bluuebunny/crossref_metadata_2025 huggingface dataset:
Prevalence of metabolic syndrome in beta-thalassemia major adult patients in Tanta University Hospitals
Authors: Eida Reham Abd Elmageed Abo , Elbedewy Tamer Abd Elhamid , Mabrouk Maaly Mohamed , Elnassr Nashwa Mohamed Abu
Published: August 2022

Introduction: one of long-term complications of Beta-thalassemia major (β-TM) disease is metabolic syndrome, which has a significant influence on patients' quality of life. Objective: to investigate the prevalence of metabolic syndrome in β-thalassemia major patients in Tanta University Hospitals. Materials and methods: our study included two groups. Group I: consist of (100) adult beta-thalassemia major patients. Group II: consist of (100) sex and age matched healthy subjects as control group.  Results: the present study revealed that 29% of our β-thalassemia major patients had metabolic syndrome while in control group it was 2.0%, and low high-density lipoprotein (HDL)was the most frequent positive criterion it was 86.0% in β-thalassemia major patients' group. Prevalence of hyperglycemia, abdominal obesity, hypertriglyceridemia, and hypertension in patients with thalassemia was 29, 41, 21and 7%, respectively. Prevalence of metabolic syndrome in female patient was 34.3% while in male beta thalassemia major patient it was 18.2%. the prevalence of metabolic syndrome in well chelated beta thalassemia major patient was 0.0%, while in poorly chelated patients it was 35.4%. Conclusions: this study revealed that 29% of β-thalassemia major group patients had International Diabetes Federation (IDF) criteria of metabolic syndrome and low HDL was the most frequent positive criterion.
Analysis of impact of complete dentures on respiratory performance
Authors: Saini Ravinder Singh , Kaur Kanwalpreet
Published: August 2022

Background: The present study was conducted for analysing the impact of Complete Dentures on Respiratory Performance. Materials & methods: 20 subjects with presence complete edentulous arch and who had history of complete denture usage for atleast five years were enrolled. Spirometric testing was carried out at following steps: Phase 1: Testing in absence of denture, Phase 2: Testing in presence of both dentures, Phase 3: Testing in presence of maxillary denture only; and Phase 4: Testing in presence of mandibular dentures only. FVC value, PEF value, FEV1 value and FEF25–75 value was recorded with the spirometric test. Analysis of all the results was done by SPSS software, followed by assessment of level of significant with chi-square test and student test. Results: While analysing statistically, it was seen that there was significant decrease in value of Spirometric variables in the presence of dentures. Conclusion: Denture wearer edentulous patients are subjected to risk of development of Spirometric alterations. Hence; these patients should be given timely instructions about various respiratory exercise protocols.
Efficacy of the static isometric neck exercises and hold- relax (PNF) technique to relive cervicogenic headache among college students
Authors: Chaliawala Riya , Anandh S.
Published: August 2022

Introduction: The word cervicogenic headache is defined as “referred pain perceived in any part of the head caused by primary nociceptive source in musculoskeletal tissues innervated by cervical nerves”. Symptoms is usually unilateral and does not change its side, it begins in neck and spread to head. Pain, tenderness, stiffness, decreased range of motion etc, are the most common symptoms. Pain can range from dull, deep ache to heavy pressure of severe intensity. In India, college students aged between 17 years – 23 years suggested to have prevalence of about 15.6 % of likely having cervicogenic headache. Materials and Methodology: Physiotherapy College students having cervicogeneic headache were included in the study. This is a study of assessment of pain, range of motion, cervical flexion rotation test among college students who have frequent cervicogenic headache. The study duration was about 3months including 80 sample size selected according to the inclusion and exclusion criteria. Results: Unpaired t test was done to compare different parameters in group A and group B. Paired t test was done in group A and in group B to compare pre and post intervention
Relationship between Change Management and Sugarcane Productivity in Sugar Factory Cane Catchments Areas in Kenya
Authors:   Management University of Africa, Wanjala Aggrey Waliaula
Published: August 2022

The study sought to determine the relationship between change management and sugarcane productivity in 13 sugar factory cane catchment areas in Kenya. The philosophical foundation of this study was positivism. Cross-sectional survey design was adopted. A sample of 478 respondents were used where 400 were farmers and 78 were the factory leaders. A simple regression model was used to test the statistical significance. The findings show that when change management is held constant, sugarcane productivity will remain at 0.714. A unit increase in change management will increase sugarcane productivity in sugar factory cane catchments areas in Kenya by the rate of 0.751. The null hypothesis of the study was change management has no significant relationship with sugarcane productivity in sugar factory cane catchments areas in Kenya. Since, the p value was less than the critical value 0.05, the study rejected the null hypotheses and thus change management has a significant relationship with sugarcane productivity in sugar factory cane catchments areas in Kenya. The study concludes that, to achieve varied goals, managers need more than fragmentary ad-hoc change programmes dealing only with present sugarcane productivity challenges. They need change management methods to prepare for upcoming organizational competitive difficulties. The study provides significant information for managers of the sugar companies on the need to implement appropriate change management policies and practice in organizations. The study confirms that change management has a significant effect on productivity of the sugar factory cane catchment areas. Keywords: Change Management, Productivity, Sugarcane Factories
Considerações Sobre a Memória e o Silêncio do Paciente.
Authors: Maia Luis
Published: August 2022

O presente artigo tem como objetivo descrever o conceito de memória e do silêncio do paciente na teoria psicanalítica freudiana. Mediante a análise dessa teoria, esse estudo visa mostrar que a memória, na Psicanálise, sempre esteve presente na formulação freudiana. A memória guarda o conhecimento do passado. Constituída por elementos inconscientes, a dinâmica entre o recordar e o repetir seria a memória em ato. Por sua vez, o silêncio do paciente, constitui uma linguagem, uma forma de dizer sem palavras.
Inclusão Escolar e Social de Pessoas com Deficiência em Timor-Leste.
Authors: V. Cavalcante Márcia , Silva Carvalho Susana
Published: August 2022

Um dos desafios na área de educação escolar em Timor-Leste está associado à inclusão educacional e social de pessoas com deficiência. Considerando que, em determinados contextos timorenses, as deficiências estão intrinsecamente relacionadas a crenças, maldições e punições no núcleo familiar. Este artigo analisa portanto, o contexto inclusivo das pessoas com deficiência, buscando compreender as relações entre educação inclusiva e suas implicações culturais. Para isso, tomamos como base observações e relatos coletados no Centro de Reabilitação Liman Hamutuk, localizado no suco de Hera, município de Díli. Essa pesquisa faz parte de um trabalho pedagógico realizado no âmbito do Programa de Qualificação Docente e Ensino de Língua Portuguesa Timor-Leste-PQLP, executado pela Coordenação de aperfeiçoamento de Pessoal de Nível Superior - CAPES, durante os anos de 2014/2015. A base teórica utilizada centra-se no campo da Educação e Psicanálise e na abordagem de Sassaki (1997), no que diz respeito à exclusão, segregação, integração e inclusão das pessoas com deficiência.
Socialização, Identidade Coletiva e Identidade Linguística em Timor-Leste.
Authors: Rühle Indart Karin Noemi
Published: August 2022

O objetivo deste artigo é introduzir os leitores aos conceitos de identidade primária, identidade social, identidade coletiva, identidade real e virtual, assim como identidade nacional ligados à psicologia social, mas também como temas transversais da sociologia e antropologia. Para tal introdução utilizamos como base teórica principalmente os autores Dubar (1997) e Bauman (2005; 2010) e aplicamos suas teorias ao desenvolvimento da identidade nacional timorense, que concluímos estar relacionada com as diferentes identidades linguísticas presentes na nova nação.
Training for Trauma Care Providers in East Timor.
Authors: Monju Kikuno
Published: August 2022

The psychological damage (trauma) brought about by long periods of war and conflict causes various problems throughout the lifetime of a person. In order to alleviate and resolve trauma, specialists who are able to provide psychological care are indispensable. In East Timor, due to a shortage of specialists capable of psychological and mental care, it cannot be said that the people are able to receive sufficient trauma care. Therefore, it is believed that, while training specialists who can give traumacare, the establishment of a system that can be implemented to provide effective support in the long term is an urgent issue. For this reason, the goal of this study is to report on a “Support Provider Training Workshop” that has been implemented continually since 2012, examine ways for support-provider training in East Timor, and identify the issues in the training. Workshops have been implemented two to three times each year continually from 2012 for well-motivated people who wish to develop as trauma care specialists. The workshops covered basic knowledge in clinical psychology and the basics of psychological therapies, especially focusing on sandbox therapy, in combination with practical work that encourages the self-understanding of the participants themselves to clarify and relieve their traumas. The participants stated, in addition to the joy and gratitude for what they had been able to learn at the workshops, that self-understanding is the basis for support for others and that the workshops had also become opportunities to relieve their own traumas. Moreover, it seems that the motivation to develop into a psychological support specialist was also strongly aroused. As an issue in conducting psychological supporter training in East Timor, in addition to a shortage of basic psychological knowledge and support skills, it was also confirmed that there is the difficulty of translating specialist terminology into the Tetun language. In the future, considering that the provision of systematic and continued study opportunities is necessary to train specialists, a proposal was also presented for a program that would consist of the stages of an introductory course, a basic course, an intermediate course, and advanced course and an applied course.
Local Knowledge, Traditional Healers and Psychology: Causes, Symptoms And Treatments of Mental, Disorders in Timor.Leste.
Authors: Boarccaech Alessandro
Published: August 2022

This article presents the result of research on the perceptions about the meanings, causes, symptoms and treatments of mental disorders in contemporary Timorese society. To this end, semi-structured interviews were conducted with 48 matan-dook – healers, doctors and mediators between the world of the living and the world of the dead by ancestral customs and practices – in the municipalities of Aileu, Ainaro, Dili, Liquiçá, Los Palos, Maliana, Manatuto, Manufahi and Viqueque. In general terms, mental disorders would have a somatic-psychic-spiritual character and would be the consequence of actions perceived as deviant from the socially established norm, constituting a rupture in the conception of harmony and social order.
Asymmetry and transmission of international price shocks of cocoa and coffee in Togo
Authors:   Department of Agricultural Economics, Agricultural High School, University of Lome, Lome, Togo, Yovo Koffi , Edoh Adabe Kokou ,   Department of Agricultural Economics, Agricultural High School, University of Lome, Lome, Togo
Published: August 2022

This study assesses the mechanism of the transmission of international price shocks to producer prices of coffee and cocoa in Togo. A threshold autoregressive (TAR) model was estimated using monthly series of international and producer prices of coffee and cocoa in Togo from 1994 to 2018. The results show that there is asymmetric transmission of international price shocks to producer prices. Domestic prices respond less quickly to international price increase than decreases. The asymmetric price transmission is similar in term of the speed of adjustment for the two commodities. In order to deal with this phenomenon, further investigations need to be done to detect the reasons for the asymmetry in price transmission between domestic and international coffee and cocoa markets.
Influence of agricultural extension services on technical efficiency of maize farmers in Malawi
Authors:   International Food Policy Research Institute (IFPRI), Lilongwe, Malawi, Jolex Aubrey
Published: August 2022

Recognising potential selection bias due to non-randomness of the data, this study used propensity score matching on data from a nationally representative fifth Integrated Household Survey (IHS5) to investigate the effect of agriculture extension services on the technical efficiency of maize farmers in Malawi. Technical efficiency levels were estimated using the stochastic frontier model. The results show that most farmers are technically efficient, with an average technical efficiency of 63%. This indicates that there is still a possibility to increase maize output by 37% using the same level of inputs. The results of the propensity score matching reveal that having access to agricultural extension services significantly increases maize farmers’ technical efficiency, by about 4%. This evidence presents an opportunity not only for farmers, but also for the relevant policymakers, to realise the potential of using agricultural extension services to enhance the production capacity of maize farmers.
Effect of economic policy uncertainty on agricultural growth in Nigeria
Authors:   Federal University of Agriculture, Makurdi, Nigeria, C. Aye Goodness , N. Kotur* Lydia ,   Federal University of Agriculture, Makurdi, Nigeria
Published: August 2022

This study analysed the long- and short-run effect of economic policy uncertainty on agricultural growth in Nigeria. Annual data was collected from secondary sources and analysed using the autoregressive distributed lag (ARDL) model and the associated bounds test. The highest volatility was exhibited by monetary policy uncertainty (MPU) (2.522), followed by consumer price index (CPI) (1.968). The fiscal policy uncertainty had the lowest volatility (0.179). The result of the bounds test showed that economic policy uncertainty shares a long-run relationship with agricultural growth. The effect of economic policy uncertainty on agricultural growth in the long run is negative, with the coefficient of MPU, FPU and TPU being -0.004, -0.218 and -0.507 respectively. In the short run, the effects of all the economic policy uncertainty variables on agricultural growth and welfare are negative and significant, both in contemporary (current) and in lags. A stable economic policy encourages agricultural growth.
KERAPUHAN EVIDENSI DALAM CIVIC LITERACY
Authors: Gultom Andri Fransiskus
Published: August 2022

Perdebatan ihwal civic literacy dalam diskursus filsafat di Indonesia masih jarang ditemukan. Tulisan ini boleh jadi menginisiasi perdebatan tersebut dengan menjangkarkan kritik filosofis pada penelitian Armaidy Armawi dan Raharjo di Jurnal Filsafat Vol. 31, No. 1 tahun 2021 berjudul: “Evaluasi Program Sosialisasi Civic Literacy Dalam Pembentukan Etika Warganegara Muda”. Tujuan mendasar dari tulisan ini ada pada kekuatan untuk memberi kritik pada penelitian yang memiliki kerapuhan evidensi dalam pembahasan tentang civic literacy. Penelitian ini menggunakan metode kualitatif dengan verstehen, trouble mapping, interpretasi, dan eksperimen pikiran Myra Zarnowski. Temuan penelitian meliputi: pertama, kerapuhan evidensi terjadi pada kedua peneliti karena mengalami the epistemological break. Kedua, kerapuhan evidensi kedua peneliti ada pada konten civic literacy karena evaluasi kedua peneliti meleset dengan menghadirkan minus data sehingga capaian puncak pada civic literacy bukan terarah pada the well-inform citizens, tetapi berkutat pada bias ekplanasi yang ada pada etika. Rekomendasi penelitian ini terarah pada civic literacy yang memuat struktur tentang tema-tema bacaan dan nilai-nilai kewargaan yang bisa menjawab kebutuhan warga negara. Implikasinya, keterlibatan warga untuk peka mewujudkan keadilan sosial.
FENOMENA UJARAN TEKS DISKRIMINATIF: KOS INI HANYA MENERIMA MAHASISWA MUSLIM DALAM TERANG FILSAFAT RELASIONALITAS DALAM BERAGAMA ARMADA RIYANTO
Authors: Jaimut Yuliana , Depa Siklus Rikardus , Sardono Eugenius Ervan , Manik Michael Sandro
Published: August 2022

Tulisan ini merupakan analisis kritis terhadap teks yang berbunyi: “Rumah kos ini hanya menerima santri yang beragama Islam” berdasarkan filosofi relasionalitas Armada Riyanto terhadap fenomena pluralisme agama di Indonesia. Indonesia memiliki berbagai agama. Keberagaman agama dalam Fleet Relational Philosophy berarti menerima orang lain dalam pluralitasnya. Metodologi yang digunakan dalam penelitian ini adalah Phenomenological Description Analysis(FDA), yang mengkaji teks: “Rumah kos ini hanya menerima mahasiswa Muslim” dalam perspektif welas asih Armstrong. Temuan penelitian ini adalah: (1) saya dan teks. Manusia mengkritisi teks diskriminatif “pesantren ini hanya menerima santri” dari gagasan Relasionalitas Armada Riyanto. (2) Aku dan Liyan. Bangun empati dan dialog sebagai 'pintu' toleransi. (3) Aku dan Tuhan. Iman yang kuat akan semakin mendorong toleransi, bukan sebaliknya.
KORELASI DIALEKTIKA HEGEL DAN PANCASILA
Authors: Abdul Aziz Asep Rifqi
Published: August 2022

Lima dasar Negara Indonesia yang disebut dengan Pancasila merupakan ideologi negara yang tidak dapat ditawar. Lahir dari kebutuhan Negara akan nilai-nilai tetap yang dapat menyatukan kemajemukan warga Negaranya. Pancasila lahir bukan dari angan-angan belaka namun dari realiatas-realitas yang dipadatkan menjadi nilai-nilai yang ajeg. Soekarno, Mohammad Yamin dan Soepomo disebutkan sebagai aktor intelektual lahirnya Pancasila yang disampaikan dalam sidang BPUPKI (Badan Penyelidik Usaha-Usaha Persiapan Kemerdekaan Indonesia). Hasil dari sidang tersebut adalah Pancasila yang saat ini diketahui bersama oleh rakyat Indonesia yaitu, ketuhanan yang maha esa, kemanusiaan yang adil dan beradab, persatuan Indonesia, kerakyatan yang dipimpin oleh hikmat kebijaksanaan dalam permusyawaratan perwakilan, dan keadilan sosial bagi seluruh rakyat Indonesia. Tujuan penulisan artikel ini hendak menyingkap lahirnya Pancasila dari kaca mata Dialektika Hegel melalui pengkajian terhadap realitas sosial pada masa lahirnya Pancasila. Dari hasil kajian tersebut ditemukan, Proses lahirnya Pancasila tidak lepas dari dialektika antara tesis dan antithesis sehingga pada akhirnya memunculkan sintesis. Hal yang abstrak bertemu dengan realitas baik realitas keberagamaan atau realitas kenegaraan bahkan realitas sosial maka akan melahirkan nilai-nilai hasil dari kompromi bukan saling menegasikan, yang Hegel sebut dengan Aufgehoben.Perjalanan Pancasila sebagai sebuah ideologi negara dapat dianalisis secara filosofis. Kesimpulannya, Pancasila bukanlah doktrin yang lahir dari keangkuhan para penguasa, melainkan lahir dari kebutuhan Negara yang dibidani salah satunya oleh proses yang sangat rasionalis.
ADAPTASI PENERAPAN SENGKER DEWASA UPACARA PITRA YADNYA DI DESA TAMAN BALI KABUPATEN BANGLI PADA MASA PANDEMI COVID-19
Authors: Sumada I Ketut
Published: August 2022

Penelitian ini bertujuan melakukan kajian terhadap adaptasi penerapan sengker dewasa di Desa Pakraman Taman Bali pada masa pandemi covid-19. Penelitian ini dirancang dalam jenis penelitian deskriptif kualitatif. Penelitian ini menemukan tiga hasil untuk memberikan jawaban atas permasalahan penelitian. Pertama, adaptasi penerapan sengker dewasa dalam pelaksanaan upacara pitra yajña yang berdekatan dengan upacara piodalan di Pura Kahyangan Tiga pada masa pandemi covid-19 tetap dilestarikan keberadaannya dengan cara membatasi pelaksanaan upacara pitra yajna yang berdekatan dengan piodalan. Kedua, fungsi adaptasi penerapan sengker dewasa dalam pelaksanaan upacara pitra yajña yang berdekatan dengan upacara piodalan di Pura Kahyangan Tiga pada masa pandemi covid-19 sekurang-kurangnya ada empat, yaitu fungsi religius, fungsi social, fungsi budaya, dan fungsi kesehatan Ketiga, makna adaptasi penerapan sengker dewasa dalam pelaksanaan upacara pitra yajña yang berdekatan dengan upacara piodalan  di Pura Kahyangan Tiga di masa pandemi covid-19 sekurang-kurangnya ada empat, yaitu makna kesucian, makna kesehatan,  makna pelestarian budaya, dan  makna solidaritas. Penelitian ini merekomendasikan adaptasi dalam penerapan sengker dewasa sangat penting diperhatikan karena mengandung potensi positif dalam kehidupan masyarakat untuk senantiasa menjalin hubungan-hubungan sosial karena sengker dewasa ini merupakan kesepakatan sosial para leluhur mereka yang sampai saat ini masih dapat menyatukan masyarakat desa pakraman.
ESENSI KEADILAN DALAM KONTRAK BAKU BERDASARKAN PERSPEKTIF HUKUM HINDU
Authors: Bagiartha W I Putu Pasek , Rizal Pahrur
Published: August 2022

Citra kontrak baku yang mengedepankan penetapan syarat kontrak secara sepihak menjadi inti kajian mengenai esensi keadilan dalam kontrak baku, khususnya dari perspektif hukum Hindu. Adapun metode yang digunakan merupakan jenis penelitian kualitatif dengan pendekatan perundang-undangan dan konseptual. Untuk teknik pengumpulan data menggunakan studi kepustakaan dan dokumentasi dengan mengacu pada analisa penerapan teori keadilan Aristoteles terhadap pemberlakuan syarat sepihak kontrak baku. Berdasarkan hasil analisis ditemukan bahwa kontrak baku masuk dalam kategori sumber hukum Acara (Sadacara) dalam Hindu yang tidak boleh bertentangan terhadap Sruti dan Smerti sebagai lex superioirnya. Dalam konteks Smerti kontrak baku masuk dalam bagian Arthasastra, khususnya kelompok Manawa Dharmasastra, sehingga ketentuan dalam Manawa Dharmasastra berlaku juga terhadap kontrak baku seperti ketentuan Pasal 1338 KUH Perdata yang memiliki kesamaan pengaturan dengan Buku VIII Sloka 46 Manawa Dharmasastra, sedangkan ketentuan Pasal 1320 KUH Perdata memiliki kesamaan esensi dengan Buku VIII Manawa Dharmasastra Sloka 143 (mengenai objek/prestasi/jaminan), Sloka 163 (mengenai kecakapan hukum), Sloka 164 (mengenai causa halal), dan Sloka 165 (mengenai kesepakatan). Lebih lanjut lagi, mengenai esensi keadilan kontrak baku dikategorikan sebagai keadilan sama rata (justitia commutativa) asalkan memenuhi aspek kepastian hukum yaitu tidak bertentangan dengan ketentuan perundang-undangan publik seperti pemenuhan ketentuan Pasal 1338 dan Pasal 1320 KUH Perdata, serta Pasal 18 Ayat (1,2,3,4) Undang Nomor 8 Tahun 1999 Tentang Perlindungan Konsumen.
Optimalisasi Kesehatan Mental dalam Upaya Meningkatkan Rasa Percaya Diri pada Mahasiswa PSIK UIN Jakarta
Authors: Nurfadhilah Nazwa Rafa , Hernata Dara Suci , Ibrahim Tantri Rivakalebbi , Setyowati Dwi
Published: August 2022

Pandemi Covid-19 yang terjadi pada tahun 2020 hingga 2022 memaksa pemerintah melakukan berbagai upaya untuk menekan penyebaran COVID-19 di Indonesia, salah satunya dengan penerapan pembelajaran online untuk perguruan tinggi melalui Kementerian Pendidikan dan Kebudayaan. Budaya. Pembelajaran online berdampak pada kepercayaan diri siswa dalam berdiskusi, mengemukakan pendapat, dan menyelesaikan tugas dan ujian secara mandiri. Tujuan dari penelitian ini adalah untuk melihat apakah ada penurunan rasa percaya diri dan kesehatan mental pada mahasiswa Keperawatan UIN Syarif Hidayatullah Jakarta tahun 2021 akibat pembelajaran online. Partisipan dalam penelitian ini adalah mahasiswa Keperawatan Universitas Islam Negeri Syarif Hidayatullah Jakarta Angkatan 2021 dengan jumlah 28 mahasiswa. Model penelitian deskriptif kualitatif mendasari metode penelitian ini. Data dikumpulkan menggunakan alat online seperti Google Formulir. Hasil temuan menunjukkan mayoritas responden memiliki tingkat kepercayaan sebelum pandemi dengan skala 4 skala 1-5 sebanyak 17 orang (60,7 persen), sedangkan sebagian kecil responden memiliki tingkat kepercayaan sebelum pandemi. pandemi dengan skala 2 pada skala 1-5 sebanyak 2 orang (7,1 persen). Berdasarkan tingkat kepercayaan mahasiswa pascapandemi, mayoritas responden memiliki tingkat kepercayaan pascapandemi 3 skala 1-5, 13 orang (46,4 persen), sebagian kecil responden melaporkan tingkat kepercayaan setelah pandemi 2 skala 1-5. (17,9 persen).
Immediate Implant Placement in Infected Sockets: Curettage Protocol Plus Disinfection with Hydrogen Peroxide and Rifamycin. Retrospective Analysis at 6 years of Follow-up
Authors: Villalá MA Garcés
Published: August 2022

Context: Immediate implant placement in a fresh socket after extraction is an increasingly popular and established treatment option. However, active infection at the extraction site can adversely affect the outcome of this procedure. Aims: This study was designed to evaluate the clinical results of immediate dental implant placement in infected extraction sockets. Settings and Design: using a standardized protocol, which included the use of 3% hydrogen peroxide plus rifamycin 500 mg as irrigation for decontamination of the infected socket before implant insertion with submerged healing. Patients and methods: The sample consisted of 227 implants placed in 158 patients, the data were obtained through a retrospective review of the clinical registry selected of patients who received implants according to the protocol described. Statistical analysis used: A generalized binary response regression model was used. For all tests, the statistical significance value was set at p <0.05. Results: Of the 227 implants placed immediately in the infected sites using the described protocol with an average follow-up of 6 years of prosthetic loading, only 11 failed, resulting in a cumulative implant survival rate of 95.2%. Only the medical history / harmful habits factor (HM / HH) was significant (p = 0.002), in this group the success rate was 85.7%. However, in the group of healthy patients without harmful habits, the success rate rises to 98.8%. Conclusion: Immediate implant placement in infected sites using these protocols in healthy patients shows a survival rate similar to that published for implants placed in non-infected sites.
Questo numero
Authors: Dalla Chiesa Nando
Published: August 2022

La presentazione del numero
Memorie di un CSM speciale
Authors: Caselli Gian Carlo
Published: August 2022

L’articolo è una testimonianza delle posizioni tenute da Carlo Smuraglia in uno dei più famosi conflitti che hanno segnato la storia della giustizia italiana: quello sulla promozione o emarginazione di Giovanni Falcone nella magistratura siciliana durante la fase più dura della lotta alla mafia. È il ricordo di un magistrato che fu osservatore partecipe e appassionato di quella vicenda. Che ci consegna un’immagine di coerenza e di linearità dell’impegno istituzionale del professore-avvocato milanese.
Ordini professionali e mafia. Atteggiamenti concreti nel contrasto all'infiltrazione mafiosa nell'economia legale: il caso lombardo
Authors: Locarni Martina
Published: August 2022

L’articolo indaga la risposta degli ordini professionali di Milano – in particolare degli avvocati, dei commercialisti e dei notai – , all’ormai nota relazione tra la mafia e professionisti. Nella prima e nella seconda parte offre una panoramica sul fenomeno del professionista che agevola l’organizzazione mafiosa e sul ruolo che le professioni ricoprono nella società. Nella terza parte l’articolo si focalizza sull’atteggiamento e l’impegno degli ordini professionali in un’ottica antimafia, in quanto istituzioni di autogoverno.
Bacterial diarrhea among infants in developing countries: An overview of diarrheagenic Escherichia coli (DEC)
Authors: SULEIMAN KAFILAT , Kolo Ibrahim , Mohammed Sani Sambo Datsugwai , Magaji Yahaya G.
Published: August 2022

Many cases of diarrhea are due to an infection in the gastrointestinal tract caused by microorganisms such as bacteria, viruses and parasites. This may be present alone or can be together with different symptoms, such as vomiting, abdominal pain, nausea and weight loss. There is an estimate of 2 billion cases of diarrhea disease globally that happens yearly. Also, approximately 1.9 million children globally below the age of 5 years die from diarrhea every year mostly in the developing countries making it the second leading cause of mortality in children of this age group. Recurring and regular diarrhea can affect growth of children and cognitive development and increase their vulnerability to different communicable diseases. About 89% of diarrhea related deaths are caused by insufficient hygiene, bad water, and inadequate sanitation. Major cause of diarrhea in children is Diarrheagenic Escherichia coli (DEC) which is acquired through water and food that is contaminated. There are 6 main pathotypes:, diffusely adherent E. coli (DAEC), enterotoxigenic E. coli (ETEC), enteropathogenic E. coli (EPEC), shiga toxin–producing E. coli (STEC),  enteroinvasive E. coli (EIEC), and enteroaggregative E. coli (EAEC).  Adherent invasive E. coli (AIEC) is is the new pathotype that has been recently reported. Biochemical tests, culture and modern methods like Polymerase Chain Reaction are the conventional techniques carried out in the identification of E. coli species. Preventive measures and treatment includes proper sanitation, improved hygeine, access to safe drinking-water, exclusive breastfeeding of the babies for the first 6 months of life, proper rehydration with oral rehydration salts (ORS) or intravenous fluids in case of shock, early hospitalization for children who are extremely malnourished, zinc supplementation, and in some circumstances, the use of antibiotics which should be implemented to reduce the burden of diarrhea among children.
Bacteriological assessment on ready-to-eat salad sold in some fast food centers in Azare town, Bauchi State, Nigeria
Authors: ABUBAKAR AISHATU , JOSHUA TABITHA
Published: August 2022

Eating food that is contaminated by bacteria is one of the main reasons for food poisoning. Food poisoning can be caused by several bacterial species that are present on the raw vegetables and fruits and also in the dairy products that are used in the salad dressings and toppings. This study was carried out to isolate and identify pathogenic micro-organisms associated with ready-to-eat salads obtained from selected fast food centers in Azare town of Bauchi State, Nigeria. Samples of salads were collected from randomly selected locations within the town and subjected to microbial culture in Nutrient and MacConkey agar media for isolation of bacteria. Three bacterial species were isolated, namely; Salmonella Spp, Escherichia coli and Staphylococcus aureus. The total colony count ranged from 3.01x101 cfu/g to1.5x 103 cfu/g respectively. The order of increasing colony count of bacteria isolated was Salmonella Spp, E. coli, and Staphylococcus aureus. The results from the studies showed that ready-to-eat salads samples obtained from the fast food centers have high microbial load and as such do not meet bacteriological standards. Therefore, consumption of such products may pose public health problem. It is therefore recommended that the total hygiene and sanitary conditions under which those fast foods centers operates should be monitored by the relevant Government agencies and stringent supervision of processing methods are applied.
Larvicidal and Pupicidal Activity of Unripened Fruit of Coccinia grandis (L) against Filarial Vector Culex quinquefasciatus
Authors:   P.G and Research Department of Zoology, Nehru Memorial College (Autonomous), Puthanampatti – 621 007, Trichy District, Tamil Nadu, India., Saravanan K. , Karuppannan P. ,   P.G and Research Department of Zoology, Vivekanandha College for Women, Tiruchengodu – 637 205, Tamilnadu, Revathi G. ,   P.G and Research Department of Zoology, Nehru Memorial College (Autonomous), Puthanampatti – 621 007, Trichy District, Tamil Nadu, India, Elavarasi S. ,   P.G and Research Department of Zoology, Holy Cross College (Autonomous), Tiruchirappalli., Premalatha P. ,   P.G and Research Department of Zoology, Nehru Memorial College (Autonomous), Puthanampatti – 621 007, Trichy District, Tamil Nadu, India, Egbuna C. ,   Africa Centre of Excellence in Public Health and Toxicological Research (ACE-PUTOR), Nutritional Biochemistry and Toxicology Unit, University of Port-Harcourt, Rivers State, Nigeria, Chikwendu C.J. ,   Department of Biochemistry, Faculty of Natural Sciences, Chukwuemeka Odumegwu Ojukwu University, Anambra State- 431124, Nigeria
Published: August 2022

Nowadays, plant-based control of vector mosquitoes is very important in preventing the environmental toxicity caused by insecticides used to control vector mosquitoes. Thus the present study was focused to evaluate the larvicidal and pupicidal activity of different extracts of Coccini grandis gourd against filarial vector Culex quinquefasciatus. The larvae of C. quinquefasiatus were used for the larvicidal activity. Fourth instars larvae and pupae were used for the larvicidal activity study. The mortality of larvae and pupae was observed every 3 hours and recorded. Results showed that different extracts of C. grandis gourd possess larvicidal and pupicidal activity against filariasis transmitting vector C. quinquefasciatus.
A New Subspecies of Leporicypraea mappa (Linnaeus, 1758) fromthe Marquesas, French Polynesia (Mollusca: Gastropoda: Cypraeidae)
Authors: Marty Beals , David Lum
Published: August 2022

A new subspecies of Leporicypraea mappa (Linnaeus, 1758) from the Marquesas Islands, French Polynesia is described as Leporicypraea mappa curvati n. ssp. It is separated from two other principal populations, one found in the Tuamotu Archipelago and the other in the Society Islands. All three populations were separated from Leporicypraea mappa viridis (Kenyon, 1902) byDr. Felix Lorenz, which he then described as a single new taxon Leporicypraea mappa admirabilisLorenz, 2002. The authors will use analysis of comparative conchological characteristics, biogeographic and oceanographic conditions, and relative genetic change to demonstrate that substantial separation exists to validate L. m. curvati as a new subspecies.
Progressive Collapse Evaluation of Low-Rise Reinforced Concrete Buildings Designed for Different Occupancy Classes
Authors:   Sakarya University, Faculty of Engineering, Department of Civil Engineering, Serdivan, Sakarya, 54050, Tur, Demir Aydin
Published: August 2022

The study aims to investigate the progressive collapse behavior of low-rise reinforced concrete buildings designed for different occupancy classes. For this objective, two low-rise reinforced concrete framed buildings were designed independently according to the Turkish Seismic Code for Buildings by considering the Residential Occupancy Class and Government Buildings Occupancy Class. A nonlinear dynamic analysis method was employed to evaluate the progressive collapse response of the buildings by using the alternate path direct design approach of UFC 4-023-03 and GSA-2016 guidelines. Three-dimensional finite element models were created for the analyses, and fiber hinges were used to represent the nonlinear behavior of the load-bearing members. Three column loss scenarios were implemented independently. The analysis results show that the residual displacement of the residential building is higher than that of the government building in all column removal scenarios. Moreover, the damage conditions of the residential building are commonly worse than the government building for all column loss scenarios. It is deduced from the study that the buildings experienced the most severe local damage, disproportionate to the initial failure, under the inner column loss scenario
Atendimento odontológico em tempos de COVID-19: avaliação da taxa de infecção e impacto econômico entre dentistas do estado do Paraná, Brasil.
Authors: Greco Mariane Gabrielly , Montanher Beatriz , Caroline Teófilo Campos Ellen , Lopes do Nascimento Luis Gustavo , Borges Bahia Mariana , Ancelmo de Souza Júnior Saulo , Baptista Francielle
Published: August 2022

Em 2020, a pandemia de COVID-19 exerceu grandes impactos no mundo todo. Novos protocolos de biossegurança foram adotados para impedir ou minimizar a disseminação do vírus, o que impactou diretamente a área da saúde. Os profissionais atuantes nesta área foram considerados aqueles com maior propensão à contaminação, devido ao fato da constante exposição ao vírus. Neste grupo de profissionais da saúde, destacam-se os cirurgiões-dentistas, que no exercício de sua profissão possuíam contato direto com aerossóis e gotículas potencialmente contaminadas, principalmente devido ao uso das canetas rotatórias refrigeradas, que disseminavam com maior facilidade tais partículas. Deste modo, o objetivo deste estudo é identificar a taxa de contaminação de COVID-19 por parte dos cirurgiões-dentistas e relacioná-la com os impactos econômicos que a pandemia exerceu sobre esses profissionais, visto que o número de procedimentos eletivos dentro dos consultórios odontológicos sofreu uma queda brusca nesse período. Conclui-se que apesar dos dentistas terem sido considerados os profissionais de saúde mais propensos a se contaminarem pela COVID-19, os mesmos apresentaram baixos índices de contaminação, onde a maioria dos casos de contágio ocorreu antes do processo de vacinação. Já em relação aos impactos econômicos, a grande maioria dos cirurgiões-dentistas sofreu com a queda de demanda dos atendimentos, ocasionando uma redução dos rendimentos financeiros.
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Knowledge, Attitudes, And Practices Towards Novel COVID-19 Among Pakistani Population During Pandemic Period
Authors: Mahmood Mattoo Asif , Hameed Saadia , Javed Hina , Nisa Fakher Un , Maqsood Butt Asif , Ahmad Mehboob
Published: August 2022

Special control measures have been taken by government of Pakistan during COVID-19 pandemic. Implementation of these measures were dependent on knowledge, attitudes, and practices (KAP) of population towards disease. Objectives: To assess KAP of residents of Pakistan towards COVID-19 during outbreak. Methods: It was a web-based, cross-sectional study. The study was designed using Google Forms and was distributed through "WhatsApp" groups. The objectives and purpose were explained to respondents. The survey was completed by clicking on responses to closed-ended multiple choice questions measured on Likert Scale. Results: Overall awareness for all respondents was adequate with majority reporting correct answers. Less than half of respondents knew about correct use of sanitizer and gloves. Frequently missed questions with correct responses were about use of alcohol base sanitizer to disinfect hands 104 (32%), disinfect gloves 56 (17%), ideally required concentration of alcohol 131 (40%) and primary use of gloves 71 (228%). Conclusion: Knowledge about disease was found acceptable with encouraging attitude and satisfactory practices. However, most respondents lacked knowledge about use of sanitizer and gloves. It is important to devise a Health Education campaign and public guidelines at national level to target all socio-economic groups, to stop spread of COVID-19.
Interobserver Agreement of The Sonographic Evaluation for Fetal Biometry Among Normal and Obese Mothers
Authors: Saleem Muhammad Adeel , Bacha Raham , Fatima Hamnah , Fatima Mehreen , Raheel Muhammad , Taj Zareen , Manzoor Iqra
Published: August 2022

Obesity is a disease and acts to develop myriad of clinical condition. Along with causing other diseases it renders difficulties in some physical and imaging examination of obese patients as a challenge. Therefore, the consistency of results has a great deal of variation for sonographer. Objective: Study was aimed to evaluate the interobserver agreement in the fetal biometry among normal and obese mothers. Methods: The study includes obese and normal pregnant females with single alive without any anomaly or growth retardation fetus.  Low frequency convex array transducer is used. Total 140 Patients were included and categorized according to BMI. Inter item correlation, ICC and CRC were calculated for all variables. Bland-Altman plots were constructed. T-test was applied p-value 0.05 considered significant. Results: It was observed that the variation in normal and obese pregnant ladies in third trimester is not significant and a strong agreement between the observers in both normal and obese. Conclusion: Obesity causes many problems in sonographic fetal biometry. It was observed that the variation in normal and obese pregnant ladies in third trimester is not significant and a strong agreement between the observers in both normal and obese categories.
Effect of chemotherapy induced hair-loss on distress levels among cancer patients visiting public and private hospitals of Punjab
Authors: Muhammad Ali  , Tahir Qandeel , Khizar Mahak , Munawar Maryam , Saif Ali
Published: August 2022

Chemotherapy is an essential part of a multimodal strategy in the treatment of many cancers. Chemotherapy-induced hair loss is believed to affect 65 percent of people. According to the study, chemotherapy-induced hair loss has been associated to anxiety, depression, a poor body image, low self-esteem, and a decreased sense of health. Objectives: To find out chemotherapy-induced alopecia distress levels among cancer patients' in Punjab's public and private hospitals. To find out the relationship between demographic variables and chemotherapy induced alopecia distress. Methods: A cross sectional study was conducted in public and private hospitals of Punjab, over the duration of 6 months, from October 2021 to March 2022. A sample of 323 respondents with the age range 19-54 was obtained. Data collection tool was adapted version of chemotherapy-induced alopecia distress scale (CASD). Frequencies and percentages of categorical variables were reported and Chi-square test was used to find out associations. Results: High distress level was 61% (n=196) while low distress level was 39% (n=127). Majority of the sample population consisted of participants belonging to age group 18-34 (n=146, 45.2%). Most of them were male 53% (n=173). Respondents diagnosed at stage2 had low distress level (54%) as compare to respondents who were diagnosed at stage3 and stage 4. Significant association (p-value ≤0.05) was found between Gender, family income, employment status, disease stage at diagnosis, number of chemotherapy cycles received and current active treatment. Conclusion: Chemotherapy-induced alopecia distress was associated with all of five domains i.e. physical, emotional, daily activities, relationships and treatment. To reduce the suffering caused by alopecia in cancer patients, appropriate therapies must be developed.
EFFECTS OF CONSTRAINT-INDUCED MOVEMENT THERAPY ON HAND AND ARM FUNCTIONS IN PATIENTS WITH PARKINSON’S DISEASE
Authors: Ghazanfar Mariam , Abbas Muhammad , Rafiq Shazia , Kalsoom Umme , Muhammad Rizwan  , Amin Tooba , Razzaq Ayesha , Sarwar Haroon
Published: August 2022

The aim of this research was to ascertain the effect of constraint-induced movement therapy on individuals with Parkinson's disease's hand and arm functions. Methods: It was a randomized controlled experiment that ran from December 28, 2020, to March 3, 2021, at the physical therapy departments of the University of Lahore Teaching Hospital, Lahore General Hospital and Mayo Hospital. Between the ages of 50 and 80, 40 male and female Parkinson's disease patients were divided evenly into two groups. Patients in the experimental group (n = 20) received both routine physical treatment and constraint-induced movement therapy, while patients in the control group (n = 20) received just normal physical therapy. Six hours a day, for a total of four weeks, were spent treating the patients. Frenchay Arm Test was used to evaluate patients (FAT). The data were examined using IBM's Statistical Package for Social Sciences (SPSS) version 25. Results: Data for 40 individuals were evaluated, with 17 (42.5%) men and 23 (57.50%) women, and a mean age SD of 65.28 7.28 with a minimum age of 50 and a maximum age of 78. Patients improved in both groups; the mean difference between pre- and post-test results in the experimental group was 2.060.66 (p=0.000), whereas it was -0.940.64 (p=0.000) in the control group. Contrary to conventional physical therapy alone, however, patients reported greater improvement following treatment with constraint-induced movement therapy (p=0.003). Conclusion: According to this study, constraint-induced mobility therapy helped Parkinson's disease patients' hands and arms operate better
Frequency Of HRCT Findings and Distribution in Lung Parenchyma in Pneumonia
Authors: Rasheed Laiba , Jamil Maryam , Ali Abid , Azam Sadia , Akram Hifza , Kiran Warda
Published: August 2022

Lung’s primary role is to allow the diffusion of gases from the surrounding atmosphere into circulation. Pneumonia and associated spread in the lungs parenchyma is a very common finding in one or both lungs. Objective: To determine the frequency of HRCT findings and distribution in the lung parenchyma in pneumonia patients. Methods: It was a cross-sectional study conducted at a Tertiary Hospital in Lahore, Pakistan in the department of Radiology over five months, from January 2022 to May, 2022. A sample size of 90 patients was taken using a convenient sampling approach from previously published articles. Patients with pneumonia were included in the study after informing a consent. All the data were entered and analyzed using SPSS version 22.0. Results: Results shows that pneumonia is more common in the age of 56-65years (30.0%). It is more common in the patients having a history of smoking 44(48.9%). One of the most prevalent CT findings was ground-glass opacities 55(17.7%). Lung infection dissemination was found to be unilateral in 16(17.8%) patients and bilateral in 74(82.2%). On categorization and parenchymal distribution, lobular pneumonia was more common 77(85.6%). Conclusion: In conclusion, pneumonia is the most prevalent disease among children and older males at the age of 56-65years, having previous history of smoking. The most prevalent observations were lymphadenopathy, ground-glass opacities GGO, and consolidations. Bronchopneumonia findings are more common however, the majority of cases were bilateral than unilateral.
Impact Of Cardiac Rehabilitation on Patients with Myocardial Infarction
Authors: Qayyum Zubia , Aslam Ambreen , Aimen Ifra , Zahra Sania , Maqsood Mobeena , Sultana Razia
Published: August 2022

Myocardial Infarction (MI) renowned as “Heart attack” is of 2 main categories ST-Elevation Myocardial Infarction (STEMI) which is symptomatic and Non-ST-Elevation Myocardial Infarction (NSTEMI) with no clear symptoms, killing silently. Cardiac Rehabilitation (CR) is a multidimensional standard of patient care individually tailored to specific needs of participants. Objective: To find out the impact of CR on cardiac abnormalities and associated malfunctions and promote awareness and facilitation of CR. Methods: A descriptive cross-sectional study was done via “The Minnesota Living with Heart Failure Questionnaire” (MLHFQ). Data was collected from 90 cardiac patients. Results: According to MLHFQ, 7.8% of the population had good QOL, 71.1% had moderate QOL, and 21.1% had poor QOL from age 45 to 60 with MI. Conclusion: 71.1% of total participants with MI who followed CR observed enhanced energy levels, managed symptoms effectively, prevented progression, and boosted up confidence level hence results showed positive impact of rehabilitation. Factor affected results were age, cooperation, duration of diagnosis before participating in CR and duration of rehabilitation. Whereas, it had almost similar impact for both male and female of age 45 to 60.