needs.
Vaccine Preventable Diseases among Mothers of Under Five Children
Authors: Praveen S Pateel  , Deelip S. Natekar  , Shridhar G. Pujari  , Daneshwari S Hiremath4
Published: March 2021

A quasi experimental study was conducted using one group pre test and post test research design. Convenientsampling technique was used to select 50 mothers of under five children at Bagavati village, of BagalkotDist, Karnataka. Data was collected using structured knowledge questionnaire.Result: The results reveal that the overall mean score was 30% in the pre test and 65.5% in the post test.Majority of the mothers had inadequate knowledge in pre test. After the implementation of InformationBooklet with an enhancement of 33.5% mothers of under five children had more adequate knowledgeregarding Vaccine Preventable Diseases. Paired ‘t’ test showed that there was a significant improvementbetween pre test and post test scores with ‘t’ value of 11.03 at P<0.05.Conclusion: The study findings revealed that information booklet on vaccine preventable diseases iseffective an improving knowledge of mothers of under five children.
Incidence of Vitamin D Levels in Cord Blood of Newborns and Correlation with Maternal Vitamin D: Our Experience
Authors: Preeti Lamba  , Dayachand  , Yogesh Kumar Goel  , Linika Valecha
Published: March 2021

Vitamin D deficiency is common in northern India but there are limited data in pregnant women andneonates. This study aimed to determine the prevalence of vitamin D levels in cord blood of newborns andthe association with maternal vitamin D. A total of 50 pregnant women and their neonates were included.Clinical data and venous maternal blood for calcium,phosphate, albumin, alkaline phosphatase, magnesium,intact parathyroid hormone, and vitamin D were obtained on the day of labor. Cord blood was collectedfollowing delivery to evaluate vitamin D status of newborns. Mean serum maternal and cord blood 25OHDlevels were 25.42 ± 8.07 and 14.85 ± 5.13 ng/mL. The prevalence of vitamin D deficiency (25OHD < 12 ng/mL) and insufficiency (25OHD 12–20ng/mL) in cord blood of newborns were 20.2 and 69.1%,respectively.There was a significant correlation between maternal and cord blood vitamin D levels (P< 0.001). Thefactors associated with cord blood vitamin D deficiency were low maternal 25OHD level and no vitamin Dsupplement during pregnancy.Conclusion: There is a high prevalence of vitamin D deficiency among the neonates. Adequate prenatalvitamin D supplementation should be implemented as routine antenatal care.
Adaptación y transmedialidad. Crítica de una oposición agotada
Authors: Rosendo Sánchez Nieves , Sánchez-Mesa Martínez Domingo
Published: March 2021

En este artículo se revisa el debate teórico sobre la relación y función de la adaptación en el tipo de diseño narrativo distribuido denominado transmedia storytelling (Jenkins 2003, 2006, 2009). Dicha revisión permite matizar y hasta corregir una oposición establecida en el primer momento de desarrollo del discurso mainstream sobre el TS (Jenkins 2003, Long 2007, Gomez 2007) según la cual la adaptación no sería un tipo de estrategia propia o recomendable en dicho tipo de narrativas. Siguiendo a Christy Dena, se identifican varias razones, de orden más bien pragmático, para aquella oposición inicial. Posteriormente se cuestiona la reducción del concepto de adaptación al de un grado inferior extremo en el espectro entre “repetición” y “expansión”, para entenderla como práctica de transferencia cultural más amplia y compleja. El texto profundiza también en las consecuencias de este debate a la luz de la discusión previa del Proyecto de investigación Nar-Trans sobre la dimensión intermedial de la transmedialidad, la concepción desmaterializada de “medio” de la teoría sobre el transmedia storytelling y de la transmedialidad misma como tendencia centrada en la construcción de mundos narrativos a través del flujo aparentemente sin resistencia de contenidos demediados (Sánchez-Mesa y Baetens 2017; Baetens y Sánchez-Mesa 2019).
Pengoptimalan estetika desain fasad dengan fungsi utama dan penunjang pada gedung serbaguna UNDIP
Authors: Mei Irfan Riswan , Winandari Maria Immaculata Ririk , Handjajanti Sri
Published: March 2021

Sebuah kawasan sudah seharusnya memiliki karakter tersendiri yang khas. Hal yang sama berlaku juga untuk kawasan pendidikan. Salah satu cara untuk mencapai karakter khas tersebut melalui optimalisasi fasad bangunan. Gedung serbaguna UNDIP direncanakan bertaraf internasional sehingga memerlukan desain fasad yang optimal. Desain tersebut sudah seharusnya menyesuaikan dengan lingkungan sekitar namun terlihat modern. Perencanaan Gedung Serbaguna di kawasan tersebut memperhatikan faktor perkembangan kawasan UNDIP dengan mempertimbangkan penambahan fungsi, kegiatan, dan kapasitas. Paper ini mengeksplorasi estetika desain fasad bangunan setempat yang sesuai untuk diterapkan di Gedung serbaguna UNDIP. Metode kualitatif digunakan untuk mendapatkan desain fasad yang optimal. Variable yang dieksplorasi meliputi atap bangunan, kolom, dan ornament kaca. Hasil menunjukkan bahwa setiap sisi bangunan harus memiliki fasad sesuai bangunan sekitar. Kesesuaian tersebut meliputi atap pelana, kolom soko guru, ornament kaca dengan desain cembung.
First record of the cimicomorphan family Plokiophilidae (Hemiptera, Heteroptera) from China, with description of a new species of Plokiophiloides
Authors: Luo Jiuyang , Peng Yanqiong , Xie Qiang
Published: March 2021

Plokiophiloides bannaensissp. nov., is described from Xishuangbanna, Yunnan Province, representing the first record of the family Plokiophilidae from China. The new species also represents the first record of the genus Plokiophiloides in the Oriental Region, a second zoogeographical region besides the Afrotropical Region. Photographs of the live individuals inhabiting a spider web within natural habitats, male and female habitus, wings of adult, male genitalic structures, female abdomen structures and scanning electron micrographs of forewing, head, thorax and legs are provided. A key to all known species of Plokiophiloides is presented, with a distribution map.
Hygrothermal Performance of Old Lime Plastered Spaces in a Hot and Dry Climate
Authors: Paralkar Vismaya , Damle Rashmin
Published: March 2021

Lime plaster is one of the key sustainable building materials which is also effective as a passive cooling strategy. Since it is being used for ages now, it is the most compatible material for old heritage structures. Thus, majorly used in conservation projects. In this work, the hygrothermal performance of lime plaster is observed through simulations and surveys. Residential surveys are carried out for occupied old naturally ventilated spaces. The inner surface temperature, relative humidity, and moisture content of the walls are measured. Simultaneously, the indoor air temperature, relative humidity, globe temperature, and air velocity are measured. In hygroscopic materials like lime plaster, realistic conditions like mold growth cannot be predicted through simulations. A simulation of thermal and hygrometric behavior of historical buildings is a challenge. An inaccurate simulation may lead to inadequate conclusions, which could lead to inappropriate and dangerous actions for the building’s heritage conservation. An attempt is made to use the survey readings and observations to predict the phenomenon of mold growth in a space while conducting simulations. Using a combined approach of simulation and survey, it was possible to predict the mold risk of the space.
Heritage and Tourism: Alternative Perspectives from South Asia
Authors: Timothy Dallen J.
Published: March 2021

This paper examines the typical ways in which mass tourism has utilized cultural heritage as a salient asset for development. Tourism has long focused on extraordinary, exotic and grand heritage assets at the expense of ordinary, mundane elements the human past that are part of the everyday lives of ordinary people. The paper argues that there are numerous ways in which ordinary heritage should be researched better in South Asia, how it might be used as a tourism resource, and as a tool for community empowerment. The paper focuses on language, Indigenous minorities, religion, traditional livelihoods, and food as exemplars of ordinary heritage with significant potential for tourism and for heritage protection.
Long-Term and Quality of Survival in Patients Treated for Acute Lymphoblastic Leukemia during the Pediatric Age
Authors: Devilli Lara , Garonzi Chiara , Balter Rita , Bonetti Elisa , Chinello Matteo , Zaccaron Ada , Vitale Virginia , De Bortoli Massimiliano , Caddeo Giulia , Baretta Valentina , Tridello Gloria , Cesaro Simone
Published: March 2021

Long-term survival for acute lymphoblastic leukemia (ALL) in children improved over the last three decades up to 80–90% of affected patients. Consequently, the quality of life of survivors has become increasingly important. This study analyses the clinical features and outcome of 119 children with ALL, focusing on the quality of long-term survival in a subset of 22 patients over 18 years of age. Among this group, the 10-year event-free survival and overall survival were 83.1% (C.I. 74.0–89.2) and 88.4% (C.I. 80.9–93.1), respectively. Treatment related long-term medical complications were reported only in 2 patients (9.1%). Secondary school was completed successfully in 20 of 22 patients (89.9%). The remaining 2 patients were still attending at the time of the analysis. In conclusion, current treatment for ALL is well tolerated and does not compromise significantly the quality of life of survivors.
SECONDARY SCHOOL PRINCIPALS’ LEVEL OF PREPAREDNESS AND ADOPTION OF NATIONAL EDUCATION MANAGEMENT INFORMATION SYSTEM IN KEIYO NORTH SUB-COUNTY, KENYA
Authors: Kasimiri Samson , Sang Professor , Shadrack Saina , Beru Moses
Published: March 2021

Purpose: The study investigated the level of preparedness of secondary school Principals to adopt the National Education Management Information System (NEMIS) in Keiyo North Sub-County, Elgeiyo-Marakwet County in Kenya.

Methodology: It was an explanatory research based on the Unified Theory of Acceptance and Use of Technology (UTAUT) and the public choice theory. A target population of 30 secondary schools Principals and 30 HODs in charge of ICT in Keiyo North Sub-County schools consisting of Boarding and Day secondary schools was used. This formed a population of 60. The schools were classified as National, Extra-County, County and Sub-County secondary schools. This ensured that all the sub-groups were proportionately represented. Quantitative data was collected using close-ended questionnaires and analyzed using descriptive and inferential statistics. A model was developed through regression analysis.

Findings: Results indicate that the sub-variable of Principal’s level of preparedness (acceptance, training and skills, and ICT infrastructure) had a statistically significant positive effect on adoption of NEMIS in secondary schools. The finding of this study is useful to the Ministry of Education (MOE) in planning purposes. The constructs of Principal’s level of preparedness (acceptance, training and skills and ICT infrastructure) positively and significantly correlated with adoption of NEMIS and as these constructs are enhanced, adoption of NEMIS receives a positive boost.

Unique Contribution to Theory Practice and Policy: The study points out that use of technology is a function of acceptance by the user and is in line with the postulates of UTAUT theory that drove this study. It is therefore recommended that managers in the education circles should pay greater attention to the postulates of UTAUT theory for effective implantation of ICT driven programs like NEMIS. The study further points out that for any government policy to succeed, those in authority should allocate resources for public interest to support such policy rather than follow their own self-interest as pointed out by the public choice theory.
Heart rhythm disorders and myocardial remodeling in patients with ST-segment elevation acute myocardial infarction
Authors: Mada Razvan O. , Rosianu Horia , Mada Cristina , Iancu Adrian C
Published: March 2021

Acute myocardial infarction is a potential life threatening disease spread all over the world. The continuing progress of medical and interventional therapies requires a comprehensive understanding of the underlying pathophysiology. Moreover, the potential development of heart failure or/and arrhythmias in either acute or chronic setting, demand a deep knowledge of their molecular mechanisms in order to provide adequate treatments. This review aims to summarize the current data regarding the etiopathogenesis of acute myocardial infarction and the heart rhythm disorders associated with this clinical condition.