bluuebunny/crossref_metadata_2025 huggingface dataset:
A novel respiratory control and actuation system for upper-limb prosthesis users: Clinical evaluation study
Authors: Harthikote Nagaraja Vikranth , Ghosh Moulic Soikat , D'souza Jennifer V. , M. Limesh , Walters Peter , H. M. Bergmann Jeroen
Published: October 2022

The most widely-used active upper-limb (UL) prostheses worldwide are body-powered (BP), which is a two-century-old technology. Despite their affordability and functional benefits to users, these devices are prone to poor outcomes for many patients. Additionally, BP devices have witnessed limited improvements compared to their externally-powered counterparts. Literature indicates a strong need for appropriate prosthetic solutions for children and adolescents. Our previous work introduced a first-of-its-kind breathing-powered UL prosthesis (“Airbender”) that can overcome several limitations of the current BP systems (e.g., restricted operation space, user discomfort caused by the harness to which the cables are attached). Users can regulate their breathing, and this controllable airflow is subsequently used to power a small (purpose-built and optimised) Tesla turbine that can accurately control the opening and closing of the prosthetic hand. The current work explores device usability in children and adolescents with a UL difference (n = 15). Further, we gathered feedback, suggestions, and satisfaction levels from the study participants and their parents on breathing as a modality of controlling a prosthetic device. The collected responses and study observations were subjected to qualitative and statistical analysis. This study showcases real-world testing of a breathing-powered prosthesis and proves that UL-deficient children and adolescents can indeed operate the device (i.e., volitionally open or close) with their breathing input. The perceived level of difficulty in opening or closing the device tended to be on the ‘easy’ side. We report generally favourable feedback obtained from participants and their parents. Additionally, design suggestions and satisfaction levels concerning different device attributes help us involve the key stakeholders in co-creating and proactively developing a robust product development roadmap. This work is aligned with creating a step-change in the potential BP prosthesis options for patients in the future, propelled by a need-led approach. 
New Network Slicing-Based IoT Architecture for 5G and Next-Generation Mobile Technologies
Authors: AMINE MARIAME , Kobbane Abdellatif , Ben-Othman Jalel
Published: October 2022

The massive device’s connectivity and the great data traffic demand are growing explosively in our daily lives, especially in the Internet of Things environment. For this purpose, the main objective of operators is to find the most innovative and powerful solution that can support all these needs. The sliced fifth-generation mobile network (sliced 5G) is considered a promising architecture using a new radio access technology called New Radio (NR), which can offer significantly higher data rate experiences. In addition, using Network Slicing (NS) architecture will allow more flexibility and isolation to the predefined infrastructure. The NS isolation effect’s benefit is eliminating inter-slices interference since they will be independent of each other. This paper aims to resolve the user-association problem in a sliced 5G (NR)-IoT network. Hence, the problem is formulated as an Unconstrained-Markov Decision Process (U-MDP) model. Then, the U-MDP association algorithm is proposed to find the optimal association among users and the different slices. Numerical simulation results validate the theoretical proposed model and prove her efficiency in improving the global system performance while respecting all devices’ Quality of Service.
Boundary Preserving Twin Energy-Based-Models for Image to Image Translation
Authors: Tiwary Piyush , Bhattacharyya Kinjawl , AP Prathosh
Published: October 2022

Domain shift refers to change of distributional characteristics between the training (source) and the testing (target) datasets of a learning task, leading to performance drop. For tasks involving medical images, domain shift may be caused because of several factors such as change in underlying imaging modalities, measuring devices and staining mechanisms. Recent approaches address this issue via generative models based on the principles of adversarial learning albeit they suffer from issues such as difficulty in training and lack of diversity. Motivated by the aforementioned observations,  we adapt an alternative class of deep generative models called the Energy Based Models (EBMs) for the task of unpaired image-to-image translation of medical images. Specifically, we propose a novel method called the Boundary Preserving Twin EBMs (BPT-EBM) which employs a pair of EBMs in the latent space of an Auto-Encoder trained on the source data. While one of the EBMs translates the source to the target domain the other does vice-versa along with a novel boundary preserving loss, ensuring translation symmetry and coupling between the domains. We theoretically analyze the proposed method and show that our design leads to better translation between the domains with reduced langevin mixing steps. We demonstrate the efficacy of our method through detailed quantitative and qualitative experiments on image segmentation tasks on three different datasets vis-a-vis state-of-the-art methods. 
IoT Short-Packet URLLCs for MIMO Underlay Cognitive Multihop Relaying with Imperfect CSI
Authors: Ngo Hoang Tu , Hoang Dai Trong , Lee Kyungchun
Published: October 2022

In this work, we investigate short-packet communications for multiple-input multiple-output underlay cognitive multihop relay internet-of-things (IoT) networks with multiple primary users, where IoT devices transmit and receive short packets to provide low-latency and ultra-reliable communications (uRLLCs). For performance evaluation, the closed-form expressions of the end-to-end (E2E) block error rate (BLER) for the considered systems are derived in a practical scenario under imperfect channel state information of the interference channels, from which the E2E throughput, energy efficiency (EE), latency, reliability, and asymptotic analysis are also studied. Based on the analytical results, we adapt some state-of-the-art machine learning (ML)-aided estimators to predict the system performance in terms of the E2E throughput, EE, latency, and reliability for real-time configurations in IoT systems. We also obtain the closed-form expressions for the optimal power-allocation and relay-location strategies to minimize the asymptotic E2E BLER under the proportional tolerable interference power and uRLLC constraints, which require negligible computational complexity and offer significant power savings. Furthermore, the ML-based evaluation achieves equivalent performance while significantly reducing the execution time compared to conventional analytical and simulation methods. Among the ML frameworks, the extreme gradient boosting model is demonstrated to be the most efficient estimator for future practical IoT applications.
Short-Packet URLLCs for Multihop MIMO Full-Duplex Relay Networks: Analytical and Deep-Learning-Based Real-Time Evaluation
Authors: Ngo Hoang Tu , Lee Kyungchun
Published: October 2022

In this study, we investigate multihop multiple-input multiple-output (MIMO) full-duplex relay (FDR) networks with short-packet ultra-reliability and low-latency communications (uRLLCs), where transmit-antenna selection (TAS)/maximum-ratio combining (MRC), TAS/selection combining, and maximum-ratio transmission/MRC are leveraged as diversity techniques.

Under quasi-static Rayleigh-fading channels and the finite-blocklength theory, the end-to-end block-error rate (BLER) performance of the considered FDR is analyzed and compared with that of half-duplex relaying systems, from which the effective throughput (ETP), energy efficiency (EE), reliability, and latency are also investigated. To gain further insights into the system design, an asymptotic BLER analysis in the high signal-to-noise ratio regime is provided. Based on the analytical and simulation results, the gains of multihop MIMO FDR networks in the context of short-packet uRLLCs are confirmed via the effect of system parameters on network performance. In addition, a novel deep multiple-output neural-network framework is developed to simultaneously predict the ETP, EE, and reliability with high accuracy, low computational complexity, and short execution time. This makes the framework an efficient estimator for real-time evaluations of future IoT applications, compared with conventional analysis and simulation approaches.
Budaya organisasi, gaya kepemimpinan dan kompensasi terhadap kinerja pegawai melalui kepuasan kerja
Authors: Sinaga Leonardo Martua
Published: October 2022

This study aims to examine the effect of organizational culture and leadership on satisfaction and performance and place compensation as a control variable. Data were obtained through questionnaires, and hypotheses were tested by path analysis. The analysis results support the proposed hypothesis that organizational culture positively and significantly affects job satisfaction and performance. Similar results were also obtained where leadership significantly affected job satisfaction and employee performance. Finally, job satisfaction in this study was shown to predict performance directly and act as a mediator of the relationship between organizational culture and leadership on employee performance.
Klasifikasi Jenis DBD Yang Diderita Oleh Pasien di Rumah Sakit Budi Asta Cirebon dengan Metode Rapid Test
Authors: Octaherawati Shindi , Setiana W Farah Diba
Published: October 2022

Demam Berdarah Dengue (DBD) atau dalam bahasa medisnya disebut Dengue Hemorhagic Fever (DHF) adalah penyakit demam akut yang disebabkan oleh virus dengue yang dibawa oleh nyamuk betina dari genus Aedes,yaitu Aedes aegypti dan Aedes albopictus.Demam Berdarah Dengue (DBD/Dengue Hemmoragic Fever) merupakan masalah kesehatan yang ditemukan di daerah tropis dan subtropis, terutama di daerah perkotaan. Antibodi Immunoglobulin G (IgG) adalah reaksi imun yang diproduksi terbanyak sebagai antibodi utama dalam proses sekunder dan merupakan pertahanan inang yang penting terhadap bakteri yang terbungkus dan virus.IgG beredar dalam tubuh dan banyak terdapat pada darah,system getah bening dan usus.Antibodi Immunoglobulin M (IgM) adalahantibodi yang pertama kali timbul pada respon imun terhadap antigen dan antibodi primer.Antibodi IgM ini terdapat pada darah,getah bening,dan pada permukaan sel-sel B.Tujuan penelitian ini adalah untuk mengetahui kadar IgG dan IgM dengan rapid test pada pasien DBD di RSIA Bunda Aliyah.Berdasarkan hasil penelitian dapat disimpulkan bahwa pasien penderita Demam Berdarah Dengue (DBD) yang terinfeksi dengue sekunder memiliki persentase lebih tinggi dibandingkan pasien yang terinfeksi dengue primer yaitu sebesar 31% dengue sekunder, 26% dengue primer dan 43% negatif dengue.
Analisa Kadar Logam Kadmium (CD) pada Udang Putih Yang dijual di Pasar Muara Angke Jakarta Utara
Authors: Picauli Sueti
Published: October 2022

Limbah industri umumnya banyak mengandung logam berat seperti kadmium (Cd) merupakan logam berat yang ditemukan alami dalam kerak bumi, kadmium murni berupa logam lunak berwarna putih perak. Namun sejauh ini belum pernah ditemukan kadmium dalam keadaan murni logam dialam dapat menyebabkan pencemaran air. Penelitian ini dilakukan dengan tujuan untuk mengetahui kandungan cemaran logam berat Cd yang terakumulasi dalam udang putih (Litopenaeus vannamei) yang diperoleh dari 9 pedagang udang putih di Pasar Muara Angke Jakarta Utara. Waktu Penelitian dilakukan pada bulan Agustus 2017. Penelitian bersifat Observasi Laboratorium Design, analisis data secara deskriptif kuantitatif. Sampel diambil secara Random Sampling, kadar Cd diukur dengan ICP (Inductively Coupled Plasma – Atomic Emission Spectrometry). Hasil Penelitian menunjukkan bahwa udang putih yang dijual di Pasar Muara Angke Jakarta Utara mengandung Cd. Kadar Cd pada udang putih yang dijual di Pasar Muara Angke Jakarta Utara yaitu <0,001-0,008. Kandungan Cd dalam udang putih tidak melebihi ambang batas cemaran logam. Perlu dilakukan suatu pengelolaan secara kontinyu terhadap pencemaran yang terjadi di laut, terutama bagi pemerintah dengan membentuk tim monitoring dan penyuluh dibidang pencemaran laut, menetapkan standar baku mutu yang berlaku di perairan laut khususnya pencemaran logam berat. Penelitian ini terbatas pada udang putih sehingga dilakukan Penelitian dengan analisis yang lebih lanjut terhadap akumulasi logam berat pada air dan biota dasar yang hidup didalamnya.
PEMBERDAYAAN MASYARAKAT DALAM PENGELOLAAN SAMPAH RUMAH TANGGA DI RW 03 KELURAHAN KALISARI JAKARTA TIMUR
Authors: Sukaesih Uuh , Miswan Miswan
Published: October 2022

Warga masyarakat di RW 03 Kelurahan Kalisari Kecamatan Pasar Rebo lebih dari 90 persen tidak melakukan pemisahan antara sampah basah dengan sampah kering. Tujuan dari pengabdian masyarakat yaitu merubah perilaku Warga masyarakat yang ada di RT 05,07, dan 10 RW 03 Kelurahan Kalisari dalam membuang sampah yaitu memisahkan sampah kering dengan sampah basah sehingga sampah yang dibuang ke tempat pembuangan akhir (TPA) berkurang. Metode yang dilakukan yaitu dengan memberikan penyuluhan, bimbingan, dan simulasi kepada warga agar bersedia memisahkan antara sampah basah dengan sampah kering sehinga jumlah sampah yang dibuang ke tempat pembuangan akhir berkurang. Hasil program pengabdian kepada masyarakat yaitu perubahan perilaku masyarakat dalam membuang sampah. Setelah diadakan program pengelolaan sampah rumah tangga maka sekitar 30 persen warga masyarakat melakukan pemisahan antara sampah basah dengan sampah kering sehingga jumlah sampah yang dibuang ke tempat pembuangan akhir berkurang.
PELATIHAN LEGALITAS PRODUK PANGAN DAN KEMASAN BAGI PENGUSAHA KULINER ANGGOTA LEMBAGA BARISAN MUDA WIRAUSAHA INDONESIA REGIONAL IV-BANTEN
Authors: Romadhan Muhammad Fajri , Azni Intan Nurul , Rahmawati Rahmawati , Andiyana Yandi
Published: October 2022

Legalitas dan kemasan adalah dua unsur yang penting dalam bidang kewirausahaan untuk mendukung proses penjualan dan pemasaran produk pangan. Salah satu legalitas yang diperlukan dalam penjualan produk pangan adalah izin edar dari BPOM. Solusi yang ditawarkan pada kegiatan ini adalah dengan memberi pelatihan secara offline dan online melalui media zoom meeting mengenai Legalitas Produk Pangan dan Kemasan untuk mitra sehingga diharapkan mitra dapat lebih mudah proses memiliki izin edar. Mitra pada kegiatan ini adalah Pengusaha Kuliner Lembaga Barisan Muda Wirausaha Indonesia Regional IV-Banten. Metode yang dilakukan adalah sosialisasi peraturan wajib izin edar kepada mitra, pelatihan legalitas produk pangan, sosialiasi tren kemasan produk pangan, dan sosialisasi cara mengurus izin edar BPOM dan sertifikat halal LPPOM MUI. Hasil evaluasi menunjukkan bahwa sebesar 88% peserta pelatihan meningkat pengetahuannya tentang legalitas dan kemasan produk pangan.
PENINGKATAN DAYA SAING PRODUK MELALUI KEUNGGULAN ASOSIASI MEREK, KEKUATAN ASOSIASI MEREK DAN KEUNIKAN ASOSISI MEREK
Authors: Sukirman Sukirman
Published: October 2022

Persaingan industri makanan jenang mengalami perkembangan cukup pesat, pelaku usaha melakukan berbagai strategi untuk memenangkan persaingan pasar. Satu diantaranya adalah dengan membuat citra merk yang kuat untuk mendapatkan top of mind di hati konsumen. Tujuan penelitian ini adalah untuk menganalisis sejauh mana pengaruh peningkatan citra merk terhadap peningkatan daya saing produk makanan jenang di Kabupaten Kudus. Penelitian ini menggunakan jenis penelitian deskriptif, analisis menggunakan statistik regresi linier berganda dengan sampling menerapkan teknik convenience sampling. Sampel diperoleh dari responden yang mengkonsumsi jenang produk usaha kecil di Kabupaten Kudus. Penelitian ini menganalisis pengaruh keunggulan asosiasi merk, kekuatan asosiasi merk dan keunikkan asosiasi merk terhadap peningkatan daya saing produk usaha kecil jenang baik secara parsial maupun berganda. Pengujian analisis menggunakan SPSS dengan responden pelanggan makanan jenang produk usaha kecil di kabupaten Kudus. Hasil penelitian menunjukkan adanya pengaruh terhadap peningkatan daya saing produk makanan jenang melalui peningkatan keunggulan asosiasi merk, kekuatan asosiasi merk dan keunikkan asosiasi merk baik secara parsial maupun berganda
OPTIMALISASI MEDIA SOSIAL INSTAGRAM DALAM AKTIVITAS BISNIS BAGI UMKM DI BANGKA BELITUNG
Authors: Widiati Euis , Levyda Levyda , Ratnasari Kania
Published: October 2022

Jumlah UMKM semakin hari kian bertambah, hal tersebut menandakan bahwa masyarakat saat ini mulai tertarik untuk berwirausaha. Adanya wabah pandemi Covid-19 membuat para pengusaha menjadi lebih kreatif dan inovatif dalam menjalankan aktivitas bisnisnya. Untuk menumbuhkan jumlah pelaku UMKM yang berselancar di dunia maya, Kemenkop UKM dan Kementerian Komunikasi dan Informatika (Kemkominfo) bersama dengan para pelaku e-commerce menggagas program bertajuk 8 Juta UMKM Go Online. Bangka Belitung sebagai daerah yang memiliki potensi wisata pantai yang indah, memberikan peluang bagi para pelaku usaha di sekitar objek wisata. Beragam jenis usaha yang telah dirintis oleh para UMKM setempat. Untuk mendukung keberlangsungan usaha di era digital, diperlukan keterampilan bagi para pelaku usaha untuk dapat mengoperasikan media sosialnya dengan baik sebagai penunjang aktivitas pemasaran. Berdasarkan kondisi dan permasalahan tersebut di atas maka tim pengabdian kepada masyarakat dari Universitas Sahid Jakarta mengadakan pelatihan, yaitu program optimalisasi media sosial Instagram sebagai penunjang aktivitas usaha bagi pelaku UMKM di Bangka Belitung diharapkan mampu meningkatkan perekonomian daerah setempat. Progam pelatihan yang bertujuan membekali kemampuan menggunakan system informasi dan teknologi dalam aktivitas bisnis di dunia digital ini diharapkan mampu dan berhasil menciptakan industri kreatif di Bangka Belitung.
UPAYA MEMPERTAHANKAN DAN MENINGKATKAN USAHA PARA PEDAGANG DI MASA PANDEMI COVID 19 (di Setu Pedongkelan Kecamatan Cimanggis Depok)
Authors: Sukaesih Uuh , Miswan Miswan
Published: October 2022

Pandemi Covid 19 membuat  kegiatan ekonomi mengalami keterpurukan, tidak terkecuali kegiatan usaha para pedagang yang ada di Setu Pedongkelan Kecamatan Cimanggis Depok.  Tujuan dari kegiatan Pengabdian Masyarakat pada kegiatan ini yaitu (1) Untuk meningkatkan pengetahuan mengenai cara agar dapat mempertahankan dan meningkatkan pendapatan atau omset penjualan dari usaha yang dijalankan, (2) Para pedagang dapat mempertahankan dan meningkatkan pendapatan atau omset penjualan dari usaha yang dijalankan, dan (3) Para pedagang dapat meningkatkan keuntungan yang diperoleh dari usaha dagangnya. Sasaran kegiatan ini dilakukan kepada 4 orang pedagang dengan metode yaitu memberi penyuluhan mengenai berbagai cara yang bisa dilakukan, memberikan bantuan modal untuk diversifikasi produk, memberi bantuan untuk peralatan sederhana, dan melakukan pendampingan atau konsultasi usaha yang dilakukan mulai 14 Desember sampai 24 Desember 2021. Setelah dilakukan kegiatan PKM diharapkan pengetahuan para pedagang meningkat, omset penjualan meningkat 27,6 persen, dan keuntungan meningkat sebesar 28 persen.
Muting the voices of the protesters
Authors: Mawokomayi Betina , Dube Bevelyn
Published: October 2022

The study interrogated News24’s framing of the 2015 Malamulele service delivery protest inSouth Africa. The study sought to find out what frames were used, why they were chosen andwith what effect. Twenty newspaper articles published by News24 on the protest were purposivelyselected for inclusion in the study. The articles were analysed using quantitative and qualitativecontent analysis. Findings revealed that the reporters chose episodic frames which conformedwith the protest paradigm and which depicted the protestors as violent, destructive, unreasonableand a threat to the economy of the local community and of the nation. The paper argues that thechoice of sources and frames was largely informed by journalistic principles of news productionand that this resulted in the voices of the protestors being stifled.
Descripción de un caso de Braquidactilia en una familia colombiana con posible Efecto Fundador
Authors: Gómez Natalia , Prieto Carolina , Ciro Ossa Carolina Maria , Polania Maria Daniela Daniela , Luján Oriana , Gracia Martínez María , Arias Alexandra , Torres Carolina , Téllez Daniel , Fernández Isabel , Celis Luis Gustavo
Published: October 2022

Objetivo: Se describe el caso de una paciente femenina de 33 años con acortamiento de falanges en manos y pies, antecedentes familiares de manifestaciones similares al cuadro de la paciente que compromete 4 generaciones, por lo que se sospecha un componente genético de efecto fundador. Métodos: Se realizó una historia clínica, documentación de genealogía, examen físico completa con medidas antropométricas, radiografías y estudio de cariotipo, previo consentimiento informado con el fin de poder clasificar la enfermedad, determinar sintomatología y discapacidad. Resultados: Cariotipo sin alteraciones, que descartan síndromes asociados. A su vez, las radiografías comparativas de manos y pies confirman el acortamiento metacarpiano y metatarsiano bilateral. Se considera braquidactilia tipo E3 de presentación aislada. La forma de disostosis que cursa la paciente es compatible con la vida, asintomática y con bajo riesgo de discapacidad.
Exploración de las asociaciones entre la variabilidad de la frecuencia cardiaca y citometría hemática en mujeres con preeclampsia
Authors: Rueda Medécigo María José , Ceballos Juárez Rosselin Gabriela , Pichardo Carmona Elias Yojairi Yojairi , Reyes Lagos José Javier Javier
Published: October 2022

La variabilidad de la frecuencia cardiaca (vfc) es una herramienta que ha permitido evaluar la actividad autonómica en el embarazo, específicamente la preeclampsia podría involucrar posibles desajustes autonómicos en la mujer embarazada. A la fecha, no hay estudios en donde se hayan explorado las asociaciones entre parámetros de la vfc con medidas de citometría hemática en dicha patología. Por lo tanto, el objetivo de este trabajo fue explorar las correlaciones entre la vfc y valores de citometría hemática en grupos de mujeres con preeclampsia con diferentes criterios de severidad y normotensas. Se realizó un estudio comparativo, de corte transversal y correlacional en el que se estudiaron tres grupos de participantes: gestantes normotensas o Control (n=11), preeclampsia sin criterios de severidad (pscs, n=11) y preeclampsia con criterios de severidad (pccs, n=11). Nuestros resultados mostraron que el grupo de pscs exhibió una correlación positiva moderada (r=0.52, p<0.05) entre el volumen plaquetario medio (vpm) con la actividad parasimpática cardiaca. De igual manera, el grupo Control mostró una correlación positiva fuerte (r=0.82, p<0.01) entre el vpm y la variabilidad cardiaca total. La presencia o ausencia de asociaciones entre la vfc y valores de citometría hemática podrían estar vinculados con cambios cardiovasculares durante la preeclampsia.
Impacto de la diabetes mellitus en la salud sexual y reproductiva
Authors: Amaro Daniela A. , Castañón Donají , Juárez Jiménez Marisol , Valdez Rojas Fernanda , Hernandez Alvarado Salvador
Published: October 2022

La diabetes mellitus es una enfermedad metabólica crónico-degenerativa con una prevalencia cada vez mayor en la población mundial. Esta enfermedad se ha relacionado con múltiples complicaciones orgánicas que afectan no sólo a la salud física sino también emocional, lo que conlleva a un deterioro en la calidad de vida de estos pacientes. Dentro de los aspectos menos estudiados de estas complicaciones han sido los relacionados con la salud sexual, sin embargo, evidencia creciente muestra que esta enfermedad afecta de manera negativa la sexualidad en ambos sexos. Los hombres con diabetes tienden a presentar una mayor incidencia de disfunción eréctil, mientras que las mujeres presentan una reducción de la lubricación vaginal y disminución de la libido. Respecto a la reproducción, las pacientes con diabetes tienen una menor tasa de fertilidad y alteraciones en las diversas edades reproductivas y los pacientes diabéticos muestran modificaciones en la calidad espermática y la producción de hormonas sexuales. El mayor entendimiento de las afectaciones que produce la diabetes mellitus en la salud sexual y reproductiva permitirá un mejor tratamiento y una prevención oportuna de estas complicaciones.
Pengaruh Ekstrak Etanol Daun Pangi (Pangium edule) terhadap Penyembuhan Luka Bakar pada Tikus Putih (Rattus novergicus) Galur Wistar
Authors: Putra I Made Agus Sunadi , Erliana Ni Ketut Era
Published: October 2022

Luka bakar adalah bentuk kerusakan jaringan yang disebabkan oleh kontak dengan sumber yang memiliki suhu tinggi seperti api, listrik, bahan kimia. Daun Pangi memiliki kandungan kimia flavonoid, alkaloid, saponin, tannin dan terpenoid yang bisa dijadikan alternatif dalam pengobatan luka bakar. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian ekstrak etanol daun Pangi terhadap penyembuhan luka bakar derajat II. Desain penelitian yang digunakan adalah metode eksperimental menggunakan hewan coba tikus putih galur Wistar. Perlakuan dibuat 4 macam dengan masing-masing 6 pengulangan. Ekstraksi daun Pangi dilakukan dengan metode maserasi dengan etanol 95%. Variasi perlakuan yaitu kontrol positif dengan menggunakan salep silver sulfadiazine, kontrol negatif tanpa diberikan perlakuan, ekstrak etanol daun Pangi 2,5% dan ekstrak etanol daun Pangi 5%. Luka bakar dibuat dengan menggunakan plat besi yang dipanaskan dengan api Bunsen selama 2 menit lalu ditempelkan pada punggung tikus selama 5 detik sampai terbentuk luka bakar II yang ditandai warna kemerahan dan ada gelembung berisi cairan pada luka. Pengamatan dilakukan dengan melihat dan mengukur lebar luka di hari ke-1, hari ke-2, hari ke-4 dan hari ke-7. Hasil penelitian menunjukkan bahwa ekstrak etanol daun Pangi mempercepat proses penyembuhan luka bakar derajat II pada tikus putih galur Wistar. Ekstrak etanol daun Pangi dengan konsentrasi 5% lebih efektif dibandingkan dengan konsentrasi 2,5%. Dapat disimpulkan bahwa ekstrak etanol daun Pangi mempengaruhi kecepatan penyembuhan luka bakar pada tikus putih galur Wistar dan dapat dipertimbangkan sebagai salah satu bahan aktif untuk pengobatan luka bakar.
A Concise Review on Hepatitis C Virus Infection-Associated Type 2 Diabetes Mellitus and Its Impact on Anti-HCV Therapy
Authors: Khan Muhammad Khalid , Muhammad Saad  , Raza Ullah
Published: October 2022

Hepatitis C virus (HCV), an RNA-containing virus, has infected more than 170 million people worldwide and is one of the leading causes of deaths in developing countries due to its propensity to progress to chronic states, followed by multiple fibrosis and scar formation (cirrhosis) and even hepatocellular carcinoma. Type 2 diabetes mellitus (T2DM), a metabolic disorder, is one of the diseases of civilization, and its prevalence has shown an increasing tendency globally. At present, more than 350 million people worldwide are suffering from T2DM. T2DM is considered the most common extrahepatic linkage of HCV infection, which is associated with prevalent morbidity and mortality patterns. Several studies have reported that HCV patients are more prone to developing T2DM as compared to healthy non-infected individuals. Extensive studies have revealed that HCV patients tend to develop insulin resistance (IR), which plays a crucial role in the development of T2DM. IR develops through several pathophysiological mechanisms, including the inhibition of insulin signaling pathway that induces central IR by HCV proteins and increased lipolysis as well as the overproduction of inflammatory cytokines, which promote peripheral IR. IR has a direct effect on the association of HCV with T2DM, and it has been found associated with impaired sustained virological response (SVR) and a higher incidence of hepatocellular carcinoma in HCV patients. Therefore, it has been suggested that chronic HCV patients must be treated with anti-HCV therapy along with antidiabetic medications to better achieve SVR. In this review, we briefly describe HCV infection, its diagnosis, global epidemiology, treatment options, and its association with DM, along with its impact on anti-HCV therapy.
Using Toxic Equivalent Quotients (TEQs) to Evaluate the Risk of Polycyclic Aromatic Hydrocarbons Compounds in Soil at Basrah Governorate, Iraq
Authors: Saleem Fadya M. , Al-Saad Hamid T. , Al-Hejuje Makia M.
Published: October 2022

The concentrations of PAHs compounds in this study were estimated in soil of different land uses at Basrah governorate including thirty stations distributed in eight locations (five residential areas, four oil areas, four agricultural areas, five public streets, four petrol stations, two power plants, two public parks and four near private electrical generators). The levels of PAHs compounds mean in all locations ranged from (34.2 - 382.5) ng g-1 dry weight. The means of carcinogenic PAHs compounds in study area varied from (66.4 - 688.8) ng g-1 dry weight and mean of non-carcinogenic PAHs compounds varied from (12.8 - 292.5) ng g-1 dry weight. The carcinogenic PAHs compounds are more dominant than non-carcinogenic PAHs compounds. The human health risk was assessed depending on toxic equivalent quotients (TEQs). The results showed that TEQs ranged from (77.98 - 951.10) ng g-1 dry weight. The TEQs of PAHs in soil samples of oil areas showed the highest level. In general all locations in Basrah governorate were much polluted with PAHs compounds due to urban and industrial development. The present study represents the first study to assess a human health risk due to exposure to PAHs compounds in soil along Basrah governorate.
Comparative Clinical Trial Between Conventional Treatment and Treatment with Rich Plasma Implants in Platelets (PRP) in Patients with Pseudarthrosis in the Tibia
Authors: Botelho Valéria
Published: October 2022

The objective of this work was to carry out a comparative clinical study of the cost between the Conventional Treatment and the Treatment with Platelet Rich Plasma (PRP) in patients with Pseudarthrosis in the Tibia. At human bone fractures, mainly at arising in accidents in traffic and others and your complications, represent one important condition what has jeopardized health and quality of life, in addition to crescents for the Unified Health System (SUS), so much in the treatment primary, how much of us care with their grievances. One there, the Pseudarthrosis, entity gives Orthopedics already quite known, it is one complication of fractures Where o bone no it presents features in consolidation and regeneration. This is mainly due to poor vascularization at the fracture site, inadequate or late treatment and follow-up of the fracture, or the presence of a gap between the bone fragments. Surgical treatment is the most common for Pseudoarthrosis and it may be necessary for the patient to have a vascularized bone graft in the affected region. Against in a scenery, in what if observe o increase in costs hospital at the treatment surgical of fractures, so as pension expenses at the costing in pensions and retirements, resulting in loss gives activity work and loss of Health and Quality of Life with great repercussion at economy of country, was performed a study with essay Clinical Cats Comparison of Treatment Surgical Conventional for Pseudarthrosis gives Tibia, with o use in new technologies like the injection in Plasma Rich in Platelets (PRP) at the focus gives referred lesion, in patients attended fur System single of Health (SUS). The results obtained demonstrate that treatment with Platelet Rich Plasma (PRP) is less expensive, less traumatic, effective and allows for a shorter hospital stay, in addition to improving the Quality of Life.
GENERALIZATION OF THE $n^{th}$-ORDER OPIAL'S INEQUALITY IN $(p,q)$-CALCULUS
Authors: Iddrisu M.M. , Abubakari B. , López-Bonilla J.
Published: October 2022

We establish the generalized $n^{th}$-Order Opial's integral inequality via (p,q)-calculus with some extensions. The other analytical tools used to establish the results were $(p,q)$-Cauchy repeated integration formula and $(p,q)$-Cauchy-Schwarz's integral inequality.
Sleep quality and predictors of sleep disturbances among adult patients admitted in a selected hospital, Mangaluru.
Authors: Amala Sibichan  , Albeena Binu  , Aleena Anil  , Alphonsa Mathew  , Amitha K Joy  , Devina E Rodrigues
Published: October 2022

Sleep has an important role in maintaining health. Being active and energetic inversely related to thequality of sleep. We can say that sleep is an important parameter to measure health and vitality. Sleepdisturbance is common among patients admitted in the hospital. A new place, new people, pain andvarious amounts of discomfort, fear, hospital routines and many more parameters can disturb the sleep ofthose patients admitted in the hospital. The patients admitted in the general wards get almost no choice topostpone their bedside procedures to their preferred time. Somewhere over the line, we need to realize thepredictors of sleep disturbance in the hospital environment and take measures to tackle those factors. Weneed to look at those situations at the patient’s point of view and implement changes in our routines.Though nurses write sleep status of each patient at night, their assessment on sleep quality is notmeasured with any standard tools. This study would help to implement such strategies to take specificactions on those factors which cause sleep deprivation. Objective of the study: The aim of this study isto assess the quality of sleep and to identify the predictors of sleep disturbance among hospitalizedpatients. Methods and materials:A descriptive survey designwas used for this study. The sampleconsists of 60 adult patients admitted in the medical wards of a selected medical hospital. The subjectswere selected by using purposive sampling technique.The tool has been prepared by the investigatorskeeping in mind those concepts presented by the U.S.National sleep foundation on the quality ofsleep. The data were obtained by sleep quality index and using a five- point rating scale to assess thepredictors of sleep disturbances. Results: Out of total patients 48.3% of them had fair sleep duringhospitalization and 30% of them had poor sleep and only 21.7% of them had good sleep. Most of thesleep distracters (78.3%) found to be at low level, 20% of the sleep distracters were present in moderatelevel and 1% in high level. Conclusion: The present study shows that many patients do have sleepdeprivation due to a wide variety of factors. This shows that health personnel need to be extra consciousand cautious in planning the activities for their patients and minimize distractions.
A Clinical Study of Hollow Viscus Injuries in Abdominal Trauma
Authors: Bagammagari Raghuram Reddy  , Annapareddy Raja Karan Reddy
Published: October 2022

Background: Blunt abdominal trauma results in injury to the bowel and mesenteries in 3—5% of cases. The injuries arepolymorphic including hematoma, seromuscular tear, perforation, and ischemia. They preferentially involve the smallbowel and may result in bleeding and/or peritonitis. The main diagnostic challenge is to promptly and correctly identifyinjuries that require surgical repair.Objectives: To study the incidence, management and outcome of Hollow Viscus Injuries in Abdominal TraumaMethods: A comprehensive history was obtained from 50 patients attendants, including the patient’s demographiccharacteristics, the type of injury (whether blunt or penetrating), the symptoms with which the patient presented, and thetime elapsed from injury to admission. All patients underwent baseline tests such as haemoglobin, platelet count, bloodurea, blood glucose levels, serum electrolytes, and blood grouping. Ultrasound and CT scans of the abdomen were notperformed on all patients. Patients whose x-rays or clinical examinations were inconclusive had USG and CT scans.Results: Male predominance was observed with 72% and females were 28%. The male: female ratio was 2.57:1.Out of the50 cases with these kinds of injuries 56% of the cases underwent primary closure of perforation. 20% cases had resectionand anastomosis. 14% of the cases had Omental patch closure of perforation and 10% cases with serosal tear underwentsimple repairConclusion: Many predictors of morbidity and mortality have been identified, and treatment delays have been identifiedas a strong indication of morbidity that has a substantial impact on the post-operative path.
Residual Cardiovascular Risk – A Concept in Evolution
Authors: Biswajit Das  , Subhasish Singh
Published: October 2022

The commonest cause of mortality worldwide is cardiovascular disease.The contemporary evidence based therapy targetsknown risk factors like LDL cholesterol,hypertension and hyperglycemia.Still,the current treatment protocols preventonly half of the CVD deaths.Scientific research is constantly providing newer options to mitigate unfavourable outcomesin those with persistent risk.This review discusses the multiple potential targets of therapy and the drugs available to fillthis unmet need.
A Comparative Study of Hernioplasty With Suction Drain and Without Suction Drain in Inguinal Hernias at Tertiary Care Hospital
Authors: D. Ramesh
Published: October 2022

Background: Inguinal hernia occurs in about 15% of adult population and inguinal hernia repair is one of the mostcommonly performed surgical procedure. In the era of minimal invasive surgery, hernia repair has seen a paradigm shiftfrom open to laparoscopic technique.Objectives: To assess the outcome of drain placement Vs no drain use, in patients undergoing open mesh repair ofinguinal hernias.Methods: This is a prospective study comprising of 50 patients of inguinal hernia over a period of 23 months. The patientswere randomized into 2 groups – With and without the use of drains. The patients underwent open inguinal hernia meshrepair by a standardized method. The outcome of seroma formation, hematoma formation, infection at surgical site, andduration of hospital stay was recorded and analyzed.Results: In the present study 16% of cases in drainage group and 20% in non-drainage group developed post operativewound infection. P value is insignificant. The mean post operative hospital stay in drainage group was 9.7 days and innon-drainage group was 6.7 days.Conclusion: The early post operative complications like seroma, hematoma, wound infection rates are similar in bothdrainage and non-drainage groups. So, it appears that suction drain usage can be restricted in Lichtenstein’s tension freemesh repair in simple inguinal hernias unless hernia is complicated or there is extensive dissection
Attitude of Healthcare workers towards Disaster Management practices in a Hospital of Gujarat
Authors: Kamlesh K. Patel  , Manish Ramavat  , Nimesh Bhojak  , Palak J. Vora
Published: October 2022

Background: Effective management of a disaster requires preparedness and appropriate attitude of healthcare workers.Attitude of the healthcare workers will impact their response during any emergency situation coping. This study wasconducted to assess overall attitude towards disaster management among the healthcare staff of 650 bedded hospital inNorth Gujarat region.Methodology: This is a cross sectional survey study carried out on 201 healthcare staff of the hospital under study. Thedata was collected through an online questionnaire consisting the demographic details of the participants and followedby questions regarding the attitude of participants toward disaster management and disaster management practices in thehospital. Data was coded and analysed with MS Excel and SPSS.Result: From the responses we received, it was conclude that 45.8% staff of the study hospital have taken the trainingfor disaster management and 44.8% staff have faced disaster during their work experience at the hospital. Among therespondents, majority are students (56.2%), nursing staff (25.4%), doctors (11.9%) and others (6.5%). Looking to theirperception, 39.3% staff believes that the disaster preparedness in the hospital is sufficient, 22% says it is insufficient while38.8% have neutral response.Conclusion: Attitude of health care workers towards disaster management is very important as it impacts their responseduring any emergency situation. Study showed the awareness regarding the disaster occurrence and vulnerability of thehospital and health care workers’ attitude requires improvement. Which can be positively impacted by trainings, mockdrills,making them aware about their roles during a disaster and disaster policy related information.
Perspective approach to Nutritional anemia among Medical students using Health Belief Model: A cross sectional study in Tamil Nadu
Authors: Hanitha Rajasekar
Published: October 2022

Introduction: Anemia is one of the major public health problem more commonly encountered in both developed as well asdeveloping countries1. Various causes for anaemia are nutritional deficiencies, infectious diseases and chronic blood loss.Nutritional anemia is the most widespread nutritional disorder in the world affecting 500 million to 1 billion individuals4.The most vulnerable population for nutritional anaemia is Adolescents aged 10-19 years. Most of the anemia initiativesare directed towards maternity and early childhood, there is not much attention shown towards adolescent population.This study was conducted to throw light on attitude towards nutritional anemia among undergraduate medical studentsby using Health belief model.Study Methodology: This study was conducted in a private medical college at Chengelpet district of Tamil Nadu. 122students from first year were selected by using universal sampling method. A self administered questionnaire comprisingof two parts was used to collect data, first part was general information about the participants and second part werequestions under five factors of Health benefit model.Result:Mean value of perceived benefit was 3.2+1.54, perceived barrier was 1.7+0.47, perceived self efficacy was 2.69+1.14interpersonal influence was 2.45+0.73 and situational influence was 2.26+1.2. Nearly 82.8% had perceived benefit onhighest scale, 76.2% had perceived barrier on a moderate scale and 52.5% had perceived self efficacy on a moderate scale.Conclusion: The study participants with high self efficacy were able to overcome the barriers and perceive benefit ofreduced risk in acquiring nutritional anaemia.
A Study of Effectiveness of Videolaryngoscopy and Conventional Laryngoscopy in Adult Patients for Orotracheal Intubation
Authors: Madhavi.Mavani  , Nayna Solanki  , Shilpin Solanki  , Hiral Solanki
Published: October 2022

Aim: Present study was carried out to evaluate and compare the laryngeal view and intubation by direct laryngoscopeusing macintosh blade with video laryngoscope in adult patients requiring endotracheal intubation.Material and Methods: This prospective study was carried out at our institute - GUJARAT CANCER SOCIETY MEDICALCOLLEGE, HOSPITAL AND RESEARCH CENTER. Total 100 adult patients for elective surgery under general anaesthesiawere included in this study. Patients were randomly divided in two groups. Each group included 50 patients. Group A:Videolaryngoscopy, Group B : Conventional Laryngoscopy. Hemodynamic changes and SpO2 were noted and recordedduring the procedure at various intervals.Results: Cormack Lehane glottis view is better with videolaryngoscope than conventional Macintosh laryngoscope andis significant statistically. The mean tracheal intubation time was higher, in Group B as compared to Group A. But thedifferences were statistically not significant. The mean rate of failure to intubate was almost similar among both thegroups. The difference was statically not significant. No statistically significant difference was observed in mean arterialBP between the two study groups, at any point time.Conclusion: video laryngoscope offers a better laryngeal view, minimum external maneuvers, less attempts for intubationand provides better hemodynamic response during laryngoscopy and intubation as compare to direct laryngoscopy withMacintosh blade.
Correlation of D-Dimer Level with Severity of Pneumonia, Hospital Stay and Mortality in Case of Covid-19 Infection: A Retrospective Study an a Tertiary Care Hospital.
Authors: Rajashree Pradhan  , Sajeeb Mondal  , Somsubhra Chattopadhyay  , Sharmistha Debnath
Published: October 2022

Introduction: Worldwide there was a pandemic of novel corona virus infection in which one of the major concern was therisk of thrombosis and the mortality associated with it.Aim: In this study our aim was to observe the changes in D-dimer levels during disease progression and its correlationswith severity of Pneumonia, duration of hospital stay and mortality of COVID-19 patients.Materials & Methods: In this study we reported the clinical, radiological and pathological laboratory results of 432 casesof confirmed COVID-19 infection. In these patients their clinical presentation, concentration of D-dimer, coagulationparameters, CBC, severity of Pneumonia on HRCT, hospital stay and higher mortality were retrospectively analyzed.Result: All the statistical variables were expressed in % and compared withx2 test. Out of the 432 cases in 45 cases (10.41%)the D-dimer values were >2.4μg/ml and in 15 cases the value were very high (3.47%). When correlated these patientsfound to have severe degree of pneumonia, longer hospital stay and higher mortality rate in comparison to patients withD-dimer level of <2.4 μg/ml.Conclusion: D-dimer level could be used as an early marker for the clinical classification, risk stratification and improvedmanagement of COVID-19 patients.
Study of the Future of those Recovered from COVID-19 from Treatment centers in Guinea from March 2020 to January 2021
Authors: S. Sow  , F.B. Diakité  , I. Diallo  , C. T. Sidibe  , A. B. Diallo  , M. C. Tshikolasoni  , M.O. Balde
Published: October 2022

SARS-CoV-2 appeared in December 2019 in Wuhan, China. The Guinean Government has taken important measuressince the notification of the first case on March 12, 2020, in particular the follow-up of the recovered. The objective of thisstudy was to describe the health and socio-economic problems faced by those who recovered from COVID-19 in Guinea.This was a descriptive cross-sectional study by simple random sampling in the five communes of Conakry and the regionsof Kindia, Labé, and Kankan. Up to 330 COVID-19 survivors responded to the survey, 99% of whom were from the urbanarea. The male gender represented 70.3%, and the 19-38 age group was the most represented (61.82%). Pupils, students/teachers, health personnel, and academics respectively represented 10.91%, 17.58%, and 62.73%. In this study, 70% weremarried against 28.18% single, and 8.79% moved after leaving the CTEPI. There is a statically significant link betweenstigma and job loss with a p-value of 0.002. Stigma was strongly associated with community residence, change in income,and post Covid-19 stress (P <0.05). The cured people who live in the communes of Ratoma, Matam, and Matoto are morein the process of being stigmatized than the others, with respectively 27.6%, 23.4%, and 19.1% (p = 0.001). These resultsshow the need to support COVID-19 survivors from health, psychological and socio-economic perspectives.